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DiabetesPhase 3DUAL™ IIINCT01676116

The Efficacy of Insulin Degludec/Liraglutide in Controlling Glycaemia in Adults With Type 2 Diabetes Inadequately Controlled on GLP-1 Receptor Agonist and OAD Therapy

A Phase 3 study testing insulin degludec/liraglutide, liraglutide and exenatide in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 109 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This trial is conducted in Europe, Oceania and the United States of America (USA). The aim of the trial is to investigate the efficacy of insulin degludec/liraglutide in controlling glycaemia in adults with type 2 diabetes inadequately controlled on glucagon-like peptide-1 (GLP-1) receptor agonist and OAD therapy. 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, liraglutide and exenatide
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
438 participants
Where
109 sitesin 5 countries
Study dates
29 Aug 2012to 11 Mar 2014
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 mellitus
  • Glycosylated haemoglobin (HbA1c) 7.0-9.0% (53-75 mmol/mol) (both inclusive)
  • Treatment with daily GLP-1 receptor agonist at maximum dose according to local label (i.e. 1.8 mg once daily (OD) Victoza® (liraglutide) or 10 microgram twice daily (BID) Byetta® (exenatide)) or documented maximum tolerated dose (i.e. 1.2 mg OD Victoza® (liraglutide) or 5 microgram BID Byetta® (exenatide)) in combination with a stable daily dose of metformin (equal to or above 1500 mg or documented maximum tolerated dose) for 90 days or more prior to screening visit (Visit 1)
  • BMI (body mass index) equal to or below 40 kg/m^2

Who cannot join

  • Any use of oral anti-diabetic drugs (OADs) (except for metformin, pioglitazone and sulphonylurea) for 90 days or less prior to screening visit (Visit 1)
  • Use of any drug (except metformin,pioglitazone, sulphonylurea and GLP-1 receptor agonist) which in the Investigator's opinion could interfere with the blood glucose level (e.g. systemic corticosteroids)
  • Treatment with any insulin regimen (short term treatment due to intercurrent illness including gestational diabetes is allowed at the discretion of the Investigator)
  • Screening calcitonin equal to or above 50 ng/l
  • Personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia type 2 (MEN2)
  • Cardiovascular disorders defined as: congestive heart failure (New York Heart Association (NYHA) class III-IV), diagnosis of unstable angina pectoris, cerebral stroke and/or myocardial infarction within the past 52 weeks prior to screening visit (Visit 1) and/or planned coronary, carotid or peripheral artery revascularisation procedures
Show all 9Show fewer
  • Proliferative retinopathy requiring acute treatment or maculopathy (macular oedema) according to the Investigator's opinion
  • Subjects with a clinically significant, active (during the past 12 months) disease of the gastrointestinal, pulmonary, endocrinological (except for the type 2 diabetes mellitus), neurological, genitourinary or haematological system that in the opinion of the Investigator may confound the results of the trial or pose additional risk in administering trial products
  • History of chronic pancreatitis or idiopathic acute pancreatitis

Trial locations and contacts

109 sites in 5 countries.

