AzTrials
AzTrials

Diabetes Mellitus, Type 2Phase 4REGAIN CONTROLNCT02967211

A "Real World" Trial to Determine Efficacy and Health Outcomes of Toujeo Compared to "Standard of Care" Basal Insulin in Patients Already Using Basal Insulin

A Phase 4 study testing insulin glargine (U300), insulin glargine (U100) and NPH insulin in people with Diabetes Mellitus, Type 2, run by Sanofi at 118 sites in 10 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Primary Objective: To demonstrate noninferiority of Toujeo versus "standard of care" basal insulin therapy as measured by glycated hemoglobin (HbA1c) change Secondary Objectives: To demonstrate superiority of Toujeo versus "standard of care" basal insulin if non-inferiority criterion is met, measured by HbA1c change. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diabetes Mellitus, Type 2
What is being tested?
insulin glargine (U300), insulin glargine (U100) and NPH insulin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
609 participants
Where
118 sitesin 10 countries
Study dates
21 Dec 2015to 20 Oct 2017
Phase
Phase 4
Are there results?
None posted in the registry

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

  • Patients with type 2 diabetes insufficiently controlled (HbA1c >7%) with current (≥6 months) "standard of care" basal insulin therapy (including insulin glargine U100, Levemir, NPH, or Tresiba) with or without oral agents (metformin, sulfonylurea, thiazolidinedione, DPP-4 inhibitor, SGLT-2 inhibitor, glinides, α glucosidase inhibitors) and with or without use of a GLP-1 receptor agonist.
  • Fasting plasma glucose (FPG) >130 mg/dL (7.2 mmol/L).
  • Adult patients who have signed Informed Consent Form (ICF) and privacy form(s).

Who cannot join

  • HbA1c ≤7%, no upper bound.
  • Age <18 years.
  • Type 1 diabetes mellitus.
  • Any clinically significant abnormality identified on physical examination, laboratory tests, or vital signs at the time of screening, or any major systemic disease resulting in short life expectancy that in the opinion of the Investigator would restrict or limit the patient's successful participation for the duration of the study.
  • Use of any product containing short or rapid acting insulin since the time of diagnosis with type 2 diabetes mellitus other than temporary use during a pregnancy or hospitalization.
  • Use of any product containing short or rapid acting insulin occurring within 3 months prior to the time of screening.
Show all 12Show fewer
  • Use of oral hypoglycemic agents other than those noted in the inclusion criteria, GLP-1 receptor agonists not approved for use with insulin, or any investigational agent (drug, biologic, device) within 3 months prior to the time of screening.
  • All contraindications to "standard of care" insulin therapy or warnings/precautions of use as displayed in the respective National Product labeling for these products.
  • Hypersensitivity to insulin glargine or Toujeo excipients.
  • Pregnancy or lactation.
  • Women of childbearing potential with no effective contraceptive method.
  • The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Trial locations and contacts

118 sites in 10 countries.

