- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01059812
A Pan Asian Trial Comparing Efficacy and Safety of NN5401 and Biphasic Insulin Aspart 30 in Type 2 Diabetes (BOOST™)
November 30, 2018 updated by: Novo Nordisk A/S
A Pan Asian Trial Comparing Efficacy and Safety of NN5401 and Biphasic Insulin Aspart 30 in Type 2 Diabetes (BOOST™: INTENSIFY ALL)
This trial is conducted in Asia.
The aim of this clinical trial is to compare NN5401 (insulin degludec/insulin aspart (IDegAsp)) with biphasic insulin aspart (BIAsp) 30 in patients with type 2 diabetes not optimally controlled on once or twice daily insulin with or without metformin.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
424
Phase
- Phase 3
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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Shatin, New Territories, Hong Kong
- Novo Nordisk Investigational Site
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Chuo-ku,, Japan, 104 0061
- Novo Nordisk Investigational Site
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Imizu-shi, Japan, 939 0363
- Novo Nordisk Investigational Site
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Kamakura-shi, Japan, 247 0056
- Novo Nordisk Investigational Site
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Kashiwara-shi, Osaka, Japan, 582-0005
- Novo Nordisk Investigational Site
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Koriyama-shi, Fukushima, Japan, 963-8851
- Novo Nordisk Investigational Site
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Kumamoto-shi, Kumamoto, Japan, 862-0976
- Novo Nordisk Investigational Site
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Matsumoto-shi, Japan, 390 8510
- Novo Nordisk Investigational Site
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Naha-shi,, Japan, 900 0032
- Novo Nordisk Investigational Site
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Naka-shi, Ibaraki, Japan, 311-0113
- Novo Nordisk Investigational Site
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Oita-shi, Japan, 870 0039
- Novo Nordisk Investigational Site
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Oyama-shi, Tochigi, Japan, 323-0022
- Novo Nordisk Investigational Site
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Sapporo-shi, Hokkaido, Japan, 060-0062
- Novo Nordisk Investigational Site
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Sapporo-shi, Hokkaido, Japan, 062-0007
- Novo Nordisk Investigational Site
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Takatsuki-shi, Osaka, Japan, 569-1096
- Novo Nordisk Investigational Site
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Urasoe-shi,, Japan, 901 2104
- Novo Nordisk Investigational Site
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Yokohama-shi, Kanagawa, Japan, 235-0045
- Novo Nordisk Investigational Site
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Ansan, Korea, Republic of, 152-703
- Novo Nordisk Investigational Site
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Daegu, Korea, Republic of, 705-717
- Novo Nordisk Investigational Site
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Daegu, Korea, Republic of, 705-718
- Novo Nordisk Investigational Site
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Guri, Korea, Republic of, 471-101
- Novo Nordisk Investigational Site
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Gyeonggi, Korea, Republic of, 480-717
- Novo Nordisk Investigational Site
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Incheon, Korea, Republic of, 400-103
- Novo Nordisk Investigational Site
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Incheon, Korea, Republic of, 405-760
- Novo Nordisk Investigational Site
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Jeollanamdo, Korea, Republic of, 501-717
- Novo Nordisk Investigational Site
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Pusan, Korea, Republic of, 602-739
- Novo Nordisk Investigational Site
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Seongnam-si, Korea, Republic of, 463-707
- Novo Nordisk Investigational Site
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Seoul, Korea, Republic of, 02841
- Novo Nordisk Investigational Site
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Seoul, Korea, Republic of, 02447
- Novo Nordisk Investigational Site
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Seoul, Korea, Republic of, 120-752
- Novo Nordisk Investigational Site
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Seoul, Korea, Republic of, 134-701
- Novo Nordisk Investigational Site
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Suwon, Korea, Republic of, 16499
- Novo Nordisk Investigational Site
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Wonju, Korea, Republic of, 220-701
- Novo Nordisk Investigational Site
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Cheras, Malaysia, 56000
- Novo Nordisk Investigational Site
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Georgetown, Penang, Malaysia, 10450
- Novo Nordisk Investigational Site
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Johor Bahru, Malaysia, 80100
- Novo Nordisk Investigational Site
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Klang, Selangor, Malaysia, 41200
- Novo Nordisk Investigational Site
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Kota Bharu, Kelantan, Malaysia, 16150
- Novo Nordisk Investigational Site
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Kota Kinabalu, Malaysia, 88586
- Novo Nordisk Investigational Site
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Putrajaya, Malaysia, 62250
- Novo Nordisk Investigational Site
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Seremban, Malaysia, 70300
- Novo Nordisk Investigational Site
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Kaohsiung City, Taiwan, 833
- Novo Nordisk Investigational Site
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Taichung, Taiwan, 404
- Novo Nordisk Investigational Site
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Tainan city, Taiwan, 710
- Novo Nordisk Investigational Site
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Taipei, Taiwan, 100
- Novo Nordisk Investigational Site
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Taipei, Taiwan, 112
- 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
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Male or female at least 18 years of age (at least 20 years for Japan)
- Type 2 diabetes mellitus (diagnosed clinically) for at least 6 months
- Subject on basal human or analogue insulin, once daily (OD) or twice daily (BID) with or without metformin for at least 3 months or subject on premixed human or analogue insulin or self-mixed insulin regimen, containing 20-40% fast/rapid-acting component, OD or BID, with or without metformin, for at least 3 months
- HbA1c 7.0-10.0 % (both inclusive) by central laboratory analysis
- Body mass index (BMI) maximum 35.0 kg/m^2
Exclusion Criteria:
- Treatment with oral antidiabetic drugs (OADs) (except metformin) within the last 8 weeks prior to Visit 1
- Treatment with thiazolidinediones (TZDs) or glucagon like peptide 1 (GLP-1) receptor agonists within 3 months prior to Visit 1
- Cardiovascular disease, within the last 6 months prior to Visit 1, defined as: stroke; decompensated heart failure New York Heart Association (NYHA) class III or IV; myocardial infarction; unstable angina pectoris; or coronary arterial bypass graft or angioplasty
- Uncontrolled treated/untreated severe hypertension (systolic blood pressure at least 180 millimetre (mm) mercury (Hg) and/or diastolic blood pressure at least 100 mmHg)
- Pregnancy, breast-feeding, the intention of becoming pregnant or not using adequate contraceptive measures according to local requirements
- Cancer and medical history of cancer (except basal cell skin cancer or squamous cell skin cancer)
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
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: IDegAsp BID
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Injected subcutaneously twice daily.
