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CompletedNCT02666430Updated Mar 3, 2022Results posted

Extension Study to Assess Safety and Efficacy of Mylan's Insulin Glargine and Lantus® in Type 1 Diabetes Mellitus (T1DM) Patients

A Phase 3 interventional study of Mylan's insulin glargine and Lantus® in Type 1 Diabetes Mellitus, sponsored by Mylan Inc.. Completed at 81 sites in 8 countries. Open to participants aged 18 Years to 66 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-03-03.

Sponsored by Mylan Inc. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
127
Allocation
Randomized
Ages
18 Years to 66 Years
Sex
All
01

Study summary

The aim of this extension study is to assess the safety and efficacy of Mylan's insulin glargine and Lantus® in T1DM patients.

Read the detailed description

This multi-center, open-label, randomized clinical extension study in patients with T1DM will assess safety and efficacy of Mylan's insulin glargine and Lantus®.

Patients with an established diagnosis of T1DM per American Diabetes Association 2014 criteria who were randomized to the Lantus® treatment arm of the Mylan Glargine 3001 study, and who have completed the 52-week treatment period on Lantus® will be eligible to be screened for the MYL-1501D-3003 study.

02

Conditions studied

  • Type 1 Diabetes Mellitus
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 127 is above the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Mylan Inc. is the lead sponsor of 43 studies on the registry; none are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 9 (100%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 66 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Patients who have completed the 52-week treatment period (irrespective of their age at the completion of MYL-GAI-3001 trial) of the MYL-GAI-3001 trial and were assigned to Lantus® in that study.
  2. Patients or their legal representatives must give written and signed informed consent before starting any protocol-specific procedures.
  3. The patient is able and willing to comply with the requirements of the extension study protocol including the 8-point self-monitoring blood glucose, completion of patient diary records as instructed and following a recommended diet and exercise plan for the entire duration of the extension study.
  4. Female patients complying with the following:

    • Female patients of childbearing potential must be using oral contraception or two other acceptable methods of contraception, (e.g., intra-uterine device plus condom, spermicidal gel plus condom, diaphragm plus condom, etc.) from the time of randomization throughout the entire study.
    • Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception.
    • Postmenopausal females must have had no menstrual bleeding for at least 1 year prior to inclusion in MYL-GAI-3001 study.
    • Female patients who report surgical sterilization must have had the procedure at least 6 months prior to inclusion to MYL-GAI-3001 study.
    • All female patients of childbearing potential, must have negative pregnancy test results at baseline (week 0) and at each clinic visit as per the SCHEDULE OF ACTIVITIES.
    • If female patients have male partners who have undergone vasectomy, the vasectomy must have occurred more than 6 months prior to inclusion in MYL-GAI-3001 study.

Exclusion criteria

Exclusion Criteria:

  1. History or presence of a medical condition or disease that in the Investigator's opinion would place the patient at an unacceptable risk from trial participation.
  2. History of clinically significant (i.e., significant enough to alter the insulin dose requirement, as per the Investigator) acute bacterial, viral or fungal systemic infections in the 4 weeks prior to inclusion / randomization (recorded while collecting patient history) in to the MYL-1501D-3003 extension study
  3. Patients scheduled to receive another investigational drug during the extension study period
  4. Any major elective surgery requiring hospitalization planned during the extension study period.
  5. Moderate insulin resistance, defined as requiring insulin (Basal + Prandial) of ≥1.5 U/kg/day (Lantus® in U/kg/day or Mylan's insulin glargine in IU/kg/day).
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
127 participants (actual)

Study arms

  • Experimental
    Mylan's insulin glargine

    Patients will be administered either Mylan insulin glargine or Lantus® subcutaneously, once daily in combination with lispro and titrated based on blood glucose readings per standard of care for a total of thirty-six (36) weeks, split into three cycles of twelve (12) weeks each.

    Drug: Mylan's insulin glargine

  • Active comparator
    Lantus®

    Patients will be administered either Mylan insulin glargine or Lantus® subcutaneously, once daily in combination with lispro and titrated based on blood glucose readings per standard of care for a total of thirty-six (36) weeks, split into three cycles of twelve (12) weeks each.

