Page last updated: 2024-11-06

meglitinide

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth Market Indicators

Description

Meglitinides are a class of oral hypoglycemic agents that act as rapid-acting insulin secretagogues. They are used to treat type 2 diabetes by stimulating the release of insulin from the beta cells of the pancreas. Meglitinides are structurally similar to sulfonylureas but have a shorter duration of action, making them less likely to cause hypoglycemia. They are typically taken before meals to help control blood sugar levels after eating. Meglitinides are generally well-tolerated, but common side effects include hypoglycemia, weight gain, and gastrointestinal disturbances. The mechanism of action of meglitinides involves binding to the ATP-sensitive potassium channel (KATP) on the beta cells of the pancreas. This binding leads to depolarization of the cell membrane, opening of voltage-gated calcium channels, and subsequent release of insulin. Meglitinides have been studied extensively for their potential in treating type 2 diabetes, and they are often used in combination with other antidiabetic medications. They are also being investigated for their potential in treating other conditions such as obesity and cardiovascular disease. Research into meglitinides continues to focus on improving their safety and efficacy and exploring their potential in other disease areas.'

meglitinide: structure given in first source & in Negwer, 5th ed, #6436 [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID41214
CHEMBL ID149930
SCHEMBL ID37926
MeSH IDM0096461

Synonyms (30)

Synonym
meglitinido [inn-spanish]
meglitinidum [inn-latin]
benzoic acid, 4-(2-((5-chloro-2-methoxybenzoyl)amino)ethyl)-
p-(2-(5-chloro-o-anisamido)ethyl)benzoic acid
4-(2-(5-chlor-2-methoxy-benzamido)-aethyl)benzoasaeure [german]
4-(2-((5-chloro-2-methoxybenzoyl)amino)ethyl)benzoic acid
hb 699
brn 2817215
meglitinide [inn]
meglitinide
CHEMBL149930
4-[2-[(5-chloro-2-methoxybenzoyl)amino]ethyl]benzoic acid
54870-28-9
meglitinidum
meglitinido
unii-8v6ok1i088
8v6ok1i088 ,
4-(2-(5-chlor-2-methoxy-benzamido)-aethyl)benzoasaeure
SCHEMBL37926
MLS006011933
smr004703520
DTXSID40203356
SR-01000945131-1
SR-01000945131-2
sr-01000945131
Z224216672
AKOS033822030
Q27271068
4-{2-[(5-chloro-2-methoxyphenyl)formamido]ethyl}benzoic acid
EN300-1187992

Research Excerpts

Overview

Meglitinides are a group of oral hypoglycemic medications currently approved for the treatment of type 2 diabetes mellitus. Meglitinide analogues increase insulin secretion, in particular, during the early phase of insulin release.

ExcerptReferenceRelevance
"Meglitinides are a group of oral hypoglycemic medications currently approved for the treatment of type 2 diabetes mellitus (T2DM). "( Efficacy and Cardiovascular Safety of Meglitinides.
Fernandez, CJ; Philip, J, 2021
)
2.34
"Meglitinide analogues are a class of oral hypoglycaemic agents that increase insulin secretion, in particular, during the early phase of insulin release."( Meglitinide analogues for type 2 diabetes mellitus.
Black, C; Donnelly, P; McIntyre, L; Royle, PL; Shepherd, JP; Thomas, S, 2007
)
2.5

Treatment

ExcerptReferenceRelevance
"Treatment with meglitinides reconstructed postprandial ghrelin secretion patterns to those of controls without diabetes. "( Effect of meglitinides on postprandial ghrelin secretion pattern in type 2 diabetes mellitus.
Möhlig, M; Otto, B; Pfeiffer, AF; Pivovarova, O; Rudovich, N; Spranger, J; Weickert, MO, 2010
)
1.12

Toxicity

ExcerptReferenceRelevance
"The objective of this study was to evaluate the association between hypoglycemia and antibiotics using the US Food and Drug Administration Adverse Event Reporting System (FAERS), while accounting for concomitant glucose-lowering medications including sulfonylureas and meglitinides."( Hypoglycemia Associated with Antibiotics Alone and in Combination with Sulfonylureas and Meglitinides: An Epidemiologic Surveillance Study of the FDA Adverse Event Reporting System (FAERS).
Frei, CR; Kennedy, KE; Patek, TM; Teng, C, 2020
)
0.96

