The Efficacy of Insulin Degludec/Liraglutide in Controlling Glycaemia in Adults With Type 2 Diabetes Inadequately Controlled on GLP-1 Receptor Agonist and OAD Therapy
DUAL™ III
3 other identifiers
interventional
438
5 countries
109
Brief Summary
This trial is conducted in Europe, Oceania and the United States of America (USA). The aim of the trial is to investigate the efficacy of insulin degludec/liraglutide in controlling glycaemia in adults with type 2 diabetes inadequately controlled on glucagon-like peptide-1 (GLP-1) receptor agonist and OAD therapy.
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
Typical duration for phase_3 diabetes
109 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
August 28, 2012
CompletedStudy Start
First participant enrolled
August 29, 2012
CompletedFirst Posted
Study publicly available on registry
August 30, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 11, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
March 11, 2014
CompletedResults Posted
Study results publicly available
July 9, 2018
CompletedJanuary 3, 2019
December 1, 2018
1.5 years
August 28, 2012
March 22, 2018
December 7, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Glycosylated Haemoglobin (HbA1c) From Baseline (Randomisation, Visit 2)
Week 0, week 26
Secondary Outcomes (8)
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 Body Weight
Week 0, week 26
Change From Baseline in Fasting Plasma Glucose (FPG)
Week 0, week 26
Number of Severe or Minor Hypoglycaemic Episodes
After 26 weeks of treatment
- +3 more secondary outcomes
Study Arms (2)
Insulin degludec/liraglutide + OADs
EXPERIMENTALLiraglutide or exenatide + OADs
ACTIVE COMPARATORInterventions
Injected subcutaneously (under the skin) once daily. Dose individually adjusted. Subjects will continue their pre-trial OAD treatment without changing the frequency or dose throughout the trial.
Subjects will continue on their pre-trial treatment of liraglutide (Victoza®) (GLP-1 receptor agonist) + OAD without changing the frequency or dose throughout the trial.
Subjects will continue on their pre-trial treatment of exenatide (Byetta®) (GLP-1 receptor agonist) + OAD without changing the frequency or dose throughout the trial.
Eligibility Criteria
You may qualify if:
- Subjects with type 2 diabetes mellitus
- Glycosylated haemoglobin (HbA1c) 7.0-9.0% (53-75 mmol/mol) (both inclusive)
- Treatment with daily GLP-1 receptor agonist at maximum dose according to local label (i.e. 1.8 mg once daily (OD) Victoza® (liraglutide) or 10 microgram twice daily (BID) Byetta® (exenatide)) or documented maximum tolerated dose (i.e. 1.2 mg OD Victoza® (liraglutide) or 5 microgram BID Byetta® (exenatide)) in combination with a stable daily dose of metformin (equal to or above 1500 mg or documented maximum tolerated dose) for 90 days or more prior to screening visit (Visit 1)
- BMI (body mass index) equal to or below 40 kg/m\^2
You may not qualify if:
- Any use of oral anti-diabetic drugs (OADs) (except for metformin, pioglitazone and sulphonylurea) for 90 days or less prior to screening visit (Visit 1)
- Use of any drug (except metformin,pioglitazone, sulphonylurea and GLP-1 receptor agonist) which in the Investigator's opinion could interfere with the blood glucose level (e.g. systemic corticosteroids)
- 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 equal to or above 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 clinically 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 products
- History of chronic pancreatitis or idiopathic acute pancreatitis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (109)
Novo Nordisk Investigational Site
Birmingham, Alabama, 35216, United States
Novo Nordisk Investigational Site
Goodyear, Arizona, 85395, United States
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Mesa, Arizona, 85206, United States
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Phoenix, Arizona, 85018, United States
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Concord, California, 94520, United States
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Encino, California, 91436, United States
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Fair Oaks, California, 95628, United States
Novo Nordisk Investigational Site
Fresno, California, 93720, United States
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Greenbrae, California, 94904, United States
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Lancaster, California, 93534, United States
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Lomita, California, 90717, United States
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Long Beach, California, 90806, United States
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Montclair, California, 91763, United States
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Northridge, California, 91325, United States
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San Mateo, California, 94401, United States
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San Ramon, California, 94583, United States
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Tarzana, California, 91356-3551, United States
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Van Nuys, California, 91405, United States
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Colorado Springs, Colorado, 80910, United States
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Bradenton, Florida, 34201, United States
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Fort Myers, Florida, 33912-4343, United States
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Jacksonville, Florida, 32204, United States
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Jacksonville, Florida, 32207, United States
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Jacksonville, Florida, 32216, United States
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Jacksonville, Florida, 32258, United States
Novo Nordisk Investigational Site
Miami, Florida, 33135, United States
Novo Nordisk Investigational Site
Miami, Florida, 33136, United States
Novo Nordisk Investigational Site
Miami, Florida, 33155, United States
Novo Nordisk Investigational Site
Miami, Florida, 33156, United States
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Miami Springs, Florida, 33166, United States
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Orlando, Florida, 32806, United States
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Plant City, Florida, 33563, United States
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Winter Haven, Florida, 33880, United States
