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    Clinical Trial Results:
    A Phase 2 Study of Once-Daily LY3502970 Compared with Placebo and Once-Weekly Dulaglutide in Participants with Type 2 Diabetes Mellitus

    Summary
    EudraCT number
    2021-002806-29
    Trial protocol
    HU   SK   PL  
    Global end of trial date
    30 Sep 2022

    Results information
    Results version number
    v1(current)
    This version publication date
    15 Oct 2023
    First version publication date
    15 Oct 2023
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    J2A-MC-GZGE
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT05048719
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    Trial Number: 17787
    Sponsors
    Sponsor organisation name
    Eli Lilly and Company
    Sponsor organisation address
    Lilly Corporate Center, Indianapolis, IN, United States, 46285
    Public contact
    Available Mon ‐ Fri 9 AM ‐ 5 PM EST, Eli Lilly and Company, 1 877‐CTLilly,
    Scientific contact
    Available Mon ‐ Fri 9 AM ‐ 5 PM EST, Eli Lilly and Company, 1 877‐285‐4559,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    30 Sep 2022
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    30 Sep 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The main purpose of this study is to evaluate the efficacy and safety of LY3502970 in participants with type 2 diabetes (T2D) who failed to achieve adequate glycemic control on diet and exercise alone or on a stable dose of metformin. This study will last about 30 weeks.
    Protection of trial subjects
    This study was conducted in accordance with International Conference on Harmonization (ICH) Good Clinical Practice, and the principles of the Declaration of Helsinki, in addition to following the laws and regulations of the country or countries in which a study is conducted.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    15 Sep 2021
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Hungary: 63
    Country: Number of subjects enrolled
    Poland: 85
    Country: Number of subjects enrolled
    Slovakia: 65
    Country: Number of subjects enrolled
    United States: 170
    Worldwide total number of subjects
    383
    EEA total number of subjects
    213
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    251
    From 65 to 84 years
    132
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    No Text Available

    Pre-assignment
    Screening details
    For maintenance doses of LY3502970: 3, 12, 24, 36, and 45 milligrams (mg), the initial dose will be 2 or 3 mg followed by additional escalation steps as appropriate. The dose escalation varied by dose group where the target maintenance dose was achieved between Weeks 4 and 12.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo
    Arm description
    Participants received matching placebo administered orally or subcutaneously.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Administered orally

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Administered subcutaneously

    Arm title
    3 mg LY3502970
    Arm description
    Participants received maintenance dose of 3 mg with dose escalation starting from 2 mg LY3502970 administered orally once daily (QD).
    Arm type
    Experimental

    Investigational medicinal product name
    LY3502970
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Administered orally

    Arm title
    12 mg LY3502970
    Arm description
    Participants received maintenance dose 12 mg with dose escalation starting from 2 mg, 6 mg and then 12 mg LY3502970 administered orally QD.
    Arm type
    Experimental

    Investigational medicinal product name
    LY3502970
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Administered orally

    Arm title
    24 mg LY3502970
    Arm description
    Participants received maintenance dose 24 mg with dose escalation starting from 3 mg, 6 mg, 8 mg,12 mg and then 24 mg LY3502970 administered orally QD.
    Arm type
    Experimental

    Investigational medicinal product name
    LY3502970
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Administered orally

    Arm title
    36 mg LY3502970 - 1
    Arm description
    Participants received maintenance dose 36 mg with dose escalation starting from 2 mg, 3 mg, 6 mg, 8 mg, 12 mg, 24 mg and then 36 mg LY3502970 administered orally QD.
    Arm type
    Experimental

    Investigational medicinal product name
    LY3502970
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Administered orally

    Arm title
    36 mg LY3502970 - 2
    Arm description
    Participants received maintenance dose 36 mg with dose escalation starting from 3 mg, 6 mg,12 mg, 24 mg and then 36 mg LY3502970 administered orally QD.
    Arm type
    Experimental

    Investigational medicinal product name
    LY3502970
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Administered orally

    Arm title
    45 mg LY3502970 - 1
    Arm description
    Participants received maintenance dose 45 mg with dose escalation starting from 3 mg, 6 mg, 8 mg, 12 mg, 24 mg, 36 mg and then 45 mg LY3502970 administered orally QD.
    Arm type
    Experimental

    Investigational medicinal product name
    LY3502970
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Administered orally

    Arm title
    45 mg LY3502970 - 2
    Arm description
    Participants received maintenance dose 45 mg with dose escalation starting from 2 mg, 3 mg, 6 mg, 12 mg, 24 mg, 36 mg and then 45 mg LY3502970 administered orally QD.
    Arm type
    Active comparator

    Investigational medicinal product name
    LY3502970
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Administered orally

    Arm title
    1.5 mg Dulaglutide
    Arm description
    Participants received 1.5 mg Dulaglutide administered subcutaneously (SC) once weekly (QW).
    Arm type
    Placebo

    Investigational medicinal product name
    Dulaglutide
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Administered subcutaneously

    Number of subjects in period 1
    Placebo 3 mg LY3502970 12 mg LY3502970 24 mg LY3502970 36 mg LY3502970 - 1 36 mg LY3502970 - 2 45 mg LY3502970 - 1 45 mg LY3502970 - 2 1.5 mg Dulaglutide
    Started
    55
    51
    56
    47
    27
    34
    31
    32
    50
    Received At Least One Dose of Study Drug
    55
    51
    56
    47
    27
    34
    31
    32
    50
    Completed
    51
    47
    50
    42
    25
    30
    29
    29
    49
    Not completed
    4
    4
    6
    5
    2
    4
    2
    3
    1
         Adverse event, serious fatal
    1
    -
    -
    -
    -
    -
    -
    -
    -
         Sponsor decision due To inadvertent Enrollment
    -
    1
    -
    -
    -
    -
    -
    -
    -
         Consent withdrawn by subject
    2
    1
    3
    1
    -
    2
    1
    1
    -
         Physician decision
    -
    -
    -
    -
    -
    -
    -
    1
    1
         Participant decided to Discontinue Treatment
    -
    -
    -
    1
    -
    -
    -
    -
    -
         Adverse event, non-fatal
    -
    1
    2
    -
    1
    -
    -
    -
    -
         Participant was Unresponsive
    -
    1
    -
    -
    -
    -
    -
    -
    -
         Patient Decision due To Changes in Personal Life
    1
    -
    -
    -
    -
    -
    -
    -
    -
         Lost to follow-up
    -
    -
    1
    3
    1
    1
    1
    1
    -
         Site Terminated Participant due to Sponsor
    -
    -
    -
    -
    -
    1
    -
    -
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Placebo
    Reporting group description
    Participants received matching placebo administered orally or subcutaneously.

