A Trial Comparing the Efficacy and Safety of Insulin Degludec/Liraglutide, Insulin Degludec and Liraglutide in Japanese Subjects With Type 2 Diabetes Mellitus.
DUAL™ I Japan
3 other identifiers
interventional
819
1 country
76
Brief Summary
This trial is conducted in Asia. The aim of this trial is to compare the efficacy and safety of insulin degludec/liraglutide, insulin degludec and liraglutide in Japanese subjects with type 2 diabetes mellitus.
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 2015
Longer than P75 for phase_3 diabetes
76 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
November 16, 2015
CompletedFirst Posted
Study publicly available on registry
November 18, 2015
CompletedStudy Start
First participant enrolled
November 18, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 15, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
December 22, 2017
CompletedResults Posted
Study results publicly available
July 29, 2019
CompletedApril 9, 2021
March 1, 2021
2.1 years
November 16, 2015
December 7, 2018
March 10, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Change From Baseline in HbA1c (Glycosylated Haemoglobin) Tested for Non-inferiority of IDegLira vs IDeg and Superiority of IDegLira vs Lira
Change from baseline (week 0) in HbA1c after 52 weeks of treatment was measured. Statistical analyses were performed to test the hypotheses: non-inferiority of IDegLira vs. IDeg and superiority of IDegLira vs. Liraglutide (Lira).
Week 0, Week 52
Secondary Outcomes (39)
Change From Baseline in Body Weight (kg)
Week 0, Week 52
Number of Treatment Emergent Severe or Blood Glucose (BG) Confirmed Hypoglycaemic Episodes
Weeks 0-52
Change From Baseline in HbA1c (Glycosylated Haemoglobin) Tested for Superiority of IDegLira vs IDeg
Week 0, Week 52
Change From Baseline in Fasting Plasma Glucose (FPG)
Week 0, Week 52
Insulin Dose
After 52 weeks of treatment
- +34 more secondary outcomes
Study Arms (3)
Insulin degludec/liraglutide OD
EXPERIMENTALInsulin degludec OD
ACTIVE COMPARATORLiraglutide OD
ACTIVE COMPARATORInterventions
Injected s.c. / subcutaneously (under the skin) once daily (OD) , in combination with pre-trial OAD (oral antidiabetic drug)kept in unchanged dose.
Injected s.c. / subcutaneously (under the skin) once daily (OD) , in combination with pre-trial OAD (oral antidiabetic drug)kept in unchanged dose.
Injected s.c. / subcutaneously (under the skin) once daily (OD) , in combination with pre-trial OAD (oral antidiabetic drug)kept in unchanged dose.
Eligibility Criteria
You may qualify if:
- Male or female Japanese subjects, age at least 20 years at the time of signing informed consent
- Type 2 diabetes subjects (diagnosed clinically) at least 6 months prior to screening
- HbA1c (glycosylated haemoglobin) 7.0-11.0 % (both inclusive) by central laboratory analysis, with the aim of a median of 8.3%. When approximately 50% of the randomised subjects have a HbA1c above 8.3%, the remaining subjects randomised must have a HbA1c below or equal to 8.3%; or when approximately 50% of the randomised subjects have a HbA1c below or equal to 8.3%, the remaining subjects randomised must have a HbA1c above 8.3%
- Body-mass index (BMI) above or equal to 20 kg/m\^2
- Subjects on stable therapy with one OAD (defined as unchanged medication and unchanged dose) for at least 60 days (metformin, a-GI, TZD, SU, SGLT2i or glinide) prior to screening according to approved Japanese labelling
You may not qualify if:
- Previous treatment with insulin (except for short-term treatment in connection with intercurrent illness including gestational diabetes)
- Anticipated initiation or change in concomitant medications in excess of 14 days known to affect weight or glucose metabolism
- Impaired liver function, defined as alanine aminotransferase (ALT) or aspartate aminotransferase (AST) equal to or above 2.5 times upper limit of normal
- Renal impairment estimated Glomerular Filtration Rate (eGFR) below 60mL/min/1.73m\^2 as per Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI)
- Screening calcitonin equal to or above 50 ng/L
- History of pancreatitis (acute or chronic)
- Personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia type 2 (MEN 2)
- Subjects presently classified as being in New York Heart Association (NYHA) Class IV
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (76)
Novo Nordisk Investigational Site
Adachi-ku, Tokyo, 123-0845, Japan
Novo Nordisk Investigational Site
Akita-shi, Akita, 010-8543, Japan
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Annaka-shi, Gunma, 379-0116, Japan
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Asahikawa-shi, Hokkaido, 070-0002, Japan
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Chiba-shi, Chiba, 260-0804, Japan
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Chitose, Hokkaido, 066-0032, Japan
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Chuo-ku, Tokyo, 103-0002, Japan
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Chuo-ku,Tokyo, 103-0025, Japan
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Chūōku, 104 0061, Japan
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Edogawa-ku, Tokyo, 134-0084, Japan
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Fujisawa-shi, Kanagawa, 251-0041, Japan
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Fukuoka-shi, Fukuoka, 819-0168, Japan
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Fukushima, 963-8851, Japan
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Gunma, 373-0036, Japan
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Hachioji-shi, Tokyo, 192-0917, Japan
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Hokkaido, 060-0062, Japan
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Hokkaido, 078-8236, Japan
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Ibaraki, 311-0113, Japan
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Ichihara-shi, Chiba, 290-0003, Japan
