The Efficacy of Insulin Degludec/Liraglutide as add-on Therapy in Controlling Glycaemia in Adults With Type 2 Diabetes Inadequately Controlled on Sulphonylurea With or Without Metformin Therapy
DUAL™IV
3 other identifiers
interventional
435
8 countries
87
Brief Summary
This trial is conducted in Asia, Europe and the United States of America (USA). The aim of this trial is to investigate the efficacy and safety of insulin degludec/liraglutide in insulin naïve subjects inadequately controlled with SU (sulphonylurea) alone or in combination with metformin. All subjects will continue their pre-trial SU treatment with or without metformin treatment without changing the frequency or dose throughout the 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 Aug 2012
87 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
June 11, 2012
CompletedFirst Posted
Study publicly available on registry
June 13, 2012
CompletedStudy Start
First participant enrolled
August 29, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 23, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
October 23, 2013
CompletedResults Posted
Study results publicly available
February 17, 2017
CompletedOctober 27, 2017
September 1, 2017
1.2 years
June 11, 2012
December 20, 2016
September 26, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Glycosylated Haemoglobin (HbA1c)
Change in HbA1c from baseline to 26 weeks.
Week 0, Week 26
Secondary Outcomes (6)
Responders Achieving Pre-defined Target: HbA1c Below 7.0% (53 mmol/Mol)
Week 26
Responders Achieving Pre-defined Target: HbA1c Below or Equal to 6.5% (48 mmol/Mol)
Week 26
Change From Baseline in Fasting Plasma Glucose (FPG)
Week 0, week 26
Change From Baseline in Body Weight
Week 0, week 26
Number of Treatment Emergent (Confirmed) Hypoglycaemic Episodes
After 26 weeks of treatment
- +1 more secondary outcomes
Study Arms (2)
Insulin degludec/liraglutide
EXPERIMENTALPlacebo
PLACEBO COMPARATORInterventions
Injected subcutaneously (under the skin) once daily. Dose individually adjusted.
Eligibility Criteria
You may qualify if:
- Subjects with type 2 diabetes mellitus
- HbA1c 7.0-9.0% (53-75 mmol/mol) (both inclusive)
- Subjects on stable daily dose of sulphonylurea (above or equal to half of the max approved dose according to local label) with or without metformin (above or equal to 1500 mg or max tolerated dose) for at least 90 days prior to screening visit (Visit 1)
- Body Mass Index (BMI) below or equal to 40 kg/m\^2
You may not qualify if:
- Any use of oral anti-diabetic drugs (OADs) (other than SU in monotherapy or in combinationwith metformin) below or equal to 90 days prior to screening visit (Visit 1)
- Use of any drug (other than SU in monotherapy or in combination with metformin), which in the Investigators opinion could interfere with the blood glucose level (e.g. systemic corticosteroids)
- Previous treatment with glucagon-like peptide-1 (GLP-1) receptor agonist (e.g. exenatide, liraglutide)
- Treatment with any insulin regimen (short term treatment due to intercurrent illness including gestational diabetes is allowed at the discretion of the Investigator)
- Screening calcitonin above or equal to 50 ng/l
- Personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia type 2 (MEN2)
- Cardiovascular disorders defined as: congestive heart failure (New York Heart Association (NYHA) class III-IV), diagnosis of unstable angina pectoris, cerebral stroke and/or myocardial infarction within the past 52 weeks prior to screening visit (Visit 1) and/or planned coronary,carotid or peripheral artery revascularisation procedures
- Proliferative retinopathy requiring acute treatment or maculopathy (macular oedema) according to the Investigator's opinion
- Subjects with a clinical significant, active (during the past 12 months) disease of the gastrointestinal, pulmonary, endocrinological (except for the Type 2 Diabetes Mellitus),neurological, genitourinary or haematological system that in the opinion of the Investigator,may confound the results of the trial or pose additional risk in administering trial product
- History of chronic pancreatitis or idiopathic acute pancreatitis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (87)
Novo Nordisk Investigational Site
Anaheim, California, 92801, United States
Novo Nordisk Investigational Site
Garden Grove, California, 92844, United States
Novo Nordisk Investigational Site
La Jolla, California, 92037, United States
Novo Nordisk Investigational Site
Long Beach, California, 90807, United States
Novo Nordisk Investigational Site
Los Angeles, California, 90057, United States
Novo Nordisk Investigational Site
San Mateo, California, 94401, United States
Novo Nordisk Investigational Site
Walnut Creek, California, 94598, United States
Novo Nordisk Investigational Site
Kissimmee, Florida, 34741, United States
Novo Nordisk Investigational Site
Melbourne, Florida, 32934, United States
Novo Nordisk Investigational Site
Miami, Florida, 33136, United States
Novo Nordisk Investigational Site
Miami, Florida, 33156, United States
Novo Nordisk Investigational Site
Atlanta, Georgia, 30318, United States
Novo Nordisk Investigational Site
Roswell, Georgia, 30076, United States
Novo Nordisk Investigational Site
Meridian, Idaho, 83646, United States
Novo Nordisk Investigational Site
Gurnee, Illinois, 60031, United States
Novo Nordisk Investigational Site
Crestview Hills, Kentucky, 41017-3464, United States
