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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00191464
Registration number
NCT00191464
Ethics application status
Date submitted
12/09/2005
Date registered
19/09/2005
Date last updated
13/10/2010
Titles & IDs
Public title
Long-Term Effects of Insulin Plus Metformin Regimens on the Overall and Postprandial Glycemic Control of Patients With Type 2 Diabetes
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Scientific title
Long-Term Effects of Insulin Plus Metformin Regimens on the Overall and Postprandial Glycemic Control of Patients With Type 2 Diabetes: A Comparison of Premeal Insulin Lispro Mixtures to Once-Daily Insulin Glargine
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Secondary ID [1]
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F3Z-MC-IOOI
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Secondary ID [2]
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6146
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Diabetes Mellitus, Type 2
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Condition category
Condition code
Metabolic and Endocrine
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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HbA1C
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [1]
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General inflammation (hsCRP)
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [2]
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High-density lipoprotein cholesterol
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Assessment method [2]
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Timepoint [2]
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Secondary outcome [3]
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Total cholesterol
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Assessment method [3]
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Timepoint [3]
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Secondary outcome [4]
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Triglycerides
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Assessment method [4]
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Timepoint [4]
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Secondary outcome [5]
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Estimates of low-density lipoprotein cholesterol
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Assessment method [5]
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Timepoint [5]
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Secondary outcome [6]
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Nuclear magnetic resonance [NMR] analysis of lipids
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Assessment method [6]
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Timepoint [6]
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Secondary outcome [7]
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Oxidized LDL
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Assessment method [7]
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Timepoint [7]
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Secondary outcome [8]
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Lipoproteins and apoproteins
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Assessment method [8]
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Timepoint [8]
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Secondary outcome [9]
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Fibrinogen
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Assessment method [9]
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Timepoint [9]
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Secondary outcome [10]
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Blood glucose levels (based on self-monitoring)
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Assessment method [10]
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Timepoint [10]
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Secondary outcome [11]
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Insulin dose
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Assessment method [11]
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Timepoint [11]
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Secondary outcome [12]
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Weight
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Assessment method [12]
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Timepoint [12]
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Secondary outcome [13]
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Frequency and incidence of hypoglycemia
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Assessment method [13]
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Timepoint [13]
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Secondary outcome [14]
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Safety
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Assessment method [14]
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Timepoint [14]
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Secondary outcome [15]
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General well-being
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Assessment method [15]
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Timepoint [15]
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Secondary outcome [16]
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Pilot two questionnaires for microvascular complications
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Assessment method [16]
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Timepoint [16]
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Secondary outcome [17]
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Coagulopathy factors [substudy]
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Assessment method [17]
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Timepoint [17]
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Secondary outcome [18]
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Surrogate measure of vascular reactivity [substudy]
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Assessment method [18]
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Timepoint [18]
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Secondary outcome [19]
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Inflammatory markers [substudy]
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Assessment method [19]
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Timepoint [19]
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Secondary outcome [20]
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Production of advanced glycation end-products [substudy]
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Assessment method [20]
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Timepoint [20]
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Secondary outcome [21]
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Generation of oxidative species [substudy]
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Assessment method [21]
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Timepoint [21]
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Secondary outcome [22]
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Lipids in various fractions [substudy]
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Assessment method [22]
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Timepoint [22]
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Secondary outcome [23]
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Retinyl ester measurements in various fractions [substudy]
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Assessment method [23]
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Timepoint [23]
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Secondary outcome [24]
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Composition of triglyceride-rich lipoproteins [substudy]
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Assessment method [24]
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Timepoint [24]
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Secondary outcome [25]
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Compartmental modeling of postprandial lipemia [substudy]
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Assessment method [25]
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Timepoint [25]
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Secondary outcome [26]
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Apolipoproteins [substudy]
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Assessment method [26]
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Timepoint [26]
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Eligibility
Key inclusion criteria
* Have type 2 diabetes (World Health Organization [WHO] classification
* Have used one or more of the following oral anti-hyperglycemic medications-metformin or second-generation sulfonylurea (for example, glibenclamide, glyburide, glipizide, gliclazide, glimepiride) alone or in combination with one or two insulin injections per day for at least 3 months immediately prior to entering the study. Patients using more than 2 insulin injections per day or subcutaneous insulin infusion prior to the study will not be eligible to participate.
* Have a hemoglobin A1c between 6.5% and 11%, inclusive, according to the central laboratory at Visit 1.
* Have clinically acceptable LDL-C, in the investigator's opinion, at Visit 1.
* As determined by the investigator, are capable and willing to learn how to use the insulin injection pens; comply with their prescribed diet, exercise, and medication regimen; perform self-monitoring of blood glucose; and use the patient diary as required for this protocol.
