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CTRI Number  CTRI/2021/03/031796 [Registered on: 08/03/2021] Trial Registered Prospectively
Last Modified On: 14/09/2021
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   A study to understand the Overall Insulin Usage Pattern in Insulin-Naive Type 2 Diabetes Mellitus (T2DM) Patients retrospectively 
Scientific Title of Study   Retrospective EMR Database Study in India: Assessment of Overall Insulin Pattern in Insulin Naive T2DM Patients(REALITY) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
OBS16624  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr V Mohan 
Designation  Director 
Affiliation  Dr Mohan Diabetes Specialties Centre & Madras Diabetes Research Foundation 
Address  Dr Mohan Diabetes Specialties Centre & Madras Diabetes Research Foundation No 6B Conran Smith Road Gopalapuram Chennai

Chennai
TAMIL NADU
600 086
India 
Phone  04443968888  
Fax    
Email  drmohans@diabetes.ind.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Romik Ghosh 
Designation  Senior Medical Advisor  
Affiliation  Sanofi India Limited 
Address  Sanofi House CTS No 117 B L&T Business Park Saki Vihar Road Powai Mumbai

Mumbai
MAHARASHTRA
400072
India 
Phone  02228032489  
Fax    
Email  romik.ghosh@sanofi.com  
 
Details of Contact Person
Public Query
 
Name  Dr Romik Ghosh 
Designation  Senior Medical Advisor  
Affiliation  Sanofi India Limited 
Address  Sanofi House CTS No 117 B L&T Business Park Saki Vihar Road Powai Mumbai

Mumbai
MAHARASHTRA
400072
India 
Phone  02228032489  
Fax    
Email  romik.ghosh@sanofi.com  
 
Source of Monetary or Material Support  
Sanofi India Limited 
 
Primary Sponsor  
Name  Sanofi India Limited 
Address  Sanofi House, CTS No. 117-B, L&T Business Park, Saki Vihar Road, Powai, Mumbai – 400072 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr V Mohan  Dr Mohan Diabetes Specialties Centre & Madras Diabetes Research Foundation  Dr Mohan Diabetes Specialties Centre & Madras Diabetes Research Foundation No 6B Conran Smith Road Gopalapuram Chennai 600 086 India
Chennai
TAMIL NADU 
914443968888

drmohans@diabetes.ind.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of Madras Diabetes Research Foundation   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E11||Type 2 diabetes mellitus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  • Male or female aged ≥ 18 years
• Patients with known case of type 2 diabetes mellitus
• Insulin naïve patients
• Treatment started with any type of insulin during the index period of 01 January 2016 to 31 December 2018
• Data of patients to be available for minimum of 6 months after starting insulin therapy
 
 
ExclusionCriteria 
Details  • Known case of type 1 diabetes mellitus, type 2 diabetes mellitus of <5 years duration, gestational diabetes and secondary diabetes (Eg. fibrocalculus pancreatic diabetes)
• Patients with cancer, end stage liver disease, end stage renal failure
• Treatment with short term insulin therapy (< 1 month) and other investigational drugs concurrently during the retrospective data collection period
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To analyze the demographic profile of T2DM patients initiated on insulin (prior to insulin initiation)  12 months 
 
Secondary Outcome  
Outcome  TimePoints 
• To analyze the longitudinal outcomes in the subset of patients initiated on Glargine (U100 and U300).  12 months 
 
Target Sample Size   Total Sample Size="1000"
Sample Size from India="1000" 
Final Enrollment numbers achieved (Total)= "1006"
Final Enrollment numbers achieved (India)="1006" 
Phase of Trial   N/A 
Date of First Enrollment (India)   22/03/2021 
Date of Study Completion (India) 20/06/2022 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This is an observational, retrospective study in India to examine the real-world usage patterns of insulin initiated in the treatment of type 2 diabetes (T2DM) and the longitudinal outcomes of those who were initiated on insulin glargine (Glargine 100 U/mL and Glargine 300 U/ML). Eligible patients would be adult (≥ 18 years) male or female insulin naïve with known case of T2DM who had been initiated with any type of insulin during the index period from 01 January 2016 to 31 December 2018. Baseline visit will be defined as the index date. Data would be collected for a follow up of a minimum of 6 months to a maximum of 12 months of those patients who were initiated on insulin glargine. Required data mentioned in baseline characteristics will be recorded at index date, second visit at 3 months (+/-1 month), 6 months (+/-2 months) and 12 months (+/-2 months) after index date of treatment. Data will be collected through the abstraction of electronic medical records (EMRs) from 15 sites in India. Collected study data will include patient characteristics, duration of diabetes, treatment details, comorbidities, glycemic parameters and hypoglycaemia as reported.

Data from the patients who had received any type of insulin during the index period will be recorded as per the defined outcomes. Data will be extracted from electronic health records and will be abstracted by a CRO (clinical research organization), the principal investigator (PI) or a reviewer (clinical research associate) nominated by the sponsor. For the records missing any of the requested information, data will be reported as missing  
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