Diabetes Mellitus, Type 2Phase 4BRIGHTNCT02738151
Efficacy and Safety of Toujeo® Versus Tresiba® in Insulin-Naive Patients With Type 2 Diabetes Mellitus Inadequately Controlled With Oral Antihyperglycemic Drug(s) ± GLP-1 Receptor Agonist
A Phase 4 study testing Insulin glargine, 300U/mL, Insulin degludec, 100 U/mL and Non-insulin anti-diabetic treatment in people with Diabetes Mellitus, Type 2, run by Sanofi at 158 sites in 16 countries.
Trial summary
Primary Objective: To demonstrate the noninferiority in the efficacy of Toujeo® to Tresiba® in glycated hemoglobin (HbA1c) change from Baseline to Week 24. Secondary Objectives: Change From Baseline in HbA1c to Week 12 To assess the effects of the insulin Toujeo® in comparison with insulin Tresiba® at week 12 and week… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- Insulin glargine, 300U/mL, Insulin degludec, 100 U/mL and Non-insulin anti-diabetic treatment
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 929 participants
- Where
- 158 sitesin 16 countries
- Study dates
- 19 May 2016to 15 Aug 2017
- Phase
- Phase 4
- 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 (T2DM) inadequately controlled with OADs therapy with/without GLP-1 receptor agonist at stable dose for at least 3 months.
- Signed written informed consent.
Who cannot join
- Age <18 years.
- HbA1c <7.5% or >10.5% (at screening visit). Body mass index (BMI) <25 kg/m^2 or >40 kg/m^2.
- History of T2DM for less than 1 year before screening.
- Less than 6 months before screening on OADs treatment and GLP-1 receptor agonist (if taken).
- Current or previous insulin use except for a maximum of 8 consecutive days or totally 15 days (eg, acute illness, surgery) during the last year prior to screening.
- Initiation of new glucose-lowering medications and/or weight loss drug in the last 3 months before screening visit.
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- Participant receiving only noninsulin antihyperglycemic drugs not approved for combination with insulin according to local labelling/local treatment guideline.
- History of hypoglycemia unawareness or repeated episodes of severe hypoglycemia or metabolic acidosis, including hospitalization for diabetic ketoacidosis during the last 12 months prior to screening.
- Unstable proliferative diabetic retinopathy or any other rapidly progressive diabetic retinopathy or macular edema likely to require treatment (eg, laser, surgical treatment, or injectable drugs) during the study period.
- End stage renal disease.
- Any acute or chronic condition that in the opinion of Investigator would affect the safety of participant, compliance, or study results.
- Any contraindication to use of Toujeo® or Tresiba® as defined in the national product label, hypersensitivity to Toujeo® or Tresiba® active ingredients or one of the excipients.
- Pregnant or breast-feeding women.
- 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
158 sites in 16 countries.
158 sites in 16 countries
United States74 sites
Investigational Site Number 840051
Anaheim, California, 92801
Investigational Site Number 840093
Anderson, South Carolina, 29621
Investigational Site Number 840036
Arlington Heights, Illinois, 60005
Investigational Site Number 840005
Avon, Indiana, 46123
Investigational Site Number 840029
Beaver, Pennsylvania, 15009
Investigational Site Number 840075
Bradenton, Florida, 34201
Investigational Site Number 840079
Bristol, Tennessee
Investigational Site Number 840006
Chattanooga, Tennessee, 37404
Investigational Site Number 840048
Chesterfield, Missouri, 63017
Investigational Site Number 840010
Chicago, Illinois, 60616
Investigational Site Number 840081
Chino, California, 91710
Investigational Site Number 840063
Council Bluffs, Iowa, 51501
Investigational Site Number 840007
Dallas, Texas, 75230
Investigational Site Number 840086
Dallas, Texas, 75231
Investigational Site Number 840098
Des Moines, Iowa, 50134
Investigational Site Number 840101
Des Moines, Iowa, 50314
Investigational Site Number 840056
Downingtown, Pennsylvania, 19335
Investigational Site Number 840041
Flint, Michigan, 48504
Investigational Site Number 840057
