Comparison of NN1250 Versus Insulin Glargine in Subjects With Type 2 Diabetes

NCT ID: NCT01059799

Last Updated: 2017-03-30

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

435 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-02-01

Study Completion Date

2010-12-16

Brief Summary

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This trial is conducted in Asia and Japan. The aim of this trial is to compare insulin degludec (NN1250) with insulin glargine both combined with oral antidiabetic drugs (OADs) in subjects with type 2 diabetes never treated with insulin.

Detailed Description

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Conditions

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Diabetes Diabetes Mellitus, Type 2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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IDeg OD

Group Type EXPERIMENTAL

insulin degludec

Intervention Type DRUG

Insulin degludec injected subcutaneously (under the skin) once daily. The doses will be individually adjusted

IGlar OD

Group Type ACTIVE_COMPARATOR

insulin glargine

Intervention Type DRUG

Insulin glargine injected subcutaneously (under the skin) once daily. The doses will be individually adjusted

Interventions

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insulin degludec

Insulin degludec injected subcutaneously (under the skin) once daily. The doses will be individually adjusted

Intervention Type DRUG

insulin glargine

Insulin glargine injected subcutaneously (under the skin) once daily. The doses will be individually adjusted

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* For Japan only: minimum age is 20 years
* Type 2 diabetes mellitus (diagnosed clinically) for at least 6 months
* Current treatment with monotherapy or combination of an insulin secretagouge (sulfonylurea or glinide) and metformin, with or without addition of alfa-glucosidase-inhibitors or a DPP-4 inhibitor with unchanged dosing for at least 3 months prior to visit 1. The dose(s) should as minimum be as stated: -Insulin secretagogue (sulfonylurea or glinide): Minimum half of the daily maximal dose according to local labelling -Metformin: alone or in combination (including fixed combination): Maximum tolerated dose - alfa-glucosidase-inhibitors: Minimum half of the daily maximal dose or maximum tolerated dose -DPP-4 (dipeptyl peptidase 4) inhibitor: According to local labelling
* HbA1c 7.0-10.0 % (both inclusive) by central laboratory analysis
* Body Mass Index (BMI) no higher than 35.0 kg/m\^2

Exclusion Criteria

* Use within the last 3 months prior to Visit 1 of: TZDs (thiazolidinediones), exenatide or liraglutide
* Cardiovascular disease, within the last 6 months prior to visit 1, defined as: stroke; decompensated heart failure New York Heart Association (NYHA) class III or IV; myocardial infarction; unstable angina pectoris; or coronary arterial bypass graft or angioplasty
* Uncontrolled treated/untreated severe hypertension (systolic blood pressure at least 180 millimetre (mm) mercury (Hg) and/or diastolic blood pressure at least 100 mmHg)
* Pregnancy, breast-feeding, or the intention of becoming pregnant or not using adequate contraceptive measures according to local requirements (for Thailand: adequate contraceptive measures are: diaphragm, condom (by the partner), intrauterine device in place for last three months before trial starts, sponge, cap with spermicide, contraceptive patch, approved hormonal implant (i.e. Norplant), oral contraceptives taken without difficulty for the last three months before trial starts, post menopausal state or sterilisation.)
* Cancer and medical history of cancer (except basal cell skin cancer or squamous cell skin cancer)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novo Nordisk A/S

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Global Clinical Registry (GCR, 1452)

Role: STUDY_DIRECTOR

Novo Nordisk A/S

Locations

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Novo Nordisk Investigational Site

