Insulin Glargine in Type 2 Diabetic Patients

Overview[ - collapse ][ - ]

Purpose Primary: - To investigate the efficacy of insulin glargine (in terms of change in A1c from baseline to endpoint A1c < 7%) Secondary: - To investigate the safety of insulin glargine (in terms of hypoglycaemia, including symptomatic, non-symptomatic and nocturnal hypoglycaemia) - To investigate whether beta cell function is preserved if this therapy is initiated before 2nd OAD (oral anti-diabetic drug) failure
ConditionDiabetes Mellitus, Type 2
InterventionDrug: Insulin Glargine
Drug: Glyburide
Drug: Glyclazide
Drug: Glimiperide
Drug: Glipizide
Drug: Metformin
PhasePhase 4
SponsorSanofi
Responsible PartySanofi
ClinicalTrials.gov IdentifierNCT00347100
First ReceivedJune 30, 2006
Last UpdatedSeptember 14, 2009
Last verifiedSeptember 2009

Tracking Information[ + expand ][ + ]

First Received DateJune 30, 2006
Last Updated DateSeptember 14, 2009
Start DateJune 2006
Estimated Primary Completion DateNot Provided
Current Primary Outcome MeasuresA1c values [Time Frame: At baseline and 24 weeks] [Designated as safety issue: No]
Current Secondary Outcome MeasuresAdverse events including hypoglycemia [Time Frame: From the beginning to the end of the study] [Designated as safety issue: Yes]

Descriptive Information[ + expand ][ + ]

Brief TitleInsulin Glargine in Type 2 Diabetic Patients
Official TitleTreatment of Early Insulinization With Glargine in Type 2 Diabetes Patients Uncontrolled on Sulfonylurea or Metformin Monotherapy
Brief Summary
Primary:

- To investigate the efficacy of insulin glargine (in terms of change in A1c from
baseline to endpoint A1c < 7%)

Secondary:

- To investigate the safety of insulin glargine (in terms of hypoglycaemia, including
symptomatic, non-symptomatic and nocturnal hypoglycaemia)

- To investigate whether beta cell function is preserved if this therapy is initiated
before 2nd OAD (oral anti-diabetic drug) failure
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 4
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
ConditionDiabetes Mellitus, Type 2
InterventionDrug: Insulin Glargine
Throughout study period
Drug: Glyburide
Combination throughout the study period. Titrate to FPG ≤ 100 mg/dl.
Drug: Glyclazide
Combination throughout the study period. Titrate to FPG ≤ 100 mg/dl.
Drug: Glimiperide
Combination throughout the study period. Titrate to FPG ≤ 100 mg/dl.
Drug: Glipizide
Combination throughout the study period. Titrate to FPG ≤ 100 mg/dl.
Drug: Metformin
Combination throughout the study period. Titrate to FPG ≤ 100 mg/dl.
Study Arm (s)
  • Experimental: 1
    Administration of Insulin Glargine and Sulfonylurea or Metformin
  • Active Comparator: 2
    Administration of Sulfonylurea or Metformin + a second Oral Anti Diabetic (OAD) among Glyburide, Glyclazide,Glimiperide,Glipizide or Metformin

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment387
Estimated Completion DateNot Provided
Estimated Primary Completion DateMay 2008
Eligibility Criteria
Inclusion Criteria:

- Type 2 diabetes patients with first OAD (Sulfonylurea [SU] or Metformin) failure

- Patients who are insulin naive (unless it was used for gestational diabetes or if
insulin therapy was less than 1 week)

- Serum creatinine ≤ 1.5mg/dL

- BMI: 21-41 kg/m²

- 7.5%< A1c <11%

- Fasting plasma glucose > 7.5mmol/L

- On diet and exercise therapy and stable OAD treatment (SU or metformin > ½ maximal
dose)for more than 1 month prior to enrolment

- Women not of childbearing potential (sterilization procedure done or menopausal > 2
years), or if of childbearing potential, agree to take reliable contraceptive
measures during the study

- Able and willing to monitor blood glucose

- Able and willing to perform 7 point blood glucose self monitoring at baseline, 12
week and 24 week

- Understand that there is a 50% chance of being randomized to the insulin treatment
arm and is willing to self inject insulin

Exclusion Criteria:

- Type 1 diabetes

- Acute complication of diabetes, such as diabetic ketoacidosis and hyperosmolar coma

- Pregnancy, breast-feeding

- People who work night shifts

- Hypersensitivity to investigational drugs or its additives, or intolerability to
metformin

- Need for use of medications prohibited by the protocol during the study for treatment
purpose

- Significant diseases in cardiovascular, liver, nerve, endocrine or other systems,
unable to complete the study or difficult to be used in study analysis

- Drugs or alcohol abuse

The above information is not intended to contain all considerations relevant to a
patient's potential participation in a clinical trial.
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesChina

Administrative Information[ + expand ][ + ]

NCT Number NCT00347100
Other Study ID NumbersLANTU_L_01051
Has Data Monitoring CommitteeNot Provided
Information Provided BySanofi
Study SponsorSanofi
CollaboratorsNot Provided
Investigators Study Director: Bruno Jolain Sanofi
Verification DateSeptember 2009

Locations[ + expand ][ + ]

Sanofi-Aventis
Beijing, China