DiabetesPhase 3DUAL™ INCT01336023
Dual Action of Liraglutide and Insulin Degludec in Type 2 Diabetes: A Trial Comparing the Efficacy and Safety of Insulin Degludec/Liraglutide, Insulin Degludec and Liraglutide in Subjects With Type 2 Diabetes
A Phase 3 study testing insulin degludec/liraglutide, insulin degludec and liraglutide in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 302 sites in 20 countries.
Trial summary
This trial is conducted globally. The aim of this trial is to compare the efficacy and safety of insulin degludec/liraglutide (IDegLira) versus insulin degludec (IDeg) and liraglutide (Lira) in subjects with type 2 diabetes. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diabetes, Diabetes Mellitus, Type 2
- What is being tested?
- insulin degludec/liraglutide, insulin degludec and liraglutide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,663 participants
- Where
- 302 sitesin 20 countries
- Study dates
- 23 May 2011to 22 Nov 2012
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects with type 2 diabetes
- HbA1c 7.0-10.0 % (both inclusive) with the aim of a median HbA1c of 8.3%. Accordingly, when approximately 50% of the randomised subjects have a HbA1c above 8.3%, the remaining subjects randomised must have a HbA1c of below or equal to 8.3%, or when approximately 50% of the randomised subjects have a HbA1c of below or equal to 8.3%, the remaining subjects randomised must have a HbA1c above 8.3%
- Male or female, age 18 years or above (Taiwan: 20 years or above for a site 653 in Taiwan: Taichung Veterans General Hospital)
- Subjects on stable dose of 1-2 OADs (metformin [at least 1500 mg or max tolerated dose] or metformin [at least 1500 mg or max tolerated dose] + pioglitazone [at least 30 mg]) for at least 90 days prior to screening
- Body Mass Index (BMI) maximum 40 kg/m^2
Who cannot join
- Treatment with insulin (except for short-term treatment due to intercurrent illness at the discretion of the Investigator)
- Treatment with GLP-1 (glucagon-like peptide-1) receptor agonists (eg exenatide, liraglutide), sulphonylurea or dipeptidyl peptidase 4 (DPP-4) inhibitors within 90 days prior to trial
- Impaired liver function, defined as alanine aminotransferese (ALAT) at least 2.5 times Upper Normal Range (UNR) (one retest analysed at the central laboratory within a week from first sample taken is permitted with the result of the last sample being the conclusive)
- Impaired renal function defined as serum-creatinine at least 133 mcmol/l (at least 1.5 mg/dl) for males and at least 125 mcmol/l (at least 1.4) for females, or as allowed according to local contraindications for metformin (one retest analysed at the central laboratory within a week from first sample taken is permitted with the result of the last sample being the conclusive)
- Screening calcitonin at least 50 ng/L
- Subjects with personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia type 2 (MEN 2)
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- 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 12 months and planned coronary, carotid or peripheral artery revascularisation procedures
- Severe uncontrolled treated or untreated hypertension (systolic blood pressure at least 180 mm Hg or diastolic blood pressure at least 100 mm Hg)
- Acute treatment required proliferative retinopathy or maculopathy (macular oedema)
- History of chronic pancreatitis or idiopathic acute pancreatitis
Trial locations and contacts
302 sites in 20 countries.
302 sites in 20 countries
United States146 sites
Novo Nordisk Investigational Site
Albany, New York, 12206
Novo Nordisk Investigational Site
Anaheim, California, 92801
Novo Nordisk Investigational Site
Asheboro, North Carolina, 27203
Novo Nordisk Investigational Site
Asheville, North Carolina, 28801
Novo Nordisk Investigational Site
Atlanta, Georgia, 30318
Novo Nordisk Investigational Site
Avon, Illinois, 46123
Novo Nordisk Investigational Site
Beaver, Pennsylvania, 15009
Novo Nordisk Investigational Site
Bermuda Dunes, California, 92203
Novo Nordisk Investigational Site
Birmingham, Alabama, 35216
Novo Nordisk Investigational Site
Bridgeville, Pennsylvania, 15017
Novo Nordisk Investigational Site
Buckley, Michigan, 49620
Novo Nordisk Investigational Site
