NCT01059812

Brief Summary

This trial is conducted in Asia. The aim of this clinical trial is to compare NN5401 (insulin degludec/insulin aspart (IDegAsp)) with biphasic insulin aspart (BIAsp) 30 in patients with type 2 diabetes not optimally controlled on once or twice daily insulin with or without metformin.

Trial Health

93
On Track

Trial Health Score

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

Enrollment
424

participants targeted

Target at P50-P75 for phase_3 diabetes

Timeline
Completed

Started Feb 2010

Shorter than P25 for phase_3 diabetes

Geographic Reach
5 countries

46 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 23, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 23, 2010

Completed
4.9 years until next milestone

Results Posted

Study results publicly available

November 20, 2015

Completed
Last Updated

December 20, 2018

Status Verified

November 1, 2018

Enrollment Period

11 months

First QC Date

January 29, 2010

Results QC Date

October 19, 2015

Last Update Submit

November 30, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in HbA1c (Glycosylated Haemoglobin) After 26 Weeks of Treatment

    Change from baseline in HbA1c after 26 weeks of treatment.

    Week 0, Week 26

Secondary Outcomes (4)

  • Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 26

    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

  • Change in Body Weight

    Week 0, Week 26

Study Arms (2)

IDegAsp BID

EXPERIMENTAL
Drug: insulin degludec/insulin aspart

BIAsp 30 BID

ACTIVE COMPARATOR
Drug: biphasic insulin aspart 30

Interventions

Injected subcutaneously twice daily. Dose was individually adjusted.

IDegAsp BID

Injected subcutaneously twice daily. Dose was individually adjusted.

BIAsp 30 BID

Eligibility Criteria

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

You may qualify if:

  • Male or female at least 18 years of age (at least 20 years for Japan)
  • Type 2 diabetes mellitus (diagnosed clinically) for at least 6 months
  • Subject on basal human or analogue insulin, once daily (OD) or twice daily (BID) with or without metformin for at least 3 months or subject on premixed human or analogue insulin or self-mixed insulin regimen, containing 20-40% fast/rapid-acting component, OD or BID, with or without metformin, for at least 3 months
  • HbA1c 7.0-10.0 % (both inclusive) by central laboratory analysis
  • Body mass index (BMI) maximum 35.0 kg/m\^2

You may not qualify if:

  • Treatment with oral antidiabetic drugs (OADs) (except metformin) within the last 8 weeks prior to Visit 1
  • Treatment with thiazolidinediones (TZDs) or glucagon like peptide 1 (GLP-1) receptor agonists 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 or squamous cell skin cancer)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (46)

Novo Nordisk Investigational Site

Shatin, New Territories, Hong Kong

Location

Novo Nordisk Investigational Site

Chūōku, 104 0061, Japan

Location

Novo Nordisk Investigational Site

Imizu-shi, 939 0363, Japan

Location

Novo Nordisk Investigational Site

Kamakura-shi, 247 0056, Japan

Location

Novo Nordisk Investigational Site

Kashiwara-shi, Osaka, 582-0005, Japan

Location

Novo Nordisk Investigational Site

Koriyama-shi, Fukushima, 963-8851, Japan

Location

Novo Nordisk Investigational Site

Kumamoto-shi, Kumamoto, 862-0976, Japan

Location

Novo Nordisk Investigational Site

Matsumoto-shi, 390 8510, Japan

Location

Novo Nordisk Investigational Site

Naha, 900 0032, Japan

Location

Novo Nordisk Investigational Site

Naka-shi, Ibaraki, 311-0113, 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, 060-0062, Japan

Location

Novo Nordisk Investigational Site

Sapporo-shi, Hokkaido, 062-0007, Japan

Location

Novo Nordisk Investigational Site

Takatsuki-shi, Osaka, 569-1096, Japan

Location

Novo Nordisk Investigational Site

Urasoe-shi,, 901 2104, Japan

Location

Novo Nordisk Investigational Site

Yokohama-shi, Kanagawa, 235-0045, Japan

Location

Novo Nordisk Investigational Site

Cheras, 56000, Malaysia

Location

Novo Nordisk Investigational Site

Georgetown, Penang, 10450, Malaysia

Location

Novo Nordisk Investigational Site

Johor Bahru, 80100, Malaysia

Location

Novo Nordisk Investigational Site

Klang, Selangor, 41200, Malaysia

Location

Novo Nordisk Investigational Site

Kota Bharu, Kelantan, 16150, Malaysia

Location

Novo Nordisk Investigational Site

Kota Kinabalu, 88586, Malaysia

Location

Novo Nordisk Investigational Site

Putrajaya, 62250, Malaysia

Location

Novo Nordisk Investigational Site

Seremban, 70300, Malaysia

Location

Novo Nordisk Investigational Site

Ansan, 152-703, South Korea

Location

Novo Nordisk Investigational Site

Daegu, 705-717, South Korea

Location

Novo Nordisk Investigational Site

Daegu, 705-718, South Korea

Location

Novo Nordisk Investigational Site

Guri-si, 471-101, South Korea

Location

Novo Nordisk Investigational Site

Gyeonggi-do, 480-717, South Korea

Location

Novo Nordisk Investigational Site

Incheon, 400-103, South Korea

Location

Novo Nordisk Investigational Site

Incheon, 405-760, South Korea

Location

Novo Nordisk Investigational Site

Jeollanamdo, 501-717, South Korea

Location

Novo Nordisk Investigational Site

Pusan, 602-739, South Korea

Location

Novo Nordisk Investigational Site

Seongnam-si, 463-707, South Korea

Location

Novo Nordisk Investigational Site

Seoul, 02447, South Korea

Location

Novo Nordisk Investigational Site

Seoul, 02841, South Korea

Location

Novo Nordisk Investigational Site

Seoul, 120-752, South Korea

Location

Novo Nordisk Investigational Site

Seoul, 134-701, 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

Kaohsiung City, 833, Taiwan

Location

Novo Nordisk Investigational Site

Taichung, 404, Taiwan

Location

Novo Nordisk Investigational Site

Tainan, 710, Taiwan

Location

Novo Nordisk Investigational Site

Taipei, 100, Taiwan

Location

Novo Nordisk Investigational Site

Taipei, 112, Taiwan

Location

Related Publications (7)

  • 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.

  • 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.

  • Taneda S, Hyllested-Winge J, Gall MA, Kaneko S, Hirao K. Insulin degludec/insulin aspart versus biphasic insulin aspart 30 twice daily in insulin-experienced Japanese subjects with uncontrolled type 2 diabetes: Subgroup analysis of a Pan-Asian, treat-to-target Phase 3 Trial. J Diabetes. 2017 Mar;9(3):243-247. doi: 10.1111/1753-0407.12407. Epub 2016 Jul 7.

  • 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.

  • Kaneko S, Chow F, Choi DS, Taneda S, Hirao K, Park Y, Andersen TH, Gall MA, Christiansen JS; BOOST: Intensify All Trial Investigators. Insulin degludec/insulin aspart versus biphasic insulin aspart 30 in Asian patients with type 2 diabetes inadequately controlled on basal or pre-/self-mixed insulin: a 26-week, randomised, treat-to-target trial. Diabetes Res Clin Pract. 2015 Jan;107(1):139-47. doi: 10.1016/j.diabres.2014.09.026. Epub 2014 Oct 14.

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

January 29, 2010

First Posted

February 1, 2010

Study Start

February 1, 2010

Primary Completion

December 23, 2010

Study Completion

December 23, 2010

Last Updated

December 20, 2018

Results First Posted

November 20, 2015

Record last verified: 2018-11

Locations