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CTRI Number  CTRI/2022/02/040261 [Registered on: 14/02/2022] Trial Registered Prospectively
Last Modified On: 18/07/2023
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   A study to comparative non-inferiority of Liraglutide Biosimilar with Victoza in Type II Diabetes patients 
Scientific Title of Study   A Prospective, Randomized, Open Label, Multi-Centre, Parallel Arm, Comparative Study with Blinded Assessment to Test the Non-inferiority of Liraglutide Biosimilar with Victoza in Patients with Type 2 Diabetes Mellitus 
Trial Acronym  DIABLESS 
Secondary IDs if Any  
Secondary ID  Identifier 
EA-CT-18-015  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Kadalmani krishnan 
Designation  General Manager 
Affiliation  Levim Biotech 
Address  Ticel Biopark Ltd, Phase-II, 501-506 CSIR Road, Taramani
Ticel Biopark Ltd, Phase-II, 501-506 CSIR Road, Taramani
Chennai
TAMIL NADU
600113
India 
Phone  7358717219  
Fax    
Email  krishnan@levimbiotech.com  
 
Details of Contact Person
Scientific Query
 
Name  Kadalmani krishnan 
Designation  General Manager 
Affiliation  Levim Biotech 
Address  Ticel Biopark Ltd, Phase-II, 501-506 CSIR Road, Taramani
Ticel Biopark Ltd, Phase-II, 501-506 CSIR Road, Taramani
Chennai
TAMIL NADU
600113
India 
Phone  7358717219  
Fax    
Email  krishnan@levimbiotech.com  
 
Details of Contact Person
Public Query
 
Name  Nazia Sulthana DKS 
Designation  Deputy General Manager 
Affiliation  Levim Biotech 
Address  Ticel Biopark Ltd, Phase-II, 501-506 CSIR Road, Taramani
Ticel Biopark Ltd, Phase-II, 501-506 CSIR Road, Taramani
Chennai
TAMIL NADU
600113
India 
Phone  7358717220  
Fax    
Email  naziasulthana@levimbiotech.com  
 
Source of Monetary or Material Support  
Not applicable 
 
Primary Sponsor  
Name  Levim Biotech 
Address  Levim Biotech LLP, Ticel Biopark Phase II, 501-506, CSIR Road, Taramani, Chennai - 600 113 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 17  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Kashif Sayed  Crescent Hospital & Heart center  Crescent Hospital & Heart center 1st Lane, Near Lokmat Square, Behind Old Mount Carmel School, Dhantoli, Nagpur, Maharashtra 440012
Nagpur
MAHARASHTRA 
8007053786

drkasyed@gmail.com 
Dr Rammohan MV  DEC-Health Care Hospital  DEC-Health Care Hospital 16/2/219, Pogathota, Nellore, Andhra Pradesh -524001, India
Nellore
ANDHRA PRADESH 
9190463301

rammohanmddm@gmail.com 
Dr K Srikanth  Endolife Speciality Hospital Pvt Ltd  D-NO:12-12-94, Old Club road, Kothapet, Guntur – 522001 Andhra Pradesh
Guntur
ANDHRA PRADESH 
9849945577

srikanthendo@gmail.com 
Dr Rojith KB  Government Medical College  Kozhikode – 673008, Kerela, India
Kozhikode
KERALA 
7736050004

drrojithkbalakrishnan@gmail.com 
Dr Girithara Gopalakrishnan J  KG Hospital, A Unit of K.Govindaswamy Naidu Medical Trust  No 5, Govt Arts College Road, Coimbatore - 641018
Coimbatore
TAMIL NADU 
9443170088

drgirimd@yahoo.com 
Dr K Newton Issac  Kurnool Medical College  Kurnool Medical College, Govt- General Hospital, Kurnool - 518002, Andhra Pradesh.
Kurnool
ANDHRA PRADESH 
9000389931

newtonkmc@gmail.com 
Dr Rajesh Nair  Mar Augustine Golden Jubliee Hospital (MAGJ)  Mookkanoor P.O, Angamaly, Ernakulam - 683577
Ernakulam
KERALA 
8589951229

drrajeshnair363@gmail.com 
Dr Sanjay Bhadada  Nehru hospital, PGIMER  Room No 2, 4th Floor, F Block, Chandigargh
Chandigarh
CHANDIGARH 
9876602448

