Page last updated: 2024-11-13

insulin, isophane

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Description

Insulin, Isophane: An intermediate-acting INSULIN preparation with onset time of 2 hours and duration of 24 hours. It is produced by crystallizing ZINC-insulin-PROTAMINES at neutral pH 7. Thus it is called neutral protamine Hagedorn for inventor Hans Christian Hagedorn. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID24839622
MeSH IDM0011436

Synonyms (81)

Synonym
ultra lente iszilin
insulin lente
insulin, ultralente
insulini cum zinco (crystallisati) [inn-latin]
insulin zinc suspension
insulin zinc
novolin u
insulini zinco amorphi aquosuspensa
zinc insulin
insulin novo lente
insulina-zinco sospensione composta [dcit]
suspension d'insuline zinc (amorphe) [inn-french]
insulini zinci amorphi suspensio
insulini zinci cristallisati suspensio
insulini zinco cristallisati aquosuspensa
suspension de insulina cinc (amorfa) [inn-spanish]
insulina-zinco sospensione (amorfa) [dcit]
suspension injectable d'insuline zinc amorphe
prompt insulin zinc suspension
injectio insulini cum zinco neutralis
insulin semilente
suspension injectable d'insuline zinc cristallisee
insulini cum zinco (amorphi) suspensio [inn-latin]
iletin u 40
insulin, lente
ultralenta zinc insulin
suspensio zinc-insulini
iniectabile insulini zinci compositum
izsab
monotard
nph iletin
insulin lente mc
ultralente insulin
suspension d'insuline zinc (composee) [inn-french]
insulini cum zinco suspensio compositacompound [inn-latin]
nph insulin
insulin nph
insulina-zinco sospensione (crisstallina) [dcit]
extended zinc insulin suspension
lente insulin
semilente insulin
caninsulin
zinc-insulinum
insulin, crystalline zinc
suspension injectable d'insuline zinc mixte
insulini zinci suspensio mixta
suspension d'insuline zinc (cristallisee) [inn-french]
suspension de insulina cinc (compuesta) [inn-spanish]
insulin, semi-lente
iniectabile insulini zinci cristallisati
suspension de insulina cinc (cristal.) [inn-spanish]
iniectabile insulini zinci amorphi
einecs 232-469-4
insulin, crystalline
NPH ,
lente
8049-62-5
insulini cum zinco (amorphi) suspensio
insulin zinc injection (aqueous suspension)
insulini cum zinco suspensio compositacompound
insulin zinc purified porcine (suspension)
insulin human zinc
suspension d'insuline zinc (composee)
insulina-zinco sospensione composta
suspension d'insuline zinc (amorphe)
insulina-zinco sospensione (crisstallina)
insulin human zinc [usp]
suspension de insulina cinc (compuesta)
insulina-zinco sospensione (amorfa)
insulin zinc purified porcine (suspension) [jan]
insulin zinc injection (aqueous suspension) [jan]
suspension d'insuline zinc (cristallisee)
suspension de insulina cinc (amorfa)
lente iletin
insulin zinc [usp:ban]
insulin zinc suspension, compound [inn]
insulin, isophane
insulini cum zinco (crystallisati)
insulin zinc suspension, compound
suspension de insulina cinc (cristal.)
insulin isophane

Research Excerpts

Toxicity

ExcerptReferenceRelevance
"A retrospective analysis was conducted to determine the effects of metformin on glycosylated hemoglobin (HbA1c), body weight, and adverse events in an African-American population."( A retrospective analysis of the efficacy and safety of metformin in the African-American patient.
Anderson, D; Briscoe, TA; Cooper, GS; Usifo, OS, 1997
)
0.3
" There were no serious adverse events during the study."( Safety and efficacy of [Lys(B28), Pro(B29)]-human insulin in patients with diabetes mellitus.
Akalin, S; Bagriacik, N; Damci, T; Erbas, T; Ersanli, Z; Ilkova, H; Karsidag, K; Satman, I; Yilmaz, MT, 1997
)
0.3
" The pattern of adverse events and injection site reactions with HOE 901 was similar to that with NPH."( Efficacy and safety of HOE 901 versus NPH insulin in patients with type 1 diabetes. The European Study Group of HOE 901 in type 1 diabetes.
Derobert, E; Eugène-Jolchine, I; Pieber, TR, 2000
)
0.31
" Adverse incidents between 30 days and 6 months were the same for both groups."( Safety of heparin reversal with protamin and immediate sheath removal after coronary angioplasty.
Brekke, M; Hoffmann, P; Kløw, NE; Lohne, F; Pettersen, MS; Stavnes, S; Stensaeth, KH; Søvik, E, 2004
)
0.32
" The adverse event (AE) profile, weight gain during treatment, and formation of cross-reactive antibodies were not different between BIAsp 30 and BHI 30."( Biphasic insulin aspart 30: literature review of adverse events associated with treatment.
Cucinotta, D; Davidson, J; Kawamori, R; Vaz, J; Vexiau, P, 2005
)
0.33
"The combination of repaglinide, metformin and bedtime NPH is safe and effective and it provides better postprandial blood glucose control."( Safety and efficacy of repaglinide in combination with metformin and bedtime NPH insulin as an insulin treatment regimen in type 2 diabetes.
Civera, M; Martínez, I; Merchante, A; Salvador, M; Sanz, J, 2008
)
0.35
" Data on adverse events, hypoglycaemia and glycaemic parameters were obtained from patients' diaries and medical notes."( Initiating insulin therapy with, or switching existing insulin therapy to, biphasic insulin aspart 30/70 (NovoMix 30) in routine care: safety and effectiveness in patients with type 2 diabetes in the IMPROVE observational study.
Benroubi, M; Borzi, V; Gumprecht, J; Kawamori, R; Shaban, J; Shah, S; Shestakova, M; Valensi, P; Wenying, Y, 2009
)
0.35
" Demographic data, efficacy end-points (HbA(1c), fasting blood glucose and postprandial blood glucose) and safety end-points (serious adverse drug reactions, hypoglycaemia and adverse events) were collected at baseline and final visit."( Safety and effectiveness of biphasic insulin aspart 30/70 (NovoMix 30) when switching from human premix insulin in patients with type 2 diabetes: subgroup analysis from the 6-month IMPROVE observational study.
Benroubi, M; Borzi, V; Gumprecht, J; Kawamori, R; Shaban, J; Shah, S; Shestakova, M; Valensi, P; Wenying, Y, 2009
)
0.35
" Except for two serious adverse drug reactions (ADRs) reported by one patient at 3 months, there were no reports of ADRs during the treatment period."( Efficacy, safety and acceptability of biphasic insulin aspart 30 in Indian patients with type 2 diabetes: results from the PRESENT study.
Chakkarwar, PN; Hoskote, SS; Joshi, SR; Kumar, A; Moharana, AK; Sharma, SK; Unnikrishnan, AG; Vaz, JA, 2008
)
0.35
"The use of BIAsp 30 monotherapy or in combination with OADs in clinical practice was effective and safe in poorly controlled Indian type 2 diabetes patients."( Efficacy, safety and acceptability of biphasic insulin aspart 30 in Indian patients with type 2 diabetes: results from the PRESENT study.
Chakkarwar, PN; Hoskote, SS; Joshi, SR; Kumar, A; Moharana, AK; Sharma, SK; Unnikrishnan, AG; Vaz, JA, 2008
)
0.35
"Efficacy measurements included haemoglobin A(1c) (HbA(1c)) and eight-point plasma glucose (PG); safety included adverse events (AEs) and hypoglycaemic episodes."( Three different premixed combinations of biphasic insulin aspart - comparison of the efficacy and safety in a randomized controlled clinical trial in subjects with type 2 diabetes.
Christiansen, JS; Cucinotta, D; Kanc, K; le Devehat, C; Liebl, A; López de la Torre, M; Smirnova, O; Wojciechowska, M, 2009
)
0.35
" Metformin plus glargine or plus neutral protamine Hagedorn is a safe and effective therapeutic choice for type 2 diabetes mellitus cases with poor glycaemic control; moreover, metformin plus neutral protamine is a cheaper and effective choice."( [Comparison on efficacy and safety of two regimens for treatment of type 2 diabetes mellitus: glargine plus metformin versus neutral protamine hagedorn plus metformin].
Hu, M; Luo, Y; Yang, X; Zhang, H; Zhang, L, 2010
)
0.36
"BIAsp 30 therapy appeared safe and effective and improved quality of life in Iranian patients with type 2 diabetes after 26 weeks of treatment."( The safety and efficacy of biphasic insulin aspart 30 (BIAsp 30) in Iranians with type 2 diabetes: an open-label, non-randomised, multi-centre observational study--the Iran subgroup of the IMPROVE™ study.
Afkhami-Ardekani, M; Amini, M; Bahrami, A; Esteghamati, A; Khamseh, ME; Rajabian, R; Rizi, EP,
)
0.13
"Once or twice daily NPH insulin is a safe and tolerable option for pregnant diabetics who wish to fast during Ramadan."( Safety and tolerability of once or twice daily neutral protamine hagedorn insulin in fasting pregnant women with diabetes during Ramadan.
Adam, R; Jamil, MA; Kamaruddin, NA; Mustafa, N; Nor Azlin, MI; Sufian, SS; Wahab, NA, 2011
)
0.37
"No evidence has been documented for increased adverse fetal outcomes with the use of insulin glargine in pregnancy compared to the use of NPH insulin."( Safety of insulin glargine use in pregnancy: a systematic review and meta-analysis.
Feig, DS; Koren, G; Moretti, ME; Pollex, E, 2011
)
0.37
"Both insulin glargine and detemir improved HbA(1c) at short-term and proved to be safe and well tolerated in children and adolescents with type 1 DM."( Comparison of the efficacy and safety of insulin glargine and insulin detemir with NPH insulin in children and adolescents with type 1 diabetes mellitus receiving intensive insulin therapy.
Dündar, BN; Dündar, N; Eren, E, 2009
)
0.35
" Safety endpoints included hypoglycemia rates (events/patient-year) and adverse events."( Efficacy and safety of biphasic insulin aspart 70/30 in type 2 diabetes patients of different race or ethnicity (INITIATEplus trial).
Bhargava, A; Brett, J; Chu, PL; Coulter, FC; Oyer, DS; Shepherd, MD; Trippe, BS, 2012
)
0.38
" Five serious adverse drug reactions (hypoglycaemia) were reported by five individuals (0."( Switching from biphasic human insulin 30 to biphasic insulin aspart 30 in type 2 diabetes is associated with improved glycaemic control and a positive safety profile: results from the A₁chieve study.
Chen, JW; El Naggar, NK; Haddad, J; Khamseh, ME; Soewondo, P, 2012
)
0.38
" The primary outcome was evaluation of serious adverse drug reactions including major hypoglycaemia over 24 weeks."( Safety and effectiveness of biphasic insulin aspart 30 in type 2 diabetes: results from the ASEAN cohort of the A₁chieve study.
Bebakar, WM; Jain, AB; Lim-Abrahan, MA; Seah, D; Soewondo, P, 2013
)
0.39
" The primary outcome was the incidence of serious adverse drug reactions (SADRs), including major hypoglycaemia."( Safety and effectiveness of biphasic insulin aspart 30 in a Bangladeshi subgroup of type 2 diabetic patients switched from biphasic human insulin 30: a sub-analysis of the A₁chieve study.
Ashrafuzzaman, SM; Latif, ZA; Pathan, MF; Rahman, MM; Siddiqui, MN; Sobhan, MJ, 2013
)
0.39
" No serious adverse drug reactions were reported."( Safety and effectiveness of biphasic insulin aspart 30 in type 2 diabetes patients switched from biphasic human insulin 30: results from the Filipino cohort of the A₁chieve study.
Jain, AB; Lim-Abrahan, MA; Racho, VA; Sobrepena, LM; Yu-Gan, S, 2013
)
0.39
" No serious adverse drug reactions were reported throughout the study."( Clinical safety and effectiveness of biphasic insulin aspart 30 in type 2 diabetes patients switched from biphasic human insulin 30: results from the Indonesian cohort of the A₁chieve study.
Dalem-Pemayun, TG; Lindarto, D; Renaldi, O; Soewondo, P; Wibisono, S, 2013
)
0.39
" No serious adverse drug reactions were reported."( Safety and effectiveness of biphasic insulin aspart 30 in people with type 2 diabetes switching from basal-bolus insulin regimens in the A1chieve study.
Almaghamsi, A; Chen, JW; Chuang, LM; Dieuzeide, G; Lavalle-González, FJ; Zilov, A, 2014
)
0.4
"Exenatide, metformin (MET), and biphasic insulin aspart 30 (BIA30) have been widely used in the treatment of patients with type 2 diabetes mellitus (T2DM); however, each of these medications has significant adverse effects, which limit their utilization."( Phase III Study on Efficacy and Safety of Triple Combination (Exenatide/Metformin/Biphasic Insulin Aspart) Therapy for Type 2 Diabetes Mellitus.
Bai, Y; Ji, Z; Liu, Y; Lv, C; Su, K; Wang, H; Wang, Y,
)
0.13
"BIAsp 30 administered either TID or BID with metformin was a safe and effective option when intensifying treatment after failure of basal insulin and OADs in patients with T2DM."( Efficacy and safety of three-times-daily versus twice-daily biphasic insulin aspart 30 in patients with type 2 diabetes mellitus inadequately controlled with basal insulin combined with oral antidiabetic drugs.
Asirvatham, A; Chow, F; Ersoy, C; Kadu, P; Liu, J; Miao, H; Wang, G; Werther, S; Yang, W; Ye, S, 2019
)
0.51
" The adverse drug reactions were rare and similar between the two groups."( Comparing the efficacy and safety of insulin detemir versus neutral protamine hagedorn insulin in treatment of diabetes during pregnancy: a randomized, controlled study.
Gao, J; Guo, N; Han, Z; He, Z; Ji, J; Luo, X; Ma, Z; Mi, Y; Yang, Z; Zhao, H, 2020
)
0.56
" Compared with NPH, IDet could control blood glucose and reached the targets faster and more effectively, thus reducing the number of insulin injections and the incidence of hypoglycemia in pregnant women without increasing adverse birth outcomes."( Comparing the efficacy and safety of insulin detemir versus neutral protamine hagedorn insulin in treatment of diabetes during pregnancy: a randomized, controlled study.
Gao, J; Guo, N; Han, Z; He, Z; Ji, J; Luo, X; Ma, Z; Mi, Y; Yang, Z; Zhao, H, 2020
)
0.56
"A well-known metabolic side effect from treatment with glucocorticoids is glucocorticoid-induced diabetes mellitus (GIDM)."( Study rationale and design of the EANITIATE study (EmpAgliflozin compared to NPH Insulin for sTeroId diAbeTEs) - a randomized, controlled, multicenter trial of safety and efficacy of treatment with empagliflozin compared with NPH-insulin in patients with
Almdal, TP; Bagge Hansen, K; Holm Schultz, H; Klarskov, CK; Lommer Kristensen, P; Møller Christensen, T; Pedersen-Bjergaard, U; Persson, F; Snorgaard, O, 2020
)
0.56
" More research should be conducted to reach a safe conclusion about the optimal insulin regimen for women with diabetes in pregnancy."( Safety and efficacy of insulin detemir versus NPH in the treatment of diabetes during pregnancy: Systematic review and meta-analysis of randomized controlled trials.
Athanasiadou, KI; Goulis, DG; Haidich, AB; Papakonstantinou, E; Paschou, SA; Stamatopoulos, T, 2022
)
0.72

Pharmacokinetics

ExcerptReferenceRelevance
" Pharmacokinetic measurements were calculated from insulin data corrected for C-peptide, including maximum insulin concentration (Cmax), time to maximum insulin concentration (tmax), terminal rate constant (beta), area under the curve from 0 to infinity (AUCinfinity0), and mean residence time (MRT)."( Comparative pharmacokinetics and glucodynamics of two human insulin mixtures. 70/30 and 50/50 insulin mixtures.
Bowsher, RR; Brunelle, RL; Cerimele, B; Compton, J; Howey, DC; Rowe, HM; Woodworth, JR, 1994
)
0.29
"For the pharmacokinetic assessment, statistically greater values of insulin Cmax and beta were found for the 50/50 mixture, whereas the 70/30 mixture had a greater MRT."( Comparative pharmacokinetics and glucodynamics of two human insulin mixtures. 70/30 and 50/50 insulin mixtures.
Bowsher, RR; Brunelle, RL; Cerimele, B; Compton, J; Howey, DC; Rowe, HM; Woodworth, JR, 1994
)
0.29
"0%), respectively, subsequently participated in a pharmacokinetic study."( The influence of insulin antibodies on the pharmacokinetics of NPH insulin in patients with type 1 diabetes treated with human insulin.
Hefty, R; Keck, F; Kerner, W; Klose, O; Peters, A, 1995
)
0.29
" We investigated the pharmacokinetic and pharmacodynamic properties of insulin analogue NN304 (0."( Pharmacokinetic and pharmacodynamic properties of long-acting insulin analogue NN304 in comparison to NPH insulin in humans.
Brunner, GA; Ellmerer, M; Hirschberger, S; Krejs, GJ; Pieber, TR; Sendhofer, G; Siebenhofer, A; Søgaard, B; Wutte, A, 2000
)
0.31
"This trial aimed to characterize for the first time the pharmacokinetic profile of insulin detemir, the novel soluble basal insulin analog, in children and adolescents compared with adults."( Insulin detemir is characterized by a consistent pharmacokinetic profile across age-groups in children, adolescents, and adults with type 1 diabetes.
Danne, T; Gall, MA; Lüpke, K; Von Schuetz, W; Walte, K, 2003
)
0.32
"The mean pharmacokinetic profile of insulin detemir was similar across all three age-groups."( Insulin detemir is characterized by a consistent pharmacokinetic profile across age-groups in children, adolescents, and adults with type 1 diabetes.
Danne, T; Gall, MA; Lüpke, K; Von Schuetz, W; Walte, K, 2003
)
0.32
"To compare pharmacokinetic characteristics of two biphasic insulin aspart (BIAsp) formulations: BIAsp30 and BIAsp70 (30% and 70%, respectively, of fast-acting insulin aspart) during 15 days of multiple dosing (thrice daily)."( Pharmacokinetic profiles of biphasic insulin aspart 30/70 and 70/30 in patients with Type 1 diabetes: a randomized double-blinded crossover study.
Chen, JW; Christiansen, JJ; Christiansen, JS; Clausen, WH; Jensen, LH; Lauritzen, T, 2005
)
0.33
" CONCLUSIONS The pharmacokinetic properties of BIAsp30 and 70 remain constant during 2 weeks of daily administration in patients with Type 1 diabetes."( Pharmacokinetic profiles of biphasic insulin aspart 30/70 and 70/30 in patients with Type 1 diabetes: a randomized double-blinded crossover study.
Chen, JW; Christiansen, JJ; Christiansen, JS; Clausen, WH; Jensen, LH; Lauritzen, T, 2005
)
0.33
"To investigate the pharmacodynamic profile and duration of action for five subcutaneous doses of insulin detemir (0."( A double-blind, randomized, dose-response study investigating the pharmacodynamic and pharmacokinetic properties of the long-acting insulin analog detemir.
Bodenlenz, M; Draeger, E; Endahl, LA; Görzer, E; Magnes, C; Pieber, TR; Plank, J; Regittnig, W; Sinner, F; Zdravkovic, M, 2005
)
0.33
"This study shows that insulin detemir provides a flat and protracted pharmacodynamic profile."( A double-blind, randomized, dose-response study investigating the pharmacodynamic and pharmacokinetic properties of the long-acting insulin analog detemir.
Bodenlenz, M; Draeger, E; Endahl, LA; Görzer, E; Magnes, C; Pieber, TR; Plank, J; Regittnig, W; Sinner, F; Zdravkovic, M, 2005
)
0.33
" At the end of the treatment period, all patients attended two 24-h profile days 1 week apart for pharmacokinetic and pharmacodynamic assessments."( Impact of insulin antibodies on insulin aspart pharmacokinetics and pharmacodynamics after 12-week treatment with multiple daily injections of biphasic insulin aspart 30 in patients with type 1 diabetes.
Chen, JW; Christiansen, JS; Frystyk, J; Lauritzen, T, 2005
)
0.33
"The pharmacokinetic and pharmacodynamic properties of biphasic insulin aspart (BIAsp 30) (30% soluble, 70% protaminated insulin aspart [IAsp]) and insulin glargine (IGlarg) were compared."( Comparison of the pharmacokinetics and pharmacodynamics of biphasic insulin aspart and insulin glargine in people with type 2 diabetes.
Dunseath, G; Luzio, S; Owens, DR; Pauvaday, V; Peter, R, 2006
)
0.33
"The pharmacodynamic and pharmacokinetic profiles were 34 and 28%, respectively, higher following equivalent doses (0."( Comparison of the pharmacokinetics and pharmacodynamics of biphasic insulin aspart and insulin glargine in people with type 2 diabetes.
Dunseath, G; Luzio, S; Owens, DR; Pauvaday, V; Peter, R, 2006
)
0.33
"The aim of this study was to compare the pharmacokinetic (PK) and pharmacodynamic (PD) profiles of BIAsp50 (test) and BIAsp30 (reference) after single-dose SC injection in patients with type 2 diabetes mellitus."( Comparison of the pharmacokinetic and pharmacodynamic profiles of biphasic insulin aspart 50 and 30 in patients with type 2 diabetes mellitus: a single-center, randomized, double-blind, two-period, crossover trial in Japan.
Hirao, K; Hirao, S; Maeda, H; Sasaki, T; Sasako, T; Takisawa, Y; Urata, S, 2007
)
0.34
"The purpose of this study was to evaluate pharmacokinetic and pharmacodynamic profiles of pure insulin aspart and three different formulations of insulin aspart and protaminated insulin aspart: biphasic insulin aspart 30 (BIAsp30), biphasic insulin aspart 50 (BIAsp50) and biphasic insulin aspart 70 (BIAsp70)."( A comparison of pharmacokinetics and pharmacodynamics of biphasic insulin aspart 30, 50, 70 and pure insulin aspart: a randomized, quadruple crossover study.
Chen, JW; Christiansen, JS; Ejskjaer, N; Parkner, T; Thorisdottir, RL, 2009
)
0.35
"This pedagogical review illustrates the differences between pharmacokinetic (PK) and pharmacodynamic (PD) measures, using insulin therapy as the primary example."( How pharmacokinetic and pharmacodynamic principles pave the way for optimal basal insulin therapy in type 2 diabetes.
Arnolds, S; Heise, T; Kapitza, C; Kuglin, B, 2010
)
0.36
" The aim was to directly compare the pharmacodynamic properties of the long-acting insulin analogues and NPH insulin after a single subcutaneous injection."( Similarity of pharmacodynamic effects of a single injection of insulin glargine, insulin detemir and NPH insulin on glucose metabolism assessed by 24-h euglycaemic clamp studies in healthy humans.
Brock, B; Mengel, A; Moller, N; Nielsen, S; Rungby, J; Schmitz, O; Sørensen, LP; Vølund, A, 2010
)
0.36
"In this experimental design, only minor pharmacodynamic differences were demonstrated between insulin detemir, insulin glargine and NPH insulin."( Similarity of pharmacodynamic effects of a single injection of insulin glargine, insulin detemir and NPH insulin on glucose metabolism assessed by 24-h euglycaemic clamp studies in healthy humans.
Brock, B; Mengel, A; Moller, N; Nielsen, S; Rungby, J; Schmitz, O; Sørensen, LP; Vølund, A, 2010
)
0.36
"With the aim to improve current therapeutic and monitoring options for diabetic cats, the present study compared pharmacodynamic parameters of protamine zinc insulin (PZI) and insulin degludec and validated the continuous glucose monitoring system (CGMS) iPro2 with Sof-sensor and Enlite-sensor focusing on the low glycemic range."( Comparison of the pharmacodynamics of protamine zinc insulin and insulin degludec and validation of the continuous glucose monitoring system iPro2 in healthy cats.
Lutz, TA; Reusch, CE; Riederer, A; Salesov, E; Zini, E, 2018
)
0.48
"To establish the pharmacokinetic (PK) and pharmacodynamic (PD) equivalence of proposed biosimilar insulin 70/30 (Biocon's Insulin-70/30) and HUMULIN® 70/30 (HUMULIN-70/30; Eli Lilly and Company, IN)."( Pharmacokinetic and pharmacodynamic equivalence of Biocon's biosimilar Insulin 70/30 with US-licensed HUMULIN® 70/30 formulation in healthy subjects: Results from the RHINE-3 (Recombinant Human INsulin Equivalence-3) study.
Athalye, SN; Klein, O; Lakshmi, GC; Loganathan, S; Marwah, A; Murugesan, SMN; Panda, J; Plum-Mörschel, L; Sharma, N; Singh, G, 2022
)
0.72
"To establish the pharmacokinetic (PK) and pharmacodynamic (PD) equivalence of proposed biosimilar Insulin N (Biocon's Insulin-N; Biocon Biologics Ltd."( Pharmacokinetic and pharmacodynamic equivalence of Biocon's biosimilar insulin N with US-licensed Humulin® N formulation in healthy subjects: Results from the RHINE-2 (Recombinant Human INsulin Equivalence-2) study.
Andersen, G; Athalye, SN; Gogineni, R; Loganathan, S; Marwah, A; Murugesan, SMN; Panda, J; Sharma, N; Singh, G, 2023
)
0.91

Compound-Compound Interactions

ExcerptReferenceRelevance
"To compare the effect of morning and bedtime NPH insulin combined with daytime sulfonylurea on glycemic control in non-insulin-dependent diabetes mellitus (NIDDM) patients no longer responding to treatment with sulfonylureas alone."( Morning or bedtime NPH insulin combined with sulfonylurea in treatment of NIDDM.
Ekstrand, A; Eriksson, JG; Franssila-Kallunki, A; Groop, LC; Saloranta, C; Schalin-Jäntti, C; Widén, E, 1992
)
0.28
"Morning and bedtime NPH insulin combined with glibenclamide are equipotent in the treatment of NIDDM patients with secondary failure to sulfonylurea."( Morning or bedtime NPH insulin combined with sulfonylurea in treatment of NIDDM.
Ekstrand, A; Eriksson, JG; Franssila-Kallunki, A; Groop, LC; Saloranta, C; Schalin-Jäntti, C; Widén, E, 1992
)
0.28
"To compare the effect of bedtime NPH insulin or preprandial regular insulin combined with glibenclamide on metabolic control in non-insulin-dependent diabetes mellitus (NIDDM) patients with secondary failure to sulfonylurea therapy."( Comparison of bedtime NPH or preprandial regular insulin combined with glibenclamide in secondary sulfonylurea failure.
Adamson, U; Arner, P; Bolinder, J; Landstedt-Hallin, L; Lins, PE, 1995
)
0.29
"Eighty NIDDM patients were randomized to treatment with either three preprandial doses of regular insulin (daytime group D) or a bedtime dose of NPH insulin (nocturnal insulinization, group N), both regimens being combined with 10."( Comparison of bedtime NPH or preprandial regular insulin combined with glibenclamide in secondary sulfonylurea failure.
Adamson, U; Arner, P; Bolinder, J; Landstedt-Hallin, L; Lins, PE, 1995
)
0.29
" In 707 randomized patients, 379 with IDDM and 328 with NIDDM, we studied the effect of twice-daily insulin lispro or regular human insulin in combination with NPH human insulin (isophane insulin) on premeal, 2-hour postprandial, and bedtime glycemic control."( Efficacy of insulin lispro in combination with NPH human insulin twice per day in patients with insulin-dependent or non-insulin-dependent diabetes mellitus. Multicenter Insulin Lispro Study Group.
Anderson, JH; Iversen, PW; Vignati, L,
)
0.13
"To compare the effect on glycemic control and weight gain of repaglinide versus metformin combined with bedtime NPH insulin in patients with type 2 diabetes."( Repaglinide versus metformin in combination with bedtime NPH insulin in patients with type 2 diabetes established on insulin/metformin combination therapy.
Furlong, NJ; Hardy, KJ; Hulme, SA; O'Brien, SV, 2002
)
0.31
"To investigate the efficacy and safety of glimepiride combined with either morning or bedtime insulin glargine or bedtime neutral protamine Hagedorn (NPH) insulin in patients with type 2 diabetes."( Glimepiride combined with morning insulin glargine, bedtime neutral protamine hagedorn insulin, or bedtime insulin glargine in patients with type 2 diabetes. A randomized, controlled trial.
Fritsche, A; Häring, HU; Schweitzer, MA, 2003
)
0.32
"The risk for nocturnal hypoglycemia was lower with glimepiride in combination with morning and bedtime insulin glargine than with glimepiride in combination with bedtime NPH insulin in patients with type 2 diabetes."( Glimepiride combined with morning insulin glargine, bedtime neutral protamine hagedorn insulin, or bedtime insulin glargine in patients with type 2 diabetes. A randomized, controlled trial.
Fritsche, A; Häring, HU; Schweitzer, MA, 2003
)
0.32
"), or biphasic human insulin 70/30 (30 min before dinner) in combination with metformin."( Starting patients with type 2 diabetes on insulin therapy using once-daily injections of biphasic insulin aspart 70/30, biphasic human insulin 70/30, or NPH insulin in combination with metformin.
Jain, R; Kilo, C; McGill, J; Mersey, J; Mezitis, N; Raskin, P,
)
0.13
" gliclazide combined with bedtime NPH insulin in patients with Type 2 diabetes inadequately controlled with oral hypoglycaemic therapy [HbA1c>7."( Comparison of repaglinide vs. gliclazide in combination with bedtime NPH insulin in patients with Type 2 diabetes inadequately controlled with oral hypoglycaemic agents.
Furlong, NJ; Hardy, KJ; Hulme, SA; O'Brien, SV, 2003
)
0.32
"Over 13 weeks, both repaglinide and gliclazide, when combined with bedtime NPH insulin produce similar significant improvements in glycaemic control (-1%) and similar weight gain."( Comparison of repaglinide vs. gliclazide in combination with bedtime NPH insulin in patients with Type 2 diabetes inadequately controlled with oral hypoglycaemic agents.
Furlong, NJ; Hardy, KJ; Hulme, SA; O'Brien, SV, 2003
)
0.32
"In type 2 diabetic patients we compared 9 months of combination therapy with insulin glargine and metformin with 9 months of NPH insulin combined with metformin."( Insulin glargine or NPH combined with metformin in type 2 diabetes: the LANMET study.
Hänninen, J; Hardy, K; Hulme, S; Kauppinen-Mäkelin, R; Lahdenperä, S; Lehtonen, R; Levänen, H; McNulty, S; Nikkilä, K; Ryysy, L; Tiikkainen, M; Tulokas, T; Vähätalo, M; Virtamo, H; Yki-Järvinen, H, 2006
)
0.33
" This study compared the efficacy and safety of insulin glargine and NPH insulin, both in combination with a once-daily fixed dose of glimepiride, in terms of glycemic control and incidence of hypoglycemia."( Therapy in type 2 diabetes: insulin glargine vs. NPH insulin both in combination with glimepiride.
Aschner, P; Calvo, C; Eliaschewitz, FG; Jimenez, J; Ramirez, LA; Ruiz, M; Valbuena, H; Villena, J, 2006
)
0.33
" Biphasic insulin aspart 30 in combination with metformin administered twice a day may be recommended as a starting insulin treatment in obese diabetic persons whose glycaemic control remained poor while on oral metformin therapy alone."( Effect of biphasic insulin aspart 30 combined with metformin on glycaemic control in obese people with type 2 diabetes.
Ascić-Buturović, B, 2007
)
0.34
"Saxagliptin in combination with MET or SU is likely to represent a cost-effective treatment option in Polish patients with type 2 diabetes failing first-line treatment."( The cost-effectiveness of saxagliptin versus NPH insulin when used in combination with other oral antidiabetes agents in the treatment of type 2 diabetes mellitus in Poland.
Czupryniak, L; Grzeszczak, W; Kolasa, K; Lomon, ID; McEwan, P; Sciborski, C, 2012
)
0.38
" PZI combined with Se decreased the body weight and fasting blood glucose levels."( Protamine zinc insulin combined with sodium selenite improves glycometabolism in the diabetic KKAy mice.
Chen, L; Chen, M; Ji, W; Lu, J; Ren, S; Wang, B; Wang, M; Yan, W; Yuan, B; Zhao, M, 2016
)
0.43

Bioavailability

ExcerptReferenceRelevance
" In conclusion, the results of this study confirm that the mixtures of regular + isophane insulins (Actrapid HM + Protaphane HM) and regular + lente insulins (Actrapid HM + Monotard HM) give the same guaranties of safety and efficacy, that the former shows a more rapid absorption rate and, finally, indicate that the ratio 30:70 between regular and intermediate insulins is that more frequently used."( [Advances in insulin treatment. Evaluation of isophane or lente insulin, mixed with rapid insulin and injected twice-a-day].
Cucinotta, D; Lunetta, M,
)
0.13
" Regular insulin administered subcutaneously was better absorbed than NPH and PZI insulins (mean bioavailability index 45."( Absorption kinetics of regular, isophane, and protamine zinc insulin in normal cats.
Nichols, CE; Peterson, ME; Wallace, MS, 1990
)
0.28
"In order to determine the effect of exercise on the rate of absorption of an isophane (NPH) insulin, 7 normal men were studied on two separate occasions using the euglycaemic clamp technique."( Exercise augments the absorption of isophane (NPH) insulin.
Antsiferov, M; Home, PD; Johnson, AB; Thow, JC,
)
0.13
" Regular insulin was better absorbed than NPH insulin (mean bioavailability index 64."( Absorption kinetics of regular and isophane (NPH) insulin in the normal dog.
Esposito, LA; Goeders, LA; Peterson, ME, 1987
)
0.27
" However, an increase in the injected dose from 6 to 24 IU resulted in a decrease of approximately 30% in the absorption rate of all NPH insulins."( Dose-dependent subcutaneous absorption of porcine, bovine and human NPH insulins.
Birch, K; Hildebrandt, P; Sestoft, L; Vølund, A, 1984
)
0.27
"Higher insulin concentrations and a greater initial response were present with the 50/50 mixture, but the two mixtures had equivalent bioavailability and cumulative effects."( Comparative pharmacokinetics and glucodynamics of two human insulin mixtures. 70/30 and 50/50 insulin mixtures.
Bowsher, RR; Brunelle, RL; Cerimele, B; Compton, J; Howey, DC; Rowe, HM; Woodworth, JR, 1994
)
0.29
" As such, it's rate of absorption from subcutaneous sites of injection is greater that of regular insulin."( [Spanish experience with insulin lispro].
Reviriego Fernández, J, 1998
)
0.3
"In study 1, the time in hours for 25% of the administered radioactivity to disappear after bolus subcutaneous injection (T75%) for NPH insulin indicated a significantly faster absorption rate compared with the 2 insulin glargine formulations (3."( Pharmacokinetics of 125I-labeled insulin glargine (HOE 901) in healthy men: comparison with NPH insulin and the influence of different subcutaneous injection sites.
Coates, PA; Kurzhals, R; Luzio, SD; Owens, DR; Tinbergen, JP, 2000
)
0.31
" There is little or no difference in the absorption rate of insulin glargine between the main subcutaneous injection sites."( Pharmacokinetics of 125I-labeled insulin glargine (HOE 901) in healthy men: comparison with NPH insulin and the influence of different subcutaneous injection sites.
Coates, PA; Kurzhals, R; Luzio, SD; Owens, DR; Tinbergen, JP, 2000
)
0.31
"Insulin glargine (HOE 901, 21(A)-Gly-30(B)a-L-Arg-30(B)b-L-Arg human insulin) is a novel recombinant analog of human insulin with a shift in the isoelectric point producing a retarded absorption rate and an increased duration of action that closely mimics normal basal insulin secretion."( Basal insulin glargine (HOE 901) versus NPH insulin in patients with type 1 diabetes on multiple daily insulin regimens. U.S. Insulin Glargine (HOE 901) Type 1 Diabetes Investigator Group.
Park, G; Rosenstock, J; Zimmerman, J, 2000
)
0.31
" Previous studies have shown poor bioavailability (less than 15%) with nasal insulin administration with various absorption enhancers."( Six month administration of gelified intranasal insulin in 16 type 1 diabetic patients under multiple injections: efficacy vs subcutaneous injections and local tolerance.
Bardin, C; Boillot, J; Chast, F; Coste, A; Escudier, E; Lalej-Bennis, D; Peynegre, R; Selam, JL; Slama, G; Zirinis, P, 2001
)
0.31
"Insulin-like growth factor binding protein-1 (IGFBP-1) is known to regulate the bioavailability of insulin-like growth factor (IGF) and the levels of IGFBP-1 are increased in the morning in patients with type 1 diabetes mellitus."( Nocturnal blood glucose and IGFBP-1 changes in type 1 diabetes: Differences in the dawn phenomenon between insulin regimens.
Amemiya, S; Cho, H; Kobayashi, K; Mitsui, Y; Mochizuki, M; Nagamine, K; Nakazawa, S; Ohyama, K; Saitou, T; Yagasaki, H, 2010
)
0.36
" This requires that the bioavailability of the different insulins is considered."( Bioavailability and variability of biphasic insulin mixtures.
Colding-Jørgensen, M; Mosekilde, E; Rasmussen, CH; Søeborg, T, 2012
)
0.38
"Manufacturers of insulin products for diabetes therapy have long sought ways to modify the absorption rate of exogenously administered insulins in an effort to better reproduce the naturally occurring pharmacokinetics of endogenous insulin secretion."( Impact of the mode of protraction of basal insulin therapies on their pharmacokinetic and pharmacodynamic properties and resulting clinical outcomes.
Heise, T; Mathieu, C, 2017
)
0.46

Dosage Studied

ExcerptRelevanceReference
" The improved accuracy in dosing with premixed insulin might explain the previously observed improved glycemic control in patients taking premixed insulin."( Dosage accuracy of self-mixed vs premixed insulin.
Bell, DS; Clements, RS; Perentesis, G; Roddam, R; Wagenknecht, L, 1991
)
0.28
" Total insulin dosage was similar (NPH 56."( Double-blind crossover trial of isophane (NPH)- and lente-based insulin regimens.
Alberti, KG; Burrin, JM; Davis, SN; Home, PD; Jensen, I; Murphy, M; Newens, A; Tunbridge, FK, 1989
)
0.28
" Diet, exercise, and insulin dosage remained constant."( Twice-daily mixed regular and NPH insulin injections with new jet injector versus conventional syringes: pharmacokinetics of insulin absorption.
Coutu, F; Hallé, JP; Lalumière, G; Lambert, J; Legault, C; Legendre, L; Lindmayer, I; Menassa, K; Moghrabi, A,
)
0.13
" While insulin dosage did not change, there was a slight increase in fasting serum glucose and a statistically significant increase in fasting ketonuria."( The U.S. "new patient" and "transfer" studies.
Allemenos, D; Fineberg, SE; Galloway, JA; Ingulli-Fattic, J; Marsden, JH; Peck, FB; Spradlin, CT,
)
0.13
" This implies that minor adjustments of intermediate insulin dosage are probably futile."( Absorption of isophane (NPH) insulin and its clinical implications.
Binder, C; Deckert, T; Gale, EA; Lauritzen, T; Pramming, S, 1982
)
0.26
" The insulin dosage was increased until the FPG level was normalized."( Safety and efficacy of normalizing fasting glucose with bedtime NPH insulin alone in NIDDM.
Comstock, JP; Cunningham, GR; Cusi, K, 1995
)
0.29
" No change of the insulin dosage was performed during the study period."( Improvement of basal hepatic glucose production and fasting hyperglycemia of type I diabetic patients treated with human recombinant ultralente insulin.
Avogaro, A; Del Prato, S; Riccio, A; Tiengo, A; Valerio, A; Zappella, A, 1994
)
0.29
" Daily, two-thirds of the total dosage was given before breakfast (63."( [Insulin combinations: improving the treatment of juvenile diabetes].
Durá Travé, T; Gúrpide Arraya, N; Moya Benavent, M,
)
0.13
" Earlier basal NPH dosage alone does not ameliorate the nighttime hyperglycemia of short-acting insulin analog regimens."( Optimization of evening insulin dose in patients using the short-acting insulin analog lispro.
Ahmed, AB; Home, PD; Mallias, J, 1998
)
0.3
" The bedtime NPH dosage was no different."( Long-term intensive treatment of type 1 diabetes with the short-acting insulin analog lispro in variable combination with NPH insulin at mealtime.
Bartocci, L; Bolli, GB; Brunetti, P; Cartechini, MG; Ciofetta, M; Compagnucci, P; Del Sindaco, P; Lalli, C; Pampanelli, S; Torlone, E, 1999
)
0.3
"001), suggesting a clear dose-response relationship for both NPH insulin and NN304."( Pharmacokinetic and pharmacodynamic properties of long-acting insulin analogue NN304 in comparison to NPH insulin in humans.
Brunner, GA; Ellmerer, M; Hirschberger, S; Krejs, GJ; Pieber, TR; Sendhofer, G; Siebenhofer, A; Søgaard, B; Wutte, A, 2000
)
0.31
" Patients were managed by a specialist nurse using a dosage adjustment protocol."( Appropriate insulin regimes for type 2 diabetes: a multicenter randomized crossover study.
Davies, R; Fox, C; Sampson, M; Taylor, R; Weaver, JU; Wood, L, 2000
)
0.31
" Although the dosage of NPH insulin at bedtime was increased to 32 U/day, there was no improvement in the FPG level."( Type-1 diabetes mellitus with insufficient serum immunoreactive insulin elevation after subcutaneous NPH-insulin injection.
Fujimoto, S; Kurose, T; Matsushima, A; Oya, M; Seino, Y; Shimono, D; Takeda, T; Yamada, Y; Yoshitani, K, 2003
)
0.32
" Other drawbacks include inter- and intra-patient variability that compromises dosing reproducibility and unsuitability for single daily dosing."( A review of basal insulins.
Barnett, AH, 2003
)
0.32
"Preprandial dosing (within 5 min before meal) and postprandial dosing (15-20 min after meal onset) of NovoLog Mix 70/30 (BIAsp 30, a biphasic formulation of insulin aspart, 30% soluble and 70% protamine-crystallized) were compared in elderly (> or =65 years) type 2 diabetes patients in this open-label, 12-week, crossover study."( Postprandial versus preprandial dosing of biphasic insulin aspart in elderly type 2 diabetes patients.
Allen, E; Conway, MJ; Klaff, LJ; Rosenstock, J; Warren, ML, 2004
)
0.32
" The convenience of dosing immediately before the meal contributed 37%."( Patient preference and willingness-to-pay for Humalog Mix25 relative to Humulin 30/70: a multicountry application of a discrete choice experiment.
Aristides, M; FitzGerald, P; Le Reun, C; Maniadakis, N; Weston, AR,
)
0.13
" Insufficient data are available to conclude whether insulin glargine is different from each of the commonly used NPH dosing regimens: once daily and more than once daily."( Systematic review and economic evaluation of a long-acting insulin analogue, insulin glargine.
Beverley, C; Chilcott, J; Warren, E; Weatherley-Jones, E, 2004
)
0.32
"To compare pharmacokinetic characteristics of two biphasic insulin aspart (BIAsp) formulations: BIAsp30 and BIAsp70 (30% and 70%, respectively, of fast-acting insulin aspart) during 15 days of multiple dosing (thrice daily)."( Pharmacokinetic profiles of biphasic insulin aspart 30/70 and 70/30 in patients with Type 1 diabetes: a randomized double-blinded crossover study.
Chen, JW; Christiansen, JJ; Christiansen, JS; Clausen, WH; Jensen, LH; Lauritzen, T, 2005
)
0.33
"The medical literature supports the fact that sliding scale dosing of insulin is an ineffective means to control blood glucose concentrations."( 70/30 insulin algorithm versus sliding scale insulin.
Gresham, DG; Rice, DA; Schoeffler, JM, 2005
)
0.33
"To compare the efficacy of an algorithm using 70/30 insulin with traditional SSI dosing for glycemic control in hospitalized patients with type 2 diabetes."( 70/30 insulin algorithm versus sliding scale insulin.
Gresham, DG; Rice, DA; Schoeffler, JM, 2005
)
0.33
" Patients were screened for enrollment based on orders received in the pharmacy for sliding scale dosing of insulin."( 70/30 insulin algorithm versus sliding scale insulin.
Gresham, DG; Rice, DA; Schoeffler, JM, 2005
)
0.33
" Total daily insulin dosage was significantly lower in patients with high than moderate levels of insulin antibodies."( Impact of insulin antibodies on insulin aspart pharmacokinetics and pharmacodynamics after 12-week treatment with multiple daily injections of biphasic insulin aspart 30 in patients with type 1 diabetes.
Chen, JW; Christiansen, JS; Frystyk, J; Lauritzen, T, 2005
)
0.33
" In both groups the total insulin dosage was reduced."( The effect of resistance versus aerobic training on metabolic control in patients with type-1 diabetes mellitus.
Abrantes, V; Andrade, A; Aragão, C; Barbosa, C; Cambuí, Z; de Lourdes Lima, M; Martins, M; Nunes, F; Ramalho, AC; Temístocles, M; Viana, A, 2006
)
0.33
"To evaluate the time-action profiles and the dose-response relationship of the long-acting insulin analogues insulin detemir (IDet) and NPH insulin (NPH) in type 2 diabetic patients belonging to different ethnic groups."( Time-action profile of insulin detemir and NPH insulin in patients with type 2 diabetes from different ethnic groups.
Elbroend, B; Endahl, L; Haahr, H; Heinemann, L; Heise, T; Hompesch, M; Troupin, B, 2006
)
0.33
"These results confirm a linear dose-response relationship of IDet, without any relevant differences between ethnic groups."( Time-action profile of insulin detemir and NPH insulin in patients with type 2 diabetes from different ethnic groups.
Elbroend, B; Endahl, L; Haahr, H; Heinemann, L; Heise, T; Hompesch, M; Troupin, B, 2006
)
0.33
"The pharmacology, pharmacokinetics, efficacy and tolerability, safety, drug interactions, dosage and administration, cost, and place in therapy of insulin detemir are reviewed."( Insulin detemir: a long-acting insulin product.
Jones, MC; Patel, M, 2006
)
0.33
" In most trials, patients were randomized to receive insulin on three different dosing schedules: basal insulin twice daily before breakfast and at bedtime, basal insulin at 12-hour intervals, or basal insulin before breakfast and dinner."( Insulin detemir: a long-acting insulin product.
Jones, MC; Patel, M, 2006
)
0.33
" Mean daily dosage for glargine at 12 weeks were (0."( [Post-hoc analyses of type 2 diabetes patients switch from premixed insulin regimen to basal insulin plus oral hypoglycemic agents regimen].
Bu, S; Gao, Y; Guo, XH; Lu, GZ; Ren, TT; Yang, WY; Yang, ZJ, 2007
)
0.34
" Glycated haemoglobin (HbA1C), 1,5-anhydroglucitol (1,5-AG), blood plasma glucose level, body mass index (BMI), daily total insulin dosage and insulin therapy-related QOL (ITR-QOL) were studied."( Comparison of twice-daily injections of biphasic insulin lispro and basal-bolus therapy: glycaemic control and quality-of-life of insulin-naïve type 2 diabetic patients.
Atsuda, K; Inoue, G; Irie, J; Kitaoka, A; Masuda, H; Sakamoto, M; Shiono, K; Yamada, S, 2008
)
0.35
" The data recorded at baseline included demographic characteristics, detailed medical histories, physician-cited reasons for starting BIAsp 30 treatment, and the chosen dosage regimens."( Baseline characteristics of the Indian cohort from the IMPROVE study: a multinational, observational study of biphasic insulin aspart 30 treatment for type 2 diabetes.
Baruah, MP; Das, AK; Ganapathi, B; Kalra, S; Kumar, A; Sahay, RK; Shah, S; Unnikrishnan, AG, 2009
)
0.35
" In contrast, serial dosing with NPH elevated CRH and GCK, diminished OT, but did not alter VP gene transcripts."( Impact of recurring intermediate insulin-induced hypoglycemia on hypothalamic paraventricular corticotropin-releasing hormone, oxytocin, vasopressin and glucokinase gene profiles: role of type II glucocorticoid receptors.
Briski, KP; Kale, AY; Vavaiya, KV, 2009
)
0.35
" BIAsp 30 dosage was determined by the patient's attending physician; coadministration of hypotensive agents and antilipemic agents was permitted, but OAD coadministration was limited to patients already receiving such drugs at the start of the study."( Step-up therapy with biphasic insulin aspart-70/30--Sapporo 1-2-3 study.
Aoki, S; Kato, M; Kijima, H; Koike, T; Komori, K; Kurihara, Y; Manda, N; Ono, Y; Wada, N; Yanagisawa, K; Yoshioka, N, 2009
)
0.35
" However, at present, international recommendations for intensification of insulin therapy using premix analogues are limited and specific guidance on dosing is not available for many scenarios."( Practical guidance on intensification of insulin therapy with BIAsp 30: a consensus statement.
Damci, T; Gero, L; Gumprecht, J; Hadley-Brown, M; Krentz, AJ; Ligthelm, R; Mu, Y; Raz, I; Tibaldi, J; Unnikrishnan, AG, 2009
)
0.35
" ARH InsRb gene profiles were decreased, relative to baseline, after either one or four NPH injections in OVX + EB rats; mean mRNA levels were significantly lower after serial dosing since basal InsRb transcripts were diminished by precedent NPH treatment."( Adaptation of arcuate insulin receptor, estrogen receptor-alpha, estrogen receptor-beta, and type-II glucocorticoid receptor gene profiles to chronic intermediate insulin-induced hypoglycemia in estrogen-treated ovariectomized female rats.
Briski, KP; Genabai, NK, 2010
)
0.36
" Individual NPY-immunoreactive neurones were laser-microdissected from the caudal arcuate nucleus after single or serial dosing with neutral protamine Hagedorn insulin (NPH), and evaluated by quantitative real-time reverse transcriptase-polymerase chain reaction for the assessment of neurotransmitter and receptor gene expression."( Effects of hypoglycaemia on neurotransmitter and hormone receptor gene expression in laser-dissected arcuate neuropeptide Y/agouti-related peptide neurones.
Briski, KP; Koshy Cherian, A; Nedungadi, TP, 2010
)
0.36
" While data presented by Kaiser and colleagues demonstrated that the issue of proper mixing is not trivial, the modest differences observed between and within products both at the initial dose and with repeated dosing may indicate that the clinical relevance of these findings is most applicable to those requiring large doses or, alternatively, those who have otherwise unexplained hypoglycemic episodes."( An analysis of the mixing efficiency of neutral protamine Hagedorn cartridges.
Comerford, P; Dearing, N; Monte, SV, 2010
)
0.36
" Furthermore, intensive glycemic control was achieved with insulin detemir in insulin dependent diabetic dogs, using a lower dosage than NPH insulin and insulin glargine therapeutic doses."( Time-action profiles of insulin detemir in normal and diabetic dogs.
Arai, T; Ishioka, K; Kurishima, M; Lee, P; Makino, Y; Miki, Y; Mimura, K; Mizutani, H; Mori, A; Nozawa, S; Oda, H; Saeki, K; Sako, T, 2011
)
0.37
" Adjustments in dosage of rhPZI were made as needed to control glycemia."( Efficacy of protamine zinc recombinant human insulin for controlling hyperglycemia in dogs with diabetes mellitus.
Dennis, J; Johnson, E; Kass, PH; Maggiore, AD; Nelson, RW,
)
0.13
" Insulin glargine was replaced with the same dosage of NPH insulin."( Insulin glargine or neutral protamine Hagedorn in patients with severe insulin resistance: Is there a benefit?
Bota, VM; Hirsch, IB,
)
0.13
" An expected reduction in dosing frequency, as well as in the basal insulin dose was reported for glargine vs."( Outcomes with insulin glargine in patients with type 2 diabetes previously on NPH insulin: evidence from clinical practice in Spain.
Delgado, E, 2012
)
0.38
"4% were dosing BHI twice daily (bid)."( Switching from biphasic human insulin to biphasic insulin aspart 30 in type 2 diabetes: results from the ASEAN subgroup of the A₁chieve study.
Goh, SY; Hussein, Z; Jain, AB; Lim-Abrahan, MA; Soewondo, P, 2013
)
0.39
" The insulin dosing algorithm was not sufficient to equalize nocturnal hypoglycaemia between the two insulins."( Modulation of insulin dose titration using a hypoglycaemia-sensitive algorithm: insulin glargine versus neutral protamine Hagedorn insulin in insulin-naïve people with type 2 diabetes.
Bolli, GB; Candelas, C; Dain, MP; Deerochanawong, C; Home, PD; Landgraf, W; Mathieu, C; Pilorget, V; Riddle, MC, 2015
)
0.42
"The strategies that aim at preventing diabetic retinopathy by treating T2DM patients with long-acting insulin analogues remain further prospective studies with longer follow-up period to validate our observations within an appropriate dosage range and to further evaluate the safety of long-acting insulin analogues on reducing the progression of diabetic retinopathy."( Long-acting insulin analogues and diabetic retinopathy: a retrospective cohort study.
Lai, MS; Lin, JC; Shau, WY, 2014
)
0.4
" Significant differences were observed between the basal insulin groups for glycated hemoglobin level and dosing frequency."( Use of basal insulin and the associated clinical outcomes among elderly nursing home residents with type 2 diabetes mellitus: a retrospective chart review study.
Davis, KL; Kilpatrick, BS; Meyers, JL; Pandya, N; Wei, W, 2014
)
0.4
" Differences in glycated hemoglobin and dosing frequencies between types of basal insulin warrant further comparative effectiveness studies."( Use of basal insulin and the associated clinical outcomes among elderly nursing home residents with type 2 diabetes mellitus: a retrospective chart review study.
Davis, KL; Kilpatrick, BS; Meyers, JL; Pandya, N; Wei, W, 2014
)
0.4
" Data regarding blood glucose control, insulin dosage adjustment and recording of hypoglycemia episodes were obtained through telephone calls; office visits were conducted to measure weight, glycated hemoglobin, fasting plasma glucose and blood glucose profile."( Replacing Insulin Glargine with Neutral Protamine Hagedorn (NPH) Insulin in a Subpopulation of Study Subjects in the Action to Control Cardiovascular Risk in Diabetes (ACCORD): Effects on Blood Glucose Levels, Hypoglycemia and Patient Satisfaction.
Berard, L; Cameron, B; Stewart, J; Woo, V, 2015
)
0.42
" The patients were enrolled to take BIAsp 30 according to physician's clinical judgments, who was also responsible for the treatment regimen and dosage adjustment."( [The predictive factors of good glycaemic control in Chinese patients receiving biphasic insulin as part 30: a subgroup analyses from the A1 chieve study].
Chang, B; Chen, B; Gao, Z; Hong, J; Lei, M; Wang, Z; Xu, M; Yang, W; Zhang, X; Zhuang, X, 2015
)
0.42
"Long-term, high dosage protamine zinc insulin (PZI) treatments produce adverse reactions."( Protamine zinc insulin combined with sodium selenite improves glycometabolism in the diabetic KKAy mice.
Chen, L; Chen, M; Ji, W; Lu, J; Ren, S; Wang, B; Wang, M; Yan, W; Yuan, B; Zhao, M, 2016
)
0.43
" Indeed, NPH insulin remains widely used today despite a frequent need for a twice-daily dosing and a relatively high incidence of hypoglycaemia."( Impact of the mode of protraction of basal insulin therapies on their pharmacokinetic and pharmacodynamic properties and resulting clinical outcomes.
Heise, T; Mathieu, C, 2017
)
0.46
" For BBIT, owners were instructed to continue NPH insulin administration at the usual dosage at home (q 12 h, with feeding) and to administer lispro insulin (0."( Effects of treatment with lispro and neutral protamine Hagedorn insulins on serum fructosamine and postprandial blood glucose concentrations in dogs with clinically well-controlled diabetes mellitus and postprandial hyperglycemia.
Bertalan, AV; Drobatz, KJ; Hess, RS, 2020
)
0.56
" More aggressive dosing initiation of NPH based on steroid dose may allow for earlier achievement of euglycemia without a difference in hypoglycemia."( Insulin NPH for steroid-induced hyperglycemia: Predictors for success.
Dungan, K; Gaborcik, JW; Stone, AC, 2021
)
0.62
" The model was built via Monolix software, taking into account the weight-based dosing and the dose and body-weight effects on the parameters."( Modeling of Pharmacokinetic Profiles of Insulin Aspart and Biphasic Insulin Aspart 30/70.
Drai, RV; Khokhlov, AL; Kulesh, VS; Makarenko, IE; Pilyus, FG; Zinnatulina, BR, 2022
)
0.72
" The lag time between dosing and peak concentration, as well as intra- and inter-subject variability, render prandial glucose control and dose consistency difficult."( Accelerated absorption of regular insulin administered via a vascularizing permeable microchamber implanted subcutaneously in diabetic Rattus norvegicus.
Cocchi, K; Drew, D; Huey, B; Johnson, R; Papas, KK; Price, ND; Putnam, CW; Steyn, LV; Vlachos, D, 2023
)
0.91
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (1,028)

TimeframeStudies, This Drug (%)All Drugs %
pre-1990234 (22.76)18.7374
1990's89 (8.66)18.2507
2000's359 (34.92)29.6817
2010's302 (29.38)24.3611
2020's44 (4.28)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 72.63

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index72.63 (24.57)
Research Supply Index7.30 (2.92)
Research Growth Index4.77 (4.65)
Search Engine Demand Index128.89 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (72.63)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials362 (32.26%)5.53%
Reviews104 (9.27%)6.00%
Case Studies68 (6.06%)4.05%
Observational27 (2.41%)0.25%
Other561 (50.00%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (121)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Trial Investigating the Pharmacodynamic Response of NN5401 in Subjects With Type 2 Diabetes [NCT01134224]Phase 139 participants (Actual)Interventional2010-05-31Completed
"Is Beta Cell Rest by Insulin Treatment Beneficial Compared to State-of-the Art Enhancers of Insulin Secretion in Preserving Beta Cell Function in Subjects With Latent Autoimmune Diabetes of the Adult (LADA)?" [NCT01140438]64 participants (Actual)Interventional2009-03-31Completed
Multi-centre, Multinational, Open-labelled, Randomised, Parallel, Controlled Trial in Type 2 Diabetic Subjects Inadequately Controlled on Repaglinide, to Compare the Efficacy and Safety of Repaglinide Combined With Bedtime NPH Insulin Versus Twice Daily N [NCT01562561]Phase 3213 participants (Actual)Interventional2001-06-01Completed
A Multi-center, Double-blind, Placebo-controlled, Randomized Study to Compare the Effect of a Subcutaneous Canakinumab Administration to Placebo in Patients With Impaired Glucose Tolerance or Patients With Type 2 Diabetes Treated With Differing Baseline D [NCT01068860]Phase 2246 participants (Actual)Interventional2010-02-28Completed
Randomized,Single Center,Double Blind,Two-period,Crossover Glucose Clamp Trial Study to Test Bioequivalence Between Two Recombinant Human Mixed Insulins-Wockhardt's Human/Isophane Susp 30IU/ml/70IU/ml With Novolin70/30, in Healthy Subjects [NCT01358435]Phase 153 participants (Actual)Interventional2011-01-31Completed
Insulin Scheme for Glycemic Control in Non-critical Hospitalized Patients With Type 2 Diabetes in the Context of a Health System in Mexico. [NCT03350984]Phase 475 participants (Actual)Interventional2017-11-02Completed
National (Brazil), Phase IV, Multicentric, Open Label, Parallel, Comparative Study of the Use of Insulin Glargine + Glulisine or Insulin Regular + NPH Insulin (Isophane Insulin) in Type 2 Diabetes Mellitus Patients With Moderate Renal Failure. [NCT01122979]Phase 472 participants (Actual)Interventional2010-07-31Completed
A 24-week, Randomized, Open-label, Parallel Group, Multicenter Comparison of Lantus® (Insulin Glargine) Given Once Daily Versus Neutral Protamine Hagedorn (NPH) Insulin in Children With Type 1 Diabetes Mellitus Aged at Least 6 Years to Less Than 18 Years [NCT01223131]Phase 3162 participants (Actual)Interventional2011-02-28Completed
A Multi-centre, Randomised, Parallel, Open Labelled Study to Compare the Efficiency and Safety Profile of Insulin Aspart (NovoRapid®) and Human Soluble Insulin (Novolin® R) as Meal Related Insulin in a Three Times Daily Regimen With One Injection of Novol [NCT00593255]Phase 4220 participants (Actual)Interventional2004-07-31Completed
Comparative Evaluation of Human NPH Insulin + Insulin Aspart and Human NPH Insulin + Human Soluble Insulin in Type 1 Diabetes Mellitus [NCT00597233]Phase 491 participants (Actual)Interventional2002-10-31Completed
Effects of INsulin dEtemiR and Neutral protaminE Hagedorn (NPH) Insulin on BRain glucOse Metabolism: a Study in Persons With Type 1 Diabetes [NCT00626080]40 participants (Anticipated)Interventional2009-01-31Completed
A Phase 2 Open Label Randomized Controlled Trial Determir Vs Neutral Protamine Hagedorn (NPH) In Pregnant Women: DETERMINE Study [NCT05124457]Phase 2336 participants (Anticipated)Interventional2022-02-01Recruiting
An Open Labelled, Randomised, Parallel Trial; Efficacy and Safety Comparison of Two Different Biphasic Insulin Aspart 30 Treatment Initiation Regimens Followed by Intensification in Subjects With Type 2 Diabetes Mellitus Not Achieving Glycaemic Targets on [NCT01215435]Phase 4245 participants (Actual)Interventional2011-03-31Completed
Efficacy and Safety of Glycaemic Control of Levemir® or Insulatard® in Patients With Type 2 Diabetes [NCT00715351]342 participants (Actual)Observational2007-05-31Completed
Randomized, Long-Term Study About the Effects of Analogue Versus Human Insulin Based Regimens (Insulin Detemir and Aspart Versus NPH- and Regular Human Insulin) on Metabolic Control and Myocardial Function in People With Type 2 Diabetes. [NCT00747409]Phase 4120 participants (Anticipated)Interventional2004-07-31Active, not recruiting
Comparative Pharmacokinetics and Pharmacodynamics of Human Regular U-500 Insulin Administered Subcutaneously as a Bolus Via Syringe Versus Continuous Subcutaneous Insulin Infusion and Characterization of TID and BID Dosing at Steady State in High-Dose Ins [NCT02588950]Phase 111 participants (Actual)Interventional2016-01-12Terminated(stopped due to Slow enrollment)
Preservation of Pancreatic Beta Cell Function Through Insulin Pump Therapy [NCT00574405]24 participants (Actual)Interventional2005-04-30Completed
A Six Month, Multi-centre, Open-label, Parallel Efficacy and Safety Comparison of Insulin Detemir and NPH Insulin in Subjects With Type 1 Diabetes on a Basal-bolus Regimen. [NCT03220425]Phase 3752 participants (Actual)Interventional2001-02-01Completed
Intravenous Insulin Protocol in Diabetes and Renal Transplantation Study [NCT00609986]104 participants (Actual)Interventional2007-07-31Completed
A 32-week National, Single-centre, Open-labelled, Randomised, Crossover Trial Comparing Energy Expenditure With Insulin Detemir Versus NPH Insulin Using a Basal-Bolus Regimen With Insulin Aspart as Mealtime Insulin in Subjects With Type 1 Diabetes [NCT00509925]Phase 423 participants (Actual)Interventional2007-07-31Terminated(stopped due to See detailed description)
A Randomised, Parallel-group, Open-labelled, Multinational Trial Comparing the Efficacy and Safety of Insulin Detemir (Levemir®) Versus Human Insulin (NPH Insulin), Used in Combination With Insulin Aspart as Bolus Insulin, in the Treatment of Pregnant Wom [NCT00474045]Phase 3470 participants (Actual)Interventional2007-05-31Completed
A Trial Investigating the Pharmacodynamic Response of NN5401 in Subjects With Type 1 Diabetes [NCT00993096]Phase 133 participants (Actual)Interventional2009-09-30Completed
Comparison of Efficacy and the Safety of Insulin Detemir and Insulin NPH as add-on to Current OHA Therapy in Subjects With type2 Diabetes Mellitus [NCT00604253]Phase 3362 participants (Actual)Interventional2003-12-31Completed
"A Randomized Double Blinded Two-way Crossover Single-dose Pharmacokinetics and Pharmacodynamics Study of GP-40081 (LLC GEROPHARM, Russia) Versus NovoMix® 30 Penfill® (Novo Nordisk) in Healthy Subjects Using the Euglycemic Clamp Technique" [NCT04184492]34 participants (Actual)Interventional2019-04-15Completed
Single-center, Randomized, Double-blind, 2-treatment, 2-period Crossover Trial in Healthy Subjects to Demonstrate PK Bioequivalence and to Compare the PD Properties of Julphar Insulin N and Huminsulin® Basal [NCT02634528]Phase 185 participants (Actual)Interventional2016-11-16Completed
Insulin Detemir (Levemir®) Versus Isophane (NPH) Insulin (Protaphane®) in Combination With Oral Antidiabetic Agents (OAD) in Patients With Diabetes Mellitus Type 2 Comparing Treatment Satisfaction, Diabetes-related and General Health-related Quality of Li [NCT00665808]8,125 participants (Actual)Observational2007-10-31Completed
Observational Safety and Efficacy Study in Subjects Using Insulin for the Treatment of Type 2 Diabetes Mellitus Failing on Oral Anti-diabetic Agents [NCT00715780]1,667 participants (Actual)Observational2008-06-30Completed
Treat-to-target Trial of Basal Insulin in Post-transplant Hyperglycemia (TIP): Efficacy and Safety of a Novel Protocol in Renal Transplant Recipients Receiving a Tacrolimus-based Immunosuppression [NCT00830297]Phase 250 participants (Actual)Interventional2009-01-31Completed
Basal/Bolus Insulin Therapy in the Hospital Ward Comparison of Two Protocols: Feasibility Study [NCT00841919]Phase 460 participants (Anticipated)Interventional2006-12-31Completed
Health Assessment, Patient Treatment Satisfaction and Quality-of-Life in Insulin-naive Type 2 Diabetes Patients Uncontrolled on Oral Hypoglycemic Agent Treatment Initiating Basal Insulin Therapy With Either Insulin Glargine or NPH Insulin [NCT00941369]Phase 4345 participants (Actual)Interventional2009-06-30Completed
Short and Long Term Effects of a Dypeptidil-peptidase-4 Versus Bedtime NPH Insulin as add-on Therapy in Patients With Type 2 Diabetes [NCT02607410]Phase 440 participants (Actual)Interventional2010-01-31Completed
Pilot Study for Evaluation of the Impact of Pulsatile Insulin Infusion Therapy on Vascular Function in Patients With Type 1 and Type 2 Diabetes Mellitus [NCT04030091]Phase 424 participants (Actual)Interventional2019-09-06Completed
An Efficacy and Safety Comparison of Insulin Detemir vs. NPH Insulin in Children and Adolescents Diagnosed With Type 1 Diabetes [NCT00435019]Phase 3348 participants (Actual)Interventional2007-02-28Completed
A Multi-centre, Open-labelled, Randomised, Two-group Parallel Trial Comparing the Change in Fat Distribution in Overweight and Obese Subjects With Type 2 Diabetes After 26 Weeks of Treatment With Insulin Detemir Once Daily Versus Insulin NPH Once Daily, B [NCT00795600]Phase 460 participants (Actual)Interventional2009-04-30Completed
The Utility of Insulin Glargine (Lantus) Compared to NPH in Ethnic Minority Type 2 Diabetic Subjects Starting Insulin Therapy [NCT00686712]Phase 4108 participants (Actual)Interventional2003-02-28Completed
Effects of Insulin Detemir and NPH Insulin on Renal Handling of Sodium, Fluid Retention and Weight in Type 2 Diabetic Patients [NCT00742976]Phase 424 participants (Actual)Interventional2008-06-30Completed
Impact of Insulin (I.)Glargine Compared to NPH I. and to I. Detemir in Combination With Metformin on Prandial ß-cell Function and Overall Metabolic Control in Type 2 Diabetic Patients With Insufficient Metabolic Control During OAD Treatment [NCT00941148]Phase 430 participants (Actual)Interventional2008-04-30Completed
A 48-week, Randomised, Multi-centre, Openlabelled, Parallel-group Trial to Compare the Efficacy and the Safety of NN304 (Insulin Detemir) and NPH Human Insulin in Subjects With Insulin Requiring Diabetes Mellitus on a Basal-bolus Regimen [NCT00604344]Phase 3401 participants (Actual)Interventional2003-04-30Completed
Treatment Satisfaction of Insulin Glargine Plus Insulin Apidra Compared With NPH Insulin Plus Insulin Apidra in Recently Diagnosed Type 1 Diabetes Children and Adolescents [NCT00925977]44 participants (Actual)Interventional2009-07-31Terminated
28-week, Open, Randomized, Multinational, Multicenter Clinical Trial to Compare Efficacy and Safety of Combination Therapy of Glimepiride Plus Metformin Plus HOE901 Insulin Analogue Versus a Two-injection Conventional Therapy With Premixed Insulin NPH 30/ [NCT00783744]Phase 3375 participants (Actual)Interventional2001-12-31Completed
ANALYSIS OF THE EFFECTIVENESS OF A STAGED MANAGEMENT PROGRAM AIMED AT CONTROLLING BLOOD PRESSURE AND BLOOD GLUCOSE OF TYPE 2 DIABETIC PATIENTS USING EXCLUSIVELY THE RESOURCES AVAILABLE IN A PRIMARY CARE SETTING IN BRAZIL [NCT00935805]124 participants (Anticipated)Observational2006-07-31Active, not recruiting
Trial Investigating the Hypoglycaemic Response to Single Doses of Insulin Detemir and NPH Insulin in Subjects With Type 1 Diabetes [NCT00760448]Phase 125 participants (Actual)Interventional2004-04-30Completed
Basal Insulin in the Management of Patients With Diabetic Ketoacidosis [NCT00590044]Phase 474 participants (Actual)Interventional2007-12-31Completed
An Open-labelled, Non-randomized, Multi-centre, Multinational Extension Trial Assessing the Safety of Insulin Aspart in Patients With Type I Diabetes Treated With a Basal-bolus Regimen [NCT00832182]Phase 375 participants (Actual)Interventional1999-12-22Completed
A 24-week, National, Single-centre, Open-labelled, Randomised, Parallel-group Trial Comparing Energy Expenditure With Insulin Detemir Versus NPH Insulin Using a Basal-bolus Regimen With Insulin Aspart as the Mealtime Insulin in Subjects With Type 2 Diabet [NCT00788840]Phase 430 participants (Actual)Interventional2008-01-31Completed
Evaluation of the Effects of Oral Anti-Hyperglycemic Agents, Multiple Daily Injections or Continuous Subcutaneous Insulin Infusion on Glycemic Control, B-Cell Function and the Remission Rate in Newly-Diagnosed Type 2 Diabetic Patients [NCT00147836]436 participants (Actual)Interventional2004-09-30Completed
Multi-centre, Open, Randomised, Parallel, Controlled Trial in Type 2 Diabetic Subjects Inadequately Controlled With SU +/ Biguanide Therapy, to Compare the Efficacy and Safety of Repaglinide Combined With Bedtime Insulin vs. Insulin Alone [NCT00799448]Phase 440 participants (Actual)Interventional2003-09-16Terminated(stopped due to Low recruitment status)
2 Year Efficiency and Safety Comparison of Insulin Detemir and NPH Insulin in Type 1 Diabetes. [NCT00184665]Phase 3501 participants (Actual)Interventional2004-06-30Completed
The Durability of Twice-Daily Insulin Lispro Low Mixture Compared to Once-Daily Insulin Glargine When Added to Existing Oral Therapy in Patients With Type 2 Diabetes and Inadequate Glycemic Control [NCT00279201]Phase 42,091 participants (Actual)Interventional2005-12-31Completed
Device Study for Intranasal Delivery of Insulin [NCT03857321]Phase 230 participants (Anticipated)Interventional2019-04-12Active, not recruiting
Safety/Efficacy Trial Using Stored Serum Samples to Investigate the Immunogenicity of Insulin Aspart and Soluble Human Insulin in Children and Adolescents From Onset of Type 1 Diabetes [NCT00410033]74 participants (Actual)Interventional1989-12-31Completed
The Effect of Long- and Intermediate-acting Insulins on Glycemic Control and Risk of Hypoglycemia Among Toddlers and Preschool Children With Newly Onset Type 1 Diabetes Mellitus: A Randomized Three Armed Trial [NCT04664764]Phase 460 participants (Anticipated)Interventional2019-02-21Recruiting
A Comparison of Premixed and Basal-Bolus Insulin Intensification Therapies in Patients With Type 2 Diabetes Mellitus With Inadequate Glycaemic Control on Twice-daily Premixed Insulin [NCT01175811]Phase 4402 participants (Actual)Interventional2011-02-28Completed
Safety of Insulin Detemir and Insulin NPH in Children With Type 1 Diabetes Mellitus [NCT00605137]Phase 383 participants (Actual)Interventional2004-05-21Completed
Comparative Efficacy of a Two Daily Mixed Insulin Injection Versus a Basal-bolus Scheme With Human Insulin in a Limited Resources Setting: a Multicenter Randomized Controlled Crossover Clinical Trial [NCT05768191]Phase 420 participants (Anticipated)Interventional2023-06-15Recruiting
No Evidence for Essential Differences Between the Effects of Insulin Glargine, Insulin Detemir and NPH Insulin on Glucose Metabolism After a Single Injection as Assessed by 24-h Euglycemic Clamp Studies in Healthy Humans [NCT00566124]Phase 410 participants (Actual)Interventional2005-01-31Completed
Hyperglycemia and Its Effect After Acute Myocardial Infarction on Cardiovascular Outcomes in Patients With Type 2 Diabetes (HEART2D) [NCT00191282]Phase 41,116 participants (Actual)Interventional2002-10-31Completed
Treat-To-Target Trial of Continuous Subcutaneous, Sensor-Augmented Insulin-Pump Therapy in New-onset Diabetes After Transplantation (SAPT-NODAT) [NCT01680185]Phase 385 participants (Actual)Interventional2012-08-31Completed
Efficacy and Safety Comparison of Insulin Detemir Plus Insulin Aspart to Insulin NPH Plus Insulin Aspart in Adults With Type 1 Diabetes Mellitus [NCT00595374]Phase 3114 participants (Actual)Interventional2003-12-02Completed
Comparison of Basal Bolus Treatment With Insulin Aspart Including Insulin NPH and Biphasic Insulin Aspart in Type 2 Diabetes Mellitus [NCT00600626]Phase 3394 participants (Actual)Interventional2004-01-31Completed
A 24-month Multicentre, Open-label, Randomised, Parallel Group, Long Term Safety Trial Comparing Intensive Treatment of Pulmonary Inhaled Human Insulin With Insulin Aspart Administered s.c., Both in Combination With NPH, in Subjects With Type 1 Diabetes [NCT00725036]Phase 3305 participants (Actual)Interventional2002-09-02Completed
Assessment of Safety and Efficacy of Insulin NPH Compared to a New Insulin Formulation on Glycaemic Control in Subjects With Type 2 Diabetes [NCT00660374]Phase 2402 participants (Actual)Interventional2008-02-29Completed
Safety and Efficacy of Insulin Detemir Combined With OAD Versus Insulin NPH Combined With OAD in Type 2 Mellitus [NCT00604396]Phase 3477 participants (Actual)Interventional2003-03-31Completed
Target Glycemic Control and the Incidence of Symptomatic Nocturnal Hypoglycemia in Insulin Naïve Subjects With Type 2 Diabetes on Oral Hypoglycemic Agent(s) and Treated With Insulin Glargine or NPH Human Insulin. [NCT00653341]Phase 3764 participants (Actual)Interventional2000-01-31Completed
Change in Weight on Insulin Detemir (Levemir®) or Isophane (NPH) Insulin (Insulatard®) in Patients With Type 2 Diabetes Mellitus [NCT00658099]699 participants (Actual)Observational2007-11-30Completed
Insulin Treatment in Cancer Cachexia: Effects on Survival, Metabolism and Physical Functioning. A Randomized Prospective Study. [NCT00329615]Phase 4135 participants Interventional2000-01-31Completed
Basal Insulin Therapy in Patients With Insulin Resistance: A 6 Month Comparison of Insulin Glargine and NPH Insulin [NCT01854723]Phase 40 participants (Actual)Interventional2013-04-30Withdrawn
A Randomised, Double-blind, Placebo-controlled Single Dose, Dose Escalation Trial With Insulin 454 in Healthy Male Subjects, Followed by a Two-period Cross-over Trial With Insulin 454 and Insulatard® in Male Subjects With Type 1 and Type 2 Diabetes Mellit [NCT01865279]Phase 164 participants (Actual)Interventional2005-12-31Completed
A Randomised, Double-blind, Multiple Period Crossover Trial Comparing Insulin 454 and Insulin Aspart Premixes With Separately Injected, Simultaneous Doses of Insulin 454 and Insulin Aspart, Compared With Biphasic Insulin Aspart 30 (NovoMix® 30) in Male Su [NCT01865305]Phase 159 participants (Actual)Interventional2006-09-30Completed
A Randomized, Double-blind, Single-dose, 2-Treatment, 2-Period, 2-Sequence Crossover Bioequivalence Study Comparing Two Formulations of Insulin Glulisine (Insulin Glulisine 300 Units/mL Versus Insulin Glulisine 100 Units/mL Marketed as Apidra® 100 Units/m [NCT02910518]Phase 144 participants (Actual)Interventional2017-02-17Completed
A Post Marketing Surveillance on the Use of NovoLet® Human Insulin System in Indonesia [NCT01492153]1,981 participants (Actual)Observational2003-02-11Completed
A Crossover Study to Evaluate the Efficacy and Safety of Preprandial Human Insulin Inhalation Powder (HIIP) Compared to Once-Daily NPH in Insulin-Naïve Patients With Type 2 Diabetes Mellitus on Oral Agents [NCT00490854]Phase 2/Phase 3129 participants (Actual)Interventional2007-07-31Completed
Self-control Trial to Evaluate the Remission Rate and Safety in Newly Diagnosed Type 2 Diabetes Patients After Short-term Intensive Insulin Aspart and Insulin NPH Treatment [NCT00494988]Phase 433 participants (Actual)Interventional2004-12-31Completed
SNIFF Multi-Device Study 2 - Study of Nasal Insulin to Fight Forgetfulness [NCT04199767]Phase 230 participants (Anticipated)Interventional2020-07-16Active, not recruiting
A Randomised, Open Label, Cross-over, Multi-centre, Multinational Trial Comparing the Frequency of Hypoglycaemic Episodes During Treatment With Insulin Detemir and NPH Insulin in Well Controlled Subjects With Type 1 Diabetes on a Basal-bolus Regimen [NCT01697657]Phase 3131 participants (Actual)Interventional2001-09-30Completed
A Randomised, Single Centre, Double-blind, Two-period Cross-over, Glucose Clamp Trial to Test for Bioequivalence Between Insulatard® (600 Nmol/ml) and Insulatard® (1998 Nmol/ml) in Healthy Subjects [NCT01486901]Phase 144 participants (Actual)Interventional2006-05-31Completed
A Multi-centre, Multinational, Open-labelled, Randomised, Parallel-Group Comparison of Insulin Detemir Plus Insulin Aspart With NPH Insulin Plus Human Soluble Insulin in Subjects With Type 1 Diabetes on a Basal-Bolus Regimen [NCT01486940]Phase 3598 participants (Actual)Interventional2002-03-31Completed
Effects of Pulsatile IV Insulin on Cognitive Deficits in Diabetic Patients [NCT00228865]Phase 2/Phase 375 participants (Actual)Interventional2003-06-30Terminated(stopped due to Administrative)
"A Twenty-six Week, Randomized, Open-label, 2-Arm Parallel Group Real World Pragmatic Trial to Assess the Clinical and Health Outcomes Benefit of Toujeo® Compared to Standard of Care Insulin for Initiating Basal Insulin in Insulin Naïve Patients With Unco [NCT02967224]Phase 4705 participants (Actual)Interventional2015-11-05Completed
The Effect of Insulin Analogues and Human Insulin on the Incidence of Severe Hypoglycaemia in Hypoglycaemia Prone Type 1 Diabetic Patients [NCT00346996]Phase 4179 participants (Actual)Interventional2007-05-31Completed
Comparison of Carbohydrate Metabolism During the Night and at Hypoglycemia in Type-2 Diabetic Patients Either on Glargine or NPH Insulin [NCT00468364]12 participants (Actual)Observational2003-07-31Completed
Comparative Trial Between Insulin Detemir Versus NPH Insulin In Hospitalized Patients With Type 2 Diabetes [NCT00590226]Phase 4130 participants (Actual)Interventional2006-12-31Completed
Comparison of the Effect of Insulin Detemir Versus Insulin NPH Both With Insulin Aspart on Weight Change in Overweight and Obese Subjects With Type 2 Diabetes [NCT00504673]Phase 3277 participants (Actual)Interventional2005-04-30Completed
An Assessment of the Impact of Performing Physical Exercise on the Maximum Plasma Glucose Decline in Subjects With Type 1 Diabetes Managed on a Basal Bolus Insulin Regimen: A Comparison of 3 Basal Insulin Treatments - Insulin Detemir, Insulin Glargine and [NCT00313742]Phase 451 participants (Actual)Interventional2006-04-30Completed
A Randomised, Open-labelled, Single-centre, Two-period Crossover Trial Investigating the Pharmacodynamics and Pharmacokinetics of Single s.c. Doses of NN304 (Insulin Detemir) and NPH Human Insulin in Japanese Subjects With Type 1 Diabetes Mellitus [NCT01542450]Phase 123 participants (Actual)Interventional2002-08-31Completed
Efficacy and Safety Comparison of Insulin Detemir Morning, Insulin Detemir Evening and NPH Insulin Evening as Add-on to Oral Antidiabetic Drug(s) in Patients With Type 2 Diabetes [NCT00104182]Phase 3503 participants (Actual)Interventional2005-02-28Completed
Efficacy and Safety of Insulin Glulisine Compared With Insulin Lispro in Children and Adolescents With Type 1 Diabetes Mellitus: A 26 Week, Multicenter, Open, Parallel Clinical Trial [NCT00115570]Phase 3572 participants (Actual)Interventional2005-04-30Completed
South Danish Diabetes Study: A Prospective Randomised Multi-Centre Study for the Evaluation of the Optimal Pharmacological Antidiabetic Treatment of Type 2 Diabetes Mellitus [NCT00121966]Phase 4400 participants Interventional2003-01-31Completed
Morning LANTUS v. Intermediate-acting Insulin 2x/Day as Basal Insulin in a Multiple Daily Inj. w/ Humalog in Adolescents w/ Type 1 Diabetes Mellitus: an Active-controlled, Open, Randomized, Gender-stratified, Two-arm, Parallel-group Study [NCT00046501]Phase 3250 participants Interventional2002-11-30Completed
"A Twenty-six Week, Randomized, Open-label, 2-arm Parallel Group Real World Pragmatic Trial to Assess the Clinical and Health Outcomes Benefit of Transition to Toujeo Compared to Standard of Care Insulin in Basal Insulin Treated Patients With Uncontrolled [NCT02967211]Phase 4609 participants (Actual)Interventional2015-12-21Completed
Safety and Efficacy of Insulin Aspart vs. Regular Human Insulin in Basal/Bolus Therapy for Patients With Gestational Diabetes [NCT00065130]Phase 327 participants (Actual)Interventional2000-04-30Completed
Comparison of Two Biphasic Insulin Regimens in Well-controlled Patients With the Use of Continuous Glucose Monitoring and New Glycemic Control Indices [NCT04726657]36 participants (Actual)Interventional2016-01-18Completed
Pilot Study of Metformin vs. Insulin in Pregnant Overt Diabetics (MIPOD) [NCT00835861]Phase 231 participants (Actual)Interventional2008-08-31Completed
Cost Effectiveness of Glargine Insulin Versus NPH Insulin in Diabetic Patients in Iran [NCT01832935]Phase 4200 participants (Actual)Interventional2011-07-31Completed
A Multi-centre, Open, Randomised, Parallel, Controlled Trial to Compare the Efficacy and Safety of Repaglinide Combined With Bedtime Insulin With Insulin Alone in Type 2 Diabetic Subjects Inadequately Controlled With Sulphonylurea ± Biguanide Therapy [NCT01720303]Phase 4159 participants (Actual)Interventional2002-09-19Completed
Comparison of Efficacy and Safety of Insulin Detemir and NPH Insulin in Children and Adolescents With Type 1 Diabetes [NCT00312156]Phase 3347 participants (Actual)Interventional2002-08-31Completed
A Randomised, Double-blind, Four-period, Cross-over, Dose Response Trial Investigating the Pharmacodynamics and Pharmacokinetics of Single Doses of Insulin Detemir and NPH Insulin in Subjects With Type 2 Diabetes [NCT01497561]Phase 115 participants (Actual)Interventional2003-03-31Completed
A Randomised, Double-blind, Six-period, Cross-over, Dose-response Trial Investigating the Pharmacodynamics and Pharmacokinetics of Single Doses of Insulin Detemir and NPH Insulin in Subjects of Blacks or African American, Whites of Hispanic or Latino Orig [NCT01497600]Phase 150 participants (Actual)Interventional2004-02-29Completed
Establishing Cardiovascular Biomarkers to Define Preferred Lantus® Use. [NCT01500850]Phase 460 participants (Anticipated)Interventional2011-10-31Recruiting
Insulin Therapy for Post-transplant Glucocorticoid Induced Hyperglycemia [NCT01648218]Phase 45 participants (Actual)Interventional2012-08-31Terminated(stopped due to Poor enrollment)
An Open-labelled, Controlled, Multicentre, Multinational, Extension Study Assessing Safety and Efficacy of the Human Insulin Analogue Insulin Aspart (X14) and Human Soluble Insulin as Meal Related Insulin in a Multiple Injection Regimen in Type 1 Diabetic [NCT01707134]Phase 3753 participants (Actual)Interventional1997-09-30Completed
Gestational Diabetes in Non Obese Women and Metformine [NCT01756105]Phase 284 participants (Anticipated)Interventional2012-06-30Terminated
The Management of Glucocorticoid-Induced Hyperglycemia in Hospitalized Patients [NCT01810952]Phase 437 participants (Actual)Interventional2010-09-30Completed
Use of Neutral Protamine Hagedorn (NPH) Versus Basal Bolus Insulin for Steroid Induced Hyperglycemia [NCT03511521]Phase 43 participants (Actual)Interventional2018-03-27Terminated(stopped due to Unable to recruit sufficient number of patients)
A 24 Week Randomised, Open Label, 3 Parallel-group Comparison of Once and Twice Daily Biphasic Insulin Aspart (BIAsp) 30 Plus Sitagliptin and Twice Daily BIAsp 30, All in Combination With Metformin in Insulin naïve Type 2 Diabetic Subjects Inadequately Co [NCT01519674]Phase 4582 participants (Actual)Interventional2012-06-30Completed
[NCT01446120]Phase 17 participants (Anticipated)InterventionalNot yet recruiting
Meal-related Insulin Aspart Therapy Versus Meal-related Human Insulin Therapy in Children 2-6 Years of Age With Type 1 Diabetes Mellitus: A Multi-centre Randomised, Open-labelled, Cross-over, Safety and Efficacy Trial [NCT01467141]Phase 426 participants (Actual)Interventional2002-06-19Completed
Exploring Immunologic Effects of Oral Insulin in Relatives at Risk for Type 1 [NCT02580877]Phase 292 participants (Actual)Interventional2016-01-31Completed
Hospital Insulin Protocol Aims for Glucose Control in Corticosteroid-induced Hyperglycemia [NCT01184014]Phase 472 participants (Actual)Interventional2010-08-31Completed
A Pilot Study to Describe the Glycaemic Variability of Insulin Glargine 300U/ml Versus NPH (Neutral Protamine Hagedorn) in the Insulin-naïve Type 2 Diabetes Patients Following a Patient-adjusted Insulin Algorithm in Hong Kong [NCT03389490]Phase 450 participants (Actual)Interventional2018-01-01Completed
A 26-week Open Label, Randomised, 2-armed, Parallel Group, Multi-centre Trial Investigating Efficacy and Safety of Insulin Detemir Versus Insulin Neutral Protamine Hagedorn in Combination With the Maximum Tolerated Dose of Metformin and Diet/Exercise on G [NCT02131272]Phase 342 participants (Actual)Interventional2014-06-11Terminated
Comparison of Insulin Isophane (NPH) With Insulin Glargine in New Onset Diabetes After Transplant (NODAT) [NCT01963728]Phase 42 participants (Actual)Interventional2013-11-27Terminated(stopped due to Blood sugar status of the enrolled subjects wasn't evaluable)
Effect of Insulin Detemir on Blood Glucose Control in Subjects With Type 2 Diabetes [NCT00383877]Phase 3263 participants (Actual)Interventional2006-09-30Completed
The Effect of Insulin Detemir on Glucose Control in Ageing Subjects With Type 2 Diabetes. [NCT00506662]Phase 486 participants (Actual)Interventional2007-07-31Terminated(stopped due to See termination reason in detailed description)
Effects of New Longacting Insulin Analogs on Metabolic Control, Endogenous Insulin Production, GH/IGF-I Axis and Quality of Life - Comparison of NPH, Glargine Och Detemir Insulin From the Debut of Type 1 Diabetes Mellitus in Adolescents [NCT01271517]Phase 4120 participants (Actual)Interventional2005-09-30Active, not recruiting
A Comparison of LY2605541 Versus Human Insulin NPH as Basal Insulin Treatment in Insulin-Naïve Patients With Type 2 Diabetes Mellitus Not Adequately Controlled With 2 or More Oral Antihyperglycemic Medications: An Open-Label, Randomized Study [NCT01790438]Phase 3641 participants (Actual)Interventional2013-03-31Completed
An Extension Trial of BIAsp-3756, Explorative Comparison of Biphasic Insulin Aspart 30 Twice Daily With Two Different Initial Dosage Split Regimens on the Effect of Glycaemic Control in Chinese Type 2 Diabetes Patients [NCT01278160]Phase 4179 participants (Actual)Interventional2011-01-31Completed
A 20-week Study Comparing Patient-adjusted Versus Physician-adjusted Titration of BIAsp 30 Combined With Metformin in Type 2 Diabetes Patients Uncontrolled on NPH Insulin [NCT01589653]Phase 4155 participants (Actual)Interventional2012-05-26Completed
Insulin Therapy for the Prevention of New Onset Diabetes After Transplantation (ITP-NODAT) Prospective Study in Non-Diabetic De Novo Kidney Transplant Recipients [NCT03507829]Phase 3263 participants (Actual)Interventional2012-11-21Completed
A 2-week, Randomised, Controlled, Open-label, Two-group Parallel, Multi-centre Trial Comparing Efficacy and Safety of Insulin Detemir Plus Insulin Aspart and NPH Insulin Plus Human Soluble Insulin Both in a Basal Bolus Regimen With or Without Metformin in [NCT01486966]Phase 458 participants (Actual)Interventional2011-11-30Terminated(stopped due to Trial terminated prematurely due to slow recruitment.)
Subcutaneous Insulin Glargine Versus NPH Insulin in Patients With Chronic Kidney Disease Stages III and IV: Randomized Controlled Trial. [NCT02451917]Phase 434 participants (Actual)Interventional2013-12-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00191282 (27) [back to overview]Number of Participants With Self-Reported Hypoglycemia During Month 18
NCT00191282 (27) [back to overview]Number of Participants Who Experienced Primary Outcomes Adjusted for Metabolic Control and Major Cardiovascular (CV) Risk Factors
NCT00191282 (27) [back to overview]Number of Episodes of Self-Reported Hypoglycemia Reported by Participants With Self-Reported Hypoglycemia During Month 18
NCT00191282 (27) [back to overview]Number of Episodes of Self-Reported Hypoglycemia Reported by Participants With Self-Reported Hypoglycemia During Month 3
NCT00191282 (27) [back to overview]Number of Participants Who Experienced a Primary Combined Outcome
NCT00191282 (27) [back to overview]Summary of Reasons for Deaths
NCT00191282 (27) [back to overview]Number of Episodes of Self-Reported Hypoglycemia Reported by Participants With Self-Reported Hypoglycemia During Month 9
NCT00191282 (27) [back to overview]Number of Participants With Self-Reported Hypoglycemia During Month 9
NCT00191282 (27) [back to overview]Number of Participants With Self-Reported Hypoglycemia During Month 6
NCT00191282 (27) [back to overview]Number of Participants With Self-Reported Hypoglycemia During Month 3
NCT00191282 (27) [back to overview]Number of Participants Who Experienced Amputation for Peripheral Vascular Disease Planned After Randomization
NCT00191282 (27) [back to overview]Number of Participants With Self-Reported Hypoglycemia During Month 12
NCT00191282 (27) [back to overview]Number of Participants Who Experienced Revascularization Procedure for Peripheral Vascular Disease Planned After Randomization
NCT00191282 (27) [back to overview]Number of Participants Who Experienced Stroke
NCT00191282 (27) [back to overview]Number of Episodes of Self-Reported Hypoglycemia Reported by Participants With Self-Reported Hypoglycemia During Month 6
NCT00191282 (27) [back to overview]Number of Participants With Self-Reported Hypoglycemia During Month 1
NCT00191282 (27) [back to overview]Number of Participants Who Experienced Any One of the Primary Outcomes Adjusted for Indicators of Metabolic Control
NCT00191282 (27) [back to overview]Number of Participants Who Experienced Cardiovascular (CV) Death
NCT00191282 (27) [back to overview]Number of Participants Who Experienced Congestive Heart Failure
NCT00191282 (27) [back to overview]Number of Participants Who Experienced Coronary Angiography Planned After Randomization
NCT00191282 (27) [back to overview]Number of Participants Who Experienced Coronary Revascularization Procedures
NCT00191282 (27) [back to overview]Number of Participants Who Experienced Death From Any Cause
NCT00191282 (27) [back to overview]Number of Participants Who Experienced Death From Any Cause or Any One of the Primary Outcomes
NCT00191282 (27) [back to overview]Number of Participants Who Experienced Hospitalization for Acute Coronary Syndromes (HACS)
NCT00191282 (27) [back to overview]Number of Participants Who Experienced Myocardial Infarction (MI)
NCT00191282 (27) [back to overview]Number of Episodes of Self-Reported Hypoglycemia Reported by Participants With Self-Reported Hypoglycemia During Month 12
NCT00191282 (27) [back to overview]Number of Episodes of Self-Reported Hypoglycemia Reported by Participants With Self-Reported Hypoglycemia During Month 1
NCT00279201 (56) [back to overview]MAINTENANCE: Change From Baseline in 1,5-Anhydroglucitol
NCT00279201 (56) [back to overview]MAINTENANCE: Body Weight
NCT00279201 (56) [back to overview]MAINTENANCE: 7-point SMPG Profiles and Postprandial Excursions
NCT00279201 (56) [back to overview]INITIATION: Rate of Self-reported Hypoglycemic Episodes
NCT00279201 (56) [back to overview]INITIATION: Percentage of Participants With Self-reported Hypoglycemic Episodes
NCT00279201 (56) [back to overview]INITIATION: Percentage of Participants With HbA1c < or = 7.0%, HbA1c <7.0%, and HbA1c < or = 6.5% at Endpoint
NCT00279201 (56) [back to overview]INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal at Week 24 - Pre Meals Blood Glucose, Post Meals Blood Glucose, Average of All Blood Glucose, and Fasting Blood Glucose
NCT00279201 (56) [back to overview]INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal at Week 24 - Origin
NCT00279201 (56) [back to overview]INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal at Week 24 - Baseline HbA1c Percentage Group
NCT00279201 (56) [back to overview]INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal - Oral Diabetes Medication at Baseline
NCT00279201 (56) [back to overview]INITIATION: Insulin Dose
NCT00279201 (56) [back to overview]INITIATION: Incremental Change From Baseline in Body Weight
NCT00279201 (56) [back to overview]INITIATION: HbA1c
NCT00279201 (56) [back to overview]INITIATION: Body Weight
NCT00279201 (56) [back to overview]INITIATION: 7-point Self-monitored Plasma Glucose (SMPG) Profiles and Postprandial Excursions
NCT00279201 (56) [back to overview]ADDENDUM: Rate of Self-reported Hypoglycemic Episodes
NCT00279201 (56) [back to overview]ADDENDUM: Percentage of Participants With Self-reported Hypoglycemic Episodes
NCT00279201 (56) [back to overview]ADDENDUM: Percentage of Participants With HbA1c < or = 7.0%, HbA1c < 7.0%, and < or = 6.5%
NCT00279201 (56) [back to overview]ADDENDUM: Insulin Dose
NCT00279201 (56) [back to overview]ADDENDUM: Incremental Change From Baseline in Body Weight
NCT00279201 (56) [back to overview]ADDENDUM: HbA1c at Specified Visits and Endpoint
NCT00279201 (56) [back to overview]ADDENDUM: Change in HbA1c From Point of Second Randomization (Addendum Baseline) to Endpoint
NCT00279201 (56) [back to overview]ADDENDUM: Change From Baseline in 1,5-Anhydroglucitol to Week 24
NCT00279201 (56) [back to overview]ADDENDUM: Body Weight
NCT00279201 (56) [back to overview]ADDENDUM: 7-point SMPG Profiles
NCT00279201 (56) [back to overview]MAINTENANCE: Rate of Increase in HbA1c
NCT00279201 (56) [back to overview]MAINTENANCE: Participant Demographics of Lispro LM Participants Who Did Versus Did Not Maintain HbA1c Goal - Duration of Diabetes
NCT00279201 (56) [back to overview]MAINTENANCE: Participant Demographics of Lispro LM Participants Who Did Versus Did Not Maintain HbA1c Goal - Baseline HbA1c
NCT00279201 (56) [back to overview]MAINTENANCE: Participant Demographics of Lispro LM Participants Who Did Versus Did Not Maintain HbA1c Goal - 1,5 AG
NCT00279201 (56) [back to overview]MAINTENANCE: Participant Demographics of Insulin Glargine Participants Who Did Versus Did Not Maintain HbA1c Goal - Duration of Diabetes
NCT00279201 (56) [back to overview]MAINTENANCE: Participant Demographics of Insulin Glargine Participants Who Did Versus Did Not Maintain HbA1c Goal - Baseline HbA1c
NCT00279201 (56) [back to overview]MAINTENANCE: Participant Demographics of Lispro LM Participants Who Did Versus Did Not Maintain HbA1c Goal - Mean of Post Meals Blood Glucose and Average of All Blood Glucose
NCT00279201 (56) [back to overview]MAINTENANCE: Participant Demographics of Insulin Glargine Participants Who Did Versus Did Not Maintain HbA1c Goal - 1,5 AG
NCT00279201 (56) [back to overview]MAINTENANCE: Duration of Time HbA1c Maintained at Goal by Initiation Regimen (Insulin Glargine or Lispro Low Mix)
NCT00279201 (56) [back to overview]ADDENDUM: 24-Week Endpoint HbA1c
NCT00279201 (56) [back to overview]INITIATION: 24-Week Endpoint Glycosylated Hemoglobin (HbA1c)
NCT00279201 (56) [back to overview]INITIATION: Change From Baseline to Endpoint in 1,5 Anhydroglucitol (1,5 AG)
NCT00279201 (56) [back to overview]INITIATION: Change in HbA1c From Baseline to 24 Weeks
NCT00279201 (56) [back to overview]INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal at Week 24 - 1,5 AG
NCT00279201 (56) [back to overview]INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal at Week 24 - Age
NCT00279201 (56) [back to overview]INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal at Week 24 - HbA1c
NCT00279201 (56) [back to overview]MAINTENANCE: Incremental Change From Baseline in Body Weight
NCT00279201 (56) [back to overview]MAINTENANCE: HbA1c at Specified Visits and Endpoint
NCT00279201 (56) [back to overview]MAINTENANCE: Change From Baseline to Endpoint in HbA1c
NCT00279201 (56) [back to overview]MAINTENANCE: Rate of Self-reported Hypoglycemic Episodes
NCT00279201 (56) [back to overview]MAINTENANCE: Percentage of Participants With Self-reported Hypoglycemic Episodes
NCT00279201 (56) [back to overview]MAINTENANCE: Percentage of Participants With HbA1c < or = 7.0%, HbA1c <7.0, and HbA1c < or = 6.5%
NCT00279201 (56) [back to overview]MAINTENANCE: Participant Demographics of Lispro LM Participants Who Did Versus Did Not Maintain HbA1c Goal - Oral Diabetes Medicine at Baseline
NCT00279201 (56) [back to overview]MAINTENANCE: Participant Demographics of Lispro LM Participants Who Did Versus Did Not Maintain HbA1c Goal - Duration of Diabetes Group
NCT00279201 (56) [back to overview]MAINTENANCE: Participant Demographics of Lispro LM Participants Who Did Versus Did Not Maintain HbA1c Goal - Baseline HbA1c Group
NCT00279201 (56) [back to overview]MAINTENANCE: Participant Demographics of Insulin Glargine Participants Who Did Versus Did Not Maintain HbA1c Goal - Oral Diabetes Medicine at Baseline
NCT00279201 (56) [back to overview]MAINTENANCE: Participant Demographics of Insulin Glargine Participants Who Did Versus Did Not Maintain HbA1c Goal - Mean of Post Meals Blood Glucose and Average of All Blood Glucose
NCT00279201 (56) [back to overview]MAINTENANCE: Participant Demographics of Insulin Glargine Participants Who Did Versus Did Not Maintain HbA1c Goal - Duration of Diabetes Group
NCT00279201 (56) [back to overview]MAINTENANCE: Participant Demographics of Insulin Glargine Participants Who Did Versus Did Not Maintain HbA1c Goal - Baseline HbA1c Group
NCT00279201 (56) [back to overview]MAINTENANCE: Insulin Dose
NCT00279201 (56) [back to overview]INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal at Week 24 - Homeostasis Model Assessment of Insulin Resistance (HOMA-IR)
NCT00435019 (3) [back to overview]Observed Insulin Antibody Values
NCT00435019 (3) [back to overview]Number of Subjects Reporting Adverse Events
NCT00435019 (3) [back to overview]Glycosylated Haemoglobin A1c (HbA1c)
NCT00474045 (47) [back to overview]Maternal Safety - Change in Insulin Detemir/Insulin Aspart Cross Reacting Antibodies
NCT00474045 (47) [back to overview]Maternal Safety - Change in Lactate Dehydrogenase Serum Level (Biochemistry)
NCT00474045 (47) [back to overview]Maternal Safety - Change in Leukocytes Level (Haematology)
NCT00474045 (47) [back to overview]Maternal Safety - Change in Potassium Serum Level (Biochemistry)
NCT00474045 (47) [back to overview]8-point Self Monitored Plasma Glucose (SMPG) Profile at GW 36
NCT00474045 (47) [back to overview]Maternal Safety - Change in Thrombocytes Level (Haematology)
NCT00474045 (47) [back to overview]Maternal Safety - Change in Total Protein Serum Level (Biochemistry)
NCT00474045 (47) [back to overview]Maternal Safety - Change in Urine Albumin Level (Urinalysis)
NCT00474045 (47) [back to overview]Maternal Safety - Change in Urine N (Creatinine) (Urinalysis)
NCT00474045 (47) [back to overview]Maternal Safety - Hypoglycaemic Episodes
NCT00474045 (47) [back to overview]Maternal Safety - Mode of Delivery
NCT00474045 (47) [back to overview]Maternal Safety - Number of Subjects With Adverse Events (AEs)
NCT00474045 (47) [back to overview]Pregnancy Outcome at Delivery
NCT00474045 (47) [back to overview]Pregnancy Outcome at Follow-Up
NCT00474045 (47) [back to overview]Safety - Composite Pregnancy Outcome
NCT00474045 (47) [back to overview]Safety - Total Daily Insulin Dose During Pregnancy
NCT00474045 (47) [back to overview]Safety in Children - Number of Subjects (Foetuses and Newborns) With Adverse Events
NCT00474045 (47) [back to overview]Subjects Reaching HbA1c at or Below 6.0% Both at GW 24 and GW 36
NCT00474045 (47) [back to overview]Ratio Between Detemir Specific Antibodies in Cord Blood and Maternal Antibodies
NCT00474045 (47) [back to overview]Ratio Between Cross-reacting Antibodies in Cord Blood and Maternal Antibodies
NCT00474045 (47) [back to overview]Ratio Between Aspart Specific Antibodies in Cord Blood and Maternal Antibodies
NCT00474045 (47) [back to overview]Pregnancy Outcome Safety - Level of Insulin Detemir in Umbilical Cord Blood
NCT00474045 (47) [back to overview]Pregnancy Outcome Safety - Level of Detemir Specific Antibodies (AB) in Umbilical Cord Blood
NCT00474045 (47) [back to overview]Pregnancy Outcome Safety - Level of Cross-Reacting Antibodies (AB) in Umbilical Cord Blood
NCT00474045 (47) [back to overview]Pregnancy Outcome Safety - Level of Aspart Specific Antibodies (AB) in Umbilical Cord Blood
NCT00474045 (47) [back to overview]Maternal Safety - Nocturnal Hypoglycaemic Episodes
NCT00474045 (47) [back to overview]Maternal Safety - Electrocardiogram (ECG)
NCT00474045 (47) [back to overview]Maternal Safety - Acceleration of Nephropathy
NCT00474045 (47) [back to overview]Glycosylated Haemoglobin (HbA1c) for Per Protocol Analysis Set (Pregnant Subjects) at GW 36
NCT00474045 (47) [back to overview]Glycosylated Haemoglobin (HbA1c) for Full Analysis Set (Pregnant Subjects) at GW 36
NCT00474045 (47) [back to overview]Maternal Safety - Change in Sodium Serum Level (Biochemistry)
NCT00474045 (47) [back to overview]8-point Self-monitored Plasma Glucose (SMPG) Profile at GW 24
NCT00474045 (47) [back to overview]Fasting Plasma Glucose (FPG)
NCT00474045 (47) [back to overview]Glycosylated Haemoglobin (HbA1c) During Pregnancy
NCT00474045 (47) [back to overview]Maternal Safety - Change in Insulin Detemir Specific Antibodies
NCT00474045 (47) [back to overview]Maternal Safety - Change From Visit P1 in Body Weight During Pregnancy by Visit
NCT00474045 (47) [back to overview]Maternal Safety - Change From Visit P1 in Diastolic Blood Pressure During Pregnancy and at Follow-Up by Visit
NCT00474045 (47) [back to overview]Maternal Safety - Change From Visit P1 in Pulse During Pregnancy and at Follow-Up
NCT00474045 (47) [back to overview]Maternal Safety - Change From Visit P1 in Systolic Blood Pressure During Pregnancy and at Follow-Up by Visit
NCT00474045 (47) [back to overview]Maternal Safety - Change in Alanine Aminotransferase Serum Level (Biochemistry)
NCT00474045 (47) [back to overview]Maternal Safety - Acceleration of Retinopathy in Any Eye
NCT00474045 (47) [back to overview]Maternal Safety - Change in Albumin/Creatinine Ratio (Urinalysis)
NCT00474045 (47) [back to overview]Maternal Safety - Change in Alkaline Phosphatase Serum Level (Biochemistry)
NCT00474045 (47) [back to overview]Maternal Safety - Change in Creatinine Serum Level (Biochemistry)
NCT00474045 (47) [back to overview]Maternal Safety - Change in Haemoglobin Level (Haematology)
NCT00474045 (47) [back to overview]Maternal Safety - Change in Insulin Aspart Specific Antibodies
NCT00474045 (47) [back to overview]Maternal Safety - Change in Albumin Serum Level (Biochemistry)
NCT00506662 (3) [back to overview]Mean Number of Total Hypoglycaemic Episodes, Month 1
NCT00506662 (3) [back to overview]Mean Number of Total Hypoglycaemic Episodes, Months 2-4
NCT00506662 (3) [back to overview]Mean Number of Total Hypoglycaemic Episodes, Months 5-7
NCT00509925 (18) [back to overview]Hormonal Assessment: Insulin-like Growth Factor-1
NCT00509925 (18) [back to overview]Hormonal Assessment: Leptin
NCT00509925 (18) [back to overview]Hormonal Assessment: Resistin
NCT00509925 (18) [back to overview]Hypoglycaemic Episodes, Diurnal/Nocturnal
NCT00509925 (18) [back to overview]Lean Body Mass
NCT00509925 (18) [back to overview]Waist:Hip Ratio
NCT00509925 (18) [back to overview]Fasting Plasma Glucose
NCT00509925 (18) [back to overview]Component of Total Energy Expenditure: Diet Induced Thermogenesis (DIT)
NCT00509925 (18) [back to overview]Component of Total Energy Expenditure: Non-exercise Activity Thermogenesis (NEAT)
NCT00509925 (18) [back to overview]Component of Total Energy Expenditure: Physical Activity Thermogenesis
NCT00509925 (18) [back to overview]Component of Total Energy Expenditure: Resting Energy Expenditure (REE)
NCT00509925 (18) [back to overview]Hypoglycaemic Episodes
NCT00509925 (18) [back to overview]Total Energy Expenditure, Dietary Record Method
NCT00509925 (18) [back to overview]Total Energy Expenditure, Double-labelled Water Method
NCT00509925 (18) [back to overview]Body Weight
NCT00509925 (18) [back to overview]Fat Mass
NCT00509925 (18) [back to overview]Glycosylated Haemoglobin A1c (HbA1c)
NCT00509925 (18) [back to overview]Hormonal Assessment: Adiponectin
NCT00574405 (1) [back to overview]Change in Mixed-meal-stimulated Peak C-peptide Value (Via Mixed-meal Tolerance Test) After 12 Months of Insulin Pump Therapy, Compared With MDI.
NCT00590044 (4) [back to overview]Mean Daily Blood Glucose Concentration Between the Two Groups After the Resolution of Ketoacidosis and Transition to Subcutaneous Insulin
NCT00590044 (4) [back to overview]Number of Hypoglycemia Episodes After the Transition Period From Intravenous Insulin to Subcutaneous Insulin Between 2 Treatment Groups
NCT00590044 (4) [back to overview]Mean Blood Glucose Concentration in mg/dL While on the Insulin Drip Among the 2 Groups
NCT00590044 (4) [back to overview]Difference in Time in Hours to Resolution of DKA Between the 2 Groups
NCT00590226 (2) [back to overview]Mean AM BG (mg/dl)
NCT00590226 (2) [back to overview]Number of Patients With Hypoglycemic Events
NCT00609986 (4) [back to overview]Acute/Active Rejection
NCT00609986 (4) [back to overview]Delayed Graft Function
NCT00609986 (4) [back to overview]Severe Hyperglycemia
NCT00609986 (4) [back to overview]Severe Hypoglycemia
NCT00686712 (7) [back to overview]Body Mass Index Change From Baseline
NCT00686712 (7) [back to overview]Any Adverse Event Other Than Hypoglycemia
NCT00686712 (7) [back to overview]Total Daily Insulin Dose
NCT00686712 (7) [back to overview]Hemoglobin A1c Change From Baseline
NCT00686712 (7) [back to overview]Frequency of Total Hypoglycemic Reactions
NCT00686712 (7) [back to overview]Frequency of Severe Hypoglycemic Reactions
NCT00686712 (7) [back to overview]Frequency of Glucose Readings < 130 mg/dL
NCT00795600 (56) [back to overview]Absolute Change in Blood Volume (Haematocrit)
NCT00795600 (56) [back to overview]Absolute Change in Adiponectin
NCT00795600 (56) [back to overview]Absolute Change in Bilirubin Total
NCT00795600 (56) [back to overview]Absolute Change in Basophils
NCT00795600 (56) [back to overview]Absolute Change in Aspartate Aminotransferase (ASAT)
NCT00795600 (56) [back to overview]Absolute Change in Alkaline Phosphatase
NCT00795600 (56) [back to overview]Absolute Change in Albumin
NCT00795600 (56) [back to overview]Absolute Change in Alanine Aminotransferase (ALAT)
NCT00795600 (56) [back to overview]Absolute Change in Haemoglobin
NCT00795600 (56) [back to overview]Absolute Change in Free Fatty Acids
NCT00795600 (56) [back to overview]Absolute Change in Fasting Plasma Glucose (FPG)
NCT00795600 (56) [back to overview]Absolute Change in Whole Body Fat Mass
NCT00795600 (56) [back to overview]Absolute Change in Eosinophils
NCT00795600 (56) [back to overview]Absolute Change in Creatinine
NCT00795600 (56) [back to overview]Absolute Change in Creatine Phosphokinase
NCT00795600 (56) [back to overview]Absolute Change in Calculated Whole Body Fat Percentage
NCT00795600 (56) [back to overview]Absolute Change in Calculated Visceral/Subcutaneous Adipose Tissue Ratio
NCT00795600 (56) [back to overview]Absolute Change in Waist Circumference
NCT00795600 (56) [back to overview]Percentual Change in Calculated Whole Body Fat Percentage
NCT00795600 (56) [back to overview]Percentual Change in Calculated Trunk Fat Percentage
NCT00795600 (56) [back to overview]Percentage Change in Whole Body Lean Mass
NCT00795600 (56) [back to overview]Percentage Change in Whole Body Fat Mass
NCT00795600 (56) [back to overview]Percentage Change in Visceral Adipose Tissue Area
NCT00795600 (56) [back to overview]Percentage Change in Trunk Lean Mass
NCT00795600 (56) [back to overview]Percentage Change in Trunk Fat Mass (Defined as Peripheral Fat Ratio)
NCT00795600 (56) [back to overview]Percentage Change in Subcutaneous Adipose Tissue Area
NCT00795600 (56) [back to overview]Percentage Change in Liver/Spleen Attenuation Ratio
NCT00795600 (56) [back to overview]Percentage Change in Calculated Visceral/Subcutaneous Adipose Tissue Ratio
NCT00795600 (56) [back to overview]Number of Non-serious Adverse Events
NCT00795600 (56) [back to overview]Number of Hypoglycaemic Episodes
NCT00795600 (56) [back to overview]Absolute Change in Whole Body Lean Mass
NCT00795600 (56) [back to overview]Absolute Change in Erythrocytes
NCT00795600 (56) [back to overview]Absolute Change in Visceral Adipose Tissue Area
NCT00795600 (56) [back to overview]Absolute Change in Very Low Density Lipoprotein (VLDL) Cholesterol
NCT00795600 (56) [back to overview]Absolute Change in Urea
NCT00795600 (56) [back to overview]Absolute Change in Trunk Lean Mass
NCT00795600 (56) [back to overview]Absolute Change in Trunk Fat Mass
NCT00795600 (56) [back to overview]Absolute Change in Triglycerides
NCT00795600 (56) [back to overview]Absolute Change in Total Cholesterol
NCT00795600 (56) [back to overview]Absolute Change in Thrombocytes
NCT00795600 (56) [back to overview]Absolute Change in Subcutaneous Adipose Tissue Area
NCT00795600 (56) [back to overview]Absolute Change in Sodium
NCT00795600 (56) [back to overview]Absolute Change in PAI-1 (Plasminogen Activator Inhibitor-1)
NCT00795600 (56) [back to overview]Absolute Change in Neutrophils
NCT00795600 (56) [back to overview]Absolute Change in Monocytes
NCT00795600 (56) [back to overview]Absolute Change in Lymphocytes
NCT00795600 (56) [back to overview]Absolute Change in Low Density Lipoprotein (LDL) Cholesterol
NCT00795600 (56) [back to overview]Absolute Change in Liver/Spleen Attenuation Ratio
NCT00795600 (56) [back to overview]Absolute Change in Leucocytes
NCT00795600 (56) [back to overview]Absolute Change in Potassium
NCT00795600 (56) [back to overview]Absolute Change in hsCRP (Highly Sensitive C Reactive Protein)
NCT00795600 (56) [back to overview]Absolute Change in Hip Circumference
NCT00795600 (56) [back to overview]Absolute Change in High Density Lipoprotein (HDL) Cholesterol
NCT00795600 (56) [back to overview]Absolute Change in HbA1c (Glycosylated Haemoglobin)
NCT00795600 (56) [back to overview]Absolute Change in Calculated Trunk Fat Percentage
NCT00795600 (56) [back to overview]Absolute Change in Body Weight
NCT00835861 (9) [back to overview]Number of Babies With Adverse Neonatal Outcomes
NCT00835861 (9) [back to overview]Maternal Weight Gain
NCT00835861 (9) [back to overview]Number of Babies With Neonatal Hypoglycemia
NCT00835861 (9) [back to overview]Number of Episodes Maternal Hypoglycemia
NCT00835861 (9) [back to overview]Number of Patients With Obstetric Complications
NCT00835861 (9) [back to overview]Blood Glucose Measurements
NCT00835861 (9) [back to overview]Glycosylated Hemoglobin (HbA1c) by Pregnancy Trimester
NCT00835861 (9) [back to overview]Percent of Glucose Values at or Below Fasting Goal (<95 mg/dL)
NCT00835861 (9) [back to overview]Percent of Glucose Values at or Below Postprandial Goal (<130 mg/dL)
NCT01068860 (16) [back to overview]Mean Change in Fasting Plasma Glucose, From Baseline to 4 Weeks
NCT01068860 (16) [back to overview]Mean Change in Fasting Plasma Insulin, From Baseline to 4 Weeks
NCT01068860 (16) [back to overview]Mean Change in Fructosamine, From Baseline to 4 Weeks
NCT01068860 (16) [back to overview]Mean Change in Insulin Area Under the Curve (AUC) 0-4 Hours, From Baseline to 4 Weeks
NCT01068860 (16) [back to overview]Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 0-2 Hours, From Baseline to 4 Weeks.
NCT01068860 (16) [back to overview]Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 0-4 Hours, From Baseline to 4 Weeks.
NCT01068860 (16) [back to overview]Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 2-4 Hours, From Baseline to 4 Weeks
NCT01068860 (16) [back to overview]Mean Change in Peak Plasma C-peptide Level, From Baseline to 4 Weeks
NCT01068860 (16) [back to overview]Mean Change in Peak Plasma Glucose, From Baseline to 4 Weeks
NCT01068860 (16) [back to overview]Mean Change in Peak Plasma Insulin, From Baseline to 4 Weeks
NCT01068860 (16) [back to overview]Mean Change in Post-prandial Glucose Area Under the Curve (AUC)0-4 Hours, From Baseline to 4 Weeks
NCT01068860 (16) [back to overview]Mean Change in Fasting Glucose Disposition Index(GDI)1 and Index 2, From Baseline to 4 Weeks
NCT01068860 (16) [back to overview]Number of Participants Reporting Death, Serious Adverse Events (SAEs) and Adverse Events (AEs) Above 5% Frequency, From Baseline to 4 Weeks
NCT01068860 (16) [back to overview]Mean Change in Absolute Glucose Level at 2 Hours, From Baseline to 4 Weeks
NCT01068860 (16) [back to overview]Mean Change in Quantitative Insulin Sensitivity Check Index (QUICKI) Score, From Baseline to 4 Weeks
NCT01068860 (16) [back to overview]Mean Change in C-peptide Area Under the Curve (AUC), 0-4 Hours, From Baseline to 4 Weeks
NCT01175811 (10) [back to overview]The 7-point Self-monitored Blood Glucose (SMBG) Profiles at Baseline, 12 Weeks and 24 Weeks.
NCT01175811 (10) [back to overview]The Percentage of Participants Who Achieved Haemoglobin A1c (HbA1c) Less Than or Equal to 6.5% and Less Than or Equal to 7% at 12 Weeks and 24 Weeks
NCT01175811 (10) [back to overview]Percentage of Participants With Hypoglycemic Episodes (Incidence)
NCT01175811 (10) [back to overview]Change in Haemoglobin A1c (HbA1c) From Baseline to 24 Week Endpoint
NCT01175811 (10) [back to overview]Change in HbA1c From Baseline to 12 Week Endpoint
NCT01175811 (10) [back to overview]Percentage of Participants Experiencing a Severe Hypoglycemic Episode
NCT01175811 (10) [back to overview]The Rate of Hypoglycemic Episodes
NCT01175811 (10) [back to overview]Change in Body Mass Index (BMI) From Baseline to 12 and 24 Weeks
NCT01175811 (10) [back to overview]Daily Dose of Insulin Per Kilogram of Body Weight: Total, Basal and Prandial
NCT01175811 (10) [back to overview]Daily Dose of Insulin: Total, Basal, and Prandial
NCT01184014 (1) [back to overview]Mean Blood Glucose of All Readings
NCT01215435 (3) [back to overview]Change in FPG (Fasting Plasma Glucose) From Baseline to Week 36
NCT01215435 (3) [back to overview]Number of Treatment Emergent Hypoglycaemic Episodes
NCT01215435 (3) [back to overview]Change in Glycosylated Haemoglobin (HbA1c) From Baseline to Week 11
NCT01278160 (5) [back to overview]Percentage of Subjects Achieving HbA1c Below 7.0%
NCT01278160 (5) [back to overview]Number of Treatment Emergent Hypoglycaemic Episodes
NCT01278160 (5) [back to overview]9-point SMPG (Self Measured Plasma Glucose) Profile
NCT01278160 (5) [back to overview]Percentage of Subjects Achieving HbA1c Below or Equal to 6.5%
NCT01278160 (5) [back to overview]Change in Glycosylated Haemoglobin A1c (HbA1c) From Baseline
NCT01486966 (10) [back to overview]Change From Baseline in Mean Value of Pre-lunch, Pre-dinner and Bedtime PG After Two Weeks of Treatment
NCT01486966 (10) [back to overview]Change From Baseline in Fructosamine After Two Weeks of Treatment
NCT01486966 (10) [back to overview]Change From Baseline in Mean 2-hour Post Prandial Plasma Glucose (2hPPG) of 3 Meals After Two Weeks of Treatment
NCT01486966 (10) [back to overview]Change From Baseline in Mean 8-point Plasma Glucose (PG) After Two Weeks of Treatment
NCT01486966 (10) [back to overview]Percentage of Subjects Achieving Both FPG and 2hPPG Targets After Two Weeks of Treatment
NCT01486966 (10) [back to overview]Incidence of Hypoglycaemic Episodes
NCT01486966 (10) [back to overview]Percentage of Subjects Achieving Mean 2hPPG of 3 Meals < 8.0 mmol / L After Two Weeks of Treatment
NCT01486966 (10) [back to overview]Percentage of Subjects Achieving FPG Target Without Nocturnal Hypoglycaemia After Two Weeks of Treatment
NCT01486966 (10) [back to overview]Percentage of Subjects Achieving FPG < 6.0 mmol / L After Two Weeks of Treatment
NCT01486966 (10) [back to overview]Change From Baseline in Fasting Plasma Glucose (FPG) After Two Weeks of Treatment
NCT01519674 (11) [back to overview]Change From Baseline in HbA1c (Glycosylated Haemoglobin)
NCT01519674 (11) [back to overview]Prandial Plasma Glucose (PPG) Increments at Breakfast
NCT01519674 (11) [back to overview]Prandial Plasma Glucose (PPG) Increments at Dinner.
NCT01519674 (11) [back to overview]Prandial Plasma Glucose (PPG) Increments at Lunch.
NCT01519674 (11) [back to overview]Prandial Plasma Glucose (PPG) Overall Mean Increment.
NCT01519674 (11) [back to overview]Responder for HbA1c, Proportion of Subjects Achieving Pre-defined HbA1c Targets (HbA1c < 7.0%)
NCT01519674 (11) [back to overview]Responder for HbA1c, Proportion of Subjects Achieving Pre-defined HbA1c Targets (HbA1c ≤ 6.5%)
NCT01519674 (11) [back to overview]Adverse Events (AEs)
NCT01519674 (11) [back to overview]Number of Treatment Emergent Hypoglycaemic Episodes (Nocturnal and Day-time) Classified Both According to the American Diabetes Association (ADA) Definition and to an Additional Definition for Minor Episodes.
NCT01519674 (11) [back to overview]Change From Baseline in Patient Reported Outcome by Use of the Treatment Related Impact Measure - Diabetes.
NCT01519674 (11) [back to overview]Change From Baseline in Fasting Plasma Glucose (FPG)
NCT01589653 (5) [back to overview]Change in HbA1c From Baseline
NCT01589653 (5) [back to overview]Change in Patient Reported Outcomes: Treatment-Related Impact Measures for Diabetes (TRIM-D)-Treatment Burden
NCT01589653 (5) [back to overview]Change in Patient Reported Outcomes: Treatment-Related Impact Measures for Diabetes (TRIM-D)
NCT01589653 (5) [back to overview]Change in Fasting Plasma Glucose (FPG) (Laboratory Values) From Baseline
NCT01589653 (5) [back to overview]Number of Hypoglycaemic Episodes During the Trial From Baseline
NCT01790438 (23) [back to overview]Percentage of Participants With Severe Hypoglycemic Events
NCT01790438 (23) [back to overview]Rate of Severe Hypoglycemic Events
NCT01790438 (23) [back to overview]Time to Steady-State (Stable Maximum Dose)
NCT01790438 (23) [back to overview]30-Day Adjusted Rate of Total and Nocturnal Hypoglycemic Events
NCT01790438 (23) [back to overview]6-Point Self-Monitored Blood Glucose (SMBG)
NCT01790438 (23) [back to overview]Change From Baseline to 26 Weeks in Lipid Profile
NCT01790438 (23) [back to overview]Percentage of Participants With HbA1c ≤6.5% and <7.0%
NCT01790438 (23) [back to overview]Percentage of Participants With Total and Nocturnal Hypoglycemic Events
NCT01790438 (23) [back to overview]Change From Baseline to 26 Weeks in European Quality of Life (EQ-5D-3L) - Visual Analog Scales (VAS) Scores
NCT01790438 (23) [back to overview]Change From Baseline to 26 Weeks in Adult Low Blood Sugar Survey (LBSS) Scores
NCT01790438 (23) [back to overview]Change From Baseline to 26 Weeks in Body Weight
NCT01790438 (23) [back to overview]Change From Baseline to 26 Weeks in European Quality of Life - 5 Dimension 3 Levels (EQ-5D-3L) Index
NCT01790438 (23) [back to overview]Percentage of Participants With Insulin Antibodies
NCT01790438 (23) [back to overview]Change From Baseline to 26 Weeks in Hemoglobin A1c (HbA1c)
NCT01790438 (23) [back to overview]Fasting Blood Glucose (FBG) (by Self Monitoring)
NCT01790438 (23) [back to overview]Fasting Serum Glucose (FSG) (by Laboratory)
NCT01790438 (23) [back to overview]HbA1c
NCT01790438 (23) [back to overview]Insulin Dose Per Kilogram (kg) of Body Weight
NCT01790438 (23) [back to overview]Insulin Treatment Satisfaction Questionnaire (ITSQ) Score
NCT01790438 (23) [back to overview]Intra-Participant Variability in FBG by Standard Deviation
NCT01790438 (23) [back to overview]Intra-Participant Variability in FBG by the Coefficient of Variation
NCT01790438 (23) [back to overview]Percentage of Participants With HbA1c <7.0% and Without Nocturnal Hypoglycemia
NCT01790438 (23) [back to overview]Percentage of Participants With Injection Site Reactions
NCT01810952 (5) [back to overview]Glucose Values <70 mg/dL.
NCT01810952 (5) [back to overview]Percent of Glucose Determinations >180 mg/dL
NCT01810952 (5) [back to overview]Daily Insulin Dose/Kg Body Weight
NCT01810952 (5) [back to overview]Average Daily Glucose Levels on Days 1-5 After the Initiation of the Treatment Protocol.
NCT01810952 (5) [back to overview]Percent of Participants With Average Glucose >70 and <180 mg/dL
NCT02131272 (7) [back to overview]Total Number of Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes
NCT02131272 (7) [back to overview]Total Number of Treatment Emergent Nocturnal (23:00-06:59) Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic Episodes
NCT02131272 (7) [back to overview]Proportion of Subjects Achieving HbA1c Below 7.5%, Who Have Not Experienced Any Treatment Emergent Severe Hypoglycaemic Episodes Within the Last 14 Weeks of Treatment
NCT02131272 (7) [back to overview]Proportion of Subjects Achieving HbA1c Below 7.0%, Who Have Not Experienced Any Treatment Emergent Severe Hypoglycaemic Episodes Within the Last 14 Weeks of Treatment.
NCT02131272 (7) [back to overview]Incidence of Adverse Events (AEs)
NCT02131272 (7) [back to overview]Change in HbA1c (Glycosylated Haemoglobin)
NCT02131272 (7) [back to overview]Change in Body Weight Standard Deviation Score (SDS)
NCT02451917 (7) [back to overview]Total Daily Insulin Dose
NCT02451917 (7) [back to overview]Body Mass Index (BMI)
NCT02451917 (7) [back to overview]Difference in A1c Levels
NCT02451917 (7) [back to overview]Estimated Glomerular Filtration Rate (eGFR) Calculated by CKD-EPI
NCT02451917 (7) [back to overview]Glycemic Variability
NCT02451917 (7) [back to overview]Number of Hypoglycemic Events
NCT02451917 (7) [back to overview]Serum Creatinine
NCT02580877 (2) [back to overview]Change in mIAA Autoantibody Titer From Baseline
NCT02580877 (2) [back to overview]Change in GAD65 Autoantibody Titer (DK Units/mL)
NCT02588950 (9) [back to overview]Part B: Pharmacodynamics: Maximum Glucose Infusion Rate (Rmax) of U-500R
NCT02588950 (9) [back to overview]Part A: Pharmacokinetics: Area Under The Concentration Versus Time Curve From Time Zero to Last Time Point With A Measurable Concentration (AUC[0-tlast]) of U-500R
NCT02588950 (9) [back to overview]Part A: Pharmacokinetics (PK): Time to Maximum Drug Concentration (Tmax) of U-500R
NCT02588950 (9) [back to overview]Part A: Pharmacodynamics (PD): Time to Rmax (tRmax) of U-500R
NCT02588950 (9) [back to overview]Part B: Pharmacodynamics: Total Amount of Glucose Infused (Gtot) of U-500R
NCT02588950 (9) [back to overview]Part B: Pharmacokinetics: Area Under the Concentration Versus Time Curve From Zero to 24 Hours Postdose (AUC[0-24]) of U-500R
NCT02588950 (9) [back to overview]Part B: Pharmacodynamics: Time to Rmax (tRmax) of U-500R
NCT02588950 (9) [back to overview]Part B: Pharmacokinetics: Time to Maximum Concentration (Tmax) of U-500R
NCT02588950 (9) [back to overview]Part B: Pharmacokinetics: Maximum Observed Drug Concentration (Cmax) of U-500R
NCT03350984 (3) [back to overview]the Number of Participants With Mild and Severe Hypoglycemic Events
NCT03350984 (3) [back to overview]Number of Participants With Sustained Glycemic Control During Hospital Stay
NCT03350984 (3) [back to overview]Differences in the Mean Daily Blood Glucose Between a Basal-bolus Scheme and NPH Schemes of Insulin.
NCT03511521 (3) [back to overview]Percentage of Glucose Values Within Therapeutic Range
NCT03511521 (3) [back to overview]Percentage of Glucose Values Within the Hypoglycemic Range
NCT03511521 (3) [back to overview]Glycemic Control

