A Trial Investigating the Efficacy and Safety of Insulin Degludec in Children and Adolescents With Type 1 Diabetes Mellitus
BEGIN™
A 26-week, Multinational, Multi-centre, Open-Labelled, Randomised, Parallel, Efficacy and Safety Comparison of Insulin Degludec and Insulin Detemir in Children and Adolescents 1 to Less Than 18 Years With Type 1 Diabetes Mellitus on a Basal-bolus Regimen With Insulin Aspart as Bolus Insulin, Followed by a 26-week Extension Investigating Long Term Safety (BEGIN™: Young 1)
4 other identifiers
interventional
350
12 countries
81
Brief Summary
This trial is conducted in Africa, Asia, Europe and the United States of America (USA). The aim of this trial is to investigate the efficacy and safety of insulin degludec in children and adolescents with type 1 diabetes mellitus.
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 Jan 2012
Typical duration for phase_3 diabetes
81 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
January 16, 2012
CompletedStudy Start
First participant enrolled
January 16, 2012
CompletedFirst Posted
Study publicly available on registry
January 20, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 30, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
July 30, 2013
CompletedResults Posted
Study results publicly available
January 12, 2016
CompletedJune 13, 2019
June 1, 2019
1.5 years
January 16, 2012
October 12, 2015
June 3, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Change From Baseline in HbA1c (Glycosylated Haemoglobin) (%) at 26 Weeks (Analysed by Central Laboratory)
Change from baseline in HbA1c (%) after 26 weeks of treatment.
Week 0, week 26
Secondary Outcomes (9)
Change From Baseline in HbA1c (%) at 52 Weeks (Analysed by Central Laboratory)
Week 0, week 52
Change From Baseline in Fasting Blood Glucose (FPG) at 26 Weeks (Analysed by Central Laboratory)
Week 0, week 26
Change From Baseline in Fasting Blood Glucose (FPG) at 52 Weeks (Analysed by Central Laboratory)
Week 0, week 52
Number of Treatment Emergent Adverse Events (TEAEs)
After 26 weeks and 52 weeks of treatment
Number of Hypoglycaemic Episodes
After 26 weeks and 52 weeks of treatment
- +4 more secondary outcomes
Study Arms (2)
Insulin Degludec + Insulin Aspart
EXPERIMENTALInsulin Detemir +Insulin Aspart
EXPERIMENTALInterventions
Injected subcutaneously (under the skin) once daily. Dose individually adjusted.
Injected subcutaneously (under the skin) once or twice daily. Dose individually adjusted.
Injected subcutaneously (under the skin) as mealtime bolus insulin. Dose individually adjusted.
Eligibility Criteria
You may qualify if:
- Informed consent, and child assent as age-appropriate, obtained before any trial-related activities (Trial-related activities are any procedure that would not have been performed during normal management of the subject). The parents or legal representative of the child must sign and date the Informed Consent Form according to local requirements. The child, if possible, parents or legal representative of the child must sign and date the Child Assent Form according to local requirements
- Male or female diagnosed with type 1 diabetes mellitus (T1DM) (based on clinical judgement and supported by laboratory analysis as per local guidelines)
- Ongoing daily treatment with insulin (any regimen) for at least 3 months prior to Visit 1 (screening). No OADs (oral anti-diabetic drugs) are allowed
- HbA1c (glycosylated haemoglobin) maximum 11%
You may not qualify if:
- Known or suspected hypersensitivity to trial product(s) or related products
- Previous participation in this trial. Participation is defined as randomisation
- Girls who are pregnant, breastfeeding or intend to become pregnant
- Girls who have had menarche and are not using adequate contraceptive measures according to local requirements
- Known hypoglycaemic unawareness or recurrent severe hypoglycaemic events as judged by the Investigator (trial physician)
- More than 1 diabetic ketoacidosis requiring hospitalisation within the last 3 months prior to Visit 1
- Significant concomitant disease, except for conditions associated with type 1 diabetes mellitus, which in the Investigator's opinion could interfere with the trial
- The receipt of any investigational drug within 1 month prior to Visit 1
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (81)
Novo Nordisk Investigational Site
Little Rock, Arkansas, 72202, United States
Novo Nordisk Investigational Site
Orange, California, 92868, United States
Novo Nordisk Investigational Site
San Diego, California, 92123, United States
Novo Nordisk Investigational Site
Aurora, Colorado, 80045, United States
Novo Nordisk Investigational Site
New Haven, Connecticut, 06511, United States
Novo Nordisk Investigational Site
Gainesville, Florida, 32608, United States
Novo Nordisk Investigational Site
Jacksonville, Florida, 32207, United States
Novo Nordisk Investigational Site
Maitland, Florida, 32751, United States
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Melbourne, Florida, 32901, United States
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Tallahassee, Florida, 32308, United States
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Atlanta, Georgia, 30322, United States
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Atlanta, Georgia, 30339, United States
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Lexington, Kentucky, 40503, United States
Novo Nordisk Investigational Site
