Treatment Satisfaction of Insulin Glargine Plus Insulin Apidra Compared With NPH Insulin Plus Insulin Apidra in Recently Diagnosed Type 1 Diabetes Children and Adolescents

This study has been terminated.
Sponsor:
Collaborator:
Sanofi
Information provided by (Responsible Party):
Rabin Medical Center
ClinicalTrials.gov Identifier:
NCT00925977
First received: June 22, 2009
Last updated: June 4, 2012
Last verified: June 2012
  Purpose

A randomized, crossover, open study in order to compare treatment satisfaction with insulin Glargine plus insulin Apidra Vs NPH insulin plus insulin Apidra in newly diagnosed children and adolescents with type 1 diabetes.

The study will include two consecutive periods: 2 weeks run in period and 24 weeks intervention period, divided into two separate treatment periods of 12 weeks. According to randomization, each patient will be treated consecutively with both treatment arms: 12 weeks with insulin Glargine and than 12 weeks with NPH insulin or 12 weeks with insulin NPH ad than 12 weeks with insulin Glargine. Patients will complete DTSQ (Diabetes Treatment Satisfaction Questionnaire) at months 0, 12 and 24 weeks, before and at the end of each study arm.


Condition Intervention
Diabetes Type 1
Drug: insulin Glargine + Insulin Apidra
Drug: Insulin NPH + Insulin Apidra: Active Comparator

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Crossover Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Treatment Satisfaction of Insulin Glargine Plus Insulin Apidra Compared With NPH Insulin Plus Insulin Apidra in Recently Diagnosed Type 1 Diabetes Children and Adolescents

Resource links provided by NLM:


Further study details as provided by Rabin Medical Center:

Primary Outcome Measures:
  • Treatment satisfaction [ Time Frame: patients will complete DTSQ at months 0,12 and 24 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • HbA1c [ Time Frame: value of Hba1C will be measured at screening visit and at the end of each study arm ] [ Designated as safety issue: No ]
  • 4 and 7 points glucose profile [ Time Frame: patients will complete a diary before all clinical visits ] [ Designated as safety issue: No ]
  • Insulin doses [ Time Frame: Insulin doses will be determined at baseline visit and every visit after ] [ Designated as safety issue: No ]
  • Hypoglycemic events [ Time Frame: patients will report in their diary every episode of hypoglycemia ] [ Designated as safety issue: Yes ]

Enrollment: 44
Study Start Date: July 2009
Study Completion Date: February 2012
Primary Completion Date: February 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: insulin Glargine + insulin Apidra
insulin Glargine + insulin Apidra
Drug: insulin Glargine + Insulin Apidra
12 wees treatment with Insulin Glargine + Insulin Apidra
Active Comparator: Insulin NPH + Insulin Apidra
12 weeks treatment with Insulin NPH + Insulin Apidra
Drug: Insulin NPH + Insulin Apidra: Active Comparator
Insulin NPH + Insulin Apidra: Active Comparator

Detailed Description:

A randomized, crossover, open study in order to compare treatment satisfaction with insulin Glargine plus insulin Apidra Vs NPH insulin plus insulin Apidra in newly diagnosed children and adolescents with type 1 diabetes.

134 Patients with new onset Diabetes type 1, diagnosed 12 months previously at maximum will be enrolled.

The study will include two consecutive periods: 2 weeks run in period and 24 weeks intervention period, divided into two separate treatment periods of 12 weeks. According to randomization, each patient will be treated consecutively with both treatment arms: 12 weeks with insulin Glargine and than 12 weeks with NPH insulin or 12 weeks with NPH insulin and than 12 weeks with insulin Glargine.

The study will consist of 4 clinical visits, taking place at -2, 0, 12 and 24 weeks. Height,weight,vital signs, HbA1c and insulin doses will be determined during the clinical visits.

Patients will complete DTSQ (Diabetes Treatment Satisfaction Questionnaire) at months 0, 12 and 24 weeks, before and at the end of each study arm.

The DTSQ questionnaires consists of DTSQ parents- for patients below the age of 13, and DTSQ teen for those above age 13.

  Eligibility

Ages Eligible for Study:   7 Years to 20 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Type 1 diabetes diagnosed less than 12 months prior to study entry
  2. Age: 7-20 years old.
  3. HbA1c>/=8.0
  4. Signing inform consent form

Exclusion Criteria:

  1. Any significant disease or conditions, including psychiatric disorders that in the opinion of the investigator are likely to effect his compliance or ability to complete the study.
  2. Patients participating in other device or drug studies.
  3. Any contraindication to insulin glargine and or insulin Apidra and or Insulin NPH according to SmPC.
  4. Inability, of adolescent or parent, to understand/complete the Treatment satisfaction questionnaire.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00925977

Locations
Israel
Soroka hospital
Bear Sheva, Israel
Rambam Hospital
Haifa, Israel
Health care unit- Jerusalem
Jerusalem, Israel
Schnider children medical center
Petach-Tikva, Israel
Sponsors and Collaborators
Rabin Medical Center
Sanofi
Investigators
Principal Investigator: Moshe Phillip, Professor Rabin Medical Center
  More Information

No publications provided

Responsible Party: Rabin Medical Center
ClinicalTrials.gov Identifier: NCT00925977     History of Changes
Other Study ID Numbers: rmc005275ctil
Study First Received: June 22, 2009
Last Updated: June 4, 2012
Health Authority: Israel: "Clalit Health Services"

Keywords provided by Rabin Medical Center:
treatment satisfaction
insulin Glargine
insulin Apidra
NPH insulin

Additional relevant MeSH terms:
Diabetes Mellitus, Type 1
Diabetes Mellitus
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Autoimmune Diseases
Immune System Diseases
Insulin, Globin Zinc
Glargine
Isophane insulin, beef
Insulin glulisine
Insulin
Insulin, Long-Acting
Insulin, Isophane
Hypoglycemic Agents
Physiological Effects of Drugs
Pharmacologic Actions

ClinicalTrials.gov processed this record on September 16, 2014