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Efficacy and Safety of Insulin Glargine/Lixisenatide Fixed Combination Versus Insulin Glargine Alone on Top of Metformin in Type 2 Diabetic Patients
Efficacy and Safety of Insulin Glargine/Lixisenatide Fixed Combination Versus Insulin Glargine Alone on Top of Metformin in Type 2 Diabetic Patients

NCT01476475

CompletedPhase 2

Sponsor: Sanofi

Conditions: Type 2 Diabetes Mellitus

Interventions: Insulin glargine /lixisenatide Fixed Ratio Combination, Insulin glargine, Metformin (Background drug)

Countries: United States, Chile, Czechia, Denmark, France, Germany, Hungary, Lithuania

Primary Objective: * The purpose of this study was to compare insulin glargine/ lixisenatide fixed ratio combination (FRC) versus insulin glargine on glycemic control over 24 weeks, as evaluated by glycosylated hemoglobin (HbA1c) reduction in type 2 diabetic participants treated with metformin. Secondary Objectives: * To compare insulin glargine/lixisenatide FRC versus insulin glargine over 24 weeks on: * Glycemic control in relation to a meal as evaluated by post-prandial plasma glucose and glucose excursions during a standardized meal test; * Percentage of participants reaching HbA1c \<7% or ≤6.5%; * 7-point Self-Monitored Plasma Glucose (SMPG) profile; * Body weight; * Insulin glargine dose * Fasting Plasma Glucose (FPG); * Percentage of participants requiring rescue therapy during the 24-week open label treatment period; * To assess safety and tolerability of insulin glargine/lixisenatide FRC.

Eligibility overview

Sex: ALL

Age: 18 Years to

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria
Inclusion criteria:

* Participants with type 2 diabetes mellitus diagnosed for at least 1 year.
* Metformin treatment at a stable dose of at least 1.5 g/day for at least 3 months prior to screening.

Exclusion criteria:

* Age \< legal age of adulthood (18 years).
* Screening HbA1c \<7% or \>10%.
* Screening FPG \>250 mg/dL (\>13.9 mmol/L).
* Pregnancy or lactation, women of childbearing potential with no effective contraceptive method.
* Type 1 diabetes mellitus.
* Treatment with glucose-lowering agent(s) other than metformin in a period of 3 months prior to screening.
* Use of insulin within the last 6 months.
* Previous use of insulin, except for episode(s) of short-term treatment (≤15 consecutive days) due to intercurrent illness.
* Amylase and/or lipase \>3 times the upper limit of the normal laboratory range (ULN) at screening.
* Calcitonin ≥20 pg/ml (5.9 pmol/l) at screening.
* Alanine Transferase (ALT) \>3 ULN at screening.
* History of unexplained pancreatitis, chronic pancreatitis, pancreatectomy.
* Personal or immediate family history of medullary thyroid cancer (MTC) or genetic conditions that predisposes to MTC (e.g. multiple endocrine neoplasia syndromes).
* Uncontrolled or inadequately controlled hypertension at the time of screening with a resting supine systolic or diastolic blood pressure \>180 mmHg or \>110 mmHg, respectively.
* Within the last 6 months prior to screening: history of heart failure requiring hospitalization, myocardial infarction, or stroke. Planned coronary, carotid or peripheral artery revascularisation procedures.
* Body Mass Index (BMI) ≤20 or \>40 kg/m\^2.
* Any previous treatment with lixisenatide

The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Locations (70)
  • Little Rock, Arkansas, United States
  • Paramount, California, United States
  • Larenceville, Georgia, United States
  • Roswell, Georgia, United States
  • Lexington, Kentucky, United States
  • Hyattsville, Maryland, United States
  • Rockville, Maryland, United States
  • Las Vegas, Nevada, United States
  • West Seneca, New York, United States
  • Norman, Oklahoma, United States
  • Medford, Oregon, United States
  • Durham, Pennsylvania, United States
  • Dallas, Texas, United States
  • Renton, Washington, United States
  • Santiago, Chile
  • Santiago, Chile
  • Santiago, Chile
  • Santiago, Chile
  • Santiago, Chile
  • Nový Jičín, Czechia
  • Pilsen, Czechia
  • Prague, Czechia
  • Prague, Czechia
  • København NV, Denmark
  • Køge, Denmark
  • Slagelse, Denmark
  • Svendborg, Denmark
  • Narbonne, France
  • Poitiers, France
  • Vandœuvre-lès-Nancy, France
  • + 40 more on CT.gov