DRUG
INSULIN GLARGINE/LIXISENATIDE HOE901/AVE0010
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous
Status
Completed
Phase
Phase 3
Enrollment
265
Locations
32
Results
Not posted
Publications
2
Study summary
Primary Objective: To demonstrate that the simple daily titration algorithm is non-inferior to the weekly titration algorithm according to Canadian labeling. Secondary Objective: To gain additional information on the efficacy and safety of using a simple patient-titration protocol for administration of insulin glargine/lixisenatide fixed-ratio combination (iGlarLixi).
The maximum duration of study per patient is approximately 29 weeks including a 2-week screening, a 26-week randomized active-controlled treatment period, and 3-day post-treatment safety follow-up period.
Interventions
DRUG
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous
Timeline
First posted
Dec 6, 2018
Study start
Mar 11, 2019
Primary completion
Oct 23, 2020
Study completion
Oct 23, 2020
Results posted
Not reported
Registry updated
Apr 25, 2022
Outcomes
Change in glycated hemoglobin (HbA1c)%
Time frame · Baseline to Week 26
Absolute mean change in HbA1c from baseline to Week 26; HbA1c is expressed in % (unit)
Percentage of patients achieving HbA1c ≤7% at Week 26
Time frame · At Week 26
Percentage of patients achieving A1c ≤7%
Change in fasting plasma glucose (FPG) from baseline to Week 12
Time frame · Baseline to Week 12
Change in FPG from baseline to Week 12
Change in FPG from baseline to Week 26
Time frame · Baseline to Week 26
Change in FPG from baseline to Week 26
Change in fasting self-monitoring plasma glucose (SMPG) from baseline to Week 12
Time frame · Baseline to Week 12
Change in fasting SMPG from baseline to Week 12
Change in fasting SMPG from baseline to Week 26
Time frame · Baseline to Week 26
Change in fasting SMPG from baseline to Week 26
Change in 7-point SMPG profile from baseline to Week 12
Time frame · Baseline to Week 12
Change in 7-point SMPG profile from baseline to Week 12
Change in 7-point SMPG profile from baseline to Week 26
Time frame · Baseline to Week 26
Change in 7-point SMPG profile from baseline to Week 26
Change in body weight from baseline to Week 26
Time frame · Baseline to Week 26
Change in body weight (kg)
Percentage of patients achieving A1c ≤7% with no body weight gain and/or hypoglycemia (severe or documented symptomatic (≤3.9 mmol/L) at Week 26
Time frame · Baseline to Week 26
Composite endpoint expressed as percentage of patients A1c ≤7% with no body weight gain and/or hypoglycemia (severe or documented symptomatic (≤3.9 mmol/L)
Insulin glargine dose
Time frame · At Week 26
Insulin glargine dose (expressed in units)
Eligibility
Inclusion criteria: * Adult subject ≥ 18 years * Patients with type 2 diabetes mellitus (T2DM) based on Diabetes Canada 2018 Clinical Practice Guidelines criteria and diagnosed at least 6 months prior to the screening visit * Uncontrolled glycemia with an A1c ≥7.5% and ≤10.5% * Patients treated for at least 6 months on any basal insulin (including but not limited to insulin glargine, Toujeo®, Degludec®, etc.) ± oral anti-diabetic drug (OADs) * The total basal insulin dose must be ≤ 40 units/day * The OADs allowed at inclusion are metformin, insulin secretagogues, dipeptidyl-peptidase-4 inhibitors (DPP4) inhibitors and SGLT2 inhibitors; with no change in OAD dose for at least 2 months prior to randomization * Body mass index (BMI) between 20 kg/m2 and 40 kg/m2 inclusively Exclusion criteria: * History of severe hypoglycemia or hypoglycemia unawareness * History of metabolic acidosis, including diabetic ketoacidosis within 1 year prior to screening visit * Current or previous (known intolerance to GLP-1s) treatment with glucagon like peptide-1 (GLP-1) receptor agonist * Current use of rapid-acting insulin or premix insulins or use of these