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A Clinical Study of Insulin Degludec Injection in Subjects With Type 2 Diabetes

Primary Purpose

Type 2 Diabetes

Status
Recruiting
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Insulin degludec injection
Tresiba®
Sponsored by
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Type 2 diabetes (diagnosed clinically) for at least 6 months.
  2. Aged ≥18 and ≤70 years old, male or female.
  3. Subjects who were treated with a stable dose of oral hypoglycemic agents for more than 3 months before the random visit.
  4. HbA1c is in the range of 7.5% -11.0 % by local laboratory analysis.
  5. Body mass index (BMI) ≥18 kg/m2 and ≤40kg/m2.
  6. Patients must give informed consent to this study before the trial, and voluntarily sign an informed consent form.
  7. Patients who can communicate well with the investigator and can complete the study in accordance with the research regulations.

Exclusion Criteria:

  1. Diagnosed as type 1 diabetes or other types of diabetes.
  2. Patients who have received insulin therapy for more than 7 days within 3 months before screening .
  3. Patients who have received a thiazolidinedione (TZD) or GLP-1 receptor agonist within 3 months before screening.
  4. Patients who are receiving or have received chronic (lasting more than 2 weeks) systemic glucocorticoid therapy (excluding topical drugs and inhaled preparations) within 3 months before the random visit.
  5. Patients who are receiving or have received chronic (lasting more than 2 weeks) systemic glucocorticoid therapy (excluding topical drugs and inhaled preparations) within 3 months before the random visit.
  6. Patients with hypoglycemia who have recurring severe events with conscious and/or physical changes within 3 months before screening and need help from others.
  7. Those who have experienced acute metabolic complications (ketoacidosis, lactic acidosis, or hyperosmolar coma, etc.) within 3 months before screening.
  8. Patients with obvious liver and kidney dysfunction.
  9. Hemoglobin <100g/L.
  10. When the virological test during the screening period shows that any of the following is met:

(1) HCV(hepatitis C virus) antibody is positive, and the HCV virus titer test value exceeds the upper limit of normal value; (2) HBsAg(Hepatitis B surface antigen) is positive and the HBV(hepatitis B virus) DNA test value exceeds the upper limit of normal; (3) HIV(human immunodeficiency virus) positive; (4) Active syphilis;

11. At the time of screening, there are thyroid diseases that have not been controlled with stable doses of drugs within 6 months, and the results of thyroid function tests during the screening period are abnormal and have clinical significance.

12. Uncontrolled or poorly treated high blood pressure.

13. Those with decompensated heart failure (NYHA class III and IV), unstable angina, stroke or transient ischemic attack, myocardial infarction, severe arrhythmia, cardiac surgery or blood vessel reconstruction (including coronary artery bypass grafting or percutaneous coronary intervention) occurred within 6 months before screening.

14. Those with proliferative retinopathy or macular degeneration (macular edema) that requires urgent treatment during screening.

15. Once diagnosed as malignant tumor (except for basal cell carcinoma or squamous cell skin cancer).

16. Patients with severe chronic gastrointestinal diseases (such as active peptic ulcer) and severe infections.

17. Those who are allergic to any ingredient in insulin deglu injection and Novota®.

18.Those who participated in any other clinical trials within 3 months before screening (excluding those who failed the screening or did not use study drugs for other reasons).

19. Pregnant women, lactating women, women of childbearing age who do not take appropriate contraceptive measures during the trial period (sterilization, intrauterine device, oral contraceptives or barrier contraception).

20. Those who are judged by the investigator to be unsuitable to participate in the trial.

Sites / Locations

  • The First Affiliated Hospital of Chongqing Medical UniversityRecruiting
  • The Second Xiangya Hospital of Central South UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Insulin degludec injection

Tresiba®

Arm Description

Insulin degludec injection subcutaneous administration once daily for 26 weeks in combination with Oral antidiabetic drugs (OADs) used before.

Insulin degludec injection(Tresiba®)subcutaneous administration once daily for 26 weeks in combination with Oral antidiabetic drugs (OADs) used before.