Burke, Virginia, 22015
Novo Nordisk Investigational Site
Burlington, North Carolina, 27215
Novo Nordisk Investigational Site
Canton, Ohio, 44718
Novo Nordisk Investigational Site
Chapel Hill, North Carolina, 27517
Novo Nordisk Investigational Site
Charlotte, North Carolina, 28277
Novo Nordisk Investigational Site
Chattanooga, Tennessee, 37404
Novo Nordisk Investigational Site
Chattanooga, Tennessee, 37411
Novo Nordisk Investigational Site
Chesterfield, Missouri, 63017
Novo Nordisk Investigational Site
Chicago, Illinois, 60607
Novo Nordisk Investigational Site
Cincinnati, Ohio, 45224
Novo Nordisk Investigational Site
Cincinnati, Ohio, 45242-4494
Novo Nordisk Investigational Site
Cincinnati, Ohio, 45242
Novo Nordisk Investigational Site
Clearwater, Florida, 33765
Novo Nordisk Investigational Site
Cleveland, Ohio, 44113
Novo Nordisk Investigational Site
Colorado Springs, Colorado, 80910
Novo Nordisk Investigational Site
Columbia, South Carolina, 29201-2970
Novo Nordisk Investigational Site
Columbus, Georgia, 31909
Novo Nordisk Investigational Site
Columbus, Ohio, 43213
Novo Nordisk Investigational Site
Concord, California, 94520
Novo Nordisk Investigational Site
Conyers, Georgia, 30094-5965
Novo Nordisk Investigational Site
Crestview Hills, Kentucky, 41017-3464
Novo Nordisk Investigational Site
Dallas, Texas, 75230
Novo Nordisk Investigational Site
Dallas, Texas, 75246
Novo Nordisk Investigational Site
Dallas, Texas, 75251
Novo Nordisk Investigational Site
Dallas, Texas, 75390-9302
Novo Nordisk Investigational Site
Decatur, Georgia, 30035
Novo Nordisk Investigational Site
Delray Beach, Florida, 33484
Novo Nordisk Investigational Site
Denver, Colorado, 80209
Novo Nordisk Investigational Site
DeSoto, Texas, 75115
Novo Nordisk Investigational Site
East Providence, Rhode Island, 02914
Novo Nordisk Investigational Site
Encino, California, 91436
Novo Nordisk Investigational Site
Fair Oaks, California, 95628
Novo Nordisk Investigational Site
Fishers, Indiana, 46038-1862
Novo Nordisk Investigational Site
Flemington, New Jersey, 08822-5763
Novo Nordisk Investigational Site
Fort Lauderdale, Florida, 33316
Novo Nordisk Investigational Site
Fort Worth, Texas, 76113
Novo Nordisk Investigational Site
Franklin, Indiana, 46131
Novo Nordisk Investigational Site
Franklin, Ohio, 45005
Novo Nordisk Investigational Site
Fresno, California, 93702
Novo Nordisk Investigational Site
Golden, Colorado, 80401
Novo Nordisk Investigational Site
Greenbrae, California, 94904
Novo Nordisk Investigational Site
Greensboro, North Carolina, 27408
Novo Nordisk Investigational Site
Greenville, North Carolina, 27834
Novo Nordisk Investigational Site
Greer, South Carolina, 29651
Novo Nordisk Investigational Site
Gurnee, Illinois, 60031
Novo Nordisk Investigational Site
Henderson, Nevada, 89052-2649
Novo Nordisk Investigational Site
Hialeah, Florida, 33012
Novo Nordisk Investigational Site
Houston, Texas, 77004-7000
Novo Nordisk Investigational Site
Houston, Texas, 77074
Novo Nordisk Investigational Site
Houston, Texas, 77095
Novo Nordisk Investigational Site
Hyattsville, Maryland, 20782
Novo Nordisk Investigational Site
Indianapolis, Indiana, 46254
Novo Nordisk Investigational Site
Irving, Texas, 75061-2210
Novo Nordisk Investigational Site
Jacksonville, Florida, 32258
Novo Nordisk Investigational Site
Kansas City, Missouri, 64111
Novo Nordisk Investigational Site
Kettering, Ohio, 45429
Novo Nordisk Investigational Site
Killeen, Texas, 76543-5600
Novo Nordisk Investigational Site
Kingsport, Tennessee, 37660
Novo Nordisk Investigational Site
Kissimmee, Florida, 34741
Novo Nordisk Investigational Site
La Jolla, California, 92037
Novo Nordisk Investigational Site
Las Vegas, Nevada, 89102
Novo Nordisk Investigational Site
Lawrenceville, Georgia, 30046
Novo Nordisk Investigational Site
Lexington, Kentucky, 40503
Novo Nordisk Investigational Site
Long Beach, California, 90807
Novo Nordisk Investigational Site
Los Angeles, California, 90057
Novo Nordisk Investigational Site
Lubbock, Texas, 79423
Novo Nordisk Investigational Site
Manassas, Virginia, 20110
Novo Nordisk Investigational Site
Mason, Ohio, 45040-6815
Novo Nordisk Investigational Site
Maumee, Ohio, 43537
Novo Nordisk Investigational Site
Melbourne, Florida, 32934
Novo Nordisk Investigational Site
Meridian, Idaho, 83646
Novo Nordisk Investigational Site
Metairie, Louisiana, 70006-2930
Novo Nordisk Investigational Site
Metairie, Louisiana, 70006
Novo Nordisk Investigational Site
Miami, Florida, 33135
Novo Nordisk Investigational Site
Miami, Florida, 33156
Novo Nordisk Investigational Site
Michigan City, Indiana, 46360
Novo Nordisk Investigational Site
Milwaukee, Wisconsin, 53209
Novo Nordisk Investigational Site
Montclair, California, 91763
Novo Nordisk Investigational Site
Monterey, California, 93940
Novo Nordisk Investigational Site
Morehead City, North Carolina, 28557
Novo Nordisk Investigational Site
Muncie, Indiana, 47304
Novo Nordisk Investigational Site
Nampa, Idaho, 83686-6011
Novo Nordisk Investigational Site
Nashua, New Hampshire, 03063
Novo Nordisk Investigational Site
Newark, Delaware, 19713
Novo Nordisk Investigational Site
Newport News, Virginia, 23606
Novo Nordisk Investigational Site
Norristown, Pennsylvania, 19401
Novo Nordisk Investigational Site
North East, Maryland, 21901
Novo Nordisk Investigational Site
Northport, New York, 11768
Novo Nordisk Investigational Site
O'Fallon, Illinois, 62246
Novo Nordisk Investigational Site
Ogden, Utah, 84403
Novo Nordisk Investigational Site
Oklahoma City, Oklahoma, 73104
Novo Nordisk Investigational Site
Orange, California, 92868
Novo Nordisk Investigational Site
Orlando, Florida, 32804
Novo Nordisk Investigational Site
Pelzer, South Carolina, 29669
Novo Nordisk Investigational Site
Pembroke Pines, Florida, 33027
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19107
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19152
Novo Nordisk Investigational Site
Pittsburgh, Pennsylvania, 15224-2215
Novo Nordisk Investigational Site
Pittsburgh, Pennsylvania, 15235
Novo Nordisk Investigational Site
Poway, California, 92064
Novo Nordisk Investigational Site
Rockville, Maryland, 20852
Novo Nordisk Investigational Site
Roswell, Georgia, 30076
Novo Nordisk Investigational Site
Saint Charles, Missouri, 63303
Novo Nordisk Investigational Site
Salt Lake City, Utah, 84107
Novo Nordisk Investigational Site
San Antonio, Texas, 78215
Novo Nordisk Investigational Site
San Antonio, Texas, 78224
Novo Nordisk Investigational Site
San Diego, California, 92111
Novo Nordisk Investigational Site
San Diego, California, 92117
Novo Nordisk Investigational Site
San Diego, California, 92161-0002
Novo Nordisk Investigational Site
San Mateo, California, 94401
Novo Nordisk Investigational Site
Santa Barbara, California, 93105
Novo Nordisk Investigational Site
Shelby, North Carolina, 28152
Novo Nordisk Investigational Site
Simpsonville, South Carolina, 29681
Novo Nordisk Investigational Site
Southfield, Michigan, 48034-7661
Novo Nordisk Investigational Site
Southfield, Michigan, 48075
Novo Nordisk Investigational Site
Spartanburg, South Carolina, 29303
Novo Nordisk Investigational Site
Spokane, Washington, 99208
Novo Nordisk Investigational Site
St. George, Utah, 84790
Novo Nordisk Investigational Site
Statesville, North Carolina, 28625
Novo Nordisk Investigational Site
Sugar Land, Texas, 77478
Novo Nordisk Investigational Site
Syracuse, New York, 13210
Novo Nordisk Investigational Site
Tampa, Florida, 33603
Novo Nordisk Investigational Site
Taylors, South Carolina, 29687
Novo Nordisk Investigational Site
The Bronx, New York, 10461
Novo Nordisk Investigational Site
Toms River, New Jersey, 08753-2975
Novo Nordisk Investigational Site
Toms River, New Jersey, 08755-8050
Novo Nordisk Investigational Site
Troy, Michigan, 48098
Novo Nordisk Investigational Site
Tustin, California, 92780
Novo Nordisk Investigational Site
Valencia, California, 91355
Novo Nordisk Investigational Site
Virginia Beach, Virginia, 23462
Novo Nordisk Investigational Site
Walnut Creek, California, 94598
Novo Nordisk Investigational Site
Waterbury, Connecticut, 06708
Novo Nordisk Investigational Site
West Seneca, New York, 14224
Novo Nordisk Investigational Site
Winston-Salem, North Carolina, 27103
Novo Nordisk Investigational Site
Woodstock, Georgia, 30189-4255
India23 sites
Novo Nordisk Investigational Site
Ahmedabad, Gujarat, 380006
Novo Nordisk Investigational Site
Bangalore, Karnataka, 560034
Novo Nordisk Investigational Site
Bangalore, Karnataka, 560092
