Effect of Insulin Detemir and Insulin Glargine on Blood Glucose Control in Subjects With Type 2 Diabetes
EFFICACY
A 26 Week Randomised, Multinational, Open Labelled, 2 Armed, Parallel Group, Treat-to-target Once Daily Treatment Trial With Insulin Detemir Versus Insulin Glargine, Both in Combination With Metformin in Subjects With Type 2 Diabetes
1 other identifier
interventional
457
6 countries
88
Brief Summary
This trial is conducted in Asia, South America and the United States of America (USA). The aim of this clinical trial is to determine whether two insulin treatments given once daily are equally effective with respect to the blood glucose lowering effect in subjects with type 2 diabetes inadequately controlled on metformin treatment with or without an additional anti-diabetic drug (OAD).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4 diabetes
Started May 2009
88 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2009
CompletedFirst Submitted
Initial submission to the registry
May 27, 2009
CompletedFirst Posted
Study publicly available on registry
May 28, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2010
CompletedResults Posted
Study results publicly available
September 27, 2011
CompletedMarch 10, 2017
January 1, 2017
1.1 years
May 27, 2009
June 10, 2011
January 30, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Change in HbA1c From Baseline
Week 0, Week 26
Secondary Outcomes (13)
Percentage of Subjects Achieving HbA1c Less Than or Equal to 7.0%
Week 26
Percentage of Subjects Achieving HbA1c of 7% or Less With no Hypoglycaemia
Week 26
Percentage of Subjects Achieving HbA1c Less Than or Equal to 6.5%
Week 26
Percentage of Subjects Achieving HbA1c of 6.5% or Less With no Hypoglycaemia
Week 26
Fasting Plasma Glucose (FPG)
Week 26
- +8 more secondary outcomes
Study Arms (2)
IDet
EXPERIMENTALIndividually adjusted insulin detemir once daily + metformin at least 1500 mg/day
IGlar
ACTIVE COMPARATORIndividually adjusted insulin glargine once daily + metformin at least 1500 mg/day
Interventions
Treat-to-target (individually adjusted dose) titration according to titration algorithm. S.c. (under the skin) injection once daily as an add-on to subjects' stable pre-trial metformin dose (at least 1500 mg/day). Any other use of OAD will be discontinued
Treat-to-target (individually adjusted dose) titration according to titration algorithm. S.c. (under the skin) injection once daily as an add-on to subjects' stable pre-trial metformin dose (at least 1500 mg/day). Any other use of OAD will be discontinued
Eligibility Criteria
You may qualify if:
- Diagnosed with type 2 diabetes for at least 6 months
- Stable treatment with a total daily dose of at least 1500 mg metformin or maximum tolerated dose (minimum 1000 mg) with or without one other OAD (sulphonylureas, meglitinides, thiazolidinediones or dipeptidyl peptidase-4 (DPP-4) inhibitors) for at least 3 months
- Subject is insulin-naive (short-term insulin treatment of up to 14 days is allowed)
- HbA1c (glycosylated haemoglobin) 7.0-9.0 % (both inclusive) by central laboratory analysis (one re-test within one week is allowed)
- Body Mass Index (BMI) less than or equal to 35.0 kg/m\^2
You may not qualify if:
- Any contraindication to insulin detemir or insulin glargine according to the local labelling
- Receipt of any investigational product within 4 weeks
- Anticipated change of dose of any systemic treatment with products, which in the Investigator's opinion could interfere with glucose metabolism (e.g. systemic corticosteroids)
- Clinically significant diseases which, in the Investigator's opinion may confound the results of the trial or pose additional risk in administering trial product
- Any other condition that the Investigator feels would interfere with trial participation or evaluation of results
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (88)
Novo Nordisk Investigational Site
Litchfield Park, Arizona, 85340, United States
Novo Nordisk Investigational Site
Searcy, Arkansas, 72143, United States
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Anaheim, California, 92801, United States
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Concord, California, 94520, United States
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Escondido, California, 92025, United States
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Fresno, California, 93720, United States
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Long Beach, California, 90822, United States
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Los Angeles, California, 90057, United States
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Redlands, California, 92374, United States
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Santa Ana, California, 92705, United States
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Spring Valley, California, 91978, United States
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Aurora, Colorado, 80045, United States
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Norwalk, Connecticut, 06851, United States
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Hollywood, Florida, 33021, United States
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Jacksonville, Florida, 32204, United States
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Jacksonville, Florida, 32207, United States
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Miami, Florida, 33136, United States
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Miami, Florida, 33143, United States
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Ocala, Florida, 34471, United States
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Orlando, Florida, 32804, United States
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Plantation, Florida, 33324, United States
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Ponte Vedra, Florida, 32081, United States
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Winter Haven, Florida, 33880, United States
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Powder Springs, Georgia, 30127, United States
