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De-intensification of intensive insulin therapy using the combination of long-acting insulin glargin and GLP-1 receptor agonist lixisenatide

Phase 1
Active, not recruiting
Conditions
Type 2 diabetes mellitus
Therapeutic area: Diseases [C] - Hormonal diseases [C19]
Registration Number
EUCTR2020-003715-94-HU
Lead Sponsor
Békés Megyei Központi Kórház
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
100
Inclusion Criteria

•Type 2 diabetes mellitus
•Intensive insulin therapy with at least 3 doses of prandial insulin and one dose of basal insulin/day for at least 3 months prior to screening
•Total daily insulin dose = 0.8 IU/kg
•Fasting C peptide above the lower limit of the normal range
•Treatment with metformin (unless intolerance to metformin use is present)
•HbA1c = 75 mmol/mol (9%)
•HbA1c 76-86 mmol/mol (9.1-10%) in case of proven non-compliance with MDI regimen
•Age 18-80 years
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 70
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 30

Exclusion Criteria

•Other diabetes types – type 1, secondary
•Any contraindication to the use of GLP-1 receptor agonists
•Daily dose of basal insulin >50 units/day
•Acute myocardial infarction, unstable angina pectoris, stroke, pulmonary embolism 3 months prior to inclusion
•Chronic heart failure NYHA III-IV
•Chronic kidney disease CKD IIIb-IV, end-stage renal disease
•Acute or chronic liver failure
•Clinically significant gastroparesis
•Active malignancy
•Haemoglobin < 100 g/l
•Pregnancy, breast-feeding, or in case of women with child-bearing potential willingness to be pregnant

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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