The Efficacy and Safety of Liraglutide as Adjunct Therapy to Insulin in the Treatment of Type 1 Diabetes
ADJUNCT ONE™
3 other identifiers
interventional
1,398
17 countries
182
Brief Summary
This trial is conducted globally. The aim of the trial is to confirm the efficacy and safety of liraglutide as adjunct therapy to insulin in the treatment of type 1 diabetes. The total trial duration per subject is approximately 58 weeks.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 diabetes
Started Nov 2013
Typical duration for phase_3 diabetes
182 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 17, 2013
CompletedFirst Posted
Study publicly available on registry
April 22, 2013
CompletedStudy Start
First participant enrolled
November 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2015
CompletedResults Posted
Study results publicly available
March 6, 2017
CompletedMarch 6, 2017
January 1, 2017
1.6 years
April 17, 2013
May 23, 2016
January 16, 2017
Conditions
Outcome Measures
Primary Outcomes (3)
Change From Baseline in HbA1c (Glycosylated Haemoglobin)
Change from baseline in HbA1c at week 52. Missing values were handled by using a mixed model for repeated measurements (MMRM).
Week 0, week 52
Change From Baseline in Body Weight
Change from baseline in body weight at week 52. Missing values were handled by using a MMRM.
Week 0, week 52
Change From Baseline in Total Daily Insulin Dose
Change from baseline in total daily insulin dose at week 52. Change from baseline was represented in terms of ratio to baseline for insulin dose i.e. Total daily insulin dose at week 52/total daily insulin dose at baseline. Missing values were handled by using a MMRM.
Week 0, week 52
Secondary Outcomes (1)
Number of Treatment-emergent Symptomatic Hypoglycaemic Episodes
Weeks 0-52
Study Arms (6)
Liraglutide 0.6 mg + insulin
EXPERIMENTALLiraglutide 1.2 mg + insulin
EXPERIMENTALLiraglutide 1.8 mg + insulin
EXPERIMENTALLiraglutide placebo 0.6 mg + insulin
PLACEBO COMPARATORLiraglutide placebo 1.2 mg + insulin
PLACEBO COMPARATORLiraglutide placebo 1.8 mg + insulin
PLACEBO COMPARATORInterventions
Subjects randomised to 0.6 mg liraglutide treatment or liraglutide placebo as an add-on to their pre-trial insulin treatment will remain on this dose throughout the study (52 weeks). Administered subcutaneously (s.c., under the skin) once daily.
Subjects randomised to 0.6 mg liraglutide treatment or liraglutide placebo as an add-on to their pre-trial insulin treatment will remain on this dose throughout the study (52 weeks). Administered subcutaneously (s.c., under the skin) once daily.
Eligibility Criteria
You may qualify if:
- \- Informed consent obtained
- \- Type 1 diabetes mellitus for 12 months or longer
- \- Basal bolus or CSII (Continuous Subcutaneous Insulin Infusion, insulin pump) treatment for 6 months or longer
- \- Stable insulin treatment for the last 3 months prior to Screening, as judged and documented by the investigator
- \- HbA1c 7.0-10% (Diabetes Control and Complications Trial (DCCT)), both inclusive, (corresponding to 53-86 mmol/mol (International Federation of Clinical Chemistry (IFCC))
- \- Ability and willingness to comply with all protocol procedures e.g. correct handling of trial product, complete trial related questionnaires, diaries, self-monitoring of plasma glucose, self titration of insulin and attend all scheduled visits
You may not qualify if:
- \- Prior use of glucagon-like peptide-1 (GLP-1) receptor agonist or dipeptidyl peptidase IV (DPP-4) inhibitors
- \- Use of any medication, which in the investigator's opinion could interfere with the glycaemic control or affect the subject's safety.Premix insulin is not allowed
- \- Known proliferative retinopathy or maculopathy requiring acute treatment
- \- Severe neuropathy, in particular autonomic neuropathy, i.e. gastroparesis, as judged by the investigator
- \- Uncontrolled/ untreated blood pressure at screening above 160 mmHg for systolic or above 100 mmHg for diastolic
- \- History of acute or chronic pancreatitis
- \- Screening calcitonin value equal to or above 50 ng/L
- \- Personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia type 2 (MEN2)
- \- Diagnosis of malignant neoplasm in the previous 5 years (except basal cell skin cancer or squamous cell skin cancer)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (182)
Novo Nordisk Investigational Site
Little Rock, Arkansas, 72205, United States
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Concord, California, 94520, United States
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Encino, California, 91436, United States
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Escondido, California, 92025, United States
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Huntington Beach, California, 92648, United States
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La Mesa, California, 91942, United States
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Lancaster, California, 93534, United States
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Monterey, California, 93940, 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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Walnut Creek, California, 94598, United States
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Denver, Colorado, 80209, United States
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Fort Lauderdale, Florida, 33312, United States
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Hialeah, Florida, 33012, United States
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Jacksonville, Florida, 32258, United States
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Tampa, Florida, 33619, United States
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Atlanta, Georgia, 30308-2253, United States
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Atlanta, Georgia, 30318, United States
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Marietta, Georgia, 30060, United States
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Roswell, Georgia, 30076, United States
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Savannah, Georgia, 31405, United States
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Idaho Falls, Idaho, 83404-7596, United States
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Indianapolis, Indiana, 46254, United States
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Council Bluffs, Iowa, 51501, United States
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Iowa City, Iowa, 52242, United States
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Topeka, Kansas, 66606, United States
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Metarie, Louisiana, 70006, United States
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Baltimore, Maryland, 21229, United States
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Minneapolis, Minnesota, 55416, United States
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Chesterfield, Missouri, 63017, United States
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City of Saint Peters, Missouri, 63376, United States
