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Annual Report 2007 - Novo Nordisk

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Diabetes care Liraglutide<br />

liraglutide<br />

– key to<br />

future growth<br />

Diabetes is a demanding condition. It requires constant<br />

attention and measuring of blood sugar levels. And with<br />

type 2 diabetes being a progressive disease, too many<br />

patients never reach an acceptable level of control of their<br />

diabetes. The consequence is debilitating and expensive<br />

late complications.<br />

Liraglutide, <strong>Novo</strong> <strong>Nordisk</strong>’s once-daily human analogue of the<br />

naturally occurring hormone Glucagon-Like Peptide-1 (GLP-<br />

1), is a compound being developed for the treatment of type<br />

2 diabetes. GLP-1 works by stimulating the release of insulin<br />

only when glucose levels become too high, and by decreasing<br />

appetite. The effect can be described as enhancing the function<br />

of ‘tired’ or worn-out insulin-producing cells. Liraglutide<br />

is being studied as a once-daily product that may be administered<br />

any time of day. Because of the mechanism of action,<br />

glucose monitoring may not be necessary.<br />

In contrast to some other antidiabetic treatments, liraglutide<br />

may also lead to weight loss instead of weight gain. It is<br />

being studied for its potential as a therapeutic option in earlystage<br />

diabetes.<br />

In <strong>2007</strong>, <strong>Novo</strong> <strong>Nordisk</strong> concluded phase 3 studies of<br />

liraglutide. The LEAD TM programme – Liraglutide Effect and<br />

Action in Diabetes – is the largest and most complex set of<br />

clinical trials <strong>Novo</strong> <strong>Nordisk</strong> has ever undertaken for a diabetes<br />

product. As one of the most important products in <strong>Novo</strong><br />

<strong>Nordisk</strong>’s pipeline, liraglutide is critical to drive the future<br />

growth of the company.<br />

3,992<br />

persons participated<br />

in <strong>Novo</strong> <strong>Nordisk</strong>'s<br />

LEAD TM phase 3<br />

programme.<br />

300<br />

million people in<br />

the world are obese,<br />

according to the<br />

World Health<br />

Organization.<br />

“We are very pleased with the clinical results. The phase 3<br />

studies have investigated the use of liraglutide throughout<br />

the progressive stages of diabetes: from early diagnosis where<br />

oral agents are used to intensified insulin therapy. In these<br />

studies, reduction in HbA 1c and body weight were mea sured,”<br />

says Mads Krogsgaard Thomsen, chief science officer. The level<br />

of HbA 1c reflects the average blood glucose level over the<br />

past two to three months, and a decrease is therefore considered<br />

a measure of treatment effect. The American Diabetes<br />

Association recommends a treatment goal of HbA 1c

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