Comparison of the Efficacy and Safety of Two Different Dose Adjustment Regimens for Insulin Degludec/Insulin Aspart in Subjects With Type 2 Diabetes Mellitus Previously Treated With Insulin Glargine
BOOST®
A Trial Comparing the Efficacy and Safety of Two Different Titration Algorithms for Insulin Degludec/Insulin Aspart in Subjects With Type 2 Diabetes Mellitus Previously Treated With Insulin Glargine (BOOST®: SIMPLE vs. STEPWISE)
3 other identifiers
interventional
272
5 countries
45
Brief Summary
This trial is conducted in Africa, Asia, Europe and the United States of America (USA). The aim of the trial is to compare the efficacy and safety of two different titration algorithms for insulin degludec/insulin aspart (IDeg/IAsp) in subjects with type 2 diabetes mellitus previously treated with insulin glargine.
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 Aug 2012
45 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
August 31, 2012
CompletedStudy Start
First participant enrolled
August 31, 2012
CompletedFirst Posted
Study publicly available on registry
September 7, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 22, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
August 22, 2013
CompletedResults Posted
Study results publicly available
November 17, 2015
CompletedApril 2, 2018
March 1, 2018
12 months
August 31, 2012
October 16, 2015
March 6, 2018
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 (7)
Change From Baseline in Fasting Plasma Glucose (FPG)
Week 0, Week 26
Subjects With HbA1c Below 7.0%
Week 26
Percentage of Subjects With HbA1c Below 7.0% Without Confirmed Hypoglycaemia
Week 26
Incidence of Treatment Emergent Adverse Events (TEAEs)
Weeks 0-28
Number of Treatment Emergent Confirmed Hypoglycaemic Episodes
Weeks 0-27
- +2 more secondary outcomes
Study Arms (2)
IDegAsp Simple
EXPERIMENTALIDegAsp Step wise
EXPERIMENTALInterventions
Twice weekly self-titration at intervals of 3-4 days, based upon a single pre-breakfast and pre-dinner SMPG (self-measured plasma glucose) value. For subcutaneous (s.c., under the skin) administration.
Eligibility Criteria
You may qualify if:
- Type 2 diabetes (diagnosed clinically) for at least 24 weeks prior to Visit 2 (randomisation)
- Currently treated with IGlar (Insulin Glargine) and up to 3 oral antidiabetic drugs (OADs) (metformin, DPP-4 inhibitor, sulphonylurea/glinide or alpha-glucosidase inhibitor). All antidiabetic treatments should have been ongoing for at least 12 weeks prior to Visit 2 (randomisation) and doses should have been stable in this period of time
- Glycosylated haemoglobin (HbA1c) 7.0-10.0% (both inclusive) by central laboratory analysis
- Body mass index (BMI) below or equal to 40 kg/m\^2
You may not qualify if:
- Treatment with glucagon-like peptide 1 (GLP-1) receptor agonists or thiazolidinediones (TZDs) both within the last 12 weeks prior to Visit 2 (randomisation)
- Stroke; heart failure New York Heart Association (NYHA) class III or IV; myocardial infarction; unstable angina pectoris; or coronary arterial bypass graft or angioplasty; all within the last 24 weeks prior to Visit 2 (randomisation)
- Uncontrolled or 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
- Recurrent severe hypoglycaemia (more than 1 severe hypoglycaemic event during last 12 months) or hypoglycaemic unawareness as judged by the investigator
- Life-threatening disease (e.g. cancer)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (45)
Novo Nordisk Investigational Site
Goodyear, Arizona, 85395, United States
Novo Nordisk Investigational Site
Anaheim, California, 92801, United States
Novo Nordisk Investigational Site
Greenbrae, California, 94904, United States
Novo Nordisk Investigational Site
San Diego, California, 92111, United States
Novo Nordisk Investigational Site
Spring Valley, California, 91978, United States
Novo Nordisk Investigational Site
Bradenton, Florida, 34201, United States
Novo Nordisk Investigational Site