Novo Nordisk Investigational Site
Bhubaneswar, Odisha, 751019
Novo Nordisk Investigational Site
Chennai, Tamil Nadu, 600 013
Novo Nordisk Investigational Site
Chennai, Tamil Nadu, 600028
Novo Nordisk Investigational Site
Gurgaon, Haryana, 122001
Novo Nordisk Investigational Site
Hyderabad, 600034
Novo Nordisk Investigational Site
Indore, Madhya Pradesh, 452010
Novo Nordisk Investigational Site
Jaipur, Rajasthan, 302006
Novo Nordisk Investigational Site
Jaipur, Rajasthan, 302017
Novo Nordisk Investigational Site
Kochi, Kerala, 682041
Novo Nordisk Investigational Site
Kochi, Kerala, 695010
Novo Nordisk Investigational Site
Kolkata, West Bengal, 700031
Novo Nordisk Investigational Site
Kolkata, 700017
Novo Nordisk Investigational Site
Mumbai, Maharashtra, 400008
Novo Nordisk Investigational Site
Mumbai, Maharashtra, 400012
Novo Nordisk Investigational Site
Patna, 800020
Novo Nordisk Investigational Site
Pune, Maharashtra, 411 037
Novo Nordisk Investigational Site
Pune, 411011
Novo Nordisk Investigational Site
Thiruvanathapuram, Kerala, 695010
Novo Nordisk Investigational Site
Trichy, Tamil Nadu, 620018
Novo Nordisk Investigational Site
Trivandrum, Kerala, 695011
United Kingdom17 sites
Novo Nordisk Investigational Site
Belfast, BT16 1RH
Novo Nordisk Investigational Site
Bury St Edmunds, IP33 2QZ
Novo Nordisk Investigational Site
Carmarthen, SA31 2AF
Novo Nordisk Investigational Site
Dundee, DD1 9SY
Novo Nordisk Investigational Site
Edgbaston, Birmingham, B15 2TH
Novo Nordisk Investigational Site
Fife, KY2 5AH
Novo Nordisk Investigational Site
Glasgow, G45 9AW
Novo Nordisk Investigational Site
Gloucester, GL1 3NN
Novo Nordisk Investigational Site
Headington, OX3 7LE
Novo Nordisk Investigational Site
Lancaster, LA1 4RP
Novo Nordisk Investigational Site
Letchworth Garden City, SG6 4UB
Novo Nordisk Investigational Site
Llantrisant, CF72 8XR
Novo Nordisk Investigational Site
London, W6 7HY
Novo Nordisk Investigational Site
St Helens, WA9 3DA
Novo Nordisk Investigational Site
Stevenage, SG1 4AB
Novo Nordisk Investigational Site
Weston-super-Mare, BS23 4TQ
Novo Nordisk Investigational Site
Wrexham, LL13 7TD
Canada15 sites
Novo Nordisk Investigational Site
Brampton, Ontario, L6T 0G1
Novo Nordisk Investigational Site
Burlington, Ontario, L7R 1E2
Novo Nordisk Investigational Site
Chilliwack, British Columbia, V2P 4M9
Novo Nordisk Investigational Site
Cornwall, Ontario, K6H 4M4
Novo Nordisk Investigational Site
Drummondville, Quebec, J2B 7T1
Novo Nordisk Investigational Site
Edmonton, Alberta, T5J 3N4
Novo Nordisk Investigational Site
Hamilton, Ontario, L8L 5G8
Novo Nordisk Investigational Site
Hamilton, Ontario, L8M 1K7
Novo Nordisk Investigational Site
Laval, Quebec, H7T 2P5
Novo Nordisk Investigational Site
Mississauga, Ontario, L5M 2V8
Novo Nordisk Investigational Site
Québec, G1G 3Y8
Novo Nordisk Investigational Site
Québec, G1N 4V3
Novo Nordisk Investigational Site
Toronto, Ontario, M3J 1N2
Novo Nordisk Investigational Site
Vancouver, British Columbia, V5Z 1M9
Novo Nordisk Investigational Site
Winnipeg, Manitoba, R3E 3P4
Germany14 sites
Novo Nordisk Investigational Site
Bad Neuenahr-Ahrweiler, 53474
Novo Nordisk Investigational Site
Eisenach, 99817
Novo Nordisk Investigational Site
Esslingen am Neckar, 73728
Novo Nordisk Investigational Site
Frankfurt, 60388
Novo Nordisk Investigational Site
Grevenbroich, 41515
Novo Nordisk Investigational Site
Hamburg, 21073
Novo Nordisk Investigational Site
Herrenberg, 71083
Novo Nordisk Investigational Site
Hohenmölsen, 06679
Novo Nordisk Investigational Site
Münster, 48145
Novo Nordisk Investigational Site
Oldenburg, 23758
Novo Nordisk Investigational Site
Pohlheim, 35415
Novo Nordisk Investigational Site
Rehburg-Loccum, 31547
Novo Nordisk Investigational Site
Rehlingen-Siersburg, 66780
Novo Nordisk Investigational Site
Stuttgart, 70378
South Africa14 sites
Novo Nordisk Investigational Site
Bloemfontein, Free State, 9301
Novo Nordisk Investigational Site
Brits, North West, 0250
Novo Nordisk Investigational Site
Cape Town, Western Cape, 7572
Novo Nordisk Investigational Site
Durban, KwaZulu-Natal, 4001
Novo Nordisk Investigational Site
Durban, KwaZulu-Natal, 4091
Novo Nordisk Investigational Site
Durban, KwaZulu-Natal, 4126
Novo Nordisk Investigational Site
Durban, KwaZulu-Natal, 4450
Novo Nordisk Investigational Site
eMkhomazi, KwaZulu-Natal, 4170
Novo Nordisk Investigational Site
Johannesburg, Gauteng, 1812
Novo Nordisk Investigational Site
Johannesburg, Gauteng, 1827
Novo Nordisk Investigational Site
Johannesburg, Gauteng, 2001
Novo Nordisk Investigational Site
Johannesburg, Gauteng, 2198
Novo Nordisk Investigational Site
Port Elizabeth, Eastern Cape, 6014
Novo Nordisk Investigational Site
Vaderbijlpark, Gauteng, 1900
Russia11 sites
Novo Nordisk Investigational Site
Kursk, 305035
Novo Nordisk Investigational Site
Moscow, 119435
Novo Nordisk Investigational Site
Moscow, 127411
Novo Nordisk Investigational Site
Penza, 440026
Novo Nordisk Investigational Site
Saint Petersburg, 194156
Novo Nordisk Investigational Site
Saint Petersburg, 195257
Novo Nordisk Investigational Site
Saint Petersburg, 199034
Novo Nordisk Investigational Site
Saratov, 410053
Novo Nordisk Investigational Site
Stavropol, 355017
Novo Nordisk Investigational Site
Voronezh, 394018
Novo Nordisk Investigational Site
Vsevolozhsk, 188643
Australia8 sites
Novo Nordisk Investigational Site
Broadmeadow, New South Wales, 2292
Novo Nordisk Investigational Site
Camperdown, New South Wales, 2050
Novo Nordisk Investigational Site
Coffs Harbour, New South Wales, 2450
Novo Nordisk Investigational Site
East Ringwood, Victoria, 3135
Novo Nordisk Investigational Site
Keswick, South Australia, 5035
Novo Nordisk Investigational Site
Meadowbrook, Queensland, 4131
Novo Nordisk Investigational Site
Melbourne, Victoria, 3004
Novo Nordisk Investigational Site
Penrith, New South Wales, 2751
Italy8 sites
Novo Nordisk Investigational Site
Cosenza, 87100
Novo Nordisk Investigational Site
Forlì, 47100
Novo Nordisk Investigational Site
Monserrato, Cagliari, 09042
Novo Nordisk Investigational Site
Novara, 28100
Novo Nordisk Investigational Site
Olbia, 07026
Novo Nordisk Investigational Site
Palermo, 90127
Novo Nordisk Investigational Site
Siena, 53100
Novo Nordisk Investigational Site
Torino, 10126
Spain8 sites
Novo Nordisk Investigational Site
A Coruña, 15006
Novo Nordisk Investigational Site
Almería, 04001
Novo Nordisk Investigational Site
Granada, 18012
Novo Nordisk Investigational Site
Partida de Bacarot, 03114
Novo Nordisk Investigational Site
Seville, 41003
Novo Nordisk Investigational Site
Seville, 41010
Novo Nordisk Investigational Site
Valencia, 46026
Novo Nordisk Investigational Site
Valladolid, 47005
Hungary7 sites
Novo Nordisk Investigational Site
Budapest, 1041
Novo Nordisk Investigational Site
Budapest, H-1212
Novo Nordisk Investigational Site
Debrecen, 4043
Novo Nordisk Investigational Site
Eger, 3300
Novo Nordisk Investigational Site
Gyula, 5700
Novo Nordisk Investigational Site
Pécs, 7623
Novo Nordisk Investigational Site
Szeged, H-6720
Malaysia6 sites
Novo Nordisk Investigational Site
Cheras, 56000
Novo Nordisk Investigational Site
George Town, 10459
Novo Nordisk Investigational Site
Kota Bharu, Kelantan, 16150
Novo Nordisk Investigational Site
Pulau Pinang, 10990
Novo Nordisk Investigational Site
Putrajaya, 62250
Novo Nordisk Investigational Site
Seremban, 70300
Finland5 sites
Novo Nordisk Investigational Site
Hanko, 10900
Novo Nordisk Investigational Site
Helsinki, 00180
Novo Nordisk Investigational Site
Imatra, FI-55120
Novo Nordisk Investigational Site
Kokkola, FI-67100
Novo Nordisk Investigational Site
Oulu, 90100
Slovakia4 sites
Novo Nordisk Investigational Site
Bratislava, 821 03
Novo Nordisk Investigational Site
Lučenec, 984 01
Novo Nordisk Investigational Site
Moldava nad Bodvou, 045 01
Novo Nordisk Investigational Site
Nové Zámky, 940 59
Taiwan4 sites
Novo Nordisk Investigational Site
Taichung, 407
Novo Nordisk Investigational Site
Tainan, 710
Novo Nordisk Investigational Site
Taipei, 100
Novo Nordisk Investigational Site
Taoyuan, 333
Thailand4 sites
Novo Nordisk Investigational Site
Bangkok, 10330
Novo Nordisk Investigational Site
Bangkok, 10400
Novo Nordisk Investigational Site
Bangkoknoi, Bangkok, 10700
Novo Nordisk Investigational Site
Chiang Mai, 50200
Singapore3 sites
Novo Nordisk Investigational Site
Singapore, 119228
Novo Nordisk Investigational Site
Singapore, 308433
Novo Nordisk Investigational Site
Singapore, 768828
Ireland2 sites
