Efficacy and Safety of FIAsp Compared to Insulin Aspart in Combination With Insulin Glargine and Metformin in Adults With Type 2 Diabetes (onset® 2)
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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Quebec, Canada, G1G 3Y8
- Novo Nordisk Investigational Site
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Quebec, Canada, G1N 4V3
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Alberta
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Edmonton, Alberta, Canada, T5J 3N4
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British Columbia
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Surrey, British Columbia, Canada, V3S 2N6
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Newfoundland and Labrador
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Mount Pearl, Newfoundland and Labrador, Canada, A1N 1W7
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St. John's, Newfoundland and Labrador, Canada, A1A 3R5
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Ontario
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Hamilton, Ontario, Canada, L8M 1K7
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Thunder Bay, Ontario, Canada, P7B 7C7
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Waterloo, Ontario, Canada, N2J 1C4
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Quebec
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Mirabel, Quebec, Canada, J7J 2K8
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Montreal, Quebec, Canada, H1Y 3L1
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Montreal, Quebec, Canada, H2R 1V6
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St. Romuald, Quebec, Canada, G6W 5M6
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Cakovec, Croatia, 40000
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Karlovac, Croatia, 47000
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Osijek, Croatia, 31 000
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Slavonski Brod, Croatia, 35 000
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Split, Croatia, 21 000
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Varazdin, Croatia, 42 000
- Novo Nordisk Investigational Site
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Zagreb, Croatia, 10 000
- Novo Nordisk Investigational Site
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Zagreb, Croatia, 10000
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Andhra Pradesh
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Hyderabad, Andhra Pradesh, India, 500082
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Madhya Pradesh
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Indore, Madhya Pradesh, India, 452010
- Novo Nordisk Investigational Site
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Maharashtra
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Mumbai, Maharashtra, India, 400008
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Mumbai, Maharashtra, India, 400012
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Mumbai, Maharashtra, India, 400058
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Pune, Maharashtra, India, 411004
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Pune, Maharashtra, India, 411040
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New Delhi
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Delhi, New Delhi, India, 110002
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Orissa
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Bhubaneswar, Orissa, India, 751019
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Rajasthan
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Jaipur, Rajasthan, India, 302006
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Beer Sheva, Israel, 84101
- Novo Nordisk Investigational Site
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Haifa, Israel, 35152
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Jerusalem, Israel, 91120
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Kfar Saba, Israel, 44281
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Rehovot, Israel, 76100
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Rishon Le Zion, Israel, 75650
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Ponce, Puerto Rico, 00717
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Kursk, Russian Federation, 305035
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Moscow, Russian Federation, 119435
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Moscow, Russian Federation, 117036
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Moscow, Russian Federation, 127644
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Penza, Russian Federation, 440026
- Novo Nordisk Investigational Site
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Saint-Petersburg, Russian Federation, 195257
- Novo Nordisk Investigational Site
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Saint-Petersburg, Russian Federation, 194358
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Saint-Petersburg, Russian Federation, 199034
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Saint-Petersburg, Russian Federation, 191119
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Saint-Petersburg, Russian Federation, 194291
- Novo Nordisk Investigational Site
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Saint-Petesburg, Russian Federation, 195257
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Stavropol, Russian Federation, 355035
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Belgrade, Serbia, 11000
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Nis, Serbia, 18000
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Zajecar, Serbia, 19000
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Bratislava, Slovakia, 851 01
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Bratislava, Slovakia, 821 02
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Lucenec, Slovakia, 984 01
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Trnava, Slovakia, 91701
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Zilina, Slovakia, 01001
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Epworth, United Kingdom, DN9 1EP
- Novo Nordisk Investigational Site
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Hull, United Kingdom, HU3 2RW
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Northampton, United Kingdom, NN1 5BD
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Northwood, United Kingdom, HA6 2RN
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Norwich, United Kingdom, NR4 7TJ
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Nuneaton, United Kingdom, CV10 7DJ
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Sidcup, United Kingdom, DA14 6LT
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Stoke on Trent, United Kingdom, ST4 6QG
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Wrexham, United Kingdom, LL13 7TD
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Arizona
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Glendale, Arizona, United States, 85306-4652
- Novo Nordisk Investigational Site
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Glendale, Arizona, United States, 85308
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Mesa, Arizona, United States, 85213
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Phoenix, Arizona, United States, 85020
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Tempe, Arizona, United States, 85283
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California
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Anaheim, California, United States, 92801
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Fresno, California, United States, 93720
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Greenbrae, California, United States, 94904
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Lomita, California, United States, 90717
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Northridge, California, United States, 91325
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San Diego, California, United States, 92111
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San Ramon, California, United States, 94583
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Walnut Creek, California, United States, 94598
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Colorado
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Aurora, Colorado, United States, 80045
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Colorado Springs, Colorado, United States, 80910
