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

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

609 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-21

Study Completion Date

2017-10-20

Brief Summary

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Primary Objective:

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.

Detailed Description

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The total study duration will be up to 55 weeks, consisting of a 1 week screening period at the site, a 26 week treatment period, and a 26 week extension period.

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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Toujeo

Toujeo will be administered once daily in addition to non-insulin antidiabetic agents

Group Type EXPERIMENTAL

insulin glargine (U300)

Intervention Type DRUG

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

Group Type ACTIVE_COMPARATOR

insulin glargine (U100)

Intervention Type DRUG

Pharmaceutical form: solution

Route of administration: subcutaneous

NPH insulin

Intervention Type DRUG

Pharmaceutical form: solution

Route of administration: subcutaneous

insulin detemir

Intervention Type DRUG

Pharmaceutical form: solution

Route of administration: subcutaneous

insulin degludec

Intervention Type DRUG

Pharmaceutical form: solution

Route of administration: subcutaneous

Interventions

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insulin glargine (U300)

Pharmaceutical form: solution

Route of administration: subcutaneous

Intervention Type DRUG

insulin glargine (U100)

Pharmaceutical form: solution

Route of administration: subcutaneous

Intervention Type DRUG

NPH insulin

Pharmaceutical form: solution

Route of administration: subcutaneous

Intervention Type DRUG

insulin detemir

Pharmaceutical form: solution

Route of administration: subcutaneous

Intervention Type DRUG

insulin degludec

Pharmaceutical form: solution

Route of administration: subcutaneous

Intervention Type DRUG

Other Intervention Names

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HOE901; Toujeo HOE901; Lantus Humulin NPH Levemir Tresiba

Eligibility Criteria

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Inclusion Criteria

* Patients with type 2 diabetes insufficiently controlled (HbA1c \>7%) with current (≥6 months) "standard of care" basal insulin therapy (including insulin glargine U100, Levemir, NPH, or Tresiba) with or without oral agents (metformin, sulfonylurea, thiazolidinedione, DPP-4 inhibitor, SGLT-2 inhibitor, glinides, α glucosidase inhibitors) and with or without use of a GLP-1 receptor agonist.
* 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

* HbA1c ≤7%, no upper bound.
* 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.
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 076-001