    Reporting group title
    3 mg LY3502970
    Reporting group description
    Participants received maintenance dose of 3 mg with dose escalation starting from 2 mg LY3502970 administered orally once daily (QD).

    Reporting group title
    12 mg LY3502970
    Reporting group description
    Participants received maintenance dose 12 mg with dose escalation starting from 2 mg, 6 mg and then 12 mg LY3502970 administered orally QD.

    Reporting group title
    24 mg LY3502970
    Reporting group description
    Participants received maintenance dose 24 mg with dose escalation starting from 3 mg, 6 mg, 8 mg,12 mg and then 24 mg LY3502970 administered orally QD.

    Reporting group title
    36 mg LY3502970 - 1
    Reporting group description
    Participants received maintenance dose 36 mg with dose escalation starting from 2 mg, 3 mg, 6 mg, 8 mg, 12 mg, 24 mg and then 36 mg LY3502970 administered orally QD.

    Reporting group title
    36 mg LY3502970 - 2
    Reporting group description
    Participants received maintenance dose 36 mg with dose escalation starting from 3 mg, 6 mg,12 mg, 24 mg and then 36 mg LY3502970 administered orally QD.

    Reporting group title
    45 mg LY3502970 - 1
    Reporting group description
    Participants received maintenance dose 45 mg with dose escalation starting from 3 mg, 6 mg, 8 mg, 12 mg, 24 mg, 36 mg and then 45 mg LY3502970 administered orally QD.

    Reporting group title
    45 mg LY3502970 - 2
    Reporting group description
    Participants received maintenance dose 45 mg with dose escalation starting from 2 mg, 3 mg, 6 mg, 12 mg, 24 mg, 36 mg and then 45 mg LY3502970 administered orally QD.

    Reporting group title
    1.5 mg Dulaglutide
    Reporting group description
    Participants received 1.5 mg Dulaglutide administered subcutaneously (SC) once weekly (QW).

    Reporting group values
    Placebo 3 mg LY3502970 12 mg LY3502970 24 mg LY3502970 36 mg LY3502970 - 1 36 mg LY3502970 - 2 45 mg LY3502970 - 1 45 mg LY3502970 - 2 1.5 mg Dulaglutide Total
    Number of subjects
    55 51 56 47 27 34 31 32 50 383
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    58.30 ( 9.52 ) 59.00 ( 9.43 ) 57.40 ( 9.23 ) 60.50 ( 9.11 ) 59.20 ( 9.07 ) 60.10 ( 9.37 ) 58.10 ( 10.63 ) 58.90 ( 8.18 ) 58.80 ( 10.19 ) -
    Gender categorical
    Units: Subjects
        Female
    27 25 20 17 9 16 10 13 20 157
        Male
    28 26 36 30 18 18 21 19 30 226
    Ethnicity (NIH/OMB)
    Units: Subjects
        Hispanic or Latino
    14 7 15 5 6 7 7 6 7 74
        Not Hispanic or Latino
    41 44 41 42 21 27 24 26 43 309
        Unknown or Not Reported
    0 0 0 0 0 0 0 0 0 0
    Race (NIH/OMB)
    Units: Subjects
        American Indian or Alaska Native
    1 0 1 1 0 0 0 1 0 4
        Asian
    0 1 1 1 1 0 0 0 1 5
        Native Hawaiian or Other Pacific Islander
    0 0 0 0 0 0 0 0 0 0
        Black or African American
    4 2 5 2 0 0 2 3 4 22
        White
    50 47 49 43 25 33 29 28 44 348
        More than one race
    0 1 0 0 1 1 0 0 1 4
        Unknown or Not Reported
    0 0 0 0 0 0 0 0 0 0
    Region of Enrollment
    Units: Subjects
        Hungary
    10 8 9 8 3 6 6 4 9 63
        Poland
    11 13 11 10 6 9 7 6 12 85
        Slovakia
    10 8 10 9 5 5 5 6 7 65
        United States
    24 22 26 20 13 14 13 16 22 170

    End points

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    End points reporting groups
    Reporting group title
    Placebo
    Reporting group description
    Participants received matching placebo administered orally or subcutaneously.

    Reporting group title
    3 mg LY3502970
    Reporting group description
    Participants received maintenance dose of 3 mg with dose escalation starting from 2 mg LY3502970 administered orally once daily (QD).

    Reporting group title
    12 mg LY3502970
    Reporting group description
    Participants received maintenance dose 12 mg with dose escalation starting from 2 mg, 6 mg and then 12 mg LY3502970 administered orally QD.

    Reporting group title
    24 mg LY3502970
    Reporting group description
    Participants received maintenance dose 24 mg with dose escalation starting from 3 mg, 6 mg, 8 mg,12 mg and then 24 mg LY3502970 administered orally QD.

    Reporting group title
    36 mg LY3502970 - 1
    Reporting group description
    Participants received maintenance dose 36 mg with dose escalation starting from 2 mg, 3 mg, 6 mg, 8 mg, 12 mg, 24 mg and then 36 mg LY3502970 administered orally QD.

    Reporting group title
    36 mg LY3502970 - 2
    Reporting group description
    Participants received maintenance dose 36 mg with dose escalation starting from 3 mg, 6 mg,12 mg, 24 mg and then 36 mg LY3502970 administered orally QD.

    Reporting group title
    45 mg LY3502970 - 1
    Reporting group description
    Participants received maintenance dose 45 mg with dose escalation starting from 3 mg, 6 mg, 8 mg, 12 mg, 24 mg, 36 mg and then 45 mg LY3502970 administered orally QD.

    Reporting group title
    45 mg LY3502970 - 2
    Reporting group description
    Participants received maintenance dose 45 mg with dose escalation starting from 2 mg, 3 mg, 6 mg, 12 mg, 24 mg, 36 mg and then 45 mg LY3502970 administered orally QD.

    Reporting group title
    1.5 mg Dulaglutide
    Reporting group description
    Participants received 1.5 mg Dulaglutide administered subcutaneously (SC) once weekly (QW).

