INITIATING/SWITCHING TO INSULIN DEGLUDEC/INSULIN ASPART (IDEGASP) IN MALAYSIAN PATIENTS WITH TYPE 2 DIABETES IN REAL-WORLD SETTING

Authors

  • Mafauzy Mohamed Universiti Sains Malaysia, Kota Bharu, Malaysia
  • Siang Chin Lim Mahkota Medical Centre, Melaka, Malaysia
  • Malik Mumtaz Island Hospital, Penang Malaysia
  • Shweta Uppal Novo Nordisk Pharma (Malaysia) Sdn Bhd
  • Deepak Mukherjee Novo Nordisk Pharma (Malaysia) Sdn Bhd
  • Mohamed Saiful Mohd Kassim Gleneagles Hospital Kuala Lumpur, Malaysia
  • Shalini Sreedharan Pantai Hospital Sungai Petani, Malaysia
  • Amudha Murugan Doraiswamy Pantai Hospital, Ayer Keroh, Malaysia
  • Kuck Meng Chong Klinik Chong Slim River, Malaysia
  • Lu Yu Tat Klinik Remedic, Kangar, Malaysia
  • Sudzilla Binti Nordin Kota Bharu Medical Centre, Kota Bharu, Kelantan, Malaysia
  • Jeshen Lau Hui Giek Borneo Medical Centre, Kuching, Sarawak, Malaysia
  • Zanariah Hussein Putrajaya Hospital, Putrajaya, Malaysia
  • Khalid Bin Tan Sri Abdul Kadir Thomson Hospital Kota Damansara, Malaysia
  • Bik Lau KPJ Kuching Specialist Hospital, Malaysia
  • Siew Pheng Chan Subang Jaya Medical Center, Selangor, Malaysia

Keywords:

IDEGASP, type 2 diabetes, real-world setting

Abstract

INTRODUCTION
IDegAsp, a co-formulation of long acting basal (insulin degludec) and rapid-acting bolus (insulin aspart) insulin is used for treating patients with type 2 diabetes mellitus (T2DM) not adequately controlled by previous anti-hyperglycaemic treatments (AHTs). The current study is a subgroup analysis of the Malaysian cohort of patients from the earlier 26-week prospective, multicentre, non- interventional ARISE study that investigated the effect of IDegAsp on glycaemic control in patients with T2DM initiated or switched to IDegAsp from previous AHTs in a real world setting in six countries, including Malaysia.

METHODOLOGY
Adult patients (>18 years old) with T2DM using any AHTs except IDegAsp were enrolled. Patients received IDegAsp according to their physicians’ discretion. Primary endpoint was change in glycosylated haemoglobin (HbA1c) levels from baseline to end of the study (EOS, 26 weeks).

RESULTS
Overall, 182 out of the 205 enrolled patients (mean [SD] age: 56.4 [11.9] years) completed the study (95 men, 52.2%). Mean (SD) duration of T2DM was 11.2 (7.99) years. A total of 93 (51.1%) patients received IDegAsp once daily and 89 (48.9%) patients received twice daily at treatment initiation (mean (SD) daily dose: 29.1 [19.7] U). HbA1c levels were significantly reduced from baseline to EOS (mean [SE] estimated change from baseline: –1.3% [0.18]; p<0.0001). Consistent with this finding, FPG levels were also significantly reduced from baseline to EOS (mean [SE] estimated change from baseline: –1.8 [0.34] mmol/L; p<0.0001). The incidence of overall and nocturnal non-severe and severe hypoglycaemic events and the number of patients experiencing these events were also reduced from baseline to EOS.

CONCLUSION
In the Malaysian cohort, initiating or switching to IDegAsp in patients with T2DM demonstrated significant improvements in glycaemic control and numerically lower rates of non-severe and severe hypoglycaemic events.

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Published

2022-07-15

How to Cite

Mohamed, M., Lim, S. C., Mumtaz, M., Uppal, S., Mukherjee, D., Mohd Kassim, M. S., Sreedharan, S., Doraiswamy, A. M., Chong, K. M. ., Tat, L. Y., Binti Nordin, S. ., Giek, J. L. H., Hussein, Z., Abdul Kadir, . K. B. T. S. ., Lau, B., & Chan, S. P. (2022). INITIATING/SWITCHING TO INSULIN DEGLUDEC/INSULIN ASPART (IDEGASP) IN MALAYSIAN PATIENTS WITH TYPE 2 DIABETES IN REAL-WORLD SETTING. Journal of the ASEAN Federation of Endocrine Societies, 37(S2), 25. Retrieved from https://asean-endocrinejournal.org/index.php/JAFES/article/view/2273

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