PMID- 27867889 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2230-8210 (Print) IS - 2230-9500 (Electronic) IS - 2230-9500 (Linking) VI - 20 IP - 6 DP - 2016 Nov-Dec TI - Liraglutide effect and action in diabetes-In (LEAD-In): A prospective observational study assessing safety and effectiveness of liraglutide in patients with type 2 diabetes mellitus treated under routine clinical practice conditions in India. PG - 838-845 AB - BACKGROUND: This 26-week, open-label observational study assessed the incidence and type of adverse events (AEs) associated with liraglutide use according to the standard clinical practice settings and the local label in India. MATERIALS AND METHODS: A total of 1416 adults with type 2 diabetes (T2D) treated with liraglutide in 125 sites across India were included in the study. Participants were newly diagnosed or already receiving antidiabetic medications. Safety and efficacy data were collected at baseline and at approximately weeks 13 and 26. The primary outcome was incidence and type of AEs while using liraglutide, with events classified by Medical Dictionary for Regulatory Activities system organ class and preferred term. The secondary objective was to assess other clinical parameters related to effective T2D management. RESULTS: Twenty AEs, predominately gastrointestinal, were reported in 1.3% of the study population in scheduled visits up to week 26. No serious AEs, including death, were reported. Hypoglycemic episodes were reported in 7.3% of participants at baseline and 0.7% at week 26. No major hypoglycemic events were reported up to week 26 (baseline: 0.4%). Glycated hemoglobin was reduced from baseline (8.8 +/- 1.3%) to week 26 by 1.6 +/- 1.1% (P < 0.0001); significant improvements in fasting blood glucose, and 2-h postprandial blood glucose (post-breakfast, -lunch, and -dinner) were also observed. Mean body weight decreased by 8.1 +/- 6.5 kg from baseline (92.5 +/- 14.6 kg; P < 0.0001). CONCLUSIONS: From the number of AEs reported, it is suggested that liraglutide was well tolerated in subjects with T2D treated under standard clinical practice conditions in India. Liraglutide was effective, and no new safety concerns were identified. FAU - Wangnoo, Subhash Kumar AU - Wangnoo SK AD - Apollo Centre of Obesity, Diabetes and Endocrinology, Indraprastha Apollo Hospital, New Delhi, India. FAU - Kumar, Surender AU - Kumar S AD - Department of Endocrinology and Metabolism, Sir Ganga Ram Hospital, New Delhi, India. FAU - Bhattacharyya, Arpandev AU - Bhattacharyya A AD - Department of Endocrinology, Manipal Hospital, Bengaluru, Karnataka, India. FAU - Tripathi, Sudhir AU - Tripathi S AD - Clinical, Medical and Regulatory Department, Novo Nordisk Pharma Gulf FZ-LLC, Dubai, United Arab Emirates. FAU - Akhtar, Shahid AU - Akhtar S AD - Clinical, Medical and Regulatory Department, Novo Nordisk Pharma Gulf FZ-LLC, Dubai, United Arab Emirates. FAU - Shetty, Raman AU - Shetty R AD - Clinical, Medical and Regulatory Department, Novo Nordisk Pharma Gulf FZ-LLC, Dubai, United Arab Emirates. FAU - Ghosal, Samit AU - Ghosal S AD - Department of Diabetology, Nightingale Hospital, Kolkata, West Bengal, India. LA - eng PT - Journal Article PL - India TA - Indian J Endocrinol Metab JT - Indian journal of endocrinology and metabolism JID - 101555690 PMC - PMC5105570 OTO - NOTNLM OT - Adverse events OT - India OT - liraglutide OT - real-world OT - routine clinical practice OT - type 2 diabetes EDAT- 2016/11/22 06:00 MHDA- 2016/11/22 06:01 PMCR- 2016/11/01 CRDT- 2016/11/22 06:00 PHST- 2016/11/22 06:00 [entrez] PHST- 2016/11/22 06:00 [pubmed] PHST- 2016/11/22 06:01 [medline] PHST- 2016/11/01 00:00 [pmc-release] AID - IJEM-20-838 [pii] AID - 10.4103/2230-8210.189232 [doi] PST - ppublish SO - Indian J Endocrinol Metab. 2016 Nov-Dec;20(6):838-845. doi: 10.4103/2230-8210.189232.