Frequency of Hypoglycaemic Episodes During Treatment With Insulin Detemir in Well Controlled Subjects With Type 1 Diabetes
A Randomised, Open Label, Cross-over, Multi-centre, Multinational Trial Comparing the Frequency of Hypoglycaemic Episodes During Treatment With Insulin Detemir and NPH Insulin in Well Controlled Subjects With Type 1 Diabetes on a Basal-bolus Regimen
1 other identifier
interventional
131
6 countries
11
Brief Summary
This trial is conducted in Africa, Europe and Oceania. The aim of this trial is to investigate whether insulin detemir combined with insulin aspart compared to NPH insulin combined with insulin aspart could reduce the frequency of hypoglycaemic episodes whilst maintaining the same degree of glycaemic control subjects with type 1 diabetes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3 diabetes
Started Sep 2001
11 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
Study Start
First participant enrolled
September 1, 2001
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2002
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2002
CompletedFirst Submitted
Initial submission to the registry
September 28, 2012
CompletedFirst Posted
Study publicly available on registry
October 2, 2012
CompletedJanuary 27, 2017
January 1, 2017
1.2 years
September 28, 2012
January 26, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Incidence of total self-recorded hypoglycaemic episodes
Secondary Outcomes (7)
Incidence of total major hypoglycaemic episodes
HbA1c (glycosylated haemoglobin)
8-point plasma glucose profiles
Serum glucose profiles
72-hours glucose profile
- +2 more secondary outcomes
Study Arms (2)
Detemir
EXPERIMENTALNPH
ACTIVE COMPARATORInterventions
Subjects were dosed according to individual requirements. Injected subcutaneously (s.c. under the skin) twice daily in the morning and at bedtime for 10 weeks after an initial 6-week titration in treatment period 1 followed by 10 weeks after an initial 6-week titration in treatment period 2
Subjects were dosed according to individual requirements. Injected subcutaneously (s.c. under the skin) twice daily in the morning and at bedtime for 10 weeks after an initial 6-week titration in treatment period 1 followed by 10 weeks after an initial 6-week titration in treatment period 2
Subjects were dosed according to individual requirements. Injected subcutaneously (s.c. under the skin) twice daily before meals for 10 weeks after an initial 6-week titration in treatment period 1 followed by 10 weeks after an initial 6-week titration in treatment period 2
Eligibility Criteria
You may qualify if:
- Type 1 diabetes
- Fasting c-peptide below lower limit of normal fasting range
- Duration of type 1 diabetes for at least 12 months
- Current treatment: Basal - bolus regimen for at least 4 months with intermediate or long-acting insulin once, twice or three times daily as basal insulin and 3-4 premeal insulin aspart or lispro injections
- HbA1c maximum 9.0% (using Biorad Variant method)
- Able and willing to perform self-monitoring of blood glucose
- Basal insulin requirement at least 30% of the total daily insulin dose
- BMI (body Mass Index) maximum 35 kg/m\^2
You may not qualify if:
- Proliferative retinopathy or maculopathy requiring acute treatment
- Total daily insulin dose above 1.4 IU/kg/day
- Known unawareness of hypoglycaemia
- Impaired hepatic function
- Impaired renal function
- Cardiac problems
- Uncontrolled, treated/untreated hypertension
- Known or suspected allergy to trial product or related products
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (11)
Novo Nordisk Investigational Site
Camperdown, New South Wales, 2050, Australia
Novo Nordisk Investigational Site
Ashford, 5035, Australia
Novo Nordisk Investigational Site
Box Hill, 3128, Australia
Novo Nordisk Investigational Site
Zagreb, 10 000, Croatia
Novo Nordisk Investigational Site
Århus C, 8000, Denmark
Novo Nordisk Investigational Site
Køge, 4600, Denmark
Novo Nordisk Investigational Site
Città di Castello, 06012, Italy
Novo Nordisk Investigational Site
Perugia, 06126, Italy
Novo Nordisk Investigational Site
Cape Town, Western Cape, 7925, South Africa
Novo Nordisk Investigational Site
Linköping, 581 85, Sweden
Novo Nordisk Investigational Site
Trelleborg, 231 85, Sweden
Related Publications (1)
Kolendorf K, Ross GP, Pavlic-Renar I, Perriello G, Philotheou A, Jendle J, Gall MA, Heller SR. Insulin detemir lowers the risk of hypoglycaemia and provides more consistent plasma glucose levels compared with NPH insulin in Type 1 diabetes. Diabet Med. 2006 Jul;23(7):729-35. doi: 10.1111/j.1464-5491.2006.01862.x.
PMID: 16842476RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Global Clinical Registry (GCR, 1452)
Novo Nordisk A/S
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 28, 2012
First Posted
October 2, 2012
Study Start
September 1, 2001
Primary Completion
November 1, 2002
Study Completion
November 1, 2002
Last Updated
January 27, 2017
Record last verified: 2017-01