Outcomes

Primary Outcome Measures

Change value of glycosylated hemoglobin (HbA1c)
Change value of HbA1c from baseline following 26 weeks of therapy

Secondary Outcome Measures

Percentage of patients achieving HbA1c ≤7% or HbA1c ≤6.5%
Percentage of patients in each arm achieving HbA1c ≤7% or HbA1c ≤6.5% after 26 weeks of treatment.
Change value of HbA1c
Change value of HbA1c from baseline following 14 weeks of therapy
Change value of fasting blood glucose
Change value of fasting blood glucose following 14 and 26 weeks of therapy
Adverse events (AEs) and serious adverse events (SAEs)
AEs and SAEs and their incidence during the 26-week treatment period, and then determine the correlation with the drug
Hypoglycemia
Frequency of severe or symptomatic hypoglycemia during the 26-week treatment period
Immunogenicity
The occurrence of immunogenicity during the 26-week treatment period by detecting Anti-Drug-Antibody(ADA).
Abnormal findings
Abnormal findings during the 26-week treatment period,including abnormal findings of blood routine test,blood biochemical test as well as other abnormal laboratory findings.

Full Information

First Posted
July 5, 2021
Last Updated
September 18, 2021
Sponsor
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04955834
Brief Title
A Clinical Study of Insulin Degludec Injection in Subjects With Type 2 Diabetes
Official Title
A Multicenter, Randomized, Open-label, Parallel-controlled Phase III Clinical Study to Compare the Efficacy and Safety of Insulin Degludec Injection Versus Tresiba® in Subjects With Type 2 Diabetes
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Recruiting
Study Start Date
July 27, 2021 (Actual)
Primary Completion Date
December 31, 2025 (Anticipated)
Study Completion Date
December 31, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This study is a multi-center, randomized, open-label, parallel, positive-controlled registered clinical study,to evaluate the efficacy and safety of insulin degludec injection developed by Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
344 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Insulin degludec injection
Arm Type
Experimental
Arm Description
Insulin degludec injection subcutaneous administration once daily for 26 weeks in combination with Oral antidiabetic drugs (OADs) used before.
Arm Title
Tresiba®
Arm Type
Active Comparator
Arm Description
Insulin degludec injection(Tresiba®)subcutaneous administration once daily for 26 weeks in combination with Oral antidiabetic drugs (OADs) used before.
Intervention Type
Drug
Intervention Name(s)
Insulin degludec injection
Intervention Description
long-acting insulin
Intervention Type
Drug
Intervention Name(s)
Tresiba®
Intervention Description
long-acting insulin
Primary Outcome Measure Information:
Title
Change value of glycosylated hemoglobin (HbA1c)
Description
Change value of HbA1c from baseline following 26 weeks of therapy
Time Frame
Baseline and 26 weeks
Secondary Outcome Measure Information:
Title
Percentage of patients achieving HbA1c ≤7% or HbA1c ≤6.5%
Description
Percentage of patients in each arm achieving HbA1c ≤7% or HbA1c ≤6.5% after 26 weeks of treatment.
Time Frame
Baseline, week 26
Title
Change value of HbA1c
Description
Change value of HbA1c from baseline following 14 weeks of therapy
Time Frame
Baseline, week 14
Title
Change value of fasting blood glucose
Description
Change value of fasting blood glucose following 14 and 26 weeks of therapy
Time Frame
Baseline, week 14, week 26
Title
Adverse events (AEs) and serious adverse events (SAEs)
Description
AEs and SAEs and their incidence during the 26-week treatment period, and then determine the correlation with the drug
Time Frame
Baseline to week 26
Title
Hypoglycemia
Description
Frequency of severe or symptomatic hypoglycemia during the 26-week treatment period
Time Frame
Baseline to week 26
Title
Immunogenicity
Description
The occurrence of immunogenicity during the 26-week treatment period by detecting Anti-Drug-Antibody(ADA).
Time Frame
Baseline, week 14, week 26
Title
Abnormal findings
Description
Abnormal findings during the 26-week treatment period,including abnormal findings of blood routine test,blood biochemical test as well as other abnormal laboratory findings.
Time Frame
Baseline to week 26

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Type 2 diabetes (diagnosed clinically) for at least 6 months. Aged ≥18 and ≤70 years old, male or female. Subjects who were treated with a stable dose of oral hypoglycemic agents for more than 3 months before the random visit. HbA1c is in the range of 7.5% -11.0 % by local laboratory analysis. Body mass index (BMI) ≥18 kg/m2 and ≤40kg/m2. Patients must give informed consent to this study before the trial, and voluntarily sign an informed consent form. Patients who can communicate well with the investigator and can complete the study in accordance with the research regulations. Exclusion Criteria: Diagnosed as type 1 diabetes or other types of diabetes. Patients who have received insulin therapy for more than 7 days within 3 months before screening . Patients who have received a thiazolidinedione (TZD) or GLP-1 receptor agonist within 3 months before screening. Patients who are receiving or have received chronic (lasting more than 2 weeks) systemic glucocorticoid therapy (excluding topical drugs and inhaled preparations) within 3 months before the random visit. Patients who are receiving or have received chronic (lasting more than 2 weeks) systemic glucocorticoid therapy (excluding topical drugs and inhaled preparations) within 3 months before the random visit. Patients with hypoglycemia who have recurring severe events with conscious and/or physical changes within 3 months before screening and need help from others. Those who have experienced acute metabolic complications (ketoacidosis, lactic acidosis, or hyperosmolar coma, etc.) within 3 months before screening. Patients with obvious liver and kidney dysfunction. Hemoglobin <100g/L. When the virological test during the screening period shows that any of the following is met: (1) HCV(hepatitis C virus) antibody is positive, and the HCV virus titer test value exceeds the upper limit of normal value; (2) HBsAg(Hepatitis B surface antigen) is positive and the HBV(hepatitis B virus) DNA test value exceeds the upper limit of normal; (3) HIV(human immunodeficiency virus) positive; (4) Active syphilis; 11. At the time of screening, there are thyroid diseases that have not been controlled with stable doses of drugs within 6 months, and the results of thyroid function tests during the screening period are abnormal and have clinical significance. 12. Uncontrolled or poorly treated high blood pressure. 13. Those with decompensated heart failure (NYHA class III and IV), unstable angina, stroke or transient ischemic attack, myocardial infarction, severe arrhythmia, cardiac surgery or blood vessel reconstruction (including coronary artery bypass grafting or percutaneous coronary intervention) occurred within 6 months before screening. 14. Those with proliferative retinopathy or macular degeneration (macular edema) that requires urgent treatment during screening. 15. Once diagnosed as malignant tumor (except for basal cell carcinoma or squamous cell skin cancer). 16. Patients with severe chronic gastrointestinal diseases (such as active peptic ulcer) and severe infections. 17. Those who are allergic to any ingredient in insulin deglu injection and Novota®. 18.Those who participated in any other clinical trials within 3 months before screening (excluding those who failed the screening or did not use study drugs for other reasons). 19. Pregnant women, lactating women, women of childbearing age who do not take appropriate contraceptive measures during the trial period (sterilization, intrauterine device, oral contraceptives or barrier contraception). 20. Those who are judged by the investigator to be unsuitable to participate in the trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Zhiguang Zhou, Doctor
Phone
0731-85294018
Email
zhouzg@hotmail.com
First Name & Middle Initial & Last Name or Official Title & Degree
Qifu Li, Doctor
Phone
023-89012755
Email
liqifu@yeah.net
Facility Information:
Facility Name
The First Affiliated Hospital of Chongqing Medical University
City
Chongqing
State/Province
Chongqing
ZIP/Postal Code
400010
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Qifu Li, Doctor
Phone
023-89012755
Email
liqifu@yeah.net
Facility Name
The Second Xiangya Hospital of Central South University
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410013
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhiguang Zhou, Doctor
Phone
0731-85294018
Email
zhouzg@hotmail.com

12. IPD Sharing Statement

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A Clinical Study of Insulin Degludec Injection in Subjects With Type 2 Diabetes

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