Comparison of Biphasic Insulin Aspart 30 Individually Adjusted by the Subject and the Trial Physician, Both Combined With Metformin in Subjects With Type 2 Diabetes

NCT ID: NCT01427920

Last Updated: 2017-02-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

348 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-09-30

Study Completion Date

2012-07-31

Brief Summary

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This trial was conducted in Asia, Europe and South America. The aim of this trial was to confirm efficacy of subject driven titration (individually adjusted) of biphasic insulin aspart 30 (BIAsp 30) twice daily in terms of glycaemic control assessed by change in glycosylated haemoglobin (HbA1c).

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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Subject-driven titration BIAsp 30 (BID) + metformin

The subjects performed the titration of BIAsp 30 dose.

Group Type EXPERIMENTAL

biphasic insulin aspart 30

Intervention Type DRUG

Administered subcutaneously (under the skin) using FlexPen® twice daily for 20 weeks. Directions for use were given to each subject at each dispensing visit. Subjects continued on their pre-trial metformin dose. Any previous basal insulin analogue and OAD (oral anti-diabetes drug) treatments (except for metformin) were discontinued.

Investigator-driven titration BIAsp 30 (BID) + metformin

The investigator performed the titration of BIAsp 30 dose.

Group Type ACTIVE_COMPARATOR

biphasic insulin aspart 30

Intervention Type DRUG

Administered subcutaneously (under the skin) using FlexPen® twice daily for 20 weeks. Directions for use were given to each subject at each dispensing visit. Subjects continued on their pre-trial metformin dose. Any previous basal insulin analogue and OAD (oral anti-diabetes drug) treatments (except for metformin) were discontinued.

Interventions

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biphasic insulin aspart 30

Administered subcutaneously (under the skin) using FlexPen® twice daily for 20 weeks. Directions for use were given to each subject at each dispensing visit. Subjects continued on their pre-trial metformin dose. Any previous basal insulin analogue and OAD (oral anti-diabetes drug) treatments (except for metformin) were discontinued.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with type 2 diabetes for a minimum of 12 months prior to Visit 1 (screening)
* Currently treated with a basal insulin analogue for at least 3 months prior to Visit 1 (screening)
* Stable treatment (no change in dose or regimen) with a total daily dose of at least 1500 mg metformin or maximum tolerated dose (minimum 1000 mg) ± additional OAD treatment. The metformin treatment must have been stable for at least 2 months prior to Visit 1 (screening)
* HbA1c higher or equal to 7.0% and below or equal to 10.0% (one re-test within one week of screening visit was allowed. The last sample was to be conclusive)
* Body Mass Index (BMI) below or equal to 40.0 kg/m\^2
* Able and willing to eat at least 2 main meals each day during the trial
* Able and willing to adhere to the protocol including compliance with performance of self measured plasma glucose (SMPG), injection regimen and titrating themselves according to the protocol
* Experience in performing self measured plasma glucose (SMPG)

Exclusion Criteria

* Treatment with any thiazolidinedione (TZD) and glucagon-like peptide-1 (GLP-1) receptor agonists or pramlintide within the last 3 months prior to Visit 1 (screening)
* Impaired hepatic function defined as alanine aminotransferase (ALAT) above or equal to 2.5 times upper referenced limit (one re-test within one week of screening visit was allowed. The last sample was to be conclusive)
* Impaired kidney function with serum creatinine above or equal to 133 micromol/L (1.5 mg/dL) for males and above or equal to 124 micromol/L (1.4 mg/dL) for females (one re-test within one week of screening visit was allowed. The last sample was to be conclusive)
* Cardiac problems or uncontrolled treated/untreated severe hypertension (defined as systolic blood pressure higher or equal to 180 mmHg and/or diastolic blood pressure higher or equal to 100 mmHg)
* Previous use of pre-mixed insulin products (pre-mixed insulin analogues or pre-mixed human preparations) or bolus insulin. Previous use of pre-mixed or bolus insulin products was allowed only in case of hospitalisation or a severe condition requiring intermittent use of pre-mixed or bolus insulin products for less than 14 consecutive days, but not during the last 3 months prior to screening visit (Visit 1)
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

