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CompletedNCT02027753TEDUpdated Aug 27, 2015

Efficacy and Safety of Insulin Glargine in Patients With Type 2 Diabetes With Inadequate Control on DPP-4 Inhibitor Therapy

A Phase 4 interventional study of INSULIN GLARGINE and Metformin in Diabetes Mellitus, Type 2, sponsored by Sanofi. Completed at 1 site in Korea, Republic of. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2015-08-27.

Sponsored by Sanofi · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
109
Allocation
Not applicable
Ages
20 Years and older
Sex
All
01

Study summary

Primary Objective:

To investigate the efficacy(HbA1c) at 6 months after adding basal insulin therapy (insulin glargine) to dipeptidyl peptidase-IV (DPP-IV) and metformin plus or minus sulphonylurea

Secondary Objectives:

  1. To assess the efficacy by adding insulin glargine
  2. To assess insulin dose
  3. Safety
Read the detailed description

28 weeks (Screening: About 2 weeks/Treatment: 24 weeks (6 months)/Follow-up: 2 weeks)

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 109 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
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with type 2 Diabetes mellitus ≥ 20 aged
  • Patients who are treated with DPP- 4 for at least 3 months before informed consent with metformin plus or minus sulphonylurea inadequately controlled with HbA1c ≥ 7.5%
  • Be able and voluntarily agree to participate in this study by signing a written informed consent

Exclusion criteria

Exclusion criteria:

  • Diabetes patients other than Type 2 (eg. Type 1 Diabetes mellitus, pancreatic disease, secondary diabetes)
  • HbA1c > 11% at screening
  • History of continuous basal insulin treatment within 1 year before screening
  • History of diabetic acidosis (including keto-acidosis) within 1 year before screening
  • History of myocardial infarct, stroke or heart failure related admission within 3 months before screening
  • History of drug or alcoholic abuse within 6 months before screening
  • Weight change ≥ 5 kg within 3 months before screening
  • History of hypoglycemic unawareness
  • Systolic blood pressure >180 mmHg or diastolic blood pressure > 110 mmHg regardless of taking anti-hypertensive, or uncontrolled hypertension
  • Active malignant cancer, major systemic disease, clinically significant diabetic retinopathy, macular edema necessitating laser treatment, abnormal clinical finding from physical examination, lab analysis, electrocardiogram or vital sign, which can be regarded as to prevent safe completion of clinical study or to make efficacy assessment difficult by investigator or co-investigator at screening
  • Pregnant or lactating women
  • Women of child bearing potential (Pre-menopause or not surgically infertile within 3 months before screening) who match two conditions below:
  • Negative serum pregnancy test at screening
  • Using medically proven effective contraceptive method
  • Hypersensitivity to investigational drugs
  • Lab finding at screening:
  • Abnormal liver function: Alanine transaminase or Alkaline phosphatase > 3 times of upper limit of normal range
  • Renal insufficiency: Men with serum Cr ≥ 1.5 mg/dL (≥ 133µmol/L), women with serum Cr ≥ 1.4 mg/dL (≥ 124 µmol/L)
  • Use of anti-obese drug within 3 months before screening
  • Has been using drugs that can influence glucose metabolism (systemic corticosteroid, thyroid hormone) within 3 months before screening or has possibility of using these drug during the investigational period
  • Has participated in clinical studies of any investigational drugs within 3 months before screening
  • Considered not physically or psychologically appropriate to participate in clinical study by investigator
  • Not willing to comply with scheduled visit, self-inject insulin, or self-monitor blood glucose level

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
109 participants (actual)

Study arms

  • Experimental
    Insulin glargine and Oral anti diabetic treatment(s)

    1. Insulin glargine: Lantus * Add basal insulin: starting with 0.2 U/kg/day or 10 U/day * Adjust insulin glargine dose according to Fasting blood glucose 2. Oral Anti Diabetic treatment(s): DPP-4 inhibitors and Metformin plus or minus Sulphonylurea - Only Sulphonylurea can either be omitted or reduced at the physician's discretion.

    Drug: INSULIN GLARGINE · Drug: Metformin · Drug: DPP-4 inhibitor · Drug: Sulphonylurea

Interventions

  • DrugINSULIN GLARGINE

    Pharmaceutical form: solution Route of administration: subcutaneous

  • DrugMetformin

    Pharmaceutical form: tablet Route of administration: oral

  • DrugDPP-4 inhibitor

    Pharmaceutical form: tablet Route of administration: oral

  • DrugSulphonylurea

    Pharmaceutical form: tablet Route of administration: oral

06

What researchers measure

Primary outcomes

  1. Response rate (percentage of patients who meet the target HbA1c ≤7%) at week 24 (6 months) after adding insulin therapy

    Time frame: week 24 (6 months)

Secondary outcomes

  1. Percentage of patients with HbA1c ≤7%

    Time frame: week 12 (3 months)

  2. Change from baseline in HbA1c

    Time frame: week 12 (3 months), week 24 (6 months)

  3. Percentage of patients with HbA1c ≤6.5%

    Time frame: week 12 (3 months), week 24 (6 months)

  4. Change from baseline in Fasting Plasma glucose (FPG), 2hr-Postprandial Plasma Glucose

    Time frame: week 12 (3 months), week 24 (6 months)

  5. Total daily insulin dose

    Time frame: week 24 (6 months)

  6. Fasting blood glucose (FBG) values

    Time frame: During 3 consecutive days before baseline, week 12, Week 24

  7. 7-point Self Monitoring of Blood Glucose

    Time frame: During 2 days within 7 days before baseline, week 12, week 24

  8. Weight change from baseline

    Time frame: week 24 (6 months)

  9. Number of Patients with Hypoglycemic Events

    Time frame: up to 6 months

  10. Number of Patients with Adverse Events

    Time frame: up to 6 months

07

Study locations

1 site
  • Sanofi-Aventis Administrative Office
    Seoul, Korea, Republic of
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 27, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02027753
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Jan 6, 2014
Start date
Dec 2013
Primary completion
Apr 2015
Completion
Apr 2015
Last update
Aug 27, 2015

Study contacts

Clinical Sciences & Operations
study director · Sanofi

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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