NCT02825251

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

93
On Track

Trial Health Score

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

Enrollment
472

participants targeted

Target at P50-P75 for phase_3 diabetes

Timeline
Completed

Started Jul 2016

Geographic Reach
9 countries

92 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

First Submitted

Initial submission to the registry

July 4, 2016

Completed
2 days until next milestone

Study Start

First participant enrolled

July 6, 2016

Completed
1 day until next milestone

First Posted

Study publicly available on registry

July 7, 2016

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 20, 2017

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

July 21, 2017

Completed
1 year until next milestone

Results Posted

Study results publicly available

July 24, 2018

Completed
Last Updated

November 21, 2019

Status Verified

November 1, 2019

Enrollment Period

12 months

First QC Date

July 4, 2016

Results QC Date

June 27, 2018

Last Update Submit

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

EXPERIMENTAL
Drug: Faster-acting insulin aspart

NovoRapid® CSII

ACTIVE COMPARATOR
Drug: insulin aspart

Interventions

Injected s.c. /subcutaneously (under the skin)

Faster-acting insulin aspart CSII

Injected s.c. /subcutaneously (under the skin)

NovoRapid® CSII

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 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

Study Sites (92)

Novo Nordisk Investigational Site

Encino, California, 91436, United States

Location

Novo Nordisk Investigational Site

Fresno, California, 93720, United States

Location

Novo Nordisk Investigational Site

Roseville, California, 95661, United States

Location

Novo Nordisk Investigational Site

San Mateo, California, 94401, United States

Location

Novo Nordisk Investigational Site

San Ramon, California, 94583, United States

Location

Novo Nordisk Investigational Site

Santa Barbara, California, 93105, United States

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Novo Nordisk Investigational Site

Walnut Creek, California, 94598, United States

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Novo Nordisk Investigational Site

Newark, Delaware, 19713, United States

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Novo Nordisk Investigational Site

Atlanta, Georgia, 30339, United States

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Novo Nordisk Investigational Site

Idaho Falls, Idaho, 83404-7596, United States

Location

Novo Nordisk Investigational Site

Arlington Heights, Illinois, 60005-4144, United States

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Novo Nordisk Investigational Site

Lexington, Kentucky, 40503, United States

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Novo Nordisk Investigational Site

Rockville, Maryland, 20852, United States

Location

Novo Nordisk Investigational Site

Boston, Massachusetts, 02215, United States

Location

Novo Nordisk Investigational Site

Minneapolis, Minnesota, 55416, United States

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Novo Nordisk Investigational Site

Las Vegas, Nevada, 89148, United States

Location

Novo Nordisk Investigational Site

Nashua, New Hampshire, 03063, United States

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Novo Nordisk Investigational Site

