NCT01680341

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

93
On Track

Trial Health Score

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

Enrollment
272

participants targeted

Target at P25-P50 for phase_3 diabetes

Timeline
Completed

Started Aug 2012

Geographic Reach
5 countries

45 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

August 31, 2012

Completed
Same day until next milestone

Study Start

First participant enrolled

August 31, 2012

Completed
7 days until next milestone

First Posted

Study publicly available on registry

September 7, 2012

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 22, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 22, 2013

Completed
2.2 years until next milestone

Results Posted

Study results publicly available

November 17, 2015

Completed
Last Updated

April 2, 2018

Status Verified

March 1, 2018

Enrollment Period

12 months

First QC Date

August 31, 2012

Results QC Date

October 16, 2015

Last Update Submit

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

EXPERIMENTAL
Drug: insulin degludec/insulin aspart

IDegAsp Step wise

EXPERIMENTAL
Drug: insulin degludec/insulin aspart

Interventions

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.

Also known as: IDegAsp
IDegAsp Simple

Eligibility Criteria

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

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

Study Sites (45)

Novo Nordisk Investigational Site

Goodyear, Arizona, 85395, United States

Location

Novo Nordisk Investigational Site

Anaheim, California, 92801, United States

Location

Novo Nordisk Investigational Site

Greenbrae, California, 94904, United States

Location

Novo Nordisk Investigational Site

San Diego, California, 92111, United States

Location

Novo Nordisk Investigational Site

Spring Valley, California, 91978, United States

Location

Novo Nordisk Investigational Site

Bradenton, Florida, 34201, United States

Location

Novo Nordisk Investigational Site

Kissimmee, Florida, 34741, United States

Location

Novo Nordisk Investigational Site

Plantation, Florida, 33324, United States

Location

Novo Nordisk Investigational Site

St. Petersburg, Florida, 33709, United States

Location

Novo Nordisk Investigational Site

Suwanee, Georgia, 30024, United States

Location

Novo Nordisk Investigational Site

Avon, Illinois, 46123, United States

Location

Novo Nordisk Investigational Site

Crystal Lake, Illinois, 60012, United States

Location

Novo Nordisk Investigational Site

Indianapolis, Indiana, 46254, United States

Location

Novo Nordisk Investigational Site

Slidell, Louisiana, 70461-4231, United States

Location

Novo Nordisk Investigational Site

Waltham, Massachusetts, 02453, United States

Location

Novo Nordisk Investigational Site

Buckley, Michigan, 49620, United States

Location

Novo Nordisk Investigational Site

Nashua, New Hampshire, 03063, United States

Location

Novo Nordisk Investigational Site

Lawrenceville, New Jersey, 08648, United States

Location

Novo Nordisk Investigational Site

Toms River, New Jersey, 08755-8050, United States

Location

Novo Nordisk Investigational Site

Albany, New York, 12206, United States

Location

Novo Nordisk Investigational Site

Charleston, South Carolina, 29407, United States

Location

Novo Nordisk Investigational Site

Myrtle Beach, South Carolina, 29572, United States

Location

Novo Nordisk Investigational Site

Dallas, Texas, 75230, United States

Location

Novo Nordisk Investigational Site

Dallas, Texas, 75251, United States

Location

Novo Nordisk Investigational Site

Fort Worth, Texas, 76132, United States

Location

Novo Nordisk Investigational Site

Olympia, Washington, 98502, United States

Location

Novo Nordisk Investigational Site

Tacoma, Washington, 98405, United States

Location

Novo Nordisk Investigational Site

Kenosha, Wisconsin, 53144, United States

Location

Novo Nordisk Investigational Site

Algiers, 16000, Algeria

Location

Novo Nordisk Investigational Site

Oran, 31000, Algeria

Location

Novo Nordisk Investigational Site

Tizi Ouzou, 16015, Algeria

Location

Novo Nordisk Investigational Site

Erdmannhausen, 71729, Germany

Location

Novo Nordisk Investigational Site

Münster, 48145, Germany

Location

Novo Nordisk Investigational Site

Neuwied, 56564, Germany

Location

Novo Nordisk Investigational Site

Pohlheim, 35415, Germany

Location

Novo Nordisk Investigational Site

Rehlingen-Siersburg, 66780, Germany

Location

Novo Nordisk Investigational Site

Saint Ingbert, 66386, Germany

Location

Novo Nordisk Investigational Site

Cheras, 56000, Malaysia

Location

Novo Nordisk Investigational Site

Kota Bharu, Kelantan, 16150, Malaysia

Location

Novo Nordisk Investigational Site

Kuala Selangor, 46150, Malaysia

Location

Novo Nordisk Investigational Site

Antalya, 07050, Turkey (Türkiye)

Location

Novo Nordisk Investigational Site

Denizli, 20070, Turkey (Türkiye)

Location

Novo Nordisk Investigational Site

Gaziantep, 27070, Turkey (Türkiye)

Location

Novo Nordisk Investigational Site

Hatay, 31040, Turkey (Türkiye)

Location

Novo Nordisk Investigational Site

Istanbul, 34752, Turkey (Türkiye)

Location

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.

  • 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.

  • Gerety 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.

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

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

Locations