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CompletedNCT00949442LANCELOTUpdated Aug 21, 2012

Lantus Versus NPH: Comparison in Insulin Naive People Not Adequately Controlled With at Least One Oral Anti Diabetics (OAD) Treatment

A Phase 4 interventional study of Insulin Glargine (HOE901) [Lantus] and Glimepiride in Diabetes Mellitus, Type 2, sponsored by Sanofi. Completed at 87 sites in 17 countries. Open to participants aged 30 Years to 70 Years. Per ClinicalTrials.gov, last updated 2012-08-21.

Sponsored by Sanofi · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
708
Allocation
Randomized
Ages
30 Years to 70 Years
Sex
All
01

Study summary

Primary Objective:

To demonstrate the superiority of insulin glargine over insulin NPH (Neutral Protamin Hagedornon) the change in HbA1c from baseline to the end of the treatment period.

Secondary Objective:

To compare between treatment groups:

  • Plasma glucose (fasting, nocturnal) over time,
  • Changes from baseline in HbA1c over time,
  • Percentage of patients who reach the target of HbA1c \<7 and \<6.5,
  • Use of prandial insulin as rescue medication at month 6,
  • Incidence and rate of hypoglycemia (symptomatic diurnal and nocturnal, asymptomatic and severe),
  • Daily dose of insulin,
  • Change in body weight from baseline,
  • Evolution of 8-point plasma-glucose (PG) profiles,
  • Overall safety,
  • Patient reported outcomes (treatment satisfaction).
02

Conditions studied

  • Diabetes Mellitus, Type 2
03

In context

Diabetes Mellitus

10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.

This study's enrollment of 708 is above the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Sanofi is the lead sponsor of 1,508 studies on the registry; 90 are open to participants now.

Of its 198 completed or terminated interventional studies of FDA-regulated products, 118 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
30 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Insulin-naïve type 2 diabetes mellitus
  • Type 2 diabetes mellitus diagnosed for at least 1 year
  • Treated with at least one OAD (Metformin [daily dose of at least 1000mg], Sulfonylurea, glinides or alpha-glucosidase inhibitor) at stable dose for at least 3 months.
  • HbA1c > or = 7.0% and \< or = 10.5%
  • BMI \< 40 kg/m²
  • Ability and willingness to perform plasma glucose monitoring using the sponsor-provided glucose meter and patient diary at home
  • Informed consent obtained in writing at enrolment into the study
  • Willingness and ability to comply with the study protocol

Exclusion criteria

Exclusion criteria:

  • Treatment with GLP-1 agonists or with DPP-IV inhibitors in the 3 months prior to study entry
  • Treatment with TZD as monotherapy
  • Diabetes mellitus other than Type 2 (e.g. secondary to pancreatic disorders, drugs or chemical agents intake...)
  • Active proliferative retinopathy, as defined by a photocoagulation or vitrectomy occurrence in the 6 months prior to visit 1, or any other unstable (rapidly progressing) retinopathy that may require photocoagulation or surgical treatment during the study (an optic fundus examination should have been performed within the 2 years prior to study entry)
  • Impaired renal function: serum creatinine > or =1.5 mg/dL (> or = 133µmol/L) or > or = 1.4 mg/dL (> or = 124 µmol/L) in men and women, respectively
  • History of sensitivity to the study drugs or to drugs with a similar chemical structure
  • Impaired hepatic function (ALT and/or AST > 3 x upper limit of normal range)
  • Pregnant or lactating women (women of childbearing potential must have a negative pregnancy test at study entry and a medically approved contraception method),
  • Treatment with systemic corticosteroids within the 3 months prior to study entry or likelihood of requiring treatments during the study which are not permitted.
  • Treatment with an investigational product in the 30 days prior to visit 1
  • Alcohol or drug abuse in the last year
  • Presence of any condition (medical, psychological, social or geographical), current or anticipated that the Investigator feels would compromise the patient's safety or limit the patient successful participation in the study (including night shift worker)

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

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
708 participants (actual)

Study arms

  • Experimental
    1

    Before randomization (common with arm 2): 2 weeks of Screening phase: Oral Anti Diabetics (OAD) 2 weeks of Run-In phase: switch of OAD (Sulfonylurea (except Glimepiride), glinides or alpha-glucosidase inhibitor) to Glimepiride After randomization: 36 weeks of study treatment phase: Insulin Glargine + OAD(s) at stable dose

    Drug: Insulin Glargine (HOE901) [Lantus] · Drug: Glimepiride

  • Active comparator
    2

    Before randomization (common with arm 1): 2 weeks of Screening phase: Oral Anti Diabetics (OAD) 2 weeks of Run-In phase: switch of OAD (Sulfonylurea (except Glimepiride), glinides or alpha-glucosidase inhibitor) to Glimepiride After randomization: 36 weeks of study treatment phase: NPH + OAD(s) at stable dose