Flint, Michigan, 48532
Investigational Site Number 840097
Greenville, South Carolina, 29605
Investigational Site Number 840070
Greer, South Carolina, 29651
Investigational Site Number 840060
Hickory, North Carolina, 28601
Investigational Site Number 840027
Houston, Texas, 77061
Investigational Site Number 840004
Houston, Texas, 77083-4436
Investigational Site Number 840040
Houston, Texas, 77090
Investigational Site Number 840046
Houston, Texas, 77095
Investigational Site Number 840016
Huntington Park, California, 90255
Investigational Site Number 840054
Hurst, Texas, 76054
Investigational Site Number 840011
Hyattsville, Maryland, 20782
Investigational Site Number 840088
Knoxville, Tennessee, 37912
Investigational Site Number 840002
La Jolla, California, 92037
Investigational Site Number 840023
Las Vegas, Nevada, 89117
Investigational Site Number 840045
Las Vegas, Nevada, 89128
Investigational Site Number 840071
Lawrenceville, Georgia, 30046
Investigational Site Number 840031
Linden, New Jersey, 07036
Investigational Site Number 840091
Los Angeles, California, 90017
Investigational Site Number 840017
Mesquite, Texas, 75149
Investigational Site Number 840008
Missouri City, Texas, 77459
Investigational Site Number 840064
Morganton, North Carolina, 28655
Investigational Site Number 840076
New Port Richey, Florida, 34652
Investigational Site Number 840077
New Tazewell, Tennessee, 37825
Investigational Site Number 840024
Norfolk, Virginia
Investigational Site Number 840044
North Myrtle Beach, South Carolina, 29582
Investigational Site Number 840058
Northridge, California, 91324
Investigational Site Number 840026
Ocoee, Florida, 34761
Investigational Site Number 840095
Ogden, Utah, 84405
Investigational Site Number 840025
Oklahoma City, Oklahoma, 73104
Investigational Site Number 840022
Oklahoma City, Oklahoma, 73112
Investigational Site Number 840084
Olive Branch, Mississippi, 38654
Investigational Site Number 840052
Palm Harbor, Florida, 34684
Investigational Site Number 840080
Palm Harbor, Florida, 34684
Investigational Site Number 840021
Palm Springs, California, 92262
Investigational Site Number 840061
Paris, Kentucky, 40361
Investigational Site Number 840066
Phoenix, Arizona, 85020
Investigational Site Number 840018
Port Charlotte, Florida, 33952
Investigational Site Number 840012
Renton, Washington, 98055
Investigational Site Number 840020
Richmond, Virginia, 23219
Investigational Site Number 840001
Rockville, Maryland, 20852
Investigational Site Number 840085
Roswell, Georgia, 30076
Investigational Site Number 840032
Salt Lake City, Utah, 84102
Investigational Site Number 840094
San Antonio, Texas, 78229-3907
Investigational Site Number 840087
Santa Ana, California, 92704
Investigational Site Number 840038
Sheffield, Alabama, 35660
Investigational Site Number 840069
Simpsonville, South Carolina, 29681
Investigational Site Number 840072
Statesboro, Georgia, 30461
Investigational Site Number 840039
Stockbridge, Georgia, 30281
Investigational Site Number 840009
Sugar Land, Texas, 77478
Investigational Site Number 840030
Torrance, California, 90505
Investigational Site Number 840033
Troy, Michigan, 48085
Investigational Site Number 840065
Van Nuys, California, 91405
Investigational Site Number 840053
Waco, Texas, 76710
Investigational Site Number 840096
West Des Moines, Iowa, 50266
Investigational Site Number 840043
Wilmington, North Carolina, 28401
Investigational Site Number 840082
Winston-Salem, North Carolina, 27103
Romania13 sites
Investigational Site Number 642007
Brasov, 500097
Investigational Site Number 642008
Brasov, 500326
Investigational Site Number 642001
Bucharest, 022441
Investigational Site Number 642013
Bucharest, 040172
Investigational Site Number 642015
Bucharest
Investigational Site Number 642003
Cluj-Napoca, 400006
Investigational Site Number 642009
Constanța, 900675
Investigational Site Number 642014
Iași, 700547
Investigational Site Number 642005
Oradea
Investigational Site Number 642012
Oradea
Investigational Site Number 642010
Târgu Mureş, 540015
Investigational Site Number 642004
Târgu Mureş, 540142
Investigational Site Number 642006
Târgu Mureş
Italy12 sites
Investigational Site Number 380007
Bari, 70124
Investigational Site Number 380009
Catanzaro
Investigational Site Number 380010
Chieti, 66013
Investigational Site Number 380014
Milan, 20132
Investigational Site Number 380002
Moncalieri, 10024
Investigational Site Number 380011
Naples, 80131
Investigational Site Number 380008
Roma
Investigational Site Number 380015
Roma
Investigational Site Number 380016
Roma
Investigational Site Number 380013
Sesto San Giovanni, 20099
Investigational Site Number 380005
Torino, 10126
Investigational Site Number 380012
Verona, 37126
Czechia8 sites
Investigational Site Number 203009
Hlučín
Investigational Site Number 203006
Jílové u Prahy, 25401
Investigational Site Number 203005
Liberec, 46001
Investigational Site Number 203001
Pardubice, 53002
Investigational Site Number 203007
Prague, 11000
Investigational Site Number 203008
Prague, 12808
Investigational Site Number 203002
Prague, 18100
Investigational Site Number 203004
Vsetín, 75501
Israel8 sites
Investigational Site Number 376001
Haifa, 31096
Investigational Site Number 376004
Haifa
Investigational Site Number 376008
Haifa
Investigational Site Number 376009
Kfar Saba
Investigational Site Number 376002
Petah Tikva
Investigational Site Number 376006
Tel Aviv
Investigational Site Number 376007
Tel Aviv
Investigational Site Number 376003
Tel HaShomer, 52621
United Kingdom7 sites
Investigational Site Number 826001
Chertsey, KT160PZ
Investigational Site Number 826005
Gillingham, ME75NY
Investigational Site Number 826008
Lincoln, LN25QY
Investigational Site Number 826002
London, SW109NH
Investigational Site Number 826009
Manchester, M415SL
Investigational Site Number 826006
Margate, CT94ANA
Investigational Site Number 826004
Swansea, SA66NL
France6 sites
Investigational Site Number 250002
La Roche-sur-Yon, 85025
Investigational Site Number 250003
La Rochelle, 17019
Investigational Site Number 250001
Nantes, 44093
Investigational Site Number 250006
Nîmes, 30029
Investigational Site Number 250005
Poitiers, 86021
Investigational Site Number 250007
Vénissieux, 69200
Slovakia5 sites
Investigational Site Number 703006
Košice, 04013
Investigational Site Number 703002
Ľubochňa, 03491
Investigational Site Number 703001
Moldava nad Bodvou, 04525
Investigational Site Number 703003
Sabinov, 08301
Investigational Site Number 703005
Trebišov, 07501
Denmark4 sites
Investigational Site Number 208003
Aarhus, 8000
Investigational Site Number 208002
Hillerød, 3400
Investigational Site Number 208001
København NV, 2400
Investigational Site Number 208004
Odense, 5000
Greece4 sites
Investigational Site Number 300005
Alexandroupoli, 68100
Investigational Site Number 300001
Athens, 17562
Investigational Site Number 300002
Athens
Investigational Site Number 300003
Athens
Hungary4 sites
Investigational Site Number 348004
Budapest, 1042
Investigational Site Number 348002
Budapest, 1083
Investigational Site Number 348001
Budapest, 1106
Investigational Site Number 348003
Gyöngyös, 3200
Bulgaria3 sites
Investigational Site Number 100001
Sofia, 1431
Investigational Site Number 100002
Sofia, 1505
Investigational Site Number 100003
Sofia
Croatia3 sites
Investigational Site Number 191001
Rijeka, 51000
Investigational Site Number 191002
Rijeka, 51000
Investigational Site Number 191003
Zagreb
Serbia3 sites
Investigational Site Number 688001
Belgrade, 11000
Investigational Site Number 688002
Niš
Investigational Site Number 688003
Niš
Sweden2 sites
Investigational Site Number 752102
Lund, 22241
Investigational Site Number 752101
Skövde, 54150
Switzerland2 sites
Investigational Site Number 756003
Olten, 4600
Investigational Site Number 756001
Sankt Gallen, 9016
About this study
Official title: A 24-week, Multicenter, Randomized, Open-Label, Parallel-group StudyComparing the Efficacy and Safety of Toujeo® and Tresiba® in Insulin-NaivePatients With Type 2 Diabetes Mellitus Not Adequately Controlled With OralAntihyperglycemic Drug(s) ± GLP-1 Receptor Agonist
Primary Objective:
To demonstrate the noninferiority in the efficacy of Toujeo® to Tresiba® in glycated hemoglobin (HbA1c) change from Baseline to Week 24.
