Comparison of NN1250 With Insulin Glargine in Type 2 Diabetes
BEGIN™
A 26 Week Randomised, Controlled, Open Label, Multicentre, Multinational, Three-arm, Treat to Target Trial Comparing Efficacy and Safety of Three Different Dosing Regimens of Either Soluble Insulin Basal Analogue (SIBA) or Insulin Glargine With or Without Combination With OAD Treatment, in Subjects With Type 2 Diabetes Mellitus (BEGIN™ : FLEX)
3 other identifiers
interventional
687
13 countries
71
Brief Summary
This trial is conducted in Africa, Asia, Europe and South America. The aim of this clinical trial is to compare NN1250 (insulin degludec (IDeg) with insulin glargine (IGlar) in patients with type 2 diabetes. Subjects treated with oral antidiabetic drug(s) (OAD(s)) should continue their current OAD treatment at the stable, prerandomisation dose level and dosing frequency.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 diabetes
Started Nov 2009
Shorter than P25 for phase_3 diabetes
71 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 30, 2009
CompletedStudy Start
First participant enrolled
November 1, 2009
CompletedFirst Posted
Study publicly available on registry
November 2, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2010
CompletedResults Posted
Study results publicly available
November 13, 2015
CompletedFebruary 9, 2017
December 1, 2016
10 months
October 30, 2009
October 12, 2015
December 16, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Glycosylated Haemoglobin (HbA1c)
Change from baseline in HbA1c after 26 weeks of treatment
Week 0, Week 26
Secondary Outcomes (3)
Mean of 9-point Self Measured Plasma Glucose Profile (SMPG)
Week 26
Rate of Confirmed Hypoglycaemic Episodes
Week 0 to Week 26 + 7 days follow up
Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Week 0 to Week 26 + 7 days follow up
Study Arms (3)
IDeg OD FF
EXPERIMENTALIDeg OD
EXPERIMENTALIGlar OD
EXPERIMENTALInterventions
Injected s.c. (under the skin) once daily (alternative regimen). Dose was individually adjusted.
Insulin glargine injected s.c. (under the skin) once daily. Dose was individually adjusted.
Eligibility Criteria
You may qualify if:
- Type 2 diabetes mellitus (diagnosed clinically) for at least 6 months
- Current treatment: oral anti-diabetic drug(s) (OAD(s)) alone, basal insulin alone or the combination of OAD(s) and basal insulin. Allowed OADs are: Metformin, insulin secretagogues (sulphonylureas (SU) or glinides), pioglitazone with unchanged dosing for at least 3 months prior to Visit 1
- HbA1c: OADs only users 7.0-11.0 % (both inclusive), basal insulin with/without OADs users 7.0-10.0% (both inclusive) by central laboratory analysis
- Body Mass Index (BMI) below or equal to 40.0 kg/m\^2
You may not qualify if:
- Cancer and medical history of cancer hereof
- Use within the last 3 months prior to Visit 1 of: glucagon-like peptide-1(GLP-1) receptor agonist (exenatide, liraglutide), rosiglitazone, dipeptidyl peptidase IV (DPP-IV) inhibitors, alpha-glucosidase-inhibitors
- Cardiovascular disease, within the last 6 months prior to Visit 1, defined as: stroke; decompensated heart failure New York Heart Association (NYHA) class III or IV; myocardial infarction; unstable angina pectoris; or coronary arterial bypass graft or angioplasty
- Uncontrolled treated/untreated severe hypertension (systolic blood pressure at least 180 millimetre (mm) mercury (Hg) and/or diastolic blood pressure at least 100 mmHg)
- Pregnancy, breast-feeding, the intention of becoming pregnant or not using adequate contraceptive measures according to local requirements
