Comparison of Two Basal Insulins for Patients With Type 2 Diabetes Taking Oral Diabetes Medicines and Exenatide
A Randomized Trial Comparing Insulin Lispro Protamine Suspension With Insulin Glargine in Subjects With Type 2 Diabetes on Oral Antihyperglycemic Medications and Exenatide
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Typ studie
Typ studie
Zápis (Aktuální)
Zápis
Fáze
Fáze
- Fáze 3
Kontakty a umístění
Studijní místa
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Ponce, Portoriko, 00731
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Toa Baja, Portoriko, 00949
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Yabucoa, Portoriko, 00767
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Arizona
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Phoenix, Arizona, Spojené státy, 85028
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California
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Concord, California, Spojené státy, 94520
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Escondido, California, Spojené státy, 92026
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Fresno, California, Spojené státy, 93720
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Modesto, California, Spojené státy, 95355
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Orange, California, Spojené státy, 92869
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Florida
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Inverness, Florida, Spojené státy, 34452
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Jacksonville, Florida, Spojené státy, 32204
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Lake Worth, Florida, Spojené státy, 33461
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Miami, Florida, Spojené státy, 33183
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Orlando, Florida, Spojené státy, 32804
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Palm Harbor, Florida, Spojené státy, 34684
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Pembroke Pines, Florida, Spojené státy, 33029
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Plantation, Florida, Spojené státy, 33324
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West Palm Beach, Florida, Spojené státy, 33401
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Hawaii
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Honolulu, Hawaii, Spojené státy, 96813
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Idaho
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Idaho Falls, Idaho, Spojené státy, 83404
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Indiana
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Avon, Indiana, Spojené státy, 46123
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Bloomington, Indiana, Spojené státy, 47403
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South Bend, Indiana, Spojené státy, 46617
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Iowa
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Des Moines, Iowa, Spojené státy, 50314
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Kentucky
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Lexington, Kentucky, Spojené státy, 40503
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Louisiana
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Baton Rouge, Louisiana, Spojené státy, 70808
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Lafayette, Louisiana, Spojené státy, 70503
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Metairie, Louisiana, Spojené státy, 70006
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Maine
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Biddeford, Maine, Spojené státy, 04005
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Missouri
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Chesterfield, Missouri, Spojené státy, 63017
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Jefferson City, Missouri, Spojené státy, 65109
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St Louis, Missouri, Spojené státy, 63104
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Nebraska
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Omaha, Nebraska, Spojené státy, 68131
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Nevada
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Las Vegas, Nevada, Spojené státy, 89148
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New Hampshire
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Nashua, New Hampshire, Spojené státy, 03063
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New York
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Rochester, New York, Spojené státy, 14607
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Syracuse, New York, Spojené státy, 13210
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North Carolina
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Morehead City, North Carolina, Spojené státy, 28557
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Ohio
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London, Ohio, Spojené státy, 43140
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Mason, Ohio, Spojené státy, 45040
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Toledo, Ohio, Spojené státy, 43606
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South Carolina
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Greer, South Carolina, Spojené státy, 29651
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Myrtle Beach, South Carolina, Spojené státy, 29572
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Tennessee
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Kingsport, Tennessee, Spojené státy, 37660
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Memphis, Tennessee, Spojené státy, 38119
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Texas
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Austin, Texas, Spojené státy, 78731
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Dallas, Texas, Spojené státy, 75231
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San Antonio, Texas, Spojené státy, 78229
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Vermont
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South Burlington, Vermont, Spojené státy, 05403
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Virginia
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Virginia Beach, Virginia, Spojené státy, 23462
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Washington
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Spokane, Washington, Spojené státy, 99202
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Vancouver, Washington, Spojené státy, 98664
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Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Popis
Inclusion Criteria:
- Must have type 2 diabetes
- Must be at least 18 years of age and less than 75 years of age
- Must be taking exenatide 10 micrograms twice a day (BID) for at least 3 months
- Must be taking one of the following oral diabetes medication regimens for at least 3 months: (1) metformin (2) metformin + sulfonylurea (3) metformin + thiazolidinedione (TZD). Doses must be at or above the following: Metformin--1500 mg/day, Sulfonylurea--1/2 the maximum daily dose according to the product label, TZD--30 mg/day pioglitazone
- Must have a hemoglobin A1C greater than or equal to 7.0% and less than or equal to 10.0%
Exclusion Criteria:
- Must not have used insulin on a regular basis during the past 2 years
- Must not have taken any glucose-lowering medications not included in the inclusion criteria in the past 3 months
- Must not have had more than one episode of severe hypoglycemia in the past 6 months
- Must not have clinically significant hematologic, oncologic, renal, cardiac, hepatic, or gastrointestinal disease
- Must not be pregnant or intend to get pregnant during the course of the study
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Žádné (otevřený štítek)
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
|---|---|
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Aktivní komparátor: ILPS
Insulin Lispro Protamine Suspension (ILPS)
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Administered subcutaneously once a day at bedtime
Ostatní jména:
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Aktivní komparátor: Glargine
Insulin Glargine
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Administered subcutaneously once a day at bedtime
Ostatní jména:
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Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Change From Baseline in Hemoglobin A1C (HbA1c) at Endpoint (Last Observation Carried Forward [LOCF])
Časové okno: Baseline, Endpoint (LOCF) up to 24 weeks
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Least squares mean values were controlled for Baseline + Baseline HbA1c Group + Baseline sulfonylurea (SU) Group.
