Efficacy and Safety of Insulin Degludec/Insulin Aspart in Insulin-naïve Subjects With Type 2 Diabetes Using Two Dosing Regimens (BOOST™)
A Trial Comparing the Efficacy and Safety of Insulin Degludec/Insulin Aspart Once Daily in Insulin-naïve Subjects With Type 2 Diabetes Mellitus When Using Two Different Titration Algorithms (BOOST™: SIMPLE USE)
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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California
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Concord, California, Forenede Stater, 94520-1926
- Novo Nordisk Investigational Site
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Los Angeles, California, Forenede Stater, 90057
- Novo Nordisk Investigational Site
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Montclair, California, Forenede Stater, 91763
- Novo Nordisk Investigational Site
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Palm Springs, California, Forenede Stater, 92262
- Novo Nordisk Investigational Site
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Spring Valley, California, Forenede Stater, 91978
- Novo Nordisk Investigational Site
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Florida
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Jacksonville, Florida, Forenede Stater, 32258
- Novo Nordisk Investigational Site
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Jacksonville, Florida, Forenede Stater, 32209-6511
- Novo Nordisk Investigational Site
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Pembroke Pines, Florida, Forenede Stater, 33027
- Novo Nordisk Investigational Site
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Kentucky
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Crestview Hills, Kentucky, Forenede Stater, 41017-3464
- Novo Nordisk Investigational Site
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Madisonville, Kentucky, Forenede Stater, 42431
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Paducah, Kentucky, Forenede Stater, 42003
- Novo Nordisk Investigational Site
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Maryland
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Hyattsville, Maryland, Forenede Stater, 20782
- Novo Nordisk Investigational Site
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North East, Maryland, Forenede Stater, 21901
- Novo Nordisk Investigational Site
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Michigan
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Detroit, Michigan, Forenede Stater, 48235
- Novo Nordisk Investigational Site
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Troy, Michigan, Forenede Stater, 48085-5524
- Novo Nordisk Investigational Site
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Minnesota
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Eagan, Minnesota, Forenede Stater, 55123
- Novo Nordisk Investigational Site
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New York
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Smithtown, New York, Forenede Stater, 11787
- Novo Nordisk Investigational Site
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North Carolina
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Asheboro, North Carolina, Forenede Stater, 27203
- Novo Nordisk Investigational Site
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Texas
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Dallas, Texas, Forenede Stater, 75230
- Novo Nordisk Investigational Site
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Dallas, Texas, Forenede Stater, 75246
- Novo Nordisk Investigational Site
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Houston, Texas, Forenede Stater, 77070
- Novo Nordisk Investigational Site
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Lubbock, Texas, Forenede Stater, 79423
- Novo Nordisk Investigational Site
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Sugar Land, Texas, Forenede Stater, 77478
- Novo Nordisk Investigational Site
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Virginia
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Newport News, Virginia, Forenede Stater, 23606
- Novo Nordisk Investigational Site
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Wisconsin
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Milwaukee, Wisconsin, Forenede Stater, 53209
- Novo Nordisk Investigational Site
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Antalya, Kalkun, 07058
- Novo Nordisk Investigational Site
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Istanbul, Kalkun, 34096
- Novo Nordisk Investigational Site
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Istanbul, Kalkun, 34718
- Novo Nordisk Investigational Site
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Istanbul, Kalkun, 34890
- Novo Nordisk Investigational Site
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Seoul, Korea, Republikken, 08308
- Novo Nordisk Investigational Site
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Seoul, Korea, Republikken, 158-710
- Novo Nordisk Investigational Site
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Seoul, Korea, Republikken, 150-950
- Novo Nordisk Investigational Site
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Seoul, Korea, Republikken, 110-746
- Novo Nordisk Investigational Site
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Suwon, Korea, Republikken, 16247
- Novo Nordisk Investigational Site
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Johor Bahru, Malaysia, 80100
- Novo Nordisk Investigational Site
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Kota Bharu, Kelantan, Malaysia, 16150
- Novo Nordisk Investigational Site
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Selangor, Malaysia, 46150
- Novo Nordisk Investigational Site
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Monterrey, Mexico, 64460
- Novo Nordisk Investigational Site
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Jalisco
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Guadalajara, Jalisco, Mexico, 44650
- Novo Nordisk Investigational Site