Novo Nordisk Investigational Site
Dublin, DUBLIN 7
Novo Nordisk Investigational Site
Galway, H91 YR71
Mexico2 sites
Novo Nordisk Investigational Site
Guadalajara, Jalisco, 44600
Novo Nordisk Investigational Site
Monterrey, Nuevo León, 64460
About this study
Official title: 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
This trial is conducted globally. The aim of this trial is to compare the efficacy and safety of insulin degludec/liraglutide (IDegLira) versus insulin degludec (IDeg) and liraglutide (Lira) in subjects with type 2 diabetes. Subjects are to continue their pre-trial treatment with metformin or metformin + pioglitazone throughout the entire trial.
- Conditions
- Diabetes, Diabetes Mellitus, Type 2
- Being tested
- insulin degludec/liraglutide, insulin degludec, liraglutide
- 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.
insulin degludec/liraglutideDrug
Insulin degludec/liraglutide treatment will be initiated and titrated (individually adjusted) twice weekly according to the mean self measured plasma glucose (SMPG) (fasting). Insulin degludec/liraglutide is injected subcutaneously (under the skin) once daily.
insulin degludecDrug
Insulin degludec treatment will be initiated with 10 U and titrated (individually adjusted) twice weekly according to the mean SMPG (fasting). Insulin degludec is injected subcutaneously (under the skin) once daily.
liraglutideDrug
Liraglutide will be started with 0.6 mg and subsequent 0.6 mg weekly dose escalation to 1.8 mg. Liraglutide dose of 1.8 mg/day will be continued for the remaining part of the trial. Liraglutide is injected subcutaneously (under the skin) once daily.
| Study group | Role | What they receive |
|---|---|---|
| IDeg | Experimental | Not described Receives: Drug: insulin degludec |
| IDegLira | Experimental | Not described Receives: Drug: insulin degludec/liraglutide |
| Lira | Experimental | Not described Receives: Drug: liraglutide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Change From Baseline in HbA1c (Glycosylated Haemoglobin) at Week 26.
Values of mean change in HbA1c.
Measured: Week 0, week 26
Secondary outcomes (4)
Mean Change From Baseline in Body Weight at Week 26
Values of mean change in body weight.
Measured: Week 0, Week 26
Number of Hypoglycaemic Episodes
Reported hypoglycemaic episodes are number of hypoglycemic events per 100 patient years of exposure.
Measured: Weeks 0-26
Change From Baseline in Incremental Area Under the Curve 0-4h (iAUC0-4h) Derived From the Glucose Concentration Profile During Meal Test
Values of mean change in normalised iAUC0-4h values based on LOCF data derived from the glucose concentration profiles during a meal test. The meal test was performed at selected sites at baseline and after 26 weeks of treatment in the main trial period. The incremental AUC was calculated using the trapezoidal method and the resulting area was divided length of the observation period to yield the (normalised) prandial increment in mmol/L using the available valid glucose observations and the associated actual elapsed time point.
Measured: Week 0, Week 26
Mean Actual Daily Insulin Dose
Mean of the actual doses recorded at visit 28 (Week 26).
Measured: Week 26
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Apr 2011 (estimated)
- Study start23 May 2011
- Primary completion24 May 2012
- Study completion22 Nov 2012
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 (9)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
- 1,663 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
- NCT01336023
- Sponsor's protocol ID
- NN9068-3697
- Other IDs
- U1111-1119-1174, 2010-021560-15
- Acronym
- DUAL™ I
- Status last verified
- Feb 2018
- First submitted
- 13 Apr 2011
- Last updated
- 19 Feb 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
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.
PubMed 28332144Holst JJ, Buse JB, Rodbard HW, Linjawi S, Woo VC, Boesgaard TW, Kvist K, Gough SC. IDegLira Improves Both Fasting and Postprandial Glucose Control as Demonstrated Using Continuous Glucose Monitoring and a Standardized Meal Test. J Diabetes Sci Technol. 2015 Oct 6;10(2):389-97. doi: 10.1177/1932296815610124.
PubMed 26443290Vilsboll 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.
