Clinical trial Recruiting at 24 sites Phase 4 Interventional Ages 18 and up

iGlarLixi vs standard diabetes care in adults with Type 2 diabetes in China

Official title: Efficacy and Safety of iGlarLixi Versus Standard of Care in a Real-world Adult China Population With Uncontrolled Type 2 Diabetes on Oral Agents-a Pragmatic Randomized Controlled Trial

Run by Shanghai Zhongshan Hospital · NCT07307235 · Data updated 2026-11-12

This study tests whether iGlarLixi works better and is as safe as standard diabetes care for adults in China who aren’t well controlled on 1–3 oral drugs.

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment1316 (estimated)
SponsorShanghai Zhongshan Hospital
Academic / other
Locations24 sites (Hefei, Anhui and 23 other locations)
StatusRecruiting
StartedDecember 13, 2025
Main results expectedJune 30, 2027
Study endsDecember 30, 2027
Registry record updatedJuly 7, 2026
Trial IDNCT07307235 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18 years or older with Type 2 diabetes, on 1–3 oral antidiabetic drugs for at least 3 months, with HbA1c 7.5–11%, and needing additional injectable therapy.

Probably not a fit

Individuals with Type 1 diabetes, BMI outside 20–40 kg/m2, or those using more than 3 oral agents or any injectables within 30 days prior to screening may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a real-world, open-label, multicenter randomized trial in about 1,316 adults with Type 2 diabetes across roughly 40 Chinese centers. Participants are assigned 1:1 to receive either iGlarLixi or standard of care (basal or premixed insulin without GLP-1 receptor agonists). The trial design is pragmatic and non-blinded, reflecting everyday clinical practice while comparing outcomes in routine settings. Eligibility includes adults with HbA1c 7.5–11% who have been on 1–3 oral agents for at least 3 months and require further injectable therapy as judged by investigators. The study aims to assess real-world effectiveness and safety of the two approaches in a population with poor glycemic control.

Why it matters

Potential benefit: If successful, the approach could offer improved glycemic control with a potentially favorable safety profile for adults in China.

How similar studies have gone: Other studies have explored GLP-1 receptor agonist–based regimens in similar settings, with mixed but encouraging results for real-world effectiveness.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Participant must be at least 18 of age inclusive, at the time of signing the informed consent.
2. Type 2 diabetes mellitus diagnosis.
3. Participants who are treated for at least 3 months prior to the screening visit with an adequate dose of 1-3 OADs.
4. HbA1c 7.5-11%
5. Further intensification with an additional antidiabetic injectable medication is indicated to achieve glycaemic target at the discretion of the study physician according to approval labelling.

Participants who have signed informed consent form (ICF).

Exclusion Criteria:

1. Diagnosed with T1DM
2. BMI \<20 kg/m2 or BMI ≥40 kg/m2
3. Treatment with more than 3 oral antidiabetic medications, or any injectable medication in a period of 30 days before the day of eligibility assessment. Temporary/emergency use of insulin is allowed, as is prior insulin treatment for gestational diabetes.
4. Contraindications to iGlarLixi according to the China NMPA approved label.
5. Any clinically significant abnormality identified on physical examination, laboratory tests, or vital signs at the time of screening, or any major systemic disease resulting in short life expectancy that in the opinion of the Investigator would restrict or limit the patient's successful participation for the duration of the study.
6. Participants who involved in other clinical trial within 3 months prior to the time of screening visit.
7. Participant who has a severe renal function impairment with an estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73m2
8. Pregnant or breast-feeding woman.
9. Woman of childbearing potential not protected by highly effective contraceptive method of birth control and/or who is unwilling or unable to be tested for pregnancy.
10. Conditions/situations such as:

Participant with short life expectancy. Participant with conditions/concomitant diseases making him/her not evaluable for the primary efficacy endpoint (eg, hemoglobinopathy or hemolytic anemia, receipt of blood or plasma products within 3 months prior to screening).

Participant with conditions/concomitant diseases precluding his/her safe participation in this study (eg, active malignant tumor, major systemic diseases, presence of clinically significant diabetic retinopathy or presence of macular edema likely to require laser treatment within the study period).

Uncooperative or any condition that could make the participant potentially non-compliant to the study procedures.

Where it's running

  • The First Affiliated Hospital of USTC / Anhui Provincial Hospital
    Hefei, Anhui, China
    Recruiting
  • The First Affiliated Hospital of Anhui Medical University
    Hefei, Anhui, China
    Recruiting
  • The First People's Hospital of Huizhou
    Huizhou, Guangdong, China
    Recruiting
  • Shenzhen Third People's Hospital
    Shenzhen, Guangdong, China
    Recruiting
  • Heilongjiang Provincial Hospital
    Harbin, Heilongjiang, China
    Recruiting
  • Xinxiang Central Hospital
    Xinxiang, Henan, China
    Recruiting
Show 18 more locations
  • Wuhan Fourth Hospital / Wuhan Puai Hospital
    Wuhan, Hubei, China
    Recruiting
  • Hunan Provincial People's Hospital / The First Affiliated Hospital of Hunan Normal University
    Changsha, Hunan, China
    Recruiting
  • Hengyang Central Hospital
    Hengyang, Hunan, China
    Recruiting
  • Affiliated Nanhua Hospital, University of South China
    Hengyang, Hunan, China
    Recruiting
  • The Second Affiliated Hospital of Nanjing Medical University
    Nanjing, Jiangsu, China
    Recruiting
  • The Second Affiliated Hospital of Nanchang University
    Nanchang, Jiangxi, China
    Recruiting
  • The First Clinical Hospital of Jilin Academy of Chinese Medicine Sciences
    Changchun, Jilin, China
    Recruiting
  • Zhongshan Hospital, Fudan University
    Shanghai, Shanghai Municipality, China
    Recruiting
  • Shanghai Tenth People's Hospital / Tenth People's Hospital of Tongji University
    Shanghai, Shanghai Municipality, China
    Recruiting
  • Shanghai East Hospital, Tongji University
    Shanghai, Shanghai Municipality, China
    Recruiting
  • Shanghai Pudong New Area Punan Hospital
    Shanghai, Shanghai Municipality, China
    Recruiting
  • Shanghai Tongren Hospital, Shanghai Jiao Tong University School of Medicine
    Shanghai, Shanghai Municipality, China
    Recruiting
  • Minhang Hospital, Fudan University / Central Hospital of Minhang District, Shanghai
    Shanghai, Shanghai Municipality, China
    Recruiting
  • Shanghai Qingpu District Central Hospital / Qingpu Branch of Zhongshan Hospital, Fudan University
    Shanghai, Shanghai Municipality, China
    Recruiting
  • Zhejiang Provincial People's Hospital
    Hangzhou, Zhejiang, China
    Recruiting
  • Jiaxing First Hospital
    Jiaxing, Zhejiang, China
    Recruiting
  • Ningbo No. 2 Hospital
    Ningbo, Zhejiang, China
    Recruiting
  • Ningbo Medical Center Lihuili Hospital
    Ningbo, Zhejiang, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.