Diabetes Mellitus, Type 2Phase 4EAGLENCT01117350
Efficacy Assessment of Insulin Glargine Versus LiraglutidE After Oral Agents Failure
A Phase 4 study testing Insulin glargine, Liraglutide and Metformin in people with Diabetes Mellitus, Type 2, run by Sanofi at 136 sites in 17 countries.
Trial summary
Primary objective: To demonstrate the superiority of insulin glargine over liraglutide in terms of percentage of patients reaching a Glycosylated Haemoglobin (HbA1c) < 7% at the end of the comparative period (24 weeks) in Type 2 diabetic patients failing lifestyle management and oral agents Secondary objectives of the… Read more about this study
- Who is it for?
- Ages 35 to 75 years
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- Insulin glargine, Liraglutide and Metformin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 978 participants
- Where
- 136 sitesin 17 countries
- Study dates
- Jul 2010to Mar 2013
- Phase
- Phase 4
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 35 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients With Type 2 Diabetes diagnosed for at least 1 year,
- Treated with lifestyle interventions and metformin at the maximum tolerated dosage (with a minimum daily dosage of 1g), either alone or in combination with an oral insulin secretagogue (sulfonylurea, glinide or DiPeptidyl Peptidase IV inhibitor), for more than 3 months,
- 7.5% < HbA1c <= 12%,
- Body Mass Index (BMI) between 25 and 40 kg/m2 inclusively,
- Ability and willingness to perform PG (Plasma Glucose) self monitoring using the sponsor-provided glucose meter and to complete the patient diary,
- Willingness and ability to comply with the study protocol,
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- Signed informed consent obtained prior to any study procedure.
- Patients treated with liraglutide (at the maximal tolerated dosage), having a mean FPG ≥ 250 mg/dL at visit 10 (Week 12) or visit 11 (Week 18), or a HbA1c≥ 7% at visit 12 (Week 24)
- Dosage of metformin compliant with the inclusion criteria of visit 1 (i.e. maximum tolerated dosage, with a minimum daily dosage of 1g), and maintained stable during the comparative period.
Who cannot join
- Previous treatment with Glucagon Like Peptide-1 analogues or insulin in the past year (except in case of temporary treatment for gestational diabetes, surgery, hospitalization...),
- Treatment with thiazolidinediones or α-Glucosidases inhibitors within 3 months prior to study entry,
- Diabetes other than Type 2 diabetes (e.g. secondary to pancreatic disorders, drug or chemical agents intake),
- Pregnant women (women of childbearing potential must have a negative pregnancy test at study entry and a medically approved contraceptive method),
- Lactating women,
- Hospitalized patients (except hospitalization for routine diabetes check-up),
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- Active proliferative retinopathy, as defined by a photocoagulation or vitrectomy occurrence in the 6 months prior to study entry, or any other unstable (rapidly progressing) retinopathy that may require photocoagulation or surgical treatment during the study, documented by a retina examination within 2 years prior to study entry,
- Impaired renal function (creatinine clearance < 60 mL/mn),
- Impaired hepatic function (Alanine Aminotransferase, Aspartate Aminotransferase 2.5 times the upper limit of normal range),
- Personal or family history of medullary thyroid carcinoma,
- Multiple endocrine neoplasia syndrome type 2,
- Severe gastro-intestinal disease (including inflammatory bowel disease or diabetic gastroparesis),
- Congestive heart failure,
- History of acute pancreatitis,
- Treatment with corticosteroids with potential systemic action for more than 10 days within 3 months prior to study entry,
- Alcohol or drug abuse in the past 5 years,
- History of sensitivity to the study drugs or to drugs with a similar chemical structure.
- Night shift worker,
- Presence of any condition (medical, psychological, social or geographical), current or anticipated that would compromise the patients safety or limit the patient successful participation in the study,
- Participation in a clinical trial (drug or device) within 3 months prior to study entry,
- Refusal or inability to give informed consent to participate in the study,
- Patient is the Investigator or any sub-Investigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved in the conduct of the protocol.
