Phase 3 · Liraglutide

DUALTM IX trial results

A Clinical Trial Comparing Glycaemic Control and Safety of Insulin Degludec/Liraglutide (IDegLira) Versus Insulin Glargine (IGlar) as add-on Therapy to SGLT2i in Subjects With Type 2 Diabetes Mellitus. DUALTM IX - Add-on to SGLT2i

Participants
420
Status
completed
Completed
2017-10-23
Sponsor
Novo Nordisk A/S

As posted on ClinicalTrials.gov (NCT02773368), updated at source Aug 11, 2020. Read again whenever the registry updates it. Registry figures can differ from a published paper, which may use another analysis.

Primary outcome

What DUALTM IX measured first

Change in HbA1c (Glycosylated Haemoglobin)Percentage of glycosylated haemoglobin · Week 0, Week 26 · mean
MeasureIDegLiran=210IGlarn=210
HbA1c (%) at baseline8.20(0.93)8.36(1.08)
HbA1c (%) change from baseline to week 26-1.94(0.95)-1.68(1.05)
Side effects by arm

Side effects in DUALTM IX

Percent of participants affected, Adverse events (AEs) were collected from first day (week 0) of exposure to randomised treatment of 26 weeks + 30 days follow-up visits after the last dose on trial product. All reported AEs are.... The most common events the registry lists.

EventIDegLiraIGlar
Any serious event2.9%3.3%
Viral upper respiratory tract infection7.7%10.5%
Headache8.6%9%
Lipase increased5.7%1.4%
Nausea5.7%0.5%
Back pain5.3%4.3%
Secondary outcomes

What else it measured

Change in Body Weightkg · Week 0, Week 26 · mean
MeasureIDegLiran=210IGlarn=210
Body weight (kg) at baseline89.3(17.6)87.2(17.2)
Body weight (kg) change from baseline to week 26-0.0(3.8)2.0(3.9)
Number of Treatment-emergent Severe or BG (Blood Glucose) Confirmed Symptomatic Hypoglycaemic EpisodesNumber of episodes · Week 0-26 · number
IDegLiran=209IGlarn=210
3895
Insulin Dose, Total Daily Dose (U)Units (U) · After 26 weeks · mean
IDegLiran=210IGlarn=210
36.2(13.4)53.5(26.1)
Change in Fasting Plasma Glucose (FPG)mmol/ L · Week 0, Week 26 · mean
MeasureIDegLiran=210IGlarn=210
FPG (mmol/L) at baseline9.51(2.69)9.57(2.40)
FPG (mmol/L) change from baseline to week 26-3.72(2.89)-3.50(2.43)
Number of Treatment-emergent Adverse EventsNumber of events · Week 0-26 · number
IDegLiran=209IGlarn=210
450386
Responder (Yes/No) for HbA1c Below 7.0%Participants · After 26 weeks · number
MeasureIDegLiran=210IGlarn=210
Yes167144
No3058
Responder After 26 Weeks (Yes/No) for: HbA1c < 7.0% Without Weight GainParticipants · After 26 weeks · number
MeasureIDegLiran=210IGlarn=210
Yes9138
No106164
Responder After 26 Weeks (Yes/No) for: HbA1c < 7.0% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Last 12 Weeks of TreatmentParticipants · After 26 weeks · number
MeasureIDegLiran=210IGlarn=210
Yes156114
No4188
Responder After 26 Weeks (Yes/No) for: HbA1c < 7.0% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Last 12 Weeks of Treatment and Without Weight GainParticipants · After 26 weeks · number
MeasureIDegLiran=210IGlarn=210
Yes8334
No114168
Responder After 26 Weeks (Yes/No) for: HbA1c ≤ 6.5%Participants · After 26 weeks · number
MeasureIDegLiran=210IGlarn=210
Yes147100
No50102
Responder After 26 Weeks (Yes/No) for: HbA1c ≤ 6.5% Without Weight GainParticipants · After 26 weeks · number
MeasureIDegLiran=210IGlarn=210
Yes8426
No113176
Responder After 26 Weeks (Yes/No) for: HbA1c ≤ 6.5% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Last 12 Weeks of TreatmentParticpants · After 26 weeks · number
MeasureIDegLiran=210IGlarn=210
Yes13779
No60123
The trial

How DUALTM IX was run

This trial is conducted globally. The aim of this trial is comparing glycaemic control and safety of insulin degludec/liraglutide (IDegLira) versus insulin glargine (IGlar) as add-on therapy to SGLT2i (sodium-glucose cotransporter 2 inhibitors) in subjects with type 2 diabetes mellitus.

  • IDegLira
  • IGlar
Who could join the trial

Inclusion Criteria: - Male or female, age at least 18 years at the time of signing informed consent - Subjects diagnosed (clinically) with type 2 diabetes mellitus - HbA1c 7.0-11.0% \[53-97 mmol/mol\] (both inclusive) by central laboratory analysis - Body mass index (BMI) equal to or above 20 kg/m\^2 and below 40 kg/m\^2 - Insulin naïve subjects; however short term insulin treatment for a maximum of 14 days prior to the day of screening is allowed, as well as prior insulin treatment for gestational diabetes - A stable daily dose for at least 90 days prior to the day of screening of any SGLT2i in monotherapy or in combination with metformin ± DPP4i ± pioglitazone. Use of pioglitazone is not allowed in subjects treated with dapagliflozin Exclusion Criteria: - Receipt of any investigational medicinal product within 90 days prior to screening - Use of any OADs (other than SGLT2i in monotherapy or in combination with metformin or DPP4i or pioglitazone as described in the inclusion criteria) within 90 days prior to the day of screening - Use of glucagon-like peptide-1 (GLP-1) receptor agonist (e.g., exenatide or liraglutide) within 90 days prior to the day of screening - Acute decompensation of glycaemic control requiring immediate intensification of treatment to prevent severe metabolic dysregulation (e.g., diabetes ketoacidosis) in the previous 90 days prior to the day of the screening - Subjects presently classified as being in NYHA (New York Heart Association) Class III or IV1 - Renal impairment estimated Glomerular Filtration Rate 60 mL/min/1.73 m2 as per CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration) - Impaired liver function, defined as ALT (alanine aminotransferase) equal to or above 2.5 times upper normal limit at screening - Known or suspected hypersensitivity to trial product(s) or related products

Published papers

Papers from DUALTM IX

Trial averages do not predict what one person will experience. Results are shown as the registry posts them, without interpretation.

GLPcompare is an informational data platform, not a medical provider or pharmacy. Nothing here is medical advice, a diagnosis, or a recommendation to start, stop, or change any treatment. Data is aggregated from public sources and can be incomplete or out of date. Always confirm with a licensed clinician and the current FDA label.