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DiabetesPhase 3BEGIN™NCT01006291

Comparison of NN1250 With Insulin Glargine in Type 2 Diabetes

A Phase 3 study testing insulin degludec and insulin glargine in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 72 sites in 14 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 Africa, Asia, Europe and South America. The aim of this clinical trial is to compare NN1250 (insulin degludec (IDeg) with insulin glargine (IGlar) in patients with type 2 diabetes. 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 degludec and insulin glargine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
687 participants
Where
72 sitesin 14 countries
Study dates
Nov 2009to Sep 2010
Phase
Phase 3
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

  • Type 2 diabetes mellitus (diagnosed clinically) for at least 6 months
  • Current treatment: oral anti-diabetic drug(s) (OAD(s)) alone, basal insulin alone or the combination of OAD(s) and basal insulin. Allowed OADs are: Metformin, insulin secretagogues (sulphonylureas (SU) or glinides), pioglitazone with unchanged dosing for at least 3 months prior to Visit 1
  • HbA1c: OADs only users 7.0-11.0 % (both inclusive), basal insulin with/without OADs users 7.0-10.0% (both inclusive) by central laboratory analysis
  • Body Mass Index (BMI) below or equal to 40.0 kg/m^2

Who cannot join

  • Cancer and medical history of cancer hereof
  • Use within the last 3 months prior to Visit 1 of: glucagon-like peptide-1(GLP-1) receptor agonist (exenatide, liraglutide), rosiglitazone, dipeptidyl peptidase IV (DPP-IV) inhibitors, alpha-glucosidase-inhibitors
  • Cardiovascular disease, within the last 6 months prior to Visit 1, defined as: stroke; decompensated heart failure New York Heart Association (NYHA) class III or IV; myocardial infarction; unstable angina pectoris; or coronary arterial bypass graft or angioplasty
  • Uncontrolled treated/untreated severe hypertension (systolic blood pressure at least 180 millimetre (mm) mercury (Hg) and/or diastolic blood pressure at least 100 mmHg)
  • Pregnancy, breast-feeding, the intention of becoming pregnant or not using adequate contraceptive measures according to local requirements
  • Cancer and medical history of cancer hereof (except basal cell skin cancer and squamous cell skin cancer)

Trial locations and contacts

72 sites in 14 countries.

