A Trial Comparing Efficacy and Safety of Insulin Degludec and Insulin Glargine in Insulin naïve Subjects With Type 2 Diabetes
BEGIN™
2 other identifiers
interventional
833
7 countries
81
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 diabetes
Started Jun 2013
81 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 6, 2013
CompletedFirst Posted
Study publicly available on registry
May 8, 2013
CompletedStudy Start
First participant enrolled
June 2, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 15, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
May 15, 2014
CompletedResults Posted
Study results publicly available
January 14, 2016
CompletedApril 7, 2017
March 1, 2017
12 months
May 6, 2013
October 16, 2015
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
EXPERIMENTALInsulin Glargine
EXPERIMENTALInterventions
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.
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.
Eligibility Criteria
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
- Novo Nordisk A/Slead
Study Sites (81)
Novo Nordisk Investigational Site
Anaheim, California, 92801, United States
Novo Nordisk Investigational Site
Lomita, California, 90717, United States
Novo Nordisk Investigational Site
Los Angeles, California, 90057, United States
Novo Nordisk Investigational Site
Golden, Colorado, 80401, United States
Novo Nordisk Investigational Site
Clearwater, Florida, 33765, United States
Novo Nordisk Investigational Site
Chicago, Illinois, 60607, United States
Novo Nordisk Investigational Site
Crestview Hills, Kentucky, 41017-3464, United States
Novo Nordisk Investigational Site
Metairie, Louisiana, 70002, United States
Novo Nordisk Investigational Site
Troy, Michigan, 48098, United States
Novo Nordisk Investigational Site
Chesterfield, Missouri, 63017, United States
Novo Nordisk Investigational Site
Nashua, New Hampshire, 03063, United States
Novo Nordisk Investigational Site
Toms River, New Jersey, 08755-8050, United States
Novo Nordisk Investigational Site
Smithtown, New York, 11787, United States
Novo Nordisk Investigational Site
Simpsonville, South Carolina, 29681, United States
Novo Nordisk Investigational Site
Jackson, Tennessee, 38305, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75230, United States
Novo Nordisk Investigational Site
Newport News, Virginia, 23606, United States
Novo Nordisk Investigational Site
Kenosha, Wisconsin, 53142, United States
Novo Nordisk Investigational Site
São Paulo, São Paulo, 01244-030, Brazil
Novo Nordisk Investigational Site
Porto Alegre, 90035-170, Brazil
Novo Nordisk Investigational Site
São Paulo, 04022-002, Brazil
Novo Nordisk Investigational Site
Calgary, Alberta, T2N 4L7, Canada
Novo Nordisk Investigational Site
Burnaby, British Columbia, V5G 1T4, Canada
Novo Nordisk Investigational Site
Surrey, British Columbia, V3S 2N6, Canada
Novo Nordisk Investigational Site
Victoria, British Columbia, V8V 4A1, Canada
Novo Nordisk Investigational Site
Burlington, Ontario, L7M 4Y1, Canada
Novo Nordisk Investigational Site
London, Ontario, N5W 6A2, Canada
Novo Nordisk Investigational Site
London, Ontario, N6P 1A9, Canada
Novo Nordisk Investigational Site
Newmarket, Ontario, L3Y 5G8, Canada
Novo Nordisk Investigational Site
Sarnia, Ontario, N7T 4X3, Canada
Novo Nordisk Investigational Site
Strathroy, Ontario, N7G 1Y7, Canada
Novo Nordisk Investigational Site
Québec, Quebec, G3K 2P8, Canada
Novo Nordisk Investigational Site
Trois-Rivières, Quebec, G8T7A1, Canada
Novo Nordisk Investigational Site
Hefei, Anhui, 230001, China
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, 100029, China
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, 100039, China
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, 100191, China
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, 100700, China
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, 100730, China
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, 100853, China
Novo Nordisk Investigational Site
Chongqing, Chongqing Municipality, 400010, China
Novo Nordisk Investigational Site
Chongqing, Chongqing Municipality, 400016, China
Novo Nordisk Investigational Site
Chongqing, Chongqing Municipality, 404000, China
Novo Nordisk Investigational Site
Fuzhou, Fujian, 350025, China
Novo Nordisk Investigational Site
Guangzhou, Guangdong, 510120, China
Novo Nordisk Investigational Site
Nanning, Guangxi, 530007, China
Novo Nordisk Investigational Site
Guiyang, Guizhou, 550004, China
Novo Nordisk Investigational Site
Shijiazhuang, Hebei, 050051, China
Novo Nordisk Investigational Site
Shijiazhuang, Hebei, 050082, China
Novo Nordisk Investigational Site
Harbin, Heilongjiang, 150086, China
Novo Nordisk Investigational Site
Wuhan, Hubei, 430030, China
Novo Nordisk Investigational Site
Wuhan, Hubei, 430034, China
Novo Nordisk Investigational Site
Yueyang, Hunan, 414000, China
Novo Nordisk Investigational Site
Yangzhou, Jiangsu, 225001, China
Novo Nordisk Investigational Site
Zhenjiang, Jiangsu, 212001, China
Novo Nordisk Investigational Site
Nanchang, Jiangxi, 330006, China
Novo Nordisk Investigational Site
Changchun, Jilin, 130041, China
Novo Nordisk Investigational Site
Siping, Jilin, 136000, China
Novo Nordisk Investigational Site
Shenyang, Liaoning, 110004, China
Novo Nordisk Investigational Site
Shenyang, Liaoning, 110021, China
Novo Nordisk Investigational Site
Xi'an, Shaanxi, 710032, China
Novo Nordisk Investigational Site
Shanghai, Shanghai Municipality, 200040, China
Novo Nordisk Investigational Site
Shanghai, Shanghai Municipality, 200072, China
Novo Nordisk Investigational Site
Kunming, Yunnan, 650101, China
Novo Nordisk Investigational Site
Hangzhou, Zhejiang, 310003, China
Novo Nordisk Investigational Site
Wenzhou, Zhejiang, 325000, China
Novo Nordisk Investigational Site
Oradea, Bihor County, 410469, Romania
Novo Nordisk Investigational Site
Buzău, Buzău, 120203, Romania
Novo Nordisk Investigational Site
Sibiu, Sibiu County, 550176, Romania
Novo Nordisk Investigational Site
Bucharest, 020614, Romania
Novo Nordisk Investigational Site
Galati, 800578, Romania
Novo Nordisk Investigational Site
George, Eastern Cape, 6529, South Africa
Novo Nordisk Investigational Site
Johannesburg, Gauteng, 1812, South Africa
Novo Nordisk Investigational Site
Johannesburg, Gauteng, 2193, South Africa
Novo Nordisk Investigational Site
Durban, KwaZulu-Natal, 4001, South Africa
Novo Nordisk Investigational Site
Durban, KwaZulu-Natal, 4091, South Africa
Novo Nordisk Investigational Site
Dnipro, 49005, Ukraine
Novo Nordisk Investigational Site
Dnipro, 49038, Ukraine
Novo Nordisk Investigational Site
Kiev, 04114, Ukraine
Novo Nordisk Investigational Site
Mykolaiv, 54003, Ukraine
Novo Nordisk Investigational Site
Vinnitsa, 21010, Ukraine
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.
PMID: 27098525RESULTMu 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.
PMID: 28870034DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention 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
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