Efficacy and Safety Comparison of Metformin/Glimepiride Combination Versus Each Compound Alone in New Diagnosed Type 2 Diabetes Patients

NCT ID: NCT01459809

Last Updated: 2015-01-21

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

PHASE3

Total Enrollment

538 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-02-29

Study Completion Date

2014-01-31

Brief Summary

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Primary Objective:

\- To demonstrate the superiority of glimepiride and metformin free combination in comparison to glimepiride or metformin alone in terms of Hb1Ac reduction during a 24-week treatment period in patients with type 2 diabetes mellitus.

Secondary Objectives:

\- To assess the effects of the free combination of glimepiride and metformin in comparison to glimepiride or metformin alone on:

* Percentage of patients reaching HbA1c \< 7%
* Percentage of patients reaching HbA1c \< 6.5%
* Fasting Plasma Glucose (FPG)
* Safety and tolerability

Detailed Description

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The study duration for each patient is approximately 27 weeks with 3 periods: 2-week screening period followed by 24-week treatment period where patient is assigned to one of the three arms according to randomization, and 3 days follow-up period with a last call phone visit.

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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ARM 1: glimepiride alone

24-week treatment period: After randomization, starting dose will be of 2 mg /day or 1 mg/day of glimepiride if Fasting Plasma Glucose (FPG) at baseline \< 180 mg/dL (10 mmol/L) taken once in the morning before breakfast. The treatment's dose will be increased every 2 weeks up to the maximum tolerated dose of 4 mg, and adjusted throughout the 24-week treatment period according to fasting Self Monitored Plasma Glucose (SMPG) values in the objective to obtain fasting SMPG values ≤ 130mg/dL (7.2mmol/L) and \> 70 mg/dL (3.9mmol/L) without symptomatic hypoglycemia.

Group Type EXPERIMENTAL

GLIMEPIRIDE

Intervention Type DRUG

Pharmaceutical form: oral

Route of administration: oral

ARM 2: metformin alone

24-week treatment period: After randomization, starting dose will be of 500 mg of metformin twice a day during or after meals. The treatment's dose will be increased every 2 weeks up to the maximum tolerated dose of 2000 mg, and adjusted throughout the 24-week treatment period according to fasting SMPG values in the objective to obtain fasting SMPG values ≤ 130mg/dL (7.2mmol/L) and \> 70 mg/dL (3.9mmol/L) without symptomatic hypoglycemia.

Group Type EXPERIMENTAL

METFORMIN

Intervention Type DRUG

Pharmaceutical form: oral

Route of administration: oral

ARM3: Glimepiride/metformin free combination

24-week treatment period: After randomization, starting dose will be of 2 mg /day or 1 mg/day of glimepiride if FPG at baseline \< 180 mg/dL (10 mmol/L) taken once in the morning and 500 mg of metformin twice a day taken during or after meals. The treatment's dose will be increased every 2 weeks up to the maximum tolerated dose of 4 mg of glimepiride and 2000 mg of metformin, and adjusted throughout the 24-week treatment period according to fasting SMPG values in the objective to obtain values ≤.

Group Type EXPERIMENTAL

GLIMEPIRIDE

Intervention Type DRUG

Pharmaceutical form: oral

Route of administration: oral

METFORMIN

Intervention Type DRUG

Pharmaceutical form: oral

Route of administration: oral

Interventions

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GLIMEPIRIDE

Pharmaceutical form: oral

Route of administration: oral

Intervention Type DRUG

METFORMIN

Pharmaceutical form: oral

Route of administration: oral

Intervention Type DRUG

Other Intervention Names

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HOE490

Eligibility Criteria

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Inclusion Criteria

* Patients with type 2 diabetes mellitus, as defined by the World Health Organization (WHO), diagnosed within one year prior to the screening visit
* Signed informed consent, obtained prior to any study procedure

Exclusion Criteria

* Age \< 18 and =\> 78 years old
* HbA1c \< 7.6% or \> 9%
* BMI \> 35 kg/m2
* Diabetes other than type 2 diabetes (e.g.: type 1 diabetes, diabetes secondary to pancreatic disorders, drug or chemical agent intake...)
* Subjects currently receiving or who have received any hypoglycemic agent within 3 months before screening visit

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

Maximum Eligible Age

78 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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Investigational Site Number 01206

