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Albiglutide Versus Placebo in Insulin-treated Subjects With New-onset Type 1 Diabetes Mellitus

Study 110933: Albiglutide Versus Placebo in Insulin-treated Subjects With New-onset Type 1 Diabetes Mellitus

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02284009
Enrollment
67
Registered
2014-11-05
Start date
2014-10-10
Completion date
2017-10-18
Last updated
2020-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetes Mellitus, Type 1

Keywords

New-onset type 1 diabetes mellitus, Albiglutide

Brief summary

This is a Phase II, randomized, double-blind, parallel group, placebo controlled, multicentre study of 52 weeks treatment duration. The primary objective is to evaluate the efficacy(on endogenous insulin secretion), safety and tolerability of weekly albiglutide (a glucagon-like peptide-1 receptor (GLP-1R) agonist) versus placebo when added to insulin therapy in subjects with new-onset type 1 diabetes mellitus (NOT1DM) and residual insulin production.. Approximately 68 eligible subjects will be randomised in a 3:1 ratio such that 51 subjects receive albiglutide 30 milligram (mg) once weekly (with increase to 50 mg once weekly at Week 6 if the 30-mg weekly dose is tolerated) added-on to insulin therapy and 17 subjects receive placebo once weekly added-on to insulin therapy. The total duration of a subject's participation will be approximately 72 weeks (up to 8 weeks of Screening, 52 weeks of treatment and 12 weeks of Post-treatment Follow-up)

Interventions

BIOLOGICALAlbiglutide weekly injection

Albiglutide will be provided as a fixed-dose, fully disposable pen injector system having a prefilled dual chamber glass cartridge. To be self-administered as a subcutaneous (SC) injection in the abdomen, thigh or upper arm region. The pen will deliver either 30 mg of albiglutide, 50 mg of albiglutide in a 0.5-mL injection volume. It may be administered at any time of day without regard to meals. It will be administered once a week on the same day each week

BIOLOGICALPlacebo weekly injection

Placebo provided as a fixed-dose, fully disposable pen injector system having a prefilled dual chamber glass cartridge. To be self-administered as a SC injection in the abdomen, thigh or upper arm region. It may be administered at any time of day, once a week on the same day each week, without regard to meals.

BIOLOGICALInsulin

Commercially available basal/bolus insulin regimen, self administered by the subject, in accordance to the prescription of the physician and as per the package insert

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
No

Inclusion criteria

* Male or female, aged 18 to 30 years, inclusive, with a diagnosis of T1DM with an interval of 28-56 days between the initial diagnosis and the first dose of study drug. Documentation of the diagnosis of T1DM (and not just insulin deficiency), including the date of diagnosis, must be obtained from the diagnosing physician. * Currently requires insulin for T1DM treatment, or has required insulin therapy for T1DM (for \>=7 days) between the date of diagnosis and the first dose of study drug. Note: subjects currently taking twice daily commercially available pre-mixed insulin will not be eligible. * Positive for at least one of the following autoantibodies typically associated with T1DM: antibody to glutamic acid decarboxylase (anti-GAD) antibody to protein tyrosine phosphatase-like protein (anti-IA-2) or an insulin autoantibody (IAA). Please note: A subject who is positive for IAA and negative for the other autoantibodies will not be eligible if the subject has been using insulin for a total of \>=7days. * Evidence of residual functioning pancreatic beta-cells as measured by a peak stimulated C-peptide level \> 0.20 nanomoles/litres (nmol/L) during the Screening MMTT when plasma glucose level is \>3.9 mmol/L (70 mg/dL) and \<=11.1 mmol/L (200 mg/dL). Note: the Screening MMTT should not be performed within one week of resolution of a DKA event. * Body mass index \<=32.0 kilogram/square meters (kg/m\^2). * Female subjects of childbearing potential (i.e., not surgically sterile and/or not postmenopausal) must be practicing adequate contraception (i.e., meeting one of the criteria defined below) from at least 14 days prior to the first dose of randomised study medication until the 12-week post-treatment Follow-up visit : Abstinence from penile-vaginal intercourse, when this is the female's preferred and usual lifestyle; Oral Contraceptive, either combined or progestogen alone ; Injectable progestogen; Implants of etonogestrel or levonorgestrel; Estrogenic vaginal ring; Percutaneous contraceptive patches; Intrauterine device or intrauterine system that has a failure rate of less than 1% per year when used consistently and correctly as stated in the product label; Male partner sterilization prior to the female subject's entry into the study, and this male is the sole partner for that subject. The information on the male sterility can come from the site personnel's review of subject's medical records; medical examination of the subject and/or semen analysis; or interview with the subject on his medical history.; Male condom combined with a female diaphragm, either with or without a vaginal spermicide * Able and willing to provide written informed consent and to comply with all study procedures.

Exclusion criteria

* Severe gastroparesis i.e., requiring therapy within 6 months prior to Screening * History of acute or chronic pancreatitis, or considered clinically at significant risk of developing pancreatitis, during the course of the study (e.g. due to symptomatic gallstones, excess alcohol use). * History of significant gastrointestinal surgery that in the opinion of the investigator is likely to significantly affect upper gastrointestinal or pancreatic function (e.g. gastric bypass and banding, antrectomy, Roux-en-Y bypass, gastric vagotomy, small bowel resection, or surgeries thought to significantly affect upper gastrointestinal function) * Personal history or family history of thyroid medullary carcinoma or multiple endocrine neoplasia type 2 (MEN2) * History of cancer that has not been in full remission for at least 3 years before Screening. (A history of squamous cell or basal cell carcinoma of the skin, or treated cervical intraepithelial neoplasia I or cervical intraepithelial neoplasia II is allowed) * Fasting triglyceride level \>750 milligram/decilitre (mg/dL) at Screening. Subjects may be re-tested once during screening, and if the value no longer meets the exclusion criterion, the subject can be randomly assigned to treatment * Estimated Glomerular Filtration Rate (eGFR) \<=30 mL/min/1.73 m\^2 (calculated using the Modification of Diet in Renal Disease (MDRD) formula * Haemoglobinopathy that may affect proper interpretation of HbA1c * Alanine aminotransferase (ALT) \>2.5 × upper limit of normal (ULN) and bilirubin \>1.5 × ULN (isolated bilirubin \>1.5 × ULN is acceptable if bilirubin is fractionated and direct bilirubin \<35%) * Unstable liver disease (as defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, oesophageal or gastric varices or persistent jaundice), cirrhosis, known biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones). \[Chronic stable hepatitis B and C are acceptable if subject otherwise meets entry criteria and are not on active antiviral treatment (e.g., presence of hepatitis B surface antigen or positive hepatitis C test result within 3 months of screening)\] * Any clinically significant co-morbidity or abnormality (including psychiatric disorder, any other autoimmune endocrinopathy e.g., primary autoimmune hypothyroidism, hyperadrenalism, coeliac disease etc) that in the opinion of the Investigator, may pose additional risk in administering study medication or trial participation * Female subject is pregnant (confirmed by laboratory testing) or lactating * Known allergy to any GLP-1 analogue, insulin, or excipients of albiglutide * Treatment with any oral anti-diabetic medication within the prior 30 days or 5 half lives of that medication, whichever is longer. * Use of immunosuppressants, intravenous immunoglobulin, oral or systemically injected glucocorticoids within the 3 months before randomisation or high likelihood of a requirement for prolonged treatment (\>1 week) in the year following randomisation. However, short courses of oral steroids (single dose or multiple doses for up to 7 days) may be permitted provided these cases are discussed with the medical monitor. Inhaled, intra-articular, and small quantities of non-potent topical corticosteroids are allowed * Receipt of any investigational drug within the 30 days or 5 half-lives, whichever is longer, before Screening, a history of receipt of an investigational anti-diabetic drug within the 3 months before randomisation, or receipt of albiglutide in previous studies.

Design outcomes

Primary

MeasureTime frameDescription
Mean Change From Baseline in Time Normalized Stimulated (From Mixed Meal Tolerance Test [MMTT]) 2-hour Plasma C-peptide Area Under the Curve (AUC) at Week 52Baseline and Week 52Participants (parts) had a balanced diet consistent with dietitian's advice and made no major changes in exercise regimens. Evening before the MMTT, participants had a full meal then fasted from 9 post meridiem (pm) until MMTT was completed. Water, black coffee or tea without sugar or artificial sweeteners was allowed. Plasma glucose was measured prior to the finger-stick test and MMTT was performed only if in range \> 3.9 millimoles per liter (mmol/L) \[70 mg/deciliter (dL)\] and \<= 11.1 mmol/L (200 mg/dL). Baseline was defined as the last non-missing value with assessment date on or before the 1st day of study medication. Change from Baseline was calculated by subtracting Baseline value from Week 52 value. Intent-to-treat (ITT) Population comprised of all randomly assigned participants who received at least 1 dose of study medication with at least 1 post-Baseline assessment of the primary endpoint.

Secondary

MeasureTime frameDescription
Maximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64Baseline and Weeks 16, 28, 52 and 64Maximum stimulated plasma C-peptide was the highest value at any time point during the 2 hour MMTT after the participant has ingested the mixed meal at Baseline, Week 16, Week 28, Week 52 and Week 64. Blood samples were taken to assess levels of C-peptide at: 10 minutes before Time 0 (-10 minutes), Immediately before the participant starts drinking the nutritional drink (Time 0) and 15, 30, 60, 90, and 120 minutes after Time 0.
Mean Change From Baseline in Time Normalized Plasma Glucagon AUC (From MMTT) at Week 16, 28, 52 and 64Baseline and Weeks 16, 28, 52 and 64Blood samples were taken to assess levels of glucagon at: 10 minutes before Time 0 (-10 minutes), immediately before the participant started drinking the nutritional drink (Time 0) and 15, 30, 60, 90, and 120 minutes after Time 0. Mean change from Baseline in time normalized plasma glucagon AUC (from MMTT) at Week 16, 28, 52 and 64 was reported. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication. Change from Baseline was calculated by subtracting Baseline value from the specified time point value.
Percentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Baseline and Weeks 4, 8, 16, 28, 40, 52 and 64Responders were defined as participants achieving glycosylated hemoglobin A1c (HbA1c) \<= 7.0 percent and mean daily insulin use \< 0.5 units per kilograms (kg) per day. Percentages are based on the number of participants with available HbA1c and insulin use data in each treatment group at that visit.
Percentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Baseline and Weeks 4, 8, 16, 28, 40, 52 and 64Participant achieving partial remission status was defined as a participant with IDAA1C \<=9.0 . Percentages were based on the number of participants with available IDAA1c data in each treatment group at that visit.
Change From Baseline in Percent HbA1c at Week 52Baseline and Week 52Change from Baseline in percent HbA1c was reported. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication. Change from Baseline was calculated by subtracting Baseline value from the Week 52 value.
Percent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)Weeks 4, 8, 16, 28, 40, 52 and 64Blood samples were collected from participants for analysis of HbA1c at indicated time points and percentage of HbA1c has been calculated for Weeks 4, 8, 16, 28, 40, 52 and 64.
Change From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64Baseline and Weeks 4, 8, 16, 28, 40, 52 and 64The mean daily insulin use value was calculated, in units/kg/day as the sum of average prandial insulin doses and average of basal insulin doses for each participant recorded daily for the 3 days prior to the specified visits, divided by the participant's body weight in kg. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication. Change from Baseline was calculated by subtracting Baseline value from the specified time point value.
Number of Events of Participant-reported Significant Hypoglycemia, Occurring > Week 24 and <= Week 52Week 24 to 52Significant hypoglycemia was defined as an event with plasma glucose level \<= 3.9 mmol/L (\<= 70 mg/dL) and/or requiring third party intervention. This corresponds to American Diabetes Association (ADA) category definitions of severe, documented symptomatic, and asymptomatic hypoglycemia. The time period was defined as: \> Week 24 to \<= Week 52 = Day 169 to Day 364. Number of Events were defined as the total number of significant hypoglycemic events at each level of summarization. Number of events of hypoglycemia with confirmed self plasma glucose monitoring \<=3.9 mmol/L and/or requiring third party intervention (i.e., severe, documented symptomatic and asymptomatic hypoglycemic events) occurring \>Week 24 and \<=Week 52 are presented.
Time Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52Baseline and Weeks 28 and 52Three days before the visit, the participants made an additional visit to the study site to have the CGM fitted/inserted. It was worn for 3 consecutive days and was removed at the scheduled study visit. Whilst wearing the CGM, participants continued to monitor their plasma glucose at least 4 times a day and on one of the days, conducted 7-point glucose profile (Before breakfast, 2 hours after breakfast, Before lunch, 2 hours after lunch, Before dinner, 2 hours after dinner, At bedtime). Time spent with a plasma glucose \<=3.9 millimoles per liter (mmol/L), between \>3.9 and 10.0 mmol/L, and \>10.0 mmol/L, respectively as performed by 72-hour CGM at Baseline, Week 28 and Week 52 was reported.
Mean Change From Baseline in Time Normalized Stimulated (From MMTT) 2 Hour Plasma C-peptide AUC at Week 16, 28 and Week 64Baseline and Weeks 16, 28 and 64Participants had a balanced diet consistent with dietitian's advice and made no major changes in exercise regimens. On the evening before the MMTT, participants had a full meal and then fasted from 9 pm until the MMTT was completed. Water, black coffee or tea without sugar or artificial sweeteners was allowed. Plasma glucose was measured prior to the test using a finger-stick test and MMTT was performed only if it was in range \> 3.9 mmol/L (70 mg/dL) and \<= 11.1 mmol/L (200 mg/dL). Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication. Change from Baseline was calculated by subtracting Baseline value from the specified time point value.
Greatest Magnitude of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Baseline and Weeks 28 and 52A hypoglycemic excursion was defined as an occurrence where the plasma glucose level \<=3.9 mmol/L (\<= 70 mg/dL). At each visit, only evaluable participants, defined as those with \>= 4 non-missing glucose values or \>= 1 hypoglycemic excursions were included. Greatest hypoglycemic excursion was calculated as 3.9 mmol/L minus the lowest recorded glucose level during the 7-point glucose profile (Before breakfast, 2 hours after breakfast, Before lunch, 2 hours after lunch, Before dinner, 2 hours after dinner, At bedtime). If a participant had data recorded at that visit, but did not have a value \<= 3.9 mmol/L, their greatest hypoglycemic excursion were 0 mmol/L for that visit. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication.
Number of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Baseline and Weeks 28 and 52A hyperglycemic excursion is defined as an occurrence where the plasma glucose level \> 10.0 mmol/L (\> 180 mg/dL). At each visit, only evaluable participants, defined as those with \>= 4 non-missing glucose values or \>= 1 hyperglycemic excursions were included. Number of Hyperglycemic Excursions for each participant from 7-Point Glucose Profile (Before breakfast, 2 hours after breakfast, Before lunch, 2 hours after lunch, Before dinner, 2 hours after dinner, At bedtime) were reported. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication.
Greatest Magnitude of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Baseline and weeks 28 and 52A hyperglycemic excursion is defined as an occurrence where the plasma glucose level \> 10.0 mmol/L (\> 180 mg/dL). At each visit, only evaluable participants, defined as those with \>= 4 non-missing glucose values or \>= 1 hyperglycemic excursions were included. Greatest hyperglycemic excursion was calculated as the largest recorded glucose level during the 7-point glucose profile (before breakfast, 2 hours after breakfast, before lunch, 2 hours after lunch, before dinner, 2 hours after dinner, at bedtime) minus 10.0 mmol/L. If a participant had data recorded at that visit, but does not have a value \> 10.0 mmol/L, their greatest hyperglycemic excursion would be 0 mmol/L for that visit. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication.
Change From Baseline in Body Weight (Kilograms) at Week 52Baseline and Week 52Change from Baseline in body weight of participants was reported. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication. Change from Baseline was calculated by subtracting the Baseline value from the Week 52 value.
Weight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64Body weight was measured in kilograms for participants at indicated time points.
Population Estimates of Pharmacokinetic (PK) Parameters: Apparent Clearance [CL/F]48 hours after the most recent dose at Week 4, 6, 8 and 16PK of Albiglutide was evaluated in participants using CL/F using PK samples collected on Weeks 4, 6, 8, 16. CL/F was evaluated by population PK methods and mean and standard error from the final model has been tabulated. Estimates have been presented from the final model centered to mean body weights of 67 kilograms, and electronic glomerular filtration rate (eGFR) of 123 milliliters per minute.
Population Estimates of PK Parameters: Apparent Volume of Distribution [V/F]48 hours after the most recent dose at Week 4, 6, 8 and 16PK of Albiglutide was evaluated in participants using V/F using PK samples collected on Weeks 4, 6, 8, 16. V/F was evaluated by population PK methods and mean and standard error from the final model has been tabulated. Estimates have been presented from the final model centered to mean body weights of 67 kilograms, and eGFR of 123 milliliters per minute.
Population Estimates of PK Parameters: First-order Absorption Rate Constant [Ka]48 hours after the most recent dose at Week 4, 6, 8 and 16PK of Albiglutide was evaluated in participants using Ka using PK samples collected on Weeks 4, 6, 8, 16. Ka was evaluated by population PK methods and mean and standard error from the final model has been tabulated. Estimates have been presented from the final model centered to mean bodyweights of 67 kilograms, and eGFR of 123 milliliters per minute.
Number of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Baseline and Weeks 28 and 52A hypoglycemic excursion was defined as an occurrence where the plasma glucose level \<=3.9 mmol/L (\<=70 mg/dL). At each visit, only evaluable participants, defined as those with \>= 4 non-missing glucose values or \>= 1 hypoglycemic excursions were included. Number of Hypoglycemic Excursions for each participant from 7-Point Glucose Profile (Before breakfast, 2 hours after breakfast, Before lunch, 2 hours after lunch, Before dinner, 2 hours after dinner, At bedtime) were reported. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication.

Countries

France, Germany, Italy, Spain, United Kingdom

Participant flow

Recruitment details

This was a multicenter study conducted at 29 sites in Europe (Spain 10, United Kingdom (UK) 9, Germany 4, France 3 and Italy 3). A total of 67 participants with New-onset type 1 diabetes mellitus (NOT1DM) were randomized.

Pre-assignment details

Study was terminated early as part of the decision to withdraw albiglutide for commercial reasons. Study stopped after 67 participants were randomized instead of 68 as per protocol. Impact of early termination was minimal and did not affect the interpretation of results.

Participants by arm

ArmCount
Placebo
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
17
Albiglutide
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
50
Total67

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event30
Overall StudyLost to Follow-up13
Overall StudyPhysician Decision02
Overall StudyWithdrawal by Subject25

Baseline characteristics

CharacteristicAlbiglutideTotalPlacebo
Age, Continuous22.7 Years
STANDARD_DEVIATION 3.72
22.7 Years
STANDARD_DEVIATION 3.72
22.8 Years
STANDARD_DEVIATION 3.83
Race/Ethnicity, Customized
Black or African American
1 Participants1 Participants0 Participants
Race/Ethnicity, Customized
White
49 Participants66 Participants17 Participants
Sex: Female, Male
Female
21 Participants28 Participants7 Participants
Sex: Female, Male
Male
29 Participants39 Participants10 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 170 / 50
other
Total, other adverse events
13 / 1737 / 50
serious
Total, serious adverse events
2 / 171 / 50

Outcome results

Primary

Mean Change From Baseline in Time Normalized Stimulated (From Mixed Meal Tolerance Test [MMTT]) 2-hour Plasma C-peptide Area Under the Curve (AUC) at Week 52

Participants (parts) had a balanced diet consistent with dietitian's advice and made no major changes in exercise regimens. Evening before the MMTT, participants had a full meal then fasted from 9 post meridiem (pm) until MMTT was completed. Water, black coffee or tea without sugar or artificial sweeteners was allowed. Plasma glucose was measured prior to the finger-stick test and MMTT was performed only if in range \> 3.9 millimoles per liter (mmol/L) \[70 mg/deciliter (dL)\] and \<= 11.1 mmol/L (200 mg/dL). Baseline was defined as the last non-missing value with assessment date on or before the 1st day of study medication. Change from Baseline was calculated by subtracting Baseline value from Week 52 value. Intent-to-treat (ITT) Population comprised of all randomly assigned participants who received at least 1 dose of study medication with at least 1 post-Baseline assessment of the primary endpoint.

Time frame: Baseline and Week 52

Population: ITT Population. Only those participants with available data at the specified time points were analyzed. Time normalized plasma C-peptide AUC was calculated using trapezoidal rule then dividing by 120 (if the result at t=120 is non-missing otherwise the time difference between first and last times with non-missing results is used)

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline in Time Normalized Stimulated (From Mixed Meal Tolerance Test [MMTT]) 2-hour Plasma C-peptide Area Under the Curve (AUC) at Week 52-0.16 Nanomoles per literStandard Deviation 0.366
AlbiglutideMean Change From Baseline in Time Normalized Stimulated (From Mixed Meal Tolerance Test [MMTT]) 2-hour Plasma C-peptide Area Under the Curve (AUC) at Week 52-0.13 Nanomoles per literStandard Deviation 0.244
DEFEND-1 PlaceboMean Change From Baseline in Time Normalized Stimulated (From Mixed Meal Tolerance Test [MMTT]) 2-hour Plasma C-peptide Area Under the Curve (AUC) at Week 52-0.27 Nanomoles per literStandard Deviation 0.314
95% CI: [0, 0.24]
Secondary

Change From Baseline in Body Weight (Kilograms) at Week 52

Change from Baseline in body weight of participants was reported. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication. Change from Baseline was calculated by subtracting the Baseline value from the Week 52 value.

Time frame: Baseline and Week 52

Population: ITT Population. Only those participants with available data at the specified time points were analyzed.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Body Weight (Kilograms) at Week 520.26 KilogramsStandard Deviation 2.738
AlbiglutideChange From Baseline in Body Weight (Kilograms) at Week 520.77 KilogramsStandard Deviation 3.504
Secondary

Change From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64

The mean daily insulin use value was calculated, in units/kg/day as the sum of average prandial insulin doses and average of basal insulin doses for each participant recorded daily for the 3 days prior to the specified visits, divided by the participant's body weight in kg. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication. Change from Baseline was calculated by subtracting Baseline value from the specified time point value.

Time frame: Baseline and Weeks 4, 8, 16, 28, 40, 52 and 64

Population: ITT Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64Week 16,n=15,45-0.05 Units/kg/dayStandard Deviation 0.1
PlaceboChange From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64Week 40,n=13,40-0.01 Units/kg/dayStandard Deviation 0.151
PlaceboChange From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64Week 8,n=14,46-0.04 Units/kg/dayStandard Deviation 0.105
PlaceboChange From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64Week 52,n=12,410.04 Units/kg/dayStandard Deviation 0.119
PlaceboChange From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64Week 28,n=12,42-0.01 Units/kg/dayStandard Deviation 0.139
PlaceboChange From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64Week 64,n=11,380.04 Units/kg/dayStandard Deviation 0.14
PlaceboChange From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64Week 4,n=14,43-0.02 Units/kg/dayStandard Deviation 0.076
AlbiglutideChange From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64Week 64,n=11,380.10 Units/kg/dayStandard Deviation 0.187
AlbiglutideChange From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64Week 4,n=14,43-0.03 Units/kg/dayStandard Deviation 0.093
AlbiglutideChange From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64Week 8,n=14,46-0.02 Units/kg/dayStandard Deviation 0.123
AlbiglutideChange From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64Week 16,n=15,45-0.01 Units/kg/dayStandard Deviation 0.148
AlbiglutideChange From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64Week 28,n=12,420.03 Units/kg/dayStandard Deviation 0.145
AlbiglutideChange From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64Week 40,n=13,400.03 Units/kg/dayStandard Deviation 0.145
AlbiglutideChange From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64Week 52,n=12,410.11 Units/kg/dayStandard Deviation 0.215
Secondary

Change From Baseline in Percent HbA1c at Week 52

Change from Baseline in percent HbA1c was reported. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication. Change from Baseline was calculated by subtracting Baseline value from the Week 52 value.

Time frame: Baseline and Week 52

Population: ITT Population. Only those participants with available data at the specified time points were analyzed.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Percent HbA1c at Week 52-0.73 Percentage of HbA1cStandard Deviation 1.033
AlbiglutideChange From Baseline in Percent HbA1c at Week 52-0.59 Percentage of HbA1cStandard Deviation 1.649
Secondary

Greatest Magnitude of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52

A hyperglycemic excursion is defined as an occurrence where the plasma glucose level \> 10.0 mmol/L (\> 180 mg/dL). At each visit, only evaluable participants, defined as those with \>= 4 non-missing glucose values or \>= 1 hyperglycemic excursions were included. Greatest hyperglycemic excursion was calculated as the largest recorded glucose level during the 7-point glucose profile (before breakfast, 2 hours after breakfast, before lunch, 2 hours after lunch, before dinner, 2 hours after dinner, at bedtime) minus 10.0 mmol/L. If a participant had data recorded at that visit, but does not have a value \> 10.0 mmol/L, their greatest hyperglycemic excursion would be 0 mmol/L for that visit. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication.

Time frame: Baseline and weeks 28 and 52

Population: ITT Population. Only evaluable participants, as defined in the Measure Description were analysed (represented by n=X in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboGreatest Magnitude of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Baseline,n=15,430.94 mmol/LStandard Deviation 1.805
PlaceboGreatest Magnitude of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Week 28,n=13,402.05 mmol/LStandard Deviation 2.154
PlaceboGreatest Magnitude of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Week 52,n=12,402.19 mmol/LStandard Deviation 2.823
AlbiglutideGreatest Magnitude of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Baseline,n=15,432.72 mmol/LStandard Deviation 3.466
AlbiglutideGreatest Magnitude of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Week 28,n=13,401.52 mmol/LStandard Deviation 2.493
AlbiglutideGreatest Magnitude of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Week 52,n=12,402.42 mmol/LStandard Deviation 3.042
Secondary

Greatest Magnitude of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52

A hypoglycemic excursion was defined as an occurrence where the plasma glucose level \<=3.9 mmol/L (\<= 70 mg/dL). At each visit, only evaluable participants, defined as those with \>= 4 non-missing glucose values or \>= 1 hypoglycemic excursions were included. Greatest hypoglycemic excursion was calculated as 3.9 mmol/L minus the lowest recorded glucose level during the 7-point glucose profile (Before breakfast, 2 hours after breakfast, Before lunch, 2 hours after lunch, Before dinner, 2 hours after dinner, At bedtime). If a participant had data recorded at that visit, but did not have a value \<= 3.9 mmol/L, their greatest hypoglycemic excursion were 0 mmol/L for that visit. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication.

Time frame: Baseline and Weeks 28 and 52

Population: ITT Population. Only evaluable participants, as defined in the Measure Description were analysed (represented by n=X in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboGreatest Magnitude of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Baseline,n=15,420.24 mmol/LStandard Deviation 0.47
PlaceboGreatest Magnitude of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Week 28,n=13,400.18 mmol/LStandard Deviation 0.359
PlaceboGreatest Magnitude of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Week 52,n=12,400.22 mmol/LStandard Deviation 0.484
AlbiglutideGreatest Magnitude of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Baseline,n=15,420.22 mmol/LStandard Deviation 0.597
AlbiglutideGreatest Magnitude of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Week 28,n=13,400.08 mmol/LStandard Deviation 0.231
AlbiglutideGreatest Magnitude of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Week 52,n=12,400.17 mmol/LStandard Deviation 0.393
Secondary

Maximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64

Maximum stimulated plasma C-peptide was the highest value at any time point during the 2 hour MMTT after the participant has ingested the mixed meal at Baseline, Week 16, Week 28, Week 52 and Week 64. Blood samples were taken to assess levels of C-peptide at: 10 minutes before Time 0 (-10 minutes), Immediately before the participant starts drinking the nutritional drink (Time 0) and 15, 30, 60, 90, and 120 minutes after Time 0.

Time frame: Baseline and Weeks 16, 28, 52 and 64

Population: ITT Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboMaximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64Week 16, n=15,450.84 Nanomoles per literStandard Deviation 0.481
PlaceboMaximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64Week 52,n=11,410.63 Nanomoles per literStandard Deviation 0.516
PlaceboMaximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64Week 28,n=13,420.68 Nanomoles per literStandard Deviation 0.442
PlaceboMaximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64Week 64, n=11,370.58 Nanomoles per literStandard Deviation 0.453
PlaceboMaximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64Baseline, n=15,460.86 Nanomoles per literStandard Deviation 0.382
AlbiglutideMaximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64Week 64, n=11,370.48 Nanomoles per literStandard Deviation 0.363
AlbiglutideMaximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64Baseline, n=15,460.82 Nanomoles per literStandard Deviation 0.448
AlbiglutideMaximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64Week 16, n=15,451.02 Nanomoles per literStandard Deviation 0.558
AlbiglutideMaximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64Week 28,n=13,420.91 Nanomoles per literStandard Deviation 0.594
AlbiglutideMaximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64Week 52,n=11,410.69 Nanomoles per literStandard Deviation 0.479
Secondary

Mean Change From Baseline in Time Normalized Plasma Glucagon AUC (From MMTT) at Week 16, 28, 52 and 64

Blood samples were taken to assess levels of glucagon at: 10 minutes before Time 0 (-10 minutes), immediately before the participant started drinking the nutritional drink (Time 0) and 15, 30, 60, 90, and 120 minutes after Time 0. Mean change from Baseline in time normalized plasma glucagon AUC (from MMTT) at Week 16, 28, 52 and 64 was reported. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication. Change from Baseline was calculated by subtracting Baseline value from the specified time point value.

Time frame: Baseline and Weeks 16, 28, 52 and 64

Population: ITT Population. Only parts with data available at specified data points were analyzed (represented by n= X in the category titles). Time normalized plasma glucagon AUC was calculated using trapezoidal rule then dividing by 120 (if result at t=120 is non-missing otherwise time difference between first and last times with non-missing results is used)

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboMean Change From Baseline in Time Normalized Plasma Glucagon AUC (From MMTT) at Week 16, 28, 52 and 64Week 16,n=15,45-2.28 Nanograms per literStandard Deviation 11.221
PlaceboMean Change From Baseline in Time Normalized Plasma Glucagon AUC (From MMTT) at Week 16, 28, 52 and 64Week 28,n=13,43-2.97 Nanograms per literStandard Deviation 11.574
PlaceboMean Change From Baseline in Time Normalized Plasma Glucagon AUC (From MMTT) at Week 16, 28, 52 and 64Week 52,n=11,40-0.31 Nanograms per literStandard Deviation 15.989
PlaceboMean Change From Baseline in Time Normalized Plasma Glucagon AUC (From MMTT) at Week 16, 28, 52 and 64Week 64,n=11,373.19 Nanograms per literStandard Deviation 18.279
AlbiglutideMean Change From Baseline in Time Normalized Plasma Glucagon AUC (From MMTT) at Week 16, 28, 52 and 64Week 64,n=11,378.82 Nanograms per literStandard Deviation 17.65
AlbiglutideMean Change From Baseline in Time Normalized Plasma Glucagon AUC (From MMTT) at Week 16, 28, 52 and 64Week 16,n=15,45-1.10 Nanograms per literStandard Deviation 4.496
AlbiglutideMean Change From Baseline in Time Normalized Plasma Glucagon AUC (From MMTT) at Week 16, 28, 52 and 64Week 52,n=11,404.66 Nanograms per literStandard Deviation 13.628
AlbiglutideMean Change From Baseline in Time Normalized Plasma Glucagon AUC (From MMTT) at Week 16, 28, 52 and 64Week 28,n=13,433.91 Nanograms per literStandard Deviation 22.197
Secondary

Mean Change From Baseline in Time Normalized Stimulated (From MMTT) 2 Hour Plasma C-peptide AUC at Week 16, 28 and Week 64

Participants had a balanced diet consistent with dietitian's advice and made no major changes in exercise regimens. On the evening before the MMTT, participants had a full meal and then fasted from 9 pm until the MMTT was completed. Water, black coffee or tea without sugar or artificial sweeteners was allowed. Plasma glucose was measured prior to the test using a finger-stick test and MMTT was performed only if it was in range \> 3.9 mmol/L (70 mg/dL) and \<= 11.1 mmol/L (200 mg/dL). Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication. Change from Baseline was calculated by subtracting Baseline value from the specified time point value.

Time frame: Baseline and Weeks 16, 28 and 64

Population: ITT Population. Only parts with data available at specified data points were analyzed (represented by n= X in the category titles).Time normalized plasma C-peptide AUC was calculated using trapezoidal rule then dividing by 120 (if result at t=120 is non-missing otherwise time difference between first and last times with non-missing results is used)

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboMean Change From Baseline in Time Normalized Stimulated (From MMTT) 2 Hour Plasma C-peptide AUC at Week 16, 28 and Week 64Week 16, n=15,440.00 Nanomoles per literStandard Deviation 0.216
PlaceboMean Change From Baseline in Time Normalized Stimulated (From MMTT) 2 Hour Plasma C-peptide AUC at Week 16, 28 and Week 64Week 28, n=13,41-0.14 Nanomoles per literStandard Deviation 0.177
PlaceboMean Change From Baseline in Time Normalized Stimulated (From MMTT) 2 Hour Plasma C-peptide AUC at Week 16, 28 and Week 64Week 64, n=11,36-0.22 Nanomoles per literStandard Deviation 0.277
AlbiglutideMean Change From Baseline in Time Normalized Stimulated (From MMTT) 2 Hour Plasma C-peptide AUC at Week 16, 28 and Week 64Week 16, n=15,440.07 Nanomoles per literStandard Deviation 0.234
AlbiglutideMean Change From Baseline in Time Normalized Stimulated (From MMTT) 2 Hour Plasma C-peptide AUC at Week 16, 28 and Week 64Week 28, n=13,410.01 Nanomoles per literStandard Deviation 0.225
AlbiglutideMean Change From Baseline in Time Normalized Stimulated (From MMTT) 2 Hour Plasma C-peptide AUC at Week 16, 28 and Week 64Week 64, n=11,36-0.22 Nanomoles per literStandard Deviation 0.246
Secondary

Number of Events of Participant-reported Significant Hypoglycemia, Occurring > Week 24 and <= Week 52

Significant hypoglycemia was defined as an event with plasma glucose level \<= 3.9 mmol/L (\<= 70 mg/dL) and/or requiring third party intervention. This corresponds to American Diabetes Association (ADA) category definitions of severe, documented symptomatic, and asymptomatic hypoglycemia. The time period was defined as: \> Week 24 to \<= Week 52 = Day 169 to Day 364. Number of Events were defined as the total number of significant hypoglycemic events at each level of summarization. Number of events of hypoglycemia with confirmed self plasma glucose monitoring \<=3.9 mmol/L and/or requiring third party intervention (i.e., severe, documented symptomatic and asymptomatic hypoglycemic events) occurring \>Week 24 and \<=Week 52 are presented.

Time frame: Week 24 to 52

Population: ITT Population. Only those participants with available data at specified time points were analyzed

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Events of Participant-reported Significant Hypoglycemia, Occurring > Week 24 and <= Week 52Any Significant Hypoglycemia472 Hypoglycemic events
PlaceboNumber of Events of Participant-reported Significant Hypoglycemia, Occurring > Week 24 and <= Week 52Severe Hypoglycemia0 Hypoglycemic events
PlaceboNumber of Events of Participant-reported Significant Hypoglycemia, Occurring > Week 24 and <= Week 52Documented Symptomatic Hypoglycemia241 Hypoglycemic events
PlaceboNumber of Events of Participant-reported Significant Hypoglycemia, Occurring > Week 24 and <= Week 52Asymptomatic Hypoglycemia231 Hypoglycemic events
AlbiglutideNumber of Events of Participant-reported Significant Hypoglycemia, Occurring > Week 24 and <= Week 52Asymptomatic Hypoglycemia596 Hypoglycemic events
AlbiglutideNumber of Events of Participant-reported Significant Hypoglycemia, Occurring > Week 24 and <= Week 52Any Significant Hypoglycemia1592 Hypoglycemic events
AlbiglutideNumber of Events of Participant-reported Significant Hypoglycemia, Occurring > Week 24 and <= Week 52Documented Symptomatic Hypoglycemia996 Hypoglycemic events
AlbiglutideNumber of Events of Participant-reported Significant Hypoglycemia, Occurring > Week 24 and <= Week 52Severe Hypoglycemia0 Hypoglycemic events
Secondary

Number of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52

A hyperglycemic excursion is defined as an occurrence where the plasma glucose level \> 10.0 mmol/L (\> 180 mg/dL). At each visit, only evaluable participants, defined as those with \>= 4 non-missing glucose values or \>= 1 hyperglycemic excursions were included. Number of Hyperglycemic Excursions for each participant from 7-Point Glucose Profile (Before breakfast, 2 hours after breakfast, Before lunch, 2 hours after lunch, Before dinner, 2 hours after dinner, At bedtime) were reported. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication.

Time frame: Baseline and Weeks 28 and 52

Population: ITT Population. Only evaluable participants, as defined in the Measure Description were analysed (represented by n=X in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboNumber of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Baseline,n=15,430.80 Hyperglycemic excursionsStandard Deviation 1.014
PlaceboNumber of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Week 28,n=13,401.23 Hyperglycemic excursionsStandard Deviation 1.301
PlaceboNumber of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Week 52,n=12,401.17 Hyperglycemic excursionsStandard Deviation 1.115
AlbiglutideNumber of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Baseline,n=15,431.53 Hyperglycemic excursionsStandard Deviation 1.502
AlbiglutideNumber of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Week 28,n=13,400.73 Hyperglycemic excursionsStandard Deviation 0.933
AlbiglutideNumber of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Week 52,n=12,401.30 Hyperglycemic excursionsStandard Deviation 1.522
Secondary

Number of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52

A hypoglycemic excursion was defined as an occurrence where the plasma glucose level \<=3.9 mmol/L (\<=70 mg/dL). At each visit, only evaluable participants, defined as those with \>= 4 non-missing glucose values or \>= 1 hypoglycemic excursions were included. Number of Hypoglycemic Excursions for each participant from 7-Point Glucose Profile (Before breakfast, 2 hours after breakfast, Before lunch, 2 hours after lunch, Before dinner, 2 hours after dinner, At bedtime) were reported. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication.

Time frame: Baseline and Weeks 28 and 52

Population: ITT Population. Only evaluable participants, as defined in the Measure Description were analysed (represented by n=X in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboNumber of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Bseline,n=15,420.40 Hypoglycemic excursionsStandard Deviation 0.632
PlaceboNumber of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Week 28,n=13,400.31 Hypoglycemic excursionsStandard Deviation 0.63
PlaceboNumber of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Week 52,n=12,400.25 Hypoglycemic excursionsStandard Deviation 0.452
AlbiglutideNumber of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Bseline,n=15,420.36 Hypoglycemic excursionsStandard Deviation 0.656
AlbiglutideNumber of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Week 28,n=13,400.28 Hypoglycemic excursionsStandard Deviation 0.554
AlbiglutideNumber of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52Week 52,n=12,400.40 Hypoglycemic excursionsStandard Deviation 0.672
Secondary

Percentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64

Participant achieving partial remission status was defined as a participant with IDAA1C \<=9.0 . Percentages were based on the number of participants with available IDAA1c data in each treatment group at that visit.

Time frame: Baseline and Weeks 4, 8, 16, 28, 40, 52 and 64

Population: ITT Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Baseline, n= 15, 4673.3 Percentage of participants
PlaceboPercentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Week 4,n=14,4292.9 Percentage of participants
PlaceboPercentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Week 8,n=14,4692.9 Percentage of participants
PlaceboPercentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Week 16,n=15,4586.7 Percentage of participants
PlaceboPercentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Week 28,n=12,4275.0 Percentage of participants
PlaceboPercentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Week 40,n=13,4084.6 Percentage of participants
PlaceboPercentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Week 52,n=12,4158.3 Percentage of participants
PlaceboPercentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Week 64,n=11,3854.5 Percentage of participants
AlbiglutidePercentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Week 64,n=11,3855.3 Percentage of participants
AlbiglutidePercentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Baseline, n= 15, 4660.9 Percentage of participants
AlbiglutidePercentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Week 28,n=12,4285.7 Percentage of participants
AlbiglutidePercentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Week 4,n=14,4288.1 Percentage of participants
AlbiglutidePercentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Week 52,n=12,4170.7 Percentage of participants
AlbiglutidePercentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Week 8,n=14,4687.0 Percentage of participants
AlbiglutidePercentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Week 40,n=13,4082.5 Percentage of participants
AlbiglutidePercentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64Week 16,n=15,4586.7 Percentage of participants
Secondary

Percentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64

Responders were defined as participants achieving glycosylated hemoglobin A1c (HbA1c) \<= 7.0 percent and mean daily insulin use \< 0.5 units per kilograms (kg) per day. Percentages are based on the number of participants with available HbA1c and insulin use data in each treatment group at that visit.

Time frame: Baseline and Weeks 4, 8, 16, 28, 40, 52 and 64

Population: ITT Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Baseline, n=15, 4626.7 Percentage of participants
PlaceboPercentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Week 4,n=14,4271.4 Percentage of participants
PlaceboPercentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Week 8,n=14,4685.7 Percentage of participants
PlaceboPercentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Week 16,n=15,4586.7 Percentage of participants
PlaceboPercentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Week 28,n=12,4275.0 Percentage of participants
PlaceboPercentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Week 40,n=13,4076.9 Percentage of participants
PlaceboPercentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Week 52,n=12,4141.7 Percentage of participants
PlaceboPercentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Week 64,n=11,3836.4 Percentage of participants
AlbiglutidePercentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Week 64,n=11,3834.2 Percentage of participants
AlbiglutidePercentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Baseline, n=15, 4637.0 Percentage of participants
AlbiglutidePercentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Week 28,n=12,4273.8 Percentage of participants
AlbiglutidePercentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Week 4,n=14,4278.6 Percentage of participants
AlbiglutidePercentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Week 52,n=12,4148.8 Percentage of participants
AlbiglutidePercentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Week 8,n=14,4667.4 Percentage of participants
AlbiglutidePercentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Week 40,n=13,4062.5 Percentage of participants
AlbiglutidePercentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64Week 16,n=15,4573.3 Percentage of participants
Secondary

Percent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)

Blood samples were collected from participants for analysis of HbA1c at indicated time points and percentage of HbA1c has been calculated for Weeks 4, 8, 16, 28, 40, 52 and 64.

Time frame: Weeks 4, 8, 16, 28, 40, 52 and 64

Population: ITT Population. Only those participants with data available at the specified time points were analyzed (represented by n=x in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)Week 28,n=13,436.03 Percentage of HbA1cStandard Deviation 0.747
PlaceboPercent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)Week 4,n=15,436.29 Percentage of HbA1cStandard Deviation 0.688
PlaceboPercent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)Week 40,n=13,426.22 Percentage of HbA1cStandard Deviation 0.86
PlaceboPercent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)Week 52,n=12,436.56 Percentage of HbA1cStandard Deviation 0.95
PlaceboPercent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)Week 16,n=15,465.97 Percentage of HbA1cStandard Deviation 0.801
PlaceboPercent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)Week 64,n=12,407.12 Percentage of HbA1cStandard Deviation 1.335
PlaceboPercent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)Week 8,n=15,465.91 Percentage of HbA1cStandard Deviation 0.689
AlbiglutidePercent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)Week 64,n=12,406.92 Percentage of HbA1cStandard Deviation 1.176
AlbiglutidePercent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)Week 4,n=15,436.10 Percentage of HbA1cStandard Deviation 0.725
AlbiglutidePercent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)Week 8,n=15,465.82 Percentage of HbA1cStandard Deviation 0.725
AlbiglutidePercent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)Week 16,n=15,465.78 Percentage of HbA1cStandard Deviation 0.733
AlbiglutidePercent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)Week 28,n=13,436.00 Percentage of HbA1cStandard Deviation 0.824
AlbiglutidePercent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)Week 52,n=12,436.58 Percentage of HbA1cStandard Deviation 1.512
AlbiglutidePercent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)Week 40,n=13,426.20 Percentage of HbA1cStandard Deviation 0.894
Secondary

Population Estimates of Pharmacokinetic (PK) Parameters: Apparent Clearance [CL/F]

PK of Albiglutide was evaluated in participants using CL/F using PK samples collected on Weeks 4, 6, 8, 16. CL/F was evaluated by population PK methods and mean and standard error from the final model has been tabulated. Estimates have been presented from the final model centered to mean body weights of 67 kilograms, and electronic glomerular filtration rate (eGFR) of 123 milliliters per minute.

Time frame: 48 hours after the most recent dose at Week 4, 6, 8 and 16

Population: PK population which comprised of participants in 'Safety Population' for whom a pharmacokinetic sample was obtained and analyzed. Only participants who received albiglutide were included in PK Population.

