Comparing Pre-Mixed Insulin With Insulin Glargine Combined With Rapid-Acting Insulin in Patients With Type 2 Diabetes
A Comparison of Prandial Insulin Lispro Mixtures Therapy to Glargine Basal-Bolus Therapy With Insulin Lispro on the Overall Glycemic Control of Patients With Type 2 Diabetes Previously Treated With Oral Agents Combined With Insulin Glargine
2 other identifiers
interventional
300
2 countries
48
Brief Summary
The purpose of this study is to compare Lispro Mixture Therapy (insulin lispro 50/50 given three times daily with meals) to Glargine Basal-Bolus Therapy (insulin glargine daily with the addition of insulin lispro given three times daily with meals). The study is also comparing two different methods for adjusting the dose of insulin.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4 diabetes-mellitus-type-2
Started Apr 2004
Typical duration for phase_4 diabetes-mellitus-type-2
48 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2004
CompletedFirst Submitted
Initial submission to the registry
May 6, 2005
CompletedFirst Posted
Study publicly available on registry
May 9, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2006
CompletedNovember 27, 2007
November 1, 2007
May 6, 2005
November 26, 2007
Conditions
Outcome Measures
Primary Outcomes (4)
To test the hypothesis that Lispro Mixtures Therapy regimen in combination with oral antihyperglycemic agents (OADs) is non-inferior
in overall glycemic control (lower A1CF) at endpoint compared to to Glargine Basal-Bolus Therapy in combination
with OADs in patients with type 2 diabetes who have clearly failed to achieve glycemic goal
(A1C less than 7%) with once-daily insulin glargine in combination with OADs.
Secondary Outcomes (3)
To test in both arms the following: frequency and incidence
of self-reported hypoglycemia, blood glucose data, 8-point profiles, insulin dose,
body weight, SAE's and study drug related AEs.
Interventions
Eligibility Criteria
You may qualify if:
- Must have type 2 diabetes.
- Must be 30-75 years of age at the time of Visit 1.
- Must be on insulin glargine and oral antidiabetic medicines for at least 90 days.
- Must be on at least 30 units of glargine per day at enrollment.
- Have an A1C between 7.5% and 12.0% at Visit 1.
You may not qualify if:
- Must not have used rapid/short-acting insulin on a regular basis in the last 6 months.
- Must not have more than one episode of severe hypoglycemia in the last 6 months.
- Must not have a body mass index (BMI) of greater than 45 (morbid obesity).
- Must not have congestive heart failure that requires medications.
- Must not have had a kidney transplant or currently receiving dialysis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (48)
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Anniston, Alabama, United States
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Birmingham, Alabama, United States
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Phoenix, Arizona, United States
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Concord, California, United States
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Inglewood, California, United States
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La Jolla, California, United States
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Orange, California, United States
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West Hills, California, United States
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Colorado Springs, Colorado, United States
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Aventura, Florida, United States
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Hollywood, Florida, United States
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Maitland, Florida, United States
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Melbourne, Florida, United States
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West Palm Beach, Florida, United States
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Topeka, Kansas, United States
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Wichita, Kansas, United States
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Lexington, Kentucky, United States
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Metairie, Louisiana, United States
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Springfield, Massachusetts, United States
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Bloomfield Hills, Michigan, United States
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Jefferson City, Missouri, United States
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Butte, Montana, United States
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Omaha, Nebraska, United States
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Reno, Nevada, United States
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New Brunswick, New Jersey, United States
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Mineola, New York, United States
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Syracuse, New York, United States
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Raleigh, North Carolina, United States
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Tulsa, Oklahoma, United States
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Corvallis, Oregon, United States
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Portland, Oregon, United States
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Beaver, Pennsylvania, United States
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Greenville, South Carolina, United States
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Memphis, Tennessee, United States
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Beaumont, Texas, United States
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Dallas, Texas, United States
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Houston, Texas, United States
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Irving, Texas, United States
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San Antonio, Texas, United States
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Ogden, Utah, United States
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Salt Lake City, Utah, United States
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Federal Way, Washington, United States
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Renton, Washington, United States
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Charleston, West Virginia, United States
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ManatÃ, Puerto Rico
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Ponce, Puerto Rico
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San Juan, Puerto Rico
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Related Publications (2)
Shi LX, Li PF, Hou JN. Differential Treatment Response to Insulin Intensification Therapy: A Post Hoc Analysis of a Randomized Trial Comparing Premixed and Basal-Bolus Insulin Regimens. Diabetes Ther. 2017 Aug;8(4):915-928. doi: 10.1007/s13300-017-0286-z. Epub 2017 Jun 30.
PMID: 28667381DERIVEDRosenstock J, Ahmann AJ, Colon G, Scism-Bacon J, Jiang H, Martin S. Advancing insulin therapy in type 2 diabetes previously treated with glargine plus oral agents: prandial premixed (insulin lispro protamine suspension/lispro) versus basal/bolus (glargine/lispro) therapy. Diabetes Care. 2008 Jan;31(1):20-5. doi: 10.2337/dc07-1122. Epub 2007 Oct 12.
PMID: 17934150DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY(1-877-285-4559) or 1-317-615-4559 Mon-Fri from 9AM to 5PM Eastern time (UTC/GMT - 5 hours, EST)
Eli Lilly and Company
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
May 6, 2005
First Posted
May 9, 2005
Study Start
April 1, 2004
Study Completion
April 1, 2006
Last Updated
November 27, 2007
Record last verified: 2007-11