#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

A fixed-ratio combination of insulin glargine 100 U/ml and lixisenatide (IGlarLixi) – a favourable way of intensification of basal insulin therapy and de-intensification of therapy by multiple daily administrations of insulin


Authors: Emil Martinka;  Mariana Rončáková;  Arash Davani;  Veronika Mikušová;  Anna Šromová
Authors‘ workplace: Národný endokrinologický a diabetologický ústav, n. o., Ľubochňa
Published in: Forum Diab 2020; 9(3): 169-175
Category: Review Article

Overview

Randomized clinical trials, studies from the routine clinical practice, as well as our own experience, have shown that a fixed combination of basal insulin and a GLP-1 receptor agonist can be considered an effective and safe choice of intensifying insufficient treatment with basal insulin and also justified “de-intensification” given the previous treatment with multiple daily doses of insulin, even in patients with unsatisfactory glycemic control and high insulin doses.

Keywords:

intensification – de-intensification – fixed-ratio combination – IGlarLixi


Sources
  1. [ADA]. 9. Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes-2020. Diabetes Care 2020; 43(Suppl 1): S98-S110. Dostupné z DOI: <https://doi.org/10.2337/dc20-S009>.
  2. Aroda VR, Rosenstock J, Wysham C et al. Efficacy and Safety of LixiLan, a Titratable Fixed-Ratio Combination of Insulin Glargine Plus Lixisenatide in Type 2 Diabetes Inadequately Controlled on Basal Insulin and Metformin: The LixiLan-L Randomized Trial. Diabetes Care 2016; 39(11): 1972–1980. Dostupné z DOI: <http://dx.doi.org/10.2337/dc16–1495>.
  3. Baggio LL, Drucker DJ. Biology of Incretins: GLP-1 and GIP. Gastroenterol 2007; 132(6): 2131–2157. Dostupné z DOI: <http://dx.doi.org/10.1053/j.gastro.2007.03.054>.
  4. Billings LK, Doshi A, Gouet D et al. Efficacy and Safety of IDegLira versus Basal-Bolus Insulin Therapy in Patients With Type 2 Diabetes Uncontrolled on Metformin and Basal Insulin: The DUAL VII Randomized Clinical Trial. Diabetes Care 2018; 41(5): 1009–1016. Dostupné z DOI: <http://dx.doi.org/10.2337/dc17–1114>.
  5. Blonde L, Rosenstock J, Del Prato S et al. Switching to IGlarLixi versus Continuing Daily or Weekly GLP-1 RA in Type 2 Diabetes Inadequately Controlled by GLP-1 RA and Oral Antihyperglycemic Therapy: The LixiLan-G Randomized Clinical Trial. Diabetes Care 2019; 42(11): 2108–2116. Dostupné z DOI: <http://dx.doi.org/10.2337/dc19–1357>.
  6. Haluzık M, Flekac M, Lengyel C et al. Expert Opinion on the Therapeutic Use of the Fixed-Ratio Combination of Insulin Glargine 100 U/mL and Lixisenatide: a Central/Eastern European Perspective. Diabetes Ther 2020; 11(4): 1029–1043 (2020). Dostupné z DOI: <http://dx.doi.org/10.1007/s13300–020–00777–2>.
  7. Home P, Blonde L, Kalra S et al. Insulin glargine/lixisenatide fixed‐ratio combination (IGlarLixi) compared with premix or addition of meal‐time insulin to basal insulin in people with type 2 diabetes: A systematic review and Bayesian network meta‐analysis. Diabetes Obes Metab 2020; 22(11): 2179–2188. Dostupné z DOI: <http://dx.doi.org/10.1111/dom.14148>.
  8. Martinka E, Tkáč I, Mokáň M (eds). Interdisciplinárne štandardy diagnostiky a liečby diabetes mellitus, jeho komplikácií a najvýznamnejších sprievodných ochorení. Forum Diab 2018; 7(2 Suppl 1).
  9. Meier, Anderson J, Wysham C et al. Propensity-Score Matched Patient-Level Comparison of IGlarLixi and Basal-Bolus Regimen in Patients with Type 2 Diabetes. 54th EASD Annual Meeting 2018. Abstract Book: P 786.
  10. [MZSR]. Zoznam kategorizovaných liekov. Dostupné z WWW: <https://www.health.gov.sk/Clanok?lieky202008>.
  11. Niswender KD. Basal insulin: beyond glycemia. Postgrad Med 2011; 123(4): 27–37. Dostupné z DOI: <http://dx.doi.org/10.3810/pgm.2011.07.2301>.
  12. Price H, Blüher M, Prager R et al. Use and Effectiveness of a Fixed-Ratio Combination of Insulin degludec/liraglutide (IDegLira) in a Real-World Population With Type 2 Diabetes: Results From a European, Multicentre, Retrospective Chart Review Study Diabetes Obes Metab 2018; 20(4): 954–962. Dostupné z DOI: <http://dx.doi.org/10.1111/dom.13182>.
  13. Rosenstock J, Guerci B, Hanefeld M et al. Prandial Options to Advance Basal Insulin Glargine Therapy: Testing Lixisenatide Plus Basal Insulin versus Insulin Glulisine Either as Basal-Plus or Basal-Bolus in Type 2 Diabetes: The GetGoal Duo-2 Trial. Diabetes Care 2016; 39(8): 1318–1328. Dostupné z DOI: <http://dx.doi.org/10.2337/dc16–0014>.
  14. SPC lieku Suliqua. Dostupné z WWW: <https://www.medicines.org.uk/emc/product/9870/smpc#gref>.
  15. Taybani Z, Bótyik B, Katkó M et al. Simplifying Complex Insulin Regimens While Preserving Good Glycemic Control in Type 2 Diabetes. Diabetes Ther 2019; 10(5): 1869–1878. Dostupné z DOI: <https://doi.org/10.1007/s13300–019–0673–8>.
  16. Taybani Z, Bótyik B, Katkó M et al. De-escalation of complex insulin regimens in well controlled patients with type 2 diabetes mellitus in everyday clinical practice. Diabetes, Stoffwechsel und Herz 2019; 28(8): 354–359. Dostupné z WWW: <https://ceda-diabetes.eu/wp-d8bc7-content/uploads/2020/06/DSH_2019_06_FID_CEDA_Science.pdf>.
  17. Wysham CH, Campos C, Kruger D. Safety and Efficacy of Insulin Degludec/Liraglutide (IDegLira) and Insulin Glargine U100/Lixisenatide (IGlarLixi), Two Novel Co-Formulations of a Basal Insulin and a Glucagon-Like Peptide-1 Receptor Agonist, in Patients With Diabetes Not Adequately Controlled on Oral Antidiabetic Medications. Clin Diabetes 2018; 36(2): 149–159. Dostupné z DOI: <http://dx.doi.org/10.2337/cd17–0064>.
Labels
Diabetology Endocrinology Internal medicine
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#