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Type 1 DiabetesPhase 3INSTRIDE 1NCT02227862

Non-inferiority Study to Compare the Efficacy and Safety of Mylan's Insulin Glargine With Lantus® in Type 1 Diabetes Mellitus Patients (INSTRIDE 1)

A Phase 3 study testing Mylan's insulin glargine and Lantus® in people with Type 1 Diabetes, run by Mylan Inc. at 162 sites in 11 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

To test whether Mylan's insulin glargine once daily is non-inferior to Lantus® once daily (based on change in HbA1c from baseline to 24 weeks) when administered in combination with mealtime insulin lispro. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Type 1 Diabetes
What is being tested?
Mylan's insulin glargine and Lantus®
Could I receive a placebo?
No, everyone receives an active treatment
How many people
558 participants
Where
162 sitesin 11 countries
Study dates
Jun 2014to Jul 2016
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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with an established diagnosis of T1DM per ADA 2014 criteria
  • Body mass index (BMI) of 18.5 to 35 kg/m2 at screening (both values inclusive).
  • Glycosylated hemoglobin (HbA1c) ≤9.5% at screening.
  • Hemoglobin ≥9.0 g/dL at screening.

Who cannot join

  • History of hypersensitivity to any of the active or inactive ingredients of the insulin/insulin analogue preparations used in the trial, OR history of significant allergic drug reactions.
  • History of use of animal insulin within the last 3 years or use of biosimilar insulin glargine at any time prior.
  • History of use of a regular immunomodulator therapy in the 1 year prior to screening.
  • History of ≥2 episodes of severe hypoglycemia within the 6 months before screening or history of hypoglycemia unawareness (a sample questionnaire is provided in Appendix I), as judged by the investigator.
  • History of ≥1 episodes of diabetic ketoacidosis or emergency room visits for uncontrolled diabetes leading to hospitalization within the 6 months prior to screening.
  • Serological evidence of human immunodeficiency virus (HIV), hepatitis B (HbSAg) or hepatitis C (HCVAb) antibodies at screening.
  • History of drug or alcohol dependence or abuse during the 1 year prior to screening.

Trial locations and contacts

162 sites in 11 countries.

162 sites in 11 countries

United States72 sites
  • Mylan Investigational Site

    Albany, New York, 12206

  • Mylan Investigational Site

    Anderson, Indiana, 46011

  • Mylan Investigational Site

    Asheville, North Carolina, 28803

  • Mylan Investigational Site

    Atlanta, Georgia, 30318

  • Mylan Investigational Site

    Austin, Texas, 78731

  • Mylan Investigational Site

    Bell Gardens, California, 90201

  • Mylan Investigational Site

    Bend, Oregon, 97701

  • Mylan Investigational Site

    Billings, Montana, 59101

  • Mylan Investigational Site

    Bradenton, Florida, 34208

  • Mylan Investigational Site

    Burlington, North Carolina, 27215

  • Mylan Investigational Site

    Chattanooga, Tennessee, 37411

  • Mylan Investigational Site

    Chesapeake, Virginia, 23321

  • Mylan Investigational Site

    Cincinnati, Ohio, 45236

  • Mylan Investigational Site

    Columbus, Georgia, 31904

  • Mylan Investigational Site

    Cooper City, Florida, 33024

  • Mylan Investigational Site

    Corvallis, Oregon, 97330

  • Mylan Investigational Site

    Council Bluffs, Iowa, 51501

  • Mylan Investigational Site

    Crystal Lake, Illinois, 60012

  • Mylan Investigational Site

    Dallas, Texas, 75231

  • Mylan Investigational Site

    Des Moines, Iowa, 50314

  • Mylan Investigational Site

    El Paso, Texas, 79925

  • Mylan Investigational Site

    Fresno, California, 93720

  • Mylan Investigational Site

    Greenbrae, California, 93720

  • Mylan Investigational Site

    Greensboro, North Carolina, 27408

  • Mylan Investigational Site

    Greenville, North Carolina, 27834

  • Mylan Investigational Site

    Hialeah, Florida, 33012

  • Mylan Investigational Site

    Hickory, North Carolina, 28601

  • Mylan Investigational Site

    Hollywood, Florida, 33021

  • Mylan Investigational Site

    Honolulu, Hawaii, 96814

  • Mylan Investigational Site

    Idaho Falls, Idaho, 83404

  • Mylan Investigational Site

    La Jolla, California, 92037

  • Mylan Investigational Site

    La Mesa, California, 91942

  • Mylan Investigational Site

    LaGrange, Illinois, 60525

  • Mylan Investigational Site

    Las Vegas, Nevada, 89128

  • Mylan Investigational Site

    Lexington, Kentucky, 40503

  • Mylan Investigational Site

    Long Beach, California, 90807

  • Mylan Investigational Site

    Los Gatos, California, 95032

  • Mylan Investigational Site

    Manassas, Virginia, 20110

  • Mylan Investigational Site

    Memphis, Tennessee, 38119

  • Mylan Investigational Site

    Mentor, Ohio, 44060

  • Mylan Investigational Site

    Miami, Florida, 33142

  • Mylan Investigational Site

    Miami, Florida, 33156

  • Mylan Investigational Site

    Mineola, New York, 11501

  • Mylan Investigational Site

    Mission Hills, California, 91345

  • Mylan Investigational Site

    Morehead City, North Carolina, 28557

  • Mylan Investigational Site

    Muncie, Indiana, 47304

  • Mylan Investigational Site

    National City, California, 91950

  • Mylan Investigational Site

    New Port Richey, Florida, 34652

  • Mylan Investigational Site

    Northridge, California, 91324

  • Mylan Investigational Site

    Ogden, Utah, 84405

  • Mylan Investigational Site

    Omaha, Nebraska, 68114

  • Mylan Investigational Site

    Omaha, Nebraska, 68131

  • Mylan Investigational Site

    Overland Park, Kansas, 66210

  • Mylan Investigational Site

    Palm Harbor, Florida, 34684

  • Mylan Investigational Site

    Renton, Washington, 98057

  • Mylan Investigational Site

    Round Rock, Texas, 78681

  • Texas Diabetes & Endocrinology

    Round Rock, Texas, 78681

  • Mylan Investigational Site

    Salt Lake City, Utah, 84102

  • Mylan Investigational Site

    Salt Lake City, Utah, 84109

  • Mylan Investigational Site

    Salt Lake City, Utah, 84121

  • Mylan Investigational Site

    San Antonio, Texas, 78258

  • Mylan Investigational Site

    South Jordan, Utah, 84095

  • Mylan Investigational Site

    Springfield, Illinois, 62704

  • Mylan Investigational Site

    Staten Island, New York, 10301

  • Mylan Investigational Site

    Syracuse, New York, 13210

  • Mylan Investigational Site

    Tacoma, Washington, 98405

  • Mylan Investigational Site

    Topeka, Kansas, 66606

  • Mylan Investigational Site

    Tustin, California, 92780

  • Mylan Investigational Site

    Vancouver, Washington, 98664

  • Mylan Investigational Site

    Walnut Creek, California, 94598

  • Mylan Investigational Site

    West Palm Beach, Florida, 33401

  • Mylan Investigational Site

    Wilmington, North Carolina, 28401

Other trials in United States

Slovakia20 sites
  • Mylan Investigational Site

    Banská Bystrica, 97517

  • Mylan Investigational Site

    Bardejov, 08501

  • Mylan Investigational Site

    Bratislava, 82106

  • Mylan Investigational Site

    Bratislava, 83331

  • Mylan Investigational Site

    Bratislava, 85101

  • Mylan Investigational Site

    Dolný Kubín, 02601

  • Mylan Investigational Site

    Košice, 04011

  • Mylan Investigational Site

    Levice, 93401

  • Mylan Investigational Site

    Ľubochňa, 03491

  • Mylan Investigational Site

    Nové Mesto nad Váhom, 91501

  • Mylan Investigational Site

    Nové Zámky, 94002

