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Trial · NCT01794143

A Comparative Effectiveness Study of Major Glycemia-lowering Medications for Treatment of Type 2 Diabetes

NCT01794143, Phase 3, Completed, GRADE Study Group; results first posted 2026-02-10

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Comparative Effectiveness Study of Major Glycemia-lowering Medications for Treatment of Type 2 Diabetes. Trials, record NCT01794143. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01794143

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Comparative Effectiveness Study of Major Glycemia-lowering Medications for Treatment of Type 2 Diabetes
NCT number
NCT01794143
Status
Completed
Phases
Phase 3
Enrollment
7,850 participants, actual
Lead sponsor
GRADE Study Group
Conditions
Type 2 Diabetes, Comparative Effectiveness of Glycemia-lowering Medications
Interventions
Sulfonylurea (glimepiride), DPP-4 inhibitor (sitagliptin), GLP-1 receptor agonist (liraglutide), Insulin (glargine)
First posted
2013-02-18
Last updated
2026-02-10
Results first posted
2026-02-10

Source ClinicalTrials.gov

Registered outcomes4

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTime to HbA1c>=7%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study MedicationQuarterly for 4 to 7 yearsThe primary metabolic outcome is the time to primary failure defined as an HbA1c\>=7% (53mmol/mol), subsequently confirmed, after addition of randomly assigned glucose-lowering medication at baseline.
PrimaryHbA1c>=7%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study MedicationQuarterly, 4-7 yearsNumber of participants who reached primary failure defined as an HbA1c\>=7% (53mmol/mol), subsequently confirmed, after addition of randomly assigned glucose-lowering medication at baseline.
SecondaryTime to HbA1c>7.5%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study Medication.Quarterly, 4-6 yearsThe secondary metabolic outcome is time to HbA1c\>7.5% (58 mmol/mol), confirmed, after addition of randomly assigned glucose-lowering medication at baseline.
SecondaryHbA1c>7.5%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study Medication.Quarterly for 4 to 7 yearsNumber of participants who reached primary failure defined as an HbA1c\>7.5% (58 mmol/mol), confirmed, after addition of randomly assigned glucose-lowering medication at baseline.

Outcomes4

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime to HbA1c>=7%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study MedicationQuarterly for 4 to 7 yearsyearsMEDIAN
SECONDARYTime to HbA1c>7.5%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study Medication.Quarterly, 4-6 yearsyearsMEDIAN
PRIMARYHbA1c>=7%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study MedicationQuarterly, 4-7 yearsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYHbA1c>7.5%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study Medication.Quarterly for 4 to 7 yearsParticipantsCOUNT_OF_PARTICIPANTS

Results by group16

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Time to HbA1c>=7%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study MedicationGlargine Insulin U-1001.3Inter-Quartile Range 0.6 to 2.5years
Time to HbA1c>=7%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study MedicationGlimepiride1.3Inter-Quartile Range 0.6 to 2.3years
Time to HbA1c>=7%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study MedicationLiraglutide1.5Inter-Quartile Range 0.6 to 2.7years
Time to HbA1c>=7%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study MedicationSitagliptin0.8Inter-Quartile Range 0.5 to 2.0years
Time to HbA1c>7.5%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study Medication.Glargine Insulin U-1002.1Inter-Quartile Range 1.0 to 3.5years
Time to HbA1c>7.5%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study Medication.Glimepiride2.0Inter-Quartile Range 1.1 to 3.3years
Time to HbA1c>7.5%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study Medication.Liraglutide2.2Inter-Quartile Range 1.0 to 3.5years
Time to HbA1c>7.5%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study Medication.Sitagliptin1.7Inter-Quartile Range 0.8 to 3.0years
HbA1c>=7%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study MedicationGlargine Insulin U-100852Participants
HbA1c>=7%, While Receiving Metformin and the Randomly Assigned Glucose-lowering Study MedicationGlimepiride908Participants

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDGlargine Insulin U-1001,263
Overall StudySTARTEDGlimepiride1,254
Overall StudySTARTEDLiraglutide1,262
Overall StudySTARTEDSitagliptin1,268
Overall StudyCOMPLETEDGlargine Insulin U-1001,138
Overall StudyCOMPLETEDGlimepiride1,142
Overall StudyCOMPLETEDLiraglutide1,156
Overall StudyCOMPLETEDSitagliptin1,144
Overall StudyNOT COMPLETEDGlargine Insulin U-100125
Overall StudyNOT COMPLETEDGlimepiride112

Adverse events175

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
seriousSevere HypoglycemiaMetabolism and nutrition disordersGlargine Insulin U-100171,26321
seriousSevere HypoglycemiaMetabolism and nutrition disordersGlimepiride281,25438
seriousSevere HypoglycemiaMetabolism and nutrition disordersLiraglutide121,26213
seriousSevere HypoglycemiaMetabolism and nutrition disordersSitagliptin91,26810
seriousSevere HypoglycemiaMetabolism and nutrition disordersStudy Run-In (Metformin Only)07,8500
seriousHeart failureCardiac disordersGlargine Insulin U-100261,26335
seriousHeart failureCardiac disordersGlimepiride301,25449
seriousHeart failureCardiac disordersLiraglutide141,26218
seriousHeart failureCardiac disordersSitagliptin301,26856
seriousHeart failureCardiac disordersStudy Run-In (Metformin Only)07,8500

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityGlargine Insulin U-100421,263
Total, all-cause mortalityGlimepiride431,254
Total, all-cause mortalityLiraglutide271,262
Total, all-cause mortalitySitagliptin411,268
Total, all-cause mortalityStudy Run-In (Metformin Only)07,850
Total, other adverse eventsGlargine Insulin U-10001,263
Total, other adverse eventsGlimepiride01,254
Total, other adverse eventsLiraglutide01,262
Total, other adverse eventsSitagliptin01,268
Total, other adverse eventsStudy Run-In (Metformin Only)07,850

Papers61

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
23690531RESULTPubMed
25329662BACKGROUNDPubMed
26336199BACKGROUNDPubMed
26400875BACKGROUNDPubMed
28213915RESULTPubMed
29956365BACKGROUNDPubMed
31368793RESULTPubMed
31391203RESULTPubMed
31393176RESULTPubMed
31647326BACKGROUNDPubMed

1 to 10 of 61

See all 61 papers

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
U01DK098246Continuation of the Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness (GRADE) StudyKRAUSE-STEINRAUF, HEIDI; LACHIN, JOHN M; NATHAN, DAVID MGEORGE WASHINGTON UNIVERSITYNATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES2012 to 2022

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01794143

GET https://conductscience.org/api/trials/v1/NCT01794143/events?page=2