Weight Gain, Eating Patterns, and Development of Body Composition During Initiation of Basal Insulin Therapy in Patients With Type 2 Diabetes: A Comparison of Insulin Detemir and Insulin Glargine

NCT ID: NCT00656422

Last Updated: 2012-11-01

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

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-11-30

Brief Summary

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The main objective of this clinical trial is to investigate hepatic fat as the primary endpoint along with body fat, and weight changes after initiation of a basal insulin therapy together with data acquisition that is today's standard in studies investigating obesity and eating patterns with insulin detemir and insulin glargine.

Detailed Description

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Conditions

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Diabetes Obesity

Keywords

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insulin therapy hepatic fat type 2 diabetes body composition comparison of insulin detemir and insulin glargine Changes in Hepatic Fat Obesity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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insulin Levemir

Group Type EXPERIMENTAL

insulin Levemir

Intervention Type DRUG

The participant will receive an insulin dose of insulin Levemir at dinner subcutaneously according to a dosing algorithm.

insulin Lantus

Group Type EXPERIMENTAL

insulin Lantus

Intervention Type DRUG

The participant will receive an insulin dose of the insulin Lantus at dinner subcutaneously according to a dosing algorithm.

Interventions

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insulin Levemir

The participant will receive an insulin dose of insulin Levemir at dinner subcutaneously according to a dosing algorithm.

Intervention Type DRUG

insulin Lantus

The participant will receive an insulin dose of the insulin Lantus at dinner subcutaneously according to a dosing algorithm.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years and \< 80 years
* Gender: female, male
* Type 2 diabetes
* BMI: 20.0 - 38.0
* Anti-GAD antibody negative
* Fasting blood glucose \> 126 mg/dl
* HbA1c 7.0 - 11.0%
* Need for insulin therapy

Exclusion Criteria

* Previous therapy with insulin within the last 3 months prior to inclusion into the study
* Previous therapy with glitazones within the last 6 months prior to inclusion into the study
* Change in therapy with lipid-lowering or anti-hypertensive agent within one month prior to inclusion into the study (a stable lipid-lowering or anti-hypertensive therapy is allowed)
* Concomitant participation in other clinical trials
* Type 1 diabetes
* Cardiac and macrovascular disease
* Malignancy including leukaemia and lymphoma within the last 5 years
* Liver disease: cirrhosis or chronic active hepatitis, except fat liver
* Significant renal dysfunction
* other Endocrine disease
* significant laboratory abnormalities
* History of active substance abuse (including an average alcohol consume of \> 40g/day and drugs) within the past 2 years
* Female patients: Pregnancy or childbearing potential without adequate contraception (for male patients contraception is not considered as medically important)
* Present therapy with systemic steroids
* Presence of psychiatric disorder or intake of anti-depressive or anti-psychotic agents with the exception of benzodiazepines and SSRIs/SNRI´s
* Use of anti-obesity drugs 3 months prior or during the trial
* Potentially unreliable subjects, probably non compliant subjects, and those judged by the investigator to be unsuitable for the study
* Contraindications for MRI scanning such as persons with cardiac pacemaker and implants out of metal or claustrophobia
* Known hypersensitivity to insulin detemir, insulin glargine or to any of the other components
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Vienna

OTHER

Sponsor Role collaborator

University of Bern

OTHER

Sponsor Role collaborator

CenTrial GmbH

INDUSTRY

Sponsor Role collaborator

University Hospital Tuebingen

OTHER

Sponsor Role lead

Responsible Party

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Medical Department

Principal Investigators

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Andreas Fritsche, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Tübingen

Hermann Toplak, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

University Hospital Graz

Peter Diem, Prof. Dr.

Role: STUDY_CHAIR

Bern University Hospital

Alexandra Kautzky-Willer, Prof. Dr.

Role: STUDY_CHAIR

Medical University Vienna

Thomas Pieber, Univ. Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Medical University of Graz

Locations

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Medical University Graz

Graz, , Austria

Site Status

University Hospital Graz

Graz, , Austria

Site Status

Medical University Vienna

Vienna, , Austria

Site Status

University Hospital of Tübingen

Tübingen, , Germany

Site Status

University Hospital

Bern, , Switzerland

Site Status

Countries

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Austria Germany Switzerland

Other Identifiers

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LEV-002

Identifier Type: -

Identifier Source: secondary_id

N-ISP-1

Identifier Type: -

Identifier Source: org_study_id