Comparison of NN5401 Versus Insulin Glargine, Both Combined With Metformin Treatment, in Subjects With Type 2 Diabetes (BOOST™)
NN5401-3590: A Trial Comparing Efficacy and Safety of NN5401 With Insulin Glargine in Insulin Naive Subjects With Type 2 Diabetes (BOOST™ : START 1) / NN5401-3726: An Extension Trial Comparing Safety and Efficacy of NN5401 With Insulin Glargine in Subjects With Type 2 Diabetes (BOOST™: START 1)
This trial is conducted in Asia, Europe and the United States of America (USA). The aim of this trial is to compare the efficacy and safety of NN5401 (insulin degludec/insulin aspart (IDegAsp)) with insulin glargine (IGlar), both as add-on to subject's ongoing treatment with metformin + at least one OAD (oral anti-diabetic drug).
The main period is registered internally at Novo Nordisk as NN5401-3590 while the extension period is registered as NN5401-3726.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Ebreichsdorf, Austria, 2483
- Novo Nordisk Investigational Site
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Feldbach, Austria, 8330
- Novo Nordisk Investigational Site
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Innsbruck, Austria, 6020
- Novo Nordisk Investigational Site
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Salzburg, Austria, 5010
- Novo Nordisk Investigational Site
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Wien, Austria, 1030
- Novo Nordisk Investigational Site
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Wien, Austria, 1060
- Novo Nordisk Investigational Site
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Bangalore, India, 560038
- Novo Nordisk Investigational Site
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Kerala, India, 682026
- Novo Nordisk Investigational Site
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Patna, India, 800020
- Novo Nordisk Investigational Site
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Maharashtra
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Mumbai, Maharashtra, India, 400053
- Novo Nordisk Investigational Site
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Rajasthan
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Jaipur, Rajasthan, India, 302006
- Novo Nordisk Investigational Site
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Tamil Nadu
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Trichy, Tamil Nadu, India, 620018
- Novo Nordisk Investigational Site
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Pucheon, Korea, Republic of, 424-017
- Novo Nordisk Investigational Site
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Pusan, Korea, Republic of, 602-739
- Novo Nordisk Investigational Site
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Seoul, Korea, Republic of, 08308
- Novo Nordisk Investigational Site
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Seoul, Korea, Republic of, 137-701
- Novo Nordisk Investigational Site
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Seoul, Korea, Republic of, 158-710
- Novo Nordisk Investigational Site
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Krakow, Poland, 31-261
- Novo Nordisk Investigational Site
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Lodz, Poland, 93-338
- Novo Nordisk Investigational Site
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Lodz, Poland, 90-003
- Novo Nordisk Investigational Site
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Lublin, Poland, 20-044
- Novo Nordisk Investigational Site
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Pruszkow, Poland, 05-800
- Novo Nordisk Investigational Site
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Warszawa, Poland, 02-507
- Novo Nordisk Investigational Site
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Bayamon, Puerto Rico, 00961
- Novo Nordisk Investigational Site
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Arkhangelsk, Russian Federation, 163045
- Novo Nordisk Investigational Site
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Moscow, Russian Federation, 117036
- Novo Nordisk Investigational Site
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Nizhniy Novgorod, Russian Federation, 603126
- Novo Nordisk Investigational Site
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Orenburg, Russian Federation, 460040
- Novo Nordisk Investigational Site
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Samara, Russian Federation, 443067
- Novo Nordisk Investigational Site
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Saratov, Russian Federation, 410053
- Novo Nordisk Investigational Site
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Saratov, Russian Federation, 410710
- Novo Nordisk Investigational Site
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Smolensk, Russian Federation, 214019
- Novo Nordisk Investigational Site
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Stavropol, Russian Federation, 355017
- Novo Nordisk Investigational Site
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Yaroslavl, Russian Federation, 150003
- Novo Nordisk Investigational Site
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Barcelona, Spain, 08035
- Novo Nordisk Investigational Site
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Málaga, Spain, 29006
- Novo Nordisk Investigational Site
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Mérida, Spain, 06800
- Novo Nordisk Investigational Site
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Palma de Mallorca, Spain, 07198
- Novo Nordisk Investigational Site
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Partida de Bacarot, Spain, 03114
- Novo Nordisk Investigational Site
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Pozuelo de Alarcon, Spain, 28223
- Novo Nordisk Investigational Site
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San Sebastián de los Reyes, Spain, 28700
- Novo Nordisk Investigational Site
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Santiago de Compostela, Spain, 15706
- Novo Nordisk Investigational Site
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Sevilla, Spain, 41009
- Novo Nordisk Investigational Site
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Valencia, Spain, 46014
- Novo Nordisk Investigational Site
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Valladolid, Spain, 47005
- Novo Nordisk Investigational Site
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Antalya, Turkey, 07058
- Novo Nordisk Investigational Site
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Istanbul, Turkey, 34096
- Novo Nordisk Investigational Site
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Istanbul, Turkey, 34390
- Novo Nordisk Investigational Site
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Istanbul, Turkey, 34760
- Novo Nordisk Investigational Site
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Istanbul, Turkey, 34400
- Novo Nordisk Investigational Site
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Istanbul, Turkey
- Novo Nordisk Investigational Site
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Alabama
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Birmingham, Alabama, United States, 35233
- Novo Nordisk Investigational Site
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Vestavia, Alabama, United States, 35209
- Novo Nordisk Investigational Site
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California
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Concord, California, United States, 94520-1926
- Novo Nordisk Investigational Site