Pharmacokinetics

ExcerptReferenceRelevance
" In this article, we review the pharmacokinetic DDIs concerning oral antidiabetics, including metformin, sulfonylureas, meglitinide analogs, thiazolidinediones and dipeptidyl peptidase-4 inhibitors, and the underlying mechanistic basis that can help to predict and prevent DDIs."( Drug interactions with oral antidiabetic agents: pharmacokinetic mechanisms and clinical implications.
Backman, JT; Neuvonen, PJ; Niemi, M; Tornio, A, 2012
)
0.59
" The complex pharmacokinetic and pharmacogenetic properties and the unfavourable short and long term risk profile of glibenclamide and glimepiride raise the question whether their use can be justified any longer."( CYP2C metabolism of oral antidiabetic drugs--impact on pharmacokinetics, drug interactions and pharmacogenetic aspects.
Beil, W; Holstein, A; Kovacs, P, 2012
)
0.38

Compound-Compound Interactions

ExcerptReferenceRelevance
" Patients with T2DM are usually treated with multiple drugs, and are therefore at an increased risk of harmful drug-drug interactions (DDIs)."( Drug interactions with oral antidiabetic agents: pharmacokinetic mechanisms and clinical implications.
Backman, JT; Neuvonen, PJ; Niemi, M; Tornio, A, 2012
)
0.38

Dosage Studied

ExcerptRelevanceReference
"In patients with type 2 diabetes mellitus, the traditional method of initiating therapy with a sulfonylurea and increasing the dosage until maximum levels are reached before adding an insulin-sensitizing agent has persisted and should be re-evaluated."( A comparison of agents used to manage type 2 diabetes mellitus: need for reappraisal of traditional approaches.
Bell, DS, 2004
)
0.32
" Achieving and maintaining tight glycemic control is key to preventing development or progression of CKD; however, improving glycemic control may be limited by effects of renal impairment on the efficacy and safety of T2DM treatments, necessitating dosing adjustments and careful evaluation of contraindications."( Glycemic control of type 2 diabetes mellitus across stages of renal impairment: information for primary care providers.
Adler, S; Tong, L, 2018
)
0.48
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Bioassays (8)

Assay IDTitleYearJournalArticle
AID194743Maximum % decrease of blood glucose (deltaBG) was observed within 4 hour after administration orally at 10 mg/kg dose to fasted adult female rats versus a control group1998Journal of medicinal chemistry, Dec-17, Volume: 41, Issue:26
Repaglinide and related hypoglycemic benzoic acid derivatives.
AID706675Antihyperglycemic activity in streptozotocin-induced diabetic Sprague-Dawley rat assessed as reduction in blood glucose level at 63.01 umol/kg, po after 24 hrs relative to control2012Journal of medicinal chemistry, Sep-13, Volume: 55, Issue:17
Synthesis and biological investigations of nitric oxide releasing nateglinide and meglitinide type II antidiabetic prodrugs: in-vivo antihyperglycemic activities and blood pressure lowering studies.
AID194741Maximum % decrease of blood glucose (deltaBG) was observed within 4 hour after administration orally at 1 mg/kg dose to fasted adult female rats versus a control group1998Journal of medicinal chemistry, Dec-17, Volume: 41, Issue:26
Repaglinide and related hypoglycemic benzoic acid derivatives.
AID194171Effect of the compound (50 mg/kg, po) on rat blood sugar level which was given an oral glucose load (1 g/kg) 1 hr after the administration of compound1984Journal of medicinal chemistry, Jan, Volume: 27, Issue:1
Receptor binding sites of hypoglycemic sulfonylureas and related [(acylamino)alkyl]benzoic acids.
AID176587Half-maximal effective dose was measured on rat blood glucose after administrating at 4 hr1998Journal of medicinal chemistry, Dec-17, Volume: 41, Issue:26
Repaglinide and related hypoglycemic benzoic acid derivatives.
AID706694Antihyperglycemic activity in streptozotocin-induced diabetic Sprague-Dawley rat assessed as reduction in blood glucose level at 63.01 umol/kg, po after 6 hrs relative to control2012Journal of medicinal chemistry, Sep-13, Volume: 55, Issue:17
Synthesis and biological investigations of nitric oxide releasing nateglinide and meglitinide type II antidiabetic prodrugs: in-vivo antihyperglycemic activities and blood pressure lowering studies.
AID706696Antihyperglycemic activity in streptozotocin-induced diabetic Sprague-Dawley rat assessed as reduction in blood glucose level at 63.01 umol/kg, po after 1 hr relative to control2012Journal of medicinal chemistry, Sep-13, Volume: 55, Issue:17
Synthesis and biological investigations of nitric oxide releasing nateglinide and meglitinide type II antidiabetic prodrugs: in-vivo antihyperglycemic activities and blood pressure lowering studies.
AID706695Antihyperglycemic activity in streptozotocin-induced diabetic Sprague-Dawley rat assessed as reduction in blood glucose level at 63.01 umol/kg, po after 3 hrs relative to control2012Journal of medicinal chemistry, Sep-13, Volume: 55, Issue:17
Synthesis and biological investigations of nitric oxide releasing nateglinide and meglitinide type II antidiabetic prodrugs: in-vivo antihyperglycemic activities and blood pressure lowering studies.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (113)

