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Comparison of Insulin Detemir, Insulin Aspart and Biphasic Insulin Aspart 30 With OAD Treatment in Type 2 Diabetes (4T)
This study has been completed.
First Received: September 13, 2005   Last Updated: October 15, 2009   History of Changes
Sponsor: Novo Nordisk
Information provided by: Novo Nordisk
ClinicalTrials.gov Identifier: NCT00184600
  Purpose

This trial is conducted in Europe. The aim of this research study is to compare the efficacy (reduction in HbA1c and in blood glucose levels) of insulin detemir, insulin aspart and biphasic insulin aspart 30, when added to current OAD treatment in type 2 diabetes and to verify the safety of use ( number and severity of episodes of hypoglycaemia, body weight and side effects).


Condition Intervention Phase
Diabetes Mellitus, Type 2
Drug: biphasic insulin aspart
Drug: insulin detemir
Drug: insulin aspart
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: 3 Year Efficacy and Safety Comparison of Adding Insulin Detemir, Biphasic Insulin Aspart 30 or Insulin Aspart to Oral Antidiabetic Drug Treatment in Type 2 Diabetes.

Resource links provided by NLM:


Further study details as provided by Novo Nordisk:

Primary Outcome Measures:
  • Proportion of subjects who achieve HbA1c = 6.5% without hypoglycaemia [ Time Frame: in the last 4 weeks of year 1/year 3 ] [ Designated as safety issue: No ]
  • Efficacy and durability of the insulin regimens [ Time Frame: over a 12-36 months following a treatment algorithm ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Adverse events [ Time Frame: during treatment ] [ Designated as safety issue: Yes ]
  • body weight [ Time Frame: after 52 or 156 weeks of treatment ] [ Designated as safety issue: No ]
  • Quality of Life [ Time Frame: after 52 or 156 weeks of treatment ] [ Designated as safety issue: No ]
  • Blood glucose [ Time Frame: after 52 or 156 weeks of treatment ] [ Designated as safety issue: No ]
  • Hypoglycaemia [ Time Frame: during treatment ] [ Designated as safety issue: Yes ]

Enrollment: 713
Study Start Date: November 2004
Study Completion Date: August 2009
Primary Completion Date: August 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Active Comparator Drug: insulin detemir
Treat-to-target, s.c. injection, once or twice daily plus option for insulin aspart
B: Active Comparator Drug: biphasic insulin aspart
Treat-to-target, s.c. injection, twice daily plus option for insulin aspart
C: Active Comparator Drug: insulin aspart
Treat-to-target, s.c. injection, twice daily plus option for insulin detemir

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Type 2 Diabetes
  • Insulin naive
  • On OAD treatment
  • BMI = 40.0 kg/m2
  • HbA1c7.0%-10% (both inclusive)

Exclusion Criteria:

  • Proliferative retinopathy
  • Recurrent major hypoglycaemia
  • Cardial problems
  • Uncontrolled hypertension
  • Impaired hepatic or renal function
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00184600

Locations
Ireland
Dublin, Ireland
United Kingdom
Oxford, United Kingdom
Sponsors and Collaborators
Novo Nordisk
Investigators
Study Director: Jens Larsen, MD Novo Nordisk
  More Information

Additional Information:
No publications provided

Responsible Party: Novo Nordisk A/S ( Public Access to Clinical Trials )
Study ID Numbers: NN304-1613
Study First Received: September 13, 2005
Last Updated: October 15, 2009
ClinicalTrials.gov Identifier: NCT00184600     History of Changes
Health Authority: Ireland: Irish Medicines Board;   United Kingdom: Medicines and Healthcare Products Regulatory Agency

Additional relevant MeSH terms:
Hypoglycemic Agents
Metabolic Diseases
Physiological Effects of Drugs
Diabetes Mellitus, Type 2
Insulin, Asp(B28)-
Diabetes Mellitus
Endocrine System Diseases
Glucose Metabolism Disorders
Pharmacologic Actions
Insulin

ClinicalTrials.gov processed this record on November 05, 2009