Capital Federal, , Argentina

Site Status

Novo Nordisk Investigational Site

Capital Federal, , Argentina

Site Status

Novo Nordisk Investigational Site

Chacabuco, , Argentina

Site Status

Novo Nordisk Investigational Site

Córdoba, , Argentina

Site Status

Novo Nordisk Investigational Site

Córdoba, , Argentina

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

Lanzhou, Gansu, China

Site Status

Novo Nordisk Investigational Site

Zhengzhou, Henan, China

Site Status

Novo Nordisk Investigational Site

Dalian, Liaoning, China

Site Status

Novo Nordisk Investigational Site

Tianjin, , China

Site Status

Novo Nordisk Investigational Site

Ahmedabad, Gujarat, India

Site Status

Novo Nordisk Investigational Site

Belagavi, Karnataka, India

Site Status

Novo Nordisk Investigational Site

Mumbai, Maharashtra, India

Site Status

Novo Nordisk Investigational Site

New Delhi, New Delhi, India

Site Status

Novo Nordisk Investigational Site

Chennai, Tamil Nadu, India

Site Status

Novo Nordisk Investigational Site

Coimbatore, Tamil Nadu, India

Site Status

Novo Nordisk Investigational Site

Kolkata, West Bengal, India

Site Status

Novo Nordisk Investigational Site

Thriruvananthapuram, , India

Site Status

Novo Nordisk Investigational Site

Bialystok, , Poland

Site Status

Novo Nordisk Investigational Site

Gdansk, , Poland

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Novo Nordisk Investigational Site

Lodz, , Poland

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Novo Nordisk Investigational Site

Lubin, , Poland

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Novo Nordisk Investigational Site

Ruda Śląska, , Poland

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Novo Nordisk Investigational Site

Sopot, , Poland

Site Status

Novo Nordisk Investigational Site

Warsaw, , Poland

Site Status

Novo Nordisk Investigational Site

Wroclaw, , Poland

Site Status

Novo Nordisk Investigational Site

Almería, , Spain

Site Status

Novo Nordisk Investigational Site

Centelles (Barcelona), , Spain

Site Status

Novo Nordisk Investigational Site

La Roca Del Vallés (Barcelona), , Spain

Site Status

Novo Nordisk Investigational Site

Málaga, , Spain

Site Status

Novo Nordisk Investigational Site

Palma de Mallorca, , Spain

Site Status

Novo Nordisk Investigational Site

Valencia, , Spain

Site Status

Novo Nordisk Investigational Site

Vic (Barcelona), , Spain

Site Status

Novo Nordisk Investigational Site

Doncaster, , United Kingdom

Site Status

Novo Nordisk Investigational Site

Ipswich, , United Kingdom

Site Status

Novo Nordisk Investigational Site

Manchester, , United Kingdom

Site Status

Novo Nordisk Investigational Site

Northwood, , United Kingdom

Site Status

Novo Nordisk Investigational Site

Reading, , United Kingdom

Site Status

Novo Nordisk Investigational Site

Scunthorpe, , United Kingdom

Site Status

Novo Nordisk Investigational Site

Wirral, Merseyside, , United Kingdom

Site Status

Countries

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Argentina China India Poland Spain United Kingdom

References

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Gao Y, Luquez C, Lynggaard H, Andersen H, Saboo B. The SimpleMix study with biphasic insulin aspart 30: a randomized controlled trial investigating patient-driven titration versus investigator-driven titration. Curr Med Res Opin. 2014 Dec;30(12):2483-92. doi: 10.1185/03007995.2014.960512. Epub 2014 Sep 29.

Reference Type RESULT
PMID: 25180608 (View on PubMed)

Related Links

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http://novonordisk-trials.com

Clinical Trials at Novo Nordisk

Other Identifiers

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2010-024303-27

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

U1111-1118-4096

Identifier Type: OTHER

Identifier Source: secondary_id

BIASP-3878

Identifier Type: -

Identifier Source: org_study_id

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