TimeframeStudies, This Drug (%)All Drugs %
pre-199017 (15.04)18.7374
1990's24 (21.24)18.2507
2000's42 (37.17)29.6817
2010's22 (19.47)24.3611
2020's8 (7.08)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 75.88

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index75.88 (24.57)
Research Supply Index4.80 (2.92)
Research Growth Index4.66 (4.65)
Search Engine Demand Index130.41 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (75.88)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials3 (2.54%)5.53%
Reviews50 (42.37%)6.00%
Case Studies5 (4.24%)4.05%
Observational1 (0.85%)0.25%
Other59 (50.00%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (8)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Incretin-based Drugs and the Risk of Heart Failure: A Multi-center Network Observational Study [NCT02456428]1,499,650 participants (Actual)Observational2014-03-31Completed
The Use of Incretin-based Drugs and the Risk of Acute Pancreatitis in Patients With Type 2 Diabetes [NCT02476760]1,417,914 participants (Actual)Observational2014-03-31Completed
The Echocardiographic Left Ventricular Functional Changes of Uncontrolled Diabetes by the Intervention of Dapagliflozin Treatment Trial (ELUCIDATE) [NCT03871621]Phase 476 participants (Actual)Interventional2019-04-01Completed
A National, Multicenter, Prospective, Interventional, Open-label, Single-arm, 24-Week Phase IV Study to Evaluate the Effectiveness and Safety of Initiation and Titration of Insulin Glargine U300 in Insulin-naïve Patients With T2DM Inadequately Controlled [NCT02954692]Phase 4112 participants (Actual)Interventional2016-11-30Completed
A Phase 3, Open Label, Randomized, Parallel, 26 Week Treatment Study Comparing LY2605541 With Insulin Glargine as Basal Insulin Treatment in Combination With Oral Anti Hyperglycemia Medications in Asian Insulin Naïve Patients With Type 2 Diabetes Mellitus [NCT01894568]Phase 3388 participants (Actual)Interventional2013-07-31Completed
Dapagliflozin Effect in Cognitive Impairment in Stroke Trial [NCT05565976]Phase 2/Phase 3270 participants (Anticipated)Interventional2020-08-01Recruiting
The Use of Incretin-based Drugs and the Risk of Pancreatic Cancer in Patients With Type 2 Diabetes [NCT02475499]886,172 participants (Actual)Observational2014-03-31Completed
Efficacy in Controlling Glycaemia With Victoza® (Liraglutide) as add-on to Metformin vs. OADs as add-on to Metformin After up to 104 Weeks of Treatment in Subjects With Type 2 Diabetes Inadequately Controlled With Metformin Monotherapy and Treated in a Pr [NCT02730377]Phase 41,991 participants (Actual)Interventional2016-03-28Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT01894568 (18) [back to overview]Change From Baseline to 12 Weeks in Hemoglobin A1c (HbA1c)
NCT01894568 (18) [back to overview]Change From Baseline to 26 Weeks in Adult Low Blood Sugar Survey (LBSS) Scores
NCT01894568 (18) [back to overview]Change From Baseline to Week 26 in Body Weight
NCT01894568 (18) [back to overview]Change From Baseline to Week 26 in Hemoglobin A1c (HbA1c)
NCT01894568 (18) [back to overview]Insulin Dose Per Kilogram (kg) of Body Weight
NCT01894568 (18) [back to overview]Intra-Participant Variability of the Fasting Blood Glucose (FBG)
NCT01894568 (18) [back to overview]Percent Hemoglobin A1c at Week 26
NCT01894568 (18) [back to overview]Percentage of Participants Achieving Steady-State of Basal Insulin Dose at 26 Weeks (Time to Steady State for Basal Insulin [Stable Maximum Dose])
NCT01894568 (18) [back to overview]Percentage of Participants With Detectable Anti-Insulin Peglispro Antibodies at Week 26
NCT01894568 (18) [back to overview]Percentage of Participants With HbA1c ≤6.5%
NCT01894568 (18) [back to overview]30-Day Adjusted Rate of Total and Nocturnal Hypoglycemic Events
NCT01894568 (18) [back to overview]9-Point Self-Monitored Blood Glucose (SMBG)
NCT01894568 (18) [back to overview]Change From Baseline of European Quality of Life-5 Dimensions - 3 Levels (EuroQoL-5D-3L ) Index Score and Visual Analog Scale (VAS) Health State Score at Week 26
NCT01894568 (18) [back to overview]Concentration of Triglycerides, Total Cholesterol, Low-Density Lipoprotein (LDL-C), and High-Density Lipoprotein Cholesterol (HDL-C) at Week 26
NCT01894568 (18) [back to overview]Fasting Blood Glucose (FBG)
NCT01894568 (18) [back to overview]Fasting Serum Glucose (FSG)
NCT01894568 (18) [back to overview]Insulin Treatment Satisfaction Questionnaire (ITSQ) Score
NCT01894568 (18) [back to overview]Percentage of Participants With Total and Nocturnal Hypoglycemic Events (HE)
NCT02730377 (19) [back to overview]Number of AEs Leading to Permanent Discontinuation of Trial Product
NCT02730377 (19) [back to overview]Number of Documented Symptomatic Hypoglycaemic Episodes (ADA)
NCT02730377 (19) [back to overview]Number of Serious Adverse Events (SAEs)
NCT02730377 (19) [back to overview]Number of Severe Hypoglycaemic Episodes
NCT02730377 (19) [back to overview]Number of Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes
NCT02730377 (19) [back to overview]Time to Inadequate Glycaemic Control
NCT02730377 (19) [back to overview]Time to Premature Treatment Discontinuation (for Any Reason Including Inadequate Glycaemic Control)
NCT02730377 (19) [back to overview]Change in Biochemistry- Alanine Aminotransferase (ALAT), Amylase, Aspartate Aminotransferase (ASAT), Lipase
NCT02730377 (19) [back to overview]Change in Biochemistry- Creatinine, Total Bilirubin
NCT02730377 (19) [back to overview]Change in Biochemistry- Estimated Glomerular Filtration Rate (eGFR) Serum
NCT02730377 (19) [back to overview]Change in Blood Pressure (Systolic and Diastolic Blood Pressure)
NCT02730377 (19) [back to overview]Change in Body Mass Index (BMI)
NCT02730377 (19) [back to overview]Change in Body Weight
NCT02730377 (19) [back to overview]Change in Fasting Plasma Glucose (FPG)
NCT02730377 (19) [back to overview]Change in Haemoglobin
NCT02730377 (19) [back to overview]Change in HbA1c
NCT02730377 (19) [back to overview]Change in Lipids: HDL Cholesterol, LDL-cholesterol, Total Cholesterol, Triglycerides
NCT02730377 (19) [back to overview]Change in Potassium
NCT02730377 (19) [back to overview]Change in Pulse

Change From Baseline to 12 Weeks in Hemoglobin A1c (HbA1c)

Hemoglobin A1c (HbA1c) is a test that measures a participant's average blood glucose level over the past 2 to 3 months.LS means were calculated using a MMRM with baseline HbA1C measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01894568)
Timeframe: Baseline, Week 12

Interventionpercent of HbA1c (Least Squares Mean)
Insulin Peglispro-1.43
Insulin Glargine-1.22

[back to top]

Change From Baseline to 26 Weeks in Adult Low Blood Sugar Survey (LBSS) Scores

LBSS is a validated, participant-reported 33-item questionnaire with items rated on a 5-point Likert scale, where 0 = never and 5 - always. The LBSS measures behaviors to avoid hypoglycemia and its negative consequences (15 items) and worries about hypoglycemia and its negative consequences (18 items). Total score is the sum of all items (range 0 to 132). Higher total scores reflect greater fear of hypoglycemia. Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) with country, treatment and metformin use as fixed effects and baseline score as a covariate. LBSS was assessed during screening visit (baseline) and again at Week 26. (NCT01894568)
Timeframe: Baseline, Week 26

Interventionunits on a scale (Least Squares Mean)
Insulin Peglispro1.51
Insulin Glargine1.62

[back to top]

Change From Baseline to Week 26 in Body Weight

LS Means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide use), visit and treatment-by-visit interaction. (NCT01894568)
Timeframe: Baseline, Week 26

InterventionKilogram (kg) (Least Squares Mean)
Insulin Peglispro1.06
Insulin Glargine1.57

[back to top]

Change From Baseline to Week 26 in Hemoglobin A1c (HbA1c)

Hemoglobin A1c (HbA1c) is a test that measures a participant's average blood glucose level over the past 2 to 3 months. Least Squares (LS) means were calculated using a mixed model repeated measures (MMRM) analysis adjusting for treatment, stratification factors (region, sulfonylureas/meglitinide use, baseline Low-Density Lipoprotein [LDL-C], visit, treatment-by-visit interaction, and baseline HbA1c as fixed effects and participants as the random effect. P-value is from MMRM with terms for treatment, visit, treatment-by-visit interaction, stratification, and baseline HbA1C. (NCT01894568)
Timeframe: Baseline, Week 26

Interventionpercent of HbA1c (Least Squares Mean)
Insulin Peglispro-1.61
Insulin Glargine-1.36

[back to top]

