NCT01849289

Brief Summary

This trial was conducted in Africa, Asia, Europe, North and South America. The aim of the trial was to compare efficacy and safety of insulin degludec and insulin glargine in insulin naïve subjects with type 2 diabetes.

Trial Health

93
On Track

Trial Health Score

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

Enrollment
833

participants targeted

Target at P75+ for phase_3 diabetes

Timeline
Completed

Started Jun 2013

Geographic Reach
7 countries

81 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

May 6, 2013

Completed
2 days until next milestone

First Posted

Study publicly available on registry

May 8, 2013

Completed
25 days until next milestone

Study Start

First participant enrolled

June 2, 2013

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 15, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 15, 2014

Completed
1.7 years until next milestone

Results Posted

Study results publicly available

January 14, 2016

Completed
Last Updated

April 7, 2017

Status Verified

March 1, 2017

Enrollment Period

12 months

First QC Date

May 6, 2013

Results QC Date

October 16, 2015

Last Update Submit

March 9, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in HbA1c (%) (Analysed by Central Laboratory)

    Change from baseline in HbA1c (%) after 26 weeks of treatment.

    Week 0, week 26

Secondary Outcomes (5)

  • Number of Severe and Minor Treatment Emergent Hypoglycaemic Episodes

    On or after the first day of exposure to randomised trial drug (week 0) and no later than 7 days after last exposure to randomised trial drug (week 27)

  • Change From Baseline in FPG (Fasting Plasma Glucose) (Analysed by Central Laboratory)

    Week 0, week 26

  • Within-subject Variability as Measured by Coefficient of Variation (CV%) in Pre-breakfast SMPG (Self-measured Plasma Glucose)

    Week 26

  • Responder for HbA1c (Below 7.0%) at End of Trial Without Severe and Minor Hypoglycaemic Episodes

    Week 26

  • Number of Treatment Emergent AEs (Adverse Events)

    On or after the first day of exposure to randomised trial drug (week 0) and no later than seven days after last exposure to randomised trial drug (week 27)

Study Arms (2)

Insulin Degludec

EXPERIMENTAL
Drug: Insulin Degludec

Insulin Glargine

EXPERIMENTAL
Drug: Insulin Glargine

Interventions

Administered subcutaneously (under the skin), dose individually adjusted, once daily in combination with metformin at the unchanged, stable, pre-randomisation dose level and dosing frequency.

Also known as: NN1250
Insulin Degludec

Administered subcutaneously (under the skin), dose individually adjusted, once daily in combination with metformin at the unchanged, stable, pre-randomisation dose level and dosing frequency.

Insulin Glargine

Eligibility Criteria

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

You may qualify if:

  • Type 2 diabetes mellitus (diagnosed clinically) for at least 6 months
  • Insulin naïve subjects (Allowed are: previous short term insulin treatment up to 14 days; treatment during hospitalisation or during gestational diabetes is allowed for periods longer than 14 days)
  • Current treatment: metformin monotherapy or metformin in any combination with an insulin secretagogue (sulfonylurea or glinide), dipeptidyl peptidase IV (DPP-IV) inhibitor, alfa-glucosidase-inhibitors (acarbose) with unchanged dosing for at least 3 months prior to randomisation (Visit 2) with the minimum doses stated: metformin: alone or in combination (including fixed combination) 1500 mg daily, or maximum tolerated dose (at least 1000 mg daily), insulin secretagogue (sulfonylurea or glinide): minimum half of the daily maximal dose according to local labelling, DPP-IV inhibitor: minimum 100 mg daily or according to local labelling, alfa-glucosidase-inhibitors (acarbose): minimum half of the daily maximal dose or maximum tolerated dose
  • HbA1c (glycosylated haemoglobin) 7.0-10.0% (both inclusive) by central laboratory analysis
  • BMI (Body Mass Index) below or equal to 40.0 kg/m\^2

You may not qualify if:

