Diabetes Mellitus, Type 2Phase 4AFICIONADONCT01127269
Safety and Effectiveness Study of Insulin Glargine (LANTUS) Initiation and Titration in Patients With Type 2 Diabetes
A Phase 4 study testing INSULIN GLARGINE in people with Diabetes Mellitus, Type 2, run by Sanofi at 23 sites in Argentina.
Trial summary
Primary Objective: Percentage of patients achieving Glycosylated Hemoglobin (HbA1c) < 7% with no severe or nocturnal hypoglycemic episodes at 6 months Secondary Objectives: Glycosylated Hemoglobin (HbA1c) change from baseline to 6 months Insulin glargine dose at 3 and 6 months Hypoglycemic episodes (all types) Read more about this study
- Who is it for?
- Ages 21 to 80 years
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- INSULIN GLARGINE
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 178 participants
- Where
- 23 sitesArgentina
- Study dates
- May 2010to Jun 2013
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 21 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with a diagnosis of type 2 diabetes for more than 6 months
- Patients treated with Oral AntiDiabetics (OADs monotherapy or combination) with an HbA1c >7% and <10% and/or treated with NPH insulin with HbA1c >7% and <10% or treated with NPH insulin who have experienced severe and/or nocturnal hypoglycemia in the last 6 months.
- Ability to perform SMBS and insulin self-titration under the physicians guidance.
- Body Mass Index (BMI) >21 kg/ m2.
- Signature of informed consent.
Who cannot join
- Hospitalized patients.
- Pregnant women or with the intention of becoming pregnant.
- Unexplained weight loss of more than 10% in the last 6 months.
- Women with child bearing potential not using effective contraceptive methods.
- Women in breast feeding period.
- Patients on chronic treatment with systemic corticosteroids or protease inhibitors.
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- History of drug or alcohol abuse.
- Diabetic retinopathy with surgical treatment in 3 months previous to study entry or patients that could require surgical treatment in the following 6 months to study entry.
- Major systemic disease clinically important that would interfere with implementation or interpretation of the study, at the discretion of the investigator.
- Renal failure known as creatinine > 1.4 mg/dl in women and > 1.5 mg/dl in men.
- Known hypersensitivity to glargine or any of its excipients.
- Patients with history of hospitalization due to cardiovascular event, cardiovascular procedure in the past 6 months.
- The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Trial locations and contacts
23 sites in 1 country.
23 sites in 1 country
Argentina23 sites
Investigational Site Number 10
C.a.b.a., C1050AAK
Investigational Site Number 14
C.a.b.a., C1419AHN
Investigational Site Number 01
C.a.b.a.
Investigational Site Number 11
C.a.b.a.
Investigational Site Number 12
C.a.b.a.
Investigational Site Number 17
C.a.b.a.
Investigational Site Number 9
C.a.b.a.
Investigational Site Number 03
Caba
Investigational Site Number 06
Caba
Investigational Site Number 15
Caba
Investigational Site Number 16
Caba
Investigational Site Number 18
Caba
Investigational Site Number 26
Capital Federal
Investigational Site Number 22
Mar del Plata, 7600
Investigational Site Number 13
Mar del Plata, B7602CBM
Investigational Site Number 02
Mar del Plata
Investigational Site Number 021
Moreno -Pcia. de Bs. As.-
Investigational Site Number 07
Morón
Investigational Site Number 04
Paraná
Investigational Site Number 8
Salta
Investigational Site Number 05
Sarandí
Investigational Site Number 20
Tandil, 7000
Investigational Site Number 25
Zárate, 2800
About this study
Official title: Practical Implementation of ADA/EASD Consensus Algorithm in Patients With Type 2 Diabetes: Timely Insulin Initiation and Titration
Primary Objective:
Percentage of patients achieving Glycosylated Hemoglobin (HbA1c) < 7% with no severe or nocturnal hypoglycemic episodes at 6 months
Secondary Objectives:
- Glycosylated Hemoglobin (HbA1c) change from baseline to 6 months
- Insulin glargine dose at 3 and 6 months
- Hypoglycemic episodes (all types)
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- INSULIN GLARGINE
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
INSULIN GLARGINEDrug
Pharmaceutical form: solution for injection Route of administration: sub-cutaneous injection Dose regimen: 100 Units/mL solution for injection in a pre-filled SoloStar pen (3 ml)
| Study group | Role | What they receive |
|---|---|---|
| Insulin Glargine | Experimental | Patients will receive insulin glargine titrated based on standard of care as recommended by the ADA/EASD Consensus Algorithm. Step 1: insulin glargine initiation regimen for insulin naive patients/ Switch to insulin glargine for patient already treated with basal insulin.
Step 2: the insulin dosage of patients will be titrated according to the ADA/EASD Consensus Algorithm. Receives: Drug: INSULIN GLARGINE |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of patients with Glycosylated Haemoglobin (HbA1c) <7% with no severe documented nocturnal hypoglycemia episode.
Measured: From week 0 (baseline) to week 24 (end of study)
Secondary outcomes (3)
Glycosylated Haemoglobin (HbA1c)
Measured: From week 0 (baseline) to week 24 (end of study)
Dose and timing of insulin glargine
Measured: From week 0 (baseline) to week 24 (end of study)
Hypoglycemic episodes
Measured: From week 0 (baseline) to week 24 (end of study)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 May 2010 (estimated)
- Study startMay 2010
- Primary completionJun 2013
- Study completionJun 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diabetes Mellitus, Type 2Studies of the same condition, open and under way.
- More trials run by SanofiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 178 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences & Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01127269
- Sponsor's protocol ID
- LANTU_L_04980
- Other IDs
- U1111-1116-9268
- Acronym
- AFICIONADO
- Status last verified
- Jul 2014
- First submitted
- 19 May 2010
- Last updated
- 17 Jul 2014
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 17 Jul 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Practical Implementation of ADA/EASD Consensus Algorithm in Patients With Type 2 Diabetes: Timely Insulin Initiation and Titration
- ClinicalTrials.gov ID
- NCT01127269
- Acronym / sponsor ID
- AFICIONADO / LANTU_L_04980
- Conditions
- Diabetes Mellitus, Type 2
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 178 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- May 2010
- Primary completion
- Jun 2013 (actual)
- Study completion
- Jun 2013 (actual)
- First posted
- 20 May 2010 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Primary Objective:
Percentage of patients achieving Glycosylated Hemoglobin (HbA1c) < 7% with no severe or nocturnal hypoglycemic episodes at 6 months
Secondary Objectives:
- Glycosylated Hemoglobin (HbA1c) change from baseline to 6 months
- Insulin glargine dose at 3 and 6 months
- Hypoglycemic episodes (all types)
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Insulin Glargine | Experimental | Drug: INSULIN GLARGINEPatients will receive insulin glargine titrated based on standard of care as recommended by the ADA/EASD Consensus Algorithm. Step 1: insulin glargine initiation regimen for insulin naive patients/ Switch to insulin glargine for patient already treated with basal insulin. Step 2: the insulin dosage of patients will be titrated according to the ADA/EASD Consensus Algorithm. |
Who may qualify
- Ages
- 21 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Patients with a diagnosis of type 2 diabetes for more than 6 months
- Patients treated with Oral AntiDiabetics (OADs monotherapy or combination) with an HbA1c >7% and <10% and/or treated with NPH insulin with HbA1c >7% and <10% or treated with NPH insulin who have experienced severe and/or nocturnal hypoglycemia in the last 6 months.
- Ability to perform SMBS and insulin self-titration under the physicians guidance.
- Body Mass Index (BMI) >21 kg/ m2.
- Signature of informed consent.
Key exclusion criteria (13 listed)
- Hospitalized patients.
- Pregnant women or with the intention of becoming pregnant.
- Unexplained weight loss of more than 10% in the last 6 months.
- Women with child bearing potential not using effective contraceptive methods.
- Women in breast feeding period.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| INSULIN GLARGINEPharmaceutical form: solution for injection Route of administration: sub-cutaneous injection Dose regimen: 100 Units/mL solution for injection in a pre-filled SoloStar pen (3 ml) | Drug | Insulin Glargine |
Primary outcome
Percentage of patients with Glycosylated Haemoglobin (HbA1c) <7% with no severe documented nocturnal hypoglycemia episode.
Time frame: From week 0 (baseline) to week 24 (end of study)
3 secondary outcomes
Glycosylated Haemoglobin (HbA1c)
Time frame: From week 0 (baseline) to week 24 (end of study)
Dose and timing of insulin glargine
Time frame: From week 0 (baseline) to week 24 (end of study)
Hypoglycemic episodes
Time frame: From week 0 (baseline) to week 24 (end of study)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Jul 2014.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Sciences & Operations study director
Sanofi
23 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing INSULIN GLARGINE in people with Diabetes Mellitus, Type 2, run by Sanofi at 23 sites in Argentina.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 23 sites in Argentina. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of patients with Glycosylated Haemoglobin (HbA1c) <7% with no severe documented nocturnal hypoglycemia episode. (time frame: From week 0 (baseline) to week 24 (end of study)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Jul 2014.