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NCT02911948: DUAL™ II Japan

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

Completed Phase 3 Results posted Last updated 9 April 2021
What this trial tests

Phase 3 trial testing Insulin degludec/liraglutide in Diabetes in 210 participants. Completed in 22 November 2017.

Timeline
21 September 2016
Primary endpoint
17 November 2017
22 November 2017

Quick facts

Lead sponsorNovo Nordisk A/S
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment210
Start date21 September 2016
Primary completion17 November 2017
Estimated completion22 November 2017
Sites38 locations across Japan

Drugs / interventions tested

Conditions studied

Sponsor

Novo Nordisk A/S — full company profile →

Who can join

20 and older, any sex, with Diabetes or Diabetes Mellitus, Type 2. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in Glycosylated Haemoglobin (HbA1c) Primary · week 0, week 26

Change from baseline (week 0) in HbA1c after 26 weeks of treatment.

GroupValue95% CI
Insulin Degludec/Liraglutide-1.95± 1.01
Insulin Degludec-0.65± 0.98
Change in Body Weight Secondary · week 0, week 26

Change from baseline (week 0) in body weight after 26 weeks of treatment.

GroupValue95% CI
Insulin Degludec/Liraglutide-0.7± 3.5
Insulin Degludec0.7± 2.7
Change in Fasting Plasma Glucose (FPG) Secondary · week 0, week 26

Change from baseline (week 0) in FPG after 26 weeks of treatment.

GroupValue95% CI
Insulin Degludec/Liraglutide-2.81± 3.17
Insulin Degludec-2.29± 2.68
Number of Treatment Emergent Severe or Blood Glucose (BG) Confirmed Hypoglycaemic Episodes Secondary · During 26 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 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

GroupValue95% CI
Insulin Degludec/Liraglutide124
Insulin Degludec109
Daily Insulin Dose Secondary · After 26 weeks

Actual daily total insulin dose after 26 weeks.

GroupValue95% CI
Insulin Degludec/Liraglutide37.6± 11.4
Insulin Degludec41.2± 11.5
Responder (Yes/no): HbA1c Less Than 7.0% Secondary · After 26 weeks

Number of subjects with HbA1c less than 7.0% after 26 weeks.

Yes
GroupValue95% CI
Insulin Degludec/Liraglutide75
Insulin Degludec23
No
GroupValue95% CI
Insulin Degludec/Liraglutide30
Insulin Degludec82
Responder (Yes/no): HbA1c Less Than 7.0% and Without Weight Gain Secondary · After 26 weeks

Number of subjects with HbA1c less than 7.0% and without weight gain after 26 weeks.

Yes
GroupValue95% CI
Insulin Degludec/Liraglutide50
Insulin Degludec9
No
GroupValue95% CI
Insulin Degludec/Liraglutide55
Insulin Degludec96
Responder (Yes/no): HbA1c Less Than 7.0% Without Treatment Emergent Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic Episodes During the Last 12 Weeks of Treatment Secondary · After 26 weeks

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 (

Yes
GroupValue95% CI
Insulin Degludec/Liraglutide70
Insulin Degludec20
No
GroupValue95% CI
Insulin Degludec/Liraglutide35
Insulin Degludec81
Responder (Yes/no): HbA1c Less Than 7.0% and Without Weight Gain and Without Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Last 12 Weeks of Treatment Secondary · After 26 weeks

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

Yes
GroupValue95% CI
Insulin Degludec/Liraglutide49
Insulin Degludec7
No
GroupValue95% CI
Insulin Degludec/Liraglutide56
Insulin Degludec94
Responder (Yes/no): HbA1c Less Than or Equal to 6.5% Secondary · After 26 weeks

Number of subjects with HbA1c less than or equal to 6.5% after 26 weeks.

Yes
GroupValue95% CI
Insulin Degludec/Liraglutide57
Insulin Degludec9
No
GroupValue95% CI
Insulin Degludec/Liraglutide48
Insulin Degludec96
Responder (Yes/no): HbA1c Less Than or Equal to 6.5% and Without Weight Gain Secondary · After 26 weeks

Number of subjects with HbA1c less than or equal to 6.5% and without weight gain

Yes
GroupValue95% CI
Insulin Degludec/Liraglutide38
Insulin Degludec4
No
GroupValue95% CI
Insulin Degludec/Liraglutide67
Insulin Degludec101
Responder (Yes/no): HbA1c Less Than or Equal to 6.5% Without Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Last 12 Weeks of Treatment Secondary · After 26 weeks

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 \<

Yes
GroupValue95% CI
Insulin Degludec/Liraglutide53
Insulin Degludec8
No
GroupValue95% CI
Insulin Degludec/Liraglutide52
Insulin Degludec93

Adverse events — posted to ClinicalTrials.gov

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.

Insulin Degludec/Liraglutide
Serious: 3/105 (3%)
Deaths: 0/105
Insulin Degludec
Serious: 4/105 (4%)
Deaths: 0/105

Serious adverse events (9 terms)

ReactionSystemInsulin Degludec/LiraglutideInsulin Degludec
Acute myocardial infarctionCardiac disorders
Cardiac failure congestiveCardiac disorders
Cholecystitis acuteHepatobiliary disorders
GastroenteritisInfections and infestations
Hip fractureInjury, poisoning and procedural complications
Loss of consciousnessNervous system disorders
Pancreatic carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Retinal detachmentEye disorders
Other adverse events (8 terms — click to expand)

ReactionSystemInsulin Degludec/LiraglutideInsulin Degludec
Viral upper respiratory tract infectionInfections and infestations
Diabetic retinopathyEye disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
ConstipationGastrointestinal disorders
VomitingGastrointestinal disorders
Abdominal discomfortGastrointestinal disorders
Decreased appetiteMetabolism 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.

Sponsor's own description

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.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Superior HbA1c control with the fixed-ratio combination of insulin degludec and liraglutide (IDegLira) compared with a maximum dose of 50 units of insulin degludec in Japanese individuals with type 2 diabetes in a phase 3, double-blind, randomized trial.
    Watada H, Kaneko S, Komatsu M, Agner BR, et al · · 2019 · cited 25× · PMID 31423685 · DOI 10.1111/dom.13859
  2. IDegLira Improves Glycemic Control in Japanese Patients with Uncontrolled Type 2 Diabetes on Premixed Insulin Therapy.
    Watada H, Ross Agner BF, Doshi A, Bardtrum L, et al · · 2020 · cited 11× · PMID 31760599 · DOI 10.1007/s13300-019-00730-y
  3. Efficacy and safety of the fixed-ratio combination of insulin degludec and liraglutide by baseline glycated hemoglobin, body mass index and age in Japanese individuals with type 2 diabetes: A subgroup analysis of two phase III trials.
    Komatsu M, Watada H, Kaneko S, Ross Agner BF, et al · · 2021 · cited 9× · PMID 33595901 · DOI 10.1111/jdi.13525
  4. Insulin degludec/liraglutide versus its monotherapy on T2D patients: A lifetime cost-utility analysis in China.
    Han G, Hu S, Zhang X, Qiu Z, et al · · 2022 · cited 3× · PMID 36467033 · DOI 10.3389/fphar.2022.1011624

Verify or expand the search:

Other trials of Insulin degludec/liraglutide

Trials testing the same drug.

Other recruiting trials for Diabetes

Currently open trials in the same condition.

Other Novo Nordisk A/S trials

Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02911948.

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