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Trial · NCT03078478

A Trial Comparing the Efficacy and Safety of Insulin Degludec and Insulin Glargine 300 Units/mL in Subjects With Type 2 Diabetes Mellitus Inadequately Treated With Basal Insulin With or Without Oral Antidiabetic Drugs

NCT03078478, Phase 3, Completed, Novo Nordisk A/S; results first posted 2020-03-12

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Trial Comparing the Efficacy and Safety of Insulin Degludec and Insulin Glargine 300 Units/mL in Subjects With Type 2 Diabetes Mellitus Inadequately Treated With Basal Insulin With or Without Oral Antidiabetic Drugs. Trials, record NCT03078478. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03078478

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Trial Comparing the Efficacy and Safety of Insulin Degludec and Insulin Glargine 300 Units/mL in Subjects With Type 2 Diabetes Mellitus Inadequately Treated With Basal Insulin With or Without Oral Antidiabetic Drugs
NCT number
NCT03078478
Status
Completed
Phases
Phase 3
Enrollment
1,609 participants, actual
Lead sponsor
Novo Nordisk A/S
Conditions
Diabetes, Diabetes Mellitus, Type 2
Interventions
Insulin degludec, Insulin glargine
First posted
2017-03-13
Last updated
2022-01-11
Other registries' IDs
eudract:2016-002801-20
Results first posted
2020-03-12

Source ClinicalTrials.gov

Registered outcomes16

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks)36 Weeks
Severe or BG confirmed symptomatic hypoglycaemia was evaluated during maintenance 2 (36 weeks) period. Severe or BG confirmed symptomatic hypoglycaemia: An episode that is severe according to the ADA 2013 classification or blood glucose (BG) confirmed by a plasma glucose value \<3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. The observed rates (number of episodes divided by patient years of exposure multiplied by 100) of severe or BG-confirmed symptomatic hypoglycaemic episodes per patient years of exposure (PYE) is presented in this endpoint results.
SecondaryBasal Insulin Dose (U) at End of Treatment (up to 88 Weeks)88 weeksThe observed mean daily basal insulin doses was evaluated at the end of trial (88 weeks).
SecondaryNumber of Nocturnal, Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks)36 weeks
Nocturnal severe or BG confirmed symptomatic hypoglycaemia was evaluated during maintenance 2 (36 weeks). The nocturnal period defined as the period between 00:01 and 05:59 a.m. (both inclusive). Severe or BG confirmed symptomatic hypoglycaemia: An episode that is severe according to the ADA 2013 classification or blood glucose (BG) confirmed by a plasma glucose value \<3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. The observed rates (number of episodes divided by patient years of exposure multiplied by 100) of severe or BG-confirmed symptomatic hypoglycaemic episodes per patient years of exposure (PYE) is presented in this endpoint results.
SecondaryNumber of Severe Hypoglycaemic Episodes During Maintenance 2 (36 Weeks)36 weeks (maintenance 2)
Severe hypoglycaemia are those episodes positively adjudicated by the event adjudication committee according to the ADA definition of a severe hypoglycaemic episode. This was evaluated for maintenance 2 period. The observed rates (number of episodes divided by patient years of exposure multiplied by 100) of severe hypoglycaemic episodes per patient years of exposure (PYE) is presented in this endpoint results.
SecondaryChange in HbA1c From Baseline to End of Treatment (up to 88 Weeks)Week 0, week 88Change in glycosylated haemoglobin (HbA1c) was evaluated from baseline to end of treatment period (week 88).
SecondaryChange in Fasting Plasma Glucose (FPG) From Baseline to End of Treatment (up to 88 Weeks)Week 0, week 88Change in fasting plasma glucose (FPG) was evaluated from baseline to end of treatment period (week 88).
SecondaryPercentage of Participants With FPG ≤ 7.2 mmol/L (130 mg/dL) at End of Treatment (up to 88 Weeks) (Yes/no)At 88 weeksParticipants achieving a fasting plasma glucose value of less than or equal to 7.2 mmol/L (130 mg/dL) at end of treatment (up to 88 weeks).
SecondaryPercentage of Participants With FPG ≤ 5.0 mmol/L (90 mg/dL) at End of Treatment (up to 88 Weeks) (Yes/no)At 88 weeksParticipants achieving a fasting plasma glucose value of less than or equal to 5.0 mmol/L (90 mg/dL) at end of treatment (up to 88 weeks).
Secondary
Percentage of Participants With HbA1c < 7.0% (53 mmol/Mol) at End of Treatment (up to 88 Weeks) and no Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks) (Yes/no)
End of Treatment (up to 88 Weeks)Participants achieving target HbA1c of less than 7.0% at the end of treatment (88 weeks) without severe or BG-confirmed hypoglycaemia during maintenance 2 (36 weeks).
Secondary
Percentage of Participants With HbA1c < 7.0% (53 mmol/Mol) at End of Treatment (up to 88 Weeks) and no Nocturnal, Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks) (Yes/no)
At 88 weeksParticipants achieving target HbA1c of less than 7.0% at the end of treatment (88 weeks) without nocturnal severe or BG-confirmed hypoglycaemia during maintenance 2 (36 weeks).

