Type 2 Diabetes MellitusPhase 3EDITION APNCT02855684
Comparison of the Efficacy and Safety of a New Formulation of Insulin Glargine With Lantus in Patients With Type 2 Diabetes Insufficiently Controlled With Non-insulin Antidiabetic Therapy
A Phase 3 study testing Insulin glargine (U300), Insulin glargine and Non-insulin antihyperglycemic drugs in people with Type 2 Diabetes Mellitus, run by Sanofi at 54 sites in 3 countries.
Trial summary
Primary Objective: To compare the efficacy of insulin glargine (U300) and Lantus in terms of change of glycated hemoglobin A1c (HbA1c) from baseline to endpoint (scheduled at Month 6, Week 26) in patients with type 2 diabetes mellitus. 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?
- Insulin glargine (U300), Insulin glargine and Non-insulin antihyperglycemic drugs
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 604 participants
- Where
- 54 sitesin 3 countries
- Study dates
- 24 Aug 2016to 6 Aug 2018
- Phase
- Phase 3
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult patients with type 2 diabetes mellitus inadequately controlled with non-insulin antihyperglycemic drug(s).
- Signed written informed consent.
Who cannot join
- Age < legal age of adulthood.
- HbA1c <7.0% (<53 mmol/mol) or >11% (>97 mmol/mol) (at screening).
- 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.
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- Patients receiving only non-insulin antihyperglycemic drugs not approved for combination with insulin according to local labeling (Note: non-insulin antihyperglycemic drugs not approved for combination with insulin are to be discontinued at randomization).
- Current or previous insulin use except for a maximum of 10 consecutive days (eg, acute illness, surgery) during the last one year prior to screening.
- Severe hypoglycemia resulting in coma/seizures, and/or hospitalization for diabetic ketoacidosis in the last 6 months before screening visit.
- 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.
- 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
54 sites in 3 countries.
54 sites in 3 countries
China39 sites
Investigational Site Number 1560039
Beijing, 100034
Investigational Site Number 1560001
Beijing, 100044
Investigational Site Number 1560017
Beijing, 100191
Investigational Site Number 1560003
Beijing, 100730
Investigational Site Number 1560033
Changchun, 130021
Investigational Site Number 1560016
Changzhou, 213003
Investigational Site Number 1560049
Changzhou, 213003
Investigational Site Number 1560006
Fuzhou, 354200
Investigational Site Number 1560004
Guangzhou, 510080
Investigational Site Number 1560036
Guangzhou, 510080
Investigational Site Number 1560043
Guangzhou, 510120
Investigational Site Number 1560014
Guangzhou, 510515
Investigational Site Number 1560042
Guiyang, 550004
Investigational Site Number 1560024
Hangzhou, 310015
Investigational Site Number 1560046
Hefei, 230001
Investigational Site Number 1560025
Hohhot, 010017
Investigational Site Number 1560019
Jinan, 250013
Investigational Site Number 1560027
Lanzhou, 730000
Investigational Site Number 1560038
Nanchang, 330006
Investigational Site Number 1560045
Nanchang, 330006
Investigational Site Number 1560002
Nanjing, 210008
Investigational Site Number 1560012
Nanjing, 210011
Investigational Site Number 1560047
Nanjing, 210029
Investigational Site Number 1560021
Shanghai, 200040
Investigational Site Number 1560018
Shanghai, 200240
Investigational Site Number 1560048
Shenyang, 110004
Investigational Site Number 1560005
Shenyang, 110022
Investigational Site Number 1560020
Shenzhen, 518036
Investigational Site Number 1560013
Siping, 136000
Investigational Site Number 1560031
Tangshan, 063000
Investigational Site Number 1560023
Tianjin, 300052
Investigational Site Number 1560044
Tianjin, 300121
Investigational Site Number 1560009
Xi'an, 710061
Investigational Site Number 1560034
Xiamen, 361003
Investigational Site Number 1560010
Xuzhou, 221002
Investigational Site Number 1560026
Yueyang, 414000
Investigational Site Number 1560011
Zhengzhou, 450052
Investigational Site Number 1560030
Zhenjiang, 212001
Investigational Site Number 1560041
Zhuzhou, 412007
South Korea11 sites
Investigational Site Number 4100003
Anyang, 431-070
Investigational Site Number 4100005
Busan, 602-739
Investigational Site Number 4100010
Gwangju, 61453
Investigational Site Number 4100012
Gyeonggi-do, 11923
Investigational Site Number 4100008
Seoul, 01830
Investigational Site Number 4100001
Seoul, 03181
Investigational Site Number 4100009
Seoul, 06351
Investigational Site Number 4100004
Seoul, 110-744
Investigational Site Number 4100006
Seoul, 120-752
Investigational Site Number 4100007
Seoul, 138-878
Investigational Site Number 4100002
Wŏnju, 26426
Taiwan4 sites
Investigational Site Number 1580001
Taichung, 40447
Investigational Site Number 1580004
Taipei, 104
Investigational Site Number 1580003
Taipei, 11031
Investigational Site Number 1580002
Taipei, 220
About this study
Official title: 6-Month, Multicenter, Randomized, 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
Primary Objective:
To compare the efficacy of insulin glargine (U300) and Lantus in terms of change of glycated hemoglobin A1c (HbA1c) from baseline to endpoint (scheduled at Month 6, Week 26) in patients with type 2 diabetes mellitus.
