A Trial Comparing the Safety and Efficacy of Insulin Degludec and Insulin Glargine, With or Without OADs in Subjects With Type 2 Diabetes
SWITCH 2
A Randomised, Double Blind, Cross-over Trial Comparing the Safety and Efficacy of Insulin Degludec and Insulin Glargine, With or Without OADs in Subjects With Type 2 Diabetes (SWITCH 2)
2 other identifiers
interventional
721
2 countries
166
Brief Summary
This trial is conducted in the United States of America (USA). The aim of the trial is to compare the safety and efficacy of insulin degludec (IDeg) and insulin glargine (IGlar) with or without OADs (oral anti-diabetic drugs) excluding SUs (sulfonylureas)/glinides in 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 Jan 2014
Typical duration for phase_3 diabetes
166 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
Study Start
First participant enrolled
January 6, 2014
CompletedFirst Submitted
Initial submission to the registry
January 7, 2014
CompletedFirst Posted
Study publicly available on registry
January 8, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 4, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 4, 2015
CompletedResults Posted
Study results publicly available
January 30, 2017
CompletedMay 10, 2019
April 1, 2019
1.9 years
January 7, 2014
December 2, 2016
April 30, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Number of Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Maintenance Period
Severe or blood glucose (BG) confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe and/or BG confirmed by a plasma glucose value of \<56 mg/dL (3.1 mmol/L), with symptoms consistent with hypoglycaemia. Treatment emergent hypoglycaemic episode was defined as an event with onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment.
After 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64)
Secondary Outcomes (5)
Number of Treatment Emergent Severe or BG Confirmed Symptomatic Nocturnal Hypoglycaemic Episode During the Maintenance Period
After 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64)
Proportion of Subjects With One or More Severe Hypoglycaemic Episodes During the Maintenance Period
After 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64)
Incidence of Treatment Emergent Adverse Events
During 32 weeks of treatment for each treatment period
Change From Baseline in HbA1c (Glycosylated Haemoglobin)
Week 32, Week 64
FPG (Fasting Plasma Glucose)
week 32, week 64
Study Arms (2)
IDeg OD ± OADs followed by IGlar OD ± OADs
EXPERIMENTALThe trial includes two 32-week treatment periods in a cross-over design. Total trial duration for the individual subjects will be up to 67 weeks.
IGlar OD ± OADs followed by IDeg OD ± OADs
ACTIVE COMPARATORThe trial includes two 32-week treatment periods in a cross-over design. Total trial duration for the individual subjects will be up to 67 weeks.
Interventions
Administered once daily injected s.c. / subcutaneously (under the skin). Dose is individually adjusted.
Administered once daily injected s.c. / subcutaneously (under the skin). Dose is individually adjusted.
Eligibility Criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (166)
Novo Nordisk Investigational Site
Birmingham, Alabama, 35215-7502, United States
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Birmingham, Alabama, 35216, United States
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Haleyville, Alabama, 35565-1719, United States
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Montgomery, Alabama, 36106, United States
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Tuscumbia, Alabama, 35674, United States
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Chandler, Arizona, 85224, United States
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Phoenix, Arizona, 85050, United States
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Tucson, Arizona, 85704, United States
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Little Rock, Arkansas, 72205, United States
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Costa Mesa, California, 92626, United States
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Downey, California, 90242, United States
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El Cajon, California, 92020, United States
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Fresno, California, 93702, United States
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Fresno, California, 93720, United States
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Hawaiian Gardens, California, 90716, United States
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Huntington Park, California, 90255, United States
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Lincoln, California, 95648, United States
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Long Beach, California, 90807, United States
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Montclair, California, 91763, United States
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North Hollywood, California, 91606, United States
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Northridge, California, 91325, United States
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Pomona, California, 91766-2007, United States
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Poway, California, 92064, United States
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Rancho Cucamonga, California, 91730-3063, United States
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Rialto, California, 92376, United States
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Roseville, California, 95661, United States
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San Diego, California, 92111, United States
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Santa Monica, California, 90404, United States
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Tarzana, California, 91356-3551, United States
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Torrance, California, 90502, United States
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Tustin, California, 92780, United States
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Colorado Springs, Colorado, 80910, United States
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Golden, Colorado, 80401, United States
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Newark, Delaware, 19713, United States
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Bradenton, Florida, 34201, United States
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Chiefland, Florida, 32626, United States
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Clearwater, Florida, 33756, United States
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Clearwater, Florida, 33765, United States
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Cooper City, Florida, 33024, United States
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Doral, Florida, 33166, United States
