Efficacy and safety of dulaglutide monotherapy compared with glimepiride in East‐Asian patients with type 2 diabetes in a multicentre, double‐blind, randomized, parallel‐arm, active comparator, phase III trial

May 1, 2018Diabetes, obesity & metabolism

Dulaglutide alone compared with glimepiride for safety and effectiveness in East-Asian adults with type 2 diabetes

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Abstract

A total of 737 patients were randomized, showing that dulaglutide significantly improved blood sugar control compared to glimepiride.

  • Both doses of dulaglutide (1.5 mg and 0.75 mg) reduced glycated hemoglobin () more effectively than glimepiride.
  • The least squares mean difference for HbA1c reduction was -6.34 mmol/mol (or -0.58%) for dulaglutide 1.5 mg and -3.50 mmol/mol (or -0.32%) for dulaglutide 0.75 mg.
  • 74.1% of patients on dulaglutide 1.5 mg reached the HbA1c target of <53 mmol/mol (<7.0%), compared to 57.4% on glimepiride.
  • Mean body weight decreased in patients taking dulaglutide, and total hypoglycemia rates were lower than in the glimepiride group.
  • Common side effects in the dulaglutide groups included diarrhea, nausea, and decreased appetite.

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Key numbers

-6.34 mmol/mol
Reduction with Dulaglutide 1.5 mg
Least squares mean difference from baseline at week 26.
74.1%
Target Achievement
Proportion of patients achieving <53 mmol/mol at week 26.
0.14 events/patient/year
Total Hypoglycemia Rates
Mean rates in the dulaglutide 1.5 mg group.

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