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. 2024 Dec 4;17(1):2432462.
doi: 10.1080/20523211.2024.2432462. eCollection 2024.

Long-Term clinical efficacy of liraglutide for type 2 diabetes: real-world evidence and outcomes from Pakistan

Muhammad Daoud Butt  1   2 , Siew Chin Ong  1 , Azra Rafiq  3   4 , Nighat Batool  5 , Rumana Saifi  2   6 , Samina Yaseen  7 , Irum Kaukab  7 , Basit Ramzan  1
Affiliations

Long-Term clinical efficacy of liraglutide for type 2 diabetes: real-world evidence and outcomes from Pakistan

Muhammad Daoud Butt et al. J Pharm Policy Pract. .

Abstract

Background: Liraglutide, a glucagon-like peptide-1 (GLP-1) receptor agonist, has demonstrated efficacy in improving glycemic control and promoting weight loss in clinical trials. However, real-world data from diverse populations, particularly from South Asia, are limited. The study aims to evaluate the long-term efficacy and safety of liraglutide in a real-world setting among Pakistani patients with type 2 diabetes mellitus (T2DM).

Methodology: A retrospective cohort study of 624 patients initiated on liraglutide was conducted. Data were collected at baseline and 6, 12, 18, and 24 months. Primary outcomes were HbA1c and weight changes. Secondary outcomes included fasting plasma glucose, lipid profile, and blood pressure. Statistical analyses were performed using appropriate methods.

Results: In study population the mean HbA1c reduction of -1.45 ± 0.67% was observed at 24 months, with 30.6% achieving HbA1c ≤ 7.5%. A rapid and sustained weight loss of -7.51 kg was achieved, with 27.2% experiencing ≥5% weight loss. Additionally, liraglutide led to a significant reduction in LDL cholesterol, with 46.7% of patients achieving a ≥ 10% reduction at 24 months. Liraglutide was well-tolerated, with a low discontinuation rate of 4.6%.

Conclusion: Liraglutide demonstrated sustained efficacy and safety in a diverse Pakistani population with T2DM, regardless of baseline characteristics. These findings support the use of liraglutide as an effective treatment option for T2DM in real-world clinical practice.

Keywords: Glucagon-like peptide (GLP-1); clinical effectiveness; diabetes mellitus type 2; glycemic control; real-world data.

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Conflict of interest statement

No potential conflict of interest was reported by the author(s).

Figures

Figure 1.
Figure 1.
Fraction of doses at different intervals.
Figure 2.
Figure 2.
Patient-reported side effect profiles.
Figure 3.
Figure 3.
Mean change from baseline to 24 months. HbA1c glycated hemoglobin.
Figure 4.
Figure 4.
Mean change from baseline to 24 months. Weight (kg).
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