A Trial Comparing the Efficacy and Safety of Insulin Degludec/Liraglutide and Insulin Degludec in Subjects With Type 2 Diabetes (DUAL™ II)
A 26-week Randomised, Parallel Two-arm, Double-blind, Multi-centre, Multinational, Treat-to-target Trial Comparing Fixed Ratio Combination of Insulin Degludec and Liraglutide With Insulin Degludec in Subjects With Type 2 Diabetes
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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Burgas, Bulgarien, 8000
- Novo Nordisk Investigational Site
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Haskovo, Bulgarien, 6300
- Novo Nordisk Investigational Site
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Lukovit, Bulgarien, 5770
- Novo Nordisk Investigational Site
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Plovdiv, Bulgarien, 4001
- Novo Nordisk Investigational Site
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Ruse, Bulgarien, 7000
- Novo Nordisk Investigational Site
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Sofia, Bulgarien, 1712
- Novo Nordisk Investigational Site
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Gentofte, Danmark, 2820
- Novo Nordisk Investigational Site
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Hellerup, Danmark, 2900
- Novo Nordisk Investigational Site
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Århus C, Danmark, 8000
- Novo Nordisk Investigational Site
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Alabama
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Huntsville, Alabama, Forenede Stater, 35801
- Novo Nordisk Investigational Site
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Vestavia Hills, Alabama, Forenede Stater, 35209
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California
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Anaheim, California, Forenede Stater, 92801
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Los Angeles, California, Forenede Stater, 90057
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Tustin, California, Forenede Stater, 92780
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Ventura, California, Forenede Stater, 93003
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Colorado
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Colorado Springs, Colorado, Forenede Stater, 80910
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Connecticut
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Waterbury, Connecticut, Forenede Stater, 06708
- Novo Nordisk Investigational Site
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Florida
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Melbourne, Florida, Forenede Stater, 32934
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Miami, Florida, Forenede Stater, 33156
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Georgia
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Roswell, Georgia, Forenede Stater, 30076
- Novo Nordisk Investigational Site
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Illinois
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Arlington Heights, Illinois, Forenede Stater, 60004-2315
- Novo Nordisk Investigational Site
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Avon, Illinois, Forenede Stater, 46123
- Novo Nordisk Investigational Site
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Chicago, Illinois, Forenede Stater, 60607
- Novo Nordisk Investigational Site
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Crystal Lake, Illinois, Forenede Stater, 60012
- Novo Nordisk Investigational Site
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Gurnee, Illinois, Forenede Stater, 60031
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Indiana
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Greenfield, Indiana, Forenede Stater, 46140
- Novo Nordisk Investigational Site
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Indianapolis, Indiana, Forenede Stater, 46254
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Muncie, Indiana, Forenede Stater, 47304
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New Albany, Indiana, Forenede Stater, 47150
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Kentucky
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Lexington, Kentucky, Forenede Stater, 40503
- Novo Nordisk Investigational Site
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Louisiana
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Metairie, Louisiana, Forenede Stater, 70002
- Novo Nordisk Investigational Site
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Metairie, Louisiana, Forenede Stater, 70006-2930
- Novo Nordisk Investigational Site
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Slidell, Louisiana, Forenede Stater, 70461-4231
- Novo Nordisk Investigational Site
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Maryland
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Rockville, Maryland, Forenede Stater, 20852
- Novo Nordisk Investigational Site
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Massachusetts
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Methuen, Massachusetts, Forenede Stater, 01844
- Novo Nordisk Investigational Site
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North Dartmouth, Massachusetts, Forenede Stater, 02747
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Waltham, Massachusetts, Forenede Stater, 02453
- Novo Nordisk Investigational Site
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Michigan
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Southfield, Michigan, Forenede Stater, 48034-7661
- Novo Nordisk Investigational Site
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Missouri
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Chesterfield, Missouri, Forenede Stater, 63017
- Novo Nordisk Investigational Site
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Saint Charles, Missouri, Forenede Stater, 63303
- Novo Nordisk Investigational Site
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New Hampshire
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Nashua, New Hampshire, Forenede Stater, 03063
- Novo Nordisk Investigational Site
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New Jersey
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Lawrenceville, New Jersey, Forenede Stater, 08648
- Novo Nordisk Investigational Site
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Toms River, New Jersey, Forenede Stater, 08755-8050
- Novo Nordisk Investigational Site
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New York
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Albany, New York, Forenede Stater, 12206
- Novo Nordisk Investigational Site
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Smithtown, New York, Forenede Stater, 11787
- Novo Nordisk Investigational Site
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North Carolina
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Asheboro, North Carolina, Forenede Stater, 27203
- Novo Nordisk Investigational Site
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Chapel Hill, North Carolina, Forenede Stater, 27517
- Novo Nordisk Investigational Site
