You're using a free limited version of DrugPatentWatch: Upgrade for Complete Access

Last Updated: April 17, 2025

CLINICAL TRIALS PROFILE FOR INSULIN GLARGINE


✉ Email this page to a colleague

« Back to Dashboard


505(b)(2) Clinical Trials for Insulin Glargine

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Formulation NCT01349855 ↗ Repeated Dosing Study With a New Insulin Glargine Formulation and Lantus® in Patients With Type 1 Diabetes Mellitus Completed Sanofi Phase 1 2011-03-01 Primary Objective: To assess the safety and tolerability of two dose levels of a new insulin glargine formulation in a once-daily multiple dosing regimen Secondary Objective: To compare the pharmacokinetic and pharmacodynamic properties of two dose levels of a new insulin glargine formulation with 0.4 U/kg Lantus® in a once-daily multiple dosing regimen
New Formulation NCT01493115 ↗ Single Dose Study With a New Insulin Glargine Formulation and Lantus® in Japanese Patients With Type 1 Diabetes Mellitus Completed Sanofi Phase 1 2011-11-01 Primary Objective: To compare the pharmacodynamic properties of two different doses of a new insulin glargine formulation with 0.4 U/kg Lantus® Secondary Objective: To compare the pharmacokinetic properties of two different doses of a new insulin glargine formulation with 0.4 U/kg Lantus® To assess the safety and tolerability of a new insulin glargine formulation
New Formulation NCT01499082 ↗ Comparison of a New Formulation of Insulin Glargine With Lantus in Patients With Type 2 Diabetes Mellitus on Basal Plus Mealtime Insulin Completed Sanofi Phase 3 2011-12-01 Primary Objective: - To compare the efficacy of insulin glargine new formulation and Lantus in terms of change in HbA1c from baseline to endpoint (scheduled month 6) in adult participants with type 2 diabetes mellitus Secondary Objectives: - To compare the efficacy of insulin glargine new formulation and Lantus in terms of occurrence of nocturnal Hypoglycemia
New Formulation NCT01499095 ↗ Comparison of a New Formulation of Insulin Glargine With Lantus in Patients With Type 2 Diabetes on Basal Insulin With Oral Antidiabetic Therapy Completed Sanofi Phase 3 2011-12-01 Primary Objective: - To compare the efficacy of insulin glargine new formulation and Lantus in terms of change in Glycated Hemoglobin A1c (HbA1c) from baseline to endpoint (scheduled Month 6) in adult participants with type 2 diabetes mellitus Secondary Objective: - To compare the efficacy of insulin glargine new formulation and Lantus in terms of occurrence of nocturnal hypoglycemia
New Formulation NCT01658579 ↗ Comparison of a New Formulation of Insulin Glargine With Lantus in Patients With Type 1 Diabetes Mellitus on Basal Plus Mealtime Insulin Completed Sanofi Phase 2 2012-08-01 Primary Objective: - To compare the glucose control during treatment with a new formulation of insulin glargine and Lantus in adult participants with type 1 diabetes mellitus Secondary Objectives: - To compare a new formulation of insulin glargine and Lantus given in the morning or in the evening - To compare the incidence and frequency of hypoglycemic episodes - To assess the safety and tolerability of the new formulation of insulin glargine
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Insulin Glargine

