Primary Objective: To demonstrate that the simple daily titration algorithm is non-inferior to the weekly titration algorithm according to Canadian labeling. Secondary Objective: To gain additional information on the efficacy and safety of using a simple patient-titration protocol for administration of insulin glargine/lixisenatide fixed-ratio combination (iGlarLixi).
The maximum duration of study per patient is approximately 29 weeks including a 2-week screening, a 26-week randomized active-controlled treatment period, and 3-day post-treatment safety follow-up period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
265
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous
Change in glycated hemoglobin (HbA1c)%
Absolute mean change in HbA1c from baseline to Week 26; HbA1c is expressed in % (unit)
Time frame: Baseline to Week 26
Percentage of patients achieving HbA1c ≤7% at Week 26
Percentage of patients achieving A1c ≤7%
Time frame: At Week 26
Change in fasting plasma glucose (FPG) from baseline to Week 12
Change in FPG from baseline to Week 12
Time frame: Baseline to Week 12
Change in FPG from baseline to Week 26
Change in FPG from baseline to Week 26
Time frame: Baseline to Week 26
Change in fasting self-monitoring plasma glucose (SMPG) from baseline to Week 12
Change in fasting SMPG from baseline to Week 12
Time frame: Baseline to Week 12
Change in fasting SMPG from baseline to Week 26
Change in fasting SMPG from baseline to Week 26
Time frame: Baseline to Week 26
Change in 7-point SMPG profile from baseline to Week 12
Change in 7-point SMPG profile from baseline to Week 12
Time frame: Baseline to Week 12
Change in 7-point SMPG profile from baseline to Week 26
Change in 7-point SMPG profile from baseline to Week 26
Time frame: Baseline to Week 26
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Investigational Site Number 1240004
Barrie, Canada
Investigational Site Number 1240006
Brampton, Canada
Investigational Site Number 1240002
Brampton, Canada
Investigational Site Number 1240005
Burlington, Canada
Investigational Site Number 1240003
Calgary, Canada
Investigational Site Number 1240024
Chicoutimi, Canada
Investigational Site Number 1240014
Concord, Canada
Investigational Site Number 1240017
Etobicoke, Canada
Investigational Site Number 1240030
Greenfield Park, Canada
Investigational Site Number 1240031
Halifax, Canada
...and 22 more locations
Change in body weight from baseline to Week 26
Change in body weight (kg)
Time frame: Baseline to Week 26
Percentage of patients achieving A1c ≤7% with no body weight gain and/or hypoglycemia (severe or documented symptomatic (≤3.9 mmol/L) at Week 26
Composite endpoint expressed as percentage of patients A1c ≤7% with no body weight gain and/or hypoglycemia (severe or documented symptomatic (≤3.9 mmol/L)
Time frame: Baseline to Week 26
Insulin glargine dose
Insulin glargine dose (expressed in units)
Time frame: At Week 26
Percentage of patients requiring rescue therapy
Percentage of patients requiring rescue therapy during the 26-week open-label treatment period
Time frame: Baseline to Week 26
Percentage of patients experiencing at least 1 hypoglycemia episode (≤3.9 mmol/L) over 26 weeks
Percentage of patients experiencing at least 1 hypoglycemia episode defined as ≤3.9 mmol/L
Time frame: Baseline to Week 26
Percentage of patients experiencing at least 1 hypoglycemia episode (<3.0 mmol/L) over 26 weeks
Percentage of patients experiencing at least 1 hypoglycemia episode defined as \<3.0 mmol/L
Time frame: Baseline to Week 26
Annualized rate of hypoglycemia (≤3.9 mmol/L) over 26 weeks
Mean number of hypoglycemia episodes (≤3.9 mmol/L) per patient year of exposure over 1 year
Time frame: Baseline to Week 26
Annualized rate of hypoglycemia (<3.0 mmol/L) over 26 weeks
Mean number of hypoglycemia episodes (\<3.0 mmol/L) per patient year of exposure over 1 year
Time frame: Baseline to Week 26