PMID- 35496980 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2589-9368 (Electronic) IS - 2589-9368 (Linking) VI - 14 DP - 2022 Jun TI - One-year safety and effectiveness of insulin degludec in patients with diabetes mellitus in routine clinical practice in India-TRUST (Tresiba real-world use study). PG - 100184 LID - 10.1016/j.metop.2022.100184 [doi] LID - 100184 AB - OBJECTIVE: This post-authorization safety study (PASS) was conducted to evaluate the long-term safety and effectiveness of insulin degludec in patients with diabetes mellitus (DM) requiring insulin therapy in routine clinical practice in India. METHODS: Data on glycated hemoglobin (HbA1c) and adverse events (AEs) were collected up to 12 months after insulin degludec initiation. RESULTS: A total of 1057 adult patients with DM were enrolled, including 60.07% males with the mean duration of 22.2 +/- 21.90 years with type 1 DM and 10.1 +/- 7.37 years with type 2 DM and the mean HbA1c of 9.6 +/- 1.9%. Insulin degludec was prescribed to improve HbA1c and fasting plasma glucose (FPG). Insulin degludec daily dose was increased from 14.8 +/- 8.0 U to 18.0 +/- 9.46 U over 12 months resulting in a significant decrease of HbA1c by 1.8 +/- 1.68% compared with baseline. There were 84 events of confirmed hypoglycemia in 51 patients during the 12-month follow-up period, and 44 AEs were reported in 2.6% of patients, of which 2 AEs were serious and unrelated to the drug. CONCLUSION: Insulin degludec is well tolerated in patients with DM. It improves glycemic control with reduced HbA1c, FPG, and postprandial glucose, with a low risk of hypoglycemia. CI - (c) 2022 Published by Elsevier Inc. FAU - Kesavadev, Jothydev AU - Kesavadev J AD - Jothydev's Diabetes Research Centre, Thiruvananthapuram, Kerala, India. FAU - Murthy, L Sreenivasa AU - Murthy LS AD - Life Care Hospital & Research Centre, Bengaluru, Karnataka, India. FAU - Chaudhury, Tirthankar AU - Chaudhury T AD - Apollo Gleneagles Hospital, Kolkata, West Bengal, India. FAU - Yalamanchi, Sadasiva Rao AU - Yalamanchi SR AD - Yalamanchi Hospitals & Research Centres Pvt. Ltd, Vijayawada, Andhra Pradesh, India. FAU - Giri, J AU - Giri J AD - KG Hospital, Coimbatore, Tamil Nadu, India. FAU - Gupta, Sunil AU - Gupta S AD - Sunil's Diabetes Care & Research Centre Pvt. Ltd, Nagpur, Maharashtra, India. FAU - Phatak, Sanjeev AU - Phatak S AD - Vijayratna Diabetes Diagnostic Treatment Centre, Ahmedabad, Gujarat, India. FAU - Modi, K D AU - Modi KD AD - Care Hospitals, Hyderabad, Telangana, India. FAU - Chatterjee, Sanjay AU - Chatterjee S AD - Apollo Gleneagles Hospital, Kolkata, West Bengal, India. FAU - Manjunath, Aparna AU - Manjunath A AD - Novo Nordisk India Private Limited, Bengaluru, Karnataka, India. FAU - Revanna, Manjunatha AU - Revanna M AD - Novo Nordisk India Private Limited, Bengaluru, Karnataka, India. FAU - Bhattacharya, Arpandev AU - Bhattacharya A AD - Manipal Hospital, Bengaluru, Karnataka, India. LA - eng PT - Journal Article DEP - 20220418 PL - England TA - Metabol Open JT - Metabolism open JID - 101767753 PMC - PMC9046940 OTO - NOTNLM OT - Diabetes mellitus OT - Effectiveness OT - Insulin degludec OT - Post-authorization safety study OT - Real-world evidence OT - Safety COIS- There was no conflict of interest. EDAT- 2022/05/03 06:00 MHDA- 2022/05/03 06:01 PMCR- 2022/04/18 CRDT- 2022/05/02 06:57 PHST- 2022/02/14 00:00 [received] PHST- 2022/04/11 00:00 [revised] PHST- 2022/04/14 00:00 [accepted] PHST- 2022/05/02 06:57 [entrez] PHST- 2022/05/03 06:00 [pubmed] PHST- 2022/05/03 06:01 [medline] PHST- 2022/04/18 00:00 [pmc-release] AID - S2589-9368(22)00022-6 [pii] AID - 100184 [pii] AID - 10.1016/j.metop.2022.100184 [doi] PST - epublish SO - Metabol Open. 2022 Apr 18;14:100184. doi: 10.1016/j.metop.2022.100184. eCollection 2022 Jun.