    Drug: Lantus®

Interventions

  • DrugMylan's insulin glargine
  • DrugLantus®
06

What researchers measure

Primary outcomes

  1. Change in Hemoglobin A1c (HbA1c) From Baseline

    Time frame: Baseline to 36 weeks

Secondary outcomes

  1. Change From Baseline in Fasting Plasma Glucose

    Time frame: Baseline to 36 weeks

  2. Overall Average of Self-monitoring Blood Glucose (SMBG) Change From Baseline

    Time frame: Baseline to 36 weeks

  3. Change From Baseline Total Daily Insulin Dose

    Time frame: Baseline to 36 weeks

  4. Local and Systemic Allergic Reactions

    Time frame: Baseline to 40 weeks

  5. Hypoglycemic Rate

    Time frame: Baseline to 36 weeks

  6. Hypoglycemic Incidence

    Time frame: Baseline to 36 weeks

  7. Change From Baseline in Total Insulin Antibodies - Mylan Insulin Glargine Assay

    Time frame: Baseline to 36 weeks

  8. Change From Baseline in Total Insulin Antibodies - Lantus Assay

    Time frame: Baseline to 36 weeks

  9. Change From Baseline in Cross-Reactive Insulin Antibody - Mylan Insulin Glargine Assay

    Time frame: Baseline to 36 weeks

  10. Change From Baseline in Cross-Reactive Insulin Antibody - Lantus Assay

    Time frame: Baseline to 36 weeks

07

Results

Posted Sep 14, 2020

Participant flow

Baseline
Participant flow — Baseline
MilestoneMylan's Insulin Glargine SequenceLantus® Sequence
Started6463
Completed6463
Not completed00
Period 1
Participant flow — Period 1
MilestoneMylan's Insulin Glargine SequenceLantus® Sequence
Started6463
Completed6362
Not completed11
Withdrew: Lost to follow-up10
Withdrew: Adverse event01
Period 2
Participant flow — Period 2
MilestoneMylan's Insulin Glargine SequenceLantus® Sequence
Started6362
Completed6258
Not completed14
Withdrew: Withdrawal by subject14
Period 3
Participant flow — Period 3
MilestoneMylan's Insulin Glargine SequenceLantus® Sequence
Started6258
Completed6158
Not completed10
Withdrew: Lost to follow-up10