Outcomes16

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks)36 WeeksThe safety analysis set (SAS) comprised all subjects who received at least one dose of the investigational product or comparator.Episodes/(PYE*100)NUMBER
SECONDARYBasal Insulin Dose (U) at End of Treatment (up to 88 Weeks)88 weeksThe safety analysis set (SAS) comprised all subjects who received at least one dose of the investigational product or comparator. Number Analyzed = number of participants with available data.UnitsMEAN
SECONDARYNumber of Nocturnal, Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks)36 weeksThe safety analysis set (SAS) comprised all subjects who received at least one dose of the investigational product or comparator. Number Analyzed = number of participants with available data.Episodes/(PYE*100)NUMBER
SECONDARYNumber of Severe Hypoglycaemic Episodes During Maintenance 2 (36 Weeks)36 weeks (maintenance 2)The safety analysis set (SAS) comprised all subjects who received at least one dose of the investigational product or comparator. Number Analyzed = number of participants with available data.Episodes/(PYE*100)NUMBER
SECONDARYChange in HbA1c From Baseline to End of Treatment (up to 88 Weeks)Week 0, week 88The full analysis set (FAS) comprised all randomised subjects. Number Analyzed = number of participants with available data.Percentage of HbA1cMEAN
SECONDARYChange in Fasting Plasma Glucose (FPG) From Baseline to End of Treatment (up to 88 Weeks)Week 0, week 88Full analysis set (FAS) included all randomised subjects. Number Analyzed = number of participants with available data.mg/dLMEAN
SECONDARYPercentage of Participants With FPG ≤ 7.2 mmol/L (130 mg/dL) at End of Treatment (up to 88 Weeks) (Yes/no)At 88 weeksFull analysis set (FAS) included all randomised subjects. Number Analyzed = number of participants with available data.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With FPG ≤ 5.0 mmol/L (90 mg/dL) at End of Treatment (up to 88 Weeks) (Yes/no)At 88 weeksFull analysis set (FAS) included all randomised subjects. Number Analyzed = number of participants with available data.Percentage of participantsNUMBER
SECONDARY
Percentage of Participants With HbA1c < 7.0% (53 mmol/Mol) at End of Treatment (up to 88 Weeks) and no Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks) (Yes/no)
End of Treatment (up to 88 Weeks)Full analysis set (FAS) included all randomised subjects. Number Analyzed = number of participants with available data.Percentage of participantsNUMBER
SECONDARY
Percentage of Participants With HbA1c < 7.0% (53 mmol/Mol) at End of Treatment (up to 88 Weeks) and no Nocturnal, Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks) (Yes/no)
At 88 weeksFull analysis set (FAS) included all randomised subjects. Number Analyzed = number of participants with available data.Percentage of participantsNUMBER

Results by group42

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks)Insulin Degludec 200216.8Episodes/(PYE*100)
Number of Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks)Insulin Glargine U300243.9Episodes/(PYE*100)
Basal Insulin Dose (U) at End of Treatment (up to 88 Weeks)Insulin Degludec 20066.6Standard Deviation 48.54Units
Basal Insulin Dose (U) at End of Treatment (up to 88 Weeks)Insulin Glargine U30073.0Standard Deviation 48.48Units
Number of Nocturnal, Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks)Insulin Degludec 20062.30Episodes/(PYE*100)
Number of Nocturnal, Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks)Insulin Glargine U30093.75Episodes/(PYE*100)
Number of Severe Hypoglycaemic Episodes During Maintenance 2 (36 Weeks)Insulin Degludec 2000.98Episodes/(PYE*100)
Number of Severe Hypoglycaemic Episodes During Maintenance 2 (36 Weeks)Insulin Glargine U3004.88Episodes/(PYE*100)
Change in HbA1c From Baseline to End of Treatment (up to 88 Weeks)Insulin Degludec 200-0.54Standard Deviation 0.91Percentage of HbA1c
Change in HbA1c From Baseline to End of Treatment (up to 88 Weeks)Insulin Glargine U300-0.46Standard Deviation 0.90Percentage of HbA1c

Participant flow22

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Titration Period (16 Weeks)STARTEDInsulin Degludec U200805
Titration Period (16 Weeks)STARTEDInsulin Glargine U300804
Titration Period (16 Weeks)Full Analysis SetInsulin Degludec U200805
Titration Period (16 Weeks)Full Analysis SetInsulin Glargine U300804
Titration Period (16 Weeks)Safety Analysis SetInsulin Degludec U200802
Titration Period (16 Weeks)Safety Analysis SetInsulin Glargine U300798
Titration Period (16 Weeks)COMPLETEDInsulin Degludec U200805
Titration Period (16 Weeks)COMPLETEDInsulin Glargine U300804
Titration Period (16 Weeks)NOT COMPLETEDInsulin Degludec U2000
Titration Period (16 Weeks)NOT COMPLETEDInsulin Glargine U3000

Adverse events646

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherArthralgiaMusculoskeletal and connective tissue disordersIDeg U2005180259
otherArthralgiaMusculoskeletal and connective tissue disordersIGlar U3006579884
otherBack painMusculoskeletal and connective tissue disordersIDeg U2005980273
otherBack painMusculoskeletal and connective tissue disordersIGlar U3006279870
otherBronchitisInfections and infestationsIDeg U2004880254
otherBronchitisInfections and infestationsIGlar U3004679846
otherCoughRespiratory, thoracic and mediastinal disordersIDeg U2004880260
otherCoughRespiratory, thoracic and mediastinal disordersIGlar U3004679853
otherDiarrhoeaGastrointestinal disordersIDeg U2007280290
otherDiarrhoeaGastrointestinal disordersIGlar U3007979897

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityIDeg U2007802
Total, all-cause mortalityIGlar U3009798
Total, other adverse eventsIDeg U200496802
Total, other adverse eventsIGlar U300476798
Total, serious adverse eventsIDeg U200167802
Total, serious adverse eventsIGlar U300141798

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
30974986BACKGROUNDPubMed
31984443RESULTPubMed
32306247DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
IDeg U200 vs IGlar U300: deaths from any causeTrial comparisons
IDeg U200 vs IGlar U300: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03078478

GET https://conductscience.org/api/trials/v1/NCT03078478/results?page=2