NCT02906917

Brief Summary

Trial comparing effect and safety of insulin degludec/insulin aspart vs. insulin glargine plus insulin aspart in subjects with type 2 diabetes treated with basal insulin with or without oral antidiabetic treatment in need of treatment intensification.

Trial Health

93
On Track

Trial Health Score

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

Enrollment
532

participants targeted

Target at P50-P75 for phase_3 diabetes

Timeline
Completed

Started Sep 2016

Geographic Reach
7 countries

71 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

September 15, 2016

Completed
5 days until next milestone

First Posted

Study publicly available on registry

September 20, 2016

Completed
Same day until next milestone

Study Start

First participant enrolled

September 20, 2016

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2017

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 24, 2017

Completed
9 months until next milestone

Results Posted

Study results publicly available

September 28, 2018

Completed
Last Updated

November 13, 2019

Status Verified

November 1, 2019

Enrollment Period

12 months

First QC Date

September 15, 2016

Results QC Date

August 28, 2018

Last Update Submit

November 8, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in HbA1c (%) - Week 26

    Change from baseline (week 0) in glycosylated haemoglobin (HbA1c) was evaluated 26 weeks after randomisation.

    Week 0, week 26

Secondary Outcomes (11)

  • Change in HbA1c (%) - Week 38

    Week 0, week 38

  • Responder (Yes/No) for HbA1c < 7%

    Week 26 and week 38

  • Responder (Yes/No) for HbA1c <7% Without Severe or BG Confirmed Symptomatic Hypoglycaemia

    Week 26 and week 38

  • Change in FPG

    Week 0, week 26, week 38

  • Change in Pre-breakfast SMPG (Used for Titration)

    Week 1, week 26, week 38

  • +6 more secondary outcomes

Study Arms (2)

IDegAsp

EXPERIMENTAL
Drug: Insulin degludec/insulin aspart

IGlar + IAsp

ACTIVE COMPARATOR
Drug: Insulin glargineDrug: Insulin aspart

Interventions

Administered subcutaneously (s.c. under the skin) once daily.

IDegAsp

Administered subcutaneously (s.c. under the skin) once daily.

IGlar + IAsp

Administered subcutaneously (s.c. under the skin) once daily.

IGlar + IAsp

Eligibility Criteria

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

You may qualify if:

  • Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial
  • 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
  • Diagnosed with type 2 diabetes mellitus
  • Treated with any basal insulin for at least 90 days prior to the day of screening
  • Subject not on any OAD(s) prior to trial participation OR subjects on stable daily dose(s) of OAD(s) for at least 90 days prior to screening visit (V1). The OAD(s) include any of the following anti-diabetic drug s)/regimen: a. Biguanides (metformin at least 1500 mg or maximum tolerated dose documented in the subject medical record) b. Other OADs (at least half of the maximum approved dose according to local label or maximum tolerated dose as documented in subject medical record): i. Insulin secretagogues (SU and glinides) ii. Di-peptidyl-peptidase IV (DPP-4) inhibitors iii. α-glucosidase inhibitors iv. Sodium/glucose co-transporter 2 (SGLT-2) inhibitors v. Oral combination products (of the allowed individual OADs above)
  • HbA1c 7.0-10.0% (53-86 mmol/mol) (both inclusive) by central laboratory analysis
  • Body mass index (BMI) equal to or below 45.0 kg/m\^2

You may not qualify if:

