Primary Objective: To demonstrate the superiority of a strategy with insulin glargine in comparison with a strategy including the premixed insulin in term of percentage of patients reaching HbA1c (glycosylated hemoglobin) below 7% at the end of treatment and who do not experience documented symptomatic hypoglycemia (confirmed by a Plasma Glucose (PG) below 56 mg/dL (3.1 mmol/L)) over a 24-week treatment period, in Type 2 diabetes patients failing lifestyle management and oral agents. Secondary Objectives: To assess the effect of insulin glargine in comparison with premixed insulin on : * Evolution of HbA1c level during the treatment period Percentage of patients who reach the target of HbA1c \< 7 % and who do not experience documented symptomatic hypoglycemia confirmed by a Plasma Glucose (PG) below 70 mg/dL (3.9 mmol/L) * Percentage of patients who reach the target of HbA1c \< 6.5% and who do not experience documented symptomatic hypoglycemia confirmed by a PG below 56 mg/dL (3.1 mmol/L) \>Percentage of patients who reach the target of HbA1c \< 6.5% and who do not experience documented symptomatic hypoglycemia confirmed by a PG below 70 mg/dL (3.9 mmol/L) \>Evolution of Fasting Plasma Glucose Evolution of 7-point plasma glucose profiles * Evolution of weight * Hypoglycemia occurrence * Dose of insulins * Evolution of liver function * Overall safety
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
934
Pharmaceutical form: solution for injection Route of administration: sub-cutaneous injection Dose regimen: 100 Units/mL solution for injection in a pre-filled SoloStar pen (3 ml)
Pharmaceutical form: solution for injection Route of administration: sub-cutaneous Dose regimen: 100 Units/mL solution for injection in a pre-filled SoloStar pen (3 mL)
Pharmaceutical form: solution for injection Route of administration: sub-cutaneous Dose regimen: - 30% soluble insulin aspart and 70 % protamine-crystallised insulin aspart in pre-filled Flexpen for all the countries except Mexico * 25 % insulin lispro solution and 75% insulin lispro protamine in cartridges for Humapen Luxura for Mexico only
Investigational Site Number 040-004
Sankt Stefan, Austria
Investigational Site Number 040-002
Vienna, Austria
Investigational Site Number 040-001
Vienna, Austria
Investigational Site Number 040-003
Vienna, Austria
Investigational Site Number 076002
Belém, Brazil
Investigational Site Number 076005
Percentage of patients with Glycosylated Haemoglobin (HbA1c) <7% with no documented symptomatic hypoglycemia (confirmed by a Plasma Glucose (PG) ≤ 56 mg/dL [3.1 mmol/L]
Time frame: From baseline (visit 2, week 0) to visit 14 (week 24)
7-point plasma glucose (PG) profile recorded on 3 consecutive days
Time frame: From baseline (visit 2, week 0) to visit 14 (week 24)
Self-monitored PG (Plasma Glucose) values over 3 consecutive days
Time frame: before visit 4 (week 2)
Self-monitored PG (Plasma Glucose) values over 3 consecutive days
Time frame: before visit 8 (week 6)
Self-monitored PG (Plasma Glucose) values over 3 consecutive days
Time frame: before visit 12 (week 16)
Weight and supine blood pressure
Time frame: From baseline (visit 2, week 0) to visit 14 (week 24)
Insulin doses of the day before each visit
Time frame: from visit 3 (week 1) to visit 14 (week 24)
Biochemistry and lipid profile
Time frame: From baseline (visit 2, week 0) to visit 14 (week 24)
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Curitiba, Brazil
Investigational Site Number 076004
Fortaleza, Brazil
Investigational Site Number 076001
Porto Alegre, Brazil
Investigational Site Number 076003
São Paulo, Brazil
Investigational Site Number 156004
Beijing, China
...and 86 more locations