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Study Comparing the Efficacy and Safety of Insulin Glargine (Basal Insulin)/Lixisenatide (GLP-1 Receptor Agonist) Combination (Soliqua™) in Patients With Type 2 Diabetes Mellitus (T2DM)

Phase 3
Completed
Conditions
Type 2 Diabetes Mellitus
Interventions
Drug: INSULIN GLARGINE/LIXISENATIDE HOE901/AVE0010
Registration Number
NCT03767543
Lead Sponsor
Sanofi
Brief Summary

Primary Objective:

To demonstrate that the simple daily titration algorithm is non-inferior to the weekly titration algorithm according to Canadian labeling.

Secondary Objective:

To gain additional information on the efficacy and safety of using a simple patient-titration protocol for administration of insulin glargine/lixisenatide fixed-ratio combination (iGlarLixi).

Detailed Description

The maximum duration of study per patient is approximately 29 weeks including a 2-week screening, a 26-week randomized active-controlled treatment period, and 3-day post-treatment safety follow-up period.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
265
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
iGlarlixi WEEKLYINSULIN GLARGINE/LIXISENATIDE HOE901/AVE0010Titration Group 2: Algorithm of weekly adjustment until pre-stated fasting self-monitoring plasma glucose (SMBG) level is reached
iGlarlixi DAILYINSULIN GLARGINE/LIXISENATIDE HOE901/AVE0010Titration Group 1: Addition of 1 unit per day until pre-stated fasting self-monitoring plasma glucose (SMBG) level is reached
Primary Outcome Measures
NameTimeMethod
Change in glycated hemoglobin (HbA1c)%Baseline to Week 26

Absolute mean change in HbA1c from baseline to Week 26; HbA1c is expressed in % (unit)

Secondary Outcome Measures
NameTimeMethod
Change in FPG from baseline to Week 26Baseline to Week 26

Change in FPG from baseline to Week 26

Percentage of patients achieving A1c ≤7% with no body weight gain and/or hypoglycemia (severe or documented symptomatic (≤3.9 mmol/L) at Week 26Baseline to Week 26

Composite endpoint expressed as percentage of patients A1c ≤7% with no body weight gain and/or hypoglycemia (severe or documented symptomatic (≤3.9 mmol/L)

Insulin glargine doseAt Week 26

Insulin glargine dose (expressed in units)

Percentage of patients requiring rescue therapyBaseline to Week 26

Percentage of patients requiring rescue therapy during the 26-week open-label treatment period

Annualized rate of hypoglycemia (≤3.9 mmol/L) over 26 weeksBaseline to Week 26

Mean number of hypoglycemia episodes (≤3.9 mmol/L) per patient year of exposure over 1 year

Percentage of patients experiencing at least 1 hypoglycemia episode (<3.0 mmol/L) over 26 weeksBaseline to Week 26

Percentage of patients experiencing at least 1 hypoglycemia episode defined as \<3.0 mmol/L

Change in fasting self-monitoring plasma glucose (SMPG) from baseline to Week 12Baseline to Week 12

Change in fasting SMPG from baseline to Week 12

Change in fasting plasma glucose (FPG) from baseline to Week 12Baseline to Week 12

Change in FPG from baseline to Week 12

Change in 7-point SMPG profile from baseline to Week 26Baseline to Week 26

Change in 7-point SMPG profile from baseline to Week 26

Change in body weight from baseline to Week 26Baseline to Week 26

Change in body weight (kg)

Percentage of patients experiencing at least 1 hypoglycemia episode (≤3.9 mmol/L) over 26 weeksBaseline to Week 26

Percentage of patients experiencing at least 1 hypoglycemia episode defined as ≤3.9 mmol/L

Change in fasting SMPG from baseline to Week 26Baseline to Week 26

Change in fasting SMPG from baseline to Week 26

Change in 7-point SMPG profile from baseline to Week 12Baseline to Week 12

Change in 7-point SMPG profile from baseline to Week 12

Annualized rate of hypoglycemia (<3.0 mmol/L) over 26 weeksBaseline to Week 26

Mean number of hypoglycemia episodes (\<3.0 mmol/L) per patient year of exposure over 1 year

Percentage of patients achieving HbA1c ≤7% at Week 26At Week 26

Percentage of patients achieving A1c ≤7%

Trial Locations

Locations (32)

Investigational Site Number 1240030

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Greenfield Park, Canada

Investigational Site Number 1240018

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Montreal, Canada

Investigational Site Number 1240029

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Montreal, Canada

Investigational Site Number 1240016

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London, Canada

Investigational Site Number 1240008

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Quebec, Canada

Investigational Site Number 1240022

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Quebec, Canada

Investigational Site Number 1240014

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Concord, Canada

Investigational Site Number 1240017

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Etobicoke, Canada

Investigational Site Number 1240020

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Montreal, Canada

Investigational Site Number 1240025

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Newmarket, Canada

Investigational Site Number 1240021

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Oakville, Canada

Investigational Site Number 1240012

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Vancouver, Canada

Investigational Site Number 1240026

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Hamilton, Canada

Investigational Site Number 1240023

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Montreal, Canada

Investigational Site Number 1240011

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Laval, Canada

Investigational Site Number 1240019

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Mirabel, Canada

Investigational Site Number 1240028

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Saint-Lambert, Canada

Investigational Site Number 1240033

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Toronto, Canada

Investigational Site Number 1240002

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Brampton, Canada

Investigational Site Number 1240003

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Calgary, Canada

Investigational Site Number 1240005

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Burlington, Canada

Investigational Site Number 1240024

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Chicoutimi, Canada

Investigational Site Number 1240004

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Barrie, Canada

Investigational Site Number 1240006

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Brampton, Canada

Investigational Site Number 1240031

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Halifax, Canada

Investigational Site Number 1240009

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Oshawa, Canada

Investigational Site Number 1240027

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Nepan, Canada

Investigational Site Number 1240015

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London, Canada

Investigational Site Number 1240013

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St-Marc-des-Carrieres, Canada

Investigational Site Number 1240007

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Victoriaville, Canada

Investigational Site Number 1240001

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Toronto, Canada

Investigational Site Number 1240032

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Winnipeg, Canada

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