Comparison of NN5401 With Biphasic Insulin Aspart 30 in Type 2 Diabetes
BOOST™
A 26-week, Randomised, Open-labelled, Two-arm, Parallel-group, Treat-to-target Trial Comparing Efficacy and Safety of Soluble Insulin Analogue Combination (SIAC) Twice Daily (BID) With Biphasic Insulin Aspart (BIAsp) 30 BID, With or Without Metformin, With or Without DPP-4 Inhibitor, With or Without Pioglitazone in Subjects With Type 2 Diabetes in Inadequate Glycaemic Control on Once or Twice Daily Premixed or Self-mixed Insulin Regimen With or Without OADs (BOOST™: Intensify Premix 1)
3 other identifiers
interventional
447
10 countries
53
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 diabetes
Started Nov 2009
Shorter than P25 for phase_3 diabetes
53 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
November 5, 2009
CompletedStudy Start
First participant enrolled
November 5, 2009
CompletedFirst Posted
Study publicly available on registry
November 6, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 23, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
August 23, 2010
CompletedResults Posted
Study results publicly available
November 20, 2015
CompletedDecember 19, 2018
November 1, 2018
10 months
November 5, 2009
October 19, 2015
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
EXPERIMENTALBIAsp 30 BID
EXPERIMENTALInterventions
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.
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.
Eligibility Criteria
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
- Novo Nordisk A/Slead
Study Sites (53)
Novo Nordisk Investigational Site
St Leonards, New South Wales, 2065, Australia
Novo Nordisk Investigational Site
Wollongong, New South Wales, 2500, Australia
Novo Nordisk Investigational Site
East Ringwood, Victoria, 3135, Australia
Novo Nordisk Investigational Site
Melbourne, Victoria, 3004, Australia
Novo Nordisk Investigational Site
Garran, 2605, Australia
Novo Nordisk Investigational Site
Århus C, 8000, Denmark
Novo Nordisk Investigational Site
Copenhagen, 2400, Denmark
Novo Nordisk Investigational Site
Gentofte Municipality, 2820, Denmark
Novo Nordisk Investigational Site
Hjørring, 9800, Denmark
Novo Nordisk Investigational Site
Horsens, 8700, Denmark
Novo Nordisk Investigational Site
Hvidovre, 2650, Denmark
Novo Nordisk Investigational Site
Svendborg, 5700, Denmark
Novo Nordisk Investigational Site
Kuopio, 70210, Finland
Novo Nordisk Investigational Site
Lahti, 15110, Finland
Novo Nordisk Investigational Site
Oulu, 90100, Finland
Novo Nordisk Investigational Site
Pori, FI-28100, Finland
Novo Nordisk Investigational Site
Ylitornio, FI-95600, Finland
Novo Nordisk Investigational Site
Karnāl, Haryana, 132001, India
Novo Nordisk Investigational Site
Bangalore, Karnataka, 560034, India
Novo Nordisk Investigational Site
Trivandrum, Kerala, 695011, India
Novo Nordisk Investigational Site
Mumbai, Maharashtra, 4000021, India
Novo Nordisk Investigational Site
Chennai, Tamil Nadu, 600 013, India
Novo Nordisk Investigational Site
Chennai, Tamil Nadu, 600086, India
Novo Nordisk Investigational Site
Kolkata, 700017, India
Novo Nordisk Investigational Site
Mumbai, 400016, India
Novo Nordisk Investigational Site
New Delhi, 110044, India
Novo Nordisk Investigational Site
Cheras, 56000, Malaysia
Novo Nordisk Investigational Site
Kota Bharu, Kelantan, 16150, Malaysia
Novo Nordisk Investigational Site
Pulau Pinang, 10990, Malaysia
Novo Nordisk Investigational Site
Putrajaya, 62250, Malaysia
Novo Nordisk Investigational Site
Bialystok, 15-445, Poland
Novo Nordisk Investigational Site
Bydgoszcz, 85-822, Poland
Novo Nordisk Investigational Site
Gniewkowo, 88-140, Poland
Novo Nordisk Investigational Site
Płock, 09-400, Poland
Novo Nordisk Investigational Site
Rawa Mazowiecka, 96-200, Poland
Novo Nordisk Investigational Site
Warsaw, 01-809, Poland
Novo Nordisk Investigational Site
Falun, 791 82, Sweden
Novo Nordisk Investigational Site
Karlstad, 651 85, Sweden
Novo Nordisk Investigational Site
Lund, 221 85, Sweden
Novo Nordisk Investigational Site
Lund, 222 22, Sweden
Novo Nordisk Investigational Site
Malmo, 211 52, Sweden
Novo Nordisk Investigational Site
Stockholm, 118 83, Sweden
Novo Nordisk Investigational Site
Changhua, 500, Taiwan
Novo Nordisk Investigational Site
Chiayi City, 600, Taiwan
Novo Nordisk Investigational Site
Taipei, 231, Taiwan
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
Chiang Mai, 50200, Thailand
Novo Nordisk Investigational Site
Istanbul, 34093, Turkey (Türkiye)
Novo Nordisk Investigational Site
Istanbul, 34722, Turkey (Türkiye)
Novo Nordisk Investigational Site
Istanbul, 34890, Turkey (Türkiye)
Novo Nordisk Investigational Site
Kocaeli, 41380, Turkey (Türkiye)
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: 27553066BACKGROUNDFulcher 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.
PMID: 24812432RESULTChristiansen 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.
PMID: 26612062RESULTHaluzik 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.
PMID: 29451706RESULTFulcher 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.
PMID: 30474818RESULTYang 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.
PMID: 35044568DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition 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
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