72 sites in 14 countries

India11 sites
  • Novo Nordisk Investigational Site

    Chandigarh, Punjab, 160012

  • Novo Nordisk Investigational Site

    Chennai, 600020

  • Novo Nordisk Investigational Site

    Hyderabad, Andhra Pradesh, 500082

  • Novo Nordisk Investigational Site

    Hyderabad, 600034

  • Novo Nordisk Investigational Site

    Indore, Madhya Pradesh, 452010

  • Novo Nordisk Investigational Site

    Kochi, Kerala, 682041

  • Novo Nordisk Investigational Site

    Kolkata, West Bengal, 700020

  • Novo Nordisk Investigational Site

    Kolkata, West Bengal, 700038

  • Novo Nordisk Investigational Site

    Mumbai, Maharashtra, 400012

  • Novo Nordisk Investigational Site

    New Dehli, New Delhi, 110029

  • Novo Nordisk Investigational Site

    Vellore, Tamil Nadu, 632004

Other trials in India

Israel8 sites
  • Novo Nordisk Investigational Site

    Beersheba, 84101

  • Novo Nordisk Investigational Site

    Haifa, 31096

  • Novo Nordisk Investigational Site

    Holon, 58100

  • Novo Nordisk Investigational Site

    Jerusalem, 91120

  • Novo Nordisk Investigational Site

    Kfar Saba, 44281

  • Novo Nordisk Investigational Site

    Netanya, 42449

  • Novo Nordisk Investigational Site

    Petah Tikva, 49100

  • Novo Nordisk Investigational Site

    Rehovot, 76100

Other trials in Israel

United Kingdom8 sites
  • Novo Nordisk Investigational Site

    Belfast, BT16 1RH

  • Novo Nordisk Investigational Site

    Edgbaston, Birmingham, B15 2TH

  • Novo Nordisk Investigational Site

    Edinburgh, EH4 2XU

  • Novo Nordisk Investigational Site

    Glasgow, G45 9AW

  • Novo Nordisk Investigational Site

    Hull, HU3 2JZ

  • Novo Nordisk Investigational Site

    Ipswich, IP4 5PD

  • Novo Nordisk Investigational Site

    Londonderry, BT47 6SB

  • Novo Nordisk Investigational Site

    Swansea, SA6 6NL

Other trials in United Kingdom

Finland7 sites
  • Novo Nordisk Investigational Site

    Hanko, 10900

  • Novo Nordisk Investigational Site

    Harjavalta, FI-29200

  • Novo Nordisk Investigational Site

    Oulu, 90029

  • Novo Nordisk Investigational Site

    Tampere, FI-33520

  • Novo Nordisk Investigational Site

    Turku, 20520

  • Novo Nordisk Investigational Site

    Turku, FI-20100

  • Novo Nordisk Investigational Site

    Vantaa, FIN-01600

Other trials in Finland

Russia7 sites
  • Novo Nordisk Investigational Site

    Kazan', 420064

  • Novo Nordisk Investigational Site

    Moscow, 117036

  • Novo Nordisk Investigational Site

    Moscow, 119435

  • Novo Nordisk Investigational Site

    Moscow, 121356

  • Novo Nordisk Investigational Site

    Moscow, 127644

  • Novo Nordisk Investigational Site

    Saint Petersburg, 195257

  • Novo Nordisk Investigational Site

    Saint-Peterburg, 190068

Other trials in Russia

Norway6 sites
  • Novo Nordisk Investigational Site

    Gjøvik, NO-2819

  • Novo Nordisk Investigational Site

    Hamar, 2317

  • Novo Nordisk Investigational Site

    Hønefoss, 3511

  • Novo Nordisk Investigational Site

    Oslo, 0586

  • Novo Nordisk Investigational Site

    Stavanger, 4005

  • Novo Nordisk Investigational Site

    Tønsberg, 3116

Other trials in Norway

Malaysia5 sites
  • Novo Nordisk Investigational Site

    Cheras, 56000

  • Novo Nordisk Investigational Site

    George Town, 10459

  • Novo Nordisk Investigational Site

    Kota Bharu, Kelantan, 16150

  • Novo Nordisk Investigational Site

    Kuala Lumpur, 59100

  • Novo Nordisk Investigational Site

    Putrajaya, 62250

Other trials in Malaysia

Argentina4 sites
  • Novo Nordisk Investigational Site

    Buenos Aires, B1636DSU

  • Novo Nordisk Investigational Site

    Buenos Aires, C1425AGC

  • Novo Nordisk Investigational Site

    Ciudad Autónoma de Bs As, C1426ABP

  • Novo Nordisk Investigational Site

    Rosario, 2000

Other trials in Argentina

Hungary4 sites
  • Novo Nordisk Investigational Site

    Budapest, 1041

  • Novo Nordisk Investigational Site

    Debrecen, 4043

  • Novo Nordisk Investigational Site

    Győr, 9024

  • Novo Nordisk Investigational Site

    Szombathely, H-9700

Other trials in Hungary

Taiwan4 sites
  • Novo Nordisk Investigational Site

    Taipei, 100

  • Novo Nordisk Investigational Site

    Taipei, 112

  • Novo Nordisk Investigational Site

    Taipei, 114

  • Novo Nordisk Investigational Site

    Taoyuan, 333

Other trials in Taiwan

Mexico3 sites
  • Novo Nordisk Investigational Site

    Durango, Durango, 34000

  • Novo Nordisk Investigational Site

    Mexico City, México, D.F., 03300

  • Novo Nordisk Investigational Site

    Monterrey, 64460

Other trials in Mexico

South Africa3 sites
  • Novo Nordisk Investigational Site

    Durban, KwaZulu-Natal, 4126

  • Novo Nordisk Investigational Site

    Johannesburg, Gauteng, 1829

  • Novo Nordisk Investigational Site

    Johannesburg, Gauteng, 2001

Other trials in South Africa

North Macedonia1 site
  • Novo Nordisk Investigational Site

    Skopje, 1000

Other trials in North Macedonia

Serbia1 site
  • Novo Nordisk Investigational Site

    Belgrade, 11000

Other trials in Serbia

About this study

Official title: A 26 Week Randomised, Controlled, Open Label, Multicentre, Multinational, Three-arm, Treat to Target Trial Comparing Efficacy and Safety of Three Different Dosing Regimens of Either Soluble Insulin Basal Analogue (SIBA) or Insulin Glargine With or Without Combination With OAD Treatment, in Subjects With Type 2 Diabetes Mellitus (BEGIN™ : FLEX)

This trial is conducted in Africa, Asia, Europe and South America. The aim of this clinical trial is to compare NN1250 (insulin degludec (IDeg) with insulin glargine (IGlar) in patients with type 2 diabetes. Subjects treated with oral antidiabetic drug(s) (OAD(s)) should continue their current OAD treatment at the stable, prerandomisation dose level and dosing frequency.

Being tested
insulin degludec, 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 degludecDrug

    Injected s.c. (under the skin) once daily (alternative regimen). Dose was individually adjusted.

  • insulin degludecDrug

    Injected s.c. (under the skin) once daily. Dose was individually adjusted.

  • insulin glargineDrug

    Insulin glargine injected s.c. (under the skin) once daily. Dose was individually adjusted.

Study groups in NCT01006291
Study groupRoleWhat they receive
IDeg OD FFExperimentalNot described
Receives: Drug: insulin degludec
IDeg ODExperimentalNot described
Receives: Drug: insulin degludec
IGlar ODExperimentalNot described
Receives: Drug: insulin glargine

What is being measured

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

  1. Change in Glycosylated Haemoglobin (HbA1c)

    Change from baseline in HbA1c after 26 weeks of treatment

    Measured: Week 0, Week 26

Secondary outcomes (3)
  1. Mean of 9-point Self Measured Plasma Glucose Profile (SMPG)

    Mean of SMPG after 26 weeks of treatment. Plasma glucose measured: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner, before bedtime, at 4 am and before breakfast.

    Measured: Week 26

  2. Rate of Confirmed Hypoglycaemic Episodes

    Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L.

    Measured: Week 0 to Week 26 + 7 days follow up

  3. Rate of Nocturnal Confirmed Hypoglycaemic Episodes

    Rate of nocturnal confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. Nocturnal hypoglycaemic episodes are defined as occurring between 00:01 and 05:59 a.m.

    Measured: Week 0 to Week 26 + 7 days follow up

Timeline

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

  1. First posted2 Nov 2009 (estimated)
  2. Study startNov 2009
  3. Primary completionSep 2010
  4. Study completionSep 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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
687 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01006291
Sponsor's protocol ID
NN1250-3668
Other IDs
U1111-1111-7084, 2008-005771-10, 2008
Acronym
BEGIN™
Status last verified
Dec 2016
First submitted
30 Oct 2009
Last updated
9 Feb 2017
Data monitoring committee
No

Publications

  • Ratner RE, Gough SC, Mathieu C, Del Prato S, Bode B, Mersebach H, Endahl L, Zinman B. Hypoglycaemia risk with insulin degludec compared with insulin glargine in type 2 and type 1 diabetes: a pre-planned meta-analysis of phase 3 trials. Diabetes Obes Metab. 2013 Feb;15(2):175-84. doi: 10.1111/dom.12032. Epub 2012 Dec 3.

    PubMed 23130654
  • Sorli C, Warren M, Oyer D, Mersebach H, Johansen T, Gough SC. Elderly patients with diabetes experience a lower rate of nocturnal hypoglycaemia with insulin degludec than with insulin glargine: a meta-analysis of phase IIIa trials. Drugs Aging. 2013 Dec;30(12):1009-18. doi: 10.1007/s40266-013-0128-2.

    PubMed 24170235
  • Einhorn D, Handelsman Y, Bode BW, Endahl LA, Mersebach H, King AB. PATIENTS ACHIEVING GOOD GLYCEMIC CONTROL (HBA1c <7%) EXPERIENCE A LOWER RATE OF HYPOGLYCEMIA WITH INSULIN DEGLUDEC THAN WITH INSULIN GLARGINE: A META-ANALYSIS OF PHASE 3A TRIALS. Endocr Pract. 2015 Aug;21(8):917-26. doi: 10.4158/EP14523.OR. Epub 2015 Jun 29.

    PubMed 26121451
  • Russell-Jones D, Gall MA, Niemeyer M, Diamant M, Del Prato S. Insulin degludec results in lower rates of nocturnal hypoglycaemia and fasting plasma glucose vs. insulin glargine: A meta-analysis of seven clinical trials. Nutr Metab Cardiovasc Dis. 2015 Oct;25(10):898-905. doi: 10.1016/j.numecd.2015.06.005. Epub 2015 Jun 18.

    PubMed 26232910
  • Vora J, Seufert J, Solberg H, Kinduryte O, Johansen T, Hollander P. Insulin degludec does not increase antibody formation versus insulin glargine: an evaluation of phase IIIa trials. Diabetes Obes Metab. 2016 Jul;18(7):716-20. doi: 10.1111/dom.12621. Epub 2016 Feb 8.

    PubMed 26663320
  • Meneghini L, Atkin SL, Gough SC, Raz I, Blonde L, Shestakova M, Bain S, Johansen T, Begtrup K, Birkeland KI; NN1250-3668 (BEGIN FLEX) Trial Investigators. The efficacy and safety of insulin degludec given in variable once-daily dosing intervals compared with insulin glargine and insulin degludec dosed at the same time daily: a 26-week, randomized, open-label, parallel-group, treat-to-target trial in individuals with type 2 diabetes. Diabetes Care. 2013 Apr;36(4):858-64. doi: 10.2337/dc12-1668. Epub 2013 Jan 22.

    PubMed 23340894

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing insulin degludec and insulin glargine in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 72 sites in 14 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 4 inclusion and 6 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 9 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 72 sites in India, Israel, United Kingdom, Finland, Russia and 9 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 13 Nov 2015). 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 Glycosylated Haemoglobin (HbA1c) (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 NCT01006291, which also lists 6 linked publications.

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 9 Feb 2017.

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