Comparison of SAR341402 to NovoLog in Adult Patients With Type 1 Diabetes Mellitus Also Using Insulin Glargine
NCT ID: NCT03874715
Last Updated: 2024-04-17
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE3
210 participants
INTERVENTIONAL
2019-03-11
2020-07-08
Brief Summary
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To demonstrate similarity in pharmacokinetics (PK) of SAR341402 and NovoLog after 4x4-week periods of alternating administration of SAR341402 and NovoLog compared to 16-week continuous use of NovoLog in participants with Type 1 diabetes mellitus (T1DM) also using insulin glargine.
Secondary Objectives:
* To compare the effects of alternating administration of SAR341402 and NovoLog with continuous use of NovoLog on immunogenicity.
* To evaluate the safety of alternating administration of SAR341402 and NovoLog versus continuous use of NovoLog.
* To compare other PK parameters between the two treatment arms (alternating administration of SAR341402 and NovoLog and continuous use of NovoLog).
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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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Switching: NovoLog/SAR341402
Participants self-administered subcutaneous (SC) injection daily prior to the start of a meal during the 16-week treatment period, starting with NovoLog (100 units per milliliters \[U/mL\]) for the first 4 weeks, then SAR341402 (100 U/mL) for 4 weeks, followed by NovoLog (at same dose) for 4 weeks and then SAR341402 (at same dose) for the last 4 weeks on top of mandatory background therapy with Lantus (Insulin glargine, 100 U/mL) as basal insulin.
Insulin Aspart SAR341402
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous
Insulin Aspart
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous
Insulin glargine U100
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous
Non-Switching: NovoLog
Participants self-administered SC injection of NovoLog (100 U/mL) daily prior to the start of a meal during the 16-week treatment period on top of mandatory background therapy with Lantus (Insulin glargine, 100 U/mL) as basal insulin.
Insulin Aspart
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous
Insulin glargine U100
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous
Interventions
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Insulin Aspart SAR341402
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous
Insulin Aspart
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous
Insulin glargine U100
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Participants on continuous insulin treatment for at least 12 months prior to screening.
* Participants exclusively on a multiple (greater than or equal to 3) daily injection insulin analogue regimen using:
* NovoLog as mealtime insulin for at least 12 weeks prior to screening and
* Insulin glargine (100 units per milliliter \[U/mL\]) as basal insulin for at least 12 weeks prior to screening. Note: Participants not meeting this criterion could also qualify, provided that they completed the run-in period during which NovoLog and Lantus was administered so that, at the time of randomization, the participants had been on NovoLog and insulin glargine (100 U/mL) for at least 12 weeks (including any potential pre-screening administration).
* Glycated hemoglobin (HbA1c) less than or equal to 10 percent (%) (85.79 millimoles per mole) at screening.
* Body mass index less than or equal to 35 kilograms per meter square (kg/m\^2) at screening.
Exclusion Criteria
* Clinically significant laboratory findings, as defined by the protocol.
* Known presence of factors that interfered with the HbA1c measurement.
* History of severe hypoglycemia required emergency room admission or hospitalization within 3 months prior to screening.
* Hospitalization for recurrent diabetic ketoacidosis within 3 months prior to screening.
* Retinopathy or maculopathy with one of the following treatments, either recent (within 3 months of screening) or planned: intravitreal injections or laser or vitrectomy surgery.
* Use of glucose lowering treatments other than the multiple dose injections and basal insulin regimen (including use of insulin pump therapy), within 12 weeks prior to screening.
* Participants had received systemic glucocorticoids for one week or more within 3 months prior to screening (topical, nasal spray, inhaled or intra-articular applications are allowed).
* Participants had received systemic immunosuppressive agents within 6 months prior to screening.
The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
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 8400014
Concord, California, United States
Investigational Site Number 8400001
Temecula, California, United States
Investigational Site Number 8400015
Ventura, California, United States
Investigational Site Number 8400010
Aurora, Colorado, United States
Investigational Site Number 8400029
Waterbury, Connecticut, United States
Investigational Site Number 8400038
Doral, Florida, United States
Investigational Site Number 8400030
Miami, Florida, United States
Investigational Site Number 8400032
New Port Richey, Florida, United States
Investigational Site Number 8400026
Ocoee, Florida, United States
Investigational Site Number 8400033
Palm Harbor, Florida, United States
Investigational Site Number 8400012
Atlanta, Georgia, United States
Investigational Site Number 8400005
Columbus, Georgia, United States
Investigational Site Number 8400009
Roswell, Georgia, United States
Investigational Site Number 8400019
Crystal Lake, Illinois, United States
Investigational Site Number 8400028
Des Moines, Iowa, United States
Investigational Site Number 8400018
Lexington, Kentucky, United States
Investigational Site Number 8400023
Baltimore, Maryland, United States
Investigational Site Number 8400003
Rockville, Maryland, United States
Investigational Site Number 8400013
Waltham, Massachusetts, United States
Investigational Site Number 8400004
Flint, Michigan, United States
Investigational Site Number 8400021
Kansas City, Missouri, United States
Investigational Site Number 8400031
Washington, Missouri, United States
Investigational Site Number 8400036
Omaha, Nebraska, United States
Investigational Site Number 8400017
Las Vegas, Nevada, United States
Investigational Site Number 8400007
New York, New York, United States
Investigational Site Number 8400006
Morehead City, North Carolina, United States
Investigational Site Number 8400035
Rocky Mount, North Carolina, United States
Investigational Site Number 8400034
Jefferson City, Tennessee, United States
Investigational Site Number 8400040
Dallas, Texas, United States
Investigational Site Number 8400042
El Paso, Texas, United States
Investigational Site Number 8400027
Houston, Texas, United States
Investigational Site Number 8400016
Mesquite, Texas, United States
Investigational Site Number 8400041
Waco, Texas, United States
Countries
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References
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Shah VN, Al-Karadsheh A, Barnes C, Mandry J, Nakhle S, Wernicke-Panten K, Kramer D, Schmider W, Pierre S, Teichert L, Rotthaeuser B, Mukherjee B, Bailey TS. Pharmacokinetic similarity of switching SAR341402 insulin aspart biosimilar and NovoLog insulin aspart versus continuous use of NovoLog in adults with type 1 diabetes: The GEMELLI X trial. Diabetes Obes Metab. 2024 Feb;26(2):540-547. doi: 10.1111/dom.15341. Epub 2023 Oct 25.
Shah VN, Al-Karadsheh A, Barnes C, Mandry J, Nakhle S, Wernicke-Panten K, Kramer D, Schmider W, Pierre S, Teichert L, Rotthaeuser B, Mukherjee B, Bailey TS. Safety and Efficacy of Switching SAR341402 Insulin Aspart and Originator Insulin Aspart vs Continuous Use of Originator Insulin Aspart in Adults With Type 1 Diabetes: The GEMELLI X Trial. J Diabetes Sci Technol. 2025 Jul;19(4):1051-1059. doi: 10.1177/19322968241232709. Epub 2024 Feb 29.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Other Identifiers
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U1111-1197-7811
Identifier Type: OTHER
Identifier Source: secondary_id
136342
Identifier Type: OTHER
Identifier Source: secondary_id
EFC15178
Identifier Type: -
Identifier Source: org_study_id
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