Outcome measures

PrimaryChange in Hemoglobin A1c (HbA1c) From Baseline
Time frame:
Baseline to 36 weeks
Reported as:
Least squares mean · percent
Change in Hemoglobin A1c (HbA1c) From Baseline
percentMylan's Insulin GlargineLantus®
Change in Hemoglobin A1c (HbA1c) From Baseline-0.05 ± 0.032-0.06 ± 0.034
SecondaryChange From Baseline in Fasting Plasma Glucose
Time frame:
Baseline to 36 weeks
Reported as:
Mean · mmol/L
Change From Baseline in Fasting Plasma Glucose
mmol/LMylan's Insulin GlargineLantus®
Change From Baseline in Fasting Plasma Glucose-0.56 ± 3.4580.10 ± 4.521
SecondaryOverall Average of Self-monitoring Blood Glucose (SMBG) Change From Baseline
Time frame:
Baseline to 36 weeks
Reported as:
Mean · mmol/L
Overall Average of Self-monitoring Blood Glucose (SMBG) Change From Baseline
mmol/LMylan's Insulin GlargineLantus®
Overall Average of Self-monitoring Blood Glucose (SMBG) Change From Baseline-0.144 ± 1.2569-0.426 ± 1.1243
SecondaryChange From Baseline Total Daily Insulin Dose
Time frame:
Baseline to 36 weeks
Reported as:
Mean · Units per kilogram
Change From Baseline Total Daily Insulin Dose
Units per kilogramMylan's Insulin GlargineLantus®
Change From Baseline Total Daily Insulin Dose0.0016 ± 0.092390.0023 ± 0.07712
SecondaryLocal and Systemic Allergic Reactions
Time frame:
Baseline to 40 weeks
Reported as:
Number · participants
Local and Systemic Allergic Reactions
participantsMylan's Insulin GlargineLantus®
Local11
Systemic10
SecondaryHypoglycemic Rate
Time frame:
Baseline to 36 weeks
Reported as:
Mean · episodes/30 days
Hypoglycemic Rate
episodes/30 daysMylan's Insulin GlargineLantus®
Hypoglycemic Rate0.627 ± 2.71800.410 ± 4.0911
SecondaryHypoglycemic Incidence
Time frame:
Baseline to 36 weeks
Reported as:
Number · events
Hypoglycemic Incidence
eventsMylan's Insulin GlargineLantus®
Hypoglycemic Incidence5857
SecondaryChange From Baseline in Total Insulin Antibodies - Mylan Insulin Glargine Assay
Time frame:
Baseline to 36 weeks
Reported as:
Mean · percent binding
Change From Baseline in Total Insulin Antibodies - Mylan Insulin Glargine Assay
percent bindingMylan's Insulin GlargineLantus®
Change From Baseline in Total Insulin Antibodies - Mylan Insulin Glargine Assay-2.098 ± 5.3826-2.474 ± 5.2505
SecondaryChange From Baseline in Total Insulin Antibodies - Lantus Assay
Time frame:
Baseline to 36 weeks
Reported as:
Mean · percent binding
Change From Baseline in Total Insulin Antibodies - Lantus Assay
percent bindingMylan's Insulin GlargineLantus®
Change From Baseline in Total Insulin Antibodies - Lantus Assay-1.288 ± 4.9617-2.351 ± 5.374
SecondaryChange From Baseline in Cross-Reactive Insulin Antibody - Mylan Insulin Glargine Assay
Time frame:
Baseline to 36 weeks
Reported as:
Mean · percent binding
Change From Baseline in Cross-Reactive Insulin Antibody - Mylan Insulin Glargine Assay
percent bindingMylan's Insulin GlargineLantus®
Change From Baseline in Cross-Reactive Insulin Antibody - Mylan Insulin Glargine Assay-2.051 ± 5.3697-2.252 ± 5.1904
SecondaryChange From Baseline in Cross-Reactive Insulin Antibody - Lantus Assay
Time frame:
Baseline to 36 weeks
Reported as:
Mean · percent binding
Change From Baseline in Cross-Reactive Insulin Antibody - Lantus Assay
percent bindingMylan's Insulin GlargineLantus®
Change From Baseline in Cross-Reactive Insulin Antibody - Lantus Assay-1.232 ± 4.8965-2.192 ± 5.1741

Adverse events

Collected over 40 weeks. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Mylan's Insulin Glargine Sequence0/64 (0%)2/64 (3.1%)41/64 (64.1%)
Lantus® Sequence0/63 (0%)5/63 (7.9%)42/63 (66.7%)
Most frequent serious events
Most frequent serious events
EventMylan's Insulin Glargine SequenceLantus® Sequence
InjuryInjury, poisoning and procedural complications0/641/63
Basal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/641/63
Bladder cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/641/63
Retinal detachmentEye disorders0/641/63
KetoacidosisMetabolism and nutrition disorders0/641/63
Myocardial infarctionCardiac disorders1/640/63
Cerebrovascular accidentNervous system disorders1/640/63
Cholecystitis acuteHepatobiliary disorders1/640/63
Most frequent other events
Showing 10 of 60
Most frequent other events
EventMylan's Insulin Glargine SequenceLantus® Sequence
Upper respiratory tract infectionInfections and infestations7/645/63
Diabetic retinopathyEye disorders1/644/63
NasopharyngitisInfections and infestations3/644/63
Herpes zosterInfections and infestations0/643/63
Seasonal allergyImmune system disorders3/641/63
InfluenzaInfections and infestations3/642/63
Muscle strainInjury, poisoning and procedural complications2/642/63
Nasal congestionRespiratory, thoracic and mediastinal disorders0/642/63
Oropharyngeal painRespiratory, thoracic and mediastinal disorders1/642/63
Back painMusculoskeletal and connective tissue disorders0/642/63

Baseline characteristics

Age, Continuous
Age, Continuous(years)Mylan's Insulin GlargineLantus®Total
Mean44.8 ± 11.4343.2 ± 12.6944.0 ± 12.05
Sex: Female, Male
Sex: Female, Male(Participants)Mylan's Insulin GlargineLantus®Total
Female232750
Male413677
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)Mylan's Insulin GlargineLantus®Total
Asian202
Black224
Hispanic101
White5961120
Region of Enrollment
Region of Enrollment(participants)Mylan's Insulin GlargineLantus®Total
Europe302757
North America343670
Dosing Time
Dosing Time(participants)Mylan's Insulin GlargineLantus®Total
Morning111223
Evening5351104
Baseline HIV Status
Baseline HIV Status(participants)Mylan's Insulin GlargineLantus®Total
Negative6462126
Positive011
Hepatitis B surface antigen (HBsAg)
Hepatitis B surface antigen (HBsAg)(participants)Mylan's Insulin GlargineLantus®Total
Negative6463127
Positive000
Baseline hepatitis C antibody (HCVAb)
Baseline hepatitis C antibody (HCVAb)(participants)Mylan's Insulin GlargineLantus®Total
Low positive011
Negative6462126

6 further baseline measures are reported on the registry.

08

Study locations

81 sites
  • Mylan Investigator Site
    Fresno, California 93720, United States
  • Mylan Investigator Site
    Greenbrae, California 94904, United States
  • Mylan Investigator Site
    La Jolla, California 92037, United States
  • Mylan Investigator Site
    Northridge, California 91324, United States
  • Mylan Investigator Site
    Tustin, California 92780, United States
  • Mylan Investigator Site
    Fort Lauderdale, Florida 33312, United States
  • Mylan Investigator Site
    New Port Richey, Florida 34652, United States
  • Mylan Investigator Site
    Palm Harbor, Florida 34684, United States
  • Mylan Investigator Site
    West Palm Beach, Florida 33401, United States
  • Mylan Investigator Site
    Atlanta, Georgia 30318, United States
  • Mylan Investigator Site
    Columbus, Georgia 31904, United States
  • Mylan Investigator Site
    Idaho Falls, Idaho 83404, United States
  • Mylan Investigator Site
    Crystal Lake, Illinois 60012, United States
  • Mylan Investigator Site
    Springfield, Illinois 62711, United States
  • Mylan Investigator Site
    Des Moines, Iowa 50314, United States
  • Mylan Investigator Site
    Overland Park, Kansas 66210, United States
  • Mylan Investigator Site
    Lexington, Kentucky 40503, United States
  • Mylan Investigator Site
    Billings, Montana 59101, United States
  • Mylan Investigator Site
    Omaha, Nebraska 68131, United States
  • Mylan Investigator Site
    Albany, New York 12206, United States
  • Mylan Investigator Site
    Staten Island, New York 10301, United States
  • Mylan Investigator Site
    Syracuse, New York 13210, United States
  • Mylan Investigator Site
    Asheville, North Carolina 28803, United States
  • Mylan Investigator Site
    Burlington, North Carolina 27215, United States
  • Mylan Investigator Site
    Greenville, North Carolina 27834, United States
  • Mylan Investigator Site
    Morehead City, North Carolina 28557, United States
  • Mylan Investigator Site
    Wilmington, North Carolina 28401, United States
  • Mylan Investigator Site
    Cincinnati, Ohio 45236, United States
  • Mylan Investigator Site
    Mentor, Ohio 44060, United States
  • Mylan Investigator Site
    Chattanooga, Tennessee 37411, United States
  • Mylan Investigator Site
    Austin, Texas 78731, United States
  • Mylan Investigator Site
    Dallas, Texas 75231, United States
  • Mylan Investigator Site
    San Antonio, Texas 78258, United States
  • Mylan Investigator Site
    Ogden, Utah 84405, United States
  • Mylan Investigator Site
    Salt Lake City, Utah 84121, United States
  • Mylan Investigator Site
    Chesapeake, Virginia 23321, United States
  • Mylan Investigator Site
    Renton, Washington 98057, United States
  • Mylan Investigator Site
    Tacoma, Washington 98405, United States
  • Mylan Investigator Site
    Vancouver, Washington 98664, United States
  • Mylan Investigator Site
    Red Deer, Alberta, Canada
  • Mylan Investigator Site.
    Vancouver, British Columbia, Canada
  • Mylan Investigator Site
    Winnipeg, Manitoba, Canada
  • Mylan Investigator Site
    Laval, Quebec, Canada
  • Mylan Investigator Site
    Montreal, Quebec, Canada
  • Mylan Investigator Site
    Brno Bohunice, 625 00, Czechia
  • Mylan Investigator Site
    Ceske Budejovice, 370 01, Czechia
  • Mylan Investigator Site
    Olomouc, 77900, Czechia
  • Mylan Investigator Site
    Pardubice, 530 02, Czechia
  • Mylan Investigator Site
    Praha 10, 100 34, Czechia
  • Mylan Investigator Site
    Praha, 120 00, Czechia
  • Mylan Investigator Site
    Parnu, 80018, Estonia
  • Mylan Investigator Site
    Tallinn, 13419, Estonia
  • Mylan Investigator Site
    Tartu, 51014, Estonia
  • Mylan Investigator Site
    Aschaffenburg, Bayern 63739, Germany
  • Mylan Investigator Site
    Munster, Nordrhein Westfalen 48145, Germany
  • Mylan Investigator Site
    Hohenmolsen, Sachsen Anhalt 06679, Germany
  • Mylan Investigator Site
    Hamburg, 20173, Germany
  • Mylan Investigator Site
    Hamburg, 22607, Germany
  • Mylan Investigator Site
    Budapest, 1033, Hungary
  • Mylan Investigator Site
    Budapest, 1088, Hungary
  • Mylan Investigator Site
    Eger, 3300, Hungary
  • Mylan Investigator Site
    Letavertes, 4281, Hungary
  • Mylan Investigator Site
    Miskolc, 3530, Hungary
  • Mylan Investigator Site
    Szeged, H-6722, Hungary
  • Mylan Investigator Site
    Limbazi, LV-4001, Latvia
  • Mylan Investigator Site
    Ogre, LV-5001, Latvia
  • Mylan Investigator Site
    Riga, LV-1011, Latvia
  • Mylan Investigator Site
    Riga, LV-1050, Latvia
  • Mylan Investigator Site
    Sigulda, LV-2150, Latvia
  • Mylan Investigator Site
    Talsi, LV-3200, Latvia
  • Mylan Investigator Site
    Bratislava, 82107, Slovakia
  • Mylan Investigator Site
    Bratislava, 85101, Slovakia
  • Mylan Investigator Site
    Dolny Kubin, 02601, Slovakia
  • Mylan Investigator Site
    Levice, 93401, Slovakia
  • Mylan Investigator Site
    Lubochna, 03491, Slovakia
  • Mylan Investigator Site
    Nove Zamky, 940 02, Slovakia
  • Mylan Investigator Site
    Prievidza, 97101, Slovakia
  • Mylan Investigator Site
    Rimavska Sobota, 97901, Slovakia
  • Mylan Investigator Site
    Sturovo, 94301, Slovakia
  • Mylan Investigator Site
    Trebisov, 07501, Slovakia
  • Mylan Investigator Site
    Zilina, 01001, Slovakia
09

References and documents

Study documents

  • Study protocol · May 6, 2016
  • Statistical analysis plan · Jul 27, 2016

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 3, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02666430
Lead sponsor
Mylan Inc.
Collaborators
Mylan GmbH
Responsible party
Sponsor
First posted
Jan 28, 2016
Start date
Dec 2015
Primary completion
Mar 2017
Completion
Jul 2017
Results posted
Sep 14, 2020
Last update
Mar 3, 2022

Study contacts

Thomas Blevins
principal investigator · Texas Diabetes & Endocrinology

Oversight

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

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