Safety and Effectiveness Study of Insulin Glargine (LANTUS) Initiation and Titration in Patients With Type 2 Diabetes (AFICIONADO)
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Purpose
Primary Objective:
Percentage of patients achieving Glycosylated Hemoglobin (HbA1c) < 7% with no severe or nocturnal hypoglycemic episodes at 6 months
Secondary Objectives:
- Glycosylated Hemoglobin (HbA1c) change from baseline to 6 months
- Insulin glargine dose at 3 and 6 months
- Hypoglycemic episodes (all types)
| Condition | Intervention | Phase |
|---|---|---|
|
Diabetes Mellitus, Type 2 |
Drug: INSULIN GLARGINE |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Practical Implementation of ADA/EASD Consensus Algorithm in Patients With Type 2 Diabetes: Timely Insulin Initiation and Titration |
- Percentage of patients with Glycosylated Haemoglobin (HbA1c) <7% with no severe documented nocturnal hypoglycemia episode. [ Time Frame: From week 0 (baseline) to week 24 (end of study) ] [ Designated as safety issue: No ]
- Glycosylated Haemoglobin (HbA1c) [ Time Frame: From week 0 (baseline) to week 24 (end of study) ] [ Designated as safety issue: No ]
- Dose and timing of insulin glargine [ Time Frame: From week 0 (baseline) to week 24 (end of study) ] [ Designated as safety issue: No ]
- Hypoglycemic episodes [ Time Frame: From week 0 (baseline) to week 24 (end of study) ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 167 |
| Study Start Date: | May 2010 |
| Estimated Study Completion Date: | September 2013 |
| Estimated Primary Completion Date: | September 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Insulin Glargine
Patients will receive insulin glargine titrated based on standard of care as recommended by the ADA/EASD Consensus Algorithm. Step 1: insulin glargine initiation regimen for insulin naive patients/ Switch to insulin glargine for patient already treated with basal insulin. Step 2: the insulin dosage of patients will be titrated according to the ADA/EASD Consensus Algorithm. |
Drug: INSULIN GLARGINE
Pharmaceutical form: solution for injection Route of administration: sub-cutaneous injection Dose regimen: 100 Units/mL solution for injection in a pre-filled SoloStar pen (3 ml)
|
Eligibility| Ages Eligible for Study: | 21 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion criteria:
- Patients with a diagnosis of type 2 diabetes for more than 6 months
- Patients treated with Oral AntiDiabetics (OADs monotherapy or combination) with an HbA1c >7% and <10% and/or treated with NPH insulin with HbA1c >7% and <10% or treated with NPH insulin who have experienced severe and/or nocturnal hypoglycemia in the last 6 months.
- Ability to perform SMBS and insulin self-titration under the physicians guidance.
- Body Mass Index (BMI) >21 kg/ m2.
- Signature of informed consent.
Exclusion criteria:
- Hospitalized patients.
- Pregnant women or with the intention of becoming pregnant.
- Unexplained weight loss of more than 10% in the last 6 months.
- Women with child bearing potential not using effective contraceptive methods.
- Women in breast feeding period.
- Patients on chronic treatment with systemic corticosteroids or protease inhibitors.
- History of drug or alcohol abuse.
- Diabetic retinopathy with surgical treatment in 3 months previous to study entry or patients that could require surgical treatment in the following 6 months to study entry.
- Major systemic disease clinically important that would interfere with implementation or interpretation of the study, at the discretion of the investigator.
- Renal failure known as creatinine > 1.4 mg/dl in women and > 1.5 mg/dl in men.
- Known hypersensitivity to glargine or any of its excipients.
- Patients with history of hospitalization due to cardiovascular event, cardiovascular procedure in the past 6 months.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Contacts and Locations| Contact: For site information, send an email with site number to | Contact-Us@sanofi.com |
| Argentina | |
| Investigational Site Number 9 | Completed |
| C.a.b.a., Argentina | |
| Investigational Site Number 12 | Completed |
| C.a.b.a., Argentina | |
| Investigational Site Number 14 | Recruiting |
| C.a.b.a., Argentina, C1419AHN | |
| Investigational Site Number 17 | Recruiting |
| C.a.b.a., Argentina | |
| Investigational Site Number 01 | Terminated |
| C.a.b.a., Argentina | |
| Investigational Site Number 10 | Completed |
| C.a.b.a., Argentina, C1050AAK | |
| Investigational Site Number 11 | Completed |
| C.a.b.a., Argentina | |
| Investigational Site Number 15 | Recruiting |
| Caba, Argentina | |
| Investigational Site Number 06 | Recruiting |
| Caba, Argentina | |
| Investigational Site Number 18 | Completed |
| Caba, Argentina | |
| Investigational Site Number 16 | Completed |
| Caba, Argentina | |
| Investigational Site Number 03 | Completed |
| Caba, Argentina | |
| Investigational Site Number 02 | Recruiting |
| Mar del Plata, Argentina | |
| Investigational Site Number 13 | Recruiting |
| Mar del Plata, Argentina, B7602CBM | |
| Investigational Site Number 22 | Recruiting |
| Mar del Plata, Argentina, 7600 | |
| Investigational Site Number 021 | Completed |
| Moreno -Pcia. de Bs. As.-, Argentina | |
| Investigational Site Number 07 | Recruiting |
| Morón, Argentina | |
| Investigational Site Number 04 | Recruiting |
| Paraná, Argentina | |
| Investigational Site Number 8 | Recruiting |
| Salta, Argentina | |
| Investigational Site Number 05 | Completed |
| Sarandí, Argentina | |
| Investigational Site Number 20 | Recruiting |
| Tandil, Argentina, 7000 | |
| Investigational Site Number 25 | Recruiting |
| Zárate, Argentina, 2800 | |
| Study Director: | Clinical Sciences & Operations | Sanofi |
More Information
No publications provided
| Responsible Party: | Sanofi |
| ClinicalTrials.gov Identifier: | NCT01127269 History of Changes |
| Other Study ID Numbers: | LANTU_L_04980, U1111-1116-9268 |
| Study First Received: | May 19, 2010 |
| Last Updated: | February 6, 2013 |
| Health Authority: | Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 2 Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Glargine |
Insulin Insulin, Long-Acting Hypoglycemic Agents Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013