ClinicalTrials.gg
CompletedNCT03389490Updated Aug 3, 2021

Toujeo Versus NPH Self-titration Study

A Phase 4 interventional study of Insulin Glargine 300 UNT/ML and Neutral protamine hagedorn insulin in Diabetes Mellitus, Type 2, sponsored by Elaine Chow. Completed at 1 site in Hong Kong. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2021-08-03.

Sponsored by Elaine Chow · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is a 24 week, multicentre, prospective, randomized, controlled, parallel-designed (1:1) pilot study.The study will compare glycemic variability in patients treated with insulin glargine U300/ml insulin versus conventional (NPH) insulin using a self titration algorithm.50 type 2 diabetes patients who are newly started on insulin will be recruited. They will be randomly allocated to either insulin glargine U300 or NPH insulin for 26 weeks. All subjects will follow a insulin-self titration algorithm. The study will consist of 9 visits over 26 weeks. Blood glucose variability will be collected by CGM for 7 consecutive days at baseline (week -1) and at week 24.Secondary endpoints other than data on glycemic variability, including HbA1c, fasting plasma glucose, inflammatory markers will be measured during three periods (week 0, week 12 and week 24).

02

Conditions studied

  • Diabetes Mellitus, Type 2
03

In context

Diabetes Mellitus, Type 2

10,371 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,406 are open to participants now.

This study's enrollment of 50 is below the median of 80 across 8,350 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

Elaine Chow is the lead sponsor of 7 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Type 2 diabetic suboptimally controlled on their previous antidiabetic treatment

    • 18 ≤ age ≤ 75
    • Stable dose of oral antidiabetic treatment for > 8 weeks
    • The number of OADs that the patients used should be "3" or less
    • level > 7.0% and \< 10%
    • Fasting plasma glucose > 8mmol/L and \<15mmol
    • \< 40 kg/m2
    • Patient who is capable and willing to perform regular SMBG
    • Patient who is capable and willing for insulin injection
    • Confirmed written consent
    • Insulin naïve

Exclusion criteria

Exclusion Criteria:

  • Participation in a clinical trial with any drug used with curative intent and within 30 days prior to study entry
  • Patient known to have hypoglycaemia unawareness or recurrent major hypoglycaemia
  • Any product containing prandial insulin
  • Concomitant medication known to interface with glucose metabolism (such as systematic )
  • Change in dose of non-insulin anti-diabetic treatment or initiation of new anti-diabetic medications in the last 8 weeks prior to screening
  • Patients treated with steroid or nonsteroidal anti-inflammatory drugs
  • Patient who had experienced an acute concurrent illness during the 3-month period before the investigation
  • Patient with hepatic disease and end-stage renal disease
  • Patients unable to comply with follow-up visits
  • Pregnant or breastfeeding women
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Active

    Insulin glargine 300U/ml

    Drug: Insulin Glargine 300 UNT/ML

  • Active comparator
    Control

    Neutral Protamine Hagedorn insulin

    Drug: Neutral protamine hagedorn insulin

Interventions

06

What researchers measure

Primary outcomes

  1. Glycemic variability

    Standard deviation of glucose from continuous glucose monitoring

    Time frame: 24 weeks

Secondary outcomes

  1. Glycemic variability

    Mean Amplitude of Glycemic excursions and Means of Daily Differences

    Time frame: 24 weeks

  2. Percentage time in target

    Percentage of time \<3.0mmol/L and \>10.0mmol/L

    Time frame: 24 weeks

  3. Glycated haemoglobin

    HbA1c

    Time frame: 24 weeks

  4. Fasting blood glucose

    FPG

    Time frame: 24 weeks

  5. Incidence of hypoglycemia

    Overall incidence of hypoglycemia and nocturnal hypoglycemia

    Time frame: 24 weeks

  6. Proportion of patients achieving HbA1c <7.0%

    Proportion of patients achieving HbA1c \<7.0% at week 24 without confirmed hypoglycemia

    Time frame: 24 weeks

  7. Treatment satisfaction

    ITSQ questionnaire

    Time frame: 24 weeks

  8. Inflammatory markers

    change in hs C reactive protein

    Time frame: 24 weeks

  9. Heart rate variability

    Change in heart rate variability

    Time frame: 24 weeks

07

Study locations

1 site
  • Prince of Wales Hospital
    Hong Kong, Shatin, Hong Kong
08

References and documents

Publications

  • Ling J, Poon EWM, Yang A, Yeung T, Loo K, Ozaki R, Ma RCW, Luk AOY, Kong APS, Chan JCN, Chow E. Glycemic Variability and Time in Range During Self-titration of Once Daily Insulin Glargine 300 U/ml Versus Neutral Protamine Hagedorn Insulin in Insulin-naive Chinese Type 2 Diabetes Patients. Diabetes Ther. 2021 May;12(5):1399-1413. doi: 10.1007/s13300-021-01046-6. Epub 2021 Mar 18. PubMed 33738774 ↗
  • 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 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2018 to primary completion in Dec 2019, 23 months.

Of 320 non-industry phase 4 interventional studies under Diabetes Mellitus, Type 2, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 49. This study's 23 months is below that.

Counting every sponsor, half of 452 studies reached it within 24 months; a quarter within 13 and three quarters within 42.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 26, 2017
First posted
Jan 3, 2018
StartActual
Jan 1, 2018
Primary completionActual
Dec 17, 2019
CompletionActual
May 1, 2020
Last update
Aug 3, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 3, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03389490
Lead sponsor
Elaine Chow
Collaborators
Sanofi
Responsible party
Elaine Chow (Dr, Clinical Lecturer, Chinese University of Hong Kong) — Sponsor-investigator
First posted
Jan 3, 2018
Start date
Jan 1, 2018
Primary completion
Dec 17, 2019
Completion
May 1, 2020
Last update
Aug 3, 2021

Study contacts

Elaine Chow
principal investigator · Chinese University of Hong Kong

Oversight

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 Aug 2021. 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