Type 2 Diabetes MellitusPhase 3EDITION IIINCT01676220
Comparison of a New Formulation of Insulin Glargine With Lantus in Patients With Type 2 Diabetes on Non-insulin Antidiabetic Therapy
A Phase 3 study testing HOE901-U300 (new formulation of insulin glargine) and Lantus (insulin glargine) in people with Type 2 Diabetes Mellitus, run by Sanofi at 217 sites in 16 countries.
Trial summary
Primary Objective: To compare the efficacy of a new formulation of insulin glargine and Lantus in terms of change of HbA1c from baseline to endpoint (scheduled at Month 6, Week 26) in participants with type 2 diabetes mellitus Secondary Objectives: To compare a new formulation of insulin glargine and Lantus in terms… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- HOE901-U300 (new formulation of insulin glargine) and Lantus (insulin glargine)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 878 participants
- Where
- 217 sitesin 16 countries
- Study dates
- Aug 2012to Mar 2014
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult participants with type 2 diabetes mellitus inadequately controlled with non-insulin antihyperglycemic drug(s);
- Signed written informed consent.
Who cannot join
- HbA1c less than (<) 7.0% (< 53 millimole per mole [mmol/mol]) or greater than (>) 11% (> 97 mmol/mol)
- History of type 2 diabetes mellitus for less than 1 year before screening
- Less than 6 months before screening with non-insulin antihyperglycemic treatment
- Change in dose of non-insulin antihyperglycemic treatment in the last 3 month before screening
- Initiation of new glucose-lowering medications and/or weight loss drug in the last 3 months before screening visit and/or initiation of Glucagon-like peptide-1 (GLP-1) receptor agonist in the last 6 months before screening visit
- Participants receiving only non-insulin antihyperglycemic drugs not approved for combination with insulin according to local labeling/local treatment guidelines and/or sulfonylurea or glinide (Note: non-insulin antihyperglycemic drugs not approved for combination with insulin, sulfonylurea and glinide are to be discontinued at baseline)
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- Current or previous insulin use except for a maximum of 8 consecutive days (for example, acute illness, surgery) during the last year prior to screening
- Unstable proliferative diabetic retinopathy or any other rapidly progressive diabetic retinopathy or macular edema likely to require treatment (for example, laser, surgical treatment or injectable drugs) during the study period
- The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Trial locations and contacts
217 sites in 16 countries.
217 sites in 16 countries
United States117 sites
Investigational Site Number 840269
Albuquerque, New Mexico, 87106
Investigational Site Number 840247
Asheville, North Carolina, 28803
Investigational Site Number 840245
Atlanta, Georgia, 30308
Investigational Site Number 840314
Avon, Indiana, 46123
Investigational Site Number 840317
Avon, Indiana, 46123
Investigational Site Number 840208
Baltimore, Maryland, 21237
Investigational Site Number 840347
Bell Gardens, California, 90201
Investigational Site Number 840219
Bend, Oregon, 97701
Investigational Site Number 840299
Boca Raton, Florida, 33432
Investigational Site Number 840285
Boynton Beach, Florida, 33472
Investigational Site Number 840221
Bradenton, Florida, 34208
Investigational Site Number 840260
Bristol, Tennessee, 37620
Investigational Site Number 840239
Burke, Virginia, 22015
Investigational Site Number 840273
Chandler, Arizona, 85224
Investigational Site Number 840262
Chattanooga, Tennessee, 37404
Investigational Site Number 840278
Chicago, Illinois, 60607
Investigational Site Number 840320
Chicago, Illinois, 60612
Investigational Site Number 840233
Clearwater, Florida, 33765
Investigational Site Number 840330
Cleveland, Ohio, 44122
Investigational Site Number 840249
Colorado Springs, Colorado, 80907
Investigational Site Number 840307
Columbus, Ohio, 43213
Investigational Site Number 840212
Coral Gables, Florida, 33134
Investigational Site Number 840266
