Diabetes Mellitus Type 2
Conditions
Brief summary
This 3-arm study will assess the efficacy, safety and tolerability of taspoglutide compared to insulin glargine in patients with insulin-naive type 2 diabetes mellitus inadequately controlled with metformin and sulphonylurea combination therapy. Patients will be randomized to receive taspoglutide (10 mg once weekly, or 10mg once weekly for 4 weeks followed by 20mg once weekly) or insulin glargine (starting dose 10 IU/day) in a ratio of 1:1:1 in addition to continued prestudy metformin treatment. The anticipated time on study treatment is 2+ years, and the target sample size if 500+ individuals.
Interventions
starting dose 10 IU daily
As prescribed
10 mg once weekly
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients, 18-75 years of age; * type 2 diabetes treated with a stable dose of metformin and sulphonylurea for at least 12 weeks; * C-peptide (fasting) \>=1.0ng/mL; * HbA1c \>=7.0% and \<=10.0% at screening; * BMI \>=25 (\>23 for Asians) and \<=45kg/m2 at screening; * stable weight +-5% for at least 12 weeks prior to screening.
Exclusion criteria
* history of type 1 diabetes mellitus or acute metabolic diabetic complications such as ketoacidosis or hyperosmolar coma in the previous 6 months; * evidence of clinically significant diabetic complications; * symptomatic poorly controlled diabetes; * clinically symptomatic gastrointestinal disease; * myocardial infarction, coronary artery bypass surgery, post-transplantation cardiomyopathy or stroke within the previous 6 months; * known hemoglobinopathy or chronic anemia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Absolute change from baseline in HbA1c | 24 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Change from baseline in fasting plasma glucose; change from baseline in body weight; responder rates for HbA1c (target <=7.0%, <=6.5%); incidence of hypoglycemia; change from baseline in lipid profile. | 24 weeks |
| Relative change in glucose, insulin, C-peptide and glucagon during a meal tolerance test. | 24 weeks |
| Safety: Adverse events, vital signs, physical examination, clinical laboratory tests, ECG and anti-taspoglutide antibodies | Throughout study |
Countries
Australia, Austria, Belgium, Brazil, Canada, Czechia, Finland, France, Germany, Greece, Guatemala, Hong Kong, Hungary, Italy, Mexico, New Zealand, Peru, Poland, Portugal, Puerto Rico, Russia, Serbia, South Korea, Spain, Thailand, United Kingdom, United States