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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00548808
Registration number
NCT00548808
Ethics application status
Date submitted
22/10/2007
Date registered
24/10/2007
Date last updated
15/09/2010
Titles & IDs
Public title
A Study for Type 2 Diabetic Patients
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Scientific title
Comparison of Insulin Lispro Low Mixture With Insulin Glargine When Initiating and Intensifying Insulin Therapy As Required in Patients With Type 2 Diabetes Who Have Inadequate Glycemic Control on Oral Antihyperglycemic Medication
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Secondary ID [1]
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F3Z-CR-IOPH
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Secondary ID [2]
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11541
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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:
Type 2 Diabetes Mellitus
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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
Treatment: Drugs - Insulin lispro low mixture
Treatment: Drugs - Insulin glargine
Treatment: Drugs - Insulin lispro
Experimental: Insulin lispro low mixture - Insulin lispro low mixture (1, 2 or 3 daily injections)
Active comparator: Insulin glargine - Insulin glargine (alone or with 1, 2 or 3 daily injections of insulin lispro)
Treatment: Drugs: Insulin lispro low mixture
Dose depending on patient's need; subcutaneous injection before meal; start with once-daily injection before evening meal for 48 weeks, may add second injection before breakfast at any time during the treatment period if required, and may further add third injection before lunch at any time in the remainder of the treatment period if required.
Treatment: Drugs: Insulin glargine
Dose depending on patient's need; one daily subcutaneous injection before bedtime for 48 weeks
Treatment: Drugs: Insulin lispro
Dose depending on patient's need; subcutaneous injection before meal; may start once-daily injection before meal (e.g. lunch if the highest blood glucose value is measured before dinner) on top of insulin glargine at any time of the treatment period if required, and may further add second or even third injection in the remainder of the treatment period if required.
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Intervention code [1]
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Treatment: Drugs
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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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Change From Baseline to 48 Week Endpoint in Hemoglobin A1c (HbA1c)
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Assessment method [1]
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Timepoint [1]
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Baseline, 48 weeks
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Secondary outcome [1]
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Change in Hemoglobin A1c (HbA1c) Over Time
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Assessment method [1]
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Timepoint [1]
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Baseline, 16 Weeks, 32 Weeks, 48 Weeks
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Secondary outcome [2]
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Percentage of Patients Achieving HbA1c <6.5% and <7% Over Time
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Assessment method [2]
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Timepoint [2]
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16 weeks, 32 weeks, 48 weeks
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Secondary outcome [3]
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7-point Self-monitored Blood Glucose Profiles
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Assessment method [3]
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Timepoint [3]
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Baseline, 16 weeks, 32 weeks, 48 weeks
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Secondary outcome [4]
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Change From Baseline in Postprandial Blood Glucose Over Time
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Assessment method [4]
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The change in blood glucose was evaluated by the GlycoMarkâ„¢ test. GlycoMark measures levels of 1,5 anhydroglucitol (1,5 AG) in serum or plasma, allowing for the short- to intermediate-term monitoring of glycemic control in patients with diabetes. When 1,5 AG values decrease, serum glucose levels increase.
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Timepoint [4]
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Baseline, 16 weeks, 32 weeks, 48 weeks
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Secondary outcome [5]
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Daily Total Insulin Dose (U/Day) at 16, 32, and 48 Weeks
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Assessment method [5]
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Timepoint [5]
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16 weeks, 32 weeks, 48 weeks
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Secondary outcome [6]
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Daily Total Insulin Dose Per Body Weight (U/kg/Day) at 16, 32, and 48 Weeks
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Assessment method [6]
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Timepoint [6]
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16 weeks, 32 weeks, 48 weeks
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Secondary outcome [7]
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Change From Baseline to 48 Week Endpoint in Lipid and Cholesterol Profiles
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Assessment method [7]
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Timepoint [7]
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baseline, 48 weeks
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Secondary outcome [8]
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Safety: Number of Participants With Serious and Non-Serious Adverse Events
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Assessment method [8]
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Safety was assessed via serious adverse events (SAEs) and AEs, the details of which are listed in the Reported Adverse Event section.
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Timepoint [8]
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baseline through 48 weeks
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Eligibility
Key inclusion criteria
* Type 2 diabetes mellitus
* Receiving oral antihyperglycemic medications (including metformin) without insulin injection in the last 90 days
* Hemoglobin A1c (HbA1c) equal to or greater than 7.0% but less than 11.0%
* Willing to receive insulin injection while continuing to take the prestudy oral antihyperglycemic medications
* Able to perform self monitoring of blood glucose
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Minimum age
30
Years
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Maximum age
79
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
* Are taking any other glucose-lowering agents other than metformin, sulfonylurea or Thiazolidinedione (Pioglitazone)
* Have taken acarbose, miglitol, pramlintide, exenatide, repaglinide, or nateglinide in the past 6 weeks, or for a total of 30 days or more, in the last 24 weeks
* Have a body mass index greater than 35 kg/m2
* History or presence of kidney disease
* Have cardiac disease (Class III or IV)
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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
1/11/2007
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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
1/08/2009
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Sample size
Target
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Accrual to date
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Final
426
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Recruitment in Australia
Recruitment state(s)
SA,VIC,WA
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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 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. - Daw Park
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Recruitment hospital [2]
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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 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. - East Ringwood
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Recruitment hospital [3]
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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 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. - Nedlands
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Recruitment postcode(s) [1]
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5041 - Daw Park
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Recruitment postcode(s) [2]
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3135 - East Ringwood
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Recruitment postcode(s) [3]
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6009 - Nedlands
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Recruitment outside Australia
Country [1]
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Brazil
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State/province [1]
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Belem
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Country [2]
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Brazil
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State/province [2]
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Campinas
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Country [3]
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Brazil
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State/province [3]
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Curitiba
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Country [4]
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Brazil
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State/province [4]
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Fortaleza
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Country [5]
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Canada
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State/province [5]
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Alberta
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Country [6]
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Canada
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State/province [6]
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Manitoba
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Country [7]
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Canada
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State/province [7]
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Ontario
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Country [8]
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Canada
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State/province [8]
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Prince Edward Island
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Country [9]
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Canada
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State/province [9]
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Quebec
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Country [10]
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China
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State/province [10]
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Beijing
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China
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State/province [11]
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Guang Zhou
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China
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State/province [12]
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Shanghai
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Country [13]
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India
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State/province [13]
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Aligarh
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Country [14]
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India
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State/province [14]
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Bangalore
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Country [15]
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India
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State/province [15]
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Coimbatore
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Country [16]
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India
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State/province [16]
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Mumbai
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India
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State/province [17]
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Trivandrum
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Korea, Republic of
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Kyunggi-Do
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Korea, Republic of
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Seoul
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Country [20]
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Mexico
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State/province [20]
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Mexico City
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Country [21]
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Mexico
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State/province [21]
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Monterrey
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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 purpose of the study is to compare the insulin lispro low mixture (1, 2 or 3 daily injections) with insulin glargine (alone or with 1, 2 or 3 insulin lispro daily injections) on lowering the blood sugar level
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Trial website
https://clinicaltrials.gov/study/NCT00548808
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Trial related presentations / publications
Bowering K, Reed VA, Felicio JS, Landry J, Ji L, Oliveira J. A study comparing insulin lispro mix 25 with glargine plus lispro therapy in patients with Type 2 diabetes who have inadequate glycaemic control on oral anti-hyperglycaemic medication: results of the PARADIGM study. Diabet Med. 2012 Sep;29(9):e263-72. doi: 10.1111/j.1464-5491.2012.03722.x. Erratum In: Diabet Med. 2012 Nov;29(11):1473. Felicio, J [corrected to Felicio, J S].
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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- 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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Phone
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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
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT00548808
Download to PDF