XETD2: Quality of Life and Fixed-ratio Combination of Insulin Degludec and Liraglutide (iDegLira)

Sponsor
Stefano Rizza (Other)
Overall Status
Completed
CT.gov ID
NCT04190160
Collaborator
(none)
35
1
1
28.2
1.2

Study Details

Study Description

Brief Summary

This work is aimed at improving the quality of life of older patients affected by type 2 diabetes. The investigators will try to amiliorate the complexity of hypogliceamic treatment in a little group of older patients with type 2 diabetes reducing the number of pills and/or insulin administration using a single daily dose of a fixed combination of insulin degludec and liraglutide. This therapeutic semplification will be done indipendently of pre-existent glicaemic control.

Condition or Disease Intervention/Treatment Phase
N/A

Detailed Description

Older patients with type 2 diabetes often have numerous coexisting medical problems for which these subjets prescribed multiple medications. Actually, diabetes, hyertension, cardiovascular diseases (CVDs), neurodegenerative diseases (NDDs), digestive and respiratory disorders are common in aged peolple and tend to coexist. Unfortunally, the complex therapy of these diseases increases the risk of adverse drug events. Furthermore, there is marked heterogeneity in health status and functional capacity in older diabetic subjects, often making prescribing decisions complex and challenging. On the other hand, despite of the use of many medicines, undertreatment is also frequent present in the elderly and the probability of underprescription increased significantly with the number of medicines.Both conditions have a detrimental effect on quality of life (QoL) of elderly subjects increasing the risk of disability and death. Therefore, older people should benefit greatly of a simplification of drug regimens and reduction of pill burdens as well as better explanations of the reason for the prescriptions. The combination of insulin degludec (100 units/mL) and liraglutide (3.6 mg/mL), termed IDegLira, was approved in 2014 for the treatment of type 2 diabetes inadequately controlled with oral glucose-lowering agents alone or in combination with a GLP-1 receptor agonist or basal insulin (European indication). Interestingly, RCTs and real-world evidence provided insights into effectiveness and safety in routine clinical practice. However, beyond its known metabolic efficacy IDegLira has a very small hypoglicaemic rate, with a single daily and flexible administration dose and a very good safety profile that makes it suitable for fragile diabetic old patients.

Study Design

Study Type:
Interventional
Actual Enrollment :
35 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Unicenter Interventional Study Aimed at Improving the Quality of Life in a Group of Very Old Patients With Type 2 Diabetes With Fixed-ratio Combination of Insulin Degludec and Liraglutide (iDegLira)
Actual Study Start Date :
Nov 19, 2018
Actual Primary Completion Date :
Nov 22, 2019
Actual Study Completion Date :
Mar 25, 2021

Arms and Interventions

Arm Intervention/Treatment
Experimental: 6 months treatment

replacement of whatever pre-existing hypoglicaemic therapeutic scheme, with or without insulin, with a single daily and flexible administration of IDegLira in a pilot little group of very old diabetic patients

Drug: IDegLira
A single administration of IDegLira, dose depending on glicaemic control, in place of any pre-existing hipoglycaemic therapeutic scheme

Outcome Measures

Primary Outcome Measures

  1. Self reported quality of Life (CASP-19) [6 months]

    All participants with treatment-related modification of quality of life as assessed by CASP-19

  2. The Diabetes Treatment Satisfaction (DTSQ) [6 months]

    All participants with treatment-related self reported satisfation for diabetes therapy as assessed by DTSQ

Secondary Outcome Measures

  1. Glycemic control [6 months]

    Glycaemic control evaluated by treatment-related modification of fasting glucose and HbA1c

  2. Hypoglycaemia [6 months]

    Self reported hypoglycaemic events rate

  3. Self reported depression (GDS) [6 months]

    All participants with treatment-related modification of depression as assessed by GDS (Geriatric Depression Scale)

  4. Hypoglycaemic related hospitalizations [6 months]

    Numbers of treatment-related hypoglycaemic hospitalizations

  5. Cognitive function (MMSE) [6 months]

    All participants with treatment-related modification of cognitive function as assessed by Mini Mental State Examination (MMSE)

Eligibility Criteria

Criteria

Ages Eligible for Study:
75 Years to 99 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • frail very old type 2 diabetes patients without severe cognitive impairment and/or grave depression with 3 or more daily hypoglycaemic drug administrations
Exclusion Criteria:
  • e-GFR < 15 ml/min

  • any experimental clinical trial participation or every experimental drug use in the previous 6 months before commencing this study

  • every know or suspected allergic reaction to deglutec or any other GLP-1 agonist

  • any known contraindication to IDegLira use (as described in product characteristics)

  • Recent cancer diagnosis (<3 y) or active radio- or chemo-therapy. Cancer diagnosis older than 3 years before commencing the study is allowed

  • Mini mental state examination score lower than 14/30 and/or Activity Daily Living score lower than 1/6 and/or Instrumenctal Activity Daily Living lower than 1/8

Contacts and Locations

Locations

Site City State Country Postal Code
1 Stefano Rizza Roma Italy 00133

Sponsors and Collaborators

  • Stefano Rizza

Investigators

  • Study Chair: Massimo Federici, Professor, Department of Systems Medicine

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Stefano Rizza, Principal Investigator, University of Rome Tor Vergata
ClinicalTrials.gov Identifier:
NCT04190160
Other Study ID Numbers:
  • 141/18 XETD2
First Posted:
Dec 9, 2019
Last Update Posted:
Aug 3, 2021
Last Verified:
Aug 1, 2021
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Stefano Rizza, Principal Investigator, University of Rome Tor Vergata
Additional relevant MeSH terms:

Study Results

No Results Posted as of Aug 3, 2021