NCT02648217

Brief Summary

This trial is conducted in Africa and Asia. The aim of this trial is to compare efficacy and safety of insulin degludec/insulin aspart twice daily and biphasic insulin aspart twice daily in subjects with type 2 diabetes mellitus before, during and after Ramadan.

Trial Health

93
On Track

Trial Health Score

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

Enrollment
263

participants targeted

Target at P25-P50 for phase_3 diabetes

Timeline
Completed

Started Jan 2016

Shorter than P25 for phase_3 diabetes

Geographic Reach
6 countries

32 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

Study Start

First participant enrolled

January 4, 2016

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

January 5, 2016

Completed
1 day until next milestone

First Posted

Study publicly available on registry

January 6, 2016

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 4, 2016

Completed
1 day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 5, 2016

Completed
2 years until next milestone

Results Posted

Study results publicly available

September 11, 2018

Completed
Last Updated

September 11, 2018

Status Verified

December 1, 2017

Enrollment Period

8 months

First QC Date

January 5, 2016

Results QC Date

September 4, 2017

Last Update Submit

December 20, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in HbA1c (%) (Glycosylated Haemoglobin)

    Mean change in HbA1c was evaluated from baseline (week 0) to end of Ramadan (day 29 of Ramadan).

    From week 0 to end of Ramadan (day 29 of Ramadan)

Secondary Outcomes (6)

  • Change in Fasting Plasma Glucose (FPG)

    From week 0 to end of Ramadan (day 29 of Ramadan)

  • Change in Fructosamine

    From week 0 to end of Ramadan (day 29 of Ramadan)

  • Number of Subjects Who Achieve HbA1c Below 7% (53 mmol/Mol (American Diabetes Association (ADA) Target )

    End of Ramadan (day 29 of Ramadan)

  • Number of Subjects Who Achieve FPG Below or Equal to 7.2 mmol/L (ADA Target)

    End of Ramadan (day 29 of Ramadan)

  • Number of Treatment Emergent Hypoglycaemic Episodes Both According to the Novo Nordisk Definition for Hypoglycaemic Episodes (Severe or BG Hypoglycaemia) as Well as According to the ADA definition1 Confirmed Symptomatic

    From week 0 to 4 weeks post Ramadan

  • +1 more secondary outcomes

Study Arms (2)

IDegAsp U100 BID

EXPERIMENTAL
Drug: insulin degludec/insulin aspart

BIAsp U100 BID

ACTIVE COMPARATOR
Drug: biphasic insulin aspart

Interventions

Injected subcutaneously (s.c., under the skin)twice daily. The pre-trial insulin will be discontinued.

IDegAsp U100 BID

Injected subcutaneously (s.c., under the skin)twice daily. The pre-trial insulin will be discontinued.

BIAsp U100 BID

Eligibility Criteria

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

You may qualify if:

  • Male or female, age at least 18 years at the time of signing informed consent. Algeria: Male or female, age at least 19 years at the time of signing informed consent
  • Subjects diagnosed (clinically) with type 2 diabetes mellitus prior to day of screening (Visit 1)
  • Treated with any pre-mix/self-mix or basal insulin regimen for at least 90 days prior to the day of screening (Visit 1)
  • Subjects not on any OAD(s) (oral anti-diabetic drug) prior to trial participation OR subjects on fixed daily dose(s) of OAD(s) for at least 90 days prior to screening (Visit 1). The OAD(s) include any of the following anti-diabetic drug(s)/regimen: Biguanides (metformin equal to or above 1500 mg or maximum tolerated dose documented in the subject medical record) Insulin secretagogues (sulfonylureas (SU) and glinides), Dipeptidyl peptidase-4 inhibitors (DPP-4 inhibitors), a-glucosidase inhibitors, Sodium-glucose co-transporter 2- inhibitors (SGLT2 Inhibitors ) (above or equal to half of the maximum approved dose according to local label or maximum tolerated dose as documented in subject medical record)
  • HbA1c 7.0%-10.0% (53-86 mmol/mol) (both inclusive, by central laboratory analysis)
  • Intention to fast (daytime, i.e., between dawn and sunset) during Ramadan after receiving medical counselling regarding the risk of fasting
  • Willing to give blood during Ramadan

You may not qualify if:

  • Any contraindication for successful and sustained fasting from a medical perspective at the discretion of the investigator (such as acute illness, severe hypoglycaemia within 90 days prior to screening (Visit 1), hypoglycaemia unawareness, ketoacidosis within 90 days prior to screening (Visit), hyperosmolar hyperglycaemic coma within 90 days prior to screening (Visit 1), subjects performing intense physical labour)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (32)

