NICE Recommends Liraglutide for Diabetes Triple Therapy
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NICE Recommends Liraglutide for Diabetes Triple Therapy

LONDON -- February 17, 2010 -- The National Institute for Health and Clinical Excellence (NICE) has recommended the use of liraglutide (Victoza), a once-daily injection, for the treatment of type-2 diabetes as part of triple therapy regimens, under latest draft guidance.

This latest announcement offers a new alternative for patients who are unable to control their diabetes with current treatments.

Patients who are already taking metformin and a sulfonylurea, or metformin and a thiazolidinedione, but still have poor blood glucose control should be offered liraglutide in combination with their current treatments. Patients must also be overweight, with a body mass index (BMI) of 35kg/m2 and over, to be eligible for the drug.

However, diabetics who have a BMI below 35kg/m2 could also benefit from the drug if it is considered that its use could help to achieve levels of weight loss that could be beneficial in treating other conditions caused by being obese.

George Kassianos, MD, British Cardiovascular Society, Berkshire, United Kingdom, described the approval by NICE of the use of liraglutide in triple therapy as “a very welcome development for primary care physicians.”

“Controlling hyperglycaemia and its indicators is not easy. The addition of liraglutide to our formulary will be welcome by patients and will go a long way to helping them achieve their glycaemic goals,” he said.

Under the draft guidance, liraglutide is not recommended for use in dual therapy or in the 1.8mg daily dosage.

Carole Longson, MD, Health Technology Evaluation Centre, NICE, London, United Kingdom, said: “We are pleased to recommend liraglutide, 1.2 mg daily, as a clinically and cost effective treatment option as part of triple therapy regimens for some patients under restrictions.”

“However we felt that there was not sufficient evidence to recommend it in dual therapy regimens for type-2 diabetes mellitus,” she said. “The Committee concluded that there were disparities in the data provided by the manufacturer, particularly regarding the economic analyses of liraglutide in dual therapy regimens for this type of diabetes. The next step for the manufacturer is to consider the committee’s comments and respond to its concerns.”

SOURCE: National Institute for Health and Clinical Excellence

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