DiabetesPhase 3NCT00856986
The Effect of Insulin Detemir in Combination With Liraglutide and Metformin Compared to Liraglutide and Metformin in Subjects With Type 2 Diabetes
A Phase 3 study testing liraglutide, insulin detemir and metformin in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 233 sites in 10 countries.
Trial summary
This trial is conducted in Europe and North America. The aim of this clinical trial is to assess and compare the effect of insulin detemir in combination with liraglutide and metformin versus liraglutide and metformin in subjects with type 2 diabetes. Read more about this study
- Who is it for?
- Ages 18 to 84 years
- Conditions the study is for
- Diabetes, Diabetes Mellitus, Type 2
- What is being tested?
- liraglutide, insulin detemir and metformin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 987 participants
- Where
- 233 sitesin 10 countries
- Study dates
- Mar 2009to Nov 2010
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 84 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects diagnosed with type 2 diabetes, insulin naïve and treated with metformin as monotherapy for at least 3 months prior to screening, at a stable dose of at least 1500 mg/day or metformin (at least 1500 mg/day) and a sulfonylurea (less than or equal to half of the maximum approved dose), both at a stable dose for at least 3 months prior to screening. Previous short-term insulin treatment in connection with intercurrent illness is allowed at the discretion of the Investigator
- HbA1c 7.0-10.0% (both inclusive) for subjects on metformin monotherapy
- HbA1c 7.0-8.5% (both inclusive) for subjects on metformin in combination with a sulphonylurea
Who cannot join
- Previous treatment with insulin (except for short-term treatment in connection with intercurrent illness at the discretion of the Investigator)
- Treatment with glucose-lowering agent(s) other than stated in the inclusion criteria in a period of 3 months prior to screening
- Recurrent major hypoglycaemia or hypoglycaemic unawareness as judged by the Investigator
- Impaired kidney function
- Impaired liver function
- Uncontrolled treated/untreated hypertension
Show all 9Show fewer
- Cancer or any clinically significant disease or disorder as judged by the Investigator
- Previous participation in the run-in phase of this trial. Re-screening is allowed once
- History of chronic pancreatitis or idiopathic pancreatitis
Trial locations and contacts
233 sites in 10 countries.
233 sites in 10 countries
United States60 sites
Novo Nordisk Investigational Site
Alexander City, Alabama, 35010
Novo Nordisk Investigational Site
Atlanta, Georgia, 30308-2253
Novo Nordisk Investigational Site
Baltimore, Maryland, 21204
Novo Nordisk Investigational Site
Birmingham, Alabama, 35294
Novo Nordisk Investigational Site
Bradenton, Florida, 34201
Novo Nordisk Investigational Site
Charlotte, North Carolina, 28277
Novo Nordisk Investigational Site
Chattanooga, Tennessee, 37411
Novo Nordisk Investigational Site
Chicago, Illinois, 60616
Novo Nordisk Investigational Site
Chicago Heights, Indiana, 60411
Novo Nordisk Investigational Site
Cincinnati, Ohio, 45226
Novo Nordisk Investigational Site
Cincinnati, Ohio, 45245
Novo Nordisk Investigational Site
Clearwater, Florida, 33765
Novo Nordisk Investigational Site
Corpus Christi, Texas, 78412
Novo Nordisk Investigational Site
Dallas, Texas, 75230
Novo Nordisk Investigational Site
Dallas, Texas, 75231
Novo Nordisk Investigational Site
Dallas, Texas, 75235-6233
Novo Nordisk Investigational Site
Dallas, Texas, 75246
Novo Nordisk Investigational Site
Dallas, Texas, 75390-9302
Novo Nordisk Investigational Site
Danville, Pennsylvania, 17822
Novo Nordisk Investigational Site
Dayton, Ohio, 45439
Novo Nordisk Investigational Site
Decatur, Georgia, 30033
Novo Nordisk Investigational Site
Durham, North Carolina, 27710
Novo Nordisk Investigational Site
Encino, California, 91436
Novo Nordisk Investigational Site
Fullerton, California, 92835
Novo Nordisk Investigational Site
Hyattsville, Maryland, 20782
Novo Nordisk Investigational Site
Inglewood, California, 90301
Novo Nordisk Investigational Site
Jupiter, Florida, 33458-7200
Novo Nordisk Investigational Site
La Jolla, California, 92037
Novo Nordisk Investigational Site
Los Gatos, California, 95032
Novo Nordisk Investigational Site
Louisville, Kentucky, 40213
Novo Nordisk Investigational Site
Madisonville, Kentucky, 42431
Novo Nordisk Investigational Site
Memphis, Tennessee, 38119
Novo Nordisk Investigational Site
Methuen, Massachusetts, 01844
Novo Nordisk Investigational Site
Miami, Florida, 33136
Novo Nordisk Investigational Site
Miami, Florida, 33156
Novo Nordisk Investigational Site
Miami, Florida, 33169
Novo Nordisk Investigational Site
Midland, Texas, 79707
Novo Nordisk Investigational Site
Milwaukee, Wisconsin, 53209
Novo Nordisk Investigational Site
Montclair, California, 91763
Novo Nordisk Investigational Site
New Hyde Park, New York, 11042
Novo Nordisk Investigational Site
Northport, New York, 11768
Novo Nordisk Investigational Site
Oklahoma City, Oklahoma, 73103
Novo Nordisk Investigational Site
Orem, Utah, 84058
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19152
Novo Nordisk Investigational Site
Plano, Texas, 75075
Novo Nordisk Investigational Site
Quincy, Illinois, 62301
Novo Nordisk Investigational Site
Richmond, Virginia, 23249
Novo Nordisk Investigational Site
Richmond, Virginia, 23294
Novo Nordisk Investigational Site
Rockville, Maryland, 20852
Novo Nordisk Investigational Site
Roswell, Georgia, 30076
Novo Nordisk Investigational Site
Savannah, Georgia, 31405
Novo Nordisk Investigational Site
Spring Valley, California, 91978
Novo Nordisk Investigational Site
St Louis, Missouri, 63104
Novo Nordisk Investigational Site
State College, Pennsylvania, 16801
Novo Nordisk Investigational Site
Syracuse, New York, 13210
Novo Nordisk Investigational Site
The Bronx, New York, 10461-2665
Novo Nordisk Investigational Site
Tustin, California, 92780
Novo Nordisk Investigational Site
Walnut Creek, California, 94598
Novo Nordisk Investigational Site
Waterbury, Connecticut, 06712
Novo Nordisk Investigational Site
Willkes Barre, Pennsylvania, 18702
Germany39 sites
Novo Nordisk Investigational Site
Augsburg, 86150
Novo Nordisk Investigational Site
Bad Kreuznach, 55545
Novo Nordisk Investigational Site
Bad Mergentheim, 97980
Novo Nordisk Investigational Site
Bad Nauheim, 61231
Novo Nordisk Investigational Site
Berlin, 10789
Novo Nordisk Investigational Site
Berlin, 12163
Novo Nordisk Investigational Site
Berlin, 13055
Novo Nordisk Investigational Site
Bremen, 28213
Novo Nordisk Investigational Site
Dresden, 01219
Novo Nordisk Investigational Site
Dresden, 01307
Novo Nordisk Investigational Site
Duisburg, 47051
Novo Nordisk Investigational Site
Ebersheim, 55129
Novo Nordisk Investigational Site
Eisenach, 99817
Novo Nordisk Investigational Site
Erfurt, 99085
Novo Nordisk Investigational Site
Esslingen am Neckar, 73728
Novo Nordisk Investigational Site
Frankfurt, 60388
Novo Nordisk Investigational Site
Freiburg im Breisgau, 79106
Novo Nordisk Investigational Site
Fulda, 36037
Novo Nordisk Investigational Site
Gifhorn, 38518
Novo Nordisk Investigational Site
Grevenbroich, 41515
Novo Nordisk Investigational Site
Hamburg, 21073
Novo Nordisk Investigational Site
Hamburg, 22607
Novo Nordisk Investigational Site
Hohenmölsen, 06679
Novo Nordisk Investigational Site
Jena, 07743
Novo Nordisk Investigational Site
Leipzig, 04103
Novo Nordisk Investigational Site
Leipzig, 04275
Novo Nordisk Investigational Site
Limburg, 65549
Novo Nordisk Investigational Site
Mainz, 55131
Novo Nordisk Investigational Site
Mannheim, 68163
Novo Nordisk Investigational Site
München, 81925
Novo Nordisk Investigational Site
Münster, 48145
Novo Nordisk Investigational Site
Neuwied, 56564
Novo Nordisk Investigational Site
Rehlingen-Siersburg, 66780
Novo Nordisk Investigational Site
Rosenheim, 83022
Novo Nordisk Investigational Site
Saint Ingbert, 66386
Novo Nordisk Investigational Site
Schkeuditz, 04435
Novo Nordisk Investigational Site
Sinsheim, 74889
