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
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Studietype
Studietype
Registrering (Faktiske)
Registrering
Fase
Fase
- Fase 3
Kontakter og plasseringer
Studiesteder
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Arizona
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Phoenix, Arizona, Forente stater, 85028
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California
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Concord, California, Forente stater, 94520
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Escondido, California, Forente stater, 92026
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Fresno, California, Forente stater, 93720
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Modesto, California, Forente stater, 95355
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Orange, California, Forente stater, 92869
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Florida
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Inverness, Florida, Forente stater, 34452
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Jacksonville, Florida, Forente stater, 32204
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Lake Worth, Florida, Forente stater, 33461
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Miami, Florida, Forente stater, 33183
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Orlando, Florida, Forente stater, 32804
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Palm Harbor, Florida, Forente stater, 34684
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Pembroke Pines, Florida, Forente stater, 33029
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Plantation, Florida, Forente stater, 33324
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West Palm Beach, Florida, Forente stater, 33401
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Hawaii
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Honolulu, Hawaii, Forente stater, 96813
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Idaho
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Idaho Falls, Idaho, Forente stater, 83404
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Indiana
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Avon, Indiana, Forente stater, 46123
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Bloomington, Indiana, Forente stater, 47403
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South Bend, Indiana, Forente stater, 46617
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Iowa
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Des Moines, Iowa, Forente stater, 50314
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Kentucky
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Lexington, Kentucky, Forente stater, 40503
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Louisiana
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Baton Rouge, Louisiana, Forente stater, 70808
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Lafayette, Louisiana, Forente stater, 70503
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Metairie, Louisiana, Forente stater, 70006
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Maine
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Biddeford, Maine, Forente stater, 04005
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Missouri
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Chesterfield, Missouri, Forente stater, 63017
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Jefferson City, Missouri, Forente stater, 65109
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St Louis, Missouri, Forente stater, 63104
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Nebraska
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Omaha, Nebraska, Forente stater, 68131
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Nevada
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Las Vegas, Nevada, Forente stater, 89148
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New Hampshire
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Nashua, New Hampshire, Forente stater, 03063
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New York
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Rochester, New York, Forente stater, 14607
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Syracuse, New York, Forente stater, 13210
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North Carolina
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Morehead City, North Carolina, Forente stater, 28557
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Ohio
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London, Ohio, Forente stater, 43140
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Mason, Ohio, Forente stater, 45040
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Toledo, Ohio, Forente stater, 43606
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South Carolina
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Greer, South Carolina, Forente stater, 29651
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Myrtle Beach, South Carolina, Forente stater, 29572
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Tennessee
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Kingsport, Tennessee, Forente stater, 37660
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Memphis, Tennessee, Forente stater, 38119
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Texas
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Austin, Texas, Forente stater, 78731
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Dallas, Texas, Forente stater, 75231
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San Antonio, Texas, Forente stater, 78229
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Vermont
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South Burlington, Vermont, Forente stater, 05403
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Virginia
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Virginia Beach, Virginia, Forente stater, 23462
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Washington
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Spokane, Washington, Forente stater, 99202
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Vancouver, Washington, Forente 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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Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
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 studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
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Aktiv komparator: ILPS
Insulin Lispro Protamine Suspension (ILPS)
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Administered subcutaneously once a day at bedtime
Andre navn:
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Aktiv komparator: Glargine
Insulin Glargine
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Administered subcutaneously once a day at bedtime
Andre navn:
|
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
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.
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Baseline, Endpoint (LOCF) up to 24 weeks
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
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.
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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%
Tidsramme: Weeks 12, 18, 24 and Endpoint (LOCF) up to 24 weeks
|
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)
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.
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Baseline, Endpoint (LOCF) up to 24 weeks
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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.
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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)
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.
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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)
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
|
Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Studierekorddatoer
Studer hoveddatoer
Studiestart
Studiestart
Primær fullføring (Faktiske)
Primær fullføring
Studiet fullført (Faktiske)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Glukosemetabolismeforstyrrelser
- Metabolske sykdommer
- Sykdommer i det endokrine systemet
- Sukkersyke
- Diabetes mellitus, type 2
- Hypoglykemiske midler
- Fysiologiske effekter av legemidler
- Molekylære mekanismer for farmakologisk virkning
- Koagulanter
- Heparin-antagonister
- Insulin
- Insulin, Globin sink
- Insulin Glargine
- Insulin Lispro
- Protaminer
Andre studie-ID-numre
Andre studie-ID-numre
- 11647
- F3Z-US-IOPB (Annen identifikator: Eli Lilly and Company)
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .