Diabetes Mellitus, Type 2NCT04666987
A Research Study Looking at Long-term Blood Sugar Control in People With Type 2 Diabetes Being Treated With Xultophy® in a Real-world Setting in Italy
An observational study of Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 28 sites in Italy.
Trial summary
The purpose of the study is to collect information on how Xultophy® works in patients like them with type 2 diabetes. Participants will get Xultophy® as prescribed to them by the study doctor. The study will last for about 18 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 and liraglutide (IDegLira)
- How many people
- 359 participants
- Where
- 28 sitesItaly
- Study dates
- 21 Oct 2020to 10 Feb 2023
- 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
- Adult, Older adult
Study population: Participants are patients with Type 2 Diabetes (T2D) treated with Xultophy® (IDegLira) in a real-world setting in Italy.
Who may be able to join
- Informed consent obtained before any study-related activities (study-related activities include any procedure related to recording of data according to the protocol).
- Male or female, age greater than or equal to 18 years at the time of signing informed consent.
- Patient diagnosed with T2D greater than or equal to 12 months prior to signing informed consent.
- The decision to initiate treatment with commercially available Xultophy® has been made by the patient and the treating physician before and independently from the decision to participate in this study.
- Treated with basal insulin with or without use of oral antidiabetics (OADs), with or without use of bolus insulin prior to initiating Xultophy®.
- For patients transferring from a regimen including bolus insulin, upon initiation of Xultophy® the bolus insulin component of the treatment regimen was stopped.
- The patient initiated Xultophy® treatment for at least 2 months, but no more than 3 months prior to signing informed consent.
- Available and documented HbA1c measurement no more than 3 months prior to Xultophy® initiation.
Who cannot join
- Mental incapacity, unwillingness or language barriers precluding adequate understanding or cooperation.
- Diagnosed with type 1 diabetes mellitus, maturity-onset diabetes of the young, latent autoimmune diabetes in adults, gestational diabetes or any hyperglycaemic state other than T2D.
- Women known to be pregnant or breastfeeding, or women planning to become pregnant during the conduct of the study.
- Previous participation in this study. Participation is defined as having given informed consent in this study.
- Participation in another T2D clinical study that involves any clinical intervention or administration of an investigational drug within 3 months prior to enrolment into the study.
- Any contraindications for Xultophy®, including hypersensitivity to the active substances or any of the excipients as specified in the Xultophy® local label.
Trial locations and contacts
28 sites in 1 country.
28 sites in 1 country
Italy28 sites
A.O. SS Antonio e Biagio e Cesare Arrigo
Alessandria, 15121
INRCA
Ancona, 60127
Azienda Sanitaria Usl Toscana Sud Est - Ospedale San Donato
Arezzo, 52100
Azienda Ospedaliera Papa Giovanni XXIII
Bergamo, 24127
ASST OSpedali Civili ad indirizzo Metabolico Diabetologico
Brescia, 25123
Centro Polispecialistico Asl Toscana Nord Ovest
Carrara, 54033
D.S. 43 Casoria Asl Napoli 2 Nord
Casoria, 80026
H Cannizzaro Malattie endocrine e del ricambio e nutrizione
Catania, 95126
Ospedale S. Maria del Prato
Feltre, 32032
A.O.U. Ospedali Riuniti
Foggia, 71122
Ospedale Camberlingo
Francavilla Fontana, 72021
Ospedale Policlinico San Martino
Genova, 16132
Ospedale Santa Maria Goretti - UOD Diabetologia
Latina, LT, 04100
A.O.U. Policlinico Martino
Messina, 98124
ASL Napoli 3 sud
Naples, 80059
PSP Loreto Crispi
Naples, 80122
Ospedale San Francesco d'Assisi
Oliveto Citra, 84020
Azienda Ospedaliera Padova
Padova, 35128
ICS Maugeri
Pavia, Pv, 27100
AUSL Pescara
Pescara, 65023
Ospedale San Jacopo
Pistoia, 51100
P.O. Praia a Mare ASP Cosenza
Praia a Mare, 87028
Policlinico Umberto I Clinica Medica DH Diabetologia
Roma, 00161
Casa della Salute Antistio
Roma, 00174
Policlinico Universitario AGemelli DH Patologie dell'Obesità
Rome, 00168
A.O.U. San Giovanni di Dio e Ruggi d'Aragona
Salerno, 84131
Ospedale San Donà di Piave
San Donà di Piave, 30027
ASUFC Udine
Udine, 33100
About this study
Official title: A Prospective, Non-interventional, Single Arm Study Investigating Long-term Glycaemic Control in Patients With Type 2 Diabetes Initiating Xultophy® (IDegLira) in a Realworld Setting in Italy
The purpose of the study is to collect information on how Xultophy® works in patients like them with type 2 diabetes. Participants will get Xultophy® as prescribed to them by the study doctor. The study will last for about 18 months. Participants will be asked questions about their health and diabetes treatment as part of the normal study doctor's appointment.
