Efficacy and Safety of Liraglutide Versus Placebo as add-on to Existing Diabetes Medication in Subjects With Type 2 Diabetes and Moderate Renal Impairment
3 other identifiers
interventional
279
6 countries
97
Brief Summary
This trial is conducted in Europe and the United States of America (USA). The aim of this trial is to investigate the efficacy and safety of liraglutide in subjects with type 2 diabetes and moderate renal impairment. The trial medication will be add-on to the subject's stable pre-trial OAD and/or insulin regimen.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3 diabetes
Started Jun 2012
97 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 13, 2012
CompletedStudy Start
First participant enrolled
June 14, 2012
CompletedFirst Posted
Study publicly available on registry
June 15, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 20, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
August 20, 2013
CompletedResults Posted
Study results publicly available
October 30, 2014
CompletedMarch 19, 2019
March 1, 2019
1.2 years
June 13, 2012
August 20, 2014
March 6, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Estimated Mean From the Statistical Model and Standard Deviation From Observed Data For Change From Baseline to Week 26 in HbA1c (%) (Glycosylated Haemoglobin)
Calculated as the estimated mean change from baseline in HbA1c (%) after 26 Weeks of treatment based on the statistical model.
Week 0, Week 26
Secondary Outcomes (5)
Estimated Proportion of Responders Achieving HbA1c <7.0% and no Weight Gain After 26 Weeks of Treatment
At week 26
Estimated Proportion of Responders Achieving HbA1c <7.0% and no Minor or Severe Hypoglycaemic Episodes After 26 Weeks of Treatment
At week 26
Estimated Mean From the Statistical Model and Standard Deviation From Observed Data For Change From Baseline to Week 26 in Self-measured Plasma Glucose (SMPG) 7-point Profiles
Week 0, week 26
Estimated Mean From the Statistical Model and Standard Deviation From Observed Data For Change From Baseline to Week 26 in Body Mass Index (BMI)
Week 0, week 26
Estimated Mean Ratio to Baseline and Observed Coefficient of Variation in Renal Function-estimated Glomerular Filtration Rate (eGFR) (to Check How Well the Kidneys Are Functioning Using Modification of Diet in Renal Disease (MDRD) Formula)
Week 0, week 26
Study Arms (2)
Lira 1.8 mg
EXPERIMENTALPlacebo
PLACEBO COMPARATORInterventions
1.8 mg administered once daily subcutaneously (s.c., under the skin) as add-on to the subject's stable pre-trial oral antidiabetic drug (OAD) and/or insulin regimen.
Administered once daily subcutaneously (s.c., under the skin) as add-on to the subject's stable pre-trial oral antidiabetic drug (OAD) and/or insulin regimen.
Eligibility Criteria
You may qualify if:
- Subjects diagnosed with type 2 diabetes with stable diabetes treatment (unchanged medication and unchanged dose) for 90 days prior to the screening visit including: Monotherapy or any duo-combinations of metformin and/or SUs and/or pioglitazone. Metformin should be used with caution in subjects with moderate renal failure and must be used in accordance with local metformin labelling or guidelines. Or Monotherapy or any combinations of metformin and/or pioglitazone and/or basal or premix insulin. Insulin adjustments (total daily dose) below or equal to 10% within 90 days prior to the screening visit as confirmed by the investigator are acceptable. Metformin should be used with caution in subjects with moderate renal failure and must be used in accordance with local metformin labelling or guidelines. Combination of pioglitazone and insulin should be used with caution and according to local labelling or guidelines
- HbA1c 7-10% (both inclusive)
- Moderate renal impairment diagnosed more than 90 days prior to the screening visit and confirmed by an eGFR (glomerular filtration rate) of 30-59 mL/min/1.73 m2 per MDRD (modification of diet in renal disease) formula at the screening visit
- Body Mass Index (BMI) 20-45 kg/m\^2 (both inclusive)
You may not qualify if:
- Recurrent severe hypoglycaemia or hypoglycaemic unawareness as judged by the investigator
- Impaired liver function, defined as ALAT (alanine aminotransferase) above or equal to 2.5 times upper normal limit
- History of chronic pancreatitis or idiopathic acute pancreatitis
