1. Efficacy of liraglutide on glycemic endpoints in people of Western European and South Asian descent with T2DM using multiple daily insulin injections: results of the MAGNA VICTORIA studies.
- Author
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Bizino MB, Jazet IM, van Eyk HJ, Rensen PCN, Geelhoed-Duijvestijn PH, Kharagjitsingh AV, Paiman EHM, Smit JW, and Lamb HJ
- Subjects
- Adolescent, Adult, Aged, Asia ethnology, Blood Glucose drug effects, Blood Glucose metabolism, Diabetes Mellitus, Type 2 blood, Drug Administration Schedule, Drug Therapy, Combination, Europe ethnology, Female, Follow-Up Studies, Glycated Hemoglobin analysis, Glycated Hemoglobin drug effects, Glycated Hemoglobin metabolism, Humans, Hypoglycemic Agents administration & dosage, Hypoglycemic Agents adverse effects, Injections, Subcutaneous, Insulin adverse effects, Liraglutide adverse effects, Male, Metformin therapeutic use, Middle Aged, Netherlands epidemiology, Placebos, Randomized Controlled Trials as Topic statistics & numerical data, Retrospective Studies, Treatment Outcome, Young Adult, Diabetes Mellitus, Type 2 drug therapy, Diabetes Mellitus, Type 2 ethnology, Glycemic Control statistics & numerical data, Insulin administration & dosage, Liraglutide administration & dosage
- Abstract
Aims: Data on the effect of liraglutide on glycemic endpoints in people with T2DM using multiple daily insulin injections (MDI) are scarce, especially in the context of ethnicity., Methods: This is a secondary analysis of the placebo-controlled randomized clinical "MAGNA VICTORIA" trials in Western European (WE) and South Asian (SA) people with T2DM. Participants had inadequate glycemic control despite using metformin and/or sulfonylurea derivatives and/or insulin. Participants were assigned to liraglutide (1.8 mg) or placebo for 6 months, in addition to standard care. The primary endpoint number of participants reaching target HbA1c was compared for liraglutide versus placebo in the complete dataset and MDI-treated participants using Chi-square test. Liraglutide's efficacy in WE and SA was compared using a generalized linear model., Results: Forty-five subjects were randomized to liraglutide and 51 to placebo. In each group, one participant did not complete the study. Liraglutide-treated patients reached target HbA1c more frequently: 23/45 (51%) vs 11/51 (22%), relative probability 2.4 (1.3-4.3), p = 0.002. Subgroup analysis in 43 MDI participants showed that the proportion reaching target HbA1c using liraglutide was significantly higher than in placebo: 9/22 (41%) vs 1/21 (5%), p = 0.005. There was no difference between WE and SA in terms of liraglutide efficacy (p = 0.18)., Conclusions: Liraglutide treatment resulted in increased chance of reaching target HbA1c as compared to placebo. Liraglutide efficacy was sustained in participants using MDI regimens and those of SA descent. Liraglutide should be considered for T2DM people with inadequate glycemic control despite MDI.
- Published
- 2021
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