CClinicalTrials.gg
CompletedNCT02941367LixiRamUpdated Apr 25, 2022

Safety Assessment of Lyxumia (Lixisenatide) and Sulfonylurea as Add-on Treatment to Basal Insulin in Uncontrolled Patients With Type 2 Diabetes Mellitus Who Elect to Fast During Ramadan

A Phase 4 interventional study of Lixisenatide (AVE0010) and Sulfonylurea in Diabetes Mellitus, Type 2, sponsored by Sanofi. Completed at 16 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-04-25.

Sponsored by Sanofi · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
184
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Primary Objective:

To compare the safety, in terms of percentage of patients with symptomatic documented hypoglycemia during Ramadan fast, of lixisenatide versus sulfonylurea (SU).

Secondary Objectives:

  • To assess effect of lixisenatide versus SU on:
  • Changes in glycemic control;
  • Changes in body weight.
  • To assess overall safety of lixisenatide and SU.
Read the detailed description

The total study duration per patient will have a minimum 12 weeks and maximum 22 weeks (up to 2 weeks screening period + 8-12 weeks pre-Ramadan period + 29-30 days Ramadan + 0 4 weeks post-Ramadan period). This is a phase 3b study in Kingdom of Saudi Arabia and Bangladesh (instead of phase 4 for other countries).

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 184 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
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with type 2 diabetes mellitus, diagnosed for at least 1 year at the time of the screening visit, insufficiently controlled with basal insulin + SU (≤50% max allowed dose) ±1 oral antidiabetic (OAD) drug.
  • Patients who express the intention to fast during Ramadan.
  • Signed informed consent.

Exclusion criteria

Exclusion criteria:

  • At the time of screening age \< legal age of majority.
  • Glycated hemoglobin (HbA1c) at screening visit: \<7.5% or >10%.
  • Body mass index (BMI) \<20kg/m\^2.
  • Treatment with basal insulin for less than 6 months prior to screening.
  • Prior antidiabetic medication (basal insulin and OADs) not at stable dose (eg, same medication, frequency and \<20% dose change) in the last 8 weeks prior to screening.
  • Previous treatment with short or rapid acting insulin other than for short term use (≤10 days) in relation to hospitalization or an acute illness in the last 6 months prior to screening.
  • Any discontinuation from a glucagon like peptide-1 receptor agonist (GLP-1 RA) due to safety/tolerability issue or lack of efficacy.
  • Patient not willing to perform self-monitored plasma glucose (SMPG) as required by protocol and to follow the instructions provided.
  • Type 1, gestational or secondary diabetes.
  • History of diabetic ketoacidosis.
  • History of hypoglycemia unawareness.
  • Any medical contraindication for sustained and safe fasting.
  • Pregnant or breast-feeding women.
  • Women of childbearing potential (WOCB) not protected by highly effective contraceptive method(s) of birth control and/or who are unwilling or unable to be tested for pregnancy.
  • Known hypersensitivity/intolerance to lixisenatide (Lyxumia) or any of its excipients.
  • All contraindications of the comparator and protocol mandated background therapies or warning/precaution of use (when appropriate) as displayed in the respective National Product Labeling.

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
184 participants (actual)

Study arms

  • Experimental
    Lyxumia

    Patients will receive Lyxumia once daily as investigational medicinal product (IMP) on top of patient's previous basal insulin with/without metformin. Non-IMPs will be administrated as per Investigator's indications according to local labeling, guidelines, and clinical judgment.

    Drug: Lixisenatide (AVE0010) · Drug: metformin · Drug: basal insulin

  • Active comparator
    Sulfonylurea

    Patients will continue the treatment with previous Sulfonylurea as IMP on top of patient's previous basal insulin with/without metformin. The IMP and non-IMPs will be administrated as per Investigator's indications according to local labeling, guidelines, and clinical judgment.

    Drug: Sulfonylurea · Drug: metformin · Drug: basal insulin

Interventions

  • DrugLixisenatide (AVE0010)

    Pharmaceutical form: solution for injection Route of administration: subcutaneous

    Also known as: Lyxumia

  • DrugSulfonylurea

    Pharmaceutical form: tablet Route of administration: oral

  • Drugmetformin

    Pharmaceutical form: tablet Route of administration: oral

  • Drugbasal insulin

    Pharmaceutical form: solution for injection Route of administration: subcutaneous

06

What researchers measure

Primary outcomes

  1. Percentage of patients with at least 1 documented symptomatic hypoglycemia event (plasma glucose ≤70 mg/dL; 3.9 mmol/L)

    Time frame: Approximately 30 days (from start to end of Ramadan holy month)

Secondary outcomes

  1. Mean change in HbA1c

    Time frame: Baseline, 0-4 weeks pre- and 0-4 weeks post-Ramadan

  2. Mean change in body weight

    Time frame: Baseline, 0-4 weeks pre- and 0-4 weeks post-Ramadan

  3. Percentage of patients with 2-hour post prandial glucose (2hPPG) <180 mg/dL (10 mmol/L)

    Time frame: Last 14 days of Ramadan month

  4. Percentage of patients with HbA1C <7%

    Time frame: At 0-4 weeks pre- and 0-4 weeks post-Ramadan

  5. Percentage of patients with fasting plasma glucose (FPG) <130 mg/dL (7.22 mmol/L)

    Time frame: At pre-Ramadan visit

  6. Percentage of patients with HbA1c <7%, no weight gain and no documented symptomatic hypoglycemia (plasma glucose ≤70 mg/dL; 3.9 mmol/L)

    Time frame: At 0-4 weeks pre- and 0-4 weeks post-Ramadan

07

Study locations

16 sites
  • Investigational Site Number 356005
    Ahmedabad, 380007, India
  • Investigational Site Number 356002
    Bangalore, 560043, India
  • Investigational Site Number 356015
    Bangalore, 560055, India
  • Investigational Site Number 356008
    Bangalore, 560060, India
  • Investigational Site Number 356009
    Hyderabad, 500001, India
  • Investigational Site Number 356018
    Hyderabad, 500004, India
  • Investigational Site Number 356010
    Hyderabad, 500072, India
  • Investigational Site Number 356003
    Hyderabad, 500095, India
  • Investigational Site Number 356007
    Jaipur, India
  • Investigational Site Number 356019
    Madurai, 625020, India
  • Investigational Site Number 356014
    Mumbai, 400007, India
  • Investigational Site Number 356022
    Nagpur, 440010, India
  • Investigational Site Number 376001
    Haifa, 31096, Israel
  • Investigational Site Number 376002
    Safed, 13100, Israel
  • Investigational Site Number 414001
    Kuwait, Kuwait
  • Investigational Site Number 792002
    Zonguldak, Turkey
08

References and documents

Publications

  • Sahay R, Hafidh K, Djaballah K, Coudert M, Azar S, Shehadeh N, Hanif W, Hassanein M. Safety of lixisenatide plus basal insulin treatment regimen in Indian people with type 2 diabetes mellitus during Ramadan fast: A post hoc analysis of the LixiRam randomized trial. Diabetes Res Clin Pract. 2020 May;163:108148. doi: 10.1016/j.diabres.2020.108148. Epub 2020 Apr 14. PubMed 32302665 ↗

Individual participant data

Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 25, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02941367
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Oct 21, 2016
Start date
Feb 23, 2017
Primary completion
Aug 4, 2017
Completion
Aug 4, 2017
Last update
Apr 25, 2022

Study contacts

Clinical Sciences & Operations
study director · Sanofi

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion