Trial Outcomes & Findings for Insulin Glulisine in Type 2 Diabetic Patients (NCT NCT00360698)

NCT ID: NCT00360698

Last Updated: 2011-08-08

Results Overview

Glycosylated Haemoglobin (HbA1c) is a biological parameter that reflects the blood glucose concentration over a long period of time. It is the standard parameter for glycemic control follow -up in diabetic patients. this parameter is expressed in percentage (%) and the target in diabetes management is to reach a HbA1c \<7%

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

106 participants

Primary outcome timeframe

at the end of treatment (week 24)

Results posted on

2011-08-08

Participant Flow

During Run-In period patients were not assigned to a treatment group. They were all treated with Insulin Glargine + Metformin + Glimepiride.

Participant milestones

Participant milestones
Measure
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride
Insulin Glulisine (One daily injection at main meal) + Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Insulin Glargine+Metformin+Glimepiride
Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Run-In
STARTED
0
135
Run-In
COMPLETED
0
125
Run-In
NOT COMPLETED
0
10
Treatment Period
STARTED
49
57
Treatment Period
COMPLETED
48
56
Treatment Period
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride
Insulin Glulisine (One daily injection at main meal) + Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Insulin Glargine+Metformin+Glimepiride
Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Run-In
Physician Decision
0
1
Run-In
Withdrawal by Subject
0
2
Run-In
Non compliance with treatment procedure
0
1
Run-In
Sponsor request
0
2
Run-In
Patient did not meet inclusion criteria
0
1
Run-In
Patient personal reasons
0
2
Run-In
Need of insulin with meals
0
1
Treatment Period
Non compliance with treatment procedure
1
0
Treatment Period
Early termination by error
0
1

Baseline Characteristics

Insulin Glulisine in Type 2 Diabetic Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride
n=49 Participants
Insulin Glulisine (One daily injection at main meal) + Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Insulin Glargine+Metformin+Glimepiride
n=57 Participants
Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Total
n=106 Participants
Total of all reporting groups
Age Continuous
60.6 years
STANDARD_DEVIATION 6.73 • n=5 Participants
59.3 years
STANDARD_DEVIATION 8.84 • n=7 Participants
59.9 years
STANDARD_DEVIATION 7.92 • n=5 Participants
Sex: Female, Male
Female
29 Participants
n=5 Participants
35 Participants
n=7 Participants
64 Participants
n=5 Participants
Sex: Female, Male
Male
20 Participants
n=5 Participants
22 Participants
n=7 Participants
42 Participants
n=5 Participants
Region of Enrollment
United States
23 participants
n=5 Participants
27 participants
n=7 Participants
50 participants
n=5 Participants
Region of Enrollment
United Kingdom
11 participants
n=5 Participants
14 participants
n=7 Participants
25 participants
n=5 Participants
Region of Enrollment
Russian Federation
15 participants
n=5 Participants
16 participants
n=7 Participants
31 participants
n=5 Participants
Body Mass Index (BMI)
33.2 kg/m²
STANDARD_DEVIATION 5.30 • n=5 Participants
33.3 kg/m²
STANDARD_DEVIATION 4.39 • n=7 Participants
33.3 kg/m²
STANDARD_DEVIATION 4.80 • n=5 Participants
Daily Mean Plasma Glucose
170.2 mg/dL
STANDARD_DEVIATION 27.86 • n=5 Participants
167.4 mg/dL
STANDARD_DEVIATION 39.41 • n=7 Participants
169 mg/dL
STANDARD_DEVIATION 34.33 • n=5 Participants
Duration of diabetes
12.1 years
STANDARD_DEVIATION 7.29 • n=5 Participants
11.0 years
STANDARD_DEVIATION 7.02 • n=7 Participants
11.5 years
STANDARD_DEVIATION 7.13 • n=5 Participants
Glycosylated Haemoglobin (HbA1c)
7.8 percent
STANDARD_DEVIATION 0.60 • n=5 Participants
8.0 percent
STANDARD_DEVIATION 0.67 • n=7 Participants
7.9 percent
STANDARD_DEVIATION 0.64 • n=5 Participants
Weight
91.5 kg
STANDARD_DEVIATION 16.60 • n=5 Participants
92.9 kg
STANDARD_DEVIATION 17.15 • n=7 Participants
92.3 kg
STANDARD_DEVIATION 16.83 • n=5 Participants

PRIMARY outcome

Timeframe: at the end of treatment (week 24)

Population: Modified Intent to treat (ITT) population, LOCF (Last Observation Carried Forward)

Glycosylated Haemoglobin (HbA1c) is a biological parameter that reflects the blood glucose concentration over a long period of time. It is the standard parameter for glycemic control follow -up in diabetic patients. this parameter is expressed in percentage (%) and the target in diabetes management is to reach a HbA1c \<7%

Outcome measures

Outcome measures
Measure
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride
n=49 Participants
Insulin Glulisine (One daily injection at main meal) + Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Insulin Glargine+Metformin+Glimepiride
n=57 Participants
Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Patients With Glycosylated Haemoglobin (HbA1c) Value < 7%
22.4 percentage of participants
8.8 percentage of participants

SECONDARY outcome

Timeframe: at the end of treatment (week 24)

Population: Modified ITT population, LOCF

Outcome measures

Outcome measures
Measure
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride
n=49 Participants
Insulin Glulisine (One daily injection at main meal) + Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Insulin Glargine+Metformin+Glimepiride
n=57 Participants
Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Glycosylated Haemoglobin (HbA1c) Value
7.5 percent
Standard Deviation 0.64
7.8 percent
Standard Deviation 0.85

SECONDARY outcome

Timeframe: from baseline to the end of treatment (week 24)

Population: Modified ITT population, LOCF

Outcome measures

Outcome measures
Measure
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride
n=49 Participants
Insulin Glulisine (One daily injection at main meal) + Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Insulin Glargine+Metformin+Glimepiride
n=57 Participants
Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Change in Glycosylated Haemoglobin (HbA1c) Value
-0.37 percent
Standard Error 0.085
-0.11 percent
Standard Error 0.078

SECONDARY outcome

Timeframe: at the end of treatment (week 24)

Population: Modified ITT population, LOCF

Outcome measures

Outcome measures
Measure
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride
n=47 Participants
Insulin Glulisine (One daily injection at main meal) + Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Insulin Glargine+Metformin+Glimepiride
n=55 Participants
Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Daily Mean Plasma Glucose
154.7 mg/dL
Standard Deviation 28.62
165.8 mg/dL
Standard Deviation 37.48

SECONDARY outcome

Timeframe: from baseline to the end of treatment (week 24)

Population: Modified ITT population, LOCF

Outcome measures

Outcome measures
Measure
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride
n=47 Participants
Insulin Glulisine (One daily injection at main meal) + Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Insulin Glargine+Metformin+Glimepiride
n=55 Participants
Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Change in Daily Mean Plasma Glucose
-15.01 mg/dL
Standard Error 3.661
-2.07 mg/dL
Standard Error 3.384

SECONDARY outcome

Timeframe: from baseline to the end of treatment (week 24)

Population: Modified ITT population, LOCF

Outcome measures

Outcome measures
Measure
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride
n=48 Participants
Insulin Glulisine (One daily injection at main meal) + Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Insulin Glargine+Metformin+Glimepiride
n=56 Participants
Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Change in Weight
0.46 kg
Standard Error 0.316
0.22 kg
Standard Error 0.293

SECONDARY outcome

Timeframe: at the end of treatment (week 24)

Population: Modified ITT population, LOCF

Mean of 3 daily doses reported during the week prior to the final visit

Outcome measures

Outcome measures
Measure
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride
n=49 Participants
Insulin Glulisine (One daily injection at main meal) + Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Insulin Glargine+Metformin+Glimepiride
n=57 Participants
Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Daily Dose of Insulin Glargine
54.7 units of insulin glargine per day
Standard Deviation 34.84
62.2 units of insulin glargine per day
Standard Deviation 34.85

SECONDARY outcome

Timeframe: at the end of treatment (week 24)

Population: Modified ITT population, LOCF

Mean of 3 daily doses reported during the week prior to the final visit

Outcome measures

Outcome measures
Measure
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride
n=49 Participants
Insulin Glulisine (One daily injection at main meal) + Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Insulin Glargine+Metformin+Glimepiride
Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Daily Dose of Insulin Glulisine
12.8 units of insulin glulisine per day
Standard Deviation 6.59

SECONDARY outcome

Timeframe: during treatment period (12 weeks)

Population: Safety population

Outcome measures

Outcome measures
Measure
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride
n=49 Participants
Insulin Glulisine (One daily injection at main meal) + Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Insulin Glargine+Metformin+Glimepiride
n=57 Participants
Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Rate of Symptomatic Hypoglycemia With Plasma Glucose < 70mg/dL
8.19 Number of hypoglycemia per patient-year
Standard Deviation 14.603
7.68 Number of hypoglycemia per patient-year
Standard Deviation 13.996

SECONDARY outcome

Timeframe: during treatment period (12 weeks)

Population: Safety population

Outcome measures

Outcome measures
Measure
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride
n=49 Participants
Insulin Glulisine (One daily injection at main meal) + Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Insulin Glargine+Metformin+Glimepiride
n=57 Participants
Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Rate of Nocturnal Symptomatic Hypoglycemia With Plasma Glucose < 70mg/dL
1.62 Number of hypoglycemia per patient-year
Standard Deviation 3.418
3.95 Number of hypoglycemia per patient-year
Standard Deviation 9.339

SECONDARY outcome

Timeframe: during treatment period (12 weeks)

Population: Safety population

Outcome measures

Outcome measures
Measure
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride
n=49 Participants
Insulin Glulisine (One daily injection at main meal) + Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Insulin Glargine+Metformin+Glimepiride
n=57 Participants
Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Rate of Severe Symptomatic Hypoglycemia
0.00 Number of hypoglycemia per patient-year
Standard Deviation 0.000
0.20 Number of hypoglycemia per patient-year
Standard Deviation 1.096

Adverse Events

Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Insulin Glargine+Metformin+Glimepiride

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride
n=49 participants at risk
Insulin Glulisine (One daily injection at main meal) + Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Insulin Glargine+Metformin+Glimepiride
n=57 participants at risk
Insulin Glargine (One daily injection at bedtime) + Metformin (At same dosage as during the run-in period) + Glimepiride (At same dosage as during the run-in period)
Musculoskeletal and connective tissue disorders
Scleroderma
0.00%
0/49
1.8%
1/57
Musculoskeletal and connective tissue disorders
Tendon Disorder
0.00%
0/49
1.8%
1/57
Cardiac disorders
Angina Pectoris
2.0%
1/49
0.00%
0/57
Cardiac disorders
Atrial Fibrillation
2.0%
1/49
0.00%
0/57

Other adverse events

Adverse event data not reported

Additional Information

Medical Affairs study director

sanofi-aventis

Results disclosure agreements

  • Principal investigator is a sponsor employee If no publication has occurred within 12 months of the completion of the study, the Investigator shall have the right to publish/present independently the results of the study. The Investigator shall provide the Sponsor with a copy of any such presentation/publication for comment at least 30 days before any presentation/submission for publication. If requested by the Sponsor, any presentation/submission shall be delayed up to 90 days, to allow the Sponsor to preserve its proprietary rights.
  • Publication restrictions are in place

Restriction type: OTHER