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The study is designed to approve non-inferior efficacy and safety of Insulin Lispro Biphasic 25 ("Geropharm") compared to Humalog® Mix 25 in Type 2 Diabetes Mellitus Patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Humalog® Mix 25 | Active Comparator | Insulin Humalog® Mix 25 twice daily, individually glucose-level based administered doses +/- 1 or 2 OADs in stable doses, started before enrollement |
|
| Insulin Lispro Biphasic 25 | Experimental | Insulin Lispro Biphasic 25 twice daily, individually glucose-level based administered doses +/- 1 or 2 OADs in stable doses, started before enrollement |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Humalog Mix25 | Drug | Subcutaneus injections Humalog® Mix 25 twice daily during 4 weeks of glucose-level based dose titration, 24 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) |
| HbA1c |
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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 |
|---|---|---|
| Aleksandr Yu Mayorov, MD | Endocrinology Research Centre | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chelyabinsk Railway Clinical Hospital | Chelyabinsk | 454000 | Russia | |||
| Railway Clinical Hospital N.A. Semashko |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33355484 | Derived | Mayorov AY, Mosikian AA, Alpenidze DN, Makarenko IE, Orlova VL, Lunev IS, Verbovaya MV, Zinnatulina BR, Khokhlov AL, Drai RV. Efficacy and safety of GP40021 insulin lispro biphasic compared with Humalog Mix 25 in Type 2 diabetes mellitus patients. J Comp Eff Res. 2021 Jan;10(1):55-66. doi: 10.2217/cer-2020-0064. Epub 2020 Dec 23. |
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| Insulin Lispro Biphasic 25 | Drug | Subcutaneus injections Insulin Lispro Biphasic 25 ("Geropharm") twice daily during 4 weeks of glucose-level based dose titration, 24 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 |
| 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 |
| Moscow |
| 109386 |
| Russia |
| Endocrinology Research Centre (Moscow) | Moscow | 117036 | Russia |
| Moscow Endocrinological Dispensary | Moscow | 119034 | Russia |
| Nizhny Novgorod Regional Clinical Hospital | Nizhny Novgorod | 603126 | Russia |
| V.A. Baranov Republic Hospital | Petrozavodsk | 185000 | Russia |
| Rostov State Medical University | Rostov-on-Don | 344022 | Russia |
| City Polyclinic № 77 | Saint Petersburg | 192177 | Russia |
| City Hospital № 2 | Saint Petersburg | 194354 | Russia |
| City Polyclinic № 117 | Saint Petersburg | 194358 | Russia |
| City Polyclinic № 17 | Saint Petersburg | 195176 | Russia |
| Institute of Medical Research | Saint Petersburg | 196084 | Russia |
| Research Center Eco-Safety | Saint Petersburg | 196143 | Russia |
| City Hospital №40 | Saint Petersburg | 197706 | Russia |
| Pokrovskaya Municipal Hospital | Saint Petersburg | 199106 | Russia |
| Diabetes Center | Samara | 443067 | Russia |
| Clinical City Hospital № 9 | Saratov | 410030 | Russia |
| Siberian State Medical University | Tomsk | 634050 | Russia |
| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| D003920 | Diabetes Mellitus |
| D007333 | Insulin Resistance |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D006946 | Hyperinsulinism |
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| ID | Term |
|---|---|
| C482266 | insulin lispro, isophane insulin lispro drug combination (25:75) |
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