Better Acceptance of Single Injection Apidra Added to Once Daily Lantus Versus Twice Daily Premixed Insulin in Real Life Use Setting

NCT ID: NCT01079364

Last Updated: 2013-05-29

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

PHASE4

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-01-31

Study Completion Date

2012-07-31

Brief Summary

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Primary Objective:

To demonstrate non-inferiority of once daily injection of insulin glargine (Lantus) plus one injection of mealtime insulin glulisine (Apidra) at the main meal versus twice daily premixed insulin (NovoMix 30/70) based on the reduction of HbA1c percentage from baseline to endpoint.

Secondary Objective:

* To determine treatment satisfaction (DTSQs/Diabetes Treatment Questionnaire - Status, DTSQc/ Diabetes Treatment Questionnaire - change and ITSQ/Insulin Treatment Satisfaction Questionnaire)
* To determine the mean HbA1c, FBG (Fasting Blood Glucose), prandial BG (Blood Glucose) and proportion of patients with a HbA1c \<7%
* To determine the effect on adverse events (e.g. symptomatic hypoglycemic events, weight gain and injection site reactions)
* To determine the total insulin dose, average insulin glargine, insulin glulisine and premixed insulin dosages.

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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Insulin glargine + Insulin glulisine

Daily injection of insulin glargine plus one injection of mealtime insulin glulisine at the main meal

Group Type EXPERIMENTAL

Insulin glulisine

Intervention Type DRUG

Pharmaceutical form: boxes of 5 SoloStar® pens Route of administration: injection Dose regimen: once a day

Insulin glargine

Intervention Type DRUG

Pharmaceutical form: boxes of 5 SoloStar® pens Route of administration: injection Dose regimen: once a day

Premixed insulin

twice daily premixed insulin (before breakfast and evening meal).

Group Type ACTIVE_COMPARATOR

Premixed insulin (Insulin Aspart 30/70 )

Intervention Type DRUG

Pharmaceutical form:boxes of 5 FlexPens Route of administration: Injection Dose regimen: twice daily

Interventions

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Insulin glulisine

Pharmaceutical form: boxes of 5 SoloStar® pens Route of administration: injection Dose regimen: once a day

Intervention Type DRUG

Insulin glargine

Pharmaceutical form: boxes of 5 SoloStar® pens Route of administration: injection Dose regimen: once a day

Intervention Type DRUG

Premixed insulin (Insulin Aspart 30/70 )

Pharmaceutical form:boxes of 5 FlexPens Route of administration: Injection Dose regimen: twice daily

Intervention Type DRUG

Other Intervention Names

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Apidra® Lantus® NovoMix 30/70®

Eligibility Criteria

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Inclusion Criteria

* Patients with type 2 diabetes mellitus treated with insulin glargine once daily and oral blood glucose lowering medication
* Patients with a HbA1c \> 7%
* Patients with a FBG within range (4-7 mmol/L) at baseline, based on the mean of 3 FBG values (measured 5x during the run-in phase, with the highest and lowest value excluded)

Exclusion Criteria

* Patients treated with an insulin other than insulin glargine
* Patients with hypersensitivity to insulin glargine, insulin glulisine, biphasic insulin aspart/insulin aspart protamine 30/70 or any of the excipients
* Patients with a (pre)proliferative retinopathy (an optic fundus examination should have been performed within the 2 years prior to study entry)
* Pregnant or lactating women
* Patients who are unable to fill in the PRO (Patient Reported Outcomes) questionnaires

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

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations

Role: STUDY_DIRECTOR

Sanofi

Locations

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Sanofi-Aventis Administrative Office

Gouda, , Netherlands

Site Status

Countries

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Netherlands

Other Identifiers

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2009-015742-34

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

APIDR_L_04717

Identifier Type: -

Identifier Source: org_study_id

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