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Glimepiride and Metformin combination

Phase 3

Diabetes Mellitus, Non-Insulin-Dependent | Small molecule | Metabolic |Sanofi|Last Updated: Jan 21, 2015

Target and mechanism

ModalitySmall molecule

Also known as Glimepiride (HOE490), Glimepiride, glimepiride, GLIMEPIRIDE

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials1
Total Enrollment170

FDA Designations

No designations recorded

Clinical trial landscape

Glimepiride and Metformin combination · 6 trials · 3 indications

Phase 3 6
NCT01699932Efficacy and Safety of the Fixed Dose Combination of Glimepiride+Metformin in Type 2 Diabetic Patients Inadequately ControlledType 2 Diabetes Mellitus
COMPLETED167 Analytics
NCT01459809Efficacy and Safety Comparison of Metformin/Glimepiride Combination Versus Each Compound Alone in New Diagnosed Type 2 Diabetes PatientsDiabetes Mellitus, Type 2
COMPLETED538 Analytics
NCT01457911Evaluation of Fixed Dose Combination of Glimepiride and Metformin in Chinese Type 2 Diabetes Patients Inadequately Controlled With MetforminType 2 Diabetes Mellitus
COMPLETED244 Analytics
NCT00924573Comparative Study of HOE490 O (Glimepiride and Metformin) Compared With Placebo on Top of GlimepirideType 2 Diabetes Mellitus
COMPLETED189 Analytics
NCT00353691Glimepiride vs Metformin as Monotherapy in Pediatric Subjects With Type 2 Diabetes MellitusType 2 Diabetes Mellitus
COMPLETED100 Analytics
NCT00044447Evaluate the Role of Adding Amaryl to Non-Insulin Dependent Diabetes Mellitus Patients Unresponsive to Maximum Dose Metformin & ThiazolidinedioneDiabetes Mellitus, Non-Insulin-Dependent
COMPLETED170 Analytics
PHASE3COMPLETED
Efficacy and Safety of the Fixed Dose Combination of Glimepiride+Metformin in Type 2 Diabetic Patients Inadequately Controlled
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Comparison of Metformin/Glimepiride Combination Versus Each Compound Alone in New Diagnosed Type 2 Diabetes Patients
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE3COMPLETED
Evaluation of Fixed Dose Combination of Glimepiride and Metformin in Chinese Type 2 Diabetes Patients Inadequately Controlled With Metformin
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Comparative Study of HOE490 O (Glimepiride and Metformin) Compared With Placebo on Top of Glimepiride
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Glimepiride vs Metformin as Monotherapy in Pediatric Subjects With Type 2 Diabetes Mellitus
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Evaluate the Role of Adding Amaryl to Non-Insulin Dependent Diabetes Mellitus Patients Unresponsive to Maximum Dose Metformin & Thiazolidinedione
Diabetes Mellitus, Non-Insulin-DependentUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in HbA1c
from baseline to week 24
Absolute change in HbA1c
20 weeks, from baseline to week 20
Changes in HbA1c from baseline
24 weeks
Change in HbA1c from baseline to Week 24 or last evaluable ontreatment value.
Change in HbA1C from baseline to Week 26.

Secondary Endpoints

Percentage of patients with HbA1c < 7%
at week 24
Percentage of patients with HbA1c < 6.5%
at week 24
Change in Fasting Plasma Glucose (FPG)
from baseline to week 24
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm 1EXPERIMENTAL24-week treatment period: starting dose will be of 2/1000 mg or 4/2000 mg of glimepiride/metformin fixed combination (Amaryl M® ) depending on the previous treatment and dose. The Interventional medicinal product's dose will be increased every 2 weeks up to the maximum tolerated dose of 8/2000 mg of Amaryl M® , and adjusted throughout the 24-week treatment period according to fasting Self Monitored Plasma Glucose (SMPG) values in the objective to obtain fasting SMPG values ≤ 130mg/dL (7.2mmol/L) and \> 70 mg/dL (3.9mmol/L) without symptomatic hypoglycemia.
ARM 1: glimepiride aloneEXPERIMENTAL24-week treatment period: After randomization, starting dose will be of 2 mg /day or 1 mg/day of glimepiride if Fasting Plasma Glucose (FPG) at baseline \< 180 mg/dL (10 mmol/L) taken once in the morning before breakfast. The treatment's dose will be increased every 2 weeks up to the maximum tolerated dose of 4 mg, and adjusted throughout the 24-week treatment period according to fasting Self Monitored Plasma Glucose (SMPG) values in the objective to obtain fasting SMPG values ≤ 130mg/dL (7.2mmol/L) and \> 70 mg/dL (3.9mmol/L) without symptomatic hypoglycemia.
ARM 2: metformin aloneEXPERIMENTAL24-week treatment period: After randomization, starting dose will be of 500 mg of metformin twice a day during or after meals. The treatment's dose will be increased every 2 weeks up to the maximum tolerated dose of 2000 mg, and adjusted throughout the 24-week treatment period according to fasting SMPG values in the objective to obtain fasting SMPG values ≤ 130mg/dL (7.2mmol/L) and \> 70 mg/dL (3.9mmol/L) without symptomatic hypoglycemia.
ARM3: Glimepiride/metformin free combinationEXPERIMENTAL24-week treatment period: After randomization, starting dose will be of 2 mg /day or 1 mg/day of glimepiride if FPG at baseline \< 180 mg/dL (10 mmol/L) taken once in the morning and 500 mg of metformin twice a day taken during or after meals. The treatment's dose will be increased every 2 weeks up to the maximum tolerated dose of 4 mg of glimepiride and 2000 mg of metformin, and adjusted throughout the 24-week treatment period according to fasting SMPG values in the objective to obtain values ≤.
AMARYL M (Glimepiride and Metformin hydrochloride combination)EXPERIMENTALAMARYL M at a dosage regimen from 1 tablet to 6 tablets, once during a meal or twice during a meal
AMARYL (Glimepiride)ACTIVE_COMPARATORAMARYL at a dosage regimen from 1 mg to 6 mg, once during a meal or twice during a meal
1EXPERIMENTALMetformin on top of glimepiride Twice a day with 2-6 mg of daily dose for glimepiride and 500-750mg of daily dose for metformin for 24 weeks
2PLACEBO_COMPARATORPlacebo on top of glimepiride Twice a day with 2-6 mg of daily dose for glimepiride and 2-3 tablets of placebo for 24 weeks

Interventions

NameTypeDescription
Glimepiride+metformin (Amaryl M®) - HOE4900DRUGPharmaceutical form:tablet Route of administration: oral
GLIMEPIRIDEDRUGPharmaceutical form: oral Route of administration: oral
METFORMINDRUGPharmaceutical form: oral Route of administration: oral
Glimepiride and Metformin hydrochloride combination (HOE490)DRUGPharmaceutical form:tablet Route of administration: oral
Glimepiride (HOE490)DRUGPharmaceutical form:tablet Route of administration: oral
placeboDRUGoral administration
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites13

Inclusion criteria: * Patients with type 2 diabetes mellitus inadequately controlled despite a treatment with sulfonylurea (SU) alone or metformin alone or a free combination of SU and metformin prior to the study entry. * Signed informed consent, obtained prior any study procedure Exclusion crite...

Countries:LebanonRussiaUkraineAlgeriaColombiaEgyptGuatemalaIndiaIranMexicoSouth AfricaTunisiaTurkey (Türkiye)United Arab EmiratesChinaJapanUnited States
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