Initiating or switching to insulin degludec/insulin aspart in adults with type 2 diabetes in the Philippines
- Author:
Nemencio Nicodemus Jr.
1
;
Nerissa Ang-Golangco
2
;
Grace Aquitania
3
;
Gregory Joseph Ryan Ardeña
4
;
Oliver Allan Dampil
5
;
Richard Elwyn Fernando
6
;
Nicole-therese Flor
7
;
Sjoberg Kho
8
;
Bien Matawaran
8
;
Roberto Mirasol
1
;
Araceli Panelo
9
;
Francis Pasaporte
10
;
Mercerose Puno-Rocamora
7
;
Ahsan Shoeb
7
;
Marsha Tolentino
11
Author Information
- Publication Type:Journal Article
- Keywords: Insulin Aspart Drug Combination
- MeSH: Human; Insulin Aspart; Insulin Degludec; Diabetes Mellitus, Type 2
- From: Journal of the ASEAN Federation of Endocrine Societies 2024;39(2):61-69
- CountryPhilippines
- Language:English
-
Abstract:
OBJECTIVES
Blood glucose levels of the majority of Filipino patients with type 2 diabetes (T2D) remain uncontrolled. Insulin degludec/insulin aspart (IDegAsp) is a fixed‑ratio coformulation of the long‑acting basal insulin degludec and the rapid acting prandial insulin aspart. The realworld ARISE (A Ryzodeg® Initiation and Switch Effectiveness) study investigated clinical outcomes across six countries in people with T2D who initiated IDegAsp. This publication presents the clinical outcomes of the Filipino cohort from a subgroup analysis of the ARISE study.
METHODOLOGYThis 26-week, openlabel, noninterventional study examined outcomes in adults with T2D initiating or switching to IDegAsp (N=185) from other antidiabetic treatments per local clinical guidance.
RESULTSCompared with the baseline, there was a significant improvement in glycated hemoglobin at the end of the study (EOS) (estimated difference [ED] −1.4 [95% confidence interval −1.7, −1.1]; P < 0.0001). Fasting plasma glucose (ED −46.1 mg/dL [−58.2, −34.0]; P < 0.0001) and body weight (ED −1.0 kg [−2.0, −0.1]; P = 0.028) were significantly reduced at EOS compared with baseline. IDegAsp was associated with a decrease in the incidence of selfreported healthcare resource utilization. Adverse events were reported in eight (4.3%) participants.
CONCLUSIONInitiating or switching to IDegAsp was associated with improved glycemic control, lower body weight, and lower HRU for people with T2D in the Philippines. No new, unexpected AEs were reported.
- Full text:20241217115508240704.pdf