Type 2 Diabetes MellitusPhase 3NCT03529123
Efficacy and Safety of the Insulin Glargine/Lixisenatide Fixed Ratio Combination Versus Insulin Glargine in Patients With Type 2 Diabetes (LixiLan-India)
A Phase 3 study testing INSULIN GLARGINE/LIXISENATIDE (HOE901/AVE0010), INSULIN GLARGINE (HOE901) and Metformin in people with Type 2 Diabetes Mellitus, run by Sanofi at 13 sites in India.
Trial summary
Primary Objective: To demonstrate the superiority of the insulin glargine/lixisenatide fixed ratio combination (FRC) to insulin glargine by demonstrating change in glycosylated hemoglobin (HbA1c). Read more about this study
- Who is it for?
- Ages 18 to 64 years
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- INSULIN GLARGINE/LIXISENATIDE (HOE901/AVE0010), INSULIN GLARGINE (HOE901) and Metformin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 247 participants
- Where
- 13 sitesIndia
- Study dates
- 19 Jun 2018to 25 Nov 2019
- 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 to 64 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Patients with type 2 diabetes mellitus (T2DM) diagnosed for at least 1 year before the screening visit,
- At screening:
- Age should be ≥ 18 years of age to < 65 years;
- Glycosylated hemoglobin (HbA1c) at screening visit ≥ 7.5% or ≤ 10%;
- Body mass index (BMI) ≥ 19 kg/m2 and ≤ 40 kg/m2.
- Patients who have been treated with a basal insulin for at least 6 months before the screening visit, and who have been on a stable basal insulin regimen (ie, type of insulin and time/frequency of the injection), for at least 3 months before the screening visit. The stable total daily dose should be within the range of 15-40 U, both inclusive, on the day of screening, but individual fluctuations of ± 20% within 2 months prior to screening are acceptable.
Who cannot join
- Use of oral or injectable glucose-lowering agents other than those stated in the inclusion criteria in the 3 months before screening.
- Previous use of insulin regimen other than basal insulin eg, prandial or pre-mixed insulin (Note: Short term treatment due to intercurrent illness including gestational diabetes is allowed at the discretion of the investigator).
- For patients taking metformin, any contraindication to metformin use, according to local labeling.
- For patient not treated with metformin at screening: severe renal function impairment with an estimated glomerular filtration rate (eGFR) <30 mL/min/1.73m2 or end-stage renal disease.
- Personal or immediate family history of medullary thyroid cancer (MTC) or genetic condition that predisposes to MTC (eg, multiple endocrine neoplasia syndromes).
- Clinically relevant history of gastrointestinal disease associated with prolonged nausea and vomiting, including (but not limited to): gastroparesis, unstable (ie, worsening) or not controlled (ie, prolonged nausea and vomiting) gastroesophageal reflux disease requiring medical treatment, within 6 months prior to the time of screening visit; or history of surgery affecting gastric emptying.
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- History of pancreatitis (unless pancreatitis was related to gallstones and cholecystectomy has been performed), pancreatitis during previous treatment with incretin therapies, chronic pancreatitis, pancreatectomy.
- Average insulin glargine daily dose <20 U or >50 U calculated for the last 3 days before Visit 6.
- Amylase and/or lipase >3 upper limit normal (ULN) at Visit 5 (Week -1).
- 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
13 sites in 1 country.
13 sites in 1 country
India13 sites
Investigational Site Number 01
Bangalore, 560092
Investigational Site Number 012
Belagavi, 590010
Investigational Site Number 013
Chennai, 600086
Investigational Site Number 017
Coimbatore, 641009
Investigational Site Number 06
Hyderabad, 500063
Investigational Site Number 07
Hyderabad, 500072
Investigational Site Number 08
Jaipur
Investigational Site Number 04
Kolkata, 700107
Investigational Site Number 018
Lucknow
Investigational Site Number 014
Madurai, 625020
Investigational Site Number 05
Nashik, 422002
Investigational Site Number 010
New Delhi, 110029
Investigational Site Number 016
Pune, 411040
About this study
Official title: A Randomized, 24-week, Controlled, Open Label, Parallel Arm, Multicenter Study Comparing the Efficacy and Safety of the Insulin Glargine/Lixisenatide Fixed Ratio Combination to Insulin Glargine in Type 2 Diabetes Patients, Inadequately Controlled on Basal Insulin With or Without Metformin
Primary Objective:
To demonstrate the superiority of the insulin glargine/lixisenatide fixed ratio combination (FRC) to insulin glargine by demonstrating change in glycosylated hemoglobin (HbA1c).
Read more
Secondary Objectives:
- To assess the effects of the FRC in comparison with insulin glargine on:
- Percentage of patients reaching HbA1c targets (<7% );
- Glycemic control in relation to a meal as evaluated by 2-hour Post-prandial Plasma Glucose; (PPG);
- Body weight
- Fasting Plasma Glucose (FPG);
- Percentage of patients reaching HbA1c targets of <7% with no body weight gain and no hypoglycemia (as defined in the evaluation criteria);
- 7-point Self-Monitoring Plasma Glucose (SMPG) profile;
- Insulin glargine dose.
- To assess the safety and tolerability in each treatment group.
Read the detailed description
The maximum study duration per patient is 33 weeks.
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- INSULIN GLARGINE/LIXISENATIDE (HOE901/AVE0010), INSULIN GLARGINE (HOE901), Metformin, Insulin Glulisine (HMR1964)
- 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/LIXISENATIDE (HOE901/AVE0010)Drug
Also called Soliqua, Insulin Glargine/Lixisenatide Fixed Ratio Combination
Pharmaceutical form: Injection
Route of administration: Subcutaneous
INSULIN GLARGINE (HOE901)Drug
Also called Lantus®
Pharmaceutical form: Injection
Route of administration: Subcutaneous
MetforminDrug
Pharmaceutical form: Tablet
Route of administration: Oral
Insulin Glulisine (HMR1964)Drug
Also called Apidra
Pharmaceutical form: Injection
Route of administration: Subcutaneous
| Study group | Role | What they receive |
|---|---|---|
| Tested Drug | Experimental | Insulin glargine/lixisenatide fixed ratio combination (FRC) Receives: Drug: INSULIN GLARGINE/LIXISENATIDE (HOE901/AVE0010); Drug: Metformin; Drug: Insulin Glulisine (HMR1964) |
| Control Drug | Active comparator | Insulin glargine (Lantus®) Receives: Drug: INSULIN GLARGINE (HOE901); Drug: Metformin; Drug: Insulin Glulisine (HMR1964) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in HbA1c
Mean change in glycosylated hemoglobin (HbA1c) from baseline to Week 24
Measured: From baseline to Week 24
Secondary outcomes (8)
Patients with HbA1c <7%
Number of patients reaching HbA1c <7 % at the end of Week 24
Measured: At Week 24
Change in 2-hour Post prandial glucose (PPG)
Change in 2-hour PPG from baseline to Week 24
Measured: From baseline to Week 24
Change in body weight
Change in body weight from baseline to Week 24
Measured: From baseline to Week 24
Patients with HbA1c <7% with no body weight gain and no hypoglycemia
Number of patients reaching HbA1c <7% with no body weight gain and no hypoglycemia at the end of Week 24
Measured: At Week 24
Change in Fasting Plasma Glucose
Mean change in FPG from baseline to Week 24
Measured: From baseline to Week 24
Adverse events (AE)
Number of AEs
Measured: Up to 33 weeks
Patients with HbA1c <7% with no body weight gain
Number of patients reaching HbA1c <7% with no body weight gain at the end of Week 24
Measured: At Week 24
Change in SMPG profiles
Change in 7-point self-monitoring plasma glucose (SMPG) profiles from baseline to Week 24
Measured: From baseline to Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 May 2018
- Study start19 Jun 2018
- Primary completion25 Nov 2019
- Study completion25 Nov 2019
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
- 247 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
- NCT03529123
- Sponsor's protocol ID
- INSLIL08556
- Other IDs
- U1111-1200-1162
- Status last verified
- Apr 2022
- First submitted
- 7 May 2018
- Last updated
- 25 Apr 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- 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
- A Randomized, 24-week, Controlled, Open Label, Parallel Arm, Multicenter Study Comparing the Efficacy and Safety of the Insulin Glargine/Lixisenatide Fixed Ratio Combination to Insulin Glargine in Type 2 Diabetes Patients, Inadequately Controlled on Basal Insulin With or Without Metformin
- ClinicalTrials.gov ID
- NCT03529123
- Acronym / sponsor ID
- INSLIL08556
- Conditions
- Type 2 Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 247 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- 19 Jun 2018 (actual)
- Primary completion
- 25 Nov 2019 (actual)
- Study completion
- 25 Nov 2019 (actual)
- First posted
- 18 May 2018 (actual)
- 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 demonstrate the superiority of the insulin glargine/lixisenatide fixed ratio combination (FRC) to insulin glargine by demonstrating change in glycosylated hemoglobin (HbA1c).
Secondary Objectives:
- To assess the effects of the FRC in comparison with insulin glargine on:
- Percentage of patients reaching HbA1c targets (<7% );
- Glycemic control in relation to a meal as evaluated by 2-hour Post-prandial Plasma Glucose; (PPG);
- Body weight
- Fasting Plasma Glucose (FPG);
- Percentage of patients reaching HbA1c targets of <7% with no body weight gain and no hypoglycemia (as defined in the evaluation criteria);
- 7-point Self-Monitoring Plasma Glucose (SMPG) profile;
- Insulin glargine dose.
- To assess the safety and tolerability in each treatment group.
Detailed description
The maximum study duration per patient is 33 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Tested Drug | Experimental | Drug: INSULIN GLARGINE/LIXISENATIDE (HOE901/AVE0010), Drug: Metformin, Drug: Insulin Glulisine (HMR1964)Insulin glargine/lixisenatide fixed ratio combination (FRC) |
| Control Drug | Active comparator | Drug: INSULIN GLARGINE (HOE901), Drug: Metformin, Drug: Insulin Glulisine (HMR1964)Insulin glargine (Lantus®) |
Who may qualify
- Ages
- 18 to 64 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Patients with type 2 diabetes mellitus (T2DM) diagnosed for at least 1 year before the screening visit,
- At screening:
- Age should be ≥ 18 years of age to < 65 years;
- Glycosylated hemoglobin (HbA1c) at screening visit ≥ 7.5% or ≤ 10%;
- Body mass index (BMI) ≥ 19 kg/m2 and ≤ 40 kg/m2.
Key exclusion criteria (10 listed)
- Use of oral or injectable glucose-lowering agents other than those stated in the inclusion criteria in the 3 months before screening.
- Previous use of insulin regimen other than basal insulin eg, prandial or pre-mixed insulin (Note: Short term treatment due to intercurrent illness including gestational diabetes is allowed at the discretion of the investigator).
- For patients taking metformin, any contraindication to metformin use, according to local labeling.
- For patient not treated with metformin at screening: severe renal function impairment with an estimated glomerular filtration rate (eGFR) <30 mL/min/1.73m2 or end-stage renal disease.
- Personal or immediate family history of medullary thyroid cancer (MTC) or genetic condition that predisposes to MTC (eg, multiple endocrine neoplasia syndromes).
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/LIXISENATIDE (HOE901/AVE0010)Also: Soliqua, Insulin Glargine/Lixisenatide Fixed Ratio CombinationPharmaceutical form: Injection Route of administration: Subcutaneous | Drug | Tested Drug |
| INSULIN GLARGINE (HOE901)Also: Lantus®Pharmaceutical form: Injection Route of administration: Subcutaneous | Drug | Control Drug |
| MetforminPharmaceutical form: Tablet Route of administration: Oral | Drug | Control Drug, Tested Drug |
| Insulin Glulisine (HMR1964)Also: ApidraPharmaceutical form: Injection Route of administration: Subcutaneous | Drug | Control Drug, Tested Drug |
Primary outcome
Change in HbA1c
Time frame: From baseline to Week 24
Mean change in glycosylated hemoglobin (HbA1c) from baseline to Week 24
8 secondary outcomes
Patients with HbA1c <7%
Time frame: At Week 24
Change in 2-hour Post prandial glucose (PPG)
Time frame: From baseline to Week 24
Change in body weight
Time frame: From baseline to Week 24
Patients with HbA1c <7% with no body weight gain and no hypoglycemia
Time frame: At Week 24
Change in Fasting Plasma Glucose
Time frame: From baseline to Week 24
Adverse events (AE)
Time frame: Up to 33 weeks
Patients with HbA1c <7% with no body weight gain
Time frame: At Week 24
Change in SMPG profiles
Time frame: From baseline to 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 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
13 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing INSULIN GLARGINE/LIXISENATIDE (HOE901/AVE0010), INSULIN GLARGINE (HOE901) and Metformin in people with Type 2 Diabetes Mellitus, run by Sanofi at 13 sites in India.
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 10 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 13 sites in India. 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 (time frame: From baseline to 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 25 Apr 2022.