The Lancet Publishes Direct Comparison Study Between Liraglutide and Exenatide
2009年6月9日 - 6:50AM
PRニュース・ワイアー (英語)
NEW ORLEANS, June 8 /PRNewswire/ -- Today, The Lancet published
online the results of the Novo Nordisk (NVO) LEAD(TM) 6 study, a
direct comparison between two products in a new class of diabetes
treatments, the GLP-1 receptor agonists. Results show that patients
treated with liraglutide had a statistically greater drop in A1C
than those who received exenatide. The study compared liraglutide,
a human GLP-1 analog, which is under investigation as a treatment
for type 2 diabetes, to exenatide, the currently marketed GLP-1
receptor agonist. "Because of the differences in how the body
absorbs and eliminates these two compounds, we were very interested
to see if there were clinically meaningful differences in the
effect in people with diabetes," said Dr. John Buse, chief of
endocrinology and director of the Diabetes Care Center at the
University of North Carolina School of Medicine, and one of the
principal investigators in the study. "The clinical benefits that
liraglutide provides -- from greater glucose lowering to weight
loss to better tolerability and improvements in beta-cell function
-- represent a clinically meaningful treatment advance for patients
with type 2 diabetes." LEAD(TM) 6 was a randomized, open-label
study comparing the efficacy and safety of liraglutide 1.8
milligrams, once a day, to exenatide 10 micrograms, twice a day.
Treatment with liraglutide led to a statistically significantly
greater drop in A1C of 1.12% compared to 0.79% in the exenatide
group, and liraglutide was also significantly better than exenatide
at lowering fasting plasma glucose (-1.61 mmol/L vs -0.60 mmol/L)
in this typical type 2 diabetes population. The study comprised 464
patients who were not reaching recommended blood sugar targets on
either the maximally tolerated doses of metformin, sulphonylurea,
or both, which are standard oral antidiabetic medications currently
available. Both treatments led to a weight reduction of on average
3 kg during the 26-week study. Nausea was the most commonly
reported adverse event with both treatments but the study results
showed that there was less persistent nausea and fewer minor
hypoglycemic events with liraglutide compared to exenatide. The
most common adverse events reported in both groups were diarrhea,
indigestion, nausea, common cold and headache. Novo Nordisk
announced results from the LEAD(TM) 6 study in a stock exchange
announcement dated June 6, 2008 and a press release dated October
17, 2008. About liraglutide Once-daily liraglutide is the first
human glucagon-like peptide-1 (GLP-1) analog developed for the
treatment of type 2 diabetes. Liraglutide works by stimulating the
release of insulin only when blood sugar levels are high. Weight
loss with liraglutide is attributed to the fact that it slows
gastric emptying and leads to increased satiety after meals.
Liraglutide is naturally broken down in the body and does not
require renal excretion. On May 23, 2008, Novo Nordisk submitted a
New Drug Application to the Food and Drug Administration (FDA) in
the U.S., as well as a marketing authorization application to the
European Medicines Agency (EMEA), for the approval of liraglutide
for the treatment of people with type 2 diabetes. A New Drug
Application was also submitted for approval in Japan on July 14,
2008. On April 23, 2009, Novo Nordisk announced that the Committee
for Medicinal Products for Human Use (CHMP) under the EMEA adopted
a positive opinion, recommending marketing authorization of
liraglutide for treatment of type 2 diabetes in Europe. In the
U.S., a regulatory decision is pending. Novo Nordisk is a
healthcare company and a world leader in diabetes care. In
addition, Novo Nordisk has a leading position within areas such as
hemostasis management, growth hormone therapy and hormone
replacement therapy. Novo Nordisk manufactures and markets
pharmaceutical products and services that make a significant
difference to patients, the medical profession and society. With
headquarters in Denmark, Novo Nordisk employs approximately 27,900
employees in 81 countries, and markets its products in 179
countries. Novo Nordisk's B shares are listed on the stock
exchanges in Copenhagen and London. Its ADRs are listed on the New
York Stock Exchange under the symbol 'NVO'. For more information,
visit novonordisk.com. DATASOURCE: Novo Nordisk CONTACT: Media,
Elin K. Hansen, +45-4442-3450, , or Investors, Mads Veggerby
Lausten, +45-4443-7919, , or Kasper Roseeuw Poulsen, +45-4442-4471,
, or In North America, Media, An Phan, +1-609-558-0420, , or
Investors, Hans Rommer, +1-609-919-7937, , all of Novo Nordisk Web
Site: http://novonordisk.com/
Copyright