Status:
COMPLETED
Opposing Step-by-step Insulin Reinforcement to Intensified Strategy
Lead Sponsor:
Sanofi
Conditions:
Diabetes Mellitus, Type 2
Eligibility:
All Genders
18-75 years
Phase:
PHASE3
Brief Summary
Primary objectives : * To show the non inferiority in terms of efficacy (HbA1c) of insulin glargine plus metformin combined with 1 to 3 bolus of insulin glulisine introduced progressively (Arm 2) com...
Eligibility Criteria
Inclusion
- Inclusion criteria:
- Type 2 diabetic
- BMI ≤ 40 kg/m²
- HbA1c \> 7%
- Treated with basal insulin (NPH, Insulin Zinc, insulin glargine or insulin detemir), and at least, two OAD including an insulin secretagogue (sulfonylurea or glinide, at any dosage) and metformin (at the maximum tolerated dosage), for more than 6 months
- Exclusion criteria:
- Type 1 diabetes mellitus
- Treatment with OADs only
- Treatment with thiazolidinediones
- Treatment with an insulin other than basal insulin (Premix, rapid insulin, fast-acting insulin analogue)
- Active proliferative diabetic retinopathy, as defined by the application of photocoagulation or surgery, in the 6 months before study entry or any other unstable (rapidly progressing) retinopathy that may require photocoagulation or surgery during the study (confirmed by an optic fundus performed in the 2 years prior study entry)
- Pregnancy (women of childbearing potential must have a negative pregnancy test at study entry and effective contraception)
- Breast-feeding
- History of hypersensitivity to the study drug or to drugs with a similar chemical structure or to insulin glargine
- Treatment with systemic corticosteroids, irrespective of the dose of administration and irrespective of the prior or foreseeable treatment duration
- Treatment with any investigational product in the last 2 months before study entry, except for insulin glargine
- Likelihood of requiring treatment during the study period with drugs not permitted by the clinical study protocol
- Clinically relevant cardiovascular, hepatic, neurological, endocrine, or other major disease making implementation of the protocol or interpretation of the study results difficult
- Impaired hepatic function as shown by ALT and/or AST greater than three times the upper limit of normal at study entry
- Impaired renal function as shown by serum creatinine \>135 μmol/l in men and \> 110 μmol/l in women at study entry
- History of drug or alcohol abuse
- Mental condition rendering the subject unable to understand the nature, scope and possible consequences of the study
- Subject unlikely to comply with protocol, e.g., uncooperative attitude, inability to return for follow-up visits, and unlikelihood of completing the study
- Subject deprived of freedom by a judicial or administrative decision
- Subject is the investigator or any subinvestigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved in the conduct of the protocol.
- The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Exclusion
Key Trial Info
Start Date :
December 1 2004
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
Estimated Enrollment :
811 Patients enrolled
Trial Details
Trial ID
NCT00174642
Start Date
December 1 2004
Last Update
September 15 2009
Active Locations (18)
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1
Sanofi-Aventis
Brussels, Belgium
2
Sanofi-Aventis
Paris, France
3
Sanofi-Aventis
Berlin, Germany
4
Sanofi-Aventis
Athens, Greece