Diabetes Mellitus, Type 2
Conditions
Brief summary
To compare efficacy of combination therapy of insulin glargine plus glimepiride and metformin versus 2 injections insulin monotherapy with premixed insulin NPH 30/70 bid in terms of change of HbA1c (baseline to endpoint) to show non-inferiority of insulin glargine plus glimepiride and metformin.
Interventions
In the morning to target FBG ≤ 100 mg/dl
Glimepiride 3 or 4 mg
At least 850 mg od
Given before breakfast and before dinner, target of pre-prandial BG ≤ 100 mg/dl
Sponsors
Study design
Eligibility
Inclusion criteria
* Diabetes mellitus patients type 2, poorly controlled with oral antidiabetic drug treatment(glimepiride 3 or 4 mg od or any sulfonylurea similar to glimepiride 3 or 4 mg in combination with metformin in a dose at least similar to 850 mg once daily) * HbA1c value ≥ 7.5 % to ≤ 10.5 % * FBG ≥ 120 mg/dl (6.6 mmol/l) * BMI ≤ 35 kg/m² The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency of subjects with HbA1c ≤ 7.0 % and > 7.0 % | At endpoint |
Secondary
| Measure | Time frame |
|---|---|
| Change of nocturnal & mean daytime blood glucose | baseline to endpoint |
| Change of fasting plasma glucose | baseline to endpoint and all visits |
| Change of fasting blood glucose | baseline to endpoint |
| Frequency of hypoglycemic events(overall, severe, non-severe, nocturnal, asymptomatic, symptomatic) | Baseline to endpoint |
| Frequency of subjects with FBG ≤ 100 mg/dl (5.5 mmol/l), 100 mg/dl < FBG ≤ 120 mg/dl (5.5 mmol/l < FBG ≤ 6.6 mmol/l), 120 mg/dl < FBG ≤ 150 mg/dl (6.6 mmol/l < FBG ≤ 8.3 mmol/l) and > 150 mg/dl (> 8.3 mmol/l) | At endpoint |
| Frequency of subjects with hypoglycemic events (overall, severe, non-severe, nocturnal, asymptomatic, symptomatic) | Baseline to endpoint |
Countries
Austria, Finland, France, Germany, Italy, Netherlands, Spain, Sweden, Switzerland, United Kingdom