Curitiba, , Brazil

Site Status

Investigational Site Number 076008

Fortaleza, , Brazil

Site Status

Investigational Site Number 076004

Fortaleza, , Brazil

Site Status

Investigational Site Number 076009

Rio de Janeiro, , Brazil

Site Status

Investigational Site Number 076011

São José dos Campos, , Brazil

Site Status

Investigational Site Number 076006

São Paulo, , Brazil

Site Status

Investigational Site Number 076-003

São Paulo, , Brazil

Site Status

Investigational Site Number 076005

São Paulo, , Brazil

Site Status

Investigational Site Number 076010

Taguatinga, , Brazil

Site Status

Investigational Site Number 246008

Helsinki, , Finland

Site Status

Investigational Site Number 246007

Muurame, , Finland

Site Status

Investigational Site Number 246002

Oulu, , Finland

Site Status

Investigational Site Number 246001

Oulu, , Finland

Site Status

Investigational Site Number 246009

Pori, , Finland

Site Status

Investigational Site Number 246004

Rauma, , Finland

Site Status

Investigational Site Number 250008

Amiens, , France

Site Status

Investigational Site Number 250011

Bordeaux, , France

Site Status

Investigational Site Number 250009

Caen, , France

Site Status

Investigational Site Number 250001

Corbeil-Essonnes, , France

Site Status

Investigational Site Number 250005

Eaubonne, , France

Site Status

Investigational Site Number 250026

La Rochelle, , France

Site Status

Investigational Site Number 250020

Montpellier, , France

Site Status

Investigational Site Number 250015

Mulhouse, , France

Site Status

Investigational Site Number 250003

Paris, , France

Site Status

Investigational Site Number 250010

Pierre-Bénite, , France

Site Status

Investigational Site Number 250014

Pierre-Bénite, , France

Site Status

Investigational Site Number 250025

Poitiers, , France

Site Status

Investigational Site Number 250002

Valenciennes, , France

Site Status

Investigational Site Number 250013

Vandœuvre-lès-Nancy, , France

Site Status

Investigational Site Number 300002

Athens, , Greece

Site Status

Investigational Site Number 300003

Kalamata, , Greece

Site Status

Investigational Site Number 300001

Lamia, , Greece

Site Status

Investigational Site Number 300004

Thessaloniki, , Greece

Site Status

Investigational Site Number 372002

Dublin, , Ireland

Site Status

Investigational Site Number 372003

Dublin, , Ireland

Site Status

Investigational Site Number 380033

Arzignano (VI), , Italy

Site Status

Investigational Site Number 380016

Catania, , Italy

Site Status

Investigational Site Number 380004

Catania, , Italy

Site Status

Investigational Site Number 380006

Catanzaro, , Italy

Site Status

Investigational Site Number 380031

Eboli, , Italy

Site Status

Investigational Site Number 380007

Forlì, , Italy

Site Status

Investigational Site Number 380018

Genova, , Italy

Site Status

Investigational Site Number 380020

Iglesias (CI), , Italy

Site Status

Investigational Site Number 380015

Milan, , Italy

Site Status

Investigational Site Number 380001

Milan, , Italy

Site Status

Investigational Site Number 380012

Milan, , Italy

Site Status

Investigational Site Number 380011

Orbassano (TO), , Italy

Site Status

Investigational Site Number 380026

Padua, , Italy

Site Status

Investigational Site Number 380021

Palermo, , Italy

Site Status

Investigational Site Number 380014

Partinico, , Italy

Site Status

Investigational Site Number 380032

Roma, , Italy

Site Status

Investigational Site Number 380002

Roma, , Italy

Site Status

Investigational Site Number 380023

Roma, , Italy

Site Status

Investigational Site Number 380036

San Benedetto del Tronto, , Italy

Site Status

Investigational Site Number 380024

Sarzana, , Italy

Site Status

Investigational Site Number 380013

Savigliano (CN), , Italy

Site Status

Investigational Site Number 380017

Sesto S. Giovanni, , Italy

Site Status

Investigational Site Number 380025

Torino, , Italy

Site Status

Investigational Site Number 642008

Arad, , Romania

Site Status

Investigational Site Number 642005

Baia Mare, , Romania

Site Status

Investigational Site Number 642002

Brasov, , Romania

Site Status

Investigational Site Number 642006

Brasov, , Romania

Site Status

Investigational Site Number 642003

Cluj-Napoca, , Romania

Site Status

Investigational Site Number 642007

Cluj-Napoca, , Romania

Site Status

Investigational Site Number 642004

Târgu Mureş, , Romania

Site Status

Investigational Site Number 642001

Timișoara, , Romania

Site Status

Investigational Site Number 724002

Barcelona, , Spain

Site Status

Investigational Site Number 724019

Barcelona, , Spain

Site Status

Investigational Site Number 724012

Barcelona, , Spain

Site Status

Investigational Site Number 724011

Barcelona, , Spain

Site Status

Investigational Site Number 724027

Castellon, , Spain

Site Status

Investigational Site Number 724028

Córdoba, , Spain

Site Status

Investigational Site Number 724008

Galdakao (Bilbao), , Spain

Site Status

Investigational Site Number 724010

León, , Spain

Site Status

Investigational Site Number 724001

Lleida, , Spain

Site Status

Investigational Site Number 724013

Madrid, , Spain

Site Status

Investigational Site Number 724018

Madrid, , Spain

Site Status

Investigational Site Number 724020

Málaga, , Spain

Site Status

Investigational Site Number 724025

Móstoles, , Spain

Site Status

Investigational Site Number 724006

Palma de Mallorca, , Spain

Site Status

Investigational Site Number 724007

Palma de Mallorca, , Spain

Site Status

Investigational Site Number 724024

Pontevedra, , Spain

Site Status

Investigational Site Number 724017

Sabadell, , Spain

Site Status

Investigational Site Number 724022

San Cristóbal de La Laguna - Santa Cruz de Tenerife, , Spain

Site Status

Investigational Site Number 724003

Sant Joan d'Alacant, , Spain

Site Status

Investigational Site Number 724030

Sant Joan Despí, , Spain

Site Status

Investigational Site Number 724023

Santa Cruz de Tenerife, , Spain

Site Status

Investigational Site Number 724014

Santiago de Compostela, , Spain

Site Status

Investigational Site Number 724005

Seville, , Spain

Site Status

Investigational Site Number 724016

Seville, , Spain

Site Status

Investigational Site Number 724004

Seville, , Spain

Site Status

Investigational Site Number 724021

Valencia, , Spain

Site Status

Investigational Site Number 724009

Valladolid, , Spain

Site Status

Investigational Site Number 724029

Vigo, , Spain

Site Status

Investigational Site Number 756003

Bern, , Switzerland

Site Status

Investigational Site Number 756002

Sankt Gallen, , Switzerland

Site Status

Investigational Site Number 826033

Atherstone, , United Kingdom

Site Status

Investigational Site Number 826016

Ayr, , United Kingdom

Site Status

Investigational Site Number 826039

Blackburn, , United Kingdom

Site Status

Investigational Site Number 826008

Bradford-on-Avon, , United Kingdom

Site Status

Investigational Site Number 826004

Chertsey, , United Kingdom

Site Status

Investigational Site Number 826038

Cornwall, , United Kingdom

Site Status

Investigational Site Number 826031

Coventry, , United Kingdom

Site Status

Investigational Site Number 826024

Darlington, , United Kingdom

Site Status

Investigational Site Number 826035

Dudley, , United Kingdom

Site Status

Investigational Site Number 826017

Glasgow, , United Kingdom

Site Status

Investigational Site Number 826025

Huntingdon, , United Kingdom

Site Status

Investigational Site Number 826002

Liverpool, , United Kingdom

Site Status

Investigational Site Number 826018

Manchester, , United Kingdom

Site Status

Investigational Site Number 826019

Manchester, , United Kingdom

Site Status

Investigational Site Number 826037

Manchester, , United Kingdom

Site Status

Investigational Site Number 826023

Norwich, , United Kingdom

Site Status

Investigational Site Number 826009

Nuneaton, , United Kingdom

Site Status

Investigational Site Number 826021

Plymouth, , United Kingdom

Site Status

Investigational Site Number 826006

Portsmouth, , United Kingdom

Site Status

Investigational Site Number 826020

Southampton, , United Kingdom

Site Status

Investigational Site Number 826013

Taunton, , United Kingdom

Site Status

Investigational Site Number 826007

Welwyn Garden City, , United Kingdom

Site Status

Countries

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Brazil Finland France Greece Ireland Italy Romania Spain Switzerland United Kingdom

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.

Reference Type DERIVED
PMID: 33166419 (View on PubMed)

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.

Reference Type DERIVED
PMID: 31865758 (View on PubMed)

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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