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%
COMPLETED
PHASE4
106 participants
at the end of treatment (week 24)
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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
Insulin Glargine+Metformin+Glimepiride
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
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