Comparison of NN1250 With Insulin Glargine in Type 1 Diabetes

NCT ID: NCT01079234

Last Updated: 2017-02-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

493 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-03-31

Study Completion Date

2011-05-31

Brief Summary

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This trial is conducted in Europe and in the United States of America (USA). The aim of this trial is to investigate the efficacy and safety of NN1250 (insulin degludec) in subjects with type 1 diabetes.

Detailed Description

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Conditions

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Diabetes Diabetes Mellitus, Type 1

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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Flex + insulin aspart

Group Type EXPERIMENTAL

insulin degludec

Intervention Type DRUG

Injected subcutaneously (under the skin) once daily

insulin aspart

Intervention Type DRUG

At least three daily doses at meal-time

Fixed + insulin aspart

Group Type EXPERIMENTAL

insulin degludec

Intervention Type DRUG

Injected subcutaneously (under the skin) once daily

insulin aspart

Intervention Type DRUG

At least three daily doses at meal-time

IGlar + insulin aspart

Group Type ACTIVE_COMPARATOR

insulin glargine

Intervention Type DRUG

Insulin glargine injected subcutaneously (under the skin) once daily

insulin aspart

Intervention Type DRUG

At least three daily doses at meal-time

Interventions

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insulin degludec

Injected subcutaneously (under the skin) once daily

Intervention Type DRUG

insulin glargine

Insulin glargine injected subcutaneously (under the skin) once daily

Intervention Type DRUG

insulin aspart

At least three daily doses at meal-time

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Type 1 diabetes for 12 months or longer, hereof the last 3 months with injection based therapies
* Current treatment with any basal insulin (e.g. insulin glargine, insulin detemir, NPH insulin) using one or two daily injections and with three or more daily meal-time insulin injections (e.g. insulin aspart, insulin lispro, insulin glulisine, human insulin) used as bolus insulin therapy
* HbA1c maximum 10.0 % by central laboratory analysis
* Body Mass Index (BMI) below or equal to 35.0 kg/m\^2
* Ability to self-manage insulin therapy as assessed by confirmation (verbal confirmation at screening visit) of a changed insulin dose in the preceding two months prior to screening
* Ability and willingness to adhere to the protocol including performance of self measured plasma glucose (SMPG) profiles and self adjustment of insulin doses

Exclusion Criteria

* Use within the last 3 months prior to Visit 1 of any antidiabetic glucose lowering drug other than insulin
* 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 above or equal to 180 millimetre (mm) mercury (Hg) and/or diastolic blood pressure above or equal to 100 mmHg)
* Pregnancy, breast-feeding, the intention of becoming pregnant or not using adequate contraceptive measures according to local requirements
* 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

Encino, California, United States

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Fresno, California, United States

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Huntington Beach, California, United States

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Long Beach, California, United States

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Redondo Beach, California, United States

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Walnut Creek, California, United States

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Aurora, Colorado, United States

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Denver, Colorado, United States

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DeLand, Florida, United States

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Hollywood, Florida, United States

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Miami, Florida, United States

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Lawrenceville, Georgia, United States

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Roswell, Georgia, United States

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Nampa, Idaho, United States

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Crystal Lake, Illinois, United States

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Des Moines, Iowa, United States

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Des Moines, Iowa, United States

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Baltimore, Maryland, United States

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Jefferson City, Missouri, United States

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Springfield, Missouri, United States

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St Louis, Missouri, United States

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Omaha, Nebraska, United States

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Nashua, New Hampshire, United States

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Flemington, New Jersey, United States

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Smithtown, New York, United States

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Staten Island, New York, United States

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Asheville, North Carolina, United States

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Chapel Hill, North Carolina, United States

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Greenville, North Carolina, United States

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Morehead City, North Carolina, United States

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Greer, South Carolina, United States

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Chattanooga, Tennessee, United States

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Memphis, Tennessee, United States

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Arlington, Texas, United States

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Dallas, Texas, United States

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Dallas, Texas, United States

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Dallas, Texas, United States

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Houston, Texas, United States

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Round Rock, Texas, United States

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Spokane, Washington, United States

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Aalst, , Belgium

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Arlon, , Belgium

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Bonheiden, , Belgium

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Brussels, , Belgium

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Leuven, , Belgium

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Bad Kreuznach, , Germany

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Falkensee, , Germany

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Hamburg, , Germany

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Hamburg, , Germany

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Hamburg, , Germany

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Hohenmölsen, , Germany

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Rehburg-Loccum, , Germany

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Rehlingen-Siersburg, , Germany

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Saint Ingbert, , Germany

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Völklingen, , Germany

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Athens, , Greece

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Athens, , Greece

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Athens, , Greece

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Thessaloniki, , Greece

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Thessaloniki, , Greece

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Ålesund, , Norway

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Bergen, , Norway

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Elverum, , Norway

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Hamar, , Norway

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Kongsvinger, , Norway

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Stavanger, , Norway

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Bialystok, , Poland

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Lublin, , Poland

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Poznan, , Poland

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Warsaw, , Poland

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Belfast, , United Kingdom

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Bristol, , United Kingdom

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Guildford, , United Kingdom

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Hull, , United Kingdom

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Inverness, , United Kingdom

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Ipswich, , United Kingdom

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Newcastle, , United Kingdom

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Rugby, , United Kingdom

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Southall, , United Kingdom

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Stevenage, , United Kingdom

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Swansea, , United Kingdom

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Welwyn Garden City, , United Kingdom

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Countries

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United States Belgium Germany Greece Norway Poland United Kingdom

References

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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)

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 RESULT
PMID: 26121451 (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)

Mathieu C, Hollander P, Miranda-Palma B, Cooper J, Franek E, Russell-Jones D, Larsen J, Tamer SC, Bain SC; NN1250-3770 (BEGIN: Flex T1) Trial Investigators. Efficacy and safety of insulin degludec in a flexible dosing regimen vs insulin glargine in patients with type 1 diabetes (BEGIN: Flex T1): a 26-week randomized, treat-to-target trial with a 26-week extension. J Clin Endocrinol Metab. 2013 Mar;98(3):1154-62. doi: 10.1210/jc.2012-3249. Epub 2013 Feb 7.

Reference Type DERIVED
PMID: 23393185 (View on PubMed)

Related Links

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http://novonordisk-trials.com

Clinical Trials at Novo Nordisk

Other Identifiers

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U1111-1112-8813

Identifier Type: OTHER

Identifier Source: secondary_id

2009-012923-27

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

NN1250-3770

Identifier Type: -

Identifier Source: org_study_id

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