- Additional exclusion criteria for the extension period:
- Treatment with oral antidiabetic drugs other than metformin and patient's usual sulfonylurea if any, or with insulin during the comparative period (except in case of an emergency, for a period of time less than 7 days),
- Treatment with corticosteroids with potential systemic action within the last 3 months of the comparative period.
- History of sensitivity to insulin glargine.
Trial locations and contacts
136 sites in 17 countries.
136 sites in 17 countries
United States45 sites
Investigational Site Number 840009
Arlington Heights, Illinois, 60004
Investigational Site Number 840015
Atco, New Jersey, 08004
Investigational Site Number 840023
Birmingham, Alabama, 35294
Investigational Site Number 840008
Blackwood, New Jersey, 08012
Investigational Site Number 840006
Bryan, Ohio, 43506
Investigational Site Number 840016
Carnegie, Pennsylvania, 15106
Investigational Site Number 840035
Cincinnati, Ohio, 45220
Investigational Site Number 840001
Dallas, Texas, 75230
Investigational Site Number 840007
Dallas, Texas, 75246
Investigational Site Number 840028
Denver, Colorado, 80220
Investigational Site Number 840038
Eagan, Minnesota, 55122
Investigational Site Number 840049
Fargo, North Dakota, 58103
Investigational Site Number 840002
Goodyear, Arizona, 85395
Investigational Site Number 840034
Grand Junction, Colorado, 81501
Investigational Site Number 840005
Hickory, North Carolina, 28601
Investigational Site Number 840013
Houston, Texas, 77030
Investigational Site Number 840050
Indianapolis, Indiana, 46222
Investigational Site Number 840031
Kansas City, Kansas, 66160
Investigational Site Number 840017
La Jolla, California, 92037
Investigational Site Number 840036
La Mesa, California, 91942
Investigational Site Number 840022
Lawrenceville, Georgia
Investigational Site Number 840037
Loma Linda, California, 92357
Investigational Site Number 840045
Long Beach, California, 90822
Investigational Site Number 840026
Longmont, Colorado, 80501
Investigational Site Number 840027
Mineola, New York, 11501
Investigational Site Number 840030
Minneapolis, Minnesota, 55414
Investigational Site Number 840048
Mission Hills, California, 91345
Investigational Site Number 840033
Mission Viejo, California, 92691
Investigational Site Number 840004
Paducah, Kentucky, 42003
Investigational Site Number 840019
Palm Springs, California, 92262
Investigational Site Number 840047
Phoenix, Arizona, 85020
Investigational Site Number 840024
Rapid City, South Dakota, 57701
Investigational Site Number 840014
Renton, Washington, 98057
Investigational Site Number 840010
Rockville, Maryland, 20850
Investigational Site Number 840029
Roswell, Georgia, 30076
Investigational Site Number 840039
San Diego, California, 92101
Investigational Site Number 840042
San Diego, California, 92161
Investigational Site Number 840046
Spokane, Washington, 99220-3649
Investigational Site Number 840051
Springfield, Illinois, 62704
Investigational Site Number 840012
St Louis, Missouri, 63128
Investigational Site Number 840044
St Louis, Missouri, 63141
Investigational Site Number 840011
Staten Island, New York, 10301-3914
Investigational Site Number 840043
Tustin, California, 92780
Investigational Site Number 840020
Uniontown, Pennsylvania, 15401
Investigational Site Number 840052
Winston-Salem, North Carolina, 27103
France14 sites
Investigational Site Number 250-007
Annecy, 74000
Investigational Site Number 250-017
Bois-Guillaume, 76233
Investigational Site Number 250-003
Boulogne-Billancourt, 92100
Investigational Site Number 250-011
Brest, 29000
Investigational Site Number 250-008
