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AzTrials

DiabetesPhase 3onset® 2NCT01819129

Efficacy and Safety of FIAsp Compared to Insulin Aspart in Combination With Insulin Glargine and Metformin in Adults With Type 2 Diabetes

A Phase 3 study testing Faster-acting insulin aspart, Insulin aspart and Insulin glargine in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 144 sites in 10 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 North America. The aim of the trial is to compare FIAsp (faster-acting insulin aspart) to insulin aspart, both in combination with insulin glargine and metformin in adults 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?
Faster-acting insulin aspart, Insulin aspart and Insulin glargine
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
881 participants
Where
144 sitesin 10 countries
Study dates
9 Sep 2013to 22 Jan 2015
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

Inclusion Criteria: - Type 2 diabetes (diagnosed clinically) for 6 months or longer at time of screening (visit 1) - Treated with basal insulin for at least 6 months prior to screening (visit 1) - Current once daily treatment with insulin NPH (Neutral Protamine Hagedorn), insulin detemir or glargine for at least 3 months prior to the screening visit (visit 1) - Current treatment with: a. metformin with unchanged dosing for at least 3 months prior to screening (visit 1). The metformin dose must be at least 1000 mg or b. metformin in combination with sulfonylurea (SU) or glinide or DPP-IV (dipeptidyl peptidase-4) inhibitors and/or alpha-glucosidase inhibitors (AGI) with unchanged dosing for at least 3 months prior to screening (visit 1). The metformin dose must be at least 1000 mg - HbA1c by central laboratory: a. 7.0 - 9.5% (53 - 80 mmol/mol) (both inclusive) in the metformin group at the screening visit (visit 1) or b. 7.0 - 9.0% (53 - 75 mmol/mol) (both inclusive) in the metformin + other OAD (oral antidiabetic drug) (SU, glinide, DDP-IV inhibitors, AGI) combination group at the screening visit (visit 1) - Body mass index (BMI) equal to or below 40.0 kg/m^2 Exclusion Criteria: - Any use of bolus insulin, except short-term use due to intermittent illness (no longer than 14 days consecutive treatment) and not 3 months prior to the screening visit (visit 1) - Use of GLP-1 (glucagon-like peptide-1) agonists and/or TZDs within the last 3 months prior to screening (visit 1) - Recurrent severe hypoglycaemia (more than 1 severe hypoglycaemic event during the last 12 months) or hypoglycaemic unawareness as judged by the Investigator or hospitalisation for diabetic ketoacidosis during the previous 6 months prior to screening (visit 1) - Cardiovascular disease, within the last 6 months prior to screening (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

Trial locations and contacts

144 sites in 10 countries.

