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Evaluation of the Safety and Efficacy of Insulin Glargine 300 U/ml (Gla-300) in Insulin-naïve Patients With Type 2 Diabetes Mellitus Uncontrolled on Oral Antihyperglycemic Drugs

Multicentre Phase IV Single Arm Clinical Trial to evaluAte the saFety and Efficacy of Gla-300 in insUlin-naïve Patients With Type 2 DiAbetes uncontRolled on Oral Antihyperglycemic Drugs

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04980027
Acronym
SAFEGUARD
Enrollment
228
Registered
2021-07-28
Start date
2021-06-07
Completion date
2022-12-23
Last updated
2025-09-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Type 2 Diabetes Mellitus

Brief summary

Primary Objective: To evaluate the safety of Gla-300 in insulin naïve T2D participants uncontrolled on oral antihyperglycemic drugs Secondary Objective: To assess the efficacy of Gla-300 on glycemic control in insulin naïve T2D participants uncontrolled on oral anti-hyperglycemic drugs To assess change in participant's treatment satisfaction using DTSQs (Diabetes Treatment Satisfaction Questionnaire)

Detailed description

The maximum study duration per participant is 27 weeks including a screening period of up to 2 weeks, a 24-week treatment period and a post-treatment follow-up phone call visit after 3 days after the end of treatment.

Interventions

Pharmaceutical form:Solution for injection in a prefilled pen Route of administration: Subcutaneous

Sponsors

Sanofi
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

: * Participants with Type 2 diabetes mellitus * Participants who are insulin naïve on at least one oral antihyperglycemic drug (metformin,sulfonylurea, thiazolidinedione, DPP-4 inhibitor, SGLT-2 inhibitor, glinide, α-glucosidase inhibitor) with or without glucagon-like peptide 1 receptor agonists (GLP-1 RAs) for a minimum period of 6 months prior to screening. * HbA1c between 7.5% (58 mmol/mol) and 10% (86 mmol/mol) inclusive, during screening.

Exclusion criteria

* History of severe hypoglycemia requiring emergency room admission or hospitalization within 3 months prior to screening visit. * Proliferative retinopathy or maculopathy requiring treatment according to the Investigator * Treatment with any insulin including basal insulin, mixed insulin (premixes), rapid insulin, and fast-acting insulin analogues in the last 6 months before screening visit (use ≤10 days in relation to hospitalization or an acute illness is accepted). * Use of systemic glucocorticoids (excluding topical application or inhaled forms) for 2 weeks or more within 8 weeks prior to screening visit. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of participants with Treatment Emergent Adverse Events (TEAEs)Baseline to Week 24TEAEs including serious adverse events (SAEs) and hypoglycemic episode

Secondary

MeasureTime frameDescription
Change in HbA1c from Baseline to week 12 and week 24Baseline to Week 12 and Week 24
Percentage of participants reaching HbA1c target of <7%Week 12 and Week 24
Percentage of participants reaching targeted fasting self-monitored blood glucose (SMBG) of 80 to 110 mg/dL (4.4 to 6.1 mmol/L)Week 12 and Week 24
Change in fasting plasma glucose (FPG) from Baseline to Week 24Baseline to Week 24
Change in fasting SMBG from Baseline to Week 24Baseline to Week 24
Percentage of participants with at least one confirmed hypoglycemia eventBaseline to Week 24
Percentage of participants requiring rescue therapyWeek 12 and Week 24
Change in body weight from Baseline to Week 12 and Week 24Baseline to Week 12 and Week 24
Change in insulin dose from Baseline to Week 12 and Week 24Baseline to Week 12 and Week 24
Change in DTSQs scores from Baseline to Week 12 and Week 24Baseline to Week 12 and Week 24The Diabetes Treatment Satisfaction Questionnaire - status version (DTSQs) is measuring patients' satisfaction with their diabetes treatment.Total treatment satisfaction score range from 0 (no satisfaction) to 36 (improvement in treatment satisfaction)
Change in 7-point SMBG profile from Baseline to Week 24Baseline to Week 24

Countries

India

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 5, 2026