Cahors, 46005
Investigational Site Number 250-012
Corbeil-Essonnes, 91100
Investigational Site Number 250-009
La Rochelle, 17019
Investigational Site Number 250-004
Le Creusot, 71200
Investigational Site Number 250-006
Mantes-la-Jolie, 78200
Investigational Site Number 250-021
Nanterre, 92014
Investigational Site Number 250022
Strasbourg, 67000
Investigational Site Number 250-020
Strasbourg, 67091
Investigational Site Number 250-002
Toulouse, 31300
Investigational Site Number 250-016
Vénissieux, 69200
Spain10 sites
Investigational Site Number 724007
Bilbao, 48013
Investigational Site Number 724006
Cadiz, 11009
Investigational Site Number 724001
Las Palmas de Gran Canaria, 35020
Investigational Site Number 724005
Lleida
Investigational Site Number 724008
Madrid, 28040
Investigational Site Number 724003
Málaga, 29010
Investigational Site Number 724009
Sabadell, 08208
Investigational Site Number 721002
Valencia, 46014
Investigational Site Number 724004
Valencia, 46015
Investigational Site Number 724010
Vigo, 36211
Russia8 sites
Investigational Site Number 643-009
Kazan'
Investigational Site Number 643008
Kirov, 610014K
Investigational Site Number 643001
Moscow, 117036
Investigational Site Number 643004
Saint Petersburg, 195257
Investigational Site Number 643006
Samara
Investigational Site Number 643007
Samara
Investigational Site Number 643005
Saratov
Investigational Site Number 643003
St-Ptetersburg, 194354
Austria7 sites
Investigational Site Number 040-006
Salzburg, 5010
Investigational Site Number 040-007
Salzburg, 5020
Investigational Site Number 040-003
Stockerau, A-2000
Investigational Site Number 040-005
Vienna, A-1010
Investigational Site Number 040-002
Vienna, A-1090
Investigational Site Number 040-001
Vienna, A-1130
Investigational Site Number 040-004
Vienna, A-1220
Netherlands7 sites
Investigational Site Number 528004
's-Hertogenbosch
Investigational Site Number 528001
Beek, 6191JW
Investigational Site Number 528006
Enschede, 7523JJ
Investigational Site Number 528002
Hoogeveen, 7909AA
Investigational Site Number 528007
Nijverdal, 7442LS
Investigational Site Number 528003
Rotterdam
Investigational Site Number 528005
Woerden
Brazil6 sites
Investigational Site Number 076-004
Belém, 66073-000
Investigational Site Number 076-007
Fortaleza, 60015-052
Investigational Site Number 076-001
Fortaleza, 60115-282
Investigational Site Number 076-006
Fortaleza, 60430-370
Investigational Site Number 076-005
Marília, 17519-101
Investigational Site Number 076-002
São Paulo, 01244-030
Canada6 sites
Investigational Site Number 124-003
Mississauga, L5M2V8
Investigational Site Number 124-001
Montreal, H2W1T8
Investigational Site Number 124-006
Montreal, H3A1A1
Investigational Site Number 124-004
Toronto, M5C 2T2
Investigational Site Number 124-008
Vancouver, V5Z1M9
Investigational Site Number 124-007
Victoria, V8R1J8
Sweden6 sites
Investigational Site Number 752-03
Ängelholm, 26281
Investigational Site Number 752-002
Gothenburg, 41665
Investigational Site Number 752-005
Karlskoga, 69181
Investigational Site Number 752-006
Motala, 59185
Investigational Site Number 752-007
Örebro, 70235
Investigational Site Number 752-001
Stockholm, 17176
Czechia5 sites
Investigational Site Number 203001
Hradec Králové, 50005
Investigational Site Number 203003
Krnov, 79401
Investigational Site Number 203005
Kroměříž, 76701
Investigational Site Number 203002
Olomouc, 77900
Investigational Site Number 203006
Prague, 15000
Slovakia5 sites
Investigational Site Number 703002
Bratislava, 81102
Investigational Site Number 703004
Košice, 04013
Investigational Site Number 703001
Nitra, 94911
Investigational Site Number 703005
