Efficacy and Safety of Continuous Subcutaneous Insulin Infusion of Faster-acting Insulin Aspart Compared to NovoRapid® in Adults With Type 1 Diabetes
Onset® 5
4 other identifiers
interventional
472
9 countries
92
Brief Summary
This trial is conducted in Europe and the United States of America (USA). The aim of this trial is to investigate efficacy and safety of Continuous Subcutaneous Insulin Infusion of Faster-acting Insulin Aspart compared to NovoRapid® in Adults with Type 1 Diabetes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 diabetes
Started Jul 2016
92 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
First Submitted
Initial submission to the registry
July 4, 2016
CompletedStudy Start
First participant enrolled
July 6, 2016
CompletedFirst Posted
Study publicly available on registry
July 7, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 20, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
July 21, 2017
CompletedResults Posted
Study results publicly available
July 24, 2018
CompletedNovember 21, 2019
November 1, 2019
12 months
July 4, 2016
June 27, 2018
November 12, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Glycosylated Haemoglobin (HbA1c)
Change from baseline (week 0) in HbA1c was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In-trial period: the observation period from date of randomisation until last trial-related subject-site contact.
Week 0, week 16
Secondary Outcomes (90)
Change From Baseline in 1-hour PPG Increment
Week 0, Week 16
Change From Baseline in 1,5-anhydroglucitol
Week 0, Week 16
Change From Baseline in Time Spent in Low IG (≤3.9 mmol/L [70 mg/dL]) During CGM
Week 0, week 16
Change From Baseline in Fasting Plasma Glucose (FPG)
Week 0, week 16
Percentage of Subjects Reaching HbA1c <7.0% (53 mmol/Mol)
Week 16
- +85 more secondary outcomes
Study Arms (2)
Faster-acting insulin aspart CSII
EXPERIMENTALNovoRapid® CSII
ACTIVE COMPARATORInterventions
Injected s.c. /subcutaneously (under the skin)
Eligibility Criteria
You may qualify if:
- Male or female, age at least 18 years at the time of signing the informed consent
- Diagnosed with T1DM (Type 1 Diabetes Mellitus) (based on clinical judgement and/or supported by laboratory analysis as per local guidelines) equal or above 1 year prior to the day of screening
- Using the same Medtronic pump (Minimed 530G (551/751), Paradigm Veo (554/754), Paradigm Revel (523/723), Paradigm (522/722)) for CSII in a basal-bolus regimen with a rapid acting insulin analogue for at least six months prior to screening and willing to stay on the same pump model throughout the trial (if the model is changed the change should not exceed 7 consecutive days.)
- HbA1c (glycosylated haemoglobin) 7.0-9.0% (53-75 mmol/mol) as assessed by central laboratory at screening
- Body mass index (BMI) below or equal to 35.0 kg/m\^2 at screening
- Ability and willingness to take at least 3 daily meal-time insulin bolus infusions every day throughout the trial
You may not qualify if:
- Any of the following: myocardial infarction, stroke, hospitalization for unstable angina or transient ischaemic attack within the past 180 days prior to the day of screening
- Planned coronary, carotid or peripheral artery revascularisation known on the day of screening
- History of hospitalization for ketoacidosis below or equal to 180 days prior to the day of screening
- Any condition which, in the opinion of the Investigator, might jeopardise a Subject's safety or compliance with the protocol
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (92)
Novo Nordisk Investigational Site
Encino, California, 91436, United States
Novo Nordisk Investigational Site
Fresno, California, 93720, United States
Novo Nordisk Investigational Site
