期刊
DIABETIC MEDICINE
卷 28, 期 6, 页码 715-723出版社
WILEY
DOI: 10.1111/j.1464-5491.2011.03276.x
关键词
exenatide; liraglutide; patient-reported outcomes; Type 2 diabetes
资金
- Roche
- Novartis
- Eli Lilly
- Novo-Nordisk
- Schering-Plough
- Takeda
- AstraZeneca
- Eisai
- Merck Sharp Dohme
- Falk Foundation
- Bristol Meyers Squibb
- Berlin Chemie
- Novo Nordisk
- Pfizer
- Novo Nordisk A/S (Bagsvaerd, Denmark)
P>Aims The Liraglutide Effect and Action in Diabetes 6 trial was an open-label trial comparing liraglutide with exenatide as an 'add-on' to metformin and/or sulphonylurea. Methods Patients with Type 2 diabetes were randomized to liraglutide 1.8 mg once daily or exenatide 10 mu g twice daily for 26 weeks. This was followed by a 14-week extension phase, in which all patients received liraglutide 1.8 mg once daily. Results Patient-reported outcomes were measured in 379 patients using Diabetes Treatment Satisfaction Questionnaire status (DTSQs) and DTSQ change (DTSQc). The change in overall treatment satisfaction (DTSQs score) from baseline at week 26 with liraglutide was 4.71 and with exentaide was 1.66 [difference between groups 3.04 (95% CI 1.73-4.35), P < 0.0001]. Five of the six items on the DTSQs improved significantly more with liraglutide than with exenatide (differences: current treatment 0.37, P = 0.0093; convenience 0.68, P < 0.0001; flexibility 0.57, P = 0.0002; recommend 0.49, P = 0.0003; continue 0.66, P = 0.0001). Patients perceived a greater reduction in hypoglycaemia at week 26 with liraglutide than with exenatide [difference in DTSQc score 0.48 (0.08-0.89), P = 0.0193] and a greater reduction in perceived hyperglycaemia [difference 0.74 (0.31-1.17), P = 0.0007]. During the extension phase, when all patients received liraglutide, DTSQs scores remained stable in patients who continued on liraglutide and increased significantly (P = 0.0026) in those switching from exenatide. Conclusions These results demonstrate significant improvements in patients' treatment satisfaction with liraglutide compared with exenatide.
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