    Subject analysis set title
    36 mg LY3502970
    Subject analysis set type
    Per protocol
    Subject analysis set description
    Participants received maintenance dose 36 mg with dose escalation starting from 2 mg, 3 mg, 6 mg, 8 mg, 12 mg, 24 mg and then 36 mg LY3502970 in LY 36mg-1 and dose escalation starting from 3 mg, 6 mg,12 mg, 24 mg and then 36 mg LY3502970 in LY 36mg-2 administered orally QD.

    Subject analysis set title
    45 mg LY3502970
    Subject analysis set type
    Per protocol
    Subject analysis set description
    Participants received maintenance dose 45 mg with dose escalation starting from 3 mg, 6 mg, 8 mg, 12 mg, 24 mg, 36 mg and then 45 mg LY3502970 in LY 45mg-1 and dose escalation starting from 2 mg, 3 mg, 6 mg, 12 mg, 24 mg, 36 mg and then 45 mg LY3502970 in LY 45mg-2 administered orally QD.

    Primary: Change from Baseline in HbA1c in LY3502970 as Compared to Placebo

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    End point title
    Change from Baseline in HbA1c in LY3502970 as Compared to Placebo [1]
    End point description
    HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was determined by mixed model repeated measures (MMRM) model with Baseline + Country + Baseline HbA1c Group (<=8.0%, >8.0%) + Treatment + Time + Treatment*Time (Type III sum of squares) as variables. Analysis Population Description (APD): All participants who received at least one dose of LY3502970 or placebo and had baseline and at least one post-baseline value for HbA1c. The statistical analyses were conducted to compare LY3502970 against placebo i.e., comparison groups = LY3502970 vs Placebo. Comparison groups in the individual statistical analyses below may be disregarded.
    End point type
    Primary
    End point timeframe
    Baseline, Week 26
    Notes
    [1] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Descriptive statistics was added in baseline period reporting arms, subject analysis set with evaluable endpoint data.
    End point values
    Placebo 3 mg LY3502970 12 mg LY3502970 24 mg LY3502970 36 mg LY3502970 45 mg LY3502970
    Number of subjects analysed
    55
    46
    49
    42
    57
    58
    Units: Percentage of HbA1c
        least squares mean (standard error)
    -0.43 ( 0.128 )
    -1.19 ( 0.137 )
    -1.91 ( 0.133 )
    -1.79 ( 0.149 )
    -2.03 ( 0.127 )
    -2.10 ( 0.124 )
    Statistical analysis title
    Outcome measure No.1
    Comparison groups
    Placebo v 3 mg LY3502970
    Number of subjects included in analysis
    101
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -0.77
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.13
         upper limit
    -0.4
    Statistical analysis title
    Outcome measure No.1
    Comparison groups
    Placebo v 12 mg LY3502970
    Number of subjects included in analysis
    104
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -1.49
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.85
         upper limit
    -1.12
    Statistical analysis title
    Outcome measure No.1
    Comparison groups
    Placebo v 24 mg LY3502970
    Number of subjects included in analysis
    97
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -1.36
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.75
         upper limit
    -0.98
    Statistical analysis title
    Outcome measure No.1
    Comparison groups
    Placebo v 36 mg LY3502970
    Number of subjects included in analysis
    112
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -1.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.96
         upper limit
    -1.25
    Statistical analysis title
    Outcome measure No.1
    Comparison groups
    Placebo v 45 mg LY3502970
    Number of subjects included in analysis
    113
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -1.67
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2.02
         upper limit
    -1.32

    Secondary: Change from Baseline in HbA1c in LY3502970 as Compared to Dulaglutide

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    End point title
    Change from Baseline in HbA1c in LY3502970 as Compared to Dulaglutide [2]
    End point description
    HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was determined by mixed model repeated measures (MMRM) model with Baseline + Country + Baseline HbA1c Group (<=8.0%, >8.0%) + Treatment + Time + Treatment*Time (Type III sum of squares) as variables. APD: All participants who received at least one dose of LY3502970 or dulaglutide, had a baseline, and at least one post-baseline value for HbA1c. The statistical analyses were conducted to compare LY3502970 against Dulaglutide i.e., comparison groups= LY3502970 vs Dulaglutide. Comparison groups in the individual statistical analyses below may be disregarded.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 26
    Notes
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Descriptive statistics was added in baseline period reporting arms, subject analysis set with evaluable endpoint data.
    End point values
    3 mg LY3502970 12 mg LY3502970 24 mg LY3502970 1.5 mg Dulaglutide 36 mg LY3502970 45 mg LY3502970
    Number of subjects analysed
    46
    49
    42
    49
    57
    58
    Units: Percentage of HbA1c
        least squares mean (standard error)
    -1.19 ( 0.137 )
    -1.91 ( 0.133 )
    -1.79 ( 0.149 )
    -1.10 ( 0.131 )
    -2.03 ( 0.127 )
    -2.10 ( 0.124 )
    Statistical analysis title
    Outcome measure No.2
    Comparison groups
    3 mg LY3502970 v 1.5 mg Dulaglutide
    Number of subjects included in analysis
    95
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.626
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -0.09
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.47
         upper limit
    0.28
    Statistical analysis title
    Outcome measure No.2
    Comparison groups
    12 mg LY3502970 v 1.5 mg Dulaglutide
    Number of subjects included in analysis
    98
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -0.81
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.18
         upper limit
    -0.44
    Statistical analysis title
    Outcome measure No.2
    Comparison groups
    24 mg LY3502970 v 1.5 mg Dulaglutide
    Number of subjects included in analysis
    91
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -0.69
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.08
         upper limit
    -0.3
    Statistical analysis title
    Outcome measure No.2
    Comparison groups
    1.5 mg Dulaglutide v 36 mg LY3502970
    Number of subjects included in analysis
    106
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -0.93
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.29
         upper limit
    -0.57
    Statistical analysis title
    Outcome measure No.2
    Comparison groups
    1.5 mg Dulaglutide v 45 mg LY3502970
    Number of subjects included in analysis
    107
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.36
         upper limit
    -0.64

    Secondary: Percentage of Participants with HbA1c <7.0%

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    End point title
    Percentage of Participants with HbA1c <7.0% [3]
    End point description
    Percentage of Participants with HbA1c <7.0%. Odds ratio was calculated using logistic regression model. APD: All participants who received at least one dose of study drug, had a baseline and at least one post-baseline HbA1c value. The statistical analyses were conducted to compare LY3502970 against placebo i.e., comparison groups = LY3502970 vs Placebo, and LY3502970 against Dulaglutide i.e., comparison groups= LY3502970 vs Dulaglutide. Comparison groups in the individual statistical analyses below may be disregarded.
    End point type
    Secondary
    End point timeframe
    Week 26
    Notes
    [3] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Descriptive statistics was added in baseline period reporting arms, subject analysis set with evaluable endpoint data.
    End point values
    Placebo 3 mg LY3502970 12 mg LY3502970 24 mg LY3502970 1.5 mg Dulaglutide 36 mg LY3502970 45 mg LY3502970
    Number of subjects analysed
    55
    46
    49
    42
    49
    57
    58
    Units: Percentage of participants
        number (not applicable)
    24.27
    65.17
    78.92
    91.24
    64.06
    92.75
    95.76
    Statistical analysis title
    Outcome measure No.3
    Comparison groups
    3 mg LY3502970 v Placebo
    Number of subjects included in analysis
    101
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    8.19
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.93
         upper limit
    22.9
    Statistical analysis title
    Outcome measure No.3
    Comparison groups
    Placebo v 12 mg LY3502970
    Number of subjects included in analysis
    104
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    25.02
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    7.57
         upper limit
    82.69
    Statistical analysis title
    Outcome measure No.3
    Comparison groups
    24 mg LY3502970 v Placebo
    Number of subjects included in analysis
    97
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    62.31
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    12.26
         upper limit
    316.63
    Statistical analysis title
    Outcome measure No.3
    Comparison groups
    Placebo v 36 mg LY3502970
    Number of subjects included in analysis
    112
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    67.57
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    17.56
         upper limit
    259.97
    Statistical analysis title
    Outcome measure No.3
    Comparison groups
    Placebo v 45 mg LY3502970
    Number of subjects included in analysis
    113
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    129.55
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    26.72
         upper limit
    628.09
    Statistical analysis title
    Outcome measure No.3
    Comparison groups
    3 mg LY3502970 v 1.5 mg Dulaglutide
    Number of subjects included in analysis
    95
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.802
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.13
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.43
         upper limit
    2.96
    Statistical analysis title
    Outcome measure No.3
    Comparison groups
    12 mg LY3502970 v 1.5 mg Dulaglutide
    Number of subjects included in analysis
    98
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.026
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    3.46
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.16
         upper limit
    10.31
    Statistical analysis title
    Outcome measure No.3
    Comparison groups
    24 mg LY3502970 v 1.5 mg Dulaglutide
    Number of subjects included in analysis
    91
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.006
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    8.61
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.83
         upper limit
    40.51
    Statistical analysis title
    Outcome measure No.3
    Comparison groups
    1.5 mg Dulaglutide v 36 mg LY3502970
    Number of subjects included in analysis
    106
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    9.34
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.67
         upper limit
    32.71
    Statistical analysis title
    Outcome measure No.3
    Comparison groups
    1.5 mg Dulaglutide v 45 mg LY3502970
    Number of subjects included in analysis
    107
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    17.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    4.02
         upper limit
    79.7

    Secondary: Percentage of Participants with HbA1c ≤ 6.5%

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    End point title
    Percentage of Participants with HbA1c ≤ 6.5% [4]
    End point description
    Percentage of Participants with HbA1c ≤ 6.5%. Odds ratio was calculated using logistic regression model. APD: All participants who received at least one dose of study drug, had a baseline and at least one post-baseline HbA1c value. The statistical analyses were conducted to compare LY3502970 against placebo i.e., comparison groups = LY3502970 vs Placebo, and LY3502970 against Dulaglutide i.e., comparison groups= LY3502970 vs Dulaglutide. Comparison groups in the individual statistical analyses below may be disregarded.
    End point type
    Secondary
    End point timeframe
    Week 26
    Notes
    [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Descriptive statistics was added in baseline period reporting arms, subject analysis set with evaluable endpoint data.
    End point values
    Placebo 3 mg LY3502970 12 mg LY3502970 24 mg LY3502970 1.5 mg Dulaglutide 36 mg LY3502970 45 mg LY3502970
    Number of subjects analysed
    55
    46
    49
    42
    49
    57
    58
    Units: Percentage of participants
        number (not applicable)
    14.56
    45.30
    70.73
    80.12
    41.04
    79.39
    83.52
    Statistical analysis title
    Outcome measure No.4
    Comparison groups
    3 mg LY3502970 v Placebo
    Number of subjects included in analysis
    101
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    6.77
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.21
         upper limit
    20.75
    Statistical analysis title
    Outcome measure No.4
    Comparison groups
    12 mg LY3502970 v Placebo
    Number of subjects included in analysis
    104
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    34.09
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    9.92
         upper limit
    117.16
    Statistical analysis title
    Outcome measure No.4
    Comparison groups
    24 mg LY3502970 v Placebo
    Number of subjects included in analysis
    97
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    48.33
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    11.9
         upper limit
    196.24
    Statistical analysis title
    Outcome measure No.4
    Comparison groups
    Placebo v 36 mg LY3502970
    Number of subjects included in analysis
    112
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    45.72
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    13.61
         upper limit
    153.64
    Statistical analysis title
    Outcome measure No.4
    Comparison groups
    Placebo v 45 mg LY3502970
    Number of subjects included in analysis
    113
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    77.23
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    20.26
         upper limit
    294.48
    Statistical analysis title
    Outcome measure No.4
    Comparison groups
    3 mg LY3502970 v 1.5 mg Dulaglutide
    Number of subjects included in analysis
    95
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.678
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.22
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.48
         upper limit
    3.13
    Statistical analysis title
    Outcome measure No.4
    Comparison groups
    12 mg LY3502970 v 1.5 mg Dulaglutide
    Number of subjects included in analysis
    98
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    6.15
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.19
         upper limit
    17.24
    Statistical analysis title
    Outcome measure No.4
    Comparison groups
    24 mg LY3502970 v 1.5 mg Dulaglutide
    Number of subjects included in analysis
    91
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    8.71
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    2.55
         upper limit
    29.79
    Statistical analysis title
    Outcome measure No.4
    Comparison groups
    1.5 mg Dulaglutide v 36 mg LY3502970
    Number of subjects included in analysis
    106
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    8.24
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    3.05
         upper limit
    22.3
    Statistical analysis title
    Outcome measure No.4
    Comparison groups
    1.5 mg Dulaglutide v 45 mg LY3502970
    Number of subjects included in analysis
    107
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    13.93
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    4.51
         upper limit
    43.01

