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OpenTrials
Completed

NCT Number: NCT01697657

Frequency of Hypoglycaemic Episodes During Treatment With Insulin Detemir in Well Controlled Subjects With Type 1 Diabetes

This trial is conducted in Africa, Europe and Oceania. The aim of this trial is to investigate whether insulin detemir combined with insulin aspart compared to NPH insulin combined with insulin aspart could reduce the frequency of hypoglycaemic episodes whilst maintaining the same degree of glycaemic control subjects with type 1 diabetes.

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Key information

Conditions

Diabetes Autoimmune Diseases Diabetes Mellitus Diabetes Mellitus, Type 1 Endocrine System Diseases Glucose Metabolism Disorders Immune System Diseases Metabolic Diseases Nutritional and Metabolic Diseases

Age range

18 year–100 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Novo Nordisk Investigational Site, Camperdown, New South Wales, Australia

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Type 1 diabetes
  • Fasting c-peptide below lower limit of normal fasting range
  • Duration of type 1 diabetes for at least 12 months
  • Current treatment: Basal - bolus regimen for at least 4 months with intermediate or long-acting insulin once, twice or three times daily as basal insulin and 3-4 premeal insulin aspart or lispro injections
  • HbA1c maximum 9.0% (using Biorad Variant method)
  • Able and willing to perform self-monitoring of blood glucose
  • Basal insulin requirement at least 30% of the total daily insulin dose
  • BMI (body Mass Index) maximum 35 kg/m^2

Exclusion criteria

  • Proliferative retinopathy or maculopathy requiring acute treatment
  • Total daily insulin dose above 1.4 IU/kg/day
  • Known unawareness of hypoglycaemia
  • Impaired hepatic function
  • Impaired renal function
  • Cardiac problems
  • Uncontrolled, treated/untreated hypertension
  • Known or suspected allergy to trial product or related products

Treatment and study plan

insulin detemir

Drug

Subjects were dosed according to individual requirements. Injected subcutaneously (s.c. under the skin) twice daily in the morning and at bedtime for 10 weeks after an initial 6-week titration in treatment period 1 followed by 10 weeks after an initial 6-week titration in treatment period 2

insulin NPH

Drug

Subjects were dosed according to individual requirements. Injected subcutaneously (s.c. under the skin) twice daily in the morning and at bedtime for 10 weeks after an initial 6-week titration in treatment period 1 followed by 10 weeks after an initial 6-week titration in treatment period 2

insulin aspart

Drug

Subjects were dosed according to individual requirements. Injected subcutaneously (s.c. under the skin) twice daily before meals for 10 weeks after an initial 6-week titration in treatment period 1 followed by 10 weeks after an initial 6-week titration in treatment period 2

Primary outcomes

  1. Incidence of total self-recorded hypoglycaemic episodes

Secondary outcomes

  1. Incidence of total major hypoglycaemic episodes

  2. HbA1c (glycosylated haemoglobin)

  3. 8-point plasma glucose profiles

  4. Serum glucose profiles

  5. 72-hours glucose profile

  6. Within-subject variation in home-measured fasting plasma glucose

  7. Incidence of adverse events

Sponsors and collaborators

Lead sponsor

Novo Nordisk A/S

Industry

Registry information

Official study title

A Randomised, Open Label, Cross-over, Multi-centre, Multinational Trial Comparing the Frequency of Hypoglycaemic Episodes During Treatment With Insulin Detemir and NPH Insulin in Well Controlled Subjects With Type 1 Diabetes on a Basal-bolus Regimen

Important dates

Study start
2001
Primary completion
2002
Study completion
2002
First posted
Oct 2, 2012
Registry last updated
Jan 27, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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