NCT01059799

Brief Summary

This trial is conducted in Asia and Japan. The aim of this trial is to compare insulin degludec (NN1250) with insulin glargine both combined with oral antidiabetic drugs (OADs) in subjects with type 2 diabetes never treated with insulin.

Trial Health

93
On Track

Trial Health Score

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

Enrollment
435

participants targeted

Target at P50-P75 for phase_3 diabetes

Timeline
Completed

Started Feb 2010

Shorter than P25 for phase_3 diabetes

Geographic Reach
6 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

January 29, 2010

Completed
3 days until next milestone

First Posted

Study publicly available on registry

February 1, 2010

Completed
Same day until next milestone

Study Start

First participant enrolled

February 1, 2010

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 16, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 16, 2010

Completed
4.9 years until next milestone

Results Posted

Study results publicly available

November 13, 2015

Completed
Last Updated

March 30, 2017

Status Verified

February 1, 2017

Enrollment Period

11 months

First QC Date

January 29, 2010

Results QC Date

October 12, 2015

Last Update Submit

February 28, 2017

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)

  • 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

  • Mean of 9-point Self Measured Plasma Glucose Profile (SMPG)

    Week 26

Study Arms (2)

IDeg OD

EXPERIMENTAL
Drug: insulin degludec

IGlar OD

ACTIVE COMPARATOR
Drug: insulin glargine

Interventions

Insulin degludec injected subcutaneously (under the skin) once daily. The doses will be individually adjusted

IDeg OD

Insulin glargine injected subcutaneously (under the skin) once daily. The doses will be individually adjusted

IGlar OD

Eligibility Criteria

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

You may qualify if:

  • For Japan only: minimum age is 20 years
  • Type 2 diabetes mellitus (diagnosed clinically) for at least 6 months
  • Current treatment with monotherapy or combination of an insulin secretagouge (sulfonylurea or glinide) and metformin, with or without addition of alfa-glucosidase-inhibitors or a DPP-4 inhibitor with unchanged dosing for at least 3 months prior to visit 1. The dose(s) should as minimum be as stated: -Insulin secretagogue (sulfonylurea or glinide): Minimum half of the daily maximal dose according to local labelling -Metformin: alone or in combination (including fixed combination): Maximum tolerated dose - alfa-glucosidase-inhibitors: Minimum half of the daily maximal dose or maximum tolerated dose -DPP-4 (dipeptyl peptidase 4) inhibitor: According to local labelling
  • HbA1c 7.0-10.0 % (both inclusive) by central laboratory analysis
  • Body Mass Index (BMI) no higher than 35.0 kg/m\^2

You may not qualify if:

  • Use within the last 3 months prior to Visit 1 of: TZDs (thiazolidinediones), exenatide or liraglutide
  • 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, or the intention of becoming pregnant or not using adequate contraceptive measures according to local requirements (for Thailand: adequate contraceptive measures are: diaphragm, condom (by the partner), intrauterine device in place for last three months before trial starts, sponge, cap with spermicide, contraceptive patch, approved hormonal implant (i.e. Norplant), oral contraceptives taken without difficulty for the last three months before trial starts, post menopausal state or sterilisation.)
  • Cancer and medical history of cancer (except basal cell skin cancer or squamous cell skin cancer)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (53)