  • Participation in any clinical trial of an approved or non-approved investigational medicinal product within four weeks prior to the day of screening (V1)
  • Any chronic disorder or severe disease which, in the opinion of the investigator, might jeopardise subject's safety or compliance with the protocol
  • Acute decompensation of glycaemic control requiring immediate intensification of treatment to prevent severe metabolic dysregulation (e.g. diabetes ketoacidosis) equal or below 90 days prior to the day of the screening and between screening and randomisation
  • Any of the following: myocardial infarction, stroke or hospitalization for unstable angina or transient ischaemic attack within the past 180 days prior to the day of screening and between screening and randomisation
  • Renal impairment measured as estimated Glomerular Filtration Rate (eGFR) value of below 60 ml/min/1.73 m\^2 as defined by KDIGO 2012 classification using isotope dilution mass spectrometry (IDMS) for serum creatinine measured at screening
  • Impaired liver function, defined as alanine aminotransferase (ALT) equal to or above 2.5 times upper normal limit (UNL) at screening.
  • Subjects presently classified as being in New York Heart Association (NYHA) Class IV
  • Planned coronary, carotid or peripheral artery revascularisation known on the day of screening
  • Anticipated initiation or change in concomitant medications (for more than 14 consecutive days) known to affect weight or glucose metabolism (e.g. treatment with orlistat, thyroid hormones, or corticosteroids)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (71)

Novo Nordisk Investigational Site

Glendale, Arizona, 85306-4652, United States

Location

Novo Nordisk Investigational Site

Phoenix, Arizona, 85050, United States

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Novo Nordisk Investigational Site

Anaheim, California, 92801, United States

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Novo Nordisk Investigational Site

Concord, California, 94520, United States

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Novo Nordisk Investigational Site

Fresno, California, 93720, United States

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Novo Nordisk Investigational Site

La Jolla, California, 92037, United States

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Novo Nordisk Investigational Site

Northridge, California, 91325, United States

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Novo Nordisk Investigational Site

Danbury, Connecticut, 06810, United States

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Novo Nordisk Investigational Site

Fort Lauderdale, Florida, 33312, United States

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Novo Nordisk Investigational Site

Fort Lauderdale, Florida, 33316, United States

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Novo Nordisk Investigational Site

Jacksonville, Florida, 32205, United States

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Novo Nordisk Investigational Site

Kissimmee, Florida, 34744, United States

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Novo Nordisk Investigational Site

Roswell, Georgia, 30076, United States

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Novo Nordisk Investigational Site

Louisville, Kentucky, 40213, United States

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Novo Nordisk Investigational Site

Chesterfield, Missouri, 63017, United States

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Novo Nordisk Investigational Site

New York, New York, 10029, United States

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Novo Nordisk Investigational Site

Westfield, New York, 14787, United States

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Novo Nordisk Investigational Site

Wilmington, North Carolina, 28401, United States

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Novo Nordisk Investigational Site

Franklin, Ohio, 45005, United States

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Novo Nordisk Investigational Site

Bartlett, Tennessee, 38133, United States

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Novo Nordisk Investigational Site

Chattanooga, Tennessee, 37411, United States

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Novo Nordisk Investigational Site

Kingsport, Tennessee, 37660, United States

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Novo Nordisk Investigational Site

Knoxville, Tennessee, 37938, United States

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Novo Nordisk Investigational Site

Nashville, Tennessee, 37228, United States

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Novo Nordisk Investigational Site

Austin, Texas, 78758, United States

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Novo Nordisk Investigational Site

Dallas, Texas, 75390-9302, United States

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Novo Nordisk Investigational Site

San Antonio, Texas, 78230, United States

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Novo Nordisk Investigational Site

Chesapeake, Virginia, 23321, United States

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Novo Nordisk Investigational Site

Midlothian, Virginia, 23114, United States

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Novo Nordisk Investigational Site

Winchester, Virginia, 22601-3834, United States

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Novo Nordisk Investigational Site

Constantine, 25000, Algeria

Location

Novo Nordisk Investigational Site

Oran, 31000, Algeria

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Novo Nordisk Investigational Site

Sidi Bel Abbes, 22000, Algeria

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Novo Nordisk Investigational Site

Broumov, 550 01, Czechia

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Novo Nordisk Investigational Site

Náchod, 547 01, Czechia

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Novo Nordisk Investigational Site

Náchod, 54701, Czechia

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Novo Nordisk Investigational Site

Prague, 140 21, Czechia

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Novo Nordisk Investigational Site

Prague, 140 46, Czechia

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Novo Nordisk Investigational Site