- Within the past 180 days any of the following: Episode of unstable angina, acute coronary event, cerebral stroke/transient ischemic attack (TIA) or other significant cardiovascular event (including e.g. arrhythmias or conduction delays on ECG (electrocardiogram))
- Heart failure defined as New York Heart Association (NYHA) class IV
- A systolic blood pressure above or equal to 180 mmHg or a diastolic blood pressure above or equal to 100 mmHg
- Rapidly progressing renal disease (e.g., acute glomerulonephritis) at the discretion of the investigator
- Use of immunosuppressive treatment within 90 days prior to screening
- Diagnosis or treatment for cancer in the previous 5 years (except basal cell skin cancer or squamous cell skin cancer)
- Proliferative retinopathy or maculopathy requiring acute treatment as judged by the investigator
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (97)
Novo Nordisk Investigational Site
Concord, California, 94520, United States
Novo Nordisk Investigational Site
La Jolla, California, 92037, United States
Novo Nordisk Investigational Site
Los Angeles, California, 90057, United States
Novo Nordisk Investigational Site
Monterey, California, 93940, United States
Novo Nordisk Investigational Site
San Diego, California, 92111, United States
Novo Nordisk Investigational Site
San Ramon, California, 94583, United States
Novo Nordisk Investigational Site
Torrance, California, 90502, United States
Novo Nordisk Investigational Site
Tustin, California, 92780, United States
Novo Nordisk Investigational Site
Ventura, California, 93003, United States
Novo Nordisk Investigational Site
Golden, Colorado, 80401, United States
Novo Nordisk Investigational Site
Boynton Beach, Florida, 33472, United States
Novo Nordisk Investigational Site
Jacksonville, Florida, 32216, United States
Novo Nordisk Investigational Site
Miami, Florida, 33156, United States
Novo Nordisk Investigational Site
Pembroke Pines, Florida, 33027, United States
Novo Nordisk Investigational Site
Plantation, Florida, 33324, United States
Novo Nordisk Investigational Site
St. Petersburg, Florida, 33711, United States
Novo Nordisk Investigational Site
Atlanta, Georgia, 30303, United States
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Roswell, Georgia, 30076, United States
Novo Nordisk Investigational Site
Avon, Indiana, 46123, United States
Novo Nordisk Investigational Site
Franklin, Indiana, 46131, United States
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Greenfield, Indiana, 46140, United States
Novo Nordisk Investigational Site
Muncie, Indiana, 47304, United States
Novo Nordisk Investigational Site
Slidell, Louisiana, 70461-4231, United States
Novo Nordisk Investigational Site
Rockville, Maryland, 20852, United States
Novo Nordisk Investigational Site
Springfield, Massachusetts, 01199, United States
Novo Nordisk Investigational Site
Buckley, Michigan, 49620, United States
Novo Nordisk Investigational Site
Southfield, Michigan, 48034-7661, United States
Novo Nordisk Investigational Site
Great Falls, Montana, 59405, United States
Novo Nordisk Investigational Site
Nashua, New Hampshire, 03063, United States
Novo Nordisk Investigational Site
Rosedale, New York, 11422, United States
Novo Nordisk Investigational Site
Staten Island, New York, 10301, United States
Novo Nordisk Investigational Site
Greenville, North Carolina, 27834, United States
Novo Nordisk Investigational Site
Mooresville, North Carolina, 28117, 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
Wadsworth, Ohio, 44281-9236, United States
Novo Nordisk Investigational Site
Oklahoma City, Oklahoma, 73104, United States
Novo Nordisk Investigational Site
McMurray, Pennsylvania, 15317, United States
Novo Nordisk Investigational Site
Norristown, Pennsylvania, 19401, United States
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19107, United States
Novo Nordisk Investigational Site
East Providence, Rhode Island, 02914, United States
Novo Nordisk Investigational Site
Chattanooga, Tennessee, 37404-1192, United States
Novo Nordisk Investigational Site
Chattanooga, Tennessee, 37411, United States
Novo Nordisk Investigational Site
Kingsport, Tennessee, 37660, United States
Novo Nordisk Investigational Site
Amarillo, Texas, 79106, United States
Novo Nordisk Investigational Site
Lubbock, Texas, 79423, United States
Novo Nordisk Investigational Site
Sugar Land, Texas, 77479, 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
Richmond, Virginia, 23294, United States
Novo Nordisk Investigational Site
Richmond, Virginia, 23298, United States