bhadadask@rediffmail.com 
Dr Piyush Desai  Nirmal Hospital Private Limited  Ring Road, Surat – 395 002, Gujarat
Surat
GUJARAT 
9537799664

drpiyushdesai@gmail.com 
Dr Sreejith N Kumar   Noorul Islam Institute of Medical Sciences, and Research Foundation  NIMS Medicity, Aralumoodu, Neyyatinkara, Trivandrum, Kerala-695123
Thiruvananthapuram
KERALA 
9847204360

drsnkumar@gmail.com 
Dr Rakesh Sahay  Osmania General Hospital  Afzal Gunj, Hyderabad-500012, Telangana, India
Hyderabad
TELANGANA 
9849597507

sahayrk@gmail.com 
Dr Saikiran   People Tree Hospitals  No 2, Tumkur Road, Opp. Taj Vivanta, Goraguntepalya, Yeshwanthpur, Bengaluru, Karnataka – 560022
Bangalore
KARNATAKA 
9916642346

research@peopletreehospitals.com 
Dr Bal Kishan Gupta  S.P Medical college  Bikaner Pawanpuri Rajasthan 334003
Bikaner
RAJASTHAN 
9829176143

bkgbkn@rediffmail.com 
Dr Sandesh Patil  Shree Siddhivinayak Maternity & Nursing home  Unity campus 2nd floor, Opp KTHM college, Gangapur Road, Nasik – 422002, Maharashtra, India
Nashik
MAHARASHTRA 
9892503486

drsandeshpatil@gmail.com 
Dr Indraneel Basu  Shubham Sudbhawana Super Speciality Hospital  B31/80, 23B-Bhogabeer Lanka, Varanasi – 221005 UP
Varanasi
UTTAR PRADESH 
9935036063

dribasumd@yahoo.co.in 
Dr Keyur Brahme  SSG Hospital and Medical college  Jail Road (Indira avenue), Anadpura, Vadodara
Vadodara
GUJARAT 
9727729105

keyurbrahme@gmail.com 
Dr Aashish Reddy Bande  Yashoda academy of medical education and research  Yashoda Hospitals, Behind Hari Hara Kala Bhavan, Alexander Road, Secunderabad – 500003, Telengana
Hyderabad
TELANGANA 
9901312125

ashish.dr88@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 17  
Name of Committee  Approval Status 
CRESCENT HOSPITAL INSTITUTIONAL ETHICS COMMITTEE   Approved 
Ethics committee, S.P. Medical College, Bikaner, Pawanpuri  Approved 
Institutional Ethics Committee Noorul Islam Institute of Medical Sciences, and Research Foundation, NIMS Medicity, Aralumoodu, Neyyatinkara, Trivandrum, Kerala-695123   Approved 
Institutional Ethics Committee Post Graduate Institute of Medical Education and Research Room No.6006, Sixth Floor, PN Chuttani Block, Chandigarh-160012,India  Approved 
Institutional Ethics Committee, Government Medical College, Kozhikode – 673008, Kerela,   Approved 
Institutional Ethics Committee, KG Hospital, A Unit of K.Govindaswamy Naidu Medical Trust, No 5, Govt Arts College Road, Coimbatore - 641018   Approved 
Institutional Ethics Committee, Mar Augustine Golden Jubliee Hospital (MAGJ), Mookkanoor P.O, Angamaly, Ernakulam – 683577  Approved 
Institutional Ethics Committee, Nirmal Hospital Private Limited, Ring Road, Surat – 395 002, Gujarat   Approved 
Institutional Ethics Committee, People Tree Hospitals, No 2, Tumkur Road, Opp. Taj Vivanta, Goraguntepalya, Yeshwanthpur, Bengaluru, Karnataka – 560022   Approved 
Institutional Ethics Committee, Shubham Sudbhawana Super Speciality Hospital, B31/80, 23B-Bhogabeer Lanka, Varanasi – 221005 UP   Approved 
Institutional Ethics Committee, Sir Sayajirao General Hospital (SSG Hospital) Medical College Baroda, Jail Road (lndira Avenue) , Anandpura Vadodara-390001 , Gujarat, lndia  Approved 
Institutional Ethics Committee, Yashoda academy of medical education and research, Yashoda Hospitals, Behind Hari Hara Kala Bhavan, Alexander Road, Secunderabad – 500003, Telengana   Approved 
Institutional Ethics Committee, Endolife Speciality Hospital Pvt, Ltd, D-NO:12-12-94, Old Club road, Kothapet, Guntur – 522001 Andhra Pradesh  Approved 
Institutional Ethics Committee, Kurnool Medical College/ Govt- General Hospital,Budhawarpet, Kurnool, AP, India-518002  Approved 
Institutional Ethics Committee, Osmania General Hospital, Hyderabad- 500012, Telangana, India   Approved 
Institutional Ethics Committee, Shree Siddhivinayak Maternity & Nursing home, Unity campus 2nd floor, Opp KTHM college, Gangapur Road, Nasik – 422002, Maharashtra, India   Approved 
Vijaya Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E119||Type 2 diabetes mellitus without complications,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Liraglutide  Liraglutide Injection 6.0 mg/ml manufactured by Levim Biotech Dose - 1.2 mg/day via SC for the duration of 6 months 
Comparator Agent  Liraglutide (Victoza)  Liraglutide Injection 6.0 mg/ml manufactured by Novo Nordisk Dose - 1.2 mg/day via SC for the duration of 6 months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Willing to provide the written informed consent
2. Type 2 diabetes mellitus based on the disease
diagnostic criteria provided by World Health
Organization (WHO) or American Diabetes
Association (ADA) guidelines
3. Male and female adult patients, at an age of 18-65 years, both inclusive
4. Hemoglobin level of ≥ 10 g/dL
5. Women of childbearing potential should agree to use suitable method of contraception throughout the study
6. Ability and willingness to take daily injections to abdomen, thigh or upper arm
7. Ability and willingness to adhere to the protocol requirements

 
 
ExclusionCriteria 
Details  1. Type 1 diabetes mellitus
2. Known to be human immunodeficiency virus (HIV)
positive or have an acquired immunodeficiency
syndrome-related illness, or positive HIV
seropositivity at screening
3. Known active or chronic hepatitis B or hepatitis C infection, or Hepatitis B and Hepatitis C seropositivity at screening, if not related to vaccination
4. History of or ongoing cardiac dysrhythmias requiring treatment, such as uncontrolled atrial fibrillation
5. Received Liraglutide or any other GLP-1 analogue treatment in the past
6. Known hypersensitivity reaction to GLP-1 analogue or any of the product components
7. Any active malignancy within 5 years prior to
screening
8. Any chronic disorder or severe disease which, in the opinion of the investigator, might jeopardize patient’s safety or compliance with the protocol
9. Pregnant women or women planning to be pregnant or breast-feeding mothers
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Reduction in the HbA1c% from baseline compared to Victoza®   27 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
1. Mean changes in fasting plasma glucose (FPG) and
Post-prandial blood sugar (PPBS) from baseline to
week 24 compared to Victoza®
2. Occurrence of clinical Adverse Events (AE) and
serious AE (SAE) per System Organ Class (SOC) related to Liraglutide biosimilar or Victoza®
3. Clinical chemistry, haematology, urine analysis and other laboratory findings.
4. Incidence of hypoglycemic episodes compared to
Victoza® 
27 weeks 
 
Target Sample Size   Total Sample Size="256"
Sample Size from India="256" 
Final Enrollment numbers achieved (Total)= "256"
Final Enrollment numbers achieved (India)="256" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)
Modification(s)  
04/03/2022 
Date of Study Completion (India) 21/12/2022 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="5"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Nil 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  

This study is a Prospective, Randomized, Open Label, Multi-Centre, Parallel Arm, Comparative Study with Blinded Assessment to Test the Non-inferiority of Liraglutide Biosimilar with Victoza® in Patients with Type 2 Diabetes Mellitus. The primary objective of this study is to assess the reduction in the HbA1c% from baseline profiles of Biosimilar Liraglutide injection in a pre-filled pen 6 mg / mL of Levim Biotech [Test Product (A)] with Victoza® (Liraglutide) injection in pre-filled pen 6 mg / mL [Reference Product (B)]. The secondary objective of the study is to assess the mean changes in fasting plasma glucose (FPG) and Post-prandial blood sugar (PPBS) from baseline compared to Victoza®, Occurrence of clinical Adverse Events (AE) and serious AE (SAE) per System Organ Class (SOC) related to Liraglutide biosimilar or Victoza®, Clinical chemistry, haematology, urine analysis and other laboratory findings and Incidence of hypoglycemic episodes compared to Victoza®.

 
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