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Bayamon, Puerto Rico, 00961
- Novo Nordisk Investigational Site
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Bangkok, Thailand, 10400
- Novo Nordisk Investigational Site
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Nakhon Ratchasima, Thailand, 30000
- Novo Nordisk Investigational Site
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Type 2 diabetes (diagnosed clinically) for 24 weeks or longer prior to randomisation (visit 2)
- Insulin naïve subjects (Allowed are: Previous short term insulin treatment no longer than or equal to 14 days in total; Treatment during hospitalisation or during gestational diabetes is allowed for periods longer than 14 days in total)
- Current treatment: Metformin alone or metformin in any combination of 1 or 2 additional OADs (oral anti-diabetic drug) including an insulin secretagogue (sulfonylurea or glinide), dipeptidyl peptidase IV (DPP-IV) inhibitors, alpha-glucosidase inhibitors or thiazolidinediones (TZDs) - all with unchanged dosing for at least 12 weeks prior to randomisation (visit 2). Metformin dose, alone or in combination (including fixed combination), must be at least 1000 mg daily
- HbA1c (glycosylated haemoglobin) 7.0-10.0% (both inclusive)
- BMI (Body Mass Index) below or equal to 45 kg/m^2
- Ability and willingness to adhere to the protocol including self measurement of plasma glucose
Exclusion Criteria:
- Treatment with GLP-1 (glucagon like peptide) receptor agonists within the last 12 weeks prior to randomisation (visit 2)
- Recurrent severe hypoglycaemia (more than one severe hypoglycaemic event during the last 12 months) or hypoglycaemic unawareness as judged by the Investigator (trial physician)
- Previous participation in this trial. Participation is defined as randomised. Re-screening is allowed once during the recruitment period
- Known or suspected hypersensitivity to trial products or related products
- The receipt of any investigational drug within 4 weeks prior to randomisation (visit 2)
- Anticipated significant lifestyle changes during the study, e.g. shift work (including permanent night/evening shift workers) as well as highly variable eating habits
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: IDegAsp Simple
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Insulin degludec/insulin aspart injected subcutaneously (under the skin) once daily.
Dose individually adjusted.
Andre navne:
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Eksperimentel: IDegAsp Step wise
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Insulin degludec/insulin aspart injected subcutaneously (under the skin) once daily.
Dose individually adjusted.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Change in Glycosylated Haemoglobin (HbA1c)
Tidsramme: 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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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Frekvens for behandlingsmæssige uønskede hændelser (AE'er)
Tidsramme: Uge 0 til uge 26 + 7 dages opfølgning
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Svarer til frekvensen af AE'er pr. 100 patientårs eksponering.
Sværhedsgrad vurderet af efterforsker.
Mild: ingen eller forbigående symptomer, ingen forstyrrelse af forsøgspersonens daglige aktiviteter.
Moderat: markante symptomer, moderat interferens med forsøgspersonens daglige aktiviteter.
Alvorlig: betydelig forstyrrelse af forsøgspersonens daglige aktiviteter, uacceptabel.
Alvorlig AE: AE, der ved enhver dosis resulterer i et af følgende: død, en livstruende oplevelse, indlæggelse hos patienten/forlængelse af eksisterende hospitalsindlæggelse, vedvarende/betydelig invaliditet/inhabilitet/medfødt anomali/fødselsdefekt.
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Uge 0 til uge 26 + 7 dages opfølgning
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Hyppighed af bekræftede hypoglykæmiske episoder
Tidsramme: Uge 0 til uge 26 + 7 dages opfølgning
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Hyppighed af bekræftede hypoglykæmiske episoder pr. 100 patientårs eksponering (PYE).
Bekræftede hypoglykæmiske episoder bestod af svær hypoglykæmi såvel som mindre hypoglykæmiske episoder.
Alvorlige hypoglykæmiske episoder blev defineret som krævende hjælp til at administrere kulhydrat, glukagon eller andre genoplivningshandlinger.
Mindre hypoglykæmiske episoder blev defineret som i stand til at behandle sig selv og plasmaglukose under 3,1 mmol/L.
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Uge 0 til uge 26 + 7 dages opfølgning
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Change in Fasting Plasma Glucose (FPG)
Tidsramme: Week 0, week 26
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Change from baseline in FPG after 26 weeks of treatment.
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Week 0, week 26
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Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Tidsramme: Week 0 to Week 26 + 7 days follow up
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Rate of nocturnal 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 were defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions.
Minor hypoglycaemic episodes were defined as able to treat her/himself and plasma glucose below 3.1 mmol/L.
Nocturnal hypoglycaemic episodes were defined as occurring 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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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
Generelle publikationer
- 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.
- Park SW, Bebakar WM, Hernandez PG, Macura S, Herslov ML, de la Rosa R. Insulin degludec/insulin aspart once daily in Type 2 diabetes: a comparison of simple or stepwise titration algorithms (BOOST(R) : SIMPLE USE). Diabet Med. 2017 Feb;34(2):174-179. doi: 10.1111/dme.13069. Epub 2016 Mar 6.
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- NN5401-3844
- U1111-1117-0558 (Anden identifikator: WHO)
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