    Secondary: Change From Baseline in Fasting Serum Glucose

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    End point title
    Change From Baseline in Fasting Serum Glucose [5]
    End point description
    Fasting glucose is a test to determine sugar levels in blood sample after an overnight fast. LS mean was determined by MMRM model with Baseline + Country + Baseline HbA1c Group (<=8.0%, 8.0%) + Treatment + Time + Treatment*Time (Type III sum of squares) as variables. APD: All participants who received at least one dose of study drug, had baseline and at least one post-baseline fasting glucose data. The statistical analyses were conducted to compare LY3502970 against placebo i.e., comparison groups = LY3502970 vs Placebo, and LY3502970 against Dulaglutide i.e., comparison groups= LY3502970 vs Dulaglutide. Comparison groups in the individual statistical analyses below may be disregarded.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 26
    Notes
    [5] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Descriptive statistics was added in baseline period reporting arms, subject analysis set with evaluable endpoint data.
    End point values
    Placebo 3 mg LY3502970 12 mg LY3502970 24 mg LY3502970 1.5 mg Dulaglutide 36 mg LY3502970 45 mg LY3502970
    Number of subjects analysed
    55
    46
    49
    42
    49
    57
    58
    Units: milligrams per deciliter (mg/dL)
        least squares mean (standard error)
    -11.1 ( 3.90 )
    -32.6 ( 4.14 )
    -53.7 ( 3.92 )
    -52.2 ( 4.49 )
    -33.2 ( 3.91 )
    -53.9 ( 3.79 )
    -55.9 ( 3.69 )
    Statistical analysis title
    Outcome measure No.5
    Comparison groups
    Placebo v 3 mg LY3502970
    Number of subjects included in analysis
    101
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -21.5
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -32.7
         upper limit
    -10.3
    Statistical analysis title
    Outcome measure No.5
    Comparison groups
    Placebo v 12 mg LY3502970
    Number of subjects included in analysis
    104
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -42.5
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -53.4
         upper limit
    -31.7
    Statistical analysis title
    Outcome measure No.5
    Comparison groups
    Placebo v 24 mg LY3502970
    Number of subjects included in analysis
    97
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -41
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -52.7
         upper limit
    -29.3
    Statistical analysis title
    Outcome measure No.5
    Comparison groups
    Placebo v 36 mg LY3502970
    Number of subjects included in analysis
    112
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -42.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -53.5
         upper limit
    -32
    Statistical analysis title
    Outcome measure No.5
    Comparison groups
    Placebo v 45 mg LY3502970
    Number of subjects included in analysis
    113
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -44.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -55.3
         upper limit
    -34.2
    Statistical analysis title
    Outcome measure No.5
    Comparison groups
    3 mg LY3502970 v 1.5 mg Dulaglutide
    Number of subjects included in analysis
    95
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    0.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -10.6
         upper limit
    11.8
    Statistical analysis title
    Outcome measure No.5
    Comparison groups
    12 mg LY3502970 v 1.5 mg Dulaglutide
    Number of subjects included in analysis
    98
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -20.5
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -31.4
         upper limit
    -9.5
    Statistical analysis title
    Outcome measure No.5
    Comparison groups
    24 mg LY3502970 v 1.5 mg Dulaglutide
    Number of subjects included in analysis
    91
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.002
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -19
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -30.7
         upper limit
    -7.2
    Statistical analysis title
    Outcome measure No.5
    Comparison groups
    1.5 mg Dulaglutide v 36 mg LY3502970
    Number of subjects included in analysis
    106
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -20.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -31.4
         upper limit
    -9.9
    Statistical analysis title
    Outcome measure No.5
    Comparison groups
    1.5 mg Dulaglutide v 45 mg LY3502970
    Number of subjects included in analysis
    107
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -22.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -33.2
         upper limit
    -12.1

    Secondary: Change from Baseline in Body Weight

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    End point title
    Change from Baseline in Body Weight [6]
    End point description
    LS mean was determined by MMRM model with Baseline + Country + Baseline HbA1c Group (<=8.0%, >8.0%) + Treatment + Time + Treatment*Time (Type III sum of squares) as variables. APD: All participants who received at least one dose of study drug, had baseline and at least one post-baseline body weight data. The statistical analyses were conducted to compare LY3502970 against placebo i.e., comparison groups = LY3502970 vs Placebo, and LY3502970 against Dulaglutide i.e., comparison groups= LY3502970 vs Dulaglutide. Comparison groups in the individual statistical analyses below may be disregarded.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 26
    Notes
    [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Descriptive statistics was added in baseline period reporting arms, subject analysis set with evaluable endpoint data.
    End point values
    Placebo 3 mg LY3502970 12 mg LY3502970 24 mg LY3502970 1.5 mg Dulaglutide 36 mg LY3502970 45 mg LY3502970
    Number of subjects analysed
    55
    50
    53
    46
    50
    57
    62
    Units: kilograms (kg)
        least squares mean (standard error)
    -2.2 ( 0.74 )
    -3.7 ( 0.79 )
    -6.5 ( 0.76 )
    -9.7 ( 0.85 )
    -3.9 ( 0.76 )
    -9.5 ( 0.73 )
    -10.1 ( 0.71 )
    Statistical analysis title
    Outcome measure No.6
    Comparison groups
    Placebo v 3 mg LY3502970
    Number of subjects included in analysis
    105
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.153
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -1.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.7
         upper limit
    0.6
    Statistical analysis title
    Outcome measure No.6
    Comparison groups
    Placebo v 12 mg LY3502970
    Number of subjects included in analysis
    108
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -4.3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -6.4
         upper limit
    -2.2
    Statistical analysis title
    Outcome measure No.6
    Comparison groups
    Placebo v 24 mg LY3502970
    Number of subjects included in analysis
    101
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -7.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -9.8
         upper limit
    -5.3
    Statistical analysis title
    Outcome measure No.6
    Comparison groups
    Placebo v 36 mg LY3502970
    Number of subjects included in analysis
    112
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -7.4
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -9.4
         upper limit
    -5.3
    Statistical analysis title
    Outcome measure No.6
    Comparison groups
    Placebo v 45 mg LY3502970
    Number of subjects included in analysis
    117
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -7.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -9.9
         upper limit
    -5.9
    Statistical analysis title
    Outcome measure No.6
    Comparison groups
    3 mg LY3502970 v 1.5 mg Dulaglutide
    Number of subjects included in analysis
    100
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.914
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    0.1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2
         upper limit
    2.3
    Statistical analysis title
    Outcome measure No.6
    Comparison groups
    12 mg LY3502970 v 1.5 mg Dulaglutide
    Number of subjects included in analysis
    103
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.015
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -2.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -4.7
         upper limit
    -0.5
    Statistical analysis title
    Outcome measure No.6
    Comparison groups
    24 mg LY3502970 v 1.5 mg Dulaglutide
    Number of subjects included in analysis
    96
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -5.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -8.1
         upper limit
    -3.6
    Statistical analysis title
    Outcome measure No.6
    Comparison groups
    1.5 mg Dulaglutide v 36 mg LY3502970
    Number of subjects included in analysis
    107
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -5.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -7.8
         upper limit
    -3.6
    Statistical analysis title
    Outcome measure No.6
    Comparison groups
    1.5 mg Dulaglutide v 45 mg LY3502970
    Number of subjects included in analysis
    112
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Least square mean difference
    Point estimate
    -6.2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -8.3
         upper limit
    -4.2

    Secondary: Pharmacokinetics (PK): Steady State Area Under the Concentration Curve (AUC) of LY3502970

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    End point title
    Pharmacokinetics (PK): Steady State Area Under the Concentration Curve (AUC) of LY3502970 [7]
    End point description
    PK: Steady State AUC of LY3502970. APD: All participants who received at least one dose of LY3502970 and had evaluable PK data.
    End point type
    Secondary
    End point timeframe
    Pre-dose (Week (wk) 0, wk 8, wk 12, and wk 26); Post-dose (wk 4, wk 8, wk 16, wk 20, and end of treatment).
    Notes
    [7] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Descriptive statistics was added in baseline period reporting arms, subject analysis set with evaluable endpoint data.
    End point values
    3 mg LY3502970 12 mg LY3502970 24 mg LY3502970 36 mg LY3502970 - 1 36 mg LY3502970 - 2 45 mg LY3502970 - 1 45 mg LY3502970 - 2
    Number of subjects analysed
    45
    48
    43
    24
    29
    25
    28
    Units: nanogram hour per milliliter (ng*h/mL)
        geometric mean (geometric coefficient of variation)
    364 ( 38.7 )
    1020 ( 63.5 )
    1500 ( 84.5 )
    1830 ( 94.6 )
    2430 ( 39.8 )
    2230 ( 80.4 )
    2550 ( 55.3 )
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Entire Study
    Adverse event reporting additional description
    J2A-MC-GZGE
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    25.0
    Reporting groups
    Reporting group title
    Placebo
    Reporting group description
    Participants received matching placebo.

    Reporting group title
    3 mg LY3502970
    Reporting group description
    Participants received maintenance dose of 3 mg with dose escalation starting from 2 mg LY3502970 administered orally QD.

    Reporting group title
    12 mg LY3502970
    Reporting group description
    Participants received maintenance dose 12 mg with dose escalation starting from 2 mg, 6 mg and then 12 mg LY3502970 administered orally QD.

    Reporting group title
    24 mg LY3502970
    Reporting group description
    Participants received maintenance dose 24 mg with dose escalation starting from 3 mg, 6 mg, 8 mg,12 mg and then 24 mg LY3502970 administered orally QD.

    Reporting group title
    36 mg LY3502970 - 1
    Reporting group description
    Participants received maintenance dose 36 mg with dose escalation starting from 2 mg, 3 mg, 6 mg, 8 mg, 12 mg, 24 mg and then 36 mg LY3502970 administered orally QD.

    Reporting group title
    36 mg LY3502970 - 2
    Reporting group description
    Participants received maintenance dose 36 mg with dose escalation starting from 3 mg, 6 mg,12 mg, 24 mg and then 36 mg LY3502970 administered orally QD.

    Reporting group title
    45 mg LY3502970 - 1
    Reporting group description
    Participants received maintenance dose 45 mg with dose escalation starting from 3 mg, 6 mg, 8 mg, 12 mg, 24 mg, 36 mg and then 45 mg LY3502970 administered orally QD.

    Reporting group title
    45 mg LY3502970 - 2
    Reporting group description
    Participants received maintenance dose 45 mg with dose escalation starting from 2 mg, 3 mg, 6 mg, 12 mg, 24 mg, 36 mg and then 45 mg LY3502970 administered orally QD.

    Reporting group title
    1.5 mg Dulaglutide
    Reporting group description
    Participants received 1.5 mg Dulaglutide administered SC QW.

