Insulin Glargine in Type 2 Diabetic Patients

NCT ID: NCT00347100

Last Updated: 2009-09-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

387 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-06-30

Brief Summary

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Primary:

* To investigate the efficacy of insulin glargine (in terms of change in A1c from baseline to endpoint A1c \< 7%)

Secondary:

* To investigate the safety of insulin glargine (in terms of hypoglycaemia, including symptomatic, non-symptomatic and nocturnal hypoglycaemia)
* To investigate whether beta cell function is preserved if this therapy is initiated before 2nd OAD (oral anti-diabetic drug) failure

Detailed Description

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Conditions

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Diabetes Mellitus, Type 2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Administration of Insulin Glargine and Sulfonylurea or Metformin

Group Type EXPERIMENTAL

Insulin Glargine

Intervention Type DRUG

Throughout study period

Metformin

Intervention Type DRUG

Combination throughout the study period. Titrate to FPG ≤ 100 mg/dl.

2

Administration of Sulfonylurea or Metformin + a second Oral Anti Diabetic (OAD) among Glyburide, Glyclazide,Glimiperide,Glipizide or Metformin

Group Type ACTIVE_COMPARATOR

Glyburide

Intervention Type DRUG

Combination throughout the study period. Titrate to FPG ≤ 100 mg/dl.

Glyclazide

Intervention Type DRUG

Combination throughout the study period. Titrate to FPG ≤ 100 mg/dl.

Glimiperide

Intervention Type DRUG

Combination throughout the study period. Titrate to FPG ≤ 100 mg/dl.

Glipizide

Intervention Type DRUG

Combination throughout the study period. Titrate to FPG ≤ 100 mg/dl.

Metformin

Intervention Type DRUG

Combination throughout the study period. Titrate to FPG ≤ 100 mg/dl.

Interventions

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Insulin Glargine

Throughout study period

Intervention Type DRUG

Glyburide

Combination throughout the study period. Titrate to FPG ≤ 100 mg/dl.

Intervention Type DRUG

Glyclazide

Combination throughout the study period. Titrate to FPG ≤ 100 mg/dl.

Intervention Type DRUG

Glimiperide

Combination throughout the study period. Titrate to FPG ≤ 100 mg/dl.

Intervention Type DRUG

Glipizide

Combination throughout the study period. Titrate to FPG ≤ 100 mg/dl.

Intervention Type DRUG

Metformin

Combination throughout the study period. Titrate to FPG ≤ 100 mg/dl.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Type 2 diabetes patients with first OAD (Sulfonylurea \[SU\] or Metformin) failure
* Patients who are insulin naive (unless it was used for gestational diabetes or if insulin therapy was less than 1 week)
* Serum creatinine ≤ 1.5mg/dL
* BMI: 21-41 kg/m²
* 7.5%\< A1c \<11%
* Fasting plasma glucose \> 7.5mmol/L
* On diet and exercise therapy and stable OAD treatment (SU or metformin \> ½ maximal dose)for more than 1 month prior to enrolment
* Women not of childbearing potential (sterilization procedure done or menopausal \> 2 years), or if of childbearing potential, agree to take reliable contraceptive measures during the study
* Able and willing to monitor blood glucose
* Able and willing to perform 7 point blood glucose self monitoring at baseline, 12 week and 24 week
* Understand that there is a 50% chance of being randomized to the insulin treatment arm and is willing to self inject insulin

Exclusion Criteria

* Type 1 diabetes
* Acute complication of diabetes, such as diabetic ketoacidosis and hyperosmolar coma
* Pregnancy, breast-feeding
* People who work night shifts
* Hypersensitivity to investigational drugs or its additives, or intolerability to metformin
* Need for use of medications prohibited by the protocol during the study for treatment purpose
* Significant diseases in cardiovascular, liver, nerve, endocrine or other systems, unable to complete the study or difficult to be used in study analysis
* Drugs or alcohol abuse

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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sanofi-aventis

Principal Investigators

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Bruno Jolain

Role: STUDY_DIRECTOR

Sanofi

Locations

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Sanofi-Aventis

Beijing, , China

Site Status

Countries

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China

Other Identifiers

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LANTU_L_01051

Identifier Type: -

Identifier Source: org_study_id

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