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CompletedNCT01121835GALAPAGOSUpdated Apr 4, 2013

Insulins Glargine and gluLisine strAtegy Versus Premixed Insulin strAteGy: a cOmparative Study

A Phase 4 interventional study of INSULIN GLARGINE and INSULIN GLULISINE in Diabetes Mellitus, Type 2, sponsored by Sanofi. Completed at 96 sites in 16 countries. Open to participants aged 35 Years and older. Per ClinicalTrials.gov, last updated 2013-04-04.

Sponsored by Sanofi · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
934
Allocation
Randomized
Ages
35 Years and older
Sex
All
01

Study summary

Primary Objective:

To demonstrate the superiority of a strategy with insulin glargine in comparison with a strategy including the premixed insulin in term of percentage of patients reaching HbA1c (glycosylated hemoglobin) below 7% at the end of treatment and who do not experience documented symptomatic hypoglycemia (confirmed by a Plasma Glucose (PG) below 56 mg/dL (3.1 mmol/L)) over a 24-week treatment period, in Type 2 diabetes patients failing lifestyle management and oral agents.

Secondary Objectives:

To assess the effect of insulin glargine in comparison with premixed insulin on :

  • Evolution of HbA1c level during the treatment period Percentage of patients who reach the target of HbA1c \< 7 % and who do not experience documented symptomatic hypoglycemia confirmed by a Plasma Glucose (PG) below 70 mg/dL (3.9 mmol/L)
  • Percentage of patients who reach the target of HbA1c \< 6.5% and who do not experience documented symptomatic hypoglycemia confirmed by a PG below 56 mg/dL (3.1 mmol/L) >Percentage of patients who reach the target of HbA1c \< 6.5% and who do not experience documented symptomatic hypoglycemia confirmed by a PG below 70 mg/dL (3.9 mmol/L) >Evolution of Fasting Plasma Glucose Evolution of 7-point plasma glucose profiles
  • Evolution of weight
  • Hypoglycemia occurrence
  • Dose of insulins
  • Evolution of liver function
  • Overall safety
02

Conditions studied

  • Diabetes Mellitus, Type 2
03

In context

Diabetes Mellitus, Type 2

9,359 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,318 are open to participants now.

This study's enrollment of 934 is above the median of 80 across 7,525 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 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
35 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Type 2 diabetes diagnosed for more than 1 year
  • Insulin naïve
  • Treated with lifestyle interventions and oral antidiabetic drugs, at least metformin at the maximum tolerated dose (with a minimum dose of 1g/day), for at least 3 months
  • HbA1c ≥ 7.0 % and ≤ 10.5%
  • Body mass index (BMI) ≤ 40 kg/m2
  • Ability and willingness to perform plasma glucose (PG) monitoring using the sponsor-provided glucose meter and to complete the patient diary
  • Willingness and ability to comply with the study protocol
  • Signed informed consent obtained prior any study procedure

Exclusion criteria

Exclusion criteria:

  • Treatment with glucagon-like peptide-1 (GLP-1) agonists in the 3 months prior to study entry
  • Previous treatment with insulin (except for treatment of gestational diabetes or brief treatment with insulin for less than 1 week)
  • Diabetes other than type 2 diabetes (e.g. type 1 diabetes, diabetes secondary to pancreatic disorders, drug or chemical agent intake)
  • Pregnant or lactating women (women of childbearing potential must have a negative pregnancy test at study entry and a medically approved contraception method)
  • Hospitalized patient (except for routine diabetes check-up)
  • Active proliferative retinopathy, as defined by a photocoagulation or vitrectomy occurrence in the 6 months prior to study entry, or any other unstable (rapidly progressing) retinopathy that may require photocoagulation or surgical treatment during the study, documented by retina examination, in the 2 years prior to study entry
  • History of sensitivity to the study drugs or to drugs with a similar chemical structure
  • Impaired renal function: creatinine clearance \< 60ml/min
  • Impaired liver function (ALT, AST > 3 x upper limit of normal range)
  • Severe gastro-intestinal disease
  • Treatment with corticosteroids with potential systemic action within the 3 months prior to study entry
  • Likelihood of requiring treatments during the study which are not permitted
  • Treatment with an investigational product in the 30 days prior to study entry
  • Alcohol or drug abuse within the last 5 years

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
934 participants (actual)

Study arms

  • Experimental
    Insulin glargine

    Administered once a day in the evening, at the same time every day. The starting daily dose is 0.2 U/Kg of body weight or 12 U, at the investigator's decision. Insulin glulisine is administered for patients of the insulin glargine group requiring insulin glulisine at week 12 (visit 11). Insulin glulisine is administered prior (10-15 min) to the main meal of the day, which is the meal with highest Post-Prandial Plasma Glucose (PPPG) on the 3 profiles performed before week 12. Starting dose is of 4 units per day.

    Drug: INSULIN GLARGINE · Drug: INSULIN GLULISINE

  • Experimental
    Premixed insulin

    administered once a day (in the evening at dinner) or twice a day (in the morning before breakfast and in the evening at dinner). Starting daily dose will be 6 U at breakfast and 6 U at dinner, if administered twice a day or 12 U at dinner if administered once a day

    Drug: PREMIXED INSULIN

Interventions

  • DrugINSULIN GLARGINE

    Pharmaceutical form: solution for injection Route of administration: sub-cutaneous injection Dose regimen: 100 Units/mL solution for injection in a pre-filled SoloStar pen (3 ml)

  • DrugINSULIN GLULISINE

    Pharmaceutical form: solution for injection Route of administration: sub-cutaneous Dose regimen: 100 Units/mL solution for injection in a pre-filled SoloStar pen (3 mL)

  • DrugPREMIXED INSULIN

    Pharmaceutical form: solution for injection Route of administration: sub-cutaneous Dose regimen: - 30% soluble insulin aspart and 70 % protamine-crystallised insulin aspart in pre-filled Flexpen for all the countries except Mexico * 25 % insulin lispro solution and 75% insulin lispro protamine in cartridges for Humapen Luxura for Mexico only

06

What researchers measure

Primary outcomes

  1. Percentage of patients with Glycosylated Haemoglobin (HbA1c) <7% with no documented symptomatic hypoglycemia (confirmed by a Plasma Glucose (PG) ≤ 56 mg/dL [3.1 mmol/L]

    Time frame: From baseline (visit 2, week 0) to visit 14 (week 24)

Secondary outcomes

  1. 7-point plasma glucose (PG) profile recorded on 3 consecutive days

    Time frame: From baseline (visit 2, week 0) to visit 14 (week 24)

  2. Self-monitored PG (Plasma Glucose) values over 3 consecutive days

    Time frame: before visit 4 (week 2)

  3. Self-monitored PG (Plasma Glucose) values over 3 consecutive days

    Time frame: before visit 8 (week 6)

  4. Self-monitored PG (Plasma Glucose) values over 3 consecutive days

    Time frame: before visit 12 (week 16)

  5. Weight and supine blood pressure

    Time frame: From baseline (visit 2, week 0) to visit 14 (week 24)

  6. Insulin doses of the day before each visit

    Time frame: from visit 3 (week 1) to visit 14 (week 24)

  7. Biochemistry and lipid profile

    Time frame: From baseline (visit 2, week 0) to visit 14 (week 24)

07

Study locations

96 sites
  • Investigational Site Number 040-004
    Sankt Stefan, A-8511, Austria
  • Investigational Site Number 040-002
    Vienna, A-1030, Austria
  • Investigational Site Number 040-001
    Vienna, Austria
  • Investigational Site Number 040-003
    Vienna, Austria
  • Investigational Site Number 076002
    Belém, 66073-000, Brazil
  • Investigational Site Number 076005
    Curitiba, 80060-900, Brazil
  • Investigational Site Number 076004
    Fortaleza, 60430-370, Brazil
  • Investigational Site Number 076001
    Porto Alegre, 90035-001, Brazil
  • Investigational Site Number 076003
    São Paulo, 04024-002, Brazil
  • Investigational Site Number 156004
    Beijing, China
  • Investigational Site Number 156005
    Beijing, China
  • Investigational Site Number 156006
    Beijing, China
  • Investigational Site Number 156011
    Chongqing, China
  • Investigational Site Number 156009
    Dalian, China
  • Investigational Site Number 156008
    Guangzhou, China
  • Investigational Site Number 156012
    Haikou, China
  • Investigational Site Number 156007
    Nanjing, China
  • Investigational Site Number 156001
    Shanghai, China
  • Investigational Site Number 156002
    Shanghai, China
  • Investigational Site Number 156003
    Shanghai, China
  • Investigational Site Number 156010
    Shenyang, China
  • Investigational Site Number 170001
    Bogota, Colombia
  • Investigational Site Number 170002
    Bogota, Colombia
  • Investigational Site Number 170003
    Bucaramanga, Colombia
  • Investigational Site Number 170005
    Manizales, 170, Colombia
  • Investigational Site Number 170004
    Pereira, 170, Colombia
  • Investigational Site Number 208-001
    Hvidovre, 2650, Denmark
  • Investigational Site Number 208-003
    København NV., 2400, Denmark
  • Investigational Site Number 208-002
    København S., 2300, Denmark
  • Investigational Site Number 300006
    Alexandroupolis, 68100, Greece
  • Investigational Site Number 300001
    Athens, Greece
  • Investigational Site Number 300002
    Athens, Greece
  • Investigational Site Number 300003
    Athens, Greece
  • Investigational Site Number 300004
    Athens, Greece
  • Investigational Site Number 300005
    Iraklion, 71001, Greece
  • Investigational Site Number 300011
    Maroussi, Athens, 15123, Greece
  • Investigational Site Number 300008
    Thessaloniki, 546 36, Greece
  • Investigational Site Number 300010
    Thessaloniki, 56429, Greece
  • Investigational Site Number 300007
    Thessaloniki, 57010, Greece
  • Investigational Site Number 356008
    Bangalore, 560043, India
  • Investigational Site Number 356003
    Bangalore, 560052, India
  • Investigational Site Number 356007
    Bangalore, 560092, India
  • Investigational Site Number 356006
    Bhubaneshwar, 751019, India
  • Investigational Site Number 356001
    Hyderabad, 500034, India
  • Investigational Site Number 356005
    Hyderabad, 500034, India
  • Investigational Site Number 356004
    Trivandrum, India
  • Investigational Site Number 380-010
    Catania, 95122, Italy
  • Investigational Site Number 380-008
    Catania, 95124, Italy
  • Investigational Site Number 380-006
    Colleferro, 00034, Italy
  • Investigational Site Number 380-007
    Foggia, 71100, Italy
  • Investigational Site Number 380-005
    Forlì, Italy
  • Investigational Site Number 380-001
    Genova, 16132, Italy
  • Investigational Site Number 380-011
    Merano, 39100, Italy
  • Investigational Site Number 380-009
    Napoli, 80131, Italy
  • Investigational Site Number 380-012
    Napoli, 80131, Italy
  • Investigational Site Number 380-004
    Parma, 43100, Italy
  • Investigational Site Number 410004
    Ansan-si, Kyouggi-do, Korea, Republic of
  • Investigational Site Number 410003
    Koyang-si, Korea, Republic of
  • Investigational Site Number 410001
    Seoul, Korea, Republic of
  • Investigational Site Number 410002
    Seoul, Korea, Republic of
  • Investigational Site Number 001
    Kuwait, Kuwait
  • Investigational Site Number 484004
    Aguascalientes, 20020, Mexico
  • Investigational Site Number 484001
    Aguascalientes, 20230, Mexico
  • Investigational Site Number 484003
    Guadalajara, 44650, Mexico
  • Investigational Site Number 484002
    Guadalajara, 44680, Mexico
  • Investigational Site Number 484005
    Puebla, 72000, Mexico
  • Investigational Site Number 642001
    Iasi, 700111, Romania
  • Investigational Site Number 642002
    Iasi, Romania
  • Investigational Site Number 642003
    Oradea, 410169, Romania
  • Investigational Site Number 724001
    Avila, 05071, Spain
  • Investigational Site Number 724002
    Barcelona, 08022, Spain
  • Investigational Site Number 724008
    Galdakao, 48960, Spain
  • Investigational Site Number 724007
    Lugo, 27004, Spain
  • Investigational Site Number 724004
    Madrid, 28805, Spain
  • Investigational Site Number 724009
    Pamplona, 31008, Spain
  • Investigational Site Number 724005
    Santa Coloma de Gramanet, 8923, Spain
  • Investigational Site Number 724003
    Sevilla, 41010, Spain
  • Investigational Site Number 724006
    Valencia, 46010, Spain
  • Investigational Site Number 158004
    Changhua County, Taiwan
  • Investigational Site Number 158003
    Hsintien, 23137, Taiwan
  • Investigational Site Number 158007
    Kaohsiung Hsien,, Taiwan
  • Investigational Site Number 158006
    New Taipei city, Taiwan
  • Investigational Site Number 158009
    Taichung City, Taiwan
  • Investigational Site Number 158001
    Taichung, 407, Taiwan
  • Investigational Site Number 158005
    Tainan, Taiwan
  • Investigational Site Number 158002
    Taipei, Taiwan
  • Investigational Site Number 792-013
    Ankara, 06100, Turkey
  • Investigational Site Number 792-009
    Canakkale, 17110, Turkey
  • Investigational Site Number 792-006
    Diyarbakir, 21830, Turkey
  • Investigational Site Number 792-004
    Istanbul, 34098, Turkey
  • Investigational Site Number 792-001
    Izmir, 35340, Turkey
  • Investigational Site Number 792-016
    Konya, Turkey
  • Investigational Site Number 792-007
    Sivas, 58140, Turkey
  • Investigational Site Number 792-005
    Trabzon, Turkey
  • Investigational Site Number 792-002
    Van, 65080, Turkey
  • Investigational Site Number 784-001
    Dubai, United Arab Emirates
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 4, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01121835
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
May 12, 2010
Start date
Feb 2010
Primary completion
Mar 2012
Completion
Mar 2012
Last update
Apr 4, 2013

Study contacts

Clinical Sciences & Operations
study director · Sanofi
View the source record on ClinicalTrials.gov ↗

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