109 sites in 5 countries

United States85 sites
  • Novo Nordisk Investigational Site

    Altoona, Pennsylvania, 16602

  • Novo Nordisk Investigational Site

    Arlington, Texas, 76014

  • Novo Nordisk Investigational Site

    Arlington Heights, Illinois, 60004-2315

  • Novo Nordisk Investigational Site

    Atlanta, Georgia, 30318

  • Novo Nordisk Investigational Site

    Austin, Texas, 78731

  • Novo Nordisk Investigational Site

    Berlin, New Jersey, 08009

  • Novo Nordisk Investigational Site

    Birmingham, Alabama, 35216

  • Novo Nordisk Investigational Site

    Bradenton, Florida, 34201

  • Novo Nordisk Investigational Site

    Chattanooga, Tennessee, 37404

  • Novo Nordisk Investigational Site

    Colorado Springs, Colorado, 80910

  • Novo Nordisk Investigational Site

    Columbus, Ohio, 43214

  • Novo Nordisk Investigational Site

    Concord, California, 94520

  • Novo Nordisk Investigational Site

    Dallas, Texas, 75218

  • Novo Nordisk Investigational Site

    Dallas, Texas, 75231

  • Novo Nordisk Investigational Site

    Dayton, Ohio, 45439

  • Novo Nordisk Investigational Site

    Encino, California, 91436

  • Novo Nordisk Investigational Site

    Fair Oaks, California, 95628

  • Novo Nordisk Investigational Site

    Flemington, New Jersey, 08822-5763

  • Novo Nordisk Investigational Site

    Fort Myers, Florida, 33912-4343

  • Novo Nordisk Investigational Site

    Fort Worth, Texas, 76113

  • Novo Nordisk Investigational Site

    Fresno, California, 93720

  • Novo Nordisk Investigational Site

    Goodyear, Arizona, 85395

  • Novo Nordisk Investigational Site

    Greenbrae, California, 94904

  • Novo Nordisk Investigational Site

    Hamilton, New Jersey, 08619

  • Novo Nordisk Investigational Site

    Henderson, Nevada, 89052-2649

  • Novo Nordisk Investigational Site

    Honolulu, Hawaii, 96814

  • Novo Nordisk Investigational Site

    Houston, Texas, 77074

  • Novo Nordisk Investigational Site

    Houston, Texas, 77095

  • Novo Nordisk Investigational Site

    Indianapolis, Indiana, 46254

  • Novo Nordisk Investigational Site

    Jacksonville, Florida, 32204

  • Novo Nordisk Investigational Site

    Jacksonville, Florida, 32207

  • Novo Nordisk Investigational Site

    Jacksonville, Florida, 32216

  • Novo Nordisk Investigational Site

    Jacksonville, Florida, 32258

  • Novo Nordisk Investigational Site

    Jellico, Tennessee, 37762

  • Novo Nordisk Investigational Site

    Kalamazoo, Michigan, 49048

  • Novo Nordisk Investigational Site

    Kingsport, Tennessee, 37660

  • Novo Nordisk Investigational Site

    Lancaster, California, 93534

  • Novo Nordisk Investigational Site

    Las Vegas, Nevada, 89128

  • Novo Nordisk Investigational Site

    Lawrenceville, New Jersey, 08648

  • Novo Nordisk Investigational Site

    Lexington, Kentucky, 40503

  • Novo Nordisk Investigational Site

    Lomita, California, 90717

  • Novo Nordisk Investigational Site

    Long Beach, California, 90806

  • Novo Nordisk Investigational Site

    Mesa, Arizona, 85206

  • Novo Nordisk Investigational Site

    Miami, Florida, 33135

  • Novo Nordisk Investigational Site

    Miami, Florida, 33136

  • Novo Nordisk Investigational Site

    Miami, Florida, 33155

  • Novo Nordisk Investigational Site

    Miami, Florida, 33156

  • Novo Nordisk Investigational Site

    Miami Springs, Florida, 33166

  • Novo Nordisk Investigational Site

    Mineola, New York, 11501

  • Novo Nordisk Investigational Site

    Montclair, California, 91763

  • Novo Nordisk Investigational Site

    Morehead City, North Carolina, 28557

  • Novo Nordisk Investigational Site

    Myrtle Beach, South Carolina, 29572

  • Novo Nordisk Investigational Site

    Nashua, New Hampshire, 03063

  • Novo Nordisk Investigational Site

    Nashville, Tennessee, 37212

  • Novo Nordisk Investigational Site

    North Massapequa, New York, 11758-1802

  • Novo Nordisk Investigational Site

    Northridge, California, 91325

  • Novo Nordisk Investigational Site

    Omaha, Nebraska, 68124

  • Novo Nordisk Investigational Site

    Orem, Utah, 84058

  • Novo Nordisk Investigational Site

    Orlando, Florida, 32806

  • Novo Nordisk Investigational Site

    Phoenix, Arizona, 85018

  • Novo Nordisk Investigational Site

    Pittsburgh, Pennsylvania, 15243

  • Novo Nordisk Investigational Site

    Plano, Texas, 75075

  • Novo Nordisk Investigational Site

    Plant City, Florida, 33563

  • Novo Nordisk Investigational Site

    Reno, Nevada, 89502-0111

  • Novo Nordisk Investigational Site

    Richmond, Virginia, 23219

  • Novo Nordisk Investigational Site

    Rockville, Maryland, 20852

  • Novo Nordisk Investigational Site

    Roswell, Georgia, 30076

  • Novo Nordisk Investigational Site

