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NCT Number: NCT05002933

A Clinical Efficacy and Safety Study of Insulin Glargine U300 in Chinese Adult Patients With Uncontrolled Type 2 Diabetes Mellitus With a 3-month Extension Period

This is a prospective, interventional, single arm, multicenter, phase 4 study to evaluate the clinical efficacy and safety of initiating Insulin glargine U300 in insulin-naive patients or switching from any other basal insulin to Insulin glargine U300 in insulin pre-treated patients with uncontrolled T2DM.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Investigational Sites

China

About this study

Maximum study duration per participant will be approximately 37 weeks per patient: up to 1 week screening period, 24 weeks insulin glargine U300 treatment period and 12 weeks observational extension period.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adult patients (age≥18 years) who diagnosed with type 2 diabetes
  • Patients who should initiate Insulin glargine U300 treatment following local label and guideline at investigator's discretion, including:
  • insulin naive patients (no current or previous insulin used during the last year prior to screening except for a maximum 10 days in relation to acute illness or surgery, etc.) uncontrolled (HbA1c between 7.5% and 11.0%) at screening visit on stable dose treatment with ≤ 2 OADs (metformin, sulfonylurea, thiazolidinedione, DPP-4 inhibitor, SGLT-2 inhibitor, glinide, α-glucosidase inhibitor) within 8 weeks prior to screening, at least one of which must be on maximum tolerated dose, or
  • patients uncontrolled (HbA1c between 7.5% and 11.0%) at screening visit with other basal insulin, or
  • patients controlled with other basal insulin but experienced frequent hypoglycemia or with increased hypoglycemia risk at investigator's discretion
  • Patients who treated with basal insulin must have a stable dose of antidiabetic drugs (dose change no more than ±20% vs. the dose on screening visit for basal insulin) within 8 weeks prior to screening

Exclusion criteria

  • Any clinically significant abnormality identified on physical examination, laboratory tests, or vital signs at the time of screening, or at baseline, or any major systemic disease resulting in short life expectancy that in the opinion of the Investigator would restrict or limit the patient's successful participation for the duration of the study
  • Use of any product containing short or rapid acting insulin in the last 3 months prior to screening (unless used for ≤10 days in relation to hospitalization or an acute illness)
  • Use of oral anti-diabetic drugs other than those allowed and listed in the inclusion criteria, Glucagon-like peptide-1 (GLP-1) receptor agonists, or any investigational agent (drug, biologic, device) within 3 months prior to screening visit
  • Use of systemic glucocorticoids (excluding topical application or inhaled forms) for two weeks or more within 8 weeks prior to the time of screening
  • Known hypersensitivity / intolerance to insulin glargine or any of its excipients
  • Pregnant or lactating women
  • Women of childbearing potential with no effective contraceptive method
  • Participation in another clinical trial

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

Treatment and study plan

Insulin glargine 300 U/ml

Drug

Solution for injection Subcutaneous injection

Other names: HOE901 Toujeo

Primary outcomes

  1. Mean change in HbA1c from baseline to week 24

    Time frame: Baseline to Week 24

Secondary outcomes

  1. Mean change in HbA1c from baseline to week 12 and week 36

    Time frame: Baseline to Week 12 and 36

  2. Percentage of participants achieving HbA1c target <7%

    Time frame: at Week 12, 24 and 36

  3. Percentage of participants achieving HbA1c target <7% without hypoglycemic events

    Time frame: at Week 12 and 24

  4. Mean change in Fasting Plasma Glucose (FPG) from baseline to week 12, 24 and 36

    Time frame: Baseline to Week 12, 24 and 36

  5. Mean change in fasting Self-Monitored Blood Glucose (SMBG) from baseline to week 12 and week 24

    Time frame: Baseline to Week 12 and 24

  6. Mean change in of 7-points SMBG per time point from baseline to week 12 and week 24

    Time frame: Baseline to Week 12 and 24

  7. Mean change in Insulin glargine U300 dose from baseline to week 12, 24 and 36

    Time frame: Baseline to Week 12, 24 and 36

  8. Number of participants experiencing hypoglycemia from baseline to week 12, 24 and 36

    Time frame: Baseline to Week 12, 24 and 36

  9. Number of hypoglycemic events per patient-year

    Time frame: Baseline to Week 12, 24 and 36

  10. Number of participants with adverse events

    Time frame: Baseline to Week 24 and 36

  11. Mean change in body weight from baseline to Week 12 and Week 24

    Time frame: Baseline to Week 12 and 24

Sponsors and collaborators

Lead sponsor

Sanofi

Industry

Registry information

Official study title

A 6-month, Multicenter, Prospective, Single-arm, Open-label, Phase IV Study Evaluating the Clinical Efficacy and Safety of Insulin Glargine U300 in Chinese Adult Patients With Uncontrolled Type 2 Diabetes Mellitus With a 3-month Extension Period

Acronym: INITIATION

Important dates

Study start
2021
Primary completion
2023
Study completion
2023
First posted
Aug 12, 2021
Registry last updated
Sep 22, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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