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DiabetesPhase 3onset® 3NCT01850615

Efficacy and Safety of FIAsp in a Basal-bolus Regimen Versus Basal Insulin Therapy, Both in Combination With Metformin in Adult Subjects With Type 2 Diabetes

A Phase 3 study testing Faster-acting insulin aspart and basal insulin in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 58 sites in 6 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, South America, and the United States of America (USA). The aim of the trial is to investigate efficacy and safety of FIAsp in a basal-bolus regimen versus basal insulin therapy, both in combination with metformin in adult 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?
Faster-acting insulin aspart and basal insulin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
323 participants
Where
58 sitesin 6 countries
Study dates
23 Sep 2013to 17 Nov 2014
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

  • Type 2 diabetes (diagnosed clinically) for at least 6 months prior to the screening visit (Visit 1)
  • Current treatment with once daily insulin detemir, insulin glargine or human isophane insulin, NPH 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 Dipeptidyl peptidase-IV 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) 7.5-9.5% (58 - 80 mmol/mol) (both inclusive) in the metformin group at the screening visit (Visit 1) or b) 7.5-9.0% (58 - 75 mmol/mol) (both inclusive) in the metformin + other oral antidiabetic drug (OAD) (sulphonylurea (SU), glinide, dipeptidyl peptidase-IV (DDP-IV) inhibitors, alpha-glucosidase inhibitors (AGI) combination group at the screening visit (Visit 1)
  • Body mass index (BMI) equal or less than 40.0 kg/m^2

Who cannot join

  • Any use of bolus insulin, except short-term use due to intermittent illness (no longer than 14 days of consecutive treatment) and not within 3 months prior to the screening visit (Visit 1)
  • Use of Glucagon-like peptide-1 (GLP-1) agonists and/or Thiazolidinediones (TZD) within the last 3 months prior to screening (visit 1)
  • Recurrent severe hypoglycaemia (more than one 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)

Trial locations and contacts

58 sites in 6 countries.

58 sites in 6 countries

United States32 sites
  • Novo Nordisk Investigational Site

    Asheboro, North Carolina, 27203

  • Novo Nordisk Investigational Site

    Birmingham, Alabama, 35211

  • Novo Nordisk Investigational Site

    Birmingham, Alabama, 35216

  • Novo Nordisk Investigational Site

    Boston, Massachusetts, 02118

  • Novo Nordisk Investigational Site

    Brooklyn, New York, 11229

  • Novo Nordisk Investigational Site

    Cincinnati, Ohio, 45242

  • Novo Nordisk Investigational Site

    Clearwater, Florida, 33765

  • Novo Nordisk Investigational Site

    Colorado Springs, Colorado, 80907

  • Novo Nordisk Investigational Site

    Colorado Springs, Colorado, 80922

  • Novo Nordisk Investigational Site

    Conyers, Georgia, 30094-5965

  • Novo Nordisk Investigational Site

    Downingtown, Pennsylvania, 19335-2620

  • Novo Nordisk Investigational Site

    Fort Worth, Texas, 76132

  • Novo Nordisk Investigational Site

    Greenville, South Carolina, 29605-4254

  • Novo Nordisk Investigational Site

    Greer, South Carolina, 29651

  • Novo Nordisk Investigational Site

    Henderson, Nevada, 89052

  • Novo Nordisk Investigational Site

    Houston, Texas, 77025-1669

  • Novo Nordisk Investigational Site

    Kalamazoo, Michigan, 49009

  • Novo Nordisk Investigational Site

    Las Vegas, Nevada, 89120

  • Novo Nordisk Investigational Site

    Little Rock, Arkansas, 72205

  • Novo Nordisk Investigational Site

    Memphis, Tennessee, 38119-3821

  • Novo Nordisk Investigational Site

    New Orleans, Louisiana, 70121

  • Novo Nordisk Investigational Site

    Ogden, Utah, 84405

  • Novo Nordisk Investigational Site

    Oklahoma City, Oklahoma, 73104

  • Novo Nordisk Investigational Site

    Omaha, Nebraska, 68144

  • Novo Nordisk Investigational Site

    Pembroke Pines, Florida, 33028

  • Novo Nordisk Investigational Site

    Peoria, Arizona, 85381

  • Novo Nordisk Investigational Site

    Reading, Pennsylvania, 19609

  • Novo Nordisk Investigational Site

    Rockville, Maryland, 20852

  • Novo Nordisk Investigational Site

    San Antonio, Texas, 78229

  • Novo Nordisk Investigational Site

    Santa Ana, California, 92705

  • Novo Nordisk Investigational Site

    Sugar Land, Texas, 77478

  • Novo Nordisk Investigational Site

    Tarzana, California, 91356-3551

Other trials in United States

India9 sites
  • Novo Nordisk Investigational Site

    Bangalore, Karnataka, 560 017

  • Novo Nordisk Investigational Site

    Chandigarh, Punjab, 160012

  • Novo Nordisk Investigational Site

    Coimbatore, Tamil Nadu, 641018

  • Novo Nordisk Investigational Site

    Hyderabad, Andhra Pradesh, 500034

  • Novo Nordisk Investigational Site

    Hyderabad, Andhra Pradesh, 500082

  • Novo Nordisk Investigational Site

    Mumbai, Maharashtra, 400007

  • Novo Nordisk Investigational Site

    Mumbai, Maharashtra, 400058

  • Novo Nordisk Investigational Site

    New Dehli, New Delhi, 110029

  • Novo Nordisk Investigational Site

    Visakhapatnam, Andhra Pradesh, 530002

Other trials in India

Argentina5 sites
  • Novo Nordisk Investigational Site

    Buenos Aires, C1250AAN

  • Novo Nordisk Investigational Site

    Capital Federal, C1056ABJ

  • Novo Nordisk Investigational Site

    Córdoba, X5006IKK

  • Novo Nordisk Investigational Site

    Godoy Cruz, M5501ARP

  • Novo Nordisk Investigational Site

    San Isidro, B1642DCD

Other trials in Argentina

Romania5 sites
  • Novo Nordisk Investigational Site

    Brasov, 500269

  • Novo Nordisk Investigational Site

    Ploieşti, Prahova, 100097

  • Novo Nordisk Investigational Site

    Suceava, 720237

  • Novo Nordisk Investigational Site

    Târgu Mureş, Mureș County, 540142

  • Novo Nordisk Investigational Site

    Timișoara, Timiș County, 300125

Other trials in Romania

Slovenia4 sites
  • Novo Nordisk Investigational Site

    Brežice, 8250

  • Novo Nordisk Investigational Site

    Koper, SI-6000

  • Novo Nordisk Investigational Site

    Kranj, 4000

  • Novo Nordisk Investigational Site

    Novo Mesto, 8000

Other trials in Slovenia

Mexico3 sites
  • Novo Nordisk Investigational Site

    Guadalajara, Jalisco, 44150

  • Novo Nordisk Investigational Site

    Guadalajara, Jalisco, 44650

  • Novo Nordisk Investigational Site

    Mexico City, México, D.F., 03300

Other trials in Mexico

About this study

This trial is conducted in Asia, Europe, South America, and the United States of America (USA).

The aim of the trial is to investigate efficacy and safety of FIAsp in a basal-bolus regimen versus basal insulin therapy, both in combination with metformin in adult subjects with type 2 diabetes.

Being tested
Faster-acting insulin aspart, basal insulin
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

    Also called NN1218

    Administrated subcutaneously (s.c., under the skin) at each main meal.

  • basal insulinDrug

    Administrated subcutaneously (s.c., under the skin) once daily.

Study groups in NCT01850615
Study groupRoleWhat they receive
FIAsp and basal insulin + metforminExperimentalSubjects will receive FIAsp combined with their pre-trial basal insulin (insulin human, insulin detemir or insulin glargine) treatment in combination with their pre-trial metformin.
Receives: Drug: Faster-acting insulin aspart; Drug: basal insulin
Basal insulin + metforminActive comparatorSubjects will continue their pre-trial basal insulin (insulin human, insulin detemir or insulin glargine) treatment in combination with their pre-trial metformin.
Receives: Drug: basal insulin

What is being measured

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

  1. Change From Baseline in HbA1c

    For this endpoint, baseline (week 0) and week 18 data are presented, where week 18 data are the "end of trial" data containing last available measurements.

    Measured: Week 0, week 18

Secondary outcomes (5)
  1. Self-measured Plasma Glucose (SMPG) 7-point Profile: Post Prandial Plasma Glucose (PPG), Overall 2-hour Mean (of Breakfast, Lunch, Main Evening Meal)

    For this endpoint the "end of trial" data containing last available measurements are presented. PPG measurements were recorded by the subjects at 2 hours after each meal (breakfast, lunch and main evening meal) as part of three 7-point profiles (SMPG) prior to the visits. Individual mean meal PPG (post-breakfast, post-lunch, post-main evening meal) was derived from the three measurements.

    Measured: After 18 weeks of randomised treatment

  2. Self-measured Plasma Glucose (SMPG) 7-point Profile: Prandial Plasma Glucose (PG) Increment, Overall 2-hour Mean (of Breakfast, Lunch, Main Evening Meal)

    For this endpoint the "end of trial" data containing last available measurements are presented. Prandial PG increment for each meal (breakfast, lunch, main evening meal) was derived from the 7-point profiles (SMPG) as the difference between the PPG value 2 hours after each meal and the PG value before each meal. Individual mean meal PPG (post-breakfast, post-lunch, post-main evening meal) was derived from the three measurements.

    Measured: After 18 weeks of randomised treatment

  3. Change From Baseline in Body Weight

    For this endpoint, baseline (week 0) and week 18 data are presented, where week 18 data are the "end of trial" data containing last available measurements.

    Measured: Week 0, week 18

  4. Number of Treatment Emergent Hypoglycaemic Episodes

    Plasma glucose (PG) was measured and recorded when a hypoglycaemic episode was suspected. All PG values ≤3.9 mmol/L (70 mg/dL) or >3.9 mmol/L (70 mg/dL) when they occurred in conjunction with hypoglycaemic symptoms were recorded by the subject. Numbers of treatment emergent hypoglycaemic episodes were recorded during 18 weeks of treatment.

    Measured: Weeks 0-18

  5. Number of Adverse Events

    All adverse events (AEs) described here refer to treatment emergent adverse events (TEAE). A TEAE was defined as an event that had onset date on or after the first day of exposure to randomised treatment and no later than 7 days after the last day of randomised treatment, week 18.

    Measured: Weeks 0-18

Timeline

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

  1. First posted9 May 2013 (estimated)
  2. Study start23 Sep 2013
  3. Primary completion17 Nov 2014
  4. Study completion17 Nov 2014

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
323 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01850615
Sponsor's protocol ID
NN1218-4049
Other IDs
2012-005583-10, U1111-1137-6242, CTRI/2014/01/004289
Acronym
onset® 3
Status last verified
May 2019
First submitted
17 Apr 2013
Last updated
12 Jun 2019
Data monitoring committee
No

Publications

  • Peters AL, Piletic M, Ejstrud J, Salvesen-Sykes K, Snyder J, Bowering K. Baseline nocturnal glucose change: A predictor of the treatment effect of bolus intensification in insulin-treated type 2 diabetes. Diabetes Obes Metab. 2019 Jul;21(7):1752-1756. doi: 10.1111/dom.13729. Epub 2019 Apr 23.

    PubMed 30924578
  • Rodbard HW, Tripathy D, Vidrio Velazquez M, Demissie M, Tamer SC, Piletic M. Adding fast-acting insulin aspart to basal insulin significantly improved glycaemic control in patients with type 2 diabetes: A randomized, 18-week, open-label, phase 3 trial (onset 3). Diabetes Obes Metab. 2017 Oct;19(10):1389-1396. doi: 10.1111/dom.12955. Epub 2017 Jul 6.

    PubMed 28345792
  • Heller S, Bowering K, Raskin P, Liebl A, Buchholtz K, Gorst-Rasmussen A, Pieber TR. The effect of basal-bolus therapy varies with baseline 1,5-anhydroglucitol level in people with Type 2 diabetes: a post hoc analysis. Diabet Med. 2018 May 26;35(9):1273-8. doi: 10.1111/dme.13693. Online ahead of print.

    PubMed 29802636
  • 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 and basal insulin in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 58 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 3 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 12 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 58 sites in United States, India, Argentina, Romania, Slovenia 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 17 Jan 2018). 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 18). 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 NCT01850615, which also lists 4 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 12 Jun 2019.

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