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- Insulin degludec and liraglutide (IDegLira)
- 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 and liraglutide (IDegLira)Drug
Paricipants will be treated with commercially available Xultophy® according to routine clinical practice at the discretion of the treating physician, following approved label in Italy. The decision to initiate treatment with commercially available Xultophy® has been made by the patient and the treating physician before and independently from the decision to participate in this study.
| Study group | Role | What they receive |
|---|---|---|
| Xultophy® | Participants are patients with Type 2 Diabetes (T2D) treated with Xultophy® (IDegLira) in a real-world setting in Italy Receives: Drug: Insulin degludec and liraglutide (IDegLira) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Glycated Haemoglobin (HbA1c)
Percent (%) point
Baseline is defined as the time of Xultophy® initiation (V0); if the endpoint variable is unavailable at (V0), the most recent value within 3 months prior to Xultophy® initiation will be used.
(This definition of baseline applies to all outcome measures.)
Measured: From baseline (V0, month 0) to 6 months after initiation.
Secondary outcomes (10)
Change in HbA1c
Measured: From baseline (V0, month 0) to end of study (V3, 18 ±3 months)
HbA1c levels less than 7% (yes/no)
Percentage of patients - yes
Measured: At end of study (V3, 18 ±3 months)
HbA1c levels less than 7% without hypoglycaemic episodes (yes/no)
Percentage of patients - yes
Measured: At end of study (V3, 18 ±3 months)
Reason for switching to Xultophy® (precoded question list)
Percentage of patients
Measured: At baseline (V0, month 0)
Change in Xultophy® daily dose
Dose steps/day
Measured: From baseline (V0, month 0) to end of study (V3, 18 ±3 months)
Number of self-reported non-severe hypoglycaemia episodes (defined as an episode with symptoms and/or self monitored blood glucose (SMBG) value less than or equal to 3.9 mmol/L) based on recollection
Number of episodes
Measured: Reported at enrolment (V1 - month 0), intermediate visits (V2.X - 0-17 months) and at end of study (V3, 18 ±3 months). Number of episodes occurring in the 4 weeks prior to study visit
Number of self-reported nocturnal nonsevere hypoglycaemic episodes (defined based on the patient's perception of whether or not it was night) based on recollection
Number of episodes
Measured: Reported at enrolment (V1 - month 0), intermediate visits (V2.X - 0-17 months) and at end of study (V3, 18 ±3 months). Number of episodes occurring in the 4 weeks prior to study visit
Number of self-reported severe hypoglycaemic episodes (Defined as an episode of hypoglycaemia requiring assistance of another person to actively administer carbohydrate, glucagon or take other corrective action) based on recollection
Number of episodes
Measured: Reported at enrolment (V1 - month 0), intermediate visits (V2.X - 0-17 months) and at end of study (V3, 18 ±3 months). Number of episodes occurring in the 4 weeks prior to study visit
Treatment intensification (addition of prandial insulin, increase in total insulin dose or number of concomitant oral antidiabetics (OADs)) (yes/no)
Percentage of patients with treatment intensification
Measured: At end of study (V3, 18 ±3 months)
Treatment simplification (decrease in insulin dose or number of concomitant OADs) (yes/no)
Percentage of patients with treatment simplification
Measured: At end of study (V3, 18 ±3 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Dec 2020
- Study start21 Oct 2020
- Primary completion30 Dec 2022
- Study completion10 Feb 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diabetes Mellitus, Type 2Studies of the same condition, open and under way.
- More trials run by Novo Nordisk A/SThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 359 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novo Nordisk A/S
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Transparency (dept. 1452), Study director, Novo Nordisk A/S
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04666987
- Sponsor's protocol ID
- NN9068-4740
- Other IDs
- U1111-1253-1809
- Status last verified
- Apr 2024
- First submitted
- 20 Nov 2020
- Last updated
- 3 Apr 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
Study at a glance
From the registry record, last updated by the sponsor on 3 Apr 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Non-interventional, Single Arm Study Investigating Long-term Glycaemic Control in Patients With Type 2 Diabetes Initiating Xultophy® (IDegLira) in a Realworld Setting in Italy
- ClinicalTrials.gov ID
- NCT04666987
- Acronym / sponsor ID
- NN9068-4740
- Conditions
- Diabetes Mellitus, Type 2
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 359 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 21 Oct 2020 (actual)
- Primary completion
- 30 Dec 2022 (actual)
- Study completion
- 10 Feb 2023 (actual)
- First posted
- 14 Dec 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to collect information on how Xultophy® works in patients like them with type 2 diabetes. Participants will get Xultophy® as prescribed to them by the study doctor. The study will last for about 18 months. Participants will be asked questions about their health and diabetes treatment as part of the normal study doctor's appointment.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Xultophy® | – | Drug: Insulin degludec and liraglutide (IDegLira)Participants are patients with Type 2 Diabetes (T2D) treated with Xultophy® (IDegLira) in a real-world setting in Italy |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Age groups
- Adult, Older adult
- Study population
- Participants are patients with Type 2 Diabetes (T2D) treated with Xultophy® (IDegLira) in a real-world setting in Italy.
