Treatment satisfaction in people with type 2 diabetes mellitus treated with once-weekly dulaglutide: data from the AWARD-1 and AWARD-3 clinical trials

Diabetes Obes Metab. 2015 Sep;17(9):896-903. doi: 10.1111/dom.12527. Epub 2015 Jul 27.

Abstract

Aims: To compare treatment satisfaction among people with type 2 diabetes receiving dulaglutide 1.5 mg and dulaglutide 0.75 mg (a once-weekly, long-acting, glucagon-like peptide-1 receptor agonist) with those receiving either exenatide or placebo (AWARD-1 study) or metformin (AWARD-3 study) over 52 weeks.

Methods: The Diabetes Treatment Satisfaction Questionnaire status version (DTSQs) and change version (DTSQc) were used to evaluate total treatment satisfaction and perceived frequency of hyperglycaemia and hypoglycaemia.

Results: In the AWARD-1 study, significant improvements from baseline were observed in total DTSQs score for both dulaglutide doses (26 and 52 weeks) and exenatide (26 weeks). The improvement was significantly greater with both dulaglutide doses compared with placebo (26 weeks) and exenatide (26 and 52 weeks). The perceived frequency of hyperglycaemia was lower for all groups at 26 and 52 weeks compared with baseline. The improvement was greater with both dulaglutide doses and exenatide compared with placebo at 26 weeks, and was also greater with both dulaglutide doses compared with exenatide at 26 and 52 weeks. The exenatide group had an increase in perceived frequency of hypoglycaemia at 26 and 52 weeks. In the AWARD-3 study, significant improvements from baseline were observed for total DTSQs scores in all groups at 26 and 52 weeks. Perceived frequency of hyperglycaemia was lower for all groups at 26 and 52 weeks compared with baseline, and this improvement was greater with both dulaglutide doses compared with metformin at 52 weeks.

Conclusions: Dulaglutide was associated with improvements in treatment satisfaction and a decrease in perceived frequency of hyperglycaemia.

Keywords: type 2 diabetes.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Diabetes Mellitus / drug therapy
  • Diabetes Mellitus / psychology*
  • Double-Blind Method
  • Drug Administration Schedule
  • Exenatide
  • Female
  • Glucagon-Like Peptides / administration & dosage
  • Glucagon-Like Peptides / analogs & derivatives*
  • Humans
  • Hyperglycemia / chemically induced
  • Hyperglycemia / psychology
  • Hypoglycemia / chemically induced
  • Hypoglycemia / psychology
  • Hypoglycemic Agents / administration & dosage*
  • Immunoglobulin Fc Fragments / administration & dosage*
  • Male
  • Metformin / administration & dosage
  • Middle Aged
  • Patient Satisfaction / statistics & numerical data*
  • Peptides / administration & dosage
  • Recombinant Fusion Proteins / administration & dosage*
  • Surveys and Questionnaires
  • Time Factors
  • Venoms / administration & dosage

Substances

  • Hypoglycemic Agents
  • Immunoglobulin Fc Fragments
  • Peptides
  • Recombinant Fusion Proteins
  • Venoms
  • Glucagon-Like Peptides
  • Metformin
  • Exenatide
  • dulaglutide