Comparing 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
A Trial Comparing 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
2 other identifiers
interventional
263
6 countries
32
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3 diabetes
Started Jan 2016
Shorter than P25 for phase_3 diabetes
32 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
Study Start
First participant enrolled
January 4, 2016
CompletedFirst Submitted
Initial submission to the registry
January 5, 2016
CompletedFirst Posted
Study publicly available on registry
January 6, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 4, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
September 5, 2016
CompletedResults Posted
Study results publicly available
September 11, 2018
CompletedSeptember 11, 2018
December 1, 2017
8 months
January 5, 2016
September 4, 2017
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
EXPERIMENTALBIAsp U100 BID
ACTIVE COMPARATORInterventions
Injected subcutaneously (s.c., under the skin)twice daily. The pre-trial insulin will be discontinued.
Injected subcutaneously (s.c., under the skin)twice daily. The pre-trial insulin will be discontinued.
Eligibility Criteria
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
- Novo Nordisk A/Slead
Study Sites (32)
Novo Nordisk Investigational Site
Algiers, Algeria
Novo Nordisk Investigational Site
Oran, 31000, Algeria
Novo Nordisk Investigational Site
Sétif, 19000, Algeria
Novo Nordisk Investigational Site
Sidi Bel Abbes, 22000, Algeria
Novo Nordisk Investigational Site
Hyderabad, Andhra Pradesh, 500 001, India
Novo Nordisk Investigational Site
Hyderabad, Andhra Pradesh, 500058, India
Novo Nordisk Investigational Site
Mysore, Karnataka, 570001, India
Novo Nordisk Investigational Site
Kozhikode, Kerala, 673017, India
Novo Nordisk Investigational Site
Mumbai, Maharashtra, 400010, India
Novo Nordisk Investigational Site
Mumbai, Maharashtra, 400058, India
Novo Nordisk Investigational Site
Pune, Maharashtra, 411001, India
Novo Nordisk Investigational Site
Kolkata, West Bengal, 700073, India
Novo Nordisk Investigational Site
New Delhi, 110001, India
Novo Nordisk Investigational Site
Beirut, Lebanon
Novo Nordisk Investigational Site
Hazmiyeh, Lebanon
Novo Nordisk Investigational Site
Lebanon - Beirut, 9611, Lebanon
Novo Nordisk Investigational Site
Cheras, 56000, Malaysia
Novo Nordisk Investigational Site
Kota Bharu, Kelantan, 16150, Malaysia
Novo Nordisk Investigational Site
Seremban, Negeri Sembilan, 70400, Malaysia
Novo Nordisk Investigational Site
Benoni, Gauteng, 1501, South Africa
Novo Nordisk Investigational Site
Johannesburg, Gauteng, 1812, South Africa
Novo Nordisk Investigational Site
Johannesburg, Gauteng, 1827, South Africa
Novo Nordisk Investigational Site
Lenasia, Gauteng, 1827, South Africa
Novo Nordisk Investigational Site
Pretoria, Gauteng, 0181, South Africa
Novo Nordisk Investigational Site
Durban, KwaZulu-Natal, 4091, South Africa
Novo Nordisk Investigational Site
Durban, KwaZulu-Natal, 4092, South Africa
Novo Nordisk Investigational Site
Durban, KwaZulu-Natal, 4450, South Africa
Novo Nordisk Investigational Site
Cape Town, Western Cape, 7925, South Africa
Novo Nordisk Investigational Site
Ajman, 21499, United Arab Emirates
Novo Nordisk Investigational Site
Ajman, 4184, United Arab Emirates
Novo Nordisk Investigational Site
Dubai, 7272, United Arab Emirates
Novo Nordisk Investigational Site
Umm Al Quwain City, 24, United Arab Emirates
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.
PMID: 29183844RESULTLee 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.
PMID: 37435938DERIVEDYang 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.
PMID: 35044568DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition 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
- 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