Roseville, California, 95661, United States
Novo Nordisk Investigational Site
San Mateo, California, 94401, United States
Novo Nordisk Investigational Site
San Ramon, California, 94583, United States
Novo Nordisk Investigational Site
Santa Barbara, California, 93105, United States
Novo Nordisk Investigational Site
Walnut Creek, California, 94598, United States
Novo Nordisk Investigational Site
Newark, Delaware, 19713, United States
Novo Nordisk Investigational Site
Atlanta, Georgia, 30339, United States
Novo Nordisk Investigational Site
Idaho Falls, Idaho, 83404-7596, United States
Novo Nordisk Investigational Site
Arlington Heights, Illinois, 60005-4144, United States
Novo Nordisk Investigational Site
Lexington, Kentucky, 40503, United States
Novo Nordisk Investigational Site
Rockville, Maryland, 20852, United States
Novo Nordisk Investigational Site
Boston, Massachusetts, 02215, United States
Novo Nordisk Investigational Site
Minneapolis, Minnesota, 55416, United States
Novo Nordisk Investigational Site
Las Vegas, Nevada, 89148, United States
Novo Nordisk Investigational Site
Nashua, New Hampshire, 03063, United States
Novo Nordisk Investigational Site
Albany, New York, 12206, United States
Novo Nordisk Investigational Site
Asheville, North Carolina, 28803, United States
Novo Nordisk Investigational Site
Chapel Hill, North Carolina, 27517, United States
Novo Nordisk Investigational Site
Pittsburgh, Pennsylvania, 15224-2215, United States
Novo Nordisk Investigational Site
Chattanooga, Tennessee, 37404-1192, United States
Novo Nordisk Investigational Site
Chattanooga, Tennessee, 37411, United States
Novo Nordisk Investigational Site
Amarillo, Texas, 79106, United States
Novo Nordisk Investigational Site
Austin, Texas, 78749, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75231, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75246, United States
Novo Nordisk Investigational Site
Mesquite, Texas, 75149, United States
Novo Nordisk Investigational Site
Federal Way, Washington, 98003, United States
Novo Nordisk Investigational Site
Renton, Washington, 98057, United States
Novo Nordisk Investigational Site
Arlon, 6700, Belgium
Novo Nordisk Investigational Site
Bonheiden, 2820, Belgium
Novo Nordisk Investigational Site
Brussels, 1090, Belgium
Novo Nordisk Investigational Site
Edegem, 2650, Belgium
Novo Nordisk Investigational Site
Leuven, 3000, Belgium
Novo Nordisk Investigational Site
Sint-Niklaas, 9100, Belgium
Novo Nordisk Investigational Site
Wilrijk, 2610, Belgium
Novo Nordisk Investigational Site
Edmonton, Alberta, T6G 2E1, Canada
Novo Nordisk Investigational Site
Barrie, Ontario, L4N 7L3, Canada
Novo Nordisk Investigational Site
Concord, Ontario, L4K 4M2, Canada
Novo Nordisk Investigational Site
London, Ontario, N6A 4V2, Canada
Novo Nordisk Investigational Site
Oakville, Ontario, L6M 1M1, Canada
Novo Nordisk Investigational Site
Toronto, Ontario, M4G 3E8, Canada
Novo Nordisk Investigational Site
Montreal, Quebec, H2X 0A9, Canada
Novo Nordisk Investigational Site
Québec, G1V 4G2, Canada
Novo Nordisk Investigational Site
Caen, 14033, France
Novo Nordisk Investigational Site
La Rochelle, 17019, France
Novo Nordisk Investigational Site
Le Creusot, 71200, France
Novo Nordisk Investigational Site
Montpellier, 34295, France
Novo Nordisk Investigational Site
Narbonne, 11108, France
Novo Nordisk Investigational Site
Paris, 75010, France
Novo Nordisk Investigational Site
Saint-Herblain, 44800, France
Novo Nordisk Investigational Site
Strasbourg, 67098, France
Novo Nordisk Investigational Site
Toulouse, 31054, France
Novo Nordisk Investigational Site
Vénissieux, 69200, France
Novo Nordisk Investigational Site
Bad Mergentheim, 97980, Germany
