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DiabetesPhase 3BEGIN™NCT01388361

Comparison of the Efficacy and Safety of Two Intensification Strategies in Subjects With Type 2 Diabetes Inadequately Controlled on Basal Insulin and Metformin

A Phase 3 study testing insulin degludec, insulin aspart and liraglutide in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 124 sites in 12 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 Europe and North America. The aim of this trial is to compare the efficacy and safety of adding liraglutide versus addition of insulin aspart with the largest meal to insulin degludec in subjects 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, insulin aspart and liraglutide
Could I receive a placebo?
No, everyone receives an active treatment
How many people
413 participants
Where
124 sitesin 12 countries
Study dates
Sep 2011to Jul 2012
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

  • 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).
  • The subject must have completed the end of treatment visit of NN1250-3643 with Insulin degludec once daily + metformin.
  • Ability and willingness to adhere to the protocol including self measurement of plasma glucose according to the protocol

Who cannot join

  • Participated in NN1250-3643 and treated with insulin glargine
  • Previous treatment with glucacon like peptide (GLP-1) receptor agonists (e.g. exenatide, liraglutide)
  • Impaired liver function, defined as alanine aminotransferase (ALAT) 2.5 times the upper limit of normal at end of treatment in NN1250-3643
  • Impaired renal function defined as serum-creatinine = 125 µmol/l (= 1.4 mg/dl) for males and = 110 µmol/L (= 1.3 mg/dl) for females or according to local label for metformin [For France: glomerular filtration rate below 60 ml/min, calculated by the Cockroft \& Gault formula] at end of treatment in NN1250-3643.

Trial locations and contacts

124 sites in 12 countries.

124 sites in 12 countries

United States48 sites
  • Novo Nordisk Investigational Site

    Arlington, Texas, 76014

  • Novo Nordisk Investigational Site

    Asheboro, North Carolina, 27203

  • Novo Nordisk Investigational Site

    Boynton Beach, Florida, 33472

  • Novo Nordisk Investigational Site

    Chattanooga, Tennessee, 37411

  • Novo Nordisk Investigational Site

    Chicago, Illinois, 60607

  • Novo Nordisk Investigational Site

    Cincinnati, Ohio, 45245

  • Novo Nordisk Investigational Site

    Columbia, South Carolina, 29203

  • Novo Nordisk Investigational Site

    Concord, California, 94520-1926

  • Novo Nordisk Investigational Site

    Dallas, Texas, 75230

  • Novo Nordisk Investigational Site

    Dallas, Texas, 75246

  • Novo Nordisk Investigational Site

    Decatur, Georgia, 30033

  • Novo Nordisk Investigational Site

    East Providence, Rhode Island, 02914

  • Novo Nordisk Investigational Site

    Evansville, Indiana, 47714

  • Novo Nordisk Investigational Site

    Fort Worth, Texas, 76113

  • Novo Nordisk Investigational Site

    Greer, South Carolina, 29651

  • Novo Nordisk Investigational Site

    Humboldt, Tennessee, 38343

  • Novo Nordisk Investigational Site

    Irving, Texas, 75061-2210

  • Novo Nordisk Investigational Site

    La Jolla, California, 92037

  • Novo Nordisk Investigational Site

    Lancaster, California, 93534

  • Novo Nordisk Investigational Site

    Los Angeles, California, 90057

  • Novo Nordisk Investigational Site

    Lubbock, Texas, 79423

  • Novo Nordisk Investigational Site

    Melbourne, Florida, 32901

  • Novo Nordisk Investigational Site

    Melrose Park, Pennsylvania, 19027

  • Novo Nordisk Investigational Site

    Metairie, Louisiana, 70002

  • Novo Nordisk Investigational Site

    Miami, Florida, 33156

  • Novo Nordisk Investigational Site

    Milwaukee, Wisconsin, 53209

  • Novo Nordisk Investigational Site

    Nashville, Tennessee, 37203

  • Novo Nordisk Investigational Site

    National City, California, 91950

  • Novo Nordisk Investigational Site

    New Port Richey, Florida, 34652

  • Novo Nordisk Investigational Site

    North East, Maryland, 21901

  • Novo Nordisk Investigational Site

    Northport, New York, 11768

  • Novo Nordisk Investigational Site

    Northridge, California, 91325

  • Novo Nordisk Investigational Site

    Oklahoma City, Oklahoma, 73103

  • Novo Nordisk Investigational Site

    Paducah, Kentucky, 42003

  • Novo Nordisk Investigational Site

    Palm Harbor, Florida, 34684

  • Novo Nordisk Investigational Site

    Palm Springs, California, 92262

  • Novo Nordisk Investigational Site

    Rockville, Maryland, 20852

  • Novo Nordisk Investigational Site

    San Antonio, Texas, 78215

  • Novo Nordisk Investigational Site

    Santa Monica, California, 90404

  • Novo Nordisk Investigational Site

    Slidell, Louisiana, 70461-4231

  • Novo Nordisk Investigational Site

    Spring Valley, California, 91978

  • Novo Nordisk Investigational Site

    Staten Island, New York, 10301

  • Novo Nordisk Investigational Site

    Sugar Land, Texas, 77479

  • Novo Nordisk Investigational Site

    Tarzana, California, 91356-3551

  • Novo Nordisk Investigational Site

    Toms River, New Jersey, 08755-8050

  • Novo Nordisk Investigational Site

    Tustin, California, 92780

  • Novo Nordisk Investigational Site

    Upper Saint Clair, Pennsylvania, 15241

  • Novo Nordisk Investigational Site

    West Palm Beach, Florida, 33401

Other trials in United States

Canada15 sites
  • Novo Nordisk Investigational Site

    Coquitlam, British Columbia, V3K 3P4

  • Novo Nordisk Investigational Site

    Edmonton, Alberta, T5J 3N4

  • Novo Nordisk Investigational Site

    Halifax, Nova Scotia, B3K 0A4

  • Novo Nordisk Investigational Site

    Mississauga, Ontario, L5M 2V8

  • Novo Nordisk Investigational Site

    Mount Pearl, Newfoundland and Labrador, A1N 1W7

  • Novo Nordisk Investigational Site

    Ottawa, Ontario, K1K 4L2

  • Novo Nordisk Investigational Site

    Ottawa, Ontario, K1N 6N5

  • Novo Nordisk Investigational Site

    Québec, Quebec, G1V 4G2

  • Novo Nordisk Investigational Site

    Saint Romuald, Quebec, G6W 5M6

  • Novo Nordisk Investigational Site

    Saint-Marc-des-Carrieres, Quebec, G0A 4B0

  • Novo Nordisk Investigational Site

    Scarborough Village, Ontario, M1E 5E9

  • Novo Nordisk Investigational Site

    St. John's, Newfoundland and Labrador, A1A 3R5

  • Novo Nordisk Investigational Site

    Toronto, Ontario, M5C 2T2

  • Novo Nordisk Investigational Site

    Vancouver, British Columbia, V5Z 1M9

  • Novo Nordisk Investigational Site

    Winnipeg, Manitoba, R3E 3P4

Other trials in Canada

Germany13 sites
  • Novo Nordisk Investigational Site

    Berlin, 12163

  • Novo Nordisk Investigational Site

    Berlin, 13055

  • Novo Nordisk Investigational Site

    Dresden, 01307

  • Novo Nordisk Investigational Site

    Essen, 45329

  • Novo Nordisk Investigational Site

    Friedrichsthal, 66299

  • Novo Nordisk Investigational Site

    Hamburg, 22391

  • Novo Nordisk Investigational Site

    Hohenmölsen, 06679

  • Novo Nordisk Investigational Site

    Neuwied, 56564

  • Novo Nordisk Investigational Site

    Pohlheim, 35415

  • Novo Nordisk Investigational Site

    Rehburg-Loccum, 31547

  • Novo Nordisk Investigational Site

    Rehlingen-Siersburg, 66780

  • Novo Nordisk Investigational Site

    Saint Ingbert, 66386

  • Novo Nordisk Investigational Site

    Speyer, 67346

Other trials in Germany

Norway8 sites
  • Novo Nordisk Investigational Site

    Ålesund, 6003

  • Novo Nordisk Investigational Site

    Bekkestua, 1357

  • Novo Nordisk Investigational Site

    Elverum, 2408

  • Novo Nordisk Investigational Site

    Hamar, 2318

  • Novo Nordisk Investigational Site

    Kongsvinger, 2212

  • Novo Nordisk Investigational Site

    Oslo, 0407

  • Novo Nordisk Investigational Site

    Stavanger, 4011

  • Novo Nordisk Investigational Site

    Trondheim, NO-7030

Other trials in Norway

Spain7 sites
  • Novo Nordisk Investigational Site

    Almería, 04001

  • Novo Nordisk Investigational Site

    Antequera, 29200

  • Novo Nordisk Investigational Site

    Ferrol, 15405

  • Novo Nordisk Investigational Site

    Inca, 07300

  • Novo Nordisk Investigational Site

    Palma de Mallorca, 07014

  • Novo Nordisk Investigational Site

    Seville, 41003

  • Novo Nordisk Investigational Site

    Seville, 41010

Other trials in Spain

Denmark6 sites
  • Novo Nordisk Investigational Site

    Esbjerg, 6700

  • Novo Nordisk Investigational Site

    Hillerød, 3400

  • Novo Nordisk Investigational Site

    Holbæk, 4300

  • Novo Nordisk Investigational Site

    København S, 2300

  • Novo Nordisk Investigational Site

    Odense, 5000

  • Novo Nordisk Investigational Site

    Silkeborg, 8600

Other trials in Denmark

Finland6 sites
  • Novo Nordisk Investigational Site

    Helsinki, 00260

  • Novo Nordisk Investigational Site

    Joensuu, 80100

  • Novo Nordisk Investigational Site

    Kerava, FI-04200

  • Novo Nordisk Investigational Site

    Lohja, 08100

  • Novo Nordisk Investigational Site

    Oulu, 90100

  • Novo Nordisk Investigational Site

    Tampere, 33210

Other trials in Finland

Austria5 sites
  • Novo Nordisk Investigational Site

    Feldkirch, 6807

  • Novo Nordisk Investigational Site

    Vienna, 1030

  • Novo Nordisk Investigational Site

    Vienna, 1090

  • Novo Nordisk Investigational Site

    Vienna, 1130

  • Novo Nordisk Investigational Site

    Wolfsberg, 9400

Other trials in Austria

Belgium4 sites
  • Novo Nordisk Investigational Site

    Brussels, 1070

  • Novo Nordisk Investigational Site

    Ghent, 9000

  • Novo Nordisk Investigational Site

    Leuven, 3000

  • Novo Nordisk Investigational Site

    Liège, 4000

Other trials in Belgium

Czechia4 sites
  • Novo Nordisk Investigational Site

    Brno, 65691

  • Novo Nordisk Investigational Site

    Hradec Králové, 500 05

  • Novo Nordisk Investigational Site

    Pilsen, 304 60

  • Novo Nordisk Investigational Site

    Prague, 140 21

Other trials in Czechia

France4 sites
  • Novo Nordisk Investigational Site

    Montigny-lès-Metz, 57950

  • Novo Nordisk Investigational Site

    Nanterre, 92014

  • Novo Nordisk Investigational Site

    Nîmes, 30006

  • Novo Nordisk Investigational Site

    Vénissieux, 69200

Other trials in France

Serbia4 sites
  • Novo Nordisk Investigational Site

    Belgrade, 11000

  • Novo Nordisk Investigational Site

    Kragujevac, 34000

  • Novo Nordisk Investigational Site

    Niš, 18000

  • Novo Nordisk Investigational Site

    Novi Sad, 21000

Other trials in Serbia

About this study

Official title: A Trial Comparing the Efficacy and Safety of Adding Liraglutide Versus Addition of Insulin Aspart With the Largest Meal to Insulin Degludec, Both in Combination With Metformin, in Subjects With Type 2 Diabetes Qualifying for Treatment Intensification (BEGIN™: VICTOZA® ADD-ON)

This trial is conducted in Europe and North America. The aim of this trial is to compare the efficacy and safety of adding liraglutide versus addition of insulin aspart with the largest meal to insulin degludec in subjects with type 2 diabetes.

Eligible subjects with an HbA1c equal to or above 7% at end of treatment in NN1250-3643 (NCT01193309) trial will be randomised to receive treatment intensification while subjects with an HbA1c below 7% at end of treatment in NN1250-3643 (NCT01193309) may continue to receive insulin degludec treatment. Subjects are to continue their pre-trial metformin treatment.

Being tested
insulin degludec, insulin aspart, liraglutide
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. The doses will be individually adjusted

  • insulin aspartDrug

    Injected s.c. (under the skin) once daily. The doses will be individually adjusted.

  • liraglutideDrug

    Injected s.c. (under the skin) once daily. The doses will be individually adjusted.

Study groups in NCT01388361
Study groupRoleWhat they receive
IDeg (non-randomised)ExperimentalNot described
Receives: Drug: insulin degludec
IDeg + IAspExperimentalNot described
Receives: Drug: insulin degludec; Drug: insulin aspart
IDeg + liraglutideExperimentalNot described
Receives: Drug: insulin degludec; Drug: liraglutide

What is being measured

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

  1. Change From Baseline in HbA1c (%) (Glycosylated Haemoglobin)

    Values for change in HbA1c from baseline to 26 weeks of treatment period.

    Measured: week 0, week 26

Secondary outcomes (3)
  1. Change From Baseline in Fasting Plasma Glucose (FPG)

    Values for change in FPG in mmol/L from baseline to week 26 of randomised period.

    Measured: week 0, week 26

  2. Change From Baseline in Body Weight

    Corresponds to the values of change in body weight in kilograms from baseline to week 26.

    Measured: week 0, week 26

  3. Number of Severe and Minor Treatment Emergent Hypoglycaemic Episodes

    Corresponds to number of treatment emergent hypoglycaemic events from onset on or after the first day of exposure to investigational product and no later than 7 days after last exposure to investigational product. Confirmed hypoglycaemia was defined as the pool of severe hypoglycaemic episodes and minor episodes with a plasma glucose (PG) value < 3.1 mmol/L (56 mg/dL).

    Measured: Onset on or after the first day of exposure to investigational product for 26 weeks of treatment period and no later than 7 days after last exposure to investigational product.

Timeline

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

  1. First posted6 Jul 2011 (estimated)
  2. Study startSep 2011
  3. Primary completionJul 2012
  4. Study completionJul 2012

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
413 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01388361
Sponsor's protocol ID
NN1250-3948
Other IDs
2011-001493-25, U1111-1120-2782
Acronym
BEGIN™
Status last verified
Jan 2017
First submitted
4 Jul 2011
Last updated
6 Mar 2017
Data monitoring committee
No

Publications

  • Mathieu C, Rodbard HW, Cariou B, Handelsman Y, Philis-Tsimikas A, Ocampo Francisco AM, Rana A, Zinman B; BEGIN: VICTOZA ADD-ON (NN1250-3948) study group. A comparison of adding liraglutide versus a single daily dose of insulin aspart to insulin degludec in subjects with type 2 diabetes (BEGIN: VICTOZA ADD-ON). Diabetes Obes Metab. 2014 Jul;16(7):636-44. doi: 10.1111/dom.12262. Epub 2014 Feb 11.

    PubMed 24443830

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing insulin degludec, insulin aspart and liraglutide in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 124 sites in 12 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 3 inclusion and 4 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 6 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 124 sites in United States, Canada, Germany, Norway, Spain and 7 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 26 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 From Baseline in HbA1c (%) (Glycosylated Haemoglobin) (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 NCT01388361, 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 6 Mar 2017.

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