Diabetes Mellitus, Type 2
Conditions
Brief summary
The purpose of this study is to compare Lispro Mixture Therapy (insulin lispro 50/50 given three times daily with meals) to Glargine Basal-Bolus Therapy (insulin glargine daily with the addition of insulin lispro given three times daily with meals). The study is also comparing two different methods for adjusting the dose of insulin.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Must have type 2 diabetes. * Must be 30-75 years of age at the time of Visit 1. * Must be on insulin glargine and oral antidiabetic medicines for at least 90 days. * Must be on at least 30 units of glargine per day at enrollment. * Have an A1C between 7.5% and 12.0% at Visit 1.
Exclusion criteria
* Must not have used rapid/short-acting insulin on a regular basis in the last 6 months. * Must not have more than one episode of severe hypoglycemia in the last 6 months. * Must not have a body mass index (BMI) of greater than 45 (morbid obesity). * Must not have congestive heart failure that requires medications. * Must not have had a kidney transplant or currently receiving dialysis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To test the hypothesis that Lispro Mixtures Therapy regimen in combination with oral antihyperglycemic agents (OADs) is non-inferior | — |
| in overall glycemic control (lower A1CF) at endpoint compared to to Glargine Basal-Bolus Therapy in combination | — |
| with OADs in patients with type 2 diabetes who have clearly failed to achieve glycemic goal | — |
| (A1C less than 7%) with once-daily insulin glargine in combination with OADs. | — |
Secondary
| Measure | Time frame |
|---|---|
| body weight, SAE's and study drug related AEs. | — |
| To test in both arms the following: frequency and incidence | — |
| of self-reported hypoglycemia, blood glucose data, 8-point profiles, insulin dose, | — |
Countries
Puerto Rico, United States