Clinical Effectiveness of Liraglutide in Type 2 Diabetes Treatment in the Real-World Setting: A Systematic Literature Review
Identifieur interne : 000078 ( Main/Exploration ); précédent : 000077; suivant : 000079Clinical Effectiveness of Liraglutide in Type 2 Diabetes Treatment in the Real-World Setting: A Systematic Literature Review
Auteurs : Amrita Ostawal [Allemagne] ; Emina Mocevic [Danemark] ; Nana Kragh [Danemark] ; Weiwei Xu [Pays-Bas]Source :
- Diabetes Therapy [ 1869-6953 ] ; 2016.
Abstract
In clinical trials, liraglutide has proven to be an effective drug for the treatment of type 2 diabetes mellitus (T2DM). The real-world effectiveness of liraglutide has been investigated in numerous studies. The aim of this systematic literature review is to collate evidence on the real-world clinical effectiveness of liraglutide.
A review of publications from Medline, EMBASE, the Cochrane Library, and conference proceedings was conducted to identify observational studies that assessed the clinical effectiveness of liraglutide in real-world clinical practice. This review was conducted according to the National Institute of Health and Care Excellence (NICE) guidance. No language or time limits were applied, except to the conference proceedings (2013–2015). Endpoints for data extraction were decided a priori. Study quality appraisal was done for full-text journal articles.
Of 124 publications included in the review, 43 were full-text articles. Liraglutide significantly reduces glycated hemoglobin (HbA1c) within 6 months of initiating treatment (mean change in HbA1c from baseline: −0.9% to −2.2%; HbA1c <7.0%: 29.5–65.0%). The NICE composite endpoint (HbA1c reduction ≥1% and weight reduction ≥3%) was met in 16.9–47.0% of patients with liraglutide treatment. Liraglutide therapy led to a mean change in absolute weight from baseline of −1.3 to −8.65 kg. Liraglutide treatment was well tolerated in patients with T2DM. The rate of occurrence of hypoglycemia with liraglutide monotherapy was ≤0.8%. Hypoglycemia was more common in patients taking antidiabetic medications (0.0–15.2%) together with liraglutide. The beneficial glycemic and weight effect of liraglutide therapy in patients with T2DM was maintained for at least 12 months.
Evidence from observational studies reflecting real-world clinical practice demonstrates that liraglutide therapy improves glycemic control with a low risk of hypoglycemia, and is associated with significant weight loss in patients with T2DM. These observations are consistent with clinical trial findings.
Novo Nordisk A/S, Søborg, Denmark.
The online version of this article (doi:10.1007/s13300-016-0180-0) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1007/s13300-016-0180-0
PubMed: 27350545
PubMed Central: 5014786
Affiliations:
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Real-World Setting: A Systematic Literature Review</title><author><name sortKey="Ostawal, Amrita" sort="Ostawal, Amrita" uniqKey="Ostawal A" first="Amrita" last="Ostawal">Amrita Ostawal</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Pharmerit GmbH, Berlin, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Pharmerit GmbH, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Mocevic, Emina" sort="Mocevic, Emina" uniqKey="Mocevic E" first="Emina" last="Mocevic">Emina Mocevic</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Novo Nordisk A/S, Søborg, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Novo Nordisk A/S, Søborg</wicri:regionArea><wicri:noRegion>Søborg</wicri:noRegion></affiliation></author><author><name sortKey="Kragh, Nana" sort="Kragh, Nana" uniqKey="Kragh N" first="Nana" last="Kragh">Nana Kragh</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Novo Nordisk A/S, Søborg, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Novo Nordisk A/S, Søborg</wicri:regionArea><wicri:noRegion>Søborg</wicri:noRegion></affiliation></author><author><name sortKey="Xu, Weiwei" sort="Xu, Weiwei" uniqKey="Xu W" first="Weiwei" last="Xu">Weiwei Xu</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Pharmerit International, Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Pharmerit International, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author></analytic><series><title level="j">Diabetes Therapy</title><idno type="ISSN">1869-6953</idno><idno type="eISSN">1869-6961</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>In clinical trials, liraglutide has proven to be an effective drug for the treatment of type 2 diabetes mellitus (T2DM). The real-world effectiveness of liraglutide has been investigated in numerous studies. The aim of this systematic literature review is to collate evidence on the real-world clinical effectiveness of liraglutide.</p></sec><sec><title>Methods</title><p>A review of publications from Medline, EMBASE, the Cochrane Library, and conference proceedings was conducted to identify observational studies that assessed the clinical effectiveness of liraglutide in real-world clinical practice. This review was conducted according to the National Institute of Health and Care Excellence (NICE) guidance. No language or time limits were applied, except to the conference proceedings (2013–2015). Endpoints for data extraction were decided a priori. Study quality appraisal was done for full-text journal articles.</p></sec><sec><title>Results</title><p>Of 124 publications included in the review, 43 were full-text articles. Liraglutide significantly reduces glycated hemoglobin (HbA1c) within 6 months of initiating treatment (mean change in HbA1c from baseline: −0.9% to −2.2%; HbA1c <7.0%: 29.5–65.0%). The NICE composite endpoint (HbA1c reduction ≥1% and weight reduction ≥3%) was met in 16.9–47.0% of patients with liraglutide treatment. Liraglutide therapy led to a mean change in absolute weight from baseline of −1.3 to −8.65 kg. Liraglutide treatment was well tolerated in patients with T2DM. The rate of occurrence of hypoglycemia with liraglutide monotherapy was ≤0.8%. Hypoglycemia was more common in patients taking antidiabetic medications (0.0–15.2%) together with liraglutide. The beneficial glycemic and weight effect of liraglutide therapy in patients with T2DM was maintained for at least 12 months.</p></sec><sec><title>Conclusion</title><p>Evidence from observational studies reflecting real-world clinical practice demonstrates that liraglutide therapy improves glycemic control with a low risk of hypoglycemia, and is associated with significant weight loss in patients with T2DM. These observations are consistent with clinical trial findings.</p></sec><sec><title>Funding</title><p>Novo Nordisk A/S, Søborg, Denmark.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1007/s13300-016-0180-0) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Cade, Wt" uniqKey="Cade W">WT Cade</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Inzucchi, Se" uniqKey="Inzucchi S">SE Inzucchi</name></author><author><name sortKey="Bergenstal, Rm" uniqKey="Bergenstal R">RM Bergenstal</name></author><author><name sortKey="Buse, Jb" uniqKey="Buse J">JB Buse</name></author><author><name sortKey="Diamant, M" uniqKey="Diamant M">M 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last="Ostawal">Amrita Ostawal</name></region></country><country name="Danemark"><noRegion><name sortKey="Mocevic, Emina" sort="Mocevic, Emina" uniqKey="Mocevic E" first="Emina" last="Mocevic">Emina Mocevic</name></noRegion><name sortKey="Kragh, Nana" sort="Kragh, Nana" uniqKey="Kragh N" first="Nana" last="Kragh">Nana Kragh</name></country><country name="Pays-Bas"><region name="Hollande-Méridionale"><name sortKey="Xu, Weiwei" sort="Xu, Weiwei" uniqKey="Xu W" first="Weiwei" last="Xu">Weiwei Xu</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Clinical Effectiveness of Liraglutide in Type 2 Diabetes Treatment in the Real-World Setting: A Systematic Literature Review
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| NlmPubMed2Wicri -a OpenAccessBelV2
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