Evidence mapPaperPMID 38717577Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2024

SPIRIT: Assessing Clinical Parameters Associated with Using IDegLira in Patients with Type 2 Diabetes in a Real-World Setting in Colombia.

Alex Ramírez-Rincón, Diana Henao-Carrillo, Miguel Omeara, Julio Oliveros, José Assaf, Jaime E Ordóñez, Preethy Prasad, María Alejandra Alzate

Registry-linked trialAbstract read
In one paragraph

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05324462 (Glycaemic Control and Other Clinical Parameters in Adult Type 2 Diabetes Patients on Basal Insulin Initiating Treatment With IDegLira in Routine Clinical Practice in Colombia - A Single-arm, Non-interventional Retrospective Chart Review Study), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05324462 completednot on this map

Glycaemic Control and Other Clinical Parameters in Adult Type 2 Diabetes Patients on Basal Insulin Initiating Treatment With IDegLira in Routine Clinical Practice in Colombia - A Single-arm, Non-interventional Retrospective Chart Review Study

TypeobservationalSponsorNovo Nordisk A/SRan2022 to 2022Enrolled175ConditionsDiabetes Mellitus, Type 2ArmsIDegLira
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alex Ramírez-RincónUniversidad Pontificia Bolivariana, Medellín, Colombia.ORCID http://orcid.org/0000-0002-3925-6201
Diana Henao-CarrilloPontificia Universidad Javeriana, Bogotá D.C., Colombia.ORCID http://orcid.org/0000-0002-1353-148X
Miguel OmearaUniversidad del Rosario, Bogotá D.C., Colombia.ORCID http://orcid.org/0000-0002-8345-6155
Julio OliverosUniversidad Autónoma de Bucaramanga, Bucaramanga, Colombia.
José AssafUniversidad Autónoma de Bucaramanga, Bucaramanga, Colombia.
Jaime E OrdóñezTrue Consulting, Medellín, Colombia.ORCID http://orcid.org/0000-0002-4425-2555
Preethy PrasadNovo Nordisk Global Business Services, Bangalore, India.
María Alejandra AlzateNovo Nordisk LATAM Regional Office, Calle 125 #19-24, Bogotá, Colombia. ma.alzate20@gmail.com.ORCID http://orcid.org/0009-0006-6247-6049

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInsulin degludec/liraglutide (IDegLira) is a fixed-ratio combination of insulin degludec (a basal insulin) and liraglutide (a glucagon-like peptide-1 receptor agonist [GLP-1RA]). This study aimed to investigate clinical outcomes in people with type 2 diabetes mellitus (T2DM) after initiating IDegLira treatment in a real-world setting in Colombia.

methodsSPIRIT is a non-interventional, single-arm, retrospective chart review study to assess clinical outcomes in people with T2DM. Participating patients were switched from a treatment regimen of basal insulin (with or without oral antidiabetics [OADs]) and started on treatment with IDegLira a minimum of 26 ± 6 weeks before the data collection start date. Data were collected from the medical records of 175 patients in ten clinical centers across Colombia.

resultsCompared with baseline, there was a significant reduction in glycated hemoglobin (HbA1c) (1.3%; 95% confidence interval [CI] - 1.6 to - 1.0; p < 0.0001) after 26 ± 6 weeks of follow-up. The mean HbA1c at baseline and at the end of the study was 9.1% and 7.8%, respectively. In addition, IDegLira significantly reduced absolute body weight by 1 kg (95% CI - 1.5 to - 0.5; p < 0.0001), from a mean of 76.1 kg at baseline to 75.1 kg after follow-up. The mean IDegLira dose at the end of the study was 21.3 U, and no severe hypoglycemic events were observed during the follow-up period.

conclusionIn real-world practice, initiating IDegLira in patients with T2DM previously treated with basal insulin (± OAD) was associated with improved glycemic control, reduced body weight and reduced risk of hypoglycemia.

trial registrationClinicalTrials.gov identifier: NCT05324462.

Indexed as

Body weightEvidence-based practiceGlycemic controlHypoglycemiaIDegLiraType 2 diabetes mellitus

Identifiers

PMID38717577
PMCPMC11211291

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.