A 38 Week 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
This Trial is Conducted Globally. The Aim of This Trial is to Compare the 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.
3 other identifiers
interventional
532
7 countries
71
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 diabetes
Started Sep 2016
71 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
First Submitted
Initial submission to the registry
September 15, 2016
CompletedFirst Posted
Study publicly available on registry
September 20, 2016
CompletedStudy Start
First participant enrolled
September 20, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 31, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
December 24, 2017
CompletedResults Posted
Study results publicly available
September 28, 2018
CompletedNovember 13, 2019
November 1, 2019
12 months
September 15, 2016
August 28, 2018
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
EXPERIMENTALIGlar + IAsp
ACTIVE COMPARATORInterventions
Administered subcutaneously (s.c. under the skin) once daily.
Eligibility Criteria
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
- Novo Nordisk A/Slead
Study Sites (71)
Novo Nordisk Investigational Site
Glendale, Arizona, 85306-4652, United States
Novo Nordisk Investigational Site
Phoenix, Arizona, 85050, United States
Novo Nordisk Investigational Site
Anaheim, California, 92801, United States
Novo Nordisk Investigational Site
Concord, California, 94520, United States
Novo Nordisk Investigational Site
Fresno, California, 93720, United States
Novo Nordisk Investigational Site
La Jolla, California, 92037, United States
Novo Nordisk Investigational Site
Northridge, California, 91325, United States
Novo Nordisk Investigational Site
Danbury, Connecticut, 06810, United States
Novo Nordisk Investigational Site
Fort Lauderdale, Florida, 33312, United States
Novo Nordisk Investigational Site
Fort Lauderdale, Florida, 33316, United States
Novo Nordisk Investigational Site
Jacksonville, Florida, 32205, United States
Novo Nordisk Investigational Site
Kissimmee, Florida, 34744, United States
Novo Nordisk Investigational Site
Roswell, Georgia, 30076, United States
Novo Nordisk Investigational Site
Louisville, Kentucky, 40213, United States
Novo Nordisk Investigational Site
Chesterfield, Missouri, 63017, United States
Novo Nordisk Investigational Site
New York, New York, 10029, United States
Novo Nordisk Investigational Site
Westfield, New York, 14787, United States
Novo Nordisk Investigational Site
Wilmington, North Carolina, 28401, United States
Novo Nordisk Investigational Site
Franklin, Ohio, 45005, United States
Novo Nordisk Investigational Site
Bartlett, Tennessee, 38133, United States
Novo Nordisk Investigational Site
Chattanooga, Tennessee, 37411, United States
Novo Nordisk Investigational Site
Kingsport, Tennessee, 37660, United States
Novo Nordisk Investigational Site
Knoxville, Tennessee, 37938, United States
Novo Nordisk Investigational Site
Nashville, Tennessee, 37228, United States
Novo Nordisk Investigational Site
Austin, Texas, 78758, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75390-9302, United States
Novo Nordisk Investigational Site
San Antonio, Texas, 78230, United States
Novo Nordisk Investigational Site
Chesapeake, Virginia, 23321, United States
Novo Nordisk Investigational Site
Midlothian, Virginia, 23114, United States
Novo Nordisk Investigational Site
Winchester, Virginia, 22601-3834, United States
Novo Nordisk Investigational Site
Constantine, 25000, Algeria
Novo Nordisk Investigational Site
Oran, 31000, Algeria
Novo Nordisk Investigational Site
Sidi Bel Abbes, 22000, Algeria
Novo Nordisk Investigational Site
Broumov, 550 01, Czechia
Novo Nordisk Investigational Site
Náchod, 547 01, Czechia
Novo Nordisk Investigational Site
Náchod, 54701, Czechia
Novo Nordisk Investigational Site
Prague, 140 21, Czechia
Novo Nordisk Investigational Site
Prague, 140 46, Czechia
Novo Nordisk Investigational Site
Trutnov, 541 01, Czechia
Novo Nordisk Investigational Site
Hyderabad, Andhra Pradesh, 500001, India
Novo Nordisk Investigational Site
Hyderabad, Andhra Pradesh, 500072, India
Novo Nordisk Investigational Site
Surat, Gujarat, 395002, India
Novo Nordisk Investigational Site
Kozhikode, Kerala, 673017, India
Novo Nordisk Investigational Site
Aurangabad, Maharashtra, 431005, India
Novo Nordisk Investigational Site
Mumbai, Maharashtra, 400058, India
Novo Nordisk Investigational Site
New Dehli, New Delhi, 110029, India
Novo Nordisk Investigational Site
Coimbatore, Tamil Nadu, 641018, India
Novo Nordisk Investigational Site
Kolkata, West Bengal, 700054, India
Novo Nordisk Investigational Site
New Delhi, 110001, India
Novo Nordisk Investigational Site
Arkhangelsk, 163045, Russia
Novo Nordisk Investigational Site
Cheboksary, 428009, Russia
Novo Nordisk Investigational Site
Moscow, 127486, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 191119, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 194354, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 195213, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 197762, Russia
Novo Nordisk Investigational Site
Saratov, 410039, Russia
Novo Nordisk Investigational Site
Saratov, 410053, Russia
Novo Nordisk Investigational Site
Syktyvkar, 167981, Russia
Novo Nordisk Investigational Site
Tyumen, 625023, Russia
Novo Nordisk Investigational Site
Belgrade, 11000, Serbia
Novo Nordisk Investigational Site
Belgrade, 11080, Serbia
Novo Nordisk Investigational Site
Niš, 18000, Serbia
Novo Nordisk Investigational Site
Adana, 01250, Turkey (Türkiye)
Novo Nordisk Investigational Site
Ankara, 06100, Turkey (Türkiye)
Novo Nordisk Investigational Site
Ankara, 06500, Turkey (Türkiye)
Novo Nordisk Investigational Site
Istanbul, 34098, Turkey (Türkiye)
Novo Nordisk Investigational Site
Istanbul, 34303, Turkey (Türkiye)
Novo Nordisk Investigational Site
Istanbul, 34718, Turkey (Türkiye)
Novo Nordisk Investigational Site
Istanbul, 34752, Turkey (Türkiye)
Novo Nordisk Investigational Site
Izmir, 35340, Turkey (Türkiye)
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.
PMID: 30448451RESULTYang 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
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
- 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