Insulin Dose Per Kilogram (kg) of Body Weight

LS means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide), visit, and treatment-by-visit interaction. (NCT01894568)
Timeframe: Week 26

Interventionunits per kg (Least Squares Mean)
Insulin Peglispro0.26
Insulin Glargine0.26

[back to top]

Intra-Participant Variability of the Fasting Blood Glucose (FBG)

Intra-participant variability of Fasting Blood Glucose (FBG), which was measured by Self Monitored Blood Glucose (SMBG), was assessed by the standard deviation of the FBG measurement at the Week 26 visit. LS means were calculated using a MMRM with baseline fasting blood glucose measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01894568)
Timeframe: Week 26

Interventionmg/dL (Least Squares Mean)
Insulin Peglispro14.97
Insulin Glargine15.12

[back to top]

Percent Hemoglobin A1c at Week 26

HbA1c is a test that measures a participant's average blood glucose level over the past 2 to 3 months. LS means were calculated using a MMRM with baseline HbA1C measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01894568)
Timeframe: Week 26

Interventionpercent of HbA1c (Least Squares Mean)
Insulin Peglispro6.92
Insulin Glargine7.17

[back to top]

Percentage of Participants Achieving Steady-State of Basal Insulin Dose at 26 Weeks (Time to Steady State for Basal Insulin [Stable Maximum Dose])

(NCT01894568)
Timeframe: Week 26

Interventionpercentage of participants (Number)
Insulin Peglispro96.9
Insulin Glargine97.2

[back to top]

Percentage of Participants With Detectable Anti-Insulin Peglispro Antibodies at Week 26

For participants with detectable anti-insulin peglispro antibody level, the percentage of participants with positive cross-react with endogenous insulin was summarized. (NCT01894568)
Timeframe: Week 26

Interventionpercentage of participants (Number)
Insulin Peglispro24.6
Insulin Glargine32.5

[back to top]

Percentage of Participants With HbA1c ≤6.5%

Percentage of participants with HbA1c ≤6.5% at Week 26 were made using a logistic regression model for endpoint used last observation carried forward (LOCF) method including treatment, baseline HbA1c value. (NCT01894568)
Timeframe: Week 26

InterventionPercentage of participants (Number)
Insulin Peglispro29.8
Insulin Glargine22.7

[back to top]

30-Day Adjusted Rate of Total and Nocturnal Hypoglycemic Events

Hypoglycemia Events (HE) occurs when blood glucose level ≤ 70 milligram per deciliter (mg/dL) (<3.9 micromoles per liter [mmol/L]). Nocturnal HE includes any total HE that occurred between bedtime and waking. Group mean rates of nocturnal hypoglycemia (per 30 days) are presented and were calculated from negative binomial regression models with treatment, baseline sulfonylurea/meglitinide use, baseline total hypoglycemia event rate, log (exposure/30 days) as the offset in the model. Group Mean is estimated by taking the inverse link function on individual participant covariates first and then averages over all participants. (NCT01894568)
Timeframe: Baseline to Week 26

,
InterventionNumber of events per participant per 30d (Mean)
Total HENocturnal HE
Insulin Glargine1.210.27
Insulin Peglispro1.280.19

[back to top]

9-Point Self-Monitored Blood Glucose (SMBG)

LS means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide use), visit and treatment-by-visit interaction. The 9-point SMBG are measured at: Pre-morning meal, 2 hours(hr) post morning meal, pre-midday meal, 2 hr post midday meal, pre-evening meal, 2 hr post pre-evening meal, bedtime, 0300 hr, and pre-morning meal next day, and should be performed on 2 non-consecutive days. (NCT01894568)
Timeframe: Week 0 and Week 26

,
Interventionmg/dL (Least Squares Mean)
Morning Pre-meal Wk0Morning Pre-meal Wk26Morning Post-meal Wk0Morning Post-meal Wk26Mid-day Pre-meal Wk0Mid-day Pre-meal Wk26Mid-day Post-meal Wk0Mid-day Post-meal Wk26Evening Pre-meal Wk0Evening Pre-meal Wk26Evening Post-meal Wk0Evening Post-meal Wk26Bed Time Wk0Bed Time Wk260300 Hours (Hrs) Wk00300 Hrs Wk26Pre-morning Meal Next Day Wk0Pre-morning Meal Next Day Wk26
Insulin Glargine162.83108.71233.37176.93166.68122.85226.11183.88172.83135.55219.54182.80197.68161.44162.13114.77159.96105.18
Insulin Peglispro160.19108.24237.19176.97169.24122.01224.22182.32176.49131.65219.45176.23198.64153.41158.82115.18156.28108.42

[back to top]

