Efficacy and Safety of Liraglutide Versus Sulphonylurea Both in Combination With Metformin During Ramadan in Subjects With Type 2 Diabetes
LIRA-Ramadanâ„¢
2 other identifiers
interventional
343
7 countries
41
Brief Summary
This trial is conducted in Africa and Asia. The aim of the trial is to investigate the efficacy and safety of liraglutide versus sulphonylurea (SU) both in combination with metformin during Ramadan in subjects with type 2 diabetes (T2DM).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4 diabetes
Started Jan 2014
Shorter than P25 for phase_4 diabetes
41 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
July 29, 2013
CompletedFirst Posted
Study publicly available on registry
August 7, 2013
CompletedStudy Start
First participant enrolled
January 9, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
September 4, 2014
CompletedResults Posted
Study results publicly available
October 7, 2015
CompletedAugust 24, 2017
July 1, 2017
8 months
July 29, 2013
September 2, 2015
July 25, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Fructosamine From Start of Ramadan to End of Ramadan
The level of fructosamine in the blood was used to assess the glycaemic control in the patients during the time period described- from start of Ramadan (day -1, visit 8) to end of Ramadan (day 29, visit 12).
Day -1, day 29
Secondary Outcomes (9)
Fructosamine at End of Ramadan
Day 29
Change From Start of Ramadan to End of Ramadan in Fasting Plasma Glucose (FPG)
Day -1, day 29
Change From Baseline to End of Ramadan in Fasting Plasma Glucose
Baseline, day 29
Change From Baseline to End of Ramadan in Glycosylated Haemoglobin (HbA1c)
Baseline, day 29
Change From Baseline to End of Ramadan in Body Weight
Baseline, day 29
- +4 more secondary outcomes
Study Arms (2)
Liraglutide+Metformin
EXPERIMENTALLiraglutide 1.8 mg administered once daily subcutaneously, in combination with pre-trial tablet metformin of unchanged dose.
Sulphonylurea and Metformin
ACTIVE COMPARATORSubjects continued on pre-trial sulphonylurea tablet treatment, in combination with pre-trial tablet metformin of unchanged dose.
Interventions
1.8 mg administered subcutaneously (s.c., under the skin) once daily
Subjects will continue on their pre-trial metformin tablet treatment, dose unchanged
Subjects will continue on their pre-trial SU tablet treatment, doses unchanged
Eligibility Criteria
You may qualify if:
- \- Subjects diagnosed with T2DM and treated with metformin equal to or above 1000 mg/day and SU (gliclazide, glipizide or glyburide/glibenclamide at maximum tolerated dose (at least half maximum approved dose) or glimepiride at maximum tolerated dose (at least 2 mg/day)), both at a stable dose for at least 90 days prior to screening. Stable is defined as unchanged medication and dose
- \- HbA1c 7.0-10.0% (53- 86 mmol/mol) (both inclusive)
- \- Body Mass Index (BMI) equal to or above 20 kg/m\^2
- \- Subjects who have expressed their intention to fast (daytime, i.e. between sunrise and sunset) during Ramadan after receiving medical counselling regarding the risk of fasting
You may not qualify if:
- \- Any contraindication for successful and sustained fasting from a medical perspective at the discretion of the investigator (such as acute illness, severe hypoglycaemia within 90 days prior to screening, a history of recurrent hypoglycaemia, hypoglycaemia unawareness, ketoacidosis within 90 days prior to screening, hyperosmolar hyperglycaemic coma within 90 days prior to screening, subjects performing intense physical labour)
- \- Any chronic disorder or severe disease which, in the opinion of the investigator might jeopardise subject's safety or compliance with the protocol
- \- History of chronic pancreatitis or idiopathic acute pancreatitis
- \- Screening calcitonin value equal to or above 50 ng/L
- \- Personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2)
- \- Impaired liver function, defined as alanine aminotransferase (ALAT) equal to or above 2.5 times upper normal limit (UNL)
- \- Impaired renal function defined as estimated glomerular filtration rate (eGFR) below 60 mL/min/1.73 m\^2 per Modification of Diet in Renal Disease (MDRD) formula)