Novo Nordisk Investigational Site
Stuttgart, 70184
Novo Nordisk Investigational Site
Wangen, 88239
United Kingdom32 sites
Novo Nordisk Investigational Site
Aberdeen, AB25 1LD
Novo Nordisk Investigational Site
Ashton-under-Lyne, OL6 9RW
Novo Nordisk Investigational Site
Bath, BA1 3NG
Novo Nordisk Investigational Site
Belfast, BT12 6BA
Novo Nordisk Investigational Site
Belfast, BT16 1RH
Novo Nordisk Investigational Site
Belfast, BT41 2RL
Novo Nordisk Investigational Site
Blackburn, BB2 3HH
Novo Nordisk Investigational Site
Bradford, BD9 6RJ
Novo Nordisk Investigational Site
Bristol, BS2 8HW
Novo Nordisk Investigational Site
Coventry, CV2 2DX
Novo Nordisk Investigational Site
Derby, DE22 3NE
Novo Nordisk Investigational Site
Dundee, DD1 9SY
Novo Nordisk Investigational Site
Edgbaston, Birmingham, B15 2TH
Novo Nordisk Investigational Site
Edinburgh, EH4 2XU
Novo Nordisk Investigational Site
Exeter, EX2 5AX
Novo Nordisk Investigational Site
Guildford, GU2 7XX
Novo Nordisk Investigational Site
Hull, HU3 2JZ
Novo Nordisk Investigational Site
Inverness, IV2 3UJ
Novo Nordisk Investigational Site
Leicester, LE1 5WW
Novo Nordisk Investigational Site
Liverpool, L7 8XP
Novo Nordisk Investigational Site
Liverpool, L9 7AL
Novo Nordisk Investigational Site
London, E1 2EF
Novo Nordisk Investigational Site
Londonderry, BT47 6SB
Novo Nordisk Investigational Site
Manchester, M41 5SL
Novo Nordisk Investigational Site
Manchester, M8 5RB
Novo Nordisk Investigational Site
Northampton, NN1 5BD
Novo Nordisk Investigational Site
Nuneaton, CV10 7DJ
Novo Nordisk Investigational Site
Oxford, OX3 7LE
Novo Nordisk Investigational Site
Rugby, CV22 5PX
Novo Nordisk Investigational Site
Salford, M6 8HD
Novo Nordisk Investigational Site
Swansea, SA6 6NL
Novo Nordisk Investigational Site
Welwyn Garden City, AL7 4HQ
Spain25 sites
Novo Nordisk Investigational Site
Almería, 04001
Novo Nordisk Investigational Site
Badajoz, 06080
Novo Nordisk Investigational Site
Badalona, 08916
Novo Nordisk Investigational Site
Bilbao, 48013
Novo Nordisk Investigational Site
Cadiz, 11009
Novo Nordisk Investigational Site
Cartagena, 30203
Novo Nordisk Investigational Site
Córdoba, 14004
Novo Nordisk Investigational Site
Girona, 17007
Novo Nordisk Investigational Site
Granada, 18012
Novo Nordisk Investigational Site
Madrid, 28006
Novo Nordisk Investigational Site
Madrid, 28031
Novo Nordisk Investigational Site
Madrid, 28040
Novo Nordisk Investigational Site
Majadahonda, 28222
Novo Nordisk Investigational Site
Pamplona, 31008
Novo Nordisk Investigational Site
Pontevedra, 36001
Novo Nordisk Investigational Site
Pozuelo de Alarcón, 28223
Novo Nordisk Investigational Site
Salamanca, 37007
Novo Nordisk Investigational Site
San Juan, 03550
Novo Nordisk Investigational Site
San Sebastián de los Reyes, 28700
Novo Nordisk Investigational Site
Santa Cruz de Tenerife, 38010
Novo Nordisk Investigational Site
Seville, 41013
Novo Nordisk Investigational Site
Tarrasa, 08221
Novo Nordisk Investigational Site
Valencia, 46010
Novo Nordisk Investigational Site
Xátiva, 46800
Novo Nordisk Investigational Site
Zaragoza, 50009
France24 sites
Novo Nordisk Investigational Site
Antibes, 06600
Novo Nordisk Investigational Site
Bron, 69677
Novo Nordisk Investigational Site
Cahors, 46005
Novo Nordisk Investigational Site
Corbeil-Essonnes, 91106
Novo Nordisk Investigational Site
Haguenau, 67504
Novo Nordisk Investigational Site
La Rochelle, 17019
Novo Nordisk Investigational Site
Le Creusot, 71200
Novo Nordisk Investigational Site
Marseille, 13008
Novo Nordisk Investigational Site
Marseille, 13285
Novo Nordisk Investigational Site
Montpellier, 34070
Novo Nordisk Investigational Site
Montpellier, 34295
Novo Nordisk Investigational Site
Narbonne, 11108
Novo Nordisk Investigational Site
Paris, 75181
Novo Nordisk Investigational Site
Paris, 75475
Novo Nordisk Investigational Site
Perpignan, 66046
Novo Nordisk Investigational Site
Pessac, 33600
Novo Nordisk Investigational Site
Poitiers, 86000
Novo Nordisk Investigational Site
Reims, 51056
Novo Nordisk Investigational Site
Saint Quentin Cédex, 02321
