A "Real World" Trial to Determine Efficacy and Health Outcomes of Toujeo (ACHIEVE CONTROL REAL LIFE STUDY PROGRAM)



Status:Completed
Conditions:Diabetes, Diabetes
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:18 - Any
Updated:8/26/2018
Start Date:June 16, 2015
End Date:August 9, 2018

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A Randomized, Open-label, Parallel Group Real World Pragmatic Trial to Assess the Clinical and Health Outcomes of Toujeo Compared to Commercially Available Basal Insulins for Initiation of Therapy in Insulin-naive Patients With Uncontrolled Type 2 Diabetes Mellitus

Primary Objective:

Demonstrate clinical benefit of Toujeo in achieving individualized HEDIS HbA1c targets (<8%
if age 65 years or with defined comorbidities (as listed in Appendix G) or otherwise <7%) at
6 months without documented symptomatic (BG 70mg/dl) hypoglycemia at any time of day from
baseline to 6 months in uncontrolled insulin naive patients with type 2 diabetes initiating
basal insulin therapy in a real world setting.

Secondary Objectives:

Compare Toujeo to other commercially available basal insulins at 6 and 12 months after
initiating insulin therapy in a real world setting in terms of:

- Patient persistence with assigned basal insulin therapy

- Risk of hypoglycemia including the incidence and rate of documented symptomatic and
severe hypoglycemia

- Changes in HbA1c, fasting plasma glucose, body weight

- Differences in patient- and provider- reported outcomes (including Diabetes Treatment
Satisfaction Questionnaire Status and Change Versions DTSQs and DTSQc), Hypoglycemia
Patient Questionnaire, and patient and provider reported Global Effectiveness Scale
(GES)

- Healthcare resource utilization including hospitalizations and emergency department or
other provider visits and healthcare costs.

The total study duration per patient will be up to 53 weeks, consisting of a 1-week screening
period at the site, a 26-week treatment period, and a 26-week extension period.

Inclusion criteria :

- Patients with T2DM, as defined by the American Diabetes Association/World Health
Organization, diagnosed for at least 1 year at the time of the screening visit,
insufficiently controlled after at least 1 year of treatment with 2 or more of the
following: oral agents (metformin, sulfonylureas, thiazolidinediones, dipeptidyl
peptidase-4 [DPP-4] inhibitors, or sodium-glucose cotransporter 2 [SGLT-2] inhibitors)
or glucagon-like peptide-1 (GLP-1) receptor agonists approved for use with insulin.

- Adult patients who have signed an Informed Consent Form and Health Insurance
Portability and Accountability Act (HIPAA) Authorization Form.

Exclusion criteria:

- HbA1c <8.0% or >11.0%.

- Males or females <18 years of age.

- Type 1 diabetes mellitus.

- Any clinically significant abnormality identified on physical examination, laboratory
tests, or vital signs at the time of screening, or any major systemic disease
resulting in short life expectancy that in the opinion of the Investigator would
restrict or limit the patient's successful participation for the duration of the
study.

- Use of any product containing insulin (Lantus, Levemir, Humulin, Novolin, Humalog,
Novolog, Apidra, or Afrezza) since the time of diagnosis with T2DM other than
temporary use during pregnancy or hospitalization.

- Use of any product containing insulin (Lantus, Levemir, Humulin, Novolin, Humalog,
Novolog, Apidra, or Afrezza) occurring within 3 months prior to the time of screening.

- Use of oral hypoglycemic agents other than those noted in the inclusion criteria,
GLP-1 receptor agonists not approved for use with insulin, or any investigational
agent (drug, biologic, or device) within 3 months prior to the time of screening.

- All contraindications to commercially available insulin therapy or
warnings/precautions of use as displayed in the respective national product labeling
for these products.

- Pregnancy or lactation.

- Women of childbearing potential with no effective contraceptive method.

The above information is not intended to contain all considerations relevant to a patient's
potential participation in a clinical trial.
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