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Hialeah, Florida, 33012, United States
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Hialeah, Florida, 33013, United States
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Jacksonville, Florida, 32204, United States
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Jacksonville, Florida, 32216, United States
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Jacksonville, Florida, 32256, United States
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Jacksonville, Florida, 32277, United States
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Miami, Florida, 33130, United States
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Miami, Florida, 33155, United States
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Miami, Florida, 33156, United States
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Miami, Florida, 33165, United States
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Miami, Florida, 33174, United States
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Miami, Florida, 33175, United States
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Miami, Florida, 33186, United States
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Miami Springs, Florida, 33166, United States
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Miramar, Florida, 33027, United States
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New Port Richey, Florida, 34652, United States
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Ocala, Florida, 34470, United States
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Orlando, Florida, 32801, United States
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Panama City, Florida, 32401, United States
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Pembroke Pines, Florida, 33026, United States
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Tampa, Florida, 33607, United States
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Tampa, Florida, 33619, United States
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Perry, Georgia, 31069, United States
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Champaign, Illinois, 61821, United States
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Chicago, Illinois, 60611, United States
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Evansville, Indiana, 47714, United States
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Muncie, Indiana, 47304, United States
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West Des Moines, Iowa, 50265, United States
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Lenexa, Kansas, 66219, United States
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Newton, Kansas, 67114, United States
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Lexington, Kentucky, 40502, United States
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Lexington, Kentucky, 40503, United States
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Louisville, Kentucky, 40213, United States
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Paducah, Kentucky, 42003, United States
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New Orleans, Louisiana, 70119, United States
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Shreveport, Louisiana, 71105, United States
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Brockton, Massachusetts, 02301, United States
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Kalamazoo, Michigan, 49009, United States
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Olive Branch, Mississippi, 38654-3573, United States
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Florissant, Missouri, 63031, United States
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Jefferson City, Missouri, 65109, United States
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Kansas City, Missouri, 64106, United States
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Henderson, Nevada, 89052-2649, United States
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Las Vegas, Nevada, 89148, United States
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Newington, New Hampshire, 03801, United States
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Morganville, New Jersey, 07751, United States
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Teaneck, New Jersey, 07666, United States
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Albuquerque, New Mexico, 87102, United States
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Albany, New York, 12208, United States
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Jackson Heights, New York, 11372, United States
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New Windsor, New York, 12553, United States
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Northport, New York, 11768, United States
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Smithtown, New York, 11787, United States
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Charlotte, North Carolina, 28277, United States
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Morganton, North Carolina, 28655, United States
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Winston-Salem, North Carolina, 27103, United States
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Delaware, Ohio, 43015, United States
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Franklin, Ohio, 45005, United States
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Toledo, Ohio, 43614, United States
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Oklahoma City, Oklahoma, 73103, United States
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Altoona, Pennsylvania, 16602, United States
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Beaver, Pennsylvania, 15009, United States
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Philadelphia, Pennsylvania, 19107, United States
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Philadelphia, Pennsylvania, 19114, United States
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Scottdale, Pennsylvania, 15683, United States
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Anderson, South Carolina, 29621, United States
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Gaffney, South Carolina, 29341, United States
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Greer, South Carolina, 29651, United States
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Pelzer, South Carolina, 29669, United States
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Spartanburg, South Carolina, 29303, United States
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Rapid City, South Dakota, 57701, United States
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Bristol, Tennessee, 37620-7352, United States
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Bristol, Tennessee, 37620, United States
