A "Real World" Trial to Determine Efficacy and Health Outcomes of Toujeo Compared to "Standard of Care" Basal Insulin in Patients Already Using Basal Insulin
NCT ID: NCT02967211
Last Updated: 2022-04-25
Study Results
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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COMPLETED
PHASE4
609 participants
INTERVENTIONAL
2015-12-21
2017-10-20
Brief Summary
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To demonstrate noninferiority of Toujeo versus "standard of care" basal insulin therapy as measured by glycated hemoglobin (HbA1c) change
Secondary Objectives:
* To demonstrate superiority of Toujeo versus "standard of care" basal insulin if non-inferiority criterion is met, measured by HbA1c change.
* To compare Toujeo to other "standard of care" basal insulin in terms of patient persistence with assigned basal insulin therapy with or without intensification.
* Risk of hypoglycemia including documented, symptomatic hypoglycemia (≤70 mg/dL) or severe (according to ADA Working Group).
* Change in fasting plasma glucose (FPG).
* Change in body weight.
* Differences in patient reported outcomes measured by Diabetes Treatment Satisfaction Questionnaire Status and Change versions (DTSQs and DTSQc).
* Change in hypoglycemic control subscale (HCS).
* Healthcare resource utilization including hospitalizations and emergency department or other health care provider visits and healthcare costs.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Toujeo
Toujeo will be administered once daily in addition to non-insulin antidiabetic agents
insulin glargine (U300)
Pharmaceutical form: solution
Route of administration: subcutaneous
"Standard of care" commercially available basal insulin
Lantus, Humulin Neutral Protamine Hagedorn (NPH), Levemir, and Tresiba or other basal insulin, including biosimilar insulin will be administered once or twice daily according to label in addition to non-insulin antidiabetic agents
insulin glargine (U100)
Pharmaceutical form: solution
Route of administration: subcutaneous
NPH insulin
Pharmaceutical form: solution
Route of administration: subcutaneous
insulin detemir
Pharmaceutical form: solution
Route of administration: subcutaneous
insulin degludec
Pharmaceutical form: solution
Route of administration: subcutaneous
Interventions
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insulin glargine (U300)
Pharmaceutical form: solution
Route of administration: subcutaneous
insulin glargine (U100)
Pharmaceutical form: solution
Route of administration: subcutaneous
NPH insulin
Pharmaceutical form: solution
Route of administration: subcutaneous
insulin detemir
Pharmaceutical form: solution
Route of administration: subcutaneous
insulin degludec
Pharmaceutical form: solution
Route of administration: subcutaneous
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Fasting plasma glucose (FPG) \>130 mg/dL (7.2 mmol/L).
* Adult patients who have signed Informed Consent Form (ICF) and privacy form(s).
* All contraindications to "standard of care" insulin therapy or warnings/precautions of use as displayed in the respective National Product labeling for these products.
* Hypersensitivity to insulin glargine or Toujeo excipients.
* Pregnancy or lactation.
* Women of childbearing potential with no effective contraceptive method.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Exclusion Criteria
* Age \<18 years.
* Type 1 diabetes mellitus.
* Any clinically significant abnormality identified on physical examination, laboratory tests, or vital signs at the time of screening, or any major systemic disease resulting in short life expectancy that in the opinion of the Investigator would restrict or limit the patient's successful participation for the duration of the study.
* Use of any product containing short or rapid acting insulin since the time of diagnosis with type 2 diabetes mellitus other than temporary use during a pregnancy or hospitalization.
* Use of any product containing short or rapid acting insulin occurring within 3 months prior to the time of screening.
