Comparison of Lixisenatide Injected Prior to the Main Meal of the Day Versus Prior to Breakfast in Type 2 Diabetic Patients on Metformin

NCT ID: NCT01517412

Last Updated: 2016-10-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

451 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-02-29

Study Completion Date

2013-05-31

Brief Summary

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Primary Objective:

\- To compare the two treatment regimens in terms of change of glycosylated hemoglobin (HbA1c) from baseline to endpoint (Week 24)

Secondary Objective:

* To assess the effect of the 2 lixisenatide regimens on:

* The percentage of participants who reached the target of HbA1c \< 7% or ≤ 6.5% at Week 24
* Fasting Plasma Glucose (FPG)
* 7-point Self-Monitored Plasma Glucose (SMPG) profiles
* Body weight
* To assess the safety and tolerability of the 2 lixisenatide regimens

Detailed Description

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The maximum study duration was 28 weeks per participant, including a 24-week randomized treatment period.

Conditions

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Type 2 Diabetes Mellitus

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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Lixisenatide Main Meal

Lixisenatide 10 mcg once daily (QD) within 1 hour before "main meal of the day" for 2 weeks, then at a maintenance dose of 20 mcg QD up to Week 24.

Group Type EXPERIMENTAL

Lixisenatide (AVE0010)

Intervention Type DRUG

Pharmaceutical form: Solution for injection; Route of administration: Subcutaneous

Self-injector pen device (OptiClik®)

Intervention Type DEVICE

Metformin

Intervention Type DRUG

To be kept at stable dose (≥1.5 g/day) throughout the study.

Lixisenatide Breakfast

Lixisenatide 10 mcg QD within 1 hour before "breakfast" for 2 weeks, then at a maintenance dose of 20 mcg QD up to Week 24.

Group Type ACTIVE_COMPARATOR

Lixisenatide (AVE0010)

Intervention Type DRUG

Pharmaceutical form: Solution for injection; Route of administration: Subcutaneous

Self-injector pen device (OptiClik®)

Intervention Type DEVICE

Metformin

Intervention Type DRUG

To be kept at stable dose (≥1.5 g/day) throughout the study.

Interventions

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Lixisenatide (AVE0010)

Pharmaceutical form: Solution for injection; Route of administration: Subcutaneous

Intervention Type DRUG

Self-injector pen device (OptiClik®)

Intervention Type DEVICE

Metformin

To be kept at stable dose (≥1.5 g/day) throughout the study.

Intervention Type DRUG

Other Intervention Names

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Route of administration: Oral

Eligibility Criteria

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Inclusion Criteria

* Participants with type 2 diabetes mellitus, diagnosed for at least 1 year before screening visit
* Metformin treatment at a stable dose of at least 1.5 g/day for at least 3 months prior to screening visit.

Exclusion Criteria

* Screening HbA1c \< 7.0% and \> 10.0%
* Fasting plasma glucose at screening \> 250 mg/dL (\> 13.9 mmol/L)
* Treatment with glucose-lowering agent(s) other than metformin in a period of 3 months prior to screening, previous use of insulin
* Participants who usually did not eat breakfast
* Type 1 diabetes mellitus
* Body Mass Index (BMI) ≤ 20 kg/m\^2 and \> 40 kg/m\^2
* Pregnancy or lactation, women of childbearing potential with no effective contraceptive method
* Amylase and/or lipase \> 3 times the upper limit of the normal laboratory range ( ULN) at screening
* Alanine aminotransferase (ALT) \> 3 ULN at screening
* Calcitonin ≧ 20 pg/ml (5.9 pmol/L) at screening
* History of unexplained pancreatitis, chronic pancreatitis, pancreatectomy.
* Personal or immediate family history of medullary thyroid cancer (MTC) or genetic conditions that predisposes to MTC (e.g. multiple endocrine neoplasia syndromes)
* Any contra-indication related to metformin
* Any previous treatment with lixisenatide

The above information was not intended to contain all considerations relevant to a participant'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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Investigational Site Number 840112

Glendale, Arizona, United States

Site Status

Investigational Site Number 840113

Mesa, Arizona, United States

Site Status

Investigational Site Number 840105

Phoenix, Arizona, United States

Site Status

Investigational Site Number 840102

Tempe, Arizona, United States

Site Status

Investigational Site Number 840107

Tempe, Arizona, United States

Site Status

Investigational Site Number 840116

Mission Viejo, California, United States

Site Status

Investigational Site Number 840103

Northridge, California, United States

Site Status

Investigational Site Number 840118

Redlands, California, United States

Site Status

Investigational Site Number 840104

Temecula, California, United States

Site Status

Investigational Site Number 840122

Chicago, Illinois, United States

Site Status

Investigational Site Number 840119

Chicago, Illinois, United States

Site Status

Investigational Site Number 840114

Springfield, Illinois, United States

Site Status

Investigational Site Number 840120

Flint, Michigan, United States

Site Status

Investigational Site Number 840115

Billings, Montana, United States

Site Status

Investigational Site Number 840101

Sea Girt, New Jersey, United States

Site Status

Investigational Site Number 840111

Fargo, North Dakota, United States

Site Status

Investigational Site Number 840110

West Jordan, Utah, United States

Site Status

Investigational Site Number 124102

Brampton, , Canada

Site Status

Investigational Site Number 124108

Coquitlam, , Canada

Site Status

Investigational Site Number 124106

Etobicoke, , Canada

Site Status

Investigational Site Number 124113

Kelowna, , Canada

Site Status

Investigational Site Number 124110

Laval, , Canada

Site Status

Investigational Site Number 124103

Newmarket, , Canada

Site Status

Investigational Site Number 124101

Oakville, , Canada

Site Status

Investigational Site Number 124111

Saint Romuald, , Canada

Site Status

Investigational Site Number 124104

Thornhill, , Canada

Site Status

Investigational Site Number 124105

Toronto, , Canada

Site Status

Investigational Site Number 124112

Vancouver, , Canada

Site Status

Investigational Site Number 203104

Pilsen, , Czechia

Site Status

Investigational Site Number 203102

Prague, , Czechia

Site Status

Investigational Site Number 203101

Prague, , Czechia

Site Status

Investigational Site Number 203105

Prague, , Czechia

Site Status

Investigational Site Number 203103

Trutnov, , Czechia

Site Status

Investigational Site Number 203106

Újezd u Brna, , Czechia

Site Status

Investigational Site Number 250108

Clermont-Ferrand, , France

Site Status

Investigational Site Number 250102

Menton, , France

Site Status

Investigational Site Number 250103

Nanterre, , France

Site Status

Investigational Site Number 250105

Rennes, , France

Site Status

Investigational Site Number 276103

Aßlar, , Germany

Site Status

Investigational Site Number 276102

Bad Mergentheim, , Germany

Site Status

Investigational Site Number 276107

Berlin, , Germany

Site Status

Investigational Site Number 276101

Heidelberg, , Germany

Site Status

Investigational Site Number 276104

Künzing, , Germany

Site Status

Investigational Site Number 276105

Pirna, , Germany

Site Status

Investigational Site Number 276108

Saint Ingbert-Oberwürzbach, , Germany

Site Status

Investigational Site Number 616106

Bytom, , Poland

Site Status

Investigational Site Number 616102

Gdansk, , Poland

Site Status

Investigational Site Number 616101

Krakow, , Poland

Site Status

Investigational Site Number 616103

Lublin, , Poland

Site Status

Investigational Site Number 616108

Oświęcim, , Poland

Site Status

Investigational Site Number 616105

Wroclaw, , Poland

Site Status

Investigational Site Number 616104

Wroclaw, , Poland

Site Status

Investigational Site Number 616107

Wroclaw, , Poland

Site Status

Investigational Site Number 642101

Bucharest, , Romania

Site Status

Investigational Site Number 642105

Oradea, , Romania

Site Status

Investigational Site Number 642102

Ploieşti, , Romania

Site Status

Investigational Site Number 642104

Reşiţa, , Romania

Site Status

Investigational Site Number 642103

Timișoara, , Romania

Site Status

Investigational Site Number 643103

Moscow, , Russia

Site Status

Investigational Site Number 643101

Moscow, , Russia

Site Status

Investigational Site Number 643106

Nizhny Novgorod, , Russia

Site Status

Investigational Site Number 643107

Saint Petersburg, , Russia

Site Status

Investigational Site Number 643105

Saint Petersburg, , Russia

Site Status

Investigational Site Number 643110

Saint Petersburg, , Russia

Site Status

Investigational Site Number 643102

Samara, , Russia

Site Status

Investigational Site Number 643108

Vladimir, , Russia

Site Status

Investigational Site Number 643104

Voronezh, , Russia

Site Status

Investigational Site Number 724107

A Coruña, , Spain

Site Status

Investigational Site Number 724104

Barcelona, , Spain

Site Status

Investigational Site Number 724103

Barcelona, , Spain

Site Status

Investigational Site Number 724102

Ferrol, , Spain

Site Status

Investigational Site Number 724101

Hostalets de Balenyà, , Spain

Site Status

Investigational Site Number 724106

Málaga, , Spain

Site Status

Investigational Site Number 724108

Segovia, , Spain

Site Status

Investigational Site Number 724105

Seville, , Spain

Site Status

Investigational Site Number 804108

Kharkiv, , Ukraine

Site Status

Investigational Site Number 804105

Kharkiv, , Ukraine

Site Status

Investigational Site Number 804102

Kiev, , Ukraine

Site Status

Investigational Site Number 804103

Kyiv, , Ukraine

Site Status

Investigational Site Number 804104

Mykolaiv, , Ukraine

Site Status

Investigational Site Number 804106

Poltava, , Ukraine

Site Status

Investigational Site Number 804101

Zaporozhie, , Ukraine

Site Status

Countries

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United States Canada Czechia France Germany Poland Romania Russia Spain Ukraine

References

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Ahren B, Vorokhobina N, Souhami E, Demil N, Ye J, Aronson R. Equal improvement in glycaemia with lixisenatide given before breakfast or the main meal of the day. J Diabetes Complications. 2014 Sep-Oct;28(5):735-41. doi: 10.1016/j.jdiacomp.2014.05.012. Epub 2014 Jun 5.

Reference Type RESULT
PMID: 25012990 (View on PubMed)

Other Identifiers

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2011-002416-85

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

U1111-1118-0841

Identifier Type: OTHER

Identifier Source: secondary_id

EFC12261

Identifier Type: -

Identifier Source: org_study_id

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