Novo Nordisk Investigational Site
Essen, 45136, Germany
Novo Nordisk Investigational Site
Friedrichsthal, 66299, Germany
Novo Nordisk Investigational Site
Hamburg, 22607, Germany
Novo Nordisk Investigational Site
Ludwigshafen, 67059, Germany
Novo Nordisk Investigational Site
Münster, 48145, Germany
Novo Nordisk Investigational Site
Neuwied, 56564, Germany
Novo Nordisk Investigational Site
Rehlingen-Siersburg, 66780, Germany
Novo Nordisk Investigational Site
Rostock, 18057, Germany
Novo Nordisk Investigational Site
Amsterdam, 1105 AZ, Netherlands
Novo Nordisk Investigational Site
Apeldoorn, 7334 DZ, Netherlands
Novo Nordisk Investigational Site
Eindhoven, 5631 BM, Netherlands
Novo Nordisk Investigational Site
Hoofddorp, 2134 TM, Netherlands
Novo Nordisk Investigational Site
Hoogeveen, 7909 AA, Netherlands
Novo Nordisk Investigational Site
Leiden, 2333 ZA, Netherlands
Novo Nordisk Investigational Site
Nijmegen, 6525 GA, Netherlands
Novo Nordisk Investigational Site
Rotterdam, 3011 TA, Netherlands
Novo Nordisk Investigational Site
Utrecht, 3584 CX, Netherlands
Novo Nordisk Investigational Site
Venlo, 5912 BL, Netherlands
Novo Nordisk Investigational Site
Cheboksary, 428009, Russia
Novo Nordisk Investigational Site
Moscow, 117036, Russia
Novo Nordisk Investigational Site
Novosibirsk, 630117, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 190068, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 194354, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 195257, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 199034, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 199226, Russia
Novo Nordisk Investigational Site
Saratov, 410039, Russia
Novo Nordisk Investigational Site
Yoshkar-Ola, 424004, Russia
Novo Nordisk Investigational Site
Ljubljana, 1525, Slovenia
Novo Nordisk Investigational Site
Novo Mesto, 8000, Slovenia
Novo Nordisk Investigational Site
Cambridge, CB2 0QQ, United Kingdom
Novo Nordisk Investigational Site
Guildford, GU2 7XX, United Kingdom
Novo Nordisk Investigational Site
Harrogate, North Yorkshire, HG2 7SX, United Kingdom
Novo Nordisk Investigational Site
London, SE1 9RT, United Kingdom
Novo Nordisk Investigational Site
Manchester, M13 0JE, United Kingdom
Novo Nordisk Investigational Site
St Helens, WA9 3DA, United Kingdom
Related Publications (3)
Zijlstra E, Demissie M, Graungaard T, Heise T, Nosek L, Bode B. Investigation of Pump Compatibility of Fast-Acting Insulin Aspart in Subjects With Type 1 Diabetes. J Diabetes Sci Technol. 2018 Jan;12(1):145-151. doi: 10.1177/1932296817730375. Epub 2017 Sep 18.
PMID: 28918652RESULTKlonoff DC, Evans ML, Lane W, Kempe HP, Renard E, DeVries JH, Graungaard T, Hyseni A, Gondolf T, Battelino T. A randomized, multicentre trial evaluating the efficacy and safety of fast-acting insulin aspart in continuous subcutaneous insulin infusion in adults with type 1 diabetes (onset 5). Diabetes Obes Metab. 2019 Apr;21(4):961-967. doi: 10.1111/dom.13610. Epub 2019 Jan 13.
PMID: 30537180RESULTGorst-Rasmussen A, Sturis J, Ekelund M. Continuous Glucose Monitoring Sensor Glucose Levels and Insulin Pump Infusion Set Wear-Time During Treatment with Fast-Acting Insulin Aspart: A Post Hoc Analysis of Onset 5. Diabetes Technol Ther. 2022 Jan;24(1):10-17. doi: 10.1089/dia.2021.0199. Epub 2021 Dec 14.
PMID: 34524005DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Clinical Reporting Anchor and Disclosure (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
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 4, 2016
First Posted
July 7, 2016
Study Start
July 6, 2016
Primary Completion
June 20, 2017
Study Completion
July 21, 2017
Last Updated
November 21, 2019
Results First Posted
July 24, 2018
Record last verified: 2019-11