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Connecticut
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Waterbury, Connecticut, United States, 06708
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Florida
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Boynton Beach, Florida, United States, 33472
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Bradenton, Florida, United States, 34201
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Cooper City, Florida, United States, 33024
- Novo Nordisk Investigational Site
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Fort Lauderdale, Florida, United States, 33316
- Novo Nordisk Investigational Site
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Jacksonville, Florida, United States, 32216
- Novo Nordisk Investigational Site
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Jacksonville, Florida, United States, 32205
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33144
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33173
- Novo Nordisk Investigational Site
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Pembroke Pines, Florida, United States, 33027
- Novo Nordisk Investigational Site
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Plantation, Florida, United States, 33324
- Novo Nordisk Investigational Site
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Tampa, Florida, United States, 33603
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Georgia
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Atlanta, Georgia, United States, 30308-2253
- Novo Nordisk Investigational Site
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Atlanta, Georgia, United States, 30328
- Novo Nordisk Investigational Site
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Decatur, Georgia, United States, 30033
- Novo Nordisk Investigational Site
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Roswell, Georgia, United States, 30076
- Novo Nordisk Investigational Site
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Illinois
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Avon, Illinois, United States, 46123
- Novo Nordisk Investigational Site
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Peoria, Illinois, United States, 61602
- Novo Nordisk Investigational Site
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Indiana
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Indianapolis, Indiana, United States, 46254
- Novo Nordisk Investigational Site
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Muncie, Indiana, United States, 47304
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Kansas
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Topeka, Kansas, United States, 66606
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Kentucky
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Louisville, Kentucky, United States, 40206
- Novo Nordisk Investigational Site
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Madisonville, Kentucky, United States, 42431-1661
- Novo Nordisk Investigational Site
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Paducah, Kentucky, United States, 42003
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Louisiana
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Monroe, Louisiana, United States, 71203
- Novo Nordisk Investigational Site
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Michigan
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Buckley, Michigan, United States, 49620
- Novo Nordisk Investigational Site
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Detroit, Michigan, United States, 48201
- Novo Nordisk Investigational Site
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Troy, Michigan, United States, 48085-5524
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Missouri
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Chesterfield, Missouri, United States, 63017
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Jefferson City, Missouri, United States, 65109
- Novo Nordisk Investigational Site
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Saint Louis, Missouri, United States, 63141
- Novo Nordisk Investigational Site
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Montana
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Butte, Montana, United States, 59701
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Nebraska
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Elkhorn, Nebraska, United States, 68022
- Novo Nordisk Investigational Site
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Omaha, Nebraska, United States, 68198-3020
- Novo Nordisk Investigational Site
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Omaha, Nebraska, United States, 68105
- Novo Nordisk Investigational Site
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New Jersey
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Toms River, New Jersey, United States, 08755-8050
- Novo Nordisk Investigational Site
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New York
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Mineola, New York, United States, 11501
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New Windsor, New York, United States, 12553
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North Massapequa, New York, United States, 11758-1802
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Northport, New York, United States, 11768
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North Carolina
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Hickory, North Carolina, United States, 28601
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Wilmington, North Carolina, United States, 28401
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Ohio
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Carlisle, Ohio, United States, 45005
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Cleveland, Ohio, United States, 44122
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Dayton, Ohio, United States, 45439
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Franklin, Ohio, United States, 45005
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Mason, Ohio, United States, 45040-6815
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Rhode Island
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East Providence, Rhode Island, United States, 02914
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South Carolina
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Gaffney, South Carolina, United States, 29341
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Tennessee
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Chattanooga, Tennessee, United States, 37404-1192
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Kingsport, Tennessee, United States, 37660
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Spring Hill, Tennessee, United States, 37174
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Tullahoma, Tennessee, United States, 37388
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Texas
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Dallas, Texas, United States, 75230
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Dallas, Texas, United States, 75251
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Hurst, Texas, United States, 76054
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Plano, Texas, United States, 75075
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Utah
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Murray, Utah, United States, 84123
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Virginia
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Midlothian, Virginia, United States, 23114
- Novo Nordisk Investigational Site
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Washington
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Port Orchard, Washington, United States, 98366
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Wisconsin
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Kenosha, Wisconsin, United States, 53144
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Milwaukee, Wisconsin, United States, 53209
- 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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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EXPERIMENTAL: Faster-acting insulin aspart (FIAsp)
Meal time faster-acting insulin aspart is given in combination with once daily insulin glargine and metformin in a basal-bolus regimen.
Insulin glargine and metformin treatment are open labelled background medication.
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Mealtime FIAsp administered subcutaneously (s.c., under the skin).
Dose individually adjusted.
Administered s.c.
once daily at subjects' pre-trial dose.
Subjects will continue their metformin treatment without changing the frequency or dose throughout the trial.
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ACTIVE_COMPARATOR: Insulin aspart
Meal time insulin aspart is given in combination with once daily insulin glargine and metformin in a basal-bolus regimen.
Insulin glargine and metformin treatment are open labelled background medication.
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Administered s.c.
once daily at subjects' pre-trial dose.
Subjects will continue their metformin treatment without changing the frequency or dose throughout the trial.
Mealtime insulin aspart administered subcutaneously (s.c., under the skin).
Dose 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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Change From Baseline in HbA1c
Time Frame: Week 0, Week 26
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The primary endpoint was change from baseline in HbA1c after 26 weeks of randomized treatment.
For this endpoint baseline (week 0) and week 26 have been presented, where week 26 data is end of trial containing last available measurement.
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Week 0, Week 26
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change From Baseline in 2-hour PPG Increment (Meal Test)
Time Frame: Week 0, week 26
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For this endpoint baseline (week 0) and week 26 have been presented, where week 26 data is end of trial containing last available measurement.
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Week 0, week 26
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Number of Treatment Emergent Confirmed Hypoglycaemic Episodes
Time Frame: From Week 0 to Week 26.
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A hypoglycaemic episode was defined as treatment-emergent if the onset of the episode was on or after the first day of exposure to randomized treatment and no later than 1 day after the last day of randomized treatment.
A severe or blood glucose (BG) confirmed hypoglycaemic episode was an episode that was severe according to the American Diabetes Association (ADA) classification (an episode that required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with or without symptoms consistent with hypoglycaemia.
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From Week 0 to Week 26.
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Change From Baseline in Body Weight
Time Frame: Week 0, week 26
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For this endpoint baseline (week 0) and week 26 have been presented, where week 26 data is end of trial containing last available measurement.
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Week 0, week 26
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Bowering K, Case C, Harvey J, Reeves M, Sampson M, Strzinek R, Bretler DM, Bang RB, Bode BW. Faster Aspart Versus Insulin Aspart as Part of a Basal-Bolus Regimen in Inadequately Controlled Type 2 Diabetes: The onset 2 Trial. Diabetes Care. 2017 Jul;40(7):951-957. doi: 10.2337/dc16-1770. Epub 2017 May 8.
- 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.
- 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.
Helpful Links
Study record dates
Study Major Dates
Study Start (ACTUAL)
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 (ACTUAL)
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
- Glucose Metabolism Disorders
- Metabolic Diseases
- Endocrine System Diseases
- Diabetes Mellitus
- Diabetes Mellitus, Type 2
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Insulin
- Insulin, Globin Zinc
- Insulin Aspart
- Insulin, Long-Acting
- Insulin degludec, insulin aspart drug combination
- Insulin Glargine
Other Study ID Numbers
Other Study ID Numbers
- NN1218-3853
- 2010-024051-93 (EUDRACT_NUMBER)
- U1111-1118-2509 (OTHER: WHO)
- CTRI/2014/01/004285 (REGISTRY: Clinical Trials Registry - India (CTRI))
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.