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Clinical trial information and results are updated daily from ClinicalTrials.gov. The latest data update was conducted on 01/23/2021.

Replication of the LEADER Diabetes Trial in Healthcare Claims

Clinicaltrials.gov identifier NCT03936049

Recruitment Status Active, not recruiting

First Posted May 3, 2019

Last update posted January 2, 2020

Study Description

Brief summary:

Investigators are building an empirical evidence base for real world data through large-scale replication of randomized controlled trials. The investigators' goal is to understand for what types of clinical questions real world data analyses can be conducted with confidence and how to implement such studies.

  • Condition or Disease:Diabetes
  • Intervention/Treatment: Drug: Liraglutide
    Drug: DPP-4 inhibitor
  • Phase: N/A
Detailed Description

This is a non-randomized, non-interventional study that is part of the RCT DUPLICATE initiative (www.rctduplicate.org) of the Brigham and Women's Hospital, Harvard Medical School. It is intended to replicate, as closely as is possible in healthcare insurance claims data, the trial listed below/above. Although many features of the trial cannot be directly replicated in healthcare claims, key design features, including outcomes, exposures, and inclusion/exclusion criteria, were selected to proxy those features from the trial. Randomization is also not replicable in healthcare claims data but was proxied through a statistical balancing of measured covariates according to standard practice. Investigators assume that the RCT provides the reference standard treatment effect estimate and that failure to replicate RCT findings is indicative of the inadequacy of the healthcare claims data for replication for a range of possible reasons and does not provide information on the validity of the original RCT finding.

Study Design
  • Study Type: Observational
  • Actual Enrollment: 168690 participants
  • Observational Model: Cohort
  • Time Perspective: Retrospective
  • Official Title: Replication of the LEADER Diabetes Trial in Healthcare Claims
  • Actual Study Start Date: September 2017
  • Estimated Primary Completion Date: September 2020
  • Estimated Study Completion Date: September 2020
Groups and Cohorts
Groups/Cohorts Intervention/treatment
: Liraglutide
Exposure group
Drug: Liraglutide
Liraglutide dispensing claim is used as the exposure group
: DPP-4 inhibitor
Reference group
Drug: DPP-4 inhibitor
DPP-4 inhibitor dispensing claim is used as the reference group
Outcome Measures
  • Primary Outcome Measures: 1. Relative hazard of composite outcome of Stroke, MI, and Mortality [ Time Frame: Through study completion (a median of 154-188 days) ]
    Relative hazard of composite outcome of MI, stroke, and mortality - Please refer to uploaded protocol for full definition due to size limitations.
Eligibility Criteria
  • Ages Eligible for Study: 50 Years and older (Adult, Older Adult)
  • Sexes Eligible for Study: All
  • Accepts Healthy Volunteers: No
  • Sampling Method: Non-Probability Sample
  • Study Population: This study will involve a new user, parallel group, cohort study design comparing liraglutide to the DPP4 inhibitor (DPP4i) antidiabetic class as a proxy for placebo. Both 2nd generation sulfonylureas (SUs) and DPP4is are not known to have an impact on the outcome of interest. The comparison against DPP4i is the primary comparison. Initiators of 2nd generation SUs are used as a secondary comparator group. The patients will be required to have continuous enrollment during the baseline period of 180 days before initiation of liraglutide or a comparator drug (cohort entry date). Follow-up for the outcome (3P-MACE), begins the day after drug initiation. As in the trial, patients are allowed to take other antidiabetic medications during the study.
Criteria

Please see: https://drive.google.com/drive/folders/1WD618wrywYjEaXzfLTcuK-VCcnb6b-gV for
full code and algorithm definitions.

Eligible cohort entry dates Market availability of liraglutide in the U.S. started on
January 20, 2010. For Marketscan and Medicare: January 20, 2010-Dec 31, 2016 (end of data
availability).

For Optum: January 20, 2010-Sep 30, 2017 (end of data availability).

Inclusion Criteria:

- Men or women with type 2 diabetes

- Either of the following:

- Prior cardiovascular disease cohort: Age ≥ 50 years at screening, AND at least
one of the following:

- Prior MI

- Prior stroke or TIA

- Prior coronary, carotid or peripheral arterial revascularization

- >50% stenosis of coronary, carotid, or lower extremity arteries coded by
Peripheral vascular disease

- Chronic heart failure NYHA class II-III

- CKD stage 3-6 as Chronic renal failure:

- No Prior cardiovascular disease group: Age ≥ 60 years at screening, AND at least one
of the following:

- Microalbuminuria or proteinuria

- Hypertension and left ventricular hypertrophy by ECG or imaging

- Ankle-brachial index <0.9 Exclusion Criteria: - Type 1 diabetes - Use of a GLP-1 receptor agonist (exenatide, liraglutide or other) or pramlintide or any (dipeptidyl peptidase 4 (DPP-4) inhibitor within the 3 months prior to screening - Use of long-term insulin in 90 days prior - Diabetic ketoacidosis in 3 months prior to index date as Acute decompensation of glycaemic control requiring immediate intensification of treatment to prevent acute complications of diabetes (e.g., diabetic ketoacidosis) in the previous 3 months - Inpatient (hospitalization) code for MI, stroke, revascularization, PTCA, CABG IN PRIOR 14 DAYS as An acute coronary or cerebrovascular event in the previous 14 days - inpatient Heart failure (CHF) as Chronic heart failure NYHA class IV - ESRD codes as Current continuous renal replacement therapy - Liver disease as "End stage liver disease, defined as the presence of acute or chronic liver disease and recent history of one or more of the following: ascites, encephalopathy, variceal bleeding, bilirubin ≥ 2.0 mg/dL, albumin level ≤ 3.5 g/dL, prothrombin time ≥ 4 seconds prolonged, international normalised ratio (INR) ≥1.7 or prior liver transplant" - Organ transplant codes as A prior solid organ transplant or awaiting solid organ transplant - History of malignant neoplasm in previous 5 years 140.xx-208.xx (except 173.xx, non-melanoma skin cancer) - Family or personal history of multiple endocrine neoplasia type 2 (MEN2) or familial medullary thyroid carcinoma (FMTC) - Personal history of non-familial medullary thyroid carcinoma - Drug abuse or dependence as Known use of non prescribed narcotics or illicit drugs - Encounter for contraceptive management, Oral contraceptives, and pregnancy as "Females of childbearing 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)"

Contacts and Locations
Contacts
Locations

United States, Massachusetts
Brigham And Women's Hospital
Boston

Sponsors and Collaborators

Brigham and Women's Hospital

Investigators

Principal Investigator: Jessie Franklin, PhD Jmfranklin@bwh.harvard.edu

More Information
  • Responsible Party: Brigham and Women's Hospital
  • ClinicalTrials.gov Identifier: NCT03936049 History of Changes
  • Other Study ID Numbers: DUPLICATE-LEADER
  • First Posted: May 3, 2019 Key Record Dates
  • Last Update Posted: January 2, 2020
  • Last Verified: December 2019
  • Studies a U.S. FDA-regulated Drug Product: Yes
  • Studies a U.S. FDA-regulated Device Product: No
  • Additional relevant MeSH terms: Diabetes Mellitus