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Greenbrae, California, United States, 94904
- Novo Nordisk Investigational Site
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Los Angeles, California, United States, 90057
- Novo Nordisk Investigational Site
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Connecticut
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Waterbury, Connecticut, United States, 06708
- Novo Nordisk Investigational Site
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Florida
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Miami, Florida, United States, 33135
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33136
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33169
- Novo Nordisk Investigational Site
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North Miami, Florida, United States, 33161
- Novo Nordisk Investigational Site
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Pembroke Pines, Florida, United States, 33027
- Novo Nordisk Investigational Site
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Hawaii
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Honolulu, Hawaii, United States, 96814
- Novo Nordisk Investigational Site
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Honolulu, Hawaii, United States, 96813
- Novo Nordisk Investigational Site
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Idaho
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Idaho Falls, Idaho, United States, 83404-7596
- Novo Nordisk Investigational Site
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Iowa
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Council Bluffs, Iowa, United States, 51501
- Novo Nordisk Investigational Site
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Louisiana
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Metairie, Louisiana, United States, 70006-2930
- Novo Nordisk Investigational Site
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New Orleans, Louisiana, United States, 70119
- Novo Nordisk Investigational Site
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Michigan
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Detroit, Michigan, United States, 48235
- Novo Nordisk Investigational Site
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Troy, Michigan, United States, 48085-5524
- Novo Nordisk Investigational Site
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Missouri
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Springfield, Missouri, United States, 65807
- Novo Nordisk Investigational Site
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St. Charles, Missouri, United States, 63303
- Novo Nordisk Investigational Site
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New York
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Brooklyn, New York, United States, 11203
- Novo Nordisk Investigational Site
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Smithtown, New York, United States, 11787
- Novo Nordisk Investigational Site
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North Carolina
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Greensboro, North Carolina, United States, 27408
- Novo Nordisk Investigational Site
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Greenville, North Carolina, United States, 27834
- Novo Nordisk Investigational Site
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Morehead City, North Carolina, United States, 28557
- Novo Nordisk Investigational Site
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Wilson, North Carolina, United States, 27893
- Novo Nordisk Investigational Site
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Oklahoma
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Tulsa, Oklahoma, United States, 74104
- Novo Nordisk Investigational Site
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Oregon
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Portland, Oregon, United States, 97239
- Novo Nordisk Investigational Site
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Portland, Oregon, United States, 97220
- Novo Nordisk Investigational Site
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South Carolina
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Greer, South Carolina, United States, 29651
- Novo Nordisk Investigational Site
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Tennessee
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Chattanooga, Tennessee, United States, 37404
- Novo Nordisk Investigational Site
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Memphis, Tennessee, United States, 38119
- Novo Nordisk Investigational Site
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Texas
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Dallas, Texas, United States, 75230
- Novo Nordisk Investigational Site
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Dallas, Texas, United States, 75235
- Novo Nordisk Investigational Site
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Lubbock, Texas, United States, 79423
- Novo Nordisk Investigational Site
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San Antonio, Texas, United States, 78240
- Novo Nordisk Investigational Site
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Tomball, Texas, United States, 77375
- Novo Nordisk Investigational Site
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Utah
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St. George, Utah, United States, 84790
- Novo Nordisk Investigational Site
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Virginia
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Newport News, Virginia, United States, 23606
- Novo Nordisk Investigational Site
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Washington
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Olympia, Washington, United States, 98502
- Novo Nordisk Investigational Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- For MAIN period (NN5401-3590):
- Diagnosis of type 2 diabetes mellitus for at least 6 months
- Insulin naïve subjects
- Treatment with metformin and at least one other oral antidiabetic drug for at least 3 months before trial start
- Glycosylated haemoglobin (HbA1c) between 7.5 - 11.0% (both inclusive)
- Body Mass Index (BMI) no higher than 40.0 kg/m^2
- For EXTENSION period (NN5401-3726):
- Informed consent obtained before any trial-related activities
- Must have completed the 26-week treatment period (visit 28) in trial NN5401-3590
Exclusion Criteria:
- For MAIN period (NN5401-3590):
- Treatment with glucagon like peptide-1 (GLP-1) receptor agonists and/or thiazolidinedione(s) within the last 3 months prior to trial start
- Cardiovascular disease diagnosed within 6 months before trial start
- For EXTENSION period (NN5401-3726):
- Anticipated change in concomitant medication known to interfere significantly with glucose metabolism, such as systemic corticosteroids, beta-blockers, Monoamine oxidase (MAO) inhibitors
- Anticipated significant lifestyle changes during the trial, e.g. shift work (including permanent night/evening shift workers), as well as highly variable eating habits as judged by the physician)
- Pregnancy, breast-feeding, the intention of becoming pregnant or not using adequate contraceptive measures according to local requirements
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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EXPERIMENTAL: IDegAsp OD
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Injected s.c.
