Comparison of the Blood Sugar Lowering Effect of Biphasic Insulin Aspart 30 and Insulin Glargine Both Combined With Metformin and Glimepiride in Chinese and Japanese Subjects With Type 2 Diabetes New to Insulin Treatment

NCT ID: NCT01123980

Last Updated: 2017-02-24

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

PHASE4

Total Enrollment

521 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-05-31

Study Completion Date

2011-06-30

Brief Summary

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This trial is conducted in Asia. The aim of this clinical trial is to investigate the blood sugar lowering effect of biphasic insulin aspart 30 once daily compared to insulin glargine once daily both in combination with metformin and glimepiride in Chinese and Japanese subjects with type 2 diabetes who have never received insulin before.

The trial is conducted as a phase 4 trial in China and phase 3 in Japan.

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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BIAsp 30

0.1-0.2 U/kg (starting dose) administered once daily (OD) immediately before dinner in combination with at least 1500 mg (Chinese patients) or 500 mg (Japanese patients) total daily dose of metformin and at least 4 mg glimepiride

Group Type EXPERIMENTAL

biphasic insulin aspart 30

Intervention Type DRUG

Treat-to-target titration according to titration algorithm. Subcutaneous (under the skin) injection once daily.

metformin

Intervention Type DRUG

China: Tablets, 500 mg. Min. 1500 mg/day.

Japan: Tablets, 250 mg. Min 500 mg/day.

glimepiride

Intervention Type DRUG

China: Tablets, 2 mg. Min. 4 mg/day.

Japan: Tablets, 1 mg. Min. 4 mg/day.

Insulin glargine

0.1-0.2U/kg (starting dose) administered once daily (OD) at bedtime in combination with at least 1500 mg (Chinese patients) or 500 mg (Japanese patients) total daily dose of metformin and at least 4 mg glimepiride

Group Type ACTIVE_COMPARATOR

metformin

Intervention Type DRUG

China: Tablets, 500 mg. Min. 1500 mg/day.

Japan: Tablets, 250 mg. Min 500 mg/day.

glimepiride

Intervention Type DRUG

China: Tablets, 2 mg. Min. 4 mg/day.

Japan: Tablets, 1 mg. Min. 4 mg/day.

insulin glargine

Intervention Type DRUG

Treat-to-target titration according to titration algorithm. Subcutaneous (under the skin) injection once daily.

Interventions

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biphasic insulin aspart 30

Treat-to-target titration according to titration algorithm. Subcutaneous (under the skin) injection once daily.

Intervention Type DRUG

metformin

China: Tablets, 500 mg. Min. 1500 mg/day.

Japan: Tablets, 250 mg. Min 500 mg/day.

Intervention Type DRUG

glimepiride

China: Tablets, 2 mg. Min. 4 mg/day.

Japan: Tablets, 1 mg. Min. 4 mg/day.

Intervention Type DRUG

insulin glargine

Treat-to-target titration according to titration algorithm. Subcutaneous (under the skin) injection once daily.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Type 2 diabetes treated with a maximum of three different types of oral anti-diabetic drugs (OADs) (including traditional Chinese medicine which contains active ingredients of known OADs) for more than 6 months
* Unchanged total daily dose of at least 1500 mg (Chinese patients) or 500 mg (Japanese patients) metformin for the last two months
* Unchanged total daily dose of at least half maximum recommended total daily dose of any insulin secretagogue for the last two months
* Insulin naive
* HbA1c between 7.0% and 10.0%
* FPG (fasting plasma glucose) equal to or above 6.1 mmol/L (110mg/dL)
* Body Mass Index (BMI) below 40.0 kg/m\^2

Exclusion Criteria

* Treatment with any thiazolidinedione (TZD) and GLP-1 (glucagon like peptide-1) receptor antagonists during the last 3 months before Visit 1 in this trial
* Any disease or condition which the Investigator feels would interfere with the trial
* Any contraindication to metformin or glimepiride (according to local labelling)
Minimum Eligible Age

20 Years

Maximum Eligible Age

79 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

Beijing, Beijing Municipality, China

Site Status

Novo Nordisk Investigational Site

Beijing, Beijing Municipality, China

Site Status

Novo Nordisk Investigational Site

Beijing, Beijing Municipality, China

Site Status

Novo Nordisk Investigational Site

Beijing, Beijing Municipality, China

Site Status

Novo Nordisk Investigational Site

Beijing, Beijing Municipality, China

Site Status

Novo Nordisk Investigational Site

Chongqing, Chongqing Municipality, China

Site Status

Novo Nordisk Investigational Site

Fuzhou, Fujian, China

Site Status

Novo Nordisk Investigational Site

Harbin, Heilongjiang, China

Site Status

Novo Nordisk Investigational Site

Zhengzhou, Henan, China

Site Status

Novo Nordisk Investigational Site

Nanjing, Jiangsu, China

Site Status

Novo Nordisk Investigational Site

Nanjing, Jiangsu, China

Site Status

Novo Nordisk Investigational Site

Wuxi, Jiangsu, China

Site Status

Novo Nordisk Investigational Site

Nanchang, Jiangxi, China

Site Status

Novo Nordisk Investigational Site

Dalian, Liaoning, China

Site Status

Novo Nordisk Investigational Site

Shenyang, Liaoning, China

Site Status

Novo Nordisk Investigational Site

Shenyang, Liaoning, China

Site Status

Novo Nordisk Investigational Site

Xi'an, Shaanxi, China

Site Status

Novo Nordisk Investigational Site

Tianjin, Tianjin Municipality, China

Site Status

Novo Nordisk Investigational Site

Tianjin, Tianjin Municipality, China

Site Status

Novo Nordisk Investigational Site

Shenyang, , China

Site Status

Novo Nordisk Investigational Site

Tianjin, , China

Site Status

Novo Nordisk Investigational Site

Asahikawa-shi, Hokkaido, , Japan

Site Status

Novo Nordisk Investigational Site

Chuo-ku, Tokyo, , Japan

Site Status

Novo Nordisk Investigational Site

Gifu City, Gifu, , Japan

Site Status

Novo Nordisk Investigational Site

Higashiku, , Japan

Site Status

Novo Nordisk Investigational Site

Kumamoto-shi,Kumamoto, , Japan

Site Status

Novo Nordisk Investigational Site

Minatoku, , Japan

Site Status

Novo Nordisk Investigational Site

Osaka, , Japan

Site Status

Novo Nordisk Investigational Site

Osaka-shi, Osaka, , Japan

Site Status

Novo Nordisk Investigational Site

Shimotsuka-gun, , Japan

Site Status

Novo Nordisk Investigational Site

Shimotsuke-shi, Tochigi, , Japan

Site Status

Novo Nordisk Investigational Site

Shizuoka, , Japan

Site Status

Novo Nordisk Investigational Site

Tagajō-shi, , Japan

Site Status

Novo Nordisk Investigational Site

Yokohama, , Japan

Site Status

Countries

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China Japan

References

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Yang W, Xu X, Liu X, Yang G, Seino Y, Andersen H, Jinnouchi H. Treat-to-target comparison between once daily biphasic insulin aspart 30 and insulin glargine in Chinese and Japanese insulin-naive subjects with type 2 diabetes. Curr Med Res Opin. 2013 Dec;29(12):1599-608. doi: 10.1185/03007995.2013.838155. Epub 2013 Sep 23.

Reference Type RESULT
PMID: 23998560 (View on PubMed)

Related Links

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http://novonordisk-trials.com

Clinical Trials at Novo Nordisk

Other Identifiers

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U1111-1114-4112

Identifier Type: OTHER

Identifier Source: secondary_id

JapicCTI-101139

Identifier Type: OTHER

Identifier Source: secondary_id

BIASP-3756

Identifier Type: -

Identifier Source: org_study_id

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