Novo Nordisk Investigational Site
Rockville, Maryland, 20852, United States
Novo Nordisk Investigational Site
Troy, Michigan, 48098, United States
Novo Nordisk Investigational Site
Chesterfield, Missouri, 63017, United States
Novo Nordisk Investigational Site
Saint Charles, Missouri, 63303, United States
Novo Nordisk Investigational Site
Nashua, New Hampshire, 03063, United States
Novo Nordisk Investigational Site
Lodi, New Jersey, 076444, United States
Novo Nordisk Investigational Site
West Seneca, New York, 14224, United States
Novo Nordisk Investigational Site
Tabor City, North Carolina, 28463, United States
Novo Nordisk Investigational Site
Cincinnati, Ohio, 45220-2213, United States
Novo Nordisk Investigational Site
Franklin, Ohio, 45005, United States
Novo Nordisk Investigational Site
Mason, Ohio, 45040-6815, United States
Novo Nordisk Investigational Site
Oklahoma City, Oklahoma, 73104-5020, United States
Novo Nordisk Investigational Site
Beaver, Pennsylvania, 15009, 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
Pelzer, South Carolina, 29669, United States
Novo Nordisk Investigational Site
Simpsonville, South Carolina, 29681, United States
Novo Nordisk Investigational Site
Spartanburg, South Carolina, 29303, United States
Novo Nordisk Investigational Site
Chattanooga, Tennessee, 37404, United States
Novo Nordisk Investigational Site
Kingsport, Tennessee, 37660, United States
Novo Nordisk Investigational Site
Nashville, Tennessee, 37203, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75203, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75251, United States
Novo Nordisk Investigational Site
Hurst, Texas, 76054, 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
Newport News, Virginia, 23606, United States
Novo Nordisk Investigational Site
Richmond, Virginia, 23219, United States
Novo Nordisk Investigational Site
Lukovit, 5770, Bulgaria
Novo Nordisk Investigational Site
Rousse, 7000, Bulgaria
Novo Nordisk Investigational Site
Sofia, 1324, Bulgaria
Novo Nordisk Investigational Site
Sofia, 1431, Bulgaria
Novo Nordisk Investigational Site
Sofia, 1606, Bulgaria
Novo Nordisk Investigational Site
Burnaby, British Columbia, V5G 1T4, Canada
Novo Nordisk Investigational Site
Surrey, British Columbia, V3S 2N6, Canada
Novo Nordisk Investigational Site
Victoria, British Columbia, V8V 3N7, Canada
Novo Nordisk Investigational Site
Cambridge, Ontario, N1R 7L6, Canada
Novo Nordisk Investigational Site
London, Ontario, N6G 2M1, Canada
Novo Nordisk Investigational Site
Toronto, Ontario, M4S 1Y2, Canada
Novo Nordisk Investigational Site
Mirabel, Quebec, J7J 2K8, Canada
Novo Nordisk Investigational Site
Pointe-Claire, Quebec, H9R 4S3, Canada
Novo Nordisk Investigational Site
Sherbrooke, Quebec, J1G 5K2, Canada
Novo Nordisk Investigational Site
Québec, G1N 4V3, Canada
Novo Nordisk Investigational Site
Esslingen am Neckar, 73728, Germany
Novo Nordisk Investigational Site
Hamburg, 22607, Germany
Novo Nordisk Investigational Site
Hohenmölsen, 06679, Germany
Novo Nordisk Investigational Site
Münster, 48145, Germany
Novo Nordisk Investigational Site
Pohlheim, 35415, Germany
Novo Nordisk Investigational Site
Rehlingen-Siersburg, 66780, Germany
Novo Nordisk Investigational Site
Sulzbach-Rosenberg, 92237, Germany
Novo Nordisk Investigational Site
Guwahati, Assam, 781007, India
Novo Nordisk Investigational Site
Guwahati, Assam, India
Novo Nordisk Investigational Site
Bangalore, Karnataka, 560043, India
Novo Nordisk Investigational Site
Belagavi, Karnataka, 590001, India
Novo Nordisk Investigational Site
Mumbai, Maharashtra, 400008, India
Novo Nordisk Investigational Site
Pune, Maharashtra, 411030, India
Novo Nordisk Investigational Site
Delhi, New Delhi, 110002, India
Novo Nordisk Investigational Site
Hyderabad, 600034, India
Novo Nordisk Investigational Site
Haifa, 35152, Israel
Novo Nordisk Investigational Site
Holon, 58100, Israel
Novo Nordisk Investigational Site
Jerusalem, 91120, Israel
Novo Nordisk Investigational Site
Kfar Saba, 44281, Israel
Novo Nordisk Investigational Site
Petah Tikva, 49100, Israel
Novo Nordisk Investigational Site
Tel Aviv, 64239, Israel
Novo Nordisk Investigational Site
Tel Litwinsky, 52621, Israel
Novo Nordisk Investigational Site
Manatí, 00674, Puerto Rico
Novo Nordisk Investigational Site
Ankara, 06110, Turkey (Türkiye)
Novo Nordisk Investigational Site
Antalya, 07058, Turkey (Türkiye)
Novo Nordisk Investigational Site
Gaziantep, 27070, Turkey (Türkiye)
Novo Nordisk Investigational Site
Istanbul, 34752, Turkey (Türkiye)
Novo Nordisk Investigational Site
Izmir, 35100, Turkey (Türkiye)
Related Publications (3)
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: 28332144BACKGROUNDRodbard HW, Bode BW, Harris SB, Rose L, Lehmann L, Jarlov H, Thurman J; Dual Action of Liraglutide and insulin degludec (DUAL) IV trial investigators. Safety and efficacy of insulin degludec/liraglutide (IDegLira) added to sulphonylurea alone or to sulphonylurea and metformin in insulin-naive people with Type 2 diabetes: the DUAL IV trial. Diabet Med. 2017 Feb;34(2):189-196. doi: 10.1111/dme.13256. Epub 2016 Oct 7.
PMID: 27589252RESULTNatale 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
June 11, 2012
First Posted
June 13, 2012
Study Start
August 29, 2012
Primary Completion
October 23, 2013
Study Completion
October 23, 2013
Last Updated
October 27, 2017
Results First Posted
February 17, 2017
Record last verified: 2017-09