Type 2 Diabetes MellitusPhase 3EDITION INCT01499082
Comparison of a New Formulation of Insulin Glargine With Lantus in Patients With Type 2 Diabetes Mellitus on Basal Plus Mealtime Insulin
A Phase 3 study testing HOE901-U300 (new formulation of insulin glargine) and Lantus (insulin glargine) in people with Type 2 Diabetes Mellitus, run by Sanofi at 193 sites in 13 countries.
Trial summary
Primary Objective: To compare the efficacy of insulin glargine new formulation and Lantus in terms of change in HbA1c from baseline to endpoint (scheduled month 6) in adult participants with type 2 diabetes mellitus Secondary Objectives: To compare the efficacy of insulin glargine new formulation and Lantus in terms… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- HOE901-U300 (new formulation of insulin glargine) and Lantus (insulin glargine)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 807 participants
- Where
- 193 sitesin 13 countries
- Study dates
- Dec 2011to Sep 2013
- Phase
- Phase 3
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participants with type 2 diabetes mellitus
- Substudy inclusion criteria:
- Completion of the 6-month study period in main study (Visit 10)
- Randomized and treated with insulin glargine new formulation during the 6-month treatment period (Baseline - month 6)
Who cannot join
- Age less than (<) 18 years
- HbA1c <7.0% or greater than (>) 10% at screening
- Diabetes other than type 2 diabetes mellitus
- Less than 1 year on basal plus mealtime insulin and self-monitoring of blood glucose
- Any contraindication to use of insulin glargine as defined in the national product label
- Participants using human regular insulin as mealtime insulin in the last 3 months before screening visit
Show all 13Show fewer
- Use of an insulin pump in the last 6 months before screening visit
- Initiation of new glucose-lowering agents and/or weight loss drugs in the last 3 months before screening visit
- History or presence of significant diabetic retinopathy or macular edema likely to require laser or injectable drugs or surgical treatment during the study period
- Pregnant or breast-feeding women or women who intend to become pregnant during the study period
- Substudy exclusion criteria:
- Participant not willing to use the adaptable injection intervals on at least two days per week
- The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Trial locations and contacts
193 sites in 13 countries.
193 sites in 13 countries
United States95 sites
Investigational Site Number 840076
Anaheim, California, 92801
Investigational Site Number 840065
Ann Arbor, Michigan, 48106
Investigational Site Number 840146
Asheville, North Carolina, 28801
Investigational Site Number 840021
Austin, Texas, 78731
Investigational Site Number 840129
Austin, Texas, 78731
Investigational Site Number 840081
Austin, Texas, 78758
Investigational Site Number 840078
Avon, Indiana, 46123
Investigational Site Number 840089
Avon, Indiana, 46123
Investigational Site Number 840097
Avon, Indiana, 46123
Investigational Site Number 840098
Avon, Indiana, 46123
Investigational Site Number 840100
Avon, Indiana, 46123
Investigational Site Number 840036
Baltimore, Maryland, 21237
Investigational Site Number 840155
Baltimore, Maryland, 21237
Investigational Site Number 840043
Brick, New Jersey, 08274
Investigational Site Number 840156
Chandler, Arizona, 85224
Investigational Site Number 840143
Chaska, Minnesota, 55318
Investigational Site Number 840039
Chattanooga, Tennessee, 37404
Investigational Site Number 840035
Chesapeake, Virginia, 23321
Investigational Site Number 840008
Cincinnati, Ohio, 45236
Investigational Site Number 840114
Colorado Springs, Colorado, 80906
Investigational Site Number 840136
Colorado Springs, Colorado, 80910
Investigational Site Number 840106
Columbus, Ohio, 43213
Investigational Site Number 840001
Dallas, Texas, 75230
Investigational Site Number 840047
Dallas, Texas, 75246
Investigational Site Number 840123
Dayton, Ohio, 45439
Investigational Site Number 840049
Daytona Beach, Florida, 32117
Investigational Site Number 840066
Dearborn, Michigan, 48124
Investigational Site Number 840116
Des Moines, Iowa, 50314
Investigational Site Number 840010
Draper, Utah, 84020
Investigational Site Number 840068
Eagan, Minnesota, 55122
Investigational Site Number 840133
Encino, California, 91436
Investigational Site Number 840067
Fargo, North Dakota, 58103
Investigational Site Number 840103
Flint, Michigan, 48504
Investigational Site Number 840090
Fremont, Nebraska, 68025
Investigational Site Number 840102
Glendale, Arizona, 85306
Investigational Site Number 840062
Greenbrae, California, 94904
Investigational Site Number 840079
Greer, South Carolina, 29651
Investigational Site Number 840145
Hickory, North Carolina, 28601
Investigational Site Number 840050
Hollywood, Florida, 33021
Investigational Site Number 840016
Hot Springs, Arkansas, 71913
Investigational Site Number 840082
Houston, Texas, 77096
Investigational Site Number 840057
Huntington Beach, California, 92648
Investigational Site Number 840120
Hurst, Texas, 76054
Investigational Site Number 840052
Idaho Falls, Idaho, 83404
Investigational Site Number 840086
Jacksonville, Florida, 32204
Investigational Site Number 840011
Jacksonville, Florida, 32216
Investigational Site Number 840009
Jacksonville, Florida, 32258
Investigational Site Number 840126
Kalamazoo, Michigan, 49048
Investigational Site Number 840053
Kalispell, Montana, 59901
Investigational Site Number 840159
Knoxville, Tennessee, 37912
Investigational Site Number 840059
La Jolla, California, 92037
Investigational Site Number 840004
La Mesa, California, 91942
Investigational Site Number 840058
Las Vegas, Nevada, 89148
Investigational Site Number 840055
Lawrenceville, Georgia, 30045
Investigational Site Number 840080
Lexington, Kentucky, 40504
Investigational Site Number 840015
Little Rock, Arkansas, 72205
Investigational Site Number 840124
Little Rock, Arkansas, 72205
Investigational Site Number 840092
Longmont, Colorado, 80501
Investigational Site Number 840119
Maumee, Ohio, 43537
Investigational Site Number 840020
McHenry, Illinois, 60050
Investigational Site Number 840083
Medford, Oregon, 97504
Investigational Site Number 840122
Mentor, Ohio, 44060
Investigational Site Number 840018
Milwaukee, Wisconsin, 53209-0996
Investigational Site Number 840085
Minneapolis, Minnesota, 55416
Investigational Site Number 840099
Mission Hills, California, 91345
Investigational Site Number 840117
Nampa, Idaho, 83686
Investigational Site Number 840023
New Port Richey, Florida, 34652
Investigational Site Number 840074
Norfolk, Virginia, 23502
Investigational Site Number 840112
Norfolk, Virginia, 23507
Investigational Site Number 840041
Norfolk, Virginia, 23510
Investigational Site Number 840012
Ocoee, Florida, 34761
Investigational Site Number 840060
Ogden, Utah, 84403
Investigational Site Number 840091
Omaha, Nebraska, 68130
Investigational Site Number 840042
Paducah, Kentucky, 42003
Investigational Site Number 840148
Palm Harbor, Florida, 34684
Investigational Site Number 840107
Palm Springs, California, 92262
Investigational Site Number 840071
Phoenix, Arizona, 85028
Investigational Site Number 840084
Portland, Oregon, 97239-3098
Investigational Site Number 840048
Rapid City, South Dakota, 57701
Investigational Site Number 840104
Richmond, Virginia, 23235
Investigational Site Number 840034
Rockville, Maryland, 20852
Investigational Site Number 840005
San Diego, California, 92161
Investigational Site Number 840032
Searcy, Arkansas, 72143
Investigational Site Number 840022
Southfield, Michigan, 48034
Investigational Site Number 840019
Springfield, Illinois, 62704
Investigational Site Number 840121
Sun City, Arizona, 85351
Investigational Site Number 840070
Tempe, Arizona, 85282
Investigational Site Number 840152
Toms River, New Jersey, 08721
Investigational Site Number 840013
Tustin, California, 92780
Investigational Site Number 840007
Uniontown, Pennsylvania, 15401
Investigational Site Number 840127
Vincennes, Indiana, 47591
Investigational Site Number 840002
Walnut Creek, California, 94598
Investigational Site Number 840003
Wichita, Kansas, 67211
Investigational Site Number 840075
Williamsburg, Virginia, 23185
Investigational Site Number 840045
Wilmington, North Carolina, 28401
Canada22 sites
Investigational Site Number 124024
Beamsville, L0R 1B0
Investigational Site Number 124025
Burlington, L7M 4Y1
Investigational Site Number 124023
Calgary, T2H 2G4
Investigational Site Number 124020
Calgary, T2N 4L7
Investigational Site Number 124019
Chatham, N7L 1C1
Investigational Site Number 124018
Coquitlam, V3K 3P4
Investigational Site Number 124021
Hamilton, L8L 5G8
Investigational Site Number 124014
Hamilton, L8N 3Z5
Investigational Site Number 124006
Laval, H7T 2P5
Investigational Site Number 124009
London, N6A 4V2
Investigational Site Number 124008
Mississauga, L5M 2V8
Investigational Site Number 124015
Montreal, H2W 1R7
Investigational Site Number 124004
Montreal, H2W 1T8
Investigational Site Number 124005
Oshawa, L1H 7K4
Investigational Site Number 124026
Québec, G1V 4G5
Investigational Site Number 124002
Red Deer, T4N 6V7
Investigational Site Number 124017
Saint-Laurent, H4T 1Z9
Investigational Site Number 124007
Thornhill, L4J 8L7
Investigational Site Number 124001
Toronto, M4G 3E8
Investigational Site Number 124011
Toronto, M5C 2T2
Investigational Site Number 124010
Victoria, V8V 4A1
Investigational Site Number 124022
Winnipeg, R3E 3P4
Hungary17 sites
Investigational Site Number 348010
Baja, 6500
Investigational Site Number 348004
Balatonfüred, 8230
Investigational Site Number 348015
Budapest, 1083
Investigational Site Number 348013
Budapest, 1088
Investigational Site Number 348017
Budapest, 1134
Investigational Site Number 348009
Budapest, 1139
Investigational Site Number 348002
Budapest
Investigational Site Number 348005
Debrecen, 4043
Investigational Site Number 348008
Eger, 3300
Investigational Site Number 348018
Gyula, 5700
Investigational Site Number 348014
Makó, 6900
Investigational Site Number 348012
Mosonmagyaróvár, 9200
Investigational Site Number 348007
Nyiregyháza, 4400
Investigational Site Number 348011
Sátorlaljaújhely, 3980
Investigational Site Number 348003
Szeged, 6722
Investigational Site Number 348006
Szombathely, 9700
Investigational Site Number 348001
Zalaegerszeg, 8900
Czechia10 sites
Investigational Site Number 203006
Beroun, 26601
Investigational Site Number 203001
Břeclav, 690 02
Investigational Site Number 203002
Hodonín, 69501
Investigational Site Number 203009
Holešov, 76901
Investigational Site Number 203003
Hradec Králové, 50005
Investigational Site Number 203007
Hranice, 75301
Investigational Site Number 203004
Krnov, 79401
Investigational Site Number 203010
Olomouc, 77900
Investigational Site Number 203008
Prague, 12808
Investigational Site Number 203005
Prostějov, 79601
Romania9 sites
Investigational Site Number 642001
Bacau, 600114
Investigational Site Number 642005
Bucharest, 020475
Investigational Site Number 642006
Bucharest, 700164
Investigational Site Number 642002
Cluj-Napoca, 400006
Investigational Site Number 642004
Iași, 700547
Investigational Site Number 642008
Iași, 700613
Investigational Site Number 642003
Oradea, 410169
Investigational Site Number 642009
Târgu Mureş, 540142
Investigational Site Number 642007
Timișoara, 300133
Netherlands8 sites
Investigational Site Number 528009
Almelo, 7609 PP
Investigational Site Number 528004
Eindhoven, 5631 BM
Investigational Site Number 528007
Groningen, 9728 NT
Investigational Site Number 528005
Hoogeveen, 7909 AA
Investigational Site Number 528001
Hoorn, 1064NP
