ConductScience.org, home

Trial ยท NCT02451137

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

NCT02451137, Phase 4, Completed, Sanofi; results first posted 2019-05-01

3 sourcestrials-2026-11-12-0.5.0

Download JSON
Cite this record

ConductScience Library. A "Real World" Trial to Determine Efficacy and Health Outcomes of Toujeo (ACHIEVE CONTROL REAL LIFE STUDY PROGRAM). Trials, record NCT02451137. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02451137

On this page

Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A "Real World" Trial to Determine Efficacy and Health Outcomes of Toujeo (ACHIEVE CONTROL REAL LIFE STUDY PROGRAM)
NCT number
NCT02451137
Status
Completed
Phases
Phase 4
Enrollment
3,304 participants, actual
Lead sponsor
Sanofi
Conditions
Diabetes Mellitus, Type 2
Interventions
Insulin glargine, 300 U/ml, Insulin glargine, 100 U/ml, Insulin detemir, Background Therapy
First posted
2015-05-21
Last updated
2019-09-10
Results first posted
2019-05-01

Source ClinicalTrials.gov

Registered outcomes13

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
Primary
Percentage of Participants With Individualized Glycated Hemoglobin Target Attainment Per Healthcare Effectiveness Data and Information Set (HEDIS) Criteria Without Documented Symptomatic(Blood Glucose <=70 mg/dL [<=3.9 mmol/L]) and/or Severe Hypoglycemia
Baseline to Month 6
HEDIS criteria: Individualized HbA1c target \<8% if age \>= 65 years or presence of medical comorbidities, or otherwise \<7%. Severe hypoglycaemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Documented symptomatic hypoglycaemia was an event during which typical symptoms of hypoglycaemia were accompanied by a measured plasma glucose concentration of \<=70 milligrams per deciliter (mg/dL) (\<=3.9 millimoles per litre \[mmol/L\]). Analysis was performed using all post-baseline data available on the 6 month randomized period (defined as time from randomization up to Day 180 or discontinuation date, whichever comes earlier).
SecondaryChange From Baseline in HbA1c at Month 6 and Month 12Baseline, Month 6, Month 12
Change in HbA1c was calculated by subtracting baseline value from Month 6 and Month 12 values. Adjusted Least Squares (LS) means and Standard Errors (SE) were obtained using Mixed Effect Model with Repeated Measures (MMRM ) with fixed categorical effects of treatment arm, visit, treatment arm-by-visit interaction, randomization strata of HbA1c target (\<8% / \<7%), SU use (yes/no), GLP-1 RA use (yes/no), as well as baseline HbA1c (as continuous) and baseline HbA1c-by-visit interaction.
SecondaryTreatment Persistence Measured by Medication Possession Ratio (MPR)At Month 6 and Month 12
Treatment persistence was determined based on vendor claims database that would be responsible for managing and administration of the study drugs. Medication use was assessed by MPR and persistence measures based on data collected by the smart card vendor (date of fill or refill and quantity of medication dispensed for 30-day supply). The MPR was assessed based on total number of days of supply divided by the total number of days in 6 or 12 months period.
SecondaryPercentage of Participants Reaching Individualized HbA1c Target Without Documented Symptomatic <3.0 mmol/L (<54 mg/dL) and/or Severe Hypoglycemia During the 6-Month Randomized PeriodBaseline to Month 6
HEDIS criteria for Individualized HbA1c target: \<8% if age \>= 65 years or presence of medical comorbidities, or otherwise \<7%. Severe hypoglycaemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Documented symptomatic hypoglycaemia was an event during which typical symptoms of hypoglycaemia were accompanied by a measured plasma glucose concentration of \<54 mg/dL (3.0 mmol/L).
Secondary
Percentage of Participants Reaching Individualized HbA1c Target Without Documented Symptomatic <=3.9 mmol/L (<= 70 mg/dL) and <3.0 mmol/L (< 54 mg/dL) and/or Severe Hypoglycemia During the 12-Month Randomized Period
Baseline to Month 12
HEDIS criteria for Individualized HbA1c target: \<8% if age \>= 65 years or presence of medical comorbidities, or otherwise \<7%. Severe hypoglycaemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Documented symptomatic hypoglycaemia was an event during which typical symptoms of hypoglycaemia were accompanied by a measured plasma glucose concentration of \<=3.9 mmol/L (\<=70 mg/dL) and \< 3.0 mmol/L (\< 54 mg/dL).
SecondaryChange From Baseline in Fasting Plasma Glucose (FPG) at Month 6 and Month 12Baseline, Month 6, Month 12
Change in FPG was calculated by subtracting baseline value from Month 6 and Month 12 values. Adjusted LS means and SE were obtained using MMRM model with fixed categorical effects of treatment arm, randomization strata of HbA1c target (\<8% / \<7%), SU use (yes/no), GLP-1 RA use (yes/no), as well as baseline FPG (as continuous) and baseline FPG-by-visit interaction.
SecondaryChange From Baseline in Body Weight at Month 6 and Month 12Baseline, Month 6, Month 12
Adjusted LS means and SE were obtained using MMRM model with fixed categorical effects of treatment arm, visit, treatment arm-by-visit interaction, randomization strata of HbA1c target (\<8% / \<7%), SU use (yes/no), GLP-1 RA use (yes/no), as well as baseline weight (as continuous) and baseline weight-by-visit interaction.
SecondaryChange From Baseline in Basal Insulin Dose at Month 6 and Month 12Baseline, Month 6, Month 12Change in basal insulin dose was calculated by subtracting baseline value from Month 6 and Month 12 values.
SecondaryPercentage of Responders (Participants and Provider) Who Reported "Excellent" or "Good" Responses to Global Effectiveness Scale (GES) Question at Month 6, and Month 12At Month 6, Month 12
Participant and Physician (Provider) reported GES for this diabetes study. The GES assessed impact of treatment on scale ranges as: excellent (complete control of diabetes), good (marked improvement of diabetes), moderate (discernible, but limited improvement in diabetes), poor (no appreciable change in diabetes), or worsening of condition (worsening of diabetes). There was no score expressed by numbers and no change measured over the time of the study. Percentage of participants and providers who reported "excellent" or "good" on the GES at Month 6 and Month 12 are reported here.
SecondaryScores of Total Treatment Satisfaction, Hyperglycemia Perception, and Hypoglycemia Perception From Diabetes Treatment Satisfaction Questionnaire Status Version (DTSQs) at Baseline, Month 6, Month 12At Baseline, Month 6, Month 12
DTSQs is a validated questionnaire to assess participant's satisfaction with their diabetes treatment. It consists of 8 items, each answered on a Likert scale of 0 to 6. Responses of 6 questions (Items 1, 4, 5, 6, 7 and 8) were summarized to derive total treatment satisfaction score, such that a higher score was indicative of better satisfaction. Total treatment satisfaction score is the sum of items 1, 4-8 scores and ranged from 0 (no satisfaction) to 36 (improvement in treatment satisfaction). Item 2 and Item 3 scores were used for hyperglycemia perception and hypoglycemia perception respectively, where lower scores indicated better health outcome. Perceived frequency of hyperglycemia score (Item 2) and perceived frequency of hypoglycemia score (Item 3) range from 0 (none of the time) to 6 (most of time), where lower scores indicated more satisfaction/better health outcome.

