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
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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Arizona
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Phoenix, Arizona, Forenede Stater, 85028
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California
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Concord, California, Forenede Stater, 94520
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Escondido, California, Forenede Stater, 92026
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Fresno, California, Forenede Stater, 93720
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Modesto, California, Forenede Stater, 95355
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Orange, California, Forenede Stater, 92869
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Florida
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Inverness, Florida, Forenede Stater, 34452
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Jacksonville, Florida, Forenede Stater, 32204
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Lake Worth, Florida, Forenede Stater, 33461
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Miami, Florida, Forenede Stater, 33183
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Orlando, Florida, Forenede Stater, 32804
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Palm Harbor, Florida, Forenede Stater, 34684
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Pembroke Pines, Florida, Forenede Stater, 33029
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Plantation, Florida, Forenede Stater, 33324
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West Palm Beach, Florida, Forenede Stater, 33401
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Hawaii
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Honolulu, Hawaii, Forenede Stater, 96813
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Idaho
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Idaho Falls, Idaho, Forenede Stater, 83404
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Indiana
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Avon, Indiana, Forenede Stater, 46123
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Bloomington, Indiana, Forenede Stater, 47403
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South Bend, Indiana, Forenede Stater, 46617
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Iowa
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Des Moines, Iowa, Forenede Stater, 50314
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Kentucky
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Lexington, Kentucky, Forenede Stater, 40503
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Louisiana
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Baton Rouge, Louisiana, Forenede Stater, 70808
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Lafayette, Louisiana, Forenede Stater, 70503
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Metairie, Louisiana, Forenede Stater, 70006
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Maine
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Biddeford, Maine, Forenede Stater, 04005
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Missouri
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Chesterfield, Missouri, Forenede Stater, 63017
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Jefferson City, Missouri, Forenede Stater, 65109
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St Louis, Missouri, Forenede Stater, 63104
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Nebraska
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Omaha, Nebraska, Forenede Stater, 68131
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Nevada
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Las Vegas, Nevada, Forenede Stater, 89148
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New Hampshire
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Nashua, New Hampshire, Forenede Stater, 03063
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New York
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Rochester, New York, Forenede Stater, 14607
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Syracuse, New York, Forenede Stater, 13210
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North Carolina
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Morehead City, North Carolina, Forenede Stater, 28557
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Ohio
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London, Ohio, Forenede Stater, 43140
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Mason, Ohio, Forenede Stater, 45040
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Toledo, Ohio, Forenede Stater, 43606
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South Carolina
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Greer, South Carolina, Forenede Stater, 29651
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Myrtle Beach, South Carolina, Forenede Stater, 29572
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Tennessee
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Kingsport, Tennessee, Forenede Stater, 37660
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Memphis, Tennessee, Forenede Stater, 38119
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Texas
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Austin, Texas, Forenede Stater, 78731
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Dallas, Texas, Forenede Stater, 75231
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San Antonio, Texas, Forenede Stater, 78229
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Vermont
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South Burlington, Vermont, Forenede Stater, 05403
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Virginia
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Virginia Beach, Virginia, Forenede Stater, 23462
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Washington
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Spokane, Washington, Forenede Stater, 99202
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Vancouver, Washington, Forenede Stater, 98664
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Ponce, Puerto Rico, 00731
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Toa Baja, Puerto Rico, 00949
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Yabucoa, Puerto Rico, 00767
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
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
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Aktiv komparator: ILPS
Insulin Lispro Protamine Suspension (ILPS)
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Administered subcutaneously once a day at bedtime
Andre navne:
|
|
Aktiv komparator: Glargine
Insulin Glargine
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Administered subcutaneously once a day at bedtime
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change From Baseline in Hemoglobin A1C (HbA1c) at Endpoint (Last Observation Carried Forward [LOCF])
Tidsramme: Baseline, Endpoint (LOCF) up to 24 weeks
|
Least squares mean values were controlled for Baseline + Baseline HbA1c Group + Baseline sulfonylurea (SU) Group.
|
Baseline, Endpoint (LOCF) up to 24 weeks
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Actual Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)
Tidsramme: 24 weeks, Endpoint (LOCF) up to 24 weeks
|
Least squares mean values were controlled for Baseline + Baseline HbA1c Group + Baseline SU Group.
|
24 weeks, Endpoint (LOCF) up to 24 weeks
|
|
Change From Baseline in Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)
Tidsramme: Baseline, 24 Weeks, Endpoint (LOCF) up to 24 weeks
|
Least squares mean values were controlled for Baseline + Baseline HbA1c Group + Baseline SU Group.
|
Baseline, 24 Weeks, Endpoint (LOCF) up to 24 weeks
|
|
Percentage of Participants With Hemoglobin A1C Less Than 7.0% and Hemoglobin A1C Less Than or Equal to 6.5%
Tidsramme: Weeks 12, 18, 24 and Endpoint (LOCF) up to 24 weeks
|
Weeks 12, 18, 24 and Endpoint (LOCF) up to 24 weeks
|
|
|
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Tidsramme: Baseline, Endpoint (LOCF) up to 24 weeks
|
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.
|
Baseline, Endpoint (LOCF) up to 24 weeks
|
|
Glycemic Variability at Baseline and Endpoint (LOCF)
Tidsramme: 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.
|
Baseline, Endpoint (LOCF) up to 24 weeks
|
|
Incidence of Self-reported Hypoglycemic Episodes (All, Non-Nocturnal, Nocturnal, and Severe)
Tidsramme: 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.
|
Baseline to Endpoint (LOCF) up to 24 weeks
|
|
Rate of All, Non-Nocturnal, and Nocturnal Self-Reported Hypoglycemic Episodes (Adjusted for One Year)
Tidsramme: 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)
Tidsramme: Baseline, Endpoint (LOCF) up to 24 weeks
|
Baseline, Endpoint (LOCF) up to 24 weeks
|
|
|
Change From Baseline in Body Weight at Endpoint (LOCF)
Tidsramme: Baseline, Endpoint (LOCF) up to 24 weeks
|
Baseline, Endpoint (LOCF) up to 24 weeks
|
|
|
Total Daily Insulin Dose at Endpoint (LOCF)
Tidsramme: Endpoint (LOCF) up to 24 weeks
|
Endpoint (LOCF) up to 24 weeks
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Glukosemetabolismeforstyrrelser
- Metaboliske sygdomme
- Sygdomme i det endokrine system
- Diabetes mellitus
- Diabetes mellitus, type 2
- Hypoglykæmiske midler
- Lægemidlers fysiologiske virkninger
- Molekylære mekanismer for farmakologisk virkning
- Koagulanter
- Heparin-antagonister
- Insulin
- Insulin, Globin Zink
- Insulin Glargine
- Insulin Lispro
- Protaminer
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 11647
- F3Z-US-IOPB (Anden identifikator: Eli Lilly and Company)
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