Investigational Site Number 528008
Leeuwarden, 8934 AD
Investigational Site Number 528006
Utrecht, 3563 AZ
Investigational Site Number 528002
Venlo, 5912 BL
South Africa7 sites
Investigational Site Number 710005
Alberton, 1450
Investigational Site Number 710003
Johannesburg, 2198
Investigational Site Number 710006
Lenasia, 1820
Investigational Site Number 710002
Observatory, 7925
Investigational Site Number 710001
Paarl, 7500
Investigational Site Number 710008
Pretoria, 0167
Investigational Site Number 710004
Somerset West, 7130
Estonia6 sites
Investigational Site Number 233002
Pärnu, 80018
Investigational Site Number 233004
Tallinn, 11313
Investigational Site Number 233006
Tallinn, 11913
Investigational Site Number 233003
Tallinn, 13415
Investigational Site Number 233001
Tallinn, 13419
Investigational Site Number 233005
Tartu, 50410
Latvia6 sites
Investigational Site Number 428006
Jēkabpils, LV-5201
Investigational Site Number 428005
Ogre, LV-5001
Investigational Site Number 428002
Riga, LV-1002
Investigational Site Number 428001
Riga, LV-1038
Investigational Site Number 428004
Riga, LV-1050
Investigational Site Number 428003
Sigulda, LV-2150
Mexico5 sites
Investigational Site Number 484007
Chihuahua City, 31000
Investigational Site Number 484001
Cuernavaca, 62250
Investigational Site Number 484006
Guadalajara, 44670
Investigational Site Number 484003
Monterrey, 64460
Investigational Site Number 484004
Pachuca, 42060
Finland3 sites
Investigational Site Number 246001
Helsinki, 00260
Investigational Site Number 246005
Kuopio, 70210
Investigational Site Number 246002
Oulu, 90100
Germany3 sites
Investigational Site Number 276006
Heidelberg, 69115
Investigational Site Number 276002
Riesa, 01587
Investigational Site Number 276003
Schwabenheim, 55270
France2 sites
Investigational Site Number 250004
La Rochelle, 17019
Investigational Site Number 250002
Strasbourg, 67091
About this study
Official title: 6-Month, Multicenter, Randomized, Open-label, Parallel-group Study Comparing the Efficacy and Safety of a New Formulation of Insulin Glargine and Lantus® Both Plus Mealtime Insulin in Patients With Type 2 Diabetes Mellitus With a 6-month Safety Extension Period
Primary Objective:
- To compare the efficacy of insulin glargine new formulation and Lantus in terms of change in HbA1c from baseline to endpoint (scheduled month 6) in adult participants with type 2 diabetes mellitus
Secondary Objectives:
- To compare the efficacy of insulin glargine new formulation and Lantus in terms of occurrence of nocturnal Hypoglycemia
Read the detailed description
The maximum study duration was up to approximately 58 weeks per participant, consisting of:
- up to 2 week screening period
- 6-month comparative efficacy and safety treatment period
- 6-month comparative safety extension period
- 4-week safety follow-up period in a subset of participants
- a 3-month administration substudy period starting after completion of the 6-month study period for participants willing to in a subset of participants randomized to HOE901-U300
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- HOE901-U300 (new formulation of insulin glargine), Lantus (insulin glargine)
- 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.
HOE901-U300 (new formulation of insulin glargine)Drug
HOE901-U300 (new insulin glargine 300 units per milliliter [U/mL]) subcutaneous (SC) injection once daily (evening) for 12 months on top of mealtime insulin analogue. Dose titration seeking fasting plasma glucose 4.4-5.6 millimole per liter (mmol/L) (80 - 100 milligram per deciliter [mg/dL]). After 6 months participants were proposed to participate to the administration substudy and to receive either HOE901-U300 once daily at intervals of 24 +/- 3 hours (adaptable dosing intervals) or to continue once daily injections of HOE901-U300 every 24 hours (fixed dosing intervals) up to Month 9.