Nové Mesto nad Váhom, 091501
Investigational Site Number 703003
Žilina, 01001
Finland4 sites
Investigational Site Number 246003
Harjavalta, 29200
Investigational Site Number 246001
Kuopio, 70210
Investigational Site Number 246002
Oulu, 90100
Investigational Site Number 246004
Turku, 20100
Mexico4 sites
Investigational Site Number 484004
Guadalajara, 44630
Investigational Site Number 484001
México, 07760
Investigational Site Number 484002
México, 14000
Investigational Site Number 484003
Zapopan, 45200
Greece3 sites
Investigational Site Number 300003
Athens
Investigational Site Number 300004
Athens
Investigational Site Number 300001
Haidari, Athens, 12462
Israel3 sites
Investigational Site Number 376004
Hadera
Investigational Site Number 376002
Petah Tikva, 49361
Investigational Site Number 376003
Tel Aviv
Turkey (Türkiye)2 sites
Investigational Site Number 792-001
Antalya, 07070
Investigational Site Number 792-002
Istanbul, 34890
About this study
Official title: A 24-week, Multicenter, International, Randomized (1:1), Parallel-group, Open-label, Comparative Study of Insulin Glargine Versus Liraglutide in Insulin-naïve Patients With Type 2 Diabetes Treated With Oral Agents and Not Adequately Controlled, Followed by a 24-week Extension Period With Insulin Glargine for Patients Not Adequately Controlled With Liraglutide
Primary objective:
To demonstrate the superiority of insulin glargine over liraglutide in terms of percentage of patients reaching a Glycosylated Haemoglobin (HbA1c) < 7% at the end of the comparative period (24 weeks) in Type 2 diabetic patients failing lifestyle management and oral agents
Read more
Secondary objectives of the comparative period (24 weeks):
>To assess the effect of insulin glargine in comparison with liraglutide on:
- HbA1c level
- Percentage of patients whose HbA1c has decreased but remains >= 7% at the end of the comparative period
- Percentage of patients whose HbA1c has increased at the end of the comparative period
- Fasting Plasma Glucose (FPG)
- 7-point Plasma Glucose (PG) profiles
- Hypoglycemia occurrence
- Body weight
- Adverse events
Objectives of the extension period (24 weeks):
>To assess the effect of insulin glargine in patients not adequately controlled with liraglutide on:
- HbA1c level
- FPG
- 7-point PG profiles
- Hypoglycemia occurrence
- Body weight
- Adverse events
Read the detailed description
Maximum estimated study duration per patient: either 27 weeks (patients randomized to insulin glargine arm) or 51 weeks (patients randomized to liraglutide arm) broken down as follow:
- A 2-week of screening period,
- A 24-week comparative period,
- A 24-week extension period (only for patients treated with liraglutide, not adequately controlled at the end of the comparative period),
- A 1-week follow-up period
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- Insulin glargine, Liraglutide, Metformin
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Insulin glargineDrug
Also called Lantus®
100 Units/mL solution for injection in a pre-filled SoloStar pen
LiraglutideDrug
Also called Victoza®
6 mg/mL solution for injection in a 3-mL pre-filled pen (18mg)
MetforminDrug
Metformin was a background treatment, mandatory for each patient randomized in the study (at the minimum dose of 1g/day). It was not supplied by the sponsor.
| Study group | Role | What they receive |
|---|---|---|
| Insulin Glargine | Experimental | Insulin glargine administered once a day, in the morning or in the evening, at the most convenient time. The time of injection, once chosen was to remain unchanged during the whole duration of the study.