  • Treatment with TZDs (thiazoledinedione), or GLP-1 (glucagon-like peptide 1) receptor agonists within the last 3 months prior to Visit 1 (screening)
  • Anticipated change in concomitant medication known to interfere significantly with glucose metabolism, such as systemic corticosteroids, beta-blockers, MAO (monoamine oxidase) inhibitors
  • Cardiovascular disease within the last 6 months prior to Visit 1 (screening) defined as stroke; decompensated heart failure NYHA (New York Heart Association) class III or IV; myocardial infarction; unstable angina pectoris; or coronary arterial bypass graft or angioplasty
  • Any clinically significant disease or disorder, except for conditions associated with type 2 diabetes mellitus, which in the Investigator's opinion could interfere with the results of the trial
  • Previous participation in this trial. Participation is defined as randomised. Re-screening of screening failures is allowed only once within the limits of the recruitment period
  • Known or suspected hypersensitivity to trial product(s) or related products

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (81)

Novo Nordisk Investigational Site

Anaheim, California, 92801, United States

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Novo Nordisk Investigational Site

Lomita, California, 90717, United States

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Novo Nordisk Investigational Site

Los Angeles, California, 90057, United States

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Novo Nordisk Investigational Site

Golden, Colorado, 80401, United States

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Novo Nordisk Investigational Site

Clearwater, Florida, 33765, United States

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Novo Nordisk Investigational Site

Chicago, Illinois, 60607, United States

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Novo Nordisk Investigational Site

Crestview Hills, Kentucky, 41017-3464, United States

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Metairie, Louisiana, 70002, United States

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Troy, Michigan, 48098, United States

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Novo Nordisk Investigational Site

Chesterfield, Missouri, 63017, United States

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Novo Nordisk Investigational Site

Nashua, New Hampshire, 03063, United States

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Novo Nordisk Investigational Site

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

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Novo Nordisk Investigational Site

Smithtown, New York, 11787, United States

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Novo Nordisk Investigational Site

Simpsonville, South Carolina, 29681, United States

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Jackson, Tennessee, 38305, United States

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Dallas, Texas, 75230, United States

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Newport News, Virginia, 23606, United States

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Kenosha, Wisconsin, 53142, United States

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São Paulo, São Paulo, 01244-030, Brazil

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Porto Alegre, 90035-170, Brazil

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Novo Nordisk Investigational Site

São Paulo, 04022-002, Brazil

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Novo Nordisk Investigational Site

Calgary, Alberta, T2N 4L7, Canada

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Burnaby, British Columbia, V5G 1T4, Canada

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Surrey, British Columbia, V3S 2N6, Canada

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Victoria, British Columbia, V8V 4A1, Canada

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Burlington, Ontario, L7M 4Y1, Canada

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London, Ontario, N5W 6A2, Canada

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London, Ontario, N6P 1A9, Canada

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Newmarket, Ontario, L3Y 5G8, Canada

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Sarnia, Ontario, N7T 4X3, Canada

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Strathroy, Ontario, N7G 1Y7, Canada

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Québec, Quebec, G3K 2P8, Canada

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Novo Nordisk Investigational Site

Trois-Rivières, Quebec, G8T7A1, Canada

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Novo Nordisk Investigational Site

Hefei, Anhui, 230001, China

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Novo Nordisk Investigational Site

Beijing, Beijing Municipality, 100029, China

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Novo Nordisk Investigational Site

Beijing, Beijing Municipality, 100039, China

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Novo Nordisk Investigational Site

Beijing, Beijing Municipality, 100191, China

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Novo Nordisk Investigational Site

Beijing, Beijing Municipality, 100700, China

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Novo Nordisk Investigational Site

Beijing, Beijing Municipality, 100730, China

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Novo Nordisk Investigational Site

Beijing, Beijing Municipality, 100853, China

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Novo Nordisk Investigational Site

Chongqing, Chongqing Municipality, 400010, China

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Novo Nordisk Investigational Site

Chongqing, Chongqing Municipality, 400016, China

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Novo Nordisk Investigational Site

Chongqing, Chongqing Municipality, 404000, China

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Novo Nordisk Investigational Site

Fuzhou, Fujian, 350025, China

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Novo Nordisk Investigational Site

Guangzhou, Guangdong, 510120, China

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Novo Nordisk Investigational Site

Nanning, Guangxi, 530007, China

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Novo Nordisk Investigational Site

Guiyang, Guizhou, 550004, China

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Novo Nordisk Investigational Site

Shijiazhuang, Hebei, 050051, China

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Novo Nordisk Investigational Site

Shijiazhuang, Hebei, 050082, China

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Novo Nordisk Investigational Site

