NCT01589653

Brief Summary

This trial is conducted in Africa and Asia. The aim of the trial is to compare patient-adjusted versus physician-adjusted titration of BIAsp 30 combined with metformin in type 2 diabetes patients uncontrolled on NPH insulin.

Trial Health

93
On Track

Trial Health Score

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

Enrollment
155

participants targeted

Target at P50-P75 for phase_4 diabetes

Timeline
Completed

Started May 2012

Longer than P75 for phase_4 diabetes

Geographic Reach
6 countries

15 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

April 30, 2012

Completed
2 days until next milestone

First Posted

Study publicly available on registry

May 2, 2012

Completed
24 days until next milestone

Study Start

First participant enrolled

May 26, 2012

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 9, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 9, 2015

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

August 9, 2016

Completed
Last Updated

July 11, 2017

Status Verified

June 1, 2017

Enrollment Period

3.1 years

First QC Date

April 30, 2012

Results QC Date

June 29, 2016

Last Update Submit

June 8, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in HbA1c From Baseline

    Change in HbA1c (%) from baseline to the end of the treatment period.

    Week 0, week 20

Secondary Outcomes (4)

  • Change in Fasting Plasma Glucose (FPG) (Laboratory Values) From Baseline

    Week 0, week 20

  • Number of Hypoglycaemic Episodes During the Trial From Baseline

    Week 20

  • Change in Patient Reported Outcomes: Treatment-Related Impact Measures for Diabetes (TRIM-D)

    Week 0, week 20

  • Change in Patient Reported Outcomes: Treatment-Related Impact Measures for Diabetes (TRIM-D)-Treatment Burden

    Week 0, week 20

Study Arms (2)

Subject-driven titration

EXPERIMENTAL
Drug: biphasic insulin aspart 30

Investigator-driven titration

EXPERIMENTAL
Drug: biphasic insulin aspart 30

Interventions

Dose individually adjusted by the subjects themselves according to the titration algorithm every second week. Administered subcutaneously (s.c., under the skin) twice daily.

Subject-driven titration

Eligibility Criteria

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

You may qualify if:

  • Diagnosed with type 2 diabetes for a minimum of 12 months prior to screening
  • Currently treated with a NPH insulin for at least 3 months prior to screening
  • Stable treatment (no change in dose or regimen) with a total daily dose of at least 1500 mg metformin or maximum tolerated dose (minimum 1000 mg) ± additional OAD treatment. The metformin treatment must have been stable for at least 2 months prior to screening
  • HbA1c between 7.0% and 10.0% (both inclusive). (One re-test within one week of screening visit is allowed. The last sample will be conclusive.)
  • Body Mass Index (BMI) below or equal to 40.0 kg/m\^2
  • Able and willing to eat at least 2 main meals each day during the trial
  • Able and willing to adhere to the protocol including compliance with performance of self measured plasma glucose (SMPG), injection regimen and titrating themselves according to the protocol
  • Experience in performing self-measured plasma glucose (SMPG)

You may not qualify if:

  • Treatment with any thiazolidinedione (TZD) and Glucagon-like peptide-1 (GLP-1) receptor agonists or pramlintide within the last 3 months prior to screening
  • Impaired hepatic function defined as alanine aminotransferase (ALAT) above or equal to 2.5 times upper referenced limit. (One re-test within one week of screening visit is allowed. The last sample will be conclusive.)
  • Impaired kidney function with serum creatinine above or equal to 133 µmol/L (1.5 mg/dL) for males and above or equal to 124 µmol/L (1.4 mg/dL) for females. (One re-test within one week of screening visit is allowed. The last sample will be conclusive.)
  • Cardiac problems or uncontrolled treated/untreated severe hypertension (defined as systolic blood pressure above or equal to 180 mmHg and/or diastolic blood pressure above or equal to 100 mmHg)
  • Previous use of pre-mixed insulin products (pre-mixed insulin analogues or pre-mixed human preparations)
  • Recurrent severe hypoglycaemia (more than 1 severe hypoglycaemic episode, during the last 12 months) or hypoglycaemic unawareness as judged by the Investigator or hospitalisation for diabetic ketoacidosis during the previous 6 months
  • Known proliferative retinopathy or maculopathy requiring treatment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (15)

Novo Nordisk Investigational Site

Alexandria, 21131, Egypt

Location

Novo Nordisk Investigational Site

Banī Suwayf, 62511, Egypt

Location

Novo Nordisk Investigational Site

Cairo, 11562, Egypt

Location

Novo Nordisk Investigational Site

Bandung, 40161, Indonesia

Location

Novo Nordisk Investigational Site

Malang, 65111, Indonesia

Location

Novo Nordisk Investigational Site

Casablanca, 20100, Morocco

Location

Novo Nordisk Investigational Site

Marrakesh, 40000, Morocco

Location

Novo Nordisk Investigational Site

Jeddah, 80215, Saudi Arabia

Location

Novo Nordisk Investigational Site

Riyadh, 11211, Saudi Arabia

Location

Novo Nordisk Investigational Site

Riyadh, 11426, Saudi Arabia

Location

Novo Nordisk Investigational Site

Ta'if, 21944, Saudi Arabia

Location

Novo Nordisk Investigational Site

Tunis, 1007, Tunisia

Location

Novo Nordisk Investigational Site

Tunis, 1008, Tunisia

Location

Novo Nordisk Investigational Site

Hà Nội, Vietnam

Location

Novo Nordisk Investigational Site

Ho Chi Minh City, Vietnam

Location

Related Publications (1)

  • Chraibi A, Al-Herz S, Nguyen BD, Soeatmadji DW, Shinde A, Lakshmivenkataraman B, Assaad-Khalil SH. An RCT Investigating Patient-Driven Versus Physician-Driven Titration of BIAsp 30 in Patients with Type 2 Diabetes Uncontrolled Using NPH Insulin. Diabetes Ther. 2017 Aug;8(4):767-780. doi: 10.1007/s13300-017-0268-1. Epub 2017 May 18.

Related Links

MeSH Terms

Conditions

Diabetes MellitusDiabetes Mellitus, Type 2

Interventions

insulin aspart, insulin aspart protamine drug combination 30:70

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 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 30, 2012

First Posted

May 2, 2012

Study Start

May 26, 2012

Primary Completion

July 9, 2015

Study Completion

July 9, 2015

Last Updated

July 11, 2017

Results First Posted

August 9, 2016

Record last verified: 2017-06

Locations