Efficacy and Safety of Liraglutide Versus Placebo as add-on to Existing Diabetes Medication in Subjects With Type 2 Diabetes and Moderate Renal Impairment
Efficacy and Safety of Liraglutide Versus Placebo as add-on to Existing Diabetes Medication in Subjects With Type 2 Diabetes and Moderate Renal Impairment. A 26-week Double-blind Placebo-controlled, Randomised, Multicentre, Multi-national, Parallel-group Trial
This trial is conducted in Europe and the United States of America (USA). The aim of this trial is to investigate the efficacy and safety of liraglutide in subjects with type 2 diabetes and moderate renal impairment.
The trial medication will be add-on to the subject's stable pre-trial OAD and/or insulin regimen.
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Typ studie
Typ studie
Zápis (Aktuální)
Zápis
Fáze
Fáze
- Fáze 3
Kontakty a umístění
Studijní místa
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Brest, Francie, 29609
- Novo Nordisk Investigational Site
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LA ROCHE-sur-YON cedex 9, Francie, 85295
- Novo Nordisk Investigational Site
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LA ROCHELLE cedex, Francie, 17019
- Novo Nordisk Investigational Site
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Pointe À Pitre, Francie, 97159
- Novo Nordisk Investigational Site
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Strasbourg, Francie, 67000
- Novo Nordisk Investigational Site
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Bialystok, Polsko, 15-435
- Novo Nordisk Investigational Site
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Bialystok, Polsko, 15-381
- Novo Nordisk Investigational Site
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Gdansk, Polsko, 80-546
- Novo Nordisk Investigational Site
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Katowice, Polsko, 40-767
- Novo Nordisk Investigational Site
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Krakow, Polsko, 31-261
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Poznan, Polsko, 60-569
- Novo Nordisk Investigational Site
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Poznan, Polsko, 60-111
- Novo Nordisk Investigational Site
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Zabrze, Polsko, 41-800
- Novo Nordisk Investigational Site
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Barnaul, Ruská Federace, 656045
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Kazan, Ruská Federace, 420043
- Novo Nordisk Investigational Site
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Kursk, Ruská Federace, 305035
- Novo Nordisk Investigational Site
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Moscow, Ruská Federace, 117036
- Novo Nordisk Investigational Site
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Moscow, Ruská Federace, 123448
- Novo Nordisk Investigational Site
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Moscow, Ruská Federace, 127411
- Novo Nordisk Investigational Site
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Nizhniy Novgorod, Ruská Federace, 603126
- Novo Nordisk Investigational Site
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Penza, Ruská Federace, 440026
- Novo Nordisk Investigational Site
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Saint-Petersburg, Ruská Federace, 195257
- Novo Nordisk Investigational Site
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Saint-Petersburg, Ruská Federace, 194358
- Novo Nordisk Investigational Site
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Saint-Petersburg, Ruská Federace, 199034
- Novo Nordisk Investigational Site
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Samara, Ruská Federace, 443067
- Novo Nordisk Investigational Site
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Saratov, Ruská Federace, 410039
- Novo Nordisk Investigational Site
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Saratov, Ruská Federace, 410053
- Novo Nordisk Investigational Site
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Saratov, Ruská Federace, 410031
- Novo Nordisk Investigational Site
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Smolensk, Ruská Federace, 214019
- Novo Nordisk Investigational Site
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Volgograd, Ruská Federace, 400138
- Novo Nordisk Investigational Site
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Bristol, Spojené království, BS10 5NB
- Novo Nordisk Investigational Site
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Dundee, Spojené království, DD1 9SY
- Novo Nordisk Investigational Site
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Edinburgh, Spojené království, EH4 2XU
- Novo Nordisk Investigational Site
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Hull, Spojené království, HU3 2RW
- Novo Nordisk Investigational Site
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Leicester, Spojené království, LE5 4PW
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Letchworth, Spojené království, SG6 4UB
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London, Spojené království, E1 2EF
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London, Spojené království, SE5 9RT
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Swansea, Spojené království, SA6 6NL
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California
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Concord, California, Spojené státy, 94520
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La Jolla, California, Spojené státy, 92037
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Los Angeles, California, Spojené státy, 90057
- Novo Nordisk Investigational Site