    Serious adverse events
    Placebo 3 mg LY3502970 12 mg LY3502970 24 mg LY3502970 36 mg LY3502970 - 1 36 mg LY3502970 - 2 45 mg LY3502970 - 1 45 mg LY3502970 - 2 1.5 mg Dulaglutide
    Total subjects affected by serious adverse events
         subjects affected / exposed
    3 / 55 (5.45%)
    3 / 51 (5.88%)
    1 / 56 (1.79%)
    5 / 47 (10.64%)
    1 / 27 (3.70%)
    1 / 34 (2.94%)
    0 / 31 (0.00%)
    1 / 32 (3.13%)
    1 / 50 (2.00%)
         number of deaths (all causes)
    1
    0
    0
    0
    0
    0
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    0
    0
    0
    0
    0
    0
    Injury, poisoning and procedural complications
    facial bones fracture
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    1 / 55 (1.82%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    fractured coccyx
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    1 / 50 (2.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    lumbar vertebral fracture
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    1 / 50 (2.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    radius fracture
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    1 / 55 (1.82%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    atrial fibrillation
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    1 / 51 (1.96%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    cardiac failure
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    1 / 55 (1.82%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    ischaemic stroke
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    1 / 55 (1.82%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    1 / 27 (3.70%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Immune system disorders
    haemophagocytic lymphohistiocytosis
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    1 / 51 (1.96%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    gastrointestinal haemorrhage
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    1 / 47 (2.13%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    pancreatitis acute
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    1 / 47 (2.13%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    pylorospasm
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    1 / 47 (2.13%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    varices oesophageal
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    1 / 47 (2.13%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    urethral haemorrhage
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    0 / 27 (0.00%)
    1 / 34 (2.94%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    osteoarthritis
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    1 / 55 (1.82%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    appendicitis
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    1 / 47 (2.13%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    covid-19
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    1 / 56 (1.79%)
    0 / 47 (0.00%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    pneumonia
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    1 / 51 (1.96%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    dehydration
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    1 / 47 (2.13%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    diabetic ketoacidosis
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    1 / 32 (3.13%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    hypoglycaemia
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    0 / 27 (0.00%)
    1 / 34 (2.94%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Placebo 3 mg LY3502970 12 mg LY3502970 24 mg LY3502970 36 mg LY3502970 - 1 36 mg LY3502970 - 2 45 mg LY3502970 - 1 45 mg LY3502970 - 2 1.5 mg Dulaglutide
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    25 / 55 (45.45%)
    34 / 51 (66.67%)
    40 / 56 (71.43%)
    32 / 47 (68.09%)
    21 / 27 (77.78%)
    18 / 34 (52.94%)
    21 / 31 (67.74%)
    23 / 32 (71.88%)
    23 / 50 (46.00%)
    Investigations
    haemoglobin decreased
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    2 / 27 (7.41%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    2
    0
    0
    0
    0
    lipase increased
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    2 / 55 (3.64%)
    2 / 51 (3.92%)
    5 / 56 (8.93%)
    4 / 47 (8.51%)
    1 / 27 (3.70%)
    2 / 34 (5.88%)
    2 / 31 (6.45%)
    0 / 32 (0.00%)
    1 / 50 (2.00%)
         occurrences all number
    2
    2
    5
    4
    1
    2
    2
    0
    1
    weight decreased
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    2 / 56 (3.57%)
    2 / 47 (4.26%)
    3 / 27 (11.11%)
    2 / 34 (5.88%)
    1 / 31 (3.23%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    2
    2
    3
    2
    1
    0
    0
    Vascular disorders
    hypertension
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    4 / 55 (7.27%)
    3 / 51 (5.88%)
    1 / 56 (1.79%)
    0 / 47 (0.00%)
    1 / 27 (3.70%)
    2 / 34 (5.88%)
    0 / 31 (0.00%)
    1 / 32 (3.13%)
    2 / 50 (4.00%)
         occurrences all number
    4
    3
    1
    0
    1
    2
    0
    1
    2
    Cardiac disorders
    palpitations
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    1 / 51 (1.96%)
    3 / 56 (5.36%)
    0 / 47 (0.00%)
    1 / 27 (3.70%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    1 / 32 (3.13%)
    1 / 50 (2.00%)
         occurrences all number
    0
    1
    3
    0
    1
    0
    0
    1
    1
    sinus tachycardia
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    1 / 51 (1.96%)
    0 / 56 (0.00%)
    2 / 47 (4.26%)
    0 / 27 (0.00%)
    2 / 34 (5.88%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    1
    0
    2
    0
    2
    0
    0
    0
    Nervous system disorders
    dizziness
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    1 / 55 (1.82%)
    4 / 51 (7.84%)
    1 / 56 (1.79%)
    2 / 47 (4.26%)
    0 / 27 (0.00%)
    1 / 34 (2.94%)
    0 / 31 (0.00%)
    1 / 32 (3.13%)
    0 / 50 (0.00%)
         occurrences all number
    1
    4
    1
    2
    0
    1
    0
    1
    0
    headache
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    7 / 51 (13.73%)
    2 / 56 (3.57%)
    2 / 47 (4.26%)
    0 / 27 (0.00%)
    1 / 34 (2.94%)
    2 / 31 (6.45%)
    4 / 32 (12.50%)
    0 / 50 (0.00%)
         occurrences all number
    0
    9
    2
    2
    0
    1
    2
    4
    0
    paraesthesia
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    1 / 55 (1.82%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    1 / 47 (2.13%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    2 / 32 (6.25%)
    0 / 50 (0.00%)
         occurrences all number
    1
    0
    0
    2
    0
    0
    0
    3
    0
    General disorders and administration site conditions
    asthenia
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    2 / 27 (7.41%)
    0 / 34 (0.00%)
    1 / 31 (3.23%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    2
    0
    1
    0
    0
    fatigue
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    2 / 55 (3.64%)
    3 / 51 (5.88%)
    5 / 56 (8.93%)
    0 / 47 (0.00%)
    1 / 27 (3.70%)
    2 / 34 (5.88%)
    2 / 31 (6.45%)
    1 / 32 (3.13%)
    0 / 50 (0.00%)
         occurrences all number
    2
    3
    5
    0
    2
    2
    2
    1
    0
    Gastrointestinal disorders
    abdominal distension
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    2 / 51 (3.92%)
