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DiabetesPhase 3BOOST™NCT01045707

Comparison of NN5401 Versus Insulin Glargine, Both Combined With Metformin Treatment, in Subjects With Type 2 Diabetes

A Phase 3 study testing insulin degludec/insulin aspart and insulin glargine in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 92 sites in 9 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, Europe and the United States of America (USA). The aim of this trial is to compare the efficacy and safety of NN5401 (insulin degludec/insulin aspart (IDegAsp)) with insulin glargine (IGlar), both as add-on to subject's ongoing treatment with metformin + at least one OAD (oral… 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/insulin aspart and insulin glargine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
530 participants
Where
92 sitesin 9 countries
Study dates
Jan 2010to Oct 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

  • For MAIN period (NN5401-3590):
  • Diagnosis of type 2 diabetes mellitus for at least 6 months
  • Insulin naïve subjects
  • Treatment with metformin and at least one other oral antidiabetic drug for at least 3 months before trial start
  • Glycosylated haemoglobin (HbA1c) between 7.5 - 11.0% (both inclusive)
  • Body Mass Index (BMI) no higher than 40.0 kg/m^2
Show all 9Show fewer
  • For EXTENSION period (NN5401-3726):
  • Informed consent obtained before any trial-related activities
  • Must have completed the 26-week treatment period (visit 28) in trial NN5401-3590

Who cannot join

  • For MAIN period (NN5401-3590):
  • Treatment with glucagon like peptide-1 (GLP-1) receptor agonists and/or thiazolidinedione(s) within the last 3 months prior to trial start
  • Cardiovascular disease diagnosed within 6 months before trial start
  • For EXTENSION period (NN5401-3726):
  • Anticipated change in concomitant medication known to interfere significantly with glucose metabolism, such as systemic corticosteroids, beta-blockers, Monoamine oxidase (MAO) inhibitors
  • Anticipated significant lifestyle changes during the trial, e.g. shift work (including permanent night/evening shift workers), as well as highly variable eating habits as judged by the physician)
  • Pregnancy, breast-feeding, the intention of becoming pregnant or not using adequate contraceptive measures according to local requirements

Trial locations and contacts

92 sites in 9 countries.

