EASE: A Study to Evaluate the Effectiveness and Safety Initiation and Titration of Insulin Glargine (U300) in Insulin-naïve Patients With Type 2 Diabetes Mellitus (T2DM) Controlled on Oral Antidiabetic Drug Treatment in Turkey

Sponsor
Sanofi (Industry)
Overall Status
Completed
CT.gov ID
NCT02954692
Collaborator
(none)
112
1
1
12.7
8.8

Study Details

Study Description

Brief Summary

Primary Objective:

To assess the mean change in HbA1c (glycated haemoglobin).

Secondary Objectives:
To evaluate the efficacy and safety of the titration of insulin glargine U300 in terms of:
  • Targeted HbA1c;

  • Targeted fasting self- monitoring blood glucose (SMBG);

  • Hypoglycemic events;

  • Adverse events;

  • Quality of life assessment by DTSQs (Diabetes Treatment Satisfaction Questionnaire status) and DTSQc (Diabetes Treatment Satisfaction Questionnaire change);

  • Blood glucose fluctuation by using continuous glucose monitoring system (CGMS) in subgroup patients.

Condition or Disease Intervention/Treatment Phase
Phase 4

Detailed Description

The total study duration per patient will be 27 weeks (2 weeks of screening, 24 weeks on treatment, and 1 week follow-up period).

Study Design

Study Type:
Interventional
Actual Enrollment :
112 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A National, Multicenter, Prospective, Interventional, Open-label, Single-arm, 24-Week Phase IV Study to Evaluate the Effectiveness and Safety of Initiation and Titration of Insulin Glargine U300 in Insulin-naïve Patients With T2DM Inadequately Controlled on OAD Treatment in Turkey
Study Start Date :
Nov 30, 2016
Actual Primary Completion Date :
Dec 22, 2017
Actual Study Completion Date :
Dec 22, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: Insulin glargine (U300)

Insulin glargine (U300) will be administered daily through subcutaneous injection, and thereafter, dose will be titrated weekly (preferably 3-4 days) as needed. Background non-insulin anti-diabetic drugs approved for use in combination with insulin according to local labelling, will be permitted, with the exception of Thiazolidinediones (TZDs), which must be stopped at the time of basal insulin initiation.

Drug: INSULIN GLARGINE (U300)
Pharmaceutical form: pen for injection Route of administration: subcutaneous
Other Names:
  • HOE901
  • Drug: metformin
    Pharmaceutical form: tablet Route of administration: oral

    Drug: sulfonylurea
    Pharmaceutical form: tablet Route of administration: oral

    Drug: meglitinides
    Pharmaceutical form: tablet Route of administration: oral

    Drug: thiazolidinediones
    Pharmaceutical form: tablet Route of administration: oral

    Drug: alpha-glucosidase inhibitors
    Pharmaceutical form: tablet Route of administration: oral

    Drug: GLP1 Receptor Agonist
    Pharmaceutical form: pen for injection Route of administration: subcutaneous

    Drug: Dipeptidyl peptidase-IV (DPP-IV) inhibitors
    Pharmaceutical form: tablet Route of administration: oral

    Drug: Sodium-glucose transport-2 (SGLT-2) inhibitors
    Pharmaceutical form: tablet Route of administration: oral

    Outcome Measures

    Primary Outcome Measures

    1. Mean change from baseline in HbA1c [Baseline, Week 24]

    Secondary Outcome Measures

    1. Percentage of patients achieving targeted fasting self-monitored blood glucose (SMBG) without experiencing severe and/or confirmed hypoglycemia ≤70mg/dL and <54 mg/dL [At Weeks 12 and 24]

    2. Percentage of patients reaching targeted fasting SMBG (80-130 mg/dL) [At Weeks 12 and 24]

    3. Duration to reach target pre-breakfast SMBG [Baseline, Week 24]

    4. Mean change from baseline in HbA1c [Baseline, Week 12]

    5. Mean change from baseline in SMBG [Baseline, Weeks 12, and 24]

    6. Mean change from baseline in fasting plasma glucose (FPG) [Baseline, Weeks 12, and 24]

    7. Mean change from baseline in Diabetes Treatment Satisfaction Questionnaire (DTSO) scores [Baseline, Week 24]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion criteria :
    • Adult patients with type 2 diabetes mellitus (≥18 years of age).

    • Type 2 diabetes mellitus diagnosis ≥1 year.

    • Treated with ≥1 oral antidiabetics (±glucagon like peptid-1 (GLP-1) analogue) without insulin, for at least 6 months and HbA1c level between 8-11% (insulin-naïve).

    • Stable antidiabetic treatment for at least 3 months.

    • Willingness to adherence to treatment and titration (including self-injection, self- monitoring blood glucose [SMBG]).

    • Signed informed consent obtained.

    Exclusion criteria:
    • Age <18 years old.

    • Type 1 diabetes mellitus.

    • Having secondary type 2 diabetes mellitus.

    • Use of any insulin therapy including premix, basal plus/basal bolus regimen from the diagnosis.

    • History of hypoglycemia unawareness.

    • Known hypersensitivity/intolerance to insulin glargine or any of its excipients.

    • Have any condition (including known substance or alcohol abuse or psychiatric disorder) that precludes the patient from following and completing the study protocol.

    • Use of systemic glucocorticoids for two weeks or more within 12 weeks prior to the time of screening.

    • Pregnant or lactating women.

    • 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.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Turkey Turkey

    Sponsors and Collaborators

    • Sanofi

    Investigators

    • Study Director: Clinical Sciences & Operations, Sanofi

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Sanofi
    ClinicalTrials.gov Identifier:
    NCT02954692
    Other Study ID Numbers:
    • GLARGL07921
    • U1111-1183-8755
    First Posted:
    Nov 3, 2016
    Last Update Posted:
    Jan 14, 2019
    Last Verified:
    Jan 1, 2019

    Study Results

    No Results Posted as of Jan 14, 2019