Novo Nordisk Investigational Site

Algiers, Algeria

Location

Novo Nordisk Investigational Site

Oran, 31000, Algeria

Location

Novo Nordisk Investigational Site

Sétif, 19000, Algeria

Location

Novo Nordisk Investigational Site

Sidi Bel Abbes, 22000, Algeria

Location

Novo Nordisk Investigational Site

Hyderabad, Andhra Pradesh, 500 001, India

Location

Novo Nordisk Investigational Site

Hyderabad, Andhra Pradesh, 500058, India

Location

Novo Nordisk Investigational Site

Mysore, Karnataka, 570001, India

Location

Novo Nordisk Investigational Site

Kozhikode, Kerala, 673017, India

Location

Novo Nordisk Investigational Site

Mumbai, Maharashtra, 400010, India

Location

Novo Nordisk Investigational Site

Mumbai, Maharashtra, 400058, India

Location

Novo Nordisk Investigational Site

Pune, Maharashtra, 411001, India

Location

Novo Nordisk Investigational Site

Kolkata, West Bengal, 700073, India

Location

Novo Nordisk Investigational Site

New Delhi, 110001, India

Location

Novo Nordisk Investigational Site

Beirut, Lebanon

Location

Novo Nordisk Investigational Site

Hazmiyeh, Lebanon

Location

Novo Nordisk Investigational Site

Lebanon - Beirut, 9611, Lebanon

Location

Novo Nordisk Investigational Site

Cheras, 56000, Malaysia

Location

Novo Nordisk Investigational Site

Kota Bharu, Kelantan, 16150, Malaysia

Location

Novo Nordisk Investigational Site

Seremban, Negeri Sembilan, 70400, Malaysia

Location

Novo Nordisk Investigational Site

Benoni, Gauteng, 1501, South Africa

Location

Novo Nordisk Investigational Site

Johannesburg, Gauteng, 1812, South Africa

Location

Novo Nordisk Investigational Site

Johannesburg, Gauteng, 1827, South Africa

Location

Novo Nordisk Investigational Site

Lenasia, Gauteng, 1827, South Africa

Location

Novo Nordisk Investigational Site

Pretoria, Gauteng, 0181, South Africa

Location

Novo Nordisk Investigational Site

Durban, KwaZulu-Natal, 4091, South Africa

Location

Novo Nordisk Investigational Site

Durban, KwaZulu-Natal, 4092, South Africa

Location

Novo Nordisk Investigational Site

Durban, KwaZulu-Natal, 4450, South Africa

Location

Novo Nordisk Investigational Site

Cape Town, Western Cape, 7925, South Africa

Location

Novo Nordisk Investigational Site

Ajman, 21499, United Arab Emirates

Location

Novo Nordisk Investigational Site

Ajman, 4184, United Arab Emirates

Location

Novo Nordisk Investigational Site

Dubai, 7272, United Arab Emirates

Location

Novo Nordisk Investigational Site

Umm Al Quwain City, 24, United Arab Emirates

Location

Related Publications (3)

  • Hassanein M, Echtay AS, Malek R, Omar M, Shaikh SS, Ekelund M, Kaplan K, Kamaruddin NA. Original paper: Efficacy and safety analysis of insulin degludec/insulin aspart compared with biphasic insulin aspart 30: A phase 3, multicentre, international, open-label, randomised, treat-to-target trial in patients with type 2 diabetes fasting during Ramadan. Diabetes Res Clin Pract. 2018 Jan;135:218-226. doi: 10.1016/j.diabres.2017.11.027. Epub 2017 Nov 26.

  • Lee SWH, Chen WS, Sellappans R, Md Sharif SB, Metzendorf MI, Lai NM. Interventions for people with type 2 diabetes mellitus fasting during Ramadan. Cochrane Database Syst Rev. 2023 Jul 12;7(7):CD013178. doi: 10.1002/14651858.CD013178.pub2.

  • Yang W, Akhtar S, Franek E, Haluzik M, Hirose T, Kalyanam B, Kar S, Wu T, Gogas Yavuz D, Unnikrishnan AG. Postprandial Glucose Excursions in Asian Versus Non-Asian Patients with Type 2 Diabetes: A Post Hoc Analysis of Baseline Data from Phase 3 Randomised Controlled Trials of IDegAsp. Diabetes Ther. 2022 Feb;13(2):311-323. doi: 10.1007/s13300-021-01196-7. Epub 2022 Jan 19.

Related Links

MeSH Terms

Conditions

Diabetes MellitusDiabetes Mellitus, Type 2

Interventions

insulin degludec, insulin aspart drug combinationinsulin aspart, insulin aspart protamine drug combination 30:70

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Results Point of Contact

Title
Global Clinical Registry (GCR, 1452)
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

January 5, 2016

First Posted

January 6, 2016

Study Start

January 4, 2016

Primary Completion

September 4, 2016

Study Completion

September 5, 2016

Last Updated

September 11, 2018

Results First Posted

September 11, 2018

Record last verified: 2017-12

Locations