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Durability of insulin degludec plus liraglutide versus insulin glargine U100 as initial injectable therapy in type 2 diabetes (DUAL VIII): a multicentre, open-label, phase 3b, randomised controlled trial

Plain-language guide to PMID 31189519 (2019): open-label randomized controlled trial study of Insulin Glargine and Liraglutide.

Key Facts

PMID
31189519
Journal
The lancet. Diabetes & endocrinology
Year
2019
Study type
Randomized Controlled Trial
Authors
Aroda VR et al. (11 authors)
DOI
10.1016/S2213-8587(19)30184-6
Registered trial
NCT02501161

What This Study Did, in Plain Language

What Was Tested

The paper reports a study of Insulin Glargine and Liraglutide, published as a randomized controlled trial.

Who Took Part

PubMed indexes the participants as middle-aged adults and older adults, both men and women.

Patients were randomly assigned 1:1, with a simple sequential allocation randomisation schedule (block size of four), to IDegLira or IGlar U100, each treatment being an add-on to existing therapy.

Patients and all other investigators were not masked.

How the Study Was Run

The researchers set it up as a randomized, open-label and multicenter study.

Random assignment meant chance, not the researchers, decided who got Insulin Glargine and who got the comparison, which limits bias.

Being open-label, the Insulin Glargine study did not mask who received what.

More than one site took part, so the participants came from several places.

The internal safety committee, the independent external committee, and the personnel involved in defining the analysis sets were masked until the database was released for statistical analysis.

Both treatments were given once daily at any time of day and it was recommended that the time of day remained the same throughout the trial.

Once patients met this criterion, the trial product was permanently discontinued and patients were not withdrawn from trial but rather remained on follow-up for the entire treatment and follow-up period.

The primary analysis was in the intention-to-treat population.

This study is registered with ClinicalTrials.gov, number NCT02501161.

What Was Measured

PubMed files the paper under topics including Diabetes Mellitus, Type 2, Drug Combinations, Hypoglycemic Agents, Insulin Glargine, Insulin, Long-Acting and Liraglutide.

What This Means in Plain Language

The paper is a randomized, open-label and multicenter study of Insulin Glargine and Liraglutide.

Its findings take up roughly 7 sentences of the abstract and are left out here on purpose; the source paper is the place to read them.

The publication is from 2019 (The lancet. Diabetes & endocrinology), a journal based in England.

More context: the Insulin Glargine compound page and the Liraglutide compound page.

Our Notes on the Compounds

Insulin Glargine: A long-acting insulin analog given once daily; brands include Lantus, Toujeo, Basaglar and Semglee.

Liraglutide: A once-daily GLP-1 receptor agonist peptide; sold as Victoza for type 2 diabetes and Saxenda for weight management.

Related Pages

Source: PubMed record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.