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)
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Typ studiów
Typ studiów
Zapisy (Rzeczywisty)
Zapisy
Faza
Faza
- Faza 3
Kontakty i lokalizacje
Lokalizacje studiów
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Eastern Cape
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George, Eastern Cape, Afryka Południowa, 6529
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Gauteng
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Johannesburg, Gauteng, Afryka Południowa, 2193
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Johannesburg, Gauteng, Afryka Południowa, 1812
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KwaZulu-Natal
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Durban, KwaZulu-Natal, Afryka Południowa, 4001
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Durban, KwaZulu-Natal, Afryka Południowa, 4091
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Porto Alegre, Brazylia, 90035-170
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São Paulo, Brazylia, 04022-002
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Sao Paulo
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São Paulo, Sao Paulo, Brazylia, 01244-030
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Anhui
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Hefei, Anhui, Chiny, 230001
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Beijing
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Beijing, Beijing, Chiny, 100029
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Beijing, Beijing, Chiny, 100730
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Beijing, Beijing, Chiny, 100853
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Beijing, Beijing, Chiny, 100700
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Beijing, Beijing, Chiny, 100039
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Beijing, Beijing, Chiny, 100191
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Chongqing
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ChongQing, Chongqing, Chiny, 404000
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Chongqing, Chongqing, Chiny, 400010
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Chongqing, Chongqing, Chiny, 400016
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Fujian
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Fuzhou, Fujian, Chiny, 350025
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Guangdong
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Guangzhou, Guangdong, Chiny, 510120
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Guangxi
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Nanning, Guangxi, Chiny, 530007
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Guizhou
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Guiyang, Guizhou, Chiny, 550004
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Hebei
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Shijiazhuang, Hebei, Chiny, 050051
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Shijiazhuang, Hebei, Chiny, 050082
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Heilongjiang
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Harbin, Heilongjiang, Chiny, 150086
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Hubei
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Wuhan, Hubei, Chiny, 430034
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Wuhan, Hubei, Chiny, 430030
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Hunan
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Yueyang, Hunan, Chiny, 414000
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Jiangsu
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Yangzhou, Jiangsu, Chiny, 225001
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Zhenjiang, Jiangsu, Chiny, 212001
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Jiangxi
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Nanchang, Jiangxi, Chiny, 330006
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Jilin
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Changchun, Jilin, Chiny, 130041
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Siping, Jilin, Chiny, 136000
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Liaoning
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Shenyang, Liaoning, Chiny, 110021
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Shenyang, Liaoning, Chiny, 110004
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Shaanxi
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Xi'an, Shaanxi, Chiny, 710032
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Shanghai
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Shanghai, Shanghai, Chiny, 200040
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Shanghai, Shanghai, Chiny, 200072
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Yunnan
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Kunming, Yunnan, Chiny, 650101
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Zhejiang
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Hangzhou, Zhejiang, Chiny, 310003
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Wenzhou, Zhejiang, Chiny, 325000
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Quebec, Kanada, G3K 2P8
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Alberta
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Calgary, Alberta, Kanada, T2N 4L7
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British Columbia
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Burnaby, British Columbia, Kanada, V5G 1T4
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Surrey, British Columbia, Kanada, V3S 2N6
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Victoria, British Columbia, Kanada, V8V 4A1
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Ontario
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Burlington, Ontario, Kanada, L7M 4Y1
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London, Ontario, Kanada, N5W 6A2
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London, Ontario, Kanada, N6P 1A9
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Newmarket, Ontario, Kanada, L3Y 5G8
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Sarnia, Ontario, Kanada, N7T 4X3
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Strathroy, Ontario, Kanada, N7G 1Y7
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Quebec
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Trois Rivieres, Quebec, Kanada, G8T7A1
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Bucharest, Rumunia, 020614
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Buzau, Rumunia, 120203
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Galati, Rumunia, 800578
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Sibiu, Rumunia, 550176
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Bihor
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Oradea, Bihor, Rumunia, 410469
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California
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Anaheim, California, Stany Zjednoczone, 92801
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Lomita, California, Stany Zjednoczone, 90717
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Los Angeles, California, Stany Zjednoczone, 90057
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Colorado
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Golden, Colorado, Stany Zjednoczone, 80401
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Florida
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Clearwater, Florida, Stany Zjednoczone, 33765
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Illinois
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Chicago, Illinois, Stany Zjednoczone, 60607
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Kentucky
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Crestview Hills, Kentucky, Stany Zjednoczone, 41017-3464
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Louisiana
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Metairie, Louisiana, Stany Zjednoczone, 70002
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Michigan
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Troy, Michigan, Stany Zjednoczone, 48098
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Missouri
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Chesterfield, Missouri, Stany Zjednoczone, 63017
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New Hampshire
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Nashua, New Hampshire, Stany Zjednoczone, 03063
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New Jersey
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Toms River, New Jersey, Stany Zjednoczone, 08755-8050
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New York
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Smithtown, New York, Stany Zjednoczone, 11787
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South Carolina
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Simpsonville, South Carolina, Stany Zjednoczone, 29681
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Tennessee
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Jackson, Tennessee, Stany Zjednoczone, 38305
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Texas
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Dallas, Texas, Stany Zjednoczone, 75230
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Virginia
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Newport News, Virginia, Stany Zjednoczone, 23606
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Wisconsin
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Kenosha, Wisconsin, Stany Zjednoczone, 53142
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Dnepropetrovsk, Ukraina, 49005
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Dnepropetrovsk, Ukraina, 49038
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Kiev, Ukraina, 04114
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Mykolaiv, Ukraina, 54003
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Vinnitsa, Ukraina, 21010
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Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
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
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
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Eksperymentalny: Insulin Degludec
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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.
Inne nazwy:
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Eksperymentalny: Insulin Glargine
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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.
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Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Change From Baseline in HbA1c (%) (Analysed by Central Laboratory)
Ramy czasowe: 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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Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Number of Severe and Minor Treatment Emergent Hypoglycaemic Episodes
Ramy czasowe: 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)
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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).
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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)
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Change From Baseline in FPG (Fasting Plasma Glucose) (Analysed by Central Laboratory)
Ramy czasowe: 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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Within-subject Variability as Measured by Coefficient of Variation (CV%) in Pre-breakfast SMPG (Self-measured Plasma Glucose)
Ramy czasowe: Week 26
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Within subject Coefficient of variation(CV[%]) in pre-breakfast self measured plasma glucose for dose adjustment after 26 treatment weeks are displayed below.
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Week 26
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Responder for HbA1c (Below 7.0%) at End of Trial Without Severe and Minor Hypoglycaemic Episodes
Ramy czasowe: Week 26
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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.
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Week 26
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Number of Treatment Emergent AEs (Adverse Events)
Ramy czasowe: 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)
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Treatment emergent events (after first trial product administration and no later than 7 days after last trial product administration)
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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)
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Współpracownicy i badacze
Sponsor
Sponsor
Publikacje i pomocne linki
Publikacje ogólne
- 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.
Przydatne linki
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Rzeczywisty)
Zakończenie podstawowe
Ukończenie studiów (Rzeczywisty)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Oszacować)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- NN1250-3587
- U1111-1121-5325 (Inny identyfikator: WHO)
Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .