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
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1316 (estimated) |
| Sponsor | Shanghai Zhongshan Hospital Academic / other |
| Locations | 24 sites (Hefei, Anhui and 23 other locations) |
| Status | Recruiting |
| Started | December 13, 2025 |
| Main results expected | June 30, 2027 |
| Study ends | December 30, 2027 |
| Registry record updated | July 7, 2026 |
| Trial ID | NCT07307235 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
- Study coordinator: Xiaoying li, Professor
- Email: li.xiaoying@zs-hospital.sh.cn
- Phone: +862164041990
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Acute Blood Flow Restriction Walking in Type 2 Diabetes
This study tests whether adding blood flow restriction to treadmill walking affects immune cells in adults with type 2 diabetes.
-
Continuous Glucose Monitoring in Type 2 Diabetes Not on Insulin
This study tests whether using a continuous glucose monitoring system helps people with type 2 diabetes who aren’t using insulin to improve blood sugar control and quality of life.
-
Differentiating heart disease in autoimmune vs. type 2 diabetes
This study tests whether adult-onset autoimmune diabetes (AID/LADA) and type 2 diabetes (T2D) differ in how diabetic heart disease develops, using advanced heart imaging in people with AID, T2D, and healthy controls.
-
Lifestyle Metabotype Study B: Understanding Personalized Glucose Responses
This study tests how lifestyle, metabolism, and brain energy use relate to each person’s blood sugar response after meals, across people with and without prediabetes or type 2 diabetes.
-
Lifestyle Metabotype Study: How Daily Habits Shape Blood Sugar
This observational study tests whether personal lifestyle and biological factors can predict how a person’s blood sugar responds after meals.
-
Switching to Zenagamtide From Tirzepatide in Adults With Overweight or Obesity With or Without Type 2 Diabetes
This study tests whether adults who are overweight or have obesity (with or without type 2 diabetes) can switch from tirzepatide to a new treatment called zenagamtide to find a tolerable dose.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.