118 sites in 10 countries

Spain28 sites
  • Investigational Site Number 724002

    Barcelona, 08003

  • Investigational Site Number 724019

    Barcelona, 08035

  • Investigational Site Number 724012

    Barcelona, 08036

  • Investigational Site Number 724011

    Barcelona

  • Investigational Site Number 724027

    Castellon, 12004

  • Investigational Site Number 724028

    Córdoba, 14004

  • Investigational Site Number 724008

    Galdakao (Bilbao), 48960

  • Investigational Site Number 724010

    León, 24071

  • Investigational Site Number 724001

    Lleida

  • Investigational Site Number 724013

    Madrid, 28007

  • Investigational Site Number 724018

    Madrid

  • Investigational Site Number 724020

    Málaga, 29010

  • Investigational Site Number 724025

    Móstoles, 28933

  • Investigational Site Number 724006

    Palma de Mallorca, 07010

  • Investigational Site Number 724007

    Palma de Mallorca, 07010

  • Investigational Site Number 724024

    Pontevedra, 36071

  • Investigational Site Number 724017

    Sabadell, 08208

  • Investigational Site Number 724022

    San Cristóbal de La Laguna - Santa Cruz de Tenerife, 38320

  • Investigational Site Number 724003

    Sant Joan d'Alacant, 3550

  • Investigational Site Number 724030

    Sant Joan Despí, 08970

  • Investigational Site Number 724023

    Santa Cruz de Tenerife, 38010

  • Investigational Site Number 724014

    Santiago de Compostela, 15706

  • Investigational Site Number 724005

    Seville, 41003

  • Investigational Site Number 724016

    Seville, 41010

  • Investigational Site Number 724004

    Seville, 41071

  • Investigational Site Number 724021

    Valencia, 46010

  • Investigational Site Number 724009

    Valladolid, 47011

  • Investigational Site Number 724029

    Vigo, 36200

Other trials in Spain

Italy23 sites
  • Investigational Site Number 380033

    Arzignano (VI), 36071

  • Investigational Site Number 380016

    Catania, 95122

  • Investigational Site Number 380004

    Catania

  • Investigational Site Number 380006

    Catanzaro

  • Investigational Site Number 380031

    Eboli, 84025

  • Investigational Site Number 380007

    Forlì

  • Investigational Site Number 380018

    Genova, 16132

  • Investigational Site Number 380020

    Iglesias (CI), 09016

  • Investigational Site Number 380015

    Milan, 20132

  • Investigational Site Number 380001

    Milan, 20162

  • Investigational Site Number 380012

    Milan

  • Investigational Site Number 380011

    Orbassano (TO), 10043

  • Investigational Site Number 380026

    Padova

  • Investigational Site Number 380021

    Palermo, 90127

  • Investigational Site Number 380014

    Partinico, 90047

  • Investigational Site Number 380032

    Roma, 00133

  • Investigational Site Number 380002

    Roma, 00161

  • Investigational Site Number 380023

    Roma

  • Investigational Site Number 380036

    San Benedetto del Tronto, 63074

  • Investigational Site Number 380024

    Sarzana

  • Investigational Site Number 380013

    Savigliano (CN), 12038

  • Investigational Site Number 380017

    Sesto S. Giovanni, 20099

  • Investigational Site Number 380025

    Torino, 10128

Other trials in Italy

United Kingdom22 sites
  • Investigational Site Number 826033

    Atherstone, CV91EU

  • Investigational Site Number 826016

    Ayr, KA66DX

  • Investigational Site Number 826039

    Blackburn, BB21AX

  • Investigational Site Number 826008

    Bradford on Avon, BA151DQ

  • Investigational Site Number 826004

    Chertsey, KT160PZ

  • Investigational Site Number 826038

    Cornwall, PL143XA

  • Investigational Site Number 826031

    Coventry, CV22DX

  • Investigational Site Number 826024

    Darlington, DL36HX

  • Investigational Site Number 826035

    Dudley, DY1 2HQ

  • Investigational Site Number 826017

    Glasgow, G213UW

  • Investigational Site Number 826025

    Huntingdon, PE296JN

  • Investigational Site Number 826002

    Liverpool, L97AL

  • Investigational Site Number 826018

    Manchester, M239LT

  • Investigational Site Number 826019

    Manchester, M85RB

  • Investigational Site Number 826037

    Manchester, M86RB

  • Investigational Site Number 826023

    Norwich, nr34dg

  • Investigational Site Number 826009

    Nuneaton, CV107DJ

  • Investigational Site Number 826021

    Plymouth, PL53JB

  • Investigational Site Number 826006

    Portsmouth, PO63LY

  • Investigational Site Number 826020

    Southampton, SO303JB

  • Investigational Site Number 826013

    Taunton, TA15DA

  • Investigational Site Number 826007

    Welwyn Garden City, AL74HQ

Other trials in United Kingdom

France14 sites
  • Investigational Site Number 250008

    Amiens, 80054

  • Investigational Site Number 250011

    Bordeaux, 33000

  • Investigational Site Number 250009

    Caen, 14000

  • Investigational Site Number 250001

    Corbeil-Essonnes, 91100

  • Investigational Site Number 250005

    Eaubonne

  • Investigational Site Number 250026

    La Rochelle, 17019

  • Investigational Site Number 250020

    Montpellier, 34059

  • Investigational Site Number 250015

    Mulhouse

  • Investigational Site Number 250003

    Paris, 75018

  • Investigational Site Number 250010

    Pierre-Bénite, 69310

  • Investigational Site Number 250014

    Pierre-Bénite, 69310

  • Investigational Site Number 250025

    Poitiers, 86021

  • Investigational Site Number 250002

    Valenciennes, 59322

  • Investigational Site Number 250013

    Vandœuvre-lès-Nancy, 54511

Other trials in France

Brazil9 sites
  • Investigational Site Number 076-001

    Curitiba, 80810-140

  • Investigational Site Number 076008

    Fortaleza, 60115-282

  • Investigational Site Number 076004

    Fortaleza

  • Investigational Site Number 076009

    Rio de Janeiro, 202110340

  • Investigational Site Number 076011

    São José dos Campos, 12243-280

  • Investigational Site Number 076006

    São Paulo, 01223-001

  • Investigational Site Number 076-003

    São Paulo, 01244-030

  • Investigational Site Number 076005

    São Paulo, 04024-002

  • Investigational Site Number 076010

    Taguatinga, 72155000

Other trials in Brazil

Romania8 sites
  • Investigational Site Number 642008

    Arad

  • Investigational Site Number 642005

    Baia Mare

  • Investigational Site Number 642002

    Brasov, 500326

  • Investigational Site Number 642006

    Brasov, 500326

  • Investigational Site Number 642003

    Cluj-Napoca, 400006

  • Investigational Site Number 642007

    Cluj-Napoca, 400006

  • Investigational Site Number 642004

    Târgu Mureş, 540015

  • Investigational Site Number 642001

    Timișoara, 300125

Other trials in Romania

Finland6 sites
  • Investigational Site Number 246008

    Helsinki, 00100

  • Investigational Site Number 246007

    Muurame, 40930

  • Investigational Site Number 246002

    Oulu, 90100

  • Investigational Site Number 246001

    Oulu, 90220

  • Investigational Site Number 246009

    Pori, 28100

  • Investigational Site Number 246004

    Rauma, 26100

Other trials in Finland

Greece4 sites
  • Investigational Site Number 300002

    Athens, 18454

  • Investigational Site Number 300003

    Kalamata

  • Investigational Site Number 300001

    Lamia, 35100

  • Investigational Site Number 300004

    Thessaloniki, 56429

Other trials in Greece

Ireland2 sites
  • Investigational Site Number 372002

    Dublin

  • Investigational Site Number 372003

    Dublin

Other trials in Ireland

Switzerland2 sites
  • Investigational Site Number 756003

    Bern, 3010

  • Investigational Site Number 756002

    Sankt Gallen, 9007

Other trials in Switzerland

About this study

Official title: A Twenty-six Week, Randomized, Open-label, 2-arm Parallel Group Real World Pragmatic Trial to Assess the Clinical and Health Outcomes Benefit of Transition to Toujeo Compared to "Standard of Care" Insulin in Basal Insulin Treated Patients With Uncontrolled Type 2 Diabetes Mellitus, With Six-Month Extension

Primary Objective:

To demonstrate noninferiority of Toujeo versus "standard of care" basal insulin therapy as measured by glycated hemoglobin (HbA1c) change

Read more

Secondary Objectives:

  • To demonstrate superiority of Toujeo versus "standard of care" basal insulin if non-inferiority criterion is met, measured by HbA1c change.
  • To compare Toujeo to other "standard of care" basal insulin in terms of patient persistence with assigned basal insulin therapy with or without intensification.
  • Risk of hypoglycemia including documented, symptomatic hypoglycemia (≤70 mg/dL) or severe (according to ADA Working Group).
  • Change in fasting plasma glucose (FPG).
  • Change in body weight.
  • Differences in patient reported outcomes measured by Diabetes Treatment Satisfaction Questionnaire Status and Change versions (DTSQs and DTSQc).
  • Change in hypoglycemic control subscale (HCS).
  • Healthcare resource utilization including hospitalizations and emergency department or other health care provider visits and healthcare costs.
Read the detailed description

The total study duration will be up to 55 weeks, consisting of a 1 week screening period at the site, a 26 week treatment period, and a 26 week extension period.

