Evidence map›Paper›PMID 31903724›Full record

Trial reportDiabetes, obesity & metabolism2020

A greater proportion of participants with type 2 diabetes achieve treatment targets with insulin degludec/liraglutide versus insulin glargine 100 units/mL at 26 weeks: DUAL VIII, a randomized trial designed to resemble clinical practice.

Giorgio Sesti, Lars Bardtrum, Selcuk Dagdelen, Natalie Halladin, Martin Haluzík, Petra Őrsy, Martin Rodríguez, Vanita R Aroda

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT02501161. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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.

NCT02501161 phase3completed

A Clinical Trial Comparing Long Term Glycaemic Control of Insulin Degludec/Liraglutide (IDegLira) Versus Insulin Glargine Therapy in Subjects With Type 2 Diabetes Mellitus

Ran2016Enrolled1,012Registered outcomes54Posted comparisons2ConditionsDiabetes, Diabetes Mellitus, Type 2Armsinsulin degludec/liraglutide, Insulin glargine
PMID 31189519other papers from this trial
Open the trial in the graph
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Observational
  5. Review
  6. 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

8 authors at 6 institutions in 6 countries.

Giorgio SestiDepartment of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-1618-7688
Lars BardtrumNovo Nordisk A/S, Søborg, Denmark.
Selcuk DagdelenDepartment of Endocrinology and Metabolism, Hacettepe University School of Medicine, Ankara, Turkey.
Natalie HalladinNovo Nordisk A/S, Søborg, Denmark.
Martin HaluzíkInstitute for Clinical and Experimental Medicine and Institute of Endocrinology, Prague, Czech Republic.ORCID 0000-0002-0201-6888
Petra ŐrsyNovo Nordisk A/S, Søborg, Denmark.
Martin RodríguezArea of Endocrinology, Metabolism and Nutrition, Faculty of Medical Sciences, National University of Cuyo, Mendoza, Argentina.
Vanita R ArodaBrigham and Women's Hospital, Boston, Massachusetts, United States.ORCID 0000-0002-7706-4585
Novo Nordisk (Denmark) · DKBrigham and Women's Hospital · USHacettepe University · TRInstitute of Clinical and Experimental Medicine · CZSapienza University of Rome · ITUniversidad Nacional de Cuyo · AR

Funding

Novo Nordisk
6 · The paper itself

Abstract

This report presents the efficacy and safety of insulin degludec/liraglutide (IDegLira) versus insulin glargine 100 units/mL (IGlar U100) as initial injectable therapy at 26 weeks in the 104-week DUAL VIII durability trial (NCT02501161). Participants (N = 1012) with type 2 diabetes (T2D) uncontrolled on oral antidiabetic drugs (OADs) were randomized 1:1 to open-label IDegLira or IGlar U100. Visits were scheduled at weeks 1, 2, 4 and 12, and every 3 months thereafter. After 26 weeks, glycated haemoglobin (HbA1c) reductions were greater with IDegLira versus IGlar U100 (-21.5 vs. -16.4 mmol/mol [-2.0 vs. -1.5%]), as was the percentage of participants achieving HbA1c <53 mmol/mol (78.7% vs. 55.7%) and HbA1c targets without weight gain and/or hypoglycaemia. Estimated treatment differences for insulin dose (-13.01 U) and body weight change (-1.57 kg) significantly favoured IDegLira. The hypoglycaemia rate was 44% lower with IDegLira versus IGlar U100. Safety results were similar. In a trial resembling clinical practice, more participants receiving IDegLira than IGlar U100 met treatment targets, supporting use of IDegLira as an initial injectable therapy for people with T2D uncontrolled on OADs and eligible for insulin initiation.

Indexed as

Diabetes Mellitus, Type 2LiraglutideBlood GlucoseGlycated HemoglobinHumansHypoglycemic AgentsInsulin GlargineInsulin, Long-ActingBlood GlucoseGlycated HemoglobinHypoglycemic Agentsinsulin degludecInsulin GlargineInsulin, Long-ActingLiraglutideclinical trialinsulin degludecliraglutidetype 2 diabetes

Identifiers

PMID31903724
PMCPMC7187233
OpenAlexW2997868319

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.