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Monterey, California, Spojené státy, 93940
- Novo Nordisk Investigational Site
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San Diego, California, Spojené státy, 92111
- Novo Nordisk Investigational Site
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San Ramon, California, Spojené státy, 94583
- Novo Nordisk Investigational Site
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Torrance, California, Spojené státy, 90502
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Tustin, California, Spojené státy, 92780
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Ventura, California, Spojené státy, 93003
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Colorado
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Golden, Colorado, Spojené státy, 80401
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Florida
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Boynton Beach, Florida, Spojené státy, 33472
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Jacksonville, Florida, Spojené státy, 32216
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Miami, Florida, Spojené státy, 33156
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Pembroke Pines, Florida, Spojené státy, 33027
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Plantation, Florida, Spojené státy, 33324
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Saint Petersburg, Florida, Spojené státy, 33711
- Novo Nordisk Investigational Site
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Georgia
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Atlanta, Georgia, Spojené státy, 30303
- Novo Nordisk Investigational Site
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Roswell, Georgia, Spojené státy, 30076
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Indiana
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Avon, Indiana, Spojené státy, 46123
- Novo Nordisk Investigational Site
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Franklin, Indiana, Spojené státy, 46131
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Greenfield, Indiana, Spojené státy, 46140
- Novo Nordisk Investigational Site
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Muncie, Indiana, Spojené státy, 47304
- Novo Nordisk Investigational Site
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Louisiana
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Slidell, Louisiana, Spojené státy, 70461-4231
- Novo Nordisk Investigational Site
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Maryland
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Rockville, Maryland, Spojené státy, 20852
- Novo Nordisk Investigational Site
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Massachusetts
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Springfield, Massachusetts, Spojené státy, 01199
- Novo Nordisk Investigational Site
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Michigan
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Buckley, Michigan, Spojené státy, 49620
- Novo Nordisk Investigational Site
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Southfield, Michigan, Spojené státy, 48034-7661
- Novo Nordisk Investigational Site
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Montana
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Great Falls, Montana, Spojené státy, 59405
- Novo Nordisk Investigational Site
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New Hampshire
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Nashua, New Hampshire, Spojené státy, 03063
- Novo Nordisk Investigational Site
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New York
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Rosedale, New York, Spojené státy, 11422
- Novo Nordisk Investigational Site
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Staten Island, New York, Spojené státy, 10301
- Novo Nordisk Investigational Site
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North Carolina
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Greenville, North Carolina, Spojené státy, 27834
- Novo Nordisk Investigational Site
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Mooresville, North Carolina, Spojené státy, 28117
- Novo Nordisk Investigational Site
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Ohio
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Franklin, Ohio, Spojené státy, 45005
- Novo Nordisk Investigational Site
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Mason, Ohio, Spojené státy, 45040-6815
- Novo Nordisk Investigational Site
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Wadsworth, Ohio, Spojené státy, 44281-9236
- Novo Nordisk Investigational Site
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Oklahoma
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Oklahoma City, Oklahoma, Spojené státy, 73104
- Novo Nordisk Investigational Site
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Pennsylvania
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McMurray, Pennsylvania, Spojené státy, 15317
- Novo Nordisk Investigational Site
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Norristown, Pennsylvania, Spojené státy, 19401
- Novo Nordisk Investigational Site
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Philadelphia, Pennsylvania, Spojené státy, 19107
- Novo Nordisk Investigational Site
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Rhode Island
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East Providence, Rhode Island, Spojené státy, 02914
- Novo Nordisk Investigational Site
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Tennessee
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Chattanooga, Tennessee, Spojené státy, 37411
