Gla-300 and IDeg-100 in Insulin-Naïve People With Type 2 Diabetes Mellitus and Renal Impairment

NCT ID: NCT05552859

Last Updated: 2025-09-08

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

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-05

Study Completion Date

2023-08-04

Brief Summary

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The TRENT trial is designed to confirm the efficacy and safety of Gla-300 compared with IDeg-100 in insulin-naïve patient (participants who have not tried insulin) with Type 2 Diabetes Mellitus (T2DM) and renal impairment. It will test the hypothesis that Gla-300 is non-inferior to IDeg-100 with glucose control. If achieved, the trial will also test for the superiority of Gla-300 compared with IDeg-100 in Hemoglobin A1c (HbA1c) reduction, without an increased potential risk of hypoglycemia.

Detailed Description

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The trial will consist of the following periods:

* A screening period of up to 2 weeks,
* A 24-week, open-label treatment period, including a titration period and a maintenance period.
* A 7-day, post-treatment, safety follow-up period after the last dose of the study drug or after premature/permanent discontinuation from study drug treatment. This will be a phone contact, but could be a site visit if ongoing or new AEs emerge during the post-treatment period, if necessary.

Conditions

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Type 2 Diabetes Mellitus Renal Impairment

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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Gla-300 arm

Gla-300 will be administered once daily for 24 weeks

Group Type EXPERIMENTAL

Insulin glargine 300 U/mL

Intervention Type DRUG

Insulin glargine 300 U/mL in the SoloStar pen, self-administered once daily for 24 weeks.

IDeg-100 arm

Ideg-100 will be administered once daily for 24 weeks

Group Type ACTIVE_COMPARATOR

Insulin degludec 100 U/mL

Intervention Type DRUG

Insulin degludec 100 U/mL will be self- administered once daily for 24 weeks.

Interventions

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Insulin glargine 300 U/mL

Insulin glargine 300 U/mL in the SoloStar pen, self-administered once daily for 24 weeks.

Intervention Type DRUG

Insulin degludec 100 U/mL

Insulin degludec 100 U/mL will be self- administered once daily for 24 weeks.

Intervention Type DRUG

Other Intervention Names

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Toujeo HOE901-U300 Tresiba

Eligibility Criteria

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Inclusion Criteria

1. Is an adult aged ≥18 years at screening.
2. Was diagnosed with Type 2 Diabetes Mellitus (T2DM) of \>1-year duration and had glycemic levels above target with OADs (Oral Antidiabetic Drug) with or without GLP-1 RA (glucagon-like peptide-1 receptor agonist) (oral or injectable) at stable doses for ≥3 months before the screening period.
3. Has an HbA1c ≥7.5% and ≤10.5% at screening.
4. Has renal impairment, as defined by an eGFR (estimated glomerular filtration rate) of \<60 mL/min/1.73m2 and ≥15 mL/min/1.73m2.
5. Has adequately controlled blood pressure with stable antihypertensive therapy at trial inclusion.
6. Is insulin-naïve, except for short use of insulin not exceeding 15 days during the last year before the screening period.
7. Is capable of understanding the written informed consent, and provides signed written informed consent.
8. Is willing and able to complete the electronic diary (eDiary) and agrees to comply with protocol requirements.
9. Is willing and able to fast without having administered study drug for scheduled site visits.

Exclusion Criteria

1. Has initiated treatment with potential novel therapies like dual glucose-dependent insulinotropic polypeptide (GIP) and GLP-1 RA.
2. Has a body mass index (BMI)\* \>45 kg/m² during the screening period.
3. Has a history of hypoglycemia unawareness (defined as the onset of neuroglycopenia before the appearance of autonomic warning symptoms \[eg, blurred vision, difficulty speaking, feeling faint, difficulty thinking, and confusion\] or as the failure to sense a significant fall in blood glucose below normal levels).
4. Has a history of 2 or more episodes of severe hypoglycemia and/or 2 or more episodes of diabetic ketoacidosis within the 6 months before the day of screening.
5. Has been exposed to other investigational drug(s) within 1 month or 5 half-lives from screening, whichever is longer.

