A Phase 4 interventional study of biphasic insulin aspart 30 and biphasic insulin aspart 30 in Diabetes and Diabetes Mellitus, Type 2, sponsored by Novo Nordisk A/S. Completed at 69 sites in 10 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-02-24.
Sponsored by Novo Nordisk A/S · Phase 4, Interventional, and Treatment
This trial is conducted in Asia, Europe, Oceania and South America. The aim of this clinical trial is to generate data demonstrating how to intensify diabetes treatment using BIAsp 30 (biphasic insulin aspart 30) by adding or substituting BIAsp 30 to sitagliptin in various regimens for type 2 patients inadequately controlled on sitagliptin and metformin (with or without other oral anti-diabetic drugs (OADs)).
The trial is conducted as a phase 4 trial in the majority of the participating countries. However, in some countries the trial is conducted as phase 3b.
10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.
This study's enrollment of 582 is above the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.
Browse Diabetes Mellitus studies →Novo Nordisk A/S is the lead sponsor of 1,370 studies on the registry; 102 are open to participants now.
Of its 198 completed or terminated interventional studies of FDA-regulated products, 94 (47%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Drug: biphasic insulin aspart 30 · Drug: sitagliptin · Drug: metformin
Drug: biphasic insulin aspart 30 · Drug: metformin
Drug: biphasic insulin aspart 30 · Drug: sitagliptin · Drug: metformin
BIAsp 30 will be injected subcutaneously (under the skin) twice daily. Individually adjusted dose.
BIAsp 30 will be injected subcutaneously (under the skin) once daily. Individually adjusted dose.
Subjects will continue on their pre-trial sitagliptin treatment.
Subjects will continue on their pre-trial metformin treatment.
Change From Baseline in HbA1c (Glycosylated Haemoglobin)
Estimated mean change from baseline in HbA1c after 24 weeks of treatment.
Time frame: Week 0 to Week 24
Responder for HbA1c, Proportion of Subjects Achieving Pre-defined HbA1c Targets (HbA1c < 7.0%)
Proportion of subjects achieving HbA1c below 7.0% after 24 weeks of treatment
Time frame: After 24 weeks of treatment
Responder for HbA1c, Proportion of Subjects Achieving Pre-defined HbA1c Targets (HbA1c ≤ 6.5%)
Proportion of subjects achieving HbA1c equal to or below 6.5% after 24 weeks of treatment.
Time frame: After 24 weeks of treatment
Change From Baseline in Fasting Plasma Glucose (FPG)
Estimated mean change from baseline in fasting plasma glucose (FPG)
Time frame: Week 0 to Week 24
Prandial Plasma Glucose (PPG) Increments at Breakfast
Estimated mean post prandial increments at breakfast after 24 weeks of treatment.
Time frame: After 24 weeks of treatment
Prandial Plasma Glucose (PPG) Increments at Lunch.
Estimated mean post prandial increments at lunch after 24 weeks of treatment.
Time frame: After 24 weeks of treatment
Prandial Plasma Glucose (PPG) Increments at Dinner.
Estimated mean post prandial increments at dinner after 24 weeks of treatment.
Time frame: After 24 weeks of treatment
Prandial Plasma Glucose (PPG) Overall Mean Increment.
Estimated overall mean post prandial increment after 24 weeks of treatment.
Time frame: After 24 weeks of treatment
Adverse Events (AEs)
Rate of AEs per 100 years of patient exposure. An adverse event was defined as treatment emergent if the event had onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment.
Time frame: Week 0 to Week 24
Number of Treatment Emergent Hypoglycaemic Episodes (Nocturnal and Day-time) Classified Both According to the American Diabetes Association (ADA) Definition and to an Additional Definition for Minor Episodes.
Number of treatment emergent hypoglycaemic episodes. Treatment emergent hypoglycaemic episode: if the onset of the episode was on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment. Nocturnal: Time of onset between 00:01 and 05:59 a.m. (both included). Additional minor hypoglycaemic episode: symptomatic or asymptomatic hypoglycaemia with blood glucose (BG) values \< 2.8 mmol/L (50 mg/dL) or plasma glucose (PG) \< 3.1 mmol/L (56 mg/dL), and which was handled by the subject him/herself.
Time frame: Week 0 to Week 24
Change From Baseline in Patient Reported Outcome by Use of the Treatment Related Impact Measure - Diabetes.
Estimated mean change from baseline in Treatment Related Impact Measure - Diabetes (TRIM-D) 'total score' to end of trial. The score measured treatment satisfaction. The scores were transformed to a 0-100 scale with higher scores indicating greater satisfaction.
