Type 2 Diabetes MellitusPhase 4EASENCT02954692
A Study to Evaluate the Effectiveness and Safety Initiation and Titration of Insulin Glargine (U300) in Insulin-naïve Patients With Type 2 Diabetes Mellitus (T2DM) Controlled on Oral Antidiabetic Drug Treatment in Turkey
A Phase 4 study testing INSULIN GLARGINE (U300), metformin and sulfonylurea in people with Type 2 Diabetes Mellitus, run by Sanofi at 1 site in Turkey (Türkiye).
Trial summary
Primary Objective: To assess the mean change in HbA1c (glycated haemoglobin). Secondary Objectives: To evaluate the efficacy and safety of the titration of insulin glargine U300 in terms of: Targeted HbA1c; Targeted fasting self- monitoring blood glucose (SMBG); Hypoglycemic events; Adverse events; Quality of life… 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), metformin and sulfonylurea
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 112 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 30 Nov 2016to 22 Dec 2017
- 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 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 (≥18 years of age).
- Type 2 diabetes mellitus diagnosis ≥1 year.
- Treated with ≥1 oral antidiabetics (±glucagon like peptid-1 (GLP-1) analogue) without insulin, for at least 6 months and HbA1c level between 8-11% (insulin-naïve).
- Stable antidiabetic treatment for at least 3 months.
- Willingness to adherence to treatment and titration (including self-injection, self- monitoring blood glucose [SMBG]).
- Signed informed consent obtained.
Who cannot join
- Age <18 years old.
- Type 1 diabetes mellitus.
- Having secondary type 2 diabetes mellitus.
- Use of any insulin therapy including premix, basal plus/basal bolus regimen from the diagnosis.
- History of hypoglycemia unawareness.
- Known hypersensitivity/intolerance to insulin glargine or any of its excipients.
Show all 11Show fewer
- Have any condition (including known substance or alcohol abuse or psychiatric disorder) that precludes the patient from following and completing the study protocol.
- Use of systemic glucocorticoids for two weeks or more within 12 weeks prior to the time of screening.
- Pregnant or lactating women.
- Participation in another clinical trial.
- 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: A National, Multicenter, Prospective, Interventional, Open-label, Single-arm, 24-Week Phase IV Study to Evaluate the Effectiveness and Safety of Initiation and Titration of Insulin Glargine U300 in Insulin-naïve Patients With T2DM Inadequately Controlled on OAD Treatment in Turkey
Primary Objective:
To assess the mean change in HbA1c (glycated haemoglobin).
Secondary Objectives:
To evaluate the efficacy and safety of the titration of insulin glargine U300 in terms of:
- Targeted HbA1c;
- Targeted fasting self- monitoring blood glucose (SMBG);
- Hypoglycemic events;
- Adverse events;
- Quality of life assessment by DTSQs (Diabetes Treatment Satisfaction Questionnaire status) and DTSQc (Diabetes Treatment Satisfaction Questionnaire change);
- Blood glucose fluctuation by using continuous glucose monitoring system (CGMS) in subgroup patients.
Read the detailed description
The total study duration per patient will be 27 weeks (2 weeks of screening, 24 weeks on treatment, and 1 week follow-up period).
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- INSULIN GLARGINE (U300), metformin, sulfonylurea, meglitinides, thiazolidinediones
- 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
Pharmaceutical form: pen for injection
Route of administration: subcutaneous
metforminDrug
Pharmaceutical form: tablet
Route of administration: oral
sulfonylureaDrug
Pharmaceutical form: tablet
Route of administration: oral
meglitinidesDrug
Pharmaceutical form: tablet
Route of administration: oral
thiazolidinedionesDrug
Pharmaceutical form: tablet
Route of administration: oral
alpha-glucosidase inhibitorsDrug
Pharmaceutical form: tablet
Route of administration: oral
GLP1 Receptor AgonistDrug
Pharmaceutical form: pen for injection
Route of administration: subcutaneous
Dipeptidyl peptidase-IV (DPP-IV) inhibitorsDrug
Pharmaceutical form: tablet
Route of administration: oral
Sodium-glucose transport-2 (SGLT-2) inhibitorsDrug
Pharmaceutical form: tablet
Route of administration: oral
| Study group | Role | What they receive |
|---|---|---|
| Insulin glargine (U300) | Experimental | Insulin glargine (U300) will be administered daily through subcutaneous injection, and thereafter, dose will be titrated weekly (preferably 3-4 days) as needed. Background non-insulin anti-diabetic drugs approved for use in combination with insulin according to local labelling, will be permitted, with the exception of Thiazolidinediones (TZDs), which must be stopped at the time of basal insulin initiation. Receives: Drug: INSULIN GLARGINE (U300); Drug: metformin; Drug: sulfonylurea; Drug: meglitinides; Drug: thiazolidinediones; Drug: alpha-glucosidase inhibitors; Drug: GLP1 Receptor Agonist; Drug: Dipeptidyl peptidase-IV (DPP-IV) inhibitors; Drug: Sodium-glucose transport-2 (SGLT-2) inhibitors |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean change from baseline in HbA1c
Measured: Baseline, Week 24
Secondary outcomes (7)
Percentage of patients achieving targeted fasting self-monitored blood glucose (SMBG) without experiencing severe and/or confirmed hypoglycemia ≤70mg/dL and <54 mg/dL
Measured: At Weeks 12 and 24
Percentage of patients reaching targeted fasting SMBG (80-130 mg/dL)
Measured: At Weeks 12 and 24
Duration to reach target pre-breakfast SMBG
Measured: Baseline, Week 24
Mean change from baseline in HbA1c
Measured: Baseline, Week 12
Mean change from baseline in SMBG
Measured: Baseline, Weeks 12, and 24
Mean change from baseline in fasting plasma glucose (FPG)
Measured: Baseline, Weeks 12, and 24
Mean change from baseline in Diabetes Treatment Satisfaction Questionnaire (DTSO) scores
Measured: Baseline, Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Nov 2016 (estimated)
- Study start30 Nov 2016
- Primary completion22 Dec 2017
- Study completion22 Dec 2017
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 4
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 112 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
- NCT02954692
- Sponsor's protocol ID
- GLARGL07921
- Other IDs
- U1111-1183-8755
- Acronym
- EASE
- Status last verified
- Jan 2019
- First submitted
- 2 Nov 2016
- Last updated
- 14 Jan 2019
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 Jan 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A National, Multicenter, Prospective, Interventional, Open-label, Single-arm, 24-Week Phase IV Study to Evaluate the Effectiveness and Safety of Initiation and Titration of Insulin Glargine U300 in Insulin-naïve Patients With T2DM Inadequately Controlled on OAD Treatment in Turkey
- ClinicalTrials.gov ID
- NCT02954692
- Acronym / sponsor ID
- EASE / GLARGL07921
- Conditions
- Type 2 Diabetes Mellitus
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 112 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- 30 Nov 2016
- Primary completion
- 22 Dec 2017 (actual)
- Study completion
- 22 Dec 2017 (actual)
- First posted
- 3 Nov 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 assess the mean change in HbA1c (glycated haemoglobin).
Secondary Objectives:
To evaluate the efficacy and safety of the titration of insulin glargine U300 in terms of:
- Targeted HbA1c;
- Targeted fasting self- monitoring blood glucose (SMBG);
- Hypoglycemic events;
- Adverse events;
- Quality of life assessment by DTSQs (Diabetes Treatment Satisfaction Questionnaire status) and DTSQc (Diabetes Treatment Satisfaction Questionnaire change);
- Blood glucose fluctuation by using continuous glucose monitoring system (CGMS) in subgroup patients.
Detailed description
The total study duration per patient will be 27 weeks (2 weeks of screening, 24 weeks on treatment, and 1 week follow-up period).
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 (U300) | Experimental | Drug: INSULIN GLARGINE (U300), Drug: metformin, Drug: sulfonylurea, Drug: meglitinides, Drug: thiazolidinediones, Drug: alpha-glucosidase inhibitors, Drug: GLP1 Receptor Agonist, Drug: Dipeptidyl peptidase-IV (DPP-IV) inhibitors, Drug: Sodium-glucose transport-2 (SGLT-2) inhibitorsInsulin glargine (U300) will be administered daily through subcutaneous injection, and thereafter, dose will be titrated weekly (preferably 3-4 days) as needed. Background non-insulin anti-diabetic drugs approved for use in combination with insulin according to local labelling, will be permitted, with the exception of Thiazolidinediones (TZDs), which must be stopped at the time of basal insulin initiation. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Adult patients with type 2 diabetes mellitus (≥18 years of age).
- Type 2 diabetes mellitus diagnosis ≥1 year.
- Treated with ≥1 oral antidiabetics (±glucagon like peptid-1 (GLP-1) analogue) without insulin, for at least 6 months and HbA1c level between 8-11% (insulin-naïve).
- Stable antidiabetic treatment for at least 3 months.
- Willingness to adherence to treatment and titration (including self-injection, self- monitoring blood glucose [SMBG]).
Key exclusion criteria (11 listed)
- Age <18 years old.
- Type 1 diabetes mellitus.
- Having secondary type 2 diabetes mellitus.
- Use of any insulin therapy including premix, basal plus/basal bolus regimen from the diagnosis.
- History of hypoglycemia unawareness.
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: HOE901Pharmaceutical form: pen for injection Route of administration: subcutaneous | Drug | Insulin glargine (U300) |
| metforminPharmaceutical form: tablet Route of administration: oral | Drug | Insulin glargine (U300) |
| sulfonylureaPharmaceutical form: tablet Route of administration: oral | Drug | Insulin glargine (U300) |
| meglitinidesPharmaceutical form: tablet Route of administration: oral | Drug | Insulin glargine (U300) |
| thiazolidinedionesPharmaceutical form: tablet Route of administration: oral | Drug | Insulin glargine (U300) |
| alpha-glucosidase inhibitorsPharmaceutical form: tablet Route of administration: oral | Drug | Insulin glargine (U300) |
| GLP1 Receptor AgonistPharmaceutical form: pen for injection Route of administration: subcutaneous | Drug | Insulin glargine (U300) |
| Dipeptidyl peptidase-IV (DPP-IV) inhibitorsPharmaceutical form: tablet Route of administration: oral | Drug | Insulin glargine (U300) |
| Sodium-glucose transport-2 (SGLT-2) inhibitorsPharmaceutical form: tablet Route of administration: oral | Drug | Insulin glargine (U300) |
Primary outcome
Mean change from baseline in HbA1c
Time frame: Baseline, Week 24
7 secondary outcomes
Percentage of patients achieving targeted fasting self-monitored blood glucose (SMBG) without experiencing severe and/or confirmed hypoglycemia ≤70mg/dL and <54 mg/dL
Time frame: At Weeks 12 and 24
Percentage of patients reaching targeted fasting SMBG (80-130 mg/dL)
Time frame: At Weeks 12 and 24
Duration to reach target pre-breakfast SMBG
Time frame: Baseline, Week 24
Mean change from baseline in HbA1c
Time frame: Baseline, Week 12
Mean change from baseline in SMBG
Time frame: Baseline, Weeks 12, and 24
Mean change from baseline in fasting plasma glucose (FPG)
Time frame: Baseline, Weeks 12, and 24
Mean change from baseline in Diabetes Treatment Satisfaction Questionnaire (DTSO) scores
Time frame: Baseline, Week 24
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 14 Jan 2019.
Related trials for Type 2 Diabetes Mellitus
Not yet recruiting
Efficacy, Safety, and Treatment Satisfaction of Once-Weekly Tirzepatide in Obese Type 2 Diabetic Patients
Type 2 Diabetes Mellitus (T2DM), Obesity, Overweight
Active, not recruiting
Helping Adults With Type 2 Diabetes Use Their Health Data for Healthy Diabetes Self-Management
Type 2 Diabetes Mellitus (T2DM)
Not yet recruiting
Care COMPASS Study
Diabetes Mellitus ( Type 1 and Type 2), Hypertension
Enrolling by invitationObservational study
Personalizing A1c Using Hematologic Indices and CGM for Accurate Diabetes Diagnosis
Type 2 Diabetes
RecruitingObservational study
Investigating the Link Between Advanced Glycation End Products (AGEs) and Muscle Wasting in Sarcobesity
Sarcopenia, Obesity
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 (U300), metformin and sulfonylurea in people with Type 2 Diabetes Mellitus, run by Sanofi at 1 site in Turkey (Türkiye).
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 6 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 14 Jan 2019. 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 Turkey (Türkiye). 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?
Mean change from baseline in HbA1c (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?
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 Jan 2019.