A Trial Comparing Efficacy and Safety of Insulin Degludec and Insulin Glargine in Insulin naïve Subjects With Type 2 Diabetes (BEGIN™)
A Trial Comparing Efficacy and Safety of Insulin Degludec and Insulin Glargine in Insulin naïve Subjects With Type 2 Diabetes (BEGIN™: ONCE)
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 3
Kontakte und Standorte
Studienorte
-
-
-
Porto Alegre, Brasilien, 90035-170
- Novo Nordisk Investigational Site
-
São Paulo, Brasilien, 04022-002
- Novo Nordisk Investigational Site
-
-
Sao Paulo
-
São Paulo, Sao Paulo, Brasilien, 01244-030
- Novo Nordisk Investigational Site
-
-
-
-
Anhui
-
Hefei, Anhui, China, 230001
- Novo Nordisk Investigational Site
-
-
Beijing
-
Beijing, Beijing, China, 100029
- Novo Nordisk Investigational Site
-
Beijing, Beijing, China, 100730
- Novo Nordisk Investigational Site
-
Beijing, Beijing, China, 100853
- Novo Nordisk Investigational Site
-
Beijing, Beijing, China, 100700
- Novo Nordisk Investigational Site
-
Beijing, Beijing, China, 100039
- Novo Nordisk Investigational Site
-
Beijing, Beijing, China, 100191
- Novo Nordisk Investigational Site
-
-
Chongqing
-
ChongQing, Chongqing, China, 404000
- Novo Nordisk Investigational Site
-
Chongqing, Chongqing, China, 400010
- Novo Nordisk Investigational Site
-
Chongqing, Chongqing, China, 400016
- Novo Nordisk Investigational Site
-
-
Fujian
-
Fuzhou, Fujian, China, 350025
- Novo Nordisk Investigational Site
-
-
Guangdong
-
Guangzhou, Guangdong, China, 510120
- Novo Nordisk Investigational Site
-
-
Guangxi
-
Nanning, Guangxi, China, 530007
- Novo Nordisk Investigational Site
-
-
Guizhou
-
Guiyang, Guizhou, China, 550004
- Novo Nordisk Investigational Site
-
-
Hebei
-
Shijiazhuang, Hebei, China, 050051
- Novo Nordisk Investigational Site
-
Shijiazhuang, Hebei, China, 050082
- Novo Nordisk Investigational Site
-
-
Heilongjiang
-
Harbin, Heilongjiang, China, 150086
- Novo Nordisk Investigational Site
-
-
Hubei
-
Wuhan, Hubei, China, 430034
- Novo Nordisk Investigational Site
-
Wuhan, Hubei, China, 430030
- Novo Nordisk Investigational Site
-
-
Hunan
-
Yueyang, Hunan, China, 414000
- Novo Nordisk Investigational Site
-
-
Jiangsu
-
Yangzhou, Jiangsu, China, 225001
- Novo Nordisk Investigational Site
-
Zhenjiang, Jiangsu, China, 212001
- Novo Nordisk Investigational Site
-
-
Jiangxi
-
Nanchang, Jiangxi, China, 330006
- Novo Nordisk Investigational Site
-
-
Jilin
-
Changchun, Jilin, China, 130041
- Novo Nordisk Investigational Site
-
Siping, Jilin, China, 136000
- Novo Nordisk Investigational Site
-
-
Liaoning
-
Shenyang, Liaoning, China, 110021
- Novo Nordisk Investigational Site
-
Shenyang, Liaoning, China, 110004
- Novo Nordisk Investigational Site
-
-
Shaanxi
-
Xi'an, Shaanxi, China, 710032
- Novo Nordisk Investigational Site
-
-
Shanghai
-
Shanghai, Shanghai, China, 200040
- Novo Nordisk Investigational Site
-
Shanghai, Shanghai, China, 200072
- Novo Nordisk Investigational Site
-
-
Yunnan
-
Kunming, Yunnan, China, 650101
- Novo Nordisk Investigational Site
-
-
Zhejiang
-
Hangzhou, Zhejiang, China, 310003
- Novo Nordisk Investigational Site
-
Wenzhou, Zhejiang, China, 325000
- Novo Nordisk Investigational Site
-
-
-
-
-
Quebec, Kanada, G3K 2P8
