NCT01836523

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

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
1,398

participants targeted

Target at P75+ for phase_3 diabetes

Timeline
Completed

Started Nov 2013

Typical duration for phase_3 diabetes

Geographic Reach
17 countries

182 active sites

Status
completed

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

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 22, 2013

Completed
6 months until next milestone

Study Start

First participant enrolled

November 1, 2013

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2015

Completed
1.8 years until next milestone

Results Posted

Study results publicly available

March 6, 2017

Completed
Last Updated

March 6, 2017

Status Verified

January 1, 2017

Enrollment Period

1.6 years

First QC Date

April 17, 2013

Results QC Date

May 23, 2016

Last Update Submit

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

EXPERIMENTAL
Drug: liraglutide

Liraglutide 1.2 mg + insulin

EXPERIMENTAL
Drug: liraglutide

Liraglutide 1.8 mg + insulin

EXPERIMENTAL
Drug: liraglutide

Liraglutide placebo 0.6 mg + insulin

PLACEBO COMPARATOR
Drug: placebo

Liraglutide placebo 1.2 mg + insulin

PLACEBO COMPARATOR
Drug: placebo

Liraglutide placebo 1.8 mg + insulin

PLACEBO COMPARATOR
Drug: placebo

Interventions

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.

Liraglutide 0.6 mg + insulin

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.

Liraglutide placebo 0.6 mg + insulin

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Study Sites (182)

Novo Nordisk Investigational Site

Little Rock, Arkansas, 72205, United States

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Novo Nordisk Investigational Site

Concord, California, 94520, United States

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Novo Nordisk Investigational Site

Encino, California, 91436, United States

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Novo Nordisk Investigational Site

Escondido, California, 92025, United States

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Novo Nordisk Investigational Site

Huntington Beach, California, 92648, United States

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Novo Nordisk Investigational Site

La Mesa, California, 91942, United States

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Novo Nordisk Investigational Site

Lancaster, California, 93534, United States

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Novo Nordisk Investigational Site

Monterey, California, 93940, United States

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Novo Nordisk Investigational Site

San Mateo, California, 94401, United States

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Novo Nordisk Investigational Site

San Ramon, California, 94583, United States

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Novo Nordisk Investigational Site

Walnut Creek, California, 94598, United States

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Novo Nordisk Investigational Site

Denver, Colorado, 80209, United States

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Novo Nordisk Investigational Site

Fort Lauderdale, Florida, 33312, United States

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Novo Nordisk Investigational Site

Hialeah, Florida, 33012, United States

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Novo Nordisk Investigational Site

Jacksonville, Florida, 32258, United States

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Novo Nordisk Investigational Site

Tampa, Florida, 33619, United States

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Novo Nordisk Investigational Site

Atlanta, Georgia, 30308-2253, United States

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Novo Nordisk Investigational Site

Atlanta, Georgia, 30318, United States

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Novo Nordisk Investigational Site

Marietta, Georgia, 30060, United States

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Novo Nordisk Investigational Site

Roswell, Georgia, 30076, United States

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Novo Nordisk Investigational Site

Savannah, Georgia, 31405, United States

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Novo Nordisk Investigational Site

Idaho Falls, Idaho, 83404-7596, United States

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Novo Nordisk Investigational Site

Indianapolis, Indiana, 46254, United States

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Novo Nordisk Investigational Site

Council Bluffs, Iowa, 51501, United States

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Novo Nordisk Investigational Site

Iowa City, Iowa, 52242, United States

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Novo Nordisk Investigational Site

Topeka, Kansas, 66606, United States

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Novo Nordisk Investigational Site

Metarie, Louisiana, 70006, United States

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Novo Nordisk Investigational Site

Baltimore, Maryland, 21229, United States

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Minneapolis, Minnesota, 55416, United States

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Novo Nordisk Investigational Site

Chesterfield, Missouri, 63017, United States

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Novo Nordisk Investigational Site

City of Saint Peters, Missouri, 63376, United States

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Novo Nordisk Investigational Site

Saint Charles, Missouri, 63303, United States

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Novo Nordisk Investigational Site

Springfield, Missouri, 65807, United States

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Novo Nordisk Investigational Site

St Louis, Missouri, 63110-1020, United States

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Novo Nordisk Investigational Site