The starting dose was 0.2 Unit per kilogram of body weight or 10 Units. Patients were empowered to adjust their insulin doses, under strict investigator's supervision. Insulin titration (by 2 or 4 Units) was done every 3 days according to the median value of Fasting Plasma Glucose (FPG) of the last 3 days. The goal was to achieve 70 < FPG ≤ 100 mg/dL (3.9 < FPG ≤ 5.5 mmol/L). Minor deviations from the titration scheme could be allowed, based on Investigator's judgment and patient's situation. Receives: Drug: Insulin glargine; Drug: Metformin |
| Liraglutide | Active comparator | Liraglutide administered once a day, in the morning or in the evening, at the most convenient time. The time of injection , once chosen was to remain unchanged during the whole duration of the study.
The dose was 0.6 mg/day during the first week, 1.2 mg/day during the second week and 1.8 mg/day until week 24. The dose might be decreased to 1.2 mg for safety reasons (e.g. gastro-intestinal tolerability), based on Investigator's judgment. Receives: Drug: Liraglutide; Drug: Metformin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) <7% at the End of the Comparative Period
The value at the end of the comparative period was defined as the last available HbA1c value measured during the comparative period plus 14 days after the last dose of Investigational Product (i.e. last-observation-carried-forward [LOCF] value).
Measured: week 12, week 24
Secondary outcomes (16)
Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) Has Decreased But Remains ≥7% at the End of the Comparative Period
Percentage of patients with:
- HbA1c value at end of the comparative period (LOCF) lower than HbA1c baseline value
AND
- HbA1c value at end of the comparative period (LOCF) ≥7%
Measured: baseline (week -2), week 12, week 24
Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) Has Increased at the End of the Comparative Period
Percentage of patients with HbA1c value at end of the comparative period (LOCF) higher than HbA1c baseline value
Measured: baseline (week -2), week 12, week 24
Glycosylated Haemoglobin (HbA1c): Change From Baseline to the End of Comparative Period
Change in HbA1C from baseline to the last observation carried forward (LOCF) measured during the comparative period = LOCF value - baseline value
Measured: baseline (week -2), week 12, week 24
Glycosylated Haemoglobin (HbA1c): Change From Beginning to the End of the Extension Period
Change in HbA1C from beginning of the extension period (week 24) to the last observation carried forward (LOCF) measured during the extension period = LOCF value - week 24 value
Measured: week 24, week 36, week 48
Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) <7% at the End of the Extension Period
Value at the end of the extension period defined as last available HbA1c value measured during the extension period (i.e. last observation carried forward (LOCF) value)
Measured: week 36, week 48
Self-Monitored Fasting Plasma Glucose (SMFPG) Measurements: Change From Baseline to the End of the Comparative Period
SMFPG = mean value of Self-Monitored Fasting Plasma Glucose measurements over 3 consecutive days in the week before each visit
Value at the end of the comparative period defined as last available value during the comparative period (i.e. last-observation-carried-forward [LOCF] value)
Change = LOCF value - baseline value
Measured: baseline (week 0), week 6, week 12, week 18, week 24
Self-Monitored Fasting Plasma Glucose (SMFPG) Measurements: Change From Beginning to the End of the Extension Period
SMFPG = mean value of Self-Monitored Fasting Plasma Glucose measurements over 3 consecutive days in the week before each visit
Value at the end of the extension period defined as last available value during the extension period (i.e. last-observation-carried-forward [LOCF] value)
Change = LOCF value - week 24 value
Measured: week 24, week 30, week 36, week 48
Self-Monitored 7-point Plasma Glucose (PG) Profile: Change From Baseline to the End of the Comparative Period
Self-monitored 7-point plasma glucose profiles (before and 2 hours after the start of breakfast, lunch and dinner, and at bedtime) recorded on 3 consecutive days in the week before each visit
