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The study is designed to approve non-inferior efficacy and safety of Insulin RinGlar® compared to Lantus® SoloStar® in Type 1 Diabetes Mellitus Patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lantus® SoloStar® | Active Comparator | Lantus® SoloStar® once a day, individually glucose-level based administered in stable doses, started before enrollement |
|
| Insulin RinGlar® | Experimental | Insulin RinGlar® once a day, individually glucose-level based administered in stable doses, started before enrollement |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lantus Solostar, 100 Units/mL Subcutaneous Solution | Drug | 4 weeks of glucose-level based dose titration, 22 weeks of treatment with stable doses |
|
| Measure | Description | Time Frame |
|---|---|---|
| Antibody Response | Change from baseline in titer of antibodies to human insulin | 26 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events frequency and degree | Hypoglycemic episodes (glucose level < 3.9 mmol/l) frequency; Occurrence of local reactions at injection sites; Occurrence allergic reactions. | 26 weeks (4+22 weeks) |
| Glycated hemoglobin |
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Inclusion Criteria:
Exclusion Criteria:
Hemoglobin value < 9,0 g/dl; Hematocrit value < 30 %; ALT and AST value > 2 folds as high as maximal normal value; Serum bilirubin value > 1.5 folds as high as maximal normal value
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| Name | Affiliation | Role |
|---|---|---|
| Tatyana L Karonova, MD, DSc | Almazov National Medical Research Centre | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Arkhangelsk Regional Clinical Hospital | Arkhangelsk | 163045 | Russia | |||
| Kazan Endocrinology Dispensary |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32027167 | Derived | Karonova TL, Mosikian AA, Mayorov AY, Makarenko IE, Zyangirova ST, Afonkina OA, Belikova TM, Zalevskaya AG, Khokhlov AL, Drai RV. Safety and efficacy of GP40061 compared with originator insulin glargine (Lantus(R)): a randomized open-label clinical trial. J Comp Eff Res. 2020 Mar;9(4):263-273. doi: 10.2217/cer-2019-0136. Epub 2020 Feb 6. |
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| Insulin RinGlar, 100 Units/mL Subcutaneous Solution | Drug | 4 weeks of glucose-level based dose titration, 22 weeks of treatment with stable doses |
|
Change in HbA1c from baseline
| 26 weeks |
| Fasting Plasma Glucose Level | Change in fasting plasma glucose level from baseline | 26 weeks |
| Seven-Point Glucose Testing | Change in seven-point glucose testing results from baseline | 26 weeks |
| Basal Insulin Dose | Change in basal insulin dose per body weight (U/kg) from baseline | 26 weeks |
| Total Insulin Dose | Change in total insulin dose per body weight (U/kg) from baseline | 26 weeks |
| Body Mass Index | Change in BMI from baseline | 26 weeks |
| Treatment Satisfaction | Change in overall treatment satisfaction (DTSQ score) from baseline | 26 weeks |
| Achievement of Glycated Hemoglobin Goals | The frequency of achievement glycated hemoglobin goals | 26 weeks |
| Achievement of Glycated Hemoglobin < 7% | The frequency of achievement glycated hemoglobin < 7% ( 7% inclusive) | 26 weeks |
| Kazan' |
| 420073 |
| Russia |
| Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky | Krasnoyarsk | 660022 | Russia |
| Endocrinology Research Centre (Moscow) | Moscow | 117036 | Russia |
| V.A. Baranov Republic Hospital | Petrozavodsk | 185000 | Russia |
| Rostov State Medical University | Rostov-on-Don | 344022 | Russia |
| Polyclinic Сomplex | Saint Petersburg | 190013 | Russia |
| City Diagnostic Center № 1 | Saint Petersburg | 194354 | Russia |
| City Hospital № 2 | Saint Petersburg | 194354 | Russia |
| City Polyclinic № 117 | Saint Petersburg | 194358 | Russia |
| EosMed | Saint Petersburg | 195197 | Russia |
| Almazov National Medical Research Centre | Saint Petersburg | 197341 | Russia |
| Pokrovskaya Municipal Hospital | Saint Petersburg | 199106 | Russia |
| Clinical City Hospital № 9 | Saratov | 410030 | Russia |
| ID | Term |
|---|---|
| D003922 | Diabetes Mellitus, Type 1 |
| D003920 | Diabetes Mellitus |
| D007333 | Insulin Resistance |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D006946 | Hyperinsulinism |
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| ID | Term |
|---|---|
| D000069036 | Insulin Glargine |
| ID | Term |
|---|---|
| D049528 | Insulin, Long-Acting |
| D061385 | Insulins |
| D010187 | Pancreatic Hormones |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
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