18 Years
ALL
No
Sponsors
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Sanofi
INDUSTRY
Responsible Party
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Principal Investigators
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Clinical Sciences & Operations
Role: STUDY_DIRECTOR
Sanofi
Locations
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Investigational Site Number 076-001
Curitiba, , Brazil
Investigational Site Number 076008
Fortaleza, , Brazil
Investigational Site Number 076004
Fortaleza, , Brazil
Investigational Site Number 076009
Rio de Janeiro, , Brazil
Investigational Site Number 076011
São José dos Campos, , Brazil
Investigational Site Number 076006
São Paulo, , Brazil
Investigational Site Number 076-003
São Paulo, , Brazil
Investigational Site Number 076005
São Paulo, , Brazil
Investigational Site Number 076010
Taguatinga, , Brazil
Investigational Site Number 246008
Helsinki, , Finland
Investigational Site Number 246007
Muurame, , Finland
Investigational Site Number 246002
Oulu, , Finland
Investigational Site Number 246001
Oulu, , Finland
Investigational Site Number 246009
Pori, , Finland
Investigational Site Number 246004
Rauma, , Finland
Investigational Site Number 250008
Amiens, , France
Investigational Site Number 250011
Bordeaux, , France
Investigational Site Number 250009
Caen, , France
Investigational Site Number 250001
Corbeil-Essonnes, , France
Investigational Site Number 250005
Eaubonne, , France
Investigational Site Number 250026
La Rochelle, , France
Investigational Site Number 250020
Montpellier, , France
Investigational Site Number 250015
Mulhouse, , France
Investigational Site Number 250003
Paris, , France
Investigational Site Number 250010
Pierre-Bénite, , France
Investigational Site Number 250014
Pierre-Bénite, , France
Investigational Site Number 250025
Poitiers, , France
Investigational Site Number 250002
Valenciennes, , France
Investigational Site Number 250013
Vandœuvre-lès-Nancy, , France
Investigational Site Number 300002
Athens, , Greece
Investigational Site Number 300003
Kalamata, , Greece
Investigational Site Number 300001
Lamia, , Greece
Investigational Site Number 300004
Thessaloniki, , Greece
Investigational Site Number 372002
Dublin, , Ireland
Investigational Site Number 372003
Dublin, , Ireland
Investigational Site Number 380033
Arzignano (VI), , Italy
Investigational Site Number 380016
Catania, , Italy
Investigational Site Number 380004
Catania, , Italy
Investigational Site Number 380006
Catanzaro, , Italy
Investigational Site Number 380031
Eboli, , Italy
Investigational Site Number 380007
Forlì, , Italy
Investigational Site Number 380018
Genova, , Italy
Investigational Site Number 380020
Iglesias (CI), , Italy
Investigational Site Number 380015
Milan, , Italy
Investigational Site Number 380001
Milan, , Italy
Investigational Site Number 380012
Milan, , Italy
Investigational Site Number 380011
Orbassano (TO), , Italy
Investigational Site Number 380026
Padua, , Italy
Investigational Site Number 380021
Palermo, , Italy
Investigational Site Number 380014
Partinico, , Italy
Investigational Site Number 380032
Roma, , Italy
Investigational Site Number 380002
Roma, , Italy
Investigational Site Number 380023
Roma, , Italy
Investigational Site Number 380036
San Benedetto del Tronto, , Italy
Investigational Site Number 380024
Sarzana, , Italy
Investigational Site Number 380013
Savigliano (CN), , Italy
Investigational Site Number 380017
Sesto S. Giovanni, , Italy
Investigational Site Number 380025
Torino, , Italy
Investigational Site Number 642008
Arad, , Romania
Investigational Site Number 642005
Baia Mare, , Romania
Investigational Site Number 642002
Brasov, , Romania
Investigational Site Number 642006
Brasov, , Romania
Investigational Site Number 642003
Cluj-Napoca, , Romania
Investigational Site Number 642007
Cluj-Napoca, , Romania
Investigational Site Number 642004
Târgu Mureş, , Romania
Investigational Site Number 642001
Timișoara, , Romania
Investigational Site Number 724002
Barcelona, , Spain
Investigational Site Number 724019
Barcelona, , Spain
Investigational Site Number 724012
Barcelona, , Spain