- Novo Nordisk Investigational Site
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Chattanooga, Tennessee, Spojené státy, 37404-1192
- Novo Nordisk Investigational Site
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Kingsport, Tennessee, Spojené státy, 37660
- Novo Nordisk Investigational Site
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Texas
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Amarillo, Texas, Spojené státy, 79106
- Novo Nordisk Investigational Site
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Lubbock, Texas, Spojené státy, 79423
- Novo Nordisk Investigational Site
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Sugar Land, Texas, Spojené státy, 77479
- Novo Nordisk Investigational Site
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Virginia
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Newport News, Virginia, Spojené státy, 23606
- Novo Nordisk Investigational Site
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Richmond, Virginia, Spojené státy, 23294
- Novo Nordisk Investigational Site
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Richmond, Virginia, Spojené státy, 23219
- Novo Nordisk Investigational Site
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Richmond, Virginia, Spojené státy, 23298
- Novo Nordisk Investigational Site
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Winchester, Virginia, Spojené státy, 22601
- Novo Nordisk Investigational Site
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Wisconsin
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Milwaukee, Wisconsin, Spojené státy, 53209
- Novo Nordisk Investigational Site
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Kharkiv, Ukrajina, 61000
- Novo Nordisk Investigational Site
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Kiev, Ukrajina, 04053
- Novo Nordisk Investigational Site
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Kyiv, Ukrajina, 04114
- Novo Nordisk Investigational Site
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Vinnytsia, Ukrajina, 21010
- Novo Nordisk Investigational Site
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Zaporizhia, Ukrajina, 69600
- Novo Nordisk Investigational Site
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Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Popis
Inclusion Criteria:
- Subjects diagnosed with type 2 diabetes with stable diabetes treatment (unchanged medication and unchanged dose) for 90 days prior to the screening visit including: Monotherapy or any duo-combinations of metformin and/or SUs and/or pioglitazone. Metformin should be used with caution in subjects with moderate renal failure and must be used in accordance with local metformin labelling or guidelines. Or Monotherapy or any combinations of metformin and/or pioglitazone and/or basal or premix insulin. Insulin adjustments (total daily dose) below or equal to 10% within 90 days prior to the screening visit as confirmed by the investigator are acceptable. Metformin should be used with caution in subjects with moderate renal failure and must be used in accordance with local metformin labelling or guidelines. Combination of pioglitazone and insulin should be used with caution and according to local labelling or guidelines
- HbA1c 7-10% (both inclusive)
- Moderate renal impairment diagnosed more than 90 days prior to the screening visit and confirmed by an eGFR (glomerular filtration rate) of 30-59 mL/min/1.73 m2 per MDRD (modification of diet in renal disease) formula at the screening visit
- Body Mass Index (BMI) 20-45 kg/m^2 (both inclusive)
Exclusion Criteria:
- Recurrent severe hypoglycaemia or hypoglycaemic unawareness as judged by the investigator
- Treatment with antidiabetic medication(s) other than stated in the inclusion criteria in a period of 90 days prior to screening. Previous short-term (below or equal to 7 days in total) treatment with rapid-or short-acting insulin in connection with intercurrent illness is allowed at the discretion of the investigator
- Impaired liver function, defined as ALAT (alanine aminotransferase) above or equal to 2.5 times upper normal limit
- History of chronic pancreatitis or idiopathic acute pancreatitis
- Within the past 180 days any of the following: Episode of unstable angina, acute coronary event, cerebral stroke/transient ischemic attack (TIA) or other significant cardiovascular event (including e.g. arrhythmias or conduction delays on ECG (electrocardiogram))
- Heart failure defined as New York Heart Association (NYHA) class IV
- A systolic blood pressure above or equal to 180 mmHg or a diastolic blood pressure above or equal to 100 mmHg
- Rapidly progressing renal disease (e.g., acute glomerulonephritis) at the discretion of the investigator
- Use of immunosuppressive treatment within 90 days prior to screening
- Diagnosis or treatment for cancer in the previous 5 years (except basal cell skin cancer or squamous cell skin cancer)
- Proliferative retinopathy or maculopathy requiring acute treatment as judged by the investigator
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Dvojnásobek
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
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Komparátor placeba: Placebo
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Administered once daily subcutaneously (s.c., under the skin) as add-on to the subject's stable pre-trial oral antidiabetic drug (OAD) and/or insulin regimen.
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Experimentální: Lira 1,8 mg
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1.8 mg administered once daily subcutaneously (s.c., under the skin) as add-on to the subject's stable pre-trial oral antidiabetic drug (OAD) and/or insulin regimen.
