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
Обзор исследования
Статус
Статус
Условия
Условия
Вмешательство/лечение
Вмешательство/лечение
Тип исследования
Тип исследования
Регистрация (Действительный)
Регистрация
Фаза
Фаза
- Фаза 3
Контакты и местонахождение
Места учебы
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Ponce, Пуэрто-Рико, 00731
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Toa Baja, Пуэрто-Рико, 00949
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Yabucoa, Пуэрто-Рико, 00767
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Arizona
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Phoenix, Arizona, Соединенные Штаты, 85028
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California
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Concord, California, Соединенные Штаты, 94520
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Escondido, California, Соединенные Штаты, 92026
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Fresno, California, Соединенные Штаты, 93720
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Modesto, California, Соединенные Штаты, 95355
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Orange, California, Соединенные Штаты, 92869
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Florida
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Inverness, Florida, Соединенные Штаты, 34452
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Jacksonville, Florida, Соединенные Штаты, 32204
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Lake Worth, Florida, Соединенные Штаты, 33461
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Miami, Florida, Соединенные Штаты, 33183
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Orlando, Florida, Соединенные Штаты, 32804
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Palm Harbor, Florida, Соединенные Штаты, 34684
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Pembroke Pines, Florida, Соединенные Штаты, 33029
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Plantation, Florida, Соединенные Штаты, 33324
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West Palm Beach, Florida, Соединенные Штаты, 33401
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Hawaii
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Honolulu, Hawaii, Соединенные Штаты, 96813
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Idaho
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Idaho Falls, Idaho, Соединенные Штаты, 83404
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Indiana
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Avon, Indiana, Соединенные Штаты, 46123
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Bloomington, Indiana, Соединенные Штаты, 47403
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South Bend, Indiana, Соединенные Штаты, 46617
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Iowa
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Des Moines, Iowa, Соединенные Штаты, 50314
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Kentucky
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Lexington, Kentucky, Соединенные Штаты, 40503
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Louisiana
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Baton Rouge, Louisiana, Соединенные Штаты, 70808
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Lafayette, Louisiana, Соединенные Штаты, 70503
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Metairie, Louisiana, Соединенные Штаты, 70006
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Maine
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Biddeford, Maine, Соединенные Штаты, 04005
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Missouri
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Chesterfield, Missouri, Соединенные Штаты, 63017
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Jefferson City, Missouri, Соединенные Штаты, 65109
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St Louis, Missouri, Соединенные Штаты, 63104
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Nebraska
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Omaha, Nebraska, Соединенные Штаты, 68131
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Nevada
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Las Vegas, Nevada, Соединенные Штаты, 89148
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New Hampshire
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Nashua, New Hampshire, Соединенные Штаты, 03063
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New York
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Rochester, New York, Соединенные Штаты, 14607
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Syracuse, New York, Соединенные Штаты, 13210
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North Carolina
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Morehead City, North Carolina, Соединенные Штаты, 28557
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Ohio
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London, Ohio, Соединенные Штаты, 43140
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Mason, Ohio, Соединенные Штаты, 45040
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Toledo, Ohio, Соединенные Штаты, 43606
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South Carolina
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Greer, South Carolina, Соединенные Штаты, 29651
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Myrtle Beach, South Carolina, Соединенные Штаты, 29572
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Tennessee
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Kingsport, Tennessee, Соединенные Штаты, 37660
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Memphis, Tennessee, Соединенные Штаты, 38119
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Texas
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Austin, Texas, Соединенные Штаты, 78731
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Dallas, Texas, Соединенные Штаты, 75231
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San Antonio, Texas, Соединенные Штаты, 78229
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Vermont
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South Burlington, Vermont, Соединенные Штаты, 05403
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Virginia
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Virginia Beach, Virginia, Соединенные Штаты, 23462
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Washington
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Spokane, Washington, Соединенные Штаты, 99202
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Vancouver, Washington, Соединенные Штаты, 98664
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Критерии участия
Критерии приемлемости
Критерии приемлемости
Возраст, подходящий для обучения
Принимает здоровых добровольцев
Полы, имеющие право на обучение
Описание
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
Учебный план
Как устроено исследование?
Детали дизайна
- Основная цель: Уход
- Распределение: Рандомизированный
- Интервенционная модель: Параллельное назначение
- Маскировка: Нет (открытая этикетка)
Количество рук
Оружие и интервенции
Группа участников / АрмияГруппа участников / Армия |
Вмешательство/лечениеВмешательство/лечение |
|---|---|
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Активный компаратор: ILPS
Insulin Lispro Protamine Suspension (ILPS)
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Administered subcutaneously once a day at bedtime
Другие имена:
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Активный компаратор: Glargine
Insulin Glargine
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Administered subcutaneously once a day at bedtime
Другие имена:
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Что измеряет исследование?
Первичные показатели результатов
Первичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
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Change From Baseline in Hemoglobin A1C (HbA1c) at Endpoint (Last Observation Carried Forward [LOCF])
Временное ограничение: 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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Вторичные показатели результатов
Вторичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
Actual Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)
Временное ограничение: 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.
|
24 weeks, Endpoint (LOCF) up to 24 weeks
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Change From Baseline in Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)
Временное ограничение: 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%
Временное ограничение: 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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|
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7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Временное ограничение: 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.
|
Baseline, Endpoint (LOCF) up to 24 weeks
|
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Glycemic Variability at Baseline and Endpoint (LOCF)
Временное ограничение: 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
|
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Incidence of Self-reported Hypoglycemic Episodes (All, Non-Nocturnal, Nocturnal, and Severe)
Временное ограничение: 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
|
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Rate of All, Non-Nocturnal, and Nocturnal Self-Reported Hypoglycemic Episodes (Adjusted for One Year)
Временное ограничение: 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)
Временное ограничение: Baseline, Endpoint (LOCF) up to 24 weeks
|
Baseline, Endpoint (LOCF) up to 24 weeks
|
|
|
Change From Baseline in Body Weight at Endpoint (LOCF)
Временное ограничение: Baseline, Endpoint (LOCF) up to 24 weeks
|
Baseline, Endpoint (LOCF) up to 24 weeks
|
|
|
Total Daily Insulin Dose at Endpoint (LOCF)
Временное ограничение: Endpoint (LOCF) up to 24 weeks
|
Endpoint (LOCF) up to 24 weeks
|
Соавторы и исследователи
Спонсор
Спонсор
Даты записи исследования
Изучение основных дат
Начало исследования
Начало исследования
Первичное завершение (Действительный)
Первичное завершение
Завершение исследования (Действительный)
Завершение исследования
Даты регистрации исследования
Первый отправленный
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Оценивать)
Первый опубликованный
Обновления учебных записей
Последнее опубликованное обновление (Оценивать)
Последнее опубликованное обновление
Последнее отправленное обновление, отвечающее критериям контроля качества
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Дополнительные соответствующие термины MeSH
- Нарушения метаболизма глюкозы
- Метаболические заболевания
- Заболевания эндокринной системы
- Сахарный диабет
- Сахарный диабет, тип 2
- Гипогликемические агенты
- Физиологические эффекты лекарств
- Молекулярные механизмы фармакологического действия
- Коагулянты
- Антагонисты гепарина
- Инсулин
- Инсулин, Глобин Цинк
- Инсулин Гларгин
- Инсулин Лиспро
- Протамины
Другие идентификационные номера исследования
Другие идентификационные номера исследования
- 11647
- F3Z-US-IOPB (Другой идентификатор: Eli Lilly and Company)
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