Investigational Site Number 724011
Barcelona, , Spain
Investigational Site Number 724027
Castellon, , Spain
Investigational Site Number 724028
Córdoba, , Spain
Investigational Site Number 724008
Galdakao (Bilbao), , Spain
Investigational Site Number 724010
León, , Spain
Investigational Site Number 724001
Lleida, , Spain
Investigational Site Number 724013
Madrid, , Spain
Investigational Site Number 724018
Madrid, , Spain
Investigational Site Number 724020
Málaga, , Spain
Investigational Site Number 724025
Móstoles, , Spain
Investigational Site Number 724006
Palma de Mallorca, , Spain
Investigational Site Number 724007
Palma de Mallorca, , Spain
Investigational Site Number 724024
Pontevedra, , Spain
Investigational Site Number 724017
Sabadell, , Spain
Investigational Site Number 724022
San Cristóbal de La Laguna - Santa Cruz de Tenerife, , Spain
Investigational Site Number 724003
Sant Joan d'Alacant, , Spain
Investigational Site Number 724030
Sant Joan Despí, , Spain
Investigational Site Number 724023
Santa Cruz de Tenerife, , Spain
Investigational Site Number 724014
Santiago de Compostela, , Spain
Investigational Site Number 724005
Seville, , Spain
Investigational Site Number 724016
Seville, , Spain
Investigational Site Number 724004
Seville, , Spain
Investigational Site Number 724021
Valencia, , Spain
Investigational Site Number 724009
Valladolid, , Spain
Investigational Site Number 724029
Vigo, , Spain
Investigational Site Number 756003
Bern, , Switzerland
Investigational Site Number 756002
Sankt Gallen, , Switzerland
Investigational Site Number 826033
Atherstone, , United Kingdom
Investigational Site Number 826016
Ayr, , United Kingdom
Investigational Site Number 826039
Blackburn, , United Kingdom
Investigational Site Number 826008
Bradford-on-Avon, , United Kingdom
Investigational Site Number 826004
Chertsey, , United Kingdom
Investigational Site Number 826038
Cornwall, , United Kingdom
Investigational Site Number 826031
Coventry, , United Kingdom
Investigational Site Number 826024
Darlington, , United Kingdom
Investigational Site Number 826035
Dudley, , United Kingdom
Investigational Site Number 826017
Glasgow, , United Kingdom
Investigational Site Number 826025
Huntingdon, , United Kingdom
Investigational Site Number 826002
Liverpool, , United Kingdom
Investigational Site Number 826018
Manchester, , United Kingdom
Investigational Site Number 826019
Manchester, , United Kingdom
Investigational Site Number 826037
Manchester, , United Kingdom
Investigational Site Number 826023
Norwich, , United Kingdom
Investigational Site Number 826009
Nuneaton, , United Kingdom
Investigational Site Number 826021
Plymouth, , United Kingdom
Investigational Site Number 826006
Portsmouth, , United Kingdom
Investigational Site Number 826020
Southampton, , United Kingdom
Investigational Site Number 826013
Taunton, , United Kingdom
Investigational Site Number 826007
Welwyn Garden City, , United Kingdom
Countries
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References
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Semlitsch T, Engler J, Siebenhofer A, Jeitler K, Berghold A, Horvath K. (Ultra-)long-acting insulin analogues versus NPH insulin (human isophane insulin) for adults with type 2 diabetes mellitus. Cochrane Database Syst Rev. 2020 Nov 9;11(11):CD005613. doi: 10.1002/14651858.CD005613.pub4.
Freemantle N, Mauricio D, Giaccari A, Bailey T, Roussel R, Franco D, Berthou B, Pilorget V, Westerbacka J, Bosnyak Z, Bonnemaire M, Cali AMG, Nguyen-Pascal ML, Penfornis A, Perez-Maraver M, Seufert J, Sullivan SD, Wilding J, Wysham C, Davies M. Real-world outcomes of treatment with insulin glargine 300 U/mL versus standard-of-care in people with uncontrolled type 2 diabetes mellitus. Curr Med Res Opin. 2020 Apr;36(4):571-581. doi: 10.1080/03007995.2019.1708287. Epub 2020 Jan 19.
Other Identifiers
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2015-001832-39
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
U1111-1170-8132
Identifier Type: OTHER
Identifier Source: secondary_id
LPS14060
Identifier Type: -
Identifier Source: org_study_id
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