NCT01513590

Brief Summary

This trial is conducted in Africa, Asia and Europe. The aim of the trial is to compare the efficacy and safety of insulin degludec/insulin aspart and BIAsp 30 (biphasic insulin aspart 30) in insulin naïve subjects with type 2 diabetes.

Trial Health

98
On Track

Trial Health Score

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

Enrollment
394

participants targeted

Target at P50-P75 for phase_3 diabetes

Timeline
Completed

Started Jan 2012

Shorter than P25 for phase_3 diabetes

Geographic Reach
10 countries

49 active sites

Status
completed

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

Completed
Same day until next milestone

Study Start

First participant enrolled

January 16, 2012

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 20, 2012

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 19, 2012

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 19, 2012

Completed
3 years until next milestone

Results Posted

Study results publicly available

November 20, 2015

Completed
Last Updated

March 26, 2019

Status Verified

March 1, 2019

Enrollment Period

10 months

First QC Date

January 16, 2012

Results QC Date

October 19, 2015

Last Update Submit

March 13, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in HbA1c (Glycosylated Haemoglobin)

    Change from baseline in HbA1c after 26 weeks of treatment.

    Week 0, week 26

Secondary Outcomes (6)

  • Change From Baseline in Fasting Plasma Glucose (FPG)

    Week 0, week 26

  • Number of Treatment Emergent Nocturnal (00:01-05:59 am) Severe or Minor Hypoglycaemic Episodes

    Onset on or after the first day of exposure to investigational product and no later than 7 days after last exposure to investigational product

  • Number of Severe and Minor Treatment Emergent Hypoglycaemic Episodes

    Onset on or after the first day of exposure to investigational product and no later than 7 days after last exposure to investigational product

  • Change From Baseline in Body Weight

    Week 0, week 26

  • Responder for HbA1c (Below 7.0%) Without Severe and Minor Treatment Emergent Hypoglycaemic Episodes During the Last 12 Weeks of Treatment Including Only Subjects Exposed for at Least 12 Weeks

    Week 26

  • +1 more secondary outcomes

Study Arms (2)

IDegAsp BID

EXPERIMENTAL
Drug: insulin degludec/insulin aspart

BIAsp 30 BID

ACTIVE COMPARATOR
Drug: insulin degludec/insulin aspart

Interventions

Administered s.c. (under the skin) twice daily. Dose individually adjusted. Pre-trial metformin treatment to be continued.

BIAsp 30 BIDIDegAsp BID

Eligibility Criteria

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

You may qualify if:

  • Informed consent obtained before any trial-related activities. (Trial-related activities are any procedure that would not have been performed during normal management of the subject)
  • Type 2 diabetes mellitus (diagnosed clinically) for at least 24 weeks prior to screening
  • Current treatment: metformin monotherapy or metformin in any combination with one of the following oral anti-diabetic drugs (OADs): insulin secretagogue (sulfonylurea or glinide), dipeptidyl peptidase IV (DPP-IV) inhibitor, alpha-glucosidase inhibitors for at least 12 weeks prior to randomisation (Visit 2) 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 (sulphonylurea or glinide): minimum half of the daily maximum dose according to local labelling, - DPP-IV inhibitor: minimum 100 mg daily or according to local labelling, - Alpha-glucosidase-inhibitors: minimum half of the daily maximum dose or maximum tolerated dose
  • Insulin naïve subject; allowed is: Previous short term insulin treatment up to 14 days
  • Insulin naïve subject; allowed is: Treatment during hospitalization or during gestational diabetes is allowed for periods longer than 14 days)
  • HbA1c (glycosylated haemoglobin) between 7.0-10.0 % (both inclusive) by central laboratory analysis
  • Body mass index (BMI) below or equal to 40.0 kg/m\^2

You may not qualify if:

  • Treatment with thiazolidinediones (TZDs) or glucagon like peptide 1 (GLP-1) receptor agonists within 12 weeks prior to visit 1 (screening)
  • Anticipated change in concomitant medication known to interfere significantly with glucose metabolism, such as systemic corticosteroids, beta-blockers and MAO inhibitors
  • Anticipated significant lifestyle changes during the trial according to the discretion of the trial physician, e.g. shift work (including permanent night/evening shift workers), as well as highly variable eating habits
  • Cardiovascular disease, within the last 24 weeks prior to trial start, defined as: stroke; decompensated heart failure NYHA (New York Heart Association) class III or IV; myocardial infarction; unstable angina pectoris; or coronary arterial bypass graft or angioplasty
  • Any clinically significant disease or disorder, except for conditions associated with type 2 diabetes, which in the trial physician's opinion could interfere with the results of the trial
  • 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
  • Known or suspected hypersensitivity to trial products or related products

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (49)

Novo Nordisk Investigational Site

Algiers, 16000, Algeria

Location

Novo Nordisk Investigational Site

Oran, 31000, Algeria

Location

Novo Nordisk Investigational Site

Sétif, 19000, Algeria

Location

Novo Nordisk Investigational Site

Haskovo, 6300, Bulgaria

Location

Novo Nordisk Investigational Site

Lukovit, 5770, Bulgaria

Location

Novo Nordisk Investigational Site

Plovdiv, 4002, Bulgaria

Location

Novo Nordisk Investigational Site

Rousse, 7000, Bulgaria

Location

Novo Nordisk Investigational Site

Sofia, 1233, Bulgaria

Location

Novo Nordisk Investigational Site

Sofia, 1431, Bulgaria

Location

Novo Nordisk Investigational Site

Sofia, 1606, Bulgaria

Location

Novo Nordisk Investigational Site

Karlovac, 47000, Croatia

Location

Novo Nordisk Investigational Site

Osijek, 31 000, Croatia

Location

Novo Nordisk Investigational Site

Rijeka, 51 000, Croatia

Location

Novo Nordisk Investigational Site

Zadar, 23000, Croatia

Location

Novo Nordisk Investigational Site

Zagreb, 10000, Croatia

Location

Novo Nordisk Investigational Site

Brno, 65691, Czechia

Location

Novo Nordisk Investigational Site

Hradec Králové, 50005, Czechia

Location

Novo Nordisk Investigational Site

Prague, 100 00, Czechia

Location

Novo Nordisk Investigational Site

Prague, 128 08, Czechia

Location

Novo Nordisk Investigational Site

Bochum, 44869, Germany

Location

Novo Nordisk Investigational Site

Hohenmölsen, 06679, Germany

Location

Novo Nordisk Investigational Site

Rehlingen-Siersburg, 66780, Germany

Location

Novo Nordisk Investigational Site

Saint Ingbert-Oberwürzbach, 66386, Germany

Location

Novo Nordisk Investigational Site

Völklingen, 66333, Germany

Location

Novo Nordisk Investigational Site

Wangen, 88239, Germany

Location

Novo Nordisk Investigational Site

Bialystok, 15-445, Poland

Location

Novo Nordisk Investigational Site

Lublin, 20-044, Poland

Location

Novo Nordisk Investigational Site

Lublin, 20-538, Poland

Location

Novo Nordisk Investigational Site

Mazowieckie, 09-400, Poland

Location

Novo Nordisk Investigational Site

Warsaw, 02-507, Poland

Location

Novo Nordisk Investigational Site

Oradea, Bihor County, 410469, Romania

Location

Novo Nordisk Investigational Site

Bucharest, 020614, Romania

Location

Novo Nordisk Investigational Site

Buzău, 120203, Romania

Location

Novo Nordisk Investigational Site

Galati, 800578, Romania

Location

Novo Nordisk Investigational Site

Sibiu, 550176, Romania

Location

Novo Nordisk Investigational Site

Bratislava, 821 02, Slovakia

Location

Novo Nordisk Investigational Site

Košice, 040 01, Slovakia

Location

Novo Nordisk Investigational Site

Antalya, 07058, Turkey (Türkiye)

Location

Novo Nordisk Investigational Site

Istanbul, 34096, Turkey (Türkiye)

Location

Novo Nordisk Investigational Site

Istanbul, 34890, Turkey (Türkiye)

Location

Novo Nordisk Investigational Site

Istanbul, Turkey (Türkiye)

Location

Novo Nordisk Investigational Site

Kocaeli, 41380, Turkey (Türkiye)

Location

Novo Nordisk Investigational Site

Dnipro, 49023, Ukraine

Location

Novo Nordisk Investigational Site

Kyiv, 04114, Ukraine

Location

Novo Nordisk Investigational Site

Lviv, 79010, Ukraine

Location

Novo Nordisk Investigational Site

Poltava, 36003, Ukraine

Location

Novo Nordisk Investigational Site

Poltava, 36011, Ukraine

Location

Novo Nordisk Investigational Site

Vinnytsia, 21010, Ukraine

Location

Novo Nordisk Investigational Site

Zhytomyr, 10002, Ukraine

Location

Related Publications (4)

  • Franek E, Haluzik M, Canecki Varzic S, Sargin M, Macura S, Zacho J, Christiansen JS. Twice-daily insulin degludec/insulin aspart provides superior fasting plasma glucose control and a reduced rate of hypoglycaemia compared with biphasic insulin aspart 30 in insulin-naive adults with Type 2 diabetes. Diabet Med. 2016 Apr;33(4):497-505. doi: 10.1111/dme.12982. Epub 2015 Nov 17.

  • Christiansen JS, Niskanen L, Rasmussen S, Johansen T, Fulcher G. Lower rates of hypoglycemia during maintenance treatment with insulin degludec/insulin aspart versus biphasic insulin aspart 30: a combined analysis of two Phase 3a studies in type 2 diabetes. J Diabetes. 2016 Sep;8(5):720-8. doi: 10.1111/1753-0407.12355. Epub 2016 Mar 6.

  • Haluzik M, Fulcher G, Pieber TR, Bardtrum L, Tutkunkardas D, Rodbard HW. The co-formulation of insulin degludec and insulin aspart lowers fasting plasma glucose and rates of confirmed and nocturnal hypoglycaemia, independent of baseline glycated haemoglobin levels, disease duration or body mass index: A pooled meta-analysis of phase III studies in patients with type 2 diabetes. Diabetes Obes Metab. 2018 Jul;20(7):1585-1592. doi: 10.1111/dom.13261. Epub 2018 Mar 25.

  • Yang W, Akhtar S, Franek E, Haluzik M, Hirose T, Kalyanam B, Kar S, Wu T, Gogas Yavuz D, Unnikrishnan AG. Postprandial Glucose Excursions in Asian Versus Non-Asian Patients with Type 2 Diabetes: A Post Hoc Analysis of Baseline Data from Phase 3 Randomised Controlled Trials of IDegAsp. Diabetes Ther. 2022 Feb;13(2):311-323. doi: 10.1007/s13300-021-01196-7. Epub 2022 Jan 19.

Related Links

MeSH Terms

Conditions

Diabetes MellitusDiabetes Mellitus, Type 2

Interventions

insulin degludec, insulin aspart drug combination

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

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 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

November 19, 2012

Study Completion

November 19, 2012

Last Updated

March 26, 2019

Results First Posted

November 20, 2015

Record last verified: 2019-03

Locations