Type 2 & other diabetes

Real‐world effectiveness and safety of insulin glargine 100 U/mL plus lixisenatide in adults with type 2 diabetes: An international, multicentre, 12‐month, prospective observational study

Diabetes Obes MetabPublished Prospective observational study

Authors' conclusion

This real-world observational study shows that initiation of iGlarLixi in people with T2D inadequately controlled on oral antidiabetic drugs ± basal insulin or GLP-1 RAs improves glycaemic control with a low incidence of hypoglycaemia.

Study context

Population
Adults (≥18 years) with T2D inadequately controlled with oral antidiabetic drugs ± basal insulin or GLP-1 RAs who had initiated iGlarLixi within 1 month prior to inclusion; mean age 57.8 (SD 11.2) years, 49% male685 with HbA1c data
Participants
737 adults
Outcome
Change in HbA1c from baseline
Follow-up
Month 6
Methodological detailsinternational, multicentre, 12-month, real-world, Data collected at inclusion, month 3, month 6 and month 12 from patient diaries, self-measured plasma glucose and questionnaires
  • International
  • Multicentre
  • 12-month
  • Real-world
  • Data collected at inclusion, month 3, month 6 and month 12 from patient diaries, self-measured plasma glucose and questionnaires

Main finding

As reported in the abstract

Change in HbA1c from baseline (LS mean)

LS mean change in HbA1c from baseline to month 6

−1.4%

SE 0.05; 95% CI −1.5, −1.3

Observational data: associations, not effects.

Further findings

Absolute change in HbA1c from baseline at month 12
−1.7% ± 1.9% (95% CI: −1.9, −1.5)

Safety

Hypoglycaemia · study period

Hypoglycaemia events reported
72
Severe hypoglycaemia (participants)
2
Severe hypoglycaemia rate
0.003 events per patient-year

Original publication

Real‐world effectiveness and safety of insulin glargine 100 U/mL plus lixisenatide in adults with type 2 diabetes: An international, multicentre, 12‐month, prospective observational study. Diabetes Obes Metab. Published 18 April 2024. doi:10.1111/dom.15599

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