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DiabetesPhase 4SIT2MIXNCT01519674

Treatment Intensification With Biphasic Insulin Aspart 30 in Subjects With Type 2 Diabetes Inadequately Controlled on Sitagliptin and Metformin

A Phase 4 study testing biphasic insulin aspart 30, sitagliptin and metformin in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 69 sites in 10 countries.

Completed

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

Official record
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Trial summary

This trial is conducted in Asia, Europe, Oceania and South America. The aim of this clinical trial is to generate data demonstrating how to intensify diabetes treatment using BIAsp 30 (biphasic insulin aspart 30) by adding or substituting BIAsp 30 to sitagliptin in various regimens for type 2 patients inadequately… 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?
biphasic insulin aspart 30, sitagliptin and metformin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
582 participants
Where
69 sitesin 10 countries
Study dates
Jun 2012to Oct 2013
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 a minimum of 6 months prior to screening (Visit 1)
  • Stable treatment with a total daily dose of at least 1000 mg of metformin (with or without additional oral anti-diabetic drugs (OADs) treatment). The metformin dose must have been unchanged for at least 3 months prior to screening (Visit 1)
  • Stable treatment with a total daily dose of at least 100 mg sitagliptin. The sitagliptin dose must have been unchanged for at least 3 months prior to screening (Visit 1)
  • Subject is insulin-naïve (never previously treated with insulin). (However, short term insulin use due to intermittent illness of up to 14 days or insulin treatment for gestational diabetes is allowed)
  • HbA1c (glycosylated haemoglobin) between 7.0 to 10.0 % (53-86 mmol/mol) (both inclusive) by central laboratory analysis demonstrating inadequate control on sitagliptin and metformin (with or without other OADs)
  • Body Mass Index (BMI) below or equal to 40.0 kg/m^2
  • Able and willing to eat at least 2 meals (breakfast and dinner) every day during the trial

Who cannot join

  • Treatment with thiazolidinedione (TZD) or glucagon-like-peptide-1 (GLP-1) receptor agonist within the last 3 months prior to screening (Visit 1)
  • Cardiac disease within the last 6 months prior to screening (Visit 1), defined as: decompensated heart failure New York Heart Association (NYHA) class III or IV; unstable angina pectoris; or myocardial infarction
  • Severe hypertension, systolic blood pressure equal to or above 180 mm Hg or diastolic blood pressure equal to or above 100 mm Hg, after 5 minutes rest in the sitting position using mean value of 3 measurements at screening (Visit 1)
  • Anticipated change of dose of any systemic treatment with products, which in the trial physician's opinion could interfere with glucose metabolism (e.g., systemic corticosteroids)
  • Clinically significant diseases (except for conditions associated with type 2 diabetes) which, in the trial physician's opinion may confound the results of the trial or pose additional risk in administering trial product(s)
  • Impaired hepatic function as indicated by aspartate aminotransferase (ASAT) or alanine aminotransferase (ALAT) above 2.5 times the upper normal range, according to central laboratory reference ranges
  • Impaired renal function as indicated by serum creatinine levels equal to or above 133 micromol/L (1.5 mg/dL) for males and equal to or above 124 micromol/L (1.4 mg/dL) for females or estimated creatinine clearance below 60 mL/min, based on the Cockroft \& Gault formula and according to local practise for metformin use

Trial locations and contacts

69 sites in 10 countries.

69 sites in 10 countries

India25 sites
  • Novo Nordisk Investigational Site

    Ahmedabad, Gujarat, 380006

  • Novo Nordisk Investigational Site

    Ahmedabad, Gujarat, 380016

  • Novo Nordisk Investigational Site

    Amritsar, Punjab, 143001

  • Novo Nordisk Investigational Site

    Bangalore, Karnataka, 560 017

  • Novo Nordisk Investigational Site

    Bangalore, Karnataka, 560002

  • Novo Nordisk Investigational Site

    Bangalore, Karnataka, 560043

  • Novo Nordisk Investigational Site

    Bangalore, Karnataka, 560092

  • Novo Nordisk Investigational Site

    Calicut, Kerala, 673016

  • Novo Nordisk Investigational Site

    Chennai, Tamil Nadu, 600003

  • Novo Nordisk Investigational Site

    Chennai, Tamil Nadu, 600006

  • Novo Nordisk Investigational Site

    Chennai, Tamil Nadu, 600040

  • Novo Nordisk Investigational Site

    Coimbatore, Tamil Nadu, 641009

  • Novo Nordisk Investigational Site

    Hyderabad, Andhra Pradesh, 500003

  • Novo Nordisk Investigational Site

    Hyderabad, Andhra Pradesh, 500034

  • Novo Nordisk Investigational Site

    Hyderabad, Andhra Pradesh, 500082

  • Novo Nordisk Investigational Site

    Kanpur, Uttar Pradesh, 208005

  • Novo Nordisk Investigational Site

    Kolkata, West Bengal, 700019

  • Novo Nordisk Investigational Site

    Kolkata, West Bengal, 700038

  • Novo Nordisk Investigational Site

    Nagpur, Maharashtra, 440010

  • Novo Nordisk Investigational Site

    New Delhi, New Delhi, 110001

  • Novo Nordisk Investigational Site

    Noida, Uttar Pradesh, 201301

  • Novo Nordisk Investigational Site

    Trichy, Tamil Nadu, 620018

  • Novo Nordisk Investigational Site

    Trivandrum, Kerala, 695607

  • Novo Nordisk Investigational Site

    Varanasi, Uttar Pradesh, 221105

  • Novo Nordisk Investigational Site

    Visakhapatnam, Andhra Pradesh, 530002

Other trials in India

South Korea8 sites
  • Novo Nordisk Investigational Site

    Goyang, 10380

  • Novo Nordisk Investigational Site

    Jeonju, 561-712

  • Novo Nordisk Investigational Site

    Pusan, 602-739

  • Novo Nordisk Investigational Site

    Pyungchon-Dong 896, Dongan-Gu, 431-796

  • Novo Nordisk Investigational Site

    Seoul, 03080

  • Novo Nordisk Investigational Site

    Seoul, 150-713

  • Novo Nordisk Investigational Site

    Suwon, 16247

  • Novo Nordisk Investigational Site

    Ulsan, 682-060

Other trials in South Korea

Argentina6 sites
  • Novo Nordisk Investigational Site

    Buenos Aires, B1704ETD

  • Novo Nordisk Investigational Site

    Buenos Aires, C1250AAN

  • Novo Nordisk Investigational Site

    Caba, C1179AAB

  • Novo Nordisk Investigational Site

    Caba, C1440AAD

  • Novo Nordisk Investigational Site

    Mar del Plata, B7600FZN

  • Novo Nordisk Investigational Site

    Morón, B1708IFF

Other trials in Argentina

Greece6 sites
  • Novo Nordisk Investigational Site

    Alexandroupoli, GR-68100

  • Novo Nordisk Investigational Site

    Athens, 151 23

  • Novo Nordisk Investigational Site

    Athens, GR-17562

  • Novo Nordisk Investigational Site

    Thessaloniki, GR-54642

  • Novo Nordisk Investigational Site

    Thessaloniki, GR-57001

  • Novo Nordisk Investigational Site

    Thessaloniki, GR-57010

Other trials in Greece

Portugal6 sites
  • Novo Nordisk Investigational Site

    Coimbra, 3000-561

  • Novo Nordisk Investigational Site

    Lisbon, 1250-230

  • Novo Nordisk Investigational Site

    Lisbon, 1500-650

  • Novo Nordisk Investigational Site

    Lisbon, 1649-035

  • Novo Nordisk Investigational Site

    Matosinhos Municipality, 4464-513

  • Novo Nordisk Investigational Site

    Porto, 4200-319

Other trials in Portugal

Brazil5 sites
  • Novo Nordisk Investigational Site

    Brasília, 71625-009

  • Novo Nordisk Investigational Site

    Curitiba, 80810-040

  • Novo Nordisk Investigational Site

    Fortaleza, 60430-350

  • Novo Nordisk Investigational Site

    Porto Alegre, 90035-170

  • Novo Nordisk Investigational Site

    São Paulo, São Paulo, 01244-030

Other trials in Brazil

Turkey (Türkiye)5 sites
  • Novo Nordisk Investigational Site

    Antalya, 07058

  • Novo Nordisk Investigational Site

    Istanbul, 34371

  • Novo Nordisk Investigational Site

    Istanbul, 34718

  • Novo Nordisk Investigational Site

    Istanbul, 34722

  • Novo Nordisk Investigational Site

    Istanbul, 34890

Other trials in Turkey (Türkiye)

Thailand4 sites
  • Novo Nordisk Investigational Site

    Bangkok, 10330

  • Novo Nordisk Investigational Site

    Bangkok, 10400

  • Novo Nordisk Investigational Site

    Chiang Mai, 50200

  • Novo Nordisk Investigational Site

    Khon Kaen, 40002

Other trials in Thailand

Australia2 sites
  • Novo Nordisk Investigational Site

    Broadmeadow, New South Wales, 2292

  • Novo Nordisk Investigational Site

    Coffs Harbour, New South Wales, 2450

Other trials in Australia

Malaysia2 sites
  • Novo Nordisk Investigational Site

    George Town, 10459

  • Novo Nordisk Investigational Site

    Seremban, 70300

Other trials in Malaysia

About this study

Official title: A 24 Week Randomised, Open Label, 3 Parallel-group Comparison of Once and Twice Daily Biphasic Insulin Aspart (BIAsp) 30 Plus Sitagliptin and Twice Daily BIAsp 30, All in Combination With Metformin in Insulin naïve Type 2 Diabetic Subjects Inadequately Controlled on Sitagliptin and Metformin

This trial is conducted in Asia, Europe, Oceania and South America. The aim of this clinical trial is to generate data demonstrating how to intensify diabetes treatment using BIAsp 30 (biphasic insulin aspart 30) by adding or substituting BIAsp 30 to sitagliptin in various regimens for type 2 patients inadequately controlled on sitagliptin and metformin (with or without other oral anti-diabetic drugs (OADs)).

The trial is conducted as a phase 4 trial in the majority of the participating countries. However, in some countries the trial is conducted as phase 3b.

Being tested
biphasic insulin aspart 30, sitagliptin, metformin
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.

  • biphasic insulin aspart 30Drug

    BIAsp 30 will be injected subcutaneously (under the skin) twice daily. Individually adjusted dose.

  • biphasic insulin aspart 30Drug

    BIAsp 30 will be injected subcutaneously (under the skin) once daily. Individually adjusted dose.

  • sitagliptinDrug

    Subjects will continue on their pre-trial sitagliptin treatment.

  • metforminDrug

    Subjects will continue on their pre-trial metformin treatment.

Study groups in NCT01519674
Study groupRoleWhat they receive
BIAsp 30 BID + sitagliptin + metforminActive comparatorNot described
Receives: Drug: biphasic insulin aspart 30; Drug: sitagliptin; Drug: metformin
BIAsp 30 BID + metforminActive comparatorNot described
Receives: Drug: biphasic insulin aspart 30; Drug: metformin
BIAsp 30 OD + sitagliptin + metforminActive comparatorNot described
Receives: Drug: biphasic insulin aspart 30; Drug: sitagliptin; Drug: metformin

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)

    Estimated mean change from baseline in HbA1c after 24 weeks of treatment.

    Measured: Week 0 to Week 24

Secondary outcomes (10)
  1. Responder for HbA1c, Proportion of Subjects Achieving Pre-defined HbA1c Targets (HbA1c < 7.0%)

    Proportion of subjects achieving HbA1c below 7.0% after 24 weeks of treatment

    Measured: After 24 weeks of treatment

  2. Responder for HbA1c, Proportion of Subjects Achieving Pre-defined HbA1c Targets (HbA1c ≤ 6.5%)

    Proportion of subjects achieving HbA1c equal to or below 6.5% after 24 weeks of treatment.

    Measured: After 24 weeks of treatment

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

    Estimated mean change from baseline in fasting plasma glucose (FPG)

    Measured: Week 0 to Week 24

  4. Prandial Plasma Glucose (PPG) Increments at Breakfast

    Estimated mean post prandial increments at breakfast after 24 weeks of treatment.

    Measured: After 24 weeks of treatment

  5. Prandial Plasma Glucose (PPG) Increments at Lunch.

    Estimated mean post prandial increments at lunch after 24 weeks of treatment.

    Measured: After 24 weeks of treatment

  6. Prandial Plasma Glucose (PPG) Increments at Dinner.

    Estimated mean post prandial increments at dinner after 24 weeks of treatment.

    Measured: After 24 weeks of treatment

  7. Prandial Plasma Glucose (PPG) Overall Mean Increment.

    Estimated overall mean post prandial increment after 24 weeks of treatment.

    Measured: After 24 weeks of treatment

  8. Adverse Events (AEs)

    Rate of AEs per 100 years of patient exposure. An adverse event was defined as treatment emergent if the event had onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment.

    Measured: Week 0 to Week 24

  9. Number of Treatment Emergent Hypoglycaemic Episodes (Nocturnal and Day-time) Classified Both According to the American Diabetes Association (ADA) Definition and to an Additional Definition for Minor Episodes.

    Number of treatment emergent hypoglycaemic episodes. Treatment emergent hypoglycaemic episode: if the onset of the episode was on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment. Nocturnal: Time of onset between 00:01 and 05:59 a.m. (both included). Additional minor hypoglycaemic episode: symptomatic or asymptomatic hypoglycaemia with blood glucose (BG) values < 2.8 mmol/L (50 mg/dL) or plasma glucose (PG) < 3.1 mmol/L (56 mg/dL), and which was handled by the subject him/herself.

    Measured: Week 0 to Week 24

  10. Change From Baseline in Patient Reported Outcome by Use of the Treatment Related Impact Measure - Diabetes.

    Estimated mean change from baseline in Treatment Related Impact Measure - Diabetes (TRIM-D) 'total score' to end of trial. The score measured treatment satisfaction. The scores were transformed to a 0-100 scale with higher scores indicating greater satisfaction.

    Measured: Week 0 to Week 24

Timeline

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

  1. First posted27 Jan 2012 (estimated)
  2. Study startJun 2012
  3. Primary completionOct 2013
  4. Study completionOct 2013

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
582 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01519674
Sponsor's protocol ID
BIASP-3963
Other IDs
U1111-1125-0850, 2011-004930-33
Acronym
SIT2MIX
Status last verified
Jan 2017
First submitted
24 Jan 2012
Last updated
24 Feb 2017
Data monitoring committee
No

Publications

  • Linjawi S, Sothiratnam R, Sari R, Andersen H, Hiort LC, Rao P. The study of once- and twice-daily biphasic insulin aspart 30 (BIAsp 30) with sitagliptin, and twice-daily BIAsp 30 without sitagliptin, in patients with type 2 diabetes uncontrolled on sitagliptin and metformin-The Sit2Mix trial. Prim Care Diabetes. 2015 Oct;9(5):370-6. doi: 10.1016/j.pcd.2014.11.001. Epub 2014 Dec 3.

    PubMed 25488587

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing biphasic insulin aspart 30, sitagliptin and metformin in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 69 sites in 10 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 7 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 24 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 69 sites in India, South Korea, Argentina, Greece, Portugal and 5 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 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 10 Nov 2014). 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 to Week 24). 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 NCT01519674, 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 24 Feb 2017.

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