NCT01068665

Brief Summary

This trial is conducted in South Africa, Europe and North America. The aim of this trial is to compare efficacy and safety of NN1250 (insulin degludec (IDeg)) with insulin glargine (IGlar), as add-on to subject's ongoing treatment with metformin and/or dipeptyl peptidase 4 (DPP-4) inhibitors, in patients with type 2 diabetes being treated with oral anti-diabetic drugs (OADs) qualifying for intensified treatment.

Trial Health

93
On Track

Trial Health Score

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

Enrollment
460

participants targeted

Target at P50-P75 for phase_3 diabetes

Timeline
Completed

Started Mar 2010

Shorter than P25 for phase_3 diabetes

Geographic Reach
8 countries

116 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

February 12, 2010

Completed
3 days until next milestone

First Posted

Study publicly available on registry

February 15, 2010

Completed
14 days until next milestone

Study Start

First participant enrolled

March 1, 2010

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2010

Completed
5 years until next milestone

Results Posted

Study results publicly available

November 13, 2015

Completed
Last Updated

March 6, 2017

Status Verified

January 1, 2017

Enrollment Period

8 months

First QC Date

February 12, 2010

Results QC Date

October 12, 2015

Last Update Submit

January 20, 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 (1)

  • Change in Fasting Plasma Glucose (FPG)

    Week 0, Week 26

Study Arms (2)

IDeg 200 U/mL OD

EXPERIMENTAL
Drug: insulin degludec

IGlar OD

ACTIVE COMPARATOR
Drug: insulin glargine

Interventions

Injected subcutaneously (under the skin) once daily. Dose was individually adjusted.

IDeg 200 U/mL OD

Injected subcutaneously (under the skin) once daily. Dose was individually adjusted.

IGlar OD

Eligibility Criteria

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

You may qualify if:

  • Insulin naïve subject (allowed are: previous short term insulin treatment up to 14 days; Treatment during hospitalisation or during gestational diabetes is allowed for periods longer than 14 days)
  • Current treatment: metformin monotherapy or metformin in any combination with an insulin secretagogue (sulfonylurea or glinide), DPP-4 inhibitor, alpha-glucosidase-inhibitors (acarbose) with unchanged dosing for at least 3 months prior to visit 1 with the minimum doses stated: -Metformin: alone or in combination (including fixed combination) 1500 mg daily, or maximum tolerated dose (at least 1000 mg daily) -Insulin secretagogue (sulfonylurea or glinide): minimum half of the daily maximal dose according to local labelling -DPP-4 inhibitor: minimum half of the daily maximal dose according to local labelling - alpha-glucosidase-inhibitors (acarbose): minimum half of the daily maximal dose or maximum tolerated dose
  • HbA1c 7.0-10.0 % (both inclusive) by central laboratory analysis
  • Body Mass Index (BMI) maximum 45.0 kg/m\^2
  • Type 2 diabetes (diagnosed clinically) for at least 6 months
  • Ability and willingness to adhere to the protocol including performance of self monitored plasma glucose (SMPG) profiles according to the protocol

You may not qualify if:

  • Use within the last 3 months prior to Visit 1 of: thiazoledinediones (TZDs), 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, the intention of becoming pregnant or not using adequate contraceptive measures according to local requirements \[for UK: adequate contraceptive measures are defined as established use of oral, injected or implanted hormonal methods of contraception, sterilisation, intrauterine device or intrauterine system, or consistent use of barrier methods\]
  • Cancer and medical history of cancer hereof (except basal cell skin cancer or squamous cell skin cancer)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (116)

Novo Nordisk Investigational Site

Huntsville, Alabama, 35801, United States

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Novo Nordisk Investigational Site

Gilbert, Arizona, 85295, United States

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Novo Nordisk Investigational Site

Phoenix, Arizona, 85018, United States

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Novo Nordisk Investigational Site

Tucson, Arizona, 85741, United States

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Novo Nordisk Investigational Site

Anaheim, California, 92801, United States

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Novo Nordisk Investigational Site

Huntington Beach, California, 92648, United States

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Novo Nordisk Investigational Site

Mission Hills, California, 91345, United States

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Novo Nordisk Investigational Site

Montclair, California, 91763, United States

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Novo Nordisk Investigational Site

National City, California, 91950, United States

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Novo Nordisk Investigational Site

Norco, California, 92860, United States

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Novo Nordisk Investigational Site

San Diego, California, 92111, United States

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Novo Nordisk Investigational Site

Valencia, California, 91355, United States

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Novo Nordisk Investigational Site

Walnut Creek, California, 94598, United States

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Novo Nordisk Investigational Site

Aurora, Colorado, 80045-7402, United States

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Novo Nordisk Investigational Site

