Evidence map›Paper›PMID 28417535›Full record

ArticleDiabetes, obesity & metabolism2017

Rates of hypoglycaemia are lower in patients treated with insulin degludec/liraglutide (IDegLira) than with IDeg or insulin glargine, regardless of the hypoglycaemia definition used.

Paul Norwood, Roger Chen, Elmar Jaeckel, Ildiko Lingvay, Henrik Jarlov, Lucine Lehmann, Simon Heller

2 registry-linked trialsOpen access · hybridAbstract readComparative Study
In one paragraph

Article in Diabetes, obesity & metabolism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT01336023. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01336023 phase3completed

A 26 Week Randomised, Parallel Three-arm, Open-label, Multi-centre, Multinational Treat-to-target Trial Comparing Fixed Ratio Combination of Insulin Degludec and Liraglutide Versus Insulin Degludec or Liraglutide Alone, in Subjects With Type 2 Diabetes Treated With 1-2 Oral Anti-diabetic Drugs (OADs)With a 26 Week Extension

Ran2011Enrolled1,663Registered outcomes5Posted comparisons2ConditionsDiabetes, Diabetes Mellitus, Type 2Armsinsulin degludec, insulin degludec/liraglutide, liraglutide
Open the trial in the graph
NCT01952145 phase3completed

A Trial Comparing the Efficacy and Safety of Insulin Degludec/Liraglutide Versus Insulin Glargine in Subjects With Type 2 Diabetes Mellitus (DUAL™ V - Basal Insulin Switch)

Ran2013Enrolled557Registered outcomes3Posted comparisons1ConditionsDiabetes, Diabetes Mellitus, Type 2Armsinsulin degludec/liraglutide, Insulin glargine
Open the trial in the graph
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 5 countries.

Paul NorwoodValley Research, Fresno, California.ORCID 0000-0002-0485-8050
Roger ChenConcord Repatriation General Hospital, Sydney, Australia.
Elmar JaeckelHannover Medical School, Hannover, Germany.
Ildiko LingvayUT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0001-7006-7401
Henrik JarlovNovo Nordisk A/S, Søborg, Denmark.
Lucine LehmannNovo Nordisk A/S, Søborg, Denmark.
Simon HellerUniversity of Sheffield, Sheffield, UK.ORCID 0000-0002-2425-9565
Novo Nordisk (Denmark) · DKConcord Repatriation General Hospital · AUMedizinische Hochschule Hannover · DESouthwestern Medical Center · USUniversity of Sheffield · GBValley Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo re-analyse, using a series of alternative hypoglycaemia definitions, the data from 2 trials, DUAL I and V, in which the once-daily, fixed ratio combination of insulin degludec/liraglutide (IDegLira) was compared with basal insulin therapy. MATERIAL AND

methodsPost hoc analyses of the DUAL I (patients uncontrolled on oral antidiabetic drugs) and DUAL V (patients uncontrolled on insulin glargine (IGlar) U100) trials were carried out using different definitions of hypoglycaemia and according to whether treatments were administered in the morning or afternoon. Rates of hypoglycaemia for the definitions of confirmed and American Diabetes Association (ADA)-documented symptomatic hypoglycaemia were compared according to age, gender and body mass index (BMI).

resultsAlthough hypoglycaemia rates differed according to the alternative hypoglycaemia definitions, rates were consistently lower with IDegLira vs insulin degludec (IDeg) and IGlar U100. Despite glycated haemoglobin concentrations being lower with IDegLira at end of treatment, confirmed and nocturnal-confirmed hypoglycaemia rates were lower for IDegLira vs IDeg and IGlar U100, irrespective of dosing time. The definitions of confirmed and ADA-documented symptomatic hypoglycaemia did not have a significant effect on the treatment difference between IDegLira and IDeg, liraglutide or IGlar U100 when further assessed by baseline age, gender and BMI.

conclusionsTreatment with IDegLira, vs IDeg and IGlar U100, resulted in lower rates of hypoglycaemia regardless of dosing time and definition of hypoglycaemia used. The choice of hypoglycaemia definition did not influence the results of analyses when stratified by age, sex and BMI.

Indexed as

Insulin GlargineInsulin, Long-ActingLiraglutideAdultBlood GlucoseDatabases, FactualDiabetes Mellitus, Type 2Diagnostic Techniques, EndocrineDrug Therapy, CombinationFemaleHumansHypoglycemiaHypoglycemic AgentsMaleMiddle AgedRandomized Controlled Trials as TopicBlood GlucoseHypoglycemic Agentsinsulin degludecInsulin GlargineInsulin, Long-ActingLiraglutidehypoglycaemiahypoglycaemia ratesIDegLirainsulin degludecinsulin glargine U100liraglutide

Identifiers

PMID28417535
PMCPMC5655847
OpenAlexW2606399391

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.