Albany, New York, 12206, United States

Location

Novo Nordisk Investigational Site

Asheville, North Carolina, 28803, United States

Location

Novo Nordisk Investigational Site

Chapel Hill, North Carolina, 27517, United States

Location

Novo Nordisk Investigational Site

Pittsburgh, Pennsylvania, 15224-2215, United States

Location

Novo Nordisk Investigational Site

Chattanooga, Tennessee, 37404-1192, United States

Location

Novo Nordisk Investigational Site

Chattanooga, Tennessee, 37411, United States

Location

Novo Nordisk Investigational Site

Amarillo, Texas, 79106, United States

Location

Novo Nordisk Investigational Site

Austin, Texas, 78749, United States

Location

Novo Nordisk Investigational Site

Dallas, Texas, 75231, United States

Location

Novo Nordisk Investigational Site

Dallas, Texas, 75246, United States

Location

Novo Nordisk Investigational Site

Mesquite, Texas, 75149, United States

Location

Novo Nordisk Investigational Site

Federal Way, Washington, 98003, United States

Location

Novo Nordisk Investigational Site

Renton, Washington, 98057, United States

Location

Novo Nordisk Investigational Site

Arlon, 6700, Belgium

Location

Novo Nordisk Investigational Site

Bonheiden, 2820, Belgium

Location

Novo Nordisk Investigational Site

Brussels, 1090, Belgium

Location

Novo Nordisk Investigational Site

Edegem, 2650, Belgium

Location

Novo Nordisk Investigational Site

Leuven, 3000, Belgium

Location

Novo Nordisk Investigational Site

Sint-Niklaas, 9100, Belgium

Location

Novo Nordisk Investigational Site

Wilrijk, 2610, Belgium

Location

Novo Nordisk Investigational Site

Edmonton, Alberta, T6G 2E1, Canada

Location

Novo Nordisk Investigational Site

Barrie, Ontario, L4N 7L3, Canada

Location

Novo Nordisk Investigational Site

Concord, Ontario, L4K 4M2, Canada

Location

Novo Nordisk Investigational Site

London, Ontario, N6A 4V2, Canada

Location

Novo Nordisk Investigational Site

Oakville, Ontario, L6M 1M1, Canada

Location

Novo Nordisk Investigational Site

Toronto, Ontario, M4G 3E8, Canada

Location

Novo Nordisk Investigational Site

Montreal, Quebec, H2X 0A9, Canada

Location

Novo Nordisk Investigational Site

Québec, G1V 4G2, Canada

Location

Novo Nordisk Investigational Site

Caen, 14033, France

Location

Novo Nordisk Investigational Site

La Rochelle, 17019, France

Location

Novo Nordisk Investigational Site

Le Creusot, 71200, France

Location

Novo Nordisk Investigational Site

Montpellier, 34295, France

Location

Novo Nordisk Investigational Site

Narbonne, 11108, France

Location

Novo Nordisk Investigational Site

Paris, 75010, France

Location

Novo Nordisk Investigational Site

Saint-Herblain, 44800, France

Location

Novo Nordisk Investigational Site

Strasbourg, 67098, France

Location

Novo Nordisk Investigational Site

Toulouse, 31054, France

Location

Novo Nordisk Investigational Site

Vénissieux, 69200, France

Location

Novo Nordisk Investigational Site

Bad Mergentheim, 97980, Germany

Location

Novo Nordisk Investigational Site

Essen, 45136, Germany

Location

Novo Nordisk Investigational Site

Friedrichsthal, 66299, Germany

Location

Novo Nordisk Investigational Site

Hamburg, 22607, Germany

Location

Novo Nordisk Investigational Site

Ludwigshafen, 67059, Germany

Location

Novo Nordisk Investigational Site

Münster, 48145, Germany

Location

Novo Nordisk Investigational Site

Neuwied, 56564, Germany

Location

Novo Nordisk Investigational Site

Rehlingen-Siersburg, 66780, Germany

Location

Novo Nordisk Investigational Site

Rostock, 18057, Germany

Location

Novo Nordisk Investigational Site

Amsterdam, 1105 AZ, Netherlands

Location

Novo Nordisk Investigational Site

Apeldoorn, 7334 DZ, Netherlands

Location

Novo Nordisk Investigational Site

Eindhoven, 5631 BM, Netherlands

Location

Novo Nordisk Investigational Site

Hoofddorp, 2134 TM, Netherlands

Location

Novo Nordisk Investigational Site

Hoogeveen, 7909 AA, Netherlands

Location

Novo Nordisk Investigational Site

Leiden, 2333 ZA, Netherlands

Location

Novo Nordisk Investigational Site

Nijmegen, 6525 GA, Netherlands

Location

Novo Nordisk Investigational Site

Rotterdam, 3011 TA, Netherlands

Location

Novo Nordisk Investigational Site

Utrecht, 3584 CX, Netherlands

Location

Novo Nordisk Investigational Site

Venlo, 5912 BL, Netherlands

Location

Novo Nordisk Investigational Site

Cheboksary, 428009, Russia

Location

Novo Nordisk Investigational Site

Moscow, 117036, Russia

Location

Novo Nordisk Investigational Site

Novosibirsk, 630117, Russia

Location

Novo Nordisk Investigational Site

Saint Petersburg, 190068, Russia

Location

Novo Nordisk Investigational Site

Saint Petersburg, 194354, Russia

Location

Novo Nordisk Investigational Site

Saint Petersburg, 195257, Russia

Location

Novo Nordisk Investigational Site

Saint Petersburg, 199034, Russia

Location

Novo Nordisk Investigational Site

Saint Petersburg, 199226, Russia

Location

Novo Nordisk Investigational Site

Saratov, 410039, Russia

Location

Novo Nordisk Investigational Site

Yoshkar-Ola, 424004, Russia

Location

Novo Nordisk Investigational Site

Ljubljana, 1525, Slovenia

Location

Novo Nordisk Investigational Site

Novo Mesto, 8000, Slovenia

Location

Novo Nordisk Investigational Site

Cambridge, CB2 0QQ, United Kingdom

Location

Novo Nordisk Investigational Site

Guildford, GU2 7XX, United Kingdom

Location

Novo Nordisk Investigational Site

Harrogate, North Yorkshire, HG2 7SX, United Kingdom

Location

Novo Nordisk Investigational Site

London, SE1 9RT, United Kingdom

Location

Novo Nordisk Investigational Site

Manchester, M13 0JE, United Kingdom

Location

Novo Nordisk Investigational Site

St Helens, WA9 3DA, United Kingdom

Location

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.

  • Klonoff 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.

  • Gorst-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.

Related Links

MeSH Terms

Conditions

Diabetes MellitusDiabetes Mellitus, Type 1

Interventions

Insulin Aspart

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesAutoimmune DiseasesImmune System Diseases

Intervention Hierarchy (Ancestors)

Insulin, Short-ActingInsulinsPancreatic HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPeptidesAmino Acids, Peptides, and Proteins

Results Point of Contact

Title
Clinical Reporting Anchor and Disclosure (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
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

Locations