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Efficacy and Safety of Insulin Glargine in Patients With Type 2 Diabetes With Inadequate Control on DPP-4 Inhibitor Therapy

Phase 4
Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
Drug: INSULIN GLARGINE
Drug: Metformin
Drug: DPP-4 inhibitor
Drug: Sulphonylurea
Registration Number
NCT02027753
Lead Sponsor
Sanofi
Brief Summary

Primary Objective:

To investigate the efficacy(HbA1c) at 6 months after adding basal insulin therapy (insulin glargine) to dipeptidyl peptidase-IV (DPP-IV) and metformin plus or minus sulphonylurea

Secondary Objectives:

1. To assess the efficacy by adding insulin glargine

2. To assess insulin dose

3. Safety

Detailed Description

28 weeks (Screening: About 2 weeks/Treatment: 24 weeks (6 months)/Follow-up: 2 weeks)

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
109
Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Insulin glargine and Oral anti diabetic treatment(s)INSULIN GLARGINE1. Insulin glargine: Lantus * Add basal insulin: starting with 0.2 U/kg/day or 10 U/day * Adjust insulin glargine dose according to Fasting blood glucose 2. Oral Anti Diabetic treatment(s): DPP-4 inhibitors and Metformin plus or minus Sulphonylurea - Only Sulphonylurea can either be omitted or reduced at the physician's discretion.
Insulin glargine and Oral anti diabetic treatment(s)DPP-4 inhibitor1. Insulin glargine: Lantus * Add basal insulin: starting with 0.2 U/kg/day or 10 U/day * Adjust insulin glargine dose according to Fasting blood glucose 2. Oral Anti Diabetic treatment(s): DPP-4 inhibitors and Metformin plus or minus Sulphonylurea - Only Sulphonylurea can either be omitted or reduced at the physician's discretion.
Insulin glargine and Oral anti diabetic treatment(s)Sulphonylurea1. Insulin glargine: Lantus * Add basal insulin: starting with 0.2 U/kg/day or 10 U/day * Adjust insulin glargine dose according to Fasting blood glucose 2. Oral Anti Diabetic treatment(s): DPP-4 inhibitors and Metformin plus or minus Sulphonylurea - Only Sulphonylurea can either be omitted or reduced at the physician's discretion.
Insulin glargine and Oral anti diabetic treatment(s)Metformin1. Insulin glargine: Lantus * Add basal insulin: starting with 0.2 U/kg/day or 10 U/day * Adjust insulin glargine dose according to Fasting blood glucose 2. Oral Anti Diabetic treatment(s): DPP-4 inhibitors and Metformin plus or minus Sulphonylurea - Only Sulphonylurea can either be omitted or reduced at the physician's discretion.
Primary Outcome Measures
NameTimeMethod
Response rate (percentage of patients who meet the target HbA1c ≤7%) at week 24 (6 months) after adding insulin therapyweek 24 (6 months)
Secondary Outcome Measures
NameTimeMethod
Percentage of patients with HbA1c ≤7%week 12 (3 months)
Change from baseline in HbA1cweek 12 (3 months), week 24 (6 months)
Percentage of patients with HbA1c ≤6.5%week 12 (3 months), week 24 (6 months)
Change from baseline in Fasting Plasma glucose (FPG), 2hr-Postprandial Plasma Glucoseweek 12 (3 months), week 24 (6 months)
Total daily insulin doseweek 24 (6 months)
Fasting blood glucose (FBG) valuesDuring 3 consecutive days before baseline, week 12, Week 24
7-point Self Monitoring of Blood GlucoseDuring 2 days within 7 days before baseline, week 12, week 24
Weight change from baselineweek 24 (6 months)
Number of Patients with Hypoglycemic Eventsup to 6 months
Number of Patients with Adverse Eventsup to 6 months

Trial Locations

Locations (1)

Sanofi-Aventis Administrative Office

🇰🇷

Seoul, Korea, Republic of

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