    Drug: Glimepiride · Drug: human insulin [NPH]

Interventions

  • DrugInsulin Glargine (HOE901) [Lantus]

    100 Units/ml solution for injection in a pre-filled pen SoloStar® (3 ml)

  • DrugGlimepiride

    tablets of 1 and 2 mg

  • Drughuman insulin [NPH]

    100 IU/ml suspension for injection in a prefilled pen OptiSet® (3 ml)

06

What researchers measure

Primary outcomes

  1. HbA1c

    Time frame: Recorded at baseline (week 0), week 12, week 24 and week 36

Secondary outcomes

  1. Self-monitored fasting plasma glucose (FPG)

    Time frame: Before baseline (week 0), weeks 12, 24 and 36

  2. 8-points profiles

    Time frame: The week before baseline, at 12, 24 and 36 weeks

  3. Episodes of hypoglycemia

    Time frame: From the week -2 to the week 36

  4. Daily doses of insulin

    Time frame: At week 1, week 2, week 3, week 4, week 6, week 8, week 10, week 12, week 14, week 16, week 20, week 24, week 28, week 32, week 36

  5. Need of additional prandial insulin

    Time frame: At week 24

07

Study locations

87 sites
  • Investigational Site Number 076-001
    Fortaleza, 60115-282, Brazil
  • Investigational Site Number 076-006
    Fortaleza, 60430-370, Brazil
  • Investigational Site Number 076-005
    Porto Alegre, 90035-170, Brazil
  • Investigational Site Number 076-007
    Rio de Janeiro, 202110340, Brazil
  • Investigational Site Number 076-004
    São Paulo, 01221-000, Brazil
  • Investigational Site Number 076-003
    São Paulo, 01244-030, Brazil
  • Investigational Site Number 076-002
    São Paulo, 04024-002, Brazil
  • Investigational Site Number 203003
    Beroun, 26601, Czech Republic
  • Investigational Site Number 203008
    Ceske Budejovice, 37001, Czech Republic
  • Investigational Site Number 203011
    Ceske Budejovice, 37007, Czech Republic
  • Investigational Site Number 203001
    Chrudim III, 53701, Czech Republic
  • Investigational Site Number 203006
    Hodonin, 69501, Czech Republic
  • Investigational Site Number 203002
    Hranice I - Mesto, 75301, Czech Republic
  • Investigational Site Number 203010
    Liberec, 46001, Czech Republic
  • Investigational Site Number 203009
    Moravsky Pisek, 39701, Czech Republic
  • Investigational Site Number 203004
    Praha 10, 10000, Czech Republic
  • Investigational Site Number 203005
    Praha 10, 10000, Czech Republic
  • Investigational Site Number 203007
    Praha 6, 16300, Czech Republic
  • Investigational Site Number 818001
    Menoufiya, Egypt
  • Investigational Site Number 250-002
    Aix En Provence, 13100, France
  • Investigational Site Number 250-001
    Antibes, 06600, France
  • Investigational Site Number 250-005
    Bordeaux, 33200, France
  • Investigational Site Number 250-004
    Jarny, 54800, France
  • Investigational Site Number 250-003
    NARBONNE Cedex, 11018, France
  • Investigational Site Number 250-006
    Strasbourg, 67000, France
  • Investigational Site Number 380001
    Perugia, 06156, Italy
  • Investigational Site Number 410005
    Daegu, Korea, Republic of
  • Investigational Site Number 410002
    Gyeonggi-Do, 420-717, Korea, Republic of
  • Investigational Site Number 410006
    Incheon, 400-711, Korea, Republic of
  • Investigational Site Number 410001
    Seoul, 137-701, Korea, Republic of
  • Investigational Site Number 410003
    Seoul, Korea, Republic of
  • Investigational Site Number 410004
    Seoul, Korea, Republic of
  • Investigational Site Number 414001
    Kuwait, Kuwait
  • Investigational Site Number 484003
    Guadalajara, 44150, Mexico
  • Investigational Site Number 484005
    Guadalajara, 44650, Mexico
  • Investigational Site Number 484001
    Monterrey, 64710, Mexico
  • Investigational Site Number 484008
    Pachuca, 042090, Mexico
  • Investigational Site Number 484009
    Pachuca, 42086, Mexico
  • Investigational Site Number 484002
    Puebla, 72190, Mexico
  • Investigational Site Number 528006
    Almelo, 7600SZ, Netherlands
  • Investigational Site Number 528005
    Apeldoorn, 7314 ET, Netherlands
  • Investigational Site Number 528001
    Beek, 6191JW, Netherlands
  • Investigational Site Number 528002
    Hoogeveen, 7909AA, Netherlands