The above information is 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

Locations

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Yuma Clinical Trials, LLC Site Number: 8400028

Yuma, Arizona, United States

Site Status

American Clinical Trials Site Number: 8400014

Buena Park, California, United States

Site Status

Clearview Medical Research LLC Site Number: 8400021

Canyon Country, California, United States

Site Status

Torrance Clinical Research Institute Site Number: 8400003

Lomita, California, United States

Site Status

Center for Endocrinology Diabetes and Metabolic Disorders (CEDMD) - CAR Site Number: 8400026

Santa Clarita, California, United States

Site Status

San Fernando Valley Health Institute - ClinEdge - PPDS Site Number: 8400023

Van Nuys, California, United States

Site Status

Chase Medical Research LLC Site Number: 8400007

Waterbury, Connecticut, United States

Site Status

Innovative Research of West Florida Site Number: 8400016

Clearwater, Florida, United States

Site Status

Evolution Clinical Trials Site number: 8400034

Hialeah Gardens, Florida, United States

Site Status

Wellness Research Center Inc - Miami Site Number: 8400010

Miami, Florida, United States

Site Status

Med Research of Florida, LLC Investigator Site: 8400033

Miami, Florida, United States

Site Status

Florida Institute For Clinical Research LLC Site Number: 8400004

Orlando, Florida, United States

Site Status

Emory University Site Number: 8400032

Atlanta, Georgia, United States

Site Status

Agile Clinical Research Trials, LLC Site Number: 8400001

Atlanta, Georgia, United States

Site Status

Centricity Research Site Number: 8400006

Columbus, Georgia, United States

Site Status

Georgia Clinical Research Site Number: 8400009

Lawrenceville, Georgia, United States

Site Status

Endocrine and Metabolic Consultants Research Center Site Number: 8400031

Rockville, Maryland, United States

Site Status

Diabetes, Obesity, Cardiovascular Clinical Specialists (DOCS) Site Number: 8400019

Las Vegas, Nevada, United States

Site Status

Mid Hudson Medical Research PLLC Site Number: 8400024

New Windsor, New York, United States

Site Status

Lucas Research - Morehead City - HyperCore - PPDS Site Number: 8400008

Morehead City, North Carolina, United States

Site Status

Advanced Medical Research Site Number: 8400012

Maumee, Ohio, United States

Site Status

Capital Area Research LLC Site Number: 8400029

Newport, Pennsylvania, United States

Site Status

Jefferson University Physicians (JUP) Site Number: 8400025

Philadelphia, Pennsylvania, United States

Site Status

Holston Medical Group PC Site Number: 8400018

Bristol, Tennessee, United States

Site Status

Frontier Medical Center Site Number: 8400035

El Paso, Texas, United States

Site Status

Diabetes and Thyroid Center of Fort Worth PLLC Site Number: 8400015

Fort Worth, Texas, United States

Site Status

Juno Research, LLC Site Number: 8400017

Houston, Texas, United States

Site Status

Reichman and Associates Site Number: 8400013

Houston, Texas, United States

Site Status

Texas Institute for Kidney and Endocrine Disorders Site Number: 8400027

Lufkin, Texas, United States

Site Status

Northeast Clinical Research of San Antonio LLC Site Number: 8400022

Schertz, Texas, United States

Site Status

Consano Clinical Research Site Number: 8400030

Shavano Park, Texas, United States

Site Status

David Ramstad Associates Research - IACT - HyperCore - PPDS Site Number: 8400005

Suffolk, Virginia, United States

Site Status

Diabetologie MUDr. Tomas Edelsberger Site Number: 2030001

Krnov, Moravskoslezský kraj, Czechia

Site Status

Agentura Science Pro spol. s.r.o.Site Number: 2030002

Olomouc, Olomoucký kraj, Czechia

Site Status

Institut Klinicke A Experimentalni Mediciny Site Number: 2030006

Prague, Praha, Hlavní Mesto, Czechia

Site Status

Diacentrum Brandys n. L. Site Number: 2030004

Brandýs nad Labem-Stará Boleslav, , Czechia

Site Status

Diabetologicka, interni a obezitologicka ambulance Site Number: 2030005

Jílové u Prahy, , Czechia

Site Status

Fakultni nemocnice Kralovske Vinohrady Site Number: 2030007

Prague, , Czechia

Site Status

Szabolcs-Szatmar-Bereg Megyei Korhazak es Egyetemi Oktatokorhaz Site Number: 3480006