- \- Any episode of unstable angina, acute coronary event, cerebral stroke/transient ischemic attack (TIA) or other significant cardiovascular event as judged by the investigator within 90 days prior to screening
- \- 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 (41)
Novo Nordisk Investigational Site
Algiers, 16000, Algeria
Novo Nordisk Investigational Site
Constantine, 25000, Algeria
Novo Nordisk Investigational Site
Oran, 31000, Algeria
Novo Nordisk Investigational Site
Sétif, 19000, Algeria
Novo Nordisk Investigational Site
Sidi Bel Abbes, 22000, Algeria
Novo Nordisk Investigational Site
Hyderabad, Andhra Pradesh, 500034, India
Novo Nordisk Investigational Site
Ahmedabad, Gujarat, 380007, India
Novo Nordisk Investigational Site
Bangalore, Karnataka, 560002, India
Novo Nordisk Investigational Site
Mysore, Karnataka, 570001, India
Novo Nordisk Investigational Site
Mysore, Karnataka, 570004, India
Novo Nordisk Investigational Site
Mumbai, Maharashtra, 400008, India
Novo Nordisk Investigational Site
Mumbai, Maharashtra, 400010, India
Novo Nordisk Investigational Site
Mumbai, Maharashtra, 400058, India
Novo Nordisk Investigational Site
Pune, Maharashtra, 411001, India
Novo Nordisk Investigational Site
Beersheba, 84101, Israel
Novo Nordisk Investigational Site
Haifa, 31096, Israel
Novo Nordisk Investigational Site
Haifa, 35152, Israel
Novo Nordisk Investigational Site
Jerusalem, 93106, Israel
Novo Nordisk Investigational Site
Beirut, Lebanon
Novo Nordisk Investigational Site
Lebanon - Beirut, 9611, Lebanon
Novo Nordisk Investigational Site
Cheras, 56000, Malaysia
Novo Nordisk Investigational Site
Ipoh, Perak, 30990, Malaysia
Novo Nordisk Investigational Site
Klang, Selangor, 41200, Malaysia
Novo Nordisk Investigational Site
Kota Bharu, Kelantan, 16150, Malaysia
Novo Nordisk Investigational Site
Putrajaya, 62250, Malaysia
Novo Nordisk Investigational Site
Selangor Darul Ehsan, 68000, Malaysia
Novo Nordisk Investigational Site
Seremban, Negeri Sembilan, 70400, Malaysia
Novo Nordisk Investigational Site
Benoni, Gauteng, 1501, South Africa
Novo Nordisk Investigational Site
Johannesburg, Gauteng, 1812, South Africa
Novo Nordisk Investigational Site
Johannesburg, Gauteng, 1827, South Africa
Novo Nordisk Investigational Site
Lenasia, Gauteng, 1827, South Africa
Novo Nordisk Investigational Site
Pretoria, Gauteng, 0181, South Africa
Novo Nordisk Investigational Site
Durban, KwaZulu-Natal, 4091, South Africa
Novo Nordisk Investigational Site
Durban, KwaZulu-Natal, 4092, South Africa
Novo Nordisk Investigational Site
Durban, KwaZulu-Natal, 4450, South Africa
Novo Nordisk Investigational Site
Ajman, 21499, United Arab Emirates
Novo Nordisk Investigational Site
Dubai, 4545, United Arab Emirates
Novo Nordisk Investigational Site
Dubai, 9115, United Arab Emirates
Novo Nordisk Investigational Site
Ras al-Khaimah, 4727, United Arab Emirates
Novo Nordisk Investigational Site
Sharjah city, 3500, United Arab Emirates
Novo Nordisk Investigational Site
Umm Al Quwain City, 24, United Arab Emirates
Related Publications (2)
Azar ST, Echtay A, Wan Bebakar WM, Al Araj S, Berrah A, Omar M, Mutha A, Tornoe K, Kaltoft MS, Shehadeh N. Efficacy and safety of liraglutide compared to sulphonylurea during Ramadan in patients with type 2 diabetes (LIRA-Ramadan): a randomized trial. Diabetes Obes Metab. 2016 Oct;18(10):1025-33. doi: 10.1111/dom.12733. Epub 2016 Aug 18.
PMID: 27376711RESULTLee SWH, Chen WS, Sellappans R, Md Sharif SB, Metzendorf MI, Lai NM. Interventions for people with type 2 diabetes mellitus fasting during Ramadan. Cochrane Database Syst Rev. 2023 Jul 12;7(7):CD013178. doi: 10.1002/14651858.CD013178.pub2.
PMID: 37435938DERIVED
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 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 29, 2013
First Posted
August 7, 2013
Study Start
January 9, 2014
Primary Completion
September 1, 2014
Study Completion
September 4, 2014
Last Updated
August 24, 2017
Results First Posted
October 7, 2015
Record last verified: 2017-07