Efficacy and Safety of FIAsp Compared to Insulin Aspart Both in Combination With Insulin Detemir in Adults With Type 1 Diabetes

NCT ID: NCT01831765

Last Updated: 2019-06-12

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1290 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-26

Study Completion Date

2015-06-11

Brief Summary

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This trial is conducted in Europe and the United States of America (USA). The aim of the trial is to investigate efficacy and safety of FIAsp (faster-acting insulin aspart) compared to insulin aspart, both in combination with insulin detemir in adults with type 1 diabetes. This trial consists of two periods: a 26 week treatment period followed by a 26 week additional treatment period.

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

DOUBLE

Participants Investigators

Study Groups

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Meal time FIAsp and insulin detemir

Group Type EXPERIMENTAL

Faster-acting insulin aspart

Intervention Type DRUG

Injected subcutaneously (s.c., under the skin), dose individually adjusted. Meal time dosing is defined as injecting 0-2 minutes before the meal.

insulin detemir

Intervention Type DRUG

Injected subcutaneously (s.c., under the skin), dose individually adjusted. Administrated once or twice daily.

Meal time insulin aspart and insulin detemir

Group Type ACTIVE_COMPARATOR

insulin detemir

Intervention Type DRUG

Injected subcutaneously (s.c., under the skin), dose individually adjusted. Administrated once or twice daily.

insulin aspart

Intervention Type DRUG

Injected subcutaneously (s.c., under the skin), dose individually adjusted.

Post meal FIAsp and insulin detemir

Group Type EXPERIMENTAL

insulin detemir

Intervention Type DRUG

Injected subcutaneously (s.c., under the skin), dose individually adjusted. Administrated once or twice daily.

Faster-acting insulin aspart

Intervention Type DRUG

Injected subcutaneously (s.c., under the skin), dose individually adjusted. Post meal time dosing is defined as injecting 20 minutes after the start of the meal.

Interventions

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Faster-acting insulin aspart

Injected subcutaneously (s.c., under the skin), dose individually adjusted. Meal time dosing is defined as injecting 0-2 minutes before the meal.

Intervention Type DRUG

insulin detemir

Injected subcutaneously (s.c., under the skin), dose individually adjusted. Administrated once or twice daily.

Intervention Type DRUG

insulin aspart

Injected subcutaneously (s.c., under the skin), dose individually adjusted.

Intervention Type DRUG

Faster-acting insulin aspart

Injected subcutaneously (s.c., under the skin), dose individually adjusted. Post meal time dosing is defined as injecting 20 minutes after the start of the meal.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Inclusion Criteria: - Type 1 diabetes (diagnosed clinically) for 12 months or longer at the time of screening (Visit 1) - Currently treated with a basal-bolus insulin regimen for at least 12 months prior to screening (Visit 1) - Currently treated with a basal insulin analogue (any regimen of insulin detemir or insulin glargine) for at least 4 months prior to screening (Visit 1) - HbA1c 7.0-9.5% (53-80 mmol/mol) (both inclusive) as assessed by central laboratory - Body Mass Index (BMI) below or equal to 35.

Exclusion Criteria

0 kg/m\^2 Exclusion Criteria: - Use of any anti-diabetic drug other than insulin within the last 3 months prior to screening (Visit 1) - Recurrent severe hypoglycaemia (more than one severe hypoglycaemic event during the last 12 months) or hypoglycaemic unawareness as judged by the Investigator, or hospitalisation for diabetic ketoacidosis during the previous 6 months prior to screening (Visit 1) - Cardiovascular disease, within the last 6 months prior to screening (Visit 1), defined as stroke, decompensated heart failure New York Heart Association (NYHA) class III or IV, myocardial infarction, unstable angina pectoris, coronary arterial bypass graft or angioplasty
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

Mobile, Alabama, United States

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Tucson, Arizona, United States

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Tucson, Arizona, United States

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Anaheim, California, United States

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Concord, California, United States

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Escondido, California, United States

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Fresno, California, United States

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Fullerton, California, United States

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Inglewood, California, United States

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La Jolla, California, United States

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La Mesa, California, United States

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Long Beach, California, United States

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North Hollywood, California, United States

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Northridge, California, United States

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Poway, California, United States

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San Diego, California, United States

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Santa Barbara, California, United States

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Santa Barbara, California, United States

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Ventura, California, United States

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Ventura, California, United States

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Walnut Creek, California, United States

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Denver, Colorado, United States

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Newark, Delaware, United States

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Fleming Island, Florida, United States

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Fort Lauderdale, Florida, United States

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Jacksonville, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Bonheiden, , Belgium

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Brussels, , Belgium

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Leuven, , Belgium

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Rehlingen-Siersburg, , Germany

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Lublin, , Poland

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Szczecin, , Poland

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Bath, , United Kingdom

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Gillingham, , United Kingdom

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Glasgow, , United Kingdom

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Guildford, , United Kingdom

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Inverness, , United Kingdom

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Inverness, , United Kingdom

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Ipswich, , United Kingdom

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Nottingham, , United Kingdom

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Portsmouth, , United Kingdom

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Sheffield, , United Kingdom

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Countries

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United States Belgium Canada Czechia Finland Germany Hungary Poland United Kingdom

References

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Rose L, Kadowaki T, Pieber TR, Buchholtz K, Ekelund M, Gorst-Rasmussen A, Philis-Tsimikas A. Efficacy and Safety of Fast-Acting Insulin Aspart in People with Type 1 Diabetes Using Carbohydrate Counting: A Post Hoc Analysis of Two Randomised Controlled Trials. Diabetes Ther. 2019 Jun;10(3):1029-1041. doi: 10.1007/s13300-019-0608-4. Epub 2019 Apr 4.

Reference Type BACKGROUND
PMID: 30949906 (View on PubMed)

Russell-Jones D, Bode BW, De Block C, Franek E, Heller SR, Mathieu C, Philis-Tsimikas A, Rose L, Woo VC, Osterskov AB, Graungaard T, Bergenstal RM. Fast-Acting Insulin Aspart Improves Glycemic Control in Basal-Bolus Treatment for Type 1 Diabetes: Results of a 26-Week Multicenter, Active-Controlled, Treat-to-Target, Randomized, Parallel-Group Trial (onset 1). Diabetes Care. 2017 Jul;40(7):943-950. doi: 10.2337/dc16-1771. Epub 2017 Mar 29.

Reference Type RESULT
PMID: 28356319 (View on PubMed)

Mathieu C, Bode BW, Franek E, Philis-Tsimikas A, Rose L, Graungaard T, Birk Osterskov A, Russell-Jones D. Efficacy and safety of fast-acting insulin aspart in comparison with insulin aspart in type 1 diabetes (onset 1): A 52-week, randomized, treat-to-target, phase III trial. Diabetes Obes Metab. 2018 May;20(5):1148-1155. doi: 10.1111/dom.13205. Epub 2018 Feb 4.

Reference Type RESULT
PMID: 29316130 (View on PubMed)

Bode BW, Bowering K, Russell-Jones D. Response to Comment on Russell-Jones et al. Diabetes Care 2017;40:943-950. Comment on Bowering et al. Diabetes Care 2017;40:951-957. Diabetes Care. 2018 Mar;41(3):e29-e30. doi: 10.2337/dci17-0051. No abstract available.

Reference Type RESULT
PMID: 29463670 (View on PubMed)

Haahr H, Pieber TR, Mathieu C, Gondolf T, Shiramoto M, Erichsen L, Heise T. Clinical Pharmacology of Fast-Acting Insulin Aspart Versus Insulin Aspart Measured as Free or Total Insulin Aspart and the Relation to Anti-Insulin Aspart Antibody Levels in Subjects with Type 1 Diabetes Mellitus. Clin Pharmacokinet. 2019 May;58(5):639-649. doi: 10.1007/s40262-018-0718-6.

Reference Type RESULT
PMID: 30402720 (View on PubMed)

Bowering K, Rodbard HW, Russell-Jones D, Bode B, Harris S, Piletic M, Heller S, Woo V, Babu V, Dethlefsen C, Mathieu C. Investigating the Association Between Baseline Characteristics (HbA1c and Body Mass Index) and Clinical Outcomes of Fast-Acting Insulin Aspart in People with Diabetes: A Post Hoc Analysis. Diabetes Ther. 2019 Feb;10(1):177-188. doi: 10.1007/s13300-018-0553-7. Epub 2018 Dec 13.

Reference Type RESULT
PMID: 30547388 (View on PubMed)

Related Links

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http://novonordisk-trials.com

Clinical Trials at Novo Nordisk

Other Identifiers

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2010-024049-53

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

U1111-1118-2442

Identifier Type: OTHER

Identifier Source: secondary_id

NN1218-3852

Identifier Type: -

Identifier Source: org_study_id

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