Comparison of Insulin Glargine/Insulin Glulisine Regimen to Insulin Aspart/Insulin Aspart Protamine 30/70 in Type 2 Diabetes Mellitus Patients (T2DM)

NCT ID: NCT01212913

Last Updated: 2013-07-08

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

161 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-08-31

Study Completion Date

2012-05-31

Brief Summary

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Primary Objective:

To demonstrate the non-inferiority of hemoglobin A1c (HbA1c) control at six months between the basal plus one and the biphasic insulin regimen.

Secondary Objective:

To demonstrate favorable outcome for basal plus over biphasic insulin when it comes to comparing when both hemoglobin A1c (HbA1c) target goal achievement and non-hypoglycemic event is taken into account.

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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group 1: Basal plus

Insulin glargine with dosage adjustment determined according to the mean value of the last three days Fasting Blood Glucose (FBG) Insulin glulisine, at initial dosing of 4IU, then weekly adjusted according to the mean value of the last three days PostPrandial Blood Glucose (PPBG)

Group Type EXPERIMENTAL

INSULIN GLARGINE

Intervention Type DRUG

Pharmaceutical form: solution for injection Route of administration: subcutaneous Dose regimen: once daily

INSULIN GLULISINE

Intervention Type DRUG

Pharmaceutical form: solution for injection Route of administration: subcutaneous Dose regimen: once daily

group 2: Biphasic insulin

Insulin aspart/insulin aspart protamine 30/70 (novomix 30) given twice daily and titrated weekly (before breakfast and dinner) according to the lowest of three previous days' pre-meal levels (both breakfast and dinner). Target is 70 mg/dL \< Pre-meal blood glucose (dinner and breakfast).

Group Type ACTIVE_COMPARATOR

Insulin aspart

Intervention Type DRUG

Pharmaceutical form: solution for injection Route of administration: subcutaneous Dose regimen: twice daily

Interventions

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INSULIN GLARGINE

Pharmaceutical form: solution for injection Route of administration: subcutaneous Dose regimen: once daily

Intervention Type DRUG

INSULIN GLULISINE

Pharmaceutical form: solution for injection Route of administration: subcutaneous Dose regimen: once daily

Intervention Type DRUG

Insulin aspart

Pharmaceutical form: solution for injection Route of administration: subcutaneous Dose regimen: twice daily

Intervention Type DRUG

Other Intervention Names

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Lantus Apidra NovoMix 30

Eligibility Criteria

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Inclusion Criteria

1. Sub-optimally controlled Type 2 Diabetes Mellitus (T2DM) patients treated with insulin glargine for a minimum of 3 months:

* Sub-optimal: HbA1c level \>7% and fasting blood glucose \<130mg/dL
2. Male or Female ≥18 years old
3. Body Mass Index (BMI) \<40
4. 10% ≥HbA1c ≥7%
5. If taking Oral anti-diabetics (OADs), must be on stable dose for at least 1 months
6. Patients willing to sign data release consent form

Exclusion Criteria

1. Diabetes other than T2DM
2. Enrolled in other clinical trials
3. Previous treatment with an insulin other than insulin glargine
4. Treatment with Glucagon-like peptide-1 (GLP-1) receptor agonists or with Di Peptidyl Peptidase 4 (DPP-IV) inhibitors
5. Pregnant or lactating women
6. Contraindicated to Lantus (insulin glargine) / Apidra (insulin glulisine) / Novomix 30 (insulin aspart)
7. Treatment with systemic corticoid steroids within the last 3 months prior to study enter
8. Treatment with any investigational product within the last 3 months prior to study entry

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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Administrative Office

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Jin SM, Kim JH, Min KW, Lee JH, Ahn KJ, Park JH, Jang HC, Park SW, Lee KW, Won KC, Kim YI, Chung CH, Park TS, Lee JH, Lee MK. Basal-prandial versus premixed insulin in patients with type 2 diabetes requiring insulin intensification after basal insulin optimization: A 24-week randomized non-inferiority trial. J Diabetes. 2016 May;8(3):405-13. doi: 10.1111/1753-0407.12312. Epub 2015 Jun 29.

Reference Type DERIVED
PMID: 25952532 (View on PubMed)

Other Identifiers

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U1111-1117-2786

Identifier Type: OTHER

Identifier Source: secondary_id

LANTU_L_04867

Identifier Type: -

Identifier Source: org_study_id

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