Adding Once-Daily Lixisenatide for Type 2 Diabetes Inadequately Controlled With Newly Initiated and Continuously Titrated Basal Insulin Glargine: A 24-Week, Randomized, Placebo-Controlled Study (GETGOAL-DUO-1)
Matthew C. Riddle,Thomas Forst,Ronnie Aronson,Leobardo Sauque-Reyna,Elisabeth Souhami,Louise Silvestre,Lin Ping,Julio Rosenstock +7 more
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TLDR
In this paper, the efficacy and safety of lixisenatide in patients with HbA 1c still elevated after initiation of insulin glargine were examined in a double-blind, parallel-group trial.Abstract:
OBJECTIVE When oral therapy for type 2 diabetes is ineffective, adding basal insulin improves glycemic control. However, when glycated hemoglobin (HbA 1c ) remains elevated because of postprandial hyperglycemia, the next therapeutic step is controversial. We examined the efficacy and safety of lixisenatide in patients with HbA 1c still elevated after initiation of insulin glargine. RESEARCH DESIGN AND METHODS This double-blind, parallel-group trial enrolled patients with HbA 1c 7–10% despite oral therapy. Insulin glargine was added and systematically titrated during a 12-week run-in, after which candidates with fasting glucose ≤7.8 mmol/L and HbA 1c 7–9% were randomized to lixisenatide 20 µg or placebo for 24 weeks while insulin titration continued. The primary end point was HbA 1c change after randomization. RESULTS The randomized population ( n = 446) had mean diabetes duration of 9.2 years, BMI 31.8 kg/m 2 , and daily glargine dosage of 44 units. HbA 1c had decreased during run-in from 8.6 to 7.6%; adding lixisenatide further reduced HbA 1c by 0.71 vs. 0.40% with placebo (least squares mean difference, –0.32%; 95% CI, –0.46 to –0.17; P 1c P P P = 0.0012). Nausea, vomiting, and symptomatic hypoglycemia CONCLUSION Adding lixisenatide to insulin glargine improved overall and postprandial hyperglycemia and deserves consideration as an alternative to prandial insulin for patients not reaching HbA 1c goals with recently initiated basal insulin.read more
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Update on the treatment of type 2 diabetes mellitus
Juan José Marín-Peñalver,Iciar Martín-Timón,Cristina Sevillano-Collantes,Francisco Javier del Cañizo-Gómez +3 more
TL;DR: The aim of this review is to perform an update on the benefits and limitations of different drugs, both current and future, for the treatment of T2DM, with an emphasis on agents introduced within the last decade.
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Glucagon-like peptide-1 receptor agonist and basal insulin combination treatment for the management of type 2 diabetes: a systematic review and meta-analysis
Conrad Eng,Caroline K. Kramer,Caroline K. Kramer,Bernard Zinman,Bernard Zinman,Bernard Zinman,Ravi Retnakaran,Ravi Retnakaran,Ravi Retnakaran +8 more
TL;DR: GLP-1 agonist and basal insulin combination treatment can enable achievement of the ideal trifecta in diabetic treatment: robust glycaemic control with no increased hypoglycaemia or weight gain.
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Efficacy and safety of glucagon-like peptide-1 receptor agonists in type 2 diabetes: A systematic review and mixed-treatment comparison analysis
Zin Zin Htike,Zin Zin Htike,Francesco Zaccardi,Francesco Zaccardi,Dimitris Papamargaritis,Dimitris Papamargaritis,David R. Webb,David R. Webb,Kamlesh Khunti,Kamlesh Khunti,Melanie J. Davies,Melanie J. Davies +11 more
TL;DR: To compare efficacy and safety of glucagon‐like peptide‐1 receptor agonists (GLP‐1RAs) in people with type 2 diabetes, a large number of subjects were randomly assigned to receive either a GLP or a non‐GLP agonist treatment.
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Pharmacology and therapeutic implications of current drugs for type 2 diabetes mellitus
TL;DR: The pharmacokinetics, pharmacodynamics and safety profiles, including cardiovascular safety, of currently available therapies for management of hyperglycaemia in patients with T2DM are assessed within the context of disease pathogenesis and natural history.
Journal ArticleDOI
Efficacy and Safety of Lixisenatide Once Daily Versus Exenatide Twice Daily in Type 2 Diabetes Inadequately Controlled on Metformin A 24-Week, Randomized, Open-Label, Active-Controlled Study (GetGoal-X)
Julio Rosenstock,Denis Raccah,László Korányi,Laura Maffei,Gabor Boka,Patrick Miossec,John E. Gerich +6 more
TL;DR: Add-on lixisenatide once daily in type 2 diabetes inadequately controlled with metformin demonstrated noninferior improvements in HbA1c, with slightly lower mean weight loss, lower incidence of hypoglycemia, and better gastrointestinal tolerability compared with exenatide twice daily.
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