(under the skin) once daily with the breakfast meal.
Dose was individually adjusted.
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EXPERIMENTAL: IGlar OD
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Injected s.c.
(under the skin) once daily.
Dose was individually adjusted.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Main Trial (Primary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 26 Weeks of Treatment
Time Frame: Week 0, Week 26
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Change from baseline in HbA1c after 26 weeks of treatment.
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Week 0, Week 26
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Extension Trial (Primary Endpoint): Rate of Confirmed Hypoglycaemic Episodes
Time Frame: Week 0 to Week 53 + 7 days follow up
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Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE).
Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes.
Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions.
Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L.
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Week 0 to Week 53 + 7 days follow up
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Extension Trial (Primary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Time Frame: Week 0 to Week 53 + 7 days follow up
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Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE).
Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes.
Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions.
Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L.
Nocturnal hypoglycaemic episodes are defined as occurring between 00:01 and 05:59 a.m.
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Week 0 to Week 53 + 7 days follow up
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Extension Trial (Primary Endpoint): Rate of Treatment Emergent Adverse Events (AEs)
Time Frame: Week 0 to Week 53 + 7 days follow up
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Corresponds to rate of AEs per 100 patient years of exposure.
Severity assessed by investigator.
Mild:no or transient symptoms, no interference with the subject's daily activities.
Moderate: marked symptoms, moderate interference with the subject's daily activities.
Severe: considerable interference with the subject's daily activities, unacceptable.
Serious AE: AE that at any dose results in any of the following: death, a life-threatening experience, in-subject hospitalisation/prolongation of existing hospitalisation, persistent/significant disability/incapacity/congenital anomaly/birth defect
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Week 0 to Week 53 + 7 days follow up
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Extension Trial (Secondary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 52 Weeks of Treatment
Time Frame: Week 0, Week 53
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Change from baseline in HbA1c after 52 weeks of treatment.
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Week 0, Week 53
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Main Trial (Secondary Endpoint): Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 26
Time Frame: Week 26
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Mean of SMPG at 26 weeks of treatment.
Plasma glucose measured: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner, bedtime, at 4 am and before breakfast.
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Week 26
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Yang W, Akhtar S, Franek E, Haluzik M, Hirose T, Kalyanam B, Kar S, Wu T, Gogas Yavuz D, Unnikrishnan AG. Postprandial Glucose Excursions in Asian Versus Non-Asian Patients with Type 2 Diabetes: A Post Hoc Analysis of Baseline Data from Phase 3 Randomised Controlled Trials of IDegAsp. Diabetes Ther. 2022 Feb;13(2):311-323. doi: 10.1007/s13300-021-01196-7. Epub 2022 Jan 19.
- Kumar A, Franek E, Wise J, Niemeyer M, Mersebach H, Simo R. Efficacy and Safety of Once-Daily Insulin Degludec/Insulin Aspart versus Insulin Glargine (U100) for 52 Weeks in Insulin-Naive Patients with Type 2 Diabetes: A Randomized Controlled Trial. PLoS One. 2016 Oct 19;11(10):e0163350. doi: 10.1371/journal.pone.0163350. eCollection 2016.
Helpful Links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- NN5401-3590
- 2009-011271-78 (EUDRACT_NUMBER)
- U1111-1111-7178 (OTHER: WHO)
- 2009-015839-33 (EUDRACT_NUMBER)
- U1111-1114-9237 (OTHER: WHO)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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