  • Investigational Site Number 528004
    Hoogezand, 9603AE, Netherlands
  • Investigational Site Number 528003
    Rotterdam, 3053CD, Netherlands
  • Investigational Site Number 616004
    Gdansk, 80-211, Poland
  • Investigational Site Number 616003
    Kraków, 31-262, Poland
  • Investigational Site Number 616002
    Lublin, 20-954, Poland
  • Investigational Site Number 616001
    Zabrze, 41-800, Poland
  • Investigational Site Number 642001
    Bucharest, Romania
  • Investigational Site Number 642002
    Bucharest, Romania
  • Investigational Site Number 642009
    Cluj-Napoca, Romania
  • Investigational Site Number 642003
    Craiova, Romania
  • Investigational Site Number 642005
    Iasi, Romania
  • Investigational Site Number 642010
    Oradea, Romania
  • Investigational Site Number 642011
    Oradea, Romania
  • Investigational Site Number 642007
    Ploiesti, Romania
  • Investigational Site Number 642004
    Resita, Romania
  • Investigational Site Number 642008
    Targu-Mures, Romania
  • Investigational Site Number 642012
    Timisoara, Romania
  • Investigational Site Number 643-001
    Moscow, Russian Federation
  • Investigational Site Number 643-006
    Samara, Russian Federation
  • Investigational Site Number 643-005
    Saratov, Russian Federation
  • Investigational Site Number 643-002
    St-Petersburg, 195257, Russian Federation
  • Investigational Site Number 643-003
    St-Petersburg, Russian Federation
  • Investigational Site Number 643-004
    St-Ptetersburg, 194354, Russian Federation
  • Investigational Site Number 643-007
    Tyumen, 625046, Russian Federation
  • Investigational Site Number 703005
    Banská Bystrica, 97517, Slovakia
  • Investigational Site Number 703003
    Bratislava, 81102, Slovakia
  • Investigational Site Number 703007
    Bratislava, 82606, Slovakia
  • Investigational Site Number 703004
    Kosice, 04001, Slovakia
  • Investigational Site Number 703006
    Kosice, 04001, Slovakia
  • Investigational Site Number 703002
    Kosice, 04011, Slovakia
  • Investigational Site Number 703008
    Levice, 93401, Slovakia
  • Investigational Site Number 703001
    Martin, 03659, Slovakia
  • Investigational Site Number 752004
    Lund, 22361, Sweden
  • Investigational Site Number 752002
    Malmö, 21120, Sweden
  • Investigational Site Number 752003
    Skene, 51162, Sweden
  • Investigational Site Number 752001
    Stockholm, 17176, Sweden
  • Investigational Site Number 756001
    Geneve, 1205, Switzerland
  • Investigational Site Number 764004
    Bangkok, 10330, Thailand
  • Investigational Site Number 764001
    Bangkok, 10400, Thailand
  • Investigational Site Number 764002
    Chiangmai, 50002, Thailand
  • Investigational Site Number 764003
    Khon Kaen, 40002, Thailand
  • Investigational Site Number 764006
    Nakhonratchasima, 30000, Thailand
  • Investigational Site Number 764005
    Pathumthani, 12120, Thailand
  • Investigational Site Number 784-001
    Dubai, 4545, United Arab Emirates
08

References and documents

Publications

  • Semlitsch T, Engler J, Siebenhofer A, Jeitler K, Berghold A, Horvath K. (Ultra-)long-acting insulin analogues versus NPH insulin (human isophane insulin) for adults with type 2 diabetes mellitus. Cochrane Database Syst Rev. 2020 Nov 9;11(11):CD005613. doi: 10.1002/14651858.CD005613.pub4. PubMed 33166419 ↗
  • Home PD, Bolli GB, Mathieu C, Deerochanawong C, Landgraf W, Candelas C, Pilorget V, Dain MP, Riddle MC. Modulation of insulin dose titration using a hypoglycaemia-sensitive algorithm: insulin glargine versus neutral protamine Hagedorn insulin in insulin-naive people with type 2 diabetes. Diabetes Obes Metab. 2015 Jan;17(1):15-22. doi: 10.1111/dom.12329. Epub 2014 Jul 12. PubMed 24957785 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 21, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00949442
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Jul 30, 2009
Start date
Jul 2009
Primary completion
Jul 2012
Completion
Jul 2012
Last update
Aug 21, 2012

Study contacts

Valerie Pilorget, MD
study director · Sanofi
View the source record on ClinicalTrials.gov ↗

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