Coral Gables, Florida, 33134
Investigational Site Number 840342
Corpus Christi, Texas, 78404
Investigational Site Number 840294
Dakota Dunes, South Dakota, 57049
Investigational Site Number 840268
Dallas, Texas, 75230
Investigational Site Number 840292
Dallas, Texas, 75230
Investigational Site Number 840315
Dallas, Texas, 75231
Investigational Site Number 840242
Dallas, Texas, 75246
Investigational Site Number 840331
Denver, Colorado, 80212
Investigational Site Number 840214
Des Moines, Iowa, 50314
Investigational Site Number 840326
Edinburg, Texas, 78539
Investigational Site Number 840244
Escondido, California, 92025
Investigational Site Number 840289
Fall River, Massachusetts, 02720
Investigational Site Number 840257
Fresno, California, 93720
Investigational Site Number 840213
Greenbrae, California, 94904
Investigational Site Number 840296
Greensboro, North Carolina, 27408
Investigational Site Number 840252
Greer, South Carolina, 29651
Investigational Site Number 840306
Hamilton, New Jersey, 08619
Investigational Site Number 840253
Haverhill, Massachusetts, 1830
Investigational Site Number 840204
Hialeah, Florida, 33012
Investigational Site Number 840248
Hollywood, Florida, 33021
Investigational Site Number 840236
Honolulu, Hawaii, 96814
Investigational Site Number 840338
Houston, Texas, 77002
Investigational Site Number 840218
Houston, Texas, 77004
Investigational Site Number 840328
Houston, Texas, 77074
Investigational Site Number 840259
Houston, Texas, 77095
Investigational Site Number 840267
Huntington Beach, California, 92648
Investigational Site Number 840283
Idaho Falls, Idaho, 83404
Investigational Site Number 840226
Jacksonville, Florida, 32205
Investigational Site Number 840318
Jacksonville, Florida, 32216
Investigational Site Number 840224
Jacksonville, Florida, 32258
Investigational Site Number 840230
La Jolla, California, 92037
Investigational Site Number 840235
La Mesa, California, 91942
Investigational Site Number 840274
La Mesa, California, 91942
Investigational Site Number 840349
Las Vegas, Nevada, 89117
Investigational Site Number 840201
Las Vegas, Nevada, 89119
Investigational Site Number 840256
Las Vegas, Nevada, 89148
Investigational Site Number 840344
Lexington, Kentucky, 40503
Investigational Site Number 840304
Little Rock, Arkansas, 72205
Investigational Site Number 840222
Long Beach, California, 90806
Investigational Site Number 840270
Madison Heights, Michigan, 48071
Investigational Site Number 840206
Manassas, Virginia, 20110
Investigational Site Number 840217
Mesa, Arizona, 85206
Investigational Site Number 840348
Metairie, Louisiana, 70006
Investigational Site Number 840228
Miami, Florida, 33144
Investigational Site Number 840238
Miami, Florida, 33144
Investigational Site Number 840302
Miami, Florida, 33176
Investigational Site Number 840337
Miami Beach, Florida, 33141
Investigational Site Number 840311
Milwaukee, Wisconsin, 53209-0996
Investigational Site Number 840324
Montgomery, Alabama, 36109
Investigational Site Number 840275
Morganton, North Carolina, 28655
Investigational Site Number 840231
Murray, Kentucky, 42003
Investigational Site Number 840202
Murray, Utah, 84123
Investigational Site Number 840310
New Hyde Park, New York, 11042
Investigational Site Number 840290
New Orleans, Louisiana, 70119
Investigational Site Number 840227
New Port Richey, Florida, 34652
Investigational Site Number 840229
Norman, Oklahoma, 73069
Investigational Site Number 840303
North Miami Beach, Florida, 33162
Investigational Site Number 840225
Ocala, Florida, 34471
Investigational Site Number 840300
Omaha, Nebraska, 68105
Investigational Site Number 840210
Omaha, Nebraska, 68131
Investigational Site Number 840263
Omaha, Nebraska, 68131
Investigational Site Number 840291
Orlando, Florida, 32804
Investigational Site Number 840316
Orlando, Florida, 32806
Investigational Site Number 840232
Overland Park, Kansas, 66210
Investigational Site Number 840216
Oviedo, Florida, 32765
Investigational Site Number 840332
Palm Harbor, Florida, 34684
Investigational Site Number 840243
Palm Springs, California, 92262
