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The fixed-bed column adsorption data, fitted using Bohart-Adams, Clark, Yoon-Nelson, and Thomas models, showed lower capacity in comparison to batch study, and thus clear potential applicability of PEI-Al2O3 was deduced even at a high loading of feed water. This trial was conducted to assess the long-term safety, efficacy, and benefit of early add-on of linagliptin to insulin in patients with type 2 diabetes mellitus (T2DM). This trial enrolled 246 subjects. The subjects were randomized to the linagliptin group or the control group and