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Atlanta, Georgia, 30318, United States
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Roswell, Georgia, 30076, United States
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Honolulu, Hawaii, 96814, United States
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Arlington Heights, Illinois, 60004-2315, United States
Novo Nordisk Investigational Site
Indianapolis, Indiana, 46254, United States
Novo Nordisk Investigational Site
Lexington, Kentucky, 40503, United States
Novo Nordisk Investigational Site
Rockville, Maryland, 20852, United States
Novo Nordisk Investigational Site
Kalamazoo, Michigan, 49048, United States
Novo Nordisk Investigational Site
Troy, Michigan, 48098, United States
Novo Nordisk Investigational Site
Saint Charles, Missouri, 63303, United States
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Omaha, Nebraska, 68124, United States
Novo Nordisk Investigational Site
Henderson, Nevada, 89052-2649, United States
Novo Nordisk Investigational Site
Las Vegas, Nevada, 89128, United States
Novo Nordisk Investigational Site
Reno, Nevada, 89502-0111, United States
Novo Nordisk Investigational Site
Nashua, New Hampshire, 03063, United States
Novo Nordisk Investigational Site
Berlin, New Jersey, 08009, United States
Novo Nordisk Investigational Site
Flemington, New Jersey, 08822-5763, United States
Novo Nordisk Investigational Site
Hamilton, New Jersey, 08619, United States
Novo Nordisk Investigational Site
Lawrenceville, New Jersey, 08648, United States
Novo Nordisk Investigational Site
Toms River, New Jersey, 08753-2975, United States
Novo Nordisk Investigational Site
Mineola, New York, 11501, United States
Novo Nordisk Investigational Site
North Massapequa, New York, 11758-1802, United States
Novo Nordisk Investigational Site
West Seneca, New York, 14224, United States
Novo Nordisk Investigational Site
Morehead City, North Carolina, 28557, United States
Novo Nordisk Investigational Site
Columbus, Ohio, 43214, United States
Novo Nordisk Investigational Site
Dayton, Ohio, 45439, United States
Novo Nordisk Investigational Site
Altoona, Pennsylvania, 16602, United States
Novo Nordisk Investigational Site
Pittsburgh, Pennsylvania, 15243, United States
Novo Nordisk Investigational Site
Myrtle Beach, South Carolina, 29572, United States
Novo Nordisk Investigational Site
Sumter, South Carolina, 29150-1900, United States
Novo Nordisk Investigational Site
Chattanooga, Tennessee, 37404, United States
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Jellico, Tennessee, 37762, United States
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Kingsport, Tennessee, 37660, United States
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Nashville, Tennessee, 37212, United States
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Tullahoma, Tennessee, 37388, United States
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Arlington, Texas, 76014, United States
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Austin, Texas, 78731, United States
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Dallas, Texas, 75218, United States
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Dallas, Texas, 75231, United States
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Fort Worth, Texas, 76113, United States
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Houston, Texas, 77074, United States
Novo Nordisk Investigational Site
Houston, Texas, 77095, United States
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Plano, Texas, 75075, United States
Novo Nordisk Investigational Site
Round Rock, Texas, 78681, United States
Novo Nordisk Investigational Site
San Antonio, Texas, 78215, United States
Novo Nordisk Investigational Site
San Antonio, Texas, 78249, United States
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Schertz, Texas, 78154, United States
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Sugar Land, Texas, 77478, United States
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Orem, Utah, 84058, United States
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Salt Lake City, Utah, 84107, United States
Novo Nordisk Investigational Site
St. George, Utah, 84790, United States
Novo Nordisk Investigational Site
Richmond, Virginia, 23219, United States
Novo Nordisk Investigational Site
Coffs Harbour, New South Wales, 2450, Australia
Novo Nordisk Investigational Site
Merewether, New South Wales, 2291, Australia
Novo Nordisk Investigational Site
Keswick, South Australia, 5035, Australia
Novo Nordisk Investigational Site
Box Hill, Victoria, 3128, Australia
Novo Nordisk Investigational Site
Melbourne, Victoria, 3004, Australia
Novo Nordisk Investigational Site
Antibes, 06600, France
Novo Nordisk Investigational Site
Boulogne-Billancourt, 92100, France
Novo Nordisk Investigational Site
La Rochelle, 17019, France
Novo Nordisk Investigational Site
Montigny-lès-Metz, 57950, France
Novo Nordisk Investigational Site
Narbonne, 11108, France
Novo Nordisk Investigational Site
Nîmes, 30006, France
Novo Nordisk Investigational Site
Sète, 34200, France
Novo Nordisk Investigational Site
Vénissieux, 69200, France
Novo Nordisk Investigational Site
Budapest, 1042, Hungary
Novo Nordisk Investigational Site
Debrecen, 4043, Hungary
Novo Nordisk Investigational Site
Nyíregyhaza, 4400, Hungary
Novo Nordisk Investigational Site
Székesfehérvár, 8000, Hungary
Novo Nordisk Investigational Site
Bratislava, 811 08, Slovakia
Novo Nordisk Investigational Site
Bratislava, 831 01, Slovakia
Novo Nordisk Investigational Site
Bratislava, 851 01, Slovakia
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Košice, 040 01, Slovakia
Novo Nordisk Investigational Site
Lučenec, 98401, Slovakia
Novo Nordisk Investigational Site
Nitra, 94 911, Slovakia
Novo Nordisk Investigational Site
Prešov, 080 01, Slovakia
Related Publications (3)
Linjawi S, Bode BW, Chaykin LB, Courreges JP, Handelsman Y, Lehmann LM, Mishra A, Simpson RW. The Efficacy of IDegLira (Insulin Degludec/Liraglutide Combination) in Adults with Type 2 Diabetes Inadequately Controlled with a GLP-1 Receptor Agonist and Oral Therapy: DUAL III Randomized Clinical Trial. Diabetes Ther. 2017 Feb;8(1):101-114. doi: 10.1007/s13300-016-0218-3. Epub 2016 Dec 10.
PMID: 27943107RESULTLingvay 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)
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
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 28, 2012
First Posted
August 30, 2012
Study Start
August 29, 2012
Primary Completion
March 11, 2014
Study Completion
March 11, 2014
Last Updated
January 3, 2019
Results First Posted
July 9, 2018
Record last verified: 2018-12