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00046462 ↗ Determine Whether Glycemic Control is Different Between Lantus & a 3rd Oral Agent When Failure With Other Treatment Completed Sanofi Phase 3 2001-11-01 The purposes of the study is to determine whether blood sugar control is different between Lantus and a third oral anti-diabetic agent when added to patients who fail a thiazolidinedione and sulfonylurea or metformin combination.
NCT00064714 ↗ Effect of AC2993 With or Without Immunosuppression on Beta Cell Function in Patients With Type I Diabetes Completed National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Phase 2 2003-07-01 This study will determine 1) the safety of AC2993 in patients with type I diabetes; 2) the ability of AC2993 to improve beta cell function; and 3) the effects of immunosuppression on beta cell function. Type I diabetes is an autoimmune disease, in which the immune system attacks the beta cells of the pancreas. These cells produce insulin, which regulates blood sugar. AC2993 may improve the pancreas's ability to produce insulin and help control blood sugar, but it may also activate the original immune response that caused the diabetes. Thus, this study will examine the effects of AC2993 alone as well as in combination with immunosuppressive drugs. Patients between 18 and 60 years of age who have type I diabetes mellitus may be eligible for this 20-month study. They must have had diabetes for at least 5 years and require insulin treatment. Candidates will be screened with a questionnaire, followed by medical history and physical examination, blood and urine tests, a chest x-ray and skin test for tuberculosis, electrocardiogram (EKG), and arginine stimulated C-peptide test (see description below). Participants will undergo the following tests and procedures: Advanced screening phase: Participants undergo a diabetes education program, including instruction on frequent blood glucose monitoring, dietary education on counting carbohydrates, intensive insulin therapy, review of signs and symptoms of low blood sugar (hypoglycemia), and potential treatment with glucagon shots. Patients must administer insulin via an insulin pump or take at least four injections per day including glargine (Lantus) insulin. 4-month run-in phase - Arginine-stimulated C-peptide test: This test measures the body's insulin production. The patient is injected with a liquid containing arginine, a normal constituent of food that increases insulin release from beta cells into the blood stream. After the injection, seven blood samples are collected over 10 minutes. - Mixed meal stimulated C-peptide test with acetaminophen: This test assesses the response of the beta cells to an ordinary meal and the time it takes for food to pass through the stomach. The patient drinks a food supplement and takes acetaminophen (Tylenol). Blood samples are then drawn through a catheter (plastic tube placed in a vein) every 30 minutes for 4 hours to measure levels of various hormones and the concentration of acetaminophen. - Euglycemic clamp: This test measures the body's level of insulin resistance by measuring the amount of glucose necessary to compensate for an increased insulin level while maintaining a prespecified blood glucose level.
NCT00064714 ↗ Effect of AC2993 With or Without Immunosuppression on Beta Cell Function in Patients With Type I Diabetes Completed AstraZeneca Phase 2 2003-07-01 This study will determine 1) the safety of AC2993 in patients with type I diabetes; 2) the ability of AC2993 to improve beta cell function; and 3) the effects of immunosuppression on beta cell function. Type I diabetes is an autoimmune disease, in which the immune system attacks the beta cells of the pancreas. These cells produce insulin, which regulates blood sugar. AC2993 may improve the pancreas's ability to produce insulin and help control blood sugar, but it may also activate the original immune response that caused the diabetes. Thus, this study will examine the effects of AC2993 alone as well as in combination with immunosuppressive drugs. Patients between 18 and 60 years of age who have type I diabetes mellitus may be eligible for this 20-month study. They must have had diabetes for at least 5 years and require insulin treatment. Candidates will be screened with a questionnaire, followed by medical history and physical examination, blood and urine tests, a chest x-ray and skin test for tuberculosis, electrocardiogram (EKG), and arginine stimulated C-peptide test (see description below). Participants will undergo the following tests and procedures: Advanced screening phase: Participants undergo a diabetes education program, including instruction on frequent blood glucose monitoring, dietary education on counting carbohydrates, intensive insulin therapy, review of signs and symptoms of low blood sugar (hypoglycemia), and potential treatment with glucagon shots. Patients must administer insulin via an insulin pump or take at least four injections per day including glargine (Lantus) insulin. 4-month run-in phase - Arginine-stimulated C-peptide test: This test measures the body's insulin production. The patient is injected with a liquid containing arginine, a normal constituent of food that increases insulin release from beta cells into the blood stream. After the injection, seven blood samples are collected over 10 minutes. - Mixed meal stimulated C-peptide test with acetaminophen: This test assesses the response of the beta cells to an ordinary meal and the time it takes for food to pass through the stomach. The patient drinks a food supplement and takes acetaminophen (Tylenol). Blood samples are then drawn through a catheter (plastic tube placed in a vein) every 30 minutes for 4 hours to measure levels of various hormones and the concentration of acetaminophen. - Euglycemic clamp: This test measures the body's level of insulin resistance by measuring the amount of glucose necessary to compensate for an increased insulin level while maintaining a prespecified blood glucose level.
NCT00069784 ↗ The ORIGIN Trial (Outcome Reduction With Initial Glargine Intervention) Completed Population Health Research Institute Phase 3 2003-08-01 The primary objectives of the ORIGIN study were: - To determine whether insulin glargine-mediated normoglycemia can reduce cardiovascular morbidity and/or mortality in people at high risk for vascular disease with either Impaired Fasting Glucose (IFG), Impaired Glucose Tolerance (IGT) or early type 2 diabetes; - To determine whether omega-3 fatty acids can reduce cardiovascular mortality in people with IFG, IGT or early type 2 diabetes. The secondary objectives of the insulin glargine study were to determine if insulin glargine-mediated normoglycemia can reduce: - total mortality (all causes); - the risk of diabetic microvascular outcomes; - the rate of progression of IGT or IFG to type 2 diabetes.
NCT00069784 ↗ The ORIGIN Trial (Outcome Reduction With Initial Glargine Intervention) Completed Sanofi Phase 3 2003-08-01 The primary objectives of the ORIGIN study were: - To determine whether insulin glargine-mediated normoglycemia can reduce cardiovascular morbidity and/or mortality in people at high risk for vascular disease with either Impaired Fasting Glucose (IFG), Impaired Glucose Tolerance (IGT) or early type 2 diabetes; - To determine whether omega-3 fatty acids can reduce cardiovascular mortality in people with IFG, IGT or early type 2 diabetes. The secondary objectives of the insulin glargine study were to determine if insulin glargine-mediated normoglycemia can reduce: - total mortality (all causes); - the risk of diabetic microvascular outcomes; - the rate of progression of IGT or IFG to type 2 diabetes.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Insulin Glargine

