A Trial Comparing the Safety and Efficacy of Insulin Degludec and Insulin Glargine, With or Without OADs in Subjects With Type 2 Diabetes (SWITCH 2)
A Randomised, Double Blind, Cross-over Trial Comparing the Safety and Efficacy of Insulin Degludec and Insulin Glargine, With or Without OADs in Subjects With Type 2 Diabetes (SWITCH 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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Carolina, Puerto Rico, 00983
- Novo Nordisk Investigational Site
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Manati, Puerto Rico, 00674
- Novo Nordisk Investigational Site
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Ponce, Puerto Rico, 00717
- Novo Nordisk Investigational Site
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San Juan, Puerto Rico, 00921
- Novo Nordisk Investigational Site
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San Juan, Puerto Rico, 00918
- Novo Nordisk Investigational Site
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Alabama
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Birmingham, Alabama, United States, 35216
- Novo Nordisk Investigational Site
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Birmingham, Alabama, United States, 35215-7502
- Novo Nordisk Investigational Site
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Haleyville, Alabama, United States, 35565-1719
- Novo Nordisk Investigational Site
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Montgomery, Alabama, United States, 36106
- Novo Nordisk Investigational Site
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Tuscumbia, Alabama, United States, 35674
- Novo Nordisk Investigational Site
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Arizona
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Chandler, Arizona, United States, 85224
- Novo Nordisk Investigational Site
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Phoenix, Arizona, United States, 85050
- Novo Nordisk Investigational Site
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Tucson, Arizona, United States, 85704
- Novo Nordisk Investigational Site
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Arkansas
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Little Rock, Arkansas, United States, 72205
- Novo Nordisk Investigational Site
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California
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Costa Mesa, California, United States, 92626
- Novo Nordisk Investigational Site
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Downey, California, United States, 90242
- Novo Nordisk Investigational Site
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El Cajon, California, United States, 92020
- Novo Nordisk Investigational Site
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Fresno, California, United States, 93720
- Novo Nordisk Investigational Site
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Fresno, California, United States, 93702
- Novo Nordisk Investigational Site
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Hawaiian Gardens, California, United States, 90716
- Novo Nordisk Investigational Site
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Huntington Park, California, United States, 90255
- Novo Nordisk Investigational Site
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Lincoln, California, United States, 95648
- Novo Nordisk Investigational Site
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Long Beach, California, United States, 90807
- Novo Nordisk Investigational Site
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Montclair, California, United States, 91763
- Novo Nordisk Investigational Site
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North Hollywood, California, United States, 91606
- Novo Nordisk Investigational Site
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Northridge, California, United States, 91325
- Novo Nordisk Investigational Site
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Pomona, California, United States, 91766-2007
- Novo Nordisk Investigational Site
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Poway, California, United States, 92064
- Novo Nordisk Investigational Site
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Rancho Cucamonga, California, United States, 91730-3063
- Novo Nordisk Investigational Site
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Rialto, California, United States, 92376
- Novo Nordisk Investigational Site
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Roseville, California, United States, 95661
- Novo Nordisk Investigational Site
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San Diego, California, United States, 92111
- Novo Nordisk Investigational Site
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Santa Monica, California, United States, 90404
- Novo Nordisk Investigational Site
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Tarzana, California, United States, 91356-3551
- Novo Nordisk Investigational Site
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Torrance, California, United States, 90502
- Novo Nordisk Investigational Site
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Tustin, California, United States, 92780
- Novo Nordisk Investigational Site
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Colorado
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Colorado Springs, Colorado, United States, 80910
- Novo Nordisk Investigational Site
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Golden, Colorado, United States, 80401
- Novo Nordisk Investigational Site
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Delaware
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Newark, Delaware, United States, 19713
- Novo Nordisk Investigational Site
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Florida
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Bradenton, Florida, United States, 34201
- Novo Nordisk Investigational Site
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Chiefland, Florida, United States, 32626
- Novo Nordisk Investigational Site
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Clearwater, Florida, United States, 33765
- Novo Nordisk Investigational Site
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Clearwater, Florida, United States, 33756
- Novo Nordisk Investigational Site
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Cooper City, Florida, United States, 33024
- Novo Nordisk Investigational Site
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Doral, Florida, United States, 33166
- Novo Nordisk Investigational Site
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Hialeah, Florida, United States, 33012
- Novo Nordisk Investigational Site
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Hialeah, Florida, United States, 33013
- 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, 32204
- Novo Nordisk Investigational Site
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Jacksonville, Florida, United States, 32256
- Novo Nordisk Investigational Site
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Jacksonville, Florida, United States, 32277
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33156
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33174
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33175
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33130
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33155
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33165
- Novo Nordisk Investigational Site
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Miami, Florida, United States, 33186
- Novo Nordisk Investigational Site
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Miami Springs, Florida, United States, 33166
- Novo Nordisk Investigational Site
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Miramar, Florida, United States, 33027
- Novo Nordisk Investigational Site
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New Port Richey, Florida, United States, 34652
- Novo Nordisk Investigational Site
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Ocala, Florida, United States, 34470
- Novo Nordisk Investigational Site
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Orlando, Florida, United States, 32801
- Novo Nordisk Investigational Site
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Panama City, Florida, United States, 32401
- Novo Nordisk Investigational Site
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Pembroke Pines, Florida, United States, 33026
- Novo Nordisk Investigational Site
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Tampa, Florida, United States, 33607
- Novo Nordisk Investigational Site
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Tampa, Florida, United States, 33619
- Novo Nordisk Investigational Site
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Georgia
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Perry, Georgia, United States, 31069
- Novo Nordisk Investigational Site
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Illinois
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Champaign, Illinois, United States, 61821
- Novo Nordisk Investigational Site
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Chicago, Illinois, United States, 60611
- Novo Nordisk Investigational Site
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Indiana
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Evansville, Indiana, United States, 47714
- Novo Nordisk Investigational Site
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Muncie, Indiana, United States, 47304
- Novo Nordisk Investigational Site
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Iowa
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West Des Moines, Iowa, United States, 50265
- Novo Nordisk Investigational Site
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Kansas
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Lenexa, Kansas, United States, 66219
- Novo Nordisk Investigational Site
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Newton, Kansas, United States, 67114
- Novo Nordisk Investigational Site
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Kentucky
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Lexington, Kentucky, United States, 40503
- Novo Nordisk Investigational Site
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Lexington, Kentucky, United States, 40502
- Novo Nordisk Investigational Site
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Louisville, Kentucky, United States, 40213
- Novo Nordisk Investigational Site
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Paducah, Kentucky, United States, 42003
- Novo Nordisk Investigational Site
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Louisiana
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New Orleans, Louisiana, United States, 70119
- Novo Nordisk Investigational Site
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Shreveport, Louisiana, United States, 71105
- Novo Nordisk Investigational Site
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Massachusetts
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Brockton, Massachusetts, United States, 02301
- Novo Nordisk Investigational Site
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Michigan
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Kalamazoo, Michigan, United States, 49009
- Novo Nordisk Investigational Site
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Mississippi
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Olive Branch, Mississippi, United States, 38654-3573
- Novo Nordisk Investigational Site
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Missouri
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Florissant, Missouri, United States, 63031
- Novo Nordisk Investigational Site
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Jefferson City, Missouri, United States, 65109
- Novo Nordisk Investigational Site
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Kansas City, Missouri, United States, 64106
- Novo Nordisk Investigational Site
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Nevada
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Henderson, Nevada, United States, 89052-2649
- Novo Nordisk Investigational Site
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Las Vegas, Nevada, United States, 89148
- Novo Nordisk Investigational Site
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New Hampshire
