PMID- 24664620 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140622 LR - 20211021 IS - 1869-6953 (Print) IS - 1869-6961 (Electronic) IS - 1869-6961 (Linking) VI - 5 IP - 1 DP - 2014 Jun TI - Efficacy of liraglutide in a real-life cohort. PG - 193-206 LID - 10.1007/s13300-014-0062-2 [doi] AB - INTRODUCTION: In the Liraglutide Effect and Action in Diabetes (LEAD) randomized clinical trials (RCTs) assessing liraglutide in type 2 diabetes mellitus (T2DM), glycated hemoglobin (A1c) was reduced by 7-16 mmol/mol and weight by up to 3.4 kg. As real-life efficacy data on liraglutide is limited, the authors assessed clinical effects in a real-life cohort. METHODS: In this retrospective analysis from the Israeli Health Maintenance Organization Maccabi, of patients with T2DM, treated with liraglutide >/=6 months during 2011-2012, evaluations were performed at baseline and 6 months. RESULTS: Insulin-naive patients (n = 1,101) treated with liraglutide with at least one A1c or weight measurement were identified. In 933 patients with an additional A1c value after 6 months, A1c decreased by 9 mmol/mol (p < 0.0001, 95% CI 7-11) from 72 mmol/mol. In patients receiving >2 oral antidiabetic drugs (OADs) prior to liraglutide treatment (80.7% patients), A1c decreased by 7 mmol/mol, and in those receiving /=1% A1c reduction. Furthermore, 91 patients (20.1%) achieved National Institute for Health and Care Excellence (NICE) criteria (decreased A1c >/=1%; weight >/=3%). Weight reduction was marginally correlated with A1c reduction. CONCLUSIONS: Evidence from real-life use of liraglutide demonstrated clinical effects similar to those demonstrated in RCTs. FAU - Heymann, Anthony AU - Heymann A AD - Family Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Maor, Yasmin AU - Maor Y FAU - Goldstein, Inbal AU - Goldstein I FAU - Todorova, Lora AU - Todorova L FAU - Schertz-Sternberg, Perlit AU - Schertz-Sternberg P FAU - Karasik, Avraham AU - Karasik A LA - eng PT - Journal Article DEP - 20140325 PL - United States TA - Diabetes Ther JT - Diabetes therapy : research, treatment and education of diabetes and related disorders JID - 101539025 EIN - Diabetes Ther. 2014 Jun;5(1):345. PMID: 24867237 PMC - PMC4065284 EDAT- 2014/03/26 06:00 MHDA- 2014/03/26 06:01 PMCR- 2014/03/25 CRDT- 2014/03/26 06:00 PHST- 2014/02/05 00:00 [received] PHST- 2014/03/26 06:00 [entrez] PHST- 2014/03/26 06:00 [pubmed] PHST- 2014/03/26 06:01 [medline] PHST- 2014/03/25 00:00 [pmc-release] AID - 62 [pii] AID - 10.1007/s13300-014-0062-2 [doi] PST - ppublish SO - Diabetes Ther. 2014 Jun;5(1):193-206. doi: 10.1007/s13300-014-0062-2. Epub 2014 Mar 25.