Harbin, Heilongjiang, 150086, China

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Wuhan, Hubei, 430030, China

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Wuhan, Hubei, 430034, China

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Novo Nordisk Investigational Site

Yueyang, Hunan, 414000, China

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Yangzhou, Jiangsu, 225001, China

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Novo Nordisk Investigational Site

Zhenjiang, Jiangsu, 212001, China

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Novo Nordisk Investigational Site

Nanchang, Jiangxi, 330006, China

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Novo Nordisk Investigational Site

Changchun, Jilin, 130041, China

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Novo Nordisk Investigational Site

Siping, Jilin, 136000, China

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Novo Nordisk Investigational Site

Shenyang, Liaoning, 110004, China

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Novo Nordisk Investigational Site

Shenyang, Liaoning, 110021, China

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Novo Nordisk Investigational Site

Xi'an, Shaanxi, 710032, China

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Novo Nordisk Investigational Site

Shanghai, Shanghai Municipality, 200040, China

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Novo Nordisk Investigational Site

Shanghai, Shanghai Municipality, 200072, China

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Novo Nordisk Investigational Site

Kunming, Yunnan, 650101, China

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Novo Nordisk Investigational Site

Hangzhou, Zhejiang, 310003, China

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Novo Nordisk Investigational Site

Wenzhou, Zhejiang, 325000, China

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Novo Nordisk Investigational Site

Oradea, Bihor County, 410469, Romania

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Novo Nordisk Investigational Site

Buzău, Buzău, 120203, Romania

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Novo Nordisk Investigational Site

Sibiu, Sibiu County, 550176, Romania

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Novo Nordisk Investigational Site

Bucharest, 020614, Romania

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Novo Nordisk Investigational Site

Galati, 800578, Romania

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Novo Nordisk Investigational Site

George, Eastern Cape, 6529, South Africa

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Novo Nordisk Investigational Site

Johannesburg, Gauteng, 1812, South Africa

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Novo Nordisk Investigational Site

Johannesburg, Gauteng, 2193, South Africa

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Novo Nordisk Investigational Site

Durban, KwaZulu-Natal, 4001, South Africa

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Novo Nordisk Investigational Site

Durban, KwaZulu-Natal, 4091, South Africa

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Novo Nordisk Investigational Site

Dnipro, 49005, Ukraine

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Novo Nordisk Investigational Site

Dnipro, 49038, Ukraine

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Novo Nordisk Investigational Site

Kiev, 04114, Ukraine

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Novo Nordisk Investigational Site

Mykolaiv, 54003, Ukraine

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Novo Nordisk Investigational Site

Vinnitsa, 21010, Ukraine

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Related Publications (2)

  • Pan C, Gross JL, Yang W, Lv X, Sun L, Hansen CT, Xu H, Wagner R. A Multinational, Randomized, Open-label, Treat-to-Target Trial Comparing Insulin Degludec and Insulin Glargine in Insulin-Naive Patients with Type 2 Diabetes Mellitus. Drugs R D. 2016 Jun;16(2):239-49. doi: 10.1007/s40268-016-0134-z.

  • Mu YM, Guo LX, Li L, Li YM, Xu XJ, Li QM, Xu MT, Zhu LY, Yuan GY, Liu Y, Xu C, Wang ZJ, Shen FX, Luo Y, Liu JY, Li QF, Wang WH, Lai XY, Xu HF, Pan CY. [The efficacy and safety of insulin degludec versus insulin glargine in insulin-naive subjects with type 2 diabetes: results of a Chinese cohort from a multinational randomized controlled trial]. Zhonghua Nei Ke Za Zhi. 2017 Sep 1;56(9):660-666. doi: 10.3760/cma.j.issn.0578-1426.2017.09.008. Chinese.

Related Links

MeSH Terms

Conditions

Diabetes MellitusDiabetes Mellitus, Type 2

Interventions

insulin degludecInsulin Glargine

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Insulin, Long-ActingInsulinsPancreatic HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPeptidesAmino Acids, Peptides, and Proteins

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

May 6, 2013

First Posted

May 8, 2013

Study Start

June 2, 2013

Primary Completion

May 15, 2014

Study Completion

May 15, 2014

Last Updated

April 7, 2017

Results First Posted

January 14, 2016

Record last verified: 2017-03

Locations