This trial is conducted in Europe and the United States of America (USA). The aim of the trial is to investigate efficacy and safety of FIAsp (faster-acting insulin aspart) compared to insulin aspart, both in combination with insulin detemir in adults with type 1 diabetes. This trial consists of two periods: a 26 week treatment period followed by a 26 week additional treatment period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
1,290
Injected subcutaneously (s.c., under the skin), dose individually adjusted. Meal time dosing is defined as injecting 0-2 minutes before the meal.
Injected subcutaneously (s.c., under the skin), dose individually adjusted. Administrated once or twice daily.
Injected subcutaneously (s.c., under the skin), dose individually adjusted.
Change From Baseline in HbA1c (Glycosylated Haemoglobin)
Change from baseline in HbA1c after 26 weeks of randomised treatment.
Time frame: Week 0, week 26
Change From Baseline in 2-hour PPG (Postprandial Glucose) Increment (Meal Test)
Change from baseline in 2-hour PPG increments after 26 weeks of randomised treatment (meal test).
Time frame: Week 0, week 26
Change From Baseline in HbA1c (Post Meal Arm)
Change from baseline in HbA1c (post meal arm) after 26 weeks of randomised treatment.
Time frame: Week 0, week 26
Number of Treatment Emergent Confirmed Hypoglycaemic Episodes
Observed rate of treatment emergent severe or BG confirmed hypoglycaemic events per 100 patient years of exposure (PYE) from baseline until week 26. A hypoglycaemic episode was defined as treatment emergent if the onset of the episode was on or after the first day of exposure to randomised treatment and no later than 1 day after the last day of randomised treatment. Severe or BG confirmed is an episode that is severe according to the American Diabetes Association (ADA) classification (an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a PG value \<3.1 mmol/L (56 mg/dL) with or without symptoms consistent with hypoglycaemia.
Time frame: From baseline until week 26
Change From Baseline in Body Weight
Change from baseline in body weight after 26 weeks of randomised treatment.
Time frame: Week 0, week 26
Frequency of Adverse Events
All treatment emergent adverse events (TEAEs) from baseline until 52 weeks of randomised treatment. A TEAE was defined as an event that had an onset date on or after the first day of exposure to randomised treatment, and no later than 7 days after the last day of randomised treatment.
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Injected subcutaneously (s.c., under the skin), dose individually adjusted. Post meal time dosing is defined as injecting 20 minutes after the start of the meal.
Novo Nordisk Investigational Site
Mobile, Alabama, United States
Novo Nordisk Investigational Site
Tucson, Arizona, United States
Novo Nordisk Investigational Site
Tucson, Arizona, United States
Novo Nordisk Investigational Site
Anaheim, California, United States
Novo Nordisk Investigational Site
Concord, California, United States
Novo Nordisk Investigational Site
Escondido, California, United States
Novo Nordisk Investigational Site
Fresno, California, United States
Novo Nordisk Investigational Site
Fullerton, California, United States
Novo Nordisk Investigational Site
Inglewood, California, United States
Novo Nordisk Investigational Site
La Jolla, California, United States
...and 181 more locations
Time frame: After 52 weeks of randomised treatment
Change in HbA1c
Change from baseline in HbA1c (%) after 52 weeks of randomised treatment.
Time frame: Week 0, week 52
Change in PPG (Postprandial Glucose)
Change from baseline in PPG and PPG increment (meal test) after 52 weeks of randomised treatment.
Time frame: Week 0, week 52