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A Clinical Trial Comparing Efficacy and Safety of Insulin Degludec/Liraglutide (IDegLira) Versus Basal-bolus Therapy in Subjects With Type 2 Diabetes Mellitus

Phase 3
Completed
Conditions
Diabetes
Diabetes Mellitus, Type 2
Interventions
Registration Number
NCT02420262
Lead Sponsor
Novo Nordisk A/S
Brief Summary

This trial is conducted globally. The aim of this trial is to compare efficacy and safety of insulin degludec/liraglutide (IDegLira) versus basal-bolus therapy in combination with metformin in subjects with type 2 diabetes mellitus.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
506
Inclusion Criteria
  • Male or female, age at least 18 years at the time of signing informed consent
  • Type 2 diabetes subjects (diagnosed clinically) at least 6 months prior to screening
  • HbA1c (glycosylated haemoglobin) 7.0-10.0% [53mmol/mol-86mmol/mol] (both inclusive) by central laboratory analysis
  • Current treatment with IGlar (insulin glargine) for at least 90 calendar days prior to screening
  • Stable daily dose of IGlar between 20 units and 50 units (both inclusive) for at least 56 calendar days prior to screening. Individual fluctuations of plus/minus 10% within the 56 calendar days prior to screening are acceptable, however on the day of screening total daily dose should be within the range of 20 units-50 units both inclusive
  • Stable daily dose of metformin (at least 1500 mg or max tolerated dose) for at least 90 calendar days prior to screening
  • Body mass index (BMI) below or equal to 40 kg/m^2
Exclusion Criteria
  • Treatment with any medication for the indication of diabetes or obesity other than stated in the inclusion criteria in a period of 90 calendar days before screening
  • Anticipated initiation or change in concomitant medications in excess of 14 calendar days known to affect weight or glucose metabolism, such as weight loss/modifying (e.g.; sibutramine, orlistat, thyroid hormones, corticosteroids)
  • Impaired liver function, defined as alanine aminotransferase (ALT) at least 2.5 times upper limit of normal
  • Renal impairment eGFR (electronic case report form) below 60 mL/min/1.73 m^2 as per CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration)
  • Screening calcitonin at least 50 ng/L
  • History of pancreatitis (acute or chronic)
  • Personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia type 2

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
IDegLirainsulin degludec/liraglutide-
IGlar plus IAspinsulin glargine-
IGlar plus IAspinsulin aspart-
Primary Outcome Measures
NameTimeMethod
Change in HbA1c (Glycosylated Haemoglobin)Week 0, Week 26

Change in HbA1c values after 26 weeks of treatment.

Secondary Outcome Measures
NameTimeMethod
Responder for HbA1c Below or Equal to 6.5 %After 26 weeks of treatment

Number of subjects with HbA1c below 6.5% after 26 weeks of treatment.

Number of Treatment Emergent Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemic Episodes.Weeks 0-26

Severe or blood glucose (BG) confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe and/or BG confirmed by a plasma glucose value of \<56 mg/dL (3.1 mmol/L), with symptoms consistent with hypoglycaemia.

Change in Body WeightWeek 0, Week 26

Change in body weight after 26 weeks of treatment.

Responder for HbA1c Below 7.0%After 26 weeks of treatment

Number of subjects with HbA1c below 7% after 26 weeks of treatment.

Trial Locations

Locations (1)

Novo Nordisk Investigational Site

🇹🇷

Istanbul, Turkey

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