Lantus (insulin glargine)Drug
Also called Lantus
Lantus (HOE901-U100, insulin glargine 100 U/mL) SC injection once daily (evening) for 12 months on top of mealtime insulin analogue. Dose titration seeking fasting plasma glucose 4.4-5.6 mmol/L (80 - 100 mg/dL).
| Study group | Role | What they receive |
|---|---|---|
| HOE901-U300 | Experimental | Not described Receives: Drug: HOE901-U300 (new formulation of insulin glargine) |
| Lantus | Active comparator | Not described Receives: Drug: Lantus (insulin glargine) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in HbA1c From Baseline to Month 6 Endpoint
Measured: Baseline, Month 6
Secondary outcomes (10)
Percentage of Participants With At Least One Severe and/or Confirmed Nocturnal Hypoglycemia From Start of Week 9 to Month 6 Endpoint
Nocturnal hypoglycemia was hypoglycemia that occurred between 00:00 and 05:59 hours (clock time), regardless the participant was awake or woke up because of the event. Severe hypoglycemia was an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Confirmed hypoglycemia was an event associated with plasma glucose less than or equal to (<=) 3.9 millimoles per liter (mmol/L) (70 milligram per deciliter [mg/dL]).
Measured: Week 9 Up to Month 6
Change in Average Preinjection Self-Monitored Plasma Glucose (SMPG) From Baseline to Month 6 Endpoint
Pre-injection SMPG was measured within 30 minutes prior to the injection of the study drug. Average was assessed by the mean of at least 3 SMPG calculated over the 7 days preceding the assessment visit.
Measured: Baseline, Month 6
Change in Variability of Preinjection SMPG From Baseline to Month 6 Endpoint
Pre-injection SMPG was measured within 30 minutes prior to the injection of the study drug. Variability was assessed by the mean of coefficient of variation calculated as 100 multiplied by (standard deviation/mean) over at least 3 SMPG measured during the 7 days preceding the assessment visit.
Measured: Baseline, Month 6
Percentage of Participants With HbA1c <7% at Month 6 Endpoint
Measured: Month 6
Change in Fasting Plasma Glucose (FPG) From Baseline to Month 6 Endpoint
Measured: Baseline, Month 6
Percentage of Participants With FPG <5.6 mmol/L (<100 mg/dL) at Month 6 Endpoint
Measured: Month 6
Change in 8-Point SMPG Profiles Per Time Point From Baseline to Month 6 Endpoint
Change in each time-point of 8-point SMPG profile: 03:00 hours (clock time) at night; before and 2 hours after breakfast; before and 2 hours after lunch; before and 2 hours after dinner; and at bedtime.
Measured: Baseline, Month 6
Change in Daily Basal Insulin Dose From Baseline to Month 6 Endpoint
Measured: Baseline, Month 6
Change in Treatment Satisfaction Score Using The Diabetes Treatment Satisfaction Questionnaire (DTSQs) From Baseline to Month 6 Endpoint
DTSQ is a validated measure to assess how satisfied participants with diabetes are with their treatment and how they perceive hyper- and hypoglycemia. It consists of 8 questions which are answered on a Likert scale from 0 to 6. DTSQ treatment satisfaction score is the sum of question 1 and 4-8 scores and ranges between 0 and 36, where higher scores indicate more treatment satisfaction.
Measured: Baseline, Month 6
Percentage of Participants With Hypoglycemia (All and Nocturnal) Events From Baseline up to Month 12
Hypoglycemia events were Severe hypoglycemia (an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions); Documented symptomatic hypoglycemia (typical symptoms of hypoglycemia with plasma glucose level of <=3.9 mmol/L [70 mg/dL]); Asymptomatic hypoglycemia (no typical symptoms of hypoglycemia but plasma glucose level <=3.9 mmol/L); Probable symptomatic hypoglycemia (an event during which symptoms of hypoglycemia were not accompanied by a plasma glucose determination, but was presumably caused by a plasma glucose level <=3.9 mmol/L, symptoms treated with oral carbohydrate without a test of plasma glucose); Relative hypoglycemia (an event during which the person with diabetes reported any of the typical symptoms of hypoglycemia, and interpreted the symptoms as indicative of hypoglycemia, but plasma glucose level >3.9 mmol/L); Severe and/or confirmed a hypoglycemia (plasma glucose <=3.9 mmol/L).
Measured: Up to Month 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Dec 2011 (estimated)
- Study startDec 2011
- Primary completionJan 2013
- Study completionSep 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.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Type 2 Diabetes MellitusStudies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 807 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
- NCT01499082
- Sponsor's protocol ID
- EFC11628
- Other IDs
- 2010-023769-23
- Acronym
- EDITION I
- Status last verified
- Mar 2022
- First submitted
- 16 Dec 2011
- Last updated
- 25 Mar 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Individual data sharing
- Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Publications
Riddle MC, Bolli GB, Ziemen M, Muehlen-Bartmer I, Bizet F, Home PD; EDITION 1 Study Investigators. New insulin glargine 300 units/mL versus glargine 100 units/mL in people with type 2 diabetes using basal and mealtime insulin: glucose control and hypoglycemia in a 6-month randomized controlled trial (EDITION 1). Diabetes Care. 2014 Oct;37(10):2755-62. doi: 10.2337/dc14-0991. Epub 2014 Jul 30.
PubMed 25078900Yale JF, Aroda VR, Charbonnel B, Sinclair AJ, Trescoli C, Cahn A, Bigot G, Merino-Trigo A, Brulle-Wohlhueter C, Bolli GB, Ritzel R. Glycaemic control and hypoglycaemia risk with insulin glargine 300 U/mL versus glargine 100 U/mL: A patient-level meta-analysis examining older and younger adults with type 2 diabetes. Diabetes Metab. 2020 Apr;46(2):110-118. doi: 10.1016/j.diabet.2018.10.002. Epub 2018 Oct 23.
PubMed 30366067Bonadonna RC, Renard E, Cheng A, Fritsche A, Cali A, Melas-Melt L, Umpierrez GE. Switching to insulin glargine 300 U/mL: Is duration of prior basal insulin therapy important? Diabetes Res Clin Pract. 2018 Aug;142:19-25. doi: 10.1016/j.diabres.2018.03.041. Epub 2018 Apr 9.
PubMed 29649539
Study at a glance
From the registry record, last updated by the sponsor on 25 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- 6-Month, Multicenter, Randomized, Open-label, Parallel-group Study Comparing the Efficacy and Safety of a New Formulation of Insulin Glargine and Lantus® Both Plus Mealtime Insulin in Patients With Type 2 Diabetes Mellitus With a 6-month Safety Extension Period
- ClinicalTrials.gov ID
- NCT01499082
- Acronym / sponsor ID
- EDITION I / EFC11628
- Conditions
- Type 2 Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 807 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- Dec 2011
- Primary completion
- Jan 2013 (actual)
- Study completion
- Sep 2013 (actual)
- First posted
- 26 Dec 2011 (estimated)
- Results
- Posted 23 Apr 2015
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 compare the efficacy of insulin glargine new formulation and Lantus in terms of change in HbA1c from baseline to endpoint (scheduled month 6) in adult participants with type 2 diabetes mellitus
Secondary Objectives:
- To compare the efficacy of insulin glargine new formulation and Lantus in terms of occurrence of nocturnal Hypoglycemia
Detailed description
The maximum study duration was up to approximately 58 weeks per participant, consisting of:
- up to 2 week screening period
- 6-month comparative efficacy and safety treatment period
- 6-month comparative safety extension period
- 4-week safety follow-up period in a subset of participants
- a 3-month administration substudy period starting after completion of the 6-month study period for participants willing to in a subset of participants randomized to HOE901-U300
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| HOE901-U300 | Experimental | Drug: HOE901-U300 (new formulation of insulin glargine) |
| Lantus | Active comparator | Drug: Lantus (insulin glargine) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Participants with type 2 diabetes mellitus
- Substudy inclusion criteria:
Key exclusion criteria (13 listed)
- Age less than (<) 18 years
- HbA1c <7.0% or greater than (>) 10% at screening
- Diabetes other than type 2 diabetes mellitus
- Less than 1 year on basal plus mealtime insulin and self-monitoring of blood glucose
- Any contraindication to use of insulin glargine as defined in the national product label
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 |
|---|---|---|
