A Study of Basal Insulin Analog and Insulin Analog Mid Mixture in Chinese Participants With Type 2 Diabetes Mellitus
- Conditions
- Type 2 Diabetes Mellitus
- Interventions
- Drug: Basal Insulin AnalogDrug: Insulin Analog Mid Mixture
- Registration Number
- NCT03018938
- Lead Sponsor
- Eli Lilly and Company
- Brief Summary
The purpose of this study is to compare the effectiveness of basal insulin analog and insulin analog mid mixture in Chinese participants with type 2 diabetes mellitus.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 814
- have type 2 diabetes as defined by World Health Organization (WHO) criteria
- are taking oral anti-hyperglycemic medications (OAMs) and are judged as OAM failure by the investigator
- most recent HbA1c value ≥7.5% within 12 weeks of study entry
- in the opinion of the investigator, require to initiate premix analog or basal insulin analog treatment
- willing to start with insulin treatment
- have a diagnosis of type 1 diabetes
- have received any type of insulin within 24 months of study entry (except for intermittent use of insulin of less than 1 month each time)
- have serious preexisting medical or other conditions that, in the judgment of the investigator, would preclude participation in this study
- are pregnant or breastfeeding, or intend to become pregnant during the course of the study
- are currently enrolled or have participated, within the last 30 days in any other clinical trial involving an investigational product or any other type of medical research judged not to be scientifically or medically compatible
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Basal Insulin Analog Basal Insulin Analog Basal insulin analog given SC. Insulin Analog Mid Mixture Insulin Analog Mid Mixture Insulin analog mid mixture given subcutaneously (SC).
- Primary Outcome Measures
Name Time Method Change From Baseline to Week 24 in Hemoglobin A1c (HbA1c) Baseline, 24 Weeks HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time.
Least Squares (LS) mean was determined by analysis of covariance (ANCOVA) model with last observation carried forward (LOCF) and with terms for change from baseline in HbA1c as response, treatment as fixed effect and baseline HbA1c as covariate.
- Secondary Outcome Measures
Name Time Method Change From Baseline to Week 48 in HbA1c Baseline, 48 Weeks HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time.
Least Squares (LS) mean was determined by ANCOVA model with LOCF and with terms for change from baseline in HbA1c as response, treatment as fixed effect and baseline HbA1c as covariate.Change From Baseline to Week 24 in Venous Fasting Plasma Glucose Baseline, 24 Weeks Fasting Plasma glucose (FPG) is a test to determine how much glucose (sugar) is in a plasma sample after an overnight fast. Least Squares (LS) means was determined by ANCOVA model with LOCF and with terms for change from baseline in Venous FPG as response, treatment as fixed effect and baseline Venous FPG as covariate.
Percentage of Participants Who Achieve HbA1c <7% at Week 48 48 Weeks Hemoglobin A1c (HbA1c) is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time.
Change From Baseline to Week 48 in Finger Stick Blood Glucose (FSBG)-Based Fasting Blood Glucose, Post Prandial Glucose Baseline, 48 Weeks Fasting blood glucose (FBG) and post prandial glucose (PPG) \[pre-breakfast (fasting) and post-breakfast (approximately 2 hours after breakfast)\] was measured using FSBG. LS Mean was measured with ANCOVA model with LOCF and with terms for change from baseline in FSBG-based FBG/PPG as response, treatment as fixed effect and baseline FSBG-based FBG/PPG as covariate.
Percentage of Participants Who Achieve HbA1c <7% at Week 24 24 Weeks Hemoglobin A1c (HbA1c) is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time.
Change From Baseline to Week 24 in Finger Stick Blood Glucose (FSBG)-Based Fasting Blood Glucose, Post Prandial Glucose Baseline, 24 Weeks Fasting blood glucose (FBG) and post prandial glucose (PPG) \[pre-breakfast (fasting) and post-breakfast (approximately 2 hours after breakfast)\] was measured using FSBG. LS Mean was measured with ANCOVA model with LOCF and with terms for change from baseline in FSBG-based FBG/PPG as response, treatment as fixed effect and baseline FSBG-based FBG/PPG as covariate.
Rate of Hypoglycemia at Week 24 and 48 24 Weeks, 48 Weeks Hypoglycemic episodes are defined as events that are associated with reported signs and symptoms of hypoglycemia and/or documented blood glucose (BG) concentrations of ≤70 mg/dL (3.9 mmol/L). The overall yearly rates (events/participant/year) of those hypoglycemic events, calculated as, for each participant, the number of episodes times 365.25 and then divided by the participants treatment duration, will be summarized, and analyzed by a Negative-binomial regression model with treatment as fixed effects and log of (patient's treatment duration/365.25) as an offset variable.
Change From Baseline to Week 48 in Venous Fasting Plasma Glucose Baseline, 48 Weeks Fasting Plasma glucose (FPG) is a test to determine how much glucose (sugar) is in a plasma sample after an overnight fast. Least Squares (LS) means was determined by ANCOVA model with LOCF and with terms for change from baseline in Venous FPG as response, treatment as fixed effect and baseline Venous FPG as covariate.
Total Daily Insulin Dose at Week 24 and 48 24 Weeks, 48 Weeks Total daily insulin dose in the basal insulin analog and in Insulin Analog Mid Mixture group at week 24 and 48.
Number of Participants With Insulin Treatment Change at Week 48 Baseline through 48 Weeks Insulin treatment change can be insulin treatment discontinuation, switch, intensification or reduction in frequency.