Algeries, , Algeria

Site Status

Investigational Site Number 01203

Oran, , Algeria

Site Status

Investigational Site Number 01205

Sétif, , Algeria

Site Status

Investigational Site Number 17003

El Espinal, , Colombia

Site Status

Investigational Site Number 170001

Manizales, , Colombia

Site Status

Investigational Site Number 81801

Cairo, , Egypt

Site Status

Investigational Site Number 81802

Cairo, , Egypt

Site Status

Investigational Site Number 81803

Cairo, , Egypt

Site Status

Investigational Site Number 32001

Guatemala City, , Guatemala

Site Status

Investigational Site Number 32002

Guatemala City, , Guatemala

Site Status

Investigational Site Number 32003

Guatemala City, , Guatemala

Site Status

Investigational Site Number 32004

Guatemala City, , Guatemala

Site Status

Investigational Site Number 356001

Bangalore, , India

Site Status

Investigational Site Number 356002

Bangalore, , India

Site Status

Investigational Site Number 356006

Ernākulam, , India

Site Status

Investigational Site Number 356003

Indore, , India

Site Status

Investigational Site Number 356009

Lucknow, , India

Site Status

Investigational Site Number 356010

Mumbai, , India

Site Status

Investigational Site Number 356007

Nashik, , India

Site Status

Investigational Site Number 356008

Pune, , India

Site Status

Investigational Site Number 356005

Varanasi, , India

Site Status

Investigational Site Number 364001

Tehran, , Iran

Site Status

Investigational Site Number 364002

Tehran, , Iran

Site Status

Investigational Site Number 36403

Tehran, , Iran

Site Status

Investigational Site Number 42201

Beirut, , Lebanon

Site Status

Investigational Site Number 42202

Beirut, , Lebanon

Site Status

Investigational Site Number 42203

Chouf, , Lebanon

Site Status

Investigational Site Number 422004

Hazmiyeh, , Lebanon

Site Status

Investigational Site Number 484002

Guadalajara, , Mexico

Site Status

Investigational Site Number 484003

Guadalajara, , Mexico

Site Status

Investigational Site Number 643003

Moscow, , Russia

Site Status

Investigational Site Number 643001

Saint Petersburg, , Russia

Site Status

Investigational Site Number 643002

Saratov, , Russia

Site Status

Investigational Site Number 710-002

Durban, , South Africa

Site Status

Investigational Site Number 710-001

Durban, , South Africa

Site Status

Investigational Site Number 78803

La Marsa, , Tunisia

Site Status

Investigational Site Number 78804

La Marsa, , Tunisia

Site Status

Investigational Site Number 78805

Sfax, , Tunisia

Site Status

Investigational Site Number 78801

Tunis, , Tunisia

Site Status

Investigational Site Number 78802

Tunis, , Tunisia

Site Status

Investigational Site Number 78806

Tunis, , Tunisia

Site Status

Investigational Site Number 78807

Tunis, , Tunisia

Site Status

Investigational Site Number 792-004

Adana, , Turkey (Türkiye)

Site Status

Investigational Site Number 792-003

Antalya, , Turkey (Türkiye)

Site Status

Investigational Site Number 792-001

Istanbul, , Turkey (Türkiye)

Site Status

Investigational Site Number 792-006

Istanbul, , Turkey (Türkiye)

Site Status

Investigational Site Number 792-002

Kütahya, , Turkey (Türkiye)

Site Status

Investigational Site Number 792-005

Sivas, , Turkey (Türkiye)

Site Status

Investigational Site Number 804001

Kyiv, , Ukraine

Site Status

Investigational Site Number 804002

Kyiv, , Ukraine

Site Status

Investigational Site Number 804003

Zaporizhzhya, , Ukraine

Site Status

Investigational Site Number 784-001

Dubai, , United Arab Emirates

Site Status

Investigational Site Number 784-002

Dubai, , United Arab Emirates

Site Status

Investigational Site Number 784-003

Dubai, , United Arab Emirates

Site Status

Investigational Site Number 784-004

Sharjah city, , United Arab Emirates

Site Status

Countries

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Algeria Colombia Egypt Guatemala India Iran Lebanon Mexico Russia South Africa Tunisia Turkey (Türkiye) Ukraine United Arab Emirates

Other Identifiers

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U1111-1119-9984

Identifier Type: OTHER

Identifier Source: secondary_id

GLIME_R_05809

Identifier Type: -

Identifier Source: org_study_id

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