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Greensboro, North Carolina, Forenede Stater, 27408
- Novo Nordisk Investigational Site
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Hickory, North Carolina, Forenede Stater, 28602
- Novo Nordisk Investigational Site
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Statesville, North Carolina, Forenede Stater, 28625
- Novo Nordisk Investigational Site
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Pennsylvania
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Beaver, Pennsylvania, Forenede Stater, 15009
- Novo Nordisk Investigational Site
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Philadelphia, Pennsylvania, Forenede Stater, 19107
- Novo Nordisk Investigational Site
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Philadelphia, Pennsylvania, Forenede Stater, 19152
- Novo Nordisk Investigational Site
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South Carolina
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Greer, South Carolina, Forenede Stater, 29651
- Novo Nordisk Investigational Site
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Simpsonville, South Carolina, Forenede Stater, 29681
- Novo Nordisk Investigational Site
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Tennessee
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Nashville, Tennessee, Forenede Stater, 37203
- Novo Nordisk Investigational Site
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Texas
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Arlington, Texas, Forenede Stater, 76014
- Novo Nordisk Investigational Site
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Austin, Texas, Forenede Stater, 78731
- Novo Nordisk Investigational Site
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Dallas, Texas, Forenede Stater, 75230
- Novo Nordisk Investigational Site
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Dallas, Texas, Forenede Stater, 75246
- Novo Nordisk Investigational Site
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Dallas, Texas, Forenede Stater, 75251
- Novo Nordisk Investigational Site
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Hurst, Texas, Forenede Stater, 76054
- Novo Nordisk Investigational Site
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San Antonio, Texas, Forenede Stater, 78229
- Novo Nordisk Investigational Site
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San Antonio, Texas, Forenede Stater, 78215
- Novo Nordisk Investigational Site
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San Antonio, Texas, Forenede Stater, 78224
- Novo Nordisk Investigational Site
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Sugar Land, Texas, Forenede Stater, 77478
- Novo Nordisk Investigational Site
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Utah
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Salt Lake City, Utah, Forenede Stater, 84107
- Novo Nordisk Investigational Site
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Dhantoli, Nagpur, Indien, 440012
- Novo Nordisk Investigational Site
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Maharashtra
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Mumbai, Maharashtra, Indien, 400008
- Novo Nordisk Investigational Site
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Mumbai, Maharashtra, Indien, 400053
- Novo Nordisk Investigational Site
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Pune, Maharashtra, Indien, 411001.
- Novo Nordisk Investigational Site
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Tamil Nadu
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Chennai, Tamil Nadu, Indien, 600086
- Novo Nordisk Investigational Site
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West Bengal
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Kolkata, West Bengal, Indien, 700064
- Novo Nordisk Investigational Site
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Basel, Schweiz, 4031
- Novo Nordisk Investigational Site
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Bern, Schweiz, 3010
- Novo Nordisk Investigational Site
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Interlaken-Unterseen, Schweiz, 3800
- Novo Nordisk Investigational Site
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Lausanne, Schweiz, 1011
- Novo Nordisk Investigational Site
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Luzern 16, Schweiz, 6000
- Novo Nordisk Investigational Site
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St. Gallen, Schweiz, 9007
- Novo Nordisk Investigational Site
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Koper, Slovenien, SI-6000
- Novo Nordisk Investigational Site
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Ljubljana, Slovenien, 1525
- Novo Nordisk Investigational Site
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Novo mesto, Slovenien, 8000
- Novo Nordisk Investigational Site
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Budapest, Ungarn, 1125
- Novo Nordisk Investigational Site
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Debrecen, Ungarn, 4043
- Novo Nordisk Investigational Site
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Eger, Ungarn, H-3300
- Novo Nordisk Investigational Site
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Szombathely, Ungarn, H-9700
- Novo Nordisk Investigational Site
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Subjects with type 2 diabetes
- HbA1c (glycosylated haemoglobin) 7.5-10.0% (both inclusive)
- Subjects on stable daily doses for at least 90 days prior to trial start of: Basal insulin (total daily basal insulin dose within the range of 20-40U in combination with: metformin (1500 mg or more or max. tolerated dose) or metformin (1500 mg or more or max. tolerated dose) and SU (sulfonylurea) (equal to or more than half of the max. approved dose according to local label) or metformin and glinides (equal to or more than half of the max. approved dose according to local label)
- BMI (Body Mass Index) more than or equal to 27 kg/m^2
Exclusion Criteria:
- Treatment with glucagon like peptide-1 (GLP-1) receptor agonists (e.g. exenatide, liraglutide), dipeptidyl peptidase 4 (DPP-4) inhibitors and/or thiazolidinediones within 90 days prior to trial start
- Impaired liver function
- Impaired renal function
- Screening calcitonin equal to or above 50 ng/l
- Subjects with personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia type 2 (MEN 2)
- Cardiac disorder defined as: congestive heart failure (NYHA class III-IV), diagnosis of unstable angina pectoris, cerebral stroke and/or myocardial infarction within the last 52 weeks prior to trial start and/or planned coronary, carotid or peripheral artery revascularisation procedures
- Severe uncontrolled treated or untreated hypertension (systolic blood pressure equal to or above 180 mm Hg or diastolic blood pressure equal to or above 100 mm Hg)
- Acute treatment required proliferative retinopathy or maculopathy (macular oedema) according to physician's opinion
- History of chronic pancreatitis or idiopathic acute pancreatitis
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: IDegLira + metformin
IDegLira was injected subcutaneously once daily for 26 weeks.