insulins within 3 months prior to the screening visit * Use of systemic glucocorticoids (excluding topical and inhaled forms) for a total duration of 1 week or more within 3 months prior to the screening visit * Use of weight loss drugs within 3 months prior to the screening visit * Patients with conditions/concomitant diseases that will affect safe participation in this study (e.g. active malignant tumor, major systemic diseases, presence of clinically significant diabetic retinopathy or presence of macular edema likely to require treatment within the study period, etc.) * Women of childbearing potential (WOCBP) not protected by an effective contraceptive method of birth control and/or who are unwilling or unable to be tested for pregnancy * Positive serum pregnancy test in WOCBP, pregnancy or lactation * Clinically relevant history of gastrointestinal disease associated with prolonged nausea and vomiting, including (but not limited to): gastroparesis, unstable (i.e. worsening) or uncontrolled (i.e. prolonged nausea and vomiting) gastroesophageal reflux disease requiring medical treatment within 6 months prior to the time of screening visit * History of pancreatitis (unless pancreatitis was related to gallstones and treated with cholecystectomy), pancreatitis during previous treatment with incretin therapies, chronic pancreatitis, pancreatectomy, or stomach/gastric surgery * Personal or immediate family history of medullary thyroid cancer or genetic conditions that predispose the patient to medullary thyroid cancer (e.g. multiple endocrine neoplasia syndromes) The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Study locations
Canada. Showing up to 24 locations stored in the fast local snapshot.
Investigational Site Number 1240004
Barrie, Canada
Investigational Site Number 1240006
Brampton, Canada
Investigational Site Number 1240002
Brampton, Canada
Investigational Site Number 1240005
Burlington, Canada
Investigational Site Number 1240003
Calgary, Canada
Investigational Site Number 1240024
Chicoutimi, Canada
Investigational Site Number 1240014
Concord, Canada
Investigational Site Number 1240017
Etobicoke, Canada
Investigational Site Number 1240030
Greenfield Park, Canada
Investigational Site Number 1240031
Halifax, Canada
Investigational Site Number 1240026
Hamilton, Canada
Investigational Site Number 1240011
Laval, Canada
Investigational Site Number 1240016
London, Canada
Investigational Site Number 1240015
London, Canada
Investigational Site Number 1240019
Mirabel, Canada
Investigational Site Number 1240018
Montreal, Canada
Investigational Site Number 1240023
Montreal, Canada
Investigational Site Number 1240020
Montreal, Canada
Investigational Site Number 1240029
Montreal, Canada
Investigational Site Number 1240027
Nepan, Canada
Investigational Site Number 1240025
Newmarket, Canada
Investigational Site Number 1240021
Oakville, Canada
Investigational Site Number 1240009
Oshawa, Canada
Investigational Site Number 1240008
Québec, Canada
Publications
Related trials
Sanofi · Type 2 Diabetes
Phase 4
Completed
105
2026-07
Shanghai Zhongshan Hospital · Type 2 Diabetes
Phase 4
Recruiting
1,316
2026-07
Brigham and Women's Hospital · Cardiovascular Events · Type2 Diabetes
Not applicable
Active, not recruiting
781,430
2026-05
Sanofi · Type 2 Diabetes (T2D)
Phase 4
Recruiting
678
2026-03
Yanbing Li · Type 2 Diabetes
Phase 4
Not yet recruiting
324
2026-02
University Hospital, Toulouse · Parkinson Disease
Phase 2
Completed
156
2025-11
Sanofi · Type 2 Diabetes Mellitus
Phase 3
Completed
582
2025-09
Ohio State University · Cardiovascular Kidney Metabolic Syndrome
Not applicable
Active, not recruiting
23,280,000
2025-09
Related PeptideStat pages
Research pages describe evidence. Vendor pages, where available, describe independently tracked research-product listings and are not clinical recommendations.