Billings, Montana, 59101, United States

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Novo Nordisk Investigational Site

Butte, Montana, 59701, United States

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Novo Nordisk Investigational Site

Lawrenceville, New Jersey, 08648, United States

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Albany, New York, 12206, United States

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Novo Nordisk Investigational Site

Mineola, New York, 11501, United States

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Novo Nordisk Investigational Site

New York, New York, 10029, United States

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Novo Nordisk Investigational Site

New York, New York, 10032, United States

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Novo Nordisk Investigational Site

Staten Island, New York, 10301, United States

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Novo Nordisk Investigational Site

Syracuse, New York, 13210, United States

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Novo Nordisk Investigational Site

Greensboro, North Carolina, 27408, United States

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Novo Nordisk Investigational Site

Morehead City, North Carolina, 28557, United States

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Novo Nordisk Investigational Site

Mentor, Ohio, 44060, United States

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Novo Nordisk Investigational Site

Pittsburgh, Pennsylvania, 15224-2215, United States

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Novo Nordisk Investigational Site

Upper Darby, Pennsylvania, 19082, United States

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Novo Nordisk Investigational Site

Greer, South Carolina, 29651, United States

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Novo Nordisk Investigational Site

Myrtle Beach, South Carolina, 29572, United States

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Novo Nordisk Investigational Site

Summerville, South Carolina, 29485, United States

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Novo Nordisk Investigational Site

Chattanooga, Tennessee, 37404-1192, United States

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Novo Nordisk Investigational Site

Chattanooga, Tennessee, 37411, United States

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Novo Nordisk Investigational Site

Memphis, Tennessee, 38119-3821, United States

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Novo Nordisk Investigational Site

Nashville, Tennessee, 37203, United States

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Novo Nordisk Investigational Site

Nashville, Tennessee, 37212, United States

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Novo Nordisk Investigational Site

Amarillo, Texas, 79106, United States

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Novo Nordisk Investigational Site

Dallas, Texas, 75230, United States

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Novo Nordisk Investigational Site

Dallas, Texas, 75231, United States

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Novo Nordisk Investigational Site

Dallas, Texas, 75246, United States

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Novo Nordisk Investigational Site

El Paso, Texas, 79912, United States

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Novo Nordisk Investigational Site

Round Rock, Texas, 78681, United States

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Novo Nordisk Investigational Site

Sugar Land, Texas, 77478, United States

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Novo Nordisk Investigational Site

Salt Lake City, Utah, 84102, United States

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Novo Nordisk Investigational Site

Bennington, Vermont, 05201, United States

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Novo Nordisk Investigational Site

Norfolk, Virginia, 23510, United States

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Novo Nordisk Investigational Site

Federal Way, Washington, 98003, United States

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Novo Nordisk Investigational Site

Spokane, Washington, 99208, United States

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Milwaukee, Wisconsin, 53209, United States

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Novo Nordisk Investigational Site

Milwaukee, Wisconsin, 53226, United States

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Novo Nordisk Investigational Site

Caba, C1118AAT, Argentina

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Novo Nordisk Investigational Site

Caba, C1440AAD, Argentina

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Novo Nordisk Investigational Site

Capital Federal, 1405, Argentina

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Novo Nordisk Investigational Site

Córdoba, X5016KEH, Argentina

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Novo Nordisk Investigational Site

Mendoza, 5500, Argentina

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Novo Nordisk Investigational Site

Morón, B1708IFF, Argentina

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Novo Nordisk Investigational Site

Broadmeadow, New South Wales, 2292, Australia

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Novo Nordisk Investigational Site

Elizabeth Vale, South Australia, 5112, Australia

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Novo Nordisk Investigational Site

Keswick, South Australia, 5035, Australia

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Novo Nordisk Investigational Site

Melbourne, Victoria, 3004, Australia

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Novo Nordisk Investigational Site

Parkville, Victoria, 3050, Australia

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Novo Nordisk Investigational Site

Arlon, 6700, Belgium

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Novo Nordisk Investigational Site

Edegem, 2650, Belgium

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Novo Nordisk Investigational Site

Leuven, 3000, Belgium

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Novo Nordisk Investigational Site

Liège, 4000, Belgium

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Novo Nordisk Investigational Site

