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Phase 3 Completed N=413 Randomized Treatment

Comparison of the Efficacy and Safety of Two Intensification Strategies in Subjects With Type 2 Diabetes Inadequately Controlled on Basal Insulin and Metformin

Source: ClinicalTrials.gov NCT01388361 ↗
Enrolled (actual)
413
Serious AEs
4.9%
Results posted
Nov 2015
Primary outcomePrimary: Change From Baseline in HbA1c (%) (Glycosylated Haemoglobin) — 0.10; -0.74; -0.39 percentage of glycosylated haemoglobin

Summary

This trial is conducted in Europe and North America. The aim of this trial is to compare the efficacy and safety of adding liraglutide versus addition of insulin aspart with the largest meal to insulin degludec in subjects with type 2 diabetes. Eligible subjects with an HbA1c equal to or above 7% at end of treatment in NN1250-3643 (NCT01193309) trial will be randomised to receive treatment intensification while subjects with an HbA1c below 7% at end of treatment in NN1250-3643 (NCT01193309) may continue to receive insulin degludec treatment. Subjects are to continue their pre-trial metformin treatment.

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in HbA1c (%) (Glycosylated Haemoglobin)
0.10; -0.74; -0.39
SECONDARY
Change From Baseline in Fasting Plasma Glucose (FPG)
-1.23; -0.14; -0.04
SECONDARY
Change From Baseline in Body Weight
0.1; -1.0; 0.3
SECONDARY
Number of Severe and Minor Treatment Emergent Hypoglycaemic Episodes
313; 40; 330; 1; 0; 0

Eligibility Criteria

Inclusion Criteria

  • Informed consent obtained before any trial-related activities. (Trial-related activities are any procedure that would not have been performed during normal management of the subject).
  • The subject must have completed the end of treatment visit of NN1250-3643 with Insulin degludec once daily + metformin.
  • Ability and willingness to adhere to the protocol including self measurement of plasma glucose according to the protocol

Exclusion Criteria

  • Participated in NN1250-3643 and treated with insulin glargine
  • Previous treatment with glucacon like peptide (GLP-1) receptor agonists (e.g. exenatide, liraglutide)
  • Impaired liver function, defined as alanine aminotransferase (ALAT) 2.5 times the upper limit of normal at end of treatment in NN1250-3643
  • Impaired renal function defined as serum-creatinine = 125 µmol/l (= 1.4 mg/dl) for males and = 110 µmol/L (= 1.3 mg/dl) for females or according to local label for metformin [For France: glomerular filtration rate below 60 ml/min, calculated by the Cockroft & Gault formula] at end of treatment in NN1250-3643.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01388361). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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