AzTrials
AzTrials

Diabetes Mellitus, Type 2ARISENCT04042441

A Research Study, Looking at How Ryzodeg® (Insulin Degludec/Insulin Aspart) Works in People With Type 2 Diabetes in Local Clinical Practice

An observational study of Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 64 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

The purpose of the study is to collect information on how Ryzodeg® works in real world patients and to see if Ryzodeg® can lower blood sugar levels. Participants will get Ryzodeg® as prescribed to them by their doctor. The study will last for about 6 to 9 months. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diabetes Mellitus, Type 2
What is being tested?
Insulin Degludec/Insulin Aspart
How many people
1,122 participants
Where
64 sitesin 6 countries
Study dates
29 Jul 2019to 11 Dec 2020
Phase
Observational
Are there results?
None posted in the registry

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

Study population: Real-world population of type 2 patients, who have been initiated or switched to Ryzodeg® from previous antihyperglycaemic treatment according to local clinical practice

Who may be able to join

  • Informed consent obtained before any study-related activities. Study-related activities are any procedures related to recording of data according to the protocol.
  • The decision to initiate or switch into treatment with commercially available Ryzodeg® has been made by the patient/Legally Acceptable Representative (LAR) and the treating physician based on local label before, and independently from, the decision to include the patient in this study.
  • Male or female, age above or equal to 18 years at the time of signing informed consent.
  • Diagnosed with T2DM and treated with any anti-hyperglycaemic medication(s) other than Ryzodeg® for at least 26 weeks prior to signing informed consent.
  • Available and documented HbA1c value for 12 weeks or less prior to signing informed consent.

Who cannot join

  • Hypersensitivity to the active substance or to any of the excipients as specified in the Ryzodeg® local label.
  • Previous participation in this study. Participation is defined as signed informed consent.
  • Mental incapacity, unwillingness or language barriers precluding adequate understanding or cooperation.
  • Previous treatment with Ryzodeg®.

Trial locations and contacts

64 sites in 6 countries.

64 sites in 6 countries

Malaysia14 sites
  • Island Hospital

    George Town, 10450

  • Remedic Clinic

    Kangar, 01000

  • Pantai Hospital

    Kedah, 08000

  • Kota Bahru Medical Centre Sdn Bhd

    Kelantan, 15200

  • Hospital Universiti Sains Malaysia

    Kota Bharu, Kelantan, 16150

  • Gleneagles Hospital

    Kuala Lumpur, 50450

  • Subang Jaya Medical Center

    Kuala Selangor, 47500

  • Thomson Hospital

    Kuala Selangor, 47810

  • Borneo Medical Centre

    Kuching, 93350

  • KPJ Kuching

    Kuching, 93350

  • Mahkota Medical Center

    Malacca, 75000

  • Pantai Hospital Ayer Keroh

    Malacca, 75450

  • Klinik Chong

    Perak, 35800

  • Hospital Putrajaya

    Putrajaya, 62250

Other trials in Malaysia

Philippines11 sites
  • Panay Healthcare Medical Center

    Aklan

  • Perpetual Succor Hospital

    Cebu City

  • Davao Doctors Hospital

    Davao City, 8000

  • Iloilo Diabetes Care Center

    Iloilo City, 5000

  • Makati Medical Center

    Makati City, 1229

  • University of Santo Tomas

    Manila, 1015

  • Manila Doctor's Hospital

    Manila

  • University of Sto. Tomas Hospital

    Manila

  • St. Luke's Medical Center

    Quezon City, 1102

  • Providence Hospital

    Quezon City

  • University of the East-Ramon Magsaysay Memorial Medical Ctr

    Quezon City

Other trials in Philippines

Australia10 sites
  • Box Hill Specialist Consulting rooms

    Box Hill, Victoria, 3128

  • Rockingham General Hospital

    Cooloongup, Western Australia, 6168

  • Lyell McEwin Hospital

    Elizabeth Vale, South Australia, 5112

  • Royal Brisbane and Women's Hospital

    Herston, Queensland, 4029

  • Hobart Cardiology

    Hobart, Tasmania, 7000

  • South Australian Endocrine Research

    Keswick, South Australia, 5035

  • Baker IDI Heart and Diabetes Institute

    Melbourne, Victoria, 3004

  • Mater Hospital Brisbane

    South Brisbane, Queensland, 4101

  • Royal North Shore Hospital

    St Leonards, New South Wales, 2065

  • Illawarra Diabetes Service Clinical Trials & Research Unit

    Wollongong, New South Wales, 2500

Other trials in Australia

India10 sites
  • Columbia Asia Hospital

    Bangalore, Karnataka, 560024

  • Pace Diabetes Center

    Bangalore, Karnataka, 560043

  • AMRI Hospital

    Bhubaneswar, Odisha, 751030

  • R.M. Diabetes Education & Research Foundation

    Chennai, Tamil Nadu, 600040

  • Max Super Speciality Shalimar Bhagh

    Delhi, New Delhi, 110088

  • Excelcare Hospital

    Guwahati, Assam, 781033

  • Narayana Superspeciality Hospital

    Howrah, West Bengal, 711103

  • Fortis Heart Institute and Multispeciality Hospital

    Mohali, Punjab, 160062

  • DEW Medicare & Trinity hospital

    Nagpur, Maharashtra, 440015

  • Fortis Hospital

    New Delhi, 110088

Other trials in India

Saudi Arabia10 sites
  • King Abdulaziz University Hospital

    Jeddah, 22252

  • Dr Bakhsh Hospital

    Jeddah, 23216

  • Dr. Ghassan N. Faroun Hospital

    Jeddah, 23521

  • Saudi German Hospital

    Jeddah, 23521

  • My clinic

    Jeddah

  • Umm Alquara University Hospital

    Mecca, 24381

  • Specialized medical center

    Riyadh, 12311

  • Riyadh Care Hospital

    Riyadh, 14214

  • National Guard Hospital

    Riyadh, 14611

  • Dallah Hospital

    Riyadh, 14963

Other trials in Saudi Arabia

South Africa9 sites
  • Union Hospital

    Alberton, 1449

  • Dr H Bacus

    Berea, KwaZulu-Natal, 4091

  • Medi-Clinic Bloemfontein

    Bloemfontein, 9301

  • Hemant Makan

    Johannesburg, Gauteng, 1827

  • Dr Moosa's Rooms

    Lenasia, Gauteng, 1827

  • Greenacres Hospital

    Port Elizabeth, Eastern Cape, 6045

  • Netcare Greenacres Hospital

    Port Elizabeth, Eastern Cape, 6045

  • ProHealth Wellness Centre

    Port Elizabeth, Eastern Cape, 6201

  • Prof P. Joshi

    Pretoria, Gauteng, 0181

Other trials in South Africa

About this study

Official title: A Multi-centre Prospective Non-interventional Study Investigating the Clinical Effectiveness of Ryzodeg® (Insulin Degludec/Insulin Aspart) in Patients With Type 2 Diabetes Mellitus in a Real-world Setting

The purpose of the study is to collect information on how Ryzodeg® works in real world patients and to see if Ryzodeg® can lower blood sugar levels. Participants will get Ryzodeg® as prescribed to them by their doctor. The study will last for about 6 to 9 months. Participants will be asked questions about their health and their diabetes treatment as part of their normal doctor's appointment.

Being tested
Insulin Degludec/Insulin Aspart
Medical subject headings
Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Insulin Degludec/Insulin AspartDrug

    Insulin Degludec/Insulin Aspart (Ryzodeg®) as prescribed by the patient's treating physician. The decision to initiate or switch into treatment with commercially available Ryzodeg® has been made before, and independently from, the decision to include the patient in this study.

Study groups in NCT04042441
Study groupRoleWhat they receive
Ryzodeg® as per local practiceReal-world population of patients with Diabetes Mellitus, Type 2 (T2DM), who have been initiated or switched to Ryzodeg® from previous antihyperglycaemic treatment according to local clinical practice.
Receives: Drug: Insulin Degludec/Insulin Aspart

What is being measured

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

  1. Change in local laboratory measured glycosylated haemoglobin (HbA1c)

    Percentage point

    Measured: From baseline (week 0) to end of study (week 26-36)

Secondary outcomes (18)
  1. HbA1c less than 7% (Yes/No)

    Percentage of patients

    Measured: At the end of study (week 26-36)

  2. HbA1c less than pre-defined individual treatment target (Yes/No)

    Percentage of patients

    Measured: At the end of study (week 26-36)

  3. Change in local laboratory measured fasting plasma glucose (FPG)

    mg/dL

    Measured: From baseline (week 0) to end of study (week 26-36)

  4. Change in local laboratory measured FPG

    mmol/L

    Measured: From baseline (week 0) to end of study (week 26-36)

  5. Change in insulin dose (total, basal, prandial)

    units/day

    Measured: From baseline (week 0) to end of study (week 26-36)

  6. Change in body weight

    Kg

    Measured: From baseline (week 0) to end of study (week 26-36)

  7. Number of patient recollection of non-severe hypoglycaemic episodes

    Number of episodes

    Measured: At baseline (week 0). Episodes occurring within 4 weeks prior to initiation of treatment with Ryzodeg®

  8. Number of patient recollection of non-severe hypoglycaemic episodes

    Number of episodes

    Measured: At the end of study (week 26-36). Episodes occurring within 4 weeks prior to end of study

  9. Number of patient recollection of nocturnal non-severe hypoglycaemic episodes

    Number of episodes

    Measured: At baseline (week 0). Episodes occurring within 4 weeks prior to initiation of treatment with Ryzodeg®

  10. Number of patient recollection of nocturnal non-severe hypoglycaemic episodes

    Number of episodes

    Measured: At end of study (week 26-36). Episodes occurring within 4 weeks prior to end of study

  11. Number of patient recollection of overall severe hypoglycaemic episodes

    Number of episodes

    Measured: At baseline (week 0). Episodes occurring within 26 weeks prior to initiation of treatment with Ryzodeg®

  12. Number of patient recollection of overall severe hypoglycaemic episodes

    Number of episodes

    Measured: At the end of study (week 26-36). Episodes occurring within 26 weeks prior to end of study

  13. Number of weekly self-measured plasma glucose (SMPG) measurements

    Number of measurements

    Measured: At baseline (week 0). Measurements occurring within 7 days prior to initiation of treatment with Ryzodeg®

  14. Number of weekly self-measured plasma glucose (SMPG) measurements

    Number of measurements

    Measured: At end of study (week 26-36). Measurements occurring within 7 days prior to end of study

  15. Reason for initiating Ryzodeg® (pre-specified response option(s))

    Percentage of patients per response option

    Measured: At baseline (week 0)

  16. Discontinue treatment with Ryzodeg® during the treatment period (Yes/No)

    Percentage of patients

    Measured: At treatment discontinuation (week 0-36) or at end of study (week 26-36). After initiation of treatment with Ryzodeg® until treatment discontinuation

  17. Reason for discontinuing treatment with Ryzodeg® during the treatment period, if applicable, (pre-specified response option(s))

    Percentage of patients per response option

    Measured: At treatment discontinuation (week 0-36). After initiation of treatment with Ryzodeg® until treatment discontinuation

  18. Time period from initiation to discontinuation of treatment with Ryzodeg®

    Days

    Measured: At treatment discontinuation (week 0-36). After initiation of treatment with Ryzodeg® until treatment discontinuation

Timeline

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

  1. First posted2 Aug 2019
  2. Study start29 Jul 2019
  3. Primary completion11 Dec 2020
  4. Study completion11 Dec 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
1,122 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04042441
Sponsor's protocol ID
NN5401-4525
Other IDs
U1111-1227-8654
Acronym
ARISE
Status last verified
Sep 2024
First submitted
31 Jul 2019
Last updated
19 Sep 2024
Results posted
No
Data monitoring committee
No
FDA-regulated device
No
Individual data sharing
Yes: According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

Publications

  • Fulcher GR, Cohen ND, Davies K, d'Emden M, Glastras SJ, Mah PM, McCallum RW, Moses R, Thong KY, Roberts A. Initiating or switching to insulin degludec/insulin aspart in a real-world population of adults with type 2 diabetes in Australia: results from a prospective, non-interventional study. Intern Med J. 2024 Oct;54(10):1626-1633. doi: 10.1111/imj.16492. Epub 2024 Aug 22.

    PubMed 39171857
  • Baruah MP, Aneja P, Pitale S, Bhograj A, Agrawala RK, Aggarwal A, Mahadev PG, Madhavdas DC, Shah S, John M, Pathan MKA, Revanna M, Chandrappa M, Singh KP. Initiation or switch to insulin degludec/insulin aspart in adults with type 2 diabetes in India: Results from a prospective, non-interventional, real-world study. J Family Med Prim Care. 2024 Sep;13(9):3590-3597. doi: 10.4103/jfmpc.jfmpc_1401_23. Epub 2024 Sep 11.

    PubMed 39464932
  • Fulcher GR, Akhtar S, Al-Jaser SJ, Medina J, Mohamed M, Nicodemus NA Jr, Olsen AH, Singh KP, Kok A. Initiating or Switching to Insulin Degludec/Insulin Aspart in Adults with Type 2 Diabetes: A Real-World, Prospective, Non-interventional Study Across Six Countries. Adv Ther. 2022 Aug;39(8):3735-3748. doi: 10.1007/s12325-022-02212-3. Epub 2022 Jun 25.

    PubMed 35752730
  • Fulcher GR, Jarlov H, Piltoft JS, Singh KP, Liu L, Mohamed M, Nicodemus NA Jr, Al-Jaser SJ, Kok A. ARISE-a prospective, non-interventional, single-arm study assessing clinical parameters associated with the use of insulin degludec/insulin aspart in patients with type 2 diabetes in real-world settings: rationale and design. Endocrine. 2021 Dec;74(3):530-537. doi: 10.1007/s12020-021-02887-8. Epub 2021 Oct 12.

    PubMed 34637072

Questions about this trial

What is this clinical trial studying?

An observational study of Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 64 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 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 19 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 64 sites in Malaysia, Philippines, Australia, India, Saudi Arabia 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.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 local laboratory measured glycosylated haemoglobin (HbA1c) (time frame: From baseline (week 0) to end of study (week 26-36)). 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 NCT04042441, 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 19 Sep 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in