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A Trial Comparing the Efficacy and Safety of Insulin Degludec and Insulin Glargine [amount hidden] in Subjects With Type 2 Diabetes Mellitus Inadequately Treated With Basal Insulin With or Without Oral Antidiabetic Drugs

Plain-language guide to NCT03078478: phase 3 randomized trial of Insulin Glargine, 1609 participants. Who took part, design and what was measured.

Key Facts

Registry ID
NCT03078478
Phase
phase 3
Status
completed
Start
2017-03-13
Completion (planned or actual)
2019-02-13
Participants
1609 (actual)
Design
randomized, open label (everyone knows who gets what), treatment
Conditions studied
Diabetes; Diabetes Mellitus, Type 2
Results posted
yes

What This Study Did, in Plain Language

What Was Tested

This registered phase 3 trial tested Insulin Glargine.

This trial is conducted in Europe and North America.

Due to change in glycaemic data collection process, this trial is amended to allow for a full 36 weeks (maintenance 2 period) of the use of the new process.

The registry classes the interventions as drug.

Who Took Part

Enrollment: 1609 actual participants took part.

It was open to people of any sex aged from 18 years with no upper age limit.

Healthy volunteers were not accepted; participants needed the condition being studied.

The full record lists 0 inclusion and 1 exclusion criteria.

How the Study Was Run

Design: randomized, parallel-group and open-label.

Random assignment meant chance, not the researchers, decided who got Insulin Glargine and who got the comparison, which limits bias.

The Insulin Glargine group and the comparison group ran side by side rather than switching.

Everyone knew when Insulin Glargine was being given (open label), which is simpler to run but leaves more room for expectations to affect what is reported.

It started in 2017-03-13 with completion listed for 2019-02-13.

It ran at 229 sites in United States (156), Germany (12), Canada (9), Hungary (9), Poland (9) and Greece (7).

Its stated primary purpose is treatment.

What Was Measured

Researchers chose this as the main measure: Number of Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks) (time frame: 36 Weeks).

It also tracked 15 secondary outcomes, for example Number of Nocturnal, Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks), Number of Severe Hypoglycaemic Episodes During Maintenance 2 (36 Weeks), Change in HbA1c From Baseline to End of Treatment (up to 88 Weeks), Change in Fasting Plasma Glucose (FPG) From Baseline to End of Treatment (up to 88 Weeks), Change in Mean Pre-breakfast Self-measured Plasma Glucose Used for Titration From Baseline to End of Treatment (up to 88 Weeks) and Number of Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Treatment (up to 88 Weeks).

What This Means in Plain Language

Put simply, this is a phase 3, randomized trial of Insulin Glargine in 1609 people.

With 1609 participants it is a large trial for this field.

The trial is marked completed; results are posted on the registry, and this page does not restate them.

More context: the Insulin Glargine compound page, all human trials.

Our Notes on the Compound

Insulin Glargine: A long-acting insulin analog given once daily; brands include Lantus, Toujeo, Basaglar and Semglee.

Related Pages

Source: ClinicalTrials.gov record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.