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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Novo Nordisk Investigational Site

Helsinki, 00029, Finland

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Novo Nordisk Investigational Site

Helsinki, 00250, Finland

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Novo Nordisk Investigational Site

Pori, 28500, Finland

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Novo Nordisk Investigational Site

Seinäjoki, 60220, Finland

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Novo Nordisk Investigational Site

Seinäjoki, 60510, Finland

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Novo Nordisk Investigational Site

Tampere, 33520, Finland

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Novo Nordisk Investigational Site

Turku, FI-20520, Finland

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Novo Nordisk Investigational Site

Besançon, 25030, France

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Novo Nordisk Investigational Site

Brest, 29609, France

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Novo Nordisk Investigational Site

Caen, 14033, France

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Corbeil-Essonnes, 91106, France

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Novo Nordisk Investigational Site

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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Novo Nordisk Investigational Site

Saint-Herblain, 44800, France

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Saint-Priest-en-Jarez, 42270, France

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Novo Nordisk Investigational Site

Vénissieux, 69200, France

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Eisenach, 99817, Germany

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Novo Nordisk Investigational Site

Essen, 45219, Germany

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Hamburg, 21073, Germany

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Hamburg, 22607, Germany

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Novo Nordisk Investigational Site

Hohenmölsen, 06679, Germany

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Novo Nordisk Investigational Site

Marburg, 35039, Germany

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Münster, 48145, Germany

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Novo Nordisk Investigational Site

Pohlheim, 35415, Germany

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Rehlingen-Siersburg, 66780, Germany

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Saint Ingbert, 66386, Germany

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Novo Nordisk Investigational Site

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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Novo Nordisk Investigational Site

Jerusalem, 93106, Israel

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Novo Nordisk Investigational Site

Petah Tikva, 49202, Israel

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Rishon LeZiyyon, 75650, Israel

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Novo Nordisk Investigational Site

Amsterdam, 1105 AZ, Netherlands

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Novo Nordisk Investigational Site

Hoogeveen, 7909 AA, Netherlands

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Novo Nordisk Investigational Site

Leiden, 2333 ZA, Netherlands

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Nijmegen, 6525 GA, Netherlands

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Novo Nordisk Investigational Site

Rotterdam, 3011 TA, Netherlands

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Novo Nordisk Investigational Site

The Hague, 2512 VA, Netherlands

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Novo Nordisk Investigational Site

Venlo, 5912 BL, Netherlands

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Novo Nordisk Investigational Site

Bergen, 5021, Norway

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Novo Nordisk Investigational Site

Gjettum, 1346, Norway

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Novo Nordisk Investigational Site

Hamar, 2318, Norway

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Novo Nordisk Investigational Site

Kongsvinger, 2226, Norway

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Novo Nordisk Investigational Site

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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Novo Nordisk Investigational Site

Warsaw, 03-242, Poland

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Zabrze, 41-800, Poland

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Kazan', 420012, Russia

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Novo Nordisk Investigational Site

Kazan', 420073, Russia

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Novo Nordisk Investigational Site

Penza, 440026, Russia

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Novo Nordisk Investigational Site

Saratov, 410012, Russia

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Novo Nordisk Investigational Site

Volgograd, 400138, Russia

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Novo Nordisk Investigational Site

Gothenburg, 413 45, Sweden

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Malmo, 205 02, Sweden

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Novo Nordisk Investigational Site

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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Novo Nordisk Investigational Site

Stevenage, SG1 4AB, United Kingdom

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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.

  • Shah 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.

  • Dejgaard 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.

Related Links

MeSH Terms

Conditions

Diabetes MellitusDiabetes Mellitus, Type 1

Interventions

Liraglutide

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesAutoimmune DiseasesImmune System Diseases

Intervention Hierarchy (Ancestors)

Glucagon-Like Peptide 1Glucagon-Like PeptidesProglucagonGastrointestinal HormonesHormonesHormones, Hormone Substitutes, and Hormone Antagonists

Results Point of Contact

Title
Public Access to Clinical Trials
Organization
Novo Nordisk A/S

Study Officials

  • Global Clinical Registry (GCR, 1452)

    Novo Nordisk A/S

    STUDY DIRECTOR

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

Locations