Time frame: Week 0 to Week 24
The trial was conducted at 60 sites in 10 countries as follows: Argentina (6); Australia (2); Brazil (4); Greece (5); India (17); Malaysia (3); Portugal (6); Republic of Korea (7); Thailand (5); Turkey (5)
| Milestone | BID + Met | BID + Sita + Met | OD + Sita + Met |
|---|---|---|---|
| Started | 194 | 195 | 193 |
| Exposed | 192 | 193 | 190 |
| Completed | 173 | 182 | 181 |
| Not completed | 21 | 13 | 12 |
| Withdrew: Adverse event | 3 | 3 | 0 |
| Withdrew: Lack of efficacy | 1 | 1 | 1 |
| Withdrew: Protocol violation | 0 | 3 | 1 |
| Withdrew: Withdrawal criteria | 7 | 2 | 7 |
| Withdrew: Unsclassified | 10 | 4 | 3 |
Estimated mean change from baseline in HbA1c after 24 weeks of treatment.
| percentage of glycosylated haemoglobin | BID + Met | BID + Sita + Met | OD + Sita + Met |
|---|---|---|---|
| Change From Baseline in HbA1c (Glycosylated Haemoglobin) | -1.27 ± 0.07 | -1.51 ± 0.07 | -1.15 ± 0.07 |
Proportion of subjects achieving HbA1c below 7.0% after 24 weeks of treatment
| percentage (%) of subjects | BID + Met | BID + Sita + Met | OD + Sita + Met |
|---|---|---|---|
| Responder for HbA1c, Proportion of Subjects Achieving Pre-defined HbA1c Targets (HbA1c < 7.0%) | 49.7 | 59.8 | 46.5 |
Proportion of subjects achieving HbA1c equal to or below 6.5% after 24 weeks of treatment.
| percentage (%) of subjects | BID + Met | BID + Sita + Met | OD + Sita + Met |
|---|---|---|---|
| Responder for HbA1c, Proportion of Subjects Achieving Pre-defined HbA1c Targets (HbA1c ≤ 6.5%) | 30.6 | 40.7 | 25.1 |
Estimated mean change from baseline in fasting plasma glucose (FPG)
| mmol/L | BID + Met | BID + Sita + Met | OD + Sita + Met |
|---|---|---|---|
| Change From Baseline in Fasting Plasma Glucose (FPG) | -1.90 ± 0.14 | -2.03 ± 0.14 | -1.96 ± 0.14 |
Estimated mean post prandial increments at breakfast after 24 weeks of treatment.
| mmol/L | BID + Met | BID + Sita + Met | OD + Sita + Met |
|---|---|---|---|
| Prandial Plasma Glucose (PPG) Increments at Breakfast | 2.01 ± 0.19 | 1.73 ± 0.19 | 2.89 ± 0.19 |
Estimated mean post prandial increments at lunch after 24 weeks of treatment.
| mmol/L | BID + Met | BID + Sita + Met | OD + Sita + Met |
|---|---|---|---|
| Prandial Plasma Glucose (PPG) Increments at Lunch. | 3.05 ± 0.22 | 2.19 ± 0.21 | 2.52 ± 0.21 |
Estimated mean post prandial increments at dinner after 24 weeks of treatment.
| mmol/L | BID + Met | BID + Sita + Met | OD + Sita + Met |
|---|---|---|---|
| Prandial Plasma Glucose (PPG) Increments at Dinner. | 0.89 ± 0.21 | 1.01 ± 0.20 | 0.17 ± 0.21 |
Estimated overall mean post prandial increment after 24 weeks of treatment.
| mmol/L | BID + Met | BID + Sita + Met | OD + Sita + Met |
|---|---|---|---|
| Prandial Plasma Glucose (PPG) Overall Mean Increment. | 1.97 ± 0.12 | 1.66 ± 0.12 | 1.88 ± 0.12 |
Rate of AEs per 100 years of patient exposure. An adverse event was defined as treatment emergent if the event had onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment.
| Events/100 years of patient exposure | BID + Met | BID + Sita + Met | OD + Sita + Met |
|---|---|---|---|
| All treatment emergent adverse events | 262.2 | 209.9 | 281.2 |
| Serious adverse events | 8.4 | 5.8 | 10.5 |
| Severe adverse events | 6.0 | 10.5 | 7.0 |
| Moderate adverse events | 71.0 | 74.6 | 79.7 |
| Mild adverse events | 185.2 | 124.8 | 194.5 |
| Fatal adverse events | 0 | 0 | 0 |
Number of treatment emergent hypoglycaemic episodes. Treatment emergent hypoglycaemic episode: if the onset of the episode was on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment. Nocturnal: Time of onset between 00:01 and 05:59 a.m. (both included). Additional minor hypoglycaemic episode: symptomatic or asymptomatic hypoglycaemia with blood glucose (BG) values \< 2.8 mmol/L (50 mg/dL) or plasma glucose (PG) \< 3.1 mmol/L (56 mg/dL), and which was handled by the subject him/herself.
