Safety and Efficacy of Insulin Degludec/Insulin Aspart in Patients With T1DM

NCT ID: NCT04965051

Last Updated: 2021-07-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-31

Study Completion Date

2023-12-31

Brief Summary

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In this prospective, randomized, open-label, parallel group trial, the safety and efficacy of insulin degludec/insulin aspart (IDegAsp) twice daily will be compared with basal insulin once or twice daily plus pre-prandial insulin after 16 weeks of treatment in patients with type 1 diabetes. This trial will enable assessment of the clinically relevant endpoint of a change in HbA1c and Time in Range (TIR).

Detailed Description

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The objective of the current study is to investigate the efficacy and safety of IDegAsp twice daily compared to basal insulin once or twice daily plus pre-prandial insulin for 16 weeks in patients with type 1 diabetes mellitus. The primary endpoint in this study is the change from baseline in HbA1c. Patients with type 1 diabetes who meet the entry criteria are planned for inclusion in this trial. Approximately 40 patients will be enrolled in the study. Patients who qualify will be randomized to IDegAsp group or basal plus pre-prandial insulin group. Duration of treatment includes 2-week screening period, 16-week treatment observation period and 1-week follow-up.

Conditions

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Type 1 Diabetes Mellitus With Diabetic Gastroparesis HbA1c Time in Range

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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IDegAsp group

IDegAsp twice daily

Group Type EXPERIMENTAL

insulin degludec/insulin aspart (IDegAsp)

Intervention Type DRUG

To evaluate the efficacy and safety of the IDegAsp in T1DM

basal insulin plus pre-prandial insulin group

basal insulin once or twice daily plus pre-prandial insulin

Group Type ACTIVE_COMPARATOR

basal insulin plus pre-prandial insulin

Intervention Type DRUG

To evaluate the efficacy and safety of basal insulin plus pre-prandial insulin in T1DM

Interventions

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insulin degludec/insulin aspart (IDegAsp)

To evaluate the efficacy and safety of the IDegAsp in T1DM

Intervention Type DRUG

basal insulin plus pre-prandial insulin

To evaluate the efficacy and safety of basal insulin plus pre-prandial insulin in T1DM

Intervention Type DRUG

Other Intervention Names

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Ryzodeg Levemir/Lantus/Tresiba plus NovoLog/Humalog/Apidra

Eligibility Criteria

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Inclusion Criteria

* Patients ≥ 18 and ≤75 years with type 1 diabetes;
* Diagnosed as T1DM ≥ 12 months before enrollment in the study;
* HbA1c ≥ 7.0 to ≤10.0%;
* Receipt of basal plus pre-prandial insulin and/or oral anti-diabetic agents ≥ 12 weeks before enrollment in the study;
* BMI ≤ 35kg / m2.

Exclusion Criteria

* Patients with any of the following conditions will be excluded:
* Pregnant or lactating women
* Severe hypoglycemia within one month;
* Myocardial infarction, stroke or other severe cardiovascular events within 6 months prior to informed consent
* Receipt of Sulfonylureas, Meglitinides derivatives, Thiazolidinediones, Dpp-4 inhibitors or GLP-1 agonists within 3 months prior to informed consent;
* Current treatment with systemic steroids or immunosuppressive agents, or have immunologic deficiency disease at time of informed consent
* Severe mental instability, or alcohol abuse, or drug abuse
* Cancer within 5 years prior to informed consent
* Pancreatitis of severe infectious diseases within 1 months prior to informed consent
* Known hypersensitivity or allergy to the insulin
* Renal impairment (CKD-EPI eGFR\<60ml/min)
* Impaired hepatic function, defined by serum levels of either ALT (SGPT), AST (SGOT), or alkaline phosphatase above 3 x upper limit of normal (ULN) as determined
* Participation in another trial within 2 months prior to informed consent
* Patients that investigators believe may fail to complete the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Second Affiliated Hospital, School of Medicine, Zhejiang University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yuezhong Ren, MD

Role: PRINCIPAL_INVESTIGATOR

2nd Affiliated Hospital, School of Medicine, Zhejiang University

Locations

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2nd Affiliated Hospital, School of Medicine, Zhejiang University

Hangzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yuezhong Ren, MD

Role: CONTACT

+86 0571 87783516

Facility Contacts

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Yuezhong Ren

Role: primary

+8657189713764

Other Identifiers

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2021-0407

Identifier Type: -

Identifier Source: org_study_id

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