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Iruma-shi, Saitama, 358-0011, Japan
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Itabashi-ku, Tokyo, 173-0004, Japan
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Itabashi-ku, Tokyo, 175-0093, Japan
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Izumisano, 598 0048, Japan
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Izumisano-shi,Osaka, 598-8577, Japan
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Kagoshima-shi, Kagoshima, 890-0061, Japan
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Kamakura-shi, 247 0056, Japan
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Kanagawa, 235-0045, Japan
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Kanra-gun, Gunma, 370-2214, Japan
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Kashiwara-shi, Osaka, 582-0005, Japan
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Kawagoe-shi, Saitama, 350-0851, Japan
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Kawaguchi-shi, Saitama, 332-0012, Japan
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Kawasaki-shi,Kanagawa, 215-0026, Japan
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Kisarazu-shi, Chiba, 292-0038, Japan
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Kobe-shi, Hyogo, Japan
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Kuki-shi, Saitama, 346-8530, Japan
Novo Nordisk Investigational Site
Kumamoto, 862-0976, Japan
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Kumamoto-shi, Kumamoto, 860-0811, Japan
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Kumamoto-shi, Kumamoto, 861-8039, Japan
Novo Nordisk Investigational Site
Kushiro-shi, Hokkaido, 085-0032, Japan
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Kyoto-shi, Kyoto, 606-8507, Japan
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Minato-ku, Tokyo, 108-0075, Japan
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Mito-shi, Ibaraki, 310-0826, Japan
Novo Nordisk Investigational Site
Mito-shi, Ibaraki, 311-4153, Japan
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Miura-shi, Kanagawa, 238-0101, Japan
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Miyazaki, 880-0034, Japan
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Nagoya-shi, Aichi, 455-8530, Japan
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Nagoya-shi, Aichi, 456-0058, Japan
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Nishinomiya-shi, Hygo, 662 0971, Japan
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Obihiro-shi, Hokkaido, 080 0016, Japan
Novo Nordisk Investigational Site
Obihiro-shi, Hokkaido, 080 0848, Japan
Novo Nordisk Investigational Site
Okawa-shi, Fukuoka, 831-0016, Japan
Novo Nordisk Investigational Site
Onga-gun, Fukuoka, 811-4342, Japan
Novo Nordisk Investigational Site
Osaka, 569-1045, Japan
Novo Nordisk Investigational Site
Osaka-shi, Osaka, 530-0013, Japan
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Osaka-shi, Osaka, 533-0024, Japan
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Osaka-shi, Osaka, 536-0001, Japan
Novo Nordisk Investigational Site
Ota-ku, Tokyo, 1430015, Japan
Novo Nordisk Investigational Site
Ōita, 870 0039, Japan
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Saijo-shi, Ehime, 793-0027, Japan
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Sapporo-shi, Hokkaido, 004-0004, Japan
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Sapporo-shi, Hokkaido, 060-0001, Japan
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Sendai-shi, Miyagi, 980-0011, Japan
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Sendai-shi, Miyagi, 980-0021, Japan
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Shimotsuke-shi, Tochigi, 329-0433, Japan
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Shizuoka-shi, Shizuoka, 424-0853, Japan
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Tochigi, 323-0022, Japan
Novo Nordisk Investigational Site
Tokyo, 103-0027, Japan
Novo Nordisk Investigational Site
Tokyo, 103-0028, Japan
Novo Nordisk Investigational Site
Tokyo, 104-0031, Japan
Novo Nordisk Investigational Site
Tokyo, 169-0073, Japan
Novo Nordisk Investigational Site
Toshima-ku, Tokyo, 171-0021, Japan
Novo Nordisk Investigational Site
Toyonaka-shi, Osaka, 560-0082, Japan
Novo Nordisk Investigational Site
Ube-shi, Yamaguchi, 755-0046, Japan
Novo Nordisk Investigational Site
Urasoe-shi,, 901 2104, Japan
Novo Nordisk Investigational Site
Yamaguchi-shi, Yamaguchi, 754-0002, Japan
Novo Nordisk Investigational Site
Yamato-shi, Kanagawa, 242-0004, Japan
Related Publications (2)
Kaku K, Araki E, Tanizawa Y, Ross Agner B, Nishida T, Ranthe M, Inagaki N. Superior efficacy with a fixed-ratio combination of insulin degludec and liraglutide (IDegLira) compared with insulin degludec and liraglutide in insulin-naive Japanese patients with type 2 diabetes in a phase 3, open-label, randomized trial. Diabetes Obes Metab. 2019 Dec;21(12):2674-2683. doi: 10.1111/dom.13856. Epub 2019 Aug 28.
PMID: 31407845RESULTKomatsu M, Watada H, Kaneko S, Ross Agner BF, Nishida T, Kaku K. Efficacy and safety of the fixed-ratio combination of insulin degludec and liraglutide by baseline glycated hemoglobin, body mass index and age in Japanese individuals with type 2 diabetes: A subgroup analysis of two phase III trials. J Diabetes Investig. 2021 Sep;12(9):1610-1618. doi: 10.1111/jdi.13525. Epub 2021 Mar 24.
PMID: 33595901RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Clinical Reporting Anchor and Disclosure (1452)
- Organization
- 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
November 16, 2015
First Posted
November 18, 2015
Study Start
November 18, 2015
Primary Completion
December 15, 2017
Study Completion
December 22, 2017
Last Updated
April 9, 2021
Results First Posted
July 29, 2019
Record last verified: 2021-03
Data Sharing
- IPD Sharing
- Will share
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com