A Clinical Efficacy and Safety Study of Insulin Glargine U300 in Chinese Adult Patients With Uncontrolled Type 2 Diabetes Mellitus With a 3-month Extension Period

Phase 4

Completed

• Conditions: Type 2 Diabetes Mellitus
• Interventions: Drug: Insulin glargine 300 U/ml

• Registration Number: NCT05002933
• Lead Sponsor: Sanofi

Brief Summary

This is a prospective, interventional, single arm, multicenter, phase 4 study to evaluate the clinical efficacy and safety of initiating Insulin glargine U300 in insulin-naive patients or switching from any other basal insulin to Insulin glargine U300 in insulin pre-treated patients with uncontrolled T2DM.

Detailed Description

Maximum study duration per participant will be approximately 37 weeks per patient: up to 1 week screening period, 24 weeks insulin glargine U300 treatment period and 12 weeks observational extension period.

Study Timeline

• Study Start: 2021-05-20
• Study First Submitted: 2021-08-05
• Study First Submitted QC: 2021-08-05
• Study First Posted: 2021-08-12
• Primary Completion: 2023-02-24
• Study Completion: 2023-02-24
• Status Verified: 2023-03
• Last Update Submitted: 2023-03-08
• Last Update Posted: 2023-03-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 570

Inclusion Criteria

• Adult patients (age≥18 years) who diagnosed with type 2 diabetes

• Patients who should initiate Insulin glargine U300 treatment following local label and guideline at investigator's discretion, including:

  • insulin naive patients (no current or previous insulin used during the last year prior to screening except for a maximum 10 days in relation to acute illness or surgery, etc.) uncontrolled (HbA1c between 7.5% and 11.0%) at screening visit on stable dose treatment with ≤ 2 OADs (metformin, sulfonylurea, thiazolidinedione, DPP-4 inhibitor, SGLT-2 inhibitor, glinide, α-glucosidase inhibitor) within 8 weeks prior to screening, at least one of which must be on maximum tolerated dose, or
  • patients uncontrolled (HbA1c between 7.5% and 11.0%) at screening visit with other basal insulin, or
  • patients controlled with other basal insulin but experienced frequent hypoglycemia or with increased hypoglycemia risk at investigator's discretion

• Patients who treated with basal insulin must have a stable dose of antidiabetic drugs (dose change no more than ±20% vs. the dose on screening visit for basal insulin) within 8 weeks prior to screening

Exclusion Criteria

• Any clinically significant abnormality identified on physical examination, laboratory tests, or vital signs at the time of screening, or at baseline, or any major systemic disease resulting in short life expectancy that in the opinion of the Investigator would restrict or limit the patient's successful participation for the duration of the study
• Use of any product containing short or rapid acting insulin in the last 3 months prior to screening (unless used for ≤10 days in relation to hospitalization or an acute illness)
• Use of oral anti-diabetic drugs other than those allowed and listed in the inclusion criteria, Glucagon-like peptide-1 (GLP-1) receptor agonists, or any investigational agent (drug, biologic, device) within 3 months prior to screening visit
• Use of systemic glucocorticoids (excluding topical application or inhaled forms) for two weeks or more within 8 weeks prior to the time of screening
• Known hypersensitivity / intolerance to insulin glargine or any of its excipients
• Pregnant or lactating women
• Women of childbearing potential with no effective contraceptive method
• Participation in another clinical trial

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Insulin glargine 300 U/ml	Insulin glargine 300 U/ml	Insulin glargine 300 U/ml once daily for 24 weeks. Participants may continue for an additional 12 week extension period or switch to other anti-diabetic treatment, insulin dose will be adjusted according to the recommended dose titration algorithm

Primary Outcome Measures

Name	Time	Method
Mean change in HbA1c from baseline to week 24	Baseline to Week 24

Secondary Outcome Measures

Name	Time	Method
Percentage of participants achieving HbA1c target <7%	at Week 12, 24 and 36
Mean change in fasting Self-Monitored Blood Glucose (SMBG) from baseline to week 12 and week 24	Baseline to Week 12 and 24
Mean change in of 7-points SMBG per time point from baseline to week 12 and week 24	Baseline to Week 12 and 24
Percentage of participants achieving HbA1c target <7% without hypoglycemic events	at Week 12 and 24
Mean change in HbA1c from baseline to week 12 and week 36	Baseline to Week 12 and 36
Mean change in Fasting Plasma Glucose (FPG) from baseline to week 12, 24 and 36	Baseline to Week 12, 24 and 36
Number of participants with adverse events	Baseline to Week 24 and 36
Number of hypoglycemic events per patient-year	Baseline to Week 12, 24 and 36
Mean change in Insulin glargine U300 dose from baseline to week 12, 24 and 36	Baseline to Week 12, 24 and 36
Number of participants experiencing hypoglycemia from baseline to week 12, 24 and 36	Baseline to Week 12, 24 and 36
Mean change in body weight from baseline to Week 12 and Week 24	Baseline to Week 12 and 24

Trial Locations

Locations (1)

Investigational Sites; 🇨🇳 China, China