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Minimum age
35
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Have hypersensitivity to metformin or a known allergy to metformin hydrochloride, insulin lispro MM, insulin lispro LM, or insulin glargine, or excipients contained in these products.
* Have known metabolic or lactic acidosis.
* Have a history of renal transplantation or are currently receiving renal dialysis or have serum creatinine greater than or equal to 135 micromol/L (1.5 mg/dL) for males and greater than or equal to 110 micromol/L (1.2 mg/dL) for females.
* Have cardiac disease with functional status that is Class III or IV
* Have obvious clinical signs or symptoms of liver disease, acute or chronic hepatitis, or alanine transaminase (ALT) greater than three times the upper limit of the reference range as defined by the central laboratory.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/12/2003
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon-Fri from 9AM to 5PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. - St Leonards
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Recruitment postcode(s) [1]
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2065 - St Leonards
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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New Hampshire
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Country [2]
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Greece
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State/province [2]
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Thessaloniki
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Country [3]
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India
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State/province [3]
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Maharstra
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Country [4]
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Netherlands
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State/province [4]
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Den Helder
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Country [5]
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Poland
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State/province [5]
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Olesnica
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Country [6]
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Puerto Rico
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State/province [6]
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Ponce
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Eli Lilly and Company
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The primary objective of this study is to show that a prandial insulin regimen, consisting of premeal insulin lispro "mid mixture" (or a combined regimen of insulin lispro "mid mixture" and insulin lispro "low mixture") plus metformin will result in significantly better overall glycemic control (lower HbA1c) at endpoint than once-daily insulin glargine plus metformin. Insulin lispro "mid mixture" consists of 50% insulin lispro and 50% NPL. Insulin lispro "low mixture" consists of 25% insulin lispro and 75% NPL. In a substudy of approximately 60 patients, additional data will be collected on markers associated with risk of atherosclerosis or cardiovascular disease in the context of a controlled, outpatient, high-fat test meal.
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Trial website
https://clinicaltrials.gov/study/NCT00191464
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Trial related presentations / publications
Robbins DC, Beisswenger PJ, Ceriello A, Goldberg RB, Moses RG, Pagkalos EM, Milicevic Z, Jones CA, Sarwat S, Tan MH. Mealtime 50/50 basal + prandial insulin analogue mixture with a basal insulin analogue, both plus metformin, in the achievement of target HbA1c and pre- and postprandial blood glucose levels in patients with type 2 diabetes: a multinational, 24-week, randomized, open-label, parallel-group comparison. Clin Ther. 2007 Nov;29(11):2349-64. doi: 10.1016/j.clinthera.2007.11.016. Hirsch IB, Yuan H, Campaigne BN, Tan MH. Impact of prandial plus basal vs basal insulin on glycemic variability in type 2 diabetic patients. Endocr Pract. 2009 May-Jun;15(4):343-8. doi: 10.4158/EP08308.ORR. Chan JY, Leyk M, Frier BM, Tan MH. Relationship between HbA1c and hypoglycaemia in patients with type 2 diabetes treated with different insulin regimens in combination with metformin. Diabetes Metab Res Rev. 2009 Mar;25(3):224-31. doi: 10.1002/dmrr.929. Shrom D, Sarwat S, Ilag L, Bloomgarden ZT. Does A1c consistently reflect mean plasma glucose? J Diabetes. 2010 Jun;2(2):92-6. doi: 10.1111/j.1753-0407.2010.00066.x. Epub 2010 Jan 22. Sarwat S, Ilag LL, Carey MA, Shrom DS, Heine RJ. The relationship between self-monitored blood glucose values and glycated haemoglobin in insulin-treated patients with Type 2 diabetes. Diabet Med. 2010 May;27(5):589-92. doi: 10.1111/j.1464-5491.2010.02955.x. Beisswenger PJ, Brown WV, Ceriello A, Le NA, Goldberg RB, Cooke JP, Robbins DC, Sarwat S, Yuan H, Jones CA, Tan MH; IOOI Study Investigators. Meal-induced increases in C-reactive protein, interleukin-6 and tumour necrosis factor alpha are attenuated by prandial + basal insulin in patients with Type 2 diabetes. Diabet Med. 2011 Sep;28(9):1088-95. doi: 10.1111/j.1464-5491.2011.03324.x.
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Public notes
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Contacts
Principal investigator
Name
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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon-Fri 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST)
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Address
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Eli Lilly and Company
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Hirsch IB, Yuan H, Campaigne BN, Tan MH. Impact of...
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Journal
Chan JY, Leyk M, Frier BM, Tan MH. Relationship be...
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More Details
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Journal
Shrom D, Sarwat S, Ilag L, Bloomgarden ZT. Does A1...
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More Details
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Journal
Sarwat S, Ilag LL, Carey MA, Shrom DS, Heine RJ. T...
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More Details
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Results not provided in
https://clinicaltrials.gov/study/NCT00191464
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