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A Study Comparing the Efficacy and Safety of the Morning Injection of Toujeo Versus Lantus in Patients With Type 1 Diabetes Mellitus Fase IV 638

Concluído
Os detalhes do estudo clínico estão disponíveis principalmente em inglês. No entanto, a IA Trial Radar pode ajudar! Basta clicar em 'Explicar o estudo' para visualizar e discutir as informações do estudo no idioma selecionado.
O estudo clínico NCT02688933 avaliou tratamento para Diabetes mellitus tipo 1. Foi um estudo intervencionista de Fase IV. Seu status atual é: concluído. O estudo iniciou em 5 de maio de 2016 e incluiu 638 participantes. Coordenado por Sanofi e foi concluído em 19 de junho de 2017. Essas informações foram atualizadas no ClinicalTrials.gov em 28 de março de 2022.
Resumo

Primary Objective:

To demonstrate that morning injection of Toujeo (HOE901-U300) compared to Lantus provides better glycemic control evaluated by Continuous Glucose Monitoring (CGM) in adult participants with type 1 diabetes mellitus.

Secondary Objective:

To demonstrate that treatment with HOE901-U300 compared to Lantus provides:

  • Lower incidence rate of nocturnal symptomatic hypoglycemia;
  • Better glucose contr...
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Descrição detalhada
The maximum study duration per participant was to be of approximately 20 weeks that consisted of an up to a 4-week screening and CGM training period including a 1-2 week baseline (blinded) CGM performance (allowed for re-training), a 14-week open-label, comparative treatment period allowing for dose titration in both basal and meal-time insulin and including a 1-2 week end-of treatment blinded CGM collection with fix...Mostrar mais
Título oficial

A Randomized, Active-controlled, Parallel Group, 16-Week Open Label Study Comparing the Efficacy and Safety of the Morning Injection of Toujeo (Insulin Glargine-U300) Versus Lantus in Patients With Type 1 Diabetes Mellitus

