Type 2 & other diabetes

iGlarLixi versus basal plus Rapid‐Acting insulin in adults with type 2 diabetes advancing from basal insulin therapy: The SoliSimplify Real‐World study

Diabetes Obes MetabPublished Retrospective cohort study

Main finding · HbA1c change from baselineResult — go to the resultMean difference 0.1 % 95% one-sided CI −0.1 to 0.2

Authors' conclusion

In real-world clinical practice, glycaemic outcomes 6 months after treatment advancement from BI are similar for people with T2D using iGlarLixi versus BI + RAI, with iGlarLixi leading to less weight gain.

Study context

Population
US adults ≥18 years with T2D on basal insulin advancing therapy, with ≥1 valid HbA1c value at baseline and at 6-month follow-up; Observational Medical Outcomes Partnership (OMOP) electronic medical recordsmatched cohort
Participants
814 vs 814
Exposure
iGlarLixi vs basal insulin (BI) + rapid acting insulin (RAI)
  • iGlarLixin = 814
  • BI + RAIn = 814reference
Outcome
Non-inferiority of iGlarLixi to BI + RAI in HbA1c change from baseline (margin 0.3%)
Follow-up
6 months
Methodological detailspropensity score matched, real-world, non-inferiority
  • Propensity score matched
  • Real-world
  • Non-inferiority

Main finding

HbA1c change from baseline

Mean difference

0.1 %

95% one-sided CI −0.1 to 0.2

one-sided p = .0032

iGlarLixivs BI + RAI
mean difference 0.1 % (95% one-sided CI −0.1 to 0.2); one-sided p = .0032

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)P value
HbA1c <7% without hypoglycaemia and weight gain1.15 (0.81–1.63)P = 0.4280
OutcomeEstimateP value
Weight gain · 6 monthsLower with iGlarLixi−0.8 kg (CI −1.3 to −0.2)two-sided p = .0069

HbA1c <7% without hypoglycaemia and weight gain

Similar between groups

Safety

Hypoglycaemia was low in both groups, probably because of underreporting

Original publication

iGlarLixi versus basal plus Rapid‐Acting insulin in adults with type 2 diabetes advancing from basal insulin therapy: The SoliSimplify Real‐World study. Diabetes Obes Metab. Published 19 September 2022. doi:10.1111/dom.14844

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

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