Comparison of Two NN5401 Formulations Versus Biphasic Insulin Aspart 30, All in Combination With Metformin in Subjects With Type 2 Diabetes

Overview[ - collapse ][ - ]

Purpose This trial is conducted in Europe. The aim of this trial is to compare two NN5401 (SIAC, insulin degludec/insulin aspart) formulations with each other and with biphasic insulin aspart 30, all in combination with metformin in insulin naive subjects with type 2 diabetes.
ConditionDiabetes
Diabetes Mellitus, Type 2
InterventionDrug: insulin degludec/insulin aspart
Drug: insulin degludec/insulin aspart
Drug: biphasic insulin aspart
Drug: metformin
PhasePhase 2
SponsorNovo Nordisk A/S
Responsible PartyNovo Nordisk A/S
ClinicalTrials.gov IdentifierNCT00613951
First ReceivedJanuary 30, 2008
Last UpdatedNovember 7, 2013
Last verifiedNovember 2013

Tracking Information[ + expand ][ + ]

First Received DateJanuary 30, 2008
Last Updated DateNovember 7, 2013
Start DateJanuary 2008
Estimated Primary Completion DateAugust 2008
Current Primary Outcome MeasuresChange in Glycosylated Haemoglobin (HbA1c) [Time Frame: Week 0, Week 16] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) [Time Frame: Week 16] [Designated as safety issue: No]
  • Rate of Major and Minor Hypoglycaemic Episodes [Time Frame: Week 0 to Week 16 + 5 days follow up] [Designated as safety issue: No]
  • Rate of Nocturnal Major and Minor Hypoglycaemic Episodes [Time Frame: Week 0 to Week 16 + 5 days follow up] [Designated as safety issue: No]
  • Rate of Treatment Emergent Adverse Events (AEs) [Time Frame: Week 0 to Week 16 + 5 days follow up] [Designated as safety issue: No]
  • Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT) [Time Frame: Week -4, Week 16] [Designated as safety issue: No]
  • Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT) [Time Frame: Week -4, Week 16] [Designated as safety issue: No]
  • Laboratory Safety Parameters (Biochemistry): Serum Creatinine [Time Frame: Week -4, Week 16] [Designated as safety issue: No]
  • Vital Signs: Diastolic Blood Pressure (BP) [Time Frame: Week 0, Week 16] [Designated as safety issue: No]
  • Vital Signs: Systolic Blood Pressure (BP) [Time Frame: Week 0, Week 16] [Designated as safety issue: No]
  • Vital Signs: Pulse [Time Frame: Week 0, Week 16] [Designated as safety issue: No]
  • Physical Examination [Time Frame: Week -4, Week 8, Week 16] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleComparison of Two NN5401 Formulations Versus Biphasic Insulin Aspart 30, All in Combination With Metformin in Subjects With Type 2 Diabetes
Official TitleA 16 Week Randomised, Open Labelled, 3-armed, Parallel Group, Treat-to-target Trial Comparing Twice Daily (BID) Injections of SIAC 30 (B), SIAC 45 (B) and NovoMix®30, All in Combination With Metformin in Subjects With Type 2 Diabetes Failing on OAD Treatment
Brief Summary
This trial is conducted in Europe. The aim of this trial is to compare two NN5401 (SIAC,
insulin degludec/insulin aspart) formulations with each other and with biphasic insulin
aspart 30, all in combination with metformin in insulin naive subjects with type 2 diabetes.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 2
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Condition
  • Diabetes
  • Diabetes Mellitus, Type 2
InterventionDrug: insulin degludec/insulin aspart
Formulation B: Treat-to-target dose titration scheme, injection s.c., twice daily
Drug: insulin degludec/insulin aspart
Formulation B: Treat-to-target dose titration scheme, injection s.c., twice daily
Drug: biphasic insulin aspart
Treat-to-target dose titration scheme, injection s.c., twice daily
Drug: metformin
Tablets, 1500-2000 mg/daily
Study Arm (s)
  • Experimental: SIAC 30 (B)
  • Experimental: SIAC 45 (B)
  • Active Comparator: BIAsp 30

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment182
Estimated Completion DateAugust 2008
Estimated Primary Completion DateAugust 2008
Eligibility Criteria
Inclusion Criteria:

- Informed consent obtained before any trial-related activities. (Trial-related
activities are any procedure that would not have been performed during normal
management of the subject.)

- Insulin naïve type 2 diabetes subjects (as diagnosed clinically) for at least 3
months (no previous insulin treatment or previous short term insulin treatment
maximum 14 days within the last 3 months)

- Treatment with one or two oral anti-diabetic drugs (OADs): metformin, sulfonylurea,
other insulin secretagogue (e.g. repaglinide, nateglinide), alpha-glucosidase
inhibitors for at least 2 months at a stable maximally tolerated dose or at least
half maximally allowed dose according to locally approved summary of product
characteristics (SPC)

- HbA1c, 7.0-11.0 % (both inclusive)

- Body Mass Index (BMI), 25.0-37.0 kg/m^2 (both inclusive)

Exclusion Criteria:

- Metformin contraindication according to local practice

- Thiazolidinedione (TZD) treatment within previous 3 months prior to Visit 1

- Any systemic treatment with products, which in the investigator's opinion could
interfere with glucose or lipid metabolism (e.g. systemic corticosteroids) within 3
months prior to randomisation

- Subject has a clinically significant, active (during the past 12 months) disease of
the gastrointestinal, pulmonary, neurological, genitourinary, or haematological
system (except for conditions associated with type 2 diabetes) that, in the opinion
of the investigator, may confound the results of the trial or pose additional risk in
administering trial product
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesFinland, France, Germany, Poland, Spain

Administrative Information[ + expand ][ + ]

NCT Number NCT00613951
Other Study ID NumbersNN5401-1792
Has Data Monitoring CommitteeNo
Information Provided ByNovo Nordisk A/S
Study SponsorNovo Nordisk A/S
CollaboratorsNot Provided
Investigators Study Director: Benedikte J. Lertoft, DVM Novo Nordisk A/S
Verification DateNovember 2013

Locations[ + expand ][ + ]

Finland
Lahti, Finland, 15110
France
Narbonne, France, 11108
Germany
Riesa, Germany, 01587
Poland
Warszawa, Poland, 02-507
Spain
Madrid, Spain, 28034