Hollywood, Florida, 33021, United States

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Novo Nordisk Investigational Site

Jacksonville, Florida, 32209-6511, United States

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Novo Nordisk Investigational Site

Longwood, Florida, 32779, United States

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Novo Nordisk Investigational Site

Ocala, Florida, 34471, United States

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Novo Nordisk Investigational Site

Ponte Vedra, Florida, 32081, United States

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Novo Nordisk Investigational Site

Vero Beach, Florida, 32960, United States

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Novo Nordisk Investigational Site

Decatur, Georgia, 30033, United States

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Novo Nordisk Investigational Site

Lawrenceville, Georgia, 30046, United States

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Novo Nordisk Investigational Site

Roswell, Georgia, 30076, United States

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Novo Nordisk Investigational Site

Chicago, Illinois, 60611, United States

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Novo Nordisk Investigational Site

Chicago, Illinois, 60616, United States

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Novo Nordisk Investigational Site

Crystal Lake, Illinois, 60012, United States

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Novo Nordisk Investigational Site

Evansville, Indiana, 47714, United States

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Greenfield, Indiana, 46140, United States

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Novo Nordisk Investigational Site

Des Moines, Iowa, 50314-2610, United States

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Madisonville, Kentucky, 42431, United States

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Slidell, Louisiana, 70461-4231, United States

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Greenbelt, Maryland, 20770, United States

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Brockton, Massachusetts, 02301, United States

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Southfield, Michigan, 48034, United States

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Southfield, Michigan, 48075, United States

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Troy, Michigan, 48098, United States

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Minneapolis, Minnesota, 55416, United States

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Novo Nordisk Investigational Site

Biloxi, Mississippi, 39531-4535, United States

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Novo Nordisk Investigational Site

St Louis, Missouri, 63104, United States

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Novo Nordisk Investigational Site

Billings, Montana, 59102, United States

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Novo Nordisk Investigational Site

Brick, New Jersey, 08724, United States

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Novo Nordisk Investigational Site

Mine Hill, New Jersey, 07803, United States

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Novo Nordisk Investigational Site

Brooklyn, New York, 11203-2711, United States

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Novo Nordisk Investigational Site

New York, New York, 10025, United States

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Novo Nordisk Investigational Site

Asheboro, North Carolina, 27203, United States

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Novo Nordisk Investigational Site

Chapel Hill, North Carolina, 27517, United States

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Charlotte, North Carolina, 28277, United States

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Greensboro, North Carolina, 27408, United States

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Franklin, Ohio, 45005, United States

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Beaver, Pennsylvania, 15009, United States

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Melrose Park, Pennsylvania, 19027, United States

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Norristown, Pennsylvania, 19401, United States

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Philadelphia, Pennsylvania, 19107, United States

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Peak, South Carolina, 29122, United States

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Novo Nordisk Investigational Site

DeSoto, Texas, 75115, United States

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Novo Nordisk Investigational Site

El Paso, Texas, 79912, United States

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Killeen, Texas, 76543, United States

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Plano, Texas, 75093, United States

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Novo Nordisk Investigational Site

Sugar Land, Texas, 77479, United States

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Novo Nordisk Investigational Site

St. George, Utah, 84790, United States

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Novo Nordisk Investigational Site

Renton, Washington, 98057, United States

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Novo Nordisk Investigational Site

Milwaukee, Wisconsin, 53209, United States

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Novo Nordisk Investigational Site

Calgary, Alberta, T2H 2G4, Canada

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Novo Nordisk Investigational Site

Edmonton, Alberta, T5J 3N4, Canada

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Novo Nordisk Investigational Site

Langley, British Columbia, V3A 4H9, Canada

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Novo Nordisk Investigational Site

Cambridge, Ontario, N1R 7L6, Canada

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Novo Nordisk Investigational Site

Cornwall, Ontario, K6H 4M4, Canada

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Greater Sudbury, Ontario, P3C 5K7, Canada

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Novo Nordisk Investigational Site

Hamilton, Ontario, L8L 5G8, Canada

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Novo Nordisk Investigational Site

Hamilton, Ontario, L8M 1K7, Canada

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Novo Nordisk Investigational Site

Hamilton, Ontario, L8N 3Z5, Canada

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Novo Nordisk Investigational Site

Mississauga, Ontario, L5B 4A2, Canada

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Novo Nordisk Investigational Site

Saint Romuald, Quebec, G6W 5M6, Canada

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Novo Nordisk Investigational Site

Antibes, 06600, France

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Novo Nordisk Investigational Site

Besançon, 25030, France

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Novo Nordisk Investigational Site

Narbonne, 11108, France

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Novo Nordisk Investigational Site

