Insulin Glargine in Type 2 Diabetes Mellitus
Pilot Study on Glycaemic Variability in Type 2 Diabetes Mellitus Patients With Basal Insulin and Fixed Combo Oral Antidiabetic Treatment.
2 other identifiers
interventional
N/A
0 countries
N/A
Brief Summary
Primary objective: To evaluate in explorative manner the fasting blood glucose (FBG) coefficient of variability (CV)calculated on SMBG values (SMBG : Self-Monitoring of Blood Glucose). Secondary objectives: The secondary objectives are the assessment of: changes in glycaemic control (HbA1C), frequency of hypoglycaemias, changes in weight, final insulin dose, changes in lipid parameters, changes in urinary albumin-to-creatinine ratio, profile of patient which best fits each of the algorithms with the dependent variable of change in HbA1C and independent variables of age, gender, race, tobacco use, diabetes complications, initial HbA1C, initial weight, duration of diabetes mellitus, general education and diabetes education.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
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, 2005
CompletedFirst Submitted
Initial submission to the registry
January 2, 2006
CompletedFirst Posted
Study publicly available on registry
January 4, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2006
CompletedDecember 7, 2009
December 1, 2009
1.1 years
January 2, 2006
December 4, 2009
Conditions
Outcome Measures
Primary Outcomes (1)
SMBG values
during the last 4 weeks before visit 3 (end of cycle 1) and visit 4
Secondary Outcomes (8)
glycaemic control (HbA1c, fasting blood glucose, insulin and C-peptide),
During the study conduct
frequency of hypoglycaemias
During the study conduct
body weight
During the study conduct
final insulin dose
During the study conduct
lipid profile (serum total cholesterol, LDL-cholesterol, HDL-cholesterol and triglycerides)
During the study conduct
- +3 more secondary outcomes
Interventions
Eligibility Criteria
You may qualify if:
- Diagnosis of type 2 diabetes mellitus for at least 5 years;
- Treatment with oral antidiabetic drugs in fixed combination (Combo, i.e. glibenclamide 2.5 mg + metformin 400 mg, 2 or 3 tablets, at stable dose in the last 3 months);
- HbA1c \>= 8% and \<= 11%;
- Body mass index (BMI) \> 27 and \< 35 kg/m2;
- Willingness and demonstrated ability to inject insulin;
- Demonstrated ability and willingness to perform self-monitoring of blood glucose (SMBG);
You may not qualify if:
- Patients diagnosed with type 1 insulin dependent diabetes;
- Patients with latent autoimmune diabetes of adults (LADA), defined as fasting C-peptide levels \< 1 ng/ml;
- Cardiac status NYHA III-IV;
- Impaired renal function as shown by (but not limited to) serum creatinine \>= 1.5 mg/dl for males or \>= 1.4 mg/dl for females;
- Planned pregnancy, pregnant or lactating females;
- Failure to use adequate contraception (women of current reproductive potential only);
- Any current malignancy, previous breast cancer, or malignant melanoma within the past 5 years;
- Diagnosis of dementia
- Hypersensitivity to insulin or any of their components or to metformin;
- Current or previous insulin therapy other than during hospitalisations;
- Inability or unwillingness to continue metformin at study dosages throughout the study;
- Treatment with intermittent doses of systemic steroids or large doses of inhaled steroids for the past one year (fixed doses for the past 6 months is acceptable providing there is no plan to change the dosage regime);
- Stroke, Myocardial Infarction (MI), Coronary Artery Bypass Graft (CABG), Percutaneous Transluminal Coronary Angioplasty (PTCA), or Angina Pectoris within the last 12 months;
- History of drug or alcohol abuse;
- Receipt of an experimental drug or use of an experimental device within the 30 days prior to study entry;
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sanofilead
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
PAIZIS GEORGES, MD
Sanofi
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
January 2, 2006
First Posted
January 4, 2006
Study Start
April 1, 2005
Primary Completion
May 1, 2006
Last Updated
December 7, 2009
Record last verified: 2009-12