A Study to Compare Taspoglutide and Insulin Glargine in Insulin-Naïve Patients With Type 2 Diabetes Mellitus Inadequately Controlled on Metformin and Sulfonylurea Combination Therapy

Overview[ - collapse ][ - ]

Purpose This randomized, open-label, parallel arm study will compare the safety, tolerability and effect on glycemic control of taspoglutide versus insulin glargine in insulin-naïve patients with type 2 diabetes mellitus inadequately controlled on merformin and sulfonylurea combination therapy. Patients will be randomized to receive either taspoglutide 10mg subcutaneously (sc) weekly, or taspoglutide 10mg sc weekly for 4 weeks followed by 20mg sc weekly, or insulin glargine at an initial dose of 10 international units sc daily. Metformin treatment will be continued in all patients throughout the study, whereas sulfonylurea will be discontinued before starting study treatment. Anticipated time on study treatment is 24 weeks, with an option to continue the assigned treatment for another 28 weeks. Target sample size is 500-600 patients.
ConditionDiabetes Mellitus, Type 2
InterventionDrug: taspoglutide
Drug: taspoglutide
Drug: insulin glargine
Drug: metformin
PhasePhase 3
SponsorHoffmann-La Roche
Responsible PartyHoffmann-La Roche
ClinicalTrials.gov IdentifierNCT01051011
First ReceivedJanuary 15, 2010
Last UpdatedApril 14, 2014
Last verifiedApril 2014

Tracking Information[ + expand ][ + ]

First Received DateJanuary 15, 2010
Last Updated DateApril 14, 2014
Start DateJanuary 2010
Estimated Primary Completion DateDecember 2010
Current Primary Outcome MeasuresGlycemic control assessed by HbA1c [Time Frame: week 24] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • Fasting plasma glucose, incidence of hypoglycemia, proportion of patients achieving target HbA1c [Time Frame: week 24] [Designated as safety issue: No]
  • Body weight, lipid profile (triglycerides, total cholesterol, LDL and HDL cholesterol, LDL/HDL ratio) [Time Frame: week 24] [Designated as safety issue: No]
  • Safety and tolerability: Adverse events (including hypoglycemia), vital signs, laboratory parameters [Time Frame: throughout study, laboratory assessments weeks 12, 24, 32 and 52] [Designated as safety issue: No]
  • Meal tolerance test (in a subset of patients): Glucose, insulin, C-peptide, glucagon values [Time Frame: week 24] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleA Study to Compare Taspoglutide and Insulin Glargine in Insulin-Naïve Patients With Type 2 Diabetes Mellitus Inadequately Controlled on Metformin and Sulfonylurea Combination Therapy
Official TitleA Multi-center, Randomized, Open-label, Active-controlled Study to Compare the Safety, Tolerability and Effect on Glycemic Control of Taspoglutide Versus Insulin Glargine in Insulin-naive Type 2 Diabetic Patients Inadequately Controlled With Metformin and Sulphonylurea Combination Therapy.
Brief Summary
This randomized, open-label, parallel arm study will compare the safety, tolerability and
effect on glycemic control of taspoglutide versus insulin glargine in insulin-naïve patients
with type 2 diabetes mellitus inadequately controlled on merformin and sulfonylurea
combination therapy. Patients will be randomized to receive either taspoglutide 10mg
subcutaneously (sc) weekly, or taspoglutide 10mg sc weekly for 4 weeks followed by 20mg sc
weekly, or insulin glargine at an initial dose of 10 international units sc daily. Metformin
treatment will be continued in all patients throughout the study, whereas sulfonylurea will
be discontinued before starting study treatment. Anticipated time on study treatment is 24
weeks, with an option to continue the assigned treatment for another 28 weeks. Target sample
size is 500-600 patients.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 3
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
ConditionDiabetes Mellitus, Type 2
InterventionDrug: taspoglutide
10mg sc weekly, 24 (-52) weeks
Drug: taspoglutide
10mg sc weekly the 1st 4 weeks followed by 20mg sc weekly, 24 (-52) weeks
Drug: insulin glargine
initial dose 10 international units (IU) sc daily, titrated according to the mean FPG, 24 (-52) weeks
Drug: metformin
as prescribed
Study Arm (s)
  • Experimental: 1
  • Experimental: 2
  • Active Comparator: 3

Recruitment Information[ + expand ][ + ]

Recruitment StatusTerminated
Estimated Enrollment370
Estimated Completion DateDecember 2010
Estimated Primary Completion DateDecember 2010
Eligibility Criteria
Inclusion Criteria:

