Diabetes Mellitus, Type 2 Clinical Trial
Official title:
Testing the Usefulness of Lantus When Initiated Prematurely In Patients With Type 2 Diabetes
Primary objective:
The primary objective of this trial is:
- To evaluate the efficacy of initiating Lantus in combination with oral antidiabetics
drugs compared to oral antidiabetic treatment optimised by enhancing hygienic and
dietary measures in type 2 diabetics whose blood glucose control is acceptable but not
optimal on maximum oral treatment, based on the number of patients achieving a HbA1c
value < 7% at the end of treatment.
Secondary objectives:
The secondary objectives of this trial are to compare between the two treatment groups:
- The variation in HbA1c between baseline and end of trial.
- The frequency of episodes of symptomatic hypoglycaemia (diurnal and nocturnal), severe
hypoglycaemia (diurnal and nocturnal) and asymptomatic hypoglycaemia.
- Mean blood glucose levels at different times of the day.
- The variation in weight and lipid in each group between baseline and end of trial.
- The incidence of adverse events.
Status | Completed |
Enrollment | 390 |
Est. completion date | |
Est. primary completion date | |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 40 Years to 75 Years |
Eligibility |
Inclusion criteria : Subjects fulfilling all of the following criteria will be eligible for inclusion in the trial: - Type 2 diabetes - 24 = BMI = 35 kg/m2 - 7 % = HbA1c = 8 % - Treated with OAD for at least 2 years - Treated with at least two oral antidiabetics including one sulphonylurea at the maximum tolerated dosages and metformin at the maximum tolerated dosages - Not treated with a glinide or thiazolidinedione. - Capable of performing blood glucose self-monitoring and a self-injection of insulin. - Funduscopy within the previous year at the time of inclusion. Exclusion Criteria: Patient with any of the following criteria will not be included in the trial: - Type 1 diabetics - Insulin-treated type 2 diabetics or having previously received long-term insulin, or treated with a thiazolidinedione or glinide - Fasting blood glucose < 1.20 g/l. - Pregnancy (non-menopausal women must have a pregnancy test before the inclusion visit and effective contraception). - Lactation. - History of hypersensitivity to the investigational product or to drugs with similar chemical structures. - Systemic treatment with corticosteroids irrespective of the dose and irrespective of the previous or anticipated duration of treatment. - Treatment with another product under development in the 2 months preceding the date of inclusion in the study. - Subject likely to receive treatments prohibited in the protocol during the trial. - Cardiovascular, hepatic, neurological, endocrine or any other disease making it difficult to carry out the protocol or interpret the results. - Proliferative or rapidly progressive or unstable retinopathy for at least 6 months after treatment by surgery or laser, or requiring surgery or laser in the 3 months following inclusion in the study. - Hepatic impairment:ALT and/or AST more than three times the upper limit of normal at the initial assessment. - Renal insufficiency:Serum creatinine >177 µmol/l (>20 mg/l) or creatinine clearance <60 ml/min. - Previous or current history of alcohol or drug abuse. - Mental state rendering the subject incapable of understanding the nature, objectives and possible consequences of the trial. - Inability to undertake blood glucose self-monitoring and the injection of insulin alone. - Subject unable to accept the restrictions of the protocol (uncooperative, unable to attend the follow-up visits and probably incapable of completing the trial). - Subjects deprived of freedom by an administrative or judicial decision. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial. |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Croatia | Sanofi-Aventis | Zagreb | |
Czech Republic | Sanofi-Aventis | Prague | |
France | Sanofi-Aventis | Paris | |
Romania | Sanofi-Aventis | Bucharest | |
Russian Federation | Sanofi-Aventis | Moscow | |
Slovenia | Sanofi-Aventis | Ljubljana |
Lead Sponsor | Collaborator |
---|---|
Sanofi |
Croatia, Czech Republic, France, Romania, Russian Federation, Slovenia,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Percentage of subjects achieving HbA1c < 7% at the end of the study. |
Status | Clinical Trial | Phase | |
---|---|---|---|
Active, not recruiting |
NCT05666479 -
CGM Monitoring in T2DM Patients Undergoing Orthopaedic Replacement Surgery
|
||
Completed |
NCT05647083 -
The Effect of Massage on Diabetic Parameters
|
N/A | |
Active, not recruiting |
NCT05661799 -
Persistence of Physical Activity in People With Type 2 Diabetes Over Time.
|
N/A | |
Completed |
NCT03686722 -
Effect of Co-administration of Metformin and Daclatasvir on the Pharmacokinetis and Pharmacodynamics of Metformin
|
Phase 1 | |
Completed |
NCT02836704 -
Comparison of Standard vs Higher Starting Dose of Insulin Glargine in Chinese Patients With Type 2 Diabetes (Glargine Starting Dose)
|
Phase 4 | |
Completed |
NCT01819129 -
Efficacy and Safety of FIAsp Compared to Insulin Aspart in Combination With Insulin Glargine and Metformin in Adults With Type 2 Diabetes
|
Phase 3 | |
Completed |
NCT04562714 -
Impact of Flash Glucose Monitoring in People With Type 2 Diabetes Using Non-Insulin Antihyperglycemic Therapy
|
N/A | |
Completed |
NCT02009488 -
Treatment Differences Between Canagliflozin and Placebo in Insulin Secretion in Subjects With Type 2 Diabetes Mellitus (T2DM)
|
Phase 1 | |
Completed |
NCT05896319 -
Hyaluronic Acid Treatment of the Post-extraction Tooth Socket Healing in Subjects With Diabetes Mellitus Type 2
|
N/A | |
Recruiting |
NCT05598203 -
Effect of Nutrition Education Groups in the Treatment of Patients With Type 2 Diabetes
|
N/A | |
Completed |
NCT05046873 -
A Research Study Looking Into Blood Levels of Semaglutide and NNC0480-0389 When Given in the Same Injection or in Two Separate Injections in Healthy People
|
Phase 1 | |
Terminated |
NCT04090242 -
Impact of App Based Diabetes Training Program in Conjunction With the BD Nano Pen Needle in People With T2 Diabetes
|
N/A | |
Completed |
NCT04030091 -
Pulsatile Insulin Infusion Therapy in Patients With Type 1 and Type 2 Diabetes Mellitus
|
Phase 4 | |
Completed |
NCT03604224 -
A Study to Observe Clinical Effectiveness of Canagliflozin 300 mg Containing Treatment Regimens in Indian Type 2 Diabetes Participants With BMI>25 kg/m^2, in Real World Clinical Setting
|
||
Completed |
NCT03620357 -
Continuous Glucose Monitoring & Management In Type 2 Diabetes (T2D)
|
N/A | |
Completed |
NCT01696266 -
An International Survey on Hypoglycaemia Among Insulin-treated Patients With Diabetes
|
||
Completed |
NCT03620890 -
Detemir Versus NPH for Type 2 Diabetes Mellitus in Pregnancy
|
Phase 4 | |
Withdrawn |
NCT05473286 -
A Research Study Looking at How Oral Semaglutide Works in People With Type 2 Diabetes in Germany, as Part of Local Clinical Practice
|
||
Not yet recruiting |
NCT05029804 -
Effect of Walking Exercise Training on Adherence to Disease Management and Metabolic Control in Diabetes
|
N/A | |
Completed |
NCT04531631 -
Effects of Dorzagliatin on 1st Phase Insulin and Beta-cell Glucose Sensitivity in T2D and Monogenic Diabetes
|
Phase 2 |