Value at the end of the comparative period defined as last available value during the comparative period (i.e. last-observation-carried-forward [LOCF] value)
Change = LOCF value - baseline value
Measured: baseline (week 0), week 12, week 24
Self-Monitored 7-point Plasma Glucose (PG) Profile: Change From Beginning to the End of the Extension Period
Self-monitored 7-point plasma glucose profiles (before and 2 hours after the start of breakfast, lunch and dinner, and at bedtime) recorded on 3 consecutive days in the week before each visit
Value at the end of the extension period defined as last available value during the extension period (i.e. last-observation-carried-forward [LOCF] value)
Change = LOCF value - week 24 value
Measured: week 24, week 36, week 48
Body Weight: Change From Baseline to the End of the Comparative Period
Change = Last weight value measured during the comparative period (LOCF value) - weight value at baseline
Measured: baseline (week 0), week 2, week 6, week 12, week 18, week 24
Body Weight: Change From Beginning to End of the Extension Period
Change = Last weight value measured during the extension period (LOCF value) - weight value at beginning of the Extension Period (Week 24)
Measured: week 24, week 30, week 36, week 48
Daily Dose of Insulin Glargine
Measured: week 1, week 2, week 6, week 12, week 24
Daily Dose of Liraglutide
Measured: week 1, week 2, week 6, week 12, week 24
Daily Dose of Insulin Glargine Administered During the Extension Period
Measured: week 30, week 36, week 48
Hypoglycemia Occurence: Number of Patients With at Least One Episode of Symptomatic / Severe Symptomatic Hypoglycemia During the Comparative Period
Symptomatic hypoglycemia was defined as an event with clinical symptoms that were considered to result from hypoglycemia.
Severe symptomatic hypoglycemia was defined as an event with clinical symptoms that were considered to result from hypoglycemia, requiring the assistance of another person for active administration of carbohydrate, glucagon or other countermeasure because the patient could not treat him/herself due to acute neurological impairment directly resulting from the hypoglycemia (assistance by another person when the patient could have treated him/herself was not considered as requiring assistance)and one of the following criteria:
- The event was associated with a measured PG level < 36 mg/dL (2 mmol/L),
- Or, in absence of PG value, the event was associated with neurological recovery attributable to the restoration of PG to normal, after oral carbohydrate, intravenous glucose or glucagon administration.
Measured: all across the comparative period (from week 0 to week 24)
Hypoglycemia Occurence: Number of Patients With at Least One Episode of Symptomatic / Severe Symptomatic Hypoglycemia During the Extension Period
Symptomatic hypoglycemia was defined as an event with clinical symptoms that were considered to result from hypoglycemia.
Severe symptomatic hypoglycemia was defined as an event with clinical symptoms that were considered to result from hypoglycemia, requiring the assistance of another person for active administration of carbohydrate, glucagon or other countermeasure because the patient could not treat him/herself due to acute neurological impairment directly resulting from the hypoglycemia (assistance by another person when the patient could have treated him/herself was not considered as requiring assistance)and one of the following criteria:
- The event was associated with a measured PG level < 36 mg/dL (2 mmol/L),
- Or, in absence of PG value, the event was associated with neurological recovery attributable to the restoration of PG to normal, after oral carbohydrate, intravenous glucose or glucagon administration.
Measured: all across the extension period (from week 24 to week 48)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 May 2010 (estimated)
- Study startJul 2010
- Primary completionOct 2012
- Study completionMar 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Diabetes Mellitus, Type 2Studies of the same condition, open and under way.