Key inclusion criteria (8 listed)
- Informed consent obtained before any study-related activities (study-related activities include any procedure related to recording of data according to the protocol).
- Male or female, age greater than or equal to 18 years at the time of signing informed consent.
- Patient diagnosed with T2D greater than or equal to 12 months prior to signing informed consent.
- The decision to initiate treatment with commercially available Xultophy® has been made by the patient and the treating physician before and independently from the decision to participate in this study.
- Treated with basal insulin with or without use of oral antidiabetics (OADs), with or without use of bolus insulin prior to initiating Xultophy®.
Key exclusion criteria (6 listed)
- Mental incapacity, unwillingness or language barriers precluding adequate understanding or cooperation.
- Diagnosed with type 1 diabetes mellitus, maturity-onset diabetes of the young, latent autoimmune diabetes in adults, gestational diabetes or any hyperglycaemic state other than T2D.
- Women known to be pregnant or breastfeeding, or women planning to become pregnant during the conduct of the study.
- Previous participation in this study. Participation is defined as having given informed consent in this study.
- Participation in another T2D clinical study that involves any clinical intervention or administration of an investigational drug within 3 months prior to enrolment into the study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Insulin degludec and liraglutide (IDegLira)Paricipants will be treated with commercially available Xultophy® according to routine clinical practice at the discretion of the treating physician, following approved label in Italy. The decision to initiate treatment with commercially available Xultophy® has been made by the patient and the treating physician before and independently from the decision to participate in this study. | Drug | Xultophy® |
Primary outcome
Change in Glycated Haemoglobin (HbA1c)
Time frame: From baseline (V0, month 0) to 6 months after initiation.
Percent (%) point Baseline is defined as the time of Xultophy® initiation (V0); if the endpoint variable is unavailable at (V0), the most recent value within 3 months prior to Xultophy® initiation will be used. (This definition of baseline applies to all outcome measures.)
10 secondary outcomes
Change in HbA1c
Time frame: From baseline (V0, month 0) to end of study (V3, 18 ±3 months)
HbA1c levels less than 7% (yes/no)
Time frame: At end of study (V3, 18 ±3 months)
HbA1c levels less than 7% without hypoglycaemic episodes (yes/no)
Time frame: At end of study (V3, 18 ±3 months)
Reason for switching to Xultophy® (precoded question list)
Time frame: At baseline (V0, month 0)
Change in Xultophy® daily dose
Time frame: From baseline (V0, month 0) to end of study (V3, 18 ±3 months)
Number of self-reported non-severe hypoglycaemia episodes (defined as an episode with symptoms and/or self monitored blood glucose (SMBG) value less than or equal to 3.9 mmol/L) based on recollection
Time frame: Reported at enrolment (V1 - month 0), intermediate visits (V2.X - 0-17 months) and at end of study (V3, 18 ±3 months). Number of episodes occurring in the 4 weeks prior to study visit
Number of self-reported nocturnal nonsevere hypoglycaemic episodes (defined based on the patient's perception of whether or not it was night) based on recollection
Time frame: Reported at enrolment (V1 - month 0), intermediate visits (V2.X - 0-17 months) and at end of study (V3, 18 ±3 months). Number of episodes occurring in the 4 weeks prior to study visit
Number of self-reported severe hypoglycaemic episodes (Defined as an episode of hypoglycaemia requiring assistance of another person to actively administer carbohydrate, glucagon or take other corrective action) based on recollection
Time frame: Reported at enrolment (V1 - month 0), intermediate visits (V2.X - 0-17 months) and at end of study (V3, 18 ±3 months). Number of episodes occurring in the 4 weeks prior to study visit
Treatment intensification (addition of prandial insulin, increase in total insulin dose or number of concomitant oral antidiabetics (OADs)) (yes/no)
Time frame: At end of study (V3, 18 ±3 months)
Treatment simplification (decrease in insulin dose or number of concomitant OADs) (yes/no)
Time frame: At end of study (V3, 18 ±3 months)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Apr 2024.
- Individual participant dataSharing planned: Yes. According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Transparency (dept. 1452) study director
Novo Nordisk A/S
28 sites in 1 country: see every site and its status.
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 28 sites in Italy.
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 8 inclusion and 6 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 3 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 28 sites in Italy. 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 Glycated Haemoglobin (HbA1c) (time frame: From baseline (V0, month 0) to 6 months after initiation.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 3 Apr 2024.