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Liraglutide and Heart Failure in Type 2 Diabetes
Effects on Subclinical Heart Failure in Type 2 Diabetic Subjects on Liraglutide Treatment Versus Glimepiride Both in Combination With Metformin
Lead sponsor
Asset
Liraglutide
Subcutaneous · GLP-1 agonist
Listed sites
2
Recruiting sites
—
Enrollment
62
actual
Study population
Heart failure, Type 2 diabetes
Key I/E criterion
•EF ≤50%
Primary endpoint
•Left ventricle longitudinal function and/or functional reserve during rest
Footprint
Where this trial recruits
Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.
Identifiers
Registered as
Timeline
Milestones
Assets
Investigational agents
Study populations
Who this study enrolls
Eligibility
Who can enroll
Inclusion criteria
1. Type 2 diabetes.
2. Heart Failure, visualized with echocardiography, one of the following (2.1, 2.2 or 2.3).
3. HbA1c (accordingly to IFCC) 47 mmol/mol - 95 mmol/mol.
4. If antihypertensive treatment, the medication has to be stable, no change, for the last 1 month.
5. Male and female subjects, 18-80 years of age.
6. Signed informed consent form.
Exclusion criteria
1. Type 1 diabetes (autoantibody positive).
2. Any history of receiving GLP-1 analogues or dipeptidyl peptidase inhibitors (DPP-IV inhibitor) or glimeperide.
3. Previous treatment with glitazones within 6 months.
4. Previous treatment with other sulphonylurea within 3 months.
5. Previous treatment with insulin (any regimen) within 1 month.
6. Known severe heart failure, classified as NYHA 3-4.
7. Significant ischemic heart disease (defined as angina-limited exercise or unstable angina); documented acute myocardial infarction (MI) within the previous 8 weeks.
8. Active myocarditis; malfunctioning artificial heart valve.
9. Atria fibrillation or flutter
10. History of ventricular tachycardia within 3 months before study entry; second- or third-degree atrioventricular block.
11. Implanted pacemaker.
12. Supine systolic blood pressure <85 mm Hg or >200 mm Hg.
13. Primary renal impairment (creatinine clearance < 30 ml/min), or creatinine clearance < 60 ml/min if treated with metformin.
14. Uncorrected hypokalemia or hyperkalemia (potassium <3.5 mmol/l or >5.5 mmol/l).
15. Significant anemia (Hb < 90 g/l)
16. Treatment with another investigational agent within 30 days before study entry, judged by the investigator.
17. Severe gastrointestinal disease, including gastroparesis. As judged by the investigator.
18. Body mass index (BMI) > 40 kg/m2.
19. Malignant neoplasm requiring chemotherapy, surgery, radiation or palliative therapy in the previous 5 years. Patients with intraepithelial squamous cell carcinoma of the skin treated with topical 5FU and subjects with basal cell skin cancer are allowed to enter the trial.
20. Females of child bearing potential who are pregnant, breast-feeding or intend to become pregnant or are not using adequate contraceptive methods (adequate contraceptive measures as required by local law or practice).
21. Current drug and alcohol abuse.
22. History of acute or chronic pancreatitis
23. Subjects considered by the investigator to be unsuitable for the study.
Endpoints (14)
What's being measured
Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.
Coverage by outcome category
Weight & body composition
1 endpointBody weight
Time frame:18 weeks
descriptive, improvement
Glycemic / diabetes
1 endpointA1c
Time frame:18 week
HbA1c, change
change from baseline, improvement
LOINC 4548-4
Heart failure
3 endpointsLeft ventricle longitudinal function and/or functional reserve during rest and/or after exercise using tissue Doppler echocardiography
Time frame:18 weeks
descriptive
N-terminal pro b-type natriuretic peptide (NT-proBNP) levels in serum over time and symptoms of dyspnea or fatigue as assessed by patient and clinician using established scoring systems
Time frame:18 weeks
change from baseline, improvement
componentsNT-proBNP, change, PGI, change
Global LV function (echocardiography) expressed as ejection fraction (EF)
Time frame:18 weeks
descriptive
Cardiometabolic biomarkers
4 endpoints24-hour blood pressure
Time frame:18 weeks
descriptive, improvement
Plasma markers of inflammation i.e. hsCRP, IL-6, TNF-α and PAI-1
Time frame:18 weeks
hs-CRP, change
change from baseline, improvement
LOINC 30522-7
Plasma markers of endothelial activation i.e. E-selectin, VCAM-1, ICAM-1 and plasma levels of nitrate/nitrite
Time frame:18 weeks
change from baseline, improvement
Lipids
Time frame:18 weeks
change from baseline, improvement
Patient-reported / QoL
1 endpointQuality of life (SF 36)
Time frame:18 weeks
SF-36 total
change from baseline, improvement
Safety / tolerability / PK
1 endpointAdverse events in terms of hypoglycaemia
Time frame:18 weeks
descriptive, event
Other clinical outcomes
1 endpointExercise ECG, including working capacity
Time frame:18 weeks
descriptive
Other (unclassified)
2 endpointsEnergy delivering from the carotid artery
Time frame:18 weeks
descriptive
Gene and protein expression (Affymetrix/proteomics)
Time frame:18 weeks
descriptive
Publications (3)
Bibliography
Records linked to this trial through ClinicalTrials.gov references, PubMed NCT search, and curated study seeds. 'Canonical' marks design/result papers; others are registry references or candidates.
Registry references + supporting bibliography
- Diabetes & metabolism journal2023 Sep (month)PMID37349083doi:10.4093/dmj.2022.0342via clinicaltrials gov reference derived + pubmed nct search
- Cardiovascular diabetology2021 Dec 17PMID34920733doi:10.1186/s12933-021-01431-2via clinicaltrials gov reference derived + pubmed nct search
- Journal of the American Society of Hypertension : JASH2018 May (month)PMID29548934doi:10.1016/j.jash.2018.02.003via clinicaltrials gov reference derived + pubmed nct search
Provenance
Sources
Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.