PMID- 31539622 OWN - NLM STAT- MEDLINE DCOM- 20210707 LR - 20221207 IS - 1878-1780 (Electronic) IS - 1262-3636 (Linking) VI - 46 IP - 2 DP - 2020 Apr TI - Efficacy and safety of once-weekly semaglutide 1.0mg vs once-daily liraglutide 1.2mg as add-on to 1-3 oral antidiabetic drugs in subjects with type 2 diabetes (SUSTAIN 10). PG - 100-109 LID - S1262-3636(19)30132-6 [pii] LID - 10.1016/j.diabet.2019.101117 [doi] AB - AIMS: SUSTAIN 10 compared the efficacy and safety of the anticipated most frequent semaglutide dose (1.0mg) with the current most frequently prescribed liraglutide dose in Europe (1.2mg), reflecting clinical practice. METHODS: In this phase 3b, open-label trial, 577 adults with type 2 diabetes (HbA(1c) 7.0-11.0%) on 1-3 oral antidiabetic drugs were randomized 1:1 to subcutaneous once-weekly semaglutide 1.0mg or subcutaneous once-daily liraglutide 1.2mg. Primary and confirmatory secondary endpoints were changes in HbA(1c) and body weight from baseline to week 30, respectively. RESULTS: Mean HbA(1c) (baseline 8.2%) decreased by 1.7% with semaglutide and 1.0% with liraglutide (estimated treatment difference [ETD] -0.69%; 95% confidence interval [CI] -0.82 to -0.56, P<0.0001). Mean body weight (baseline 96.9kg) decreased by 5.8kg with semaglutide and 1.9kg with liraglutide (ETD -3.83kg; 95% CI -4.57 to -3.09, P<0.0001). The proportions of subjects achieving glycaemic targets of<7.0% and=6.5%, weight loss of=5% and=10%, and a composite endpoint of HbA(1c)<7.0% without severe or blood glucose-confirmed symptomatic hypoglycaemia and no weight gain were greater with semaglutide vs liraglutide (all P<0.0001). Both treatments had similar safety profiles, except for more frequent gastrointestinal disorders (the most common adverse events [AEs]) and AEs leading to premature treatment discontinuation with semaglutide vs liraglutide (43.9% vs 38.3% and 11.4% vs 6.6%, respectively). CONCLUSION: Semaglutide was superior to liraglutide in reducing HbA(1c) and body weight. Safety profiles were generally similar, except for higher rates of gastrointestinal AEs with semaglutide vs liraglutide. CI - Copyright (c) 2019 Elsevier Masson SAS. All rights reserved. FAU - Capehorn, M S AU - Capehorn MS AD - Rotherham Institute for Obesity, Clifton Medical Centre, S65 1DA Rotherham, South Yorkshire, UK. Electronic address: mcapehorn@yahoo.co.uk. FAU - Catarig, A-M AU - Catarig AM AD - Novo Nordisk A/S, DK-2860 Soborg, Denmark. FAU - Furberg, J K AU - Furberg JK AD - Novo Nordisk A/S, DK-2860 Soborg, Denmark. FAU - Janez, A AU - Janez A AD - Department of Endocrinology, Diabetes and Metabolic Diseases, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia. FAU - Price, H C AU - Price HC AD - West Hampshire Community Diabetes Service, SO43 7NG Lyndhurst, UK. FAU - Tadayon, S AU - Tadayon S AD - Novo Nordisk A/S, DK-2860 Soborg, Denmark. FAU - Verges, B AU - Verges B AD - CHU, 21000 Dijon, France. FAU - Marre, M AU - Marre M AD - Clinique Ambroise Pare, 27, boulevard Victor-Hugo, 92200 Neuilly-sur-Seine, France. LA - eng PT - Clinical Trial, Phase III PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20190917 PL - France TA - Diabetes Metab JT - Diabetes & metabolism JID - 9607599 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 53AXN4NNHX (semaglutide) RN - 62340-29-8 (Glucagon-Like Peptides) RN - 839I73S42A (Liraglutide) RN - 9100L32L2N (Metformin) SB - IM CIN - Diabetes Metab. 2020 Nov;46(6):515-517. PMID: 31606525 MH - Administration, Oral MH - Aged MH - Blood Glucose MH - Diabetes Mellitus, Type 2/blood/*drug therapy MH - Drug Therapy, Combination MH - Female MH - Glucagon-Like Peptides/administration & dosage/adverse effects/*therapeutic use MH - Glycated Hemoglobin/analysis MH - Humans MH - Hypoglycemic Agents/administration & dosage/adverse effects/*therapeutic use MH - Injections, Subcutaneous MH - Liraglutide/administration & dosage/adverse effects/*therapeutic use MH - Male MH - Metformin/therapeutic use MH - Middle Aged MH - Treatment Outcome OTO - NOTNLM OT - Glucagon-like peptide-1 receptor agonist OT - Glycaemic control OT - Liraglutide OT - SUSTAIN OT - Semaglutide OT - Type 2 diabetes EDAT- 2019/09/21 06:00 MHDA- 2021/07/08 06:00 CRDT- 2019/09/21 06:00 PHST- 2019/06/14 00:00 [received] PHST- 2019/08/28 00:00 [revised] PHST- 2019/09/01 00:00 [accepted] PHST- 2019/09/21 06:00 [pubmed] PHST- 2021/07/08 06:00 [medline] PHST- 2019/09/21 06:00 [entrez] AID - S1262-3636(19)30132-6 [pii] AID - 10.1016/j.diabet.2019.101117 [doi] PST - ppublish SO - Diabetes Metab. 2020 Apr;46(2):100-109. doi: 10.1016/j.diabet.2019.101117. Epub 2019 Sep 17.