NCT01006291

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

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
687

participants targeted

Target at P75+ for phase_3 diabetes

Timeline
Completed

Started Nov 2009

Shorter than P25 for phase_3 diabetes

Geographic Reach
13 countries

71 active sites

Status
completed

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

Completed
2 days until next milestone

Study Start

First participant enrolled

November 1, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 2, 2009

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2010

Completed
5.2 years until next milestone

Results Posted

Study results publicly available

November 13, 2015

Completed
Last Updated

February 9, 2017

Status Verified

December 1, 2016

Enrollment Period

10 months

First QC Date

October 30, 2009

Results QC Date

October 12, 2015

Last Update Submit

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

EXPERIMENTAL
Drug: insulin degludec

IDeg OD

EXPERIMENTAL
Drug: insulin degludec

IGlar OD

EXPERIMENTAL
Drug: insulin glargine

Interventions

Injected s.c. (under the skin) once daily (alternative regimen). Dose was individually adjusted.

IDeg OD FF

Insulin glargine injected s.c. (under the skin) once daily. Dose was individually adjusted.

IGlar OD

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Study Sites (72)

Novo Nordisk Investigational Site

Buenos Aires, B1636DSU, Argentina

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Novo Nordisk Investigational Site

Buenos Aires, C1425AGC, Argentina

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Novo Nordisk Investigational Site

Ciudad Autónoma de Bs As, C1426ABP, Argentina

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Novo Nordisk Investigational Site

Rosario, 2000, Argentina

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Novo Nordisk Investigational Site

Hanko, 10900, Finland

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Novo Nordisk Investigational Site

Harjavalta, FI-29200, Finland

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Novo Nordisk Investigational Site

Oulu, 90029, Finland

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Novo Nordisk Investigational Site

Tampere, FI-33520, Finland

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Novo Nordisk Investigational Site

Turku, 20520, Finland

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Novo Nordisk Investigational Site

Turku, FI-20100, Finland

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Novo Nordisk Investigational Site

Vantaa, FIN-01600, Finland

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Novo Nordisk Investigational Site

Budapest, 1041, Hungary

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Novo Nordisk Investigational Site

Debrecen, 4043, Hungary

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Novo Nordisk Investigational Site

Győr, 9024, Hungary

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Novo Nordisk Investigational Site

Szombathely, H-9700, Hungary

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Novo Nordisk Investigational Site

Hyderabad, Andhra Pradesh, 500082, India

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Novo Nordisk Investigational Site

Kochi, Kerala, 682041, India

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Novo Nordisk Investigational Site

Indore, Madhya Pradesh, 452010, India

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Mumbai, Maharashtra, 400012, India

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Novo Nordisk Investigational Site

New Dehli, New Delhi, 110029, India

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Novo Nordisk Investigational Site

Chandigarh, Punjab, 160012, India

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Novo Nordisk Investigational Site

Vellore, Tamil Nadu, 632004, India

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Novo Nordisk Investigational Site

Kolkata, West Bengal, 700020, India

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Novo Nordisk Investigational Site

Kolkata, West Bengal, 700038, India

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Novo Nordisk Investigational Site

Chennai, 600020, India

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Novo Nordisk Investigational Site

Hyderabad, 600034, India

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Novo Nordisk Investigational Site

Beersheba, 84101, Israel

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Novo Nordisk Investigational Site

Haifa, 31096, Israel

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Novo Nordisk Investigational Site

Holon, 58100, Israel

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Novo Nordisk Investigational Site

Jerusalem, 91120, Israel

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Novo Nordisk Investigational Site

Kfar Saba, 44281, Israel

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Novo Nordisk Investigational Site

Netanya, 42449, Israel

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Novo Nordisk Investigational Site

Petah Tikva, 49100, Israel

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Novo Nordisk Investigational Site

Rehovot, 76100, Israel

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Cheras, 56000, Malaysia

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Novo Nordisk Investigational Site

George Town, 10459, Malaysia

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Novo Nordisk Investigational Site

Kota Bharu, Kelantan, 16150, Malaysia

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Novo Nordisk Investigational Site

Kuala Lumpur, 59100, Malaysia

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Novo Nordisk Investigational Site

Putrajaya, 62250, Malaysia

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Novo Nordisk Investigational Site

Durango, Durango, 34000, Mexico

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Novo Nordisk Investigational Site

Mexico City, México, D.F., 03300, Mexico

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Novo Nordisk Investigational Site

Monterrey, 64460, Mexico

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Novo Nordisk Investigational Site

Skopje, 1000, North Macedonia

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Novo Nordisk Investigational Site

Gjøvik, NO-2819, Norway

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Novo Nordisk Investigational Site

Hamar, 2317, Norway

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Novo Nordisk Investigational Site

Hønefoss, 3511, Norway

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Novo Nordisk Investigational Site

Oslo, 0586, Norway

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Novo Nordisk Investigational Site

Stavanger, 4005, Norway

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Novo Nordisk Investigational Site

Tønsberg, 3116, Norway

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Novo Nordisk Investigational Site

Kazan', 420064, Russia

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Novo Nordisk Investigational Site

Moscow, 117036, Russia

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Novo Nordisk Investigational Site

Moscow, 119435, Russia

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Novo Nordisk Investigational Site

Moscow, 121356, Russia

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Novo Nordisk Investigational Site

Moscow, 127644, Russia

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Novo Nordisk Investigational Site

Saint Petersburg, 195257, Russia

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Novo Nordisk Investigational Site

Saint-Peterburg, 190068, Russia

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Novo Nordisk Investigational Site

Belgrade, 11000, Serbia

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Novo Nordisk Investigational Site

Johannesburg, Gauteng, 1829, South Africa

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Novo Nordisk Investigational Site

Johannesburg, Gauteng, 2001, South Africa

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Novo Nordisk Investigational Site

Durban, KwaZulu-Natal, 4126, South Africa

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Novo Nordisk Investigational Site

Taipei, 100, Taiwan

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Novo Nordisk Investigational Site

Taipei, 112, Taiwan

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Novo Nordisk Investigational Site

Taipei, 114, Taiwan

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Novo Nordisk Investigational Site

Taoyuan District, 333, Taiwan

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Novo Nordisk Investigational Site

Belfast, BT16 1RH, United Kingdom

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Novo Nordisk Investigational Site

Edgbaston, Birmingham, B15 2TH, United Kingdom

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Novo Nordisk Investigational Site

Edinburgh, EH4 2XU, United Kingdom

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Novo Nordisk Investigational Site

Glasgow, G45 9AW, United Kingdom

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Novo Nordisk Investigational Site

Hull, HU3 2JZ, United Kingdom

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Novo Nordisk Investigational Site

Ipswich, IP4 5PD, United Kingdom

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Novo Nordisk Investigational Site

Londonderry, BT47 6SB, United Kingdom

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Novo Nordisk Investigational Site

Swansea, SA6 6NL, United Kingdom

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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.

  • Sorli 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.

  • Einhorn 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.

  • Russell-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.

  • Vora 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.

  • Meneghini 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.

Related Links

MeSH Terms

Conditions

Diabetes MellitusDiabetes Mellitus, Type 2

Interventions

insulin degludecInsulin Glargine

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Insulin, Long-ActingInsulinsPancreatic HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPeptidesAmino Acids, Peptides, and Proteins

Results Point of Contact

Title
Public Access to Clinical Trials
Organization
Novo Nordisk A/S

Study Officials

  • Global Clinical Registry (GCR, 1452)

    Novo Nordisk A/S

    STUDY DIRECTOR

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

Locations