A "Real World" Trial to Determine Efficacy and Health Outcomes of Toujeo Compared to "Standard of Care" Basal Insulins in Insulin Naïve Patients Initiating Insulin

NCT ID: NCT02967224

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

705 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-11-05

Study Completion Date

2017-10-16

Brief Summary

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Primary Objective:

To demonstrate noninferiority of Toujeo versus "standard of care" basal insulin therapy measured as glycosylated hemoglobin (HbA1c) change

Secondary Objectives:

* To demonstrate superiority of Toujeo versus "standard of care" basal insulin if noninferiority is met, measured as 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 the incidence of documented symptomatic or severe hypoglycemic events \[as defined by the American Diabetes Association (ADA\] Workgroup on Hypoglycemia).
* 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 noninsulin 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 or Tresiba or other basal insulin, including biosimilar insulin will be administered once or twice daily according to label in addition to noninsulin 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 with oral agents (metformin, sulfonylurea, thiazolidinediones, DPP-4 inhibitor, SGLT-2 inhibitor, glinides, α glucosidase inhibitors) and with or without GLP-1 receptor agonist, and eligible to basal insulin treatment, per investigator's judgment.

* All contraindications to commercially available 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.
* Patient is the Investigator or any Sub-investigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved in the conduct of the protocol.
* 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 insulin since the time of diagnosis with T2DM other than temporary use during a pregnancy or hospitalization.
* Use of any product containing 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 076005