Change From Baseline of European Quality of Life-5 Dimensions - 3 Levels (EuroQoL-5D-3L ) Index Score and Visual Analog Scale (VAS) Health State Score at Week 26

The EuroQoL-5D-3L questionnaire is a generic, multidimensional, health-related, quality-of-life instrument. The profile allows participants to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression using a 3-level scale of 1 to 3 (no problem, some problems, and extreme problems). These combinations of attributes are converted into a weighted health-state Index Score according to the United States population-based algorithm. Scores ranged from -0.11 to 1.0 where a score of 1.0 indicates perfect health. Overall health state score was self-reported using a VAS marked on a scale of 0 to 100 (0 indicates worst imaginable health state and 100 indicates best imaginable health state. LS means were calculated using analysis of covariance (ANCOVA) for actual measures and changes from baseline at endpoint using LOCF method: adjusting for treatment, stratification factors (region, HbA1c and SU/meglitin. (NCT01894568)
Timeframe: Baseline, Week 26

,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline to Endpoint EQ-5D-3L ScoreChange from Baseline VAS Health State Score
Insulin Glargine0.003.66
Insulin Peglispro0.012.29

[back to top]

Concentration of Triglycerides, Total Cholesterol, Low-Density Lipoprotein (LDL-C), and High-Density Lipoprotein Cholesterol (HDL-C) at Week 26

LS means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide use), visit, and treatment-by-visit interaction. (NCT01894568)
Timeframe: Week 26

,
Interventionmg/dL (Least Squares Mean)
Cholesterol Wk26HDL Wk26Triglycerides Wk26LDL Wk26
Insulin Glargine177.9052.99122.83101.07
Insulin Peglispro175.7651.64132.4397.95

[back to top]

Fasting Blood Glucose (FBG)

LS Means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide use), visit and treatment-by-visit interaction. (NCT01894568)
Timeframe: Weeks 0 and 26

,
Interventionmg/dL (Least Squares Mean)
Week 0Week 26
Insulin Glargine161.19108.22
Insulin Peglispro159.53108.39

[back to top]

Fasting Serum Glucose (FSG)

LS means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and sulfonylurea [SU]/meglitinide use), visit, and treatment-by-visit interaction. (NCT01894568)
Timeframe: Weeks 0 and 26

,
Interventionmg/dL (Least Squares Mean)
Week 0Week 26
Insulin Glargine166.61110.32
Insulin Peglispro164.31103.85

[back to top]

Insulin Treatment Satisfaction Questionnaire (ITSQ) Score

The Insulin Treatment Satisfaction Questionnaire is a validated instrument containing 22 items that assessed treatment satisfaction for participants with diabetes on insulin. The questionnaire measures satisfaction from the following 5 domains: Inconvenience of Regimen, Lifestyle Flexibility, Glycemic Control, Hypoglycemic Control, and Insulin Delivery Device. Data presented are the transformed score on a scale of 0-100, where a higher score indicate better treatment satisfaction. LS means was achieved using a MMRM model for post-baseline measures with stratification factors (country, HbA1c, and SU/meglitinide use) treatment, visit, treatment-by-visit as fixed effects. ITSQ was assessed at Week 4 (baseline) and Week 26. (NCT01894568)
Timeframe: Week 4 and 26

,
Interventionunits on a scale (Least Squares Mean)
ITSQ Wk4ITSQ Wk26
Insulin Glargine75.9478.29
Insulin Peglispro74.1378.73

[back to top]

Percentage of Participants With Total and Nocturnal Hypoglycemic Events (HE)

Percentage of participants with hypoglycemic events (total or nocturnal) to Week 26 based on BG Threshold 70mg/dL. (NCT01894568)
Timeframe: Baseline to Week 26

,
Interventionpercentage of participants (Number)
Nocturnal Hypoglycemia BG 70mg/dLTotal Hypoglycemia BG 70mg/dL
Insulin Glargine29.676.5
Insulin Peglispro26.677.1

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Number of AEs Leading to Permanent Discontinuation of Trial Product

An adverse event (AE) was any untoward medical occurrence in a participant who administered a product, and which did not necessarily had a causal relationship with this treatment. An AE was considered as treatment emergent if it had an onset or increase in severity on or after the time of first trial product administration and no later than 7 days after the time of last trial product administration. Number of treatment emergent AEs that led to permanent discontinuation of trial product are presented. (NCT02730377)
Timeframe: Weeks 0-105

InterventionEvents (Number)
Liraglutide 1.8 mg188
Oral Antidiabetic Drug98

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Number of Documented Symptomatic Hypoglycaemic Episodes (ADA)

Documented symptomatic hypoglycaemic were defined as episodes with typical symptoms of hypoglycaemia accompanied by measure plasma glucose concentration <= 3.9 mmol/L. Number of documented symptomatic hypoglycaemic episodes that occured during the weeks 0-104 are presented. (NCT02730377)
Timeframe: Weeks 0-104

