Phase 3
N=72
Study to Assess the Efficacy of Liraglutide in Patients With Type 2 Diabetes Mellitus
Type 2 Diabetes
Bottom Line
View on ClinicalTrials.gov: NCT02889510 ↗Enrolled (actual)
72
Serious AEs
0.7%
Results posted
Feb 2021
Primary outcome: Primary: Changes From Baseline on Measurements of Respiratory Function Defined by Forced Expiratory Volume in 1 Second (FEV1) — 4.1; 4.3 % (FEV1)
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- liraglutide (Drug); placebo (Drug)
- Age
- Adult, Older Adult · 40+ yrs
- Sex
- All
- Sponsor
- Lecube, Albert, M.D.
- Primary completion
- Nov 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Changes From Baseline on Measurements of Respiratory Function Defined by Forced Expiratory Volume in 1 Second (FEV1) |
4.1; 4.3 | — |
| SECONDARY Changes From Baseline on Measurements of Respiratory Function Defined by Forced Vital Capacity (FVC) |
5.4; 0.2 | — |
| SECONDARY Changes From Baseline in Serum Levels of Surfactant A and D Protein |
40.9; 41.3; 169.6; 201.5 | — |
| SECONDARY Changes From Baseline on Measurements of Respiratory Function Defined by Maximum Mid-expiratory Flow (FEF25-75) |
8.0; 12.5 | — |
| SECONDARY Changes From Baseline on Measurements of Respiratory Function Defined by Forced Expiratory Volume in 1 Second/Forced Vital Capacity (FEV1/FVC) |
-2.1; 1.7 | — |
| SECONDARY Changes From Baseline on Measurements of Respiratory Function Defined by Residual Volume (RV) |
3.2; -1.1 | — |
| SECONDARY Changes From Baseline on Measurements of Respiratory Function Defined by Total Lung Capacity (TLC) |
-2.6; -3.1 | — |
| SECONDARY Changes From Baseline on Measurements of Respiratory Function Defined by Residual Functional Capacity (RFC) |
— | — |
Summary
Type 2 diabetes (T2DM) is related to reduced pulmonary function. As experimental studies with glucagon-like peptide 1 (GLP-1) have shown an increase in pulmonary surfactant secretion, and the GLP-1 receptor has been found in significant amounts in the lung, it could be hypothesized that the treatment with liraglutide (a GL-1 agonist) will improve this reduced pulmonary function
Eligibility Criteria
Inclusion Criteria
- Signed informed consent.
- Subjects between 40 and 65 years old. Diagnosis of type 2 diabetes mellitus with more than 5 years of evolution of disease.
- Metformin (alone or in combination with sulfonylurea and / or insulin and / or thiazolidinediones) at a stable dose for at least the past 3 months.
- HbA1c ≥ 7, 0 y ≤ 9,0 %.
- BMI between 30 and 40 kg / m2.
- No pulmonary disease (COPD, asthma, fibrosis, etc) known.
- Baseline FEV1 decline of equal or greater than 10% in the percentage of the theoretical value.
- Chest radiography without significant changes in the lung parenchyma
Exclusion Criteria
- Type 1 diabetes mellitus
- Treatment with inhibitors of dipeptidyl peptidase 4 glitazones and / or
- SGLT2 inhibitors.
- Active and former smokers for less than five years ago smoking.
- Chronic obstructive pulmonary disease.
- Respiratory sleep disorders that require treatment with continuous positive pressure in the airway.
- Asthma treatment with bronchodilators.
- Previous bariatric surgery.
- Cardiovascular disease, heart failure and / or stroke.
- Pathology of the chest wall.
- Serum creatinine> 1.7 mg / dl.
- Abnormal results in liver function test (Alanine transaminase/ Aspartate Aminotransferase greater than twice the upper limit of normal).
- History of acute or chronic pancreatitis.
- Personal or family history of medullary thyroid cancer or Multiple
- Endocrine Neoplasia (MEN ) type 2.
- Active neoplasms or neoplastic patients considered disease-free history from less than 5 years ago.
- Women of childbearing age who are pregnant (positive pregnancy test within 14 days before the start of treatment) or intend to get pregnant.
- Lactating women.
- Women of childbearing potential not using adequate contraception (such as oral contraceptives, intrauterine device or barrier method of birth control along with spermicide or surgical sterilization) or unwilling to use during the study (as required by local laws or practices).
Data sourced from ClinicalTrials.gov (NCT02889510). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.