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Newington, New Hampshire, United States, 03801
- Novo Nordisk Investigational Site
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New Jersey
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Morganville, New Jersey, United States, 07751
- Novo Nordisk Investigational Site
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Teaneck, New Jersey, United States, 07666
- Novo Nordisk Investigational Site
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New Mexico
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Albuquerque, New Mexico, United States, 87102
- Novo Nordisk Investigational Site
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New York
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Albany, New York, United States, 12208
- Novo Nordisk Investigational Site
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Jackson Heights, New York, United States, 11372
- Novo Nordisk Investigational Site
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New Windsor, New York, United States, 12553
- Novo Nordisk Investigational Site
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Northport, New York, United States, 11768
- 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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Charlotte, North Carolina, United States, 28277
- Novo Nordisk Investigational Site
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Morganton, North Carolina, United States, 28655
- Novo Nordisk Investigational Site
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Winston-Salem, North Carolina, United States, 27103
- Novo Nordisk Investigational Site
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Ohio
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Delaware, Ohio, United States, 43015
- Novo Nordisk Investigational Site
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Franklin, Ohio, United States, 45005
- Novo Nordisk Investigational Site
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Toledo, Ohio, United States, 43614
- Novo Nordisk Investigational Site
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73103
- Novo Nordisk Investigational Site
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Pennsylvania
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Altoona, Pennsylvania, United States, 16602
- Novo Nordisk Investigational Site
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Beaver, Pennsylvania, United States, 15009
- Novo Nordisk Investigational Site
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Philadelphia, Pennsylvania, United States, 19107
- Novo Nordisk Investigational Site
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Philadelphia, Pennsylvania, United States, 19114
- Novo Nordisk Investigational Site
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Scottdale, Pennsylvania, United States, 15683
- Novo Nordisk Investigational Site
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South Carolina
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Anderson, South Carolina, United States, 29621
- Novo Nordisk Investigational Site
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Gaffney, South Carolina, United States, 29341
- Novo Nordisk Investigational Site
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Greer, South Carolina, United States, 29651
- Novo Nordisk Investigational Site
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Pelzer, South Carolina, United States, 29669
- Novo Nordisk Investigational Site
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Spartanburg, South Carolina, United States, 29303
- Novo Nordisk Investigational Site
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South Dakota
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Rapid City, South Dakota, United States, 57701
- Novo Nordisk Investigational Site
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Tennessee
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Bristol, Tennessee, United States, 37620-7352
- Novo Nordisk Investigational Site
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Bristol, Tennessee, United States, 37620
- Novo Nordisk Investigational Site
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Chattanooga, Tennessee, United States, 37404
- Novo Nordisk Investigational Site
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Humboldt, Tennessee, United States, 38343
- Novo Nordisk Investigational Site
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Jackson, Tennessee, United States, 38305
- Novo Nordisk Investigational Site
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Johnson City, Tennessee, United States, 37604
- Novo Nordisk Investigational Site
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Kingsport, Tennessee, United States, 37660
- Novo Nordisk Investigational Site
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Texas
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Arlington, Texas, United States, 76012-4637
- Novo Nordisk Investigational Site
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Arlington, Texas, United States, 76012
- Novo Nordisk Investigational Site
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Austin, Texas, United States, 78758
- Novo Nordisk Investigational Site
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Carrollton, Texas, United States, 75007
- Novo Nordisk Investigational Site
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Dallas, Texas, United States, 75208
- Novo Nordisk Investigational Site
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El Paso, Texas, United States, 79912
- Novo Nordisk Investigational Site
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Fort Worth, Texas, United States, 76104
- Novo Nordisk Investigational Site
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Houston, Texas, United States, 77040
- Novo Nordisk Investigational Site
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Houston, Texas, United States, 77072
- Novo Nordisk Investigational Site
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Houston, Texas, United States, 77070
- Novo Nordisk Investigational Site
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Houston, Texas, United States, 77043
