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A Trial Comparing the Efficacy, Patient-reported Outcomes and Safety of Insulin Degludec 200 U/mL vs Insulin Glargine in Subjects With Type 2 Diabetes Mellitus Requiring High-dose Insulin

24. januar 2017 oppdatert av: Novo Nordisk A/S
This trial is conducted in the United States of America (USA). The aim of the trial is to confirm the efficacy of IDeg (insulin degludec) versus IGlar (insulin glargine) in controlling glycaemia. Subjects are to continue their pre-trial metformin treatment.

Studieoversikt

Studietype

Intervensjonell

Registrering (Faktiske)

145

Fase

  • Fase 3

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Arizona
      • Mesa, Arizona, Forente stater, 85206
        • Novo Nordisk Investigational Site
    • California
      • Fresno, California, Forente stater, 93720
        • Novo Nordisk Investigational Site
      • Greenbrae, California, Forente stater, 94904
        • Novo Nordisk Investigational Site
      • San Ramon, California, Forente stater, 94583
        • Novo Nordisk Investigational Site
    • Florida
      • Bradenton, Florida, Forente stater, 34201
        • Novo Nordisk Investigational Site
      • Hialeah, Florida, Forente stater, 33012
        • Novo Nordisk Investigational Site
      • Homestead, Florida, Forente stater, 33030
        • Novo Nordisk Investigational Site
      • Jacksonville, Florida, Forente stater, 32207
        • Novo Nordisk Investigational Site
      • Kissimmee, Florida, Forente stater, 34741
        • Novo Nordisk Investigational Site
      • Miami, Florida, Forente stater, 33156
        • Novo Nordisk Investigational Site
      • Miami, Florida, Forente stater, 33155
        • Novo Nordisk Investigational Site
      • Miami Lakes, Florida, Forente stater, 33016
        • Novo Nordisk Investigational Site
      • St. Petersburg, Florida, Forente stater, 33709
        • Novo Nordisk Investigational Site
    • Georgia
      • Roswell, Georgia, Forente stater, 30076
        • Novo Nordisk Investigational Site
    • Illinois
      • Avon, Illinois, Forente stater, 46123
        • Novo Nordisk Investigational Site
      • Chicago, Illinois, Forente stater, 60611
        • Novo Nordisk Investigational Site
    • Kentucky
      • Lexington, Kentucky, Forente stater, 40502
        • Novo Nordisk Investigational Site
      • Madisonville, Kentucky, Forente stater, 42431
        • Novo Nordisk Investigational Site
    • Louisiana
      • Metairie, Louisiana, Forente stater, 70002
        • Novo Nordisk Investigational Site
      • Slidell, Louisiana, Forente stater, 70461-4231
        • Novo Nordisk Investigational Site
    • Maryland
      • Rockville, Maryland, Forente stater, 20852
        • Novo Nordisk Investigational Site
    • Massachusetts
      • Worcester, Massachusetts, Forente stater, 01655
        • Novo Nordisk Investigational Site
    • Michigan
      • Southfield, Michigan, Forente stater, 48034-7661
        • Novo Nordisk Investigational Site
    • Missouri
      • Jefferson City, Missouri, Forente stater, 65109
        • Novo Nordisk Investigational Site
    • Nevada
      • Las Vegas, Nevada, Forente stater, 89106
        • Novo Nordisk Investigational Site
    • New Jersey
      • Lawrenceville, New Jersey, Forente stater, 08648
        • Novo Nordisk Investigational Site
    • New York
      • Albany, New York, Forente stater, 12206
        • Novo Nordisk Investigational Site
      • Northport, New York, Forente stater, 11768
        • Novo Nordisk Investigational Site
      • Staten Island, New York, Forente stater, 10301
        • Novo Nordisk Investigational Site
    • North Carolina
      • Greenville, North Carolina, Forente stater, 27834
        • Novo Nordisk Investigational Site
    • Ohio
      • Franklin, Ohio, Forente stater, 45005
        • Novo Nordisk Investigational Site
      • Kettering, Ohio, Forente stater, 45429
        • Novo Nordisk Investigational Site
    • Pennsylvania
      • Philadelphia, Pennsylvania, Forente stater, 19107
        • Novo Nordisk Investigational Site
    • Tennessee
      • Chattanooga, Tennessee, Forente stater, 37411
        • Novo Nordisk Investigational Site
      • Kingsport, Tennessee, Forente stater, 37660
        • Novo Nordisk Investigational Site
      • Nashville, Tennessee, Forente stater, 37212
        • Novo Nordisk Investigational Site
    • Texas
      • Dallas, Texas, Forente stater, 75230
        • Novo Nordisk Investigational Site
      • Dallas, Texas, Forente stater, 75246
        • Novo Nordisk Investigational Site
      • Dallas, Texas, Forente stater, 75218
        • Novo Nordisk Investigational Site
      • Kingsville, Texas, Forente stater, 78363-6322
        • Novo Nordisk Investigational Site
      • San Antonio, Texas, Forente stater, 78207
        • Novo Nordisk Investigational Site
      • Schertz, Texas, Forente stater, 78154
        • Novo Nordisk Investigational Site
      • Sugar Land, Texas, Forente stater, 77478
        • Novo Nordisk Investigational Site
    • Washington
      • Tacoma, Washington, Forente stater, 98405
        • Novo Nordisk Investigational Site
    • Wisconsin
      • Milwaukee, Wisconsin, Forente stater, 53209
        • Novo Nordisk Investigational Site
      • Manati, Puerto Rico, 00674
        • Novo Nordisk Investigational Site

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • Type 2 diabetes
  • Current treatment with once daily insulin glargine in vials with a daily dose equal to or above 65 U and equal to or below 100 U
  • Current treatment with a stable dose of metformin plus/minus one additional oral antidiabetic drug (OAD) for at least 12 weeks
  • Glycosylated haemoglobin (HbA1c) equal to or above 7.5%

Exclusion Criteria:

  • Current treatment with insulin other than insulin glargine in vials
  • Treatment with thiazolidinediones or glucagon-like peptide-1 (GLP-1) receptor agonists within 12 weeks
  • Stroke; heart failure; myocardial infarction; unstable angina pectoris; coronary arterial bypass graft or angioplasty
  • Suffer from cancer (except basal cell skin cancer and squamous-cell cancer)

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Crossover-oppdrag
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: IDeg etterfulgt av IGlar
Cross-over trial, part 1: Individually adjusted IDeg administered subcutaneously (s.c., under the skin) once daily for 16 weeks in each treatment period.
Cross-over trial, part 2: Individually adjusted IGlar administered subcutaneously (s.c., under the skin) once daily for the 16 week run-in period followed by 16 weeks in each treatment period.
Eksperimentell: IGlar etterfulgt av IDeg
Cross-over trial, part 1: Individually adjusted IDeg administered subcutaneously (s.c., under the skin) once daily for 16 weeks in each treatment period.
Cross-over trial, part 2: Individually adjusted IGlar administered subcutaneously (s.c., under the skin) once daily for the 16 week run-in period followed by 16 weeks in each treatment period.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change From Baseline (Visit 18) in Glycosylated Haemoglobin (HbA1c) at the End of Each 16 Week Treatment Period
Tidsramme: Week 0, week 16 of each treatment period.
Values for change in HbA1c after each 16 weeks of treatment periods A and B.
Week 0, week 16 of each treatment period.

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change in Patient Reported Outcome (PRO) Scores From Baseline to the End of Each 16 Week Treatment Period
Tidsramme: Week 0, week 16 of each treatment period.
Changes in subjects quality of life and insulin device satisfaction were evaluated using the following PROs: the Short-Form 36 Health Survey version 2 (SF-36) and the Treatment Related Impact Measure-Diabetes Device (TRIM-DD). PRO total scores were measured from baseline to the end of each 16-week treatment period. Responses were measured on a scale of 0 to 100, where higher scores indicated a better quality of life and higher insulin device satisfaction on the SF-36 and TRIM-DD questionnaires, respectively.
Week 0, week 16 of each treatment period.
Change in PRO Scores From the End of Treatment Period A Until After 4 Weeks of Treatment in Treatment Period B
Tidsramme: Week 16, week 20
SF-36 and TRIM-DD total scores were measured at the end of treatment A (week 16) and 4 weeks into treatment B (week 20). Responses were measured on a scale of 0 to 100, where higher scores indicated a better quality of life and higher insulin device satisfaction on the SF-36 and TRIM-DD questionnaires, respectively.
Week 16, week 20
Change From Baseline in Central Laboratory Measured Fasting Plasma Glucose (FPG) at the End of Each 16 Week Treatment Period
Tidsramme: Week 0, week 16, week 32
Values of FPG in mmol/L from baseline to each 16 weeks of treatment periods.
Week 0, week 16, week 32
Change in FPG From the End of Treatment Period A Until After 4 Weeks of Treatment in Treatment Period B
Tidsramme: Week 16, week 20
Values of FPG in mmol/L from the end of treatment period A until after 4 weeks of treatment in treatment period B.
Week 16, week 20
Number of Adverse Events (AEs)
Tidsramme: From baseline to the end of each 16 week treatment period.
Number of treatment emergent adverse events (TEAEs) from week 0 to week 16 of the randomised treatment periods. A TEAE was defined as an event that had onset date on or after the first day of exposure to randomised treatment and no later than 7 days after the last day of randomised treatment. TEAEs were attributed to the treatment given in the period in which the event occurred.
From baseline to the end of each 16 week treatment period.

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. april 2012

Primær fullføring (Faktiske)

1. januar 2014

Studiet fullført (Faktiske)

1. januar 2014

Datoer for studieregistrering

Først innsendt

2. april 2012

Først innsendt som oppfylte QC-kriteriene

2. april 2012

Først lagt ut (Anslag)

4. april 2012

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

7. mars 2017

Siste oppdatering sendt inn som oppfylte QC-kriteriene

24. januar 2017

Sist bekreftet

1. januar 2017

Mer informasjon

Begreper knyttet til denne studien

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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