ArmMeasureValue (MEAN)Dispersion
PlaceboPopulation Estimates of Pharmacokinetic (PK) Parameters: Apparent Clearance [CL/F]45.1 Milliliters per hourStandard Error 2.56
Secondary

Population Estimates of PK Parameters: Apparent Volume of Distribution [V/F]

PK of Albiglutide was evaluated in participants using V/F using PK samples collected on Weeks 4, 6, 8, 16. V/F was evaluated by population PK methods and mean and standard error from the final model has been tabulated. Estimates have been presented from the final model centered to mean body weights of 67 kilograms, and eGFR of 123 milliliters per minute.

Time frame: 48 hours after the most recent dose at Week 4, 6, 8 and 16

Population: PK population

ArmMeasureValue (MEAN)Dispersion
PlaceboPopulation Estimates of PK Parameters: Apparent Volume of Distribution [V/F]4830 MillilitersStandard Error 677
Secondary

Population Estimates of PK Parameters: First-order Absorption Rate Constant [Ka]

PK of Albiglutide was evaluated in participants using Ka using PK samples collected on Weeks 4, 6, 8, 16. Ka was evaluated by population PK methods and mean and standard error from the final model has been tabulated. Estimates have been presented from the final model centered to mean bodyweights of 67 kilograms, and eGFR of 123 milliliters per minute.

Time frame: 48 hours after the most recent dose at Week 4, 6, 8 and 16

Population: PK population

ArmMeasureValue (MEAN)Dispersion
PlaceboPopulation Estimates of PK Parameters: First-order Absorption Rate Constant [Ka]0.0122 Per hourStandard Error 0.0022
Secondary

Time Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52

Three days before the visit, the participants made an additional visit to the study site to have the CGM fitted/inserted. It was worn for 3 consecutive days and was removed at the scheduled study visit. Whilst wearing the CGM, participants continued to monitor their plasma glucose at least 4 times a day and on one of the days, conducted 7-point glucose profile (Before breakfast, 2 hours after breakfast, Before lunch, 2 hours after lunch, Before dinner, 2 hours after dinner, At bedtime). Time spent with a plasma glucose \<=3.9 millimoles per liter (mmol/L), between \>3.9 and 10.0 mmol/L, and \>10.0 mmol/L, respectively as performed by 72-hour CGM at Baseline, Week 28 and Week 52 was reported.

Time frame: Baseline and Weeks 28 and 52

Population: ITT Population. Only those participants with available data at the specified time points were analysed (represented by n=X in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52<= 3.9 mmol/L, Week 28,n=12,361.72 hours per dayStandard Deviation 1.248
PlaceboTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52> 3.9 to <= 10.0 mmol/L,Week 52,n=10,3117.98 hours per dayStandard Deviation 4.491
PlaceboTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52> 3.9 to <= 10.0 mmol/L,Baseline,n=14,4220.14 hours per dayStandard Deviation 3.675
PlaceboTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52> 10.0 mmol/L, Baseline,n=14,423.06 hours per dayStandard Deviation 3.56
PlaceboTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52<= 3.9 mmol/L, Week 52,n=10,311.60 hours per dayStandard Deviation 2.142
PlaceboTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52> 10.0 mmol/L,Week 28,n=12,363.35 hours per dayStandard Deviation 3.115
PlaceboTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52> 3.9 to <= 10.0 mmol/L,Week 28,n=12,3618.93 hours per dayStandard Deviation 3.452
PlaceboTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52> 10.0 mmol/L,Week 52,n=10,314.42 hours per dayStandard Deviation 4.597
PlaceboTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52<= 3.9 mmol/L, Baseline,n=14,420.80 hours per dayStandard Deviation 1.251
AlbiglutideTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52> 10.0 mmol/L,Week 52,n=10,314.45 hours per dayStandard Deviation 4.781
AlbiglutideTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52<= 3.9 mmol/L, Baseline,n=14,420.98 hours per dayStandard Deviation 1.4
AlbiglutideTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52<= 3.9 mmol/L, Week 28,n=12,361.38 hours per dayStandard Deviation 1.808
AlbiglutideTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52<= 3.9 mmol/L, Week 52,n=10,311.36 hours per dayStandard Deviation 2.405
AlbiglutideTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52> 3.9 to <= 10.0 mmol/L,Baseline,n=14,4219.11 hours per dayStandard Deviation 3.732
AlbiglutideTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52> 3.9 to <= 10.0 mmol/L,Week 28,n=12,3618.83 hours per dayStandard Deviation 4.009
AlbiglutideTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52> 3.9 to <= 10.0 mmol/L,Week 52,n=10,3118.19 hours per dayStandard Deviation 4.772
AlbiglutideTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52> 10.0 mmol/L, Baseline,n=14,423.90 hours per dayStandard Deviation 3.727
AlbiglutideTime Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52> 10.0 mmol/L,Week 28,n=12,363.79 hours per dayStandard Deviation 3.782
Secondary

Weight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)

Body weight was measured in kilograms for participants at indicated time points.

Time frame: Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64

Population: ITT Population. Only participants with available data at the specified time points were summarized

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 4,n=15, 4469.87 kilogramsStandard Deviation 14.409
PlaceboWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 28,n=13, 4366.08 kilogramsStandard Deviation 11.767
PlaceboWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 8,n=15, 4670.08 kilogramsStandard Deviation 14.121
PlaceboWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 40,n=13, 4266.08 kilogramsStandard Deviation 11.266
PlaceboWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 6,n=15, 4669.83 kilogramsStandard Deviation 14.013
PlaceboWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 52,n=12, 4366.86 kilogramsStandard Deviation 12.401
PlaceboWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 16,n=15, 4669.40 kilogramsStandard Deviation 15.191
PlaceboWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 64,n=12, 4068.29 kilogramsStandard Deviation 11.511
PlaceboWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 2,n=15, 4370.16 kilogramsStandard Deviation 14.087
AlbiglutideWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 64,n=12, 4068.13 kilogramsStandard Deviation 12.649
AlbiglutideWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 2,n=15, 4366.16 kilogramsStandard Deviation 11.944
AlbiglutideWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 4,n=15, 4466.39 kilogramsStandard Deviation 11.952
AlbiglutideWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 6,n=15, 4665.65 kilogramsStandard Deviation 12.559
AlbiglutideWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 8,n=15, 4665.32 kilogramsStandard Deviation 12.825
AlbiglutideWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 16,n=15, 4665.41 kilogramsStandard Deviation 12.824
AlbiglutideWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 28,n=13, 4365.32 kilogramsStandard Deviation 13.252
AlbiglutideWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 40,n=13, 4266.20 kilogramsStandard Deviation 13.146
AlbiglutideWeight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)Week 52,n=12, 4366.80 kilogramsStandard Deviation 12.696

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026