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DiabetesPhase 4EFFICACYNCT00909480

Effect of Insulin Detemir and Insulin Glargine on Blood Glucose Control in Subjects With Type 2 Diabetes

A Phase 4 study testing insulin detemir and insulin glargine in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 88 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This trial is conducted in Asia, South America and the United States of America (USA). The aim of this clinical trial is to determine whether two insulin treatments given once daily are equally effective with respect to the blood glucose lowering effect in subjects with type 2 diabetes inadequately controlled on… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diabetes, Diabetes Mellitus, Type 2
What is being tested?
insulin detemir and insulin glargine
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
457 participants
Where
88 sitesin 6 countries
Study dates
May 2009to Jun 2010
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosed with type 2 diabetes for at least 6 months
  • Stable treatment with a total daily dose of at least 1500 mg metformin or maximum tolerated dose (minimum 1000 mg) with or without one other OAD (sulphonylureas, meglitinides, thiazolidinediones or dipeptidyl peptidase-4 (DPP-4) inhibitors) for at least 3 months
  • Subject is insulin-naive (short-term insulin treatment of up to 14 days is allowed)
  • HbA1c (glycosylated haemoglobin) 7.0-9.0 % (both inclusive) by central laboratory analysis (one re-test within one week is allowed)
  • Body Mass Index (BMI) less than or equal to 35.0 kg/m^2

Who cannot join

  • Any contraindication to insulin detemir or insulin glargine according to the local labelling
  • Receipt of any investigational product within 4 weeks
  • Anticipated change of dose of any systemic treatment with products, which in the Investigator's opinion could interfere with glucose metabolism (e.g. systemic corticosteroids)
  • Clinically significant diseases which, in the Investigator's opinion may confound the results of the trial or pose additional risk in administering trial product
  • Any other condition that the Investigator feels would interfere with trial participation or evaluation of results

Trial locations and contacts

88 sites in 6 countries.

88 sites in 6 countries

United States71 sites
  • Novo Nordisk Investigational Site

    Altoona, Pennsylvania, 16602

  • Novo Nordisk Investigational Site

    Anaheim, California, 92801

  • Novo Nordisk Investigational Site

    Aurora, Colorado, 80045

  • Novo Nordisk Investigational Site

    Buckley, Michigan, 49620

  • Novo Nordisk Investigational Site

    Butte, Montana, 59701

  • Novo Nordisk Investigational Site

    Cayahoga Falls, Ohio, 44223

  • Novo Nordisk Investigational Site

    Charlotte, North Carolina, 28277

  • Novo Nordisk Investigational Site

    Chattanooga, Tennessee, 37404

  • Novo Nordisk Investigational Site

    Chattanooga, Tennessee, 37411

  • Novo Nordisk Investigational Site

    Chesterfield, Missouri, 63017

  • Novo Nordisk Investigational Site

    Cincinnati, Ohio, 45245

  • Novo Nordisk Investigational Site

    Clarion, Pennsylvania, 16214

  • Novo Nordisk Investigational Site

    Clilfton, New Jersey, 07011

  • Novo Nordisk Investigational Site

    Concord, California, 94520

  • Novo Nordisk Investigational Site

    Corpus Christi, Texas, 78404

  • Novo Nordisk Investigational Site

    Dallas, Texas, 75230

  • Novo Nordisk Investigational Site

    Dallas, Texas, 75246

  • Novo Nordisk Investigational Site

    Dayton, Ohio, 45406

  • Novo Nordisk Investigational Site

    Escondido, California, 92025

  • Novo Nordisk Investigational Site

    Fresno, California, 93720

  • Novo Nordisk Investigational Site

    Gallipolis, Ohio, 45631-1560

  • Novo Nordisk Investigational Site

    Greensboro, North Carolina, 27408

  • Novo Nordisk Investigational Site

    Greer, South Carolina, 29651

  • Novo Nordisk Investigational Site

    Hollywood, Florida, 33021

  • Novo Nordisk Investigational Site

    Houston, Texas, 77025

  • Novo Nordisk Investigational Site

    Hurst, Texas, 76054

  • Novo Nordisk Investigational Site

    Idaho Falls, Idaho, 83404-7596

  • Novo Nordisk Investigational Site

    Independence, Kansas, 67301-3263

  • Novo Nordisk Investigational Site

    Jacksonville, Florida, 32204

  • Novo Nordisk Investigational Site

    Jacksonville, Florida, 32207

  • Novo Nordisk Investigational Site

    Jefferson City, Missouri, 65109

  • Novo Nordisk Investigational Site

    Lancaster, Pennsylvania, 17601

  • Novo Nordisk Investigational Site

    Litchfield Park, Arizona, 85340

  • Novo Nordisk Investigational Site

    Long Beach, California, 90822

  • Novo Nordisk Investigational Site

    Los Angeles, California, 90057

  • Novo Nordisk Investigational Site

    Martinsburg, West Virginia, 25401

  • Novo Nordisk Investigational Site

    Miami, Florida, 33136

  • Novo Nordisk Investigational Site

    Miami, Florida, 33143

  • Novo Nordisk Investigational Site

    Milwaukee, Wisconsin, 53209

  • Novo Nordisk Investigational Site

    Norristown, Pennsylvania, 19401

  • Novo Nordisk Investigational Site

    Northport, New York, 11768

  • Novo Nordisk Investigational Site

    Norwalk, Connecticut, 06851

  • Novo Nordisk Investigational Site

    Ocala, Florida, 34471

  • Novo Nordisk Investigational Site

    Odessa, Texas, 79761

  • Novo Nordisk Investigational Site

    Orlando, Florida, 32804

  • Novo Nordisk Investigational Site

    Philadelphia, Pennsylvania, 19104

  • Novo Nordisk Investigational Site

    Philadelphia, Pennsylvania, 19107

  • Novo Nordisk Investigational Site

    Plantation, Florida, 33324

  • Novo Nordisk Investigational Site

    Ponte Vedra, Florida, 32081

  • Novo Nordisk Investigational Site

    Portland, Maine, 04101

  • Novo Nordisk Investigational Site

    Powder Springs, Georgia, 30127

  • Novo Nordisk Investigational Site

    Redlands, California, 92374

  • Novo Nordisk Investigational Site

    Renton, Washington, 98057

  • Novo Nordisk Investigational Site

    Rockville, Maryland, 20852

  • Novo Nordisk Investigational Site

    Roswell, Georgia, 30076

  • Novo Nordisk Investigational Site

    San Antonio, Texas, 78209

  • Novo Nordisk Investigational Site

    Santa Ana, California, 92705

  • Novo Nordisk Investigational Site

    Searcy, Arkansas, 72143

  • Novo Nordisk Investigational Site

    Shawnee Mission, Kansas, 66204

  • Novo Nordisk Investigational Site

    Spartanburg, South Carolina, 29303

  • Novo Nordisk Investigational Site

    Spring Valley, California, 91978

  • Novo Nordisk Investigational Site

    St Louis, Missouri, 63141

  • Novo Nordisk Investigational Site

    St. George, Utah, 84790

  • Novo Nordisk Investigational Site

    Staten Island, New York, 10301

  • Novo Nordisk Investigational Site

    Syracuse, New York, 13210

  • Novo Nordisk Investigational Site

    Taylors, South Carolina, 29687

  • Novo Nordisk Investigational Site

    Tulsa, Oklahoma, 74104

  • Novo Nordisk Investigational Site

    Virginia Beach, Virginia, 23462

  • Novo Nordisk Investigational Site

    Waltham, Massachusetts, 02453

  • Novo Nordisk Investigational Site

    Winston-Salem, North Carolina, 27103

  • Novo Nordisk Investigational Site

    Winter Haven, Florida, 33880

Other trials in United States

Argentina4 sites
  • Novo Nordisk Investigational Site

    Buenos Aires, B1704ETD

  • Novo Nordisk Investigational Site

    Capital Federal, 1405

  • Novo Nordisk Investigational Site

    Capital Federal, 1429

  • Novo Nordisk Investigational Site

    Mar del Plata, B7600FZN

Other trials in Argentina

South Korea4 sites
  • Novo Nordisk Investigational Site

    Seoul, 110-746

  • Novo Nordisk Investigational Site

    Seoul, 130-701

  • Novo Nordisk Investigational Site

    Seoul, 138-736

  • Novo Nordisk Investigational Site

    Seoul, 139-707

Other trials in South Korea

Thailand4 sites
  • Novo Nordisk Investigational Site

    Bangkok, 10110

  • Novo Nordisk Investigational Site

    Bangkok, 10330

  • Novo Nordisk Investigational Site

    Bangkok, 10400

  • Novo Nordisk Investigational Site

    Pathum Thani, 12120

Other trials in Thailand

India3 sites
  • Novo Nordisk Investigational Site

    Bangalore, Karnataka, 560 017

  • Novo Nordisk Investigational Site

    Chennai, Tamil Nadu, 600028

  • Novo Nordisk Investigational Site

    Thriruvananthapuram, 695 032

Other trials in India

Puerto Rico2 sites
  • Novo Nordisk Investigational Site

    Manati, 00674

  • Novo Nordisk Investigational Site

    Trujillo Alto, 00976

Other trials in Puerto Rico

About this study

Official title: A 26 Week Randomised, Multinational, Open Labelled, 2 Armed, Parallel Group, Treat-to-target Once Daily Treatment Trial With Insulin Detemir Versus Insulin Glargine, Both in Combination With Metformin in Subjects With Type 2 Diabetes

This trial is conducted in Asia, South America and the United States of America (USA).

The aim of this clinical trial is to determine whether two insulin treatments given once daily are equally effective with respect to the blood glucose lowering effect in subjects with type 2 diabetes inadequately controlled on metformin treatment with or without an additional anti-diabetic drug (OAD).

Being tested
insulin detemir, insulin glargine
Medical subject headings
Diabetes Mellitus, Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • insulin detemirDrug

    Treat-to-target (individually adjusted dose) titration according to titration algorithm.

    S.c. (under the skin) injection once daily as an add-on to subjects' stable pre-trial metformin dose (at least 1500 mg/day). Any other use of OAD will be discontinued

  • insulin glargineDrug

    Treat-to-target (individually adjusted dose) titration according to titration algorithm.

    S.c. (under the skin) injection once daily as an add-on to subjects' stable pre-trial metformin dose (at least 1500 mg/day). Any other use of OAD will be discontinued

Study groups in NCT00909480
Study groupRoleWhat they receive
IDetExperimentalIndividually adjusted insulin detemir once daily + metformin at least 1500 mg/day
Receives: Drug: insulin detemir
IGlarActive comparatorIndividually adjusted insulin glargine once daily + metformin at least 1500 mg/day
Receives: Drug: insulin glargine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in HbA1c From Baseline

    Measured: Week 0, Week 26

Secondary outcomes (13)
  1. Percentage of Subjects Achieving HbA1c Less Than or Equal to 7.0%

    The percentage of subjects - overall and by previous OAD treatment - meeting the HbA1c less than or equal to 7%

    Measured: Week 26

  2. Percentage of Subjects Achieving HbA1c of 7% or Less With no Hypoglycaemia

    The subjects must have reached target and not have experienced any confirmed symptomatic hypoglycaemia or any confirmed major hypoglycaemia within the last 30 days of treatment.

    Measured: Week 26

  3. Percentage of Subjects Achieving HbA1c Less Than or Equal to 6.5%

    The percentage of subjects - overall and by previous OAD treatment - meeting the HbA1c of 6.5% or less

    Measured: Week 26

  4. Percentage of Subjects Achieving HbA1c of 6.5% or Less With no Hypoglycaemia

    The subjects must have reached target and not have experienced any confirmed symptomatic hypoglycaemia or any confirmed major hypoglycaemia within the last 30 days of treatment.

    Measured: Week 26

  5. Fasting Plasma Glucose (FPG)

    Measured: Week 26

  6. Within-subject Variation of Self Measured Plasma Glucose (SMPG) Before Breakfast

    The median values of the sample standard variation (the within subject variation) within the IDet and IGlar arms were plotted against time.

    Measured: Week 26

  7. Glycaemic Control as Measured by Plasma Glucose (9-point Self-measured Profiles)

    Plasma glucose measured: before breakfast, 2 hours after breakfast, before lunch, 2 hours after lunch, before dinner, 2 hours after dinner, bedtime and at 3 am.

    Measured: Week 26

  8. Incidence of Hypoglycaemic Episodes During the Trial

    Number of hypoglycaemic episodes from Week 0 to Week 26, defined as major, minor, or symptoms only. Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. Symptoms only if able to treat her/himself and no plasma glucose measurement or plasma glucose higher than or equal to 3.1 mmol/L.

    Measured: Weeks 0-26

  9. Hypoglycaemic Episodes, Diurnal

    Number of hypoglycaemic episodes from Week 0 to Week 26, defined as major, minor, or symptoms only. Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. Symptoms only if able to treat her/himself and no plasma glucose measurement or plasma glucose higher than or equal to 3.1 mmol/L.

    Measured: Weeks 0-26

  10. Hypoglycaemic Episodes, Nocturnal

    Number of hypoglycaemic episodes from Week 0 to Week 26, defined as major, minor, or symptoms only. Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. Symptoms only if able to treat her/himself and no plasma glucose measurement or plasma glucose higher than or equal to 3.1 mmol/L.

    Measured: Weeks 0-26

  11. Hypoglycemic Episodes, Unclassifiable

    Number of hypoglycaemic episodes from Week 0 to Week 26, defined as major, minor, or symptoms only. Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. Symptoms only if able to treat her/himself and no plasma glucose measurement or plasma glucose higher than or equal to 3.1 mmol/L.

    Measured: Weeks 0-26

  12. Change in Body Weight From Baseline

    Measured: Week 0, Week 26

  13. Number of Subjects Having the Adverse Event "Incorrect Dose Administered"

    Number of subjects having the adverse event "incorrect dose administered" within the system organ class "Injury, poisoning and procedural complications"

    Measured: Weeks 0-26

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 May 2009 (estimated)
  2. Study startMay 2009
  3. Primary completionJun 2010
  4. Study completionJun 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
457 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00909480
Sponsor's protocol ID
NN304-1768
Acronym
EFFICACY
Status last verified
Jan 2017
First submitted
27 May 2009
Last updated
10 Mar 2017
Data monitoring committee
No

Publications

  • Meneghini L, Kesavadev J, Demissie M, Nazeri A, Hollander P. Once-daily initiation of basal insulin as add-on to metformin: a 26-week, randomized, treat-to-target trial comparing insulin detemir with insulin glargine in patients with type 2 diabetes. Diabetes Obes Metab. 2013 Aug;15(8):729-36. doi: 10.1111/dom.12083. Epub 2013 Mar 13.

    PubMed 23421331

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing insulin detemir and insulin glargine in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 88 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 88 sites in United States, Argentina, South Korea, Thailand, India and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 27 Sep 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in HbA1c From Baseline (time frame: Week 0, Week 26). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00909480, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Mar 2017.

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