A Trial Comparing Efficacy and Safety of Insulin Degludec/Insulin Aspart and BIAsp 30 in Insulin naïve Subjects With Type 2 Diabetes
BOOST™
A 26-week, Randomised, Open-label, Multinational, Treat-to-target Trial Comparing Efficacy and Safety of Insulin Degludec/Insulin Aspart (IDegAsp) Twice Daily (BID) and BIAsp 30 BID Both With Metformin in Insulin naïve Subjects With Type 2 Diabetes Mellitus Inadequately Controlled on Metformin Monotherapy or Metformin in Combination With One Additional Oral Antidiabetic Drug (OAD)
3 other identifiers
interventional
394
10 countries
49
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 diabetes
Started Jan 2012
Shorter than P25 for phase_3 diabetes
49 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
November 19, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
November 19, 2012
CompletedResults Posted
Study results publicly available
November 20, 2015
CompletedMarch 26, 2019
March 1, 2019
10 months
January 16, 2012
October 19, 2015
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
EXPERIMENTALBIAsp 30 BID
ACTIVE COMPARATORInterventions
Administered s.c. (under the skin) twice daily. Dose individually adjusted. Pre-trial metformin treatment to be continued.
Eligibility Criteria
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
- Novo Nordisk A/Slead
Study Sites (49)
Novo Nordisk Investigational Site
Algiers, 16000, Algeria
Novo Nordisk Investigational Site
Oran, 31000, Algeria
Novo Nordisk Investigational Site
Sétif, 19000, Algeria
Novo Nordisk Investigational Site
Haskovo, 6300, Bulgaria
Novo Nordisk Investigational Site
Lukovit, 5770, Bulgaria
Novo Nordisk Investigational Site
Plovdiv, 4002, Bulgaria
Novo Nordisk Investigational Site
Rousse, 7000, Bulgaria
Novo Nordisk Investigational Site
Sofia, 1233, Bulgaria
Novo Nordisk Investigational Site
Sofia, 1431, Bulgaria
Novo Nordisk Investigational Site
Sofia, 1606, Bulgaria
Novo Nordisk Investigational Site
Karlovac, 47000, Croatia
Novo Nordisk Investigational Site
Osijek, 31 000, Croatia
Novo Nordisk Investigational Site
Rijeka, 51 000, Croatia
Novo Nordisk Investigational Site
Zadar, 23000, Croatia
Novo Nordisk Investigational Site
Zagreb, 10000, Croatia
Novo Nordisk Investigational Site
Brno, 65691, Czechia
Novo Nordisk Investigational Site
Hradec Králové, 50005, Czechia
Novo Nordisk Investigational Site
Prague, 100 00, Czechia
Novo Nordisk Investigational Site
Prague, 128 08, Czechia
Novo Nordisk Investigational Site
Bochum, 44869, Germany
Novo Nordisk Investigational Site
Hohenmölsen, 06679, Germany
Novo Nordisk Investigational Site
Rehlingen-Siersburg, 66780, Germany
Novo Nordisk Investigational Site
Saint Ingbert-Oberwürzbach, 66386, Germany
Novo Nordisk Investigational Site
Völklingen, 66333, Germany
Novo Nordisk Investigational Site
Wangen, 88239, Germany
Novo Nordisk Investigational Site
Bialystok, 15-445, Poland
Novo Nordisk Investigational Site
Lublin, 20-044, Poland
Novo Nordisk Investigational Site
Lublin, 20-538, Poland
Novo Nordisk Investigational Site
Mazowieckie, 09-400, Poland
Novo Nordisk Investigational Site
Warsaw, 02-507, Poland
Novo Nordisk Investigational Site
Oradea, Bihor County, 410469, Romania
Novo Nordisk Investigational Site
Bucharest, 020614, Romania
Novo Nordisk Investigational Site
Buzău, 120203, Romania
Novo Nordisk Investigational Site
Galati, 800578, Romania
Novo Nordisk Investigational Site
Sibiu, 550176, Romania
Novo Nordisk Investigational Site
Bratislava, 821 02, Slovakia
Novo Nordisk Investigational Site
Košice, 040 01, Slovakia
Novo Nordisk Investigational Site
Antalya, 07058, Turkey (Türkiye)
Novo Nordisk Investigational Site
Istanbul, 34096, Turkey (Türkiye)
Novo Nordisk Investigational Site
Istanbul, 34890, Turkey (Türkiye)
Novo Nordisk Investigational Site
Istanbul, Turkey (Türkiye)
Novo Nordisk Investigational Site
Kocaeli, 41380, Turkey (Türkiye)
Novo Nordisk Investigational Site
Dnipro, 49023, Ukraine
Novo Nordisk Investigational Site
Kyiv, 04114, Ukraine
Novo Nordisk Investigational Site
Lviv, 79010, Ukraine
Novo Nordisk Investigational Site
Poltava, 36003, Ukraine
Novo Nordisk Investigational Site
Poltava, 36011, Ukraine
Novo Nordisk Investigational Site
Vinnytsia, 21010, Ukraine
Novo Nordisk Investigational Site
Zhytomyr, 10002, Ukraine
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.
PMID: 26435365RESULTChristiansen 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.
PMID: 26612062RESULTHaluzik 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.
PMID: 29451706RESULTYang 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.
PMID: 35044568DERIVED
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
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