Research Summary
Analyzed using Evidence Intelligence™

Higher dulaglutide doses improve weight loss in type 2 diabetes

Key finding

Weight decreased by 3.1 kg (p = 0.001)

The AWARD-11 trial compared the effects of Dulaglutide 3.0 mg and 4.5 mg to 1.5 mg on body weight in patients with type 2 diabetes, finding significant weight reductions.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Long-Term (1–5 y)

High bias
Last updated July 5, 2026

Quick read

Study at a glance

The essential study design details in one scan.

Population

Young Adult (19–39), Middle Aged (40-64), Male, Female, Asia-Pacific (APAC), with T2 Diabetes

Intervention

Dulaglutide 1.5 mg, Dulaglutide 3.0 mg, Dulaglutide 4.5 mg

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Primary outcome

Weight change

Evidence

Moderate confidence

Plain-language summary

What this paper says

A plain-language read of the study's main message and where it applies.

Study focus

The AWARD-11 trial compared the effects of Dulaglutide 3.0 mg and 4.5 mg to 1.5 mg on body weight in patients with type 2 diabetes, finding significant weight reductions.

Clinical relevance

Weight management is crucial for patients with type 2 diabetes as it can improve glycemic control and reduce the risk of complications. The findings from this trial suggest that higher doses of Dulaglutide may offer a more effective option for weight loss, potentially leading to better overall health outcomes for patients.

Keep in mind

The study's population may not be representative of all patients with type 2 diabetes. Long-term effects and safety of higher doses were not assessed. The trial did not include a placebo group for comparison.

Published in

Journal Reference

Publication details and source links for this paper.

Enzo B, Juan PF, Francisco JT, et al. Dulaglutide 3.0 and 4.5 mg versus 1.5 mg on body weight in patients with type 2 diabetes: AWARD-11 trial. Diabetes, Obesity & Metabolism. 2021;23(10):2242-2250. doi:10.1111/dom.14465

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Main Effects

Dulaglutide 3.0 mg showed a weight decrease of 4.0 kg (p < 0.001).

Dulaglutide 4.5 mg resulted in a weight decrease of 4.7 kg (p < 0.001).

A higher proportion of patients achieved weight loss ≥5% with higher doses.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Dulaglutide, Dulaglutiden dose and Activities of daily living, BMI, HbA1c, and 1 more.

Primary intervention

Dulaglutide

Primary outcomes

  • Activities of daily living
  • BMI
  • HbA1c

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

8
Evidence pairs
8
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

3

Related topics

8

Evidence pairs

291

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Core evidence

Study findings

The primary outcomes reported in this study.

NoneIncrease

Activities of daily living

Dulaglutide → Activities of daily living

Dulaglutide → Activities of daily living

Evidence profile

NoneIncreasePatient-Reported
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NoneDecrease

BMI

Dulaglutide → BMI

Dulaglutide → BMI

Evidence profile

NoneDecreaseWeight & Anthropometrics
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StrongDecrease

HbA1c

Dulaglutide → HbA1c

Dulaglutide → HbA1c

Evidence profile

StrongDecreaseGlycemic Control
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StrongDecrease

Weight change

Dulaglutide → Weight change

Dulaglutide → Weight change

Evidence profile

StrongDecreaseWeight & Anthropometrics
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NoneIncrease

Activities of daily living

Dulaglutiden dose → Activities of daily living

Dulaglutiden dose → Activities of daily living

Evidence profile

NoneIncreasePatient-Reported
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NoneDecrease

BMI

Dulaglutiden dose → BMI

Dulaglutiden dose → BMI

Evidence profile

NoneDecreaseWeight & Anthropometrics
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StrongDecrease

HbA1c

Dulaglutiden dose → HbA1c

Dulaglutiden dose → HbA1c

Evidence profile

StrongDecreaseGlycemic Control
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StrongDecrease

Weight change

Dulaglutiden dose → Weight change

Dulaglutiden dose → Weight change

Evidence profile

StrongDecreaseWeight & Anthropometrics
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evidence suggest

Evidence Suggest

  • Weight decreased by 3.1 kg with Dulaglutide 1.5 mg (p = 0.001).
  • Significant BMI reductions were observed across all doses.
  • HbA1c levels decreased significantly with higher doses.
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes.
  • Patients seeking weight management solutions.
keep in mind

Keep in Mind

  • Results may not apply to all demographics or age groups.
  • The study focused on short-term outcomes; long-term effects remain unknown.
  • Individual responses to treatment may vary.
between the lines

Between the Lines

  • The study's population may not be representative of all patients with type 2 diabetes.
  • Long-term effects and safety of higher doses were not assessed.
  • The trial did not include a placebo group for comparison.

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Dulaglutiden dose and HbA1c, Dulaglutiden dose and Body Weight.

Related evidence relationships

Explore in Evidence Archive

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does GLP-1 Receptor Agonists improve HbA1c?

Moderate Evidence

GLP-1 Receptor Agonists appears to improve HbA1c.

ConsensusScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Emerging | EvidenceScore™ 48.9 | weak positive | ConsensusScore™ Consistent | 1 study

Why this answer: This answer is based on 24 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
24 supporting studiesUpdated: Jul 2026

Does GLP-1 Receptor Agonists affect body weight?

Emerging Evidence

GLP-1 Receptor Agonists may improve Body Weight.

ConsensusScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Weight change

    EvidenceScore™ Emerging | EvidenceScore™ 51.8 | strong positive | ConsensusScore™ Consistent | 1 study

Why this answer: This answer is based on 23 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
23 supporting studiesUpdated: Jul 2026

Does GLP-1 Receptor Agonists affect body mass index?

Emerging Evidence

GLP-1 Receptor Agonists may improve Body Mass Index.

ConsensusScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    BMI

    EvidenceScore™ Emerging | EvidenceScore™ 48.5 | weak positive | ConsensusScore™ Consistent | 1 study

Why this answer: This answer is based on 9 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
9 supporting studiesUpdated: Jul 2026

Does GLP-1 Receptor Agonists improve activities of daily living?

Emerging Evidence

Current evidence does not show a clear benefit of GLP-1 Receptor Agonists for Activities of Daily Living.

ConsensusScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Activities of daily living

    EvidenceScore™ Limited | EvidenceScore™ 34.3 | neutral | ConsensusScore™ Consistent | 1 study

Why this answer: This answer is based on a small number of supporting studies and should be interpreted cautiously.

Limitations

  • Only a small number of supporting studies are available.
  • Population details are unavailable.
2 supporting studiesUpdated: Jul 2026
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