A Trial Comparing the Efficacy and Safety of Insulin Degludec/Liraglutide and Insulin Degludec in Subjects With Type 2 Diabetes
DUAL™ II
A 26-week Randomised, Parallel Two-arm, Double-blind, Multi-centre, Multinational, Treat-to-target Trial Comparing Fixed Ratio Combination of Insulin Degludec and Liraglutide With Insulin Degludec in Subjects With Type 2 Diabetes
3 other identifiers
interventional
413
7 countries
86
Brief Summary
This trial is conducted in Asia, Europe and the United States of America (USA). The aim of this trial is to compare the efficacy and safety of insulin degludec/liraglutide (IDegLira) and insulin degludec (IDeg) in subjects with type 2 diabetes. Subjects continue their pre-trial treatment with metformin throughout the entire trial.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 diabetes
Started Nov 2011
Shorter than P25 for phase_3 diabetes
86 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 7, 2011
CompletedFirst Posted
Study publicly available on registry
July 12, 2011
CompletedStudy Start
First participant enrolled
November 28, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
October 4, 2012
CompletedResults Posted
Study results publicly available
January 20, 2017
CompletedJanuary 3, 2019
December 1, 2018
10 months
July 7, 2011
November 23, 2016
December 7, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Change From Baseline in HbA1c (Glycosylated Haemoglobin)
Observed mean change from baseline in HbA1c after 26 Weeks of treatment.
Week 0, week 26
Secondary Outcomes (1)
Change in Body Weight
Week 0, week 26
Study Arms (2)
IDegLira + metformin
EXPERIMENTALIDegLira was injected subcutaneously once daily for 26 weeks.
IDeg + metformin
EXPERIMENTALIDeg was injected subcutaneously once daily for 26 weeks.
Interventions
IDeg/Lira treatment will be initiated and titrated (individually adjusted) twice weekly according to the mean self measured plasma glucose (SMPG) (fasting). IDegLira is injected subcutaneously (under the skin) once daily.
IDeg treatment will be initiated and titrated (individually adjusted) twice weekly according to the mean self measured plasma glucose (SMPG) (fasting). IDeg is injected subcutaneously (under the skin) once daily.
Eligibility Criteria
You may qualify if:
- Subjects with type 2 diabetes
- HbA1c (glycosylated haemoglobin) 7.5-10.0% (both inclusive)
- Subjects on stable daily doses for at least 90 days prior to trial start of: Basal insulin (total daily basal insulin dose within the range of 20-40U in combination with: metformin (1500 mg or more or max. tolerated dose) or metformin (1500 mg or more or max. tolerated dose) and SU (sulfonylurea) (equal to or more than half of the max. approved dose according to local label) or metformin and glinides (equal to or more than half of the max. approved dose according to local label)
- BMI (Body Mass Index) more than or equal to 27 kg/m\^2
You may not qualify if:
- Treatment with glucagon like peptide-1 (GLP-1) receptor agonists (e.g. exenatide, liraglutide), dipeptidyl peptidase 4 (DPP-4) inhibitors and/or thiazolidinediones within 90 days prior to trial start
- Impaired liver function
- Impaired renal function
- Screening calcitonin equal to or above 50 ng/l
- Subjects with personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia type 2 (MEN 2)
- Cardiac disorder defined as: congestive heart failure (NYHA class III-IV), diagnosis of unstable angina pectoris, cerebral stroke and/or myocardial infarction within the last 52 weeks prior to trial start and/or planned coronary, carotid or peripheral artery revascularisation procedures
- Severe uncontrolled treated or untreated hypertension (systolic blood pressure equal to or above 180 mm Hg or diastolic blood pressure equal to or above 100 mm Hg)
- Acute treatment required proliferative retinopathy or maculopathy (macular oedema) according to physician's opinion
- History of chronic pancreatitis or idiopathic acute pancreatitis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (86)
Novo Nordisk Investigational Site
Huntsville, Alabama, 35801, United States
Novo Nordisk Investigational Site
Vestavia Hills, Alabama, 35209, United States
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Anaheim, California, 92801, United States
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Los Angeles, California, 90057, United States