- More trials run by SanofiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 978 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences & Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01117350
- Sponsor's protocol ID
- LANTU_C_03680
- Other IDs
- 2010-018437-21, U1111-1116-9684
- Acronym
- EAGLE
- Status last verified
- Mar 2014
- First submitted
- 4 May 2010
- Last updated
- 11 Apr 2014
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 11 Apr 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 24-week, Multicenter, International, Randomized (1:1), Parallel-group, Open-label, Comparative Study of Insulin Glargine Versus Liraglutide in Insulin-naïve Patients With Type 2 Diabetes Treated With Oral Agents and Not Adequately Controlled, Followed by a 24-week Extension Period With Insulin Glargine for Patients Not Adequately Controlled With Liraglutide
- ClinicalTrials.gov ID
- NCT01117350
- Acronym / sponsor ID
- EAGLE / LANTU_C_03680
- Conditions
- Diabetes Mellitus, Type 2
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 978 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- Jul 2010
- Primary completion
- Oct 2012 (actual)
- Study completion
- Mar 2013 (actual)
- First posted
- 5 May 2010 (estimated)
- Results
- Posted 29 Jan 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Primary objective:
To demonstrate the superiority of insulin glargine over liraglutide in terms of percentage of patients reaching a Glycosylated Haemoglobin (HbA1c) < 7% at the end of the comparative period (24 weeks) in Type 2 diabetic patients failing lifestyle management and oral agents
Secondary objectives of the comparative period (24 weeks):
>To assess the effect of insulin glargine in comparison with liraglutide on:
- HbA1c level
- Percentage of patients whose HbA1c has decreased but remains >= 7% at the end of the comparative period
- Percentage of patients whose HbA1c has increased at the end of the comparative period
- Fasting Plasma Glucose (FPG)
- 7-point Plasma Glucose (PG) profiles
- Hypoglycemia occurrence
- Body weight
- Adverse events
Objectives of the extension period (24 weeks):
>To assess the effect of insulin glargine in patients not adequately controlled with liraglutide on:
- HbA1c level
- FPG
- 7-point PG profiles
- Hypoglycemia occurrence
- Body weight
- Adverse events
Detailed description
Maximum estimated study duration per patient: either 27 weeks (patients randomized to insulin glargine arm) or 51 weeks (patients randomized to liraglutide arm) broken down as follow:
- A 2-week of screening period,
- A 24-week comparative period,
- A 24-week extension period (only for patients treated with liraglutide, not adequately controlled at the end of the comparative period),
- A 1-week follow-up period
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Insulin Glargine | Experimental | Drug: Insulin glargine, Drug: MetforminInsulin glargine administered once a day, in the morning or in the evening, at the most convenient time. The time of injection, once chosen was to remain unchanged during the whole duration of the study. The starting dose was 0.2 Unit per kilogram of body weight or 10 Units. Patients were empowered to adjust their insulin doses, under strict investigator's supervision. Insulin titration (by 2 or 4 Units) was done every 3 days according to the median value of Fasting Plasma Glucose (FPG) of the last 3 days. The goal was to achieve 70 < FPG ≤ 100 mg/dL (3.9 < FPG ≤ 5.5 mmol/L). Minor deviations from the titration scheme could be allowed, based on Investigator's judgment and patient's situation. |
| Liraglutide | Active comparator | Drug: Liraglutide, Drug: MetforminLiraglutide administered once a day, in the morning or in the evening, at the most convenient time. The time of injection , once chosen was to remain unchanged during the whole duration of the study. The dose was 0.6 mg/day during the first week, 1.2 mg/day during the second week and 1.8 mg/day until week 24. The dose might be decreased to 1.2 mg for safety reasons (e.g. gastro-intestinal tolerability), based on Investigator's judgment. |
Who may qualify
- Ages
- 35 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Patients With Type 2 Diabetes diagnosed for at least 1 year,
- Treated with lifestyle interventions and metformin at the maximum tolerated dosage (with a minimum daily dosage of 1g), either alone or in combination with an oral insulin secretagogue (sulfonylurea, glinide or DiPeptidyl Peptidase IV inhibitor), for more than 3 months,
- 7.5% < HbA1c <= 12%,
- Body Mass Index (BMI) between 25 and 40 kg/m2 inclusively,
