Type 2 & other diabetes

Insulin glargine/lixisenatide (iGlarLixi) (insulin glargine 100 U / ml plus lixisenatide) is effective and well tolerated in people with uncontrolled type 2 diabetes regardless of age: A REALI pooled analysis of prospective real‐world data

Diabetes Obes MetabPublished Pooled analysis of prospective real-world studies (REALI), age subgroup analysis

Authors' conclusion

iGlarLixi is effective and well tolerated in both younger and older people with uncontrolled T2D.

Study context

Population
Adults with T2D inadequately controlled on oral antidiabetic drugs with or without basal insulin who initiated iGlarLixi for 24 weeks
Participants
1,316 adults
Comparison
iGlarLixi in people aged ≥65 years vs <65 years
  • ≥65 yearsn = 510
  • <65 yearsn = 806reference
Outcome
Least-squares adjusted mean change in HbA1c from baseline
Follow-up
24 weeks
Methodological detailspatient-level pooled data, routine clinical practice
  • Patient-level pooled data
  • Routine clinical practice

Pooled result

As reported in the abstract

≥65 years

−1.55

least-squares adjusted mean · 95% CI −1.65%–-1.44% · %

<65 years

−1.42

least-squares adjusted mean · 95% CI −1.50%–-1.33% · %

95% CI −0.26% to 0.00%; P = 0.058 between subgroups

Further pooled results

Mean, kg

Outcome≥65 years<65 years
Mean body weight change from baseline · week 24−1.6−2.0

Baseline characteristics

Mean BMI, ≥65 vs <65 years (kg/m²)
31.6 vs. 32.6
Median diabetes duration, ≥65 vs <65 years (years)
11.0 vs. 8.0
Prior basal insulin, ≥65 vs <65 years
48.4% vs. 43.5%
Mean HbA1c, ≥65 vs <65 years
8.93% [74.10 mmol/mol] vs. 9.22% [77.28 mmol/mol]

Safety

Gastrointestinal adverse events and hypoglycaemic episodes

Low incidences of gastrointestinal AEs and hypoglycaemic episodes in both age subgroups

Original publication

iGlarLixi (insulin glargine 100 U / ml plus lixisenatide) is effective and well tolerated in people with uncontrolled type 2 diabetes regardless of age: A REALI pooled analysis of prospective real‐world data. Diabetes Obes Metab. Published 21 March 2023. doi:10.1111/dom.15027

Composed by AI from the published abstract and checked against it. How Briefs are made →

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