Pointe à Pitre, 97159, France

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Novo Nordisk Investigational Site

Rennes, 35056, France

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Novo Nordisk Investigational Site

Sète, 34200, France

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Novo Nordisk Investigational Site

Vénissieux, 69200, France

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Novo Nordisk Investigational Site

Dublin, DUBLIN 15, Ireland

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Novo Nordisk Investigational Site

Dublin, DUBLIN 7, Ireland

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Novo Nordisk Investigational Site

Dublin, DUBLIN 8, Ireland

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Novo Nordisk Investigational Site

Kemerovo, 650099, Russia

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Novo Nordisk Investigational Site

Krasnoyarsk, 660062, Russia

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Novo Nordisk Investigational Site

Moscow, 117036, Russia

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Novo Nordisk Investigational Site

Moscow, 121356, Russia

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Novo Nordisk Investigational Site

Saint Petersburg, 199034, Russia

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Novo Nordisk Investigational Site

Voronezh, 394018, Russia

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Novo Nordisk Investigational Site

Yekaterinburg, 620102, Russia

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Novo Nordisk Investigational Site

East London, Eastern Cape, 5201, South Africa

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Novo Nordisk Investigational Site

Port Elizabeth, Eastern Cape, 6045, South Africa

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Novo Nordisk Investigational Site

Durban, KwaZulu-Natal, 4000, South Africa

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Novo Nordisk Investigational Site

Alberton, 1449, South Africa

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Novo Nordisk Investigational Site

Kiev, 04114, Ukraine

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Novo Nordisk Investigational Site

Abergavenny, NP7 7EG, United Kingdom

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Novo Nordisk Investigational Site

Ashton-under-Lyne, OL6 9RW, United Kingdom

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Novo Nordisk Investigational Site

Atherstone, CV9 1EU, United Kingdom

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Novo Nordisk Investigational Site

Ayr, KA6 6DX, United Kingdom

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Novo Nordisk Investigational Site

Bath, BA2 1NH, United Kingdom

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Novo Nordisk Investigational Site

Bolton, BL3 6TL, United Kingdom

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Novo Nordisk Investigational Site

Chester, CH2 1UL, United Kingdom

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Novo Nordisk Investigational Site

Chorley, PR7 1PP, United Kingdom

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Novo Nordisk Investigational Site

Coventry, CV2 2DX, United Kingdom

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Novo Nordisk Investigational Site

Epworth, DN9 1EP, United Kingdom

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Novo Nordisk Investigational Site

Harrogate, HG1 5JP, United Kingdom

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Novo Nordisk Investigational Site

Letchworth Garden City, SG6 4UB, United Kingdom

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Novo Nordisk Investigational Site

Livingstone, EH54 6PP, United Kingdom

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Novo Nordisk Investigational Site

Llantrisant, CF72 8XR, United Kingdom

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Novo Nordisk Investigational Site

Maidstone, ME16 9QQ, United Kingdom

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Novo Nordisk Investigational Site

Oldham, OL1 2JH, United Kingdom

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Novo Nordisk Investigational Site

Rugby, CV22 5PX, United Kingdom

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Novo Nordisk Investigational Site

Salford, M6 8HD, United Kingdom

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Novo Nordisk Investigational Site

Trowbridge, BA14 8QA, United Kingdom

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Novo Nordisk Investigational Site

Whitby, YO21 1SD, United Kingdom

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Novo Nordisk Investigational Site

Wrexham, LL13 7TD, United Kingdom

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Related Publications (10)

  • Weatherall J, Bloudek L, Buchs S. Budget impact of treating commercially insured type 1 and type 2 diabetes patients in the United States with insulin degludec compared to insulin glargine. Curr Med Res Opin. 2017 Feb;33(2):231-238. doi: 10.1080/03007995.2016.1251893. Epub 2016 Nov 18.

  • 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.

  • Gough SC, Bhargava A, Jain R, Mersebach H, Rasmussen S, Bergenstal RM. Low-volume insulin degludec 200 units/ml once daily improves glycemic control similarly to insulin glargine with a low risk of hypoglycemia in insulin-naive patients with type 2 diabetes: a 26-week, randomized, controlled, multinational, treat-to-target trial: the BEGIN LOW VOLUME trial. Diabetes Care. 2013 Sep;36(9):2536-42. doi: 10.2337/dc12-2329. Epub 2013 May 28.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

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

February 12, 2010

First Posted

February 15, 2010

Study Start

March 1, 2010

Primary Completion

November 1, 2010

Study Completion

November 1, 2010

Last Updated

March 6, 2017

Results First Posted

November 13, 2015

Record last verified: 2017-01

Locations