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Clinical Trial Details

Trial ID: L5009
Source ID: NCT00069784
Associated Drug: Insulin Glargine (Hoe901)
Title: The ORIGIN Trial (Outcome Reduction With Initial Glargine Intervention)
Acronym: ORIGIN
Status: COMPLETED
Study Results: YES
Results: https://ClinicalTrials.gov/show/NCT00069784/results
Conditions: Diabetes Mellitus, Non-Insulin-Dependent
Interventions: DRUG: insulin glargine (HOE901)|DRUG: omega-3 polyunsaturated fatty acids (PUFA)|DRUG: placebo|DEVICE: reusable pen device for insulin injection
Outcome Measures: Primary: Composite of the First Occurrence of Cardiovascular (CV) Death, Nonfatal Myocardial Infarction (MI) or Nonfatal Stroke, Number of participants with a first occurrence of one of the above events. The outcome's evaluation is based on the number of such positively-adjudicated first events occurring for patients assigned to the study groups. Assessments of the above events were reviewed by the Event Adjudication Committee who was kept blinded to the group assignment of participants. Statistical analysis is performed on the time from randomization to the first occurrence of the events. Number of participants with a composite endpoint (i.e. with first occurrence of CV death, nonfatal MI or nonfatal stroke) is provided in the first row of the statistical table., from randomization until study cut-off date (median duration of follow-up: 6.2 years)|Composite of the First Occurrence of Cardiovascular (CV) Death, Nonfatal Myocardial Infarction (MI), Nonfatal Stroke, Revascularization Procedure or Hospitalization for Heart Failure (HF), Number of participants with a first occurrence of one of the above events (revascularization procedures included coronary artery bypass graft, percutaneous transluminal coronary angioplasty (PTCA) i.e. balloon, PTCA with stent, other percutaneous intervention, carotid angioplasty with/without stent, carotid endarterectomy, peripheral angioplasty with or without stent, peripheral vascular surgery, and limb amputation due to vascular disease). The outcome's evaluation is based on the number of such positively-adjudicated first events occurring for patients assigned to the study groups. Assessments of the above events were reviewed by the Event Adjudication Committee who was kept blinded to the group assignment of participants. Statistical analysis is performed on the time from randomization to the first occurrence of the events. Number of participants with a composite endpoint (i.e. with first occurrence of the events) is provided in the first row of the statistical table., from randomization until study cut-off date (median duration of follow-up: 6.2 years) | Secondary: Total Mortality (All Causes), Number of deaths due to any cause, from randomization until study cut-off date (median duration of follow-up: 6.2 years)|Composite Diabetic Microvascular Outcome (Kidney or Eye Disease), The composite outcome used to analyze microvascular disease progression contained components of clinical events: * the occurrence of laser surgery or vitrectomy for diabetic retinopathy (DR); * the development of blindness due to DR; * the occurrence of renal death or renal replacement therapy; as well as the following laboratory-based events: * doubling of serum creatinine; or * progression of albuminuria (from none to microalbuminuria \[at least 30 mg/g creatinine\], to macroalbuminuria \[at least 300 mg/g creatinine\])., from randomization until study cut-off date (median duration of follow-up: 6.2 years)|Incidence of Development of Type 2 Diabetes Mellitus in Participants With IGT and/or IFG, The incidence was determined by calculating the proportion of randomized participants without diabetes at randomization who either developed diabetes during the study or who were classified as having possible diabetes based on results of two oral glucose tolerance tests (OGTT) performed after the last follow-up visit (within 21-28 days for OGTT#1 and within 10-14 weeks for OGTT#2)., from randomization until the last