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 076007

São Paulo, , Brazil

Site Status

Investigational Site Number 076008

São Paulo, , Brazil

Site Status

Investigational Site Number 076003

São Paulo, , Brazil

Site Status

Investigational Site Number 076010

Taguatinga, , Brazil

Site Status

Investigational Site Number 250060

Alençon, , France

Site Status

Investigational Site Number 250023

Amiens, , France

Site Status

Investigational Site Number 250057

Bar-le-Duc, , France

Site Status

Investigational Site Number 250050

Béthune, , France

Site Status

Investigational Site Number 250008

Bois-Guillaume, , France

Site Status

Investigational Site Number 250024

Bordeaux, , France

Site Status

Investigational Site Number 250028

Brest, , France

Site Status

Investigational Site Number 250014

Caen, , France

Site Status

Investigational Site Number 250003

Cahors, , France

Site Status

Investigational Site Number 250064

Châlons-en-Champagne, , France

Site Status

Investigational Site Number 250026

Cholet, , France

Site Status

Investigational Site Number 250025

Corbeil-Essonnes, , France

Site Status

Investigational Site Number 250011

Eaubonne, , France

Site Status

Investigational Site Number 250013

La Roche-sur-Yon, , France

Site Status

Investigational Site Number 250058

La Rochelle, , France

Site Status

Investigational Site Number 250027

La Seyne-sur-Mer, , France

Site Status

Investigational Site Number 250034

Lamagistère, , France

Site Status

Investigational Site Number 250017

Le Puy-en-Velay, , France

Site Status

Investigational Site Number 250012

Marseille, , France

Site Status

Investigational Site Number 250054

Maubeuge, , France

Site Status

Investigational Site Number 250045

Montpellier, , France

Site Status

Investigational Site Number 250020

Montpellier, , France

Site Status

Investigational Site Number 250016

Montpellier, , France

Site Status

Investigational Site Number 250035

Mulhouse, , France

Site Status

Investigational Site Number 250004

Narbonne, , France

Site Status

Investigational Site Number 250046

Nevers, , France

Site Status

Investigational Site Number 250041

Nîmes, , France

Site Status

Investigational Site Number 250044

Orléans, , France

Site Status

Investigational Site Number 250063

Paris, , France

Site Status

Investigational Site Number 250053

Paris, , France

Site Status

Investigational Site Number 250005

Paris, , France

Site Status

Investigational Site Number 250032

Paris, , France

Site Status

Investigational Site Number 250021

Pierre-Bénite, , France

Site Status

Investigational Site Number 250030

Pierre-Bénite, , France

Site Status

Investigational Site Number 250052

Poitiers, , France

Site Status

Investigational Site Number 250051

Pringy, , France

Site Status

Investigational Site Number 250039

Reims, , France

Site Status

Investigational Site Number 250022

Roubaix, , France

Site Status

Investigational Site Number 250033

Saint-Mandé, , France

Site Status

Investigational Site Number 250055

Sète, , France

Site Status

Investigational Site Number 250056

Strasbourg, , France

Site Status

Investigational Site Number 250001

Strasbourg, , France

Site Status

Investigational Site Number 250031

Strasbourg, , France

Site Status

Investigational Site Number 250043

Tarbes, , France

Site Status

Investigational Site Number 250002

Toulouse, , France

Site Status

Investigational Site Number 250029

Vandœuvre-lès-Nancy, , France

Site Status

Investigational Site Number 250009

Vénissieux, , France

Site Status

Investigational Site Number 250006

Vichy, , France

Site Status

Investigational Site Number 250007

Vichy, , France

Site Status

Investigational Site Number 250059

Villeneuve-sur-Lot, , France

Site Status

Investigational Site Number 276013

Bornheim, , Germany

Site Status

Investigational Site Number 276002

Dresden, , Germany

Site Status

Investigational Site Number 276001

Dresden, , Germany

Site Status

Investigational Site Number 276016

Hamburg, , Germany

Site Status

Investigational Site Number 276014

Hohenmölsen, , Germany

Site Status

Investigational Site Number 276017

Münster, , Germany

Site Status

Investigational Site Number 276012

Neumünster, , Germany

Site Status

Investigational Site Number 276009

Neuwied, , Germany

Site Status

Investigational Site Number 276008

Oldenburg, , Germany

Site Status

Investigational Site Number 276006

Pirna, , Germany

Site Status

Investigational Site Number 276010

Rehlingen-Siersburg, , Germany

Site Status

Investigational Site Number 276005

Riesa, , Germany

Site Status

Investigational Site Number 276011

Schweinfurt, , Germany

Site Status

Investigational Site Number 276007

Sulzbach-Rosenberg, , Germany

Site Status

Investigational Site Number 327002

Dublin, , Ireland

Site Status

Investigational Site Number 372003

Dublin, , Ireland

Site Status

Investigational Site Number 642001

Bucharest, , Romania

Site Status

Investigational Site Number 642002

Bucharest, , Romania

Site Status

Investigational Site Number 642007

Bucharest, , Romania

Site Status

Investigational Site Number 642004

Cluj-Napoca, , Romania

Site Status

Investigational Site Number 642005

Galati, , Romania

Site Status

Investigational Site Number 642009

Iași, , Romania

Site Status

Investigational Site Number 642006

Oradea, , Romania

Site Status

Investigational Site Number 642008

Târgovişte, , Romania

Site Status

Investigational Site Number 724014

A Coruña, , Spain

Site Status

Investigational Site Number 724013

Almansa, , Spain

Site Status

Investigational Site Number 724024

Badalona, , Spain

Site Status

Investigational Site Number 724016

Barakaldo, , Spain

Site Status

Investigational Site Number 724005

Barcelona, , Spain

Site Status

Investigational Site Number 724019

Barcelona, , Spain

Site Status

Investigational Site Number 724017

Barcelona, , Spain

Site Status

Investigational Site Number 724008

Burgos, , Spain

Site Status

Investigational Site Number 724018

Donostia / San Sebastian, , Spain

Site Status

Investigational Site Number 724026

Ferrol, , Spain

Site Status

Investigational Site Number 724021

Girona, , Spain

Site Status

Investigational Site Number 724027

Huelva, , Spain

Site Status

Investigational Site Number 724001

Lleida, , Spain

Site Status

Investigational Site Number 724025

Madrid, , Spain

Site Status

Investigational Site Number 724028

Madrid, , Spain

Site Status

Investigational Site Number 724006

Majadahonda, , Spain

Site Status

Investigational Site Number 724030

Málaga, , Spain

Site Status

Investigational Site Number 724020

Málaga, , Spain

Site Status

Investigational Site Number 724012

Sabadell, , Spain

Site Status

Investigational Site Number 724009

Santiago de Compostela, , Spain

Site Status

Investigational Site Number 724010

Seville, , Spain

Site Status

Investigational Site Number 724011

Seville, , Spain

Site Status

Investigational Site Number 724002

Valencia, , Spain

Site Status

Investigational Site Number 724022

Valencia, , Spain

Site Status

Investigational Site Number 724007

Vitoria-Gasteiz, , Spain

Site Status

Investigational Site Number 826033

Atherstone, , United Kingdom

Site Status

Investigational Site Number 826016

Ayr, , 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 826011

Chesterfield, , United Kingdom

Site Status

Investigational Site Number 826028

Chippenham, , United Kingdom

Site Status

Investigational Site Number 826038

Cornwall, , United Kingdom

Site Status

Investigational Site Number 826027

Cornwall, , United Kingdom

Site Status

Investigational Site Number 826031

Coventry, , United Kingdom

Site Status

Investigational Site Number 826003

Craigavon, , United Kingdom

Site Status

Investigational Site Number 826035

Dudley, , United Kingdom

Site Status

Investigational Site Number 826015

Larbert, , 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 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

Countries

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Brazil France Germany Ireland Romania Spain 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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2015-001831-18

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

U1111-1170-8104

Identifier Type: OTHER

Identifier Source: secondary_id

LPS13931

Identifier Type: -

Identifier Source: org_study_id

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