Risk of Hypoglycemia in the Transition From Inpatient to Outpatient Setting. Comparative Study of Basal-bolus Insulin Versus Basal Insulin Plus GLP-1 Analogue

Sponsor
Hospital Universitario San Ignacio
Study ID
NCT05767255
Phase
PHASE3
Status
Unknown

Conditions

  • Diabetes Mellitus, Type 2 Treated With Insulin

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • insulin degludec + liraglutide — DRUG
    The association of insulin degludec with liraglutide in the same device (IDegLira) is a potent and safe drug that reduces the risk of hypoglycemia.
  • Insulin Glargine - Insulin Aspart — DRUG
    The insulin dose of the basal group will be adjusted according to the blood glucose reports presented by the patients.

Study Details

The association of insulin degludec with liraglutide in the same device (IDegLira) is a potent but at the same time safe drug that reduces the risk of hypoglycemia when compared to a basal or basal-bolus insulin schedule. The DUAL (Dual Action of Liraglutide and Insulin Degludec) studies are the pivotal studies of this combination. Specifically, the DUAL VII study has demonstrated that ideglira is a non-inferior drug in terms of glycemic control versus a basal-bolus schedule in patients in the outpatient setting who have failed basal insulin. Although the basal-bolus insulin plus correction schedule is frequently used in hospitalized patients with hyperglycemia, outpatient management with a complex insulin schedule creates challenges that are difficult to mitigate due to limited time for patient education during an acute illness and limited access to the physician responsible for post-discharge diabetes management. The use of IDegLira has not been evaluated in clinical studies in the hospital discharge setting where the authors believe it has great potential because it offers similar potency to the basal-bolus scheme but with greater safety with respect to hypoglycemia and less complexity for the patient because it is associated with fewer applications and less need for capillary self-monitoring. For this reason, in the hospital-home transition scenario, ideglira therapy in patients with poor metabolic control and requiring intensification therapy is proposed as an alternative to the basal-bolus scheme.

Key Dates

Start date
Dec 1, 2022
Status verified
Feb 2023
Primary completion
Aug 30, 2023
Completion
Aug 30, 2023

Study Design

Enrollment
66 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Active Comparator: basal group bolus
    * Insulin Glargine required on an in-hospital basis * Insulin Aspart required on an in-hospital basis
  • Experimental: insulin degludec + liraglutide ( ideglira)
    16 Units once a day

Primary Outcome Measure

To compare the percentage of hypoglycemia [ Time Frame: 4 weeks ]

Central Contacts