CClinicalTrials.gg
CompletedNCT04042441ARISEUpdated Sep 19, 2024

A Research Study, Looking at How Ryzodeg® (Insulin Degludec/Insulin Aspart) Works in People With Type 2 Diabetes in Local Clinical Practice

An observational study in Diabetes Mellitus, Type 2, sponsored by Novo Nordisk A/S. Completed at 64 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by Novo Nordisk A/S · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,122
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of the study is to collect information on how Ryzodeg® works in real world patients and to see if Ryzodeg® can lower blood sugar levels. Participants will get Ryzodeg® as prescribed to them by their doctor. The study will last for about 6 to 9 months. Participants will be asked questions about their health and their diabetes treatment as part of their normal doctor's appointment.

02

Conditions studied

  • Diabetes Mellitus, Type 2
03

In context

Diabetes Mellitus

10,926 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.

This study's enrollment of 1,122 is above the median of 233 across 2,220 observational studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Novo Nordisk A/S is the lead sponsor of 1,370 studies on the registry; 101 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.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Real-world population of type 2 patients, who have been initiated or switched to Ryzodeg® from previous antihyperglycaemic treatment according to local clinical practice

Inclusion criteria

  • Informed consent obtained before any study-related activities. Study-related activities are any procedures related to recording of data according to the protocol.
  • The decision to initiate or switch into treatment with commercially available Ryzodeg® has been made by the patient/Legally Acceptable Representative (LAR) and the treating physician based on local label before, and independently from, the decision to include the patient in this study.
  • Male or female, age above or equal to 18 years at the time of signing informed consent.
  • Diagnosed with T2DM and treated with any anti-hyperglycaemic medication(s) other than Ryzodeg® for at least 26 weeks prior to signing informed consent.
  • Available and documented HbA1c value for 12 weeks or less prior to signing informed consent.

Exclusion criteria

Exclusion Criteria:

  • Hypersensitivity to the active substance or to any of the excipients as specified in the Ryzodeg® local label.
  • Previous participation in this study. Participation is defined as signed informed consent.
  • Mental incapacity, unwillingness or language barriers precluding adequate understanding or cooperation.
  • Previous treatment with Ryzodeg®.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,122 participants (actual)
Patient registry
No

Groups and cohorts

  • Ryzodeg® as per local practice

    Real-world population of patients with Diabetes Mellitus, Type 2 (T2DM), who have been initiated or switched to Ryzodeg® from previous antihyperglycaemic treatment according to local clinical practice.

    Drug: Insulin Degludec/Insulin Aspart

Interventions

  • DrugInsulin Degludec/Insulin Aspart

    Insulin Degludec/Insulin Aspart (Ryzodeg®) as prescribed by the patient's treating physician. The decision to initiate or switch into treatment with commercially available Ryzodeg® has been made before, and independently from, the decision to include the patient in this study.

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What researchers measure

Primary outcomes

  1. Change in local laboratory measured glycosylated haemoglobin (HbA1c)

    Percentage point

    Time frame: From baseline (week 0) to end of study (week 26-36)

Secondary outcomes

  1. HbA1c less than 7% (Yes/No)

    Percentage of patients

    Time frame: At the end of study (week 26-36)

  2. HbA1c less than pre-defined individual treatment target (Yes/No)

    Percentage of patients

    Time frame: At the end of study (week 26-36)

  3. Change in local laboratory measured fasting plasma glucose (FPG)

    mg/dL

    Time frame: From baseline (week 0) to end of study (week 26-36)

  4. Change in local laboratory measured FPG

    mmol/L

    Time frame: From baseline (week 0) to end of study (week 26-36)

  5. Change in insulin dose (total, basal, prandial)

    units/day

    Time frame: From baseline (week 0) to end of study (week 26-36)

  6. Change in body weight

    Kg

    Time frame: From baseline (week 0) to end of study (week 26-36)

  7. Number of patient recollection of non-severe hypoglycaemic episodes

    Number of episodes

    Time frame: At baseline (week 0). Episodes occurring within 4 weeks prior to initiation of treatment with Ryzodeg®

  8. Number of patient recollection of non-severe hypoglycaemic episodes

    Number of episodes

    Time frame: At the end of study (week 26-36). Episodes occurring within 4 weeks prior to end of study

  9. Number of patient recollection of nocturnal non-severe hypoglycaemic episodes

    Number of episodes

    Time frame: At baseline (week 0). Episodes occurring within 4 weeks prior to initiation of treatment with Ryzodeg®

  10. Number of patient recollection of nocturnal non-severe hypoglycaemic episodes

    Number of episodes

    Time frame: At end of study (week 26-36). Episodes occurring within 4 weeks prior to end of study

