Comparison of NN1250 With Insulin Glargine in Subjects With Type 2 Diabetes
BEGIN™
A Trial Comparing Efficacy and Safety of NN1250 and Insulin Glargine in Subjects With Type 2 Diabetes (BEGIN™: LOW VOLUME)
3 other identifiers
interventional
460
8 countries
116
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 diabetes
Started Mar 2010
Shorter than P25 for phase_3 diabetes
116 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
February 12, 2010
CompletedFirst Posted
Study publicly available on registry
February 15, 2010
CompletedStudy Start
First participant enrolled
March 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2010
CompletedResults Posted
Study results publicly available
November 13, 2015
CompletedMarch 6, 2017
January 1, 2017
8 months
February 12, 2010
October 12, 2015
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
EXPERIMENTALIGlar OD
ACTIVE COMPARATORInterventions
Injected subcutaneously (under the skin) once daily. Dose was individually adjusted.
Injected subcutaneously (under the skin) once daily. Dose was individually adjusted.
Eligibility Criteria
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
- Novo Nordisk A/Slead
Study Sites (116)
Novo Nordisk Investigational Site
Huntsville, Alabama, 35801, United States
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Gilbert, Arizona, 85295, United States
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Phoenix, Arizona, 85018, United States
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Tucson, Arizona, 85741, United States
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Anaheim, California, 92801, United States
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Huntington Beach, California, 92648, United States
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Mission Hills, California, 91345, United States
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Montclair, California, 91763, United States
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National City, California, 91950, United States
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Norco, California, 92860, United States
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San Diego, California, 92111, United States
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Valencia, California, 91355, United States
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Walnut Creek, California, 94598, United States
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Aurora, Colorado, 80045-7402, United States
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Hollywood, Florida, 33021, United States
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Jacksonville, Florida, 32209-6511, United States
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Longwood, Florida, 32779, United States
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Ocala, Florida, 34471, United States
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Ponte Vedra, Florida, 32081, United States
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Vero Beach, Florida, 32960, United States
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Decatur, Georgia, 30033, United States
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Lawrenceville, Georgia, 30046, United States
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Roswell, Georgia, 30076, United States
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Chicago, Illinois, 60611, United States
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Chicago, Illinois, 60616, United States
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Crystal Lake, Illinois, 60012, United States
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Evansville, Indiana, 47714, United States
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Greenfield, Indiana, 46140, United States
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Des Moines, Iowa, 50314-2610, United States
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Madisonville, Kentucky, 42431, United States
Novo Nordisk Investigational Site
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
Novo Nordisk Investigational Site
Biloxi, Mississippi, 39531-4535, United States
Novo Nordisk Investigational Site
St Louis, Missouri, 63104, United States
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Billings, Montana, 59102, United States
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Brick, New Jersey, 08724, United States
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Mine Hill, New Jersey, 07803, United States
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Brooklyn, New York, 11203-2711, United States
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New York, New York, 10025, United States
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Asheboro, North Carolina, 27203, United States
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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
Novo Nordisk Investigational Site
Peak, South Carolina, 29122, United States
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DeSoto, Texas, 75115, United States
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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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Sugar Land, Texas, 77479, United States
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St. George, Utah, 84790, United States
Novo Nordisk Investigational Site
Renton, Washington, 98057, United States
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Milwaukee, Wisconsin, 53209, United States
Novo Nordisk Investigational Site
Calgary, Alberta, T2H 2G4, Canada
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Edmonton, Alberta, T5J 3N4, Canada
Novo Nordisk Investigational Site
Langley, British Columbia, V3A 4H9, Canada
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Cambridge, Ontario, N1R 7L6, Canada
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Cornwall, Ontario, K6H 4M4, Canada
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Greater Sudbury, Ontario, P3C 5K7, Canada
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Hamilton, Ontario, L8L 5G8, Canada
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Hamilton, Ontario, L8M 1K7, Canada
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Hamilton, Ontario, L8N 3Z5, Canada
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Mississauga, Ontario, L5B 4A2, Canada
Novo Nordisk Investigational Site
Saint Romuald, Quebec, G6W 5M6, Canada
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Antibes, 06600, France
Novo Nordisk Investigational Site
Besançon, 25030, France
Novo Nordisk Investigational Site
Narbonne, 11108, France
Novo Nordisk Investigational Site
Pointe à Pitre, 97159, France
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Rennes, 35056, France
Novo Nordisk Investigational Site
Sète, 34200, France
Novo Nordisk Investigational Site
Vénissieux, 69200, France
Novo Nordisk Investigational Site
Dublin, DUBLIN 15, Ireland
Novo Nordisk Investigational Site
Dublin, DUBLIN 7, Ireland
Novo Nordisk Investigational Site
Dublin, DUBLIN 8, Ireland
Novo Nordisk Investigational Site
Kemerovo, 650099, Russia
Novo Nordisk Investigational Site
Krasnoyarsk, 660062, Russia
Novo Nordisk Investigational Site
Moscow, 117036, Russia
Novo Nordisk Investigational Site
Moscow, 121356, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 199034, Russia
Novo Nordisk Investigational Site
Voronezh, 394018, Russia
Novo Nordisk Investigational Site
Yekaterinburg, 620102, Russia
Novo Nordisk Investigational Site
East London, Eastern Cape, 5201, South Africa
Novo Nordisk Investigational Site
Port Elizabeth, Eastern Cape, 6045, South Africa
Novo Nordisk Investigational Site
Durban, KwaZulu-Natal, 4000, South Africa
Novo Nordisk Investigational Site
Alberton, 1449, South Africa
Novo Nordisk Investigational Site
Kiev, 04114, Ukraine
Novo Nordisk Investigational Site
Abergavenny, NP7 7EG, United Kingdom
Novo Nordisk Investigational Site
Ashton-under-Lyne, OL6 9RW, United Kingdom
Novo Nordisk Investigational Site
Atherstone, CV9 1EU, United Kingdom
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Ayr, KA6 6DX, United Kingdom
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Bath, BA2 1NH, United Kingdom
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Bolton, BL3 6TL, United Kingdom
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Chester, CH2 1UL, United Kingdom
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Chorley, PR7 1PP, United Kingdom
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Coventry, CV2 2DX, United Kingdom
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Epworth, DN9 1EP, United Kingdom
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Harrogate, HG1 5JP, United Kingdom
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Letchworth Garden City, SG6 4UB, United Kingdom
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Livingstone, EH54 6PP, United Kingdom
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Llantrisant, CF72 8XR, United Kingdom
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Maidstone, ME16 9QQ, United Kingdom
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Oldham, OL1 2JH, United Kingdom
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Rugby, CV22 5PX, United Kingdom
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Salford, M6 8HD, United Kingdom
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Trowbridge, BA14 8QA, United Kingdom
Novo Nordisk Investigational Site
Whitby, YO21 1SD, United Kingdom
Novo Nordisk Investigational Site
Wrexham, LL13 7TD, United Kingdom
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.
PMID: 27764979RESULTRatner 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: 23130654RESULTGough 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.
PMID: 23715753RESULTHeller 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: 26484727RESULTVora 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: 24812526RESULTSorli 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: 24170235RESULTEinhorn 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: 26121451RESULTRussell-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: 26663320RESULT
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
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