92 sites in 9 countries

United States41 sites
  • Novo Nordisk Investigational Site

    Birmingham, Alabama, 35233

  • Novo Nordisk Investigational Site

    Brooklyn, New York, 11203

  • Novo Nordisk Investigational Site

    Chattanooga, Tennessee, 37404

  • Novo Nordisk Investigational Site

    Concord, California, 94520-1926

  • Novo Nordisk Investigational Site

    Council Bluffs, Iowa, 51501

  • Novo Nordisk Investigational Site

    Dallas, Texas, 75230

  • Novo Nordisk Investigational Site

    Dallas, Texas, 75235

  • Novo Nordisk Investigational Site

    Detroit, Michigan, 48235

  • Novo Nordisk Investigational Site

    Greenbrae, California, 94904

  • Novo Nordisk Investigational Site

    Greensboro, North Carolina, 27408

  • Novo Nordisk Investigational Site

    Greenville, North Carolina, 27834

  • Novo Nordisk Investigational Site

    Greer, South Carolina, 29651

  • Novo Nordisk Investigational Site

    Honolulu, Hawaii, 96813

  • Novo Nordisk Investigational Site

    Honolulu, Hawaii, 96814

  • Novo Nordisk Investigational Site

    Idaho Falls, Idaho, 83404-7596

  • Novo Nordisk Investigational Site

    Los Angeles, California, 90057

  • Novo Nordisk Investigational Site

    Lubbock, Texas, 79423

  • Novo Nordisk Investigational Site

    Memphis, Tennessee, 38119

  • Novo Nordisk Investigational Site

    Metairie, Louisiana, 70006-2930

  • Novo Nordisk Investigational Site

    Miami, Florida, 33135

  • Novo Nordisk Investigational Site

    Miami, Florida, 33136

  • Novo Nordisk Investigational Site

    Miami, Florida, 33169

  • Novo Nordisk Investigational Site

    Morehead City, North Carolina, 28557

  • Novo Nordisk Investigational Site

    New Orleans, Louisiana, 70119

  • Novo Nordisk Investigational Site

    Newport News, Virginia, 23606

  • Novo Nordisk Investigational Site

    North Miami, Florida, 33161

  • Novo Nordisk Investigational Site

    Olympia, Washington, 98502

  • Novo Nordisk Investigational Site

    Pembroke Pines, Florida, 33027

  • Novo Nordisk Investigational Site

    Portland, Oregon, 97220

  • Novo Nordisk Investigational Site

    Portland, Oregon, 97239

  • Novo Nordisk Investigational Site

    Saint Charles, Missouri, 63303

  • Novo Nordisk Investigational Site

    San Antonio, Texas, 78240

  • Novo Nordisk Investigational Site

    Smithtown, New York, 11787

  • Novo Nordisk Investigational Site

    Springfield, Missouri, 65807

  • Novo Nordisk Investigational Site

    St. George, Utah, 84790

  • Novo Nordisk Investigational Site

    Tomball, Texas, 77375

  • Novo Nordisk Investigational Site

    Troy, Michigan, 48085-5524

  • Novo Nordisk Investigational Site

    Tulsa, Oklahoma, 74104

  • Novo Nordisk Investigational Site

    Vestavia Hills, Alabama, 35209

  • Novo Nordisk Investigational Site

    Waterbury, Connecticut, 06708

  • Novo Nordisk Investigational Site

    Wilson, North Carolina, 27893

Other trials in United States

Spain11 sites
  • Novo Nordisk Investigational Site

    Barcelona, 08035

  • Novo Nordisk Investigational Site

    Málaga, 29006

  • Novo Nordisk Investigational Site

    Mérida, 06800

  • Novo Nordisk Investigational Site

    Palma de Mallorca, 07198

  • Novo Nordisk Investigational Site

    Partida de Bacarot, 03114

  • Novo Nordisk Investigational Site

    Pozuelo de Alarcón, 28223

  • Novo Nordisk Investigational Site

    San Sebastián de los Reyes, 28700

  • Novo Nordisk Investigational Site

    Santiago de Compostela, 15706

  • Novo Nordisk Investigational Site

    Seville, 41009

  • Novo Nordisk Investigational Site

    Valencia, 46014

  • Novo Nordisk Investigational Site

    Valladolid, 47005

Other trials in Spain

Russia10 sites
  • Novo Nordisk Investigational Site

    Arkhangelsk, 163045

  • Novo Nordisk Investigational Site

    Moscow, 117036

  • Novo Nordisk Investigational Site

    Nizhny Novgorod, 603126

  • Novo Nordisk Investigational Site

    Orenburg, 460040

  • Novo Nordisk Investigational Site

    Samara, 443067

  • Novo Nordisk Investigational Site

    Saratov, 410053

  • Novo Nordisk Investigational Site

    Saratov, 410710

  • Novo Nordisk Investigational Site

    Smolensk, 214019

  • Novo Nordisk Investigational Site

    Stavropol, 355017

  • Novo Nordisk Investigational Site

    Yaroslavl, 150003

Other trials in Russia

Austria6 sites
  • Novo Nordisk Investigational Site

    Ebreichsdorf, 2483

  • Novo Nordisk Investigational Site

    Feldbach, 8330

  • Novo Nordisk Investigational Site

    Innsbruck, 6020

  • Novo Nordisk Investigational Site

    Salzburg, 5010

  • Novo Nordisk Investigational Site

    Vienna, 1030

  • Novo Nordisk Investigational Site

    Vienna, 1060

Other trials in Austria

India6 sites
  • Novo Nordisk Investigational Site

    Bangalore, 560038

  • Novo Nordisk Investigational Site

    Jaipur, Rajasthan, 302006

  • Novo Nordisk Investigational Site

    Kerala, 682026

  • Novo Nordisk Investigational Site

    Mumbai, Maharashtra, 400053

  • Novo Nordisk Investigational Site

    Patna, 800020

  • Novo Nordisk Investigational Site

    Trichy, Tamil Nadu, 620018

Other trials in India

Poland6 sites
  • Novo Nordisk Investigational Site

    Krakow, 31-261

  • Novo Nordisk Investigational Site

    Lodz, 90-003

  • Novo Nordisk Investigational Site

    Lodz, 93-338

  • Novo Nordisk Investigational Site

    Lublin, 20-044

  • Novo Nordisk Investigational Site

    Pruszków, 05-800

  • Novo Nordisk Investigational Site

    Warsaw, 02-507

Other trials in Poland

Turkey (Türkiye)6 sites
  • Novo Nordisk Investigational Site

    Antalya, 07058

  • Novo Nordisk Investigational Site

    Istanbul, 34096

  • Novo Nordisk Investigational Site

    Istanbul, 34390

  • Novo Nordisk Investigational Site

    Istanbul, 34400

  • Novo Nordisk Investigational Site

    Istanbul, 34760

  • Novo Nordisk Investigational Site

    Istanbul

Other trials in Turkey (Türkiye)

South Korea5 sites
  • Novo Nordisk Investigational Site

    Pucheon, 424-017

  • Novo Nordisk Investigational Site

    Pusan, 602-739

  • Novo Nordisk Investigational Site

    Seoul, 08308

  • Novo Nordisk Investigational Site

    Seoul, 137-701

  • Novo Nordisk Investigational Site

    Seoul, 158-710

Other trials in South Korea

Puerto Rico1 site
  • Novo Nordisk Investigational Site

    Bayamón, 00961

Other trials in Puerto Rico

About this study

Official title: NN5401-3590: A Trial Comparing Efficacy and Safety of NN5401 With Insulin Glargine in Insulin Naive Subjects With Type 2 Diabetes (BOOST™ : START 1) / NN5401-3726: An Extension Trial Comparing Safety and Efficacy of NN5401 With Insulin Glargine in Subjects With Type 2 Diabetes (BOOST™: START 1)

This trial is conducted in Asia, Europe and the United States of America (USA). The aim of this trial is to compare the efficacy and safety of NN5401 (insulin degludec/insulin aspart (IDegAsp)) with insulin glargine (IGlar), both as add-on to subject's ongoing treatment with metformin + at least one OAD (oral anti-diabetic drug).

The main period is registered internally at Novo Nordisk as NN5401-3590 while the extension period is registered as NN5401-3726.

Being tested
insulin degludec/insulin aspart, 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 degludec/insulin aspartDrug

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

  • insulin glargineDrug

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

Study groups in NCT01045707
Study groupRoleWhat they receive
IDegAsp ODExperimentalNot described
Receives: Drug: insulin degludec/insulin aspart
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. Main Trial (Primary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 26 Weeks of Treatment

    Change from baseline in HbA1c after 26 weeks of treatment.

    Measured: Week 0, Week 26

  2. Extension Trial (Primary Endpoint): 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 53 + 7 days follow up

  3. Extension Trial (Primary Endpoint): Rate of Nocturnal 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. Nocturnal hypoglycaemic episodes are defined as occurring between 00:01 and 05:59 a.m.

    Measured: Week 0 to Week 53 + 7 days follow up

  4. Extension Trial (Primary Endpoint): Rate of Treatment Emergent Adverse Events (AEs)

    Corresponds to rate of AEs per 100 patient years of exposure. Severity assessed by investigator. Mild:no or transient symptoms, no interference with the subject's daily activities. Moderate: marked symptoms, moderate interference with the subject's daily activities. Severe: considerable interference with the subject's daily activities, unacceptable. Serious AE: AE that at any dose results in any of the following: death, a life-threatening experience, in-subject hospitalisation/prolongation of existing hospitalisation, persistent/significant disability/incapacity/congenital anomaly/birth defect

    Measured: Week 0 to Week 53 + 7 days follow up

Secondary outcomes (2)
  1. Extension Trial (Secondary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 52 Weeks of Treatment

    Change from baseline in HbA1c after 52 weeks of treatment.

    Measured: Week 0, Week 53

  2. Main Trial (Secondary Endpoint): Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 26

    Mean of SMPG at 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, bedtime, at 4 am and before breakfast.

    Measured: Week 26

Timeline

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

  1. First posted11 Jan 2010 (estimated)
  2. Study startJan 2010
  3. Primary completionOct 2010
  4. Study completionOct 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
530 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01045707
Sponsor's protocol ID
NN5401-3590
Other IDs
2009-011271-78, U1111-1111-7178, 2009-015839-33, U1111-1114-9237, 2009
Acronym
BOOST™
Status last verified
Oct 2016
First submitted
8 Jan 2010
Last updated
8 Dec 2016
Data monitoring committee
No

Publications

  • Kumar A, Franek E, Wise J, Niemeyer M, Mersebach H, Simo R. Efficacy and Safety of Once-Daily Insulin Degludec/Insulin Aspart versus Insulin Glargine (U100) for 52 Weeks in Insulin-Naive Patients with Type 2 Diabetes: A Randomized Controlled Trial. PLoS One. 2016 Oct 19;11(10):e0163350. doi: 10.1371/journal.pone.0163350. eCollection 2016.

    PubMed 27760129
  • Yang W, Akhtar S, Franek E, Haluzik M, Hirose T, Kalyanam B, Kar S, Wu T, Gogas Yavuz D, Unnikrishnan AG. Postprandial Glucose Excursions in Asian Versus Non-Asian Patients with Type 2 Diabetes: A Post Hoc Analysis of Baseline Data from Phase 3 Randomised Controlled Trials of IDegAsp. Diabetes Ther. 2022 Feb;13(2):311-323. doi: 10.1007/s13300-021-01196-7. Epub 2022 Jan 19.

    PubMed 35044568

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing insulin degludec/insulin aspart and insulin glargine in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 92 sites in 9 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 9 inclusion and 7 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 8 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 92 sites in United States, Spain, Russia, Austria, India and 4 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 20 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?

Main Trial (Primary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 26 Weeks of Treatment (time frame: Week 0, Week 26). The study lists 4 primary outcomes in all. 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 NCT01045707, which also lists 2 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 8 Dec 2016.

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