Shatin, New Territories, , Hong Kong

Site Status

Novo Nordisk Investigational Site

Chuo-ku, Tokyo, , Japan

Site Status

Novo Nordisk Investigational Site

Kamakura-shi, Kanagawa, , Japan

Site Status

Novo Nordisk Investigational Site

Kawasaki-shi, , Japan

Site Status

Novo Nordisk Investigational Site

Miyazaki, , Japan

Site Status

Novo Nordisk Investigational Site

Naka-shi, Ibaraki, , Japan

Site Status

Novo Nordisk Investigational Site

Nishinomiya-shi, Hygo, , Japan

Site Status

Novo Nordisk Investigational Site

Ogawa, , Japan

Site Status

Novo Nordisk Investigational Site

Ota-ku, Tokyo, , Japan

Site Status

Novo Nordisk Investigational Site

Oyama-shi, Tochigi, , Japan

Site Status

Novo Nordisk Investigational Site

Ōita, , Japan

Site Status

Novo Nordisk Investigational Site

Sapporo-shi, Hokkaido, , Japan

Site Status

Novo Nordisk Investigational Site

Takatsuki-shi, Osaka, , Japan

Site Status

Novo Nordisk Investigational Site

Cheras, , Malaysia

Site Status

Novo Nordisk Investigational Site

George Town, , Malaysia

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Novo Nordisk Investigational Site

Georgetown, Penang, , Malaysia

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Novo Nordisk Investigational Site

Kota Bharu, Kelantan, , Malaysia

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Novo Nordisk Investigational Site

Kuala Lumpur, , Malaysia

Site Status

Novo Nordisk Investigational Site

Kuala Lumpur, , Malaysia

Site Status

Novo Nordisk Investigational Site

Kuala Selangor, , Malaysia

Site Status

Novo Nordisk Investigational Site

Putrajaya, , Malaysia

Site Status

Novo Nordisk Investigational Site

Bucheon-si, , South Korea

Site Status

Novo Nordisk Investigational Site

Busan, , South Korea

Site Status

Novo Nordisk Investigational Site

Goyang, , South Korea

Site Status

Novo Nordisk Investigational Site

Goyang, , South Korea

Site Status

Novo Nordisk Investigational Site

Incheon, , South Korea

Site Status

Novo Nordisk Investigational Site

Jeonju, , South Korea

Site Status

Novo Nordisk Investigational Site

Seoul, , South Korea

Site Status

Novo Nordisk Investigational Site

Seoul, , South Korea

Site Status

Novo Nordisk Investigational Site

Seoul, , South Korea

Site Status

Novo Nordisk Investigational Site

Seoul, , South Korea

Site Status

Novo Nordisk Investigational Site

Seoul, , South Korea

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Novo Nordisk Investigational Site

Seoul, , South Korea

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Novo Nordisk Investigational Site

Seoul, , South Korea

Site Status

Novo Nordisk Investigational Site

Seoul, , South Korea

Site Status

Novo Nordisk Investigational Site

Seoul, , South Korea

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Novo Nordisk Investigational Site

Suwon, , South Korea

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Novo Nordisk Investigational Site

Suwon, , South Korea

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Novo Nordisk Investigational Site

Wŏnju, , South Korea

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Novo Nordisk Investigational Site

Yangsan, , South Korea

Site Status

Novo Nordisk Investigational Site

Banqiao District, , Taiwan

Site Status

Novo Nordisk Investigational Site

Changhua, , Taiwan

Site Status

Novo Nordisk Investigational Site

Chiayi City, , Taiwan

Site Status

Novo Nordisk Investigational Site

Kaohsiung City, , Taiwan

Site Status

Novo Nordisk Investigational Site

Kaoshiung, , Taiwan

Site Status

Novo Nordisk Investigational Site

Taichung, , Taiwan

Site Status

Novo Nordisk Investigational Site

Taipei, , Taiwan

Site Status

Novo Nordisk Investigational Site

Bangkok, , Thailand

Site Status

Novo Nordisk Investigational Site

Bangkok, , Thailand

Site Status

Novo Nordisk Investigational Site

Bangkoknoi, Bangkok, , Thailand

Site Status

Novo Nordisk Investigational Site

Chiang Mai, , Thailand

Site Status

Novo Nordisk Investigational Site

Nakhon Ratchasima, , Thailand

Site Status

Novo Nordisk Investigational Site

Songkhla, , Thailand

Site Status

Countries

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Hong Kong Japan Malaysia South Korea Taiwan Thailand

References

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Einhorn D, Handelsman Y, Bode BW, Endahl LA, Mersebach H, King AB. PATIENTS ACHIEVING GOOD GLYCEMIC CONTROL (HBA1c <7%) EXPERIENCE A LOWER RATE OF HYPOGLYCEMIA WITH INSULIN DEGLUDEC THAN WITH INSULIN GLARGINE: A META-ANALYSIS OF PHASE 3A TRIALS. Endocr Pract. 2015 Aug;21(8):917-26. doi: 10.4158/EP14523.OR. Epub 2015 Jun 29.

Reference Type BACKGROUND
PMID: 26121451 (View on PubMed)

Ratner RE, Gough SC, Mathieu C, Del Prato S, Bode B, Mersebach H, Endahl L, Zinman B. Hypoglycaemia risk with insulin degludec compared with insulin glargine in type 2 and type 1 diabetes: a pre-planned meta-analysis of phase 3 trials. Diabetes Obes Metab. 2013 Feb;15(2):175-84. doi: 10.1111/dom.12032. Epub 2012 Dec 3.

Reference Type RESULT
PMID: 23130654 (View on PubMed)

Heller S, Mathieu C, Kapur R, Wolden ML, Zinman B. A meta-analysis of rate ratios for nocturnal confirmed hypoglycaemia with insulin degludec vs. insulin glargine using different definitions for hypoglycaemia. Diabet Med. 2016 Apr;33(4):478-87. doi: 10.1111/dme.13002. Epub 2015 Dec 13.

Reference Type RESULT
PMID: 26484727 (View on PubMed)

Sorli C, Warren M, Oyer D, Mersebach H, Johansen T, Gough SC. Elderly patients with diabetes experience a lower rate of nocturnal hypoglycaemia with insulin degludec than with insulin glargine: a meta-analysis of phase IIIa trials. Drugs Aging. 2013 Dec;30(12):1009-18. doi: 10.1007/s40266-013-0128-2.

Reference Type RESULT
PMID: 24170235 (View on PubMed)

Russell-Jones D, Gall MA, Niemeyer M, Diamant M, Del Prato S. Insulin degludec results in lower rates of nocturnal hypoglycaemia and fasting plasma glucose vs. insulin glargine: A meta-analysis of seven clinical trials. Nutr Metab Cardiovasc Dis. 2015 Oct;25(10):898-905. doi: 10.1016/j.numecd.2015.06.005. Epub 2015 Jun 18.

Reference Type RESULT
PMID: 26232910 (View on PubMed)

Vora J, Seufert J, Solberg H, Kinduryte O, Johansen T, Hollander P. Insulin degludec does not increase antibody formation versus insulin glargine: an evaluation of phase IIIa trials. Diabetes Obes Metab. 2016 Jul;18(7):716-20. doi: 10.1111/dom.12621. Epub 2016 Feb 8.

Reference Type RESULT
PMID: 26663320 (View on PubMed)

Vora J, Christensen T, Rana A, Bain SC. Insulin degludec versus insulin glargine in type 1 and type 2 diabetes mellitus: a meta-analysis of endpoints in phase 3a trials. Diabetes Ther. 2014 Dec;5(2):435-46. doi: 10.1007/s13300-014-0076-9. Epub 2014 Aug 1.

Reference Type RESULT
PMID: 25081590 (View on PubMed)

Aye MM, Atkin SL. Patient safety and minimizing risk with insulin administration - role of insulin degludec. Drug Healthc Patient Saf. 2014 Apr 30;6:55-67. doi: 10.2147/DHPS.S59566. eCollection 2014.

Reference Type RESULT
PMID: 24812526 (View on PubMed)

Onishi Y, Iwamoto Y, Yoo SJ, Clauson P, Tamer SC, Park S. Insulin degludec compared with insulin glargine in insulin-naive patients with type 2 diabetes: A 26-week, randomized, controlled, Pan-Asian, treat-to-target trial. J Diabetes Investig. 2013 Nov 27;4(6):605-12. doi: 10.1111/jdi.12102. Epub 2013 Jun 3.

Reference Type RESULT
PMID: 24843715 (View on PubMed)

Related Links

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http://novonordisk-trials.com

Clinical Trials at Novo Nordisk

Other Identifiers

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U1111-1113-2441

Identifier Type: OTHER

Identifier Source: secondary_id

JapicCTI-101039

Identifier Type: REGISTRY

Identifier Source: secondary_id

NN1250-3586

Identifier Type: -

Identifier Source: org_study_id

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