Comparison of Two NN5401 Formulations Versus Insulin Glargine, 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 insulin glargine, 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: insulin glargine
Drug: metformin
PhasePhase 2
SponsorNovo Nordisk A/S
Responsible PartyNovo Nordisk A/S
ClinicalTrials.gov IdentifierNCT00614055
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 DateJuly 2008
Current Primary Outcome MeasuresChange in Glycosylated Haemoglobin (HbA1c) [Time Frame: Week 0, Week 16] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • Change in Fasting Plasma Glucose (FPG) [Time Frame: Week 0, Week 16] [Designated as safety issue: No]
  • Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) [Time Frame: Week 16] [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]
  • 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]
  • 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 0, Week 8, Week 16] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleComparison of Two NN5401 Formulations Versus Insulin Glargine, 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 Once Daily Injection of SIAC 30 (B), SIAC 45 (B) and Insulin Glargine, 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 insulin glargine, 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 1: Treat-to-target dose titration scheme, injection s.c., once daily
Drug: insulin degludec/insulin aspart
Formulation 2: Treat-to-target dose titration scheme, injection s.c., once daily
Drug: insulin glargine
Treat-to-target dose titration scheme, injection s.c., once daily
Drug: metformin
Tablets, 1500-2000 mg/day
Study Arm (s)
  • Active Comparator: Insulin glargine
  • Experimental: SIAC 30 (B)
  • Experimental: SIAC 45 (B)

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment178
Estimated Completion DateJuly 2008
Estimated Primary Completion DateJuly 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 month at a stable maximum tolerated dose or at least half
maximum 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) treatments within the previous three 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 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 CountriesFrance, Germany, Norway, Romania, Spain

Administrative Information[ + expand ][ + ]

NCT Number NCT00614055
Other Study ID NumbersNN5401-1791
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 ][ + ]

France
Venissieux, France, 69200
Germany
Neuwied, Germany, 56564
Norway
Kongsvinger, Norway, 2212
Romania
Bucharest, Romania, 011234
Spain
Partida de Bacarot, Spain, 03114