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Tustin, California, 92780, United States
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Ventura, California, 93003, United States
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Colorado Springs, Colorado, 80910, United States
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Waterbury, Connecticut, 06708, United States
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Melbourne, Florida, 32934, United States
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Miami, Florida, 33156, United States
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Roswell, Georgia, 30076, United States
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Arlington Heights, Illinois, 60004-2315, United States
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Avon, Illinois, 46123, United States
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Chicago, Illinois, 60607, United States
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Crystal Lake, Illinois, 60012, United States
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Gurnee, Illinois, 60031, United States
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Greenfield, Indiana, 46140, United States
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Indianapolis, Indiana, 46254, United States
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Muncie, Indiana, 47304, United States
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New Albany, Indiana, 47150, United States
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Lexington, Kentucky, 40503, United States
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Metairie, Louisiana, 70002, United States
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Metairie, Louisiana, 70006-2930, United States
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Slidell, Louisiana, 70461-4231, United States
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Rockville, Maryland, 20852, United States
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Methuen, Massachusetts, 01844, United States
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North Dartmouth, Massachusetts, 02747, United States
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Waltham, Massachusetts, 02453, United States
Novo Nordisk Investigational Site
Southfield, Michigan, 48034-7661, United States
Novo Nordisk Investigational Site
Chesterfield, Missouri, 63017, United States
Novo Nordisk Investigational Site
Saint Charles, Missouri, 63303, United States
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Nashua, New Hampshire, 03063, United States
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Lawrenceville, New Jersey, 08648, United States
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Toms River, New Jersey, 08755-8050, United States
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Albany, New York, 12206, United States
Novo Nordisk Investigational Site
Smithtown, New York, 11787, United States
Novo Nordisk Investigational Site
Asheboro, North Carolina, 27203, United States
Novo Nordisk Investigational Site
Chapel Hill, North Carolina, 27517, United States
Novo Nordisk Investigational Site
Greensboro, North Carolina, 27408, United States
Novo Nordisk Investigational Site
Hickory, North Carolina, 28602, United States
Novo Nordisk Investigational Site
Statesville, North Carolina, 28625, United States
Novo Nordisk Investigational Site
Beaver, Pennsylvania, 15009, United States
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19107, United States
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19152, United States
Novo Nordisk Investigational Site
Greer, South Carolina, 29651, United States
Novo Nordisk Investigational Site
Simpsonville, South Carolina, 29681, United States
Novo Nordisk Investigational Site
Nashville, Tennessee, 37203, United States
Novo Nordisk Investigational Site
Arlington, Texas, 76014, United States
Novo Nordisk Investigational Site
Austin, Texas, 78731, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75230, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75246, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75251, United States
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Hurst, Texas, 76054, United States
Novo Nordisk Investigational Site