Nyíregyháza, Szabolcs-Szatmár-Bereg, Hungary

Site Status

Markusovszky Egyetemi Oktatókórház Site Number: 3480001

Szombathely, Vas County, Hungary

Site Status

Csolnoky Ferenc Korhaz Site Number: 3480005

Balatonfüred, Veszprém megye, Hungary

Site Status

Zala Megyei Szent Rafael Korhaz Site Number: 3480002

Zalaegerszeg, Zala County, Hungary

Site Status

Magyar Honvédség Egészségügyi Központ Site Number: 3480003

Budapest, , Hungary

Site Status

Somogy Megyei Kaposi Mór Oktató Kórház Site Number: 3480004

Kaposvár, , Hungary

Site Status

Centrum Medyczne OMEDICA Site Number: 6160013

Poznan, Greater Poland Voivodeship, Poland

Site Status

Zaklad Opieki Medycznej "Sanatio" Sp.z o.o. - Osrodek Leczenia Schorzen Cywilizacyjnych Site Number: 6160016

Krakow, Lesser Poland Voivodeship, Poland

Site Status

Regionalna Poradnia Diabetologiczna - Wroclaw Site Number: 6160009

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status

Niepubliczny Zaklad Opieki Zdrowotnej Przychodnia Specjalistyczna Medica Site Number: 6160008

Lublin, Lublin Voivodeship, Poland

Site Status

KO-MED Centra Kliniczne Sp. z o.o. Site Number: 6160010

Puławy, Lublin Voivodeship, Poland

Site Status

KO-MED Centra Kliniczne Sp. z o.o. Site Number: 6160012

Zamość, Lublin Voivodeship, Poland

Site Status

Prywatny Gabinet Lekarski Centrum Medyczne Diabetika Dorota Mlodawska-Choluj Site Number: 6160015

Radom, Masovian Voivodeship, Poland

Site Status

NBR Polska Site Number: 6160003

Warsaw, Masovian Voivodeship, Poland

Site Status

Centralny Szpital Kliniczny MSW Site Number: 6160005

Warsaw, Masovian Voivodeship, Poland

Site Status

NZOZ Gdanska Poradnia Cukrzycowa Sp. z o.o. Site Number: 6160014

Gdansk, Pomeranian Voivodeship, Poland

Site Status

NZOZ Specjalistyczny Osrodek Internistyczno-Diabetologiczny Site Number: 6160001

Częstochowa, Silesian Voivodeship, Poland

Site Status

Specjalistyczna Praktyka Lekarska Site Number: 6160004

Lubliniec, Silesian Voivodeship, Poland

Site Status

ETG Lodz Site Number: 6160018

Lodz, , Poland

Site Status

Gabinet Lekarski Malgorzata Saryusz-Wolska Site Number: 6160017

Lódz, , Poland

Site Status

Praktyka Lekarska Ewa Krzyzagórska Site Number: 6160014

Poznan, , Poland

Site Status

Prywatny Gabinet Lekarski, Centrum Medyczne "Diabetika" Site Number:6160002

Radom, , Poland

Site Status

ETG Skierniewice - PPDS Site Number: 6160006

Skierniewice, , Poland

Site Status

KO-MED Centra Kliniczne Sp. z o.o. Site Number:6160011

Staszów, Świętokrzyskie Voivodeship, Poland

Site Status

Clinical Hospital Centar Zvezdara Site Number: 6880001

Belgrade, , Serbia

Site Status

University Clinical Center of Serbia - PPDS Site Number: 6880003

Belgrade, , Serbia

Site Status

University Clinical Center of Serbia - PPDS Site Number: 6880004

Belgrade, , Serbia

Site Status

University Clinical Center Nis Site Number: 6880002

Niš, , Serbia

Site Status

University Clinical Center Nis Site Number: 6880005

Niš, , Serbia

Site Status

Health Center Zajecar Site Number: 6880006

Zaječar, , Serbia

Site Status

Countries

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United States Czechia Hungary Poland Serbia

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2022-001485-35

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

LPS17007

Identifier Type: -

Identifier Source: org_study_id

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