Research Study to Compare a New Medicine "Fast-acting Insulin Aspart" to Another Medicine "Insulin Aspart" in Chinese People With Diabetes

NCT ID: NCT04588259

Last Updated: 2025-12-04

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

331 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-09

Study Completion Date

2022-08-05

Brief Summary

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Fast-acting insulin aspart (faster aspart) will be tested to see how well it works and if it is safe. The study compares 2 medicines for type 1 and type 2 diabetes - faster aspart (a new medicine) and insulin aspart (a medicine doctors can already prescribe). Participants will either get faster aspart or insulin aspart (NovoRapid®) - which treatment is decided by chance. Both medicines will be taken together with insulin degludec. Participants will need to take 1 injection 4 times every day: 3 injections 0-2 minutes before breakfast, lunch and dinner and 1 injection at the same time every day. All study medicines are provided in pens. A pen is a tool to inject insulin under the skin.The study will last for about 7 months (30 weeks). Participants will have 11 clinic visits and 17 phone contacts with the study doctor. At 8 clinic visits participants will have blood samples taken. At 3 clinic visits participants cannot eat or drink (water is allowed) 8 hours before the visits - at 2 of these visits participants will be asked to drink a liquid meal and to stay at the clinic for about 5 hours. Participants will fill in a diary the last 3 days before the visits/phone contacts. Women cannot take part if pregnant, breast-feeding or planning to become pregnant during the study period.

Detailed Description

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Conditions

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Diabetes Mellitus, Type 1 Diabetes Mellitus, Type 2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Sponsor staff involved in the clinical trial is masked according to company standard procedures

Study Groups

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Faster aspart

4 daily injections of faster aspart given with insulin degludec and with or without metformin

Group Type EXPERIMENTAL

Faster aspart

Intervention Type DRUG

Administered s.c. (subcutaneously, under the skin) for 16 weeks

Insulin degludec

Intervention Type DRUG

Administered s.c. (subcutaneously, under the skin) for 16 weeks

Insulin aspart

4 daily injections of insulin aspart given with insulin degludec and with or without metformin

Group Type ACTIVE_COMPARATOR

Insulin aspart

Intervention Type DRUG

Administered s.c. (subcutaneously, under the skin) for 16 weeks

Insulin degludec

Intervention Type DRUG

Administered s.c. (subcutaneously, under the skin) for 16 weeks

Interventions

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Faster aspart

Administered s.c. (subcutaneously, under the skin) for 16 weeks

Intervention Type DRUG

Insulin aspart

Administered s.c. (subcutaneously, under the skin) for 16 weeks

Intervention Type DRUG

Insulin degludec

Administered s.c. (subcutaneously, under the skin) for 16 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female, age above or equal to 18 years at the time of signing informed consent
* Diagnosed with Diabetes Mellitus, Type 1 (T1DM) at least or equal to 1 year prior to screening or diagnosed with Diabetes Mellitus, Type 2 (T2DM) at least or equal to 5 years prior to screening
* Treated with a basal-bolus insulin regimen or a premix insulin regimen at least or equal to 1 year prior to screening. Insulin regimen must be unchanged within 60 days prior to screening. A basal-bolus insulin regimen is defined as basal insulin once or twice daily and bolus insulin taken with meals at least thrice daily. A premix insulin regimen is defined as premix insulin twice or thrice daily
* For subjects with T1DM: not treated with any oral anti-diabetes drugs (OADs) for at least 90 days prior to screening. For subjects with T2DM: not treated with any OADs or treated with 1-2 OADs within 90 days prior to screening. Allowed OADs are metformin, alpha-glucosidase inhibitor, sodium-glucose co-transporter-2 inhibitors (SGLT2i) and dipeptidyl peptidase-4 inhibitors (DPP4i). Change in OAD and dose prior to screening is allowed.
* HbA1c 7.5-9.5% (both inclusive) as assessed by central laboratory at screening

* Anticipated initiation or change in concomitant medications (for more than 14 consecutive days) known to affect weight or glucose metabolism (e.g. treatment with orlistat, thyroid hormones, or corticosteroids)

Exclusion Criteria

* Any of the following: myocardial infarction, stroke, hospitalisation for unstable angina pectoris or transient ischaemic attack within the past 180 days prior to the day of screening
* Subjects presently classified as being in New York Heart Association (NYHA) Class IV
* Planned coronary, carotid or peripheral artery revascularisation known on the day of screening
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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Clinical Transparency (Dept. 1452)

