Insulin Glargine "All to Target" Trial

NCT ID: NCT00384085

Last Updated: 2011-05-06

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

588 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-05-31

Study Completion Date

2010-03-31

Brief Summary

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The primary objectives were:

* To demonstrate the superiority of Lantus plus stepwise addition of mealtime Apidra® (Lantus/Apidra-3) versus twice-daily Premixed insulin based on the proportion of patients achieving target glycemic control (as measured by hemoglobin A1c \[HbA1c\] \<7.0%) at Week 60
* To demonstrate the noninferiority of Lantus plus addition of 1 mealtime Apidra injection (Lantus/Apidra-1) versus twice-daily Premixed insulin based on the reduction from Baseline to Week 60 in HbA1c

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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Lantus/Apidra-3

Insulin glargine (Lantus) plus up to 3 injections of insulin glulisine (Apidra) added to oral agents.

Group Type EXPERIMENTAL

Insulin Glargine

Intervention Type DRUG

Subcutaneous injection once-a-day

Insulin Glulisine

Intervention Type DRUG

Subcutaneous injection up to 3 injections per day.

Lantus/Apidra-1

Insulin glargine (Lantus) plus up to 1 injection of insulin glulisine (Apidra) added to oral agents.

Group Type EXPERIMENTAL

Insulin Glulisine

Intervention Type DRUG

Subcutaneous injection up to 1 injection per day

Insulin Glargine

Intervention Type DRUG

Subcutaneous injection once-a-day

Novolog Mix 70/30

Premixed insulin (Novolog® Mix 70/30) added to oral agents.

Group Type EXPERIMENTAL

Premixed Insulin

Intervention Type DRUG

Subcutaneous injection twice-a-day.

Interventions

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Insulin Glulisine

Subcutaneous injection up to 1 injection per day

Intervention Type DRUG

Insulin Glargine

Subcutaneous injection once-a-day

Intervention Type DRUG

Premixed Insulin

Subcutaneous injection twice-a-day.

Intervention Type DRUG

Insulin Glulisine

Subcutaneous injection up to 3 injections per day.

Intervention Type DRUG

Other Intervention Names

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Apidra Lantus Novolog Mix 70/30 Apidra

Eligibility Criteria

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Inclusion Criteria

* Male or female patients
* 30 to 80 years of age
* Body Mass Index \<45 kg/m2
* With Type 2 diabetes mellitus for at least 2 years
* With an HbA1c level at screening of \>7.5% and \>7.0% at randomization
* On stable dual or triple oral therapy for at least 3 months
* Oral agents in 2 or 3 of the following classes: SU or repaglinide, biguanide, or TZD, willing and able to perform self-monitoring of BG
* Females of child-bearing potentially were required to be willing and able to use adequate contraception
Minimum Eligible Age

30 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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Medical Affairs

Role: STUDY_DIRECTOR

Sanofi

Locations

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Sanofi-Aventis Administrative Office

Bridgewater, New Jersey, United States

Site Status

Countries

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United States

References

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Polonsky WH, Thompson S, Wei W, Riddle MC, Chaudhari S, Jackson J, Bruno AS. Greater fear of hypoglycaemia with premixed insulin than with basal-bolus insulin glargine and glulisine: patient-reported outcomes from a 60-week randomised study. Diabetes Obes Metab. 2014 Nov;16(11):1121-7. doi: 10.1111/dom.12328. Epub 2014 Jul 12.

Reference Type DERIVED
PMID: 24919603 (View on PubMed)

Other Identifiers

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HMR1964A_3515

Identifier Type: -

Identifier Source: org_study_id

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