Novo Nordisk Investigational Site

Shatin, New Territories, Hong Kong

Location

Novo Nordisk Investigational Site

Chuo-ku, Tokyo, 103 0002, Japan

Location

Novo Nordisk Investigational Site

Kamakura-shi, Kanagawa, 247 0072, Japan

Location

Novo Nordisk Investigational Site

Kawasaki-shi, 212 0024, Japan

Location

Novo Nordisk Investigational Site

Miyazaki, 880 0034, Japan

Location

Novo Nordisk Investigational Site

Naka-shi, Ibaraki, 311 0113, Japan

Location

Novo Nordisk Investigational Site

Nishinomiya-shi, Hygo, 662 0971, Japan

Location

Novo Nordisk Investigational Site

Ogawa, 355 0321, Japan

Location

Novo Nordisk Investigational Site

Ota-ku, Tokyo, 144 0035, Japan

Location

Novo Nordisk Investigational Site

Oyama-shi, Tochigi, 323 0022, Japan

Location

Novo Nordisk Investigational Site

Ōita, 870 0039, Japan

Location

Novo Nordisk Investigational Site

Sapporo-shi, Hokkaido, 060-0001, Japan

Location

Novo Nordisk Investigational Site

Takatsuki-shi, Osaka, 569 1096, Japan

Location

Novo Nordisk Investigational Site

Cheras, 56000, Malaysia

Location

Novo Nordisk Investigational Site

George Town, 10459, Malaysia

Location

Novo Nordisk Investigational Site

Georgetown, Penang, 10450, Malaysia

Location

Novo Nordisk Investigational Site

Kota Bharu, Kelantan, 16150, Malaysia

Location

Novo Nordisk Investigational Site

Kuala Lumpur, 50586, Malaysia

Location

Novo Nordisk Investigational Site

Kuala Lumpur, 59100, Malaysia

Location

Novo Nordisk Investigational Site

Kuala Selangor, 46150, Malaysia

Location

Novo Nordisk Investigational Site

Putrajaya, 62250, Malaysia

Location

Novo Nordisk Investigational Site

Bucheon-si, 14647, South Korea

Location

Novo Nordisk Investigational Site

Busan, 614-735, South Korea

Location

Novo Nordisk Investigational Site

Goyang, 10380, South Korea

Location

Novo Nordisk Investigational Site

Goyang, 410-719, South Korea

Location

Novo Nordisk Investigational Site

Incheon, 400-103, South Korea

Location

Novo Nordisk Investigational Site

Jeonju, 561-712, South Korea

Location

Novo Nordisk Investigational Site

Seoul, 110-746, South Korea

Location

Novo Nordisk Investigational Site

Seoul, 120-752, South Korea

Location

Novo Nordisk Investigational Site

Seoul, 130-701, South Korea

Location

Novo Nordisk Investigational Site

Seoul, 133-792, South Korea

Location

Novo Nordisk Investigational Site

Seoul, 135-239, South Korea

Location

Novo Nordisk Investigational Site

Seoul, 135-720, South Korea

Location

Novo Nordisk Investigational Site

Seoul, 139-827, South Korea

Location

Novo Nordisk Investigational Site

Seoul, 150-950, South Korea

Location

Novo Nordisk Investigational Site

Seoul, 158-710, South Korea

Location

Novo Nordisk Investigational Site

Suwon, 16247, South Korea

Location

Novo Nordisk Investigational Site

Suwon, 16499, South Korea

Location

Novo Nordisk Investigational Site

Wŏnju, 220-701, South Korea

Location

Novo Nordisk Investigational Site

Yangsan, 626-770, South Korea

Location

Novo Nordisk Investigational Site

Banqiao District, 220, Taiwan

Location

Novo Nordisk Investigational Site

Changhua, 500, Taiwan

Location

Novo Nordisk Investigational Site

Chiayi City, 600, Taiwan

Location

Novo Nordisk Investigational Site

Kaohsiung City, 813, Taiwan

Location

Novo Nordisk Investigational Site

Kaoshiung, 807, Taiwan

Location

Novo Nordisk Investigational Site

Taichung, Taiwan

Location

Novo Nordisk Investigational Site

Taipei, 104, Taiwan

Location

Novo Nordisk Investigational Site

Bangkok, 10330, Thailand

Location

Novo Nordisk Investigational Site

Bangkok, 10400, Thailand

Location

Novo Nordisk Investigational Site

Bangkoknoi, Bangkok, 10700, Thailand

Location

Novo Nordisk Investigational Site

Chiang Mai, 50200, Thailand

Location

Novo Nordisk Investigational Site

Nakhon Ratchasima, 30000, Thailand

Location

Novo Nordisk Investigational Site

Songkhla, 90110, Thailand

Location

Related Publications (9)

  • 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.

    PMID: 26121451BACKGROUND
  • 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.

  • Heller S, Mathieu C, Kapur R, Wolden ML, Zinman B. A meta-analysis of rate ratios for nocturnal confirmed hypoglycaemia with insulin degludec vs. insulin glargine using different definitions for hypoglycaemia. Diabet Med. 2016 Apr;33(4):478-87. doi: 10.1111/dme.13002. Epub 2015 Dec 13.

  • 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.

  • 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.

  • Vora J, Christensen T, Rana A, Bain SC. Insulin degludec versus insulin glargine in type 1 and type 2 diabetes mellitus: a meta-analysis of endpoints in phase 3a trials. Diabetes Ther. 2014 Dec;5(2):435-46. doi: 10.1007/s13300-014-0076-9. Epub 2014 Aug 1.

  • Aye MM, Atkin SL. Patient safety and minimizing risk with insulin administration - role of insulin degludec. Drug Healthc Patient Saf. 2014 Apr 30;6:55-67. doi: 10.2147/DHPS.S59566. eCollection 2014.

  • Onishi Y, Iwamoto Y, Yoo SJ, Clauson P, Tamer SC, Park S. Insulin degludec compared with insulin glargine in insulin-naive patients with type 2 diabetes: A 26-week, randomized, controlled, Pan-Asian, treat-to-target trial. J Diabetes Investig. 2013 Nov 27;4(6):605-12. doi: 10.1111/jdi.12102. Epub 2013 Jun 3.

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

January 29, 2010

First Posted

February 1, 2010

Study Start

February 1, 2010

Primary Completion

December 16, 2010

Study Completion

December 16, 2010

Last Updated

March 30, 2017

Results First Posted

November 13, 2015

Record last verified: 2017-02

Locations