Novo Nordisk Investigational Site
Saint-denis de La Reunion, 97405
Novo Nordisk Investigational Site
Saint-pierre de La Reunion, 97448
Novo Nordisk Investigational Site
Sète, 34200
Novo Nordisk Investigational Site
Strasbourg, 67000
Novo Nordisk Investigational Site
Tours, 37044
Italy21 sites
Novo Nordisk Investigational Site
Ancona, 60100
Novo Nordisk Investigational Site
Caserta, 81100
Novo Nordisk Investigational Site
Catanzaro, 88100
Novo Nordisk Investigational Site
Catanzaro Lido
Novo Nordisk Investigational Site
Chiavari, 16043
Novo Nordisk Investigational Site
Cosenza, 87100
Novo Nordisk Investigational Site
Ferrara
Novo Nordisk Investigational Site
Lanciano
Novo Nordisk Investigational Site
Matera (mt), 75100
Novo Nordisk Investigational Site
Milan, 20162
Novo Nordisk Investigational Site
Milan
Novo Nordisk Investigational Site
Monserrato, Cagliari, 09042
Novo Nordisk Investigational Site
Monza, 20052
Novo Nordisk Investigational Site
Palermo, 90127
Novo Nordisk Investigational Site
Piacenza, 29100
Novo Nordisk Investigational Site
Primo Piano Palazzina Ambulato, 40133
Novo Nordisk Investigational Site
Ravenna, 48121
Novo Nordisk Investigational Site
Reggio Calabria, 89122
Novo Nordisk Investigational Site
Roma, 00133
Novo Nordisk Investigational Site
Terni, 05100
Novo Nordisk Investigational Site
Treviglio
Netherlands20 sites
Novo Nordisk Investigational Site
Amersfoort, 3816 CP
Novo Nordisk Investigational Site
Amsterdam, 1091 HA
Novo Nordisk Investigational Site
Amsterdam, 1105 AZ
Novo Nordisk Investigational Site
Beek, 6191JW
Novo Nordisk Investigational Site
Delft, 2625 AD
Novo Nordisk Investigational Site
Doetinchem, 7001 GW
Novo Nordisk Investigational Site
Eindhoven, 5616 GB
Novo Nordisk Investigational Site
Groningen, 9728 NT
Novo Nordisk Investigational Site
Heerlen, 6419 PC
Novo Nordisk Investigational Site
Hoofddorp, 2134 TM
Novo Nordisk Investigational Site
Hoogeveen, 7909 AA
Novo Nordisk Investigational Site
Leiden, 2334 CK
Novo Nordisk Investigational Site
Leiderdorp, 2352 RA
Novo Nordisk Investigational Site
Lichtenvoorde, 7131 CM
Novo Nordisk Investigational Site
Lieshout, 5737 CB
Novo Nordisk Investigational Site
Oude Pekela, 9665 AR
Novo Nordisk Investigational Site
Utrecht, 3584 CX
Novo Nordisk Investigational Site
Voorburg, 2275 CX
Novo Nordisk Investigational Site
Wildervank, 9648 BE
Novo Nordisk Investigational Site
Winschoten, 9671 CX
Canada7 sites
Novo Nordisk Investigational Site
Ajax, L1S 7K8
Novo Nordisk Investigational Site
Edmonton, Alberta, T5J 3N4
Novo Nordisk Investigational Site
Halifax, Nova Scotia, B3H 2Y9
Novo Nordisk Investigational Site
London, Ontario, N6G 2M1
Novo Nordisk Investigational Site
Mississauga, Ontario, L5M 2V8
Novo Nordisk Investigational Site
Smiths Falls, Ontario, K7A 4W8
Novo Nordisk Investigational Site
Winnipeg, Manitoba, R3E 3P4
Puerto Rico3 sites
Novo Nordisk Investigational Site
Bayamón, 00961
Novo Nordisk Investigational Site
Carolina, 00983
Novo Nordisk Investigational Site
Trujillo Alto, 00976
Belgium2 sites
Novo Nordisk Investigational Site
Bonheiden, 2820
Novo Nordisk Investigational Site
Leuven, 3000
About this study
Official title: The Effect of Insulin Detemir in Combination With Liraglutide and Metformin Compared to Liraglutide and Metformin in Subjects With Type 2 Diabetes. A 26 Week, Randomised, Open-label, Parallel-group, Multicentre, Multinational Trial With a 26 Week Extension
This trial is conducted in Europe and North America. The aim of this clinical trial is to assess and compare the effect of insulin detemir in combination with liraglutide and metformin versus liraglutide and metformin in subjects with type 2 diabetes. Subjects will continue their own pre-trial metformin treatment during the trial.
- Conditions
- Diabetes, Diabetes Mellitus, Type 2
- Being tested
- liraglutide, insulin detemir, metformin
- Medical subject headings
- Diabetes Mellitus, Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
liraglutideDrug
Liraglutide 1.8 mg/day for subcutaneous (under the skin) injection.