InterventionEpisodes (Number)
Liraglutide 1.8 mg98
Oral Antidiabetic Drug155

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Number of Serious Adverse Events (SAEs)

A serious adverse event (SAE) was defined as any event that resulted in any of the following: death, life-threatening experience, in-patient hospitalisation or prolongation of existing hospitalisation, persistent or significant disability or incapacity, congenital anomaly or birth defect or suspicion of transmission of infectious agents via the trial product. An SAE was considered as treatment emergent if it had an onset or increase in severity on or after the time of first trial product administration and no later than 7 days after the time of last trial product administration. Number of treatment emergent serious adverse events are presented. (NCT02730377)
Timeframe: Weeks 0-105

InterventionEvents (Number)
Liraglutide 1.8 mg145
Oral Antidiabetic Drug140

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Number of Severe Hypoglycaemic Episodes

Severe hypoglycaemic episodes were defined as episodes that required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. Number of severe hypoglycaemic episodes that occured during weeks 0-104 are presented. (NCT02730377)
Timeframe: Weeks 0-104

InterventionEpisodes (Number)
Liraglutide 1.8 mg32
Oral Antidiabetic Drug52

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Number of Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes

Severe or BG confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a plasma glucose value <3.1 mmol/L with symptoms consistent with hypoglycaemia. Number of severe or BG confirmed symptomatic hypoglycaemic episodes that occured during weeks 0-104 are presented. (NCT02730377)
Timeframe: Weeks 0-104

InterventionEpisodes (Number)
Liraglutide 1.8 mg24
Oral Antidiabetic Drug44

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Time to Inadequate Glycaemic Control

Inadequate glycaemic control was defined as glycosylated haemoglobin (HbA1c) of 7.0% (53 mmol/mol) or greater at two consecutive visits after the first 26 weeks of treatment and up to 104 weeks. 25%, median (50%) and 75% percentiles for the cumulative distribution function, are obtained from the Kaplan-Meier survival function. HbA1c was recorded at weeks 38, 52, 65, 78, 91 and 104. (NCT02730377)
Timeframe: Weeks 26-104

InterventionWeeks (Median)
Liraglutide 1.8 mg108.9
Oral Antidiabetic Drug64.9

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Time to Premature Treatment Discontinuation (for Any Reason Including Inadequate Glycaemic Control)

The time to premature treatment discontinuation (for any reason including inadequate glycaemic control) was analysed and presented using the generalised log rank test. 25%, median (50%) and 75% percentiles for the cumulative distribution function, are obtained from the Kaplan-Meier survival function. (NCT02730377)
Timeframe: Weeks 0-104

InterventionWeeks (Median)
Liraglutide 1.8 mg80.4
Oral Antidiabetic Drug52.3

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Change in Biochemistry- Alanine Aminotransferase (ALAT), Amylase, Aspartate Aminotransferase (ASAT), Lipase

Change from baseline (week 0) in alanine aminotransferase (ALAT), amylase, aspartate aminotransferase (ASAT) and lipase at week 104 or at premature treatment discontinuation is presented. (NCT02730377)
Timeframe: Week 0, week 104/premature treatment discontinuation

,
InterventionUnits per liter (U/L) (Mean)
ALAT: Week 104ALAT: Premature treatment discontinuationAmylase: Week 104Amylase: Premature treatment discontinuationASAT: Week 104ASAT: Premature treatment discontinuationLipase: Week 104Lipase: Premature treatment discontinuation
Liraglutide 1.8 mg-4.6-3.28.90.6-2.0-1.915.110.4
Oral Antidiabetic Drug-5.4-3.35.12.1-2.3-0.4-0.5-2.2

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Change in Biochemistry- Creatinine, Total Bilirubin

Change from baseline (week 0) in creatinine and total bilirubin (TB) at week 104 or at premature treatment discontinuation is presented. (NCT02730377)
Timeframe: Week 0, week 104/premature treatment discontinuation

,
InterventionMicromoles per liter (umol/L) (Mean)
Creatinine: week 104Creatinine: premature treatment discontinuationTB: week 104TB: premature treatment discontinuation
Liraglutide 1.8 mg3.32.90.4-0.0
Oral Antidiabetic Drug1.02.60.7-0.6

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Change in Biochemistry- Estimated Glomerular Filtration Rate (eGFR) Serum

The estimated GFR was derived from serum creatinine using the MDRD (Modification of diet in renal disease) formula. eGFR was measured as milliliter per min per specific surface area (mL/min/SSA). (NCT02730377)
Timeframe: Week 0, week 104/premature treatment discontinuation

