Podcast Episode
April 28, 2025
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10: Revisiting Seamless 2/3 Trial for GLP-1 Agonist

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Scott Berry, Ph.D.
President & Senior Statistical Scientist
Don Berry, Ph.D.
Founder & Senior Statistical Scientist
In this episode of "In the Interim..." we revisit the ground-breaking seamless phase 2/3 clinical trial for the GLP-1 agonist, dulaglutide—better known as Trulicity.

In this episode of "In the Interim…" we revisit the ground-breaking seamless phase 2/3 clinical trial for the GLP-1 agonist, dulaglutide—better known as Trulicity. We discuss the intricacies of the adaptive trial design, and the unique features that helped expedite development by 12-18 months. Listeners will gain insight into how Bayesian algorithms and innovative statistical methods were pivotal in navigating a complex trial design, benefiting Eli Lilly's pipeline and changing the landscape of diabetes treatment.

Key Highlights:

  • Outline of the trial design and the barriers faced during its inception in 2007-2008.

  • Explanation of the Clinical Utility Index and its role in adaptive randomization.

  • The DSMB's role and interaction with Bayesian decision-making models.

  • Simulation-based design to optimize development efficiencies.

  • Insights into the predictive power of the trial on weight loss outcomes in subsequent trials.

Quotes:

  • "The trial was run entirely by Bayesian algorithms." – Scott Berry

  • "They believed this utility function was absolutely the right way to go forward." – Scott Berry

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