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Saint Charles, Missouri, 63303, United States
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Springfield, Missouri, 65807, United States
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St Louis, Missouri, 63110-1020, United States
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Billings, Montana, 59101, United States
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Butte, Montana, 59701, United States
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Lawrenceville, New Jersey, 08648, United States
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Albany, New York, 12206, United States
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Mineola, New York, 11501, United States
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New York, New York, 10029, United States
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New York, New York, 10032, United States
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Staten Island, New York, 10301, United States
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Syracuse, New York, 13210, United States
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Greensboro, North Carolina, 27408, United States
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Morehead City, North Carolina, 28557, United States
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Mentor, Ohio, 44060, United States
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Pittsburgh, Pennsylvania, 15224-2215, United States
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Upper Darby, Pennsylvania, 19082, United States
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Greer, South Carolina, 29651, United States
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Myrtle Beach, South Carolina, 29572, United States
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Summerville, South Carolina, 29485, United States
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Chattanooga, Tennessee, 37404-1192, United States
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Chattanooga, Tennessee, 37411, United States
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Memphis, Tennessee, 38119-3821, United States
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Nashville, Tennessee, 37203, United States
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Nashville, Tennessee, 37212, United States
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Amarillo, Texas, 79106, United States
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Dallas, Texas, 75230, United States
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Dallas, Texas, 75231, United States
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Dallas, Texas, 75246, United States
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El Paso, Texas, 79912, United States
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Round Rock, Texas, 78681, United States
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Sugar Land, Texas, 77478, United States
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Salt Lake City, Utah, 84102, United States
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Bennington, Vermont, 05201, United States
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Norfolk, Virginia, 23510, United States
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Federal Way, Washington, 98003, United States
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Spokane, Washington, 99208, United States
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Milwaukee, Wisconsin, 53209, United States
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Milwaukee, Wisconsin, 53226, United States
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Caba, C1118AAT, Argentina
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Caba, C1440AAD, Argentina
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Capital Federal, 1405, Argentina
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Córdoba, X5016KEH, Argentina
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Mendoza, 5500, Argentina
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Morón, B1708IFF, Argentina
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Broadmeadow, New South Wales, 2292, Australia
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Elizabeth Vale, South Australia, 5112, Australia
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Keswick, South Australia, 5035, Australia
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Melbourne, Victoria, 3004, Australia
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Parkville, Victoria, 3050, Australia
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Arlon, 6700, Belgium
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Edegem, 2650, Belgium
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Leuven, 3000, Belgium
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Liège, 4000, Belgium
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Edmonton, Alberta, T6G 2E1, Canada
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Winnipeg, Manitoba, R3E 3P4, Canada
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Barrie, Ontario, L4M 7G1, Canada
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Cambridge, Ontario, N1R 7L6, Canada
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London, Ontario, N6A 4V2, Canada
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Mississauga, Ontario, L5M 2V8, Canada
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Oakville, Ontario, L6M 1M1, Canada
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Thornhill, Ontario, L4J 8L7, Canada
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Toronto, Ontario, M4G 3E8, Canada
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Toronto, Ontario, M5C 2T2, Canada
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Toronto, Ontario, M5T 3L9, Canada
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Montreal, Quebec, H2W 1R7, Canada
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Québec, Quebec, G1V 4G2, Canada
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Québec, Quebec, G1V 4G5, Canada
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Sherbrooke, Quebec, J1G 5K2, Canada
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Helsinki, 00029, Finland
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Helsinki, 00250, Finland
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Pori, 28500, Finland
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Seinäjoki, 60220, Finland
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Seinäjoki, 60510, Finland
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Tampere, 33520, Finland
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Turku, FI-20520, Finland
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Besançon, 25030, France
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Brest, 29609, France
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Caen, 14033, France
