Investigating the Safety and Effectiveness of Insulin Degludec in a Real World Population With Type 1 and 2 Diabetes Mellitus
ReFLeCT
A Multi-centre, Prospective, Non-interventional Study of Insulin Degludec Investigating the Safety and Effectiveness in a Real World Population With Type 1 and 2 Diabetes Mellitus
3 other identifiers
observational
1,262
8 countries
8
Brief Summary
This study is conducted in Europe. The aim of this non-interventional study is to investigate the safety and effectiveness of insulin degludec (Tresiba®) in a real world population with type 1 (T1DM) and 2 (T2DM) diabetes mellitus.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Mar 2015
Typical duration for all trials
8 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
First Submitted
Initial submission to the registry
March 12, 2015
CompletedStudy Start
First participant enrolled
March 16, 2015
CompletedFirst Posted
Study publicly available on registry
March 18, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 19, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
March 19, 2018
CompletedOctober 2, 2019
September 1, 2019
3 years
March 12, 2015
September 30, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Change in the number of any hypoglycaemic episodes
End of 4 week baseline period, end of 12 month observation period
Secondary Outcomes (4)
Change from baseline in HbA1c (glycosylated haemoglobin)
0- 12 months
Change from baseline in FPG (Fasting Plasma Glucose)
0-12 months
Change from the baseline period in the number of severe hypoglycaemic episodes
0-12 months
Change from baseline in HR-QoL (health-related quality of life) questionnaire scores (PROs (patient reported outcome): SF-36 (short form 36), and DTSQ(Diabetes Treatment Satisfaction Questionnaire ))
0-12 months
Study Arms (1)
Insulin degludec
Interventions
Tresiba® will be prescribed by the physician under normal clinical practice conditions and will be obtained/ purchased from the chemist based on physician prescription. No treatment given.
Eligibility Criteria
Male or female patients aged at least 18 years of age with either T1DM or T2DM (insulin using) (clinically diagnosed) prior to visit 1, who signed an informed consent form, and whose physician plans to start Tresiba® treatment are eligible for entry in this study.
You may qualify if:
- Informed consent obtained before any study-related activities (Study-related activities are any procedure related to recording of data according to the protocol)
- Male or female patients at least 18 years of age at time of informed consent
- Planned initiation with Tresiba®
You may not qualify if:
- Known or suspected hypersensitivity to Tresiba® or any of the excipients listed in Section 6.1 of the SmPC (Summary of Product Characteristics) or related products
- Previous participation in this study (i.e. provision of informed consent)
- Patients who have previously been treated with Tresiba®
- Mental incapacity, unwillingness or language barriers precluding adequate understanding or cooperation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (8)
Novo Nordisk Investigational Site
Aarhus, 8200, Denmark
Novo Nordisk Investigational Site
München, 81925, Germany
Novo Nordisk Investigational Site
Padua, 35122, Italy
Novo Nordisk Investigational Site
Utrecht, 3508 GA, Netherlands
Novo Nordisk Investigational Site
Palma de Mallorca, 07015, Spain
Novo Nordisk Investigational Site
Karlstad, 651 85, Sweden
Novo Nordisk Investigational Site
Zurich, 8091, Switzerland
Novo Nordisk Investigational Site
London, SW10 9NH, United Kingdom
Related Publications (3)
Fadini GP, Feher M, Hansen TK, de Valk HW, Koefoed MM, Wolden M, Zimmermann E, Jendle J. Switching to Degludec From Other Basal Insulins Is Associated With Reduced Hypoglycemia Rates: A Prospective Study. J Clin Endocrinol Metab. 2019 Dec 1;104(12):5977-5990. doi: 10.1210/jc.2019-01021.
PMID: 31397845RESULTFadini GP, Giordano C, Salvi L, Nicolucci A; REFLECT Italian Study Group. Reduced Rates of Hypoglycemia in Type 1 or Type 2 Diabetes After Switching to Insulin Degludec: Results from the Italian Cohort of the ReFLeCT Study. Diabetes Ther. 2020 Dec;11(12):2909-2920. doi: 10.1007/s13300-020-00936-5. Epub 2020 Oct 3.
PMID: 33011923DERIVEDde Valk HW, Feher M, Hansen TK, Jendle J, Koefoed MM, Rizi EP, Zimmermann E, Fadini GP. Switching to Degludec is Associated with Reduced Hypoglycaemia, Irrespective of Definition Used or Patient Characteristics: Secondary Analysis of the ReFLeCT Prospective, Observational Study. Diabetes Ther. 2020 Sep;11(9):2159-2167. doi: 10.1007/s13300-020-00875-1. Epub 2020 Jul 14.
PMID: 32666165DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 12, 2015
First Posted
March 18, 2015
Study Start
March 16, 2015
Primary Completion
March 19, 2018
Study Completion
March 19, 2018
Last Updated
October 2, 2019
Record last verified: 2019-09
Data Sharing
- IPD Sharing
- Will share
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com