Comparison of NN1250 Versus Insulin Glargine in Subjects With Type 2 Diabetes
BEGIN™
A Pan Asian Trial Comparing Efficacy and Safety of Insulin NN1250 and Insulin Glargine as Add on to OAD(s) in Subjects With Type 2 Diabetes (BEGIN™: ONCE ASIA)
3 other identifiers
interventional
435
6 countries
53
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 diabetes
Started Feb 2010
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
January 29, 2010
CompletedFirst Posted
Study publicly available on registry
February 1, 2010
CompletedStudy Start
First participant enrolled
February 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 16, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
December 16, 2010
CompletedResults Posted
Study results publicly available
November 13, 2015
CompletedMarch 30, 2017
February 1, 2017
11 months
January 29, 2010
October 12, 2015
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
EXPERIMENTALIGlar OD
ACTIVE COMPARATORInterventions
Insulin degludec injected subcutaneously (under the skin) once daily. The doses will be individually adjusted
Insulin glargine injected subcutaneously (under the skin) once daily. The doses will be individually adjusted
Eligibility Criteria
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
- Novo Nordisk A/Slead
Study Sites (53)
Novo Nordisk Investigational Site
Shatin, New Territories, Hong Kong
Novo Nordisk Investigational Site
Chuo-ku, Tokyo, 103 0002, Japan
Novo Nordisk Investigational Site
Kamakura-shi, Kanagawa, 247 0072, Japan
Novo Nordisk Investigational Site
Kawasaki-shi, 212 0024, Japan
Novo Nordisk Investigational Site
Miyazaki, 880 0034, Japan
Novo Nordisk Investigational Site
Naka-shi, Ibaraki, 311 0113, Japan
Novo Nordisk Investigational Site
Nishinomiya-shi, Hygo, 662 0971, Japan
Novo Nordisk Investigational Site
Ogawa, 355 0321, Japan
Novo Nordisk Investigational Site
Ota-ku, Tokyo, 144 0035, Japan
Novo Nordisk Investigational Site
Oyama-shi, Tochigi, 323 0022, Japan
Novo Nordisk Investigational Site
Ōita, 870 0039, Japan
Novo Nordisk Investigational Site
Sapporo-shi, Hokkaido, 060-0001, Japan
Novo Nordisk Investigational Site
Takatsuki-shi, Osaka, 569 1096, Japan
Novo Nordisk Investigational Site
Cheras, 56000, Malaysia
Novo Nordisk Investigational Site
George Town, 10459, Malaysia
Novo Nordisk Investigational Site
Georgetown, Penang, 10450, Malaysia
Novo Nordisk Investigational Site
Kota Bharu, Kelantan, 16150, Malaysia
Novo Nordisk Investigational Site
Kuala Lumpur, 50586, Malaysia
Novo Nordisk Investigational Site
Kuala Lumpur, 59100, Malaysia
Novo Nordisk Investigational Site
Kuala Selangor, 46150, Malaysia
Novo Nordisk Investigational Site
Putrajaya, 62250, Malaysia
Novo Nordisk Investigational Site
Bucheon-si, 14647, South Korea
Novo Nordisk Investigational Site
Busan, 614-735, South Korea
Novo Nordisk Investigational Site
Goyang, 10380, South Korea
Novo Nordisk Investigational Site
Goyang, 410-719, South Korea
Novo Nordisk Investigational Site
Incheon, 400-103, South Korea
Novo Nordisk Investigational Site
Jeonju, 561-712, South Korea
Novo Nordisk Investigational Site
Seoul, 110-746, South Korea
Novo Nordisk Investigational Site
Seoul, 120-752, South Korea
Novo Nordisk Investigational Site
Seoul, 130-701, South Korea
Novo Nordisk Investigational Site
Seoul, 133-792, South Korea
Novo Nordisk Investigational Site
Seoul, 135-239, South Korea
Novo Nordisk Investigational Site
Seoul, 135-720, South Korea
Novo Nordisk Investigational Site
Seoul, 139-827, South Korea
Novo Nordisk Investigational Site
Seoul, 150-950, South Korea
Novo Nordisk Investigational Site
Seoul, 158-710, South Korea
Novo Nordisk Investigational Site
Suwon, 16247, South Korea
Novo Nordisk Investigational Site
Suwon, 16499, South Korea
Novo Nordisk Investigational Site
Wŏnju, 220-701, South Korea
Novo Nordisk Investigational Site
Yangsan, 626-770, South Korea
Novo Nordisk Investigational Site
Banqiao District, 220, Taiwan
Novo Nordisk Investigational Site
Changhua, 500, Taiwan
Novo Nordisk Investigational Site
Chiayi City, 600, Taiwan
Novo Nordisk Investigational Site
Kaohsiung City, 813, Taiwan
Novo Nordisk Investigational Site
Kaoshiung, 807, Taiwan
Novo Nordisk Investigational Site
Taichung, Taiwan
Novo Nordisk Investigational Site
Taipei, 104, Taiwan
Novo Nordisk Investigational Site
Bangkok, 10330, Thailand
Novo Nordisk Investigational Site
Bangkok, 10400, Thailand
Novo Nordisk Investigational Site
Bangkoknoi, Bangkok, 10700, Thailand
Novo Nordisk Investigational Site
Chiang Mai, 50200, Thailand
Novo Nordisk Investigational Site
Nakhon Ratchasima, 30000, Thailand
Novo Nordisk Investigational Site
Songkhla, 90110, Thailand
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: 26121451BACKGROUNDRatner 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: 23130654RESULTHeller 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.
PMID: 26484727RESULTSorli 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: 24170235RESULTRussell-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: 26663320RESULTVora 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.
PMID: 25081590RESULTAye 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.
PMID: 24812526RESULTOnishi 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.
PMID: 24843715RESULT
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
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