- Cancer and medical history of cancer hereof (except basal cell skin cancer and squamous cell skin cancer)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (72)
Novo Nordisk Investigational Site
Buenos Aires, B1636DSU, Argentina
Novo Nordisk Investigational Site
Buenos Aires, C1425AGC, Argentina
Novo Nordisk Investigational Site
Ciudad Autónoma de Bs As, C1426ABP, Argentina
Novo Nordisk Investigational Site
Rosario, 2000, Argentina
Novo Nordisk Investigational Site
Hanko, 10900, Finland
Novo Nordisk Investigational Site
Harjavalta, FI-29200, Finland
Novo Nordisk Investigational Site
Oulu, 90029, Finland
Novo Nordisk Investigational Site
Tampere, FI-33520, Finland
Novo Nordisk Investigational Site
Turku, 20520, Finland
Novo Nordisk Investigational Site
Turku, FI-20100, Finland
Novo Nordisk Investigational Site
Vantaa, FIN-01600, Finland
Novo Nordisk Investigational Site
Budapest, 1041, Hungary
Novo Nordisk Investigational Site
Debrecen, 4043, Hungary
Novo Nordisk Investigational Site
Győr, 9024, Hungary
Novo Nordisk Investigational Site
Szombathely, H-9700, Hungary
Novo Nordisk Investigational Site
Hyderabad, Andhra Pradesh, 500082, India
Novo Nordisk Investigational Site
Kochi, Kerala, 682041, India
Novo Nordisk Investigational Site
Indore, Madhya Pradesh, 452010, India
Novo Nordisk Investigational Site
Mumbai, Maharashtra, 400012, India
Novo Nordisk Investigational Site
New Dehli, New Delhi, 110029, India
Novo Nordisk Investigational Site
Chandigarh, Punjab, 160012, India
Novo Nordisk Investigational Site
Vellore, Tamil Nadu, 632004, India
Novo Nordisk Investigational Site
Kolkata, West Bengal, 700020, India
Novo Nordisk Investigational Site
Kolkata, West Bengal, 700038, India
Novo Nordisk Investigational Site
Chennai, 600020, India
Novo Nordisk Investigational Site
Hyderabad, 600034, India
Novo Nordisk Investigational Site
Beersheba, 84101, Israel
Novo Nordisk Investigational Site
Haifa, 31096, Israel
Novo Nordisk Investigational Site
Holon, 58100, Israel
Novo Nordisk Investigational Site
Jerusalem, 91120, Israel
Novo Nordisk Investigational Site
Kfar Saba, 44281, Israel
Novo Nordisk Investigational Site
Netanya, 42449, Israel
Novo Nordisk Investigational Site
Petah Tikva, 49100, Israel
Novo Nordisk Investigational Site
Rehovot, 76100, Israel
Novo Nordisk Investigational Site
Cheras, 56000, Malaysia
Novo Nordisk Investigational Site
George Town, 10459, Malaysia
Novo Nordisk Investigational Site
Kota Bharu, Kelantan, 16150, Malaysia
Novo Nordisk Investigational Site
Kuala Lumpur, 59100, Malaysia
Novo Nordisk Investigational Site
Putrajaya, 62250, Malaysia
Novo Nordisk Investigational Site
Durango, Durango, 34000, Mexico
Novo Nordisk Investigational Site
Mexico City, México, D.F., 03300, Mexico
Novo Nordisk Investigational Site
Monterrey, 64460, Mexico
Novo Nordisk Investigational Site
Skopje, 1000, North Macedonia
Novo Nordisk Investigational Site
Gjøvik, NO-2819, Norway
Novo Nordisk Investigational Site
Hamar, 2317, Norway
Novo Nordisk Investigational Site
Hønefoss, 3511, Norway
Novo Nordisk Investigational Site
Oslo, 0586, Norway
Novo Nordisk Investigational Site
Stavanger, 4005, Norway
Novo Nordisk Investigational Site
Tønsberg, 3116, Norway
Novo Nordisk Investigational Site
Kazan', 420064, Russia
Novo Nordisk Investigational Site
Moscow, 117036, Russia
Novo Nordisk Investigational Site
Moscow, 119435, Russia
Novo Nordisk Investigational Site
Moscow, 121356, Russia
Novo Nordisk Investigational Site
Moscow, 127644, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 195257, Russia
Novo Nordisk Investigational Site
Saint-Peterburg, 190068, Russia
Novo Nordisk Investigational Site
Belgrade, 11000, Serbia
Novo Nordisk Investigational Site
Johannesburg, Gauteng, 1829, South Africa
Novo Nordisk Investigational Site
Johannesburg, Gauteng, 2001, South Africa
Novo Nordisk Investigational Site
Durban, KwaZulu-Natal, 4126, South Africa
Novo Nordisk Investigational Site
Taipei, 100, Taiwan
Novo Nordisk Investigational Site
Taipei, 112, Taiwan
Novo Nordisk Investigational Site
Taipei, 114, Taiwan
Novo Nordisk Investigational Site
Taoyuan District, 333, Taiwan
Novo Nordisk Investigational Site
Belfast, BT16 1RH, United Kingdom
Novo Nordisk Investigational Site
Edgbaston, Birmingham, B15 2TH, United Kingdom
Novo Nordisk Investigational Site
Edinburgh, EH4 2XU, United Kingdom
Novo Nordisk Investigational Site
Glasgow, G45 9AW, United Kingdom
Novo Nordisk Investigational Site
Hull, HU3 2JZ, United Kingdom
Novo Nordisk Investigational Site
Ipswich, IP4 5PD, United Kingdom
Novo Nordisk Investigational Site
Londonderry, BT47 6SB, United Kingdom
Novo Nordisk Investigational Site
Swansea, SA6 6NL, United Kingdom
Related Publications (6)
Ratner RE, Gough SC, Mathieu C, Del Prato S, Bode B, Mersebach H, Endahl L, Zinman B. Hypoglycaemia risk with insulin degludec compared with insulin glargine in type 2 and type 1 diabetes: a pre-planned meta-analysis of phase 3 trials. Diabetes Obes Metab. 2013 Feb;15(2):175-84. doi: 10.1111/dom.12032. Epub 2012 Dec 3.
PMID: 23130654RESULTSorli C, Warren M, Oyer D, Mersebach H, Johansen T, Gough SC. Elderly patients with diabetes experience a lower rate of nocturnal hypoglycaemia with insulin degludec than with insulin glargine: a meta-analysis of phase IIIa trials. Drugs Aging. 2013 Dec;30(12):1009-18. doi: 10.1007/s40266-013-0128-2.
PMID: 24170235RESULTEinhorn D, Handelsman Y, Bode BW, Endahl LA, Mersebach H, King AB. PATIENTS ACHIEVING GOOD GLYCEMIC CONTROL (HBA1c <7%) EXPERIENCE A LOWER RATE OF HYPOGLYCEMIA WITH INSULIN DEGLUDEC THAN WITH INSULIN GLARGINE: A META-ANALYSIS OF PHASE 3A TRIALS. Endocr Pract. 2015 Aug;21(8):917-26. doi: 10.4158/EP14523.OR. Epub 2015 Jun 29.
PMID: 26121451RESULTRussell-Jones D, Gall MA, Niemeyer M, Diamant M, Del Prato S. Insulin degludec results in lower rates of nocturnal hypoglycaemia and fasting plasma glucose vs. insulin glargine: A meta-analysis of seven clinical trials. Nutr Metab Cardiovasc Dis. 2015 Oct;25(10):898-905. doi: 10.1016/j.numecd.2015.06.005. Epub 2015 Jun 18.
PMID: 26232910RESULTVora J, Seufert J, Solberg H, Kinduryte O, Johansen T, Hollander P. Insulin degludec does not increase antibody formation versus insulin glargine: an evaluation of phase IIIa trials. Diabetes Obes Metab. 2016 Jul;18(7):716-20. doi: 10.1111/dom.12621. Epub 2016 Feb 8.
PMID: 26663320RESULTMeneghini L, Atkin SL, Gough SC, Raz I, Blonde L, Shestakova M, Bain S, Johansen T, Begtrup K, Birkeland KI; NN1250-3668 (BEGIN FLEX) Trial Investigators. The efficacy and safety of insulin degludec given in variable once-daily dosing intervals compared with insulin glargine and insulin degludec dosed at the same time daily: a 26-week, randomized, open-label, parallel-group, treat-to-target trial in individuals with type 2 diabetes. Diabetes Care. 2013 Apr;36(4):858-64. doi: 10.2337/dc12-1668. Epub 2013 Jan 22.
PMID: 23340894DERIVED
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 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 30, 2009
First Posted
November 2, 2009
Study Start
November 1, 2009
Primary Completion
September 1, 2010
Study Completion
September 1, 2010
Last Updated
February 9, 2017
Results First Posted
November 13, 2015
Record last verified: 2016-12