insulin detemirDrug
Insulin detemir subcutaneous (under the skin) injection once daily. Dose will be titrated (individually adjusted) based on fasting self-measured plasma glucose levels according to a pre-specified algorithm
metforminDrug
Metformin tablets, at least 1500 mg/day
| Study group | Role | What they receive |
|---|---|---|
| Lira 1.8 | Experimental | Subcutaneous administration of liraglutide 1.8 mg once daily in a forced 12 week run-in period + subject's own pre-trial metformin treatment at an unchanged dose and frequency (at least 1500 mg daily). Initial dose of liraglutide 0.6 mg/day with weekly increments of 0.6 mg until final dose of 1.8 mg/day was reached. Subjects were randomised to continue to receive liraglutide 1.8 mg once daily + metformin for 26 weeks plus 26 weeks extension, when the HbA1c assessment after run-in period was at least 7.0% Receives: Drug: liraglutide; Drug: metformin |
| Insulin detemir + Lira 1.8 | Experimental | Subcutaneous administration of liraglutide 1.8 mg once daily in a forced 12 week run-in period + subject's own pre-trial metformin treatment at an unchanged dose and frequency (at least 1500 mg daily). Initial dose of liraglutide 0.6 mg/day with weekly increments of 0.6 mg until final dose of 1.8 mg/day was reached. Subjects were randomised to continue to receive liraglutide 1.8 mg once daily + metformin in addition to individually adjusted insulin detemir for 26 weeks plus 26 weeks extension, when the HbA1c assessment after run-in period was at least 7.0% Receives: Drug: liraglutide; Drug: insulin detemir; Drug: metformin |
| Non-Randomised Lira 1.8 | Experimental | Subcutaneous administration of liraglutide 1.8 mg once daily in a forced 12 week run-in period + subject's own pre-trial metformin treatment at an unchanged dose and frequency (at least 1500 mg daily). Initial dose of liraglutide 0.6 mg/day with weekly increments of 0.6 mg until final dose of 1.8 mg/day was reached. Subjects continued to receive liraglutide 1.8 mg once daily + metformin for 26 weeks plus 26 weeks extension, when the HbA1c assessment after run-in period was below 7.0% Receives: Drug: liraglutide; Drug: metformin |
| Early Withdrawals Lira 1.8 | Other | Subcutaneous administration of liraglutide 1.8 mg once daily in a forced 12 week run-in period + subject's own pre-trial metformin treatment at an unchanged dose and frequency (at least 1500 mg daily). Initial dose of liraglutide 0.6 mg/day with weekly increments of 0.6 mg until final dose of 1.8 mg/day was reached. Due to withdrawals in the run-in period, subjects did not receive any further treatment in trial Receives: Drug: liraglutide; Drug: metformin |
| Intensified group | Other | Intensification of treatment with insulin detemir was offered at Weeks 26 and 38 for subjects with an HbA1c ≥ 8.0% in the randomised Lira 1.8 group and non-randomised liraglutide treatment group. Receives: Drug: liraglutide; Drug: insulin detemir; Drug: metformin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Change From Randomisation in Glycosylated Haemoglobin A1c (HbA1c) at Week 26.
Measured: Week 0 (Randomisation), week 26
Secondary outcomes (31)
Mean Change From Randomisation in Glycosylated Haemoglobin A1c (HbA1c) at Week 52 (for Intensified Subjects in Original Treatment Group)
Measured: Week 0, Week 52
Mean Change From Randomisation in Glycosylated Haemoglobin A1c (HbA1c) at Week 52 (Values Before Intensification as LOCF)
Measured: Week 0, Week 52
Mean Change From Randomisation in Fasting Plasma Glucose at Week 26
Measured: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Fasting Plasma Glucose at Week 52
Measured: Week 0, Week 52
Mean Change From Randomisation in 7-point Plasma Glucose Profile (Self-measured) at Week 26
Calculated as an estimate of the change in mean prandial increment of plasma glucose after breakfast, lunch and dinner (from baseline/randomisation (week 0) to 26 weeks), respectively. Prandial increments of plasma glucose were calculated as the difference between glucose values measured before and after each of these three meals, respectively.
Measured: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in 7-point Plasma Glucose Profile (Self-measured) at Week 52
Calculated as an estimate of the change in mean prandial increment of plasma glucose after breakfast, lunch and dinner (from baseline (week 0) to 52 weeks), respectively. Prandial increments of plasma glucose were calculated as the difference between glucose values measured before and after each of these three meals, respectively.
Measured: Week 0, Week 52
Mean Change From Randomisation in Fasting Insulin at Week 26
Measured: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Fasting Insulin at Week 52
Measured: Week 0 (Randomisation), Week 52
Mean Change From Randomisation in Fasting Pro-insulin at Week 26.
Measured: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Fasting Pro-insulin at Week 52
Measured: Week 0, Week 52
Mean Change From Randomisation in Fasting C-peptide at Week 26.
Measured: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Fasting C-peptide at Week 52.
Measured: Week 0, Week 52
Mean Changes From Randomisation in Cholesterol Lipids at Week 26.
Cholesterol Lipids cover: Total Cholesterol, Low-density Lipoprotein Cholesterol (LDL-C), Very Low Density Lipoprotein Cholesterol (VLDL-C), High Density Lipoprotein Cholesterol (HDL-C)
Measured: Week 0 (Randomisation), Week 26
Mean Changes From Randomisation in Cholesterol Lipids at Week 52.