Number of Participants With Self-Reported Hypoglycemia During Month 18

Hypoglycemia was defined as any time a patient feels, or another person observes, that the patient is experiencing a sign/symptom which he/she would associate with hypoglycemia (for example, tremors, headache, sweating, disorientation, weakness, etc) or a blood glucose measurement less than 3.5 mmol/L (63 mg/dL). (NCT00191282)
Timeframe: Visit 8 (Month 18)

Interventionparticipants (Number)
Postprandial143
Fasting129

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Number of Participants Who Experienced Primary Outcomes Adjusted for Metabolic Control and Major Cardiovascular (CV) Risk Factors

Primary outcomes adjusted for major cardiovascular (CV) risk factors (blood pressure, cholesterol [total, high density lipoprotein (HDL), and low density lipoprotein (LDL)], triglycerides, smoking, albuminuria, age, gender, and body mass index (BMI). (NCT00191282)
Timeframe: Randomization (Day 0) until occurrence of primary outcome (18 month initial treatment period, extended treatment follow-up period up to 5.5 years)

Interventionparticipants (Number)
Postprandial174
Fasting181

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Number of Episodes of Self-Reported Hypoglycemia Reported by Participants With Self-Reported Hypoglycemia During Month 18

Hypoglycemia was defined as any time a patient feels, or another person observes, that the patient is experiencing a sign/symptom which he/she would associate with hypoglycemia (for example, tremors, headache, sweating, disorientation, weakness, etc) or a blood glucose measurement less than 3.5 mmol/L (63 mg/dL). (NCT00191282)
Timeframe: Visit 8 (Month 18)

Interventionepisodes of hypoglycemia (Number)
Postprandial945
Fasting669

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Number of Episodes of Self-Reported Hypoglycemia Reported by Participants With Self-Reported Hypoglycemia During Month 3

Hypoglycemia was defined as any time a patient feels, or another person observes, that the patient is experiencing a sign/symptom which he/she would associate with hypoglycemia (for example, tremors, headache, sweating, disorientation, weakness, etc) or a blood glucose measurement less than 3.5 mmol/L (63 mg/dL). (NCT00191282)
Timeframe: Visit 4 (Month 3)

Interventionepisodes of hypoglycemia (Number)
Postprandial567
Fasting524

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Number of Participants Who Experienced a Primary Combined Outcome

The combined study outcomes consisted of cardiovascular (CV) death, nonfatal myocardial infarction (MI), nonfatal stroke, hospitalization for acute coronary syndromes (HACS), and coronary revascularization procedures planned after randomization. (NCT00191282)
Timeframe: Randomization (Day 0) until first occurrence of primary combined outcome (18 month initial treatment period, extended treatment follow-up period up to 5.5 years)

Interventionparticipants (Number)
Postprandial174
Fasting181

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Summary of Reasons for Deaths

(NCT00191282)
Timeframe: Randomization (Day 0) to death (18 month initial treatment period, extended treatment follow-up period up to 5.5 years)

,
Interventionparticipants (Number)
Fatal MIFatal StrokeCV Death other than Stroke/MINon-CV DeathUnknown
Fasting1222881
Postprandial1232970

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Number of Episodes of Self-Reported Hypoglycemia Reported by Participants With Self-Reported Hypoglycemia During Month 9

Hypoglycemia was defined as any time a patient feels, or another person observes, that the patient is experiencing a sign/symptom which he/she would associate with hypoglycemia (for example, tremors, headache, sweating, disorientation, weakness, etc) or a blood glucose measurement less than 3.5 mmol/L (63 mg/dL). (NCT00191282)
Timeframe: Visit 6 (Month 9)

,
Interventionepisodes of hypoglycemia (Number)
Number of Episodes
Fasting569
Postprandial747

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Number of Participants With Self-Reported Hypoglycemia During Month 9

Hypoglycemia was defined as any time a patient feels, or another person observes, that the patient is experiencing a sign/symptom which he/she would associate with hypoglycemia (for example, tremors, headache, sweating, disorientation, weakness, etc) or a blood glucose measurement less than 3.5 mmol/L (63 mg/dL). (NCT00191282)
Timeframe: Visit 6 (Month 9)

Interventionparticipants (Number)
Postprandial155
Fasting138

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Number of Participants With Self-Reported Hypoglycemia During Month 6

Hypoglycemia was defined as any time a patient feels, or another person observes, that the patient is experiencing a sign/symptom which he/she would associate with hypoglycemia (for example, tremors, headache, sweating, disorientation, weakness, etc) or a blood glucose measurement less than 3.5 mmol/L (63 mg/dL). (NCT00191282)
Timeframe: Visit 5 (Month 6)

Interventionparticipants (Number)
Postprandial163
Fasting145

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Number of Participants With Self-Reported Hypoglycemia During Month 3

Hypoglycemia was defined as any time a patient feels, or another person observes, that the patient is experiencing a sign/symptom which he/she would associate with hypoglycemia (for example, tremors, headache, sweating, disorientation, weakness, etc) or a blood glucose measurement less than 3.5 mmol/L (63 mg/dL). (NCT00191282)
Timeframe: Visit 4 (Month 3)

Interventionparticipants (Number)
Postprandial160
Fasting139

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Number of Participants Who Experienced Amputation for Peripheral Vascular Disease Planned After Randomization

(NCT00191282)
Timeframe: Randomization (Day 0) until amputation (18 month initial treatment period, extended treatment follow-up period up to 5.5 years)

Interventionparticipants (Number)
Postprandial9
Fasting8

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Number of Participants With Self-Reported Hypoglycemia During Month 12

Hypoglycemia was defined as any time a patient feels, or another person observes, that the patient is experiencing a sign/symptom which he/she would associate with hypoglycemia (for example, tremors, headache, sweating, disorientation, weakness, etc) or a blood glucose measurement less than 3.5 mmol/L (63 mg/dL). (NCT00191282)
Timeframe: Visit 7 (Month 12)

Interventionparticipants (Number)
Postprandial146
Fasting130

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Number of Participants Who Experienced Revascularization Procedure for Peripheral Vascular Disease Planned After Randomization

(NCT00191282)
Timeframe: Randomization (Day 0) until revascularization procedure (18 month initial treatment period, extended treatment follow-up period up to 5.5 years)

Interventionparticipants (Number)
Postprandial11
Fasting12

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Number of Participants Who Experienced Stroke

Occurrence of stroke (fatal, nonfatal, any). (NCT00191282)
Timeframe: Randomization (Day 0) until stroke (18 month initial treatment period, extended treatment follow-up period up to 5.5 years)

Interventionparticipants (Number)
Postprandial20
Fasting17

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Number of Episodes of Self-Reported Hypoglycemia Reported by Participants With Self-Reported Hypoglycemia During Month 6

Hypoglycemia was defined as any time a patient feels, or another person observes, that the patient is experiencing a sign/symptom which he/she would associate with hypoglycemia (for example, tremors, headache, sweating, disorientation, weakness, etc) or a blood glucose measurement less than 3.5 mmol/L (63 mg/dL). (NCT00191282)
Timeframe: Visit 5 (Month 6)

Interventionepisodes of hypoglycemia (Number)
Postprandial770
Fasting576

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Number of Participants With Self-Reported Hypoglycemia During Month 1

Hypoglycemia was defined as any time a patient feels, or another person observes, that the patient is experiencing a sign/symptom which he/she would associate with hypoglycemia (for example, tremors, headache, sweating, disorientation, weakness, etc) or a blood glucose measurement less than 3.5 mmol/L (63 mg/dL). (NCT00191282)
Timeframe: Visit 3 (Month 1)

Interventionparticipants (Number)
Postprandial124
Fasting119

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Number of Participants Who Experienced Any One of the Primary Outcomes Adjusted for Indicators of Metabolic Control

Indicators of metabolic control included glycosylated hemoglobin (HbA1c) and fasting blood glucose concentrations. (NCT00191282)
Timeframe: Randomization (Day 0) until occurrence of primary outcome (18 month initial treatment period, extended treatment follow-up period up to 5.5 years)

Interventionparticipants (Number)
Postprandial174
Fasting181

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Number of Participants Who Experienced Cardiovascular (CV) Death

(NCT00191282)
Timeframe: Randomization (Day 0) until cardiovascular death (18 month initial treatment period, extended treatment follow-up period up to 5.5 years)

Interventionparticipants (Number)
Postprandial44
Fasting42

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Number of Participants Who Experienced Congestive Heart Failure

Occurrence of congestive heart failure (newly diagnosed after Visit 2). (NCT00191282)
Timeframe: Randomization (Day 0) until congestive heart failure (18 month initial treatment period, extended treatment follow-up period up to 5.5 years)

Interventionparticipants (Number)
Postprandial33
Fasting37

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Number of Participants Who Experienced Coronary Angiography Planned After Randomization

(NCT00191282)
Timeframe: Randomization (Day 0) until coronary angiography (18 month initial treatment period, extended treatment follow-up period up to 5.5 years)

Interventionparticipants (Number)
Postprandial75
Fasting86

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Number of Participants Who Experienced Coronary Revascularization Procedures

Occurrence of all coronary revascularization procedures (angioplasty or coronary artery by-pass surgery) planned after randomization. (NCT00191282)
Timeframe: Randomization (Day 0) until coronary revascularization procedures (18 month initial treatment period, extended treatment follow-up period up to 5.5 years)

Interventionparticipants (Number)
Postprandial84
Fasting94

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Number of Participants Who Experienced Death From Any Cause

(NCT00191282)
Timeframe: Randomization (Day 0) until death from any cause (18 month initial treatment period, extended treatment follow-up period up to 5.5 years)

Interventionparticipants (Number)
Postprandial51
Fasting51

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Number of Participants Who Experienced Death From Any Cause or Any One of the Primary Outcomes

Primary outcomes in this study consisted of: cardiovascular death, nonfatal myocardial infarction, nonfatal stroke, hospitalization for acute coronary syndromes (HACS), and coronary revascularization procedure planned after randomization. (NCT00191282)
Timeframe: Randomization (Day 0) until death from any cause or one of the primary outcomes (18 month initial treatment period, extended treatment follow-up period up to 5.5 years)

Interventionparticipants (Number)
Postprandial178
Fasting189

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Number of Participants Who Experienced Hospitalization for Acute Coronary Syndromes (HACS)

(NCT00191282)
Timeframe: Randomization (Day 0) until HACS (18 month initial treatment period, extended treatment follow-up period up to 5.5 years)

Interventionparticipants (Number)
Postprandial58
Fasting54

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Number of Participants Who Experienced Myocardial Infarction (MI)

Occurrence of myocardial infarction (MI) (fatal, nonfatal, any). (NCT00191282)
Timeframe: Randomization (Day 0) until myocardial infarction (18 month initial treatment period, extended treatment follow-up period up to 5.5 years)

Interventionparticipants (Number)
Postprandial63
Fasting63

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Number of Episodes of Self-Reported Hypoglycemia Reported by Participants With Self-Reported Hypoglycemia During Month 12

Hypoglycemia was defined as any time a patient feels, or another person observes, that the patient is experiencing a sign/symptom which he/she would associate with hypoglycemia (for example, tremors, headache, sweating, disorientation, weakness, etc) or a blood glucose measurement less than 3.5 mmol/L (63 mg/dL). (NCT00191282)
Timeframe: Visit 7 (Month 12)

Interventionepisodes of hypoglycemia (Number)
Postprandial710
Fasting486

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Number of Episodes of Self-Reported Hypoglycemia Reported by Participants With Self-Reported Hypoglycemia During Month 1

Hypoglycemia was defined as any time a patient feels, or another person observes, that the patient is experiencing a sign/symptom which he/she would associate with hypoglycemia (for example, tremors, headache, sweating, disorientation, weakness, etc) or a blood glucose measurement less than 3.5 mmol/L (63 mg/dL). (NCT00191282)
Timeframe: Visit 3 (Month 1)

Interventionepisodes of hypoglycemia (Number)
Postprandial353
Fasting302

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MAINTENANCE: Change From Baseline in 1,5-Anhydroglucitol

(NCT00279201)
Timeframe: Baseline (Maintenance: Week 24), Endpoint (LOCF) (up to 2.5 years)

,
Interventionug/dL (Mean)
BaselineEndpointChange
Insulin Glargine5.6610.484.82
Lispro Low Mix5.8711.715.84

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MAINTENANCE: Body Weight

(NCT00279201)
Timeframe: Baseline (Week 0), Weeks 24, 36, 48, 60, 72, 84, 96, 108, 120, Endpoint (LOCF) (Maintenance) (up to 2.5 years)

,
Interventionkilograms (Mean)
Baseline (n=419,473)Week 24 (n=417, 470)Week 36 (n=411, 465)Week 48 (n=399,460)Week 60 (n=362,414)Week 72 (n=315,372)Week 84 (n=281,327)Week 96 (n=248, 297)Week 108 (n=228,268)Week 120 (n=204,253)Endpoint (n=414,470)
Insulin Glargine90.5692.6493.1393.2393.1793.6293.4693.3393.3993.9994.14
Lispro Low Mix88.6292.3593.2493.5794.5795.5095.6395.3495.0794.8294.01

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MAINTENANCE: 7-point SMPG Profiles and Postprandial Excursions

Abbreviations: AM = morning; BG = blood glucose; PM = evening; PP = postprandial. A postprandial excursion is defined as: 2 hour postmeal plasma glucose-premeal plasma glucose. (NCT00279201)
Timeframe: Baseline (Maintenance: Week 24), Endpoint (LOCF) (up to 2.5 years)

,
Interventionmg/dL (Mean)
Baseline mean fasting blood glucose (n=403,456)Endpoint mean fasting blood glucose (n=372,426)Baseline AM 2-hour (hr) postprandial (n=398,455)Endpoint AM 2-hour postprandial (n=368,426)Baseline midday premeal blood glucose (n=400,454)Endpoint midday premeal blood glucose (n=370,425)Baseline midday 2hr postprandial (n=397,456)Endpoint midday 2hr postprandial (n=370,424)Baseline PM pre-meal blood glucose (n=402,455)Endpoint PM pre-meal blood glucose (n=371,425)Baseline PM 2hr postprandial (n=399,455)Endpoint PM 2hr postprandial (n=369,425)Baseline 3AM blood glucose (n=393,450)Endpoint 3AM blood glucose (n=363,419)Baseline AM 2hr excursion (n=397,455)Endpoint AM 2hr excursion (n=368,426)Baseline midday 2hr excursion (n=395,452)Endpoint midday 2hr excursion (n=370,423)Baseline PM 2hr excursion (n=398,453)Endpoint PM 2hr excursion (n=369,424)Baseline mean all meal time excursions (n=402,455)Endpoint mean all meal time excursions (n=370,426)Baseline mean of all 2hr postprandial (n=402,457)Endpoint mean of all 2hr postprandial (n=370,426)Baseline mean all premeal (n=404,456)Endpoint mean all premeal (n=372,426)Baseline combined AM/PM 2hr postprandial (402,457)Endpoint combined AM/PM 2hr postprandial (370,426)Baseline AM/PM 2hr postprandial excursion (402,455Endpoint AM/PM 2hr postprandial excursion (370,426Baseline mean all blood glucose values (n=405,457)Endpoint mean all blood glucose values (n=372,426)
Insulin Glargine190.90119.50243.62164.94193.21132.25217.67159.81190.06131.58223.83167.66189.36126.0552.6345.6925.1327.7833.8736.2437.3636.32228.52164.17191.46127.61233.82166.3443.4640.76207.01142.94
Lispro Low Mix187.12127.92243.55161.37192.02126.42218.54158.58187.92133.15223.02156.48183.18123.4356.9633.6127.0232.0334.7823.4539.6529.81228.39158.91188.95129.16233.25158.9745.8028.69205.17141.01

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INITIATION: Rate of Self-reported Hypoglycemic Episodes

Hypoglycemia = participant feels/person observes, that participant is experiencing a sign/symptom they associate with hypoglycemia (such as hunger, dizziness, shakiness, light-headedness, sweating, irritability, headache, fast heart beat, confusion, etc) or glucose measurement ≤70 mg/dL (≤3.9 mmol/L). Severe hypoglycemia = participant requires assistance. Qualified medical staff instructed the participants about the signs and symptoms of hypoglycemia. (NCT00279201)
Timeframe: Endpoint (Initiation: Week 24), Overall (incidence of hypoglycemic episodes after baseline [Week 0])

,
InterventionEpisodes/participant/year (Mean)
Nocturnal episodes EndpointNocturnal episodes OverallSevere episodes EndpointSevere episodes OverallHypoglycemia episodes EndpointHypoglycemia episodes Overall
Insulin Glargine11.429.800.020.0320.2818.14
Lispro Low Mix8.869.220.090.1024.9625.49

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INITIATION: Percentage of Participants With Self-reported Hypoglycemic Episodes

Hypoglycemia = any time participant feels/person observes that the participant is experiencing a sign/symptom they associate with hypoglycemia (such as hunger, dizziness, shakiness, light-headedness, sweating, irritability, headache, fast heart beat, confusion, etc) or a glucose measurement ≤70 mg/dL (≤3.9 mmol/L). Severe hypoglycemia = participant requires assistance. Qualified medical staff instructed the participants about the signs and symptoms of hypoglycemia. (NCT00279201)
Timeframe: Baseline (Initiation), Endpoint (Week 24), Overall (sum of frequencies of hypoglycemic episodes after baseline ([Week 0]).

,
Interventionpercentage of participants (Number)
Hypoglycemic episodes endpointOverall hypoglycemic episodesNocturnal hypoglycemic episodes endpointNocturnal hypoglycemic episodes overallSevere hypoglycemic episodes endpointSevere hypoglycemic episodes overall
Insulin Glargine51.876.734.358.40.21.2
Lispro Low Mix57.180.533.959.60.62.1

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INITIATION: Percentage of Participants With HbA1c < or = 7.0%, HbA1c <7.0%, and HbA1c < or = 6.5% at Endpoint

(NCT00279201)
Timeframe: Endpoint (Initiation: Week 24)

,
Interventionpercentage of participants (Number)
<=7.0%<7.0%<=6.5%
Insulin Glargine45.840.322.2
Lispro Low Mix52.547.524.6

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INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal at Week 24 - Pre Meals Blood Glucose, Post Meals Blood Glucose, Average of All Blood Glucose, and Fasting Blood Glucose

Comparison of pre meals blood glucose, post meals blood glucose, average of all blood glucose, and fasting blood glucose between those participants who met their goal at Week 24 versus those who did not meet their goal at Week 24 (goal HbA1c ≤7.0%). (NCT00279201)
Timeframe: Endpoint (Initiation: Week 24)

,
Interventionmilligrams per deciliter (mg/dL) (Mean)
Pre Meals Blood Glucose (n=892,866)Post Meals Blood Glucose (n=891,865)Average of All Blood Glucose (n=894,866)Fasting Blood Glucose (n=891,864)
Did Not Meet Goal209.86252.90227.77201.22
Met Goal190.47228.87206.43189.04

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INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal at Week 24 - Origin

Comparison of origin at baseline between those participants who met their goal at Week 24 versus those who did not meet their goal at Week 24 (goal HbA1c ≤7.0%). (NCT00279201)
Timeframe: Endpoint (Initiation: Week 24)

,
Interventionparticipants (Number)
CaucasianAfrican DescentEast/Southeast AsianHispanicOtherWestern Asian
Did Not Meet Goal521442810236175
Met Goal6805011962070

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INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal at Week 24 - Baseline HbA1c Percentage Group

Comparison of baseline HbA1c percentage group (<8.5,>=8.5) between those participants who met their goal at Week 24 versus those who did not meet their goal at Week 24 (goal HbA1c ≤7.0%). (NCT00279201)
Timeframe: Endpoint (Initiation: Week 24)

,
Interventionparticipants (Number)
<8.5% HbA1c>=8.5% HbA1c
Did Not Meet Goal220665
Met Goal464451

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INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal - Oral Diabetes Medication at Baseline

Comparison of oral diabetes medication at baseline between those participants who met their goal at Week 24 versus those who did not meet their goal at Week 24 (goal HbA1c ≤7.0%). (NCT00279201)
Timeframe: Endpoint (Initiation: Week 24)

,
Interventionparticipants (Number)
Sulfonylurea/MetforminTZD/MetforminSulfonylurea/TZDPatients with 3 drugs (Sulfonylurea/TZD/Metformin)
Did Not Meet Goal6313551184
Met Goal5639551208

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INITIATION: Insulin Dose

(NCT00279201)
Timeframe: Weeks 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, Endpoint (LOCF)

,
Interventionunits/kg/day (Mean)
Week 1 (n=994,1001)Week 2 (n=991, 987)Week 3 (n=990,968)Week 4 (n=971,958)Week 5 (n=958,930)Week 6 (n=998,1023)Week 8 (n=949,933)Week 10 (n=925,916)Week 12 (n=970,972)Week 18 (n=943,943)Week 24 (n=915,920)Endpoint (n=1029,1036)
Insulin Glargine0.130.180.230.260.300.320.340.370.380.390.410.40
Lispro Low Mix0.240.280.320.350.380.390.420.440.450.460.480.47

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INITIATION: Incremental Change From Baseline in Body Weight

(NCT00279201)
Timeframe: Baseline (Initiation), Weeks 6, 12, 18, 24, Endpoint (LOCF)

,
Interventionkilograms (kg) (Mean)
Change from baseline at Week 6 (n=1008,995)Change from baseline at Week 12 (n=970, 960)Change from baseline at Week 18 (n=943,927)Change from baseline at Week 24 (n=925,911)Change from baseline at endpoint (n=1016,1008)
Insulin Gargine0.971.602.242.592.45
Lispro Low Mix1.662.633.443.763.60

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INITIATION: HbA1c

(NCT00279201)
Timeframe: Baseline (Initiation), Week 12, Week 24, Endpoint (LOCF)

,
Interventionpercent glycosylated hemoglobin (Mean)
Baseline (n=1030,1017)Week 12 (n=952,953)Week 24 (n=922,911)Endpoint (LOCF) (n=990,986)
Insulin Glargine9.027.427.287.33
Lispro Low Mix9.067.277.197.23

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INITIATION: Body Weight

(NCT00279201)
Timeframe: Baseline (Initiation), Weeks 6, 12, 18, 24, Endpoint (LOCF)

,
Interventionkilograms (Mean)
Actual weight at Baseline (n=1046,1044)Actual weight at Week 6 (n=1008,995)Actual weight at Week 12 (n=970,960)Actual weight at Week 18 (n=943,927)Actual weight at Week 24 (n=925,911)Actual weight Endpoint (n=1016,1008)
Insulin Glargine88.2389.2489.8090.3390.7890.74
Lispro Low Mix88.8490.6391.7992.4692.6392.67

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INITIATION: 7-point Self-monitored Plasma Glucose (SMPG) Profiles and Postprandial Excursions

Abbreviations: AM = morning; BG = blood glucose; PM = evening; PP = postprandial. A postprandial excursion is defined as: 2 hour postmeal plasma glucose-premeal plasma glucose. (NCT00279201)
Timeframe: Endpoint (LOCF) (Initiation: Week 24)

,
Interventionmilligrams per 100 Milliliters (mg/dL) (Mean)
Baseline mean fasting blood glucose (n=986,993)Mean fasting blood glucose (n=938,922)Baseline AM 2-hour postprandial BG (n=977,989)AM 2-hour postprandial blood glucose (n=932,920)Baseline midday premeal BG (n=976,988)Midday premeal blood glucose (BG) (n=934,919)Baseline midday 2-hour postprandial BG (n=974,988)Midday 2-hour postprandial BG (n=929,916)Baseline evening pre-meal BG (n=983,993)Evening pre-meal blood glucose (n=936,922)Baseline evening 2hour postprandial BG (n=983,991)Evening 2-hour postprandial BG (n=932,921)Baseline 3 AM blood glucose (n=955,975)3 AM blood glucose (n=912,899)Baseline AM 2-hour BG excursion (n=975,987)AM 2-hour blood glucose excursion (n=932,920)Baseline midday 2-hour BG excursion (n=966,981)Midday 2-hour blood glucose excursion (n=928,916)Baseline PM 2-hour BG excursion (n=979,988)PM 2-hour blood glucose excursion (n=929,921)Baseline mean all meal time excursions (n=985,991)Mean of all meal time excursions (n=935,921)Baseline mean all 2hour PP BG (n=986,993)Mean of all 2-hour postprandial BG (n=935,921)Baseline AM/PM 2-hour postprandial BG (n=986,993)AM/PM 2-hour postprandial BG (n=935,921)Baseline mean all premeal BG (n=988,994)Mean of all premeal blood glucose (n=938,922)Baseline AM/PM 2-hour BG excursion (n=985,991)AM/PM 2-hour blood glucose excursion (n=935,921)Baseline mean of all BG values (n=989,995)Mean of all blood glucose values (n=938,922)
Insulin Glargine196.16121.52251.45171.79203.87137.43232.73169.38203.33141.86239.73175.73197.99131.0855.3250.5726.6032.2136.5034.1740.8038.96241.58172.28245.67173.73201.29133.6246.0542.42218.05149.89
Lispro Low Mix192.91133.54252.46167.40203.76130.36231.53167.91200.36143.44236.33163.20194.11129.7060.0634.0128.0837.4636.3119.5141.6330.34240.08166.17244.36165.19198.97135.8048.1126.74216.12147.96

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ADDENDUM: Rate of Self-reported Hypoglycemic Episodes

Hypoglycemia = participant feels/person observes, that the participant is experiencing a sign/symptom they associate with hypoglycemia (such as hunger, dizziness, shakiness, light-headedness, sweating, irritability, headache, fast heart beat, confusion, etc) or a glucose measurement ≤70 mg/dL (≤3.9 mmol/L). Severe hypoglycemia = participant requires assistance. Qualified medical staff instructed the participants about the signs and symptoms of hypoglycemia. (NCT00279201)
Timeframe: Endpoint (Addendum 24 weeks), Overall (mean yearly rate of hypoglycemia during addendum phase

,,,
Interventionepisodes/participant/year (Mean)
Hypoglycemia episodes EndpointHypoglycemia episodes OverallNocturnal episodes EndpointNocturnal episodes OverallSevere episodes EndpointSevere episodes Overall
Basal Bolus Prior Glargine Addendum11.189.043.012.150.000.00
Basal Bolus Prior Lispro Low Mix Addendum12.1111.392.372.090.000.00
Lispro LM Prior Glargine Addendum10.1110.732.513.140.000.02
Lispro Mid Mix Prior Lispro Low Mix Addendum11.1011.542.462.470.000.02

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ADDENDUM: Percentage of Participants With Self-reported Hypoglycemic Episodes

Hypoglycemia = any time participant feels/person observes, that the participant is experiencing a sign/symptom they associate with hypoglycemia (such as hunger, dizziness, shakiness, light-headedness, sweating, irritability, headache, fast heart beat, confusion, etc) or a glucose measurement ≤70 mg/dL (≤3.9 mmol/L). Severe hypoglycemia = participant requires assistance. Qualified medical staff instructed the participants about the signs and symptoms of hypoglycemia. (NCT00279201)
Timeframe: Weeks 6 (Addendum: 30 weeks), 12 (36 weeks), 24 (48 weeks), Endpoint (LOCF)

,,,
Interventionpercentage of participants (Number)
Hypoglycemia episodes endpointOverall hypoglycemia episodesSevere episodes endpointSevere episodes overallNocturnal episodes endpointNocturnal episodes overall
Basal Bolus Prior Glargine Addendum34.947.90.00.019.327.1
Basal Bolus Prior Lispro LM Addendum40.953.70.00.025.031.1
Lispro Low Mix Prior Glargine Addendum40.956.10.01.023.736.9
Lispro Mid Mix Prior Lispro Low Mix Addendum41.556.10.01.220.531.0

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ADDENDUM: Percentage of Participants With HbA1c < or = 7.0%, HbA1c < 7.0%, and < or = 6.5%

(NCT00279201)
Timeframe: Endpoint (Addendum: 24 weeks [Week 48])

,,,
Interventionpercent of participants (Number)
<=7.0%<7.0%<=6.5%
Basal Bolus Prior Glargine Addendum18.24.04.0
Basal Bolus Prior Lispro Low Mix Addendum22.017.65.0
Lispro LM Prior Glargine Addendum16.013.93.7
Lispro Mid Mix Prior Lispro Low Mix Addendum12.58.84.4

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ADDENDUM: Insulin Dose

(NCT00279201)
Timeframe: Baseline (Addendum: Week 24), Weeks 1 (25 weeks), 2 (26 weeks), 3 (27 weeks), 4 (28 weeks), 5 (25 weeks), 6 (26 weeks), 8 (32 weeks), 10 (34 weeks), 12 (36 weeks), 24 (48 weeks), Endpoint (LOCF)

,,,
Interventionunits/kg/day (Mean)
Baseline (n=171,174,199,200)Week 1 (n=152,158,183,183)Week 2 (n=147,159,180,187)Week 3 (n=149,158,179,184)Week 4 (n=145,157,178,178)Week 5 (n=148,153,172,173)Week 6 (n=162,168,190,196)Week 8 (n=139,154,164,174)Week 10 (n=141,152,158,174)Week 12 (n=152,161,177,190)Week 24 (n=147,151,166,179)Endpoint (n=165,170,199,200)
Basal Bolus Prior Glargine Addendum0.460.490.540.570.630.650.680.710.760.770.790.77
Basal Bolus Prior Lispro LM Addendum0.550.580.630.650.690.730.730.760.780.800.820.81
Lispro Low Mix Prior Glargine Addendum0.460.490.530.580.610.650.660.690.730.740.760.76
Lispro Mid Mix Prior Lispro Low Mix Addendum0.550.570.590.640.670.700.720.750.770.790.800.79

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ADDENDUM: Incremental Change From Baseline in Body Weight

(NCT00279201)
Timeframe: Baseline (Addendum: Week 24), Weeks 6 (30 Weeks), 12 (36 Weeks), 24 (48 Weeks), Endpoint (LOCF)

,,,
Interventionkilograms (Mean)
Baseline (n=170,173,198,200)Week 6 change (n=161,162,183,193)Week 12 change (n=150,158,173,187)Week 24 change (n=144,151,163,176)Endpoint change (n=163,169,191,198)
Basal Bolus Prior Glargine Addendum89.250.320.271.030.86
Basal Bolus Prior Lispro LM Addendum91.850.380.430.770.85
Lispro Low Mix Prior Glargine Addendum90.090.640.831.511.42
Lispro Mid Mix Prior Lispro Low Mix Addendum93.630.280.540.730.55

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ADDENDUM: HbA1c at Specified Visits and Endpoint

(NCT00279201)
Timeframe: Baseline (Addendum: 24 weeks), Weeks 12, 24, Endpoint (24 weeks: Week 48)

,,,
Interventionpercent glycosylated hemoglobin (Mean)
Baseline (n=174,200,171,199)Week 12 (n=150,175,151,161)Week 24 (n=145,171,144,159)Endpoint (n=160, 187,159,176)
Basal Bolus Prior Glargine Addendum7.988.198.148.14
Basal Bolus Prior Lispro Low Mix Addendum8.008.138.198.16
Lispro LM Prior Glargine Addendum8.038.078.058.03
Lispro Mid Mix Prior Lispro Low Mix Addendum8.018.118.198.19

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ADDENDUM: Change in HbA1c From Point of Second Randomization (Addendum Baseline) to Endpoint

(NCT00279201)
Timeframe: Baseline (Addendum: Week 24), Endpoint (24 weeks [Week 48])

,,,
Interventionpercent (Mean)
Baseline (n=174,200,171,199)Endpoint (n=160,187,159,176)
Basal Bolus Prior Glargine Addendum7.980.18
Basal Bolus Prior Lispro Low Mix Addendum8.000.19
Lispro LM Prior Glargine Addendum8.030.04
Lispro Mid Mix Prior Lispro Low Mix Addendum8.010.19

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ADDENDUM: Change From Baseline in 1,5-Anhydroglucitol to Week 24

(NCT00279201)
Timeframe: Baseline (addendum: 24 weeks), Endpoint (24 weeks: Week 48)

,,,
Interventionug/mL (Mean)
Baseline (n=166,172,197,199)Endpoint (n=142,150,165,171)Change (n=142,150,165,171)
Basal Bolus Prior Glargine Addendum7.318.430.90
Basal Bolus Prior Lispro LM Addendum7.848.180.26
Lispro Low Mix Prior Glargine Addendum7.378.140.53
Lispro Mid Mix Prior Lispro Low Mix Addendum7.777.73-0.18

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ADDENDUM: Body Weight

(NCT00279201)
Timeframe: Baseline (Addendum Week 24), Weeks 6 (30 weeks), 12 (36 weeks), 24 (48 weeks), Endpoint (LOCF)

,,,
Interventionkilograms (Mean)
Baseline (n=170,173,198,200)Week 6 (n=162,163,184,193)Week 12 (n=151,158,174,187)Week 24 (n=145,151,164,176)Endpoint (n=164,170,192,198)
Basal Bolus Prior Glargine Addendum89.2589.6689.6289.8090.09
Basal Bolus Prior Lispro LM Addendum91.8591.5391.5991.9292.40
Lispro Low Mix Prior Glargine Addendum90.0989.8591.1991.2291.45
Lispro Mid Mix Prior Lispro Low Mix Addendum93.6393.7194.6094.1894.09

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ADDENDUM: 7-point SMPG Profiles

Abbreviations: AM = morning; BG = blood glucose; PM = evening; PP = postprandial. A postprandial excursion is defined as: 2 hour postmeal plasma glucose-premeal plasma glucose. (NCT00279201)
Timeframe: Endpoint (Addendum: 24 weeks [Week 48])

,,,
Interventionmg/dL (Mean)
Mean fast blood glucose (BG) (n=135,150,161,178)AM 2-hour postprandial (PP) BG (n=135,149,160,176)Midday premeal blood glucose (n=135,150,161,177)Midday 2-hour (hr) PP BG (n=135,149,160,176))PM premeal blood glucose (n=135,150,161,178)PM 2-hour postprandial BG (n=134,150,161,178)3 AM blood glucose (n=132,146,153,171)AM 2-hour BG excursion (n=135,149,160,176)Midday 2-hour BG excursion (n=135,148,160,176)PM 2-hour BG excursion (n=134,150,161,178)Mean all mealtime excursions (n=135,150,161,178)Mean all 2-hour PP BG (n=135,150,161,178)Mean all premeal blood glucose (n=135,150,161,178)Mean combined AM/PM 2hr PP BG (n=135,150,161,178)Mean AM/PM 2hr BG excursion (n=135,150,161,178)Mean all BG values (n=135,150,161,178)Baseline mean all premeals BG (n=152,161,183,187)Baseline mean of postmeal BG (n=152,161,182,187)Baseline average of all BG (n=152,161,183,187)Baseline fasting glucose (n=152,161,183,187)
Basal Bolus Prior Glargine Addendum126.22170.14144.61167.45157.15175.34147.1424.3523.3018.5821.82170.95149.04172.7321.42158.33146.64186.19163.19131.54
Basal Bolus Prior Lispro LM Addendum145.33168.71144.08165.24153.62171.51146.5023.3020.7117.8820.61168.55147.68170.0420.74156.41149.91183.82164.02147.93
Lispro Low Mix Prior Glargine Addendum139.45171.40141.87181.46153.19174.94139.8631.3339.4021.5930.38175.61144.85172.8826.45157.41146.01185.62163.20131.02
Lispro Mid Mix Prior Lispro Low Mix Addendum151.15170.36145.89164.13151.96172.98146.3018.9718.9721.1419.64169.14149.67171.6520.06157.52149.50181.18162.18143.99

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MAINTENANCE: Rate of Increase in HbA1c

Rate of increase: HbA1c change/time period (month). (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance: up to 2.5 years)

InterventionHbA1c percent increase per month (Mean)
Insulin Glargine0.06
Lispro Low Mix0.05

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MAINTENANCE: Participant Demographics of Lispro LM Participants Who Did Versus Did Not Maintain HbA1c Goal - Duration of Diabetes

Comparison of duration of diabetes at baseline between those participants taking lispro LM that maintained their HbA1c goal and those that did not. Participants who maintained goal are those who did not fail during their duration on study. Failure is defined by HbA1c > 7.0% with change >= 0.4% from most recent HbA1c that was <=7.0%. (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance) (up to 2.5 years)

Interventionyears (Mean)
Lispro LM Participants Who Maintained Goal9.42
Lispro LM Participants Who Did Not Maintain Goal9.87

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MAINTENANCE: Participant Demographics of Lispro LM Participants Who Did Versus Did Not Maintain HbA1c Goal - Baseline HbA1c

Comparison of baseline HbA1c between those participants taking Lispro LM that maintained their HbA1c goal and those that did not. Participants who maintained goal are those who did not fail during their duration on study. Failure is defined by HbA1c > 7.0% with change >= 0.4% from most recent HbA1c that was <=7.0%. (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance) (up to 2.5 years)

Interventionpercent glycosylated hemoglobin (Mean)
Lispro LM Participants Who Maintained Goal8.54
Lispro LM Participants Who Did Not Maintain Goal8.80

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MAINTENANCE: Participant Demographics of Lispro LM Participants Who Did Versus Did Not Maintain HbA1c Goal - 1,5 AG

Comparison of baseline 1,5 AG between those participants taking Lispro LM that maintained their HbA1c goal and those that did not. Participants who maintained goal are those who did not fail during their duration on study. Failure is defined by HbA1c > 7.0% with change >= 0.4% from most recent HbA1c that was <=7.0%. (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance) (up to 2.5 years)

Interventionug/ml (Mean)
Lispro LM Participants Who Maintained Goal5.93
Lispro LM Participants Who Did Not Maintain Goal5.73

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MAINTENANCE: Participant Demographics of Insulin Glargine Participants Who Did Versus Did Not Maintain HbA1c Goal - Duration of Diabetes

Comparison of duration of diabetes at baseline between those participants taking insulin glargine that maintained their HbA1c goal and those that did not. Participants who maintained goal are those who did not fail during their duration on study. Failure is defined by HbA1c > 7.0% with change >= 0.4% from most recent HbA1c that was <=7.0%. (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance) (up to 2.5 years)

Interventionyears (Mean)
Insulin Glargine Participants Who Maintained Goal8.44
Insulin Glargine Participants Who Did Not Maintain Goal9.70

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MAINTENANCE: Participant Demographics of Insulin Glargine Participants Who Did Versus Did Not Maintain HbA1c Goal - Baseline HbA1c

Comparison of baseline HbA1c between those participants taking insulin glargine that maintained their HbA1c goal and those that did not. Participants who maintained goal are those who did not fail during their duration on study. Failure is defined by HbA1c > 7.0% with change >= 0.4% from most recent HbA1c that was <=7.0%. (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance) (up to 2.5 years)

Interventionpercent glycosylated hemoglobin (Mean)
Insulin Glargine Participants Who Maintained Goal8.27
Insulin Glargine Participants Who Did Not Maintain Goal8.77

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MAINTENANCE: Participant Demographics of Lispro LM Participants Who Did Versus Did Not Maintain HbA1c Goal - Mean of Post Meals Blood Glucose and Average of All Blood Glucose

Comparison of baseline mean of post meals blood glucose and average of all blood glucose between those participants taking Lispro LM that maintained their HbA1c goal and those that did not. Participants who maintained goal are those who did not fail during their duration on study. Failure is defined by HbA1c > 7.0% with change >= 0.4% from most recent HbA1c that was <=7.0%. (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance) (up to 2.5 years)

,
Interventionmg/dL (Mean)
Mean of post meals blood glucoseAverage of all blood glucose
Lispro LM Participants Who Did Not Maintain Goal231.66207.96
Lispro LM Participants Who Maintained Goal223.98201.42

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MAINTENANCE: Participant Demographics of Insulin Glargine Participants Who Did Versus Did Not Maintain HbA1c Goal - 1,5 AG

Comparison of baseline 1,5 AG between those participants taking insulin glargine that maintained their HbA1c goal and those that did not. Participants who maintained goal are those who did not fail during their duration on study. Failure is defined by HbA1c > 7.0% with change >= 0.4% from most recent HbA1c that was <=7.0%. (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance) (up to 2.5 years)

Interventionug/mL (Mean)
Insulin Glargine Participants Who Maintained Goal6.29
Insulin Glargine Participants Who Did Not Maintain Goal5.39

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MAINTENANCE: Duration of Time HbA1c Maintained at Goal by Initiation Regimen (Insulin Glargine or Lispro Low Mix)

HbA1c goal: HbA1c ≤7.0% or HbA1c >7.0% but increased <0.4% from last HbA1c ≤7.0% (NCT00279201)
Timeframe: Endpoint (Last Observation Carried Forward [LOCF]) (Maintenance: up to 2.5 years)

Interventionmonths (Median)
Insulin Glargine14.40
Lispro Low Mix16.80

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ADDENDUM: 24-Week Endpoint HbA1c

HbA1c at 24-week endpoint in Intensification Addendum of the trial. (NCT00279201)
Timeframe: Endpoint (Addendum) (24 weeks: Week 48)

Interventionpercent glycosylated hemoglobin (Mean)
Lispro Mid Mix Prior Lispro Low Mix Addendum8.19
Lispro LM Prior Glargine Addendum8.03
Basal Bolus Prior Lispro Low Mix Addendum8.16
Basal Bolus Prior Glargine Addendum8.14

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INITIATION: 24-Week Endpoint Glycosylated Hemoglobin (HbA1c)

(NCT00279201)
Timeframe: Endpoint (Initiation: Week 24)

Interventionpercent glycosylated hemoglobin (Mean)
Insulin Glargine7.33
Lispro Low Mix7.23

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INITIATION: Change From Baseline to Endpoint in 1,5 Anhydroglucitol (1,5 AG)

(NCT00279201)
Timeframe: Baseline (Initiation), Endpoint (Week 24)

Interventionmicrograms per milliliter (ug/mL) (Mean)
Insulin Glargine4.61
Lispro Low Mix5.25

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INITIATION: Change in HbA1c From Baseline to 24 Weeks

(NCT00279201)
Timeframe: Baseline (Initiation) to Endpoint (LOCF, Week 24)

Interventionpercent glycosylated hemoglobin (Mean)
Insulin Glargine-1.68
Lispro Low Mix-1.83

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INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal at Week 24 - 1,5 AG

Comparison of 1,5 AG between those participants who met their goal at Week 24 versus those who did not meet their goal at Week 24 (goal HbA1c ≤7.0%). (NCT00279201)
Timeframe: Endpoint (Initiation: Week 24)

Interventionmicrograms per milliliter (ug/mL) (Mean)
Met Goal5.74
Did Not Meet Goal4.28

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INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal at Week 24 - Age

Comparison of age at baseline between those participants who met their goal at Week 24 versus those who did not meet their goal at Week 24 (goal HbA1c ≤7.0%). (NCT00279201)
Timeframe: Endpoint (Initiation: Week 24)

Interventionyears (Mean)
Met Goal58.21
Did Not Meet Goal55.85

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INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal at Week 24 - HbA1c

Comparison of baseline HbA1c between those participants who met their goal at Week 24 versus those who did not meet their goal at Week 24 (goal HbA1c ≤7.0%). (NCT00279201)
Timeframe: Endpoint (Initiation: Week 24)

Interventionpercent glycosylated hemoglobin (Mean)
Met Goal8.66
Did Not Meet Goal9.40

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MAINTENANCE: Incremental Change From Baseline in Body Weight

(NCT00279201)
Timeframe: Baseline (Week 0), Weeks 24, 36, 48, 60, 72, 84, 96, 108, 120, Endpoint (LOCF) (Maintenance) (up to 2.5 years)

,
Interventionkilograms (Mean)
Baseline (n=419,473)Change from baseline at Week 24 (n=417,470)Change from baseline at Week 36 (n=411,465)Change from baseline at Week 48 (n=399,460)Change from baseline at Week 60 (n=362,414)Change from baseline at Week 72 (n=315,372)Change from baseline at Week 84 (n=281,327)Change from baseline at Week 96 (n=248,297)Change from baseline at Week 108 (n=228,268)Change from baseline at Week 120 (n=204,253)Change from baseline at Endpoint (n=414,470)
Insulin Glargine90.562.052.713.083.333.123.163.113.483.713.65
Lispro Low Mix88.623.684.564.825.135.405.845.605.575.485.40

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MAINTENANCE: HbA1c at Specified Visits and Endpoint

(NCT00279201)
Timeframe: Baseline (Week 0), Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, Endpoint (LOCF) (up to 2.5 years)

,
Interventionpercent glycosylated hemoglobin (Mean)
Week 0 (n=415,464)Week 12 (n=412,465)Week 24 (n=418,471)Week 36 (n=403,460)Week 48 (n=395,443)Week 60 (n=332,403)Week 72 (n=305,363)Week 84 (n=268,312)Week 96 (n=242,291)Week 108 (n=219,257)Week 120 (n=204,240)Endpoint (n=414,470)
Insulin Glargine8.596.826.496.726.856.856.806.796.856.836.877.20
Lispro Low Mix8.696.756.496.716.806.836.796.746.736.726.757.10

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MAINTENANCE: Change From Baseline to Endpoint in HbA1c

(NCT00279201)
Timeframe: Baseline (Week 0), Week 24, Endpoint (LOCF) (Maintenance) (up to 2.5 years)

,
Interventionpercent glycosylated hemoglobin (Mean)
Baseline at Week 0 (n=415,464)Change from baseline to endpoint (n=409,462)Change Week 24 to Week 120 endpoint (n=412,469)
Insulin Glargine8.59-1.380.71
Lispro Low Mix8.69-1.590.61

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MAINTENANCE: Rate of Self-reported Hypoglycemic Episodes

Hypoglycemia = participant feels/person observes that the participant is experiencing a sign/symptom they associate with hypoglycemia (such as hunger, dizziness, shakiness, light-headedness, sweating, irritability, headache, fast heart beat, confusion, etc) or a glucose measurement ≤70 mg/dL (≤3.9 mmol/L). Severe hypoglycemia = participant requires assistance. Qualified medical staff instructed the participants about the signs and symptoms of hypoglycemia. (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance) (up to 2.5 years), Overall (incidence of hypoglycemic episodes after baseline [Week 0])

,
Interventionepisodes/participant/year (Mean)
Hypoglycemia episodes EndpointHypoglycemia episodes OverallNocturnal episodes EndpointNocturnal episodes OverallSevere episodes EndpointSevere episodes Overall
Insulin Glargine16.4121.807.709.770.230.12
Lispro Low Mix18.5626.085.868.020.030.03

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MAINTENANCE: Percentage of Participants With Self-reported Hypoglycemic Episodes

Hypoglycemia = participant feels/person observes that the participant is experiencing a sign/symptom they associate with hypoglycemia (such as hunger, dizziness, shakiness, light-headedness, sweating, irritability, headache, fast heart beat, confusion, etc) or a glucose measurement ≤70 mg/dL (≤3.9 mmol/L). Severe hypoglycemia = participant requires assistance. Qualified medical staff instructed the participants about the signs and symptoms of hypoglycemia. (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance) (up to 2.5 years), Overall (incidence of hypoglycemic episodes after baseline (Week 0)

,
Interventionpercentage of participants (Number)
Overall hypoglycemic episodes endpoint (n=415,471)Overall hypoglycemic episodes (n=419,473)Nocturnal episodes endpoint (n=415,471)Nocturnal episodes overall (n=419,473)Severe episodes endpoint (n=415,471)Severe episodes overall (n=419,473)
Insulin Glargine45.394.030.481.10.52.9
Lispro Low Mix49.997.928.984.40.64.2

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MAINTENANCE: Percentage of Participants With HbA1c < or = 7.0%, HbA1c <7.0, and HbA1c < or = 6.5%

(NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance: up to 2.5 years)

,
Interventionpercentage of participants (Number)
<=7.0%<7.0%<=6.5%
Insulin Glargine44.940.123.7
Lispro Low Mix49.145.126.4

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MAINTENANCE: Participant Demographics of Lispro LM Participants Who Did Versus Did Not Maintain HbA1c Goal - Oral Diabetes Medicine at Baseline

Comparison of oral diabetes medication at baseline between those participants taking Lispro LM that maintained their HbA1c goal and those that did not. Participants who maintained goal are those who did not fail during their duration on study. Failure is defined by HbA1c > 7.0% with change >= 0.4% from most recent HbA1c that was <=7.0%. (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance) (up to 2.5 years)

,
Interventionparticipants (Number)
Sulfonylurea/TZDSulfonylurea/metforminMetformin/TZDSulfonylurea/metformin/TZD
Lispro LM Participants Who Did Not Maintain Goal51852159
Lispro LM Participants Who Maintained Goal141152545

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MAINTENANCE: Participant Demographics of Lispro LM Participants Who Did Versus Did Not Maintain HbA1c Goal - Duration of Diabetes Group

Comparison of duration of diabetes group (<10, 10-<20, >=20 years) at baseline between those participants taking Lispro LM that maintained their HbA1c goal and those that did not. Participants who maintained goal are those who did not fail during their duration on study. Failure is defined by HbA1c > 7.0% with change >= 0.4% from most recent HbA1c that was <=7.0%. (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance) (up to 2.5 years)

,
Interventionparticipants (Number)
<10 years10 to <20 years>=20 years
Lispro LM Participants Who Did Not Maintain Goal1489726
Lispro LM Participants Who Maintained Goal1127812

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MAINTENANCE: Participant Demographics of Lispro LM Participants Who Did Versus Did Not Maintain HbA1c Goal - Baseline HbA1c Group

Comparison of baseline HbA1c group (<8.5,>=8.5) between those participants taking Lispro LM that maintained their HbA1c goal and those that did not. Participants who maintained goal are those who did not fail during their duration on study. Failure is defined by HbA1c > 7.0% with change >= 0.4% from most recent HbA1c that was <=7.0%. (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance) (up to 2.5 years)

,
Interventionparticipants (Number)
Less than 8.58.5 or more
Lispro LM Participants Who Did Not Maintain Goal121147
Lispro LM Participants Who Maintained Goal11088

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MAINTENANCE: Participant Demographics of Insulin Glargine Participants Who Did Versus Did Not Maintain HbA1c Goal - Oral Diabetes Medicine at Baseline

Comparison of oral diabetes medication at baseline between those participants taking insulin glargine that maintained their HbA1c goal and those that did not. Participants who maintained goal are those who did not fail during their duration on study. Failure is defined by HbA1c > 7.0% with change >= 0.4% from most recent HbA1c that was <=7.0%. (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance) (up to 2.5 years)

,
Interventionparticipants (Number)
Sulfonylurea/TZDSulfonylurea/metforminMetformin/TZDSulfonylurea/metformin/TZD
Insulin Glargine Participants Who Did Not Maintain Goal131752259
Insulin Glargine Participants Who Maintained Goal16732233

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MAINTENANCE: Participant Demographics of Insulin Glargine Participants Who Did Versus Did Not Maintain HbA1c Goal - Mean of Post Meals Blood Glucose and Average of All Blood Glucose

Comparison of baseline mean of post meals blood glucose and average of all blood glucose between those participants taking insulin glargine that maintained their HbA1c goal and those that did not. Participants who maintained goal are those who did not fail during their duration on study. Failure is defined by HbA1c > 7.0% with change >= 0.4% from most recent HbA1c that was <=7.0%. (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance) (up to 2.5 years)

,
Interventionmg/dL (Mean)
Mean of post meals blood glucose (n=141,261)Average of all blood glucose (n=141,264)
Insulin Glargine Participants Who Did Not Maintain Goal233.51210.44
Insulin Glargine Participants Who Maintained Goal219.28200.60

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MAINTENANCE: Participant Demographics of Insulin Glargine Participants Who Did Versus Did Not Maintain HbA1c Goal - Duration of Diabetes Group

Comparison of duration of diabetes group (<10, 10-<20, >=20 years) at baseline between those participants taking insulin glargine that maintained their HbA1c goal and those that did not. Participants who maintained goal are those who did not fail during their duration on study. Failure is defined by HbA1c > 7.0% with change >= 0.4% from most recent HbA1c that was <=7.0%. (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance) (up to 2.5 years)

,
Interventionparticipants (Number)
Less than 10 years10 years to less than 20 years20 or more years
Insulin Glargine Participants Who Did Not Maintain Goal1529426
Insulin Glargine Participants Who Maintained Goal96456

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MAINTENANCE: Participant Demographics of Insulin Glargine Participants Who Did Versus Did Not Maintain HbA1c Goal - Baseline HbA1c Group

Comparison of baseline HbA1c group (<8.5,>=8.5) between those participants taking insulin glargine that maintained their HbA1c goal and those that did not. Participants who maintained goal are those who did not fail during their duration on study. Failure is defined by HbA1c > 7.0% with change >= 0.4% from most recent HbA1c that was <=7.0%. (NCT00279201)
Timeframe: Endpoint (LOCF) (Maintenance) (up to 2.5 years)

,
Interventionparticipants (Number)
Less than 8.5% HbA1c>=8.5% HbA1c
Insulin Glargine Participants Who Did Not Maintain Goal121149
Insulin Glargine Participants Who Maintained Goal9746

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MAINTENANCE: Insulin Dose

(NCT00279201)
Timeframe: Weeks 24, 36, 48, 60, 72, 84, 96, 108, 120, Endpoint (LOCF) (Maintenance) (up to 2.5 years)

,
Interventionunits/kg/day (Mean)
Week 24 (n=418,473)Week 36 (n=415,470)Week 48 (n=407,464)Week 60 (n=364,419)Week 72 (n=317,374)Week 84 (n=284,334)Week 96 (n=251,303)Week 108 (n=233,273)Week 120 (n=205,254)Endpoint (n=416,472)
Insulin Glargine0.360.360.370.370.370.360.370.360.360.37
Lispro Low Mix0.430.440.440.440.440.440.440.430.440.45

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INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal at Week 24 - Homeostasis Model Assessment of Insulin Resistance (HOMA-IR)

Comparison of HOMA-IR (surrogate markers of insulin resistance calculated from fasting insulin and glucose) at baseline between those participants who met their goal at Week 24 and those who did not meet their goal at Week 24 (goal HbA1c ≤7.0%). HOMA-IR = fasting insulin (milliunits per milliliter) * fasting plasma glucose (millimoles per liter) / 22.5. (NCT00279201)
Timeframe: Endpoint (Initiation: Week 24)

Interventionunits on a scale (Mean)
Met Goal4.44
Did Not Meet Goal5.45

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Observed Insulin Antibody Values

Observed insulin antibody values for insulin detemir specific antibodies, insulin aspart specific antibodies and insulin detemir/insulin aspart cross-reacting antibodies. (NCT00435019)
Timeframe: at 0 and 52 weeks

,
InterventionPercent bound of total (Mean)
Insulin detemir specific, week 0 (n=127, 112)Insulin detemir specific, week 52 (n=125, 128)Cross-reacting insulin, week 0 (n=130, 113)Cross-reacting insulin, week 52 (n=132, 135)Insulin aspart specific, week 0 (n=126, 111)Insulin aspart specific, week 52 (n=128, 133)
Insulin Detemir3.235.1527.0643.702.264.20
NPH Insulin2.953.0127.2630.192.242.68

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Number of Subjects Reporting Adverse Events

"Number of subjects reporting adverse events during the trial (from week -2 to week 52).~For details, please refer to the adverse events section." (NCT00435019)
Timeframe: from week -2 to week 52

Interventionparticipants (Number)
Insulin Detemir132
NPH Insulin135

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Glycosylated Haemoglobin A1c (HbA1c)

Glycosylated haemoglobin A1c (HbA1c) measured after 52 weeks of treatment and analysed by central laboratory. (NCT00435019)
Timeframe: after 52 weeks of treatment

InterventionPercent (%) glycosylated haemoglobin (Mean)
Insulin Detemir8.75
NPH Insulin8.64

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Maternal Safety - Change in Insulin Detemir/Insulin Aspart Cross Reacting Antibodies

Change in concentrations values for insulin detemir/aspart cross-reacting antibodies from baseline to Visit P4 was calculated. The unit for measuring antibody levels is amount of tracer bound to the antibodies in the precipitate (B) expressed in percentage of the total amount of tracer (T) added to the mixture (%B/T). Samples were taken before 1st dosing (NCT00474045)
Timeframe: Baseline, Visit P4 (GW 36). Baseline is Visit 2 (randomisation visit, within 3 weeks of screening) for subjects not pregnant at randomisation and Visit P1 (GW 8-12) for pregnant subjects at randomisation.

,
Intervention%B/T (Median)
Baseline IDet (N)=146, NPH (N)=155Visit P4 IDet (N)=110, NPH (N)=110Change from Baseline-Visit P4(N=106,109)
Insulin Detemir5.215.40-0.43
Neutral Protamine Hagedorn (NPH) Insulin5.364.28-1.12

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Maternal Safety - Change in Lactate Dehydrogenase Serum Level (Biochemistry)

This is the standard safety lab parameter and is calculated as an estimate of the mean change from Visit P1 in lactate dehydrogenase serum level at Follow-Up Visit (6 weeks after delivery). (NCT00474045)
Timeframe: Visit P1 (GW 8-12), Follow-Up (FU) Visit (6 weeks after delivery)

,
InterventionU/L (Mean)
Visit P1 IDet (N)=138, NPH (N)=145FU Visit IDet (N)=138, NPH (N)=146Change from Visit P1-FU (N=136, 145)
Insulin Detemir145.1167.521.82
Neutral Protamine Hagedorn (NPH) Insulin144.1169.525.46

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Maternal Safety - Change in Leukocytes Level (Haematology)

This is the standard safety lab parameter and is calculated as an estimate of the mean change from Visit P1 in leukocytes level at Follow-Up Visit (6 weeks after delivery). (NCT00474045)
Timeframe: Visit P1 (GW 8-12), Follow-Up (FU) Visit (6 weeks after delivery)

,
Intervention10^9 cells/L (Mean)
Visit P1 IDet (N)=138, NPH (N)=146FU Visit IDet (N)=138, NPH (N)=146Change from Visit P1-FU (N=136, 145)
Insulin Detemir8.016.68-1.36
Neutral Protamine Hagedorn (NPH) Insulin8.26.55-1.65

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Maternal Safety - Change in Potassium Serum Level (Biochemistry)

This is the standard safety lab parameter and is calculated as an estimate of the mean change from Visit P1 in potassium serum level at Follow-Up Visit (6 weeks after delivery). (NCT00474045)
Timeframe: Visit P1 (GW 8-12), Follow-Up (FU) Visit (6 weeks after delivery)

,
Interventionmmol/L (Mean)
Visit P1 IDet (N)=137, NPH (N)=144FU Visit IDet (N)=138, NPH (N)=146Change from Visit P1-FU (N=135, 144)
Insulin Detemir4.134.300.15
Neutral Protamine Hagedorn (NPH) Insulin4.124.310.20

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8-point Self Monitored Plasma Glucose (SMPG) Profile at GW 36

8-point SMPG was recorded 3 times prior to each visit, and the average value for each of the 8-time points was applied when presenting and analysing the SMPG data. Visit reallocation was made for the early termination visit and for the withdrawal visit. (NCT00474045)
Timeframe: Visit P4 (GW 36)

,
Interventionmmol/L (Mean)
Before Breakfast (N=131,141)120 mins after breakfast (N=130,139)Before Lunch (N=131,141)120 mins after lunch (N=130,140)Before Dinner (N=131,140)120 mins after Dinner (N=117,132)Bedtime (N=126,137)At 2.00 A.M. (N=122,135)
Insulin Detemir67.45.96.96.57.476
Neutral Protamine Hagedorn (NPH) Insulin6.37.56.17.16.57.47.26.4

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Maternal Safety - Change in Thrombocytes Level (Haematology)

This is the standard safety lab parameter and is calculated as an estimate of the mean change from Visit P1 in thrombocytes level at Follow-Up Visit (6 weeks after delivery). (NCT00474045)
Timeframe: Visit P1 (GW 8-12), Follow-Up (FU) Visit (6 weeks after delivery)

,
Intervention10^9 cells/L (Mean)
Visit P1 IDet (N)=138, NPH (N)=146FU Visit IDet (N)=138, NPH (N)=146Change from Visit P1-FU (N=136, 145)
Insulin Detemir245.3270.624.25
Neutral Protamine Hagedorn (NPH) Insulin247.2263.116.16

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Maternal Safety - Change in Total Protein Serum Level (Biochemistry)

This is the standard safety lab parameter and is calculated as an estimate of the mean change from Visit P1 in total protein serum level at Follow-Up Visit (6 weeks after delivery). (NCT00474045)
Timeframe: Visit P1 (GW 8-12), Follow-Up (FU) Visit (6 weeks after delivery)

,
Interventiong/dL (Mean)
Visit P1 IDet (N)=138, NPH (N)=145FU Visit IDet (N)=138, NPH (N)=146Change from Visit P1-FU (N=136, 145)
Insulin Detemir6.847.080.24
Neutral Protamine Hagedorn (NPH) Insulin6.897.110.22

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Maternal Safety - Change in Urine Albumin Level (Urinalysis)

This is the standard safety lab parameter and calculated as an estimate of the mean change from Visit P1 in urine albumin level at Follow-Up Visit (6 weeks after delivery). (NCT00474045)
Timeframe: Visit P1 (GW 8-12), Follow-Up (FU) Visit (6 weeks after delivery)

,
Interventiong/dL (Mean)
Visit P1 IDet (N)=135, NPH (N)=143FU Visit IDet (N)=138, NPH (N)=146Change from Visit P1-FU (N=133, 142)
Insulin Detemir0.010.020.01
Neutral Protamine Hagedorn (NPH) Insulin0.010.030.02

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Maternal Safety - Change in Urine N (Creatinine) (Urinalysis)

This is the standard safety lab parameter and calculated as an estimate of the mean change from Visit P1 in Urine-N (creatinine) level at Follow-Up Visit (6 weeks after delivery). (NCT00474045)
Timeframe: Visit P1 (GW 8-12), Follow-Up (FU) Visit (6 weeks after delivery)

,
Interventionmg/dL (Mean)
Visit P1 IDet (N)=135, NPH (N)=144FU Visit IDet (N)=138, NPH (N)=146Change from Visit P1-FU (N=133, 143)
Insulin Detemir114.8106.2-6.62
Neutral Protamine Hagedorn (NPH) Insulin103.198.61-6.34

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Maternal Safety - Hypoglycaemic Episodes

All episodes include major, minor and symptoms only. Major episode : unable to self-treat. Minor: able to self-treat and plasma glucose (PG) < 3.1 mmol/L. Symptoms only: able to self-treat and no PG measurement or PG glucose ≥3.1 mmol/L. Diurnal: Episode occurring between 06.00 - 00.00, both including. (NCT00474045)
Timeframe: Participants were followed during the pregnancy period, an average of 9.6 months

,
Interventionepisodes (Number)
All EpisodesDiurnal
Insulin Detemir94968045
Neutral Protamine Hagedorn (NPH) Insulin94537810

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Maternal Safety - Mode of Delivery

Non-Planned Caesarean Section is a procedure which takes place ≤8h prior to delivery. Planned Caesarean Section takes place >8h prior to delivery. (NCT00474045)
Timeframe: At Delivery Visit

,
Interventionpercentage (%) of subjects (Number)
Spontaneous onset of labour (N)=130,136Induction of labour (N)=130,136Normal Vaginal Delivery(N)=54,50Instrumental Vaginal Delivery(N)=54,50Non-Planned Caesarean Section(N)=76,86Planned Caesarean Section(N)=76,86
Insulin Detemir193976243665
Neutral Protamine Hagedorn (NPH) Insulin283680204357

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Maternal Safety - Number of Subjects With Adverse Events (AEs)

AE=any undesirable medical event occurring to a subject in a clinical trial, whether or not related to the trial product. Related AE=relationship of probable or possible. Serious adverse event (SAE) =any undesirable serious medical event as defined in protocol. (NCT00474045)
Timeframe: Participants were followed during the pregnancy period, an average of 9.6 months

,
Interventionparticipants (Number)
Subjects with (w.) adverse eventsSubjects with serious adverse eventsSubjects with severe adverse eventsSubjects w. AEs related to basal insulinSubjects w. AEs related to bolus insulinSubjects with AEs leading to withdrawal
Insulin Detemir1386138181213
Neutral Protamine Hagedorn (NPH) Insulin141493216146

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Pregnancy Outcome at Delivery

Induced abortion means interruption of a living pregnancy < 22 completed weeks. Early foetal death means death before 22 completed GWs. Stillbirth indicates death between at or after 22 GW and at or before delivery. (NCT00474045)
Timeframe: Delivery Visit

,
Interventionparticipants (Number)
Live BirthEarly Foetal Death (Spont. Abortion)Early Foetal Death (Ectopic Pregnancy)Induced AbortionStillbirth
Insulin Detemir12810112
Neutral Protamine Hagedorn (NPH) Insulin1368100

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Pregnancy Outcome at Follow-Up

Induced abortion means interruption of a living pregnancy < 22 completed weeks. Early foetal death means death before 22 completed GWs. Perinatal Death means death of a foetus/infant between ≥ 22 completed GWs and < 1 completed week after delivery. Neonatal Death means death between at or after 7 completed days and before 28 completed days after delivery. Death During Follow-Up means death between at or after 28 days after delivery and at or before Follow-Up. (NCT00474045)
Timeframe: Follow-Up (6 weeks after delivery)

,
Interventionparticipants (Number)
Live ChildrenEarly Foetal Death (Spont. Abortion)Early Foetal Death (Ectopic Pregnancy)Induced AbortionPerinatal DeathNeonatal DeathDeath During Follow-Up
Insulin Detemir1281011200
Neutral Protamine Hagedorn (NPH) Insulin135810100

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Safety - Composite Pregnancy Outcome

Wt. corresponds to weight of live-born infants. Pre-term delivery: delivery before 37 completed GWs including abortions. Early foetal death: death before 22 completed GWs. Perinatal mortality: death of a foetus/infant between ≥ 22 completed GWs and < 1 completed week after delivery. Neonatal mortality: post-partum after 7 completed days and before 28 completed days after delivery. Major-malformation: a life threatening structural anomaly or one likely to cause significant impairment of health or functional capacity and needs medical or surgical treatment. (NCT00474045)
Timeframe: End of Pregnancy

,
Interventionparticipants (Number)
Wt. below the 10th percentile(N)=128,136Wt. above the 90th percentile(N)=128,136Pre-term delivery (N)=142,145Major malformations (N)=142,145Early foetal death (N)=142,145Perinatal mortality (N)=130,136Neonatal mortality (N)=126,135Compiled(at least 1 of above)(N)=142,145
Insulin Detemir359395112089
Neutral Protamine Hagedorn (NPH) Insulin17345191096

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Safety - Total Daily Insulin Dose During Pregnancy

(NCT00474045)
Timeframe: Visit P2 (GW 14), Visit P3 (GW 24), Visit P4 (GW 36), Follow-Up (6 weeks after delivery)

,
InterventionU/kg (Mean)
GW 14 IDet (N)=129, NPH (N)=141GW 24 IDet (N)=128, NPH (N)=137GW 36 IDet (N)=119, NPH (N)=121Follow-Up IDet (N)=124, NPH (N)=133
Insulin Detemir0.730.851.170.53
Neutral Protamine Hagedorn (NPH) Insulin0.740.841.050.57

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Safety in Children - Number of Subjects (Foetuses and Newborns) With Adverse Events

AE=any undesirable medical event occurring to a subject in a clinical trial, whether or not related to the trial product. Related AE=relationship of probable or possible. SAE=any undesirable serious medical event as defined in protocol. (NCT00474045)
Timeframe: Foetuses/Newborns were followed during the pregnancy period, an average of 9.6 months and Follow-Up period (6 weeks after delivery)

,
InterventionFoetus/Newborns (1 per pregnant woman) (Number)
Subjects with adverse eventsSubjects with serious adverse eventsSubjects with severe adverse eventsSubjects w. AEs related to Basal insulinSubjects w. AEs related to Bolus insulinSubjects with AEs leading to withdrawal
Insulin Detemir563615110
Neutral Protamine Hagedorn (NPH) Insulin553212001

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Subjects Reaching HbA1c at or Below 6.0% Both at GW 24 and GW 36

(NCT00474045)
Timeframe: At both Visit P3 (GW 24) and Visit P4 (GW 36)

Interventionparticipants (Number)
Insulin Detemir57
Neutral Protamine Hagedorn (NPH) Insulin46

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Ratio Between Detemir Specific Antibodies in Cord Blood and Maternal Antibodies

Cord blood (at delivery) vs. Maternal Blood at Visit P4 (GW 36) (NCT00474045)
Timeframe: At Delivery (End of Pregnancy) and at Visit P4 (GW 36)

Interventionratio (Median)
Insulin Detemir1.10
Neutral Protamine Hagedorn (NPH) Insulin0.77

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Ratio Between Cross-reacting Antibodies in Cord Blood and Maternal Antibodies

Cord blood (at delivery) vs. Maternal Blood at Visit P4 (GW 36) (NCT00474045)
Timeframe: At Delivery (End of Pregnancy) and at Visit P4 (GW 36)

Interventionratio (Median)
Insulin Detemir1.29
Neutral Protamine Hagedorn (NPH) Insulin0.90

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Ratio Between Aspart Specific Antibodies in Cord Blood and Maternal Antibodies

Cord blood (at delivery) vs. Maternal Blood at Visit P4 (GW 36) (NCT00474045)
Timeframe: At Delivery (End of Pregnancy) and at Visit P4 (GW 36)

Interventionratio (Median)
Insulin Detemir0.84
Neutral Protamine Hagedorn (NPH) Insulin0.64

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Pregnancy Outcome Safety - Level of Insulin Detemir in Umbilical Cord Blood

(NCT00474045)
Timeframe: At Delivery

Interventionpmol/L (Median)
Insulin Detemir25.00

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Pregnancy Outcome Safety - Level of Detemir Specific Antibodies (AB) in Umbilical Cord Blood

Antibodies were measured in a subtraction radioimmunoassay and expressed as antibody bound tracer relative to the total amount of tracer (%B/T). (NCT00474045)
Timeframe: At Delivery (End of Pregnancy)

Intervention%B/T (Median)
Insulin Detemir1.31
Neutral Protamine Hagedorn (NPH) Insulin0.90

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Pregnancy Outcome Safety - Level of Cross-Reacting Antibodies (AB) in Umbilical Cord Blood

Antibodies were measured in a subtraction radioimmunoassay and expressed as antibody bound tracer relative to the total amount of tracer (%B/T). (NCT00474045)
Timeframe: At Delivery (End of Pregnancy)

Intervention%B/T (Median)
Insulin Detemir5.99
Neutral Protamine Hagedorn (NPH) Insulin4.12

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Pregnancy Outcome Safety - Level of Aspart Specific Antibodies (AB) in Umbilical Cord Blood

Antibodies were measured in a subtraction radioimmunoassay and expressed as antibody bound tracer relative to the total amount of tracer (%B/T) (NCT00474045)
Timeframe: At Delivery (End of Pregnancy)

Intervention%B/T (Median)
Insulin Detemir0.38
Neutral Protamine Hagedorn (NPH) Insulin0.32

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Maternal Safety - Nocturnal Hypoglycaemic Episodes

A nocturnal episode is any episode occurring between 0.01 - 5.59, both including. It includes major, minor and symptoms only episodes. Major: unable to self-treat. Minor: able to self-treat and plasma glucose (PG) < 3.1 mmol/L. Symptoms only: able to self-treat and no PG measurement or PG glucose ≥3.1 mmol/L. (NCT00474045)
Timeframe: Participants were followed during the pregnancy period, an average of 9.6 months

Interventionepisodes (Number)
Insulin Detemir1451
Neutral Protamine Hagedorn (NPH) Insulin1643

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Maternal Safety - Electrocardiogram (ECG)

The number of subjects having a electrocardiogram (ECG) that changed from 'Normal' or 'Abnormal, not clinically significant' (at Visit 1, 3 weeks before randomisation) to 'Abnormal, clinically significant' (at Follow-Up). 'Abnormal, Clinically significant' is an abnormality that suggests a disease and/or organ toxicity and is of a severity, which requires active management. (NCT00474045)
Timeframe: Follow-Up (6 weeks after delivery)

Interventionparticipants (Number)
Insulin Detemir0
Neutral Protamine Hagedorn (NPH) Insulin0

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Maternal Safety - Acceleration of Nephropathy

Acceleration of nephropathy was defined as a change from a low U-albumin:U-creatinine ratio ≤33.93 mg/mmol to a high U-albumin:U-creatinine ratio > 33.93 mg/mmol from GW 8-12 (Visit P1) to the follow-up visit. (NCT00474045)
Timeframe: From GW 8-12 (Visit P1) to Follow-Up (6 weeks after delivery)

Interventionparticipants (Number)
Insulin Detemir2
Neutral Protamine Hagedorn (NPH) Insulin1

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Glycosylated Haemoglobin (HbA1c) for Per Protocol Analysis Set (Pregnant Subjects) at GW 36

(NCT00474045)
Timeframe: At gestational week (GW) 36

InterventionPercent (%) glycosylated haemoglobin (Least Squares Mean)
Insulin Detemir6.22
Neutral Protamine Hagedorn (NPH) Insulin6.37

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Glycosylated Haemoglobin (HbA1c) for Full Analysis Set (Pregnant Subjects) at GW 36

(NCT00474045)
Timeframe: At gestational week (GW) 36

InterventionPercent (%) glycosylated haemoglobin (Least Squares Mean)
Insulin Detemir6.27
Neutral Protamine Hagedorn (NPH) Insulin6.33

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Maternal Safety - Change in Sodium Serum Level (Biochemistry)

This is the standard safety lab parameter and is calculated as an estimate of the mean change from Visit P1 in sodium serum level at Follow-Up Visit (6 weeks after delivery). (NCT00474045)
Timeframe: Visit P1 (GW 8-12), Follow-Up (FU) Visit (6 weeks after delivery)

,
Interventionmmol/L (Mean)
Visit P1 IDet (N)=137, NPH (N)=145FU Visit IDet (N)=138, NPH (N)=146Change from Visit P1-FU (N=135, 145)
Insulin Detemir138.0141.63.59
Neutral Protamine Hagedorn (NPH) Insulin137.8141.23.36

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8-point Self-monitored Plasma Glucose (SMPG) Profile at GW 24

8-point SMPG was recorded 3 times prior to each visit, and the average value for each of the 8-time points was applied when presenting and analysing the SMPG data. Visit reallocation was made for the early termination visit and for the withdrawal visit. (NCT00474045)
Timeframe: Visit P3 (GW 24)

,
Interventionmmol/L (Mean)
Before Breakfast (N=131,141)120 mins after breakfast (N=130,141)Before Lunch (N=131,141)120 mins after lunch (N=130,140)Before Dinner (N=130,140)120 mins after Dinner (N=117,133)Bedtime (N=125,137)At 2.00 A.M. (N=125,134)
Insulin Detemir6.47.76.17.26.87.27.66.7
Neutral Protamine Hagedorn (NPH) Insulin7.38.06.77.47.07.87.86.9

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Fasting Plasma Glucose (FPG)

(NCT00474045)
Timeframe: During the pregnancy period [Visit P1 (GW 8-12), Visit P2 (GW 14), Visit P3 (GW 24), Visit P4 (GW 36)]

,
Interventionmmol/L (Mean)
GW 8-12 IDet (N)=130, NPH (N)=141GW 14 IDet (N)=125, NPH (N)=135GW 24 IDet (N)=129, NPH (N)=141GW 36 IDet (N)=129, NPH (N)=142
Insulin Detemir5.05.05.24.7
Neutral Protamine Hagedorn (NPH) Insulin5.85.76.35.4

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Glycosylated Haemoglobin (HbA1c) During Pregnancy

(NCT00474045)
Timeframe: During the pregnancy period [Visit P1 (GW 8-12), Visit P2 (GW 14), Visit P3 (GW 24), Visit P4 (GW 36), Delivery Visit (end of pregnancy)] and Follow-Up Visit ( 6 weeks after delivery)

,
InterventionPercent (%) glycosylated haemoglobin (Mean)
GW 8-12 IDet (N)=140, NPH (N)=146GW 14 IDet (N)=136, NPH (N)=146GW 24 IDet (N)=138, NPH (N)=146GW 36 IDet (N)=138, NPH (N)=146Delivery IDet (N)=138, NPH (N)=146Follow-up IDet (N)=138, NPH (N)=146
Insulin Detemir6.66.366.26.36.5
Neutral Protamine Hagedorn (NPH) Insulin6.86.56.16.36.56.6

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Maternal Safety - Change in Insulin Detemir Specific Antibodies

Change in concentrations of values for insulin detemir specific antibodies from baseline to Visit P4 was calculated. The unit for measuring antibody levels is amount of tracer bound to the antibodies in the precipitate (B) expressed in percentage of the total amount of tracer (T) added to the mixture (%B/T). Samples were taken before 1st dosing. (NCT00474045)
Timeframe: Baseline, Visit P4 (GW 36). Baseline is Visit 2 (randomisation visit, within 3 weeks of screening) for subjects not pregnant at randomisation and Visit P1 (GW 8-12) for pregnant subjects at randomisation.

,
Intervention%B/T (Median)
Baseline IDet (N)=145, NPH (N)=155Visit P4 IDet (N)=110, NPH (N)=110Change from Baseline-Visit P4(N=105,109)
Insulin Detemir1.131.360.04
Neutral Protamine Hagedorn (NPH) Insulin1.091.250.09

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Maternal Safety - Change From Visit P1 in Body Weight During Pregnancy by Visit

Change in the body weight was summarised by treatment. (NCT00474045)
Timeframe: Visit P1 (GW (8-12), Visit P2 (GW 14), Visit P3 (GW 24), Visit P4 (GW 36)

,
Interventionkg (Mean)
GW (8-12) IDet(N)=139,NPH(N)=145Change from GW(8-12)-GW 14 (N=128,139)Change from GW(8-12)-GW 24 (N=130,139)Change from GW(8-12)-GW 36(N=130,139)
Insulin Detemir67.81.05.611.5
Neutral Protamine Hagedorn (NPH) Insulin69.21.46.011.0

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Maternal Safety - Change From Visit P1 in Diastolic Blood Pressure During Pregnancy and at Follow-Up by Visit

Change in the diastolic blood pressure was summarised by treatment. (NCT00474045)
Timeframe: Visit P1 (GW (8-12)), Visit P2 (GW 14), Visit P3 (GW 24), Visit P4 (GW 36), Follow-Up (FU) Visit (6 weeks after delivery)

,
InterventionmmHg (Mean)
GW (8-12) IDet(N)=140,NPH(N)=146Change from GW(8-12)-GW 14 (N=137,145)Change from GW(8-12)-GW 24(N=138,145)Change from GW(8-12)-GW 36(N=138,145)Change from GW(8-12)-FU(N=138,145)
Insulin Detemir70.5-0.2-1.63.21.3
Neutral Protamine Hagedorn (NPH) Insulin70.7-0.5-1.22.61.8

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Maternal Safety - Change From Visit P1 in Pulse During Pregnancy and at Follow-Up

Change in the pulse was summarised by treatment. (NCT00474045)
Timeframe: Visit P1 (GW (8-12), Visit P2 (GW 14), Visit P3 (GW 24), Visit P4 (GW 36), Follow-Up Visit (6 weeks after delivery)

,
Interventionbeats/minute (Mean)
GW (8-12) IDet(N)=136,NPH(N)=142Change from GW(8-12)-GW 14 (N=133,139)Change from GW(8-12)-GW 24(N=134,141)Change from GW(8-12)-GW 36(N=134,141)Change from GW(8-12)-FU(N=134,141)
Insulin Detemir77.41.53.55.2-3
Neutral Protamine Hagedorn (NPH) Insulin76.82.24.54.9-2.3

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Maternal Safety - Change From Visit P1 in Systolic Blood Pressure During Pregnancy and at Follow-Up by Visit

Change in the systolic blood pressure was summarised by treatment. (NCT00474045)
Timeframe: Visit P1 (GW (8-12)), Visit P2 (GW 14), Visit P3 (GW 24), Visit P4 (GW 36), Follow-Up (FU) Visit (6 weeks after delivery)

,
InterventionmmHg (Mean)
GW (8-12) IDet(N)=140,NPH(N)=146Change from GW(8-12)-GW 14 (N=137,145)Change from GW(8-12)-GW 24(N=138,145)Change from GW(8-12)-GW 36(N=138,145)Change from GW(8-12)-FU(N=138,145)
Insulin Detemir114.10.8-0.73.12.6
Neutral Protamine Hagedorn (NPH) Insulin116.2-2.8-1.62.3-0

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Maternal Safety - Change in Alanine Aminotransferase Serum Level (Biochemistry)

This is the standard safety lab parameter and is calculated as an estimate of the mean change from Visit P1 in alanine aminotransferase level at Follow-Up Visit (6 weeks after delivery). (NCT00474045)
Timeframe: Visit P1 (GW 8-12), Follow-Up (FU) Visit (6 weeks after delivery)

,
InterventionU/L (Mean)
Visit P1 IDet (N)=138, NPH (N)=145FU Visit IDet (N)=138, NPH (N)=146Change from Visit P1-FU (N=136, 145)
Insulin Detemir16.1227.0610.88
Neutral Protamine Hagedorn (NPH) Insulin17.9726.168.16

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Maternal Safety - Acceleration of Retinopathy in Any Eye

Acceleration of Retinopathy is defined as worsening of fundoscopy/fundusphotography findings from GW 8-12 (Visit P1) to follow-up on one or both eyes. (NCT00474045)
Timeframe: From GW 8-12 (Visit P1) to Follow-Up (6 weeks after delivery)

,
Interventionparticipants (Number)
Acceleration in Any EyeNo Acceleration in Any EyeMissing Data
Insulin Detemir1212020
Neutral Protamine Hagedorn (NPH) Insulin1412024

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Maternal Safety - Change in Albumin/Creatinine Ratio (Urinalysis)

This is the standard safety lab parameter and calculated as an estimate of the mean change from Visit P1 in albumin/creatinine ratio at Follow-Up Visit (6 weeks after delivery). (NCT00474045)
Timeframe: Visit P1 (GW 8-12), Follow-Up (FU) Visit (6 weeks after delivery)

,
Interventionmg/mmol (Mean)
Visit P1 IDet (N)=135, NPH (N)=143FU Visit IDet (N)=138, NPH (N)=146Change from Visit P1-FU (N=133, 142)
Insulin Detemir0.822.651.88
Neutral Protamine Hagedorn (NPH) Insulin0.854.814.07

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Maternal Safety - Change in Alkaline Phosphatase Serum Level (Biochemistry)

This is the standard safety lab parameter and is calculated as an estimate of the mean change from Visit P1 in alkaline phosphatase level at Follow-Up Visit (6 weeks after delivery). (NCT00474045)
Timeframe: Visit P1 (GW 8-12), Follow-Up (FU) Visit (6 weeks after delivery)

,
InterventionU/L (Mean)
Visit P1 IDet (N)=137, NPH (N)=144FU Visit IDet (N)=138, NPH (N)=146Change from Visit P1-FU (N=135, 144)
Insulin Detemir52.6490.1737.39
Neutral Protamine Hagedorn (NPH) Insulin53.8892.9639.51

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Maternal Safety - Change in Creatinine Serum Level (Biochemistry)

This is the standard safety lab parameter and is calculated as an estimate of the mean change from Visit P1 in creatinine serum level at Follow-Up Visit (6 weeks after delivery). (NCT00474045)
Timeframe: Visit P1 (GW 8-12), Follow-Up (FU) Visit (6 weeks after delivery)

,
Interventionmcmol/L (Mean)
Visit P1 IDet (N)=138, NPH (N)=145FU Visit IDet (N)=138, NPH (N)=146Change from Visit P1-FU (N=136, 145)
Insulin Detemir52.0462.9811.18
Neutral Protamine Hagedorn (NPH) Insulin54.0166.5712.52

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Maternal Safety - Change in Haemoglobin Level (Haematology)

This is the standard safety lab parameter and is calculated as an estimate of the mean change from Visit P1 in haemoglobin level at Follow-Up Visit (6 weeks after delivery). (NCT00474045)
Timeframe: Visit P1 (GW 8-12), Follow-Up (FU) Visit (6 weeks after delivery)

,
Interventionmmol/L (Mean)
Visit P1 IDet (N)=138, NPH (N)=146FU Visit IDet (N)=138, NPH (N)=146Change from Visit P1-FU (N=136, 145)
Insulin Detemir7.647.810.16
Neutral Protamine Hagedorn (NPH) Insulin7.647.690.05

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Maternal Safety - Change in Insulin Aspart Specific Antibodies

Change in concentrations values for insulin aspart specific antibodies from baseline to Visit P4 was calculated. The unit for measuring antibody levels is amount of tracer bound to the antibodies in the precipitate (B) expressed in percentage of the total amount of tracer (T) added to the mixture (%B/T). Samples were taken before 1st dosing. (NCT00474045)
Timeframe: Baseline, Visit P4 (GW 36). Baseline is Visit 2 (randomisation visit, within 3 weeks of screening) for subjects not pregnant at randomisation and Visit P1 (GW 8-12) for pregnant subjects at randomisation.

,
Intervention%B/T (Median)
Baseline IDet (N)=145, NPH (N)=154Visit P4 IDet (N)=109, NPH (N)=110Change from Baseline-Visit P4(N=104,109)
Insulin Detemir0.440.43-0.12
Neutral Protamine Hagedorn (NPH) Insulin0.460.36-0.21

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Maternal Safety - Change in Albumin Serum Level (Biochemistry)

This is the standard safety lab parameter and is calculated as an estimate of the mean change from Visit P1 in albumin level at Follow-Up Visit (6 weeks after delivery). (NCT00474045)
Timeframe: Visit P1 (GW 8-12), Follow-Up (FU) Visit (6 weeks after delivery)

,
Interventiong/dL (Mean)
Visit P1 IDet (N)=138, NPH (N)=145FU Visit IDet (N)=138, NPH (N)=146Change from Visit P1-FU (N=136, 145)
Insulin Detemir4.054.190.13
Neutral Protamine Hagedorn (NPH) Insulin4.044.120.09

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Mean Number of Total Hypoglycaemic Episodes, Month 1

Mean number of total hypoglycaemic episodes per patient expressed as rate per week by visit. Rate per week is calculated by dividing the number of episodes for each patient by the number of weeks in the period. (NCT00506662)
Timeframe: weeks -2-0, month 1

,
Interventionepisodes per week by visit (Mean)
Screening (week -2 to week 0)Month 1 (weeks 1-4)Difference (month 1-screening)
Insulin Detemir0.0390.026-0.013
Insulin NPH0.0730.1200.047

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Mean Number of Total Hypoglycaemic Episodes, Months 2-4

Mean number of total hypoglycaemic episodes per patient expressed as rate per week by visit. Rate per week is calculated by dividing the number of episodes for each patient by the number of weeks in the period. (NCT00506662)
Timeframe: weeks -2-0, months 2-4

,
Interventionepisodes per week by visit (Mean)
Screening (week -2 to week 0)Months 2-4 (weeks 5-16)Difference (months 2-4 - screening)
Insulin Detemir0.0390.015-0.024
Insulin NPH0.0760.072-0.004

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Mean Number of Total Hypoglycaemic Episodes, Months 5-7

Mean number of total hypoglycaemic episodes per patient expressed as rate per week by visit. Rate per week is calculated by dividing the number of episodes for each patient by the number of weeks in the period. (NCT00506662)
Timeframe: weeks -2-0, months 5-7

,
Interventionepisodes per week by visit (Mean)
Screening (week -2 to week 0)Months 5-7 (weeks 17-28)Difference (months 5-7 - screening)
Insulin Detemir0.0390.018-0.022
Insulin NPH0.0580.041-0.017

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Hormonal Assessment: Insulin-like Growth Factor-1

Insulin-like growth factor-1 (IGF-1) levels after each treatment period. (NCT00509925)
Timeframe: Week 14, week 30

,
Interventionng/ml (Mean)
Treatment period 1, N=12, 9Treatment period 2, N=9, 10
Insulin Detemir First, Then Insulin NPH212.3179.8
Insulin NPH First, Then Insulin Detemir206.8168.4

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Hormonal Assessment: Leptin

Leptin levels after each treatment period. (NCT00509925)
Timeframe: Week 14, week 30

,
Interventionng/ml (Mean)
Treatment period 1, N=12, 10Treatment period 2, N=9, 11
Insulin Detemir First, Then Insulin NPH9.49.9
Insulin NPH First, Then Insulin Detemir10.56.6

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Hormonal Assessment: Resistin

Resistin levels after each treatment period. (NCT00509925)
Timeframe: Week 14, week 30

,
Interventionng/ml (Mean)
Treatment period 1, N=12, 10Treatment period 2, N=9, 11
Insulin Detemir First, Then Insulin NPH8.28.4
Insulin NPH First, Then Insulin Detemir10.216.2

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Hypoglycaemic Episodes, Diurnal/Nocturnal

Total number of hypoglycaemic episodes during the day (diurnal) and the night (nocturnal) experienced in the study. (NCT00509925)
Timeframe: Weeks 0-32

,
Interventionepisodes (Number)
DiurnalNocturnalTime of event not recorded
Insulin Detemir62262
Insulin NPH601534

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Lean Body Mass

Lean body mass was measured using Bioelectrical Impedance Analysis (BIA), a method used for estimating body composition. (NCT00509925)
Timeframe: Week 16, week 32

,
Interventionkg (Mean)
Treatment period 1, N=12, 10Treatment period 2, N=9, 12
Insulin Detemir First, Then Insulin NPH58.959.9
Insulin NPH First, Then Insulin Detemir63.764.3

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Waist:Hip Ratio

At each time-point, 3 measurements each of waist and hip circumference were taken, then an average across the three measurements was calculated for both and the ratio was calculated as the waist average in cm divided by hip average in cm, and multiplied by 100. (NCT00509925)
Timeframe: Week 16, week 32

,
Interventionpercentage of hip circumference (Mean)
Treatment period 1, N= 12, 10Treatment period 2, N= 10, 12
Insulin Detemir First, Then Insulin NPH92.492.4
Insulin NPH First, Then Insulin Detemir94.494.8

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Fasting Plasma Glucose

Fasting plasma glucose (FPG) after each treatment period. (NCT00509925)
Timeframe: Week 16, week 32

,
Interventionmmol/L (Mean)
Treatment period 1, N=12, 9Treatment period 2, N=10, 12
Insulin Detemir First, Then Insulin NPH13.39.1
Insulin NPH First, Then Insulin Detemir10.513.3

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Component of Total Energy Expenditure: Diet Induced Thermogenesis (DIT)

Diet induced thermogenesis (DIT) is a component of TEE (total energy expenditure) and is the energy expenditure following feeding for anabolic processes. Subjects fasted overnight and rested for 1 hour. Multiple measurements of REE (resting energy expenditure) were taken. A fixed 600 kcal liquid meal was given and REE was measured over the next 3 hours. DIT was calculated as area under the curve of total REE-resting REE for the 3-hour period and was then converted to a per day measurement by taking into account each individual's average daily food intake. (NCT00509925)
Timeframe: Week 14, week 30

Interventionkcal/day (Mean)
Insulin Detemir73.0
Insulin NPH74.3

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Component of Total Energy Expenditure: Non-exercise Activity Thermogenesis (NEAT)

Non-exercise activity thermogenesis is a component of TEE (total energy expenditure). Thermic efficiency was assessed by measuring O2 consumption/CO2 production while the subject exercised on a bike for 20 minutes while hooked up to a device that recorded their respiration (visit in week 14 and week 30). If thermic efficiency was unchanged and volitional exercise was unchanged, then any change in physical activity thermogenesis was due to changes in NEAT. (NCT00509925)
Timeframe: Week 16, week 32

Interventionkcal/day (Mean)
Insulin Detemir1163.7
Insulin NPH1170.0

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Component of Total Energy Expenditure: Physical Activity Thermogenesis

Physical activity thermogenesis is a component of TEE (total energy expenditure). Subjects were asked not to change their physical activity levels. Physical activity thermogenesis can be calculated as the difference between TEE minus (REE + DIT), as long as volitional exercise is unchanged. Volitional exercise was assessed using Actiheart 3-D monitor readings. Subjects were asked to measure their normal activity for between 1 and 5 days prior to their visits at week 16 and week 32). (NCT00509925)
Timeframe: Week 16, week 32

Interventionkcal/day (Mean)
Insulin Detemir588.5
Insulin NPH542.7

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Component of Total Energy Expenditure: Resting Energy Expenditure (REE)

Resting energy expenditure (REE) is a component of TEE (total energy expenditure). It was measured at 2 different timepoints during the trial using indirect calorimetry (measurement of O2 consumption/CO2 production) after an overnight fast when subjects would be metabolising a mixture of carbohydrate and free fatty acid. This technique allowed the calculation of the rate of carbohydrate and lipid oxidation. (NCT00509925)
Timeframe: Week 14, week 30

Interventionkcal/day (Mean)
Insulin Detemir1932.5
Insulin NPH2034.5

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Hypoglycaemic Episodes

Total number of hypoglycaemic episodes experienced in the study. (NCT00509925)
Timeframe: Weeks 0-32

Interventionepisodes (Number)
Insulin Detemir90
Insulin NPH109

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Total Energy Expenditure, Dietary Record Method

The total energy expenditure (TEE) measured after each treatment period by the dietary record method. The calculation of energy balance is accomplished by compiling an accurate record of food intake over a period of time and measuring any changes in body weight that occur during that time. Data from the 7-day food diary was used to calculate TEE. (NCT00509925)
Timeframe: Weeks 14-16, weeks 30-32

Interventionkcal/day (Mean)
Insulin Detemir2017.9
Insulin NPH2181.0

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Total Energy Expenditure, Double-labelled Water Method

Total energy expenditure (TEE) measured after each treatment period by the double-labelled water (DLW) method. This technique required subjects to label their body water using oral administration of water labelled with 2 stable isotopes (2H218O). The clearance of 2H and 18O was measured over a two week period with daily collections of urine. The difference between the clearance of 2H and 18O is a measure of CO2 production rate. This can be converted to provide a measure of energy expenditure. (NCT00509925)
Timeframe: Weeks 14-16, weeks 30-32

Interventionkcal/day (Mean)
Insulin Detemir2942.2
Insulin NPH3007.2

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Body Weight

Body weight after each treatment period. (NCT00509925)
Timeframe: Week 16, week 32

,
Interventionkg (Mean)
Treatment period 1, N= 12, 10Treatment period 2, N= 10, 12
Insulin Detemir First, Then Insulin NPH80.682.9
Insulin NPH First, Then Insulin Detemir86.084.8

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Fat Mass

Fat mass was measured using Bioelectrical Impedance Analysis (BIA), a method used for estimating body composition. (NCT00509925)
Timeframe: Week 16, week 32

,
Interventionkg (Mean)
Treatment period 1, N=12, 10Treatment period 2, N=9, 12
Insulin Detemir First, Then Insulin NPH21.723.0
Insulin NPH First, Then Insulin Detemir22.319.2

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Glycosylated Haemoglobin A1c (HbA1c)

Glycosylated haemoglobin A1c (HbA1c) after each treatment period. (NCT00509925)
Timeframe: Week 16, week 32

,
Interventionpercentage of total haemoglobin (Mean)
Treatment period 1, N=11, 10Treatment period 2, N=10, 12
Insulin Detemir First, Then Insulin NPH7.87.6
Insulin NPH First, Then Insulin Detemir7.48.0

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Hormonal Assessment: Adiponectin

Adiponectin levels after each treatment period. (NCT00509925)
Timeframe: Week 14, week 30

,
Interventionng/ml (Mean)
Treatment period 1, N=12, 10Treatment period 2, N=9, 11
Insulin Detemir First, Then Insulin NPH15978.315189.5
Insulin NPH First, Then Insulin Detemir11361.011053.3

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Change in Mixed-meal-stimulated Peak C-peptide Value (Via Mixed-meal Tolerance Test) After 12 Months of Insulin Pump Therapy, Compared With MDI.

(NCT00574405)
Timeframe: 12 months

Interventionng/mL (Mean)
Multiple Daily Injection Therapy1.8
Insulin Pump Therapy, Started at Diagnosis.3.1

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Mean Daily Blood Glucose Concentration Between the Two Groups After the Resolution of Ketoacidosis and Transition to Subcutaneous Insulin

The primary outcome during the subcutaneous (SC) period (the primary outcome measurement) was to determine differences in glycemic control as measured by mean daily blood glucose(BG) concentration between treatment groups. The results were obtained from the citation Umpierrez GE, Jones S, Smiley D, Mulligan P, Keyler T, Temponi A, Semakula C, Umpierrez D, Peng L, Cerón M, Robalino G. Insulin analogs versus human insulin in the treatment of patients with diabetic ketoacidosis: a randomized controlled trial. Diabetes Care. 2009 Jul;32(7):1164-9. doi: 10.2337/dc09-0169. Epub 2009 Apr 14. PubMed Identification (ID): 19366972. (NCT00590044)
Timeframe: Day1 - Day5 after the resolution of ketoacidosis and transition to subcutaneous insulin

,
Interventionmg/dl (Mean)
Day 1Day 2Day 3Day 4Day 5
Glargine (Lantus) + Glulisine213220180158124
NPH + Regular188206207211190

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Number of Hypoglycemia Episodes After the Transition Period From Intravenous Insulin to Subcutaneous Insulin Between 2 Treatment Groups

To determine the safety of the two treatments the number of hypoglycemia episodes that occurred between the 2 groups are measured from the time of transitioning to subcutaneous insulin to day 5. The hypoglycemia events are defined as blood glucose levels <70 mg/dL. The results were obtained from the citation Umpierrez GE, Jones S, Smiley D, Mulligan P, Keyler T, Temponi A, Semakula C, Umpierrez D, Peng L, Cerón M, Robalino G. Insulin analogs versus human insulin in the treatment of patients with diabetic ketoacidosis: a randomized controlled trial. Diabetes Care. 2009 Jul;32(7):1164-9. doi: 10.2337/dc09-0169. Epub 2009 Apr 14. PubMed ID: 19366972. (NCT00590044)
Timeframe: 5 days after transitioning to subcutaneous insulin

Interventionnumber of hypoglycemia episodes (Number)
Insulin Glargine+Glulisine8
Split-mixed NPH + Regular Insulin26

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Mean Blood Glucose Concentration in mg/dL While on the Insulin Drip Among the 2 Groups

To determine the differences in glycemic control as measured by differences in the mean daily blood glucose levels between treatment groups (insulin drip with regular insulin vs glulisine insulin) during the acute phase of diabetic ketoacidosis(DKA) before transitioning to subcutaneous insulin. The results were obtained from the citation Umpierrez GE, Jones S, Smiley D, Mulligan P, Keyler T, Temponi A, Semakula C, Umpierrez D, Peng L, Cerón M, Robalino G. Insulin analogs versus human insulin in the treatment of patients with diabetic ketoacidosis: a randomized controlled trial. Diabetes Care. 2009 Jul;32(7):1164-9. doi: 10.2337/dc09-0169. Epub 2009 Apr 14. PubMed ID: 19366972. (NCT00590044)
Timeframe: up to 20 hours

Interventionmg/dL (Mean)
Glargine (Lantus) + Glulisine153
NPH + Regular185

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Difference in Time in Hours to Resolution of DKA Between the 2 Groups

The mean duration of treatment until resolution of ketoacidosis is measured and compared between the 2 groups. The DKA was considered resolved when blood glucose was 250 mg/dl, the serum bicarbonate level was <18 mmol/l, and venous phenol hydroxylase (pH) was 7.30. The results were obtained from the citation Umpierrez GE, Jones S, Smiley D, Mulligan P, Keyler T, Temponi A, Semakula C, Umpierrez D, Peng L, Cerón M, Robalino G. Insulin analogs versus human insulin in the treatment of patients with diabetic ketoacidosis: a randomized controlled trial. Diabetes Care. 2009 Jul;32(7):1164-9. doi: 10.2337/dc09-0169. Epub 2009 Apr 14. PubMed ID: 19366972. (NCT00590044)
Timeframe: up to 20 hours

Interventionhours (Mean)
Glargine (Lantus) + Glulisine8.9
NPH + Regular10.5

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Mean AM BG (mg/dl)

average AM daily BG with detemir insulin once daily plus insulin aspart before meals and NPH insulin twice daily plus regular insulin before meals in patients with DM2 (NCT00590226)
Timeframe: during hospitalization

Interventionmg/dl (Mean)
Detemir + Aspart144
NPH+Regular155

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Number of Patients With Hypoglycemic Events

number of patients with hypoglycemic events as defined as BG 40-59 mg/dl (NCT00590226)
Timeframe: during hospitalization

Interventionparticipants (Number)
Detemir + Aspart15
NPH+Regular13

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Acute/Active Rejection

Grades IA through III and antibody immediate rejection, either A (immediate or hyperacute) or B (delayed or accelerated acute) were diagnosed and classified based on renal allograft biopsies according to the Banff 97 Working Classification of Renal Allograph Pathology. (NCT00609986)
Timeframe: 30 months

Interventionparticipants (Number)
Intensive9
Control2

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Delayed Graft Function

Need for dialysis in the first week post-transplant in a patient who required dialysis pre-transplantation or day-10 post-transplant creatinine concentration above 2.5 mg/dl. (NCT00609986)
Timeframe: 10 days

Interventionparticipants (Number)
Intensive8
Control12

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Severe Hyperglycemia

Blood glucose greater than 350 mg/dl. (NCT00609986)
Timeframe: 30 months

Interventionparticipants (Number)
Intensive5
Control12

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Severe Hypoglycemia

Blood glucose less than 40 mg/dl (NCT00609986)
Timeframe: 30 months

Interventionparticipants (Number)
Intensive7
Control2

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Body Mass Index Change From Baseline

Change in body mass index from baseline BMI measurement (NCT00686712)
Timeframe: 6 months

Interventionkg per square meter (Mean)
1 - Insulin Glargine QHS0.7
2 - Insulin Glargine QAM1.1
3 - NPH Insulin QHS0.0

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Any Adverse Event Other Than Hypoglycemia

Any reported adverse event that is not hypoglycemia (NCT00686712)
Timeframe: 6 months

InterventionEvents (Number)
1 - Insulin Glargine QHS1
2 - Insulin Glargine QAM2
3 - NPH Insulin QHS1

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Total Daily Insulin Dose

Total daily number of units of insulin used (NCT00686712)
Timeframe: 6 months

InterventionUnits of insulin per day (Mean)
1 - Insulin Glargine QHS17.7
2 - Insulin Glargine QAM17.9
3 - NPH Insulin QHS14.6

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Hemoglobin A1c Change From Baseline

(NCT00686712)
Timeframe: Baseline to 6 months

InterventionPercent (Mean)
Insulin Glargine at Bedtime-1.3
Insulin Glargine in AM-1.9
NPH Insulin-1.4

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Frequency of Total Hypoglycemic Reactions

Frequency of hypoglycemic reactions without regard to time of occurrence (NCT00686712)
Timeframe: 6 months

InterventionHypoglycemic events per patient (Mean)
1 - Insulin Glargine QHS6.7
2 - Insulin Glargine QAM9.6
3 - NPH Insulin QHS8.2

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Frequency of Severe Hypoglycemic Reactions

Frequency of severe hypoglycemic reactions, defined as those requiring the assistance of another person (NCT00686712)
Timeframe: 6 months

InterventionSevere hypoglycemic events (Number)
1 - Insulin Glargine QHS0
2 - Insulin Glargine QAM0
3 - NPH Insulin QHS0

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Frequency of Glucose Readings < 130 mg/dL

Frequency of glucose readings below the recommended pre-meal glucose target of 130 mg/dL (NCT00686712)
Timeframe: 6 months

Interventionpercentage of readings (Mean)
1 - Insulin Glargine QHS61.7
2 - Insulin Glargine QAM73.0
3 - NPH Insulin QHS72.6

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Absolute Change in Blood Volume (Haematocrit)

(NCT00795600)
Timeframe: Week 0, week 26

Interventionpercentage (Mean)
Insulin Detemir-1.17
Insulin NPH-1.06

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Absolute Change in Adiponectin

Absolute change in adiponectin as response variable with treatment, sex and Metformin use as fixed factors, and Adiponectic at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventionmcg/dL (Least Squares Mean)
Insulin Detemir0.926
Insulin NPH2.844

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Absolute Change in Bilirubin Total

(NCT00795600)
Timeframe: Week 0, week 26

Interventionmg/dL (Mean)
Insulin Detemir-0.07
Insulin NPH-0.07

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Absolute Change in Basophils

(NCT00795600)
Timeframe: Week 0, week 26

Intervention10^9 cells/L (Mean)
Insulin Detemir0.00
Insulin NPH-0.01

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Absolute Change in Aspartate Aminotransferase (ASAT)

(NCT00795600)
Timeframe: Week 0, week 26

InterventionIU/L (Mean)
Insulin Detemir0.23
Insulin NPH-0.48

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Absolute Change in Alkaline Phosphatase

(NCT00795600)
Timeframe: Week 0, week 26

InterventionIU/L (Mean)
Insulin Detemir-7.10
Insulin NPH-12.55

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Absolute Change in Albumin

(NCT00795600)
Timeframe: Week 0, week 26

Interventionmg/dL (Mean)
Insulin Detemir-0.02
Insulin NPH0.01

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Absolute Change in Alanine Aminotransferase (ALAT)

(NCT00795600)
Timeframe: Week 0, week 26

InterventionIU/L (Mean)
Insulin Detemir-3.59
Insulin NPH-4.55

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Absolute Change in Haemoglobin

(NCT00795600)
Timeframe: Week 0, week 26

Interventiong/dL (Mean)
Insulin Detemir-0.38
Insulin NPH-0.35

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Absolute Change in Free Fatty Acids

(NCT00795600)
Timeframe: Week 0, week 26

Interventionmg/dL (Mean)
Insulin Detemir-0.03
Insulin NPH-0.05

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Absolute Change in Fasting Plasma Glucose (FPG)

Absolute Change in Fasting Plasma Glucose as response variable with treatment, sex and Metformin use as fixed factors, and Fasting Plasma Glucose at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventionmg/dL (Least Squares Mean)
Insulin Detemir-48.29
Insulin NPH-37.36

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Absolute Change in Whole Body Fat Mass

Absolute change in whole body fat mass as response variable with treatment, sex and Metformin use as fixed factors, and trunk fat mass at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventiongrams (g) (Least Squares Mean)
Insulin Detemir1147.1
Insulin NPH858.88

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Absolute Change in Eosinophils

(NCT00795600)
Timeframe: Week 0, week 26

Intervention10^9 cells/L (Mean)
Insulin Detemir0.01
Insulin NPH0.01

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Absolute Change in Creatinine

(NCT00795600)
Timeframe: Week 0, week 26

Interventionmg/dL (Mean)
Insulin Detemir0.03
Insulin NPH-0.00

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Absolute Change in Creatine Phosphokinase

(NCT00795600)
Timeframe: Week 0, week 26

InterventionIU/L (Mean)
Insulin Detemir-19.86
Insulin NPH21.56

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Absolute Change in Calculated Whole Body Fat Percentage

Absolute change in calculated whole body fat percentage as response variable with treatment, sex and Metformin use as fixed factors, and calculated whole body fat percentage at week 0 as covariate (NCT00795600)
Timeframe: Week 0, week 26

Interventionpercent of whole body fat (%) (Least Squares Mean)
Insulin Detemir0.782
Insulin NPH0.291

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Absolute Change in Calculated Visceral/Subcutaneous Adipose Tissue Ratio

Absolute change in Calculated Visceral/Subcutaneous Adipose Tissue Ratio as response variable with treatment, sex and Metformin use as fixed factors, and Calculated Visceral/Subcutaneous Adipose Tissue Area at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventionratio (Least Squares Mean)
Insulin Detemir-0.032
Insulin NPH-0.036

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Absolute Change in Waist Circumference

Absolute change in waist circumference was based on ANCOVA model for absolute change from week 0 to week 26 as response variable with treatment, sex and Metformin use as fixed factors, and Waist at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventioncm (Least Squares Mean)
Insulin Detemir0.064
Insulin NPH0.609

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Percentual Change in Calculated Whole Body Fat Percentage

Percentual Change in Calculated Whole Body Fat Percentage as response variable with treatment, sex and Metformin use as fixed factors, and Calculated Whole Body Fat Percentage at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventionpercent change (Least Squares Mean)
Insulin Detemir1.607
Insulin NPH1.491

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Percentual Change in Calculated Trunk Fat Percentage

Percentual Change in Calculated Trunk Fat Percentage as response variable with treatment, sex and Metformin use as fixed factors, and Calculated Trunk Fat Percentage at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventionpercent change (Least Squares Mean)
Insulin Detemir-1.543
Insulin NPH0.042

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Percentage Change in Whole Body Lean Mass

Percentage Change in Whole Body Lean Mass as response variable with treatment, sex and Metformin use as fixed factors, and whole Body Lean Mass at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventionpercent change (Least Squares Mean)
Insulin Detemir0.051
Insulin NPH2.798

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Percentage Change in Whole Body Fat Mass

Percentage Change in Whole Body Fat Mass as response variable with treatment, sex and Metformin use as fixed factors, and whole Body Fat Mass at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventionpercent change (Least Squares Mean)
Insulin Detemir3.870
Insulin NPH4.047

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Percentage Change in Visceral Adipose Tissue Area

Percentage Change in Visceral Adipose Tissue Area as response variable with treatment, sex and Metformin use as fixed factors, and Visceral Adipose Tissue Area at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventionpercent change (Least Squares Mean)
Insulin Detemir-0.535
Insulin NPH4.526

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Percentage Change in Trunk Lean Mass

Percentage Change in Trunk Lean Mass as response variable with treatment, sex and Metformin use as fixed factors, and Trunk Lean Mass at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventionpercent change (Least Squares Mean)
Insulin Detemir1.480
Insulin NPH2.090

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Percentage Change in Trunk Fat Mass (Defined as Peripheral Fat Ratio)

Percentage of change of trunk fat mass as the dependent variable, baseline value (trunk fat mass at week 0) as covariate, treatment with metformin (yes/no) and gender (male/female) as effect and the treatment received (insulin detemir/insulin NPH) as the main factor. (NCT00795600)
Timeframe: week 0, week 26

Interventionpercent change (Least Squares Mean)
Insulin Detemir0.366
Insulin NPH1.011
Insulin Detemir0.535
Insulin NPH1.126

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Percentage Change in Subcutaneous Adipose Tissue Area

Percentage Change in Subcutaneous Adipose Tissue Area as response variable with treatment, sex and Metformin use as fixed factors, and Subcutaneous Adipose Tissue Area at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventionpercent change (Least Squares Mean)
Insulin Detemir1.153
Insulin NPH5.743

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Percentage Change in Liver/Spleen Attenuation Ratio

Percentage Change in Liver/Spleen Attenuation Ratio as response variable with treatment, sex and Metformin use as fixed factors, and Liver to Spleen Attenuation Ratio at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventionpercent change (Least Squares Mean)
Insulin Detemir-2.632
Insulin NPH-0.855

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Percentage Change in Calculated Visceral/Subcutaneous Adipose Tissue Ratio

Percentage Change in Calculated Visceral/Subcutaneous Adipose Tissue Area as response variable with treatment, sex and Metformin use as fixed factors, and Calculated Visceral/Subcutaneous Adipose Tissue Area at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventionpercent change (Least Squares Mean)
Insulin Detemir-4.092
Insulin NPH-3.303

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Number of Non-serious Adverse Events

Number of episodes reported during the trial. (NCT00795600)
Timeframe: Weeks 0-26

Interventionevents (Number)
Insulin Detemir64
Insulin NPH103

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Number of Hypoglycaemic Episodes

Number of episodes reported during the trial. (NCT00795600)
Timeframe: Weeks 0-26

Interventionepisodes (Number)
Insulin Detemir17
Insulin NPH32

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Absolute Change in Whole Body Lean Mass

Absolute change in whole body lean mass as response variable with treatment, sex and Metformin use as fixed factors, whole body lean mass at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventiongrams (g) (Least Squares Mean)
Insulin Detemir-54.20
Insulin NPH1097.2

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Absolute Change in Erythrocytes

(NCT00795600)
Timeframe: Week 0, week 26

Interventionpercentage (Mean)
Insulin Detemir4.64
Insulin NPH4.38

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Absolute Change in Visceral Adipose Tissue Area

Absolute change in visceral adipose tissue area as response variable with treatment, sex and Metformin use as fixed factors, and visceral adipose tissue area at week 0 as covariate (NCT00795600)
Timeframe: Week 0, week 26

Interventioncm^2 (Least Squares Mean)
Insulin Detemir-3.258
Insulin NPH5.658

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Absolute Change in Very Low Density Lipoprotein (VLDL) Cholesterol

(NCT00795600)
Timeframe: Week 0, week 26

Interventionmg/dL (Mean)
Insulin Detemir1.05
Insulin NPH1.54

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Absolute Change in Urea

(NCT00795600)
Timeframe: Week 0, week 26

Interventionmg/dL (Mean)
Insulin Detemir2.45
Insulin NPH0.50

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Absolute Change in Trunk Lean Mass

Absolute change in trunk lean mass as response variable with treatment, sex and Metformin use as fixed factors, and trunk lean mass at week 0 as covariate (NCT00795600)
Timeframe: Week 0, week 26

Interventiongrams (g) (Least Squares Mean)
Insulin Detemir359.43
Insulin NPH469.84

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Absolute Change in Trunk Fat Mass

Absolute change in trunk fat mass as response variable with treatment, sex and Metformin use as fixed factors, and trunk fat mass at week 0 as covariate. (NCT00795600)
Timeframe: week 0, week 26

Interventiongrams (g) (Least Squares Mean)
Insulin Detemir133.99
Insulin NPH-62.37
Insulin Detemir153.38
Insulin NPH39.43

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Absolute Change in Triglycerides

(NCT00795600)
Timeframe: Week 0, week 26

Interventionmg/dL (Mean)
Insulin Detemir-14.71
Insulin NPH-20.97

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Absolute Change in Total Cholesterol

(NCT00795600)
Timeframe: Week 0, week 26

Interventionmg/dL (Mean)
Insulin Detemir-8.96
Insulin NPH7.77

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Absolute Change in Thrombocytes

(NCT00795600)
Timeframe: Week 0, week 26

Interventionpercentage (Mean)
Insulin Detemir0.10

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Absolute Change in Subcutaneous Adipose Tissue Area

Absolute change in subcutaneous adipose tissue area as response variable with treatment, sex and Metformin use as fixed factors, and subcutaneous adipose tissue area at week 0 as covariate (NCT00795600)
Timeframe: Week 0, week 26

Interventioncm^2 (Least Squares Mean)
Insulin Detemir7.654
Insulin NPH12.616

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Absolute Change in Sodium

(NCT00795600)
Timeframe: Week 0, week 26

Interventionmmol/L (Mean)
Insulin Detemir1.12
Insulin NPH0.69

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Absolute Change in PAI-1 (Plasminogen Activator Inhibitor-1)

(NCT00795600)
Timeframe: Week 0, week 26

Interventionng/L (Least Squares Mean)
Insulin Detemir-10.77
Insulin NPH-12.50

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Absolute Change in Neutrophils

(NCT00795600)
Timeframe: Week 0, week 26

Interventionpercentage (Mean)
Insulin Detemir-0.29
Insulin NPH0.01

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Absolute Change in Monocytes

(NCT00795600)
Timeframe: Week 0, week 26

Interventionpercentage (Mean)
Insulin Detemir0.10

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Absolute Change in Lymphocytes

(NCT00795600)
Timeframe: Week 0, week 26

Interventionpercentage (Mean)
Insulin Detemir-0.10

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Absolute Change in Low Density Lipoprotein (LDL) Cholesterol

(NCT00795600)
Timeframe: Week 0, week 26

Interventionmg/dL (Mean)
Insulin Detemir2.39
Insulin NPH6.14

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Absolute Change in Liver/Spleen Attenuation Ratio

Absolute change in Liver/Spleen Attenuation Ratio as response variable with treatment, sex and Metformin use as fixed factors, and Liver/Spleen Attenuation Ratio at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventionratio (Least Squares Mean)
Insulin Detemir-0.044
Insulin NPH-0.023

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Absolute Change in Leucocytes

(NCT00795600)
Timeframe: Week 0, week 26

Intervention10^9 cells/L (Mean)
Insulin Detemir-0.01
Insulin NPH-0.07

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Absolute Change in Potassium

(NCT00795600)
Timeframe: Week 0, week 26

Interventionmmol/L (Mean)
Insulin Detemir-0.20
Insulin NPH0.21

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Absolute Change in hsCRP (Highly Sensitive C Reactive Protein)

Absolute change in hsCRP was based on ANCOVA model for absolute change from week 0 to week 26 as response variable with treatment, sex and Metformin use as fixed factors, and hsCRP at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventionmg/L (Least Squares Mean)
Insulin Detemir1.200
Insulin NPH-0.862

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Absolute Change in Hip Circumference

Absolute Change in Hip Circumferences was based on ANCOVA model for absolute change from week 0 to week 26 as response variable with treatment, sex, and Metformin use as fixed factors, and hip circumference at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventioncm (Least Squares Mean)
Insulin Detemir0.577
Insulin NPH0.112

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Absolute Change in High Density Lipoprotein (HDL) Cholesterol

(NCT00795600)
Timeframe: Week 0, week 26

Interventionmg/dL (Mean)
Insulin Detemir-0.95
Insulin NPH2.87

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Absolute Change in HbA1c (Glycosylated Haemoglobin)

Absolute Change in HbA1c as response variable with treatment, sex and Metformin use as fixed factors, and HbA1c at week 0 as covariate. (NCT00795600)
Timeframe: Week 0, week 26

Interventionpercentage of glycosylated haemoglobin (Least Squares Mean)
Insulin Detemir-0.922
Insulin NPH-0.792

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Absolute Change in Calculated Trunk Fat Percentage

Absolute change in calculated trunk fat percentage as response variable with treatment, sex and Metformin use as fixed factors, and calculated trunk fat percentage at week 0 as covariate (NCT00795600)
Timeframe: Week 0, week 26

Interventionpercent of trunk fat (%) (Least Squares Mean)
Insulin Detemir-0.600
Insulin NPH-0.321

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Absolute Change in Body Weight

Absolute change in body weight was based on ANCOVA model for absolute change from week 0 to week 26 as response variable with treatment, sex and Metformin use as fixed factors, and body weight at week 0 as covariable. (NCT00795600)
Timeframe: Week 0, week 26

Interventionkg (Least Squares Mean)
Insulin Detemir1.663
Insulin NPH2.293

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Number of Babies With Adverse Neonatal Outcomes

Resuscitation in the delivery room, preterm birth < 37 weeks, neonatal intensive care unit care, birth injury or diagnosis of neonatal complication, glucose infusion, antibiotics, or phototherapy. (NCT00835861)
Timeframe: Delivery until hospital discharge

Interventionnumber of babies (Number)
Metformin4
Insulin7

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Maternal Weight Gain

(NCT00835861)
Timeframe: Baseline throughout pregnancy until last prenatal visit.

Interventionkg/week (Median)
Metformin0.28
Insulin0.30

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Number of Babies With Neonatal Hypoglycemia

Initial neonatal glucose < 40 mg/dL (NCT00835861)
Timeframe: Time of delivery through hospital discharge

InterventionNumber of babies (Number)
Metformin2
Insulin0

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Number of Episodes Maternal Hypoglycemia

Maternal glucose < 60 mg/dL (NCT00835861)
Timeframe: Baseline throughout pregnancy until time of delivery

InterventionNumber of episodes (Number)
Metformin1
Insulin7

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Number of Patients With Obstetric Complications

Maternal complications were stillbirths, major malformations, shoulder dystocia, or postpartum hemorrhage requiring transfusion. (NCT00835861)
Timeframe: Throughout pregnancy until hospital discharge following delivery.

Interventionparticipants (Number)
Metformin0
Insulin0

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Blood Glucose Measurements

Patients self monitored glucose measures throughout pregnancy to aid glycemic control. Fasting morning measures and postprandial measures were taken at 1 hour after breakfast, lunch, and dinner. (NCT00835861)
Timeframe: Daily fasting and 1-hr post prandial measures were taken from time of enrollment until delivery

,
Interventionmg/dL (Median)
Fasting throughout enrollmentFasting 18-20 weeksFasting 28-30 weeksFasting 36-38 weeksPostprandial throughout enrollmentPostprandial 18-20 weeksPostprandial 28-30 weeksPostprandial 36-38 weeks
Insulin95.0492.3890.6485.18128.62120.46126.45125.25
Metformin97.3897.0092.4389.49120.40118.40119.00122.59

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Glycosylated Hemoglobin (HbA1c) by Pregnancy Trimester

(NCT00835861)
Timeframe: 1st, 2nd, and 3rd trimester

,
Interventionpercentage of glycosolated hemoglobin (Median)
1st trimester2nd trimester3rd trimester
Insulin6.25.55.6
Metformin5.85.65.9

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Percent of Glucose Values at or Below Fasting Goal (<95 mg/dL)

NUMBER OF ASSESSMENTS OF FASTING GLUCOSE VALUES <95 (NCT00835861)
Timeframe: Baseline throughout pregnancy until time of delivery

,
Interventionpercent of glucose values (Number)
Throughout enrollment; n=1634, 143218-20 weeks; n=148, 25928-30 weeks; n=253, 20136-38 weeks; n=115, 83
Insulin58646296
Metformin48426476

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Percent of Glucose Values at or Below Postprandial Goal (<130 mg/dL)

NUMBER OF ASSESSMENTS OF POSTPRANDIAL GLUCOSE VALUES <130 (NCT00835861)
Timeframe: Baseline throughout pregnancy until time of delivery

,
Interventionpercent of glucose values (Number)
Throughout enrollment; n=4195, 379618-20 weeks; n=368, 42828-30 weeks; n=652, 55936-38 weeks; n=272,228
Insulin61675865
Metformin69727166

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Mean Change in Fasting Plasma Glucose, From Baseline to 4 Weeks

"Change in Fasting Glucose Level measured from plasma taken at Baseline and after 4 weeks of treatment.~A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population" (NCT01068860)
Timeframe: Baseline, 4 weeks

Interventionmmol/L (Least Squares Mean)
Canakinumab 150 mg + Metformin-0.32
Placebo + Metformin0.33
Canakinumab 150 mg + Metformin + Sulfonylurea-0.20
Placebo + Metformin + Sulfonylurea-0.23
Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia-0.33
Placebo + Met + Sulfonyl + Thiaz-0.36
Canakinumab 150 mg + Insulin-0.26
Placebo + Insulin-0.80
Canakinumab 150 mg in Participants With IGT-0.06
Placebo in Participants With IGT0.10

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Mean Change in Fasting Plasma Insulin, From Baseline to 4 Weeks

"Change in Fasting Insulin level taken from plasma, measured at Baseline and after 4 weeks of treatment.~A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population" (NCT01068860)
Timeframe: Baseline, 4 weeks

Interventionpmol/L (Least Squares Mean)
Canakinumab 150 mg + Metformin-3.58
Placebo + Metformin10.73
Canakinumab 150 mg + Metformin + Sulfonylurea-16.07
Placebo + Metformin + Sulfonylurea-9.40
Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia-0.77
Placebo + Met + Sulfonyl + Thiaz2.31
Canakinumab 150 mg + Insulin21.27
Placebo + Insulin25.67
Canakinumab 150 mg in Participants With IGT-.021
Placebo in Participants With IGT-3.43

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Mean Change in Fructosamine, From Baseline to 4 Weeks

"Change in Fructosamine Level taken from plasma, measured at Baseline and after 4 weeks of treatment.~A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population" (NCT01068860)
Timeframe: Baseline, 4 weeks

Interventionmmol/L (Least Squares Mean)
Canakinumab 150 mg + Metformin-5.30
Placebo + Metformin-0.75
Canakinumab 150 mg + Metformin + Sulfonylurea-3.45
Placebo + Metformin + Sulfonylurea-7.50
Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia-1.81
Placebo + Met + Sulfonyl + Thiaz-3.07
Canakinumab 150 mg + Insulin-3.00
Placebo + Insulin-19.73
Canakinumab 150 mg in Participants With IGT-6.36
Placebo in Participants With IGT1.39

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Mean Change in Insulin Area Under the Curve (AUC) 0-4 Hours, From Baseline to 4 Weeks

Blood samples were drawn after a test meal at 0, 15, 30, 45, 60, 90, 120, 180 and 240 min. Insulin levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab vs placebo within each T2DM group. The mixed model didn't include the IGT group. (NCT01068860)
Timeframe: Baseline, 4 weeks

Interventionpmol*hour/L (Least Squares Mean)
Canakinumab 150 mg + Metformin-9.37
Placebo + Metformin1.21
Canakinumab 150 mg + Metformin + Sulfonylurea-73.25
Placebo + Metformin + Sulfonylurea-38.32
Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia-36.96
Placebo + Met + Sulfonyl + Thiaz8.46
Canakinumab 150 mg + Insulin163.87
Placebo + Insulin139.24
Canakinumab 150 mg in Participants With IGT44.27
Placebo in Participants With IGT-106.68

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Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 0-2 Hours, From Baseline to 4 Weeks.

Change in Insulin Secretion Rate stimulated by Liquid mixed-meal challenge. Blood samples were taken prior to and after meal for glucose and insulin at sample times: -20, -10, -1 and 10, 20, 30, 60, 90, 120, 180, and 240 minutes relative to the start of the meal.A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include patients from the IGT population (NCT01068860)
Timeframe: Baseline, 4 weeks

Interventionpmol/min/m^2/mmol/L (Least Squares Mean)
Canakinumab 150 mg + Metformin-0.06
Placebo + Metformin-0.23
Canakinumab 150 mg + Metformin + Sulfonylurea0.04
Placebo + Metformin + Sulfonylurea0.45
Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia-0.79
Placebo + Met + Sulfonyl + Thiaz1.16
Canakinumab 150 mg + Insulin1.23
Placebo + Insulin-0.49
Canakinumab 150 mg in Participants With IGT-1.50
Placebo in Participants With IGT-1.93

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Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 0-4 Hours, From Baseline to 4 Weeks.

Change in Insulin Secretion Rate stimulated by Liquid mixed-meal challenge. Blood samples were taken prior to and after meal for glucose, insulin and C-peptide at sample times: -20, -10, -1 and 10, 20, 30, 60, 90, 120, 180, and 240 minutes relative to the start of the meal. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population. (NCT01068860)
Timeframe: Baseline, 4 weeks

Interventionpmol/min/m^2/mmol/L (Least Squares Mean)
Canakinumab 150 mg + Metformin0.44
Placebo + Metformin-0.99
Canakinumab 150 mg + Metformin + Sulfonylurea-0.32
Placebo + Metformin + Sulfonylurea1.22
Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia-0.63
Placebo + Met + Sulfonyl + Thiaz1.24
Canakinumab 150 mg + Insulin0.53
Placebo + Insulin-0.49
Canakinumab 150 mg in Participants With IGT-1.38
Placebo in Participants With IGT-1.35

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Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 2-4 Hours, From Baseline to 4 Weeks

Change in Insulin Secretion Rate stimulated by Liquid mixed-meal challenge Blood samples were taken prior to and after meal for glucose and insulin at sample times: -20, -10, -1 and 10, 20, 30, 60, 90, 120, 180, and 240 minutes relative to the start of the meal. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population (NCT01068860)
Timeframe: Baseline, 4 weeks

Interventionpmol/min/m^2/mmol/L (Least Squares Mean)
Canakinumab 150 mg + Metformin0.21
Placebo + Metformin-2.15
Canakinumab 150 mg + Metformin + Sulfonylurea-2.98
Placebo + Metformin + Sulfonylurea2.02
Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia0.15
Placebo + Met + Sulfonyl + Thiaz1.19
Canakinumab 150 mg + Insulin-0.43
Placebo + Insulin-0.51
Canakinumab 150 mg in Participants With IGT-0.71
Placebo in Participants With IGT-1.00

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Mean Change in Peak Plasma C-peptide Level, From Baseline to 4 Weeks

"Change in mean peak plasma C-peptide level measured from Baseline to 4 weeks of treatment.~A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population." (NCT01068860)
Timeframe: Baseline, 4 weeks

Interventionnmol/L (Least Squares Mean)
Canakinumab 150 mg + Metformin-0.04
Placebo + Metformin-0.04
Canakinumab 150 mg + Metformin + Sulfonylurea-0.10
Placebo + Metformin + Sulfonylurea0.16
Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia-0.21
Placebo + Met + Sulfonyl + Thiaz0.05
Canakinumab 150 mg + Insulin0.07
Placebo + Insulin-0.14
Canakinumab 150 mg in Participants With IGT-0.18
Placebo in Participants With IGT-0.18

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Mean Change in Peak Plasma Glucose, From Baseline to 4 Weeks

"Change in peak plasma glucose level as measured from Baseline to 4 weeks of treatment.~A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population." (NCT01068860)
Timeframe: Baseline, 4 weeks

Interventionmmol/L (Least Squares Mean)
Canakinumab 150 mg + Metformin-0.41
Placebo + Metformin0.21
Canakinumab 150 mg + Metformin + Sulfonylurea-0.43
Placebo + Metformin + Sulfonylurea-0.03
Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia-0.82
Placebo + Met + Sulfonyl + Thiaz-0.77
Canakinumab 150 mg + Insulin-0.15
Placebo + Insulin-0.60
Canakinumab 150 mg in Participants With IGT-0.34
Placebo in Participants With IGT-0.04

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Mean Change in Peak Plasma Insulin, From Baseline to 4 Weeks

Change in mean peak plasma Insulin level as measured from Baseline to 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population. (NCT01068860)
Timeframe: Baseline, 4 weeks

Interventionpmol/L (Least Squares Mean)
Canakinumab 150 mg + Metformin8.09
Placebo + Metformin44.56
Canakinumab 150 mg + Metformin + Sulfonylurea-55.07
Placebo + Metformin + Sulfonylurea11.33
Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia5.13
Placebo + Met + Sulfonyl + Thiaz-5.15
Canakinumab 150 mg + Insulin91.74
Placebo + Insulin36.87
Canakinumab 150 mg in Participants With IGT56.21
Placebo in Participants With IGT-26.43

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Mean Change in Post-prandial Glucose Area Under the Curve (AUC)0-4 Hours, From Baseline to 4 Weeks

Blood samples were drawn after a test meal at 0, 15, 30, 45, 60, 90, 120, 180 and 240 min. Insulin levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab vs placebo within each T2DM group. The mixed model didn't include the IGT group. (NCT01068860)
Timeframe: Baseline, 4 weeks

Interventionmmol*hr/L (Least Squares Mean)
Canakinumab 150 mg + Metformin-0.59
Placebo + Metformin0.46
Canakinumab 150 mg + Metformin + Sulfonylurea-1.37
Placebo + Metformin + Sulfonylurea-1.24
Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia-3.58
Placebo + Met + Sulfonyl + Thiaz-2.88
Canakinumab 150 mg + Insulin-1.49
Placebo + Insulin-1.76
Canakinumab 150 mg in Participants With IGT-0.71
Placebo in Participants With IGT-0.10

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Mean Change in Fasting Glucose Disposition Index(GDI)1 and Index 2, From Baseline to 4 Weeks

GDI 1 is the product of insulin sensitivity index (Si)during the 1st phase of insulin secretion and β-cell function as measured by the acute insulin response (AIR).GDI 2 is the product of (Si)during the 2nd phase of insulin secretion and β-cell function as measured by the acute insulin response (AIR). A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT group. (NCT01068860)
Timeframe: Baseline, 4 weeks

,,,,,,,,,
Interventionnumber (Least Squares Mean)
Index 1Index 2 (n= 32,15, 29,15, 30,13, 25, 15, 20, 26)
Canakinumab 150 mg + Insulin0.25-0.21
Canakinumab 150 mg + Metformin0.060.14
Canakinumab 150 mg + Metformin + Sulfonylurea0.06-0.94
Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia0.240.62
Canakinumab 150 mg in Participants With IGT-0.51-0.16
Placebo + Insulin-0.27-0.25
Placebo + Met + Sulfonyl + Thiaz0.330.49
Placebo + Metformin-0.29-0.81
Placebo + Metformin + Sulfonylurea0.370.81
Placebo in Participants With IGT-0.64-0.31

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Number of Participants Reporting Death, Serious Adverse Events (SAEs) and Adverse Events (AEs) Above 5% Frequency, From Baseline to 4 Weeks

An adverse event is any unwanted event, whether related to study drug or not occuring during the study period. A Serious Adverse Event (SAE) is an event resulting in death, requiring or prolonging hospitalization, a congenital anomaly or other important medical event. AEs and SAEs were recorded at each visit. (NCT01068860)
Timeframe: Baseline, 4 weeks

,,,,,,,,,
Interventionparticipants (Number)
Number of Participants with Serious Adverse EventsNumber of Participants with Non-serious AEs > 5%
Canakinumab 150 mg + Insulin06
Canakinumab 150 mg + Metformin00
Canakinumab 150 mg + Metformin + Sulfonylurea06
Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia04
Canakinumab 150 mg in Participants With IGT00
Placebo + Insulin03
Placebo + Met + Sulfonyl + Thiaz03
Placebo + Metformin04
Placebo + Metformin + Sulfonylurea03
Placebo in Participants With IGT00

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Mean Change in Absolute Glucose Level at 2 Hours, From Baseline to 4 Weeks

"Change in glucose level measured after 2 hours of fasting. Blood sample was drawn at 0 minutes and at 240 minutes.~A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population." (NCT01068860)
Timeframe: Baseline, 4 weeks

Interventionmmol/L (Least Squares Mean)
Canakinumab 150 mg + Metformin-0.53
Placebo + Metformin0.13
Canakinumab 150 mg + Metformin + Sulfonylurea-0.60
Placebo + Metformin + Sulfonylurea0.18
Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia-1.08
Placebo + Met + Sulfonyl + Thiaz-0.56
Canakinumab 150 mg + Insulin-0.56
Placebo + Insulin-0.16
Canakinumab 150 mg in Participants With IGT-0.26
Placebo in Participants With IGT-0.25

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Mean Change in Quantitative Insulin Sensitivity Check Index (QUICKI) Score, From Baseline to 4 Weeks

"The Quantitative Insulin Sensitivity Check Index (QUICKI) score, measures insulin sensitivity which is the inverse of insulin resistance. The score is calculated by the equation: 1 /(log(fasting insulin µU/mL) + log(fasting glucose mg/dL)). In normal subjects the mean score ± SE is 0.366 ± 0.029.~A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population." (NCT01068860)
Timeframe: Baseline, 4 weeks

Interventionnumber (Least Squares Mean)
Canakinumab 150 mg + Metformin0.004
Placebo + Metformin-0.000
Canakinumab 150 mg + Metformin + Sulfonylurea0.002
Placebo + Metformin + Sulfonylurea0.009
Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia0.018
Placebo + Met + Sulfonyl + Thiaz-0.001
Canakinumab 150 mg + Insulin-0.003
Placebo + Insulin0.005
Canakinumab 150 mg in Participants With IGT-0.001
Placebo in Participants With IGT0.001

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Mean Change in C-peptide Area Under the Curve (AUC), 0-4 Hours, From Baseline to 4 Weeks

Blood samples were drawn after a test meal at 0, 15, 30, 45, 60, 90, 120, 180 and 240 min. Insulin levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab vs placebo within each T2DM group. The mixed model didn't include the IGT group. (NCT01068860)
Timeframe: Baseline, 4 weeks

Interventionnmol*hour/L (Least Squares Mean)
Canakinumab 150 mg + Metformin-0.18
Placebo + Metformin-0.18
Canakinumab 150 mg + Metformin + Sulfonylurea-0.21
Placebo + Metformin + Sulfonylurea0.12
Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia-0.61
Placebo + Met + Sulfonyl + Thiaz0.02
Canakinumab 150 mg + Insulin0.16
Placebo + Insulin-0.29
Canakinumab 150 mg in Participants With IGT-0.43
Placebo in Participants With IGT-0.40

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The 7-point Self-monitored Blood Glucose (SMBG) Profiles at Baseline, 12 Weeks and 24 Weeks.

7-point Self-monitored Blood Glucose (SMBG) Profiles are measures of blood glucose taken 7 times a day at the morning pre-meal, morning 2-hours post-meal, midday pre-meal, midday 2-hours post-meal, evening pre-meal, evening 2-hours post-meal, and 0300 hour [3 am]. Each participant took measures on 3 non-consecutive days and the average was calculated for each of the 7 time points. The mean of the 7-point averages was calculated for all the participants at baseline, Weeks 12 and 24. (NCT01175811)
Timeframe: Baseline, 12 weeks, and 24 weeks

,
Interventionmilligrams per deciliter (mg/dL) (Mean)
Morning Pre-meal (Week 0) (n=195, 201)Morning Pre-meal (Week 12) (n=187, 191)Morning Pre-meal (Week 24) (n=177, 186)Morning 2 hours Post-meal (Week 0) (n=194, 201)Morning 2 hours Post-meal (Week 12) (n=187, 190)Morning 2 hours Post-meal (Week 24) (n=176, 184)Midday Pre-meal (Week 0) (n=195, 200)Midday Pre-meal (Week 12) (n=187, 190)Midday Pre-meal (Week 24) (n=177, 186)Midday 2 hours Post-meal (Week 0) (n=194, 201)Midday 2 hours Post-meal (Week 12) (n=186, 189)Midday 2 hours Post-meal (Week 24) (n=175, 184)Evening Pre-meal (Week 0) (n=195, 200)Evening Pre-meal (Week 12) (n=187, 190)Evening Pre-meal (Week 24) (n=177, 186)Evening 2 hours Post-meal (Week 0) (n=194, 201)Evening 2 hours Post-meal (Week 12) (n=186, 190)Evening 2 hours Post-meal (Week 24)(n=176, 185)0300 Hours (3 am) (Week 0) (n=185, 193)0300 Hours (3 am) (Week 12) (n=177, 185)0300 Hours (3 am) (Week 24) (n=171, 179)
Basal-Bolus157.7136.5132.4213.6176.5165.8164.9149.4142.1227.5177.2171.1190.0157.6151.1209.9176.2165.6180.0163.6155.8
Premixed Insulin155.0141.8137.4207.1179.6169.7160.7142.5139.5219.7162.5161.9186.6148.1145.0204.8177.1172.0175.9150.3145.1

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The Percentage of Participants Who Achieved Haemoglobin A1c (HbA1c) Less Than or Equal to 6.5% and Less Than or Equal to 7% at 12 Weeks and 24 Weeks

The Percentage of participants achieving a haemoglobin A1c (HbA1c) less than or equal (<=) to 6.5% or 7% is defined as 100 multiplied by the number of participants with a HbA1c of the cut-off value (6% or 7%) divided by the number of participants exposed to study drug. Participants with missing HbA1c values at endpoint were treated as not achieving the HbA1c goal. (NCT01175811)
Timeframe: 12 weeks, 24 weeks

,
InterventionPercentage of participants (Number)
<=6.5 Percent HbA1c at 12 weeks<=7.0 Percent HbA1c at 12 weeks<=6.5 Percent HbA1c at 24 weeks<=7.0 Percent HbA1c at 24 weeks
Basal-Bolus8.927.711.934.2
Premixed Insulin6.126.49.129.9

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Percentage of Participants With Hypoglycemic Episodes (Incidence)

Incidence of hypoglycemic episodes is defined as 100 multiplied by the number of participants experiencing a hypoglycemic episode divided by the number of participants exposed to study drug. Hypoglycemic episodes are defined as an event which is associated with reported signs and symptoms of hypoglycemia, and/or a documented blood glucose (BG) concentration of <= 70 mg/dL (3.9 mmol/L). (NCT01175811)
Timeframe: baseline through 24 weeks

Interventionpercentage of participants (Number)
Premixed Insulin54.8
Basal-Bolus55.0

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Change in Haemoglobin A1c (HbA1c) From Baseline to 24 Week Endpoint

Least Squares (LS) means are calculated using mixed model repeating measures (MMRM) with the change from baseline in HbA1c at all post baseline measurement as dependent variables, treatment, country, visit and treatment by visit interaction as fixed effects, baseline HbA1c value as a covariate and participant as a random effect. (NCT01175811)
Timeframe: Baseline, 24 weeks

Interventionpercent HbA1c (Least Squares Mean)
Premixed Insulin-1.05
Basal-Bolus-1.06

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Change in HbA1c From Baseline to 12 Week Endpoint

Least Squares (LS) means are calculated using mixed model repeating measures (MMRM) with the change from baseline in HbA1c at all post baseline measurement as dependent variables, treatment, country, visit and treatment by visit interaction as fixed effects, baseline HbA1c value as a covariate and participant as a random effect. (NCT01175811)
Timeframe: Baseline, 12 weeks

Interventionpercent HbA1c (Least Squares Mean)
Premixed Insulin-0.96
Basal-Bolus-0.96

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Percentage of Participants Experiencing a Severe Hypoglycemic Episode

Severe hypoglycemic episode is defined as any event requiring the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. The percentage of participants experiencing a severe hypoglycemic episode is defined as the 100 multiplied by the number of participants experiencing a severe hypoglycemic episode divided by the number of participants exposed to study drug. (NCT01175811)
Timeframe: baseline through 24 weeks

InterventionPercentage of participants (Number)
Premixed Insulin0.0
Basal-Bolus0.0

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The Rate of Hypoglycemic Episodes

The rate of hypoglycemic episodes is defined as the mean number of hypoglycemic episodes per 30 days per participant. Hypoglycemic episodes are defined as an event which is associated with reported signs and symptoms of hypoglycemia, and/or a documented blood glucose (BG) concentration of <= 70 mg/dL (3.9 mmol/L). (NCT01175811)
Timeframe: baseline through 24 weeks

Interventionhypoglycemic episode/30 days/participant (Mean)
Premixed Insulin0.468
Basal-Bolus0.409

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Change in Body Mass Index (BMI) From Baseline to 12 and 24 Weeks

Body mass index is an estimate of body fat based on body weight divided by height squared. Least Squares (LS) means are calculated using mixed model repeating measures (MMRM) using change from baseline in BMI at all post baseline measurement as dependent variables, treatment, country, visit and treatment by visit interaction as fixed effects, baseline BMI value as a covariate and participants as a random effect. (NCT01175811)
Timeframe: Baseline, 12 weeks, and 24 weeks

,
Interventionkilogram per square meter (kg/m^2) (Least Squares Mean)
Change at 12 weeksChange at 24 weeks
Basal-Bolus0.200.29
Premixed Insulin0.260.31

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Daily Dose of Insulin Per Kilogram of Body Weight: Total, Basal and Prandial

(NCT01175811)
Timeframe: 24 weeks

,
InterventionInternational Units per kilogram (IU/kg) (Mean)
Total Daily DoseDaily Insulin Dose BasalDaily Insulin Dose Bolus (prandial)
Basal-Bolus0.7600.3480.412
Premixed Insulin0.7380.4400.298

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Daily Dose of Insulin: Total, Basal, and Prandial

(NCT01175811)
Timeframe: 24 weeks

,
InterventionInternational Units (IU) (Mean)
Total Daily DoseDaily Insulin Dose BasalDaily Insulin Dose Bolus (prandial)
Basal-Bolus54.024.71729.269
Premixed Insulin52.931.53921.385

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Mean Blood Glucose of All Readings

Starting 3 hours after the initial index blood glucose (BG) >180 measure, across the entire hospital stay or up through 5 days if hospital length of stay (LOS) is > 5 days (NCT01184014)
Timeframe: starting 3 hours after the initial index BG>180 measure, across the entire hospital stay or up through 5 days if hospital LOS is > 5 days

Interventionmg/dL (Mean)
Experimental Group157.2
Control Group181.8

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Change in FPG (Fasting Plasma Glucose) From Baseline to Week 36

Estimated mean change from baseline in FPG after 36 weeks of treatment (NCT01215435)
Timeframe: Week 0, Week 36

Interventionmg/dL (Mean)
Pre-breakfast BIAsp 30-61.57
Pre-dinner BIAsp 30-58.43

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Number of Treatment Emergent Hypoglycaemic Episodes

A hypoglycaemic episode will be defined as treatment emergent if the onset of the episode is on or after the first day of trial product, and no later than the last day on trial product. (NCT01215435)
Timeframe: Week 0 to Week 36

Interventionepisodes (Number)
Pre-breakfast BIAsp 301181
Pre-dinner BIAsp 30953

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Change in Glycosylated Haemoglobin (HbA1c) From Baseline to Week 11

Estimated mean change from baseline in HbA1c after 11 weeks of treatment (NCT01215435)
Timeframe: Week 0, Week 11

Interventionpercentage of glycosylated haemoglobin (Mean)
Pre-breakfast BIAsp 30-1.04
Pre-dinner BIAsp 30-0.90

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Percentage of Subjects Achieving HbA1c Below 7.0%

The percentage of subjects achieving the treatment target for glycosylated haemoglobin A1c (HbA1c) after 16 weeks of treatment (NCT01278160)
Timeframe: Week 16

Interventionpercentage of subjects (Number)
BIAsp 30 (2:1)12.4
BIAsp 30 (1:1)14.4

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Number of Treatment Emergent Hypoglycaemic Episodes

Treatment emergent hypoglycaemic episodes (hypos): those that happened between treatment and one day after last drug day. Hypos summarised based on American Diabetes Association classification. Severe hypos: episodes requiring another person to actively administer resuscitative actions. Minor hypos: episodes with symptoms with plasma glucose below 3.1 mmol/L (56 mg/dL) handled by the subject, or any asymptomatic plasma glucose below 3.1 mmol/L (56 mg/dL). Diurnal period: between 06:00 and 23:59 (both included). Nocturnal period: between 00:00 and 05:59 a.m. (both included). (NCT01278160)
Timeframe: Weeks 0-16

,
Interventionepisodes (Number)
All episodesNocturnalDiurnalSevereMinor
BIAsp 30 (1:1)14311127035
BIAsp 30 (2:1)1081884020

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9-point SMPG (Self Measured Plasma Glucose) Profile

A 9-point SMPG profile included measurements before and 120 minutes after start of breakfast, lunch and main evening meal, measurements prior to bedtime and at 2:00 -4:00 a.m., and one before breakfast the following day (NCT01278160)
Timeframe: Week 16

,
Interventionmmol/L (Least Squares Mean)
Before breakfast2 hours after breakfastBefore lunch2 hours after lunchBefore dinner2 hours after dinnerBedtime2:00 - 4:00 a.m.Before breakfast the following day
BIAsp 30 (1:1)6.238.616.799.177.077.947.036.346.22
BIAsp 30 (2:1)6.028.566.428.916.647.927.296.056.30

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Percentage of Subjects Achieving HbA1c Below or Equal to 6.5%

The percentage of subjects achieving the treatment target for glycosylated haemoglobin A1c (HbA1c) after 16 weeks of treatment (NCT01278160)
Timeframe: Week 16

Interventionpercentage of subjects (Number)
BIAsp 30 (2:1)2.2
BIAsp 30 (1:1)7.8

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Change in Glycosylated Haemoglobin A1c (HbA1c) From Baseline

(NCT01278160)
Timeframe: Week 0, week 16

Interventionpercentage of glycosylated haemoglobin (Least Squares Mean)
BIAsp 30 (2:1)-0.13
BIAsp 30 (1:1)-0.12

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Change From Baseline in Mean Value of Pre-lunch, Pre-dinner and Bedtime PG After Two Weeks of Treatment

The mean value of pre-lunch, pre-dinner and bedtime PG was derived from the 8-point PG profile measured before lunch, dinner and bedtime. (NCT01486966)
Timeframe: Week 0, week 2

Interventionmmol/L (Least Squares Mean)
Insulin Detemir + Insulin Aspart ± Metformin-2.47
Insulin NPH + Human Soluble Insulin ± Metformin-2.87

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Change From Baseline in Fructosamine After Two Weeks of Treatment

(NCT01486966)
Timeframe: Week 0, week 2

InterventionUmol/L (Least Squares Mean)
Insulin Detemir + Insulin Aspart ± Metformin-31.0
Insulin NPH + Human Soluble Insulin ± Metformin-23.7

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Change From Baseline in Mean 2-hour Post Prandial Plasma Glucose (2hPPG) of 3 Meals After Two Weeks of Treatment

The mean 2hPPG was derived from the 8-point PG profile as the mean value of the available 120 minutes after each meal. (NCT01486966)
Timeframe: Week 0, week 2

Interventionmmol/L (Least Squares Mean)
Insulin Detemir + Insulin Aspart ± Metformin-4.00
Insulin NPH + Human Soluble Insulin ± Metformin-3.47

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Change From Baseline in Mean 8-point Plasma Glucose (PG) After Two Weeks of Treatment

Mean value of 8-point PG was the arithmetic mean of all 8 time-instant PG values of the 8-point PG profile. (NCT01486966)
Timeframe: Week 0, week 2

Interventionmmol/L (Least Squares Mean)
Insulin Detemir + Insulin Aspart ± Metformin-2.84
Insulin NPH + Human Soluble Insulin ± Metformin-2.80

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Percentage of Subjects Achieving Both FPG and 2hPPG Targets After Two Weeks of Treatment

FPG target was < 6.0 mmol / L, 2hPPG target was < 8.0 mmol / L. (NCT01486966)
Timeframe: Week 2

Interventionpercentage (%) of subjects (Number)
Insulin Detemir + Insulin Aspart ± Metformin20.7
Insulin NPH + Human Soluble Insulin ± Metformin20.7

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Incidence of Hypoglycaemic Episodes

"All events summarized were treatment emergent hypoglycaemic events. Hypoglycaemic episodes were summarized based on the ADA classification and also according to an additional definition.~Severe hypoglycemia: ADA definition. Minor hypoglycaemic episode: an episode with symptoms with confirmation by plasma glucose (PG) < 3.1 mmol/l (56 mg/dl) and was handled by the subject himself/herself, or any asymptomatic PG value < 3.1 mmol/l (56 mg/dl).~A hypoglycaemia episode was defined as nocturnal if the time of onset was between 00:01 and 05:59 a.m. (both included), otherwise it was diurnal." (NCT01486966)
Timeframe: Weeks 0-2

,
Interventionevents (Number)
All eventsSevereNocturnalDiurnalMinor
Insulin Detemir + Insulin Aspart ± Metformin2204182
Insulin NPH + Human Soluble Insulin ± Metformin540114311

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Percentage of Subjects Achieving Mean 2hPPG of 3 Meals < 8.0 mmol / L After Two Weeks of Treatment

(NCT01486966)
Timeframe: Week 2

Interventionpercentage (%) of subjects (Number)
Insulin Detemir + Insulin Aspart ± Metformin41.4
Insulin NPH + Human Soluble Insulin ± Metformin34.5

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Percentage of Subjects Achieving FPG Target Without Nocturnal Hypoglycaemia After Two Weeks of Treatment

FPG target was < 6.0 mmol / L. Nocturnal hypoglycaemia was defined as a hypoglycaemic episode happened between 00:01 and 05:59 a.m. (both included). (NCT01486966)
Timeframe: Week 2

Interventionpercentage (%) of subjects (Number)
Insulin Detemir + Insulin Aspart ± Metformin41.4
Insulin NPH + Human Soluble Insulin ± Metformin34.5

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Percentage of Subjects Achieving FPG < 6.0 mmol / L After Two Weeks of Treatment

(NCT01486966)
Timeframe: Week 2

Interventionpercentage (%) of subjects (Number)
Insulin Detemir + Insulin Aspart ± Metformin48.3
Insulin NPH + Human Soluble Insulin ± Metformin48.3

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Change From Baseline in Fasting Plasma Glucose (FPG) After Two Weeks of Treatment

The FPG referred to pre-breakfast plasma glucose. (NCT01486966)
Timeframe: Week 0, week 2

Interventionmmol/L (Least Squares Mean)
Insulin Detemir + Insulin Aspart ± Metformin-2.22
Insulin NPH + Human Soluble Insulin ± Metformin-2.29

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Change From Baseline in HbA1c (Glycosylated Haemoglobin)

Estimated mean change from baseline in HbA1c after 24 weeks of treatment. (NCT01519674)
Timeframe: Week 0 to Week 24

Interventionpercentage of glycosylated haemoglobin (Least Squares Mean)
BID + Met-1.27
BID + Sita + Met-1.51
OD + Sita + Met-1.15

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Prandial Plasma Glucose (PPG) Increments at Breakfast

Estimated mean post prandial increments at breakfast after 24 weeks of treatment. (NCT01519674)
Timeframe: After 24 weeks of treatment

Interventionmmol/L (Least Squares Mean)
BID + Met2.01
BID + Sita + Met1.73
OD + Sita + Met2.89

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Prandial Plasma Glucose (PPG) Increments at Dinner.

