Comparing Efficacy and Safety of Thrice Daily Versus Twice Daily NovoMix® 30 (Biphasic Insulin Aspart 30) in Subjects With Type 2 Diabetes Inadequately Controlled With Basal Insulin
A 24-week, Multinational, Multicentre, Randomised, Open Label, Parallel-group Treat-to-target Trial to Compare Efficacy and Safety of Thrice Daily Versus Twice Daily NovoMix® 30 (Biphasic Insulin Aspart 30) in Subjects With Type 2 Diabetes Inadequately Controlled With Basal Insulin
2 other identifiers
interventional
437
7 countries
50
Brief Summary
This trial is conducted in Asia. The aim of the trial is to compare efficacy and safety of thrice daily versus twice daily NovoMix® 30 (Biphasic insulin aspart 30) in subjects with type 2 diabetes inadequately controlled with basal insulin.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4 diabetes
Started Oct 2015
50 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
October 16, 2015
CompletedStudy Start
First participant enrolled
October 19, 2015
CompletedFirst Posted
Study publicly available on registry
October 21, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 18, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
April 18, 2017
CompletedResults Posted
Study results publicly available
May 29, 2018
CompletedJune 11, 2019
May 1, 2019
1.4 years
October 16, 2015
March 16, 2018
May 28, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Glycosylated Haemoglobin (HbA1c)
Change from baseline in HbA1c was evaluated after 24 weeks of treatment. Missing data was imputed using the last observation carried forward (LOCF) method.
Week 0, Week 24
Secondary Outcomes (17)
Proportion of Subjects Achieving HbA1c Below 7.0%
Week 24
Proportion of Subjects Achieving HbA1c Below 7.0% Without Severe Hypoglycaemic Episodes.
Week 24
Proportion of Subjects Achieving HbA1c Below 7.0% Without Severe or Blood Glucose (BG) Confirmed Hypoglycaemic Episodes (According to the Novo Nordisk Classification)
Week 24
Number of Treatment Emergent Hypoglycaemic Episodes Classified According to the American Diabetes Association (ADA) Definition
Week 0-24
Number of Treatment Emergent Hypoglycaemic Episodes Classified According to Novo Nordisk Definition
Week 0-24
- +12 more secondary outcomes
Study Arms (2)
BIAsp 30 TID
EXPERIMENTALBIAsp 30 BID
ACTIVE COMPARATORInterventions
Administered subcutaneously (s.c., under the skin) thrice daily or twice daily. Subjects will continue with metformin all throughout the trial.
Eligibility Criteria
You may qualify if:
- Male or female, age at least 18 years at the time of signing informed consent. For Algeria only: age at least 19 years at the time of signing informed consent
- Type 2 diabetes subjects clinically diagnosed for at least 12 months prior to the day of screening (Visit 1)
- Treated with basal insulin for at least 90 days prior to the day of screening (Visit 1). The following basal insulin are allowed : insulin analogue once daily (OD) Neutral Protamine Hagedorn (NPH) OD or BID (twice daily)
- Treatment with metformin with or without one additional OAD (oral antidiabetic drug) for at least 90 days prior to the day of screening (Visit 1) Metformin must be at a stable dose of at least 1500 mg daily or maximum tolerated dose for at least 60 days prior to screening (Visit 1) One additional OAD:Sulphonylurea/Glinides/ a-glucosidase inhibitors/Dipeptidyl-peptidase-4 inhibitors/Sodium glucose co-transporter 2 (SGLT2) inhibitors (if applicable)
- HbA1c (glycosylated haemoglobin) 7.5%-10.0% (both inclusive) by central laboratory analysis at screening (Visit 1)
- Able and willing to intake three main meals daily (breakfast, lunch and main evening meal) throughout the trial. Definition of main meal as judged by the investigator
You may not qualify if:
- Previous insulin intensification regimen for more than 14 days: premixed insulin thrice daily, basal-bolus regimen or continuous subcutaneous insulin infusion (CSII). Treatment during hospitalisation or during gestational diabetes is allowed for periods longer than 14 days
- Anticipated initiation or change in concomitant medications for more than 14 consecutive days or on a frequent basis known to affect weight or glucose metabolism (e.g. orlistat, thyroid hormones, systemic corticosteroids)
- Impaired liver function, defined as alanine aminotransferase (ALT) equal to or above 2.5 times upper normal limit at screening (Visit 1)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (50)
