LixiLan-DSoliqua™100/33 contre Lantus® pour le diabète de type 2 chez des patients divers inadéquatement contrôlés par l'insuline basale et des agents antidiabétiques oraux
Cette étude vise à comparer l'efficacité de Soliqua™100/33 et de Lantus® dans la prise en charge du Diabète de Type 2 chez des patients divers dont la glycémie n'est pas suffisamment contrôlée par l'insuline basale et les agents antidiabétiques oraux, en observant la variation des taux d'Hémoglobine Glyquée (HbA1c) du début à la 26ème semaine.
Insulin glargine/Lixisenatide
+ Background therapy
+ Insulin glargine (HOE901)
Diabète Mellitus+3
+ Diabète sucré de type 2
+ Maladies du système endocrinien
Étude thérapeutique
Résumé
Date de début de l'étude : 20 février 2018
Date à laquelle le premier participant a commencé l'étude.This study focuses on comparing the effectiveness and safety of two diabetes treatments, Soliqua™100/33 and Lantus®, in ethnically and racially diverse patients with Type 2 Diabetes Mellitus. These patients have not been able to control their diabetes adequately with basal insulin and oral antidiabetic medications. The research aims to find a better treatment option for this group of patients, potentially improving their diabetes management and overall health. The study lasts for about 29 weeks, including a 2-week screening period, a 26-week treatment period, and a 3-day follow-up period. During the treatment period, participants receive either Soliqua™100/33 or Lantus®. The main outcome measured is the change in glycated hemoglobin (HbA1c) levels from the start to the end of the 26-week treatment period. This change is calculated by subtracting the baseline HbA1c value from the value at week 26, indicating how well the treatments control blood sugar levels.
Protocole
Cette section fournit des détails sur le plan de l'étude, y compris la manière dont l'étude est conçue et ce qu'elle évalue.241 participants à inclure
Nombre total de participants que l'essai clinique vise à recruter.Traitement
Éligibilité
Les chercheurs recherchent des patients correspondant à une certaine description appelée critères d'éligibilité : état de santé général ou traitements antérieurs du patient.Tout sexe
Le sexe biologique des participants éligibles à s'inscrire.À partir de 18 ans
Tranche d'âge des participants éligibles à participer.Volontaires sains non autorisés
Indique si les individus en bonne santé et ne présentant pas la condition étudiée peuvent participer.Conditions
Pathologie
Critères
Inclusion criteria : * Participants with type 2 diabetes mellitus (T2DM) diagnosed at least 1 year prior to the screening visit (signing of informed consent). * Uncontrolled diabetes as demonstrated by a screening centrally measured hemoglobin A1c (HbA1c) between 7.5% and 10% (inclusive). * Participants who were Hispanics of any race, non-Hispanic black/African Americans or non-Hispanic Asians. Note: Decision for ethnic/racial inclusion was made based on the participant's self-identification. Mixed-race participants must select 1 of the above-mentioned categories. If such selection could not be made, the candidate would be ineligible to participate in the study. * Participants who had been treated with any basal insulin (ie, glargine - U100 or U300, detemir, degludec, intermediate-acting \[human Neutral Protamine Hagedorn (NPH\]) for at least 6 months prior to Visit 1. * The basal insulin regimen (ie, type of insulin and time/frequency of the injection) had been stable for at least 3 months prior to Visit 1. * The basal insulin dose had been stable (defined as up to ±20% \[1/5 of the dose\] variability) for at least 2 months prior to Visit 1 within the following dose ranges: * 15 to 50 units/day if HbA1c at Visit 1 is less than or equal to (\<=)8.5%, and * 15 to 40 units/day if HbA1c at Visit 1 is greater than (\>)8.5%. * Participants receiving 1 or 2 of the following OAD drugs: metformin, pioglitazone/rosiglitazone, an sodium-glucose transport protein 2 (SGLT-2) inhibitor or a sulfonylurea (SU), at stable doses for at least 12 weeks prior to Visit 1. Exclusion criteria: * Age \<18 years of age at Visit 1. * A body mass index (BMI) \<=20 or \>40 kg/m\^2 at Visit 1. * Fasting plasma glucose (FPG) \>200 mg/dL (by central lab measurement) at Visit 1 (1-time repeat measurement before Visit 2 is permitted). * Type 1 DM or any diabetes other than T2DM. * Any use of OAD drugs other than those described in the inclusion criteria (e.g., but not limited to, glucagon like peptide-1 receptor agonist (GLP-1 RA), dipeptidyl peptidase 4 (DPP4) inhibitors) within 12 weeks prior Visit 1. * Use of any other type of insulin except for basal insulin (e.g., prandial or premixed insulin, insulin pump) within 6 months prior to Visit 1. Note: History of short-term treatment (i.e, \<=10 days) with other insulin types due to intercurrent illness was permitted at the discretion of the Investigator. * Known history of discontinuation of treatment with a GLP-1 RA due to safety/tolerability reasons. * Use of systemic glucocorticoids for a total duration of \>7 days within 12 weeks prior to Visit 1. * Initiation/change in type or dose of a weight loss drug within 12 weeks prior to Visit 1. The above information is not intended to contain all considerations relevant to a participants's potential participation in a clinical trial.
Plan de l'étude
Découvrez tous les traitements administrés dans cette étude, leur description détaillée et ce qu'ils impliquent.2 groupes d'intervention sont désignés dans cette étude
Cette étude ne comporte pas de groupe placebo.
Groupes de traitement
Groupe I
ExpérimentalGroupe II
Comparateur actifObjectifs de l'étude
Objectifs principaux
Objectifs secondaires
Centres d'étude
Ce sont les hôpitaux, cliniques ou centres de recherche où l'essai est conduit. Vous pouvez trouver le site le plus proche de vous ainsi que son statut.Cette étude comporte 85 sites
Investigational Site Number 8400072
Montgomery, United StatesOuvrir Investigational Site Number 8400072 dans Google MapsInvestigational Site Number 8400077
Little Rock, United StatesInvestigational Site Number 8400095
Little Rock, United StatesInvestigational Site Number 8400013
Little Rock, United States