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DiabetesPhase 3BEGIN™NCT01059799

Comparison of NN1250 Versus Insulin Glargine in Subjects With 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 53 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 and Japan. The aim of this trial is to compare insulin degludec (NN1250) with insulin glargine both combined with oral antidiabetic drugs (OADs) in subjects with type 2 diabetes never treated with insulin. 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
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
435 participants
Where
53 sitesin 6 countries
Study dates
1 Feb 2010to 16 Dec 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 Japan only: minimum age is 20 years
  • Type 2 diabetes mellitus (diagnosed clinically) for at least 6 months
  • Current treatment with monotherapy or combination of an insulin secretagouge (sulfonylurea or glinide) and metformin, with or without addition of alfa-glucosidase-inhibitors or a DPP-4 inhibitor with unchanged dosing for at least 3 months prior to visit 1. The dose(s) should as minimum be as stated: -Insulin secretagogue (sulfonylurea or glinide): Minimum half of the daily maximal dose according to local labelling -Metformin: alone or in combination (including fixed combination): Maximum tolerated dose - alfa-glucosidase-inhibitors: Minimum half of the daily maximal dose or maximum tolerated dose -DPP-4 (dipeptyl peptidase 4) inhibitor: According to local labelling
  • HbA1c 7.0-10.0 % (both inclusive) by central laboratory analysis
  • Body Mass Index (BMI) no higher than 35.0 kg/m^2

Who cannot join

  • Use within the last 3 months prior to Visit 1 of: TZDs (thiazolidinediones), exenatide or liraglutide
  • 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, or the intention of becoming pregnant or not using adequate contraceptive measures according to local requirements (for Thailand: adequate contraceptive measures are: diaphragm, condom (by the partner), intrauterine device in place for last three months before trial starts, sponge, cap with spermicide, contraceptive patch, approved hormonal implant (i.e. Norplant), oral contraceptives taken without difficulty for the last three months before trial starts, post menopausal state or sterilisation.)
  • Cancer and medical history of cancer (except basal cell skin cancer or squamous cell skin cancer)

Trial locations and contacts

53 sites in 6 countries.

53 sites in 6 countries

South Korea19 sites
  • Novo Nordisk Investigational Site

    Bucheon-si, 14647

  • Novo Nordisk Investigational Site

    Busan, 614-735

  • Novo Nordisk Investigational Site

    Goyang, 10380

  • Novo Nordisk Investigational Site

    Goyang, 410-719

  • Novo Nordisk Investigational Site

    Incheon, 400-103

  • Novo Nordisk Investigational Site

    Jeonju, 561-712

  • Novo Nordisk Investigational Site

    Seoul, 110-746

  • Novo Nordisk Investigational Site

    Seoul, 120-752

  • Novo Nordisk Investigational Site

    Seoul, 130-701

  • Novo Nordisk Investigational Site

    Seoul, 133-792

  • Novo Nordisk Investigational Site

    Seoul, 135-239

  • Novo Nordisk Investigational Site

    Seoul, 135-720

  • Novo Nordisk Investigational Site

    Seoul, 139-827

  • Novo Nordisk Investigational Site

    Seoul, 150-950

  • Novo Nordisk Investigational Site

    Seoul, 158-710

  • Novo Nordisk Investigational Site

    Suwon, 16247

  • Novo Nordisk Investigational Site

    Suwon, 16499

  • Novo Nordisk Investigational Site

    Wŏnju, 220-701

  • Novo Nordisk Investigational Site

    Yangsan, 626-770

Other trials in South Korea

Japan12 sites
  • Novo Nordisk Investigational Site

    Chuo-ku, Tokyo, 103 0002

  • Novo Nordisk Investigational Site

    Kamakura-shi, Kanagawa, 247 0072

  • Novo Nordisk Investigational Site

    Kawasaki-shi, 212 0024

  • Novo Nordisk Investigational Site

    Miyazaki, 880 0034

  • Novo Nordisk Investigational Site

    Naka-shi, Ibaraki, 311 0113

  • Novo Nordisk Investigational Site

    Nishinomiya-shi, Hygo, 662 0971

  • Novo Nordisk Investigational Site

    Ogawa, 355 0321

  • Novo Nordisk Investigational Site

    Ōita, 870 0039

  • Novo Nordisk Investigational Site

    Ota-ku, Tokyo, 144 0035

  • Novo Nordisk Investigational Site

    Oyama-shi, Tochigi, 323 0022

  • Novo Nordisk Investigational Site

    Sapporo-shi, Hokkaido, 060-0001

  • Novo Nordisk Investigational Site

    Takatsuki-shi, Osaka, 569 1096

Other trials in Japan

Malaysia8 sites
  • Novo Nordisk Investigational Site

    Cheras, 56000

  • Novo Nordisk Investigational Site

    George Town, 10459

  • Novo Nordisk Investigational Site

    Georgetown, Penang, 10450

  • Novo Nordisk Investigational Site

    Kota Bharu, Kelantan, 16150

  • Novo Nordisk Investigational Site

    Kuala Lumpur, 50586

  • Novo Nordisk Investigational Site

    Kuala Lumpur, 59100

  • Novo Nordisk Investigational Site

    Kuala Selangor, 46150

  • Novo Nordisk Investigational Site

    Putrajaya, 62250

Other trials in Malaysia

Taiwan7 sites
  • Novo Nordisk Investigational Site

    Banqiao District, 220

  • Novo Nordisk Investigational Site

    Changhua, 500

  • Novo Nordisk Investigational Site

    Chiayi City, 600

  • Novo Nordisk Investigational Site

    Kaohsiung City, 813

  • Novo Nordisk Investigational Site

    Kaoshiung, 807

  • Novo Nordisk Investigational Site

    Taichung

  • Novo Nordisk Investigational Site

    Taipei, 104

Other trials in Taiwan

Thailand6 sites
  • Novo Nordisk Investigational Site

    Bangkok, 10330

  • Novo Nordisk Investigational Site

    Bangkok, 10400

  • Novo Nordisk Investigational Site

    Bangkoknoi, Bangkok, 10700

  • Novo Nordisk Investigational Site

    Chiang Mai, 50200

  • Novo Nordisk Investigational Site

    Nakhon Ratchasima, 30000

  • Novo Nordisk Investigational Site

    Songkhla, 90110

Other trials in Thailand

Hong Kong1 site
  • Novo Nordisk Investigational Site

    Shatin, New Territories

Other trials in Hong Kong

About this study

Official title: A Pan Asian Trial Comparing Efficacy and Safety of Insulin NN1250 and Insulin Glargine as Add on to OAD(s) in Subjects With Type 2 Diabetes (BEGIN™: ONCE ASIA)

This trial is conducted in Asia and Japan. The aim of this trial is to compare insulin degludec (NN1250) with insulin glargine both combined with oral antidiabetic drugs (OADs) in subjects with type 2 diabetes never treated with insulin.

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

    Insulin degludec injected subcutaneously (under the skin) once daily. The doses will be individually adjusted

  • insulin glargineDrug

    Insulin glargine injected subcutaneously (under the skin) once daily. The doses will be individually adjusted

Study groups in NCT01059799
Study groupRoleWhat they receive
IDeg ODExperimentalNot described
Receives: Drug: insulin degludec
IGlar ODActive comparatorNot 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. Rate of Confirmed Hypoglycaemic Episodes

    Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure 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

  2. 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

  3. 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

Timeline

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

  1. First posted1 Feb 2010 (estimated)
  2. Study start1 Feb 2010
  3. Primary completion16 Dec 2010
  4. Study completion16 Dec 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
435 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01059799
Sponsor's protocol ID
NN1250-3586
Other IDs
U1111-1113-2441, JapicCTI-101039
Acronym
BEGIN™
Status last verified
Feb 2017
First submitted
29 Jan 2010
Last updated
30 Mar 2017
Data monitoring committee
No

Publications

  • 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
  • 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
  • Heller S, Mathieu C, Kapur R, Wolden ML, Zinman B. A meta-analysis of rate ratios for nocturnal confirmed hypoglycaemia with insulin degludec vs. insulin glargine using different definitions for hypoglycaemia. Diabet Med. 2016 Apr;33(4):478-87. doi: 10.1111/dme.13002. Epub 2015 Dec 13.

    PubMed 26484727
  • 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
  • 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
  • Vora J, Christensen T, Rana A, Bain SC. Insulin degludec versus insulin glargine in type 1 and type 2 diabetes mellitus: a meta-analysis of endpoints in phase 3a trials. Diabetes Ther. 2014 Dec;5(2):435-46. doi: 10.1007/s13300-014-0076-9. Epub 2014 Aug 1.

    PubMed 25081590
  • Aye MM, Atkin SL. Patient safety and minimizing risk with insulin administration - role of insulin degludec. Drug Healthc Patient Saf. 2014 Apr 30;6:55-67. doi: 10.2147/DHPS.S59566. eCollection 2014.

    PubMed 24812526
  • Onishi Y, Iwamoto Y, Yoo SJ, Clauson P, Tamer SC, Park S. Insulin degludec compared with insulin glargine in insulin-naive patients with type 2 diabetes: A 26-week, randomized, controlled, Pan-Asian, treat-to-target trial. J Diabetes Investig. 2013 Nov 27;4(6):605-12. doi: 10.1111/jdi.12102. Epub 2013 Jun 3.

    PubMed 24843715

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 53 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 30 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 53 sites in South Korea, Japan, Malaysia, Taiwan, Thailand 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 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 NCT01059799, which also lists 9 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 30 Mar 2017; AzTrials last refreshed its copy on 7 Nov 2026.

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