Effect of Different Insulin Administrations, All in Combination With Metformin, on Glycaemic Control in Subjects With Type 2 Diabetes Inadequately Controlled by Oral Anti-diabetic Drugs
Overview[ - collapse ][ - ]
Purpose | This trial is conducted in Africa. The aim of this clinical trial is to investigate the effect of 50 weeks of treatment with different intensified insulin administrations (all in combination with a fixed dose of metformin) on blood sugar control in subjects with type 2 diabetes inadequately controlled by oral anti-diabetic drugs (OADs). |
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Condition | Diabetes Diabetes Mellitus, Type 2 |
Intervention | Drug: insulin detemir Drug: insulin aspart Drug: biphasic insulin aspart 30 Drug: metformin |
Phase | Phase 4 |
Sponsor | Novo Nordisk A/S |
Responsible Party | Novo Nordisk A/S |
ClinicalTrials.gov Identifier | NCT01068652 |
First Received | February 12, 2010 |
Last Updated | November 15, 2013 |
Last verified | November 2013 |
Tracking Information[ + expand ][ + ]
First Received Date | February 12, 2010 |
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Last Updated Date | November 15, 2013 |
Start Date | March 2010 |
Estimated Primary Completion Date | May 2012 |
Current Primary Outcome Measures | Glycosylated Haemoglobin (HbA1c) [Time Frame: Week 50] [Designated as safety issue: No]Estimated mean difference in HbA1c after 50 weeks of treatment |
Current Secondary Outcome Measures |
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Descriptive Information[ + expand ][ + ]
Brief Title | Effect of Different Insulin Administrations, All in Combination With Metformin, on Glycaemic Control in Subjects With Type 2 Diabetes Inadequately Controlled by Oral Anti-diabetic Drugs |
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Official Title | Effect of 50-week Treatment With Stepwise Insulin Intensification of Basal-bolus Insulin Analogues (Insulin Detemir and Aspart) or Biphasic Insulin Aspart 30 (NovoMix 30) All in Combination With Fixed Dose of Metformin on Glycaemic Control (Measured as HbA1c) in Subjects With Type 2 Diabetes. Open Labelled, Randomized, Two-arm, Parallel Group, Multi-centre, Multi-national Trial |
Brief Summary | This trial is conducted in Africa. The aim of this clinical trial is to investigate the effect of 50 weeks of treatment with different intensified insulin administrations (all in combination with a fixed dose of metformin) on blood sugar control in subjects with type 2 diabetes inadequately controlled by oral anti-diabetic drugs (OADs). |
Detailed Description | Not Provided |
Study Type | Interventional |
Study Phase | Phase 4 |
Study Design | Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment |
Condition |
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Intervention | Drug: insulin detemir Initial dose of 0.1 U/kg once daily, injected s.c. (under the skin). Drug: insulin aspart Pending evaluation of HbA1c every 3 months, insulin aspart was added to the insulin detemir treatment (up to three does daily, injected s.c. (under the skin) Drug: biphasic insulin aspart 30 Initial dose of 0.1 U/kg once daily, injected s.c. (under the skin). Pending evaluation of HbA1c every 3 months, the dose will intensified up to 3 doses daily Drug: metformin 1000-2000 mg/day in combination with insulin treatment |
Study Arm (s) |
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Recruitment Information[ + expand ][ + ]
Recruitment Status | Completed |
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Estimated Enrollment | 403 |
Estimated Completion Date | May 2012 |
Estimated Primary Completion Date | May 2012 |
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) - Diagnosed type 2 diabetes (WHO 1999 criteria) - Currently treated with suboptimal daily dose of OADs (mono or combination therapy) for at least 6 months - Male or female age at least 18 years old - HbA1c at least 7.0 % and maximum 11.0% for subjects treated with metformin mono-therapy, or maximum 10% for subjects treated with OAD combination therapy - BMI maximum 40 kg/m^2 - Able and willing to perform self-monitoring of plasma glucose according to the protocol and to keep a diary - Able and willing to be treated with up to 4 insulin injections per day Exclusion Criteria: - Known or suspected allergy to trial product(s) or related products - Previous participation in this trial. Participation is defined as randomisation - Females of childbearing potential who are pregnant, breast-feeding or intend to become pregnant or are not using adequate contraceptive methods (adequate contraceptive measures as required by local law or practice) - Participated in another clinical trial and received an investigational drug within the last weeks prior to the present trial - Impaired hepatic function defined as alanine aminotransferase (ALT) or alkaline phosphatase (ALP) at least 2.5 times upper referenced limit - Impaired renal function defined as serum-creatinine at least 1.3 mg/dL (at least 115 mmol/L) for males and at least 1.2 mg/dL (at least 106 mmol/L) for females - Subject has a clinically significant, active (or over the past 12 months) cardiovascular history (including a history of myocardial infarction (MI), arrhythmias or conduction delays on ECG, unstable angina, or decompensated heart failure (New York Heart Association class III and IV) - Severe uncontrolled treated or untreated hypertension (sitting systolic blood pressure at least 180 mmHg or sitting diastolic blood pressure at least 100 mmHg) - Proliferative retinopathy or macular oedema requiring acute treatment - Metformin contraindications according to the package insert - Current treatment with systemic corticosteroids - Subject has a history of any illness that, in the opinion of the investigator, might confound the results of the study or pose additional risk in administering study drug to the subject - Current addiction to alcohol or other addictive substances as determined by the Investigator - Mental incapacity, unwillingness or language barrier precluding adequate understanding or cooperation in the study or use of the glucose monitor - History of hypoglycaemic unawareness and/or two or more severe hypoglycaemic episodes in the past year as judged by the Investigator |
Gender | Both |
Ages | 18 Years |
Accepts Healthy Volunteers | No |
Contacts | Not Provided |
Location Countries | Algeria, Egypt, South Africa, Tunisia |
Administrative Information[ + expand ][ + ]
NCT Number | NCT01068652 |
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Other Study ID Numbers | INS-3782 |
Has Data Monitoring Committee | No |
Information Provided By | Novo Nordisk A/S |
Study Sponsor | Novo Nordisk A/S |
Collaborators | Not Provided |
Investigators | Study Director: Timothy Kedijang, MD Novo Nordisk Pty. Ltd. |
Verification Date | November 2013 |
Locations[ + expand ][ + ]
Algeria | Setif, Algeria, 19000 |
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Egypt | Alexandria, Egypt, 21599 |
South Africa, Eastern Cape | Port Elizabeth, Eastern Cape, South Africa, 6014 |
Tunisia | Tunisia, Tunisia, 1053 |