Logo 1 Logo 2

Clinical Trial Details

Trial ID: L4789
Source ID: NCT03018938
Associated Drug: Insulin Analog Mid Mixture
Title: A Study of Basal Insulin Analog and Insulin Analog Mid Mixture in Chinese Participants With Type 2 Diabetes Mellitus
Acronym: CLASSIC
Status: COMPLETED
Study Results: YES
Results: https://ClinicalTrials.gov/show/NCT03018938/results
Conditions: Type 2 Diabetes Mellitus
Interventions: DRUG: Insulin Analog Mid Mixture|DRUG: Basal Insulin Analog
Outcome Measures: Primary: Change From Baseline to Week 24 in Hemoglobin A1c (HbA1c), HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was determined by analysis of covariance (ANCOVA) model with last observation carried forward (LOCF) and with terms for change from baseline in HbA1c as response, treatment as fixed effect and baseline HbA1c as covariate., Baseline, 24 Weeks | Secondary: Change From Baseline to Week 48 in HbA1c, HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was determined by ANCOVA model with LOCF and with terms for change from baseline in HbA1c as response, treatment as fixed effect and baseline HbA1c as covariate., Baseline, 48 Weeks|Percentage of Participants Who Achieve HbA1c <7% at Week 24, Hemoglobin A1c (HbA1c) is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time., 24 Weeks|Percentage of Participants Who Achieve HbA1c <7% at Week 48, Hemoglobin A1c (HbA1c) is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time., 48 Weeks|Change From Baseline to Week 24 in Venous Fasting Plasma Glucose, Fasting Plasma glucose (FPG) is a test to determine how much glucose (sugar) is in a plasma sample after an overnight fast. Least Squares (LS) means was determined by ANCOVA model with LOCF and with terms for change from baseline in Venous FPG as response, treatment as fixed effect and baseline Venous FPG as covariate., Baseline, 24 Weeks|Change From Baseline to Week 48 in Venous Fasting Plasma Glucose, Fasting Plasma glucose (FPG) is a test to determine how much glucose (sugar) is in a plasma sample after an overnight fast. Least Squares (LS) means was determined by ANCOVA model with LOCF and with terms for change from baseline in Venous FPG as response, treatment as fixed effect and baseline Venous FPG as covariate., Baseline, 48 Weeks|Change From Baseline to Week 24 in Finger Stick Blood Glucose (FSBG)-Based Fasting Blood Glucose, Post Prandial Glucose, Fasting blood glucose (FBG) and post prandial glucose (PPG) \[pre-breakfast (fasting) and post-breakfast (approximately 2 hours after breakfast)\] was measured using FSBG. LS Mean was measured with ANCOVA model with LOCF and with terms for change from baseline in FSBG-based FBG/PPG as response, treatment as fixed effect and baseline FSBG-based FBG/PPG as covariate., Baseline, 24 Weeks|Change From Baseline to Week 48 in Finger Stick Blood Glucose (FSBG)-Based Fasting Blood Glucose, Post Prandial Glucose, Fasting blood glucose (FBG) and post prandial glucose (PPG) \[pre-breakfast (fasting) and post-breakfast (approximately 2 hours after breakfast)\] was measured using FSBG. LS Mean was measured with ANCOVA model with LOCF and with terms for change from baseline in FSBG-based FBG/PPG as response, treatment as fixed effect and baseline FSBG-based FBG/PPG as covariate., Baseline, 48 Weeks|Total Daily Insulin Dose at Week 24 and 48, Total daily insulin dose in the basal insulin analog and in Insulin Analog Mid Mixture group at week 24 and 48., 24 Weeks, 48 Weeks|Change From Baseline to Week 24 in Body Weight, LS means were calculated using ANCOVA model with LOCF and with terms for change from baseline in bodyweight as response, treatment as fixed effect and baseline bodyweight as covariate., Baseline, 24 Weeks|Change From Baseline to Week 48 in Body Weight, LS means were calculated using ANCOVA model with LOCF and with terms for change from baseline in bodyweight as response, treatment as fixed effect and baseline bodyweight as covariate., Baseline, 48 Weeks|Rate of Hypoglycemia at Week 24 and 48, Hypoglycemic episodes are defined as events that are associated with reported signs and symptoms of hypoglycemia and/or documented blood glucose (BG) concentrations of ≤70 mg/dL (3.9 mmol/L). The overall yearly rates (events/participant/year) of those hypoglycemic events, calculated as, for each participant, the number of episodes times 365.25 and then divided by the participants treatment duration, will be summarized, and analyzed by a Negative-binomial regression model with treatment as fixed effects and log of (patient's treatment duration/365.25) as an offset variable., 24 Weeks, 48 Weeks|Number of Participants With Insulin Treatment Change at Week 48, Insulin treatment change can be insulin treatment discontinuation, switch, intensification or reduction in frequency. 1. Discontinuation: Defined as stopping insulin treatment for 30 days or more. 2. Switch: Defined as stop the initial insulin therapy and started another insulin therapy of different class. 