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Roswell, Georgia, 30076, United States
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Idaho Falls, Idaho, 83404-7596, United States
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Independence, Kansas, 67301-3263, United States
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Shawnee Mission, Kansas, 66204, United States
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Portland, Maine, 04101, United States
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Rockville, Maryland, 20852, United States
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Waltham, Massachusetts, 02453, United States
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Buckley, Michigan, 49620, United States
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Chesterfield, Missouri, 63017, United States
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Jefferson City, Missouri, 65109, United States
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St Louis, Missouri, 63141, United States
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Butte, Montana, 59701, United States
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Clilfton, New Jersey, 07011, United States
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Northport, New York, 11768, United States
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Staten Island, New York, 10301, United States
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Syracuse, New York, 13210, United States
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Charlotte, North Carolina, 28277, United States
Novo Nordisk Investigational Site
Greensboro, North Carolina, 27408, United States
Novo Nordisk Investigational Site
Winston-Salem, North Carolina, 27103, United States
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Cayahoga Falls, Ohio, 44223, United States
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Cincinnati, Ohio, 45245, United States
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Dayton, Ohio, 45406, United States
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Gallipolis, Ohio, 45631-1560, United States
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Tulsa, Oklahoma, 74104, United States
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Altoona, Pennsylvania, 16602, United States
Novo Nordisk Investigational Site
Clarion, Pennsylvania, 16214, United States
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Lancaster, Pennsylvania, 17601, United States
Novo Nordisk Investigational Site
Norristown, Pennsylvania, 19401, United States
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19104, United States
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19107, United States
Novo Nordisk Investigational Site
Greer, South Carolina, 29651, United States
Novo Nordisk Investigational Site
Spartanburg, South Carolina, 29303, United States
Novo Nordisk Investigational Site
Taylors, South Carolina, 29687, United States
Novo Nordisk Investigational Site
Chattanooga, Tennessee, 37404, United States
Novo Nordisk Investigational Site
Chattanooga, Tennessee, 37411, United States
Novo Nordisk Investigational Site
Corpus Christi, Texas, 78404, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75230, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75246, United States
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Houston, Texas, 77025, United States
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Hurst, Texas, 76054, United States
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Odessa, Texas, 79761, United States
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San Antonio, Texas, 78209, United States
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St. George, Utah, 84790, United States
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Virginia Beach, Virginia, 23462, United States
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Renton, Washington, 98057, United States
Novo Nordisk Investigational Site
Martinsburg, West Virginia, 25401, United States
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Milwaukee, Wisconsin, 53209, United States
Novo Nordisk Investigational Site
Buenos Aires, B1704ETD, Argentina
Novo Nordisk Investigational Site
Capital Federal, 1405, Argentina
Novo Nordisk Investigational Site
Capital Federal, 1429, Argentina
Novo Nordisk Investigational Site
Mar del Plata, B7600FZN, Argentina
Novo Nordisk Investigational Site
Bangalore, Karnataka, 560 017, India
Novo Nordisk Investigational Site
Chennai, Tamil Nadu, 600028, India
Novo Nordisk Investigational Site
Thriruvananthapuram, 695 032, India
Novo Nordisk Investigational Site
ManatÃ, 00674, Puerto Rico
Novo Nordisk Investigational Site
Trujillo Alto, 00976, Puerto Rico
Novo Nordisk Investigational Site
Seoul, 110-746, South Korea
Novo Nordisk Investigational Site
Seoul, 130-701, South Korea
Novo Nordisk Investigational Site
Seoul, 138-736, South Korea
Novo Nordisk Investigational Site
Seoul, 139-707, South Korea
Novo Nordisk Investigational Site
Bangkok, 10110, Thailand
Novo Nordisk Investigational Site
Bangkok, 10330, Thailand
Novo Nordisk Investigational Site
Bangkok, 10400, Thailand
Novo Nordisk Investigational Site
Pathum Thani, 12120, Thailand
Related Publications (1)
Meneghini L, Kesavadev J, Demissie M, Nazeri A, Hollander P. Once-daily initiation of basal insulin as add-on to metformin: a 26-week, randomized, treat-to-target trial comparing insulin detemir with insulin glargine in patients with type 2 diabetes. Diabetes Obes Metab. 2013 Aug;15(8):729-36. doi: 10.1111/dom.12083. Epub 2013 Mar 13.
PMID: 23421331RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Public Access to Clinical Trials
- Organization
- Novo Nordisk A/S
Study Officials
- STUDY DIRECTOR
Global Clinical Registry (GCR, 1452)
Novo Nordisk A/S
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 27, 2009
First Posted
May 28, 2009
Study Start
May 1, 2009
Primary Completion
June 1, 2010
Study Completion
June 1, 2010
Last Updated
March 10, 2017
Results First Posted
September 27, 2011
Record last verified: 2017-01