- Novo Nordisk Investigational Site
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Houston, Texas, United States, 77060
- Novo Nordisk Investigational Site
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Houston, Texas, United States, 77077
- Novo Nordisk Investigational Site
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Humble, Texas, United States, 77338
- Novo Nordisk Investigational Site
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Hurst, Texas, United States, 76054
- Novo Nordisk Investigational Site
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Marshall, Texas, United States, 75670
- Novo Nordisk Investigational Site
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Mesquite, Texas, United States, 75149
- Novo Nordisk Investigational Site
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North Richland Hills, Texas, United States, 76180
- Novo Nordisk Investigational Site
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Plano, Texas, United States, 75075
- Novo Nordisk Investigational Site
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Plano, Texas, United States, 75093
- Novo Nordisk Investigational Site
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Richardson, Texas, United States, 75080
- Novo Nordisk Investigational Site
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San Antonio, Texas, United States, 78229
- Novo Nordisk Investigational Site
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San Antonio, Texas, United States, 78215
- Novo Nordisk Investigational Site
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San Antonio, Texas, United States, 78224
- Novo Nordisk Investigational Site
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San Antonio, Texas, United States, 78240
- Novo Nordisk Investigational Site
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San Antonio, Texas, United States, 78258
- Novo Nordisk Investigational Site
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San Antonio, Texas, United States, 78228-3419
- Novo Nordisk Investigational Site
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Sealy, Texas, United States, 77474
- Novo Nordisk Investigational Site
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Sugar Land, Texas, United States, 77478
- Novo Nordisk Investigational Site
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Sugar Land, Texas, United States, 77479
- Novo Nordisk Investigational Site
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Victoria, Texas, United States, 77901
- Novo Nordisk Investigational Site
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Waco, Texas, United States, 76710
- Novo Nordisk Investigational Site
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Utah
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Draper, Utah, United States, 84020
- Novo Nordisk Investigational Site
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Ogden, Utah, United States, 84405
- Novo Nordisk Investigational Site
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Salt Lake City, Utah, United States, 84107
- Novo Nordisk Investigational Site
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Virginia
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Chesapeake, Virginia, United States, 23321
- Novo Nordisk Investigational Site
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Norfolk, Virginia, United States, 23510
- 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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Renton, Washington, United States, 98057
- Novo Nordisk Investigational Site
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Richland, Washington, United States, 99352
- Novo Nordisk Investigational Site
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Spokane, Washington, United States, 99202-1334
- Novo Nordisk Investigational Site
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West Virginia
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Martinsburg, West Virginia, United States, 25401
- Novo Nordisk Investigational Site
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Wisconsin
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Kenosha, Wisconsin, United States, 53144
- 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: Crossover Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: IDeg OD ± OADs followed by IGlar OD ± OADs
The trial includes two 32-week treatment periods in a cross-over design.
Total trial duration for the individual subjects will be up to 67 weeks.
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Administered once daily injected s.c.
/ subcutaneously (under the skin).
Dose is individually adjusted.
Administered once daily injected s.c.
/ subcutaneously (under the skin).
Dose is individually adjusted.
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Active Comparator: IGlar OD ± OADs followed by IDeg OD ± OADs
The trial includes two 32-week treatment periods in a cross-over design.
Total trial duration for the individual subjects will be up to 67 weeks.
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Administered once daily injected s.c.
/ subcutaneously (under the skin).
Dose is individually adjusted.
Administered once daily injected s.c.
/ subcutaneously (under the skin).
Dose is individually adjusted.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Maintenance Period
Time Frame: After 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64)
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Severe or blood glucose (BG) confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe and/or BG confirmed by a plasma glucose value of <56 mg/dL (3.1 mmol/L), with symptoms consistent with hypoglycaemia.
Treatment emergent hypoglycaemic episode was defined as an event with onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment.
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After 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Proportion of Subjects With One or More Severe Hypoglycaemic Episodes During the Maintenance Period
Time Frame: After 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64)
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Percentage of subjects who experienced one or more severe hypoglycaemic episodes during the maintenance period.
Severe hypoglycaemia (according to the American Diabetes Association 2013 definition): A hypoglycaemic episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions.
Plasma glucose values may not be available during an event, but neurological recovery following the return of plasma glucose to normal is considered sufficient evidence that the event was induced by a low plasma glucose concentration.
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After 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64)
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Incidence of Treatment Emergent Adverse Events
Time Frame: During 32 weeks of treatment for each treatment period
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Treatment emergent adverse event was defined as an event with onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment.
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During 32 weeks of treatment for each treatment period
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Number of Treatment Emergent Severe or BG Confirmed Symptomatic Nocturnal Hypoglycaemic Episode During the Maintenance Period
Time Frame: After 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64)
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Severe or BG confirmed symptomatic nocturnal hypoglycaemic episodes were defined as episodes that were severe and/or BG confirmed by a plasma glucose value of <56 mg/dL (3.1 mmol/L), with symptoms consistent with hypoglycaemia and with time of onset between 00:01 and 05.59 a.m., both inclusive.
Treatment emergent hypoglycaemic episode was defined as an event with onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment.
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After 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64)
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Change From Baseline in HbA1c (Glycosylated Haemoglobin)
Time Frame: Week 32, Week 64
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Change from baseline in HbA1c (glycosylated haemoglobin) at week 32 (treatment period 1) and at week 64 (treatment period 2).
Week 32 HbA1c value was considered as baseline for calculating change from baseline in HbA1c at week 64.
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Week 32, Week 64
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FPG (Fasting Plasma Glucose)
Time Frame: week 32, week 64
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Fasting plasma glucose values at week 32 and week 64.
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week 32, week 64
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Evans M, Mehta R, Gundgaard J, Chubb B. Cost-Effectiveness of Insulin Degludec vs. Insulin Glargine U100 in Type 1 and Type 2 Diabetes Mellitus in a UK Setting. Diabetes Ther. 2018 Oct;9(5):1919-1930. doi: 10.1007/s13300-018-0478-1. Epub 2018 Aug 10.
- DeVries JH, Bailey TS, Bhargava A, Gerety G, Gumprecht J, Heller S, Lane W, Wysham CH, Zinman B, Bak BA, Hachmann-Nielsen E, Philis-Tsimikas A. Day-to-day fasting self-monitored blood glucose variability is associated with risk of hypoglycaemia in insulin-treated patients with type 1 and type 2 diabetes: A post hoc analysis of the SWITCH Trials. Diabetes Obes Metab. 2019 Mar;21(3):622-630. doi: 10.1111/dom.13565. Epub 2018 Nov 26.
- Chaykin L, Bhargava A, de la Rosa R, Wysham CH, Norgard Troelsen L, Ostoft SH, Philis-Tsimikas A. Effect of Insulin Degludec Versus Insulin Glargine U100 on Hypoglycemia in Hispanic Patients With Type 2 Diabetes: Results From the SWITCH 2 Trial. Clin Diabetes. 2019 Jan;37(1):73-81. doi: 10.2337/cd18-0016.
- Wysham C, Bhargava A, Chaykin L, de la Rosa R, Handelsman Y, Troelsen LN, Kvist K, Norwood P. Effect of Insulin Degludec vs Insulin Glargine U100 on Hypoglycemia in Patients With Type 2 Diabetes: The SWITCH 2 Randomized Clinical Trial. JAMA. 2017 Jul 4;318(1):45-56. doi: 10.1001/jama.2017.7117.
- Heller SR, DeVries JH, Wysham C, Hansen CT, Hansen MV, Frier BM. Lower rates of hypoglycaemia in older individuals with type 2 diabetes using insulin degludec versus insulin glargine U100: Results from SWITCH 2. Diabetes Obes Metab. 2019 Jul;21(7):1634-1641. doi: 10.1111/dom.13708. Epub 2019 Apr 15.
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
Other Study ID Numbers
Other Study ID Numbers
- NN1250-3998
- U1111-1143-7963 (Other Identifier: 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.