3. Intensification: Defined as any of the following: adding meal time insulin in basal insulin analog QD group; changing from BID to TID (Three times a day) in insulin analog mid mixture BID group 4. Reduction in frequency: Defined as any of the following: changing from BID to QD; changing from TID to BID or QD., Baseline through 48 Weeks|Percentage of Participants Who Achieve the HbA1c <7% Without Switching and Discontinuing Study Insulin, and Without Using Rescue Therapy at Week 24, Hemoglobin A1c (HbA1c) is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. Percentages of participants who achieved HbA1c levels of \<7% were analyzed using a logistic regression model with logic link function, treatment as fixed effect and baseline HbA1c as continuous covariate., 24 Weeks|Percentage of Participants Who Achieve the HbA1c <7% Without Switching and Discontinuing Study Insulin, and Without Using Rescue Therapy at Week 48, Hemoglobin A1c (HbA1c) is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. Percentages of participants who achieved HbA1c levels of \<7% were analyzed using a logistic regression model with logic link function, treatment as fixed effect and baseline HbA1c as continuous covariate., 48 Weeks|Change From Baseline to Week 48 in Self-Efficacy About Insulin Therapy Questionnaire (SEITQ) Score, The SEITQ is designed to measure an individual's self-efficacy related to insulin therapy. The SEITQ consists of 5 items (that is, statements). The first 4 statements imply confidence in completing the tasks needed to take insulin correctly and avoid both hyperglycemia and hypoglycemia, whereas the last statement is an outcome expectation and implies that performance of these tasks will lead to avoidance of complications. Each item score ranges from 1 (strongly disagree) to 7 (strongly agree). The total SEITQ score is the sum of each item scores, with the range of 5 to 35. Higher SEITQ score indicates better outcome (higher self-efficacy). LS Mean was calculated using Mixed Models Analysis (MMRM) for repeated measures with all post-baseline SEITQ as responses, baseline SEITQ as a continuous covariate, treatment group, Visits, and treatment by visit interaction as fixed effects and participant as a random effect., Baseline, 48 Weeks
Sponsor/Collaborators: Sponsor: Eli Lilly and Company
Gender: ALL
Age: ADULT, OLDER_ADULT
Phases: PHASE4
Enrollment: 814
Study Type: INTERVENTIONAL
Study Designs: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: NONE|Primary Purpose: TREATMENT
Start Date: 2017-02-06
Completion Date: 2019-07-12
Results First Posted: 2020-03-18
Last Update Posted: 2020-03-18
Locations: Beijing Huaxin Hospital, Beijing, Beijing, 100016, China|Peking University Peoples Hospital, Beijing, Beijing, 100044, China|China Meitan General Hospital, Chaoyang, Beijing, 100028, China|Beijing Yanhua hospital, Fangshan, Beijing, 102500, China|The 2nd Hospital of Lanzhou University, Lanzhou, Gansu, 730030, China|Shenzhen City People Hospital, Shenzhen, Guangdong, 518020, China|The 1st Hospital with Guangdong Pharmaceutical University, Yuexiu, Guangdong, 510080, China|The 1st Affiliated Hospital of Henan Science and technology, Luoyang, Henan, 471003, China|People's Hospital of Henan Province, Zhengzhou, Henan, 450003, China|Wuhan Union (Xiehe) Hospital, Wuhan, Hubei, 430022, China|Changzhou No.2 People's Hospital, Changzhou, Jiangsu, 213003, China|Nanjing TCM hospital, Nanjing, Jiangsu, 210001, China|Jiang Su Province Official Hospital, Nanjing, Jiangsu, 210024, China|Nanjing Jiangbei Hospital, Nanjing, Jiangsu, 210048, China|Nanjing Jiangning Hospital, Nanjing, Jiangsu, 211100, China|Taizhou City People Hospital, Taizhou, Jiangsu, 225300, China|The second People's hospital of Wuxi, Wuxi, Jiangsu, 214000, China|Xuzhou central Hospital, Xuzhou, Jiangsu, 221009, China|Qingdao Municipal Hospital, Qingdao, Shandong, 266071, China|Taian City Central Hospital, Taian, Shandong, 271000, China|Shanghai Pudong New Area Gongli Hospital, Shanghai, Shanghai, 200135, China|Shanghai Pudong New District Zhoupu Hospital, Shanghai, Shanghai, 201318, China|Affiliated Hospital of North Sichuan Medical College, Nanchong, Shunqing, 637000, China|The Third Affiliated Hospital of Chengdu University of TCM, Chengdu, Sichuan, 610041, China|Southwest Medical University Affiliated Hospital, Luzhou, Sichuan, 646000, China|Tianjin First Central Hospital, Nankai, Tianjin, 300192, China|Beijing LuHe Hospital Capital Medical University, Beijing, Tongzhou, 101149, China|Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, 310014, China|Ningbo First Hospital, Ningbo, Zhejiang, 315010, China|Peking University International Hospital, Beijing, 102206, China|Beijing Hai Dian Hospital, Beijing, China|Shanghai Yangpu District Central Hospital, Shanghai, 200090, China
URL: https://clinicaltrials.gov/show/NCT03018938