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Chattanooga, Tennessee, 37404, United States
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Humboldt, Tennessee, 38343, United States
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Jackson, Tennessee, 38305, United States
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Johnson City, Tennessee, 37604, United States
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Kingsport, Tennessee, 37660, United States
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Arlington, Texas, 76012-4637, United States
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Arlington, Texas, 76012, United States
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Austin, Texas, 78758, United States
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Carrollton, Texas, 75007, United States
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Dallas, Texas, 75208, United States
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El Paso, Texas, 79912, United States
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Fort Worth, Texas, 76104, United States
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Houston, Texas, 77040, United States
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Houston, Texas, 77043, United States
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Houston, Texas, 77060, United States
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Houston, Texas, 77070, United States
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Houston, Texas, 77072, United States
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Houston, Texas, 77077, United States
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Humble, Texas, 77338, United States
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Hurst, Texas, 76054, United States
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Marshall, Texas, 75670, United States
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Mesquite, Texas, 75149, United States
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North Richland Hills, Texas, 76180, United States
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Plano, Texas, 75075, United States
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Plano, Texas, 75093, United States
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Richardson, Texas, 75080, United States
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San Antonio, Texas, 78215, United States
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San Antonio, Texas, 78224, United States
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San Antonio, Texas, 78228-3419, United States
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San Antonio, Texas, 78229, United States
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San Antonio, Texas, 78240, United States
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San Antonio, Texas, 78258, United States
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Sealy, Texas, 77474, United States
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Sugar Land, Texas, 77478, United States
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Sugar Land, Texas, 77479, United States
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Victoria, Texas, 77901, United States
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Waco, Texas, 76710, United States
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Draper, Utah, 84020, United States
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Ogden, Utah, 84405, United States
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Salt Lake City, Utah, 84107, United States
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Chesapeake, Virginia, 23321, United States
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Norfolk, Virginia, 23510, United States
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Olympia, Washington, 98502, United States
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Renton, Washington, 98057, United States
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Richland, Washington, 99352, United States
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Spokane, Washington, 99202-1334, United States
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Martinsburg, West Virginia, 25401, United States
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Kenosha, Wisconsin, 53144, United States
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Carolina, 00983, Puerto Rico
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ManatÃ, 00674, Puerto Rico
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Ponce, 00717, Puerto Rico
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San Juan, 00918, Puerto Rico
Novo Nordisk Investigational Site
San Juan, 00921, Puerto Rico
Related Publications (5)
Chaykin L, Bhargava A, de la Rosa R, Wysham CH, Norgard Troelsen L, Ostoft SH, Philis-Tsimikas A. Effect of Insulin Degludec Versus Insulin Glargine U100 on Hypoglycemia in Hispanic Patients With Type 2 Diabetes: Results From the SWITCH 2 Trial. Clin Diabetes. 2019 Jan;37(1):73-81. doi: 10.2337/cd18-0016.
PMID: 30705500BACKGROUNDWysham C, Bhargava A, Chaykin L, de la Rosa R, Handelsman Y, Troelsen LN, Kvist K, Norwood P. Effect of Insulin Degludec vs Insulin Glargine U100 on Hypoglycemia in Patients With Type 2 Diabetes: The SWITCH 2 Randomized Clinical Trial. JAMA. 2017 Jul 4;318(1):45-56. doi: 10.1001/jama.2017.7117.
PMID: 28672317RESULTEvans M, Mehta R, Gundgaard J, Chubb B. Cost-Effectiveness of Insulin Degludec vs. Insulin Glargine U100 in Type 1 and Type 2 Diabetes Mellitus in a UK Setting. Diabetes Ther. 2018 Oct;9(5):1919-1930. doi: 10.1007/s13300-018-0478-1. Epub 2018 Aug 10.
PMID: 30097995RESULTDeVries JH, Bailey TS, Bhargava A, Gerety G, Gumprecht J, Heller S, Lane W, Wysham CH, Zinman B, Bak BA, Hachmann-Nielsen E, Philis-Tsimikas A. Day-to-day fasting self-monitored blood glucose variability is associated with risk of hypoglycaemia in insulin-treated patients with type 1 and type 2 diabetes: A post hoc analysis of the SWITCH Trials. Diabetes Obes Metab. 2019 Mar;21(3):622-630. doi: 10.1111/dom.13565. Epub 2018 Nov 26.
PMID: 30362250RESULTHeller SR, DeVries JH, Wysham C, Hansen CT, Hansen MV, Frier BM. Lower rates of hypoglycaemia in older individuals with type 2 diabetes using insulin degludec versus insulin glargine U100: Results from SWITCH 2. Diabetes Obes Metab. 2019 Jul;21(7):1634-1641. doi: 10.1111/dom.13708. Epub 2019 Apr 15.
PMID: 30891886RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Global Clinical Registry (GCR, 1452)
- 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
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 7, 2014
First Posted
January 8, 2014
Study Start
January 6, 2014
Primary Completion
December 4, 2015
Study Completion
December 4, 2015
Last Updated
May 10, 2019
Results First Posted
January 30, 2017
Record last verified: 2019-04