A comparison of adding liraglutide versus a single daily dose of insulin aspart to insulin degludec in subjects with type 2 diabetes (BEGIN: VICTOZA ADD-ON)

A comparison of adding liraglutide versus a single daily dose of insulin aspart to insulin degludec in subjects with type 2 diabetes (BEGIN: VICTOZA ADD-ON)
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DOI:
10.1111/dom.12262
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发表时间:
2014-07-01
影响因子:
5.8
通讯作者:
Zinman, B.
Zinman, B.
中科院分区:
医学2区
文献类型:
--
作者:
Mathieu, C.;Rodbard, H. W.;Zinman, B.

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目的:在需要强化的基础胰岛素治疗的2型糖尿病(T2 DM)患者中比较了两种治疗策略:在最大进餐量的情况下添加每日一次(OD)利拉鲁肽(里拉)或OD门冬胰岛素(IAsp)。完成104周的受试者(52周主试验开始ONCE-LONG + 52周扩展)接受德谷胰岛素(IDeg)OD +二甲双胍治疗,HbA 1c ≥ 7.0%(>= 53 mmol/mol)随机分配至IDeg+里拉[n=88,平均HbA 1c:7.7%(61 mmol/mol)]或IDeg+IAsp(n=89,平均HbA 1c:7.7%),持续26周,继续二甲双胍治疗。完成104周且HbA 1c的受试者
Aim: Two treatment strategies were compared in patients with type 2 diabetes (T2DM) on basal insulin requiring intensification: addition of once-daily (OD) liraglutide (Lira) or OD insulin aspart (IAsp) with largest meal.Methods: Subjects completing 104 weeks (52-week main trial BEGIN ONCE-LONG + 52-week extension) on insulin degludec (IDeg) OD + metformin with HbA1c >= 7.0% (>= 53 mmol/mol) were randomized to IDeg+Lira [n=88, mean HbA1c: 7.7% (61 mmol/mol)] or IDeg+IAsp (n=89, mean HbA1c: 7.7%) for 26 weeks, continuing metformin. Subjects completing 104 weeks with HbA1c