    Round Rock, Texas, 78681

  • 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, 78249

  • Novo Nordisk Investigational Site

    San Mateo, California, 94401

  • Novo Nordisk Investigational Site

    San Ramon, California, 94583

  • Novo Nordisk Investigational Site

    Schertz, Texas, 78154

  • Novo Nordisk Investigational Site

    St. George, Utah, 84790

  • Novo Nordisk Investigational Site

    Sugar Land, Texas, 77478

  • Novo Nordisk Investigational Site

    Sumter, South Carolina, 29150-1900

  • Novo Nordisk Investigational Site

    Tarzana, California, 91356-3551

  • Novo Nordisk Investigational Site

    Toms River, New Jersey, 08753-2975

  • Novo Nordisk Investigational Site

    Troy, Michigan, 48098

  • Novo Nordisk Investigational Site

    Tullahoma, Tennessee, 37388

  • Novo Nordisk Investigational Site

    Van Nuys, California, 91405

  • Novo Nordisk Investigational Site

    West Seneca, New York, 14224

  • Novo Nordisk Investigational Site

    Winter Haven, Florida, 33880

Other trials in United States

France8 sites
  • Novo Nordisk Investigational Site

    Antibes, 06600

  • Novo Nordisk Investigational Site

    Boulogne-Billancourt, 92100

  • Novo Nordisk Investigational Site

    La Rochelle, 17019

  • Novo Nordisk Investigational Site

    Montigny-lès-Metz, 57950

  • Novo Nordisk Investigational Site

    Narbonne, 11108

  • Novo Nordisk Investigational Site

    Nîmes, 30006

  • Novo Nordisk Investigational Site

    Sète, 34200

  • Novo Nordisk Investigational Site

    Vénissieux, 69200

Other trials in France

Slovakia7 sites
  • Novo Nordisk Investigational Site

    Bratislava, 811 08

  • Novo Nordisk Investigational Site

    Bratislava, 831 01

  • Novo Nordisk Investigational Site

    Bratislava, 851 01

  • Novo Nordisk Investigational Site

    Košice, 040 01

  • Novo Nordisk Investigational Site

    Lučenec, 98401

  • Novo Nordisk Investigational Site

    Nitra, 94 911

  • Novo Nordisk Investigational Site

    Prešov, 080 01

Other trials in Slovakia

Australia5 sites
  • Novo Nordisk Investigational Site

    Box Hill, Victoria, 3128

  • Novo Nordisk Investigational Site

    Coffs Harbour, New South Wales, 2450

  • Novo Nordisk Investigational Site

    Keswick, South Australia, 5035

  • Novo Nordisk Investigational Site

    Melbourne, Victoria, 3004

  • Novo Nordisk Investigational Site

    Merewether, New South Wales, 2291

Other trials in Australia

Hungary4 sites
  • Novo Nordisk Investigational Site

    Budapest, 1042

  • Novo Nordisk Investigational Site

    Debrecen, 4043

  • Novo Nordisk Investigational Site

    Nyíregyhaza, 4400

  • Novo Nordisk Investigational Site

    Székesfehérvár, 8000

Other trials in Hungary

About this study

Official title: The Efficacy of Insulin Degludec/Liraglutide in Controlling Glycaemia in Adults With Type 2 Diabetes Inadequately Controlled on GLP-1 Receptor Agonist and OAD Therapy (DUAL™ III -GLP-1 Switch)

This trial is conducted in Europe, Oceania and the United States of America (USA).

The aim of the trial is to investigate the efficacy of insulin degludec/liraglutide in controlling glycaemia in adults with type 2 diabetes inadequately controlled on glucagon-like peptide-1 (GLP-1) receptor agonist and OAD therapy.

Being tested
insulin degludec/liraglutide, liraglutide, exenatide
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

    Injected subcutaneously (under the skin) once daily. Dose individually adjusted. Subjects will continue their pre-trial OAD treatment without changing the frequency or dose throughout the trial.

  • liraglutideDrug

    Subjects will continue on their pre-trial treatment of liraglutide (Victoza®) (GLP-1 receptor agonist) + OAD without changing the frequency or dose throughout the trial.

  • exenatideDrug

    Subjects will continue on their pre-trial treatment of exenatide (Byetta®) (GLP-1 receptor agonist) + OAD without changing the frequency or dose throughout the trial.

Study groups in NCT01676116
Study groupRoleWhat they receive
Insulin degludec/liraglutide + OADsExperimentalNot described
Receives: Drug: insulin degludec/liraglutide
Liraglutide or exenatide + OADsActive comparatorNot described
Receives: Drug: liraglutide; Drug: exenatide

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Glycosylated Haemoglobin (HbA1c) From Baseline (Randomisation, Visit 2)

    Measured: Week 0, week 26

Secondary outcomes (8)
  1. Responders Achieving Pre-defined Target: HbA1c Below 7.0% (53 mmol/Mol)

    Percentage of subjects achieving HbA1c below 7.0% after 26 weeks of treatment.

    Measured: Week 26

  2. Responders Achieving Pre-defined Target: HbA1c Below or Equal to 6.5% (48 mmol/Mol)

    Percentage of responders achieving pre-defined target for HbA1c - HbA1c ≤ 6.5% (48 mmol/mol).

