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Trial · Interventional

CompletedPhase 3Results postedRegistry data

The Effect of Liraglutide Versus Placebo When Added to Basal Insulin Analogues With or Without Metformin in Subjects With Type 2 Diabetes

NCTNCT01617434 (opens ClinicalTrials.gov in a new tab)Other idNN2211-3917Other id2011-002696-41Other idU1111-1121-9874

Overview

Status
Completed
Phase
Phase 3
Enrollment
451 participants (actual)
Sponsor
Novo Nordisk A/S · Industry
Design
Randomized · Double masking
Countries
9 countries

United States, Argentina, Canada, Finland, Germany, India, Mexico, Netherlands, Serbia

Start
Sept 2012
Primary completion
Oct 2013
Completion
Oct 2013
First posted
12 Jun 2012 (estimated)
Last update posted
8 Mar 2017
Conditions
Diabetes · Diabetes Mellitus, Type 2

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
201220132014
  1. Ph 3

    The Effect of Liraglutide Versus Placebo When Added to Basal Insulin Analogues With or Without Metformin in Subjects With Type 2 Diabetes

    NCT01617434

    Sept 2012 to Oct 2013

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

This trial is conducted in Asia, Europe and North and South America. The aim of the trial is to investigate the effect of liraglutide versus placebo when added to basal insulin analogues with or without metformin in subjects with type 2 diabetes.

Interventions

  • liraglutideDrug
  • placeboDrug

Arms2

  • Experimental

    Liraglutide

  • Placebo comparator

    Placebo

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Change in Glycosylated Haemoglobin (HbA1c) From Baseline to Week 26

    Time frame · Week 0 to Week 26

    Registry description

    The estimated mean change from baseline in HbA1c after 26 weeks of treatment.

Secondary outcomes(8)
  1. Change in Fasting Plasma Glucose (FPG) From Baseline to Week 26

    Time frame · Week 0 to Week 26

    Registry description

    The estimated mean change from baseline in FPG after 26 weeks of treatment.

  2. Change in Mean Self-Measured Plasma Glucose (SMPG) of 7-Point Profile From Baseline to Week 26

    Time frame · Week 0 to Week 26

    Registry description

    The estimated mean change from baseline in mean SMPG of 7-point profile (7-points were before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner and at bedtime) after 26 weeks of treatment.

  3. Change in Body Weight From Baseline to Week 26

    Time frame · Week 0 to Week 26

    Registry description

    The estimated mean change in body weight after 26 weeks of treatment.

  4. Number of Subjects Achieving HbA1c Below 7.0% (American Diabetes Association [ADA] Target)

    Time frame · At Week 26

    Registry description

    Number of subjects achieving HbA1c below 7.0% (American Diabetes Association \[ADA\] target) after 26 weeks of treatment

  5. Number of Subjects Achieving HbA1c Below or Equal to 6.5% (American Association of Clinical Endocrinologists [AACE] Target)

    Time frame · At Week 26

    Registry description

    Number of subjects achieving HbA1c below or equal to 6.5% (American Association of Clinical Endocrinologists \[AACE\] target) after 26 weeks of treatment.

  6. Number of Adverse Events (AEs) During The Randomised Treatment Period

    Time frame · Week 0 to Week 26 + 7 days follow up

    Registry description

    An AE was defined as treatment emergent if the onset date (or increase in severity) was on or after the first day of exposure to randomised treatment and no later than 7 days after the last day of randomised treatment. The adverse events were categorised as 'serious' and 'non-serious' adverse events. Adverse events were also categorised according to the severity as 'mild', 'moderate' and 'severe' adverse events.

  7. Number of Minor Hypoglycaemic Episodes During The Randomised Treatment Period

    Time frame · Week 0 to Week 26 + 7 days follow up

    Registry description

    A minor hypoglycaemic episode was defined as either, (a) an episode with symptoms consistent with hypoglycaemia with confirmation by blood glucose \<2.8 mmol/L (50 mg/dL) or plasma glucose \<3.1 mmol/L (56 mg/dL) that was handled by the subject him/herself or (b) any asymptomatic blood glucose value \<2.8 mmol/L (50 mg/dL) or plasma glucose value \<3.1 mmol/L (56 mg/dL).

  8. Number of Severe Hypoglycaemic Episodes During The Randomised Treatment Period

    Time frame · Week 0 to Week 26 + 7 days follow up

    Registry description

    Severe hypoglycaemia episode was defined as an episode requiring assistance of another person to actively administer carbohydrate, glucagon or other resuscitative actions.

