To compare efficacy of combination therapy of insulin glargine plus glimepiride and metformin versus 2 injections insulin monotherapy with premixed insulin NPH 30/70 bid in terms of change of HbA1c (baseline to endpoint) to show non-inferiority of insulin glargine plus glimepiride and metformin.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
375
In the morning to target FBG ≤ 100 mg/dl
Glimepiride 3 or 4 mg
At least 850 mg od
Sanofi aventis administrative office
Vienna, Austria
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Helsinki, Finland
Sanofi-aventis administrative office
Paris, France
Sanofi-Aventis Administrative Office
Frequency of subjects with HbA1c ≤ 7.0 % and > 7.0 %
Time frame: At endpoint
Change of fasting blood glucose
Time frame: baseline to endpoint
Change of nocturnal & mean daytime blood glucose
Time frame: baseline to endpoint
Change of fasting plasma glucose
Time frame: baseline to endpoint and all visits
Frequency of subjects with hypoglycemic events (overall, severe, non-severe, nocturnal, asymptomatic, symptomatic)
Time frame: Baseline to endpoint
Frequency of hypoglycemic events(overall, severe, non-severe, nocturnal, asymptomatic, symptomatic)
Time frame: Baseline to endpoint
Frequency of subjects with FBG ≤ 100 mg/dl (5.5 mmol/l), 100 mg/dl < FBG ≤ 120 mg/dl (5.5 mmol/l < FBG ≤ 6.6 mmol/l), 120 mg/dl < FBG ≤ 150 mg/dl (6.6 mmol/l < FBG ≤ 8.3 mmol/l) and > 150 mg/dl (> 8.3 mmol/l)
Time frame: At endpoint
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Given before breakfast and before dinner, target of pre-prandial BG ≤ 100 mg/dl
Berlin, Germany
Sanofi-Aventis Administrative Office
Milan, Italy
Sanofi-Aventis Administrative Office
Gouda, Netherlands
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Barcelona, Spain
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Bromma, Sweden
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Geneva, Switzerland
Sanofi-Aventis Administrative Office
Guildford, United Kingdom