REASSURE: The Effect of Rimonabant on HbA1c in Overweight or Obese Patients With Type 2 Diabetes Not Adequately Controlled on 2 Oral Antidiabetic Agents (REASSURE)
REASURE: The Effect of Rimonabant on HbA1c in Overweight or Obese Patients With Type 2 Diabetes Not Adequately Controlled on 2 Oral Antidiabetic Agents
Primary:
To assess the effects of rimonabant on HbA1c in patients with Type 2 diabetes who are overweight or obese (Body Mass Index (BMI) > 27 kg/m² and BMI < 40 kg/m²), have uncontrolled HbA1c (7.0% - 9.0% inclusive) and are currently on maximal tolerated doses of two Oral Anti Diabetic medications - Metformin (Met) and Sulfonylurea (SU).
Secondary:
To assess the effects of rimonabant on Anthropometric measures, Glucose measures, Lipid measures, Other measures and changes in quality of life
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
North Ryde, Australia
- Sanofi-Aventis Administrative Office
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
List of Inclusion and Exclusion criteria:
Inclusion Criteria:
- History of Type 2 diabetes
- HbA1c between 7% to 9% (inclusive)
- BMI ≥ 27kg/m² and BMI ≤ 40kg/m²
- Currently taking Metformin and Sulfonylurea.
Exclusion Criteria:
- Uncontrolled serious psychiatric illness such as major depression
- Current use of antidepressants
- Severe renal impairment (creatinine clearance less than 30ml/min)
- Severe hepatic impairment known by investigator or Aspartate Aminotransferase and/or Alanine Aminotransferase > 3 times Upper Limit Normal
- Patient treated for epilepsy
- Pregnant or breast-feeding women
- Women of childbearing potential not protected by effective contraception
- Hypersentivity/intolerance to rimonabant or any of the excipents
- Presence of any condition, current or anticipated that in the investigator's opinion would compromise the patient's safety
- Use of insulin for longer than 1 week within 4 weeks prior to screening
- Chronic use of systemic corticosteriods
- Use of glitazone therapy, glucagon-like peptide or dipeptidyl peptidase IV
- History of drug or alcohol abuse wihtin the last three years
- Heart failure class III-IV (New York Heart Association classification)
- Severe hypertension
- Adminstration of the following medications: phentermine, amphetamines, orlistat, sibutramine, herbal remedies
- Use of non-lipid agents known to affect lipid metabolism: retinoids, antiretrovirals, hormone replacement therapy containing estrogens, cyclosporin, thiazolidinediones (glitazones), fish oils, plant sterols
- Use of ketoconazole, itraconazole, ritonavir, clarithromycin, rifampicin, phenytoin, phenobarbitone, carbamazepine or St John's Wort
- Participation in a clinical study within the 4 weeks prior to randomisation
- Patients involved in an existing weight loss program
- Presence of chronic hepatitis
- Use, or misuse, of substances of abuse
- Marijuana or hashish users
- History of gastrointestinal surgery for weight loss purposes or who are scheduled for such surgery within the duration of their expected participation in this study
- History or presence of bulimia or laxative abuse
- Non-English speaking
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: 2
Placebo
|
Matching placebo tablets.
Once daily before breakfast
|
|
Experimental: 1
Rimonabant
|
White opaque film-coated, for oral administration containing 20 mg of active rimonabant.
Once daily before breakfast
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Absolute change in HbA1c between both placebo and rimonabant group.
Time Frame: From baseline to week 48
|
From baseline to week 48
|
|
Percentage of participants reaching the treat-to-target objective of HbA1c ≤ 6.5% and ≤ 7.0%
Time Frame: From the beginning to the end of the study
|
From the beginning to the end of the study
|
|
Percentage of participants responding to treatment
Time Frame: From the beginning to the end of study
|
From the beginning to the end of study
|
|
Rate of asymptomatic, symptomatic, and severe hypoglycaemia
Time Frame: From the beginning to the end of the study
|
From the beginning to the end of the study
|
|
Change in physical examinations, vital signs, laboratory parameters, adverse events
Time Frame: From the beginning to the end of the study
|
From the beginning to the end of the study
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change in insulin sensitivity, fasting plasma glucose, hypoglycaemia rate.
Time Frame: From the beginning to the end of the study
|
From the beginning to the end of the study
|
|
Change in BMI, waist and hip circumference, waist/hip ratio, weight
Time Frame: From the beginning to the end of the study
|
From the beginning to the end of the study
|
|
Changes in Quality of Life
Time Frame: From the beginning to the end of the study
|
From the beginning to the end of the study
|
|
Change in lipid measures: HDL (High Density Lipoprotein), LDL (Low-Density Lipoprotein), TG (Triglycerides), TC (Total Cholesterol), ApoB (Apolipoprotein B)
Time Frame: From administration of drug till end of study
|
From administration of drug till end of study
|
|
Change in adiponectin, fasting insulin, Blood Pressure, concomitant medications, health resource use, CRP (C Reactive Protein), ALT (Alanine Aminotransferase), albumin/creatinine ratio
Time Frame: From administration of drug to end of study
|
From administration of drug to end of study
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: David WHEATLEY, Sanofi
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Glucose Metabolism Disorders
- Metabolic Diseases
- Endocrine System Diseases
- Body Weight
- Diabetes Mellitus
- Diabetes Mellitus, Type 2
- Overweight
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Anti-Obesity Agents
- Cannabinoid Receptor Modulators
- Cannabinoid Receptor Antagonists
- Rimonabant
Other Study ID Numbers
Other Study ID Numbers
- RIMON_L_01661
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