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeMean· Week 0 to Week 26

Change in Glycosylated Haemoglobin (HbA1c) From Baseline to Week 26

GroupValue (percentage of glycosylated haemoglobin)Spread
Liraglutide-1.301.015
Placebo-0.111.088
Secondary and other outcome results(7)
Secondary outcomeMean· Week 0 to Week 26

Change in Fasting Plasma Glucose (FPG) From Baseline to Week 26

GroupValue (mmol/L)Spread
Liraglutide-1.442.494
Placebo-0.163.006
Secondary outcomeMean· Week 0 to Week 26

Change in Mean Self-Measured Plasma Glucose (SMPG) of 7-Point Profile From Baseline to Week 26

GroupValue (mmol/L)Spread
Liraglutide-2.612.248
Placebo-1.023.061
Secondary outcomeMean· Week 0 to Week 26

Change in Body Weight From Baseline to Week 26

GroupValue (kg)Spread
Liraglutide-3.543.669
Placebo-0.423.909
Secondary outcomeNumber· At Week 26

Number of Subjects Achieving HbA1c Below 7.0% (American Diabetes Association [ADA] Target)

GroupValue (percentage of subjects)
Liraglutide59.24
Placebo14.02
Secondary outcomeNumber· At Week 26

Number of Subjects Achieving HbA1c Below or Equal to 6.5% (American Association of Clinical Endocrinologists [AACE] Target)

GroupValue (percentage of subjects)
Liraglutide42.91
Placebo3.60
Secondary outcomeNumber· Week 0 to Week 26 + 7 days follow up

Number of Adverse Events (AEs) During The Randomised Treatment Period

GroupValue (Events/1000 years of patient exposure)
Liraglutide4918
Placebo3737
Secondary outcomeNumber· Week 0 to Week 26 + 7 days follow up

Number of Minor Hypoglycaemic Episodes During The Randomised Treatment Period

GroupValue (Events/100 years of patient exposure)
Liraglutide126
Placebo83

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
LiraglutideLiraglutide was administered subcutaneously (s.c. injection, under the skin) once daily (OD) for 26 weeks in combination with pre-trial basal insulin analogue regimen ± metformin. The starting dose of the liraglutide was 0.6 mg/day; dose was escalated to 1.2 mg/day after one week and 1.8 mg/day after 2 weeks; dose was maintained at 1.8 mg day for subsequent weeks until the end of the trial. All subjects continued their pre-trial insulin therapy of insulin glargine (100 U/mL, s.c. injection) or insulin detemir (100 U/mL, s.c. injection). Oral anti diabetic drug metformin was administered as a tablet with a total daily dose of ≥1500 mg, divided into one to three doses per day.–11 / 225103 / 225
PlaceboPlacebo was administered subcutaneously (s.c. injection, under the skin) once daily (OD) for 26 weeks in combination with pre-trial basal insulin analogue regimen ± metformin. The starting dose of the placebo was 0.6 mg/day; dose was escalated to 1.2 mg/day after one week and 1.8 mg/day after 2 weeks; dose was maintained at 1.8 mg day for subsequent weeks until the end of the trial. All subjects continued their pre-trial insulin therapy of insulin glargine (100 U/mL, s.c. injection) or insulin detemir (100 U/mL, s.c. injection). Oral anti diabetic drug metformin was administered as a tablet with a total daily dose of ≥1500 mg, divided into one to three doses per day.–7 / 22546 / 225

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies2

Studies that cite this trial.

Studies with results

1 study on this page

Indexing hint: Randomized controlled trial · 2015

13 results

Efficacy and safety of liraglutide versus placebo added to basal insulin analogues (with or without metformin) in patients with type 2 diabetes: a randomized, placebo-controlled trial.

Ahmann et al. 2015Diabetes, obesity & metabolismcited by 83

PMID 26179619PMC5054929DOI 10.1111/dom.12539PUB-26179619

Free to read · publisher termsCC BY-NC-ND13 results

More studies

1 study on this page

PubMed tag: none · 2015

IDegLira Versus Alternative Intensification Strategies in Patients with Type 2 Diabetes Inadequately Controlled on Basal Insulin Therapy.

Freemantle et al. 2015Diabetes therapy : research, treatment and education of diabetes and related disorderscited by 20

PMID 26582052PMC4674480DOI 10.1007/s13300-015-0142-yPUB-26582052

Free to read · publisher termsCC BY-NC
Read at source

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 80 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Diagnosed with type 2 diabetes for at least 180 days prior to screening and treated with stable basal insulin analogue dose of minimum 20 U/day with or without stable metformin equal to or above 1500 mg/day for at least 8 weeks prior to screening (defined as insulin adjustments less than 10% during the past 8 weeks as assessed by the investigator) * HbA1c (glycosylated haemoglobin A1c) 7.0-10.0% (both inclusive) * Body mass index (BMI) 20-45 kg/m\^2 (both inclusive) Exclusion Criteria: * Female of child-bearing potential who is pregnant, breast-feeding or intending to become pregnant * Recurrent severe hypoglycaemic episodes or hypoglycaemic unawareness * Treatment with glucose-lowering agent(s) other than stated in the inclusion criteria in a period of 12 weeks prior to screening * Impaired liver or renal function * Uncontrolled treated or untreated hypertension (systolic blood pressure (SBP) equal to or above 180 mmHg and/or diastolic blood pressure (DBP) equal to or above 100 mmHg) * Any clinically significant disorder, except for conditions associated with type 2 diabetes history which in the investigator's opinion could interfere with results of the trial * Known or suspected abuse of alcohol or narcotics

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