| HOE901-U300 (new formulation of insulin glargine)HOE901-U300 (new insulin glargine 300 units per milliliter [U/mL]) subcutaneous (SC) injection once daily (evening) for 12 months on top of mealtime insulin analogue. Dose titration seeking fasting plasma glucose 4.4-5.6 millimole per liter (mmol/L) (80 - 100 milligram per deciliter [mg/dL]). After 6 months participants were proposed to participate to the administration substudy and to receive either HOE901-U300 once daily at intervals of 24 +/- 3 hours (adaptable dosing intervals) or to continue once daily injections of HOE901-U300 every 24 hours (fixed dosing intervals) up to Month 9. | Drug | HOE901-U300 |
| Lantus (insulin glargine)Also: LantusLantus (HOE901-U100, insulin glargine 100 U/mL) SC injection once daily (evening) for 12 months on top of mealtime insulin analogue. Dose titration seeking fasting plasma glucose 4.4-5.6 mmol/L (80 - 100 mg/dL). | Drug | Lantus |
Primary outcome
Change in HbA1c From Baseline to Month 6 Endpoint
Time frame: Baseline, Month 6
10 secondary outcomes
Percentage of Participants With At Least One Severe and/or Confirmed Nocturnal Hypoglycemia From Start of Week 9 to Month 6 Endpoint
Time frame: Week 9 Up to Month 6
Change in Average Preinjection Self-Monitored Plasma Glucose (SMPG) From Baseline to Month 6 Endpoint
Time frame: Baseline, Month 6
Change in Variability of Preinjection SMPG From Baseline to Month 6 Endpoint
Time frame: Baseline, Month 6
Percentage of Participants With HbA1c <7% at Month 6 Endpoint
Time frame: Month 6
Change in Fasting Plasma Glucose (FPG) From Baseline to Month 6 Endpoint
Time frame: Baseline, Month 6
Percentage of Participants With FPG <5.6 mmol/L (<100 mg/dL) at Month 6 Endpoint
Time frame: Month 6
Change in 8-Point SMPG Profiles Per Time Point From Baseline to Month 6 Endpoint
Time frame: Baseline, Month 6
Change in Daily Basal Insulin Dose From Baseline to Month 6 Endpoint
Time frame: Baseline, Month 6
Change in Treatment Satisfaction Score Using The Diabetes Treatment Satisfaction Questionnaire (DTSQs) From Baseline to Month 6 Endpoint
Time frame: Baseline, Month 6
Percentage of Participants With Hypoglycemia (All and Nocturnal) Events From Baseline up to Month 12
Time frame: Up to Month 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Mar 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 25078900Riddle MC, Bolli GB, Ziemen M, Muehlen-Bartmer I, Bizet F, Home PD; EDITION 1 Study Investigators. New insulin glargine 300 units/mL versus glargine 100 units/mL in people with type 2 diabetes using basal and mealtime insulin: glucose control and hypoglycemia in a 6-month randomized controlled trial (EDITION 1). Diabetes Care. 2014 Oct;37(10):2755-62. doi: 10.2337/dc14-0991. Epub 2014 Jul 30.
- Derived from this study: PubMed 30366067Yale JF, Aroda VR, Charbonnel B, Sinclair AJ, Trescoli C, Cahn A, Bigot G, Merino-Trigo A, Brulle-Wohlhueter C, Bolli GB, Ritzel R. Glycaemic control and hypoglycaemia risk with insulin glargine 300 U/mL versus glargine 100 U/mL: A patient-level meta-analysis examining older and younger adults with type 2 diabetes. Diabetes Metab. 2020 Apr;46(2):110-118. doi: 10.1016/j.diabet.2018.10.002. Epub 2018 Oct 23.
- Derived from this study: PubMed 29649539Bonadonna RC, Renard E, Cheng A, Fritsche A, Cali A, Melas-Melt L, Umpierrez GE. Switching to insulin glargine 300 U/mL: Is duration of prior basal insulin therapy important? Diabetes Res Clin Pract. 2018 Aug;142:19-25. doi: 10.1016/j.diabres.2018.03.041. Epub 2018 Apr 9.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
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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
193 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing HOE901-U300 (new formulation of insulin glargine) and Lantus (insulin glargine) in people with Type 2 Diabetes Mellitus, run by Sanofi at 193 sites in 13 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 4 inclusion and 13 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 25 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 193 sites in United States, Canada, Hungary, Czechia, Romania and 8 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 23 Apr 2015). 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?
Change in HbA1c From Baseline to Month 6 Endpoint (time frame: Baseline, Month 6). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01499082, which also lists 3 linked publications.
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 25 Mar 2022.