Condition Name

Condition Name for Insulin Glargine
Intervention Trials
Diabetes Mellitus, Type 2 159
Type 2 Diabetes Mellitus 93
Diabetes 86
Type 2 Diabetes 68
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

Condition MeSH for Insulin Glargine
Intervention Trials
Diabetes Mellitus 454
Diabetes Mellitus, Type 2 327
Diabetes Mellitus, Type 1 119
Hyperglycemia 29
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for Insulin Glargine

Trials by Country

Trials by Country for Insulin Glargine
Location Trials
United Kingdom 94
Romania 93
South Africa 93
Brazil 91
Australia 79
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

Trials by US State for Insulin Glargine
Location Trials
California 128
Texas 127
Florida 114
Georgia 103
Washington 96
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for Insulin Glargine

Clinical Trial Phase

Clinical Trial Phase for Insulin Glargine
Clinical Trial Phase Trials
Phase 4 214
Phase 3 187
Phase 2/Phase 3 4
[disabled in preview] 31
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

Clinical Trial Status for Insulin Glargine
Clinical Trial Phase Trials
Completed 427
Terminated 33
Recruiting 26
[disabled in preview] 39
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for Insulin Glargine

Sponsor Name

Sponsor Name for Insulin Glargine
Sponsor Trials
Sanofi 173
Novo Nordisk A/S 98
Eli Lilly and Company 82
[disabled in preview] 30
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

Sponsor Type for Insulin Glargine
Sponsor Trials
Industry 465
Other 283
NIH 10
[disabled in preview] 6
This preview shows a limited data set
Subscribe for full access, or try a Trial

Insulin Glargine: Clinical Trials, Market Analysis, and Projections

Introduction to Insulin Glargine

Insulin glargine is a long-acting insulin analog designed to provide a stable, 24-hour basal insulin level with a once-daily injection. It is a cornerstone in the treatment of diabetes, particularly type 2 diabetes, due to its convenience and effectiveness in managing blood sugar levels.

Clinical Trials Update

ACHIEVE-4 Trial

A significant clinical trial currently underway is the ACHIEVE-4 study, which compares the safety and efficacy of orforglipron (LY3502970) with insulin glargine in participants with type 2 diabetes and obesity or overweight at increased cardiovascular risk. This trial aims to determine how orforglipron stacks up against insulin glargine in managing blood sugar levels and reducing cardiovascular risks[1].

IcoSema Study

Another notable study is the comparison of IcoSema, a new weekly medicine combining insulin icodec and semaglutide, with daily insulin glargine in people with type 2 diabetes. This study will evaluate how well IcoSema controls blood sugar levels compared to insulin glargine over an 11-month period. The focus here is on the efficacy and convenience of a weekly treatment versus a daily insulin regimen[4].

Market Analysis

Current Market Size and Growth

The global insulin glargine market is experiencing robust growth driven by the increasing prevalence of diabetes, particularly type 2 diabetes. As of 2024, the market size is estimated at USD 1.54 billion and is projected to reach USD 2.09 billion by 2029, growing at a CAGR of 6.28% during the forecast period[2].

Market Leaders

The market is moderately consolidated, with major players such as Sanofi, Novo Nordisk, and Eli Lilly dominating the global landscape. These companies have established strong supply chains and branding, which has resulted in substantial market penetration. Alliances, such as the one between Eli Lilly and Boehringer Ingelheim for Basaglar (insulin glargine), further strengthen their market presence[2].

Regional Market Performance

  • North America: The U.S. and Canada have a well-established market for insulin glargine, driven by high diabetes prevalence and advanced healthcare systems.
  • Europe: Western Europe, particularly countries like Germany and France, lead in insulin glargine adoption due to well-established healthcare systems and favorable reimbursement frameworks.
  • Asia Pacific: Countries like China and India are driving growth with expanding healthcare coverage and increasing public health initiatives.
  • Middle East and Africa: These regions are expected to experience noticeable growth, though at a slower pace due to the high cost of insulin products and limited affordability among the local population[3].

Market Growth Drivers

Rising Cases of Type 2 Diabetes

The global prevalence of diabetes is increasing, with 537 million adults living with diabetes in 2021, expected to rise to 643 million by 2030 and 783 million by 2045. This surge in diabetes cases underscores the critical need for advanced insulin therapies like insulin glargine[3].

Rising Geriatric Population

The increasing geriatric population, especially in regions like North America and Europe, is contributing to the growth of the insulin glargine market. Older adults are more likely to develop type 2 diabetes, thereby increasing the demand for insulin therapies[3].

Technological Advances and Favorable Reimbursement Policies

Technological advances in insulin delivery devices and favorable reimbursement policies are also driving the market growth. Pre-filled syringes, for example, have been a popular choice due to their convenience and ease of use[5].

Market Challenges

High Costs and Availability of Substitutes

Despite the growth drivers, the market faces challenges such as the high costs of insulin glargine and the availability of substitutes. Strict regulations for product approval also pose a barrier to market growth[5].

Distribution Channels and Product Types

Distribution Channels

The market is segmented by distribution channels, including hospital pharmacies, online sales, retail pharmacies, and other distribution channels. Hospital pharmacies and retail pharmacies are significant channels due to their widespread presence and patient trust[5].

Product Types

Insulin glargine is available in two main types: pre-filled syringes and single-dose vials. Pre-filled syringes were the largest segment in 2018, but single-dose vials are projected to experience the fastest growth during the forecast period[5].

Projections and Future Outlook

Market Size Projections

By 2031, the global insulin glargine market is forecasted to reach USD 11.03 billion, up from USD 6.56 billion in 2023. This growth is driven by the escalating incidence of diabetes and the increasing demand for advanced insulin therapies[3].

Regional Growth Prospects

The Asia Pacific region is expected to experience significant growth due to expanding healthcare coverage and increasing public health initiatives. The Middle East and Africa will also see growth, albeit at a slower pace, due to affordability issues[3].

Key Takeaways

  • Insulin glargine is a crucial treatment for type 2 diabetes, offering a convenient once-daily injection.
  • Clinical trials like ACHIEVE-4 and the IcoSema study are comparing new treatments with insulin glargine to enhance diabetes management.
  • The global insulin glargine market is growing at a CAGR of 6.28%, driven by increasing diabetes prevalence and technological advances.
  • Major players like Sanofi, Novo Nordisk, and Eli Lilly dominate the market.
  • Regional growth varies, with the Asia Pacific region showing significant potential.

FAQs

What is insulin glargine used for?

Insulin glargine is used to manage blood sugar levels in people with type 1 and type 2 diabetes. It is a long-acting insulin analog that provides a stable, 24-hour basal insulin level with a once-daily injection.

Who are the major players in the insulin glargine market?

The major players in the insulin glargine market include Sanofi, Novo Nordisk, and Eli Lilly. These companies have a significant global market presence and strong supply chains.

What are the key drivers of the insulin glargine market growth?

The key drivers include the rising cases of type 2 diabetes, the increasing geriatric population, technological advances in insulin delivery devices, and favorable reimbursement policies.

What are the challenges facing the insulin glargine market?

The market faces challenges such as high product costs, the availability of substitutes, and strict regulations for product approval.

How is the insulin glargine market segmented?

The market is segmented by type (pre-filled syringes and single-dose vials), application (type 1 and type 2 diabetes), distribution channel (hospital pharmacy, online sales, retail pharmacy), and region.

What is the projected market size of insulin glargine by 2031?

The global insulin glargine market is projected to reach USD 11.03 billion by 2031, growing from USD 6.56 billion in 2023.

Sources

  1. A Study of Daily Oral Orforglipron (LY3502970) Compared With Insulin Glargine in Participants With Type 2 Diabetes and Obesity or Overweight at Increased Cardiovascular Risk (ACHIEVE-4) - Lilly Trials
  2. Insulin Glargine Market - Size & Share - Mordor Intelligence
  3. Global Insulin Glargine Market Size, Share & Revenue Analysis By 2031 - Data Bridge Market Research
  4. A Research Study to See How Well New Weekly Medicine IcoSema ... - CenterWatch
  5. Global Insulin Glargine Market Is Set For Rapid Growth, To Reach ... - Zion Market Research

More… ↓

⤷  Try for Free

Make Better Decisions: Try a trial or see plans & pricing

Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.