San Antonio, Texas, 78215, United States
Novo Nordisk Investigational Site
San Antonio, Texas, 78224, United States
Novo Nordisk Investigational Site
San Antonio, Texas, 78229, United States
Novo Nordisk Investigational Site
Sugar Land, Texas, 77478, United States
Novo Nordisk Investigational Site
Salt Lake City, Utah, 84107, United States
Novo Nordisk Investigational Site
Burgas, 8000, Bulgaria
Novo Nordisk Investigational Site
Haskovo, 6300, Bulgaria
Novo Nordisk Investigational Site
Lukovit, 5770, Bulgaria
Novo Nordisk Investigational Site
Plovdiv, 4001, Bulgaria
Novo Nordisk Investigational Site
Rousse, 7000, Bulgaria
Novo Nordisk Investigational Site
Sofia, 1712, Bulgaria
Novo Nordisk Investigational Site
Århus C, 8000, Denmark
Novo Nordisk Investigational Site
Gentofte Municipality, 2820, Denmark
Novo Nordisk Investigational Site
Hellerup, 2900, Denmark
Novo Nordisk Investigational Site
Budapest, 1125, Hungary
Novo Nordisk Investigational Site
Debrecen, 4043, Hungary
Novo Nordisk Investigational Site
Eger, H-3300, Hungary
Novo Nordisk Investigational Site
Szombathely, H-9700, Hungary
Novo Nordisk Investigational Site
Mumbai, Maharashtra, 400008, India
Novo Nordisk Investigational Site
Mumbai, Maharashtra, 400053, India
Novo Nordisk Investigational Site
Pune, Maharashtra, 411001., India
Novo Nordisk Investigational Site
Chennai, Tamil Nadu, 600086, India
Novo Nordisk Investigational Site
Kolkata, West Bengal, 700064, India
Novo Nordisk Investigational Site
Dhantoli, Nagpur, 440012, India
Novo Nordisk Investigational Site
Koper, SI-6000, Slovenia
Novo Nordisk Investigational Site
Ljubljana, 1525, Slovenia
Novo Nordisk Investigational Site
Novo Mesto, 8000, Slovenia
Novo Nordisk Investigational Site
Basel, 4031, Switzerland
Novo Nordisk Investigational Site
Bern, 3010, Switzerland
Novo Nordisk Investigational Site
Interlaken-Unterseen, 3800, Switzerland
Novo Nordisk Investigational Site
Lausanne, 1011, Switzerland
Novo Nordisk Investigational Site
Lucerne, 6000, Switzerland
Novo Nordisk Investigational Site
Sankt Gallen, 9007, Switzerland
Related Publications (7)
Khunti K, Mohan V, Jain SM, Boesgaard TW, Begtrup K, Sethi B. Efficacy and Safety of IDegLira in Participants with Type 2 Diabetes in India Uncontrolled on Oral Antidiabetic Drugs and Basal Insulin: Data from the DUAL Clinical Trial Program. Diabetes Ther. 2017 Jun;8(3):673-682. doi: 10.1007/s13300-017-0252-9. Epub 2017 Mar 22.
PMID: 28332144BACKGROUNDEricsson A, Lundqvist A. Cost Effectiveness of Insulin Degludec Plus Liraglutide (IDegLira) in a Fixed Combination for Uncontrolled Type 2 Diabetes Mellitus in Sweden. Appl Health Econ Health Policy. 2017 Apr;15(2):237-248. doi: 10.1007/s40258-016-0301-y.
PMID: 28063135BACKGROUNDBuse JB, Vilsboll T, Thurman J, Blevins TC, Langbakke IH, Bottcher SG, Rodbard HW; NN9068-3912 (DUAL-II) Trial Investigators. Contribution of liraglutide in the fixed-ratio combination of insulin degludec and liraglutide (IDegLira). Diabetes Care. 2014 Nov;37(11):2926-33. doi: 10.2337/dc14-0785. Epub 2014 Aug 11.
PMID: 25114296RESULTVilsboll T, Vora J, Jarlov H, Kvist K, Blonde L. Type 2 Diabetes Patients Reach Target Glycemic Control Faster Using IDegLira than Either Insulin Degludec or Liraglutide Given Alone. Clin Drug Investig. 2016 Apr;36(4):293-303. doi: 10.1007/s40261-016-0376-0.
PMID: 26894800RESULTKing AB, Philis-Tsimikas A, Kilpatrick ES, Langbakke IH, Begtrup K, Vilsboll T. A Fixed Ratio Combination of Insulin Degludec and Liraglutide (IDegLira) Reduces Glycemic Fluctuation and Brings More Patients with Type 2 Diabetes Within Blood Glucose Target Ranges. Diabetes Technol Ther. 2017 Apr;19(4):255-264. doi: 10.1089/dia.2016.0405. Epub 2017 Mar 10.
PMID: 28282219RESULTLingvay 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.
PMID: 30383495RESULTNatale 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.
PMID: 39963952DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Global Clinical Registry (GCR, 1452)
- Organization
- Novo Nordisk A/S
Study Officials
- STUDY DIRECTOR
Global Clinical Registry (GCR, 1452)
Novo Nordisk A/S
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 7, 2011
First Posted
July 12, 2011
Study Start
November 28, 2011
Primary Completion
October 1, 2012
Study Completion
October 4, 2012
Last Updated
January 3, 2019
Results First Posted
January 20, 2017
Record last verified: 2018-12