- Novo Nordisk Investigational Site
-
-
Alberta
-
Calgary, Alberta, Kanada, T2N 4L7
- Novo Nordisk Investigational Site
-
-
British Columbia
-
Burnaby, British Columbia, Kanada, V5G 1T4
- Novo Nordisk Investigational Site
-
Surrey, British Columbia, Kanada, V3S 2N6
- Novo Nordisk Investigational Site
-
Victoria, British Columbia, Kanada, V8V 4A1
- Novo Nordisk Investigational Site
-
-
Ontario
-
Burlington, Ontario, Kanada, L7M 4Y1
- Novo Nordisk Investigational Site
-
London, Ontario, Kanada, N5W 6A2
- Novo Nordisk Investigational Site
-
London, Ontario, Kanada, N6P 1A9
- Novo Nordisk Investigational Site
-
Newmarket, Ontario, Kanada, L3Y 5G8
- Novo Nordisk Investigational Site
-
Sarnia, Ontario, Kanada, N7T 4X3
- Novo Nordisk Investigational Site
-
Strathroy, Ontario, Kanada, N7G 1Y7
- Novo Nordisk Investigational Site
-
-
Quebec
-
Trois Rivieres, Quebec, Kanada, G8T7A1
- Novo Nordisk Investigational Site
-
-
-
-
-
Bucharest, Rumänien, 020614
- Novo Nordisk Investigational Site
-
Buzau, Rumänien, 120203
- Novo Nordisk Investigational Site
-
Galati, Rumänien, 800578
- Novo Nordisk Investigational Site
-
Sibiu, Rumänien, 550176
- Novo Nordisk Investigational Site
-
-
Bihor
-
Oradea, Bihor, Rumänien, 410469
- Novo Nordisk Investigational Site
-
-
-
-
Eastern Cape
-
George, Eastern Cape, Südafrika, 6529
- Novo Nordisk Investigational Site
-
-
Gauteng
-
Johannesburg, Gauteng, Südafrika, 2193
- Novo Nordisk Investigational Site
-
Johannesburg, Gauteng, Südafrika, 1812
- Novo Nordisk Investigational Site
-
-
KwaZulu-Natal
-
Durban, KwaZulu-Natal, Südafrika, 4001
- Novo Nordisk Investigational Site
-
Durban, KwaZulu-Natal, Südafrika, 4091
- Novo Nordisk Investigational Site
-
-
-
-
-
Dnepropetrovsk, Ukraine, 49005
- Novo Nordisk Investigational Site
-
Dnepropetrovsk, Ukraine, 49038
- Novo Nordisk Investigational Site
-
Kiev, Ukraine, 04114
- Novo Nordisk Investigational Site
-
Mykolaiv, Ukraine, 54003
- Novo Nordisk Investigational Site
-
Vinnitsa, Ukraine, 21010
- Novo Nordisk Investigational Site
-
-
-
-
California
-
Anaheim, California, Vereinigte Staaten, 92801
- Novo Nordisk Investigational Site
-
Lomita, California, Vereinigte Staaten, 90717
- Novo Nordisk Investigational Site
-
Los Angeles, California, Vereinigte Staaten, 90057
- Novo Nordisk Investigational Site
-
-
Colorado
-
Golden, Colorado, Vereinigte Staaten, 80401
- Novo Nordisk Investigational Site
-
-
Florida
-
Clearwater, Florida, Vereinigte Staaten, 33765
- Novo Nordisk Investigational Site
-
-
Illinois
-
Chicago, Illinois, Vereinigte Staaten, 60607
- Novo Nordisk Investigational Site
-
-
Kentucky
-
Crestview Hills, Kentucky, Vereinigte Staaten, 41017-3464
- Novo Nordisk Investigational Site
-
-
Louisiana
-
Metairie, Louisiana, Vereinigte Staaten, 70002
- Novo Nordisk Investigational Site
-
-
Michigan
-
Troy, Michigan, Vereinigte Staaten, 48098
- Novo Nordisk Investigational Site
-
-
Missouri
-
Chesterfield, Missouri, Vereinigte Staaten, 63017
- Novo Nordisk Investigational Site
-
-
New Hampshire
-
Nashua, New Hampshire, Vereinigte Staaten, 03063
- Novo Nordisk Investigational Site
-
-
New Jersey
-
Toms River, New Jersey, Vereinigte Staaten, 08755-8050
- Novo Nordisk Investigational Site
-
-
New York
-
Smithtown, New York, Vereinigte Staaten, 11787
- Novo Nordisk Investigational Site
-
-
South Carolina
-
Simpsonville, South Carolina, Vereinigte Staaten, 29681
- Novo Nordisk Investigational Site
-
-
Tennessee
-
Jackson, Tennessee, Vereinigte Staaten, 38305
- Novo Nordisk Investigational Site
-
-
Texas
-
Dallas, Texas, Vereinigte Staaten, 75230
- Novo Nordisk Investigational Site
-
-
Virginia
-
Newport News, Virginia, Vereinigte Staaten, 23606
- Novo Nordisk Investigational Site
-
-
Wisconsin
-
Kenosha, Wisconsin, Vereinigte Staaten, 53142
- Novo Nordisk Investigational Site
-
-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Type 2 diabetes mellitus (diagnosed clinically) for at least 6 months
- Insulin naïve subjects (Allowed are: previous short term insulin treatment up to 14 days; treatment during hospitalisation or during gestational diabetes is allowed for periods longer than 14 days)
- Current treatment: metformin monotherapy or metformin in any combination with an insulin secretagogue (sulfonylurea or glinide), dipeptidyl peptidase IV (DPP-IV) inhibitor, alfa-glucosidase-inhibitors (acarbose) with unchanged dosing for at least 3 months prior to randomisation (Visit 2) with the minimum doses stated: metformin: alone or in combination (including fixed combination) 1500 mg daily, or maximum tolerated dose (at least 1000 mg daily), insulin secretagogue (sulfonylurea or glinide): minimum half of the daily maximal dose according to local labelling, DPP-IV inhibitor: minimum 100 mg daily or according to local labelling, alfa-glucosidase-inhibitors (acarbose): minimum half of the daily maximal dose or maximum tolerated dose
- HbA1c (glycosylated haemoglobin) 7.0-10.0% (both inclusive) by central laboratory analysis
- BMI (Body Mass Index) below or equal to 40.0 kg/m^2
Exclusion Criteria:
- Treatment with TZDs (thiazoledinedione), or GLP-1 (glucagon-like peptide 1) receptor agonists within the last 3 months prior to Visit 1 (screening)
- Anticipated change in concomitant medication known to interfere significantly with glucose metabolism, such as systemic corticosteroids, beta-blockers, MAO (monoamine oxidase) inhibitors
- Cardiovascular disease within the last 6 months prior to Visit 1 (screening) defined as stroke; decompensated heart failure NYHA (New York Heart Association) class III or IV; myocardial infarction; unstable angina pectoris; or coronary arterial bypass graft or angioplasty
- Any clinically significant disease or disorder, except for conditions associated with type 2 diabetes mellitus, which in the Investigator's opinion could interfere with the results of the trial
- Previous participation in this trial. Participation is defined as randomised. Re-screening of screening failures is allowed only once within the limits of the recruitment period
- Known or suspected hypersensitivity to trial product(s) or related products
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: Insulin Degludec
|
Administered subcutaneously (under the skin), dose individually adjusted, once daily in combination with metformin at the unchanged, stable, pre-randomisation dose level and dosing frequency.
Andere Namen:
|
|
Experimental: Insulin Glargine
|
Administered subcutaneously (under the skin), dose individually adjusted, once daily in combination with metformin at the unchanged, stable, pre-randomisation dose level and dosing frequency.
|
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Change From Baseline in HbA1c (%) (Analysed by Central Laboratory)
Zeitfenster: Week 0, week 26
|
Change from baseline in HbA1c (%) after 26 weeks of treatment.
|
Week 0, week 26
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Number of Severe and Minor Treatment Emergent Hypoglycaemic Episodes
Zeitfenster: On or after the first day of exposure to randomised trial drug (week 0) and no later than 7 days after last exposure to randomised trial drug (week 27)
|
Confirmed hypoglycaemic episodes consisted of episodes of severe hypoglycaemia as well as minor hypoglycaemic episodes with a confirmed PG value of less than 3.1 mmol/L (56 mg/dL).Minor hypoglycaemic episode is defined as an episode with symptoms consistent with hypoglycaemia with confirmation by full blood glucose < 2.8 mmol/L (50 mg/dL), or PG < 3.1 mmol/L (56 mg/dL) and which is handled by the subject himself/herself or any asymptomatic full blood glucose value < 2.8 mmol/L (50 mg/dL) or PG value < 3.1 mmol/L (56 mg/dL).
|
On or after the first day of exposure to randomised trial drug (week 0) and no later than 7 days after last exposure to randomised trial drug (week 27)
|
|
Change From Baseline in FPG (Fasting Plasma Glucose) (Analysed by Central Laboratory)
Zeitfenster: Week 0, week 26
|
Change from baseline in FPG after 26 weeks of treatment.
|
Week 0, week 26
|
|
Within-subject Variability as Measured by Coefficient of Variation (CV%) in Pre-breakfast SMPG (Self-measured Plasma Glucose)
Zeitfenster: Week 26
|
Within subject Coefficient of variation(CV[%]) in pre-breakfast self measured plasma glucose for dose adjustment after 26 treatment weeks are displayed below.
|
Week 26
|
|
Responder for HbA1c (Below 7.0%) at End of Trial Without Severe and Minor Hypoglycaemic Episodes
Zeitfenster: Week 26
|
A responder for HbA1c without severe or confirmed hypoglycaemia is defined as a subject, who meets the HbA1c target at end of trial without treatment emergent severe or confirmed hypoglycaemia during the last 12 weeks of treatment or within 7 days from last treatment.
|
Week 26
|
|
Number of Treatment Emergent AEs (Adverse Events)
Zeitfenster: On or after the first day of exposure to randomised trial drug (week 0) and no later than seven days after last exposure to randomised trial drug (week 27)
|
Treatment emergent events (after first trial product administration and no later than 7 days after last trial product administration)
|
On or after the first day of exposure to randomised trial drug (week 0) and no later than seven days after last exposure to randomised trial drug (week 27)
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- Pan C, Gross JL, Yang W, Lv X, Sun L, Hansen CT, Xu H, Wagner R. A Multinational, Randomized, Open-label, Treat-to-Target Trial Comparing Insulin Degludec and Insulin Glargine in Insulin-Naive Patients with Type 2 Diabetes Mellitus. Drugs R D. 2016 Jun;16(2):239-49. doi: 10.1007/s40268-016-0134-z.
- Mu YM, Guo LX, Li L, Li YM, Xu XJ, Li QM, Xu MT, Zhu LY, Yuan GY, Liu Y, Xu C, Wang ZJ, Shen FX, Luo Y, Liu JY, Li QF, Wang WH, Lai XY, Xu HF, Pan CY. [The efficacy and safety of insulin degludec versus insulin glargine in insulin-naive subjects with type 2 diabetes: results of a Chinese cohort from a multinational randomized controlled trial]. Zhonghua Nei Ke Za Zhi. 2017 Sep 1;56(9):660-666. doi: 10.3760/cma.j.issn.0578-1426.2017.09.008. Chinese.
Nützliche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- NN1250-3587
- U1111-1121-5325 (Andere Kennung: WHO)
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .