Comparison of Lixisenatide Injected Prior to the Main Meal of the Day Versus Prior to Breakfast in Type 2 Diabetic Patients on Metformin
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Purpose
Primary Objective:
- To compare the two treatment regimens in terms of change of HbA1c from baseline to endpoint (week 24)
Secondary Objective:
To assess the effect of the 2 lixisenatide regimens on:
- The percentage of patients who reached the target of HbA1c < 7% or ≤ 6.5% at week 24
- Fasting Plasma Glucose (FPG)
- 7-point Self-Monitored Plasma Glucose (SMPG) profiles
- Body weight
- To assess the safety and tolerability of the 2 lixisenatide regimens
| Condition | Intervention | Phase |
|---|---|---|
|
Type 2 Diabetes Mellitus |
Drug: Lixisenatide (AVE0010) |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A 24-week, Open-label, Randomized, 2-arm Parallel Group, Multinational, Multi-center Clinical Trial to Compare the Efficacy and Safety of Lixisenatide Injected Prior to the Main Meal of the Day Versus Lixisenatide Injected Prior to Breakfast in Type 2 Diabetic Patients Not Adequately Controlled on Metformin |
- Change in HbA1c [ Time Frame: from baseline to 24 weeks ] [ Designated as safety issue: No ]
- Percentage of patients reaching HbA1c <7 % [ Time Frame: at week 24 ] [ Designated as safety issue: No ]
- Percentage of patients reaching HbA1c ≤6.5 % [ Time Frame: at week 24 ] [ Designated as safety issue: No ]
- Change in 7-point self-monitored plasma glucose profile [ Time Frame: from baseline to 24 weeks ] [ Designated as safety issue: No ]
- Change in Fasting plasma glucose [ Time Frame: from baseline to 24 weeks ] [ Designated as safety issue: No ]
- Change in Body weight [ Time Frame: from baseline to 24 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 400 |
| Study Start Date: | January 2012 |
| Estimated Study Completion Date: | May 2013 |
| Estimated Primary Completion Date: | May 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Lixisenatide 1
once daily within 1 hour prior to the main meal of the day (breakfast, lunch or dinner)
|
Drug: Lixisenatide (AVE0010)
Pharmaceutical form:Solution for injection using a re-usable pen-type self-injector device (Opticlick®). Route of administration: subcutaneous |
|
Active Comparator: Lixisenatide 2
once daily within 1 hour prior to breakfast
|
Drug: Lixisenatide (AVE0010)
Pharmaceutical form:Solution for injection using a re-usable pen-type self-injector device (Opticlick®). Route of administration: subcutaneous |
Detailed Description:
The maximum study duration will be 28 weeks per patient, including a 24-week randomized treatment period.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion criteria:
- Patients with type 2 diabetes mellitus, diagnosed for at least 1 year before screening visit
- Metformin treatment at a stable dose of at least 1.5 g/day for at least 3 months prior to screening visit.
Exclusion criteria:
- Screening HbA1c < 7.0% and > 10.0%
- Fasting plasma glucose at screening > 250 mg/dL (> 13.9 mmol/L)
- Treatment with glucose-lowering agent(s) other than metformin in a period of 3 months prior to screening, previous use of insulin
- Patients who usually do not eat breakfast
- Type 1 diabetes mellitus
- Body Mass Index (BMI) ≤ 20 kg/m² and > 40 kg/ m²
- Pregnancy or lactation, women of childbearing potential with no effective contraceptive method
- Amylase and/or lipase > 3 times the upper limit of the normal laboratory range ( ULN) at screening
- ALT > 3ULN at screening
- Calcitonin ≧ 20 pg/ml (5.9 pmol/L) at screening
- History of unexplained pancreatitis, chronic pancreatitis, pancreatectomy.
- Personal or immediate family history of medullary thyroid cancer (MTC) or genetic conditions that predisposes to MTC (e.g multiple endocrine neoplasia syndromes)
- Any contra-indication related to metformin
- Any previous treatment with lixisenatide
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Contacts and Locations
Show 82 Study Locations| Study Director: | Clinical Sciences & Operations | Sanofi |
More Information
No publications provided
| Responsible Party: | Sanofi |
| ClinicalTrials.gov Identifier: | NCT01517412 History of Changes |
| Other Study ID Numbers: | EFC12261, 2011-002416-85, U1111-1118-0841 |
| Study First Received: | January 16, 2012 |
| Last Updated: | February 11, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 2 Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases |
Metformin Hypoglycemic Agents Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 19, 2013