Long-term efficacy and safety of combined insulin and glucagon-like peptide-1 therapy: Evidence from the LEADER trial
Diabetes, Obesity and Metabolism Aug 09, 2019
Tack CJ, Jacob S, Desouza C, et al. - In this post hoc analysis of the LEADER trial involving 9,340 patients, researchers offered long-term safety and effectiveness data for glucagon-like peptide-1 receptor agonist (GLP-1RA) and insulin in combination. Study participants were randomized 1:1 to liraglutide (up to 1.8 mg, as tolerated) or placebo, plus standard of care treatment, and followed for 3.5 years to 5 years. According to findings, adding liraglutide to insulin treatment for type 2 diabetes patients at high cardiovascular (CV) risk improved glycemic control, decreased body weight, and insulin need for at least 36 months and maintained CV safety without increasing the risk of severe hypoglycemia. These findings favor the combined therapy with liraglutide and insulin.
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