Outcomes13

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARY
Percentage of Participants With Individualized Glycated Hemoglobin Target Attainment Per Healthcare Effectiveness Data and Information Set (HEDIS) Criteria Without Documented Symptomatic(Blood Glucose <=70 mg/dL [<=3.9 mmol/L]) and/or Severe Hypoglycemia
Baseline to Month 6
Analysis was performed on Intent-to-Treat (ITT) population which comprised of all randomized participants, irrespective of the treatment actually received, and analyzed according to the treatment group allocated by randomization.
percentage of participantsNUMBER
SECONDARYChange From Baseline in HbA1c at Month 6 and Month 12Baseline, Month 6, Month 12Analysis was performed on ITT population.percentage of HbA1cLEAST_SQUARES_MEAN
SECONDARYTreatment Persistence Measured by Medication Possession Ratio (MPR)At Month 6 and Month 12Analysis was performed on safety population.Medication Possession ratioMEAN
SECONDARYPercentage of Participants Reaching Individualized HbA1c Target Without Documented Symptomatic <3.0 mmol/L (<54 mg/dL) and/or Severe Hypoglycemia During the 6-Month Randomized PeriodBaseline to Month 6Analysis was performed on ITT population.percentage of participantsNUMBER
SECONDARY
Percentage of Participants Reaching Individualized HbA1c Target Without Documented Symptomatic <=3.9 mmol/L (<= 70 mg/dL) and <3.0 mmol/L (< 54 mg/dL) and/or Severe Hypoglycemia During the 12-Month Randomized Period
Baseline to Month 12Analysis was performed on ITT population.percentage of participantsNUMBER
SECONDARYChange From Baseline in Fasting Plasma Glucose (FPG) at Month 6 and Month 12Baseline, Month 6, Month 12Analysis was performed on ITT population.mg/dLLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Body Weight at Month 6 and Month 12Baseline, Month 6, Month 12Analysis was performed on ITT population.kilogram (kg)LEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Basal Insulin Dose at Month 6 and Month 12Baseline, Month 6, Month 12Analysis was performed on safety population. Here, 'Number analyzed' = participants with available data for each specified category.Unit/kg (U/kg)MEAN
SECONDARYPercentage of Responders (Participants and Provider) Who Reported Excellent or Good Responses to Global Effectiveness Scale (GES) Question at Month 6, and Month 12At Month 6, Month 12Analysis was performed on ITT population.percentage of respondersNUMBER
SECONDARYScores of Total Treatment Satisfaction, Hyperglycemia Perception, and Hypoglycemia Perception From Diabetes Treatment Satisfaction Questionnaire Status Version (DTSQs) at Baseline, Month 6, Month 12At Baseline, Month 6, Month 12Analysis was performed on ITT population. Here, number analyzed = participants with available data for each specified category.score on a scaleMEAN

Results by group104

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Individualized Glycated Hemoglobin Target Attainment Per Healthcare Effectiveness Data and Information Set (HEDIS) Criteria Without Documented Symptomatic(Blood Glucose <=70 mg/dL [<=3.9 mmol/L]) and/or Severe Hypoglycemia
Toujeo31.3percentage of participants
Percentage of Participants With Individualized Glycated Hemoglobin Target Attainment Per Healthcare Effectiveness Data and Information Set (HEDIS) Criteria Without Documented Symptomatic(Blood Glucose <=70 mg/dL [<=3.9 mmol/L]) and/or Severe Hypoglycemia
Standard of Care27.9percentage of participants
Change From Baseline in HbA1c at Month 6 and Month 12ToujeoMonth 6-1.40Standard Error 0.030percentage of HbA1c
Change From Baseline in HbA1c at Month 6 and Month 12Standard of CareMonth 6-1.36Standard Error 0.030percentage of HbA1c
Change From Baseline in HbA1c at Month 6 and Month 12ToujeoMonth 12-1.29Standard Error 0.034percentage of HbA1c
Change From Baseline in HbA1c at Month 6 and Month 12Standard of CareMonth 12-1.24Standard Error 0.034percentage of HbA1c
Treatment Persistence Measured by Medication Possession Ratio (MPR)ToujeoMonth 662.06Standard Deviation 26.98Medication Possession ratio
Treatment Persistence Measured by Medication Possession Ratio (MPR)Standard of CareMonth 663.14Standard Deviation 28.42Medication Possession ratio
Treatment Persistence Measured by Medication Possession Ratio (MPR)ToujeoMonth 1258.21Standard Deviation 28.87Medication Possession ratio
Treatment Persistence Measured by Medication Possession Ratio (MPR)Standard of CareMonth 1257.82Standard Deviation 29.97Medication Possession ratio

Participant flow10

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDToujeo1,651
Overall StudySTARTEDStandard of Care1,653
Overall StudyTreatedToujeo1,632
Overall StudyTreatedStandard of Care1,626
Overall StudySafety PopulationToujeo1,637
Overall StudySafety PopulationStandard of Care1,621
Overall StudyCOMPLETEDToujeo1,405
Overall StudyCOMPLETEDStandard of Care1,355
Overall StudyNOT COMPLETEDToujeo246
Overall StudyNOT COMPLETEDStandard of Care298

Adverse events562

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
seriousAnaemiaBlood and lymphatic system disordersToujeo21,6372
seriousAnaemiaBlood and lymphatic system disordersStandard of Care Basal Insulin11,6211
seriousFebrile NeutropeniaBlood and lymphatic system disordersToujeo21,6373
seriousFebrile NeutropeniaBlood and lymphatic system disordersStandard of Care Basal Insulin11,6211
seriousHaemorrhagic AnaemiaBlood and lymphatic system disordersToujeo31,6373
seriousHaemorrhagic AnaemiaBlood and lymphatic system disordersStandard of Care Basal Insulin21,6212
seriousLymphadenitisBlood and lymphatic system disordersToujeo11,6371
seriousLymphadenitisBlood and lymphatic system disordersStandard of Care Basal Insulin01,6210
seriousLymphadenopathy MediastinalBlood and lymphatic system disordersToujeo01,6370
seriousLymphadenopathy MediastinalBlood and lymphatic system disordersStandard of Care Basal Insulin11,6211

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityToujeo71,637
Total, all-cause mortalityStandard of Care Basal Insulin41,621
Total, other adverse eventsToujeo01,637
Total, other adverse eventsStandard of Care Basal Insulin01,621
Total, serious adverse eventsToujeo1611,637
Total, serious adverse eventsStandard of Care Basal Insulin1651,621

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
27690710DERIVEDPubMed
33509703DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Toujeo vs Standard of Care Basal Insulin: deaths from any causeTrial comparisons
Toujeo vs Standard of Care Basal Insulin: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02451137

GET https://conductscience.org/api/trials/v1/NCT02451137/results?page=2