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
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Studietype
Studietype
Inschrijving (Werkelijk)
Inschrijving
Fase
Fase
- Fase 3
Contacten en locaties
Studie Locaties
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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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Arizona
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Phoenix, Arizona, Verenigde Staten, 85028
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California
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Concord, California, Verenigde Staten, 94520
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Escondido, California, Verenigde Staten, 92026
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Fresno, California, Verenigde Staten, 93720
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Modesto, California, Verenigde Staten, 95355
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Orange, California, Verenigde Staten, 92869
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Florida
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Inverness, Florida, Verenigde Staten, 34452
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Jacksonville, Florida, Verenigde Staten, 32204
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Lake Worth, Florida, Verenigde Staten, 33461
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Miami, Florida, Verenigde Staten, 33183
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Orlando, Florida, Verenigde Staten, 32804
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Palm Harbor, Florida, Verenigde Staten, 34684
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Pembroke Pines, Florida, Verenigde Staten, 33029
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Plantation, Florida, Verenigde Staten, 33324
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West Palm Beach, Florida, Verenigde Staten, 33401
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Hawaii
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Honolulu, Hawaii, Verenigde Staten, 96813
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Idaho
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Idaho Falls, Idaho, Verenigde Staten, 83404
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Indiana
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Avon, Indiana, Verenigde Staten, 46123
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Bloomington, Indiana, Verenigde Staten, 47403
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South Bend, Indiana, Verenigde Staten, 46617
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Iowa
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Des Moines, Iowa, Verenigde Staten, 50314
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Kentucky
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Lexington, Kentucky, Verenigde Staten, 40503
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Louisiana
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Baton Rouge, Louisiana, Verenigde Staten, 70808
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Lafayette, Louisiana, Verenigde Staten, 70503
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Metairie, Louisiana, Verenigde Staten, 70006
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Maine
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Biddeford, Maine, Verenigde Staten, 04005
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Missouri
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Chesterfield, Missouri, Verenigde Staten, 63017
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Jefferson City, Missouri, Verenigde Staten, 65109
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St Louis, Missouri, Verenigde Staten, 63104
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Nebraska
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Omaha, Nebraska, Verenigde Staten, 68131
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Nevada
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Las Vegas, Nevada, Verenigde Staten, 89148
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New Hampshire
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Nashua, New Hampshire, Verenigde Staten, 03063
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New York
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Rochester, New York, Verenigde Staten, 14607
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Syracuse, New York, Verenigde Staten, 13210
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North Carolina
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Morehead City, North Carolina, Verenigde Staten, 28557
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Ohio
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London, Ohio, Verenigde Staten, 43140
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Mason, Ohio, Verenigde Staten, 45040
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Toledo, Ohio, Verenigde Staten, 43606
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South Carolina
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Greer, South Carolina, Verenigde Staten, 29651
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Myrtle Beach, South Carolina, Verenigde Staten, 29572
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Tennessee
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Kingsport, Tennessee, Verenigde Staten, 37660
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Memphis, Tennessee, Verenigde Staten, 38119
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Texas
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Austin, Texas, Verenigde Staten, 78731
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Dallas, Texas, Verenigde Staten, 75231
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San Antonio, Texas, Verenigde Staten, 78229
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Vermont
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South Burlington, Vermont, Verenigde Staten, 05403
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Virginia
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Virginia Beach, Virginia, Verenigde Staten, 23462
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Washington
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Spokane, Washington, Verenigde Staten, 99202
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Vancouver, Washington, Verenigde Staten, 98664
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Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
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Actieve vergelijker: ILPS
Insulin Lispro Protamine Suspension (ILPS)
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Administered subcutaneously once a day at bedtime
Andere namen:
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Actieve vergelijker: Glargine
Insulin Glargine
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Administered subcutaneously once a day at bedtime
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Change From Baseline in Hemoglobin A1C (HbA1c) at Endpoint (Last Observation Carried Forward [LOCF])
Tijdsspanne: 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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Secundaire uitkomstmaten
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Actual Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)
Tijdsspanne: 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)
Tijdsspanne: 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%
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: Baseline, Endpoint (LOCF) up to 24 weeks
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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)
Tijdsspanne: Baseline to Endpoint (LOCF) up to 24 weeks
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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)
Tijdsspanne: 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.
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Baseline to Endpoint (LOCF) up to 24 weeks
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Actual Body Weight at Baseline and Endpoint (LOCF)
Tijdsspanne: Baseline, Endpoint (LOCF) up to 24 weeks
|
Baseline, Endpoint (LOCF) up to 24 weeks
|
|
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Change From Baseline in Body Weight at Endpoint (LOCF)
Tijdsspanne: Baseline, Endpoint (LOCF) up to 24 weeks
|
Baseline, Endpoint (LOCF) up to 24 weeks
|
|
|
Total Daily Insulin Dose at Endpoint (LOCF)
Tijdsspanne: Endpoint (LOCF) up to 24 weeks
|
Endpoint (LOCF) up to 24 weeks
|
Medewerkers en onderzoekers
Sponsor
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start
Studie start
Primaire voltooiing (Werkelijk)
Primaire voltooiing
Studie voltooiing (Werkelijk)
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
- Glucosemetabolismestoornissen
- Metabole ziekten
- Endocriene systeemziekten
- Suikerziekte
- Diabetes mellitus, type 2
- Hypoglycemische middelen
- Fysiologische effecten van medicijnen
- Moleculaire mechanismen van farmacologische werking
- Stollingsmiddelen
- Heparine-antagonisten
- Insuline
- Insuline, Globin Zink
- Insuline Glargine
- Insuline Lispro
- Protaminen
Andere studie-ID-nummers
Andere studie-ID-nummers
- 11647
- F3Z-US-IOPB (Andere identificatie: Eli Lilly and Company)
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