Comparing the Efficacy and Safety of NN1250 Once Daily When Titrated Using 2 Different Algorithms in Insulin naïve Subjects With Type 2 Diabetes Mellitus
BEGIN™
A Trial Comparing the Efficacy and Safety of Insulin Degludec Once Daily in Insulin naïve Subjects With Type 2 Diabetes Mellitus When Titrated Using Two Different Titration Algorithms (BEGIN™: ONCE SIMPLE USE)
3 other identifiers
interventional
222
4 countries
45
Brief Summary
This trial is conducted in Europe and the United States of America (USA). The aim of this trial is to compare the efficacy and safety of NN1250 (insulin degludec (IDeg)) once daily in insulin naïve subjects with type 2 diabetes mellitus when titrated using two different self-titration algorithms (dose individually adjusted) in combination with metformin.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3 diabetes
Started Mar 2011
Shorter than P25 for phase_3 diabetes
45 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
Study Start
First participant enrolled
March 1, 2011
CompletedFirst Submitted
Initial submission to the registry
March 29, 2011
CompletedFirst Posted
Study publicly available on registry
March 30, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2011
CompletedResults Posted
Study results publicly available
November 17, 2015
CompletedMarch 6, 2017
January 1, 2017
9 months
March 29, 2011
October 16, 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 (4)
Change in Fasting Plasma Glucose (FPG)
Week 0, Week 26
Rate of Treatment Emergent Adverse Events (AEs)
Week 0 to Week 26 + 7 days follow up
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
Study Arms (2)
IDeg Simple
EXPERIMENTALIDeg Step wise
EXPERIMENTALInterventions
Injected subcutaneously (under the skin) once daily. Dose individually adjusted.
Eligibility Criteria
You may qualify if:
- Type 2 diabetes (diagnosed clinically) for at least 24 weeks prior to randomisation (Visit 2)
- Current treatment: metformin monotherapy or metformin in any combination with 1 or 2 other OADs including an insulin secretagogue (sulfonylurea or glinide), dipeptidyl peptidase IV (DPP-IV) inhibitors, alpha-glucosidase inhibitors, thiazolidinediones (TZDs) all with unchanged dosing for at least 12 weeks prior to randomisation (Visit 2)-metformin: alone or in combination (including fixed combination) must be at least 1000 mg daily
- HbA1c 7.0-10.0% (both inclusive) by central laboratory analysis
- BMI (Body Mass Index) no higher than 45.0 kg/m\^2
You may not qualify if:
- Treatment with glucagon-like peptide 1 (GLP-1) receptor agonist within the last 12 weeks prior to Visit 2
- Suffer from a life threatening disease (e.g. cancer)
- Females of childbearing potential who are pregnant (as determined by central laboratory beta-human chorionic gonadotropin (beta-hCG), breast feeding or intend to become pregnant or are not using adequate contraceptive methods (adequate contraceptive methods as required by law or practise \[for Germany, adequate contraceptive methods are: implants, injectables, combined oral contraceptives, hormonal IUD, sexual abstinence or vasectomised partner\])
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (45)
Novo Nordisk Investigational Site
Birmingham, Alabama, 35216, United States
Novo Nordisk Investigational Site
Huntsville, Alabama, 35801, United States
Novo Nordisk Investigational Site
Anaheim, California, 92801, United States
Novo Nordisk Investigational Site
La Jolla, California, 92037, United States
Novo Nordisk Investigational Site
Mission Hills, California, 91345, United States
Novo Nordisk Investigational Site
National City, California, 91950, United States
Novo Nordisk Investigational Site
North Hollywood, California, 91606, United States
Novo Nordisk Investigational Site
San Diego, California, 92111, United States
Novo Nordisk Investigational Site
Golden, Colorado, 80401, United States
Novo Nordisk Investigational Site
Kissimmee, Florida, 34741, United States
Novo Nordisk Investigational Site
Tampa, Florida, 33603, United States
Novo Nordisk Investigational Site
Columbus, Georgia, 31909, United States
Novo Nordisk Investigational Site
Springfield, Illinois, 62711, United States
Novo Nordisk Investigational Site
Evansville, Indiana, 47714, United States
Novo Nordisk Investigational Site
Slidell, Louisiana, 70461-4231, United States
Novo Nordisk Investigational Site
Billings, Montana, 59102, United States
Novo Nordisk Investigational Site
Staten Island, New York, 10301, United States
Novo Nordisk Investigational Site
Greensboro, North Carolina, 27408, United States
Novo Nordisk Investigational Site
Franklin, Ohio, 45005, United States
Novo Nordisk Investigational Site
Melrose Park, Pennsylvania, 19027, United States
Novo Nordisk Investigational Site
East Providence, Rhode Island, 02914, United States
Novo Nordisk Investigational Site
Humboldt, Tennessee, 38343, United States
Novo Nordisk Investigational Site
Houston, Texas, 77095, United States
Novo Nordisk Investigational Site
Killeen, Texas, 76543-5600, United States
Novo Nordisk Investigational Site
San Antonio, Texas, 78224, United States
Novo Nordisk Investigational Site
Ogden, Utah, 84403, United States
Novo Nordisk Investigational Site
St. George, Utah, 84790, United States
Novo Nordisk Investigational Site
Helsinki, 00260, Finland
Novo Nordisk Investigational Site
Kerava, FI-04200, Finland
Novo Nordisk Investigational Site
Tampere, 33210, Finland
Novo Nordisk Investigational Site
Turku, 20520, Finland
Novo Nordisk Investigational Site
Turku, FI-20100, Finland
Novo Nordisk Investigational Site
Berlin, 12163, Germany
Novo Nordisk Investigational Site
Friedrichsthal, 66299, Germany
Novo Nordisk Investigational Site
Hohenmölsen, 06679, Germany
Novo Nordisk Investigational Site
Münster, 48145, Germany
Novo Nordisk Investigational Site
Neuwied, 56564, Germany
Novo Nordisk Investigational Site
Völklingen, 66333, Germany
Novo Nordisk Investigational Site
Almería, 04001, Spain
Novo Nordisk Investigational Site
Antequera, 29200, Spain
Novo Nordisk Investigational Site
Gijón, 33206, Spain
Novo Nordisk Investigational Site
Málaga, 29006, Spain
Novo Nordisk Investigational Site
Palma de Mallorca, 07014, Spain
Novo Nordisk Investigational Site
Palma de Mallorca, 07198, Spain
Novo Nordisk Investigational Site
Pozuelo de Alarcón, 28223, Spain
Related Publications (1)
Philis-Tsimikas A, Brod M, Niemeyer M, Ocampo Francisco AM, Rothman J. Insulin degludec once-daily in type 2 diabetes: simple or step-wise titration (BEGIN: once simple use). Adv Ther. 2013 Jun;30(6):607-22. doi: 10.1007/s12325-013-0036-1. Epub 2013 Jun 29.
PMID: 23812875RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition 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
March 29, 2011
First Posted
March 30, 2011
Study Start
March 1, 2011
Primary Completion
December 1, 2011
Study Completion
December 1, 2011
Last Updated
March 6, 2017
Results First Posted
November 17, 2015
Record last verified: 2017-01