Investigational Site Number 840327
Pearland, Texas, 77584
Investigational Site Number 840288
Pembroke Pines, Florida, 33028
Investigational Site Number 840220
Peoria, Arizona, 85050
Investigational Site Number 840240
Philadelphia, Pennsylvania, 19139
Investigational Site Number 840211
Phoenix, Arizona, 85028
Investigational Site Number 840207
Phoenix, Arizona, 85050
Investigational Site Number 840325
Port Charlotte, Florida, 33952
Investigational Site Number 840246
Renton, Washington, 98055
Investigational Site Number 840301
Rockville, Maryland, 20852
Investigational Site Number 840343
Salt Lake City, Utah, 84107
Investigational Site Number 840282
San Antonio, Texas, 78229
Investigational Site Number 840203
Sea Girt, New Jersey, 08750
Investigational Site Number 840295
Sicklerville, New Jersey, 08081
Investigational Site Number 840237
Spartanburg, South Carolina, 29303
Investigational Site Number 840250
Spring Valley, California, 91978
Investigational Site Number 840276
Springfield, Illinois, 62704
Investigational Site Number 840309
St. Petersburg, Florida, 33716
Investigational Site Number 840323
Stockbridge, Georgia, 30281
Investigational Site Number 840251
Tampa, Florida, 33603
Investigational Site Number 840209
Temecula, California, 92591
Investigational Site Number 840264
Tempe, Arizona, 85282
Investigational Site Number 840234
Tempe, Arizona
Investigational Site Number 840308
Tipton, Pennsylvania, 16684
Investigational Site Number 840287
Topeka, Kansas, 66606
Investigational Site Number 840297
Torrance, California, 90502
Investigational Site Number 840272
Tustin, California, 92780
Investigational Site Number 840223
Walnut Creek, California, 94598
Investigational Site Number 840339
West Palm Beach, Florida, 33401
Canada12 sites
Investigational Site Number 124204
Brampton, L6R 3J5
Investigational Site Number 124211
Etobicoke, M9R 4E1
Investigational Site Number 124208
Laval, H7T 2P5
Investigational Site Number 124214
London, N6A 5G6
Investigational Site Number 124210
Montreal, H1Y 3L1
Investigational Site Number 124218
Montreal, H4N 3C5
Investigational Site Number 124206
Pointe-Claire, H9R 4S3
Investigational Site Number 124216
Saint-Laurent, H4T 1Z9
Investigational Site Number 124219
Sherbrooke, J1H 1Z1
Investigational Site Number 124201
Thornhill, L4J 8L7
Investigational Site Number 124209
Thornhill, L4J 8L7
Investigational Site Number 124212
Toronto, M9W 4L9
Japan12 sites
Investigational Site Number 392214
Fujimi
Investigational Site Number 392215
Fujimi
Investigational Site Number 392206
Ise-Shi
Investigational Site Number 392217
Kitaazumi-Gun
Investigational Site Number 392208
Matsumoto
Investigational Site Number 392210
Matsumoto-Shi
Investigational Site Number 392205
Midori
Investigational Site Number 392203
Mito
Investigational Site Number 392216
Sakai
Investigational Site Number 392213
Shimotsuke
Investigational Site Number 392218
Shunan-Shi
Investigational Site Number 392204
Yamagata
Romania11 sites
Investigational Site Number 642208
Bacau, 600164
Investigational Site Number 642212
Bucharest, 020359
Investigational Site Number 642201
Bucharest, 20475
Investigational Site Number 642202
Cluj-Napoca, 400006
Investigational Site Number 642213
Oradea, 410169
Investigational Site Number 642207
Reşiţa, 320076
Investigational Site Number 642205
Sibiu, 550371
Investigational Site Number 642203
Târgu Mureş, 540142
Investigational Site Number 642204
Târgu Mureş, 540142
Investigational Site Number 642206
Timișoara, 300133
Investigational Site Number 642209
Timișoara, 300456
Denmark9 sites
Investigational Site Number 208205
Aalborg, 9100
Investigational Site Number 208203
Esbjerg, 6700
Investigational Site Number 208209
Hellerup, 2900
Investigational Site Number 208202
Herlev, 2730
Investigational Site Number 208206
Hvidovre, 2650
Investigational Site Number 208207
København NV, 2400
Investigational Site Number 208210
Kolding, 6000
Investigational Site Number 208201
Odense C, 5000
Investigational Site Number 208204
Viborg, 8800
Hungary6 sites
Investigational Site Number 348205
Balassagyarmat, 2660
Investigational Site Number 348201
Budapest, 1036
Investigational Site Number 348207
Budapest, 1036
Investigational Site Number 348212
Budapest, 1083
Investigational Site Number 348210
Budapest, 1134
Investigational Site Number 348202
Úrhida, 8142
Netherlands6 sites
Investigational Site Number 528204
Almere Stad, 1311 RL
Investigational Site Number 528209
Beek, 6191 JW
Investigational Site Number 528205
Breda, 4811 SW
Investigational Site Number 528207
Leiderdorp, 2352 RA
Investigational Site Number 528203
Rotterdam, 3021 HC
Investigational Site Number 528202
Velp, 6883 ES
Puerto Rico6 sites
Investigational Site Number 840709
Cagua, 725
Investigational Site Number 840706
Carolina, 987
Investigational Site Number 840704
San Juan, 00917
Investigational Site Number 840710
San Juan, 00917
Investigational Site Number 840703
San Juan, 917
Investigational Site Number 840708
San Juan, 926
Slovakia6 sites
Investigational Site Number 703205
Banská Bystrica, 97517
Investigational Site Number 703202
Bardejov, 085 01
Investigational Site Number 703203
Bratislava, 85101
Investigational Site Number 703201
Levice, 93405
Investigational Site Number 703206
Levice, 95401
Investigational Site Number 703207
Lučenec, 98401
Bulgaria5 sites
Investigational Site Number 100205
Blagoevgrad, 2700
Investigational Site Number 100203
Byala, 7100
Investigational Site Number 100201
Plovdiv, 4002
Investigational Site Number 100204
Plovdiv, 4002
Investigational Site Number 100206
Sofia, 1431
Czechia5 sites
Investigational Site Number 203201
Brno, 62500
Investigational Site Number 203205
Brno, 65691
Investigational Site Number 203204
Havířov, 73601
Investigational Site Number 203203
Prague, 10034
Investigational Site Number 203202
Prague, 18100
Finland5 sites
Investigational Site Number 246208
Helsinki, 260
Investigational Site Number 246202
Kokkola, 67100
Investigational Site Number 246207
Oulu, 90100
Investigational Site Number 246206
Tampere, 33100
Investigational Site Number 246205
Turku, 20100
Latvia5 sites
Investigational Site Number 428206
Riga, 1024
Investigational Site Number 428203
Riga, LV-1002
Investigational Site Number 428205
Riga, LV-1050
Investigational Site Number 428202
Sigulda, LV-2150
Investigational Site Number 428201
Ventspils, LV-3601
Lithuania5 sites
Investigational Site Number 440203
Kaunas, 48259
Investigational Site Number 440204
Kaunas, LT-49456
Investigational Site Number 440201
Klaipėda, LT-92253
Investigational Site Number 440202
Klaipėda, LT-92304
Investigational Site Number 440205
Vilnius, LT-08661
Sweden4 sites
Investigational Site Number 752205
Kristianstad, 29185
Investigational Site Number 752206
Malmö, 211 52
Investigational Site Number 752201
Stockholm, 11526
Investigational Site Number 752204
Vällingby, 16268
Estonia3 sites
Investigational Site Number 233204
Tallinn, 13419
Investigational Site Number 233203
Tartu, 50406
Investigational Site Number 233205
Tartu, 50410
About this study
Official title: 6-Month, Multicenter, Randomized, Open-label, Parallel-group Study Comparing the Efficacy and Safety of a New Formulation of Insulin Glargine and Lantus® in Insulin-Naïve Patients With Type 2 Diabetes Mellitus Not Adequately Controlled With Non-Insulin Antihyperglycemic Drugs With a 6-month Safety Extension Period
Primary Objective:
To compare the efficacy of a new formulation of insulin glargine and Lantus in terms of change of HbA1c from baseline to endpoint (scheduled at Month 6, Week 26) in participants with type 2 diabetes mellitus
Secondary Objectives:
To compare a new formulation of insulin glargine and Lantus in terms of:
- occurrence of nocturnal hypoglycemia
Read the detailed description
The maximum study duration was up to approximately 54 weeks per participant, consisting of:
- Up to 2 week screening period; it can be exceptionally extended of up to one additional week
- 6-month comparative efficacy and safety treatment period
- 6-month comparative safety extension period
- 2-day post-treatment safety follow-up period
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- HOE901-U300 (new formulation of insulin glargine), Lantus (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.
HOE901-U300 (new formulation of insulin glargine)Drug
HOE901-U300 (new insulin glargine 300 units per milliliter [U/mL]) subcutaneous (SC) injection once daily (evening) for 12 months on top of non-insulin antihyperglycemic drug(s). Dose titration seeking fasting plasma glucose 4.4-5.6 millimole per liter (mmol/L) (80 - 100 milligram per deciliter [mg/dL]).
Lantus (insulin glargine)Drug
Also called Lantus
Lantus (HOE901-U100, insulin glargine 100 U/mL) SC injection once daily (evening) for 12 months on top of non-insulin antihyperglycemic drug(s). Dose titration seeking fasting plasma glucose 4.4-5.6 mmol/L (80 - 100 mg/dL).
| Study group | Role | What they receive |
|---|---|---|
| HOE901-U300 | Experimental | Not described Receives: Drug: HOE901-U300 (new formulation of insulin glargine) |
| Lantus | Active comparator | Not described Receives: Drug: Lantus (insulin glargine) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in HbA1c From Baseline to Month 6 Endpoint
Only HbA1c measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 Endpoint is either the observed value at Month 6 visit or value retrieved according to time windows.
Measured: Baseline, Month 6
Secondary outcomes (12)
Percentage of Participants With At Least One Severe and/or Confirmed Nocturnal Hypoglycemia From Start of Week 9 to Month 6
Nocturnal hypoglycemia was hypoglycemia that occurred between 00:00 and 05:59 hours (clock time), regardless the participant was awake or woke up because of the event. Severe hypoglycemia was an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Confirmed hypoglycemia was an event associated with plasma glucose less than or equal to (<=) 3.9 millimoles per liter (mmol/L) (70 milligram per deciliter [mg/dL]). Only nocturnal hypoglycemia occurring before initiation of rescue therapy were considered in the analysis. Week 9 and Month 6 value correspond to the observed value at Week 9 and Month 6 visit respectively.
Measured: Week 9 Up to Month 6
Change in Preinjection Self-Monitored Plasma Glucose (SMPG) From Baseline to Month 6 Endpoint
Pre-injection SMPG was measured within 30 minutes prior to the injection of the study drug. Except for baseline value average of preinjection SMPG was assessed by the mean of at least 3 SMPG calculated over the 7 days preceding the assessment visit. Only preinjection SMPG measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 Endpoint is either the observed value at Month 6 visit or value retrieved according to time windows.
Measured: Baseline, Month 6
Variability of Preinjection SMPG at Month 6 Endpoint
Pre-injection SMPG was measured within 30 minutes prior to the injection of the study drug. Variability was assessed by the mean of coefficient of variation calculated as 100 multiplied by (standard deviation/mean) over at least 3 SMPG measured during the 7 days preceding the assessment visit. Only preinjection SMPG measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 Endpoint is either the observed value at Month 6 visit or value retrieved according to time windows.
Measured: Month 6
Percentage of Participants With HbA1c <7% at Month 6
Only HbA1c measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 value corresponds to the observed value at Month 6 visit.
Measured: Month 6
Change in Fasting Plasma Glucose (FPG) From Baseline to Month 6 Endpoint
Only FPG measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 Endpoint is either the observed value at Month 6 visit or value retrieved according to time windows.
Measured: Baseline, Month 6
Percentage of Participants With FPG <5.6 mmol/L (100 mg/dL) at Month 6
Only FPG measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 value corresponds to the observed value at Month 6 visit.
Measured: Month 6
Change in 8-Point SMPG Profiles Per Time Point From Baseline to Month 6
Change in each time-point of 8-point SMPG profile: 03:00 hours (clock time) at night; before and 2 hours after breakfast; before and 2 hours after lunch; before and 2 hours after dinner; and at bedtime. Only 8-point SMPG profiles measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 value corresponds to the observed value at Month 6 visit.
Measured: Baseline, Month 6
Change in 24-hour Average 8-point SMPG Profile From Baseline to Month 6 Endpoint
Change in 24-hour average of 8-point SMPG profile. 8-point SMPG was assessed at: 03:00 hours (clock time) at night; before and 2 hours after breakfast; before and 2 hours after lunch; before and 2 hours after dinner; and at bedtime. Only 24-hour average 8-point SMPG measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 Endpoint is either the observed value at Month 6 visit or value retrieved according to time windows.
Measured: Baseline, Month 6
Change in Variability of 24 Hour Average 8-point SMPG Profiles From Baseline to Month 6 Endpoint
Variability is assessed by the mean of coefficient of variation calculated as 100 multiplied by (standard deviation/mean) over at least 5 measurements of the 8-point profiles. Only variability of 24-hour 8-point SMPG measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 Endpoint is either the observed value at Month 6 visit or value retrieved according to time windows.
Measured: Baseline, Month 6
Change in Daily Basal Insulin Dose From Baseline to Month 6
Only insulin dose measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 value corresponds to the observed value at Month 6 visit.
Measured: Baseline, Month 6
Change in Total Treatment Satisfaction Score Using The Diabetes Treatment Satisfaction Questionnaire (DTSQs) From Baseline to Month 6 Endpoint
DTSQ is a validated measure to assess how satisfied participants with diabetes are with their treatment and how they perceive hyper- and hypoglycemia. It consists of 8 questions which are answered on a Likert scale from 0 to 6. DTSQ treatment satisfaction score is the sum of question 1 and 4-8 scores and ranges between 0 and 36, where higher scores indicate more treatment satisfaction. Only DTSQ total score measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 Endpoint is either the observed value at Month 6 visit or value retrieved according to time windows.
Measured: Baseline, Month 6
Percentage of Participants With Hypoglycemia (All and Nocturnal) Events From Baseline up to Month 12
Hypoglycemia events were Severe hypoglycemia (an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions); Documented symptomatic hypoglycemia (typical symptoms of hypoglycemia with plasma glucose level of <=3.9 mmol/L [70 mg/dL]); Asymptomatic hypoglycemia (no typical symptoms of hypoglycemia but plasma glucose level <=3.9 mmol/L); Probable symptomatic hypoglycemia (an event during which symptoms of hypoglycemia were not accompanied by a plasma glucose determination, but was presumably caused by a plasma glucose level <=3.9 mmol/L, symptoms treated with oral carbohydrate without a test of plasma glucose); Relative hypoglycemia (an event during which the person with diabetes reported any of the typical symptoms of hypoglycemia, and interpreted the symptoms as indicative of hypoglycemia, but plasma glucose level >3.9 mmol/L); Severe and/or confirmed a hypoglycemia (plasma glucose <=3.9 mmol/L).
Measured: Up to 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Aug 2012 (estimated)
- Study startAug 2012
- Primary completionSep 2013
- Study completionMar 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Type 2 Diabetes MellitusStudies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 878 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
- NCT01676220
- Sponsor's protocol ID
- EFC12347
- Other IDs
- 2012-000146-35, U1111-1124-5261
- Acronym
- EDITION III
- Status last verified
- May 2015
- First submitted
- 28 Aug 2012
- Last updated
- 24 Jun 2015
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Bolli GB, Riddle MC, Bergenstal RM, Ziemen M, Sestakauskas K, Goyeau H, Home PD; on behalf of the EDITION 3 study investigators. New insulin glargine 300 U/ml compared with glargine 100 U/ml in insulin-naive people with type 2 diabetes on oral glucose-lowering drugs: a randomized controlled trial (EDITION 3). Diabetes Obes Metab. 2015 Apr;17(4):386-94. doi: 10.1111/dom.12438. Epub 2015 Feb 12.
PubMed 25641260Yale JF, Aroda VR, Charbonnel B, Sinclair AJ, Trescoli C, Cahn A, Bigot G, Merino-Trigo A, Brulle-Wohlhueter C, Bolli GB, Ritzel R. Glycaemic control and hypoglycaemia risk with insulin glargine 300 U/mL versus glargine 100 U/mL: A patient-level meta-analysis examining older and younger adults with type 2 diabetes. Diabetes Metab. 2020 Apr;46(2):110-118. doi: 10.1016/j.diabet.2018.10.002. Epub 2018 Oct 23.
PubMed 30366067Bolli GB, Wysham C, Fisher M, Chevalier S, Cali AMG, Leroy B, Riddle MC. A post-hoc pooled analysis to evaluate the risk of hypoglycaemia with insulin glargine 300 U/mL (Gla-300) versus 100 U/mL (Gla-100) over wider nocturnal windows in individuals with type 2 diabetes on a basal-only insulin regimen. Diabetes Obes Metab. 2019 Feb;21(2):402-407. doi: 10.1111/dom.13515. Epub 2018 Oct 2.
PubMed 30160030Yale JF, Pettus JH, Brito-Sanfiel M, Lavalle-Gonzalez F, Merino-Trigo A, Stella P, Chevalier S, Buzzetti R. The effect of concomitant DPPIVi use on glycaemic control and hypoglycaemia with insulin glargine 300 U/mL (Gla-300) versus insulin glargine 100 U/mL (Gla-100) in people with type 2 diabetes: A patient-level meta-analysis of EDITION 2 and 3. PLoS One. 2018 Jan 25;13(1):e0190579. doi: 10.1371/journal.pone.0190579. eCollection 2018.
PubMed 29370218
Study at a glance
From the registry record, last updated by the sponsor on 24 Jun 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- 6-Month, Multicenter, Randomized, Open-label, Parallel-group Study Comparing the Efficacy and Safety of a New Formulation of Insulin Glargine and Lantus® in Insulin-Naïve Patients With Type 2 Diabetes Mellitus Not Adequately Controlled With Non-Insulin Antihyperglycemic Drugs With a 6-month Safety Extension Period
- ClinicalTrials.gov ID
- NCT01676220
- Acronym / sponsor ID
- EDITION III / EFC12347
- Conditions
- Type 2 Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 878 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- Aug 2012
- Primary completion
- Sep 2013 (actual)
- Study completion
- Mar 2014 (actual)
- First posted
- 30 Aug 2012 (estimated)
- Results
- Posted 23 Apr 2015
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Primary Objective:
To compare the efficacy of a new formulation of insulin glargine and Lantus in terms of change of HbA1c from baseline to endpoint (scheduled at Month 6, Week 26) in participants with type 2 diabetes mellitus
Secondary Objectives:
To compare a new formulation of insulin glargine and Lantus in terms of:
- occurrence of nocturnal hypoglycemia
Detailed description
The maximum study duration was up to approximately 54 weeks per participant, consisting of:
- Up to 2 week screening period; it can be exceptionally extended of up to one additional week
- 6-month comparative efficacy and safety treatment period
- 6-month comparative safety extension period
- 2-day post-treatment safety follow-up period
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| HOE901-U300 | Experimental | Drug: HOE901-U300 (new formulation of insulin glargine) |
| Lantus | Active comparator | Drug: Lantus (insulin glargine) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Adult participants with type 2 diabetes mellitus inadequately controlled with non-insulin antihyperglycemic drug(s);
- Signed written informed consent.
Key exclusion criteria (9 listed)
- HbA1c less than (<) 7.0% (< 53 millimole per mole [mmol/mol]) or greater than (>) 11% (> 97 mmol/mol)
- History of type 2 diabetes mellitus for less than 1 year before screening
- Less than 6 months before screening with non-insulin antihyperglycemic treatment
- Change in dose of non-insulin antihyperglycemic treatment in the last 3 month before screening
- Initiation of new glucose-lowering medications and/or weight loss drug in the last 3 months before screening visit and/or initiation of Glucagon-like peptide-1 (GLP-1) receptor agonist in the last 6 months before screening visit
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 |
|---|---|---|
| HOE901-U300 (new formulation of insulin glargine)HOE901-U300 (new insulin glargine 300 units per milliliter [U/mL]) subcutaneous (SC) injection once daily (evening) for 12 months on top of non-insulin antihyperglycemic drug(s). Dose titration seeking fasting plasma glucose 4.4-5.6 millimole per liter (mmol/L) (80 - 100 milligram per deciliter [mg/dL]). | Drug | HOE901-U300 |
| Lantus (insulin glargine)Also: LantusLantus (HOE901-U100, insulin glargine 100 U/mL) SC injection once daily (evening) for 12 months on top of non-insulin antihyperglycemic drug(s). Dose titration seeking fasting plasma glucose 4.4-5.6 mmol/L (80 - 100 mg/dL). | Drug | Lantus |
Primary outcome
Change in HbA1c From Baseline to Month 6 Endpoint
Time frame: Baseline, Month 6
Only HbA1c measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 Endpoint is either the observed value at Month 6 visit or value retrieved according to time windows.
12 secondary outcomes
Percentage of Participants With At Least One Severe and/or Confirmed Nocturnal Hypoglycemia From Start of Week 9 to Month 6
Time frame: Week 9 Up to Month 6
Change in Preinjection Self-Monitored Plasma Glucose (SMPG) From Baseline to Month 6 Endpoint
Time frame: Baseline, Month 6
Variability of Preinjection SMPG at Month 6 Endpoint
Time frame: Month 6
Percentage of Participants With HbA1c <7% at Month 6
Time frame: Month 6
Change in Fasting Plasma Glucose (FPG) From Baseline to Month 6 Endpoint
Time frame: Baseline, Month 6
Percentage of Participants With FPG <5.6 mmol/L (100 mg/dL) at Month 6
Time frame: Month 6
Change in 8-Point SMPG Profiles Per Time Point From Baseline to Month 6
Time frame: Baseline, Month 6
Change in 24-hour Average 8-point SMPG Profile From Baseline to Month 6 Endpoint
Time frame: Baseline, Month 6
Change in Variability of 24 Hour Average 8-point SMPG Profiles From Baseline to Month 6 Endpoint
Time frame: Baseline, Month 6
Change in Daily Basal Insulin Dose From Baseline to Month 6
Time frame: Baseline, Month 6
Change in Total Treatment Satisfaction Score Using The Diabetes Treatment Satisfaction Questionnaire (DTSQs) From Baseline to Month 6 Endpoint
Time frame: Baseline, Month 6
Percentage of Participants With Hypoglycemia (All and Nocturnal) Events From Baseline up to Month 12
Time frame: Up to 12 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Jun 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 25641260Bolli GB, Riddle MC, Bergenstal RM, Ziemen M, Sestakauskas K, Goyeau H, Home PD; on behalf of the EDITION 3 study investigators. New insulin glargine 300 U/ml compared with glargine 100 U/ml in insulin-naive people with type 2 diabetes on oral glucose-lowering drugs: a randomized controlled trial (EDITION 3). Diabetes Obes Metab. 2015 Apr;17(4):386-94. doi: 10.1111/dom.12438. Epub 2015 Feb 12.
- Derived from this study: PubMed 30366067Yale JF, Aroda VR, Charbonnel B, Sinclair AJ, Trescoli C, Cahn A, Bigot G, Merino-Trigo A, Brulle-Wohlhueter C, Bolli GB, Ritzel R. Glycaemic control and hypoglycaemia risk with insulin glargine 300 U/mL versus glargine 100 U/mL: A patient-level meta-analysis examining older and younger adults with type 2 diabetes. Diabetes Metab. 2020 Apr;46(2):110-118. doi: 10.1016/j.diabet.2018.10.002. Epub 2018 Oct 23.
- Derived from this study: PubMed 30160030Bolli GB, Wysham C, Fisher M, Chevalier S, Cali AMG, Leroy B, Riddle MC. A post-hoc pooled analysis to evaluate the risk of hypoglycaemia with insulin glargine 300 U/mL (Gla-300) versus 100 U/mL (Gla-100) over wider nocturnal windows in individuals with type 2 diabetes on a basal-only insulin regimen. Diabetes Obes Metab. 2019 Feb;21(2):402-407. doi: 10.1111/dom.13515. Epub 2018 Oct 2.
- Derived from this study: PubMed 29370218Yale JF, Pettus JH, Brito-Sanfiel M, Lavalle-Gonzalez F, Merino-Trigo A, Stella P, Chevalier S, Buzzetti R. The effect of concomitant DPPIVi use on glycaemic control and hypoglycaemia with insulin glargine 300 U/mL (Gla-300) versus insulin glargine 100 U/mL (Gla-100) in people with type 2 diabetes: A patient-level meta-analysis of EDITION 2 and 3. PLoS One. 2018 Jan 25;13(1):e0190579. doi: 10.1371/journal.pone.0190579. eCollection 2018.
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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
217 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing HOE901-U300 (new formulation of insulin glargine) and Lantus (insulin glargine) in people with Type 2 Diabetes Mellitus, run by Sanofi at 217 sites in 16 countries.
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 2 inclusion and 9 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 24 Jun 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 217 sites in United States, Canada, Japan, Romania, Denmark and 11 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 23 Apr 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Change in HbA1c From Baseline to Month 6 Endpoint (time frame: Baseline, Month 6). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01676220, which also lists 4 linked publications.
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 24 Jun 2015.