PubMed 26894800Gough SC, Bode B, Woo V, Rodbard HW, Linjawi S, Poulsen P, Damgaard LH, Buse JB; NN9068-3697 (DUAL-I) trial investigators. Efficacy and safety of a fixed-ratio combination of insulin degludec and liraglutide (IDegLira) compared with its components given alone: results of a phase 3, open-label, randomised, 26-week, treat-to-target trial in insulin-naive patients with type 2 diabetes. Lancet Diabetes Endocrinol. 2014 Nov;2(11):885-93. doi: 10.1016/S2213-8587(14)70174-3. Epub 2014 Sep 1.
PubMed 25190523Gough SC, Bode BW, Woo VC, Rodbard HW, Linjawi S, Zacho M, Reiter PD, Buse JB. One-year efficacy and safety of a fixed combination of insulin degludec and liraglutide in patients with type 2 diabetes: results of a 26-week extension to a 26-week main trial. Diabetes Obes Metab. 2015 Oct;17(10):965-73. doi: 10.1111/dom.12498. Epub 2015 Jul 1.
PubMed 25980900Kapitza C, Bode B, Ingwersen SH, Jacobsen LV, Poulsen P. Preserved pharmacokinetic exposure and distinct glycemic effects of insulin degludec and liraglutide in IDegLira, a fixed-ratio combination therapy. J Clin Pharmacol. 2015 Dec;55(12):1369-77. doi: 10.1002/jcph.549. Epub 2015 Jul 14.
PubMed 25998481King 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.
PubMed 28282219Norwood P, Chen R, Jaeckel E, Lingvay I, Jarlov H, Lehmann L, Heller S. 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. Diabetes Obes Metab. 2017 Nov;19(11):1562-1569. doi: 10.1111/dom.12972. Epub 2017 Jul 10.
PubMed 28417535Natale P, Green SC, Tunnicliffe DJ, Pellegrino G, Toyama T, Strippoli GF. Glucagon-like peptide 1 (GLP-1) receptor agonists for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2025 Feb 18;2(2):CD015849. doi: 10.1002/14651858.CD015849.pub2.
PubMed 39963952
Study at a glance
From the registry record, last updated by the sponsor on 19 Feb 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- 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
- ClinicalTrials.gov ID
- NCT01336023
- Acronym / sponsor ID
- DUAL™ I / NN9068-3697
- Conditions
- Diabetes, Diabetes Mellitus, Type 2
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,663 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 23 May 2011 (actual)
- Primary completion
- 24 May 2012 (actual)
- Study completion
- 22 Nov 2012 (actual)
- First posted
- 15 Apr 2011 (estimated)
- Results
- Posted 2 Jun 2017
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 globally. The aim of this trial is to compare the efficacy and safety of insulin degludec/liraglutide (IDegLira) versus insulin degludec (IDeg) and liraglutide (Lira) in subjects with type 2 diabetes. Subjects are to continue their pre-trial treatment with metformin or metformin + pioglitazone throughout the entire trial.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| IDeg | Experimental | Drug: insulin degludec |
| IDegLira | Experimental | Drug: insulin degludec/liraglutide |
| Lira | Experimental | Drug: liraglutide |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Subjects with type 2 diabetes
- HbA1c 7.0-10.0 % (both inclusive) with the aim of a median HbA1c of 8.3%. Accordingly, when approximately 50% of the randomised subjects have a HbA1c above 8.3%, the remaining subjects randomised must have a HbA1c of below or equal to 8.3%, or when approximately 50% of the randomised subjects have a HbA1c of below or equal to 8.3%, the remaining subjects randomised must have a HbA1c above 8.3%
- Male or female, age 18 years or above (Taiwan: 20 years or above for a site 653 in Taiwan: Taichung Veterans General Hospital)
- Subjects on stable dose of 1-2 OADs (metformin [at least 1500 mg or max tolerated dose] or metformin [at least 1500 mg or max tolerated dose] + pioglitazone [at least 30 mg]) for at least 90 days prior to screening
- Body Mass Index (BMI) maximum 40 kg/m^2
Key exclusion criteria (10 listed)
- Treatment with insulin (except for short-term treatment due to intercurrent illness at the discretion of the Investigator)
- Treatment with GLP-1 (glucagon-like peptide-1) receptor agonists (eg exenatide, liraglutide), sulphonylurea or dipeptidyl peptidase 4 (DPP-4) inhibitors within 90 days prior to trial
- Impaired liver function, defined as alanine aminotransferese (ALAT) at least 2.5 times Upper Normal Range (UNR) (one retest analysed at the central laboratory within a week from first sample taken is permitted with the result of the last sample being the conclusive)
- Impaired renal function defined as serum-creatinine at least 133 mcmol/l (at least 1.5 mg/dl) for males and at least 125 mcmol/l (at least 1.4) for females, or as allowed according to local contraindications for metformin (one retest analysed at the central laboratory within a week from first sample taken is permitted with the result of the last sample being the conclusive)
- Screening calcitonin at least 50 ng/L
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 |
|---|---|---|
| insulin degludec/liraglutideInsulin degludec/liraglutide treatment will be initiated and titrated (individually adjusted) twice weekly according to the mean self measured plasma glucose (SMPG) (fasting). Insulin degludec/liraglutide is injected subcutaneously (under the skin) once daily. | Drug | IDegLira |
| insulin degludecInsulin degludec treatment will be initiated with 10 U and titrated (individually adjusted) twice weekly according to the mean SMPG (fasting). Insulin degludec is injected subcutaneously (under the skin) once daily. | Drug | IDeg |
| liraglutideLiraglutide will be started with 0.6 mg and subsequent 0.6 mg weekly dose escalation to 1.8 mg. Liraglutide dose of 1.8 mg/day will be continued for the remaining part of the trial. Liraglutide is injected subcutaneously (under the skin) once daily. | Drug | Lira |
Primary outcome
Mean Change From Baseline in HbA1c (Glycosylated Haemoglobin) at Week 26.
