Diabetes Mellitus, Type 2Phase 4TEDNCT02027753
Efficacy and Safety of Insulin Glargine in Patients With Type 2 Diabetes With Inadequate Control on DPP-4 Inhibitor Therapy
A Phase 4 study testing INSULIN GLARGINE, Metformin and DPP-4 inhibitor in people with Diabetes Mellitus, Type 2, run by Sanofi at 1 site in South Korea.
Trial summary
Primary Objective: To investigate the efficacy(HbA1c) at 6 months after adding basal insulin therapy (insulin glargine) to dipeptidyl peptidase-IV (DPP-IV) and metformin plus or minus sulphonylurea Secondary Objectives: 1. To assess the efficacy by adding insulin glargine 2. To assess insulin dose 3. Safety Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- INSULIN GLARGINE, Metformin and DPP-4 inhibitor
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 109 participants
- Where
- 1 siteSouth Korea
- Study dates
- Dec 2013to Apr 2015
- 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 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with type 2 Diabetes mellitus ≥ 20 aged
- Patients who are treated with DPP- 4 for at least 3 months before informed consent with metformin plus or minus sulphonylurea inadequately controlled with HbA1c ≥ 7.5%
- Be able and voluntarily agree to participate in this study by signing a written informed consent
Who cannot join
- Diabetes patients other than Type 2 (eg. Type 1 Diabetes mellitus, pancreatic disease, secondary diabetes)
- HbA1c > 11% at screening
- History of continuous basal insulin treatment within 1 year before screening
- History of diabetic acidosis (including keto-acidosis) within 1 year before screening
- History of myocardial infarct, stroke or heart failure related admission within 3 months before screening
- History of drug or alcoholic abuse within 6 months before screening
Show all 24Show fewer
- Weight change ≥ 5 kg within 3 months before screening
- History of hypoglycemic unawareness
- Systolic blood pressure >180 mmHg or diastolic blood pressure > 110 mmHg regardless of taking anti-hypertensive, or uncontrolled hypertension
- Active malignant cancer, major systemic disease, clinically significant diabetic retinopathy, macular edema necessitating laser treatment, abnormal clinical finding from physical examination, lab analysis, electrocardiogram or vital sign, which can be regarded as to prevent safe completion of clinical study or to make efficacy assessment difficult by investigator or co-investigator at screening
- Pregnant or lactating women
- Women of child bearing potential (Pre-menopause or not surgically infertile within 3 months before screening) who match two conditions below:
- Negative serum pregnancy test at screening
- Using medically proven effective contraceptive method
- Hypersensitivity to investigational drugs
- Lab finding at screening:
- Abnormal liver function: Alanine transaminase or Alkaline phosphatase > 3 times of upper limit of normal range
- Renal insufficiency: Men with serum Cr ≥ 1.5 mg/dL (≥ 133µmol/L), women with serum Cr ≥ 1.4 mg/dL (≥ 124 µmol/L)
- Use of anti-obese drug within 3 months before screening
- Has been using drugs that can influence glucose metabolism (systemic corticosteroid, thyroid hormone) within 3 months before screening or has possibility of using these drug during the investigational period
- Has participated in clinical studies of any investigational drugs within 3 months before screening
- Considered not physically or psychologically appropriate to participate in clinical study by investigator
- Not willing to comply with scheduled visit, self-inject insulin, or self-monitor blood glucose level
- 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
1 site in 1 country.
About this study
Official title: Efficacy and Safety of TrEating Type 2 Diabetic Patients With Inadequate Response to Metformin and DPP-4 Inhibitors by Adding Basal Insulin Therapy (Insulin Glargine)
Primary Objective:
To investigate the efficacy(HbA1c) at 6 months after adding basal insulin therapy (insulin glargine) to dipeptidyl peptidase-IV (DPP-IV) and metformin plus or minus sulphonylurea
Secondary Objectives:
- To assess the efficacy by adding insulin glargine
- To assess insulin dose
- Safety
Read the detailed description
28 weeks (Screening: About 2 weeks/Treatment: 24 weeks (6 months)/Follow-up: 2 weeks)
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- INSULIN GLARGINE, Metformin, DPP-4 inhibitor, Sulphonylurea
- 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 Route of administration: subcutaneous
MetforminDrug
Pharmaceutical form: tablet Route of administration: oral
DPP-4 inhibitorDrug
Pharmaceutical form: tablet Route of administration: oral
SulphonylureaDrug
Pharmaceutical form: tablet Route of administration: oral
| Study group | Role | What they receive |
|---|---|---|
| Insulin glargine and Oral anti diabetic treatment(s) | Experimental | 1. Insulin glargine: Lantus
* Add basal insulin: starting with 0.2 U/kg/day or 10 U/day
* Adjust insulin glargine dose according to Fasting blood glucose
2. Oral Anti Diabetic treatment(s): DPP-4 inhibitors and Metformin plus or minus Sulphonylurea - Only Sulphonylurea can either be omitted or reduced at the physician's discretion. Receives: Drug: INSULIN GLARGINE; Drug: Metformin; Drug: DPP-4 inhibitor; Drug: Sulphonylurea |
What is being measured
The primary outcome is the main question the study is designed to answer.
Response rate (percentage of patients who meet the target HbA1c ≤7%) at week 24 (6 months) after adding insulin therapy
Measured: week 24 (6 months)
Secondary outcomes (10)
Percentage of patients with HbA1c ≤7%
Measured: week 12 (3 months)
Change from baseline in HbA1c
Measured: week 12 (3 months), week 24 (6 months)
Percentage of patients with HbA1c ≤6.5%
Measured: week 12 (3 months), week 24 (6 months)
Change from baseline in Fasting Plasma glucose (FPG), 2hr-Postprandial Plasma Glucose
Measured: week 12 (3 months), week 24 (6 months)
Total daily insulin dose
Measured: week 24 (6 months)
Fasting blood glucose (FBG) values
Measured: During 3 consecutive days before baseline, week 12, Week 24
7-point Self Monitoring of Blood Glucose
Measured: During 2 days within 7 days before baseline, week 12, week 24
Weight change from baseline
Measured: week 24 (6 months)
Number of Patients with Hypoglycemic Events
Measured: up to 6 months
Number of Patients with Adverse Events
Measured: up to 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jan 2014 (estimated)
- Study startDec 2013
- Primary completionApr 2015
- Study completionApr 2015
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
- 109 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
- NCT02027753
- Sponsor's protocol ID
- LANTUL06638
- Other IDs
- U1111-1149-1632
- Acronym
- TED
- Status last verified
- Aug 2015
- First submitted
- 3 Jan 2014
- Last updated
- 27 Aug 2015
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 27 Aug 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy and Safety of TrEating Type 2 Diabetic Patients With Inadequate Response to Metformin and DPP-4 Inhibitors by Adding Basal Insulin Therapy (Insulin Glargine)
- ClinicalTrials.gov ID
- NCT02027753
- Acronym / sponsor ID
- TED / LANTUL06638
- Conditions
- Diabetes Mellitus, Type 2
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 109 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- Dec 2013
- Primary completion
- Apr 2015 (actual)
- Study completion
- Apr 2015 (actual)
- First posted
- 6 Jan 2014 (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:
To investigate the efficacy(HbA1c) at 6 months after adding basal insulin therapy (insulin glargine) to dipeptidyl peptidase-IV (DPP-IV) and metformin plus or minus sulphonylurea
Secondary Objectives:
- To assess the efficacy by adding insulin glargine
- To assess insulin dose
- Safety
Detailed description
28 weeks (Screening: About 2 weeks/Treatment: 24 weeks (6 months)/Follow-up: 2 weeks)
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 and Oral anti diabetic treatment(s) | Experimental | Drug: INSULIN GLARGINE, Drug: Metformin, Drug: DPP-4 inhibitor, Drug: Sulphonylurea1. Insulin glargine: Lantus * Add basal insulin: starting with 0.2 U/kg/day or 10 U/day * Adjust insulin glargine dose according to Fasting blood glucose 2. Oral Anti Diabetic treatment(s): DPP-4 inhibitors and Metformin plus or minus Sulphonylurea - Only Sulphonylurea can either be omitted or reduced at the physician's discretion. |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Patients with type 2 Diabetes mellitus ≥ 20 aged
- Patients who are treated with DPP- 4 for at least 3 months before informed consent with metformin plus or minus sulphonylurea inadequately controlled with HbA1c ≥ 7.5%
- Be able and voluntarily agree to participate in this study by signing a written informed consent
Key exclusion criteria (24 listed)
- Diabetes patients other than Type 2 (eg. Type 1 Diabetes mellitus, pancreatic disease, secondary diabetes)
- HbA1c > 11% at screening
- History of continuous basal insulin treatment within 1 year before screening
- History of diabetic acidosis (including keto-acidosis) within 1 year before screening
- History of myocardial infarct, stroke or heart failure related admission within 3 months before screening
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 Route of administration: subcutaneous | Drug | Insulin glargine and Oral anti diabetic treatment(s) |
| MetforminPharmaceutical form: tablet Route of administration: oral | Drug | Insulin glargine and Oral anti diabetic treatment(s) |
| DPP-4 inhibitorPharmaceutical form: tablet Route of administration: oral | Drug | Insulin glargine and Oral anti diabetic treatment(s) |
| SulphonylureaPharmaceutical form: tablet Route of administration: oral | Drug | Insulin glargine and Oral anti diabetic treatment(s) |
Primary outcome
Response rate (percentage of patients who meet the target HbA1c ≤7%) at week 24 (6 months) after adding insulin therapy
Time frame: week 24 (6 months)
10 secondary outcomes
Percentage of patients with HbA1c ≤7%
Time frame: week 12 (3 months)
Change from baseline in HbA1c
Time frame: week 12 (3 months), week 24 (6 months)
Percentage of patients with HbA1c ≤6.5%
Time frame: week 12 (3 months), week 24 (6 months)
Change from baseline in Fasting Plasma glucose (FPG), 2hr-Postprandial Plasma Glucose
Time frame: week 12 (3 months), week 24 (6 months)
Total daily insulin dose
Time frame: week 24 (6 months)
Fasting blood glucose (FBG) values
Time frame: During 3 consecutive days before baseline, week 12, Week 24
7-point Self Monitoring of Blood Glucose
Time frame: During 2 days within 7 days before baseline, week 12, week 24
Weight change from baseline
Time frame: week 24 (6 months)
Number of Patients with Hypoglycemic Events
Time frame: up to 6 months
Number of Patients with Adverse Events
Time frame: up to 6 months
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 27 Aug 2015.
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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
1 site 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, Metformin and DPP-4 inhibitor in people with Diabetes Mellitus, Type 2, run by Sanofi at 1 site in South Korea.
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 3 inclusion and 24 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 27 Aug 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in South Korea. 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?
Response rate (percentage of patients who meet the target HbA1c ≤7%) at week 24 (6 months) after adding insulin therapy (time frame: week 24 (6 months)). 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 27 Aug 2015.