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CompletedNCT03406000TOP1Updated Apr 25, 2022

Phase 4 Study to Evaluate Treatment Optimization With Once-daily Insulin Glargine 300 U/mL

A Phase 4 interventional study of INSULIN GLARGINE (U300) in Type I Diabetes Mellitus, sponsored by Sanofi. Completed at 11 sites in Brazil. 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
170
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Primary Objective:

To evaluate the efficacy of switching treatment from twice-daily basal insulin to once-daily insulin glargine (U300) as part of basal bolus regime in terms of glycated hemoglobin improvement (reduction by at least 0.3%), in uncontrolled type 1 diabetes mellitus patients.

Secondary Objectives:

  • To evaluate other efficacy parameters in terms of glycemic control as well as safety including hypoglycemia events, weight changes, and adverse events.
  • To evaluate the effect of insulin glargine (U300) on diabetes treatment satisfaction and fear of hypoglycemia as well as patient's satisfaction regarding the number of daily injections.
Read the detailed description

The estimated average study duration is 29 weeks, including run-in period of 4 weeks; treatment period of 24 weeks, and follow-up period of 1 week.

02

Conditions studied

  • Type I Diabetes Mellitus
03

Who can participate

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

Inclusion criteria

  • Male or Female.
  • Age ≥ 18 years.
  • With Type 1 diabetes mellitus.
  • Being treated twice-daily with any basal insulin in combination with prandial rapid-acting insulin analogue for at least one year.
  • Have an glycated hemoglobin (HbA1c) measurement of 7.5% - 10.0% at study entry.
  • Patients who have signed an Informed Consent Form.

Exclusion criteria

Exclusion criteria:

  • Type 2 diabetes mellitus.
  • Known hypoglycemia unawareness
  • Repeated episodes of severe hypoglycemia or diabetes ketoacidosis within the last 12 months.
  • End-stage renal failure or being on hemodialysis.
  • Any clinically significant abnormality identified on physical examination, laboratory tests, or vital signs at the time of screening or baseline, or any major systemic disease resulting in short life expectancy that in the opinion of the Investigator would restrict or limit the patient's successful participation for the duration of the study.
  • Known hypersensitivity / intolerance to insulin glargine or any of its excipients.
  • Patients treated with glucagon like peptide agonists.
  • Use of systemic glucocorticoids (excluding topical application or inhaled forms) for one week or more within 90 days prior to the time of screening.
  • Pregnant or lactating women.
  • Women of childbearing potential with no effective contraceptive method.
  • Participation in another clinical trial.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

04

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
170 participants (actual)

Study arms

  • Experimental
    Insulin glargine (U300)

    Self-administered subcutaneously once daily in the morning, at the same time.The initial dose for patients switching from insulin glargine is 80% of the total daily dose of basal insulin agent that was discontinued. Thereafter, insulin glargine (U300) will follow a titration algorithm for dose adjustment.

    Drug: INSULIN GLARGINE (U300)

Interventions

  • DrugINSULIN GLARGINE (U300)

    Pharmaceutical form: Solution for Injection Route of administration: Subcutaneous injection

    Also known as: Toujeo, HOE901

05

What researchers measure

Primary outcomes

  1. Mean change in HbA1c

    Mean change in glycated hemoglobin (HbA1c) from baseline to Week 24 (%)

    Time frame: From baseline to Week 24

Secondary outcomes

  1. Mean change in HbA1c

    Mean HbA1c change from baseline to Week 12

    Time frame: From baseline to Week 12

  2. Mean change in fasting plasma glucose (FPG)

    Mean change in FPG from baseline to Week 12 and Week 24

    Time frame: From baseline to Week 12 and Week 24

  3. Mean change in fasting SMBG

    Mean change in fasting self-monitored blood glucose (SMBG) from baseline to Week 12 and Week 24

    Time frame: From baseline to Week 12 and Week 24

  4. Mean change in 8-point SMBG

    Mean change in 8-point SMBG from baseline to Week 12 and Week 24

    Time frame: From baseline to Week 12 and Week 24

  5. Proportion of patients achieving HbA1c target of <7.0%

    Proportion of patients achieving HbA1c target of \<7.0% at Week 12 and Week 24

    Time frame: At Weeks 12 and 24

  6. Proportion of patients achieving HbA1c target of <7.0% without hypoglycemia event

    Proportion of patients achieving HbA1c target of \<7.0% without hypoglycemia event during the last 4 weeks of treatment

    Time frame: At Weeks 12 and 24

  7. Proportion of patients achieving HbA1c improvement of at least 0.3% without nocturnal hypoglycemia

    Proportion of patients achieving HbA1c improvement from baseline to week 24 of at least 0.3% without nocturnal hypoglycemia (documented \<70 mg/dL) and/or severe hypoglycemia (between 00.00 and 05:59 am SMBG) during the last 4 weeks of treatment

    Time frame: From baseline to Week 24

  8. Proportion of patients with any improvement in HbA1c

    Proportion of patients with any improvement in HbA1c from baseline to week 24 and decrease in occurrence of nocturnal hypoglycemia (nocturnal defined as time between 00.00 and 05:59 am) evaluated from baseline to Week 24

    Time frame: From baseline to Week 24

  9. Proportion of patients with no deterioration in HbA1c

    Proportion of patients with no deterioration in HbA1c from baseline to week 24 and decrease in occurrence of nocturnal hypoglycemia

    Time frame: From baseline to Week 24

  10. Proportion of patients with no deterioration in HbA1c

    Proportion of patients with no deterioration in HbA1c from baseline to week 24 and no increase in occurrence of nocturnal hypoglycemia

    Time frame: From baseline to Week 24

  11. Adverse events (AEs)

    Number of adverse events and serious adverse events

    Time frame: Up to 28 weeks

  12. Mean change in body weight

    Mean change in body weight from baseline to Weeks 12 and 24

    Time frame: From baseline to Week 12 and Week 24

  13. Mean change in daily insulin doses

    Insulin glargine (U300) dose: Mean change in daily insulin doses (basal, prandial, total) from baseline to Week 24

    Time frame: From baseline to Week 24

  14. Number of patients experiencing hypoglycemia

    Time frame: Up to 28 weeks

  15. Proportion of patients experiencing hypoglycemia

    Time frame: Up to 28 weeks

  16. Number of hypoglycemic events per patient-year

    Time frame: Up to 28 weeks

06

Study locations

11 sites
  • Investigational Site Number 076013
    Campinas, 13092-132, Brazil
  • Investigational Site Number 076016
    Curitiba, 80030-110, Brazil
  • Investigational Site Number 076007
    Curitiba, 80810-140, Brazil
  • Investigational Site Number 076005
    Fortaleza, Brazil
  • Investigational Site Number 076002
    Goiânia, 74175-100, Brazil
  • Investigational Site Number 076004
    Porto Alegre, 91350-250, Brazil
  • Investigational Site Number 076011
    Ribeirão Preto, 14049900, Brazil
  • Investigational Site Number 076006
    São José dos Campos, 12243-280, Brazil
  • Investigational Site Number 076015
    São Paulo, 04022-001, Brazil
  • Investigational Site Number 076012
    São Paulo, 05403-000, Brazil
  • Investigational Site Number 076001
    SãO Paulo, Brazil
07

References and documents

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

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03406000
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Jan 23, 2018
Start date
Jan 22, 2018
Primary completion
Feb 4, 2019
Completion
Feb 4, 2019
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 ↗

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