Cholesterol Lipids cover: Total Cholesterol, Low-density Lipoprotein Cholesterol (LDL-C), Very Low Density Lipoprotein Cholesterol (VLDL-C), High Density Lipoprotein Cholesterol (HDL-C)
Measured: Week 0, Week 52
Mean Change From Randomisation in Lipids: Triglycerides at Week 26
Measured: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Lipids: Triglycerides at Week 52
Measured: Week 0, Week 52
Mean Change From Randomisation in Lipids: Free Fatty Acids (FFA) at Week 26
Measured: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Lipids: Free Fatty Acids (FFA) at Week 52
Measured: Week 0, Week 52
Mean Change From Randomisation in Body Weight at Week 26
Measured: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Body Weight at Week 52
Measured: Week 0, Week 52
Mean Change From Randomisation in Waist Circumference at Week 26.
Measured: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Waist Circumference at Week 52.
Measured: Week 0, Week 52
Mean Change From Randomisation in Hip Circumference at Week 26
Measured: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Hip Circumference at Week 52
Measured: Week 0, week 52
Mean Change From Randomisation in Waist to Hip Ratio at Week 26
Waist to Hip Ratio is calculated by dividing Waist circumference with Hip circumference
Measured: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Waist to Hip Ratio at Week 52
Waist to Hip Ratio is calculated by dividing Waist circumference with Hip circumference
Measured: Week 0, Week 52
Mean Change From Randomisation in Blood Pressure (Systolic and Diastolic) at Week 26.
Measured: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Blood Pressure (Systolic and Diastolic) at Week 52.
Measured: Week 0, Week 52
Adverse Events From Run-in (Week -12) to Week 52
Measured: Run-in (week -12) to Week 52
Hypoglycaemic Episodes (Excluding Outlier Subject), Weeks 0-26
Number of hypoglycaemic episodes from Week 0 to Week 26, defined as major, minor, or symptoms only. Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. Symptoms only if able to treat her/himself and no plasma glucose measurement or plasma glucose higher than or equal to 3.1 mmol/L.
Measured: weeks 0-26
Hypoglycaemic Episodes Weeks 0-52
Number of hypoglycaemic episodes from Week 0 to Week 52, defined as major, minor, or symptoms only. Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. Symptoms only if able to treat her/himself and no plasma glucose measurement or plasma glucose higher than or equal to 3.1 mmol/L.
Measured: Week 0-52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Mar 2009 (estimated)
- Study startMar 2009
- Primary completionApr 2010
- Study completionNov 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for DiabetesStudies of the same condition, open and under way.
- More trials run by Novo Nordisk A/SThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 987 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novo Nordisk A/S
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Global Clinical Registry (GCR, 1452), Study director, Novo Nordisk A/S
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00856986
- Sponsor's protocol ID
- NN2211-1842
- Other IDs
- 2007-005317-19
- Status last verified
- Jan 2017
- First submitted
- 5 Mar 2009
- Last updated
- 8 Mar 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
DeVries JH, Bain SC, Rodbard HW, Seufert J, D'Alessio D, Thomsen AB, Zychma M, Rosenstock J; Liraglutide-Detemir Study Group. Sequential intensification of metformin treatment in type 2 diabetes with liraglutide followed by randomized addition of basal insulin prompted by A1C targets. Diabetes Care. 2012 Jul;35(7):1446-54. doi: 10.2337/dc11-1928. Epub 2012 May 14.
PubMed 22584132Rosenstock J, Rodbard HW, Bain SC, D'Alessio D, Seufert J, Thomsen AB, Svendsen CB, DeVries JH; Liraglutide-Detemir Study Group. One-year sustained glycemic control and weight reduction in type 2 diabetes after addition of liraglutide to metformin followed by insulin detemir according to HbA1c target. J Diabetes Complications. 2013 Sep-Oct;27(5):492-500. doi: 10.1016/j.jdiacomp.2013.04.008. Epub 2013 Jun 6.
PubMed 23746555Jensen TM, Saha K, Steinberg WM. Is there a link between liraglutide and pancreatitis? A post hoc review of pooled and patient-level data from completed liraglutide type 2 diabetes clinical trials. Diabetes Care. 2015 Jun;38(6):1058-66. doi: 10.2337/dc13-1210. Epub 2014 Dec 12.
