6-month Comparison of Morning Lantus Versus Neutral Protamine Hagedorn Insulin in Young Children With Type 1 Diabetes

Completed · Phase 3

Conditions studied: Type 1 Diabetes Mellitus

In brief

The primary study objective was to compare the rate of "all hypoglycemia" (composite outcome of the following hypoglycemia events: symptomatic hypoglycemia episodes, low continuous glucose monitoring system (CGMS) excursions confirmed by fingerstick blood glucose (FSBG), low FSBG readings performed at other times) between children treated with Lantus (insulin glargine) and Neutral Protamine Hagedorn (NPH) insulin. Secondary objectives were to compare insulin glargine and NPH in terms of: * rates of specific types of hypoglycemia: symptomatic, severe, nocturnal, nocturnal symptomatic, and severe nocturnal symptomatic hypoglycemia * HbA1c change from baseline to end-of-treatment, and HbA1c at end-of-treatment * percentage of patients reaching HbA1c less than 7.5% (target value) at end of treatment * average blood glucose over whole trial and at end of trial, as estimated by continuous glucose monitoring (CGM), and blood glucose variability

Key facts

Study ID

NCT00993473

Run by

Sanofi

People needed

125

Starts

2009-10-01

Expected to finish

2011-03-01

Last updated by the study team

2012-06-27

Who can join

Age: 1 and older, up to 6. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Pediatric patients with type 1 diabetes mellitus aged at least one year to less than 6 years at screening, for whom signed written informed consent has been obtained from parent or legal guardian to participate in the study

You may not qualify if…

• Diagnosis of type 1 diabetes for less than one year
• HbA1c at screening >12% or <6%
• Diabetes other than type 1 diabetes
• Parents and patients not willing to undergo all study assessments and treatments, including home blood glucose monitoring, Continuous Glucose Monitoring System (CGMS) sensor placement and maintenance both at the site and at home, multiple daily insulin injections, and visits, as dictated by the protocol (if a telephone is not available patients may undergo all visits in person)
• Patients and families for whom 6 days in total (not necessarily continuous) of useable CGMS data cannot be obtained (either by home sensor replacement, or by sensor replacement at the site at additional screening visits if needed) during the screening CGMS evaluations between Visit 2 and the randomization visit
• Patients treated with insulin pump therapy during the two months prior to screening
• History of primary seizure disorder
• History of severe hypoglycemic episode accompanied by seizure and/or coma, or diabetic ketoacidosis leading to hospitalization or to care in the emergency ward, in the 2 months prior to the screening visit
• Need for chronic treatment with acetaminophen (paracetamol)-containing medications
• Serum creatinine > 2.0mg/dL at screening
• Serum ALT or AST greater than 3x upper limit of normal for the patient's age and gender, at screening
• Hemoglobin < 10g/dL, or platelet count less than 100,000/cu mm, at screening
• Treatment with any pharmacologic anti-hyperglycemic oral agent for more than 3 months at any time
• Treatment with any non-insulin antihyperglycemic medication (eg, Symlin®) for the 3 months prior to screening
• Treatment with systemic glucocorticoids within the month prior to screening
• Above information not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Where it is running

• Sanofi-Aventis Investigational Site Number 840014 — San Diego, California, United States
• Sanofi-Aventis Investigational Site Number 840005 — Greenwood Village, Colorado, United States
• Sanofi-Aventis Investigational Site Number 840008 — Baltimore, Maryland, United States
• Sanofi-Aventis Investigational Site Number 840007 — Buffalo, New York, United States
• Sanofi-Aventis Investigational Site Number 840011 — Philadelphia, Pennsylvania, United States
• Sanofi-Aventis Investigational Site Number 840010 — Houston, Texas, United States
• Sanofi-Aventis Investigational Site Number 840002 — San Antonio, Texas, United States
• Sanofi-Aventis Investigational Site Number 040001 — Vienna, Austria
• Sanofi-Aventis Investigational Site Number 076001 — Brasília, Brazil
• Sanofi-Aventis Investigational Site Number 076003 — Curitiba, Brazil
• Sanofi-Aventis Investigational Site Number 076005 — Fortaleza, Brazil
• Sanofi-Aventis Investigational Site Number 076004 — Fortaleza, Brazil
• Sanofi-Aventis Investigational Site Number 076002 — Porto Alegre, Brazil
• Sanofi-Aventis Investigational Site Number 076006 — Rio de Janeiro, Brazil
• Sanofi-Aventis Investigational Site Number 152002 — Santiago, Chile
• Sanofi-Aventis Investigational Site Number 152003 — Santiago, Chile
• Sanofi-Aventis Investigational Site Number 152001 — Santiago, Chile
• Sanofi-Aventis Investigational Site Number 152004 — Viña del Mar, Chile
• Sanofi-Aventis Investigational Site Number 203001 — Olomouc, Czechia
• Sanofi-Aventis Investigational Site Number 203003 — Pardubice, Czechia
• Sanofi-Aventis Investigational Site Number 203002 — Ústí nad Labem, Czechia
• Sanofi-Aventis Investigational Site Number 276002 — Düsseldorf, Germany
• Sanofi-Aventis Investigational Site Number 276003 — Münster, Germany
• Sanofi-Aventis Investigational Site Number 348004 — Budapest, Hungary
• Sanofi-Aventis Investigational Site Number 840006 — Sacramento, California, United States

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.