parallel randomized trial
ADJUST-T1D
Efficacy and Safety of Once Weekly Semaglutide in Adults With Obesity and Inadequately Controlled Type 1 Diabetes Using Hybrid Closed-Loop System.
Design
Conduct and analysis
Arms
| Arm | Treatment | Background | Randomized | Analyzed | Completed treatment |
|---|---|---|---|---|---|
| A1 | Semaglutide 1.0 mg subcutaneous once weekly Semaglutide | automated insulin delivery; lifestyle: not reported | 36 | 36 | |
| A2 | Placebo Placebo | automated insulin delivery; lifestyle: not reported | 36 | 36 |
Baseline characteristics
As printed in the trial reports or registry, per arm or for the whole trial.
| Characteristic | Statistic | Semaglutide 1.0 mg subcutaneous once weekly A1 | Placebo A2 |
|---|---|---|---|
| age | mean (years) | 41.4 | 38.9 |
| age | sd (years) | 11.6 | 13.1 |
| asian | n | 0 | 1 |
| black | n | 3 | 3 |
| black | percent | 8.3 | 8.3 |
| bmi | mean (kg/m2) | 34.7 | 36.0 |
| bmi | sd (kg/m2) | 3.9 | 5.2 |
| diabetes duration | mean (years) | 23.4 | 21.9 |
| diabetes duration | sd (years) | 11.2 | 11.6 |
| female | n | 22 | 20 |
| female | percent | 61.1 | 55.6 |
| hba1c | mean (percent) | 7.8 | 7.7 |
| hba1c | sd (percent) | 0.6 | 0.6 |
| hispanic | n | 1 | 4 |
| hispanic | percent | 2.7 | 11.1 |
| insulin dose | mean (U/kg/day) | 0.7 | 0.7 |
| insulin dose | sd (U/kg/day) | 0.2 | 0.3 |
| other race american indian alaska native | n | 0 | 0 |
| other race multiple | n | 0 | 0 |
| other race native hawaiian pacific islander | n | 0 | 0 |
| other race other | n | 0 | 3 |
| other race other | percent | 8.3 | |
| weight | mean (kg) | 99.5 | 104.5 |
| weight | sd (kg) | 14.6 | 16.3 |
| white | n | 33 | 30 |
| white | percent | 91.7 | 83.3 |
Analyses this trial contributes to
- HbA1c changeType 1 diabetes; weeks 12 to 40 (target week 26); network meta-analysis
- HbA1c changeType 1 diabetes; weeks 12 to 40 (target week 26); network meta-analysis
- Level 2 or 3 hypoglycemia (participants)Type 1 diabetes; longest follow-up; descriptive only
- Level 2 or 3 hypoglycemia (participants)Type 1 diabetes; longest follow-up; descriptive only
- Total daily insulin dose changeType 1 diabetes; weeks 12 to 40 (target week 26); network meta-analysis
- Total daily insulin dose changeType 1 diabetes; weeks 12 to 40 (target week 26); network meta-analysis
- Serious adverse eventsType 1 diabetes; longest follow-up; network meta-analysis
- Serious adverse eventsType 1 diabetes; longest follow-up; network meta-analysis
- Severe hypoglycemia (type 1 diabetes)Type 1 diabetes; longest follow-up; descriptive only
- Severe hypoglycemia (type 1 diabetes)Type 1 diabetes; longest follow-up; descriptive only
- Death by suicideType 1 diabetes; longest follow-up; descriptive only
- Death by suicideType 1 diabetes; longest follow-up; descriptive only
Results
24 adjudicated result lines, grouped by outcome. Open an outcome to see its values.
HbA1c change (2 lines; O01)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 26 | A1 | change | -0.7 percent | 0.1 | 36 | not stated; randomized; registry:outcomes | |
| 26 | A2 | change | -0.4 percent | 0.1 | 36 | not stated; randomized; registry:outcomes |
Level 2 or 3 hypoglycemia (participants) (2 lines; O04)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 2 / 36 | not stated; randomized; registry:outcomes | ||||
| A2 | events | 2 / 36 | not stated; randomized; registry:outcomes |
Total daily insulin dose change (10 lines; O06)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 20 | A1 | change | -15.2 U/day | -19.8 to -10.7 | not stated; other; R0014665:Results | ||
| 20 | A1 | final | 0.62 U/kg/day | 0.54 to 0.70 | not stated; other; R0014665:Results | ||
| 20 | A1 | percent change | -19.1 percent | -24.7 to -13.5 | not stated; other; R0014665:Results | ||
| 20 | A1 vs A2 | md | -18.0 U/day | -23.5 to -12.2 | not stated; other; R0014665:Results | ||
| 26 | A1 | change | -17.4 U/day | -22.0 to -12.9 | not stated; other; R0014665:Results | ||
| 26 | A1 | final | 0.60 U/kg/day | 0.52 to 0.69 | not stated; other; R0014665:Results | ||
| 26 | A1 | percent change | -22.6 percent | -28.3 to -17.0 | not stated; other; R0014665:Results | ||
| 26 | A1 vs A2 | md | -21.9 U/day | -27.5 to -16.1 | not stated; other; R0014665:Results | ||
| 26 | A2 | change | 5.2 U/day | 0.7 to 9.7 | not stated; other; R0014665:Results | ||
| 26 | A2 | percent change | 7.1 percent | 1.5 to 12.7 | not stated; other; R0014665:Results |
Serious adverse events (2 lines; O25)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 1 / 36 | not stated; safety; registry:adverse_events | ||||
| A2 | events | 0 / 36 | not stated; safety; registry:adverse_events |
Nausea (2 lines; O27A)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 1 / 36 | not stated; safety; nausea & vomiting; registry:adverse_events | ||||
| A2 | events | 0 / 36 | not stated; safety; nausea & vomiting; registry:adverse_events |
Diabetic ketoacidosis (2 lines; O30)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / | not stated; other; R0014665:Conclusions | ||||
| A2 | events | 0 / | not stated; other; R0014665:Conclusions |
Severe hypoglycemia (type 1 diabetes) (2 lines; O31)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 2 / 36 | not stated; randomized; registry:outcomes | ||||
| A2 | events | 2 / 36 | not stated; randomized; registry:outcomes |
Death by suicide (2 lines; O35B)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / 36 | not stated; safety; registry:adverse_events | ||||
| A2 | events | 0 / 36 | not stated; safety; registry:adverse_events |