follow-up visit or last OGTT (median duration of follow-up: 6.2 years) | Other: Number of Patients With Various Types of Symptomatic Hypoglycemia Events, Symptomatic hypoglycemia was defined as an event with clinical symptoms consistent with hypoglycemia, based on data recorded in the participant's diary. These were further categorized as confirmed (ie, with a concomitant home glucose reading ≤54 mg/dL \[≤3.0 mmol/L\]) or unconfirmed. Severe hypoglycemia was defined as an event with clinical symptoms consistent with hypoglycemia in which the participant required the assistance of another person, and one of the following: * the event was associated with a documented self-measured or laboratory plasma glucose level ≤36 mg/dL (≤2.0 mmol/L), or * the event was associated with prompt recovery after oral carbohydrate, intravenous glucose, or glucagon administration., on-treatment period (median duration of follow-up: 6.2 years)|Number of Patients With First Occurrence of Any Type of Cancer, Data on cancers that occurred in association with hospitalizations were collected systematically in both groups from the start of the study. All reported cancers occurring during the trial (new or recurrent) were adjudicated by the Event Adjudication Committee., from randomization until study cut-off date (median duration of follow-up: 6.2 years)
Sponsor/Collaborators: Sponsor: Sanofi | Collaborators: Population Health Research Institute
Gender: ALL
Age: ADULT, OLDER_ADULT
Phases: PHASE3
Enrollment: 12537
Study Type: INTERVENTIONAL
Study Designs: Allocation: RANDOMIZED|Intervention Model: FACTORIAL|Masking: NONE|Primary Purpose: TREATMENT
Start Date: 2003-08
Completion Date: 2011-12
Results First Posted: 2013-01-25
Last Update Posted: 2013-01-31
Locations: Sanofi-Aventis Administrative Office, Bridgewater, New Jersey, 08807, United States|Sanofi-Aventis Administrative Office, Buenos Aires, Argentina|Sanofi-Aventis Administrative Office, Cove, New South Wales, Australia|Sanofi-Aventis Administrative Office, Vienna, Austria|Sanofi-Aventis Administrative Office, Minsk, Belarus|Sanofi-Aventis Administrative Office, Hamilton, Bermuda|Sanofi-Aventis Administrative Office, Sao Paulo, Brazil|Sanofi-Aventis Administrative Office, Laval, Quebec, Canada|Sanofi-Aventis Administrative Office, Santiago, Chile|Sanofi-Aventis Administrative Office, Beijing, China|Sanofi-Aventis Administrative Office, Cali, Colombia|Sanofi-Aventis Administrative Office, Zagreb, Croatia|Sanofi-Aventis Administrative Office, Horsholm, Denmark|Sanofi-Aventis Administrative Office, Tatari, Estonia|Sanofi-Aventis Administrative Office, Helsinki, Finland|Sanofi-Aventis Administrative Office, Paris, France|Sanofi-Aventis Administrative Office, Berlin, Germany|Sanofi-Aventis Administrative Office, Budapest, Hungary|Sanofi-Aventis Administrative Office, Mumbai, India|Makati City, Dublin, Ireland|Sanofi-Aventis Administrative Office, Netanya, Israel|Sanofi-Aventis Administrative Office, Milano, Italy|Sanofi-Aventis Administrative Office, Seoul, Korea, Republic of|Sanofi-Aventis Administrative Office, Riga, Latvia|Sanofi-Aventis Administrative Office, Vilnius, Lithuania|Sanofi-Aventis Administrative Office, Mexico, Mexico|Sanofi-Aventis Administrative Office, Gouda, Netherlands|Sanofi-Aventis Administrative Office, Lysaker, Norway|Sanofi-Aventis Administrative Office, Makati City, Philippines|Sanofi-Aventis Administrative Office, Warszawa, Poland|Sanofi-Aventis Administrative Office, Bucuresti, Romania|Sanofi-Aventis Aministrative Office, Moscow, Russian Federation|Sanofi-Aventis Administrative Office, Bratislava, Slovakia|Sanofi-Aventis Administrative Office, Midrand, South Africa|Sanofi-Aventis Administrative Office, Barcelona, Spain|Sanofi-Aventis Administrative Office, Bromma, Sweden|Sanofi-Aventis Administrative Office, Geneva, Switzerland|Sanofi-Aventis Administrative Office, Istanbul, Turkey|Sanofi-Aventis Administrative Office, Guildford, Surrey, United Kingdom|Makati City, Caracas, Venezuela
URL: https://clinicaltrials.gov/show/NCT00069784