    3 / 56 (5.36%)
    2 / 47 (4.26%)
    2 / 27 (7.41%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    1 / 32 (3.13%)
    0 / 50 (0.00%)
         occurrences all number
    0
    2
    3
    2
    3
    0
    0
    1
    0
    abdominal pain upper
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    3 / 51 (5.88%)
    1 / 56 (1.79%)
    3 / 47 (6.38%)
    2 / 27 (7.41%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    1 / 32 (3.13%)
    0 / 50 (0.00%)
         occurrences all number
    0
    5
    2
    3
    3
    0
    0
    1
    0
    constipation
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    1 / 55 (1.82%)
    7 / 51 (13.73%)
    7 / 56 (12.50%)
    6 / 47 (12.77%)
    6 / 27 (22.22%)
    1 / 34 (2.94%)
    1 / 31 (3.23%)
    4 / 32 (12.50%)
    0 / 50 (0.00%)
         occurrences all number
    1
    9
    8
    7
    6
    1
    1
    5
    0
    diarrhoea
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    4 / 55 (7.27%)
    11 / 51 (21.57%)
    9 / 56 (16.07%)
    7 / 47 (14.89%)
    7 / 27 (25.93%)
    2 / 34 (5.88%)
    9 / 31 (29.03%)
    9 / 32 (28.13%)
    6 / 50 (12.00%)
         occurrences all number
    6
    18
    10
    11
    8
    3
    10
    11
    7
    dyspepsia
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    2 / 55 (3.64%)
    6 / 51 (11.76%)
    4 / 56 (7.14%)
    3 / 47 (6.38%)
    3 / 27 (11.11%)
    2 / 34 (5.88%)
    2 / 31 (6.45%)
    2 / 32 (6.25%)
    1 / 50 (2.00%)
         occurrences all number
    2
    6
    4
    3
    5
    2
    2
    2
    1
    eructation
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    4 / 51 (7.84%)
    2 / 56 (3.57%)
    3 / 47 (6.38%)
    5 / 27 (18.52%)
    3 / 34 (8.82%)
    2 / 31 (6.45%)
    1 / 32 (3.13%)
    1 / 50 (2.00%)
         occurrences all number
    0
    4
    3
    3
    11
    3
    2
    1
    1
    flatulence
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    1 / 55 (1.82%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    4 / 47 (8.51%)
    3 / 27 (11.11%)
    1 / 34 (2.94%)
    1 / 31 (3.23%)
    1 / 32 (3.13%)
    1 / 50 (2.00%)
         occurrences all number
    2
    0
    0
    5
    5
    1
    1
    1
    1
    gastrooesophageal reflux disease
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    4 / 56 (7.14%)
    3 / 47 (6.38%)
    0 / 27 (0.00%)
    2 / 34 (5.88%)
    1 / 31 (3.23%)
    1 / 32 (3.13%)
    1 / 50 (2.00%)
         occurrences all number
    0
    0
    4
    4
    0
    3
    2
    1
    1
    nausea
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    3 / 55 (5.45%)
    12 / 51 (23.53%)
    21 / 56 (37.50%)
    16 / 47 (34.04%)
    10 / 27 (37.04%)
    9 / 34 (26.47%)
    9 / 31 (29.03%)
    8 / 32 (25.00%)
    9 / 50 (18.00%)
         occurrences all number
    4
    15
    27
    20
    20
    18
    15
    9
    13
    retching
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    2 / 27 (7.41%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    0
    0
    3
    0
    0
    0
    0
    vomiting
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    1 / 55 (1.82%)
    3 / 51 (5.88%)
    12 / 56 (21.43%)
    13 / 47 (27.66%)
    9 / 27 (33.33%)
    7 / 34 (20.59%)
    11 / 31 (35.48%)
    7 / 32 (21.88%)
    4 / 50 (8.00%)
         occurrences all number
    1
    3
    16
    16
    28
    9
    18
    10
    4
    Reproductive system and breast disorders
    epididymal cyst
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed [1]
    0 / 28 (0.00%)
    0 / 26 (0.00%)
    0 / 36 (0.00%)
    0 / 30 (0.00%)
    0 / 18 (0.00%)
    1 / 18 (5.56%)
    0 / 21 (0.00%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    0
    Skin and subcutaneous tissue disorders
    urticaria
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    2 / 56 (3.57%)
    0 / 47 (0.00%)
    2 / 27 (7.41%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    3
    0
    2
    0
    0
    0
    0
    Musculoskeletal and connective tissue disorders
    arthralgia
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    0 / 51 (0.00%)
    2 / 56 (3.57%)
    1 / 47 (2.13%)
    1 / 27 (3.70%)
    1 / 34 (2.94%)
    0 / 31 (0.00%)
    2 / 32 (6.25%)
    0 / 50 (0.00%)
         occurrences all number
    0
    0
    2
    1
    1
    1
    0
    4
    0
    back pain
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    1 / 55 (1.82%)
    1 / 51 (1.96%)
    0 / 56 (0.00%)
    3 / 47 (6.38%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    1 / 31 (3.23%)
    1 / 32 (3.13%)
    0 / 50 (0.00%)
         occurrences all number
    1
    1
    0
    3
    0
    0
    1
    1
    0
    muscle spasms
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    1 / 55 (1.82%)
    1 / 51 (1.96%)
    1 / 56 (1.79%)
    0 / 47 (0.00%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    2 / 32 (6.25%)
    0 / 50 (0.00%)
         occurrences all number
    1
    1
    1
    0
    0
    0
    0
    2
    0
    Infections and infestations
    bacterial vaginosis
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed [2]
    0 / 27 (0.00%)
    0 / 25 (0.00%)
    0 / 20 (0.00%)
    0 / 17 (0.00%)
    0 / 9 (0.00%)
    0 / 16 (0.00%)
    0 / 10 (0.00%)
    0 / 13 (0.00%)
    1 / 20 (5.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    0
    1
    covid-19
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    3 / 55 (5.45%)
    2 / 51 (3.92%)
    5 / 56 (8.93%)
    2 / 47 (4.26%)
    0 / 27 (0.00%)
    2 / 34 (5.88%)
    1 / 31 (3.23%)
    2 / 32 (6.25%)
    2 / 50 (4.00%)
         occurrences all number
    3
    2
    5
    2
    0
    2
    1
    2
    2
    upper respiratory tract infection
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    4 / 55 (7.27%)
    2 / 51 (3.92%)
    1 / 56 (1.79%)
    2 / 47 (4.26%)
    0 / 27 (0.00%)
    2 / 34 (5.88%)
    0 / 31 (0.00%)
    1 / 32 (3.13%)
    2 / 50 (4.00%)
         occurrences all number
    5
    2
    1
    2
    0
    2
    0
    1
    3
    urinary tract infection
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    3 / 51 (5.88%)
    0 / 56 (0.00%)
    1 / 47 (2.13%)
    0 / 27 (0.00%)
    1 / 34 (2.94%)
    1 / 31 (3.23%)
    1 / 32 (3.13%)
    2 / 50 (4.00%)
         occurrences all number
    0
    3
    0
    1
    0
    1
    1
    1
    3
    Metabolism and nutrition disorders
    decreased appetite
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    0 / 55 (0.00%)
    3 / 51 (5.88%)
    3 / 56 (5.36%)
    2 / 47 (4.26%)
    2 / 27 (7.41%)
    1 / 34 (2.94%)
    2 / 31 (6.45%)
    3 / 32 (9.38%)
    2 / 50 (4.00%)
         occurrences all number
    0
    3
    4
    2
    2
    1
    2
    4
    2
    hyperglycaemia
    alternative dictionary used: MedDRA 25.0
         subjects affected / exposed
    5 / 55 (9.09%)
    1 / 51 (1.96%)
    0 / 56 (0.00%)
    0 / 47 (0.00%)
    0 / 27 (0.00%)
    0 / 34 (0.00%)
    0 / 31 (0.00%)
    0 / 32 (0.00%)
    1 / 50 (2.00%)
         occurrences all number
    5
    1
    0
    0
    0
    0
    0
    0
    1
    Notes
    [1] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly.
    [2] - The number of subjects exposed to this adverse event is less than the total number of subjects exposed for the reporting group. These numbers are expected to be equal.
    Justification: Gender specific events occurring only in male or female participants have had the number of participants at risk adjusted accordingly.

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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