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

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

210 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-11

Study Completion Date

2020-07-08

Brief Summary

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Primary Objective:

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).

Detailed Description

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The study duration per participant was less than 19 weeks (for participants who did not require the run-in period) and less than 31 weeks (for participants who require the run-in period).

Conditions

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Type 1 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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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.

Group Type EXPERIMENTAL

Insulin Aspart SAR341402

Intervention Type DRUG

Pharmaceutical form: Solution for injection Route of administration: Subcutaneous

Insulin Aspart

Intervention Type DRUG

Pharmaceutical form: Solution for injection Route of administration: Subcutaneous

Insulin glargine U100

Intervention Type DRUG

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.

Group Type ACTIVE_COMPARATOR

Insulin Aspart

Intervention Type DRUG

Pharmaceutical form: Solution for injection Route of administration: Subcutaneous

Insulin glargine U100

Intervention Type DRUG

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

Intervention Type DRUG

Insulin Aspart

Pharmaceutical form: Solution for injection Route of administration: Subcutaneous

Intervention Type DRUG

Insulin glargine U100

Pharmaceutical form: Solution for injection Route of administration: Subcutaneous

Intervention Type DRUG

Other Intervention Names

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NovoLog Lantus

Eligibility Criteria

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Inclusion Criteria

* Participants with T1DM.
* 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

* Pancreatectomy and/or islet cell transplantation.
* 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.
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 8400014

Concord, California, United States

Site Status

Investigational Site Number 8400001

Temecula, California, United States

Site Status

Investigational Site Number 8400015

Ventura, California, United States

Site Status

Investigational Site Number 8400010

Aurora, Colorado, United States

Site Status

Investigational Site Number 8400029

Waterbury, Connecticut, United States

Site Status

Investigational Site Number 8400038

Doral, Florida, United States

Site Status

Investigational Site Number 8400030

Miami, Florida, United States

Site Status

Investigational Site Number 8400032

New Port Richey, Florida, United States

Site Status

Investigational Site Number 8400026

Ocoee, Florida, United States

Site Status

Investigational Site Number 8400033

Palm Harbor, Florida, United States

Site Status

Investigational Site Number 8400012

Atlanta, Georgia, United States

Site Status

Investigational Site Number 8400005

Columbus, Georgia, United States

Site Status

Investigational Site Number 8400009

Roswell, Georgia, United States

Site Status

Investigational Site Number 8400019

Crystal Lake, Illinois, United States

Site Status

Investigational Site Number 8400028

Des Moines, Iowa, United States

Site Status

Investigational Site Number 8400018

Lexington, Kentucky, United States

Site Status

Investigational Site Number 8400023

Baltimore, Maryland, United States

Site Status

Investigational Site Number 8400003

Rockville, Maryland, United States

Site Status

Investigational Site Number 8400013

Waltham, Massachusetts, United States

Site Status

Investigational Site Number 8400004

Flint, Michigan, United States

Site Status

Investigational Site Number 8400021

Kansas City, Missouri, United States

Site Status

Investigational Site Number 8400031

Washington, Missouri, United States

Site Status

Investigational Site Number 8400036

Omaha, Nebraska, United States

Site Status

Investigational Site Number 8400017

Las Vegas, Nevada, United States

Site Status

Investigational Site Number 8400007

New York, New York, United States

Site Status

Investigational Site Number 8400006

Morehead City, North Carolina, United States

Site Status

Investigational Site Number 8400035

Rocky Mount, North Carolina, United States

Site Status

Investigational Site Number 8400034

Jefferson City, Tennessee, United States

Site Status

Investigational Site Number 8400040

Dallas, Texas, United States

Site Status

Investigational Site Number 8400042

El Paso, Texas, United States

Site Status

Investigational Site Number 8400027

Houston, Texas, United States

Site Status

Investigational Site Number 8400016

Mesquite, Texas, United States

Site Status

Investigational Site Number 8400041

Waco, Texas, United States

Site Status

Countries

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United States

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.

Reference Type RESULT
PMID: 37880868 (View on PubMed)

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.

Reference Type RESULT
PMID: 38420944 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

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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