PubMed 25504028
Study at a glance
From the registry record, last updated by the sponsor on 8 Mar 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Insulin Detemir in Combination With Liraglutide and Metformin Compared to Liraglutide and Metformin in Subjects With Type 2 Diabetes. A 26 Week, Randomised, Open-label, Parallel-group, Multicentre, Multinational Trial With a 26 Week Extension
- ClinicalTrials.gov ID
- NCT00856986
- Acronym / sponsor ID
- NN2211-1842
- Conditions
- Diabetes, Diabetes Mellitus, Type 2
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 987 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- Mar 2009
- Primary completion
- Apr 2010 (actual)
- Study completion
- Nov 2010 (actual)
- First posted
- 6 Mar 2009 (estimated)
- Results
- Posted 13 May 2011
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This trial is conducted in Europe and North America. The aim of this clinical trial is to assess and compare the effect of insulin detemir in combination with liraglutide and metformin versus liraglutide and metformin in subjects with type 2 diabetes. Subjects will continue their own pre-trial metformin treatment during the trial.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Lira 1.8 | Experimental | Drug: liraglutide, Drug: metforminSubcutaneous administration of liraglutide 1.8 mg once daily in a forced 12 week run-in period + subject's own pre-trial metformin treatment at an unchanged dose and frequency (at least 1500 mg daily). Initial dose of liraglutide 0.6 mg/day with weekly increments of 0.6 mg until final dose of 1.8 mg/day was reached. Subjects were randomised to continue to receive liraglutide 1.8 mg once daily + metformin for 26 weeks plus 26 weeks extension, when the HbA1c assessment after run-in period was at least 7.0% |
| Insulin detemir + Lira 1.8 | Experimental | Drug: liraglutide, Drug: insulin detemir, Drug: metforminSubcutaneous administration of liraglutide 1.8 mg once daily in a forced 12 week run-in period + subject's own pre-trial metformin treatment at an unchanged dose and frequency (at least 1500 mg daily). Initial dose of liraglutide 0.6 mg/day with weekly increments of 0.6 mg until final dose of 1.8 mg/day was reached. Subjects were randomised to continue to receive liraglutide 1.8 mg once daily + metformin in addition to individually adjusted insulin detemir for 26 weeks plus 26 weeks extension, when the HbA1c assessment after run-in period was at least 7.0% |
| Non-Randomised Lira 1.8 | Experimental | Drug: liraglutide, Drug: metforminSubcutaneous administration of liraglutide 1.8 mg once daily in a forced 12 week run-in period + subject's own pre-trial metformin treatment at an unchanged dose and frequency (at least 1500 mg daily). Initial dose of liraglutide 0.6 mg/day with weekly increments of 0.6 mg until final dose of 1.8 mg/day was reached. Subjects continued to receive liraglutide 1.8 mg once daily + metformin for 26 weeks plus 26 weeks extension, when the HbA1c assessment after run-in period was below 7.0% |
| Early Withdrawals Lira 1.8 | Other | Drug: liraglutide, Drug: metforminSubcutaneous administration of liraglutide 1.8 mg once daily in a forced 12 week run-in period + subject's own pre-trial metformin treatment at an unchanged dose and frequency (at least 1500 mg daily). Initial dose of liraglutide 0.6 mg/day with weekly increments of 0.6 mg until final dose of 1.8 mg/day was reached. Due to withdrawals in the run-in period, subjects did not receive any further treatment in trial |
| Intensified group | Other | Drug: liraglutide, Drug: insulin detemir, Drug: metforminIntensification of treatment with insulin detemir was offered at Weeks 26 and 38 for subjects with an HbA1c ≥ 8.0% in the randomised Lira 1.8 group and non-randomised liraglutide treatment group. |
Who may qualify
- Ages
- 18 to 84 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Subjects diagnosed with type 2 diabetes, insulin naïve and treated with metformin as monotherapy for at least 3 months prior to screening, at a stable dose of at least 1500 mg/day or metformin (at least 1500 mg/day) and a sulfonylurea (less than or equal to half of the maximum approved dose), both at a stable dose for at least 3 months prior to screening. Previous short-term insulin treatment in connection with intercurrent illness is allowed at the discretion of the Investigator
- HbA1c 7.0-10.0% (both inclusive) for subjects on metformin monotherapy
- HbA1c 7.0-8.5% (both inclusive) for subjects on metformin in combination with a sulphonylurea
Key exclusion criteria (9 listed)
- Previous treatment with insulin (except for short-term treatment in connection with intercurrent illness at the discretion of the Investigator)
- Treatment with glucose-lowering agent(s) other than stated in the inclusion criteria in a period of 3 months prior to screening
- Recurrent major hypoglycaemia or hypoglycaemic unawareness as judged by the Investigator
- Impaired kidney function
- Impaired liver function
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| liraglutideLiraglutide 1.8 mg/day for subcutaneous (under the skin) injection. | Drug | Early Withdrawals Lira 1.8, Insulin detemir + Lira 1.8, Intensified group, Lira 1.8, Non-Randomised Lira 1.8 |
| insulin detemirInsulin detemir subcutaneous (under the skin) injection once daily. Dose will be titrated (individually adjusted) based on fasting self-measured plasma glucose levels according to a pre-specified algorithm | Drug | Insulin detemir + Lira 1.8, Intensified group |
| metforminMetformin tablets, at least 1500 mg/day | Drug | Early Withdrawals Lira 1.8, Insulin detemir + Lira 1.8, Intensified group, Lira 1.8, Non-Randomised Lira 1.8 |
Primary outcome
Mean Change From Randomisation in Glycosylated Haemoglobin A1c (HbA1c) at Week 26.