Novo Nordisk Investigational Site
Winchester, Virginia, 22601, United States
Novo Nordisk Investigational Site
Milwaukee, Wisconsin, 53209, United States
Novo Nordisk Investigational Site
Brest, 29609, France
Novo Nordisk Investigational Site
La Roche-sur-Yon, 85295, France
Novo Nordisk Investigational Site
La Rochelle, 17019, France
Novo Nordisk Investigational Site
Pointe Ă Pitre, 97159, France
Novo Nordisk Investigational Site
Strasbourg, 67000, France
Novo Nordisk Investigational Site
Bialystok, 15-381, Poland
Novo Nordisk Investigational Site
Bialystok, 15-435, Poland
Novo Nordisk Investigational Site
Gdansk, 80-546, Poland
Novo Nordisk Investigational Site
Katowice, 40-767, Poland
Novo Nordisk Investigational Site
Krakow, 31-261, Poland
Novo Nordisk Investigational Site
Poznan, 60-111, Poland
Novo Nordisk Investigational Site
Poznan, 60-569, Poland
Novo Nordisk Investigational Site
Zabrze, 41-800, Poland
Novo Nordisk Investigational Site
Barnaul, 656045, Russia
Novo Nordisk Investigational Site
Kazan', 420043, Russia
Novo Nordisk Investigational Site
Kursk, 305035, Russia
Novo Nordisk Investigational Site
Moscow, 117036, Russia
Novo Nordisk Investigational Site
Moscow, 123448, Russia
Novo Nordisk Investigational Site
Moscow, 127411, Russia
Novo Nordisk Investigational Site
Nizhny Novgorod, 603126, Russia
Novo Nordisk Investigational Site
Penza, 440026, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 194358, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 195257, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 199034, Russia
Novo Nordisk Investigational Site
Samara, 443067, Russia
Novo Nordisk Investigational Site
Saratov, 410031, Russia
Novo Nordisk Investigational Site
Saratov, 410039, Russia
Novo Nordisk Investigational Site
Saratov, 410053, Russia
Novo Nordisk Investigational Site
Smolensk, 214019, Russia
Novo Nordisk Investigational Site
Volgograd, 400138, Russia
Novo Nordisk Investigational Site
Kharkiv, 61000, Ukraine
Novo Nordisk Investigational Site
Kiev, 04053, Ukraine
Novo Nordisk Investigational Site
Kyiv, 04114, Ukraine
Novo Nordisk Investigational Site
Vinnytsia, 21010, Ukraine
Novo Nordisk Investigational Site
Zaporizhia, 69600, Ukraine
Novo Nordisk Investigational Site
Bristol, BS10 5NB, United Kingdom
Novo Nordisk Investigational Site
Dundee, DD1 9SY, United Kingdom
Novo Nordisk Investigational Site
Edinburgh, EH4 2XU, United Kingdom
Novo Nordisk Investigational Site
Hull, HU3 2RW, United Kingdom
Novo Nordisk Investigational Site
Leicester, LE5 4PW, United Kingdom
Novo Nordisk Investigational Site
Letchworth Garden City, SG6 4UB, United Kingdom
Novo Nordisk Investigational Site
London, E1 2EF, United Kingdom
Novo Nordisk Investigational Site
London, SE5 9RT, United Kingdom
Novo Nordisk Investigational Site
Swansea, SA6 6NL, United Kingdom
Related Publications (4)
Davies MJ, Bain SC, Atkin SL, Rossing P, Scott D, Shamkhalova MS, Bosch-Traberg H, Syren A, Umpierrez GE. Efficacy and Safety of Liraglutide Versus Placebo as Add-on to Glucose-Lowering Therapy in Patients With Type 2 Diabetes and Moderate Renal Impairment (LIRA-RENAL): A Randomized Clinical Trial. Diabetes Care. 2016 Feb;39(2):222-30. doi: 10.2337/dc14-2883. Epub 2015 Dec 17.
PMID: 26681713RESULTZobel EH, von Scholten BJ, Goldman B, Persson F, Hansen TW, Rossing P. Pleiotropic effects of liraglutide in patients with type 2 diabetes and moderate renal impairment: Individual effects of treatment. Diabetes Obes Metab. 2019 May;21(5):1261-1265. doi: 10.1111/dom.13638. Epub 2019 Feb 22.
PMID: 30663196RESULTNatale 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: 39963952DERIVEDKim JD, Park CY, Cha BY, Ahn KJ, Kim IJ, Park KS, Lee HW, Min KW, Won JC, Chung MY, Kim JT, Kang JG, Park SW. Comparison of Adherence to Glimepiride/Metformin Sustained Release Once-daily Versus Glimepiride/Metformin Immediate Release BID Fixed-combination Therapy Using the Medication Event Monitoring System in Patients With Type 2 Diabetes. Clin Ther. 2018 May;40(5):752-761.e2. doi: 10.1016/j.clinthera.2018.04.002. Epub 2018 May 3.
PMID: 29729957DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Public Access to Clinical Trials
- 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 13, 2012
First Posted
June 15, 2012
Study Start
June 14, 2012
Primary Completion
August 20, 2013
Study Completion
August 20, 2013
Last Updated
March 19, 2019
Results First Posted
October 30, 2014
Record last verified: 2019-03