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Corbeil-Essonnes, 91106, France
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Dijon, 21079, France
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Le Creusot, 71200, France
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Narbonne, 11108, France
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Paris, 75877, France
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Pointe à Pitre, 97159, France
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Poitiers, 86000, France
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Saint-Herblain, 44800, France
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Saint-Priest-en-Jarez, 42270, France
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Vénissieux, 69200, France
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Eisenach, 99817, Germany
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Essen, 45219, Germany
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Hamburg, 21073, Germany
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Hamburg, 22607, Germany
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Hohenmölsen, 06679, Germany
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Marburg, 35039, Germany
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Münster, 48145, Germany
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Pohlheim, 35415, Germany
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Rehlingen-Siersburg, 66780, Germany
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Saint Ingbert, 66386, Germany
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Dublin, DUBLIN 15, Ireland
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Dublin, DUBLIN 4, Ireland
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Dublin, DUBLIN 7, Ireland
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Dublin, Ireland
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Galway, Ireland
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Haifa, 31096, Israel
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Holon, 58100, Israel
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Jerusalem, 91120, Israel
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Jerusalem, 93106, Israel
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Petah Tikva, 49202, Israel
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Rishon LeZiyyon, 75650, Israel
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Amsterdam, 1105 AZ, Netherlands
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Hoogeveen, 7909 AA, Netherlands
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Leiden, 2333 ZA, Netherlands
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Nijmegen, 6525 GA, Netherlands
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Rotterdam, 3011 TA, Netherlands
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The Hague, 2512 VA, Netherlands
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Venlo, 5912 BL, Netherlands
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Bergen, 5021, Norway
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Gjettum, 1346, Norway
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Hamar, 2318, Norway
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Kongsvinger, 2226, Norway
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Stavanger, 4011, Norway
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Lublin, 20-044, Poland
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Puławy, 24-100, Poland
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Warsaw, 00-911, Poland
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Warsaw, 03-242, Poland
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Zabrze, 41-800, Poland
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Kazan', 420012, Russia
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Kazan', 420073, Russia
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Penza, 440026, Russia
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Saratov, 410012, Russia
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Volgograd, 400138, Russia
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Gothenburg, 413 45, Sweden
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Malmo, 205 02, Sweden
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Stockholm, 112 81, Sweden
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Stockholm, 141 86, Sweden
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Kharkiv, 61058, Ukraine
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Kharkiv, 61070, Ukraine
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Kiev, 04114, Ukraine
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Poltava, 36011, Ukraine
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Zhytomyr, 10002, Ukraine
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Blackburn, BB2 3HH, United Kingdom
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Bristol, BS10 5NB, United Kingdom
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Durham, DH11 5TW, United Kingdom
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Edgbaston, Birmingham, B15 2TH, United Kingdom
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Edinburgh, EH4 2XU, United Kingdom
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Middlesbrough, TS4 3BW, United Kingdom
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Plymouth, PL6 8BQ, United Kingdom
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Southall, UB1 3HW, United Kingdom
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St Helens, WA9 3DA, United Kingdom
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Stevenage, SG1 4AB, United Kingdom
Related Publications (3)
Mathieu C, Zinman B, Hemmingsson JU, Woo V, Colman P, Christiansen E, Linder M, Bode B; ADJUNCT ONE Investigators. Efficacy and Safety of Liraglutide Added to Insulin Treatment in Type 1 Diabetes: The ADJUNCT ONE Treat-To-Target Randomized Trial. Diabetes Care. 2016 Oct;39(10):1702-10. doi: 10.2337/dc16-0691. Epub 2016 Aug 9.
PMID: 27506222RESULTShah VN, Agesen RM, Bardtrum L, Christiansen E, Snaith J, Greenfield JR. Determinants of Liraglutide Treatment Discontinuation in Type 1 Diabetes: A Post Hoc Analysis of ADJUNCT ONE and ADJUNCT TWO Randomized Placebo-Controlled Clinical Studies. J Diabetes Sci Technol. 2025 Mar;19(2):321-331. doi: 10.1177/19322968241305647. Epub 2024 Dec 24.
PMID: 39717993DERIVEDDejgaard TF, von Scholten BJ, Christiansen E, Kreiner FF, Bardtrum L, von Herrath M, Mathieu C, Madsbad S; ADJUNCT ONE and ADJUNCT TWO Investigators. Efficacy and safety of liraglutide in type 1 diabetes by baseline characteristics in the ADJUNCT ONE and ADJUNCT TWO randomized controlled trials. Diabetes Obes Metab. 2021 Dec;23(12):2752-2762. doi: 10.1111/dom.14532. Epub 2021 Sep 28.
PMID: 34463425DERIVED
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
April 17, 2013
First Posted
April 22, 2013
Study Start
November 1, 2013
Primary Completion
June 1, 2015
Study Completion
June 1, 2015
Last Updated
March 6, 2017
Results First Posted
March 6, 2017
Record last verified: 2017-01