Phase 3
Completed N=833
A Trial Comparing Efficacy and Safety of Insulin Degludec and Insulin Glargine in Insulin naïve Subjects With Type 2 Diabetes
Source: ClinicalTrials.gov NCT01849289 ↗Enrolled (actual)
833
Serious AEs
3.1%
Results posted
Jan 2016
Primary outcomePrimary: Change From Baseline in HbA1c (%) (Analysed by Central Laboratory) — -1.3; -1.2 percentage of glycosylated haemoglobin
Summary
This trial was conducted in Africa, Asia, Europe, North and South America. The aim of the trial was to compare efficacy and safety of insulin degludec and insulin glargine in insulin naïve subjects with type 2 diabetes.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in HbA1c (%) (Analysed by Central Laboratory) |
-1.3; -1.2 | — |
| SECONDARY Number of Severe and Minor Treatment Emergent Hypoglycaemic Episodes |
85; 97 | — |
| SECONDARY Change From Baseline in FPG (Fasting Plasma Glucose) (Analysed by Central Laboratory) |
-3.35; -3.14 | — |
| SECONDARY Within-subject Variability as Measured by Coefficient of Variation (CV%) in Pre-breakfast SMPG (Self-measured Plasma Glucose) |
10.65; 10.01 | — |
| SECONDARY Responder for HbA1c (Below 7.0%) at End of Trial Without Severe and Minor Hypoglycaemic Episodes |
252; 114 | — |
| SECONDARY Number of Treatment Emergent AEs (Adverse Events) |
612; 387 | — |
Eligibility Criteria
Inclusion Criteria
- Type 2 diabetes mellitus (diagnosed clinically) for at least 6 months
- Insulin naïve subjects (Allowed are: previous short term insulin treatment up to 14 days; treatment during hospitalisation or during gestational diabetes is allowed for periods longer than 14 days)
- Current treatment: metformin monotherapy or metformin in any combination with an insulin secretagogue (sulfonylurea or glinide), dipeptidyl peptidase IV (DPP-IV) inhibitor, alfa-glucosidase-inhibitors (acarbose) with unchanged dosing for at least 3 months prior to randomisation (Visit 2) with the minimum doses stated: metformin: alone or in combination (including fixed combination) 1500 mg daily, or maximum tolerated dose (at least 1000 mg daily), insulin secretagogue (sulfonylurea or glinide): minimum half of the daily maximal dose according to local labelling, DPP-IV inhibitor: minimum 100 mg daily or according to local labelling, alfa-glucosidase-inhibitors (acarbose): minimum half of the daily maximal dose or maximum tolerated dose
- HbA1c (glycosylated haemoglobin) 7.0-10.0% (both inclusive) by central laboratory analysis
- BMI (Body Mass Index) below or equal to 40.0 kg/m^2
Exclusion Criteria
- Treatment with TZDs (thiazoledinedione), or GLP-1 (glucagon-like peptide 1) receptor agonists within the last 3 months prior to Visit 1 (screening)
- Anticipated change in concomitant medication known to interfere significantly with glucose metabolism, such as systemic corticosteroids, beta-blockers, MAO (monoamine oxidase) inhibitors
- Cardiovascular disease within the last 6 months prior to Visit 1 (screening) defined as stroke; decompensated heart failure NYHA (New York Heart Association) class III or IV; myocardial infarction; unstable angina pectoris; or coronary arterial bypass graft or angioplasty
- Any clinically significant disease or disorder, except for conditions associated with type 2 diabetes mellitus, which in the Investigator's opinion could interfere with the results of the trial
- Previous participation in this trial. Participation is defined as randomised. Re-screening of screening failures is allowed only once within the limits of the recruitment period
- Known or suspected hypersensitivity to trial product(s) or related products
Data sourced from ClinicalTrials.gov (NCT01849289). 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.