Time frame: Week 0 (Randomisation), week 26
31 secondary outcomes
Mean Change From Randomisation in Glycosylated Haemoglobin A1c (HbA1c) at Week 52 (for Intensified Subjects in Original Treatment Group)
Time frame: Week 0, Week 52
Mean Change From Randomisation in Glycosylated Haemoglobin A1c (HbA1c) at Week 52 (Values Before Intensification as LOCF)
Time frame: Week 0, Week 52
Mean Change From Randomisation in Fasting Plasma Glucose at Week 26
Time frame: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Fasting Plasma Glucose at Week 52
Time frame: Week 0, Week 52
Mean Change From Randomisation in 7-point Plasma Glucose Profile (Self-measured) at Week 26
Time frame: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in 7-point Plasma Glucose Profile (Self-measured) at Week 52
Time frame: Week 0, Week 52
Mean Change From Randomisation in Fasting Insulin at Week 26
Time frame: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Fasting Insulin at Week 52
Time frame: Week 0 (Randomisation), Week 52
Mean Change From Randomisation in Fasting Pro-insulin at Week 26.
Time frame: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Fasting Pro-insulin at Week 52
Time frame: Week 0, Week 52
Mean Change From Randomisation in Fasting C-peptide at Week 26.
Time frame: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Fasting C-peptide at Week 52.
Time frame: Week 0, Week 52
Mean Changes From Randomisation in Cholesterol Lipids at Week 26.
Time frame: Week 0 (Randomisation), Week 26
Mean Changes From Randomisation in Cholesterol Lipids at Week 52.
Time frame: Week 0, Week 52
Mean Change From Randomisation in Lipids: Triglycerides at Week 26
Time frame: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Lipids: Triglycerides at Week 52
Time frame: Week 0, Week 52
Mean Change From Randomisation in Lipids: Free Fatty Acids (FFA) at Week 26
Time frame: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Lipids: Free Fatty Acids (FFA) at Week 52
Time frame: Week 0, Week 52
Mean Change From Randomisation in Body Weight at Week 26
Time frame: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Body Weight at Week 52
Time frame: Week 0, Week 52
Mean Change From Randomisation in Waist Circumference at Week 26.
Time frame: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Waist Circumference at Week 52.
Time frame: Week 0, Week 52
Mean Change From Randomisation in Hip Circumference at Week 26
Time frame: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Hip Circumference at Week 52
Time frame: Week 0, week 52
Mean Change From Randomisation in Waist to Hip Ratio at Week 26
Time frame: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Waist to Hip Ratio at Week 52
Time frame: Week 0, Week 52
Mean Change From Randomisation in Blood Pressure (Systolic and Diastolic) at Week 26.
Time frame: Week 0 (Randomisation), Week 26
Mean Change From Randomisation in Blood Pressure (Systolic and Diastolic) at Week 52.
Time frame: Week 0, Week 52
Adverse Events From Run-in (Week -12) to Week 52
Time frame: Run-in (week -12) to Week 52
Hypoglycaemic Episodes (Excluding Outlier Subject), Weeks 0-26
Time frame: weeks 0-26
Hypoglycaemic Episodes Weeks 0-52
Time frame: Week 0-52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Mar 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 22584132DeVries JH, Bain SC, Rodbard HW, Seufert J, D'Alessio D, Thomsen AB, Zychma M, Rosenstock J; Liraglutide-Detemir Study Group. Sequential intensification of metformin treatment in type 2 diabetes with liraglutide followed by randomized addition of basal insulin prompted by A1C targets. Diabetes Care. 2012 Jul;35(7):1446-54. doi: 10.2337/dc11-1928. Epub 2012 May 14.
- Results publication: PubMed 23746555Rosenstock J, Rodbard HW, Bain SC, D'Alessio D, Seufert J, Thomsen AB, Svendsen CB, DeVries JH; Liraglutide-Detemir Study Group. One-year sustained glycemic control and weight reduction in type 2 diabetes after addition of liraglutide to metformin followed by insulin detemir according to HbA1c target. J Diabetes Complications. 2013 Sep-Oct;27(5):492-500. doi: 10.1016/j.jdiacomp.2013.04.008. Epub 2013 Jun 6.
- Results publication: PubMed 25504028Jensen TM, Saha K, Steinberg WM. Is there a link between liraglutide and pancreatitis? A post hoc review of pooled and patient-level data from completed liraglutide type 2 diabetes clinical trials. Diabetes Care. 2015 Jun;38(6):1058-66. doi: 10.2337/dc13-1210. Epub 2014 Dec 12.
- Clinical Trials at Novo NordiskLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Global Clinical Registry (GCR, 1452) study director
Novo Nordisk A/S
233 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing liraglutide, insulin detemir and metformin in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 233 sites in 10 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 233 sites in United States, Germany, United Kingdom, Spain, France and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 13 May 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Mean Change From Randomisation in Glycosylated Haemoglobin A1c (HbA1c) at Week 26. (time frame: Week 0 (Randomisation), week 26). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00856986, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Mar 2017.