Condições médicas
Diabetes mellitus tipo 1
Outros IDs do estudo
  • LPS14587
  • U1111-1176-0936 (Outro identificador) (UTN)
Número NCT
Data de início (real)
2016-05-05
Última atualização postada
2022-03-28
Data de conclusão (estimada)
2017-06-19
Inscrição (estimada)
638
Tipo de estudo
Intervencionista
FASE
Fase IV
Status
Concluído
Propósito principal
Tratamento
Alocação do design
Randomizado
Modelo de intervenção
Paralelo
Cegamento (Mascaramento)
Nenhum (Aberto)
Braços / Intervenções
Grupo de participantes/BraçoIntervenção/Tratamento
ExperimentalHOE901-U300
HOE901-U300 (Insulin glargine, 300 U/mL) once daily for 16 weeks on top of mealtime insulins analogs. Basal insulin doses were individually titrated (until the end of Week 14) to reach fasting self-measured plasma glucose (SMPG) levels of 80 to 100 mg/dL, while mitigating hypoglycemia.
HOE901-U300 (Insulin Glargine 300 U/ml)
Self-administered by subcutaneous (SC) injection in the morning (between waking up and breakfast) using a pre-filled pen.
Mandated back ground therapy
Rapid insulin analogs: e.g., insulin glulisine, insulin lispro or insulin aspart, used by participant at least 30 days before screening. Mealtime insulin was to be continued during the study and titrated towards protocol specified postprandial glucose targets (130-180 mg/dL).
Comparador ativoLantus
Lantus (Insulin glargine, 100 U/mL) once daily for 16 weeks on top of mealtime insulins analogs. Basal insulin doses were individually titrated (until the end of Week 14) to reach fasting SMPG levels of 80 to 100 mg/dL, while mitigating hypoglycemia.
Lantus (Insulin Glargine 100 U/ml)
Self-administered by subcutaneous (SC) injection in the morning (between waking up and breakfast using a pre-filled pen.
Mandated back ground therapy
Rapid insulin analogs: e.g., insulin glulisine, insulin lispro or insulin aspart, used by participant at least 30 days before screening. Mealtime insulin was to be continued during the study and titrated towards protocol specified postprandial glucose targets (130-180 mg/dL).
Desfecho primário
Medida de desfechoDescrição da medidaPrazo
Percentage of Time of Mean Glucose Concentration Within the Target Range of 70-180 mg/dL as Obtained From CGM
The CGM system combined frequent interstitial glucose measurements (every 5 minutes) with ability to analyze glucose levels in real time. Adjusted least square (LS) means and standard error (SE) were obtained from a generalized linear model with identity link including post baseline CGM assessment during Week 15 (and/or Week 16).
During Week 15 and/or 16
Desfecho secundário
Medida de desfechoDescrição da medidaPrazo
Percentage of Participants With Documented Symptomatic Nocturnal Hypoglycemia
Documented symptomatic nocturnal hypoglycemia was defined as an event with typical symptoms of hypoglycemia accompanied by SMPG \<=70 mg/dL that occurred between 00:00 and 05:59 hours as reported on the hypoglycemia electronic case report form (eCRF).
Baseline up to Week 16
Documented Symptomatic Nocturnal Hypoglycemia Event Rate Per Participant-Year
Documented symptomatic nocturnal hypoglycemia was defined as an event with typical symptoms of hypoglycemia accompanied by SMPG \<=70 mg/dL that occurred between 00:00 and 05:59 hours as reported on the hypoglycemia eCRF.
Baseline up to Week 16
Mean Change From Baseline in Glucose Level During Last 4 Hours of CGM Data Collection Prior to the Next Day Basal Insulin Injection During Week 15 and/or Week 16
Adjusted LS means and SE were obtained from mixed model including post baseline CGM assessment during the last 4 hours prior to the next day's basal insulin injection during Week 15 (and/or Week 16).
Baseline, during Week 15 and/or Week 16
Percentage of Time Glucose Concentrations Within the Target Range of 70 to 140 mg/dL During Last 4 Hours of CGM Data Collection Prior to Next Day Basal Insulin Injection
Adjusted LS means and SE were obtained from mixed model including post baseline CGM assessment during the last 4 hours prior to the next day's basal insulin injection during Week 15 (and/or Week 16).
During Week 15 and/or Week 16
Coefficient of Variation (CV%) in Mean CGM Glucose
CV% was a measure of spread of variability relative to mean of population. For CGM glucose values over 24 hours, CV% was measure of glycemic variability across 24-hour day and calculated for each period (total, within day and between days) as ratio of standard deviation of glucose values to mean of glucose values.
During Week 15 and/or Week 16
Critérios de elegibilidade

Idades elegíveis
Adulto, Idoso
Idade mínima
18 Years
Sexos elegíveis
Todos
  • Adult participants (male and female) with type 1 diabetes mellitus (T1DM).
  • Signed written informed consent.

  • Age <18 years or >70 years.
  • Fasting c-peptide ≥0.3 nmol/L as per source document or central lab test at Visit 1.
  • Glycated hemoglobin (HbA1c) ≤ 6.5 % or ≥ 10.0% via central lab test at Visit 1.
  • Participants who experienced none of episode of documented symptomatic and/or severe hypoglycemia (as per the American Diabetes Association (ADA) classification) during the past month prior to screening.
  • Participants who experienced >1 episode of severe hypoglycemia resulting in coma/seizures during the last 12 months before screening.
  • Participants received less than 1 year treatment with basal plus mealtime insulin.
  • Used any basal insulins other than long-acting insulin analogs (ie, Lantus, Toujeo, Levemir, and Tresiba) in the past 3 months before screening.
  • Required >80 U/day basal insulin analogs or not on stable dose (±20% total dose) within 30 days prior to screening.
  • Used fewer than 2 injections of rapid-acting insulin analog per day within 30 days prior to screening.
  • Used human regular insulin as mealtime insulin within 30 days prior to screening.
  • Used an insulin pump during the last 6 months before screening.
  • History of unstable proliferative diabetic retinopathy or any other rapidly progressive diabetic retinopathy or macular edema likely to required treatment (e.g., laser, surgical treatment, or injectable drugs) during the study period.
  • Pregnant or breast-feeding women or planned pregnancy during the duration of the study.
  • Use of any other investigational drug(s) within 1 month or 5 half-lives, whichever was longer prior to screening.
  • Inappropriate CGM use during screening period evidenced by failure to obtain a minimum of 4 days of usable records by the end of screening.
  • Noncompliance with self-monitored plasma glucose (SMPG) performance evidenced by failure to demonstrate at least 5 days of 5 point SMPG records by the end of screening.

