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A Trial Comparing Insulin Degludec/Liraglutide, Insulin Degludec, and Liraglutide in Chinese Subjects With Type 2 Diabetes Inadequately Controlled on Oral Antidiabetic Drugs (OADs)

A Trial Comparing the Efficacy and Safety of Insulin Degludec/Liraglutide, Insulin Degludec, and Liraglutide in Chinese Subjects With Type 2 Diabetes Inadequately Controlled on Oral Antidiabetic Drugs (OADs)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03172494
Acronym
DUAL™ I China
Enrollment
720
Registered
2017-06-01
Start date
2017-05-26
Completion date
2019-07-13
Last updated
2022-12-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetes, Diabetes Mellitus, Type 2

Brief summary

This trial is conducted in Asia. The aim of this trial is to confirm the efficacy of insulin degludec/liraglutide in controlling glycaemia in Chinese subjects with type 2 diabetes mellitus inadequately controlled on oral antidiabetic agents

Interventions

DRUGInsulin degludec/liraglutide

Subcutaneously (s.c., under the skin)administration once daily in combination with metformin. For 26 weeks.

DRUGInsulin degludec

Subcutaneously (s.c., under the skin)administration once daily in combination with metformin. For 26 weeks.

DRUGLiraglutide

Subcutaneously (s.c., under the skin)administration once daily in combination with metformin. For 26 weeks.

Sponsors

Novo Nordisk A/S
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial * Type 2 diabetes mellitus (clinically diagnosed) * Male or female, age at least 18 years at the time of signing informed consent * HbA1c 7.0-10.0 % (both inclusive) by central laboratory analysis, with the aim of a median of8.3%. When approximately 50% of the randomised subjects have an HbA1c above 8.3%, the remaining subjects randomised must have an HbA1c below or equal to 8.3%; or when approximately 50% of the randomised subjects have an HbA1c below or equal to 8.3%, the remaining subjects randomised must have an HbA1c above 8.3% * Current treatment for at least 90 calendar days prior to screening with metformin plus/minus one other OAD: α-glucosidase inhibitors, sulphonylureas, glinides or thiazolidinediones. For above or equal to 60 calendar days prior to screening subjects should be on a stable dose of: * Metformin (above or equal to 1500 mg or max tolerated dose) or * Metformin (above or equal to 1500 mg or max tolerated dose) and sulphonylureas (above or equal to half of the max approved dose according to local label) or * Metformin (above or equal to 1500 mg or max tolerated dose) and glinides (above or equal to half of the max approved dose according to local label) or * Metformin (above or equal to 1500 mg or max tolerated dose) and α-glucosidase inhibitors (above or equal to half of the max approved dose according to local label) or * Metformin (above or equal to 1500 mg or max tolerated dose) and thiazolidinediones (above or equal to half of the max approved dose according to local label)

Exclusion criteria

* Treatment with insulin (except for short-term treatment at the discretion of the investigator) * Treatment with glucagon-like-peptide-1 receptor agonists or dipeptidyl-peptidase-4 inhibitors within 90 days prior to screening * Impaired liver function, defined as alanine aminotransferase above or equal to 2.5 times upper normal range * Impaired renal function defined as serum-creatinine above or equal to 133 μmol/L for males and above or equal to 125 μmol/L for females, or as defined according to local contraindications for metformin * Screening calcitonin above or equal to 50 ng/L * Personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia type 2 (MEN2) * Cardiac disorder defined as: congestive heart failure (NYHA class III-IV), diagnosis of unstable angina pectoris, cerebral stroke and/or myocardial infarction within the last 12 months prior to screening and/or planned coronary, carotid or peripheral artery revascularisation procedures * Severe uncontrolled treated or untreated hypertension (systolic blood pressure above or equal to 180 mmHg or diastolic blood pressure above or equal to 100 mmHg * Proliferative retinopathy or maculopathy (macular oedema), requiring acute treatment * History of pancreatitis (acute or chronic)

Design outcomes

Primary

MeasureTime frameDescription
Change in HbA1cWeek 0, week 26Change in HbA1c from baseline (week 0) after 26 weeks of treatment is presented.

Secondary

MeasureTime frameDescription
Change in Fasting Very Low-density Lipoprotein (VLDL) Cholesterol- Ratio to BaselineWeek 0, week 26Change in fasting VLDL cholesterol (measured in mmol/L) from baseline (week 0) to week 26 is presented as ratio to baseline
Change in Fasting Triglycerides - Ratio to Baseline.Week 0, week 26Change in fasting triglycerides (measured in mmol/L) from baseline (week 0) to week 26 is presented as ratio to baseline.
Change in Body WeightWeek 0, week 26Change in body weight from baseline (week 0) after 26 weeks of treatment is presented.
Number of Treatment Emergent Severe or BG Confirmed Hypoglycaemic EpisodesWeeks 0-26Severe or BG confirmed hypoglycaemic episodes were defined as episodes that were severe according to the American Diabetes Association (ADA) classification (requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or blood glucose (BG) confirmed by a plasma glucose (PG) value \< 3.1 millimoles per liter (mmol/L) with or without symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. The number of episodes are represented as rates. The observed rates of treatment-emergent severe or BG confirmed hypoglycaemic episodes per patient years of exposure (PYE) (number of episodes divided by PYE multiplied by 100) during 26 weeks of treatment are presented.
Insulin DoseWeek 26The actual daily total insulin dose after 26 weeks of treatment is presented. This outcome measure is only applicable for Insulin degludec/liraglutide and Insulin degludec treatment arms.
Participants Who Achieved HbA1c < 7.0%, American Diabetes Association (ADA) Target (Yes/no)Week 26Number of participants who achieved ADA HbA1c target (HbA1c \< 7.0%) (yes/no) after 26 weeks of treatment are presented.
Participants Who Achieved HbA1c ≤ 6.5%, International Diabetes Federation (IDF) Target (Yes/no)Week 26Number of participants who achieved IDF HbA1c target (HbA1c ≤ 6.5%) (yes/no) after 26 weeks of treatment are presented.
Participants Who Achieved HbA1c <7.0% and Change in Body Weight From Baseline Below or Equal to ZeroWeek 26Number of participants who achieved ADA HbA1c target (HbA1c \< 7.0%) (yes/no) and change from baseline in body weight below or equal to zero after 26 weeks are presented. Missing values are imputed by LOCF.
Participants Who Achieved HbA1c ≤ 6.5% and Change From Baseline in Body Weight Below or Equal to ZeroWeek 26Number of participants who achieved IDF HbA1c target (HbA1c ≤ 6.5%) (yes/no) and change from baseline in body weight below or equal to zero after 26 weeks are presented. Missing values are imputed by LOCF.
Participants Who Achieved HbA1c < 7.0% Without Severe or Blood Glucose (BG) Confirmed Hypoglycaemic EpisodesWeek 26Severe or BG confirmed hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a PG value \<3.1 mmol/L with or without symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Number of participants who achieved ADA HbA1c target (HbA1c \<7.0%) (yes/no) after 26 weeks of treatment and without severe or BG confirmed hypoglycaemic episodes during the last 12 weeks of treatment are presented. Missing values are imputed by LOCF.
Participants Who Achieved HbA1c ≤ 6.5% Without Severe or BG Confirmed Hypoglycaemic EpisodesWeek 26Severe or BG confirmed hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a PG value \< 3.1 mmol/L with or without symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Number of participants who achieved IDF HbA1c target (HbA1c ≤ 6.5%) (yes/no) after 26 weeks of treatment and without severe or BG confirmed hypoglycaemic episodes during the last 12 weeks of treatment are presented. Missing values are imputed by LOCF.
Participants Who Achieved HbA1c < 7.0% Without Severe or BG Confirmed Episodes, and Change From Baseline in Body Weight Below or Equal to Zero.Week 26Severe or BG confirmed hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a PG value \< 3.1 mmol/L with or without symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Number of participants who achieved ADA HbA1c target (HbA1c \< 7.0%) (yes/no) after 26 weeks of treatment without severe or BG confirmed hypoglycaemic episodes during the last 12 weeks of treatment and with change from baseline in body weight below or equal to zero are presented. Missing values are imputed by LOCF.
Participants Who Achieved HbA1c ≤ 6.5% Without Severe or BG Confirmed Episodes and Change From Baseline in Body Weight Below or Equal to Zero.Week 26Severe or BG confirmed hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a PG value \< 3.1 mmol/L with or without symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Number of participants who achieved IDF HbA1c target (HbA1c ≤ 6.5%) (yes/no) after 26 weeks of treatment without severe or BG confirmed hypoglycaemic episodes during the last 12 weeks of treatment and with change from baseline in body weight below or equal to zero are presented. Missing values are imputed by LOCF.
Change in Fasting Plasma Glucose (FPG)Week 0, week 26Change from baseline (week 0) in FPG after 26 weeks of treatment is presented.
Change in Waist CircumferanceWeek 0, week 26Change from baseline (week 0) in waist circumferance after 26 weeks of treatment is presented.
9-point SMPG ProfileWeek 26Participants measured their PG levels using blood glucose meters at 9 time points (before breakfast, 90 minutes after the start of breakfast, before lunch, 90 minutes after the start of lunch, before dinner, 90 minutes after the start of dinner, at bedtime, at 4 am, before breakfast the following day). 9-point SMPG values at 26 weeks of treatment are presented.
Change in Mean of 9-point SMPG ProfileWeek 0, week 26Participants measured their PG levels using blood glucose meters at 9 time points (before breakfast, 90 minutes after the start of breakfast, before lunch, 90 minutes after the start of lunch, before dinner, 90 minutes after the start of dinner, at bedtime, at 4 am, before breakfast the following day). The mean of profile is defined as the area under the profile divided by measurement time and is calculated using the trapezoidal method. Change in mean of the 9-point SMPG profile from baseline (week 0) to week 26 is presented.
Change in Fasting Free Fatty Acid - Ratio to BaselineWeek 0, week 26Change in fasting free fatty acid (measured in mmol/L) from baseline (week 0) to week 26 is presented as ratio to baseline.
Number of Treatment-emergent Adverse Events (TEAE)Weeks 0-26A TEAE was defined as an event that had onset date on or after the first day of exposure to randomised treatment and no later than 7 days after the last day of randomised treatment. The observed rates of adverse events (AEs) per patient years of exposure (PYE) (number of AEs divided by PYE multiplied by 100) after 26 weeks are presented.
Change in Mean Post-prandial Plasma Glucose (PG) IncrementsWeek 0, week 26Participants measured their PG levels using blood glucose meters at 9 time points (before breakfast, 90 minutes after the start of breakfast, before lunch, 90 minutes after the start of lunch, before dinner, 90 minutes after the start of dinner, at bedtime, at 4 am, before breakfast the following day). Post-prandial SMPG increments from before meal to 90 minutes after for breakfast, lunch and dinner were calculated. The mean increment over all meals was derived as the mean of all available meal increments. Change from baseline (week 0) in post-prandial SMPG increments for all meals after 26 weeks of treatment is presented.
Change in Fasting C-peptide - Ratio to BaselineWeek 0, week 26Change in fasting C-peptide (measured in nanomoles per liter \[nmol/L\]) from baseline (week 0) to week 26 is presented as ratio to baseline.
Change in Fasting Human Insulin - Ratio to BaselineWeek 0, week 26Change in fasting human insulin (measured in picomoles per liter \[pmol/L\]) from baseline (week 0) to week 26 is presented as ratio to baseline.
Change in Fasting Glucagon - Ratio to BaselineWeek 0, week 26Change in fasting glucagon (measured in picograms per milliliter \[pg/mL\]) from baseline (week 0) to week 26 is presented as ratio to baseline.
Change in HOMA-B (Beta Cell Function)- Ratio to BaselineWeek 0, week 26Change in HOMA-B (measured in %) from baseline (week 0) to week 26 is presented as ratio to baseline.
Change in Fasting Total Cholesterol - Ratio to BaselineWeek 0, week 26Change in fasting total cholesterol (measured in mmol/L) from baseline (week 0) to week 26 is presented as ratio to baseline.
Change in Fasting High Density Lipoprotein (HDL) Cholesterol- Ratio to BaselineWeek 0, week 26Change in fasting HDL cholesterol (measured in mmol/L) from baseline (week 0) to week 26 is presented as ratio to baseline
Number of Treatment Emergent Nocturnal Severe or BG Confirmed Hypoglycaemic Episodes.Weeks 0-26Severe or BG confirmed hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a PG value \< 3.1 mmol/L with or without symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Hypoglycaemic episodes were defined as nocturnal if the time of the onset was between 00:01 and 05.59 both inclusive. The number of episodes are represented as rates. The observed rates of episodes per PYE (number of episodes divided by PYE multiplied by 100) after 26 weeks of treatment are presented.
Number of Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes.Weeks 0-26Severe or BG confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a PG value \<3.1 mmol/L with symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. The number of episodes are represented as rates. The observed rates of episodes per PYE (number of episodes divided by PYE multiplied by 100) after 26 weeks of treatment are presented.
Number of Treatment Emergent Nocturnal Severe or BG Confirmed Symptomatic Hypoglycaemic EpisodesWeeks 0-26Severe or BG confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a PG value \<3.1 mmol/L with symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Hypoglycaemic episodes were defined as nocturnal if the time of the onset was between 00:01 and 05.59 both inclusive. The number of episodes are represented as rates. The observed rates of episodes per PYE (number of episodes divided by PYE multiplied by 100) after 26 weeks of treatment are presented.
Number of Treatment Emergent Hypoglycaemic Episodes According to ADA DefinitionWeeks 0-26A hypoglycaemic episode was defined as treatment emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 days after the last day on trial product. The number of episodes are represented as rates. The observed rates of episodes (according to the ADA definition) per PYE (number of episodes divided by PYE multiplied by 100) after 26 weeks of treatment are presented.
Change in Physical ExaminationWeek -2, week 26Physical examination parameters are categorised as cardiovascular system; central and peripheral nervous system; gastrointestinal system including mouth; general appearance; head, ears, eyes, nose, throat, neck; lymph node palpation; musculoskeletal system; respiratory system; skin and thyroid gland. The number of participants assessed as normal, abnormal not clinically significant (NCS) and abnormal clinically significant (CS) at screening (week -2) and week 26 per each category is presented.
Eye ExaminationWeek -2, Week 26Dilated fundoscopy or fundus photography was performed by the investigator at screening (week -2) and week 26. The results of the examination were interpreted for each eye (left and right) and are categorised as normal, abnormal NCS or abnormal CS. Number of participants in each category at screening (week -2) and week 26 is presented.
Change in Electrocardiogram (ECG)Week -2, week 26Electrocardiogram was assessed by the investigator as normal, abnormal NCS and abnormal CS. Number of participants at screening (week -2) and at week 26 is presented.
Change in PulseWeek 0, week 26Change in pulse from baseline (week 0) after 26 weeks of treatment is presented
Change in Blood Pressure (Systolic and Diastolic Blood Pressure)Week 0, week 26Change in blood pressure (systolic and diastolic blood pressure) from baseline (week 0) after 26 weeks of treatment is presented
Change in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumWeek 0, week 26Change in alkaline phosphatase, ALT, AST, creatine kinase, amylase, lipase, creatine kinase serum from baseline (week 0) after 26 weeks of treatment is presented.
Change in Biochemistry Parameters (Albumin Serum, Total Protein)Week 0, week 26Change in total protein, albumin serum from baseline (week 0) after 26 weeks of treatment is presented.
Change in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea SerumWeek 0, week 26Change in calcium serum (total), calcium corrected serum, potassium serum, sodium serum, urea serum from baseline (week 0) after 26 weeks of treatment is presented.
Change in Biochemistry Parameters: Total Bilirubin Serum, Creatinine SerumWeek 0, week 26Change in total bilirubin serum, creatinine serum from baseline (week 0) after 26 weeks of treatment is presented.
Change in Haematological Parameter: Erythrocytes BloodWeek 0, week 26Change in erythrocyte blood from baseline (week 0) after 26 weeks of treatment is presented.
Change in Haematological Parameter: HaematocritsWeek 0, week 26Change in haematocrits from baseline (week 0) after 26 weeks of treatment is presented.
Change in Haemotological Parameter- EosinophilsWeek 0, week 26Change in eosinophils from baseline after 26 weeks of treatment is presented.
Change in Haematological Parameter - NeutrophilsWeek 0, week 26Change in neutrophils from baseline (week 0) after 26 weeks of treatment is presented.
Change in Haematological Parameter: BasophilsWeek 0, week 26Change in basophils from baseline (week 0) after 26 weeks of treatment is presented.
Change in Haemotological Parameter- MonocytesWeek 0, week 26Change in monocytes from baseline (week 0) after 26 weeks of treatment is presented
Change in Haematological Parameter - LymphocytesWeek 0, week 26Change in lymphocytes from baseline (week 0) after 26 weeks of treatment is presented
Change in Haematology: Haemoglobin BloodWeek 0, week 26Change in haemoglobin from baseline (week 0) after 26 weeks of treatment is presented.
Change in Haematologcal Parameter: LeukocytesWeek 0, week 26Change in leukocytes from baseline (week 0) after 26 weeks of treatment
Change in Haematological Parameter: ThrombocytesWeek 0, week 26Change in thrombocytes from baseline (week 0) after 26 weeks of treatment
Change in CalcitoninWeek 0, week 26Calcitonin levels were measured and were categorised as low, normal or high in relation to reference range (8.31- 14.3 picogram/milliliter \[pg/mL\]). Number of participants in each category at baseline (week 0) and week 26 are presented.
Urinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0, week 26The urinalysis assessment was the measurements of protein, glucose, erythrocytes and ketones in urine at baseline (week 0) and week 26 and categorised as negative, trace and positive. Number of participants in each category at week 0 and week 26 is presented.
Occurence of Anti-insulin Degludec Specific AntibodiesWeek 27This outcome measure is only applicable for the insulin degludec/liraglutide arm and insulin degludec arm. Serum samples were analysed for the presence of anti-insulin degludec specific antibodies. Results at week 27 are presented as percentage of bound radioactive-labelled insulin (B) /total radioactive-labelled insulin added to the samples (T).
Occurence of Antibodies Cross-reacting to Human InsulinWeek 27This outcome measure is only applicable for the insulin degludec/liraglutide arm and insulin degludec arm. Serum samples were analysed for the presence of cross-reacting antibodies to human insulin. Results at week 27 are presented as percentage of bound radioactive-labelled insulin (B) /total radioactive-labelled insulin added to the samples (T).
Change in Fasting Low Density Lipoprotein (LDL) Cholesterol- Ratio to BaselineWeek 0, week 26Change in fasting LDL cholesterol (measured in mmol/L) from baseline (week 0) to week 26 is presented as ratio to baseline.
Occurence of Anti-liraglutide AntibodiesWeek 27This outcome measure is applicable for the Insulin degludec/liraglutide arm and the liraglutide arm. Serum samples were analysed for the presence of anti-liraglutide antibodies. Number of participants who were assessed for anti-liraglutide antibodies at week 27 are presented.
Occurence of Antibodies Cross-reacting to Native Glucagon-like Peptide (GLP-1)Week 27This outcome measure is applicable to the Insulin degludec/liraglutide arm and the liraglutide arm. Serum samples were analysed for the presence of cross-reacting antibodies to native GLP-1. Number of participants who measured with anti-liraglutide antibodies cross reacting native GLP-1 at week 27 are presented.
Occurence of Neutralising Liraglutide AntibodiesWeek 27This outcome measure is only applicable for the Insulin degludec/liraglutide arm and liraglutide arm. Neutralising antibodies were assessed when the corresponding anti-Liraglutide antibody were positive at week 27. Number of participants who measured with neutralising liraglutide antibodies at week 27 are presented.
Occurence of Neutralising Antibodies Cross-reacting to Native GLP-1Week 27This outcome measure is only applicable for the Insulin degludec/liraglutide arm and liraglutide arm. Cross reacting antibodies were assessed when anti-liraglutide antibody was positive. Number of participants who measured with neutralising liraglutide antibodies cross-reacting to native GLP-1 at week 27 are presented.
Serum Concentrations of Insulin DegludecWeek 0, week 26This outcome measure is applicable for Insulin degludec and Insulin degludec/liraglutide arms. Serum samples from the Insulin degludec/liraglutide and Insulin degludec arms were assayed using population PK analysis. The maximum serum concentrations (Cmax) are summarised for the two arms.
Plasma Concentration of LiraglutideWeek 0, week 26This outcome measure is for Insulin degludec/liraglutide and liraglutide arms. Serum samples from the Insulin degludec/liraglutide and liraglutide arms were assayed using population PK analysis. The Cmax are summarised for the two arms.
Occurence of Total Insulin AntibodiesWeek 27This outcome measure is only applicable for the Insulin degludec/liraglutide arm and Insulin degludec arm. Serum samples were analysed for the presence of antobodies to human insulin. Results at week 27 are presented as percentage of bound radioactive-labelled insulin (B) /total radioactive-labelled insulin added to the samples (T).

Countries

China

Participant flow

Recruitment details

The trial was conducted at 38 sites in China mainland.

Pre-assignment details

Participants were randomised in a 2:1:1 manner to receive insulin degludec/liraglutide, insulin degludec or liraglutide in combination with metformin.

Participants by arm

ArmCount
Insulin Degludec/Liraglutide
Participants were to receive Insulin degludec/liraglutide subcutaneous injection once daily in combination with metformin for 26 weeks. Participants received 10 dose steps (10 units insulin degludec and 0.36 mg liraglutide) initially. The dose was then adjusted twice weekly based on pre-breakfast self-measured plasma glucose (SMPG) target of 4.0-5.0 mmol/L. The maximum dose was 50 dose steps (50 units insulin degludec and 1.8 mg liraglutide). One dose step corresponded to 1 unit insulin degludec per 0.036 mg liraglutide.
361
Insulin Degludec
Participants were to receive Insulin degludec subcutaneous injection once daily in combination with metformin for 26 weeks. Participants received 10 units insulin degludec initially. The dose was then adjusted twice weekly based on pre-breakfast SMPG target of 4.0-5.0 mmol/L. There was no maximum dose for Insulin degludec.
179
Liraglutide
Participants were to receive liraglutide subcutaneous injection once daily in combination with metformin for 26 weeks. Participants received 0.6 mg initially. The dose was then escalated in weekly increments of 0.6 mg to reach a target dose of 1.8 mg. Liraglutide dose of 1.8 mg/day was continued for the remaining period of treatment.
180
Total720

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event5115
Overall StudyLack of Efficacy004
Overall StudyNon-compliance towards treatment200
Overall StudyPregnancy010
Overall StudyProtocol Violation321
Overall StudySevere hypoglycaemic episode001
Overall StudyWithdrawal by Subject1088

Baseline characteristics

CharacteristicInsulin Degludec/LiraglutideInsulin DegludecLiraglutideTotal
Age, Continuous54.5 years
STANDARD_DEVIATION 10.3
55.7 years
STANDARD_DEVIATION 10.2
54.1 years
STANDARD_DEVIATION 10.2
54.7 years
STANDARD_DEVIATION 10.3
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
361 Participants179 Participants180 Participants720 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Glycosylated haemoglobin (HbA1c)8.20 Percentage points of HbA1c
STANDARD_DEVIATION 0.83
8.31 Percentage points of HbA1c
STANDARD_DEVIATION 0.84
8.21 Percentage points of HbA1c
STANDARD_DEVIATION 0.77
8.23 Percentage points of HbA1c
STANDARD_DEVIATION 0.82
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
361 Participants179 Participants180 Participants720 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants0 Participants
Sex/Gender, Customized
Female
142 Participants79 Participants72 Participants293 Participants
Sex/Gender, Customized
Male
219 Participants100 Participants108 Participants427 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 3580 / 1750 / 180
other
Total, other adverse events
161 / 35855 / 17598 / 180
serious
Total, serious adverse events
14 / 3587 / 17514 / 180

Outcome results

Primary

Change in HbA1c

Change in HbA1c from baseline (week 0) after 26 weeks of treatment is presented.

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall number of participants analysed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in HbA1c-1.71 Percentage points of HbA1cStandard Deviation 0.88
Insulin DegludecChange in HbA1c-1.20 Percentage points of HbA1cStandard Deviation 0.99
LiraglutideChange in HbA1c-1.16 Percentage points of HbA1cStandard Deviation 0.89
Comparison: The change from baseline in HbA1c after 26 weeks of treatment was analysed using an analysis of covariance (ANCOVA) model with treatment and previous oral anti-diabetic (OAD) treatment as fixed factors and baseline HbA1c as covariate. Missing values were imputed by last observation carried forward (LOCF).p-value: <0.000195% CI: [-0.73, -0.46]ANCOVA
Comparison: The change from baseline in HbA1c after 26 weeks of treatment was analysed using an ANCOVA model with treatment and previous OAD treatment as fixed factors and baseline HbA1c as covariate. Missing values were imputed by LOCF.p-value: <0.000195% CI: [-0.76, -0.49]ANCOVA
Secondary

9-point SMPG Profile

Participants measured their PG levels using blood glucose meters at 9 time points (before breakfast, 90 minutes after the start of breakfast, before lunch, 90 minutes after the start of lunch, before dinner, 90 minutes after the start of dinner, at bedtime, at 4 am, before breakfast the following day). 9-point SMPG values at 26 weeks of treatment are presented.

Time frame: Week 26

Population: FAS included all randomised participants. Number analysed= number of participants with available data

ArmMeasureGroupValue (MEAN)Dispersion
Insulin Degludec/Liraglutide9-point SMPG Profile90 minutes after the start of the lunch8.87 mmol/LStandard Deviation 2.15
Insulin Degludec/Liraglutide9-point SMPG ProfileBefore breakfast the following day5.35 mmol/LStandard Deviation 0.96
Insulin Degludec/Liraglutide9-point SMPG Profile90 minutes after start of the dinner9.33 mmol/LStandard Deviation 2.4
Insulin Degludec/Liraglutide9-point SMPG ProfileBefore dinner6.52 mmol/LStandard Deviation 1.77
Insulin Degludec/Liraglutide9-point SMPG ProfileBefore breakfast5.41 mmol/LStandard Deviation 1.07
Insulin Degludec/Liraglutide9-point SMPG ProfileAt 4:00 am5.60 mmol/LStandard Deviation 1.26
Insulin Degludec/Liraglutide9-point SMPG ProfileBefore lunch6.31 mmol/LStandard Deviation 1.8
Insulin Degludec/Liraglutide9-point SMPG Profile90 minutes after the start of breakfast8.97 mmol/LStandard Deviation 2.48
Insulin Degludec/Liraglutide9-point SMPG ProfileAt bedtime7.99 mmol/LStandard Deviation 2.28
Insulin Degludec9-point SMPG ProfileBefore dinner7.39 mmol/LStandard Deviation 2.23
Insulin Degludec9-point SMPG ProfileBefore breakfast5.66 mmol/LStandard Deviation 1.2
Insulin Degludec9-point SMPG Profile90 minutes after the start of breakfast9.85 mmol/LStandard Deviation 2.73
Insulin Degludec9-point SMPG ProfileBefore lunch7.10 mmol/LStandard Deviation 2.35
Insulin Degludec9-point SMPG Profile90 minutes after the start of the lunch10.18 mmol/LStandard Deviation 2.81
Insulin Degludec9-point SMPG Profile90 minutes after start of the dinner10.27 mmol/LStandard Deviation 2.68
Insulin Degludec9-point SMPG ProfileAt bedtime8.86 mmol/LStandard Deviation 2.38
Insulin Degludec9-point SMPG ProfileAt 4:00 am6.12 mmol/LStandard Deviation 1.75
Insulin Degludec9-point SMPG ProfileBefore breakfast the following day5.47 mmol/LStandard Deviation 1.07
Liraglutide9-point SMPG ProfileBefore lunch7.48 mmol/LStandard Deviation 2.14
Liraglutide9-point SMPG ProfileBefore breakfast6.89 mmol/LStandard Deviation 1.37
Liraglutide9-point SMPG ProfileAt bedtime8.49 mmol/LStandard Deviation 2.26
Liraglutide9-point SMPG Profile90 minutes after the start of breakfast10.04 mmol/LStandard Deviation 2.81
Liraglutide9-point SMPG ProfileBefore breakfast the following day6.81 mmol/LStandard Deviation 1.47
Liraglutide9-point SMPG ProfileBefore dinner7.50 mmol/LStandard Deviation 2.11
Liraglutide9-point SMPG Profile90 minutes after the start of the lunch9.54 mmol/LStandard Deviation 2.43
Liraglutide9-point SMPG ProfileAt 4:00 am6.86 mmol/LStandard Deviation 1.6
Liraglutide9-point SMPG Profile90 minutes after start of the dinner9.45 mmol/LStandard Deviation 2.13
Secondary

Change in Biochemistry Parameters (Albumin Serum, Total Protein)

Change in total protein, albumin serum from baseline (week 0) after 26 weeks of treatment is presented.

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Biochemistry Parameters (Albumin Serum, Total Protein)Albumin serum-0.05 grams per decileter (g/dL)Standard Deviation 0.28
Insulin Degludec/LiraglutideChange in Biochemistry Parameters (Albumin Serum, Total Protein)Total protein-0.08 grams per decileter (g/dL)Standard Deviation 0.42
Insulin DegludecChange in Biochemistry Parameters (Albumin Serum, Total Protein)Albumin serum-0.09 grams per decileter (g/dL)Standard Deviation 0.26
Insulin DegludecChange in Biochemistry Parameters (Albumin Serum, Total Protein)Total protein-0.08 grams per decileter (g/dL)Standard Deviation 0.39
LiraglutideChange in Biochemistry Parameters (Albumin Serum, Total Protein)Albumin serum0.04 grams per decileter (g/dL)Standard Deviation 0.26
LiraglutideChange in Biochemistry Parameters (Albumin Serum, Total Protein)Total protein-0.01 grams per decileter (g/dL)Standard Deviation 0.39
Secondary

Change in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase Serum

Change in alkaline phosphatase, ALT, AST, creatine kinase, amylase, lipase, creatine kinase serum from baseline (week 0) after 26 weeks of treatment is presented.

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumAlkaline phosphatase-2.0 Units per liter (U/L)Standard Deviation 14.85
Insulin Degludec/LiraglutideChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumALT-4.63 Units per liter (U/L)Standard Deviation 13.06
Insulin Degludec/LiraglutideChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumAST-1.31 Units per liter (U/L)Standard Deviation 7.94
Insulin Degludec/LiraglutideChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumCreatine kinase10.67 Units per liter (U/L)Standard Deviation 100.87
Insulin Degludec/LiraglutideChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumAmylase9.84 Units per liter (U/L)Standard Deviation 36.73
Insulin Degludec/LiraglutideChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumLipase16.13 Units per liter (U/L)Standard Deviation 101.19
Insulin DegludecChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumLipase-1.87 Units per liter (U/L)Standard Deviation 15.64
Insulin DegludecChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumAlkaline phosphatase-2.29 Units per liter (U/L)Standard Deviation 11.49
Insulin DegludecChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumCreatine kinase15.37 Units per liter (U/L)Standard Deviation 52.99
Insulin DegludecChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumAmylase5.09 Units per liter (U/L)Standard Deviation 14.68
Insulin DegludecChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumALT-6.17 Units per liter (U/L)Standard Deviation 13.54
Insulin DegludecChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumAST-2.65 Units per liter (U/L)Standard Deviation 8.4
LiraglutideChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumALT-2.81 Units per liter (U/L)Standard Deviation 16.97
LiraglutideChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumAST-0.99 Units per liter (U/L)Standard Deviation 9.64
LiraglutideChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumLipase14.11 Units per liter (U/L)Standard Deviation 19.76
LiraglutideChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumCreatine kinase0.52 Units per liter (U/L)Standard Deviation 56.2
LiraglutideChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumAlkaline phosphatase-0.48 Units per liter (U/L)Standard Deviation 14.11
LiraglutideChange in Biochemistry Parameters: Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase, Amalyse, Lipase, Creatiine Kinase SerumAmylase5.68 Units per liter (U/L)Standard Deviation 13.7
Secondary

Change in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea Serum

Change in calcium serum (total), calcium corrected serum, potassium serum, sodium serum, urea serum from baseline (week 0) after 26 weeks of treatment is presented.

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea SerumUrea serum0.05 mmol/LStandard Deviation 0.57
Insulin Degludec/LiraglutideChange in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea SerumSodium serum1.21 mmol/LStandard Deviation 2.09
Insulin Degludec/LiraglutideChange in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea SerumCalcium serum (total)-0.01 mmol/LStandard Deviation 0.1
Insulin Degludec/LiraglutideChange in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea SerumCalcium corrected serum-0.00 mmol/LStandard Deviation 0.08
Insulin Degludec/LiraglutideChange in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea SerumPotassium serum-0.04 mmol/LStandard Deviation 0.34
Insulin DegludecChange in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea SerumSodium serum0.98 mmol/LStandard Deviation 2.37
Insulin DegludecChange in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea SerumCalcium serum (total)-0.02 mmol/LStandard Deviation 0.1
Insulin DegludecChange in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea SerumCalcium corrected serum-0.00 mmol/LStandard Deviation 0.08
Insulin DegludecChange in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea SerumUrea serum0.03 mmol/LStandard Deviation 0.53
Insulin DegludecChange in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea SerumPotassium serum-0.09 mmol/LStandard Deviation 0.39
LiraglutideChange in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea SerumPotassium serum-0.04 mmol/LStandard Deviation 0.34
LiraglutideChange in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea SerumUrea serum0.16 mmol/LStandard Deviation 0.67
LiraglutideChange in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea SerumCalcium serum (total)-0.00 mmol/LStandard Deviation 0.09
LiraglutideChange in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea SerumSodium serum0.32 mmol/LStandard Deviation 2.12
LiraglutideChange in Biochemistry Parameters: Calcium Serum (Total), Calcium Corrected Serum, Potassium Serum, Sodium Serum, Urea SerumCalcium corrected serum-0.01 mmol/LStandard Deviation 0.07
Secondary

Change in Biochemistry Parameters: Total Bilirubin Serum, Creatinine Serum

Change in total bilirubin serum, creatinine serum from baseline (week 0) after 26 weeks of treatment is presented.

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Biochemistry Parameters: Total Bilirubin Serum, Creatinine SerumTotal bilirubin-0.78 micromoles per liter (umol/L)Standard Deviation 3.35
Insulin Degludec/LiraglutideChange in Biochemistry Parameters: Total Bilirubin Serum, Creatinine Serumcreatinine serum1.02 micromoles per liter (umol/L)Standard Deviation 8.41
Insulin DegludecChange in Biochemistry Parameters: Total Bilirubin Serum, Creatinine SerumTotal bilirubin-0.55 micromoles per liter (umol/L)Standard Deviation 4.52
Insulin DegludecChange in Biochemistry Parameters: Total Bilirubin Serum, Creatinine Serumcreatinine serum1.36 micromoles per liter (umol/L)Standard Deviation 7.92
LiraglutideChange in Biochemistry Parameters: Total Bilirubin Serum, Creatinine SerumTotal bilirubin-1.16 micromoles per liter (umol/L)Standard Deviation 3.92
LiraglutideChange in Biochemistry Parameters: Total Bilirubin Serum, Creatinine Serumcreatinine serum-0.60 micromoles per liter (umol/L)Standard Deviation 7.89
Secondary

Change in Blood Pressure (Systolic and Diastolic Blood Pressure)

Change in blood pressure (systolic and diastolic blood pressure) from baseline (week 0) after 26 weeks of treatment is presented

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Blood Pressure (Systolic and Diastolic Blood Pressure)Systolic blood pressure-3.5 Millimeters of mercury (mmHg)Standard Deviation 12.7
Insulin Degludec/LiraglutideChange in Blood Pressure (Systolic and Diastolic Blood Pressure)Distolic blood pressure-0.4 Millimeters of mercury (mmHg)Standard Deviation 8.3
Insulin DegludecChange in Blood Pressure (Systolic and Diastolic Blood Pressure)Systolic blood pressure-1.2 Millimeters of mercury (mmHg)Standard Deviation 11.7
Insulin DegludecChange in Blood Pressure (Systolic and Diastolic Blood Pressure)Distolic blood pressure-0.7 Millimeters of mercury (mmHg)Standard Deviation 8.1
LiraglutideChange in Blood Pressure (Systolic and Diastolic Blood Pressure)Systolic blood pressure-3.3 Millimeters of mercury (mmHg)Standard Deviation 13.8
LiraglutideChange in Blood Pressure (Systolic and Diastolic Blood Pressure)Distolic blood pressure0.0 Millimeters of mercury (mmHg)Standard Deviation 8.4
Secondary

Change in Body Weight

Change in body weight from baseline (week 0) after 26 weeks of treatment is presented.

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall number of participants analysed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Body Weight0.2 Kilogram (Kg)Standard Deviation 2.7
Insulin DegludecChange in Body Weight1.3 Kilogram (Kg)Standard Deviation 2.7
LiraglutideChange in Body Weight-2.5 Kilogram (Kg)Standard Deviation 2.7
Secondary

Change in Calcitonin

Calcitonin levels were measured and were categorised as low, normal or high in relation to reference range (8.31- 14.3 picogram/milliliter \[pg/mL\]). Number of participants in each category at baseline (week 0) and week 26 are presented.

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Number analysed = number of participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideChange in CalcitoninWeek 0Low0 Participants
Insulin Degludec/LiraglutideChange in CalcitoninWeek 0Normal351 Participants
Insulin Degludec/LiraglutideChange in CalcitoninWeek 0High7 Participants
Insulin Degludec/LiraglutideChange in CalcitoninWeek 26Low0 Participants
Insulin Degludec/LiraglutideChange in CalcitoninWeek 26Normal334 Participants
Insulin Degludec/LiraglutideChange in CalcitoninWeek 26High6 Participants
Insulin DegludecChange in CalcitoninWeek 26High2 Participants
Insulin DegludecChange in CalcitoninWeek 0Low0 Participants
Insulin DegludecChange in CalcitoninWeek 26Low0 Participants
Insulin DegludecChange in CalcitoninWeek 26Normal165 Participants
Insulin DegludecChange in CalcitoninWeek 0Normal172 Participants
Insulin DegludecChange in CalcitoninWeek 0High3 Participants
LiraglutideChange in CalcitoninWeek 0Normal178 Participants
LiraglutideChange in CalcitoninWeek 0High2 Participants
LiraglutideChange in CalcitoninWeek 26High3 Participants
LiraglutideChange in CalcitoninWeek 26Low0 Participants
LiraglutideChange in CalcitoninWeek 0Low0 Participants
LiraglutideChange in CalcitoninWeek 26Normal147 Participants
Secondary

Change in Electrocardiogram (ECG)

Electrocardiogram was assessed by the investigator as normal, abnormal NCS and abnormal CS. Number of participants at screening (week -2) and at week 26 is presented.

Time frame: Week -2, week 26

Population: SAS included all participants who received at least one dose of insulin degludec/liraglutide, insulin degludec or liraglutide. Number of participants analyzed = participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideChange in Electrocardiogram (ECG)Week -2Normal223 Participants
Insulin Degludec/LiraglutideChange in Electrocardiogram (ECG)Week -2Abnormal, NCS94 Participants
Insulin Degludec/LiraglutideChange in Electrocardiogram (ECG)Week -2Abnormal CS41 Participants
Insulin Degludec/LiraglutideChange in Electrocardiogram (ECG)Week 26Normal227 Participants
Insulin Degludec/LiraglutideChange in Electrocardiogram (ECG)Week 26Abnormal, NCS76 Participants
Insulin Degludec/LiraglutideChange in Electrocardiogram (ECG)Week 26Abnormal CS38 Participants
Insulin DegludecChange in Electrocardiogram (ECG)Week 26Abnormal CS12 Participants
Insulin DegludecChange in Electrocardiogram (ECG)Week -2Normal109 Participants
Insulin DegludecChange in Electrocardiogram (ECG)Week 26Normal108 Participants
Insulin DegludecChange in Electrocardiogram (ECG)Week 26Abnormal, NCS47 Participants
Insulin DegludecChange in Electrocardiogram (ECG)Week -2Abnormal, NCS46 Participants
Insulin DegludecChange in Electrocardiogram (ECG)Week -2Abnormal CS20 Participants
LiraglutideChange in Electrocardiogram (ECG)Week -2Abnormal, NCS52 Participants
LiraglutideChange in Electrocardiogram (ECG)Week -2Abnormal CS20 Participants
LiraglutideChange in Electrocardiogram (ECG)Week 26Abnormal CS24 Participants
LiraglutideChange in Electrocardiogram (ECG)Week 26Normal87 Participants
LiraglutideChange in Electrocardiogram (ECG)Week -2Normal108 Participants
LiraglutideChange in Electrocardiogram (ECG)Week 26Abnormal, NCS40 Participants
Secondary

Change in Fasting C-peptide - Ratio to Baseline

Change in fasting C-peptide (measured in nanomoles per liter \[nmol/L\]) from baseline (week 0) to week 26 is presented as ratio to baseline.

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall, number of participants analysed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Fasting C-peptide - Ratio to Baseline0.54 Ratio of fasting C-peptideGeometric Coefficient of Variation 52.8
Insulin DegludecChange in Fasting C-peptide - Ratio to Baseline0.38 Ratio of fasting C-peptideGeometric Coefficient of Variation 68.5
LiraglutideChange in Fasting C-peptide - Ratio to Baseline0.98 Ratio of fasting C-peptideGeometric Coefficient of Variation 37.6
Secondary

Change in Fasting Free Fatty Acid - Ratio to Baseline

Change in fasting free fatty acid (measured in mmol/L) from baseline (week 0) to week 26 is presented as ratio to baseline.

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Fasting Free Fatty Acid - Ratio to Baseline0.55 Ratio of fasting free fatty acidGeometric Coefficient of Variation 69.9
Insulin DegludecChange in Fasting Free Fatty Acid - Ratio to Baseline0.48 Ratio of fasting free fatty acidGeometric Coefficient of Variation 76.5
LiraglutideChange in Fasting Free Fatty Acid - Ratio to Baseline0.80 Ratio of fasting free fatty acidGeometric Coefficient of Variation 69.3
Secondary

Change in Fasting Glucagon - Ratio to Baseline

Change in fasting glucagon (measured in picograms per milliliter \[pg/mL\]) from baseline (week 0) to week 26 is presented as ratio to baseline.

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall number of particiapants analysed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Fasting Glucagon - Ratio to Baseline0.90 Ratio of fasting glucagonGeometric Coefficient of Variation 76.6
Insulin DegludecChange in Fasting Glucagon - Ratio to Baseline0.95 Ratio of fasting glucagonGeometric Coefficient of Variation 56.4
LiraglutideChange in Fasting Glucagon - Ratio to Baseline0.98 Ratio of fasting glucagonGeometric Coefficient of Variation 75.9
Secondary

Change in Fasting High Density Lipoprotein (HDL) Cholesterol- Ratio to Baseline

Change in fasting HDL cholesterol (measured in mmol/L) from baseline (week 0) to week 26 is presented as ratio to baseline

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Fasting High Density Lipoprotein (HDL) Cholesterol- Ratio to Baseline1.01 Ratio of fasting HDL cholesterolGeometric Coefficient of Variation 14.7
Insulin DegludecChange in Fasting High Density Lipoprotein (HDL) Cholesterol- Ratio to Baseline1.02 Ratio of fasting HDL cholesterolGeometric Coefficient of Variation 15.7
LiraglutideChange in Fasting High Density Lipoprotein (HDL) Cholesterol- Ratio to Baseline1.03 Ratio of fasting HDL cholesterolGeometric Coefficient of Variation 14.8
Secondary

Change in Fasting Human Insulin - Ratio to Baseline

Change in fasting human insulin (measured in picomoles per liter \[pmol/L\]) from baseline (week 0) to week 26 is presented as ratio to baseline.

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Fasting Human Insulin - Ratio to Baseline0.53 Ratio of fasting human insulinGeometric Coefficient of Variation 71.7
Insulin DegludecChange in Fasting Human Insulin - Ratio to Baseline0.38 Ratio of fasting human insulinGeometric Coefficient of Variation 77.6
LiraglutideChange in Fasting Human Insulin - Ratio to Baseline1.04 Ratio of fasting human insulinGeometric Coefficient of Variation 53.3
Secondary

Change in Fasting Low Density Lipoprotein (LDL) Cholesterol- Ratio to Baseline

Change in fasting LDL cholesterol (measured in mmol/L) from baseline (week 0) to week 26 is presented as ratio to baseline.

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Fasting Low Density Lipoprotein (LDL) Cholesterol- Ratio to Baseline0.92 Ratio of fasting LDL cholesterolGeometric Coefficient of Variation 34.2
Insulin DegludecChange in Fasting Low Density Lipoprotein (LDL) Cholesterol- Ratio to Baseline1.01 Ratio of fasting LDL cholesterolGeometric Coefficient of Variation 36.2
LiraglutideChange in Fasting Low Density Lipoprotein (LDL) Cholesterol- Ratio to Baseline0.96 Ratio of fasting LDL cholesterolGeometric Coefficient of Variation 34.4
Secondary

Change in Fasting Plasma Glucose (FPG)

Change from baseline (week 0) in FPG after 26 weeks of treatment is presented.

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Fasting Plasma Glucose (FPG)-3.64 mmol/LStandard Deviation 2.27
Insulin DegludecChange in Fasting Plasma Glucose (FPG)-3.45 mmol/LStandard Deviation 2.34
LiraglutideChange in Fasting Plasma Glucose (FPG)-1.86 mmol/LStandard Deviation 2.11
Secondary

Change in Fasting Total Cholesterol - Ratio to Baseline

Change in fasting total cholesterol (measured in mmol/L) from baseline (week 0) to week 26 is presented as ratio to baseline.

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall number of participants analysed = number of participants with available data

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Fasting Total Cholesterol - Ratio to Baseline0.94 Ratio of fasting total cholesterolGeometric Coefficient of Variation 19.1
Insulin DegludecChange in Fasting Total Cholesterol - Ratio to Baseline0.99 Ratio of fasting total cholesterolGeometric Coefficient of Variation 16.8
LiraglutideChange in Fasting Total Cholesterol - Ratio to Baseline0.97 Ratio of fasting total cholesterolGeometric Coefficient of Variation 17.7
Secondary

Change in Fasting Triglycerides - Ratio to Baseline.

Change in fasting triglycerides (measured in mmol/L) from baseline (week 0) to week 26 is presented as ratio to baseline.

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Fasting Triglycerides - Ratio to Baseline.0.88 Ratio of fasting triglyceridesGeometric Coefficient of Variation 54.4
Insulin DegludecChange in Fasting Triglycerides - Ratio to Baseline.0.82 Ratio of fasting triglyceridesGeometric Coefficient of Variation 50.5
LiraglutideChange in Fasting Triglycerides - Ratio to Baseline.0.90 Ratio of fasting triglyceridesGeometric Coefficient of Variation 45.2
Secondary

Change in Fasting Very Low-density Lipoprotein (VLDL) Cholesterol- Ratio to Baseline

Change in fasting VLDL cholesterol (measured in mmol/L) from baseline (week 0) to week 26 is presented as ratio to baseline

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Fasting Very Low-density Lipoprotein (VLDL) Cholesterol- Ratio to Baseline0.90 Ratio of fasting VLDL cholesterolGeometric Coefficient of Variation 49.9
Insulin DegludecChange in Fasting Very Low-density Lipoprotein (VLDL) Cholesterol- Ratio to Baseline0.84 Ratio of fasting VLDL cholesterolGeometric Coefficient of Variation 47.2
LiraglutideChange in Fasting Very Low-density Lipoprotein (VLDL) Cholesterol- Ratio to Baseline0.92 Ratio of fasting VLDL cholesterolGeometric Coefficient of Variation 38.6
Secondary

Change in Haematologcal Parameter: Leukocytes

Change in leukocytes from baseline (week 0) after 26 weeks of treatment

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Haematologcal Parameter: Leukocytes0.25 10^9 cells per liter (10^9/L)Standard Deviation 1.18
Insulin DegludecChange in Haematologcal Parameter: Leukocytes0.23 10^9 cells per liter (10^9/L)Standard Deviation 1.41
LiraglutideChange in Haematologcal Parameter: Leukocytes-0.01 10^9 cells per liter (10^9/L)Standard Deviation 1.14
Secondary

Change in Haematological Parameter: Basophils

Change in basophils from baseline (week 0) after 26 weeks of treatment is presented.

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Haematological Parameter: Basophils-0.02 % of basophilsStandard Deviation 0.29
Insulin DegludecChange in Haematological Parameter: Basophils-0.01 % of basophilsStandard Deviation 0.28
LiraglutideChange in Haematological Parameter: Basophils-0.03 % of basophilsStandard Deviation 0.26
Secondary

Change in Haematological Parameter: Erythrocytes Blood

Change in erythrocyte blood from baseline (week 0) after 26 weeks of treatment is presented.

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Haematological Parameter: Erythrocytes Blood-0.05 10^12 cells per liter (10^12/L)Standard Deviation 0.27
Insulin DegludecChange in Haematological Parameter: Erythrocytes Blood-0.00 10^12 cells per liter (10^12/L)Standard Deviation 0.27
LiraglutideChange in Haematological Parameter: Erythrocytes Blood-0.05 10^12 cells per liter (10^12/L)Standard Deviation 0.25
Secondary

Change in Haematological Parameter: Haematocrits

Change in haematocrits from baseline (week 0) after 26 weeks of treatment is presented.

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Haematological Parameter: Haematocrits-0.56 Percentage points (%) of red blood cellsStandard Deviation 2.65
Insulin DegludecChange in Haematological Parameter: Haematocrits-0.49 Percentage points (%) of red blood cellsStandard Deviation 2.69
LiraglutideChange in Haematological Parameter: Haematocrits-0.42 Percentage points (%) of red blood cellsStandard Deviation 2.57
Secondary

Change in Haematological Parameter - Lymphocytes

Change in lymphocytes from baseline (week 0) after 26 weeks of treatment is presented

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Haematological Parameter - Lymphocytes-0.46 % of lymphocytesStandard Deviation 6.04
Insulin DegludecChange in Haematological Parameter - Lymphocytes-0.38 % of lymphocytesStandard Deviation 7.12
LiraglutideChange in Haematological Parameter - Lymphocytes0.40 % of lymphocytesStandard Deviation 6.11
Secondary

Change in Haematological Parameter - Neutrophils

Change in neutrophils from baseline (week 0) after 26 weeks of treatment is presented.

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Haematological Parameter - Neutrophils0.57 % of neutrophilsStandard Deviation 6.46
Insulin DegludecChange in Haematological Parameter - Neutrophils0.18 % of neutrophilsStandard Deviation 7.7
LiraglutideChange in Haematological Parameter - Neutrophils-0.53 % of neutrophilsStandard Deviation 7.05
Secondary

Change in Haematological Parameter: Thrombocytes

Change in thrombocytes from baseline (week 0) after 26 weeks of treatment

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Haematological Parameter: Thrombocytes8.19 10^9 cells per liter (10^9/L)Standard Deviation 28.02
Insulin DegludecChange in Haematological Parameter: Thrombocytes8.32 10^9 cells per liter (10^9/L)Standard Deviation 34.48
LiraglutideChange in Haematological Parameter: Thrombocytes4.32 10^9 cells per liter (10^9/L)Standard Deviation 33.39
Secondary

Change in Haematology: Haemoglobin Blood

Change in haemoglobin from baseline (week 0) after 26 weeks of treatment is presented.

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Haematology: Haemoglobin Blood-0.10 mmol/LStandard Deviation 0.53
Insulin DegludecChange in Haematology: Haemoglobin Blood-0.06 mmol/LStandard Deviation 0.48
LiraglutideChange in Haematology: Haemoglobin Blood-0.05 mmol/LStandard Deviation 0.47
Secondary

Change in Haemotological Parameter- Eosinophils

Change in eosinophils from baseline after 26 weeks of treatment is presented.

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Haemotological Parameter- Eosinophils-0.06 % of eosinophilsStandard Deviation 1.9
Insulin DegludecChange in Haemotological Parameter- Eosinophils0.19 % of eosinophilsStandard Deviation 1.73
LiraglutideChange in Haemotological Parameter- Eosinophils0.11 % of eosinophilsStandard Deviation 1.94
Secondary

Change in Haemotological Parameter- Monocytes

Change in monocytes from baseline (week 0) after 26 weeks of treatment is presented

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Haemotological Parameter- Monocytes-0.03 % of monocytesStandard Deviation 1.92
Insulin DegludecChange in Haemotological Parameter- Monocytes0.01 % of monocytesStandard Deviation 1.85
LiraglutideChange in Haemotological Parameter- Monocytes0.05 % of monocytesStandard Deviation 2.13
Secondary

Change in HOMA-B (Beta Cell Function)- Ratio to Baseline

Change in HOMA-B (measured in %) from baseline (week 0) to week 26 is presented as ratio to baseline.

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Insulin Degludec/LiraglutideChange in HOMA-B (Beta Cell Function)- Ratio to Baseline1.38 Ratio of HOMA-B (beta cell function)Geometric Coefficient of Variation 77.3
Insulin DegludecChange in HOMA-B (Beta Cell Function)- Ratio to Baseline0.94 Ratio of HOMA-B (beta cell function)Geometric Coefficient of Variation 77.4
LiraglutideChange in HOMA-B (Beta Cell Function)- Ratio to Baseline1.53 Ratio of HOMA-B (beta cell function)Geometric Coefficient of Variation 63.8
Secondary

Change in Mean of 9-point SMPG Profile

Participants measured their PG levels using blood glucose meters at 9 time points (before breakfast, 90 minutes after the start of breakfast, before lunch, 90 minutes after the start of lunch, before dinner, 90 minutes after the start of dinner, at bedtime, at 4 am, before breakfast the following day). The mean of profile is defined as the area under the profile divided by measurement time and is calculated using the trapezoidal method. Change in mean of the 9-point SMPG profile from baseline (week 0) to week 26 is presented.

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Mean of 9-point SMPG Profile-3.17 mmol/LStandard Deviation 2.16
Insulin DegludecChange in Mean of 9-point SMPG Profile-2.47 mmol/LStandard Deviation 2.14
LiraglutideChange in Mean of 9-point SMPG Profile-2.13 mmol/LStandard Deviation 2.02
Secondary

Change in Mean Post-prandial Plasma Glucose (PG) Increments

Participants measured their PG levels using blood glucose meters at 9 time points (before breakfast, 90 minutes after the start of breakfast, before lunch, 90 minutes after the start of lunch, before dinner, 90 minutes after the start of dinner, at bedtime, at 4 am, before breakfast the following day). Post-prandial SMPG increments from before meal to 90 minutes after for breakfast, lunch and dinner were calculated. The mean increment over all meals was derived as the mean of all available meal increments. Change from baseline (week 0) in post-prandial SMPG increments for all meals after 26 weeks of treatment is presented.

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Mean Post-prandial Plasma Glucose (PG) Increments-0.20 mmol/LStandard Deviation 2.4
Insulin DegludecChange in Mean Post-prandial Plasma Glucose (PG) Increments0.09 mmol/LStandard Deviation 2.4
LiraglutideChange in Mean Post-prandial Plasma Glucose (PG) Increments-0.54 mmol/LStandard Deviation 2.57
Secondary

Change in Physical Examination

Physical examination parameters are categorised as cardiovascular system; central and peripheral nervous system; gastrointestinal system including mouth; general appearance; head, ears, eyes, nose, throat, neck; lymph node palpation; musculoskeletal system; respiratory system; skin and thyroid gland. The number of participants assessed as normal, abnormal not clinically significant (NCS) and abnormal clinically significant (CS) at screening (week -2) and week 26 per each category is presented.

Time frame: Week -2, week 26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analyzed=participants with available data

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: General appearanceAbnormal CS4 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Central and peripheral nervous systemAbnormal, NCS1 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Musculoskeletal systemAbnormal CS7 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: General appearanceNormal336 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Thyroid glandAbnormal CS4 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Musculoskeletal systemNormal332 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: General appearanceAbnormal, NCS2 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Cardiovascular systemAbnormal CS2 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Musculoskeletal systemAbnormal CS3 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: General appearanceAbnormal CS3 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Central and peripheral nervous systemAbnormal CS2 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Musculoskeletal systemAbnormal, NCS2 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Head, ears, eyes, nose, throat, neckNormal348 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Thyroid glandNormal334 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Musculoskeletal systemNormal353 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Head, ears, eyes, nose, throat, neckAbnormal, NCS6 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: SkinAbnormal, NCS36 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Lymph node palpationAbnormal CS1 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Head, ears, eyes, nose, throat, neckAbnormal CS4 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Central and peripheral nervous systemNormal338 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Cardiovascular systemNormal336 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Lymph node palpationAbnormal, NCS0 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Head, ears, eyes, nose, throat, neckNormal332 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Lymph node palpationNormal340 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Head, ears, eyes, nose, throat, neckAbnormal, NCS6 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: SkinNormal297 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Lymph node palpationAbnormal CS1 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Head, ears, eyes, nose, throat, neckAbnormal CS3 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Central and peripheral nervous systemAbnormal, NCS1 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Lymph node palpationAbnormal, NCS0 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Lymph node palpationNormal357 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Cardiovascular systemAbnormal, NCS2 Participants
Insulin Degludec/LiraglutideChange in Physical Examinationweek -2: SkinAbnormal CS9 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Central and peripheral nervous systemAbnormal CS2 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Thyroid glandAbnormal, NCS5 Participants
Insulin Degludec/LiraglutideChange in Physical Examinationweek -2: SkinAbnormal, NCS37 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Gastrointestinal system including mouthNormal355 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Cardiovascular systemAbnormal, NCS3 Participants
Insulin Degludec/LiraglutideChange in Physical Examinationweek -2: SkinNormal312 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Gastrointestinal system including mouthAbnormal, NCS3 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Cardiovascular systemNormal353 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Respiratory systemAbnormal CS0 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Gastrointestinal system including mouthAbnormal CS0 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Thyroid glandNormal348 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Respiratory systemAbnormal, NCS0 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Gastrointestinal system including mouthNormal339 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Thyroid glandAbnormal, NCS3 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Respiratory systemNormal341 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Gastrointestinal system including mouthAbnormal, NCS2 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Thyroid glandAbnormal CS5 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek-2: Respiratory systemAbnormal CS0 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Gastrointestinal system including mouthAbnormal CS0 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Central and peripheral nervous systemNormal355 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek-2: Respiratory systemAbnormal, NCS0 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: General appearanceNormal351 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: Cardiovascular systemAbnormal CS3 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek-2: Respiratory systemNormal358 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek -2: General appearanceAbnormal, NCS3 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: SkinAbnormal CS8 Participants
Insulin Degludec/LiraglutideChange in Physical ExaminationWeek 26: Musculoskeletal systemAbnormal, NCS2 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: SkinAbnormal, NCS19 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Cardiovascular systemNormal173 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Cardiovascular systemAbnormal, NCS2 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Cardiovascular systemAbnormal CS0 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Cardiovascular systemNormal166 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Cardiovascular systemAbnormal, NCS1 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Cardiovascular systemAbnormal CS0 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Central and peripheral nervous systemNormal172 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Central and peripheral nervous systemAbnormal, NCS0 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Central and peripheral nervous systemAbnormal CS3 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Central and peripheral nervous systemNormal164 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Central and peripheral nervous systemAbnormal, NCS0 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Central and peripheral nervous systemAbnormal CS3 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Gastrointestinal system including mouthNormal174 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Gastrointestinal system including mouthAbnormal, NCS1 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Gastrointestinal system including mouthAbnormal CS0 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Gastrointestinal system including mouthNormal166 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Gastrointestinal system including mouthAbnormal, NCS1 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Gastrointestinal system including mouthAbnormal CS0 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: General appearanceNormal169 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: General appearanceAbnormal, NCS2 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: General appearanceAbnormal CS4 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: General appearanceNormal161 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: General appearanceAbnormal, NCS2 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: General appearanceAbnormal CS4 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Head, ears, eyes, nose, throat, neckNormal170 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Head, ears, eyes, nose, throat, neckAbnormal, NCS4 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Head, ears, eyes, nose, throat, neckNormal164 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Head, ears, eyes, nose, throat, neckAbnormal CS1 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Head, ears, eyes, nose, throat, neckAbnormal, NCS3 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Head, ears, eyes, nose, throat, neckAbnormal CS0 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Lymph node palpationNormal174 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Lymph node palpationAbnormal, NCS0 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Lymph node palpationAbnormal CS1 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Lymph node palpationNormal166 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Lymph node palpationAbnormal, NCS0 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Lymph node palpationAbnormal CS1 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Musculoskeletal systemNormal172 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Musculoskeletal systemAbnormal, NCS2 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Musculoskeletal systemAbnormal CS1 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Musculoskeletal systemNormal165 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Musculoskeletal systemAbnormal, NCS1 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Musculoskeletal systemAbnormal CS1 Participants
Insulin DegludecChange in Physical ExaminationWeek-2: Respiratory systemNormal175 Participants
Insulin DegludecChange in Physical ExaminationWeek-2: Respiratory systemAbnormal, NCS0 Participants
Insulin DegludecChange in Physical ExaminationWeek-2: Respiratory systemAbnormal CS0 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Respiratory systemNormal167 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Respiratory systemAbnormal, NCS0 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Respiratory systemAbnormal CS0 Participants
Insulin DegludecChange in Physical Examinationweek -2: SkinNormal152 Participants
Insulin DegludecChange in Physical Examinationweek -2: SkinAbnormal, NCS20 Participants
Insulin DegludecChange in Physical Examinationweek -2: SkinAbnormal CS3 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: SkinNormal146 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: SkinAbnormal CS2 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Thyroid glandNormal171 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Thyroid glandAbnormal, NCS1 Participants
Insulin DegludecChange in Physical ExaminationWeek -2: Thyroid glandAbnormal CS3 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Thyroid glandNormal163 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Thyroid glandAbnormal, NCS2 Participants
Insulin DegludecChange in Physical ExaminationWeek 26: Thyroid glandAbnormal CS2 Participants
LiraglutideChange in Physical ExaminationWeek 26: Cardiovascular systemAbnormal CS0 Participants
LiraglutideChange in Physical ExaminationWeek -2: General appearanceAbnormal, NCS1 Participants
LiraglutideChange in Physical ExaminationWeek 26: Thyroid glandNormal151 Participants
LiraglutideChange in Physical ExaminationWeek 26: Musculoskeletal systemAbnormal, NCS0 Participants
LiraglutideChange in Physical ExaminationWeek 26: SkinAbnormal CS2 Participants
LiraglutideChange in Physical ExaminationWeek 26: Musculoskeletal systemAbnormal CS2 Participants
LiraglutideChange in Physical ExaminationWeek -2: General appearanceNormal177 Participants
LiraglutideChange in Physical ExaminationWeek 26: Cardiovascular systemAbnormal, NCS0 Participants
LiraglutideChange in Physical ExaminationWeek-2: Respiratory systemNormal180 Participants
LiraglutideChange in Physical ExaminationWeek 26: Gastrointestinal system including mouthAbnormal CS0 Participants
LiraglutideChange in Physical ExaminationWeek -2: Cardiovascular systemAbnormal, NCS0 Participants
LiraglutideChange in Physical ExaminationWeek-2: Respiratory systemAbnormal, NCS0 Participants
LiraglutideChange in Physical ExaminationWeek 26: Gastrointestinal system including mouthAbnormal, NCS1 Participants
LiraglutideChange in Physical ExaminationWeek -2: Thyroid glandNormal179 Participants
LiraglutideChange in Physical ExaminationWeek-2: Respiratory systemAbnormal CS0 Participants
LiraglutideChange in Physical ExaminationWeek 26: Gastrointestinal system including mouthNormal150 Participants
LiraglutideChange in Physical ExaminationWeek 26: Cardiovascular systemNormal151 Participants
LiraglutideChange in Physical ExaminationWeek 26: Respiratory systemNormal151 Participants
LiraglutideChange in Physical ExaminationWeek -2: Gastrointestinal system including mouthAbnormal CS0 Participants
LiraglutideChange in Physical ExaminationWeek 26: Thyroid glandAbnormal CS0 Participants
LiraglutideChange in Physical Examinationweek -2: SkinNormal156 Participants
LiraglutideChange in Physical ExaminationWeek 26: Respiratory systemAbnormal, NCS0 Participants
LiraglutideChange in Physical ExaminationWeek -2: Gastrointestinal system including mouthAbnormal, NCS1 Participants
LiraglutideChange in Physical ExaminationWeek -2: Thyroid glandAbnormal, NCS1 Participants
LiraglutideChange in Physical ExaminationWeek 26: Respiratory systemAbnormal CS0 Participants
LiraglutideChange in Physical ExaminationWeek -2: Gastrointestinal system including mouthNormal179 Participants
LiraglutideChange in Physical ExaminationWeek 26: Thyroid glandAbnormal, NCS0 Participants
LiraglutideChange in Physical ExaminationWeek 26: Central and peripheral nervous systemAbnormal CS1 Participants
LiraglutideChange in Physical ExaminationWeek -2: Thyroid glandAbnormal CS0 Participants
LiraglutideChange in Physical Examinationweek -2: SkinAbnormal, NCS20 Participants
LiraglutideChange in Physical ExaminationWeek 26: Central and peripheral nervous systemAbnormal, NCS0 Participants
LiraglutideChange in Physical ExaminationWeek -2: Cardiovascular systemAbnormal CS0 Participants
LiraglutideChange in Physical ExaminationWeek -2: Lymph node palpationNormal180 Participants
LiraglutideChange in Physical ExaminationWeek 26: Head, ears, eyes, nose, throat, neckAbnormal CS0 Participants
LiraglutideChange in Physical Examinationweek -2: SkinAbnormal CS4 Participants
LiraglutideChange in Physical ExaminationWeek -2: Lymph node palpationAbnormal, NCS0 Participants
LiraglutideChange in Physical ExaminationWeek 26: Head, ears, eyes, nose, throat, neckAbnormal, NCS1 Participants
LiraglutideChange in Physical ExaminationWeek 26: Central and peripheral nervous systemNormal150 Participants
LiraglutideChange in Physical ExaminationWeek -2: Lymph node palpationAbnormal CS0 Participants
LiraglutideChange in Physical ExaminationWeek 26: Head, ears, eyes, nose, throat, neckNormal150 Participants
LiraglutideChange in Physical ExaminationWeek -2: Cardiovascular systemNormal180 Participants
LiraglutideChange in Physical ExaminationWeek 26: Lymph node palpationNormal151 Participants
LiraglutideChange in Physical ExaminationWeek -2: Head, ears, eyes, nose, throat, neckAbnormal CS2 Participants
LiraglutideChange in Physical ExaminationWeek 26: SkinNormal134 Participants
LiraglutideChange in Physical ExaminationWeek 26: Lymph node palpationAbnormal, NCS0 Participants
LiraglutideChange in Physical ExaminationWeek -2: Head, ears, eyes, nose, throat, neckAbnormal, NCS3 Participants
LiraglutideChange in Physical ExaminationWeek -2: Central and peripheral nervous systemAbnormal CS1 Participants
LiraglutideChange in Physical ExaminationWeek 26: Lymph node palpationAbnormal CS0 Participants
LiraglutideChange in Physical ExaminationWeek -2: Head, ears, eyes, nose, throat, neckNormal175 Participants
LiraglutideChange in Physical ExaminationWeek -2: Central and peripheral nervous systemAbnormal, NCS0 Participants
LiraglutideChange in Physical ExaminationWeek -2: Musculoskeletal systemNormal177 Participants
LiraglutideChange in Physical ExaminationWeek 26: General appearanceAbnormal CS1 Participants
LiraglutideChange in Physical ExaminationWeek 26: SkinAbnormal, NCS15 Participants
LiraglutideChange in Physical ExaminationWeek -2: Musculoskeletal systemAbnormal, NCS0 Participants
LiraglutideChange in Physical ExaminationWeek 26: General appearanceAbnormal, NCS0 Participants
LiraglutideChange in Physical ExaminationWeek 26: Musculoskeletal systemNormal149 Participants
LiraglutideChange in Physical ExaminationWeek -2: Central and peripheral nervous systemNormal179 Participants
LiraglutideChange in Physical ExaminationWeek -2: Musculoskeletal systemAbnormal CS3 Participants
LiraglutideChange in Physical ExaminationWeek 26: General appearanceNormal150 Participants
LiraglutideChange in Physical ExaminationWeek -2: General appearanceAbnormal CS2 Participants
Secondary

Change in Pulse

Change in pulse from baseline (week 0) after 26 weeks of treatment is presented

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Pulse4.6 Beats per minuts (beats/min)Standard Deviation 8.6
Insulin DegludecChange in Pulse-0.1 Beats per minuts (beats/min)Standard Deviation 8.6
LiraglutideChange in Pulse4.9 Beats per minuts (beats/min)Standard Deviation 9.7
Secondary

Change in Waist Circumferance

Change from baseline (week 0) in waist circumferance after 26 weeks of treatment is presented.

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall number of participants analysed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideChange in Waist Circumferance-0.3 Centimeters (cm)Standard Deviation 3.4
Insulin DegludecChange in Waist Circumferance1.2 Centimeters (cm)Standard Deviation 4.2
LiraglutideChange in Waist Circumferance-2.6 Centimeters (cm)Standard Deviation 3.8
Secondary

Eye Examination

Dilated fundoscopy or fundus photography was performed by the investigator at screening (week -2) and week 26. The results of the examination were interpreted for each eye (left and right) and are categorised as normal, abnormal NCS or abnormal CS. Number of participants in each category at screening (week -2) and week 26 is presented.

Time frame: Week -2, Week 26

Population: SAS included all participants who received at least one dose of insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analyzed = participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideEye ExaminationWeek -2: Left eyeNormal222 Participants
Insulin Degludec/LiraglutideEye ExaminationWeek -2: Left eyeAbnormal, NCS45 Participants
Insulin Degludec/LiraglutideEye ExaminationWeek -2: Left eyeAbnormal, CS91 Participants
Insulin Degludec/LiraglutideEye ExaminationWeek 26: Left eyeNormal217 Participants
Insulin Degludec/LiraglutideEye ExaminationWeek 26: Left eyeAbnormal, NCS39 Participants
Insulin Degludec/LiraglutideEye ExaminationWeek 26: Left eyeAbnormal, CS85 Participants
Insulin Degludec/LiraglutideEye ExaminationWeek -2: Right eyeNormal230 Participants
Insulin Degludec/LiraglutideEye ExaminationWeek -2: Right eyeAbnormal, NCS42 Participants
Insulin Degludec/LiraglutideEye ExaminationWeek -2: Right eyeAbnormal, CS86 Participants
Insulin Degludec/LiraglutideEye ExaminationWeek 26: Right eyeNormal217 Participants
Insulin Degludec/LiraglutideEye ExaminationWeek 26: Right eyeAbnormal, NCS40 Participants
Insulin Degludec/LiraglutideEye ExaminationWeek 26: Right eyeAbnormal, CS84 Participants
Insulin DegludecEye ExaminationWeek -2: Right eyeAbnormal, NCS16 Participants
Insulin DegludecEye ExaminationWeek -2: Left eyeNormal109 Participants
Insulin DegludecEye ExaminationWeek 26: Left eyeAbnormal, NCS20 Participants
Insulin DegludecEye ExaminationWeek 26: Right eyeNormal103 Participants
Insulin DegludecEye ExaminationWeek -2: Left eyeAbnormal, NCS14 Participants
Insulin DegludecEye ExaminationWeek -2: Right eyeNormal112 Participants
Insulin DegludecEye ExaminationWeek 26: Right eyeAbnormal, CS41 Participants
Insulin DegludecEye ExaminationWeek -2: Left eyeAbnormal, CS52 Participants
Insulin DegludecEye ExaminationWeek 26: Right eyeAbnormal, NCS23 Participants
Insulin DegludecEye ExaminationWeek -2: Right eyeAbnormal, CS47 Participants
Insulin DegludecEye ExaminationWeek 26: Left eyeNormal99 Participants
Insulin DegludecEye ExaminationWeek 26: Left eyeAbnormal, CS48 Participants
LiraglutideEye ExaminationWeek 26: Left eyeNormal100 Participants
LiraglutideEye ExaminationWeek 26: Left eyeAbnormal, NCS13 Participants
LiraglutideEye ExaminationWeek 26: Left eyeAbnormal, CS38 Participants
LiraglutideEye ExaminationWeek 26: Right eyeAbnormal, CS40 Participants
LiraglutideEye ExaminationWeek -2: Right eyeNormal111 Participants
LiraglutideEye ExaminationWeek 26: Right eyeNormal96 Participants
LiraglutideEye ExaminationWeek -2: Left eyeNormal110 Participants
LiraglutideEye ExaminationWeek -2: Right eyeAbnormal, NCS22 Participants
LiraglutideEye ExaminationWeek -2: Left eyeAbnormal, NCS20 Participants
LiraglutideEye ExaminationWeek 26: Right eyeAbnormal, NCS15 Participants
LiraglutideEye ExaminationWeek -2: Left eyeAbnormal, CS50 Participants
LiraglutideEye ExaminationWeek -2: Right eyeAbnormal, CS47 Participants
Secondary

Insulin Dose

The actual daily total insulin dose after 26 weeks of treatment is presented. This outcome measure is only applicable for Insulin degludec/liraglutide and Insulin degludec treatment arms.

Time frame: Week 26

Population: SAS included all participants receiving at least one dose of the insulin degludec/liraglutide or insulin degludec. Overall number of participants analysed = participants with available data

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideInsulin Dose24.8 Units of insulin (U)Standard Deviation 11.9
Insulin DegludecInsulin Dose30.1 Units of insulin (U)Standard Deviation 14.4
Secondary

Number of Treatment-emergent Adverse Events (TEAE)

A TEAE was defined as an event that had onset date on or after the first day of exposure to randomised treatment and no later than 7 days after the last day of randomised treatment. The observed rates of adverse events (AEs) per patient years of exposure (PYE) (number of AEs divided by PYE multiplied by 100) after 26 weeks are presented.

Time frame: Weeks 0-26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Number of participants analysed = number of participants with available data.

ArmMeasureValue (NUMBER)
Insulin Degludec/LiraglutideNumber of Treatment-emergent Adverse Events (TEAE)410.82 (Number of AEs/PYE)*100
Insulin DegludecNumber of Treatment-emergent Adverse Events (TEAE)306.19 (Number of AEs/PYE)*100
LiraglutideNumber of Treatment-emergent Adverse Events (TEAE)541.00 (Number of AEs/PYE)*100
Secondary

Number of Treatment Emergent Hypoglycaemic Episodes According to ADA Definition

A hypoglycaemic episode was defined as treatment emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 days after the last day on trial product. The number of episodes are represented as rates. The observed rates of episodes (according to the ADA definition) per PYE (number of episodes divided by PYE multiplied by 100) after 26 weeks of treatment are presented.

Time frame: Weeks 0-26

Population: SAS included all participants who received at least one dose of insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (NUMBER)
Insulin Degludec/LiraglutideNumber of Treatment Emergent Hypoglycaemic Episodes According to ADA Definition668.55 (Number of episodes/PYE)*100
Insulin DegludecNumber of Treatment Emergent Hypoglycaemic Episodes According to ADA Definition746.20 (Number of episodes/PYE)*100
LiraglutideNumber of Treatment Emergent Hypoglycaemic Episodes According to ADA Definition37.19 (Number of episodes/PYE)*100
Secondary

Number of Treatment Emergent Nocturnal Severe or BG Confirmed Hypoglycaemic Episodes.

Severe or BG confirmed hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a PG value \< 3.1 mmol/L with or without symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Hypoglycaemic episodes were defined as nocturnal if the time of the onset was between 00:01 and 05.59 both inclusive. The number of episodes are represented as rates. The observed rates of episodes per PYE (number of episodes divided by PYE multiplied by 100) after 26 weeks of treatment are presented.

Time frame: Weeks 0-26

Population: SAS included all participants who received at least one dose of insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (NUMBER)
Insulin Degludec/LiraglutideNumber of Treatment Emergent Nocturnal Severe or BG Confirmed Hypoglycaemic Episodes.4.45 (Number of episodes/PYE)*100
Insulin DegludecNumber of Treatment Emergent Nocturnal Severe or BG Confirmed Hypoglycaemic Episodes.4.54 (Number of episodes/PYE)*100
Secondary

Number of Treatment Emergent Nocturnal Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes

Severe or BG confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a PG value \<3.1 mmol/L with symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Hypoglycaemic episodes were defined as nocturnal if the time of the onset was between 00:01 and 05.59 both inclusive. The number of episodes are represented as rates. The observed rates of episodes per PYE (number of episodes divided by PYE multiplied by 100) after 26 weeks of treatment are presented.

Time frame: Weeks 0-26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (NUMBER)
Insulin Degludec/LiraglutideNumber of Treatment Emergent Nocturnal Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes2.78 (Number of episodes/PYE)*100
Insulin DegludecNumber of Treatment Emergent Nocturnal Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes3.40 (Number of episodes/PYE)*100
Secondary

Number of Treatment Emergent Severe or BG Confirmed Hypoglycaemic Episodes

Severe or BG confirmed hypoglycaemic episodes were defined as episodes that were severe according to the American Diabetes Association (ADA) classification (requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or blood glucose (BG) confirmed by a plasma glucose (PG) value \< 3.1 millimoles per liter (mmol/L) with or without symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. The number of episodes are represented as rates. The observed rates of treatment-emergent severe or BG confirmed hypoglycaemic episodes per patient years of exposure (PYE) (number of episodes divided by PYE multiplied by 100) during 26 weeks of treatment are presented.

Time frame: Weeks 0-26

Population: Safety analysis set (SAS) included all participants who received at least one dose of insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (NUMBER)
Insulin Degludec/LiraglutideNumber of Treatment Emergent Severe or BG Confirmed Hypoglycaemic Episodes23.94 (Number of episodes/PYE)*100
Insulin DegludecNumber of Treatment Emergent Severe or BG Confirmed Hypoglycaemic Episodes17.01 (Number of episodes/PYE)*100
LiraglutideNumber of Treatment Emergent Severe or BG Confirmed Hypoglycaemic Episodes3.60 (Number of episodes/PYE)*100
Secondary

Number of Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes.

Severe or BG confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a PG value \<3.1 mmol/L with symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. The number of episodes are represented as rates. The observed rates of episodes per PYE (number of episodes divided by PYE multiplied by 100) after 26 weeks of treatment are presented.

Time frame: Weeks 0-26

Population: SAS included all participants who received at least one dose of Insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (NUMBER)
Insulin Degludec/LiraglutideNumber of Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes.15.03 (Number of episodes/PYE)*100
Insulin DegludecNumber of Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes.9.07 (Number of episodes/PYE)*100
LiraglutideNumber of Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes.1.20 (Number of episodes/PYE)*100
Secondary

Occurence of Antibodies Cross-reacting to Human Insulin

This outcome measure is only applicable for the insulin degludec/liraglutide arm and insulin degludec arm. Serum samples were analysed for the presence of cross-reacting antibodies to human insulin. Results at week 27 are presented as percentage of bound radioactive-labelled insulin (B) /total radioactive-labelled insulin added to the samples (T).

Time frame: Week 27

Population: SAS included all participants who received at least one dose of insulin degludec/liraglutide or insulin degludec. Overall number of participants analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideOccurence of Antibodies Cross-reacting to Human Insulin6.61 %B/TStandard Deviation 15
Insulin DegludecOccurence of Antibodies Cross-reacting to Human Insulin2.99 %B/TStandard Deviation 10.89
Secondary

Occurence of Antibodies Cross-reacting to Native Glucagon-like Peptide (GLP-1)

This outcome measure is applicable to the Insulin degludec/liraglutide arm and the liraglutide arm. Serum samples were analysed for the presence of cross-reacting antibodies to native GLP-1. Number of participants who measured with anti-liraglutide antibodies cross reacting native GLP-1 at week 27 are presented.

Time frame: Week 27

Population: SAS included all participants who received at least one dose of insulin degludec/liraglutide or insulin degludec. Overall number of participants analyzed = participants with available data.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideOccurence of Antibodies Cross-reacting to Native Glucagon-like Peptide (GLP-1)6 Participants
Insulin DegludecOccurence of Antibodies Cross-reacting to Native Glucagon-like Peptide (GLP-1)3 Participants
Secondary

Occurence of Anti-insulin Degludec Specific Antibodies

This outcome measure is only applicable for the insulin degludec/liraglutide arm and insulin degludec arm. Serum samples were analysed for the presence of anti-insulin degludec specific antibodies. Results at week 27 are presented as percentage of bound radioactive-labelled insulin (B) /total radioactive-labelled insulin added to the samples (T).

Time frame: Week 27

Population: SAS included all participants who received at least one dose of IDegLira or IDeg. Overall number of participants analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideOccurence of Anti-insulin Degludec Specific Antibodies0.22 %B/TStandard Deviation 1.02
Insulin DegludecOccurence of Anti-insulin Degludec Specific Antibodies0.12 %B/TStandard Deviation 0.79
Secondary

Occurence of Anti-liraglutide Antibodies

This outcome measure is applicable for the Insulin degludec/liraglutide arm and the liraglutide arm. Serum samples were analysed for the presence of anti-liraglutide antibodies. Number of participants who were assessed for anti-liraglutide antibodies at week 27 are presented.

Time frame: Week 27

Population: SAS included all participants who received at least one dose of insulin degludec/liraglutide or insulin degludec. Overall number of participants analyzed = participants with available data.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideOccurence of Anti-liraglutide AntibodiesYes45 Participants
Insulin Degludec/LiraglutideOccurence of Anti-liraglutide AntibodiesNo287 Participants
Insulin DegludecOccurence of Anti-liraglutide AntibodiesNo120 Participants
Insulin DegludecOccurence of Anti-liraglutide AntibodiesYes40 Participants
Secondary

Occurence of Neutralising Antibodies Cross-reacting to Native GLP-1

This outcome measure is only applicable for the Insulin degludec/liraglutide arm and liraglutide arm. Cross reacting antibodies were assessed when anti-liraglutide antibody was positive. Number of participants who measured with neutralising liraglutide antibodies cross-reacting to native GLP-1 at week 27 are presented.

Time frame: Week 27

Population: SAS included all participants who received at least one dose of insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analyzed = participants with available data.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideOccurence of Neutralising Antibodies Cross-reacting to Native GLP-10 Participants
Insulin DegludecOccurence of Neutralising Antibodies Cross-reacting to Native GLP-10 Participants
Secondary

Occurence of Neutralising Liraglutide Antibodies

This outcome measure is only applicable for the Insulin degludec/liraglutide arm and liraglutide arm. Neutralising antibodies were assessed when the corresponding anti-Liraglutide antibody were positive at week 27. Number of participants who measured with neutralising liraglutide antibodies at week 27 are presented.

Time frame: Week 27

Population: SAS included all participants who received at least one dose of insulin degludec/liraglutide, insulin degludec or liraglutide. Overall number of participants analyzed = participants with available data.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideOccurence of Neutralising Liraglutide Antibodies9 Participants
Insulin DegludecOccurence of Neutralising Liraglutide Antibodies8 Participants
Secondary

Occurence of Total Insulin Antibodies

This outcome measure is only applicable for the Insulin degludec/liraglutide arm and Insulin degludec arm. Serum samples were analysed for the presence of antobodies to human insulin. Results at week 27 are presented as percentage of bound radioactive-labelled insulin (B) /total radioactive-labelled insulin added to the samples (T).

Time frame: Week 27

Population: SAS included all participants who received at least one dose of insulin degludec/liraglutide or insulin degludec. Overall number of participants analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
Insulin Degludec/LiraglutideOccurence of Total Insulin Antibodies6.83 %B/TStandard Deviation 15.78
Insulin DegludecOccurence of Total Insulin Antibodies3.11 %B/TStandard Deviation 11.42
Secondary

Participants Who Achieved HbA1c ≤ 6.5% and Change From Baseline in Body Weight Below or Equal to Zero

Number of participants who achieved IDF HbA1c target (HbA1c ≤ 6.5%) (yes/no) and change from baseline in body weight below or equal to zero after 26 weeks are presented. Missing values are imputed by LOCF.

Time frame: Week 26

Population: FAS included all randomised participants.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideParticipants Who Achieved HbA1c ≤ 6.5% and Change From Baseline in Body Weight Below or Equal to ZeroYes111 Participants
Insulin Degludec/LiraglutideParticipants Who Achieved HbA1c ≤ 6.5% and Change From Baseline in Body Weight Below or Equal to ZeroNo250 Participants
Insulin DegludecParticipants Who Achieved HbA1c ≤ 6.5% and Change From Baseline in Body Weight Below or Equal to ZeroYes21 Participants
Insulin DegludecParticipants Who Achieved HbA1c ≤ 6.5% and Change From Baseline in Body Weight Below or Equal to ZeroNo158 Participants
LiraglutideParticipants Who Achieved HbA1c ≤ 6.5% and Change From Baseline in Body Weight Below or Equal to ZeroYes37 Participants
LiraglutideParticipants Who Achieved HbA1c ≤ 6.5% and Change From Baseline in Body Weight Below or Equal to ZeroNo143 Participants
Secondary

Participants Who Achieved HbA1c ≤ 6.5%, International Diabetes Federation (IDF) Target (Yes/no)

Number of participants who achieved IDF HbA1c target (HbA1c ≤ 6.5%) (yes/no) after 26 weeks of treatment are presented.

Time frame: Week 26

Population: FAS included all randomised participants. Overall number of participants analysed = number of participants with available data.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideParticipants Who Achieved HbA1c ≤ 6.5%, International Diabetes Federation (IDF) Target (Yes/no)Yes201 Participants
Insulin Degludec/LiraglutideParticipants Who Achieved HbA1c ≤ 6.5%, International Diabetes Federation (IDF) Target (Yes/no)No140 Participants
Insulin DegludecParticipants Who Achieved HbA1c ≤ 6.5%, International Diabetes Federation (IDF) Target (Yes/no)Yes48 Participants
Insulin DegludecParticipants Who Achieved HbA1c ≤ 6.5%, International Diabetes Federation (IDF) Target (Yes/no)No119 Participants
LiraglutideParticipants Who Achieved HbA1c ≤ 6.5%, International Diabetes Federation (IDF) Target (Yes/no)Yes41 Participants
LiraglutideParticipants Who Achieved HbA1c ≤ 6.5%, International Diabetes Federation (IDF) Target (Yes/no)No110 Participants
Secondary

Participants Who Achieved HbA1c ≤ 6.5% Without Severe or BG Confirmed Episodes and Change From Baseline in Body Weight Below or Equal to Zero.

Severe or BG confirmed hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a PG value \< 3.1 mmol/L with or without symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Number of participants who achieved IDF HbA1c target (HbA1c ≤ 6.5%) (yes/no) after 26 weeks of treatment without severe or BG confirmed hypoglycaemic episodes during the last 12 weeks of treatment and with change from baseline in body weight below or equal to zero are presented. Missing values are imputed by LOCF.

Time frame: Week 26

Population: FAS included all randomised participants.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideParticipants Who Achieved HbA1c ≤ 6.5% Without Severe or BG Confirmed Episodes and Change From Baseline in Body Weight Below or Equal to Zero.Yes103 Participants
Insulin Degludec/LiraglutideParticipants Who Achieved HbA1c ≤ 6.5% Without Severe or BG Confirmed Episodes and Change From Baseline in Body Weight Below or Equal to Zero.No258 Participants
Insulin DegludecParticipants Who Achieved HbA1c ≤ 6.5% Without Severe or BG Confirmed Episodes and Change From Baseline in Body Weight Below or Equal to Zero.Yes21 Participants
Insulin DegludecParticipants Who Achieved HbA1c ≤ 6.5% Without Severe or BG Confirmed Episodes and Change From Baseline in Body Weight Below or Equal to Zero.No158 Participants
LiraglutideParticipants Who Achieved HbA1c ≤ 6.5% Without Severe or BG Confirmed Episodes and Change From Baseline in Body Weight Below or Equal to Zero.Yes36 Participants
LiraglutideParticipants Who Achieved HbA1c ≤ 6.5% Without Severe or BG Confirmed Episodes and Change From Baseline in Body Weight Below or Equal to Zero.No144 Participants
Secondary

Participants Who Achieved HbA1c ≤ 6.5% Without Severe or BG Confirmed Hypoglycaemic Episodes

Severe or BG confirmed hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a PG value \< 3.1 mmol/L with or without symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Number of participants who achieved IDF HbA1c target (HbA1c ≤ 6.5%) (yes/no) after 26 weeks of treatment and without severe or BG confirmed hypoglycaemic episodes during the last 12 weeks of treatment are presented. Missing values are imputed by LOCF.

Time frame: Week 26

Population: FAS included all randomised participants.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideParticipants Who Achieved HbA1c ≤ 6.5% Without Severe or BG Confirmed Hypoglycaemic EpisodesYes195 Participants
Insulin Degludec/LiraglutideParticipants Who Achieved HbA1c ≤ 6.5% Without Severe or BG Confirmed Hypoglycaemic EpisodesNo166 Participants
Insulin DegludecParticipants Who Achieved HbA1c ≤ 6.5% Without Severe or BG Confirmed Hypoglycaemic EpisodesYes46 Participants
Insulin DegludecParticipants Who Achieved HbA1c ≤ 6.5% Without Severe or BG Confirmed Hypoglycaemic EpisodesNo133 Participants
LiraglutideParticipants Who Achieved HbA1c ≤ 6.5% Without Severe or BG Confirmed Hypoglycaemic EpisodesYes43 Participants
LiraglutideParticipants Who Achieved HbA1c ≤ 6.5% Without Severe or BG Confirmed Hypoglycaemic EpisodesNo137 Participants
Secondary

Participants Who Achieved HbA1c < 7.0%, American Diabetes Association (ADA) Target (Yes/no)

Number of participants who achieved ADA HbA1c target (HbA1c \< 7.0%) (yes/no) after 26 weeks of treatment are presented.

Time frame: Week 26

Population: FAS included all randomised participants. Overall number of participants analysied = number of participants with available data.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideParticipants Who Achieved HbA1c < 7.0%, American Diabetes Association (ADA) Target (Yes/no)Yes272 Participants
Insulin Degludec/LiraglutideParticipants Who Achieved HbA1c < 7.0%, American Diabetes Association (ADA) Target (Yes/no)No69 Participants
Insulin DegludecParticipants Who Achieved HbA1c < 7.0%, American Diabetes Association (ADA) Target (Yes/no)Yes83 Participants
Insulin DegludecParticipants Who Achieved HbA1c < 7.0%, American Diabetes Association (ADA) Target (Yes/no)No84 Participants
LiraglutideParticipants Who Achieved HbA1c < 7.0%, American Diabetes Association (ADA) Target (Yes/no)Yes80 Participants
LiraglutideParticipants Who Achieved HbA1c < 7.0%, American Diabetes Association (ADA) Target (Yes/no)No71 Participants
Secondary

Participants Who Achieved HbA1c <7.0% and Change in Body Weight From Baseline Below or Equal to Zero

Number of participants who achieved ADA HbA1c target (HbA1c \< 7.0%) (yes/no) and change from baseline in body weight below or equal to zero after 26 weeks are presented. Missing values are imputed by LOCF.

Time frame: Week 26

Population: FAS included all randomised participants.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideParticipants Who Achieved HbA1c <7.0% and Change in Body Weight From Baseline Below or Equal to ZeroYes147 Participants
Insulin Degludec/LiraglutideParticipants Who Achieved HbA1c <7.0% and Change in Body Weight From Baseline Below or Equal to ZeroNo214 Participants
Insulin DegludecParticipants Who Achieved HbA1c <7.0% and Change in Body Weight From Baseline Below or Equal to ZeroNo145 Participants
Insulin DegludecParticipants Who Achieved HbA1c <7.0% and Change in Body Weight From Baseline Below or Equal to ZeroYes34 Participants
LiraglutideParticipants Who Achieved HbA1c <7.0% and Change in Body Weight From Baseline Below or Equal to ZeroYes74 Participants
LiraglutideParticipants Who Achieved HbA1c <7.0% and Change in Body Weight From Baseline Below or Equal to ZeroNo106 Participants
Secondary

Participants Who Achieved HbA1c < 7.0% Without Severe or BG Confirmed Episodes, and Change From Baseline in Body Weight Below or Equal to Zero.

Severe or BG confirmed hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a PG value \< 3.1 mmol/L with or without symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Number of participants who achieved ADA HbA1c target (HbA1c \< 7.0%) (yes/no) after 26 weeks of treatment without severe or BG confirmed hypoglycaemic episodes during the last 12 weeks of treatment and with change from baseline in body weight below or equal to zero are presented. Missing values are imputed by LOCF.

Time frame: Week 26

Population: FAS included all randomised participants.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideParticipants Who Achieved HbA1c < 7.0% Without Severe or BG Confirmed Episodes, and Change From Baseline in Body Weight Below or Equal to Zero.Yes136 Participants
Insulin Degludec/LiraglutideParticipants Who Achieved HbA1c < 7.0% Without Severe or BG Confirmed Episodes, and Change From Baseline in Body Weight Below or Equal to Zero.No225 Participants
Insulin DegludecParticipants Who Achieved HbA1c < 7.0% Without Severe or BG Confirmed Episodes, and Change From Baseline in Body Weight Below or Equal to Zero.Yes33 Participants
Insulin DegludecParticipants Who Achieved HbA1c < 7.0% Without Severe or BG Confirmed Episodes, and Change From Baseline in Body Weight Below or Equal to Zero.No146 Participants
LiraglutideParticipants Who Achieved HbA1c < 7.0% Without Severe or BG Confirmed Episodes, and Change From Baseline in Body Weight Below or Equal to Zero.Yes72 Participants
LiraglutideParticipants Who Achieved HbA1c < 7.0% Without Severe or BG Confirmed Episodes, and Change From Baseline in Body Weight Below or Equal to Zero.No108 Participants
Secondary

Participants Who Achieved HbA1c < 7.0% Without Severe or Blood Glucose (BG) Confirmed Hypoglycaemic Episodes

Severe or BG confirmed hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a PG value \<3.1 mmol/L with or without symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Number of participants who achieved ADA HbA1c target (HbA1c \<7.0%) (yes/no) after 26 weeks of treatment and without severe or BG confirmed hypoglycaemic episodes during the last 12 weeks of treatment are presented. Missing values are imputed by LOCF.

Time frame: Week 26

Population: FAS included all randomised participants.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideParticipants Who Achieved HbA1c < 7.0% Without Severe or Blood Glucose (BG) Confirmed Hypoglycaemic EpisodesYes265 Participants
Insulin Degludec/LiraglutideParticipants Who Achieved HbA1c < 7.0% Without Severe or Blood Glucose (BG) Confirmed Hypoglycaemic EpisodesNo96 Participants
Insulin DegludecParticipants Who Achieved HbA1c < 7.0% Without Severe or Blood Glucose (BG) Confirmed Hypoglycaemic EpisodesYes80 Participants
Insulin DegludecParticipants Who Achieved HbA1c < 7.0% Without Severe or Blood Glucose (BG) Confirmed Hypoglycaemic EpisodesNo99 Participants
LiraglutideParticipants Who Achieved HbA1c < 7.0% Without Severe or Blood Glucose (BG) Confirmed Hypoglycaemic EpisodesYes84 Participants
LiraglutideParticipants Who Achieved HbA1c < 7.0% Without Severe or Blood Glucose (BG) Confirmed Hypoglycaemic EpisodesNo96 Participants
Secondary

Plasma Concentration of Liraglutide

This outcome measure is for Insulin degludec/liraglutide and liraglutide arms. Serum samples from the Insulin degludec/liraglutide and liraglutide arms were assayed using population PK analysis. The Cmax are summarised for the two arms.

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall number of participants analysed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Insulin Degludec/LiraglutidePlasma Concentration of Liraglutide9963 pmol/LGeometric Coefficient of Variation 50.4
Insulin DegludecPlasma Concentration of Liraglutide21602 pmol/LGeometric Coefficient of Variation 37
Secondary

Serum Concentrations of Insulin Degludec

This outcome measure is applicable for Insulin degludec and Insulin degludec/liraglutide arms. Serum samples from the Insulin degludec/liraglutide and Insulin degludec arms were assayed using population PK analysis. The maximum serum concentrations (Cmax) are summarised for the two arms.

Time frame: Week 0, week 26

Population: FAS included all randomised participants. Overall the number of participants analysed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Insulin Degludec/LiraglutideSerum Concentrations of Insulin Degludec3583 pmol/LGeometric Coefficient of Variation 55.9
Insulin DegludecSerum Concentrations of Insulin Degludec4133 pmol/LGeometric Coefficient of Variation 52.8
Secondary

Urinalysis (Protein, Glucose, Erythrocytes and Ketones)

The urinalysis assessment was the measurements of protein, glucose, erythrocytes and ketones in urine at baseline (week 0) and week 26 and categorised as negative, trace and positive. Number of participants in each category at week 0 and week 26 is presented.

Time frame: Week 0, week 26

Population: SAS included all participants who received at least one dose of insulin degludec/liraglutide, insulin degludec or liraglutide. Number of participants analysed = number of participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: GlucoseNegative253 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ErythrocytesTrace36 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ErythrocytesPositive22 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ErythrocytesNegative297 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ErythrocytesTrace28 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ErythrocytesPositive14 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ErythrocytesNegative299 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: GlucoseTrace35 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: GlucosePositive69 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: GlucoseNegative322 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: GlucoseTrace11 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: GlucosePositive6 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: KetonesNegative325 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: KetonesTrace25 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: KetonesPositive7 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: KetonesNegative334 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: KetonesTrace4 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: KetonesPositive1 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ProteinNegative216 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ProteinTrace86 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ProteinPositive55 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ProteinNegative254 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ProteinTrace58 Participants
Insulin Degludec/LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ProteinPositive27 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ProteinNegative120 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ErythrocytesNegative153 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: KetonesNegative152 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: KetonesTrace3 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ErythrocytesTrace16 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: GlucoseTrace3 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ProteinPositive31 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ErythrocytesPositive6 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: KetonesTrace20 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ProteinTrace26 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ErythrocytesNegative146 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: GlucoseNegative157 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: KetonesPositive1 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ErythrocytesTrace16 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: KetonesPositive3 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: GlucosePositive7 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ErythrocytesPositive5 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: GlucosePositive37 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ProteinPositive21 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: GlucoseNegative119 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: KetonesNegative163 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ProteinNegative104 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: GlucoseTrace19 Participants
Insulin DegludecUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ProteinTrace40 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: GlucoseTrace18 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: GlucosePositive39 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: GlucoseNegative131 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: GlucoseTrace5 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ProteinTrace37 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: GlucosePositive15 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ProteinTrace28 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: KetonesNegative167 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: KetonesTrace11 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ProteinPositive27 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: KetonesPositive2 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ProteinPositive18 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: KetonesNegative141 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ErythrocytesNegative156 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ErythrocytesTrace16 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: KetonesTrace10 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ErythrocytesPositive8 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ProteinNegative105 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ErythrocytesNegative136 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ErythrocytesTrace11 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: KetonesPositive0 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 26: ErythrocytesPositive4 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: GlucoseNegative123 Participants
LiraglutideUrinalysis (Protein, Glucose, Erythrocytes and Ketones)Week 0: ProteinNegative116 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026