Efficacy and Safety of iGlarLixi Versus Insulin Glargine Plus Dulaglutide in Patients With Type 2 Diabetes

NCT ID: NCT04893148

Last Updated: 2022-07-20

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-26

Study Completion Date

2022-12-30

Brief Summary

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The investigators aimed to compare efficacy and safety of IGlarLixi and insulin glargine plus dulaglutide as intensification from basal insulin with metformin, in the absence of head-to-head trials.

Detailed Description

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Fixed-dose combinations of insulin glargine/lixisenatide (IGlarLixi) or insulin glargine plus dulaglutide constitute treatment intensification in type 2 diabetes mellitus (T2D). The investigators aimed to compare efficacy and safety of IGlarLixi and insulin glargine plus dulaglutide as intensification from basal insulin with metformin, in the absence of head-to-head trials. Treatments were compared in terms of glycated hemoglobin (HbA1c), fasting plasma glucose (FPG) change from baseline, and variables from continuous glucose monitoring (CGM) system; in addition to safety issues on hypoglycemia and changes in weight.

Conditions

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Type 2 Diabetes Mellitus Glucose, High Blood

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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iGlar/Lixi

Switching to IGlarLixi from insulin glargine iGlar/Lixi starts with the following doses depending on the existing insulin glargine dose: 1) insulin glargine \<20 unit/day = iGlar/Lixi 10 unit/day, 2) insulin glargine \>=20 unit/day = iGlar/Lixi 20 unit/day.

Training to increase the iGlar/Lixi dosage every 3 days to meet the target fasting blood glucose level to 80\~130 mg/day

Group Type ACTIVE_COMPARATOR

IGlarLixi

Intervention Type DRUG

Changing to iGlarLixi from insulin glargine

Dulaglutide plus insulin glargine

Adding Dulaglutide to insulin glargine. Keep insulin glargine and dulaglutide start at 0.75 mg per week and increase to 1.5 mg per week after 1 month with evaluating compliance and tolerability.

Group Type ACTIVE_COMPARATOR

Dulaglutide

Intervention Type DRUG

Add dulaglutide to insulin glargine

Interventions

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IGlarLixi

Changing to iGlarLixi from insulin glargine

Intervention Type DRUG

Dulaglutide

Add dulaglutide to insulin glargine

Intervention Type DRUG

Other Intervention Names

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Insulin Glargine

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years old
* Patient with type 2 diabetes, treated with basal insulin plus metformin (maximum tolerated dosage) for at least 12 weeks
* Patient accepting to participant to this study

Exclusion Criteria

* Pregnant or breastfeeding woman
* severe renal dysfunction (eGFR \<60 ml/min/1.73m2)
* chronic or acute hepatic disorder (HBV or HCV hepatitis, liver cirrhosis etc.) (AST/ALT \> 2.5\*ULN)
* Prescription such as immunosuppressant agents, glucocorticoids
* Active anti-cancer treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chungbuk National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Eu Jeong Ku

Clinical Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eu Jeong Ku, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Chungbuk National University Hospital

Locations

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Chungbuk National University Hospital

Cheonju, North Chungcheong, South Korea

Site Status

Countries

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South Korea

Other Identifiers

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GLP1RA2021

Identifier Type: -

Identifier Source: org_study_id

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