Louisville, Kentucky, 40202, United States
Novo Nordisk Investigational Site
Baltimore, Maryland, 21201, United States
Novo Nordisk Investigational Site
Baltimore, Maryland, 21229, United States
Novo Nordisk Investigational Site
Boston, Massachusetts, 02215, United States
Novo Nordisk Investigational Site
Worcester, Massachusetts, 01655, United States
Novo Nordisk Investigational Site
Buffalo, New York, 14203, United States
Novo Nordisk Investigational Site
Akron, Ohio, 44308, United States
Novo Nordisk Investigational Site
Cincinnati, Ohio, 45229, United States
Novo Nordisk Investigational Site
Hershey, Pennsylvania, 17033, United States
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19104, United States
Novo Nordisk Investigational Site
Pittsburgh, Pennsylvania, 15224, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75235, United States
Novo Nordisk Investigational Site
San Antonio, Texas, 78207, United States
Novo Nordisk Investigational Site
Norfolk, Virginia, 23507, United States
Novo Nordisk Investigational Site
Richmond, Virginia, 23235, United States
Novo Nordisk Investigational Site
Sofia, 1606, Bulgaria
Novo Nordisk Investigational Site
Varna, 9010, Bulgaria
Novo Nordisk Investigational Site
Espoo, 02740, Finland
Novo Nordisk Investigational Site
Kuopio, 70210, Finland
Novo Nordisk Investigational Site
Mikkeli, 50100, Finland
Novo Nordisk Investigational Site
OYS, 90029, Finland
Novo Nordisk Investigational Site
Pori, 28500, Finland
Novo Nordisk Investigational Site
Bron, 69677, France
Novo Nordisk Investigational Site
Paris, 75015, France
Novo Nordisk Investigational Site
Rennes, 35056, France
Novo Nordisk Investigational Site
Toulouse, 31059, France
Novo Nordisk Investigational Site
Berlin, 13353, Germany
Novo Nordisk Investigational Site
Hanover, 30173, Germany
Novo Nordisk Investigational Site
Ludwigshafen, 67059, Germany
Novo Nordisk Investigational Site
Münster, 48155, Germany
Novo Nordisk Investigational Site
Chieti, 66100, Italy
Novo Nordisk Investigational Site
Genova, 16147, Italy
Novo Nordisk Investigational Site
Roma, 00165, Italy
Novo Nordisk Investigational Site
Chuo-shi, Yamanashi, 409 3898, Japan
Novo Nordisk Investigational Site
Fukushima, 963-8851, Japan
Novo Nordisk Investigational Site
Iruma-gun, Saitama, 350 0495, Japan
Novo Nordisk Investigational Site
Kobe-shi, Hyogo, 657-0846, Japan
Novo Nordisk Investigational Site
Kochi-shi, Kochi, 780 0952, Japan
Novo Nordisk Investigational Site
Kumamoto-shi, Kumamoto, 860 8556, Japan
Novo Nordisk Investigational Site
Maebashi-shi, Gunma, 371-8511, Japan
Novo Nordisk Investigational Site
Musashino-shi, Tokyo, 180 0023, Japan
Novo Nordisk Investigational Site
Niigata-shi, Niigata, 951 8520, Japan
Novo Nordisk Investigational Site
Osaka-shi, Osaka, 545 8586, Japan
Novo Nordisk Investigational Site
Sendai-shi, Miyagi, 980 8574, Japan
Novo Nordisk Investigational Site
Tokyo, 157 8535, Japan
Novo Nordisk Investigational Site
Tokyo, 162 8666, Japan
Novo Nordisk Investigational Site
Toyonaka-city, Osaka, 560 0004, Japan
Novo Nordisk Investigational Site
Tsu-shi, Mie, 514 0125, Japan
Novo Nordisk Investigational Site
Almere Stad, 1315 RA, Netherlands
Novo Nordisk Investigational Site
Amersfoort, 3816 CP, Netherlands
Novo Nordisk Investigational Site
Eindhoven, 5623 EJ, Netherlands
Novo Nordisk Investigational Site
Nijmegen, 6532 CL, Netherlands
Novo Nordisk Investigational Site
Rotterdam, 3011 TA, Netherlands
Novo Nordisk Investigational Site
Skopje, 1000, North Macedonia
Novo Nordisk Investigational Site
Moscow, 117036, Russia
Novo Nordisk Investigational Site
Moscow, 119049, Russia
Novo Nordisk Investigational Site
Moscow, 125373, Russia
Novo Nordisk Investigational Site
Novosibirsk, 630048, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 191144, Russia
Novo Nordisk Investigational Site
Saratov, 410028, Russia
Novo Nordisk Investigational Site
Saratov, 410054, Russia
Novo Nordisk Investigational Site
Johannesburg, Gauteng, 2193, South Africa
Novo Nordisk Investigational Site
Cape Town, Western Cape, 7925, South Africa
Novo Nordisk Investigational Site
Aberdeen, AB25 2ZG, United Kingdom
Novo Nordisk Investigational Site
Birmingham, B4 6NH, United Kingdom
Novo Nordisk Investigational Site
Manchester, M13 9WL, United Kingdom
Novo Nordisk Investigational Site
Norwich, NR4 7UY, United Kingdom
Novo Nordisk Investigational Site
Sheffield, S102TH, United Kingdom
Related Publications (2)
Thalange N, Deeb L, Klingensmith G, Franco DR, Bardtrum L, Tutkunkardas D, Danne T. The rate of hyperglycemia and ketosis with insulin degludec-based treatment compared with insulin detemir in pediatric patients with type 1 diabetes: An analysis of data from two randomized trials. Pediatr Diabetes. 2019 May;20(3):314-320. doi: 10.1111/pedi.12821. Epub 2019 Feb 10.
PMID: 30666772BACKGROUNDThalange N, Deeb L, Iotova V, Kawamura T, Klingensmith G, Philotheou A, Silverstein J, Tumini S, Ocampo Francisco AM, Kinduryte O, Danne T. Insulin degludec in combination with bolus insulin aspart is safe and effective in children and adolescents with type 1 diabetes. Pediatr Diabetes. 2015 May;16(3):164-76. doi: 10.1111/pedi.12263. Epub 2015 Feb 12.
PMID: 25683037RESULT
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
January 16, 2012
First Posted
January 20, 2012
Study Start
January 16, 2012
Primary Completion
July 30, 2013
Study Completion
July 30, 2013
Last Updated
June 13, 2019
Results First Posted
January 12, 2016
Record last verified: 2019-06