Type 2 & other diabetes

Advancing therapy in people with suboptimally controlled basal insulin‐treated type 2 diabetes: Subanalysis of the SoliMix trial in participants in Latin American countries

Diabetes Obes MetabPublished Subanalysis of the SoliMix randomised trial

Authors' conclusion

Once-daily iGlarLixi provided better glycaemic control with weight benefit and less hypoglycaemia than twice-daily premix BIAsp 30. iGlarLixi may be a favourable alternative to premix BIAsp 30 in people with suboptimally controlled T2D to advance BI therapy in the LATAM region.

Study context

Population
Adults with T2D suboptimally controlled with basal insulin plus one or two oral glucose-lowering drugs, HbA1c ≥7.5% to ≤10%, living in Latin American countries (Argentina and Mexico)Argentina and Mexico
Participants
160 adults
Comparison
Once-daily iGlarLixi vs twice-daily BIAsp 30
Primary endpoint
Non-inferiority in HbA1c reduction (margin 0.3%) or superiority in body weight change for iGlarLixi vs BIAsp 30
Follow-up
26 weeks
Methodological detailsopen-label, multicentre, 26-week
  • Open-label
  • Multicentre
  • 26-week

Primary result

As reported in the abstract

iGlarLixi vs BIAsp 30Estimate (95% CI)P value
Non-inferiority met (margin 0.3%)
least squares mean difference (HbA1c) −0.47 %(−0.82 to −0.11)
P < 0.001
Superiority
least squares mean difference (body weight change) −1.27 %(−2.41 to −0.14)
P = 0.028

Non-inferiority margin 0.3 as printed, not drawn

Further findings

OutcomeP value
Superiority for HbA1c reductionP = 0.010

HbA1c <7% without weight gain, and without weight gain and hypoglycaemia

Greater proportion achieved with iGlarLixi vs BIAsp 30

Safety

ADA Level 1 and 2 hypoglycaemia

Incidence and rates lower with iGlarLixi vs BIAsp 30

Original publication

Advancing therapy in people with suboptimally controlled basal insulin‐treated type 2 diabetes: Subanalysis of the SoliMix trial in participants in Latin American countries. Diabetes Obes Metab. Published 30 May 2023. doi:10.1111/dom.15125

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