Liraglutide Treatment to Patients With Severe Renal Insufficiency

NCT ID: NCT01394341

Last Updated: 2013-10-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-09-30

Study Completion Date

2013-10-31

Brief Summary

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Incretin-based therapy for the treatment of patients with type 2 diabetes mellitus (T2D) is new and fundamentally different from the classical treatments with oral antidiabetic agents and insulin. The novel and original aspect of this investigator-initiated study is the focus on treatment with an incretin-based agent (the GLP-1 analogue liraglutide) in T2D patients with severely reduced kidney function. At present there is virtually no knowledge of the physiology and clinical implications of the role of incretin hormones and incretin-based therapy in this group of diabetic patients.The aim of the study is to establish an evidence-based rationale for introducing a GLP-1 analogue to the limited armamentarium of antidiabetic drugs for patients with type T2D and severe renal insufficiency. The overall hypothesis is that patients with T2D and severe renal insufficiency will tolerate and benefit from treatment with the GLP-1 analogue liraglutide, hereby improving glycaemic control and reducing risk factors of cardiovascular disease

Detailed Description

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Conditions

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Type 2 Diabetes Mellitus End-stage Renal Disease

Keywords

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Liraglutide Uremia Dialysis Type 2 diabetes mellitus Safety Efficacy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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T2D, Dialysis, Liraglutide

Daily liraglutide treatment Chronic dialysis treatment

Group Type ACTIVE_COMPARATOR

Liraglutide

Intervention Type DRUG

Daily sc. injection, individual dosage

T2D, Dialysis, Placebo

Daily placebo Chronic dialysis treatment

Group Type PLACEBO_COMPARATOR

Liraglutide

Intervention Type DRUG

Daily sc. injection, individual dosage

T2D, Normal kidney function, Liraglutide

Daily Liraglutide treatment Normal kidney function

Group Type ACTIVE_COMPARATOR

Liraglutide

Intervention Type DRUG

Daily sc. injection, individual dosage

T2D, Normal kidney function, Placebo

Daily placebo treatment Normal kidney function

Group Type PLACEBO_COMPARATOR

Liraglutide

Intervention Type DRUG

Daily sc. injection, individual dosage

Interventions

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Liraglutide

Daily sc. injection, individual dosage

Intervention Type DRUG

Other Intervention Names

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Victoza

Eligibility Criteria

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Inclusion Criteria

* Male or female; aged 18-85 years
* End-stage renal disease
* Chronic dialysis treatment (minimum 3 months)
* T2D (diagnosed according to WHO criteria)
* Treated with diet/lifestyle intervention, oral antidiabetic drugs (SU, glitazones) and/or insulin
* Documented beta cell function (evaluated by a glucagon test)


* Male or female; aged 18-85 years
* Normal kidney function: Plasma creatinine \<0.105 mmol/L for men and \<0.090 mmol/L for women
* T2D (diagnosed according to WHO criteria)
* Treated with diet/lifestyle intervention, oral antidiabetic drugs (SU, glitazones) and/or insulin
* Documented beta cell function (evaluated by a glucagon test)
* Hemoglobin A1c ≥6.5%

Exclusion Criteria

* Type 1 diabetes mellitus
* Chronic pancreatitis / previous acute pancreatitis
* Known or suspected hypersensitivity to trial product(s) or related products
* Treatment with oral glucocorticoids, calcineurin inhibitors, dipeptidyl peptidase 4 (DPP4) inhibitors or other drugs, which in the Investigator's opinion could interfere with glucose or lipid metabolism 90 days prior to screening
* Cancer (except basal cell skin cancer or squamous cell skin cancer) or any other clinically significant disorder which in the investigators' opinion could interfere with the results of the trial
* Inflammatory bowel disease
* Cardiac disease defined as: decompensated heart failure (NYHA class III-IV) and/or diagnosis of unstable angina pectoris and/or myocardial infarction within the last 6 months
* Body mass index ≤ 18.5 kg/m2 or ≥ 50.0 kg/m2
* Females of childbearing potential who are pregnant, breast-feeding, intend to become pregnant or are not using adequate contraceptive methods
* Clinical signs of diabetic gastroparesis
* Impaired liver function (transaminases \>two times upper reference levels)
* Receipt of any investigational product 90 days prior to this trial
* Known or suspected abuse of alcohol or narcotics
* Screening calcitonin ≥50 ng/l
* Subjects with personal or family history of medullary thyroid carcinoma or a personal history of multiple endocrine neoplasia type 2
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novo Nordisk A/S

INDUSTRY

Sponsor Role collaborator

The GCP unit at Copenhagen University Hospital

UNKNOWN

Sponsor Role collaborator

Bo Feldt-Rasmussen

OTHER

Sponsor Role lead

Responsible Party

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Bo Feldt-Rasmussen

Professor, DMSc, Head of Department

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Bo Feldt-Rasmussen, Prof, DMSc

Role: STUDY_DIRECTOR

Department of Nephrology P, Copenhagen University Hospital, Rigshospitalet

Thomas Idorn, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Nephrology P, Copenhagen University Hospital, Rigshospitalet

Locations

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Department of Endocrinology PE, Copenhagen University Hospital, Rigshospitalet

Copenhagen Ø, Copenhagen, Denmark

Site Status

Department of Nephrology P, Copenhagen University Hospital, Rigshospitalet

Copenhagen Ø, Copenhagen, Denmark

Site Status

Department of Internal Medicine H, Hillerød Hospital

Hillerød, , Denmark

Site Status

Countries

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Denmark

References

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Natale P, Green SC, Tunnicliffe DJ, Pellegrino G, Toyama T, Strippoli GF. Glucagon-like peptide 1 (GLP-1) receptor agonists for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2025 Feb 18;2(2):CD015849. doi: 10.1002/14651858.CD015849.pub2.

Reference Type DERIVED
PMID: 39963952 (View on PubMed)

Idorn T, Knop FK, Jorgensen MB, Jensen T, Resuli M, Hansen PM, Christensen KB, Holst JJ, Hornum M, Feldt-Rasmussen B. Safety and Efficacy of Liraglutide in Patients With Type 2 Diabetes and End-Stage Renal Disease: An Investigator-Initiated, Placebo-Controlled, Double-Blind, Parallel-Group, Randomized Trial. Diabetes Care. 2016 Feb;39(2):206-13. doi: 10.2337/dc15-1025. Epub 2015 Aug 17.

Reference Type DERIVED
PMID: 26283739 (View on PubMed)

Idorn T, Knop FK, Jorgensen M, Jensen T, Resuli M, Hansen PM, Christensen KB, Holst JJ, Hornum M, Feldt-Rasmussen B. Safety and efficacy of liraglutide in patients with type 2 diabetes and end-stage renal disease: protocol for an investigator-initiated prospective, randomised, placebo-controlled, double-blinded, parallel intervention study. BMJ Open. 2013 Apr 26;3(4):e002764. doi: 10.1136/bmjopen-2013-002764. Print 2013.

Reference Type DERIVED
PMID: 23624993 (View on PubMed)

Other Identifiers

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2010-021922-36

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

H-3-2011-032

Identifier Type: -

Identifier Source: org_study_id