Study Stopped
Trial terminated prematurely due to slow recruitment.
Comparing Efficacy and Safety of Insulin Detemir Plus Insulin Aspart and NPH Insulin Plus Human Soluble Insulin With or Without Metformin in Chinese Patients With Type 2 Diabetes
A 2-week, Randomised, Controlled, Open-label, Two-group Parallel, Multi-centre Trial Comparing Efficacy and Safety of Insulin Detemir Plus Insulin Aspart and NPH Insulin Plus Human Soluble Insulin Both in a Basal Bolus Regimen With or Without Metformin in Chinese Inpatients With Type 2 Diabetes Currently Treated With Insulin Qualifying for Intensified Treatment
2 other identifiers
interventional
58
1 country
6
Brief Summary
This trial is conducted in Asia. The aim of this trial is to compare efficacy and safety of insulin detemir plus insulin aspart and NPH insulin plus human soluble insulin both in a basal bolus regimen with or without metformin in Chinese patients with type 2 diabetes. The trial adopts a group sequential design, where the analysis of the primary efficacy endpoint will be performed at the interim analysis, in addition to the final formal analysis. The decision to continue or stop the trial will be based on the result of the interim analysis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4 diabetes
Started Nov 2011
Shorter than P25 for phase_4 diabetes
6 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
November 1, 2011
CompletedFirst Submitted
Initial submission to the registry
December 5, 2011
CompletedFirst Posted
Study publicly available on registry
December 7, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2012
CompletedResults Posted
Study results publicly available
June 17, 2013
CompletedMarch 17, 2017
February 1, 2017
7 months
December 5, 2011
April 22, 2013
February 9, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Change From Baseline in Mean 8-point Plasma Glucose (PG) After Two Weeks of Treatment
Mean value of 8-point PG was the arithmetic mean of all 8 time-instant PG values of the 8-point PG profile.
Week 0, week 2
Secondary Outcomes (9)
Change From Baseline in Fasting Plasma Glucose (FPG) After Two Weeks of Treatment
Week 0, week 2
Change From Baseline in Mean 2-hour Post Prandial Plasma Glucose (2hPPG) of 3 Meals After Two Weeks of Treatment
Week 0, week 2
Change From Baseline in Mean Value of Pre-lunch, Pre-dinner and Bedtime PG After Two Weeks of Treatment
Week 0, week 2
Percentage of Subjects Achieving FPG < 6.0 mmol / L After Two Weeks of Treatment
Week 2
Percentage of Subjects Achieving Mean 2hPPG of 3 Meals < 8.0 mmol / L After Two Weeks of Treatment
Week 2
- +4 more secondary outcomes
Study Arms (2)
Insulin detemir / IAsp
EXPERIMENTALinsulin NPH
ACTIVE COMPARATORInterventions
Dose individually adjusted. Administered subcutaneously/s.c. (under the skin) once daily using NovoPen®4
Dose individually adjusted. Administered subcutaneously/s.c. (under the skin) three times a day before a meal using NovoPen®4
Dose individually adjusted. Administered subcutaneously/s.c. (under the skin) once daily using NovoPen®4
Dose individually adjusted. Administered subcutaneously/s.c. (under the skin) three times a day before a meal using NovoPen®4
For subjects previously treated with metformin, the dosage and frequency will be kept unchanged
Eligibility Criteria
You may qualify if:
- Type 2 diabetes mellitus (diagnosed clinically) for at 12 months or longer
- Currently treated with basal insulin once daily or premixed insulin twice daily for at least 3 months with or without OAD(s), and total daily insulin dose less than 1.4 IU (U)/kg (If treated with metformin, unchanged total daily dose of at least 1000 mg for at least 3 months)
- Body Mass Index (BMI) equal to 40 kg/m\^2 or below
- HbA1c (glycosylated haemoglobin A1c) between 7.0% and 10.0% by central laboratory analysis
- Plan to be admitted for optimising glycaemic control at least 2 days prior to the randomisation
You may not qualify if:
- Treatment with thiazolidinediones (TZD) or Glucagon-Like Peptide-1 (GLP-1) receptor agonists within the last 3 months prior to the screening
- Anticipated change after the randomisation in concomitant medication known to interfere with glucose metabolism, such as systemic corticosteroids, beta-blockers and mono amine oxidase (MAO) inhibitors
- Previous participation in this trial (participation is defined as randomised. Re-screening of screening failures is allowed only once within the limits of the recruitment period.)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (6)
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, 100034, China
Novo Nordisk Investigational Site
Chongqing, Chongqing Municipality, 400016, China
Novo Nordisk Investigational Site
Wuxi, Jiangsu, 214023, China
Novo Nordisk Investigational Site
Nanchang, Jiangxi, 330006, China
Novo Nordisk Investigational Site
Shanghai, Shanghai Municipality, 200003, China
Novo Nordisk Investigational Site
Shanghai, Shanghai Municipality, 200072, China
Related Publications (1)
Guo X, Li Q, Shi Y, Bu R, Liu J, Qu S, Gao Y. Efficacy and safety of insulin detemir plus insulin aspart versus NPH insulin plus human soluble insulin with or without metformin in Chinese type 2 diabetes. Chinese J Diabetes 2014; 22 (1)
RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
The size of population analysed in study was smaller than that planned in the protocol. Therefore, the superiority of experimental products to comparator could not be concluded with sufficient statistical power.
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 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 5, 2011
First Posted
December 7, 2011
Study Start
November 1, 2011
Primary Completion
June 1, 2012
Study Completion
June 1, 2012
Last Updated
March 17, 2017
Results First Posted
June 17, 2013
Record last verified: 2017-02