PMID- 26816604 OWN - NLM STAT- MEDLINE DCOM- 20161024 LR - 20221207 IS - 2040-1124 (Electronic) IS - 2040-1116 (Print) IS - 2040-1116 (Linking) VI - 7 IP - 1 DP - 2016 Jan TI - Liraglutide is effective and well tolerated in combination with an oral antidiabetic drug in Japanese patients with type 2 diabetes: A randomized, 52-week, open-label, parallel-group trial. PG - 76-84 LID - 10.1111/jdi.12367 [doi] AB - INTRODUCTION: The safety and efficacy of liraglutide in combination with an oral antidiabetic drug (OAD) compared with combination of two OADs were assessed in Japanese patients with type 2 diabetes. MATERIALS AND METHODS: This was a 52-week, open-label, parallel-group trial in which patients whose type 2 diabetes was inadequately controlled with a single OAD (glinide, metformin, alpha-glucosidase inhibitor or thiazolidinedione) were randomized 2:1 to either pretrial OAD in combination with liraglutide 0.9 mg/day (liraglutide group; n = 240) or pretrial OAD in combination with an additional OAD (additional OAD group; n = 120). The primary outcome measure was the incidence of adverse events (AEs). RESULTS: Overall, 86.3% of patients in the liraglutide group and 85.0% of patients in the additional OAD group experienced AEs; these were similar in nature and severity. Adverse event rates were 361 and 331 per 100 patient-years of exposure, respectively. Confirmed hypoglycemia was rare (seven episodes in two patients on liraglutide, and two in two patients on additional OAD). There were no reported pancreatitis events, and no unexpected safety signals were identified. Mean reductions in glycosylated hemoglobin were significantly greater in the liraglutide group than the additional OAD group [estimated mean treatment difference -0.27% (95% confidence interval (CI) -0.44, -0.09; P = 0.0026)]; reductions in mean fasting plasma glucose levels were also greater with liraglutide [estimated mean difference -5.47 mg/dL (-0.30 mmol/L; 95% CI: -10.83, -0.10; P = 0.0458)]. CONCLUSIONS: Liraglutide was well tolerated and effective as combination therapy with an OAD in Japanese patients with type 2 diabetes. FAU - Kaku, Kohei AU - Kaku K AD - Department of Internal Medicine Kawasaki Medical School Okayama Japan. FAU - Kiyosue, Arihiro AU - Kiyosue A AD - Tokyo-Eki Center-building Clinic Tokyo Japan. FAU - Ono, Yuri AU - Ono Y AD - Yuri Ono Clinic Hokkaido Japan. FAU - Shiraiwa, Toshihiko AU - Shiraiwa T AD - Shiraiwa Medical Clinic Osaka Japan. FAU - Kaneko, Shizuka AU - Kaneko S AD - Takatsuki Red Cross Hospital Osaka Japan. FAU - Nishijima, Keiji AU - Nishijima K AD - Medical & Scientific Affairs Department Novo Nordisk Pharma Ltd Tokyo Japan. FAU - Bosch-Traberg, Heidrun AU - Bosch-Traberg H AD - Medical and Science GLP-1 Novo Nordisk A/S Soborg Denmark. FAU - Seino, Yutaka AU - Seino Y AD - Kansai Electric Power Hospital Osaka Japan. LA - eng SI - ClinicalTrials.gov/NCT01512108 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20150714 PL - Japan TA - J Diabetes Investig JT - Journal of diabetes investigation JID - 101520702 RN - 0 (Hypoglycemic Agents) RN - 839I73S42A (Liraglutide) RN - 9100L32L2N (Metformin) SB - IM EIN - J Diabetes Investig. 2016 Mar;7(2):279. PMID: 27042283 MH - Administration, Oral MH - Aged MH - *Asian People MH - Diabetes Mellitus, Type 2/diagnosis/*drug therapy/*epidemiology MH - Drug Therapy, Combination MH - Female MH - Humans MH - Hypoglycemic Agents/*administration & dosage MH - Japan/epidemiology MH - Liraglutide/*administration & dosage MH - Male MH - Metformin/administration & dosage MH - Middle Aged MH - Treatment Outcome PMC - PMC4718097 OTO - NOTNLM OT - Liraglutide OT - Oral antidiabetic drug OT - Type 2 diabetes mellitus EDAT- 2016/01/28 06:00 MHDA- 2016/10/25 06:00 PMCR- 2016/01/01 CRDT- 2016/01/28 06:00 PHST- 2014/12/15 00:00 [received] PHST- 2015/04/07 00:00 [revised] PHST- 2015/04/20 00:00 [accepted] PHST- 2016/01/28 06:00 [entrez] PHST- 2016/01/28 06:00 [pubmed] PHST- 2016/10/25 06:00 [medline] PHST- 2016/01/01 00:00 [pmc-release] AID - JDI12367 [pii] AID - 10.1111/jdi.12367 [doi] PST - ppublish SO - J Diabetes Investig. 2016 Jan;7(1):76-84. doi: 10.1111/jdi.12367. Epub 2015 Jul 14.