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

Sem dados de contato.
100 Locais do estudo em 2 países

Arkansas

Investigational Site Number 840-151, Little Rock, Arkansas, 72205, United States

California

Investigational Site Number 840-071, Concord, California, 94520-2270, United States
Investigational Site Number 840-149, Escondido, California, 92025, United States
Investigational Site Number 840-004, Fresno, California, 93720, United States
Investigational Site Number 840-110, Greenbrae, California, 94904, United States
Investigational Site Number 840-124, La Jolla, California, 92037, United States
Investigational Site Number 840-030, La Mesa, California, 91942, United States
Investigational Site Number 840-044, Los Angeles, California, 90036, United States
Investigational Site Number 840-022, Los Angeles, California, 90057, United States
Investigational Site Number 840-129, Los Gatos, California, 95032, United States
Investigational Site Number 840-024, Northridge, California, 91325, United States
Investigational Site Number 840-069, Pomona, California, 91766, United States
Investigational Site Number 840-090, Pomona, California, 91767, United States
Investigational Site Number 840-132, Rolling Hills Estates, California, 90274, United States
Investigational Site Number 840-130, San Jose, California, 95148, United States
Investigational Site Number 840-055, San Ramon, California, 94583, United States
Investigational Site Number 840-028, Santa Barbara, California, United States
Investigational Site Number 840-063, Tarzana, California, 91356, United States
Investigational Site Number 840-138, Tustin, California, 92780-6953, United States
Investigational Site Number 840-016, Ventura, California, 93003, United States

Colorado

Investigational Site Number 840-039, Denver, Colorado, 80209, United States
Investigational Site Number 840-021, Denver, Colorado, 80246, United States
Investigational Site Number 840-070, Denver, Colorado, 80262, United States
Investigational Site Number 840-046, Englewood, Colorado, 80113, United States

Florida

Investigational Site Number 840-072, Coral Gables, Florida, 33124, United States
Investigational Site Number 840-133, Hialeah, Florida, 33016, United States
Investigational Site Number 840-137, Maitland, Florida, 32751, United States
Investigational Site Number 840-049, Miami, Florida, 33155, United States
Investigational Site Number 840-076, Miami, Florida, 33176, United States
Investigational Site Number 840-023, New Port Richey, Florida, 34652, United States
Investigational Site Number 840-053, Ocoee, Florida, 34761, United States
Investigational Site Number 840-112, Ormond Beach, Florida, 32174, United States
Investigational Site Number 840-018, Palm Harbor, Florida, 34684, United States
Investigational Site Number 840-047, Port Charlotte, Florida, 33952, United States
Investigational Site Number 840-114, Tampa, Florida, 33612, United States
Investigational Site Number 840-036, West Palm Beach, Florida, 33401, United States

Georgia

Investigational Site Number 840-001, Atlanta, Georgia, 30318, United States
Investigational Site Number 840-064, Columbus, Georgia, 31904, United States
Investigational Site Number 840-012, Lawrenceville, Georgia, 30046, United States
Investigational Site Number 840-008, Roswell, Georgia, 30076, United States
Investigational Site Number 840-014, Stockbridge, Georgia, 30281, United States

Idaho

Investigational Site Number 840-060, Idaho Falls, Idaho, 83404, United States

Illinois

Investigational Site Number 840-125, Arlington Heights, Illinois, 60005, United States
Investigational Site Number 840-011, Chicago, Illinois, 60612, United States
Investigational Site Number 840-134, Crystal Lake, Illinois, 60012, United States

Iowa

Investigational Site Number 840-002, West Des Moines, Iowa, 50265, United States

Kansas

Investigational Site Number 840-073, Wichita, Kansas, 67226, United States

Kentucky

Investigational Site Number 840-062, Covington, Kentucky, 41011, United States
Investigational Site Number 840-042, Lexington, Kentucky, 40503, United States