| episodes | BID + Met | BID + Sita + Met | OD + Sita + Met |
|---|---|---|---|
| Diurnal (ADA) | 515 | 440 | 249 |
| Nocturnal (ADA) | 68 | 54 | 63 |
| Diurnal (additional minor) | 163 | 112 | 71 |
| Nocturnal (additional minor) | 21 | 14 | 23 |
Estimated mean change from baseline in Treatment Related Impact Measure - Diabetes (TRIM-D) 'total score' to end of trial. The score measured treatment satisfaction. The scores were transformed to a 0-100 scale with higher scores indicating greater satisfaction.
| scores | BID + Met | BID + Sita + Met | OD + Sita + Met |
|---|---|---|---|
| Change From Baseline in Patient Reported Outcome by Use of the Treatment Related Impact Measure - Diabetes. | 6.22 ± 0.82 | 5.93 ± 0.81 | 6.20 ± 0.81 |
Collected over Adverse events were captured the onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| BID + Met | — | 7/192 (3.6%) | 30/192 (15.6%) |
| BID + Sita + Met | — | 5/193 (2.6%) | 25/193 (13%) |
| OD + Sita + Met | — | 4/190 (2.1%) | 32/190 (16.8%) |
| Event | BID + Met | BID + Sita + Met | OD + Sita + Met |
|---|---|---|---|
| PyrexiaGeneral disorders | 0/192 | 0/193 | 1/190 |
| GastroenteritisInfections and infestations | 0/192 | 0/193 | 1/190 |
| HypoglycaemiaMetabolism and nutrition disorders | 1/192 | 1/193 | 1/190 |
| MyalgiaMusculoskeletal and connective tissue disorders | 0/192 | 0/193 | 1/190 |
| Haemorrhagic strokeNervous system disorders | 0/192 | 0/193 | 1/190 |
| Hypoglycaemic unconsciousnessNervous system disorders | 0/192 | 0/193 | 1/190 |
| AnaemiaBlood and lymphatic system disorders | 1/192 | 0/193 | 0/190 |
| Supraventricular tachycardiaCardiac disorders | 1/192 | 0/193 | 0/190 |
| Drug hypersensitivityImmune system disorders | 1/192 | 0/193 | 0/190 |
| Liver abscessInfections and infestations | 1/192 | 0/193 | 0/190 |
| Event | BID + Met | BID + Sita + Met | OD + Sita + Met |
|---|---|---|---|
| InfluenzaInfections and infestations | 11/192 | 5/193 | 10/190 |
| NasopharyngitisInfections and infestations | 9/192 | 11/193 | 8/190 |
| HeadacheNervous system disorders | 7/192 | 11/193 | 8/190 |
| DiarrhoeaGastrointestinal disorders | 8/192 | 1/193 | 10/190 |
| Age, Continuous(years) | BID + Met | BID + Sita + Met | OD + Sita + Met | Total |
|---|---|---|---|---|
| Mean | 54.8 ± 9.5 | 56.3 ± 10.2 | 55.7 ± 10.4 | 55.6 ± 10.0 |
| Gender(Participants) | BID + Met | BID + Sita + Met | OD + Sita + Met | Total |
|---|---|---|---|---|
| Female | 83 | 101 | 97 | 281 |
| Male | 111 | 94 | 96 | 301 |
| Body Weight(kg) | BID + Met | BID + Sita + Met | OD + Sita + Met | Total |
|---|---|---|---|---|
| Mean | 79.4 ± 15.8 | 78.3 ± 16.1 | 77.5 ± 16.8 | 78.4 ± 16.2 |
| Body Mass Index (BMI)(kg/m^2) | BID + Met | BID + Sita + Met | OD + Sita + Met | Total |
|---|---|---|---|---|
| Mean | 29.3 ± 4.3 | 29.4 ± 4.5 | 29.4 ± 5.0 | 29.4 ± 4.6 |
| Glycosylated haemoglobin (HbA1c)(Percent (%) glycosylated haemoglobin) | BID + Met | BID + Sita + Met | OD + Sita + Met | Total |
|---|---|---|---|---|
| Mean | 8.4 ± 0.8 | 8.4 ± 0.8 | 8.4 ± 0.8 | 8.4 ± 0.8 |
| Fasting plasma glucose (FPG)(mmol/L) | BID + Met | BID + Sita + Met | OD + Sita + Met | Total |
|---|---|---|---|---|
| Mean | 8.9 ± 2.2 | 9.3 ± 2.8 | 8.7 ± 2.7 | 9.0 ± 2.6 |
This study is completed, as verified in Jan 2017. You cannot join it, but the record below documents what was studied.
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Novo Nordisk A/S