Being tested
insulin glargine (U300), insulin glargine (U100), NPH insulin, insulin detemir, insulin degludec
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 glargine (U300)Drug

    Also called HOE901; Toujeo

    Pharmaceutical form: solution

    Route of administration: subcutaneous

  • insulin glargine (U100)Drug

    Also called HOE901; Lantus

    Pharmaceutical form: solution

    Route of administration: subcutaneous

  • NPH insulinDrug

    Also called Humulin NPH

    Pharmaceutical form: solution

    Route of administration: subcutaneous

  • insulin detemirDrug

    Also called Levemir

    Pharmaceutical form: solution

    Route of administration: subcutaneous

  • insulin degludecDrug

    Also called Tresiba

    Pharmaceutical form: solution

    Route of administration: subcutaneous

Study groups in NCT02967211
Study groupRoleWhat they receive
ToujeoExperimentalToujeo will be administered once daily in addition to non-insulin antidiabetic agents
Receives: Drug: insulin glargine (U300)
"Standard of care" commercially available basal insulinActive comparatorLantus, Humulin Neutral Protamine Hagedorn (NPH), Levemir, and Tresiba or other basal insulin, including biosimilar insulin will be administered once or twice daily according to label in addition to non-insulin antidiabetic agents
Receives: Drug: insulin glargine (U100); Drug: NPH insulin; Drug: insulin detemir; Drug: insulin degludec

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in HbA1c (percentage %)

    Measured: Baseline to 6 months

Secondary outcomes (11)
  1. Proportion of patients who remain on assigned basal insulin therapy before intensification (persistent with assigned therapy)

    Measured: At Month 6 and Month 12

  2. Proportion of patients who remain on assigned basal insulin therapy whether intensification occurred or not

    Measured: At Month 6 and Month 12

  3. Proportion of patients who achieve target HbA1c (<6.5%, <7%, <7.5%, <8.0%)

    Measured: At Month 6 and Month 12

  4. Proportion of patients with HbA1c target (thresholds listed above) (attainment of metabolic benefit) without documented (blood glucose (BG) ≤70 mg/dl [3.9 mmol/L]) symptomatic or severe

    Measured: At Month 6 and Month 12

  5. Proportion of patients with HbA1c target (thresholds listed above) (attainment of metabolic benefit) without documented (BG <54 mg/dL, [3.0 mmol/L]) symptomatic or severe hypoglycemia

    Measured: At Month 6 and Month 12

  6. Change in HbA1c (percentage %)

    Measured: Baseline, Month 12

  7. Percentage of patients whose HbA1c decreased at least 0.5%

    Measured: At Month 6 and Month 12

  8. Percentage of patients whose HbA1c decreased at least 0.5%

    Measured: At Month 6 and maintained at Month 12

  9. Percentage of patients requiring intensification

    Measured: At Month 6 and Month 12

  10. Time to intensification

    Measured: At Month 6 and Month 12

  11. Change in fasting plasma glucose

    Measured: From baseline to Month 6 and Month 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Nov 2016 (estimated)
  2. Study start21 Dec 2015
  3. Primary completion20 Oct 2017
  4. Study completion20 Oct 2017

Resources

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
609 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02967211
Sponsor's protocol ID
LPS14060
Other IDs
2015-001832-39, U1111-1170-8132, 2015
Acronym
REGAIN CONTROL
Status last verified
Apr 2022
First submitted
16 Nov 2016
Last updated
25 Apr 2022
Results posted
No
Data monitoring committee
No
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

  • Semlitsch T, Engler J, Siebenhofer A, Jeitler K, Berghold A, Horvath K. (Ultra-)long-acting insulin analogues versus NPH insulin (human isophane insulin) for adults with type 2 diabetes mellitus. Cochrane Database Syst Rev. 2020 Nov 9;11(11):CD005613. doi: 10.1002/14651858.CD005613.pub4.

    PubMed 33166419
  • Freemantle N, Mauricio D, Giaccari A, Bailey T, Roussel R, Franco D, Berthou B, Pilorget V, Westerbacka J, Bosnyak Z, Bonnemaire M, Cali AMG, Nguyen-Pascal ML, Penfornis A, Perez-Maraver M, Seufert J, Sullivan SD, Wilding J, Wysham C, Davies M. Real-world outcomes of treatment with insulin glargine 300 U/mL versus standard-of-care in people with uncontrolled type 2 diabetes mellitus. Curr Med Res Opin. 2020 Apr;36(4):571-581. doi: 10.1080/03007995.2019.1708287. Epub 2020 Jan 19.

    PubMed 31865758

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing insulin glargine (U300), insulin glargine (U100) and NPH insulin in people with Diabetes Mellitus, Type 2, run by Sanofi at 118 sites in 10 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 3 inclusion and 12 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 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 118 sites in Spain, Italy, United Kingdom, France, Brazil and 5 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 (percentage %) (time frame: Baseline to 6 months). 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 NCT02967211, which also lists 2 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 Apr 2022.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in