DOMME Dose Optimization Multicentric Mexican Evaluation - Full Text View

Sponsored by:	Sanofi-Aventis
Information provided by:	Sanofi-Aventis
ClinicalTrials.gov Identifier:	NCT00488527

Purpose

To evaluate the efficiency of Lantus plus combined oral hypoglycaemic agents in terms of respondents percentage. The respondent is defined as the person achieving a value in the final determination of HbA1c < 7% as its absolute value and/or a decreasing in the final value of HbA1c of more than 12% compared with the initial value (final HbA1c vs. initial HbA1c).

Describe the glycemia levels and body weight change in the two response groups, (respondents and non-respondents).

Describe the adverse events Evaluate the safety of using the medication according to the incidence and relevance of the hypoglycemia events, (symptomatic, diurnal, nocturnal, severe).

Estimate the intra-patient variability of the fasting glycemia

Condition	Intervention	Phase
Diabetes Mellitus, Type 2	Drug: Insulin glargine	Phase IV

MedlinePlus related topics: Diabetes Hypoglycemia

Drug Information available for: Insulin Insulin glargine Dextrose Benzocaine

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Non-Randomized, Open Label, Active Control, Single Group Assignment, Safety/Efficacy Study
Official Title:	Multicentric, Open Label Clinical Trial. Use of Optimal Method to Initiate and Maintain Lantus Therapy (Insulin Glargine) in Combination With Hypoglycemic Agents, Assessing the Resulting Metabolic Control and the Safety in T2 Diabetes Mellitus Patients.

Further study details as provided by Sanofi-Aventis:

Primary Outcome Measures:

Change in the initial vs. final values of HbA1c [ Time Frame: 9 months ] [ Designated as safety issue: No ]
Number of severe hypoglycemia [ Time Frame: 9 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

- Change in the fasting glucose values with each visit [ Time Frame: 9 months ] [ Designated as safety issue: No ]
- Incidences of symptomatic and asymptomatic nocturnal hypoglycemia - Evaluations of safety with regards to the use of insulin glargine, recording the adverse events, excluding hypoglycemia - Abnormal laboratory results [ Time Frame: 9 months ] [ Designated as safety issue: Yes ]
- Change in body weight initial visit vs. final visit [ Time Frame: 9 months ] [ Designated as safety issue: No ]

Enrollment:	371
Study Start Date:	May 2007
Estimated Primary Completion Date:	January 2009 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
1: Experimental	Drug: Insulin glargine Patients will begin with a fixed, subcutaneous dose of insulin glargine, (10 U), in its commercial presentation, which will be adjusted week by week, according to the values of the glycemia when fasting (FBG), adding 2, 4, 6 or 8 units of insulin glargine over the following twelve weeks, during which the therapeutic objective should be attained, namely the glucose goal during fasting of 100 mg/dl (<6.0 mmol/L), and the active treatment is to be continued for three more months.

Arms

Assigned Interventions

1: Experimental

Drug: Insulin glargine

Patients will begin with a fixed, subcutaneous dose of insulin glargine, (10 U), in its commercial presentation, which will be adjusted week by week, according to the values of the glycemia when fasting (FBG), adding 2, 4, 6 or 8 units of insulin glargine over the following twelve weeks, during which the therapeutic objective should be attained, namely the glucose goal during fasting of 100 mg/dl (<6.0 mmol/L), and the active treatment is to be continued for three more months.

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Patients with type 2 diabetes mellitus receiving antidiabetic treatment (1 or 2 oral agents) during more than 6 months, who need a prolonged action basal insulin to control hyperglycemia
Glycosylated hemoglobin > 8,0% and < 10 %
Body mass index (BMI) < 40 kg/m2
Voluntary acceptation of the treatment and capability to self inject the insulin glargine
Capability and desire to carry out self-determination of glycemia levels using glucometers

Exclusion Criteria:

Renal function disorder, revealed by a serum creatinine > 177 µmol/l (> 2,0 mg/dl) in Visit 1 or currently undergoing kidney dialysis
Acute metabolic acidosis (> 1 episode during the last year) or chronic, including diabetic ketoacidosis
Clinical evidence of an active liver disease or serum ALT/AST >2.5 times the upper normality limit
A history of unnoticed hypoglycemia
Surgical treatment for diabetic retinopathy, (laser photocoagulation or a vitrectomy), during the three months prior to joining the trial, or patient that has needed treatment within three months of entering the trial
Pregnancy or breast feeding
Not using an adequate birth control method, (only for potentially fertile females) : for example, the use of systemic hormones, (pills or birth control implants), intrauterine devices or a barrier method, (diaphragm with intra-vaginal spermicides, male or female preservative)
Known hypersensitivity to insulin glargine or any of its excipients
Malignant process, except for basal carcinoma cells during the last five years
More than two weeks of continuous treatment with systemic glucocorticoids in the last 6 months
Concomitant treatment with non-cardio selective beta blockers
Known supra-renal failure
Known hemoglobinopathy or anemia, uncontrolled or unstable
A psychiatric disturbance which prevents the patient from understanding the nature, objective and possible consequences of the trial
A history of drug or alcohol abuse in the last two years or any current addiction
Current use of insulin glargine
Any clinically relevant, cardiovascular, hepatic, neurological, endocrinal or systemic major disease, or any other type, which may hinder the development of the protocol or the interpretation of the results of the trial
Known existence of GAD (glutamic acid decarboxylase) antibodies
Type 1 diabetes mellitus, according to its definition by the WHO
The use of a drug being researched other than insulin during six months prior to joining the trial or the use of an insulin under study during four weeks before entering the trial
A history of severe hypoglycemia with repeated blackouts, (more than 1), during the last year

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00488527

Locations

Mexico
Sanofi-Aventis
Mexico, Mexico

Sponsors and Collaborators

Sanofi-Aventis

Investigators

Study Director:

Jesus Ruiz, MD

Sanofi-Aventis

More Information

Responsible Party:	sanofi-aventis ( Medical Affairs Study Director )
Study ID Numbers:	LANTU_L_01890
Study First Received:	June 19, 2007
Last Updated:	December 22, 2008
ClinicalTrials.gov Identifier:	NCT00488527
Health Authority:	Mexico: Ministry of Health

Study placed in the following topic categories:

Metabolic Diseases
Diabetes Mellitus, Type 2
Benzocaine
Glargine
Diabetes Mellitus

Endocrine System Diseases
Endocrinopathy
Metabolic disorder
Glucose Metabolism Disorders
Insulin

Additional relevant MeSH terms:

Hypoglycemic Agents
Physiological Effects of Drugs
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009