Visual Abstract
This retrospective, observational study assessed glycemic control over a 6-month follow-up among patient cohorts with T2D who initiated dulaglutide (DU) 0.75 mg or 1.5 mg following use of either 1, 2 or 3+ oral antihyperglycemic drugs (OAD) during the 24-month pre-index period. This analysis used US claims data from the HealthCore Integrated Research Database (HIRD®) between November 2012 and February 2020 (index date=earliest DU fill between November 2014 and August 2019). Patients ≥18 years old with T2D, ≥1 pharmacy claim for OAD during the pre-index period, continuous enrollment from 24 months pre-index to 6 months post-index date, and ≥1 A1C result within both 6 months pre- and 6 months post-index were included. There were differences in patient characteristics between the cohorts with significant trends (*see figure) of increasing age, comorbidity index scores and pre-index A1C seen with increasing number of prior OADs. Early initiation of DU, proxied by initiation after 1 OAD, resulted in an A1C reduction of 1.39%, and reductions of 1.30% and 1.01% in the 2 OAD and 3+ OAD cohorts, respectively (figure). Greater A1C reductions were observed across subgroups with higher pre-index A1C in each OAD cohort. In this real-world study, a clinically relevant reduction in A1C was seen within 6 months across all cohorts defined by the timing of initiation of DU, with increasing trend of A1C reduction seen with fewer number of prior OADs.
M. Hoog: Employee; Self; Eli Lilly and Company, Lilly Diabetes, Stock/Shareholder; Self; Abbott, Eli Lilly and Company, PPD. J. L. Smith: Employee; Self; HealthCore, Other Relationship; Self; Eli Lilly and Company. M. Yu: Employee; Self; Lilly Diabetes, Employee; Spouse/Partner; LifeLabs, Stock/Shareholder; Self; Lilly Diabetes, Stock/Shareholder; Spouse/Partner; Lilly Diabetes. J. Peleshok: Employee; Self; Eli Lilly and Company. R. Mody: Employee; Self; Eli Lilly and Company. M. Grabner: Other Relationship; Self; Eli Lilly and Company.