Comparing Patient-adjusted Versus Physician-adjusted Titration of BIAsp 30 Combined With Metformin in Type 2 Diabetes Patients
A 20-week Study Comparing Patient-adjusted Versus Physician-adjusted Titration of BIAsp 30 Combined With Metformin in Type 2 Diabetes Patients Uncontrolled on NPH Insulin
2 other identifiers
interventional
155
6 countries
15
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4 diabetes
Started May 2012
Longer than P75 for phase_4 diabetes
15 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
April 30, 2012
CompletedFirst Posted
Study publicly available on registry
May 2, 2012
CompletedStudy Start
First participant enrolled
May 26, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 9, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
July 9, 2015
CompletedResults Posted
Study results publicly available
August 9, 2016
CompletedJuly 11, 2017
June 1, 2017
3.1 years
April 30, 2012
June 29, 2016
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
EXPERIMENTALInvestigator-driven titration
EXPERIMENTALInterventions
Dose individually adjusted by the subjects themselves according to the titration algorithm every second week. Administered subcutaneously (s.c., under the skin) twice daily.
Eligibility Criteria
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
- Novo Nordisk A/Slead
Study Sites (15)
Novo Nordisk Investigational Site
Alexandria, 21131, Egypt
Novo Nordisk Investigational Site
Banī Suwayf, 62511, Egypt
Novo Nordisk Investigational Site
Cairo, 11562, Egypt
Novo Nordisk Investigational Site
Bandung, 40161, Indonesia
Novo Nordisk Investigational Site
Malang, 65111, Indonesia
Novo Nordisk Investigational Site
Casablanca, 20100, Morocco
Novo Nordisk Investigational Site
Marrakesh, 40000, Morocco
Novo Nordisk Investigational Site
Jeddah, 80215, Saudi Arabia
Novo Nordisk Investigational Site
Riyadh, 11211, Saudi Arabia
Novo Nordisk Investigational Site
Riyadh, 11426, Saudi Arabia
Novo Nordisk Investigational Site
Ta'if, 21944, Saudi Arabia
Novo Nordisk Investigational Site
Tunis, 1007, Tunisia
Novo Nordisk Investigational Site
Tunis, 1008, Tunisia
Novo Nordisk Investigational Site
Hà Nội, Vietnam
Novo Nordisk Investigational Site
Ho Chi Minh City, Vietnam
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.
PMID: 28523482RESULT
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 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