Abstract | AIM: METHODS: This was a post hoc subanalysis of participants who received basal insulin and metformin in a global phase III study that randomized participants (1:1) to receive linagliptin 5 mg once daily or placebo for ≥52 weeks as add-on therapy to basal insulin alone or in combination with metformin and/or pioglitazone. During the first 24 weeks, the background dose of basal insulin remained stable; thereafter, adjustments based on glucose concentrations were recommended. The primary endpoint of the subanalysis was the change from baseline in HbA1c after 24 weeks. The safety analysis incorporated data up to a maximum of 110 weeks. RESULTS: A total of 950 participants receiving background insulin and metformin were included in this subanalysis ( linagliptin and placebo, both n = 475). At week 24, the placebo-corrected adjusted mean (±se) change from baseline in HbA1c with linagliptin was -7 (±1) mmol/mol [-0.7 (±0.1) %; 95% CI -0.8, -0.6; P < 0.0001]. The overall frequency of drug-related adverse events ( linagliptin, 18.9%; placebo, 21.9%) and investigator-reported hypoglycaemia ( linagliptin, 30.7%; placebo, 31.6%) were similar in both groups at the end of treatment. The frequency of severe hypoglycaemia was low ( linagliptin, 1.7%; placebo, 0.8%). No meaningful changes in mean (±sd) body weight were noted in either group [week 52: linagliptin, -0.5 (±3.2) kg; placebo, 0.0 (±3.1) kg]. CONCLUSIONS:
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Authors | S Durán-Garcia, J Lee, H Yki-Järvinen, J Rosenstock, U Hehnke, S Thiemann, S Patel, H-J Woerle |
Journal | Diabetic medicine : a journal of the British Diabetic Association
(Diabet Med)
Vol. 33
Issue 7
Pg. 926-33
(07 2016)
ISSN: 1464-5491 [Electronic] England |
PMID | 26605991
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | © 2015 Diabetes UK. |
Chemical References |
- Glycated Hemoglobin A
- Hypoglycemic Agents
- Insulin
- hemoglobin A1c protein, human
- Linagliptin
- Metformin
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Topics |
- Aged
- Clinical Trials, Phase III as Topic
- Diabetes Mellitus, Type 2
(drug therapy, metabolism)
- Drug Therapy, Combination
- Female
- Glycated Hemoglobin
(metabolism)
- Humans
- Hypoglycemia
(chemically induced)
- Hypoglycemic Agents
(therapeutic use)
- Insulin
(therapeutic use)
- Linagliptin
(therapeutic use)
- Male
- Metformin
(therapeutic use)
- Middle Aged
- Treatment Outcome
- Weight Gain
- Weight Loss
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