    Measured: Week 26

  3. Change From Baseline in Body Weight

    Mean change in body weight after 26 weeks of treatment.

    Measured: Week 0, week 26

  4. Change From Baseline in Fasting Plasma Glucose (FPG)

    Mean change in fasting plasma glucose from baseline, after 26 weeks of treatment.

    Measured: Week 0, week 26

  5. Number of Severe or Minor Hypoglycaemic Episodes

    Rate (events per 100 patient years of exposure) of treatment-emergent confirmed hypoglycaemic episodes. The pool of severe and minor hypoglycaemic episodes was referred to as confirmed hypoglycaemic episodes. Severe hypoglycaemia was categorised as an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes were defined as an episode with symptoms consistent with hypoglycaemia with confirmation by blood glucose <2.8 mmol/L (50 mg/dL) or PG <3.1 mmol/L (56 mg/dL), and which was handled by the subject himself/herself, or any asymptomatic blood glucose value <2.8 mmol/L (50 mg/dL) or PG value <3.1 mmol/L (56 mg/dL).

    Measured: After 26 weeks of treatment

  6. Number of Adverse Events (AEs)

    Rate (events per 100 exposure years) of treatment-emergent adverse events (an event that had onset date (or an increase in severity) on or after the first day of exposure to randomised treatment and no later than 7 days after the last day of randomised treatment) which occurred during the 26 weeks of treatment.

    Measured: After 26 weeks of treatment

  7. Change From Baseline in Patient Reported Outcomes (PROs) Based on the Treatment Related Impact Measure - Diabetes (TRIM-D)

    The patient related outcome is calculated based on TRIM-D questionnaire. The TRIM-D questionnaire consists of 5 sub-domains (treatment burden, daily life, diabetes management, compliance and psychological health), where each question is scored to a 1-5-point scale with a higher score indicating a better health state (less negative impact). Mean TRIM-D individual sub-domain scores and total score are later transformed to a 0-100 scale for analysis. The mean change in scores from baseline to 26 weeks for all the individual sub domains and total scores are presented here.

    Measured: Week 0, week 26

  8. Change From Baseline in Patient Reported Outcomes (PROs) Based on Diabetes Treatment Satisfaction Questionnaire (DTSQ).

    Mean change in diabetes treatment satisfaction questionnaire (DTSQs) scores from baseline. The scores ranged from 0 to 6. Higher total score on a 0-6 point scale indicates a general higher treatment satisfaction, whereas higher score on perceived frequency of hyperglycaemia and perceived frequency of hypoglycaemia indicate that blood glucose levels are out of the target range.

    Measured: Week 0, week 26

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Aug 2012 (estimated)
  2. Study start29 Aug 2012
  3. Primary completion11 Mar 2014
  4. Study completion11 Mar 2014

Resources

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
438 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01676116
Sponsor's protocol ID
NN9068-3851
Other IDs
2012-000209-63, U1111-1127-1321
Acronym
DUAL™ III
Status last verified
Dec 2018
First submitted
28 Aug 2012
Last updated
3 Jan 2019
Data monitoring committee
No

Publications

  • Linjawi S, Bode BW, Chaykin LB, Courreges JP, Handelsman Y, Lehmann LM, Mishra A, Simpson RW. The Efficacy of IDegLira (Insulin Degludec/Liraglutide Combination) in Adults with Type 2 Diabetes Inadequately Controlled with a GLP-1 Receptor Agonist and Oral Therapy: DUAL III Randomized Clinical Trial. Diabetes Ther. 2017 Feb;8(1):101-114. doi: 10.1007/s13300-016-0218-3. Epub 2016 Dec 10.

    PubMed 27943107
  • Lingvay I, Handelsman Y, Linjawi S, Vilsboll T, Halladin N, Ranc K, Liebl A. EFFICACY AND SAFETY OF IDEGLIRA IN OLDER PATIENTS WITH TYPE 2 DIABETES. Endocr Pract. 2019 Feb;25(2):144-155. doi: 10.4158/EP-2018-0284. Epub 2018 Nov 1.

    PubMed 30383495
  • Natale 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

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing insulin degludec/liraglutide, liraglutide and exenatide in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 109 sites in 5 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 4 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 3 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 109 sites in United States, France, Slovakia, Australia, Hungary. 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 9 Jul 2018). 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?

Change in Glycosylated Haemoglobin (HbA1c) From Baseline (Randomisation, Visit 2) (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 NCT01676116, 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 3 Jan 2019.

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