- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02392117
Investigating the Safety and Effectiveness of Insulin Degludec in a Real World Population With Type 1 and 2 Diabetes Mellitus (ReFLeCT)
September 30, 2019 updated by: Novo Nordisk A/S
A Multi-centre, Prospective, Non-interventional Study of Insulin Degludec Investigating the Safety and Effectiveness in a Real World Population With Type 1 and 2 Diabetes Mellitus
This study is conducted in Europe.
The aim of this non-interventional study is to investigate the safety and effectiveness of insulin degludec (Tresiba®) in a real world population with type 1 (T1DM) and 2 (T2DM) diabetes mellitus.
Study Overview
Status
Completed
Intervention / Treatment
Study Type
Observational
Enrollment (Actual)
1262
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
-
-
-
Århus, Denmark, 8200
- Novo Nordisk Investigational Site
-
-
-
-
-
München, Germany, 81925
- Novo Nordisk Investigational Site
-
-
-
-
-
Padova, Italy, 35122
- Novo Nordisk Investigational Site
-
-
-
-
-
Utrecht, Netherlands, 3508 GA
- Novo Nordisk Investigational Site
-
-
-
-
-
Palma de Mallorca, Spain, 07015
- Novo Nordisk Investigational Site
-
-
-
-
-
Karlstad, Sweden, 651 85
- Novo Nordisk Investigational Site
-
-
-
-
-
Zürich, Switzerland, 8091
- Novo Nordisk Investigational Site
-
-
-
-
-
London, United Kingdom, SW10 9NH
- Novo Nordisk Investigational Site
-
-
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
Sampling Method
Non-Probability Sample
Study Population
Male or female patients aged at least 18 years of age with either T1DM or T2DM (insulin using) (clinically diagnosed) prior to visit 1, who signed an informed consent form, and whose physician plans to start Tresiba® treatment are eligible for entry in this study.
Description
Inclusion Criteria:
- Informed consent obtained before any study-related activities (Study-related activities are any procedure related to recording of data according to the protocol)
- Male or female patients at least 18 years of age at time of informed consent
- T1DM (diagnosed clinically) prior to inclusion in the study, and/or T2DM, insulin using patients (diagnosed clinically) prior to inclusion in the study
- Planned initiation with Tresiba®
Exclusion Criteria:
- Known or suspected hypersensitivity to Tresiba® or any of the excipients listed in Section 6.1 of the SmPC (Summary of Product Characteristics) or related products
- Previous participation in this study (i.e. provision of informed consent)
- Patients who have previously been treated with Tresiba®
- Mental incapacity, unwillingness or language barriers precluding adequate understanding or cooperation
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 |
|---|---|
|
Insulin degludec
|
Tresiba® will be prescribed by the physician under normal clinical practice conditions and will be obtained/ purchased from the chemist based on physician prescription.
No treatment given.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change in the number of any hypoglycaemic episodes
Time Frame: End of 4 week baseline period, end of 12 month observation period
|
End of 4 week baseline period, end of 12 month observation period
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change from baseline in HbA1c (glycosylated haemoglobin)
Time Frame: 0- 12 months
|
0- 12 months
|
|
Change from baseline in FPG (Fasting Plasma Glucose)
Time Frame: 0-12 months
|
0-12 months
|
|
Change from the baseline period in the number of severe hypoglycaemic episodes
Time Frame: 0-12 months
|
0-12 months
|
|
Change from baseline in HR-QoL (health-related quality of life) questionnaire scores (PROs (patient reported outcome): SF-36 (short form 36), and DTSQ(Diabetes Treatment Satisfaction Questionnaire ))
Time Frame: 0-12 months
|
0-12 months
|
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
- Fadini GP, Feher M, Hansen TK, de Valk HW, Koefoed MM, Wolden M, Zimmermann E, Jendle J. Switching to Degludec From Other Basal Insulins Is Associated With Reduced Hypoglycemia Rates: A Prospective Study. J Clin Endocrinol Metab. 2019 Dec 1;104(12):5977-5990. doi: 10.1210/jc.2019-01021.
- Fadini GP, Giordano C, Salvi L, Nicolucci A; REFLECT Italian Study Group. Reduced Rates of Hypoglycemia in Type 1 or Type 2 Diabetes After Switching to Insulin Degludec: Results from the Italian Cohort of the ReFLeCT Study. Diabetes Ther. 2020 Dec;11(12):2909-2920. doi: 10.1007/s13300-020-00936-5. Epub 2020 Oct 3.
- de Valk HW, Feher M, Hansen TK, Jendle J, Koefoed MM, Rizi EP, Zimmermann E, Fadini GP. Switching to Degludec is Associated with Reduced Hypoglycaemia, Irrespective of Definition Used or Patient Characteristics: Secondary Analysis of the ReFLeCT Prospective, Observational Study. Diabetes Ther. 2020 Sep;11(9):2159-2167. doi: 10.1007/s13300-020-00875-1. Epub 2020 Jul 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)
March 16, 2015
Primary Completion (Actual)
March 19, 2018
Study Completion (Actual)
March 19, 2018
Study Registration Dates
First Submitted
March 12, 2015
First Submitted That Met QC Criteria
March 12, 2015
First Posted (Estimate)
March 18, 2015
Study Record Updates
Last Update Posted (Actual)
October 2, 2019
Last Update Submitted That Met QC Criteria
September 30, 2019
Last Verified
September 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NN1250-4189
- U1111-1158-0248 (Other Identifier: WHO)
- ENCEPP/SDPP/7880 (Other Identifier: EU PAS)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Yes
IPD Plan Description
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
Yes
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.