Novo Nordisk Investigational Site
Algiers, 16000, Algeria
Novo Nordisk Investigational Site
Algiers, 16049, Algeria
Novo Nordisk Investigational Site
Oran, 31000, Algeria
Novo Nordisk Investigational Site
Hefei, Anhui, 230001, China
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, 100029, China
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, 100071, China
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, 100144, China
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, 100191, China
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, 100730, China
Novo Nordisk Investigational Site
Chongqing, Chongqing Municipality, 404000, China
Novo Nordisk Investigational Site
Fuzhou, Fujian, 350001, China
Novo Nordisk Investigational Site
Guangzhou, Guangdong, 510515, China
Novo Nordisk Investigational Site
Shenzhen, Guangdong, 518035, China
Novo Nordisk Investigational Site
Shijiazhuang, Hebei, 050000, China
Novo Nordisk Investigational Site
Changzhou, Jiangsu, 213003, China
Novo Nordisk Investigational Site
Nanjing, Jiangsu, 210011, China
Novo Nordisk Investigational Site
Nanjing, Jiangsu, 210012, China
Novo Nordisk Investigational Site
Nanjing, Jiangsu, 210029, China
Novo Nordisk Investigational Site
Suzhou, Jiangsu, 215006, China
Novo Nordisk Investigational Site
Wuxi, Jiangsu, 214023, China
Novo Nordisk Investigational Site
Zhenjiang, Jiangsu, 212001, China
Novo Nordisk Investigational Site
Nanchang, Jiangxi, 330006, China
Novo Nordisk Investigational Site
Changchun, Jilin, 130021, China
Novo Nordisk Investigational Site
Dalian, Liaoning, 116011, China
Novo Nordisk Investigational Site
Shanghai, Shanghai Municipality, 200072, China
Novo Nordisk Investigational Site
Shanghai, Shanghai Municipality, 200240, China
Novo Nordisk Investigational Site
Chengdu, Sichuan, 610071, China
Novo Nordisk Investigational Site
Tianjin, Tianjin Municipality, 300052, China
Novo Nordisk Investigational Site
Shatin, New Territories, Hong Kong
Novo Nordisk Investigational Site
Visakhapatnam, Andhra Pradesh, 530002, India
Novo Nordisk Investigational Site
Guwahati, Assam, 781006, India
Novo Nordisk Investigational Site
Bangalore, Karnataka, 560002, India
Novo Nordisk Investigational Site
Bangalore, Karnataka, 560038, India
Novo Nordisk Investigational Site
Mysore, Karnataka, 570001, India
Novo Nordisk Investigational Site
Madurai, Tamil Nadu, 625 020, India
Novo Nordisk Investigational Site
Kolkata, West Bengal, 700080, India
Novo Nordisk Investigational Site
New Delhi, 110088, India
Novo Nordisk Investigational Site
Kaohsiung City, 813, Taiwan
Novo Nordisk Investigational Site
Taichung, 407, Taiwan
Novo Nordisk Investigational Site
Taipei, 11217, Taiwan
Novo Nordisk Investigational Site
Taipei, 114, Taiwan
Novo Nordisk Investigational Site
Adana, 01130, Turkey (Türkiye)
Novo Nordisk Investigational Site
Bursa, 16059, Turkey (Türkiye)
Novo Nordisk Investigational Site
Istanbul, 34093, Turkey (Türkiye)
Novo Nordisk Investigational Site
Istanbul, 34390, Turkey (Türkiye)
Novo Nordisk Investigational Site
Kahramanmaraş, 46000, Turkey (Türkiye)
Novo Nordisk Investigational Site
Dnipro, 49005, Ukraine
Novo Nordisk Investigational Site
Kiev, 01004, Ukraine
Novo Nordisk Investigational Site
Lviv, 79010, Ukraine
Novo Nordisk Investigational Site
Ternopil, 46002, Ukraine
Related Publications (1)
Yang W, Ersoy C, Wang G, Ye S, Liu J, Miao H, Asirvatham A, Werther S, Kadu P, Chow F. Efficacy and safety of three-times-daily versus twice-daily biphasic insulin aspart 30 in patients with type 2 diabetes mellitus inadequately controlled with basal insulin combined with oral antidiabetic drugs. Diabetes Res Clin Pract. 2019 Apr;150:158-166. doi: 10.1016/j.diabres.2019.02.023. Epub 2019 Mar 11.
PMID: 30872064RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Clinical Reporting Anchor and Disclosure (1452)
- Organization
- Novo Nordisk A/S
Study Officials
- STUDY DIRECTOR
Clinical Reporting Anchor and Disclosure (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 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 16, 2015
First Posted
October 21, 2015
Study Start
October 19, 2015
Primary Completion
March 18, 2017
Study Completion
April 18, 2017
Last Updated
June 11, 2019
Results First Posted
May 29, 2018
Record last verified: 2019-05
Data Sharing
- IPD Sharing
- Will share
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com