,
InterventionmL/min/SSA (Mean)
Change at week 104Change at premature treatment discontinuation
Liraglutide 1.8 mg-5.1-3.0
Oral Antidiabetic Drug-1.6-1.7

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Change in Blood Pressure (Systolic and Diastolic Blood Pressure)

Change from baseline (week 0) in systolic and diastolic blood pressure at week 104 or at premature treatment discontinuation is presented. (NCT02730377)
Timeframe: Week 0, week 104/premature treatment discontinuation

,
InterventionMillimeters of mercury (mmHg) (Mean)
SBP: Change at week 104SBP: Change at premature treatment discontinuationDBP: Change at week 104DBP: Change at premature treatment discontinuation
Liraglutide 1.8 mg-2.4-2.8-1.3-1.0
Oral Antidiabetic Drug-1.1-2.9-0.60.2

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Change in Body Mass Index (BMI)

Change from baseline (week 0) in BMI at week 104 or at premature treatment discontinuation is presented. (NCT02730377)
Timeframe: Week 0, week 104/premature treatment discontinuation

,
InterventionKilograms per square meter (kg/m^2) (Mean)
Change at week 104Change at premature treatment discontinuation
Liraglutide 1.8 mg-1.3-1.1
Oral Antidiabetic Drug-1.2-0.8

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Change in Body Weight

Change from baseline (week 0) in body weight at week 104 or at premature treatment discontinuation is presented. (NCT02730377)
Timeframe: Week 0, week 104/premature treatment discontinuation

,
InterventionKilogram (Kg) (Mean)
Change at week 104Change at premature treatment discontinuation
Liraglutide 1.8 mg-3.8-2.9
Oral Antidiabetic Drug-3.5-2.2

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Change in Fasting Plasma Glucose (FPG)

Change from baseline (week 0) in FPG at week 104 or at premature treatment discontinuation is presented. (NCT02730377)
Timeframe: Week 0, week 104/premature treatment discontinuation

,
InterventionMillimoles per liter (mmol/L) (Mean)
Change at week 104Change at premature treatment discontinuation
Liraglutide 1.8 mg-2.2-0.6
Oral Antidiabetic Drug-1.2-0.6

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Change in Haemoglobin

Change from baseline (week 0) in haemoglobin at week 104 or at premature treatment discontinuation is presented. (NCT02730377)
Timeframe: Week 0, week 104/premature treatment discontinuation

,
InterventionGrams per deciliter (g/dL) (Mean)
Change at week 104Change at premature treatment discontinuation
Liraglutide 1.8 mg-0.4-0.3
Oral Antidiabetic Drug-0.0-0.3

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Change in HbA1c

Change from baseline (week 0) in HbA1c at week 104 or at premature treatment discontinuation is presented. (NCT02730377)
Timeframe: Week 0, week 104/premature treatment discontinuation

,
InterventionPercentage point of HbA1c (Mean)
Change at week 104Change at premature treatment discontinuation
Liraglutide 1.8 mg-1.4-0.6
Oral Antidiabetic Drug-1.1-0.2

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Change in Lipids: HDL Cholesterol, LDL-cholesterol, Total Cholesterol, Triglycerides

Change from baseline (week 0) in high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol, total cholesterol (TC) and triglycerides (TG) at week 104 or at premature treatment discontinuation is presented. (NCT02730377)
Timeframe: Week 0, week 104/premature treatment discontinuation

,
InterventionMillimoles per liter (mmol/L) (Mean)
HDL: Change at week 104HDL: Change at premature treatment discontinuationLDL: Change at week 104LDL: Change at premature treatment discontinuationTC: Change at week 104TC: Change at premature treatment discontinuationTG: Change at week 104TG: Change at premature treatment discontinuation
Liraglutide 1.8 mg0.1-0.0-0.1-0.1-0.2-0.0-0.3-0.0
Oral Antidiabetic Drug0.10.00.0-0.10.1-0.1-0.1-0.0

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Change in Potassium

Change from baseline (week 0) in potassium at week 104 or at premature treatment discontinuation is presented. (NCT02730377)
Timeframe: Week 0, week 104/premature treatment discontinuation

,
InterventionMillimoles per liter (mmol/L) (Mean)
Change at week 104Change at premature treatment discontinuation
Liraglutide 1.8 mg-0.1-0.0
Oral Antidiabetic Drug-0.0-0.2

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Change in Pulse

Change from baseline (week 0) in pulse at week 104 or at premature treatment discontinuation is presented. (NCT02730377)
Timeframe: Week 0, week 104/premature treatment discontinuation

,
InterventionBeats per minute (beats/min) (Mean)
Change at week 104Change at premature treatment discontinuation
Liraglutide 1.8 mg1.00.7
Oral Antidiabetic Drug-0.60.9

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