- adult patients, 18-75 years of age

- type 2 diabetes mellitus, treated with stable dose of metformin and sulfonylurea for
>/= 12 weeks prior to screening

- HbA1c 7-10% at screening

- body weight stable (+/-5%) for >/= 12 weeks prior to screening

- fasting C-peptide >/=1ng/ml

- treatment-naïve for insulin

Exclusion Criteria:

- diagnosis or history of type 1 diabetes mellitus or secondary forms of diabetes

- acute metabolic diabetic complications or evidence of clinically significant diabetic
complications

- clinically symptomatic gastrointestinal disease

- history of chronic pancreatitis or acute idiopathic pancreatitis

- >3 episodes of severe hypoglycemia within 6 months prior to screening

- miocardial infarcion, unstable angina pectoris, coronary artery bypass surgery,
post-transplantation cardiomyopathy or stroke within 6 months prior to screening

- any treatment with exenatide, exendin analogues, GLP-1 or its analogues
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesChina, Hong Kong, Korea, Republic of, Malaysia, Philippines, Taiwan, Thailand

Administrative Information[ + expand ][ + ]

NCT Number NCT01051011
Other Study ID NumbersZC22565
Has Data Monitoring CommitteeNot Provided
Information Provided ByHoffmann-La Roche
Study SponsorHoffmann-La Roche
CollaboratorsNot Provided
Investigators Study Director: Clinical Trials Hoffmann-La Roche
Verification DateApril 2014

Locations[ + expand ][ + ]

China
Beijing, China, 100029
China
Beijing, China, 100853
China
Beijing, China, 100730
China
Beijng, China, 100700
China
Chengdu, China, 610041
China
Chongqing, China, 400010
China
Guangzhou, China, 510120
China
Hangzhou, China, 310009
China
Hefei, China, 230022
China
Nanjing, China, 210029
China
Nanjing, China, 210006
China
Nanning, China, 530021
China
Shanghai, China, 200080
China
Shijiazhuang, China, 050051
China
Tianjin, China, 300052
China
Tianjin, China, 201203
Hong Kong
Hong Kong, Hong Kong
Korea, Republic of
Busan, Korea, Republic of, 614-735
Korea, Republic of
Daegu, Korea, Republic of, 705-717
Korea, Republic of
Daegu, Korea, Republic of, 705-718
Korea, Republic of
Gyeonggi-do, Korea, Republic of, 410-773
Korea, Republic of
Gyeonggi-do, Korea, Republic of, 443-380
Korea, Republic of
Gyeonggi-do, Korea, Republic of, 463-712
Korea, Republic of
Incheon, Korea, Republic of, 405-760
Korea, Republic of
Kangwon-do, Korea, Republic of, 220-701
Korea, Republic of
Kyounggi-do, Korea, Republic of, 420-717
Korea, Republic of
Seoul, Korea, Republic of, 139-872
Korea, Republic of
Seoul, Korea, Republic of, 110-746
Korea, Republic of
Seoul, Korea, Republic of, 137-701
Korea, Republic of
Seoul, Korea, Republic of
Korea, Republic of
Seoul, Korea, Republic of, 135-720
Korea, Republic of
Seoul, Korea, Republic of, 130-702
Korea, Republic of
Seoul, Korea, Republic of, 134-701
Malaysia
Johor Bahru, Malaysia, 80200
Malaysia
Kelantan, Malaysia, 16150
Malaysia
Kuala Lumpur, Malaysia, 50586
Malaysia
Kuala Lumpur, Malaysia, 50603
Malaysia
Penang, Malaysia, 10450
Malaysia
Putrajaya, Malaysia, 62250
Malaysia
Selangor, Malaysia
Philippines
Cebu, Philippines, 6000
Philippines
Iloilo, Philippines, 5000
Philippines
Manila, Philippines, 1357
Philippines
Manila, Philippines, 1000
Philippines
Manila, Philippines, 1503
Philippines
Pasig, Philippines, 1605
Taiwan
Chia-Yi City, Taiwan, 60002
Taiwan
Taichung, Taiwan, 404
Taiwan
Tainan, Taiwan, 710
Taiwan
Taipei, Taiwan, 00112
Taiwan
Taipei, Taiwan, 220
Taiwan
Taoyuan County, Taiwan, 333
Thailand
Bangkok, Thailand, 10400
Thailand
Bangkok, Thailand, 10330
Thailand
Chiang Mai, Thailand, 50200
Thailand
Nakhonratchasima, Thailand, 30000