Role: STUDY_DIRECTOR

Novo Nordisk A/S

Locations

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Anhui Provincial Hospital-Endocrinology

Hefei, Anhui, China

Site Status

The First Affiliated Hospital of Anhui Medical University-Endocrinology

Hefei, Anhui, China

Site Status

Beijing Chao-Yang Hospital, Capital Medical University-Endocrinology

Beijing, Beijing Municipality, China

Site Status

The Fifth Medical Center of PLA General Hospital-Endocrinology

Beijing, Beijing Municipality, China

Site Status

The General Hospital of the PLA Rocket Force-Endocrinology

Beijing, Beijing Municipality, China

Site Status

Chinese People's Liberation Army General Hospital-Endocrinology

Beijing, Beijing Municipality, China

Site Status

Beijing Pinggu Hospital-Endocrinology

Beijing, Beijing Municipality, China

Site Status

Chongqing University Three Gorges Hospital

Chongqing, Chongqing Municipality, China

Site Status

Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status

The Second Affiliated Hospital of Shantou University Medical College-Endocrinology

Shantou, Guangdong, China

Site Status

The Second Affiliated Hospital of Guangxi Medical University-Endocrinology

Nanning, Guangxi, China

Site Status

Cangzhou People's Hospital-Endocrinology

Cangzhou, Hebei, China

Site Status

Hengshui People's Hospital (Harrison International Peace Hospital)-Endocrinology

Hengshui, Hebei, China

Site Status

The Second Hospital of Hebei Medical University-Endocrinology

Shijiazhuang, Hebei, China

Site Status

Tangshan Gongren Hospital-Endocrinology

Tangshan, Hebei, China

Site Status

Yueyang Central Hospital-Endocrinology

Yueyang, Hunan, China

Site Status

Inner Mongolia People's Hospital-Endocrinology

Hohhot, Inner Mongolia, China

Site Status

The affiliated Hospital of Inner Mongolia Medical University-Endocrinology

Hohhot, Inner Mongolia, China

Site Status

Changzhou No.2 People's Hospital, Yanghu Branch

Changzhou, Jiangsu, China

Site Status

The Second Affiliated Hospital of Nanjing Medical University-Endocrinology

Nanjing, Jiangsu, China

Site Status

Jiangsu Province Hospital-Endocrinology

Nanjing, Jiangsu, China

Site Status

Nanjing Jiangning Hospital-Endocrinology

Nanjing, Jiangsu, China

Site Status

Suzhou Municipal Hospital-Endocrinology

Suzhou, Jiangsu, China

Site Status

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status

The Affiliated Hospital of Jiangsu University-Endocrinology

Zhenjiang, Jiangsu, China

Site Status

Jiangxi Provincial People's Hospital-Endocrinology

Nanchang, Jiangxi, China

Site Status

China-Japan Union Hospital of Jilin University-Endocrinology

Changchun, Jilin, China

Site Status

The Second Hospital of Jilin University

Changchun, Jilin, China

Site Status

The First Bethune hospital of Jilin University-Endocrinology

Changchun, Jilin, China

Site Status

Qinghai Provincial People's Hospital

Xining, Qinghai, China

Site Status

Jinan Central Hospital Affiliated to Shandong University

Jinan, Shandong, China

Site Status

Shanghai Tenth People's Hospital (Tenth People's of Tongji University)-Endocrinology

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Fifth People's Hospital-Endocrinology

Shanghai, Shanghai Municipality, China

Site Status

Central Hospital of Minhang District, Shanghai-Endocrinology

Shanghai, Shanghai Municipality, China

Site Status

General Hospital of Tianjin Medical University-Endocrinology

Tianjin, Tianjin Municipality, China

Site Status

First Affiliated Hospital of Kunming Medical University-Endocrinology

Kunming, Yunnan, China

Site Status

The First People's Hospital of Yunnan Province-Endocrinology

Kunming, Yunnan, China

Site Status

The Second Affiliated Hospital of Kunming Medical University

Kunming, Yunnan, China

Site Status

Master Centre for Hong Kong

Kowloon, , Hong Kong

Site Status

Prince of Wales Hospital

Shatin, New Territories, , Hong Kong

Site Status

Countries

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China Hong Kong

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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U1111-1197-8289

Identifier Type: OTHER

Identifier Source: secondary_id

NN1218-4357

Identifier Type: -

Identifier Source: org_study_id

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