Table 4.
HbA1c and body weight change from head‐to‐head GLP‐1 RA trials
Trial name, time until primary endpoint | Treatment arms | Background treatments | ETD HbA1c, % [95% CI]; P‐value | ETD body weight, kg [95% CI]; P‐value |
---|---|---|---|---|
QW vs QW | ||||
SUSTAIN 3 39 , 56 weeks | Semaglutide s.c. 1 mg | Metformin ± TZDs/SUs | −0.62 [−0.80; −0.44]; <.0001 | −3.78 [−4.58; −2.98]; <.0001 |
Exenatide ER 2 mg | ||||
SUSTAIN 7 40 , 40 weeks | Semaglutide s.c. 0.5 mg | Metformin | −0.40 [−0.55; −0.25]; <.0001 | −2.26 [−3.02; −1.51]; <.0001 |
Dulaglutide 0.75 mg | ||||
Semaglutide s.c. 1 mg | −0.41 [−0.57; −0.25]; <.0001 | −3.55 [−4.32; −2.78]; <.0001 | ||
Dulaglutide 1.5 mg | ||||
QW vs QD/BID | ||||
AWARD‐1 15 , 26 weeks | Dulaglutide 0.75 mg | Pioglitazone ± metformin | (−1.30 ± 0.06 a ) | (0.20 ± 0.29 a ) |
Dulaglutide 1.5 mg | (−1.51 ± 0.06 a ) | (−1.30 ± 0.29 a ) | ||
Exenatide 10µg BID | (−0.99 ± 0.06 a ) | (−1.07 ± 0.29 a ) | ||
Placebo | (−0.46 ± 0.08 a ) | (1.24 ± 0.37 a ) | ||
AWARD‐6 36 , 26 weeks | Dulaglutide 1.5 mg | Metformin | −0.06 [0.19; 0.07]; <.0001 b | −0.71 [0.17; 1.26]; .011 |
Liraglutide 1.8 mg (QD) | ||||
DURATION‐5 37 , 24 weeks | Exenatide ER 2 mg | Metformin, SUs, TZDs | −0.7 [−0.9; −0.4]; <.01 | −0.95 [−1.9; 0.01]; NR † |
Exenatide 10 µg BID | ||||
DURATION‐6 38 , 26 weeks | Exenatide ER 2 mg | Metformin, SU, metformin + SU, or metformin + pioglitazone | −0.21 [0.08; 0.33]; .0018 | 0.90 [0.39; 1.40]; .0005 |
Liraglutide 1.8 mg (QD) | ||||
SUSTAIN 10 35 , 30 weeks | Semaglutide s.c. 1 mg | 1–3 OADs | −0.69 [−0.82; −0.56]; < .0001 | −3.83 [−4.57; −3.09]; <.0001 |
Liraglutide 1.2 mg (QD) |
BID, twice‐daily; CI, confidence interval; ETD, estimated treatment difference; exenatide ER, exenatide extended‐release; exenatide ER AI, exenatide ER auto‐injectable; GLP‐1 RA, glucagon‐like peptide‐1 receptor agonist; HbA1c, glycated haemoglobin; NR, not reported; QD, once‐daily; QW, once‐weekly; s.c., subcutaneous; SU, sulphonylurea; TZD, thiazolidinedione.
Least squares mean difference from baseline ± standard error.
Significance for non‐inferiority; †statistical significance not reported at Week 24.