Read more
Secondary Objectives:
- To compare insulin glargine (U300) and Lantus in terms of occurrence of hypoglycemia and nocturnal hypoglycemia.
- To compare insulin glargine (U300) and Lantus in terms of reaching target HbA1c values (all and reaching target without hypoglycemia).
- To compare insulin glargine (U300) and Lantus in terms of controlled plasma glucose (all and reaching target without hypoglycemia).
- To compare the frequency of occurrence and diurnal distribution of hypoglycemia by category of hypoglycemia (documented symptomatic, asymptomatic, nocturnal, severe, probable and relative).
- To assess the safety and tolerability of insulin glargine (U300).
- To assess the development of anti-insulin glargine antibodies (AIA).
Read the detailed description
The total maximum study duration per patient will be 29 weeks that will consist of a 2-week screening period, 26-week treatment period, and a 2-day post-treatment safety follow-up period.
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- Insulin glargine (U300), Insulin glargine, Non-insulin antihyperglycemic drugs
- 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 (U300)Drug
Also called HOE901; Toujeo
Pharmaceutical form: solution
Route of administration: subcutaneous
Insulin glargineDrug
Also called HOE901; Lantus
Pharmaceutical form: solution
Route of administration: subcutaneous
Non-insulin antihyperglycemic drugsDrug
Also called Non-insulin antihyperglycemic therapy
Pharmaceutical form: capsule/tablet
Route of administration: oral
| Study group | Role | What they receive |
|---|---|---|
| Toujeo - insulin glargine (U300) | Experimental | Toujeo - Insulin glargine (U300) will be administered subcutaneously once in the evening on top of the non-insulin antihyperglycemic drugs for 29 weeks Receives: Drug: Insulin glargine (U300); Drug: Non-insulin antihyperglycemic drugs |
| Lantus - insulin glargine | Active comparator | Lantus - Insulin glargine will be administered subcutaneously once in the evening on top of the non-insulin antihyperglycemic drugs for 29 weeks Receives: Drug: Insulin glargine; Drug: Non-insulin antihyperglycemic drugs |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in HbA1c from baseline
Measured: Baseline, 6 months
Secondary outcomes (12)
Percentage (%) of patients with at least one hypoglycemia
Measured: Baseline, up to 6 months
Percentage (%) of patients with at least one nocturnal hypoglycemia
Measured: Baseline, up to 6 months
Percentage (%) of patients with HbA1c <7.0%
Measured: 6 months
Percentage (%) of patients with HbA1c ≤6.5%
Measured: 6 months
Percentage (%) of patients with Fasting Plasma Glucose (FPG) <100 mg/dL (5.6 mmol/L)
Measured: 6 months
Percentage (%) of patients with FPG ≤120 mg/dL (6.7 mmol/L)
Measured: 6 months
Percentage (%) of patients requiring rescue therapy
Measured: 6 months
Change in fasting plasma glucose
Measured: Baseline, 6 months
Change in 8-point Self-monitored Plasma Glucose (SMPG) profiles
Measured: Baseline, 6 months
Change of mean 24-hour plasma glucose
Measured: Baseline, 6 months
Change in variability of plasma glucose profile
Measured: Baseline, 6 months
Change in daily basal insulin dose
Measured: Baseline, 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Aug 2016 (estimated)
- Study start24 Aug 2016
- Primary completion6 Aug 2018
- Study completion6 Aug 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- 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
- 604 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
- NCT02855684
- Sponsor's protocol ID
- EFC12814
- Other IDs
- U1111-1139-3894
- Acronym
- EDITION AP
- Status last verified
- Apr 2022
- First submitted
- 2 Aug 2016
- Last updated
- 25 Apr 2022
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Study at a glance
From the registry record, last updated by the sponsor on 25 Apr 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- 6-Month, Multicenter, Randomized, 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
- ClinicalTrials.gov ID
- NCT02855684
- Acronym / sponsor ID
- EDITION AP / EFC12814
- Conditions
- Type 2 Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 604 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- 24 Aug 2016
- Primary completion
- 6 Aug 2018 (actual)
- Study completion
- 6 Aug 2018 (actual)
- First posted
- 4 Aug 2016 (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 compare the efficacy of insulin glargine (U300) and Lantus in terms of change of glycated hemoglobin A1c (HbA1c) from baseline to endpoint (scheduled at Month 6, Week 26) in patients with type 2 diabetes mellitus.
Secondary Objectives:
- To compare insulin glargine (U300) and Lantus in terms of occurrence of hypoglycemia and nocturnal hypoglycemia.
- To compare insulin glargine (U300) and Lantus in terms of reaching target HbA1c values (all and reaching target without hypoglycemia).
- To compare insulin glargine (U300) and Lantus in terms of controlled plasma glucose (all and reaching target without hypoglycemia).
- To compare the frequency of occurrence and diurnal distribution of hypoglycemia by category of hypoglycemia (documented symptomatic, asymptomatic, nocturnal, severe, probable and relative).
- To assess the safety and tolerability of insulin glargine (U300).
- To assess the development of anti-insulin glargine antibodies (AIA).
Detailed description
The total maximum study duration per patient will be 29 weeks that will consist of a 2-week screening period, 26-week treatment period, and a 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 |
|---|---|---|
| Toujeo - insulin glargine (U300) | Experimental | Drug: Insulin glargine (U300), Drug: Non-insulin antihyperglycemic drugsToujeo - Insulin glargine (U300) will be administered subcutaneously once in the evening on top of the non-insulin antihyperglycemic drugs for 29 weeks |
| Lantus - insulin glargine | Active comparator | Drug: Insulin glargine, Drug: Non-insulin antihyperglycemic drugsLantus - Insulin glargine will be administered subcutaneously once in the evening on top of the non-insulin antihyperglycemic drugs for 29 weeks |
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 patients with type 2 diabetes mellitus inadequately controlled with non-insulin antihyperglycemic drug(s).
- Signed written informed consent.
Key exclusion criteria (11 listed)
- Age < legal age of adulthood.
- HbA1c <7.0% (<53 mmol/mol) or >11% (>97 mmol/mol) (at screening).
- 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.
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 (U300)Also: HOE901; ToujeoPharmaceutical form: solution Route of administration: subcutaneous | Drug | Toujeo - insulin glargine (U300) |
| Insulin glargineAlso: HOE901; LantusPharmaceutical form: solution Route of administration: subcutaneous | Drug | Lantus - insulin glargine |
| Non-insulin antihyperglycemic drugsAlso: Non-insulin antihyperglycemic therapyPharmaceutical form: capsule/tablet Route of administration: oral | Drug | Lantus - insulin glargine, Toujeo - insulin glargine (U300) |
Primary outcome
Change in HbA1c from baseline
Time frame: Baseline, 6 months
12 secondary outcomes
Percentage (%) of patients with at least one hypoglycemia
Time frame: Baseline, up to 6 months
Percentage (%) of patients with at least one nocturnal hypoglycemia
Time frame: Baseline, up to 6 months
Percentage (%) of patients with HbA1c <7.0%
Time frame: 6 months
Percentage (%) of patients with HbA1c ≤6.5%
Time frame: 6 months
Percentage (%) of patients with Fasting Plasma Glucose (FPG) <100 mg/dL (5.6 mmol/L)
Time frame: 6 months
Percentage (%) of patients with FPG ≤120 mg/dL (6.7 mmol/L)
Time frame: 6 months
Percentage (%) of patients requiring rescue therapy
Time frame: 6 months
Change in fasting plasma glucose
Time frame: Baseline, 6 months
Change in 8-point Self-monitored Plasma Glucose (SMPG) profiles
Time frame: Baseline, 6 months
Change of mean 24-hour plasma glucose
Time frame: Baseline, 6 months
Change in variability of plasma glucose profile
Time frame: Baseline, 6 months
Change in daily basal insulin dose
Time frame: Baseline, 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 25 Apr 2022.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
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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
54 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Insulin glargine (U300), Insulin glargine and Non-insulin antihyperglycemic drugs in people with Type 2 Diabetes Mellitus, run by Sanofi at 54 sites in 3 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 11 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 25 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 54 sites in China, South Korea, Taiwan. 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?
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?
Change in HbA1c from baseline (time frame: Baseline, 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 25 Apr 2022.