Read more
Secondary Objectives:
Change From Baseline in HbA1c to Week 12
To assess the effects of the insulin Toujeo® in comparison with insulin Tresiba® at week 12 and week 24 on:
- Change in Fasting plasma glucose (FPG);
- Change in Fasting self-monitored plasma glucose (SMPG) and 4-point SMPG and 8-point SMPG profile;
- Percentage of participants reaching HbA1c targets <7% or ≤6.5%;
- Percentage of participants reaching HbA1c targets <7% or ≤6.5% without severe and/or confirmed hypoglycemia
- Frequency of occurrence and diurnal distribution of hypoglycemia by American Diabetes Association (ADA) category of hypoglycemia.
To assess the safety in each treatment group.
To assess the treatment effects in each treatment group on Patient Reported Outcomes (PRO).
Percentage of participants requiring rescue therapy.
Read the detailed description
The maximum study duration per participant was approximately 27 weeks: an up to 2-week screening period, a 24-week randomized treatment period (including 12 weeks active titration), and a 7-day posttreatment safety follow-up period.
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- Insulin glargine, 300U/mL, Insulin degludec, 100 U/mL, Non-insulin anti-diabetic treatment
- 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 glargine, 300U/mLDrug
Also called HOE901-U300, Toujeo
Self-administered by subcutaneous (SC) injection in the evening using a pre-filled pen. Dose titration to achieve fasting self-monitored plasma glucose (SMPG) from 80 to 100 mg/dL (4.4 to 5.6 mmol/L).
Insulin degludec, 100 U/mLDrug
Also called Tresiba
Self-administered by subcutaneous (SC) injection in the evening using a pre-filled pen. Dose titration to achieve fasting self-monitored plasma glucose (SMPG) from 80 to 100 mg/dL (4.4 to 5.6 mmol/L).
Route of administration: subcutaneous
Non-insulin anti-diabetic treatmentDrug
Background therapy: Oral Anti diabetics Drugs (OADs), Glucagon-like peptide-1 (GLP-1) receptor agonist.
| Study group | Role | What they receive |
|---|---|---|
| Toujeo | Experimental | Toujeo® (Insulin glargine, 300 U/mL) subcutaneous (SC) injection once daily up to Week 24 on top of non-insulin antidiabetic treatment. Receives: Drug: Insulin glargine, 300U/mL; Drug: Non-insulin anti-diabetic treatment |
| Tresiba | Active comparator | Tresiba® (Insulin Degludec, 100 U/mL) SC injection once daily up to Week 24 on top of non-insulin antidiabetic treatment . Receives: Drug: Insulin degludec, 100 U/mL; Drug: Non-insulin anti-diabetic treatment |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in HbA1c to Week 24
Change in HbA1c was calculated by subtracting baseline value from Week 24 value. Adjusted Least Square (LS) means and standard errors were obtained from a mixed-effect model with repeated measures (MMRM) to account for missing data, using all post-baseline HbA1c data available during the 24-week on-treatment period.
Measured: Baseline, Week 24
Secondary outcomes (17)
Change From Baseline in HbA1c to Week 12
Change in HbA1c was calculated by subtracting baseline value from Week 12 value. Adjusted least square means and standard errors were obtained from a mixed-effect model with MMRM.
Measured: Baseline, Week 12
Change From Baseline in Fasting Plasma Glucose (FPG) to Week 12 and Week 24
Change in FPG was calculated by subtracting baseline value from Week 12 and Week 24 value. Adjusted LS means were obtained from MMRM including post baseline values during the 24-week on-treatment period.
Measured: Baseline, Week 12 and Week 24
Change From Baseline in Fasting Self-Monitoring Plasma Glucose (SMPG) to Week 12 and Week 24
Fasting SMPG was measured by the participant before breakfast and before the administration of the glucose-lowering agents once a day during the study. Adjusted LS means were obtained from MMRM including post baseline values during the 24 week on treatment period.
Measured: Baseline, Week 12 and Week 24
Change From Baseline in 8 Point SMPG Profile to Week 12 and Week 24 Per Time Point
8-point SMPG profiles were measured at the following 8 points: 03:00 at night, pre-breakfast, 2 hours after breakfast, pre-lunch, 2 hours after lunch, pre-dinner, 2 hours after dinner, and bedtime.
Measured: Baseline, Week 12 and Week 24
Change From Baseline in 4-point SMPG Profile to Week 12 and Week 24 Per Time Point
4-point SMPG profiles were measured at the following 4 points: prebreakfast, prelunch, predinner and bedtime.
Measured: Baseline, Week 12 and Week 24
Change From Baseline in 24-hour Average 8-point SMPG Profile to Week 12 and Week 24
The 8-point SMPG profile was measured at the following 8 points: 03:00 at night, pre-breakfast, 2 hours after breakfast, pre-lunch, 2 hours after lunch, pre-dinner, 2 hours after dinner, and bedtime. Adjusted LS means were obtained from MMRM.
Measured: Baseline, Week 12 and Week 24
Change From Baseline in Variability of Fasting SMPG to Week 12 and Week 24
Adjusted LS means were obtained from MMRM. Variability was assessed by the mean of coefficient of variation calculated over at least 3 SMPG measured during the 7 days preceding the given visit.
Measured: Baseline, Week 12 and Week 24
Change From Baseline in Variability of 24-Hour 8-Point SMPG Profiles at Week 12 and Week 24
Adjusted LS means were obtained from MMRM.
Measured: Baseline, Week 12 and Week 24
Percentage of Participants Reaching Target HbA1c of < 7% and =<6.5% at Week 12 and Week 24
Only the post-baseline HbA1c measurements before rescue and during the 12 week and 24-week on-treatment period were considered in the analysis.
Measured: Week 12, and Week 24
Percentage of Participants Reaching Target HbA1c <7% and =<6.5% at Week 12 and Week 24 Without Severe and/or Confirmed Hypoglycemia (70 mg/dL) Event
Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Severe and/or confirmed hypoglycemia event was a severe event or an event confirmed by plasma glucose =<3.9 mmol/L (=<70 mg/dL).
Measured: Week 12, and Week 24
Percentage of Participants With Sulphonylurea or Meglitinide Dose Reduction/ Discontinuation Due to Hypoglycemia During 24 Weeks Treatment Period
Percentage of participants With Sulphonylurea or Meglitinide dose reduction/ discontinuation due to Hypoglycemia during 24 Week treatment period were reported. Only participants with Sulphonylurea or meglitinides at Screening as per actual strata were taken into account in this analysis.
Measured: Baseline to Week 24
Percentage of Participants Requiring a Rescue Therapy During 24 Weeks Treatment Period
Routine fasting SMPG and central laboratory FPG (and HbA1c after Week 12) values were used to determine the requirement of rescue medication. Threshold values at Week 12: FPG >200 mg/dL (11 mmol/L), or HbA1c >8.5%.
Measured: Baseline to Week 24
Change From Baseline in Basal Insulin Dose (U/kg Body Weight) to Week 12 and Week 24
Only the insulin dose measurements performed before initiation of rescue therapy and during the on-treatment period were considered in the analysis.
Measured: Baseline, Week 12 and Week 24
Percentage of Participants With At Least One Hypoglycemic Events (Any, Severe and/or Confirmed Hypoglycemia: Any Time of the Day) by Study Period
Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Severe and/or confirmed hypoglycemia event was a severe event or an event confirmed with plasma glucose =<70 mg/dL (=<3.9 mmol/L), or < 54 mg/dL (<3.0 mmol/L). Assessment was done by treatment period (for =<12 weeks, for >12 weeks to =<24 weeks (24W)). Percentage of participants with at least one hypoglycemia (hypo) event at any time of the day were reported.
Measured: Day 1-Week 12, Week 13-Week 24, and 24 Week Period
Percentage of Participants With At Least One Hypoglycemic Events (Any, Severe and/or Confirmed Hypoglycemia: Nocturnal) by Study Period
Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Severe and/or confirmed hypoglycaemia event was a severe event or an event confirmed with plasma glucose =<70 mg/dL (=<3.9 mmol/L), or < 54 mg/dL (<3.0 mmol/L). Nocturnal hypoglycemia was hypoglycemia that occurred between 00:00 and 05:59 hours (clock time). Assessment was done by treatment period (for =<12 weeks, for >12 weeks to =<24 weeks).
Measured: Day 1-Week 12, Week 13-Week 24, and 24 Week Period
Hypoglycemia (Any, Severe and/or Confirmed Hypoglycemia: Any Time of the Day) Event Rate Per Participant Year During Study Period
Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Severe and/or confirmed hypoglycemia event was a severe event or an event confirmed with plasma glucose =<70 mg/dL (=<3.9 mmol/L), or < 54 mg/dL (<3.0 mmol/L).
Measured: Day 1-Week 12, Week 13-Week 24, and 24 Week Period
Hypoglycemia (Any, Severe and/or Confirmed Hypoglycemia: Nocturnal ) Event Rate Per Participant Year During Study Period
Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Severe and/or confirmed hypoglycemia event was a severe event or an event confirmed with plasma glucose =<70 mg/dL (=<3.9 mmol/L), or < 54 mg/dL (<3.0 mmol/L). Nocturnal hypoglycemia was hypoglycemia that occurred between 00:00 and 05:59 hours (clock time).
Measured: Day 1-Week 12, Week 13-Week 24, and 24 Week Period
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Apr 2016 (estimated)
- Study start19 May 2016
- Primary completion15 Aug 2017
- Study completion15 Aug 2017
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 (1)Papers the sponsor has linked to this study.
- 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 929 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
- NCT02738151
- Sponsor's protocol ID
- LPS14584
- Other IDs
- 2015-005101-36, U1111-1177-6327, 2015
- Acronym
- BRIGHT
- Status last verified
- Aug 2018
- First submitted
- 31 Mar 2016
- Last updated
- 14 Sep 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Rosenstock J, Cheng A, Ritzel R, Bosnyak Z, Devisme C, Cali AMG, Sieber J, Stella P, Wang X, Frias JP, Roussel R, Bolli GB. More Similarities Than Differences Testing Insulin Glargine 300 Units/mL Versus Insulin Degludec 100 Units/mL in Insulin-Naive Type 2 Diabetes: The Randomized Head-to-Head BRIGHT Trial. Diabetes Care. 2018 Oct;41(10):2147-2154. doi: 10.2337/dc18-0559. Epub 2018 Aug 13.
PubMed 30104294
Study at a glance
From the registry record, last updated by the sponsor on 14 Sep 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 24-week, Multicenter, Randomized, Open-Label, Parallel-group StudyComparing the Efficacy and Safety of Toujeo® and Tresiba® in Insulin-NaivePatients With Type 2 Diabetes Mellitus Not Adequately Controlled With OralAntihyperglycemic Drug(s) ± GLP-1 Receptor Agonist
- ClinicalTrials.gov ID
- NCT02738151
- Acronym / sponsor ID
- BRIGHT / LPS14584
- Conditions
- Diabetes Mellitus, Type 2
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 929 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- 19 May 2016
- Primary completion
- 15 Aug 2017 (actual)
- Study completion
- 15 Aug 2017 (actual)
- First posted
- 14 Apr 2016 (estimated)
- Results
- Posted 14 Sep 2018
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 demonstrate the noninferiority in the efficacy of Toujeo® to Tresiba® in glycated hemoglobin (HbA1c) change from Baseline to Week 24.
Secondary Objectives:
Change From Baseline in HbA1c to Week 12
To assess the effects of the insulin Toujeo® in comparison with insulin Tresiba® at week 12 and week 24 on:
- Change in Fasting plasma glucose (FPG);
- Change in Fasting self-monitored plasma glucose (SMPG) and 4-point SMPG and 8-point SMPG profile;
- Percentage of participants reaching HbA1c targets <7% or ≤6.5%;
- Percentage of participants reaching HbA1c targets <7% or ≤6.5% without severe and/or confirmed hypoglycemia
- Frequency of occurrence and diurnal distribution of hypoglycemia by American Diabetes Association (ADA) category of hypoglycemia.
To assess the safety in each treatment group.
To assess the treatment effects in each treatment group on Patient Reported Outcomes (PRO).
Percentage of participants requiring rescue therapy.
Detailed description
The maximum study duration per participant was approximately 27 weeks: an up to 2-week screening period, a 24-week randomized treatment period (including 12 weeks active titration), and a 7-day posttreatment 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 |
|---|---|---|
| Toujeo | Experimental | Drug: Insulin glargine, 300U/mL, Drug: Non-insulin anti-diabetic treatmentToujeo® (Insulin glargine, 300 U/mL) subcutaneous (SC) injection once daily up to Week 24 on top of non-insulin antidiabetic treatment. |
| Tresiba | Active comparator | Drug: Insulin degludec, 100 U/mL, Drug: Non-insulin anti-diabetic treatmentTresiba® (Insulin Degludec, 100 U/mL) SC injection once daily up to Week 24 on top of non-insulin antidiabetic treatment . |
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 (T2DM) inadequately controlled with OADs therapy with/without GLP-1 receptor agonist at stable dose for at least 3 months.
- Signed written informed consent.
Key exclusion criteria (14 listed)
- Age <18 years.
- HbA1c <7.5% or >10.5% (at screening visit). Body mass index (BMI) <25 kg/m^2 or >40 kg/m^2.
- History of T2DM for less than 1 year before screening.
- Less than 6 months before screening on OADs treatment and GLP-1 receptor agonist (if taken).
- Current or previous insulin use except for a maximum of 8 consecutive days or totally 15 days (eg, acute illness, surgery) during the last year prior to 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 glargine, 300U/mLAlso: HOE901-U300, ToujeoSelf-administered by subcutaneous (SC) injection in the evening using a pre-filled pen. Dose titration to achieve fasting self-monitored plasma glucose (SMPG) from 80 to 100 mg/dL (4.4 to 5.6 mmol/L). | Drug | Toujeo |
| Insulin degludec, 100 U/mLAlso: TresibaSelf-administered by subcutaneous (SC) injection in the evening using a pre-filled pen. Dose titration to achieve fasting self-monitored plasma glucose (SMPG) from 80 to 100 mg/dL (4.4 to 5.6 mmol/L). Route of administration: subcutaneous | Drug | Tresiba |
| Non-insulin anti-diabetic treatmentBackground therapy: Oral Anti diabetics Drugs (OADs), Glucagon-like peptide-1 (GLP-1) receptor agonist. | Drug | Toujeo, Tresiba |
Primary outcome
Change From Baseline in HbA1c to Week 24
Time frame: Baseline, Week 24
Change in HbA1c was calculated by subtracting baseline value from Week 24 value. Adjusted Least Square (LS) means and standard errors were obtained from a mixed-effect model with repeated measures (MMRM) to account for missing data, using all post-baseline HbA1c data available during the 24-week on-treatment period.
17 secondary outcomes
Change From Baseline in HbA1c to Week 12
Time frame: Baseline, Week 12
Change From Baseline in Fasting Plasma Glucose (FPG) to Week 12 and Week 24
Time frame: Baseline, Week 12 and Week 24
Change From Baseline in Fasting Self-Monitoring Plasma Glucose (SMPG) to Week 12 and Week 24
Time frame: Baseline, Week 12 and Week 24
Change From Baseline in 8 Point SMPG Profile to Week 12 and Week 24 Per Time Point
Time frame: Baseline, Week 12 and Week 24
Change From Baseline in 4-point SMPG Profile to Week 12 and Week 24 Per Time Point
Time frame: Baseline, Week 12 and Week 24
Change From Baseline in 24-hour Average 8-point SMPG Profile to Week 12 and Week 24
Time frame: Baseline, Week 12 and Week 24
Change From Baseline in Variability of Fasting SMPG to Week 12 and Week 24
Time frame: Baseline, Week 12 and Week 24
Change From Baseline in Variability of 24-Hour 8-Point SMPG Profiles at Week 12 and Week 24
Time frame: Baseline, Week 12 and Week 24
Percentage of Participants Reaching Target HbA1c of < 7% and =<6.5% at Week 12 and Week 24
Time frame: Week 12, and Week 24
Percentage of Participants Reaching Target HbA1c <7% and =<6.5% at Week 12 and Week 24 Without Severe and/or Confirmed Hypoglycemia (70 mg/dL) Event
Time frame: Week 12, and Week 24
Percentage of Participants With Sulphonylurea or Meglitinide Dose Reduction/ Discontinuation Due to Hypoglycemia During 24 Weeks Treatment Period
Time frame: Baseline to Week 24
Percentage of Participants Requiring a Rescue Therapy During 24 Weeks Treatment Period
Time frame: Baseline to Week 24
Change From Baseline in Basal Insulin Dose (U/kg Body Weight) to Week 12 and Week 24
Time frame: Baseline, Week 12 and Week 24
Percentage of Participants With At Least One Hypoglycemic Events (Any, Severe and/or Confirmed Hypoglycemia: Any Time of the Day) by Study Period
Time frame: Day 1-Week 12, Week 13-Week 24, and 24 Week Period
Percentage of Participants With At Least One Hypoglycemic Events (Any, Severe and/or Confirmed Hypoglycemia: Nocturnal) by Study Period
Time frame: Day 1-Week 12, Week 13-Week 24, and 24 Week Period
Hypoglycemia (Any, Severe and/or Confirmed Hypoglycemia: Any Time of the Day) Event Rate Per Participant Year During Study Period
Time frame: Day 1-Week 12, Week 13-Week 24, and 24 Week Period
Hypoglycemia (Any, Severe and/or Confirmed Hypoglycemia: Nocturnal ) Event Rate Per Participant Year During Study Period
Time frame: Day 1-Week 12, Week 13-Week 24, and 24 Week Period
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Sep 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 30104294Rosenstock J, Cheng A, Ritzel R, Bosnyak Z, Devisme C, Cali AMG, Sieber J, Stella P, Wang X, Frias JP, Roussel R, Bolli GB. More Similarities Than Differences Testing Insulin Glargine 300 Units/mL Versus Insulin Degludec 100 Units/mL in Insulin-Naive Type 2 Diabetes: The Randomized Head-to-Head BRIGHT Trial. Diabetes Care. 2018 Oct;41(10):2147-2154. doi: 10.2337/dc18-0559. Epub 2018 Aug 13.
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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
158 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Insulin glargine, 300U/mL, Insulin degludec, 100 U/mL and Non-insulin anti-diabetic treatment in people with Diabetes Mellitus, Type 2, run by Sanofi at 158 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 14 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 14 Sep 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 158 sites in United States, Romania, Italy, Czechia, Israel 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 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?
Yes. Results are posted in the registry (first posted 14 Sep 2018). 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 From Baseline in HbA1c to Week 24 (time frame: Baseline, Week 24). 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 NCT02738151, 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 14 Sep 2018; AzTrials last refreshed its copy on 8 Nov 2026.