NCT01009580

Brief Summary

This trial is conducted in Asia, Europe and Oceania. The aim of this clinical trial is to compare NN5401 (insulin degludec/insulin aspart) with biphasic insulin aspart 30 in subjects with type 2 diabetes.

Trial Health

98
On Track

Trial Health Score

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

Enrollment
447

participants targeted

Target at P50-P75 for phase_3 diabetes

Timeline
Completed

Started Nov 2009

Shorter than P25 for phase_3 diabetes

Geographic Reach
10 countries

53 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

November 5, 2009

Completed
Same day until next milestone

Study Start

First participant enrolled

November 5, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 6, 2009

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 23, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 23, 2010

Completed
5.2 years until next milestone

Results Posted

Study results publicly available

November 20, 2015

Completed
Last Updated

December 19, 2018

Status Verified

November 1, 2018

Enrollment Period

10 months

First QC Date

November 5, 2009

Results QC Date

October 19, 2015

Last Update Submit

November 30, 2018

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 (2)

IDegAsp BID

EXPERIMENTAL
Drug: insulin degludec/insulin aspart

BIAsp 30 BID

EXPERIMENTAL
Drug: biphasic insulin aspart 30

Interventions

Injected s.c. (under the skin) with the breakfast meal and main evening meal. The dose were individually adjusted. Subjects continued their pre-trial OADs (oral antidiabetic drug(s)) treatment of Metformin, the specific DPP-4 Inhibitor and Pioglitazone.

IDegAsp BID

Injected s.c. (under the skin) with the breakfast meal and main evening meal. The dose were individually adjusted. Subjects continued their pre-trial OADs (oral antidiabetic drug(s)) treatment of Metformin, the specific DPP-4 Inhibitor and Pioglitazone.

BIAsp 30 BID

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
  • Subjects on premixed human or analogue insulin or self-mixed insulin regimen, containing 20-40 % fast/rapid-acting component, once daily (OD) or twice daily (BID), with or without oral antidiabetic drugs) (OADs) (metformin, sulphonylurea (SU), glinides, alpha-glucosidase inhibitor, DPP-4 (dipeptidyl peptidase-4) inhibitor and pioglitazone), for at least 3 months before Visit 1
  • HbA1c 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:

  • Treatment with rosiglitazone or glucagon-like peptide-1 (GLP-1) receptor agonists (exenatide, liraglutide) within 3 months prior to visit 1
  • 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 (except basal cell skin cancer and squamous cell skin cancer

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (53)

Novo Nordisk Investigational Site

St Leonards, New South Wales, 2065, Australia

Location

Novo Nordisk Investigational Site

Wollongong, New South Wales, 2500, Australia

Location

Novo Nordisk Investigational Site

East Ringwood, Victoria, 3135, Australia

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Novo Nordisk Investigational Site

Melbourne, Victoria, 3004, Australia

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Novo Nordisk Investigational Site

Garran, 2605, Australia

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Novo Nordisk Investigational Site

Århus C, 8000, Denmark

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Novo Nordisk Investigational Site

Copenhagen, 2400, Denmark

Location

Novo Nordisk Investigational Site

Gentofte Municipality, 2820, Denmark

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Novo Nordisk Investigational Site

Hjørring, 9800, Denmark

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Novo Nordisk Investigational Site

Horsens, 8700, Denmark

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Novo Nordisk Investigational Site

Hvidovre, 2650, Denmark

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Novo Nordisk Investigational Site

Svendborg, 5700, Denmark

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Novo Nordisk Investigational Site

Kuopio, 70210, Finland

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Novo Nordisk Investigational Site

Lahti, 15110, Finland

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Novo Nordisk Investigational Site

Oulu, 90100, Finland

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Novo Nordisk Investigational Site

Pori, FI-28100, Finland

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Novo Nordisk Investigational Site

Ylitornio, FI-95600, Finland

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Novo Nordisk Investigational Site

Karnāl, Haryana, 132001, India

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Novo Nordisk Investigational Site

Bangalore, Karnataka, 560034, India

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Novo Nordisk Investigational Site

Trivandrum, Kerala, 695011, India

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Novo Nordisk Investigational Site

Mumbai, Maharashtra, 4000021, India

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Novo Nordisk Investigational Site

Chennai, Tamil Nadu, 600 013, India

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Novo Nordisk Investigational Site

Chennai, Tamil Nadu, 600086, India

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Novo Nordisk Investigational Site

Kolkata, 700017, India

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Novo Nordisk Investigational Site

Mumbai, 400016, India

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Novo Nordisk Investigational Site

New Delhi, 110044, India

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Novo Nordisk Investigational Site

Cheras, 56000, Malaysia

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Novo Nordisk Investigational Site

Kota Bharu, Kelantan, 16150, Malaysia

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Novo Nordisk Investigational Site

Pulau Pinang, 10990, Malaysia

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Novo Nordisk Investigational Site

Putrajaya, 62250, Malaysia

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Novo Nordisk Investigational Site

Bialystok, 15-445, Poland

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Novo Nordisk Investigational Site

Bydgoszcz, 85-822, Poland

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Novo Nordisk Investigational Site