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Baseline, Endpoint (LOCF) up to 24 weeks
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Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Actual Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)
Časové okno: 24 weeks, Endpoint (LOCF) up to 24 weeks
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Least squares mean values were controlled for Baseline + Baseline HbA1c Group + Baseline SU Group.
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24 weeks, Endpoint (LOCF) up to 24 weeks
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Change From Baseline in Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)
Časové okno: Baseline, 24 Weeks, Endpoint (LOCF) up to 24 weeks
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Least squares mean values were controlled for Baseline + Baseline HbA1c Group + Baseline SU Group.
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Baseline, 24 Weeks, Endpoint (LOCF) up to 24 weeks
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Percentage of Participants With Hemoglobin A1C Less Than 7.0% and Hemoglobin A1C Less Than or Equal to 6.5%
Časové okno: Weeks 12, 18, 24 and Endpoint (LOCF) up to 24 weeks
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Weeks 12, 18, 24 and Endpoint (LOCF) up to 24 weeks
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7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Časové okno: Baseline, Endpoint (LOCF) up to 24 weeks
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SMBG at morning pre-meal, morning post-prandial, midday pre-meal, midday post-prandial, evening pre-meal, evening postprandial, 0300 hours.
Post-prandial glucose is measured 2 hours after the start of the meal.
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Baseline, Endpoint (LOCF) up to 24 weeks
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Glycemic Variability at Baseline and Endpoint (LOCF)
Časové okno: Baseline, Endpoint (LOCF) up to 24 weeks
|
Glycemic variability was defined as the standard deviation (SD) of a participant's intra-day 7-point, self-monitored, blood glucose.
Mean SD was calculated based on the SD for each participant in the study.
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Baseline, Endpoint (LOCF) up to 24 weeks
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Incidence of Self-reported Hypoglycemic Episodes (All, Non-Nocturnal, Nocturnal, and Severe)
Časové okno: Baseline to Endpoint (LOCF) up to 24 weeks
|
Overall:any time after randomization.Episode:any time patient experienced sign/symptom associated with hypoglycemia, or had blood glucose level ≤70 mg/dL.
Non-nocturnal:any episode that occurred between waking and bedtime.
Nocturnal:any episode that occurred between bedtime and waking.Severe:episode with symptoms consistent with neuroglycopenia in which patient requires assistance,and is associated with:blood glucose value <50 mg/dL or prompt recovery after oral carbohydrate, glucagon, or intravenous glucose.Incidence(%)=(Number of patients experiencing episodes/number of patients in arm)*100.
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Baseline to Endpoint (LOCF) up to 24 weeks
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Rate of All, Non-Nocturnal, and Nocturnal Self-Reported Hypoglycemic Episodes (Adjusted for One Year)
Časové okno: Baseline to Endpoint (LOCF) up to 24 weeks
|
Rate of self-reported hypoglycemic episodes, all, non-nocturnal, and nocturnal, at Endpoint (LOCF) and overall.
Rate is reported as episodes/participant/365 days.
Episode = any time participant feels that he/she is experiencing a sign or symptom that is associated with hypoglycemia or has a blood glucose level of ≤70 mg/dL, even if it was not associated with signs, symptoms, or treatment.
Overall=any time during the post-randomization visits within the study period.
Nocturnal=Any episode that occurs between bedtime and waking.
Non-Nocturnal=Any episode that occurs between waking and bedtime.
|
Baseline to Endpoint (LOCF) up to 24 weeks
|
|
Actual Body Weight at Baseline and Endpoint (LOCF)
Časové okno: Baseline, Endpoint (LOCF) up to 24 weeks
|
Baseline, Endpoint (LOCF) up to 24 weeks
|
|
|
Change From Baseline in Body Weight at Endpoint (LOCF)
Časové okno: Baseline, Endpoint (LOCF) up to 24 weeks
|
Baseline, Endpoint (LOCF) up to 24 weeks
|
|
|
Total Daily Insulin Dose at Endpoint (LOCF)
Časové okno: Endpoint (LOCF) up to 24 weeks
|
Endpoint (LOCF) up to 24 weeks
|
Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia
Začátek studia
Primární dokončení (Aktuální)
Primární dokončení
Dokončení studie (Aktuální)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Odhad)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Odhad)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Další relevantní podmínky MeSH
- Poruchy metabolismu glukózy
- Metabolické choroby
- Onemocnění endokrinního systému
- Diabetes Mellitus
- Diabetes mellitus, typ 2
- Hypoglykemická činidla
- Fyziologické účinky léků
- Molekulární mechanismy farmakologického působení
- Koagulanty
- Antagonisté heparinu
- Inzulín
- Inzulin, Globin Zinek
- Inzulin glargin
- Inzulín Lispro
- Protaminy
Další identifikační čísla studie
Další identifikační čísla studie
- 11647
- F3Z-US-IOPB (Jiný identifikátor: Eli Lilly and Company)
Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .
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