1. Discontinuation: Defined as stopping insulin treatment for 30 days or more.
2. Switch: Defined as stop the initial insulin therapy and started another insulin therapy of different class.
3. Intensification: Defined as any of the following: adding meal time insulin in basal insulin analog QD group; changing from BID to TID (Three times a day) in insulin analog mid mixture BID group
4. Reduction in frequency: Defined as any of the following: changing from BID to QD; changing from TID to BID or QD.Change From Baseline to Week 24 in Body Weight Baseline, 24 Weeks LS means were calculated using ANCOVA model with LOCF and with terms for change from baseline in bodyweight as response, treatment as fixed effect and baseline bodyweight as covariate.
Change From Baseline to Week 48 in Body Weight Baseline, 48 Weeks LS means were calculated using ANCOVA model with LOCF and with terms for change from baseline in bodyweight as response, treatment as fixed effect and baseline bodyweight as covariate.
Percentage of Participants Who Achieve the HbA1c <7% Without Switching and Discontinuing Study Insulin, and Without Using Rescue Therapy at Week 24 24 Weeks Hemoglobin A1c (HbA1c) is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. Percentages of participants who achieved HbA1c levels of \<7% were analyzed using a logistic regression model with logic link function, treatment as fixed effect and baseline HbA1c as continuous covariate.
Percentage of Participants Who Achieve the HbA1c <7% Without Switching and Discontinuing Study Insulin, and Without Using Rescue Therapy at Week 48 48 Weeks Hemoglobin A1c (HbA1c) is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. Percentages of participants who achieved HbA1c levels of \<7% were analyzed using a logistic regression model with logic link function, treatment as fixed effect and baseline HbA1c as continuous covariate.
Change From Baseline to Week 48 in Self-Efficacy About Insulin Therapy Questionnaire (SEITQ) Score Baseline, 48 Weeks The SEITQ is designed to measure an individual's self-efficacy related to insulin therapy. The SEITQ consists of 5 items (that is, statements). The first 4 statements imply confidence in completing the tasks needed to take insulin correctly and avoid both hyperglycemia and hypoglycemia, whereas the last statement is an outcome expectation and implies that performance of these tasks will lead to avoidance of complications. Each item score ranges from 1 (strongly disagree) to 7 (strongly agree). The total SEITQ score is the sum of each item scores, with the range of 5 to 35. Higher SEITQ score indicates better outcome (higher self-efficacy). LS Mean was calculated using Mixed Models Analysis (MMRM) for repeated measures with all post-baseline SEITQ as responses, baseline SEITQ as a continuous covariate, treatment group, Visits, and treatment by visit interaction as fixed effects and participant as a random effect.
Trial Locations
- Locations (32)
Ningbo First Hospital
🇨🇳Ningbo, Zhejiang, China
Peking University International Hospital
🇨🇳Beijing, China
Beijing Huaxin Hospital
🇨🇳Beijing, Beijing, China
Peking University Peoples Hospital
🇨🇳Beijing, Beijing, China
China Meitan General Hospital
🇨🇳Chaoyang, Beijing, China
Beijing Yanhua hospital
🇨🇳Fangshan, Beijing, China
The 2nd Hospital of Lanzhou University
🇨🇳Lanzhou, Gansu, China
Shenzhen City People Hospital
🇨🇳Shenzhen, Guangdong, China
The 1st Hospital with Guangdong Pharmaceutical University
🇨🇳Yuexiu, Guangdong, China
The 1st Affiliated Hospital of Henan Science and technology
🇨🇳Luoyang, Henan, China
People's Hospital of Henan Province
🇨🇳Zhengzhou, Henan, China
Nanjing TCM hospital
🇨🇳Nanjing, Jiangsu, China
Changzhou No.2 People's Hospital
🇨🇳Changzhou, Jiangsu, China
Wuhan Union (Xiehe) Hospital
🇨🇳Wuhan, Hubei, China
Jiang Su Province Official Hospital
🇨🇳Nanjing, Jiangsu, China
Nanjing Jiangbei Hospital
🇨🇳Nanjing, Jiangsu, China
Nanjing Jiangning Hospital
🇨🇳Nanjing, Jiangsu, China
Taizhou City People Hospital
🇨🇳Taizhou, Jiangsu, China
The second People's hospital of Wuxi
🇨🇳Wuxi, Jiangsu, China
Xuzhou central Hospital
🇨🇳Xuzhou, Jiangsu, China
Shanghai Pudong New Area Gongli Hospital
🇨🇳Shanghai, Shanghai, China
Qingdao Municipal Hospital
🇨🇳Qingdao, Shandong, China
Taian City Central Hospital
🇨🇳Taian, Shandong, China
Shanghai Pudong New District Zhoupu Hospital
🇨🇳Shanghai, Shanghai, China
Affiliated Hospital of North Sichuan Medical College
🇨🇳Nanchong, Shunqing, China
The Third Affiliated Hospital of Chengdu University of TCM
🇨🇳Chengdu, Sichuan, China
Southwest Medical University Affiliated Hospital
🇨🇳Luzhou, Sichuan, China
Tianjin First Central Hospital
🇨🇳Nankai, Tianjin, China
Beijing LuHe Hospital Capital Medical University
🇨🇳Beijing, Tongzhou, China
Zhejiang Provincial People's Hospital
🇨🇳Hangzhou, Zhejiang, China
Beijing Hai Dian Hospital
🇨🇳Beijing, China
Shanghai Yangpu District Central Hospital
🇨🇳Shanghai, China