Louisiana

Investigational Site Number 840-009, Metairie, Louisiana, 70006, United States
Investigational Site Number 840-032, New Orleans, Louisiana, 70115, United States

Maryland

Investigational Site Number 840-054, Hyattsville, Maryland, 20782, United States
Investigational Site Number 840-006, Rockville, Maryland, 20852, United States

Massachusetts

Investigational Site Number 840-157, Framingham, Massachusetts, 01702, United States
Investigational Site Number 840-122, Waltham, Massachusetts, 02453, United States

Michigan

Investigational Site Number 840-037, Flint, Michigan, 48532, United States

Montana

Investigational Site Number 840-067, Billings, Montana, 59101, United States

Nebraska

Investigational Site Number 840-094, Lincoln, Nebraska, 68526, United States
Investigational Site Number 840-033, Omaha, Nebraska, 68114, United States
Investigational Site Number 840-142, Omaha, Nebraska, 68124, United States

Nevada

Investigational Site Number 840-040, Henderson, Nevada, 89052, United States
Investigational Site Number 840-017, Las Vegas, Nevada, 89148, United States

New York

Investigational Site Number 840-102, New York, New York, 10001, United States
Investigational Site Number 840-108, New York, New York, 10029, United States
Investigational Site Number 840-109, Staten Island, New York, 10301-3914, United States

North Carolina

Investigational Site Number 840-045, Greenville, North Carolina, 27834, United States
Investigational Site Number 840-010, Morehead City, North Carolina, 28557, United States
Investigational Site Number 840-080, Morehead City, North Carolina, 28557, United States

North Dakota

Investigational Site Number 840-051, Fargo, North Dakota, 58103, United States

Ohio

Investigational Site Number 840-123, Columbus, Ohio, 43203, United States
Investigational Site Number 840-104, Mentor, Ohio, 44060, United States

Oklahoma

Investigational Site Number 840-079, Norman, Oklahoma, 73069, United States

Oregon

Investigational Site Number 840-162, Bend, Oregon, 97702, United States
Investigational Site Number 840-096, Portland, Oregon, 97210, United States

Tennessee

Investigational Site Number 840-058, Chattanooga, Tennessee, 37411, United States

Texas

Investigational Site Number 840-003, Dallas, Texas, 75230, United States
Investigational Site Number 840-019, Dallas, Texas, 75231, United States
Investigational Site Number 840-075, Dallas, Texas, 75235, United States
Investigational Site Number 840-005, Dallas, Texas, 75246, United States
Investigational Site Number 840-013, Dallas, Texas, 75246, United States
Investigational Site Number 840-153, El Paso, Texas, 79925, United States
Investigational Site Number 840-026, Fort Worth, Texas, 76132, United States
Investigational Site Number 840-081, Houston, Texas, 77024, United States
Investigational Site Number 840-160, Houston, Texas, 77043, United States
Investigational Site Number 840-156, Houston, Texas, 77079, United States
Investigational Site Number 840-152, Houston, Texas, 77089, United States
Investigational Site Number 840-031, Houston, Texas, 77095, United States
Investigational Site Number 840-140, Lufkin, Texas, 75904, United States
Investigational Site Number 840-029, Mesquite, Texas, 75149, United States
Investigational Site Number 840-048, North Richland Hills, Texas, 76180, United States
Investigational Site Number 840-150, Pearland, Texas, 77584, United States

Utah

Investigational Site Number 840-083, Murray, Utah, 84123, United States
Investigational Site Number 840-101, Ogden, Utah, 84405, United States
Investigational Site Number 840-097, Salt Lake City, Utah, 84102, United States

Vermont

Investigational Site Number 840-143, Bennington, Vermont, 05201, United States
Investigational Site Number 840-056, Burlington, Vermont, 05405, United States

Washington

Investigational Site Number 840-015, Renton, Washington, 98055, United States
Investigational Site Number 840-074, Spokane, Washington, 99207, United States

West Virginia

Investigational Site Number 840-139, Bridgeport, West Virginia, 26330, United States
Investigational Site Number 840-111, Manatí, 00674, Puerto Rico