  • Mylan Investigational Site

    Prešov, 08001

  • Mylan Investigational Site

    Prievidza, 97101

  • Mylan Investigational Site

    Pruské, 01852

  • Mylan Investigational Site

    Rimavská Sobota, 97901

  • Mylan Investigational Site

    Sabinov, 08301

  • Mylan Investigational Site

    Skalica, 90901

  • Mylan Investigational Site

    Štúrovo, 943 01

  • Mylan Investigational Site

    Trebišov, 07501

  • Mylan Investigational Site

    Žilina, 01001

Other trials in Slovakia

Romania11 sites
  • Mylan Investigational Site

    Bacau, 600164

  • Mylan Investigational Site

    Baia Mare, 430222

  • Mylan Investigational Site

    Bucharest, 010825

  • Mylan Investigational Site

    Bucharest, 061072

  • Mylan Investigational Site

    Buzău, 120203

  • Mylan Investigational Site

    Cluj-Napoca, 400349

  • Mylan Investigational Site

    Galati, 800578

  • Mylan Investigational Site

    Iași, 700503

  • Mylan Investigational Site

    Oradea, 410169

  • Mylan Investigational Site

    Oradea, 410469

  • Mylan Investigational Site

    Timișoara, 300456

Other trials in Romania

Germany10 sites
  • Mylan Investigational Site

    Aschaffenburg, Bavaria, 63739

  • Mylan Investigational Site

    Dresden, Saxony, 01307

  • Mylan Investigational Site

    Frankfurt am Main, Hesse, 60596

  • Mylan Investigational Site

    Hamburg, 21073

  • Mylan Investigational Site

    Hamburg, 22603

  • Mylan Investigational Site

    Hohenmölsen, Anhalt, 06679

  • Mylan Investigational Site

    Münster, North Rhine-Westphalia, 48145

  • Mylan Investigational Site

    Sankt Ingbert, Saarland, 66386

  • Mylan Investigational Site

    Schweinfurt, Bavaria, 97421

  • Mylan Investigational Site

    Wangen, Baden-Wurttemberg, 88239

Other trials in Germany

Hungary10 sites
  • Mylan Investigational Site

    Baja, 6500

  • Mylan Investigational Site

    Budapest, 1033

  • Mylan Investigational Site

    Budapest, 1083

  • Mylan Investigational Site

    Budapest, 1088

  • Mylan Investigational Site

    Eger, 3300

  • Mylan Investigational Site

    Gyula, 5700

  • Mylan Investigational Site

    Létavértes, 4281

  • Mylan Investigational Site

    Makó, H-6900

  • Mylan Investigational Site

    Miskolc, 3530

  • Mylan Investigational Site

    Szeged, 6722

Other trials in Hungary

South Africa10 sites
  • Mylan Investigational Site

    Bloemfontein, Free State, 9301

  • Mylan Investigational Site

    Cape Town, Western Cape, 7570

  • Mylan Investigational Site

    Cape Town, Western Cape, 7580

  • Mylan Investigational Site

    Cape Town, Western Cape, 7708

  • Mylan Investigational Site

    Durban, KwaZulu-Natal, 4091

  • Mylan Investigational Site

    Johannesburg, Gauteng, 1501

  • Mylan Investigational Site

    Johannesburg, Gauteng, 1619

  • Mylan Investigational Site

    Johannesburg, Gauteng, 2198

  • Mylan Investigational Site

    Krugersdorp, Gauteng, 1739

  • Mylan Investigational Site

    Pretoria, Gauteng, 0002

Other trials in South Africa

Czechia9 sites
  • Mylan Investigational Site

    Brno, 625 00

  • Mylan Investigational Site

    Brno, 656 91

  • Mylan Investigational Site

    Broumov, 55016

  • Mylan Investigational Site

    Bruntál, 792 01

  • Mylan Investigational Site

    České Budějovice, 370 00

  • Mylan Investigational Site

    Olomouc, 77900

  • Mylan Investigational Site

    Pardubice, 530 02

  • Mylan Investigational Site

    Prague, 100 00

  • Mylan Investigational Site

    Prague, 100 34

Other trials in Czechia

Latvia8 sites
  • Mylan Investigational Site

    Kuldīga, LC-3301

  • Mylan Investigational Site

    Limbaži, 4001

  • Mylan Investigational Site

    Ogre, LV-5001

  • Mylan Investigational Site

    Riga, LV-1011

  • Mylan Investigational Site

    Riga, LV-1050

  • Mylan Investigational Site

    Riga, LV1002

  • Mylan Investigational Site

    Sigulda, LV-3200

  • Mylan Investigational Site

    Talsi, LV-3200

Other trials in Latvia

Canada6 sites
  • Mylan Investigational Site

    Laval, Quebec, H7T 2P5

  • Mylan Investigational Site

    Mirabel, Quebec, J7J 2K8

  • Mylan Investigational Site

    Montreal, Quebec, H3A 1A1

  • Mylan Investigational Site

    Red Deer, Alberta, T4N 6V7

  • Mylan Investigational Site

    Vancouver, British Columbia, V6E IM7

  • Mylan Investigational Site

    Winnipeg, Manitoba, R3E 3P4

Other trials in Canada

Estonia3 sites
  • Mylan Investigational Site

    Pärnu, 80018

  • Mylan Investigational Site

    Tallinn, 13419

  • Mylan Investigational Site

    Tartu, 51014

Other trials in Estonia

United Kingdom3 sites
  • Mylan Investigational Site

    Leicester, Leicestershire, LE5 4PW

  • Mylan Investigational Site

    Plymouth, Devon, PL6 8DH

  • Mylan Investigational Site

    Swansea, SA6 6NL

Other trials in United Kingdom

About this study

Official title: An Open-Label, Randomized, Multi-Center, Parallel-Group Clinical Trial Comparing the Efficacy and Safety of Mylan's Insulin Glargine With Lantus® in Type 1 Diabetes Mellitus Patients

To test whether Mylan's insulin glargine once daily is non-inferior to Lantus® once daily (based on change in HbA1c from baseline to 24 weeks) when administered in combination with mealtime insulin lispro.

Read the detailed description

This trial is a multicenter, open-label, randomized, parallel-group trial in patients with Type 1 Diabetes Mellitus (T1DM) comparing the efficacy and safety of Mylan's insulin glargine with that of Lantus®.

Conditions
Type 1 Diabetes
Being tested
Mylan's insulin glargine, Lantus®
Medical subject headings
Diabetes Mellitus, Type 1

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Mylan's insulin glargineDrug

    All patients will be shifted from their current mealtime insulin to insulin lispro at the start of the run-in period, and will continue on this for the complete trial. During the 6 week run-in period the doses of Lantus® and insulin lispro will be titrated (if required) to ensure diabetes control. After the run-in period, patients will be randomized to receive either Mylan's insulin glargine (in place of Lantus®), or to continue on Lantus®. During the period from 12 to 24 weeks dose titration will be kept to a minimum.

  • Lantus®Drug

    All patients will be shifted from their current mealtime insulin to insulin lispro at the start of the run-in period; and will continue on this for the complete trial. During the 6week run-in period the doses of Lantus® and insulin lispro will be titrated (if required) to ensure diabetes control. After the run-in period, patients will be randomized to receive either Mylan's insulin glargine (in place of Lantus®), or to continue on Lantus®. During the period from 12 to 24 weeks dose titration will be kept to a minimum.

Study groups in NCT02227862
Study groupRoleWhat they receive
Mylan's Insulin GlargineExperimentalReceive Mylan's Insulin Glargine plus insulin lispro.
Receives: Drug: Mylan's insulin glargine
Lantus®Active comparatorReceive Lantus® plus insulin lispro
Receives: Drug: Lantus®

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in HbA1c From Baseline to 24 Weeks

    Measured: 24 weeks

Secondary outcomes (12)
  1. Summary of Actual and Change From Baseline in HbA1c

    Measured: 24 and 52 weeks

  2. Change From Baseline in FPG Over Time

    Measured: 24 and 52 weeks

  3. Change From Baseline in 8-point SMBG Profile Over Time

    Measured: 24 and 52 weeks

  4. Change in Total Daily Insulin Dose Per Unit Body Weight From Baseline Over Time

    Measured: 24 and 52 weeks

  5. Rate of Hypoglycemic Events Per 30 Days Over Time

    Measured: 24 and 52 weeks

  6. Hypoglycemia Occurrence

    Measured: 52 weeks

  7. Occurrence of Local and Systematic Reactions

    Measured: 52 weeks

  8. Change in Total Insulin Antibody Percent Binding for Mylan's Insulin Glargine Assay Over Time

    Measured: 24 and 52 weeks

  9. Change in Total Insulin Antibody Percent Binding for Lantus Assay Over Time

    Measured: 24 and 52 weeks

  10. Change in Cross-reactive Insulin Antibody Percent Binding for Mylan's Insulin Glargine Assay Over Time

    Measured: 24 and 52 weeks

  11. Change in Cross-reactive Insulin Antibody Percent Binding for Lantus Assay Over Time

    Measured: 24 and 52 weeks

  12. Proportion of Patients With HbA1c < 7%

    Measured: 24 and 52 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Aug 2014 (estimated)
  2. Study startJun 2014
  3. Primary completionJul 2016
  4. Study completionJul 2016

Resources

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
558 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02227862
Sponsor's protocol ID
MYL-GAI-3001
Acronym
INSTRIDE 1
Status last verified
Mar 2022
First submitted
26 Aug 2014
Last updated
3 Mar 2022
Data monitoring committee
No

Publications

  • Sun B, Sengupta N, Rao A, Donnelly C, Waichale V, Roy AS, Ramaswamy S, Pathak D, Bowsher RR, Raiter Y, Aubonnet P, Barve A. Similar immunogenicity profiles between the proposed biosimilar MYL-1501D and reference insulin glargine in patients with diabetes mellitus: the phase 3 INSTRIDE 1 and INSTRIDE 2 studies. BMC Endocr Disord. 2021 Jun 26;21(1):129. doi: 10.1186/s12902-021-00797-4.

    PubMed 34174848

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Mylan's insulin glargine and Lantus® in people with Type 1 Diabetes, run by Mylan Inc. at 162 sites in 11 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 4 inclusion and 7 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 3 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 162 sites in United States, Slovakia, Romania, Germany, Hungary and 6 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 9 Mar 2020). 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 24 Weeks (time frame: 24 weeks). 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 NCT02227862, which also lists 1 linked publication.

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 3 Mar 2022.

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