- Ability and willingness to perform PG (Plasma Glucose) self monitoring using the sponsor-provided glucose meter and to complete the patient diary,
Key exclusion criteria (26 listed)
- Previous treatment with Glucagon Like Peptide-1 analogues or insulin in the past year (except in case of temporary treatment for gestational diabetes, surgery, hospitalization...),
- Treatment with thiazolidinediones or α-Glucosidases inhibitors within 3 months prior to study entry,
- Diabetes other than Type 2 diabetes (e.g. secondary to pancreatic disorders, drug or chemical agents intake),
- Pregnant women (women of childbearing potential must have a negative pregnancy test at study entry and a medically approved contraceptive method),
- Lactating women,
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Insulin glargineAlso: Lantus®100 Units/mL solution for injection in a pre-filled SoloStar pen | Drug | Insulin Glargine |
| LiraglutideAlso: Victoza®6 mg/mL solution for injection in a 3-mL pre-filled pen (18mg) | Drug | Liraglutide |
| MetforminMetformin was a background treatment, mandatory for each patient randomized in the study (at the minimum dose of 1g/day). It was not supplied by the sponsor. | Drug | Insulin Glargine, Liraglutide |
Primary outcome
Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) <7% at the End of the Comparative Period
Time frame: week 12, week 24
The value at the end of the comparative period was defined as the last available HbA1c value measured during the comparative period plus 14 days after the last dose of Investigational Product (i.e. last-observation-carried-forward [LOCF] value).
16 secondary outcomes
Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) Has Decreased But Remains ≥7% at the End of the Comparative Period
Time frame: baseline (week -2), week 12, week 24
Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) Has Increased at the End of the Comparative Period
Time frame: baseline (week -2), week 12, week 24
Glycosylated Haemoglobin (HbA1c): Change From Baseline to the End of Comparative Period
Time frame: baseline (week -2), week 12, week 24
Glycosylated Haemoglobin (HbA1c): Change From Beginning to the End of the Extension Period
Time frame: week 24, week 36, week 48
Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) <7% at the End of the Extension Period
Time frame: week 36, week 48
Self-Monitored Fasting Plasma Glucose (SMFPG) Measurements: Change From Baseline to the End of the Comparative Period
Time frame: baseline (week 0), week 6, week 12, week 18, week 24
Self-Monitored Fasting Plasma Glucose (SMFPG) Measurements: Change From Beginning to the End of the Extension Period
Time frame: week 24, week 30, week 36, week 48
Self-Monitored 7-point Plasma Glucose (PG) Profile: Change From Baseline to the End of the Comparative Period
Time frame: baseline (week 0), week 12, week 24
Self-Monitored 7-point Plasma Glucose (PG) Profile: Change From Beginning to the End of the Extension Period
Time frame: week 24, week 36, week 48
Body Weight: Change From Baseline to the End of the Comparative Period
Time frame: baseline (week 0), week 2, week 6, week 12, week 18, week 24
Body Weight: Change From Beginning to End of the Extension Period
Time frame: week 24, week 30, week 36, week 48
Daily Dose of Insulin Glargine
Time frame: week 1, week 2, week 6, week 12, week 24
Daily Dose of Liraglutide
Time frame: week 1, week 2, week 6, week 12, week 24
Daily Dose of Insulin Glargine Administered During the Extension Period
Time frame: week 30, week 36, week 48
Hypoglycemia Occurence: Number of Patients With at Least One Episode of Symptomatic / Severe Symptomatic Hypoglycemia During the Comparative Period
Time frame: all across the comparative period (from week 0 to week 24)
Hypoglycemia Occurence: Number of Patients With at Least One Episode of Symptomatic / Severe Symptomatic Hypoglycemia During the Extension Period
Time frame: all across the extension period (from week 24 to week 48)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Apr 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Sciences & Operations study director
Sanofi
136 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Insulin glargine, Liraglutide and Metformin in people with Diabetes Mellitus, Type 2, run by Sanofi at 136 sites in 17 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Apr 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 136 sites in United States, France, Spain, Russia, Austria and 12 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 29 Jan 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) <7% at the End of the Comparative Period (time frame: week 12, week 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Apr 2014.