Kissimmee, Florida, 34741, United States
Novo Nordisk Investigational Site
Plantation, Florida, 33324, United States
Novo Nordisk Investigational Site
St. Petersburg, Florida, 33709, United States
Novo Nordisk Investigational Site
Suwanee, Georgia, 30024, United States
Novo Nordisk Investigational Site
Avon, Illinois, 46123, United States
Novo Nordisk Investigational Site
Crystal Lake, Illinois, 60012, United States
Novo Nordisk Investigational Site
Indianapolis, Indiana, 46254, United States
Novo Nordisk Investigational Site
Slidell, Louisiana, 70461-4231, United States
Novo Nordisk Investigational Site
Waltham, Massachusetts, 02453, United States
Novo Nordisk Investigational Site
Buckley, Michigan, 49620, United States
Novo Nordisk Investigational Site
Nashua, New Hampshire, 03063, United States
Novo Nordisk Investigational Site
Lawrenceville, New Jersey, 08648, United States
Novo Nordisk Investigational Site
Toms River, New Jersey, 08755-8050, United States
Novo Nordisk Investigational Site
Albany, New York, 12206, United States
Novo Nordisk Investigational Site
Charleston, South Carolina, 29407, United States
Novo Nordisk Investigational Site
Myrtle Beach, South Carolina, 29572, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75230, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75251, United States
Novo Nordisk Investigational Site
Fort Worth, Texas, 76132, United States
Novo Nordisk Investigational Site
Olympia, Washington, 98502, United States
Novo Nordisk Investigational Site
Tacoma, Washington, 98405, United States
Novo Nordisk Investigational Site
Kenosha, Wisconsin, 53144, United States
Novo Nordisk Investigational Site
Algiers, 16000, Algeria
Novo Nordisk Investigational Site
Oran, 31000, Algeria
Novo Nordisk Investigational Site
Tizi Ouzou, 16015, Algeria
Novo Nordisk Investigational Site
Erdmannhausen, 71729, Germany
Novo Nordisk Investigational Site
Münster, 48145, Germany
Novo Nordisk Investigational Site
Neuwied, 56564, Germany
Novo Nordisk Investigational Site
Pohlheim, 35415, Germany
Novo Nordisk Investigational Site
Rehlingen-Siersburg, 66780, Germany
Novo Nordisk Investigational Site
Saint Ingbert, 66386, Germany
Novo Nordisk Investigational Site
Cheras, 56000, Malaysia
Novo Nordisk Investigational Site
Kota Bharu, Kelantan, 16150, Malaysia
Novo Nordisk Investigational Site
Kuala Selangor, 46150, Malaysia
Novo Nordisk Investigational Site
Antalya, 07050, Turkey (Türkiye)
Novo Nordisk Investigational Site
Denizli, 20070, Turkey (Türkiye)
Novo Nordisk Investigational Site
Gaziantep, 27070, Turkey (Türkiye)
Novo Nordisk Investigational Site
Hatay, 31040, Turkey (Türkiye)
Novo Nordisk Investigational Site
Istanbul, 34752, Turkey (Türkiye)
Related Publications (4)
Bode BW, Buse JB, Fisher M, Garg SK, Marre M, Merker L, Renard E, Russell-Jones DL, Hansen CT, Rana A, Heller SR; BEGIN(R) Basal-Bolus Type 1 trial investigators. Insulin degludec improves glycaemic control with lower nocturnal hypoglycaemia risk than insulin glargine in basal-bolus treatment with mealtime insulin aspart in Type 1 diabetes (BEGIN((R)) Basal-Bolus Type 1): 2-year results of a randomized clinical trial. Diabet Med. 2013 Nov;30(11):1293-7. doi: 10.1111/dme.12243. Epub 2013 Jun 17.
PMID: 23710902RESULTHaluzik 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: 35044568DERIVEDGerety G, Bebakar WM, Chaykin L, Ozkaya M, Macura S, Herslov ML, Behnke T. TREATMENT INTENSIFICATION WITH INSULIN DEGLUDEC/INSULIN ASPART TWICE DAILY: RANDOMIZED STUDY TO COMPARE SIMPLE AND STEP-WISE TITRATION ALGORITHMS. Endocr Pract. 2016 May;22(5):546-54. doi: 10.4158/EP15893.OR. Epub 2015 Dec 31.
PMID: 26720250DERIVED
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
August 31, 2012
First Posted
September 7, 2012
Study Start
August 31, 2012
Primary Completion
August 22, 2013
Study Completion
August 22, 2013
Last Updated
April 2, 2018
Results First Posted
November 17, 2015
Record last verified: 2018-03