Estimated mean post prandial increments at dinner after 24 weeks of treatment. (NCT01519674)
Timeframe: After 24 weeks of treatment

Interventionmmol/L (Least Squares Mean)
BID + Met0.89
BID + Sita + Met1.01
OD + Sita + Met0.17

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Prandial Plasma Glucose (PPG) Increments at Lunch.

Estimated mean post prandial increments at lunch after 24 weeks of treatment. (NCT01519674)
Timeframe: After 24 weeks of treatment

Interventionmmol/L (Least Squares Mean)
BID + Met3.05
BID + Sita + Met2.19
OD + Sita + Met2.52

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Prandial Plasma Glucose (PPG) Overall Mean Increment.

Estimated overall mean post prandial increment after 24 weeks of treatment. (NCT01519674)
Timeframe: After 24 weeks of treatment

Interventionmmol/L (Least Squares Mean)
BID + Met1.97
BID + Sita + Met1.66
OD + Sita + Met1.88

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Responder for HbA1c, Proportion of Subjects Achieving Pre-defined HbA1c Targets (HbA1c < 7.0%)

Proportion of subjects achieving HbA1c below 7.0% after 24 weeks of treatment (NCT01519674)
Timeframe: After 24 weeks of treatment

Interventionpercentage (%) of subjects (Number)
BID + Met49.7
BID + Sita + Met59.8
OD + Sita + Met46.5

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Responder for HbA1c, Proportion of Subjects Achieving Pre-defined HbA1c Targets (HbA1c ≤ 6.5%)

Proportion of subjects achieving HbA1c equal to or below 6.5% after 24 weeks of treatment. (NCT01519674)
Timeframe: After 24 weeks of treatment

Interventionpercentage (%) of subjects (Number)
BID + Met30.6
BID + Sita + Met40.7
OD + Sita + Met25.1

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Adverse Events (AEs)

Rate of AEs per 100 years of patient exposure. An adverse event was defined as treatment emergent if the event had onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment. (NCT01519674)
Timeframe: Week 0 to Week 24

,,
InterventionEvents/100 years of patient exposure (Number)
All treatment emergent adverse eventsSerious adverse eventsSevere adverse eventsModerate adverse eventsMild adverse eventsFatal adverse events
BID + Met262.28.46.071.0185.20
BID + Sita + Met209.95.810.574.6124.80
OD + Sita + Met281.210.57.079.7194.50

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Number of Treatment Emergent Hypoglycaemic Episodes (Nocturnal and Day-time) Classified Both According to the American Diabetes Association (ADA) Definition and to an Additional Definition for Minor Episodes.

Number of treatment emergent hypoglycaemic episodes. Treatment emergent hypoglycaemic episode: if the onset of the episode was on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment. Nocturnal: Time of onset between 00:01 and 05:59 a.m. (both included). Additional minor hypoglycaemic episode: symptomatic or asymptomatic hypoglycaemia with blood glucose (BG) values < 2.8 mmol/L (50 mg/dL) or plasma glucose (PG) < 3.1 mmol/L (56 mg/dL), and which was handled by the subject him/herself. (NCT01519674)
Timeframe: Week 0 to Week 24

,,
Interventionepisodes (Number)
Diurnal (ADA)Nocturnal (ADA)Diurnal (additional minor)Nocturnal (additional minor)
BID + Met5156816321
BID + Sita + Met4405411214
OD + Sita + Met249637123

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Change From Baseline in Fasting Plasma Glucose (FPG)

Estimated mean change from baseline in fasting plasma glucose (FPG) (NCT01519674)
Timeframe: Week 0 to Week 24

Interventionmmol/L (Least Squares Mean)
BID + Met-1.90
BID + Sita + Met-2.03
OD + Sita + Met-1.96

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Change in HbA1c From Baseline

Change in HbA1c (%) from baseline to the end of the treatment period. (NCT01589653)
Timeframe: Week 0, week 20

Interventionpercentage change in HbA1c (Least Squares Mean)
Subject-driven Titration-1.27
Investigator-driven Titration-1.04

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Change in Fasting Plasma Glucose (FPG) (Laboratory Values) From Baseline

Change in FPG (laboratory values) from baseline to the end of the treatment period (NCT01589653)
Timeframe: Week 0, week 20

Interventionmg/dL (Mean)
Subject-driven Titration-20.0
Investigator-driven Titration-9.1

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Number of Hypoglycaemic Episodes During the Trial From Baseline

The number of hypoglycaemic episodes (a blood glucose level of approximately 2.8 mmol/L [50 mg/dL] or plasma glucose level 3.1 mmol/L [56 mg/dL]) during the trial. (NCT01589653)
Timeframe: Week 20

Interventionepisodes (Number)
Subject-driven Titration167
Investigator-driven Titration222

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Percentage of Participants With Severe Hypoglycemic Events

Hypoglycemic event are defined as an event which is associated with reported signs and symptoms of hypoglycemia, and/or a documented blood glucose (BG) concentration of <=70 milligram per deciliter (mg/dL) (3.9 millimoles per liter [mmol/L]). A severe hypoglycemic event was defined as a hypoglycemic episode requiring assistance of another person to actively administer carbohydrates, glucagon, or other resuscitative actions. The percentage of participants with at least one severe hypoglycemia is presented. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01790438)
Timeframe: Baseline through 26 Weeks

Interventionpercentage of participants (Number)
LY26055410.5
Human Insulin NPH0.0

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Rate of Severe Hypoglycemic Events

Hypoglycemic event are defined as an event which is associated with reported signs and symptoms of hypoglycemia, and/or a documented blood glucose (BG) concentration of <=70 milligram per deciliter (mg/dL) (3.9 millimoles per liter [mmol/L]). A severe hypoglycemic event was defined as a hypoglycemic episode requiring assistance of another person to actively administer carbohydrates, glucagon, or other resuscitative actions. The hypoglycemia rate per 100 years during a defined period was calculated by the number of hypoglycemia events within the period divided by the number of days participant at risk within the period*36525 days. (NCT01790438)
Timeframe: Baseline through 26 Weeks

Interventionevents per 100 participant years (Mean)
LY26055411.00
Human Insulin NPH0.00

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Time to Steady-State (Stable Maximum Dose)

Steady-state was defined as the first local maximum dose (peak dose value) of LY2605541 or human insulin NPH within the window of -2 to +2 weeks. The median time to steady-state of basal insulin dose estimated from Kaplan-Meier analysis was summarized by treatment. (NCT01790438)
Timeframe: Baseline through 26 Weeks

Interventionweeks (Median)
LY26055417.14
Human Insulin NPH5.86

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30-Day Adjusted Rate of Total and Nocturnal Hypoglycemic Events

Hypoglycemic episodes are defined as an event which is associated with reported signs and symptoms of hypoglycemia, and/or a documented blood glucose (BG) concentration of <=70 milligram per deciliter (mg/dL) (3.9 millimoles per liter [mmol/L]). A nocturnal hypoglycemic event is defined as any total hypoglycemia event that occurred between bedtime and waking. Group mean rates of total and nocturnal hypoglycemia (per 30 days) are presented and were calculated from negative binomial regression models with treatment, baseline sulfonylurea/meglitinide use, baseline event rate of the corresponding hypoglycemia as covariates, log (exposure/30 days) as the offset in the model. Group Mean is estimated by taking the inverse link function on individual participant covariates first and then averages over all participants. (NCT01790438)
Timeframe: Baseline through 26 Weeks

,
Interventionepisodes per participant per 30 days (Mean)
TotalNocturnal
Human Insulin NPH1.730.61
LY26055411.460.31

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6-Point Self-Monitored Blood Glucose (SMBG)

6-point SMBG profiles were obtained on 3 nonconsecutive days in the week prior to Weeks 0, 4, 8, 12, 16, and 26. The SMBG measurements were performed while fasting (prior to the morning meal [breakfast]), prior to the midday meal (lunch), prior to the evening meal (dinner), at bedtime, at approximately 0300 hours, and the next day fasting (prior to the morning meal). LS means were calculated by MMRM using treatment, stratification factors (country, sulfonylureas/meglitinide use [Yes/No]), ], baseline HbA1c strata [≤8.5% or >8.5%]), visit, treatment-by-visit interaction, and baseline SMBG at the same time point of the response variable as the fixed effects. (NCT01790438)
Timeframe: 26 Weeks

,
Interventionmg/dL (Least Squares Mean)
Pre-morning mealPre-midday mealPre-evening mealBedtime0300 hoursPre-morning meal the next day
Human Insulin NPH109.56133.77146.99159.17117.66109.03
LY2605541111.22123.78130.90144.14116.35110.42

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Change From Baseline to 26 Weeks in Lipid Profile

Lipid profile includes total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), and triglycerides. LS means for post-baseline measures were calculated using MMRM with the fixed effects of stratification factors (baseline HbA1c [≤8.5% and >8.5%], country, sulfonylureas/meglitinide use, and LDL-C [<100 mg/dL and ≥100 mg/dL], except for the LDL-C outcome variable), visit, treatment, visit-by-treatment interaction, and baseline value of corresponding lipid outcome variable. LS means for End Of Study measures were calculated using ANCOVA adjusting for stratification factors (baseline HbA1c [≤8.5% and >8.5%], country, sulfonylureas/meglitinide use, and LDL-C [<100 mg/dL and ≥100 mg/dL]except for the LDL-C outcome variable), treatment, and baseline value of corresponding lipid outcome variable. (NCT01790438)
Timeframe: Baseline, 26 Weeks; Baseline, End Of Study (EOS) (Up to 30 Weeks)

,
Interventionmg/dL (Least Squares Mean)
Total cholesterol, 26 WeeksTotal cholesterol, End Of Study (Up to 30 Weeks)HDL, 26 WeeksHDL, End Of Study (Up to 30 Weeks)LDL, 26 WeeksLDL, End Of Study (Up to 30 Weeks)Triglycerides, 26 WeeksTriglycerides, End Of Study (Up to 30 Weeks)
Human Insulin NPH2.862.940.410.405.903.89-15.38-0.45
LY26055412.08-0.12-0.240.533.012.54-1.49-20.34

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Percentage of Participants With HbA1c ≤6.5% and <7.0%

Percentage of participants was calculated by dividing the number of participants reaching target HbA1c by the total number of participants analyzed, multiplied by 100. (NCT01790438)
Timeframe: 26 Weeks

,
InterventionPercentage of Participants (Number)
HbA1c ≤6.5%HbA1c <7.0%
Human Insulin NPH24.144.7
LY260554143.466.3

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Percentage of Participants With Total and Nocturnal Hypoglycemic Events

Hypoglycemic episodes are defined as an event which is associated with reported signs and symptoms of hypoglycemia, and/or a documented blood glucose (BG) concentration of <=70 milligram per deciliter (mg/dL) (3.9 millimoles per liter [mmol/L]). A nocturnal hypoglycemic event is defined as any total hypoglycemia event that occurred between bedtime and waking. Percentage of participants was calculated by the number of participants with at least one hypoglycemia divided by the total number of participants analyzed, multiplied by 100. (NCT01790438)
Timeframe: Baseline through 26 Weeks

,
Interventionpercentage of participants (Number)
TotalNocturnal
Human Insulin NPH83.567.5
LY260554176.741.6

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Change From Baseline to 26 Weeks in European Quality of Life (EQ-5D-3L) - Visual Analog Scales (VAS) Scores

The EQ-5D-3L is a generic, multidimensional, health-related, quality-of-life instrument. Overall health state score was self-reported using a visual analogue scale (VAS) marked on a scale of 0 to 100 with 0 representing worst imaginable health state and 100 representing best imaginable health state. (NCT01790438)
Timeframe: Baseline, 26 Weeks

Interventionunits on a scale (Mean)
LY26055412.52
Human Insulin NPH1.41

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Change From Baseline to 26 Weeks in Adult Low Blood Sugar Survey (LBSS) Scores

Adult LBSS (also referenced as Hypoglycemia Fear Survey - II [HFS-II]) contains 33 items, with each item scored on a 5-point response scale: 0 (never) to 4 (always). Items are categorized in 2 domains: Behavior (or avoidance) with 15 items and Worry (or affect) with 18 items. Sum all the items to obtain a total score (range 0-132). Higher total scores reflect greater fear of hypoglycemia. LS means were calculated using analysis of covariance (ANCOVA) adjusting for treatment, stratification factor (country, baseline sulfonylureas/meglitinide use [Yes/No]), baseline HbA1c (≤8.5% or >8.5%), and baseline value of LBSS. (NCT01790438)
Timeframe: Baseline, 26 Weeks

Interventionunits on a scale (Least Squares Mean)
LY26055410.53
Human Insulin NPH2.05

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Change From Baseline to 26 Weeks in Body Weight

LS means were calculated by MMRM using treatment, stratification factors (country, sulfonylureas/meglitinide use [Yes/No]), baseline HbA1c strata [≤8.5% or >8.5%]), visit, treatment-by-visit interaction, and baseline weight as the fixed effects. (NCT01790438)
Timeframe: Baseline, 26 Weeks

Interventionkilograms (kg) (Least Squares Mean)
LY26055412.02
Human Insulin NPH2.34

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Change From Baseline to 26 Weeks in European Quality of Life - 5 Dimension 3 Levels (EQ-5D-3L) Index

The EQ-5D-3L is a generic, multidimensional, health-related, quality-of-life instrument. The profile allows participants to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression using a three level scale 1-3 (no problem, some problems, and extreme problems). These combinations of attributes were converted into a weighted health-state Index Score according to the United States (US) population-based algorithm. The EQ-5D-3L US based index scores ranged from -0.11 to 1.0 where a score of 1.0 indicates perfect health. LS means were calculated from ANCOVA using treatment, stratification factor (country, baseline sulfonylurea sulfonylureas/meglitinide use [Yes/No], baseline HbA1c strata [≤8.5% or >8.5%]) and baseline value of EQ-5D-3Las covariates. (NCT01790438)
Timeframe: Baseline, 26 Weeks

Interventionunits on a scale (Least Squares Mean)
LY26055410.02
Human Insulin NPH0.01

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Percentage of Participants With Insulin Antibodies

The percentage of participants with a positive treatment-emergent anti-LY2605541 antibody response (TEAR) is summarized. TEAR was defined as change from baseline to postbaseline in the anti-LY2605541 antibody level either (1) from undetectable to detectable or (2) from detectable to the value with at least 130% relative increase from baseline. Percentage of participants was calculated by dividing the number of participants with TEAR anytime during the treatment period by the total number of participants analyzed, multiplied by 100. (NCT01790438)
Timeframe: Baseline to 26 Weeks

Interventionpercentage of participants (Number)
LY260554119.7
Human Insulin NPH45.8

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Change From Baseline to 26 Weeks in Hemoglobin A1c (HbA1c)

Glycosylated hemoglobin A1 (HbA1c) is a test that measures a participant's average blood glucose level over a 2 to 3 month timeframe. Least Squares (LS) means were calculated by mixed model repeated measures (MMRM) using treatment, stratification factors (country, sulfonylureas/meglitinide use [Yes/No]), visit, treatment-by-visit interaction, and baseline HbA1c as the fixed effects. (NCT01790438)
Timeframe: Baseline, 26 Weeks

Interventionpercentage of HbA1c (Least Squares Mean)
LY2605541-1.73
Human Insulin NPH-1.36

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Fasting Blood Glucose (FBG) (by Self Monitoring)

LS means were calculated from MMRM using treatment, stratification factors (country, sulfonylureas/meglitinide use [Yes/No]), baseline HbA1c strata [≤8.5% or >8.5%]), visit, treatment-by-visit interaction, and baseline value of the response variable as the fixed effects. (NCT01790438)
Timeframe: 26 Weeks

Interventionmilligrams per deciliter (mg/dL) (Least Squares Mean)
LY2605541111.37
Human Insulin NPH109.75

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Fasting Serum Glucose (FSG) (by Laboratory)

LS means were calculated from MMRM using treatment, stratification factors (country, sulfonylureas/meglitinide use [Yes/No]), baseline HbA1c strata [≤8.5% or >8.5%]), visit, treatment-by-visit interaction, and baseline value of the response variable as the fixed effects. (NCT01790438)
Timeframe: 26 Weeks

Interventionmilligrams per deciliter (mg/dL) (Least Squares Mean)
LY2605541112.61
Human Insulin NPH118.60

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HbA1c

HbA1c is a test that measures a participant's average blood glucose level over a 2 to 3 month timeframe. LS means were calculated by MMRM using treatment, stratification factors (country, sulfonylureas/meglitinide use [Yes/No]), visit, treatment-by-visit interaction, and baseline HbA1c as the fixed effects. (NCT01790438)
Timeframe: 26 Weeks

Interventionpercentage of HbA1c (Least Squares Mean)
LY26055416.76
Human Insulin NPH7.12

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Insulin Dose Per Kilogram (kg) of Body Weight

LS means were calculated by MMRM using treatment, stratification factors (country, sulfonylureas/meglitinide use [Yes/No]), baseline HbA1c strata [≤8.5% or >8.5%]), visit, and treatment-by-visit interaction as the fixed effects. (NCT01790438)
Timeframe: 26 Weeks

Interventionunits per kilogram (Least Squares Mean)
LY26055410.40
Human Insulin NPH0.35

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Insulin Treatment Satisfaction Questionnaire (ITSQ) Score

ITSQ is a validated instrument containing 22 items that assess treatment satisfaction for participants with diabetes and on insulin. The questionnaire measures satisfaction from the following 5 domains: Inconvenience of Regimen, Lifestyle Flexibility, Glycemic Control, Hypoglycemic Control, Insulin Delivery Device. Data presented are the transformed score on a scale of 0-100, higher scores indicate better treatment satisfaction. LS means were calculated using analysis of variance (ANOVA) adjusting for treatment and stratification factors (country, baseline sulfonylureas/meglitinide use [Yes/No], baseline HbA1c [≤8.5% or >8.5%]). (NCT01790438)
Timeframe: 26 Weeks

Interventionunits on a scale (Least Squares Mean)
LY260554185.04
Human Insulin NPH83.84

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Intra-Participant Variability in FBG by Standard Deviation

Glucose variability was assessed by between-day variability as measured by the standard deviation or the coefficient of variation of the FBG of the last 7 days prior to the visit using SMBG. LS means were calculated by MMRM using treatment, stratification factors (country, sulfonylureas/meglitinide use [Yes/No], baseline HbA1c strata [≤8.5% or >8.5%]), visit, treatment-by-visit interaction, and baseline FBG variability as the fixed effects. (NCT01790438)
Timeframe: 26 Weeks

Interventionmg/dL (Least Squares Mean)
LY260554114.44
Human Insulin NPH19.07

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Intra-Participant Variability in FBG by the Coefficient of Variation

Glucose variability was assessed by between-day variability as measured by the standard deviation or the coefficient of variation of the FBG of the last 7 days prior to the visit using SMBG. (NCT01790438)
Timeframe: 26 Weeks

Interventionmg/dL (Geometric Mean)
LY260554112.87
Human Insulin NPH17.05

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Percentage of Participants With HbA1c <7.0% and Without Nocturnal Hypoglycemia

Hypoglycemic episodes are defined as an event which is associated with reported signs and symptoms of hypoglycemia, and/or a documented blood glucose (BG) concentration of <=70 milligram per deciliter (mg/dL) (3.9 millimoles per liter [mmol/L]). A nocturnal hypoglycemic event is defined as any total hypoglycemia event that occurred between bedtime and waking. Percentage of participants was calculated by the number of participants reaching target HbA1c without nocturnal hypoglycemia divided by the total number of participants analyzed, multiplied by 100. (NCT01790438)
Timeframe: 26 Weeks

Interventionpercentage of participants (Number)
LY260554139.1
Human Insulin NPH12.6

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Percentage of Participants With Injection Site Reactions

The percentage of participants with at least one treatment-emergent injection site reaction is presented. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01790438)
Timeframe: Baseline through 26 Weeks

Interventionpercentage of participants (Number)
LY26055410.9
Human Insulin NPH1.4

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Glucose Values <70 mg/dL.

# participants with glucose values <70 mg/dL (NCT01810952)
Timeframe: 1-5 days

,
Interventionparticipants (Number)
# with glucose values <70 mg/dL# with glucose values <60 mg/dL# with glucose <50
Glargine/Lispro Insulin Arm541
Glargine/Lispro/NPH Insulin Arm420

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Percent of Glucose Determinations >180 mg/dL

(NCT01810952)
Timeframe: 1-5 days

InterventionPercent of glucose values (Number)
Glargine/Lispro Insulin Arm31.0
Glargine/Lispro/NPH Insulin Arm24.6

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Daily Insulin Dose/Kg Body Weight

Total daily dose of insulin required based on weight and glucocorticoid dosage to achieve average daily finger stick glucose (FSG) levels of 90-140 mg/dL (NCT01810952)
Timeframe: 1-5 days

,
Interventionunits of insulin/Kg body weight (Mean)
Day 1 (n=20, 17)Day 2 (n=20, 17)Day 3 (n=20, 17)Day 4 (n=14, 12)Day 5 (n=10, 7)
Glargine/Lispro Insulin Arm0.890.910.961.011.12
Glargine/Lispro/NPH Insulin Arm0.800.820.770.750.65

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Average Daily Glucose Levels on Days 1-5 After the Initiation of the Treatment Protocol.

"Most patients had 4 and all patients had at least 2 readings each day. Average daily glucose values were determined for each participant, then averaged for each Arm." (NCT01810952)
Timeframe: 1-5 days

,
Interventionmg/dL (Mean)
Day 1 (n=20, 17)Day 2 (n=20, 17)Day 3 (n=20, 17)Day 4 (n=14, 12)Day 5 (n=10, 7)
Glargine/Lispro Insulin Arm181.8160.5155.1159.5151.7
Glargine/Lispro/NPH Insulin Arm173.7148.4140.8133.4132.0

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Percent of Participants With Average Glucose >70 and <180 mg/dL

Percent of Participants with Average Daily Glucose >70 and <180 mg/dL (NCT01810952)
Timeframe: Last Full Day of Protocol for Participant (up to Day 5)

Interventionpercentage of participants (Number)
Glargine/Lispro Insulin Arm90
Glargine/Lispro/NPH Insulin Arm94

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Total Number of Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes

Total number of treatment emergent severe (an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or blood glucose confirmed symptomatic hypoglycaemic episodes (plasma glucose value <3.1 mmol/L [56 mg/dL] with symptoms consistent with hypoglycaemia) experienced by the subjects during the trial. (NCT02131272)
Timeframe: Weeks 0 - 26

,
InterventionNumber of episodes (Number)
SevereBlood glucose confirmed symptomatic
Insulin Detemir + Metformin + Diet/Exercise04
Insulin NPH + Metformin + Diet/Exercise012

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Total Number of Treatment Emergent Nocturnal (23:00-06:59) Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic Episodes

The total number of blood glucose confirmed symptomatic nocturnal (time of onset between 23:00 and 06.59 both inclusive) severe (an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or blood glucose confirmed symptomatic hypoglycaemic episodes (plasma glucose value <3.1 mmol/L [56 mg/dL] with symptoms consistent with hypoglycaemia) experienced by the subjects during the trial. (NCT02131272)
Timeframe: Weeks 0 - 26

,
InterventionNumber of episodes (Number)
SevereBlood glucose confirmed symptomatic
Insulin Detemir + Metformin + Diet/Exercise00
Insulin NPH + Metformin + Diet/Exercise01

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Proportion of Subjects Achieving HbA1c Below 7.5%, Who Have Not Experienced Any Treatment Emergent Severe Hypoglycaemic Episodes Within the Last 14 Weeks of Treatment

Proportion of subjects achieving HbA1c below 7.5% is presented as percentage of subjects achieving HbA1c <7.5%, who have not experienced any treatment emergent severe hypoglycaemic episodes (an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) within the last 14 weeks of treatment. (NCT02131272)
Timeframe: At week 26

InterventionPercentage of subjects (Number)
Insulin Detemir + Metformin + Diet/Exercise30.0
Insulin NPH + Metformin + Diet/Exercise38.1

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Proportion of Subjects Achieving HbA1c Below 7.0%, Who Have Not Experienced Any Treatment Emergent Severe Hypoglycaemic Episodes Within the Last 14 Weeks of Treatment.

Proportion of subjects achieving HbA1c <7.0% is presented as percentage of subjects achieving HbA1c <7.0%, who have not experienced any treatment emergent severe hypoglycaemic episodes (an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) within the last 14 weeks of treatment. (NCT02131272)
Timeframe: At week 26

InterventionPercentage of subjects (Number)
Insulin Detemir + Metformin + Diet/Exercise25.0
Insulin NPH + Metformin + Diet/Exercise33.3

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Incidence of Adverse Events (AEs)

The total number of treatment emergent adverse events (the onset of the adverse event is on or after the first day of trial product administration, and no later than 7 days after the last day of trial product administration) reported during the 26 weeks of treatment. (NCT02131272)
Timeframe: weeks 0 - 26

InterventionNumber of events (Number)
Insulin Detemir + Metformin + Diet/Exercise30
Insulin NPH + Metformin + Diet/Exercise41

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Change in HbA1c (Glycosylated Haemoglobin)

Estimated mean change in HbA1c (glycosylated haemoglobin) from baseline to week 26. (NCT02131272)
Timeframe: week 0, week 26

InterventionPercentage of glycosylated haemoglobin (Least Squares Mean)
Insulin Detemir + Metformin + Diet/Exercise-0.64
Insulin NPH + Metformin + Diet/Exercise-0.81

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Change in Body Weight Standard Deviation Score (SDS)

Change in body weight standard deviation score (SDS) from baseline to week 26. In order to reduce the variability in body weight measurements, SDS were calculated. SDS for weight was derived by comparing the actual measurements with standard growth charts for the United States. Standard values provided by the standard growth charts according to the subject's sex and age at the time of the measurement were used to calculate the SDS. (NCT02131272)
Timeframe: week 0, week 26

Interventionstandard deviation score (Mean)
Insulin Detemir + Metformin + Diet/Exercise0.006
Insulin NPH + Metformin + Diet/Exercise0.098

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Total Daily Insulin Dose

Daily total insulin dose at baseline compared to dose at week 24. (NCT02451917)
Timeframe: baseline and 24 weeks

,
Interventionunits/Kg/day (Mean)
Baseline24 weeks treatment
Glargine Insulin0.610.64
NPH Insulin0.630.64

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Body Mass Index (BMI)

The BMI is defined as the body mass divided by the square of the body height, and is universally expressed in units of kg/m2, resulting from mass in kilograms and height in metres. (NCT02451917)
Timeframe: baseline and 24 weeks

,
InterventionKg/m² (Mean)
Baseline24 weeks treatement
Glargine Insulin Period29.730.0
NPH Insulin Period30.030.4

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Difference in A1c Levels

A1c using high performance liquid chromatography measured in percentage (NCT02451917)
Timeframe: baseline and 24 weeks

,
Interventionpercentage (Mean)
Baseline24 weeks treatement
Glargine Insulin Period8.867.95
NPH Insulin Period8.218.44

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Estimated Glomerular Filtration Rate (eGFR) Calculated by CKD-EPI

"Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation is one of the most widely used IDMS traceable equations for estimating GFR in patients age 18 and over. CKD-EPI equation includes variables for age, gender, and race, which may allow providers to observe that CKD is present despite a serum creatinine concentration that appears to fall within or just above the normal reference interval.~CKD-EPI equation expressed as a single equation: GFR = 141 × min (Scr /κ, 1)α × max(Scr /κ, 1)-1.209 × 0.993Age × 1.018 [if female] × 1.159 [if black] where: Scr is serum creatinine in mg/dL, κ is 0.7 for females and 0.9 for males, α is -0.329 for females and -0.411 for males,min indicates the minimum of Scr /κ or 1, and max indicates the maximum of Scr /κ or 1." (NCT02451917)
Timeframe: baseline and 24 weeks

,
Interventionml/min/1.7m² (Mean)
Baseline24 weeks treatement
Glargine Insulin Period28.026.9
NPH Insulin Period27.425.9

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Glycemic Variability

In order to observe variability in interstitial glucose levels related to the therapy in use, participants wore a blinded CGM for 3 days. Changes in glycemic patterns were expressed by the average daily time spent in hypoglycemia (≤70 mg/dL or <3.9 mmol/L), hyperglycemia (>180 mg/dL or >10 mmol/L) and euglycemia (70-180 mg/dL or 3.9-10 mmol/L). (NCT02451917)
Timeframe: 24 week

,
Interventionpercentage of time (Mean)
hyperglycemianormoglycemiahypoglycemia
Glargine Insulin Period30673
NPH Insulin Period38593

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Number of Hypoglycemic Events

"Hypoglycemia was defined by capillary glycemia< 70 mg/dL (3.9 mmol/L), even if it was not accompanied by typical symptoms. Otherwise, hypoglycemia was classified as severe with SMBG below 50 mg/dL (2.8 mmol/L) or when it resulted in stupor, seizure, or unconsciousness that precluded self-treatment, thus requiring the assistance of another individual. Nocturnal events were defined as SMBG < 70mg/dL occurring after midnight and before wake-up in the morning (before 7:00am)12." (NCT02451917)
Timeframe: between 1rst and 24 weeks of each treatment arm

,
Interventionevents per patients during 24 weeks (Mean)
total hypoglycemic eventsnocturnal hypoglycemias
Glargine Insulin Period4.870.52
NPH Insulin Period6.341.52

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Serum Creatinine

Creatinine is measured in milligrams per deciliter of blood (mg/dL (NCT02451917)
Timeframe: baseline and 24 weeks

,
Interventionmg/dL (Mean)
Baseline24 weeks treatement
Glargine Insulin Period2.42.6
NPH Insulin Period2.52.6

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Change in mIAA Autoantibody Titer From Baseline

Micro-islet autoantibodies (mIAA) autoantibody titers are a measure of of beta cell immune response (NCT02580877)
Timeframe: 13 and 26 weeks after first dose versus baseline

,
InterventionDK Units/mL (Mean)
13 weeks26 weeks
500mg Oral Insulin Crystals Every Other Week0.0200.017
67.5 mg Oral Insulin Crystals Daily0.0210.020

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Change in GAD65 Autoantibody Titer (DK Units/mL)

Change in T-lymphocyte (GAD65) biomarker of beta cell specific immune response (NCT02580877)
Timeframe: 13 and 26 weeks after first dose versus baseline

,
InterventionDK Units/mL (Mean)
13 weeks26 weeks
500 mg Oral Insulin Crystals Every Other Week234196
67.5 mg Oral Insulin Crystals Daily247193

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Part B: Pharmacodynamics: Maximum Glucose Infusion Rate (Rmax) of U-500R

Pharmacodynamics: Maximum Glucose Infusion Rate (Rmax) of U-500R. (NCT02588950)
Timeframe: Period 3 day 1: 0, 0.5, 1, 2, 3, 4, 5, 6, 7, 9, 11, 12, 13, 15, 18h post dose

InterventionMilligram per Minute (mg/min) (Geometric Mean)
U-500R BID524
U-500R TID588

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Part A: Pharmacokinetics: Area Under The Concentration Versus Time Curve From Time Zero to Last Time Point With A Measurable Concentration (AUC[0-tlast]) of U-500R

Part A: Pharmacokinetics: Area Under The Concentration Versus Time Curve From Time Zero to Last Time Point With A Measurable Concentration (AUC[0-tlast]) of U-500R. (NCT02588950)
Timeframe: Period 1 and 2: -0.5, 0, 0.5, 1, 2, 3, 4, 6, 7, 8, 12, 16, 24h post dose

InterventionPicomole hours per liter (pmol^h/L) (Geometric Mean)
100-U Bolus U-500R SC5230
100-U Bolus U-500R CSII6070

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Part A: Pharmacokinetics (PK): Time to Maximum Drug Concentration (Tmax) of U-500R

Part A: Pharmacokinetics (PK): Time to Maximum Drug Concentration (Tmax) of U-500R. (NCT02588950)
Timeframe: Period 1 and 2: -0.5, 0, 0.5, 1, 2, 3, 4, 6, 7, 8, 12, 16, 24 hours (h) post dose

InterventionHours (h) (Median)
100-U Bolus U-500R SC6
100-U Bolus U-500R CSII5

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Part A: Pharmacodynamics (PD): Time to Rmax (tRmax) of U-500R

Part A: Pharmacodynamics (PD): Time to Rmax (tRmax) of U-500R. (NCT02588950)
Timeframe: Period 1 and 2: 0, 0.5, 1, 2, 3, 4, 6, 7, 8, 12, 16, 24h post dose

InterventionHour (h) (Geometric Least Squares Mean)
100-U Bolus U-500R SC8.50
100-U Bolus U-500R CSII8.53

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Part B: Pharmacodynamics: Total Amount of Glucose Infused (Gtot) of U-500R

Pharmacodynamics: Total Amount of Glucose Infused (Gtot) of U-500R. (NCT02588950)
Timeframe: Period 3: 0, 0.5, 1, 2, 3, 4, 5, 6, 7, 9, 11, 12, 13, 15, 18, 24h post dose

InterventionGrams (g) (Geometric Mean)
U-500R BID441
U-500R TID510

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Part B: Pharmacokinetics: Area Under the Concentration Versus Time Curve From Zero to 24 Hours Postdose (AUC[0-24]) of U-500R

Part B: Pharmacokinetics: Area Under the Concentration Versus Time Curve from Zero to 24 Hours Postdose (AUC[0-24]) of U-500R. (NCT02588950)
Timeframe: Period 3: -0.5, 0, 0.5, 1, 2, 3, 4, 5, 6, 7, 9, 11, 12, 13, 15, 18, 24h post dose

InterventionPicomoles hour per liter (pmol*h/L) (Geometric Mean)
U-500R BID7790
U-500R TID11700

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Part B: Pharmacodynamics: Time to Rmax (tRmax) of U-500R

Part B: Pharmacodynamics: Time to Rmax (tRmax) of U-500R. (NCT02588950)
Timeframe: Period 3: 0, 0.5, 1, 2, 3, 4, 5, 6, 7, 9, 11, 12, 13, 15, 18, 24h post dose

InterventionHours (Geometric Mean)
U-500R BID12.4
U-500R TID13.8

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Part B: Pharmacokinetics: Time to Maximum Concentration (Tmax) of U-500R

Part B: Pharmacokinetics: Time to Maximum Concentration (Tmax) of U-500R. (NCT02588950)
Timeframe: Period 3: -0.5, 0, 0.5, 1, 2, 3, 4, 5, 6, 7, 9, 11, 12, 13, 15, 18, 24h post dose

InterventionHours (Median)
U-500R BID15
U-500R TID15

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Part B: Pharmacokinetics: Maximum Observed Drug Concentration (Cmax) of U-500R

Pharmacokinetics: Maximum Observed Drug Concentration (Cmax) of U-500R. (NCT02588950)
Timeframe: Period 3: -0.5, 0, 0.5, 1, 2, 3, 4, 5, 6, 7, 9, 11, 12, 13, 15, 18, 24h post dose

InterventionPico mole per liter (Pmol/L) (Geometric Mean)
U-500R BID699
U-500R TID1050

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the Number of Participants With Mild and Severe Hypoglycemic Events

To measure the number of participants with mild and severe hypoglycemic events (NCT03350984)
Timeframe: Duration of hospital stay, up to 4 weeks.

InterventionParticipants (Count of Participants)
NPH Insulin Group15
Glargine and Lispro Insulin Group15

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Number of Participants With Sustained Glycemic Control During Hospital Stay

Sustained glycemic control were the number of participants who not had: discharged before sustained control, critical status suspension, death before control, bad attachment to the protocol, interruption due to more than 2 hypoglycemic events during their hospital stay. (NCT03350984)
Timeframe: blood glucose was taken every day, up to 4 weeks.

InterventionParticipants (Count of Participants)
NPH Insulin Group30
Glargine and Lispro Insulin Group20

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Differences in the Mean Daily Blood Glucose Between a Basal-bolus Scheme and NPH Schemes of Insulin.

To determine the differences in the mean daily blood glucose measured in mg/dl, between a basal-bolus scheme and NPH schemes of insulin measured by the mean daily blood glucose. (NCT03350984)
Timeframe: Fasting blood glucose was taken every day, before breakfast, up to 4 weeks; postprandial glucose was taken every day, 2 hours after breakfast, 2 hours after lunch, and 2 hours after dinner, up to 4 weeks; glucose early morning was taken 3 am, up to 4 week

,
Interventionmg/dl (Mean)
Fasting blood glucosePostprandial glucoseGlucose in the early morning
Glargine and Lispro Insulin Group135156.2136.2
NPH Insulin Group129.6155.4127.4

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Percentage of Glucose Values Within Therapeutic Range

Percentage of the glucose values (premeal and bedtime for 3 days) within the therapeutic target of 80 - 180 mg/dL (NCT03511521)
Timeframe: 3 days

Interventionpercentage of glucose values in range (Mean)
NPH Insulin4.2
Basal/Bolus Insulin50

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Percentage of Glucose Values Within the Hypoglycemic Range

Percentage of the glucose values (premeal and bedtime for 3 days) less than 70 mg/dL and 54 mg/dL (NCT03511521)
Timeframe: 3 days

InterventionPercentage of glucose values < 70 mg/dL (Mean)
NPH Insulin0
Basal/Bolus Insulin0

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Glycemic Control

mean of 4 glucose levels per day (premeal and bedtime) for each group for first 3 days after intervention (NCT03511521)
Timeframe: 3 days

Interventionmg/dL (Mean)
NPH Insulin284.3
Basal/Bolus Insulin184.3

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