Change from baseline (week 0) in HbA1c after 26 weeks of treatment.
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | -1.95 | ± 1.01 |
| Insulin Degludec | -0.65 | ± 0.98 |
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A Double-blinded Trial Comparing the Efficacy and Safety of Insulin Degludec/Liraglutide and Insulin Degludec Both in Combination With Metformin in Japanese Subjects With Type 2 Diabetes Mellitus Inadequately Controlled With Basal or Pre-mix/Combination Insulin Therapy and Oral Anti-diabetic Drugs
Phase 3 trial testing Insulin degludec/liraglutide in Diabetes in 210 participants. Completed in 22 November 2017.
| Lead sponsor | Novo Nordisk A/S |
|---|---|
| Phase | Phase 3 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | double |
| Primary purpose | treatment |
| Enrollment | 210 |
| Start date | 21 September 2016 |
| Primary completion | 17 November 2017 |
| Estimated completion | 22 November 2017 |
| Sites | 38 locations across Japan |
Novo Nordisk A/S — full company profile →
20 and older, any sex, with Diabetes or Diabetes Mellitus, Type 2. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Change from baseline (week 0) in HbA1c after 26 weeks of treatment.
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | -1.95 | ± 1.01 |
| Insulin Degludec | -0.65 | ± 0.98 |
Change from baseline (week 0) in body weight after 26 weeks of treatment.
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | -0.7 | ± 3.5 |
| Insulin Degludec | 0.7 | ± 2.7 |
Change from baseline (week 0) in FPG after 26 weeks of treatment.
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | -2.81 | ± 3.17 |
| Insulin Degludec | -2.29 | ± 2.68 |
Treatment emergent hypoglycaemic episode is defined as an event that had onset date on or after the first day of trial product administration, and no later than 7 days after the last day on trial product. Severe or BG confirmed hypoglycaemic episodes were defined as episodes that were severe according to the American Diabetes Association (ADA) classification or BG confirmed by a plasma glucose value \< 3.1 mmol/L (56 mg/dL) with or without symptoms consistent with hypoglycaemia. Severe hypoglycaemia according to the ADA definition: an episode requiring assistance of another person to activel
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | 124 | |
| Insulin Degludec | 109 |
Actual daily total insulin dose after 26 weeks.
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | 37.6 | ± 11.4 |
| Insulin Degludec | 41.2 | ± 11.5 |
Number of subjects with HbA1c less than 7.0% after 26 weeks.
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | 75 | |
| Insulin Degludec | 23 |
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | 30 | |
| Insulin Degludec | 82 |
Number of subjects with HbA1c less than 7.0% and without weight gain after 26 weeks.
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | 50 | |
| Insulin Degludec | 9 |
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | 55 | |
| Insulin Degludec | 96 |
Number of subjects with HbA1c less than 7.0% after 26 weeks, who did not experience treatment emergent severe or BG confirmed symptomatic hypoglycaemic episodes during the last 12 weeks of treatment. Treatment emergent hypoglycaemic episode is defined as an event that had onset date on or after the first day of trial product administration, and no later than 7 days after the last day on trial product. Severe or BG confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification or BG confirmed by a plasma glucose value \< 3.1 mmol/L (
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | 70 | |
| Insulin Degludec | 20 |
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | 35 | |
| Insulin Degludec | 81 |
Number of subjects with HbA1c less than 7.0% and no weight gain after 26 weeks, who did not experience treatment emergent severe or BG confirmed symptomatic hypoglycaemic episodes during the last 12 weeks of treatment. Treatment emergent hypoglycaemic episode is defined as an event that had onset date on or after the first day of trial product administration, and no later than 7 days after the last day on trial product. Severe or BG confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification or BG confirmed by a plasma glucose va
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | 49 | |
| Insulin Degludec | 7 |
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | 56 | |
| Insulin Degludec | 94 |
Number of subjects with HbA1c less than or equal to 6.5% after 26 weeks.
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | 57 | |
| Insulin Degludec | 9 |
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | 48 | |
| Insulin Degludec | 96 |
Number of subjects with HbA1c less than or equal to 6.5% and without weight gain
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | 38 | |
| Insulin Degludec | 4 |
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | 67 | |
| Insulin Degludec | 101 |
Number of subjects with HbA1c less than or equal to 6.5% after 26 weeks, who did not experience treatment emergent severe or BG confirmed symptomatic hypoglycaemic episodes during the last 12 weeks of treatment. Treatment emergent hypoglycaemic episode is defined as an event that had onset date on or after the first day of trial product administration, and no later than 7 days after the last day on trial product. Severe or BG confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification or BG confirmed by a plasma glucose value \<
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | 53 | |
| Insulin Degludec | 8 |
| Group | Value | 95% CI |
|---|---|---|
| Insulin Degludec/Liraglutide | 52 | |
| Insulin Degludec | 93 |
Time frame: Week 0 (randomisation) to week 26 (end of treatment) and 7 days after end of treatment.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.
| Reaction | System | Insulin Degludec/Liraglutide | Insulin Degludec |
|---|---|---|---|
| Acute myocardial infarction | Cardiac disorders | — | — |
| Cardiac failure congestive | Cardiac disorders | — | — |
| Cholecystitis acute | Hepatobiliary disorders | — | — |
| Gastroenteritis | Infections and infestations | — | — |
| Hip fracture | Injury, poisoning and procedural complications | — | — |
| Loss of consciousness | Nervous system disorders | — | — |
| Pancreatic carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | — | — |
| Renal cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | — | — |
| Retinal detachment | Eye disorders | — | — |
| Reaction | System | Insulin Degludec/Liraglutide | Insulin Degludec |
|---|---|---|---|
| Viral upper respiratory tract infection | Infections and infestations | — | — |
| Diabetic retinopathy | Eye disorders | — | — |
| Diarrhoea | Gastrointestinal disorders | — | — |
| Nausea | Gastrointestinal disorders | — | — |
| Constipation | Gastrointestinal disorders | — | — |
| Vomiting | Gastrointestinal disorders | — | — |
| Abdominal discomfort | Gastrointestinal disorders | — | — |
| Decreased appetite | Metabolism and nutrition disorders | — | — |
Most-reported serious reactions: Acute myocardial infarction, Cardiac failure congestive, Cholecystitis acute, Gastroenteritis, Hip fracture, Loss of consciousness, Pancreatic carcinoma, Renal cell carcinoma.
Data from ClinicalTrials.gov NCT02911948 adverse events section.
This trial is conducted in Asia. The aim of this trial is to compare the efficacy and safety of insulin degludec/liraglutide and insulin degludec both in combination with metformin in Japanese subjects with type 2 diabetes mellitus inadequately controlled with basal or pre-mix/combination insulin therapy and oral anti-diabetic drugs.
4 peer-reviewed publications reference this trial (live from Europe PMC):
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