This trial is conducted in Asia. The aim of this clinical trial is to investigate the blood sugar lowering effect of biphasic insulin aspart 30 once daily compared to insulin glargine once daily both in combination with metformin and glimepiride in Chinese and Japanese subjects with type 2 diabetes who have never received insulin before. The trial is conducted as a phase 4 trial in China and phase 3 in Japan.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
521
Treat-to-target titration according to titration algorithm. Subcutaneous (under the skin) injection once daily.
China: Tablets, 500 mg. Min. 1500 mg/day. Japan: Tablets, 250 mg. Min 500 mg/day.
China: Tablets, 2 mg. Min. 4 mg/day. Japan: Tablets, 1 mg. Min. 4 mg/day.
Treat-to-target titration according to titration algorithm. Subcutaneous (under the skin) injection once daily.
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, China
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, China
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, China
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, China
Novo Nordisk Investigational Site
Beijing, Beijing Municipality, China
Change in Glycosylated Haemoglobin (HbA1c)
Time frame: Week 0, week 24
9-point Plasma Glucose Profiles
Glycaemic control measured by 9-point plasma glucose (SPMG) profiles. The 9 timepoints for self-measurement during the day were: before breakfast, 2 hours after breakfast, before lunch, 2 hours after lunch, before dinner, 2 hours after dinner, before bedtime, at 2-4 a.m. and before breakfast the following day.
Time frame: Week 24
Percentage of Subjects Achieving HbA1c Below 7.0%
The percentage of subjects achieving the treatment target for glycosylated haemoglobin A1c after 24 weeks of treatment
Time frame: Week 24
Percentage of Subjects Achieving HbA1c Below or Equal to 6.5%
The percentage of subjects achieving the treatment target for glycosylated haemoglobin A1c after 24 weeks of treatment
Time frame: Week 24
Number of Hypoglycaemic Episodes - All
Time frame: Weeks 0-24
Number of Hypoglycaemic Episodes - Severe and Minor
Hypoglycaemic episodes (hypos) summarised based on American Diabetes Association classification (severe, documented symptomatic, asymptomatic, probable symptomatic, and relative hypoglycaemia) and according to additional definition (minor hypoglycaemia). Severe hypos: requiring another person to actively administer resuscitative actions. Minor hypos: symptoms with plasma glucose below 3.1 mmol/L (56 mg/dl), or any asympomatic plasma glucose below 3.1 mmol/L.
Time frame: Weeks 0-24
Number of Hypoglycaemic Episodes
All episodes classified into nocturnal (time of onset between 00:00 (included) and 05:59 (included)).
Time frame: Weeks 0-24
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Novo Nordisk Investigational Site
Chongqing, Chongqing Municipality, China
Novo Nordisk Investigational Site
Fuzhou, Fujian, China
Novo Nordisk Investigational Site
Harbin, Heilongjiang, China
Novo Nordisk Investigational Site
Zhengzhou, Henan, China
Novo Nordisk Investigational Site
Nanjing, Jiangsu, China
...and 24 more locations