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OpenTrials
Completed

NCT Number: NCT02967211

A "Real World" Trial to Determine Efficacy and Health Outcomes of Toujeo Compared to "Standard of Care" Basal Insulin in Patients Already Using Basal Insulin

Primary Objective:

To demonstrate noninferiority of Toujeo versus "standard of care" basal insulin therapy as measured by glycated hemoglobin (HbA1c) change

Secondary Objectives:

* To demonstrate superiority of Toujeo versus "standard of care" basal insulin if non-inferiority criterion is met, measured by HbA1c change. * To compare Toujeo to other "standard of care" basal insulin in terms of patient persistence with assigned basal insulin therapy with or without intensification. * Risk of hypoglycemia including documented, symptomatic hypoglycemia (≤70 mg/dL) or severe (according to ADA Working Group). * Change in fasting plasma glucose (FPG). * Change in body weight. * Differences in patient reported outcomes measured by Diabetes Treatment Satisfaction Questionnaire Status and Change versions (DTSQs and DTSQc). * Change in hypoglycemic control subscale (HCS). * Healthcare resource utilization including hospitalizations and emergency department or other health care provider visits and healthcare costs.

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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 Site Number 076-001, Curitiba, Brazil

Loading trial locations.

About this study

The total study duration will be up to 55 weeks, consisting of a 1 week screening period at the site, a 26 week treatment period, and a 26 week extension period.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients with type 2 diabetes insufficiently controlled (HbA1c >7%) with current (≥6 months) "standard of care" basal insulin therapy (including insulin glargine U100, Levemir, NPH, or Tresiba) with or without oral agents (metformin, sulfonylurea, thiazolidinedione, DPP-4 inhibitor, SGLT-2 inhibitor, glinides, α glucosidase inhibitors) and with or without use of a GLP-1 receptor agonist.
  • Fasting plasma glucose (FPG) >130 mg/dL (7.2 mmol/L).
  • Adult patients who have signed Informed Consent Form (ICF) and privacy form(s).

Exclusion criteria

  • HbA1c ≤7%, no upper bound.
  • Age <18 years.
  • Type 1 diabetes mellitus.
  • Any clinically significant abnormality identified on physical examination, laboratory tests, or vital signs at the time of screening, 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 since the time of diagnosis with type 2 diabetes mellitus other than temporary use during a pregnancy or hospitalization.
  • Use of any product containing short or rapid acting insulin occurring within 3 months prior to the time of screening.
  • Use of oral hypoglycemic agents other than those noted in the inclusion criteria, GLP-1 receptor agonists not approved for use with insulin, or any investigational agent (drug, biologic, device) within 3 months prior to the time of screening.
  • All contraindications to "standard of care" insulin therapy or warnings/precautions of use as displayed in the respective National Product labeling for these products.
  • Hypersensitivity to insulin glargine or Toujeo excipients.
  • Pregnancy or lactation.
  • Women of childbearing potential with no effective contraceptive method.

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 (U300)

Drug

Pharmaceutical form: solution

Route of administration: subcutaneous

Other names: HOE901; Toujeo

insulin glargine (U100)

Drug

Pharmaceutical form: solution

Route of administration: subcutaneous

Other names: HOE901; Lantus

NPH insulin

Drug

Pharmaceutical form: solution

Route of administration: subcutaneous

Other names: Humulin NPH

insulin detemir

Drug

Pharmaceutical form: solution

Route of administration: subcutaneous

Other names: Levemir

insulin degludec

Drug

Pharmaceutical form: solution

Route of administration: subcutaneous

Other names: Tresiba

Primary outcomes

  1. Change in HbA1c (percentage %)

    Time frame: Baseline to 6 months

Secondary outcomes

  1. Proportion of patients who remain on assigned basal insulin therapy before intensification (persistent with assigned therapy)

    Time frame: At Month 6 and Month 12

  2. Proportion of patients who remain on assigned basal insulin therapy whether intensification occurred or not

    Time frame: At Month 6 and Month 12

  3. Proportion of patients who achieve target HbA1c (<6.5%, <7%, <7.5%, <8.0%)

    Time frame: At Month 6 and Month 12

  4. Proportion of patients with HbA1c target (thresholds listed above) (attainment of metabolic benefit) without documented (blood glucose (BG) ≤70 mg/dl [3.9 mmol/L]) symptomatic or severe

    Time frame: At Month 6 and Month 12

  5. Proportion of patients with HbA1c target (thresholds listed above) (attainment of metabolic benefit) without documented (BG <54 mg/dL, [3.0 mmol/L]) symptomatic or severe hypoglycemia

    Time frame: At Month 6 and Month 12

  6. Change in HbA1c (percentage %)

    Time frame: Baseline, Month 12

  7. Percentage of patients whose HbA1c decreased at least 0.5%

    Time frame: At Month 6 and Month 12

  8. Percentage of patients whose HbA1c decreased at least 0.5%

    Time frame: At Month 6 and maintained at Month 12

  9. Percentage of patients requiring intensification

    Time frame: At Month 6 and Month 12

  10. Time to intensification

    Time frame: At Month 6 and Month 12

  11. Change in fasting plasma glucose

    Time frame: From baseline to Month 6 and Month 12

Sponsors and collaborators

Lead sponsor

Sanofi

Industry

Registry information

Official study title

A Twenty-six Week, Randomized, Open-label, 2-arm Parallel Group Real World Pragmatic Trial to Assess the Clinical and Health Outcomes Benefit of Transition to Toujeo Compared to "Standard of Care" Insulin in Basal Insulin Treated Patients With Uncontrolled Type 2 Diabetes Mellitus, With Six-Month Extension

Acronym: REGAIN CONTROL

Important dates

Study start
2015
Primary completion
2017
Study completion
2017
First posted
Nov 18, 2016
Registry last updated
Apr 25, 2022

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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