  11. Number of patient recollection of overall severe hypoglycaemic episodes

    Number of episodes

    Time frame: At baseline (week 0). Episodes occurring within 26 weeks prior to initiation of treatment with Ryzodeg®

  12. Number of patient recollection of overall severe hypoglycaemic episodes

    Number of episodes

    Time frame: At the end of study (week 26-36). Episodes occurring within 26 weeks prior to end of study

  13. Number of weekly self-measured plasma glucose (SMPG) measurements

    Number of measurements

    Time frame: At baseline (week 0). Measurements occurring within 7 days prior to initiation of treatment with Ryzodeg®

  14. Number of weekly self-measured plasma glucose (SMPG) measurements

    Number of measurements

    Time frame: At end of study (week 26-36). Measurements occurring within 7 days prior to end of study

  15. Reason for initiating Ryzodeg® (pre-specified response option(s))

    Percentage of patients per response option

    Time frame: At baseline (week 0)

  16. Discontinue treatment with Ryzodeg® during the treatment period (Yes/No)

    Percentage of patients

    Time frame: At treatment discontinuation (week 0-36) or at end of study (week 26-36). After initiation of treatment with Ryzodeg® until treatment discontinuation

  17. Reason for discontinuing treatment with Ryzodeg® during the treatment period, if applicable, (pre-specified response option(s))

    Percentage of patients per response option

    Time frame: At treatment discontinuation (week 0-36). After initiation of treatment with Ryzodeg® until treatment discontinuation

  18. Time period from initiation to discontinuation of treatment with Ryzodeg®

    Days

    Time frame: At treatment discontinuation (week 0-36). After initiation of treatment with Ryzodeg® until treatment discontinuation

07

Study locations

64 sites
  • Royal North Shore Hospital
    St Leonards, New South Wales 2065, Australia
  • Illawarra Diabetes Service Clinical Trials & Research Unit
    Wollongong, New South Wales 2500, Australia
  • Royal Brisbane and Women's Hospital
    Herston, Queensland 4029, Australia
  • Mater Hospital Brisbane
    South Brisbane, Queensland 4101, Australia
  • Lyell McEwin Hospital
    Elizabeth Vale, South Australia 5112, Australia
  • South Australian Endocrine Research
    Keswick, South Australia 5035, Australia
  • Hobart Cardiology
    Hobart, Tasmania 7000, Australia
  • Box Hill Specialist Consulting rooms
    Box Hill, Victoria 3128, Australia
  • Baker IDI Heart and Diabetes Institute
    Melbourne, Victoria 3004, Australia
  • Rockingham General Hospital
    Cooloongup, Western Australia 6168, Australia
  • Excelcare Hospital
    Guwahati, Assam 781033, India
  • Columbia Asia Hospital
    Bangalore, Karnataka 560024, India
  • Pace Diabetes Center
    Bangalore, Karnataka 560043, India
  • DEW Medicare & Trinity hospital
    Nagpur, Maharashtra 440015, India
  • Max Super Speciality Shalimar Bhagh
    Delhi, New Delhi 110088, India
  • AMRI Hospital
    Bhubaneswar, Orissa 751030, India
  • Fortis Heart Institute and Multispeciality Hospital
    Mohali, Punjab 160062, India
  • R.M. Diabetes Education & Research Foundation
    Chennai, Tamil Nadu 600040, India
  • Narayana Superspeciality Hospital
    Howrah, West Bengal 711103, India
  • Fortis Hospital
    New Delhi, 110088, India
  • Pantai Hospital
    Kedah, 08000, Malaysia
  • Kota Bahru Medical Centre Sdn Bhd
    Kelantan, 15200, Malaysia
  • Hospital Universiti Sains Malaysia
    Kota Bharu, Kelantan, 16150, Malaysia
  • Gleneagles Hospital
    Kuala Lumpur, 50450, Malaysia
  • Borneo Medical Centre
    Kuching, 93350, Malaysia
  • KPJ Kuching
    Kuching, 93350, Malaysia
  • Mahkota Medical Center
    Melaka, 75000, Malaysia
  • Pantai Hospital Ayer Keroh
    Melaka, 75450, Malaysia
  • Island Hospital
    Penang, 10450, Malaysia
  • Klinik Chong
    Perak, 35800, Malaysia
  • Remedic Clinic
    Perlis, 01000, Malaysia
  • Hospital Putrajaya
    Putrajaya, 62250, Malaysia
  • Subang Jaya Medical Center
    Selangor, 47500, Malaysia
  • Thomson Hospital
    Selangor, 47810, Malaysia
  • Panay Healthcare Medical Center
    Aklan, Philippines
  • Perpetual Succor Hospital
    Cebu City, Philippines
  • Davao Doctors Hospital
    Davao City, 8000, Philippines
  • Iloilo Diabetes Care Center
    Iloilo, 5000, Philippines
  • Makati Medical Center
    Makati City, 1229, Philippines
  • University of Santo Tomas
    Manila, 1015, Philippines
  • Manila Doctor's Hospital
    Manila, Philippines
  • University of Sto. Tomas Hospital
    Manila, Philippines
  • St. Luke's Medical Center
    Quezon City, 1102, Philippines
  • Providence Hospital
    Quezon City, Philippines
  • University of the East-Ramon Magsaysay Memorial Medical Ctr
    Quezon City, Philippines
  • King Abdulaziz University Hospital
    Jeddah, 22252, Saudi Arabia
  • Dr Bakhsh Hospital
    Jeddah, 23216, Saudi Arabia
  • Dr. Ghassan N. Faroun Hospital
    Jeddah, 23521, Saudi Arabia
  • Saudi German Hospital
    Jeddah, 23521, Saudi Arabia
  • My clinic
    Jeddah, Saudi Arabia
  • Umm Alquara University Hospital
    Makkah, 24381, Saudi Arabia
  • Specialized medical center
    Riyadh, 12311, Saudi Arabia
  • Riyadh Care Hospital
    Riyadh, 14214, Saudi Arabia
  • National Guard Hospital
    Riyadh, 14611, Saudi Arabia
  • Dallah Hospital
    Riyadh, 14963, Saudi Arabia
  • Greenacres Hospital
    Port Elizabeth, Eastern Cape 6045, South Africa
  • Netcare Greenacres Hospital
    Port Elizabeth, Eastern Cape 6045, South Africa
  • ProHealth Wellness Centre
    Port Elizabeth, Eastern Cape 6201, South Africa
  • Hemant Makan
    Johannesburg, Gauteng 1827, South Africa
  • Dr Moosa's Rooms
    Lenasia, Gauteng 1827, South Africa
  • Prof P. Joshi
    Pretoria, Gauteng 0181, South Africa
  • Dr H Bacus
    Berea, KwaZulu-Natal 4091, South Africa
  • Union Hospital
    Alberton, 1449, South Africa
  • Medi-Clinic Bloemfontein
    Bloemfontein, 9301, South Africa
08

