Summary of Research: Safety and Effectiveness of Concomitant iGlarLixi and SGLT-2i Use in People with T2D During Ramadan Fasting: A SoliRam Study Sub-analysis
This is a summary of the original article "Safety and effectiveness of concomitant iGlarLixi and SGLT-2i use in people with T2D during Ramadan fasting: a SoliRam study sub-analysis." iGlarLixi is a fixed-ratio combination of insulin glargine 100 U/ml and glucagon like peptide 1 receptor agonist (GLP-1RA) lixisenatide which has demonstrated its effectiveness of improving glycemic parameters and reducing body weight with low risk of hypoglycemia incidence in adults with type 2 diabetes (T2D) who were previously sub-optimally controlled with oral antidiabetic drugs (OADs) alone or in combination with basal insulin or GLP-1RA. This sub-analysis of the SoliRam study assessed the safety and effectiveness of concomitant iGlarLixi and sodium/glucose cotransporter 2 (SGLT-2i) use with or without other OADs in adults with T2D who fasted during Ramadan. Participants were divided into two groups: SGLT-2i-users and SGLT-2i-non-users. The findings showed low incidence of severe and/or symptomatic documented hypoglycemia, improved glycemic control, and body weight benefits, irrespective of SGLT-2i use. No serious adverse events were reported in either group. The sub-analysis concluded that the concomitant iGlarLixi and SGLT-2i therapy, with or without other OADs, was demonstrated to be a safe treatment for people with T2D during Ramadan fasting.
Authors
- Saud Al Sifri
- Mehmet Akif Büyükbeşe (ORCID: https://orcid.org/0009-0008-5255-2073)
- Khier Djaballah
- S. R. Aravind
- Inass Shaltout
- Lydie Melas-Melt
- Mohamed Hassanein
- Rachid Malek
Institutions
- Cairo University (EG)
- Rashid Hospital (AE)
- Dubai Hospital (AE)
- Sanofi (France) (FR)
- Gaziantep Children's Hospital (TR)
- Centre Hospito Universitaire de Sétif (DZ)
- Mohammed Bin Rashid University of Medicine and Health Sciences (AE)
- Armed Forces Hospital (SA)
- Arysta LifeScience (France) (FR)
- Gaziantep University (TR)
- Osmania Medical College (IN)
Publication Details
- Journal
- Diabetes Therapy
- Published
- 2026-02-16
- DOI
- https://doi.org/10.1007/s13300-025-01827-3
- Primary Topic
- Dietary Effects on Health
- Type
- article
- Field-Weighted Citation Impact
- 0.00