NCT01486966

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

57
Monitor

Trial Health Score

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

Enrollment
58

participants targeted

Target at P25-P50 for phase_4 diabetes

Timeline
Completed

Started Nov 2011

Shorter than P25 for phase_4 diabetes

Geographic Reach
1 country

6 active sites

Status
terminated

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

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

December 5, 2011

Completed
2 days until next milestone

First Posted

Study publicly available on registry

December 7, 2011

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2012

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2012

Completed
1 year until next milestone

Results Posted

Study results publicly available

June 17, 2013

Completed
Last Updated

March 17, 2017

Status Verified

February 1, 2017

Enrollment Period

7 months

First QC Date

December 5, 2011

Results QC Date

April 22, 2013

Last Update Submit

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

EXPERIMENTAL
Drug: insulin detemirDrug: insulin aspartDrug: metformin

insulin NPH

ACTIVE COMPARATOR
Drug: insulin NPHDrug: human soluble insulinDrug: metformin

Interventions

Dose individually adjusted. Administered subcutaneously/s.c. (under the skin) once daily using NovoPen®4

Insulin detemir / IAsp

Dose individually adjusted. Administered subcutaneously/s.c. (under the skin) three times a day before a meal using NovoPen®4

Insulin detemir / IAsp

Dose individually adjusted. Administered subcutaneously/s.c. (under the skin) once daily using NovoPen®4

insulin NPH

Dose individually adjusted. Administered subcutaneously/s.c. (under the skin) three times a day before a meal using NovoPen®4

insulin NPH

For subjects previously treated with metformin, the dosage and frequency will be kept unchanged

Insulin detemir / IAspinsulin NPH

Eligibility Criteria

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

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

Study Sites (6)

Novo Nordisk Investigational Site

Beijing, Beijing Municipality, 100034, China

Location

Novo Nordisk Investigational Site

Chongqing, Chongqing Municipality, 400016, China

Location

Novo Nordisk Investigational Site

Wuxi, Jiangsu, 214023, China

Location

Novo Nordisk Investigational Site

Nanchang, Jiangxi, 330006, China

Location

Novo Nordisk Investigational Site

Shanghai, Shanghai Municipality, 200003, China

Location

Novo Nordisk Investigational Site

Shanghai, Shanghai Municipality, 200072, China

Location

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

Diabetes MellitusDiabetes Mellitus, Type 2

Interventions

Insulin DetemirInsulin AspartInsulin, IsophaneMetformin

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 ProteinsInsulin, Short-ActingBiguanidesGuanidinesAmidinesOrganic Chemicals

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

  • 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 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

Locations