- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00869908
Observational Study on the Effect of NovoMix® 30, Levemir® or NovoRapid® (Alone or Combined) in Type 2 Diabetics Previously Treated With Anti-diabetic Medication (A1chieve®)
January 18, 2017 updated by: Novo Nordisk A/S
The Effect of NovoMix® 30, Levemir® or NovoRapid® (Alone or in Combination) in Subjects With Type 2 Diabetes Previously Treated With Other Anti-diabetic Medication. A 24-week, International, Prospective, Multi-centre, Open-labelled, Non-interventional Study
This study is conducted in Africa, Asia, South America and Europe.
The aim of this observational study is to document the experience with the study insulins when used in routine clinical practice.
After the physician's decision to start insulin treatment using NovoMix® 30, Levemir® or NovoRapid® (alone or combined), type 2 diabetics will be eligible to be included in this study at the physician's discretion
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Observational
Enrollment (Actual)
66726
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Algiers, Algeria, 16035
- Novo Nordisk Investigational Site
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Prov. de Buenos Aires, Argentina, B1636DSU
- Novo Nordisk Investigational Site
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Dhaka, Bangladesh, 1206
- Novo Nordisk Investigational Site
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Beijing
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Beijing, Beijing, China, 100004
- Novo Nordisk Investigational Site
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Cairo, Egypt
- Novo Nordisk Investigational Site
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Bangalore, India, 560001
- Novo Nordisk Investigational Site
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Jakarta, Indonesia, 12520
- Novo Nordisk Investigational Site
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Teheran, Iran, Islamic Republic of
- Novo Nordisk Investigational Site
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Amman, Jordan, 11844
- Novo Nordisk Investigational Site
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Seoul, Korea, Republic of, 137-920
- Novo Nordisk Investigational Site
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Tripoli, Libyan Arab Jamahiriya
- Novo Nordisk Investigational Site
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Selangor Darul Ehsan, Malaysia
- Novo Nordisk Investigational Site
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Mexico City, Mexico
- Novo Nordisk Investigational Site
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Casablanca, Morocco, 20000
- Novo Nordisk Investigational Site
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Karachi, Pakistan
- Novo Nordisk Investigational Site
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Manilla, Philippines, 1605
- Novo Nordisk Investigational Site
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Moscow, Russian Federation, 119330
- Novo Nordisk Investigational Site
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Riyadh, Saudi Arabia, 3542
- Novo Nordisk Investigational Site
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Singapore, Singapore, 307684
- Novo Nordisk Investigational Site
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Taipei, Taiwan
- Novo Nordisk Investigational Site
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Tunisia, Tunisia, 1053
- Novo Nordisk Investigational Site
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Istanbul, Turkey, 34335
- Novo Nordisk Investigational Site
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Only people with type 2 diabetes treated by general practitioners and specialists who prescribe insulin analogues in their routine practice will be included
Description
Inclusion Criteria:
- After the physician has taken the decision to use NovoMix®30, Levemir® or NovoRapid® (alone or combined), any subject with type 2 diabetes who is not treated with these insulins or who has started on these insulin within the last 4 weeks before inclusion into this study is eligible for the study.
- The selection of the subjects will be at the discretion of the individual physician.
Exclusion Criteria:
- Subjects treated with NovoMix® 30, Levemir® or NovoRapid® (alone or in combination) for more than 4 weeks before inclusion into this study.
- Subjects who were previously enrolled in this study.
- Subjects with a hypersensitivity to NovoMix® 30, Levemir® or NovoRapid® or to any of the excipients.
- Women who are pregnant, breast feeding or have the intention of becoming pregnant within the next 6 months.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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A
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Start dose and frequency to be prescribed by the physician as a result of the normal clinical evaluation
Start dose and frequency to be prescribed by the physician as a result of the normal clinical evaluation
Other Names:
Start dose and frequency to be prescribed by the physician as a result of the normal clinical evaluation
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
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Number of serious adverse drug reactions and major hypoglycaemic events reported as serious adverse drug reactions
Time Frame: at baseline, 12 weeks and 24 weeks
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at baseline, 12 weeks and 24 weeks
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
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Evaluate the prescribing patterns and choice of insulin analogues in routine clinical practice
Time Frame: at baseline, 12 weeks and 24 weeks
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at baseline, 12 weeks and 24 weeks
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Change in number of hypoglycaemic events
Time Frame: at baseline, 12 weeks and 24 weeks
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at baseline, 12 weeks and 24 weeks
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Change in HbA1c
Time Frame: at baseline, 12 weeks and 24 weeks
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at baseline, 12 weeks and 24 weeks
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Change in FPG (Fasting Plasma Glucose)
Time Frame: at baseline, 12 weeks and 24 weeks
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at baseline, 12 weeks and 24 weeks
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Change in PPG (postprandial glucose)
Time Frame: at baseline, 12 weeks and 24 weeks
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at baseline, 12 weeks and 24 weeks
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Home P, Naggar NE, Khamseh M, Gonzalez-Galvez G, Shen C, Chakkarwar P, Wenying Y. An observational non-interventional study of people with diabetes beginning or changed to insulin analogue therapy in non-Western countries: the A1chieve study. Diabetes Res Clin Pract. 2011 Dec;94(3):352-63. doi: 10.1016/j.diabres.2011.10.021.
- Shah S, Zilov A, Malek R, Soewondo P, Bech O, Litwak L. Improvements in quality of life associated with insulin analogue therapies in people with type 2 diabetes: results from the A1chieve observational study. Diabetes Res Clin Pract. 2011 Dec;94(3):364-70. doi: 10.1016/j.diabres.2011.10.020.
- Shah SN, Litwak L, Haddad J, Chakkarwar PN, Hajjaji I. The A1chieve study: a 60 000-person, global, prospective, observational study of basal, meal-time, and biphasic insulin analogs in daily clinical practice. Diabetes Res Clin Pract. 2010 May;88 Suppl 1:S11-6. doi: 10.1016/S0168-8227(10)70003-6.
- Randeree H, Liebl A, Hajjaji I, Khamseh M, Zajdenverg L, Chen JW, Haddad J. Safety and effectiveness of bolus insulin aspart in people with type 2 diabetes: a1chieve sub-analysis. Diabetes Ther. 2013 Jun;4(1):153-66. doi: 10.1007/s13300-013-0026-y. Epub 2013 Jun 12.
- Zilov A, El Naggar N, Shah S, Shen C, Haddad J. Insulin detemir in the management of type 2 diabetes in non-Western countries: safety and effectiveness data from the A(1)chieve observational study. Diabetes Res Clin Pract. 2013 Sep;101(3):317-25. doi: 10.1016/j.diabres.2013.06.003.
- Shah S, Yang W, Hasan MI, Malek R, Molskov Bech O, Home P. Biphasic insulin aspart 30 in insulin-naive people with type 2 diabetes in non-western nations: results from a regional comparative multinational observational study (A(1)chieve). Diabetes Technol Ther. 2013 Nov;15(11):954-63. doi: 10.1089/dia.2013.0074. Epub 2013 Sep 20.
- Home PD, Latif ZA, Gonzalez-Galvez G, Prusty V, Hussein Z. The effectiveness and safety of beginning insulin aspart together with basal insulin in people with type 2 diabetes in non-Western nations: results from the A(1)chieve observational study. Diabetes Res Clin Pract. 2013 Sep;101(3):326-32. doi: 10.1016/j.diabres.2013.06.005.
- Litwak L, Goh SY, Hussein Z, Malek R, Prusty V, Khamseh ME. Prevalence of diabetes complications in people with type 2 diabetes mellitus and its association with baseline characteristics in the multinational A1chieve study. Diabetol Metab Syndr. 2013 Oct 24;5(1):57. doi: 10.1186/1758-5996-5-57.
- Chen L, Xing X, Lei M, Liu J, Shi Y, Li P, Qin G, Li C, Li Y, Wang Q, Gao T, Hu L, Wang Y, Yang W. Biphasic insulin aspart 30 improved glycemic control in Chinese patients with type 2 diabetes poorly controlled on oral glucose-lowering drugs: a subgroup analysis of the A(1)chieve study. Chin Med J (Engl). 2014;127(2):208-12.
- Hwang YC, Kang JG, Ahn KJ, Cha BS, Ihm SH, Lee S, Kim M, Lee BW. The glycemic efficacies of insulin analogue regimens according to baseline glycemic status in Korean patients with type 2 diabetes: sub-analysis from the A(1)chieve((R)) study. Int J Clin Pract. 2014 Nov;68(11):1338-44. doi: 10.1111/ijcp.12482. Epub 2014 Oct 6.
- Yang W, Zhuang X, Li Y, Wang Q, Bian R, Shen J, Hammerby E, Yang L. Improvements in quality of life associated with biphasic insulin aspart 30 in type 2 diabetes patients in China: results from the A1chieve(R) observational study. Health Qual Life Outcomes. 2014 Nov 26;12:137. doi: 10.1186/s12955-014-0137-9.
- Khamseh ME, Haddad J, Yang W, Zilov A, Bech OM, Hasan MI. Safety and effectiveness of biphasic insulin aspart 30 in different age-groups: a1chieve sub-analysis. Diabetes Ther. 2013 Dec;4(2):347-61. doi: 10.1007/s13300-013-0033-z. Epub 2013 Jul 17.
- Home PD, Shen C, Hasan MI, Latif ZA, Chen JW, Gonzalez Galvez G. Predictive and explanatory factors of change in HbA1c in a 24-week observational study of 66,726 people with type 2 diabetes starting insulin analogs. Diabetes Care. 2014;37(5):1237-45. doi: 10.2337/dc13-2413. Epub 2014 Mar 4.
- El-Naggar N, Almansari A, Khudada K, Salman S, Mariswamy N, Abdelfattah W, Hashim F. The A1 chieve study - an observational non-interventional study of patients with type 2 diabetes mellitus initiating or switched to insulin analogue therapy: subgroup analysis of the Gulf population. Int J Clin Pract. 2013 Feb;67(2):128-38. doi: 10.1111/ijcp.12078.
- El Naggar NK, Soewondo P, Khamseh ME, Chen JW, Haddad J. Switching from biphasic human insulin 30 to biphasic insulin aspart 30 in type 2 diabetes is associated with improved glycaemic control and a positive safety profile: results from the A(1)chieve study. Diabetes Res Clin Pract. 2012 Dec;98(3):408-13. doi: 10.1016/j.diabres.2012.09.043.
- Song SO, Hwang YC, Ahn KJ, Cha BS, Song YD, Lee DW, Lee BW. Clinical Characteristics of Patients Responding to Once-Daily Basal Insulin Therapy in Korean Subjects with Type 2 Diabetes. Diabetes Ther. 2015 Dec;6(4):547-558. doi: 10.1007/s13300-015-0140-0. Epub 2015 Oct 29.
- Gupta V, Baabbad R, Hammerby E, Nikolajsen A, Shafie AA. An analysis of the cost-effectiveness of switching from biphasic human insulin 30, insulin glargine, or neutral protamine Hagedorn to biphasic insulin aspart 30 in people with type 2 diabetes. J Med Econ. 2015 Apr;18(4):263-72. doi: 10.3111/13696998.2014.991791. Epub 2015 Jan 2.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
November 1, 2008
Primary Completion (Actual)
March 1, 2011
Study Completion (Actual)
March 1, 2011
Study Registration Dates
First Submitted
March 23, 2009
First Submitted That Met QC Criteria
March 25, 2009
First Posted (Estimate)
March 26, 2009
Study Record Updates
Last Update Posted (Estimate)
January 19, 2017
Last Update Submitted That Met QC Criteria
January 18, 2017
Last Verified
January 1, 2017
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 Detemir
- Biphasic Insulins
Other Study ID Numbers
- INS-3693
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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