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IDeg/Lira treatment will be initiated and titrated (individually adjusted) twice weekly according to the mean self measured plasma glucose (SMPG) (fasting).
IDegLira is injected subcutaneously (under the skin) once daily.
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Eksperimentel: IDeg + metformin
IDeg was injected subcutaneously once daily for 26 weeks.
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IDeg treatment will be initiated and titrated (individually adjusted) twice weekly according to the mean self measured plasma glucose (SMPG) (fasting).
IDeg is injected subcutaneously (under the skin) once daily.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Change From Baseline in HbA1c (Glycosylated Haemoglobin)
Tidsramme: Week 0, week 26
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Observed mean change from baseline in HbA1c after 26 Weeks of treatment.
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Week 0, week 26
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Change in Body Weight
Tidsramme: Week 0, week 26
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Observed mean change from baseline in body weight after 26 Weeks of treatment.
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Week 0, week 26
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
Generelle publikationer
- Khunti K, Mohan V, Jain SM, Boesgaard TW, Begtrup K, Sethi B. Efficacy and Safety of IDegLira in Participants with Type 2 Diabetes in India Uncontrolled on Oral Antidiabetic Drugs and Basal Insulin: Data from the DUAL Clinical Trial Program. Diabetes Ther. 2017 Jun;8(3):673-682. doi: 10.1007/s13300-017-0252-9. Epub 2017 Mar 22.
- Vilsboll T, Vora J, Jarlov H, Kvist K, Blonde L. Type 2 Diabetes Patients Reach Target Glycemic Control Faster Using IDegLira than Either Insulin Degludec or Liraglutide Given Alone. Clin Drug Investig. 2016 Apr;36(4):293-303. doi: 10.1007/s40261-016-0376-0.
- King AB, Philis-Tsimikas A, Kilpatrick ES, Langbakke IH, Begtrup K, Vilsboll T. A Fixed Ratio Combination of Insulin Degludec and Liraglutide (IDegLira) Reduces Glycemic Fluctuation and Brings More Patients with Type 2 Diabetes Within Blood Glucose Target Ranges. Diabetes Technol Ther. 2017 Apr;19(4):255-264. doi: 10.1089/dia.2016.0405. Epub 2017 Mar 10.
- Lingvay I, Handelsman Y, Linjawi S, Vilsboll T, Halladin N, Ranc K, Liebl A. EFFICACY AND SAFETY OF IDEGLIRA IN OLDER PATIENTS WITH TYPE 2 DIABETES. Endocr Pract. 2019 Feb;25(2):144-155. doi: 10.4158/EP-2018-0284. Epub 2018 Nov 1.
- Ericsson A, Lundqvist A. Cost Effectiveness of Insulin Degludec Plus Liraglutide (IDegLira) in a Fixed Combination for Uncontrolled Type 2 Diabetes Mellitus in Sweden. Appl Health Econ Health Policy. 2017 Apr;15(2):237-248. doi: 10.1007/s40258-016-0301-y.
- Buse JB, Vilsboll T, Thurman J, Blevins TC, Langbakke IH, Bottcher SG, Rodbard HW; NN9068-3912 (DUAL-II) Trial Investigators. Contribution of liraglutide in the fixed-ratio combination of insulin degludec and liraglutide (IDegLira). Diabetes Care. 2014 Nov;37(11):2926-33. doi: 10.2337/dc14-0785. Epub 2014 Aug 11.
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Glukosemetabolismeforstyrrelser
- Metaboliske sygdomme
- Sygdomme i det endokrine system
- Diabetes mellitus
- Diabetes mellitus, type 2
- Hypoglykæmiske midler
- Lægemidlers fysiologiske virkninger
- Hormoner
- Hormoner, hormonsubstitutter og hormonantagonister
- Inkretiner
- Insulin
- Insulin, Globin Zink
- Insulin, langtidsvirkende
- Liraglutid
- Xultophy
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- NN9068-3912
- 2011-002336-72 (EudraCT nummer)
- U1111-1121-4897 (Anden identifikator: WHO)
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