References and documents

Publications

  • Fulcher GR, Cohen ND, Davies K, d'Emden M, Glastras SJ, Mah PM, McCallum RW, Moses R, Thong KY, Roberts A. Initiating or switching to insulin degludec/insulin aspart in a real-world population of adults with type 2 diabetes in Australia: results from a prospective, non-interventional study. Intern Med J. 2024 Oct;54(10):1626-1633. doi: 10.1111/imj.16492. Epub 2024 Aug 22. PubMed 39171857 ↗
  • Fulcher GR, Akhtar S, Al-Jaser SJ, Medina J, Mohamed M, Nicodemus NA Jr, Olsen AH, Singh KP, Kok A. Initiating or Switching to Insulin Degludec/Insulin Aspart in Adults with Type 2 Diabetes: A Real-World, Prospective, Non-interventional Study Across Six Countries. Adv Ther. 2022 Aug;39(8):3735-3748. doi: 10.1007/s12325-022-02212-3. Epub 2022 Jun 25. Erratum In: Adv Ther. 2023 Jan;40(1):389-390. doi: 10.1007/s12325-022-02349-1. PubMed 35752730 ↗
  • Fulcher GR, Jarlov H, Piltoft JS, Singh KP, Liu L, Mohamed M, Nicodemus NA Jr, Al-Jaser SJ, Kok A. ARISE-a prospective, non-interventional, single-arm study assessing clinical parameters associated with the use of insulin degludec/insulin aspart in patients with type 2 diabetes in real-world settings: rationale and design. Endocrine. 2021 Dec;74(3):530-537. doi: 10.1007/s12020-021-02887-8. Epub 2021 Oct 12. Erratum In: Endocrine. 2022 Mar;75(3):964. doi: 10.1007/s12020-021-02956-y. PubMed 34637072 ↗

Individual participant data

Plan to share: Yes — According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04042441
Lead sponsor
Novo Nordisk A/S
Responsible party
Sponsor
First posted
Aug 2, 2019
Start date
Jul 29, 2019
Primary completion
Dec 11, 2020
Completion
Dec 11, 2020
Last update
Sep 19, 2024

Study contacts

Clinical Reporting Anchor and Disclosure (1452)
study director · Novo Nordisk A/S

Oversight

Data monitoring committee
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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