Trutnov, 541 01, Czechia

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Novo Nordisk Investigational Site

Hyderabad, Andhra Pradesh, 500001, India

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Novo Nordisk Investigational Site

Hyderabad, Andhra Pradesh, 500072, India

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Novo Nordisk Investigational Site

Surat, Gujarat, 395002, India

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Novo Nordisk Investigational Site

Kozhikode, Kerala, 673017, India

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Novo Nordisk Investigational Site

Aurangabad, Maharashtra, 431005, India

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Novo Nordisk Investigational Site

Mumbai, Maharashtra, 400058, India

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Novo Nordisk Investigational Site

New Dehli, New Delhi, 110029, India

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Novo Nordisk Investigational Site

Coimbatore, Tamil Nadu, 641018, India

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Novo Nordisk Investigational Site

Kolkata, West Bengal, 700054, India

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Novo Nordisk Investigational Site

New Delhi, 110001, India

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Novo Nordisk Investigational Site

Arkhangelsk, 163045, Russia

Location

Novo Nordisk Investigational Site

Cheboksary, 428009, Russia

Location

Novo Nordisk Investigational Site

Moscow, 127486, Russia

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Novo Nordisk Investigational Site

Saint Petersburg, 191119, Russia

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Novo Nordisk Investigational Site

Saint Petersburg, 194354, Russia

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Novo Nordisk Investigational Site

Saint Petersburg, 195213, Russia

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Novo Nordisk Investigational Site

Saint Petersburg, 197762, Russia

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Novo Nordisk Investigational Site

Saratov, 410039, Russia

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Novo Nordisk Investigational Site

Saratov, 410053, Russia

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Novo Nordisk Investigational Site

Syktyvkar, 167981, Russia

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Novo Nordisk Investigational Site

Tyumen, 625023, Russia

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Novo Nordisk Investigational Site

Belgrade, 11000, Serbia

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Novo Nordisk Investigational Site

Belgrade, 11080, Serbia

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Novo Nordisk Investigational Site

Niš, 18000, Serbia

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Novo Nordisk Investigational Site

Adana, 01250, Turkey (Türkiye)

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Novo Nordisk Investigational Site

Ankara, 06100, Turkey (Türkiye)

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Novo Nordisk Investigational Site

Ankara, 06500, Turkey (Türkiye)

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Novo Nordisk Investigational Site

Istanbul, 34098, Turkey (Türkiye)

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Novo Nordisk Investigational Site

Istanbul, 34303, Turkey (Türkiye)

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Novo Nordisk Investigational Site

Istanbul, 34718, Turkey (Türkiye)

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Novo Nordisk Investigational Site

Istanbul, 34752, Turkey (Türkiye)

Location

Novo Nordisk Investigational Site

Izmir, 35340, Turkey (Türkiye)

Location

Related Publications (2)

  • Philis-Tsimikas A, Astamirova K, Gupta Y, Haggag A, Roula D, Bak BA, Fita EG, Nielsen AM, Demir T. Similar glycaemic control with less nocturnal hypoglycaemia in a 38-week trial comparing the IDegAsp co-formulation with insulin glargine U100 and insulin aspart in basal insulin-treated subjects with type 2 diabetes mellitus. Diabetes Res Clin Pract. 2019 Jan;147:157-165. doi: 10.1016/j.diabres.2018.10.024. Epub 2018 Nov 16.

  • 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.

MeSH Terms

Conditions

Diabetes MellitusDiabetes Mellitus, Type 2

Interventions

insulin degludec, insulin aspart drug combinationInsulin GlargineInsulin Aspart

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Insulin, Long-ActingInsulinsPancreatic HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPeptidesAmino Acids, Peptides, and ProteinsInsulin, Short-Acting

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
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 15, 2016

First Posted

September 20, 2016

Study Start

September 20, 2016

Primary Completion

August 31, 2017

Study Completion

December 24, 2017

Last Updated

November 13, 2019

Results First Posted

September 28, 2018

Record last verified: 2019-11

Locations