Dose was individually adjusted.
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Active Comparator: BIAsp 30 BID
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Injected subcutaneously twice daily.
Dose was individually adjusted.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Change in HbA1c (Glycosylated Haemoglobin) 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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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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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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Rate of Confirmed Hypoglycaemic Episodes
Time Frame: Week 0 to Week 26 + 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.
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Week 0 to Week 26 + 7 days follow up
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Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Time Frame: Week 0 to Week 26 + 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 occuring between 00:01 and 05:59 a.m.
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Week 0 to Week 26 + 7 days follow up
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Change in Body Weight
Time Frame: Week 0, Week 26
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Change from baseline in body weight after 26 weeks of treatment.
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Week 0, Week 26
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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
- 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.
- Christiansen JS, Niskanen L, Rasmussen S, Johansen T, Fulcher G. Lower rates of hypoglycemia during maintenance treatment with insulin degludec/insulin aspart versus biphasic insulin aspart 30: a combined analysis of two Phase 3a studies in type 2 diabetes. J Diabetes. 2016 Sep;8(5):720-8. doi: 10.1111/1753-0407.12355. Epub 2016 Mar 6.
- Haluzik M, Fulcher G, Pieber TR, Bardtrum L, Tutkunkardas D, Rodbard HW. The co-formulation of insulin degludec and insulin aspart lowers fasting plasma glucose and rates of confirmed and nocturnal hypoglycaemia, independent of baseline glycated haemoglobin levels, disease duration or body mass index: A pooled meta-analysis of phase III studies in patients with type 2 diabetes. Diabetes Obes Metab. 2018 Jul;20(7):1585-1592. doi: 10.1111/dom.13261. Epub 2018 Mar 25.
- Evans M, Gundgaard J, Hansen BB. Cost-Effectiveness of Insulin Degludec/Insulin Aspart Versus Biphasic Insulin Aspart in Patients with Type 2 Diabetes from a Danish Health-Care Perspective. Diabetes Ther. 2016 Dec;7(4):809-823. doi: 10.1007/s13300-016-0195-6. Epub 2016 Aug 23.
- Taneda S, Hyllested-Winge J, Gall MA, Kaneko S, Hirao K. Insulin degludec/insulin aspart versus biphasic insulin aspart 30 twice daily in insulin-experienced Japanese subjects with uncontrolled type 2 diabetes: Subgroup analysis of a Pan-Asian, treat-to-target Phase 3 Trial. J Diabetes. 2017 Mar;9(3):243-247. doi: 10.1111/1753-0407.12407. Epub 2016 Jul 7.
- Fulcher G, Mehta R, Fita EG, Ekelund M, Bain SC. Efficacy and Safety of IDegAsp Versus BIAsp 30, Both Twice Daily, in Elderly Patients with Type 2 Diabetes: Post Hoc Analysis of Two Phase 3 Randomized Controlled BOOST Trials. Diabetes Ther. 2019 Feb;10(1):107-118. doi: 10.1007/s13300-018-0531-0. Epub 2018 Nov 24.
- Kaneko S, Chow F, Choi DS, Taneda S, Hirao K, Park Y, Andersen TH, Gall MA, Christiansen JS; BOOST: Intensify All Trial Investigators. Insulin degludec/insulin aspart versus biphasic insulin aspart 30 in Asian patients with type 2 diabetes inadequately controlled on basal or pre-/self-mixed insulin: a 26-week, randomised, treat-to-target trial. Diabetes Res Clin Pract. 2015 Jan;107(1):139-47. doi: 10.1016/j.diabres.2014.09.026. Epub 2014 Oct 14.
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 (Actual)
February 1, 2010
Primary Completion (Actual)
December 23, 2010
Study Completion (Actual)
December 23, 2010
Study Registration Dates
First Submitted
January 29, 2010
First Submitted That Met QC Criteria
January 29, 2010
First Posted (Estimate)
February 1, 2010
Study Record Updates
Last Update Posted (Actual)
December 20, 2018
Last Update Submitted That Met QC Criteria
November 30, 2018
Last Verified
November 1, 2018
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
- Biphasic Insulins
- Insulin aspart, insulin aspart protamine drug combination 30:70
Other Study ID Numbers
- NN5401-3597
- U1111-1111-7210 (Other Identifier: WHO)
- 101040 (Registry Identifier: JAPIC)
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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