Time frame: Week 0, week 26
Values of mean change in HbA1c.
4 secondary outcomes
Mean Change From Baseline in Body Weight at Week 26
Time frame: Week 0, Week 26
Number of Hypoglycaemic Episodes
Time frame: Weeks 0-26
Change From Baseline in Incremental Area Under the Curve 0-4h (iAUC0-4h) Derived From the Glucose Concentration Profile During Meal Test
Time frame: Week 0, Week 26
Mean Actual Daily Insulin Dose
Time frame: Week 26
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Feb 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 28332144Khunti 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.
- Results publication: PubMed 26443290Holst JJ, Buse JB, Rodbard HW, Linjawi S, Woo VC, Boesgaard TW, Kvist K, Gough SC. IDegLira Improves Both Fasting and Postprandial Glucose Control as Demonstrated Using Continuous Glucose Monitoring and a Standardized Meal Test. J Diabetes Sci Technol. 2015 Oct 6;10(2):389-97. doi: 10.1177/1932296815610124.
- Results publication: PubMed 26894800Vilsboll 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.
- Results publication: PubMed 25190523Gough SC, Bode B, Woo V, Rodbard HW, Linjawi S, Poulsen P, Damgaard LH, Buse JB; NN9068-3697 (DUAL-I) trial investigators. Efficacy and safety of a fixed-ratio combination of insulin degludec and liraglutide (IDegLira) compared with its components given alone: results of a phase 3, open-label, randomised, 26-week, treat-to-target trial in insulin-naive patients with type 2 diabetes. Lancet Diabetes Endocrinol. 2014 Nov;2(11):885-93. doi: 10.1016/S2213-8587(14)70174-3. Epub 2014 Sep 1.
- Results publication: PubMed 25980900Gough SC, Bode BW, Woo VC, Rodbard HW, Linjawi S, Zacho M, Reiter PD, Buse JB. One-year efficacy and safety of a fixed combination of insulin degludec and liraglutide in patients with type 2 diabetes: results of a 26-week extension to a 26-week main trial. Diabetes Obes Metab. 2015 Oct;17(10):965-73. doi: 10.1111/dom.12498. Epub 2015 Jul 1.
- Results publication: PubMed 25998481Kapitza C, Bode B, Ingwersen SH, Jacobsen LV, Poulsen P. Preserved pharmacokinetic exposure and distinct glycemic effects of insulin degludec and liraglutide in IDegLira, a fixed-ratio combination therapy. J Clin Pharmacol. 2015 Dec;55(12):1369-77. doi: 10.1002/jcph.549. Epub 2015 Jul 14.
- Results publication: PubMed 28282219King 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.
- Results publication: PubMed 28417535Norwood P, Chen R, Jaeckel E, Lingvay I, Jarlov H, Lehmann L, Heller S. 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. Diabetes Obes Metab. 2017 Nov;19(11):1562-1569. doi: 10.1111/dom.12972. Epub 2017 Jul 10.
- Derived from this study: PubMed 39963952Natale P, Green SC, Tunnicliffe DJ, Pellegrino G, Toyama T, Strippoli GF. Glucagon-like peptide 1 (GLP-1) receptor agonists for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2025 Feb 18;2(2):CD015849. doi: 10.1002/14651858.CD015849.pub2.
- 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
302 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing insulin degludec/liraglutide, insulin degludec and liraglutide in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 302 sites in 20 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 5 inclusion and 10 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 19 Feb 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 302 sites in United States, India, United Kingdom, Canada, Germany and 15 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 2 Jun 2017). 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 Baseline in HbA1c (Glycosylated Haemoglobin) at Week 26. (time frame: Week 0, 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 NCT01336023, which also lists 9 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 19 Feb 2018; AzTrials last refreshed its copy on 8 Nov 2026.