Gniewkowo, 88-140, Poland

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Novo Nordisk Investigational Site

Płock, 09-400, Poland

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Novo Nordisk Investigational Site

Rawa Mazowiecka, 96-200, Poland

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Novo Nordisk Investigational Site

Warsaw, 01-809, Poland

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Novo Nordisk Investigational Site

Falun, 791 82, Sweden

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Novo Nordisk Investigational Site

Karlstad, 651 85, Sweden

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Novo Nordisk Investigational Site

Lund, 221 85, Sweden

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Novo Nordisk Investigational Site

Lund, 222 22, Sweden

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Novo Nordisk Investigational Site

Malmo, 211 52, Sweden

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Novo Nordisk Investigational Site

Stockholm, 118 83, Sweden

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Novo Nordisk Investigational Site

Changhua, 500, Taiwan

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Novo Nordisk Investigational Site

Chiayi City, 600, Taiwan

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Novo Nordisk Investigational Site

Taipei, 231, Taiwan

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Novo Nordisk Investigational Site

Bangkok, 10110, Thailand

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Novo Nordisk Investigational Site

Bangkok, 10330, Thailand

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Novo Nordisk Investigational Site

Bangkok, 10400, Thailand

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Novo Nordisk Investigational Site

Chiang Mai, 50200, Thailand

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Novo Nordisk Investigational Site

Istanbul, 34093, Turkey (Türkiye)

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Novo Nordisk Investigational Site

Istanbul, 34722, Turkey (Türkiye)

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Novo Nordisk Investigational Site

Istanbul, 34890, Turkey (Türkiye)

Location

Novo Nordisk Investigational Site

Kocaeli, 41380, Turkey (Türkiye)

Location

Related Publications (6)

  • Evans M, Gundgaard J, Hansen BB. Cost-Effectiveness of Insulin Degludec/Insulin Aspart Versus Biphasic Insulin Aspart in Patients with Type 2 Diabetes from a Danish Health-Care Perspective. Diabetes Ther. 2016 Dec;7(4):809-823. doi: 10.1007/s13300-016-0195-6. Epub 2016 Aug 23.

    PMID: 27553066BACKGROUND
  • Fulcher GR, Christiansen JS, Bantwal G, Polaszewska-Muszynska M, Mersebach H, Andersen TH, Niskanen LK; BOOST: Intensify Premix I Investigators. Comparison of insulin degludec/insulin aspart and biphasic insulin aspart 30 in uncontrolled, insulin-treated type 2 diabetes: a phase 3a, randomized, treat-to-target trial. Diabetes Care. 2014 Aug;37(8):2084-90. doi: 10.2337/dc13-2908. Epub 2014 May 8.

  • Christiansen JS, Niskanen L, Rasmussen S, Johansen T, Fulcher G. Lower rates of hypoglycemia during maintenance treatment with insulin degludec/insulin aspart versus biphasic insulin aspart 30: a combined analysis of two Phase 3a studies in type 2 diabetes. J Diabetes. 2016 Sep;8(5):720-8. doi: 10.1111/1753-0407.12355. Epub 2016 Mar 6.

  • Haluzik M, Fulcher G, Pieber TR, Bardtrum L, Tutkunkardas D, Rodbard HW. The co-formulation of insulin degludec and insulin aspart lowers fasting plasma glucose and rates of confirmed and nocturnal hypoglycaemia, independent of baseline glycated haemoglobin levels, disease duration or body mass index: A pooled meta-analysis of phase III studies in patients with type 2 diabetes. Diabetes Obes Metab. 2018 Jul;20(7):1585-1592. doi: 10.1111/dom.13261. Epub 2018 Mar 25.

  • Fulcher G, Mehta R, Fita EG, Ekelund M, Bain SC. Efficacy and Safety of IDegAsp Versus BIAsp 30, Both Twice Daily, in Elderly Patients with Type 2 Diabetes: Post Hoc Analysis of Two Phase 3 Randomized Controlled BOOST Trials. Diabetes Ther. 2019 Feb;10(1):107-118. doi: 10.1007/s13300-018-0531-0. Epub 2018 Nov 24.

  • Yang W, Akhtar S, Franek E, Haluzik M, Hirose T, Kalyanam B, Kar S, Wu T, Gogas Yavuz D, Unnikrishnan AG. Postprandial Glucose Excursions in Asian Versus Non-Asian Patients with Type 2 Diabetes: A Post Hoc Analysis of Baseline Data from Phase 3 Randomised Controlled Trials of IDegAsp. Diabetes Ther. 2022 Feb;13(2):311-323. doi: 10.1007/s13300-021-01196-7. Epub 2022 Jan 19.

Related Links

MeSH Terms

Conditions

Diabetes MellitusDiabetes Mellitus, Type 2

Interventions

insulin degludec, insulin aspart drug combinationinsulin aspart, insulin aspart protamine drug combination 30:70

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

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

November 5, 2009

First Posted

November 6, 2009

Study Start

November 5, 2009

Primary Completion

August 23, 2010

Study Completion

August 23, 2010

Last Updated

December 19, 2018

Results First Posted

November 20, 2015

Record last verified: 2018-11

Locations