144 sites in 10 countries

United States77 sites
  • Novo Nordisk Investigational Site

    Anaheim, California, 92801

  • Novo Nordisk Investigational Site

    Atlanta, Georgia, 30308-2253

  • Novo Nordisk Investigational Site

    Atlanta, Georgia, 30328

  • Novo Nordisk Investigational Site

    Aurora, Colorado, 80045

  • Novo Nordisk Investigational Site

    Avon, Illinois, 46123

  • Novo Nordisk Investigational Site

    Boynton Beach, Florida, 33472

  • Novo Nordisk Investigational Site

    Bradenton, Florida, 34201

  • Novo Nordisk Investigational Site

    Buckley, Michigan, 49620

  • Novo Nordisk Investigational Site

    Butte, Montana, 59701

  • Novo Nordisk Investigational Site

    Carlisle, Ohio, 45005

  • Novo Nordisk Investigational Site

    Chattanooga, Tennessee, 37404-1192

  • Novo Nordisk Investigational Site

    Chesterfield, Missouri, 63017

  • Novo Nordisk Investigational Site

    Cleveland, Ohio, 44122

  • Novo Nordisk Investigational Site

    Colorado Springs, Colorado, 80910

  • Novo Nordisk Investigational Site

    Cooper City, Florida, 33024

  • Novo Nordisk Investigational Site

    Dallas, Texas, 75230

  • Novo Nordisk Investigational Site

    Dallas, Texas, 75251

  • Novo Nordisk Investigational Site

    Dayton, Ohio, 45439

  • Novo Nordisk Investigational Site

    Decatur, Georgia, 30033

  • Novo Nordisk Investigational Site

    Detroit, Michigan, 48201

  • Novo Nordisk Investigational Site

    East Providence, Rhode Island, 02914

  • Novo Nordisk Investigational Site

    Elkhorn, Nebraska, 68022

  • Novo Nordisk Investigational Site

    Fort Lauderdale, Florida, 33316

  • Novo Nordisk Investigational Site

    Franklin, Ohio, 45005

  • Novo Nordisk Investigational Site

    Fresno, California, 93720

  • Novo Nordisk Investigational Site

    Gaffney, South Carolina, 29341

  • Novo Nordisk Investigational Site

    Glendale, Arizona, 85306-4652

  • Novo Nordisk Investigational Site

    Glendale, Arizona, 85308

  • Novo Nordisk Investigational Site

    Greenbrae, California, 94904

  • Novo Nordisk Investigational Site

    Hickory, North Carolina, 28601

  • Novo Nordisk Investigational Site

    Hurst, Texas, 76054

  • Novo Nordisk Investigational Site

    Indianapolis, Indiana, 46254

  • Novo Nordisk Investigational Site

    Jacksonville, Florida, 32205

  • Novo Nordisk Investigational Site

    Jacksonville, Florida, 32216

  • Novo Nordisk Investigational Site

    Jefferson City, Missouri, 65109

  • Novo Nordisk Investigational Site

    Kenosha, Wisconsin, 53144

  • Novo Nordisk Investigational Site

    Kingsport, Tennessee, 37660

  • Novo Nordisk Investigational Site

    Lomita, California, 90717

  • Novo Nordisk Investigational Site

    Louisville, Kentucky, 40206

  • Novo Nordisk Investigational Site

    Madisonville, Kentucky, 42431-1661

  • Novo Nordisk Investigational Site

    Mason, Ohio, 45040-6815

  • Novo Nordisk Investigational Site

    Mesa, Arizona, 85213

  • Novo Nordisk Investigational Site

    Miami, Florida, 33144

  • Novo Nordisk Investigational Site

    Miami, Florida, 33173

  • Novo Nordisk Investigational Site

    Midlothian, Virginia, 23114

  • Novo Nordisk Investigational Site

    Milwaukee, Wisconsin, 53209

  • Novo Nordisk Investigational Site

    Mineola, New York, 11501

  • Novo Nordisk Investigational Site

    Monroe, Louisiana, 71203

  • Novo Nordisk Investigational Site

    Muncie, Indiana, 47304

  • Novo Nordisk Investigational Site

    Murray, Utah, 84123

  • Novo Nordisk Investigational Site

    New Windsor, New York, 12553

  • Novo Nordisk Investigational Site

    North Massapequa, New York, 11758-1802

  • Novo Nordisk Investigational Site

    Northport, New York, 11768

  • Novo Nordisk Investigational Site

    Northridge, California, 91325

  • Novo Nordisk Investigational Site

    Omaha, Nebraska, 68105

  • Novo Nordisk Investigational Site

    Omaha, Nebraska, 68198-3020

  • Novo Nordisk Investigational Site

    Paducah, Kentucky, 42003

  • Novo Nordisk Investigational Site

    Pembroke Pines, Florida, 33027

  • Novo Nordisk Investigational Site

    Peoria, Illinois, 61602

  • Novo Nordisk Investigational Site

    Phoenix, Arizona, 85020

  • Novo Nordisk Investigational Site

    Plano, Texas, 75075

  • Novo Nordisk Investigational Site

    Plantation, Florida, 33324

  • Novo Nordisk Investigational Site

    Port Orchard, Washington, 98366

  • Novo Nordisk Investigational Site

    Roswell, Georgia, 30076

  • Novo Nordisk Investigational Site

    San Diego, California, 92111

  • Novo Nordisk Investigational Site

    San Ramon, California, 94583

  • Novo Nordisk Investigational Site

    Spring Hill, Tennessee, 37174

  • Novo Nordisk Investigational Site

    St Louis, Missouri, 63141

  • Novo Nordisk Investigational Site

    Tampa, Florida, 33603

  • Novo Nordisk Investigational Site

    Tempe, Arizona, 85283

  • Novo Nordisk Investigational Site

    Toms River, New Jersey, 08755-8050

  • Novo Nordisk Investigational Site

    Topeka, Kansas, 66606

  • Novo Nordisk Investigational Site

    Troy, Michigan, 48085-5524

  • Novo Nordisk Investigational Site

    Tullahoma, Tennessee, 37388

  • Novo Nordisk Investigational Site

    Walnut Creek, California, 94598

  • Novo Nordisk Investigational Site

    Waterbury, Connecticut, 06708

  • Novo Nordisk Investigational Site

    Wilmington, North Carolina, 28401

Other trials in United States

Canada13 sites
  • Novo Nordisk Investigational Site

    Edmonton, Alberta, T5J 3N4

  • Novo Nordisk Investigational Site

    Hamilton, Ontario, L8M 1K7

  • Novo Nordisk Investigational Site

    Mirabel, Quebec, J7J 2K8

  • Novo Nordisk Investigational Site

    Montreal, Quebec, H1Y 3L1

  • Novo Nordisk Investigational Site

    Montreal, Quebec, H2R 1V6

  • Novo Nordisk Investigational Site

    Mount Pearl, Newfoundland and Labrador, A1N 1W7

  • Novo Nordisk Investigational Site

    Québec, G1G 3Y8

  • Novo Nordisk Investigational Site

    Québec, G1N 4V3

  • Novo Nordisk Investigational Site

    Saint Romuald, Quebec, G6W 5M6

  • Novo Nordisk Investigational Site

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

  • Novo Nordisk Investigational Site

    Surrey, British Columbia, V3S 2N6

  • Novo Nordisk Investigational Site

    Thunder Bay, Ontario, P7B 7C7

  • Novo Nordisk Investigational Site

    Waterloo, Ontario, N2J 1C4

Other trials in Canada

Russia12 sites
  • Novo Nordisk Investigational Site

    Kursk, 305035

  • Novo Nordisk Investigational Site

    Moscow, 117036

  • Novo Nordisk Investigational Site

    Moscow, 119435

  • Novo Nordisk Investigational Site

    Moscow, 127644

  • Novo Nordisk Investigational Site

    Penza, 440026

  • Novo Nordisk Investigational Site

    Saint Petersburg, 191119

  • Novo Nordisk Investigational Site

    Saint Petersburg, 194291

  • Novo Nordisk Investigational Site

    Saint Petersburg, 194358

  • Novo Nordisk Investigational Site

    Saint Petersburg, 195257

  • Novo Nordisk Investigational Site

    Saint Petersburg, 199034

  • Novo Nordisk Investigational Site

    Saint-Petesburg, 195257

  • Novo Nordisk Investigational Site

    Stavropol, 355035

Other trials in Russia

India10 sites
  • Novo Nordisk Investigational Site

    Bhubaneswar, Odisha, 751019

  • Novo Nordisk Investigational Site

    Delhi, New Delhi, 110002

  • Novo Nordisk Investigational Site

    Hyderabad, Andhra Pradesh, 500082

  • Novo Nordisk Investigational Site

    Indore, Madhya Pradesh, 452010

  • Novo Nordisk Investigational Site

    Jaipur, Rajasthan, 302006

  • Novo Nordisk Investigational Site

    Mumbai, Maharashtra, 400008

  • Novo Nordisk Investigational Site

    Mumbai, Maharashtra, 400012

  • Novo Nordisk Investigational Site

    Mumbai, Maharashtra, 400058

  • Novo Nordisk Investigational Site

    Pune, Maharashtra, 411004

  • Novo Nordisk Investigational Site

    Pune, Maharashtra, 411040

Other trials in India

United Kingdom9 sites
  • Novo Nordisk Investigational Site

    Epworth, DN9 1EP

  • Novo Nordisk Investigational Site

    Hull, HU3 2RW

  • Novo Nordisk Investigational Site

    Northampton, NN1 5BD

  • Novo Nordisk Investigational Site

    Northwood, HA6 2RN

  • Novo Nordisk Investigational Site

    Norwich, NR4 7TJ

  • Novo Nordisk Investigational Site

    Nuneaton, CV10 7DJ

  • Novo Nordisk Investigational Site

    Sidcup, DA14 6LT

  • Novo Nordisk Investigational Site

    Stoke-on-Trent, ST4 6QG

  • Novo Nordisk Investigational Site

    Wrexham, LL13 7TD

Other trials in United Kingdom

Croatia8 sites
  • Novo Nordisk Investigational Site

    Čakovec, 40000

  • Novo Nordisk Investigational Site

    Karlovac, 47000

  • Novo Nordisk Investigational Site

    Osijek, 31 000

  • Novo Nordisk Investigational Site

    Slavonski Brod, 35 000

  • Novo Nordisk Investigational Site

    Split, 21 000

  • Novo Nordisk Investigational Site

    Varaždin, 42 000

  • Novo Nordisk Investigational Site

    Zagreb, 10 000

  • Novo Nordisk Investigational Site

    Zagreb, 10000

Other trials in Croatia

Israel6 sites
  • Novo Nordisk Investigational Site

    Beersheba, 84101

  • Novo Nordisk Investigational Site

    Haifa, 35152

  • Novo Nordisk Investigational Site

    Jerusalem, 91120

  • Novo Nordisk Investigational Site

    Kfar Saba, 44281

  • Novo Nordisk Investigational Site

    Rehovot, 76100

  • Novo Nordisk Investigational Site

    Rishon LeZiyyon, 75650

Other trials in Israel

Slovakia5 sites
  • Novo Nordisk Investigational Site

    Bratislava, 821 02

  • Novo Nordisk Investigational Site

    Bratislava, 851 01

  • Novo Nordisk Investigational Site

    Lučenec, 984 01

  • Novo Nordisk Investigational Site

    Trnava, 91701

  • Novo Nordisk Investigational Site

    Žilina, 01001

Other trials in Slovakia

Serbia3 sites
  • Novo Nordisk Investigational Site

    Belgrade, 11000

  • Novo Nordisk Investigational Site

    Niš, 18000

  • Novo Nordisk Investigational Site

    Zaječar, 19000

Other trials in Serbia

Puerto Rico1 site
  • Novo Nordisk Investigational Site

    Ponce, 00717

Other trials in Puerto Rico

About this study

This trial is conducted in Asia, Europe and North America. The aim of the trial is to compare FIAsp (faster-acting insulin aspart) to insulin aspart, both in combination with insulin glargine and metformin in adults with type 2 diabetes.

Being tested
Faster-acting insulin aspart, 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.

  • Faster-acting insulin aspartDrug

    Mealtime FIAsp administered subcutaneously (s.c., under the skin). Dose individually adjusted.

  • Insulin aspartDrug

    Mealtime insulin aspart administered subcutaneously (s.c., under the skin). Dose individually adjusted.

  • Insulin glargineDrug

    Administered s.c. once daily at subjects' pre-trial dose. Subjects will continue their metformin treatment without changing the frequency or dose throughout the trial.

Study groups in NCT01819129
Study groupRoleWhat they receive
Faster-acting insulin aspart (FIAsp)ExperimentalMeal time faster-acting insulin aspart is given in combination with once daily insulin glargine and metformin in a basal-bolus regimen. Insulin glargine and metformin treatment are open labelled background medication.
Receives: Drug: Faster-acting insulin aspart; Drug: Insulin glargine
Insulin aspartActive comparatorMeal time insulin aspart is given in combination with once daily insulin glargine and metformin in a basal-bolus regimen. Insulin glargine and metformin treatment are open labelled background medication.
Receives: Drug: Insulin aspart; Drug: Insulin glargine

What is being measured

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

  1. Change From Baseline in HbA1c

    The primary endpoint was change from baseline in HbA1c after 26 weeks of randomized treatment. For this endpoint baseline (week 0) and week 26 have been presented, where week 26 data is end of trial containing last available measurement.

    Measured: Week 0, Week 26

Secondary outcomes (3)
  1. Change From Baseline in 2-hour PPG Increment (Meal Test)

    For this endpoint baseline (week 0) and week 26 have been presented, where week 26 data is end of trial containing last available measurement.

    Measured: Week 0, week 26

  2. Number of Treatment Emergent Confirmed Hypoglycaemic Episodes

    A hypoglycaemic episode was defined as treatment-emergent if the onset of the episode was on or after the first day of exposure to randomized treatment and no later than 1 day after the last day of randomized treatment. A severe or blood glucose (BG) confirmed hypoglycaemic episode was an episode that was severe according to the American Diabetes Association (ADA) classification (an episode that required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with or without symptoms consistent with hypoglycaemia.

    Measured: From Week 0 to Week 26.

  3. Change From Baseline in Body Weight

    For this endpoint baseline (week 0) and week 26 have been presented, where week 26 data is end of trial containing last available measurement.

    Measured: Week 0, 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 posted27 Mar 2013 (estimated)
  2. Study start9 Sep 2013
  3. Primary completion22 Jan 2015
  4. Study completion22 Jan 2015

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
Double blind
Who is masked
Participant, Investigator
Enrolment
881 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01819129
Sponsor's protocol ID
NN1218-3853
Other IDs
2010-024051-93, U1111-1118-2509, CTRI/2014/01/004285
Acronym
onset® 2
Status last verified
Jan 2019
First submitted
21 Mar 2013
Last updated
30 Jan 2019
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Bowering K, Case C, Harvey J, Reeves M, Sampson M, Strzinek R, Bretler DM, Bang RB, Bode BW. Faster Aspart Versus Insulin Aspart as Part of a Basal-Bolus Regimen in Inadequately Controlled Type 2 Diabetes: The onset 2 Trial. Diabetes Care. 2017 Jul;40(7):951-957. doi: 10.2337/dc16-1770. Epub 2017 May 8.

    PubMed 28483786
  • Bode BW, Bowering K, Russell-Jones D. Response to Comment on Russell-Jones et al. Diabetes Care 2017;40:943-950. Comment on Bowering et al. Diabetes Care 2017;40:951-957. Diabetes Care. 2018 Mar;41(3):e29-e30. doi: 10.2337/dci17-0051. No abstract available.

    PubMed 29463670
  • Bowering K, Rodbard HW, Russell-Jones D, Bode B, Harris S, Piletic M, Heller S, Woo V, Babu V, Dethlefsen C, Mathieu C. Investigating the Association Between Baseline Characteristics (HbA1c and Body Mass Index) and Clinical Outcomes of Fast-Acting Insulin Aspart in People with Diabetes: A Post Hoc Analysis. Diabetes Ther. 2019 Feb;10(1):177-188. doi: 10.1007/s13300-018-0553-7. Epub 2018 Dec 13.

    PubMed 30547388

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Faster-acting insulin aspart, Insulin aspart and Insulin glargine in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 144 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?

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 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 144 sites in United States, Canada, Russia, India, United Kingdom 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 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 5 Dec 2017). 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 (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 NCT01819129, which also lists 3 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 Jan 2019.

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