Status:

COMPLETED

Comparison of a Basal Plus One Insulin Regimen With a Biphasic Insulin Regimen in Type 2 Diabetes Patients

Lead Sponsor:

Sanofi

Conditions:

Diabetes Mellitus, Type 2

Eligibility:

All Genders

18-75 years

Phase:

PHASE4

Brief Summary

The primary objective is to demonstrate the non-inferiority at six months of a basal plus one insulin regimen (Lantus plus one injection of Apidra) compared with a biphasic insulin regimen (NovoMix 30...

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • Type 2 diabetes mellitus
  • Patients being treated with Lantus once daily, Levemir once or twice daily or NPH insulin once or twice daily as a single insulin for at least three months 10.0% \> or = HbA1c \> or = 7.5%
  • BMI \< or = 40 kg/m²
  • If patients are taking oral antidiabetics (OADs), the dose must be stable for at least 1 month
  • Ability and willingness to perform blood glucose monitoring using a blood glucose meter and ability and willingness to use a patient diary
  • Provision of written informed obtained prior to enrollment in the study
  • Exclusion criteria:
  • Type 1 diabetes mellitus
  • Current or previous treatment with an insulin other than basal insulin (biphasic insulin, short acting insulin, rapid-acting insulin analogue)
  • Treatment with GLP-1 receptor agonists or with DPPIV inhibitors in the 3 months before screening
  • Active proliferative diabetic retinopathy, as defined by the application of photocoagulation or surgery, in the 6 months before screening or any other unstable (rapidly progressing) retinopathy that may require photocoagulation or surgery during the study (confirmed by an optic fundus exam performed in the 2 years prior to screening)
  • Unable or unwilling to enter either of the treatment arms
  • Women who are pregnant or lactating (women of childbearing potential must have a negative pregnancy test at study entry and a medically approved contraceptive method)
  • History of hypersensitivity to the study drugs or to drugs with a similar chemical structure
  • Treatment with systemic corticosteroids in the 3 months prior to study entry
  • Treatment with any investigational product in the 2 months prior to study entry
  • Current treatment with any non-selective beta-blockers
  • Likelihood of requiring treatment during the study period with drugs not permitted by this clinical 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 screening
  • Impaired renal function as shown by serum creatinine \>135 µmol/l in men and \> 110 µmol/l in women at screening
  • History of drug or alcohol abuse
  • Mental condition rendering the patient unable to understand the nature, scope and possible consequences of the study
  • Patient unlikely to comply with protocol, e.g. uncooperative attitude, inability to return for follow-up visits, or unlikely to complete the study
  • Patient is the investigator or any sub investigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved
  • 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 :

    July 1 2009

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    December 1 2012

    Estimated Enrollment :

    463 Patients enrolled

    Trial Details

    Trial ID

    NCT00965549

    Start Date

    July 1 2009

    End Date

    December 1 2012

    Last Update

    January 8 2013

    Active Locations (74)

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    Page 1 of 19 (74 locations)

    1

    Investigational Site Number 204

    Campbelltown, Australia, 2560

    2

    Investigational Site Number 205

    Campbelltown, Australia, 2560

    3

    Investigational Site Number 201

    Caulfield, Australia, 3162

    4

    Investigational Site Number 210

    Daw Park, Australia, 5041