Glycemic Optimization Treatment Study
Overview[ - collapse ][ - ]
Purpose | To compare the frequency of severe hypoglycemia events for 5 dosing algorithms of Lantus®, each of varying intensity and defined by their end-of -study target for self monitored plasma glucose(SMPG), in patients with Type 2 diabetes mellitus, with inadequate glycemic control (A1C greater than or equal to 7.0%) on oral antidiabetic drug therapy(OAD). |
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Condition | Diabetes Mellitus, Type 2 |
Intervention | Drug: Lantus® |
Phase | Phase 4 |
Sponsor | Sanofi |
Responsible Party | Sanofi |
ClinicalTrials.gov Identifier | NCT00552370 |
First Received | October 31, 2007 |
Last Updated | July 20, 2009 |
Last verified | July 2009 |
Tracking Information[ + expand ][ + ]
First Received Date | October 31, 2007 |
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Last Updated Date | July 20, 2009 |
Start Date | March 2003 |
Estimated Primary Completion Date | March 2005 |
Current Primary Outcome Measures | To compare the frequency of severe hypoglycemia events for 5 dosing algorithms of Lantus®, each of varying intensity and defined by their end-of-study target for self monitored blood glucose (SMBG). [Time Frame: From the start to the end of the study] [Designated as safety issue: No] |
Current Secondary Outcome Measures | To compare the number of subjects whose final A1c is <7.0% at the end of the study for the 5 dosing algorithms. [Time Frame: From the start to the end of the study] [Designated as safety issue: No] |
Descriptive Information[ + expand ][ + ]
Brief Title | Glycemic Optimization Treatment Study |
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Official Title | A Randomized, Open-Label, Parallel-Design Trial. Glycemia Optimization Treatment: Safety of Glucose Control Using Dosing Algorithms With Lantus®(Insulin Glargine [rDNA Origin[) in Adult Individuals With Type 2 Diabetes. |
Brief Summary | To compare the frequency of severe hypoglycemia events for 5 dosing algorithms of Lantus®, each of varying intensity and defined by their end-of -study target for self monitored plasma glucose(SMPG), in patients with Type 2 diabetes mellitus, with inadequate glycemic control (A1C greater than or equal to 7.0%) on oral antidiabetic drug therapy(OAD). |
Detailed Description | Not Provided |
Study Type | Interventional |
Study Phase | Phase 4 |
Study Design | Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment |
Condition | Diabetes Mellitus, Type 2 |
Intervention | Drug: Lantus® |
Study Arm (s) | Not Provided |
Recruitment Information[ + expand ][ + ]
Recruitment Status | Completed |
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Estimated Enrollment | 5062 |
Estimated Completion Date | March 2005 |
Estimated Primary Completion Date | March 2005 |
Eligibility Criteria | Inclusion Criteria: 1. Subjects must give their signed informed consent. 2. Diagnosis of Type 2 DM for at least 6 months. 3. Males and females greater than or equal to 18 years of age. 4. A1c greater than or equal to 7.0%. 5. Current (last 2 months) diabetes therapy with oral anti-hyperglycemia agents only. 6. Demonstrated willingness and ability to inject insulin glargine. 7. Able to understand and willing to comply with procedures required by the protocol and have access to a phone. 8. Demonstrated ability and willingness to perform self-monitoring of blood glucose (SMBG) and use of the algorithm calculator (AL-CAL). 9. BMI greater than 25.0 kg/m2. 10. Subjects who, in the opinion of the investigator, should be initiated on insulin therapy. Exclusion Criteria: 1. Cardiac status New York Heart Association (NYHA) III-IV (Appendix A). 2. For subjects treated with metformin (Glucophager, Glucophage XRr, Glucovancer, Metaglipr , or Avandametr) plus a serum creatinine greater than 1.5 mg/dL (133 μmol/L) for males or greater than 1.4 mg/dL (124 μmoL) for females, the inability or unwillingness to discontinue these medications, and to remain off them through the entire study. 3. For subjects on thiazolidinediones, the inability or unwillingness to discontinue these medications and to remain off them through the entire study. 4. Planned pregnancy, pregnancy, or lactation. 5. Serum creatinine greater than 3.0 mg/dL (266 μmol/L). 6. Serum glutamic pyruvic transaminase (SGPT) greater than 2.5 x the upper limit of normal range. 7. Any current malignancy or cancer within the past 5 years (except adequately treated basal cell carcinoma or cervical carcinoma in situ). 8. Diagnosis of dementia or mental condition rendering the subject unable to understand the nature, scope, and possible consequences of the study. 9. Hypersensitivity to Lantus® insulin or any of its components. 10. Any disease or condition, including the abuse of illicit drugs, prescription medicines, or alcohol that, in opinion of the sponsor/investigator, may interfere with the completion of the study. 11. Current (last 2 months) insulin therapy. 12. With the exception of thiazolidinediones (for all potential subjects) and for subjects who are taking metformin and have an exclusionary creatinine level, the ability or unwillingness to continue pre-study anti-hyperglycemia agents at pre-study dosages through the entire study. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial. |
Gender | Both |
Ages | 18 Years |
Accepts Healthy Volunteers | No |
Contacts | Not Provided |
Location Countries | Not Provided |
Administrative Information[ + expand ][ + ]
NCT Number | NCT00552370 |
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Other Study ID Numbers | HOE901_4045 |
Has Data Monitoring Committee | Not Provided |
Information Provided By | Sanofi |
Study Sponsor | Sanofi |
Collaborators | Not Provided |
Investigators | Study Director: Karen Barch Sanofi |
Verification Date | July 2009 |