This trial is conducted in Asia. The aim of this clinical trial is to investigate the blood sugar lowering effect of repaglinide plus metformin as initial treatment compared to repaglinide alone in Chinese subjects with type 2 diabetes having an HbA1c (glycosylated haemoglobin A1c) over 8.5 % and who never have taken oral sugar-lowering drugs before. The associated unfavourable events including low blood sugar episodes between the two treatments are also compared.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
433
The dose was started from repaglinide 1 mg plus metformin 500 mg once daily. During the dose titration period, the dose could be titrated up to repaglinide 4 mg and metformin 500mg three times daily, according to fasting glucose. the minimal dose was repaglinide 1 mg plus metformin 500 mg three times daily
The dose was started from repaglinide 1 mg plus metformin 500 mg once daily. During the dose titration period, the dose could be titrated up to repaglinide 4 mg and metformin 500 mg three times daily, according to fasting glucose. the minimal dose was repaglinide 1 mg plus metformin 500 mg three times daily
The dose was started from repaglinide 1 mg three times daily. During the dose titration period, the dose of repaglinide could be titrated up to 4 mg three times daily, according to fasting glucose.
Novo Nordisk Investigational Site
Fuzhou, Fujian, China
Novo Nordisk Investigational Site
Nanjing, Jiangsu, China
Novo Nordisk Investigational Site
Nanjing, Jiangsu, China
Novo Nordisk Investigational Site
Nanjing, Jiangsu, China
Novo Nordisk Investigational Site
Suzhou, Jiangsu, China
Novo Nordisk Investigational Site
Wuxi, Jiangsu, China
Novo Nordisk Investigational Site
Nanchang, Jiangxi, China
Novo Nordisk Investigational Site
Shanghai, Shanghai Municipality, China
Novo Nordisk Investigational Site
Shanghai, Shanghai Municipality, China
Novo Nordisk Investigational Site
Shanghai, Shanghai Municipality, China
...and 7 more locations
Change in Glycosylated Haemoglobin A1c (HbA1c)
Calculated as an estimate of the mean change in HbA1c after 16 weeks of treatment.
Time frame: week -2 (screening), week 16
Change in Fasting Plasma Glucose
Calculated as an estimate of the mean change in fasting plasma glucose after 16 weeks of treatment.
Time frame: week 0, week 16
Change in 2-hour Postprandial Plasma Glucose
Calculated as an estimate of the mean change in 2-hour postprandial plasma glucose following a standard test meal after 16 weeks of treatment
Time frame: Week 0, week 16
Change in 7-point Plasma Glucose Profile
Calculated as an estimate of the mean change in 7-point (before breakfast, 2 hours after breakfast, before lunch, 2 hours after lunch, before dinner, 2 hours after dinner, bedtime) plasma glucose profile after 16 weeks of treatment.
Time frame: Week 0, week 16
Change in Fasting Serum Insulin
Calculated as an estimate of the mean change in fasting serum insulin after 16 weeks of treatment.
Time frame: Week 0, week 16
Change in 2-hour Postprandial Serum Insulin
Calculated as an estimate of the mean change in 2-hour postprandial serum insulin after 16 weeks of treatment.
Time frame: Week 0, week 16
Change in Fasting Serum C-peptide
Calculated as an estimate of the mean change in fasting serum C-peptide after 16 weeks of treatment
Time frame: Week 0, week 16
Change in 2-hour Postprandial Serum C-peptide
Calculated as an estimate of the mean change in 2-hour postprandial serum C-peptide after 16 weeks of treatment
Time frame: Week 0, week 16
Hypoglycaemic Episodes
Number of hypoglycaemic episodes from Week 0 to Week 16, defined as major, minor or symptoms only. Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. Symptoms only if able to treat her/himself and no plasma glucose measurement or plasma glucose higher than or equal to 3.1 mmol/L.
Time frame: Weeks 0-16
Change in Blood Pressure
Calculated as the mean change in diastolic and systolic blood pressure after 16 weeks of treatment
Time frame: Week 0, week 16
Physical Examinations
The number of subjects having a physical examination event that changed from 'Normal' or 'Abnormal, not clinically significant' to 'Abnormal, clinically significant'. Physical examination included cardiovascular system, respiratory system, musculoskeletal system, nervous system and abdomen.
Time frame: Week -2, week 16
ECG (ElectroCardioGram)
The number of subjects having a electrocardiogram (ECG) that changed from 'Normal' or 'Abnormal, not clinically significant' to 'Abnormal, clinically significant'. 'Abnormal, Clinically significant' is an abnormality that suggests a disease and/or organ toxicity and is of a severity, which requires active management.
Time frame: Week -2, week 16
Biochemistry: Alanine Aminotransferase (ALAT)
The number of subjects having a change in Alanine Aminotransferase (ALAT) from 'Normal' or 'Abnormal, not clinically significant' to 'Abnormal, clinically significant'. 'Abnormal, Clinically significant' is an abnormality that suggests a disease and/or organ toxicity and is of a severity, which requires active management.
Time frame: Week -2, week 16
Biochemistry: Alanine Aminotransferase (ASAT)
The number of subjects having a change in Aspartate Aminotransferase (ASAT) from 'Normal' or 'Abnormal, not clinically significant' to 'Abnormal, clinically significant'. 'Abnormal, Clinically significant' is an abnormality that suggests a disease and/or organ toxicity and is of a severity, which requires active management.
Time frame: Week -2, week 16
Haematology: Haemoglobin
Haemoglobin was measured. The number of subjects having a change in Haemoglobin measurement from 'Normal' or 'Abnormal, not clinically significant' to 'Abnormal, clinically significant' 'Abnormal, Clinically significant' is an abnormality that suggests a disease and/or organ toxicity and is of a severity, which requires active management.
Time frame: Week -2, week 16
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