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Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Estimated Mean From the Statistical Model and Standard Deviation From Observed Data For Change From Baseline to Week 26 in HbA1c (%) (Glycosylated Haemoglobin)
Časové okno: Week 0, Week 26
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Calculated as the estimated mean change from baseline in HbA1c (%) after 26 Weeks of treatment based on the statistical model.
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Week 0, Week 26
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Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Estimated Proportion of Responders Achieving HbA1c <7.0% and no Weight Gain After 26 Weeks of Treatment
Časové okno: At week 26
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Calculated as estimated percentage of subjects achieving HbA1c <7.0% and no weight gain after 26 weeks of treatment based on the statistical model.
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At week 26
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Estimated Proportion of Responders Achieving HbA1c <7.0% and no Minor or Severe Hypoglycaemic Episodes After 26 Weeks of Treatment
Časové okno: At week 26
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Calculated as estimated percentage of subjects achieving HbA1c <7.0% and no minor or severe hypoglycaemic episodes observed within 26 weeks of treatment based on the statistical model.
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At week 26
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Estimated Mean From the Statistical Model and Standard Deviation From Observed Data For Change From Baseline to Week 26 in Self-measured Plasma Glucose (SMPG) 7-point Profiles
Časové okno: Week 0, week 26
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SMPG was measured before and 90 minutes after breakfast, lunch and dinner and at bedtime at Week 0, 12 and 26.
A summary measure of the 7 values was derived for each applicable visit as the area under the curve divided by the period of time elapsed between the first and last measurement.
The change from baseline to week 26 was estimated using the statistical model.
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Week 0, week 26
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Estimated Mean From the Statistical Model and Standard Deviation From Observed Data For Change From Baseline to Week 26 in Body Mass Index (BMI)
Časové okno: Week 0, week 26
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Calculated as estimated mean change in BMI (kg/m˄2) from baseline to Week 26 based on the statistical model.
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Week 0, week 26
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Estimated Mean Ratio to Baseline and Observed Coefficient of Variation in Renal Function-estimated Glomerular Filtration Rate (eGFR) (to Check How Well the Kidneys Are Functioning Using Modification of Diet in Renal Disease (MDRD) Formula)
Časové okno: Week 0, week 26
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Calculated as the estimated ratio to baseline in eGFR (mL/min/1.73m˄2)
after 26 Weeks of treatment based on the statistical model.
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Week 0, week 26
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Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Publikace a užitečné odkazy
Obecné publikace
- Davies MJ, Bain SC, Atkin SL, Rossing P, Scott D, Shamkhalova MS, Bosch-Traberg H, Syren A, Umpierrez GE. Efficacy and Safety of Liraglutide Versus Placebo as Add-on to Glucose-Lowering Therapy in Patients With Type 2 Diabetes and Moderate Renal Impairment (LIRA-RENAL): A Randomized Clinical Trial. Diabetes Care. 2016 Feb;39(2):222-30. doi: 10.2337/dc14-2883. Epub 2015 Dec 17.
- Zobel EH, von Scholten BJ, Goldman B, Persson F, Hansen TW, Rossing P. Pleiotropic effects of liraglutide in patients with type 2 diabetes and moderate renal impairment: Individual effects of treatment. Diabetes Obes Metab. 2019 May;21(5):1261-1265. doi: 10.1111/dom.13638. Epub 2019 Feb 22.
- Kim JD, Park CY, Cha BY, Ahn KJ, Kim IJ, Park KS, Lee HW, Min KW, Won JC, Chung MY, Kim JT, Kang JG, Park SW. Comparison of Adherence to Glimepiride/Metformin Sustained Release Once-daily Versus Glimepiride/Metformin Immediate Release BID Fixed-combination Therapy Using the Medication Event Monitoring System in Patients With Type 2 Diabetes. Clin Ther. 2018 May;40(5):752-761.e2. doi: 10.1016/j.clinthera.2018.04.002. Epub 2018 May 3.
Užitečné odkazy
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Začátek studia
Primární dokončení (Aktuální)
Primární dokončení
Dokončení studie (Aktuální)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Odhad)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Další relevantní podmínky MeSH
Další identifikační čísla studie
Další identifikační čísla studie
- NN2211-3916
- 2011-002968-24 (Číslo EudraCT)
- U1111-1122-3303 (Jiný identifikátor: WHO)
Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .