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Albiglutide weekly

Phase 3

Diabetes Mellitus, Type 2 | Small molecule | Metabolic |GSK plc|Trials Updated: Jun 29, 2020

Albiglutide weekly target and mechanism

Molecular targetGLP1R
Target classAgonist
ModalitySmall molecule

Also known as Albiglutide weekly injection

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment561

FDA Designations

No designations recorded

Albiglutide weekly clinical trials

Albiglutide weekly · 2 trials · 2 indications

Phase 3 1Phase 2 1
NCT01733758A Monotherapy Study to Evaluate the Efficacy and Safety of 2 Dose Levels of Albiglutide in Japanese Subjects With Type 2 Diabetes Mellitus (T2DM)Diabetes Mellitus, Type 2
COMPLETED494 Analytics
PHASE3COMPLETED
A Monotherapy Study to Evaluate the Efficacy and Safety of 2 Dose Levels of Albiglutide in Japanese Subjects With Type 2 Diabetes Mellitus (T2DM)
Diabetes Mellitus, Type 2Unlock trial analytics

Study Endpoints

Primary Endpoints

Model-adjusted Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24
Baseline and Week 24

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3 month period. The Baseline HbA1c value is defined as the last nonmissing value before the start of treatment. Change from Baseline was calculated as the value at Week 24 minus the value at Baseline. Based on analysis of covariance (ANCOVA): Change at Week 24 = treatment (placebo, albiglutide 30 mg, albiglutide 50 mg) + Baseline HbA1c + prior diabetes therapy + age category (\<65 years versus ≥65 years). Participants who discontinued from study treatment before Week 24 had their last post-Baseline HbA1c carried forward for the analysis unless the value is past 14 days after the last dose of study drug. The open-label liraglutide group was a reference group and not included in the primary endpoint analysis model. Descriptive summary statistics are provided as a separate outcome measure.

Mean HbA1c at Baseline, Week 24, and Change From Baseline at Week 24
Baseline and Week 24

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3 month period. The Baseline HbA1c value is defined as the last nonmissing value before the start of treatment. Change from Baseline was calculated as the value at Week 24 minus the value at Baseline. Participants who discontinued from study treatment before Week 24 had their last post-Baseline HbA1c value carried forward for the summary, unless the value was past 14 days after the last dose of study drug. The open-label liraglutide group was a reference group; descriptive statistics comparing albiglutide and liraglutide were exploratory endpoints.

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
Baseline and 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.

Secondary Endpoints

Change From Baseline in HbA1c at Week 52
Baseline and Week 52
Percentage of Participants Achieving Clinically Meaningful Levels of HbA1c (i.e., the Percentage of Participants Achieving Treatment Goal of <6.5% and <7.0%) at Week 24
Week 24
Percentage of Participants Achieving Clinically Meaningful Levels of HbA1c (i.e., the Percentage of Participants Achieving Treatment Goal of <6.5% and <7.0%) at Week 52
Week 52
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Albiglutide 30 mg weeklyEXPERIMENTALSubjects will be randomly assigned to double blind albiglutide 30 mg weekly treatment for 52 weeks
Albiglutide 50 mg weeklyEXPERIMENTALSubjects will be randomly assigned to double blind albiglutide 50 mg weekly until Week 52
PlaceboPLACEBO_COMPARATORSubjects will be randomly assigned to double blind matching albiglutide placebo administered weekly. Subjects will then cross-over to double-blind treatment with albiglutide 30 mg weekly at Week 24 until Week 52
Liraglutide 0.9 mg dailyACTIVE_COMPARATORSubjects will be randomly assigned to open-label liraglutide for 52 weeks
AlbiglutideEXPERIMENTALApproximately 51 subjects will be assigned to albiglutide 30 mg weekly (with treatment-masked increase to 50 mg weekly at Week 6) + background insulin. The starting dose of albiglutide will be 30 mg once weekly and will be increased at Week 6 to 50 mg, once weekly, if the 30-mg weekly dose is tolerated.

Interventions

NameTypeDescription
Albiglutide 30 mg weeklyDRUGAlbiglutide will be available as a pen injector that delivers 30mg of albiglutide
Albiglutide 50 mg weeklyDRUGAlbiglutide will be available as a pen injector that delivers 50mg of albiglutide
PlaceboDRUGAlbiglutide matching placebo will be available as a pen injector
Liraglutide 0.9 mg dailyDRUGLiraglutide will be available as prefilled multidose pens that can deliver 0.9 mg dose
Albiglutide weekly injectionBIOLOGICALAlbiglutide 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
Placebo weekly injectionBIOLOGICALPlacebo 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.
InsulinBIOLOGICALCommercially available basal/bolus insulin regimen, self administered by the subject, in accordance to the prescription of the physician and as per the package insert
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Eligibility Criteria

Age Range20 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites74

Inclusion Criteria: * Subjects with diagnosis of Type 2 Diabetes Mellitus, treated with diet and exercise or a stable dose of 1 OAD at screening * Body mass index (BMI) 17 to 40 kg/ m\^2 inclusive * Subjects who are OAD naïve, HbA1c between 7.0% and 10.0% at Screening and at Visit 2; for subjects w...

Countries:JapanFranceGermanyItalySpainUnited Kingdom
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Frequently asked questions about Albiglutide weekly

What is albiglutide weekly used for?

Albiglutide weekly is being studied for the treatment of type 1 and type 2 diabetes mellitus. It is a once-weekly injectable therapy developed by GSK plc. The clinical program has evaluated it in insulin-treated patients with new-onset type 1 diabetes and in Japanese patients with type 2 diabetes.

How does albiglutide weekly work?

Albiglutide weekly is a monoclonal antibody that acts as an agonist at GLP1R, the glucagon-like peptide-1 receptor. By activating this receptor, it mimics the action of the endogenous incretin hormone GLP-1, which supports glucose-dependent insulin secretion and glucose regulation in patients with diabetes.

Who makes albiglutide weekly?

Albiglutide weekly is developed by GSK plc, which trades under the ticker GSK. GSK sponsored the clinical studies of the asset, including the phase 2 trial in type 1 diabetes and the phase 3 monotherapy study in Japanese patients with type 2 diabetes.

What phase is albiglutide weekly in?

Albiglutide weekly is an investigational agent that has been studied in phase 2 and phase 3 clinical trials. It is not described as approved. The development program includes one completed phase 2 study in type 1 diabetes and one completed phase 3 study in type 2 diabetes.

What clinical trials is albiglutide weekly in?

Albiglutide weekly has been evaluated in two completed trials. NCT02284009 was a phase 2 study comparing albiglutide with placebo in insulin-treated subjects with new-onset type 1 diabetes across five European countries. NCT01733758 was a phase 3 monotherapy study of two dose levels in Japanese subjects with type 2 diabetes.