Trial | Phase | Enrollment | Study Type | Start Date | Status |
A Two-Part Clinical Trial to Assess Pharmacodynamic and Pharmacokinetic Variability of a Basal Insulin [NCT01152242] | Phase 1 | 36 participants (Actual) | Interventional | 2010-08-31 | Completed |
Effectiveness of a Subcutaneously Administered Long-acting Insulin Added to Insulin Drip Therapy as Compared With Standard Insulin Drip Treatment [NCT01153100] | Phase 1 | 60 participants (Actual) | Interventional | 2010-04-30 | Completed |
[NCT01195454] | Phase 1 | 24 participants (Actual) | Interventional | 2010-08-31 | Completed |
A Study of Effectiveness and Safety of Apidra in Combination With Lantus Therapy in Basal-bolus Insulin Regimen in Inadequately Controlled Children and Adolescents With Type 1 Diabetes in the Russian Federation. [NCT01202474] | Phase 4 | 100 participants (Actual) | Interventional | 2011-05-31 | Completed |
Six-month, Randomized, Open-label, Parallel-group Comparison of SAR341402 to NovoLog®/NovoRapid® in Adult Patients With Diabetes Mellitus Also Using Insulin Glargine, With a 6-month Safety Extension Period [NCT03211858] | Phase 3 | 597 participants (Actual) | Interventional | 2017-08-02 | Completed |
Safety and Efficacy of Insulin Glargine Injection [rDNA Origin] Treatment in Place of the TZD or the Sulfonylurea or Metformin in Triple Agent Therapy for T2DM Adult Subjects With Unsatisfactory Control [NCT00283049] | Phase 4 | 390 participants (Actual) | Interventional | 2006-02-28 | Terminated(stopped due to Due to technical issues relating to the Electronic diary data.) |
A Trial Comparing the Efficacy and Safety of Insulin Degludec and Insulin Glargine 300 Units/mL in Subjects With Type 2 Diabetes Mellitus Inadequately Treated With Basal Insulin With or Without Oral Antidiabetic Drugs [NCT03078478] | Phase 3 | 1,609 participants (Actual) | Interventional | 2017-03-13 | Completed |
A Trial Evaluating the Pharmacodynamic Response of NN1250 at Steady State Conditions in Subjects With Type 1 Diabetes [NCT01114542] | Phase 1 | 66 participants (Actual) | Interventional | 2010-05-03 | Completed |
A Randomized, Cross-over, Open, Euglycemic Clamp Study on the Relative Bioavailability and Activity of 0.6 U/kg Insulin Glargine and 20 μg Lixisenatide, Given as On-site Mix Compared to Separate Simultaneous Injections in Subjects With Type 1 Diabetes Mel [NCT01146678] | Phase 1 | 22 participants (Anticipated) | Interventional | 2010-06-30 | Completed |
A Trial Comparing NNC0148-0287 C (Insulin 287) Versus Insulin Glargine U100, Both in Combination With Metformin, With or Without DPP4 Inhibitors and With or Without SGLT2 Inhibitors, in Basal Insulin Treated Subjects With Type 2 Diabetes Mellitus [NCT03922750] | Phase 2 | 154 participants (Actual) | Interventional | 2019-05-09 | Completed |
Comparison of Glycaemic Fluctuation and Oxidative Stress Between Two Short-term Therapies for Type 2 Diabetes [NCT02526810] | Phase 4 | 70 participants (Anticipated) | Interventional | 2015-07-31 | Recruiting |
Comparison of Insulin Degludec With Insulin Glargine U100 for Adults With Type 1 Diabetes Travelling Across Multiple Time Zones. A Pilot Study. [NCT03668808] | Phase 4 | 25 participants (Actual) | Interventional | 2018-11-16 | Completed |
A Multiple-dose Trial Investigating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of NNC0148-0287 C (Insulin 287) for Subcutaneous Administration in Japanese Subjects With Type 1 Diabetes [NCT03766854] | Phase 1 | 24 participants (Actual) | Interventional | 2018-12-07 | Completed |
Comparison of a Basal Plus (Insulin Glargine/Insulin Glulisine) Regimen to Biphasic Insulin (InsulinAspart/Insulin Aspart Protamine 30/70) in T2DM Patients Who Require Insulin Intensification After Basal Insulin Optimization. [NCT01212913] | Phase 4 | 161 participants (Actual) | Interventional | 2010-08-31 | Completed |
A Phase 3, Parallel-Design, Open-Label, Randomized Control Study to Evaluate the Efficacy and Safety of LY3209590 Administered Weekly Using a Fixed Dose Escalation Compared to Insulin Glargine in Insulin-Naïve Adults With Type 2 Diabetes [NCT05662332] | Phase 3 | 796 participants (Actual) | Interventional | 2023-01-14 | Active, not recruiting |
A 24-week, Open, Multicenter, Comparative Study of 2 Strategies (Including Insulin Glargine Versus Premixed Insulin) for the Therapeutic Management of Patients With Type 2 Diabetes Failing Oral Agents [NCT01121835] | Phase 4 | 934 participants (Actual) | Interventional | 2010-02-28 | Completed |
Effect of Normalization of Fasting Glucose by Intensified Insulin Therapy on the Incidence of Restenosis After Peripheral Angioplasty in Patients With Type 2 Diabetes. [NCT01150617] | Phase 4 | 46 participants (Actual) | Interventional | 2008-12-31 | Terminated(stopped due to end-point reached) |
Early Administration of Insulin Glargine in Patients With Diabetic Ketoacidosis [NCT06007508] | Phase 2 | 150 participants (Anticipated) | Interventional | 2022-05-31 | Recruiting |
Phase IV, Multicenter, International, Non-comparative, Open Label Study of Efficacy and Safety of Basal Bolus Therapy (Insulin Glargine + Insulin Glulisine) in Patients With T1 Diabetes Previously Uncontrolled on Any Insulin Regimen. [NCT01204593] | Phase 4 | 206 participants (Actual) | Interventional | 2010-11-30 | Completed |
Efficacy and Safety of Intensive Insulin Therapy With Insulin Glulisine in Patients With Type 2 Diabetes Inadequately Controlled With Basal Insulin and Oral Glucose-lowering Drugs [NCT01203111] | Phase 4 | 207 participants (Actual) | Interventional | 2010-12-31 | Completed |
Relative Bioavailability of LY2963016 to LANTUS® After Single Dose Subcutaneous Administration to Healthy Subjects [NCT01374178] | Phase 1 | 16 participants (Actual) | Interventional | 2011-06-30 | Completed |
Relative Bioavailability of LY2963016 to LANTUS® After Single-Dose Subcutaneous Administration in Healthy Chinese Subjects [NCT03555305] | Phase 1 | 58 participants (Actual) | Interventional | 2018-09-26 | Completed |
A Prospective, Randomized, Double-Blind Comparison of LY900014 to Insulin Lispro With an Open-Label Postprandial LY900014 Treatment Group, in Combination With Insulin Glargine or Insulin Degludec, in Adults With Type 1 Diabetes PRONTO-T1D [NCT03214367] | Phase 3 | 1,392 participants (Actual) | Interventional | 2017-07-17 | Completed |
A Trial Comparing Efficacy and Safety of NN1250 and Insulin Glargine in Subjects With Type 2 Diabetes (BEGIN™: EASY AM) [NCT01068678] | Phase 3 | 460 participants (Actual) | Interventional | 2010-02-28 | Completed |
A Prospective, Randomized, Double-Blind Comparison of LY900014 to Humalog With an Open-Label Postprandial LY900014 Treatment Group in Children and Adolescents With Type 1 Diabetes [NCT03740919] | Phase 3 | 751 participants (Actual) | Interventional | 2019-04-07 | Completed |
Pharmacist Intervention for Glycemic Control in The Community (The RxING Study) [NCT01335763] | | 100 participants (Actual) | Interventional | 2011-04-30 | Completed |
A Comparison of LY2605541 Versus Insulin Glargine as Basal Insulin Treatment in Combination With Oral Anti-Hyperglycemia Medications in Insulin-Naïve Patients With Type 2 Diabetes Mellitus: An Open-Label, Randomized, 52-week Study [NCT02106364] | Phase 3 | 0 participants (Actual) | Interventional | 2015-02-28 | Withdrawn(stopped due to Lilly's decision to cancel this trial is due to regulatory uncertainty in China.) |
Remission Through Early Monitored Insulin Therapy - Duration Month [NCT03670641] | Phase 4 | 10 participants (Actual) | Interventional | 2019-03-26 | Completed |
A Randomized, Double-blind, Two Period, Cross Over Glucose Clamp Study to Test for Bioeqivalence Between Two Long Acting Insulin Analogs-Wockhardt's Glaritus™ (Insulin Glargine) and Lantus (Insulin Glargine) in Subjects With Type 1 Diabetes [NCT01357603] | Phase 1 | 111 participants (Actual) | Interventional | 2011-06-30 | Completed |
Lantus® (Insulin Glargine[rDNA Origin] Injection) vs Humalog® Mix 75/25 (75% Insulin Lispro Protamine Suspension and 25% Insulin Lispro Injection) as add-on Therapy in Type 2 Diabetes Patients Failing Sulfonylurea and Glucophage (Metformin) Combination Tr [NCT01336751] | Phase 3 | 212 participants (Actual) | Interventional | 2001-07-31 | Completed |
An Open Label, Randomized Comparison of Wockhardt's Recombinant Insulin Analogue With Innovator's Glargine in Type 1 Diabetic Patients. [NCT01352663] | Phase 3 | 0 participants (Actual) | Interventional | | Withdrawn(stopped due to Business strategy decision) |
A Randomized, Double-blind, 2x2 Cross-over Euglycemic Clamp Study in Two Parallel Cohorts to Assess the Safety and Tolerability of Two Dose Levels of a New Formulation of Insulin Glargine and to Compare Its Pharmacodynamic and Pharmacokinetic Properties W [NCT01349855] | Phase 1 | 30 participants (Anticipated) | Interventional | 2011-03-31 | Completed |
Central Effects of Endogenous Glucagon Like Peptide-1 (GLP-1) and the GLP-1 Analog Liraglutide on Brain Satiety and Reward Circuits and Feeding Behavior in Diabetes [NCT01363609] | | 50 participants (Actual) | Interventional | 2011-10-31 | Completed |
Metformin and Sitagliptin Therapy for Adult Patients With Type 2 Diabetes Admitted to the General Medical Unit [NCT02250794] | Phase 4 | 0 participants (Actual) | Interventional | 2014-10-31 | Withdrawn(stopped due to No subjects enrolled.) |
Multicentre Phase IV Single Arm Clinical Trial to evaluAte the saFety and Efficacy of Gla-300 in insUlin-naïve Patients With Type 2 DiAbetes uncontRolled on Oral Antihyperglycemic Drugs [NCT04980027] | Phase 4 | 228 participants (Actual) | Interventional | 2021-06-07 | Completed |
A Study to Assess the Safety, Pharmacokinetics and Pharmacodynamic Effect of MK-5160 in Subjects With Type 1 and Type 2 Diabetes Mellitus [NCT03095651] | Phase 1 | 33 participants (Actual) | Interventional | 2017-04-12 | Completed |
Effects of Replacing Lantus With Basalin on the Glycemic Variation in Patients [NCT03631121] | Phase 4 | 100 participants (Anticipated) | Interventional | 2018-08-15 | Recruiting |
Asian Treat to Target Lantus Study: A Randomized, Multicentre, Multinational, Open-Label, Parallel-Group, 24-Week Phase IV Study Evaluating the Effectiveness and Safety of Physician Versus Patient-led Initiation and Titration of Insulin Glargine in Type 2 [NCT01169818] | Phase 4 | 555 participants (Actual) | Interventional | 2010-08-31 | Completed |
Variability of Glucose Assessed in a Randomized Trial Comparing the Initiation of A Treatment Approach With Biosimilar Basal Insulin Analog Or a Titratable iGlarLixi combinatioN in Type 2 Diabetes Among South Asian Subjects (VARIATION 2 SA Trial) [NCT03819790] | Phase 4 | 119 participants (Actual) | Interventional | 2018-10-02 | Completed |
National, Phase IV, Multicentric, Open Label, Comparative Study to Evaluate the Efficacy and Safety of Insulin Glargine Plus Glulisine and Sliding Scale Plus Glulisine in Hospitalized Patients With Diabetes Metabolism Type II Under Enteral Nutrition. [NCT01081938] | Phase 4 | 15 participants (Actual) | Interventional | 2010-02-28 | Terminated(stopped due to Recruitment challenges) |
Better Acceptance of a Single Injection Apidra (Insulin Glulisine) Added to Once Daily Lantus (Insulin Glargine) Versus Twice Daily Premixed Insulin in a Real Life Use Setting [NCT01079364] | Phase 4 | 52 participants (Actual) | Interventional | 2010-01-31 | Terminated(stopped due to Slow recruitment) |
A Phase 3, Randomized, Open Label, Comparator-Controlled, Parallel Group, Multicenter Study to Compare the Effects of Exenatide and Insulin Glargine on Beta Cell Function and Cardiovascular Risk Markers in Subjects With Type 2 Diabetes Treated With Metfor [NCT00097500] | Phase 3 | 69 participants (Actual) | Interventional | 2004-09-30 | Completed |
Effect of Semaglutide Once-weekly Versus Insulin Aspart Three Times Daily, Both as Add on to Metformin and Optimised Insulin Glargine (U100) in Subjects With Type 2 Diabetes A 52-week, Multi-centre, Multinational, Open-label, Active-controlled, Two Armed, [NCT03689374] | Phase 3 | 2,274 participants (Actual) | Interventional | 2018-10-01 | Completed |
A Trial Investigating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Subcutaneous NNC0268-0965 in Healthy Subjects and in Subjects With Type 1 Diabetes Mellitus [NCT03965013] | Phase 1 | 78 participants (Actual) | Interventional | 2019-06-05 | Completed |
A 78-week Trial Comparing the Effect and Safety of Once Weekly Insulin Icodec and Once Daily Insulin Glargine 100 Units/mL, Both in Combination With Non-insulin Anti-diabetic Treatment, in Insulin naïve Subjects With Type 2 Diabetes [NCT04460885] | Phase 3 | 984 participants (Actual) | Interventional | 2020-11-25 | Completed |
Efficacy and Safety of Human Insulin Versus Analog Insulin in Hospitalized Acute Stroke Patients With Hyperglycemia: a Randomized, Open-label, Single Center Trial [NCT04834362] | Phase 4 | 452 participants (Actual) | Interventional | 2021-04-05 | Completed |
A Trial Investigating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Insulin 320 in Healthy Subjects [NCT02479022] | Phase 1 | 84 participants (Actual) | Interventional | 2015-06-30 | Completed |
A Single-Center, Randomized, Double-Blind, 3-Treatment, 3-Period, 6-Sequence Cross-Over Study To Compare The Pharmacokinetic And Pharmacodynamic Effects of Single Doses of Insulin Glargine Given As U200 And U500 To Lantus® In A Euglycemic Clamp Setting In [NCT02201199] | Phase 1 | 36 participants (Actual) | Interventional | 2014-08-31 | Completed |
A Comparison of Exenatide and Insulin Glargine on Glycemic Variability in T2DM Patients Inadequately Controlled With Metformin Monotherapy [NCT02325960] | Phase 4 | 44 participants (Actual) | Interventional | 2015-01-31 | Completed |
A Randomized, 30-week, Active-controlled, Open-label, 2 Treatment-arm, Parallel Group, Multicenter Study Comparing Efficacy and Safety of iGlarLixi to Insulin Glargine With or Without Metformin in Patients With Type 2 Diabetes Mellitus Insufficiently Cont [NCT03798080] | Phase 3 | 426 participants (Actual) | Interventional | 2019-02-19 | Completed |
A Phase3, Multi-Center, Open-Label, Randomized, Clinical Trial Evaluating the Efficacy and Safety of Technosphere® Insulin Inhalation Powder in Combination With Lantus® Versus Humalog® in Combination With Lantus® in Subjects With Type 1 Diabetes Mellitus [NCT00700622] | Phase 3 | 130 participants (Actual) | Interventional | 2008-05-31 | Terminated(stopped due to Sponsor stopped development of the MedTone inhaler in favor of an improved device (Gen2 inhaler)) |
A Phase 3, Open-Label, Parallel-Group Study to Evaluate the Efficacy of Preprandial Human Insulin Inhalation Powder (HIIP) Compared to Preprandial Injectable Insulin in Patients With Type 1 Diabetes Mellitus [NCT00356109] | Phase 3 | 494 participants (Actual) | Interventional | 2006-08-31 | Completed |
Evaluation of Glycemic Control and Quality of Life in Adults With Type 1 Diabetes During Continuous Glucose Monitoring When Switching to Insulin Glargine 300 U/mL: A FUTURE Substudy [NCT05109520] | | 867 participants (Actual) | Observational | 2021-09-08 | Completed |
A 24-week, Multicenter, Randomized, Open-Label, Parallel-group StudyComparing the Efficacy and Safety of Toujeo® and Tresiba® in Insulin-NaivePatients With Type 2 Diabetes Mellitus Not Adequately Controlled With OralAntihyperglycemic Drug(s) ± GLP-1 Recep [NCT02738151] | Phase 4 | 929 participants (Actual) | Interventional | 2016-05-19 | Completed |
A Randomized Controlled Trial Comparing Glargine U300 and Glargine U100 for the Inpatient and Post-Hospital Discharge Management of Medicine and Surgery Patients With Type 2 Diabetes [NCT03013985] | Phase 4 | 247 participants (Actual) | Interventional | 2017-05-17 | Completed |
This Trial is Conducted Globally. The Aim of This Trial is to Compare the Effect and Safety of Insulin Degludec/Insulin Aspart vs. Insulin Glargine Plus Insulin Aspart in Subjects With Type 2 Diabetes Treated With Basal Insulin With or Without Oral Antidi [NCT02906917] | Phase 3 | 532 participants (Actual) | Interventional | 2016-09-20 | Completed |
Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of LY3209590 Following Multiple Weekly Doses in Patients With Type 2 Diabetes Mellitus [NCT03367377] | Phase 1 | 70 participants (Actual) | Interventional | 2018-01-03 | Completed |
A Trial Investigating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Subcutaneous NNC0123-0338 in Healthy Subjects and in Subjects With Type 1 Diabetes Mellitus [NCT02220296] | Phase 1 | 62 participants (Actual) | Interventional | 2014-08-20 | Completed |
A Phase 3, Open-Label Study of Once Daily LY3502970 Compared With Insulin Glargine in Adult Participants With Type 2 Diabetes and Obesity or Overweight at Increased Cardiovascular Risk [NCT05803421] | Phase 3 | 2,620 participants (Anticipated) | Interventional | 2023-04-03 | Recruiting |
Insulin Degludec Versus Glargine U300 for the Management of Hospitalized Patients With Type 2 Diabetes: Randomized Controlled Trial [NCT05036876] | | 220 participants (Actual) | Interventional | 2021-10-10 | Completed |
A Single Center, Randomized, Open-Label, Crossover Study, Comparing the Pharmacodynamic Properties of Insulin VIAJECT™, Regular Human Insulin, and Insulin Lispro Either in Combination With a Basal Insulin Infusion or With Insulin Glargine Relative to a St [NCT01000922] | Phase 2 | 24 participants (Actual) | Interventional | 2006-06-30 | Completed |
A Pivotal Long-Term, Open-Label, Parallel Study of the Efficacy and Safety of Human Insulin Inhalation Powder in Patients With Type 1 Diabetes Mellitus [NCT00127634] | Phase 3 | 385 participants (Actual) | Interventional | 2005-07-31 | Completed |
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 4 | 75 participants (Actual) | Interventional | 2017-11-02 | Completed |
A Clinical Trial Comparing Glycaemic Control and Safety of Insulin Degludec/Liraglutide (IDegLira) Versus Insulin Glargine (IGlar) as add-on Therapy to SGLT2i in Subjects With Type 2 Diabetes Mellitus. DUALTM IX - Add-on to SGLT2i [NCT02773368] | Phase 3 | 420 participants (Actual) | Interventional | 2016-05-23 | Completed |
A 6-month, Multicenter, Prospective, Single-arm, Open-label, Phase IV Study Evaluating the Clinical Efficacy and Safety of Insulin Glargine U300 in Chinese Adult Patients With Uncontrolled Type 2 Diabetes Mellitus With a 3-month Extension Period [NCT05002933] | Phase 4 | 570 participants (Actual) | Interventional | 2021-05-20 | Completed |
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 4 | 2,091 participants (Actual) | Interventional | 2005-12-31 | Completed |
A Randomized Controlled Trial to Evaluate Early Intermittent Intensive Insulin Therapy as an Effective Treatment of Type 2 Diabetes: REmission Studies Evaluating Type 2 DM - Intermittent Insulin Therapy (RESET-IT) [NCT02192424] | Phase 3 | 109 participants (Actual) | Interventional | 2014-07-31 | Completed |
A Multi-Center,Open-Label, Single-Arm, Multiple Dose Study With HOE901-U300 to Assess The Ease of Use And Safety of a New U300 Pen Injector in Insulin-Naïve Patients With T2DM [NCT02227212] | Phase 3 | 40 participants (Actual) | Interventional | 2014-08-31 | Completed |
Randomized, Open Label, Parallel-group Study Comparing the Pharmacokinetics and Immunogenicity of Alternating Use of SAR341402 and NovoLog® Versus Continuous Use of NovoLog in Participants With Type 1 Diabetes Mellitus Also Using Insulin Glargine [NCT03874715] | Phase 3 | 210 participants (Actual) | Interventional | 2019-03-11 | Completed |
AN OPEN-LABEL, RANDOMIZED, MULTICENTER, PHASE 3 STUDY TO COMPARE THE IMMUNOGENICITY, EFFICACY, AND SAFETY OF GAN & LEE PHARMACEUTICALS INSULIN GLARGINE INJECTION TO LANTUS® IN ADULT SUBJECTS WITH TYPE 1 DIABETES MELLITUS [NCT03371082] | Phase 3 | 550 participants (Actual) | Interventional | 2017-10-31 | Completed |
Benefits of Insulin Supplementation for Correction of Hyperglycemia in Patients With Type 2 Diabetes Treated With Basal Bolus Insulin Regimen [NCT02408120] | Phase 4 | 226 participants (Actual) | Interventional | 2015-10-31 | Completed |
A Phase 3, Open-Label, Crossover Study to Evaluate the Efficacy and Safety of Human Insulin Inhalation Powder (HIIP) Compared With Once-Daily Insulin Glargine in Insulin-Naive Patients With Type 2 Diabetes Mellitus on Oral Agents [NCT00437112] | Phase 3 | 142 participants (Actual) | Interventional | 2007-02-28 | Completed |
Efficacy of Liraglutide vs. Sitagliptin vs. Insulin Glargine Per Day on Liver Fat When Combined With Metformin in T2DM Subjects With Non-alcoholic Fatty-liver Disease [NCT02147925] | Phase 4 | 75 participants (Actual) | Interventional | 2014-08-31 | Completed |
Exenatide BID Compared With Insulin Glargine to Change Liver Fat Content in Non-alcoholic Fatty-liver Disease Patients With Type 2 Diabetes [NCT02303730] | Phase 4 | 76 participants (Actual) | Interventional | 2015-03-31 | Completed |
A 16-week, Multicenter, Prospective, Open-label, Single-arm, Phase 4 Study to Evaluate the Effect of Soliqua™ 100/33 on the Percentage of Time in Range (TIR) From Continuous Glucose Monitoring (CGM) in Insulin-naïve Patients With Very Uncontrolled Type 2 [NCT05114590] | Phase 4 | 72 participants (Actual) | Interventional | 2022-01-27 | Completed |
Conversion of Hyperglycemic Patients Being Treated With Intravenous Insulin Infusions to Lantus Insulin [NCT00338104] | Phase 4 | 75 participants (Actual) | Interventional | 2004-07-31 | Completed |
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 4 | 72 participants (Actual) | Interventional | 2010-07-31 | Completed |
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 3 | 162 participants (Actual) | Interventional | 2011-02-28 | Completed |
Practical Implementation of ADA/EASD Consensus Algorithm in Patients With Type 2 Diabetes: Timely Insulin Initiation and Titration [NCT01127269] | Phase 4 | 178 participants (Actual) | Interventional | 2010-05-31 | Completed |
A Comparative Study to Evaluate the Prandial Treatment Adjustment Effect Via Continuous Glucose Monitoring on Type 2 DM Patients Uncontrolled With a Basal Insulin or Premix Once a Day [NCT01234597] | Phase 4 | 219 participants (Actual) | Interventional | 2012-12-31 | Completed |
Effect of Insulin Glargine and Lixisenatide Versus Insulin Glargine on Brain Insulin Sensitivity in Patients With Type 2 Diabetes [NCT03881995] | Phase 4 | 1 participants (Actual) | Interventional | 2019-03-18 | Terminated(stopped due to insufficient recruitment) |
An Investigational Trial Comparing the Efficacy and Safety of Once Weekly NNC0148-0287 C (Insulin 287) Versus Once Daily Insulin Glargine, Both in Combination With Metformin, With or Without DPP-4 Inhibitors, in Insulin naïve Subjects With Type 2 Diabetes [NCT03751657] | Phase 2 | 247 participants (Actual) | Interventional | 2018-11-29 | Completed |
A Randomized Controlled Trial Comparing Insulin Degludec and Glargine U100 for the Inpatient and Post-Hospital Discharge Management of Medicine and Surgery Patients With Type 2 Diabetes [NCT03336528] | Phase 4 | 180 participants (Actual) | Interventional | 2018-01-02 | Completed |
Remission Evaluation of a Metabolic Intervention for Type 2 Diabetes With IGlarLixi [NCT03130426] | Phase 3 | 161 participants (Actual) | Interventional | 2017-06-27 | Completed |
A Prospective, Randomized, Open-Label Comparison of a Long-Acting Basal Insulin Analog LY2963016 to Lantus® in Adult Chinese Patients With Type 2 Diabetes Mellitus [NCT03338010] | Phase 3 | 536 participants (Actual) | Interventional | 2018-03-22 | Completed |
A Comparative Study of the Effects of QS-M Needle Free Injector and Glargine Pen Subcutaneous Injection of Insulin Glargine on Insulin Use [NCT03420040] | | 65 participants (Anticipated) | Interventional | 2017-11-27 | Enrolling by invitation |
A 12-week Randomized, Controlled Trial to Compare TOUJEO® and TRESIBA® in Terms of Glucose Values in Target Range and Variability During Continuous Glucose Monitoring in Patients With Type 1 Diabetes Mellitus [NCT04075513] | Phase 4 | 343 participants (Actual) | Interventional | 2019-10-09 | Completed |
Evaluation of Virtual Versus Traditional Study Conduct in a 6-month, Multicenter, Randomized, Open-label, Two-parallel Group Pilot Study in Adult Patients With Type 1 Diabetes Mellitus [NCT03260868] | Phase 4 | 15 participants (Actual) | Interventional | 2017-09-19 | Terminated(stopped due to "Due to prolonged low participant recruitment") |
A Randomized, Double-blind, Placebo-controlled, Parallel-group, 52-week Multicenter Study to Evaluate the Efficacy and Safety of Sotagliflozin in Patients With Type 2 Diabetes Who Have Inadequate Glycemic Control on Basal Insulin Alone or in Addition to O [NCT03285594] | Phase 3 | 571 participants (Actual) | Interventional | 2017-09-15 | Completed |
Randomised Open Label Study of Insulin Degludec Versus Insulin Glargine U100 in Ramadan [NCT03349840] | Phase 4 | 273 participants (Actual) | Interventional | 2018-01-07 | Terminated(stopped due to The study was terminated by the IRB and the Institutional Official after the MOPH and WCMQ audits) |
A Prospective, Randomized, Double-Blind Comparison of LY900014 to Insulin Lispro, Both in Combination With Insulin Glargine or Insulin Degludec in Adults With Type 2 Diabetes PRONTO-T2D [NCT03214380] | Phase 3 | 933 participants (Actual) | Interventional | 2017-07-14 | Completed |
A Single Ascending Dose Clinical Trial to Study the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of MK-1092 in Healthy Subjects, Subjects With Type 1 Diabetes Mellitus, and Subjects With Type 2 Diabetes Mellitus. [NCT03170544] | Phase 1 | 69 participants (Actual) | Interventional | 2017-08-16 | Completed |
A Trial Investigating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of NNC 0123-0000-0338 in Healthy Subjects [NCT01334034] | Phase 1 | 70 participants (Actual) | Interventional | 2011-04-11 | Completed |
A 26-week Randomized, Open-label, Active-controlled, 2-treatment Arm, Parallel Group Multi-center Study, Comparing the Efficacy and Safety of Soliqua™100/33 Versus Lantus® in Ethnically/Racially Diverse Patients With Type 2 Diabetes Mellitus Inadequately [NCT03434119] | Phase 3 | 241 participants (Actual) | Interventional | 2018-02-20 | Terminated(stopped due to "(Trial terminated (recruitment delays))") |
Biphasic Insulin Aspart 70/30 + Metformin Compared to Insulin Glargine + Metformin in Type 2 Diabetes Failing OAD Therapy [NCT00598793] | Phase 3 | 242 participants (Actual) | Interventional | 2002-11-30 | Completed |
A Trial Comparing Efficacy and Safety of NN5401 With Insulin Glargine, Both in Combination With Oral Antidiabetic Drugs in Subjects With Type 2 Diabetes (BOOST™ : INTENSIFY BASAL) [NCT01045447] | Phase 3 | 465 participants (Actual) | Interventional | 2010-01-31 | Completed |
A Pan Asian Trial Comparing Efficacy and Safety of Insulin NN1250 and Insulin Glargine as Add on to OAD(s) in Subjects With Type 2 Diabetes (BEGIN™: ONCE ASIA) [NCT01059799] | Phase 3 | 435 participants (Actual) | Interventional | 2010-02-01 | Completed |
A 26 Week Randomised, Controlled, Open Label, Multicentre, Multinational, Three-arm, Treat to Target Trial Comparing Efficacy and Safety of Three Different Dosing Regimens of Either Soluble Insulin Basal Analogue (SIBA) or Insulin Glargine With or Without [NCT01006291] | Phase 3 | 687 participants (Actual) | Interventional | 2009-11-30 | Completed |
A Randomized, Open-Label, Parallel-Arm, Noninferiority Comparison of the Effects of Two Doses of LY2189265 and Insulin Glargine on Glycemic Control in Patients With Type 2 Diabetes on Stable Doses of Metformin and Glimepiride [NCT01075282] | Phase 3 | 810 participants (Actual) | Interventional | 2010-02-28 | Completed |
An Open Label Randomized Multicenter Study to Assess Patient Preference for and Evaluate Clinical Benefit of Insulin Glargine (Lantus®) SoloSTAR® Pen Versus Conventional Vial/Syringe Method of Insulin Glargine (Lantus®) Injection Therapy in Patients With [NCT01226043] | Phase 4 | 405 participants (Actual) | Interventional | 2010-10-31 | Completed |
NN1250-3582: A 52-week Randomised, Controlled, Open Label, Multicentre, Multinational Treat-to-target Trial Comparing Efficacy and Safety of SIBA and Insulin Glargine Both Administered Once Daily in a Basal-bolus Regimen With Insulin Aspart as Mealtime In [NCT00972283] | Phase 3 | 1,006 participants (Actual) | Interventional | 2009-09-01 | Completed |
A Phase 2 Study of LY2605541 Compared With Insulin Glargine in the Treatment of Type 2 Diabetes Mellitus [NCT01027871] | Phase 2 | 289 participants (Actual) | Interventional | 2010-01-31 | Completed |
Basal Bolus Versus Basal Insulin Regimen for the Treatment of Hospitalized Patients With Type 2 Diabetes Mellitus [NCT00979628] | Phase 4 | 375 participants (Actual) | Interventional | 2010-01-31 | Completed |
Superiority Study of Insulin Glargine Over Sitagliptin in Insulin-naïve Patients With Type 2 Diabetes Treated With Metformin and Not Adequately Controlled [NCT00751114] | Phase 4 | 515 participants (Actual) | Interventional | 2008-11-30 | Completed |
6-Month, Multicenter, Randomized, Parallel-group Study Comparing the Efficacy and Safety of a New Formulation of Insulin Glargine and Lantus® in Insulin-Naïve Patients With Type 2 Diabetes Mellitus Not Adequately Controlled With Non-Insulin Antihyperglyce [NCT02855684] | Phase 3 | 604 participants (Actual) | Interventional | 2016-08-24 | Completed |
A 21-Week, Open-label, Randomized, Controlled, Parallel-group, Multi-center Study Evaluating the Efficacy and Safety of HOE901-U300 Administered According to a Device-Supported Treat-to-target Regimen Versus Routine Titration in Patients With Type 2 Diabe [NCT02585674] | Phase 3 | 151 participants (Actual) | Interventional | 2015-12-31 | Completed |
A 24-week, Randomized, Open-label, Parallel Group Multinational Comparison of Lantus® (Insulin Glargine) Given in the Morning as Once-a-day Basal Insulin Versus Neutral Protamine Hagedorn (NPH) Insulin, in Children With Type 1 Diabetes Mellitus Aged at Le [NCT00993473] | Phase 3 | 125 participants (Actual) | Interventional | 2009-10-31 | Completed |
A Randomized, Open-Label, Active-Controlled, Parallel-Group, Multicenter Study to Determine the Safety and Efficacy of Albiglutide Administered in Combination With Insulin Glargine as Compared With the Combination of Insulin Glargine and Preprandial Lispr [NCT00976391] | Phase 3 | 586 participants (Actual) | Interventional | 2009-09-30 | Completed |
Comparison of Efficacy and Safety of Standard vs Higher Starting Dose of Insulin Glargine in Overweight and Obese Chinese Patients With Type 2 Diabetes [NCT02836704] | Phase 4 | 892 participants (Actual) | Interventional | 2016-09-09 | Completed |
Effect of Simplified Insulin Regimen on Glycemic Control and Quality of Life in an Elderly Population With Type 2 Diabetes [NCT03660553] | Phase 4 | 7 participants (Actual) | Interventional | 2018-10-10 | Terminated(stopped due to PI left University of Miami) |
The Metabolic and Glycaemic Effects of a Combined Basal-Bolus Insulin Reduction And Carbohydrate Feeding Strategy For Evening Exercise in Type 1 Diabetes Mellitus [NCT02204839] | | 10 participants (Actual) | Interventional | 2014-01-31 | Completed |
Proof-of-concept Trial of Clinician-supported Patient Self-management of Hospital Insulin Therapy [NCT02144441] | | 0 participants (Actual) | Interventional | 2014-06-30 | Withdrawn(stopped due to Very few patients met eligibility criteria, none of whom elected to enroll.) |
A Randomized, Active-controlled, Parallel Group, 16-Week Open Label Study Comparing the Efficacy and Safety of the Morning Injection of Toujeo (Insulin Glargine-U300) Versus Lantus in Patients With Type 1 Diabetes Mellitus [NCT02688933] | Phase 4 | 638 participants (Actual) | Interventional | 2016-05-05 | Completed |
A 24-week International, Multicenter, Randomized, Open-Label, Active-Controlled, Parallel Group, Phase 3b Trial With a 28-week Extension to Evaluate the Efficacy and Safety of Saxagliptin Co-administered With Dapagliflozin Compared to Insulin Glargine in [NCT02551874] | Phase 3 | 650 participants (Actual) | Interventional | 2015-10-20 | Completed |
A Multicenter, Randomized, Open-label, Active-controlled Study to Compare the Safety, Tolerability and Effect on Glycemic Control of Taspoglutide Versus Insulin Glargine in Insulin-naïve Type 2 Diabetic Patients Inadequately Controlled With Metformin and [NCT00755287] | Phase 3 | 1,072 participants (Actual) | Interventional | 2008-11-30 | Completed |
A Phase 3, Open-Label, Three-Group Parallel Study to Evaluate the Efficacy and Safety of Human Insulin Inhalation Powder (HIIP) in Patients With Type 2 Diabetes Treated With Once-Daily Insulin Glargine [NCT00355849] | Phase 3 | 555 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Randomized, Open-Label, Controlled, Parallel-group, Multicenter Trial Comparing the Efficacy and Safety of INS068 and Insulin Glargine in Subjects With Type 2 Diabetes Mellitus Not Adequately Controlled With Basal Insulin [NCT05702073] | Phase 3 | 400 participants (Anticipated) | Interventional | 2023-03-31 | Recruiting |
A Phase 1, Exploratory, Randomized, Double-Blind, Two-Way Cross Over Study to Assess Pharmacokinetic and Pharmacodynamic Effects of Gan & Lee's Insulin Glargine Injection in Comparison to Lantus in Subjects With Type 1 Diabetes Mellitus [NCT02506647] | Phase 1 | 41 participants (Actual) | Interventional | 2015-12-31 | Completed |
Sitagliptin for the Prevention and Treatment of Stress Hyperglycemia in Non-Diabetic Patients Undergoing Cardiac Surgery [NCT02443402] | Phase 4 | 68 participants (Actual) | Interventional | 2016-01-31 | Completed |
The Effect of Short-term Insulin Intensive Therapy Based on the Application of Insulin Pump and Real-time Dynamic Glucose Monitoring Technology on Reversing the Newly Diagnosed Type 2 Diabetes [NCT06127433] | Phase 4 | 210 participants (Anticipated) | Interventional | 2023-03-07 | Recruiting |
A Pilot Study of the Effect of Continuous Subcutaneous Insulin Infusion in Adolescents With Newly-diagnosed Type 1 Diabetes on Insulin Resistance, Beta-cell Function and the Honeymoon Period. [NCT00357890] | | 12 participants (Actual) | Interventional | 2005-12-31 | Completed |
The Efficacy and Safety of Once-Weekly, Subcutaneous Dulaglutide Compared to Once-Daily Insulin Glargine in Patients With Type 2 Diabetes Mellitus on Metformin and/or a Sulfonylurea [NCT01648582] | Phase 3 | 774 participants (Actual) | Interventional | 2012-07-31 | Completed |
Effects of Degludec/Liraglutide on Time in Range, Markers of Inflammation and Endothelial Dysfunction Compared to Scheme Insulin Basal Bolus, in a Population of Diabetic Inpatients and Possible Correlation With Intra-hospital Mortality Rates [NCT05360537] | Phase 4 | 100 participants (Actual) | Interventional | 2021-04-01 | Completed |
Effect of Short-term Basal Insulin Initiation in Newly Diagnosed Type 2 Diabetes on 1-year Glycemic Control [NCT06107153] | | 200 participants (Anticipated) | Interventional | 2023-11-01 | Not yet recruiting |
Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of LY3209590 Following Multiple Weekly Doses in Chinese Patients With Type 2 Diabetes Mellitus [NCT05596747] | Phase 1 | 30 participants (Anticipated) | Interventional | 2022-11-30 | Active, not recruiting |
Intravenous Insulin Protocol in Diabetes and Renal Transplantation Study [NCT00609986] | | 104 participants (Actual) | Interventional | 2007-07-31 | Completed |
A Canadian, Phase IV, Multicenter, Comparative, Open-label Study Evaluating 2 Approaches of Blood Glucose Monitoring and Insulin Titration (Patient-managed vs Health Care Professional) in T2DM Patients While Receiving the Addition of 1 Injection of Insuli [NCT01013571] | Phase 4 | 493 participants (Actual) | Interventional | 2009-10-31 | Completed |
A Randomised, Multicentre, Open-Label, Parallel-Group, 24-Week Phase IV Study Comparing the Effectiveness and Safety of Two Approaches to the Management of Type 2 Diabetes Mellitus in Australian Primary Care: General Practitioner Initiation of Insulin Gla [NCT00950534] | Phase 4 | 25 participants (Actual) | Interventional | 2009-07-31 | Terminated(stopped due to due to poor recruitment) |
Comparison of Insulin Lispro Low Mixture With Insulin Glargine When Initiating and Intensifying Insulin Therapy As Required in Patients With Type 2 Diabetes Who Have Inadequate Glycemic Control on Oral Antihyperglycemic Medication [NCT00548808] | Phase 4 | 426 participants (Actual) | Interventional | 2007-11-30 | Completed |
Insulin Dose Titration System in Diabetic Patients Using a Short Messaging Service Automatically Produced by a Knowledge Matrix [NCT00948584] | | 100 participants (Actual) | Interventional | 2007-11-30 | Completed |
Superiority of Insulin Glargine Lantus vs. NPH: Treat to Normoglycemia Concept.Effect of Insulin Glargine in Comparison to Insulin NPH in Insulin-nave People With Type 2 Diabetes Mellitus Treated With at Least One OAD and Not Adequately Controlled [NCT00949442] | Phase 4 | 708 participants (Actual) | Interventional | 2009-07-31 | Completed |
Effect of AC2993 (Synthetic Exendin-4) Compared With Insulin Glargine in Patients With Type 2 Diabetes Also Using Combination Therapy With Sulfonylurea and Metformin [NCT00082381] | Phase 3 | 551 participants (Actual) | Interventional | 2003-06-30 | Completed |
A Trial Investigating the Pharmacodynamic and Pharmacokinetic Properties of NN1250 in Young and Geriatric Subjects With Type 1 Diabetes [NCT00964418] | Phase 1 | 27 participants (Actual) | Interventional | 2009-08-31 | Completed |
Multicentre, Open, Non-randomised Controlled Phase IV Clinical Trial of Efficacy and Safety for Insulin Glulisine Injected Subcutaneously in Patients With Type 1 Diabetes Mellitus Using Also Insulin Glargine [NCT00964574] | Phase 4 | 68 participants (Actual) | Interventional | 2009-07-31 | Completed |
A Six Month, Open Label, Randomized Parallel Group Trial Assessing The Impact Of Dry Powder Inhaled Insulin (Exubera) On Glycemic Control Compared To Insulin Glargine (Lantus) In Patients With Type 2 Diabetes Mellitus Who Are Poorly Controlled On A Combin [NCT00418522] | Phase 4 | 413 participants (Actual) | Interventional | 2007-03-31 | Completed |
Outcome of Using Long Acting Glargine Insulin With Low Dose Regular Insulin Infusion in Diabetic Ketoacidosis Patients :A Comparative Study [NCT05219942] | | 52 participants (Anticipated) | Interventional | 2020-12-01 | Recruiting |
A Study of the Rules for Insulin Dosing in Patients Using Multiple Daily Injections [NCT01045954] | | 50 participants (Anticipated) | Interventional | 2010-01-31 | Recruiting |
Pathogenesis of the Impaired Incretin Effect in Type 2 Diabetes [NCT00469833] | | 17 participants (Actual) | Interventional | 2008-04-30 | Completed |
A Phase 4, Randomized, Open Label, Parallel Group, Multicenter Study to Characterize Regimens of Basal Insulin Intensified With Either Symlin® or Rapid Acting Insulin in Patients With Type 2 Diabetes [NCT00467649] | Phase 4 | 112 participants (Actual) | Interventional | 2007-05-31 | Completed |
A Trial Investigating the Hypoglycaemic Response to NN1250 in Subjects With Type 1 Diabetes [NCT01002768] | Phase 1 | 28 participants (Actual) | Interventional | 2009-10-31 | Completed |
A Randomized, Active-controlled, Open Label, 2-treatment Arm, and Multicenter Study Comparing the Efficacy and Safety of Insulin Glargine/Lixisenatide Combination to Lixisenatide on Top of OADs in Japanese Patients With Type 2 DM With an Extension Period [NCT02749890] | Phase 3 | 321 participants (Actual) | Interventional | 2016-05-09 | Completed |
A 24 Week, Open-Label, Single Arm, Multi-Center Clinical Study to Document the Benefits of the Combination of Lantus and Amaryl in Ethnic Japanese Type 2 Diabetic Patients Living Outside of Japan (in US or Brazil), Who Failed Good Metabolic Control With O [NCT00642915] | Phase 4 | 100 participants (Actual) | Interventional | 2003-06-30 | Completed |
Titration Target for Chinese Type 2 Diabetes Mellitus Patients Using Insulin Glargine to Achieve Glycaemic Goals: An Assessment of Three Different Fasting Plasma Glucose Targets - BEYOND III/FPG GOAL Study [NCT02545842] | Phase 4 | 947 participants (Actual) | Interventional | 2015-09-07 | Completed |
A Randomized, Active-controlled, Open Label, 2-treatment Arm, and Multicenter Study Comparing the Efficacy and Safety of the Insulin Glargine/Lixisenatide Combination to Insulin Glargine With Metformin in Japanese Patients With Type 2 Diabetes Mellitus In [NCT02752412] | Phase 3 | 513 participants (Actual) | Interventional | 2016-05-17 | Completed |
Effect of Dosage Reduction of Glucose-Lowering Multidrug Regimens on the Incidence of Acute Glycemic Complications in People With Type 2 Diabetes Who Fast During Ramadan: An Open-Label, Parallel-Group, Randomized, Controlled Trial [NCT04237493] | Phase 4 | 687 participants (Actual) | Interventional | 2017-02-14 | Completed |
A Trial Comparing NNC0148-0287 C (Insulin 287) Versus Insulin Glargine U100, Both in Combination With Metformin, With or Without DPP4 Inhibitors and With or Without SGLT2 Inhibitors, in Insulin-naïve Subjects With Type 2 Diabetes Mellitus [NCT03951805] | Phase 2 | 205 participants (Actual) | Interventional | 2019-05-09 | Completed |
A Prospective Study to Optimize Insulin Treatment by Basal Regimen With Insulin Glargine in Type-2-Diabetic Patients Previously Uncontrolled on Premixed Insulin [NCT00693771] | Phase 4 | 313 participants (Actual) | Interventional | 2008-04-30 | Completed |
Acute Effect of a GLP-1-Analogue (Exenatide) and of a DPP-4-Inhibitor (Sitagliptin) in Subjects With Type 2 Diabetes Treated With Insulin Glargine Once Daily [NCT00971659] | Phase 1 | 48 participants (Actual) | Interventional | 2008-01-31 | Completed |
An Open Label Study Comparing Exenatide With Basal Insulin in Achieving an HbA1c of ≤ 7.4% With Minimum Weight Gain, in Type 2 Diabetes Patients Who Are Not Achieving Adequate HbA1c Control on Oral Anti Diabetic Therapies Alone [NCT00360334] | Phase 3 | 235 participants (Actual) | Interventional | 2006-06-30 | Completed |
Basal/Bolus Insulin Therapy in the Hospital Ward Comparison of Two Protocols: Feasibility Study [NCT00841919] | Phase 4 | 60 participants (Anticipated) | Interventional | 2006-12-31 | Completed |
A Multicenter, 2-Part, Randomized, Double-Blind, Placebo-Controlled, Multiple-Dose Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of MK-0941 on Postprandial Plasma Glucose Concentrations After Daily Administration MK-0941 [NCT00511472] | Phase 1 | 70 participants (Actual) | Interventional | 2007-07-31 | Completed |
A Multi-national, Open-labelled, Randomised, Parallel Group, 4 Week run-in and 26 Weeks Treat-to-target Comparison of Biphasic Insulin Aspart 30 Once Daily Versus Insulin Glargine Once Daily Both in Combination With Metformin and Glimepiride in Insulin na [NCT00469092] | Phase 4 | 480 participants (Actual) | Interventional | 2007-05-31 | Completed |
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 4 | 345 participants (Actual) | Interventional | 2009-06-30 | Completed |
A Randomized Trial Comparing Insulin Lispro Protamine Suspension With Insulin Glargine in Subjects With Type 2 Diabetes on Oral Antihyperglycemic Medications and Exenatide [NCT00560417] | Phase 3 | 339 participants (Actual) | Interventional | 2007-11-30 | Completed |
Effects of Intensive Glycemic Control on Infectious Morbidity In Patients With Acute Leukemia [NCT00943709] | Phase 3 | 0 participants (Actual) | Interventional | 2009-05-31 | Withdrawn(stopped due to lack of accrual) |
Comparison of a Basal Plus One Insulin Regimen (Insulin Glargine/Insulin Glulisine) With a Biphasic Insulin Regimen (Insulin Aspart/Insulin Aspart Protamine 30/70) in Type 2 Diabetes Patients Following Basal Insulin Optimisation [NCT00965549] | Phase 4 | 463 participants (Actual) | Interventional | 2009-07-31 | Completed |
A Multi-center, Randomized, Open-label, Active-controlled Study to Compare the Safety, Tolerability and Effect on Glycemic Control of Taspoglutide Versus Insulin Glargine in Insulin-naive Type 2 Diabetic Patients Inadequately Controlled With Metformin and [NCT01051011] | Phase 3 | 370 participants (Actual) | Interventional | 2010-01-31 | Terminated(stopped due to high discontinuation rates mainly due to GI tolerability and implementation of risk mitigation plan to address hypersensitivity reactions) |
A Trial Investigating the Pharmacokinetic Properties of NN1250 in Children, Adolescents and Adults With Type 1 Diabetes [NCT01030926] | Phase 1 | 39 participants (Actual) | Interventional | 2009-12-31 | Completed |
Comparison of Efficacy and Safety of Biphasic Insulin Aspart 30 Plus Metformin With Insulin Glargine Plus Glimepiride in Type 2 Diabetes [NCT00619697] | Phase 4 | 260 participants (Actual) | Interventional | 2003-12-31 | Completed |
A Randomised, Open-labelled, 2-period Crossover Trial Investigating Pharmacodynamics and Pharmacokinetics of Biphasic Insulin Aspart 30 Thrice Daily and Basal-bolus Therapy With Insulin Glargine & Insulin Glulisine in Subjects With Type 2 Diabetes [NCT00824668] | Phase 1 | 24 participants (Actual) | Interventional | 2007-08-31 | Completed |
Assessment of Forced Titration to Reach the Effective Dose for Good Glycemic Control in Lantus Treated Type 2 Patients [NCT00701831] | Phase 4 | 241 participants (Actual) | Interventional | 2008-05-31 | Completed |
Combination Therapy of Insulin Glargine and Sitagliptin in Patients With Type 2 Diabetes Not Adequately Controlled by a Previous Treatment With Metformin and Either Insulin Glargine or Sitagliptin [NCT00851903] | Phase 3 | 112 participants (Actual) | Interventional | 2009-06-30 | Completed |
Effects of Optimized Glycemic Control Achieved With add-on Basal Insulin Therapy on Indexes of Endothelial Damage and Regeneration in Type 2 Diabetic Patients With Macroangiopathy. A Randomized Cross-over Trial Comparing Detemir vs Glargine [NCT00699686] | Phase 4 | 50 participants (Anticipated) | Interventional | 2008-05-31 | Completed |
An International Multicentre Randomized Controlled Trial of Intensive Insulin Therapy Targeting Normoglycemia In Acute Myocardial Infarction: the RECREATE (REsearching Coronary REduction by Appropriately Targeting Euglycemia) Pilot Study [NCT00640991] | Phase 3 | 500 participants (Anticipated) | Interventional | 2008-04-30 | Completed |
A Multi-center, Open, Randomized, Parallel-group, 2 Arm Study to Compare the Efficacy and Safety of Amaryl®M 1/500mg Twice Daily Versus Amaryl® 4mg Both in Combination With Lantus® Once-daily Regimen in Type 2 Diabetes Mellitus Patients With Inadequate Gl [NCT00913367] | Phase 4 | 110 participants (Anticipated) | Interventional | 2009-05-31 | Completed |
A Randomised, Single-centre, Double-blind, Two-period Cross-over, Multiple Dose Trial Comparing Pharmacodynamic and Pharmacokinetic Properties of Insulin Degludec and Insulin Glargine 300 U/mL at Steady-state Conditions in Subjects With Type 1 Diabetes Me [NCT02536859] | Phase 1 | 60 participants (Actual) | Interventional | 2015-08-31 | Completed |
Comparison Safety and Efficacy of Basal Insulin Lantus® (Insulin Glargine) vs NPH Insulin in Combination With OADs in Patients With DMT2, Assessed by Continuous Glucose Monitoring System (CGMS). Multicentre, Prospective, Open- Label, Single Arm, Comparati [NCT00659477] | Phase 4 | 117 participants (Actual) | Interventional | 2008-03-31 | Completed |
RAndomized Study of Basal Bolus Insulin Therapy in the Inpatient Management of Patients With Type 2 Diabetes Undergoing General Surgery (RABBIT 2 Surgery) [NCT00596687] | Phase 4 | 234 participants (Actual) | Interventional | 2007-12-31 | Completed |
A Comparison of PK/PD Dose Response Characteristics of Glargine in Type 2 Diabetics [NCT00574912] | Phase 1 | 20 participants (Actual) | Interventional | 2007-03-31 | Completed |
A Multi-center, Phase 3b, Stratified, Randomized, Open-label Clinical Trial to Evaluate the Efficacy of Intensive Apidra®/Lantus® Therapy vs Sliding Scale Insulin on Infarct Size in Hyperglycemic Subjects With Anterior STEMI (ST Elevation Myocardial Infar [NCT00670228] | Phase 3 | 34 participants (Actual) | Interventional | 2008-04-30 | Terminated(stopped due to Due to Negative feasibility assessment of recruiting the planned number of subjects within the study timelines) |
A Prospective Randomized Trial to Compare Basal Bolus Therapies That Use Either Insulin Lispro Protamine Suspension or Insulin Glargine Together With Lispro Insulin in Patients With Type 2 Diabetes [NCT00666718] | Phase 3 | 374 participants (Actual) | Interventional | 2008-04-30 | Completed |
Treatment Initiation With Basal Insulin in Uncontrolled Type 2 Diabetes Patients on Oral Anti-Diabetic Agent (OAD) in Jordan [NCT02606357] | Phase 4 | 242 participants (Actual) | Interventional | 2015-11-22 | Completed |
A Phase IIb, Multicenter, Randomized, Double-Blind, Placebo-Controlled Dose-Range Finding Clinical Trial of MK0941 in Patients With Type 2 Diabetes Mellitus With Inadequate Glycemic Control on Insulin [NCT00767000] | Phase 2 | 813 participants (Actual) | Interventional | 2008-10-31 | Terminated |
Comparison of Premixed Insulin Lispro Low-Mixture and Mid-Mixture Regimens With Separate Basal and Bolus Insulin Injections in Patients With Type 2 Diabetes With Inadequate Glycemic Control on Oral Therapy Who Consume Light Breakfast [NCT00664534] | Phase 4 | 344 participants (Actual) | Interventional | 2008-04-30 | Completed |
Insulin Glargine Combined With Sulfonylurea Versus Metformin in Patients With Type 2 Diabetes: A Randomized, Controlled Trial. [NCT00708578] | Phase 4 | 99 participants (Actual) | Interventional | 2008-05-31 | Completed |
A Randomized, Open-label, Parallel-group, Multicenter Study to Determine the Efficacy and Long-term Safety of Albiglutide Compared With Insulin in Subjects With Type 2 Diabetes Mellitus. [NCT00838916] | Phase 3 | 779 participants (Actual) | Interventional | 2009-02-28 | Completed |
Phase 4 Study of Comparison of Combination Therapy of Gliclazide MR and Basal Insulin With Pre-mix Insulin Monotherapy for the Patients With Type 2 Diabetes Mellitus [NCT00736515] | Phase 4 | 160 participants (Actual) | Interventional | 2008-10-31 | Completed |
Efficacy of Once-Weekly Exenatide Long-Acting Release and Once-Daily Insulin Glargine in Patients With Type 2 Diabetes Treated With Metformin Alone or in Combination With Sulfonylurea [NCT00641056] | Phase 3 | 467 participants (Actual) | Interventional | 2008-04-30 | Completed |
A Randomized, Open Label, Placebo-controlled, 4-sequence, 4-period, 4-treatment Crossover Study to Investigate the Postprandial Glucodynamic Response to Single Dose of Insulin Glargine/Lixisenatide Fixed Ratio Combination in Japanese Patients With Type 2 [NCT02713477] | Phase 1 | 20 participants (Actual) | Interventional | 2016-04-30 | Completed |
The Effect of Exenatide Compared to Insulin Glargine on Cardiac Function and Metabolism in Type 2 Diabetic Patients With Congestive Heart Failure: a Randomized Comparator-controlled Trial [NCT00766857] | Phase 4 | 27 participants (Actual) | Interventional | 2009-05-31 | Completed |
A Phase II, Randomized, Double Blind, 2-Way Crossover Safety and Efficacy Study of Subcutaneously Injected Prandial Insulins: Lispro-PH20 or Aspart-PH20 Compared to Insulin Lispro (Humalog®) in Patients With Type 1 Diabetes [NCT01194245] | Phase 2 | 135 participants (Actual) | Interventional | 2010-08-31 | Completed |
"A Randomized Double Blinded Two-way Crossover Single-dose Pharmacokinetics and Pharmacodynamics Study of RinGlar® (LLC GEROPHARM, Russia) Versus Lantus® (Sanofi-Aventis) in Type 1 Diabetes Mellitus Patients Using the Euglycemic Clamp Technique" [NCT04101383] | | 42 participants (Actual) | Interventional | 2017-10-16 | Completed |
An Open-labelled, Randomised, Parallel Group, 3 Week run-in and 24 Week Treat-to-target Comparison of Biphasic Insulin Aspart 30 Once Daily Versus Insulin Glargine Once Daily Both in Combination With Metformin and Glimepiride in Chinese and Japanese Insul [NCT01123980] | Phase 4 | 521 participants (Actual) | Interventional | 2010-05-31 | Completed |
A Trial Assessing the Implications of Switching From Insulin Glargine to Insulin Degludec in Subjects With Type 2 Diabetes Mellitus (BEGIN™: SIMPLIFY) [NCT01135992] | Phase 3 | 143 participants (Actual) | Interventional | 2010-06-30 | Completed |
A 24-week, Multicenter, International, Randomized (1:1), Parallel-group, Open-label, Comparative Study of Insulin Glargine Versus Liraglutide in Insulin-naïve Patients With Type 2 Diabetes Treated With Oral Agents and Not Adequately Controlled, Followed b [NCT01117350] | Phase 4 | 978 participants (Actual) | Interventional | 2010-07-31 | Completed |
A 16 Week Randomised, Open Labelled, 3-armed, Treat-to-target, Parallel Group Trial Comparing SIBA (D) Once Daily + NovoRapid®, SIBA (E) Once Daily + NovoRapid® and Insulin Glargine Once Daily + NovoRapid®, All in a Basal/Bolus Regimen in Subjects With Ty [NCT00612040] | Phase 2 | 178 participants (Actual) | Interventional | 2008-01-31 | Completed |
A 16 Week Randomised, Open-labelled, Four-armed, Treat-to-target, Parallel-group Trial Comparing SIBA D Once Daily, SIBA E Once Daily, SIBA D Monday, Wednesday and Friday and Insulin Glargine Once Daily, All in Combination With Metformin in Subjects With [NCT00611884] | Phase 2 | 245 participants (Actual) | Interventional | 2008-01-31 | Completed |
Effects of Local Insulin on Wound Angiogenesis and Fibroplasia in Varicose Ulcers [NCT04310280] | Phase 3 | 13 participants (Actual) | Interventional | 2019-06-01 | Completed |
Comparison of Lantus and NPH Insulin in the Dawn Phenomenon [NCT00694122] | Phase 3 | 27 participants (Actual) | Interventional | 2005-06-30 | Completed |
A Randomized, Active-controlled, Open Label, 2-treatment Arm, and Multicenter Study Comparing the Efficacy and Safety of the Insulin Glargine/Lixisenatide Combination to Insulin Glargine on Top of OADs in Japanese Patients With Type 2 Diabetes Mellitus (T [NCT02752828] | Phase 3 | 521 participants (Actual) | Interventional | 2016-05-23 | Completed |
The LANCET Trial: A Randomized Clinical Trial of Lantus for C-reactive Protein Reduction in Early Treatment of Type 2 Diabetes [NCT00366301] | Phase 4 | 500 participants (Actual) | Interventional | 2006-08-31 | Terminated(stopped due to Interim analyses demonstrated futility. Thus, recruitment curtailed 10/08.) |
A Six Month, Open-Label Outpatient, Randomized Parallel Group Trial Assessing The Impact Of Dry Powder Inhaled Insulin (Exubera®) On Glycemic Control Compared To Insulin Glargine (Lantus®) In Patients With Type 2 Diabetes Mellitus Who Are Poorly Controlle [NCT00391027] | Phase 4 | 261 participants (Actual) | Interventional | 2006-12-31 | Completed |
A 28-week, Prospective, Single-arm, Phase 4 Study to Evaluate Treatment Optimization With Once-daily Insulin Glargine 300 U/mL in Combination With Prandial Rapid-acting Insulin Analogue in Patients With Type 1 Diabetes Previously Uncontrolled on Twice-dai [NCT03406000] | Phase 4 | 170 participants (Actual) | Interventional | 2018-01-22 | Completed |
A Phase 2 Study of LY2605541 Compared With Insulin Glargine in the Treatment of Type 1 Diabetes Mellitus [NCT01049412] | Phase 2 | 138 participants (Actual) | Interventional | 2010-01-31 | Completed |
The Utility of Insulin Glargine (Lantus) Compared to NPH in Ethnic Minority Type 2 Diabetic Subjects Starting Insulin Therapy [NCT00686712] | Phase 4 | 108 participants (Actual) | Interventional | 2003-02-28 | Completed |
Assessment of the Phenotype of the Type 2 Diabetic Responders to the First Insulinisation Using Lantus (Insulin Glargine) Plus Glucophage (Metformin) Combination After Failure in OADs Treatment [NCT00653302] | Phase 4 | 280 participants (Actual) | Interventional | 2003-04-30 | Completed |
All to Target Trial Lantus® (Insulin Glargine) With Stepwise Addition of APIDRA® (Insulin Glulisine) or Lantus With One Injection of Apidra vs a Twice-Daily Premixed Insulin Regimen (Novolog® Mix 70/30) in Adult Subjects With Type 2 Diabetes Failing Dual [NCT00384085] | Phase 4 | 588 participants (Actual) | Interventional | 2006-05-31 | Completed |
A 16 Week Randomised, Open Labelled, 3 Armed, Parallel Group, Treat-to-target Trial Comparing Once Daily Injection of SIAC 30 (B), SIAC 45 (B) and Insulin Glargine, All in Combination With Metformin in Subjects With Type 2 Diabetes Failing on OAD Treatmen [NCT00614055] | Phase 2 | 178 participants (Actual) | Interventional | 2008-01-31 | Completed |
A 52 Week Study Comparing the Efficacy and Safety of Once Weekly IcoSema and Daily Insulin Glargine 100 Units/mL Combined With Insulin Aspart, Both Treatment Arms With or Without Oral Anti Diabetic Drugs, in Participants With Type 2 Diabetes Inadequately [NCT05013229] | Phase 3 | 680 participants (Anticipated) | Interventional | 2021-11-30 | Active, not recruiting |
Randomized Trial of Liraglutide and Insulin Therapy on Hepatic Steatosis as Measured by MRI and MRS in Metformin-treated Patients With Type 2 Diabetes: an Open Pilot Study [NCT01399645] | Phase 2 | 35 participants (Actual) | Interventional | 2011-05-31 | Completed |
An Open, Single-centre, Controlled Trial to Investigate the Efficacy and Usability of Published Best Practice to Control Glycaemia in Hospitalised Patients With Type 2 Diabetes [NCT01407289] | Phase 4 | 74 participants (Actual) | Interventional | 2011-06-30 | Completed |
A Randomised, Single-centre, Double-blind, Parallelgroup, Multiple Dose Trial Comparing the Within-subject Variability of SIBA and Insulin Glargine With Respect to Pharmacodynamic Response at Steady State Conditions in Subjects With Type 1 Diabetes [NCT00961324] | Phase 1 | 54 participants (Actual) | Interventional | 2009-07-27 | Completed |
A 26-week Trial Investigating the Dosing Flexibility, Efficacy and Safety of NN1250 in Subjects With Type 1 Diabetes With a 26-week Extension (Begin™: Flex T1) [NCT01079234] | Phase 3 | 493 participants (Actual) | Interventional | 2010-03-31 | Completed |
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) | Interventional | 2009-07-31 | Terminated |
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 3 | 375 participants (Actual) | Interventional | 2001-12-31 | Completed |
A 26 Week Randomised, Multinational, Open Labelled, 2 Armed, Parallel Group, Treat-to-target Once Daily Treatment Trial With Insulin Detemir Versus Insulin Glargine, Both in Combination With Metformin in Subjects With Type 2 Diabetes [NCT00909480] | Phase 4 | 457 participants (Actual) | Interventional | 2009-05-31 | Completed |
Insulin Degludec vs Insulin Glargine for Glycemic Control in Critical Illness Hyperglycemia [NCT06178874] | | 90 participants (Anticipated) | Interventional | 2023-12-31 | Not yet recruiting |
Basal Insulin in the Management of Patients With Diabetic Ketoacidosis [NCT00590044] | Phase 4 | 74 participants (Actual) | Interventional | 2007-12-31 | Completed |
A 12-month Prospective Observational Study Assessing the Real-world Clinical Effectiveness, Safety and Health-economic Benefits of Toujeo® Initiation After Oral Antidiabetic Drug Failure in Insulin-naïve Patients With Type 2 Diabetes Mellitus [NCT03703869] | | 4,589 participants (Actual) | Observational | 2018-03-06 | Completed |
A Study of LY900014 in Participants With Type 2 Diabetes Using Continuous Glucose Monitoring [NCT04605991] | Phase 3 | 187 participants (Actual) | Interventional | 2020-11-04 | Completed |
A Randomised, Single Centre, Double-blind, Two-Period Cross-over, Multiple Dose Trial Comparing the Pharmacodynamic Response of Insulin 454 With Insulin Glargine at Steady-State Conditions in Subjects With Type 1 Diabetes Mellitus [NCT01868529] | Phase 1 | 63 participants (Actual) | Interventional | 2008-01-31 | Completed |
Early Administration of Long-acting Insulin Glargine for the Treatment of Diabetic Ketoacidosis in Pediatric Type 1 Diabetes: A Randomized Double Blind Trial [NCT02548494] | | 17 participants (Actual) | Interventional | 2015-11-30 | Terminated(stopped due to Project terminated due to insufficient resources for recruitment.) |
A Prospective, Randomized, Double-Blind Comparison of LY900014 to Insulin Lispro, Both in Combination With Insulin Glargine or Insulin Degludec in Adults With Type 2 Diabetes [NCT03952143] | Phase 3 | 628 participants (Actual) | Interventional | 2019-05-27 | Completed |
The PERSISTENT Trial: A Prospective Randomized Trial Comparing Insulin Lispro Protamine Suspension to Insulin Glargine in Patients With Type 2 Diabetes on Anti-hyperglycemic Medications [NCT00510952] | Phase 3 | 471 participants (Actual) | Interventional | 2007-08-31 | Completed |
A Randomized, Phase 3, Open-label Trial Comparing the Effect of Tirzepatide Once Weekly Versus Titrated Insulin Glargine on Glycemic Control in Patients With Type 2 Diabetes on Metformin With or Without a Sulfonylurea [NCT04093752] | Phase 3 | 917 participants (Actual) | Interventional | 2019-12-09 | Completed |
The Differences Between Insulin Glargine U300 and Insulin Degludec U100 in Impact on the Glycaemic Variability, Oxidative Stress, Arterial Stiffness and the Lipid Profiles in Insulin naïve Patients Suffering From Type Two Diabetes Mellitus [NCT04692415] | Phase 4 | 25 participants (Actual) | Interventional | 2018-12-15 | Completed |
Comparison of Three Therapeutic Strategies for Treating Type 2 Diabetes Mellitus Patients Poorly Controlled With Basal Insulin Associated With Oral Antidiabetic Drugs [NCT00174642] | Phase 3 | 811 participants (Actual) | Interventional | 2004-12-31 | Completed |
Efficacy and Safety of iGlarLixi Versus Insulin Glargine Plus Dulaglutide in Patients With Type 2 Diabetes Insufficiently Controlled by Insulin Glargine and Metformin Combination Therapy [NCT04893148] | Phase 4 | 40 participants (Anticipated) | Interventional | 2020-05-26 | Active, not recruiting |
[NCT00540709] | Phase 4 | 58 participants (Actual) | Interventional | 2002-11-30 | Completed |
Effects of Colesevelam on Insulin Sensitivity in Type 2 Diabetes Mellitus [NCT00147745] | Phase 2 | 36 participants (Actual) | Interventional | 2005-06-30 | Completed |
A Randomised, Cross-over, Open-label, Multi-centre Trial Comparing the Effect of Insulin Degludec and Insulin Glargine 100U/mL, With or Without OADs in Subjects With Type 2 Diabetes Using Flash Glucose Monitoring [NCT03687827] | Phase 4 | 498 participants (Actual) | Interventional | 2018-10-02 | Completed |
Healthy Heart Study: Can Insulin Glargine Improve Myocardial Function in Patients With Type 2 Diabetes and Coronary Artery Disease? A Prospective, Randomized, Controlled Clinical Study With Blinded Analysis of Ultrasound Data [NCT01035528] | Phase 4 | 32 participants (Anticipated) | Interventional | 2005-04-30 | Active, not recruiting |
INHALE-1: A 26-week Primary Treatment Phase, With 26-week Extension, Open-label, Randomized Clinical Trial Evaluating the Efficacy and Safety of Afrezza® Versus Rapid-acting Insulin Analog Injections, Both in Combination With a Basal Insulin, in Pediatric [NCT04974528] | Phase 3 | 264 participants (Anticipated) | Interventional | 2021-09-29 | Recruiting |
Comparison of Two Therapeutic Strategies for Treating Type 2 Diabetic Patients Poorly Controlled With Basal Insulin Associated With Oral Antidiabetic Drugs : 6-month Proof of Concept Study. [NCT00360698] | Phase 4 | 106 participants (Actual) | Interventional | 2006-07-31 | Completed |
Randomized, Double-blind, Euglycemic Glucose Clamp Study of Four Formulations of SAR161271, in Single Doses in Healthy Subjects and Single Ascending Doses in Patients With Type 1 Diabetes Mellitus [NCT01053728] | Phase 1/Phase 2 | 46 participants (Actual) | Interventional | 2010-02-28 | Completed |
Comparison of Two Approaches to Basal-Bolus Insulin Therapy in Patients With Type 2 Diabetes and Inadequate Glycemic Control on Oral Therapy: Comparison of Premixed Insulin Lispro Mid Mixture With Separate Basal and Bolus Insulin Injections [NCT00377858] | Phase 4 | 484 participants (Actual) | Interventional | 2006-08-31 | Completed |
A Multicenter, International Randomized, 2x2 Factorial Design Study to Evaluate the Effects of Lantus (Insulin Glargine) Versus Standard Care, and of Omega-3 Fatty Acids Versus Placebo, in Reducing Cardiovascular Morbidity and Mortality in High Risk Peopl [NCT00069784] | Phase 3 | 12,537 participants (Actual) | Interventional | 2003-08-31 | Completed |
A Randomized, Multicenter, Open-Label, Parallel-Group, 28 Days Phase IV Study Comparing The Postprandial Plasma Glucose Profile of Lixisenatide With That of Sitagliptin Add-On to Insulin Glargine in Type 2 Diabetes Mellitus [NCT02200991] | Phase 4 | 136 participants (Actual) | Interventional | 2014-08-31 | Completed |
A Bicentric Open-label, Randomized, Two-parallel-group Study Investigating the Impact of Combined Lantus Insulin Glargine) and Lyxumia(Lixisenatide) on Insulin Secretion and Gastric Emptying in Subjects With Type 2 Diabetes Mellitus Not Adequately Control [NCT01910194] | Phase 2 | 39 participants (Actual) | Interventional | 2013-12-31 | Completed |
Comparison of Insulin Glargine Vs Standard Insulin Therapy in CFRD Without Fasting Hyperglycemia [NCT00222521] | Phase 3 | 20 participants | Interventional | 2003-04-30 | Completed |
A Multicentre, Multinational, Randomised, Open Study to Establish the Optimal Method for Initiating Lantus(Insulin Glargine) Therapy to Determine Metabolic and Economic Outcomes, Safety, and Satisfaction in Subjects With Type 2 Diabetes Mellitus [NCT00565162] | Phase 4 | 124 participants (Actual) | Interventional | 2003-11-30 | Completed |
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 4 | 402 participants (Actual) | Interventional | 2011-02-28 | Completed |
Validation of Insulin Protocol for Prevention and Management of Hyperglycemia in Oncology Patients With Diabetes Receiving High Dose Glucocorticoid Therapy [NCT02012465] | Early Phase 1 | 15 participants (Actual) | Interventional | 2013-09-30 | Completed |
Efficacy and Safety of TrEating Type 2 Diabetic Patients With Inadequate Response to Metformin and DPP-4 Inhibitors by Adding Basal Insulin Therapy (Insulin Glargine) [NCT02027753] | Phase 4 | 109 participants (Actual) | Interventional | 2013-12-31 | Completed |
A Multiple Dose, Randomised, Double Blinded, Double Dummy Trial Investigating Efficacy and Safety of NNC0268-0965 Versus Insulin Glargine in Subjects With Type 2 Diabetes Mellitus [NCT04575181] | Phase 1 | 86 participants (Actual) | Interventional | 2020-10-21 | Completed |
FLAT-SUGAR: FLuctuATion Reduction With inSULin and Glp-1 Added togetheR [NCT01524705] | Phase 4 | 102 participants (Actual) | Interventional | 2012-08-31 | Completed |
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 4 | 10 participants (Actual) | Interventional | 2005-01-31 | Completed |
Lantus vs Sulfonylurea as add-on Therapy in Type 2 Diabetic Patients Failing Metformin Monotherapy: Comparison of Effects on Beta Cell Function and Metabolic Profile. [NCT00562172] | Phase 4 | 75 participants (Actual) | Interventional | 2007-09-30 | Completed |
A Multicenter, Non-Comparative, Open, Phase III Study to Evaluate the Efficacy and Safety of Insulin Glargine on Subjects With Type 2 Diabetes Mellitus [NCT00563225] | Phase 3 | 90 participants (Actual) | Interventional | 2002-10-31 | Completed |
The Efficacy, Safety, and Immunogenicity Study Comparing an Insulin Glargine Biosimilar Sansulin® Log-G With Its Reference Lantus® in Patients With Type 2 Diabetes Mellitus [NCT04591457] | Phase 2 | 120 participants (Anticipated) | Interventional | 2020-10-31 | Not yet recruiting |
Randomized Clinical Trial of Subcutaneous Analog Basal Bolus Therapy Versus Sliding Scale Human Regular Insulin in the Hospital Management of Hyperglycemia in Non-Critically Ill Patients Without Known History of Diabetes: The HMH Trial [NCT01136746] | Phase 3 | 16 participants (Actual) | Interventional | 2011-03-31 | Terminated(stopped due to Low enrollment) |
Hyperglycemia and Its Effect After Acute Myocardial Infarction on Cardiovascular Outcomes in Patients With Type 2 Diabetes (HEART2D) [NCT00191282] | Phase 4 | 1,116 participants (Actual) | Interventional | 2002-10-31 | Completed |
An Open Therapeutic Project to Confirm the Efficacy Tolerability and Safety Profile of Lantus in Everyday Medical Practice [NCT00576368] | Phase 4 | 4,464 participants (Actual) | Interventional | 2003-06-30 | Completed |
Basal Bolus Regimen With Insulin Analogs Versus Human Insulin in Medical Patients With Type 2 Diabetes: A Randomized Controlled Trial in Paraguay [NCT02278913] | Phase 4 | 134 participants (Actual) | Interventional | 2009-04-30 | Completed |
A Phase 3b, Multicenter, Open-label, Randomized, Forced-titration Clinical Trial Evaluating the Efficacy and Safety of Technosphere® Insulin Inhalation Powder, Using the Gen2 Inhaler, in Combination With Insulin Glargine Versus Insulin Aspart in Combinati [NCT01196104] | Phase 3 | 39 participants (Actual) | Interventional | 2010-09-30 | Terminated(stopped due to For Business Reasons) |
Glargine Insulin Versus Continous Regular Insulin in Diabetic Surgical Patients Receiving Parenteral Nutrition (GLUCOSE-in-PN) [NCT02216799] | Phase 4 | 61 participants (Actual) | Interventional | 2013-03-31 | Completed |
A 6-Month, Multicenter, Randomized, Open-label, Parallel-group Study Comparing the Efficacy and Safety of a New Formulation of Insulin Glargine and Lantus® in Japanese Patients With Type 1 Diabetes Mellitus With a 6-month Safety Extension Period [NCT01689129] | Phase 3 | 243 participants (Actual) | Interventional | 2012-09-30 | Completed |
Comparison of Twice-Daily Insulin Lispro Low Mixture Versus Once-Daily Basal Insulin Glargine and Once-Daily Prandial Insulin Lispro as Insulin Intensification Strategies in Patients With Type 2 Diabetes Who Have Inadequate Glycemic Control on Basal Insul [NCT01175824] | Phase 4 | 478 participants (Actual) | Interventional | 2011-04-30 | Completed |
A 26-week Randomised, Confirmatory, Controlled, Open Label, Multicentre, Multinational Treat-to-target Trial Comparing the Efficacy and Safety of SIBA 200 U/ml Three Times Weekly Injected in the Evening and Insulin Glargine Once Daily in a Population of I [NCT01076647] | Phase 3 | 467 participants (Actual) | Interventional | 2010-03-31 | Completed |
A Randomized, 26-week, Open-label, 2-treatment Arm, Parallel Group Multicenter Study Comparing the Efficacy and Safety of Insulin Glargine/Lixisenatide Fixed-ratio Combination (Soliqua™) Titrated Using a Simple Titration Algorithm (One Unit Daily Adjustme [NCT03767543] | Phase 3 | 265 participants (Actual) | Interventional | 2019-03-11 | Completed |
A Multicenter, Multinational, Prospective, Interventional, Single-arm, Phase IV Study Evaluating the Clinical Efficacy and Safety of 26 Weeks of Treatment With Insulin Glargine 300 U/mL (Gla-300) in Patients With Type 2 Diabetes Mellitus Uncontrolled on B [NCT03760991] | Phase 4 | 372 participants (Actual) | Interventional | 2018-12-18 | Completed |
Subcutaneous Versus Intravenous Basal Insulin in Non-critical Hospitalized Diabetic Patients That Receive Total Parenteral Nutrition [NCT02706119] | Phase 4 | 163 participants (Actual) | Interventional | 2016-07-01 | Completed |
NN1250-3583: A 52 Week Randomised, Controlled, Open Label, Multicentre, Multinational, Parallel, Treat-to-target Trial Comparing Efficacy and Safety of SIBA and Insulin Glargine Both Administered Once Daily in a Basal-bolus Regimen With Insulin Aspart as [NCT00982228] | Phase 3 | 629 participants (Actual) | Interventional | 2009-09-01 | Completed |
Differences in Metabolic and Cardiovascular Effects of Pioglitazone vs. Insulin Glargine in the Treatment of Secondary Drug Failure in Type 2 Diabetes [NCT00609856] | Phase 4 | 36 participants (Actual) | Interventional | 2004-04-30 | Completed |
A Randomized, 24-week, Controlled, Open Label, Parallel Arm, Multicenter Study Comparing the Efficacy and Safety of the Insulin Glargine/Lixisenatide Fixed Ratio Combination to Insulin Glargine in Type 2 Diabetes Patients, Inadequately Controlled on Basal [NCT03529123] | Phase 3 | 247 participants (Actual) | Interventional | 2018-06-19 | Completed |
Bedtime Insulin Glargine or Bedtime Neutral Protamine Lispro Combined With Sulfonylurea and Metformin in Type 2 Diabetes. A Randomized, Controlled Trial [NCT00641407] | Phase 4 | 100 participants (Actual) | Interventional | 2007-01-31 | Completed |
Efficacy and Durability of Glucagon Like Peptide 1 Receptor Agonists (GLP-1 RA)/Thiazolidinedione Versus Basal Bolus Insulin Therapy in Poorly Controlled Type 2 Diabetic Patients (T2DM) Patients on Sulfonylurea Plus Metformin [NCT02887625] | | 410 participants (Anticipated) | Interventional | 2015-02-28 | Recruiting |
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 3 | 764 participants (Actual) | Interventional | 2000-01-31 | Completed |
A Multicenter, Open-Label, Single-Arm, Phase 4 Study to Assess the Safety of Basaglar in Subjects With Type 2 Diabetes Mellitus in India [NCT04153981] | Phase 4 | 260 participants (Actual) | Interventional | 2019-12-16 | Completed |
NN1250-3579: A 52-week Randomised, Controlled, Open Label, Multicentre, Multinational Treat-to-target Trial Comparing the Efficacy and Safety of SIBA and Insulin Glargine, Both Injected Once Daily in Combination With Oral Anti-diabetic Drugs (OAD), in Sub [NCT00982644] | Phase 3 | 1,030 participants (Actual) | Interventional | 2009-09-30 | Completed |
Evaluation of Pharmacokinetic and Pharmacodynamic Properties of Rapid-Acting Insulin Analogs Given as a Bolus by Continuous Subcutaneous Insulin Infusion (CSII) and in MDI Basal-Bolus Therapy in Pediatric Subjects With Type 1 Diabetes (TID) [NCT00652288] | Phase 1 | 36 participants (Actual) | Interventional | 2007-04-30 | Completed |
A Phase II, Randomized, Open Label, 2-Way Crossover, Safety Study of Subcutaneously Injected Prandial INSULIN-PH20 NP Compared to Insulin Analog Injection in Patients With Type 1 Diabetes [NCT00883558] | Phase 2 | 48 participants (Actual) | Interventional | 2009-05-31 | Completed |
Pan-European Proof-of-concept Study Comparing Decentralised Clinical Trial (DCT) and Hybrid Approaches to Conventional Clinical Trial Approaches in Patients With Type 2 Diabetes Mellitus Treated With Toujeo® [NCT05780151] | Phase 4 | 600 participants (Anticipated) | Interventional | 2023-06-30 | Not yet recruiting |
A Randomized, Placebo-controlled, 2-arm Parallel-group, Multicenter Study With a 24-week Double-blind Treatment Period Assessing the Efficacy and Safety of Lixisenatide in Patients With Type 2 Diabetes Insufficiently Controlled With Insulin Glargine and M [NCT00975286] | Phase 3 | 446 participants (Actual) | Interventional | 2009-10-31 | Completed |
Glargine Dosing in Hospitalized Patients With Type 2 Diabetes and Renal Insufficiency [NCT00911625] | Phase 4 | 114 participants (Actual) | Interventional | 2009-01-21 | Completed |
Insulin Glargine Versus Regular Insulin Based Regimens in Glycemic Control After Acute Stroke: A Multi-center, Randomized Control Study [NCT02607943] | Phase 3 | 120 participants (Anticipated) | Interventional | 2015-12-31 | Recruiting |
NN5401-3590: A Trial Comparing Efficacy and Safety of NN5401 With Insulin Glargine in Insulin Naive Subjects With Type 2 Diabetes (BOOST™ : START 1) / NN5401-3726: An Extension Trial Comparing Safety and Efficacy of NN5401 With Insulin Glargine in Subject [NCT01045707] | Phase 3 | 530 participants (Actual) | Interventional | 2010-01-31 | Completed |
A Glucose Clamp Trial Investigating the Biosimilarity of Gan & Lee Insulin Glargine Injection (Insulin Glargine 100 U/mL) With US and EU Lantus® Comparator Products in Patients With Type 1 Diabetes Mellitus [NCT04236895] | Phase 1 | 114 participants (Actual) | Interventional | 2018-07-10 | Completed |
A 24 Weeks, Randomized, 2 Arms, Controlled, Multi-centre, National, Open-labeled, Parallel Study in Insulin naïve Patients With Type 2 Diabetes to Compare a Lantus Titration Algorithm vs. Physician's Standard Practice [NCT00627471] | Phase 4 | 9 participants (Actual) | Interventional | 2008-01-31 | Terminated(stopped due to Low recruitment in spite of strategies implemented) |
A Phase II, Randomized, Double Blind, 2-Way Crossover Safety and Efficacy Study of Subcutaneously Injected Prandial Insulins: Lispro-PH20 or Aspart-PH20 Compared to Insulin Lispro (Humalog®) in Patients With Type 2 Diabetes [NCT01194258] | Phase 2 | 132 participants (Actual) | Interventional | 2010-08-31 | Completed |
The Impact of LY2189265 Versus Insulin Glargine in Combination With Insulin Lispro for the Treatment to Target of Type 2 Diabetes Mellitus (AWARD-4: Assessment of Weekly AdministRation of LY2189265 in Diabetes - 4) [NCT01191268] | Phase 3 | 884 participants (Actual) | Interventional | 2010-11-30 | Completed |
Concurrent Subcutaneous Basal Insulin and Intravenous Insulin Pump in Hyperglycemic Crisis Patients Under Critical Care [NCT05155917] | Phase 2 | 70 participants (Anticipated) | Interventional | 2022-03-01 | Recruiting |
A Randomized, Open-Label, Parallel-Design Trial. Glycemia Optimization Treatment: Safety of Glucose Control Using Dosing Algorithms With Lantus®(Insulin Glargine [rDNA Origin[) in Adult Individuals With Type 2 Diabetes. [NCT00552370] | Phase 4 | 5,062 participants (Actual) | Interventional | 2003-03-31 | Completed |
Evaluation of Differing Type 1 Diabetes Regimens in Youth in the Developing World [NCT01424046] | | 50 participants (Actual) | Interventional | 2011-05-31 | Completed |
Efficacy and Safety Comparison of Insulin Detemir Plus Insulin Aspart Versus Insulin Glargine Plus Insulin Aspart in Type 2 Diabetes [NCT00097084] | Phase 3 | 324 participants (Actual) | Interventional | 2004-09-30 | Completed |
Comparative Investigation of Efficacy and Safety of Insulin Glargine Versus Metformin as First Line Drug in Treatment of Early Type 2 Diabetes [NCT00857870] | Phase 4 | 96 participants (Actual) | Interventional | 2009-03-31 | Completed |
A 12 Week, Parallel, Open-label, Randomized, Multi-center Study Evaluating Use, Safety and Effectiveness of a Web Based Tool vs. Enhanced Usual Therapy of Glargine Titration in T2DM Patients With a 4 Week Safety Extension [NCT02540486] | | 139 participants (Actual) | Interventional | 2013-12-31 | Completed |
Parallel Group Study to Evaluate the Efficacy and Safety of Exenatide Once-Weekly Injection Compared to Once-Daily Insulin in Type 2 Diabetes Mellitus Treated With Oral Antidiabetic(s) [NCT00935532] | Phase 3 | 427 participants (Actual) | Interventional | 2009-07-31 | Completed |
Evaluation of Diabetic Retinopathy Progression in Subjects With Type 2 Diabetes Mellitus Treated With Insulin [NCT00174824] | Phase 4 | 1,024 participants (Actual) | Interventional | 2001-06-30 | Completed |
An 8-week Randomised, Double-blind, Parallel, Multiple Dose Trial Comparing NNC0123-0000-0338 in a Tablet Formulation and Insulin Glargine in Subjects With Type 2 Diabetes Currently Treated With Oral Antidiabetic Therapy [NCT02470039] | Phase 2 | 50 participants (Actual) | Interventional | 2015-06-01 | Completed |
A Trial Comparing Efficacy and Safety of NN1250 and Insulin Glargine in Subjects With Type 2 Diabetes (BEGIN™: LOW VOLUME) [NCT01068665] | Phase 3 | 460 participants (Actual) | Interventional | 2010-03-31 | Completed |
The Effect of Insulin Glargine on Glycemic Control, Morbidity, and Length of Stay in Hospitalized Subjects With Diabetes Receiving Enteral Nutrition [NCT00177398] | Phase 4 | 50 participants | Interventional | 2005-02-28 | Completed |
Multicenter,Open,Uncontrolled,Clinical Extension Trial in Subjects With Type I Diabetes Previously Participating in Study HMR1964A/3011 in Belgium [NCT00576862] | Phase 4 | 32 participants (Actual) | Interventional | 2002-11-30 | Completed |
44-week, Parallel, Open, Randomized, Multinational, Multi-center Clinical Trial to Compare Efficacy and Safety of the Combination Therapy of an Oral Anti-diabetic Drug Treatment With Either HOE901 Insulin Once Daily or Lispro Insulin Analogue at Mealtime [NCT00311818] | Phase 4 | 0 participants | Interventional | 2003-06-30 | Completed |
Basal Insulin Therapy in Patients With Insulin Resistance: A 6 Month Comparison of Insulin Glargine and NPH Insulin [NCT01854723] | Phase 4 | 0 participants (Actual) | Interventional | 2013-04-30 | Withdrawn |
A Randomised, Double-Blind, Single Dose, Six-Period Cross-over Dose Response Trial Comparing the Pharmacodynamics and Pharmacokinetics of Insulin 454 With Insulin Glargine in Subjects With Type 1 and Type 2 Diabetes [NCT01865292] | Phase 1 | 40 participants (Actual) | Interventional | 2006-08-31 | Completed |
A 24-Week, Multicenter, Randomized, Open-Label, Parallel-Group Trial Comparing the Efficacy and Safety of Insulin Glargine 300 U/mL (Gla-300) and Insulin Degludec 100 U/mL (IDeg-100) in Insulin-Naïve People With Type 2 Diabetes Mellitus and Renal Impairme [NCT05552859] | Phase 4 | 62 participants (Actual) | Interventional | 2022-12-05 | Terminated(stopped due to Sponsor decision to cancel trial due to poor recruitment/ severe recruitment delay and not related to safety concern.) |
32-Week, Open, Randomized, Cross-Over, Local, Multicenter Clinical Trial Comparing Insulin Glargine in Combination With Insulin Analogue (Insulin Lispro) to NPH Insulin in Combination With Regular Insulin in Type 1 Diabetes Mellitus Patients in an Intensi [NCT00537251] | Phase 3 | 80 participants (Actual) | Interventional | 2001-11-30 | Completed |
Phase IV, Open Label, Non-comparative, Multi-center, Study of the Effects of Both Insulin Glargine & Insulin Glulisine in Type I Diabetes Mellitus Patients. [NCT00539448] | Phase 4 | 98 participants (Actual) | Interventional | 2007-04-30 | Completed |
Assessment of Duration of Metabolic Effect of a Single Bolus of Subcutaneous Injected Lantus Compared to NPH-Insulin(Protaphan)in Patients With Type 2 Diabetes [NCT00553020] | Phase 4 | 16 participants (Actual) | Interventional | 2004-04-30 | Completed |
A Prospective, Randomized, Double-Blind Comparison of a Long-Acting Basal Insulin Analog LY2963016 to Lantus in Adult Patients With Type 2 Diabetes Mellitus: The ELEMENT 2 Study [NCT01421459] | Phase 3 | 759 participants (Actual) | Interventional | 2011-09-30 | Completed |
A Randomized, Double-blind, 3-sequence, 3-period Cross-over, Single-dose Study of a New Formulation of Insulin Glargine Compared to the Marketed Lantus® in Japanese Patients With Type 1 Diabetes Mellitus Using the Euglycemic Clamp Technique [NCT01493115] | Phase 1 | 18 participants (Actual) | Interventional | 2011-11-30 | Completed |
A School Intervention: Lunch Time Insulin Injections in Children With Poorly Controlled Type 1 Diabetes [NCT00340613] | Phase 4 | 36 participants (Actual) | Interventional | 2006-06-30 | Completed |
A Crossover Study to Evaluate the Efficacy and Safety of Preprandial Human Insulin Inhalation Powder (HIIP) Compared to Preprandial Injectable Insulin in Patients With Type 1 Diabetes Mellitus [NCT00447213] | Phase 2/Phase 3 | 70 participants (Actual) | Interventional | 2007-04-30 | Completed |
12-week, Multicenter, Controlled, Open, 3:1 Randomized, Parallel Clinical Trial Comparing Insulin Glulisine With Regular Human Insulin (Insulin Lispro) Injected Subcutaneously in Subjects With Type 1 or 2 Diabetes Mellitus Also Using Lantus (Insulin Glarg [NCT00467376] | Phase 3 | 485 participants (Actual) | Interventional | 2007-01-31 | Completed |
Chronic Reduction of Fasting Gylcaemia With Insulin Glargine Improves First and Second Phase Insulin Secretion in Patients With Type 2 Diabetes [NCT01249677] | Phase 4 | 14 participants (Actual) | Interventional | 2009-01-31 | Completed |
Satisfaction of Treatment Among Elderly Patients With Insulin Therapy Using Pens for a Basal Insulin Treatment (STEP IT UP a BIT) [NCT01240200] | Phase 4 | 49 participants (Actual) | Interventional | 2011-01-31 | Completed |
A Multicenter Clinical Trial to Evaluate Quality of Life in Patients With Type 2 Diabetes Before and After Changing Therapy to a Combination of Insulin Glargine and Oral Antidiabetic Drugs in a Real Life Situation [NCT00518427] | Phase 4 | 26 participants (Actual) | Interventional | 2005-10-31 | Completed |
A Trial Investigating the Hypoglycaemic Response to Overdosing of NNC0148-0287 C (Insulin 287) in Subjects With Type 2 Diabetes [NCT03945656] | Phase 1 | 43 participants (Actual) | Interventional | 2019-05-07 | Completed |
A Trial Comparing Efficacy and Safety of Insulin Degludec/Insulin Aspart With Insulin Glargine in Insulin Naive Subjects With Type 2 Diabetes (BOOST™: JAPAN) [NCT01272193] | Phase 3 | 296 participants (Actual) | Interventional | 2011-01-31 | Completed |
Twenty-Four-Hour Plasma Glucose Profiles Observed in Patients With Type 2 Diabetes During Therapy Consisting of Oral Agent(s) Plus Twice-Daily Insulin Lispro Low Mixture or Once-Daily Insulin Glargine [NCT00551538] | Phase 4 | 15 participants (Actual) | Interventional | 2003-05-31 | Completed |
Effects of Modulators of Gluconeogenesis, Glycogenolysis and Glucokinase Activity on Endogenous Glucose Production in Type 2 Diabetes [NCT05098470] | Phase 3 | 100 participants (Anticipated) | Interventional | 2022-03-07 | Recruiting |
Effects of LY3209590 on Frequency and Severity of Hypoglycaemia Under Conditions of Increased Hypoglycaemic Risk Compared to Insulin Glargine in Participants With Type 2 Diabetes Mellitus [NCT04957914] | Phase 1 | 54 participants (Actual) | Interventional | 2021-07-14 | Completed |
"An Open-label, Randomized, Multi-center, Parallel-group Clinical Trial Comparing the Efficacy and Safety of Insulin RinGlar® (Geropharm, Russia) Compared to Lantus® SoloStar® (Sanofi-Aventis Deutschland GmbH, Germany) in Type 1 Diabetes Mellitus Patients [NCT04022993] | Phase 3 | 180 participants (Actual) | Interventional | 2018-07-04 | Completed |
Italian Experience Trial for the Implementation of the Use of Lantus in Basal - Bolus Regimen in Type I Diabetes Mellitus Patients. [NCT00272090] | Phase 3 | 489 participants (Actual) | Interventional | 2002-11-30 | Completed |
Can Hypoglycaemia Awareness Be Restored in Individuals With Type 1 Diabetes and Severe Hypoglycaemia Employing Optimised Subcutaneous Insulin Regime or Continuous Subcutaneous Insulin Infusion Pump [NCT00360984] | Phase 4 | 21 participants | Interventional | 2003-05-31 | Completed |
AN OPEN-LABEL, RANDOMIZED, MULTICENTER, PHASE 3 STUDY TO COMPARE THE IMMUNOGENICITY, EFFICACY, AND SAFETY OF GAN & LEE PHARMACEUTICALS INSULIN GLARGINE INJECTION TO LANTUS® IN ADULT SUBJECTS WITH TYPE 2 DIABETES MELLITUS [NCT03371108] | Phase 3 | 567 participants (Actual) | Interventional | 2017-10-31 | Completed |
Risk of Hypoglycemia in the Transition From Inpatient to Outpatient Setting. Comparative Study of Basal-bolus Insulin Versus Basal Insulin Plus GLP-1 Analogue [NCT05767255] | Phase 3 | 66 participants (Anticipated) | Interventional | 2022-12-01 | Recruiting |
"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 4 | 705 participants (Actual) | Interventional | 2015-11-05 | Completed |
Open Trial of the Safety and Efficacy of Lantus for Insulin Naive Type 2 Diabetes Mellitus Patients or Patients Who Use Insulin Combined With 1 or More Oral Antidiabetic Drugs and Don't Have Good Glycemic Control. [NCT00268645] | Phase 4 | 534 participants | Interventional | 2004-09-30 | Completed |
Pilot Study on Glycaemic Variability in Type 2 Diabetes Mellitus Patients With Basal Insulin and Fixed Combo Oral Antidiabetic Treatment. [NCT00272077] | Phase 4 | 0 participants | Interventional | 2005-04-30 | Completed |
A Comparison of Prandial Insulin Lispro Mixtures Therapy to Glargine Basal-Bolus Therapy With Insulin Lispro on the Overall Glycemic Control of Patients With Type 2 Diabetes Previously Treated With Oral Agents Combined With Insulin Glargine [NCT00110370] | Phase 4 | 300 participants | Interventional | 2004-04-30 | Completed |
Comparison of Glycaemic Fluctuations During 3 Days Subcutaneous Continuous Monitoring in Patients With Basal Substitution Human Insulin NPH vs Insuline Glargine [NCT00322075] | Phase 4 | 35 participants | Interventional | 2006-04-30 | Completed |
Human Versus Analogue Insulin for Youth With Type 1 Diabetes in Low-Resource Settings: A Randomized Controlled Trial [NCT05614089] | Phase 4 | 400 participants (Anticipated) | Interventional | 2023-03-15 | Recruiting |
Comparison of the Effect on Glycemic Control of Biphasic Insulin Aspart 70/30 Versus Insulin Glargine in Combination With Metformin in Subjects With Type 2 Diabetes [NCT00097877] | Phase 3 | 293 participants (Actual) | Interventional | 2005-01-31 | Completed |
Insulin Glulisine Administered in a Fixed Bolus Regimen Versus Variable Bolus Regimen Based on Carbohydrate Counting in Adult Subjects With Type 2 Diabetes Receiving Insulin Glargine as Basal Insulin [NCT00135057] | Phase 3 | 281 participants | Interventional | 2004-04-30 | Completed |
APIDRA® (Insulin Glulisine) Administered Premeal vs Postmeal in Adult Subjects With Type 2 Diabetes Mellitus Receiving LANTUS® (Insulin Glargine) as Basal Insulin: a Multicenter, Randomized, Parallel, Open Label Clinical Study [NCT00135096] | Phase 3 | 345 participants (Actual) | Interventional | 2004-08-31 | Completed |
A Double Blind, Randomized, Parallel, Cross-Over Comparision of Glycemic Control Achieved With Once a Day Insulin Glargine Versus Detemir in Type 2 Diabetes [NCT00457093] | | 35 participants (Anticipated) | Interventional | 2006-10-31 | Completed |
One-Year Glargine-Treatment Can Ameliorate Clinical Features in Cystic Fibrosis Children and Adolescents With Glucose Derangements [NCT00483769] | Phase 4 | 20 participants (Actual) | Interventional | 2006-02-28 | Completed |
Multicentric, Open Label Clinical Trial. Use of Optimal Method to Initiate and Maintain Lantus Therapy (Insulin Glargine) in Combination With Hypoglycemic Agents, Assessing the Resulting Metabolic Control and the Safety in T2 Diabetes Mellitus Patients. [NCT00488527] | Phase 4 | 371 participants (Actual) | Interventional | 2007-04-30 | Completed |
Insulin Glargine Plus Insulin Glulisine MDI Versus Premix Insulin Treatment in Subjects With Diabetes Mellitus (Type 1 or Type 2) Evaluating Differences in Patient Reported Outcomes [NCT00135941] | Phase 3 | 582 participants (Actual) | Interventional | 2005-08-31 | Completed |
A National, Multicenter, Prospective, Interventional, Open-label, Single-arm, 24-Week Phase IV Study to Evaluate the Effectiveness and Safety of Initiation and Titration of Insulin Glargine U300 in Insulin-naïve Patients With T2DM Inadequately Controlled [NCT02954692] | Phase 4 | 112 participants (Actual) | Interventional | 2016-11-30 | Completed |
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) | Observational | 2003-07-31 | Completed |
A Randomized, Open-Label, Controlled, Parallel-group, Multicenter Trial Comparing the Efficacy and Safety of INS068 and Insulin Glargine in Subjects With Type 2 Diabetes Mellitus Not Adequately Controlled With Oral Antidiabetic Drugs [NCT05699408] | Phase 3 | 513 participants (Actual) | Interventional | 2023-03-31 | Active, not recruiting |
Efficacy and Safety of Once-weekly Semaglutide S.C. 2.0 mg as Add-on to Dose-reduced Insulin Glargine vs Titrated Insulin Glargine in Participants With Type 2 Diabetes and Overweight [NCT05514535] | Phase 3 | 568 participants (Anticipated) | Interventional | 2022-08-29 | Recruiting |
Comparison of Postprandial Glycemic Control in Non-critically Ill Hospitalized Patients With Type 2 Diabetes Mellitus Using Novolog vs. Fiasp Insulin: a Randomized Controlled Open Label Trial [NCT04460326] | Phase 3 | 139 participants (Actual) | Interventional | 2020-12-07 | Completed |
"Comparison of SoloSTAR With a Syringe-administered Glargine Insulin in Diabetic Patients Discharged From the Hospital" [NCT01203774] | Phase 4 | 43 participants (Actual) | Interventional | 2010-09-30 | Completed |
The Utility of Insulin Glargine (Lantus) Compared to NPH in Ethnic Minority Type 2 Diabetic Subjects on Combination Insulin-Oral Agent Therapy [NCT00687453] | Phase 4 | 27 participants (Actual) | Interventional | 2003-02-28 | Terminated |
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 4 | 51 participants (Actual) | Interventional | 2006-04-30 | Completed |
A First-in-Human, Ascending-Dose Study to Investigate the Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability of a Single, Subcutaneous Dose of LY3209590 [NCT02942914] | Phase 1 | 80 participants (Actual) | Interventional | 2016-12-20 | Completed |
Testing the Usefulness of Lantus When Initiated Prematurely In Patients With Type 2 Diabetes [NCT00174681] | Phase 4 | 390 participants | Interventional | 2003-04-30 | Completed |
Pilot Study Investigating the Effects of Insulin Lispro Low Mixture Therapy Compared With Insulin Glargine on Perceived Mood Symptoms in Patients With Type 2 Diabetes Mellitus [NCT00191178] | Phase 4 | 60 participants | Interventional | 2003-08-31 | Completed |
Safety and Efficacy of Insulin Glargine Versus Biphasic Insulin Aspart 30/70 or Biphasic Insulin Aspart 30/70 in Combination With Metformin in Subjects With Type 2 Diabetes. [NCT00184626] | Phase 4 | 97 participants (Actual) | Interventional | 2004-09-10 | Completed |
52-week, Open, Randomized, Multinational, Multicenter Clinical Trial Comparing Insulin Glulisine in Combination With Insulin Glargine in an Intensified Insulin Regimen to a Two-injection Conventional Insulin Regimen in Type 2 Diabetes Mellitus Patients Wi [NCT00174668] | Phase 3 | 311 participants (Actual) | Interventional | 2004-11-30 | Completed |
An Open-label, Randomised, In-patient, Cross Over PK/PD Trial Investigating the Pharmackinectic and Pharmacodynamic Profiles Following Continuous Subcutaneous Infusion of Insulin Aspart or Injection of Insulin Glargine in Subjects With Type 2 Diabetes Mel [NCT00184613] | Phase 1 | 22 participants (Actual) | Interventional | 2005-05-31 | Completed |
The Incidence of Hypoglycemia in Insulin Glargine-Treated Subjects With Diabetes Mellitus Upon Switching Between Bedtime and Morning Dosing [NCT00609895] | Phase 4 | 22 participants (Actual) | Interventional | 2004-01-31 | Completed |
Pilot Study for the Evaluation of the Effects of Insulin Treatment on Myocardial Function, Perfusion, and Glucose Metabolism in Patients With Primary Left Ventricular Dysfunction and Type 2 Diabetes. [NCT00335465] | Phase 4 | 15 participants (Actual) | Interventional | 2005-09-30 | Completed |
Efficacy of Exenatide Compared With Insulin Glargine in Patients With Type 2 Diabetes Using Metformin or Sulfonylurea for Whom Insulin is the Next Appropriate Therapy [NCT00099619] | Phase 3 | 138 participants (Actual) | Interventional | 2004-09-30 | Completed |
Efficacy and Safety Comparison of Insulin Detemir and Insulin Glargine Plus Insulin Aspart in Patients With Type 2 Diabetes [NCT00106366] | Phase 3 | 389 participants (Actual) | Interventional | 2005-03-31 | Completed |
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 3 | 572 participants (Actual) | Interventional | 2005-04-30 | Completed |
Action to Control Cardiovascular Risk in Diabetes (ACCORD) [NCT00000620] | Phase 3 | 10,251 participants (Actual) | Interventional | 1999-09-30 | Completed |
Substituting Lantus®(Insulin Glargine[rDNAorigin]Inj) for a Thiazolidinedione vs. a 3rd Oral Agent as add-on Therapy in Patients Failing a Thiazolidinedione & Sulfonylurea or Metformin Combination [NCT00046462] | Phase 3 | 240 participants | Interventional | 2001-11-30 | Completed |
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 3 | 250 participants | Interventional | 2002-11-30 | Completed |
"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 4 | 609 participants (Actual) | Interventional | 2015-12-21 | Completed |
A Multicentre, Multinational, Randomised, Open Study to Establish the Optimal Method for Initiating and Maintaining Lantus® (Insulin Glargine) Therapy Based on a Comparison of Two Treatment Algorithms to Determine Optimal Metabolic Outcomes, Safety, and S [NCT00399724] | Phase 4 | 7,376 participants | Interventional | 2002-03-31 | Completed |
"A Phase IIIb/IV, Multinational, Multicentre, Randomised, Open Study to Establish the Optimal Method for Initiating and Maintaining Lantus® (Insulin Glargine) Therapy Based on a Comparison of Two Treatment Algorithms to Determine Optimal Metabolic Outcome [NCT00390728] | Phase 4 | 2,346 participants | Interventional | 2002-04-30 | Completed |
Target Glycemic Control and the Incidence of Documented Symptomatic Hypoglycemia in Insulin naïve Subjects With Type 2 Diabetes Failing on Oral Hypoglycemic Agent(s) and Treated With Insulin Glargine or Insulin Detemir. [NCT00405418] | Phase 4 | 973 participants (Actual) | Interventional | 2006-11-30 | Completed |
Efficacy and Safety of Liraglutide-bolus (Liraglutide Plus Prandial Insulin) Versus Glargine-bolus Therapy in Overweight / Obese Patients With Uncontrolled Type 2 Diabetes (LiraGooD)--A Multicenter Randomized Controlled Study [NCT03087032] | Phase 4 | 140 participants (Anticipated) | Interventional | 2019-01-10 | Recruiting |
An Interventional, Open-label, Single-arm, Multicenter, 24 Weeks Phase 4 Study Assessing the Efficacy and Safety of Toujeo in Patients With Type 2 Diabetes Inadequately Controlled With Basal Insulin [NCT02967237] | Phase 4 | 136 participants (Actual) | Interventional | 2016-01-04 | Completed |
Conventional Insulin Therapy Vs Intensive Insulin Management In Children With Type 1 Diabetes Mellitus [NCT00206401] | Phase 4 | 60 participants | Interventional | 2004-11-30 | Completed |
A 6-Month, Multicenter, Randomized, Open-label, Parallel-group Study Comparing the Efficacy and Safety of a New Formulation of Insulin Glargine and Lantus® Injected in the Morning or Evening in Patients With Type 1 Diabetes Mellitus With a 6-month Safety [NCT01683266] | Phase 3 | 549 participants (Actual) | Interventional | 2012-09-30 | Completed |
Long-Term Effects of Insulin Plus Metformin Regimens on the Overall and Postprandial Glycemic Control of Patients With Type 2 Diabetes: A Comparison of Premeal Insulin Lispro Mixtures to Once-Daily Insulin Glargine [NCT00191464] | Phase 4 | 320 participants | Interventional | 2003-12-31 | Completed |
Efficacy and Safety Comparison of Insulin Detemir Plus Insulin Aspart Versus Insulin Glargine Plus Insulin Aspart in Type 1 Diabetes [NCT00095082] | Phase 3 | 447 participants (Actual) | Interventional | 2004-09-30 | Completed |
Comparative Effectiveness and Safety of Four Second Line Pharmacological Strategies in Type 2 Diabetes Study [NCT05220917] | | 781,430 participants (Anticipated) | Observational | 2021-08-01 | Active, not recruiting |
Exploration of the Weight Neutral Effects of Insulin Detemir Compared to Insulin Glargine: A Measure of Satiety and Calories Consumed in Type 1 Diabetes [NCT00659165] | | 10 participants (Actual) | Interventional | 2008-04-30 | Completed |
A Randomized Controlled Study Comparing a DPP4 Inhibitor (Linagliptin) and Basal Insulin (Glargine) in Long-Term Care Residents With Type 2 Diabetes [NCT02061969] | Phase 4 | 140 participants (Actual) | Interventional | 2014-04-25 | Completed |
10-week, Open, National, Multicenter Clinical Trial to Evaluate the Safety of Insulin Glargine in Type 2 Diabetes Mellitus Patients, on Intensified Conventional Therapy (ICT) [NCT00354939] | Phase 4 | 480 participants | Interventional | 2003-10-31 | Completed |
Cost Effectiveness of Glargine Insulin Versus NPH Insulin in Diabetic Patients in Iran [NCT01832935] | Phase 4 | 200 participants (Actual) | Interventional | 2011-07-31 | Completed |
A Double-blind, Randomized, Two-treatment Crossover Bioequivalence Study Comparing Two New Insulin Glargine Formulations Using the Euglycemic Clamp Technique in Subjects With Type 1 Diabetes Mellitus [NCT01838083] | Phase 1 | 50 participants (Actual) | Interventional | 2013-04-30 | Completed |
A Randomized, 30-week, Active-controlled, Open Label, 2- Treatment Arm, Parallel-group, Multicenter Study Comparing the Efficacy and Safety of the Insulin Glargine/Lixisenatide Fixed Ratio Combination to Insulin Glargine With or Without Metformin in Patie [NCT02058160] | Phase 3 | 736 participants (Actual) | Interventional | 2014-01-31 | Completed |
Pharmacodynamics of LY2963016 Compared to LANTUS® in Subjects With Type 1 Diabetes Mellitus [NCT01600950] | Phase 1 | 20 participants (Actual) | Interventional | 2012-05-31 | Completed |
Linagliptin Inpatient Trial: A Randomized Controlled Trial on the Safety and Efficacy of Linagliptin (Tradjenta®) Therapy for the Inpatient Management of General Surgery Patients With Type 2 Diabetes [NCT02004366] | Phase 4 | 295 participants (Actual) | Interventional | 2014-01-31 | Completed |
A Prospective, Multicentric, Randomized, Open-Label Comparison of a Long-Acting Basal Insulin Analog Glargine Plus Glulisine With Premixed Insulin in Adult Patients With Type 2 Diabetes Mellitus [NCT02987751] | Phase 4 | 200 participants (Actual) | Interventional | 2016-12-29 | Completed |
Remission Evaluation of a Metabolic Intervention in Type 2 Diabetes With Forxiga [NCT02561130] | Phase 4 | 154 participants (Actual) | Interventional | 2015-12-31 | Completed |
Empagliflozin Effect on Glucose Toxicity in Type 2 Diabetes Patients - a Randomized, Open-label, Controlled, Parallel Group, Exploratory Study [NCT03437330] | Phase 4 | 50 participants (Anticipated) | Interventional | 2021-10-27 | Active, not recruiting |
Evaluation (Safety and Efficacy) of Treatment With Insulin Glargine and Glimepiride in Patients With Type 2 Diabetes Before, During and After the Period of Fasting in Ramadan [NCT00258804] | Phase 4 | 450 participants | Interventional | 2005-05-31 | Completed |
Study on the Feasibility and Treatment Experience of Community Doctors in Shenzhen Guided by Specialists to Use Basic Insulin in the Treatment of Adult Type 2 Diabetes Mellitus [NCT04553380] | | 150 participants (Anticipated) | Interventional | 2020-12-01 | Not yet recruiting |
A 6-Month, Multicenter, Randomized, Open-label, Parallel-group Study Comparing the Efficacy and Safety of a New Formulation of Insulin Glargine and Lantus® Both in Combination With Oral Antihyperglycemic Drug(s) in Japanese Patients With Type 2 Diabetes M [NCT01689142] | Phase 3 | 240 participants (Actual) | Interventional | 2012-09-30 | Completed |
A Crossover, Multicentre, Randomised Trial Comparing the Effect on the Control of Blood Glucose Concentration of Insulin Glargine and Insulin Detemir, Combined With Insulin Glulisine, Used as a Bolus, in Type 1 Diabetic Patients [NCT00271284] | Phase 3 | 88 participants (Actual) | Interventional | 2005-10-31 | Completed |
Optimisation of Insulin Treatment of Type 2 Diabetes Mellitus by Telecare Assistance for Self Monitoring of Blood Glucose (SMBG). [NCT00272064] | Phase 3 | 352 participants (Actual) | Interventional | 2005-10-31 | Completed |
Comparison of Efficacy and Safety of Insulin Detemir and Insulin Glargine as Add-on to Current Oral Antidiabetic Drugs in Subjects With Type 2 Diabetes [NCT00283751] | Phase 3 | 583 participants (Actual) | Interventional | 2003-03-31 | Completed |
Comparison of Efficacy and Safety of Insulin Detemir and Insulin Glargine in Patients With Type 1 Diabetes. [NCT00312104] | Phase 3 | 325 participants (Actual) | Interventional | 2002-04-30 | Completed |
Single Centre, Open, Controlled, Randomised (1:1), Parallel Group: Insulin Glargine vs. NPH: FPG (Fasting Plasma Glucose) in Patients With DM Type 1 Who Skip the Morning Meal During Treatment With MDI (Multiple Daily Injection) Basal/Bolus Insulin [NCT00313937] | Phase 4 | 91 participants (Actual) | Interventional | 2001-11-30 | Completed |
Assessment of Safety and Tolerability of Lantus® (Insulin Glargine) in Subjects With Impaired Fasting Glucose (IFG) or Impaired Glucose Tolerance (IGT) [NCT00348972] | Phase 1 | 20 participants | Interventional | 2002-02-28 | Completed |
A Single-centre, Parallel-group, Randomised, Double Blind Trial in Healthy Japanese Subjects Comparing the Within-subject Variability of Insulin Detemir and Insulin Glargine With Respect to Pharmacodynamic and Pharmacokinetic Properties [NCT01497535] | Phase 1 | 40 participants (Actual) | Interventional | 2004-05-27 | Completed |
A Single-centre, Randomised, Double-blind, Cross-over Trial Comparing the Within-subject Variability of the Pharmacokinetic Profiles of Insulin Detemir and Insulin Glargine in Children and Adolescents With Type 1 Diabetes [NCT01497574] | Phase 1 | 32 participants (Actual) | Interventional | 2005-05-31 | Completed |
Establishing Cardiovascular Biomarkers to Define Preferred Lantus® Use. [NCT01500850] | Phase 4 | 60 participants (Anticipated) | Interventional | 2011-10-31 | Recruiting |
A Trial Investigating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Subcutaneous NNC0268-0965 in Subjects With Type 2 Diabetes Mellitus [NCT04136067] | Phase 1 | 36 participants (Actual) | Interventional | 2019-10-29 | Completed |
Insulin Therapy for Post-transplant Glucocorticoid Induced Hyperglycemia [NCT01648218] | Phase 4 | 5 participants (Actual) | Interventional | 2012-08-31 | Terminated(stopped due to Poor enrollment) |
A 16-week, Randomized, Open-label, Controlled Study Comparing the Efficacy and Safety of a New Formulation of Insulin Glargine Versus Lantus in Patients With Type 1 Diabetes Mellitus [NCT01658579] | Phase 2 | 59 participants (Actual) | Interventional | 2012-08-31 | Completed |
A 26-Week Randomized, Open-label, Active Controlled, Parallel-group, Study Assessing the Efficacy and Safety of the Insulin Glargine/Lixisenatide Fixed Ratio Combination in Adults With Type 2 Diabetes Inadequately Controlled on GLP-1 Receptor Agonist and [NCT02787551] | Phase 3 | 514 participants (Actual) | Interventional | 2016-07-06 | Completed |
6-Month, Multicenter, Randomized, Open-label, 2-Arm, Parallel-group Study Comparing the Efficacy and Safety of a New Formulation of Insulin Glargine and Lantus® Injected Once Daily in Children and Adolescents Age 6 - 17 Years With Type 1 Diabetes Mellitus [NCT02735044] | Phase 3 | 463 participants (Actual) | Interventional | 2016-04-14 | Completed |
An Open-label, Randomized, Parallel Design Trial to Compare the Efficacy of a Sitagliptin-based Metabolic Intervention Versus Standard Diabetes Therapy in Inducing Remission of Type 2 Diabetes [NCT02623998] | Phase 3 | 102 participants (Actual) | Interventional | 2016-07-09 | Completed |
6-Month, Multicenter, Randomized, Open-label, Parallel-group Study Comparing the Efficacy and Safety of a New Formulation of Insulin Glargine and Lantus® Both in Combination With Oral Antihyperglycemic Drug(s) in Patients With Type 2 Diabetes Mellitus Wit [NCT01499095] | Phase 3 | 811 participants (Actual) | Interventional | 2011-12-31 | Completed |
6-Month, Multicenter, Randomized, Open-label, Parallel-group Study Comparing the Efficacy and Safety of a New Formulation of Insulin Glargine and Lantus® Both Plus Mealtime Insulin in Patients With Type 2 Diabetes Mellitus With a 6-month Safety Extension [NCT01499082] | Phase 3 | 807 participants (Actual) | Interventional | 2011-12-31 | Completed |
A Trial Comparing the Effect of Exercise on Blood Glucose Between Insulin Degludec and Insulin Glargine in Subjects With Type 1 Diabetes [NCT01704417] | Phase 1 | 40 participants (Actual) | Interventional | 2012-10-31 | Completed |
Comparison of the Effects of LY2605541 and Insulin Glargine on Endogenous Glucose Output and Peripheral Glucose Disposal in Healthy Subjects and Patients With Type 1 Diabetes Mellitus [NCT01654380] | Phase 1 | 22 participants (Actual) | Interventional | 2012-07-31 | Completed |
A Trial Investigating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Subcutaneous NNC0148-0000-0287 in Healthy Subjects and in Subjects With Type 1 Diabetes [NCT01730014] | Phase 1 | 70 participants (Actual) | Interventional | 2012-10-31 | Completed |
Early Basal Insulin Administration in Adult Diabetic Ketoacidosis Management [NCT04567225] | Phase 4 | 39 participants (Actual) | Interventional | 2020-10-01 | Terminated(stopped due to Stopped after internal review) |
A Randomized Controlled Trial to Evaluate Early Intermittent Intensive Insulin Therapy as an Effective Treatment of Type 2 Diabetes: REmission Studies Evaluating Type 2 DM - Intermittent Insulin Therapy (RESET-IT Pilot Study) [NCT01755468] | Phase 3 | 24 participants (Actual) | Interventional | 2013-04-30 | Completed |
Restoring Insulin Secretion Adult Medication Study [NCT01779362] | Phase 3 | 267 participants (Actual) | Interventional | 2013-04-30 | Completed |
A Trial Investigating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of NNC0148-0000-0287 in Healthy Subjects [NCT01809184] | Phase 1 | 84 participants (Actual) | Interventional | 2013-03-04 | Completed |
A Clinical Trial Comparing Efficacy and Safety of Insulin Degludec/Liraglutide (IDegLira) Versus Basal-bolus Therapy in Subjects With Type 2 Diabetes Mellitus [NCT02420262] | Phase 3 | 506 participants (Actual) | Interventional | 2015-07-26 | Completed |
The Management of Glucocorticoid-Induced Hyperglycemia in Hospitalized Patients [NCT01810952] | Phase 4 | 37 participants (Actual) | Interventional | 2010-09-30 | Completed |
A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled Clinical Trial to Study the Safety and Insulin-Sparing Efficacy of the Addition of Sitagliptin in Patients With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Insulin [NCT01462266] | Phase 3 | 660 participants (Actual) | Interventional | 2012-01-13 | Completed |
Early Use of Insulin Glargine in Diabetic Ketoacidosis [NCT00179127] | | 75 participants (Actual) | Interventional | 2004-08-31 | Completed |
A Multicenter, Randomized, Controlled Trial to Prevent Diabetes With Short-term Insulin Glargine Treatment or Lifestyle Intervention [NCT01276912] | | 2,420 participants (Anticipated) | Interventional | 2011-01-31 | Recruiting |
Impact of Insulin Detemir Versus Insulin Glargine on Glycaemic Control and Metabolism During Exercise in Type 1 Diabetes [NCT01440439] | Phase 4 | 30 participants (Anticipated) | Interventional | 2011-11-30 | Recruiting |
A Multicenter, Open-label, Single-arm, 24 Week Phase IV Study Evaluating the Effectiveness and Safety of Treatment of Insulin Glargine in Type 2 Diabetes Mellitus Following Glucagon-like Peptide-1 (GLP-1) Failure [NCT01461577] | Phase 4 | 89 participants (Actual) | Interventional | 2011-11-30 | Completed |
Effect of NPH Insulin, Insulin Detemir and Insulin Glargine on IGFBP-1 Production and Serum IGF-I in Subjects With Type 1 Diabetes Mellitus: An Open-label, Randomised, Triple Cross-over Trial [NCT01461616] | Phase 3 | 19 participants (Actual) | Interventional | 2012-02-29 | Completed |
New Onset Type 1 Diabetes: Role of Exenatide [NCT01269034] | Phase 4 | 13 participants (Actual) | Interventional | 2010-12-31 | Completed |
Sitagliptin for the Prevention and Treatment of Hyperglycemia in Patients With Type 2 Diabetes Undergoing Cardiac Surgery [NCT02556918] | Phase 4 | 202 participants (Actual) | Interventional | 2016-01-31 | Completed |
Randomized Controlled Study of Dipeptidyl Peptidase-4 (DPP4) Inhibitor (Sitagliptin) Therapy in the Inpatient Management of Patients With Type 2 Diabetes [NCT01378117] | Phase 4 | 90 participants (Actual) | Interventional | 2011-08-31 | Completed |
A Randomized Comparison of Transitioning From Insulin GLargine to Insulin Degludec usING a Bridging Dose of Glargine Versus Direct Conversion, in Patients With Type 1 Diabetes Mellitus - a Pilot Study [NCT04623086] | Phase 4 | 40 participants (Actual) | Interventional | 2020-02-14 | Active, not recruiting |
Evaluation of Insulin Glargine and Exenatide: A Randomized Clinical Trial With Continuous Glucose Monitoring and Ambulatory Glucose Profile Analysis [NCT01089569] | | 60 participants (Actual) | Interventional | 2010-04-30 | Completed |
Resolution of Type 2 Diabetes Mellitus: Intensive vs. Conventional Glycaemic Control After Obesity Surgery. [NCT01257087] | | 35 participants (Actual) | Interventional | 2010-12-31 | Completed |
A Randomized, Open-label, Controlled,Parallel-group Study for Beinaglutide Versus Glargine Therapy in Glycemic Variability of Type 2 Diabetes Mellitus [NCT03829891] | | 60 participants (Actual) | Interventional | 2018-08-07 | Completed |
A 26-week Trial Comparing the Effect and Safety of Once Weekly Insulin Icodec and Once Daily Insulin Glargine 100 Units/mL, Both in Combination With Bolus Insulin With or Without Non-insulin Anti-diabetic Drugs, in Subjects With Type 2 Diabetes on a Basal [NCT04880850] | Phase 3 | 582 participants (Actual) | Interventional | 2021-05-14 | Completed |
An Open-label, Randomized, Three-parallel-group Study on Pharmacodynamic Effects of 8-week QD Treatment With Lixisenatide Compared to Liraglutide in Patients With Type 2 Diabetes Not Adequately Controlled With Insulin Glargine With or Without Metformin [NCT01596504] | Phase 2 | 142 participants (Actual) | Interventional | 2012-05-31 | Completed |
Bioequivalence Study Comparing the Pharmacokinetics and Pharmacodynamics of LY2963016 With Insulin Glargine in Healthy Volunteers [NCT01476345] | Phase 1 | 80 participants (Actual) | Interventional | 2011-11-30 | Completed |
Efficacy and Safety Of Different Hypoglycemic Regimens Compared With Premixed Insulin In Patients With Type 2 Diabetes Receiving Short-term Intensive Insulin Therapy [NCT05545800] | Phase 3 | 78 participants (Anticipated) | Interventional | 2022-09-01 | Recruiting |
Efficacy and Safety of LY3298176 Once Weekly Versus Insulin Glargine in Patients With Type 2 Diabetes and Increased Cardiovascular Risk (SURPASS-4) [NCT03730662] | Phase 3 | 2,002 participants (Actual) | Interventional | 2018-11-20 | Completed |
A Comparison of LY2605541 Versus Insulin Glargine as Basal Insulin Treatment in Combination With Oral Anti-Hyperglycemia Medications in Insulin-Naive Patients With Type 2 Diabetes Mellitus: A Double-Blind, Randomized Study [NCT01435616] | Phase 3 | 1,538 participants (Actual) | Interventional | 2011-11-30 | Completed |
A Phase III, Randomized, Double-Blind, Multicenter Study to Evaluate the Efficacy and Safety of the Combination of Ertugliflozin (MK-8835/PF-04971729) With Sitagliptin Compared With Ertugliflozin Alone and Sitagliptin Alone, in the Treatment of Subjects W [NCT02099110] | Phase 3 | 1,233 participants (Actual) | Interventional | 2014-04-22 | Completed |
A 32-week Randomised, Multinational, Treat-to-target, Open Label, Parallel Group Comparison of Stepwise Insulin Intensification of Biphasic Insulin Aspart (BIAsp) 30 and Basal-bolus Therapy With Insulin Glargine and Insulin Aspart in Insulin naïve Type 2 [NCT02453685] | Phase 4 | 335 participants (Actual) | Interventional | 2015-08-31 | Completed |
A Randomized, Comparative Study of Basal-bolus Insulin Versus Conventional Sliding-scale Regular Insulin Therapy in Management of Non-critically Ill Patients Hospitalized in the Medical Ward. [NCT01594060] | Phase 4 | 36 participants (Actual) | Interventional | 2012-06-30 | Completed |
Remission Evaluation of Metabolic Interventions in Type 2 Diabetes (REMIT): A Randomized Controlled Pilot Trial [NCT01181674] | Phase 4 | 83 participants (Actual) | Interventional | 2011-01-31 | Completed |
Hospital Insulin Protocol Aims for Glucose Control in Corticosteroid-induced Hyperglycemia [NCT01184014] | Phase 4 | 72 participants (Actual) | Interventional | 2010-08-31 | Completed |
A Trial Investigating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of NNC0148-0000-0362 in Healthy Subjects [NCT01597713] | Phase 1 | 83 participants (Actual) | Interventional | 2012-05-31 | Completed |
Prospective Comparison of Early Subcutaneous Insulin Glargine Plus Standard of Care Versus Standard of Care for Treatment of Diabetic Ketoacidosis in the Emergency Department [NCT02930044] | | 18 participants (Actual) | Interventional | 2016-10-31 | Completed |
Diabetes Care in Nursing Home Residents: A Randomized Controlled Study [NCT01131052] | Phase 4 | 150 participants (Actual) | Interventional | 2011-03-31 | Completed |
The Determination of the First Dose and the Optimal Time of Administration of Insulin Glargine Combined With Oral Antidiabetic Drug in Poorly Controlled Type II Diabetic Patients [NCT00349986] | Phase 4 | 4 participants (Actual) | Interventional | 2006-09-30 | Terminated(stopped due to prematurely terminated due to loss of interest) |
Treatment of Early Insulinization With Glargine in Type 2 Diabetes Patients Uncontrolled on Sulfonylurea or Metformin Monotherapy [NCT00347100] | Phase 4 | 387 participants (Actual) | Interventional | 2006-06-30 | Completed |
Liraglutide Effect and Action in Diabetes (LEAD-5): Effect on Glycaemic Control After Once Daily Administration of Liraglutide in Combination With Glimepiride and Metformin Versus Glimepiride and Metformin Combination Therapy, and Versus Insulin Glargine [NCT00331851] | Phase 3 | 584 participants (Actual) | Interventional | 2006-05-31 | Completed |
A Study of the Relationship Between the Proportional Insulin Glargine Evening Dose and the Perioperative Serum Glucose Values in Patients With Diabetes Undergoing Surgery [NCT00309465] | Phase 4 | 402 participants (Actual) | Interventional | 2005-10-31 | Completed |
A Trial Comparing Efficacy and Safety of Insulin Degludec and Insulin Glargine in Insulin naïve Subjects With Type 2 Diabetes (BEGIN™: ONCE) [NCT01849289] | Phase 3 | 833 participants (Actual) | Interventional | 2013-06-02 | Completed |
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 4 | 50 participants (Actual) | Interventional | 2018-01-01 | Completed |
The Effect of Treatment With Basal Insulin Peglispro or Insulin Glargine on Insulin Sensitivity and the Effect of Prandial Insulin Lispro in Patients With Type 2 Diabetes Mellitus [NCT02197520] | Phase 1 | 24 participants (Actual) | Interventional | 2014-07-31 | Completed |
A Comparison of Pharmacodynamics When Receiving a Double Dose of Insulin Peglispro or Insulin Glargine in Patients With Type 2 Diabetes Mellitus: A Double-Blind, Crossover Design Study [NCT02132637] | Phase 3 | 68 participants (Actual) | Interventional | 2014-05-31 | Completed |
A Single Center, Single-dose, Double-blind, Randomized, Two-period, Two-treatment, Two-sequence, Crossover Study to Demonstrate Pharmacokinetic and Pharmacodynamic Similarity Between HEC-Glargine and US-Lantus® Using the Euglycemic Clamp Technique in Heal [NCT05248841] | Phase 1 | 104 participants (Actual) | Interventional | 2022-03-08 | Completed |
A Randomized, 30 Week, Active-controlled, Open-label, 3-treatment Arm, Parallel-group Multicenter Study Comparing the Efficacy and Safety of Insulin Glargine/ Lixisenatide Fixed Ratio Combination to Insulin Glargine Alone and to Lixisenatide Alone on Top [NCT02058147] | Phase 3 | 1,170 participants (Actual) | Interventional | 2014-02-28 | Completed |
Subcutaneous Insulin Glargine Versus NPH Insulin in Patients With Chronic Kidney Disease Stages III and IV: Randomized Controlled Trial. [NCT02451917] | Phase 4 | 34 participants (Actual) | Interventional | 2013-12-31 | Completed |
A Randomized, Open-label, Parallel Group Real World Pragmatic Trial to Assess the Clinical and Health Outcomes of Toujeo Compared to Commercially Available Basal Insulins for Initiation of Therapy in Insulin-naive Patients With Uncontrolled Type 2 Diabete [NCT02451137] | Phase 4 | 3,304 participants (Actual) | Interventional | 2015-06-16 | Completed |
Comparison of Insulin Isophane (NPH) With Insulin Glargine in New Onset Diabetes After Transplant (NODAT) [NCT01963728] | Phase 4 | 2 participants (Actual) | Interventional | 2013-11-27 | Terminated(stopped due to Blood sugar status of the enrolled subjects wasn't evaluable) |
A Randomised, Double Blind, Cross-over Trial Comparing the Safety and Efficacy of Insulin Degludec and Insulin Glargine, Both With Insulin Aspart as Mealtime Insulin in Subjects With Type 1 Diabetes (SWITCH 1) [NCT02034513] | Phase 3 | 501 participants (Actual) | Interventional | 2014-01-05 | Completed |
A 1 Month, Open-Label Inpatient, Randomized Cross-Over Trial Assessing The Impact Of Dry Powder Inhaled Insulin (Exubera) On 24-Hour Glycemic Control Compared To Insulin Glargine (Lantus) In Patients With Type 2 Diabetes Mellitus Who Are Poorly Controlled [NCT00367445] | Phase 4 | 30 participants | Interventional | 2006-09-30 | Completed |
Effect of the Administration of Insulin Degludec Versus Insulin Glargine on Glycemic Variability in Patients With Type 2 Diabetes Mellitus Drug-naïve [NCT02680457] | Phase 4 | 12 participants (Actual) | Interventional | 2013-11-30 | Completed |
Prevention of Stress Hyperglycemia With the Use of DPP-4 Inhibitors in Non-diabetic Patients Undergoing Non-cardiac Surgery, a Pilot Study [NCT02741687] | Phase 4 | 80 participants (Actual) | Interventional | 2016-06-30 | Completed |
Effectiveness of Subcutaneous Glargine On The Time To Closure of The Anion Gap in Patients Presenting to the Emergency Department With Diabetic Keto-acidosis: A Pilot Study [NCT02006342] | | 40 participants (Actual) | Interventional | 2012-11-30 | Completed |
Effectiveness and Safety of Once Weekly Insulin Icodec Used With DoseGuide Versus Once Daily Basal Insulin Analogues in an Insulin naïve Type 2 Diabetes Population in a Clinical Practice Setting [NCT04760626] | Phase 3 | 1,085 participants (Actual) | Interventional | 2021-03-01 | Completed |
[NCT00358124] | Phase 4 | 220 participants | Interventional | 2001-01-31 | Completed |
A Prospective, Randomized, Double-Blind Comparison of LY900014 to Insulin Lispro in Combination With Insulin Glargine or Insulin Degludec in Adults With Type 1 Diabetes [NCT03952130] | Phase 3 | 354 participants (Actual) | Interventional | 2019-05-29 | Completed |
Comparison of Glycemic Response to Morning Only, Evening Only or Twice Daily Insulin Glargine in Patients With Type 1 Diabetes Using Continuous Glucose Monitoring [NCT00869414] | | 16 participants (Actual) | Interventional | 2009-07-31 | Terminated(stopped due to PI deceased) |
An Open-label, Randomized, Multi-center, Parallel-Group Clinical Trial Comparing the Efficacy and Safety of Mylan's Insulin Glargine With Lantus® in Type 1 Diabetes Mellitus Patients: An Extension Study [NCT02666430] | Phase 3 | 127 participants (Actual) | Interventional | 2015-12-31 | Completed |
A Trial Comparing the Efficacy of Insulin Degludec With Insulin Glargine on Glycaemic Control Using Continuous Glucose Monitoring in Patients With Type 1 Diabetes [NCT01569841] | Phase 3 | 24 participants (Actual) | Interventional | 2012-04-30 | Completed |
A Randomized, 24-week, Open-label, 2-arm Parallel-group, Multicenter Study Comparing the Efficacy and Safety of Insulin Glargine/Lixisenatide Fixed Ratio Combination Versus Insulin Glargine on Top of Metformin in Type 2 Diabetic Patients [NCT01476475] | Phase 2 | 323 participants (Actual) | Interventional | 2011-11-30 | Completed |
The Impact of LY2605541 Versus Insulin Glargine for Patients With Type 2 Diabetes Mellitus Advanced to Multiple Injection Bolus Insulin With Insulin Lispro: a Double-Blind, Randomized, 26-week Study - The IMAGINE 4 Study [NCT01468987] | Phase 3 | 1,369 participants (Actual) | Interventional | 2011-12-31 | Completed |
User Experience and Daily Use Patterns With the Integrated Insulin Management (IIM) System [NCT04484779] | | 67 participants (Actual) | Interventional | 2020-07-14 | Completed |
The Effect of Treatment With Basal Insulin Peglispro or Insulin Glargine on the Dose Response Effect of Prandial Insulin Lispro in Patients With Type 1 Diabetes Mellitus. [NCT02152384] | Phase 1 | 28 participants (Actual) | Interventional | 2014-06-30 | Completed |
Nanjing First Hospital, Nanjing Medical University [NCT05553093] | Phase 4 | 150 participants (Anticipated) | Interventional | 2022-03-15 | Recruiting |
A Trial Investigating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Subcutaneous NNC0472-0147 in Healthy Subjects and in Subjects With Type 2 Diabetes Mellitus [NCT04262661] | Phase 1 | 36 participants (Actual) | Interventional | 2020-03-02 | Completed |
A Pilot Descriptive Canadian, Multicenter, Open-label, Randomized Study of Two Titration Algorithms With Insulin Glargine 300 Units/mL in Type 2 Diabetes Mellitus Patients [NCT02401243] | Phase 3 | 253 participants (Actual) | Interventional | 2015-03-31 | Completed |
An Open Therapeutic Observational Evaluation of the Efficacy and Safety Profile of Lantus in Everyday Medical Practice in Type 2 Diabetes Mellitus Patients, Who Start Receiving Lantus - Treated With Any Other Insulin, With A1c>7% [NCT00423215] | | 1,007 participants (Actual) | Observational | 2006-03-31 | Completed |
Efficacy and Safety of Semaglutide Once Weekly Versus Insulin Glargine Once Daily as Add on to Metformin With or Without Sulphonylurea in Insulin-naïve Subjects With Type 2 Diabetes [NCT02128932] | Phase 3 | 1,089 participants (Actual) | Interventional | 2014-08-04 | Completed |
A Trial Comparing the Efficacy, Patient-reported Outcomes and Safety of Insulin Degludec 200 U/mL vs Insulin Glargine in Subjects With Type 2 Diabetes Mellitus Requiring High-dose Insulin [NCT01570751] | Phase 3 | 145 participants (Actual) | Interventional | 2012-04-30 | Completed |
A Single-Site, Single Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Glucodynamic Effects of LY3192767 in Healthy Subjects [NCT03025009] | Phase 1 | 57 participants (Actual) | Interventional | 2017-03-06 | Completed |
Simplification of Diabetes Regimen in Elderly Patients Using Glargine [NCT01480843] | Phase 4 | 65 participants (Actual) | Interventional | 2011-06-30 | Completed |
The Effect of Exenatide Compared to Lantus Insulin on Vascular Function Before and After a Meal Tolerance Test in Patients With Type 2 Diabetes [NCT00353834] | Phase 4 | 72 participants (Actual) | Interventional | 2006-08-31 | Completed |
An Open-label, Randomized, Multi-center, Parallel Group Clinical Trial Comparing the Efficacy and Safety of Mylan's Insulin Glargine With Lantus® in Type 2 Diabetes Mellitus Patients [NCT02227875] | Phase 3 | 560 participants (Actual) | Interventional | 2014-08-31 | Completed |
Evaluation of the Counter-Regulatory Response to Hypoglycaemia Following LY2605541 Administration Compared to Insulin Glargine in Patients With Type 1 Diabetes Mellitus [NCT01769404] | Phase 1 | 25 participants (Actual) | Interventional | 2013-02-28 | Completed |
Assessment of the Effects of LY2605541 on Triglyceride Metabolism, Compared to Insulin Glargine, in Patients With Type 1 Diabetes Mellitus [NCT01771250] | Phase 1 | 15 participants (Actual) | Interventional | 2013-10-31 | Completed |
Arterial Stiffness and Endothelial Function Indexes, Relationships With Clinical and Laboratory Variables in a Group of Diabetic Patients in Treatment With Dulaglutide: a Case-control Study [NCT03824002] | Phase 4 | 92 participants (Actual) | Interventional | 2017-04-01 | Completed |
Evaluation of the Effects of Insulin Peglispro (LY2605541) on Respiratory Quotient During Sleep and Response to Hyperinsulinemia Compared With That of Insulin Glargine in Patients With Type 1 Diabetes Mellitus [NCT01925989] | Phase 1 | 27 participants (Actual) | Interventional | 2013-11-30 | Completed |
Efficacy and Safety of FIAsp Compared to Insulin Aspart in Combination With Insulin Glargine and Metformin in Adults With Type 2 Diabetes [NCT01819129] | Phase 3 | 881 participants (Actual) | Interventional | 2013-09-09 | Completed |
Comparative Pharmacokinetics and Pharmacodynamics of LY2963016 and US-Approved Lantus® After Single-Dose Subcutaneous Administration to Healthy Subjects [NCT01688635] | Phase 1 | 91 participants (Actual) | Interventional | 2012-09-30 | Completed |
A Randomized Controlled Trial Comparing the Safety and Efficacy of Liraglutide Versus Glargine Insulin for the Management of Patients With Type 2 Diabetes After Hospital Discharge [NCT01919489] | Phase 4 | 273 participants (Actual) | Interventional | 2014-03-31 | Completed |
Reducing the Risk of Metabolic Decompensation in Adolescents With Poorly Controlled Type 1 Diabetes by Supervised School Administration of Insulin Degludec [NCT03400501] | Early Phase 1 | 32 participants (Actual) | Interventional | 2017-10-01 | Completed |
Insulin Glargine [rDNA Origin] Injection vs Pioglitazone as add-on Therapy in Patients Failing Monotherapy With Sulfonylurea or Metformin: a Randomized, Open, Parallel Study [NCT00384215] | Phase 4 | 352 participants | Interventional | 2001-12-31 | Completed |
Effect of Tight Control of Blood Glucose During Hyper-CVAD Chemotherapy For Acute Lymphocytic Leukemia [NCT00500240] | Phase 3 | 52 participants (Actual) | Interventional | 2004-04-30 | Terminated(stopped due to Terminated early due to futility.) |
A Multiple Dose Trial Investigating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of NNC0123-0000-0338 in Subjects With Type 2 Diabetes [NCT01796366] | Phase 1 | 40 participants (Actual) | Interventional | 2013-02-21 | Completed |
A Phase III Clinical Trial to Study the Safety and Efficacy of MK-1293 Compared to Lantus™ in Subjects With Type 2 Diabetes Mellitus [NCT02059187] | Phase 3 | 531 participants (Actual) | Interventional | 2014-02-11 | Completed |
A Trial Comparing Cardiovascular Safety of Insulin Degludec Versus Insulin Glargine in Subjects With Type 2 Diabetes at High Risk of Cardiovascular Events [NCT01959529] | Phase 3 | 7,637 participants (Actual) | Interventional | 2013-10-29 | Completed |
A Randomized, Open-Label, Parallel-Arm Study Comparing the Effect of Once-weekly Dulaglutide With Insulin Glargine on Glycemic Control in Patients With Type 2 Diabetes and Moderate or Severe Chronic Kidney Disease [NCT01621178] | Phase 3 | 577 participants (Actual) | Interventional | 2012-07-31 | Completed |
The Pharmacokinetic and Pharmacodynamic Intra-subject Variability of LY2605541 and the Effect of Exercise on LY2605541 Pharmacokinetics in Patients With Type 1 Diabetes Mellitus [NCT01784211] | Phase 1 | 76 participants (Actual) | Interventional | 2013-02-28 | Completed |
A Phase 3, Open Label, Randomized, Parallel, 26 Week Treatment Study Comparing LY2605541 With Insulin Glargine as Basal Insulin Treatment in Combination With Oral Anti Hyperglycemia Medications in Asian Insulin Naïve Patients With Type 2 Diabetes Mellitus [NCT01894568] | Phase 3 | 388 participants (Actual) | Interventional | 2013-07-31 | Completed |
Dapagliflozin Effect in Cognitive Impairment in Stroke Trial [NCT05565976] | Phase 2/Phase 3 | 270 participants (Anticipated) | Interventional | 2020-08-01 | Recruiting |
Open Label Randomized Multicenter Clinical Trial to Compare Immunogenicity of Insulin Glargine Ezelin vs Lantus in Type 2 Diabetes Mellitus Patients [NCT03352674] | Phase 2 | 133 participants (Actual) | Interventional | 2016-09-30 | Completed |
A Phase 3, Parallel-Design, Open-Label, Randomized Controlled Study to Evaluate the Efficacy and Safety of LY3209590 as a Weekly Basal Insulin Compared to Insulin Glargine in Adults With Type 2 Diabetes on Multiple Daily Injections [NCT05462756] | Phase 3 | 730 participants (Actual) | Interventional | 2022-08-11 | Active, not recruiting |
A Randomized, Open-label, Active-controlled, 3-arm Parallel-group, 26-week Study Comparing the Efficacy and Safety of Lixisenatide to That of Insulin Glulisine Once Daily and Insulin Glulisine Three Times Daily in Patients With Type 2 Diabetes Insufficien [NCT01768559] | Phase 3 | 894 participants (Actual) | Interventional | 2013-01-31 | Completed |
A Randomized, 24 Week, Active-controlled, Open-label, 3-arm, Parallel-group Multicenter Study Comparing the Efficacy and Safety of iGlarLixi to Insulin Glargine and Lixisenatide in Type 2 Diabetes Mellitus Patients Insufficiently Controlled With Oral Anti [NCT03798054] | Phase 3 | 878 participants (Actual) | Interventional | 2019-02-15 | Completed |
Prospective Study Aim to Determine the Efficacy and Safety of a Glargine-based Hospital Discharge Algorithm in Cardiac Surgery Patients With Perioperative Hyperglycemia [NCT01792830] | Phase 3 | 175 participants (Actual) | Interventional | 2012-10-31 | Completed |
A Multicenter, Randomized, Double-Blind Study to Evaluate the Safety, Tolerability, and Efficacy of the Addition of MK-3102 to Subjects With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin Therapy [NCT01755156] | Phase 3 | 402 participants (Actual) | Interventional | 2013-01-11 | Completed |
Pharmacokinetics and Pharmacodynamics of LY2963016 Compared to Lantus® in Healthy Subjects Following Two Single Subcutaneous Doses [NCT01634165] | Phase 1 | 24 participants (Actual) | Interventional | 2012-07-31 | Completed |
A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled Clinical Trial to Study the Efficacy and Safety of the Continuation of Sitagliptin Compared With the Withdrawal of Sitagliptin During Initiation and Titration of Insulin Glargine (LANT [NCT02738879] | Phase 3 | 746 participants (Actual) | Interventional | 2016-05-09 | Completed |
Preserving Beta-cell Function in Type 2 Diabetes With Exenatide and Insulin (PREVAIL) [NCT02194595] | Phase 3 | 105 participants (Actual) | Interventional | 2014-09-30 | Completed |
A Randomized, 24 Weeks, Active-controlled, Open-label, 2-arm Multicenter Study Comparing the Efficacy and Safety of iGlarLixi to IDegAsp in Chinese Type 2 Diabetes Mellitus Participants Insufficiently Controlled With Oral Antidiabetic Drug(s) [NCT05413369] | Phase 3 | 583 participants (Actual) | Interventional | 2022-07-07 | Completed |
6-Month, Multicenter, Randomized, Open-label, Parallel-group Study Comparing the Efficacy and Safety of a New Formulation of Insulin Glargine and Lantus® in Insulin-Naïve Patients With Type 2 Diabetes Mellitus Not Adequately Controlled With Non-Insulin An [NCT01676220] | Phase 3 | 878 participants (Actual) | Interventional | 2012-08-31 | Completed |
Intensive Glycemic Control For Diabetic Foot Ulcer Healing: A Multicenter Randomized Control Study (IN-GLOBE Study) [NCT04323462] | Phase 4 | 326 participants (Anticipated) | Interventional | 2021-10-01 | Recruiting |
A Randomized, Double-Blind Trial Comparing the Effect of the Addition of Dulaglutide 1.5 mg Versus the Addition of Placebo to Titrated Basal Insulin on Glycemic Control in Chinese Patients With Type 2 Diabetes [NCT04591626] | Phase 3 | 291 participants (Actual) | Interventional | 2020-12-07 | Completed |
A Randomized, Open-label, 2-treatment Crossover Study of a New Formulation of Insulin Glargine Comparing to Lantus® on 24-hour Glucose Profile in Japanese Patients With Type 1 Diabetes Mellitus on Treatment With Basal-bolus Insulin [NCT01676233] | Phase 1 | 20 participants (Actual) | Interventional | 2012-09-30 | Completed |
An Individualized treatMent aPproach for oldER patIents: A Randomized, Controlled stUdy in Type 2 Diabetes Mellitus (IMPERIUM) [NCT02072096] | Phase 4 | 192 participants (Actual) | Interventional | 2014-02-28 | Terminated(stopped due to The trial was terminated per protocol because of lack of feasibility.) |
Study 200977: Albiglutide + Insulin Glargine Versus Insulin Lispro + Insulin Glargine in the Treatment of Subjects With Type 2 Diabetes Mellitus: The Switch Study [NCT02229227] | Phase 3 | 814 participants (Actual) | Interventional | 2014-11-21 | Completed |
Randomized Controlled Trial on the Safety and Efficacy of Sitagliptin Therapy for the Inpatient Management of General Medicine and Surgery Patients With Type 2 Diabetes [NCT01845831] | Phase 4 | 292 participants (Actual) | Interventional | 2013-08-31 | Completed |
A Randomised, Double Blind, Cross-over Trial Comparing the Safety and Efficacy of Insulin Degludec and Insulin Glargine, With or Without OADs in Subjects With Type 2 Diabetes (SWITCH 2) [NCT02030600] | Phase 3 | 721 participants (Actual) | Interventional | 2014-01-06 | Completed |
A 26-Week, Multi-Center, Open-label, Randomized, Parallel-group Study to Evaluate the Efficacy and Safety of Two Treatment Regimens in Patients With Type 2 Diabetes After Short-Term Intensive Insulin Therapy: Basal Insulin Based Treatment (With Prandial O [NCT03359837] | Phase 4 | 384 participants (Actual) | Interventional | 2018-01-20 | Completed |
Management of Diabetic Ketoacidosis in Children: Does Early Glargine Prevent Rebound Hyperglycemia? [NCT03107208] | Phase 4 | 61 participants (Actual) | Interventional | 2017-07-21 | Completed |
Six-month, Randomized, Open-label, Parallel-group Comparison of the Insulin Analog SAR342434 to Humalog® in Adult Patients With Type 2 Diabetes Mellitus Also Using Insulin Glargine [NCT02294474] | Phase 3 | 505 participants (Actual) | Interventional | 2015-01-31 | Completed |
A Phase III, Multicenter, Double-Blind, Randomized Study to Evaluate the Safety and Efficacy of the Addition of MK-3102 Compared With the Addition of Glimepiride in Subjects With Type 2 Diabetes Mellitus With Inadequate Glycemic Control on Metformin [NCT01682759] | Phase 3 | 751 participants (Actual) | Interventional | 2012-09-10 | Completed |
A Comparison of LY2605541 Versus Insulin Glargine Alone or in Combination With Pre-study Oral Antihyperglycemic Medications in Patients With Type 2 Diabetes Mellitus Previously Treated With Basal Insulin: An Open-Label, Randomized Study The IMAGINE 5 Stud [NCT01582451] | Phase 3 | 466 participants (Actual) | Interventional | 2012-05-31 | Completed |
A Phase IV, Open Label, Randomized Trial on the Effect of Metformin Plus Lantus Insulin, Pioglitazone, or DPP4 Inhibitor on Fatty Liver in Patients With Type II Diabetes [NCT02365233] | Phase 4 | 5 participants (Actual) | Interventional | 2013-05-01 | Terminated(stopped due to IRB withheld the data due to inadequate supporting documentation) |
A Clinical Trial Comparing Long Term Glycaemic Control of Insulin Degludec/Liraglutide (IDegLira) Versus Insulin Glargine Therapy in Subjects With Type 2 Diabetes Mellitus [NCT02501161] | Phase 3 | 1,012 participants (Actual) | Interventional | 2016-01-31 | Completed |
A Randomized, Double-Blind Trial Comparing the Effect of Dulaglutide 1.5 mg With Placebo on Glycemic Control in Patients With Type 2 Diabetes on Basal Insulin Glargine [NCT02152371] | Phase 3 | 300 participants (Actual) | Interventional | 2014-05-31 | Completed |
A Phase III Clinical Trial to Study the Safety and Efficacy of MK-1293 Compared to Lantus™ in Subjects With Type 1 Diabetes Mellitus [NCT02059161] | Phase 3 | 508 participants (Actual) | Interventional | 2013-10-17 | Completed |
A Phase 3, Randomized, Double-Blind, Placebo-Controlled, 26-Week Multicenter Study With a 78-Week Extension To Evaluate The Efficacy And Safety Of Ertugliflozin In Subjects With Type 2 Diabetes Mellitus And Inadequate Glycemic Control On Metformin Monothe [NCT02033889] | Phase 3 | 621 participants (Actual) | Interventional | 2013-12-13 | Completed |
Restoring Insulin Secretion Pediatric Medication Study [NCT01779375] | Phase 3 | 91 participants (Actual) | Interventional | 2013-06-16 | Completed |
A Randomized, Open-label, 2-arm Parallel-group, Multicenter, 26-week Study Assessing the Safety and Efficacy of H0E901-U300 Versus Lantus in Older Patients With Type 2 Diabetes Inadequately Controlled on Antidiabetic Regimens Either Including no Insulin, [NCT02320721] | Phase 3 | 1,014 participants (Actual) | Interventional | 2015-01-31 | Completed |
Six-Month, Randomized, Open-Label, Parallel-group Comparison of SAR342434 to Humalog® in Adult Patients With Type 1 Diabetes Mellitus Also Using Insulin Glargine, With a 6-month Safety Extension Period [NCT02273180] | Phase 3 | 507 participants (Actual) | Interventional | 2014-10-31 | Completed |
Feasibility of Once-daily Administered GLP-1 Receptoragonist (Lixisenatide) in Combination With Basal Insulin in Patients With Type-2 Diabetes Mellitus Not Achieving Therapeutic Targets With Premixed Insulin [NCT02168491] | Phase 3 | 10 participants (Actual) | Interventional | 2014-11-30 | Completed |
A Trial Comparing the Efficacy and Safety of Insulin Degludec/Liraglutide Versus Insulin Glargine in Subjects With Type 2 Diabetes Mellitus (DUAL™ V - Basal Insulin Switch) [NCT01952145] | Phase 3 | 557 participants (Actual) | Interventional | 2013-09-20 | Completed |
An Open-Label, Randomized, Multi-Center, Parallel-Group Clinical Trial Comparing the Efficacy and Safety of Mylan's Insulin Glargine With Lantus® in Type 1 Diabetes Mellitus Patients [NCT02227862] | Phase 3 | 558 participants (Actual) | Interventional | 2014-06-30 | Completed |
A Phase 3 Study of LY2189265 Compared to Insulin Glargine in Patients With Type 2 Diabetes Mellitus on a Sulfonylurea and/or Biguanide [NCT01584232] | Phase 3 | 361 participants (Actual) | Interventional | 2012-04-30 | Completed |
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Trial | Outcome |
NCT00000620 (6) [back to overview] | First Occurrence of MCE or Revascularization or Hospitalization for Congestive Heart Failure (CHF) in Lipid Trial. |
NCT00000620 (6) [back to overview] | Stroke in the Blood Pressure Trial. |
NCT00000620 (6) [back to overview] | First Occurrence of Major Cardiovascular Event (MCE) in the Lipid Trial. |
NCT00000620 (6) [back to overview] | First Occurrence of Major Cardiovascular Event (MCE) in the Blood Pressure Trial. |
NCT00000620 (6) [back to overview] | First Occurrence of a Major Cardiovascular Event (MCE); Specifically Nonfatal Heart Attack, Nonfatal Stroke, or Cardiovascular Death (Measured Throughout the Study) in the Glycemia Trial. |
NCT00000620 (6) [back to overview] | Death From Any Cause in the Glycemia Trial. |
NCT00069784 (7) [back to overview] | Incidence of Development of Type 2 Diabetes Mellitus in Participants With IGT and/or IFG |
NCT00069784 (7) [back to overview] | Number of Patients With First Occurrence of Any Type of Cancer |
NCT00069784 (7) [back to overview] | Total Mortality (All Causes) |
NCT00069784 (7) [back to overview] | Composite Diabetic Microvascular Outcome (Kidney or Eye Disease) |
NCT00069784 (7) [back to overview] | Composite of the First Occurrence of Cardiovascular (CV) Death, Nonfatal Myocardial Infarction (MI) or Nonfatal Stroke |
NCT00069784 (7) [back to overview] | Composite of the First Occurrence of Cardiovascular (CV) Death, Nonfatal Myocardial Infarction (MI), Nonfatal Stroke, Revascularization Procedure or Hospitalization for Heart Failure (HF) |
NCT00069784 (7) [back to overview] | Number of Patients With Various Types of Symptomatic Hypoglycemia Events |
NCT00082381 (7) [back to overview] | Change in Rate of Hypoglycemic Events |
NCT00082381 (7) [back to overview] | Change in Glycosylated Hemoglobin (HbA1c) |
NCT00082381 (7) [back to overview] | Change in Fasting Serum Glucose |
NCT00082381 (7) [back to overview] | Change in Body Weight |
NCT00082381 (7) [back to overview] | Change in 7-point Self-monitored Blood Glucose (SMBG) Profile |
NCT00082381 (7) [back to overview] | Percentage of Patients With Hypoglycemic Events |
NCT00082381 (7) [back to overview] | Percentage of Patients Achieving HbA1c <=7% |
NCT00097500 (9) [back to overview] | Change in Second Phase C-peptide Release |
NCT00097500 (9) [back to overview] | Change in First Phase C-peptide Release |
NCT00097500 (9) [back to overview] | M-value at Baseline, Week 52 and Week 56 |
NCT00097500 (9) [back to overview] | Seven Point Self Monitored Blood Glucose (SMBG) Measurements |
NCT00097500 (9) [back to overview] | Change in Fasting Plasma Glucose |
NCT00097500 (9) [back to overview] | Change in Glycosylated Hemoglobin (HbA1c) |
NCT00097500 (9) [back to overview] | Change in Body Weight |
NCT00097500 (9) [back to overview] | Beta-cell Function After 52 Weeks of Therapy |
NCT00097500 (9) [back to overview] | Beta-cell Function 4 Weeks After Cessation of Therapy |
NCT00147745 (5) [back to overview] | The Acute Effect of Colesevelam (Multiple Doses) on Oral Glucose Absorption From Baseline to 12 Weeks |
NCT00147745 (5) [back to overview] | Acute Effect of a Single Dose of Colesevelam on Oral Glucose Absorption From Baseline to First Dose |
NCT00147745 (5) [back to overview] | Change in Hemoglobin A1C Due to Effect of Colesevelam From Baseline to 12 Weeks |
NCT00147745 (5) [back to overview] | Difference in Endogenous (Hepatic) Glucose Output During a High-dose Insulin Infusion From Baseline to After 12 Weeks of Treatment. |
NCT00147745 (5) [back to overview] | Difference in Endogenous (Hepatic) Glucose Output During a Low-dose Insulin Infusion From Baseline to Week 12. |
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 18 |
NCT00191282 (27) [back to overview] | Number of Participants With Self-Reported Hypoglycemia During Month 12 |
NCT00191282 (27) [back to overview] | Number of Participants With Self-Reported Hypoglycemia During Month 9 |
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] | Summary of Reasons for Deaths |
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 With Self-Reported Hypoglycemia During Month 1 |
NCT00191282 (27) [back to overview] | Number of Participants Who Experienced Stroke |
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 Primary Outcomes Adjusted for Metabolic Control and Major Cardiovascular (CV) Risk Factors |
NCT00191282 (27) [back to overview] | Number of Participants Who Experienced Myocardial Infarction (MI) |
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 Death From Any Cause or Any One of the Primary Outcomes |
NCT00191282 (27) [back to overview] | Number of Participants Who Experienced Death From Any Cause |
NCT00191282 (27) [back to overview] | Number of Episodes of Self-Reported Hypoglycemia Reported by Participants With Self-Reported Hypoglycemia During Month 1 |
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 18 |
NCT00191282 (27) [back to overview] | Number of Participants Who Experienced Cardiovascular (CV) Death |
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 Who Experienced a Primary Combined Outcome |
NCT00191282 (27) [back to overview] | Number of Participants Who Experienced Coronary Revascularization Procedures |
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 Congestive Heart Failure |
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 Episodes of Self-Reported Hypoglycemia Reported by Participants With Self-Reported Hypoglycemia During Month 3 |
NCT00279201 (56) [back to overview] | ADDENDUM: Body Weight |
NCT00279201 (56) [back to overview] | ADDENDUM: Change From Baseline in 1,5-Anhydroglucitol to Week 24 |
NCT00279201 (56) [back to overview] | ADDENDUM: Change in HbA1c From Point of Second Randomization (Addendum Baseline) to Endpoint |
NCT00279201 (56) [back to overview] | ADDENDUM: HbA1c at Specified Visits and Endpoint |
NCT00279201 (56) [back to overview] | ADDENDUM: Incremental Change From Baseline in Body Weight |
NCT00279201 (56) [back to overview] | ADDENDUM: Insulin Dose |
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: Percentage of Participants With Self-reported Hypoglycemic Episodes |
NCT00279201 (56) [back to overview] | ADDENDUM: Rate of Self-reported Hypoglycemic Episodes |
NCT00279201 (56) [back to overview] | INITIATION: 7-point Self-monitored Plasma Glucose (SMPG) Profiles and Postprandial Excursions |
NCT00279201 (56) [back to overview] | INITIATION: Body Weight |
NCT00279201 (56) [back to overview] | INITIATION: HbA1c |
NCT00279201 (56) [back to overview] | INITIATION: Incremental Change From Baseline in Body Weight |
NCT00279201 (56) [back to overview] | INITIATION: Insulin Dose |
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: 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 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 - Pre Meals Blood Glucose, Post Meals Blood Glucose, Average of All Blood Glucose, and Fasting Blood Glucose |
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: Percentage of Participants With Self-reported Hypoglycemic Episodes |
NCT00279201 (56) [back to overview] | INITIATION: Rate of Self-reported Hypoglycemic Episodes |
NCT00279201 (56) [back to overview] | MAINTENANCE: 7-point SMPG Profiles and Postprandial Excursions |
NCT00279201 (56) [back to overview] | MAINTENANCE: Body Weight |
NCT00279201 (56) [back to overview] | MAINTENANCE: HbA1c at Specified Visits and Endpoint |
NCT00279201 (56) [back to overview] | MAINTENANCE: Incremental Change From Baseline in Body Weight |
NCT00279201 (56) [back to overview] | MAINTENANCE: Insulin Dose |
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: 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 - 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 - 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 - Baseline HbA1c Group |
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 - Mean of Post Meals Blood Glucose and Average of All Blood Glucose |
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: Percentage of Participants With HbA1c < or = 7.0%, HbA1c <7.0, and HbA1c < or = 6.5% |
NCT00279201 (56) [back to overview] | MAINTENANCE: Percentage of Participants With Self-reported Hypoglycemic Episodes |
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: Change From Baseline in 1,5-Anhydroglucitol |
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] | INITIATION: Participant Demographics of Participants Who Did Versus Did Not Achieve HbA1c Goal at Week 24 - Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) |
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] | MAINTENANCE: Participant Demographics of Insulin Glargine 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 - Baseline HbA1c |
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 Lispro LM Participants Who Did Versus Did Not Maintain HbA1c Goal - 1,5 AG |
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 - Duration of Diabetes |
NCT00279201 (56) [back to overview] | MAINTENANCE: Rate of Increase in HbA1c |
NCT00279201 (56) [back to overview] | ADDENDUM: 7-point SMPG Profiles |
NCT00283049 (3) [back to overview] | Rate of Hypoglycemia, Symptomatic Hypoglycemia, Severe Hypoglycemia and Serious Hypoglycemia |
NCT00283049 (3) [back to overview] | Change in Hemoglobin A1c (HbA1c) From Baseline to Week 12 |
NCT00283049 (3) [back to overview] | Occurrences of Hypoglycemia, Symptomatic Hypoglycemia, Severe Hypoglycemia, and Serious Hypoglycemia |
NCT00309465 (1) [back to overview] | Primary: Preoperative Fasting Blood Sugar Upon Arrival at the Hospital Prior to Surgery |
NCT00338104 (3) [back to overview] | Percentage of Glucose Levels > 180 mg/dL |
NCT00338104 (3) [back to overview] | Percentage of Blood Glucose Values Between 80 - 140 |
NCT00338104 (3) [back to overview] | Percentage of Glucose Values < 50 mg/dL |
NCT00353834 (2) [back to overview] | The Primary Endpoint Was the Change in FMD at the End of the Study Compared to Baseline Measurements in Subjects Treated With Exenatide Compared to Subjects Treated With Lantus. |
NCT00353834 (2) [back to overview] | First Will be the Changes in TNG Stimulated Arterial Dilation (Endothelial-independent) in Subjects Treated With Exenatide Compared With Subjects Treated With Lantus at the End of the Study Compared to Baseline Measurements |
NCT00357890 (4) [back to overview] | Beta Cell Function |
NCT00357890 (4) [back to overview] | Hemoglobin A1c |
NCT00357890 (4) [back to overview] | Insulin Sensitivity |
NCT00357890 (4) [back to overview] | Percent Body Fat |
NCT00360334 (28) [back to overview] | Hypoglycemic Rate Per 30 Days |
NCT00360334 (28) [back to overview] | Incidence of Hypoglycemic Episodes |
NCT00360334 (28) [back to overview] | Change in Low Density Lipoprotein (LDL) Cholesterol |
NCT00360334 (28) [back to overview] | Change in TC to HDL Cholesterol Ratio |
NCT00360334 (28) [back to overview] | Change in Waist Circumference |
NCT00360334 (28) [back to overview] | Change in Systolic Blood Pressure |
NCT00360334 (28) [back to overview] | Change in Diastolic Blood Pressure |
NCT00360334 (28) [back to overview] | Change in Body Weight |
NCT00360334 (28) [back to overview] | Change in Apolipoprotein-B |
NCT00360334 (28) [back to overview] | Change in Fasting Serum Glucose |
NCT00360334 (28) [back to overview] | Change in Fasting Serum Total Cholesterol (TC) |
NCT00360334 (28) [back to overview] | Change in Waist-to-hip Ratio |
NCT00360334 (28) [back to overview] | Change in Fasting Serum Triglycerides |
NCT00360334 (28) [back to overview] | Change in Body Mass Index (BMI) |
NCT00360334 (28) [back to overview] | Incidence of Severe Hypoglycemic Episodes |
NCT00360334 (28) [back to overview] | Incidence of Nocturnal Hypoglycemic Episodes |
NCT00360334 (28) [back to overview] | Change in High Density Lipoprotein (HDL) Cholesterol |
NCT00360334 (28) [back to overview] | Change in 7 Point Self Monitored Blood Glucose Profile |
NCT00360334 (28) [back to overview] | Severe Hypoglycemic Rate Per 30 Days |
NCT00360334 (28) [back to overview] | Percent of Patients Who Achieved HbA1c ≤ 7.4% With Minimal Weight Gain (≤ 1kg) |
NCT00360334 (28) [back to overview] | Percent of Patients Who Achieved HbA1c ≤ 7.4% and Weight Gain ≤ 0.5kg |
NCT00360334 (28) [back to overview] | Percent of Patients Achieving HbA1c ≤ 7.4% |
NCT00360334 (28) [back to overview] | Percent of Patients Achieving HbA1c < 7% |
NCT00360334 (28) [back to overview] | Percent of Patients Achieving 5% Weight Loss |
NCT00360334 (28) [back to overview] | Percent of Patients Achieving 10% Weight Loss |
NCT00360334 (28) [back to overview] | Percent Change in Body Weight |
NCT00360334 (28) [back to overview] | Percent of Patients Achieving HbA1c < 6.5% |
NCT00360334 (28) [back to overview] | Nocturnal Hypoglycemic Rate Per 30 Days |
NCT00360698 (11) [back to overview] | Daily Mean Plasma Glucose |
NCT00360698 (11) [back to overview] | Patients With Glycosylated Haemoglobin (HbA1c) Value < 7% |
NCT00360698 (11) [back to overview] | Rate of Nocturnal Symptomatic Hypoglycemia With Plasma Glucose < 70mg/dL |
NCT00360698 (11) [back to overview] | Glycosylated Haemoglobin (HbA1c) Value |
NCT00360698 (11) [back to overview] | Rate of Severe Symptomatic Hypoglycemia |
NCT00360698 (11) [back to overview] | Rate of Symptomatic Hypoglycemia With Plasma Glucose < 70mg/dL |
NCT00360698 (11) [back to overview] | Change in Daily Mean Plasma Glucose |
NCT00360698 (11) [back to overview] | Change in Glycosylated Haemoglobin (HbA1c) Value |
NCT00360698 (11) [back to overview] | Change in Weight |
NCT00360698 (11) [back to overview] | Daily Dose of Insulin Glargine |
NCT00360698 (11) [back to overview] | Daily Dose of Insulin Glulisine |
NCT00366301 (1) [back to overview] | Percentage Reduction in C-reactive Protein (CRP) |
NCT00377858 (12) [back to overview] | Hemoglobin A1c (HbA1c) at 36 Week Endpoint |
NCT00377858 (12) [back to overview] | Hemoglobin A1c (HbA1c) at Interval Visits |
NCT00377858 (12) [back to overview] | 30-Day Adjusted Rates of Self-Reported Hypoglycemic Episodes (Including Nocturnal and Non-Nocturnal) |
NCT00377858 (12) [back to overview] | 7-point Self-monitored Blood Glucose Profiles |
NCT00377858 (12) [back to overview] | Change From Baseline in Absolute Body Weight at 36 Week Endpoint |
NCT00377858 (12) [back to overview] | Endpoint Insulin Dose Per Body Weight; Total, Basal, and Prandial |
NCT00377858 (12) [back to overview] | Endpoint Insulin Dose; Total, Basal, and Prandial |
NCT00377858 (12) [back to overview] | Glycemic Variability |
NCT00377858 (12) [back to overview] | Number of Insulin Injections Per Day |
NCT00377858 (12) [back to overview] | Number of Patients With at Least One Self-reported Hypoglycemic Episode, Including Nocturnal (and Non-nocturnal) Hypoglycemia |
NCT00377858 (12) [back to overview] | Number of Patients With at Least One Severe Hypoglycemia Episode |
NCT00377858 (12) [back to overview] | Percentage of Patients Who Achieved Hemoglobin A1c Less Than or Equal to 6.5%, Greater Than 6.5%, Less Than 7%, Greater Than or Equal to 7%, Less Than or Equal to 7%, and Greater Than 7% at Interval Visits and Endpoint |
NCT00384085 (8) [back to overview] | Percentage of Patients Achieving Glycosylated Hemoglobin A1c (HbA1c) < 7.0% at Week 60 (Lantus/Apidra-3 Versus Novolog Mix 70/30 - ITT Population With All Sites) (Sensitivity Analysis) |
NCT00384085 (8) [back to overview] | Percentage of Patients Achieving Glycosylated Hemoglobin A1c (HbA1c) < 7.0% at Week 60 (Lantus/Apidra-3 Versus Novolog Mix 70/30 - Intent To Treat (ITT) Population Without Good Clinical Practices (GCP) Noncompliant Sites) |
NCT00384085 (8) [back to overview] | Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 60 (Lantus/Apidra-1 Versus Novolog Mix 70/30)Per Protocol Population |
NCT00384085 (8) [back to overview] | Adjusted Incidence Rate of Hypoglycemia |
NCT00384085 (8) [back to overview] | Adjusted Hypoglycemic Event Rates (Event/Patient-year) |
NCT00384085 (8) [back to overview] | Percentage of Patients Achieving Glycosylated Hemoglobin A1c (HbA1c) <7.0% at Week 60 (Lantus/Apidra-1 Versus Novolog Mix 70/30) |
NCT00384085 (8) [back to overview] | Percentage of Patients Achieving Glycosylated Hemoglobin A1c (HbA1c) <7.0% at Week 60 Without a Severe Hypoglycemic Event or a Symptomatic Hypoglycemic Event With an Self Monitoring Blood Glucose (SMBG) <50 mg/dl |
NCT00384085 (8) [back to overview] | Absolute Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 60 (Lantus/Apidra-3 Versus Novolog Mix 70/30) |
NCT00391027 (17) [back to overview] | Change From Baseline in Cardiovascular (CV) Biomarkers - High Sensitive C-reactive Protein (Hs-CRP) |
NCT00391027 (17) [back to overview] | Change From Baseline in CV Biomarkers - Interleukin 6 (IL-6) |
NCT00391027 (17) [back to overview] | Change From Baseline in CV Biomarkers - Soluble Tissue Factor (STF) |
NCT00391027 (17) [back to overview] | Change From Baseline in CV Biomarkers - Thrombin-antithrombin Complexes (Tat-complexes) |
NCT00391027 (17) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) Level |
NCT00391027 (17) [back to overview] | Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 26 |
NCT00391027 (17) [back to overview] | Number of Events of Nocturnal Hypoglycemia |
NCT00391027 (17) [back to overview] | Number of Subjects Discontinued Due to Insufficient Clinical Response |
NCT00391027 (17) [back to overview] | Number of Subjects With HbA1c < 6.5 % |
NCT00391027 (17) [back to overview] | Number of Subjects With HbA1c < 7.0 % |
NCT00391027 (17) [back to overview] | Analysis of Home Blood Glucose Monitoring (HBGM) (7 & 8 Point) |
NCT00391027 (17) [back to overview] | Change From Baseline in Body Mass Index (BMI) |
NCT00391027 (17) [back to overview] | Number of Subjects With HbA1c < 8.0 % |
NCT00391027 (17) [back to overview] | Change From Baseline in HbA1c Prior to Week 26 |
NCT00391027 (17) [back to overview] | Continuous Glucose Monitoring System (CGMS) 24-hour Glucose Profile in a Subset of Patients |
NCT00391027 (17) [back to overview] | Number of Subjects With Hypoglycemic Events by Severity |
NCT00391027 (17) [back to overview] | Change From Baseline in Body Weight |
NCT00418522 (20) [back to overview] | Percentage of Subjects Achieving Glycemic Control (HbA1c < 6.5%) at Week 26 |
NCT00418522 (20) [back to overview] | Percentage of Subjects Achieving Glycemic Control (HbA1c < 7.0%) at Week 26 |
NCT00418522 (20) [back to overview] | Percentage of Subjects Achieving Glycemic Control (HbA1c < 8.0%) at Week 26 |
NCT00418522 (20) [back to overview] | Change From Baseline in Lipids at Week 26 |
NCT00418522 (20) [back to overview] | Change From Baseline in Fasting and Postprandial Blood Glucose as Determined by Standardized Meal Tolerance Tests at Week 26 |
NCT00418522 (20) [back to overview] | Change From Baseline in 24-Hour Continuous Glucose Monitoring System (CGMS) Glucose Values at Week 26 |
NCT00418522 (20) [back to overview] | Change From Baseline in Body Weight at Week 26 |
NCT00418522 (20) [back to overview] | Change From Baseline in Fasting Plasma Glucose at Week 26 |
NCT00418522 (20) [back to overview] | Number of Total Subject Months of Treatment |
NCT00418522 (20) [back to overview] | Number of Total Hypoglycemic Events |
NCT00418522 (20) [back to overview] | Number of Subjects With Hypoglycemic Events |
NCT00418522 (20) [back to overview] | Change From Baseline in Postprandial Blood Glucose as Measured by 8-Point Profiles at Week 26 |
NCT00418522 (20) [back to overview] | Change From Baseline in CV Biomarkers Adiponectin and Apolipoprotein B (ApoB) at Week 26 |
NCT00418522 (20) [back to overview] | Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 26 for the FAS |
NCT00418522 (20) [back to overview] | Change From Baseline in Cardiovascular (CV) Biomarkers High Sensitivity C-reactive Protein (Hs-CRP), Leptin, and Spot Urine Microalbumin at Week 26 |
NCT00418522 (20) [back to overview] | Crude Hypoglycemic Event Rate |
NCT00418522 (20) [back to overview] | Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 26 for the Per Protocol (PP) Population |
NCT00418522 (20) [back to overview] | Change From Baseline in Mean Standard Deviation (SD) of 24-Hour Glucose Values Measured by CGMS at Week 26 |
NCT00418522 (20) [back to overview] | Number of Nocturnal Hypoglycemic Events |
NCT00418522 (20) [back to overview] | Change From Baseline in Body Mass Index (BMI) at Week 26 |
NCT00467649 (12) [back to overview] | Phase 2: Change in Body Weight at Week 36 |
NCT00467649 (12) [back to overview] | Fasting Serum Lipids Change From Baseline to Week 24 |
NCT00467649 (12) [back to overview] | The Percentage of Patients Achieving HbA1c <=7% at Week 24 With no Gain in Body Weight From Baseline and no Incidence of Severe Hypoglycemia |
NCT00467649 (12) [back to overview] | Percentage of Patients With no Weight Gain at Week 24 |
NCT00467649 (12) [back to overview] | Percentage of Patients With a Severe Hypoglycemia Adverse Event |
NCT00467649 (12) [back to overview] | Percentage of Patients Achieving HbA1c <=7% at Week 24 |
NCT00467649 (12) [back to overview] | Change in Waist Circumference From Baseline at Week 24 |
NCT00467649 (12) [back to overview] | Change in HbA1c From Baseline at Week 24 |
NCT00467649 (12) [back to overview] | Change in Fasting Plasma Glucose From Baseline at Week 24 |
NCT00467649 (12) [back to overview] | Hypoglycemia Adverse Events |
NCT00467649 (12) [back to overview] | Phase 2: Change in HbA1c at Week 36 |
NCT00467649 (12) [back to overview] | Change in Body Weight From Baseline at Week 24 |
NCT00469092 (6) [back to overview] | Number of Subjects Reporting Treatment Emergent Adverse Events |
NCT00469092 (6) [back to overview] | Glycosylated Haemoglobin A1c (HbA1c) |
NCT00469092 (6) [back to overview] | Number of Hypoglycaemic Episodes |
NCT00469092 (6) [back to overview] | Number of Subjects Achieving the Treatment Target for Glycosylated Haemoglobin A1c (HbA1c) |
NCT00469092 (6) [back to overview] | Treatment Satisfaction as Measured by the Diabetes Medication Satisfaction Questionnaire (Diab MedSat) |
NCT00469092 (6) [back to overview] | 9-point Self-measured Plasma Glucose Profiles |
NCT00469833 (4) [back to overview] | C-peptide Concentration in Response to a Glucose Clamp and Oral Glucose Ingestion Before and After 2 Months of Insulin Treatment to Improve Average Glycemia. |
NCT00469833 (4) [back to overview] | HbA1c Before and After 2 Months of Insulin Treatment to Improve Average Glycemia. |
NCT00469833 (4) [back to overview] | Insulin Concentration in Response to a Glucose Clamp and Oral Glucose Ingestion Before and After 2 Months of Insulin Treatment to Improve Average Glycemia. |
NCT00469833 (4) [back to overview] | ISR in Response to a Glucose Clamp and Oral Glucose Ingestion Before and After 2 Months of Insulin Treatment to Improve Average Glycemia. |
NCT00500240 (3) [back to overview] | Overall Survival |
NCT00500240 (3) [back to overview] | Progression Free Survival (PFS) |
NCT00500240 (3) [back to overview] | 1-Year Overall Survival Rate |
NCT00510952 (11) [back to overview] | 1-Year Adjusted Rates of Self-Reported Hypoglycemic Episodes (Including All, Nocturnal, and Severe) Overall |
NCT00510952 (11) [back to overview] | Number of Participants With Self-Reported Hypoglycemic Episodes (Including All, Nocturnal, and Severe Hypoglycemia) Overall |
NCT00510952 (11) [back to overview] | Total Daily Insulin Dose (Units) at Endpoint |
NCT00510952 (11) [back to overview] | Total Daily Insulin Dose Per Body Weight (Units/Kilograms) at Endpoint |
NCT00510952 (11) [back to overview] | Percentage of Patients With HbAlc Less Than 7.0 Percent and HbAlc Less Than or Equal to 6.5 Percent at Endpoint |
NCT00510952 (11) [back to overview] | Change in Absolute Body Weight (kg) From Baseline to 24 Week Endpoint |
NCT00510952 (11) [back to overview] | Change From Baseline to 24 Week Endpoint in Hemoglobin A1c (HbA1c) |
NCT00510952 (11) [back to overview] | Actual and Change From Baseline to 12 Week and 24 Week Endpoint in HbAlc Value |
NCT00510952 (11) [back to overview] | 7-Point Self-Monitored Blood Glucose (SMBG) Profile at Endpoint |
NCT00510952 (11) [back to overview] | 30-Day Adjusted Rates of Self-Reported Hypoglycemic Episodes (Including All, Nocturnal, and Severe) Overall |
NCT00510952 (11) [back to overview] | Glycemic Variability at Endpoint |
NCT00511472 (5) [back to overview] | Number of Participants Who Experienced an Adverse Event During the Study |
NCT00511472 (5) [back to overview] | Number of Participants Who Experienced an Adverse Event During the Outpatient Treatment Period |
NCT00511472 (5) [back to overview] | Number of Participants Who Experienced an Adverse Event - Titration Scheme 2 |
NCT00511472 (5) [back to overview] | 24-Hour Weighted Mean Blood Glucose Levels (mg/dL) by Treatment Group on Day 7 |
NCT00511472 (5) [back to overview] | Number of Participants Who Experienced an Adverse Event - Titration Scheme 1 |
NCT00548808 (9) [back to overview] | Safety: Number of Participants With Serious and Non-Serious Adverse Events |
NCT00548808 (9) [back to overview] | Percentage of Patients Achieving HbA1c <6.5% and <7% Over Time |
NCT00548808 (9) [back to overview] | Daily Total Insulin Dose Per Body Weight (U/kg/Day) at 16, 32, and 48 Weeks |
NCT00548808 (9) [back to overview] | Daily Total Insulin Dose (U/Day) at 16, 32, and 48 Weeks |
NCT00548808 (9) [back to overview] | Change in Hemoglobin A1c (HbA1c) Over Time |
NCT00548808 (9) [back to overview] | Change From Baseline to 48 Week Endpoint in Lipid and Cholesterol Profiles |
NCT00548808 (9) [back to overview] | Change From Baseline in Postprandial Blood Glucose Over Time |
NCT00548808 (9) [back to overview] | 7-point Self-monitored Blood Glucose Profiles |
NCT00548808 (9) [back to overview] | Change From Baseline to 48 Week Endpoint in Hemoglobin A1c (HbA1c) |
NCT00560417 (11) [back to overview] | Change From Baseline in Body Weight at Endpoint (LOCF) |
NCT00560417 (11) [back to overview] | Total Daily Insulin Dose at Endpoint (LOCF) |
NCT00560417 (11) [back to overview] | 7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF) |
NCT00560417 (11) [back to overview] | Actual Hemoglobin A1C at 24 Weeks and Endpoint (LOCF) |
NCT00560417 (11) [back to overview] | Change From Baseline in Hemoglobin A1C (HbA1c) at Endpoint (Last Observation Carried Forward [LOCF]) |
NCT00560417 (11) [back to overview] | Change From Baseline in Hemoglobin A1C at 24 Weeks and Endpoint (LOCF) |
NCT00560417 (11) [back to overview] | Percentage of Participants With Hemoglobin A1C Less Than 7.0% and Hemoglobin A1C Less Than or Equal to 6.5% |
NCT00560417 (11) [back to overview] | Glycemic Variability at Baseline and Endpoint (LOCF) |
NCT00560417 (11) [back to overview] | Actual Body Weight at Baseline and Endpoint (LOCF) |
NCT00560417 (11) [back to overview] | Incidence of Self-reported Hypoglycemic Episodes (All, Non-Nocturnal, Nocturnal, and Severe) |
NCT00560417 (11) [back to overview] | Rate of All, Non-Nocturnal, and Nocturnal Self-Reported Hypoglycemic Episodes (Adjusted for One Year) |
NCT00574912 (1) [back to overview] | Maximum Glucose Infusion Rate |
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 |
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 |
NCT00596687 (2) [back to overview] | # Participants With Hypoglycemic Events |
NCT00596687 (2) [back to overview] | Mean Blood Glucose Concentration |
NCT00609986 (4) [back to overview] | Severe Hypoglycemia |
NCT00609986 (4) [back to overview] | Severe Hyperglycemia |
NCT00609986 (4) [back to overview] | Delayed Graft Function |
NCT00609986 (4) [back to overview] | Acute/Active Rejection |
NCT00611884 (11) [back to overview] | Vital Signs: Pulse |
NCT00611884 (11) [back to overview] | Vital Signs: Diastolic Blood Pressure (BP) |
NCT00611884 (11) [back to overview] | Rate of Treatment Emergent Adverse Events (AEs) |
NCT00611884 (11) [back to overview] | Rate of Nocturnal Major and Minor Hypoglycaemic Episodes |
NCT00611884 (11) [back to overview] | Rate of Major and Minor Hypoglycaemic Episodes |
NCT00611884 (11) [back to overview] | Laboratory Safety Parameters (Biochemistry): Serum Creatinine |
NCT00611884 (11) [back to overview] | Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT) |
NCT00611884 (11) [back to overview] | Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) |
NCT00611884 (11) [back to overview] | Vital Signs: Systolic Blood Pressure (BP) |
NCT00611884 (11) [back to overview] | Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT) |
NCT00611884 (11) [back to overview] | Change in Glycosylated Haemoglobin (HbA1c) |
NCT00612040 (12) [back to overview] | Vital Signs: Pulse |
NCT00612040 (12) [back to overview] | Vital Signs: Systolic BP (Blood Pressure) |
NCT00612040 (12) [back to overview] | Change in Glycosylated Haemoglobin (HbA1c) |
NCT00612040 (12) [back to overview] | Change in Fasting Plasma Glucose (FPG) |
NCT00612040 (12) [back to overview] | Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) |
NCT00612040 (12) [back to overview] | Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT) |
NCT00612040 (12) [back to overview] | Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT) |
NCT00612040 (12) [back to overview] | Laboratory Safety Parameters (Biochemistry): Serum Creatinine |
NCT00612040 (12) [back to overview] | Rate of Major and Minor Hypoglycaemic Episodes |
NCT00612040 (12) [back to overview] | Rate of Nocturnal Major and Minor Hypoglycaemic Episodes |
NCT00612040 (12) [back to overview] | Rate of Treatment Emergent Adverse Events (AEs) |
NCT00612040 (12) [back to overview] | Vital Signs: Diastolic BP (Blood Pressure) |
NCT00614055 (12) [back to overview] | Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT) |
NCT00614055 (12) [back to overview] | Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT) |
NCT00614055 (12) [back to overview] | Rate of Treatment Emergent Adverse Events (AEs) |
NCT00614055 (12) [back to overview] | Vital Signs: Systolic Blood Pressure (BP) |
NCT00614055 (12) [back to overview] | Vital Signs: Pulse |
NCT00614055 (12) [back to overview] | Vital Signs: Diastolic Blood Pressure (BP) |
NCT00614055 (12) [back to overview] | Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) |
NCT00614055 (12) [back to overview] | Laboratory Safety Parameters (Biochemistry): Serum Creatinine |
NCT00614055 (12) [back to overview] | Rate of Major and Minor Hypoglycaemic Episodes |
NCT00614055 (12) [back to overview] | Rate of Nocturnal Major and Minor Hypoglycaemic Episodes |
NCT00614055 (12) [back to overview] | Change in Fasting Plasma Glucose (FPG) |
NCT00614055 (12) [back to overview] | Change in Glycosylated Haemoglobin (HbA1c) |
NCT00641056 (10) [back to overview] | Percentage of Patients Achieving HbA1c <=6.5% at Week 26 |
NCT00641056 (10) [back to overview] | Change in Fasting Serum Glucose (FSG) From Baseline to Week 26 |
NCT00641056 (10) [back to overview] | Change in HbA1c From Baseline to Week 26 |
NCT00641056 (10) [back to overview] | Change in High-density Lipoprotein Cholesterol (HDL) From Baseline to Week 26 |
NCT00641056 (10) [back to overview] | Change in Total Cholesterol From Baseline to Week 26 |
NCT00641056 (10) [back to overview] | Change in Body Weight (BW) From Baseline to Week 26 |
NCT00641056 (10) [back to overview] | Percentage of Patients Achieving HbA1c <=7.0% at Week 26 |
NCT00641056 (10) [back to overview] | Change in Blood Pressure From Baseline to Week 26 |
NCT00641056 (10) [back to overview] | Ratio of Triglycerides at Week 26 to Baseline |
NCT00641056 (10) [back to overview] | Assessment on Event Rate of Treatment-emergent Hypoglycemic Episodes |
NCT00659165 (1) [back to overview] | Calories Consumed After Fast. |
NCT00664534 (11) [back to overview] | Baseline Adjusted Glycosylated Hemoglobin (HbA1c) at Endpoint |
NCT00664534 (11) [back to overview] | Rate Per 30 Days of All Self-reported Hypoglycemic Episodes |
NCT00664534 (11) [back to overview] | 7-point Self-monitored Blood Glucose Profiles |
NCT00664534 (11) [back to overview] | HbA1c Over Time |
NCT00664534 (11) [back to overview] | Mean Daily Total, Basal and Prandial Insulin Dose |
NCT00664534 (11) [back to overview] | Mean Postprandial Blood Glucose Values |
NCT00664534 (11) [back to overview] | Body Weight Change From Baseline to Endpoint |
NCT00664534 (11) [back to overview] | Number of Participants With Adverse Events |
NCT00664534 (11) [back to overview] | Percentage of Participants Using Each Possible Final Insulin Regimen |
NCT00664534 (11) [back to overview] | Percentage of Patients Achieving HbA1c Less Than or Equal to 6.5% and Less Than or Equal to 7% Over Time |
NCT00664534 (11) [back to overview] | Incidence of All Self-reported Hypoglycemic Episodes |
NCT00666718 (11) [back to overview] | 7-point Self-monitored Blood Glucose Profiles (SMBG) at Endpoint |
NCT00666718 (11) [back to overview] | Change From Baseline in HbA1c at Week 12 and Week 24 |
NCT00666718 (11) [back to overview] | Glycemic Variability at Endpoint |
NCT00666718 (11) [back to overview] | Number of Injections of Insulin at Week 24 |
NCT00666718 (11) [back to overview] | Number of Participants With Adverse Events (AE) |
NCT00666718 (11) [back to overview] | Percentage of Participants With HbA1c Less Than 7.0% and Less Than or Equal to 6.5% at Endpoint |
NCT00666718 (11) [back to overview] | Percentage of Participants With Self-Reported Hypoglycemic Episodes |
NCT00666718 (11) [back to overview] | Rate Of All Self-reported Hypoglycemic Episodes |
NCT00666718 (11) [back to overview] | Change in Body Weight From Baseline to Week 24 |
NCT00666718 (11) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) to Week 24 |
NCT00666718 (11) [back to overview] | Total Daily Insulin Dose at Endpoint |
NCT00670228 (4) [back to overview] | Occurrence of the Major Adverse Cardiovascular Events (MACE) |
NCT00670228 (4) [back to overview] | Left Ventricular (LV) Function Evaluated by Cardiac Magnetic Resonance Imaging (MRI) |
NCT00670228 (4) [back to overview] | Infarct Size Absolute Change From Baseline at Day 60 |
NCT00670228 (4) [back to overview] | Biomarkers of Inflammation Measurement: CRP (C-Reactive Protein) |
NCT00686712 (7) [back to overview] | Frequency of Glucose Readings < 130 mg/dL |
NCT00686712 (7) [back to overview] | Frequency of Total Hypoglycemic Reactions |
NCT00686712 (7) [back to overview] | Hemoglobin A1c Change From Baseline |
NCT00686712 (7) [back to overview] | Total Daily Insulin Dose |
NCT00686712 (7) [back to overview] | Body Mass Index Change From Baseline |
NCT00686712 (7) [back to overview] | Frequency of Severe Hypoglycemic Reactions |
NCT00686712 (7) [back to overview] | Any Adverse Event Other Than Hypoglycemia |
NCT00687453 (7) [back to overview] | Hemoglobin A1c Change From Baseline |
NCT00687453 (7) [back to overview] | Frequency of Severe Hypoglycemic Reactions |
NCT00687453 (7) [back to overview] | Frequency of Pre-supper Glucose Readings 130 mg/dL or Less, Change From Baseline |
NCT00687453 (7) [back to overview] | Total Daily Insulin Dose |
NCT00687453 (7) [back to overview] | Body Mass Index Change From Baseline |
NCT00687453 (7) [back to overview] | Frequency of Total Hypoglycemic Reactions |
NCT00687453 (7) [back to overview] | Any Adverse Event Other Than Hypoglycemia |
NCT00694122 (6) [back to overview] | Glucagon |
NCT00694122 (6) [back to overview] | Cortisol |
NCT00694122 (6) [back to overview] | Blood Glucose Area Under the Curve (AUC) |
NCT00694122 (6) [back to overview] | Insulin Dose |
NCT00694122 (6) [back to overview] | Blood Glucose |
NCT00694122 (6) [back to overview] | Growth Hormone |
NCT00700622 (1) [back to overview] | Change From Baseline in HbA1c to Week 16 |
NCT00751114 (10) [back to overview] | Lipid Profile: Change From Baseline to Study Endpoint |
NCT00751114 (10) [back to overview] | Insulin Dose in the Insulin Glargine Group |
NCT00751114 (10) [back to overview] | 7-point Plasma Glucose Profile: Change From Baseline to Study Endpoint |
NCT00751114 (10) [back to overview] | Change in Body Weight From Baseline to Study Endpoint |
NCT00751114 (10) [back to overview] | HbA1c: Change From Baseline to Study Endpoint |
NCT00751114 (10) [back to overview] | Self-monitored Fasting Plasma Glucose (SMFPG) Mean : Change From Baseline to Study Endpoint |
NCT00751114 (10) [back to overview] | Number of Patients With at Least One Episode of Symptomatic Hypoglycemia |
NCT00751114 (10) [back to overview] | Number of Patients With at Least One Episode of Severe Symptomatic Hypoglycemia |
NCT00751114 (10) [back to overview] | HbA1c Response Rate: Percentage of Patients Who Reach the Target of HbA1c < 6.5% at Study Endpoint |
NCT00751114 (10) [back to overview] | HbA1c Response Rate: Percentage of Patients Who Reach the Target of HbA1c < 7% at Study Endpoint |
NCT00767000 (5) [back to overview] | Change in the Fasting Plasma Glucose Level |
NCT00767000 (5) [back to overview] | Percentage of Participants Who Discontinued Study Medication Due to an Adverse Event |
NCT00767000 (5) [back to overview] | Change in the Two-hour Post Meal Glucose Level |
NCT00767000 (5) [back to overview] | Change in Hemoglobin A1c (HbA1c) Level |
NCT00767000 (5) [back to overview] | Percentage of Participants Who Experienced at Least One Adverse Event |
NCT00838916 (11) [back to overview] | Change From Baseline in Body Weight at Week 52 |
NCT00838916 (11) [back to overview] | Change From Baseline in Body Weight at Week 156 |
NCT00838916 (11) [back to overview] | Change From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 52 |
NCT00838916 (11) [back to overview] | Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 156 |
NCT00838916 (11) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) at Week 52 |
NCT00838916 (11) [back to overview] | Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 52 |
NCT00838916 (11) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) at Week 156 |
NCT00838916 (11) [back to overview] | Albiglutide Plasma Concentrations at Week 8 and Week 24 |
NCT00838916 (11) [back to overview] | Time to Hyperglycemia Rescue |
NCT00838916 (11) [back to overview] | Change From Baseline in HbA1c at Week 156 |
NCT00838916 (11) [back to overview] | Change From Baseline in Glucose Profile Measured by 24-hour Area Under Curve (AUC) at Week 52 |
NCT00851903 (7) [back to overview] | HbA1c: Change From Baseline to Study Endpoint |
NCT00851903 (7) [back to overview] | Change in Body Weight From Baseline to Study Endpoint |
NCT00851903 (7) [back to overview] | HbA1c Response Rate: Percentage of Patients Achieving Glycosylated Haemoglobin A1c (HbA1c) < 7% at Study Endpoint (End of Treatment Period) |
NCT00851903 (7) [back to overview] | Number of Patients With at Least One Episode of Symptomatic Hypoglycemia |
NCT00851903 (7) [back to overview] | Self-Monitored Fasting Plasma Glucose (SMFPG) Mean : Change From Baseline to Study Endpoint |
NCT00851903 (7) [back to overview] | 7-point Plasma Glucose Profile: Change From Baseline to Study Endpoint |
NCT00851903 (7) [back to overview] | Insulin Dose |
NCT00883558 (3) [back to overview] | Postprandial Glucose Excursion |
NCT00883558 (3) [back to overview] | Time Spent With Blood Glucose Value Outside a 71-139 Milligrams Per Deciliter (mg/dL) Range During Continuous Glucose Monitoring |
NCT00883558 (3) [back to overview] | Number of Participants With Hypoglycemic Events |
NCT00909480 (14) [back to overview] | Glycaemic Control as Measured by Plasma Glucose (9-point Self-measured Profiles) |
NCT00909480 (14) [back to overview] | Fasting Plasma Glucose (FPG) |
NCT00909480 (14) [back to overview] | Hypoglycaemic Episodes, Nocturnal |
NCT00909480 (14) [back to overview] | "Number of Subjects Having the Adverse Event Incorrect Dose Administered" |
NCT00909480 (14) [back to overview] | Change in Body Weight From Baseline |
NCT00909480 (14) [back to overview] | Change in HbA1c From Baseline |
NCT00909480 (14) [back to overview] | Hypoglycaemic Episodes, Diurnal |
NCT00909480 (14) [back to overview] | Hypoglycemic Episodes, Unclassifiable |
NCT00909480 (14) [back to overview] | Incidence of Hypoglycaemic Episodes During the Trial |
NCT00909480 (14) [back to overview] | Percentage of Subjects Achieving HbA1c Less Than or Equal to 6.5% |
NCT00909480 (14) [back to overview] | Percentage of Subjects Achieving HbA1c Less Than or Equal to 7.0% |
NCT00909480 (14) [back to overview] | Percentage of Subjects Achieving HbA1c of 6.5% or Less With no Hypoglycaemia |
NCT00909480 (14) [back to overview] | Percentage of Subjects Achieving HbA1c of 7% or Less With no Hypoglycaemia |
NCT00909480 (14) [back to overview] | Within-subject Variation of Self Measured Plasma Glucose (SMPG) Before Breakfast |
NCT00911625 (1) [back to overview] | Average Blood Glucose Over 6 Days |
NCT00935532 (11) [back to overview] | Assessment on Event Rate of Treatment-emergent Minor Hypoglycemic Events |
NCT00935532 (11) [back to overview] | Change in Fasting Serum Glucose (FSG) From Baseline to Endpoint (Week 26) |
NCT00935532 (11) [back to overview] | Change in HbA1c From Baseline to Endpoint (Week 26) |
NCT00935532 (11) [back to overview] | Change in High-density Lipoprotein Cholesterol (HDL-C) From Baseline to Endpoint (Week 26) |
NCT00935532 (11) [back to overview] | Change in Total Cholesterol From Baseline to Endpoint (Week 26) |
NCT00935532 (11) [back to overview] | Percentage of Subjects Achieving HbA1c<=6.5% |
NCT00935532 (11) [back to overview] | Percentage of Subjects Achieving HbA1c<=7% |
NCT00935532 (11) [back to overview] | Change in Blood Pressure From Baseline to Endpoint (Week 26) |
NCT00935532 (11) [back to overview] | Change in Body Weight From Baseline to Endpoint (Week 26) |
NCT00935532 (11) [back to overview] | Ratio of Fasting Triglycerides at Endpoint (Week 26) to Baseline |
NCT00935532 (11) [back to overview] | Assessment on Event Rate of Treatment-emergent Major Hypoglycemic Events |
NCT00972283 (9) [back to overview] | Extension Trial (Primary Endpoint): Rate of Confirmed Hypoglycaemic Episodes |
NCT00972283 (9) [back to overview] | Rate of Treatment Emergent Adverse Events (AEs) |
NCT00972283 (9) [back to overview] | Extension Trial (Secondary Endpoint): Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 78 |
NCT00972283 (9) [back to overview] | Main Trial (Secondary Endpoint): Rate of Confirmed Hypoglycaemic Episodes |
NCT00972283 (9) [back to overview] | Extension Trial (Primary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes |
NCT00972283 (9) [back to overview] | Main Trial (Primary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 52 Weeks of Treatment |
NCT00972283 (9) [back to overview] | Main Trial (Secondary Endpoint): Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 52 |
NCT00972283 (9) [back to overview] | Main Trial (Secondary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes |
NCT00972283 (9) [back to overview] | Extension Trial (Secondary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 78 Weeks of Treatment |
NCT00975286 (13) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 |
NCT00975286 (13) [back to overview] | Change From Baseline in Body Weight at Week 24 |
NCT00975286 (13) [back to overview] | Change From Baseline in Average Insulin Glargine Daily Dose at Week 24 |
NCT00975286 (13) [back to overview] | Change From Baseline in Average 7-Point Self Monitored Plasma Glucose (SMPG) Profile at Week 24 |
NCT00975286 (13) [back to overview] | Change From Baseline in 2-Hour Postprandial Plasma Glucose (PPG) at Week 24 |
NCT00975286 (13) [back to overview] | Absolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24 |
NCT00975286 (13) [back to overview] | Number of Patients With Symptomatic Hypoglycemia and Severe Symptomatic Hypoglycemia |
NCT00975286 (13) [back to overview] | Percentage of Patients With Glycosylated Hemoglobin (HbA1c) Level Less Than or Equal to 6.5% at Week 24 |
NCT00975286 (13) [back to overview] | Percentage of Patients With Glycosylated Hemoglobin (HbA1c) Level Less Than 7% at Week 24 |
NCT00975286 (13) [back to overview] | Percentage of Patients With at Least 5% Weight Loss From Baseline at Week 24 |
NCT00975286 (13) [back to overview] | Change From Baseline in Treatment Satisfaction Score (Sum of Items 1, 4, 5, 6, 7 and 8 of DTSQ) at Week 24 |
NCT00975286 (13) [back to overview] | Change From Baseline in Glucose Excursion at Week 24 |
NCT00975286 (13) [back to overview] | Percentage of Patients Requiring Rescue Therapy During the Double-blind Period |
NCT00976391 (8) [back to overview] | Change From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 26 |
NCT00976391 (8) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 36, 48 and 52 |
NCT00976391 (8) [back to overview] | Change From Baseline in Body Weight at Weeks 36, 48 and 52 |
NCT00976391 (8) [back to overview] | Time to Hyperglycemia Rescue |
NCT00976391 (8) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26 |
NCT00976391 (8) [back to overview] | Change From Baseline in Body Weight at Week 26 |
NCT00976391 (8) [back to overview] | Number of Participants Who Achieved HbA1c Response Level of <6.5% and <7.0% at Week 26 |
NCT00976391 (8) [back to overview] | Change From Baseline in HbA1c at Weeks 36, 48 and 52 |
NCT00979628 (2) [back to overview] | Number of Patients With Hypoglycemia Events (Blood Glucose Levels < 70 mg/dL) During Their Hospital Stay That Are Treated With Basal Plus, Basal-bolus and SSRI Treatments |
NCT00979628 (2) [back to overview] | Mean Blood Glucose Levels (Measured in mg/dL) at Randomization Are Compared to Mean Blood Glucose Levels After First Day of Treatment Among Subjects Treated With Basal Plus, Basal -Bolus and SSRI Treatments |
NCT00982228 (10) [back to overview] | Extension Trial (Primary Endpoint): Rate of Treatment Emergent Adverse Events (AEs) |
NCT00982228 (10) [back to overview] | Main Trial (Secondary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes |
NCT00982228 (10) [back to overview] | Main Trial (Secondary Endpoint): Rate of Confirmed Hypoglycaemic Episodes |
NCT00982228 (10) [back to overview] | Main Trial (Secondary Endpoint): Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 52 |
NCT00982228 (10) [back to overview] | Main Trial (Primary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 52 Weeks of Treatment |
NCT00982228 (10) [back to overview] | Extension Trial (Secondary Endpoint): Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 104 of Treatment |
NCT00982228 (10) [back to overview] | Extension Trial (Secondary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 104 Weeks of Treatment |
NCT00982228 (10) [back to overview] | Extension Trial (Primary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes |
NCT00982228 (10) [back to overview] | Extension Trial (Primary Endpoint): Rate of Confirmed Hypoglycaemic Episodes |
NCT00982228 (10) [back to overview] | Extension Trial (Primary Endpoint): Cross-reacting Antibodies to Human Insulin |
NCT00982644 (9) [back to overview] | Main Trial (Secondary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes |
NCT00982644 (9) [back to overview] | Main Trial (Secondary Endpoint): Rate of Confirmed Hypoglycaemic Episodes |
NCT00982644 (9) [back to overview] | Main Trial (Secondary Endpoint): Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 52 |
NCT00982644 (9) [back to overview] | Main Trial (Primary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 52 Weeks of Treatment |
NCT00982644 (9) [back to overview] | Extension Trial (Secondary Endpoint): Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 104 |
NCT00982644 (9) [back to overview] | Extension Trial (Secondary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 104 Weeks of Treatment |
NCT00982644 (9) [back to overview] | Extension Trial (Primary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes |
NCT00982644 (9) [back to overview] | Extension Trial (Primary Endpoint): Rate of Confirmed Hypoglycaemic Episodes |
NCT00982644 (9) [back to overview] | Extension Trial (Primary Endpoint): Rate of Treatment Emergent Adverse Events (AEs) |
NCT00993473 (16) [back to overview] | Percentage of Patients Reaching HbA1c Target of Less Than 7.5% at the End of Treatment Visit |
NCT00993473 (16) [back to overview] | Average Daily Blood Glucose (BG) Based on CGMS Values: End of Treatment and Change From Baseline to End of Treatment |
NCT00993473 (16) [back to overview] | Glycosylated Hemoglobin A1c (HbA1c): End of Treatment and Change From Baseline to End of Treatment |
NCT00993473 (16) [back to overview] | Glycosylated Hemoglobin A1c (HbA1c): End of Treatment and Change From Baseline to End of Treatment (ANCOVA Estimates) |
NCT00993473 (16) [back to overview] | Number of Patients With Different Types of Hypoglycemia Events |
NCT00993473 (16) [back to overview] | "Event Rate of All Confirmed Low CGMS Excursions (Individual Component of Primary Endpoint) Defined as the Total Number of Episodes Divided by the Total Duration of the On-treatment Period in Years (Events Per Patient-year)" |
NCT00993473 (16) [back to overview] | "Event Rate of All Confirmed Low FSBG (Individual Component of the Primary Endpoint) Defined as the Total Number of Episodes Divided by the Total Duration of the On-treatment Period in Years (Events Per Patient-year)" |
NCT00993473 (16) [back to overview] | "Event Rate of All Hypoglycemia Defined as the Total Number of Episodes Divided by the Total Duration of the On-treatment Period in Years (Events Per Patient-year)" |
NCT00993473 (16) [back to overview] | "Event Rate of Nocturnal Hypoglycemia Defined as the Total Number of All Hypoglycemia Episodes Divided by the Total Duration of the On-treatment Period in Years" |
NCT00993473 (16) [back to overview] | Blood Glucose Variability Based on All On-treatment CGMS Values |
NCT00993473 (16) [back to overview] | Event Rate of Nocturnal Symptomatic Hypoglycemia Defined as the Total Number of Episodes Divided by the Total Duration of the On-treatment Period in Years |
NCT00993473 (16) [back to overview] | Event Rate of Severe Nocturnal Hypoglycemia Defined as the Total Number of Episodes Divided by the Total Duration of the On-treatment Period in Years |
NCT00993473 (16) [back to overview] | Event Rate of Severe Symptomatic Hypoglycemia Defined as the Total Number of Episodes Divided by the Total Duration of the On-treatment Period in Years |
NCT00993473 (16) [back to overview] | Event Rate of Symptomatic Hypoglycemia (Individual Component of Primary Endpoint) Defined as the Total Number of Episodes Divided by the Total Duration of the On-treatment Period in Years (Events Per Patient-year) |
NCT00993473 (16) [back to overview] | Nocturnal Blood Glucose Variability Based on All On-treatment CGMS Values |
NCT00993473 (16) [back to overview] | Percent of Blood Glucose (BG) Within the Range of 70 - 180 mg/dL (3.9-10 mmol/L) |
NCT01006291 (4) [back to overview] | Rate of Nocturnal Confirmed Hypoglycaemic Episodes |
NCT01006291 (4) [back to overview] | Rate of Confirmed Hypoglycaemic Episodes |
NCT01006291 (4) [back to overview] | Change in Glycosylated Haemoglobin (HbA1c) |
NCT01006291 (4) [back to overview] | Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) |
NCT01027871 (21) [back to overview] | Change From Baseline in Fasting Blood Glucose (FBG) at Week 12 Endpoint - Subgroup Analysis of LY2605541 Dosing Algorithms |
NCT01027871 (21) [back to overview] | Change From Baseline in Fasting Blood Glucose (FBG) at Week 12 Endpoint |
NCT01027871 (21) [back to overview] | Pharmacokinetics - Drug (LY2605541) Concentration at Steady State (Css) at Week 12 Endpoint |
NCT01027871 (21) [back to overview] | Percentage of Participants Who Did Not Experience a Hypoglycemic Episode During Treatment With HbA1c <7.0% and HbA1c ≤6.5% at Week 12 Endpoint - Subgroup Analysis of LY2605541 Dosing Algorithms |
NCT01027871 (21) [back to overview] | Percentage of Participants With Antibody Status Change From Baseline to Week 12 and Week 16 |
NCT01027871 (21) [back to overview] | Percentage of Participants With Hypoglycemia From Baseline Through Week 12 - Subgroup Analysis of LY2605541 Dosing Algorithms |
NCT01027871 (21) [back to overview] | Percentage of Participants With Hypoglycemia From Baseline Through Week 12 |
NCT01027871 (21) [back to overview] | Fasting Blood Glucose (FBG) Level at Week 12 Endpoint as Measured by the 8-Point Self-Monitored Blood Glucose (SMBG) Profiles |
NCT01027871 (21) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) at Week 12 Endpoint |
NCT01027871 (21) [back to overview] | Change From Baseline in HbA1c at Week 12 Endpoint - Subgroup Analysis of LY2605541 Dosing Algorithms |
NCT01027871 (21) [back to overview] | Glycemic Variability in Fasting Blood Glucose at Baseline and Week 12 - Subgroup Analysis of LY2605541 Dosing Algorithms |
NCT01027871 (21) [back to overview] | Glycemic Variability in Fasting Blood Glucose at Baseline and Week 12 |
NCT01027871 (21) [back to overview] | Daily Basal Insulin Dose at Week 2 and Week 12 - Subgroup Analysis of LY2605541 Dosing Algorithms |
NCT01027871 (21) [back to overview] | Daily Basal Insulin Dose at Week 2 and Week 12 |
NCT01027871 (21) [back to overview] | 8-Point Self-Monitored Blood Glucose (SMBG) Measures at Week 12 Endpoint - Subgroup Analysis of LY2605541 Dosing Algorithms |
NCT01027871 (21) [back to overview] | 8-Point Self-Monitored Blood Glucose (SMBG) Measures at Week 12 Endpoint |
NCT01027871 (21) [back to overview] | Rate of Hypoglycemia Per 30 Days From Baseline Through Week 12 - Subgroup Analysis of LY2605541 Dosing Algorithms |
NCT01027871 (21) [back to overview] | Rate of Hypoglycemia Per 30 Days From Baseline Through Week 12 |
NCT01027871 (21) [back to overview] | Percentage of Participants With HbA1c <7.0% and ≤6.5% at Week 12 Endpoint |
NCT01027871 (21) [back to overview] | Percentage of Participants With HbA1c <7.0% and ≤6.5% at Week 12 Endpoint - Subgroup Analysis of LY2605541 Dosing Algorithms |
NCT01027871 (21) [back to overview] | Percentage of Participants With HbA1c <7.0% and HbA1c ≤6.5% at Week 12 Endpoint Who Did Not Experience a Hypoglycemic Episode During Treatment |
NCT01045447 (2) [back to overview] | Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) |
NCT01045447 (2) [back to overview] | Change in Glycosylated Haemoglobin (HbA1c) |
NCT01045707 (6) [back to overview] | Main Trial (Primary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 26 Weeks of Treatment |
NCT01045707 (6) [back to overview] | Extension Trial (Secondary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 52 Weeks of Treatment |
NCT01045707 (6) [back to overview] | Extension Trial (Primary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes |
NCT01045707 (6) [back to overview] | Extension Trial (Primary Endpoint): Rate of Confirmed Hypoglycaemic Episodes |
NCT01045707 (6) [back to overview] | Extension Trial (Primary Endpoint): Rate of Treatment Emergent Adverse Events (AEs) |
NCT01045707 (6) [back to overview] | Main Trial (Secondary Endpoint): Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 26 |
NCT01049412 (12) [back to overview] | Daily Basal Insulin Dose at Week 2 and Week 8 Endpoint |
NCT01049412 (12) [back to overview] | Percentage of Participants With Antibody Status Change From Baseline to Week 8, Week 16 and Week 20 |
NCT01049412 (12) [back to overview] | Percentage of Participants With HbA1c <7.0% and HbA1c ≤6.5% at Week 8 Endpoint of Period I |
NCT01049412 (12) [back to overview] | Change From Baseline in Daily Average Blood Glucose (Avg. BG) at Week 8 Endpoint as Measured by the 8-Point Self-Monitored Blood Glucose (SMBG) Profiles |
NCT01049412 (12) [back to overview] | Daily Average Blood Glucose (Avg. BG) at Week 8 Endpoint as Measured by the 8-Point Self-Monitored Blood Glucose (SMBG) Profiles |
NCT01049412 (12) [back to overview] | Glycemic Variability in Fasting Blood Glucose (FBG) at Week 8 Endpoint |
NCT01049412 (12) [back to overview] | Percentage of Participants With Hypoglycemia Baseline Through Week 8 |
NCT01049412 (12) [back to overview] | Pharmacokinetics - Drug (LY2605541) Concentration at Steady State (Css) at Week 8 Endpoint |
NCT01049412 (12) [back to overview] | Rate of Hypoglycemia Per 30 Days Baseline Through Week 8 |
NCT01049412 (12) [back to overview] | 8-Point Self-Monitored Blood Glucose (SMBG) Measures at Week 8 Endpoint |
NCT01049412 (12) [back to overview] | Percentage of Participants With HbA1c <7.0% and HbA1c ≤6.5% at Week 8 Endpoint Who Did Not Experience a Hypoglycemic Episode During Treatment (Period I) |
NCT01049412 (12) [back to overview] | Change From Baseline in Hemoglobin (HbA1c) at Week 8 Endpoint of Period I |
NCT01059799 (4) [back to overview] | Rate of Confirmed Hypoglycaemic Episodes |
NCT01059799 (4) [back to overview] | Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) |
NCT01059799 (4) [back to overview] | Change in Glycosylated Haemoglobin (HbA1c) |
NCT01059799 (4) [back to overview] | Rate of Nocturnal Confirmed Hypoglycaemic Episodes |
NCT01068665 (2) [back to overview] | Change in Fasting Plasma Glucose (FPG) |
NCT01068665 (2) [back to overview] | Change in Glycosylated Haemoglobin (HbA1c) |
NCT01068678 (2) [back to overview] | Change in Glycosylated Haemoglobin (HbA1c) |
NCT01068678 (2) [back to overview] | Change in Body Weight |
NCT01075282 (26) [back to overview] | Change From Baseline to 26, 52 and 78 Weeks in the EuroQol 5 Dimension |
NCT01075282 (26) [back to overview] | Change From Baseline to 26, 52 and 78 Weeks for Daily Mean Blood Glucose Values From the 8-point Self-monitored Blood Glucose (SMBG) Profiles |
NCT01075282 (26) [back to overview] | Change From Baseline to 26, 52 and 78 Weeks on Electrocardiogram Parameters, Fridericia Corrected QT (QTcF) Interval and PR Interval |
NCT01075282 (26) [back to overview] | Change From Baseline to 52 Weeks Endpoint in Glycosylated Hemoglobin (HbA1c) |
NCT01075282 (26) [back to overview] | Change in Baseline to 26, 52 and 78 Weeks on Pulse Rate |
NCT01075282 (26) [back to overview] | Change From Baseline to 52 and 78 Weeks in Updated Homeostasis Model Assessment of Beta-cell Function (HOMA2-%B) and Updated Homeostasis Model Assessment of Insulin Sensitivity (HOMA2-%S) |
NCT01075282 (26) [back to overview] | Change From Baseline to 52 and 78 Weeks in Glucagon Concentration |
NCT01075282 (26) [back to overview] | Change From Baseline to 26, 52, and 78 Weeks on Blood Pressure |
NCT01075282 (26) [back to overview] | Change From Baseline to 26, 52 and 78 Weeks on Serum Calcitonin |
NCT01075282 (26) [back to overview] | Change From Baseline to 26, 52 and 78 Weeks on Pancreatic Enzymes |
NCT01075282 (26) [back to overview] | Change From Baseline to 26, 52 and 78 Weeks on Electrocardiogram Parameters, Heart Rate |
NCT01075282 (26) [back to overview] | Change From Baseline to 26, 52 and 78 Weeks for Body Weight |
NCT01075282 (26) [back to overview] | Change From Baseline to 26, 52 and 78 Weeks for Body Mass Index |
NCT01075282 (26) [back to overview] | Number of Self-reported Hypoglycemic Events at 26, 52 and 78 Weeks |
NCT01075282 (26) [back to overview] | Rate of Self-reported Hypoglycemic Events at 26, 52 and 78 Weeks |
NCT01075282 (26) [back to overview] | Number of Participants Achieving Glycosylated Hemoglobin (HbA1c) Less Than 7% at 26, 52 and 78 Weeks |
NCT01075282 (26) [back to overview] | Change From Baseline to 26 Weeks and 78 Weeks Endpoint in Glycosylated Hemoglobin (HbA1c) |
NCT01075282 (26) [back to overview] | Number of Participants Requiring Additional Intervention Due to Hyperglycemia at 26, 52 and 78 Weeks |
NCT01075282 (26) [back to overview] | Number of Participants Achieving Glycosylated Hemoglobin (HbA1c) Less Than or Equal to 6.5% at 26, 52 and 78 Weeks |
NCT01075282 (26) [back to overview] | Number of Participants With Treatment Emergent Adverse Events at 26, 52 and 78 Weeks |
NCT01075282 (26) [back to overview] | Number of Participants With LY2189265 Antibodies at 26, 52, 78 Weeks and 4 Weeks After Last Dose of Study Drug (83 Weeks Maximum) |
NCT01075282 (26) [back to overview] | Number of Participants With Adjudicated Pancreatitis at 26, 52 and 78 Weeks |
NCT01075282 (26) [back to overview] | Number of Participants With Adjudicated Cardiovascular Events at 26, 52 and 78 Weeks |
NCT01075282 (26) [back to overview] | Change From Baseline to 26, 52 and 78 Weeks in the Low Blood Sugar Survey |
NCT01075282 (26) [back to overview] | Change From Baseline to 26, 52 and 78 Weeks in the Impact of Weight on Self-Perception |
NCT01075282 (26) [back to overview] | Change From Baseline to 26, 52 and 78 Weeks in the Impact of Weight on Activities of Daily Living |
NCT01076647 (2) [back to overview] | Change in Body Weight |
NCT01076647 (2) [back to overview] | Change in Glycosylated Haemoglobin (HbA1c) |
NCT01079234 (6) [back to overview] | Main Trial (Primary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 26 Weeks of Treatment |
NCT01079234 (6) [back to overview] | Main Trial (Secondary Endpoint): Change in Fasting Plasma Glucose (FPG) After 26 Weeks of Treatment |
NCT01079234 (6) [back to overview] | Extension Trial (Primary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes |
NCT01079234 (6) [back to overview] | Extension Trial (Secondary Endpoint): Change in Fasting Plasma Glucose (FPG) After 52 Weeks of Treatment |
NCT01079234 (6) [back to overview] | Extension Trial (Primary Endpoint): Rate of Confirmed Hypoglycaemic Episodes |
NCT01079234 (6) [back to overview] | Extension Trial (Secondary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 52 Weeks of Treatment |
NCT01089569 (7) [back to overview] | Change From Baseline in Glucose Exposure (Area Under the Diurnal Median Curve or AUC) |
NCT01089569 (7) [back to overview] | Change From Baseline in CGM Glucose Variability |
NCT01089569 (7) [back to overview] | HbA1c Change |
NCT01089569 (7) [back to overview] | Change From Baseline in Weight Changes |
NCT01089569 (7) [back to overview] | Change From Baseline in Incidence of Hypoglycemia (Frequency) |
NCT01089569 (7) [back to overview] | Change From Baseline in Incidence of Hypoglycemia (Degree) |
NCT01089569 (7) [back to overview] | Change From Baseline in Glucose Stability (Absolute Hourly Rate of Change in Median Curve) |
NCT01117350 (17) [back to overview] | Self-Monitored Fasting Plasma Glucose (SMFPG) Measurements: Change From Beginning to the End of the Extension Period |
NCT01117350 (17) [back to overview] | Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) Has Decreased But Remains ≥7% at the End of the Comparative Period |
NCT01117350 (17) [back to overview] | Body Weight: Change From Baseline to the End of the Comparative Period |
NCT01117350 (17) [back to overview] | Body Weight: Change From Beginning to End of the Extension Period |
NCT01117350 (17) [back to overview] | Daily Dose of Insulin Glargine Administered During the Extension Period |
NCT01117350 (17) [back to overview] | Daily Dose of Insulin Glargine |
NCT01117350 (17) [back to overview] | Self-Monitored 7-point Plasma Glucose (PG) Profile: Change From Beginning to the End of the Extension Period |
NCT01117350 (17) [back to overview] | Self-Monitored Fasting Plasma Glucose (SMFPG) Measurements: Change From Baseline to the End of the Comparative Period |
NCT01117350 (17) [back to overview] | Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) Has Increased at the End of the Comparative Period |
NCT01117350 (17) [back to overview] | Daily Dose of Liraglutide |
NCT01117350 (17) [back to overview] | Hypoglycemia Occurence: Number of Patients With at Least One Episode of Symptomatic / Severe Symptomatic Hypoglycemia During the Comparative Period |
NCT01117350 (17) [back to overview] | Hypoglycemia Occurence: Number of Patients With at Least One Episode of Symptomatic / Severe Symptomatic Hypoglycemia During the Extension Period |
NCT01117350 (17) [back to overview] | Self-Monitored 7-point Plasma Glucose (PG) Profile: Change From Baseline to the End of the Comparative Period |
NCT01117350 (17) [back to overview] | Glycosylated Haemoglobin (HbA1c): Change From Baseline to the End of Comparative Period |
NCT01117350 (17) [back to overview] | Glycosylated Haemoglobin (HbA1c): Change From Beginning to the End of the Extension Period |
NCT01117350 (17) [back to overview] | Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) <7% at the End of the Comparative Period |
NCT01117350 (17) [back to overview] | Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) <7% at the End of the Extension Period |
NCT01123980 (7) [back to overview] | Number of Hypoglycaemic Episodes - Severe and Minor |
NCT01123980 (7) [back to overview] | 9-point Plasma Glucose Profiles |
NCT01123980 (7) [back to overview] | Change in Glycosylated Haemoglobin (HbA1c) |
NCT01123980 (7) [back to overview] | Number of Hypoglycaemic Episodes |
NCT01123980 (7) [back to overview] | Number of Hypoglycaemic Episodes - All |
NCT01123980 (7) [back to overview] | Percentage of Subjects Achieving HbA1c Below 7.0% |
NCT01123980 (7) [back to overview] | Percentage of Subjects Achieving HbA1c Below or Equal to 6.5% |
NCT01131052 (8) [back to overview] | Mean of Glycosylated Hemoglobin (hbA1c) |
NCT01131052 (8) [back to overview] | Mean of Glycosylated Hemoglobin (hbA1c) |
NCT01131052 (8) [back to overview] | Percent of Participants With a Mean Blood Glucose Concentration of Less Than 70 mg/dL |
NCT01131052 (8) [back to overview] | Mean of Glycosylated Hemoglobin (hbA1c) |
NCT01131052 (8) [back to overview] | Mean of Weekly Fasting Blood Glucose Concentration |
NCT01131052 (8) [back to overview] | Percent of Participants With a Mean Blood Glucose Concentration of Less Than 40 mg/dL |
NCT01131052 (8) [back to overview] | Mean Blood Glucose Concentration |
NCT01131052 (8) [back to overview] | Mean of Daily Blood Glucose Concentration |
NCT01135992 (6) [back to overview] | Rate of Confirmed Hypoglycaemic Episodes |
NCT01135992 (6) [back to overview] | HbA1c (Glycosylated Haemoglobin) |
NCT01135992 (6) [back to overview] | Fasting Plasma Glucose (FPG) |
NCT01135992 (6) [back to overview] | Rate of Treatment Emergent Adverse Events (AEs) |
NCT01135992 (6) [back to overview] | Change in Body Weight |
NCT01135992 (6) [back to overview] | Rate of Nocturnal Confirmed Hypoglycaemic Episodes |
NCT01136746 (5) [back to overview] | Number of Participants With Treatment-emergent Adverse Events Throughout Hospital Study Period |
NCT01136746 (5) [back to overview] | Number (Incidence) of Hypoglycemia and Severe Hypoglycemia Episodes, Throughout Hospital Study Period |
NCT01136746 (5) [back to overview] | Mean Plasma Glucose (MPG) by Hospital Day |
NCT01136746 (5) [back to overview] | Percentage of Capillary Plasma Glucose Measurements Within the Range of 71 to 179 mg/dL Throughout the Hospital Study Period |
NCT01136746 (5) [back to overview] | Mean Plasma Glucose (MPG) Throughout Hospital Study Period |
NCT01175811 (10) [back to overview] | The Rate of Hypoglycemic Episodes |
NCT01175811 (10) [back to overview] | Percentage of Participants With Hypoglycemic Episodes (Incidence) |
NCT01175811 (10) [back to overview] | Percentage of Participants Experiencing a Severe Hypoglycemic Episode |
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] | Daily Dose of Insulin: Total, Basal, and Prandial |
NCT01175811 (10) [back to overview] | Change in Body Mass Index (BMI) From Baseline to 12 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] | The 7-point Self-monitored Blood Glucose (SMBG) Profiles at Baseline, 12 Weeks and 24 Weeks. |
NCT01175811 (10) [back to overview] | Daily Dose of Insulin Per Kilogram of Body Weight: Total, Basal and Prandial |
NCT01175824 (14) [back to overview] | Perceptions About Medications-Diabetes 21 (PAM-D21) Questionnaire Score at 24 Weeks |
NCT01175824 (14) [back to overview] | The Number of Participants With a Hypoglycemic Episodes (Incidence) |
NCT01175824 (14) [back to overview] | Change in HbA1c From Baseline to 24 Weeks Endpoint (Per Protocol Population) |
NCT01175824 (14) [back to overview] | Change in the HbA1c Concentration From Baseline to 12 Weeks Endpoint |
NCT01175824 (14) [back to overview] | Insulin Treatment Satisfaction Questionnaire (ITSQ) Score at 24 Weeks |
NCT01175824 (14) [back to overview] | The Number of Participants With Severe Hypoglycemic Episodes |
NCT01175824 (14) [back to overview] | Change in HbA1c From Baseline to 24 Weeks Endpoint (Intention-to-Treat Population) |
NCT01175824 (14) [back to overview] | Daily Insulin Dose: Total, Basal, and Prandial at 12 Weeks and 24 Weeks |
NCT01175824 (14) [back to overview] | The Rate of Hypoglycemic Episodes |
NCT01175824 (14) [back to overview] | Glycemic Variability From the 7-point Self-Monitored Blood Glucose (SMBG) Profiles at 12 Weeks and 24 Weeks |
NCT01175824 (14) [back to overview] | 7-point Self-Monitored Blood Glucose (SMBG) Profiles at 12 Weeks and 24 Weeks |
NCT01175824 (14) [back to overview] | Change in the Fasting Plasma Glucose Concentration From Baseline to 12 Weeks and 24 Weeks |
NCT01175824 (14) [back to overview] | Change in Weight From Baseline to 12 Weeks and 24 Weeks |
NCT01175824 (14) [back to overview] | Number of Participants Who Achieve a Target HbA1c Concentration of Less Than 7% or Less Than or Equal to 6.5% at 24 Weeks |
NCT01181674 (12) [back to overview] | 1) Percentage of Participants With Normal Glucose Tolerance in the Experimental Group 1 Compared to the Control Group. 2) Percentage of Participants With Normal Glucose Tolerance in the Experimental Group 2 Compared to the Control Group. |
NCT01181674 (12) [back to overview] | 1) Percentage of Participants With Normal Glucose Tolerance in the Experimental Group 1 Compared to the Control Group. 2) Percentage of Participants With Normal Glucose Tolerance in the Experimental Group 2 Compared to the Control Group. |
NCT01181674 (12) [back to overview] | Change in Weight From Baseline |
NCT01181674 (12) [back to overview] | HbA1C |
NCT01181674 (12) [back to overview] | 1) Percentage of Participants With Normal Glucose Tolerance in the Experimental Group 1 Compared to the Control Group. 2) Percentage of Participants With Normal Glucose Tolerance in the Experimental Group 2 Compared to the Control Group. |
NCT01181674 (12) [back to overview] | Change in Fasting Plasma Glucose From Baseline |
NCT01181674 (12) [back to overview] | Number of Participants With Severe Hypoglycemic Episodes |
NCT01181674 (12) [back to overview] | Number of Participants With Symptomatic Hypoglycemic Episodes |
NCT01181674 (12) [back to overview] | Percentage of Participants With Normal Fasting Plasma Glucose |
NCT01181674 (12) [back to overview] | Normoglycemia on Therapy |
NCT01181674 (12) [back to overview] | Normoglycemia on Therapy |
NCT01181674 (12) [back to overview] | Normoglycemia on Therapy |
NCT01184014 (1) [back to overview] | Mean Blood Glucose of All Readings |
NCT01191268 (30) [back to overview] | Total Daily Insulin Dose Overall and by Components (Insulin Lispro and Insulin Glargine) |
NCT01191268 (30) [back to overview] | Change From Baseline to 26 and 52 Weeks in Electrocardiogram Parameters, Fridericia Corrected QT (QTcF) Interval and PR Interval |
NCT01191268 (30) [back to overview] | Change From Baseline to 26 and 52 Weeks in Body Weight |
NCT01191268 (30) [back to overview] | Change From Baseline to 26 and 52 Weeks in Blood Pressure |
NCT01191268 (30) [back to overview] | Change From Baseline to 26 and 52 Weeks in Blood Glucose Values From the 8-point Self-monitored Plasma Glucose (SMPG) Profiles |
NCT01191268 (30) [back to overview] | Body Weight at Baseline, 52 Weeks, and 4 Weeks After Last Dose |
NCT01191268 (30) [back to overview] | Blood Pressure at Baseline, 52 Weeks, and 4 Weeks After Last Dose |
NCT01191268 (30) [back to overview] | Change From Baseline to 52-week Endpoint in Glycosylated Hemoglobin (HbA1c) |
NCT01191268 (30) [back to overview] | Change From Baseline to 26-week Endpoint in Glycosylated Hemoglobin (HbA1c) |
NCT01191268 (30) [back to overview] | Change From Baseline to 26 and 52 Weeks in Electrocardiogram Parameters, Heart Rate |
NCT01191268 (30) [back to overview] | Change From Baseline to 26 and 52 Weeks in Serum Calcitonin |
NCT01191268 (30) [back to overview] | Change From Baseline to 26 Weeks, 52 Weeks, and 4 Weeks After Last Dose in Body Mass Index (BMI) |
NCT01191268 (30) [back to overview] | Change From Baseline to 26 and 52 Weeks in Pulse Rate |
NCT01191268 (30) [back to overview] | Change From Baseline to 26 and 52 Weeks in Pancreatic Enzymes |
NCT01191268 (30) [back to overview] | Number of Participants With Adjudicated Cardiovascular Events up to 52 Weeks |
NCT01191268 (30) [back to overview] | Pancreatic Enzymes at Baseline, 52 Weeks, and 4 Weeks After Last Dose |
NCT01191268 (30) [back to overview] | Change From Baseline to 26 and 52 Weeks in Fasting Serum Glucose |
NCT01191268 (30) [back to overview] | Number of Participants With Self-reported Hypoglycemic Events up to 26 Weeks, 52 Weeks, and 4 Weeks After Last Dose |
NCT01191268 (30) [back to overview] | Number of Participants With Treatment Emergent Adverse Events up to 26 Weeks, 52 Weeks, and 4 Weeks After Last Dose |
NCT01191268 (30) [back to overview] | Number of Participants With Treatment Emergent LY2189265 Antibodies up to 26 Weeks, 52 Weeks, and 4 Weeks After Last Dose |
NCT01191268 (30) [back to overview] | Percentage of Participants Attaining Glycosylated Hemoglobin (HbA1c) Less Than 7% and Less Than or Equal to 6.5% at Weeks 26 and 52 |
NCT01191268 (30) [back to overview] | Number of Events of Adjudicated Pancreatitis up to 26 Weeks, 52 Weeks, and 4 Weeks After Last Dose |
NCT01191268 (30) [back to overview] | Change From Baseline to 26 and 52 Weeks in the Percentage of Participants Achieving Glycosylated Hemoglobin (HbA1c) Less Than 7% Without Nocturnal or Severe Hypoglycemia |
NCT01191268 (30) [back to overview] | Pulse Rate at Baseline, 52 Weeks, and 4 Weeks After Last Dose |
NCT01191268 (30) [back to overview] | Rate of Self-reported Hypoglycemic Events up to 52 Weeks |
NCT01191268 (30) [back to overview] | Serum Calcitonin at Baseline, 52 Weeks, and 4 Weeks After Last Dose |
NCT01191268 (30) [back to overview] | Change From Baseline to 26 and 52 Weeks in the EQ-5D |
NCT01191268 (30) [back to overview] | Change From Baseline to 26 and 52 Weeks in the Low Blood Sugar Survey (LBSS) |
NCT01191268 (30) [back to overview] | Change From Baseline to 26 and 52 Weeks in the Impact of Weight on Self-Perception (IW-SP) |
NCT01191268 (30) [back to overview] | Change From Baseline to 26 and 52 Weeks in the Impact of Weight on Activities of Daily Living (IW-ADL) |
NCT01194245 (6) [back to overview] | Mean Daily Insulin Dose |
NCT01194245 (6) [back to overview] | Change From Baseline in Body Weight at the End of Each Treatment Period |
NCT01194245 (6) [back to overview] | Change From Baseline in Glycosylated Hemoglobin A1C (HbA1c) at the End of Each Treatment Period |
NCT01194245 (6) [back to overview] | Percentage of Participants Meeting Glucose Targets |
NCT01194245 (6) [back to overview] | Rates of Hypoglycemia at the End of Each Treatment Period |
NCT01194245 (6) [back to overview] | Mean Daily Postprandial Glucose (PPG) Excursions |
NCT01194258 (6) [back to overview] | Rates of Hypoglycemia at the End of Each Treatment Period |
NCT01194258 (6) [back to overview] | Change From Baseline in Glycosylated Hemoglobin A1C (HbA1C) at the End of Each Treatment Period |
NCT01194258 (6) [back to overview] | Mean Daily Insulin Dose as Recorded During 10-Point Glucose Monitoring |
NCT01194258 (6) [back to overview] | Percentage of Participants Meeting Glucose Targets at Least 2/3 of the Time |
NCT01194258 (6) [back to overview] | Change From Baseline in Body Weight at the End of Each Treatment Period |
NCT01194258 (6) [back to overview] | Mean Daily PPG Excursions |
NCT01196104 (18) [back to overview] | Number of Subjects Reporting Cough Episodes |
NCT01196104 (18) [back to overview] | Number of Cough Episodes Occuring Within 10 Minutes of Drug Inhalation |
NCT01196104 (18) [back to overview] | Mild or Moderate Hypoglycemic Event Rate |
NCT01196104 (18) [back to overview] | Change in HbA1c (%) From Baseline to Week 16 |
NCT01196104 (18) [back to overview] | Baseline Forced Vital Capacity (FVC) |
NCT01196104 (18) [back to overview] | Baseline Forced Expiratory Volume in 1 Second (FEV1) |
NCT01196104 (18) [back to overview] | Number of Single Coughing Episodes |
NCT01196104 (18) [back to overview] | Week 20 (Follow-up) Forced Vital Capacity |
NCT01196104 (18) [back to overview] | Week 20 (Follow-up) Forced Expiratory Volume in 1 Second |
NCT01196104 (18) [back to overview] | Week 20 (Follow-up) Change From Baseline in Forced Vital Capacity |
NCT01196104 (18) [back to overview] | Week 20 (Follow-up) Change From Baseline in Forced Expiratory Volume in 1 Second |
NCT01196104 (18) [back to overview] | Week 16 Forced Vital Capacity |
NCT01196104 (18) [back to overview] | Week 16 Forced Expiratory Volume in 1 Second |
NCT01196104 (18) [back to overview] | Week 16 Change From Baseline in Forced Expiratory Volume in 1 Second |
NCT01196104 (18) [back to overview] | Week 16 Change From Baseline Forced Vital Capacity |
NCT01196104 (18) [back to overview] | Total Number of Cough Episodes |
NCT01196104 (18) [back to overview] | Severe Hypoglycemic Event Rate |
NCT01196104 (18) [back to overview] | Number of Subjects Reporting Intermittent Coughing Episodes |
NCT01203774 (1) [back to overview] | HbA1c at Three Months of Each Period of Treatment |
NCT01226043 (12) [back to overview] | Patient Overall Preference |
NCT01226043 (12) [back to overview] | Percentage of Patients Who Discontinued Investigational Product (IP) During the Crossover Phase |
NCT01226043 (12) [back to overview] | Percentage of Patients Achieving Fasting Plasma Glucose (FPG) <110 mg/dL |
NCT01226043 (12) [back to overview] | Patient Preference Composite Score |
NCT01226043 (12) [back to overview] | Percentage of Patients Who Discontinued Investigational Product During the Re-randomization Phase |
NCT01226043 (12) [back to overview] | Change in Lantus Dose Injected Per Day |
NCT01226043 (12) [back to overview] | Time to First Observation of HbA1c <7% |
NCT01226043 (12) [back to overview] | Number of Patients With Hypoglycemic Events |
NCT01226043 (12) [back to overview] | Percentage of Patients Who Discontinued Investigational Product During the Observational Phase |
NCT01226043 (12) [back to overview] | Change in Fasting Plasma Glucose (FPG) |
NCT01226043 (12) [back to overview] | Healthcare Professional's (HCP) Recommendation |
NCT01226043 (12) [back to overview] | Percentage of Patients Achieving HbA1c Goal |
NCT01240200 (6) [back to overview] | Diabetes Treatment Satisfaction Questionnaire: Status (DTSQs) Score |
NCT01240200 (6) [back to overview] | Fasting Blood Glucose |
NCT01240200 (6) [back to overview] | Hemoglobin A1c (HbA1c) |
NCT01240200 (6) [back to overview] | Diabetes Treatment Satisfaction Questionnaire: Change (DTSQc) Score |
NCT01240200 (6) [back to overview] | Number of Hypoglycemic Events |
NCT01240200 (6) [back to overview] | Percent of Participants With Dosing Errors |
NCT01257087 (3) [back to overview] | Percentage of Type 2 Diabetes Mellitus Patients With a Reduction in the Doses/Number of Diabetes Medications Used Preoperatively |
NCT01257087 (3) [back to overview] | Percentage of Patients With Type 2 Diabetes Mellitus Who Achieve Fasting Blood Glucose of Less Than 5.6 mmol/l and/or HbA1c of Less Than 6% |
NCT01257087 (3) [back to overview] | Number of Participants With Microvascular Events |
NCT01272193 (6) [back to overview] | Change in Body Weight |
NCT01272193 (6) [back to overview] | Rate of Nocturnal Confirmed Hypoglycaemic Episodes |
NCT01272193 (6) [back to overview] | Rate of Confirmed Hypoglycaemic Episodes |
NCT01272193 (6) [back to overview] | Mean Increment of 9-point Self Measured Plasma Glucose Profile (SMPG) at the Main Evening Meal |
NCT01272193 (6) [back to overview] | Change in Glycosylated Haemoglobin (HbA1c) |
NCT01272193 (6) [back to overview] | Rate of Treatment Emergent Adverse Events (AEs) |
NCT01374178 (6) [back to overview] | Maximum Glucose Infusion Rate (Rmax) |
NCT01374178 (6) [back to overview] | Pharmacokinetics: Area Under the Concentration-Time Curve (AUC) |
NCT01374178 (6) [back to overview] | Pharmacokinetics: Maximum Concentration (Cmax) |
NCT01374178 (6) [back to overview] | Total Glucose Infused (Gtot) |
NCT01374178 (6) [back to overview] | Number of Participants With Clinically Significant Effects |
NCT01374178 (6) [back to overview] | Time of Maximum Glucose Infusion Rate (tRmax) |
NCT01378117 (9) [back to overview] | Number of Patients With Severe Hypoglycemic Episodes Among the 3 Treatment Groups |
NCT01378117 (9) [back to overview] | Mean Total Daily Dose of Insulin in Units/Day Given During Hospitalization Among the Three Groups |
NCT01378117 (9) [back to overview] | Number of Deaths Among the Subjects in Different Groups |
NCT01378117 (9) [back to overview] | Number of Patients With a Mean Daily BG > 240 mg/dL After the 1st Day of Treatment Among the Treatment Groups |
NCT01378117 (9) [back to overview] | Number of Patients With Hypoglycemic Events Among the Treatment Groups |
NCT01378117 (9) [back to overview] | Mean Length of Stay in Days in the Hospital Among Different Groups |
NCT01378117 (9) [back to overview] | Number of Subjects With Acute Renal Failure Among the Three Randomized Groups During Hospitalization |
NCT01378117 (9) [back to overview] | Mean Blood Glucose Levels Among the Three Groups at the Time of Hospitalization to 1st Day After Therapy |
NCT01378117 (9) [back to overview] | Percent of Blood Glucose Readings Within Target Range Between 70 and 140 mg/dL Among the Three Groups After 24 Hrs of Randomized Treatment |
NCT01421459 (15) [back to overview] | Incidence of Hypoglycemic Events |
NCT01421459 (15) [back to overview] | Insulin Treatment Satisfaction Questionnaire (ITSQ) |
NCT01421459 (15) [back to overview] | Percentage of Participants With Detectable Insulin Antibody Levels |
NCT01421459 (15) [back to overview] | Percentage of Participants With HbA1c <7 % and HbA1c ≤6.5% |
NCT01421459 (15) [back to overview] | 7-Point Self-Monitored Blood Glucose (SMBG) Profiles |
NCT01421459 (15) [back to overview] | Percentage of Participants With Treatment Emergent Antibody Response (TEAR) |
NCT01421459 (15) [back to overview] | Change From Baseline up to 24 Weeks in Hemoglobin A1c (HbA1c) |
NCT01421459 (15) [back to overview] | Insulin Dose Per Body Weight (U/kg) Per Day |
NCT01421459 (15) [back to overview] | Rate Per 30 Days of Hypoglycemic Events |
NCT01421459 (15) [back to overview] | Insulin Dose (Units) |
NCT01421459 (15) [back to overview] | Adult Low Blood Sugar Survey (ALBSS) |
NCT01421459 (15) [back to overview] | Change From Baseline in Body Weight |
NCT01421459 (15) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) |
NCT01421459 (15) [back to overview] | Change From Baseline in Insulin Antibody Levels |
NCT01421459 (15) [back to overview] | Glycemic Variability of Fasting Blood Glucose |
NCT01435616 (20) [back to overview] | European Quality of Life-5 Dimension (EQ-5D) |
NCT01435616 (20) [back to overview] | Change From Baseline to 52 Week Endpoint in Hemoglobin A1c (HbA1c) |
NCT01435616 (20) [back to overview] | Adult Low Blood Sugar Survey |
NCT01435616 (20) [back to overview] | Percentage of Participants With Equal or Above 2- and 3-fold ULN for Alanine Transaminase/Serum Glutamic Pyruvic Transaminase (ALT/SGPT) and Aspartate Transaminase/Serum Glutamic Oxaloacetic Transaminase (AST/SGOT) |
NCT01435616 (20) [back to overview] | Percentage of Participants With Equal or Above 2-, and 3-fold Upper Limits of Normal (ULN) for Total Bilirubin |
NCT01435616 (20) [back to overview] | Change From Baseline to 52 Weeks in Triglycerides, Low Density Lipoprotein Cholesterol (LDL-C), and High Density Lipoprotein Cholesterol (HDL-C) |
NCT01435616 (20) [back to overview] | Insulin Dose Per Body Weight |
NCT01435616 (20) [back to overview] | 6 Point Self-monitored Blood Glucose (SMBG) |
NCT01435616 (20) [back to overview] | Overall Treatment-Emergent Anti-LY2065541 Antibody Response (TEAR) |
NCT01435616 (20) [back to overview] | Insulin Treatment Satisfaction Questionnaire |
NCT01435616 (20) [back to overview] | Change From Baseline to 52 Weeks in Body Weight |
NCT01435616 (20) [back to overview] | Intra-participant Variability of the Fasting Blood Glucose (FBG) |
NCT01435616 (20) [back to overview] | Number of Insulin Dose Adjustments to Steady-State |
NCT01435616 (20) [back to overview] | Fasting Blood Glucose (By Participant Self-monitored Blood Glucose Readings) |
NCT01435616 (20) [back to overview] | Rate of Total and Nocturnal Hypoglycemia Events |
NCT01435616 (20) [back to overview] | Percentage of Participants With Total and Nocturnal Hypoglycemic Events |
NCT01435616 (20) [back to overview] | Percentage of Participants With Hemoglobin A1c Equal or Less Than 6.5% and Less Than 7.0 % |
NCT01435616 (20) [back to overview] | Percentage of Participants With HbA1C Equal or Less Than 6.5% and Less Than 7.0 % and Without Nocturnal Hypoglycemia |
NCT01435616 (20) [back to overview] | Hemoglobin A1c |
NCT01435616 (20) [back to overview] | Fasting Serum Glucose (By Laboratory Measurement) |
NCT01462266 (5) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 |
NCT01462266 (5) [back to overview] | Change From Baseline in Hemoglobin A1c (A1C) at Week 24 |
NCT01462266 (5) [back to overview] | Percent of Participants Achieving Fasting Glucose Target at Any Time During the Study |
NCT01462266 (5) [back to overview] | Time to Achieve the Fasting Glucose Target |
NCT01462266 (5) [back to overview] | Change From Baseline in Daily Insulin Dose at Week 24 |
NCT01468987 (20) [back to overview] | Total Hypoglycemia Rates (Adjusted for 30 Days) |
NCT01468987 (20) [back to overview] | Basal, Bolus, and Total Insulin Dose by Weight at 26 Weeks |
NCT01468987 (20) [back to overview] | Lipid Profile at 26 Weeks |
NCT01468987 (20) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) at 26 Weeks |
NCT01468987 (20) [back to overview] | 0300-hour Blood Glucose to FBG Excursion at 26 Weeks |
NCT01468987 (20) [back to overview] | Body Weight Change From Baseline to 26 Weeks |
NCT01468987 (20) [back to overview] | EuroQoL-5D (EQ-5D) at 26 Weeks |
NCT01468987 (20) [back to overview] | Fasting Serum Glucose (FSG) From Laboratory at 26 Weeks |
NCT01468987 (20) [back to overview] | Percentage of Participants With HbA1c <7.0% and ≤6.5% at 26 Weeks |
NCT01468987 (20) [back to overview] | Rapid Assessment of Physical Activity (RAPA) at 26 Weeks |
NCT01468987 (20) [back to overview] | Self-Monitored Blood Glucose (SMBG) 9-point Profiles at 26 Weeks |
NCT01468987 (20) [back to overview] | Insulin Treatment Satisfaction Questionnaire (ITSQ) at 26 Weeks |
NCT01468987 (20) [back to overview] | Low Blood Sugar Survey (LBSS) at 26 Weeks |
NCT01468987 (20) [back to overview] | Nocturnal Hypoglycemia Rates (Adjusted for 30 Days) |
NCT01468987 (20) [back to overview] | Number of Participants With Change in Anti-LY2605541 Antibodies From Baseline to 26 Weeks |
NCT01468987 (20) [back to overview] | Percentage of Participants With HbA1c <7.0% Without Nocturnal Hypoglycemia at 26 Weeks |
NCT01468987 (20) [back to overview] | Percentage of Participants With Nocturnal Hypoglycemia Episodes |
NCT01468987 (20) [back to overview] | HbA1c at 26 Weeks |
NCT01468987 (20) [back to overview] | Percentage of Participants With Total Hypoglycemia Episodes |
NCT01468987 (20) [back to overview] | Fasting Blood Glucose (FBG) (by SMBG) Intra-participant Variability at 26 Weeks |
NCT01476345 (4) [back to overview] | Pharmacokinetics: Area Under the Concentration-Time Curve From Time Zero to 24 Hours [AUC(0-24)] of LY2963016 and Lantus |
NCT01476345 (4) [back to overview] | Total Amount of Glucose Infused (Gtot) Over the Duration of Clamp Procedure |
NCT01476345 (4) [back to overview] | Pharmacokinetics: Maximum Plasma Concentration (Cmax) of LY2963016 and Lantus |
NCT01476345 (4) [back to overview] | Maximum Glucose Infusion Rate (Rmax) |
NCT01476475 (14) [back to overview] | Percentage of Participants With Documented Symptomatic and Severe Symptomatic Hypoglycemia |
NCT01476475 (14) [back to overview] | Change in 30-minute and 1-hour PPG From Baseline to Week 24 |
NCT01476475 (14) [back to overview] | Change in Body Weight From Baseline to Week 24 |
NCT01476475 (14) [back to overview] | Change in Average 7-Point Self-Monitored Plasma Glucose (SMPG) Profiles From Baseline to Week 24 |
NCT01476475 (14) [back to overview] | Change in 2-hour Postprandial Plasma Glucose (PPG) From Baseline to Week 24 |
NCT01476475 (14) [back to overview] | Average Daily Insulin Glargine Dose at Week 24 |
NCT01476475 (14) [back to overview] | Percentage of Participants Requiring Rescue Therapy During 24-week Treatment Period |
NCT01476475 (14) [back to overview] | Change in 30 Minute and 1-hour Plasma Glucose Excursion From Baseline to Week 24 |
NCT01476475 (14) [back to overview] | Percentage of Participants Reaching HbA1c <7% With no Body Weight Gain at Week 24 |
NCT01476475 (14) [back to overview] | Percentage of Participants Reaching HbA1c <7% at Week 24 With no Documented Symptomatic Hypoglycemia During 24-week Treatment Period |
NCT01476475 (14) [back to overview] | Change in HbA1c From Baseline to Week 24 |
NCT01476475 (14) [back to overview] | Change in FPG From Baseline to Week 24 |
NCT01476475 (14) [back to overview] | Change in 2-hour Plasma Glucose Excursion From Baseline to Week 24 |
NCT01476475 (14) [back to overview] | Percentage of Participants With HbA1c ≤6.5 % or <7.0 % at Week 24 |
NCT01480843 (2) [back to overview] | Change in Duration of Hypoglycemia Episodes |
NCT01480843 (2) [back to overview] | Change in Frequency of Hypoglycemia Episodes From Baseline, 5 Months, 8 Months |
NCT01499082 (12) [back to overview] | Change in 8-Point SMPG Profiles Per Time Point From Baseline to Month 6 Endpoint |
NCT01499082 (12) [back to overview] | Percentage of Participants With HbA1c <7% at Month 6 Endpoint |
NCT01499082 (12) [back to overview] | Percentage of Participants With FPG <5.6 mmol/L (<100 mg/dL) at Month 6 Endpoint |
NCT01499082 (12) [back to overview] | Percentage of Participants With At Least One Severe and/or Confirmed Nocturnal Hypoglycemia From Start of Week 9 to Month 6 Endpoint |
NCT01499082 (12) [back to overview] | Change in Variability of Preinjection SMPG From Baseline to Month 6 Endpoint |
NCT01499082 (12) [back to overview] | Change in Treatment Satisfaction Score Using The Diabetes Treatment Satisfaction Questionnaire (DTSQs) From Baseline to Month 6 Endpoint |
NCT01499082 (12) [back to overview] | Change in HbA1c From Baseline to Month 6 Endpoint |
NCT01499082 (12) [back to overview] | Change in Fasting Plasma Glucose (FPG) From Baseline to Month 6 Endpoint |
NCT01499082 (12) [back to overview] | Change in Daily Basal Insulin Dose From Baseline to Month 6 Endpoint |
NCT01499082 (12) [back to overview] | Change in Average Preinjection Self-Monitored Plasma Glucose (SMPG) From Baseline to Month 6 Endpoint |
NCT01499082 (12) [back to overview] | Change in HbA1c From Month 6 to Month 9 |
NCT01499082 (12) [back to overview] | Percentage of Participants With Hypoglycemia (All and Nocturnal) Events From Baseline up to Month 12 |
NCT01499095 (12) [back to overview] | Change in HbA1c From Month 6 to Month 9 |
NCT01499095 (12) [back to overview] | Change in HbA1c From Baseline to Month 6 Endpoint |
NCT01499095 (12) [back to overview] | Change in Fasting Plasma Glucose (FPG) From Baseline to Month 6 Endpoint |
NCT01499095 (12) [back to overview] | Change in Daily Basal Insulin Dose From Baseline to Month 6 Endpoint |
NCT01499095 (12) [back to overview] | Percentage of Participants With HbA1c <7% at Month 6 Endpoint |
NCT01499095 (12) [back to overview] | Change in Average Preinjection Self-Monitored Plasma Glucose (SMPG) From Baseline to Month 6 Endpoint |
NCT01499095 (12) [back to overview] | Percentage of Participants With Hypoglycemia (All and Nocturnal) Events From Baseline to Month 12 |
NCT01499095 (12) [back to overview] | Change in 8-Point SMPG Profiles Per Time Point From Baseline to Month 6 Endpoint |
NCT01499095 (12) [back to overview] | Percentage of Participants With FPG <5.6 mmol/L (<100 mg/dL) at Month 6 Endpoint |
NCT01499095 (12) [back to overview] | Percentage of Participants With At Least One Severe and/or Confirmed Nocturnal Hypoglycemia From Start of Week 9 to Month 6 Endpoint |
NCT01499095 (12) [back to overview] | Change in Variability of Preinjection SMPG From Baseline to Month 6 Endpoint |
NCT01499095 (12) [back to overview] | Change in Treatment Satisfaction Score Using The Diabetes Treatment Satisfaction Questionnaire (DTSQs) From Baseline to Month 6 Endpoint |
NCT01524705 (4) [back to overview] | HbA1C Levels |
NCT01524705 (4) [back to overview] | Coefficient of Variation at 26 Weeks Minus Coefficient of Variation at Baseline |
NCT01524705 (4) [back to overview] | Weight Change During Trial |
NCT01524705 (4) [back to overview] | Number of Participants With Hypoglycemia |
NCT01569841 (6) [back to overview] | Glycosylated Haemoglobin (HbA1c) |
NCT01569841 (6) [back to overview] | Fasting Plasma Glucose (FPG) |
NCT01569841 (6) [back to overview] | Number of Treatment Emergent Confirmed Hypoglycaemic Episodes |
NCT01569841 (6) [back to overview] | Mean Interstitial Glucose (IG) Based on 14 Days of CGM |
NCT01569841 (6) [back to overview] | Average Time Within Glycaemic Target Range (Above 70 mg/dL and Below 130 mg/dL) |
NCT01569841 (6) [back to overview] | Number of Treatment Emergent Adverse Events (AEs) |
NCT01570751 (6) [back to overview] | Change in FPG From the End of Treatment Period A Until After 4 Weeks of Treatment in Treatment Period B |
NCT01570751 (6) [back to overview] | Change From Baseline (Visit 18) in Glycosylated Haemoglobin (HbA1c) at the End of Each 16 Week Treatment Period |
NCT01570751 (6) [back to overview] | Change From Baseline in Central Laboratory Measured Fasting Plasma Glucose (FPG) at the End of Each 16 Week Treatment Period |
NCT01570751 (6) [back to overview] | Number of Adverse Events (AEs) |
NCT01570751 (6) [back to overview] | Change in Patient Reported Outcome (PRO) Scores From Baseline to the End of Each 16 Week Treatment Period |
NCT01570751 (6) [back to overview] | Change in PRO Scores From the End of Treatment Period A Until After 4 Weeks of Treatment in Treatment Period B |
NCT01582451 (19) [back to overview] | Fasting Blood Glucose (FBG) (by Self Monitoring) |
NCT01582451 (19) [back to overview] | Change From Baseline in Lipid Profile |
NCT01582451 (19) [back to overview] | Insulin Dose Per Kilogram of Body Weight |
NCT01582451 (19) [back to overview] | Rate of Total and Nocturnal Hypoglycemia Events (Adjusted by 30 Days) |
NCT01582451 (19) [back to overview] | Percentage of Participants With HbA1c Equal to or Less Than (≤) 6.5% and Less Than (<) 7.0% |
NCT01582451 (19) [back to overview] | Fasting Serum Glucose (FSG) (by Laboratory) |
NCT01582451 (19) [back to overview] | HbA1c |
NCT01582451 (19) [back to overview] | Percentage of Participants That Have Total and Nocturnal Hypoglycemic Events |
NCT01582451 (19) [back to overview] | Intra-participant Variability in Fasting Blood Glucose (FBG) |
NCT01582451 (19) [back to overview] | Insulin Treatment Satisfaction Questionnaire (ITSQ) Score |
NCT01582451 (19) [back to overview] | Percentage of Participants With HbA1c <7.0% and Without Nocturnal Hypoglycemia |
NCT01582451 (19) [back to overview] | Adult Low Blood Sugar Survey (LBSS) Score |
NCT01582451 (19) [back to overview] | Change From Baseline to 26-week Endpoint in Hemoglobin A1c (HbA1c) |
NCT01582451 (19) [back to overview] | Change From Baseline to 52 Weeks in HbA1c |
NCT01582451 (19) [back to overview] | European Quality of Life - 5 Dimension (EuroQol-5D) Score |
NCT01582451 (19) [back to overview] | Number of Insulin Dose Adjustments to Steady-state |
NCT01582451 (19) [back to overview] | Number of Participants With Change in Anti-LY2605541 Antibodies |
NCT01582451 (19) [back to overview] | 6-point Self-monitored Blood Glucose (SMBG) |
NCT01582451 (19) [back to overview] | Change From Baseline in Body Weight |
NCT01584232 (6) [back to overview] | Change From Baseline in Fasting Blood Glucose (FBG) at 26 Weeks |
NCT01584232 (6) [back to overview] | Change From Baseline in Glycosylated Hemoglobin (HbA1c) at 26 Weeks |
NCT01584232 (6) [back to overview] | Percentage of Participants With Hypoglycemic Episodes |
NCT01584232 (6) [back to overview] | Change From Baseline in 8-Point Self-Monitored Blood Glucose (SMBG) at 26 Weeks |
NCT01584232 (6) [back to overview] | Percentage of Participants Who Achieved Glycosylated Hemoglobin (HbA1c) <=6.5% or <7% at 26 Weeks |
NCT01584232 (6) [back to overview] | Change From Baseline in Body Weight at 26 Weeks |
NCT01596504 (17) [back to overview] | Change From Baseline to Day 57 in Waist Circumference |
NCT01596504 (17) [back to overview] | Change From Baseline to Day 55 in Gastric Emptying Coefficient |
NCT01596504 (17) [back to overview] | Change From Baseline to Day 56 in Plasma Glucose Corrected AUC From Time 0.5 Hours to 5.5 Hours |
NCT01596504 (17) [back to overview] | Change From Baseline to Day 56 in PPG Excursion |
NCT01596504 (17) [back to overview] | Change From Baseline to Day 57 in Body Weight |
NCT01596504 (17) [back to overview] | Change From Baseline to Day 55 in Gastric Emptying Half Life (t1/2) |
NCT01596504 (17) [back to overview] | Change From Baseline to Day 57/58 in 24-Hour Mean Heart Rate |
NCT01596504 (17) [back to overview] | Change From Baseline to Day 56 in Average Daily Insulin Glargine Dose |
NCT01596504 (17) [back to overview] | Number of Participants With 2-Hour Post-prandial Plasma Glucose (PPG) <7.77 (mmol/L) at Day 56 |
NCT01596504 (17) [back to overview] | Change From Baseline to Day 56 in the Cumulative Score Mean on the Appetite Perception Using a Visual Analogue Scale After Standardized Solid Breakfast |
NCT01596504 (17) [back to overview] | Change From Baseline to Day 57/58 in 24-Hour Mean Systolic Blood Pressure and Diastolic Blood Pressure |
NCT01596504 (17) [back to overview] | Change From Baseline to Day 56 in Average 7-Point Self-Monitored Plasma Glucose (SMPG) |
NCT01596504 (17) [back to overview] | Change From Baseline to Day 56 in Corrected C-Peptide AUC From Time 0.5 Hours to 5.5 Hours |
NCT01596504 (17) [back to overview] | Change From Baseline to Day 56 in Corrected Glucagon AUC From Time 0.5 Hours to 5.5 Hours |
NCT01596504 (17) [back to overview] | Change From Baseline to Day 56 in Fasting Plasma Glucose (FPG) |
NCT01596504 (17) [back to overview] | Change From Baseline to Day 56 in HbA1c |
NCT01596504 (17) [back to overview] | Change From Baseline to Day 56 in Plasma Glucose Corrected Area Under The Plasma Concentration-Time Curve (AUC) From Time 0.5 Hours to 4.5 Hours |
NCT01600950 (4) [back to overview] | Total Glucose Infused (Gtot) |
NCT01600950 (4) [back to overview] | Time of Maximum Glucose Infusion Rate (tRmax) |
NCT01600950 (4) [back to overview] | Pharmacodynamics: Duration of Action of LY2963016 and Lantus |
NCT01600950 (4) [back to overview] | Maximum Glucose Infusion Rate (Rmax) |
NCT01621178 (29) [back to overview] | Rate of Hypoglycemic Events (HE) |
NCT01621178 (29) [back to overview] | Change From Baseline in FG |
NCT01621178 (29) [back to overview] | Change From Baseline in HbA1c |
NCT01621178 (29) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) |
NCT01621178 (29) [back to overview] | Change From Baseline in Mean Daily Insulin Lispro Dose |
NCT01621178 (29) [back to overview] | Change From Baseline in sCr |
NCT01621178 (29) [back to overview] | Change From Baseline in Serum Creatinine (sCr) |
NCT01621178 (29) [back to overview] | Change From Baseline in UACR |
NCT01621178 (29) [back to overview] | Percentage of Participants With Self-Reported Hypoglycemic Events (HE) |
NCT01621178 (29) [back to overview] | Rate of Hypoglycemic Events |
NCT01621178 (29) [back to overview] | Percentage of Participants Whose HbA1c is <8.0% |
NCT01621178 (29) [back to overview] | Change From Baseline in 8-Point Self-Monitored Plasma Glucose (SMPG) |
NCT01621178 (29) [back to overview] | Change From Baseline in 8-Point SMPG |
NCT01621178 (29) [back to overview] | Change From Baseline in Body Weight |
NCT01621178 (29) [back to overview] | Change From Baseline in Body Weight |
NCT01621178 (29) [back to overview] | Change From Baseline in eCrCl |
NCT01621178 (29) [back to overview] | Change From Baseline in eGFR |
NCT01621178 (29) [back to overview] | Change From Baseline in Estimated Creatinine Clearance (eCrCl) |
NCT01621178 (29) [back to overview] | Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) |
NCT01621178 (29) [back to overview] | Change From Baseline in Fasting Glucose (FG) |
NCT01621178 (29) [back to overview] | Change From Baseline in Urinary Albumin to Creatinine Ratio (UACR) |
NCT01621178 (29) [back to overview] | Change in Mean Daily Insulin Lispro Dose |
NCT01621178 (29) [back to overview] | Percentage of Participants Whose HbA1c is <7.0% |
NCT01621178 (29) [back to overview] | Percentage of Participants Whose HbA1c Was <7.0% |
NCT01621178 (29) [back to overview] | Percentage of Participants Whose HbA1c Was <8.0% |
NCT01621178 (29) [back to overview] | Percentage of Participants With Estimated Average Glucose <154 mg/dL |
NCT01621178 (29) [back to overview] | Percentage of Participants With Estimated Average Glucose <154 mg/dL |
NCT01621178 (29) [back to overview] | Participants With Events of Allergic/Hypersensitivity Reactions |
NCT01621178 (29) [back to overview] | Percentage of Participants With Self-Reported Hypoglycemic Events (HE) |
NCT01634165 (6) [back to overview] | Pharmacokinetics: Maximum Serum LY2963016 or Lantus Concentration (Cmax) |
NCT01634165 (6) [back to overview] | Pharmacokinetics: Area Under the Serum Concentration-Time Curve (AUC) From Time Zero to Last Measured Concentration Value [AUC(0-tlast)] of LY2963016 or Lantus |
NCT01634165 (6) [back to overview] | Maximum Glucose Infusion Rate (Rmax) |
NCT01634165 (6) [back to overview] | Total Amount of Glucose Infused (Gtot) |
NCT01634165 (6) [back to overview] | Pharmacokinetics: Area Under the Serum LY2963016 or Lantus Concentration-Time Curve (AUC) From Zero to Infinity [AUC(0-∞)] |
NCT01634165 (6) [back to overview] | Pharmacokinetics: Area Under the Serum Concentration-Time Curve From Time Zero to 24 Hours [AUC(0-24)] of LY2963016 or Lantus |
NCT01648582 (22) [back to overview] | Change in Body Mass Index |
NCT01648582 (22) [back to overview] | EQ-5D Health State Score Responses |
NCT01648582 (22) [back to overview] | Percentages of Participants Developing Treatment-Emergent Dulaglutide Anti-drug Antibody (ADA) |
NCT01648582 (22) [back to overview] | Percentage of Participants Attaining HbA1c of <7% or ≤6.5% at 26 Weeks and 52 Weeks |
NCT01648582 (22) [back to overview] | Change From Baseline in Glycosylated Hemoglobin (HbA1c) at 26 Weeks |
NCT01648582 (22) [back to overview] | Change From Baseline to 26 Weeks and 52 Weeks on Blood Pressure (BP) |
NCT01648582 (22) [back to overview] | Number of Participants With Adjudicated Cardiovascular (CV) Events |
NCT01648582 (22) [back to overview] | Number of Participants With Adjudicated Pancreatitis |
NCT01648582 (22) [back to overview] | Change From Baseline at 26 Weeks and 52 Weeks on Pulse Rate |
NCT01648582 (22) [back to overview] | Change From Baseline in 7-point Self-monitored Blood Glucose (SMBG) Profiles at 26 Weeks and 52 Weeks |
NCT01648582 (22) [back to overview] | Number of Self-reported Hypoglycemic Events |
NCT01648582 (22) [back to overview] | Change From Baseline in HbA1c at 52 Weeks |
NCT01648582 (22) [back to overview] | Change From Baseline in Electrocardiogram Parameters, Heart Rate (HR) |
NCT01648582 (22) [back to overview] | Change From Baseline in Electrocardiogram Parameters, Fridericia Corrected QT (QTcF) Interval and PR Interval |
NCT01648582 (22) [back to overview] | Change From Baseline in Body Weight |
NCT01648582 (22) [back to overview] | Change From Baseline in EQ-5D Visual Analog Scale Score |
NCT01648582 (22) [back to overview] | Change From Baseline in Homeostasis Model Assessment 2 Steady-state Beta (β)- Cell Function (HOMA2-%B) at 26 Weeks and 52 Weeks |
NCT01648582 (22) [back to overview] | Change From Baseline in Pancreatic Enzymes |
NCT01648582 (22) [back to overview] | Change From Baseline in Fasting Blood Glucose (FBG) at 26 Weeks and 52 Weeks |
NCT01648582 (22) [back to overview] | Rate of Hypoglycemic Events |
NCT01648582 (22) [back to overview] | Change From Baseline in Homeostasis Model Assessment 2 Insulin Sensitivity - Cell Function (HOMA2-%S) at 26 Weeks and 52 Weeks |
NCT01648582 (22) [back to overview] | Change From Baseline in Serum Calcitonin |
NCT01654380 (3) [back to overview] | Part B: Glycodynamics: Maximum Rate of Glucose Disposal |
NCT01654380 (3) [back to overview] | Part B: Glucodynamics: Endogenous Glucose Output |
NCT01654380 (3) [back to overview] | Part B: Glycodynamics: Glucose Disposal |
NCT01658579 (10) [back to overview] | Percentage of Time Above the Upper Limit of Glycemic Range (Greater Than [>] 7.8 mmol/L [(140 mg/dL]) |
NCT01658579 (10) [back to overview] | Percentage of Time Below The Lower Limit of Glycemic Range (<4.4 mmol/L [80 mg/dL]) |
NCT01658579 (10) [back to overview] | Evaluation of Diurnal Glucose Exposure, Variability, and Stability |
NCT01658579 (10) [back to overview] | Percentage of Time in Target Plasma Glucose Range (4.4-7.8 mmol/L [80-140 mg/dL]) |
NCT01658579 (10) [back to overview] | Change in HbA1c From Baseline to Week 8 and 16 |
NCT01658579 (10) [back to overview] | Change in Fasting Plasma Glucose (FPG) From Baseline to Week 8 and 16 |
NCT01658579 (10) [back to overview] | Percentage of Participants With Hypoglycemia (All and Nocturnal) Events From Baseline Up to Week 16 |
NCT01658579 (10) [back to overview] | Change in Basal Insulin Daily Dose From Baseline to Week 8 and 16 |
NCT01658579 (10) [back to overview] | Percentage of Time in Target Plasma Glucose Range (4.4-7.8 mmol/L [80-140 mg/dL]) in the Last Four Hours of Each Dosing Interval at Weeks 7 and 8 in Period A and Weeks 15 and 16 in Period B |
NCT01658579 (10) [back to overview] | Change in Average 7-Point Self-Monitored Plasma Glucose (SMPG) Profile From Baseline to Week 8 and 16 |
NCT01676220 (13) [back to overview] | Change in 24-hour Average 8-point SMPG Profile From Baseline to Month 6 Endpoint |
NCT01676220 (13) [back to overview] | Change in Daily Basal Insulin Dose From Baseline to Month 6 |
NCT01676220 (13) [back to overview] | Change in Fasting Plasma Glucose (FPG) From Baseline to Month 6 Endpoint |
NCT01676220 (13) [back to overview] | Change in HbA1c From Baseline to Month 6 Endpoint |
NCT01676220 (13) [back to overview] | Change in Preinjection Self-Monitored Plasma Glucose (SMPG) From Baseline to Month 6 Endpoint |
NCT01676220 (13) [back to overview] | Change in Total Treatment Satisfaction Score Using The Diabetes Treatment Satisfaction Questionnaire (DTSQs) From Baseline to Month 6 Endpoint |
NCT01676220 (13) [back to overview] | Change in Variability of 24 Hour Average 8-point SMPG Profiles From Baseline to Month 6 Endpoint |
NCT01676220 (13) [back to overview] | Percentage of Participants With FPG <5.6 mmol/L (100 mg/dL) at Month 6 |
NCT01676220 (13) [back to overview] | Percentage of Participants With At Least One Severe and/or Confirmed Nocturnal Hypoglycemia From Start of Week 9 to Month 6 |
NCT01676220 (13) [back to overview] | Percentage of Participants With Hypoglycemia (All and Nocturnal) Events From Baseline up to Month 12 |
NCT01676220 (13) [back to overview] | Change in 8-Point SMPG Profiles Per Time Point From Baseline to Month 6 |
NCT01676220 (13) [back to overview] | Variability of Preinjection SMPG at Month 6 Endpoint |
NCT01676220 (13) [back to overview] | Percentage of Participants With HbA1c <7% at Month 6 |
NCT01682759 (8) [back to overview] | Percentage of Participants Who Experienced at Least One Adverse Event Excluding Data After Glycemic Rescue |
NCT01682759 (8) [back to overview] | Percentage of Participants Who Discontinued From the Study Due to an Adverse Event Excluding Data After Glycemic Rescue |
NCT01682759 (8) [back to overview] | Percentage of Participants Achieving a Hemoglobin A1C of <7.0% at Week 54 |
NCT01682759 (8) [back to overview] | Percentage of Participants Achieving a Hemoglobin A1C of <6.5% at Week 54 |
NCT01682759 (8) [back to overview] | Change From Baseline in Hemoglobin A1C at Week 54 |
NCT01682759 (8) [back to overview] | Change From Baseline in Fasting Plasma Glucose at Week 54 |
NCT01682759 (8) [back to overview] | Change From Baseline in Body Weight at Week 54 Excluding Data After Gylcemic Rescue |
NCT01682759 (8) [back to overview] | Percentage of Participants With an Adverse Event of Symptomatic Hypoglycemia Excluding Data After Glycemic Rescue |
NCT01683266 (12) [back to overview] | Percentage of Participants With Fasting Plasma Glucose (FPG) <5.6 mmol/L (100 mg/dL) At Month 6 |
NCT01683266 (12) [back to overview] | Percentage of Participants With HbA1c Less Than or Equal to 6.5% at Month 6 Endpoint |
NCT01683266 (12) [back to overview] | Percentage of Participants With HbA1c <7% at Month 6 Endpoint |
NCT01683266 (12) [back to overview] | Percentage of Participants With FPG <7.2 mmol/L (130 mg/dL) at Month 6 Endpoint |
NCT01683266 (12) [back to overview] | Change in Variability of Pre-injection SMPG From Baseline to Month 6 Endpoint |
NCT01683266 (12) [back to overview] | Change in Total Treatment Satisfaction Score Using The Diabetes Treatment Satisfaction Questionnaire (DTSQs) From Baseline to Month 6 Endpoint |
NCT01683266 (12) [back to overview] | Change In HbA1c From Baseline to Month 6 Endpoint |
NCT01683266 (12) [back to overview] | Change in Fasting Plasma Glucose From Baseline to Month 6 Endpoint |
NCT01683266 (12) [back to overview] | Change in Daily Average Total Insulin Dose From Baseline to Month 6 Endpoint |
NCT01683266 (12) [back to overview] | Percentage of Participants With Hypoglycemia (All and Nocturnal) Events From Baseline to Month 12 |
NCT01683266 (12) [back to overview] | Change In Average Pre-Injection Self-Monitored Plasma Glucose (SMPG) From Baseline Month 6 Endpoint |
NCT01683266 (12) [back to overview] | Change in 8--Point SMPG Profiles Per Time Point From Baseline to Month 6 Endpoint |
NCT01688635 (4) [back to overview] | Total Amount of Glucose Infused (Gtot) Over the Duration of Clamp Procedure |
NCT01688635 (4) [back to overview] | Pharmacokinetics (PK): Maximum Plasma Concentration (Cmax) of LY2963016 and US-Approved Lantus |
NCT01688635 (4) [back to overview] | Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of LY2963016 and US-Approved Lantus |
NCT01688635 (4) [back to overview] | Maximum Glucose Infusion Rate (Rmax) |
NCT01755156 (19) [back to overview] | Percentage of Participants Who Experienced an Adverse Event Which Were Included Under the System Order Class of Investigations (Phase A+B) |
NCT01755156 (19) [back to overview] | Percentage of Participants Who Discontinued Study Drug Due to an Adverse Event (Phase A+B) |
NCT01755156 (19) [back to overview] | Kaplan-Meier Estimate of Cumulative Incidence of Participants Requiring Glycemic Rescue Therapy by 24 Weeks (Phase A) |
NCT01755156 (19) [back to overview] | Kaplan-Meier Estimate of Cumulative Incidence of Participants Requiring Glycemic Rescue Therapy by 104 Weeks (Phase A+B) |
NCT01755156 (19) [back to overview] | Change From Baseline in PMG Total Area Under the Plasma Concentration Time Curve (AUC) at Week 24 (Phase A) |
NCT01755156 (19) [back to overview] | Percentage of Participants Attaining A1C Glycemic Goals of <7.0% After 24 Weeks of Treatment (Phase A) |
NCT01755156 (19) [back to overview] | Change From Baseline in 2-hour Post-meal Glucose (PMG) at Week 24 (Phase A) |
NCT01755156 (19) [back to overview] | Change From Baseline in A1C at Week 104 (Phase A+B) |
NCT01755156 (19) [back to overview] | Change From Baseline in Fasting Insulin at Week 104 (Phase A+B) |
NCT01755156 (19) [back to overview] | Change From Baseline in Glycosylated Hemoglobin (A1C) at Week 24 (Phase A) |
NCT01755156 (19) [back to overview] | Change From Baseline in Fasting Insulin at Week 24 (Phase A) |
NCT01755156 (19) [back to overview] | Percentage of Participants Attaining A1C Glycemic Goals of <7% After 104 Weeks of Treatment (Phase A+B) |
NCT01755156 (19) [back to overview] | Percentage of Participants Attaining A1C Glycemic Goals of <6.5% After 104 Weeks of Treatment (Phase A+B) |
NCT01755156 (19) [back to overview] | Percentage of Participants Requiring Glycemic Rescue Therapy at or Before Week 104 (Phase A+B) |
NCT01755156 (19) [back to overview] | Percentage of Participants Requiring Glycemic Rescue Therapy at or Before Week 24 (Phase A) |
NCT01755156 (19) [back to overview] | Percentage of Participants Who Experienced at Least One Adverse Event (Phase A+B) |
NCT01755156 (19) [back to overview] | Change From Baseline in FPG at Week 104 (Phase A+B) |
NCT01755156 (19) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 (Phase A) |
NCT01755156 (19) [back to overview] | Percentage of Participants Attaining A1C Glycemic Goals of <6.5% After 24 Weeks of Treatment (Phase A) |
NCT01768559 (15) [back to overview] | Change in Body Weight From Baseline to Week 26 |
NCT01768559 (15) [back to overview] | Change in Average 7-point SMPG Profiles From Baseline to Week 26 |
NCT01768559 (15) [back to overview] | Change in FPG From Baseline to Week 26 |
NCT01768559 (15) [back to overview] | Change in Glucose Excursions From Baseline to Week 26 (in Participants Who Had an Injection of IMP Before Breakfast) |
NCT01768559 (15) [back to overview] | Change in Insulin Glargine Dose From Baseline to Week 26 |
NCT01768559 (15) [back to overview] | Change in PPG From Baseline to Week 26 (in Participants Who Had an Injection of Investigational Medicinal Product [IMP] Before Breakfast) |
NCT01768559 (15) [back to overview] | Insulin Glulisine Dose at Week 26 |
NCT01768559 (15) [back to overview] | Percentage of Participants Who Reached the Target of HbA1c <7% at Week 26 and Did Not Experienced Documented (Plasma Glucose <60 mg/dL) Symptomatic Hypoglycemia During 26 Week Treatment Period |
NCT01768559 (15) [back to overview] | Percentage of Participants Who Reached the Target of HbA1c <7%, Had no Weight Gain at Week 26, and Did Not Experience Documented (Plasma Glucose <60 mg/dL) Symptomatic Hypoglycemia During 26-Week Treatment Period |
NCT01768559 (15) [back to overview] | Percentage of Participants With no Weight Gain at Week 26 |
NCT01768559 (15) [back to overview] | Total Insulin Dose at Week 26 |
NCT01768559 (15) [back to overview] | Percentage of Participants With Documented Symptomatic and Severe Symptomatic Hypoglycemia |
NCT01768559 (15) [back to overview] | Percentage of Participants With HbA1c Level <7% and ≤6.5% at Week 26 |
NCT01768559 (15) [back to overview] | Change in HbA1c From Baseline to Week 26 |
NCT01768559 (15) [back to overview] | Percentage of Participants Who Reached the Target of HbA1c <7% and Had no Weight Gain at Week 26 |
NCT01769404 (7) [back to overview] | Amount of Glucose Required to Reach Blood Glucose (BG) of 72 mg/dL |
NCT01769404 (7) [back to overview] | Concentration of Cortisol |
NCT01769404 (7) [back to overview] | Concentration of Epinephrine |
NCT01769404 (7) [back to overview] | Concentration of Glucagon |
NCT01769404 (7) [back to overview] | Amount of Glucose Required to Maintain BG of 72 mg/dL |
NCT01769404 (7) [back to overview] | Concentration of Growth Hormone |
NCT01769404 (7) [back to overview] | Concentration of Norepinephrine |
NCT01771250 (4) [back to overview] | VLDL-TG Secretion Rate |
NCT01771250 (4) [back to overview] | Very Low Density Lipoprotein-Triglyceride (VLDL-TG) Concentrations |
NCT01771250 (4) [back to overview] | VLDL-TG Clearance Rate |
NCT01771250 (4) [back to overview] | VLDL-TG Oxidation Rate |
NCT01779362 (4) [back to overview] | ACPRg |
NCT01779362 (4) [back to overview] | Insulin Sensitivity, M/I |
NCT01779362 (4) [back to overview] | ß-cell Function Measured by Hyperglycemic Clamp Techniques at M12 |
NCT01779362 (4) [back to overview] | ß-cell Response Measured by Hyperglycemic Clamp |
NCT01779375 (5) [back to overview] | Clamp Measure of Insulin Sensitivity |
NCT01779375 (5) [back to overview] | M/I |
NCT01779375 (5) [back to overview] | ß-cell Function Measured by Hyperglycemic Clamp Techniques at M12 |
NCT01779375 (5) [back to overview] | ß-cell Response Measured by Hyperglycemic Clamp |
NCT01779375 (5) [back to overview] | ACPRg |
NCT01784211 (5) [back to overview] | Part B: Pharmacokinetics: AUCτ of LY2605541 and Insulin Glargine: Exercise Versus Non-Exercise |
NCT01784211 (5) [back to overview] | Part A: Pharmacokinetics: Maximum Drug Concentration (Cmax) of LY2605541 and Insulin Glargine: Intra-Participant Variability |
NCT01784211 (5) [back to overview] | Part A: Pharmacodynamics: Total Amount of Glucose Infused Over the Duration of the Clamp (Gtot): Intra-Participant Variability |
NCT01784211 (5) [back to overview] | Part A: Pharmacokinetics: Area Under the Concentration Versus Time Curve Over the Dosing Interval (AUCτ) of LY2605541 and Insulin Glargine: Intra-Participant Variability |
NCT01784211 (5) [back to overview] | Part B: Pharmacokinetics: Cmax of LY2605541 and Insulin Glargine: Exercise Versus Non-Exercise |
NCT01792830 (5) [back to overview] | Number of Participants Experiencing a Hyperglycemic Event |
NCT01792830 (5) [back to overview] | Efficacy, Measured by a Change in HbA1c Levels |
NCT01792830 (5) [back to overview] | The Number of Participants Experiencing a Severe Hypoglycemic Event |
NCT01792830 (5) [back to overview] | The Number of Participants Experiencing a Hypoglycemic Event |
NCT01792830 (5) [back to overview] | Number of Participants Readmitted to the Hospital |
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 |
NCT01810952 (5) [back to overview] | Percent of Glucose Determinations >180 mg/dL |
NCT01810952 (5) [back to overview] | Glucose Values <70 mg/dL. |
NCT01819129 (4) [back to overview] | Number of Treatment Emergent Confirmed Hypoglycaemic Episodes |
NCT01819129 (4) [back to overview] | Change From Baseline in 2-hour PPG Increment (Meal Test) |
NCT01819129 (4) [back to overview] | Change From Baseline in Body Weight |
NCT01819129 (4) [back to overview] | Change From Baseline in HbA1c |
NCT01845831 (11) [back to overview] | Change in HbA1C |
NCT01845831 (11) [back to overview] | Total Daily Insulin Dose |
NCT01845831 (11) [back to overview] | Mean Percentage of Blood Glucose Readings Greater Than 13.3 mmol/L |
NCT01845831 (11) [back to overview] | Mean Percentage of Blood Glucose Readings Between 5.6 - 7.8 mmol/L |
NCT01845831 (11) [back to overview] | Mean Percentage of Blood Glucose Readings Between 3.9 - 7.8 mmol/L |
NCT01845831 (11) [back to overview] | Length of Hospital Stay |
NCT01845831 (11) [back to overview] | Acute Renal Failure Rate |
NCT01845831 (11) [back to overview] | Mean Blood Glucose Concentration After First Day of Treatment |
NCT01845831 (11) [back to overview] | Hospital Mortality Rate |
NCT01845831 (11) [back to overview] | Number of Participants With a Hypoglycemic Event |
NCT01845831 (11) [back to overview] | Mean Percentage of Blood Glucose Readings Between 3.9 - 10.0 mmol/L |
NCT01849289 (6) [back to overview] | Within-subject Variability as Measured by Coefficient of Variation (CV%) in Pre-breakfast SMPG (Self-measured Plasma Glucose) |
NCT01849289 (6) [back to overview] | Change From Baseline in FPG (Fasting Plasma Glucose) (Analysed by Central Laboratory) |
NCT01849289 (6) [back to overview] | Change From Baseline in HbA1c (%) (Analysed by Central Laboratory) |
NCT01849289 (6) [back to overview] | Number of Severe and Minor Treatment Emergent Hypoglycaemic Episodes |
NCT01849289 (6) [back to overview] | Number of Treatment Emergent AEs (Adverse Events) |
NCT01849289 (6) [back to overview] | Responder for HbA1c (Below 7.0%) at End of Trial Without Severe and Minor Hypoglycaemic Episodes |
NCT01894568 (18) [back to overview] | Percentage of Participants With Total and Nocturnal Hypoglycemic Events (HE) |
NCT01894568 (18) [back to overview] | Change From Baseline of European Quality of Life-5 Dimensions - 3 Levels (EuroQoL-5D-3L ) Index Score and Visual Analog Scale (VAS) Health State Score at Week 26 |
NCT01894568 (18) [back to overview] | Concentration of Triglycerides, Total Cholesterol, Low-Density Lipoprotein (LDL-C), and High-Density Lipoprotein Cholesterol (HDL-C) at Week 26 |
NCT01894568 (18) [back to overview] | Fasting Blood Glucose (FBG) |
NCT01894568 (18) [back to overview] | Fasting Serum Glucose (FSG) |
NCT01894568 (18) [back to overview] | Change From Baseline to 12 Weeks in Hemoglobin A1c (HbA1c) |
NCT01894568 (18) [back to overview] | Change From Baseline to 26 Weeks in Adult Low Blood Sugar Survey (LBSS) Scores |
NCT01894568 (18) [back to overview] | Change From Baseline to Week 26 in Body Weight |
NCT01894568 (18) [back to overview] | Change From Baseline to Week 26 in Hemoglobin A1c (HbA1c) |
NCT01894568 (18) [back to overview] | Percent Hemoglobin A1c at Week 26 |
NCT01894568 (18) [back to overview] | Intra-Participant Variability of the Fasting Blood Glucose (FBG) |
NCT01894568 (18) [back to overview] | Percentage of Participants With Detectable Anti-Insulin Peglispro Antibodies at Week 26 |
NCT01894568 (18) [back to overview] | Percentage of Participants With HbA1c ≤6.5% |
NCT01894568 (18) [back to overview] | Insulin Dose Per Kilogram (kg) of Body Weight |
NCT01894568 (18) [back to overview] | 30-Day Adjusted Rate of Total and Nocturnal Hypoglycemic Events |
NCT01894568 (18) [back to overview] | 9-Point Self-Monitored Blood Glucose (SMBG) |
NCT01894568 (18) [back to overview] | Percentage of Participants Achieving Steady-State of Basal Insulin Dose at 26 Weeks (Time to Steady State for Basal Insulin [Stable Maximum Dose]) |
NCT01894568 (18) [back to overview] | Insulin Treatment Satisfaction Questionnaire (ITSQ) Score |
NCT01919489 (15) [back to overview] | Change in Body Weight From Baseline |
NCT01919489 (15) [back to overview] | HbA1c <7.0% and no Hypoglycemia |
NCT01919489 (15) [back to overview] | Hypoglycemic Episodes |
NCT01919489 (15) [back to overview] | Glycemic Control at Hospital Discharge and 6 Months Follow up |
NCT01919489 (15) [back to overview] | Fasting and Postprandial Blood Glucose (BG) Concentration After Follow up of 26 Weeks |
NCT01919489 (15) [back to overview] | Emergency Room Visits and Readmissions |
NCT01919489 (15) [back to overview] | Change in Cardiovascular Risk Factors: Blood Pressure |
NCT01919489 (15) [back to overview] | Change in BMI |
NCT01919489 (15) [back to overview] | Cardiovascular Risk Factor: Heart Rate |
NCT01919489 (15) [back to overview] | Total Daily Dose of Insulin |
NCT01919489 (15) [back to overview] | Self-measured Blood Glucose (SMBG) 7-point Profiles at 26 Weeks Follow up |
NCT01919489 (15) [back to overview] | HbA1c <7.0% and no Weight Gain |
NCT01919489 (15) [back to overview] | HbA1c <7.0% and no Hypoglycemia |
NCT01919489 (15) [back to overview] | Cardiovascular Risk Factor: Lipid Profile |
NCT01919489 (15) [back to overview] | Acute Renal Failure |
NCT01925989 (6) [back to overview] | Change in RQ, Pre-breakfast to Post-breakfast Meal, in T1DM |
NCT01925989 (6) [back to overview] | Basal Metabolic Rate (BMR) for T1DM |
NCT01925989 (6) [back to overview] | Total Number of Minutes of Lipid Oxidation (RQ Below 7.6) in T1DM and Healthy Participants |
NCT01925989 (6) [back to overview] | Sleep Respiratory Quotient (RQ) of Untreated Healthy Participants |
NCT01925989 (6) [back to overview] | Sleep Respiratory Quotient (RQ) in Type 1 Diabetes Mellitus (T1DM) |
NCT01925989 (6) [back to overview] | Lipid Oxidation in T1DM and Healthy Participants |
NCT01952145 (3) [back to overview] | Number of Treatment Emergent Confirmed Hypoglycaemic Episodes |
NCT01952145 (3) [back to overview] | Change From Baseline in Body Weight |
NCT01952145 (3) [back to overview] | Change From Baseline in HbA1c (Glycosylated Haemoglobin) |
NCT01959529 (4) [back to overview] | Change in Glycosylated Haemoglobin (HbA1c) |
NCT01959529 (4) [back to overview] | Occurrence of at Least One EAC Confirmed Severe Hypoglycaemic Episode Within a Subject (Yes/no) |
NCT01959529 (4) [back to overview] | Number of EAC-confirmed Severe Hypoglycaemic Episodes |
NCT01959529 (4) [back to overview] | Time From Randomisation to First Occurrence of a Major Adverse Cardiovascular Event (MACE): Cardiovascular Death, Non-fatal Myocardial Infarction, or Non-fatal Stroke |
NCT02004366 (16) [back to overview] | Subjects With Wound and Other Infections |
NCT02004366 (16) [back to overview] | Hospital Mortality |
NCT02004366 (16) [back to overview] | Length of Hospital Stay |
NCT02004366 (16) [back to overview] | Hypoglycemia <70 mg/dl |
NCT02004366 (16) [back to overview] | Hypoglycemia < 40 mg/dl |
NCT02004366 (16) [back to overview] | Hyperglycemia |
NCT02004366 (16) [back to overview] | Number of Participants Requiring ICU Care During Hospitalization |
NCT02004366 (16) [back to overview] | Hospital Complications |
NCT02004366 (16) [back to overview] | Outpatient Mortality |
NCT02004366 (16) [back to overview] | HbA1c Level |
NCT02004366 (16) [back to overview] | Fasting BG Concentration |
NCT02004366 (16) [back to overview] | Emergency Room Visits |
NCT02004366 (16) [back to overview] | Differences in Glycemic Control |
NCT02004366 (16) [back to overview] | Daily Dose of Insulin |
NCT02004366 (16) [back to overview] | Subjects With Surgical Reinterventions |
NCT02004366 (16) [back to overview] | Acute Renal Failure During Hospitalization |
NCT02006342 (5) [back to overview] | Number of Participants Admitted to the ICU |
NCT02006342 (5) [back to overview] | Intensive Care Unit Length of Stay |
NCT02006342 (5) [back to overview] | Time to Anion Gap Closure |
NCT02006342 (5) [back to overview] | Number of Participants Who Developed Hypoglycemia |
NCT02006342 (5) [back to overview] | Hospital Length of Stay |
NCT02030600 (6) [back to overview] | Number of Treatment Emergent Severe or BG Confirmed Symptomatic Nocturnal Hypoglycaemic Episode During the Maintenance Period |
NCT02030600 (6) [back to overview] | Proportion of Subjects With One or More Severe Hypoglycaemic Episodes During the Maintenance Period |
NCT02030600 (6) [back to overview] | FPG (Fasting Plasma Glucose) |
NCT02030600 (6) [back to overview] | Change From Baseline in HbA1c (Glycosylated Haemoglobin) |
NCT02030600 (6) [back to overview] | Number of Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Maintenance Period |
NCT02030600 (6) [back to overview] | Incidence of Treatment Emergent Adverse Events |
NCT02033889 (49) [back to overview] | Percentage of Participants With an A1C of <6.5% (48 mmol/Mol) at Week 104 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Percentage of Participants With an A1C of <6.5% (48 mmol/Mol) at Week 26 (Logistic Regression Using Multiple Imputation: Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Percentage of Participants With an A1C of <6.5% (48 mmol/Mol) at Week 52 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Percentage of Participants With an A1C of <7% (53 mmol/Mol) at Week 104 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Percentage of Participants With an A1C of <7% (53 mmol/Mol) at Week 26 (Logistic Regression Using Multiple Imputation: Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Percentage of Participants With an A1C of <7% (53 mmol/Mol) at Week 52 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Time to Glycemic Rescue Therapy at Week 26 |
NCT02033889 (49) [back to overview] | Ertugliflozin Plasma Concentrations (ng/mL): Summary Statistics Over Time (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Change From Baseline in A1C at Week 52 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Change From Baseline in Body Weight at Week 104 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Change From Baseline in Body Weight at Week 26 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Change From Baseline in Body Weight at Week 52 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Change From Baseline in Fasting Plasma Glucose at Week 104 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Change From Baseline in Fasting Plasma Glucose at Week 26 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Change From Baseline in Fasting Plasma Glucose at Week 52 (Excluding Rescue Therapy) |
NCT02033889 (49) [back to overview] | Change From Baseline in Sitting Systolic Blood Pressure at Week 52 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Change From Baseline in Sitting Diastolic Blood Pressure at Week 104 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Change From Baseline in Sitting Diastolic Blood Pressure at Week 26 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Change From Baseline in Sitting Diastolic Blood Pressure at Week 52 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Change From Baseline in Sitting Systolic Blood Pressure at Week 104 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Change From Baseline in Sitting Systolic Blood Pressure at Week 26 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Percentage of Participants Receiving Glycemic Rescue Therapy up to Week 26 |
NCT02033889 (49) [back to overview] | Percentage of Participants Receiving Glycemic Rescue Therapy up to Week 52 |
NCT02033889 (49) [back to overview] | Percentage of Participants Receiving Glycemic Rescue Therapy up to Week 104 |
NCT02033889 (49) [back to overview] | Percentage of Participants Experiencing An Adverse Event (AE) (Including Rescue Approach) |
NCT02033889 (49) [back to overview] | Percentage of Participants Discontinuing Study Treatment Due to an AE (Including Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From BMD at Week 104 as Measured by DXA at the Distal Forearm Using Raw Data (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in Bone Biomarker PTH at Week 52 (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in Bone Biomarker PTH at Week 104 (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in Bone Biomarker Procollagen Type I N-terminal Propeptide (P1NP) at Week 26 (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in Bone Biomarker Parathyroid Hormone (PTH) at Week 26 (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in Bone Biomarker P1NP at Week 52 (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in Bone Biomarker P1NP at Week 104 (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in Bone Biomarker CTX at Week 52 (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in Bone Biomarker CTX at Week 104 (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in Bone Biomarker Carboxy-Terminal Cross-Linking Telopeptides of Type I Collagen (CTX) at Week 26 (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in BMD at Week 52 as Measured by DXA at the Total Hip Using Raw Data (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in BMD at Week 52 as Measured by DXA at the Lumbar Spine (L1-L4) Using Raw Data (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in BMD at Week 52 as Measured by DXA at the Femoral Neck Using Raw Data (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in BMD at Week 52 as Measured by DXA at the Distal Forearm Using Raw Data (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in BMD at Week 26 as Measured by DXA at the Total Hip Using Raw Data (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in BMD at Week 26 as Measured by DXA at the Lumbar Spine (L1-L4) Using Raw Data (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in BMD at Week 26 as Measured by DXA at the Femoral Neck Using Raw Data (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in BMD at Week 26 as Measured by DXA at the Distal Forearm Using Raw Data (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in BMD at Week 104 as Measured by DXA at the Total Hip Using Raw Data (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in BMD at Week 104 as Measured by DXA at the Lumbar Spine (L1-L4) Using Raw Data (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Percent Change From Baseline in BMD at Week 104 as Measured by DXA at the Femoral Neck Using Raw Data (Excluding Bone Rescue Approach) |
NCT02033889 (49) [back to overview] | Change From Baseline in A1C at Week 104 (Excluding Rescue Approach) |
NCT02033889 (49) [back to overview] | Change From Baseline in A1C at Week 26 (Excluding Rescue Approach) |
NCT02034513 (6) [back to overview] | Number of Treatment Emergent Severe or BG (Blood Glucose) Confirmed Symptomatic Hypoglycaemic Episodes During the Maintenance Period |
NCT02034513 (6) [back to overview] | Incidence of Treatment Emergent Adverse Events |
NCT02034513 (6) [back to overview] | FPG (Fasting Plasma Glucose) |
NCT02034513 (6) [back to overview] | Change From Baseline in HbA1c (Glycosylated Haemoglobin) |
NCT02034513 (6) [back to overview] | Proportion of Subjects With One or More Severe Hypoglycaemic Episodes During the Maintenance Period |
NCT02034513 (6) [back to overview] | Number of Treatment Emergent Severe or BG Confirmed Symptomatic Nocturnal Hypoglycaemic Episodes During the Maintenance Period |
NCT02058147 (15) [back to overview] | Percentage of Participants With Severe Symptomatic Hypoglycemia |
NCT02058147 (15) [back to overview] | Average Daily Insulin Glargine Dose at Week 30 |
NCT02058147 (15) [back to overview] | Change in 2-Hour Postprandial Plasma Glucose (PPG) From Baseline to Week 30 |
NCT02058147 (15) [back to overview] | Change in Body Weight From Baseline to Week 30 |
NCT02058147 (15) [back to overview] | Change in Fasting Plasma Glucose (FPG) From Baseline to Week 30 |
NCT02058147 (15) [back to overview] | Change in HbA1c From Baseline to Week 30 |
NCT02058147 (15) [back to overview] | Change in Plasma Glucose Excursion From Baseline to Week 30 |
NCT02058147 (15) [back to overview] | Number of Documented Symptomatic Hypoglycemia Events Per Subject-Year |
NCT02058147 (15) [back to overview] | Percentage of Participants Reaching HbA1c <7.0% at Week 30 With No Documented Symptomatic Hypoglycemia (PG ≤ 70 mg/dL [3.9 mmol/L]) During 30-Week Treatment Period |
NCT02058147 (15) [back to overview] | Percentage of Participants Reaching HbA1c <7.0% With No Body Weight Gain at Week 30 |
NCT02058147 (15) [back to overview] | Percentage of Participants Reaching HbA1c <7.0% With No Body Weight Gain at Week 30 and No Documented Symptomatic Hypoglycemia (Plasma Glucose [PG] ≤ 70 mg/dL [3.9 mmol/L]) During 30-Week Treatment Period |
NCT02058147 (15) [back to overview] | Percentage of Participants Requiring Rescue Therapy During 30-Week Treatment Period |
NCT02058147 (15) [back to overview] | Percentage of Participants With Documented Symptomatic Hypoglycemia |
NCT02058147 (15) [back to overview] | Percentage of Participants With HbA1c <7.0% or ≤6.5% at Week 30 |
NCT02058147 (15) [back to overview] | Mean Change in 7-point Self-monitored Plasma Glucose (SMPG) Profile From Baseline to Week 30 |
NCT02058160 (15) [back to overview] | Change in FPG From Baseline to Week 30 |
NCT02058160 (15) [back to overview] | Change in 2-hour PPG From Baseline to Week 30 |
NCT02058160 (15) [back to overview] | Change in 2-hour Plasma Blood Glucose Excursion From Baseline to Week 30 |
NCT02058160 (15) [back to overview] | Number of Documented Symptomatic Hypoglycemia Events Per Subject-Year |
NCT02058160 (15) [back to overview] | Mean Change in 7-point Self-monitored Plasma Glucose (SMPG) Profile From Baseline to Week 30 |
NCT02058160 (15) [back to overview] | Change in Glycated Hemoglobin (HbA1c) From Baseline to Week 30 |
NCT02058160 (15) [back to overview] | Percentage of Participants With Severe Symptomatic Hypoglycemia |
NCT02058160 (15) [back to overview] | Percentage of Participants With HbA1c <7.0% or ≤6.5% at Week 30 |
NCT02058160 (15) [back to overview] | Change in Daily Insulin Glargine Dose From Baseline to Week 30 |
NCT02058160 (15) [back to overview] | Change in Body Weight From Baseline to Week 30 |
NCT02058160 (15) [back to overview] | Percentage of Participants With Documented Symptomatic Hypoglycemia |
NCT02058160 (15) [back to overview] | Percentage of Participants Requiring Rescue Therapy During 30-Week Treatment Period |
NCT02058160 (15) [back to overview] | Percentage of Participants Reaching HbA1c <7.0% With No Documented Symptomatic Hypoglycemia (PG ≤ 70 mg/dL [3.9 mmol/L]) During 30-Week Treatment Period |
NCT02058160 (15) [back to overview] | Percentage of Participants Reaching HbA1c <7.0% With No Body Weight Gain at Week 30 and No Documented Symptomatic Hypoglycemia (Plasma Glucose [PG] ≤ 70 mg/dL [3.9 mmol/L]) During 30-Week Treatment Period |
NCT02058160 (15) [back to overview] | Percentage of Participants Reaching HbA1c <7.0% With No Body Weight Gain at Week 30 |
NCT02059161 (28) [back to overview] | Percentage of Participants With Negative AIA at Baseline Who Develop Confirmed Positive AIA at Any Time Up Through Week 52 |
NCT02059161 (28) [back to overview] | Percentage of Participants With Negative AIA at Baseline Who Develop Confirmed Positive AIA at Any Time Up Through Week 24 |
NCT02059161 (28) [back to overview] | Percentage of Participants With Confirmed Positive AIA Up Through Week 52 |
NCT02059161 (28) [back to overview] | Percentage of Participants With Any Confirmed Positive Anti-insulin Antibody (AIA) at Any Time Up Through Week 24 |
NCT02059161 (28) [back to overview] | Basal Insulin Dose at Week 24 |
NCT02059161 (28) [back to overview] | Percentage of Participants Who Develop Insulin Neutralizing Antibodies Up Through Week 52 |
NCT02059161 (28) [back to overview] | Percentage of Participants Who Develop Insulin Neutralizing Antibodies Up Through Week 24 |
NCT02059161 (28) [back to overview] | Basal Insulin Dose at Week 52 |
NCT02059161 (28) [back to overview] | Basal Insulin Dose Per kg of Body Weight at Week 24 |
NCT02059161 (28) [back to overview] | Basal Insulin Dose Per kg of Body Weight at Week 52 |
NCT02059161 (28) [back to overview] | Bolus Insulin Dose at Week 24 |
NCT02059161 (28) [back to overview] | Bolus Insulin Dose at Week 52 |
NCT02059161 (28) [back to overview] | Bolus Insulin Dose Per kg of Body Weight at Week 24 |
NCT02059161 (28) [back to overview] | Bolus Insulin Dose Per kg of Body Weight at Week 52 |
NCT02059161 (28) [back to overview] | Change From Baseline in 7-point Self-monitored Blood Glucose (SMBG) at Week 24 |
NCT02059161 (28) [back to overview] | Change From Baseline in A1C at Week 52 |
NCT02059161 (28) [back to overview] | Change From Baseline in AIA Titer After 24 Weeks of Treatment |
NCT02059161 (28) [back to overview] | Change From Baseline in AIA Titer After 52 Weeks of Treatment |
NCT02059161 (28) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 |
NCT02059161 (28) [back to overview] | Change From Baseline in 7-point SMBG at Week 52 |
NCT02059161 (28) [back to overview] | Percentage of Participants Attaining A1C Glycemic Goals of <7% and <6.5% After 52 Weeks of Treatment. |
NCT02059161 (28) [back to overview] | Change From Baseline in FPG at Week 52 |
NCT02059161 (28) [back to overview] | Percentage of Participants Attaining A1C Glycemic Goals of <7% and <6.5% After 24 Weeks of Treatment. |
NCT02059161 (28) [back to overview] | Total Insulin Dose Per Kilogram (kg) of Body Weight (Unit/kg) at Week 52 |
NCT02059161 (28) [back to overview] | Total Insulin Dose Per Kilogram (kg) of Body Weight (Unit/kg) at Week 24 |
NCT02059161 (28) [back to overview] | Total Insulin Dose at Week 52 |
NCT02059161 (28) [back to overview] | Total Insulin Dose at Week 24 |
NCT02059161 (28) [back to overview] | Primary: Change From Baseline in Hemoglobin A1c (A1C) at Week 24 |
NCT02059187 (11) [back to overview] | Daily Basal Insulin Dose (Units) at Week 24 |
NCT02059187 (11) [back to overview] | Daily Basal Insulin Dose Per Body Weight (Units/kg) at Week 24 |
NCT02059187 (11) [back to overview] | Change From Baseline in Participant 7-Point Average of Self-Monitored Blood Glucose (SMBG) at Week 24 |
NCT02059187 (11) [back to overview] | Percentage of Participants Experiencing an Adverse Event (AE) of Hypoglycemia Up to Week 24 |
NCT02059187 (11) [back to overview] | Percentage of Participants Experiencing an AE Over the 24-week Treatment Period |
NCT02059187 (11) [back to overview] | Percentage of Participants With Confirmed Anti-Insulin Antibodies (AIA) up to Week 24 |
NCT02059187 (11) [back to overview] | Change From Baseline in Participant Body Weight at Week 24 |
NCT02059187 (11) [back to overview] | Percentage of Participants With Hemoglobin A1C <6.5% at Week 24 |
NCT02059187 (11) [back to overview] | Percentage of Participants With Hemoglobin A1C <7% at Week 24 |
NCT02059187 (11) [back to overview] | Change From Baseline in Participant Fasting Plasma Glucose (FPG) at Week 24 |
NCT02059187 (11) [back to overview] | Change From Baseline in Participant Hemoglobin A1C Level at Week 24 |
NCT02061969 (11) [back to overview] | Mean Fasting Blood Glucose Level |
NCT02061969 (11) [back to overview] | Mortality |
NCT02061969 (11) [back to overview] | Number of Hypoglycemic Events < 40mg/dl |
NCT02061969 (11) [back to overview] | Number of Hypoglycemic Events < 70mg/dl |
NCT02061969 (11) [back to overview] | Number of Participants With Acute Complications |
NCT02061969 (11) [back to overview] | Total Daily Dose of Insulin |
NCT02061969 (11) [back to overview] | Total Number of Emergency Room Visits |
NCT02061969 (11) [back to overview] | Total Number of Hospital Visits |
NCT02061969 (11) [back to overview] | Total Number of Complications |
NCT02061969 (11) [back to overview] | HbA1c |
NCT02061969 (11) [back to overview] | Incidence of Acute Kidney Injury |
NCT02072096 (6) [back to overview] | Change From Baseline in Body Mass Index (BMI) |
NCT02072096 (6) [back to overview] | Change From Baseline of Estimated Glomerular Filtration Rate (eGFR) |
NCT02072096 (6) [back to overview] | Change From Baseline of Urinary Albumin to Creatinine Ratio |
NCT02072096 (6) [back to overview] | Percentage of Participants Achieving and Maintaining Individualized Glycated Hemoglobin A1c (HbA1c) Targets Without Clinically Significant Hypoglycemia |
NCT02072096 (6) [back to overview] | Percentage of Participants Requiring Alternative Treatment Due to Glycemic Failure of First Line Injectable Therapy |
NCT02072096 (6) [back to overview] | Number of Participants With Total Hypoglycemia and Other Categories of Hypoglycemia |
NCT02099110 (8) [back to overview] | Percentage of Participants Who Experienced an Adverse Event (AE): Including Rescue Approach |
NCT02099110 (8) [back to overview] | Percentage of Participants Who Discontinued Study Treatment Due to an AE: Including Rescue Approach |
NCT02099110 (8) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26 - Excluding Rescue Approach |
NCT02099110 (8) [back to overview] | Change From Baseline in Sitting Systolic Blood Pressure at Week 26: Excluding Rescue Approach |
NCT02099110 (8) [back to overview] | Change From Baseline in Static Beta-Cell Sensitivity to Glucose Index at Week 26; Excluding Rescue Approach |
NCT02099110 (8) [back to overview] | Percentage of Participants Achieving a Hemoglobin A1C of <7% (<53 mmol/Mol) (Raw Proportions): Excluding Rescue Approach |
NCT02099110 (8) [back to overview] | Change From Baseline in Body Weight at Week 26: Excluding Rescue Approach |
NCT02099110 (8) [back to overview] | Change From Baseline in A1C at Week 26: Excluding Rescue Approach |
NCT02128932 (8) [back to overview] | Change in Patient Reported Outcome Questionnaires. (PROs), Diabetes Treatment Satisfaction Questionnaire (DTSQs) |
NCT02128932 (8) [back to overview] | Change in Systolic Blood Pressure. |
NCT02128932 (8) [back to overview] | Change in Patient Reported Outcome (PRO) Questionnaire, Questionnaire SF-36v2™ |
NCT02128932 (8) [back to overview] | Subjects Who Achieve HbA1c ≤6.5% (48 mmol/Mol), American Association of Clinical Endocrinologists (AACE) |
NCT02128932 (8) [back to overview] | Change in HbA1c From Baseline |
NCT02128932 (8) [back to overview] | Change in Fasting Plasma Glucose From Baseline |
NCT02128932 (8) [back to overview] | Change in Body Weight From Baseline |
NCT02128932 (8) [back to overview] | Change in Diastolic Blood Pressure. |
NCT02132637 (10) [back to overview] | Pharmacodynamics: Three-Hour Postprandial Glucose Area Under the Concentration Time Curve (AUC) |
NCT02132637 (10) [back to overview] | Percentage of Participants With Hypoglycemia |
NCT02132637 (10) [back to overview] | Fasting Blood Glucose |
NCT02132637 (10) [back to overview] | Time to the Nadir Glucose |
NCT02132637 (10) [back to overview] | Percentage of Participants With Clinically Significant Hypoglycemia 12 Hours Post Double Dose |
NCT02132637 (10) [back to overview] | Percentage of Participants With Clinically Significant Hypoglycemia |
NCT02132637 (10) [back to overview] | Nadir Glucose |
NCT02132637 (10) [back to overview] | Duration of Glucose ≤70 mg/dL |
NCT02132637 (10) [back to overview] | Beta Cell Function |
NCT02132637 (10) [back to overview] | Pharmacodynamics: Three-Hour Postprandial Glucose Area Under the Concentration Time Curve (AUC) Excursion |
NCT02152371 (16) [back to overview] | Percentage of Participants With Self-Reported Events of Hypoglycemia |
NCT02152371 (16) [back to overview] | Number of Participants With Thyroid Tumors/Neoplasms (Including C-Cell Hyperplasia) |
NCT02152371 (16) [back to overview] | Number of Participants With Investigator Reported and Adjudicated Cardiovascular Events |
NCT02152371 (16) [back to overview] | Number of Participants With Dulaglutide Anti-Drug Antibodies |
NCT02152371 (16) [back to overview] | Number of Participants With Adjudicated Acute Pancreatitis Events |
NCT02152371 (16) [back to overview] | Change From Baseline to 28 Weeks in Hemoglobin A1c (HbA1c) |
NCT02152371 (16) [back to overview] | Change From Baseline to 28 Weeks in Fasting Serum Glucose (FSG) |
NCT02152371 (16) [back to overview] | Percentage of Participants Achieving HbA1c Target of <7.0% and Without Weight Gain (<0.1 Kilograms [kg]) at 28 Weeks and Without Documented Symptomatic Hypoglycemia During the Maintenance Period (Weeks 12-28) |
NCT02152371 (16) [back to overview] | Change From Baseline to 28 Weeks in Daily Mean Insulin Glargine Dose |
NCT02152371 (16) [back to overview] | Change From Baseline to 28 Weeks in Body Weight |
NCT02152371 (16) [back to overview] | Percentage of Participants Achieving HbA1c Target of <7.0% and Without Weight Gain (<0.1 kg) |
NCT02152371 (16) [back to overview] | Percentage of Participants Achieving HbA1c Target of <7.0% at 28 Weeks and Without Documented Symptomatic Hypoglycemia During the Maintenance Period (Weeks 12-28) |
NCT02152371 (16) [back to overview] | Percentage of Participants Discontinuing the Study Due to Severe, Persistent Hyperglycemia |
NCT02152371 (16) [back to overview] | Rate of Hypoglycemic Events up to 28 Weeks |
NCT02152371 (16) [back to overview] | Change From Baseline to 28 Weeks in 7-Point Self Monitored Plasma Glucose (SMPG) |
NCT02152371 (16) [back to overview] | Percentage of Participants Achieving HbA1c Targets of <7.0% or ≤6.5% |
NCT02152384 (7) [back to overview] | Pharmacokinetics (PK): Area Under the Concentration Curve (AUC) for Insulin Lispro During Clamp |
NCT02152384 (7) [back to overview] | Pharmacodynamics (PD): Area Under the Concentration Zero Through 5 Hours (AUC 0-5h) for Triglycerides |
NCT02152384 (7) [back to overview] | Pharmacokinetics (PK): Area Under the Concentration Curve From Time Zero to Last Time (AUC [0 Tlast]) for Paracetamol |
NCT02152384 (7) [back to overview] | Pharmacokinetics (PK): Under the Concentration Curve Zero Through 5 Hours (AUC 0-5h) for Prandial Insulin Lispro |
NCT02152384 (7) [back to overview] | Appetite and Satiety Ratings, as Measured Using Visual Analog Scale (VAS) on Day 29 |
NCT02152384 (7) [back to overview] | Pharmacodynamics (PD): Average Glucose Infusion Rate From Euglycemic 2-step Hyperinsulinemic Clamp (M-value) |
NCT02152384 (7) [back to overview] | Pharmacodynamics (PD): Plasma Glucose Area Under the Concentration Curve Zero Through 5 Hours (AUC 0-5h), Above Pre Meal Baseline for Insulin Lispro |
NCT02168491 (3) [back to overview] | Change in Body Weight From Baseline to End of Study |
NCT02168491 (3) [back to overview] | Change in Fasting Plasma Glucose (FPG, Mean Over 2 Weeks) |
NCT02168491 (3) [back to overview] | Change in HbA1c From Baseline to End |
NCT02197520 (5) [back to overview] | Pharmacokinetics (PK): Area Under the Concentration Curve Concentration Curve Zero Through 5 Hours (AUC 0-5h) for Prandial Insulin Lispro |
NCT02197520 (5) [back to overview] | Pharmacodynamics (PD): Plasma Glucose Area Under the Concentration Curve Zero Through 5 Hours (AUC 0-5h), Above Pre Meal Baseline for Insulin Lispro |
NCT02197520 (5) [back to overview] | Pharmacodynamics (PD): Average Glucose Infusion Rate From Euglycemic 2-step Hyperinsulinemic Clamp (M-value) |
NCT02197520 (5) [back to overview] | Pharmacokinetics (PK): Area Under the Concentration Curve Zero Through 5 Hours (AUC 0-5h) for Acetaminophen |
NCT02197520 (5) [back to overview] | Appetite and Satiety Ratings, as Measured Using Visual Analog Scale (VAS) on Day 29 |
NCT02227862 (13) [back to overview] | Change in Cross-reactive Insulin Antibody Percent Binding for Mylan's Insulin Glargine Assay Over Time |
NCT02227862 (13) [back to overview] | Change in Cross-reactive Insulin Antibody Percent Binding for Lantus Assay Over Time |
NCT02227862 (13) [back to overview] | Change From Baseline in FPG Over Time |
NCT02227862 (13) [back to overview] | Change From Baseline in 8-point SMBG Profile Over Time |
NCT02227862 (13) [back to overview] | Change in HbA1c From Baseline to 24 Weeks |
NCT02227862 (13) [back to overview] | Summary of Actual and Change From Baseline in HbA1c |
NCT02227862 (13) [back to overview] | Hypoglycemia Occurrence |
NCT02227862 (13) [back to overview] | Change in Total Insulin Antibody Percent Binding for Mylan's Insulin Glargine Assay Over Time |
NCT02227862 (13) [back to overview] | Change in Total Insulin Antibody Percent Binding for Lantus Assay Over Time |
NCT02227862 (13) [back to overview] | Change in Total Daily Insulin Dose Per Unit Body Weight From Baseline Over Time |
NCT02227862 (13) [back to overview] | Occurrence of Local and Systematic Reactions |
NCT02227862 (13) [back to overview] | Proportion of Patients With HbA1c < 7% |
NCT02227862 (13) [back to overview] | Rate of Hypoglycemic Events Per 30 Days Over Time |
NCT02227875 (7) [back to overview] | Change in Cross-Reactive Insulin Antibody Percent Binding for Lantus Assay Over Time |
NCT02227875 (7) [back to overview] | Change in Cross-Reactive Insulin Antibody Percent Binding for Mylan's Insulin Glargine Assay Over Time |
NCT02227875 (7) [back to overview] | Hypoglycemia Occurrence |
NCT02227875 (7) [back to overview] | Change in Total Insulin Antibody Percent Binding for Lantus Assay Over Time |
NCT02227875 (7) [back to overview] | Rate of Hypoglycemic Events Per 30 Days |
NCT02227875 (7) [back to overview] | Change in Total Insulin Antibody Percent Binding for Mylan's Insulin Glargine Assay Over Time |
NCT02227875 (7) [back to overview] | Change in HbA1c From Baseline to 24 Weeks |
NCT02229227 (40) [back to overview] | Number of Participants With Daytime and Nocturnal Hypoglycemia |
NCT02229227 (40) [back to overview] | Number of Participants With Different Number of Erythrocytes in Urine at Week 0 and Week 26 |
NCT02229227 (40) [back to overview] | Number of Participants With Different Number of Leukocytes in Urine at Week 0 and Week 26 |
NCT02229227 (40) [back to overview] | Number of Participants With Different Values of Potential of Hydrogen (pH) at Week 0 and Week 26 |
NCT02229227 (40) [back to overview] | Number of Participants With Hematology Values of Clinical Concern |
NCT02229227 (40) [back to overview] | Number of Participants With Hypoglycemic Events (in Total and by Each Category as Defined by the American Diabetes Association Criteria) |
NCT02229227 (40) [back to overview] | Number of Participants With On-therapy Adverse Events (AE) and Serious AE (SAE), and AE Leading to Discontinuation of Randomized Study Medication |
NCT02229227 (40) [back to overview] | Number of Participants With Other AE of Special Interest |
NCT02229227 (40) [back to overview] | Number of Participants With Vital Signs of Clinical Concern |
NCT02229227 (40) [back to overview] | Percentage of Participants With Events of Hypoglycemia With Confirmed Home Blood Glucose Monitoring and/or Third-party Intervention Through Week 26 |
NCT02229227 (40) [back to overview] | Total Daily Basal Insulin (Insulin Glargine) at Week 4, 10, 18, and 26 Visits |
NCT02229227 (40) [back to overview] | Total Daily Bolus Insulin (Insulin Lispro) at Week 4, 10, 18, and 26 Visits |
NCT02229227 (40) [back to overview] | Total Daily Insulin Dose at Week 4, Week 10 and Week 18 |
NCT02229227 (40) [back to overview] | Total Number of Weekly Insulin Injections to Achieve Glycemic Control at Baseline/Randomization and Week 4, 10, 18, and 26 |
NCT02229227 (40) [back to overview] | Number of Participants Achieving HbA1c <7.0% up to Week 26 |
NCT02229227 (40) [back to overview] | Mean Albumin at Week 0 and Week 26 |
NCT02229227 (40) [back to overview] | Change From Baseline in Body Weight at Week 26 |
NCT02229227 (40) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26 |
NCT02229227 (40) [back to overview] | Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 26 |
NCT02229227 (40) [back to overview] | Number of Participants Achieving a HbA1c <6.5% at Week 26 |
NCT02229227 (40) [back to overview] | Number of Participants Achieving HbA1c <7.0% at Week 26 |
NCT02229227 (40) [back to overview] | Number of Participants Treated With Once-weekly Albiglutide That Were Able to Discontinue Insulin Lispro at Week 4 and Did Not Meet Prespecified Criteria for Severe, Persistent Hyperglycemia Through Week 26 |
NCT02229227 (40) [back to overview] | Number of Participants Who Met Prespecified Criteria for Severe, Persistent Hyperglycemia at Week 26 |
NCT02229227 (40) [back to overview] | Number of Participants With Hypoglycemia With Blood Glucose <56 Milligrams Per Deciliter (mg/dL) (<3.1 Millimoles Per Liter [mmol/L]), Regardless of Symptoms |
NCT02229227 (40) [back to overview] | Percentage of Participants Achieving HbA1c <7.0% Without Severe or Documented Symptomatic Hypoglycemia at Week 26 |
NCT02229227 (40) [back to overview] | Percentage of Participants Achieving HbA1c <7.0% Without Weight Gain and Without Severe or Documented Hypoglycemia at Week 26 |
NCT02229227 (40) [back to overview] | Percentage of Participants Achieving HbA1c <7.0% Without Weight Gain at Week 26 |
NCT02229227 (40) [back to overview] | Percentage of Participants With Severe or Documented Symptomatic Hypoglycemia Through Week 26 |
NCT02229227 (40) [back to overview] | Total Daily Insulin Dose at Week 26 |
NCT02229227 (40) [back to overview] | Change From Baseline in Total Cholesterol (TC), Low-density Lipoprotein Cholesterol (LDL-c), High Density Lipoprotein (HDL-c), Triglycerides (TG) and Free Fatty Acids (FFA) at Week 10 and Week 26 |
NCT02229227 (40) [back to overview] | Change From Baseline to Week 26 in Body Weight |
NCT02229227 (40) [back to overview] | Change From Baseline to Week 26 in FPG |
NCT02229227 (40) [back to overview] | Change From Baseline to Week 26 in HbA1c |
NCT02229227 (40) [back to overview] | Mean Creatinine at Week 0 and Week 26 |
NCT02229227 (40) [back to overview] | Mean Specific Gravity at Week 0 and Week 26 |
NCT02229227 (40) [back to overview] | Mean Urine Albumin/Creatinine Ratio at Week 0 and Week 26 |
NCT02229227 (40) [back to overview] | Number of Participants Achieving a HbA1c <6.5% up to Week 26 |
NCT02229227 (40) [back to overview] | Number of Participants Meeting Prespecified Criteria for Severe, Persistent Hyperglycemia up to Week 26 |
NCT02229227 (40) [back to overview] | Number of Participants With Clinical Chemistry Values of Clinical Concern |
NCT02229227 (40) [back to overview] | Number of Participants With Clinically Significant Change in Electrocardiogram (ECG) Parameters |
NCT02273180 (9) [back to overview] | Percentage of Participants With Hypersensitivity Reactions and Injection Site Reactions |
NCT02273180 (9) [back to overview] | Number of Hypoglycemia Events (Any Hypoglycemia, Documented Symptomatic Hypoglycemia and Severe Hypoglycemia) Per Participant-Year |
NCT02273180 (9) [back to overview] | Change in Post Prandial Plasma Glucose (PPG) Excursion From Baseline to Week 26 |
NCT02273180 (9) [back to overview] | Change in Daily Insulin Dose From Baseline to Week 26 and Week 52 |
NCT02273180 (9) [back to overview] | Percentage of Participants With Treatment Emergent Anti-insulin Antibodies (AIAs) |
NCT02273180 (9) [back to overview] | Percentage of Participants With HbA1c <7.0% at Week 26 |
NCT02273180 (9) [back to overview] | Change in Mean 24-Hour Plasma Glucose Concentration From Baseline to Week 26 |
NCT02273180 (9) [back to overview] | Change in Fasting Plasma Glucose (FPG) From Baseline to Week 26 |
NCT02273180 (9) [back to overview] | Change in HbA1c From Baseline to Week 26 |
NCT02294474 (9) [back to overview] | Percentage of Participants With HbA1c <7.0% and <=6.5% at Week 26 |
NCT02294474 (9) [back to overview] | Change in Daily Insulin Dose From Baseline to Week 26 |
NCT02294474 (9) [back to overview] | Change in Post Prandial Glucose (PPG) Excursion From Baseline to Week 26 |
NCT02294474 (9) [back to overview] | Change in Mean 24-Hour Plasma Glucose Concentration From Baseline to Week 26 |
NCT02294474 (9) [back to overview] | Percentage of Participants With Hypersensitivity Reactions and Injection Site Reactions |
NCT02294474 (9) [back to overview] | Percentage of Participants With Hypoglycemia (Any Hypoglycemia, Documented Symptomatic Hypoglycemia and Severe Hypoglycemia) |
NCT02294474 (9) [back to overview] | Change in Fasting Plasma Glucose (FPG) From Baseline to Week 26 |
NCT02294474 (9) [back to overview] | Percentage of Participants With Treatment-Emergent Anti-insulin Antibodies (AIAs) |
NCT02294474 (9) [back to overview] | Change in HbA1c From Baseline to Week 26 |
NCT02320721 (12) [back to overview] | Percentage of Participants With Hypoglycemia (Any Hypoglycemia, Documented Symptomatic Hypoglycemia, Severe and/or Confirmed Hypoglycemia) During the 26 Weeks of Treatment |
NCT02320721 (12) [back to overview] | Percentage of Participants With HbA1c <7.5% or HbA1c <7% During 26-Week Randomized Period |
NCT02320721 (12) [back to overview] | Percentage of Participants With HbA1c <7.5% or <7.0% at Week 26 and No Severe and/or Confirmed (≤3.9 mmol/L [70 mg/dL]) Hypoglycemia During 26-Week Randomized Period |
NCT02320721 (12) [back to overview] | Hypoglycemia (Any Hypoglycemia, Documented Symptomatic Hypoglycemia, Severe and/or Confirmed Hypoglycemia) Event Rate Per Participant Year During the 26 Weeks of Treatment |
NCT02320721 (12) [back to overview] | Percentage of Participants With At Least One Severe and/ or Confirmed (≤3.9 mmol/L [70 mg/dL]) Nocturnal Hypoglycemia (22:00 to 08:59 Hours Next Morning) During 26-Week Randomized Period |
NCT02320721 (12) [back to overview] | Percentage of Participants With At Least One Severe and/ or Confirmed (≤3.9 mmol/L [70 mg/dL]) Nocturnal Hypoglycemia (00:00 to 05:59 Hours) During 26-Week Randomized Period |
NCT02320721 (12) [back to overview] | Percentage of Participants With At Least One Severe and/ or Confirmed (≤3.9 mmol/L [70 mg/dL]) Hypoglycemia Occurring at Any Time of the Day During 26-Week Randomized Period |
NCT02320721 (12) [back to overview] | Percentage of Participants Requiring Rescue Therapy Over the 26 Weeks of Treatment |
NCT02320721 (12) [back to overview] | Change in World Health Organization-5 (WHO-5) Well-Being Questionnaire Percentage Score From Baseline to Week 26 |
NCT02320721 (12) [back to overview] | Change in HbA1c From Baseline to Week 26 |
NCT02320721 (12) [back to overview] | Change in Fasting Plasma Glucose (FPG) From Baseline to Week 26 |
NCT02320721 (12) [back to overview] | Hypoglycemia (Any Hypoglycemia, Documented Symptomatic Hypoglycemia, Severe and/or Confirmed Hypoglycemia) Event Rate Per Participant Year: By Age Categorical Data During the 26 Weeks of Treatment |
NCT02408120 (11) [back to overview] | Mean Blood Glucose Levels at Bedtime |
NCT02408120 (11) [back to overview] | Mean Blood Glucose Levels Before Dinner |
NCT02408120 (11) [back to overview] | Mean Blood Glucose Levels Before Lunch |
NCT02408120 (11) [back to overview] | Mean Daily BG Levels |
NCT02408120 (11) [back to overview] | Mortality |
NCT02408120 (11) [back to overview] | Number of Blood Glucose Readings Within 100-140 mg/dL Range |
NCT02408120 (11) [back to overview] | Number of Hypoglycemia Events |
NCT02408120 (11) [back to overview] | Number of Subjects That Experienced Hospital Complications |
NCT02408120 (11) [back to overview] | Mean Daily Dose of Insulin |
NCT02408120 (11) [back to overview] | Average Number of Days of Hospital Stay |
NCT02408120 (11) [back to overview] | Incidence of Hyperglycemia |
NCT02420262 (5) [back to overview] | Responder for HbA1c Below or Equal to 6.5 % |
NCT02420262 (5) [back to overview] | Responder for HbA1c Below 7.0% |
NCT02420262 (5) [back to overview] | Number of Treatment Emergent Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemic Episodes. |
NCT02420262 (5) [back to overview] | Change in Body Weight |
NCT02420262 (5) [back to overview] | Change in HbA1c (Glycosylated Haemoglobin) |
NCT02443402 (28) [back to overview] | Number of Subjects Requiring Re-intubation Within 24 Hours |
NCT02443402 (28) [back to overview] | Number of Subjects Requiring Re-intubation |
NCT02443402 (28) [back to overview] | Number of Subject Requiring Surgical Re-Intervention |
NCT02443402 (28) [back to overview] | Number of Participants With Stress Hyperglycemic Events in the Intensive Care Unit (ICU) |
NCT02443402 (28) [back to overview] | Number of Participants With Severe Hyperglycemic Events During Continuous Insulin Infusion (CII) |
NCT02443402 (28) [back to overview] | Number of Participants With Infections Not Requiring Hospital Re-admission |
NCT02443402 (28) [back to overview] | Number of Participants With Hypoglycemia During Intensive Care Unit (ICU) Stay |
NCT02443402 (28) [back to overview] | Number of Participants With Hypoglycemia After Transition From Intensive Care Unit (ICU) |
NCT02443402 (28) [back to overview] | Number of Participants With Hyperglycemia After Transition From Intensive Care Unit (ICU) |
NCT02443402 (28) [back to overview] | Number of Participants With Emergency Room (ER) Visits |
NCT02443402 (28) [back to overview] | Hospital Complication Rate |
NCT02443402 (28) [back to overview] | Total Insulin Therapy in the Intensive Care Unit (ICU) |
NCT02443402 (28) [back to overview] | Duration of Continuous Intravenous Insulin (CII) |
NCT02443402 (28) [back to overview] | Hospital Mortality Rate |
NCT02443402 (28) [back to overview] | Intensive Care Unit (ICU) Mortality Rate |
NCT02443402 (28) [back to overview] | Length of Hospital Stay After Study Randomization |
NCT02443402 (28) [back to overview] | Length of Stay: Intensive Care Unit (ICU) |
NCT02443402 (28) [back to overview] | Mean Amount of Insulin Therapy in the Intensive Care Unit (ICU) |
NCT02443402 (28) [back to overview] | Number of Participants Re-admitted to the Hospital Due to Wound Infections |
NCT02443402 (28) [back to overview] | Mean Blood Glucose (BG) Concentration After Transition From Intensive Care Unit (ICU) |
NCT02443402 (28) [back to overview] | Mean Daily Intensive Care Unit (ICU) Blood Glucose (BG) Concentration |
NCT02443402 (28) [back to overview] | Mean Units Subcutaneous (SQ) Insulin Required |
NCT02443402 (28) [back to overview] | Need for Continuous Intravenous Insulin (CII) for Treatment of Hyperglycemia |
NCT02443402 (28) [back to overview] | Number of Subjects With Persistent Hyperglycemia |
NCT02443402 (28) [back to overview] | Number of Participants With Blood Glucose Less Than 40 mg/dl |
NCT02443402 (28) [back to overview] | Number of Participants Re-admitted to the Hospital Not Due to Wound Infections |
NCT02443402 (28) [back to overview] | Number of Subjects Requiring the Use of Inotropes for Greater Than 24 Hours |
NCT02443402 (28) [back to overview] | Number of Participants With Cerebrovascular Events |
NCT02451137 (13) [back to overview] | Change From Baseline in Body Weight at Month 6 and Month 12 |
NCT02451137 (13) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) at Month 6 and Month 12 |
NCT02451137 (13) [back to overview] | Change From Baseline in HbA1c at Month 6 and Month 12 |
NCT02451137 (13) [back to overview] | Percentage of Participants Reaching Individualized HbA1c Target Without Documented Symptomatic <=3.9 mmol/L (<= 70 mg/dL) and <3.0 mmol/L (< 54 mg/dL) and/or Severe Hypoglycemia During the 12-Month Randomized Period |
NCT02451137 (13) [back to overview] | Percentage of Participants With at Least One Treatment-Emergent Hypoglycemia Event (Any Time of the Day, Nocturnal) Per Type of Hypoglycaemia During the Month 6 and Month 12 on Treatment Period |
NCT02451137 (13) [back to overview] | Percentage of Participants With Hospitalizations, Emergency Rooms and Specialty Visits From Baseline to Month 6 and Month 12 |
NCT02451137 (13) [back to overview] | Scores of Total Treatment Satisfaction, Hyperglycemia Perception, and Hypoglycemia Perception From Diabetes Treatment Satisfaction Questionnaire Change Version (DTSQc) at Month 12 |
NCT02451137 (13) [back to overview] | Scores of Total Treatment Satisfaction, Hyperglycemia Perception, and Hypoglycemia Perception From Diabetes Treatment Satisfaction Questionnaire Status Version (DTSQs) at Baseline, Month 6, Month 12 |
NCT02451137 (13) [back to overview] | Treatment Persistence Measured by Medication Possession Ratio (MPR) |
NCT02451137 (13) [back to overview] | Percentage of Participants Reaching Individualized HbA1c Target Without Documented Symptomatic <3.0 mmol/L (<54 mg/dL) and/or Severe Hypoglycemia During the 6-Month Randomized Period |
NCT02451137 (13) [back to overview] | Percentage of Participants With Individualized Glycated Hemoglobin Target Attainment Per Healthcare Effectiveness Data and Information Set (HEDIS) Criteria Without Documented Symptomatic(Blood Glucose <=70 mg/dL [<=3.9 mmol/L]) and/or Severe Hypoglycemia |
NCT02451137 (13) [back to overview] | "Percentage of Responders (Participants and Provider) Who Reported Excellent or Good Responses to Global Effectiveness Scale (GES) Question at Month 6, and Month 12" |
NCT02451137 (13) [back to overview] | Change From Baseline in Basal Insulin Dose at Month 6 and Month 12 |
NCT02451917 (7) [back to overview] | Estimated Glomerular Filtration Rate (eGFR) Calculated by CKD-EPI |
NCT02451917 (7) [back to overview] | Difference in A1c Levels |
NCT02451917 (7) [back to overview] | Body Mass Index (BMI) |
NCT02451917 (7) [back to overview] | Total Daily Insulin Dose |
NCT02451917 (7) [back to overview] | Serum Creatinine |
NCT02451917 (7) [back to overview] | Number of Hypoglycemic Events |
NCT02451917 (7) [back to overview] | Glycemic Variability |
NCT02453685 (4) [back to overview] | HbA1c Below 7.0% Without Severe Hypoglycaemic Episodes |
NCT02453685 (4) [back to overview] | Change in HbA1c (Glycosylated Haemoglobin) |
NCT02453685 (4) [back to overview] | Total Daily Insulin Dose |
NCT02453685 (4) [back to overview] | Number of Treatment Emergent Hypoglycaemic Episodes Classified According to the American Diabetes Association (ADA) and the Novo Nordisk Definitions |
NCT02501161 (54) [back to overview] | Insulin Dose |
NCT02501161 (54) [back to overview] | Change in Body Weight |
NCT02501161 (54) [back to overview] | Change in Blood Pressure (Systolic and Diastolic) |
NCT02501161 (54) [back to overview] | Change in Biochemistry Parameters- ALP, ALT, AST, Lipase and Amylase |
NCT02501161 (54) [back to overview] | Change in Biochemistry Parameter- Sodium, Potassium and Calcium |
NCT02501161 (54) [back to overview] | Change in Biochemistry Parameter- Creatinine, Total Bilirubin |
NCT02501161 (54) [back to overview] | Change in Biochemistry Parameter- Albumin |
NCT02501161 (54) [back to overview] | Number of Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During 26 Weeks of Treatment |
NCT02501161 (54) [back to overview] | Participants Who Achieved (Yes/no): HbA1c ≤6.5% |
NCT02501161 (54) [back to overview] | Participants Who Achieved (Yes/no): HbA1c <7.0% Without Weight Gain |
NCT02501161 (54) [back to overview] | Participants Who Achieved (Yes/no): HbA1c <7.0% Without Treatment-emergent Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic Episodes |
NCT02501161 (54) [back to overview] | Participants Who Achieved (Yes/no): HbA1c <7.0% |
NCT02501161 (54) [back to overview] | Participants Who Achieved (Yes/no): HbA1c < 7.0% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes and Without Weight Gain |
NCT02501161 (54) [back to overview] | Eye Examination Category |
NCT02501161 (54) [back to overview] | ECG Evaluation |
NCT02501161 (54) [back to overview] | Change in TRIM-D |
NCT02501161 (54) [back to overview] | Change in SMPG-mean Postprandial Increment Over All Meals |
NCT02501161 (54) [back to overview] | Change in SMPG-mean 9-point Profile |
NCT02501161 (54) [back to overview] | Change in Short Form Health Survey Version 2.0 (SF-36v2™, Acute Version) Health Survey: Scores From the 8 Domains and Summaries of the Physical Component Score (PCS) and the Mental Component Score (MCS) |
NCT02501161 (54) [back to overview] | Change in Pulse Rate |
NCT02501161 (54) [back to overview] | Change in Haematological Parameter- Thrombocytes and Leukocytes |
NCT02501161 (54) [back to overview] | Number of TEAEs During 104 Weeks of Treatment |
NCT02501161 (54) [back to overview] | Number of TEAEs During 26 Weeks of Treatment |
NCT02501161 (54) [back to overview] | Number of Treatment Emergent Hypoglycaemic Episodes During 104 Weeks of Treatment |
NCT02501161 (54) [back to overview] | Number of Treatment Emergent Hypoglycaemic Episodes During 26 Weeks of Treatment |
NCT02501161 (54) [back to overview] | Number of Treatment-emergent Nocturnal Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During 104 Weeks of Treatment |
NCT02501161 (54) [back to overview] | Number of Treatment-emergent Nocturnal Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During 26 Weeks of Treatment |
NCT02501161 (54) [back to overview] | Number of Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During 104 Weeks of Treatment |
NCT02501161 (54) [back to overview] | Change in Haematological Parameter- Neutrophils |
NCT02501161 (54) [back to overview] | Change in Haematological Parameter- Monocytes |
NCT02501161 (54) [back to overview] | Change in Haematological Parameter- Lymphocytes |
NCT02501161 (54) [back to overview] | Change in Haematological Parameter- Haemoglobin |
NCT02501161 (54) [back to overview] | Change in Haematological Parameter- Haematocrit |
NCT02501161 (54) [back to overview] | Change in Haematological Parameter- Erythrocytes |
NCT02501161 (54) [back to overview] | Change in Haematological Parameter- Eosinophils |
NCT02501161 (54) [back to overview] | Change in Haematological Parameter- Basophils |
NCT02501161 (54) [back to overview] | Participants Who Achieved (Yes/no): HbA1c ≤6.5% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes and Without Weight Gain |
NCT02501161 (54) [back to overview] | Participants Who Achieved (Yes/no): HbA1c ≤6.5% Without Weight Gain |
NCT02501161 (54) [back to overview] | SMPG-9-point Profile (Individual Points in the Profile) |
NCT02501161 (54) [back to overview] | Time From Randomisation to HbA1c >6.5% at 2 Consecutive Visits |
NCT02501161 (54) [back to overview] | Time From Randomisation to Inadequate Glycaemic Control and Need for Treatment Intensification |
NCT02501161 (54) [back to overview] | Change in Fasting HDL-cholesterol |
NCT02501161 (54) [back to overview] | Change in Fasting Free Fatty Acids |
NCT02501161 (54) [back to overview] | Change in Fasting C-peptide |
NCT02501161 (54) [back to overview] | Change in Calcitonin |
NCT02501161 (54) [back to overview] | Participants Who Achieved (Yes/no): HbA1c ≤6.5% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes |
NCT02501161 (54) [back to overview] | Change in Fasting Human Insulin |
NCT02501161 (54) [back to overview] | Change in HbA1c |
NCT02501161 (54) [back to overview] | Change in FPG |
NCT02501161 (54) [back to overview] | Change in Urine Albumin/Creatinine Ratio |
NCT02501161 (54) [back to overview] | Change in Fasting VLDL-cholesterol |
NCT02501161 (54) [back to overview] | Change in Fasting Triglycerides |
NCT02501161 (54) [back to overview] | Change in Fasting Total Cholesterol |
NCT02501161 (54) [back to overview] | Change in Fasting LDL-cholesterol |
NCT02551874 (6) [back to overview] | Percentage of Subjects Achieving a Therapeutic Glycemic Response at Week 24 |
NCT02551874 (6) [back to overview] | Percentage of Subjects Achieving a Therapeutic Glycemic Response, Without Hypoglycaemia, at Week 24 |
NCT02551874 (6) [back to overview] | Change From Baseline in the Mean Value of 24-hour Glucose at Week 2 |
NCT02551874 (6) [back to overview] | Mean Change From Baseline in HbA1c at Week 24 |
NCT02551874 (6) [back to overview] | Mean Change From Baseline in Total Body Weight at Week 24 |
NCT02551874 (6) [back to overview] | Percentage of Subjects With Confirmed Hypoglycaemia at Week 24 |
NCT02556918 (26) [back to overview] | Total IV Insulin in ICU |
NCT02556918 (26) [back to overview] | Number of Subjects With Hyperglycemia in Intensive Care Unit (ICU) |
NCT02556918 (26) [back to overview] | Number of Subjects With Hyperglycemia (Blood Glucose Greater Than or Equal to 300 mg/dL) in Non-ICU |
NCT02556918 (26) [back to overview] | Number of Subjects Returning to the ER Within 30 Days |
NCT02556918 (26) [back to overview] | Number of Subjects Readmitted to the Hospital |
NCT02556918 (26) [back to overview] | Number of Patients With Severe Hypoglycemic Events in Non-intensive Care Unit (ICU) |
NCT02556918 (26) [back to overview] | Number of Patients With Severe Hypoglycemic Events in Intensive Care Unit (ICU) |
NCT02556918 (26) [back to overview] | Number of Patients With Hypoglycemic Events in Non-intensive Care Unit (ICU) |
NCT02556918 (26) [back to overview] | Number of Patients With Hyperglycemia in the Intensive Care Unit (ICU) |
NCT02556918 (26) [back to overview] | Number of Patients Requiring Subcutaneous (SQ) Insulin After Discontinuation of Continuous Intravenous Insulin Infusion (CII) |
NCT02556918 (26) [back to overview] | Number of Patients Requiring Continuous Intravenous Insulin Infusion (CII) |
NCT02556918 (26) [back to overview] | Number of Intensive Care Unit (ICU) Readmission |
NCT02556918 (26) [back to overview] | Number of Cerebrovascular Events |
NCT02556918 (26) [back to overview] | Median Number of Days of Subcutaneous (SC) Insulin After Discontinuation of Continuous Intravenous Insulin Infusion (CII) |
NCT02556918 (26) [back to overview] | Mean Post-operative Blood Glucose (BG) Concentration |
NCT02556918 (26) [back to overview] | Mean Insulin Dose Per Day During Intensive Care Unit (ICU) Recovery |
NCT02556918 (26) [back to overview] | Mean Blood Glucose (BG) Concentration in the Intensive Care Unit (ICU) |
NCT02556918 (26) [back to overview] | Length of Intensive Care Unit (ICU) Stay |
NCT02556918 (26) [back to overview] | Duration of Intubation |
NCT02556918 (26) [back to overview] | Duration of Continuous Intravenous Insulin Infusion (CII) |
NCT02556918 (26) [back to overview] | Composite of Perioperative Complications |
NCT02556918 (26) [back to overview] | Amount of Subcutaneous (SC) Insulin Taken in Intensive Care Unit (ICU) |
NCT02556918 (26) [back to overview] | Amount of Subcutaneous (SC) Insulin in Intensive Care Unit (ICU) 48 Hours |
NCT02556918 (26) [back to overview] | Number of Patients With Hypoglycemic Events in Intensive Care Unit (ICU) |
NCT02556918 (26) [back to overview] | Number of Patients With Persistent Hyperglycemia |
NCT02556918 (26) [back to overview] | Total Length of Hospital Stay |
NCT02561130 (9) [back to overview] | Glycated Hemoglobin (HbA1C) |
NCT02561130 (9) [back to overview] | Percentage of Weight Loss From Baseline |
NCT02561130 (9) [back to overview] | Change in Waist Circumference From Baseline |
NCT02561130 (9) [back to overview] | Number of Participants With Severe Hypoglycemic Episodes |
NCT02561130 (9) [back to overview] | Number of Participants With Non-severe Symptomatic Hypoglycemic Episodes |
NCT02561130 (9) [back to overview] | Number of Participants Achieving Drug-free HbA1C < 6.0% |
NCT02561130 (9) [back to overview] | Number of Participants Achieving Drug-free Diabetes Remission in the Experimental Group Compared to the Control Group |
NCT02561130 (9) [back to overview] | Number of Participants Achieving Drug-free Diabetes Remission |
NCT02561130 (9) [back to overview] | Number of Participants Achieving Diabetes Relapse Without Overt Hyperglycemia Off Diabetes Drugs |
NCT02623998 (6) [back to overview] | Number of Participants With Severe Hypoglycemic Episodes |
NCT02623998 (6) [back to overview] | Number of Participants With Hyperglycemia Relapse in the Experimental Group Compared to the Control Group |
NCT02623998 (6) [back to overview] | Number of Participants With Drug-free Normal Glucose Tolerance |
NCT02623998 (6) [back to overview] | Number of Participants Achieving Drug-free Diabetes Remission |
NCT02623998 (6) [back to overview] | Change in Waist Circumference |
NCT02623998 (6) [back to overview] | Percent Change in Weight |
NCT02666430 (11) [back to overview] | Local and Systemic Allergic Reactions |
NCT02666430 (11) [back to overview] | Change From Baseline in Cross-Reactive Insulin Antibody - Lantus Assay |
NCT02666430 (11) [back to overview] | Change From Baseline in Cross-Reactive Insulin Antibody - Mylan Insulin Glargine Assay |
NCT02666430 (11) [back to overview] | Change From Baseline in Fasting Plasma Glucose |
NCT02666430 (11) [back to overview] | Change From Baseline in Total Insulin Antibodies - Lantus Assay |
NCT02666430 (11) [back to overview] | Change From Baseline in Total Insulin Antibodies - Mylan Insulin Glargine Assay |
NCT02666430 (11) [back to overview] | Change From Baseline Total Daily Insulin Dose |
NCT02666430 (11) [back to overview] | Change in Hemoglobin A1c (HbA1c) From Baseline |
NCT02666430 (11) [back to overview] | Hypoglycemic Incidence |
NCT02666430 (11) [back to overview] | Hypoglycemic Rate |
NCT02666430 (11) [back to overview] | Overall Average of Self-monitoring Blood Glucose (SMBG) Change From Baseline |
NCT02680457 (2) [back to overview] | Glycemic Variability: Mean Amplitude of Glucose Excursion (MAGE) |
NCT02680457 (2) [back to overview] | Glycemic Variability: Area Under the Curve of Glucose |
NCT02688933 (8) [back to overview] | Coefficient of Variation (CV%) in Mean CGM Glucose |
NCT02688933 (8) [back to overview] | Change From Baseline in Daily Insulin Dose at Week 16 |
NCT02688933 (8) [back to overview] | Percentage of Time of Mean Glucose Concentration Within the Target Range of 70-180 mg/dL as Obtained From CGM |
NCT02688933 (8) [back to overview] | Percentage of Time Glucose Concentrations Within the Target Range of 70 to 140 mg/dL During Last 4 Hours of CGM Data Collection Prior to Next Day Basal Insulin Injection |
NCT02688933 (8) [back to overview] | Mean Change From Baseline in Glucose Level During Last 4 Hours of CGM Data Collection Prior to the Next Day Basal Insulin Injection During Week 15 and/or Week 16 |
NCT02688933 (8) [back to overview] | Change From Baseline in Time (Min) of Mean Glucose Concentration Within the Target Range of 70 to 180 mg/dL, by End of Study hbA1c Levels During Week 15 and/or Week 16 |
NCT02688933 (8) [back to overview] | Percentage of Participants With Documented Symptomatic Nocturnal Hypoglycemia |
NCT02688933 (8) [back to overview] | Documented Symptomatic Nocturnal Hypoglycemia Event Rate Per Participant-Year |
NCT02735044 (11) [back to overview] | Percentage of Participants With FPG of <=130 mg/dL (7.2 mmol/L) at Month 6 |
NCT02735044 (11) [back to overview] | Percentage of Participants With HbA1c Values of <7.5% Without Any Episode of Severe and/or Documented Self-Monitored Plasma Glucose ([SMPG] <54 mg/dL [3.0 mmol/L]) Symptomatic Hypoglycemia During the Last 3 Months of the Main 6-month Randomized Period |
NCT02735044 (11) [back to overview] | Change From Baseline in 24-Hour Mean Plasma Glucose Based on 8-point SMPG Profiles to Month 6 |
NCT02735044 (11) [back to overview] | Percentage of Participants With Any Hyperglycemia With Ketosis at Month 12 |
NCT02735044 (11) [back to overview] | Change From Baseline in Variability of 24-Hour Mean Plasma Glucose Based on 8-point SMPG Profiles at Month 6 |
NCT02735044 (11) [back to overview] | Change From Baseline in HbA1c to Month 6 |
NCT02735044 (11) [back to overview] | Change From Baseline to Month 6 in 8-Point SMPG Profile Per Time Point |
NCT02735044 (11) [back to overview] | Percentage of Participants With at Least One Hypoglycemic Events (Any Hypoglycemia, Severe Hypoglycemia, Documented Symptomatic, Probable Symptomatic, Asymptomatic Hypoglycemia, Pseudo-hypoglycemia and Severe and/or Confirmed Hypoglycemia) at Month 12 |
NCT02735044 (11) [back to overview] | Percentage of Participants With HbA1c Values of <7.5% at Month 6 |
NCT02735044 (11) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) to Month 6 |
NCT02735044 (11) [back to overview] | Percentage of Participants With FPG of <=130 mg/dL (7.2 mmol/L) Without Any Episode of Severe and/or Documented (SMPG <54 mg/dL [3.0 mmol/L]) Symptomatic Hypoglycemia During the Last 3 Months of the Main 6-month Randomized Period |
NCT02738151 (19) [back to overview] | Change From Baseline in 8 Point SMPG Profile to Week 12 and Week 24 Per Time Point |
NCT02738151 (19) [back to overview] | Change From Baseline in Total Diabetes Treatment Satisfaction Questionnaire (DTSQ) Status at Week 12 and Week 24 |
NCT02738151 (19) [back to overview] | Change From Baseline in Fasting Self-Monitoring Plasma Glucose (SMPG) to Week 12 and Week 24 |
NCT02738151 (19) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) to Week 12 and Week 24 |
NCT02738151 (19) [back to overview] | Change From Baseline in 24-hour Average 8-point SMPG Profile to Week 12 and Week 24 |
NCT02738151 (19) [back to overview] | Percentage of Participants With At Least One Hypoglycemic Events (Any, Severe and/or Confirmed Hypoglycemia: Any Time of the Day) by Study Period |
NCT02738151 (19) [back to overview] | Percentage of Participants Reaching Target HbA1c of < 7% and =<6.5% at Week 12 and Week 24 |
NCT02738151 (19) [back to overview] | Percentage of Participants With At Least One Hypoglycemic Events (Any, Severe and/or Confirmed Hypoglycemia: Nocturnal) by Study Period |
NCT02738151 (19) [back to overview] | Change From Baseline in HbA1c to Week 12 |
NCT02738151 (19) [back to overview] | Change From Baseline in HbA1c to Week 24 |
NCT02738151 (19) [back to overview] | Percentage of Participants Requiring a Rescue Therapy During 24 Weeks Treatment Period |
NCT02738151 (19) [back to overview] | Percentage of Participants With Sulphonylurea or Meglitinide Dose Reduction/ Discontinuation Due to Hypoglycemia During 24 Weeks Treatment Period |
NCT02738151 (19) [back to overview] | Change From Baseline in Basal Insulin Dose (U/kg Body Weight) to Week 12 and Week 24 |
NCT02738151 (19) [back to overview] | Change From Baseline in 4-point SMPG Profile to Week 12 and Week 24 Per Time Point |
NCT02738151 (19) [back to overview] | Percentage of Participants Reaching Target HbA1c <7% and =<6.5% at Week 12 and Week 24 Without Severe and/or Confirmed Hypoglycemia (70 mg/dL) Event |
NCT02738151 (19) [back to overview] | Hypoglycemia (Any, Severe and/or Confirmed Hypoglycemia: Nocturnal ) Event Rate Per Participant Year During Study Period |
NCT02738151 (19) [back to overview] | Hypoglycemia (Any, Severe and/or Confirmed Hypoglycemia: Any Time of the Day) Event Rate Per Participant Year During Study Period |
NCT02738151 (19) [back to overview] | Change From Baseline in Variability of Fasting SMPG to Week 12 and Week 24 |
NCT02738151 (19) [back to overview] | Change From Baseline in Variability of 24-Hour 8-Point SMPG Profiles at Week 12 and Week 24 |
NCT02738879 (15) [back to overview] | Change From Baseline in Total Daily Insulin Dose (Units) at Week 30 |
NCT02738879 (15) [back to overview] | Event Rate of Documented Hypoglycemia With Blood Glucose <56 mg/dL (≤3.1 mmol/L) |
NCT02738879 (15) [back to overview] | Event Rate of Documented Hypoglycemia With Blood Glucose ≤70 mg/dL (≤3.9 mmol/L) |
NCT02738879 (15) [back to overview] | Event Rate of Documented Symptomatic Hypoglycemia With Blood Glucose <56 mg/dL (≤3.1 mmol/L) |
NCT02738879 (15) [back to overview] | Percentage of Participants With Documented Symptomatic Hypoglycemia With Blood Glucose <56 mg/dL (≤3.1 mmol/L) |
NCT02738879 (15) [back to overview] | Percentage of Participants Who Experienced One or More Adverse Events (AEs) |
NCT02738879 (15) [back to overview] | Percentage of Participants With A1C Goal <7.0% (<53 mmol/Mol at Week 30 and No Documented Hypoglycemia With Blood Glucose ≤70 mg/dL (≤3.9 mmol/L) up to Week 30 |
NCT02738879 (15) [back to overview] | Percentage of Participants With A1C Goal <7.0% (<53 mmol/Mol) at Week 30 |
NCT02738879 (15) [back to overview] | Percentage of Participants With Documented Hypoglycemia With Blood Glucose <56 mg/dL (≤3.1 mmol/L) |
NCT02738879 (15) [back to overview] | Percentage of Participants With Documented Hypoglycemia With Blood Glucose ≤70 mg/dL (≤3.9 mmol/L) |
NCT02738879 (15) [back to overview] | Percentage of Participants With Events of Documented Symptomatic Hypoglycemia With Blood Glucose ≤70 mg/dL (≤3.9 mmol/L) |
NCT02738879 (15) [back to overview] | Event Rate of Documented Symptomatic Hypoglycemia With Blood Glucose ≤70 mg/dL (≤3.9 mmol/L) |
NCT02738879 (15) [back to overview] | Change From Baseline in A1C at Week 30 |
NCT02738879 (15) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) at Week 30 |
NCT02738879 (15) [back to overview] | Percentage of Participants Who Discontinued Study Drug Due to an AE |
NCT02741687 (10) [back to overview] | Number of Patients Transferred to the ICU Immediately After Surgery or During Hospitalization |
NCT02741687 (10) [back to overview] | Number of Participants With Hypoglycemic Events |
NCT02741687 (10) [back to overview] | Number of Participants Experiencing Complications |
NCT02741687 (10) [back to overview] | Length of Hospital Stay |
NCT02741687 (10) [back to overview] | Total Daily Dose of Insulin for Patients Requiring Supplemental Insulin |
NCT02741687 (10) [back to overview] | Number of Patients Requiring Supplemental, Subcutaneous Insulin |
NCT02741687 (10) [back to overview] | Number of Participants With Hospital Readmissions After Discharge |
NCT02741687 (10) [back to overview] | Number of Days in the ICU |
NCT02741687 (10) [back to overview] | Number of Participants With Emergency Room Visits After Discharge |
NCT02741687 (10) [back to overview] | Number of Participants Experiencing Stress Hyperglycemia |
NCT02773368 (33) [back to overview] | Responder After 26 Weeks (Yes/No) for: HbA1c ≤ 6.5% |
NCT02773368 (33) [back to overview] | Responder After 26 Weeks (Yes/No) for: HbA1c < 7.0% Without Weight Gain |
NCT02773368 (33) [back to overview] | Responder After 26 Weeks (Yes/No) for: HbA1c < 7.0% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Last 12 Weeks of Treatment and Without Weight Gain |
NCT02773368 (33) [back to overview] | Responder After 26 Weeks (Yes/No) for: HbA1c < 7.0% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Last 12 Weeks of Treatment |
NCT02773368 (33) [back to overview] | Responder (Yes/No) for HbA1c Below 7.0% |
NCT02773368 (33) [back to overview] | Number of Treatment-emergent Hypoglycaemic Episodes According to ADA Definition During 26 Weeks |
NCT02773368 (33) [back to overview] | Change in HbA1c (Glycosylated Haemoglobin) |
NCT02773368 (33) [back to overview] | Change in Fasting Plasma Glucose (FPG) |
NCT02773368 (33) [back to overview] | Change in Body Weight |
NCT02773368 (33) [back to overview] | Change From Baseline in the 9-point Self-measured Plasma Glucose (SMPG) Profile |
NCT02773368 (33) [back to overview] | Change From Baseline in Systolic Blood Pressure |
NCT02773368 (33) [back to overview] | Change From Baseline in SMPG 9-point Profile: Prandial Plasma Glucose Increments (From Before Meal to 90 Min After Breakfast, Lunch and Dinner). The Mean Increment Over All Meals Will be Derived as the Mean of All Available Meal Increments |
NCT02773368 (33) [back to overview] | Change From Baseline in Self-measured Plasma Glucose (SMPG) 9-point Profile: Mean of the 9-point Profile |
NCT02773368 (33) [back to overview] | Change From Baseline in Patient Reported Outcomes (PROs) After 26 Weeks: Summary Scores of Treatment Related Impact Measure for Diabetes (TRIM-D) |
NCT02773368 (33) [back to overview] | Change From Baseline in Patient Reported Outcomes (PROs) After 26 Weeks: Summary Scores of Medical Outcomes Study 36-item Short Form (SF-36v2) |
NCT02773368 (33) [back to overview] | Change From Baseline in Fasting Lipid Profile: Very-low-density Lipoprotein Cholesterol (VLDL Cholesterol) |
NCT02773368 (33) [back to overview] | Change From Baseline in Fasting Lipid Profile: Low-density Lipoprotein Cholesterol (LDL Cholesterol) |
NCT02773368 (33) [back to overview] | Change From Baseline in Fasting Lipid Profile: High-density Lipoprotein Cholesterol (HDL Cholesterol) |
NCT02773368 (33) [back to overview] | Change From Baseline in Fasting Lipid Profile: Free Fatty Acids |
NCT02773368 (33) [back to overview] | Change From Baseline in Fasting Lipid Profile: Cholesterol |
NCT02773368 (33) [back to overview] | Change From Baseline in Diastolic Blood Pressure |
NCT02773368 (33) [back to overview] | Change From Baseline in Clinical Evaluation After 26 Weeks: Pulse Rate |
NCT02773368 (33) [back to overview] | Change From Baseline in Clinical Evaluation After 26 Weeks: Eye Examination: Fundoscopy/Fundus Photography |
NCT02773368 (33) [back to overview] | Change From Baseline in Clinical Evaluation After 26 Weeks: Electrocardiogram (ECG) |
NCT02773368 (33) [back to overview] | Change From Baseline After 26 Weeks in Waist Circumference |
NCT02773368 (33) [back to overview] | Number of Treatment-emergent Severe or BG (Blood Glucose) Confirmed Symptomatic Hypoglycaemic Episodes |
NCT02773368 (33) [back to overview] | Number of Treatment-emergent Nocturnal Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During 26 Weeks |
NCT02773368 (33) [back to overview] | Number of Treatment-emergent Adverse Events |
NCT02773368 (33) [back to overview] | Insulin Dose, Total Daily Dose (U) |
NCT02773368 (33) [back to overview] | Change From Baseline in Fasting Lipid Profile: Triglycerides |
NCT02773368 (33) [back to overview] | Responder After 26 Weeks (Yes/No) for: HbA1c ≤ 6.5% Without Weight Gain |
NCT02773368 (33) [back to overview] | Responder After 26 Weeks (Yes/No) for: HbA1c ≤ 6.5% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Last 12 Weeks of Treatment and Without Weight Gain |
NCT02773368 (33) [back to overview] | Responder After 26 Weeks (Yes/No) for: HbA1c ≤ 6.5% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Last 12 Weeks of Treatment |
NCT02787551 (18) [back to overview] | Change From Baseline in the Daily Average of the 7-point Self-monitored Plasma Glucose (SMPG) to Week 26: Core Period |
NCT02787551 (18) [back to overview] | Change From Baseline in Body Weight at Week 26: Core Period |
NCT02787551 (18) [back to overview] | Change From Baseline in 2-Hour Postprandial Plasma Glucose (PPG) During Standardized Meal Test to Week 52: Single Arm Extension Period |
NCT02787551 (18) [back to overview] | Change From Baseline in 2-Hour Postprandial Plasma Glucose (PPG) During Standardized Meal Test to Week 26: Core Period |
NCT02787551 (18) [back to overview] | Change From Baseline in 2-Hour Blood Glucose Excursion During Standardized Meal Test to Week 52: Single Arm Extension Period |
NCT02787551 (18) [back to overview] | Change From Baseline in 2-Hour Blood Glucose Excursion During Standardized Meal Test to Week 26: Core Period |
NCT02787551 (18) [back to overview] | Percentage of Participants Reaching HbA1c <7% or <=6.5% at Week 26: Core Period |
NCT02787551 (18) [back to overview] | Number of Documented Symptomatic Hypoglycemia Events Per Participant-Year: Single Arm Extension Period |
NCT02787551 (18) [back to overview] | Number of Documented Symptomatic Hypoglycemia Events Per Participant-Year: Core Period |
NCT02787551 (18) [back to overview] | Percentage of Participants Requiring Rescue Therapy During the 52 Week Treatment Period: Single Arm Extension Period |
NCT02787551 (18) [back to overview] | Percentage of Participants Requiring Rescue Therapy During the 26 Week Treatment Period: Core Period |
NCT02787551 (18) [back to overview] | Change From Baseline in the Daily Average of the 7-point Self-monitored Plasma Glucose (SMPG) to Week 52: Single Arm Extension Period |
NCT02787551 (18) [back to overview] | Change From Baseline in Glycated Hemoglobin (HbA1c) to Week 52: Single Arm Extension Period |
NCT02787551 (18) [back to overview] | Change From Baseline in Glycated Hemoglobin (HbA1c) to Week 26: Core Period |
NCT02787551 (18) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) to Week 52: Single Arm Extension Period |
NCT02787551 (18) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) to Week 26: Core Period |
NCT02787551 (18) [back to overview] | Change From Baseline in Body Weight to Week 52: Single Arm Extension Period |
NCT02787551 (18) [back to overview] | Percentage of Participants Reaching HbA1c <7 % or <=6.5% at Week 52: Single Arm Extension Period |
NCT02906917 (12) [back to overview] | Number of Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes |
NCT02906917 (12) [back to overview] | Number of Nocturnal, Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes |
NCT02906917 (12) [back to overview] | Incidence of TEAEs |
NCT02906917 (12) [back to overview] | Change in Pre-breakfast SMPG (Used for Titration) |
NCT02906917 (12) [back to overview] | Change in Postprandial SMPG Increment (From 9-point Profile) |
NCT02906917 (12) [back to overview] | Change in HbA1c (%) - Week 38 |
NCT02906917 (12) [back to overview] | Change in HbA1c (%) - Week 26 |
NCT02906917 (12) [back to overview] | Change in FPG |
NCT02906917 (12) [back to overview] | Change in Body Weight |
NCT02906917 (12) [back to overview] | Total Insulin Dose |
NCT02906917 (12) [back to overview] | Responder (Yes/No) for HbA1c <7% Without Severe or BG Confirmed Symptomatic Hypoglycaemia |
NCT02906917 (12) [back to overview] | Responder (Yes/No) for HbA1c < 7% |
NCT03013985 (14) [back to overview] | Number of Days of Hospital Stay |
NCT03013985 (14) [back to overview] | Mean Daily Glucose in Patients With Admission HbA1c Lower Than 8% |
NCT03013985 (14) [back to overview] | Mean Daily Glucose in Patients With Admission HbA1c Higher Than 8% |
NCT03013985 (14) [back to overview] | Mean Daily Blood Glucose Concentration Inpatient |
NCT03013985 (14) [back to overview] | Mean Daily Glucose in Patients With Length of Stay Shorter Than 5 Days |
NCT03013985 (14) [back to overview] | Hospital Mortality |
NCT03013985 (14) [back to overview] | Percent of Subjects With Severe Hypoglycemia |
NCT03013985 (14) [back to overview] | Percent of Subjects With Hypoglycemic Events |
NCT03013985 (14) [back to overview] | Mean Daily Blood Glucose Concentration After Hospital Discharge |
NCT03013985 (14) [back to overview] | Mean Daily Glucose in Patients With Length of Stay Shorter Than 3 Days |
NCT03013985 (14) [back to overview] | Mean Daily Glucose in Patients With Length of Stay Longer Than 5 Days |
NCT03013985 (14) [back to overview] | Percent of Blood Glucose 70-180 Measured by Point of Care Test |
NCT03013985 (14) [back to overview] | Number Subjects With Cardiac Complications |
NCT03013985 (14) [back to overview] | Number of Patients With Acute Renal Failure |
NCT03078478 (16) [back to overview] | Percentage of Participants With FPG ≤ 7.2 mmol/L (130 mg/dL) at End of Treatment (up to 88 Weeks) (Yes/no) |
NCT03078478 (16) [back to overview] | Number of Nocturnal, Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Treatment (up to 88 Weeks) |
NCT03078478 (16) [back to overview] | Number of Severe Hypoglycaemic Episodes During Treatment (up to 88 Weeks) |
NCT03078478 (16) [back to overview] | Number of Severe Hypoglycaemic Episodes During Maintenance 2 (36 Weeks) |
NCT03078478 (16) [back to overview] | Number of Nocturnal, Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks) |
NCT03078478 (16) [back to overview] | Number of Adverse Events From Randomisation to End of Maintenance Period 2 (up to 88 Weeks) |
NCT03078478 (16) [back to overview] | Change in HbA1c From Baseline to End of Treatment (up to 88 Weeks) |
NCT03078478 (16) [back to overview] | Change in Fasting Plasma Glucose (FPG) From Baseline to End of Treatment (up to 88 Weeks) |
NCT03078478 (16) [back to overview] | Number of Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks) |
NCT03078478 (16) [back to overview] | Change in Body Weight From Baseline to End of Treatment (up to 88 Weeks) |
NCT03078478 (16) [back to overview] | Percentage of Participants With HbA1c < 7.0% (53 mmol/Mol) at End of Treatment (up to 88 Weeks) and no Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks) (Yes/no) |
NCT03078478 (16) [back to overview] | Percentage of Participants With HbA1c < 7.0% (53 mmol/Mol) at End of Treatment (up to 88 Weeks) and no Nocturnal, Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks) (Yes/no) |
NCT03078478 (16) [back to overview] | Basal Insulin Dose (U) at End of Treatment (up to 88 Weeks) |
NCT03078478 (16) [back to overview] | Percentage of Participants With FPG ≤ 5.0 mmol/L (90 mg/dL) at End of Treatment (up to 88 Weeks) (Yes/no) |
NCT03078478 (16) [back to overview] | Change in Mean Pre-breakfast Self-measured Plasma Glucose Used for Titration From Baseline to End of Treatment (up to 88 Weeks) |
NCT03078478 (16) [back to overview] | Number of Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Treatment (up to 88 Weeks) |
NCT03095651 (14) [back to overview] | Plasma Concentration/Time (AUC0-24) of MK-5160 |
NCT03095651 (14) [back to overview] | Time to Maximum Plasma Concentration |
NCT03095651 (14) [back to overview] | Steady State Plasma Concentration (Css) of MK-5160 |
NCT03095651 (14) [back to overview] | Apparent Terminal Half-life |
NCT03095651 (14) [back to overview] | Day 12 to Day 1 Accumulation Ratio of AUC0-24. |
NCT03095651 (14) [back to overview] | Day 12 to Day 1 Accumulation Ratio of Cmax |
NCT03095651 (14) [back to overview] | Maximal Glucose Infusion Rate |
NCT03095651 (14) [back to overview] | Number of Participants Discontinuing Study Drug Due to an AE |
NCT03095651 (14) [back to overview] | Number of Participants Experiencing an Adverse Event (AE) |
NCT03095651 (14) [back to overview] | Plasma Clearance |
NCT03095651 (14) [back to overview] | Steady State Plasma Concentration (Css) of Glargine |
NCT03095651 (14) [back to overview] | Maximum Plasma Concentration (Cmax) of Glargine |
NCT03095651 (14) [back to overview] | Maximum Plasma Concentration (Cmax) of MK-5160 |
NCT03095651 (14) [back to overview] | Plasma Concentration/Time (AUC0-24) of Glargine |
NCT03107208 (4) [back to overview] | Evaluation of CGM and POC Glucose Monitoring During DKA Treatment in Children. |
NCT03107208 (4) [back to overview] | Rate of Recurrent Ketogenesis |
NCT03107208 (4) [back to overview] | Risk of Hypoglycemia Between Those Given Early Administration of Glargine Versus Those Given Standard-of-care Management. |
NCT03107208 (4) [back to overview] | Rate of Rebound Hyperglycemia |
NCT03170544 (26) [back to overview] | Time to Reach a 50% Decrease In Plasma MK-1092 Concentration (t1/2) Parts 1 and 3 |
NCT03170544 (26) [back to overview] | Time to Reach a 50% Decrease In Plasma MK-1092 Concentration (t1/2) Part 4 |
NCT03170544 (26) [back to overview] | Time to Reach a 50% Decrease In Plasma Insulin Glargine Concentration (t1/2) Parts 1 and 3 |
NCT03170544 (26) [back to overview] | Time to Reach a 50% Decrease In Plasma Insulin Glargine Concentration (t1/2) Part 4 |
NCT03170544 (26) [back to overview] | Rate of Plasma Drug Removal (CL/F) MK-1092 Parts 1 and 3 |
NCT03170544 (26) [back to overview] | Rate of Plasma Drug Removal (CL/F) MK-1092 Part 4 |
NCT03170544 (26) [back to overview] | GIRmax After a Single Dose Administration of Subcutaneous MK-1092 or Glargine to Adult Participants With Type 2 Diabetes Mellitus (T2DM) (Part 4) |
NCT03170544 (26) [back to overview] | GIRmax After a Single Dose Administration of Subcutaneous MK-1092 or Glargine to Healthy Adult Participants (Part 1) |
NCT03170544 (26) [back to overview] | Maximal Plasma Insulin Glargine Concentration (Cmax) Part 4 |
NCT03170544 (26) [back to overview] | Maximal Plasma Insulin Glargine Concentration (Cmax) Parts 1 and 3 |
NCT03170544 (26) [back to overview] | Maximal Plasma MK-1092 Concentration (Cmax) Part 4 |
NCT03170544 (26) [back to overview] | Maximal Plasma MK-1092 Concentration (Cmax) Parts 1 and 3 |
NCT03170544 (26) [back to overview] | Number of Participants Who Discontinued the Study Due to an AE |
NCT03170544 (26) [back to overview] | GIRmax After a Single Dose Administration of Subcutaneous MK-1092 or Glargine to Adult Participants With Type 1 Diabetes Mellitus (T1DM) (Part 3) |
NCT03170544 (26) [back to overview] | Area Under the Plasma Drug Curve From 0 to Infinity (AUC0-inf) MK-1092 Parts 1 and 3 |
NCT03170544 (26) [back to overview] | Number of Participants Who Experienced an Adverse Event (AE) |
NCT03170544 (26) [back to overview] | Time-Weighted Average GIR (TWA[GIR]) After a Single Dose Administration of Subcutaneous MK-1092 or Glargine to Healthy Adult Participants (Part 1) |
NCT03170544 (26) [back to overview] | Time-Weighted Average GIR (TWA[GIR]) After a Single Dose Administration of Subcutaneous MK-1092 or Glargine to Adult Participants With T2DM (Part 4) |
NCT03170544 (26) [back to overview] | Time-Weighted Average GIR (TWA[GIR]) After a Single Dose Administration of Subcutaneous MK-1092 or Glargine to Adult Participants With T1DM (Part 3) |
NCT03170544 (26) [back to overview] | Time to Reach Maximum Plasma MK-1092 Concentration (Tmax) Parts 1 and 3 |
NCT03170544 (26) [back to overview] | Time to Reach Maximum Plasma MK-1092 Concentration (Tmax) Part 4 |
NCT03170544 (26) [back to overview] | Time to Reach Maximum Plasma Insulin Glargine Concentration (Tmax) Parts 1 and 3 |
NCT03170544 (26) [back to overview] | Time to Reach Maximum Plasma Insulin Glargine Concentration (Tmax) Part 4 |
NCT03170544 (26) [back to overview] | Area Under the Plasma Drug Curve From 0 to Infinity (AUC0-inf) Insulin Glargine Part 4 |
NCT03170544 (26) [back to overview] | Area Under the Plasma Drug Curve From 0 to Infinity (AUC0-inf) Insulin Glargine Parts 1 and 3 |
NCT03170544 (26) [back to overview] | Area Under the Plasma Drug Curve From 0 to Infinity (AUC0-inf) MK-1092 Part 4 |
NCT03211858 (18) [back to overview] | Number of Participants With at Least One Hypoglycemic Event: Subgroup Analysis by Prior Use of NovoLog/NovoRapid or Humalog/Liprolog |
NCT03211858 (18) [back to overview] | Number of Participants With at Least One Hypoglycemic Event |
NCT03211858 (18) [back to overview] | Number of Participants With Adverse Events: Subgroup Analysis by Prior Use of NovoLog/NovoRapid or Humalog/Liprolog |
NCT03211858 (18) [back to overview] | Number of Hypoglycemia Events Per Participant-Year |
NCT03211858 (18) [back to overview] | Percentage of Participants With Hypersensitivity Reactions and Injection Site Reactions |
NCT03211858 (18) [back to overview] | Change in the Mean 24-hour Plasma Glucose Concentration From Baseline to Week 26 and Week 52 |
NCT03211858 (18) [back to overview] | Change in Postprandial Plasma Glucose (PPG) Excursion From Baseline to Week 26 and Week 52 |
NCT03211858 (18) [back to overview] | Change in Glycated Hemoglobin A1c (HbA1c) From Baseline to Week 26 |
NCT03211858 (18) [back to overview] | Change in Glycated Hemoglobin A1c From Baseline to Week 26 and Week 52: Subgroup Analysis by Prior Use of NovoLog/NovoRapid or Humalog/Liprolog |
NCT03211858 (18) [back to overview] | Change in Fasting Plasma Glucose (FPG) From Baseline to Week 26 and Week 52 |
NCT03211858 (18) [back to overview] | Change in Daily Insulin Dose From Baseline to Day 1, Week 26 and Week 52: Subgroup Analysis by Prior Use of NovoLog/NovoRapid or Humalog/Liprolog |
NCT03211858 (18) [back to overview] | Change in Daily Insulin Dose From Baseline to Day 1, Week 26 and Week 52 |
NCT03211858 (18) [back to overview] | Change in 7-Point SMPG Profiles From Baseline to Week 26 and Week 52 Per Time Point |
NCT03211858 (18) [back to overview] | Percentage of Participants With Treatment-Induced, Treatment-Boosted and Treatment-Emergent Anti-insulin Aspart Antibodies (AIAs) |
NCT03211858 (18) [back to overview] | Change in HbA1c From Baseline to Week 52 |
NCT03211858 (18) [back to overview] | Percentage of Participants With Treatment-Induced, Treatment-Boosted and Treatment-Emergent Anti-insulin Aspart Antibodies (AIAs): Subgroup Analysis by Prior Use of NovoLog/NovoRapid or Humalog/Liprolog |
NCT03211858 (18) [back to overview] | Percentage of Participants With HbA1c <7% at Week 26 and Week 52 |
NCT03211858 (18) [back to overview] | Percentage of Participants With at Least One Positive Anti-Insulin Aspart Antibodies (AIA) Sample |
NCT03214367 (12) [back to overview] | Rate of Documented Symptomatic Hypoglycemia at Week 26 |
NCT03214367 (12) [back to overview] | Percentage of Participants With HbA1c <7% |
NCT03214367 (12) [back to overview] | Change From Baseline in ITSQ Lifestyle Flexibility Domain Score at Week 26 |
NCT03214367 (12) [back to overview] | Change From Baseline in Insulin Treatment Satisfaction Questionnaire (ITSQ) Regimen Inconvenience Domain Score at Week 26 |
NCT03214367 (12) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) Efficacy Estimand at Week 26 |
NCT03214367 (12) [back to overview] | Change From Baseline in HbA1c at Week 52 |
NCT03214367 (12) [back to overview] | Change From Baseline in 2-hour PPG Excursion During MMTT Efficacy Estimand at Week 26 |
NCT03214367 (12) [back to overview] | Change From Baseline in 1,5-Anhydroglucitol (1,5-AG) at Week 26 |
NCT03214367 (12) [back to overview] | Change From Baseline in 1-hour Postprandial Glucose (PPG) Excursion During Mixed-Meal Tolerance Test (MMTT) Efficacy Estimand at Week 26 |
NCT03214367 (12) [back to overview] | Rate of Severe Hypoglycemia at Week 26 |
NCT03214367 (12) [back to overview] | Change From Baseline in Insulin Dose at Week 26 |
NCT03214367 (12) [back to overview] | Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values at Week 26 |
NCT03214380 (11) [back to overview] | Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values at Week 26 |
NCT03214380 (11) [back to overview] | Change From Baseline in Insulin Dose at Week 26 |
NCT03214380 (11) [back to overview] | 2-hour PPG Excursion During MMTT Efficacy Estimand |
NCT03214380 (11) [back to overview] | Change From Baseline in 1,5-Anhydroglucitol (1,5-AG) at Week 26 |
NCT03214380 (11) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) Efficacy Estimand at Week 26 |
NCT03214380 (11) [back to overview] | Change From Baseline in Insulin Treatment Satisfaction Questionnaire (ITSQ) Regimen Inconvenience Domain Score at Week 26 |
NCT03214380 (11) [back to overview] | Rate of Severe Hypoglycemia |
NCT03214380 (11) [back to overview] | Rate of Documented Symptomatic Hypoglycemia |
NCT03214380 (11) [back to overview] | Number of Participants With HbA1c <7% |
NCT03214380 (11) [back to overview] | Change From Baseline in ITSQ Lifestyle Flexibility Domain Score at Week 26 |
NCT03214380 (11) [back to overview] | 1-hour Postprandial Glucose (PPG) Excursion During Mixed-Meal Tolerance Test (MMTT) Efficacy Estimand |
NCT03260868 (4) [back to overview] | Number of Participants With At Least One Hypoglycemic Events (Any, Severe Documented Symptomatic, Probable Symptomatic, Asymptomatic, Pseudo-hypoglycemia: Any Time of the Day) During 24 Week Treatment Period |
NCT03260868 (4) [back to overview] | Change From Baseline in Glycated Hemoglobin A1c (HbA1c) to Week 24 |
NCT03260868 (4) [back to overview] | Change From Baseline in Glycated Hemoglobin A1c to Week 16 |
NCT03260868 (4) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) to Week 16 and Week 24 |
NCT03285594 (9) [back to overview] | Change From Baseline in Body Weight at Week 18 |
NCT03285594 (9) [back to overview] | Percentage of Participants With Adverse Events (AEs) |
NCT03285594 (9) [back to overview] | Change From Baseline in Body Weight at Week 52 |
NCT03285594 (9) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) at Week 18 |
NCT03285594 (9) [back to overview] | Change From Baseline in HbA1c at Week 52 |
NCT03285594 (9) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) at Week 18 |
NCT03285594 (9) [back to overview] | Change From Baseline in SBP at Week 12 for All Participants |
NCT03285594 (9) [back to overview] | Change From Baseline in Systolic Blood Pressure (SBP) for Participants With Baseline SBP ≥130 mmHg at Week 12 |
NCT03285594 (9) [back to overview] | Percentage of Participants With Hypoglycemic Events |
NCT03336528 (17) [back to overview] | Number of Participants With an Episode of Severe Hypoglycemia While Hospitalized |
NCT03336528 (17) [back to overview] | Daily Dose of Insulin in Hospitalized Patients |
NCT03336528 (17) [back to overview] | Hemoglobin A1c (HbA1c) in Discharged Patients |
NCT03336528 (17) [back to overview] | Mean Daily Blood Glucose Concentration in Hospitalized Patients |
NCT03336528 (17) [back to overview] | Mean Daily Blood Glucose Concentration in Discharged Patients. |
NCT03336528 (17) [back to overview] | Length of Hospital Stay |
NCT03336528 (17) [back to overview] | Number of Blood Glucose Point-of-care Test Results Between 70 and 180 mg/dL in Hospitalized Patients |
NCT03336528 (17) [back to overview] | Number of Clinically Significant Hypoglycemia Episodes in Discharged Patients |
NCT03336528 (17) [back to overview] | Number of Episodes of Severe Hyperglycemia in Discharged Patients |
NCT03336528 (17) [back to overview] | Number of Hypoglycemia Episodes in Discharged Patients |
NCT03336528 (17) [back to overview] | Number of Participants Experiencing Acute Kidney Injury in Discharged Patients |
NCT03336528 (17) [back to overview] | Number of Participants Experiencing Cardiac Complications During Hospitalization |
NCT03336528 (17) [back to overview] | Number of Participants Who Died During Hospitalization |
NCT03336528 (17) [back to overview] | Number of Participants With Acute Kidney Injury During Hospitalization |
NCT03336528 (17) [back to overview] | Number of Participants With an Episode of Clinically Significant Hypoglycemia While Hospitalized |
NCT03336528 (17) [back to overview] | Number of Participants With an Episode of Hypoglycemia While Hospitalized |
NCT03336528 (17) [back to overview] | Number of Participants With an Episode of Severe Hyperglycemia While Hospitalized |
NCT03338010 (12) [back to overview] | Rate of Total Symptomatic and Nocturnal Hypoglycemia Events (Adjusted by 1 Year) |
NCT03338010 (12) [back to overview] | Insulin Treatment Satisfaction Questionnaire (ITSQ) |
NCT03338010 (12) [back to overview] | Change From Baseline in Glycemic Variability of Fasting Blood Glucose |
NCT03338010 (12) [back to overview] | Change From Baseline in 7-Point Self-Monitored Blood Glucose (SMBG) Values |
NCT03338010 (12) [back to overview] | Basal Insulin Dose Units Per Day |
NCT03338010 (12) [back to overview] | Change From Baseline in Basal Insulin Dose Units Per Day |
NCT03338010 (12) [back to overview] | Change From Baseline in Body Weight |
NCT03338010 (12) [back to overview] | Change From Baseline in HbA1c (Lantus® to LY2963016) |
NCT03338010 (12) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) (LY2963016 to Lantus®) |
NCT03338010 (12) [back to overview] | Number of Participants With Detectable Anti-Glargine Antibodies |
NCT03338010 (12) [back to overview] | Percentage of Participants With HbA1c <7% at Week 24 |
NCT03338010 (12) [back to overview] | Percentage of Participants With HbA1c ≤6.5% at Week 24 |
NCT03350984 (3) [back to overview] | Differences in the Mean Daily Blood Glucose Between a Basal-bolus Scheme and NPH Schemes of Insulin. |
NCT03350984 (3) [back to overview] | Number of Participants With Sustained Glycemic Control During Hospital Stay |
NCT03350984 (3) [back to overview] | the Number of Participants With Mild and Severe Hypoglycemic Events |
NCT03371108 (9) [back to overview] | Immunogenicity - Percentage of Subjects With Confirmed Positive AIA After Baseline |
NCT03371108 (9) [back to overview] | Treatment-induced Anti-Insulin Antibody (TI-AIA) is the Primary Endpoint |
NCT03371108 (9) [back to overview] | CFB in HbA1c to Week 26 |
NCT03371108 (9) [back to overview] | Immunogenicity - Mean Change From Baseline in Each Treatment Group in AIA Titers After Baseline |
NCT03371108 (9) [back to overview] | Immunogenicity - Percentage of Subjects in Each Treatment Group With Confirmed Positive AIA at Baseline Who Developed at Least a 4-fold Increase in Titers After Baseline |
NCT03371108 (9) [back to overview] | Immunogenicity - Percentage of Subjects in Each Treatment Group With Negative AIA at Baseline Who Develop Confirmed Positive AIA After Baseline |
NCT03371108 (9) [back to overview] | Immunogenicity - Percentage of Subjects With Confirmed Positive AIA After Baseline Who Develop Any Anti-insulin Neutralizing Antibodies After Baseline |
NCT03371108 (9) [back to overview] | Efficacy - HbA1c Control |
NCT03371108 (9) [back to overview] | Efficacy - Postbaseline FBG Control |
NCT03434119 (5) [back to overview] | Change From Baseline in Glycated Hemoglobin (HbA1c) at Week 26 |
NCT03434119 (5) [back to overview] | Percentage of Participants Achieving HbA1c Target of <7% at Week 26 |
NCT03434119 (5) [back to overview] | Percentage of Participants With Hypoglycemic Events (Any Hypoglycemia, Severe Hypoglycemia, Documented Hypoglycemia) During the On-Treatment Period |
NCT03434119 (5) [back to overview] | Change From Baseline in Body Weight at Week 26 |
NCT03434119 (5) [back to overview] | Change From Baseline in Daily Insulin Glargine Dose at Week 26 |
NCT03555305 (4) [back to overview] | Pharmacodynamics (PD): Total Amount of Glucose Infused (Gtot) |
NCT03555305 (4) [back to overview] | PK: Area Under the Concentration Versus Time Curve From Time Zero to 24 Hours (AUC[0-24]) of Insulin Glargine and Lantus |
NCT03555305 (4) [back to overview] | PD: Maximum Glucose Infusion Rate (Rmax) |
NCT03555305 (4) [back to overview] | Pharmacokinetics (PK): Maximum Serum Concentration (Cmax) of Insulin Glargine and Lantus |
NCT03660553 (3) [back to overview] | Hemoglobin A1c (HbA1c) |
NCT03660553 (3) [back to overview] | Incidence of Any Hypoglycemia |
NCT03660553 (3) [back to overview] | Incidence of Severe Hypoglycemia |
NCT03668808 (11) [back to overview] | Continuous Glucose Monitoring - Time in Range (70-180 mg/dl) |
NCT03668808 (11) [back to overview] | Continuous Glucose Monitoring - Time in Range (70-140 mg/dl) |
NCT03668808 (11) [back to overview] | CGM Fasting Blood Glucose (FBG) |
NCT03668808 (11) [back to overview] | CGM % Time 70-180 mg/dl |
NCT03668808 (11) [back to overview] | CGM % Time >180 mg/dl |
NCT03668808 (11) [back to overview] | CGM - Coefficient of Variation (CV) |
NCT03668808 (11) [back to overview] | CGM % Time <70 mg/dl |
NCT03668808 (11) [back to overview] | Liverpool Jet-Lag Questionnaire |
NCT03668808 (11) [back to overview] | Sleep Quantity Measured by ActiGraph |
NCT03668808 (11) [back to overview] | Sleep Efficiency Measured by ActiGraph |
NCT03668808 (11) [back to overview] | Mean ± SD CGM Glucose (mg/dl) |
NCT03670641 (6) [back to overview] | Number of Participants With A1C of <6.5% After CGM-guided Insulin Therapy Intervention |
NCT03670641 (6) [back to overview] | Percent Time Glucose Values Remain in Range While Wearing CGM During Insulin Intervention |
NCT03670641 (6) [back to overview] | Number of Patients With Glucose Values <55 mg/dL During 4 Week of Insulin and CGM Intervention |
NCT03670641 (6) [back to overview] | Number of Participants Achieving Euglycemic Glucose Targets Within a 4 Week Period |
NCT03670641 (6) [back to overview] | See if Diabetes Distress is Affected With Intervention Via Problem Areas In Diabetes (PAID) - 5 Questionnaire Scale |
NCT03670641 (6) [back to overview] | Change in Baseline A1C and A1C Measured at 3 Month Intervals up to 12 Months |
NCT03687827 (6) [back to overview] | Level of Glycated Haemoglobin (HbA1c) - Percentage |
NCT03687827 (6) [back to overview] | Level of Glycated Haemoglobin (HbA1c) - mmol/Mol |
NCT03687827 (6) [back to overview] | Time Spent in Tight Glycaemic Target Range 70-140 mg/dL (3.9-7.8 mmol/L) Both Inclusive, Using Flash Glucose Monitoring |
NCT03687827 (6) [back to overview] | Time Spent in Nocturnal Glycaemic Target Range 70-140 mg/dL (3.9-7.8 mmol/L) Both Inclusive, in the Nocturnal Period (00:01 am - 05:59 am Both Inclusive) Using Flash Glucose Monitoring |
NCT03687827 (6) [back to overview] | Percentage of Time Spent in Glycaemic Target Range 70-180 mg/dL (3.9-10.0 mmol/L) Both Inclusive, Using Flash Glucose Monitoring (FGM) |
NCT03687827 (6) [back to overview] | Mean Glucose Levels Using Flash Glucose Monitoring (FGM) |
NCT03689374 (25) [back to overview] | Change From Baseline to Week 52 in Body Weight (Kilogram (kg)) |
NCT03689374 (25) [back to overview] | Change From Baseline to Week 52 in Body Weight (Percentage): Ratio to Baseline |
NCT03689374 (25) [back to overview] | Change From Baseline to Week 52 in Fasting Blood Lipids: High-density Lipoprotein (HDL) Cholesterol (Ratio to Baseline) |
NCT03689374 (25) [back to overview] | Change From Baseline to Week 52 in Fasting Blood Lipids: Low-density Lipoprotein (LDL) Cholesterol (Ratio to Baseline) |
NCT03689374 (25) [back to overview] | Change From Baseline to Week 52 in Fasting Blood Lipids: Total Cholesterol (Ratio to Baseline) |
NCT03689374 (25) [back to overview] | Number of Event Adjudication Committee-confirmed Severe (ADA) or Clinically Significant Hypoglycaemic Episodes (Plasma Glucose < 3.0 mmol/L (54 mg/dL)) From Randomization to Week 52 |
NCT03689374 (25) [back to overview] | Total Daily Insulin Dose at Week 52 |
NCT03689374 (25) [back to overview] | Number of Event Adjudication Committee-confirmed Severe Hypoglycaemic Episodes (ADA) From Randomization to Week 52 |
NCT03689374 (25) [back to overview] | Number of Event Adjudication Committee-confirmed Severe Hypoglycaemic Episodes (ADA) Requiring Hospitalization, Documented Medical Help, or is Life-threatening From Randomization to Week 52 |
NCT03689374 (25) [back to overview] | Time to First Event Adjudication Committee-confirmed Severe Hypoglycaemic Episode (ADA) Requiring Hospitalization, Documented Medical Help, or is Life-threatening Randomization up to Week 52 |
NCT03689374 (25) [back to overview] | Change From Baseline to Week 52 in Diabetes Quality of Life Clinical Trial Questionnaire (DQLCTQ-R): Scores From the 8 Domains |
NCT03689374 (25) [back to overview] | Change From Baseline to Week 52 in 36-item Short Form Health Survey Version 2 (SF-36v2): Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 Domains |
NCT03689374 (25) [back to overview] | Change From Baseline to Week 52 in Waist Circumference |
NCT03689374 (25) [back to overview] | Daily Basal Insulin Dose at Week 52 |
NCT03689374 (25) [back to overview] | Number of Event Adjudication Committee-confirmed Severe (ADA) or Blood Glucose (BG) Confirmed, Symptomatic Hypoglycaemic Episodes (Plasma Glucose Less Than (<) 3.1 mmol/L (56 mg/dL)) From Randomization to Week 52 |
NCT03689374 (25) [back to overview] | Number of Event Adjudication Committee-confirmed Severe (ADA) or Blood Glucose Confirmed, Symptomatic Hypoglycaemic Episodes (Plasma Glucose <= 3.9 mmol/L (70 mg/dL)) From Randomization to Week 52 |
NCT03689374 (25) [back to overview] | Change From Baseline to Week 52 in Systolic and Diastolic Blood Pressure |
NCT03689374 (25) [back to overview] | Time to First Event Adjudication Committee (EAC)-Confirmed Severe Hypoglycaemic Episode American Diabetes Association (ADA) From Randomization up to Week 52 |
NCT03689374 (25) [back to overview] | Change From Baseline to Week 52 in Fasting Plasma Glucose (FPG) |
NCT03689374 (25) [back to overview] | Change From Baseline to Week 52 in Fasting Blood Lipids: Triglycerides (Ratio to Baseline) |
NCT03689374 (25) [back to overview] | Change From Baseline in Glycated Haemoglobin (HbA1c) |
NCT03689374 (25) [back to overview] | Change From Baseline to Week 52 in 7-point Self-measured Plasma Glucose Profile (SMPG ): Mean 7-point Profile (7-PP) |
NCT03689374 (25) [back to overview] | Change From Baseline to Week 52 in 7-point Self-measured Plasma Glucose Profile: Mean Post-prandial Increment (Over All Meals) |
NCT03689374 (25) [back to overview] | Change From Baseline to Week 52 in Body Mass Index (BMI) |
NCT03689374 (25) [back to overview] | Change From Baseline to Week 52 in Pulse Rate |
NCT03730662 (8) [back to overview] | Rate of Hypoglycemia With Blood Glucose <54 Milligram/Deciliter (mg/dL) [<3.0 (Millimole/Liter (mmol/L))] or Severe Hypoglycemia |
NCT03730662 (8) [back to overview] | Pharmacokinetics (PK): Steady State Area Under the Concentration Time Curve From Zero to Tau (AUC 0-Tau) of Tirzepatide |
NCT03730662 (8) [back to overview] | Percentage of Participants With HbA1c of <7.0% |
NCT03730662 (8) [back to overview] | Mean Change From Baseline in Daily Average 7-Point Self-Monitored Blood Glucose (SMBG) Values |
NCT03730662 (8) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) (10 mg and 15 mg) |
NCT03730662 (8) [back to overview] | Change From Baseline in HbA1c (5 mg) |
NCT03730662 (8) [back to overview] | Change From Baseline in Body Weight |
NCT03730662 (8) [back to overview] | Change From Baseline in Fasting Serum Glucose |
NCT03740919 (10) [back to overview] | Rate of Documented Post-dose Hypoglycemic Events Within 1 and 2 Hours After the Prandial Dose |
NCT03740919 (10) [back to overview] | Rate of Severe Hypoglycemia |
NCT03740919 (10) [back to overview] | Percentage of Participants With Documented Hypoglycemic Events |
NCT03740919 (10) [back to overview] | Percentage of Participants With Documented Post-dose Hypoglycemic Events Within 1 and 2 Hours After the Prandial Dose |
NCT03740919 (10) [back to overview] | Change From Baseline in 7-Point Self-Monitored Blood Glucose (SMBG) Values at Week 26 |
NCT03740919 (10) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) Efficacy Estimand at Week 26 |
NCT03740919 (10) [back to overview] | Percentage of Participants With HbA1c < 7.0% and <7.5% |
NCT03740919 (10) [back to overview] | Rate of Documented Hypoglycemia Events |
NCT03740919 (10) [back to overview] | Change From Baseline in Insulin Dose at Week 26 |
NCT03740919 (10) [back to overview] | Change From Baseline in HbA1c (Postprandial) at Week 26 |
NCT03751657 (15) [back to overview] | Fasting C-peptide |
NCT03751657 (15) [back to overview] | Fluctuations of the 9-point Profile (Defined as the Integrated Absolute Distance From the Mean Profile Value Divided by Measurement Time). |
NCT03751657 (15) [back to overview] | Change in Cross-reactive Anti-human Insulin Antibody Status (Positive/Negative) |
NCT03751657 (15) [back to overview] | 9-point Profile (Individual SMPG Values) |
NCT03751657 (15) [back to overview] | Number of Clinically Significant Hypoglycaemic Episodes (Level 2) (<3.0 mmol/L (54 mg/dL), Confirmed by BG Meter) or Severe Hypoglycaemic Episodes (Level 3) |
NCT03751657 (15) [back to overview] | Number of Hypoglycaemic Alert Episodes (Level 1) (≥3.0 and <3.9 mmol/L (≥54 and <70 mg/dL), Confirmed by BG Meter) |
NCT03751657 (15) [back to overview] | Number of Severe Hypoglycaemic Episodes (Level 3) |
NCT03751657 (15) [back to overview] | Change in Fasting Plasma Glucose |
NCT03751657 (15) [back to overview] | Change in Glycated Haemoglobin (HbA1c) [Percentage Point (%-Point)] |
NCT03751657 (15) [back to overview] | Number of Treatment Emergent Adverse Events (TEAEs) |
NCT03751657 (15) [back to overview] | Change in HbA1c [Millimoles/Mole (mmol/Mol)] |
NCT03751657 (15) [back to overview] | Change in Body Weight |
NCT03751657 (15) [back to overview] | Change in Anti-insulin 287 Antibody Titres |
NCT03751657 (15) [back to overview] | Weekly Dose of Insulin 287 and Weekly Dose of Insulin Glargine |
NCT03751657 (15) [back to overview] | Change in Mean of the 9-point Profile, Defined as the Area Under the Profile Divided by Measurement Time |
NCT03874715 (8) [back to overview] | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) |
NCT03874715 (8) [back to overview] | Number of Participants With at Least One Hypoglycemic Event |
NCT03874715 (8) [back to overview] | Number of Hypoglycemic Events Per Participant-year |
NCT03874715 (8) [back to overview] | Pharmacokinetics: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Insulin Aspart Following Administration of Either SAR341402 (Switching Arm) or NovoLog (Non-switching Arm) |
NCT03874715 (8) [back to overview] | Pharmacokinetics: Maximum Observed Plasma Concentration (Cmax) of Insulin Aspart Following Administration of Either SAR341402 (Switching Arm) or NovoLog (Non-switching Arm) |
NCT03874715 (8) [back to overview] | Pharmacokinetics (PK): Area Under the Plasma Concentration Versus Time Curve From Time Zero to Last Measurable Timepoint (AUClast) of Insulin Aspart Following Administration of Either SAR341402 (Switching Arm) or NovoLog (Non-switching Arm) |
NCT03874715 (8) [back to overview] | Number of Participants With Treatment-emergent Anti-Insulin Aspart Antibodies (AIAs) |
NCT03874715 (8) [back to overview] | Pharmacokinetics: Area Under the Plasma Concentration Versus Time Curve (AUC) of Insulin Aspart Following Administration of Either SAR341402 (Switching Arm) or NovoLog (Non-switching Arm) |
NCT03922750 (9) [back to overview] | Number of Clinically Significant Hypoglycaemic Episodes (Level 2) (Below 3.0 mmol/L (54 mg/dL), Confirmed by BG Meter) or Severe Hypoglycaemic Episodes (Level 3) |
NCT03922750 (9) [back to overview] | Number of Hypoglycaemic Alert Episodes(Level 1) (Greater Than or Equal to 3.0 and Below 3.9 mmol/L (Greater Than or Equal to 54 and Below 70 mg/dL), Confirmed by BG Meter) |
NCT03922750 (9) [back to overview] | Change in Body Weight |
NCT03922750 (9) [back to overview] | Number of Treatment-emergent Adverse Events (TEAEs) |
NCT03922750 (9) [back to overview] | Number of Severe Hypoglycaemic Episodes (Level 3) |
NCT03922750 (9) [back to overview] | Percentage of Time in Target Range 3.9-10.0 mmol/L (70-180 Milligrams Per Deciliter (mg/dL)) Measured Using CGM (Continuous Glucose Monitoring) |
NCT03922750 (9) [back to overview] | Weekly Insulin Dose |
NCT03922750 (9) [back to overview] | Change in Fasting Plasma Glucose (FPG) |
NCT03922750 (9) [back to overview] | Change in Glycosylated Haemoglobin (HbA1c) |
NCT03951805 (9) [back to overview] | Percentage of Time in Target Range (TIR) 3.9-10.0 Millimoles Per Liter (mmol/L) (70-180 Milligrams Per Deciliter (mg/dL) Measured Using CGM (Continuous Glucose Monitoring) |
NCT03951805 (9) [back to overview] | Number of Treatment Emergent Adverse Events (TEAEs) |
NCT03951805 (9) [back to overview] | Number of Severe Hypoglycaemic Episodes (Level 3) |
NCT03951805 (9) [back to overview] | Number of Hypoglycaemic Alert Episodes (Level 1) (Greater Than or Equal to 3.0 and Below 3.9 mmol/L (Greater Than or Equal to 54 and Below 70 mg/dL), Confirmed by Blood Glucose (BG) Meter) |
NCT03951805 (9) [back to overview] | Number of Clinically Significant Hypoglycaemic Episodes (Level 2) (Below 3.0 mmol/L (54 Milligrams Per Deciliter [mg/dL]), Confirmed by Blood Glucose (BG) Meter) or Severe Hypoglycaemic Episodes (Level 3) |
NCT03951805 (9) [back to overview] | Change in HbA1c (Glycated Haemoglobin) |
NCT03951805 (9) [back to overview] | Change in Fasting Plasma Glucose (FPG) |
NCT03951805 (9) [back to overview] | Weekly Insulin Dose |
NCT03951805 (9) [back to overview] | Change in Body Weight |
NCT03952130 (9) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) |
NCT03952130 (9) [back to overview] | 2-hour PPG Excursion During MMTT |
NCT03952130 (9) [back to overview] | 1-hour Postprandial Glucose (PPG) Excursion During Mixed-Meal Tolerance Test (MMTT) |
NCT03952130 (9) [back to overview] | Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values |
NCT03952130 (9) [back to overview] | Change From Baseline in 1,5-Anhydroglucitol (1,5-AG) |
NCT03952130 (9) [back to overview] | Change From Baseline in Daily Insulin Dose |
NCT03952130 (9) [back to overview] | Percentage of Participants With HbA1c <7% and ≤6.5% |
NCT03952130 (9) [back to overview] | Rate of Severe Hypoglycemia |
NCT03952130 (9) [back to overview] | Rate of Documented Symptomatic Post Meal Hypoglycemia |
NCT03952143 (9) [back to overview] | 1-hour Postprandial Glucose (PPG) Excursion During Mixed-Meal Tolerance Test (MMTT) |
NCT03952143 (9) [back to overview] | 2-hour PPG Excursion During MMTT |
NCT03952143 (9) [back to overview] | Change From Baseline in 1,5-Anhydroglucitol (1,5-AG) |
NCT03952143 (9) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) |
NCT03952143 (9) [back to overview] | Rate of Severe Hypoglycemia |
NCT03952143 (9) [back to overview] | Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values |
NCT03952143 (9) [back to overview] | Change From Baseline in Insulin Dose |
NCT03952143 (9) [back to overview] | Percentage of Participants With HbA1c <7% and ≤6.5% |
NCT03952143 (9) [back to overview] | Rate of Documented Symptomatic Postmeal Hypoglycemia |
NCT04075513 (12) [back to overview] | Glucose Total Coefficient of Variation (CV%) |
NCT04075513 (12) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) at Week 12 |
NCT04075513 (12) [back to overview] | Change From Baseline in Glycated Hemoglobin A1c (HbA1c) at Week 12 |
NCT04075513 (12) [back to overview] | Percentage of Time of Glucose Concentration Within the Target Range of Greater Than or Equal to (>=) 70 to Less Than or Equal to (<=) 180 Milligrams Per Deciliter: Non-inferiority Analysis |
NCT04075513 (12) [back to overview] | Percentage of Time With Glucose Level <70 Milligrams Per Deciliter (All Time and During the Night) |
NCT04075513 (12) [back to overview] | Number of Participants With at Least One Hypoglycemic Event During the On-treatment Period |
NCT04075513 (12) [back to overview] | Number of Hypoglycemic Events Per Participant Year During the On-treatment Period |
NCT04075513 (12) [back to overview] | Mean Hours Per Day With Glucose Level <70 Milligrams Per Deciliter (All Time and During the Night) |
NCT04075513 (12) [back to overview] | Glucose Within-day CV% and Between-day CV% |
NCT04075513 (12) [back to overview] | Percentage of Time With Glucose Level >180 Milligrams Per Deciliter |
NCT04075513 (12) [back to overview] | Percentage of Time of Glucose Concentration Within the Target Range of >=70 to <=180 Milligrams Per Deciliter: Superiority Analysis |
NCT04075513 (12) [back to overview] | Mean Hours Per Day With Glucose Level >180 Milligrams Per Deciliter |
NCT04093752 (10) [back to overview] | Percentage of Participants Who Achieved Weight Loss ≥5% |
NCT04093752 (10) [back to overview] | Percentage of Participants Achieving an HbA1c Target Value of <7.0% |
NCT04093752 (10) [back to overview] | Mean Change From Baseline in HbA1c (5 mg) |
NCT04093752 (10) [back to overview] | Mean Change From Baseline in Hemoglobin A1c (HbA1c) (10 mg and 15 mg) |
NCT04093752 (10) [back to overview] | Mean Change in Daily Glucose Average From Baseline in 7-Point Self-Monitored Blood Glucose (SMBG) Values |
NCT04093752 (10) [back to overview] | Diabetes Treatment Satisfaction as Measured by the Diabetes Treatment Satisfaction Questionnaire, Change Version (DTSQc) Hyperglycemia, Hypoglycemia and Treatment Satisfaction Score |
NCT04093752 (10) [back to overview] | Percentage of Participants Achieving an HbA1c Target Value of <5.7% |
NCT04093752 (10) [back to overview] | Rate of Hypoglycemia With Blood Glucose < 54 mg/dL or Severe Hypoglycemia |
NCT04093752 (10) [back to overview] | Mean Change From Baseline in Fasting Serum Glucose |
NCT04093752 (10) [back to overview] | Mean Change From Baseline in Body Weight |
NCT04591626 (9) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) |
NCT04591626 (9) [back to overview] | Percentage of Participants Achieving HbA1c <7.0% |
NCT04591626 (9) [back to overview] | Percentage of Participants Achieving HbA1c <7.0% With no Weight Gain (<0.1 kg) and Without Documented Symptomatic Hypoglycemia (Blood Glucose <3.0 mmol/L) |
NCT04591626 (9) [back to overview] | Percentage of Participants Achieving HbA1c <7.0% Without Weight Gain (<0.1 kg) |
NCT04591626 (9) [back to overview] | Percentage of Participants Achieving HbA1c <7.0% Without Documented Symptomatic Hypoglycemia (Blood Glucose <3.0 mmol/L) |
NCT04591626 (9) [back to overview] | Change From Baseline in Fasting Serum Glucose (FSG) |
NCT04591626 (9) [back to overview] | Change From Baseline in Blood Glucose From Daily Self-Monitored Blood Glucose (SMBG) Profile |
NCT04591626 (9) [back to overview] | Change From Baseline in Body Weight |
NCT04591626 (9) [back to overview] | Change From Baseline in Daily Mean Insulin Glargine Doses |
NCT04605991 (12) [back to overview] | Change From Baseline in Insulin Treatment Satisfaction Questionnaire (ITSQ) - Glycemic Control Domain Score at Week 12 |
NCT04605991 (12) [back to overview] | Change From Baseline in Daily Insulin Dose at Week 12 |
NCT04605991 (12) [back to overview] | Change From Baseline in Bolus/Total Insulin Dose Percentage at Week 12 |
NCT04605991 (12) [back to overview] | Change From Baseline in Percentage of Time With CGM Sensor Glucose Value >250 mg/dL (>13.9 mmol/L) During Daytime and 24-hour Period at Week 12 |
NCT04605991 (12) [back to overview] | Percentage of Participants With HbA1c <7% and ≤6.5% |
NCT04605991 (12) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) at Week 12 |
NCT04605991 (12) [back to overview] | Change From Baseline in Percentage of Time With CGM Sensor Glucose Values Between 70-180 mg/dL (3.9-10.0 mmol/L) (Both Inclusive) During the 24-hour Period at Week 12 |
NCT04605991 (12) [back to overview] | Change From Baseline in Percentage of Time With Continuous Glucose Monitoring (CGM) Sensor Glucose Values Between 70-180 Milligrams/Deciliter (mg/dL) (3.9-10.0 Millimoles/Liter [mmol/L]) (Both Inclusive) During Daytime Period at Week 12 |
NCT04605991 (12) [back to overview] | Change From Baseline in Percentage of Time With CGM Sensor Glucose Values <54 mg/dL (<3.0 mmol/L) During Daytime and 24-hour Periods at Week 12 |
NCT04605991 (12) [back to overview] | Change From Baseline in Percentage of Time With CGM Sensor Glucose Values >180 mg/dL (>10.0 mmol/L) During Daytime and 24-hour Period at Week 12 |
NCT04605991 (12) [back to overview] | Change From Baseline in Postprandial Incremental Area Under the Glucose Curve (iAUC) 0-1 Hour at Week 12 |
NCT04605991 (12) [back to overview] | Change From Baseline in Postprandial Incremental Area Under the Glucose Curve (iAUC) 0-2 Hour at Week 12 |
NCT04834362 (4) [back to overview] | Length of Hospital Stay |
NCT04834362 (4) [back to overview] | Mortality |
NCT04834362 (4) [back to overview] | Total Daily Dose of Insulin |
NCT04834362 (4) [back to overview] | Glycemic Control |
First Occurrence of MCE or Revascularization or Hospitalization for Congestive Heart Failure (CHF) in Lipid Trial.
Time to first occurrence of nonfatal myocardial infarction, nonfatal stroke, cardiovascular death, revascularization procedure or hospitalization for CHF in Lipid Trial participants. (NCT00000620)
Timeframe: 4.7 years
Intervention | participants (Number) |
---|
Lipid Trial: Fenofibrate | 641 |
Lipid Trial: Placebo | 667 |
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Stroke in the Blood Pressure Trial.
Time to first occurrence of nonfatal or fatal stroke among participants in the BP Trial. (NCT00000620)
Timeframe: 4.7 years
Intervention | participants (Number) |
---|
BP Trial: Intensive Control | 36 |
BP Trial: Standard Control | 62 |
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First Occurrence of Major Cardiovascular Event (MCE) in the Lipid Trial.
Time to first occurrence of nonfatal myocardial infarction, nonfatal stroke, or cardiovascular death in Lipid Trial participants. (NCT00000620)
Timeframe: 4.7 years
Intervention | participants (Number) |
---|
Lipid Trial: Fenofibrate | 291 |
Lipid Trial: Placebo | 310 |
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First Occurrence of Major Cardiovascular Event (MCE) in the Blood Pressure Trial.
Time to first occurrence of nonfatal myocardial infarction, nonfatal stroke, or cardiovascular death. Primary outcome for Blood Pressure Trial. (NCT00000620)
Timeframe: 4.7 years
Intervention | participants (Number) |
---|
BP Trial: Intensive Control | 208 |
BP Trial: Standard Control | 237 |
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First Occurrence of a Major Cardiovascular Event (MCE); Specifically Nonfatal Heart Attack, Nonfatal Stroke, or Cardiovascular Death (Measured Throughout the Study) in the Glycemia Trial.
"Time to first occurrence of nonfatal myocardial infarction, nonfatal stroke, or cardiovascular death. This was the primary outcome measure in all three trials: Glycemia (all participants), Blood Pressure (subgroup of participants not in Lipid Trial), and Lipid (subgroup of participants not in Blood Pressure Trial).~In the Glycemia Trial, a finding of higher mortality in the intensive arm group led to an early discontinuation of therapy after a mean of 3.5 years of follow-up. Intensive arm participants were transitioned to standard arm strategy over a period of 0.2 year and followed for an additional 1.2 years to the planned end of the Glycemia Trial while participating in one of the other sub-trials (BP or Lipid) to their planned completion." (NCT00000620)
Timeframe: 4.9 years
Intervention | participants (Number) |
---|
Glycemia Trial: Intensive Control | 503 |
Glycemia Trial: Standard Control | 543 |
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Death From Any Cause in the Glycemia Trial.
"Time to death from any cause. Secondary measure for Glycemia Trial.~A finding of higher mortality in the intensive-therapy group led to an early discontinuation of therapy after a mean of 3.5 years of follow-up. Intensive arm participants were transitioned to standard arm strategy over a period of 0.2 year and followed for an additional 1.2 years to the planned end of the Glycemia Trial while participating in one of the other sub-trials (BP or Lipid)." (NCT00000620)
Timeframe: 4.9 years
Intervention | participants (Number) |
---|
Glycemia Trial: Intensive Control | 391 |
Glycemia Trial: Standard Control | 327 |
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Incidence of Development of Type 2 Diabetes Mellitus in Participants With IGT and/or IFG
The incidence was determined by calculating the proportion of randomized participants without diabetes at randomization who either developed diabetes during the study or who were classified as having possible diabetes based on results of two oral glucose tolerance tests (OGTT) performed after the last follow-up visit (within 21-28 days for OGTT#1 and within 10-14 weeks for OGTT#2). (NCT00069784)
Timeframe: from randomization until the last follow-up visit or last OGTT (median duration of follow-up: 6.2 years)
Intervention | percentage of patients (Number) |
---|
Insulin Glargine | 24.7 |
Standard Care | 31.2 |
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Number of Patients With First Occurrence of Any Type of Cancer
Data on cancers that occurred in association with hospitalizations were collected systematically in both groups from the start of the study. All reported cancers occurring during the trial (new or recurrent) were adjudicated by the Event Adjudication Committee. (NCT00069784)
Timeframe: from randomization until study cut-off date (median duration of follow-up: 6.2 years)
Intervention | participants (Number) |
---|
Insulin Glargine | 559 |
Standard Care | 561 |
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Total Mortality (All Causes)
Number of deaths due to any cause (NCT00069784)
Timeframe: from randomization until study cut-off date (median duration of follow-up: 6.2 years)
Intervention | participants (Number) |
---|
Insulin Glargine | 951 |
Standard Care | 965 |
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Composite Diabetic Microvascular Outcome (Kidney or Eye Disease)
"The composite outcome used to analyze microvascular disease progression contained components of clinical events:~the occurrence of laser surgery or vitrectomy for diabetic retinopathy (DR);~the development of blindness due to DR;~the occurrence of renal death or renal replacement therapy; as well as the following laboratory-based events:~doubling of serum creatinine; or~progression of albuminuria (from none to microalbuminuria [at least 30 mg/g creatinine], to macroalbuminuria [at least 300 mg/g creatinine])." (NCT00069784)
Timeframe: from randomization until study cut-off date (median duration of follow-up: 6.2 years)
Intervention | participants (Number) |
---|
| Participants with a composite endpoint | Endpoint's composition: vitrectomy | Endpoint's composition: laser therapy for DR | Endpoint's composition: dialysis | Endpoint's composition: renal transplant | Endpoint's composition: serum creatinine doubled | Endpoint's composition: death due to renal failure | Endpoint's composition: albuminuria progression |
---|
Insulin Glargine | 1323 | 24 | 57 | 18 | 0 | 82 | 4 | 1153 |
,Standard Care | 1363 | 25 | 67 | 28 | 0 | 88 | 3 | 1171 |
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Composite of the First Occurrence of Cardiovascular (CV) Death, Nonfatal Myocardial Infarction (MI) or Nonfatal Stroke
"Number of participants with a first occurrence of one of the above events.~The outcome's evaluation is based on the number of such positively-adjudicated first events occurring for patients assigned to the study groups. Assessments of the above events were reviewed by the Event Adjudication Committee who was kept blinded to the group assignment of participants.~Statistical analysis is performed on the time from randomization to the first occurrence of the events. Number of participants with a composite endpoint (i.e. with first occurrence of CV death, nonfatal MI or nonfatal stroke) is provided in the first row of the statistical table." (NCT00069784)
Timeframe: from randomization until study cut-off date (median duration of follow-up: 6.2 years)
Intervention | participants (Number) |
---|
| Participants with a composite endpoint | Endpoint's composition: CV death | Endpoint's composition: nonfatal MI | Endpoint's composition: nonfatal stroke |
---|
Insulin Glargine | 1041 | 484 | 297 | 261 |
,Standard Care | 1013 | 476 | 282 | 256 |
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Composite of the First Occurrence of Cardiovascular (CV) Death, Nonfatal Myocardial Infarction (MI), Nonfatal Stroke, Revascularization Procedure or Hospitalization for Heart Failure (HF)
"Number of participants with a first occurrence of one of the above events (revascularization procedures included coronary artery bypass graft, percutaneous transluminal coronary angioplasty (PTCA) i.e. balloon, PTCA with stent, other percutaneous intervention, carotid angioplasty with/without stent, carotid endarterectomy, peripheral angioplasty with or without stent, peripheral vascular surgery, and limb amputation due to vascular disease).~The outcome's evaluation is based on the number of such positively-adjudicated first events occurring for patients assigned to the study groups. Assessments of the above events were reviewed by the Event Adjudication Committee who was kept blinded to the group assignment of participants.~Statistical analysis is performed on the time from randomization to the first occurrence of the events. Number of participants with a composite endpoint (i.e. with first occurrence of the events) is provided in the first row of the statistical table." (NCT00069784)
Timeframe: from randomization until study cut-off date (median duration of follow-up: 6.2 years)
Intervention | participants (Number) |
---|
| Participants with a composite endpoint | Endpoint's composition: CV death | Endpoint's composition: nonfatal MI | Endpoint's composition: nonfatal stroke | Endpoint's composition: revascularization | Endpoint's composition: hospitalization for HF |
---|
Insulin Glargine | 1792 | 350 | 257 | 231 | 763 | 249 |
,Standard Care | 1727 | 339 | 238 | 227 | 717 | 259 |
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Number of Patients With Various Types of Symptomatic Hypoglycemia Events
"Symptomatic hypoglycemia was defined as an event with clinical symptoms consistent with hypoglycemia, based on data recorded in the participant's diary. These were further categorized as confirmed (ie, with a concomitant home glucose reading ≤54 mg/dL [≤3.0 mmol/L]) or unconfirmed.~Severe hypoglycemia was defined as an event with clinical symptoms consistent with hypoglycemia in which the participant required the assistance of another person, and one of the following:~the event was associated with a documented self-measured or laboratory plasma glucose level ≤36 mg/dL (≤2.0 mmol/L), or~the event was associated with prompt recovery after oral carbohydrate, intravenous glucose, or glucagon administration." (NCT00069784)
Timeframe: on-treatment period (median duration of follow-up: 6.2 years)
Intervention | participants (Number) |
---|
| Patients with hypoglycemia events | Patients with non-severe hypoglycemia | Patients with confirmed non-severe hypoglycemia | Patients with severe hypoglycemia |
---|
Insulin Glargine | 3597 | 3533 | 2581 | 352 |
,Standard Care | 1624 | 1582 | 904 | 113 |
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Change in Rate of Hypoglycemic Events
Change in rate of hypoglycemic events per 30 days per patient from baseline to week 26 (NCT00082381)
Timeframe: Baseline, week 26
Intervention | events per 30 days per patient (Least Squares Mean) |
---|
| Baseline event rate | Change in event rate at week 26 |
---|
Exenatide Arm | 0.09 | 0.23 |
,Insulin Glargine Arm | 0.11 | 0.29 |
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Change in Glycosylated Hemoglobin (HbA1c)
Change in HbA1c from baseline to week 26 (NCT00082381)
Timeframe: Baseline, week 26
Intervention | percentage (Least Squares Mean) |
---|
| Baseline HbA1c | Change in HbA1c at week 26 |
---|
Exenatide Arm | 8.13 | -1.00 |
,Insulin Glargine Arm | 8.19 | -1.05 |
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Change in Fasting Serum Glucose
Change in fasting serum glucose from baseline to week 26 (NCT00082381)
Timeframe: Baseline, week 26
Intervention | mmol/L (Least Squares Mean) |
---|
| Baseline fasting serum glucose | Change in fasting serum glucose at week 26 |
---|
Exenatide Arm | 10.27 | -1.22 |
,Insulin Glargine Arm | 10.46 | -2.86 |
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Change in Body Weight
Change in body weight from baseline to week 26 (NCT00082381)
Timeframe: Baseline, week 26
Intervention | kg (Least Squares Mean) |
---|
| Baseline body weight | Change in body weight at week 26 |
---|
Exenatide Arm | 88.42 | -2.32 |
,Insulin Glargine Arm | 89.25 | 1.75 |
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Change in 7-point Self-monitored Blood Glucose (SMBG) Profile
Change in 7-point (pre-breakfast, 2 hour post breakfast, pre-lunch, 2 hour post lunch, pre-dinner, 2 hour post dinner, 0300 hours) SMBG profile from baseline to week 26 (NCT00082381)
Timeframe: Baseline, week 26
Intervention | mmol/L (Least Squares Mean) |
---|
| Pre-breakfast: Baseline SMBG | Pre-breakfast: Change in SMBG at week 26 | 2hr post breatfast: Baseline SMBG | 2hr post breakfast: Change in SMBG at week 26 | Pre-lunch: Baseline SMBG | Pre-lunch: Change in SMBG at week 26 | 2hr post lunch: Baseline SMBG | 2hr post lunch: Change in SMBG at week 26 | Pre-dinner: Baseline SMBG | Pre-dinner: Change in SMBG at week 26 | 2hr post dinner: Baseline SMBG | 2hr post dinner: Change in SMBG at week 26 | 3:00 AM: Baseline SMBG | 3:00 AM: Change in SMBG at week 26 |
---|
Exenatide Arm | 9.47 | -1.25 | 12.51 | -3.77 | 9.61 | -1.50 | 11.15 | -1.68 | 9.46 | -1.15 | 11.17 | -3.06 | 9.02 | -1.05 |
,Insulin Glargine Arm | 9.50 | -2.56 | 12.36 | -2.86 | 9.47 | -1.93 | 10.96 | -1.69 | 9.35 | -1.72 | 11.49 | -1.65 | 9.36 | -1.97 |
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Percentage of Patients With Hypoglycemic Events
Percentage of patients who experienced at least one episode of hypoglycemia at any point during the 26 week Parent Study (incidence of hypoglycemia = number of patients who experienced at least one episode of hypoglycemia at any point during the 26 week Parent Study divided by the total number of patients who participated in the 26 week Parent Study (NCT00082381)
Timeframe: 26 weeks
Intervention | percentage of participants (Number) |
---|
Exenatide Arm | 55.32 |
Insulin Glargine Arm | 59.93 |
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Percentage of Patients Achieving HbA1c <=7%
Percentage of patients in each arm who had HbA1c >7% at baseline and had HbA1c <=7% at week 26 (percentage = [number of subjects with HbA1c <=7% at week 26 divided by number of subjects with HbA1c >7% at baseline] * 100%). (NCT00082381)
Timeframe: 26 weeks
Intervention | percentage of participants (Number) |
---|
Exenatide Arm | 46.43 |
Insulin Glargine Arm | 48.03 |
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Change in Second Phase C-peptide Release
Ratio of second phase C-peptide response to glucose at 52 weeks (end of on-drug period) and 56 weeks (during off-drug period) compared to second phase C-peptide response to glucose at baseline (i.e., C-peptide response to glucose at week 52 or week 56 divided by C-peptide response to glucose at baseline [week -2]). C-peptide is measured as a surrogate marker of insulin secretion. Second phase C-peptide/insulin release is measured from time=10 minutes to time=80 minutes of glucose infusion during a hyperglycemic clamp procedure. (NCT00097500)
Timeframe: baseline (-2 weeks), 52 weeks, and 56 weeks
Intervention | ratio (Least Squares Mean) |
---|
| 52 weeks | 56 weeks |
---|
Exenatide Arm | 2.88 | 1.00 |
,Insulin Glargine Arm | 1.01 | 1.08 |
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Change in First Phase C-peptide Release
Ratio of first phase C-peptide response to glucose at 52 weeks (end of on-drug period) and 56 weeks (during off-drug period) compared to first phase C-peptide response to glucose at baseline (i.e., C-peptide response to glucose at week 52 or week 56 divided by C-peptide response to glucose at baseline [week -2]). C-peptide is measured as a surrogate marker of insulin secretion. First phase C-peptide/insulin release is measured during the first ten minutes of glucose infusion during a hyperglycemic clamp procedure. (NCT00097500)
Timeframe: baseline (week -2), 52 weeks, and 56 weeks
Intervention | ratio (Least Squares Mean) |
---|
| 52 weeks | 56 weeks |
---|
Exenatide Arm | 1.72 | 0.95 |
,Insulin Glargine Arm | 1.13 | 1.06 |
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M-value at Baseline, Week 52 and Week 56
M-value at baseline (week -2), week 52 (end of on-drug period), and week 56 (during off-drug period). Insulin sensitivity was assessed during the euglycemic/hyperglycemic clamp test at baseline (week -2), week 52, and week 56. Insulin-mediated glucose uptake (M-value) was calculated as the mean glucose requirement during the 90-120 minute interval of the clamp. (NCT00097500)
Timeframe: baseline (week -2), 52 weeks, and 56 weeks
Intervention | mg/min/kg (Mean) |
---|
| baseline (week -2) | week 52 | week 56 |
---|
Exenatide Arm | 2.24 | 3.18 | 3.19 |
,Insulin Glargine Arm | 2.79 | 3.85 | 2.81 |
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Seven Point Self Monitored Blood Glucose (SMBG) Measurements
SMBG measured at 7 time points (before and after breakfast, before and after lunch, before and after dinner, at bedtime). (NCT00097500)
Timeframe: 0 weeks and 52 weeks
Intervention | mmol/L (Mean) |
---|
| Pre-breakfast measurement (week 0) | Pre-breakfast measurement (week 52) | 2-hour post-breakfast measurement (week 0) | 2-hour post-breakfast measurement (week 52) | Pre-lunch measurement (week 0) | Pre-lunch measurement (week 52) | 2-hour post-lunch measurement (week 0) | 2-hour post-lunch measurement (week 52) | Pre-dinner measurement (week 0) | Pre-dinner measurement (week 52) | 2-hour post-dinner measurement (week 0) | 2-hour post-dinner measurement (week 52) | Bedtime measurement (week 0) | Bedtime measurement (week 52) |
---|
Exenatide Arm | 8.92 | 7.27 | 11.00 | 6.98 | 8.14 | 6.52 | 9.90 | 7.97 | 8.38 | 7.53 | 10.42 | 6.98 | 9.76 | 7.61 |
,Insulin Glargine Arm | 8.38 | 5.63 | 11.17 | 7.53 | 8.54 | 6.24 | 10.52 | 8.15 | 8.07 | 6.98 | 10.26 | 8.81 | 9.85 | 8.03 |
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Change in Fasting Plasma Glucose
Change in fasting plasma glucose from week 0 to week 52 (i.e., fasting plasma glucose at week 52 minus fasting plasma glucose at week 0). (NCT00097500)
Timeframe: 0 weeks and 52 weeks
Intervention | mmol/L (Least Squares Mean) |
---|
Exenatide Arm | -1.53 |
Insulin Glargine Arm | -3.10 |
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Change in Glycosylated Hemoglobin (HbA1c)
Change in HbA1c from week 0 to week 52 (i.e., HbA1c at week 52 minus HbA1c at week 0). (NCT00097500)
Timeframe: Week 0 and week 52
Intervention | percent (Least Squares Mean) |
---|
Exenatide Arm | -0.97 |
Insulin Glargine Arm | -0.87 |
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Change in Body Weight
Change in body weight from week 0 to week 52 (i.e., body weight at week 52 minus body weight at week 0). (NCT00097500)
Timeframe: 0 weeks and 52 weeks
Intervention | kg (Least Squares Mean) |
---|
Exenatide Arm | -3.80 |
Insulin Glargine Arm | 0.75 |
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Beta-cell Function After 52 Weeks of Therapy
Treatment effect on beta-cell function as measured by the ratio of Week 52 arginine-stimulated insulin secretion during a hyperglycemic clamp(specifically, the incremental AUC of insulin with respect to basal value over a 10 min period [i.e., clamp time 290 min to 300 min]) to that at baseline (i.e., the ratio is calculated as arginine-stimulated insulin secretion at week 52 divided by arginine-stimulated insulin secretion at baseline [week -2]). (NCT00097500)
Timeframe: Baseline (week -2) and 52 weeks
Intervention | ratio (Least Squares Mean) |
---|
Exenatide Arm | 2.89 |
Insulin Glargine Arm | 1.15 |
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Beta-cell Function 4 Weeks After Cessation of Therapy
Treatment effect on beta-cell function as measured by the ratio of Week 56 arginine-stimulated insulin secretion during a hyperglycemic clamp(specifically, the incremental AUC of insulin with respect to basal value over a 10 min period [i.e., clamp time 290 min to 300 min]) to that at baseline (i.e., the ratio is calculated as arginine-stimulated insulin secretion at week 56 divided by arginine-stimulated insulin secretion at baseline [week -2]). (NCT00097500)
Timeframe: Baseline (week -2) and 56 weeks
Intervention | ratio (Least Squares Mean) |
---|
Exenatide Arm | 1.02 |
Insulin Glargine Arm | 1.08 |
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The Acute Effect of Colesevelam (Multiple Doses) on Oral Glucose Absorption From Baseline to 12 Weeks
The parameter measured is the change in area under the curve for glucose(AUCg) after an oral glucose tolerance test. A decrease in AUCg indicative of drug effect on glucose absorption. (NCT00147745)
Timeframe: Baseline to 12 weeks
Intervention | mg*hr/dL (Least Squares Mean) |
---|
Colesevelam 3.8g | -49.1 |
Colesevelam Matching Placebo | -4.7 |
Open-label Insulin Glargine | -59.3 |
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Acute Effect of a Single Dose of Colesevelam on Oral Glucose Absorption From Baseline to First Dose
Change in area under the curve for glucose (AUCg) after a glucose tolerance test. A decrease in AUCg is indicative of a drug effect. (NCT00147745)
Timeframe: Baseline (Day -4) to first dose (Day 1)
Intervention | mg*hr/dL (Mean) |
---|
Colesevelam 3.8g | -38.4 |
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Change in Hemoglobin A1C Due to Effect of Colesevelam From Baseline to 12 Weeks
The parameter measured is the percent of hemoglobin A that is glycosylated. A decrease in this parameter is indicative of improved glucose control. (NCT00147745)
Timeframe: Baseline to 12 weeks
Intervention | percent (Least Squares Mean) |
---|
Colesevelam 3.8g | -0.29 |
Colesevelam Matching Placebo | 0.16 |
Open-label Insulin Glargine | -0.81 |
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Difference in Endogenous (Hepatic) Glucose Output During a High-dose Insulin Infusion From Baseline to After 12 Weeks of Treatment.
The parameter measured is the endogenous (hepatic) glucose output during a high-dose insulin infusion. A decrease after treatment with colesevelam is indicative of greater sensitivity of the liver to insulin. (NCT00147745)
Timeframe: Baseline to 12 weeks
Intervention | mg/kg/min (Least Squares Mean) |
---|
Colesevelam 3.8g | -0.06 |
Colesevelam Matching Placebo | -0.011 |
Open-label Insulin Glargine | -0.01 |
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Difference in Endogenous (Hepatic) Glucose Output During a Low-dose Insulin Infusion From Baseline to Week 12.
The parameter measured is the endogenous (hepatic) glucose output during a low-dose insulin infusion. A decrease is indicative of greater senstitivity of the liver to insulin. (NCT00147745)
Timeframe: Baseline to 12 weeks
Intervention | mg/kg/min (Least Squares Mean) |
---|
Colesevelam 3.8g | -0.08 |
Colesevelam Matching Placebo | -0.16 |
Open-label Insulin Glargine | -0.04 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 9 |
Fasting | 8 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 143 |
Fasting | 129 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 146 |
Fasting | 130 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 155 |
Fasting | 138 |
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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)
Intervention | episodes of hypoglycemia (Number) |
---|
| Number of Episodes |
---|
Fasting | 569 |
,Postprandial | 747 |
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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)
Intervention | participants (Number) |
---|
| Fatal MI | Fatal Stroke | CV Death other than Stroke/MI | Non-CV Death | Unknown |
---|
Fasting | 12 | 2 | 28 | 8 | 1 |
,Postprandial | 12 | 3 | 29 | 7 | 0 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 163 |
Fasting | 145 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 160 |
Fasting | 139 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 124 |
Fasting | 119 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 20 |
Fasting | 17 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 11 |
Fasting | 12 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 63 |
Fasting | 63 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 58 |
Fasting | 54 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 178 |
Fasting | 189 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 51 |
Fasting | 51 |
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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)
Intervention | episodes of hypoglycemia (Number) |
---|
Postprandial | 353 |
Fasting | 302 |
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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)
Intervention | episodes of hypoglycemia (Number) |
---|
Postprandial | 710 |
Fasting | 486 |
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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)
Intervention | episodes of hypoglycemia (Number) |
---|
Postprandial | 945 |
Fasting | 669 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 44 |
Fasting | 42 |
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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)
Intervention | episodes of hypoglycemia (Number) |
---|
Postprandial | 770 |
Fasting | 576 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 174 |
Fasting | 181 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 84 |
Fasting | 94 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 75 |
Fasting | 86 |
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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)
Intervention | participants (Number) |
---|
Postprandial | 33 |
Fasting | 37 |
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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)
Intervention | episodes of hypoglycemia (Number) |
---|
Postprandial | 567 |
Fasting | 524 |
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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)
Intervention | kilograms (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 Addendum | 89.25 | 89.66 | 89.62 | 89.80 | 90.09 |
,Basal Bolus Prior Lispro LM Addendum | 91.85 | 91.53 | 91.59 | 91.92 | 92.40 |
,Lispro Low Mix Prior Glargine Addendum | 90.09 | 89.85 | 91.19 | 91.22 | 91.45 |
,Lispro Mid Mix Prior Lispro Low Mix Addendum | 93.63 | 93.71 | 94.60 | 94.18 | 94.09 |
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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)
Intervention | ug/mL (Mean) |
---|
| Baseline (n=166,172,197,199) | Endpoint (n=142,150,165,171) | Change (n=142,150,165,171) |
---|
Basal Bolus Prior Glargine Addendum | 7.31 | 8.43 | 0.90 |
,Basal Bolus Prior Lispro LM Addendum | 7.84 | 8.18 | 0.26 |
,Lispro Low Mix Prior Glargine Addendum | 7.37 | 8.14 | 0.53 |
,Lispro Mid Mix Prior Lispro Low Mix Addendum | 7.77 | 7.73 | -0.18 |
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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])
Intervention | percent (Mean) |
---|
| Baseline (n=174,200,171,199) | Endpoint (n=160,187,159,176) |
---|
Basal Bolus Prior Glargine Addendum | 7.98 | 0.18 |
,Basal Bolus Prior Lispro Low Mix Addendum | 8.00 | 0.19 |
,Lispro LM Prior Glargine Addendum | 8.03 | 0.04 |
,Lispro Mid Mix Prior Lispro Low Mix Addendum | 8.01 | 0.19 |
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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)
Intervention | percent 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 Addendum | 7.98 | 8.19 | 8.14 | 8.14 |
,Basal Bolus Prior Lispro Low Mix Addendum | 8.00 | 8.13 | 8.19 | 8.16 |
,Lispro LM Prior Glargine Addendum | 8.03 | 8.07 | 8.05 | 8.03 |
,Lispro Mid Mix Prior Lispro Low Mix Addendum | 8.01 | 8.11 | 8.19 | 8.19 |
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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)
Intervention | kilograms (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 Addendum | 89.25 | 0.32 | 0.27 | 1.03 | 0.86 |
,Basal Bolus Prior Lispro LM Addendum | 91.85 | 0.38 | 0.43 | 0.77 | 0.85 |
,Lispro Low Mix Prior Glargine Addendum | 90.09 | 0.64 | 0.83 | 1.51 | 1.42 |
,Lispro Mid Mix Prior Lispro Low Mix Addendum | 93.63 | 0.28 | 0.54 | 0.73 | 0.55 |
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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)
Intervention | units/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 Addendum | 0.46 | 0.49 | 0.54 | 0.57 | 0.63 | 0.65 | 0.68 | 0.71 | 0.76 | 0.77 | 0.79 | 0.77 |
,Basal Bolus Prior Lispro LM Addendum | 0.55 | 0.58 | 0.63 | 0.65 | 0.69 | 0.73 | 0.73 | 0.76 | 0.78 | 0.80 | 0.82 | 0.81 |
,Lispro Low Mix Prior Glargine Addendum | 0.46 | 0.49 | 0.53 | 0.58 | 0.61 | 0.65 | 0.66 | 0.69 | 0.73 | 0.74 | 0.76 | 0.76 |
,Lispro Mid Mix Prior Lispro Low Mix Addendum | 0.55 | 0.57 | 0.59 | 0.64 | 0.67 | 0.70 | 0.72 | 0.75 | 0.77 | 0.79 | 0.80 | 0.79 |
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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])
Intervention | percent of participants (Number) |
---|
| <=7.0% | <7.0% | <=6.5% |
---|
Basal Bolus Prior Glargine Addendum | 18.2 | 4.0 | 4.0 |
,Basal Bolus Prior Lispro Low Mix Addendum | 22.0 | 17.6 | 5.0 |
,Lispro LM Prior Glargine Addendum | 16.0 | 13.9 | 3.7 |
,Lispro Mid Mix Prior Lispro Low Mix Addendum | 12.5 | 8.8 | 4.4 |
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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)
Intervention | percentage of participants (Number) |
---|
| Hypoglycemia episodes endpoint | Overall hypoglycemia episodes | Severe episodes endpoint | Severe episodes overall | Nocturnal episodes endpoint | Nocturnal episodes overall |
---|
Basal Bolus Prior Glargine Addendum | 34.9 | 47.9 | 0.0 | 0.0 | 19.3 | 27.1 |
,Basal Bolus Prior Lispro LM Addendum | 40.9 | 53.7 | 0.0 | 0.0 | 25.0 | 31.1 |
,Lispro Low Mix Prior Glargine Addendum | 40.9 | 56.1 | 0.0 | 1.0 | 23.7 | 36.9 |
,Lispro Mid Mix Prior Lispro Low Mix Addendum | 41.5 | 56.1 | 0.0 | 1.2 | 20.5 | 31.0 |
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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
Intervention | episodes/participant/year (Mean) |
---|
| Hypoglycemia episodes Endpoint | Hypoglycemia episodes Overall | Nocturnal episodes Endpoint | Nocturnal episodes Overall | Severe episodes Endpoint | Severe episodes Overall |
---|
Basal Bolus Prior Glargine Addendum | 11.18 | 9.04 | 3.01 | 2.15 | 0.00 | 0.00 |
,Basal Bolus Prior Lispro Low Mix Addendum | 12.11 | 11.39 | 2.37 | 2.09 | 0.00 | 0.00 |
,Lispro LM Prior Glargine Addendum | 10.11 | 10.73 | 2.51 | 3.14 | 0.00 | 0.02 |
,Lispro Mid Mix Prior Lispro Low Mix Addendum | 11.10 | 11.54 | 2.46 | 2.47 | 0.00 | 0.02 |
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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)
Intervention | milligrams 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 Glargine | 196.16 | 121.52 | 251.45 | 171.79 | 203.87 | 137.43 | 232.73 | 169.38 | 203.33 | 141.86 | 239.73 | 175.73 | 197.99 | 131.08 | 55.32 | 50.57 | 26.60 | 32.21 | 36.50 | 34.17 | 40.80 | 38.96 | 241.58 | 172.28 | 245.67 | 173.73 | 201.29 | 133.62 | 46.05 | 42.42 | 218.05 | 149.89 |
,Lispro Low Mix | 192.91 | 133.54 | 252.46 | 167.40 | 203.76 | 130.36 | 231.53 | 167.91 | 200.36 | 143.44 | 236.33 | 163.20 | 194.11 | 129.70 | 60.06 | 34.01 | 28.08 | 37.46 | 36.31 | 19.51 | 41.63 | 30.34 | 240.08 | 166.17 | 244.36 | 165.19 | 198.97 | 135.80 | 48.11 | 26.74 | 216.12 | 147.96 |
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INITIATION: Body Weight
(NCT00279201)
Timeframe: Baseline (Initiation), Weeks 6, 12, 18, 24, Endpoint (LOCF)
Intervention | kilograms (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 Glargine | 88.23 | 89.24 | 89.80 | 90.33 | 90.78 | 90.74 |
,Lispro Low Mix | 88.84 | 90.63 | 91.79 | 92.46 | 92.63 | 92.67 |
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INITIATION: HbA1c
(NCT00279201)
Timeframe: Baseline (Initiation), Week 12, Week 24, Endpoint (LOCF)
Intervention | percent glycosylated hemoglobin (Mean) |
---|
| Baseline (n=1030,1017) | Week 12 (n=952,953) | Week 24 (n=922,911) | Endpoint (LOCF) (n=990,986) |
---|
Insulin Glargine | 9.02 | 7.42 | 7.28 | 7.33 |
,Lispro Low Mix | 9.06 | 7.27 | 7.19 | 7.23 |
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INITIATION: Incremental Change From Baseline in Body Weight
(NCT00279201)
Timeframe: Baseline (Initiation), Weeks 6, 12, 18, 24, Endpoint (LOCF)
Intervention | kilograms (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 Gargine | 0.97 | 1.60 | 2.24 | 2.59 | 2.45 |
,Lispro Low Mix | 1.66 | 2.63 | 3.44 | 3.76 | 3.60 |
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INITIATION: Insulin Dose
(NCT00279201)
Timeframe: Weeks 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, Endpoint (LOCF)
Intervention | units/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 Glargine | 0.13 | 0.18 | 0.23 | 0.26 | 0.30 | 0.32 | 0.34 | 0.37 | 0.38 | 0.39 | 0.41 | 0.40 |
,Lispro Low Mix | 0.24 | 0.28 | 0.32 | 0.35 | 0.38 | 0.39 | 0.42 | 0.44 | 0.45 | 0.46 | 0.48 | 0.47 |
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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)
Intervention | participants (Number) |
---|
| Sulfonylurea/Metformin | TZD/Metformin | Sulfonylurea/TZD | Patients with 3 drugs (Sulfonylurea/TZD/Metformin) |
---|
Did Not Meet Goal | 631 | 35 | 51 | 184 |
,Met Goal | 563 | 95 | 51 | 208 |
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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)
Intervention | participants (Number) |
---|
| <8.5% HbA1c | >=8.5% HbA1c |
---|
Did Not Meet Goal | 220 | 665 |
,Met Goal | 464 | 451 |
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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)
Intervention | participants (Number) |
---|
| Caucasian | African Descent | East/Southeast Asian | Hispanic | Other | Western Asian |
---|
Did Not Meet Goal | 521 | 44 | 28 | 102 | 36 | 175 |
,Met Goal | 680 | 50 | 11 | 96 | 20 | 70 |
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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)
Intervention | milligrams 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 Goal | 209.86 | 252.90 | 227.77 | 201.22 |
,Met Goal | 190.47 | 228.87 | 206.43 | 189.04 |
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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)
Intervention | percentage of participants (Number) |
---|
| <=7.0% | <7.0% | <=6.5% |
---|
Insulin Glargine | 45.8 | 40.3 | 22.2 |
,Lispro Low Mix | 52.5 | 47.5 | 24.6 |
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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]).
Intervention | percentage of participants (Number) |
---|
| Hypoglycemic episodes endpoint | Overall hypoglycemic episodes | Nocturnal hypoglycemic episodes endpoint | Nocturnal hypoglycemic episodes overall | Severe hypoglycemic episodes endpoint | Severe hypoglycemic episodes overall |
---|
Insulin Glargine | 51.8 | 76.7 | 34.3 | 58.4 | 0.2 | 1.2 |
,Lispro Low Mix | 57.1 | 80.5 | 33.9 | 59.6 | 0.6 | 2.1 |
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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])
Intervention | Episodes/participant/year (Mean) |
---|
| Nocturnal episodes Endpoint | Nocturnal episodes Overall | Severe episodes Endpoint | Severe episodes Overall | Hypoglycemia episodes Endpoint | Hypoglycemia episodes Overall |
---|
Insulin Glargine | 11.42 | 9.80 | 0.02 | 0.03 | 20.28 | 18.14 |
,Lispro Low Mix | 8.86 | 9.22 | 0.09 | 0.10 | 24.96 | 25.49 |
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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)
Intervention | mg/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 (402,455 | Endpoint AM/PM 2hr postprandial excursion (370,426 | Baseline mean all blood glucose values (n=405,457) | Endpoint mean all blood glucose values (n=372,426) |
---|
Insulin Glargine | 190.90 | 119.50 | 243.62 | 164.94 | 193.21 | 132.25 | 217.67 | 159.81 | 190.06 | 131.58 | 223.83 | 167.66 | 189.36 | 126.05 | 52.63 | 45.69 | 25.13 | 27.78 | 33.87 | 36.24 | 37.36 | 36.32 | 228.52 | 164.17 | 191.46 | 127.61 | 233.82 | 166.34 | 43.46 | 40.76 | 207.01 | 142.94 |
,Lispro Low Mix | 187.12 | 127.92 | 243.55 | 161.37 | 192.02 | 126.42 | 218.54 | 158.58 | 187.92 | 133.15 | 223.02 | 156.48 | 183.18 | 123.43 | 56.96 | 33.61 | 27.02 | 32.03 | 34.78 | 23.45 | 39.65 | 29.81 | 228.39 | 158.91 | 188.95 | 129.16 | 233.25 | 158.97 | 45.80 | 28.69 | 205.17 | 141.01 |
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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)
Intervention | kilograms (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 Glargine | 90.56 | 92.64 | 93.13 | 93.23 | 93.17 | 93.62 | 93.46 | 93.33 | 93.39 | 93.99 | 94.14 |
,Lispro Low Mix | 88.62 | 92.35 | 93.24 | 93.57 | 94.57 | 95.50 | 95.63 | 95.34 | 95.07 | 94.82 | 94.01 |
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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)
Intervention | percent 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 Glargine | 8.59 | 6.82 | 6.49 | 6.72 | 6.85 | 6.85 | 6.80 | 6.79 | 6.85 | 6.83 | 6.87 | 7.20 |
,Lispro Low Mix | 8.69 | 6.75 | 6.49 | 6.71 | 6.80 | 6.83 | 6.79 | 6.74 | 6.73 | 6.72 | 6.75 | 7.10 |
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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)
Intervention | kilograms (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 Glargine | 90.56 | 2.05 | 2.71 | 3.08 | 3.33 | 3.12 | 3.16 | 3.11 | 3.48 | 3.71 | 3.65 |
,Lispro Low Mix | 88.62 | 3.68 | 4.56 | 4.82 | 5.13 | 5.40 | 5.84 | 5.60 | 5.57 | 5.48 | 5.40 |
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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)
Intervention | units/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 Glargine | 0.36 | 0.36 | 0.37 | 0.37 | 0.37 | 0.36 | 0.37 | 0.36 | 0.36 | 0.37 |
,Lispro Low Mix | 0.43 | 0.44 | 0.44 | 0.44 | 0.44 | 0.44 | 0.44 | 0.43 | 0.44 | 0.45 |
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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)
Intervention | participants (Number) |
---|
| Less than 8.5% HbA1c | >=8.5% HbA1c |
---|
Insulin Glargine Participants Who Did Not Maintain Goal | 121 | 149 |
,Insulin Glargine Participants Who Maintained Goal | 97 | 46 |
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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)
Intervention | participants (Number) |
---|
| Less than 10 years | 10 years to less than 20 years | 20 or more years |
---|
Insulin Glargine Participants Who Did Not Maintain Goal | 152 | 94 | 26 |
,Insulin Glargine Participants Who Maintained Goal | 96 | 45 | 6 |
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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)
Intervention | mg/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 Goal | 233.51 | 210.44 |
,Insulin Glargine Participants Who Maintained Goal | 219.28 | 200.60 |
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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)
Intervention | participants (Number) |
---|
| Sulfonylurea/TZD | Sulfonylurea/metformin | Metformin/TZD | Sulfonylurea/metformin/TZD |
---|
Insulin Glargine Participants Who Did Not Maintain Goal | 13 | 175 | 22 | 59 |
,Insulin Glargine Participants Who Maintained Goal | 16 | 73 | 22 | 33 |
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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)
Intervention | participants (Number) |
---|
| Less than 8.5 | 8.5 or more |
---|
Lispro LM Participants Who Did Not Maintain Goal | 121 | 147 |
,Lispro LM Participants Who Maintained Goal | 110 | 88 |
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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)
Intervention | participants (Number) |
---|
| <10 years | 10 to <20 years | >=20 years |
---|
Lispro LM Participants Who Did Not Maintain Goal | 148 | 97 | 26 |
,Lispro LM Participants Who Maintained Goal | 112 | 78 | 12 |
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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)
Intervention | mg/dL (Mean) |
---|
| Mean of post meals blood glucose | Average of all blood glucose |
---|
Lispro LM Participants Who Did Not Maintain Goal | 231.66 | 207.96 |
,Lispro LM Participants Who Maintained Goal | 223.98 | 201.42 |
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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)
Intervention | participants (Number) |
---|
| Sulfonylurea/TZD | Sulfonylurea/metformin | Metformin/TZD | Sulfonylurea/metformin/TZD |
---|
Lispro LM Participants Who Did Not Maintain Goal | 5 | 185 | 21 | 59 |
,Lispro LM Participants Who Maintained Goal | 14 | 115 | 25 | 45 |
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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)
Intervention | percentage of participants (Number) |
---|
| <=7.0% | <7.0% | <=6.5% |
---|
Insulin Glargine | 44.9 | 40.1 | 23.7 |
,Lispro Low Mix | 49.1 | 45.1 | 26.4 |
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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)
Intervention | percentage 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 Glargine | 45.3 | 94.0 | 30.4 | 81.1 | 0.5 | 2.9 |
,Lispro Low Mix | 49.9 | 97.9 | 28.9 | 84.4 | 0.6 | 4.2 |
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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)
Intervention | percent 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 Glargine | 8.59 | -1.38 | 0.71 |
,Lispro Low Mix | 8.69 | -1.59 | 0.61 |
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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])
Intervention | episodes/participant/year (Mean) |
---|
| Hypoglycemia episodes Endpoint | Hypoglycemia episodes Overall | Nocturnal episodes Endpoint | Nocturnal episodes Overall | Severe episodes Endpoint | Severe episodes Overall |
---|
Insulin Glargine | 16.41 | 21.80 | 7.70 | 9.77 | 0.23 | 0.12 |
,Lispro Low Mix | 18.56 | 26.08 | 5.86 | 8.02 | 0.03 | 0.03 |
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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)
Intervention | ug/dL (Mean) |
---|
| Baseline | Endpoint | Change |
---|
Insulin Glargine | 5.66 | 10.48 | 4.82 |
,Lispro Low Mix | 5.87 | 11.71 | 5.84 |
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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)
Intervention | percent glycosylated hemoglobin (Mean) |
---|
Lispro Mid Mix Prior Lispro Low Mix Addendum | 8.19 |
Lispro LM Prior Glargine Addendum | 8.03 |
Basal Bolus Prior Lispro Low Mix Addendum | 8.16 |
Basal Bolus Prior Glargine Addendum | 8.14 |
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INITIATION: 24-Week Endpoint Glycosylated Hemoglobin (HbA1c)
(NCT00279201)
Timeframe: Endpoint (Initiation: Week 24)
Intervention | percent glycosylated hemoglobin (Mean) |
---|
Insulin Glargine | 7.33 |
Lispro Low Mix | 7.23 |
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INITIATION: Change From Baseline to Endpoint in 1,5 Anhydroglucitol (1,5 AG)
(NCT00279201)
Timeframe: Baseline (Initiation), Endpoint (Week 24)
Intervention | micrograms per milliliter (ug/mL) (Mean) |
---|
Insulin Glargine | 4.61 |
Lispro Low Mix | 5.25 |
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INITIATION: Change in HbA1c From Baseline to 24 Weeks
(NCT00279201)
Timeframe: Baseline (Initiation) to Endpoint (LOCF, Week 24)
Intervention | percent 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)
Intervention | micrograms per milliliter (ug/mL) (Mean) |
---|
Met Goal | 5.74 |
Did Not Meet Goal | 4.28 |
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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)
Intervention | years (Mean) |
---|
Met Goal | 58.21 |
Did Not Meet Goal | 55.85 |
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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)
Intervention | percent glycosylated hemoglobin (Mean) |
---|
Met Goal | 8.66 |
Did Not Meet Goal | 9.40 |
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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)
Intervention | units on a scale (Mean) |
---|
Met Goal | 4.44 |
Did Not Meet Goal | 5.45 |
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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)
Intervention | months (Median) |
---|
Insulin Glargine | 14.40 |
Lispro Low Mix | 16.80 |
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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)
Intervention | ug/mL (Mean) |
---|
Insulin Glargine Participants Who Maintained Goal | 6.29 |
Insulin Glargine Participants Who Did Not Maintain Goal | 5.39 |
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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)
Intervention | percent glycosylated hemoglobin (Mean) |
---|
Insulin Glargine Participants Who Maintained Goal | 8.27 |
Insulin Glargine Participants Who Did Not Maintain Goal | 8.77 |
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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)
Intervention | years (Mean) |
---|
Insulin Glargine Participants Who Maintained Goal | 8.44 |
Insulin Glargine Participants Who Did Not Maintain Goal | 9.70 |
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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)
Intervention | ug/ml (Mean) |
---|
Lispro LM Participants Who Maintained Goal | 5.93 |
Lispro LM Participants Who Did Not Maintain Goal | 5.73 |
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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)
Intervention | percent glycosylated hemoglobin (Mean) |
---|
Lispro LM Participants Who Maintained Goal | 8.54 |
Lispro LM Participants Who Did Not Maintain Goal | 8.80 |
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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)
Intervention | years (Mean) |
---|
Lispro LM Participants Who Maintained Goal | 9.42 |
Lispro LM Participants Who Did Not Maintain Goal | 9.87 |
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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)
Intervention | HbA1c percent increase per month (Mean) |
---|
Insulin Glargine | 0.06 |
Lispro Low Mix | 0.05 |
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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])
Intervention | mg/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 Addendum | 126.22 | 170.14 | 144.61 | 167.45 | 157.15 | 175.34 | 147.14 | 24.35 | 23.30 | 18.58 | 21.82 | 170.95 | 149.04 | 172.73 | 21.42 | 158.33 | 146.64 | 186.19 | 163.19 | 131.54 |
,Basal Bolus Prior Lispro LM Addendum | 145.33 | 168.71 | 144.08 | 165.24 | 153.62 | 171.51 | 146.50 | 23.30 | 20.71 | 17.88 | 20.61 | 168.55 | 147.68 | 170.04 | 20.74 | 156.41 | 149.91 | 183.82 | 164.02 | 147.93 |
,Lispro Low Mix Prior Glargine Addendum | 139.45 | 171.40 | 141.87 | 181.46 | 153.19 | 174.94 | 139.86 | 31.33 | 39.40 | 21.59 | 30.38 | 175.61 | 144.85 | 172.88 | 26.45 | 157.41 | 146.01 | 185.62 | 163.20 | 131.02 |
,Lispro Mid Mix Prior Lispro Low Mix Addendum | 151.15 | 170.36 | 145.89 | 164.13 | 151.96 | 172.98 | 146.30 | 18.97 | 18.97 | 21.14 | 19.64 | 169.14 | 149.67 | 171.65 | 20.06 | 157.52 | 149.50 | 181.18 | 162.18 | 143.99 |
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Rate of Hypoglycemia, Symptomatic Hypoglycemia, Severe Hypoglycemia and Serious Hypoglycemia
"Symptomatic hypoglycemia (BG<70 mg/dL, BG<50 mg/dL): including 1 or more symptoms: headache, dizziness, general feeling of weakness, drowsiness, confusion, pallor, irritability, trembling, sweating, rapid heartbeat & a cold, clammy feeling.~Mild-to-moderate hypoglycemia: SMBG ≥ 36 mg/dL but <70 mg/dL~Severe hypoglycemia: assistance of another party is required & either:~SMBG of <36 mg/dL, or~with prompt response to treatment with oral carbohydrates, IV glucose or glucagon.~Serious hypoglycemia:~Hypoglycemia with coma/loss of consciousness Or Hypoglycemia seizure/convulsion." (NCT00283049)
Timeframe: 60 Weeks from Baseline
Intervention | events/ patient-year (Mean) |
---|
| Exposure (Patient-years) | Hypoglycemic (HE) event with SMBG <70mg/dL | HE with SMBG <50mg/dL | HE with SMBG <36mg/dL | Severe HE (BG<36mg/dL or prompt response to CHO | Serious HE (coma/loss of consciousness,seizure) |
---|
Insulin Glargine + Metformin (MET) + Sulfonylurea (SU) | 0.967 | 25.3 | 5.6 | 0.6 | 0.1 | 0.0 |
,Insulin Glargine + Metformin (MET) + Thiazolidinedione (TZD) | 0.943 | 16.5 | 3.3 | 0.3 | 0.1 | 0.0 |
,Insulin Glargine + Sulfonylurea (SU) + Thiazolidinedione (TZD) | 0.941 | 30.1 | 4.9 | 0.3 | 0.1 | 0.0 |
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Change in Hemoglobin A1c (HbA1c) From Baseline to Week 12
(NCT00283049)
Timeframe: 12 weeks from Baseline
Intervention | Percentage (Mean) |
---|
Insulin Glargine + Sulfonylurea (SU) + Thiazolidinedione (TZD) | -1.2 |
Insulin Glargine + Metformin (MET) + Thiazolidinedione (TZD) | -1.2 |
Insulin Glargine + Metformin (MET) + Sulfonylurea (SU) | -1.2 |
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Occurrences of Hypoglycemia, Symptomatic Hypoglycemia, Severe Hypoglycemia, and Serious Hypoglycemia
"Symptomatic hypoglycemia (BG<70 mg/dL, BG<50 mg/dL): including 1 or more symptoms: headache, dizziness, general feeling of weakness, drowsiness, confusion, pallor, irritability, trembling, sweating, rapid heartbeat & a cold, clammy feeling.~Mild-to-moderate hypoglycemia: SMBG ≥ 36 mg/dL but <70 mg/dL~Severe hypoglycemia: assistance of another party is required & either:~SMBG of <36 mg/dL, or~with prompt response to treatment with oral carbohydrates, IV glucose or glucagon.~Serious hypoglycemia:~Hypoglycemia with coma/loss of consciousness Or Hypoglycemia seizure/convulsion." (NCT00283049)
Timeframe: 60 weeks from Baseline
Intervention | Participants (Number) |
---|
| Any reported symptomatic Hypoglycemic event | Symptomatic events with Self-monitored BG (SMBG) | SMBG <70 mg/dL with symptom | SMBG <50mg/dL with symptom | SMBG <36 mg/dL with symptom | Severe Hypoglycemias | Severe only due to SMBG <36mg/dL | Severe: Prompt response to CHO countermeasure | Severe:SMBG<36mg/dL, prompt response to CHO | Serious hypoglycemia | Coma/Loss of Consciousness |
---|
Insulin Glargine + Metformin (MET) + Sulfonylurea (SU) | 112 | 112 | 112 | 85 | 35 | 5 | 0 | 4 | 2 | 0 | 0 |
,Insulin Glargine + Metformin (MET) + Thiazolidinedione (TZD) | 107 | 106 | 102 | 71 | 24 | 10 | 1 | 5 | 4 | 1 | 1 |
,Insulin Glargine + Sulfonylurea (SU) + Thiazolidinedione (TZD) | 110 | 109 | 107 | 74 | 23 | 8 | 1 | 4 | 3 | 3 | 3 |
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Primary: Preoperative Fasting Blood Sugar Upon Arrival at the Hospital Prior to Surgery
Venous blood glucose values were obtained in the preoperative nursing unit. Blood glucose values were analyzed for achievement of target 100-179 mg/dl range and extended 80-249 mg/dl range. Analyses were by intention to treat. (NCT00309465)
Timeframe: Day 1
Intervention | Percentage of subjects (Number) |
---|
| Achievement of 100-179 mg/dl | Achievement of 80-249 mg/dl |
---|
Call Physician (Insulin Glargine Only Group) | 72.4 | 89.7 |
,Call Physician (Insulin Glargine Plus Bolus Group | 52.6 | 81.6 |
,Dose Table (Insulin Glargine Only Group) | 74.1 | 98.3 |
,Dose Table (Insulin Glargine Plus Bolus Group) | 63.2 | 93.4 |
,Take 80% (Insulin Glargine Only Group) | 58.6 | 89.7 |
,Take 80% (Insulin Glargine Plus Bolus Group) | 58.7 | 81.3 |
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Percentage of Glucose Levels > 180 mg/dL
Percentage of blood glucose levels > 180 mg/dL (NCT00338104)
Timeframe: First 24 hours after conversion
Intervention | percentage of blood glucose values (Number) |
---|
40% Group | 19 |
60% Group | 34 |
80% Group | 18 |
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Percentage of Blood Glucose Values Between 80 - 140
Percentage of blood glucose values within the target range of eighty to one hundred forty mg per dL (NCT00338104)
Timeframe: First 24 hours after conversion
Intervention | percentage of blood glucose values (Number) |
---|
40% Group | 43 |
60% Group | 35 |
80% Group | 48 |
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Percentage of Glucose Values < 50 mg/dL
Percentage of blood glucose values < 50 mg/dL (NCT00338104)
Timeframe: First 24 hours after conversion
Intervention | percentage of blood glucose values (Number) |
---|
40% Group | 1 |
60% Group | 0 |
80% Group | 0 |
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The Primary Endpoint Was the Change in FMD at the End of the Study Compared to Baseline Measurements in Subjects Treated With Exenatide Compared to Subjects Treated With Lantus.
Flow mediated dilation (FMD) of the brachial artery was measured at rest and during reactive hyperemia using a high-resolution 10.0 MHz linear array transducer and an HOI Ultramark 9 system. Reactive hyperemia was produced by inflating a pneumatic tourniquet on the forearm distal to the brachial artery to 50 mmHg above the systolic BP for 5 minutes, then deflating it . Brachial artery diameter was measured before inflation of the cuff and 1-2 minutes after cuff deflation and expressed as the percentage change. This protocol is described in detail elsewhere. This was performed fasting, 2, and 4 hours after the meal challenge at baseline and 3 months. (NCT00353834)
Timeframe: Baseline and End of Study
Intervention | Percentage dilation (Mean) |
---|
Glargine Insulin | 5.0 |
Exenatide | 4.7 |
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First Will be the Changes in TNG Stimulated Arterial Dilation (Endothelial-independent) in Subjects Treated With Exenatide Compared With Subjects Treated With Lantus at the End of the Study Compared to Baseline Measurements
Trinitroglycerin (TNG) response evaluates endothelium independent vasodilation. The brachial artery was scanned before and 5 minutes after sublingual administration of 400 ug of trinitroglycerin. This was performed only at 4 hours following the test meal and fifteen minutes after completion of the FMD study to allow for the brachial artery to return to baseline. This was performed at both the baseline and 3 month visits. (NCT00353834)
Timeframe: Baseline and end of study
Intervention | Percentage dilation (Mean) |
---|
Glargine Insulin | 10.7 |
Exenatide | 11.3 |
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Beta Cell Function
Beta cell function as assessed by peak c-peptide using mixed meal tolerance testing (NCT00357890)
Timeframe: 24 months
Intervention | ng/mL (Mean) |
---|
| Baseline | 24 months |
---|
Multiple Daily Injections (MDI) | 1.7 | 1.6 |
,Pump Therapy (CSII) | 2.1 | 1.1 |
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Hemoglobin A1c
Hemoglobin A1c (HbA1c) (%) (NCT00357890)
Timeframe: 24 months
Intervention | percentage of glycosylated hemoglobin (Mean) |
---|
| Baseline | 12 months | 24 months |
---|
Multiple Daily Injections (MDI) | 10.2 | 7.0 | 7.5 |
,Pump Therapy (CSII) | 10 | 6.1 | 6.8 |
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Insulin Sensitivity
Insulin sensitivity - glucose infusion rate (GIR) obtained from hyperinsulinemic-euglycemic clamp. Higher GIR reflects higher insulin sensitivity, lower GIR reflects lower insulin sensitivity. (NCT00357890)
Timeframe: 24 months
Intervention | mg/kg/min (Mean) |
---|
| Baseline | 24 month |
---|
Multiple Daily Injections (MDI) | 6.2 | 4.8 |
,Pump Therapy (CSII) | 8.6 | 5.8 |
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Percent Body Fat
Percent body fat based on DEXA scan (%BF) (NCT00357890)
Timeframe: 24 months
Intervention | percentage of body fat (Mean) |
---|
| Baseline | 12 months | 24 months |
---|
Multiple Daily Injections (MDI) | 21.6 | 20.3 | 20.5 |
,Pump Therapy (CSII) | 20 | 18.5 | 17.4 |
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Hypoglycemic Rate Per 30 Days
Number of hypoglycemic episodes per patient adjusted per 30 days (NCT00360334)
Timeframe: 26 weeks
Intervention | Number of episodes per 30 days (Median) |
---|
Exenatide | 0.069 |
Insulin Glargine | 0.164 |
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Incidence of Hypoglycemic Episodes
Percent of total patients in each arm experiencing hypoglycemia at any point in the 26 week study (NCT00360334)
Timeframe: 26 weeks
Intervention | percent (Number) |
---|
Exenatide | 50.0 |
Insulin Glargine | 59.6 |
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Change in Low Density Lipoprotein (LDL) Cholesterol
Change in LDL cholesterol from baseline to endpoint (NCT00360334)
Timeframe: 26 weeks
Intervention | mmol/L (Least Squares Mean) |
---|
Exenatide | -0.25 |
Insulin Glargine | -0.07 |
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Change in TC to HDL Cholesterol Ratio
Change in TC to HDL cholesterol ratio from baseline to endpoint (NCT00360334)
Timeframe: 26 weeks
Intervention | Ratio (Least Squares Mean) |
---|
Exenatide | -0.40 |
Insulin Glargine | -0.34 |
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Change in Waist Circumference
Change in waist circumference from baseline to endpoint (NCT00360334)
Timeframe: 26 Weeks
Intervention | cm (Least Squares Mean) |
---|
| Baseline (Week 0) | Change at endpoint (Week 26) |
---|
Exenatide | 112.07 | -2.19 |
,Insulin Glargine | 110.64 | 1.97 |
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Change in Systolic Blood Pressure
Change in systolic blood pressure from baseline to endpoint (NCT00360334)
Timeframe: 26 weeks
Intervention | mmHg (Least Squares Mean) |
---|
| Baseline (Week 0) | Change at endpoint (Week 26) |
---|
Exenatide | 134.0 | -3.6 |
,Insulin Glargine | 134.7 | 0.6 |
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Change in Diastolic Blood Pressure
Change in diastolic blood pressure from baseline to endpoint (NCT00360334)
Timeframe: 26 weeks
Intervention | mmHg (Least Squares Mean) |
---|
| Baseline (Week 0) | Change at endpoint (Week 26) |
---|
Exenatide | 79.6 | -0.8 |
,Insulin Glargine | 79.7 | 0.9 |
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Change in Body Weight
Change in body weight from baseline to endpoint (NCT00360334)
Timeframe: 26 weeks
Intervention | kg (Least Squares Mean) |
---|
| Baseline (Week 0) | Change at endpoint (Week 26) |
---|
Exenatide | 101.19 | -2.73 |
,Insulin Glargine | 97.93 | 2.98 |
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Change in Apolipoprotein-B
Change in apolipoprotein-B from baseline to endpoint (NCT00360334)
Timeframe: 26 weeks
Intervention | g/L (Least Squares Mean) |
---|
Exenatide | -0.09 |
Insulin Glargine | -0.08 |
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Change in Fasting Serum Glucose
Change in fasting serum glucose from baseline (week 0) to endpoint (week 26) (NCT00360334)
Timeframe: 26 weeks
Intervention | mmol/L (Least Squares Mean) |
---|
Exenatide | -2.12 |
Insulin Glargine | -3.61 |
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Change in Fasting Serum Total Cholesterol (TC)
Change in TC from baseline to endpoint (NCT00360334)
Timeframe: 26 weeks
Intervention | mmol/L (Least Squares Mean) |
---|
Exenatide | -0.36 |
Insulin Glargine | -0.21 |
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Change in Waist-to-hip Ratio
Change in waist-to-hip ratio from baseline to endpoint (NCT00360334)
Timeframe: 26 weeks
Intervention | Ratio (Least Squares Mean) |
---|
| Baseline (Week 0) | Change at endpoint (Week 26) |
---|
Exenatide | 0.99 | -0.02 |
,Insulin Glargine | 0.98 | 0.01 |
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Change in Fasting Serum Triglycerides
Change in fasting serum triglycerides from baseline to endpoint (NCT00360334)
Timeframe: 26 weeks
Intervention | mmol/L (Least Squares Mean) |
---|
Exenatide | -0.33 |
Insulin Glargine | -0.38 |
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Change in Body Mass Index (BMI)
Change in BMI from baseline to endpoint (NCT00360334)
Timeframe: 26 weeks
Intervention | kg/m^2 (Least Squares Mean) |
---|
| Baseline (Week 0) | Change at endpoint (Week 26) |
---|
Exenatide | 34.49 | -0.95 |
,Insulin Glargine | 33.71 | 1.01 |
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Incidence of Severe Hypoglycemic Episodes
Percent of total patients in each arm experiencing severe hypoglycemia at any point during the 26 week study (NCT00360334)
Timeframe: 26 weeks
Intervention | percent (Number) |
---|
Exenatide | 4.2 |
Insulin Glargine | 5.3 |
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Incidence of Nocturnal Hypoglycemic Episodes
Percent of total patients in each arm experiencing nocturnal hypoglycemia at any point in the 26 week study (NCT00360334)
Timeframe: 26 weeks
Intervention | percent (Number) |
---|
Exenatide | 11.9 |
Insulin Glargine | 29.8 |
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Change in High Density Lipoprotein (HDL) Cholesterol
Change in HDL cholesterol from baseline to endpoint (NCT00360334)
Timeframe: 26 weeks
Intervention | mmol/L (Least Squares Mean) |
---|
Exenatide | 0.01 |
Insulin Glargine | 0.02 |
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Change in 7 Point Self Monitored Blood Glucose Profile
Change from baseline to endpoint in self monitored blood glucose levels measured at 7 time points during the day (NCT00360334)
Timeframe: 26 weeks
Intervention | mmol/L (Mean) |
---|
| Pre-breakfast: Baseline (Week 0) | Pre-breakfast: Change at endpoint (Week 26) | 2 hrs after breakfast: Baseline (Week 0) | 2 hrs after breakfast: Change at endpt (Week 26) | Pre-lunch: Baseline (Week 0) | Pre-lunch: Change at endpoint (Week 26) | 2 hrs after lunch: Baseline (Week 0) | 2 hrs after lunch: Change at endpoint (Week 26) | Pre-dinner: Baseline (Week 0) | Pre-dinner: Change at endpoint (Week 26) | 2 hrs after dinner: Baseline (Week 0) | 2 hrs after dinner: Change at endpoint (Week 26) | Bedtime: Baseline (Week 0) | Bedtime: Change at endpoint (Week 26) |
---|
Exenatide | 9.98 | -2.01 | 13.53 | -5.09 | 9.95 | -2.21 | 12.07 | -3.20 | 9.95 | -2.13 | 12.59 | -4.59 | 11.63 | -3.56 |
,Insulin Glargine | 9.88 | -3.99 | 13.33 | -3.95 | 9.54 | -2.59 | 11.15 | -2.48 | 9.37 | -1.46 | 11.80 | -2.06 | 11.24 | -2.20 |
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Severe Hypoglycemic Rate Per 30 Days
Number of severe hypoglycemic episodes per patient adjusted per 30 days (NCT00360334)
Timeframe: 26 weeks
Intervention | Number of episodes per 30 days (Median) |
---|
Exenatide | 0.000 |
Insulin Glargine | 0.000 |
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Percent of Patients Who Achieved HbA1c ≤ 7.4% With Minimal Weight Gain (≤ 1kg)
Composite endpoint evaluating effect of treatment on glycemic control and weight (NCT00360334)
Timeframe: 26 weeks
Intervention | percentage of participants (Number) |
---|
Exenatide | 53.4 |
Insulin Glargine | 19.8 |
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Percent of Patients Who Achieved HbA1c ≤ 7.4% and Weight Gain ≤ 0.5kg
Composite endpoint evaluating effect of treatment on glycemic control and weight (NCT00360334)
Timeframe: 26 weeks
Intervention | Percentage of participants (Number) |
---|
Exenatide | 52.5 |
Insulin Glargine | 16.4 |
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Percent of Patients Achieving HbA1c ≤ 7.4%
Percent of patients achieving specified HbA1c target at endpoint (NCT00360334)
Timeframe: 26 weeks
Intervention | Percentage of participants (Number) |
---|
Exenatide | 54.2 |
Insulin Glargine | 61.2 |
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Percent of Patients Achieving HbA1c < 7%
Percent of patients achieving specified HbA1c target at endpoint (NCT00360334)
Timeframe: 26 weeks
Intervention | Percentage of participants (Number) |
---|
Exenatide | 34.7 |
Insulin Glargine | 43.1 |
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Percent of Patients Achieving 5% Weight Loss
Percent of patients who lost at least 5% of baseline body weight at endpoint (NCT00360334)
Timeframe: 26 weeks
Intervention | Percentage of participants (Number) |
---|
Exenatide | 19.5 |
Insulin Glargine | 0.9 |
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Percent of Patients Achieving 10% Weight Loss
Percent of patients who lost at least 10% of baseline body weight at endpoint (NCT00360334)
Timeframe: 26 weeks
Intervention | Percentage of participants (Number) |
---|
Exenatide | 4.2 |
Insulin Glargine | 0.0 |
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Percent Change in Body Weight
Percent change in baseline body weight at endpoint (NCT00360334)
Timeframe: 26 Weeks
Intervention | Percentage (Least Squares Mean) |
---|
Exenatide | -2.8 |
Insulin Glargine | 3.1 |
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Percent of Patients Achieving HbA1c < 6.5%
Percent of patients achieving specified HbA1c target at endpoint (NCT00360334)
Timeframe: 26 weeks
Intervention | Percentage of participants (Number) |
---|
Exenatide | 15.3 |
Insulin Glargine | 11.2 |
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Nocturnal Hypoglycemic Rate Per 30 Days
Number of nocturnal hypoglycemic episodes per patient adjusted per 30 days (NCT00360334)
Timeframe: 26 weeks
Intervention | Number of episodes per 30 days (Median) |
---|
Exenatide | 0.000 |
Insulin Glargine | 0.000 |
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Daily Mean Plasma Glucose
(NCT00360698)
Timeframe: at the end of treatment (week 24)
Intervention | mg/dL (Mean) |
---|
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride | 154.7 |
Insulin Glargine+Metformin+Glimepiride | 165.8 |
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Patients With Glycosylated Haemoglobin (HbA1c) Value < 7%
Glycosylated Haemoglobin (HbA1c) is a biological parameter that reflects the blood glucose concentration over a long period of time. It is the standard parameter for glycemic control follow -up in diabetic patients. this parameter is expressed in percentage (%) and the target in diabetes management is to reach a HbA1c <7% (NCT00360698)
Timeframe: at the end of treatment (week 24)
Intervention | percentage of participants (Number) |
---|
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride | 22.4 |
Insulin Glargine+Metformin+Glimepiride | 8.8 |
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Rate of Nocturnal Symptomatic Hypoglycemia With Plasma Glucose < 70mg/dL
(NCT00360698)
Timeframe: during treatment period (12 weeks)
Intervention | Number of hypoglycemia per patient-year (Mean) |
---|
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride | 1.62 |
Insulin Glargine+Metformin+Glimepiride | 3.95 |
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Glycosylated Haemoglobin (HbA1c) Value
(NCT00360698)
Timeframe: at the end of treatment (week 24)
Intervention | percent (Mean) |
---|
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride | 7.5 |
Insulin Glargine+Metformin+Glimepiride | 7.8 |
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Rate of Severe Symptomatic Hypoglycemia
(NCT00360698)
Timeframe: during treatment period (12 weeks)
Intervention | Number of hypoglycemia per patient-year (Mean) |
---|
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride | 0.00 |
Insulin Glargine+Metformin+Glimepiride | 0.20 |
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Rate of Symptomatic Hypoglycemia With Plasma Glucose < 70mg/dL
(NCT00360698)
Timeframe: during treatment period (12 weeks)
Intervention | Number of hypoglycemia per patient-year (Mean) |
---|
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride | 8.19 |
Insulin Glargine+Metformin+Glimepiride | 7.68 |
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Change in Daily Mean Plasma Glucose
(NCT00360698)
Timeframe: from baseline to the end of treatment (week 24)
Intervention | mg/dL (Least Squares Mean) |
---|
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride | -15.01 |
Insulin Glargine+Metformin+Glimepiride | -2.07 |
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Change in Glycosylated Haemoglobin (HbA1c) Value
(NCT00360698)
Timeframe: from baseline to the end of treatment (week 24)
Intervention | percent (Least Squares Mean) |
---|
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride | -0.37 |
Insulin Glargine+Metformin+Glimepiride | -0.11 |
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Change in Weight
(NCT00360698)
Timeframe: from baseline to the end of treatment (week 24)
Intervention | kg (Least Squares Mean) |
---|
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride | 0.46 |
Insulin Glargine+Metformin+Glimepiride | 0.22 |
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Daily Dose of Insulin Glargine
Mean of 3 daily doses reported during the week prior to the final visit (NCT00360698)
Timeframe: at the end of treatment (week 24)
Intervention | units of insulin glargine per day (Mean) |
---|
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride | 54.7 |
Insulin Glargine+Metformin+Glimepiride | 62.2 |
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Daily Dose of Insulin Glulisine
Mean of 3 daily doses reported during the week prior to the final visit (NCT00360698)
Timeframe: at the end of treatment (week 24)
Intervention | units of insulin glulisine per day (Mean) |
---|
Insulin Glulisine+Insulin Glargine+Metformin+Glimepiride | 12.8 |
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Percentage Reduction in C-reactive Protein (CRP)
(NCT00366301)
Timeframe: 14 weeks
Intervention | Percent CRP Reduction (Mean) |
---|
Placebo Pill | -19.0 |
Metformin Pill | -16.1 |
Insulin Glargine Plus Placebo Pill | -2.9 |
Insulin Glargine Plus Metformin Pill | -20.1 |
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Hemoglobin A1c (HbA1c) at 36 Week Endpoint
Level of hemoglobin A1c at endpoint. (NCT00377858)
Timeframe: 36 weeks
Intervention | percent HbA1c (Least Squares Mean) |
---|
Insulin Lispro Mid Mixture | 7.66 |
Insulin Glargine | 7.49 |
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Hemoglobin A1c (HbA1c) at Interval Visits
Levels of HbA1c at 12 weeks and 24 weeks and 36 weeks. (NCT00377858)
Timeframe: 12, 24, and 36 weeks
Intervention | percent HbA1c (Least Squares Mean) |
---|
| 12 Week Interval (n=222, n=222) | 24 Week Interval (n=206, n=217) | 36 Week Interval (n=202, n=208) |
---|
Insulin Glargine | 7.85 | 7.36 | 7.44 |
,Insulin Lispro Mid Mixture | 8.02 | 7.53 | 7.53 |
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30-Day Adjusted Rates of Self-Reported Hypoglycemic Episodes (Including Nocturnal and Non-Nocturnal)
Hypoglycemic episode defined: any time patient felt that he/she was experiencing a sign or symptom associated with hypoglycemia, or had old Roche blood glucose level <70 mg/dL even if not associated with signs, symptoms, or treatment consistent with current guidelines. Nocturnal hypoglycemia defined: any hypoglycemic event that occurred between bedtime and waking. Non-nocturnal hypoglycemia defined: any hypoglycemic event that occurred between waking and bedtime. Overall episodes: those that occurred at any time during the post-randomization visits. Endpoint: last visit interval based on LOCF. (NCT00377858)
Timeframe: Baseline to 36 Weeks
Intervention | hypoglycemic event per 30 days (Mean) |
---|
| Endpoint Hypoglycemic Rate | Overall Hypoglycemic Rate | Endpoint Nocturnal Hypoglycemic Rate | Overall Nocturnal Hypoglycemic Rate | Endpoint Non-Nocturnal Hypoglycemic Rate | Overall Non-Nocturnal Hypoglycemic Rate |
---|
Insulin Glargine | 2.19 | 2.21 | 0.32 | 0.28 | 1.87 | 1.93 |
,Insulin Lispro Mid Mixture | 1.57 | 1.88 | 0.26 | 0.26 | 1.31 | 1.63 |
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7-point Self-monitored Blood Glucose Profiles
Actual daily mean blood glucose levels at specified time points. (NCT00377858)
Timeframe: Baseline, 12-24-36 weeks
Intervention | millimoles per Liter (mmol/L) (Least Squares Mean) |
---|
| Baseline: Morning Pre-Meal (n=228, n=231) | Baseline: Morning Postprandial Meal (n=213, n=222) | Baseline: Midday Pre-Meal (n=227, n=230) | Baseline: Midday Postprandial Meal (n=215, n=223) | Baseline: Evening Pre-Meal (n=227, n=229) | Baseline: Evening Postprandial Meal (n=226,n= 229) | Baseline: 0300 Hours (n=205, n=202) | 12 Week: Morning Pre-Meal (n=218, n=226) | 12 Week: Morning Postprandial Meal (n=192, n=206) | 12 Week: Midday Pre-Meal (n=215, n=220) | 12 Week: Midday Postprandial Meal (n=196, n=209) | 12 Week: Evening Pre-Meal (n=216, n=221) | 12 Week: Evening Postprandial Meal (n=213, n= 223) | 12 Week: 0300 Hours (n=185, n=187) | 24 Week: Morning Pre-Meal (n=210, n=213) | 24 Week: Morning Postprandial Meal (n=193, n=201) | 24 Week: Midday Pre-Meal (n=209, n=213) | 24 Week: Midday Postprandial Meal (n=196, n=203) | 24 Week: Evening Pre-Meal (n=209, n=211) | 24 Week: Evening Postprandial Meal (n=207, n= 207) | 24 Week: 0300 Hours (n=181, n=184) | 36 Week: Morning Pre-Meal (n=200, n=210) | 36 Week: Morning Postprandial Meal (n=179, n=194) | 36 Week: Midday Pre-Meal (n=199, n=210) | 36 Week: Midday Postprandial Meal (n=182, n=195) | 36 Week: Evening Pre-Meal (n=199, n=207) | 36 Week: Evening Postprandial Meal (n=195, n= 225) | 36 Week: 0300 Hours (n=167, n=177) | Endpoint: Morning Pre-Meal (n=228, n=231) | Endpoint: Morning Postprandial Meal (n=213, n=222) | Endpoint: Midday Pre-Meal (n=227, n=230) | Endpoint: Midday Postprandial Meal (n=215, n=223) | Endpoint: Evening Pre-Meal (n=227, n=229) | Endpoint: Evening Postprandial Meal (n=226,n= 229) | Endpoint: 0300 Hours (n=205, n=202) |
---|
Insulin Glargine | 9.64 | 12.39 | 9.62 | 11.22 | 10.31 | 11.76 | 9.17 | 6.68 | 11.28 | 8.10 | 9.43 | 7.98 | 9.40 | 7.12 | 6.07 | 9.45 | 7.82 | 9.15 | 6.94 | 8.69 | 7.18 | 6.48 | 10.29 | 7.46 | 10.30 | 7.97 | 9.85 | 8.25 | 6.53 | 10.29 | 7.52 | 10.34 | 7.98 | 9.84 | 7.89 |
,Insulin Lispro Mid Mixture | 10.22 | 12.49 | 10.15 | 11.40 | 10.38 | 11.87 | 9.37 | 7.26 | 11.56 | 8.63 | 9.92 | 8.75 | 8.23 | 6.97 | 6.72 | 9.87 | 7.99 | 9.38 | 7.50 | 8.21 | 7.14 | 6.96 | 10.09 | 7.33 | 10.31 | 8.13 | 9.46 | 8.18 | 6.98 | 9.98 | 7.36 | 10.28 | 8.15 | 9.27 | 7.78 |
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Change From Baseline in Absolute Body Weight at 36 Week Endpoint
Change in body weight was calculated as weight at endpoint (last observation carried forward) minus weight at baseline. (NCT00377858)
Timeframe: Baseline, 36 Weeks
Intervention | kilograms (Least Squares Mean) |
---|
| Baseline | Change from Baseline |
---|
Insulin Glargine | 77.00 | 3.19 |
,Insulin Lispro Mid Mixture | 76.71 | 3.09 |
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Endpoint Insulin Dose Per Body Weight; Total, Basal, and Prandial
Total daily insulin dose adjusted for body weight (Units of insulin per kilogram per day [U/kg/day]) was assessed. Basal insulin is the amount of insulin required to manage normal daily blood glucose fluctuations. Prandial insulin is taken at meal time. Insulin glargine is a basal insulin and insulin lispro is a prandial insulin. Insulin lispro mid-mix is a 50/50 mixture of a basal insulin and insulin lispro. Endpoint: last visit interval based on LOCF. (NCT00377858)
Timeframe: 36 Weeks
Intervention | U/kg/day (Least Squares Mean) |
---|
| Daily Basal (n=239, n=240) | Daily Prandial (n=239, n=130) | Daily Total (n=239, n=240) |
---|
Insulin Glargine | 0.35 | 0.29 | 0.51 |
,Insulin Lispro Mid Mixture | 0.27 | 0.36 | 0.57 |
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Endpoint Insulin Dose; Total, Basal, and Prandial
Total daily insulin dose (Units of insulin per day [U/day]) was assessed. Basal insulin is the amount of insulin required to manage normal daily blood glucose fluctuations. Prandial insulin is taken at meal time. Insulin glargine is a basal insulin and insulin lispro is a prandial insulin. Insulin lispro mid-mix is a 50/50 mixture of a basal insulin and insulin lispro. Endpoint: last visit interval based on LOCF. (NCT00377858)
Timeframe: 36 Weeks
Intervention | U/day (Least Squares Mean) |
---|
| Daily Basal (n=239, n=240) | Daily Prandial (n=239, n=130) | Daily Total (n=239, n=240) |
---|
Insulin Glargine | 26.86 | 21.68 | 38.25 |
,Insulin Lispro Mid Mixture | 19.90 | 27.73 | 43.44 |
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Glycemic Variability
Glycemic variability was measured by mean blood glucose value (M-value), which was the mean of the intra-days self-monitoring blood glucose values, and by the mean of daily difference (MODD), which was the mean of the between-days self-monitored blood glucose values. (NCT00377858)
Timeframe: Baseline, 12-24-36 weeks
Intervention | millimoles per liter (mmol/L) (Least Squares Mean) |
---|
| Baseline MODD (n=226, n=229) | Baseline M-Value (n=228, n=231) | 12 Week MODD (n=214, n=221) | 12 Week M-Value (n=218, n=226) | 24 Week MODD (n=208, n=211) | 24 Week M-Value (n=210, n=213) | 36 Week MODD (n=198, n=206) | 36 Week M-Value (n=200, n=210) | Endpoint MODD (n=226, n=229) | Endpoint M-Value (n=228, n=231) |
---|
Insulin Glargine | 2.07 | 46.75 | 1.54 | 28.49 | 1.66 | 20.14 | 1.60 | 27.41 | 1.61 | 27.99 |
,Insulin Lispro Mid Mixture | 2.09 | 48.02 | 1.51 | 30.07 | 1.57 | 22.67 | 1.55 | 26.46 | 1.51 | 26.27 |
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Number of Insulin Injections Per Day
(NCT00377858)
Timeframe: Weeks 12, 24, 30, 36
Intervention | insulin injections (Least Squares Mean) |
---|
| Week 12 | Week 24 | Week 30 | Week 36 | Endpoint |
---|
Insulin Glargine | 1.00 | 1.76 | 1.81 | 1.80 | 1.79 |
,Insulin Lispro Mid Mixture | 1.33 | 1.97 | 2.05 | 2.03 | 1.98 |
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Number of Patients With at Least One Self-reported Hypoglycemic Episode, Including Nocturnal (and Non-nocturnal) Hypoglycemia
Hypoglycemic episode defined: any time patient felt that he/she was experiencing a sign or symptom associated with hypoglycemia, or had old Roche blood glucose level <70 mg/dL even if not associated with signs, symptoms, or treatment consistent with current guidelines. Nocturnal hypoglycemia defined: any hypoglycemic event that occurred between bedtime and waking. Non-nocturnal hypoglycemia defined: any hypoglycemic event that occurred between waking and bedtime. Overall episodes: those that occurred at any time during the post-randomization visits. Endpoint: last visit interval based on LOCF. (NCT00377858)
Timeframe: Baseline to 36 Weeks
Intervention | participants (Number) |
---|
| Endpoint Hypoglycemic Episodes | Overall Hypoglycemic Episodes | Endpoint Nocturnal Hypoglycemic Episodes | Overall Nocturnal Hypoglycemic Episodes | Endpoint Non-Nocturnal Hypoglycemic Episodes | Overall Non-Nocturnal Hypoglycemic Episodes |
---|
Insulin Glargine | 106 | 179 | 37 | 112 | 98 | 179 |
,Insulin Lispro Mid Mixture | 87 | 178 | 30 | 112 | 71 | 175 |
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Number of Patients With at Least One Severe Hypoglycemia Episode
Severe hypoglycemia was defined as hypoglycemic event that meets at least one of the following criteria: not capable of treating self and blood glucose <2.8 millimoles per liter (mmol/L); not capable of treating self, blood glucose is missing and prompt recovery after oral carbohydrate or glucagon or intravenous glucose; hypoglycemic event outcome was coma, hopitalization, emergency room visit, or automobile accident. The overall category is a severe hypoglycemic event that occurred at any time during the post-randomization visits. Endpoint: last visit interval based on LOCF. (NCT00377858)
Timeframe: Baseline to 36 Weeks
Intervention | participants (Number) |
---|
| Endpoint Severe Hypoglycemic Episodes | Overall Severe Hypoglycemic Episodes |
---|
Insulin Glargine | 1 | 5 |
,Insulin Lispro Mid Mixture | 1 | 8 |
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Percentage of Patients Who Achieved Hemoglobin A1c Less Than or Equal to 6.5%, Greater Than 6.5%, Less Than 7%, Greater Than or Equal to 7%, Less Than or Equal to 7%, and Greater Than 7% at Interval Visits and Endpoint
(NCT00377858)
Timeframe: 12-24-36 weeks
Intervention | percentage of participants (Number) |
---|
| Week 12: HbA1c ≤7.0% (n=222, n=222) | Week 12: HbA1c >7.0% (n=222, n=222) | Week 12: HbA1c <7.0% (n=222, n=222) | Week 12: HbA1c ≥7.0% (n=222, n=222) | Week 12: HbA1c ≤6.5% (n=222, n=222) | Week 12: HbA1c >6.5% (n=222, n=222) | Week 24: HbA1c ≤7.0% (n=206, n=217) | Week 24: HbA1c >7.0% (n=206, n=217) | Week 24: HbA1c <7.0% (n=206, n=217) | Week 24: HbA1c ≥7.0% (n=206, n=217) | Week 24: HbA1c ≤6.5% (n=206, n=217) | Week 24: HbA1c >6.5% (n=206, n=217) | Week 36: HbA1c ≤7.0% (n=202, n=208) | Week 36: HbA1c >7.0% (n=202, n=208) | Week 36: HbA1c <7.0% (n=202, n=208) | Week 36: HbA1c ≥7.0% (n=202, n=208) | Week 36: HbA1c ≤6.5% (n=202, n=208) | Week 36: HbA1c >6.5% (n=202, n=208) | Endpoint (LOCF): HbA1c ≤7.0% (n=234, n=235) | Endpoint (LOCF): HbA1c >7.0% (n=234, n=235) | Endpoint (LOCF): HbA1c <7.0% (n=234, n=235) | Endpoint (LOCF): HbA1c ≥7.0% (n=234, n=235) | Endpoint (LOCF): HbA1c ≤6.5% (n=234, n=235) | Endpoint (LOCF): HbA1c >6.5% (n=234, n=235) |
---|
Insulin Glargine | 25.2 | 74.8 | 21.6 | 78.4 | 10.8 | 89.2 | 47.0 | 53.0 | 38.7 | 61.3 | 21.7 | 78.3 | 44.7 | 55.3 | 40.4 | 59.6 | 19.2 | 80.8 | 43.0 | 57.0 | 39.1 | 60.9 | 19.1 | 80.9 |
,Insulin Lispro Mid Mixture | 21.2 | 78.8 | 18.9 | 81.1 | 8.1 | 91.9 | 39.8 | 60.2 | 35.4 | 64.6 | 16.0 | 84.0 | 39.6 | 60.4 | 37.6 | 62.4 | 15.3 | 84.7 | 36.8 | 63.2 | 35.0 | 65.0 | 13.2 | 86.8 |
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Percentage of Patients Achieving Glycosylated Hemoglobin A1c (HbA1c) < 7.0% at Week 60 (Lantus/Apidra-3 Versus Novolog Mix 70/30 - ITT Population With All Sites) (Sensitivity Analysis)
Responders defined as patients who achieved an HbA1c value <7.0% versus nonresponders. Patients who did not achieve an HbA1c value <7.0% and patients with a missing HbA1c value at Week 60 were considered to be nonresponders. (NCT00384085)
Timeframe: At week 60
Intervention | percentage of participants (Number) |
---|
| HbA1c < 7.0% | HbA1c ≥ 7.0% | Missing data |
---|
Lantus/Apidra-3 | 44.1 | 34.4 | 21.5 |
,Novolog Mix 70/30 | 38.1 | 32.0 | 29.9 |
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Percentage of Patients Achieving Glycosylated Hemoglobin A1c (HbA1c) < 7.0% at Week 60 (Lantus/Apidra-3 Versus Novolog Mix 70/30 - Intent To Treat (ITT) Population Without Good Clinical Practices (GCP) Noncompliant Sites)
Responders defined as patients who achieved an HbA1c value <7.0% versus nonresponders. Patients who did not achieve an HbA1c value <7.0% and patients with a missing HbA1c value at Week 60 were considered to be nonresponders. (NCT00384085)
Timeframe: At week 60
Intervention | percentage of participants (Number) |
---|
| HbA1c < 7.0% | HbA1c ≥ 7.0% | Missing data |
---|
Lantus/Apidra-3 | 43.3 | 35.3 | 21.4 |
,Novolog Mix 70/30 | 38.6 | 32.3 | 29.1 |
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Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 60 (Lantus/Apidra-1 Versus Novolog Mix 70/30)Per Protocol Population
Absolute Change in HbA1c from Baseline to Week 60. If the Week 60 HbA1c evaluation was missing, the patient was counted as having not completed per protocol. (NCT00384085)
Timeframe: At week 60
Intervention | percent HbA1c (Least Squares Mean) |
---|
| baseline HbA1c | Absolute change in HbA1c from baseline |
---|
Lantus/Apidra-1 | 9.30 | -2.30 |
,Novolog Mix 70/30 | 9.06 | -1.97 |
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Adjusted Incidence Rate of Hypoglycemia
"Adjusted incidence rate of hypoglycemia: estimated percent of patients having at least 1 event of a given type of hypoglycemia.~A severe Hypoglycemic Event (HE) is one where patient requires assistance. It is confirmed either by a prompt response to certain countermeasures or by a blood Glucose (BG) <36 mg/dL during or soon after the event.~A serious HE is one where the patient has loss of consciousness, coma, seizure, or convulsion.~Nocturnal = events occurring between 00:00 & 06:00 based on a 24-hour clock.~An event is included if the HE start date is within the treatment period." (NCT00384085)
Timeframe: Week 60
Intervention | estimated percentage per patient (Mean) |
---|
| Self-Monitored Blood Glucose (SMBG) < 70 mg/dl | SMBG< 70 mg/dl with symptoms | SMBG< 70 mg/dl, nocturnal | SMBG< 70 mg/dl with symptoms, nocturnal | SMBG< 50 mg/dl | SMBG< 50 mg/dl with symptoms | SMBG< 50 mg/dl, nocturnal | SMBG< 50 mg/dl with symptoms, nocturnal | SMBG< 36 mg/dl | Severe hypoglycemias | Serious hypoglycemias |
---|
Lantus/Apidra-1 | 74.78 | 62.50 | 40.31 | 33.55 | 39.55 | 32.56 | 11.29 | 7.49 | 8.63 | 7.19 | 0.00 |
,Lantus/Apidra-3 | 74.40 | 60.14 | 46.30 | 37.03 | 39.77 | 31.51 | 12.05 | 6.93 | 10.89 | 10.10 | 0.41 |
,Novolog Mix 70/30 | 83.15 | 71.98 | 42.53 | 35.68 | 53.14 | 45.92 | 12.58 | 8.88 | 14.32 | 8.23 | 2.29 |
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Adjusted Hypoglycemic Event Rates (Event/Patient-year)
"Adjusted Hypoglycemic event rate: Total # of events for a given type of hypoglycemia divided by the total exposure to study drug (patient-years). Rates are estimated from a general linear model adjusted for baseline BMI and oral agent combination of antidiabetic medications on which the patient entered the study.~An event is included if the hypoglycemic event start date is within the treatment period (i.e., from the Randomization date to & including 1 day after the date of last dose of study drug)." (NCT00384085)
Timeframe: Week 60
Intervention | event per patient year (Mean) |
---|
| Self-Monitored Blood Glucose (SMBG) < 70 mg/dl | SMBG< 70 mg/dl with symptoms | SMBG< 70 mg/dl, nocturnal | SMBG< 70 mg/dl with symptoms, nocturnal | SMBG< 50 mg/dl | SMBG< 50 mg/dl with symptoms | SMBG< 50 mg/dl, nocturnal | SMBG< 50 mg/dl with symptoms, nocturnal | SMBG< 36 mg/dl | Severe hypoglycemias | Serious hypoglycemias |
---|
Lantus/Apidra-1 | 12.85 | 7.11 | 1.84 | 1.10 | 1.17 | 0.83 | 0.18 | 0.09 | 0.10 | 0.10 | NA |
,Lantus/Apidra-3 | 14.50 | 7.23 | 1.90 | 1.16 | 1.38 | 0.89 | 0.20 | 0.10 | 0.15 | 0.17 | NA |
,Novolog Mix 70/30 | 20.42 | 12.23 | 1.68 | 1.16 | 2.42 | 1.91 | 0.27 | 0.18 | 0.23 | 0.17 | NA |
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Percentage of Patients Achieving Glycosylated Hemoglobin A1c (HbA1c) <7.0% at Week 60 (Lantus/Apidra-1 Versus Novolog Mix 70/30)
Patients who achieved an HbA1c value <7.0% were defined as responders. Patients who did not achieve HbA1c values <7.0% and patients with missing HbA1c values were considered nonresponders. (NCT00384085)
Timeframe: At week 60
Intervention | percentage of participants (Number) |
---|
Lantus/Apidra-1 | 51.1 |
Novolog Mix 70/30 | 39.5 |
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Percentage of Patients Achieving Glycosylated Hemoglobin A1c (HbA1c) <7.0% at Week 60 Without a Severe Hypoglycemic Event or a Symptomatic Hypoglycemic Event With an Self Monitoring Blood Glucose (SMBG) <50 mg/dl
"Severe hypoglycemia was defined as an event with clinical symptoms that are considered to result from hypoglycemia in which the patient required assistance of another person and one of the following: the event was associated with a measured blood glucose level below 36 mg/dL or the event was associated with prompt recovery after oral carbohydrate, iv glucose, or glucagon administration.~A symptomatic hypoglycemic event was defined as a hypoglycemic episode with an associated SMBG value of <50 mg/dL with reported symptoms." (NCT00384085)
Timeframe: At week 60
Intervention | percentage of participants (Number) |
---|
| HbA1c < 7.0% | HbA1c ≥ 7.0% | Missing data |
---|
Lantus/Apidra-1 | 25.0 | 52.2 | 22.8 |
,Lantus/Apidra-3 | 23.0 | 55.7 | 21.3 |
,Novolog Mix 70/30 | 14.1 | 58.4 | 27.6 |
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Absolute Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 60 (Lantus/Apidra-3 Versus Novolog Mix 70/30)
Absolute Change in HbA1c from Baseline to Week 60. (NCT00384085)
Timeframe: From baseline to week 60
Intervention | percent HbA1c (Least Squares Mean) |
---|
Lantus/Apidra-3 | -2.45 |
Novolog Mix 70/30 | -2.13 |
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Change From Baseline in Cardiovascular (CV) Biomarkers - High Sensitive C-reactive Protein (Hs-CRP)
Change from baseline in CV biomarker hs-CRP (milligrams per deciliter [mg/dl]) calculated as hs-CRP at observation minus hs-CRP at baseline. (NCT00391027)
Timeframe: Baseline, Week 26
Intervention | mg/dl (Mean) |
---|
Inhaled Human Insulin (Exubera®) | 0.2 |
Insulin Glargine (Lantus®) | -0.1 |
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Change From Baseline in CV Biomarkers - Interleukin 6 (IL-6)
Change from baseline in IL-6 (picograms per milliliter [pg/ml]) calculated as IL-6 at observation minus IL-6 at baseline. (NCT00391027)
Timeframe: Baseline, Week 26
Intervention | pg/ml (Mean) |
---|
Inhaled Human Insulin (Exubera®) | -1.1 |
Insulin Glargine (Lantus®) | -2.4 |
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Change From Baseline in CV Biomarkers - Soluble Tissue Factor (STF)
Change from baseline in soluble tissue factor (pg/ml) calculated as STF at observation minus STF at baseline. (NCT00391027)
Timeframe: Baseline, Week 26
Intervention | pg/ml (Mean) |
---|
Inhaled Human Insulin (Exubera®) | 230.2 |
Insulin Glargine (Lantus®) | 170.4 |
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Change From Baseline in CV Biomarkers - Thrombin-antithrombin Complexes (Tat-complexes)
Change from baseline in tat-complexes (nanograms per milliliter [ng/ml]) calculated as tat-complexes at observation minus tat-complexes at baseline. (NCT00391027)
Timeframe: Baseline, Week 26
Intervention | ng/ml (Mean) |
---|
Inhaled Human Insulin (Exubera®) | -3.4 |
Insulin Glargine (Lantus®) | -40.4 |
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Change From Baseline in Fasting Plasma Glucose (FPG) Level
FPG measured as milligrams/deciliter (mg/dl). Change from baseline calculated as FPG at observation minus FPG at baseline. (NCT00391027)
Timeframe: Baseline, Week 26
Intervention | mg/dl (Mean) |
---|
Inhaled Human Insulin (Exubera®) | -30.6 |
Insulin Glargine (Lantus®) | -60.1 |
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Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 26
Change (measured as percent): HbA1c at observation minus HbA1c at baseline. Primary objective to demonstrate non-inferiority of inhaled insulin compared to insulin glargine for glycemic control after 26 weeks of treatment not attainable due to early termination of study; analyses were descriptive and graphical. (NCT00391027)
Timeframe: Baseline, Week 26
Intervention | percent (Mean) |
---|
Inhaled Human Insulin (Exubera®) | -1.7 |
Insulin Glargine (Lantus®) | -1.4 |
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Number of Events of Nocturnal Hypoglycemia
Number of events of nocturnal hypoglycemia, incidence: midnight to 6:00 am. Hypoglycemia: characteristic symptoms of hypoglycemia with no blood glucose check; resolved with food intake, SC glucagon, or intravenous (IV) glucose; or symptoms with glucose <3.27 mmol/L (59 mg/dL); or any glucose measurement <=2.72 mmol/L (49 mg/dl). Severity of nocturnal glycemia not summarized. (NCT00391027)
Timeframe: Week 26
Intervention | events (Number) |
---|
Inhaled Human Insulin (Exubera®) | 159 |
Insulin Glargine (Lantus®) | 81 |
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Number of Subjects Discontinued Due to Insufficient Clinical Response
Number of subjects discontinued due to signs and symptoms of persistent hyperglycemia or HbA1c > 12.0 % or frequent and unexplained severe hypoglycemic events (> 3 events per month for 2 or more months); subject's HbA1c not < = 7 % at Week 12. (NCT00391027)
Timeframe: Week 26
Intervention | participants (Number) |
---|
Inhaled Human Insulin (Exubera®) | 3 |
Insulin Glargine (Lantus®) | 0 |
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Number of Subjects With HbA1c < 6.5 %
Number of subjects with glycemic control HbA1c measurement of < 6.5 % at observation. (NCT00391027)
Timeframe: Week 26
Intervention | participants (Number) |
---|
Inhaled Human Insulin (Exubera®) | 37 |
Insulin Glargine (Lantus®) | 23 |
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Number of Subjects With HbA1c < 7.0 %
Number of subjects with glycemic control HbA1c measurement of < 7.0 % at observation. (NCT00391027)
Timeframe: Week 26
Intervention | participants (Number) |
---|
Inhaled Human Insulin (Exubera®) | 84 |
Insulin Glargine (Lantus®) | 67 |
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Analysis of Home Blood Glucose Monitoring (HBGM) (7 & 8 Point)
Blood glucose (BG) self-monitored by subject at home; measured at least once between Visits 2, 3 and between Visits 8, 9 (8-point: fasting, pre-meal, post-meal, bedtime, 2:00 am); between each visit: Visit 3 to 8 (7-point: fasting, post-meal, pre-lunch, pre-dinner, bedtime). Post-meal: 2-hour period after breakfast, lunch, dinner. Change: average overall absolute, pre-meal, and post-meal blood glucose = HBGM at observation minus HBGM at baseline; pre-meal to post-meal blood glucose = HBGM at post-meal minus HBGM at pre-meal. (NCT00391027)
Timeframe: Baseline, Week 26
Intervention | mg/dl (Mean) |
---|
| Average overall absolute BG (n=101, 95) | Average pre-meal BG (n=101, 95) | Average post-meal BG (n=99, 91) | Change from pre-meal to post-meal BG (n=99, 91) |
---|
Inhaled Human Insulin (Exubera®) | -45.0 | -38.1 | -64.5 | -24.5 |
,Insulin Glargine (Lantus®) | -43.7 | -50.7 | -49.6 | 1.6 |
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Change From Baseline in Body Mass Index (BMI)
BMI measured as kilograms per meter squared (kg/m2). Change calculated as BMI at observation minus BMI at baseline. (NCT00391027)
Timeframe: Baseline, Week 26
Intervention | kg/m2 (Mean) |
---|
Inhaled Human Insulin (Exubera®) | 0.7 |
Insulin Glargine (Lantus®) | 0.4 |
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Number of Subjects With HbA1c < 8.0 %
Number of subjects with glycemic control HbA1c measurement of < 8.0 % at observation. (NCT00391027)
Timeframe: Week 26
Intervention | participants (Number) |
---|
Inhaled Human Insulin (Exubera®) | 121 |
Insulin Glargine (Lantus®) | 108 |
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Change From Baseline in HbA1c Prior to Week 26
Change (measured as percent) from baseline calculated as HbA1c at observation minus HbA1c at baseline. (NCT00391027)
Timeframe: Baseline, Week 2, Week 4, Week 8, Week 12, and Week 18
Intervention | percent (Mean) |
---|
| Week 2 (n = 128, 108) | Week 4 (n = 134, 121) | Week 8 (n = 134, 121) | Week 12 (n = 134, 121) | Week 18 (n = 134, 121) |
---|
Inhaled Human Insulin (Exubera®) | -0.4 | -0.8 | -1.3 | -1.6 | -1.7 |
,Insulin Glargine (Lantus®) | -0.3 | -0.6 | -1.1 | -1.3 | -1.5 |
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Continuous Glucose Monitoring System (CGMS) 24-hour Glucose Profile in a Subset of Patients
The mean of the 24-hour mean and the mean of the 24-hour standard deviation (SD) (variability around the average glucose concentration) calculated on glucose values (mg/dl) collected during inpatient evaluation of glycemic stability. Interstitial glucose assessed at 5 minute intervals starting pre-supper on Day 1 of evaluation; ending on Day 3 pre-breakfast. Analysis is on data generated between 6:00 am on Day 2 and 6:00 am on Day 3. (NCT00391027)
Timeframe: Baseline, Week 26
Intervention | mg/dl (Mean) |
---|
| Week 26: 24-hour mean (n=14, 12) | Week 26: 24-hour SD (n=14, 12) |
---|
Inhaled Human Insulin (Exubera®) | 107.6 | 33.7 |
,Insulin Glargine (Lantus®) | 102.1 | 30.7 |
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Number of Subjects With Hypoglycemic Events by Severity
Number of subjects with hypoglycemic events by severity. Severe hypoglycemia: subject unable to treat self; exhibits a neurological symptom; and blood glucose <=2.72 mmol/L or blood glucose not measured but symptoms reversed with food intake, SC glucagon, or intravenous glucose. If all 3 criteria not met, hypoglycemia defined as mild or moderate. (NCT00391027)
Timeframe: Week 26
Intervention | participants (Number) |
---|
| Week 26 Mild, Moderate | Week 26 Severe |
---|
Inhaled Human Insulin (Exubera®) | 26 | 1 |
,Insulin Glargine (Lantus®) | 32 | 1 |
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Change From Baseline in Body Weight
Change from baseline calculated as body weight at observation minus body weight at baseline. (NCT00391027)
Timeframe: Baseline, Week 26
Intervention | kilograms (kg) (Mean) |
---|
Inhaled Human Insulin (Exubera®) | 2.2 |
Insulin Glargine (Lantus®) | 1.1 |
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Percentage of Subjects Achieving Glycemic Control (HbA1c < 6.5%) at Week 26
Percentage of subjects with glycosylated hemoglobin A1c lab value less than 6.5%. (NCT00418522)
Timeframe: Week 26
Intervention | percentage of participants (Number) |
---|
Inhaled Human Insulin | 35.5 |
Insulin Glargine | 22.2 |
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Percentage of Subjects Achieving Glycemic Control (HbA1c < 7.0%) at Week 26
Percentage of subjects with glycosylated hemoglobin A1c lab value less than 7.0%. (NCT00418522)
Timeframe: Week 26
Intervention | percentage of participants (Number) |
---|
Inhaled Human Insulin | 62.6 |
Insulin Glargine | 47.6 |
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Percentage of Subjects Achieving Glycemic Control (HbA1c < 8.0%) at Week 26
Number of subjects with glycosylated hemoglobin A1c lab value less than 8.0%. (NCT00418522)
Timeframe: Week 26
Intervention | percentage of participants (Number) |
---|
Inhaled Human Insulin | 79.8 |
Insulin Glargine | 83.6 |
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Change From Baseline in Lipids at Week 26
Lipid (total cholesterol, high density lipoprotein cholesterol [HDL-c], low density lipoprotein cholesterol [LDL-c], triglycerides) lab value: Change = value at Week 26 minus value at Baseline. (NCT00418522)
Timeframe: Baseline, Week 26
Intervention | mg/dL (Mean) |
---|
| Total cholesterol, Week 26 (n=197, 186) | HDL-c, Week 26 (n=197, 186) | LDL-c, Week 26 (n=197, 186) | Triglycerides, Week 26 (n=197, 187) |
---|
Inhaled Human Insulin | -2.80 | 2.97 | -2.09 | -42.65 |
,Insulin Glargine | -6.19 | 0.69 | -3.71 | -46.23 |
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Change From Baseline in Fasting and Postprandial Blood Glucose as Determined by Standardized Meal Tolerance Tests at Week 26
Postprandial blood glucose lab value (Time 0 min [fasting], Time 30 min, Time 60 min, Time 90 min, Time 120 min, Time 180 min): Change = value at Week 26 minus value at Baseline. (NCT00418522)
Timeframe: Baseline, Week 26
Intervention | mg/dL (Mean) |
---|
| Time 0 at Week 26 (n=105, 119) | Time 30 at Week 26 (n=95, 107) | Time 60 at Week 26 (n=110, 118) | Time 90 at Week 26 (n=114, 120) | Time 120 at Week 26 (n=113, 124) | Time 180 at Week 26 (n=114, 122) |
---|
Inhaled Human Insulin | -35.22 | -49.91 | -56.83 | -64.94 | -66.59 | -66.99 |
,Insulin Glargine | -61.16 | -66.02 | -64.77 | -58.85 | -54.89 | -51.27 |
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Change From Baseline in 24-Hour Continuous Glucose Monitoring System (CGMS) Glucose Values at Week 26
24-Hour CGMS glucose lab value was obtained using the Medtronic MiniMed CGMS. Not all subjects were offered the opportunity to participate in this assessment. Change = value at Week 26 minus value at Baseline. (NCT00418522)
Timeframe: Baseline, Week 26
Intervention | mg/dL (Mean) |
---|
Inhaled Human Insulin | -36.53 |
Insulin Glargine | -35.63 |
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Change From Baseline in Body Weight at Week 26
Body weight value: Change = value at Week 26 minus value at Baseline. (NCT00418522)
Timeframe: Baseline, Week 26
Intervention | kg (Mean) |
---|
Inhaled Human Insulin | 3.55 |
Insulin Glargine | 2.33 |
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Change From Baseline in Fasting Plasma Glucose at Week 26
Fasting plasma glucose lab value: Change = value at Week 26 minus value at Baseline. (NCT00418522)
Timeframe: Baseline, Week 26
Intervention | mg/dL (Mean) |
---|
Inhaled Human Insulin | -52.77 |
Insulin Glargine | -53.50 |
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Number of Total Subject Months of Treatment
Number of total subject months of treatment. Subject months = number of days from start of treatment to the last day of active treatment + 1 day lag, including off-drug time)/30.44. Severe=the subject was unable to treat him/herself; had at least 1 neurological symptom; or blood glucose of < = 49 mg/dL. Events not meeting all 3 criteria were considered mild-moderate. Overall=mild, moderate, and severe. (NCT00418522)
Timeframe: Months 1 to 7
Intervention | subject months (Number) |
---|
| Overall at Month 1 (n=147, 83) | Mild/Moderate at Month 1 (n=147, 83) | Severe at Month 1 (n=147, 83) | Overall at Month 2 (n=141, 81) | Mild/Moderate at Month 2 (n=141, 81) | Severe at Month 2 (n=141, 81) | Overall at Month 3 (n=135, 81) | Mild/Moderate at Month 3 (n=135, 81) | Severe at Month 3 (n=135, 81) | Overall at Month 4 (n=120, 80) | Mild/Moderate at Month 4 (n=120, 80) | Severe at Month 4 (n=120, 80) | Overall at Month 5 (n=117, 79) | Mild/Moderate at Month 5 (n=117, 79) | Severe at Month 5 (n=117, 79) | Overall at Month 6 (n=109, 77) | Mild/Moderate at Month 6 (n=109, 77) | Severe at Month 6 (n=109, 77) | Overall at Month 7 (n=77, 60) | Mild/Moderate at Month 7 (n=77, 60) | Severe at Month 7 (n=77, 60) |
---|
Inhaled Human Insulin | 145.8 | 145.8 | 145.8 | 138.3 | 138.3 | 138.3 | 128.8 | 128.8 | 128.8 | 117.7 | 117.7 | 117.7 | 112.2 | 112.2 | 112.2 | 103.5 | 103.5 | 103.5 | 12.8 | 12.8 | 12.8 |
,Insulin Glargine | 82.4 | 82.4 | 82.4 | 81.0 | 81.0 | 81.0 | 80.4 | 80.4 | 80.4 | 79.7 | 79.7 | 79.7 | 77.9 | 77.9 | 77.9 | 75.7 | 75.7 | 75.7 | 6.6 | 6.6 | 6.6 |
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Number of Total Hypoglycemic Events
A hypoglycemic event was identified by characteristic symptoms or blood glucose levels. Severe=the subject was unable to treat him/herself; had at least 1 neurological symptom; or blood glucose of < = 49 mg/dL. Events not meeting all 3 criteria were considered mild-moderate. Overall=mild, moderate, and severe. Total=events during the study. (NCT00418522)
Timeframe: Months 1 to 7
Intervention | events (Number) |
---|
| Overall at Month 1 (n=147, 83) | Mild/Moderate at Month 1 (n=147, 83) | Severe at Month 1 (n=147, 83) | Overall at Month 2 (n=141, 81) | Mild/Moderate at Month 2 (n=141, 81) | Severe at Month 2 (n=141, 81) | Overall at Month 3 (n=135, 81) | Mild/Moderate at Month 3 (n=135, 81) | Severe at Month 3 (n=135, 81) | Overall at Month 4 (n=120, 80) | Mild/Moderate at Month 4 (n=120, 80) | Severe at Month 4 (n=120, 80) | Overall at Month 5 (n=117, 79) | Mild/Moderate at Month 5 (n=117, 79) | Severe at Month 5 (n=117, 79) | Overall at Month 6 (n=109, 77) | Mild/Moderate at Month 6 (n=109, 77) | Severe at Month 6 (n=109, 77) | Overall at Month 7 (n=77, 60) | Mild/Moderate at Month 7 (n=77, 60) | Severe at Month 7 (n=77, 60) |
---|
Inhaled Human Insulin | 195 | 194 | 0 | 365 | 364 | 1 | 292 | 289 | 3 | 166 | 166 | 0 | 157 | 157 | 0 | 119 | 119 | 0 | 12 | 12 | 0 |
,Insulin Glargine | 41 | 41 | 0 | 66 | 66 | 0 | 84 | 84 | 0 | 51 | 51 | 0 | 64 | 64 | 0 | 63 | 63 | 0 | 5 | 5 | 0 |
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Number of Subjects With Hypoglycemic Events
A hypoglycemic event was identified by characteristic symptoms or blood glucose levels. An event was severe if the subject was unable to treat him/herself; had at least 1 neurological symptom; or blood glucose of < = 49 mg/dL. Events not meeting all 3 criteria were considered mild-moderate. Overall=mild, moderate, and severe. (NCT00418522)
Timeframe: Months 1 to 7
Intervention | participants (Number) |
---|
| Overall at Month 1 (n=147, 83) | Mild/Moderate at Month 1 (n=147, 83) | Severe at Month 1 (n=147, 83) | Overall at Month 2 (n=141, 81) | Mild/Moderate at Month 2 (n=141, 81) | Severe at Month 2 (n=141, 81) | Overall at Month 3 (n=135, 81) | Mild/Moderate at Month 3 (n=135, 81) | Severe at Month 3 (n=135, 81) | Overall at Month 4 (n=120, 80) | Mild/Moderate at Month 4 (n=120, 80) | Severe at Month 4 (n=120, 80) | Overall at Month 5 (n=117, 79) | Mild/Moderate at Month 5 (n=117, 79) | Severe at Month 5 (n=117, 79) | Overall at Month 6 (n=109, 77) | Mild/Moderate at Month 6 (n=109, 77) | Severe at Month 6 (n=109, 77) | Overall at Month 7 (n=77, 60) | Mild/Moderate at Month 7 (n=77, 60) | Severe at Month 7 (n=77, 60) |
---|
Inhaled Human Insulin | 70 | 69 | 0 | 98 | 98 | 1 | 84 | 83 | 3 | 61 | 61 | 0 | 55 | 55 | 0 | 42 | 42 | 0 | 8 | 8 | 0 |
,Insulin Glargine | 24 | 24 | 0 | 38 | 38 | 0 | 35 | 35 | 0 | 25 | 25 | 0 | 30 | 30 | 0 | 31 | 31 | 0 | 4 | 4 | 0 |
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Change From Baseline in Postprandial Blood Glucose as Measured by 8-Point Profiles at Week 26
Post-prandial=after a meal. 8-point scale: (1 = before breakfast, 2 = 2 hours post breakfast, 3 = before lunch, 4 = 2 hours post lunch, 5 = before dinner, 6 = 2 hours post dinner, 7 = at bedtime, 8 = overnight [between 2 and 4 am]). Postprandial blood glucose lab value: Change = value at Week 26 minus value at Baseline. (NCT00418522)
Timeframe: Baseline, Week 26
Intervention | mg/dL (Mean) |
---|
| Post-Breakfast, Week 26 (n=185,171) | Post-Lunch, Week 26 (n=184, 172) | Post-Dinner, Week 26 (n=187,166) |
---|
Inhaled Human Insulin | -86.61 | -86.66 | -81.86 |
,Insulin Glargine | -75.36 | -58.51 | -59.20 |
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Change From Baseline in CV Biomarkers Adiponectin and Apolipoprotein B (ApoB) at Week 26
CV biomarker (adiponectin and ApoB) lab value: Change = value at Week 26 minus value at Baseline. (NCT00418522)
Timeframe: Baseline, Week 26
Intervention | mg/mL (Mean) |
---|
| Adiponectin, Week 26 (n=195, 184) | ApoB, Week 26 (n=198, 187) |
---|
Inhaled Human Insulin | 0.23 | -0.06 |
,Insulin Glargine | -0.32 | -0.06 |
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Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 26 for the FAS
HbA1c lab value: Change = value at Week 26 minus value at Baseline. (NCT00418522)
Timeframe: Baseline, Week 26
Intervention | percent (Mean) |
---|
Inhaled Human Insulin | -1.91 |
Insulin Glargine | -1.67 |
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Change From Baseline in Cardiovascular (CV) Biomarkers High Sensitivity C-reactive Protein (Hs-CRP), Leptin, and Spot Urine Microalbumin at Week 26
CV biomarker (hs-CRP, Leptin, and Spot Urine Microalbumin) lab value: Change = value at Week 26 minus value at Baseline. (NCT00418522)
Timeframe: Baseline, Week 26
Intervention | mg/L (Mean) |
---|
| hs-CRP, Week 26 (n=198, 187) | Leptin, Week 26 (n=193, 186) | Spot Urine Microalbumin, Week 26 (n=183, 169) |
---|
Inhaled Human Insulin | 0.61 | 3.68 | 3.47 |
,Insulin Glargine | 0.32 | 4.41 | 3.70 |
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Crude Hypoglycemic Event Rate
crude event rate=(events)/(subject-months). Severe=the subject was unable to treat him/herself; had at least 1 neurological symptom; or blood glucose of < = 49 mg/dL. Events not meeting all 3 criteria were considered mild-moderate. Overall=mild, moderate, and severe. (NCT00418522)
Timeframe: Months 1 to 7
Intervention | events / subject-months (Number) |
---|
| Overall at Month 1 (n=147, 83) | Mild/Moderate at Month 1 (n=147, 83) | Severe at Month 1 (n=147, 83) | Overall at Month 2 (n=141, 81) | Mild/Moderate at Month 2 (n=141, 81) | Severe at Month 2 (n=141, 81) | Overall at Month 3 (n=135, 81) | Mild/Moderate at Month 3 (n=135, 81) | Severe at Month 3 (n=135, 81) | Overall at Month 4 (n=120, 80) | Mild/Moderate at Month 4 (n=120, 80) | Severe at Month 4 (n=120, 80) | Overall at Month 5 (n=117, 79) | Mild/Moderate at Month 5 (n=117, 79) | Severe at Month 5 (n=117, 79) | Overall at Month 6 (n=109, 77) | Mild/Moderate at Month 6 (n=109, 77) | Severe at Month 6 (n=109, 77) | Overall at Month 7 (n=77, 60) | Mild/Moderate at Month 7 (n=77, 60) | Severe at Month 7 (n=77, 60) |
---|
Inhaled Human Insulin | 1.3 | 1.3 | 0 | 2.6 | 2.6 | 0.7 | 2.3 | 2.2 | 2.3 | 1.4 | 1.4 | 0 | 1.4 | 1.4 | 0 | 1.2 | 1.2 | 0 | 0.9 | 0.9 | 0 |
,Insulin Glargine | 0.5 | 0.5 | 0 | 0.8 | 0.8 | 0 | 1.0 | 1.0 | 0 | 0.6 | 0.6 | 0 | 0.8 | 0.8 | 0 | 0.8 | 0.8 | 0 | 0.8 | 0.8 | 0 |
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Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 26 for the Per Protocol (PP) Population
HbA1c lab value: Change = value at Week 26 minus value at Baseline. (NCT00418522)
Timeframe: Baseline, Week 26
Intervention | percent (Mean) |
---|
Inhaled Human Insulin | -2.01 |
Insulin Glargine | -1.75 |
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Change From Baseline in Mean Standard Deviation (SD) of 24-Hour Glucose Values Measured by CGMS at Week 26
SD of 24-Hour CGMS glucose lab value obtained using the Medtronic MiniMed CGMS. Not all subjects were offered the opportunity to participate in this assessment. Change = value at Week 26 minus value at Baseline. (NCT00418522)
Timeframe: Baseline, Week 26
Intervention | mg/dL (Mean) |
---|
Inhaled Human Insulin | -12.50 |
Insulin Glargine | 4.46 |
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Number of Nocturnal Hypoglycemic Events
A hypoglycemic event was identified by characteristic symptoms or blood glucose levels. Severe=the subject was unable to treat him/herself; had at least 1 neurological symptom; or blood glucose of < = 49 mg/dL. Events not meeting all 3 criteria were considered mild-moderate. Nocturnal hypoglycemia=event occuring from midnight to 5:59 am. (NCT00418522)
Timeframe: Months 1 to 7
Intervention | events (Number) |
---|
Inhaled Human Insulin | 187 |
Insulin Glargine | 114 |
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Change From Baseline in Body Mass Index (BMI) at Week 26
BMI value (kg/m2): Change = value at Week 26 minus value at Baseline. (NCT00418522)
Timeframe: Baseline, Week 26
Intervention | kg/m2 (Mean) |
---|
Inhaled Human Insulin | 1.22 |
Insulin Glargine | 0.80 |
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Phase 2: Change in Body Weight at Week 36
Two changes are calculated, the first by subtracting Week 36 value from the Phase 1 Baseline value (total change over 36 weeks), the second by subtracting the Week 36 value from the Phase 2 Baseline value (change from week 24 to week 36 only). (NCT00467649)
Timeframe: Phase 1 Baseline, Phase 2 Baseline at Week 24, Week 36
Intervention | kg (Mean) |
---|
| Phase 1 Baseline | Change From Phase 1 Baseline to Week 36 | Phase 2 Baseline at Week 24 | Change From Phase 2 Baseline to Week 36 |
---|
Group C (Phase 2 SYMLIN) | 109.98 | -0.80 | 108.50 | 0.69 |
,Group D (Phase 2 SYMLIN+RA) | 104.83 | 1.34 | 105.67 | 0.50 |
,Group E (Phase 2 RA Insulin) | 104.42 | 3.90 | 107.87 | 0.44 |
,Group F (Phase 2 RA Insulin + SYMLIN) | 105.30 | 4.51 | 110.68 | -0.86 |
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Fasting Serum Lipids Change From Baseline to Week 24
(NCT00467649)
Timeframe: Baseline, week 24
Intervention | mg/dL (Mean) |
---|
| Total Cholesterol | HDL | LDL | Triglycerides |
---|
Group A (Phase 1 SYMLIN) | -1.81 | 1.11 | 2.36 | -28.96 |
,Group B (Phase 1 RA Insulin) | 5.27 | 1.65 | 9.12 | -31.98 |
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The Percentage of Patients Achieving HbA1c <=7% at Week 24 With no Gain in Body Weight From Baseline and no Incidence of Severe Hypoglycemia
A severe hypoglycemia is defined as an event during which the patient required the assistance of another individual (including aid in ingestion of oral carbohydrate); and/or required the administration of glucagon injection, intravenous glucose, or other medical intervention. (NCT00467649)
Timeframe: 24 Weeks
Intervention | Percent (Number) |
---|
Group A (Phase 1 SYMLIN) | 30.4 |
Group B (Phase 1 RA Insulin) | 10.7 |
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Percentage of Patients With no Weight Gain at Week 24
This is a component of the primary endpoint (NCT00467649)
Timeframe: 24 Weeks
Intervention | Percent (Number) |
---|
Group A (Phase 1 SYMLIN) | 46.4 |
Group B (Phase 1 RA Insulin) | 14.3 |
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Percentage of Patients With a Severe Hypoglycemia Adverse Event
This is a component of the primary endpoint. (NCT00467649)
Timeframe: 24 Weeks
Intervention | Percent (Number) |
---|
Group A (Phase 1 SYMLIN) | 0.0 |
Group B (Phase 1 RA Insulin) | 0.0 |
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Percentage of Patients Achieving HbA1c <=7% at Week 24
This is a component of the primary endpoint (NCT00467649)
Timeframe: 24 Weeks
Intervention | Percent (Number) |
---|
Group A (Phase 1 SYMLIN) | 44.6 |
Group B (Phase 1 RA Insulin) | 55.4 |
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Change in Waist Circumference From Baseline at Week 24
Baseline values are presented in the Baseline Characteristics section (NCT00467649)
Timeframe: From Baseline to Week 24
Intervention | cm (Least Squares Mean) |
---|
Group A (Phase 1 SYMLIN) | -0.63 |
Group B (Phase 1 RA Insulin) | 2.17 |
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Change in HbA1c From Baseline at Week 24
Baseline values are presented in the Baseline Characteristics section (NCT00467649)
Timeframe: From Baseline to Week 24
Intervention | Percent (Least Squares Mean) |
---|
Group A (Phase 1 SYMLIN) | -1.11 |
Group B (Phase 1 RA Insulin) | -1.27 |
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Change in Fasting Plasma Glucose From Baseline at Week 24
Baseline values are presented in the Baseline Characteristics section (NCT00467649)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Mean) |
---|
Group A (Phase 1 SYMLIN) | -29.0 |
Group B (Phase 1 RA Insulin) | -37.8 |
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Hypoglycemia Adverse Events
"MILD: patient reported symptoms consistent with hypoglycemia that may or may not have been documented by glucose monitoring at the time of symptoms. Symptoms did not greatly interrupt or interfere with the patients daily activities. Symptoms dissipated spontaneously or upon eating.~MODERATE: Patient reported symptoms consistent with hypoglycemia that may or may not have been documented by glucose monitoring at the time of symptoms. Symptoms interrupted or interfered with the patients daily activities and required immediate self treatment (e.g. carbohydrate ingestion).~SEVERE: Patient required the assistance of another individual (including aid in ingestion of oral carbohydrate): and/or required the administration of glucagon injection, intravenous glucose, or other medical intervention." (NCT00467649)
Timeframe: 36 weeks
Intervention | participants (Number) |
---|
| Mild | Moderate | Severe |
---|
Group A (Phase 1 SYMLIN) | 31 | 12 | 0 |
,Group B (Phase 1 RA Insulin) | 46 | 13 | 0 |
,Group C (Phase 2 SYMLIN) | 7 | 0 | 0 |
,Group D (Phase 2 SYMLIN+RA) | 18 | 1 | 0 |
,Group E (Phase 2 RA Insulin) | 9 | 2 | 0 |
,Group F (Phase 2 RA Insulin + SYMLIN) | 19 | 3 | 0 |
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Phase 2: Change in HbA1c at Week 36
Two changes are calculated, the first by subtracting Week 36 value from the Phase 1 Baseline value (total change over 36 weeks), the second by subtracting the Week 36 value from the Phase 2 Baseline value (change from week 24 to week 36 only). (NCT00467649)
Timeframe: Phase 1 Baseline, Phase 2 Baseline at Week 24, Week 36
Intervention | Percent (Mean) |
---|
| Phase 1 Baseline | Change From Phase 1 Baseline to Week 36 | Phase 2 Baseline at Week 24 | Change From Phase 2 Baseline to Week 36 |
---|
Group C (Phase 2 SYMLIN) | 8.35 | -1.96 | 6.26 | 0.14 |
,Group D (Phase 2 SYMLIN+RA) | 8.03 | -0.68 | 7.57 | -0.23 |
,Group E (Phase 2 RA Insulin) | 7.85 | -1.49 | 6.14 | 0.22 |
,Group F (Phase 2 RA Insulin + SYMLIN) | 8.38 | -0.99 | 7.32 | 0.07 |
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Change in Body Weight From Baseline at Week 24
Baseline values are presented in the Baseline Characteristics section (NCT00467649)
Timeframe: From Baseline to Week 24
Intervention | kg (Least Squares Mean) |
---|
Group A (Phase 1 SYMLIN) | 0.02 |
Group B (Phase 1 RA Insulin) | 4.65 |
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Number of Subjects Reporting Treatment Emergent Adverse Events
Number of subjects reporting treatment emergent adverse events during the trial (from week 0 to week 26). Adverse events were reported as treatment emergent if they occurred from the date of first insulin trial product administration up to and including the date of last insulin trial product administration. (NCT00469092)
Timeframe: Weeks 0-26
Intervention | participants (Number) |
---|
BIAsp 30 | 117 |
Glargine | 115 |
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Glycosylated Haemoglobin A1c (HbA1c)
Glycosylated Haemoglobin A1c measured in blood samples after 26 weeks of treatment. (NCT00469092)
Timeframe: After 26 weeks of treatment
Intervention | percentage of total haemoglobin (Least Squares Mean) |
---|
BIAsp 30 | 7.08 |
Glargine | 7.23 |
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Number of Hypoglycaemic Episodes
Total number of hypoglycaemic episodes experienced in each treatment arm. Hypoglycaemic episodes were defined as major, minor, or symptoms only. Major if the subject was unable to treat her/himself. Minor if subject was able to treat her/himself and plasma glucose was below 3.1 mmol/L or 56 mg/dL. Symptoms only if subject was able to treat her/himself and with either no plasma glucose or blood glucose measurement or plasma glucose higher than or equal to 3.1 mmol/L or 56 mg/dL. (NCT00469092)
Timeframe: Weeks 0-26
Intervention | events (Number) |
---|
| Minor | Symptom only | Major | Unclassified |
---|
BIAsp 30 | 443 | 265 | 3 | 1 |
,Glargine | 318 | 224 | 3 | 0 |
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Number of Subjects Achieving the Treatment Target for Glycosylated Haemoglobin A1c (HbA1c)
The number of subjects achieving the treatment target for glycosylated haemoglobin A1c after 26 weeks treatment. The treatment targets were: HbA1c <= 6.5% of haemoglobin and HbA1c < 7% of haemoglobin. (NCT00469092)
Timeframe: After 26 weeks of treatment
Intervention | participants (Number) |
---|
| HbA1c <= 6.5% of haemoglobin | HbA1c < 7.0% of haemoglobin | Reduction > 1% point from baseline | HbA1c < 7% no nocturnal hypoglycemia | HbA1c < 7%, no daytime hypoglycemia | HbA1c < 7%, no hypoglycemia |
---|
BIAsp 30 | 54 | 101 | 134 | 82 | 52 | 45 |
,Glargine | 60 | 106 | 132 | 92 | 50 | 45 |
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Treatment Satisfaction as Measured by the Diabetes Medication Satisfaction Questionnaire (Diab MedSat)
Subjects assessed the burden, efficacy, symptoms and overall score in the treatment satisfaction questionnaire, Diab MedSat (Diabetes Medication Satisfaction questionnaire). The scores were transformed to a 0-100 scale with higher scores indicating greater satisfaction. The score of the subscales was computed as the mean of the items in each subscale. (NCT00469092)
Timeframe: After 26 weeks of treatment
Intervention | scores on a scale (Mean) |
---|
| Burden Score | Efficacy Score | Symptoms Score | Overall Score |
---|
BIAsp 30 | 83.10 | 73.25 | 72.42 | 76.53 |
,Glargine | 83.06 | 73.47 | 72.81 | 76.64 |
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9-point Self-measured Plasma Glucose Profiles
Glycaemic control measured by 9-point self-measured plasma glucose (SMPG) profiles. The 9 time points for self-measurement during the day were: Before breakfast, 2 hours after breakfast, before lunch, 2 hours after lunch, before dinner, 2 hours after dinner, before bedtime, at 2-4 AM, and before breakfast the following day. Hypoglycaemia episodes were defined as major or minor. Major if the subject was unable to treat her/himself. Minor if subject was able to treat her/himself and plasma glucose was below 3.1 mmol/L or 56 mg/dL. (NCT00469092)
Timeframe: After 26 weeks of treatment
Intervention | mmol/L (Mean) |
---|
| Before breakfast | 2 hours after breakfast | Before lunch | 2 hours after lunch | Before dinner | 2 hours after dinner | Before bedtime | 02:00-04:00 AM | Before breakfast following day |
---|
BIAsp 30 | 6.73 | 9.40 | 7.24 | 8.90 | 7.90 | 8.66 | 7.77 | 6.56 | 6.65 |
,Glargine | 6.56 | 9.07 | 7.28 | 8.98 | 7.80 | 9.18 | 8.54 | 6.69 | 6.40 |
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C-peptide Concentration in Response to a Glucose Clamp and Oral Glucose Ingestion Before and After 2 Months of Insulin Treatment to Improve Average Glycemia.
Subjects had glucose clamps for 270 minutes with serial sampling of blood for measurement of insulin and C-peptide. At 90 minutes into the clamp they consumed 75 g of oral glucose solution. Meal-stimulated insulin secretion was summarized as the mean plasma C-peptide from 90-270 minutes. This outcome measure was compared for each subject before treatment and after 2 months of insulin treatment to lower blood glucose. Subjects were started on 20 units of insulin glargine after their first visit and asked to measure their morning blood glucose daily. The dose of insulin was increased in increments of 4-6 units every 3 days targeting an average morning glucose level of less then 120 mg/dl. After 2 months of treatment the primary outcome was repeated with a second glucose clamp / oral glucose tolerance test, identical to the first. (NCT00469833)
Timeframe: 180 minutes
Intervention | nmol/L (Mean) |
---|
| C-peptide at baseline | C-peptide at 8 weeks |
---|
IV Glucose | 5.63 | 6.02 |
,Oral Glucose | 7.10 | 10.89 |
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HbA1c Before and After 2 Months of Insulin Treatment to Improve Average Glycemia.
Type 2 diabetic subjects had HbA1c measured before and after 2 months of basal insulin glargine treatment. (NCT00469833)
Timeframe: 2 months
Intervention | % glycosylated hemoglobin (Mean) |
---|
| HbA1c at baseline | HbA1c at 8 weeks |
---|
Uncontrolled Type 2 Diabetic Subjects | 8.6 | 7.1 |
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Insulin Concentration in Response to a Glucose Clamp and Oral Glucose Ingestion Before and After 2 Months of Insulin Treatment to Improve Average Glycemia.
Subjects had glucose clamps for 270 minutes with serial sampling of blood for measurement of insulin and C-peptide. At 90 minutes into the clamp they consumed 75 g of oral glucose solution. Meal-stimulated insulin secretion was summarized as the mean plasma C-peptide from 90-270 minutes. This outcome measure was compared for each subject before treatment and after 2 months of insulin treatment to lower blood glucose. Subjects were started on 20 units of insulin glargine after their first visit and asked to measure their morning blood glucose daily. The dose of insulin was increased in increments of 4-6 units every 3 days targeting an average morning glucose level of less then 120 mg/dl. After 2 months of treatment the primary outcome was repeated with a second glucose clamp / oral glucose tolerance test, identical to the first. (NCT00469833)
Timeframe: 180 minutes
Intervention | pmol/L (Mean) |
---|
| Insulin at baseline | Insulin at 8 weeks |
---|
IV Glucose | 316.4 | 395.6 |
,Oral Glucose | 546.9 | 934.6 |
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ISR in Response to a Glucose Clamp and Oral Glucose Ingestion Before and After 2 Months of Insulin Treatment to Improve Average Glycemia.
Subjects had glucose clamps for 270 minutes with serial sampling of blood for measurement of insulin and C-peptide. At 90 minutes into the clamp they consumed 75 g of oral glucose solution. Meal-stimulated insulin secretion was summarized as the mean plasma C-peptide from 90-270 minutes. This outcome measure was compared for each subject before treatment and after 2 months of insulin treatment to lower blood glucose. Subjects were started on 20 units of insulin glargine after their first visit and asked to measure their morning blood glucose daily. The dose of insulin was increased in increments of 4-6 units every 3 days targeting an average morning glucose level of less then 120 mg/dl. After 2 months of treatment the primary outcome was repeated with a second glucose clamp / oral glucose tolerance test, identical to the first. (NCT00469833)
Timeframe: 180 minutes
Intervention | pmol/min (Mean) |
---|
| Insulin secretion at baseline | Insulin secretion at 8 weeks |
---|
IV Glucose | 0.75 | 0.76 |
,Oral Glucose | 0.67 | 1.11 |
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Overall Survival
Overall survival (OS) defined as the interval between the date of randomization and the date of death. Calculation of period was from baseline (date of randomization) to the death or last follow-up. (NCT00500240)
Timeframe: Baseline (date of randomization) to date of death or last follow-up (weekly during treatment then every 2 months post study treatment) up to 6 years
Intervention | Months (Median) |
---|
Conventional Care | 44 |
Intervention Group | 62.2 |
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Progression Free Survival (PFS)
PFS was defined as the time interval between the date of complete remission and the date of relapse detection or death. Complete Remission (CR) defined as granulocyte count >1.0 × 10^9/L, platelet count >100 × 10^9/L, no abnormal peripheral blasts, and <5% blasts in normocellular or hypercellular bone marrow. (NCT00500240)
Timeframe: Date of complete remission to disease progression, assessed for approximately 6 years
Intervention | Months (Median) |
---|
Conventional Care | 38.8 |
Intensive Insulin | 24 |
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1-Year Overall Survival Rate
The overall survival rate defined as percentage of participants in each treatment group who are still alive at 12 months. (NCT00500240)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Conventional Care | 80.8 |
Intensive Insulin | 63.5 |
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1-Year Adjusted Rates of Self-Reported Hypoglycemic Episodes (Including All, Nocturnal, and Severe) Overall
Overall: any time after randomization. Hypoglycemic: any time patient experienced sign/symptom associated with hypoglycemia, or had old Roche blood glucose level <7 mg/dL. Nocturnal: any hypoglycemic event that occurred between bedtime and waking. Severe: event with symptoms consistent with neuroglycopenia in which patient requires assistance, and is associated with: a Roche blood glucose value <2.8 mmol/L or prompt recovery after oral carbohydrate, glucagon, or IV glucose. 1-year adjusted rate=(total number of episodes between 2 time intervals/number of days between intervals) X 365.25 days. (NCT00510952)
Timeframe: Baseline to 24 weeks
Intervention | hypoglycemic event per 1 year (Mean) |
---|
| Hypoglycemic Rate | Nocturnal Hypoglycemic Rate | Severe Hypoglycemic Rate |
---|
Glargine | 22.95 | 4.08 | 0.02 |
,Lispro | 24.16 | 6.08 | 0.11 |
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Number of Participants With Self-Reported Hypoglycemic Episodes (Including All, Nocturnal, and Severe Hypoglycemia) Overall
Overall: any time after randomization. Hypoglycemic: any time patient experienced sign/symptom associated with hypoglycemia, or had old Roche blood glucose level <7 mg/dL. Nocturnal: any hypoglycemic event that occurred between bedtime and waking. Severe Hypoglycemia: event with symptoms consistent with neuroglycopenia in which patient requires assistance, and is associated with either a Roche blood glucose value <2.8 millimoles/liter or prompt recovery after oral carbohydrate, glucagon, or intravenous glucose. (NCT00510952)
Timeframe: Baseline to 24 weeks
Intervention | participants (Number) |
---|
| All Hypoglycemic Episodes | Nocturnal Hypoglycemic Episodes | Severe Hypoglycemic Episodes |
---|
Glargine | 160 | 87 | 2 |
,Lispro | 168 | 114 | 9 |
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Total Daily Insulin Dose (Units) at Endpoint
Insulin dose at endpoint was analyzed by 24-hour total daily insulin (units). (NCT00510952)
Timeframe: 24 weeks
Intervention | Units of insulin (Mean) |
---|
Lispro | 33.28 |
Glargine | 30.85 |
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Total Daily Insulin Dose Per Body Weight (Units/Kilograms) at Endpoint
Insulin dose at endpoint was analyzed by 24-hour total daily insulin per body weight (units/kilograms). (NCT00510952)
Timeframe: 24 Weeks
Intervention | Units of insulin/kilograms (U/kg) (Mean) |
---|
Lispro | 0.39 |
Glargine | 0.35 |
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Percentage of Patients With HbAlc Less Than 7.0 Percent and HbAlc Less Than or Equal to 6.5 Percent at Endpoint
Percentage of patients achieving Hemaglobin A1c (HbA1c) targets of less than 7% and less than or equal to 6.5% at endpoint. (NCT00510952)
Timeframe: 24 weeks
Intervention | percentage of participants (Number) |
---|
| HbA1c <7.0% | HbA1c ≤6.5% |
---|
Glargine | 41.2 | 21.7 |
,Lispro | 43.8 | 24.8 |
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Change in Absolute Body Weight (kg) From Baseline to 24 Week Endpoint
(NCT00510952)
Timeframe: Baseline, 24 weeks
Intervention | kilograms (kg) (Mean) |
---|
| Baseline | Change from Baseline |
---|
Glargine | 86.05 | 1.07 |
,Lispro | 84.23 | 1.04 |
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Change From Baseline to 24 Week Endpoint in Hemoglobin A1c (HbA1c)
(NCT00510952)
Timeframe: Baseline, 24 Weeks
Intervention | percent of HbA1c (Least Squares Mean) |
---|
| Baseline | Change from Baseline |
---|
Glargine | 8.69 | -1.41 |
,Lispro | 8.70 | -1.46 |
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Actual and Change From Baseline to 12 Week and 24 Week Endpoint in HbAlc Value
(NCT00510952)
Timeframe: Baseline, 12 Weeks, 24 Weeks
Intervention | percent hemoglobin (Least Squares Mean) |
---|
| Baseline (n= 225, n= 226) | Week 12 HbA1c (n=213, n=220) | Week 12 Change from Baseline (n=213, n=220) | Week 24 HbA1c (n=206, n=218) | Week 24 Change from Baseline (n=206, n=218) |
---|
Glargine | 8.69 | 7.36 | -1.30 | 7.24 | -1.43 |
,Lispro | 8.70 | 7.30 | -1.36 | 7.15 | -1.52 |
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7-Point Self-Monitored Blood Glucose (SMBG) Profile at Endpoint
Actual measurements and daily mean blood glucose levels at endpoint. (NCT00510952)
Timeframe: 24 weeks
Intervention | millimoles per liter (mmol/L) (Mean) |
---|
| Actual Morning Pre-Meal | Actual Morning Postprandial Meal | Actual Midday Pre-Meal | Actual Midday Postprandial Meal | Actual Evening Pre-Meal | Actual Evening Postprandial Meal | Actual 0300 Hours | Daily Mean 7-Point SMBG | Daily Mean Pre-Meal | Daily Mean Postprandial Meal | Daily Mean Morning+Evening Pre-Meal |
---|
Glargine | 6.33 | 9.00 | 7.16 | 9.17 | 7.54 | 9.29 | 7.00 | 7.96 | 7.04 | 9.18 | 6.93 |
,Lispro | 6.47 | 8.64 | 6.93 | 9.09 | 7.50 | 9.19 | 6.79 | 7.79 | 6.99 | 8.96 | 6.99 |
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30-Day Adjusted Rates of Self-Reported Hypoglycemic Episodes (Including All, Nocturnal, and Severe) Overall
Overall: any time after randomization. Hypoglycemic: any time patient experienced sign/symptom associated with hypoglycemia, or had old Roche blood glucose level <7 mg/dL. Nocturnal: any hypoglycemic event that occurred between bedtime and waking. Severe: event with symptoms consistent with neuroglycopenia in which patient requires assistance, and is associated with: a Roche blood glucose value <2.8 mmol/L or prompt recovery after oral carbohydrate, glucagon, or IV glucose. 30-day adjusted rate=(total number of episodes between 2 time intervals/number of days between intervals) X 30 days. (NCT00510952)
Timeframe: Baseline to 24 Weeks
Intervention | hypoglycemic events per 30 days (Mean) |
---|
| Hypoglycemic Rate | Nocturnal Hypoglycemic Rate | Severe Hypoglycemic Rate |
---|
Glargine | 1.88 | 0.34 | 0.00 |
,Lispro | 1.98 | 0.50 | 0.01 |
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Glycemic Variability at Endpoint
Glycemic variability was measured by standard deviation (SD) value of fasting blood glucose as measured by intra-patient glycemic variability (determined by the 7-point self-monitoring blood glucose (SMBG) profiles at endpoint) based on the actual morning pre-meal blood glucose. (NCT00510952)
Timeframe: 24 weeks
Intervention | millimoles per liter (mmol/L) (Mean) |
---|
Lispro | 1.01 |
Glargine | 0.94 |
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Number of Participants Who Experienced an Adverse Event During the Study
(NCT00511472)
Timeframe: 39 days
Intervention | participants (Number) |
---|
MK-0941 | 46 |
Placebo | 21 |
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Number of Participants Who Experienced an Adverse Event During the Outpatient Treatment Period
During the Outpatient Treatment Period, participants were followed for an additional 2 weeks while at home. (NCT00511472)
Timeframe: Outpatient Days 1 to 14
Intervention | participants (Number) |
---|
MK-0941 | 20 |
Placebo | 11 |
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Number of Participants Who Experienced an Adverse Event - Titration Scheme 2
Titration Scheme #2 (Titration Phase, Days 1 to 4) was a flexible-dose titration scheme in which MK-0941/matching placebo was given at a dose determined by a pre-prandial plasma glucose concentration for the subsequent meal on the previous day of administration. (NCT00511472)
Timeframe: 25 days
Intervention | participants (Number) |
---|
MK-0941 | 22 |
Placebo | 10 |
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24-Hour Weighted Mean Blood Glucose Levels (mg/dL) by Treatment Group on Day 7
Measurement of the 24-hour weighted mean blood glucose levels of participants receiving MK-0941 or placebo while on basal insulin on Day 7. (NCT00511472)
Timeframe: 24 hours
Intervention | mg/dL (Least Squares Mean) |
---|
MK-0941 (Titration Group 1) | 155.5 |
MK-0941 (Titration Group 2) | 151.3 |
Placebo | 201.6 |
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Number of Participants Who Experienced an Adverse Event - Titration Scheme 1
In Titration Scheme #1, MK-0941/matching placebo was initiated at 10-mg q.a.c. dose and increased on a daily basis in 10-mg q.a.c. increments on Titration Dose [TD] Days 1 to 4 of the Titration Phase 1 of the study. (NCT00511472)
Timeframe: 25 days
Intervention | participants (Number) |
---|
MK-0941 | 20 |
Placebo | 11 |
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Safety: Number of Participants With Serious and Non-Serious Adverse Events
Safety was assessed via serious adverse events (SAEs) and AEs, the details of which are listed in the Reported Adverse Event section. (NCT00548808)
Timeframe: baseline through 48 weeks
Intervention | participants (Number) |
---|
| Serious Adverse Events | Non-Serious Adverse Events |
---|
Insulin Glargine | 13 | 116 |
,Insulin Lispro LM | 19 | 107 |
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Percentage of Patients Achieving HbA1c <6.5% and <7% Over Time
(NCT00548808)
Timeframe: 16 weeks, 32 weeks, 48 weeks
Intervention | percentage of participants (Number) |
---|
| Percent achieving HbA1c < 6.5 % at 16 weeks | Percent achieving HbA1c < 7.0 % at 16 weeks | Percent achieving HbA1c < 6.5 % at 32 weeks | Percent achieving HbA1c < 7.0 % at 32 weeks | Percent achieving HbA1c < 6.5 % at 48 weeks | Percent achieving HbA1c < 7.0 % at 48 weeks |
---|
Insulin Glargine | 12.5 | 32.6 | 17.5 | 38.8 | 19.0 | 39.1 |
,Insulin Lispro LM | 10.2 | 28.2 | 19.4 | 40.6 | 21.2 | 40.0 |
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Daily Total Insulin Dose Per Body Weight (U/kg/Day) at 16, 32, and 48 Weeks
(NCT00548808)
Timeframe: 16 weeks, 32 weeks, 48 weeks
Intervention | Units of insulin/kilogram/day (U/kg/day) (Mean) |
---|
| Week 16 | Week 32 | Week 48 |
---|
Insulin Glargine | 0.49 | 0.65 | 0.71 |
,Insulin Lispro LM | 0.49 | 0.65 | 0.71 |
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Daily Total Insulin Dose (U/Day) at 16, 32, and 48 Weeks
(NCT00548808)
Timeframe: 16 weeks, 32 weeks, 48 weeks
Intervention | Units of insulin per day (U/day) (Mean) |
---|
| Week 16 | Week 32 | Week 48 |
---|
Insulin Glargine | 35.87 | 48.16 | 54.03 |
,Insulin Lispro LM | 36.42 | 50.38 | 54.97 |
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Change in Hemoglobin A1c (HbA1c) Over Time
(NCT00548808)
Timeframe: Baseline, 16 Weeks, 32 Weeks, 48 Weeks
Intervention | percent (%) glycated hemoglobin (Least Squares Mean) |
---|
| 16 Week Change from Baseline | 32 Week Change from Baseline | 48 Week Change from Baseline |
---|
Insulin Glargine | -1.76 | -1.90 | -1.87 |
,Insulin Lispro LM | -1.65 | -1.92 | -1.91 |
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Change From Baseline to 48 Week Endpoint in Lipid and Cholesterol Profiles
(NCT00548808)
Timeframe: baseline, 48 weeks
Intervention | millimoles/Liter (mmol/L) (Least Squares Mean) |
---|
| Cholesterol (n=195, n=203) | Triglycerides (n=195, n=203) | Low Density Lipoprotein (n=178, n=191) | High Density Lipoprotein (n=195, n=203) |
---|
Insulin Glargine | -0.08 | 0.03 | -0.06 | 0.04 |
,Insulin Lispro LM | -0.18 | -0.09 | -0.11 | 0.06 |
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Change From Baseline in Postprandial Blood Glucose Over Time
The change in blood glucose was evaluated by the GlycoMark™ test. GlycoMark measures levels of 1,5 anhydroglucitol (1,5 AG) in serum or plasma, allowing for the short- to intermediate-term monitoring of glycemic control in patients with diabetes. When 1,5 AG values decrease, serum glucose levels increase. (NCT00548808)
Timeframe: Baseline, 16 weeks, 32 weeks, 48 weeks
Intervention | millimoles per liter (Least Squares Mean) |
---|
| Week 16 Change from Baseline | Week 32 Change from Baseline | Week 48 Change from Baseline |
---|
Insulin Glargine | 3.55 | 4.56 | 4.89 |
,Insulin Lispro LM | 3.32 | 4.69 | 5.24 |
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7-point Self-monitored Blood Glucose Profiles
(NCT00548808)
Timeframe: Baseline, 16 weeks, 32 weeks, 48 weeks
Intervention | millimoles per liter (mmol/L) (Mean) |
---|
| Morning Pre-Meal Baseline | Morning Postprandial Meal Baseline | Midday Pre-Meal Baseline | Midday Postprandial Meal Baseline | Evening Pre-Meal Baseline | Evening Postprandial Meal Baseline | 0300 Hours Baseline | Morning Pre-Meal Week 16 | Morning Postprandial Meal Week 16 | Midday Pre-Meal Week 16 | Midday Postprandial Meal Week 16 | Evening Pre-Meal Week 16 | Evening Postprandial Meal Week 16 | 0300 Hours Week 16 | Morning Pre-Meal Week 32 | Morning Postprandial Meal Week 32 | Midday Pre-Meal Week 32 | Midday Postprandial Meal Week 32 | Evening Pre-Meal Week 32 | Evening Postprandial Meal Week 32 | 0300 Hours Week 32 | Morning Pre-Meal Week 48 | Morning Postprandial Meal Week 48 | Midday Pre-Meal Week 48 | Midday Postprandial Meal Week 48 | Evening Pre-Meal Week 48 | Evening Postprandial Meal Week 48 | 0300 Hours Week 48 |
---|
Insulin Glargine | 10.04 | 13.70 | 10.62 | 12.70 | 10.65 | 12.80 | 10.12 | 6.55 | 9.55 | 7.64 | 9.58 | 7.81 | 9.80 | 7.01 | 6.21 | 8.73 | 6.90 | 8.86 | 7.50 | 8.96 | 6.75 | 6.37 | 8.85 | 6.99 | 8.88 | 7.33 | 8.90 | 6.56 |
,Insulin Lispro LM | 9.92 | 13.64 | 10.36 | 12.77 | 10.39 | 12.59 | 10.09 | 7.04 | 9.79 | 7.94 | 10.13 | 8.52 | 9.35 | 7.15 | 6.62 | 8.80 | 6.93 | 9.33 | 7.71 | 8.62 | 6.63 | 6.74 | 8.79 | 7.01 | 9.25 | 7.33 | 8.74 | 6.53 |
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Change From Baseline to 48 Week Endpoint in Hemoglobin A1c (HbA1c)
(NCT00548808)
Timeframe: Baseline, 48 weeks
Intervention | percent (%) glycated hemoglobin (Least Squares Mean) |
---|
Insulin Lispro LM | -1.91 |
Insulin Glargine | -1.87 |
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Change From Baseline in Body Weight at Endpoint (LOCF)
(NCT00560417)
Timeframe: Baseline, Endpoint (LOCF) up to 24 weeks
Intervention | kilograms (Mean) |
---|
ILPS | 0.27 |
Glargine | 0.66 |
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Total Daily Insulin Dose at Endpoint (LOCF)
(NCT00560417)
Timeframe: Endpoint (LOCF) up to 24 weeks
Intervention | Units of Insulin (Mean) |
---|
ILPS | 31.11 |
Glargine | 37.93 |
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7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
SMBG at morning pre-meal, morning post-prandial, midday pre-meal, midday post-prandial, evening pre-meal, evening postprandial, 0300 hours. Post-prandial glucose is measured 2 hours after the start of the meal. (NCT00560417)
Timeframe: Baseline, Endpoint (LOCF) up to 24 weeks
Intervention | milligrams per deciliter (mg/dL) (Mean) |
---|
| Baseline Morning Pre-Meal | Baseline Morning Postprandial | Baseline Midday Pre-Meal | Baseline Midday Postprandial | Baseline Evening Pre-Meal | Baseline Evening Postprandial | Baseline 0300 Hours | Baseline Daily Mean 7-Point Blood Glucose | Baseline Daily Mean Pre-Meal | Baseline Daily Mean Postprandial | Endpoint Morning Pre-Meal | Endpoint Morning Postprandial | Endpoint Midday Pre-Meal | Endpoint Midday Postprandial | Endpoint Evening Pre-Meal | Endpoint Evening Postprandial | Endpoint 0300 Hours | Endpoint Daily Mean 7-Point Blood Glucose | Endpoint Daily Mean Pre-Meal | Endpoint Daily Mean Postprandial |
---|
Glargine | 180.86 | 190.84 | 166.34 | 200.25 | 175.14 | 184.92 | 172.00 | 180.72 | 172.66 | 191.27 | 127.01 | 137.39 | 129.71 | 155.26 | 135.93 | 144.25 | 127.53 | 136.17 | 129.32 | 146.12 |
,ILPS | 175.41 | 195.31 | 165.18 | 193.22 | 173.33 | 189.00 | 170.51 | 180.19 | 170.60 | 192.37 | 129.63 | 152.32 | 132.84 | 161.77 | 146.03 | 159.14 | 123.96 | 143.06 | 135.51 | 158.10 |
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Actual Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)
Least squares mean values were controlled for Baseline + Baseline HbA1c Group + Baseline SU Group. (NCT00560417)
Timeframe: 24 weeks, Endpoint (LOCF) up to 24 weeks
Intervention | percent of glycosylated hemoglobin (Least Squares Mean) |
---|
| 24 weeks | Endpoint (LOCF) |
---|
Glargine | 6.70 | 6.78 |
,ILPS | 6.94 | 7.00 |
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Change From Baseline in Hemoglobin A1C (HbA1c) at Endpoint (Last Observation Carried Forward [LOCF])
Least squares mean values were controlled for Baseline + Baseline HbA1c Group + Baseline sulfonylurea (SU) Group. (NCT00560417)
Timeframe: Baseline, Endpoint (LOCF) up to 24 weeks
Intervention | percent of glycosylated hemoglobin (Least Squares Mean) |
---|
| Baseline | Endpoint (LOCF) Change |
---|
Glargine | 8.47 | -1.43 |
,ILPS | 8.48 | -1.21 |
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Change From Baseline in Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)
Least squares mean values were controlled for Baseline + Baseline HbA1c Group + Baseline SU Group. (NCT00560417)
Timeframe: Baseline, 24 Weeks, Endpoint (LOCF) up to 24 weeks
Intervention | percent of glycosylated hemoglobin (Least Squares Mean) |
---|
| Baseline | 24 Weeks Change | Endpoint (LOCF) Change |
---|
Glargine | 8.47 | -1.49 | -1.43 |
,ILPS | 8.48 | -1.25 | -1.21 |
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Percentage of Participants With Hemoglobin A1C Less Than 7.0% and Hemoglobin A1C Less Than or Equal to 6.5%
(NCT00560417)
Timeframe: Weeks 12, 18, 24 and Endpoint (LOCF) up to 24 weeks
Intervention | percent of participants (Number) |
---|
| Week 12: HbA1c <7.0% | Week 12: HbA1c <=6.5% | Week 18: HbA1c <7.0% | Week 18: HbA1c <=6.5% | Week 24: HbA1c <7.0% | Week 24: HbA1c <=6.5% | Endpoint (LOCF): HbA1c <7.0% | Endpoint (LOCF): HbA1c <=6.5% |
---|
Glargine | 50.7 | 28.7 | 69.1 | 37.6 | 63.4 | 39.9 | 61.7 | 38.9 |
,ILPS | 46.9 | 24.8 | 54.8 | 30.8 | 55.4 | 29.7 | 53.7 | 28.4 |
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Glycemic Variability at Baseline and Endpoint (LOCF)
Glycemic variability was defined as the standard deviation (SD) of a participant's intra-day 7-point, self-monitored, blood glucose. Mean SD was calculated based on the SD for each participant in the study. (NCT00560417)
Timeframe: Baseline, Endpoint (LOCF) up to 24 weeks
Intervention | mg/dL (Mean) |
---|
| Baseline | Endpoint |
---|
Glargine | 39.02 | 30.96 |
,ILPS | 41.15 | 36.78 |
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Actual Body Weight at Baseline and Endpoint (LOCF)
(NCT00560417)
Timeframe: Baseline, Endpoint (LOCF) up to 24 weeks
Intervention | kilograms (Mean) |
---|
| Baseline | Endpoint |
---|
Glargine | 102.62 | 103.28 |
,ILPS | 101.57 | 101.85 |
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Incidence of Self-reported Hypoglycemic Episodes (All, Non-Nocturnal, Nocturnal, and Severe)
Overall:any time after randomization.Episode:any time patient experienced sign/symptom associated with hypoglycemia, or had blood glucose level ≤70 mg/dL. Non-nocturnal:any episode that occurred between waking and bedtime. Nocturnal:any episode that occurred between bedtime and waking.Severe:episode with symptoms consistent with neuroglycopenia in which patient requires assistance,and is associated with:blood glucose value <50 mg/dL or prompt recovery after oral carbohydrate, glucagon, or intravenous glucose.Incidence(%)=(Number of patients experiencing episodes/number of patients in arm)*100. (NCT00560417)
Timeframe: Baseline to Endpoint (LOCF) up to 24 weeks
Intervention | percentage of participants (Number) |
---|
| All Reported - Endpoint | All Reported - Overall | Non-Nocturnal - Endpoint | Non-Nocturnal - Overall | Nocturnal - Endpoint | Nocturnal - Overall | Severe - Endpoint | Severe - Overall |
---|
Glargine | 43.1 | 74.9 | 40.1 | 70.7 | 11.4 | 37.1 | 0 | 0 |
,ILPS | 41.8 | 70.6 | 30.6 | 62.4 | 21.8 | 47.6 | 0 | 1.8 |
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Rate of All, Non-Nocturnal, and Nocturnal Self-Reported Hypoglycemic Episodes (Adjusted for One Year)
Rate of self-reported hypoglycemic episodes, all, non-nocturnal, and nocturnal, at Endpoint (LOCF) and overall. Rate is reported as episodes/participant/365 days. Episode = any time participant feels that he/she is experiencing a sign or symptom that is associated with hypoglycemia or has a blood glucose level of ≤70 mg/dL, even if it was not associated with signs, symptoms, or treatment. Overall=any time during the post-randomization visits within the study period. Nocturnal=Any episode that occurs between bedtime and waking. Non-Nocturnal=Any episode that occurs between waking and bedtime. (NCT00560417)
Timeframe: Baseline to Endpoint (LOCF) up to 24 weeks
Intervention | episodes/participant/365 days (Mean) |
---|
| All reported episodes rate - Endpoint | All reported episodes rate - Overall | Non-Nocturnal reported episodes rate - Endpoint | Non-Nocturnal reported episodes rate - Overall | Nocturnal reported episodes rate - Endpoint | Nocturnal reported episodes rate - Overall |
---|
Glargine | 15.29 | 18.05 | 13.20 | 14.83 | 1.73 | 3.01 |
,ILPS | 14.51 | 16.27 | 10.40 | 11.36 | 4.01 | 4.88 |
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Maximum Glucose Infusion Rate
measuring the changes in glucose infusion rate during the 24 hour experimental period. (NCT00574912)
Timeframe: 24 hours
Intervention | umol/kg/min (Mean) |
---|
Placebo | 0.3 |
0.5 Units of Glargine/kg | 2.6 |
1.0 Units of Glargine/kg | 5.5 |
1.5 Units of Glargine/kg | 6.8 |
2.0 Units of Glargine/kg | 9.5 |
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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
Intervention | mg/dL (Mean) |
---|
Glargine (Lantus) + Glulisine | 153 |
NPH + Regular | 185 |
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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
Intervention | hours (Mean) |
---|
Glargine (Lantus) + Glulisine | 8.9 |
NPH + Regular | 10.5 |
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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
Intervention | mg/dl (Mean) |
---|
| Day 1 | Day 2 | Day 3 | Day 4 | Day 5 |
---|
Glargine (Lantus) + Glulisine | 213 | 220 | 180 | 158 | 124 |
,NPH + Regular | 188 | 206 | 207 | 211 | 190 |
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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
Intervention | number of hypoglycemia episodes (Number) |
---|
Insulin Glargine+Glulisine | 8 |
Split-mixed NPH + Regular Insulin | 26 |
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# Participants With Hypoglycemic Events
number of participants in the treatment arms with of hypoglycemic events (< 70 mg/dl) (NCT00596687)
Timeframe: hospital stay days 2-10
Intervention | participants (Number) |
---|
Basal Bolus | 24 |
SSRI | 5 |
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Mean Blood Glucose Concentration
blood glucose concentration in the intervention groups after second day of treatment to up to 10 days of treatment (NCT00596687)
Timeframe: hospital stay days 2-10
Intervention | mg/dl (Mean) |
---|
Basal Bolus | 145 |
SSRI | 172 |
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Severe Hypoglycemia
Blood glucose less than 40 mg/dl (NCT00609986)
Timeframe: 30 months
Intervention | participants (Number) |
---|
Intensive | 7 |
Control | 2 |
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Severe Hyperglycemia
Blood glucose greater than 350 mg/dl. (NCT00609986)
Timeframe: 30 months
Intervention | participants (Number) |
---|
Intensive | 5 |
Control | 12 |
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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
Intervention | participants (Number) |
---|
Intensive | 8 |
Control | 12 |
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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
Intervention | participants (Number) |
---|
Intensive | 9 |
Control | 2 |
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Vital Signs: Pulse
Mean values at baseline (Week 0) and at Week 16 (NCT00611884)
Timeframe: Week 0, Week 16
Intervention | beats/minute (Mean) |
---|
| Week 0 (Baseline), N=57, 59, 62, 61 | Week 16, N=55, 55, 60, 56 |
---|
IGlar | 76 | 74 |
,SIBA (D) | 79 | 77 |
,SIBA (D) M, W, F | 79 | 79 |
,SIBA (E) | 79 | 78 |
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Vital Signs: Diastolic Blood Pressure (BP)
Mean values at baseline (Week 0) and at Week 16 (NCT00611884)
Timeframe: Week 0, Week 16
Intervention | mmHg (Mean) |
---|
| Week 0 (Baseline), N=57, 59, 62, 61 | Week 16, N=55, 55, 60, 56 |
---|
IGlar | 79 | 77 |
,SIBA (D) | 81 | 79 |
,SIBA (D) M, W, F | 80 | 78 |
,SIBA (E) | 82 | 82 |
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Rate of Treatment Emergent Adverse Events (AEs)
Corresponds to rate of AEs per 100 patient years of exposure. Severity assessed by investigator. Mild: no or transient symptoms, no interference with subject's daily activities. Moderate: marked symptoms, moderate interference with subject's daily activities. Severe: considerable interference with subject's daily activities, unacceptable. Serious AE: AE that at any dose results in any of the following: death, a life-threatening experience, in-subject hospitalization/prolongation of existing hospitalisation, persistent/significant disability/incapacity/congenital anomaly/birth defect. (NCT00611884)
Timeframe: Week 0 to Week 16 + 5 days follow up
Intervention | Events/100 years of patient exposure (Number) |
---|
| Adverse events (AEs) | Serious AEs | Severe AEs | Moderate AEs | Mild AEs | Fatal |
---|
IGlar | 622 | 0 | 28 | 141 | 452 | 0 |
,SIBA (D) | 594 | 6 | 12 | 114 | 468 | 0 |
,SIBA (D) M, W, F | 488 | 5 | 0 | 110 | 379 | 0 |
,SIBA (E) | 430 | 0 | 6 | 102 | 323 | 0 |
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Rate of Nocturnal Major and Minor Hypoglycaemic Episodes
Rate of nocturnal major and minor hypoglycaemic episodes per 100 patient years of exposure (PYE). Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. Episodes were defined as nocturnal if the time of onset was between 23:00 (included) and 05:59 (included). (NCT00611884)
Timeframe: Week 0 to Week 16 + 5 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
| Major | Minor |
---|
IGlar | 0 | 0 |
,SIBA (D) | 0 | 6 |
,SIBA (D) M, W, F | 6 | 17 |
,SIBA (E) | 0 | 12 |
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Rate of Major and Minor Hypoglycaemic Episodes
Rate of major and minor hypoglycaemic episodes per 100 patient years of exposure (PYE). Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. (NCT00611884)
Timeframe: Week 0 to Week 16 + 5 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
| Major | Minor |
---|
IGlar | 0 | 113 |
,SIBA (D) | 0 | 89 |
,SIBA (D) M, W, F | 6 | 221 |
,SIBA (E) | 0 | 60 |
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Laboratory Safety Parameters (Biochemistry): Serum Creatinine
Mean values at Week -4 and at Week 16 (NCT00611884)
Timeframe: Week -4, Week 16
Intervention | umol/L (Mean) |
---|
| Creatinine, Week -4, N=56, 59, 62, 60 | Creatinine, Week 16, N=53, 53, 58, 56 |
---|
IGlar | 72.4 | 74.2 |
,SIBA (D) | 74.5 | 76.1 |
,SIBA (D) M, W, F | 73.2 | 71.5 |
,SIBA (E) | 75.4 | 76.6 |
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Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)
Mean values at Week -4 and at Week 16 (NCT00611884)
Timeframe: Week -4, Week 16
Intervention | IU/L (Mean) |
---|
| ALAT, Week -4, N=56, 59, 62, 60 | ALAT, Week 16, N=53, 53, 58, 56 |
---|
IGlar | 32.9 | 30.0 |
,SIBA (D) | 34.6 | 25.7 |
,SIBA (D) M, W, F | 30.9 | 24.3 |
,SIBA (E) | 29.2 | 24.7 |
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Mean of 9-point Self Measured Plasma Glucose Profile (SMPG)
Mean of SMPG after 16 weeks of treatment. Plasma glucose measured: before breakfast, 120 minutes after start of breakfast, before lunch, 120 minutes after start of lunch, before dinner, 120 minutes after start of dinner, before bedtime, at 4 am and before breakfast. (NCT00611884)
Timeframe: Week 16
Intervention | mmol/L (Least Squares Mean) |
---|
SIBA (D) | 8.30 |
SIBA (E) | 8.55 |
SIBA (D) M, W, F | 8.45 |
IGlar | 8.42 |
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Vital Signs: Systolic Blood Pressure (BP)
Mean values at baseline (Week 0) and at Week 16 (NCT00611884)
Timeframe: Week 0, Week 16
Intervention | mmHg (Mean) |
---|
| Week 0 (Baseline), N=57, 59, 62, 61 | Week 16, N=55, 55, 60, 56 |
---|
IGlar | 127 | 128 |
,SIBA (D) | 129 | 126 |
,SIBA (D) M, W, F | 129 | 126 |
,SIBA (E) | 131 | 131 |
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Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)
Mean values at Week -4 and at Week 16 (NCT00611884)
Timeframe: Week -4, Week 16
Intervention | IU/L (Mean) |
---|
| ASAT, Week -4, N=56, 59, 62, 60 | ASAT, Week 16, N=53, 53, 58, 56 |
---|
IGlar | 24.2 | 24.1 |
,SIBA (D) | 26.7 | 23.3 |
,SIBA (D) M, W, F | 23.9 | 21.7 |
,SIBA (E) | 22.5 | 21.8 |
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Change in Glycosylated Haemoglobin (HbA1c)
Change from baseline in HbA1c after 16 weeks of treatment (NCT00611884)
Timeframe: Week 0, Week 16
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
SIBA (D) | -1.26 |
SIBA (E) | -1.28 |
SIBA (D) M, W, F | -1.46 |
IGlar | -1.49 |
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Vital Signs: Pulse
Values at baseline (Week 0) and at Week 16 (NCT00612040)
Timeframe: Week 0, Week 16
Intervention | beats/minute (Mean) |
---|
| Week 0 (Baseline), N=60, 59, 59 | Week 16, N=60, 57, 57 |
---|
IGlar | 73 | 72 |
,SIBA (D) | 74 | 74 |
,SIBA (E) | 72 | 72 |
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Vital Signs: Systolic BP (Blood Pressure)
Values at baseline (Week 0) and at Week 16 (NCT00612040)
Timeframe: Week 0, Week 16
Intervention | mmHg (Mean) |
---|
| Week 0 (Baseline), N=60, 59, 59 | Week 16, N=60, 57, 57 |
---|
IGlar | 124 | 123 |
,SIBA (D) | 124 | 122 |
,SIBA (E) | 126 | 125 |
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Change in Glycosylated Haemoglobin (HbA1c)
Change from baseline in HbA1c after 16 weeks of treatment (NCT00612040)
Timeframe: Week 0, Week 16
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
SIBA (D) | -0.54 |
SIBA (E) | -0.57 |
IGlar | -0.62 |
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Change in Fasting Plasma Glucose (FPG)
Change from baseline in FPG (expressed in mmol/L, 1 mg/dL = 18times mmol/L) after 16 weeks of treatment (NCT00612040)
Timeframe: Week 0, Week 16
Intervention | mmol/L (Mean) |
---|
SIBA (D) | -2.06 |
SIBA (E) | -1.60 |
IGlar | -0.54 |
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Mean of 9-point Self Measured Plasma Glucose Profile (SMPG)
Estimate of the overall mean of SMPG (expressed in mmol/L, 1 mg/dL = 18times mmol/L) after 16 weeks of treatment. Plasma glucose measured: before breakfast, 120 minutes after start of breakfast, before lunch, 120 minutes after start of lunch, before dinner, 120 minutes after start of dinner, bedtime, at 4 am and before breakfast. (NCT00612040)
Timeframe: Week 16
Intervention | mmol/L (Least Squares Mean) |
---|
SIBA (D) | 9.27 |
SIBA (E) | 9.56 |
IGlar | 9.04 |
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Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)
Laboratory values at screening (Week -1) and at Week 16 (NCT00612040)
Timeframe: Week -1, Week 16
Intervention | IU/L (Mean) |
---|
| Week -1 , N=60, 59, 59 | Week 16 , N=55, 53, 54 |
---|
IGlar | 23.1 | 23.1 |
,SIBA (D) | 25.5 | 25.0 |
,SIBA (E) | 22.7 | 21.2 |
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Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)
Laboratory values at screening (Week -1) and at Week 16 (NCT00612040)
Timeframe: Week -1, Week 16
Intervention | IU/L (Mean) |
---|
| Week -1, N=60, 59, 59 | Week 16, N=55, 53, 54 |
---|
IGlar | 23.3 | 23.9 |
,SIBA (D) | 22.8 | 23.3 |
,SIBA (E) | 21.7 | 21.6 |
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Laboratory Safety Parameters (Biochemistry): Serum Creatinine
Laboratory values at screening (Week -1) and at Week 16 (NCT00612040)
Timeframe: Week -1, Week 16
Intervention | umol/L (Mean) |
---|
| Week -1 , N=60, 59, 59 | Week 16 , N=55, 53, 54 |
---|
IGlar | 77.6 | 77.9 |
,SIBA (D) | 77.2 | 77.2 |
,SIBA (E) | 76.6 | 75.9 |
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Rate of Major and Minor Hypoglycaemic Episodes
Rate of major and minor hypoglycaemic episodes per 100 patient years of exposure (PYE). Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. (NCT00612040)
Timeframe: Week 0 to Week 16 + 5 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
| Major | Minor |
---|
IGlar | 36 | 6637 |
,SIBA (D) | 46 | 5838 |
,SIBA (E) | 41 | 5305 |
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Rate of Nocturnal Major and Minor Hypoglycaemic Episodes
Rate of nocturnal major and minor hypoglycaemic episodes per 100 patient years of exposure (PYE). Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. Episodes were defined as nocturnal if the time of onset was between 23:00 (included) and 06:00 (excluded). (NCT00612040)
Timeframe: Week 0 to Week 16 + 5 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
| Major | Minor |
---|
IGlar | 18 | 1082 |
,SIBA (D) | 17 | 769 |
,SIBA (E) | 12 | 546 |
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Rate of Treatment Emergent Adverse Events (AEs)
Corresponds to rate of AEs per 100 patient years of exposure. Severity assessed by investigator. Mild: no or transient symptoms, no interference with subject's daily activities. Moderate: marked symptoms, moderate interference with subject's daily activities. Severe: considerable interference with subject's daily activities, unacceptable. Serious AE: AE that at any dose results in any of the following: death, a life-threatening experience, in-subject hospitalization/prolongation of existing hospitalisation, persistent/significant disability/incapacity/congenital anomaly/birth defect. (NCT00612040)
Timeframe: Week 0 to Week 16 + 5 days follow up
Intervention | Events/100 years of patient exposure (Number) |
---|
| Adverse events (AEs) | Serious AEs | Severe AEs | Moderate AEs | Mild AEs | Fatal AEs |
---|
IGlar | 914 | 6 | 6 | 397 | 511 | 0 |
,SIBA (D) | 653 | 6 | 6 | 202 | 445 | 0 |
,SIBA (E) | 874 | 12 | 29 | 246 | 599 | 0 |
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Vital Signs: Diastolic BP (Blood Pressure)
Values at baseline (Week 0) and at Week 16 (NCT00612040)
Timeframe: Week 0, Week 16
Intervention | mmHg (Mean) |
---|
| Week 0 (Baseline), N=60, 59, 59 | Week 16, N=60, 57, 57 |
---|
IGlar | 74 | 74 |
,SIBA (D) | 76 | 76 |
,SIBA (E) | 75 | 75 |
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Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)
Values at screening (Week -4) and at Week 16 (NCT00614055)
Timeframe: Week -4, Week 16
Intervention | IU/L (Mean) |
---|
| Week -4 , N=58, 59, 60 | Week 16 , N=54, 54, 57 |
---|
Insulin Glargine | 33.7 | 22.3 |
,SIAC 30 (B) | 31.9 | 23.9 |
,SIAC 45 (B) | 29.7 | 23.2 |
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Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)
Values at screening (Week -4) and at Week 16 (NCT00614055)
Timeframe: Week -4, Week 16
Intervention | IU/L (Mean) |
---|
| Week -4, N=58, 59, 60 | Week 16, N=54, 54, 57 |
---|
Insulin Glargine | 24.0 | 19.2 |
,SIAC 30 (B) | 24.8 | 21.1 |
,SIAC 45 (B) | 22.0 | 20.0 |
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Rate of Treatment Emergent Adverse Events (AEs)
Corresponds to rate of AEs per 100 patient years of exposure. Severity assessed by investigator. Mild: no or transient symptoms, no interference with subject's daily activities. Moderate: marked symptoms, moderate interference with subject's daily activities. Severe: considerable interference with subject's daily activities, unacceptable. Serious AE: AE that at any dose results in any of the following: death, a life-threatening experience, in-subject hospitalization/prolongation of existing hospitalisation, persistent/significant disability/incapacity/congenital anomaly/birth defect. (NCT00614055)
Timeframe: Week 0 to Week 16 + 5 days follow up
Intervention | Events/100 years of patient exposure (Number) |
---|
| Adverse events (AEs) | Serious AEs | Severe AEs | Moderate AEs | Mild AEs | Fatal AEs |
---|
Insulin Glargine | 295 | 0 | 0 | 61 | 234 | 0 |
,SIAC 30 (B) | 441 | 11 | 6 | 138 | 298 | 0 |
,SIAC 45 (B) | 310 | 6 | 0 | 123 | 187 | 0 |
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Vital Signs: Systolic Blood Pressure (BP)
Values at baseline (Week 0) and at Week 16 (NCT00614055)
Timeframe: Week 0, Week 16
Intervention | mmHg (Mean) |
---|
| Week 0 (Baseline), N=59, 59, 60 | Week 16, N=56, 53, 58 |
---|
Insulin Glargine | 135 | 129 |
,SIAC 30 (B) | 135 | 129 |
,SIAC 45 (B) | 133 | 133 |
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Vital Signs: Pulse
Values at baseline (Week 0) and at Week 16 (NCT00614055)
Timeframe: Week 0, Week 16
Intervention | beats/minute (Mean) |
---|
| Week 0 (Baseline), N=59, 59, 60 | Week 16, N=56, 53, 58 |
---|
Insulin Glargine | 75 | 71 |
,SIAC 30 (B) | 73 | 71 |
,SIAC 45 (B) | 75 | 69 |
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Vital Signs: Diastolic Blood Pressure (BP)
Values at baseline (Week 0) and at Week 16 (NCT00614055)
Timeframe: Week 0, Week 16
Intervention | mmHg (Mean) |
---|
| Week 0 (Baseline), N=59, 59, 60 | Week 16, N=56, 53, 58 |
---|
Insulin Glargine | 79 | 77 |
,SIAC 30 (B) | 78 | 76 |
,SIAC 45 (B) | 78 | 77 |
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Mean of 9-point Self Measured Plasma Glucose Profile (SMPG)
Mean of SMPG after 16 weeks of treatment. Plasma glucose measured: before breakfast, 120 minutes after start of breakfast, before lunch, 120 minutes after start of lunch, before dinner, 120 minutes after start of dinner, bedtime, at 4 am and before breakfast. (NCT00614055)
Timeframe: Week 16
Intervention | mmol/L (Mean) |
---|
SIAC 30 (B) | 8.34 |
SIAC 45 (B) | 8.31 |
Insulin Glargine | 8.42 |
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Laboratory Safety Parameters (Biochemistry): Serum Creatinine
Values at screening (Week -4) and at Week 16 (NCT00614055)
Timeframe: Week -4, Week 16
Intervention | umol/L (Mean) |
---|
| Week -4 , N=58, 59, 60 | Week 16 , N=54, 54, 57 |
---|
Insulin Glargine | 77.4 | 76.8 |
,SIAC 30 (B) | 76.4 | 75.7 |
,SIAC 45 (B) | 75.8 | 74.9 |
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Rate of Major and Minor Hypoglycaemic Episodes
Rate of Major and Minor hypoglycaemic episodes per 100 patient years of exposure (PYE). Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. (NCT00614055)
Timeframe: Week 0 to Week 16 + 5 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
| Major | Minor |
---|
Insulin Glargine | 0 | 67 |
,SIAC 30 (B) | 0 | 115 |
,SIAC 45 (B) | 0 | 240 |
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Rate of Nocturnal Major and Minor Hypoglycaemic Episodes
Rate of nocturnal Major and Minor hypoglycaemic episodes per 100 patient years of exposure (PYE). Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. Episodes were defined as nocturnal if the time of onset was between 23:00 (included) and 06:00 (excluded). (NCT00614055)
Timeframe: Week 0 to Week 16 + 5 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
| Major | Minor |
---|
Insulin Glargine | 0 | 17 |
,SIAC 30 (B) | 0 | 6 |
,SIAC 45 (B) | 0 | 158 |
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Change in Fasting Plasma Glucose (FPG)
Change from baseline in FPG after 16 weeks of treatment (NCT00614055)
Timeframe: Week 0, Week 16
Intervention | mmol/L (Mean) |
---|
SIAC 30 (B) | -4.30 |
SIAC 45 (B) | -4.10 |
Insulin Glargine | -5.07 |
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Change in Glycosylated Haemoglobin (HbA1c)
Change from baseline in HbA1c after 16 weeks of treatment (NCT00614055)
Timeframe: Week 0, Week 16
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
SIAC 30 (B) | -1.31 |
SIAC 45 (B) | -1.46 |
Insulin Glargine | -1.29 |
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Percentage of Patients Achieving HbA1c <=6.5% at Week 26
Percentage of patients achieving HbA1c <=6.5% at Week 26 (for patients with HbA1c >6.5% at baseline) (NCT00641056)
Timeframe: Baseline, Week 26
Intervention | percentage of patients (Number) |
---|
Exenatide Once Weekly | 43.2 |
Insulin Glargine | 28.4 |
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Change in Fasting Serum Glucose (FSG) From Baseline to Week 26
Change in FSG (mmol/L) from Baseline to Week 26 (NCT00641056)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Least Squares Mean) |
---|
Exenatide Once Weekly | -2.13 |
Insulin Glargine | -2.76 |
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Change in HbA1c From Baseline to Week 26
Change in HbA1c from baseline to Week 26 (NCT00641056)
Timeframe: Baseline, Week 26
Intervention | percentage of total hemoglobin (Least Squares Mean) |
---|
Exenatide Once Weekly | -1.47 |
Insulin Glargine | -1.31 |
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Change in High-density Lipoprotein Cholesterol (HDL) From Baseline to Week 26
Change in HDL (mmol/L) from Baseline to Week 26 (NCT00641056)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Least Squares Mean) |
---|
Exenatide Once Weekly | -0.00 |
Insulin Glargine | 0.01 |
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Change in Total Cholesterol From Baseline to Week 26
Change in Total Cholesterol (mmol/L) from Baseline to Week 26 (NCT00641056)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Least Squares Mean) |
---|
Exenatide Once Weekly | -0.12 |
Insulin Glargine | -0.04 |
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Change in Body Weight (BW) From Baseline to Week 26
Change in BW (kg) from Baseline to Week 26 (NCT00641056)
Timeframe: Baseline, Week 26
Intervention | kg (Least Squares Mean) |
---|
Exenatide Once Weekly | -2.63 |
Insulin Glargine | 1.42 |
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Percentage of Patients Achieving HbA1c <=7.0% at Week 26
Percentage of patients achieving HbA1c <=7.0% at Week 26 (for patients with HbA1c >7% at baseline) (NCT00641056)
Timeframe: Baseline, Week 26
Intervention | percentage of patients (Number) |
---|
Exenatide Once Weekly | 62.2 |
Insulin Glargine | 54.1 |
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Change in Blood Pressure From Baseline to Week 26
Change in Systolic Blood Pressure (mmHg) and Diastolic Blood Pressure (mmHg) from Baseline to Week 26 (NCT00641056)
Timeframe: Baseline, Week 26
Intervention | mmHg (Mean) |
---|
| Systolic Blood Pressure | Diastolic Blood Pressure |
---|
Exenatide Once Weekly | -3.03 | -1.15 |
,Insulin Glargine | -0.63 | -0.72 |
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Ratio of Triglycerides at Week 26 to Baseline
Ratio of Triglycerides (measured in mmol/L) at Week 26 to Baseline. Log (Postbaseline Triglycerides) - log (Baseline Triglycerides); change from baseline to endpoint is presented as ratio of endpoint to baseline. (NCT00641056)
Timeframe: Baseline, Week 26
Intervention | ratio (Least Squares Mean) |
---|
Exenatide Once Weekly | 0.96 |
Insulin Glargine | 0.89 |
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Assessment on Event Rate of Treatment-emergent Hypoglycemic Episodes
Major hypoglycemia: any episode with symptoms consistent with hypoglycemia that resulted in loss of consciousness or seizure with prompt recovery in response to administration of glucagon or glucose or documented hypoglycemia (blood glucose <3.0 mmol/L [54 mg/dL]) and required the assistance of another person. Minor hypoglycemia: any time a patient felt that he or she was experiencing a sign or symptom of hypoglycemia that was self-treated or resolved on its own and had a blood glucose level <3.0 mmol/L (54 mg/dL) and not classified as major hypoglycemia. (NCT00641056)
Timeframe: Baseline to Week 26
Intervention | rate per subject-year (Mean) |
---|
| Major Hypoglycemia | Minor Hypoglycemia |
---|
Exenatide Once Weekly No SU | 0.01 | 0.10 |
,Exenatide Once Weekly With SU | 0.00 | 1.14 |
,Insulin Glargine No SU | 0.01 | 0.63 |
,Insulin Glargine With SU | 0.03 | 2.66 |
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Calories Consumed After Fast.
Total energy ingested following the 24 hour fast. (NCT00659165)
Timeframe: Measured after a 24 hour fast, after treatment with study insulin for at least 3 weeks
Intervention | kcal (Mean) |
---|
Insulin Detemir | 1418 |
Insulin Glargine | 1357 |
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Baseline Adjusted Glycosylated Hemoglobin (HbA1c) at Endpoint
Least Squares Mean (LSMean) values were adjusted based on a fixed effect linear regression model: HbA1c = Treatment + Country + HbA1c baseline value + Ramadan holiday between Visit 10 (Week 36) and Visit 12 (Week 48) (yes/no) in per-protocol (PP) population. (NCT00664534)
Timeframe: 48 weeks
Intervention | percent glycosylated hemoglobin (Least Squares Mean) |
---|
Glargine | 7.55 |
Premix Insulin Lispro | 7.40 |
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Rate Per 30 Days of All Self-reported Hypoglycemic Episodes
The hypoglycemia rate between two visits will be calculated as the total number of episodes between the two visits divided by the number of days between the visits, and then multiplied by 30 days (rate per patient per 30 days). (NCT00664534)
Timeframe: Baseline to 48 weeks
Intervention | episodes per 30 days (Mean) |
---|
Glargine | 0.67 |
Premix Insulin Lispro | 0.79 |
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7-point Self-monitored Blood Glucose Profiles
(NCT00664534)
Timeframe: 16 weeks, 32 weeks and 48 weeks
Intervention | millimoles per Liter (mmol/L) (Least Squares Mean) |
---|
| Week 16 Before Breakfast (n=142, n=145) | Week 32 Before Breakfast (n=126, n=130) | Week 48 Before Breakfast (n=123, n=130) | Week 16 After Breakfast (n=136, n=138) | Week 32 After Breakfast (n=123, n=127) | Week 48 After Breakfast (n=120, n=129) | Week 16 Before Lunch (n=143, n=145) | Week 32 Before Lunch (n=128, n=132) | Week 48 Before Lunch (n=121, n=129) | Week 16 After Lunch (n=138, n=140) | Week 32 After Lunch (n=127, n=130) | Week 48 After Lunch (n=120, n=126) | Week 16 Before Dinner (n=143, n=145) | Week 32 Before Dinner (n=129, n=132) | Week 48 Before Dinner (n=120, n=129) | Week 16 After Dinner (n=140, n=141) | Week 32 After Dinner (n=128, n=131) | Week 48 After Dinner (n=120, n=126) | Week 16 at 0300 Hours (n=114, n=120) | Week 32 at 0300 Hours (n=105, n=106) | Week 48 at 0300 Hours (n=104, n=107) |
---|
Glargine | 6.94 | 6.65 | 6.79 | 9.12 | 8.65 | 8.88 | 7.33 | 7.00 | 7.14 | 9.32 | 8.34 | 8.58 | 7.84 | 7.31 | 7.55 | 9.68 | 8.64 | 8.87 | 7.34 | 6.94 | 6.94 |
,Premix Insulin Lispro | 7.36 | 7.20 | 6.94 | 9.92 | 9.16 | 8.94 | 7.66 | 7.25 | 6.86 | 9.37 | 8.69 | 8.34 | 7.92 | 7.39 | 7.19 | 9.03 | 8.50 | 8.09 | 7.22 | 6.80 | 6.57 |
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HbA1c Over Time
Least Squares Mean (LSMean) values were adjusted based on a mixed effect linear regression model with a participant specific random effect: HbA1c = Treatment + Country + HbA1c baseline value + Ramadan holiday between Visit 10 (Week 36) and Visit 12 (Week 48) (yes/no) + visit + visit*treatment in Full Analysis Set (FAS) Population. (NCT00664534)
Timeframe: 16 weeks, 32 weeks, and 48 weeks
Intervention | percent glycosylated hemoglobin (Least Squares Mean) |
---|
| 16 weeks (n=142,n=140) | 32 weeks (n=119, n=121) | 48 weeks (n=115,n=125) |
---|
Glargine | 7.57 | 7.43 | 7.40 |
,Premix Insulin Lispro | 7.62 | 7.46 | 7.33 |
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Mean Daily Total, Basal and Prandial Insulin Dose
(NCT00664534)
Timeframe: 16 weeks, 32 weeks and 48 weeks
Intervention | International Units per day (IU/day) (Mean) |
---|
| Week 16 Total Daily Insulin (N=156, N=155) | Week 32 Total Daily Insulin (N=135, N=140) | Week 48 Total Daily Insulin (N=130, N=137) | Week 16 Basal Insulin (N=156, N=155) | Week 32 Basal Insulin (N=135, N=140) | Week 48 Basal Insulin (N=130, N=137) | Week 16 Prandial Insulin (N=156, N=155) | Week 32 Prandial Insulin (N=135, N=140) | Week 48 Prandial Insulin (N=130, N=137) |
---|
Glargine | 29.94 | 40.80 | 46.45 | 25.53 | 30.05 | 31.52 | 4.41 | 10.75 | 14.94 |
,Premix Insulin Lispro | 26.94 | 38.45 | 46.20 | 17.97 | 25.06 | 30.12 | 8.97 | 13.39 | 16.07 |
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Mean Postprandial Blood Glucose Values
Mean postprandial blood glucose values were assessed using GlycoMark, which is an FDA-approved blood test measuring levels of 1,5 anhydroglucitol (1,5 AG) in serum or plasma. When 1,5 AG values decrease, serum glucose levels increase. (NCT00664534)
Timeframe: Baseline, 16 weeks, 32 weeks and 48 weeks
Intervention | microgram per milliliter (µg/mL) (Mean) |
---|
| Baseline (N=160, N=158) | Week 16 (N=143, N=141) | Week 32 (N=125, N=123) | Week 48 (N=119, N=125) |
---|
Glargine | 6.25 | 9.69 | 10.54 | 10.90 |
,Premix Insulin Lispro | 5.69 | 9.52 | 10.81 | 11.41 |
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Body Weight Change From Baseline to Endpoint
(NCT00664534)
Timeframe: baseline, 48 weeks
Intervention | kilograms (kg) (Least Squares Mean) |
---|
Glargine | 2.70 |
Premix Insulin Lispro | 2.61 |
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Number of Participants With Adverse Events
"A summary of serious adverse events (SAEs) and all other non-serious treatment-emergent adverse events (TEAE) is located in the Reported Adverse Event Module.~TEAEs are defined as events that are newly reported after randomization or reported to worsen in severity from baseline." (NCT00664534)
Timeframe: Baseline to 48 weeks
Intervention | participants (Number) |
---|
| SAE | TEAE |
---|
Glargine | 3 | 53 |
,Premix Insulin Lispro | 7 | 52 |
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Percentage of Participants Using Each Possible Final Insulin Regimen
"Insulin Regimens:~Lispro: Mid-Mix (MM) before noon; Low-Mix (LM) before evening (PM); MM before noon+LM before PM; LM before morning (AM)+MM before noon + LM before PM; MM before AM +MM before noon+LM before PM Glargine: Glargine once a day (QD); Glargine QD + 1 Lispro (noon or PM); Glargine QD + 2 Lispro (noon and PM); Glargine QD + 3 Lispro." (NCT00664534)
Timeframe: 48 weeks
Intervention | percentage of participants (Number) |
---|
| MM before noon | LM before PM | MM before noon+LM before PM | LM before AM+MM before noon+LM before PM | MM before AM+MM before noon+LM before PM | Glargine QD | Glargine QD+1 Lispro (noon or PM) | Glargine QD+2 Lispro (noon and PM) | Glargine QD+3 Lispro | Other (not specified) |
---|
Glargine | 0 | 0 | 0 | 0 | 0 | 59 | 27 | 30 | 14 | 0 |
,Premix Insulin Lispro | 15 | 33 | 42 | 36 | 7 | 0 | 0 | 0 | 0 | 4 |
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Percentage of Patients Achieving HbA1c Less Than or Equal to 6.5% and Less Than or Equal to 7% Over Time
(NCT00664534)
Timeframe: 16 weeks, 32 weeks and 48 weeks
Intervention | percentage of participants (Number) |
---|
| Week 16 HbA1c <=7.0% (n=157, n=155) | Week 16 HbA1c <=6.5% (n=157, n=155) | Week 32 HbA1c <=7.0% (n=137, n=141) | Week 32 HbA1c <=6.5% (n=137, n=141) | Week 48 HbA1c <=7.0% (n=130, n=137) | Week 48 HbA1c <=6.5% (n=130, n=137) |
---|
Glargine | 24.2 | 14.6 | 32.1 | 19.0 | 36.2 | 18.5 |
,Premix Insulin Lispro | 30.3 | 18.7 | 37.6 | 20.6 | 48.2 | 24.8 |
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Incidence of All Self-reported Hypoglycemic Episodes
Percentage of participants with self-reported hypoglycemic episodes at any time during the study. A hypoglycemic episode is defined as any time a participant feels that he/she is experiencing a sign or symptom that is associated with hypoglycemia, or has a blood glucose level of ≤70 mg/dL (3.9 mmol/L) (Roche plasma glucose) or ≤75 mg/dL (4.2 mmol/L) (IFCC Plasma Values), even if it was not associated with signs, symptoms, or treatment consistent with current guidelines (ADA 2005). (NCT00664534)
Timeframe: Baseline to 48 weeks
Intervention | percentage of participants (Number) |
---|
Glargine | 60.1 |
Premix Insulin Lispro | 64.5 |
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7-point Self-monitored Blood Glucose Profiles (SMBG) at Endpoint
LSMean values presented were controlled for treatment, country, and baseline HbA1C value. SMBG at morning pre-meal, morning postprandial, midday pre-meal, midday postprandial, evening pre-meal, evening postprandial, 0300 hours. Postprandial glucose is measured 2 hours after the start of the meal. (NCT00666718)
Timeframe: 24 weeks
Intervention | millimoles per liter (mmol/L) (Least Squares Mean) |
---|
| Morning Pre-Meal | Morning Postprandial | Midday Pre-Meal | Midday Postprandial | Evening Pre-Meal | Evening Postprandial | 0300 Hours |
---|
Glargine | 8.26 | 8.93 | 8.19 | 9.11 | 8.80 | 9.27 | 8.16 |
,ILPS | 8.63 | 9.19 | 7.90 | 9.58 | 8.75 | 9.73 | 8.30 |
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Change From Baseline in HbA1c at Week 12 and Week 24
LSMean values presented were controlled for treatment, country, baseline HbA1C value and week. (NCT00666718)
Timeframe: Baseline, Week 12, Week 24
Intervention | Percent of Glycosylated Hemoglobin (Least Squares Mean) |
---|
| Week 12 Change (n=172, n=168) | Week 24 Change (n=170, n=166) |
---|
Glargine | -0.99 | -1.29 |
,ILPS | -0.90 | -1.07 |
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Glycemic Variability at Endpoint
LSMeans were controlled for treatment and country grouping (Mediterranean, rest of Europe). Glycemic variability was assessed as the standard deviations of 4 fasting SMBG samples, 4 post-breakfast measurements, 4 post-lunch measurements, 4 post-evening meal measurements. (NCT00666718)
Timeframe: Week 24
Intervention | mmol/L (Least Squares Mean) |
---|
| Fasting | Post-breakfast | Post-lunch | Post-dinner |
---|
Glargine | 0.86 | 1.56 | 1.61 | 1.43 |
,ILPS | 0.95 | 1.64 | 1.51 | 1.40 |
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Number of Injections of Insulin at Week 24
(NCT00666718)
Timeframe: Week 24
Intervention | Participants (Number) |
---|
| 2 to <3 per day | 3 to <4 per day | ≥4 per day |
---|
Glargine | 8 | 129 | 4 |
,ILPS | 10 | 102 | 1 |
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Number of Participants With Adverse Events (AE)
A listing of adverse events is located in the Reported Adverse Event module. (NCT00666718)
Timeframe: Baseline through Week 24
Intervention | participants (Number) |
---|
| AEs | Serious adverse events (SAE) |
---|
Glargine | 81 | 9 |
,ILPS | 65 | 14 |
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Percentage of Participants With HbA1c Less Than 7.0% and Less Than or Equal to 6.5% at Endpoint
(NCT00666718)
Timeframe: Week 24
Intervention | Percent of Participants (Number) |
---|
| HbA1c < 7.0% | HbA1c <= 6.5% |
---|
Glargine | 50 | 24 |
,ILPS | 36 | 14 |
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Percentage of Participants With Self-Reported Hypoglycemic Episodes
Episode=any time a patient feels that he/she is experiencing a sign or symptom associated with hypoglycemia or has a blood glucose level of ≤70 mg/dL, even if not associated with signs,symptoms, or treatment. Overall=any time post-randomization visits in the study period. Nocturnal=Episode that occurs between bedtime and waking. Non-Nocturnal=Episode occurring between waking and bedtime. Severe=episode with symptoms of neuroglycopenia in which patient requires assistance,and has blood glucose value <50 mg/dL or prompt recovery after oral carbohydrate, glucagon, or intravenous glucose. (NCT00666718)
Timeframe: Baseline through Week 24
Intervention | percentage of participants (Number) |
---|
| >=1 hypoglycemic episode | >=1 nocturnal hypoglycemic episode | >=1 non-nocturnal hypoglycemic episode | >=1 severe hypoglycemic episode |
---|
Glargine | 63.6 | 19.3 | 61.0 | 0.5 |
,ILPS | 56.1 | 25.7 | 54.0 | 1.6 |
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Rate Of All Self-reported Hypoglycemic Episodes
Rate of self-reported hypoglycemic episodes, all, non-nocturnal,and nocturnal, severe, documented ≤3.9 mmol/L and ≤3.0 mmol/L. Rate=episodes/30 days/patient/. Episode=any time a patient has a symptom associated with hypoglycemia or blood glucose level of ≤70 mg/dL,even if not associated with symptoms.Overall=any time post-randomization in the study period. Nocturnal=Episode between bedtime and waking. Non-Nocturnal=Episode between waking and bedtime.Severe:episode in which patient requires assistance,and has glucose <50 mg/dL or prompt recovery after oral carbohydrate, glucagon, or IV glucose. (NCT00666718)
Timeframe: Baseline through Week 24
Intervention | episode/30 days/participant (Least Squares Mean) |
---|
| All reported episodes rate | Nocturnal reported episodes rate | Non-Nocturnal reported episodes rate | Severe reported episodes rate | Documented <=3.9 millimoles per liter(mmol/L) rate | Documented <=3.0 mmol/L rate |
---|
Glargine | 1.38 | 0.19 | 1.16 | 0 | 0.89 | 0.13 |
,ILPS | 0.84 | 0.15 | 0.71 | 0 | 0.49 | 0.12 |
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Change in Body Weight From Baseline to Week 24
LSMean values presented were controlled for treatment, country, and baseline HbA1C value. (NCT00666718)
Timeframe: Baseline, Week 24
Intervention | Kilograms (kg) (Least Squares Mean) |
---|
Glargine | 1.19 |
ILPS | 1.03 |
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Change From Baseline in Hemoglobin A1c (HbA1c) to Week 24
Least Squares Mean (LSMean) values reported in the table were controlled for treatment, country, and baseline HbA1c value. (NCT00666718)
Timeframe: Baseline, Week 24
Intervention | Percent of Glycosylated Hemoglobin (Least Squares Mean) |
---|
Glargine | -1.28 |
ILPS | -1.18 |
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Total Daily Insulin Dose at Endpoint
LSMean values presented were controlled for treatment, country, and baseline HbA1C value. (NCT00666718)
Timeframe: Week 24
Intervention | Units (Least Squares Mean) |
---|
Glargine | 78.05 |
ILPS | 80.23 |
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Occurrence of the Major Adverse Cardiovascular Events (MACE)
"MACE:~Cardiac death, New onset or worsening congestive heart failure (>24 h post-admission) event evaluating using New York Heart Association (NYHA) Class II or greater Non-fatal Myocardial Infarction, Severe arrhythmia, Stroke/TIA (Transient Ischemic Attack), Cardiogenic shock, Catheterization/revascularization, Unstable angina leading to hospitalisation" (NCT00670228)
Timeframe: At Day 60
Intervention | events (Number) |
---|
| Severe arrhythmia | Shock | Revascularization | New onset or worsening of congestive heart failure | Myocardial Infarction (MI) | Death |
---|
Intensive Insulin Therapy (IIT) | 7 | 0 | 1 | 1 | 1 | 1 |
,Standard Glycemic Care (SGC) | 2 | 1 | 0 | 0 | 0 | 1 |
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Left Ventricular (LV) Function Evaluated by Cardiac Magnetic Resonance Imaging (MRI)
Due to study early termination and the limited number of randomized subjects, descriptive statistics for the Day 3 Ejection Fraction were selected for presentation instead of for Day 60 as initially planned. (NCT00670228)
Timeframe: At Day 3
Intervention | percentage of Ejection Fraction (Mean) |
---|
Intensive Insulin Therapy (IIT) | 43.08 |
Standard Glycemic Care (SGC) | 43.43 |
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Infarct Size Absolute Change From Baseline at Day 60
Infarct size is measured by cardiac Magnetic Resonance Imaging (MRI) as the percentage of Left Ventricular (LV) mass. (NCT00670228)
Timeframe: From baseline at Day 60
Intervention | percentage of LV mass change (Mean) |
---|
Intensive Insulin Therapy (IIT) | -7.84 |
Standard Glycemic Care (SGC) | -15.72 |
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Biomarkers of Inflammation Measurement: CRP (C-Reactive Protein)
(NCT00670228)
Timeframe: At Day 60
Intervention | mg/L (Mean) |
---|
Intensive Insulin Therapy (IIT) | 2.52 |
Standard Glycemic Care (SGC) | 2.96 |
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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
Intervention | percentage of readings (Mean) |
---|
1 - Insulin Glargine QHS | 61.7 |
2 - Insulin Glargine QAM | 73.0 |
3 - NPH Insulin QHS | 72.6 |
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Frequency of Total Hypoglycemic Reactions
Frequency of hypoglycemic reactions without regard to time of occurrence (NCT00686712)
Timeframe: 6 months
Intervention | Hypoglycemic events per patient (Mean) |
---|
1 - Insulin Glargine QHS | 6.7 |
2 - Insulin Glargine QAM | 9.6 |
3 - NPH Insulin QHS | 8.2 |
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Hemoglobin A1c Change From Baseline
(NCT00686712)
Timeframe: Baseline to 6 months
Intervention | Percent (Mean) |
---|
Insulin Glargine at Bedtime | -1.3 |
Insulin Glargine in AM | -1.9 |
NPH Insulin | -1.4 |
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Total Daily Insulin Dose
Total daily number of units of insulin used (NCT00686712)
Timeframe: 6 months
Intervention | Units of insulin per day (Mean) |
---|
1 - Insulin Glargine QHS | 17.7 |
2 - Insulin Glargine QAM | 17.9 |
3 - NPH Insulin QHS | 14.6 |
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Body Mass Index Change From Baseline
Change in body mass index from baseline BMI measurement (NCT00686712)
Timeframe: 6 months
Intervention | kg per square meter (Mean) |
---|
1 - Insulin Glargine QHS | 0.7 |
2 - Insulin Glargine QAM | 1.1 |
3 - NPH Insulin QHS | 0.0 |
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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
Intervention | Severe hypoglycemic events (Number) |
---|
1 - Insulin Glargine QHS | 0 |
2 - Insulin Glargine QAM | 0 |
3 - NPH Insulin QHS | 0 |
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Any Adverse Event Other Than Hypoglycemia
Any reported adverse event that is not hypoglycemia (NCT00686712)
Timeframe: 6 months
Intervention | Events (Number) |
---|
1 - Insulin Glargine QHS | 1 |
2 - Insulin Glargine QAM | 2 |
3 - NPH Insulin QHS | 1 |
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Hemoglobin A1c Change From Baseline
(NCT00687453)
Timeframe: Baseline to 6 months
Intervention | Percent glycated hemoglobin (Mean) |
---|
Insulin Glargine at Bedtime | -0.8 |
NPH Twice-daily | -1.0 |
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Frequency of Severe Hypoglycemic Reactions
(NCT00687453)
Timeframe: 6 months
Intervention | Events (Number) |
---|
Insulin Glargine at Bedtime | 0 |
NPH Twice-daily | 0 |
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Frequency of Pre-supper Glucose Readings 130 mg/dL or Less, Change From Baseline
(NCT00687453)
Timeframe: 6 months
Intervention | % of readings, change from baseline (Mean) |
---|
Insulin Glargine at Bedtime | 38.0 |
NPH Twice-daily | 7.5 |
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Total Daily Insulin Dose
(NCT00687453)
Timeframe: Baseline and 6 months
Intervention | Units per day, change from baseline (Mean) |
---|
Insulin Glargine at Bedtime | -0.1 |
NPH Twice-daily | 20.5 |
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Body Mass Index Change From Baseline
(NCT00687453)
Timeframe: Baseline and 6 months
Intervention | kg/m^2 (Mean) |
---|
Insulin Glargine Injected at Bedtime | 0.2 |
NPH Insulin Injected Twice-daily | 0.3 |
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Frequency of Total Hypoglycemic Reactions
(NCT00687453)
Timeframe: 6 months
Intervention | Events (Number) |
---|
Insulin Glargine at Bedtime | 55 |
NPH Twice-daily | 28 |
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Any Adverse Event Other Than Hypoglycemia
(NCT00687453)
Timeframe: 6 months
Intervention | Events (Number) |
---|
Insulin Glargine at Bedtime | 2 |
NPH Twice-daily | 1 |
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Glucagon
Mean glucagon mcg/l during NPH or glargine (Lantus) overnight visit. Hourly glucagon was determined from 22:00 to 8:00. (NCT00694122)
Timeframe: Overnight
Intervention | mcg/l (Mean) |
---|
Glargine (Lantus) Insulin | 58.8 |
NPH Insulin | 54.3 |
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Cortisol
Mean cortisol nmol/l during NPH or glargine (Lantus) overnight visit. Hourly cortisol was determined from 22:00 to 8:00. (NCT00694122)
Timeframe: Overnight
Intervention | nmol/l (Mean) |
---|
Glargine (Lantus) | 380.45 |
NPH Insulin | 388.61 |
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Blood Glucose Area Under the Curve (AUC)
Cumulative sum of repeatedly measured blood glucose values (mg/dl) beginning at 22:00, then hourly till 08:00. Participants were monitored during two overnight sampling periods. One overnight was while the participant was on neutral protamine Hagedorn (NPH) insulin as the long acting insulin; the other overnight was glargine (Lantus) insulin as the the long acting insulin. (NCT00694122)
Timeframe: Overnight
Intervention | mg*10hr/dL (Mean) |
---|
Glargine (Lantus) Insulin | 1673.33 |
NPH Insulin | 1395 |
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Insulin Dose
NPH or glargine (Lantus) was given at 22:00 to provide blood glucose coverage during the overnight hours. (NCT00694122)
Timeframe: Overnight
Intervention | units (Mean) |
---|
Glargine (Lantus) Insulin | 20.2 |
NPH Insulin | 20.7 |
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Blood Glucose
Average value of repeatedly measured absolute values beginning at 22:00, then hourly till 08:00. Participants were monitored during two overnight sampling periods. One overnight was while the participant was on NPH insulin as the long acting insulin; the other overnight was glargine(Lantus) insulin as the the long acting insulin. (NCT00694122)
Timeframe: Overnight
Intervention | mmol/l (Mean) |
---|
Glargine (Lantus) Insulin | 9.6 |
NPH Insulin | 7.9 |
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Growth Hormone
Mean growth hormone ug/l during NPH or glargine (Lantus) overnight visit. Hourly growth hormone was determined from 22:00 to 8:00. (NCT00694122)
Timeframe: Overnight
Intervention | ug/l (Mean) |
---|
Glargine (Lantus) Insulin | 1.09 |
NPH Insulin | 1.27 |
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Change From Baseline in HbA1c to Week 16
Change from Baseline in glycosylated hemoglobin at Week 16 (NCT00700622)
Timeframe: Baseline to Week 16
Intervention | percentage of total hemoglobin (Least Squares Mean) |
---|
TI + Insulin Glargine | -0.10 |
Insulin Lispro + Insulin Glargine | -0.03 |
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Lipid Profile: Change From Baseline to Study Endpoint
(NCT00751114)
Timeframe: baseline (week 0), study endpoint: visit 14 (week 24) or visit 11 (week 12) if value not available at visit 14
Intervention | mg/dL (Least Squares Mean) |
---|
| Change in Total Cholesterol | Change in LDL Cholesterol | Change in HDL Cholesterol | Change in Triglycerides |
---|
Insulin Glargine | -7.94 | -3.68 | 0.13 | -34.07 |
,Sitagliptin | -1.54 | -0.19 | 0.57 | 0.31 |
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Insulin Dose in the Insulin Glargine Group
Daily dose at the face-to-face visits. (NCT00751114)
Timeframe: visit 4 (week 2), visit 8 (week 6), visit 11 (week 12), visit 12 (week 16), visit 14 (week 24), first dose received defined as first available value, study endpoint defined as last available value
Intervention | unit per kg body weight (Mean) |
---|
| First dose received N=236 | Visit 4 (week 2) N=230 | Visit 8 (week 6) N=222 | Visit 11 (week 12) N=219 | Visit 12 (week 16) N=214 | Visit 14 (week 24) N=220 | Study endpoint N=237 |
---|
Insulin Glargine | 0.19 | 0.27 | 0.38 | 0.45 | 0.48 | 0.50 | 0.49 |
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7-point Plasma Glucose Profile: Change From Baseline to Study Endpoint
"7-point plasma glucose recorded before and after breakfast, before and after lunch, before and after dinner and at bedtime.~Change = study endpoint - baseline." (NCT00751114)
Timeframe: baseline (week 0), study endpoint: visit 14 (week 24) or visit 11 (week 12) if value not available at visit 14
Intervention | mg/dL (Least Squares Mean) |
---|
| Before breakfast (N ig = 203 & N s = 226) | After breakfast (N ig = 202 & N s = 220) | Before lunch (N ig = 201 & N s = 223) | After lunch (N ig = 202 & N s = 226) | Before dinner (N ig = 199 & N s = 223) | After dinner (N ig = 196 & N s = 220) | At bedtime (N ig = 177 & N s = 210) |
---|
Insulin Glargine | -59.90 | -66.25 | -48.00 | -45.54 | -40.68 | -45.88 | -45.58 |
,Sitagliptin | -20.39 | -36.41 | -19.82 | -26.10 | -25.07 | -33.78 | -31.16 |
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Change in Body Weight From Baseline to Study Endpoint
(NCT00751114)
Timeframe: baseline (week 0), study endpoint: visit 14 (week 24) or visit 12 (week 16) or visit 11 (week 12) or visit 8 (week 6) depending on last available value
Intervention | kg (Least Squares Mean) |
---|
Insulin Glargine | 0.44 |
Sitagliptin | -1.08 |
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HbA1c: Change From Baseline to Study Endpoint
Change in HbA1c from baseline to study endpoint defined as the last available HbA1c value measured during the 24-week treatment period. (NCT00751114)
Timeframe: baseline (week 0), study endpoint: visit 14 (week 24) or visit 11 (week 12) if value not available at visit 14
Intervention | percent (Least Squares Mean) |
---|
Insulin Glargine | -1.72 |
Sitagliptin | -1.13 |
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Self-monitored Fasting Plasma Glucose (SMFPG) Mean : Change From Baseline to Study Endpoint
"SMFPG mean = mean of the fasting plasma glucose values recorded on the 6 consecutive days before the visit (at least 3 values needed).~Study endpoint was defined as the last available SMFPG mean value collected on-treatment.~Change= study endpoint - baseline" (NCT00751114)
Timeframe: baseline (week 0), study endpoint: visit 14 (week 24) or visit 12 (week 16) or visit 11 (week 12) or visit 8 (week 6) depending on last available value
Intervention | mg/dL (Least Squares Mean) |
---|
Insulin Glargine | -60.52 |
Sitagliptin | -19.35 |
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Number of Patients With at Least One Episode of Symptomatic Hypoglycemia
Symptomatic hypoglycemia was defined as an event with clinical symptoms that were considered to result from hypoglycemia confirmed or not by a plasma glucose measurement <= 70mg/dL [3.9 mmol/L] (NCT00751114)
Timeframe: During the treatment phase (24 weeks) plus 7 days after last dose
Intervention | participants (Number) |
---|
Insulin Glargine | 108 |
Sitagliptin | 35 |
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Number of Patients With at Least One Episode of Severe Symptomatic Hypoglycemia
Severe symptomatic hypoglycemia was defined as an event with clinical symptoms which required assistance of another person and with either a Plasma Glucose level < 36 mg/dL (2 mmol/L) or with a prompt recovery after oral carbohydrate, intravenous glucose, or glucagon administration (NCT00751114)
Timeframe: During the treatment phase (24 weeks) plus 7 days after last dose
Intervention | participants (Number) |
---|
Insulin Glargine | 3 |
Sitagliptin | 1 |
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HbA1c Response Rate: Percentage of Patients Who Reach the Target of HbA1c < 6.5% at Study Endpoint
(NCT00751114)
Timeframe: study endpoint: visit 14 (week 24) or visit 11 (week 12) if value not available at visit 14
Intervention | percentage of participants (Number) |
---|
Insulin Glargine | 40.2 |
Sitagliptin | 16.9 |
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HbA1c Response Rate: Percentage of Patients Who Reach the Target of HbA1c < 7% at Study Endpoint
(NCT00751114)
Timeframe: study endpoint: visit 14 (week 24) or visit 11 (week 12) if value not available at visit 14
Intervention | percentage of participants (Number) |
---|
Insulin Glargine | 67.9 |
Sitagliptin | 41.9 |
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Change in the Fasting Plasma Glucose Level
Least squares mean change from baseline in fasting plasma glucose. (NCT00767000)
Timeframe: Baseline and Weeks 14, 54, 106, and 158
Intervention | mg/dL (Least Squares Mean) |
---|
| Week 14 | Week 54 (no participants analyzed) | Week 106 (no participants analyzed) | Week 158 (no participants analyzed) |
---|
MK-0941 10 mg | -10.0 | NA | NA | NA |
,MK-0941 20 mg | -1.5 | NA | NA | NA |
,MK-0941 30 mg | -21.1 | NA | NA | NA |
,MK-0941 40 mg | -5.0 | NA | NA | NA |
,Placebo | -11.8 | NA | NA | NA |
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Percentage of Participants Who Discontinued Study Medication Due to an Adverse Event
(NCT00767000)
Timeframe: Entire study including 54-week study and 104-week extension
Intervention | percentage of participants (Number) |
---|
MK-0941 10 mg | 3.4 |
MK-0941 20 mg | 5.1 |
MK-0941 30 mg | 6.8 |
MK-0941 40 mg | 3.1 |
Placebo | 1.7 |
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Change in the Two-hour Post Meal Glucose Level
Least squares mean change from baseline in 2-hour post meal glucose level. (NCT00767000)
Timeframe: Baseline and Weeks 14, 54, 106, and 158
Intervention | mg/dL (Least Squares Mean) |
---|
| Week 14 | Week 54 (no participants analyzed) | Week 106 (no participants analyzed) | Week 158 (no participants analyzed) |
---|
MK-0941 10 mg | -39.0 | NA | NA | NA |
,MK-0941 20 mg | -29.2 | NA | NA | NA |
,MK-0941 30 mg | -37.4 | NA | NA | NA |
,MK-0941 40 mg | -39.3 | NA | NA | NA |
,Placebo | -2.4 | NA | NA | NA |
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Change in Hemoglobin A1c (HbA1c) Level
Least square means change from baseline in HbA1c. HbA1c represents the percentage of glycated hemoglobin. A negative number means reduction in HbA1c level. (NCT00767000)
Timeframe: Baseline and Weeks 14, 54, 106, and 158
Intervention | Percent HbA1c (Least Squares Mean) |
---|
| Week 14 | Week 54 (no participants analyzed) | Week 106 (no participants analyzed) | Week 158 (no participants analyzed) |
---|
MK-0941 10 mg | -0.59 | NA | NA | NA |
,MK-0941 20 mg | -0.72 | NA | NA | NA |
,MK-0941 30 mg | -0.89 | NA | NA | NA |
,MK-0941 40 mg | -0.83 | NA | NA | NA |
,Placebo | -0.08 | NA | NA | NA |
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Percentage of Participants Who Experienced at Least One Adverse Event
(NCT00767000)
Timeframe: Entire study including 54-week study and 104-week extension
Intervention | percentage of participants (Number) |
---|
MK-0941 10 mg | 80.7 |
MK-0941 20 mg | 79.5 |
MK-0941 30 mg | 80.3 |
MK-0941 40 mg | 65.5 |
Placebo | 65.4 |
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Change From Baseline in Body Weight at Week 52
The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. The LOCF method was used to impute missing post-Baseline weight values. Weight values obtained after hyperglycemia rescue were treated as missing and replaced with prerescue values. Based on ANCOVA: change = treatment + Baseline weight + Baseline HbA1c category + prior myocardial infarction history + age category + region + current antidiabetic therapy. (NCT00838916)
Timeframe: Baseline and Week 52
Intervention | Kilograms (Least Squares Mean) |
---|
Albiglutide 30 mg + Metformin +/- Sulfonylurea | -1.05 |
Insulin Glargine 10 Units + Metformin +/- Sulfonylurea | 1.56 |
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Change From Baseline in Body Weight at Week 156
The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. (NCT00838916)
Timeframe: Baseline and Week 156
Intervention | Kilograms (Mean) |
---|
Albiglutide 30 mg + Metformin +/- Sulfonylurea | -3.47 |
Insulin Glargine 10 Units + Metformin +/- Sulfonylurea | 0.90 |
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Change From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 52
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. The BL HbA1c value is defined as the last non-missing value before the start of treatment. Change from BL was calculated as the value at Week 52 minus the value at BL. Based on analysis of covariance (ANCOVA): change = treatment + BL HbA1c + prior myocardial infarction history + age category + region + current antidiabetic therapy. Difference of least squares means (albiglutide - insulin glargine) is from the ANCOVA model. The last observation carried forward (LOCF) method was used to impute missing post-Baseline HbA1c values; the last non-missing post-BL on-treatment measurement was used to impute the missing measurement. HbA1c values obtained after hyperglycemic rescue were treated as missing and were replaced with pre-rescue values. (NCT00838916)
Timeframe: Baseline and Week 52
Intervention | Percentage of HbA1c in the blood (Least Squares Mean) |
---|
Albiglutide 30 mg + Metformin +/- Sulfonylurea | -0.67 |
Insulin Glargine 10 Units + Metformin +/- Sulfonylurea | -0.79 |
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Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 156
The number of participants who achieved the HbA1c treatment goal (i.e., HbA1c response levels of <6.5%, <7%, and <7.5% at Week 156) were assessed. (NCT00838916)
Timeframe: Week 156
Intervention | Participants (Number) |
---|
| HbA1c <6.5% | HbA1c <7% | HbA1c <7.5% |
---|
Albiglutide 30 mg + Metformin +/- Sulfonylurea | 33 | 59 | 85 |
,Insulin Glargine 10 Units + Metformin +/- Sulfonylurea | 18 | 46 | 71 |
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 52
The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. The LOCF method was used to impute missing post-Baseline FPG values. FPG values obtained after hyperglycemia rescue were treated as missing and replaced with pre-rescue values. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Based on ANCOVA: change = treatment + Baseline FPG + Baseline HbA1c category + prior myocardial infarction history + age category + region + current antidiabetic therapy. (NCT00838916)
Timeframe: Baseline and Week 52
Intervention | Millimoles per liter (mmol/L) (Least Squares Mean) |
---|
Albiglutide 30 mg + Metformin +/- Sulfonylurea | -0.87 |
Insulin Glargine 10 Units + Metformin +/- Sulfonylurea | -2.06 |
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Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 52
The number of participants who achieved the HbA1c treatment goal (i.e., HbA1c response levels of <6.5%, <7%, and <7.5% at Week 52) were assessed. (NCT00838916)
Timeframe: Week 52
Intervention | Participants (Number) |
---|
| HbA1c <6.5% | HbA1c <7% | HbA1c <7.5% |
---|
Albiglutide 30 mg + Metformin +/- Sulfonylurea | 54 | 156 | 268 |
,Insulin Glargine 10 Units + Metformin +/- Sulfonylurea | 25 | 78 | 135 |
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 156
The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. (NCT00838916)
Timeframe: Baseline and Week 156
Intervention | Millimoles per liter (mmol/L) (Mean) |
---|
Albiglutide 30 mg + Metformin +/- Sulfonylurea | -0.83 |
Insulin Glargine 10 Units + Metformin +/- Sulfonylurea | -2.19 |
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Albiglutide Plasma Concentrations at Week 8 and Week 24
Albiglutide plasma concentration data was analyzed at Week 8 pre-dose, Week 8 post-dose, Week 24 pre-dose and Week 24 post-dose. All participants receiving albiglutide were initiated on a 30 mg weekly dosing regimen; however, beginning at Week 4, uptitration of albiglutide was allowed based on glycemic response. As such, albiglutide plasma concentrations achieved at each sampling time represent a mixed population of participants receiving either 30 mg or 50 mg weekly for various durations. (NCT00838916)
Timeframe: Weeks 8 and 24
Intervention | nanograms/milliliter (ng/mL) (Mean) |
---|
| Week 8, Pre-dose, n=408 | Week 8, Post-dose, n=398 | Week 24, Pre-dose, n=416 | Week 24, Post-dose, n=401 |
---|
Albiglutide 30 mg + Metformin +/- Sulfonylurea | 1642.83 | 1911.35 | 2159.30 | 2748.15 |
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Time to Hyperglycemia Rescue
Participants who experienced persistent hyperglycemia (high blood glucose) could have qualified for hyperglycemia rescue. The conditions for hyperglycemia rescue were as follows: FPG >=280 milligrams/deciliter (mg/dL) between >=Week 2 and =250 mg/dL between >=Week 4 and =8.5% and a <=0.5% reduction from Baseline between >=Week 12 and =8.5% between >=Week 24 and =8.0% between >= Week 48 and NCT00838916)
Timeframe: From the start of study medication until the end of the treatment (up to Week 156)
Intervention | Weeks (Median) |
---|
Albiglutide 30 mg + Metformin +/- Sulfonylurea | 107.57 |
Insulin Glargine 10 Units + Metformin +/- Sulfonylurea | NA |
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Change From Baseline in HbA1c at Week 156
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. Baseline HbA1c value is defined as the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. This analysis used observed HbA1c values, excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. (NCT00838916)
Timeframe: Baseline and Week 156
Intervention | Percentage of HbA1c in the blood (Mean) |
---|
Albiglutide 30 mg + Metformin +/- Sulfonylurea | -0.83 |
Insulin Glargine 10 Units + Metformin +/- Sulfonylurea | -1.00 |
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Change From Baseline in Glucose Profile Measured by 24-hour Area Under Curve (AUC) at Week 52
A 24-hour glucose profile was collected at Baseline and Week 52 at a subset of sites in a subset of participants per treatment group using the continuous glucose monitoring device. Glucose measurements were obtained at 5 minute increments in the 24-hour period. The area under the curve (AUC) was determined using the trapezoidal method on the measurements obtained during the first 24 hours of continuous monitoring. This analysis used observed values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. The Baseline value is the last non-missing value before the start of treatment. (NCT00838916)
Timeframe: Baseline and Week 52
Intervention | Millimoles per hour per liter (mmol.h/L) (Mean) |
---|
Albiglutide 30 mg + Metformin +/- Sulfonylurea | 0.457 |
Insulin Glargine 10 Units + Metformin +/- Sulfonylurea | -1.657 |
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HbA1c: Change From Baseline to Study Endpoint
Change = study endpoint - baseline (NCT00851903)
Timeframe: baseline, study endpoint: week 12 or earlier in case of premature discontinuation
Intervention | percent (Mean) |
---|
Combination Insulin Glargine and Sitagliptin | -0.80 |
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Change in Body Weight From Baseline to Study Endpoint
Change = study endpoint - baseline (NCT00851903)
Timeframe: baseline, study endpoint: week 12 or week 8 or week 4 depending on last available value
Intervention | kg (Mean) |
---|
Combination Insulin Glargine and Sitagliptin | 1.15 |
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HbA1c Response Rate: Percentage of Patients Achieving Glycosylated Haemoglobin A1c (HbA1c) < 7% at Study Endpoint (End of Treatment Period)
(NCT00851903)
Timeframe: study endpoint: week 12 or earlier in case of premature discontinuation
Intervention | percentage of participants (Number) |
---|
Combination Insulin Glargine and Sitagliptin | 51.9 |
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Number of Patients With at Least One Episode of Symptomatic Hypoglycemia
Symptomatic hypoglycemia was defined as an event with clinical symptoms that were considered to result from hypoglycemia confirmed or not by a plasma glucose measurement <= 70mg/dL [3.9 mmol/L] (NCT00851903)
Timeframe: During the treatment period (12 weeks) plus 7 days after last dose
Intervention | participants (Number) |
---|
Combination Insulin Glargine and Sitagliptin | 40 |
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Self-Monitored Fasting Plasma Glucose (SMFPG) Mean : Change From Baseline to Study Endpoint
"SMFPG mean = mean of the fasting plasma glucose values recorded on the 6 consecutive days before the visit (at least 3 values needed).~Change = study endpoint - baseline." (NCT00851903)
Timeframe: baseline, study endpoint: week 12 or week 8 if value not available at week 12
Intervention | mg/dL (Mean) |
---|
Combination Insulin Glargine and Sitagliptin | -35.43 |
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7-point Plasma Glucose Profile: Change From Baseline to Study Endpoint
"7-point plasma glucose recorded before and after breakfast, before and after lunch, before and after dinner and at bedtime.~Change = study endpoint - baseline." (NCT00851903)
Timeframe: baseline, study endpoint: week 12 or week 8 if value not available at week 12
Intervention | mg/dL (Mean) |
---|
| Before breakfast (N=104) | After breakfast (N=103) | Before lunch (N=104) | After lunch (N=104) | Before dinner (N=103) | After dinner (N=100) | At bedtime (N=93) |
---|
Combination Insulin Glargine and Sitagliptin | -34.2 | -34.1 | -26.6 | -26.5 | -25.1 | -24.9 | -35.2 |
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Insulin Dose
Daily dose at the face-to-face visits (NCT00851903)
Timeframe: baseline, week 4, week 8, week 12
Intervention | unit per kg body weight (Mean) |
---|
| Baseline | Week 4 N=110 | Week 8 N=110 | Week 12 |
---|
Combination Insulin Glargine and Sitagliptin | 0.28 | 0.37 | 0.42 | 0.46 |
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Postprandial Glucose Excursion
A 2-hour postprandial glucose excursion was measured for 3 meals over 3 days during each treatment cycle (3 days during Week 14 of the first treatment cycle and 3 days during Week 26 of the second treatment cycle). For each of the 3 days, the mealtime (breakfast, lunch, and dinner) excursions were calculated as the post-meal glucose value minus the pre-meal value as determined by 8-point glucose monitoring. The average of all excursions over the 3 days for the corresponding treatment cycle is presented. (NCT00883558)
Timeframe: Week 14 and Week 26
Intervention | milligrams per deciliter (mg/dL) (Mean) |
---|
INSULIN-PH20 NP | 17.23 |
Insulin Lispro | 14.47 |
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Time Spent With Blood Glucose Value Outside a 71-139 Milligrams Per Deciliter (mg/dL) Range During Continuous Glucose Monitoring
Participants were provided a continuous glucose monitoring (CGM) device, consisting of a sensor, transmitter, and receiver. Total time the participant's blood glucose was outside the 71-139 mg/dL range during 3 days of CGM during each treatment cycle (3 days during Week 14 of the first treatment cycle and 3 days during Week 26 of the second treatment cycle) is presented. (NCT00883558)
Timeframe: Week 14 and Week 26
Intervention | hours (Mean) |
---|
INSULIN-PH20 NP | 14.58 |
Insulin Lispro | 13.37 |
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Number of Participants With Hypoglycemic Events
The number of participants with at least one hypoglycemic event (HE) reported during the entire study is presented. Additionally, the number of participants with severe HEs (those that necessitated administration of carbohydrate or glucagon, or resuscitation, by another person) is also presented. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT00883558)
Timeframe: Baseline through Week 29
Intervention | participants (Number) |
---|
| Overall | Severe HE |
---|
Insulin Lispro | 43 | 0 |
,INSULIN-PH20 NP | 45 | 2 |
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Glycaemic Control as Measured by Plasma Glucose (9-point Self-measured Profiles)
Plasma glucose measured: before breakfast, 2 hours after breakfast, before lunch, 2 hours after lunch, before dinner, 2 hours after dinner, bedtime and at 3 am. (NCT00909480)
Timeframe: Week 26
Intervention | mmol/L (Mean) |
---|
| Before breakfast (N=200, N=197) | 2 hours after breakfast (N=192, N=188) | Before Lunch (N=193, N=189) | 2 hours After Lunch (N=194, N=186) | Before Dinner (N=194, N=186) | 2 hours after dinner (N=192, N=190) | Bedtime (N=190, N=183) | At 3AM (N=193, N=186) | Before Breakfast Next Day (N=197, N=195) |
---|
IDet | 5.8 | 9.1 | 7.2 | 9.7 | 8.2 | 10.3 | 9.5 | 6.6 | 5.7 |
,IGlar | 5.9 | 8.7 | 6.6 | 8.8 | 7.5 | 9.8 | 9 | 6.3 | 5.6 |
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Fasting Plasma Glucose (FPG)
(NCT00909480)
Timeframe: Week 26
Intervention | mmol/L (Mean) |
---|
IDet | 6.22 |
IGlar | 6.09 |
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Hypoglycaemic Episodes, Nocturnal
Number of hypoglycaemic episodes from Week 0 to Week 26, defined as major, minor, or symptoms only. Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. Symptoms only if able to treat her/himself and no plasma glucose measurement or plasma glucose higher than or equal to 3.1 mmol/L. (NCT00909480)
Timeframe: Weeks 0-26
Intervention | episodes (Number) |
---|
| Major | Minor | Symptoms only |
---|
IDet | 0 | 39 | 76 |
,IGlar | 0 | 30 | 61 |
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"Number of Subjects Having the Adverse Event Incorrect Dose Administered"
"Number of subjects having the adverse event incorrect dose administered within the system organ class Injury, poisoning and procedural complications" (NCT00909480)
Timeframe: Weeks 0-26
Intervention | Subjects (Number) |
---|
IDet | 12 |
IGlar | 24 |
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Change in Body Weight From Baseline
(NCT00909480)
Timeframe: Week 0, Week 26
Intervention | kg (Mean) |
---|
IDet | -0.49 |
IGlar | 1 |
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Change in HbA1c From Baseline
(NCT00909480)
Timeframe: Week 0, Week 26
Intervention | percentage point change (Mean) |
---|
IDet | -0.48 |
IGlar | -0.74 |
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Hypoglycaemic Episodes, Diurnal
Number of hypoglycaemic episodes from Week 0 to Week 26, defined as major, minor, or symptoms only. Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. Symptoms only if able to treat her/himself and no plasma glucose measurement or plasma glucose higher than or equal to 3.1 mmol/L. (NCT00909480)
Timeframe: Weeks 0-26
Intervention | episodes (Number) |
---|
| Major | Minor | Symptoms only |
---|
IDet | 0 | 75 | 128 |
,IGlar | 2 | 118 | 222 |
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Hypoglycemic Episodes, Unclassifiable
Number of hypoglycaemic episodes from Week 0 to Week 26, defined as major, minor, or symptoms only. Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. Symptoms only if able to treat her/himself and no plasma glucose measurement or plasma glucose higher than or equal to 3.1 mmol/L. (NCT00909480)
Timeframe: Weeks 0-26
Intervention | episodes (Number) |
---|
| Major | Minor | Symptoms only |
---|
IDet | 0 | 5 | 6 |
,IGlar | 0 | 8 | 16 |
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Incidence of Hypoglycaemic Episodes During the Trial
Number of hypoglycaemic episodes from Week 0 to Week 26, defined as major, minor, or symptoms only. Major if unable to treat her/himself. Minor if able to treat her/himself and plasma glucose below 3.1 mmol/L. Symptoms only if able to treat her/himself and no plasma glucose measurement or plasma glucose higher than or equal to 3.1 mmol/L. (NCT00909480)
Timeframe: Weeks 0-26
Intervention | episodes (Number) |
---|
| All Events | Major | Minor | Symptoms only |
---|
IDet | 329 | 0 | 119 | 210 |
,IGlar | 457 | 2 | 156 | 299 |
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Percentage of Subjects Achieving HbA1c Less Than or Equal to 6.5%
The percentage of subjects - overall and by previous OAD treatment - meeting the HbA1c of 6.5% or less (NCT00909480)
Timeframe: Week 26
Intervention | percentage (%) of subjects (Number) |
---|
| Metformin monotherapy | Metformin+TZD | Metformin+2nd OAD other than TZD | All |
---|
IDet | 22 | 13 | 5 | 11 |
,IGlar | 30 | 13 | 17 | 21 |
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Percentage of Subjects Achieving HbA1c Less Than or Equal to 7.0%
The percentage of subjects - overall and by previous OAD treatment - meeting the HbA1c less than or equal to 7% (NCT00909480)
Timeframe: Week 26
Intervention | percentage of subjects (Number) |
---|
| Metformin monotherapy | Metformin+TZD | Metformin+2nd OAD other than TZD | All |
---|
IDet | 55 | 40 | 31 | 38 |
,IGlar | 70 | 40 | 47 | 53 |
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Percentage of Subjects Achieving HbA1c of 6.5% or Less With no Hypoglycaemia
The subjects must have reached target and not have experienced any confirmed symptomatic hypoglycaemia or any confirmed major hypoglycaemia within the last 30 days of treatment. (NCT00909480)
Timeframe: Week 26
Intervention | percentage (%) of subjects (Number) |
---|
| Metformin monotherapy | Metformin+TZD | Metformin+2nd OAD other than TZD | All |
---|
IDet | 22 | 7 | 3 | 9 |
,IGlar | 21 | 13 | 13 | 15 |
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Percentage of Subjects Achieving HbA1c of 7% or Less With no Hypoglycaemia
The subjects must have reached target and not have experienced any confirmed symptomatic hypoglycaemia or any confirmed major hypoglycaemia within the last 30 days of treatment. (NCT00909480)
Timeframe: Week 26
Intervention | percentage (%) of subjects (Number) |
---|
| Metformin monotherapy | Metformin+TZD | Metformin+2nd OAD other than TZD | All |
---|
IDet | 48 | 33 | 25 | 32 |
,IGlar | 52 | 33 | 33 | 38 |
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Within-subject Variation of Self Measured Plasma Glucose (SMPG) Before Breakfast
The median values of the sample standard variation (the within subject variation) within the IDet and IGlar arms were plotted against time. (NCT00909480)
Timeframe: Week 26
Intervention | mmol/L (Median) |
---|
| Metformin Monotherapy | Metformin+TZD | Metformin+2nd OAD other than TZD | Overall |
---|
IDet | 0.48 | 0.72 | 0.6 | 0.57 |
,IGlar | 0.67 | 0.84 | 0.71 | 0.71 |
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Average Blood Glucose Over 6 Days
Participants have their blood glucose measured daily for six days. The average blood glucose measure over all six days is compared between the two treatment cohorts. (NCT00911625)
Timeframe: 6 Days
Intervention | milligrams per deciliter (Mean) |
---|
0.5 Units/kg | 174 |
0.25 Units/kg | 174.5 |
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Assessment on Event Rate of Treatment-emergent Minor Hypoglycemic Events
Minor confirmed hypoglycemia was defined as any event a patient felt that he or she was experiencing a sign or symptom associated with hypoglycemia that resolved by self-treatment or on its own, and a concurrent self-monitoring fingerstick blood glucose <3.0 mmol/L (54 mg/dL) and not classified as major hypoglycemia. Event rate per subject year was calculated for each subject: (number of events observed from a subject/exposure from a subject)*365.25 where exposure = last postbaseline visit date - baseline visit date. Mean and SE were then derived from FAS. (NCT00935532)
Timeframe: Baseline to Week 26
Intervention | events per subject-year (Mean) |
---|
Exenatide Once Weekly | 0.01 |
Insulin Glargine | 0.16 |
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Change in Fasting Serum Glucose (FSG) From Baseline to Endpoint (Week 26)
Change in FSG (centralized measurement) from baseline to endpoint (Week 26) (NCT00935532)
Timeframe: Baseline, Week 26
Intervention | mg/dL (Least Squares Mean) |
---|
Exenatide Once Weekly | -46.09 |
Insulin Glargine | -40.82 |
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Change in HbA1c From Baseline to Endpoint (Week 26)
Change in HbA1c from baseline to endpoint (Week 26). (NCT00935532)
Timeframe: Baseline, Week 26
Intervention | percentage of total hemoglobin (Least Squares Mean) |
---|
Exenatide Once Weekly | -1.11 |
Insulin Glargine | -0.68 |
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Change in High-density Lipoprotein Cholesterol (HDL-C) From Baseline to Endpoint (Week 26)
Change in HDL-C from baseline to endpoint (Week 26) (NCT00935532)
Timeframe: Baseline, Week 26
Intervention | mg/dL (Least Squares Mean) |
---|
Exenatide Once Weekly | -0.99 |
Insulin Glargine | -0.71 |
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Change in Total Cholesterol From Baseline to Endpoint (Week 26)
Change in Total Cholesterol from baseline to endpoint (Week 26) (NCT00935532)
Timeframe: Baseline, Week 26
Intervention | mg/dL (Least Squares Mean) |
---|
Exenatide Once Weekly | -14.21 |
Insulin Glargine | -6.32 |
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Percentage of Subjects Achieving HbA1c<=6.5%
Percentage of subjects achieving HbA1c <=6.5% (for subjects with HbA1c >6.5% at baseline) (NCT00935532)
Timeframe: Baseline, Week 26
Intervention | percentage of subjects (Number) |
---|
Exenatide Once Weekly | 20.6 |
Insulin Glargine | 4.2 |
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Percentage of Subjects Achieving HbA1c<=7%
Percentage of subjects achieving HbA1c <=7.0% (for subjects with HbA1c >7% at baseline) (NCT00935532)
Timeframe: Baseline, Week 26
Intervention | percentage of subjects (Number) |
---|
Exenatide Once Weekly | 42.2 |
Insulin Glargine | 21.0 |
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Change in Blood Pressure From Baseline to Endpoint (Week 26)
Change in Blood Pressure from baseline to endpoint (Week 26) (NCT00935532)
Timeframe: Baseline, Week 26
Intervention | mmHg (Mean) |
---|
| Systolic Blood Pressure | Diastolic Blood Pressure |
---|
Exenatide Once Weekly | -4.5 | -1.1 |
,Insulin Glargine | -2.6 | -2.5 |
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Change in Body Weight From Baseline to Endpoint (Week 26)
Change in Body Weight from baseline to endpoint (Week 26) (NCT00935532)
Timeframe: Baseline, Week 26
Intervention | kg (Least Squares Mean) |
---|
Exenatide Once Weekly | -1.67 |
Insulin Glargine | 0.34 |
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Ratio of Fasting Triglycerides at Endpoint (Week 26) to Baseline
Ratio of Triglycerides (measured in mg/dL) at endpoint (Week 26) to Baseline. Log(Postbaseline Triglycerides) - log(Baseline Triglycerides); change from baseline to endpoint is presented as ratio of endpoint to baseline. (NCT00935532)
Timeframe: Baseline, Week 26
Intervention | ratio (Least Squares Mean) |
---|
Exenatide Once Weekly | 1.00 |
Insulin Glargine | 1.00 |
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Assessment on Event Rate of Treatment-emergent Major Hypoglycemic Events
Major confirmed hypoglycemia was defined as (1) any event accompanying symptoms consistent with hypoglycemia that resulted in loss of consciousness or seizure but resolved promptly in response to administration of glucagon or (2) glucose, or documented hypoglycemia (blood glucose <3.0 mmol/L [54 mg/dL]) requiring assistance because of severe impairment in consciousness or motor activity whether or not symptoms of hypoglycemia were felt by the patient. Event rate per subject year was calculated for each subject: (number of events observed from a subject/exposure from a subject)*365.25 where exposure = last postbaseline visit date - baseline visit date. Mean and SE were then derived from FAS. (NCT00935532)
Timeframe: Baseline to Week 26
Intervention | events per subject-year (Mean) |
---|
Exenatide Once Weekly | 0.00 |
Insulin Glargine | 0.00 |
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Extension Trial (Primary Endpoint): Rate of Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. (NCT00972283)
Timeframe: Week 0 to Week 78 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD | 1039 |
IGlar OD | 1271 |
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Rate of Treatment Emergent Adverse Events (AEs)
Corresponds to rate of AEs per 100 patient years of exposure. Mild AEs: no or transient symptoms, no interference with subject's daily activities. Moderate AEs: marked symptoms, moderate interference with subject's daily activities. Severe AEs: considerable interference with subject's daily activities, unacceptable. Serious adverse event (SAE): AE that at any dose results in any of the following: death, a life-threatening experience, in-subject hospitalization/prolongation of existing hospitalisation, persistent/significant disability/incapacity/congenital anomaly/birth defect. (NCT00972283)
Timeframe: Week 0 to Week 78 + 7 days follow up
Intervention | Events/100 years of patient exposure (Number) |
---|
| Adverse events (AEs) | Serious AE | Severe AE | Moderate AE | Mild AE | Fatal AE |
---|
IDeg OD | 411 | 20 | 24 | 113 | 274 | 1 |
,IGlar OD | 403 | 20 | 20 | 118 | 266 | 1 |
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Extension Trial (Secondary Endpoint): Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 78
Mean of the SMPG at 78 weeks of treatment. Plasma glucose measured: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner, bedtime, at 4 am, before breakfast. (NCT00972283)
Timeframe: Week 78
Intervention | mmol/L (Mean) |
---|
IDeg OD | 7.2 |
IGlar OD | 6.8 |
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Main Trial (Secondary Endpoint): Rate of Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. (NCT00972283)
Timeframe: Week 0 to Week 52 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD | 1109 |
IGlar OD | 1363 |
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Extension Trial (Primary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. Nocturnal hypoglycaemic episodes are defined as occurring between 00:01 and 05:59 a.m. (NCT00972283)
Timeframe: Week 0 to Week 78 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD | 134 |
IGlar OD | 176 |
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Main Trial (Primary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 52 Weeks of Treatment
Change from baseline in HbA1c after 52 weeks of treatment (NCT00972283)
Timeframe: Week 0, Week 52
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDeg OD | -1.17 |
IGlar OD | -1.29 |
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Main Trial (Secondary Endpoint): Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 52
Mean of 9-point SMPG at 52 weeks of treatment. Plasma glucose measured: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner, bedtime, at 4 am and before breakfast. (NCT00972283)
Timeframe: Week 52
Intervention | mmol/L (Mean) |
---|
IDeg OD | 7.3 |
IGlar OD | 6.9 |
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Main Trial (Secondary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. Nocturnal hypoglycaemic episodes are defined as occurring between 00:01 and 05:59 a.m. (NCT00972283)
Timeframe: Week 0 to Week 52 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD | 139 |
IGlar OD | 184 |
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Extension Trial (Secondary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 78 Weeks of Treatment
Change from baseline in HbA1c after 78 weeks of treatment (NCT00972283)
Timeframe: Week 0, Week 78
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDeg OD | -0.95 |
IGlar OD | -1.15 |
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24
Change was calculated by subtracting baseline value from Week 24 value. The on-treatment period for this efficacy variable is the time from the first dose of study drug up to 1 day after the last dose of study drug or up to the introduction of rescue therapy, whichever is the earliest. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00975286)
Timeframe: Baseline, Week 24
Intervention | mmol/L (Least Squares Mean) |
---|
Placebo | 0.46 |
Lixisenatide | 0.34 |
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Change From Baseline in Body Weight at Week 24
Change was calculated by subtracting baseline value from Week 24 value. The on-treatment period for this efficacy variable is the time from the first dose of study drug up to 3 days after the last dose of study drug or up to the introduction of rescue therapy, whichever is the earliest. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00975286)
Timeframe: Baseline, Week 24
Intervention | kilogram (Least Squares Mean) |
---|
Placebo | 1.16 |
Lixisenatide | 0.28 |
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Change From Baseline in Average Insulin Glargine Daily Dose at Week 24
Change was calculated by subtracting the baseline value from Week 24 value. The on-treatment period for this efficacy variable is the time from the first dose of study drug up to the last dosing day of study drug or up to the introduction of rescue therapy, whichever is the earliest. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00975286)
Timeframe: Baseline, Week 24
Intervention | units per day (Least Squares Mean) |
---|
Placebo | 5.34 |
Lixisenatide | 3.10 |
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Change From Baseline in Average 7-Point Self Monitored Plasma Glucose (SMPG) Profile at Week 24
Patients recorded a 7-point plasma glucose profile measured before and 2 hours after each meal and at bedtime once in a week and the average value for the 7-time points was calculated. The on-treatment period for this efficacy variable is the time from the first dose of study drug up to the last dosing day of study drug or up to the introduction of rescue therapy, whichever is the earliest. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00975286)
Timeframe: Baseline, Week 24
Intervention | mmol/L (Least Squares Mean) |
---|
Placebo | -0.08 |
Lixisenatide | -0.47 |
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Change From Baseline in 2-Hour Postprandial Plasma Glucose (PPG) at Week 24
The 2-hour PPG test measured blood glucose 2 hours after eating a standardized meal. Change was calculated by subtracting baseline value from Week 24 value. The on-treatment period for this efficacy variable is the time from the first dose of study drug up to the last dosing day of study drug or up to the introduction of rescue therapy, whichever is the earliest. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00975286)
Timeframe: Baseline, Week 24
Intervention | mmol/L (Least Squares Mean) |
---|
Placebo | 0.08 |
Lixisenatide | -3.09 |
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Absolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24
Absolute change = HbA1c value at Week 24 minus HbA1c value at baseline. The on-treatment period for this efficacy variable is the time from the first dose of study drug up to 14 days after the last dose of study drug or up to the introduction of rescue therapy, whichever is the earliest. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00975286)
Timeframe: Baseline, Week 24
Intervention | percentage of hemoglobin (Least Squares Mean) |
---|
Placebo | -0.40 |
Lixisenatide | -0.71 |
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Number of Patients With Symptomatic Hypoglycemia and Severe Symptomatic Hypoglycemia
Symptomatic hypoglycemia was an event with clinical symptoms that were considered to result from a hypoglycemic episode with an accompanying plasma glucose less than 60 mg/dL (3.3 mmol/L) or associated with prompt recovery after oral carbohydrate, intravenous glucose, or glucagon administration if no plasma glucose measurement was available. Severe symptomatic hypoglycemia was symptomatic hypoglycemia event in which the patient required the assistance of another person and was associated with either a plasma glucose level below 36 mg/dL (2.0 mmol/L) or prompt recovery after oral carbohydrate, intravenous glucose, or glucagon administration, if no plasma glucose measurement was available. (NCT00975286)
Timeframe: First dose of study drug up to 3 days after the last dose administration
Intervention | participants (Number) |
---|
| Symptomatic hypoglycemia | Severe symptomatic hypoglycemia |
---|
Lixisenatide | 50 | 1 |
,Placebo | 30 | 0 |
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Percentage of Patients With Glycosylated Hemoglobin (HbA1c) Level Less Than or Equal to 6.5% at Week 24
The on-treatment period for this efficacy variable is the time from the first dose of study drug up to 14 days after the last dose of study drug or up to the introduction of rescue therapy, whichever is the earliest. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00975286)
Timeframe: Week 24
Intervention | percentage of participants (Number) |
---|
Placebo | 16.3 |
Lixisenatide | 32.1 |
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Percentage of Patients With Glycosylated Hemoglobin (HbA1c) Level Less Than 7% at Week 24
The on-treatment period for this efficacy variable is the time from the first dose of study drug up to 14 days after the last dose of study drug or up to the introduction of rescue therapy, whichever is the earliest. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00975286)
Timeframe: Week 24
Intervention | percentage of participants (Number) |
---|
Placebo | 38.5 |
Lixisenatide | 56.3 |
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Percentage of Patients With at Least 5% Weight Loss From Baseline at Week 24
The on-treatment period for this efficacy variable is the time from the first dose of study drug up to 3 days after the last dose of study drug or up to the introduction of rescue therapy, whichever is the earliest. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00975286)
Timeframe: Baseline, Week 24
Intervention | percentage of participants (Number) |
---|
Placebo | 3.2 |
Lixisenatide | 5.1 |
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Change From Baseline in Treatment Satisfaction Score (Sum of Items 1, 4, 5, 6, 7 and 8 of DTSQ) at Week 24
Change was calculated by subtracting baseline value from Week 24 value. DTSQ: 8-item questionnaire to assess treatment satisfaction and patient perception of hyper and hypoglycemia. Each question (Q) scored on a Likert scale from 0 to 6. Six items (Q1 and 4-8; higher score = more satisfaction) measured treatment satisfaction and were summed to calculate treatment satisfaction score which ranged from 0 (very dissatisfied) to 36 (very satisfied). Two items (Q2 and 3), which were not included, measured perceived hyperglycemia and hypoglycemia, respectively and lower scores represented good perceived blood glucose control. The on-treatment period for this efficacy variable is the time from the first dose of study drug up to 3 days after the last dose of study drug or up to the introduction of rescue therapy, whichever is the earliest. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00975286)
Timeframe: Baseline, Week 24
Intervention | units on a scale (Least Squares Mean) |
---|
Placebo | 0.65 |
Lixisenatide | 0.88 |
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Change From Baseline in Glucose Excursion at Week 24
Glucose excursion = 2-hour PPG minus plasma glucose 30 minutes prior to the standardized meal test, before study drug administration. Change was calculated by subtracting baseline value from Week 24 value. The on-treatment period for this efficacy variable is the time from the first dose of study drug up to the last dosing day of study drug or up to the introduction of rescue therapy, whichever is the earliest. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00975286)
Timeframe: Baseline, Week 24
Intervention | mmol/L (Least Squares Mean) |
---|
Placebo | -0.33 |
Lixisenatide | -3.42 |
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Percentage of Patients Requiring Rescue Therapy During the Double-blind Period
Routine fasting SMPG, central laboratory FPG and HbA1c values were used to determine the requirement of rescue medication. If fasting SMPG value exceeded the specified limit for 3 consecutive days, the central laboratory FPG and HbA1c were performed. Threshold values - from baseline to Week 8: fasting SMPG/FPG >200 milligram/deciliter (mg/dL) (11.1 mmol/L) or HbA1c >9%, from Week 8 to Week 24: fasting SMPG/FPG >180 mg/dL (10.0 mmol/L) or HbA1c >8.5%. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required. (NCT00975286)
Timeframe: Baseline up to Week 24
Intervention | percentage of participants (Number) |
---|
Placebo | 0.4 |
Lixisenatide | 0.4 |
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Change From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 26
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. The BL HbA1c value is defined as the last non-missing value before the start of treatment. Change from BL was calculated as the value at Week 26 minus the value at BL. The analysis was performed using an Analysis of Covariance (ANCOVA) model with treatment group, region, history of prior myocardial infarction (yes versus no), and age category (<65 years versus ≥65 years) as factors and Baseline HbA1c as a continuous covariate.The last observation carried forward (LOCF) method was used to impute missing post-BL HbA1c values; the last non-missing post-BL on-treatment measurement was used to impute the missing measurement. HbA1c values obtained after hyperglycemic rescue were treated as missing and were replaced with pre-rescue values. (NCT00976391)
Timeframe: Baseline and Week 26
Intervention | Percentage of HbA1c in the blood (Least Squares Mean) |
---|
Albiglutide 30 mg With Insulin Glargine | -0.82 |
Preprandial Lispro Insulin With Insulin Glargine | -0.66 |
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Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 36, 48 and 52
The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline FPG minus the Baseline FPG. This analysis used observed FPG values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. (NCT00976391)
Timeframe: Baseline and Weeks 36, 48 and 52
Intervention | Millimoles per liter (mmol/L) (Mean) |
---|
| Week 36, n=171, 182 | Week 48, n=131, 151 | Week 52, n=121, 139 |
---|
Albiglutide 30 mg With Insulin Glargine | -1.41 | -1.13 | -1.36 |
,Preprandial Lispro Insulin With Insulin Glargine | -0.91 | -1.07 | -0.97 |
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Change From Baseline in Body Weight at Weeks 36, 48 and 52
The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. This analysis used observed body weight values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. (NCT00976391)
Timeframe: Baseline and Weeks 36, 48 and 52
Intervention | Kilograms (Mean) |
---|
| Week 36, n=172, 182 | Week 48, n=142, 153 | Week 52, n=122, 141 |
---|
Albiglutide 30 mg With Insulin Glargine | -0.42 | -0.60 | -0.70 |
,Preprandial Lispro Insulin With Insulin Glargine | 1.31 | 1.56 | 1.44 |
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Time to Hyperglycemia Rescue
Participants who experienced persistent hyperglycemia (high blood glucose) could have qualified for hyperglycemia rescue. The conditions for hyperglycemia rescue were as follows: HbA1c >9.0% and <0.5% decrease from Baseline between >=Week 4 and 9.0% and <0.5% decrease from Baseline between >=Week 8 and 8.5% and >=4 weeks since uptitration between >=Week 12 and 8.0% and >=4 weeks since uptitration; HbA1c >7.5% and >=4 weeks between >Week 26 and >=Week 48 since uptitration. Participants could have been rescued at any time after Week 4. Time to hyperglycemia rescue is the time between the date of first dose and the date of hyperglycemia rescue plus 1 day, or the time between the date of first dose and the date of last visit during active treatment period plus 1 day for participants not requiring rescue. This time is divided by 7 to express the result in weeks. (NCT00976391)
Timeframe: From the start of study medication until the end of the treatment (up to Week 52)
Intervention | Weeks (Median) |
---|
Albiglutide 30 mg With Insulin Glargine | NA |
Preprandial Lispro Insulin With Insulin Glargine | NA |
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26
The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. The LOCF method was used to impute missing post-Baseline FPG values. FPG values obtained after hyperglycemia rescue were treated as missing and replaced with pre-rescue values. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Based on ANCOVA: change = treatment + Baseline FPG + Baseline HbA1c category + region (NCT00976391)
Timeframe: Baseline and Week 26
Intervention | Millimoles per liter (mmol/L) (Least Squares Mean) |
---|
Albiglutide 30 mg With Insulin Glargine | -0.99 |
Preprandial Lispro Insulin With Insulin Glargine | -0.71 |
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Change From Baseline in Body Weight at Week 26
The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. The LOCF method was used to impute missing post-Baseline weight values. Weight values obtained after hyperglycemia rescue were treated as missing and replaced with prerescue values. Based on ANCOVA: change = treatment + Baseline weight + Baseline HbA1c category + prior myocardial infarction history + age category + region + current oral antidiabetic therapy. (NCT00976391)
Timeframe: Baseline and Week 26
Intervention | Kilograms (Least Squares Mean) |
---|
Albiglutide 30 mg With Insulin Glargine | -0.73 |
Preprandial Lispro Insulin With Insulin Glargine | 0.81 |
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Number of Participants Who Achieved HbA1c Response Level of <6.5% and <7.0% at Week 26
The number of participants who acheieved the HbA1c treatment goal (i.e., HbA1c response levels of <6.5% and <7.0% at Week 26) were assessed. (NCT00976391)
Timeframe: Week 26
Intervention | Participants (Number) |
---|
| HbA1c <6.5 % | HbA1c <7.0 % |
---|
Albiglutide 30 mg With Insulin Glargine | 31 | 83 |
,Preprandial Lispro Insulin With Insulin Glargine | 23 | 70 |
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Change From Baseline in HbA1c at Weeks 36, 48 and 52
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. Baseline is defined as the last available assessment on or prior to the first dose of study drug. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. This analysis used observed HbA1c values, excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. (NCT00976391)
Timeframe: Baseline and Weeks 36, 48 and 52
Intervention | Percentage of HbA1c in the blood (Mean) |
---|
| Week 36, n=173, 182 | Week 48, n=140, 153 | Week 52, n=121, 141 |
---|
Albiglutide 30 mg With Insulin Glargine | -1.04 | -0.97 | -1.01 |
,Preprandial Lispro Insulin With Insulin Glargine | -0.88 | -0.81 | -0.84 |
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Number of Patients With Hypoglycemia Events (Blood Glucose Levels < 70 mg/dL) During Their Hospital Stay That Are Treated With Basal Plus, Basal-bolus and SSRI Treatments
Effective Glycemic control is also assessed by number of hypoglycemia events among the patients treated with Basal plus, basal-bolus and SSRI treatments. Hypoglycemia event is defined as blood glucose levels <70 mg/dL. Number of patients with hypoglycemia episodes that are treated with Basal plus, basal-bolus and SSRI treatment regimens during their hospital stay are examined and compared. (NCT00979628)
Timeframe: During hospital stay, up to 12 days
Intervention | participants (Number) |
---|
Basal Bolus | 23 |
Basal Plus Regimen | 17 |
Sliding Scale Regular Insulin (SSRI) | 2 |
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Mean Blood Glucose Levels (Measured in mg/dL) at Randomization Are Compared to Mean Blood Glucose Levels After First Day of Treatment Among Subjects Treated With Basal Plus, Basal -Bolus and SSRI Treatments
The primary outcome is to determine the effective glycemic control among the subjects that received Basal Plus (glargine once daily plus corrective doses of glulisine before meals and bedtime as needed), Basal Bolus approach of glargine once daily plus corrective doses of glulisine before meals and Sliding Scale Regular Insulin (SSRI). Glycemic control is measured by mean blood glucose(BG) levels in mg/dL after first day of treatment and are compared to mean BG levels at randomization among subjects treated with Basal Plus, Basal -bolus and SSRI treatments. The optimal glycemic control is achieved when BG levels are between 70 mg/dL -140 mg/dL. The BG levels levels below 70 mg/dL are regarded as hypoglycemic events. The BG levels levels above 140 mg/dl are considered elevated and Hyperglycemia defined as a fasting BG >126 mg/dl or random BG >200 mg/dl on two or more occasions). (NCT00979628)
Timeframe: Randomization and 24 hrs after treatment
Intervention | mg/dL (Mean) |
---|
| Randomization | After first day of therapy |
---|
Basal Bolus | 200 | 156 |
,Basal Plus Regimen | 194 | 163 |
,Sliding Scale Regular Insulin (SSRI) | 187 | 172 |
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Extension Trial (Primary Endpoint): Rate of Treatment Emergent Adverse Events (AEs)
Corresponds to rate of AEs per 100 patient years of exposure. Severity assessed by investigator. Mild: no or transient symptoms, no interference with subject's daily activities. Moderate: marked symptoms, moderate interference with subject's daily activities. Severe: considerable interference with subject's daily activities, unacceptable. Serious AE: AE that at any dose results in any of the following: death, a life-threatening experience, in-subject hospitalization/prolongation of existing hospitalisation, persistent/significant disability/incapacity/congenital anomaly/birth defect. (NCT00982228)
Timeframe: Week 0 to Week 104 + 7 days follow up
Intervention | Events/100 years of patient exposure (Number) |
---|
| Adverse events (AE) | Serious AE | Severe AE | Moderate AE | Mild AE | Fatal AE |
---|
IDeg OD | 383 | 14 | 22 | 105 | 256 | 1 |
,IGlar OD | 374 | 17 | 26 | 106 | 242 | 1 |
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Main Trial (Secondary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. Nocturnal hypoglycaemic episodes are defined as occuring between 00:01 and 05:59 a.m. (NCT00982228)
Timeframe: Week 0 to Week 52 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD | 441 |
IGlar OD | 586 |
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Main Trial (Secondary Endpoint): Rate of Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. (NCT00982228)
Timeframe: Week 0 to Week 52 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD | 4254 |
IGlar OD | 4018 |
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Main Trial (Secondary Endpoint): Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 52
Mean of 9-point self-measured plasma glucose profile (SMPG) after 52 weeks of treatment. Plasma glucose measured: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner, bedtime, at 4 am and before breakfast. (NCT00982228)
Timeframe: Week 52
Intervention | mmol/L (Mean) |
---|
IDeg OD | 8.1 |
IGlar OD | 8.3 |
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Main Trial (Primary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 52 Weeks of Treatment
Change from baseline in HbA1c after 52 weeks of treatment (NCT00982228)
Timeframe: Week 0, Week 52
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDeg OD | -0.40 |
IGlar OD | -0.39 |
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Extension Trial (Secondary Endpoint): Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 104 of Treatment
Mean of 9-point self-measured plasma glucose profile (SMPG) after 104 weeks of treatment. Plasma glucose measured: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner, bedtime, at 4 am and before breakfast. (NCT00982228)
Timeframe: Treatment week 104
Intervention | mmol/L (Mean) |
---|
IDeg OD | 8.0 |
IGlar OD | 8.1 |
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Extension Trial (Secondary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 104 Weeks of Treatment
Change from baseline in HbA1c after 104 weeks of treatment (NCT00982228)
Timeframe: Week 0, Week 104
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDeg OD | -0.27 |
IGlar OD | -0.24 |
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Extension Trial (Primary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. Nocturnal hypoglycaemic episodes are defined as occuring between 00:01 and 05:59 a.m. (NCT00982228)
Timeframe: Week 0 to Week 104 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD | 390 |
IGlar OD | 532 |
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Extension Trial (Primary Endpoint): Rate of Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. (NCT00982228)
Timeframe: Week 0 to Week 104 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD | 3750 |
IGlar OD | 3743 |
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Extension Trial (Primary Endpoint): Cross-reacting Antibodies to Human Insulin
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 and after a 1-week wash-out period. (NCT00982228)
Timeframe: Week 0, Week 106
Intervention | %B/T (Mean) |
---|
IDeg OD | 11.3 |
IGlar OD | 11.0 |
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Main Trial (Secondary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. Nocturnal hypoglycaemic episodes are defined as occurring between 00:01 and 05:59 a.m. (NCT00982644)
Timeframe: Week 0 to Week 52 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD | 25 |
IGlar OD | 39 |
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Main Trial (Secondary Endpoint): Rate of Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. (NCT00982644)
Timeframe: Week 0 to Week 52 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD | 152 |
IGlar OD | 185 |
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Main Trial (Secondary Endpoint): Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 52
Mean of 9-point SMPG at 52 weeks of treatment. Plasma glucose measured: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner, bedtime, at 4 am and before breakfast. (NCT00982644)
Timeframe: Week 52
Intervention | mmol/L (Mean) |
---|
IDeg OD | 7.7 |
IGlar OD | 7.7 |
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Main Trial (Primary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 52 Weeks of Treatment
Change from baseline in HbA1c after 52 weeks of treatment (NCT00982644)
Timeframe: Week 0, Week 52
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDeg OD | -1.06 |
IGlar OD | -1.19 |
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Extension Trial (Secondary Endpoint): Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 104
Mean of 9-point SMPG at 104 weeks of treatment. Plasma glucose measured: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner, bedtime, at 4 am and before breakfast. (NCT00982644)
Timeframe: Week 104
Intervention | mmol/L (Mean) |
---|
IDeg OD | 7.6 |
IGlar OD | 7.6 |
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Extension Trial (Secondary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 104 Weeks of Treatment
Change from baseline in HbA1c after 104 weeks of treatment (NCT00982644)
Timeframe: Week 0, Week 104
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDeg OD | -0.95 |
IGlar OD | -1.11 |
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Extension Trial (Primary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. Nocturnal hypoglycaemic episodes are defined as occurring between 00:01 and 05:59 a.m. (NCT00982644)
Timeframe: Week 0 to Week 104 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD | 27 |
IGlar OD | 46 |
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Extension Trial (Primary Endpoint): Rate of Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. (NCT00982644)
Timeframe: Week 0 to Week 104 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD | 172 |
IGlar OD | 205 |
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Extension Trial (Primary Endpoint): Rate of Treatment Emergent Adverse Events (AEs)
Corresponds to rate of AEs per 100 patient years of exposure. Severity assessed by investigator. Mild: no or transient symptoms, no interference with subject's daily activities. Moderate: marked symptoms, moderate interference with subject's daily activities. Severe: considerable interference with subject's daily activities, unacceptable. Serious AE: AE that at any dose results in any of the following: death, a life-threatening experience, in-subject hospitalization/prolongation of existing hospitalisation, persistent/significant disability/incapacity/congenital anomaly/birth defect. (NCT00982644)
Timeframe: Week 0 to Week 104 + 7 days of follow up
Intervention | Events/100 years of patient exposure (Number) |
---|
| Adverse event (AE) | Serious AE | Severe AE | Moderate AE | Mild AE | Fatal AE |
---|
IDeg OD | 362 | 15 | 14 | 93 | 254 | 0 |
,IGlar OD | 339 | 17 | 17 | 87 | 234 | 1 |
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Percentage of Patients Reaching HbA1c Target of Less Than 7.5% at the End of Treatment Visit
Percentage of patients reaching International Society for Pediatric and Adolescent Diabetes (ISPAD)-recommended goals of Glycosylated Hemoglobin A1c <7.5% at the end of treatment visit. (NCT00993473)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Lantus (Insulin Glargine) | 22.0 |
NPH Insulin | 22.8 |
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Average Daily Blood Glucose (BG) Based on CGMS Values: End of Treatment and Change From Baseline to End of Treatment
(NCT00993473)
Timeframe: baseline, 6 months
Intervention | mmol/L (Mean) |
---|
| Baseline daily BG (N= 61 & 63) | End of treatment daily BG (N= 60 & 63) | Absolute change from baseline (N= 60 & 62) |
---|
Lantus (Insulin Glargine) | 11.263 | 11.085 | -0.218 |
,NPH Insulin | 11.170 | 11.712 | 0.501 |
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Glycosylated Hemoglobin A1c (HbA1c): End of Treatment and Change From Baseline to End of Treatment
(NCT00993473)
Timeframe: baseline, 6 months
Intervention | percent HbA1c (Mean) |
---|
| Baseline HbA1c | End of treatment HbA1c (N = 59 & 57) | Absolute change from baseline (N = 59 & 57) |
---|
Lantus (Insulin Glargine) | 8.023 | 8.071 | 0.036 |
,NPH Insulin | 8.248 | 8.344 | 0.000 |
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Glycosylated Hemoglobin A1c (HbA1c): End of Treatment and Change From Baseline to End of Treatment (ANCOVA Estimates)
Assessed using an analysis of covariance (ANCOVA) model with treatment, and randomization strata (baseline number of CGM hypoglycemic excursions <0.5 events/24hours or ≥0.5 events/24 hours, and baseline HbA1c <8.5% or ≥8.5%) as fixed effects, and using the baseline value as covariate. (NCT00993473)
Timeframe: baseline, 6 months
Intervention | percent HbA1c (Least Squares Mean) |
---|
| End of treatment HbA1c (ANCOVA) | Absolute change from baseline HbA1c (ANCOVA) |
---|
Lantus (Insulin Glargine) | 8.139 | -0.048 |
,NPH Insulin | 8.232 | 0.045 |
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Number of Patients With Different Types of Hypoglycemia Events
Definitions of the different types of hypoglycemia events provided in the outcome measure description of the corresponding event rates. (NCT00993473)
Timeframe: 6 months
Intervention | participants (Number) |
---|
| "Patients with All hypoglycemia" | Patients with symptomatic hypoglycemia | Patients with severe symptomatic hypoglycemia | Patients with nocturnal hypoglycemia | Patients with nocturnal symptomatic hypoglycemia | Patients with severe noct. sympto. hypoglycemia | "Patients with All confirmed low CGMS excursions" | "Patients with All confirmed low FSBG" |
---|
Lantus (Insulin Glargine) | 61 | 40 | 4 | 59 | 17 | 1 | 60 | 61 |
,NPH Insulin | 63 | 44 | 2 | 60 | 28 | 0 | 61 | 63 |
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"Event Rate of All Confirmed Low CGMS Excursions (Individual Component of Primary Endpoint) Defined as the Total Number of Episodes Divided by the Total Duration of the On-treatment Period in Years (Events Per Patient-year)"
"All confirmed low CGMS excursions consisted of all low continuous glucose monitoring system (CGMS) excursions (interstitial glucose <70 mg/dL [3.9 mmol/L]) confirmed by fingerstick blood glucose (FSBG) <70 mg/dL." (NCT00993473)
Timeframe: 6 months
Intervention | events per patient-year (Mean) |
---|
Lantus (Insulin Glargine) | 74.61 |
NPH Insulin | 71.60 |
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"Event Rate of All Confirmed Low FSBG (Individual Component of the Primary Endpoint) Defined as the Total Number of Episodes Divided by the Total Duration of the On-treatment Period in Years (Events Per Patient-year)"
"All confirmed low FSBG consisted of all low FSBG readings (values <70 mg/dL) performed at other times." (NCT00993473)
Timeframe: 6 months
Intervention | events per patient-year (Mean) |
---|
Lantus (Insulin Glargine) | 192.69 |
NPH Insulin | 168.24 |
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"Event Rate of All Hypoglycemia Defined as the Total Number of Episodes Divided by the Total Duration of the On-treatment Period in Years (Events Per Patient-year)"
"The rate of all hypoglycemia was calculated from all hypoglycemia episodes which occurred during the 24-week on-treatment period and consisted of: - symptomatic hypoglycemia episodes validated by the study investigator based on entries in patients' diaries, - low continuous glucose monitoring system (CGMS) excursions (interstitial glucose <70 mg/dL [3.9 mmol/L]) confirmed by fingerstick blood glucose (FSBG) <70 mg/dL, - low FSBG readings (values <70 mg/dL) performed at other times." (NCT00993473)
Timeframe: 6 months
Intervention | number of events per patient-year (Mean) |
---|
Lantus (Insulin Glargine) | 192.75 |
NPH Insulin | 168.91 |
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"Event Rate of Nocturnal Hypoglycemia Defined as the Total Number of All Hypoglycemia Episodes Divided by the Total Duration of the On-treatment Period in Years"
"Nocturnal hypoglycemia: any event from the all hypoglycemia total that occurred between 23:00 and 07:00 hours." (NCT00993473)
Timeframe: 6 months
Intervention | number of events per patient-year (Mean) |
---|
Lantus (Insulin Glargine) | 33.50 |
NPH Insulin | 30.92 |
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Blood Glucose Variability Based on All On-treatment CGMS Values
Calculated for any given patient as the standard deviation (SD) of all CGMS interstitial glucose values recorded over all CGMS placements. (NCT00993473)
Timeframe: 6 months
Intervention | mmol/L (Mean) |
---|
Lantus (Insulin Glargine) | 4.954 |
NPH Insulin | 5.089 |
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Event Rate of Nocturnal Symptomatic Hypoglycemia Defined as the Total Number of Episodes Divided by the Total Duration of the On-treatment Period in Years
Nocturnal symptomatic hypoglycemia: any symptomatic hypoglycemic event that occurred between 23:00 and 07:00 hours. (NCT00993473)
Timeframe: 6 months
Intervention | number of events per patient-year (Mean) |
---|
Lantus (Insulin Glargine) | 2.38 |
NPH Insulin | 3.65 |
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Event Rate of Severe Nocturnal Hypoglycemia Defined as the Total Number of Episodes Divided by the Total Duration of the On-treatment Period in Years
Severe nocturnal symptomatic hypoglycemia: any severe symptomatic hypoglycemic event that occurred between 23:00 and 07:00 hours. (NCT00993473)
Timeframe: 6 months
Intervention | number of events per patient-year (Mean) |
---|
Lantus (Insulin Glargine) | 0.04 |
NPH Insulin | 0.00 |
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Event Rate of Severe Symptomatic Hypoglycemia Defined as the Total Number of Episodes Divided by the Total Duration of the On-treatment Period in Years
Severe symptomatic hypoglycemia: any event with clinical symptoms considered to result from a hypoglycemic episode for which the patients required the assistance of a third party (ie, other than the patient, or a parent/usual caregiver; eg, from emergency personnel), because the patients/parents could not treat the event with acute neurological impairment directly resulting from the hypoglycemic event. The occurrence of seizure, coma, unconsciousness, or the use of glucagon, were also to qualify a hypoglycemic episode as severe. (NCT00993473)
Timeframe: 6 months
Intervention | number of events per patient-year (Mean) |
---|
Lantus (Insulin Glargine) | 0.14 |
NPH Insulin | 0.07 |
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Event Rate of Symptomatic Hypoglycemia (Individual Component of Primary Endpoint) Defined as the Total Number of Episodes Divided by the Total Duration of the On-treatment Period in Years (Events Per Patient-year)
Symptomatic hypoglycemia: any event with clinical symptoms considered to result from hypoglycemia, validated by the study investigator based on data from patient diaries. (NCT00993473)
Timeframe: 6 months
Intervention | events per patient-year (Mean) |
---|
Lantus (Insulin Glargine) | 25.54 |
NPH Insulin | 33.02 |
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Nocturnal Blood Glucose Variability Based on All On-treatment CGMS Values
Calculated for any given patient as the standard deviation (SD) of all CGMS interstitial glucose values recorded during the nocturnal time period (between 23:00 and 07:00 hours). (NCT00993473)
Timeframe: 6 months
Intervention | mmol/L (Mean) |
---|
Lantus (Insulin Glargine) | 4.747 |
NPH Insulin | 4.837 |
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Percent of Blood Glucose (BG) Within the Range of 70 - 180 mg/dL (3.9-10 mmol/L)
Calculated for each patient as the percent of all on-treatment CGMS values falling within the range of 70 - 180 mg/dL (3.9 - 10 mmol/L) inclusive. (NCT00993473)
Timeframe: 6 months
Intervention | percent of CGMS values within the range (Mean) |
---|
Lantus (Insulin Glargine) | 41.667 |
NPH Insulin | 38.158 |
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Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Rate of nocturnal confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. Nocturnal hypoglycaemic episodes are defined as occurring between 00:01 and 05:59 a.m. (NCT01006291)
Timeframe: Week 0 to Week 26 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD FF | 63 |
IDeg OD | 56 |
IGlar OD | 75 |
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Rate of Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. (NCT01006291)
Timeframe: Week 0 to Week 26 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD FF | 364 |
IDeg OD | 363 |
IGlar OD | 348 |
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Change in Glycosylated Haemoglobin (HbA1c)
Change from baseline in HbA1c after 26 weeks of treatment (NCT01006291)
Timeframe: Week 0, Week 26
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDeg OD FF | -1.28 |
IDeg OD | -1.07 |
IGlar OD | -1.26 |
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Mean of 9-point Self Measured Plasma Glucose Profile (SMPG)
Mean of SMPG after 26 weeks of treatment. Plasma glucose measured: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner, before bedtime, at 4 am and before breakfast. (NCT01006291)
Timeframe: Week 26
Intervention | mmol/L (Mean) |
---|
IDeg OD FF | 7.9 |
IDeg OD | 8.0 |
IGlar OD | 7.8 |
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Change From Baseline in Fasting Blood Glucose (FBG) at Week 12 Endpoint - Subgroup Analysis of LY2605541 Dosing Algorithms
FBG is measured by 8-point SMBG profiles, which are measured at morning FBG, midday pre-meal BG, evening pre-meal BG, 2-hour postprandial BG after each of the 3 main meals, bedtime BG, 0300 hours BG. LS mean of the change from baseline to 12 weeks is from MMRM approach. MMRM model includes fixed effects of treatment (LY2605541 algorithm 1, LY2605541 algorithm 2, glargine); stratification variables (country, baseline daily basal insulin dose group, and baseline HbA1c group); visit; visit and treatment interaction; and a random effect for participant. (NCT01027871)
Timeframe: Baseline, Week 12
Intervention | nmol/L (Least Squares Mean) |
---|
Insulin Glargine | -1.82 |
LY2605541 Algorithm 1 | -2.22 |
LY2605541 Algorithm 2 | -1.99 |
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Change From Baseline in Fasting Blood Glucose (FBG) at Week 12 Endpoint
FBG is measured by 8-point SMBG profiles, which are measured at morning FBG, midday pre-meal BG, evening pre-meal BG, 2-hour postprandial BG after each of the 3 main meals, bedtime BG, 0300 hours BG. LS mean of the change from baseline to 12 weeks is from MMRM approach, which includes fixed effects of treatment (LY2605541 algorithm 1 and 2, glargine); dose conversion (pre-IA, post-IA); stratification variables (country, baseline daily basal insulin dose group, and baseline HbA1c group); visit; visit and treatment interaction; and random effect for participant. (NCT01027871)
Timeframe: Baseline, Week 12
Intervention | mmol/Liter (Least Squares Mean) |
---|
Insulin Glargine | -1.77 |
LY2605541 Combined | -1.97 |
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Pharmacokinetics - Drug (LY2605541) Concentration at Steady State (Css) at Week 12 Endpoint
The drug (LY2605541) concentration at steady state (Css) is calculated from the clearance (Liter/hour) and the final dose of the participants. Clearance was estimated using population-based approaches. (NCT01027871)
Timeframe: Week 12
Intervention | picomoles per liter (pMol/L) (Geometric Mean) |
---|
LY2605541 Combined | 4258 |
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Percentage of Participants Who Did Not Experience a Hypoglycemic Episode During Treatment With HbA1c <7.0% and HbA1c ≤6.5% at Week 12 Endpoint - Subgroup Analysis of LY2605541 Dosing Algorithms
HbA1c is a form of hemoglobin which is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Hypoglycemia episode is defined as any time a participant feels that he/she is experiencing a sign or symptom that is associated with hypoglycemia or has a BG level of ≤3.9 mmol/L (≤70 mg/dL) even if it was not associated with signs, symptoms, or treatment (consistent with current guidelines [ADA 2005]). (NCT01027871)
Timeframe: Week 12
Intervention | percentage of participants (Number) |
---|
| HbA1c <7.0% | HbA1c ≤6.5% |
---|
Insulin Glargine | 11.96 | 6.52 |
,LY2605541 Algorithm 1 | 21.33 | 9.33 |
,LY2605541 Algorithm 2 | 15.66 | 7.23 |
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Percentage of Participants With Antibody Status Change From Baseline to Week 12 and Week 16
Negative is defined as either 'negative' from lab or percent binding <1.16%. Positive is defined as the percent binding is ≥1.16%. The antibody status change is from negative to positive or positive to negative. (NCT01027871)
Timeframe: Week 12 and Week 16
Intervention | percentage of participants (Number) |
---|
| Week 12 from negative to positive | Week 12 from positive to negative | Week 16 from negative to positive | Week 16 from positive to negative |
---|
Insulin Glargine | 2.4 | 2.4 | 2.4 | 2.4 |
,LY2605541 Algorithm 1 | 4.7 | 0.0 | 4.9 | 0.0 |
,LY2605541 Algorithm 2 | 2.8 | 1.1 | 3.5 | 1.2 |
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Percentage of Participants With Hypoglycemia From Baseline Through Week 12 - Subgroup Analysis of LY2605541 Dosing Algorithms
Hypoglycemia episode is defined as any time a participant feels that he/she is experiencing a sign or symptom that is associated with hypoglycemia or has a BG level of ≤3.9 mmol/L (≤70 mg/dL) even if it was not associated with signs, symptoms, or treatment (consistent with current guidelines [ADA 2005]). (NCT01027871)
Timeframe: Baseline through Week 12
Intervention | percentage of participants (Number) |
---|
Insulin Glargine | 63.4 |
LY2605541 Algorithm 1 | 47.5 |
LY2605541 Algorithm 2 | 54.2 |
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Percentage of Participants With Hypoglycemia From Baseline Through Week 12
Hypoglycemia episode is defined as any time a participant feels that he/she is experiencing a sign or symptom that is associated with hypoglycemia or has a BG level of ≤3.9 mmol/L (≤70 mg/dL) even if it was not associated with signs, symptoms, or treatment (consistent with current guidelines [ADA 2005]). (NCT01027871)
Timeframe: Baseline through Week 12
Intervention | percentage of participants (Number) |
---|
Insulin Glargine | 63.4 |
LY2605541 Combined | 54.0 |
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Fasting Blood Glucose (FBG) Level at Week 12 Endpoint as Measured by the 8-Point Self-Monitored Blood Glucose (SMBG) Profiles
8-point SMBG profiles are measured at morning FBG, midday and evening pre-meal blood glucose (BG), 2-hour postprandial BG after each of the 3 main meals, bedtime BG, 0300 hours BG. Least squares (LS) mean of the FBG is from mixed-model repeated measures (MMRM) approach, which includes fixed effects of treatment (LY2605541 algorithm 1 and 2, glargine); dose conversion (pre-interim analysis [IA], post-IA); stratification variables (country, baseline daily basal insulin dose group, and baseline hemoglobin A1c [HbA1c] group); visit; visit and treatment interaction; random effect for participant. (NCT01027871)
Timeframe: Week 12
Intervention | millimoles per Liter (mmol/L) (Least Squares Mean) |
---|
Insulin Glargine | 6.83 |
LY2605541 Algorithm 1 | 7.15 |
LY2605541 Algorithm 2 | 6.84 |
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Change From Baseline in Hemoglobin A1c (HbA1c) at Week 12 Endpoint
HbA1c is a form of hemoglobin which is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. LS mean of the change from baseline is from MMRM approach. MMRM model includes fixed effects of treatment (LY2605541 dose algorithm 1 and 2, glargine); dose conversion (pre-IA, post-IA); stratification variables (country, baseline daily basal insulin dose group); baseline HbA1c; visit; visit and treatment interaction; and a random effect for participant. (NCT01027871)
Timeframe: Baseline, Week 12
Intervention | percentage of glycated hemoglobin (Least Squares Mean) |
---|
Insulin Glargine | -0.64 |
LY2605541 Combined | -0.74 |
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Change From Baseline in HbA1c at Week 12 Endpoint - Subgroup Analysis of LY2605541 Dosing Algorithms
HbA1c is a form of hemoglobin which is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. LS mean of the change from baseline is from MMRM approach. MMRM model includes fixed effects of treatment (LY2605541 algorithm 1, LY2605541 algorithm 2, glargine); stratification variables (country, baseline daily basal insulin dose group); baseline HbA1c; visit; visit and treatment interaction; and a random effect for participant. (NCT01027871)
Timeframe: Baseline, Week 12
Intervention | percentage of glycated hemoglobin (Least Squares Mean) |
---|
Insulin Glargine | -0.65 |
LY2605541 Algorithm 1 | -0.67 |
LY2605541 Algorithm 2 | -0.83 |
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Glycemic Variability in Fasting Blood Glucose at Baseline and Week 12 - Subgroup Analysis of LY2605541 Dosing Algorithms
Within-patient glycemic variability was assessed as the standard deviation of fasting blood glucose each day at baseline, and each day between Week 10 and Week 12. LS mean is obtained using MMRM approach, which includes fixed effects of treatment (LY2605541 algorithm 1, LY2605541 algorithm 2, glargine); stratification variables (country, baseline daily basal insulin dose group, and baseline HbA1c group); visit; interaction between visit and treatment; and a random effect for participant. (NCT01027871)
Timeframe: Baseline and Week 12
Intervention | nmol/L (Least Squares Mean) |
---|
| Baseline | Week 12 |
---|
Insulin Glargine | 1.43 | 1.17 |
,LY2605541 Algorithm 1 | 1.40 | 1.16 |
,LY2605541 Algorithm 2 | 1.42 | 1.07 |
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Glycemic Variability in Fasting Blood Glucose at Baseline and Week 12
Within-patient glycemic variability was assessed as the standard deviation of fasting blood glucose each day at baseline, and each day between Week 10 and Week 12. LS mean is obtained using MMRM approach, which includes fixed effects of treatment (LY2605541 algorithm 1 and 2, glargine); dose conversion (pre-IA, post-IA); stratification variables (country, baseline daily basal insulin dose group, and baseline HbA1c group); visit; visit and treatment interaction; and a random effect for participant. (NCT01027871)
Timeframe: Baseline and Week12
Intervention | nmol/L (Least Squares Mean) |
---|
| Baseline | Week 12 |
---|
Insulin Glargine | 1.52 | 1.23 |
,LY2605541 Combined | 1.51 | 1.20 |
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Daily Basal Insulin Dose at Week 2 and Week 12 - Subgroup Analysis of LY2605541 Dosing Algorithms
LS mean is obtained using MMRM approach, which includes fixed effects of treatment (LY2605541 algorithm 1, LY2605541 algorithm 2, glargine); stratification variables (country, baseline daily basal insulin dose group, and baseline HbA1c group); visit; visit and treatment interaction; and a random effect for participant. (NCT01027871)
Timeframe: Week 2 and Week 12
Intervention | nmol/kg (Least Squares Mean) |
---|
| Week 2 | Week 12 |
---|
Insulin Glargine | 2.62 | 3.15 |
,LY2605541 Algorithm 1 | 3.23 | 4.58 |
,LY2605541 Algorithm 2 | 3.64 | 5.26 |
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Daily Basal Insulin Dose at Week 2 and Week 12
LS mean is obtained using MMRM approach, which includes fixed effects of treatment (LY2605541 algorithm 1 and 2, glargine); dose conversion (pre-IA, post-IA); stratification variables (country, baseline daily basal insulin dose group, and baseline HbA1c group); visit; visit and treatment interaction; and a random effect for participant. (NCT01027871)
Timeframe: Week 2 and Week 12
Intervention | nanomole per kilogram (nmol/kg) (Least Squares Mean) |
---|
| Week 2 | Week 12 |
---|
Insulin Glargine | 2.45 | 2.90 |
,LY2605541 Combined | 3.19 | 4.58 |
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8-Point Self-Monitored Blood Glucose (SMBG) Measures at Week 12 Endpoint - Subgroup Analysis of LY2605541 Dosing Algorithms
8-point SMBG profiles are measured at morning FBG, midday pre-meal BG, evening pre-meal BG, 2-hour postprandial BG after each of the 3 main meals, bedtime BG, 0300 hours BG. LS mean is obtained using MMRM approach, which includes fixed effects of treatment (LY2605541 algorithm 1, LY2605541 algorithm 2, glargine); stratification variables (country, baseline daily basal insulin dose group, and baseline HbA1c group); visit; visit and treatment interaction; and a random effect for participant. (NCT01027871)
Timeframe: Week 12
Intervention | nmol/L (Least Squares Mean) |
---|
| Morning pre-meal BG | Morning 2-hr postprandial BG | Midday Pre-meal BG | Midday 2-hr postprandial BG | Evening Pre-meal BG | Evening 2-hr postprandial BG | Bed time BG | 0300 hours BG |
---|
Insulin Glargine | 6.76 | 9.31 | 7.29 | 9.36 | 7.79 | 9.64 | 9.13 | 7.10 |
,LY2605541 Algorithm 1 | 7.02 | 9.05 | 7.22 | 8.96 | 7.64 | 9.14 | 8.86 | 7.34 |
,LY2605541 Algorithm 2 | 6.62 | 8.48 | 6.60 | 9.09 | 7.64 | 9.22 | 8.43 | 6.82 |
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8-Point Self-Monitored Blood Glucose (SMBG) Measures at Week 12 Endpoint
8-point SMBG profiles are measured at morning FBG, midday pre-meal BG, evening pre-meal BG, 2-hour postprandial BG after each of the 3 main meals, bedtime BG, 0300 hours BG. LS mean is obtained using MMRM approach, which includes fixed effects of treatment (LY2605541 algorithm 1 and 2, glargine); dose conversion (pre-IA, post-IA); stratification variables (country, baseline daily basal insulin dose group, and baseline HbA1c group); visit; visit and treatment interaction; and a random effect for participant. (NCT01027871)
Timeframe: Week 12
Intervention | mmol/L (Least Squares Mean) |
---|
| Morning 2-hr postprandial BG | Midday Pre-meal BG | Midday 2-hr postprandial BG | Evening Pre-meal BG | Evening 2-hr postprandial BG | Bed time BG | 0300 hours BG |
---|
Insulin Glargine | 9.54 | 7.47 | 9.49 | 7.92 | 9.99 | 9.44 | 7.26 |
,LY2605541 Combined | 9.11 | 7.23 | 9.22 | 7.80 | 9.74 | 9.15 | 7.36 |
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Rate of Hypoglycemia Per 30 Days From Baseline Through Week 12 - Subgroup Analysis of LY2605541 Dosing Algorithms
Hypoglycemia episode is defined as any time a participant feels that he/she is experiencing a sign or symptom that is associated with hypoglycemia or has a BG level of ≤3.9 mmol/L (≤70 mg/dL) even if it was not associated with signs, symptoms, or treatment (consistent with current guidelines [ADA 2005]). Hypoglycemia rate per 30 days is calculated as the number of hypoglycemia/number of days at risk*30. (NCT01027871)
Timeframe: Baseline through Week 12
Intervention | Number of Hypoglycemia episodes/30 days (Mean) |
---|
Insulin Glargine | 1.52 |
LY2605541 Algorithm 1 | 1.25 |
LY2605541 Algorithm 2 | 1.27 |
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Rate of Hypoglycemia Per 30 Days From Baseline Through Week 12
Hypoglycemia episode is defined as any time a participant feels that he/she is experiencing a sign or symptom that is associated with hypoglycemia or has a BG level of ≤3.9 mmol/L (≤70 mg/dL) even if it was not associated with signs, symptoms, or treatment (consistent with current guidelines [ADA 2005]). Hypoglycemia rate per 30 days is calculated as the number of hypoglycemia/number of days at risk*30. (NCT01027871)
Timeframe: Baseline through Week 12
Intervention | Number of Hypoglycemia episodes/30 days (Mean) |
---|
Insulin Glargine | 1.52 |
LY2605541 Combined | 1.34 |
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Percentage of Participants With HbA1c <7.0% and ≤6.5% at Week 12 Endpoint
HbA1c is a form of hemoglobin which is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. (NCT01027871)
Timeframe: Week 12
Intervention | percentage of participants (Number) |
---|
| HbA1c <7.0% | HbA1c ≤6.5% |
---|
Insulin Glargine | 48.4 | 23.1 |
,LY2605541 Combined | 51.9 | 29.5 |
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Percentage of Participants With HbA1c <7.0% and ≤6.5% at Week 12 Endpoint - Subgroup Analysis of LY2605541 Dosing Algorithms
HbA1c is a form of hemoglobin which is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. (NCT01027871)
Timeframe: Week 12
Intervention | percentage of participants (Number) |
---|
| HbA1c <7.0% | HbA1c ≤6.5% |
---|
Insulin Glargine | 48.4 | 23.1 |
,LY2605541 Algorithm 1 | 57.5 | 31.5 |
,LY2605541 Algorithm 2 | 50 | 26.3 |
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Percentage of Participants With HbA1c <7.0% and HbA1c ≤6.5% at Week 12 Endpoint Who Did Not Experience a Hypoglycemic Episode During Treatment
HbA1c is a form of hemoglobin which is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Hypoglycemia episode is defined as any time a participant feels that he/she is experiencing a sign or symptom that is associated with hypoglycemia or has a BG level of ≤3.9 millimole/Liter (mmol/L) (≤70 milligram/deciliter [mg/dL]) even if it was not associated with signs, symptoms, or treatment (consistent with current guidelines [ADA 2005]). (NCT01027871)
Timeframe: Week 12
Intervention | percentage of participants (Number) |
---|
| HbA1c <7.0% | HbA1c ≤6.5% |
---|
Insulin Glargine | 11.96 | 6.52 |
,LY2605541 Combined | 16.49 | 7.98 |
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Mean of 9-point Self Measured Plasma Glucose Profile (SMPG)
Mean of SMPG after 26 weeks of treatment. Plasma glucose measured: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner, bedtime, at 4 am and before breakfast. (NCT01045447)
Timeframe: Week 26
Intervention | mmol/L (Mean) |
---|
IDegAsp OD | 8.1 |
IGlar OD | 8.4 |
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Change in Glycosylated Haemoglobin (HbA1c)
Change from baseline in HbA1c after 26 weeks of treatment. (NCT01045447)
Timeframe: Week 0, Week 26
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDegAsp OD | -0.98 |
IGlar OD | -1.00 |
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Main Trial (Primary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 26 Weeks of Treatment
Change from baseline in HbA1c after 26 weeks of treatment. (NCT01045707)
Timeframe: Week 0, Week 26
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDegAsp OD | -1.65 |
IGlar OD | -1.72 |
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Extension Trial (Secondary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 52 Weeks of Treatment
Change from baseline in HbA1c after 52 weeks of treatment. (NCT01045707)
Timeframe: Week 0, Week 53
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDegAsp OD | -1.39 |
IGlar OD | -1.34 |
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Extension Trial (Primary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. Nocturnal hypoglycaemic episodes are defined as occurring between 00:01 and 05:59 a.m. (NCT01045707)
Timeframe: Week 0 to Week 53 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDegAsp OD | 19 |
IGlar OD | 53 |
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Extension Trial (Primary Endpoint): Rate of Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. (NCT01045707)
Timeframe: Week 0 to Week 53 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDegAsp OD | 419 |
IGlar OD | 211 |
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Extension Trial (Primary Endpoint): Rate of Treatment Emergent Adverse Events (AEs)
Corresponds to rate of AEs per 100 patient years of exposure. Severity assessed by investigator. Mild:no or transient symptoms, no interference with the subject's daily activities. Moderate: marked symptoms, moderate interference with the subject's daily activities. Severe: considerable interference with the subject's daily activities, unacceptable. Serious AE: AE that at any dose results in any of the following: death, a life-threatening experience, in-subject hospitalisation/prolongation of existing hospitalisation, persistent/significant disability/incapacity/congenital anomaly/birth defect (NCT01045707)
Timeframe: Week 0 to Week 53 + 7 days follow up
Intervention | Events/100 years of patient exposure (Number) |
---|
| Adverse events (AE) | Serious AE | Severe AE | Moderate AE | Mild AE | Fatal AE |
---|
IDegAsp OD | 313 | 17 | 9 | 77 | 227 | 2 |
,IGlar OD | 238 | 9 | 10 | 66 | 162 | 1 |
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Main Trial (Secondary Endpoint): Mean of 9-point Self Measured Plasma Glucose Profile (SMPG) at Week 26
Mean of SMPG at 26 weeks of treatment. Plasma glucose measured: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner, bedtime, at 4 am and before breakfast. (NCT01045707)
Timeframe: Week 26
Intervention | mmol/L (Mean) |
---|
IDegAsp OD | 7.9 |
IGlar OD | 7.9 |
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Daily Basal Insulin Dose at Week 2 and Week 8 Endpoint
LS mean is obtained from MMRM approach, which includes fixed effects of treatment (LY2605541, Glargine); treatment sequence; treatment period; dose conversion (pre-IA, post-IA); stratification variables (country, baseline daily basal insulin dose group, and baseline HbA1c group); visit; interaction between visit and treatment; and a random effect for participant. (NCT01049412)
Timeframe: Week 2 and Week 8 of each treatment period
Intervention | nanomoles per kilogram (nmoles/kg) (Least Squares Mean) |
---|
| Week 2 | Week 8 |
---|
Glargine | 2.58 | 2.86 |
,LY2605541 | 3.35 | 4.12 |
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Percentage of Participants With Antibody Status Change From Baseline to Week 8, Week 16 and Week 20
Negative is defined as either 'negative' from lab or percent binding <1.16%. Positive is defined as the percent binding is ≥1.16%. The antibody status change is from negative to positive or positive to negative. (NCT01049412)
Timeframe: Week 8, Week 16 and Week 20
Intervention | percentage of participants (Number) |
---|
| Week 8 (Period I) from negative to positive | Week 8 (Period I) from positive to negative | Week 16 (Period II) from negative to positive | Week 16 (Period II) from positive to negative | Week 20 (follow up) from negative to positive | Week 20 (follow up) from positive to negative |
---|
Glargine/LY2605541 | 3.3 | 5.0 | 7.4 | 7.4 | 11.5 | 3.8 |
,LY2605541/Glargine | 8.3 | 3.3 | 12.5 | 1.8 | 14.8 | 1.9 |
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Percentage of Participants With HbA1c <7.0% and HbA1c ≤6.5% at Week 8 Endpoint of Period I
HbA1c is a form of hemoglobin which is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. (NCT01049412)
Timeframe: Week 8 (Period I)
Intervention | percentage of participants (Number) |
---|
| HbA1c <7.0% | HbA1c ≤6.5% |
---|
Glargine | 33.3 | 13.3 |
,LY2605541 | 43.1 | 24.6 |
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Change From Baseline in Daily Average Blood Glucose (Avg. BG) at Week 8 Endpoint as Measured by the 8-Point Self-Monitored Blood Glucose (SMBG) Profiles
It is the Avg. of the 8-point SMBG profiles, BG of morning fasting, midday & evening pre-meal, 2-hour postprandial after each of the 3 main meals, bedtime, 0300 hours. LS mean of daily Avg. BG is from MMRM, which includes fixed effects of treatment (LY2605541, Glargine); Treatment Sequence; treatment period; dose conversion (pre-IA, post-IA); stratification variables (country, baseline daily basal insulin dose group, and baseline HbA1c group); visit; visit and treatment interaction; a random effect for participant. (NCT01049412)
Timeframe: Baseline, Week 8 of each treatment period
Intervention | mmol/L (Least Squares Mean) |
---|
LY2605541 | -0.74 |
Glargine | -0.18 |
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Daily Average Blood Glucose (Avg. BG) at Week 8 Endpoint as Measured by the 8-Point Self-Monitored Blood Glucose (SMBG) Profiles
It is the Avg. of the 8-point SMBG profiles, BG of morning fasting, midday & evening pre-meal, 2-hour postprandial after each of the 3 main meals, bedtime, 0300 hours. Least squares (LS) mean of daily Avg. BG is from mixed-model repeated measures (MMRM), which includes fixed effects of treatment (LY2605541, Glargine); Treatment Sequence; treatment period; dose conversion (pre-interim analysis [IA], post-IA); stratification variables (country, baseline daily basal insulin dose group, and baseline Hemoglobin [HbA1c] group); visit; visit and treatment interaction; a random effect for participant. (NCT01049412)
Timeframe: Week 8 of each treatment period
Intervention | millimole per Liter (mmol/L) (Least Squares Mean) |
---|
LY2605541 | 7.98 |
Glargine | 8.53 |
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Glycemic Variability in Fasting Blood Glucose (FBG) at Week 8 Endpoint
Within-patient glycemic variability was assessed as the standard deviation of fasting blood glucose each day between Week 6 and Week 8. LS mean is obtained from MMRM approach, which includes fixed effects of treatment (LY2605541, Glargine); treatment sequence; treatment period; dose conversion (pre-IA, post-IA); stratification variables (country, baseline daily basal insulin dose group, and baseline HbA1c group); visit; interaction between visit and treatment; and a random effect for participant. (NCT01049412)
Timeframe: Week 8 of each treatment period
Intervention | mmol/L (Least Squares Mean) |
---|
LY2605541 | 3.13 |
Glargine | 3.60 |
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Percentage of Participants With Hypoglycemia Baseline Through Week 8
Hypoglycemia episode is defined as any time a participant feels that he/she is experiencing a sign or symptom that is associated with hypoglycemia or has a BG level of ≤3.9 millimole per Liter (mmol/L) (≤70 milligram per deciliter [mg/dL]) even if it was not associated with signs, symptoms, or treatment (consistent with current guidelines [ADA 2005]. (NCT01049412)
Timeframe: Baseline through Week 8 of each treatment period
Intervention | percentage of participants (Number) |
---|
LY2605541 | 92.7 |
Glargine | 90.0 |
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Pharmacokinetics - Drug (LY2605541) Concentration at Steady State (Css) at Week 8 Endpoint
The drug (LY2605541) concentration at steady state (Css) is calculated from the clearance (Liter/hour) and the final dose of the participants. Clearance was estimated using population-based approaches. (NCT01049412)
Timeframe: Week 8 of each treatment period
Intervention | picomoles per liter (pMol/L) (Geometric Mean) |
---|
LY2605541 | 2873 |
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Rate of Hypoglycemia Per 30 Days Baseline Through Week 8
Hypoglycemia episode is defined as any time a participant feels that he/she is experiencing a sign or symptom that is associated with hypoglycemia or has a BG level of ≤3.9 mmol/L (≤70 mg/dL) even if it was not associated with signs, symptoms, or treatment (consistent with current guidelines [ADA 2005]. Hypoglycemia rate per 30 days is calculated as the number of hypoglycemia/number of days at risk*30. (NCT01049412)
Timeframe: Baseline through Week 8 of each treatment period
Intervention | number of hypoglycemia episodes/30 days (Mean) |
---|
LY2605541 | 8.74 |
Glargine | 7.36 |
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8-Point Self-Monitored Blood Glucose (SMBG) Measures at Week 8 Endpoint
8-point SMBG profiles are measured at morning fasting BG (FBG), midday pre-meal BG, evening pre-meal BG, 2-hour postprandial BG after each of the 3 main meals, bedtime BG, 0300 hours BG. LS mean is obtained from MMRM approach, which includes fixed effects of treatment (LY2605541, Glargine); treatment sequence; treatment period; dose conversion (pre-IA, post-IA); stratification variables (country, baseline daily basal insulin dose group, and baseline HbA1c group); visit; interaction between visit and treatment; and a random effect for participant. (NCT01049412)
Timeframe: Week 8 of each treatment period
Intervention | mmol/L (Least Squares Mean) |
---|
| 0300 hours BG | Morning FBG | Morning 2-hr postprandial BG | Midday Pre-meal BG | Midday 2-hr postprandial BG | Evening Pre-meal BG | Evening 2-hr postprandial BG | Bed time BG |
---|
Glargine | 8.67 | 9.57 | 8.76 | 7.52 | 8.60 | 8.73 | 9.26 | 9.29 |
,LY2605541 | 8.97 | 9.33 | 8.27 | 6.98 | 8.08 | 7.87 | 8.37 | 8.20 |
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Percentage of Participants With HbA1c <7.0% and HbA1c ≤6.5% at Week 8 Endpoint Who Did Not Experience a Hypoglycemic Episode During Treatment (Period I)
HbA1c is a form of hemoglobin which is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Hypoglycemia episode is defined as any time a participant feels that he/she is experiencing a sign or symptom that is associated with hypoglycemia or has a BG level of ≤3.9 millimole/Liter (mmol/L) (≤70 milligram/deciliter [mg/dL]) even if it was not associated with signs, symptoms, or treatment (consistent with current guidelines [ADA 2005]). (NCT01049412)
Timeframe: Week 8 (Period I)
Intervention | percentage of participants (Number) |
---|
| HbA1c <7.0% | HbA1c ≤6.5% |
---|
Glargine | 1.7 | 0 |
,LY2605541 | 1.5 | 0 |
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Change From Baseline in Hemoglobin (HbA1c) at Week 8 Endpoint of Period I
HbA1c is a form of hemoglobin which is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. LS mean of the change from baseline to 8-week at Period I is from MMRM approach, which includes fixed effects of treatment (LY2605541, Glargine); dose conversion (pre-IA, post-IA); stratification variables (country, baseline daily basal insulin dose group); baseline HbA1c; visit; interaction between visit and treatment; and a random effect for participant. (NCT01049412)
Timeframe: Baseline, Week 8 (Period I)
Intervention | percentage of glycated hemoglobin (Least Squares Mean) |
---|
LY2605541 | -0.45 |
Glargine | -0.34 |
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Rate of Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. (NCT01059799)
Timeframe: Week 0 to Week 26 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD | 298 |
IGlar OD | 370 |
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Mean of 9-point Self Measured Plasma Glucose Profile (SMPG)
Mean of SMPG after 26 weeks of treatment. Plasma glucose measured: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner, before bedtime, at 4 am and before breakfast. (NCT01059799)
Timeframe: Week 26
Intervention | mmol/L (Mean) |
---|
IDeg OD | 8.2 |
IGlar OD | 8.0 |
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Change in Glycosylated Haemoglobin (HbA1c)
Change from baseline in HbA1c after 26 weeks of treatment (NCT01059799)
Timeframe: Week 0, Week 26
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDeg OD | -1.24 |
IGlar OD | -1.35 |
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Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Rate of nocturnal confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. Nocturnal hypoglycaemic episodes are defined as occurring between 00:01 and 05:59 a.m. (NCT01059799)
Timeframe: Week 0 to Week 26 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD | 78 |
IGlar OD | 124 |
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Change in Fasting Plasma Glucose (FPG)
Change from baseline in FPG after 26 weeks of treatment (NCT01068665)
Timeframe: Week 0, Week 26
Intervention | mmol/L (Mean) |
---|
IDeg 200 U/mL OD | -3.70 |
IGlar OD | -3.38 |
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Change in Glycosylated Haemoglobin (HbA1c)
Change from baseline in HbA1c after 26 weeks of treatment (NCT01068665)
Timeframe: Week 0, Week 26
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDeg 200 U/mL OD | -1.30 |
IGlar OD | -1.32 |
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Change in Glycosylated Haemoglobin (HbA1c)
Change from baseline in HbA1c after week 26 (NCT01068678)
Timeframe: Week 26
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDeg 3TW | -1.00 |
IGlar OD | -1.40 |
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Change in Body Weight
Change from baseline in body weight after week 26 (NCT01068678)
Timeframe: Week 26
Intervention | kg (Mean) |
---|
IDeg 3TW | 0.8 |
IGlar OD | 1.0 |
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Change From Baseline to 26, 52 and 78 Weeks in the EuroQol 5 Dimension
The European Quality of Life - 5 dimensions (EQ-5D) questionnaire is a generic, multidimensional, health-related, quality-of-life instrument. It consists of 2 parts: the first part assesses 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) that have 3 possible levels of response (no problem, some problem, or extreme problem). These dimensions are converted into a weighted health-state Index Score. The EQ-5D United Kingdom (UK) score ranges from -0.59 to 1.0, where a score of 1.0 indicates perfect health and negative values are valued as worse than dead. The second part of the questionnaire consists of a 100-mm visual analog scale (VAS) on which the participants rated their perceived health state on that day from 0 (worst imaginable health state) to 100 (best imaginable health). Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) and adjusted by treatment, country, and baseline. (NCT01075282)
Timeframe: Baseline, 26, 52, and 78 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
| EQ-5D UK, 26 weeks (n=257, 254, 249) | EQ-5D UK, 52 weeks (n=259, 260, 253) | EQ-5D UK, 78 weeks (n=259, 260, 253) | VAS, 26 weeks (n=253, 252, 243) | VAS, 52 weeks (n=260, 258, 252) | VAS, 78 weeks (n=260, 258, 252) |
---|
Insulin Glargine | -0.01 | -0.04 | 0.00 | 0.8 | 1.1 | 2.2 |
,LY2189265 0.75 mg | 0.00 | 0.00 | 0.00 | 3.4 | 2.3 | 3.2 |
,LY2189265 1.5 mg | 0.01 | 0.01 | 0.01 | 3.3 | 3.2 | 3.8 |
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Change From Baseline to 26, 52 and 78 Weeks for Daily Mean Blood Glucose Values From the 8-point Self-monitored Blood Glucose (SMBG) Profiles
The self-monitored blood glucose (SMBG) data were collected at the following 8 time points: pre-morning meal; 2 hours post-morning meal; pre-midday meal; 2 hours post-midday meal; pre-evening meal; 2 hours post-evening meal; bedtime; and 3 AM or 5 hours after bedtime. Least Squares (LS) means of the mean of the 8 time points (Daily Mean) were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, visit, and treatment-by-visit interaction as fixed effects and baseline as a covariate. (NCT01075282)
Timeframe: Baseline, 26, 52, and 78 weeks
Intervention | millimoles per liter (mmol/L) (Least Squares Mean) |
---|
| 26 weeks (n=199, 204, 190) | 52 weeks (n=180, 185, 176) | 78 weeks (n=172, 164, 168) |
---|
Insulin Glargine | -1.58 | -1.44 | -1.47 |
,LY2189265 0.75 mg | -1.46 | -1.32 | -1.15 |
,LY2189265 1.5 mg | -1.79 | -1.69 | -1.55 |
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Change From Baseline to 26, 52 and 78 Weeks on Electrocardiogram Parameters, Fridericia Corrected QT (QTcF) Interval and PR Interval
The QT interval is a measure of the time between the start of the Q wave and the end of the T wave and was calculated from electrocardiogram (ECG) data using Fridericia's formula: QTc = QT/RR^0.33. Corrected QT (QTc) is the QT interval corrected for heart rate and RR, which is the interval between two R waves. PR is the interval between the P wave and the QRS complex. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, visit, and treatment-by-visit interaction as fixed effects and baseline as a covariate. (NCT01075282)
Timeframe: Baseline, 26, 52, and 78 weeks
Intervention | milliseconds (msec) (Least Squares Mean) |
---|
| QTcF interval, 26 weeks (n=240, 245, 229) | QTcF interval, 52 weeks (n=231, 240, 228) | QTcF interval, 78 weeks (n=221, 220, 222) | PR interval, 26 weeks (n=240, 245, 229) | PR interval, 52 weeks (n=230, 240, 227) | PR interval, 78 weeks (n=221, 220, 222) |
---|
Insulin Glargine | 1.24 | 3.70 | 4.44 | 1.24 | 1.50 | 1.21 |
,LY2189265 0.75 mg | -0.10 | 1.34 | 3.44 | 2.33 | 1.88 | 3.27 |
,LY2189265 1.5 mg | -1.71 | 1.55 | 1.66 | 2.78 | 2.61 | 2.62 |
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Change From Baseline to 52 Weeks Endpoint in Glycosylated Hemoglobin (HbA1c)
Least Squares (LS) means were calculated using analysis of covariance (ANCOVA) with country and treatment as fixed effects and baseline HbA1c as a covariate. (NCT01075282)
Timeframe: Baseline, 52 weeks
Intervention | percentage of glycosylated hemoglobin (Least Squares Mean) |
---|
LY2189265 1.5 mg | -1.08 |
LY2189265 0.75 mg | -0.76 |
Insulin Glargine | -0.63 |
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Change in Baseline to 26, 52 and 78 Weeks on Pulse Rate
Sitting pulse rate was measured. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, visit, and treatment-by-visit interaction as fixed effects and baseline as a covariate. (NCT01075282)
Timeframe: Baseline, 26, 52, and 78 weeks
Intervention | beats per minute (bpm) (Least Squares Mean) |
---|
| 26 weeks (n=257, 260, 245) | 52 weeks (n=250, 252, 240) | 78 weeks (n=246, 244, 238) |
---|
Insulin Glargine | -1.21 | -0.52 | -0.91 |
,LY2189265 0.75 mg | 0.74 | 0.51 | 0.61 |
,LY2189265 1.5 mg | 1.56 | 1.29 | 1.31 |
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Change From Baseline to 52 and 78 Weeks in Updated Homeostasis Model Assessment of Beta-cell Function (HOMA2-%B) and Updated Homeostasis Model Assessment of Insulin Sensitivity (HOMA2-%S)
The homeostatic model assessment (HOMA) is a method used to quantify insulin resistance and beta (β)-cell function. HOMA2-B is a computer model that uses fasting plasma insulin and glucose concentrations to estimate steady state beta cell function (%B) as a percentage of a normal reference population (normal young adults). HOMA2-S is a computer model that uses fasting plasma insulin and glucose concentrations to estimate insulin sensitivity (%S), as percentages of a normal reference population (normal young adults). The normal reference population for both HOMA2-B and HOMA-2S were set at 100%. Least Squares (LS) means of change from baseline of C-peptide based HOMA2-%B and HOMA2-%S were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, visit, and treatment-by-visit interaction as fixed effects and baseline as a covariate. (NCT01075282)
Timeframe: Baseline, 52, and 78 weeks
Intervention | percentage of HOMA2 (Least Squares Mean) |
---|
| HOMA2-%B, 52 weeks (n=175, 181) | HOMA2-%B, 78 weeks (n=167, 165) | HOMA2-%S, 52 weeks (n=175,181) | HOMA2-%S, 78 weeks (n=167, 165) |
---|
LY2189265 0.75 mg | 24.60 | 15.66 | -2.66 | -3.62 |
,LY2189265 1.5 mg | 29.95 | 28.54 | -2.89 | -2.64 |
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Change From Baseline to 52 and 78 Weeks in Glucagon Concentration
Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) with country and treatment as fixed effects and baseline as a covariate. (NCT01075282)
Timeframe: Baseline, 52, and 78 weeks
Intervention | picomoles per liter (pmol/L) (Least Squares Mean) |
---|
| 52 weeks (n=232, 231, 228) | 78 weeks (n=235, 235, 232) |
---|
Insulin Glargine | -3.85 | -3.65 |
,LY2189265 0.75 mg | -3.31 | -3.37 |
,LY2189265 1.5 mg | -3.91 | -3.57 |
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Change From Baseline to 26, 52, and 78 Weeks on Blood Pressure
Sitting systolic blood pressure (SBP) and sitting diastolic blood pressure (DBP) were measured. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, visit, and treatment-by-visit interaction as fixed effects and baseline as a covariate. (NCT01075282)
Timeframe: Baseline, 26, 52, and 78 weeks
Intervention | milliliter of mercury (mmHG) (Least Squares Mean) |
---|
| SBP, 26 weeks (n=257, 261, 245) | SBP, 52 weeks (n=250, 252, 240) | SBP, 78 weeks (n=246, 244, 238) | DBP, 26 weeks (n=257, 261, 245) | DBP, 52 weeks (n=250, 252, 240) | DBP, 78 weeks (n=246, 244, 238) |
---|
Insulin Glargine | -0.03 | 0.51 | 0.51 | -0.29 | -0.93 | -1.04 |
,LY2189265 0.75 mg | -1.60 | 0.09 | -0.59 | -0.17 | -0.19 | -0.36 |
,LY2189265 1.5 mg | -1.28 | 0.17 | -0.70 | -0.16 | -0.26 | -0.44 |
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Change From Baseline to 26, 52 and 78 Weeks on Serum Calcitonin
(NCT01075282)
Timeframe: Baseline, 26, 52, and 78 weeks
Intervention | picogram/milliliter (Mean) |
---|
| 26 weeks (n=266, 267, 258) | 52 weeks (n=266, 269, 259) | 78 weeks (n=267, 269, 259) |
---|
Insulin Glargine | 0.149 | 0.176 | 0.151 |
,LY2189265 0.75 mg | 0.097 | 0.132 | 0.035 |
,LY2189265 1.5 mg | 0.163 | 0.128 | 0.086 |
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Change From Baseline to 26, 52 and 78 Weeks on Pancreatic Enzymes
Amylase (total and pancreas-derived) and lipase concentrations were measured. (NCT01075282)
Timeframe: Baseline, 26, 52, and 78 weeks
Intervention | units/liter (Median) |
---|
| Amylase (total), 26 weeks | Amylase (total), 52 weeks | Amylase (total), 78 weeks | Amylase (pancreas-derived), 26 weeks | Amylase (pancreas-derived), 52 weeks | Amylase (pancreas-derived), 78 weeks | Lipase, 26 weeks | Lipase, 52 weeks | Lipase, 78 weeks |
---|
Insulin Glargine | 2.000 | 3.000 | 1.000 | 1.000 | 1.000 | 0.000 | -1.000 | -1.000 | -2.000 |
,LY2189265 0.75 mg | 4.000 | 5.000 | 4.000 | 3.000 | 3.000 | 2.000 | 5.000 | 4.000 | 4.000 |
,LY2189265 1.5 mg | 4.000 | 4.000 | 4.000 | 3.000 | 3.000 | 2.000 | 5.000 | 4.000 | 4.000 |
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Change From Baseline to 26, 52 and 78 Weeks on Electrocardiogram Parameters, Heart Rate
Electrocardiogram (ECG) heart rate was measured. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, visit, and treatment-by-visit interaction as fixed effects and baseline as a covariate. (NCT01075282)
Timeframe: Baseline, 26, 52, and 78 weeks
Intervention | beats per minute (bpm) (Least Squares Mean) |
---|
| 26 weeks (n=241, 247, 231) | 52 weeks (n=232, 242, 231) | 78 weeks (n=223, 222, 225) |
---|
Insulin Glargine | -1.24 | -1.01 | -0.26 |
,LY2189265 0.75 mg | 0.90 | 0.38 | 0.47 |
,LY2189265 1.5 mg | 2.64 | 2.41 | 2.49 |
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Change From Baseline to 26, 52 and 78 Weeks for Body Weight
Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) with country and treatment as fixed effects and baseline as a covariate. (NCT01075282)
Timeframe: Baseline, 26, 52, and 78 weeks
Intervention | kilogram (kg) (Least Squares Mean) |
---|
| 26 weeks | 52 weeks | 78 weeks |
---|
Insulin Glargine | 1.01 | 1.44 | 1.28 |
,LY2189265 0.75 mg | -1.47 | -1.33 | -1.54 |
,LY2189265 1.5 mg | -1.82 | -1.87 | -1.96 |
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Change From Baseline to 26, 52 and 78 Weeks for Body Mass Index
Body mass index (BMI) is an estimate of body fat based on body weight divided by height squared. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, visit, and treatment-by-visit interaction as fixed effects and baseline as a covariate. (NCT01075282)
Timeframe: Baseline, 26, 52, and 78 weeks
Intervention | kilograms per square meter (kg/m^2) (Least Squares Mean) |
---|
| 26 weeks (n=257, 261, 245) | 52 weeks (n=250, 252, 238) | 78 weeks (n=246, 244, 238) |
---|
Insulin Glargine | 0.44 | 0.62 | 0.59 |
,LY2189265 0.75 mg | -0.50 | -0.39 | -0.39 |
,LY2189265 1.5 mg | -0.64 | -0.64 | -0.64 |
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Number of Self-reported Hypoglycemic Events at 26, 52 and 78 Weeks
Hypoglycemic events (HE) were classified as severe (defined as episodes requiring the assistance of another person to actively administer resuscitative actions), documented symptomatic (defined as any time a participant feels that he/she is experiencing symptoms and/or signs associated with hypoglycemia, and has a plasma glucose level of =<3.9 mmol/L), asymptomatic (defined as events not accompanied by typical symptoms of hypoglycemia but with a measured plasma glucose of =<3.9 mmol/L), nocturnal (defined as any hypoglycemic event that occurred between bedtime and waking), or probable symptomatic (defined as events during which symptoms of hypoglycemia were not accompanied by a plasma glucose determination). The number of self-reported hypoglycemic events is summarized cumulatively at 26, 52, and 78 weeks. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01075282)
Timeframe: Baseline through 26, 52, and 78 weeks
Intervention | events (Number) |
---|
| Severe HE, 26 weeks | Severe HE, 52 weeks | Severe HE, 78 weeks | Documented symptomatic HE, 26 weeks | Documented symptomatic HE, 52 weeks | Documented symptomatic HE, 78 weeks | Asymptomatic HE, 26 weeks | Asymptomatic HE, 52 weeks | Asymptomatic HE, 78 weeks | Nocturnal HE, 26 weeks | Nocturnal HE, 52 weeks | Nocturnal HE, 78 weeks | Probable symptomatic HE, 26 weeks | Probable symptomatic HE, 52 weeks | Probable symptomatic HE, 78 weeks |
---|
Insulin Glargine | 1 | 2 | 2 | 447 | 789 | 1033 | 609 | 1093 | 1358 | 240 | 519 | 635 | 20 | 22 | 26 |
,LY2189265 0.75 mg | 0 | 0 | 0 | 315 | 444 | 515 | 484 | 709 | 911 | 117 | 147 | 184 | 19 | 24 | 28 |
,LY2189265 1.5 mg | 1 | 1 | 2 | 311 | 515 | 607 | 500 | 757 | 884 | 145 | 185 | 215 | 11 | 17 | 20 |
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Rate of Self-reported Hypoglycemic Events at 26, 52 and 78 Weeks
Hypoglycemic events (HE) were classified as severe (defined as episodes requiring the assistance of another person to actively administer resuscitative actions), documented symptomatic (defined as any time a participant feels that he/she is experiencing symptoms and/or signs associated with hypoglycemia, and has a plasma glucose level of =<3.9 mmol/L), asymptomatic (defined as events not accompanied by typical symptoms of hypoglycemia but with a measured plasma glucose of =<3.9 mmol/L), nocturnal (defined as any hypoglycemic event that occurred between bedtime and waking), or probable symptomatic (defined as events during which symptoms of hypoglycemia were not accompanied by a plasma glucose determination). The 1-year adjusted rate of hypoglycemic events is summarized cumulatively at 26, 52, and 78 weeks. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01075282)
Timeframe: Baseline through 26, 52, and 78 weeks
Intervention | events per participant per year (Mean) |
---|
| Severe HE, 26 weeks | Severe HE, 52 weeks | Severe HE, 78 weeks | Documented symptomatic HE, 26 weeks | Documented symptomatic HE, 52 weeks | Documented symptomatic HE, 78 weeks | Asymptomatic HE, 26 weeks | Asymptomatic HE, 52 weeks | Asymptomatic HE, 78 weeks | Nocturnal HE, 26 weeks | Nocturnal HE, 52 weeks | Nocturnal HE, 78 weeks | Probable symptomatic HE, 26 weeks | Probable symptomatic HE, 52 weeks | Probable symptomatic HE, 78 weeks |
---|
Insulin Glargine | 0.01 | 0.01 | 0.01 | 3.64 | 3.34 | 3.03 | 4.82 | 4.41 | 3.80 | 1.86 | 2.07 | 1.81 | 0.15 | 0.08 | 0.07 |
,LY2189265 0.75 mg | 0.00 | 0.00 | 0.00 | 2.52 | 1.97 | 1.66 | 3.58 | 2.68 | 2.38 | 0.96 | 0.65 | 0.59 | 0.14 | 0.09 | 0.07 |
,LY2189265 1.5 mg | 0.01 | 0.00 | 0.01 | 2.35 | 2.03 | 1.67 | 3.79 | 3.08 | 2.56 | 1.23 | 0.90 | 0.77 | 0.08 | 0.07 | 0.05 |
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Number of Participants Achieving Glycosylated Hemoglobin (HbA1c) Less Than 7% at 26, 52 and 78 Weeks
Number of participants achieving HbA1c levels less than 7.0% was analyzed with a logistic regression model with baseline, country, and treatment as factors included in the model. (NCT01075282)
Timeframe: 26, 52, and 78 weeks
Intervention | participants (Number) |
---|
| 26 weeks (n=263, 266, 258) | 52 weeks (n=263, 267, 259) | 78 weeks (n=263, 267, 259) |
---|
Insulin Glargine | 84 | 80 | 79 |
,LY2189265 0.75 mg | 122 | 99 | 91 |
,LY2189265 1.5 mg | 153 | 140 | 129 |
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Change From Baseline to 26 Weeks and 78 Weeks Endpoint in Glycosylated Hemoglobin (HbA1c)
Least Squares (LS) means were calculated using analysis of covariance (ANCOVA) with country and treatment as fixed effects and baseline HbA1c as a covariate. (NCT01075282)
Timeframe: Baseline, 26 weeks, and 78 weeks
Intervention | percent (Least Squares Mean) |
---|
| 26 weeks (n=263, 266, 258) | 78 weeks (n=263, 267, 259) |
---|
Insulin Glargine | -0.65 | -0.59 |
,LY2189265 0.75 mg | -0.89 | -0.62 |
,LY2189265 1.5 mg | -1.16 | -0.90 |
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Number of Participants Requiring Additional Intervention Due to Hyperglycemia at 26, 52 and 78 Weeks
Additional intervention was defined as any additional therapeutic intervention in participants who developed persistent, severe hyperglycemia despite full compliance with the assigned therapeutic regimen, or initiation of an alternative antihyperglycemic medication following study drug discontinuation. The number of participants requiring additional intervention due to hyperglycemia is summarized cumulatively at 26, 52, and 78 weeks. (NCT01075282)
Timeframe: 26, 52, and 78 weeks
Intervention | participants (Number) |
---|
| 26 weeks | 52 weeks | 78 weeks |
---|
Insulin Glargine | 0 | 8 | 16 |
,LY2189265 0.75 mg | 4 | 20 | 34 |
,LY2189265 1.5 mg | 2 | 11 | 24 |
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Number of Participants Achieving Glycosylated Hemoglobin (HbA1c) Less Than or Equal to 6.5% at 26, 52 and 78 Weeks
Number of participants achieving HbA1c levels less than or equal to 6.5% was analyzed with a logistic regression model with baseline, country, and treatment as factors included in the model. (NCT01075282)
Timeframe: 26, 52, and 78 weeks
Intervention | participants (Number) |
---|
| 26 weeks (n=263, 266, 258) | 52 weeks (n=263, 267, 259) | 78 weeks (n=263, 267, 259) |
---|
Insulin Glargine | 40 | 35 | 43 |
,LY2189265 0.75 mg | 74 | 60 | 59 |
,LY2189265 1.5 mg | 97 | 71 | 74 |
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Number of Participants With Treatment Emergent Adverse Events at 26, 52 and 78 Weeks
A treatment-emergent adverse event (TEAE) was defined as an event that first occurs or worsens (increases in severity) after baseline regardless of causality or severity. The number of participants with one or more TEAE is summarized cumulatively at 26, 52, and 78 weeks. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01075282)
Timeframe: 26, 52, and 78 weeks
Intervention | participants (Number) |
---|
| 26 weeks | 52 weeks | 78 weeks |
---|
Insulin Glargine | 137 | 175 | 192 |
,LY2189265 0.75 mg | 146 | 175 | 188 |
,LY2189265 1.5 mg | 160 | 189 | 201 |
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Number of Participants With LY2189265 Antibodies at 26, 52, 78 Weeks and 4 Weeks After Last Dose of Study Drug (83 Weeks Maximum)
LY2189265 (Dulaglutide) anti-drug antibodies (ADA) were assessed at baseline, 26, 52, and 78 weeks, and at the safety follow-up visit 30 days after study drug discontinuation (83 weeks). The number of participants with initial postbaseline detection of treatment emergent (defined as a 4-fold increase in the ADA titer from baseline) LY2189265 ADA at each time point were summarized. (NCT01075282)
Timeframe: Baseline, 26, 52, 78, and 83 weeks
Intervention | participants (Number) |
---|
| 26 weeks | 52 weeks | 78 weeks | 83 weeks |
---|
LY2189265 1.5 mg and 0.75 mg | 11 | 3 | 1 | 0 |
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Number of Participants With Adjudicated Pancreatitis at 26, 52 and 78 Weeks
The number of participants with pancreatitis confirmed by adjudication is summarized cumulatively at 26, 52, and 78 weeks. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01075282)
Timeframe: Baseline through 26, 52, and 78 weeks
Intervention | participants (Number) |
---|
| 26 weeks | 52 weeks | 78 weeks |
---|
Insulin Glargine | 0 | 0 | 0 |
,LY2189265 0.75 mg | 1 | 1 | 1 |
,LY2189265 1.5 mg | 1 | 2 | 2 |
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Number of Participants With Adjudicated Cardiovascular Events at 26, 52 and 78 Weeks
Information on cardiovascular (CV) risk factors was collected at baseline. Data on any new CV event was prospectively collected using a CV event electronic case report form. At prespecified visits, participants were asked about any new CV event. Deaths and nonfatal cardiovascular adverse events (AEs) were adjudicated by a committee of physicians with cardiology expertise external to the Sponsor. The nonfatal cardiovascular AEs to be adjudicated include myocardial infarction, hospitalization for unstable angina, hospitalization for heart failure, coronary interventions (such as coronary artery bypass graft or percutaneous coronary intervention), and cerebrovascular events including cerebrovascular accident (stroke) and transient ischemic attack. The number of participants with adjudicated CV events is summarized cumulatively at 26, 52, and 78 weeks. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01075282)
Timeframe: Baseline through 26, 52, and 78 weeks
Intervention | participants (Number) |
---|
| Any CV event, 26 weeks | Any fatal CV event, 26 weeks | Any non-fatal CV event, 26 weeks | Any CV event, 52 weeks | Any fatal CV event, 52 weeks | Any non-fatal CV event, 52 weeks | Any CV event, 78 week | Any fatal CV event, 78 week | Any non-fatal CV event, 78 week |
---|
Insulin Glargine | 3 | 0 | 3 | 6 | 1 | 5 | 9 | 1 | 8 |
,LY2189265 0.75 mg | 1 | 0 | 1 | 4 | 0 | 4 | 6 | 1 | 6 |
,LY2189265 1.5 mg | 2 | 0 | 2 | 3 | 0 | 3 | 3 | 0 | 3 |
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Change From Baseline to 26, 52 and 78 Weeks in the Low Blood Sugar Survey
The Low Blood Sugar Survey (LBSS) contains 33 items comprised of 2 subscales (behavior and worry), each of which is rated on a 5-point numeric rating scale from 0 (never) to 4 (almost always). It captures behavioral changes associated with the concerns and experiences of hypoglycemia and the degree to which participants are worried about certain aspects associated with hypoglycemia during the previous 4 weeks. The behavior (or avoidance) subscale has 15 items, and the worry (or affect) subscale has 18 items. Subscale scores are calculated by summing participant responses to items (behavior range 0-60; worry range 0-72). A total score is calculated as the sum of both subscales (range 0-132). Higher scores indicate greater negative impact on subscales and total score. Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) with country and treatment as fixed effects and baseline as a covariate. (NCT01075282)
Timeframe: Baseline, 26, 52, and 78 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
| 26 weeks (n=255, 255, 244) | 52 weeks (n=258, 259, 245) | 78 weeks (n=258, 259, 245) |
---|
Insulin Glargine | 0.3 | -1.0 | -2.0 |
,LY2189265 0.75 mg | -2.4 | -4.1 | -4.7 |
,LY2189265 1.5 mg | -2.8 | -4.2 | -4.6 |
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Change From Baseline to 26, 52 and 78 Weeks in the Impact of Weight on Self-Perception
The Impact of Weight on Self-Perception (IW-SP) questionnaire contains 3 items that assess how often the participants' body weight affects how happy they are with their appearance and how often they feel self-conscious when out in public. Items are scored on a 5-point numeric rating scale where 5 = never and 1 = always. A single total score is calculated by summing the scores for all 3 items. Total score ranges between 3 and 15, where a higher score is indicative of better self-perception. Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) with country and treatment as fixed effects and baseline as a covariate. (NCT01075282)
Timeframe: Baseline, 26, 52, and 78 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
| 26 weeks (n=258, 258, 251) | 52 weeks (n=260, 261, 252) | 78 weeks (n=260, 261, 252) |
---|
Insulin Glargine | -0.1 | 0.1 | 0.1 |
,LY2189265 0.75 mg | 0.2 | 0.2 | 0.3 |
,LY2189265 1.5 mg | 0.1 | 0.5 | 0.5 |
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Change From Baseline to 26, 52 and 78 Weeks in the Impact of Weight on Activities of Daily Living
"The Impact of Weight on Activities of Daily Living questionnaire (renamed the Ability to Perform Physical Activities of Daily Living Questionnaire [APPADL]) contains 7 items that assess how difficult it is for participants to engage in certain activities considered to be integral to normal daily life, such as walking, standing and climbing stairs. Items are scored on a 5-point numeric rating scale where 5 = not at all difficult and 1 = unable to do. The individual scores from all 7 items are summed and a single total score is calculated and may range between 7 and 35. A higher score indicates better ability to perform activities of daily living. Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) with country and treatment as fixed effects and baseline as a covariate." (NCT01075282)
Timeframe: Baseline, 26, 52, and 78 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
| 26 weeks (n=256, 256, 248) | 52 weeks (n=260, 261, 249) | 78 weeks (n=260, 261, 249) |
---|
Insulin Glargine | -0.3 | -0.6 | -0.3 |
,LY2189265 0.75 mg | 0.1 | 0.4 | 0.3 |
,LY2189265 1.5 mg | 0.7 | 0.9 | 1.0 |
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Change in Body Weight
Change from baseline in body weight after 26 weeks of treatment (NCT01076647)
Timeframe: Week 0, Week 26
Intervention | kg (Mean) |
---|
IDeg 3TW | 0.8 |
IGlar OD | 0.5 |
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Change in Glycosylated Haemoglobin (HbA1c)
Change from baseline in HbA1c after 26 weeks of treatment (NCT01076647)
Timeframe: Week 0, Week 26
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDeg 3TW | -1.05 |
IGlar OD | -1.36 |
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Main Trial (Primary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 26 Weeks of Treatment
Change from baseline in HbA1c after 26 weeks of treatment (NCT01079234)
Timeframe: Week 0, Week 26
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDeg OD FF | -0.40 |
IDeg OD | -0.41 |
IGlar OD | -0.58 |
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Main Trial (Secondary Endpoint): Change in Fasting Plasma Glucose (FPG) After 26 Weeks of Treatment
Change from baseline in FPG after 26 weeks of treatment (NCT01079234)
Timeframe: Week 0, Week 26
Intervention | mmol/L (Mean) |
---|
IDeg OD FF | -1.28 |
IDeg OD | -2.54 |
IGlar OD | -1.33 |
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Extension Trial (Primary Endpoint): Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. Nocturnal hypoglycaemic episodes are defined as occurring between 00:01 and 05:59 a.m. (NCT01079234)
Timeframe: Week 0 to Week 52 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IGlar OD | 848 |
IDeg OD F | 640 |
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Extension Trial (Secondary Endpoint): Change in Fasting Plasma Glucose (FPG) After 52 Weeks of Treatment
Change from baseline in FPG after 52 weeks of treatment. (NCT01079234)
Timeframe: Week 0, Week 52
Intervention | mmol/L (Mean) |
---|
IGlar OD | -0.61 |
IDeg OD F | -1.73 |
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Extension Trial (Primary Endpoint): Rate of Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes are defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes are defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. (NCT01079234)
Timeframe: Week 0 to Week 52 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IGlar OD | 6341 |
IDeg OD F | 6811 |
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Extension Trial (Secondary Endpoint): Change in Glycosylated Haemoglobin (HbA1c) After 52 Weeks of Treatment
Change from baseline in HbA1c after 52 weeks of treatment. (NCT01079234)
Timeframe: Week 0, Week 52
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IGlar OD | -0.21 |
IDeg OD F | -0.13 |
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Change From Baseline in CGM Glucose Variability
"Employ Continuous Glucose Monitoring (CGM) with Ambulatory Glucose Profile (AGP) analysis to characterize the diurnal patterns produced by oral medications (metformin) used in the treatment of type 2 diabetes.~Employ CGM to measure the effect of exenatide, insulin glargine and exenatide plus insulin glargine in terms of underlying physiological defects and alter medications in a manner that improves- ii. Glucose variability (inter-quartile range)~IQR is the difference between the 75th and 25th percentiles. Change from baseline was calculated as IQR at baseline minus IQR value at final visit (32 weeks)." (NCT01089569)
Timeframe: baseline to final visit (32 weeks)
Intervention | mg/dL (Mean) |
---|
Exenatide | -9 |
Insulin Glargine | -7.7 |
Exenatide + Insulin Glargine | -12.1 |
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HbA1c Change
"Measure the changes in HbA1C attributable to exenatide, insulin glargine and their combination.~Employ CGM with AGP analysis to determine if there is an incremental benefit for subjects who do not reach target to add exenatide to insulin glargine or insulin glargine to exenatide in patients taking metformin." (NCT01089569)
Timeframe: baseline to final visit (32 weeks)
Intervention | %HbA1c (Mean) |
---|
| Baseline | Final - Week 32 |
---|
Exenatide | 6.4 | 7.8 |
,Exenatide + Insulin Glargine | 6.2 | 7.6 |
,Insulin Glargine | 6.4 | 7.6 |
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Change From Baseline in Weight Changes
"Measure the changes in weight attributable to exenatide, insulin glargine and their combinations.~Employ CGM with AGP analysis to determine if there is an incremental benefit for subjects who do not reach target to add exenatide to insulin glargine or insulin glargine to exenatide in patients taking metformin.~Change from baseline was calculated as weight in pounds at baseline minus weight in pounds at final visit (32 weeks)." (NCT01089569)
Timeframe: baseline - final visit (32 weeks)
Intervention | lbs (pounds) (Mean) |
---|
Exenatide | -13.5 |
Insulin Glargine | -0.5 |
Exenatide + Insulin Glargine | -10.3 |
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Change From Baseline in Incidence of Hypoglycemia (Frequency)
"Employ Continuous Glucose Monitoring (CGM) with Ambulatory Glucose Profile (AGP) analysis to characterize the diurnal patterns produced by oral medications (metformin) used in the treatment of type 2 diabetes.~Employ CGM to measure the effect of exenatide, insulin glargine and exenatide plus insulin glargine in terms of underlying physiological defects and alter medications in a manner that improves- iv. Incidence of hypoglycemia (frequency)~Change from baseline was calculated as mean incidence rate at baseline minus mean incidence rate at final visit (32 weeks)" (NCT01089569)
Timeframe: baseline to final visit (32 weeks)
Intervention | episodes/day (Mean) |
---|
Exenatide | .7 |
Insulin Glargine | .8 |
Exenatide + Insulin Glargine | .6 |
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Change From Baseline in Incidence of Hypoglycemia (Degree)
"Employ Continuous Glucose Monitoring (CGM) with Ambulatory Glucose Profile (AGP) analysis to characterize the diurnal patterns produced by oral medications (metformin) used in the treatment of type 2 diabetes.~Employ CGM to measure the effect of exenatide, insulin glargine and exenatide plus insulin glargine in terms of underlying physiological defects and alter medications in a manner that improves- iv. Incidence of hypoglycemia (degree) Change from baseline was calculated as mean incidence percentage at baseline minus mean incidence percentage at final visit (32 weeks)" (NCT01089569)
Timeframe: baseline to final visit (32 weeks)
Intervention | percentage of measures under 70 mg/dL (Mean) |
---|
Exenatide | 1.7 |
Insulin Glargine | 1.7 |
Exenatide + Insulin Glargine | 1.3 |
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Self-Monitored Fasting Plasma Glucose (SMFPG) Measurements: Change From Beginning to the End of the Extension Period
"SMFPG = mean value of Self-Monitored Fasting Plasma Glucose measurements over 3 consecutive days in the week before each visit~Value at the end of the extension period defined as last available value during the extension period (i.e. last-observation-carried-forward [LOCF] value)~Change = LOCF value - week 24 value" (NCT01117350)
Timeframe: week 24, week 30, week 36, week 48
Intervention | mg/dL (Mean) |
---|
Insulin Glargine (Extension Period) | -44.63 |
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Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) Has Decreased But Remains ≥7% at the End of the Comparative Period
"Percentage of patients with:~* HbA1c value at end of the comparative period (LOCF) lower than HbA1c baseline value~AND~* HbA1c value at end of the comparative period (LOCF) ≥7%" (NCT01117350)
Timeframe: baseline (week -2), week 12, week 24
Intervention | percentage of participants (Number) |
---|
Insulin Glargine | 47.1 |
Liraglutide | 46.3 |
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Body Weight: Change From Baseline to the End of the Comparative Period
Change = Last weight value measured during the comparative period (LOCF value) - weight value at baseline (NCT01117350)
Timeframe: baseline (week 0), week 2, week 6, week 12, week 18, week 24
Intervention | kg (Mean) |
---|
Insulin Glargine | 1.98 |
Liraglutide | -2.99 |
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Body Weight: Change From Beginning to End of the Extension Period
Change = Last weight value measured during the extension period (LOCF value) - weight value at beginning of the Extension Period (Week 24) (NCT01117350)
Timeframe: week 24, week 30, week 36, week 48
Intervention | kg (Mean) |
---|
Insulin Glargine (Extension Period) | 4.35 |
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Daily Dose of Insulin Glargine Administered During the Extension Period
(NCT01117350)
Timeframe: week 30, week 36, week 48
Intervention | Unit (U) (Mean) |
---|
| Start of treatment (N=154) | Week 30 (N=151) | Week 36 (N=150) | Week 48 (N=151) |
---|
Insulin Glargine (Extension Period) | 15.77 | 37.49 | 46.21 | 50.68 |
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Daily Dose of Insulin Glargine
(NCT01117350)
Timeframe: week 1, week 2, week 6, week 12, week 24
Intervention | Unit (U) (Mean) |
---|
| Start of treatment (N=472) | Week 1 (N=470) | Week 2 (N=470) | Week 6 (N=470) | Week 12 (N=463) | Week 18 (N=454) | Week 24 (N=459) | End comparative period (LOCF) (N=474) |
---|
Insulin Glargine | 13.39 | 17.74 | 22.06 | 34.67 | 44.40 | 48.65 | 51.67 | 51.24 |
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Self-Monitored 7-point Plasma Glucose (PG) Profile: Change From Beginning to the End of the Extension Period
"Self-monitored 7-point plasma glucose profiles (before and 2 hours after the start of breakfast, lunch and dinner, and at bedtime) recorded on 3 consecutive days in the week before each visit~Value at the end of the extension period defined as last available value during the extension period (i.e. last-observation-carried-forward [LOCF] value)~Change = LOCF value - week 24 value" (NCT01117350)
Timeframe: week 24, week 36, week 48
Intervention | mg/dL (Mean) |
---|
| Before breakfast (N=143) | After breakfast (N=134) | Before lunch (N=131) | After lunch (N=134) | Before dinner (N=133) | After dinner (N=130) | At bedtime (N=127) |
---|
Insulin Glargine (Extension Period) | -46.13 | -27.67 | -20.32 | -11.50 | -12.56 | -2.28 | -14.94 |
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Self-Monitored Fasting Plasma Glucose (SMFPG) Measurements: Change From Baseline to the End of the Comparative Period
"SMFPG = mean value of Self-Monitored Fasting Plasma Glucose measurements over 3 consecutive days in the week before each visit~Value at the end of the comparative period defined as last available value during the comparative period (i.e. last-observation-carried-forward [LOCF] value)~Change = LOCF value - baseline value" (NCT01117350)
Timeframe: baseline (week 0), week 6, week 12, week 18, week 24
Intervention | mg/dL (Mean) |
---|
Insulin Glargine | -65.25 |
Liraglutide | -37.23 |
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Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) Has Increased at the End of the Comparative Period
Percentage of patients with HbA1c value at end of the comparative period (LOCF) higher than HbA1c baseline value (NCT01117350)
Timeframe: baseline (week -2), week 12, week 24
Intervention | percentage of participants (Number) |
---|
Insulin Glargine | 4.1 |
Liraglutide | 6.6 |
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Daily Dose of Liraglutide
(NCT01117350)
Timeframe: week 1, week 2, week 6, week 12, week 24
Intervention | mg (Mean) |
---|
| Start of treatment (N=470) | Week 1 (N=463) | Week 2 (N=458) | Week 6 (N=444) | Week 12 (N=426) | Week 18 (N=415) | Week 24 (N=431) | End comparative period (LOCF) (N=470) |
---|
Liraglutide | 0.60 | 0.91 | 1.49 | 1.72 | 1.73 | 1.74 | 1.73 | 1.71 |
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Hypoglycemia Occurence: Number of Patients With at Least One Episode of Symptomatic / Severe Symptomatic Hypoglycemia During the Comparative Period
"Symptomatic hypoglycemia was defined as an event with clinical symptoms that were considered to result from hypoglycemia.~Severe symptomatic hypoglycemia was defined as an event with clinical symptoms that were considered to result from hypoglycemia, requiring the assistance of another person for active administration of carbohydrate, glucagon or other countermeasure because the patient could not treat him/herself due to acute neurological impairment directly resulting from the hypoglycemia (assistance by another person when the patient could have treated him/herself was not considered as requiring assistance)and one of the following criteria:~The event was associated with a measured PG level < 36 mg/dL (2 mmol/L),~Or, in absence of PG value, the event was associated with neurological recovery attributable to the restoration of PG to normal, after oral carbohydrate, intravenous glucose or glucagon administration." (NCT01117350)
Timeframe: all across the comparative period (from week 0 to week 24)
Intervention | participants (Number) |
---|
| symptomatic hypoglycemia | severe symptomatic hypoglycemia |
---|
Insulin Glargine | 219 | 0 |
,Liraglutide | 85 | 2 |
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Hypoglycemia Occurence: Number of Patients With at Least One Episode of Symptomatic / Severe Symptomatic Hypoglycemia During the Extension Period
"Symptomatic hypoglycemia was defined as an event with clinical symptoms that were considered to result from hypoglycemia.~Severe symptomatic hypoglycemia was defined as an event with clinical symptoms that were considered to result from hypoglycemia, requiring the assistance of another person for active administration of carbohydrate, glucagon or other countermeasure because the patient could not treat him/herself due to acute neurological impairment directly resulting from the hypoglycemia (assistance by another person when the patient could have treated him/herself was not considered as requiring assistance)and one of the following criteria:~The event was associated with a measured PG level < 36 mg/dL (2 mmol/L),~Or, in absence of PG value, the event was associated with neurological recovery attributable to the restoration of PG to normal, after oral carbohydrate, intravenous glucose or glucagon administration." (NCT01117350)
Timeframe: all across the extension period (from week 24 to week 48)
Intervention | participants (Number) |
---|
| symptomatic hypoglycemia | severe symptomatic hypoglycemia |
---|
Insulin Glargine (Extension Period) | 58 | 0 |
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Self-Monitored 7-point Plasma Glucose (PG) Profile: Change From Baseline to the End of the Comparative Period
"Self-monitored 7-point plasma glucose profiles (before and 2 hours after the start of breakfast, lunch and dinner, and at bedtime) recorded on 3 consecutive days in the week before each visit~Value at the end of the comparative period defined as last available value during the comparative period (i.e. last-observation-carried-forward [LOCF] value)~Change = LOCF value - baseline value" (NCT01117350)
Timeframe: baseline (week 0), week 12, week 24
Intervention | mg/dL (Mean) |
---|
| Before breakfast (N ig = 448 & N l = 409) | After breakfast (N ig = 440 & N l = 397) | Before lunch (N ig = 438 & N l = 404) | After lunch (N ig = 433 & N l = 406) | Before dinner (N ig = 434 & N l = 400) | After dinner (N ig = 426 & N l = 396) | At bedtime (N ig = 380 & N l = 351) |
---|
Insulin Glargine | -65.92 | -66.70 | -50.16 | -43.00 | -40.84 | -42.6 | -43.11 |
,Liraglutide | -38.64 | -55.35 | -39.13 | -41.82 | -36.88 | -45.04 | -44.06 |
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Glycosylated Haemoglobin (HbA1c): Change From Baseline to the End of Comparative Period
Change in HbA1C from baseline to the last observation carried forward (LOCF) measured during the comparative period = LOCF value - baseline value (NCT01117350)
Timeframe: baseline (week -2), week 12, week 24
Intervention | percent (Mean) |
---|
Insulin Glargine | -1.92 |
Liraglutide | -1.81 |
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Glycosylated Haemoglobin (HbA1c): Change From Beginning to the End of the Extension Period
Change in HbA1C from beginning of the extension period (week 24) to the last observation carried forward (LOCF) measured during the extension period = LOCF value - week 24 value (NCT01117350)
Timeframe: week 24, week 36, week 48
Intervention | percent (Mean) |
---|
Insulin Glargine (Extension Period) | -0.26 |
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Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) <7% at the End of the Comparative Period
The value at the end of the comparative period was defined as the last available HbA1c value measured during the comparative period plus 14 days after the last dose of Investigational Product (i.e. last-observation-carried-forward [LOCF] value). (NCT01117350)
Timeframe: week 12, week 24
Intervention | percentage of participants (Number) |
---|
Insulin Glargine | 48.4 |
Liraglutide | 45.9 |
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Percentage of Patients Whose Glycosylated Haemoglobin (HbA1c) <7% at the End of the Extension Period
Value at the end of the extension period defined as last available HbA1c value measured during the extension period (i.e. last observation carried forward (LOCF) value) (NCT01117350)
Timeframe: week 36, week 48
Intervention | percentage of participants (Number) |
---|
Insulin Glargine (Extension Period) | 22.7 |
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Number of Hypoglycaemic Episodes - Severe and Minor
Hypoglycaemic episodes (hypos) summarised based on American Diabetes Association classification (severe, documented symptomatic, asymptomatic, probable symptomatic, and relative hypoglycaemia) and according to additional definition (minor hypoglycaemia). Severe hypos: requiring another person to actively administer resuscitative actions. Minor hypos: symptoms with plasma glucose below 3.1 mmol/L (56 mg/dl), or any asympomatic plasma glucose below 3.1 mmol/L. (NCT01123980)
Timeframe: Weeks 0-24
Intervention | episodes (Number) |
---|
| Severe | Minor |
---|
BIAsp 30 | 0 | 154 |
,Insulin Glargine | 1 | 125 |
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9-point Plasma Glucose Profiles
Glycaemic control measured by 9-point plasma glucose (SPMG) profiles. The 9 timepoints for self-measurement during the day were: before breakfast, 2 hours after breakfast, before lunch, 2 hours after lunch, before dinner, 2 hours after dinner, before bedtime, at 2-4 a.m. and before breakfast the following day. (NCT01123980)
Timeframe: Week 24
Intervention | mmol/L (Mean) |
---|
| Before breakfast | 2 hours after breakfast | Before lunch | 2 hours after lunch | Before dinner | 2 hours after dinner | Before bedtime | At 2-4 a.m. | Before breakfast the following day |
---|
BIAsp 30 | 6.46 | 10.18 | 7.35 | 10.50 | 7.67 | 9.36 | 8.14 | 6.58 | 6.51 |
,Insulin Glargine | 6.49 | 10.11 | 7.22 | 10.22 | 7.03 | 10.88 | 9.39 | 7.06 | 6.35 |
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Change in Glycosylated Haemoglobin (HbA1c)
(NCT01123980)
Timeframe: Week 0, week 24
Intervention | percentage of glycosylated haemoglobin (Least Squares Mean) |
---|
BIAsp 30 | -0.68 |
Insulin Glargine | -0.56 |
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Number of Hypoglycaemic Episodes
All episodes classified into nocturnal (time of onset between 00:00 (included) and 05:59 (included)). (NCT01123980)
Timeframe: Weeks 0-24
Intervention | episodes (Number) |
---|
BIAsp 30 | 97 |
Insulin Glargine | 63 |
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Number of Hypoglycaemic Episodes - All
(NCT01123980)
Timeframe: Weeks 0-24
Intervention | episodes (Number) |
---|
BIAsp 30 | 745 |
Insulin Glargine | 605 |
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Percentage of Subjects Achieving HbA1c Below 7.0%
The percentage of subjects achieving the treatment target for glycosylated haemoglobin A1c after 24 weeks of treatment (NCT01123980)
Timeframe: Week 24
Intervention | percentage (%) of subjects (Number) |
---|
BIAsp 30 | 29.1 |
Insulin Glargine | 30.0 |
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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 after 24 weeks of treatment (NCT01123980)
Timeframe: Week 24
Intervention | percentage (%) of subjects (Number) |
---|
BIAsp 30 | 14.9 |
Insulin Glargine | 14.2 |
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Mean of Glycosylated Hemoglobin (hbA1c)
Mean glycosylated hemoglobin (hbA1c) at baseline. The A1C test result is reported as a percentage. The higher the percentage, the higher a person's blood glucose levels have been. A normal A1C level is below 5.7 percent. (NCT01131052)
Timeframe: 6 months
Intervention | percent of glycosylated hemoglobin (Mean) |
---|
Basal Plus | 6.7 |
Sliding Scale Regular Insulin (SSRI) | 6.3 |
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Mean of Glycosylated Hemoglobin (hbA1c)
Mean glycosylated hemoglobin (hbA1c) at baseline. The A1C test result is reported as a percentage. The higher the percentage, the higher a person's blood glucose levels have been. A normal A1C level is below 5.7 percent. (NCT01131052)
Timeframe: 3 months
Intervention | percent of glycosylated hemoglobin (Mean) |
---|
Basal Plus | 7.0 |
Sliding Scale Regular Insulin (SSRI) | 6.3 |
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Percent of Participants With a Mean Blood Glucose Concentration of Less Than 70 mg/dL
Mean weekly blood glucose concentration less than 70 mg/dL at 3 months (NCT01131052)
Timeframe: 3 months
Intervention | percentage of participants (Number) |
---|
Basal Plus | 28 |
Sliding Scale Regular Insulin (SSRI) | 31 |
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Mean of Glycosylated Hemoglobin (hbA1c)
Mean glycosylated hemoglobin (hbA1c) at baseline. The A1C test result is reported as a percentage. The higher the percentage, the higher a person's blood glucose levels have been. A normal A1C level is below 5.7 percent. (NCT01131052)
Timeframe: Baseline
Intervention | percent of glycosylated hemoglobin (Mean) |
---|
Basal Plus | 6.8 |
Sliding Scale Regular Insulin (SSRI) | 6.5 |
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Mean of Weekly Fasting Blood Glucose Concentration
Mean weekly blood glucose concentration at 3 months (NCT01131052)
Timeframe: 3 months
Intervention | mg/dL (Mean) |
---|
Basal Plus | 130 |
Sliding Scale Regular Insulin (SSRI) | 123 |
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Percent of Participants With a Mean Blood Glucose Concentration of Less Than 40 mg/dL
Mean weekly blood glucose concentration less than 40 mg/dL at 3 months (NCT01131052)
Timeframe: 3 months
Intervention | percentage of participants (Number) |
---|
Basal Plus | 0 |
Sliding Scale Regular Insulin (SSRI) | 1 |
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Mean Blood Glucose Concentration
Mean blood glucose concentration at baseline (NCT01131052)
Timeframe: Baseline
Intervention | mg/dL (Mean) |
---|
Basal Plus | 198.2 |
Sliding Scale Regular Insulin (SSRI) | 191.8 |
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Mean of Daily Blood Glucose Concentration
Mean of daily blood glucose concentration at baseline (NCT01131052)
Timeframe: Baseline
Intervention | mg/dL (Mean) |
---|
Basal Plus | 163.0 |
Sliding Scale Regular Insulin (SSRI) | 137.7 |
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Rate of Confirmed Hypoglycaemic Episodes
Rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes with a confirmed plasma glucose value of less than 3.1 mmol/L. (NCT01135992)
Timeframe: Weeks 0-4 (IGlar), Weeks 4-16 (IDeg 3TW)
Intervention | episodes per 100 patient years (Number) |
---|
| IGlar (N=142) (week 4) | IDeg (N=129) (week 16) |
---|
IGlar/IDeg | 453 | 424 |
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HbA1c (Glycosylated Haemoglobin)
HbA1C at week 4 and 16 (NCT01135992)
Timeframe: Week 4 and Week 16
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
| Week 4 (N=128) (IGlar) | Week 16 (N=122)(IDeg) |
---|
IGlar/IDeg | 7.4 | 7.2 |
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Fasting Plasma Glucose (FPG)
FPG at week 4 and 16 (NCT01135992)
Timeframe: Week 4 and Week 16
Intervention | mmol/L (Mean) |
---|
| Week 4 (N=128) (IGlar) | Week 16 (N=122) (IDeg) |
---|
IGlar/IDeg | 7.0 | 6.3 |
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Rate of Treatment Emergent Adverse Events (AEs)
Corresponds to rate of AEs per 100 patient years of exposure. Mild AEs: no or transient symptoms, no interference with subject's daily activities. Moderate AEs: marked symptoms, moderate interference with subject's daily activities. Severe AEs: considerable interference with subject's daily activities, unacceptable. Serious adverse event (SAE): AE that at any dose results in any of the following: death, a life-threatening experience, in-subject hospitalization/prolongation of existing hospitalisation, persistent/significant disability/incapacity/congenital anomaly/birth defect (NCT01135992)
Timeframe: Weeks 0-4 (IGlar), Weeks 4-16 (IDeg 3TW)
Intervention | events per 100 patient years (Number) |
---|
| Adverse events (N=142)(week 4)(IGlar) | Serious AEs (N=142 ) (week 4)(IGlar) | Severe AEs (N=142)(week 4) (IGlar) | Moderate AEs (N=142) (week 4)(IGlar) | Mild AEs (N=142)(week 4) (IGlar) | Fatal AEs (N=142) (week 4) (IGlar) | Adverse events (N=129) (week 16) (IDeg) | Serious AEs (n=129) (week 16) (IDeg) | Severe AEs (N=129) (week 16) (IDeg) | Moderate AEs (N=129) (week 16) (IDeg) | Mild AEs (N=129) (week 16) (IDeg) | Fatal AEs (N=129) (week 16) (IDeg) | Adverse Events (N=142) (Total) | Serious AEs (N=142) (Total) | Severe AEs (N=142) (Total) | Moderate AEs (N=142) (Total) | Mild AEs (N=142) (Total) | Fatal AEs (N=142)(Total) |
---|
IGlar/IDeg | 370 | 9 | 19 | 102 | 250 | 0 | 424 | 7 | 10 | 132 | 280 | 0 | 409 | 8 | 13 | 124 | 273 | 0 |
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Change in Body Weight
Change from baseline in body weight after week 4 and after week 16 (NCT01135992)
Timeframe: Week 0, Week 4, Week 16
Intervention | kg (Mean) |
---|
| Week 4(N= 142) (IGlar) | Week 16 (N=129) (IDeg) |
---|
IGlar/IDeg | 0.1 | 0.6 |
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Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Rate of nocturnal confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes with a confirmed plasma glucose value of less than 3.1 mmol/L. Nocturnal hypoglycaemic episodes are defined as occuring between 00:01 and 05:59 a.m. (NCT01135992)
Timeframe: Weeks 0-4 (IGlar), Weeks 4-16 (IDeg 3TW)
Intervention | episodes per 100 patient years (Number) |
---|
| IGlar (week 4) (N=142) | IDeg (week 16) (N=129) |
---|
IGlar/IDeg | 111 | 83 |
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Number of Participants With Treatment-emergent Adverse Events Throughout Hospital Study Period
Treatment-emergent adverse event - any untoward medical occurrence that either occurred or worsened at any time after treatment baseline and which did not necessarily have a causal relationship with this treatment. A summary of adverse events is located in the Reported Adverse Event Module. (NCT01136746)
Timeframe: Throughout hospital study period (1 to 10 days post-randomization)
Intervention | participants (Number) |
---|
Sliding Scale Regular Insulin | 1 |
Basal-bolus Therapy | 2 |
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Number (Incidence) of Hypoglycemia and Severe Hypoglycemia Episodes, Throughout Hospital Study Period
Hypoglycemia was defined as any time a recorded capillary PG level is ≤70 mg/dL, even if it is not associated with signs or symptoms, or treatment consistent with current guidelines (ADA 2005; ADA 2010). Severe hypoglycemia was defined as an episode associated with a recorded capillary (or venous) PG <40 mg/dL (Umpierrez et al. 2007; Moghissi et al. 2009; Umpierrez et al. 2009), even if it is not associated with need for assistance or neuroglycopenic symptoms (ADA 2005) or prompt recovery after oral carbohydrate, glucagon, or IV glucose. (NCT01136746)
Timeframe: Throughout hospital study period (1 to 10 days post-randomization)
Intervention | hypoglycemic episodes (Number) |
---|
| Hypoglycemic Episodes | Severe Hypoglycemic Episodes |
---|
Basal-bolus Therapy | 3 | 0 |
,Sliding Scale Regular Insulin | 1 | 0 |
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Mean Plasma Glucose (MPG) by Hospital Day
The intent was to report results up to Day 10; however, due to low enrollment, mean and standard deviations are only reported up to Day 7. (NCT01136746)
Timeframe: Day 1 up to day 7 of hospital study period
Intervention | mg/dL (Mean) |
---|
| Day 1 (n=6, n=6) | Day 2 (n=8, n=5) | Day 3 (n=6, n=3) | Day 4 (n=2, n=1) | Day 5 (n=1, n=1) | Day 6 (n=1, n=1) | Day 7 (n=0, n=1) |
---|
Basal-bolus Therapy | 149.9 | 124.0 | 128.5 | 96.3 | 104.6 | 111.0 | 108.0 |
,Sliding Scale Regular Insulin | 178.1 | 175.2 | 151.0 | 132.5 | 154.8 | 138.0 | NA |
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Percentage of Capillary Plasma Glucose Measurements Within the Range of 71 to 179 mg/dL Throughout the Hospital Study Period
Results are reported as the percentage of total number of capillary plasma glucose measurements within the range of 71 to 179 mg/dL for each treatment arm. (NCT01136746)
Timeframe: Throughout hospital study period (1 to 10 days post-randomization)
Intervention | percentage of capillary PG measurements (Number) |
---|
Sliding Scale Regular Insulin | 81.4 |
Basal-bolus Therapy | 84.3 |
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Mean Plasma Glucose (MPG) Throughout Hospital Study Period
Overall MPG is derived as the mean of plasma glucose (PG) readings from Day/Visit 1 to Day/Visit 10. (NCT01136746)
Timeframe: Throughout hospital study period (1 to 10 days post-randomization)
Intervention | milligrams per deciliter (mg/dL) (Mean) |
---|
Sliding Scale Regular Insulin | 167.6 |
Basal-bolus Therapy | 128.4 |
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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
Intervention | hypoglycemic episode/30 days/participant (Mean) |
---|
Premixed Insulin | 0.468 |
Basal-Bolus | 0.409 |
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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
Intervention | percentage of participants (Number) |
---|
Premixed Insulin | 54.8 |
Basal-Bolus | 55.0 |
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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
Intervention | Percentage of participants (Number) |
---|
Premixed Insulin | 0.0 |
Basal-Bolus | 0.0 |
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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
Intervention | percent 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
Intervention | percent HbA1c (Least Squares Mean) |
---|
Premixed Insulin | -0.96 |
Basal-Bolus | -0.96 |
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Daily Dose of Insulin: Total, Basal, and Prandial
(NCT01175811)
Timeframe: 24 weeks
Intervention | International Units (IU) (Mean) |
---|
| Total Daily Dose | Daily Insulin Dose Basal | Daily Insulin Dose Bolus (prandial) |
---|
Basal-Bolus | 54.0 | 24.717 | 29.269 |
,Premixed Insulin | 52.9 | 31.539 | 21.385 |
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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
Intervention | kilogram per square meter (kg/m^2) (Least Squares Mean) |
---|
| Change at 12 weeks | Change at 24 weeks |
---|
Basal-Bolus | 0.20 | 0.29 |
,Premixed Insulin | 0.26 | 0.31 |
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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
Intervention | Percentage 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-Bolus | 8.9 | 27.7 | 11.9 | 34.2 |
,Premixed Insulin | 6.1 | 26.4 | 9.1 | 29.9 |
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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
Intervention | milligrams 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-Bolus | 157.7 | 136.5 | 132.4 | 213.6 | 176.5 | 165.8 | 164.9 | 149.4 | 142.1 | 227.5 | 177.2 | 171.1 | 190.0 | 157.6 | 151.1 | 209.9 | 176.2 | 165.6 | 180.0 | 163.6 | 155.8 |
,Premixed Insulin | 155.0 | 141.8 | 137.4 | 207.1 | 179.6 | 169.7 | 160.7 | 142.5 | 139.5 | 219.7 | 162.5 | 161.9 | 186.6 | 148.1 | 145.0 | 204.8 | 177.1 | 172.0 | 175.9 | 150.3 | 145.1 |
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Daily Dose of Insulin Per Kilogram of Body Weight: Total, Basal and Prandial
(NCT01175811)
Timeframe: 24 weeks
Intervention | International Units per kilogram (IU/kg) (Mean) |
---|
| Total Daily Dose | Daily Insulin Dose Basal | Daily Insulin Dose Bolus (prandial) |
---|
Basal-Bolus | 0.760 | 0.348 | 0.412 |
,Premixed Insulin | 0.738 | 0.440 | 0.298 |
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Perceptions About Medications-Diabetes 21 (PAM-D21) Questionnaire Score at 24 Weeks
PAM-D21 is a validated questionnaire consisting of 21 items to assess a participant's perceptions about their diabetes treatment regimens and perceived emotional and physical side-effects. The PAM-D21 consists of 4 subscales: Convenience/Flexibility (items 1 to 3); Perceived Effectiveness (items 4 to 6); Emotional Effects (items 7 to 11); and Physical Effects (items 12 to 21). Item scores range from 1 (none of the time) to 4 (all of the time). Subscale scores were linearly transformed to a 0-100, with higher score corresponds to better perceptions about diabetes medications. The least squares (LS) mean was estimated from an analysis of covariance (ANCOVA) model that included baseline score as a covariate and treatment, glycosylated hemoglobin A1c (HbA1c) stratum, and country as fixed effects. (NCT01175824)
Timeframe: 24 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
| Convenience/Flexibility (n= 231, 230) | Perceived Effectiveness (n=231, 230) | Emotional Effects (n=231, 230) | Physical Effects (n=231, 228) |
---|
Insulin Glargine+Insulin Lispro | 84.13 | 78.76 | 81.86 | 89.04 |
,Insulin Lispro Low Mixture | 83.90 | 76.78 | 81.84 | 87.89 |
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The Number of Participants With a Hypoglycemic Episodes (Incidence)
A hypoglycemic episode was defined as an event associated with 1) reported signs and symptoms of hypoglycemia, and/or 2) a documented blood glucose (BG) concentration of <= 70 milligrams per deciliter [mg/dL, 3.9 millimoles per liter (mmol/L)]. (NCT01175824)
Timeframe: Baseline through 24 weeks
Intervention | participants (Number) |
---|
Insulin Lispro Low Mixture | 144 |
Insulin Glargine+Insulin Lispro | 150 |
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Change in HbA1c From Baseline to 24 Weeks Endpoint (Per Protocol Population)
The change from baseline to 24 weeks in the percentage of glycosylated hemoglobin A1c (HbA1c) in plasma. The least squares (LS) mean was estimated from a mixed-effects model with repeated measures (MMRM) that included baseline HbA1c concentration as a covariate, treatment, country, week of visit, and treatment-by-week interaction as fixed effects, and participant and error as random effects. (NCT01175824)
Timeframe: Baseline, 24 weeks
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
Insulin Lispro Low Mixture | -1.30 |
Insulin Glargine+Insulin Lispro | -1.09 |
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Change in the HbA1c Concentration From Baseline to 12 Weeks Endpoint
The change from baseline to 12 weeks in the percentage of glycosylated hemoglobin A1c (HbA1c) in plasma. The least squares (LS) mean was estimated from a mixed-effects model with repeated measures (MMRM) that included baseline HbA1c concentration as a covariate, treatment, country, week of visit, and treatment-by-week interaction as fixed effects, and participant and error as random effects. (NCT01175824)
Timeframe: Baseline, 12 weeks
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
Insulin Lispro Low Mixture | -1.12 |
Insulin Glargine+Insulin Lispro | -1.01 |
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Insulin Treatment Satisfaction Questionnaire (ITSQ) Score at 24 Weeks
ITSQ: validated instrument containing 22 items which are measured on a 7-point scale: 1 (no bother at all) to 7 (a tremendous bother) used to assess insulin treatment satisfaction. Items are divided into 5 domains: Inconvenience of Regimen (5 items: domain score range 5 to 35), Lifestyle Flexibility (3 items: domain score range 3 to 21), Glycemic Control (3 items: domain score range 3 to 21), Hypoglycemic Control (5 items: domain score range 5 to 35), Insulin Delivery Device (6 items: domain score range 6 to 42) lower scores reflect better outcome. ITSQ Total Overall Score ranged from 22 to 154. Raw domain scores transformed on 0-100 scale, where transformed domain score = 100×[(7-raw domain score)/6]. Higher scores indicate better treatment satisfaction. Least squares (LS) mean estimated from analysis of covariance (ANCOVA) model that included baseline score as covariate and treatment, glycosylated hemoglobin A1c (HbA1c) stratum, and country as fixed effects. (NCT01175824)
Timeframe: 24 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
Insulin Lispro Low Mixture | 80.91 |
Insulin Glargine+Insulin Lispro | 81.84 |
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The Number of Participants With Severe Hypoglycemic Episodes
The number of participants who had a severe hypoglycemic episode anytime during the study. Severe hypoglycemia was defined as any event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. (NCT01175824)
Timeframe: Baseline through 24 weeks
Intervention | participants (Number) |
---|
Insulin Lispro Low Mixture | 2 |
Insulin Glargine+Insulin Lispro | 0 |
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Change in HbA1c From Baseline to 24 Weeks Endpoint (Intention-to-Treat Population)
The change from baseline to 24 weeks in the percentage of glycosylated hemoglobin A1c (HbA1c) in plasma. The least squares (LS) mean was estimated from a mixed-effects model with repeated measures (MMRM) that included baseline HbA1c concentration as a covariate, treatment, country, week of visit, and treatment-by-week interaction as fixed effects, and participant and error as random effects. (NCT01175824)
Timeframe: Baseline, 24 weeks
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
Insulin Lispro Low Mixture | -1.30 |
Insulin Glargine+Insulin Lispro | -1.08 |
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Daily Insulin Dose: Total, Basal, and Prandial at 12 Weeks and 24 Weeks
(NCT01175824)
Timeframe: 12 weeks, 24 weeks
Intervention | international units (IU) (Mean) |
---|
| Total Insulin Dose at 12 Weeks (n=224, 224) | Total Insulin Dose at 24 Weeks LOCF (n=236, 240) | Basal Insulin Dose at 12 Weeks (n=224, 224) | Basal Insulin Dose at 24 Weeks LOCF (n=236, 240) | Prandial Insulin Dose at 12 Weeks (n=224, 224) | Prandial Insulin Dose at 24 Weeks LOCF(n=236, 240) |
---|
Insulin Glargine+Insulin Lispro | 49.2 | 50.8 | 37.1 | 37.4 | 12.1 | 13.5 |
,Insulin Lispro Low Mixture | 51.2 | 53.1 | 38.4 | 39.8 | 12.8 | 13.3 |
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The Rate of Hypoglycemic Episodes
The hypoglycemia rate per 30 days was calculated as the number of episodes reported for the interval between visits and during the study divided by the number of days in the given interval and multiplied by 30. (NCT01175824)
Timeframe: Baseline through 24 weeks
Intervention | hypoglycemic episodes per 30 day period (Mean) |
---|
Insulin Lispro Low Mixture | 1.07 |
Insulin Glargine+Insulin Lispro | 1.36 |
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Glycemic Variability From the 7-point Self-Monitored Blood Glucose (SMBG) Profiles at 12 Weeks and 24 Weeks
The 7-point SMBG profile was calculated as the average blood glucose concentration across the 7 pre-specified time points in a day that was then averaged over 3 non-consecutive days in the 2 weeks prior to the 12 week visit and 24 week visit. Glycemic variability was calculated as the standard deviation of the 7-point SMBG profiles. Standard deviation was first calculated for each day and then averaged over 3 non-consecutive days for each visit. The least squares (LS) mean was estimated from mixed-effects model with repeated measures that included the baseline value of the variable as a covariate, treatment, country, baseline glycosylated hemoglobin A1c (HbA1c)stratification level, week of visit, and treatment-by-week interaction as fixed effects, and participant and error as random effects. (NCT01175824)
Timeframe: 12 weeks, 24 weeks
Intervention | millimoles/liter (mmol/L) (Least Squares Mean) |
---|
| SMBG glycemic variability, 12 weeks (n=220, 221) | SMBG glycemic variability, 24 weeks (n=216, 216) |
---|
Insulin Glargine+Insulin Lispro | 2.13 | 1.99 |
,Insulin Lispro Low Mixture | 2.12 | 2.03 |
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7-point Self-Monitored Blood Glucose (SMBG) Profiles at 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. The least squares (LS) mean was estimated from mixed-effects model with repeated measures that included the baseline value of the variable as a covariate, treatment, country, baseline glycosylated hemoglobin A1c (HbA1c)stratification level, week of visit, and treatment-by-week interaction as fixed effects, and participant and error as random effects. (NCT01175824)
Timeframe: 12 weeks, 24 weeks
Intervention | millimoles per liter (mmol/L) (Least Squares Mean) |
---|
| pre-morning meal (Week 12) (n=223, 222) | 2 hour post-morning meal (Week 12) (n=220, 221) | pre-midday meal (Week 12) (n=220, 221) | 2 hours post-midday meal (Week 12) (n=220, 221) | pre-evening meal (Week 12) (n=221, 221) | 2 hours post-evening meal (Week 12) (n=217, 220) | 3 am - during the night (Week 12)(n=197, 201) | pre-morning meal (Week 24) (n=217, 216) | 2 hours post-morning meal (Week 24) (n=216, 215) | pre-midday meal (Week 24) (n=215, 216) | 2 hours post-midday meal (Week 24) (n=216, 216) | pre-evening meal (Week 24) (n=216, 216) | 2 hours post-evening meal (Week 24) (n=212, 216) | 3 am - during the night (Week 24)(n=198, 195) |
---|
Insulin Glargine+Insulin Lispro | 6.20 | 9.01 | 7.44 | 9.14 | 8.25 | 9.10 | 8.52 | 6.26 | 8.86 | 7.44 | 8.99 | 7.95 | 8.95 | 8.26 |
,Insulin Lispro Low Mixture | 6.87 | 8.82 | 6.96 | 9.46 | 7.98 | 9.15 | 8.21 | 6.60 | 8.52 | 6.82 | 9.08 | 7.70 | 9.11 | 8.05 |
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Change in the Fasting Plasma Glucose Concentration From Baseline to 12 Weeks and 24 Weeks
The least squares (LS) mean was estimated from a mixed-effects model with repeated measures (MMRM) that included baseline fasting plasma glucose value as a covariate, treatment, country, baseline HbA1c stratification level, week of visit, and treatment-by-week interaction as fixed effects, and participant and error as random effects. (NCT01175824)
Timeframe: Baseline, 12 weeks, and 24 weeks
Intervention | millimoles per liter (mmol/L) (Least Squares Mean) |
---|
| Change at 12 Weeks (n= 222, 222) | Change at 24 Weeks (n=219, 217) |
---|
Insulin Glargine+Insulin Lispro | 0.64 | 0.75 |
,Insulin Lispro Low Mixture | 1.04 | 0.89 |
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Change in Weight From Baseline to 12 Weeks and 24 Weeks
The least squares (LS) mean was estimated from a mixed-effects model with repeated measures (MMRM) that included baseline weight as a covariate, treatment, country, baseline glycosylated hemoglobin A1c (HbA1c) stratification level, week of visit, and the treatment-by-week interaction as fixed effects, and participant and error as random effects. (NCT01175824)
Timeframe: Baseline, 12 weeks, 24 weeks
Intervention | kilograms (kg) (Least Squares Mean) |
---|
| Change at 12 weeks (n=224, 225) | Change at 24 weeks (n=219, 217) |
---|
Insulin Glargine+Insulin Lispro | 0.34 | 0.50 |
,Insulin Lispro Low Mixture | 0.54 | 1.13 |
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Number of Participants Who Achieve a Target HbA1c Concentration of Less Than 7% or Less Than or Equal to 6.5% at 24 Weeks
(NCT01175824)
Timeframe: 24 weeks
Intervention | participants (Number) |
---|
| HbA1c <7% | HbA1c <=6.5% |
---|
Insulin Glargine+Insulin Lispro | 66 | 31 |
,Insulin Lispro Low Mixture | 76 | 36 |
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1) Percentage of Participants With Normal Glucose Tolerance in the Experimental Group 1 Compared to the Control Group. 2) Percentage of Participants With Normal Glucose Tolerance in the Experimental Group 2 Compared to the Control Group.
Normal glucose tolerance is defined as a fasting plasma glucose <6.1 mmol/L and a 2-hour pc plasma glucose <7.8 mmol/L on a 75 g oral glucose tolerance test off diabetes drugs. (NCT01181674)
Timeframe: (1) 20 weeks and (2) 28 weeks
Intervention | Participants (Count of Participants) |
---|
| Group 2 and Standard care at 28 weeks |
---|
Group 2 (Long) | 2 |
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1) Percentage of Participants With Normal Glucose Tolerance in the Experimental Group 1 Compared to the Control Group. 2) Percentage of Participants With Normal Glucose Tolerance in the Experimental Group 2 Compared to the Control Group.
Normal glucose tolerance is defined as a fasting plasma glucose <6.1 mmol/L and a 2-hour pc plasma glucose <7.8 mmol/L on a 75 g oral glucose tolerance test off diabetes drugs. (NCT01181674)
Timeframe: (1) 20 weeks and (2) 28 weeks
Intervention | Participants (Count of Participants) |
---|
| Group 1 and Standard care at 20 weeks | Group 2 and Standard care at 28 weeks |
---|
Standard Care | 2 | 1 |
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Change in Weight From Baseline
(NCT01181674)
Timeframe: Baseline, 8, 20, 28 and 52 weeks
Intervention | kg (Mean) |
---|
| Baseline | 8 weeks | 20 weeks | 28 weeks | 52 weeks |
---|
Group 1 (Short) | 99.5 | 95.3 | 92.8 | 93.3 | 96.6 |
,Group 2 (Long) | 95.3 | 92.4 | 90.5 | 91.7 | 93.8 |
,Standard Care | 89.3 | 87.1 | 86.3 | 86.1 | 86.5 |
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HbA1C
(NCT01181674)
Timeframe: 8, 20, 28 and 52 weeks
Intervention | percent (Mean) |
---|
| 8 weeks | 20 weeks | 28 weeks | 52 weeks |
---|
Group 1 (Short) | 6.1 | 6.2 | 6.5 | 6.4 |
,Group 2 (Long) | 6.0 | 6.1 | 6.4 | 6.7 |
,Standard Care | 6.6 | 6.6 | 6.6 | 6.5 |
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1) Percentage of Participants With Normal Glucose Tolerance in the Experimental Group 1 Compared to the Control Group. 2) Percentage of Participants With Normal Glucose Tolerance in the Experimental Group 2 Compared to the Control Group.
Normal glucose tolerance is defined as a fasting plasma glucose <6.1 mmol/L and a 2-hour pc plasma glucose <7.8 mmol/L on a 75 g oral glucose tolerance test off diabetes drugs. (NCT01181674)
Timeframe: (1) 20 weeks and (2) 28 weeks
Intervention | Participants (Count of Participants) |
---|
| Group 1 and Standard care at 20 weeks |
---|
Group 1 (Short) | 2 |
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Change in Fasting Plasma Glucose From Baseline
(NCT01181674)
Timeframe: Baseline and 52 weeks
Intervention | mmol/L (Mean) |
---|
Group 1 (Short) | -0.23 |
Group 2 (Long) | -0.64 |
Standard Care | 0.05 |
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Number of Participants With Severe Hypoglycemic Episodes
(NCT01181674)
Timeframe: 52 weeks
Intervention | Participants (Count of Participants) |
---|
Group 1 (Short) | 0 |
Group 2 (Long) | 0 |
Standard Care | 0 |
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Number of Participants With Symptomatic Hypoglycemic Episodes
(NCT01181674)
Timeframe: 52 weeks
Intervention | Participants (Count of Participants) |
---|
Group 1 (Short) | 9 |
Group 2 (Long) | 10 |
Standard Care | 1 |
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Percentage of Participants With Normal Fasting Plasma Glucose
Normal fasting plasma glucose is defined as <6.1 mmol/L. (NCT01181674)
Timeframe: 52 weeks
Intervention | Participants (Count of Participants) |
---|
Group 1 (Short) | 5 |
Group 2 (Long) | 5 |
Standard Care | 3 |
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Normoglycemia on Therapy
"Percentage of participants achieving normoglycemia on therapy in the experimental group 1 compared to the control group.~Percentage of participants achieving normoglycemia on therapy in the experimental group 2 compared to the control group.~Normoglycemia on therapy is defined as a mean fasting capillary blood glucose =5.4 mmol/L and a mean 2-hour pc blood glucose =6.8 mmol/L on 2 seven-point glucose profiles." (NCT01181674)
Timeframe: (1) 8 weeks and (2) 16 weeks
Intervention | Participants (Count of Participants) |
---|
| Group 1 and Standard care at 8 weeks |
---|
Group 1 (Short) | 14 |
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Normoglycemia on Therapy
"Percentage of participants achieving normoglycemia on therapy in the experimental group 1 compared to the control group.~Percentage of participants achieving normoglycemia on therapy in the experimental group 2 compared to the control group.~Normoglycemia on therapy is defined as a mean fasting capillary blood glucose =5.4 mmol/L and a mean 2-hour pc blood glucose =6.8 mmol/L on 2 seven-point glucose profiles." (NCT01181674)
Timeframe: (1) 8 weeks and (2) 16 weeks
Intervention | Participants (Count of Participants) |
---|
| Group 2 and Standard care at 16 weeks |
---|
Group 2 (Long) | 19 |
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Normoglycemia on Therapy
"Percentage of participants achieving normoglycemia on therapy in the experimental group 1 compared to the control group.~Percentage of participants achieving normoglycemia on therapy in the experimental group 2 compared to the control group.~Normoglycemia on therapy is defined as a mean fasting capillary blood glucose =5.4 mmol/L and a mean 2-hour pc blood glucose =6.8 mmol/L on 2 seven-point glucose profiles." (NCT01181674)
Timeframe: (1) 8 weeks and (2) 16 weeks
Intervention | Participants (Count of Participants) |
---|
| Group 1 and Standard care at 8 weeks | Group 2 and Standard care at 16 weeks |
---|
Standard Care | 1 | 1 |
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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
Intervention | mg/dL (Mean) |
---|
Experimental Group | 157.2 |
Control Group | 181.8 |
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Total Daily Insulin Dose Overall and by Components (Insulin Lispro and Insulin Glargine)
Total daily insulin (TDI) dose was reported at baseline, 26 weeks, and 52 weeks. Daily Insulin Lispro and Insulin Glargine doses were reported at 26 and 52 weeks. (NCT01191268)
Timeframe: Baseline and 26 weeks and 52 weeks
Intervention | units (Mean) |
---|
| TDI, Baseline | TDI, 26 weeks (n=244, 251, 254) | TDI, 52 weeks (n=224, 227, 238) | Insulin Lispro, 26 weeks (n=244, 251, 254) | Insulin Lispro, 52 weeks (n=224, 227, 238) | Insulin Glargine, 26 weeks (n=244, 251, 254) | Insulin Glargine, 52 weeks (n=224, 227, 238) |
---|
0.75 mg LY2189265 | 59.11 | 96.69 | 95.00 | 96.69 | 95.00 | NA | NA |
,1.5 mg LY2189265 | 55.20 | 93.24 | 88.15 | 93.24 | 88.15 | NA | NA |
,Insulin Glargine | 53.93 | 132.00 | 133.19 | 67.79 | 69.12 | 64.48 | 64.07 |
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Change From Baseline to 26 and 52 Weeks in Electrocardiogram Parameters, Fridericia Corrected QT (QTcF) Interval and PR Interval
The QT interval is a measure of the time between the start of the Q wave and the end of the T wave and was calculated from electrocardiogram (ECG) data using Fridericia's formula: QTc = QT/RR^0.33. Corrected QT (QTc) is the QT interval corrected for heart rate and RR, which is the interval between two R waves. PR is the interval between the P wave and the QRS complex. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, visit, metformin use, and treatment-by-visit interaction as fixed effects and baseline value as a covariate. (NCT01191268)
Timeframe: Baseline, 26 weeks, and 52 weeks
Intervention | milliseconds (msec) (Least Squares Mean) |
---|
| QTcF interval, 26 weeks (n=241, 242, 236) | QTcF interval, 52 weeks (n= 222, 221, 221) | PR interval, 26 weeks (n=238, 243, 236) | PR interval, 52 weeks (n=220, 222, 221) |
---|
0.75 mg LY2189265 | 0.30 | 1.48 | -1.75 | 0.05 |
,1.5 mg LY2189265 | 0.29 | 1.89 | 0.82 | 0.85 |
,Insulin Glargine | 1.59 | 1.80 | -1.13 | -0.43 |
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Change From Baseline to 26 and 52 Weeks in Body Weight
Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) with country, treatment, and metformin use as fixed effects and baseline body weight as a covariate. (NCT01191268)
Timeframe: Baseline, 26 weeks, and 52 weeks
Intervention | kilograms (kg) (Least Squares Mean) |
---|
| 26 weeks | 52 weeks |
---|
0.75 mg LY2189265 | 0.18 | 0.86 |
,1.5 mg LY2189265 | -0.87 | -0.35 |
,Insulin Glargine | 2.33 | 2.89 |
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Change From Baseline to 26 and 52 Weeks in Blood Pressure
Seated systolic blood pressure (SBP) and seated diastolic blood pressure (DBP) were measured. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, visit, metformin use, and treatment-by-visit interaction as fixed effects and baseline blood pressure as a covariate. (NCT01191268)
Timeframe: Baseline, 26 weeks, and 52 weeks
Intervention | milliliters of mercury (mmHg) (Least Squares Mean) |
---|
| SBP, 26 weeks (n=255, 261, 258) | SBP, 52 weeks (n=239, 240, 246) | DBP, 26 weeks (n=255, 261, 258) | DBP, 52 weeks (n=239, 240, 246) |
---|
0.75 mg LY2189265 | -0.65 | 1.04 | -0.08 | 0.15 |
,1.5 mg LY2189265 | -0.97 | -0.26 | 0.02 | -0.01 |
,Insulin Glargine | 2.23 | 1.98 | -0.23 | -0.34 |
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Change From Baseline to 26 and 52 Weeks in Blood Glucose Values From the 8-point Self-monitored Plasma Glucose (SMPG) Profiles
The self-monitored plasma glucose (SMPG) data were collected at the following 8 time points: pre-morning meal; 2 hours post-morning meal; pre-midday meal; 2 hours post-midday meal; pre-evening meal; 2 hours post-evening meal; bedtime; and 3AM or 5 hours after bedtime. The mean of the 8 time points (Daily Mean) was also calculated. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, metformin, country, visit, and treatment-by-visit interaction as fixed effects and baseline as a covariate. (NCT01191268)
Timeframe: Baseline, 26 weeks, and 52 weeks
Intervention | millimoles per liter (mmol/L)] (Least Squares Mean) |
---|
| Pre-morning meal, 26 weeks (n=228, 231, 232) | Post-morning meal, 26 weeks (n=220, 227, 229) | Pre-midday meal, 26 weeks (n=227, 231, 233) | Post-midday meal, 26 weeks (n=219, 227, 228) | Pre-evening meal, 26 weeks (n=226, 231, 232) | Post-evening meal, 26 weeks (n=220, 228, 227) | Bedtime, 26 weeks (n=220, 221, 226) | After bedtime, 26 weeks (n=208, 216, 208) | Daily Mean, 26 weeks (n=202, 206, 199) | Pre-morning meal, 52 weeks (n=207, 213, 218) | Post-morning meal, 52 weeks (n=200, 211, 211) | Pre-midday meal, 52 weeks (n=207, 213, 218) | Post-midday meal, 52 weeks (n=202, 210, 212) | Pre-evening meal, 52 weeks (n=207, 214, 217) | Post-evening meal, 52 weeks (n=200, 210, 212) | Bedtime, 52 weeks (n=195, 205, 213) | After bedtime, 52 weeks (n=192, 192 197) | Daily Mean, 52 weeks (n=182, 185, 189) |
---|
0.75 mg LY2189265 | -0.06 | -3.29 | -2.38 | -4.53 | -3.06 | -4.54 | -3.89 | -1.50 | -2.97 | 0.05 | -3.23 | -2.52 | -4.29 | -3.07 | -4.54 | -3.96 | -1.36 | -2.95 |
,1.5 mg LY2189265 | -0.36 | -3.70 | -2.80 | -4.51 | -3.24 | -4.61 | -4.00 | -1.48 | -3.17 | 0.03 | -3.38 | -2.53 | -4.33 | 3.00 | -4.22 | -3.62 | -1.17 | -2.84 |
,Insulin Glargine | -2.01 | -4.03 | -2.65 | -3.70 | -2.74 | -3.90 | -3.40 | -1.96 | -3.10 | -2.02 | -3.76 | -2.63 | -3.83 | -2.67 | -3.71 | -3.27 | -1.80 | -2.97 |
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Body Weight at Baseline, 52 Weeks, and 4 Weeks After Last Dose
(NCT01191268)
Timeframe: Baseline and 52 weeks and 4 weeks after last dose
Intervention | kilograms (kg) (Mean) |
---|
| Baseline | 52 weeks (n=290, 290, 295) | 4 weeks after last dose (n=259, 260, 253) |
---|
0.75 mg LY2189265 | 91.69 | 93.21 | 93.14 |
,1.5 mg LY2189265 | 91.00 | 91.58 | 91.69 |
,Insulin Glargine | 90.75 | 94.14 | 94.27 |
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Blood Pressure at Baseline, 52 Weeks, and 4 Weeks After Last Dose
Seated systolic blood pressure (SBP) and seated diastolic blood pressure (DBP) were measured. (NCT01191268)
Timeframe: Baseline and 52 weeks and 4 weeks after last dose
Intervention | milliliters of mercury (mmHg) (Mean) |
---|
| SBP, Baseline | SBP, 52 weeks (n=290, 290, 295) | SBP, 4 weeks after last dose (n=260, 260, 255) | DBP, Baseline | DBP, 52 weeks (n=290, 290, 295) | DBP, 4 weeks after last dose (n=260, 260, 255) |
---|
0.75 mg LY2189265 | 134.03 | 134.31 | 134.72 | 77.57 | 77.59 | 77.04 |
,1.5 mg LY2189265 | 133.26 | 132.67 | 133.77 | 77.33 | 77.33 | 76.58 |
,Insulin Glargine | 133.26 | 134.90 | 132.75 | 77.18 | 77.07 | 76.94 |
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Change From Baseline to 52-week Endpoint in Glycosylated Hemoglobin (HbA1c)
Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) adjusted by treatment, country, baseline metformin, and baseline HbA1c. (NCT01191268)
Timeframe: Baseline, 52 weeks
Intervention | percentage of glycosylated hemoglobin (Least Squares Mean) |
---|
1.5 mg LY2189265 | -1.48 |
0.75 mg LY2189265 | -1.42 |
Insulin Glargine | -1.23 |
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Change From Baseline to 26-week Endpoint in Glycosylated Hemoglobin (HbA1c)
Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) adjusted by treatment, country, baseline metformin, and baseline HbA1c. (NCT01191268)
Timeframe: Baseline, 26 weeks
Intervention | percentage of glycosylated hemoglobin (Least Squares Mean) |
---|
1.5 mg LY2189265 | -1.64 |
0.75 mg LY2189265 | -1.59 |
Insulin Glargine | -1.41 |
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Change From Baseline to 26 and 52 Weeks in Electrocardiogram Parameters, Heart Rate
Electrocardiogram (ECG) heart rate was measured. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, visit, metformin use, and treatment-by-visit interaction as fixed effects and baseline value as a covariate. (NCT01191268)
Timeframe: Baseline, 26 weeks, and 52 weeks
Intervention | beats per minute (bpm) (Least Squares Mean) |
---|
| 26 weeks (n=244, 246, 243) | 52 weeks (n=230, 226, 230) |
---|
0.75 mg LY2189265 | 4.18 | 3.83 |
,1.5 mg LY2189265 | 3.95 | 3.02 |
,Insulin Glargine | 1.37 | 1.03 |
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Change From Baseline to 26 and 52 Weeks in Serum Calcitonin
(NCT01191268)
Timeframe: Baseline, 26 weeks, and 52 weeks
Intervention | picogram per milliliter (pcg/mL) (Median) |
---|
| 26 weeks (n=283, 282, 285) | 52 weeks (n=283, 283, 285) |
---|
0.75 mg LY2189265 | 0.00 | 0.00 |
,1.5 mg LY2189265 | 0.00 | 0.00 |
,Insulin Glargine | 0.00 | 0.00 |
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Change From Baseline to 26 Weeks, 52 Weeks, and 4 Weeks After Last Dose in Body Mass Index (BMI)
Body mass index is an estimate of body fat based on body weight divided by height squared. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, visit, metformin use, and treatment-by-visit interaction as fixed effects and baseline BMI as a covariate. (NCT01191268)
Timeframe: Baseline, 26 weeks, and 52 weeks
Intervention | kilograms per meter squared (kg/m^2) (Least Squares Mean) |
---|
| 26 weeks (n=248, 251, 250) | 52 weeks (n=225, 224, 232) | 4 weeks after last dose |
---|
0.75 mg LY2189265 | 0.21 | 0.57 | NA |
,1.5 mg LY2189265 | -0.20 | 0.09 | NA |
,Insulin Glargine | 1.01 | 1.33 | NA |
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Change From Baseline to 26 and 52 Weeks in Pulse Rate
Seated pulse rate was measured. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, visit, metformin use, and treatment-by-visit interaction as fixed effects and baseline as a covariate (NCT01191268)
Timeframe: Baseline, 26 weeks, and 52 weeks
Intervention | beats per minute (bpm) (Least Squares Mean) |
---|
| 26 weeks (n=255, 261, 258) | 52 weeks (n=239, 240, 246) |
---|
0.75 mg LY2189265 | 2.79 | 2.27 |
,1.5 mg LY2189265 | 2.84 | 2.38 |
,Insulin Glargine | 0.90 | 0.93 |
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Change From Baseline to 26 and 52 Weeks in Pancreatic Enzymes
Amylase (total and pancreas-derived [PD]) and lipase concentrations were measured. (NCT01191268)
Timeframe: Baseline, 26 weeks, and 52 weeks
Intervention | units per liter (U/L) (Median) |
---|
| Amylase (total), 26 weeks (n=284, 282, 287) | Amylase (total), 52 weeks (n=284, 283, 287) | Amylase (PD), 26 weeks (n=284, 282, 287) | Amylase (PD), 52 weeks (n=284, 283, 287) | Lipase, 26 weeks (n=284, 282, 287) | Lipase, 52 weeks (n=284, 283, 287) |
---|
0.75 mg LY2189265 | 4.00 | 2.00 | 2.50 | 2.00 | 4.00 | 3.00 |
,1.5 mg LY2189265 | 5.00 | 2.00 | 4.00 | 3.00 | 7.00 | 6.00 |
,Insulin Glargine | 1.00 | 0.00 | 1.00 | 0.00 | -2.00 | -2.00 |
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Number of Participants With Adjudicated Cardiovascular Events up to 52 Weeks
Deaths and nonfatal cardiovascular adverse events (AEs) were adjudicated by a committee of physicians with cardiology expertise external to the Sponsor. The nonfatal cardiovascular AEs to be adjudicated include myocardial infarction, hospitalization for unstable angina, hospitalization for heart failure, coronary interventions (such as coronary artery bypass graft or percutaneous coronary intervention), and cerebrovascular events including cerebrovascular accident (stroke) and transient ischemic attack. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01191268)
Timeframe: Baseline through 52 weeks
Intervention | participants (Number) |
---|
| Any cardiovascular event | Any fatal cardiovascular event | Any non-fatal cardiovascular event |
---|
0.75 mg LY2189265 | 6 | 0 | 6 |
,1.5 mg LY2189265 | 5 | 0 | 5 |
,Insulin Glargine | 12 | 2 | 11 |
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Pancreatic Enzymes at Baseline, 52 Weeks, and 4 Weeks After Last Dose
Amylase (total and pancreas-derived [PD]) and lipase concentrations were measured at baseline and at 4 weeks after last dose (ALD). (NCT01191268)
Timeframe: Baseline and 52 weeks and 4 weeks after last dose
Intervention | units per liter (U/L) (Mean) |
---|
| Amylase (total), Baseline | Amylase (total), 52 weeks (n=284, 283, 287) | Amylase (total), 4 weeks ALD (n=251, 259, 251) | Amylase (PD), Baseline | Amylase (PD), 52 weeks (n=284, 283, 287) | Amylase (PD), 4 weeks ALD (n=251, 260, 251) | Lipase, Baseline | Lipase, 52 weeks (n=284, 283, 287) | Lipase, 4 weeks ALD (n=252, 260, 251) |
---|
0.75 mg LY2189265 | 58.59 | 60.97 | 59.21 | 25.10 | 27.86 | 25.77 | 41.08 | 45.34 | 41.86 |
,1.5 mg LY2189265 | 61.21 | 66.08 | 61.69 | 26.56 | 31.38 | 27.50 | 41.42 | 50.57 | 44.19 |
,Insulin Glargine | 61.18 | 61.93 | 62.13 | 26.43 | 26.91 | 26.84 | 43.20 | 39.39 | 43.02 |
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Change From Baseline to 26 and 52 Weeks in Fasting Serum Glucose
Fasting serum glucose was measured by the central laboratory. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, country, visit, metformin use, and treatment-by-visit interaction as fixed effects and baseline fasting blood glucose as a covariate. (NCT01191268)
Timeframe: Baseline, 26 weeks, and 52 weeks
Intervention | millimoles per liter (mmol/L) (Least Squares Mean) |
---|
| 26 weeks (n=253, 256, 255) | 52 weeks (n=237, 238, 246) |
---|
0.75 mg LY2189265 | 0.22 | 0.41 |
,1.5 mg LY2189265 | -0.27 | 0.08 |
,Insulin Glargine | -1.58 | -1.01 |
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Number of Participants With Self-reported Hypoglycemic Events up to 26 Weeks, 52 Weeks, and 4 Weeks After Last Dose
Hypoglycemic events (HE) were classified as severe (episodes requiring the assistance of another person to actively administer resuscitative actions and had a plasma glucose [PG] of ≤ 70 milligrams per deciliter [mg/dL]), documented symptomatic (any time a participant felt that he/she was experiencing symptoms and/or signs associated with hypoglycemia and had a PG of ≤ 70 mg/dL), or asymptomatic (events not accompanied by typical symptoms of hypoglycemia but with a measured PG of ≤ 70 mg/dL). The number of participants with self-reported hypoglycemic events is summarized cumulatively. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01191268)
Timeframe: Baseline through 26 weeks and 52 weeks
Intervention | participants (Number) |
---|
| Severe HE, 26 weeks | Severe HE, 52 weeks | Severe HE, 4 weeks after last dose | Documented Symptomatic HE, 26 weeks | Documented Symptomatic HE, 52 weeks | Documented Symptomatic HE, 4 weeks after last dose | Asymptomatic HE, 26 weeks | Asymptomatic HE, 52 weeks | Asymptomatic HE, 4 weeks after last dose | Total HE, 26 weeks | Total HE, 52 weeks | Total HE, 4 weeks after last dose |
---|
0.75 mg LY2189265 | 5 | 7 | NA | 242 | 250 | NA | 179 | 196 | NA | 258 | 263 | NA |
,1.5 mg LY2189265 | 4 | 8 | NA | 228 | 235 | NA | 174 | 191 | NA | 250 | 252 | NA |
,Insulin Glargine | 9 | 14 | NA | 243 | 247 | NA | 198 | 207 | NA | 264 | 266 | NA |
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Number of Participants With Treatment Emergent Adverse Events up to 26 Weeks, 52 Weeks, and 4 Weeks After Last Dose
A treatment-emergent adverse event (TEAE) was defined as an event that first occurs or worsens (increases in severity) after baseline regardless of causality or severity. The number of participants with one or more TEAE is summarized cumulatively at 26 weeks, 52 weeks, and 4 weeks after last dose. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01191268)
Timeframe: Baseline through 26 weeks, 52 weeks, and 4 weeks after last dose
Intervention | participants (Number) |
---|
| 26 weeks | 52 weeks | 4 weeks after last dose |
---|
0.75 mg LY2189265 | 216 | 230 | 235 |
,1.5 mg LY2189265 | 203 | 217 | 223 |
,Insulin Glargine | 178 | 206 | 211 |
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Number of Participants With Treatment Emergent LY2189265 Antibodies up to 26 Weeks, 52 Weeks, and 4 Weeks After Last Dose
A participant was considered to have treatment emergent LY2189265 anti-drug antibodies (ADA) if the participant had at least one titer that was treatment-emergent relative to baseline, defined as a 4-fold or greater increase in titer from baseline measurement. (NCT01191268)
Timeframe: Baseline through 4 weeks after last dose
Intervention | participants (Number) |
---|
| 26 weeks | 52 weeks | 4 weeks after last dose |
---|
1.5 mg or 0.75 mg LY2189265 | NA | NA | 9 |
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Percentage of Participants Attaining Glycosylated Hemoglobin (HbA1c) Less Than 7% and Less Than or Equal to 6.5% at Weeks 26 and 52
The percentage of participants achieving HbA1c level less than 7.0% and less than or equal to 6.5% was analyzed with a repeated logistic regression model (generalized estimating equation model) with baseline HbA1c, baseline metformin, country, and treatment as factors included in the model. (NCT01191268)
Timeframe: 26 weeks and 52 weeks
Intervention | percentage of participants (Number) |
---|
| HbA1c less than 7.0%, 26 weeks | HbA1c less than 7.0%, 52 weeks | HbA1c less than or equal to 6.5%, 26 weeks | HbA1c less than or equal to 6.5%, 52 weeks |
---|
0.75 mg LY2189265 | 69.0 | 56.3 | 43.0 | 34.7 |
,1.5 mg LY2189265 | 67.6 | 58.5 | 48.0 | 36.7 |
,Insulin Glargine | 56.8 | 49.3 | 37.5 | 30.4 |
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Number of Events of Adjudicated Pancreatitis up to 26 Weeks, 52 Weeks, and 4 Weeks After Last Dose
The number of adjudicated (by an independent Clinical Endpoint Committee [CEC]) pancreatic events is summarized at 52 weeks. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01191268)
Timeframe: Baseline through 52 weeks
Intervention | events (Number) |
---|
| 26 weeks | 52 weeks | 4 weeks after last dose |
---|
0.75 mg LY2189265 | NA | 0 | NA |
,1.5 mg LY2189265 | NA | 0 | NA |
,Insulin Glargine | NA | 0 | NA |
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Change From Baseline to 26 and 52 Weeks in the Percentage of Participants Achieving Glycosylated Hemoglobin (HbA1c) Less Than 7% Without Nocturnal or Severe Hypoglycemia
The percentage of participants achieving HbA1c less than 7.0% without nocturnal (defined as any hypoglycemic event that occurred between bedtime and waking) or severe (episodes requiring the assistance of another person to actively administer resuscitative actions) hypoglycemia was analyzed with a repeated logistic regression model (generalized estimating equation model) with baseline HbA1c, baseline metformin, country, and treatment as factors included in the model. (NCT01191268)
Timeframe: Baseline, 26 weeks, and 52 weeks
Intervention | percentage of participants (Number) |
---|
| 26 weeks | 52 weeks |
---|
0.75 mg LY2189265 | 54.5 | 44.0 |
,1.5 mg LY2189265 | 53.8 | 44.0 |
,Insulin Glargine | 28.2 | 26.8 |
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Pulse Rate at Baseline, 52 Weeks, and 4 Weeks After Last Dose
Seated pulse rate was measured. (NCT01191268)
Timeframe: Baseline and 52 weeks and 4 weeks after last dose
Intervention | beats per minute (bpm) (Mean) |
---|
| Baseline | 52 weeks (n=290, 290, 295) | 4 weeks after last dose (n=260, 260, 255) |
---|
0.75 mg LY2189265 | 75.08 | 77.83 | 74.99 |
,1.5 mg LY2189265 | 75.26 | 78.30 | 74.52 |
,Insulin Glargine | 74.54 | 76.02 | 75.27 |
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Rate of Self-reported Hypoglycemic Events up to 52 Weeks
Hypoglycemic events (HE) were classified as severe (episodes requiring the assistance of another person to actively administer resuscitative actions and had a plasma glucose [PG] of ≤ 70 milligrams per deciliter [mg/dL]), documented symptomatic (any time a participant felt that he/she was experiencing symptoms and/or signs associated with hypoglycemia and had a PG of ≤ 70 mg/dL), or asymptomatic (events not accompanied by typical symptoms of hypoglycemia but with a measured PG of ≤ 70 mg/dL). The 1-year adjusted rate of hypoglycemic events is summarized cumulatively at 52 weeks. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01191268)
Timeframe: Baseline through 52 weeks
Intervention | events per participant per year (Mean) |
---|
| Severe HE | Documented Symptomatic HE | Asymptomatic HE | Total HE |
---|
0.75 mg LY2189265 | 0.05 | 35.03 | 11.56 | 47.42 |
,1.5 mg LY2189265 | 0.03 | 30.98 | 9.55 | 41.52 |
,Insulin Glargine | 0.08 | 39.90 | 14.20 | 55.93 |
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Serum Calcitonin at Baseline, 52 Weeks, and 4 Weeks After Last Dose
(NCT01191268)
Timeframe: Baseline and 52 weeks and 4 weeks after last dose
Intervention | picomole per liter (Mean) |
---|
| Baseline | 52 weeks (n=284, 283, 285) | 4 weeks after last dose (n=245, 254, 246) |
---|
0.75 mg LY2189265 | 0.73 | 0.78 | 0.73 |
,1.5 mg LY2189265 | 0.75 | 0.79 | 0.76 |
,Insulin Glargine | 0.78 | 0.80 | 0.87 |
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Change From Baseline to 26 and 52 Weeks in the EQ-5D
The EQ-5D questionnaire is a generic, multidimensional, health-related, quality-of-life instrument. It consists of 2 parts: the first part assesses 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) that have 3 possible levels of response (no problem, some problem, or extreme problem). These dimensions are converted into a weighted health-state Index Score. The EQ-5D United Kingdom (UK) score ranges from -0.59 to 1.0, where a score of 1.0 indicates perfect health and negative values are valued as worse than dead. The second part consists of a visual analog scale (VAS) on which the participants rated their perceived health state on that day from 0 (worst imaginable health state) to 100 (best imaginable health). Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) adjusted by treatment, country, metformin use, and baseline. (NCT01191268)
Timeframe: Baseline, 26 weeks, and 52 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
| EQ-5D UK, 26 weeks (n=272, 271, 274) | EQ-5D UK, 52 weeks (n=274, 274, 281) | VAS, 26 weeks (n=278, 275, 275) | VAS, 52 weeks (n=279, 278, 282) |
---|
0.75 mg LY2189265 | -0.03 | -0.04 | -2.30 | -2.54 |
,1.5 mg LY2189265 | -0.03 | -0.04 | -1.69 | -0.46 |
,Insulin Glargine | -0.03 | -0.03 | -0.60 | -0.18 |
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Change From Baseline to 26 and 52 Weeks in the Low Blood Sugar Survey (LBSS)
The Low Blood Sugar Survey (LBSS) contains 33 items comprised of 2 subscales (behavior and worry), each of which is rated on a 5-point numeric rating scale from 0 (never) to 4 (almost always). It captures behavioral changes associated with the concerns and experiences of hypoglycemia and the degree to which participants are worried about certain aspects associated with hypoglycemia during the previous 4 weeks. The behavior (or avoidance) subscale has 15 items, and the worry (or affect) subscale has 18 items. Subscale scores are calculated by summing participant responses to items (behavior range 0-60; worry range 0-72). A total score is calculated as the sum of both subscales (range 0-132). Higher scores indicate greater negative impact on subscales and total score. Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) with country, treatment and metformin use as fixed effects and baseline score as a covariate. (NCT01191268)
Timeframe: Baseline, 26 weeks, and 52 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
| 26 weeks (n=251, 256, 250) | 52 weeks (n=234, 238, 244) |
---|
0.75 mg LY2189265 | 2.91 | 0.92 |
,1.5 mg LY2189265 | 3.75 | 2.51 |
,Insulin Glargine | 2.83 | 2.38 |
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Change From Baseline to 26 and 52 Weeks in the Impact of Weight on Self-Perception (IW-SP)
The Impact of Weight on Self-Perception (IW-SP) questionnaire contains 3 items that assess how often the participants' body weight affects how happy they are with their appearance and how often they feel self-conscious when out in public. Items are scored on a 5-point numeric rating scale where 5 = never and 1 = always. A single total score is calculated by summing the scores for all 3 items. Total score ranges between 3 and 15, where a higher score is indicative of better self-perception. Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) with country, treatment, and metformin use as fixed effects and baseline score as a covariate. (NCT01191268)
Timeframe: Baseline, 26 weeks, and 52 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
| 26 weeks (n=277, 274, 274) | 52 weeks (n=278, 277, 281) |
---|
0.75 mg LY2189265 | 0.34 | 0.22 |
,1.5 mg LY2189265 | 0.60 | 0.86 |
,Insulin Glargine | 0.18 | 0.06 |
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Change From Baseline to 26 and 52 Weeks in the Impact of Weight on Activities of Daily Living (IW-ADL)
"The Impact of Weight on Activities of Daily Living questionnaire (renamed the Ability to Perform Physical Activities of Daily Living Questionnaire [APPADL]) contains 7 items that assess how difficult it is for participants to engage in certain activities considered to be integral to normal daily life, such as walking, standing and climbing stairs. Items are scored on a 5-point numeric rating scale where 5 = not at all difficult and 1 = unable to do. The individual scores from all 7 items are summed and a single total score is calculated and may range between 7 and 35. A higher score indicates better ability to perform activities of daily living. Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) with country, treatment, and metformin use as fixed effects and baseline score as a covariate." (NCT01191268)
Timeframe: Baseline, 26 weeks, and 52 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
| 26 weeks (n=274, 270, 270) | 52 weeks (n=277, 275, 279) |
---|
0.75 mg LY2189265 | -0.60 | -1.05 |
,1.5 mg LY2189265 | -0.50 | -0.50 |
,Insulin Glargine | -0.93 | -1.28 |
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Mean Daily Insulin Dose
Prandial insulin doses were recorded during 10-point glucose monitoring for a total of 3 days during each treatment period (3 days during Week 10 of Treatment Period 1 and 3 days during Week 22 of Treatment Period 2). The mean daily insulin dose over the 3 days during each treatment period is presented. Data is presented by combined treatment group (Lispro-PH20 + Aspart-PH20 = Analog-PH20) and combined comparator drug (Insulin Lispro from both cohorts). (NCT01194245)
Timeframe: Week 10 and Week 22
Intervention | units (U) (Mean) |
---|
Analog-PH20 | 54.28 |
Insulin Lispro | 56.05 |
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Change From Baseline in Body Weight at the End of Each Treatment Period
Body weight was measured at baseline (Week 0) and at the end of each treatment period (Week 12 and Week 24). Data is presented by combined treatment group (Lispro-PH20 + Aspart-PH20 = Analog-PH20) and combined comparator drug (Insulin Lispro from both cohorts). (NCT01194245)
Timeframe: Baseline, Week 12 and Week 24
Intervention | pounds (lbs) (Mean) |
---|
Analog-PH20 | -0.25 |
Insulin Lispro | 0.10 |
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Change From Baseline in Glycosylated Hemoglobin A1C (HbA1c) at the End of Each Treatment Period
Glycosylated hemoglobin A1C (HBA1c) levels were measured at baseline (Week 0) and at the end of each treatment period (Week 12 and Week 24). Data are presented by combined treatment group (Lispro-PH20 + Aspart-PH20 = Analog-PH20) and combined comparator drug (Insulin Lispro from both cohorts). Least Squares (LS) means were calculated from mixed effects linear models with treatment (Lispro, Aspart), recombinant human hyaluronidase PH20 (rHuPH20; yes, no), and treatment sequence as fixed effects and participant within treatment sequence as a random effect. (NCT01194245)
Timeframe: Baseline, Week 12 and Week 24
Intervention | percentage of hemoglobin A1C (Mean) |
---|
Analog-PH20 | -0.14 |
Insulin Lispro | -0.19 |
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Percentage of Participants Meeting Glucose Targets
Participants were instructed to monitor their blood glucose levels a minimum of 4 times per day on all non-10-point glucose monitoring days. The number of participants meeting 90-minute postprandial plasma glucose (PPG) targets of <140 and <180 milligrams per deciliter (mg/dL) for at least 2/3 of values during non-10-point glucose monitoring days was recorded. The percentage was calculated by dividing the number of participants with values meeting the specified target at least 2/3 of the time by the total number of participants analyzed, multiplied by 100. Data is presented by combined treatment group (Lispro-PH20 + Aspart-PH20 = Analog-PH20) and combined comparator drug (Insulin Lispro from both cohorts). (NCT01194245)
Timeframe: Baseline through Week 24, excluding 10-point glucose monitoring days
Intervention | percentage of participants (Number) |
---|
| PPG <140 mg/dL for all meals | PPG <140 mg/dL for breakfast | PPG <180 mg/dL for all meals | PPG <180 mg/dL for breakfast |
---|
Analog-PH20 | 15.0 | 21.4 | 69.9 | 70.5 |
,Insulin Lispro | 8.8 | 10.6 | 59.3 | 54.0 |
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Rates of Hypoglycemia at the End of Each Treatment Period
Overall rates of hypoglycemia (blood glucose ≤70 milligrams per deciliter [mg/dL] and <56 mg/dL) were calculated based on 4 weeks of observation for each treatment period. Data is presented by combined treatment group (Lispro-PH20 + Aspart-PH20 = Analog-PH20) and combined comparator drug (Insulin Lispro from both cohorts). A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01194245)
Timeframe: Week 12 and Week 24
Intervention | events per participant per month (Number) |
---|
| ≤70 mg/dL | <56 mg/dL |
---|
Analog-PH20 | 18.96 | 7.50 |
,Insulin Lispro | 19.91 | 8.05 |
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Mean Daily Postprandial Glucose (PPG) Excursions
Participants performed 10-point glucose monitoring for a total of 3 days during each treatment period (3 days during Week 10 of Treatment Period 1 and 3 days during Week 22 of Treatment Period 2). Mean daily postprandial plasma glucose (PPG) excursions (referring to the change in blood glucose levels from before to after a meal) during 10-point glucose monitoring for breakfast, lunch, and dinner are presented. Data were collected 1 and 2 hours (hr) after each meal for 3 days and the means of each excursion are presented. (NCT01194245)
Timeframe: Week 10 and Week 22
Intervention | milligrams per deciliter (mg/dL) (Mean) |
---|
| 1-hr breakfast excursion | 2-hr breakfast excursion | 1-hr lunch excursion | 2-hr lunch excursion | 1-hr dinner excursion | 2-hr dinner excursion |
---|
Analog-PH20 | 18.85 | -5.63 | 16.26 | 10.68 | -0.31 | -5.13 |
,Insulin Lispro | 27.46 | 7.08 | 26.25 | 20.77 | 4.47 | -5.16 |
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Rates of Hypoglycemia at the End of Each Treatment Period
The rate of hypoglycemia, defined as blood glucose levels ≤70 mg/dL and <56 mg/dL, was calculated based on 4 weeks of observation prior to the end of treatment period (that is, Week 12 and Week 24). Data are presented by combined treatment group (Lispro-PH20 + Aspart-PH20 = Analog-PH20) and combined comparator drug (Insulin lispro from both groups). A summary of serious and other non-serious adverse events, regardless of causality, is located in the Reported Adverse Events module. (NCT01194258)
Timeframe: Week 12 and Week 24
Intervention | Events per participant per month (Number) |
---|
| Blood glucose <70 mg/dL (n=111, n=113) | Blood glucose <56 mg/dL (n=91, n=86) |
---|
Analog-PH20 | 7.92 | 1.99 |
,Insulin Lispro | 7.66 | 1.78 |
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Change From Baseline in Glycosylated Hemoglobin A1C (HbA1C) at the End of Each Treatment Period
Change in glycosylated hemoglobin A1C (HbA1C) from baseline (Week 0) to end of treatment period (Week 12 and Week 24) is presented. Data are presented by combined treatment group (Lispro-recombinant human hyaluronidase PH20 (PH20) + Aspart-PH20 = Analog-PH20) and combined comparator drug (Insulin lispro from both groups). Least squares (LS) means were calculated from linear contrasts of mixed effects linear models with treatment (Lispro, Aspart), PH20 (yes, no), and treatment sequence as fixed effects and participant within treatment sequence as a random effect. (NCT01194258)
Timeframe: Baseline, Week 12 and Week 24
Intervention | percentage of HbA1C (Mean) |
---|
Analog-PH20 | -0.48 |
Insulin Lispro | -0.46 |
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Mean Daily Insulin Dose as Recorded During 10-Point Glucose Monitoring
Mean daily insulin dose as recorded during 10-point glucose monitoring is reported. Blood glucose values were obtained during a total of 3 days during each treatment period (3 days during Week 10 of Treatment Period 1 and 3 days during Week 22 of Treatment Period 2) at the following timepoints: immediately prior to breakfast (fasting), 1 hour (hr) after breakfast, 2 hr after breakfast, immediately prior to lunch, 1 hr after lunch, 2 hr after lunch, immediately prior to dinner, 1 hr after dinner, 2 hr after dinner, and at 03:00. A minimum of 7 determinations were required for each day during the 3 days of 10-point glucose profiles. Prandial insulin doses were also recorded during the 10-point glucose monitoring and the mean daily insulin dose over the 3 days was calculated. Data are presented by combined treatment group (Lispro-PH20 + Aspart-PH20 = Analog-PH20) and combined comparator drug (Insulin Lispro from both cohorts). (NCT01194258)
Timeframe: Week 10 and Week 22
Intervention | units of Insulin (Mean) |
---|
Analog-PH20 | 122.99 |
Insulin Lispro | 127.47 |
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Percentage of Participants Meeting Glucose Targets at Least 2/3 of the Time
Participants were instructed to monitor their blood glucose levels a minimum of 4 times per day on all non-10-point glucose monitoring days. The number of participants meeting 90-minute postprandial plasma glucose (PPG) targets of <140 and <180 milligrams per deciliter (mg/dL) for at least 2/3 of values was recorded during non-10-point glucose monitoring was recorded. The number of participants was recorded, and the percentage of participants meeting glucose targets was calculated by the number of participants with values meeting the specified target at least 2/3 of the time by the total number of participants analyzed, multiplied by 100. Data is presented by combined treatment group (Lispro-PH20 + Aspart-PH20 = Analog-PH20) and combined comparator drug (Insulin Lispro from both cohorts). (NCT01194258)
Timeframe: Baseline through Week 24, excluding 10-point glucose monitoring days
Intervention | Percentage of participants (Number) |
---|
| Overall 90-minute PPG <140 mg/dL | PPG <140 mg/dL for breakfast | PPG <140 mg/dL for lunch | PPG <140 mg/dL for dinner | Overall 90 minute PPG <180 mg/dL | PPG <180 mg/dL for breakfast | PPG <180 mg/dL for lunch | PPG <180 mg/dL for dinner |
---|
Analog-PH20 | 13.9 | 24.3 | 28.7 | 13.0 | 71.3 | 70.4 | 83.5 | 67.0 |
,Insulin Lispro | 14.8 | 17.4 | 26.1 | 15.7 | 74.8 | 65.2 | 80.0 | 70.4 |
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Change From Baseline in Body Weight at the End of Each Treatment Period
Change from baseline in body weight at the end of each treatment period (Week 12 and Week 24) is presented. Data are presented by combined treatment group (Lispro-PH20 + Aspart-PH20 = Analog-PH20) and combined comparator drug (Insulin lispro from both cohorts). (NCT01194258)
Timeframe: Baseline, Week 12 and Week 24
Intervention | pounds (Mean) |
---|
Analog-PH20 | 3.35 |
Insulin-lispro | 3.44 |
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Mean Daily PPG Excursions
Participants performed 10-point glucose monitoring for a total of 3 days during each treatment period (3 days during Week 10 of Treatment Period 1 and 3 days during Week 22 of Treatment Period 2). Mean daily PPG excursions during 10-point glucose monitoring for breakfast, lunch, and dinner from Treatment Period 1 or Treatment Period 2 are presented. PPG refers to the change in glucose concentration before to after a meal. Data were collected 1 and 2 hours (hr) after each meal. Data are presented by combined treatment group (Lispro-PH20 + Aspart-PH20 = Analog-PH20) and combined comparator drug (insulin lispro from both cohorts). (NCT01194258)
Timeframe: Week 10 and Week 22
Intervention | mg/dL (Mean) |
---|
| 1 hr after breakfast excursion (n=105, n=107) | 2 hr after breakfast excursion (n=105, n=107) | 1 hr after lunch excursion (n=105, n=106) | 2 hr after lunch excursion (n=104, n=106) | 1 hr after dinner excursion (n=104, n=107) | 2 hr after dinner excursion (n=104, n=107) |
---|
Analog-PH20 | 33.67 | 16.64 | 18.47 | 20.76 | 21.24 | 12.72 |
,Insulin Lispro | 40.38 | 22.94 | 27.28 | 25.27 | 18.09 | 15.75 |
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Number of Subjects Reporting Cough Episodes
Number of Subjects Reporting Cough Episodes (NCT01196104)
Timeframe: Baseline to Week 16
Intervention | Number of participants (Number) |
---|
Technosphere Insulin + Insulin Glargine | 4 |
Insulin Aspart + Insulin Glargine | 0 |
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Number of Cough Episodes Occuring Within 10 Minutes of Drug Inhalation
(NCT01196104)
Timeframe: Baseline to Week 16
Intervention | Cough episodes (Number) |
---|
Technosphere Insulin + Insulin Glargine | 5 |
Insulin Aspart + Insulin Glargine | 0 |
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Mild or Moderate Hypoglycemic Event Rate
"Mild or moderate hypoglycemic event rate, ie, total number of events divided by subject-months of observation~Nonsevere hypoglycemia is defined as a subject:~SMBG levels < 70 mg/dL AND/OR~Symptoms that are relieved by the self-administration of carbohydrates" (NCT01196104)
Timeframe: Baseline to Week 16
Intervention | Events / subject-month (Number) |
---|
Technosphere® Insulin Inhalation Powder (TI) | 4.47 |
Comparator | 4.41 |
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Change in HbA1c (%) From Baseline to Week 16
Change from Baseline in glycated hemoglobin at Week 16 (NCT01196104)
Timeframe: Baseline to Week 16
Intervention | Percentage of total hemoglobin (Least Squares Mean) |
---|
Technosphere Insulin + Insulin Glargine | -1.2179 |
Insulin Aspart + Insulin Glargine | -1.2652 |
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Baseline Forced Vital Capacity (FVC)
Baseline FVC (NCT01196104)
Timeframe: Baseline
Intervention | L (Mean) |
---|
Technosphere Insulin + Insulin Glargine | 3.63 |
Insulin Aspart + Insulin Glargine | 3.48 |
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Baseline Forced Expiratory Volume in 1 Second (FEV1)
Baseline FEV1 (NCT01196104)
Timeframe: Baseline
Intervention | L (Mean) |
---|
Technosphere Insulin + Insulin Glargine | 2.97 |
Insulin Aspart + Insulin Glargine | 2.83 |
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Number of Single Coughing Episodes
Total number of times patients coughed only once (NCT01196104)
Timeframe: Baseline to Week 16
Intervention | Cough episodes (Number) |
---|
Technosphere Insulin + Insulin Glargine | 1 |
Insulin Aspart + Insulin Glargine | 0 |
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Week 20 (Follow-up) Forced Vital Capacity
Week 20 (Follow-up, 4 weeks after discontinuation of study treatment) FVC (NCT01196104)
Timeframe: Week 20
Intervention | L (Mean) |
---|
Technosphere Insulin + Insulin Glargine | 3.77 |
Insulin Aspart + Insulin Glargine | 3.57 |
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Week 20 (Follow-up) Forced Expiratory Volume in 1 Second
Week 20 (Follow-up) FEV1, 4 weeks after discontinuation of study treatment (NCT01196104)
Timeframe: Week 20 (Follow-up)
Intervention | L (Mean) |
---|
Technosphere Insulin + Insulin Glargine | 3.07 |
Insulin Aspart + Insulin Glargine | 2.86 |
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Week 20 (Follow-up) Change From Baseline in Forced Vital Capacity
Week 20 (Follow-up, 4 weeks after discontinuation of study treatment) Change from Baseline in FVC (NCT01196104)
Timeframe: Baseline to Week 20
Intervention | L (Mean) |
---|
Technosphere Insulin + Insulin Glargine | -0.05 |
Insulin Aspart + Insulin Glargine | -0.06 |
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Week 20 (Follow-up) Change From Baseline in Forced Expiratory Volume in 1 Second
Week 20 (Follow-up, 4 weeks after discontinuation of study treatment) Change from Baseline in FEV1 (NCT01196104)
Timeframe: Baseline to Week 20
Intervention | L (Mean) |
---|
Technosphere Insulin + Insulin Glargine | -0.07 |
Insulin Aspart + Insulin Glargine | -0.05 |
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Week 16 Forced Vital Capacity
Week 16 FVC (NCT01196104)
Timeframe: Week 16
Intervention | L (Mean) |
---|
Technosphere Insulin + Insulin Glargine | 3.61 |
Insulin Aspart + Insulin Glargine | 3.33 |
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Week 16 Forced Expiratory Volume in 1 Second
Week 16 FEV1 (NCT01196104)
Timeframe: Week 16
Intervention | L (Mean) |
---|
Technosphere Insulin + Insulin Glargine | 2.91 |
Insulin Aspart + Insulin Glargine | 2.66 |
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Week 16 Change From Baseline in Forced Expiratory Volume in 1 Second
Week 16 Change from Baseline in FEV1 (NCT01196104)
Timeframe: Baseline to Week 16
Intervention | L (Mean) |
---|
Technosphere Insulin + Insulin Glargine | -0.14 |
Insulin Aspart + Insulin Glargine | -0.07 |
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Week 16 Change From Baseline Forced Vital Capacity
Week 16 Change from Baseline FVC (NCT01196104)
Timeframe: Baseline to Week 16
Intervention | L (Mean) |
---|
Technosphere Insulin + Insulin Glargine | -0.13 |
Insulin Aspart + Insulin Glargine | -0.07 |
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Total Number of Cough Episodes
Total number of times patients coughed once, intermittently or continuously (inclusive) (NCT01196104)
Timeframe: Baseline to Week 16
Intervention | Cough episodes (Number) |
---|
Technosphere Insulin + Insulin Glargine | 5 |
Insulin Aspart + Insulin Glargine | 0 |
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Severe Hypoglycemic Event Rate
"Severe hypoglycemic event rate, ie, total number of events divided by subject-months of observation~Severe hypoglycemia is defined as a subject who requires the assistance of another individual (not merely requested) and either:~SMBG levels ≤ 36 mg/dL OR~There is a prompt response to the administration of carbohydrate, glucagon, or other resuscitative measures" (NCT01196104)
Timeframe: Baseline to Week 16
Intervention | Events / subject-month (Number) |
---|
Technosphere Insulin + Insulin Glargine | 0.01 |
Insulin Aspart + Insulin Glargine | 0.34 |
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Number of Subjects Reporting Intermittent Coughing Episodes
Number of subjects reporting Intermittent Coughing Episodes (NCT01196104)
Timeframe: Baseline to Week 16
Intervention | Number of participants (Number) |
---|
Technosphere Insulin + Insulin Glargine | 4 |
Insulin Aspart + Insulin Glargine | 0 |
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HbA1c at Three Months of Each Period of Treatment
Data was collected by group (NCT01203774)
Timeframe: Baseline, Month 3 (End of Intervention 1), Month 6 (End of intervention 2)
Intervention | percentage (DCCT unit) (Mean) |
---|
| Baseline HbA1c | HbA1C at 3 months (end of intervention 1, before crossover) | HbA1c at 6 Months (end of dose 2, after crossover) |
---|
Group 1: Pen-administered, Then Syringe-admnistered Glargine | 10.7 | 7.8 | 8.5 |
,Group 2: Syringe-administered Then Pen-administered Glargine | 11.2 | 7.3 | 7.1 |
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Patient Overall Preference
"The patient preference was assessed in terms of the difference in scores obtained from the overall preference question 14d Overall, what is your level of preference for each of the insulin delivery systems?~5 points scale: from 1=Not preferred to 5= Always preferred" (NCT01226043)
Timeframe: At week 4 (end of crossover phase)
Intervention | units on a scale (Least Squares Mean) |
---|
SoloSTAR® Pen | 4.75 |
Vial and Syringe | 2.45 |
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Percentage of Patients Who Discontinued Investigational Product (IP) During the Crossover Phase
(NCT01226043)
Timeframe: From baseline to week 4 (crossover phase)
Intervention | percentage of patients (Number) |
---|
SoloSTAR® Pen (Period 1) | 1.49 |
Vial and Syringe (Period 2) | 2.01 |
SoloSTAR® Pen (Period 2) | 3.09 |
Vial and Syringe (Period 1) | 3.00 |
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Percentage of Patients Achieving Fasting Plasma Glucose (FPG) <110 mg/dL
(NCT01226043)
Timeframe: At week 10 (end of re-randomization phase)
Intervention | percentage of patients (Number) |
---|
SoloSTAR® Pen | 28.8 |
Vial and Syringe | 30.5 |
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Patient Preference Composite Score
"The patient preference composite score was the sum of the scores of the 3 following individual preference questions from the Patient preference Questionnaire:~Question 14a: How strongly do you prefer each of these insulin delivery systems to control blood sugar?~Question 14b: If using insulin for the first time, how strongly would you prefer using each of these delivery systems to overcome reluctance to use insulin?~Question 14c: How strongly would you prefer each insulin delivery system for long-term use?~Each individual question scored from 1 to 5. The lowest score 1 indicated 'Not Preferred' and the highest score 5 indicated 'Always Preferred'. Therefore the total range of the composite score was 3 to 15." (NCT01226043)
Timeframe: At week 4 (end of crossover phase)
Intervention | units on a scale (Least Squares Mean) |
---|
SoloSTAR® Pen | 14.2 |
Vial and Syringe | 7.49 |
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Percentage of Patients Who Discontinued Investigational Product During the Re-randomization Phase
(NCT01226043)
Timeframe: From week 4 to week 10 (re-randomization phase)
Intervention | percentage of patients (Number) |
---|
SoloSTAR® Pen | 3.6 |
Vial and Syringe | 5.5 |
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Change in Lantus Dose Injected Per Day
(NCT01226043)
Timeframe: From week 4 (baseline for re-randomization phase) to week 10 (end of re-randomization phase)
Intervention | U (insulin unit) (Least Squares Mean) |
---|
SoloSTAR® Pen | 6.361 |
Vial and Syringe | 6.336 |
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Time to First Observation of HbA1c <7%
(NCT01226043)
Timeframe: From week 10 to week 40 (observational phase)
Intervention | Days since Re-randomization (week 4) (Median) |
---|
SoloSTAR® Pen | 166 |
Vial and Syringe | 168 |
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Number of Patients With Hypoglycemic Events
The hypoglycemic event was to be recorded on the electronic case report form hypoglycemia page and had to fit in one of the following categories: Mild-to-moderate hypoglycemia (36 mg/dL ≤ Self Monitored Blood Glucose (SMBG) <70mg/dL), Severe hypoglycemia (assistance of another person is required, and either a recorded SMBG <36 mg/dL, or treatment with oral carbohydrates, intravenous glucose or glucagon with prompt response) or Hypoglycemia symptoms with or without SMBG values with a documented SMBG >70 mg/dL, or no recorded SMBG value. Only hypoglycemia events associated with coma, loss of consciousness or seizure were considered serious adverse event (SAEs). (NCT01226043)
Timeframe: each study phase (crossover, re-randomization, observational) up to 40 weeks
Intervention | participants having reported the event (Number) |
---|
| Hypoglycemic event with or without SMBG | Hypoglycemia with SMBG | Symptomatic hypoglycemia | Hypoglycemia, assistance required | Severe hypoglycemia | Serious hypoglycemia |
---|
Crossover Phase: SoloSTAR® Pen | 72 | 69 | 57 | 3 | 3 | 0 |
,Crossover Phase: Vial and Syringe | 83 | 81 | 68 | 2 | 2 | 0 |
,Observational Phase: SoloSTAR® Pen | 76 | 75 | 61 | 8 | 7 | 0 |
,Observational Phase: Vial and Syringe | 73 | 71 | 61 | 11 | 11 | 0 |
,Re-randomization Phase: SoloSTAR® Pen | 43 | 38 | 37 | 2 | 2 | 0 |
,Re-randomization Phase: Vial and Syringe | 48 | 47 | 37 | 5 | 4 | 0 |
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Percentage of Patients Who Discontinued Investigational Product During the Observational Phase
(NCT01226043)
Timeframe: From week 10 to week 40 (observational phase)
Intervention | percentage of patients (Number) |
---|
SoloSTAR® Pen | 3.8 |
Vial and Syringe | 8.5 |
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Change in Fasting Plasma Glucose (FPG)
(NCT01226043)
Timeframe: From week 4 (baseline for re-randomization phase) to week 10 (end of re-randomization phase)
Intervention | mg/dL (Least Squares Mean) |
---|
SoloSTAR® Pen | -14.3 |
Vial and Syringe | -14.5 |
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Healthcare Professional's (HCP) Recommendation
"The overall recommendation score was obtained from the question 20d of the Healthcare Professional Questionnaire: Overall, how strongly would you recommend each of the insulin delivery systems for your patients?~5 points scale: from 1= Not Recommended to 5= Recommended" (NCT01226043)
Timeframe: At week 4 (end of crossover phase)
Intervention | units on a scale (Median) |
---|
SoloSTAR® Pen | 5.0 |
Vial and Syringe | 3.0 |
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Percentage of Patients Achieving HbA1c Goal
Percentage of patients achieving HbA1c < 7% at Week 40 (end of the observational phase) (NCT01226043)
Timeframe: measured at week 40 or at study discontinuation
Intervention | percentage of patients (Number) |
---|
SoloSTAR® Pen | 37.7 |
Vial and Syringe | 37.0 |
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Diabetes Treatment Satisfaction Questionnaire: Status (DTSQs) Score
Treatment satisfaction was assessed using the Diabetes Treatment Satisfaction Questionnaire: Status (DTSQs). The questionnaire contains eight items scored on a seven-point scale where 0 = very dissatisfied and 6 = very satisfied. The satisfaction score is obtained from summing responses to questions 1, 4, 5, 6, 7, and 8 and the total score can range from 0 to 36. Higher scores indicate higher satisfaction with diabetes treatment. (NCT01240200)
Timeframe: Baseline, Week 12
Intervention | units on a scale (Mean) |
---|
| Baseline | Week 12 |
---|
Pen (Period 1) / Vial & Syringe (Period 2) | 31.5 | 34.2 |
,Vial & Syringe (Period 1) / Pen (Period 2) | 28.2 | 32.2 |
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Fasting Blood Glucose
Blood sugar levels are influenced by the size and types of food consumed during the last meal and the production and response to insulin. Fasting blood glucose levels of less than 100 milligrams per deciliter (mg/dL) are considered normal. Values between 100 and 125 mg/dL indicate prediabetes and values of 126 mg/dL and higher indicate diabetes. Fasting blood glucose levels can lower depending on food consumed and medications. (NCT01240200)
Timeframe: Baseline, Week 12
Intervention | mg/dL (Mean) |
---|
| Baseline | Week 12 |
---|
Pen (Period 1) / Vial & Syringe (Period 2) | 157 | 134 |
,Vial & Syringe (Period 1) / Pen (Period 2) | 159 | 126 |
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Hemoglobin A1c (HbA1c)
Hemoglobin A1c (HbA1c) measures the average percentage of blood sugar over the past 2 to 3 months. HbA1c levels below 5.7% are considered normal. Persons with values between 5.7% and 6.4% are considered at high risk of developing diabetes while those with values of 6.5% and above are diagnosed with diabetes. HbA1c can reduce with management of diabetes through diet, exercise, and medication. (NCT01240200)
Timeframe: Baseline, Week 12
Intervention | percentage of Hemoglobin A1c (Mean) |
---|
| Baseline | Week 12 |
---|
Pen (Period 1) / Vial & Syringe (Period 2) | 8.5 | 7.6 |
,Vial & Syringe (Period 1) / Pen (Period 2) | 8.7 | 7.6 |
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Diabetes Treatment Satisfaction Questionnaire: Change (DTSQc) Score
Treatment satisfaction after crossover into the second treatment period was assessed using the Diabetes Treatment Satisfaction Questionnaire: Change (DTSQc). The questionnaire contains eight items scored on a seven-point scale where -3 = much less satisfied now and 3 = much more satisfied now. The satisfaction score is obtained from summing responses to questions 1, and 4 through 8 (the remaining two items assess perceived blood sugar levels). The total score can range from -18 to 18. Higher scores indicate higher satisfaction with the new diabetes treatment, compared to prior treatment, while scores below 0 mean that satisfaction with the new delivery method of insulin in Period 2 is lower than satisfaction with the delivery method in Period 1. (NCT01240200)
Timeframe: Week 24
Intervention | units on a scale (Mean) |
---|
Vial & Syringe (Period 1) / Pen (Period 2) | 16.4 |
Pen (Period 1) / Vial & Syringe (Period 2) | -2.3 |
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Number of Hypoglycemic Events
The number of hypoglycemic events occurring during the 24-week study period is reported here. For the purposes of this study, hypoglycemia is defined as a capillary and/or laboratory blood glucose value of less than 70 mg/dL. (NCT01240200)
Timeframe: Week 24
Intervention | hypoglycemic events (Number) |
---|
Vial & Syringe | 72 |
SoloSTAR Pen | 36 |
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Percent of Participants With Dosing Errors
Percentage of participants who had dosing errors during the course of the study (both study periods). Participants were instructed on using each device and practiced preparing and injecting the insulin dose into a pillow to assess accuracy with each method of delivering insulin. Dosing errors were defined as inaccurate preparation or injection by less than or equal to 10% of the intended dose, independent of vision and dexterity function. (NCT01240200)
Timeframe: Week 24
Intervention | percentage of participants (Number) |
---|
Vial & Syringe | 90 |
SoloSTAR Pen | 20 |
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Percentage of Type 2 Diabetes Mellitus Patients With a Reduction in the Doses/Number of Diabetes Medications Used Preoperatively
A list of patients medication will be collected to assess the percentage of Type 2 Diabetes Mellitus patients with a reduction in the doses/number of diabetes medications used preoperatively (NCT01257087)
Timeframe: 1 year after surgery
Intervention | Participants (Count of Participants) |
---|
Intensive Glycaemic Control | 18 |
Conservative Glycaemic Control | 17 |
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Percentage of Patients With Type 2 Diabetes Mellitus Who Achieve Fasting Blood Glucose of Less Than 5.6 mmol/l and/or HbA1c of Less Than 6%
Patients will be tested off all anti-diabetes medications if safe to do so to assess the percentage of patients with Type 2 Diabetes Mellitus who achieve fasting blood glucose of less than 5.6 mmol/l and/or HbA1c of less than 6% (NCT01257087)
Timeframe: 1 year after surgery
Intervention | Participants (Count of Participants) |
---|
Intensive Glycaemic Control | 4 |
Conservative Glycaemic Control | 4 |
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Number of Participants With Microvascular Events
Composite of microvascular events will be defined as new or worsening nephropathy, retinopathy or neuropathy. (NCT01257087)
Timeframe: 1 year after surgery
Intervention | Participants (Count of Participants) |
---|
Intensive Glycaemic Control | 0 |
Conservative Glycaemic Control | 0 |
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Change in Body Weight
Observed change from baseline in body weight after 26 weeks of treatment (NCT01272193)
Timeframe: Week 0, Week 26
Intervention | kg (Mean) |
---|
IDegAsp OD | 0.7 |
IGlar OD | 0.7 |
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Rate of Nocturnal Confirmed Hypoglycaemic Episodes
Observed rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes were defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes were defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. Nocturnal hypoglycaemic episodes were defined as occurring between 00:01 and 05:59 a.m. (NCT01272193)
Timeframe: Week 0 to Week 26 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDegAsp OD | 39 |
IGlar OD | 53 |
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Rate of Confirmed Hypoglycaemic Episodes
Observed rate of confirmed hypoglycaemic episodes per 100 patient years of exposure (PYE). Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia as well as minor hypoglycaemic episodes. Severe hypoglycaemic episodes were defined as requiring assistance to administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemic episodes were defined as able to treat her/himself and plasma glucose below 3.1 mmol/L. (NCT01272193)
Timeframe: Week 0 to Week 26 + 7 days follow up
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDegAsp OD | 191 |
IGlar OD | 271 |
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Mean Increment of 9-point Self Measured Plasma Glucose Profile (SMPG) at the Main Evening Meal
Observed mean increment of the 9-point self-measured plasma glucose profile (SMPG) at the main evening meal (NCT01272193)
Timeframe: Week 26
Intervention | mmol/L (Mean) |
---|
IDegAsp OD | 1.4 |
IGlar OD | 4.7 |
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Change in Glycosylated Haemoglobin (HbA1c)
Observed change from baseline in HbA1c after 26 weeks of treatment (NCT01272193)
Timeframe: Week 0, Week 26
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDegAsp OD | -1.35 |
IGlar OD | -1.22 |
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Rate of Treatment Emergent Adverse Events (AEs)
Corresponds to rate of AEs per 100 patient years of exposure. Severity assessed by investigator. Mild: no or transient symptoms, no interference with subject's daily activities. Moderate: marked symptoms, moderate interference with subject's daily activities. Severe: considerable interference with subject's daily activities, unacceptable. Serious AE: AE that at any dose results in any of the following: death, a life-threatening experience, in-subject hospitalization/prolongation of existing hospitalisation, persistent/significant disability/incapacity/congenital anomaly/birth defect. (NCT01272193)
Timeframe: Week 0 to Week 26 + 7 days follow up
Intervention | Events/100 years of patient exposure (Number) |
---|
| Adverse events (AEs) | Serious AEs | Severe AEs | Moderate AEs | Mild AEs | Fatal AEs |
---|
IDegAsp OD | 334 | 7 | 1 | 17 | 316 | 0 |
,IGlar OD | 368 | 4 | 0 | 14 | 353 | 0 |
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Maximum Glucose Infusion Rate (Rmax)
(NCT01374178)
Timeframe: Periods 1 and 2: Baseline up to 24 hours
Intervention | grams per hour (g/h) (Geometric Mean) |
---|
LY2963016 | 10.2 |
Lantus | 11.3 |
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Pharmacokinetics: Area Under the Concentration-Time Curve (AUC)
AUC from time zero to 24 hours (AUC0-24) is reported for this outcome measure. (NCT01374178)
Timeframe: Periods 1 and 2: Baseline up to 24 hours
Intervention | picomole*hour per liter (pmol*hr/L) (Geometric Mean) |
---|
LY2963016 | 1900 |
Lantus | 2180 |
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Pharmacokinetics: Maximum Concentration (Cmax)
(NCT01374178)
Timeframe: Periods 1 and 2: Baseline up to 24 hours
Intervention | picomole per liter (pmol/L) (Geometric Mean) |
---|
LY2963016 | 110 |
Lantus | 130 |
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Total Glucose Infused (Gtot)
(NCT01374178)
Timeframe: Periods 1 and 2: Baseline up to 24 hours
Intervention | gram (g) (Geometric Mean) |
---|
LY2963016 | 141 |
Lantus | 160 |
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Number of Participants With Clinically Significant Effects
Clinically significant effects were defined as serious and nonserious adverse events. A summary of serious and all other nonserious adverse events is located in the Reported Adverse Event module. (NCT01374178)
Timeframe: Baseline up to 30 days
Intervention | participants (Number) |
---|
| Serious Adverse Events | Nonserious Adverse Events |
---|
Lantus | 0 | 6 |
,LY2963016 | 0 | 8 |
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Time of Maximum Glucose Infusion Rate (tRmax)
(NCT01374178)
Timeframe: Periods 1 and 2: Baseline up to 24 hours
Intervention | hour (h) (Median) |
---|
LY2963016 | 10.5 |
Lantus | 10.2 |
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Number of Patients With Severe Hypoglycemic Episodes Among the 3 Treatment Groups
severe hypoglycemic episodes are defined as blood glucose levels <40 mg/dl. The number of patients with these events during the 5 days of hospitalization are recorded and compared. BG was measured before each meal and at bedtime (or every 6 h if a patient was not eating) using a point-of-care glucose meter. (NCT01378117)
Timeframe: during hospitalization,up to 5 days
Intervention | Participants (Count of Participants) |
---|
Sitagliptin + SSI Prn | 0 |
Sitagliptin and Glargine + SSI | 0 |
Glargine and Lispro + SSI | 0 |
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Mean Total Daily Dose of Insulin in Units/Day Given During Hospitalization Among the Three Groups
The total insulin includes total glargine insulin (units/day) and total lispro insulin (units/day) given to subjects for maintaining blood glucose levels during hospitalization in different groups. The goal of therapy was to maintain a fasting and premeal glucose concentration between 100 and 140 mg/dL. The doses of insulin were adjusted daily according to protocol. The mean amount is calculated among the different groups and compared. (NCT01378117)
Timeframe: during hospitalization, up to 10 days
Intervention | units/day (Mean) |
---|
Sitagliptin + SSI Prn | 11.5 |
Sitagliptin and Glargine + SSI | 28.2 |
Glargine and Lispro + SSI | 39.8 |
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Number of Deaths Among the Subjects in Different Groups
Mortality is defined as death occurring during admission among the participants. The number of deaths in each assigned group is calculated. (NCT01378117)
Timeframe: during hospitalization, up to 10 days
Intervention | Participants (Count of Participants) |
---|
Sitagliptin + SSI Prn | 0 |
Sitagliptin and Glargine + SSI | 0 |
Glargine and Lispro + SSI | 0 |
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Number of Patients With a Mean Daily BG > 240 mg/dL After the 1st Day of Treatment Among the Treatment Groups
Mean daily blood glucose levels are measured to assess the treatment Failures. For study purpose Treatment failure was defined as having three or more consecutive Blood Glucose (BG) readings > 240 mg/dL or a mean daily BG >240 mg/dL after the 1st day of treatment. Number of patients with a mean daily BG > 240 mg/dL after the 1st day of treatment are recorded and compared among the treatment groups. BG was measured before each meal and at bedtime (or every 6 h if a patient was not eating) using a point-of-care glucose meter. (NCT01378117)
Timeframe: during hospitalization,up to 10 days
Intervention | Participants (Count of Participants) |
---|
Sitagliptin + SSI Prn | 3 |
Sitagliptin and Glargine + SSI | 1 |
Glargine and Lispro + SSI | 2 |
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Number of Patients With Hypoglycemic Events Among the Treatment Groups
Hypoglycemia is defined as blood glucose (BG) reading <70 mg/dl. The number of hypoglycemia events during hospitalization are recorded and compared among the different groups. BG was measured before each meal and at bedtime (or every 6 h if a patient was not eating) using a point-of-care glucose meter (NCT01378117)
Timeframe: during hospitalization,up to 10 days
Intervention | Participants (Count of Participants) |
---|
Sitagliptin + SSI Prn | 1 |
Sitagliptin and Glargine + SSI | 2 |
Glargine and Lispro + SSI | 2 |
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Mean Length of Stay in Days in the Hospital Among Different Groups
The duration of stay in days in the hospital between the three groups is calculated and mean number of days is measured. (NCT01378117)
Timeframe: during hospitalization, up to 10 days
Intervention | days (Mean) |
---|
Sitagliptin + SSI Prn | 6.3 |
Sitagliptin and Glargine + SSI | 6.9 |
Glargine and Lispro + SSI | 6.3 |
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Number of Subjects With Acute Renal Failure Among the Three Randomized Groups During Hospitalization
Acute renal failure is defined as a clinical diagnosis of acute renal failure with documented new-onset abnormal renal function (serum creatinine > 2.2 mg/dL or an increment > 0.5 mg/dL from baseline). The total daily dose of insulin and sitagliptin will be adjusted as per serum creatinine concentration. The total daily insulin dose will be reduced to 0.3 unit/kg in patients with creatinine >1.7 mg/dl. The dose of sitagliptin will be reduced to 50 mg/day in patients with creatinine clearance between 30-50 ml/min (approximate serum creatinine levels >1.7 and ≤3.0 mg/dl for men and >1.5 and ≤2.5 mg/dl for women). (NCT01378117)
Timeframe: during hospitalization, up to 10 days
Intervention | Participants (Count of Participants) |
---|
Sitagliptin + SSI Prn | 0 |
Sitagliptin and Glargine + SSI | 0 |
Glargine and Lispro + SSI | 0 |
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Mean Blood Glucose Levels Among the Three Groups at the Time of Hospitalization to 1st Day After Therapy
The primary outcome of the study is to determine differences in glycemic control as measured by mean BG concentration between sitagliptin once daily and basal bolus therapy with glargine once daily plus supplemental lispro insulin in hospitalized patients with type 2 diabetes mellitus, at the time of admission to the blood glucose levels 24hrs after the therapy (NCT01378117)
Timeframe: Admission and after 1st day of therapy
Intervention | mg/dl (Mean) |
---|
| At time of admission | After 1st day of therapy |
---|
Glargine and Lispro + SSI | 225 | 158.3 |
,Sitagliptin + SSI Prn | 209 | 168.4 |
,Sitagliptin and Glargine + SSI | 203 | 154.2 |
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Percent of Blood Glucose Readings Within Target Range Between 70 and 140 mg/dL Among the Three Groups After 24 Hrs of Randomized Treatment
The blood glucose within target range is defined as the levels between 70 mg/dL and 140 mg/dL. BG was measured before each meal and at bedtime (or every 6 h if a patient was not eating) using a point-of-care glucose meter (ACCUCHECK; Roche, Indianapolis, IN). In addition, BG was measured at any time if a patient experienced symptoms of hypoglycemia or if requested by the treating physician. the percentage of the readings are calculated and compared (NCT01378117)
Timeframe: during hospitalization, up to 10 days
Intervention | percentage of blood glucose readings (Mean) |
---|
Sitagliptin + SSI Prn | 36 |
Sitagliptin and Glargine + SSI | 43 |
Glargine and Lispro + SSI | 43 |
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Incidence of Hypoglycemic Events
A hypoglycemic event is defined as any time a participant feels that he/she is experiencing a sign or symptom that is associated with hypoglycemia, or has blood glucose (BG) concentration of ≤70 milligrams/deciliter (mg/dL) even if it was not associated with signs, symptoms, or treatment consistent with current American Diabetes Association (ADA: 2005) guidelines. Severe hypoglycemia is defined as a hypoglycemic event requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions (these episodes may be associated with sufficient neuroglycopenia to induce seizure or coma; also, BG measurements may not be available during such an event). Nocturnal hypoglycemia is defined as any hypoglycemic event that occurs between bedtime and waking. (NCT01421459)
Timeframe: Baseline and Endpoint (up to 24 weeks)
Intervention | hypoglycemic events in 24 weeks (Number) |
---|
| Total Events with BG ≤70 mg/dL | Severe Events | Nocturnal Events with BG ≤70 mg/dL |
---|
Lantus + OAMs | 3845 | 2 | 1386 |
,LY2963016 + OAMs | 3564 | 7 | 1248 |
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Insulin Treatment Satisfaction Questionnaire (ITSQ)
ITSQ is a validated instrument containing 22 items that assess treatment satisfaction for participants with diabetes and on insulin. Items divided into 5 domains of satisfaction: Inconvenience of Regimen [(IR) 5 items: domain scores range (DSR) 5-35], Lifestyle Flexibility [(LF) 3 items: DSR 3-21], Glycemic Control [(GC) 3 items: DSR 3-21], Hypoglycemic Control [(HC) 5 items: DSR 5-35], Insulin Delivery Device [(IDD) 6 items: DSR 6-42]. All items measured on a 7-point scale: 1 (no bother at all) to 7 (a tremendous bother), with lower scores reflecting better outcomes. ITSQ Total Overall Raw Scores range from 22-154. Both raw domain and overall scores are transformed on a scale of 0-100, where transformed score=100*[(7-mean raw score)/6]. Higher scores indicate better treatment satisfaction. Least Squares (LS) mean are determined by analysis of covariance (ANCOVA) and adjusted for Baseline HbA1c, country, sulfonylurea use, time of basal insulin injection, and treatment. (NCT01421459)
Timeframe: 4 weeks (wk) and 12 wk and Endpoint (EP) (up to 24 wk)
Intervention | units on a scale (Least Squares Mean) |
---|
| IR- 4 wk (n=352, 354) | IR- 12 wk (n=350, 348) | IR- EP, up to 24 wk (n=368, 371) | LF- 4 wk (n=352, 354) | LF-12 wk (n=350, 350) | LF- EP, up to 24 wk (n=368, 372) | HC- 4 wk (n=352, 354) | HC- 12 wk (n=350, 348) | HC- EP, up to 24 wk (n=368, 372) | GC- 4 wk (n=352, 354) | GC- 12 wk (n=350, 347) | GC- EP, up to 24 wk (n=368, 372) | IDD- 4 wk (n=352, 353) | IDD- 12 wk (n=348, 349) | IDD- EP, up to 24 wk (n=368, 372) | ITSQ Overall Total- 4 wk (n=352, 354) | ITSQ Overall Total- 12 wk (n=349, 348) | ITSQ Overall Total- EP, up to 24 wk (n=368, 372) |
---|
Lantus + OAMs | 86.12 | 84.54 | 85.21 | 79.87 | 78.16 | 78.32 | 80.33 | 77.73 | 79.08 | 75.47 | 81.38 | 80.26 | 73.22 | 72.21 | 73.87 | 78.98 | 78.30 | 79.06 |
,LY2963016 + OAMs | 86.10 | 83.44 | 85.62 | 79.65 | 76.69 | 78.00 | 79.36 | 77.15 | 77.51 | 75.67 | 78.95 | 80.74 | 70.56 | 70.97 | 72.85 | 78.02 | 77.06 | 78.54 |
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Percentage of Participants With Detectable Insulin Antibody Levels
(NCT01421459)
Timeframe: Baseline and 4 weeks and 12 weeks and 24 weeks and Endpoint (up to 24 weeks) and Baseline to 24 weeks (Overall)
Intervention | percentage of participants (Number) |
---|
| Baseline (n=365, 365) | 4 weeks (n=362, 359) | 12 weeks (n= 351, 344) | 24 weeks (n=337, 328) | Endpoint, up to 24 weeks (n= 365, 365) | Baseline to 24 weeks (Overall) (n= 365, 365) |
---|
Lantus + OAMs | 3.6 | 3.6 | 6.7 | 5.8 | 6.0 | 11.0 |
,LY2963016 + OAMs | 5.5 | 7.2 | 7.1 | 8.6 | 8.2 | 15.3 |
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Percentage of Participants With HbA1c <7 % and HbA1c ≤6.5%
Hemoglobin A1c (HbA1c) is the glycosylated fraction of hemoglobin A. HbA1c is measured primarily to identify average plasma glucose concentration over prolonged periods of time. (NCT01421459)
Timeframe: Baseline and 4 weeks and 8 weeks and 12 weeks and 16 weeks and 20 weeks and 24 weeks and Endpoint (up to 24 weeks)
Intervention | percentage of participants (Number) |
---|
| HbA1c- at Baseline < 7.0 % (n=369, 375) | HbA1c- at Baseline ≤ 6.5% (n=369, 375) | HbA1c- at 4 weeks < 7% (n=368, 371) | HbA1c- at 4 week ≤ 6.5%(n=368, 371) | HbA1c- at 8 weeks < 7% (n=359, 358) | HbA1c- at 8 weeks ≤ 6.5% (n=359, 358) | HbA1c- at 12 weeks <7% (n=349, 351) | HbA1c- at 12 weeks ≤ 6.5% (n=349, 351) | HbA1c- at 16 weeks <7% (n=345, 345) | HbA1c- at 16 weeks ≤ 6.5% (n=345, 345) | HbA1c- at 20 weeks < 7% (n=338, 334) | HbA1c- at 20 weeks ≤ 6.5% (n=338, 334) | HbA1c- at 24 weeks < 7% (n=331, 329) | HbA1c- at 24 weeks ≤ 6.5% (n=331, 329) | HbA1c- Endpoint, up to 24 weeks <7% (n=369, 375) | HbA1c- Endpoint, up to 24 weeks ≤ 6.5% (n=369,375) |
---|
Lantus + OAMs | 7.2 | 2.4 | 15.4 | 5.9 | 29.9 | 14.5 | 43.0 | 22.8 | 52.8 | 28.4 | 54.2 | 32.6 | 55.9 | 32.5 | 52.5 | 30.4 |
,LY2963016 + OAMs | 6.2 | 3.5 | 16.6 | 5.7 | 27.0 | 10.3 | 39.3 | 20.3 | 46.7 | 24.3 | 49.4 | 26.6 | 50.8 | 27.5 | 48.8 | 26.8 |
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7-Point Self-Monitored Blood Glucose (SMBG) Profiles
Seven-point SMBG are completed at the following timepoints: Morning (AM) Pre-Meal, Morning (AM) Post-Prandial (PP), Midday (MD) Pre-Meal, Midday PP, Evening (EV) Pre-Meal, Bed Time and 0300 hours. PP glucose is measured 2 hours (hrs) after the start of the meal. Least Squares (LS) means are determined by analysis of covariance (ANCOVA) and adjusted for Baseline HbA1c, country, sulfonylurea use, time of basal insulin injection, and treatment. (NCT01421459)
Timeframe: Baseline and Endpoint [up to 24 weeks (wk)]
Intervention | millimoles per liter (mmol/L) (Least Squares Mean) |
---|
| Baseline- AM Pre-Meal (n=353, 359) | Baseline- AM 2 hrs PP (n=356, 356) | Baseline- MD Pre-Meal (n=357, 357) | Baseline- MD 2 hrs PP (n=357, 353) | Baseline- EV Pre-Meal (n=356, 354) | Baseline- Bed Time (n=355, 354) | Baseline- 0300 hrs (n=342, 341) | Endpoint, up to 24 wk- AM Pre-Meal (n=353, 359) | Endpoint, up to 24 wk- AM 2 hrs PP (n=356, 356) | Endpoint, up to 24 wk- MD Pre-Meal (n=357, 357) | Endpoint, up to 24 wk- MD 2 hrs PP (n=357, 353) | Endpoint, up to 24 wk- EV Pre-Meal (n=356, 354) | Endpoint, up to 24 wk- Bed Time (n=355, 354) | Endpoint, up to 24 wk- 0300 hrs (n=342, 341) |
---|
Lantus + OAMs | 8.86 | 11.80 | 9.44 | 10.89 | 9.59 | 11.17 | 8.96 | 6.06 | 8.40 | 7.12 | 8.69 | 7.40 | 8.67 | 6.70 |
,LY2963016 + OAMs | 8.82 | 11.68 | 9.09 | 10.65 | 9.29 | 11.25 | 8.83 | 5.94 | 8.07 | 6.81 | 8.53 | 7.29 | 8.56 | 6.72 |
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Percentage of Participants With Treatment Emergent Antibody Response (TEAR)
TEAR is defined as an absolute increase of at least 1% in insulin antibody levels (measured in % binding) and at least 30% relative increase from Baseline for participants who are insulin antibody-positive at Baseline, or turning from insulin antibody-negative status at Baseline to antibody-positive during the course of the study following treatment with study drug. (NCT01421459)
Timeframe: 4 weeks and 12 weeks and 24 weeks and Endpoint (up to 24 weeks) and Baseline to 24 weeks (Overall)
Intervention | percentage of participants (Number) |
---|
| 4 weeks (n= 362, 359) | 12 weeks (n= 351, 344) | 24 weeks (n=337, 328) | Endpoint, up to 24 weeks (n= 365, 365) | Overall (n= 365, 365) |
---|
Lantus + OAMs | 2.8 | 5.2 | 5.2 | 5.5 | 9.3 |
,LY2963016 + OAMs | 5.0 | 5.1 | 6.2 | 6.0 | 12.3 |
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Change From Baseline up to 24 Weeks in Hemoglobin A1c (HbA1c)
HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured primarily to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was determined by analysis of covariance (ANCOVA) and adjusted for Baseline HbA1c, country, sulfonylurea use, time of basal insulin injection and treatment. (NCT01421459)
Timeframe: Baseline, Endpoint (up to 24 weeks)
Intervention | percentage of glycosylated hemoglobin (Least Squares Mean) |
---|
LY2963016 + OAMs | -1.286 |
Lantus + OAMs | -1.338 |
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Insulin Dose Per Body Weight (U/kg) Per Day
Insulin dose in units (U) per body weight in kilograms (kg) per day. Least Squares (LS) means are determined by analysis of covariance (ANCOVA) and adjusted for Baseline HbA1c, country, sulfonylurea use, time of basal insulin injection, and treatment. (NCT01421459)
Timeframe: Endpoint (up to 24 weeks)
Intervention | units per kilogram per day (U/kg/day) (Least Squares Mean) |
---|
LY2963016 + OAMs | 0.500 |
Lantus + OAMs | 0.479 |
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Rate Per 30 Days of Hypoglycemic Events
The rate of hypoglycemic events per 30 days between two visits is defined as the total number of events between the visits divided by the actual number of days between the visits, and then multiplied by 30 days. A hypoglycemic event is defined as any time a participant has a blood glucose (BG) level of ≤70 milligrams per deciliter (mg/dL) even if the event was not associated with signs, symptoms, or treatment consistent with current guidelines (American Diabetes Association 2005). Nocturnal hypoglycemia is defined as any hypoglycemic event that occurs between bedtime and waking. Severe hypoglycemia is defined as a hypoglycemic event requiring assistance of another person to actively administer carbohydrates, glucagons, or other resuscitative actions. Severe Hypoglycemic events may or may not have a reported BG ≤70 mg/dL. These events may be associated with sufficient neuroglycopenia to induce seizure or coma. (NCT01421459)
Timeframe: Baseline, Endpoint (up to 24 weeks)
Intervention | hypoglycemic events per 30 days (Mean) |
---|
| Total Hypoglycemia with BG ≤70 mg/dL | Severe Hypoglycemia | Nocturnal Hypoglycemia with BG ≤70 mg/dL |
---|
Lantus + OAMs | 1.83 | 0.00 | 0.66 |
,LY2963016 + OAMs | 1.75 | 0.00 | 0.61 |
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Insulin Dose (Units)
Units of insulin taken daily. Least Square (LS) means are determined by analysis of covariance (ANCOVA) and adjusted for Baseline HbA1C, country, sulfonylurea use, time of basal insulin injection and treatment. (NCT01421459)
Timeframe: Endpoint (up to 24 weeks)
Intervention | units per day (U/day) (Least Squares Mean) |
---|
LY2963016 + OAMs | 44.465 |
Lantus + OAMs | 41.015 |
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Adult Low Blood Sugar Survey (ALBSS)
"ALBSS contains 33 items, with each item scored on a 5-point response scale: 0 (never) to 4 (almost always). Items are categorized in 2 domains: Behavior (or avoidance) Items 1 to 15 and Worry (or affect) Items 16 to 33. Behavior Total Score range is 0 to 60 and Worry Total Score range is 0 to 72. Higher scores on Behavior items (related to avoidance of hypoglycemia) reflect greater awareness and/or effort of the participant to prevent low blood sugar. Higher scores on Worry items (related to worries about low blood sugar and its consequences) reflect greater participant concern about having low blood sugar. The ALBSS Total Scores (Worry and Behavior item scores combined) range is 0 to 132. Least Squares (LS) means are determined by analysis of covariance (ANCOVA) and adjusted for Baseline HbA1c, country, sulfonylurea use, time of basal insulin injection, and treatment." (NCT01421459)
Timeframe: 4 weeks (wk) and 12 wk and Endpoint (up to 24 wk)
Intervention | units on a scale (Least Squares Mean) |
---|
| Behavior Score- 4 wk (n=351, 354) | Behavior Score- 12 wk (n=350, 349) | Behavior Score- Endpoint up to 24 wk (n=368, 371) | Worry Score- 4 wk (n=352, 354) | Worry Score- 12 wk (n=349, 348) | Worry Score- Endpoint up to 24 wk (n=368, 371) | ALBSS Total Score- 4 wk (n=352, 354) | ALBSS Total Score- 12 wk (n=349, 348) | ALBSS Total Score-Endpoint up to 24 wk (n=368,371) |
---|
Lantus + OAMs | 8.64 | 9.36 | 8.36 | 8.82 | 8.51 | 8.57 | 17.45 | 17.85 | 16.92 |
,LY2963016 + OAMs | 8.41 | 8.95 | 7.90 | 7.74 | 8.35 | 8.61 | 16.15 | 17.32 | 16.53 |
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Change From Baseline in Body Weight
Change from baseline in body weight. Least Squares (LS) means are determined by analysis of covariance (ANCOVA) and adjusted for Baseline HbA1c, country, sulfonylurea use, time of basal insulin injection, and treatment. (NCT01421459)
Timeframe: Baseline and 4 weeks (wk) and 8 wk and 12 wk and 16 wk and 20 wk and 24 wk and Endpoint (up to 24 wk)
Intervention | kilogram (kg) (Least Squares Mean) |
---|
| Change at 4 wk (n=361, 364) | Change at 8 wk (n=358, 357) | Change at 12 wk (n=350, 352) | Change at 16 wk (n=342, 344) | Change at 20 wk (n=340, 333) | Change at 24 wk (n=335, 329) | Change at Endpoint, up to 24 wk (n=370, 374) |
---|
Lantus + OAMs | 0.526 | 1.152 | 1.440 | 1.918 | 2.234 | 2.175 | 2.020 |
,LY2963016 + OAMs | 0.292 | 0.999 | 1.271 | 1.550 | 1.734 | 1.914 | 1.776 |
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Change From Baseline in Hemoglobin A1c (HbA1c)
HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured primarily to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) means are determined by analysis of covariance (ANCOVA) and adjusted for Baseline HbA1c, country, sulfonylurea use, time of basal insulin injection and treatment. (NCT01421459)
Timeframe: Baseline and 4 weeks and 8 weeks and 12 weeks and 16 weeks and 20 weeks and 24 weeks
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
| Change at 4 weeks (n=368, 371) | Change at 8 weeks (n=359, 358) | Change at 12 weeks (n=349, 351) | Change at 16 weeks (n=345, 345) | Change at 20 weeks (n=338, 334) | Change at 24 weeks (n=331, 329) |
---|
Lantus + OAMs | -0.481 | -0.866 | -1.143 | -1.321 | -1.379 | -1.438 |
,LY2963016 + OAMs | -0.452 | -0.871 | -1.134 | -1.265 | -1.294 | -1.336 |
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Change From Baseline in Insulin Antibody Levels
Blood samples are collected from participants and percentage of insulin antibody binding measured. Least Squares (LS) means are determined by analysis of covariance (ANCOVA) and adjusted for Baseline of response and treatment. (NCT01421459)
Timeframe: Baseline and 4 weeks and 12 weeks and Endpoint (24 weeks and up to 24 weeks)
Intervention | percentage of insulin antibody binding (Least Squares Mean) |
---|
| Change at 4 weeks (n=10, 3) | Change at 12 weeks (n=9, 5) | Change at 24 weeks (n=10, 2) | Change at Endpoint, up to 24 weeks (n=14, 6) |
---|
Lantus + OAMs | -3.25 | -4.39 | -3.21 | -3.11 |
,LY2963016 + OAMs | -1.07 | -1.57 | -2.61 | -2.49 |
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Glycemic Variability of Fasting Blood Glucose
Glycemic variability is measured by the intra-participant standard deviation (SD) value of fasting blood glucose as measured by the actual morning pre-meal blood glucose value from the 7-point self-monitoring blood glucose [SMBG] profiles. Least Squares (LS) means are determined by analysis of covariance (ANCOVA) and adjusted for baseline HbA1c, country, sulfonylurea use, time of basal insulin injection, and treatment. (NCT01421459)
Timeframe: Baseline and Endpoint (up to 24 weeks)
Intervention | millimoles per liter (mmol/L) (Least Squares Mean) |
---|
| Baseline | Endpoint, up to 24 weeks |
---|
Lantus + OAMs | 1.20 | 0.79 |
,LY2963016 + OAMs | 1.18 | 0.81 |
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European Quality of Life-5 Dimension (EQ-5D)
The EQ-5D 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 3-level scale of 1 to 3 (no problem, some problems, and extreme problems). These combinations of attributes are converted into a weighted health-state Index Score according to the United States population-based algorithm. Scores range from -0.11 to 1.0, where a score of 1.0 indicates perfect health. LS means were calculated using a MMRM with baseline stratification factors (country, HbA1c, and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01435616)
Timeframe: 52 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
LY2605541 | 0.88 |
Glargine | 0.88 |
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Change From Baseline to 52 Week Endpoint in Hemoglobin A1c (HbA1c)
HbA1C is a test that measures a person's average blood glucose level over the past 2 to 3 months. Least Squares (LS) means were calculated using a mixed model repeated measures (MMRM) with baseline HbA1c measurement, stratification factors (country, low density lipoprotein-cholesterol [LDL-C, < 100 milligrams per deciliter {mg/dL} and ≥ 100 mg/dL] and sulfonylurea [SU]/meglitinide use), visit, treatment, and visit-by-treatment interaction as fixed effects. (NCT01435616)
Timeframe: Baseline, 52 weeks
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
LY2605541 | -1.55 |
Glargine | -1.25 |
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Adult Low Blood Sugar Survey
The adult Low Blood Sugar Survey (LBSS) is a validated, participant-reported 33-item questionnaire with items rated on a 5-point Likert scale, where 0 = never and 4 = always. The LBSS measures behaviors to avoid hypoglycemia and its negative consequences (15 items) and worries about hypoglycemia and its negative consequences (18 items). Total score is the sum of all items (range of 0 to 132). Higher total scores reflect greater fear of hypoglycemia. LS means were calculated using an analysis of covariance model (ANCOVA) with baseline LBSS score, stratification factors (country, HbA1c, and SU/meglitinide use), and treatment as fixed effects. (NCT01435616)
Timeframe: Up to 52 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
LY2605541 | 15.09 |
Glargine | 14.59 |
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Percentage of Participants With Equal or Above 2- and 3-fold ULN for Alanine Transaminase/Serum Glutamic Pyruvic Transaminase (ALT/SGPT) and Aspartate Transaminase/Serum Glutamic Oxaloacetic Transaminase (AST/SGOT)
The percentage of participants was calculated by dividing the number of participants equal or above 2- or 3-fold ULN for ALT/SGPT or AST/SGOT by the total number of participants analyzed, multiplied by 100. (NCT01435616)
Timeframe: Up to 52 weeks
Intervention | percentage of participants (Number) |
---|
| ≥2-fold ULN for ALT | ≥3-fold ULN for ALT | ≥2-fold ULN for AST | ≥3-fold ULN for AST |
---|
Glargine | 4.0 | 0.6 | 1.5 | 0.4 |
,LY2605541 | 6.5 | 1.9 | 3.6 | 1.0 |
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Percentage of Participants With Equal or Above 2-, and 3-fold Upper Limits of Normal (ULN) for Total Bilirubin
(NCT01435616)
Timeframe: Up to 52 weeks
Intervention | percentage of participants (Number) |
---|
| ≥2-fold ULN | ≥3-fold ULN |
---|
Glargine | 0.0 | 0.0 |
,LY2605541 | 0.2 | 0.1 |
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Change From Baseline to 52 Weeks in Triglycerides, Low Density Lipoprotein Cholesterol (LDL-C), and High Density Lipoprotein Cholesterol (HDL-C)
LS means were calculated using a MMRM with baseline lipid measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01435616)
Timeframe: Baseline, 52 weeks
Intervention | milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
| Triglycerides | LDL-C | HDL-C |
---|
Glargine | -7.33 | 1.76 | -1.82 |
,LY2605541 | 10.60 | 1.44 | -1.91 |
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Insulin Dose Per Body Weight
LS means were calculated using a MMRM with baseline insulin dose measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01435616)
Timeframe: 52 weeks
Intervention | units of insulin/kg body weight (Least Squares Mean) |
---|
LY2605541 | 0.45 |
Glargine | 0.42 |
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6 Point Self-monitored Blood Glucose (SMBG)
Six-point SMBG profiles were obtained at pre-morning meal (fasting), pre-midday meal (lunch), pre-evening meal (dinner), bedtime, approximately 0300 hours, and pre-morning meal (fasting) the next day. Six-point SMBG profiles were obtained over 2 nonconsecutive days within the week prior to the next office visit. LS means were calculated using a MMRM with baseline blood glucose measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01435616)
Timeframe: 52 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
| Pre-morning meal | Pre-midday meal | Pre-evening meal | Bedtime | 0300 hours | Pre-morning meal (next day) |
---|
Glargine | 112.26 | 134.52 | 142.58 | 155.19 | 118.37 | 109.19 |
,LY2605541 | 112.81 | 127.65 | 133.94 | 151.37 | 120.35 | 111.11 |
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Overall Treatment-Emergent Anti-LY2065541 Antibody Response (TEAR)
The percentage of participants with a TEAR is summarized. TEAR is defined as a change in the anti-LY2605541 antibody level from undetectable at baseline to detectable at baseline, or, for those participants with detectable antibodies at baseline, change to a value with at least a 130% relative increase from baseline. Overall TEAR is defined as one or more TEAR during the specified period. (NCT01435616)
Timeframe: Baseline to 78 weeks
Intervention | percentage of participants (Number) |
---|
LY2605541 | 43.0 |
Glargine | 37.8 |
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Insulin Treatment Satisfaction Questionnaire
The Insulin Treatment Satisfaction Questionnaire (ITSQ) is a validated instrument containing 22 items that assess treatment satisfaction for participants with diabetes who are receiving insulin. The questionnaire measures satisfaction from the following 5 domains: inconvenience of regimen, lifestyle flexibility, glycemic control, hypoglycemic control, and insulin delivery device. Data presented are the transformed total score on a scale of 0 to 100, where higher scores indicate better treatment satisfaction. LS means were calculated using a MMRM with stratification factors (country, HbA1c, and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01435616)
Timeframe: Up to 52 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
LY2605541 | 84.73 |
Glargine | 85.04 |
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Change From Baseline to 52 Weeks in Body Weight
LS means were calculated using a MMRM with baseline body weight measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01435616)
Timeframe: Baseline, 52 weeks
Intervention | kilograms (kg) (Least Squares Mean) |
---|
LY2605541 | 2.06 |
Glargine | 2.57 |
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Intra-participant Variability of the Fasting Blood Glucose (FBG)
Intra-participant variability of FBG, which was measured by SMBG, was assessed by the standard deviation of the FBG measurement at the Week 52 visit. LS means were calculated using a MMRM with baseline fasting blood glucose measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01435616)
Timeframe: 52 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
LY2605541 | 15.56 |
Glargine | 17.08 |
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Number of Insulin Dose Adjustments to Steady-State
Insulin doses were adjusted according to an algorithm (adapted from Riddle et al. 2003) during the first 26 weeks of the study and thereafter according to investigator judgment. Steady-state was defined as the first local maximum dose (maximum of moving 4-week interval) of LY2605541 or glargine within the window of +/- 2 weeks. The number of dose adjustments to steady-state was the total number of dose changes until steady-state was reached. LS means were calculated using a MMRM with baseline insulin dose measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01435616)
Timeframe: Baseline to 52 weeks
Intervention | number of insulin dose adjustments (Least Squares Mean) |
---|
LY2605541 | 5.83 |
Glargine | 5.25 |
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Fasting Blood Glucose (By Participant Self-monitored Blood Glucose Readings)
LS means were calculated using a MMRM with baseline fasting blood glucose measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01435616)
Timeframe: 52 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
LY2605541 | 112.57 |
Glargine | 112.00 |
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Rate of Total and Nocturnal Hypoglycemia Events
Hypoglycemia is a condition that occurs when a person's blood glucose level is lower than the normal range (less than or equal to 70 milligrams per deciliter [mg/dL] or less than 3.9 millimoles per liter [mmol/L]). Total hypoglycemia refers to an event that meets the criteria for documented symptomatic hypoglycemia, asymptomatic hypoglycemia, probable symptomatic hypoglycemia, unspecified hypoglycemia, or severe hypoglycemia. Nocturnal hypoglycemia refers to any total hypoglycemic event that occurs between bedtime and waking. Group mean (listed as LS means below) rates of total and nocturnal hypoglycemia were calculated using a negative binomial regression model (number of episodes = treatment + SU/meglitinide use + baseline hypoglycemia event rate, with log [exposure per 30 days] as the offset variable in the model). (NCT01435616)
Timeframe: Baseline to 52 weeks
Intervention | episodes/participant/30 days (Least Squares Mean) |
---|
| Rate of total hypoglycemia events | Rate of nocturnal hypoglycemia events |
---|
Glargine | 1.21 | 0.40 |
,LY2605541 | 1.16 | 0.30 |
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Percentage of Participants With Total and Nocturnal Hypoglycemic Events
A hypoglycemic event is defined by a blood glucose value ≤70 mg/dL (3.9mmol/L). Total hypoglycemic events include documented symptomatic hypoglycemia, asymptomatic hypoglycemia, probable symptomatic hypoglycemia, unspecified hypoglycemia, or severe hypoglycemia. Nocturnal hypoglycemic events refer to any total hypoglycemic event that occurs between bedtime and waking. The percentage of participants was calculated by dividing the number of participants with hypoglycemic or nocturnal hypoglycemic events by the total number of participants analyzed, multiplied by 100. (NCT01435616)
Timeframe: Baseline to 52 weeks
Intervention | percentage of participants (Number) |
---|
| Total hypoglycemic events | Nocturnal hypoglycemic events |
---|
Glargine | 79.8 | 59.8 |
,LY2605541 | 77.0 | 48.9 |
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Percentage of Participants With Hemoglobin A1c Equal or Less Than 6.5% and Less Than 7.0 %
The percentage of participants was calculated by dividing the number of participants reaching target HbA1c by the total number of participants analyzed, multiplied by 100. (NCT01435616)
Timeframe: 52 weeks
Intervention | percentage of participants (Number) |
---|
| HbA1c ≤ 6.5% | HbA1c < 7.0% |
---|
Glargine | 23.9 | 42.8 |
,LY2605541 | 36.1 | 57.6 |
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Percentage of Participants With HbA1C Equal or Less Than 6.5% and Less Than 7.0 % and Without Nocturnal Hypoglycemia
The percentage of participants with HbA1C ≤ 6.5% or < 7.0% without nocturnal hypoglycemia is presented. Percentage was calculated by dividing the number of participants with the indicated HbA1c values over the total number of participants and multiplying by 100. (NCT01435616)
Timeframe: Up to 52 weeks
Intervention | percentage of participants (Number) |
---|
| HbA1c ≤ 6.5% | HbA1c < 7.0% |
---|
Glargine | 8.6 | 15.3 |
,LY2605541 | 17.5 | 26.2 |
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Hemoglobin A1c
HbA1c is a test that measures a person's average blood glucose level over the past 2 to 3 months. LS means were calculated using a MMRM with baseline HbA1C measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01435616)
Timeframe: 52 weeks
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
LY2605541 | 6.91 |
Glargine | 7.21 |
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Fasting Serum Glucose (By Laboratory Measurement)
LS means were calculated using a MMRM with baseline fasting serum glucose measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01435616)
Timeframe: 52 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
LY2605541 | 114.93 |
Glargine | 120.13 |
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24
Change in FPG (before breakfast) following 24 weeks of therapy (i.e., FPG at Week 24 minus FPG at baseline) (NCT01462266)
Timeframe: Baseline and Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Sitagliptin | -55.5 |
Placebo | -44.8 |
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Change From Baseline in Hemoglobin A1c (A1C) at Week 24
A1C is measured as the percentage of glycosylated hemoglobin. Change in A1C following 24 weeks of therapy (i.e., A1C at Week 24 minus A1C at baseline) (NCT01462266)
Timeframe: Baseline and Week 24
Intervention | Percent of total hemoglobin (Least Squares Mean) |
---|
Sitagliptin | -1.31 |
Placebo | -0.87 |
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Percent of Participants Achieving Fasting Glucose Target at Any Time During the Study
The fasting glucose target was defined as 3 consecutive days with a fingerstick glucose of 72 to 100 mg/dL (4.0 - 5.6 mmol/L). (NCT01462266)
Timeframe: Up to 24 weeks
Intervention | Percentage of participants (Number) |
---|
Sitagliptin | 77.4 |
Placebo | 74.1 |
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Time to Achieve the Fasting Glucose Target
Fasting glucose target 3 consecutive days with a fingerstick glucose of 72 to 100 mg/dL (4.0 - 5.6 mmol/L). This analysis was the Kaplan-Meier estimated 50th percentile of time (days) to first attainment of target. (NCT01462266)
Timeframe: Up to 24 weeks
Intervention | Days to first attainment of target (Median) |
---|
Sitagliptin | 78 |
Placebo | 90 |
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Change From Baseline in Daily Insulin Dose at Week 24
Change in daily insulin dose following 24 weeks of therapy (i.e., daily insulin dose at Week 24 minus daily insulin dose at baseline) (NCT01462266)
Timeframe: Baseline and Week 24
Intervention | International Units (IU) (Least Squares Mean) |
---|
Sitagliptin | 19.0 |
Placebo | 23.8 |
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Total Hypoglycemia Rates (Adjusted for 30 Days)
Hypoglycemic episodes are defined as events which are associated with reported signs and symptoms of hypoglycemia and/or documented blood glucose (BG) concentrations of ≤70 mg/dL (3.9 millimoles per liter [mmol/L]). Group mean rates of total hypoglycemia (per 30 days) are presented and were calculated from negative binomial regression models (number of episodes = treatment + baseline total hypoglycemia rate, with log [exposure in days/30] as an offset variable). Group Mean is estimated by taking the inverse link function on individual participant covariates first and then averages over all participants. (NCT01468987)
Timeframe: Baseline through 26 weeks
Intervention | episodes/participant/30 days (Mean) |
---|
LY2605541 + Insulin Lispro | 5.97 |
Insulin Glargine + Insulin Lispro | 5.42 |
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Basal, Bolus, and Total Insulin Dose by Weight at 26 Weeks
Basal insulin dose, short-acting bolus insulin dose (each meal and overall), and total insulin dose were calculated based on the dose during the last 7 days prior to the post-treatment visit or last 3 days prior to the randomization visit. LS means were calculated using a constrained Longitudinal Data Analysis (cLDA) model adjusting for indicator variables of each treatment group at each post-baseline visit and stratification variables (baseline HbA1c [≤8.5% and >8.5%], country, baseline LDL-C [<100 mg/dL and ≥100 mg/dL], and baseline number of insulin injections [1, 2, or ≥3]). (NCT01468987)
Timeframe: 26 weeks
Intervention | units/kg/day (Least Squares Mean) |
---|
| Basal Insulin | Bolus Insulin | Total Insulin |
---|
Insulin Glargine + Insulin Lispro | 0.60 | 0.63 | 1.21 |
,LY2605541 + Insulin Lispro | 0.68 | 0.61 | 1.27 |
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Lipid Profile at 26 Weeks
Concentrations of cholesterol, high-density lipoprotein cholesterol (HDL-C), LDL-C, and triglycerides are summarized. LS means were calculated using MMRM adjusting for stratification factors (baseline HbA1c [≤8.5% and >8.5%], country, LDL-C [<100 mg/dL and ≥100 mg/dL], except for the LDL-C outcome variable], number of insulin injections at baseline [1, 2, or ≥3]), visit, treatment, visit-by-treatment interaction, and baseline value of corresponding lipid outcome variable. (NCT01468987)
Timeframe: 26 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
| Cholesterol | HDL-C | LDL-C | Triglycerides |
---|
Insulin Glargine + Insulin Lispro | 174.79 | 47.71 | 98.89 | 141.78 |
,LY2605541 + Insulin Lispro | 177.17 | 46.44 | 97.87 | 168.79 |
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Change From Baseline in Hemoglobin A1c (HbA1c) at 26 Weeks
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 using mixed model repeated measures (MMRM) adjusting for stratification factors (country, low-density lipoprotein cholesterol [LDL-C, <100 milligrams per deciliter (mg/dL) and ≥100 mg/dL], and number of insulin injections at baseline [1, 2, or ≥3]), visit, treatment, visit-by-treatment interaction, and baseline HbA1c. (NCT01468987)
Timeframe: Baseline, 26 weeks
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
LY2605541 + Insulin Lispro | -1.66 |
Insulin Glargine + Insulin Lispro | -1.45 |
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0300-hour Blood Glucose to FBG Excursion at 26 Weeks
Results of a 0300-hour to pre-morning meal (FBG) excursion are presented (only SMBG profiles with both 0300 hours and the next day pre-morning measurements are included for the calculation of such excursion). LS means were calculated using MMRM adjusting for stratification factors (baseline HbA1c [≤8.5% and >8.5%], country, baseline LDL-C [<100 mg/dL and ≥100 mg/dL], and number of insulin injections at baseline [1, 2, or ≥3]), treatment, visit, treatment-by-visit interaction, and baseline excursion. (NCT01468987)
Timeframe: 26 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
LY2605541 + Insulin Lispro | -11.95 |
Insulin Glargine + Insulin Lispro | -15.16 |
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Body Weight Change From Baseline to 26 Weeks
LS means were calculated using MMRM adjusting for stratification factors (baseline HbA1c [≤8.5% and >8.5%], country, LDL-C [<100 mg/dL and ≥100 mg/dL], and number of insulin injections at baseline [1, 2, or ≥3]), treatment, visit, treatment-by-visit interaction, and baseline body weight as fixed effects, and participant as a random effect. (NCT01468987)
Timeframe: Baseline, 26 weeks
Intervention | kilograms (kg) (Least Squares Mean) |
---|
LY2605541 + Insulin Lispro | 1.25 |
Insulin Glargine + Insulin Lispro | 2.21 |
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EuroQoL-5D (EQ-5D) at 26 Weeks
The EQ-5D 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 of 1-3 (no problem, some problems, and extreme problems). These combinations of attributes are converted into a weighted health-state Index Score according to the United States population-based algorithm. Scores range from -0.11 to 1.0, where a score of 1.0 indicates perfect health. LS means were calculated using ANCOVA adjusting for treatment, stratification factors (baseline HbA1c [≤8.5% and >8.5%], country, and baseline number of insulin injections [1, 2, or ≥ 3]), and baseline EQ-5D score. (NCT01468987)
Timeframe: up to 26 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
LY2605541 + Insulin Lispro | 0.86 |
Insulin Glargine + Insulin Lispro | 0.85 |
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Fasting Serum Glucose (FSG) From Laboratory at 26 Weeks
LS means were calculated using MMRM adjusting for stratification factors (baseline HbA1c [≤8.5% and >8.5%], country, LDL-C [<100 mg/dL and ≥100 mg/dL], and number of insulin injections at baseline [1, 2, or ≥3]), treatment, visit, treatment-by-visit interaction, and baseline FSG. (NCT01468987)
Timeframe: 26 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
LY2605541 + Insulin Lispro | 125.33 |
Insulin Glargine + Insulin Lispro | 132.02 |
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Percentage of Participants With HbA1c <7.0% and ≤6.5% at 26 Weeks
The percentage of participants was calculated by dividing the number of participants reaching target HbA1c by the total number of participants analyzed, multiplied by 100. (NCT01468987)
Timeframe: up to 26 weeks
Intervention | percentage of participants (Number) |
---|
| HbA1c ≤6.5% | HbA1c <7.0% |
---|
Insulin Glargine + Insulin Lispro | 32.6 | 53.3 |
,LY2605541 + Insulin Lispro | 44.4 | 63.3 |
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Rapid Assessment of Physical Activity (RAPA) at 26 Weeks
The RAPA questionnaire assesses the level and intensity of physical activity of adult participants. It contains 2 subscales: RAPA 1 (Aerobic) and RAPA 2 (Strength and Flexibility). RAPA 1 contains 7 questions regarding the participant's amount and intensity of physical activity, allowing each participant's aerobic activity level to be categorized as sedentary, underactive, light activities, light activity, regular underactive, or active. RAPA 2 contains 2 questions regarding participants' physical activities that increase strength and improve flexibility. Each participant's strength and flexibility activity level is then categorized as neither strength nor flexibility activity, either strength or flexibility activity (not both), both strength and flexibility activity. The percentage of participants in each RAPA 1/2 category is presented and was calculated by dividing the number of participants in each RAPA 1/2 category by the total number of participants analyzed, multiplied by 100. (NCT01468987)
Timeframe: up to 26 weeks
Intervention | percentage of participants (Number) |
---|
| RAPA 1, Sedentary | RAPA 1, Underactive | RAPA 1, Light activity | RAPA 1, Regular underactive | RAPA 1, Active | RAPA 2, Neither strength/flexibility | RAPA 2, Either strength/flexibility | RAPA 2, Both strength/flexibility |
---|
Insulin Glargine + Insulin Lispro | 2.4 | 6.2 | 18.0 | 27.1 | 46.3 | 53.8 | 30.6 | 15.6 |
,LY2605541 + Insulin Lispro | 2.2 | 4.6 | 21.9 | 32.7 | 38.6 | 58.3 | 28.1 | 13.6 |
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Self-Monitored Blood Glucose (SMBG) 9-point Profiles at 26 Weeks
9-point SMBG profiles were obtained over 2 nonconsecutive days within the week prior to Weeks 0, 4, 12, and 26. SMBG measurements were taken at 9 time points: pre-morning meal, 2 hours post-morning meal, pre-midday meal, 2 hours post-midday meal, pre-evening meal, 2 hours post-evening meal, bedtime, at approximately 0300 hours, and the subsequent morning prior to the morning meal. LS means were calculated using MMRM adjusting for stratification factors (baseline HbA1c [≤8.5% and >8.5%], country, LDL-C [<100 mg/dL and ≥100 mg/dL], and number of insulin injections at baseline [1, 2, or ≥3]), visit, treatment, visit-by-treatment interaction, and baseline BG values. (NCT01468987)
Timeframe: 26 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
| Pre-morning meal | 2 hours post-morning meal | Pre-midday meal | 2 hours post-midday meal | Pre-evening meal | 2 hours post-evening meal | Bedtime | 0300 hours | Pre-morning meal next day |
---|
Insulin Glargine + Insulin Lispro | 133.81 | 156.41 | 133.63 | 156.17 | 149.19 | 166.59 | 163.62 | 140.19 | 132.07 |
,LY2605541 + Insulin Lispro | 137.31 | 162.77 | 130.02 | 145.55 | 142.65 | 156.56 | 160.15 | 143.90 | 135.09 |
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Insulin Treatment Satisfaction Questionnaire (ITSQ) at 26 Weeks
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 overall score on a scale of 0-100, where higher scores indicate better treatment satisfaction. LS means were calculated using an analysis of covariance (ANCOVA) model with treatment and stratification factors (baseline HbA1c [≤8.5% and >8.5%], country, and baseline number of insulin injections [1, 2, or ≥3]) as fixed effects and baseline value of the ITSQ scores as a covariate. (NCT01468987)
Timeframe: up to 26 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
LY2605541 + Insulin Lispro | 77.01 |
Insulin Glargine + Insulin Lispro | 77.29 |
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Low Blood Sugar Survey (LBSS) at 26 Weeks
LBSS (also referenced as Hypoglycemia Fear Survey - II [HFS-II]) is a 33-item questionnaire that measures 1) behaviors to avoid hypoglycemia and its negative consequences (15 items) and 2) worries about hypoglycemia and its negative consequences (18 items). Responses are made on a 5-point Likert scale where 0 = Never and 4 = Always. Total score is the sum of all items (range 0-132). Higher total scores reflect greater fear of hypoglycemia. LS means were calculated using MMRM including stratification factors (baseline HbA1c [≤8.5% and >8.5%], country, baseline number of insulin injections [1, 2, or ≥3]), visit, treatment, visit-by-treatment interaction, and baseline LBSS score. (NCT01468987)
Timeframe: 26 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
LY2605541 + Insulin Lispro | 21.44 |
Insulin Glargine + Insulin Lispro | 21.67 |
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Nocturnal Hypoglycemia Rates (Adjusted for 30 Days)
Hypoglycemic episodes are defined as events which are associated with reported signs and symptoms of hypoglycemia and/or a documented BG concentration of ≤70 mg/dL (3.9 mmol/L). A nocturnal hypoglycemic event occurred between bedtime and waking and between the time points of 10:00 PM and 10:00 AM. Group mean rates of nocturnal hypoglycemia (per 30 days) are presented and were calculated from negative binomial regression models (number of episodes = treatment + baseline nocturnal hypoglycemia rate, with log [exposure in days/30] as an offset variable). Group Mean is estimated by taking the inverse link function on individual participant covariates first and then averages over all participants. (NCT01468987)
Timeframe: Baseline through 26 weeks
Intervention | events/participant/30 days (Mean) |
---|
LY2605541 + Insulin Lispro | 0.51 |
Insulin Glargine + Insulin Lispro | 0.92 |
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Number of Participants With Change in Anti-LY2605541 Antibodies From Baseline to 26 Weeks
The number of participants with a treatment-emergent anti-LY2605541 antibody response (TEAR) is summarized. TEAR is defined as change from baseline to post-baseline in the anti-LY2605541 antibody level either from undetectable to detectable, or from detectable to the value with at least 130% relative increase from baseline. (NCT01468987)
Timeframe: Baseline through 26 weeks
Intervention | participants (Number) |
---|
LY2605541 + Insulin Lispro | 152 |
Insulin Glargine + Insulin Lispro | 161 |
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Percentage of Participants With HbA1c <7.0% Without Nocturnal Hypoglycemia at 26 Weeks
Hypoglycemic episodes are defined as an event which is associated with reported signs and symptoms of hypoglycemia and/or a documented blood glucose concentration of ≤70 mg/dL (3.9 mmol/L). A nocturnal hypoglycemic event occurred between bedtime and waking and between the time points of 10:00 PM and 10:00 AM. The percentage of participants was calculated by dividing the number of participants with HbA1c <7.0% without nocturnal hypoglycemia by the total number of participants analyzed, multiplied by 100. (NCT01468987)
Timeframe: up to 26 weeks
Intervention | percentage of participants (Number) |
---|
LY2605541 + Insulin Lispro | 23.7 |
Insulin Glargine + Insulin Lispro | 12.2 |
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Percentage of Participants With Nocturnal Hypoglycemia Episodes
Hypoglycemic episodes are defined as an event which is associated with reported signs and symptoms of hypoglycemia and/or a BG concentration of ≤70 mg/dL (3.9 mmol/L). A nocturnal hypoglycemic event occurred between bedtime and waking and between the time points of 10:00 PM and 10:00 AM. The percentage of participants was calculated by dividing the number of participants with nocturnal hypoglycemic episodes by the total number of participants analyzed, multiplied by 100. (NCT01468987)
Timeframe: Baseline through 26 weeks
Intervention | percentage of participants (Number) |
---|
LY2605541 + Insulin Lispro | 59.5 |
Insulin Glargine + Insulin Lispro | 74.0 |
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HbA1c at 26 Weeks
HbA1c is a test that measures a participant's average blood glucose level over the past 2 to 3 months. LS means were calculated using MMRM adjusting for stratification factors (country, LDL-C [<100 mg/dL and ≥100 mg/dL], and number of insulin injections at baseline [1, 2, or ≥3]), treatment, visit, treatment, visit-by-treatment interaction, and baseline HbA1c. (NCT01468987)
Timeframe: 26 weeks
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
LY2605541 + Insulin Lispro | 6.76 |
Insulin Glargine + Insulin Lispro | 6.97 |
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Percentage of Participants With Total Hypoglycemia Episodes
Hypoglycemic episodes are defined as events which are associated with reported signs and symptoms of hypoglycemia and/or documented BG concentrations of ≤70 mg/dL (3.9 mmol/L). The percentage of participants was calculated by dividing the number of participants with hypoglycemic episodes by the total number of participants analyzed, multiplied by 100. (NCT01468987)
Timeframe: Baseline through 26 weeks
Intervention | percentage of participants (Number) |
---|
LY2605541 + Insulin Lispro | 95.2 |
Insulin Glargine + Insulin Lispro | 96.6 |
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Fasting Blood Glucose (FBG) (by SMBG) Intra-participant Variability at 26 Weeks
FBG was measured by self-monitored blood glucose (SMBG). Between-day glucose variability is measured by the standard deviation of FBG. LS means were calculated using MMRM adjusting for the stratification factors (baseline HbA1c [≤8.5% and >8.5%], country, baseline LDL-C [<100 mg/dL and ≥100 mg/dL], and number of insulin injections at baseline [1, 2, or ≥3]), treatment, visit, treatment-by-visit interaction, and baseline FBG variability. (NCT01468987)
Timeframe: 26 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
LY2605541 + Insulin Lispro | 28.67 |
Insulin Glargine + Insulin Lispro | 33.54 |
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Pharmacokinetics: Area Under the Concentration-Time Curve From Time Zero to 24 Hours [AUC(0-24)] of LY2963016 and Lantus
(NCT01476345)
Timeframe: 1 hour predose up to 24 hours postdose in all treatment periods
Intervention | picomoles*hour/Liter (pmol*h/L) (Geometric Mean) |
---|
LY2963016 | 1810 |
Lantus | 1980 |
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Total Amount of Glucose Infused (Gtot) Over the Duration of Clamp Procedure
Gtot is the total glucose infusion over the clamp duration and is used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations are held constant after the administration of LY2963016 or Lantus by adjusting the exogenous glucose infusion rate. Data presented were adjusted by the body weight. (NCT01476345)
Timeframe: 1 hour predose up to 24 hours postdose in all treatment periods
Intervention | milligrams/kilogram (mg/kg) (Geometric Mean) |
---|
LY2963016 | 2580 |
Lantus | 2710 |
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Pharmacokinetics: Maximum Plasma Concentration (Cmax) of LY2963016 and Lantus
(NCT01476345)
Timeframe: 1 hour predose up to 24 hours postdose in all treatment periods
Intervention | picomoles/Liter (pmol/L) (Geometric Mean) |
---|
LY2963016 | 112 |
Lantus | 119 |
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Maximum Glucose Infusion Rate (Rmax)
Rmax is the maximum infusion rate of glucose administered intravenously needed to maintain target blood glucose level and is used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations are held constant after the administration of LY2963016 or Lantus by adjusting the exogenous glucose infusion rate. Data presented were adjusted by the body weight. (NCT01476345)
Timeframe: 1 hour predose up to 24 hours postdose in all treatment periods
Intervention | milligrams/kilogram/minute (mg/kg/min) (Geometric Mean) |
---|
LY2963016 | 2.85 |
Lantus | 2.88 |
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Percentage of Participants With Documented Symptomatic and Severe Symptomatic Hypoglycemia
Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of ≤70 mg/dL (3.9 mmol/L).Severe symptomatic hypoglycemia was an event requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. These episodes were associated with sufficient neuroglycopenia to induce seizure, unconsciousness or coma. All episodes in which neurological impairment was severe enough to prevent self-treatment and which were thought to place participants at risk for injury to themselves or others. (NCT01476475)
Timeframe: First dose of study drug up to 3 days after the last dose administration (maximum of 219 days)
Intervention | percentage of participants (Number) |
---|
| Documented symptomatic hypoglycemia | Severe Symptomatic Hypoglycemia |
---|
Insulin Glargine (Lantus® SoloSTAR®) | 22.8 | 0.0 |
,Insulin Glargine/Lixisenatide Fixed Ratio Combination | 21.7 | 0.0 |
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Change in 30-minute and 1-hour PPG From Baseline to Week 24
The 30 minute and 1-hour PPG test measured blood glucose 30 minutes and 1-hour after eating a standardized meal. Change in PPG was calculated by subtracting baseline value from Week 24 value. Missing data was imputed using LOCF. On-treatment period for this efficacy variable was defined as the time from the first dose of study drug till before the introduction of rescue medication and up to the date of last injection of IMP. (NCT01476475)
Timeframe: Baseline, Week 24
Intervention | mmol/L (Least Squares Mean) |
---|
| 30-minute PPG (n=151, 153) | 1-hour PPG (n=150, 153) |
---|
Insulin Glargine | -3.76 | -4.10 |
,Insulin Glargine/Lixisenatide Fixed Ratio Combination | -5.01 | -5.94 |
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Change in Body Weight From Baseline to Week 24
Change in body weight was calculated by subtracting baseline value from Week 24 value. Missing data was imputed using LOCF. On-treatment period for this efficacy variable was defined as the time from the first dose of study drug till before the introduction of rescue medication and up to 3 days after the last injection of IMP. (NCT01476475)
Timeframe: Baseline, Week 24
Intervention | kg (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -0.97 |
Insulin Glargine | 0.48 |
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Change in Average 7-Point Self-Monitored Plasma Glucose (SMPG) Profiles From Baseline to Week 24
Participants recorded a 7-point plasma glucose profile measured before and 2-hours after each meal and at bedtime, over a single day, once in a week before baseline, before visit Week 12 and before visit Week 24 and the average value across the profiles performed in the week before a visit for the 7-time points was calculated. Change in average 7-point SMPG was calculated by subtracting baseline value from Week 24 value. Missing data was imputed using LOCF. On-treatment period for this efficacy variable was defined as the time from the first dose of study drug till before the introduction of rescue medication and up to the date of last injection of IMP. (NCT01476475)
Timeframe: Baseline, Week 24
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -3.23 |
Insulin Glargine | -2.93 |
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Change in 2-hour Postprandial Plasma Glucose (PPG) From Baseline to Week 24
The 2-hour PPG test measured blood glucose 2 hours after eating a standardized meal. Change in PPG was calculated by subtracting baseline value from Week 24 value. Missing data was imputed using LOCF. On-treatment period for this efficacy variable was defined as the time from the first dose of study drug till before the introduction of rescue medication and up to the date of last injection of IMP. (NCT01476475)
Timeframe: Baseline, Week 24
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -7.49 |
Insulin Glargine | -4.33 |
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Average Daily Insulin Glargine Dose at Week 24
Missing data was imputed using LOCF. On-treatment period for this efficacy variable was defined as the time from the first dose of study drug till before the introduction of rescue medication and up to the date of last injection of IMP. (NCT01476475)
Timeframe: Week 24
Intervention | Units (U) (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 36.08 |
Insulin Glargine | 39.32 |
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Percentage of Participants Requiring Rescue Therapy During 24-week Treatment Period
Routine fasting SMPG and central laboratory FPG (and HbA1c after Week 12) values were used to determine the requirement of rescue medication. If fasting SMPG value exceed the specified limit for 3 consecutive days, the central laboratory FPG (and HbA1c after Week 12) were performed. Threshold values from Week 8 to Week 12: fasting SMPG/FPG >240 mg/dL (13.3 mmol/L), and from Week 12 to Week 30: fasting SMPG/FPG >200 mg/dL (11.1 mmol/L) or HbA1c >8%. (NCT01476475)
Timeframe: Baseline up to Week 24
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 0 |
Insulin Glargine | 0.6 |
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Change in 30 Minute and 1-hour Plasma Glucose Excursion From Baseline to Week 24
30-minute and 1-hour plasma glucose excursion = 30-minute and 1-hour PPG minus plasma glucose value obtained 30 minutes prior to the start of the meal and before IMP administration. Change in plasma glucose excursion was calculated by subtracting baseline value from Week 24 value. Missing data was imputed using LOCF. On-treatment period for this efficacy variable was defined as the time from the first dose of study drug till before the introduction of rescue medication and up to the date of last injection of IMP. (NCT01476475)
Timeframe: Baseline, Week 24
Intervention | mmol/L (Least Squares Mean) |
---|
| 30-minute plasma glucose excursion (n=151, 152) | 1-hour plasma glucose excursion (n=150, 152) |
---|
Insulin Glargine | -0.05 | -0.44 |
,Insulin Glargine/Lixisenatide Fixed Ratio Combination | -1.47 | -2.34 |
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Percentage of Participants Reaching HbA1c <7% With no Body Weight Gain at Week 24
Participants without any post-baseline on-treatment values (for HbA1c and body weight) that were no more than 30 days apart were counted as non-responders if at least one of the components (for HbA1c and body weight) was available and showed non-response. Otherwise, they were counted as missing data. (NCT01476475)
Timeframe: Week 24
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 56.3 |
Insulin Glargine | 37.3 |
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Percentage of Participants Reaching HbA1c <7% at Week 24 With no Documented Symptomatic Hypoglycemia During 24-week Treatment Period
Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of ≤70 mg/dL (3.9 mmol/L). Participants without any post-baseline on-treatment value for HbA1c were counted as non-responders if they experienced at least one documented symptomatic hypoglycemia before the introduction of rescue medication and up to 1 day after the last injection of IMP. Otherwise, they were counted as missing data. On-treatment period for this efficacy variable was defined as the time from the first dose of study drug till before the introduction of rescue medication and up to 14 days after the last injection of IMP. (NCT01476475)
Timeframe: Baseline up to Week 24
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 67.5 |
Insulin Glargine | 59.0 |
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Change in HbA1c From Baseline to Week 24
Change in HbA1c was calculated by subtracting baseline value from Week 24 value. Missing data was imputed using last observation carried forward (LOCF). On-treatment period for this efficacy variable was defined as the time from the first dose of study drug till before the introduction of rescue medication and up to 14 days after the last injection of investigational medicinal product (IMP). (NCT01476475)
Timeframe: Baseline, Week 24
Intervention | percentage of hemoglobin (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -1.82 |
Insulin Glargine | -1.64 |
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Change in FPG From Baseline to Week 24
Change in FPG was calculated by subtracting baseline value from Week 24 value. Missing data was imputed using LOCF. On-treatment period for this efficacy variable was defined as the time from the first dose of study drug till before the introduction of rescue medication and up to 1 day after the last injection of IMP. (NCT01476475)
Timeframe: Baseline, Week 24
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -3.35 |
Insulin Glargine | -3.51 |
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Change in 2-hour Plasma Glucose Excursion From Baseline to Week 24
2-hour plasma glucose excursion = 2-hour PPG minus plasma glucose value obtained 30 minutes prior to the start of the meal and before IMP administration. Change in plasma glucose excursion was calculated by subtracting baseline value from Week 24 value. Missing data was imputed using LOCF. On-treatment period for this efficacy variable was defined as the time from the first dose of study drug till before the introduction of rescue medication and up to the date of last injection of IMP. (NCT01476475)
Timeframe: Baseline, Week 24
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -3.91 |
Insulin Glargine | -0.67 |
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Percentage of Participants With HbA1c ≤6.5 % or <7.0 % at Week 24
On-treatment period for this efficacy variable was defined as the time from the first dose of study drug till before the introduction of rescue medication and up to 14 days after the last injection of IMP. (NCT01476475)
Timeframe: Week 24
Intervention | percentage of participants (Number) |
---|
| HbA1c ≤6.5% | HbA1c <7.0% |
---|
Insulin Glargine | 64.6 | 78.3 |
,Insulin Glargine/Lixisenatide Fixed Ratio Combination | 71.9 | 84.4 |
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Change in Duration of Hypoglycemia Episodes
duration of hypoglycemia measured by continuous glucose monitoring (NCT01480843)
Timeframe: baseline, 5 months, 8 months
Intervention | minutes of hypoglycemia (Mean) |
---|
| Baseline | 5 months | 8 months |
---|
Glargine | 277 | 111 | 97 |
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Change in Frequency of Hypoglycemia Episodes From Baseline, 5 Months, 8 Months
frequency of hypoglycemia episodes measured by continuous glucose monitoring per 5 days of continuous glucose monitoring data (NCT01480843)
Timeframe: baseline, 5 months, 8 months
Intervention | episodes of hypoglycemia (Mean) |
---|
| Baseline | 5 months | 8 months |
---|
Glargine | 4.3 | 1.8 | 1.5 |
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Change in 8-Point SMPG Profiles Per Time Point From Baseline to Month 6 Endpoint
Change in each time-point of 8-point SMPG profile: 03:00 hours (clock time) at night; before and 2 hours after breakfast; before and 2 hours after lunch; before and 2 hours after dinner; and at bedtime. (NCT01499082)
Timeframe: Baseline, Month 6
Intervention | mmol/L (Least Squares Mean) |
---|
| 03:00 at Night Plasma Glucose (n=333,323) | Pre-Breakfast Plasma Glucose (n=343,333) | 2 Hours After Breakfast Plasma Glucose (n=335,326) | Pre-Lunch Plasma Glucose (n=337,331) | 2 Hours After Lunch Plasma Glucose (n=336,325) | Pre-Dinner Plasma Glucose (n=338,333) | 2 Hours After Dinner Plasma Glucose (n=331,327) | Bedtime Plasma Glucose (n=324, 325) |
---|
HOE901-U300 | -0.98 | -1.19 | -1.60 | -1.05 | -0.64 | -0.47 | -0.96 | -0.88 |
,Lantus | -1.16 | -1.49 | -1.90 | -1.23 | -0.63 | -0.37 | -1.17 | -0.91 |
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Percentage of Participants With HbA1c <7% at Month 6 Endpoint
(NCT01499082)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 39.6 |
Lantus | 40.9 |
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Percentage of Participants With FPG <5.6 mmol/L (<100 mg/dL) at Month 6 Endpoint
(NCT01499082)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 26.5 |
Lantus | 23.2 |
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Percentage of Participants With At Least One Severe and/or Confirmed Nocturnal Hypoglycemia From Start of Week 9 to Month 6 Endpoint
Nocturnal hypoglycemia was hypoglycemia that occurred between 00:00 and 05:59 hours (clock time), regardless the participant was awake or woke up because of the event. Severe hypoglycemia was an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Confirmed hypoglycemia was an event associated with plasma glucose less than or equal to (<=) 3.9 millimoles per liter (mmol/L) (70 milligram per deciliter [mg/dL]). (NCT01499082)
Timeframe: Week 9 Up to Month 6
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 36.1 |
Lantus | 46.0 |
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Change in Variability of Preinjection SMPG From Baseline to Month 6 Endpoint
Pre-injection SMPG was measured within 30 minutes prior to the injection of the study drug. Variability was assessed by the mean of coefficient of variation calculated as 100 multiplied by (standard deviation/mean) over at least 3 SMPG measured during the 7 days preceding the assessment visit. (NCT01499082)
Timeframe: Baseline, Month 6
Intervention | percentage of mean (Least Squares Mean) |
---|
HOE901-U300 | -1.10 |
Lantus | -1.08 |
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Change in Treatment Satisfaction Score Using The Diabetes Treatment Satisfaction Questionnaire (DTSQs) From Baseline to Month 6 Endpoint
DTSQ is a validated measure to assess how satisfied participants with diabetes are with their treatment and how they perceive hyper- and hypoglycemia. It consists of 8 questions which are answered on a Likert scale from 0 to 6. DTSQ treatment satisfaction score is the sum of question 1 and 4-8 scores and ranges between 0 and 36, where higher scores indicate more treatment satisfaction. (NCT01499082)
Timeframe: Baseline, Month 6
Intervention | units on a scale (Least Squares Mean) |
---|
HOE901-U300 | 2.32 |
Lantus | 2.24 |
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Change in HbA1c From Baseline to Month 6 Endpoint
(NCT01499082)
Timeframe: Baseline, Month 6
Intervention | percentage of hemoglobin (Least Squares Mean) |
---|
HOE901-U300 | -0.83 |
Lantus | -0.83 |
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Change in Fasting Plasma Glucose (FPG) From Baseline to Month 6 Endpoint
(NCT01499082)
Timeframe: Baseline, Month 6
Intervention | mmol/L (Least Squares Mean) |
---|
HOE901-U300 | -1.29 |
Lantus | -1.38 |
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Change in Daily Basal Insulin Dose From Baseline to Month 6 Endpoint
(NCT01499082)
Timeframe: Baseline, Month 6
Intervention | U/kg (Least Squares Mean) |
---|
HOE901-U300 | 0.28 |
Lantus | 0.19 |
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Change in Average Preinjection Self-Monitored Plasma Glucose (SMPG) From Baseline to Month 6 Endpoint
Pre-injection SMPG was measured within 30 minutes prior to the injection of the study drug. Average was assessed by the mean of at least 3 SMPG calculated over the 7 days preceding the assessment visit. (NCT01499082)
Timeframe: Baseline, Month 6
Intervention | mmol/L (Least Squares Mean) |
---|
HOE901-U300 | -0.90 |
Lantus | -0.84 |
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Change in HbA1c From Month 6 to Month 9
Substudy comparing fixed dosing regimen (every 24 hours) vs. adaptive dosing regimen (every 24 +/- 3 hours) in a subset of participants randomized to HOE901-U300 and treated for 6 months. (NCT01499082)
Timeframe: Month 6 Up to Month 9
Intervention | percentage of hemoglobin (Least Squares Mean) |
---|
HOE901-U300: Adaptable Dosing Intervals | 0.21 |
HOE901-U300: Fixed Dosing Intervals | 0.15 |
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Percentage of Participants With Hypoglycemia (All and Nocturnal) Events From Baseline up to Month 12
Hypoglycemia events were Severe hypoglycemia (an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions); Documented symptomatic hypoglycemia (typical symptoms of hypoglycemia with plasma glucose level of <=3.9 mmol/L [70 mg/dL]); Asymptomatic hypoglycemia (no typical symptoms of hypoglycemia but plasma glucose level <=3.9 mmol/L); Probable symptomatic hypoglycemia (an event during which symptoms of hypoglycemia were not accompanied by a plasma glucose determination, but was presumably caused by a plasma glucose level <=3.9 mmol/L, symptoms treated with oral carbohydrate without a test of plasma glucose); Relative hypoglycemia (an event during which the person with diabetes reported any of the typical symptoms of hypoglycemia, and interpreted the symptoms as indicative of hypoglycemia, but plasma glucose level >3.9 mmol/L); Severe and/or confirmed a hypoglycemia (plasma glucose <=3.9 mmol/L). (NCT01499082)
Timeframe: Up to Month 12
Intervention | percentage of participants (Number) |
---|
| Any Hypoglycemia Event: All Hypoglycemia | Severe Hypoglycemia: All Hypoglycemia | Documented Symptomatic: All Hypoglycemia | Asymptomatic: All Hypoglycemia | Probable Symptomatic: All Hypoglycemia | Relative: All Hypoglycemia | Severe and/or Confirmed: All Hypoglycemia | Any Hypoglycemia Event: Nocturnal Hypoglycemia | Severe Hypoglycemia: Nocturnal | Documented Symptomatic: Nocturnal Hypoglycemia | Asymptomatic: Nocturnal Hypoglycemia | Probable Symptomatic: Nocturnal Hypoglycemia | Relative: Nocturnal Hypoglycemia | Severe and/or Confirmed: Nocturnal Hypoglycemia |
---|
HOE901-U300 | 87.4 | 6.7 | 74.8 | 70.5 | 5.7 | 15.8 | 85.9 | 55.4 | 2.5 | 44.6 | 29.2 | 2.2 | 5.0 | 54.5 |
,Lantus | 92.0 | 7.5 | 82.8 | 73.4 | 8.5 | 21.1 | 91.5 | 66.2 | 3.2 | 57.2 | 31.1 | 2.7 | 10.0 | 64.7 |
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Change in HbA1c From Month 6 to Month 9
Substudy comparing fixed dosing regimen (every 24 hours) vs. adaptive dosing regimen (every 24 +/- 3 hours) in a subset of participants randomized to HOE901-U300 and treated for 6 months. Only measurements performed before initiation of rescue therapy were considered in the analysis. (NCT01499095)
Timeframe: Month 6 up to Month 9
Intervention | percentage of hemoglobin (Least Squares Mean) |
---|
HOE901-U300: Adaptable Dosing Intervals | -0.12 |
HOE901-U300: Fixed Dosing Intervals | -0.25 |
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Change in HbA1c From Baseline to Month 6 Endpoint
Only measurements performed before initiation of rescue therapy were considered in the analysis. (NCT01499095)
Timeframe: Baseline, Month 6
Intervention | percentage of hemoglobin (Least Squares Mean) |
---|
HOE901-U300 | -0.57 |
Lantus | -0.56 |
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Change in Fasting Plasma Glucose (FPG) From Baseline to Month 6 Endpoint
Only measurements performed before initiation of rescue therapy were considered in the analysis. (NCT01499095)
Timeframe: Baseline, Month 6
Intervention | mmol/L (Least Squares Mean) |
---|
HOE901-U300 | -1.03 |
Lantus | -1.21 |
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Change in Daily Basal Insulin Dose From Baseline to Month 6 Endpoint
Only measurements performed before initiation of rescue therapy were considered in the analysis. (NCT01499095)
Timeframe: Baseline, Month 6
Intervention | U/kg (Least Squares Mean) |
---|
HOE901-U300 | 0.28 |
Lantus | 0.17 |
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Percentage of Participants With HbA1c <7% at Month 6 Endpoint
Only measurements performed before initiation of rescue therapy were considered in the analysis. (NCT01499095)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 30.6 |
Lantus | 30.4 |
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Change in Average Preinjection Self-Monitored Plasma Glucose (SMPG) From Baseline to Month 6 Endpoint
Preinjection SMPG was measured within 30 minutes prior to the injection of the study drug. Average was assessed by the mean of at least 3 SMPG calculated over the 7 days preceding the assessment visit. Only measurements performed before initiation of rescue therapy were considered in the analysis. (NCT01499095)
Timeframe: Baseline, Month 6
Intervention | mmol/L (Least Squares Mean) |
---|
HOE901-U300 | -0.56 |
Lantus | -0.51 |
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Percentage of Participants With Hypoglycemia (All and Nocturnal) Events From Baseline to Month 12
Hypoglycemia events were Severe hypoglycemia (an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions); Documented symptomatic hypoglycemia (typical symptoms of hypoglycemia with plasma glucose level of <=3.9 mmol/L [70 mg/dL]); Asymptomatic hypoglycemia (no typical symptoms of hypoglycemia but plasma glucose level <=3.9 mmol/L); Probable symptomatic hypoglycemia (an event during which symptoms of hypoglycemia were not accompanied by a plasma glucose determination, but was presumably caused by a plasma glucose level <=3.9 mmol/L, symptoms treated with oral carbohydrate without a test of plasma glucose); Relative hypoglycemia (an event during which the person with diabetes reported any of the typical symptoms of hypoglycemia, and interpreted the symptoms as indicative of hypoglycemia, but plasma glucose level >3.9 mmol/L); Severe and/or confirmed a hypoglycemia (plasma glucose <=3.9 mmol/L). (NCT01499095)
Timeframe: Up to Month 12
Intervention | percentage of participants (Number) |
---|
| Any Hypoglycemia Event: All Hypoglycemia | Severe Hypoglycemia: All Hypoglycemia | Documented Symptomatic: All Hypoglycemia | Asymptomatic: All Hypoglycemia | Probable Symptomatic: All Hypoglycemia | Relative: All Hypoglycemia | Severe and/or Confirmed: All Hypoglycemia | Any Hypoglycemia Event: Nocturnal Hypoglycemia | Severe Hypoglycemia: Nocturnal Hypoglycemia | Documented Symptomatic: Nocturnal Hypoglycemia | Asymptomatic: Nocturnal Hypoglycemia | Probable Symptomatic: Nocturnal Hypoglycemia | Relative: Nocturnal Hypoglycemia | Severe and/or Confirmed: Nocturnal Hypoglycemia |
---|
HOE901-U300 | 79.9 | 1.7 | 58.8 | 58.6 | 2.7 | 7.9 | 78.4 | 39.7 | 0.2 | 29.5 | 14.4 | 1.2 | 2.2 | 37.5 |
,Lantus | 83.0 | 1.5 | 63.3 | 64.0 | 3.4 | 12.8 | 82.0 | 46.1 | 0.5 | 34.2 | 22.2 | 1.0 | 6.4 | 44.6 |
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Change in 8-Point SMPG Profiles Per Time Point From Baseline to Month 6 Endpoint
Change in each time-point of 8-point SMPG profile: 03:00 hours (clock time) at night; before and 2 hours after breakfast; before and 2 hours after lunch; before and 2 hours after dinner; and at bedtime. Only measurements performed before initiation of rescue therapy were considered in the analysis. (NCT01499095)
Timeframe: Baseline, Month 6
Intervention | mmol/L (Least Squares Mean) |
---|
| 03:00 at Night (n= 338, 328) | Pre-breakfast (n= 347, 338) | 2 hours after breakfast (n= 341, 328) | Pre-lunch (n= 344, 332) | 2 hours after lunch (n= 339, 328) | Pre-dinner (n=347, 336) | 2 hours after dinner (n= 338, 327) | Bedtime (n= 325, 303) |
---|
HOE901-U300 | -0.56 | -1.31 | -1.41 | -0.64 | -1.02 | -0.94 | -0.69 | -0.99 |
,Lantus | -0.90 | -1.81 | -1.82 | -1.12 | -1.04 | -0.69 | -1.00 | -1.00 |
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Percentage of Participants With FPG <5.6 mmol/L (<100 mg/dL) at Month 6 Endpoint
Only measurements performed before initiation of rescue therapy were considered in the analysis. (NCT01499095)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 29.4 |
Lantus | 33.6 |
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Percentage of Participants With At Least One Severe and/or Confirmed Nocturnal Hypoglycemia From Start of Week 9 to Month 6 Endpoint
Nocturnal hypoglycemia was hypoglycemia that occurred between 00:00 and 05:59 hours (clock time), regardless the participant was awake or woke up because of the event. Severe hypoglycemia was an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Confirmed hypoglycemia was an event associated with plasma glucose less than or equal to (<=) 3.9 mmol/L (70 milligram per deciliter [mg/dL]). Only measurements performed before initiation of rescue therapy were considered in the analysis. (NCT01499095)
Timeframe: Week 9 Up to Month 6
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 21.6 |
Lantus | 27.9 |
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Change in Variability of Preinjection SMPG From Baseline to Month 6 Endpoint
Preinjection SMPG was measured within 30 minutes prior to the injection of the study drug. Variability was assessed by the mean of co-efficient of variation calculated as 100 multiplied by (standard deviation/mean) over at least 3 SMPG measured during the 7 days preceding the assessment visit. Only measurements performed before initiation of rescue therapy were considered in the analysis. (NCT01499095)
Timeframe: Baseline, Month 6
Intervention | percentage of mean (Least Squares Mean) |
---|
HOE901-U300 | -2.34 |
Lantus | -0.53 |
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Change in Treatment Satisfaction Score Using The Diabetes Treatment Satisfaction Questionnaire (DTSQs) From Baseline to Month 6 Endpoint
DTSQ is a validated measure to assess how satisfied participants with diabetes are with their treatment and how they perceive hyper- and hypoglycemia. It consists of 8 questions which are answered on a Likert scale from 0 to 6. DTSQ treatment satisfaction score is the sum of question 1 and 4-8 scores and ranges between 0 and 36, where higher scores indicate more treatment satisfaction. Only measurements performed before initiation of rescue therapy were considered in the analysis. (NCT01499095)
Timeframe: Baseline, Month 6
Intervention | units on a scale (Least Squares Mean) |
---|
HOE901-U300 | 3.05 |
Lantus | 3.61 |
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HbA1C Levels
% of glycosylated hemoglobin in whole blood at 26 weeks (NCT01524705)
Timeframe: Baseline vs 26 weeks
Intervention | % of HbA1C (Mean) |
---|
Insulin Glargine, Metformin, Exenatide | 7.1 |
Insulin Glargine, Metformin, Prandial Insulin | 7.2 |
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Coefficient of Variation at 26 Weeks Minus Coefficient of Variation at Baseline
The change in the coefficient of variation (CV) of continuous glucose readings, as assessed by Continuous Glucose Monitoring (CGM) (NCT01524705)
Timeframe: At baseline, 6 months of intervention
Intervention | percentage (Mean) |
---|
Insulin Glargine, Metformin, Exenatide | -2.43 |
Insulin Glargine, Metformin, Prandial Insulin | 0.44 |
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Weight Change During Trial
Weight in kg at 26 weeks minus weight at baseline. (NCT01524705)
Timeframe: Baseline vs 26 weeks
Intervention | kg (Mean) |
---|
Insulin Glargine, Metformin, Exenatide | -4.8 |
Insulin Glargine, Metformin, Prandial Insulin | 0.7 |
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Number of Participants With Hypoglycemia
Severe hypoglycemia-documented glucose <50mg/dl (participant journal), and hypoglycemic attacks requiring hospitalization, or treatment by emergency personnel. (NCT01524705)
Timeframe: 26 weeks
Intervention | Participants (Count of Participants) |
---|
Insulin Glargine, Metformin, Exenatide | 0 |
Insulin Glargine, Metformin, Prandial Insulin | 0 |
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Glycosylated Haemoglobin (HbA1c)
HbA1c after 6 weeks of treatment in each treatment period. (NCT01569841)
Timeframe: At the end of each 6 week treatment period.
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
| Treatment period A | Treatment period B |
---|
IDeg/IGlar | 6.6 | 6.9 |
,IGlar/IDeg | 7.1 | 7.3 |
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Fasting Plasma Glucose (FPG)
FPG after 6 weeks of treatment in each treatment period. (NCT01569841)
Timeframe: At the end of each 6 week treatment period.
Intervention | mmol/L (Mean) |
---|
| Treatment period A | Treatment period B |
---|
IDeg/IGlar | 8.8 | 10.4 |
,IGlar/IDeg | 10.9 | 10.9 |
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Number of Treatment Emergent Confirmed Hypoglycaemic Episodes
A hypoglycaemic episode was defined as treatment emergent if the onset of the episode occurred after the first administration of investigational medicinal product (IMP), and no later than 7 days after the last day on trial product. Confirmed hypoglycaemic episodes consisted of severe hypoglycaemia or minor hypoglycaemic episodes. Severe hypoglycaemic episodes: requiring assistance to administer carbohydrate, glucagon or other resuscitative actions. Minor hypoglycaemic episodes: able to treat her/himself and plasma glucose below 3.1 mmol/L. (NCT01569841)
Timeframe: Hypoglycemic episodes reported within each 6 week treatment period.
Intervention | events (Number) |
---|
IDeg | 283 |
IGlar | 239 |
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Mean Interstitial Glucose (IG) Based on 14 Days of CGM
The observed mean of IG profile was obtained as the average value of area under the IG profile divided by the actual assessment time interval during the last 2 weeks of the 6-week treatment period. (NCT01569841)
Timeframe: CGM monitoring occurred during the last 2 weeks of the 6-week treatment period.
Intervention | mmol/L (Mean) |
---|
IDeg | 9.6 |
IGlar | 9.8 |
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Average Time Within Glycaemic Target Range (Above 70 mg/dL and Below 130 mg/dL)
Time within the glycaemic target range [> 70 mg/dL (3.9 mmol/L) and < 130 mg/dL (7.2 mmol/L)] measured by Continuous Glucose Monitoring (CGM) in the last four hours of each dosing interval during the last 2 weeks of the 6-week treatment period. (NCT01569841)
Timeframe: CGM occured during the last 2 weeks of the 6 weeks treatment period.
Intervention | hours (Mean) |
---|
IDeg | 1.39 |
IGlar | 1.09 |
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Number of Treatment Emergent Adverse Events (AEs)
Number of treatment emergent adverse events (TEAEs). An AE was defined as treatment emergent if the onset date was on or after the first day of exposure to randomised treatment and no later than 7 days after the last day of randomised treatment. Severity was assessed by investigator. (NCT01569841)
Timeframe: Within each week 6 treatment period
Intervention | events (Number) |
---|
| Adverse Events | Serious Adverse Events | Severe Adverse Events | Moderate Adverse Events | Mild Adverse Events | Fatal Adverse Events |
---|
IDeg | 18 | 0 | 3 | 5 | 10 | 0 |
,IGlar | 16 | 0 | 0 | 0 | 16 | 0 |
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Change in FPG From the End of Treatment Period A Until After 4 Weeks of Treatment in Treatment Period B
Values of FPG in mmol/L from the end of treatment period A until after 4 weeks of treatment in treatment period B. (NCT01570751)
Timeframe: Week 16, week 20
Intervention | mmol/L (Mean) |
---|
IDeg/IGlar | -0.78 |
IGlar/IDeg | 0.19 |
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Change From Baseline (Visit 18) in Glycosylated Haemoglobin (HbA1c) at the End of Each 16 Week Treatment Period
Values for change in HbA1c after each 16 weeks of treatment periods A and B. (NCT01570751)
Timeframe: Week 0, week 16 of each treatment period.
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDeg | -0.1 |
IGlar | -0.1 |
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Change From Baseline in Central Laboratory Measured Fasting Plasma Glucose (FPG) at the End of Each 16 Week Treatment Period
Values of FPG in mmol/L from baseline to each 16 weeks of treatment periods. (NCT01570751)
Timeframe: Week 0, week 16, week 32
Intervention | mmol/L (Mean) |
---|
IDeg | -0.8 |
IGlar | -0.0 |
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Number of Adverse Events (AEs)
Number of treatment emergent adverse events (TEAEs) from week 0 to week 16 of the randomised treatment periods. A TEAE was defined as an event that had onset date on or after the first day of exposure to randomised treatment and no later than 7 days after the last day of randomised treatment. TEAEs were attributed to the treatment given in the period in which the event occurred. (NCT01570751)
Timeframe: From baseline to the end of each 16 week treatment period.
Intervention | events (Number) |
---|
IDeg | 105 |
IGlar | 111 |
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Change in Patient Reported Outcome (PRO) Scores From Baseline to the End of Each 16 Week Treatment Period
Changes in subjects quality of life and insulin device satisfaction were evaluated using the following PROs: the Short-Form 36 Health Survey version 2 (SF-36) and the Treatment Related Impact Measure-Diabetes Device (TRIM-DD). PRO total scores were measured from baseline to the end of each 16-week treatment period. Responses were measured on a scale of 0 to 100, where higher scores indicated a better quality of life and higher insulin device satisfaction on the SF-36 and TRIM-DD questionnaires, respectively. (NCT01570751)
Timeframe: Week 0, week 16 of each treatment period.
Intervention | scores on a scale (Mean) |
---|
| Physical score | Mental score | Total D-device |
---|
IDeg | -0.8 | 0.7 | 11.0 |
,IGlar | -0.6 | 0.4 | 3.5 |
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Change in PRO Scores From the End of Treatment Period A Until After 4 Weeks of Treatment in Treatment Period B
SF-36 and TRIM-DD total scores were measured at the end of treatment A (week 16) and 4 weeks into treatment B (week 20). Responses were measured on a scale of 0 to 100, where higher scores indicated a better quality of life and higher insulin device satisfaction on the SF-36 and TRIM-DD questionnaires, respectively. (NCT01570751)
Timeframe: Week 16, week 20
Intervention | scores on a scale (Mean) |
---|
| Physical score | Mental score | Total D-device |
---|
IDeg/IGlar | 0.02 | 0.61 | 10.24 |
,IGlar/IDeg | 0.60 | 0.21 | -6.25 |
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Fasting Blood Glucose (FBG) (by Self Monitoring)
LS means were calculated using MMRM adjusting for stratification factors (country, baseline HbA1c [≤8.0% and >8.0%], baseline LDL-C [<100 mg/dL and ≥100 mg/dL], and SU or meglitinide use), visit, treatment, visit-by-treatment interaction, and baseline FBG. (NCT01582451)
Timeframe: 26 and 52 weeks
Intervention | milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
| 26 weeks | 52 weeks |
---|
Insulin Glargine | 104.50 | 107.46 |
,LY2605541 | 106.32 | 110.61 |
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Change From Baseline in Lipid Profile
Concentrations of cholesterol, high-density lipoprotein cholesterol (HDL-C), LDL-C, and triglycerides are summarized. LS means were calculated using MMRM adjusting for stratification factors (country, baseline HbA1c [≤8.5% and >8.5%], LDL-C [<100 mg/dL and ≥100 mg/dL, except for the LDL-C outcome variable], and SU or meglitinide use), visit, treatment, visit-by-treatment interaction, and baseline value of corresponding lipid outcome variable. (NCT01582451)
Timeframe: Baseline, 26 weeks, 52 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
| Cholesterol, 26 weeks | Cholesterol, 52 weeks | HDL-C, 26 weeks | HDL-C, 52 weeks | LDL-C, 26 weeks | LDL-C, 52 weeks | Triglycerides, 26 weeks | Triglycerides, 52 week |
---|
Insulin Glargine | 3.70 | 2.78 | -0.06 | -2.01 | 4.54 | 3.41 | -2.90 | 12.02 |
,LY2605541 | 2.24 | -1.35 | -1.74 | -3.52 | -0.05 | -3.38 | 22.53 | 27.39 |
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Insulin Dose Per Kilogram of Body Weight
Daily basal insulin dose is presented. LS means were calculated using MMRM adjusting for the stratification factors (country, baseline HbA1c [≤8.5% and >8.5%], baseline LDL-C [<100 mg/dL and ≥100 mg/dL], and SU or meglitinide use), treatment, visit, treatment-by-visit interaction, and baseline insulin dose. (NCT01582451)
Timeframe: 26 and 52 weeks
Intervention | units per kilogram per day (U/kg/day) (Least Squares Mean) |
---|
| 26 weeks | 52 weeks |
---|
Insulin Glargine | 0.49 | 0.49 |
,LY2605541 | 0.57 | 0.58 |
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Rate of Total and Nocturnal Hypoglycemia Events (Adjusted by 30 Days)
Hypoglycemic episodes are defined as events which are associated with reported signs and symptoms of hypoglycemia and/or documented blood glucose (BG) concentrations of ≤70 mg/dL (3.9 millimoles per liter [mmol/L]). A nocturnal hypoglycemic event 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 (number of episodes = treatment + baseline hypoglycemia rate + baseline SU or meglitinide use, with log [exposure in days/30] as an offset variable). Group Mean is estimated by taking the inverse link function on individual participant covariates first and then averages over all participants. (NCT01582451)
Timeframe: Baseline through 26 weeks and Baseline through 52 weeks
Intervention | events/participant/30 days (Least Squares Mean) |
---|
| Total hypoglycemia, 0-26 weeks | Total hypoglycemia, 0-52 weeks | Nocturnal hypoglycemia, 0-26 weeks | Nocturnal hypoglycemia, 0-52 weeks |
---|
Insulin Glargine | 1.98 | 1.62 | 1.04 | 0.88 |
,LY2605541 | 1.55 | 1.24 | 0.43 | 0.35 |
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Percentage of Participants With HbA1c Equal to or Less Than (≤) 6.5% and Less Than (<) 7.0%
The percentage of participants was calculated by dividing the number of participants reaching target HbA1c by the total number of participants analyzed, multiplied by 100. (NCT01582451)
Timeframe: 26 and 52 weeks
Intervention | percentage of participants (Number) |
---|
| HbA1c ≤6.5%, 26 weeks | HbA1c ≤6.5%, 52 weeks | HbA1c <7.0%, 26 weeks | HbA1c <7.0%, 52 weeks |
---|
Insulin Glargine | 28.7 | 28.0 | 52.2 | 45.9 |
,LY2605541 | 50.3 | 43.4 | 72.5 | 63.9 |
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Fasting Serum Glucose (FSG) (by Laboratory)
LS means were calculated using MMRM adjusting for stratification factors (country, baseline HbA1c [≤8.0% and >8.0%], baseline LDL-C [<100 mg/dL and ≥100 mg/dL], and SU or meglitinide use), visit, treatment, visit-by-treatment interaction, and baseline FSG. (NCT01582451)
Timeframe: 26 and 52 weeks
Intervention | milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
| 26 weeks | 52 weeks |
---|
Insulin Glargine | 119.50 | 115.74 |
,LY2605541 | 103.80 | 107.61 |
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HbA1c
LS means were calculated using MMRM adjusting for stratification factors (country, baseline LDL-C [<100 mg/dL and ≥100 mg/dL], and SU or meglitinide use), visit, treatment, visit-by-treatment interaction, and baseline HbA1c. (NCT01582451)
Timeframe: 26 and 52 weeks
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
| 26 weeks | 52 weeks |
---|
Insulin Glargine | 7.13 | 7.20 |
,LY2605541 | 6.60 | 6.75 |
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Percentage of Participants That Have Total and Nocturnal Hypoglycemic Events
Hypoglycemic episodes are defined as events which are associated with reported signs and symptoms of hypoglycemia and/or documented BG concentrations of ≤70 mg/dL (3.9 mmol/L). A nocturnal hypoglycemic event occurred between bedtime and waking. The percentage of participants was calculated by dividing the number of participants with hypoglycemic episodes by the total number of participants analyzed, multiplied by 100. (NCT01582451)
Timeframe: Baseline through 26 weeks and Baseline through 52 weeks
Intervention | percentage of participants (Number) |
---|
| Total hypoglycemia, 0-26 weeks | Total hypoglycemia, 0-52 weeks | Nocturnal hypoglycemia, 0-26 weeks | Nocturnal hypoglycemia, 0-52 weeks |
---|
Insulin Glargine | 80.5 | 83.0 | 62.3 | 67.3 |
,LY2605541 | 76.3 | 80.3 | 46.1 | 50.3 |
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Intra-participant Variability in Fasting Blood Glucose (FBG)
FBG was measured by self-monitored blood glucose (SMBG). Between-day glucose variability is measured by the standard deviation of FBG. LS means were calculated using MMRM adjusting for the stratification factors (country, baseline HbA1c [≤8.5% and >8.5%], baseline LDL-C [<100 mg/dL and ≥100 mg/dL], and SU or meglitinide use), treatment, visit, treatment-by-visit interaction, and baseline FBG intra-participant variability. (NCT01582451)
Timeframe: 26 and 52 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
| 26 weeks | 52 weeks |
---|
Insulin Glargine | 17.90 | 17.38 |
,LY2605541 | 13.70 | 14.18 |
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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 overall score on a scale of 0-100, where a higher score indicate better treatment satisfaction. LS means were calculated using ANCOVA with treatment and stratification factors (country, baseline HbA1c [≤8.5% and >8.5%], and SU or meglitinide use) as fixed effects and baseline value of the ITSQ score as a covariate. (NCT01582451)
Timeframe: 26 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
LY2605541 | 85.69 |
Insulin Glargine | 84.43 |
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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 concentration of ≤70 mg/dL (3.9 mmol/L). A nocturnal hypoglycemic event occurred between bedtime and waking. The percentage of participants was calculated by dividing the number of participants with HbA1c <7.0% without nocturnal hypoglycemia by the total number of participants analyzed, multiplied by 100. (NCT01582451)
Timeframe: 26 and 52 weeks
Intervention | percentage of participants (Number) |
---|
| 26 weeks | 52 weeks |
---|
Insulin Glargine | 18.5 | 10.2 |
,LY2605541 | 40.1 | 34.8 |
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Adult Low Blood Sugar Survey (LBSS) Score
LBSS (also referenced as Hypoglycemia Fear Survey - II [HFS-II]) is a 33-item questionnaire that measures 1) behaviors to avoid hypoglycemia and its negative consequences (15 items) and 2) worries about hypoglycemia and its negative consequences (18 items). Responses are made on a 5-point Likert scale where 0 = Never and 4 = Always. Total score is the sum of all items (range 0-132). Higher total scores reflect greater fear of hypoglycemia. LS means were calculated using ANCOVA with treatment and stratification factors (country, baseline HbA1c [≤8.5% and >8.5%], and SU or meglitinide use) as fixed effects and baseline value of the LBSS score as a covariate. (NCT01582451)
Timeframe: 26 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
LY2605541 | 16.57 |
Insulin Glargine | 15.63 |
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Change From Baseline to 26-week Endpoint in Hemoglobin A1c (HbA1c)
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 using mixed model repeated measures (MMRM) adjusting for stratification factors (country, baseline low-density lipoprotein cholesterol [LDL-C, <100 milligrams per deciliter (mg/dL) and ≥100 mg/dL], and sulfonylurea (SU) or meglitinide use), visit, treatment, visit-by-treatment interaction, and baseline HbA1c. (NCT01582451)
Timeframe: Baseline, 26 weeks
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
LY2605541 | -0.82 |
Insulin Glargine | -0.29 |
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Change From Baseline to 52 Weeks in HbA1c
LS means were calculated using MMRM adjusting for stratification factors (country, baseline LDL-C [<100 mg/dL and ≥100 mg/dL], and SU or meglitinide use), visit, treatment, visit-by-treatment interaction, and baseline HbA1c. (NCT01582451)
Timeframe: Baseline, 52 weeks
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
LY2605541 | -0.67 |
Insulin Glargine | -0.22 |
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European Quality of Life - 5 Dimension (EuroQol-5D) Score
The EuroQol-5D 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 3-level scale of 1-3 (no problem, some problems, and extreme problems). These combinations of attributes are converted into a weighted health-state Index Score according to the United States population-based algorithm. Scores range from -0.11 to 1.0, where a score of 1.0 indicates perfect health. LS means were calculated using an analysis of covariance (ANCOVA) model adjusting for treatment, stratification factors (country, baseline HbA1c [≤8.5% and >8.5%], and SU or meglitinide use), and baseline EuroQol-5D score. (NCT01582451)
Timeframe: 26 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
LY2605541 | 0.87 |
Insulin Glargine | 0.88 |
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Number of Insulin Dose Adjustments to Steady-state
The number of dose adjustments required to reach a steady dose is presented. LS means were calculated from negative binomial regression models, where the number of dose adjustments = treatment + stratification factors (country, baseline HbA1c [≤8.5% and >8.5%], baseline LDL-C [<100 mg/dL and ≥100 mg/dL], and SU or meglitinide use). (NCT01582451)
Timeframe: Baseline through 26 weeks
Intervention | number of dose adjustments (Least Squares Mean) |
---|
LY2605541 | 4.06 |
Insulin Glargine | 2.75 |
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Number of Participants With Change in Anti-LY2605541 Antibodies
The number of participants with a treatment-emergent anti-LY2605541 antibody response (TEAR) is summarized. TEAR is defined as change from baseline to post-baseline in the anti-LY2605541 antibody level either from undetectable to detectable, or from detectable to the value with at least 130% relative increase from baseline. (NCT01582451)
Timeframe: Baseline through 52 weeks
Intervention | participants (Number) |
---|
LY2605541 | 70 |
Insulin Glargine | 30 |
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6-point Self-monitored Blood Glucose (SMBG)
SMBG measurements were taken at 6 time points (pre-morning meal [fasting], pre-midday meal, pre-evening meal, bedtime, approximately 0300 hours, and pre-morning meal [fasting] on the next day) and were performed on 2 non-consecutive days in the week prior to next office visit. LS means were calculated using MMRM adjusting for stratification factors (baseline HbA1c [≤8.5% and >8.5%], country, LDL-C [<100 mg/dL and ≥100 mg/dL], and SU or meglitinide use), visit, treatment, visit-by-treatment interaction, and baseline BG values. (NCT01582451)
Timeframe: 26 and 52 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
| Pre-morning meal, 26 weeks | Pre-midday meal, 26 weeks | Pre-evening meal, 26 weeks | Bedtime, 26 weeks | 0300 hours, 26 weeks | Pre-morning meal next day, 26 weeks | Pre-morning meal, 52 weeks | Pre-midday meal, 52 weeks | Pre-evening meal, 52 weeks | Bedtime, 52 weeks | 0300 hours, 52 weeks | Pre-morning meal next day, 52 weeks |
---|
Insulin Glargine | 104.11 | 132.56 | 141.45 | 161.48 | 120.42 | 102.79 | 108.22 | 130.55 | 141.31 | 161.83 | 121.07 | 106.68 |
,LY2605541 | 107.93 | 120.87 | 125.87 | 146.54 | 118.43 | 106.28 | 110.84 | 121.34 | 128.53 | 146.92 | 122.23 | 110.38 |
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Change From Baseline in Body Weight
LS means were calculated using MMRM adjusting for stratification factors (country, baseline HbA1c [≤8.5% and >8.5%], LDL-C [<100 mg/dL and ≥100 mg/dL, except for the LDL-C outcome variable], and SU or meglitinide use), visit, treatment, visit-by-treatment interaction, and baseline body weight. (NCT01582451)
Timeframe: Baseline, 26 weeks, 52 weeks
Intervention | kilograms (kg) (Least Squares Mean) |
---|
| 26 weeks | 52 weeks |
---|
Insulin Glargine | 0.94 | 1.32 |
,LY2605541 | 0.50 | 0.69 |
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Change From Baseline in Fasting Blood Glucose (FBG) at 26 Weeks
Least squares (LS) means were calculated using a mixed-effects model for repeated measures (MMRM) analysis with treatment, visit, treatment-by-visit, oral antihyperglycemic medication regimen (sulfonylureas only, biguanides only, or both), and baseline body mass index (BMI) group (<25 or >=25 kilograms per meter squared [kg/m^2]) as fixed effects, baseline FBG as a covariate, and participant as a random effect. (NCT01584232)
Timeframe: Baseline, 26 weeks
Intervention | milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
LY2189265 + OAM | -34.3 |
Insulin Glargine + OAM | -37.8 |
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Change From Baseline in Glycosylated Hemoglobin (HbA1c) at 26 Weeks
Least squares (LS) means were calculated using a mixed-effects model for repeated measures (MMRM) analysis with treatment, visit, treatment-by-visit, oral antihyperglycemic medication regimen (sulfonylureas only, biguanides only, or both), and baseline body mass index (BMI) group (<25 or >=25 kilograms per meter squared [kg/m^2]) as fixed effects, baseline HbA1c as a covariate, and participant as a random effect. (NCT01584232)
Timeframe: Baseline, 26 weeks
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
LY2189265 + OAM | -1.44 |
Insulin Glargine + OAM | -0.90 |
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Percentage of Participants With Hypoglycemic Episodes
The percentage of participants with hypoglycemic episodes was calculated by dividing the number of participants with at least one hypoglycemic episode over the 26-week treatment period by the total number of participants analyzed, multiplied by 100%. All classifications of hypoglycemia (documented symptomatic, asymptomatic, severe, nocturnal, non-nocturnal, probable symptomatic, relative, and unspecified) were included, except for episodes of relative hypoglycemia that were not severe. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01584232)
Timeframe: Baseline through 26 Weeks
Intervention | percentage of participants (Number) |
---|
LY2189265 + OAM | 26.0 |
Insulin Glargine + OAM | 47.8 |
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Change From Baseline in 8-Point Self-Monitored Blood Glucose (SMBG) at 26 Weeks
Participants were to test and record SMBG concentrations in their study diaries before each meal (breakfast, lunch, and dinner), approximately 2 hours after the start of each meal, at bedtime, and before breakfast the next morning (second pre-morning meal). Least squares (LS) means were calculated using analysis of covariance (ANCOVA) model with treatment, oral antihyperglycemic medication regimen (sulfonylureas only, biguanides only, or both), and baseline body mass index (BMI) group (<25 or >=25 kilograms per meter squared [kg/m^2]) as fixed effects and baseline SMBG as a covariate. (NCT01584232)
Timeframe: Baseline, Up to 26 weeks
Intervention | milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
| Pre-morning meal (n=178, 179) | 2 hours post-morning meal (n=178, 179) | Pre-midday meal (n=178, 179) | 2 hours post-midday meal (n=178, 179) | Pre-evening meal (n=178, 179) | 2 hours post-evening meal (n=177, 178) | Bedtime (n=177, 172) | Second pre-morning meal (n=178, 179) |
---|
Insulin Glargine + OAM | -38.66 | -36.14 | -27.94 | -20.30 | -17.50 | -15.55 | -17.79 | -37.02 |
,LY2189265 + OAM | -33.49 | -49.54 | -36.16 | -43.51 | -31.14 | -46.68 | -41.53 | -30.81 |
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Percentage of Participants Who Achieved Glycosylated Hemoglobin (HbA1c) <=6.5% or <7% at 26 Weeks
The percentage of participants achieving HbA1c level less than 7.0% and less than or equal to 6.5% was analyzed with a longitudinal logistic regression model with treatment, visit, treatment-by-visit, oral antihyperglycemic medication regimen (sulfonylureas only, biguanides only, or both), and baseline body mass index (BMI) group (<25 or >=25 kilograms per meter squared [kg/m^2]) as fixed effects, baseline HbA1c as a covariate, and participant as a random effect. (NCT01584232)
Timeframe: Up to 26 weeks
Intervention | percentage of participants (Number) |
---|
| HbA1c <=6.5% | HbA1c <7% |
---|
Insulin Glargine + OAM | 24.0 | 45.8 |
,LY2189265 + OAM | 51.1 | 71.3 |
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Change From Baseline in Body Weight at 26 Weeks
Least squares (LS) means were calculated using a mixed-effects model for repeated measures (MMRM) analysis with treatment, visit, treatment-by-visit, oral antihyperglycemic medication regimen (sulfonylureas only, biguanides only, or both), and baseline body mass index (BMI) group (<25 or >=25 kilograms per meter squared [kg/m^2]) as fixed effects, baseline body weight as a covariate, and participant as a random effect. (NCT01584232)
Timeframe: Baseline, 26 weeks
Intervention | kilograms (kg) (Least Squares Mean) |
---|
LY2189265 + OAM | -0.48 |
Insulin Glargine + OAM | 0.94 |
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Change From Baseline to Day 57 in Waist Circumference
(NCT01596504)
Timeframe: 0.5 hours prior to standardized breakfast on Day -1 (Baseline); 0.5 hours prior to IMP administration on Day 57
Intervention | cm (Mean) |
---|
Lixisenatide 20 µg | -1.40 |
Liraglutide 1.2 mg | -1.93 |
Liraglutide 1.8 mg | -2.12 |
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Change From Baseline to Day 55 in Gastric Emptying Coefficient
Gastric emptying was measured using 13C-octanoic acid breath test by isotope-selective non-dispersive infrared spectrometry. Gastric emptying coefficient was derived from a mathematical formula that describes the gastric emptying rate and gives an overall index of gastric emptying. (NCT01596504)
Timeframe: 0 (7:30 clock time, prior to standardized breakfast), 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 4.5, 5, 5.5 hours on Day -4 (baseline) and on Day 55
Intervention | coefficient (unit-less) (Mean) |
---|
Lixisenatide 20 µg | -0.33 |
Liraglutide 1.2 mg | -0.34 |
Liraglutide 1.8 mg | -0.28 |
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Change From Baseline to Day 56 in Plasma Glucose Corrected AUC From Time 0.5 Hours to 5.5 Hours
Plasma glucose was assessed using the Gluco-quant Glucose/hexokinase assay. The range of the method was 3 to 1000 mg/dL with 1 mg/dL as limit of detection (LOD). Calculation of the AUC was made on Day -3 (baseline) and on Day 56 using the linear trapezoidal rule from time of breakfast start (30 minutes after study drug administration [time: 0.5 hours]) to 5 hours after breakfast start (time: 5.5 hours) and corrected by subtracting pre-breakfast plasma glucose concentration (time: 0.5 hours). (NCT01596504)
Timeframe: 0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours on Day -3 (baseline); 0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours post study drug administration on Day 56
Intervention | h*mmol/L (Least Squares Mean) |
---|
Lixisenatide 20 µg | -13.82 |
Liraglutide 1.2 mg | -9.09 |
Liraglutide 1.8 mg | -10.33 |
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Change From Baseline to Day 56 in PPG Excursion
Plasma glucose was assessed using the Gluco-quant Glucose/hexokinase assay. The range of the method was 3 to 1000 mg/dL with 1 mg/dL as LOD. PPG excursion was determined on Day -3 (Baseline) and Day 56 as the maximum change in PPG from time of breakfast start (time: 0.5 hours) until 5 hours later (time: 5.5 hours) subtracted from pre-meal plasma concentration. (NCT01596504)
Timeframe: 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours on Day -3 (baseline); 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours post study drug administration on Day 56
Intervention | mmol/L (Least Squares Mean) |
---|
Lixisenatide 20 µg | -3.26 |
Liraglutide 1.2 mg | -1.79 |
Liraglutide 1.8 mg | -2.5 |
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Change From Baseline to Day 57 in Body Weight
(NCT01596504)
Timeframe: 0.5 hours prior to standardized breakfast on Day -1 (Baseline); 0.5 hours prior to study drug administration on Day 57
Intervention | kg (Least Squares Mean) |
---|
Lixisenatide 20 µg | -1.61 |
Liraglutide 1.2 mg | -1.78 |
Liraglutide 1.8 mg | -2.42 |
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Change From Baseline to Day 55 in Gastric Emptying Half Life (t1/2)
Gastric emptying was measured using 13C-octanoic acid breath test by isotope-selective non-dispersive infrared spectrometry. (NCT01596504)
Timeframe: 0 (prior to standardized breakfast), 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 4.5, 5, 5.5 hours on Day -4 (baseline) and on Day 55
Intervention | minutes (min) (Least Squares Mean) |
---|
Lixisenatide 20 µg | 453.56 |
Liraglutide 1.2 mg | 175.31 |
Liraglutide 1.8 mg | 130.49 |
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Change From Baseline to Day 57/58 in 24-Hour Mean Heart Rate
The baseline value was the 24-hour mean on Day -2/-1 determined as overall, night and daytime mean. Measurements were made every 15 minutes from 07:00 to 23:00 (daytime) and every 30 minutes from 23:00 to 07:00 (night-time) at baseline and Day 57/58. Measurements were obtained after 10 minutes in the supine resting position. (NCT01596504)
Timeframe: Every 15 minutes from 07:00 clock time to 23:00 clock time (day-time) and every 30 minutes from 23:00 clock time to 07:00 clock time (night-time) on Day -2/-1 (Baseline) and Day 57/58
Intervention | beats per minute (Least Squares Mean) |
---|
Lixisenatide 20 µg | 3.34 |
Liraglutide 1.2 mg | 9.33 |
Liraglutide 1.8 mg | 9.17 |
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Change From Baseline to Day 56 in Average Daily Insulin Glargine Dose
(NCT01596504)
Timeframe: Day -7 (Baseline), Day 56
Intervention | units (Mean) |
---|
Lixisenatide 20 µg | -4.7 |
Liraglutide 1.2 mg | -4.6 |
Liraglutide 1.8 mg | -4.0 |
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Number of Participants With 2-Hour Post-prandial Plasma Glucose (PPG) <7.77 (mmol/L) at Day 56
Plasma glucose was assessed using the Gluco-quant Glucose/hexokinase assay. The range of the method was 3 to 1000 mg/dL with 1 mg/dL as LOD. The 2-hour PPG test measured blood glucose 2 hours after start of a standardised breakfast. (NCT01596504)
Timeframe: Day 56
Intervention | participants (Number) |
---|
Lixisenatide 20 µg | 35 |
Liraglutide 1.2 mg | 13 |
Liraglutide 1.8 mg | 11 |
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Change From Baseline to Day 56 in the Cumulative Score Mean on the Appetite Perception Using a Visual Analogue Scale After Standardized Solid Breakfast
Visual Analogue Scale, 100 mm in length with words anchored at each end, expressing the most positive (100 mm) and the most negative rating (0 mm), was used to assess hunger, satiety, fullness and prospective food consumption. Responses were measured as distance from the left end of the line to the mark. Mean change from baseline was calculated for each parameter separately. (NCT01596504)
Timeframe: 0.5 (8:00 clock time, prior to standardized breakfast), 1.5, 2.5, 3.5, 4.5, 5.5 hours on Day -3; 0 (prior to standardized breakfast), 1.5, 2.5, 3.5, 4.5, 5.5 hours post study drug administration on Day 56
Intervention | mm (Mean) |
---|
| How hungry do you feel? | How satisfied do you feel? | How full do you feel? | How much do you think you can eat? |
---|
Liraglutide 1.2 mg | -3.1 | 8.9 | 9.3 | -4.5 |
,Liraglutide 1.8 mg | -1.0 | 3.6 | 6.4 | -7.2 |
,Lixisenatide 20 µg | -3.7 | 4.5 | 4.9 | -6.4 |
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Change From Baseline to Day 57/58 in 24-Hour Mean Systolic Blood Pressure and Diastolic Blood Pressure
The baseline value was the 24-hour means on Day -2/-1 determined as overall, night and day-time mean. Measurements were made every 15 minutes from 07:00 to 23:00 (day-time) and every 30 minutes from 23:00 to 07:00 (night-time) at baseline and at Day 57/58. Measurements were obtained after 10 minutes in the supine resting position. (NCT01596504)
Timeframe: Every 15 minutes from 07:00 clock time to 23:00 clock time (day-time) and every 30 minutes from 23:00 clock time to 07:00 clock time (night-time) on Day -2/ -1 (Baseline) and Day 57/58
Intervention | mmHg (Mean) |
---|
| 24-Hour Mean Systolic Blood Pressure | 24-Hour Mean Diastolic Blood Pressure |
---|
Liraglutide 1.2 mg | -0.5 | 2.4 |
,Liraglutide 1.8 mg | -2.5 | 1.6 |
,Lixisenatide 20 µg | 0.4 | 0.8 |
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Change From Baseline to Day 56 in Average 7-Point Self-Monitored Plasma Glucose (SMPG)
Seven-point SMPG (before breakfast, 2 hours post breakfast, before lunch, 2 hours post lunch, before dinner, 2 hours post dinner, and at bedtime) was measured using Freestyle Precision glucometer and average of the 7 measurements was calculated. (NCT01596504)
Timeframe: Before breakfast, 2 hours post breakfast, before lunch, 2 hours post lunch, before dinner, 2 hours post dinner, and at bedtime on Day -3 (Baseline) and on Day 56
Intervention | mmol/L (Mean) |
---|
Lixisenatide 20 µg | -0.69 |
Liraglutide 1.2 mg | -0.76 |
Liraglutide 1.8 mg | -1.2 |
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Change From Baseline to Day 56 in Corrected C-Peptide AUC From Time 0.5 Hours to 5.5 Hours
C-peptide was assessed using the Electro Chemiluminescence Immuno Assay.The range of the method was 0.2 to 25 nanogram per millilitre (ng/mL) and the LOD was 0.07 ng/mL. Measurement was done on Day -3 (Baseline) and Day 56 as the maximum change in C-peptide from time of breakfast start (time: 0.5 hours) until 5 hours later (time: 5.5 hours) subtracted from pre-meal plasma concentration. (NCT01596504)
Timeframe: 0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours on Day-3 (baseline); 0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours post study drug administration on Day 56
Intervention | h*nmol/L (Least Squares Mean) |
---|
Lixisenatide 20 µg | -1.16 |
Liraglutide 1.2 mg | 1.23 |
Liraglutide 1.8 mg | 0.88 |
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Change From Baseline to Day 56 in Corrected Glucagon AUC From Time 0.5 Hours to 5.5 Hours
Glucagon was assessed using the radioimmunoassay. The range of the method was 4.7 to 150 picomole per litre (pmol/L). Measurement was done on Day -3 (Baseline) and Day 56 as the maximum change in glucagon from time of breakfast start (time: 0.5 hours) until 5 hours later (time: 5.5 hours) subtracted from pre-meal plasma concentration. (NCT01596504)
Timeframe: 0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours on Day -3 (baseline); 0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours post study drug administration on Day 56
Intervention | h*ng/L (Least Squares Mean) |
---|
Lixisenatide 20 µg | -16.56 |
Liraglutide 1.2 mg | 11.58 |
Liraglutide 1.8 mg | 5.6 |
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Change From Baseline to Day 56 in Fasting Plasma Glucose (FPG)
Plasma glucose was assessed using the Gluco-quant Glucose/hexokinase assay. The range of the method was 3 to 1000 mg/dL with 1 mg/dL as LOD. The value of FPG on Day -3 was the baseline. (NCT01596504)
Timeframe: 0.5 hour (prior to standardized breakfast) on Day -3; 0.5 hour (prior to standardized breakfast) on Day 56
Intervention | mmol/L (Least Squares Mean) |
---|
Lixisenatide 20 µg | 0.1 |
Liraglutide 1.2 mg | 0.12 |
Liraglutide 1.8 mg | 0.13 |
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Change From Baseline to Day 56 in HbA1c
HbA1C was assessed using the high performance liquid chromatography method. (NCT01596504)
Timeframe: Pre-dose (Hour 0) on Day 1 (Baseline) and Day 56
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
Lixisenatide 20 µg | -0.58 |
Liraglutide 1.2 mg | -0.66 |
Liraglutide 1.8 mg | -0.74 |
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Change From Baseline to Day 56 in Plasma Glucose Corrected Area Under The Plasma Concentration-Time Curve (AUC) From Time 0.5 Hours to 4.5 Hours
Plasma glucose was assessed using the Gluco-quant Glucose/hexokinase assay. The range of the method was 3 to 1000 milligram per decilitre (mg/dL) with 1 mg/dL as limit of detection (LOD). Calculation of the AUC was made on Day -3 (baseline) and on Day 56 using the linear trapezoidal rule from time of breakfast start (30 minutes after study drug administration [time: 0.5 hours]) to 4 hours after breakfast start (time: 4.5 hours) and corrected by subtracting pre-breakfast plasma glucose concentration (time: 0.5 hours). (NCT01596504)
Timeframe: 0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5 hours on Day -3 (baseline); 0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5 hours post study drug administration on Day 56
Intervention | h*mmol/L (Least Squares Mean) |
---|
Lixisenatide 20 μg | -13.33 |
Liraglutide 1.2 mg | -7.32 |
Liraglutide 1.8 mg | -8.72 |
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Total Glucose Infused (Gtot)
Gtot is the total glucose infusion over the clamp duration and is used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations are held constant after the administration of study drug by adjusting the exogenous glucose infusion rate. Data presented are the total glucose infused, adjusted by body weight. (NCT01600950)
Timeframe: Periods 1 and 2: Baseline up to 42 hours postdose
Intervention | milligrams/kilogram (mg/kg) (Geometric Mean) |
---|
LY2963016 | 4.60 |
Lantus | 6.52 |
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Time of Maximum Glucose Infusion Rate (tRmax)
tRmax is the time to reach maximum glucose infusion rate and is used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations are held constant after the administration of study drug by adjusting the exogenous glucose infusion rate. (NCT01600950)
Timeframe: Periods 1 and 2: Baseline up to 42 hours postdose
Intervention | hours (hr) (Median) |
---|
LY2963016 | 9.90 |
Lantus | 11.7 |
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Pharmacodynamics: Duration of Action of LY2963016 and Lantus
Duration of action is defined as the period of time elapsed between dose administration and the time at which the participant's blood glucose is consistently >150 milligrams/deciliter (mg/dL) without any glucose infusion. Participants whose blood glucose did not rise to 150 mg/dL were censored 42 hours postdose. (NCT01600950)
Timeframe: Periods 1 and 2: Baseline up to 42 hours postdose
Intervention | hours (hr) (Median) |
---|
LY2963016 | 37.13 |
Lantus | 40.00 |
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Maximum Glucose Infusion Rate (Rmax)
Rmax is the maximum infusion rate of glucose administered intravenously needed to maintain a target blood glucose level of 100 milligrams/deciliter (mg/dL) [5.6 millimoles/Liter (mmol/L)] and is used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations are held constant after the administration of study drug by adjusting the exogenous glucose infusion rate. Data presented are the maximum infusion rates, adjusted by body weight. (NCT01600950)
Timeframe: Periods 1 and 2: Baseline up to 42 hours postdose
Intervention | milligrams/kilogram/minute (mg/kg/min) (Geometric Mean) |
---|
LY2963016 | 0.530 |
Lantus | 0.611 |
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Rate of Hypoglycemic Events (HE)
HE were classified as total HE rate, documented symptomatic hypoglycemia, severe hypoglycemia, and nocturnal. The 1-year adjusted rate of HEs was summarized cumulatively at 52 weeks. A summary of other nonserious AEs, and all SAEs, regardless of causality, is located in the Reported Adverse Events section. (NCT01621178)
Timeframe: Baseline through 52 Weeks
Intervention | Events/Participant/Year (Mean) |
---|
| Total HE Rate | Documented Symptomatic HE Rate | Severe HE Rate | Nocturnal HE Rate |
---|
Dulaglutide 0.75 mg | 7.59 | 4.34 | 0.03 | 0.76 |
,Dulaglutide 1.5 mg | 5.82 | 4.44 | 0.00 | 0.70 |
,Insulin Glargine | 14.36 | 9.62 | 0.09 | 2.48 |
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Change From Baseline in FG
LS means were calculated using MMRM with the change in FG as the dependent variable and treatment, MA -region, Baseline CKD Severity, week, treatment*week, baseline FG, baseline HbA1c (%), log baseline eGFR (within CKD severity), and participant was the random effect. Covariance structure = Unstructured (NCT01621178)
Timeframe: Baseline, 52 Weeks
Intervention | mg/dL (Least Squares Mean) |
---|
Insulin Glargine | -6.4 |
Dulaglutide 0.75 mg | 20.8 |
Dulaglutide 1.5 mg | 28.3 |
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Change From Baseline in HbA1c
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. LS means in HbA1c were calculated using a REML based mixed-effects model for repeated measures (MMRM) with the change in HbA1c as the dependent variable and treatment, MA region, Baseline CKD Severity, week, treatment*week, baseline HbA1c (%), log baseline eGFR (within CKD severity), and participant was the random effect. Covariance structure = Unstructured. (NCT01621178)
Timeframe: Baseline, 52 Weeks
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
Insulin Glargine | -1.00 |
Dulaglutide 0.75 mg | -1.10 |
Dulaglutide 1.5 mg | -1.10 |
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Change From Baseline in Hemoglobin A1c (HbA1c)
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Least square (LS) means in HbA1c were calculated using a restricted maximum likelihood (REML) based mixed-effects model for repeated measures (MMRM) with the change in HbA1c as the dependent variable and treatment, macroalbuminuria (MA) region, Baseline CKD Severity, week, treatment*week, baseline HbA1c (%), log baseline eGFR (within CKD severity), and participant was the random effect. Covariance structure = Unstructured. (NCT01621178)
Timeframe: Baseline, 26 Weeks
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
Insulin Glargine | -1.13 |
Dulaglutide 0.75 mg | -1.12 |
Dulaglutide 1.5 mg | -1.19 |
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Change From Baseline in Mean Daily Insulin Lispro Dose
The mean daily insulin was based on a 4-week interval prior to week 26 assessments. LS means were calculated using a REML based mixed-effects model for repeated measures (MMRM) with the change in mean daily insulin as the dependent variable and treatment, MA-region, Baseline HbA1c, baseline mean daily insulin, baseline CKD Severity, week, treatment*week, log baseline eGFR (within CKD severity), and participant was the random effect. Covariance structure = Unstructured. (NCT01621178)
Timeframe: Baseline, 26 Weeks
Intervention | Units/day (U/day) (Least Squares Mean) |
---|
Insulin Glargine | 16.64 |
Dulaglutide 0.75 mg | 26.16 |
Dulaglutide 1.5 mg | 18.12 |
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Change From Baseline in sCr
Change from baseline in sCr levels after treatment. (NCT01621178)
Timeframe: Baseline, 52 Weeks
Intervention | mg/dL (Median) |
---|
Insulin Glargine | 0.12 |
Dulaglutide 0.75 mg | 0.04 |
Dulaglutide 1.5 mg | 0.07 |
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Change From Baseline in Serum Creatinine (sCr)
Change from baseline in serum creatinine (sCr) levels after treatment. (NCT01621178)
Timeframe: Baseline, 26 Weeks
Intervention | mg/dL (Median) |
---|
Insulin Glargine | 0.10 |
Dulaglutide 0.75 mg | 0.02 |
Dulaglutide 1.5 mg | 0.04 |
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Change From Baseline in UACR
The change from baseline in UACR (NCT01621178)
Timeframe: Baseline, 52 Weeks
Intervention | g/kg (Median) |
---|
Insulin Glargine | 3.5 |
Dulaglutide 0.75 mg | -3.0 |
Dulaglutide 1.5 mg | -11.5 |
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Percentage of Participants With Self-Reported Hypoglycemic Events (HE)
Hypoglycemic events (HE) were classified as severe (defined as an episode requiring the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions), documented symptomatic (defined as any time a participant feels that he/she is experiencing symptoms and/or signs associated with hypoglycemia, and has a plasma glucose level of ≤3.9 mmol/L (≤70 mg/dL), nocturnal (defined as any hypoglycemic event that occurs between bedtime and waking). The number of self-reported hypoglycemic events was summarized cumulatively at 52 weeks. A summary of other nonserious AEs, and all SAEs, regardless of causality, is located in the Reported Adverse Events section. (NCT01621178)
Timeframe: Baseline through 52 Weeks
Intervention | percentage of participants (Number) |
---|
| Total Hypo | Documented Symptomatic Hypo | Severe Hypo | Nocturnal Hypo |
---|
Dulaglutide 0.75 mg | 59.8 | 48.1 | 2.6 | 23.8 |
,Dulaglutide 1.5 mg | 50.0 | 40.5 | 0 | 20.5 |
,Insulin Glargine | 74.7 | 63.4 | 6.7 | 47.9 |
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Rate of Hypoglycemic Events
Hypoglycemic events (HE) were classified as total HE rate, documented symptomatic hypoglycemia, severe hypoglycemia, and nocturnal. The 1-year adjusted rate of HEs was summarized cumulatively at 26 weeks. A summary of other nonserious AEs, and all SAEs, regardless of causality, is located in the Reported Adverse Events section. (NCT01621178)
Timeframe: Baseline through 26 Weeks
Intervention | Events/Participant/Year (Mean) |
---|
| Total HE Rate | Documented Symptomatic HE Rate | Severe HE Rate | Nocturnal HE Rate |
---|
Dulaglutide 0.75 mg | 7.76 | 4.86 | 0.03 | 0.73 |
,Dulaglutide 1.5 mg | 5.45 | 4.19 | 0.00 | 0.63 |
,Insulin Glargine | 17.07 | 11.34 | 0.10 | 3.06 |
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Percentage of Participants Whose HbA1c is <8.0%
Percentage of participants whose HbA1c was <8.0% based on last observation carried forward (LOCF). (NCT01621178)
Timeframe: 52 Weeks
Intervention | percentage of participants (Number) |
---|
Insulin Glargine | 70.3 |
Dulaglutide 0.75 mg | 69.5 |
Dulaglutide 1.5 mg | 69.1 |
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Change From Baseline in 8-Point Self-Monitored Plasma Glucose (SMPG)
The daily mean of 8-point SMPG profile at Week 26 is presented. Participants were required to perform two 8-point SMPG profiles over a 1-week period at 5 separate times throughout the study. LS means were calculated using the MMRM model including the corresponding baseline value as a continuous covariate, as well as baseline HbA1c, MA-region, treatment, week, treatment*week, baseline CKD severity, and log baseline eGFR (within CKD severity).The two 8-point SMPG profiles were collected on two non-consecutive days (pre-meal and 2-hour postprandial SMPG x [morning, midday, and evening meals in one day] + bedtime + 5 hours after bedtime). (NCT01621178)
Timeframe: Baseline, 26 Weeks
Intervention | milligrams/deciliter (mg/dL) (Least Squares Mean) |
---|
Insulin Glargine | -37.6 |
Dulaglutide 0.75 mg | -31.7 |
Dulaglutide 1.5 mg | -33.7 |
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Change From Baseline in 8-Point SMPG
The daily mean of 8-point SMPG profile at Week 52 is presented. Participants were required to perform two 8-point SMPG profiles over a 1-week period at 5 separate times throughout the study. LS means were calculated using the MMRM model including the corresponding baseline value as a continuous covariate, as well as baseline HbA1c, MA-region, treatment, week, treatment*week, baseline CKD severity, and log baseline eGFR (within CKD severity).The two 8-point SMPG profiles were collected on two non-consecutive days (pre-meal and 2-hour postprandial SMPG x [morning, midday, and evening meals in one day] + bedtime + 5 hours after bedtime). (NCT01621178)
Timeframe: Baseline, 52 Weeks
Intervention | mg/dL (Least Squares Mean) |
---|
Insulin Glargine | -40.5 |
Dulaglutide 0.75 mg | -30.0 |
Dulaglutide 1.5 mg | -27.2 |
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Change From Baseline in Body Weight
"LS means were calculated from a REML based MMRM model: Change from Baseline = treatment, week, treatment*Week, MA-region, Baseline HbA1c (%), Baseline Body Weight (kg), Baseline CKD Severity, Log Baseline eGFR (within CKD severity), where participant enters the model as a random effect. Covariance structure = Unstructured.~•" (NCT01621178)
Timeframe: Baseline, 26 Weeks
Intervention | kilogram (kg) (Least Squares Mean) |
---|
Insulin Glargine | 1.11 |
Dulaglutide 0.75 mg | -2.02 |
Dulaglutide 1.5 mg | -2.81 |
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Change From Baseline in Body Weight
LS means were calculated from a REML based MMRM model: Change from Baseline = treatment , week, treatment*Week, MA-region, Baseline HbA1c (%), Baseline Body Weight (kg), Baseline CKD Severity, Log Baseline eGFR (within CKD severity), where participant enters the model as a random effect. Covariance structure = Unstructured. (NCT01621178)
Timeframe: Baseline, 52 Weeks
Intervention | kg (Least Squares Mean) |
---|
Insulin Glargine | 1.57 |
Dulaglutide 0.75 mg | -1.71 |
Dulaglutide 1.5 mg | -2.66 |
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Change From Baseline in eCrCl
eCrCl was calculated by Cockcroft-Gault [Cockcroft and Gault 1976] equation using baseline estimated lean body weight. (NCT01621178)
Timeframe: Baseline, 52 Weeks
Intervention | mL/min (Median) |
---|
Insulin Glargine | -2.5 |
Dulaglutide 0.75 mg | -1.3 |
Dulaglutide 1.5 mg | -1.5 |
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Change From Baseline in eGFR
The change in eGFR by using CKD-EPI equation. (NCT01621178)
Timeframe: Baseline, 52 Weeks
Intervention | mL/min/1.73m2 (Median) |
---|
Insulin Glargine | -3.3 |
Dulaglutide 0.75 mg | -1.5 |
Dulaglutide 1.5 mg | -2.0 |
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Change From Baseline in Estimated Creatinine Clearance (eCrCl)
Estimated creatinine clearance (eCrCl) was calculated by Cockcroft-Gault [Cockcroft and Gault 1976] equation using baseline estimated lean body weight. (NCT01621178)
Timeframe: Baseline, 26 Weeks
Intervention | milliliter/minute (ml/min) (Median) |
---|
Insulin Glargine | -2.0 |
Dulaglutide 0.75 mg | -1.0 |
Dulaglutide 1.5 mg | -0.5 |
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Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)
The change in estimated glomerular filtration rate (eGFR) by using CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration) equation. (NCT01621178)
Timeframe: Baseline, 26 Weeks
Intervention | milliliter/minute/1.73m2 (mL/min/1.73m2) (Median) |
---|
Insulin Glargine | -2.5 |
Dulaglutide 0.75 mg | -1.0 |
Dulaglutide 1.5 mg | -1.0 |
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Change From Baseline in Fasting Glucose (FG)
LS means were calculated using MMRM with the change in FG as the dependent variable and treatment, MA -region, Baseline CKD Severity, week, treatment*week, baseline FG, baseline HbA1c (%), log baseline eGFR (within CKD severity), and participant was the random effect. Covariance structure = Unstructured (NCT01621178)
Timeframe: Baseline, 26 Weeks
Intervention | milligram/deciliter (mg/dL) (Least Squares Mean) |
---|
Insulin Glargine | -19.1 |
Dulaglutide 0.75 mg | 17.7 |
Dulaglutide 1.5 mg | 23.1 |
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Change From Baseline in Urinary Albumin to Creatinine Ratio (UACR)
The change from baseline in Urinary Albumin to Creatinine Ratio (UACR). (NCT01621178)
Timeframe: Baseline, 26 Weeks
Intervention | gram/kilogram (g/kg) (Median) |
---|
Insulin Glargine | -1.3 |
Dulaglutide 0.75 mg | -11.1 |
Dulaglutide 1.5 mg | -10.2 |
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Change in Mean Daily Insulin Lispro Dose
The mean daily insulin was based on a 4-week interval prior to week 52 assessments. LS means were calculated using a REML based mixed-effects model for repeated measures (MMRM) with the change in mean daily insulin as the dependent variable and treatment, MA-region, Baseline HbA1c, baseline mean daily insulin, baseline CKD Severity, week, treatment*week, log baseline eGFR (within CKD severity), and participant was the random effect. Covariance structure = Unstructured. (NCT01621178)
Timeframe: Baseline, 52 Weeks
Intervention | U/day (Least Squares Mean) |
---|
Insulin Glargine | 16.84 |
Dulaglutide 0.75 mg | 27.46 |
Dulaglutide 1.5 mg | 20.05 |
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Percentage of Participants Whose HbA1c is <7.0%
Percentage of participants whose HbA1c was <7.0% based on last observation carried forward (LOCF). (NCT01621178)
Timeframe: 52 Weeks
Intervention | percentage of participants (Number) |
---|
Insulin Glargine | 29.1 |
Dulaglutide 0.75 mg | 33.5 |
Dulaglutide 1.5 mg | 32.9 |
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Percentage of Participants Whose HbA1c Was <7.0%
Percentage of participants whose HbA1c was <7.0% based on last observation carried forward (LOCF). (NCT01621178)
Timeframe: 26 Weeks
Intervention | percentage of participants (Number) |
---|
Insulin Glargine | 34.6 |
Dulaglutide 0.75 mg | 31.7 |
Dulaglutide 1.5 mg | 37.5 |
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Percentage of Participants Whose HbA1c Was <8.0%
Percentage of Participants whose HbA1c was <8.0% based on last observation carried forward (LOCF). (NCT01621178)
Timeframe: 26 Weeks
Intervention | percentage of participants (Number) |
---|
Insulin Glargine | 75.3 |
Dulaglutide 0.75 mg | 72.6 |
Dulaglutide 1.5 mg | 78.3 |
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Percentage of Participants With Estimated Average Glucose <154 mg/dL
Percentage of Participants With Estimated Average Glucose <154 milligram/deciliter (mg/dL) was based on last observation carried forward (LOCF). (NCT01621178)
Timeframe: 26 Weeks
Intervention | percentage of participants (Number) |
---|
Insulin Glargine | 64.9 |
Dulaglutide 0.75 mg | 52.5 |
Dulaglutide 1.5 mg | 56.4 |
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Percentage of Participants With Estimated Average Glucose <154 mg/dL
Percentage of Participants With Estimated Average Glucose <154 milligram/deciliter (mg/dL) was based on last observation carried forward (LOCF). (NCT01621178)
Timeframe: 52 Weeks
Intervention | percentage of participants (Number) |
---|
Insulin Glargine | 73.7 |
Dulaglutide 0.75 mg | 57.4 |
Dulaglutide 1.5 mg | 50.9 |
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Participants With Events of Allergic/Hypersensitivity Reactions
Participants with Events of Allergic/Hypersensitivity Reactions: Angioedema Standardized MedDRA Query (SMQ), Anaphylactic Reaction SMQ, or Severe Cutaneous Adverse Reactions SMQ (NCT01621178)
Timeframe: Baseline through 52 Weeks
Intervention | participants with events (Number) |
---|
| Angioedema SMQ | Angioedema | Eyelid edema | Face edema | Urticaria | Anaphylactic Reaction SMQ | Circulatory collapse | Severe Cutaneous Adverse Reactions SMQ |
---|
Dulaglutide 0.75 mg | 2 | 0 | 1 | 1 | 0 | 0 | 0 | 0 |
,Dulaglutide 1.5 mg | 2 | 1 | 0 | 1 | 0 | 0 | 0 | 0 |
,Insulin Glargine | 1 | 0 | 0 | 0 | 1 | 1 | 1 | 0 |
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Percentage of Participants With Self-Reported Hypoglycemic Events (HE)
Hypoglycemic events (HE) were classified as severe (defined as an episode requiring the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions), documented symptomatic (defined as any time a participant feels that he/she is experiencing symptoms and/or signs associated with hypoglycemia, and has a plasma glucose level of ≤3.9 mmol/L (≤70 mg/dL), nocturnal (defined as any hypoglycemic event that occurs between bedtime and waking). The number of self-reported hypoglycemic events was summarized cumulatively at 26 weeks. A summary of other nonserious AEs, and all SAEs, regardless of causality, is located in the Reported Adverse Events section. (NCT01621178)
Timeframe: Baseline through 26 Weeks
Intervention | percentage of participants (Number) |
---|
| Total Hypo | Documented Symptomatic Hypo | Severe Hypo | Nocturnal Hypo |
---|
Dulaglutide 0.75 mg | 50.8 | 40.7 | 1.1 | 15.9 |
,Dulaglutide 1.5 mg | 43.2 | 31.6 | 0 | 13.2 |
,Insulin Glargine | 71.6 | 60.3 | 4.1 | 38.1 |
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Pharmacokinetics: Maximum Serum LY2963016 or Lantus Concentration (Cmax)
(NCT01634165)
Timeframe: Predose up to 24 hours after administration of study drug
Intervention | picomoles per liter (pmol/L) (Geometric Mean) |
---|
0.3 U/kg LY2963016 | 108 |
0.6 U/kg LY2963016 | 180 |
0.3 U/kg Lantus | 105 |
0.6 U/kg Lantus | 174 |
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Pharmacokinetics: Area Under the Serum Concentration-Time Curve (AUC) From Time Zero to Last Measured Concentration Value [AUC(0-tlast)] of LY2963016 or Lantus
Results for LY2936016 treatment arms provide the AUC(0-tlast) data for LY2936016, while the results for Lantus treatment arms provide the AUC(0-tlast) for Lantus. (NCT01634165)
Timeframe: Predose up to 24 hours after administration of study drug
Intervention | picomoles*hour per liter (pmol*h/L) (Geometric Mean) |
---|
0.3 U/kg LY2963016 | 1730 |
0.6 U/kg LY2963016 | 3160 |
0.3 U/kg Lantus | 1670 |
0.6 U/kg Lantus | 2940 |
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Maximum Glucose Infusion Rate (Rmax)
Rmax is used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations are held constant after the administration of LY2963016 or Lantus by adjusting the exogenous glucose infusion rate. (NCT01634165)
Timeframe: Postdose up to 24 hours after administration of study drug
Intervention | milligrams/kilograms/minute (mg/kg/min) (Geometric Mean) |
---|
0.3 U/kg LY2963016 | 1.81 |
0.6 U/kg LY2963016 | 3.05 |
0.3 U/kg Lantus | 1.70 |
0.6 U/kg Lantus | 3.25 |
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Total Amount of Glucose Infused (Gtot)
Gtot is used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations are held constant after the administration of LY2963016 or Lantus by adjusting the exogenous glucose infusion rate. (NCT01634165)
Timeframe: Postdose up to 24 hours after administration of study drug
Intervention | milligrams per kilograms (mg/kg) (Geometric Mean) |
---|
0.3 U/kg LY2963016 | 1060 |
0.6 U/kg LY2963016 | 2260 |
0.3 U/kg Lantus | 1050 |
0.6 U/kg Lantus | 2590 |
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Pharmacokinetics: Area Under the Serum LY2963016 or Lantus Concentration-Time Curve (AUC) From Zero to Infinity [AUC(0-∞)]
Results for LY2936016 treatment arms provide the AUC(0-∞) data for LY2936016, while the results for Lantus treatment arms provide the AUC(0-∞) for Lantus. (NCT01634165)
Timeframe: Predose up to 24 hours after administration of study drug
Intervention | picomoles*hour per liter (pmol*h/L) (Geometric Mean) |
---|
0.3 U/kg LY2963016 | 2330 |
0.6 U/kg LY2963016 | 4470 |
0.3 U/kg Lantus | 2390 |
0.6 U/kg Lantus | 4310 |
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Pharmacokinetics: Area Under the Serum Concentration-Time Curve From Time Zero to 24 Hours [AUC(0-24)] of LY2963016 or Lantus
Results for LY2936016 treatment arms provide the AUC(0-24) data for LY2936016, while the results for Lantus treatment arms provide the AUC(0-24) for Lantus. (NCT01634165)
Timeframe: Predose up to 24 hours after administration of study drug
Intervention | picomoles*hour per liter (pmol*h/L) (Geometric Mean) |
---|
0.3 U/kg LY2963016 | 1730 |
0.6 U/kg LY2963016 | 3160 |
0.3 U/kg Lantus | 1690 |
0.6 U/kg Lantus | 2940 |
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Change in Body Mass Index
Body mass index is an estimate of body fat based on body weight divided by height squared. (NCT01648582)
Timeframe: Baseline, 26 Weeks, 52 Weeks
Intervention | kilogram/square meter (kg/m2) (Least Squares Mean) |
---|
| Week 26 | Week 52 |
---|
0.75 mg Dulaglutide | -0.32 | -0.27 |
,1.5 mg Dulaglutide | -0.53 | -0.40 |
,Insulin Glargine | 0.37 | 0.52 |
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EQ-5D Health State Score Responses
The EQ-5D questionnaire is a widely used, generic questionnaire that assesses health-related quality of life. It consists of 2 parts. The first part assesses 5 dimensions associated with quality of life (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). Each dimension has 3 possible levels of response: no problem, some problem, and extreme problem. Additional categories of response include ambiguous and missing. The number of participants per each of the 3 response categories is summarized for each of the 5 dimensions. (NCT01648582)
Timeframe: Baseline, 26 Weeks, 52 Weeks
Intervention | participants (Number) |
---|
| Mobility - no problem Week 26 | Mobility - some problem Week 26 | Mobility - extreme problem Week 26 | Mobility - missing Week 26 | Self-care - no problem Week 26 | Self-care - some problem Week 26 | Self-care - extreme problem Week 26 | Self-care - missing Week 26 | Usual activities - no problems Week 26 | Usual activities - some problems Week 26 | Usual activities - extreme problems Week 26 | Usual activities - missing Week 26 | Pain/Discomfort - no problems Week 26 | Pain/Discomfort - some problems Week 26 | Pain/Discomfort - ambiguous | Pain/Discomfort - missing Week 26 | Anxiety/Depression - no problems Week 26 | Anxiety/Depression - some problems Week 26 | Anxiety/Depression - extreme problems Week 26 | Anxiety/Depression - missing Week 26 | Mobility - no problems Week 52 | Mobility - some problems Week 52 | Mobility - extreme problems Week 52 | Mobility - missing Week 52 | Self-care - no problems Week 52 | Self-care - some problems Week 52 | Self-care - extreme problems Week 52 | Self-care - missing Week 52 | Usual Activities - no problems Week 52 | Usual Activities - some problems Week 52 | Usual Activities - extreme problems Week 52 | Usual Activities - missing Week 52 | Pain/Discomfort - no problems Week 52 | Pain/Discomfort - some problems Week 52 | Pain/Discomfort - extreme problems Week 52 | Pain/Discomfort - missing Week 52 | Anxiety/Depression - no problems Week 52 | Anxiety/Depression - some problems Week 52 | Anxiety/Depression - extreme problems Week 52 | Anxiety/Depression - missing Week 52 |
---|
0.75 mg Dulaglutide | 215 | 16 | 0 | 1 | 227 | 0 | 0 | 1 | 220 | 11 | 0 | 1 | 201 | 30 | 0 | 1 | 204 | 27 | 0 | 1 | 207 | 14 | 1 | 0 | 215 | 7 | 0 | 0 | 211 | 10 | 1 | 0 | 188 | 33 | 1 | 0 | 207 | 15 | 0 | 0 |
,1.5 mg Dulaglutide | 219 | 7 | 0 | 4 | 223 | 0 | 0 | 4 | 219 | 7 | 0 | 4 | 193 | 32 | 0 | 4 | 208 | 19 | 0 | 4 | 218 | 8 | 0 | 0 | 224 | 2 | 0 | 0 | 219 | 6 | 1 | 0 | 191 | 34 | 1 | 0 | 205 | 21 | 0 | 0 |
,Insulin Glargine | 210 | 20 | 0 | 4 | 224 | 0 | 0 | 4 | 218 | 11 | 0 | 4 | 188 | 37 | 0 | 4 | 203 | 26 | 1 | 4 | 214 | 16 | 0 | 1 | 223 | 7 | 0 | 1 | 219 | 11 | 0 | 1 | 185 | 43 | 1 | 1 | 201 | 29 | 0 | 1 |
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Percentages of Participants Developing Treatment-Emergent Dulaglutide Anti-drug Antibody (ADA)
Number of participants with treatment emergent (TE) dulaglutide anti-drug antibodies from postbaseline to follow up were summarized. A participant was considered to have TE dulaglutide ADA if the participant had at least one titer that was treatment-emergent relative to baseline, defined as a 4-fold or greater increase in titer from baseline measurement. (NCT01648582)
Timeframe: Baseline through 52 Weeks
Intervention | Percentage of participants (Number) |
---|
| Participants with >=1 TE Dula ADA | Participants with TE Dula ADA and Neutralizing |
---|
0.75 mg Dulaglutide | 4.3 | 1.6 |
,1.5 mg Dulaglutide | 3.9 | 0.8 |
,Insulin Glargine | 1.6 | 0.0 |
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Percentage of Participants Attaining HbA1c of <7% or ≤6.5% at 26 Weeks and 52 Weeks
The percentage of participants was calculated by dividing the number of participants reaching target HbA1c by the total number of participants analyzed, multiplied by 100. (NCT01648582)
Timeframe: Up to 26 and 52 weeks
Intervention | percentage of participants (Number) |
---|
| HbA1c <7%, Week 26 | HbA1c ≤6.5%, Week 26 | HbA1c <7%, Week 52 | HbA1c ≤6.5%, Week 52 |
---|
0.75 mg Dulaglutide | 52.8 | 38.9 | 45.6 | 31.3 |
,1.5 mg Dulaglutide | 64.8 | 51.4 | 51.8 | 37.2 |
,Insulin Glargine | 40.0 | 21.6 | 32.0 | 17.2 |
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Change From Baseline in Glycosylated Hemoglobin (HbA1c) at 26 Weeks
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Least square (LS) means of change from baseline in HbA1c were calculated using a mixed-effects model for repeated measures (MMRM) with the change in HbA1c as the dependent variable and treatment, baseline HbA1c, country, oral antihyperglycemic medication (OAM) , visit, and treatment-by-visit interaction as fixed effects, and participant was the random effect. (NCT01648582)
Timeframe: Baseline, 26 Weeks
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
1.5 mg Dulaglutide | -1.73 |
0.75 mg Dulaglutide | -1.33 |
Insulin Glargine | -1.16 |
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Change From Baseline to 26 Weeks and 52 Weeks on Blood Pressure (BP)
Seated systolic blood pressure (SBP) and seated diastolic blood pressure (DBP) were measured. LS means of change from baseline were calculated using a MMRM with treatment, country, visit, and treatment-by-visit interaction as fixed effects and baseline as a covariate. (NCT01648582)
Timeframe: Baseline, 26 Weeks, 52 Weeks
Intervention | millimeters of mercury (mmHg)] (Least Squares Mean) |
---|
| SBP 26 Weeks | DBP 26 Weeks | SBP 52 Weeks | DBP 52 Weeks |
---|
0.75 mg Dulaglutide | -2.77 | -0.92 | -0.61 | 0.44 |
,1.5 mg Dulaglutide | -5.53 | -1.58 | -2.18 | -0.19 |
,Insulin Glargine | -2.22 | -1.61 | -0.25 | -1.13 |
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Number of Participants With Adjudicated Cardiovascular (CV) Events
Deaths and nonfatal cardiovascular adverse events were adjudicated by a committee of physicians with cardiology expertise external to the Sponsor. The nonfatal cardiovascular events subjected to adjudication included myocardial infarction, hospitalization for unstable angina, hospitalization for heart failure, coronary interventions (such as coronary artery bypass graft or percutaneous coronary intervention), and cerebrovascular events including cerebrovascular accident (stroke) and transient ischemic attack. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01648582)
Timeframe: Baseline through 52 weeks
Intervention | participants with adjudicated CV events (Number) |
---|
1.5 mg Dulaglutide | 6 |
0.75 mg Dulaglutide | 2 |
Insulin Glargine | 2 |
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Number of Participants With Adjudicated Pancreatitis
The number of participants with pancreatitis confirmed by adjudication is summarized. Events of pancreatitis (including suspected pancreatitis and severe or serious abdominal pain) were adjudicated by a committee of expert physicians external to the Sponsor. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01648582)
Timeframe: Baseline through 52 Weeks
Intervention | participants (Number) |
---|
1.5 mg Dulaglutide | 0 |
0.75 mg Dulaglutide | 0 |
Insulin Glargine | 0 |
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Change From Baseline at 26 Weeks and 52 Weeks on Pulse Rate
Seated pulse rate was measured. LS means of change from baseline were calculated using a MMRM with treatment, country, visit, and treatment-by-visit interaction as fixed effects and baseline as a covariate. (NCT01648582)
Timeframe: Baseline, 26 Weeks, 52 Weeks
Intervention | beats per minute (bpm) (Least Squares Mean) |
---|
| Change From Baseline on Pulse rate at Week 26 | Change From Baseline on Pulse rate at Week 52 |
---|
0.75 mg Dulaglutide | 0.65 | 3.18 |
,1.5 mg Dulaglutide | 4.63 | 4.18 |
,Insulin Glargine | -0.86 | 0.07 |
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Change From Baseline in 7-point Self-monitored Blood Glucose (SMBG) Profiles at 26 Weeks and 52 Weeks
Participants were required to perform 7-point SMBG profiles on 2 separate, nonconsecutive days during the 2 weeks before randomization and Weeks 8, 14, 20, 26, 39, and 52 (or the Early Discontinuation Visit). SMBG measurements were taken using a plasma-equivalent blood glucose (BG) meter at 7 time points: morning pre-meal, morning 2 hours post-meal, mid-day pre-meal, mid-day 2 hours post-meal, evening pre-meal, evening 2 hours post-meal, and at bedtime. Mean and Week 26 and Week 52 was assessed in all treatment groups. LS means of change from baseline were calculated using MMRM with the change in 7-point SMBG as the dependent variable and treatment, baseline value, country, OAM, visit, and treatment-by-visit interaction as fixed effects, and participant was the random effect. (NCT01648582)
Timeframe: Baseline, 26 Weeks, 52 Weeks
Intervention | mmol/L (Least Squares Mean) |
---|
| Morning pre-meal, Week 26 | Morning 2 hours post-meal, Week 26 | Mid-day pre-meal, Week 26 | Mid-day 2 hours post-meal, Week 26 | Evening pre-meal, Week 26 | Evening 2 hours post-meal, Week 26 | Bed time, Week 26 | Morning pre-meal, Week 52 | Morning 2 hours post-meal, Week 52 | Mid-day pre-meal, Week 52 | Mid-day 2 hours post-meal, Week 52 | Evening pre-meal, Week 52 | Evening 2 hours post-meal, Week 52 | Bed time, Week 52 |
---|
0.75 mg Dulaglutide | -1.89 | -3.43 | -2.07 | -2.71 | -1.74 | -2.58 | -2.51 | -1.76 | -3.25 | -1.89 | -2.61 | -1.61 | -2.54 | -2.50 |
,1.5 mg Dulaglutide | -2.18 | -3.81 | -2.45 | -3.16 | -2.25 | -3.00 | -2.95 | -2.06 | -3.58 | -2.37 | -2.75 | -2.15 | -2.93 | -2.90 |
,Insulin Glargine | -2.83 | -3.32 | -2.10 | -2.11 | -1.62 | -2.11 | -2.16 | -2.83 | -3.05 | -1.94 | -2.12 | -1.51 | -2.10 | -1.91 |
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Number of Self-reported Hypoglycemic Events
Hypoglycemic events (HE) were classified as severe (defined as episodes requiring the assistance of another person to actively administer resuscitative actions), documented symptomatic (defined as any time a participant felt that he/she was experiencing symptoms and/or signs associated with hypoglycemia, and had a plasma glucose level of less than or equal to 3.9 millimoles/liter [mmol/L]), asymptomatic (defined as events not accompanied by typical symptoms of hypoglycemia but with a measured plasma glucose of less than or equal to 3.9 mmol/L), nocturnal (defined as any hypoglycemic event that occurred between bedtime and waking), or probable symptomatic (defined as events during which symptoms of hypoglycemia were not accompanied by a plasma glucose determination). The number of self-reported hypoglycemic events was summarized cumulatively at 52 weeks. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01648582)
Timeframe: Baseline through 26 Weeks and 52 Weeks
Intervention | percentage of participants (Number) |
---|
| Total HE Week 26 | Severe HE Week 26 | Nocturnal HE Week 26 | Documented Symptomatic Week 26 | Asymptomatic HE Week 26 | Probable HE Week 26 | Total HE Week 52 | Severe HE Week 52 | Nocturnal HE Week 52 | Documented Symptomatic HE Week 52 | Asymptomatic HE Week 52 | Probable HE Week 52 |
---|
0.75 mg Dulaglutide | 16.7 | 0.0 | 3.9 | 7.8 | 8.2 | 5.1 | 19.8 | 0.0 | 4.3 | 9.7 | 10.1 | 5.4 |
,1.5 mg Dulaglutide | 19.4 | 0.0 | 6.2 | 11.2 | 10.1 | 4.3 | 22.5 | 0.0 | 7.0 | 12.4 | 12.0 | 4.7 |
,Insulin Glargine | 29.6 | 0.0 | 11.1 | 17.0 | 14.2 | 7.5 | 34.8 | 0.0 | 13.8 | 20.6 | 19.4 | 8.3 |
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Change From Baseline in HbA1c at 52 Weeks
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. LS means of change from baseline in HbA1c were calculated using a MMRM with the change in HbA1c as the dependent variable and treatment, baseline HbA1c, country, OAM, visit, and treatment-by-visit interaction as fixed effects, and participant was as the random effect. (NCT01648582)
Timeframe: Baseline, 52 Weeks
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
1.5 mg Dulaglutide | -1.47 |
0.75 mg Dulaglutide | -1.03 |
Insulin Glargine | -0.89 |
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Change From Baseline in Electrocardiogram Parameters, Heart Rate (HR)
(NCT01648582)
Timeframe: Baseline, 26 Weeks, 52 Weeks
Intervention | beats per minute (bpm) (Mean) |
---|
| Week 26 | Week 52 |
---|
0.75 mg Dulaglutide | 3.77 | 3.40 |
,1.5 mg Dulaglutide | 6.13 | 5.04 |
,Insulin Glargine | -0.46 | 0.43 |
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Change From Baseline in Electrocardiogram Parameters, Fridericia Corrected QT (QTcF) Interval and PR Interval
The QT interval is a measure of the time between the start of the Q wave and the end of the T wave and was calculated from electrocardiogram (ECG) data using Fridericia's formula: QTc = QT/RR^0.33. Corrected QT (QTc) is the QT interval corrected for heart rate and RR, which is the interval between two R waves. PR is the interval between the P wave and the QRS complex. (NCT01648582)
Timeframe: Baseline, 26 Weeks, 52 Weeks
Intervention | millisecond (msec) (Mean) |
---|
| QTcF Interval 26 Weeks | PR Interval 26 Weeks | QTcF Interval 52 Weeks | PR Interval 52 Weeks |
---|
0.75 mg Dulaglutide | 0.76 | 2.88 | 1.19 | 3.55 |
,1.5 mg Dulaglutide | -1.65 | 3.09 | 0.55 | 3.60 |
,Insulin Glargine | 2.56 | -0.86 | 4.03 | 0.63 |
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Change From Baseline in Body Weight
(NCT01648582)
Timeframe: Baseline, 26 Weeks, 52 Weeks
Intervention | kilogram (kg) (Least Squares Mean) |
---|
| Week 26 | Week 52 |
---|
0.75 mg Dulaglutide | -0.88 | -0.76 |
,1.5 mg Dulaglutide | -1.47 | -1.08 |
,Insulin Glargine | 0.97 | 1.35 |
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Change From Baseline in EQ-5D Visual Analog Scale Score
The EQ-5D 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. LS means of change from baseline were calculated using ANCOVA and adjusted by treatment, country, and baseline. (NCT01648582)
Timeframe: Baseline, 26 weeks, 52 weeks
Intervention | units on a scale (Mean) |
---|
| Week 26 | Week 52 |
---|
0.75 mg Dulaglutide | 1.67 | 2.34 |
,1.5 mg Dulaglutide | 1.08 | 2.65 |
,Insulin Glargine | 1.41 | 2.55 |
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Change From Baseline in Homeostasis Model Assessment 2 Steady-state Beta (β)- Cell Function (HOMA2-%B) at 26 Weeks and 52 Weeks
The updated Homeostasis Model Assessment (HOMA2) was used to quantify steady state beta-cell function (%B). HOMA2-%B is a computer model that uses fasting plasma insulin and glucose concentrations to estimate %B as a percentage of a normal reference population. LS means were calculated using a homeostasis model assessment with change from baseline in HOMA-%B as a covariate and country, baseline measurement, OAM, and treatment as fixed effects. (NCT01648582)
Timeframe: Baseline, 26 weeks, 52 weeks
Intervention | percentage of HOMA2-%B (Least Squares Mean) |
---|
| Insulin-Based HOMA2-%B, 26 Weeks | Insulin-Based HOMA2-%B, 52 Weeks |
---|
0.75 mg Dulaglutide | 31.17 | 36.64 |
,1.5 mg Dulaglutide | 34.41 | 45.12 |
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Change From Baseline in Pancreatic Enzymes
Amylase (total and pancreas-derived) and lipase concentrations were measured (NCT01648582)
Timeframe: Baseline, 26 Weeks, 52 Weeks
Intervention | Units/Liter (U/L) (Mean) |
---|
| Amylase, Total 26 Weeks | Amylase, pancreas derived 26 Weeks | Lipase 26 Weeks | Amylase, Total 52 Weeks | Amylase, pancreas derived 52 Weeks | Lipase 52 Weeks |
---|
0.75 mg Dulaglutide | 7.54 | 5.14 | 10.67 | 6.42 | 4.05 | 9.64 |
,1.5 mg Dulaglutide | 7.50 | 5.83 | 11.00 | 7.82 | 5.48 | 10.76 |
,Insulin Glargine | -0.37 | -0.21 | -2.74 | 0.64 | -0.49 | -3.66 |
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Change From Baseline in Fasting Blood Glucose (FBG) at 26 Weeks and 52 Weeks
LS means of change from baseline were calculated using MMRM with the change in FBG as the dependent variable and treatment, baseline value, country, OAM, visit, and treatment-by-visit interaction as fixed effects, and participant was the random effect. (NCT01648582)
Timeframe: Baseline, 26 Weeks, 52 Weeks
Intervention | millimoles per liter (mmol/L) (Least Squares Mean) |
---|
| Change from baseline in FBG, 26 Weeks | Change from baseline in FBG, 52 Weeks |
---|
0.75 mg Dulaglutide | -1.71 | -1.53 |
,1.5 mg Dulaglutide | -2.35 | -2.23 |
,Insulin Glargine | -2.59 | -2.35 |
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Rate of Hypoglycemic Events
Hypoglycemic events (HE) were classified as documented symptomatic hypoglycemia, asymptomatic hypoglycemia, severe hypoglycemia, and probable symptomatic hypoglycemia. The 1-year adjusted rate of HEs was summarized cumulatively at 26 weeks and 52 weeks. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. (NCT01648582)
Timeframe: Baseline through 26 weeks and 52 weeks
Intervention | events per participant per year (Mean) |
---|
| 1-year Rate of HE, Week 26 | Severe HE Week 26 | Nocturnal HE Week 26 | 1-year Rate of HE, Week 52 | Severe HE Week 52 | Nocturnal HE Week 52 |
---|
0.75 mg Dulaglutide | 0.98 | NA | 0.13 | 0.80 | NA | 0.10 |
,1.5 mg Dulaglutide | 1.27 | NA | 0.19 | 0.89 | NA | 0.11 |
,Insulin Glargine | 2.13 | NA | 0.38 | 1.92 | NA | 0.31 |
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Change From Baseline in Homeostasis Model Assessment 2 Insulin Sensitivity - Cell Function (HOMA2-%S) at 26 Weeks and 52 Weeks
The HOMA2 was used to estimate the steady-state insulin sensitivity (%S). HOMA2-S is a computer model that uses fasting plasma insulin and glucose concentrations to estimate insulin sensitivity (%S) as a percentage of the normal reference population. LS means were calculated using an homeostasis model assessment with change from baseline in HOMA-%S as a covariate and country, baseline measurement, OAM, and treatment as fixed effects. (NCT01648582)
Timeframe: Baseline, 26 Weeks, 52 Weeks
Intervention | percentage of HOMA2-%S (Least Squares Mean) |
---|
| Insulin-Based HOMA2-%S, Week 26 | Insulin-Based HOMA2-%S, Week 52 |
---|
0.75 mg Dulaglutide | -10.03 | -12.32 |
,1.5 mg Dulaglutide | -6.86 | -10.19 |
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Change From Baseline in Serum Calcitonin
(NCT01648582)
Timeframe: Baseline, 26 Weeks, 52 Weeks
Intervention | picomole/liter (Mean) |
---|
| Week 26 | Week 52 |
---|
0.75 mg Dulaglutide | -0.07 | -0.08 |
,1.5 mg Dulaglutide | 0.01 | -0.03 |
,Insulin Glargine | 0.02 | -0.05 |
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Part B: Glycodynamics: Maximum Rate of Glucose Disposal
The maximum rate of glucose disposal (Rdmax) is presented. The duration of the clamp procedure was 10 hours for the LY2605541 74.1 mU/min dose in Part B. The duration of the clamp procedures performed at the 15.3 mU/min LY2605541 dose and both of the insulin glargine doses was 8 hours. (NCT01654380)
Timeframe: Baseline, up to 10 hours (duration of the euglycemic glucose clamp)
Intervention | milligrams/minute/kilograms (mg/min/kg) (Geometric Mean) |
---|
15.3 mU/Min LY2605541 | 1.80 |
74.1 mU/Min LY2605541 | 2.89 |
10 mU/m^2/Min Insulin Glargine | 2.15 |
20 mU/m^2/Min Insulin Glargine | 3.55 |
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Part B: Glucodynamics: Endogenous Glucose Output
"The percent suppression from baseline in endogenous glucose production (EGP) is presented. Percent EGP change from baseline was calculated by (1-[last 2 hours of EGP/basal EGP])*100.~The duration of the clamp procedure was 10 hours for the LY2605541 74.1 mU/min dose in Part B. The duration of the clamp procedures performed at the 15.3 mU/min LY2605541 dose and both of the insulin glargine doses was 8 hours." (NCT01654380)
Timeframe: Baseline, up to 10 hours (duration of the euglycemic glucose clamp)
Intervention | percent of suppression (Mean) |
---|
15.3 mU/Min LY2605541 | 64.53 |
74.1 mU/Min LY2605541 | 99.23 |
10 mU/m^2/Min Insulin Glargine | 78.05 |
20 mU/m^2/Min Insulin Glargine | 97.05 |
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Part B: Glycodynamics: Glucose Disposal
"The fold change from baseline in glucose disappearance rate (GDR) is presented. The fold GDR increase from baseline was calculated by last 2 hours of GDR/basal GDR.~The duration of the clamp procedure was 10 hours for the LY2605541 74.1 mU/min dose in Part B. The duration of the clamp procedures performed at the 15.3 mU/min LY2605541 dose and both of the insulin glargine doses was 8 hours." (NCT01654380)
Timeframe: Baseline, up to 10 hours (duration of the euglycemic glucose clamp)
Intervention | fold change (Mean) |
---|
15.3 mU/Min LY2605541 | 0.68 |
74.1 mU/Min LY2605541 | 1.42 |
10 mU/m^2/Min Insulin Glargine | 0.98 |
20 mU/m^2/Min Insulin Glargine | 1.85 |
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Percentage of Time Above the Upper Limit of Glycemic Range (Greater Than [>] 7.8 mmol/L [(140 mg/dL])
Percentage of time with glucose above the upper limit of glycemic range (>7.8 mmol/L) was assessed by the total time above the upper limit of glycemic range divided by the length of the assessment interval. (NCT01658579)
Timeframe: Up to Week 16 (assessed at Weeks 7-8 in Period A and Weeks 15-16 in Period B)
Intervention | percentage of time (Least Squares Mean) |
---|
HOE901-U300 Combined | 58.24 |
Lantus Combined | 57.38 |
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Percentage of Time Below The Lower Limit of Glycemic Range (<4.4 mmol/L [80 mg/dL])
Percentage of time with glucose below the lower limit of glycemic range (<4.4 mmol/L) was assessed by the total time below the lower limit of glycemic range divided by the length of the assessment interval. (NCT01658579)
Timeframe: Up to Week 16 (assessed at Weeks 7-8 in Period A and Weeks 15-16 in Period B)
Intervention | percentage of time (Least Squares Mean) |
---|
HOE901-U300 Combined | 10.01 |
Lantus Combined | 11.64 |
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Evaluation of Diurnal Glucose Exposure, Variability, and Stability
The diurnal glucose exposure is measured as the average diurnal glucose concentration, diurnal glucose variability is measured by interquartile range (IQR), that is, average distance between the 25th and the 75th point-wise percentiles and diurnal glucose stability is assessed in terms of the mean absolute rate of change (mmol/l), that is, the area under the absolute rate of change of the median curve (based on the median point values between two adjacent hourly basket intervals), divided by the length of the assessment interval. (NCT01658579)
Timeframe: Up to Week 16 (assessed at Weeks 7-8 in Period A and Weeks 15-16 in Period B)
Intervention | mmol/L (Least Squares Mean) |
---|
| Diurnal Glucose Exposure | Diurnal Glucose Stability | Diurnal Glucose Variability |
---|
HOE901-U300 Combined | 8.869 | 0.673 | 4.931 |
,Lantus Combined | 8.910 | 0.703 | 5.279 |
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Percentage of Time in Target Plasma Glucose Range (4.4-7.8 mmol/L [80-140 mg/dL])
Percentage of time with glucose within glycemic range (4.4-7.8 mmol/L) was assessed by the total time within glycemic range divided by the length of the assessment interval. (NCT01658579)
Timeframe: Up to Week 16 (assessed at Weeks 7-8 in Period A and Weeks 15-16 in Period B)
Intervention | percentage of time (Least Squares Mean) |
---|
HOE901-U300 Combined | 31.75 |
Lantus Combined | 30.99 |
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Change in HbA1c From Baseline to Week 8 and 16
(NCT01658579)
Timeframe: Baseline, Week 8, 16
Intervention | percentage of hemoglobin (Mean) |
---|
| Week 8 (n= 29, 20) | Week 16 (n= 28, 27) |
---|
HOE901-U300 Combined | -0.22 | -0.44 |
,Lantus Combined | -0.23 | -0.22 |
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Change in Fasting Plasma Glucose (FPG) From Baseline to Week 8 and 16
(NCT01658579)
Timeframe: Baseline, Week 8, 16
Intervention | mmol/L (Mean) |
---|
| Week 8 (n=24, 23) | Week 16 (n= 24, 22) |
---|
HOE901-U300 Combined | -0.89 | -0.99 |
,Lantus Combined | -0.10 | 0.78 |
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Percentage of Participants With Hypoglycemia (All and Nocturnal) Events From Baseline Up to Week 16
Hypoglycemia events were Severe hypoglycemia (an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions); Documented symptomatic hypoglycemia (typical symptoms of hypoglycemia with plasma glucose level of <=3.9 mmol/L [70 mg/dL]); Asymptomatic hypoglycemia (no typical symptoms of hypoglycemia but plasma glucose level <=3.9 mmol/L); Probable symptomatic hypoglycemia (an event during which symptoms of hypoglycemia were not accompanied by a plasma glucose determination, but was presumably caused by a plasma glucose level <=3.9 mmol/L, symptoms treated with oral carbohydrate without a test of plasma glucose); Relative hypoglycemia (an event during which the person with diabetes reported any of the typical symptoms of hypoglycemia, and interpreted the symptoms as indicative of hypoglycemia, but plasma glucose level >3.9 mmol/L); Severe and/or confirmed a hypoglycemia (plasma glucose <=3.9 mmol/L). (NCT01658579)
Timeframe: Up to Week 16
Intervention | percentage of participants (Number) |
---|
| Any Hypoglycemia Event: All Hypoglycemia | Severe Hypoglycemia: All Hypoglycemia | Documented Symptomatic: All Hypoglycemia | Asymptomatic: All Hypoglycemia | Probable Symptomatic: All Hypoglycemia | Relative: All Hypoglycemia | Severe and/or Confirmed: All Hypoglycemia | Any Hypoglycemia Event: Nocturnal Hypoglycemia | Severe Hypoglycemia: Nocturnal Hypoglycemia | Documented Symptomatic: Nocturnal Hypoglycemia | Asymptomatic: Nocturnal Hypoglycemia | Probable Symptomatic: Nocturnal Hypoglycemia | Relative: Nocturnal Hypoglycemia | Severe and/or Confirmed: Nocturnal Hypoglycemia |
---|
HOE901-U300 Combined | 100 | 3.3 | 93.3 | 86.7 | 16.7 | 0.0 | 100 | 80.0 | 0.0 | 66.7 | 40.0 | 3.3 | 0.0 | 80.0 |
,Lantus Combined | 100 | 10.3 | 96.6 | 96.6 | 27.6 | 6.9 | 100 | 93.1 | 6.9 | 79.3 | 48.3 | 10.3 | 6.9 | 93.1 |
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Change in Basal Insulin Daily Dose From Baseline to Week 8 and 16
(NCT01658579)
Timeframe: Baseline, Week 8, 16
Intervention | U/kg (Mean) |
---|
| Week 8 (n= 30, 29) | Week 16 (n=29, 27) |
---|
HOE901-U300 Combined | 0.06 | 0.05 |
,Lantus Combined | 0.03 | 0.03 |
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Percentage of Time in Target Plasma Glucose Range (4.4-7.8 mmol/L [80-140 mg/dL]) in the Last Four Hours of Each Dosing Interval at Weeks 7 and 8 in Period A and Weeks 15 and 16 in Period B
Percentage of time with glucose within glycemic range (4.4-7.8 mmol/L) was assessed by the total time within glycemic range divided by the length of the assessment interval. (NCT01658579)
Timeframe: Weeks 7-8 in Period A and Weeks 15-16 in Period B
Intervention | percentage of time (Mean) |
---|
| Week 7, 8 (n=28, 27) | Week 15, 16 (n=29, 26) |
---|
HOE901-U300 Combined | 32.08 | 33.02 |
,Lantus Combined | 29.07 | 28.70 |
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Change in Average 7-Point Self-Monitored Plasma Glucose (SMPG) Profile From Baseline to Week 8 and 16
Change in average of 7-point SMPG. 7-point SMPG was assessed starting with a measurement at before breakfast and 2 hours after breakfast; before and 2 hours after lunch; before and 2 hours after dinner; at bedtime. (NCT01658579)
Timeframe: Baseline, Week 8, 16
Intervention | mmol/L (Mean) |
---|
| Week 8 | Week 16 |
---|
HOE901-U300 Combined | -0.39 | -0.47 |
,Lantus Combined | 0.39 | 0.58 |
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Change in 24-hour Average 8-point SMPG Profile From Baseline to Month 6 Endpoint
Change in 24-hour average of 8-point SMPG profile. 8-point SMPG was assessed at: 03:00 hours (clock time) at night; before and 2 hours after breakfast; before and 2 hours after lunch; before and 2 hours after dinner; and at bedtime. Only 24-hour average 8-point SMPG measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 Endpoint is either the observed value at Month 6 visit or value retrieved according to time windows. (NCT01676220)
Timeframe: Baseline, Month 6
Intervention | mmol/L (Least Squares Mean) |
---|
HOE901-U300 | -2.72 |
Lantus | -2.90 |
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Change in Daily Basal Insulin Dose From Baseline to Month 6
Only insulin dose measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 value corresponds to the observed value at Month 6 visit. (NCT01676220)
Timeframe: Baseline, Month 6
Intervention | U/kg (Mean) |
---|
HOE901-U300 | 0.43 |
Lantus | 0.34 |
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Change in Fasting Plasma Glucose (FPG) From Baseline to Month 6 Endpoint
Only FPG measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 Endpoint is either the observed value at Month 6 visit or value retrieved according to time windows. (NCT01676220)
Timeframe: Baseline, Month 6
Intervention | mmol/L (Least Squares Mean) |
---|
HOE901-U300 | -3.41 |
Lantus | -3.80 |
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Change in HbA1c From Baseline to Month 6 Endpoint
Only HbA1c measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 Endpoint is either the observed value at Month 6 visit or value retrieved according to time windows. (NCT01676220)
Timeframe: Baseline, Month 6
Intervention | percentage of hemoglobin (Least Squares Mean) |
---|
HOE901-U300 | -1.42 |
Lantus | -1.46 |
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Change in Preinjection Self-Monitored Plasma Glucose (SMPG) From Baseline to Month 6 Endpoint
Pre-injection SMPG was measured within 30 minutes prior to the injection of the study drug. Except for baseline value average of preinjection SMPG was assessed by the mean of at least 3 SMPG calculated over the 7 days preceding the assessment visit. Only preinjection SMPG measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 Endpoint is either the observed value at Month 6 visit or value retrieved according to time windows. (NCT01676220)
Timeframe: Baseline, Month 6
Intervention | mmol/L (Least Squares Mean) |
---|
HOE901-U300 | -2.16 |
Lantus | -2.33 |
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Change in Total Treatment Satisfaction Score Using The Diabetes Treatment Satisfaction Questionnaire (DTSQs) From Baseline to Month 6 Endpoint
DTSQ is a validated measure to assess how satisfied participants with diabetes are with their treatment and how they perceive hyper- and hypoglycemia. It consists of 8 questions which are answered on a Likert scale from 0 to 6. DTSQ treatment satisfaction score is the sum of question 1 and 4-8 scores and ranges between 0 and 36, where higher scores indicate more treatment satisfaction. Only DTSQ total score measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 Endpoint is either the observed value at Month 6 visit or value retrieved according to time windows. (NCT01676220)
Timeframe: Baseline, Month 6
Intervention | units on a scale (Least Squares Mean) |
---|
HOE901-U300 | 4.89 |
Lantus | 5.12 |
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Change in Variability of 24 Hour Average 8-point SMPG Profiles From Baseline to Month 6 Endpoint
Variability is assessed by the mean of coefficient of variation calculated as 100 multiplied by (standard deviation/mean) over at least 5 measurements of the 8-point profiles. Only variability of 24-hour 8-point SMPG measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 Endpoint is either the observed value at Month 6 visit or value retrieved according to time windows. (NCT01676220)
Timeframe: Baseline, Month 6
Intervention | percentage of mean (Least Squares Mean) |
---|
HOE901-U300 | 1.53 |
Lantus | 1.41 |
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Percentage of Participants With FPG <5.6 mmol/L (100 mg/dL) at Month 6
Only FPG measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 value corresponds to the observed value at Month 6 visit. (NCT01676220)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 26.2 |
Lantus | 29.5 |
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Percentage of Participants With At Least One Severe and/or Confirmed Nocturnal Hypoglycemia From Start of Week 9 to Month 6
Nocturnal hypoglycemia was hypoglycemia that occurred between 00:00 and 05:59 hours (clock time), regardless the participant was awake or woke up because of the event. Severe hypoglycemia was an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Confirmed hypoglycemia was an event associated with plasma glucose less than or equal to (<=) 3.9 millimoles per liter (mmol/L) (70 milligram per deciliter [mg/dL]). Only nocturnal hypoglycemia occurring before initiation of rescue therapy were considered in the analysis. Week 9 and Month 6 value correspond to the observed value at Week 9 and Month 6 visit respectively. (NCT01676220)
Timeframe: Week 9 Up to Month 6
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 15.5 |
Lantus | 17.4 |
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Percentage of Participants With Hypoglycemia (All and Nocturnal) Events From Baseline up to Month 12
Hypoglycemia events were Severe hypoglycemia (an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions); Documented symptomatic hypoglycemia (typical symptoms of hypoglycemia with plasma glucose level of <=3.9 mmol/L [70 mg/dL]); Asymptomatic hypoglycemia (no typical symptoms of hypoglycemia but plasma glucose level <=3.9 mmol/L); Probable symptomatic hypoglycemia (an event during which symptoms of hypoglycemia were not accompanied by a plasma glucose determination, but was presumably caused by a plasma glucose level <=3.9 mmol/L, symptoms treated with oral carbohydrate without a test of plasma glucose); Relative hypoglycemia (an event during which the person with diabetes reported any of the typical symptoms of hypoglycemia, and interpreted the symptoms as indicative of hypoglycemia, but plasma glucose level >3.9 mmol/L); Severe and/or confirmed a hypoglycemia (plasma glucose <=3.9 mmol/L). (NCT01676220)
Timeframe: Up to 12 months
Intervention | percentage of participants (Number) |
---|
| Any Hypoglycemia Event: All Hypoglycemia | Severe Hypoglycemia: All Hypoglycemia | Documented Symptomatic: All Hypoglycemia | Asymptomatic: All Hypoglycemia | Probable Symptomatic: All Hypoglycemia | Relative: All Hypoglycemia | Severe and/or Confirmed: All Hypoglycemia | Any Hypoglycemia Event: Nocturnal Hypoglycemia | Severe Hypoglycemia: Nocturnal Hypoglycemia | Documented Symptomatic: Nocturnal Hypoglycemia | Asymptomatic: Nocturnal Hypoglycemia | Probable Symptomatic: Nocturnal Hypoglycemia | Relative: Nocturnal Hypoglycemia | Severe and/or Confirmed: Nocturnal Hypoglycemia |
---|
HOE901-U300 | 58.9 | 1.4 | 39.1 | 41.6 | 3.2 | 10.6 | 56.3 | 27.6 | 0.0 | 18.6 | 13.3 | 0.7 | 4.4 | 25.3 |
,Lantus | 63.2 | 2.1 | 44.1 | 46.8 | 3.0 | 11.6 | 61.2 | 30.1 | 0.7 | 20.8 | 16.0 | 0.0 | 3.2 | 29.5 |
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Change in 8-Point SMPG Profiles Per Time Point From Baseline to Month 6
Change in each time-point of 8-point SMPG profile: 03:00 hours (clock time) at night; before and 2 hours after breakfast; before and 2 hours after lunch; before and 2 hours after dinner; and at bedtime. Only 8-point SMPG profiles measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 value corresponds to the observed value at Month 6 visit. (NCT01676220)
Timeframe: Baseline, Month 6
Intervention | mmol/L (Mean) |
---|
| 03:00 at Night Plasma Glucose (n=281,277) | Pre-Breakfast Plasma Glucose (n=292,286) | 2 Hours After Breakfast Plasma Glucose (n=278,278) | Pre-Lunch Plasma Glucose (n=289,281) | 2 Hours After Lunch Plasma Glucose (n=280,269) | Pre-Dinner Plasma Glucose (n=291,285) | 2 Hours After Dinner Plasma Glucose (n=282,269) | Bedtime Plasma Glucose (n=249,249) |
---|
HOE901-U300 | -2.63 | -3.28 | -3.69 | -2.58 | -2.19 | -2.57 | -2.36 | -2.19 |
,Lantus | -3.01 | -3.72 | -4.08 | -3.39 | -3.13 | -2.43 | -2.33 | -2.26 |
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Variability of Preinjection SMPG at Month 6 Endpoint
Pre-injection SMPG was measured within 30 minutes prior to the injection of the study drug. Variability was assessed by the mean of coefficient of variation calculated as 100 multiplied by (standard deviation/mean) over at least 3 SMPG measured during the 7 days preceding the assessment visit. Only preinjection SMPG measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 Endpoint is either the observed value at Month 6 visit or value retrieved according to time windows. (NCT01676220)
Timeframe: Month 6
Intervention | percentage of mean (Least Squares Mean) |
---|
HOE901-U300 | 18.70 |
Lantus | 18.33 |
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Percentage of Participants With HbA1c <7% at Month 6
Only HbA1c measurements performed before initiation of rescue therapy were considered in the analysis. Month 6 value corresponds to the observed value at Month 6 visit. (NCT01676220)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 43.1 |
Lantus | 42.1 |
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Percentage of Participants Who Experienced at Least One Adverse Event Excluding Data After Glycemic Rescue
An AE is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure. (NCT01682759)
Timeframe: Up to Week 57
Intervention | Percentage of participants (Number) |
---|
Omarigliptin | 54.7 |
Glimepiride | 61.6 |
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Percentage of Participants Who Discontinued From the Study Due to an Adverse Event Excluding Data After Glycemic Rescue
(NCT01682759)
Timeframe: Up to Week 54
Intervention | Percentage of participants (Number) |
---|
Omarigliptin | 3.7 |
Glimepiride | 2.7 |
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Percentage of Participants Achieving a Hemoglobin A1C of <7.0% at Week 54
The percentage of participants who achieved A1C values <7.0% (53 mmol/mol) in the FAS Population at Week 54. (NCT01682759)
Timeframe: Week 54
Intervention | Percentage of participants (Number) |
---|
Omarigliptin | 47.7 |
Glimepiride | 58.0 |
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Percentage of Participants Achieving a Hemoglobin A1C of <6.5% at Week 54
The percentage of participants who achieved A1C values <6.5% (48 mmol/mol) in the FAS Population at Week 54. (NCT01682759)
Timeframe: Week 54
Intervention | Percentage of participants (Number) |
---|
Omarigliptin | 25.1 |
Glimepiride | 28.8 |
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Change From Baseline in Hemoglobin A1C at Week 54
Hemoglobin A1C is blood marker used to report average blood glucose levels over prolonged periods of time and is reported as a percentage (%). Thus, this change from baseline reflects the Week 54 A1C minus the Week 0 A1C. (NCT01682759)
Timeframe: Baseline and Week 54
Intervention | A1C (%) (Least Squares Mean) |
---|
Omarigliptin | -0.30 |
Glimepiride | -0.48 |
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Change From Baseline in Fasting Plasma Glucose at Week 54
Blood glucose was measured on a fasting basis. FPG is expressed as mg/dL. Blood was drawn at predose on Day 1 and after 54 weeks of treatment to determine change in plasma glucose levels (i.e., FPG at Week 54 minus FPG at baseline). (NCT01682759)
Timeframe: Baseline and Week 54
Intervention | mg/dL (Least Squares Mean) |
---|
Omarigliptin | -2.7 |
Glimepiride | -8.3 |
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Change From Baseline in Body Weight at Week 54 Excluding Data After Gylcemic Rescue
(NCT01682759)
Timeframe: Baseline and Week 54
Intervention | kg (Least Squares Mean) |
---|
Omarigliptin | -0.4 |
Glimepiride | 1.5 |
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Percentage of Participants With an Adverse Event of Symptomatic Hypoglycemia Excluding Data After Glycemic Rescue
Symptomatic episode of hypoglycemia was an episode with clinical symptoms reported by the investigator as hypoglycemia (concurrent fingerstick glucose not required). (NCT01682759)
Timeframe: Up to Week 54
Intervention | Percentage of participants (Number) |
---|
Omarigliptin | 5.3 |
Glimepiride | 26.7 |
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Percentage of Participants With Fasting Plasma Glucose (FPG) <5.6 mmol/L (100 mg/dL) At Month 6
(NCT01683266)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
HOE901--U300 | 9.9 |
Lantus | 12.8 |
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Percentage of Participants With HbA1c Less Than or Equal to 6.5% at Month 6 Endpoint
(NCT01683266)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
HOE901--U300 | 8.1 |
Lantus | 5.5 |
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Percentage of Participants With HbA1c <7% at Month 6 Endpoint
(NCT01683266)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
HOE901--U300 | 16.8 |
Lantus | 15.0 |
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Percentage of Participants With FPG <7.2 mmol/L (130 mg/dL) at Month 6 Endpoint
(NCT01683266)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
HOE901--U300 | 25.3 |
Lantus | 25.6 |
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Change in Variability of Pre-injection SMPG From Baseline to Month 6 Endpoint
Pre-injection SMPG was measured within 30 minutes prior to the injection of the study drug. Variability was assessed by the mean of coefficient of variation calculated as 100 multiplied by (standard deviation/mean) over at least 3 SMPG measured during the 7 days preceding the assessment visit. (NCT01683266)
Timeframe: Baseline, Month 6
Intervention | percentage of mean (Least Squares Mean) |
---|
HOE901--U300 | -3.03 |
Lantus | -1.76 |
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Change in Total Treatment Satisfaction Score Using The Diabetes Treatment Satisfaction Questionnaire (DTSQs) From Baseline to Month 6 Endpoint
DTSQ is a validated measure to assess how satisfied participants with diabetes are with their treatment and how they perceive hyper- and hypoglycemia. It consists of 8 questions which are answered on a Likert scale from 0 to 6. DTSQ treatment satisfaction score is the sum of question 1 and 4-8 scores and ranges between 0 and 36, where higher scores indicate more treatment satisfaction. (NCT01683266)
Timeframe: Baseline, Month 6
Intervention | units on a scale (Least Squares Mean) |
---|
HOE901--U300 | 1.00 |
Lantus | 1.41 |
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Change In HbA1c From Baseline to Month 6 Endpoint
(NCT01683266)
Timeframe: Baseline, Month 6
Intervention | percentage of hemoglobin (Least Squares Mean) |
---|
HOE901--U300 | -0.40 |
Lantus | -0.44 |
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Change in Fasting Plasma Glucose From Baseline to Month 6 Endpoint
(NCT01683266)
Timeframe: Baseline, Month 6
Intervention | mmol/L (Least Squares Mean) |
---|
HOE901--U300 | -0.95 |
Lantus | -1.14 |
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Change in Daily Average Total Insulin Dose From Baseline to Month 6 Endpoint
(NCT01683266)
Timeframe: Baseline, Month 6
Intervention | U/kg (Mean) |
---|
HOE901--U300 | 0.19 |
Lantus | 0.10 |
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Percentage of Participants With Hypoglycemia (All and Nocturnal) Events From Baseline to Month 12
Hypoglycemia events were Severe hypoglycemia (an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions); Documented symptomatic hypoglycemia (typical symptoms of hypoglycemia with plasma glucose level of <=3.9 mmol/L [70 mg/dL]); Asymptomatic hypoglycemia (no typical symptoms of hypoglycemia but plasma glucose level <=3.9 mmol/L); Probable symptomatic hypoglycemia (an event during which symptoms of hypoglycemia were not accompanied by a plasma glucose determination, but was presumably caused by a plasma glucose level <=3.9 mmol/L, symptoms treated with oral carbohydrate without a test of plasma glucose); Relative hypoglycemia (an event during which the person with diabetes reported any of the typical symptoms of hypoglycemia, and interpreted the symptoms as indicative of hypoglycemia, but plasma glucose level >3.9 mmol/L); Severe and/or confirmed a hypoglycemia (plasma glucose <=3.9 mmol/L). (NCT01683266)
Timeframe: Up to Month 12
Intervention | percentage of participants (Number) |
---|
| Any Hypoglycemia Event: All Hypoglycemia | Severe Hypoglycemia: All Hypoglycemia | Documented Symptomatic: All Hypoglycemia | Asymptomatic: All Hypoglycemia | Probable Symptomatic: All Hypoglycemia | Relative: All Hypoglycemia | Severe and/or Confirmed: All Hypoglycemia | Any Hypoglycemia Event: Nocturnal Hypoglycemia | Severe Hypoglycemia: Nocturnal Hypoglycemia | Documented Symptomatic: Nocturnal Hypoglycemia | Asymptomatic: Nocturnal Hypoglycemia | Probable Symptomatic: Nocturnal Hypoglycemia | Relative: Nocturnal Hypoglycemia | Severe and/or Confirmed: Nocturnal Hypoglycemia |
---|
HOE901--U300 | 95.3 | 9.1 | 87.6 | 76.6 | 11.3 | 14.6 | 94.9 | 73.4 | 3.3 | 64.2 | 35.0 | 5.1 | 4.0 | 72.6 |
,Lantus | 94.9 | 11.3 | 86.5 | 81.5 | 15.3 | 9.5 | 94.5 | 74.9 | 3.3 | 63.3 | 38.9 | 6.5 | 5.5 | 74.5 |
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Change In Average Pre-Injection Self-Monitored Plasma Glucose (SMPG) From Baseline Month 6 Endpoint
Pre-injection SMPG was measured within 30 minutes prior to the injection of the study drug. Average was assessed by the mean of at least 3 SMPG calculated over the 7 days preceding the assessment visit. (NCT01683266)
Timeframe: Baseline, Month 6
Intervention | millimole per liter (mmol/L) (Least Squares Mean) |
---|
HOE901--U300 | -1.16 |
Lantus | -0.82 |
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Change in 8--Point SMPG Profiles Per Time Point From Baseline to Month 6 Endpoint
Change in each time-point of 8-point SMPG profile: 03:00 hours (clock time) at night; before and 2 hours after breakfast; before and 2 hours after lunch; before and 2 hours after dinner; and at bedtime. (NCT01683266)
Timeframe: Baseline, Month 6
Intervention | mmol/L (Mean) |
---|
| 03:00 at Night (n= 156, 159) | Pre--Breakfast (n= 166, 167) | 2 Hours After Breakfast (n= 152, 156) | Pre--Lunch (n= 166, 166) | 2 Hours After Lunch (n= 163,163) | Pre--Dinner (n= 165,166) | 2 Hours After Dinner (n= 154,152) | Bedtime (n= 141,146) |
---|
HOE901--U300 | -0.47 | -0.86 | -0.62 | -0.95 | -0.13 | -0.56 | -0.93 | -0.80 |
,Lantus | -0.67 | -0.07 | -1.18 | -0.93 | -1.43 | -1.74 | -1.19 | -1.91 |
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Total Amount of Glucose Infused (Gtot) Over the Duration of Clamp Procedure
Gtot was the total glucose infusion over the clamp duration and was used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations were held constant after the administration of LY2963016 or US-approved Lantus by adjusting the exogenous glucose infusion rate. Data presented were adjusted by the body weight. (NCT01688635)
Timeframe: 30 minutes predose up to 24 hours postdose in all treatment periods
Intervention | milligrams/kilogram (mg/kg) (Geometric Mean) |
---|
LY2963016 | 1670 |
US-approved Lantus | 1820 |
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Pharmacokinetics (PK): Maximum Plasma Concentration (Cmax) of LY2963016 and US-Approved Lantus
(NCT01688635)
Timeframe: 30 minutes predose up to 24 hours postdose in all treatment periods
Intervention | picomoles/liter (pmol/L) (Geometric Mean) |
---|
LY2963016 | 103 |
US-approved Lantus | 111 |
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Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of LY2963016 and US-Approved Lantus
The AUC from time 0 to 24 hours (AUC0-24) of LY2963016 and US-Approved Lantus was measured. (NCT01688635)
Timeframe: 30 minutes predose up to 24 hours postdose in all treatment periods
Intervention | picomoles*hour/liter (pmol*h/L) (Geometric Mean) |
---|
LY2963016 | 1720 |
US-approved Lantus | 1900 |
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Maximum Glucose Infusion Rate (Rmax)
Rmax is the maximum infusion rate of glucose administered intravenously needed to maintain target blood glucose level and is used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations are held constant after the administration of LY2963016 or US-approved Lantus by adjusting the exogenous glucose infusion rate. Data presented were adjusted by the body weight. (NCT01688635)
Timeframe: 30 minutes predose up to 24 hours postdose in all treatment periods
Intervention | milligrams/kilograms/minute (mg/kg/min) (Geometric Mean) |
---|
LY2963016 | 2.12 |
US-approved Lantus | 2.27 |
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Percentage of Participants Who Experienced an Adverse Event Which Were Included Under the System Order Class of Investigations (Phase A+B)
The following laboratory parameters were included: blood chemistry, hematology, electrocardiograms, lipids, body weight, and vital signs. (NCT01755156)
Timeframe: Up to 104 weeks
Intervention | Percentage of participants (Number) |
---|
Omarigliptin (Phase A) → Omarigliptin (Phase B) | 21.9 |
Placebo to Omarigliptin (Phase A) → Glimepiride (Phase B) | 17.4 |
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Percentage of Participants Who Discontinued Study Drug Due to an Adverse Event (Phase A+B)
An adverse event is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. Presented data exclude data after glycemic rescue. (NCT01755156)
Timeframe: Up to 104 weeks
Intervention | Percentage of participants (Number) |
---|
Omarigliptin (Phase A) → Omarigliptin (Phase B) | 2.0 |
Placebo to Omarigliptin (Phase A) → Glimepiride (Phase B) | 4.5 |
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Kaplan-Meier Estimate of Cumulative Incidence of Participants Requiring Glycemic Rescue Therapy by 24 Weeks (Phase A)
Participants who did not meet progressively stricter glycemic criteria in Phase A had rescue initiated with open-label glimepiride. (NCT01755156)
Timeframe: Up to 24 weeks
Intervention | Percentage of participants (Number) |
---|
Omarigliptin (Phase A) | 8.5 |
Placebo to Omarigliptin (Phase A) | 9.7 |
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Kaplan-Meier Estimate of Cumulative Incidence of Participants Requiring Glycemic Rescue Therapy by 104 Weeks (Phase A+B)
Participants who did not meet progressively stricter glycemic criteria in Phase A had rescue initiated with open-label glimepiride. If during Phase B participants on open-label glimepiride or blinded glimepiride/glimepiride matching placebo needed rescue after maximum up-titration, then insulin glargine was initiated and the dose of open-label glimepiride or blinded glimepiride/glimepiride-matching placebo was discontinued. (NCT01755156)
Timeframe: Up to 104 weeks
Intervention | Percentage of participants (Number) |
---|
Omarigliptin (Phase A) → Omarigliptin (Phase B) | 20.2 |
Placebo to Omarigliptin (Phase A) → Glimepiride (Phase B) | 16.2 |
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Change From Baseline in PMG Total Area Under the Plasma Concentration Time Curve (AUC) at Week 24 (Phase A)
Change from baseline in PMG total AUC at Week 24 based on a cLDA model including terms for treatment, time, and the interaction of time by treatment. Plasma glucose levels were measured before the meal (0 minutes), and at 60 and 120 minutes after the meal. (NCT01755156)
Timeframe: Baseline and Week 24
Intervention | mg*h/dL (Least Squares Mean) |
---|
Omarigliptin (Phase A) | -46.4 |
Placebo to Omarigliptin (Phase A) | -18.6 |
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Percentage of Participants Attaining A1C Glycemic Goals of <7.0% After 24 Weeks of Treatment (Phase A)
Percentage of participants attaining A1C glycemic goals of <7.0% (53 mmol/mol) after 24 weeks of treatment estimated using standard multiple imputation techniques. (NCT01755156)
Timeframe: 24 weeks
Intervention | Percentage of participants (Number) |
---|
Omarigliptin (Phase A) | 38.0 |
Placebo to Omarigliptin (Phase A) | 18.8 |
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Change From Baseline in 2-hour Post-meal Glucose (PMG) at Week 24 (Phase A)
Change from baseline in 2-hour PMG at Week 24 was analyzed using cLDA method with a restriction of the same baseline mean across treatment groups. The cLDA model included terms for treatment, time, and the interaction of time by treatment. (NCT01755156)
Timeframe: Baseline and Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Omarigliptin (Phase A) | -26.8 |
Placebo to Omarigliptin (Phase A) | -12.2 |
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Change From Baseline in A1C at Week 104 (Phase A+B)
A1C is measured as a percent. Change from baseline in A1C at Week 104 was analyzed using cLDA method with a restriction of the same baseline mean across treatment groups. The cLDA model included terms for treatment, time, and the interaction of time by treatment. (NCT01755156)
Timeframe: Baseline and Week 104
Intervention | Percent (Least Squares Mean) |
---|
Omarigliptin (Phase A) → Omarigliptin (Phase B) | -0.42 |
Placebo to Omarigliptin (Phase A) → Glimepiride (Phase B) | -0.51 |
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Change From Baseline in Fasting Insulin at Week 104 (Phase A+B)
Change from baseline in fasting insulin at Week 104 based on a cLDA model including terms for treatment, time, and the interaction of time by treatment. (NCT01755156)
Timeframe: Baseline and Week 104
Intervention | μIU/mL (Least Squares Mean) |
---|
Omarigliptin (Phase A) → Omarigliptin (Phase B) | 1.2 |
Placebo to Omarigliptin (Phase A) → Glimepiride (Phase B) | 1.8 |
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Change From Baseline in Glycosylated Hemoglobin (A1C) at Week 24 (Phase A)
A1C is measured as a percent. Change from baseline in A1C at Week 24 was analyzed using a constrained longitudinal data analysis (cLDA) method with a restriction of the same baseline mean across treatment groups. The cLDA model included terms for treatment, time, and the interaction of time by treatment. (NCT01755156)
Timeframe: Baseline and Week 24
Intervention | Percent (Least Squares Mean) |
---|
Omarigliptin (Phase A) | -0.54 |
Placebo to Omarigliptin (Phase A) | 0.00 |
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Change From Baseline in Fasting Insulin at Week 24 (Phase A)
Change from baseline in fasting insulin at Week 24 based on a cLDA model including terms for treatment, time, and the interaction of time by treatment. (NCT01755156)
Timeframe: Baseline and Week 24
Intervention | micro International Unit (μIU)/mL (Least Squares Mean) |
---|
Omarigliptin (Phase A) | 1.8 |
Placebo to Omarigliptin (Phase A) | -1.9 |
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Percentage of Participants Attaining A1C Glycemic Goals of <7% After 104 Weeks of Treatment (Phase A+B)
Percentage of participants attaining A1C glycemic goals of <7.0% (53 mmol/mol) after 104 weeks of treatment estimated using standard multiple imputation techniques. (NCT01755156)
Timeframe: 104 weeks
Intervention | Percentage of participants (Least Squares Mean) |
---|
Omarigliptin (Phase A) → Omarigliptin (Phase B) | 32.2 |
Placebo to Omarigliptin (Phase A) → Glimepiride (Phase B) | 39.0 |
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Percentage of Participants Attaining A1C Glycemic Goals of <6.5% After 104 Weeks of Treatment (Phase A+B)
Percentage of participants attaining A1C glycemic goals of <6.5% (48 mmol/mol) after 104 weeks of treatment estimated using standard multiple imputation techniques. (NCT01755156)
Timeframe: 104 weeks
Intervention | Percentage of participants (Least Squares Mean) |
---|
Omarigliptin (Phase A) → Omarigliptin (Phase B) | 13.7 |
Placebo to Omarigliptin (Phase A) → Glimepiride (Phase B) | 17.9 |
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Percentage of Participants Requiring Glycemic Rescue Therapy at or Before Week 104 (Phase A+B)
Data presented are a cumulative incidence of participants with glycemic rescue by Week 104. (NCT01755156)
Timeframe: Up to 104 weeks
Intervention | Percentage of participants (Number) |
---|
Omarigliptin (Phase A) → Omarigliptin (Phase B) | 17.4 |
Placebo to Omarigliptin (Phase A) → Glimepiride (Phase B) | 13.9 |
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Percentage of Participants Requiring Glycemic Rescue Therapy at or Before Week 24 (Phase A)
Data presented are a cumulative incidence of participants with glycemic rescue by Week 24. (NCT01755156)
Timeframe: Up to 24 weeks
Intervention | Percentage of participants (Number) |
---|
Omarigliptin (Phase A) | 8.0 |
Placebo to Omarigliptin (Phase A) | 9.0 |
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Percentage of Participants Who Experienced at Least One Adverse Event (Phase A+B)
An adverse event is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. Presented data exclude data after glycemic rescue. (NCT01755156)
Timeframe: Up to 107 weeks
Intervention | Percentage of participants (Number) |
---|
Omarigliptin (Phase A) → Omarigliptin (Phase B) | 65.7 |
Placebo to Omarigliptin (Phase A) → Glimepiride (Phase B) | 65.2 |
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Change From Baseline in FPG at Week 104 (Phase A+B)
Change from baseline in FPG at Week 104 was analyzed using cLDA method with a restriction of the same baseline mean across treatment groups. The cLDA model included terms for treatment, time, and the interaction of time by treatment. (NCT01755156)
Timeframe: Baseline and Week 104
Intervention | mg/dL (Least Squares Mean) |
---|
Omarigliptin (Phase A) → Omarigliptin (Phase B) | -7.8 |
Placebo to Omarigliptin (Phase A) → Glimepiride (Phase B) | -18.2 |
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 (Phase A)
Change from baseline in FPG at Week 24 was analyzed using cLDA method with a restriction of the same baseline mean across treatment groups. The cLDA model included terms for treatment, time, and the interaction of time by treatment. (NCT01755156)
Timeframe: Baseline and Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Omarigliptin (Phase A) | -10.7 |
Placebo to Omarigliptin (Phase A) | -1.2 |
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Percentage of Participants Attaining A1C Glycemic Goals of <6.5% After 24 Weeks of Treatment (Phase A)
Percentage of participants attaining A1C glycemic goals of <6.5% (48 mmol/mol) after 24 weeks of treatment estimated using standard multiple imputation techniques. (NCT01755156)
Timeframe: 24 weeks
Intervention | Percentage of participants (Number) |
---|
Omarigliptin (Phase A) | 10.6 |
Placebo to Omarigliptin (Phase A) | 6.4 |
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Change in Body Weight From Baseline to Week 26
"Primary outcome was the comparison between Lixisenatide versus Insulin Glulisine TID.~Change in body weight was calculated by subtracting baseline value from Week 26 value. Missing data was imputed using LOCF. On-treatment period for this efficacy variable was defined as the time from the first dose of study drug up to 3 days after the last dose of study drug." (NCT01768559)
Timeframe: Baseline, Week 26
Intervention | kg (Least Squares Mean) |
---|
Lixisenatide | -0.63 |
Insulin Glulisine QD | 1.03 |
Insulin Glulisine TID | 1.37 |
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Change in Average 7-point SMPG Profiles From Baseline to Week 26
Participants recorded a 7-point plasma glucose profile measured before and 2 hours after each meal and at bedtime three times in a week before baseline, before visit Week 12 and before visit week 26 and the average value across the profiles performed in the week a visit for the 7-time points was calculated. Change in average 7-point SMPG was calculated by subtracting baseline value from Week 26 value. Missing data was imputed using LOCF. The on-treatment period for this efficacy variable was defined as the time from the first dose of study drug up to the day of last dose of study drug. (NCT01768559)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Least Squares Mean) |
---|
Lixisenatide | -0.784 |
Insulin Glulisine QD | -0.782 |
Insulin Glulisine TID | -1.053 |
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Change in FPG From Baseline to Week 26
Change in FPG was calculated by subtracting baseline value from Week 26 value. Missing data was imputed using LOCF. The on-treatment period for this efficacy variable was the time from the first dose of study drug up to 1 day after the last dose of study drug. (NCT01768559)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Least Squares Mean) |
---|
Lixisenatide | -0.23 |
Insulin Glulisine QD | -0.21 |
Insulin Glulisine TID | -0.06 |
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Change in Glucose Excursions From Baseline to Week 26 (in Participants Who Had an Injection of IMP Before Breakfast)
Glucose excursion = 2-hour PPG minus plasma glucose 30 minutes prior to the standardized meal test, before study drug administration. Change in glucose excursions was calculated by subtracting baseline value from Week 26 value. Missing data was imputed using LOCF. The on-treatment period for this efficacy variable was the time from the first dose of study drug up to the day of last dose of study drug. (NCT01768559)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Mean) |
---|
Lixisenatide | -3.42 |
Insulin Glulisine QD | -1.59 |
Insulin Glulisine TID | -1.56 |
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Change in Insulin Glargine Dose From Baseline to Week 26
Change in Insulin glargine dose was calculated by subtracting the baseline value from Week 26 value. Missing data was imputed using LOCF. The on-treatment period for this efficacy variable was the time from the first dose of study drug up to the day of last dose of study drug. (NCT01768559)
Timeframe: Baseline, Week 26
Intervention | U (Least Squares Mean) |
---|
Lixisenatide | 0.7 |
Insulin Glulisine QD | -0.06 |
Insulin Glulisine TID | -3.13 |
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Change in PPG From Baseline to Week 26 (in Participants Who Had an Injection of Investigational Medicinal Product [IMP] Before Breakfast)
The 2-hour PPG test measured blood glucose 2 hours after eating a standardized meal. Change in PPG was calculated by subtracting baseline value from Week 26 value. Missing data was imputed using LOCF. The on-treatment period for this efficacy variable was the time from the first dose of study drug up to the day of last dose of study drug. (NCT01768559)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Mean) |
---|
Lixisenatide | -3.93 |
Insulin Glulisine QD | -1.62 |
Insulin Glulisine TID | -1.87 |
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Insulin Glulisine Dose at Week 26
The on-treatment period for this efficacy variable was the time from the first dose of study drug up to the day of last dose of study drug. Missing data was imputed using LOCF. (NCT01768559)
Timeframe: Week 26
Intervention | U (Mean) |
---|
Insulin Glulisine QD | 9.97 |
Insulin Glulisine TID | 20.24 |
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Percentage of Participants Who Reached the Target of HbA1c <7% at Week 26 and Did Not Experienced Documented (Plasma Glucose <60 mg/dL) Symptomatic Hypoglycemia During 26 Week Treatment Period
The on-treatment period for HbA1c assessment was defined as the time from the first dose of study drug up to 14 days after the last dose of study drug. The on-treatment period for symptomatic hypoglycemia assessment was defined as the time from the first dose of study drug up to 1 day after the last dose of study drug. (NCT01768559)
Timeframe: Week 26
Intervention | percentage of participants (Number) |
---|
Lixisenatide | 29.4 |
Insulin Glulisine QD | 24.2 |
Insulin Glulisine TID | 26.1 |
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Percentage of Participants Who Reached the Target of HbA1c <7%, Had no Weight Gain at Week 26, and Did Not Experience Documented (Plasma Glucose <60 mg/dL) Symptomatic Hypoglycemia During 26-Week Treatment Period
The on-treatment period for HbA1c assessment was defined as the time from the first dose of study drug up to 14 days after the last dose of study drug. The on-treatment period for body weight assessment was defined as the time from the first dose of study drug up to 3 days after the last dose of study drug. The on-treatment period for symptomatic hypoglycemia assessment was defined as the time from the first dose of study drug up to 1 day after the last dose of study drug. Participants without post-baseline on-treatment values (HbA1c and body weight) that were no more than 30 days apart were counted as non-responders if at least one of the components (HbA1c and/or body weight) was available and showed non-response, or if they experienced at least one documented symptomatic hypoglycemia during the on-treatment period. Otherwise, they were counted as missing data. (NCT01768559)
Timeframe: Week 26
Intervention | percentage of participants (Number) |
---|
Lixisenatide | 22.2 |
Insulin Glulisine QD | 9.2 |
Insulin Glulisine TID | 10.8 |
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Percentage of Participants With no Weight Gain at Week 26
The on-treatment period for this efficacy variable was the time from the first dose of study drug up to 3 days after the last dose of study drug. (NCT01768559)
Timeframe: Week 26
Intervention | percentage of participants (Number) |
---|
Lixisenatide | 64.7 |
Insulin Glulisine QD | 36.6 |
Insulin Glulisine TID | 30.5 |
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Total Insulin Dose at Week 26
"The on-treatment period for this efficacy variable was the time from the first dose of study drug up to the day of last dose of study drug. Missing data was imputed using LOCF.~The outcome is reporting results of total insulin (amounts of Insulin Glargine plus Insulin Glulisine ) only for the arms in which Insulin Glulisine was administered and is not applicable for the lixisenatide arm in which only Insulin Glargine is administered. Change in dose of the insulin used by patients in the Lixisenatide arm (i.e. Insulin Glargine) is reported in the secondary Outcome Measure 9." (NCT01768559)
Timeframe: Week 26
Intervention | U (Mean) |
---|
Insulin Glulisine QD | 73.61 |
Insulin Glulisine TID | 81.05 |
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Percentage of Participants With Documented Symptomatic and Severe Symptomatic Hypoglycemia
Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of <60 mg/dL (3.3 mmol/L). Severe symptomatic hypoglycemia was symptomatic hypoglycemia event in which the participant required the assistance of another person and was associated with either a plasma glucose level below 36 mg/dL (2.0 mmol/L) or prompt recovery after oral carbohydrate, intravenous glucose, or glucagon administration, if no plasma glucose measurement was available. (NCT01768559)
Timeframe: First dose of study drug up to 3 days after the last dose administration (maximum of 185 days)
Intervention | percentage of participants (Number) |
---|
| Documented symptomatic hypoglycemia | Severe symptomatic hypoglycemia |
---|
Insulin Glulisine QD | 37.5 | 0.7 |
,Insulin Glulisine TID | 44.6 | 0 |
,Lixisenatide | 31.5 | 0 |
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Percentage of Participants With HbA1c Level <7% and ≤6.5% at Week 26
The on-treatment period for this efficacy variable was defined as the time from the first dose of study drug up to 14 days after the last dose of study drug. Missing data was imputed using LOCF. (NCT01768559)
Timeframe: Week 26
Intervention | percentage of participants (Number) |
---|
| HbA1c ≤6.5% | HbA1c <7.0% |
---|
Insulin Glulisine QD | 17.8 | 38.4 |
,Insulin Glulisine TID | 30.8 | 49.2 |
,Lixisenatide | 20.5 | 42.1 |
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Change in HbA1c From Baseline to Week 26
Change in HbA1C was calculated by subtracting baseline value from Week 26 value. Missing data was imputed using last on-treatment observation carried forward (LOCF). On-treatment period for this efficacy variable was defined as the time from the first dose of study drug up to 14 days after the last dose of study drug. Here, number of participants analyzed = participants with baseline and at least one post-baseline HbA1c assessment during on-treatment period. (NCT01768559)
Timeframe: Baseline, Week 26
Intervention | percentage of hemoglobin (Least Squares Mean) |
---|
Lixisenatide | -0.63 |
Insulin Glulisine QD | -0.58 |
Insulin Glulisine TID | -0.84 |
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Percentage of Participants Who Reached the Target of HbA1c <7% and Had no Weight Gain at Week 26
The on-treatment period for HbA1c assessment was defined as the time from the first dose of study drug up to 14 days after the last dose of study drug. The on-treatment period for body weight assessment was defined as the time from the first dose of study drug up to 3 days after the last dose of study drug. (NCT01768559)
Timeframe: Week 26
Intervention | percentage of participants (Number) |
---|
Lixisenatide | 31.2 |
Insulin Glulisine QD | 16.7 |
Insulin Glulisine TID | 17.6 |
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Amount of Glucose Required to Reach Blood Glucose (BG) of 72 mg/dL
The amount of infused glucose required to reach BG of 72 milligrams per deciliter (mg/dL) is presented. (NCT01769404)
Timeframe: 30, 15, and 0 minutes Preclamp; 10, 20, and 30 minutes Post-Clamp
Intervention | milligrams (mg) (Geometric Mean) |
---|
LY2605541 | 11600 |
Insulin Glargine | 12700 |
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Concentration of Cortisol
Cortisol levels are presented. Each participant's measurements at 30, 15, and 0 minutes preclamp on the day of the clamp were averaged for the baseline value, and measurements at BG level attainment and +30 minutes were averaged for the BG nadir value. (NCT01769404)
Timeframe: 30, 15, and 0 minutes Preclamp; 10, 20, and 30 minutes Post-Clamp
Intervention | nanomole per liter (nmol/L) (Mean) |
---|
| Baseline | BG nadir |
---|
Insulin Glargine | 260.0 | 333.8 |
,LY2605541 | 206.7 | 337.3 |
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Concentration of Epinephrine
Epinephrine levels are presented. Each participant's measurements at 30, 15, and 0 minutes preclamp on the day of the clamp were averaged for the baseline value, and measurements at blood glucose (BG) level attainment and +10, 20, and 30 minutes were averaged for the BG nadir value. (NCT01769404)
Timeframe: 30, 15, and 0 minutes Preclamp; 10, 20, and 30 minutes Post-Clamp
Intervention | picomole per liter (pmol/L) (Mean) |
---|
| Baseline | BG nadir |
---|
Insulin Glargine | 196.5 | 525.2 |
,LY2605541 | 157.2 | 607.5 |
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Concentration of Glucagon
Glucagon levels are presented. Each participant's measurements at 30, 15, and 0 minutes preclamp on the day of the clamp were averaged for the baseline value, and measurements at BG level attainment and +30 minutes were averaged for the BG nadir value. (NCT01769404)
Timeframe: 30, 15, and 0 minutes Preclamp; 10, 20, and 30 minutes Post-Clamp
Intervention | pmol/L (Mean) |
---|
| Baseline | BG nadir |
---|
Insulin Glargine | 5.28 | 4.98 |
,LY2605541 | 8.02 | 5.89 |
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Amount of Glucose Required to Maintain BG of 72 mg/dL
The amount of infused glucose required to maintain BG of 72 mg/dL for 1 hour is presented. (NCT01769404)
Timeframe: 30, 15, and 0 minutes Preclamp; 10, 20, and 30 minutes Post-Clamp
Intervention | mg (Geometric Mean) |
---|
LY2605541 | 15400 |
Insulin Glargine | 15900 |
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Concentration of Growth Hormone
Growth hormone levels are presented. Each participant's measurements at 30, 15, and 0 minutes preclamp on the day of the clamp were averaged for the baseline value, and measurements at BG level attainment and +30 minutes were averaged for the BG nadir value. (NCT01769404)
Timeframe: 30, 15, and 0 minutes Preclamp; 10, 20, and 30 minutes Post-Clamp
Intervention | micrograms per liter (µg/L) (Mean) |
---|
| Baseline | BG nadir |
---|
Insulin Glargine | 1.3948 | 8.0114 |
,LY2605541 | 1.0816 | 6.8752 |
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Concentration of Norepinephrine
Norepinephrine values are presented. Each participant's measurements at 30, 15, and 0 minutes preclamp on the day of the clamp were averaged for the baseline value, and measurements at BG level attainment and +10, 20, and 30 minutes were averaged for the BG nadir value. (NCT01769404)
Timeframe: 30, 15, and 0 minutes Preclamp; 10, 20, and 30 minutes Post-Clamp
Intervention | pmol/L (Mean) |
---|
| Baseline | BG nadir |
---|
Insulin Glargine | 1139.8 | 1434.8 |
,LY2605541 | 1004.2 | 1235.8 |
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VLDL-TG Secretion Rate
VLDL-TG secretion rates are calculated at steady state during dosing with insulin peglispro and insulin glargine. (NCT01771250)
Timeframe: Day 22: 240 min to 420 min
Intervention | μmol/min (Geometric Mean) |
---|
Insulin Peglispro | 38.79 |
Insulin Glargine | 25.61 |
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Very Low Density Lipoprotein-Triglyceride (VLDL-TG) Concentrations
VLDL-TG average total concentration calculated at steady state from 240 to 420 minutes during dosing with insulin peglispro and insulin glargine. (NCT01771250)
Timeframe: Day 22: 240 minutes (min) to 420 min
Intervention | micromole per Liter (μmol/L) (Geometric Mean) |
---|
Insulin Peglispro | 0.27 |
Insulin Glargine | 0.17 |
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VLDL-TG Clearance Rate
VLDL-TG clearance rates are calculated at steady state during dosing with insulin peglispro and insulin glargine. (NCT01771250)
Timeframe: Day 22: 240 min to 420 min
Intervention | milliliters per minute (mL/min) (Geometric Mean) |
---|
Insulin Peglispro | 142.16 |
Insulin Glargine | 155.11 |
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VLDL-TG Oxidation Rate
VLDL-TG oxidation rates are calculated at steady state during dosing with insulin peglispro and insulin glargine. (NCT01771250)
Timeframe: Day 22: 240 min to 420 min
Intervention | μmol/min (Geometric Mean) |
---|
Insulin Peglispro | 20.13 |
Insulin Glargine | 15.34 |
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ACPRg
First phase response from the hyperglycemic clamp (NCT01779362)
Timeframe: 3-months after a medication washout
Intervention | nmol/L (Geometric Mean) |
---|
Metformin Alone | 1.68 |
Glargine Followed by Metformin | 1.68 |
Placebo | 1.68 |
Liraglutide + Metformin | 1.68 |
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Insulin Sensitivity, M/I
Clamp measure of insulin sensitivity (NCT01779362)
Timeframe: 3-months after a medication washout
Intervention | x 10-5 mmol/kg/min per pmol/L (Geometric Mean) |
---|
Metformin Alone | 3.53 |
Glargine Followed by Metformin | 3.38 |
Placebo | 3.63 |
Liraglutide + Metformin | 3.49 |
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ß-cell Function Measured by Hyperglycemic Clamp Techniques at M12
Participants had 12-months of active therapy. Secondary results at the end of active intervention. (NCT01779362)
Timeframe: Secondary analysis was on all participants with a Month 12 visit.
Intervention | nmol/L (Geometric Mean) |
---|
| ACRPg | Steady State C-peptide | ACRPmax |
---|
Glargine Followed by Metformin | 1.88 | 11.6 | 14.1 |
,Liraglutide + Metformin | 2.68 | 21.2 | 10.1 |
,Metformin Alone | 1.93 | 11.7 | 13.4 |
,Placebo | 1.69 | 10.8 | 13.6 |
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ß-cell Response Measured by Hyperglycemic Clamp
Clamp measures of ß-cell response, co-primary outcomes (NCT01779362)
Timeframe: 3-months after medication washout (Month 15)
Intervention | nmol/L (Geometric Mean) |
---|
| Steady State C-peptide | ACPRmax |
---|
Glargine Followed by Metformin | 3.58 | 4.32 |
,Liraglutide + Metformin | 3.73 | 4.58 |
,Metformin Alone | 3.65 | 4.61 |
,Placebo | 3.60 | 4.45 |
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Clamp Measure of Insulin Sensitivity
Participants had 12-months of active therapy. Secondary results at the end of active intervention. (NCT01779375)
Timeframe: End of active intervention (Month 12)
Intervention | x 10-5 mmol/kg/min per pmol/L (Mean) |
---|
Metformin Alone | 1.52 |
Glargine Followed by Metformin | 1.93 |
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M/I
Clamp measure of insulin sensitivity (NCT01779375)
Timeframe: 3-months after a medication washout
Intervention | x 10-5 mmol/kg/min per pmol/L (Mean) |
---|
Metformin Alone | 1.48 |
Glargine Followed by Metformin | 1.70 |
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ß-cell Function Measured by Hyperglycemic Clamp Techniques at M12
Participants had 12-months of active therapy. Secondary results at the end of active intervention. (NCT01779375)
Timeframe: End of active intervention (Month 12).
Intervention | nmol/L (Mean) |
---|
| Steady State C-peptide | ACPRmax | ACPRg |
---|
Glargine Followed by Metformin | 4.37 | 5.79 | 1.03 |
,Metformin Alone | 4.78 | 6.95 | 1.06 |
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ß-cell Response Measured by Hyperglycemic Clamp
Clamp measures of ß-cell response, co-primary outcomes (NCT01779375)
Timeframe: 3-months after medication washout (Month 15)
Intervention | nmol/L (Mean) |
---|
| Steady State C-peptide | ACPRmax |
---|
Glargine Followed by Metformin | 4.18 | 5.95 |
,Metformin Alone | 4.82 | 6.92 |
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ACPRg
First phase response (NCT01779375)
Timeframe: 3-months after a medication washout
Intervention | nmol/L (Mean) |
---|
Metformin Alone | 1.11 |
Glargine Followed by Metformin | 1.12 |
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Part B: Pharmacokinetics: AUCτ of LY2605541 and Insulin Glargine: Exercise Versus Non-Exercise
Venous blood samples for pharmacokinetic analysis were collected in Part B. Results were stratified by whether or not the participant was undergoing an exercise challenge (+ Exercise) at the time of sample collection. (NCT01784211)
Timeframe: Part B: Predose, 11 hours postdose, every 30 minutes from 16.5 to 20 hours postdose, and 24 hours postdose on Day 16 or 19
Intervention | picomoles*hour per liter (pmol*h/L) (Geometric Mean) |
---|
LY2605541 + Exercise (Part B) | 147000 |
LY2605541 (Part B) | 130000 |
Glargine + Exercise (Part B) | 2950 |
Glargine (Part B) | 2650 |
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Part A: Pharmacokinetics: Maximum Drug Concentration (Cmax) of LY2605541 and Insulin Glargine: Intra-Participant Variability
Venous blood samples for pharmacokinetic analysis were collected during the euglycemic glucose clamps during Part A. The intra-participant percentage of coefficient of variation (%CV) is presented. %CV was calculated by dividing the standard deviation by the mean, multiplied by 100. (NCT01784211)
Timeframe: Part A: Predose and 4, 8, 12, and 24 hours postdose on Days 8, 11, and 14
Intervention | %CV (Number) |
---|
LY2605541 (Part A) | 12.6 |
Glargine (Part A) | 27.7 |
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Part A: Pharmacodynamics: Total Amount of Glucose Infused Over the Duration of the Clamp (Gtot): Intra-Participant Variability
Glucodynamic measurements were collected during the euglycemic glucose clamps during Part A. The intra-participant percentage of coefficient of variation (%CV) is presented. %CV was calculated by dividing the standard deviation by the mean, multiplied by 100. (NCT01784211)
Timeframe: Part A: Predose up to 24 hours postdose on Days 8, 11, and 14
Intervention | %CV (Number) |
---|
LY2605541 (Part A) | 41.4 |
Glargine (Part A) | 63.9 |
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Part A: Pharmacokinetics: Area Under the Concentration Versus Time Curve Over the Dosing Interval (AUCτ) of LY2605541 and Insulin Glargine: Intra-Participant Variability
Venous blood samples for pharmacokinetic analysis were collected during the euglycemic glucose clamps during Part A. The intra-participant percentage of coefficient of variation (%CV) is presented. %CV was calculated by dividing the standard deviation by the mean, multiplied by 100. (NCT01784211)
Timeframe: Part A: Predose and 4, 8, 12, and 24 hours postdose on Days 8, 11, and 14
Intervention | %CV (Number) |
---|
LY2605541 (Part A) | 11.3 |
Glargine (Part A) | 19.2 |
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Part B: Pharmacokinetics: Cmax of LY2605541 and Insulin Glargine: Exercise Versus Non-Exercise
Venous blood samples for pharmacokinetic analysis were collected in Part B. Results were stratified by whether or not the participant was undergoing an exercise challenge (+ Exercise) at the time of sample collection. (NCT01784211)
Timeframe: Part B: Predose, 11 hours postdose, every 30 minutes from 16.5 to 20 hours postdose, and 24 hours postdose on Day 16 or 19
Intervention | picomoles per liter (pmol/L) (Geometric Mean) |
---|
LY2605541 + Exercise (Part B) | 11100 |
LY2605541 - No Exercise (Part B) | 6760 |
Glargine + Exercise (Part B) | 166 |
Glargine - No Exercise (Part B) | 153 |
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Number of Participants Experiencing a Hyperglycemic Event
The number of participants that experienced hyperglycemia, defined as blood glucose levels ≥ 140 mg/dl. (NCT01792830)
Timeframe: 3 months after discharge
Intervention | Participants (Count of Participants) |
---|
Control, Non-diabetic, no Treatment | 0 |
Non-diabetic, Metformin | 0 |
Non-diabetic, Insulin | 2 |
Diabetic, HbA1C <7%, Metformin | 0 |
Diabetic, HbA1C <7%, Metformin and Insulin Glargine | 1 |
Diabetic, HbA1C <7%, Insulin Glargine | 1 |
Diabetic, HbA1C 7%- 9%, Metformin | 3 |
Diabetic, HbA1C 7%-9%, Metformin and Insulin Glargine | 1 |
Diabetic, HbA1C 7%-9%, Insulin Glargine | 3 |
Diabetic, HbA1C >9%, Metformin and Insulin Glargine | 3 |
Diabetic, HbA1C >9%, Insulin Glulisine | 2 |
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Efficacy, Measured by a Change in HbA1c Levels
Change in the level of HbA1c in a one month period after discharge from the hospital. The A1c test result is reported as a percentage. Higher percentages indicate higher blood glucose levels in the previous three months. A normal HbA1c level is below 5.7 percent. (NCT01792830)
Timeframe: One month after hospital discharge
Intervention | percent of glycosylated hemoglobin (Mean) |
---|
Control, Non-diabetic, no Treatment | 5.09 |
Non-diabetic, Metformin | 5.2 |
Non-diabetic, Insulin | 5.5 |
Diabetic, HbA1C <7%, Metformin | 5.8 |
Diabetic, HbA1C <7%, Insulin Glargine | 6.9 |
Diabetic, HbA1C 7%- 9%, Metformin | 6.1 |
Diabetic, HbA1C 7%-9%, Metformin and Insulin Glargine | 6.3 |
Diabetic, HbA1C 7%-9%, Insulin Glargine | 6.6 |
Diabetic, HbA1C >9%, Metformin and Insulin Glargine | 8.6 |
Diabetic, HbA1C >9%, Insulin Glulisine | 6.9 |
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The Number of Participants Experiencing a Severe Hypoglycemic Event
The number of participants that experienced severe hypoglycemia, defined as blood glucose levels ≤ 40 mg/dl. (NCT01792830)
Timeframe: 3 months after discharge
Intervention | Participants (Count of Participants) |
---|
Control, Non-diabetic, no Treatment | 0 |
Non-diabetic, Metformin | 0 |
Non-diabetic, Insulin | 0 |
Diabetic, HbA1C <7%, Metformin | 0 |
Diabetic, HbA1C <7%, Metformin and Insulin Glargine | 0 |
Diabetic, HbA1C <7%, Insulin Glargine | 0 |
Diabetic, HbA1C 7%- 9%, Metformin | 0 |
Diabetic, HbA1C 7%-9%, Metformin and Insulin Glargine | 0 |
Diabetic, HbA1C 7%-9%, Insulin Glargine | 0 |
Diabetic, HbA1C >9%, Metformin and Insulin Glargine | 0 |
Diabetic, HbA1C >9%, Insulin Glulisine | 0 |
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The Number of Participants Experiencing a Hypoglycemic Event
The number of participants that experienced hypoglycemia, defined as blood glucose levels ≤70 mg/dl. (NCT01792830)
Timeframe: 3 months after discharge
Intervention | Participants (Count of Participants) |
---|
Control, Non-diabetic, no Treatment | 1 |
Non-diabetic, Metformin | 0 |
Non-diabetic, Insulin | 1 |
Diabetic, HbA1C <7%, Metformin | 0 |
Diabetic, HbA1C <7%, Metformin and Insulin Glargine | 0 |
Diabetic, HbA1C <7%, Insulin Glargine | 0 |
Diabetic, HbA1C 7%- 9%, Metformin | 0 |
Diabetic, HbA1C 7%-9%, Metformin and Insulin Glargine | 1 |
Diabetic, HbA1C 7%-9%, Insulin Glargine | 2 |
Diabetic, HbA1C >9%, Metformin and Insulin Glargine | 0 |
Diabetic, HbA1C >9%, Insulin Glulisine | 1 |
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Number of Participants Readmitted to the Hospital
The number of participants that were readmitted to the hospital 3 months after initial hospital discharge (NCT01792830)
Timeframe: 3 months after discharge
Intervention | participants (Number) |
---|
Control, Non-diabetic, no Treatment | 11 |
Non-diabetic, Metformin | 0 |
Non-diabetic, Insulin | 0 |
Diabetic, HbA1C <7%, Metformin | 1 |
Diabetic, HbA1C <7%, Metformin and Insulin Glargine | 0 |
Diabetic, HbA1C <7%, Insulin Glargine | 0 |
Diabetic, HbA1C 7%- 9%, Metformin | 1 |
Diabetic, HbA1C 7%-9%, Metformin and Insulin Glargine | 0 |
Diabetic, HbA1C 7%-9%, Insulin Glargine | 0 |
Diabetic, HbA1C >9%, Metformin and Insulin Glargine | 0 |
Diabetic, HbA1C >9%, Insulin Glulisine | 0 |
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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
Intervention | units 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 Arm | 0.89 | 0.91 | 0.96 | 1.01 | 1.12 |
,Glargine/Lispro/NPH Insulin Arm | 0.80 | 0.82 | 0.77 | 0.75 | 0.65 |
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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
Intervention | mg/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 Arm | 181.8 | 160.5 | 155.1 | 159.5 | 151.7 |
,Glargine/Lispro/NPH Insulin Arm | 173.7 | 148.4 | 140.8 | 133.4 | 132.0 |
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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)
Intervention | percentage of participants (Number) |
---|
Glargine/Lispro Insulin Arm | 90 |
Glargine/Lispro/NPH Insulin Arm | 94 |
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Percent of Glucose Determinations >180 mg/dL
(NCT01810952)
Timeframe: 1-5 days
Intervention | Percent of glucose values (Number) |
---|
Glargine/Lispro Insulin Arm | 31.0 |
Glargine/Lispro/NPH Insulin Arm | 24.6 |
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Glucose Values <70 mg/dL.
# participants with glucose values <70 mg/dL (NCT01810952)
Timeframe: 1-5 days
Intervention | participants (Number) |
---|
| # with glucose values <70 mg/dL | # with glucose values <60 mg/dL | # with glucose <50 |
---|
Glargine/Lispro Insulin Arm | 5 | 4 | 1 |
,Glargine/Lispro/NPH Insulin Arm | 4 | 2 | 0 |
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Number of Treatment Emergent Confirmed Hypoglycaemic Episodes
A hypoglycaemic episode was defined as treatment-emergent if the onset of the episode was on or after the first day of exposure to randomized treatment and no later than 1 day after the last day of randomized treatment. A severe or blood glucose (BG) confirmed hypoglycaemic episode was an episode that was severe according to the American Diabetes Association (ADA) classification (an episode that required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with or without symptoms consistent with hypoglycaemia. (NCT01819129)
Timeframe: From Week 0 to Week 26.
Intervention | Number of episodes (Number) |
---|
Faster Aspart | 2857 |
NovoRapid | 2692 |
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Change From Baseline in 2-hour PPG Increment (Meal Test)
For this endpoint baseline (week 0) and week 26 have been presented, where week 26 data is end of trial containing last available measurement. (NCT01819129)
Timeframe: Week 0, week 26
Intervention | mmol/L (Mean) |
---|
| Baseline (week 0) | Week 26 |
---|
Faster Aspart | 7.57 | 4.55 |
,NovoRapid | 7.34 | 4.9 |
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Change From Baseline in Body Weight
For this endpoint baseline (week 0) and week 26 have been presented, where week 26 data is end of trial containing last available measurement. (NCT01819129)
Timeframe: Week 0, week 26
Intervention | Kg (Mean) |
---|
| Baseline (week 0) | Week 26 |
---|
Faster Aspart | 89.0 | 91.6 |
,NovoRapid | 88.3 | 90.8 |
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Change From Baseline in HbA1c
The primary endpoint was change from baseline in HbA1c after 26 weeks of randomized treatment. For this endpoint baseline (week 0) and week 26 have been presented, where week 26 data is end of trial containing last available measurement. (NCT01819129)
Timeframe: Week 0, Week 26
Intervention | Percentage of glycosylated haemoglobin (Mean) |
---|
| Baseline (week 0) | Week 26 |
---|
Faster Aspart | 7.96 | 6.63 |
,NovoRapid | 7.89 | 6.59 |
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Change in HbA1C
The mean HbA1C measured at 3 months and 6 months post hospitalization. HbA1C is an indicator of diabetes control; below 6.0% is normal, 6.0% to 6.4% indicates prediabetes, and 6.5% or over indicates diabetes. (NCT01845831)
Timeframe: Post Hospital Discharge Month 3, Month 6
Intervention | percent (Mean) |
---|
| Baseline | Month 3 | Month 6 |
---|
Metformin and Sitagliptin | 6.3 | 6.3 | 6.2 |
,Metformin and Sitagliptin + Glargine 50% | 8.0 | 7.3 | 7.3 |
,Metformin and Sitagliptin + Glargine 80% | 11.3 | 8.0 | 8.0 |
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Total Daily Insulin Dose
Daily insulin requirement (units per day). (NCT01845831)
Timeframe: Duration of Hospitalization (Up to 10 Days)
Intervention | units per day (Mean) |
---|
Sitagliptin + Glargine (Hospital) | 24.1 |
Basal Bolus (Hospital) | 34.0 |
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Mean Percentage of Blood Glucose Readings Greater Than 13.3 mmol/L
Differences in glycemic control as measured by mean daily blood glucose (BG) concentration between sitagliptin once daily and basal bolus therapy with glargine once daily plus supplemental lispro insulin in hospitalized patients with T2D. (NCT01845831)
Timeframe: Duration of Hospitalization (Up to 10 Days)
Intervention | percentage of blood glucose readings (Mean) |
---|
Sitagliptin + Glargine (Hospital) | 14.8 |
Basal Bolus (Hospital) | 16.7 |
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Mean Percentage of Blood Glucose Readings Between 5.6 - 7.8 mmol/L
Differences in glycemic control as measured by mean daily blood glucose (BG) concentration between sitagliptin once daily and basal bolus therapy with glargine once daily plus supplemental lispro insulin in hospitalized patients with T2D. (NCT01845831)
Timeframe: Duration of Hospitalization (Up to 10 Days)
Intervention | percentage of blood glucose readings (Mean) |
---|
Sitagliptin + Glargine (Hospital) | 23.3 |
Basal Bolus (Hospital) | 23.5 |
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Mean Percentage of Blood Glucose Readings Between 3.9 - 7.8 mmol/L
Differences in glycemic control as measured by mean daily blood glucose (BG) concentration between sitagliptin once daily and basal bolus therapy with glargine once daily plus supplemental lispro insulin in hospitalized patients with T2D. (NCT01845831)
Timeframe: Duration of Hospitalization (Up to 10 Days)
Intervention | percentage of blood glucose readings (Mean) |
---|
Sitagliptin + Glargine (Hospital) | 30.7 |
Basal Bolus (Hospital) | 29.7 |
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Length of Hospital Stay
Length of hospital stay in days. (NCT01845831)
Timeframe: Duration of Hospitalization (Up to 10 Days)
Intervention | days (Median) |
---|
Sitagliptin + Glargine (Hospital) | 4.0 |
Basal Bolus (Hospital) | 4.0 |
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Acute Renal Failure Rate
Acute renal failure is defined as a clinical diagnosis of acute renal failure with documented new-onset abnormal renal function (increment > 0.5 mg/dL from baseline). (NCT01845831)
Timeframe: Duration of Hospitalization (Up to 10 Days)
Intervention | participants (Number) |
---|
Sitagliptin + Glargine (Hospital) | 7 |
Basal Bolus (Hospital) | 6 |
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Mean Blood Glucose Concentration After First Day of Treatment
The average blood glucose (BG) concentration after the first day of treatment (NCT01845831)
Timeframe: Duration of Hospitalization (Up to 10 Days)
Intervention | mmol/L (Mean) |
---|
Sitagliptin + Glargine (Hospital) | 9.5 |
Basal Bolus (Hospital) | 9.4 |
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Hospital Mortality Rate
Mortality is defined as death occurring during admission. (NCT01845831)
Timeframe: Duration of Hospitalization (Up to 10 Days)
Intervention | participants (Number) |
---|
Sitagliptin + Glargine (Hospital) | 0 |
Basal Bolus (Hospital) | 0 |
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Number of Participants With a Hypoglycemic Event
The number of participants who had a hypoglycemic event during hospitalization. (NCT01845831)
Timeframe: Duration of Hospitalization (Up to 10 Days)
Intervention | Participants (Count of Participants) |
---|
| Blood Glucose <3.9 mmol/L | Blood Glucose <2.2 mmol/L |
---|
Basal Bolus (Hospital) | 17 | 0 |
,Sitagliptin + Glargine (Hospital) | 13 | 0 |
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Mean Percentage of Blood Glucose Readings Between 3.9 - 10.0 mmol/L
Differences in glycemic control as measured by mean daily blood glucose (BG) concentration between sitagliptin once daily and basal bolus therapy with glargine once daily plus supplemental lispro insulin in hospitalized patients with T2D. (NCT01845831)
Timeframe: Duration of Hospitalization (Up to 10 Days)
Intervention | percentage of blood glucose readings (Mean) |
---|
Sitagliptin + Glargine (Hospital) | 57.0 |
Basal Bolus (Hospital) | 59.6 |
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Within-subject Variability as Measured by Coefficient of Variation (CV%) in Pre-breakfast SMPG (Self-measured Plasma Glucose)
Within subject Coefficient of variation(CV[%]) in pre-breakfast self measured plasma glucose for dose adjustment after 26 treatment weeks are displayed below. (NCT01849289)
Timeframe: Week 26
Intervention | percentage (Mean) |
---|
IDeg OD | 10.65 |
IGlar OD | 10.01 |
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Change From Baseline in FPG (Fasting Plasma Glucose) (Analysed by Central Laboratory)
Change from baseline in FPG after 26 weeks of treatment. (NCT01849289)
Timeframe: Week 0, week 26
Intervention | mmol/L (Mean) |
---|
IDeg OD | -3.35 |
IGlar OD | -3.14 |
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Change From Baseline in HbA1c (%) (Analysed by Central Laboratory)
Change from baseline in HbA1c (%) after 26 weeks of treatment. (NCT01849289)
Timeframe: Week 0, week 26
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
IDeg OD | -1.3 |
IGlar OD | -1.2 |
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Number of Severe and Minor Treatment Emergent Hypoglycaemic Episodes
Confirmed hypoglycaemic episodes consisted of episodes of severe hypoglycaemia as well as minor hypoglycaemic episodes with a confirmed PG value of less than 3.1 mmol/L (56 mg/dL).Minor hypoglycaemic episode is defined as an episode with symptoms consistent with hypoglycaemia with confirmation by full blood glucose < 2.8 mmol/L (50 mg/dL), or PG < 3.1 mmol/L (56 mg/dL) and which is handled by the subject himself/herself or any asymptomatic full blood glucose value < 2.8 mmol/L (50 mg/dL) or PG value < 3.1 mmol/L (56 mg/dL). (NCT01849289)
Timeframe: On or after the first day of exposure to randomised trial drug (week 0) and no later than 7 days after last exposure to randomised trial drug (week 27)
Intervention | Episodes/100 years of patient exposure (Number) |
---|
IDeg OD | 85 |
IGlar OD | 97 |
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Number of Treatment Emergent AEs (Adverse Events)
Treatment emergent events (after first trial product administration and no later than 7 days after last trial product administration) (NCT01849289)
Timeframe: On or after the first day of exposure to randomised trial drug (week 0) and no later than seven days after last exposure to randomised trial drug (week 27)
Intervention | number of events (Number) |
---|
IDeg OD | 612 |
IGlar OD | 387 |
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Responder for HbA1c (Below 7.0%) at End of Trial Without Severe and Minor Hypoglycaemic Episodes
A responder for HbA1c without severe or confirmed hypoglycaemia is defined as a subject, who meets the HbA1c target at end of trial without treatment emergent severe or confirmed hypoglycaemia during the last 12 weeks of treatment or within 7 days from last treatment. (NCT01849289)
Timeframe: Week 26
Intervention | participants (Number) |
---|
IDeg OD | 252 |
IGlar OD | 114 |
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Percentage of Participants With Total and Nocturnal Hypoglycemic Events (HE)
Percentage of participants with hypoglycemic events (total or nocturnal) to Week 26 based on BG Threshold 70mg/dL. (NCT01894568)
Timeframe: Baseline to Week 26
Intervention | percentage of participants (Number) |
---|
| Nocturnal Hypoglycemia BG 70mg/dL | Total Hypoglycemia BG 70mg/dL |
---|
Insulin Glargine | 29.6 | 76.5 |
,Insulin Peglispro | 26.6 | 77.1 |
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Change From Baseline of European Quality of Life-5 Dimensions - 3 Levels (EuroQoL-5D-3L ) Index Score and Visual Analog Scale (VAS) Health State Score at Week 26
The EuroQoL-5D-3L questionnaire 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 3-level scale of 1 to 3 (no problem, some problems, and extreme problems). These combinations of attributes are converted into a weighted health-state Index Score according to the United States population-based algorithm. Scores ranged from -0.11 to 1.0 where a score of 1.0 indicates perfect health. Overall health state score was self-reported using a VAS marked on a scale of 0 to 100 (0 indicates worst imaginable health state and 100 indicates best imaginable health state. LS means were calculated using analysis of covariance (ANCOVA) for actual measures and changes from baseline at endpoint using LOCF method: adjusting for treatment, stratification factors (region, HbA1c and SU/meglitin. (NCT01894568)
Timeframe: Baseline, Week 26
Intervention | units on a scale (Least Squares Mean) |
---|
| Change from Baseline to Endpoint EQ-5D-3L Score | Change from Baseline VAS Health State Score |
---|
Insulin Glargine | 0.00 | 3.66 |
,Insulin Peglispro | 0.01 | 2.29 |
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Concentration of Triglycerides, Total Cholesterol, Low-Density Lipoprotein (LDL-C), and High-Density Lipoprotein Cholesterol (HDL-C) at Week 26
LS means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide use), visit, and treatment-by-visit interaction. (NCT01894568)
Timeframe: Week 26
Intervention | mg/dL (Least Squares Mean) |
---|
| Cholesterol Wk26 | HDL Wk26 | Triglycerides Wk26 | LDL Wk26 |
---|
Insulin Glargine | 177.90 | 52.99 | 122.83 | 101.07 |
,Insulin Peglispro | 175.76 | 51.64 | 132.43 | 97.95 |
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Fasting Blood Glucose (FBG)
LS Means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide use), visit and treatment-by-visit interaction. (NCT01894568)
Timeframe: Weeks 0 and 26
Intervention | mg/dL (Least Squares Mean) |
---|
| Week 0 | Week 26 |
---|
Insulin Glargine | 161.19 | 108.22 |
,Insulin Peglispro | 159.53 | 108.39 |
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Fasting Serum Glucose (FSG)
LS means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and sulfonylurea [SU]/meglitinide use), visit, and treatment-by-visit interaction. (NCT01894568)
Timeframe: Weeks 0 and 26
Intervention | mg/dL (Least Squares Mean) |
---|
| Week 0 | Week 26 |
---|
Insulin Glargine | 166.61 | 110.32 |
,Insulin Peglispro | 164.31 | 103.85 |
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Change From Baseline to 12 Weeks in Hemoglobin A1c (HbA1c)
Hemoglobin A1c (HbA1c) is a test that measures a participant's average blood glucose level over the past 2 to 3 months.LS means were calculated using a MMRM with baseline HbA1C measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01894568)
Timeframe: Baseline, Week 12
Intervention | percent of HbA1c (Least Squares Mean) |
---|
Insulin Peglispro | -1.43 |
Insulin Glargine | -1.22 |
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Change From Baseline to 26 Weeks in Adult Low Blood Sugar Survey (LBSS) Scores
LBSS is a validated, participant-reported 33-item questionnaire with items rated on a 5-point Likert scale, where 0 = never and 5 - always. The LBSS measures behaviors to avoid hypoglycemia and its negative consequences (15 items) and worries about hypoglycemia and its negative consequences (18 items). Total score is the sum of all items (range 0 to 132). Higher total scores reflect greater fear of hypoglycemia. Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) with country, treatment and metformin use as fixed effects and baseline score as a covariate. LBSS was assessed during screening visit (baseline) and again at Week 26. (NCT01894568)
Timeframe: Baseline, Week 26
Intervention | units on a scale (Least Squares Mean) |
---|
Insulin Peglispro | 1.51 |
Insulin Glargine | 1.62 |
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Change From Baseline to Week 26 in Body Weight
LS Means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide use), visit and treatment-by-visit interaction. (NCT01894568)
Timeframe: Baseline, Week 26
Intervention | Kilogram (kg) (Least Squares Mean) |
---|
Insulin Peglispro | 1.06 |
Insulin Glargine | 1.57 |
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Change From Baseline to Week 26 in Hemoglobin A1c (HbA1c)
Hemoglobin A1c (HbA1c) is a test that measures a participant's average blood glucose level over the past 2 to 3 months. Least Squares (LS) means were calculated using a mixed model repeated measures (MMRM) analysis adjusting for treatment, stratification factors (region, sulfonylureas/meglitinide use, baseline Low-Density Lipoprotein [LDL-C], visit, treatment-by-visit interaction, and baseline HbA1c as fixed effects and participants as the random effect. P-value is from MMRM with terms for treatment, visit, treatment-by-visit interaction, stratification, and baseline HbA1C. (NCT01894568)
Timeframe: Baseline, Week 26
Intervention | percent of HbA1c (Least Squares Mean) |
---|
Insulin Peglispro | -1.61 |
Insulin Glargine | -1.36 |
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Percent Hemoglobin A1c at Week 26
HbA1c is a test that measures a participant's average blood glucose level over the past 2 to 3 months. LS means were calculated using a MMRM with baseline HbA1C measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01894568)
Timeframe: Week 26
Intervention | percent of HbA1c (Least Squares Mean) |
---|
Insulin Peglispro | 6.92 |
Insulin Glargine | 7.17 |
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Intra-Participant Variability of the Fasting Blood Glucose (FBG)
Intra-participant variability of Fasting Blood Glucose (FBG), which was measured by Self Monitored Blood Glucose (SMBG), was assessed by the standard deviation of the FBG measurement at the Week 26 visit. LS means were calculated using a MMRM with baseline fasting blood glucose measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects. (NCT01894568)
Timeframe: Week 26
Intervention | mg/dL (Least Squares Mean) |
---|
Insulin Peglispro | 14.97 |
Insulin Glargine | 15.12 |
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Percentage of Participants With Detectable Anti-Insulin Peglispro Antibodies at Week 26
For participants with detectable anti-insulin peglispro antibody level, the percentage of participants with positive cross-react with endogenous insulin was summarized. (NCT01894568)
Timeframe: Week 26
Intervention | percentage of participants (Number) |
---|
Insulin Peglispro | 24.6 |
Insulin Glargine | 32.5 |
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Percentage of Participants With HbA1c ≤6.5%
Percentage of participants with HbA1c ≤6.5% at Week 26 were made using a logistic regression model for endpoint used last observation carried forward (LOCF) method including treatment, baseline HbA1c value. (NCT01894568)
Timeframe: Week 26
Intervention | Percentage of participants (Number) |
---|
Insulin Peglispro | 29.8 |
Insulin Glargine | 22.7 |
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Insulin Dose Per Kilogram (kg) of Body Weight
LS means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide), visit, and treatment-by-visit interaction. (NCT01894568)
Timeframe: Week 26
Intervention | units per kg (Least Squares Mean) |
---|
Insulin Peglispro | 0.26 |
Insulin Glargine | 0.26 |
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30-Day Adjusted Rate of Total and Nocturnal Hypoglycemic Events
Hypoglycemia Events (HE) occurs when blood glucose level ≤ 70 milligram per deciliter (mg/dL) (<3.9 micromoles per liter [mmol/L]). Nocturnal HE includes any total HE that occurred between bedtime and waking. Group mean rates of nocturnal hypoglycemia (per 30 days) are presented and were calculated from negative binomial regression models with treatment, baseline sulfonylurea/meglitinide use, baseline total hypoglycemia event rate, 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. (NCT01894568)
Timeframe: Baseline to Week 26
Intervention | Number of events per participant per 30d (Mean) |
---|
| Total HE | Nocturnal HE |
---|
Insulin Glargine | 1.21 | 0.27 |
,Insulin Peglispro | 1.28 | 0.19 |
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9-Point Self-Monitored Blood Glucose (SMBG)
LS means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide use), visit and treatment-by-visit interaction. The 9-point SMBG are measured at: Pre-morning meal, 2 hours(hr) post morning meal, pre-midday meal, 2 hr post midday meal, pre-evening meal, 2 hr post pre-evening meal, bedtime, 0300 hr, and pre-morning meal next day, and should be performed on 2 non-consecutive days. (NCT01894568)
Timeframe: Week 0 and Week 26
Intervention | mg/dL (Least Squares Mean) |
---|
| Morning Pre-meal Wk0 | Morning Pre-meal Wk26 | Morning Post-meal Wk0 | Morning Post-meal Wk26 | Mid-day Pre-meal Wk0 | Mid-day Pre-meal Wk26 | Mid-day Post-meal Wk0 | Mid-day Post-meal Wk26 | Evening Pre-meal Wk0 | Evening Pre-meal Wk26 | Evening Post-meal Wk0 | Evening Post-meal Wk26 | Bed Time Wk0 | Bed Time Wk26 | 0300 Hours (Hrs) Wk0 | 0300 Hrs Wk26 | Pre-morning Meal Next Day Wk0 | Pre-morning Meal Next Day Wk26 |
---|
Insulin Glargine | 162.83 | 108.71 | 233.37 | 176.93 | 166.68 | 122.85 | 226.11 | 183.88 | 172.83 | 135.55 | 219.54 | 182.80 | 197.68 | 161.44 | 162.13 | 114.77 | 159.96 | 105.18 |
,Insulin Peglispro | 160.19 | 108.24 | 237.19 | 176.97 | 169.24 | 122.01 | 224.22 | 182.32 | 176.49 | 131.65 | 219.45 | 176.23 | 198.64 | 153.41 | 158.82 | 115.18 | 156.28 | 108.42 |
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Percentage of Participants Achieving Steady-State of Basal Insulin Dose at 26 Weeks (Time to Steady State for Basal Insulin [Stable Maximum Dose])
(NCT01894568)
Timeframe: Week 26
Intervention | percentage of participants (Number) |
---|
Insulin Peglispro | 96.9 |
Insulin Glargine | 97.2 |
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Insulin Treatment Satisfaction Questionnaire (ITSQ) Score
The Insulin Treatment Satisfaction Questionnaire is a validated instrument containing 22 items that assessed treatment satisfaction for participants with diabetes on insulin. The questionnaire measures satisfaction from the following 5 domains: Inconvenience of Regimen, Lifestyle Flexibility, Glycemic Control, Hypoglycemic Control, and Insulin Delivery Device. Data presented are the transformed score on a scale of 0-100, where a higher score indicate better treatment satisfaction. LS means was achieved using a MMRM model for post-baseline measures with stratification factors (country, HbA1c, and SU/meglitinide use) treatment, visit, treatment-by-visit as fixed effects. ITSQ was assessed at Week 4 (baseline) and Week 26. (NCT01894568)
Timeframe: Week 4 and 26
Intervention | units on a scale (Least Squares Mean) |
---|
| ITSQ Wk4 | ITSQ Wk26 |
---|
Insulin Glargine | 75.94 | 78.29 |
,Insulin Peglispro | 74.13 | 78.73 |
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Change in Body Weight From Baseline
Change in body weight from baseline after 6 months of follow up (26 weeks) (NCT01919489)
Timeframe: After discharge, average 6 months
Intervention | Kgs (Mean) |
---|
| Baseline weight at discharge | Weight at six months | Weight change from baseline (discharge) to 6 months after discharge |
---|
Glargine + OADs | 98.2 | 98.3 | 0.6 |
,Liraglutide + OADs | 101.0 | 97.2 | -4.77 |
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HbA1c <7.0% and no Hypoglycemia
Percent of patients with 26 week HbA1c <7.0% and no hypoglycemia (NCT01919489)
Timeframe: After discharge, average 6 months
Intervention | Participants (Count of Participants) |
---|
Liraglutide + OADs | 34 |
Glargine + OADs | 29 |
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Hypoglycemic Episodes
Number of participants who had at least one hypoglycemic event (<70 mg/dl) and severe hypoglycemic event (<40 mg/dl) (NCT01919489)
Timeframe: After discharge, average 6 months
Intervention | Participants (Count of Participants) |
---|
| Participants who had at least one hypoglycemic events (<70 mg/dl) | Participants who had at least one severe hypoglycemic event (<40 mg/dl) |
---|
Glargine + OADs | 31 | 3 |
,Liraglutide + OADs | 18 | 2 |
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Glycemic Control at Hospital Discharge and 6 Months Follow up
To determine differences in HbA1c concentration at 26 weeks from discharge between liraglutide and glargine insulin therapy (NCT01919489)
Timeframe: Hospital discharge, 6 months (26 weeks)
Intervention | % (mmol/mol) (Mean) |
---|
| HbA1C at hospital discharge | HbA1C at 6 months post-intervention |
---|
Glargine + OADs | 8.4 | 7.68 |
,Liraglutide + OADs | 8.3 | 7.13 |
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Fasting and Postprandial Blood Glucose (BG) Concentration After Follow up of 26 Weeks
To determine differences in BG concentration between liraglutide and glargine insulin therapy (NCT01919489)
Timeframe: After discharge, average at 3 months (12 week) and 6 months (26 weeks)
Intervention | mmol/L (Mean) |
---|
| Fasting blood glucose at 26 weeks follow up | Post-prandial blood glucose at 12 weeks | Postprandial blood glucose at 26 weeks follow up | Fasting blood glucose at 12 weeks |
---|
Glargine + OADs | 8.56 | 9.32 | 8.72 | 7.70 |
,Liraglutide + OADs | 7.61 | 7.67 | 8.23 | 7.96 |
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Emergency Room Visits and Readmissions
Number of participants who had at least one emergency room visit and hospital readmissions (NCT01919489)
Timeframe: After discharge, average 6 months
Intervention | Participants (Count of Participants) |
---|
| Number of participants with at least one ER visit | Number of participants with at least one hospital readmission |
---|
Glargine + OADs | 23 | 43 |
,Liraglutide + OADs | 31 | 35 |
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Change in Cardiovascular Risk Factors: Blood Pressure
Cardiovascular risk factors including changes in systolic and diastolic blood pressure from baseline to 26 weeks post-intervention (NCT01919489)
Timeframe: Baseline, 26 weeks post-intervention
Intervention | mmHg (Mean) |
---|
| Systolic blood pressure at baseline | Systolic blood pressure at 26 weeks follow up | Diastolic blood pressure at baseline | Diastolic blood pressure at 26 weeks follow up |
---|
Glargine + OADs | 130 | 135 | 77 | 79 |
,Liraglutide + OADs | 134 | 136 | 79 | 80 |
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Change in BMI
Change in BMI after 6 months from baseline (NCT01919489)
Timeframe: Baseline, and follow up after discharge (average 6 months)
Intervention | kg/m2 (Mean) |
---|
| Baseline BMI | BMI at 26 weeks follow up |
---|
Glargine + OADs | 33.3 | 33.3 |
,Liraglutide + OADs | 33.5 | 32.7 |
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Cardiovascular Risk Factor: Heart Rate
Cardiovascular risk: heart rate at baseline and 26 weeks post-intervention (NCT01919489)
Timeframe: 26 weeks post-intervention
Intervention | beats/min (Mean) |
---|
| Heart rate at baseline (discharge) | Heart rate at 6 months post-discharge |
---|
Glargine + OADs | 79 | 79 |
,Liraglutide + OADs | 79 | 83 |
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Total Daily Dose of Insulin
Evaluate the total daily dose of insulin needed in the group receiving glargine (NCT01919489)
Timeframe: After discharge, average 6 months
Intervention | IU per day (Mean) |
---|
Liraglutide + OADs | 0 |
Glargine + OADs | 20.9 |
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Self-measured Blood Glucose (SMBG) 7-point Profiles at 26 Weeks Follow up
Number of participants that reported self-measured blood glucose (SMBG) 7-point profiles at 26 weeks follow up (NCT01919489)
Timeframe: 26 weeks post-intervention
Intervention | Participants (Count of Participants) |
---|
Liraglutide + OADs | 34 |
Glargine + OADs | 34 |
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HbA1c <7.0% and no Weight Gain
Percent of patients with 26 week HbA1c <7.0% and no weight gain (NCT01919489)
Timeframe: After discharge, average 6 months
Intervention | Participants (Count of Participants) |
---|
Liraglutide + OADs | 32 |
Glargine + OADs | 21 |
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HbA1c <7.0% and no Hypoglycemia
Percent of patients with 12 week HbA1c <7.0% and no hypoglycemia (NCT01919489)
Timeframe: After discharge, average 12 weeks
Intervention | Participants (Count of Participants) |
---|
Liraglutide + OADs | 40 |
Glargine + OADs | 31 |
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Cardiovascular Risk Factor: Lipid Profile
Lipid profile was measured with total cholesterol level results at 26 weeks post-intervention. This outcome was not part of standard of care. (NCT01919489)
Timeframe: 26 weeks post-intervention
Intervention | mg/dL (Mean) |
---|
Liraglutide + OADs | 190 |
Glargine + OADs | 130 |
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Acute Renal Failure
Acute renal failure during the 26-week follow-up defined as a clinical diagnosis of acute renal failure with documented new-onset abnormal renal function (increment in creatinine > 0.5 mg/dL from baseline) (NCT01919489)
Timeframe: After discharge, average 6 months
Intervention | Participants (Count of Participants) |
---|
Liraglutide + OADs | 1 |
Glargine + OADs | 3 |
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Change in RQ, Pre-breakfast to Post-breakfast Meal, in T1DM
The respiratory quotient (or RQ or respiratory coefficient), is a number used in calculations of basal metabolic rate (BMR) when estimated from carbon dioxide production. It is calculated from the ratio of carbon dioxide produced by the body to oxygen consumed by the body using whole room calorimetry. (NCT01925989)
Timeframe: Day 30 0830 to 0854 hours, Day 30 1000 to 1054 hours
Intervention | ratio (Mean) |
---|
Insulin Peglispro | 0.836 |
Insulin Glargine | 0.874 |
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Total Number of Minutes of Lipid Oxidation (RQ Below 7.6) in T1DM and Healthy Participants
The respiratory quotient (or RQ or respiratory coefficient), is a number used in calculations of basal metabolic rate (BMR) when estimated from carbon dioxide production. It is calculated from the ratio of carbon dioxide produced by the body to oxygen consumed by the body using whole room calorimetry.It is calculated from the ratio of carbon dioxide produced by the body to oxygen consumed by the body using whole data based on all 1-minutes interval measurements for the duration of the overnight period. (NCT01925989)
Timeframe: Day 5, every minute through 23 hour period
Intervention | minutes (Median) |
---|
Insulin Peglispro | 22 |
Insulin Glargine/Insulin Peglispro | 8 |
Control | 4.5 |
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Sleep Respiratory Quotient (RQ) of Untreated Healthy Participants
The respiratory quotient (or RQ or respiratory coefficient), is a number used in calculations of basal metabolic rate (BMR) when estimated from carbon dioxide production. It is calculated from the ratio of carbon dioxide produced by the body to oxygen consumed by the body using whole room calorimetry. The overnight period was averaged based on all 1-minutes interval measurements for the duration of the overnight period. (NCT01925989)
Timeframe: Day 5, overnight period (0000 to 0600 hours)
Intervention | ratio (Mean) |
---|
Control | 0.848 |
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Sleep Respiratory Quotient (RQ) in Type 1 Diabetes Mellitus (T1DM)
Lipid or glucose metabolism was assessed by the measurement of respiratory quotient (RQ) during sleep using whole room calorimetry. RQ is a calculation of basal metabolic rate (BMR) when estimated from carbon dioxide production. It is calculated from the ratio of carbon dioxide produced by the body to oxygen consumed by the body using whole room calorimetry (WRC). (NCT01925989)
Timeframe: Day 30 post dose, overnight period (0000 to 0600 hours)
Intervention | ratio (Mean) |
---|
Insulin Peglispro | 0.822 |
Insulin Glargine | 0.846 |
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Lipid Oxidation in T1DM and Healthy Participants
Lipid oxidation is derived from RQ, basal metabolic rate and urinary nitrogen, a value of 0.7 indicates that lipids are being metabolized. (NCT01925989)
Timeframe: Day 30 post dose, overnight period (0000 to 0600 hours)
Intervention | grams per day (g/day) (Mean) |
---|
Insulin Peglispro | 0.892 |
Insulin Glargine | 0.900 |
Control | 0.906 |
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Number of Treatment Emergent Confirmed Hypoglycaemic Episodes
Confirmed hypoglycaemic episodes were defined as either: Severe (i.e., an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions) or an episode biochemically confirmed by a plasma glucose value of <3.1 mmol/L (56 mg/dL), with or without symptoms consistent with hypoglycaemia. (NCT01952145)
Timeframe: During 26 weeks of treatment
Intervention | Number of episodes (Number) |
---|
Insulin Degludec/Liraglutide (IDegLira) | 289 |
Insulin Glargine (IGlar) | 683 |
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Change From Baseline in Body Weight
Change from baseline in body weight after 26 weeks of treatment (NCT01952145)
Timeframe: Week 0, week 26
Intervention | Kg (Mean) |
---|
Insulin Degludec/Liraglutide (IDegLira) | -1.4 |
Insulin Glargine (IGlar) | 1.8 |
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Change From Baseline in HbA1c (Glycosylated Haemoglobin)
Change from baseline in HbA1c after 26 weeks of treatment (NCT01952145)
Timeframe: Week 0, week 26
Intervention | Percentage (%) (Mean) |
---|
Insulin Degludec/Liraglutide (IDegLira) | -1.81 |
Insulin Glargine (IGlar) | -1.13 |
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Change in Glycosylated Haemoglobin (HbA1c)
Mean change in HbA1c from week 0 to month 24. (NCT01959529)
Timeframe: Randomisation to 24 months
Intervention | percentage of HbA1c (Mean) |
---|
Insulin Degludec | -0.86 |
Insulin Glargine | -0.84 |
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Occurrence of at Least One EAC Confirmed Severe Hypoglycaemic Episode Within a Subject (Yes/no)
Occurrence of at least one EAC-confirmed severe hypoglycaemic episode within a subject from week 0 to the last assessment (up to 35.6 months). The episode of severe hypoglycaemia is an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. (NCT01959529)
Timeframe: From randomisation to individual end of trial date (maximum patient year observation: 2.75 years)
Intervention | Participants (Count of Participants) |
---|
Insulin Degludec | 187 |
Insulin Glargine | 252 |
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Number of EAC-confirmed Severe Hypoglycaemic Episodes
Number of severe hypoglycaemic episodes from week 0 to the last assessment (up to 35.6 months). The episode of severe hypoglycaemia is an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. The trial was event driven and planned to last up to a maximum of 60.5 months. The actual trial duration (time from first subject first visit to last subject last visit) was 35.6 months. The maximum trial duration for a single subject was 33.1 months. (NCT01959529)
Timeframe: From randomisation to individual end of trial (maximum patient year observation: 2.75 years)
Intervention | Number of severe episodes (Number) |
---|
Insulin Degludec | 280 |
Insulin Glargine | 472 |
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Time From Randomisation to First Occurrence of a Major Adverse Cardiovascular Event (MACE): Cardiovascular Death, Non-fatal Myocardial Infarction, or Non-fatal Stroke
Time from randomisation to first occurrence of an event adjudication committee (EAC)-confirmed 3-component major adverse cardiovascular event (MACE): cardiovascular death, non-fatal myocardial infarction, or nonfatal stroke. Events with EAC-confirmed onset date between randomisation and individual end of trial were included in the analyses. The number of subjects experiencing first EAC-confirmed MACEs, date between randomisation to the end of trial, both days included were presented. The trial was event driven and planned to last up to a maximum of 60.5 months. The actual trial duration (time from first subject first visit to last subject last visit) was 35.6 months. The maximum trial duration for a single subject was 33.1 months. (NCT01959529)
Timeframe: From randomisation to individual end of trial date (maximum patient year observation: 2.75 years)
Intervention | Participants (Count of Participants) |
---|
| First EAC-confirmed MACE | Myocardial infarction (non-fatal) | Stroke (non-fatal) | Cardiovascular death |
---|
Insulin Degludec | 325 | 143 | 68 | 114 |
,Insulin Glargine | 356 | 163 | 74 | 119 |
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Subjects With Wound and Other Infections
Subjects with wound and other infections. (NCT02004366)
Timeframe: During Hospitalization and outpatient up to 12 weeks
Intervention | Participants (Count of Participants) |
---|
Linagliptin In-hospital | 7 |
Basal Bolus In-hospital | 3 |
Linagliptin on Discharge | 3 |
Linagliptin+50%Glargine Dose on d/c | 5 |
Linagliptin+80%Glargine Dose on d/c | 4 |
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Hospital Mortality
Hospital mortality (ONLY in-patient). Mortality is defined as death occurring during hospital stay. (NCT02004366)
Timeframe: During Hospitalization-average 5 days
Intervention | Participants (Count of Participants) |
---|
Linagliptin In-hospital | 0 |
Basal Bolus In-hospital | 0 |
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Length of Hospital Stay
Length of hospital stay (ONLY for inpatient arms 1 and 2) (NCT02004366)
Timeframe: During Hospitalization
Intervention | Days (Median) |
---|
Linagliptin In-hospital | 4 |
Basal Bolus In-hospital | 3 |
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Hypoglycemia <70 mg/dl
Subjects with Hypoglycemia <70 mg/dl (NCT02004366)
Timeframe: Inpatient (average 5 days) and outpatient up to 12 weeks
Intervention | Participants (Count of Participants) |
---|
Linagliptin In-hospital | 2 |
Basal Bolus In-hospital | 14 |
Linagliptin on Discharge | 8 |
Linagliptin+50%Glargine Dose on d/c | 15 |
Linagliptin+80%Glargine Dose on d/c | 10 |
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Hypoglycemia < 40 mg/dl
Subjects with Hypoglycemia < 40 mg/dl (NCT02004366)
Timeframe: Inpatient and up to 12 weeks outpatient
Intervention | Participants (Count of Participants) |
---|
Linagliptin In-hospital | 1 |
Basal Bolus In-hospital | 0 |
Linagliptin on Discharge | 1 |
Linagliptin+50%Glargine Dose on d/c | 0 |
Linagliptin+80%Glargine Dose on d/c | 1 |
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Hyperglycemia
Subjects with BG > 300 mg/dl (NCT02004366)
Timeframe: Inpatient (average 5 days) and outpatient up to 12 weeks
Intervention | Participants (Count of Participants) |
---|
Linagliptin In-hospital | 22 |
Basal Bolus In-hospital | 18 |
Linagliptin on Discharge | 6 |
Linagliptin+50%Glargine Dose on d/c | 11 |
Linagliptin+80%Glargine Dose on d/c | 7 |
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Number of Participants Requiring ICU Care During Hospitalization
Need for intensive care unit (ICU) care (transfer to ICU) during hospitalization (NCT02004366)
Timeframe: During Hospitalization-average 5 days
Intervention | Participants (Count of Participants) |
---|
Linagliptin In-hospital | 1 |
Basal Bolus In-hospital | 0 |
Linagliptin on Discharge | 0 |
Linagliptin+50%Glargine Dose on d/c | 0 |
Linagliptin+80%Glargine Dose on d/c | 0 |
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Hospital Complications
Subjects with composite complication (ONLY for inpatient arms 1 and 2) (NCT02004366)
Timeframe: During Hospitalization-average 5 days
Intervention | Participants (Count of Participants) |
---|
Linagliptin In-hospital | 14 |
Basal Bolus In-hospital | 11 |
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Outpatient Mortality
Deaths among patients after hospital discharge. (NCT02004366)
Timeframe: 3 months after discharge
Intervention | Participants (Count of Participants) |
---|
Linagliptin In-hospital | 0 |
Basal Bolus In-hospital | 0 |
Linagliptin on Discharge | 0 |
Linagliptin+50%Glargine Dose on d/c | 0 |
Linagliptin+80%Glargine Dose on d/c | 0 |
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HbA1c Level
HbA1c level at admission (for in-patient arms) and HbA1c level at 12-week follow-up outpatient visit (for discharge arms). (NCT02004366)
Timeframe: Admission to the hospital and 12-week follow-up outpatient visit
Intervention | % DCCT (Mean) |
---|
Linagliptin In-hospital | 7.6 |
Basal Bolus In-hospital | 8.0 |
Linagliptin on Discharge | 6.6 |
Linagliptin+50%Glargine Dose on d/c | 7.0 |
Linagliptin+80%Glargine Dose on d/c | 8.6 |
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Fasting BG Concentration
Average - per hospital stay - fasting BG concentration (for in-hospital groups), and average - per outpatient follow-up period - fasting BG concentration (for discharge groups) (NCT02004366)
Timeframe: During Hospitalization (average 5 days) and outpatient up to 12 weeks
Intervention | mg/dl (Mean) |
---|
Linagliptin In-hospital | 160 |
Basal Bolus In-hospital | 167 |
Linagliptin on Discharge | 125 |
Linagliptin+50%Glargine Dose on d/c | 133 |
Linagliptin+80%Glargine Dose on d/c | 141 |
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Emergency Room Visits
Number of ER visits ONLY for outpatient arms 3,4, and 5. (NCT02004366)
Timeframe: 3 months after discharge
Intervention | Visits (Number) |
---|
Linagliptin on Discharge | 11 |
Linagliptin+50%Glargine Dose on d/c | 11 |
Linagliptin+80%Glargine Dose on d/c | 9 |
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Differences in Glycemic Control
Determine differences in glycemic control as measured by mean daily BG concentration between linagliptin alone and basal bolus therapy group. (NCT02004366)
Timeframe: Inpatient (average 5 days) and outpatient up to 12 weeks
Intervention | mg/dl (Mean) |
---|
Linagliptin In-hospital | 171 |
Basal Bolus In-hospital | 159 |
Linagliptin on Discharge | 126 |
Linagliptin+50%Glargine Dose on d/c | 132 |
Linagliptin+80%Glargine Dose on d/c | 142 |
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Daily Dose of Insulin
Total daily dose of insulin (NCT02004366)
Timeframe: Inpatient (average 5 days) and outpatient up to 12 weeks
Intervention | units/kg/day (Mean) |
---|
Linagliptin In-hospital | 0.09 |
Basal Bolus In-hospital | 0.31 |
Linagliptin on Discharge | 0.23 |
Linagliptin+50%Glargine Dose on d/c | 0.18 |
Linagliptin+80%Glargine Dose on d/c | 0.24 |
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Subjects With Surgical Reinterventions
Subjects with surgical re-interventions. (NCT02004366)
Timeframe: Inpatient and up to 12 weeks outpatient
Intervention | Participants (Count of Participants) |
---|
Linagliptin In-hospital | 6 |
Basal Bolus In-hospital | 4 |
Linagliptin on Discharge | 5 |
Linagliptin+50%Glargine Dose on d/c | 3 |
Linagliptin+80%Glargine Dose on d/c | 3 |
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Acute Renal Failure During Hospitalization
Subjects with Acute renal failure (ONLY for inpatient arms 1 and 2) (NCT02004366)
Timeframe: During Hospitalization-average 5 days
Intervention | Participants (Count of Participants) |
---|
Linagliptin In-hospital | 6 |
Basal Bolus In-hospital | 4 |
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Number of Participants Admitted to the ICU
The goal was to determine if the amount of patients admitted to the ICU could be reduced by providing more efficient resolution of the critical condition which is the acidosis. (NCT02006342)
Timeframe: Participants followed for the duration of the Emergency Department stay, an expected average of 12 hours
Intervention | participants (Number) |
---|
Insulin Glargine Plus Regular Insulin | 6 |
Control - Regular Insulin | 4 |
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Intensive Care Unit Length of Stay
Determine the amount of time patient is admitted to the intensive care unit with the goal of assessing if more efficient correction of the acidosis results in decreased time in the intensive care unit for the patients. (NCT02006342)
Timeframe: Participants monitored from hospital admission to discharge, an average of 4 days
Intervention | days (Median) |
---|
Insulin Glargine Plus Regular Insulin | 1.8 |
Control - Regular Insulin | 1.2 |
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Time to Anion Gap Closure
Anion Gap is a measure of acidosis that results from decompensated Diabetes Mellitus. Acidosis is the result of the body being unable to utilize glucose for energy production and instead uses fatty acid metabolism resulting in ketone formation. Anion Gap is a surrogate measure for the level of ketones resulting in the excess acid production. Results reported are adjusted for initial anion gap, etiology of diabetic ketoacidosis, and comorbidities. (NCT02006342)
Timeframe: Participants monitored from hospital admission to discharge, an average of 4 days
Intervention | hours (Mean) |
---|
Insulin Glargine Plus Regular Insulin | 10.2 |
Control - Regular Insulin | 11.6 |
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Number of Participants Who Developed Hypoglycemia
"To determine whether it is safe to administer both IV and subcutaneous insulin, it is important to assure that patient's glucose does not drop to critically low level and lead to adverse events. Hypoglycemia was defined as less than or equal to 60mg/dL during 24 hours after anion gap closure.~Anion Gap is a measure of acidosis that results from decompensated Diabetes Mellitus. Acidosis is the result of the body being unable to utilize glucose for energy production and instead uses fatty acid metabolism resulting in ketone formation. Anion Gap is a surrogate measure for the level of ketones resulting in the excess acid production." (NCT02006342)
Timeframe: Participants monitored during the 24 hours after anion gap closure
Intervention | participants (Number) |
---|
Insulin Glargine Plus Regular Insulin | 2 |
Control - Regular Insulin | 3 |
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Hospital Length of Stay
Hospital length of stay was determined to assess whether a more efficient correction of the acidosis will result in decreased time that the patient is admitted to the hospital. Results reported are adjusted for age, hospital site, and etiology of diabetic ketoacidosis. (NCT02006342)
Timeframe: Participants monitored from hospital admission to discharge, an average of 4 days
Intervention | days (Mean) |
---|
Insulin Glargine Plus Regular Insulin | 3.9 |
Control - Regular Insulin | 4.6 |
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Number of Treatment Emergent Severe or BG Confirmed Symptomatic Nocturnal Hypoglycaemic Episode During the Maintenance Period
Severe or BG confirmed symptomatic nocturnal hypoglycaemic episodes were defined as episodes that were severe and/or BG confirmed by a plasma glucose value of <56 mg/dL (3.1 mmol/L), with symptoms consistent with hypoglycaemia and with time of onset between 00:01 and 05.59 a.m., both inclusive. Treatment emergent hypoglycaemic episode was defined as an event with onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment. (NCT02030600)
Timeframe: After 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64)
Intervention | events (Number) |
---|
Insulin Degludec (IDeg) | 105 |
Insulin Glargine (IGlar) | 175 |
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Proportion of Subjects With One or More Severe Hypoglycaemic Episodes During the Maintenance Period
Percentage of subjects who experienced one or more severe hypoglycaemic episodes during the maintenance period. Severe hypoglycaemia (according to the American Diabetes Association 2013 definition): A hypoglycaemic episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. Plasma glucose values may not be available during an event, but neurological recovery following the return of plasma glucose to normal is considered sufficient evidence that the event was induced by a low plasma glucose concentration. (NCT02030600)
Timeframe: After 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64)
Intervention | percentage of subjects (Number) |
---|
Insulin Degludec (IDeg) | 1.6 |
Insulin Glargine (IGlar) | 2.4 |
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FPG (Fasting Plasma Glucose)
Fasting plasma glucose values at week 32 and week 64. (NCT02030600)
Timeframe: week 32, week 64
Intervention | mg/dL (Mean) |
---|
| week 32 (n=307, 311) | week 64 (n=293, 302) |
---|
Insulin Degludec/Insulin Glargine (IDeg/IGlar) | 107.33 | 114.07 |
,Insulin Glargine/Insulin Degludec (IGlar/IDeg) | 106.96 | 107.55 |
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Change From Baseline in HbA1c (Glycosylated Haemoglobin)
Change from baseline in HbA1c (glycosylated haemoglobin) at week 32 (treatment period 1) and at week 64 (treatment period 2). Week 32 HbA1c value was considered as baseline for calculating change from baseline in HbA1c at week 64. (NCT02030600)
Timeframe: Week 32, Week 64
Intervention | percentage of glycosylated haemoglobin (Mean) |
---|
| week 32 (n=308, 313) | week 64 (n=295, 301) |
---|
Insulin Degludec/Insulin Glargine (IDeg/IGlar) | -0.49 | 0.03 |
,Insulin Glargine/Insulin Degludec (IGlar/IDeg) | -0.58 | 0.10 |
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Number of Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Maintenance Period
Severe or blood glucose (BG) confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe and/or BG confirmed by a plasma glucose value of <56 mg/dL (3.1 mmol/L), with symptoms consistent with hypoglycaemia. Treatment emergent hypoglycaemic episode was defined as an event with onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment. (NCT02030600)
Timeframe: After 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64)
Intervention | events (Number) |
---|
Insulin Degludec (IDeg) | 353 |
Insulin Glargine (IGlar) | 496 |
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Incidence of Treatment Emergent Adverse Events
Treatment emergent adverse event was defined as an event with onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment. (NCT02030600)
Timeframe: During 32 weeks of treatment for each treatment period
Intervention | events (Number) |
---|
Insulin Degludec (IDeg) | 1293 |
Insulin Glargine (IGlar) | 1381 |
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Percentage of Participants With an A1C of <6.5% (48 mmol/Mol) at Week 104 (Excluding Rescue Approach)
A1C is blood marker used to report average blood glucose levels over prolonged periods of time. Percentage A1C is the ratio of glycated hemoglobin to total hemoglobin x 100. Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Week 104
Intervention | Percentage of Participants (Number) |
---|
Placebo/Glimepiride | 7.2 |
Ertugliflozin 5 mg | 10.6 |
Ertugliflozin 15 mg | 12.2 |
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Percentage of Participants With an A1C of <6.5% (48 mmol/Mol) at Week 26 (Logistic Regression Using Multiple Imputation: Excluding Rescue Approach)
A1C is blood marker used to report average blood glucose levels over prolonged periods of time and is reported as a percentage (%). Percentage A1C is the ratio of glycated hemoglobin to total hemoglobin x 100. Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Week 26
Intervention | Percentage of Participants (Number) |
---|
Placebo/Glimepiride | 2.9 |
Ertugliflozin 5 mg | 8.7 |
Ertugliflozin 15 mg | 12.2 |
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Percentage of Participants With an A1C of <6.5% (48 mmol/Mol) at Week 52 (Excluding Rescue Approach)
A1C is blood marker used to report average blood glucose levels over prolonged periods of time. Percentage A1C is the ratio of glycated hemoglobin to total hemoglobin x 100. Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Week 52
Intervention | Percentage of Participants (Number) |
---|
Placebo/Glimepiride | 11.0 |
Ertugliflozin 5 mg | 10.6 |
Ertugliflozin 15 mg | 14.6 |
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Percentage of Participants With an A1C of <7% (53 mmol/Mol) at Week 104 (Excluding Rescue Approach)
A1C is blood marker used to report average blood glucose levels over prolonged periods of time. Percentage A1C is the ratio of glycated hemoglobin to total hemoglobin x 100. Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Week 104
Intervention | Percentage of Participants (Number) |
---|
Placebo/Glimepiride | 19.1 |
Ertugliflozin 5 mg | 24.6 |
Ertugliflozin 15 mg | 33.7 |
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Percentage of Participants With an A1C of <7% (53 mmol/Mol) at Week 26 (Logistic Regression Using Multiple Imputation: Excluding Rescue Approach)
A1C is blood marker used to report average blood glucose levels over prolonged periods of time and is reported as a percentage (%). Percentage A1C is the ratio of glycated hemoglobin to total hemoglobin x 100. Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Week 26
Intervention | Percentage of Participants (Number) |
---|
Placebo/Glimepiride | 15.8 |
Ertugliflozin 5 mg | 35.3 |
Ertugliflozin 15 mg | 40.0 |
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Percentage of Participants With an A1C of <7% (53 mmol/Mol) at Week 52 (Excluding Rescue Approach)
A1C is blood marker used to report average blood glucose levels over prolonged periods of time and is reported as a percentage (%). Percentage A1C is the ratio of glycated hemoglobin to total hemoglobin x 100. Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Week 52
Intervention | Percentage of Participants (Number) |
---|
Placebo/Glimepiride | 30.6 |
Ertugliflozin 5 mg | 34.8 |
Ertugliflozin 15 mg | 36.6 |
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Time to Glycemic Rescue Therapy at Week 26
Per protocol, participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. (NCT02033889)
Timeframe: Week 26
Intervention | Days (Median) |
---|
Placebo/Glimepiride | 105 |
Ertugliflozin 5 mg | 112 |
Ertugliflozin 15 mg | 139 |
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Ertugliflozin Plasma Concentrations (ng/mL): Summary Statistics Over Time (Excluding Rescue Approach)
Pharmacokinetic samples were collected at approximately 24 hours following the prior day's dose and before administration of the current day's dose. The lower limit of quantitation (LLOQ) was 0.500 mg/mL. Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Pre-dose and/or 60 minutes post-dose on Weeks 6, 12, 18, and 30
Intervention | ng/mL (Mean) |
---|
| Week 6:Pre-dose | Week 12:Pre-dose | Week 12:60 mins post-dose | Week 18:Pre-dose | Week 18:60 mins post-dose | Week 30:Pre-dose |
---|
Ertugliflozin 15 mg | 38.38 | 29.23 | 228.13 | 24.46 | 214.96 | 30.55 |
,Ertugliflozin 5 mg | 14.89 | 12.34 | 74.84 | 9.91 | 74.39 | 12.66 |
,Placebo/Glimepiride | NA | NA | NA | 0.01 | 0.01 | 0.15 |
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Change From Baseline in A1C at Week 52 (Excluding Rescue Approach)
A1C is blood marker used to report average blood glucose levels over prolonged periods of time. Percentage A1C is the ratio of glycated hemoglobin to total hemoglobin x 100. Thus, this change from baseline reflects the Week 52 A1C minus the Week 0 A1C. Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Baseline and Week 52
Intervention | Percent A1C (Mean) |
---|
Placebo/Glimepiride | -0.68 |
Ertugliflozin 5 mg | -0.72 |
Ertugliflozin 15 mg | -0.96 |
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Change From Baseline in Body Weight at Week 104 (Excluding Rescue Approach)
The change in body weight from baseline reflects the Week 104 body weight minus the Week 0 body weight. Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Baseline and Week 104
Intervention | Kilograms (Mean) |
---|
Placebo/Glimepiride | -0.18 |
Ertugliflozin 5 mg | -3.77 |
Ertugliflozin 15 mg | -3.63 |
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Change From Baseline in Body Weight at Week 26 (Excluding Rescue Approach)
The change in body weight from baseline reflects the Week 26 body weight minus the Week 0 body weight (which is estimated on average for each treatment group using a constrained longitudinal data analysis model, which allows for participants with missing data to be included in the analysis). Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Baseline and Week 26
Intervention | Kilograms (Least Squares Mean) |
---|
Placebo/Glimepiride | -1.33 |
Ertugliflozin 5 mg | -3.01 |
Ertugliflozin 15 mg | -2.93 |
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Change From Baseline in Body Weight at Week 52 (Excluding Rescue Approach)
The change in body weight from baseline reflects the Week 52 body weight minus the Week 0 body weight. Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Baseline and Week 52
Intervention | Kilograms (Mean) |
---|
Placebo/Glimepiride | 0.07 |
Ertugliflozin 5 mg | -3.23 |
Ertugliflozin 15 mg | -3.35 |
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Change From Baseline in Fasting Plasma Glucose at Week 104 (Excluding Rescue Approach)
Blood glucose was measured on a fasting basis. Blood was drawn at predose on Day 1 and after 104 weeks of treatment to determine change in plasma glucose levels (i.e., FPG at Week 104 minus FPG at Week 0). Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Baseline and Week 104
Intervention | mg/dL (Mean) |
---|
Placebo/Glimepiride | -10.9 |
Ertugliflozin 5 mg | -18.2 |
Ertugliflozin 15 mg | -28.2 |
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Change From Baseline in Fasting Plasma Glucose at Week 26 (Excluding Rescue Approach)
Blood glucose was measured on a fasting basis. Blood was drawn at predose on Day 1 and after 26 weeks of treatment to determine change in plasma glucose levels (i.e., FPG at Week 26 minus FPG at Week 0) which is estimated on average for each treatment group using a constrained longitudinal data analysis model, which allows for participants with missing data to be included in the analysis. Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Baseline and Week 26
Intervention | mg/dL (Least Squares Mean) |
---|
Placebo/Glimepiride | -0.85 |
Ertugliflozin 5 mg | -27.54 |
Ertugliflozin 15 mg | -39.10 |
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Change From Baseline in Fasting Plasma Glucose at Week 52 (Excluding Rescue Therapy)
Blood glucose was measured on a fasting basis. Blood was drawn at predose on Day 1 and after 52 weeks of treatment to determine change in plasma glucose levels (i.e., FPG at Week 52 minus FPG at Week 0). Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Baseline and Week 52
Intervention | mg/dL (Mean) |
---|
Placebo/Glimepiride | -12.0 |
Ertugliflozin 5 mg | -22.4 |
Ertugliflozin 15 mg | -35.2 |
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Change From Baseline in Sitting Systolic Blood Pressure at Week 52 (Excluding Rescue Approach)
This change from baseline reflects the Week 52 sitting SBP minus the Week 0 sitting SBP. Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Baseline and Week 52
Intervention | mmHg (Mean) |
---|
Placebo/Glimepiride | 0.65 |
Ertugliflozin 5 mg | -2.63 |
Ertugliflozin 15 mg | -4.28 |
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Change From Baseline in Sitting Diastolic Blood Pressure at Week 104 (Excluding Rescue Approach)
This change from baseline reflects the Week 104 sitting DBP minus the Week 0 sitting DBP. Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Baseline and Week 104
Intervention | mmHg (Mean) |
---|
Placebo/Glimepiride | -0.46 |
Ertugliflozin 5 mg | -2.36 |
Ertugliflozin 15 mg | -1.52 |
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Change From Baseline in Sitting Diastolic Blood Pressure at Week 26 (Excluding Rescue Approach)
This change from baseline reflects the Week 26 sitting diastolic blood pressure (DBP) minus the Week 0 sitting DBP (which is estimated on average for each treatment group using a constrained longitudinal data analysis model, which allows for participants with missing data to be included in the analysis). Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Baseline and Week 26
Intervention | mmHg (Least Squares Mean) |
---|
Placebo/Glimepiride | 0.23 |
Ertugliflozin 5 mg | -1.59 |
Ertugliflozin 15 mg | -2.19 |
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Change From Baseline in Sitting Diastolic Blood Pressure at Week 52 (Excluding Rescue Approach)
This change from baseline reflects the Week 52 sitting DBP minus the Week 0 sitting DBP. Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Baseline and Week 52
Intervention | mmHg (Mean) |
---|
Placebo/Glimepiride | 0.38 |
Ertugliflozin 5 mg | -1.40 |
Ertugliflozin 15 mg | -1.19 |
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Change From Baseline in Sitting Systolic Blood Pressure at Week 104 (Excluding Rescue Approach)
This change from baseline reflects the Week 104 sitting SBP minus the Week 0 sitting SBP. Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Baseline and Week 104
Intervention | mmHg (Mean) |
---|
Placebo/Glimepiride | 0.05 |
Ertugliflozin 5 mg | -3.61 |
Ertugliflozin 15 mg | -3.13 |
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Change From Baseline in Sitting Systolic Blood Pressure at Week 26 (Excluding Rescue Approach)
This change from baseline reflects the Week 26 sitting systolic blood pressure (SBP) minus the Week 0 sitting SBP (which is estimated on average for each treatment group using a constrained longitudinal data analysis model, which allows for participants with missing data to be included in the analysis). Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Baseline and Week 26
Intervention | mmHg (Least Squares Mean) |
---|
Placebo/Glimepiride | -0.70 |
Ertugliflozin 5 mg | -4.38 |
Ertugliflozin 15 mg | -5.20 |
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Percentage of Participants Receiving Glycemic Rescue Therapy up to Week 26
Per protocol, participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. (NCT02033889)
Timeframe: Up to Week 26
Intervention | Percentage of Participants (Number) |
---|
Placebo/Glimepiride | 17.7 |
Ertugliflozin 5 mg | 2.9 |
Ertugliflozin 15 mg | 1.5 |
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Percentage of Participants Receiving Glycemic Rescue Therapy up to Week 52
Per protocol, participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. (NCT02033889)
Timeframe: Up to Week 52
Intervention | Percentage of Participants (Number) |
---|
Placebo/Glimepiride | 17.2 |
Ertugliflozin 5 mg | 4.3 |
Ertugliflozin 15 mg | 1.5 |
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Percentage of Participants Receiving Glycemic Rescue Therapy up to Week 104
Per protocol participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. (NCT02033889)
Timeframe: Up to Week 104
Intervention | Percentage of participants (Number) |
---|
Placebo/Glimepiride | 24.4 |
Ertugliflozin 5 mg | 11.1 |
Ertugliflozin 15 mg | 10.7 |
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Percentage of Participants Experiencing An Adverse Event (AE) (Including Rescue Approach)
An AE is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study. Per protocol, participants who met pre-specified glycemic criteria were rescued with open-label glimepiride or basal insulin according to Investigator judgment. (NCT02033889)
Timeframe: Up to Week 106
Intervention | Percentage of Participants (Number) |
---|
Placebo/Glimepiride | 77.5 |
Ertugliflozin 5 mg | 70.5 |
Ertugliflozin 15 mg | 75.6 |
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Percentage of Participants Discontinuing Study Treatment Due to an AE (Including Rescue Approach)
An AE is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study. Per protocol, participants who met pre-specified glycemic criteria were rescued with open-label glimepiride or basal insulin according to Investigator judgment. (NCT02033889)
Timeframe: Up to Week 104
Intervention | Percentage of Participants (Number) |
---|
Placebo/Glimepiride | 2.4 |
Ertugliflozin 5 mg | 3.4 |
Ertugliflozin 15 mg | 3.9 |
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Percent Change From BMD at Week 104 as Measured by DXA at the Distal Forearm Using Raw Data (Excluding Bone Rescue Approach)
BMD at the distal forearm was assessed by DXA at Week 0 and Week 104. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 104
Intervention | Percent change (Least Squares Mean) |
---|
Placebo/Glimepiride | -0.58 |
Ertugliflozin 5 mg | -0.40 |
Ertugliflozin 15 mg | -0.64 |
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Percent Change From Baseline in Bone Biomarker PTH at Week 52 (Excluding Bone Rescue Approach)
PTH is a biochemical marker of bone resorption. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 52
Intervention | Percent Change (Mean) |
---|
Placebo/Glimepiride | 8.11 |
Ertugliflozin 5 mg | 11.09 |
Ertugliflozin 15 mg | 2.48 |
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Percent Change From Baseline in Bone Biomarker PTH at Week 104 (Excluding Bone Rescue Approach)
PTH is a biochemical marker of bone resorption. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 104
Intervention | Percent change (Mean) |
---|
Placebo/Glimepiride | 10.12 |
Ertugliflozin 5 mg | 8.16 |
Ertugliflozin 15 mg | 5.46 |
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Percent Change From Baseline in Bone Biomarker Procollagen Type I N-terminal Propeptide (P1NP) at Week 26 (Excluding Bone Rescue Approach)
P1NP is a biochemical marker of bone resorption. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 26
Intervention | Percent change (Mean) |
---|
Placebo/Glimepiride | 0.5 |
Ertugliflozin 5 mg | 0.8 |
Ertugliflozin 15 mg | 0.5 |
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Percent Change From Baseline in Bone Biomarker Parathyroid Hormone (PTH) at Week 26 (Excluding Bone Rescue Approach)
PTH is a biochemical marker of bone resorption. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 26
Intervention | Percent change (Mean) |
---|
Placebo/Glimepiride | -0.98 |
Ertugliflozin 5 mg | 0.28 |
Ertugliflozin 15 mg | 0.14 |
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Percent Change From Baseline in Bone Biomarker P1NP at Week 52 (Excluding Bone Rescue Approach)
P1NP is a biochemical marker of bone resorption. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 52
Intervention | Percent Change (Mean) |
---|
Placebo/Glimepiride | 24.50 |
Ertugliflozin 5 mg | 8.41 |
Ertugliflozin 15 mg | 19.79 |
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Percent Change From Baseline in Bone Biomarker P1NP at Week 104 (Excluding Bone Rescue Approach)
P1NP is a biochemical marker of bone resorption. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 104
Intervention | Percent change (Mean) |
---|
Placebo/Glimepiride | 19.38 |
Ertugliflozin 5 mg | 10.11 |
Ertugliflozin 15 mg | 24.21 |
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Percent Change From Baseline in Bone Biomarker CTX at Week 52 (Excluding Bone Rescue Approach)
CTX is a biochemical marker of bone resorption. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 52
Intervention | Percent change (Mean) |
---|
Placebo/Glimepiride | 15.54 |
Ertugliflozin 5 mg | 34.36 |
Ertugliflozin 15 mg | 41.57 |
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Percent Change From Baseline in Bone Biomarker CTX at Week 104 (Excluding Bone Rescue Approach)
CTX is a biochemical marker of bone resorption. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 104
Intervention | Percent change (Mean) |
---|
Placebo/Glimepiride | 19.29 |
Ertugliflozin 5 mg | 26.94 |
Ertugliflozin 15 mg | 32.53 |
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Percent Change From Baseline in Bone Biomarker Carboxy-Terminal Cross-Linking Telopeptides of Type I Collagen (CTX) at Week 26 (Excluding Bone Rescue Approach)
CTX is a biochemical marker of bone resorption. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 26
Intervention | Percent change (Mean) |
---|
Placebo/Glimepiride | 10.8 |
Ertugliflozin 5 mg | 51.9 |
Ertugliflozin 15 mg | 80.2 |
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Percent Change From Baseline in BMD at Week 52 as Measured by DXA at the Total Hip Using Raw Data (Excluding Bone Rescue Approach)
BMD at the total hip was assessed by DXA at Week 0 and Week 52. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 52
Intervention | Percent change (Least Squares Mean) |
---|
Placebo/Glimepiride | -0.82 |
Ertugliflozin 5 mg | -1.04 |
Ertugliflozin 15 mg | -1.32 |
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Percent Change From Baseline in BMD at Week 52 as Measured by DXA at the Lumbar Spine (L1-L4) Using Raw Data (Excluding Bone Rescue Approach)
BMD at the femoral neck was assessed by DXA at Week 0 and Week 52. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 52
Intervention | Percent change (Least Squares Mean) |
---|
Placebo/Glimepiride | -0.10 |
Ertugliflozin 5 mg | -0.28 |
Ertugliflozin 15 mg | 0.07 |
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Percent Change From Baseline in BMD at Week 52 as Measured by DXA at the Femoral Neck Using Raw Data (Excluding Bone Rescue Approach)
BMD at the femoral neck was assessed by DXA at Week 0 and Week 52. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 52
Intervention | Percent change (Least Squares Mean) |
---|
Placebo/Glimepiride | -0.69 |
Ertugliflozin 5 mg | -0.49 |
Ertugliflozin 15 mg | -0.44 |
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Percent Change From Baseline in BMD at Week 52 as Measured by DXA at the Distal Forearm Using Raw Data (Excluding Bone Rescue Approach)
BMD at the distal forearm was assessed by DXA at Week 0 and Week 52. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 52
Intervention | Percent change (Least Squares Mean) |
---|
Placebo/Glimepiride | -0.44 |
Ertugliflozin 5 mg | -0.59 |
Ertugliflozin 15 mg | -0.39 |
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Percent Change From Baseline in BMD at Week 26 as Measured by DXA at the Total Hip Using Raw Data (Excluding Bone Rescue Approach)
BMD at the total hip was assessed by DXA at Week 0 and Week 26. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 26
Intervention | Percent change (Least Squares Mean) |
---|
Placebo/Glimepiride | -0.63 |
Ertugliflozin 5 mg | -0.55 |
Ertugliflozin 15 mg | -0.36 |
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Percent Change From Baseline in BMD at Week 26 as Measured by DXA at the Lumbar Spine (L1-L4) Using Raw Data (Excluding Bone Rescue Approach)
BMD at the femoral neck was assessed by DXA at Week 0 and Week 26. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 26
Intervention | Percentage change (Least Squares Mean) |
---|
Placebo/Glimepiride | 0.22 |
Ertugliflozin 5 mg | -0.01 |
Ertugliflozin 15 mg | 0.12 |
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Percent Change From Baseline in BMD at Week 26 as Measured by DXA at the Femoral Neck Using Raw Data (Excluding Bone Rescue Approach)
BMD at the femoral neck was assessed by DXA at Week 0 and Week 26. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 26
Intervention | Percent change (Least Squares Mean) |
---|
Placebo/Glimepiride | -0.40 |
Ertugliflozin 5 mg | -0.10 |
Ertugliflozin 15 mg | 0.30 |
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Percent Change From Baseline in BMD at Week 26 as Measured by DXA at the Distal Forearm Using Raw Data (Excluding Bone Rescue Approach)
BMD at the distal forearm was assessed by DXA at Week 0 and Week 26. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 26
Intervention | Percent change (Least Squares Mean) |
---|
Placebo/Glimepiride | 0.06 |
Ertugliflozin 5 mg | -0.15 |
Ertugliflozin 15 mg | -0.13 |
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Percent Change From Baseline in BMD at Week 104 as Measured by DXA at the Total Hip Using Raw Data (Excluding Bone Rescue Approach)
BMD at the total hip was assessed by DXA at Week 0 and Week 104. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 104
Intervention | Percent change (Least Squares Mean) |
---|
Placebo/Glimepiride | -1.18 |
Ertugliflozin 5 mg | -1.72 |
Ertugliflozin 15 mg | -2.02 |
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Percent Change From Baseline in BMD at Week 104 as Measured by DXA at the Lumbar Spine (L1-L4) Using Raw Data (Excluding Bone Rescue Approach)
BMD at the femoral neck was assessed by DXA at Week 0 and Week 104. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 104
Intervention | Percent change (Least Squares Mean) |
---|
Placebo/Glimepiride | 0.09 |
Ertugliflozin 5 mg | -0.19 |
Ertugliflozin 15 mg | -0.13 |
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Percent Change From Baseline in BMD at Week 104 as Measured by DXA at the Femoral Neck Using Raw Data (Excluding Bone Rescue Approach)
BMD at the femoral neck was assessed by DXA at Week 0 and Week 104. Participants who exhibited a significant reduction in BMD according to the protocol defined criteria completed an unscheduled DXA scan and, if required, received bone-active therapy. This table excludes measurements obtained after initiation of bone rescue medications. (NCT02033889)
Timeframe: Baseline and Week 104
Intervention | Percent change (Least Squares Mean) |
---|
Placebo/Glimepiride | -1.23 |
Ertugliflozin 5 mg | -1.11 |
Ertugliflozin 15 mg | -0.96 |
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Change From Baseline in A1C at Week 104 (Excluding Rescue Approach)
A1C is blood marker used to report average blood glucose levels over prolonged periods of time. Percentage A1C is the ratio of glycated hemoglobin to total hemoglobin x 100. Thus, this change from baseline reflects the Week 104 A1C minus the Week 0 A1C. Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Baseline and Week 104
Intervention | Percent A1C (Mean) |
---|
Placebo/Glimepiride | -0.58 |
Ertugliflozin 5 mg | -0.60 |
Ertugliflozin 15 mg | -0.89 |
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Change From Baseline in A1C at Week 26 (Excluding Rescue Approach)
A1C is blood marker used to report average blood glucose levels over prolonged periods of time. Percentage A1C is the ratio of glycated hemoglobin to total hemoglobin x 100. Thus, this change from baseline reflects the Week 26 A1C minus the Week 0 A1C (which is estimated on average for each treatment group using a constrained longitudinal data analysis model, which allows for participants with missing data to be included in the analysis). Participants who met pre-specified glycemic criteria were rescued with oral tablets of open-label glimepiride or basal insulin injected subcutaneously, and dosed according to Investigator judgment. Per protocol, this data set excludes data for any participant after the initiation of glycemic rescue therapy. (NCT02033889)
Timeframe: Baseline and Week 26
Intervention | Percent A1C (Least Squares Mean) |
---|
Placebo/Glimepiride | -0.03 |
Ertugliflozin 5 mg | -0.73 |
Ertugliflozin 15 mg | -0.91 |
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Number of Treatment Emergent Severe or BG (Blood Glucose) Confirmed Symptomatic Hypoglycaemic Episodes During the Maintenance Period
Severe or blood glucose (BG) confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe and/or BG confirmed by a plasma glucose value of <3.1 mmol/L (56 mg/dL), with symptoms consistent with hypoglycaemia. Treatment emergent hypoglycaemic episode was defined as an event with onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment. Maintenance period: 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64). (NCT02034513)
Timeframe: A 16-week treatment period.
Intervention | Event (Number) |
---|
Insulin Degludec (IDeg) | 2772 |
Insulin Glargine (IGlar) | 3126 |
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Incidence of Treatment Emergent Adverse Events
Treatment emergent adverse event was defined as an event with onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment. (NCT02034513)
Timeframe: During 32 weeks of treatment for each treatment period
Intervention | Event (Number) |
---|
Insulin Degludec (IDeg) | 925 |
Insulin Glargine (IGlar) | 937 |
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FPG (Fasting Plasma Glucose)
Fasting plasma glucose values at week 32 and week 64. (NCT02034513)
Timeframe: Week 32 and Week 64
Intervention | mmol/L (Mean) |
---|
| week 32 (n=208, 204) | week 64 (n=203, 201) |
---|
Insulin Degludec/Insulin Glargine (IDeg/IGlar) | 7.45 | 8.62 |
,Insulin Glargine/Insulin Degludec (IGlar/IDeg) | 8.12 | 7.54 |
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Change From Baseline in HbA1c (Glycosylated Haemoglobin)
Change from baseline in HbA1c (glycosylated haemoglobin) at week 32 (treatment period 1) and at week 64 (treatment period 2). Week 32 HbA1c absolute value was considered as baseline for calculating change from baseline in HbA1c at week 64. (NCT02034513)
Timeframe: Week 32, Week 64
Intervention | Percentage of glycosylated haemoglobin (Mean) |
---|
| week 32 (n=209, 205) | week 64 (n=203, 199) |
---|
Insulin Degludec/Insulin Glargine (IDeg/IGlar) | -0.73 | 0.04 |
,Insulin Glargine/Insulin Degludec (IGlar/IDeg) | -0.66 | 0.17 |
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Proportion of Subjects With One or More Severe Hypoglycaemic Episodes During the Maintenance Period
Percentage of subjects who experienced one or more severe hypoglycaemic episodes during the maintenance period. Severe hypoglycaemia (according to the American Diabetes Association 2013 definition): A hypoglycaemic episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. Plasma glucose values may not be available during an event, but neurological recovery following the return of plasma glucose to normal is considered sufficient evidence that the event was induced by a low plasma glucose concentration. (NCT02034513)
Timeframe: After 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64)
Intervention | Percentage of subjects (Number) |
---|
Insulin Degludec (IDeg) | 10.3 |
Insulin Glargine (IGlar) | 17.1 |
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Number of Treatment Emergent Severe or BG Confirmed Symptomatic Nocturnal Hypoglycaemic Episodes During the Maintenance Period
Severe or BG confirmed symptomatic nocturnal hypoglycaemic episodes were defined as episodes that were severe and/or BG confirmed by a plasma glucose value of <3.1 mmol/L (56 mg/dL), with symptoms consistent with hypoglycaemia and with time of onset between 00:01 and 05.59 a.m., both inclusive. Treatment emergent hypoglycaemic episode was defined as an event with onset date on or after the first day of exposure to randomised treatment and no later than the last day of randomised treatment. (NCT02034513)
Timeframe: After 16 weeks of treatment, in each treatment period (Week 16-32 and Week 48-64)
Intervention | Event (Number) |
---|
Insulin Degludec (IDeg) | 349 |
Insulin Glargine (IGlar) | 544 |
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Percentage of Participants With Severe Symptomatic Hypoglycemia
Severe symptomatic hypoglycemia was an event requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Plasma glucose measurements might not have been available during such an event, but neurological recovery attributable to the restoration of plasma glucose to normal was considered sufficient evidence that the event had been induced by a low plasma glucose concentration. Severe symptomatic hypoglycemia included all episodes in which neurological impairment was severe enough to prevent self-treatment, and which were thus thought to place participants at risk of injury to themselves or others. (NCT02058147)
Timeframe: First dose of study drug up to 1 day after the last dose administration (median treatment exposure: 211 days)
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 0 |
Insulin Glargine | 0.2 |
Lixisenatide | 0 |
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Average Daily Insulin Glargine Dose at Week 30
The analysis included scheduled measurements obtained up to the date of last injection of the IMP, including those obtained after introduction of rescue therapy. (NCT02058147)
Timeframe: Week 30
Intervention | Units (U) (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 39.77 |
Insulin Glargine | 40.46 |
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Change in 2-Hour Postprandial Plasma Glucose (PPG) From Baseline to Week 30
The 2-hour PPG test measured blood glucose 2 hours after eating a liquid standardized breakfast meal. Change in PPG was calculated by subtracting baseline value from Week 30 value. Missing data was imputed using LOCF. (NCT02058147)
Timeframe: Baseline, Week 30
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -5.68 |
Insulin Glargine | -3.31 |
Lixisenatide | -4.58 |
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Change in Body Weight From Baseline to Week 30
Change in body weight was calculated by subtracting baseline value from Week 30 value. (NCT02058147)
Timeframe: Baseline, Week 30
Intervention | kg (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -0.29 |
Insulin Glargine | 1.11 |
Lixisenatide | -2.3 |
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Change in Fasting Plasma Glucose (FPG) From Baseline to Week 30
Change in FPG was calculated by subtracting baseline value from Week 30 value. (NCT02058147)
Timeframe: Baseline, Week 30
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -3.46 |
Insulin Glargine | -3.27 |
Lixisenatide | -1.5 |
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Change in HbA1c From Baseline to Week 30
"Primary outcome was to test superiority of FRC versus Lixisenatide and non-inferiority versus Insulin glargine.~Change in HbA1c was calculated by subtracting baseline value from Week 30 value." (NCT02058147)
Timeframe: Baseline, Week 30
Intervention | percentage of hemoglobin (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -1.63 |
Insulin Glargine | -1.34 |
Lixisenatide | -0.85 |
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Change in Plasma Glucose Excursion From Baseline to Week 30
Plasma glucose excursion = 2-hour postprandial plasma glucose (PPG) value minus plasma glucose value obtained 30 minutes prior to the start of meal and before investigational medicinal product (IMP) administration if IMP was injected before breakfast. Change in plasma glucose excursions were calculated by subtracting baseline value from Week 30 value. Missing data was imputed using last observation carried forward (LOCF). (NCT02058147)
Timeframe: Baseline, Week 30
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -2.31 |
Insulin Glargine | -0.18 |
Lixisenatide | -3.23 |
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Number of Documented Symptomatic Hypoglycemia Events Per Subject-Year
Documented symptomatic hypoglycemia was an event during which symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of ≤ 70 mg/dL (3.9 mmol/L). (NCT02058147)
Timeframe: First dose of study drug up to 1 day after the last dose administration (median treatment exposure: 211 days)
Intervention | Events per subject-year (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 1.44 |
Insulin Glargine | 1.22 |
Lixisenatide | 0.34 |
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Percentage of Participants Reaching HbA1c <7.0% at Week 30 With No Documented Symptomatic Hypoglycemia (PG ≤ 70 mg/dL [3.9 mmol/L]) During 30-Week Treatment Period
Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of ≤70 mg/dL (3.9 mmol/L). The analysis included all HbA1c measurements at Week 30, including those obtained after the IMP discontinuation or the introduction of rescue medication. (NCT02058147)
Timeframe: Baseline up to Week 30
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 53.6 |
Insulin Glargine | 44.4 |
Lixisenatide | 30.5 |
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Percentage of Participants Reaching HbA1c <7.0% With No Body Weight Gain at Week 30
(NCT02058147)
Timeframe: Week 30
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 43.2 |
Insulin Glargine | 25.1 |
Lixisenatide | 27.9 |
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Percentage of Participants Reaching HbA1c <7.0% With No Body Weight Gain at Week 30 and No Documented Symptomatic Hypoglycemia (Plasma Glucose [PG] ≤ 70 mg/dL [3.9 mmol/L]) During 30-Week Treatment Period
Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of ≤70 mg/dL (3.9 mmol/L). (NCT02058147)
Timeframe: Baseline up to Week 30
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 31.8 |
Insulin Glargine | 18.9 |
Lixisenatide | 26.2 |
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Percentage of Participants Requiring Rescue Therapy During 30-Week Treatment Period
Routine fasting SMPG and central laboratory FPG (and HbA1c after Week 12) values were used to determine the requirement of rescue medication. If fasting SMPG value exceeded the specified limit for 3 consecutive days, the central laboratory FPG (and HbA1c after Week 12) was performed. Threshold values - from Week 8 to Week 12: fasting SMPG/FPG >240 mg/dL (13.3 mmol/L), and from Week 12 to Week 30: fasting SMPG/FPG >200 mg/dL (11.1 mmol/L) or HbA1c >8%. (NCT02058147)
Timeframe: Baseline up to Week 30
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 3.6 |
Insulin Glargine | 3.4 |
Lixisenatide | 12.4 |
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Percentage of Participants With Documented Symptomatic Hypoglycemia
Documented symptomatic hypoglycemia was an event during which symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of ≤ 70 mg/dL (3.9 mmol/L). (NCT02058147)
Timeframe: First dose of study drug up to 1 day after the last dose administration (median treatment exposure: 211 days)
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 25.6 |
Insulin Glargine | 23.6 |
Lixisenatide | 6.4 |
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Percentage of Participants With HbA1c <7.0% or ≤6.5% at Week 30
Participants without Week 30 value for HbA1c were counted as non-responders. (NCT02058147)
Timeframe: Week 30
Intervention | percentage of participants (Number) |
---|
| HbA1c <7.0% | HbA1c ≤6.5% |
---|
Insulin Glargine | 59.4 | 39.5 |
,Insulin Glargine/Lixisenatide Fixed Ratio Combination | 73.7 | 55.8 |
,Lixisenatide | 33 | 19.3 |
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Mean Change in 7-point Self-monitored Plasma Glucose (SMPG) Profile From Baseline to Week 30
Participants recorded a 7-point plasma glucose profile measured before and 2 hours after each meal and at bedtime two times in a week before baseline, before visit Week 12 and before visit Week 30 and the average value across the profiles performed in the week before a visit for the 7-time points was calculated. Change in average 7-point SMPG was calculated by subtracting baseline value from Week 30 value. The analysis included all scheduled measurements obtained during the study. The missing data was handled by mixed effect model with repeated measures (MMRM) approach. (NCT02058147)
Timeframe: Baseline, Week 30
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -3.35 |
Insulin Glargine | -2.66 |
Lixisenatide | -1.95 |
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Change in FPG From Baseline to Week 30
Change in FPG was calculated by subtracting baseline value from Week 30 value. (NCT02058160)
Timeframe: Baseline, Week 30
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -0.35 |
Insulin Glargine | -0.46 |
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Change in 2-hour PPG From Baseline to Week 30
Change in PPG was calculated by subtracting baseline value from Week 30 value. (NCT02058160)
Timeframe: Baseline, Week 30
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -4.72 |
Insulin Glargine | -1.39 |
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Change in 2-hour Plasma Blood Glucose Excursion From Baseline to Week 30
Plasma glucose excursion = 2-hour postprandial glucose (PPG) minus plasma glucose value obtained 30 minutes prior to the start of the meal and before investigational medicinal product (IMP) administration, if IMP was injected before breakfast. Change in plasma glucose excursions was calculated by subtracting baseline value from Week 30 value. (NCT02058160)
Timeframe: Baseline, Week 30
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -3.9 |
Insulin Glargine | -0.47 |
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Number of Documented Symptomatic Hypoglycemia Events Per Subject-Year
Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of ≤70 mg/dL (3.9 mmol/L). (NCT02058160)
Timeframe: First dose of study drug up to 1 day after the last dose administration (median treatment exposure 211 days [FRC], 210 days [Insulin glargine])
Intervention | events per subject-year (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 3.03 |
Insulin Glargine | 4.22 |
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Mean Change in 7-point Self-monitored Plasma Glucose (SMPG) Profile From Baseline to Week 30
Participants recorded a 7-point plasma glucose profile measured before and 2-hours after each meal and at bedtime, two times in a week before baseline, before visit Week 12 and before visit Week 30 and the average value across the profiles performed in the week before a visit for the 7 time points was calculated. Change in average 7 point SMPG was calculated by subtracting baseline value from Week 30 value. The analysis included all scheduled measurements obtained during the study. The missing data was handled by mixed effect model with repeated measures (MMRM) approach. (NCT02058160)
Timeframe: Baseline, Week 30
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -1.5 |
Insulin Glargine | -0.6 |
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Change in Glycated Hemoglobin (HbA1c) From Baseline to Week 30
Change in HbA1c was calculated by subtracting baseline value from Week 30 value. (NCT02058160)
Timeframe: Baseline, Week 30
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -1.13 |
Insulin Glargine | -0.62 |
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Percentage of Participants With Severe Symptomatic Hypoglycemia
Severe symptomatic hypoglycemia was an event requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Plasma glucose measurements might not had been available during such an event, but neurological recovery attributable to the restoration of plasma glucose to normal was considered sufficient evidence that the event had been induced by a low plasma glucose concentration. Severe symptomatic hypoglycemia included all episodes in which neurological impairment was severe enough to prevent self-treatment, and which were thus thought to place participants at risk for injury to themselves or others. (NCT02058160)
Timeframe: First dose of study drug up to 1 day after the last dose administration (median treatment exposure 211 days [FRC], 210 days [Insulin glargine])
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 1.1 |
Insulin Glargine | 0.3 |
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Percentage of Participants With HbA1c <7.0% or ≤6.5% at Week 30
(NCT02058160)
Timeframe: Week 30
Intervention | percentage of participants (Number) |
---|
| HbA1c <7.0% | HbA1c ≤ 6.5% |
---|
Insulin Glargine | 29.6 | 14.2 |
,Insulin Glargine/Lixisenatide Fixed Ratio Combination | 54.9 | 33.9 |
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Change in Daily Insulin Glargine Dose From Baseline to Week 30
(NCT02058160)
Timeframe: Baseline, Week 30
Intervention | Units (U) (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 10.64 |
Insulin Glargine | 10.89 |
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Change in Body Weight From Baseline to Week 30
Change in body weight was calculated by subtracting baseline value from Week 30 value. (NCT02058160)
Timeframe: Baseline, Week 30
Intervention | kg (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | -0.67 |
Insulin Glargine | 0.7 |
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Percentage of Participants With Documented Symptomatic Hypoglycemia
Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of ≤70 mg/dL (3.9 mmol/L). (NCT02058160)
Timeframe: First dose of study drug up to 1 day after the last dose administration (median treatment exposure 211 days [FRC], 210 days [Insulin glargine])
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 40 |
Insulin Glargine | 42.5 |
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Percentage of Participants Requiring Rescue Therapy During 30-Week Treatment Period
Routine fasting SMPG and central laboratory FPG (and HbA1c after Week 12) values were used to determine the requirement of rescue medication. If fasting SMPG value exceeded the specified limit for 3 consecutive days, the central laboratory FPG (and HbA1c after Week 12) were performed. Threshold values - from Week 8 to Week 12: fasting SMPG/FPG >240 mg/dL (13.3 mmol/L), and from Week 12 to Week 30: fasting SMPG/FPG >200 mg/dL (11.1 mmol/L) or HbA1c >8%. (NCT02058160)
Timeframe: Baseline up to Week 30
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 2.7 |
Insulin Glargine | 6 |
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Percentage of Participants Reaching HbA1c <7.0% With No Documented Symptomatic Hypoglycemia (PG ≤ 70 mg/dL [3.9 mmol/L]) During 30-Week Treatment Period
Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of ≤70 mg/dL (3.9 mmol/L). (NCT02058160)
Timeframe: Baseline up to Week 30
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 31.7 |
Insulin Glargine | 18.6 |
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Percentage of Participants Reaching HbA1c <7.0% With No Body Weight Gain at Week 30 and No Documented Symptomatic Hypoglycemia (Plasma Glucose [PG] ≤ 70 mg/dL [3.9 mmol/L]) During 30-Week Treatment Period
Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of ≤70 mg/dL (3.9 mmol/L). (NCT02058160)
Timeframe: Baseline up to Week 30
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 19.9 |
Insulin Glargine | 9.0 |
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Percentage of Participants Reaching HbA1c <7.0% With No Body Weight Gain at Week 30
(NCT02058160)
Timeframe: Week 30
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination | 34.2 |
Insulin Glargine | 13.4 |
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Percentage of Participants With Negative AIA at Baseline Who Develop Confirmed Positive AIA at Any Time Up Through Week 52
Percentage of participants who became positive to AIA at or before Week 52, among participants who were AIA negative at baseline. (NCT02059161)
Timeframe: Up to Week 52
Intervention | Percentage of participants (Number) |
---|
MK-1293 | 40.6 |
Lantus | 39.8 |
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Percentage of Participants With Negative AIA at Baseline Who Develop Confirmed Positive AIA at Any Time Up Through Week 24
Percentage of participants who became positive to AIA at or before Week 24, among participants who were AIA negative at baseline. (NCT02059161)
Timeframe: Up to Week 24
Intervention | Percentage of participants (Number) |
---|
MK-1293 | 32.7 |
Lantus | 35.7 |
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Percentage of Participants With Confirmed Positive AIA Up Through Week 52
Percentage of participants with confirmed positive AIA at any time up through Week 52 including baseline. (NCT02059161)
Timeframe: Up to Week 52 including baseline
Intervention | Percentage of participants (Number) |
---|
MK-1293 | 73.4 |
Lantus | 75.6 |
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Percentage of Participants With Any Confirmed Positive Anti-insulin Antibody (AIA) at Any Time Up Through Week 24
Percentage of participants with confirmed positive AIA at any time up through Week 24 including baseline. (NCT02059161)
Timeframe: Up to Week 24
Intervention | Percentage of participants (Number) |
---|
MK-1293 | 70.1 |
Lantus | 74.0 |
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Basal Insulin Dose at Week 24
Basal Insulin Dose at Week 24. (NCT02059161)
Timeframe: Week 24
Intervention | Units (Least Squares Mean) |
---|
MK-1293 | 36.33 |
Lantus | 37.07 |
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Percentage of Participants Who Develop Insulin Neutralizing Antibodies Up Through Week 52
Percentage of Participants Who Develop Insulin Neutralizing Antibodies Up Thought Week 52. This immunogenicity analysis assessed the effect of treatment with MK-1293 and with Lantus on insulin-neutralizing antibody (INAb) development up through 52 weeks of treatment. (NCT02059161)
Timeframe: Up to Week 52
Intervention | Percentage of participants (Number) |
---|
MK-1293 | 4.7 |
Lantus | 6.9 |
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Percentage of Participants Who Develop Insulin Neutralizing Antibodies Up Through Week 24
Percentage of Participants Who Develop Insulin Neutralizing Antibodies Up Through Week 24. This immunogenicity analysis assessed the effect of treatment with MK-1293 and with Lantus on insulin-neutralizing antibody (INab) development up through 24 weeks of treatment. (NCT02059161)
Timeframe: Up to Week 24
Intervention | Percentage of participants (Number) |
---|
MK-1293 | 3.9 |
Lantus | 5.3 |
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Basal Insulin Dose at Week 52
Basal Insulin Dose at Week 52. (NCT02059161)
Timeframe: Week 52
Intervention | Units (Least Squares Mean) |
---|
MK-1293 | 36.08 |
Lantus | 36.51 |
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Basal Insulin Dose Per kg of Body Weight at Week 24
Basal Insulin Dose per kg of Body Weight at Week 24. (NCT02059161)
Timeframe: Week 24
Intervention | Units/kg (Least Squares Mean) |
---|
MK-1293 | 0.46 |
Lantus | 0.48 |
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Basal Insulin Dose Per kg of Body Weight at Week 52
Basal Insulin Dose per kg of Body Weight at Week 52. (NCT02059161)
Timeframe: Week 52
Intervention | Units/kg (Least Squares Mean) |
---|
MK-1293 | 0.46 |
Lantus | 0.47 |
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Bolus Insulin Dose at Week 24
Bolus Insulin Dose at Week 24. (NCT02059161)
Timeframe: Week 24
Intervention | Units (Least Squares Mean) |
---|
MK-1293 | 21.65 |
Lantus | 22.91 |
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Bolus Insulin Dose at Week 52
Bolus Insulin Dose at Week 52. (NCT02059161)
Timeframe: Week 52
Intervention | Units (Least Squares Mean) |
---|
MK-1293 | 22.15 |
Lantus | 23.65 |
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Bolus Insulin Dose Per kg of Body Weight at Week 24
Bolus Insulin Dose per kg of Body Weight at Week 24. (NCT02059161)
Timeframe: Week 24
Intervention | Units/kg (Least Squares Mean) |
---|
MK-1293 | 0.28 |
Lantus | 0.29 |
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Bolus Insulin Dose Per kg of Body Weight at Week 52
Bolus Insulin Dose per kg of Body Weight at Week 52. (NCT02059161)
Timeframe: Week 52
Intervention | Units/kg (Least Squares Mean) |
---|
MK-1293 | 0.28 |
Lantus | 0.30 |
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Change From Baseline in 7-point Self-monitored Blood Glucose (SMBG) at Week 24
The 7-point SMBG profile consisted of the following measurements by glucose meter: morning pre-meal (fasting), 2 hours after morning meal, midday pre-meal, 2 hours after midday meal, evening pre meal, pre-bedtime (pre-dose and at least 2 hours after evening meal), between 2:00 AM and 4:00 AM in the morning. (NCT02059161)
Timeframe: Baseline and Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
MK-1293 | -4.9 |
Lantus | -4.6 |
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Change From Baseline in A1C at Week 52
A1C is blood marker used to report average blood glucose levels over prolonged periods of time and is reported as a percentage (%). This change from baseline reflects the Week 52 A1C minus the Week 0 A1C. (NCT02059161)
Timeframe: Baseline and Week 52
Intervention | Percent (Least Squares Mean) |
---|
MK-1293 | -0.35 |
Lantus | -0.33 |
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Change From Baseline in AIA Titer After 24 Weeks of Treatment
This immunogenicity analysis will assess the effect of treatment with MK-1293 compared with Lantus on anti-insulin antibody development after 24 weeks of treatment. This change from baseline reflects the Week 24 AIA titer minus the Week 0 AIA titer. (NCT02059161)
Timeframe: Baseline and Week 24
Intervention | AIA Titers (Mean) |
---|
MK-1293 | 0.4 |
Lantus | 0.3 |
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Change From Baseline in AIA Titer After 52 Weeks of Treatment
This immunogenicity analysis assessed the effect of treatment with MK-1293 compared with Lantus on anti-insulin antibody development after 52 weeks of treatment. This change from baseline reflects the AIA titers at Week 52 minus the AIA titers at Week 0. (NCT02059161)
Timeframe: Baseline and Week 52
Intervention | AIA Titers (Mean) |
---|
MK-1293 | -1.6 |
Lantus | 0.1 |
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24
Blood glucose was measured on a fasting basis (collected after a 10-hour fast). FPG is expressed as mg/dL. This change from baseline reflects the FPG level at Week 24 minus the FPG level at Week 0. (NCT02059161)
Timeframe: Baseline and Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
MK-1293 | -16.8 |
Lantus | -26.4 |
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Change From Baseline in 7-point SMBG at Week 52
The 7-point SMBG profile consisted of the following measurements by glucose meter: morning pre-meal (fasting), 2 hours after morning meal, midday pre-meal, 2 hours after midday meal, evening pre meal, pre-bedtime (pre-dose and at least 2 hours after evening meal), between 2:00 AM and 4:00 AM in the morning. (NCT02059161)
Timeframe: Baseline and Week 52
Intervention | mg/dL (Least Squares Mean) |
---|
MK-1293 | -12.0 |
Lantus | -4.0 |
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Percentage of Participants Attaining A1C Glycemic Goals of <7% and <6.5% After 52 Weeks of Treatment.
Percentage of participants attaining A1C glycemic goals of <7.0% and <6.5% after 52 weeks of treatment. (NCT02059161)
Timeframe: 52 weeks
Intervention | Percentage of participants (Number) |
---|
| A1C < 7.0% | A1C < 6.5% |
---|
Lantus | 30.8 | 18.6 |
,MK-1293 | 31.0 | 14.2 |
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Change From Baseline in FPG at Week 52
Blood glucose was measured on a fasting basis (collected after a 10-hour fast). This change from baseline reflects the FPG level at Week 52 minus the FPG level at Week 0. (NCT02059161)
Timeframe: Baseline and Week 52
Intervention | mg/dL (Least Squares Mean) |
---|
MK-1293 | -17.9 |
Lantus | -12.5 |
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Percentage of Participants Attaining A1C Glycemic Goals of <7% and <6.5% After 24 Weeks of Treatment.
Percentage of participants attaining A1C glycemic goals of <7.0% and <6.5% after 24 weeks of treatment. (NCT02059161)
Timeframe: 24 weeks
Intervention | Percentage of participants (Number) |
---|
| A1C < 7.0% | A1C < 6.5% |
---|
Lantus | 37.7 | 21.6 |
,MK-1293 | 37.0 | 20.5 |
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Total Insulin Dose Per Kilogram (kg) of Body Weight (Unit/kg) at Week 52
Total insulin dose = basal insulin (MK-1293 or Lantus) + bolus (prandial) insulin (non-study medication). (NCT02059161)
Timeframe: Week 52
Intervention | Insulin units/kg. (Least Squares Mean) |
---|
MK-1293 | 0.75 |
Lantus | 0.77 |
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Total Insulin Dose Per Kilogram (kg) of Body Weight (Unit/kg) at Week 24
Total insulin dose = basal insulin (MK-1293 or Lantus) + bolus (prandial) insulin (non-study medication). (NCT02059161)
Timeframe: Week 24
Intervention | Insulin units/kg. (Least Squares Mean) |
---|
MK-1293 | 0.75 |
Lantus | 0.77 |
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Total Insulin Dose at Week 52
Total insulin dose = basal insulin (MK-1293 or Lantus) + bolus (prandial) insulin (non-study medication). (NCT02059161)
Timeframe: Week 52
Intervention | Insulin units (Least Squares Mean) |
---|
MK-1293 | 59.16 |
Lantus | 60.93 |
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Total Insulin Dose at Week 24
Total insulin dose = basal insulin (MK-1293 or Lantus) + bolus (prandial) insulin (non-study medication). (NCT02059161)
Timeframe: Week 24
Intervention | Insulin units (Least Squares Mean) |
---|
MK-1293 | 58.74 |
Lantus | 60.51 |
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Primary: Change From Baseline in Hemoglobin A1c (A1C) at Week 24
A1C is blood marker used to report average blood glucose levels over prolonged periods of time and is reported as a percentage (%). This change from baseline reflects the Week 24 A1C minus the Week 0 A1C. (NCT02059161)
Timeframe: Baseline and Week 24
Intervention | Percent (Least Squares Mean) |
---|
MK-1293 | -0.62 |
Lantus | -0.66 |
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Daily Basal Insulin Dose (Units) at Week 24
The daily basal insulin dose (measured in units) for any given visit is defined as the average dose from the three most recent days preceding the visit date. (NCT02059187)
Timeframe: Week 24
Intervention | Units (Least Squares Mean) |
---|
MK-1293 | 48.2 |
Lantus™ | 46.9 |
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Daily Basal Insulin Dose Per Body Weight (Units/kg) at Week 24
Basal insulin dose per body weight was calculated as total insulin dose (units) per day divided by body weight in kilograms (kg). (NCT02059187)
Timeframe: Week 24
Intervention | Units/kg (Least Squares Mean) |
---|
MK-1293 | 0.53 |
Lantus™ | 0.51 |
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Change From Baseline in Participant 7-Point Average of Self-Monitored Blood Glucose (SMBG) at Week 24
7-Point Average of SMBG was defined as the mean of blood glucose measurements taken at the following 7 times: before morning meal, after morning meal, before midday meal, after midday meal, before evening meal, after evening meal or at bedtime, and between 2 AM and 4 AM. (NCT02059187)
Timeframe: Baseline and Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
MK-1293 | -30.7 |
Lantus™ | -27.3 |
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Percentage of Participants Experiencing an Adverse Event (AE) of Hypoglycemia Up to Week 24
Symptomatic events assessed as likely to be hypoglycemia were to be reported by investigators as adverse events of hypoglycemia; a concurrent glucose measurement was not required. Asymptomatic events with confirmed glucose levels = 70mg/dL (= 3.9mmol/L) could also be reported as adverse events at the discretion of the investigator. (NCT02059187)
Timeframe: Up to 24 weeks
Intervention | Percentage of participants (Number) |
---|
MK-1293 | 54.0 |
Lantus™ | 54.0 |
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Percentage of Participants Experiencing an AE Over the 24-week Treatment Period
An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the investigational product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the investigational product, is also an AE. (NCT02059187)
Timeframe: Up to 24 weeks
Intervention | Percentage of participants (Number) |
---|
MK-1293 | 78.3 |
Lantus™ | 71.5 |
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Percentage of Participants With Confirmed Anti-Insulin Antibodies (AIA) up to Week 24
Percentage of participants is a cumulative percentage of participants with any confirmed AIA (including baseline) up to Week 24. (NCT02059187)
Timeframe: Up to 24 weeks
Intervention | Percentage of participants (Number) |
---|
MK-1293 | 34.7 |
Lantus™ | 29.0 |
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Change From Baseline in Participant Body Weight at Week 24
Change from baseline in participant body weight at Week 24. (NCT02059187)
Timeframe: Baseline and Week 24
Intervention | kilograms (Mean) |
---|
MK-1293 | 1.3 |
Lantus™ | 1.4 |
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Percentage of Participants With Hemoglobin A1C <6.5% at Week 24
Percentage of participants with A1C <6.5% (48 mmol/mol) at Week 24. (NCT02059187)
Timeframe: Week 24
Intervention | Percentage of participants (Number) |
---|
MK-1293 | 21.6 |
Lantus™ | 22.4 |
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Percentage of Participants With Hemoglobin A1C <7% at Week 24
Percentage of participants with A1C <7.0% (53 mmol/mol) at Week 24. (NCT02059187)
Timeframe: Week 24
Intervention | Percentage of participants (Number) |
---|
MK-1293 | 46.5 |
Lantus™ | 43.7 |
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Change From Baseline in Participant Fasting Plasma Glucose (FPG) at Week 24
Participants fasted (no food or drink except water and non-antihyperglycemic non-study medications as prescribed) for at least 8 hours prior to all study visits. (NCT02059187)
Timeframe: Baseline and Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
MK-1293 | -35.0 |
Lantus™ | -38.4 |
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Change From Baseline in Participant Hemoglobin A1C Level at Week 24
A1C is measured as a percent. A1C is the key glycemic parameter which correlates with reduction of risk of diabetic complications. (NCT02059187)
Timeframe: Baseline and Week 24
Intervention | Percent A1C (Least Squares Mean) |
---|
MK-1293 | -1.28 |
Lantus™ | -1.30 |
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Mean Fasting Blood Glucose Level
The primary endpoint of the study is differences between treatment groups in mean fasting blood glucose level in LTC residents with poorly controlled diabetes. (NCT02061969)
Timeframe: 6 months
Intervention | mg/dl (Mean) |
---|
Insulin Glargine | 136.4 |
Linagliptin | 131.2 |
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Mortality
Mortality is defined as death occurring during admission at the LTC facility (NCT02061969)
Timeframe: over 6 months
Intervention | Participants (Count of Participants) |
---|
Insulin Glargine | 0 |
Linagliptin | 2 |
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Number of Hypoglycemic Events < 40mg/dl
total number of severe hypoglycemia (< 40 mg/dl). (NCT02061969)
Timeframe: over 6 months
Intervention | events (Number) |
---|
Insulin Glargine | 3 |
Linagliptin | 0 |
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Number of Hypoglycemic Events < 70mg/dl
total number of hypoglycemic events (<70 mg/dl) (NCT02061969)
Timeframe: over 6 months
Intervention | events (Number) |
---|
Insulin Glargine | 136 |
Linagliptin | 3 |
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Number of Participants With Acute Complications
Number of Participants with Acute Complications (urinary tract infections, pneumonia, bedsores, diabetic foot infection). (NCT02061969)
Timeframe: over 6 months
Intervention | Participants (Count of Participants) |
---|
Insulin Glargine | 8 |
Linagliptin | 5 |
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Total Daily Dose of Insulin
Total daily dose of insulin (units) (NCT02061969)
Timeframe: over 6 months
Intervention | U/day (Mean) |
---|
Insulin Glargine | 12.0 |
Linagliptin | 4.03 |
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Total Number of Emergency Room Visits
Total number of emergency room visits during the study period (NCT02061969)
Timeframe: 6 months
Intervention | visits (Number) |
---|
Insulin Glargine | 3 |
Linagliptin | 0 |
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Total Number of Hospital Visits
Total number of hospital visits during the study period (NCT02061969)
Timeframe: 6 months
Intervention | visits (Number) |
---|
Insulin Glargine | 6 |
Linagliptin | 7 |
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Total Number of Complications
Total number of complications including urinary tract infections, pneumonia, diabetic foot infection, cardiac complications including myocardial infarction and heart failure, cerebrovascular accidents, and acute kidney injury and mortality. (NCT02061969)
Timeframe: 6 months
Intervention | events (Number) |
---|
Insulin Glargine | 22 |
Linagliptin | 16 |
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HbA1c
HbA1c at 6 month (NCT02061969)
Timeframe: 6 months
Intervention | percent of glycosylated hemoglobin (Mean) |
---|
Insulin Glargine | 6.58 |
Linagliptin | 6.82 |
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Incidence of Acute Kidney Injury
Acute kidney injury in LTC Residents Treated with Basal Insulin and Linagliptin Therapy (NCT02061969)
Timeframe: over 6 months
Intervention | events (Number) |
---|
Insulin Glargine | 2 |
Linagliptin | 1 |
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Change From Baseline in Body Mass Index (BMI)
(NCT02072096)
Timeframe: Baseline, Week 72
Intervention | kilogram per square meter (kg/m^2) (Mean) |
---|
Strategy A (Glucose-Dependent) | -0.47 |
Strategy B (Reference) | 0.20 |
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Change From Baseline of Estimated Glomerular Filtration Rate (eGFR)
The eGFR is used in addition to the Urinary Albumin to Creatinine Ratio to measure the incidence and progression of diabetic kidney disease. (NCT02072096)
Timeframe: Baseline, Week 72
Intervention | milliliter per minute/1.73 square meter (Mean) |
---|
Strategy A (Glucose-Dependent) | -5.00 |
Strategy B (Reference) | -5.88 |
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Change From Baseline of Urinary Albumin to Creatinine Ratio
The Urinary Albumin to Creatinine Ratio is used in addition to Estimated Glomerular Filtration Rate (eGFR) to measure the incidence and progression of diabetic kidney disease. (NCT02072096)
Timeframe: Baseline, Week 72
Intervention | milligram per millimole (mg/mmol) (Mean) |
---|
Strategy A (Glucose-Dependent) | 1.85 |
Strategy B (Reference) | 1.85 |
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Percentage of Participants Achieving and Maintaining Individualized Glycated Hemoglobin A1c (HbA1c) Targets Without Clinically Significant Hypoglycemia
Failed to reach and maintain HbA1c target, without clinically significant hypoglycemia, is defined as having 2 consecutive HbA1c > upper limit of HbA1c target over 12 weeks starting from Week 24 for participants with HbA1c data beyond Week 24, or Week 24 HbA1c > upper limit of HbA1c target for participants without HbA1c data beyond Week 24. Clinically significant hypoglycemia is defined as any severe hypoglycemia or repeated hypoglycemia interrupting participants activities or sleep and associated with blood glucose ≤3.9 millimole per liter (mmol/L), or repeated asymptomatic hypoglycemia associated with blood glucose <3.0 mmol/L. Success is defined as lacking of failure. (NCT02072096)
Timeframe: Baseline to last participant visit (up to 72 weeks)
Intervention | percentage of participants (Number) |
---|
Strategy A (Glucose-Dependent) | 64.5 |
Strategy B (Reference) | 54.9 |
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Percentage of Participants Requiring Alternative Treatment Due to Glycemic Failure of First Line Injectable Therapy
(NCT02072096)
Timeframe: Baseline to last participant visit (up to 72 weeks)
Intervention | percentage of participants (Number) |
---|
Strategy A (Glucose-Dependent) | 21 |
Strategy B (Reference) | 13 |
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Number of Participants With Total Hypoglycemia and Other Categories of Hypoglycemia
(NCT02072096)
Timeframe: Baseline to last participant visit (up to 72 weeks)
Intervention | Participants (Number) |
---|
| Total Hypoglycemia | Severe Hypoglycemia | Clinically Significant Hypoglycemia | Symptomatic Hypoglycemia | Asymptomatic Hypoglycemia | Probable Symptomatic Hypoglycemia | Unspecified Hypoglycemia | Relative Hypoglycemia | Nocturnal Hypoglycemia |
---|
Strategy A (Glucose-Dependent) | 10 | 0 | 0 | 5 | 8 | 0 | 2 | 1 | 4 |
,Strategy B (Reference) | 50 | 0 | 1 | 34 | 30 | 7 | 7 | 6 | 10 |
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Percentage of Participants Who Experienced an Adverse Event (AE): Including Rescue Approach
An AE is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study. Including rescue approach data analysis included data following the initiation of rescue therapy. (NCT02099110)
Timeframe: Up to 54 weeks
Intervention | Percentage of participants (Number) |
---|
Ertugliflozin 5 mg | 62.0 |
Ertugliflozin 15 mg | 57.7 |
Sitagliptin 100 mg | 57.5 |
Ertugliflozin 5 mg + Sitagliptin 100 mg | 58.8 |
Ertugliflozin 15 mg + Sitagliptin 100 mg | 55.7 |
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Percentage of Participants Who Discontinued Study Treatment Due to an AE: Including Rescue Approach
An AE is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study. Including rescue approach data analysis included data following the initiation of rescue therapy. (NCT02099110)
Timeframe: Up to 52 weeks
Intervention | Percentage of participants (Number) |
---|
Ertugliflozin 5 mg | 3.2 |
Ertugliflozin 15 mg | 3.2 |
Sitagliptin 100 mg | 2.8 |
Ertugliflozin 5 mg + Sitagliptin 100 mg | 3.3 |
Ertugliflozin 15 mg + Sitagliptin 100 mg | 3.7 |
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26 - Excluding Rescue Approach
Blood glucose was measured on a fasting basis after at least a 10-hour fast. This change from baseline reflects the Week 26 FPG minus the Week 0 FPG. Excluding recue approach data analysis excluded all data following the initiation of rescue therapy at any time point, in order to avoid the confounding influence of the rescue therapy. (NCT02099110)
Timeframe: Baseline and Week 26
Intervention | mg/dL (Least Squares Mean) |
---|
Ertugliflozin 5 mg | -35.73 |
Ertugliflozin 15 mg | -36.91 |
Sitagliptin 100 mg | -25.56 |
Ertugliflozin 5 mg + Sitagliptin 100 mg | -43.96 |
Ertugliflozin 15 mg + Sitagliptin 100 mg | -48.70 |
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Change From Baseline in Sitting Systolic Blood Pressure at Week 26: Excluding Rescue Approach
This change from baseline reflects the Week 26 systolic blood pressure minus the Week 0 systolic blood pressure. Excluding recue approach data analysis excluded all data following the initiation of rescue therapy at any time point, in order to avoid the confounding influence of the rescue therapy. (NCT02099110)
Timeframe: Baseline and Week 26
Intervention | mm Hg (Least Squares Mean) |
---|
Ertugliflozin 5 mg | -3.89 |
Ertugliflozin 15 mg | -3.69 |
Sitagliptin 100 mg | -0.66 |
Ertugliflozin 5 mg + Sitagliptin 100 mg | -3.42 |
Ertugliflozin 15 mg + Sitagliptin 100 mg | -3.67 |
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Change From Baseline in Static Beta-Cell Sensitivity to Glucose Index at Week 26; Excluding Rescue Approach
Static beta-cell sensitivity to glucose index (SBCSGI) estimates the ratio of insulin secretion (expressed in pmol/min) related to above-basal glucose concentration (expressed in mmol/L * L) following a meal. Blood samples were collected before and after a standard meal and glucose, insulin, and C-peptide levels were analyzed. The C-peptides minimal model was used to estimate the insulin secretion rate (ISR). Analysis included both non-model-based [including insulinogenic index with C-peptide, glucose area under the curve (AUC)/insulin AUC] and model-based [beta cell function and insulin secretion rate at 9 mM glucose] testing. Analysis was performed with non-linear least squares using the Software Architecture Analysis Method (SAAM) II software. SBCSGI was expressed in units of 10^-9 min^-1. Excluding rescue approach data analysis excluded all data following the initiation of rescue therapy at any time point, in order to avoid the confounding influence of the rescue therapy. (NCT02099110)
Timeframe: 30 min. before and 0, 15, 30, 60, 90, 120, and 180 minutes following the start of the standard meal at Baseline and Week 26
Intervention | SBCSGI (10^-9min^-1) (Least Squares Mean) |
---|
Ertugliflozin 5 mg | 8.62 |
Ertugliflozin 15 mg | 9.71 |
Sitagliptin 100 mg | 21.11 |
Ertugliflozin 5 mg + Sitagliptin 100 mg | 16.24 |
Ertugliflozin 15 mg + Sitagliptin 100 mg | 11.51 |
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Percentage of Participants Achieving a Hemoglobin A1C of <7% (<53 mmol/Mol) (Raw Proportions): Excluding Rescue Approach
A1C is blood marker used to report average blood glucose levels over a prolonged periods of time and is reported as a percentage (%). Excluding recue approach data analysis excluded all data following the initiation of rescue therapy at any time point, in order to avoid the confounding influence of the rescue therapy. (NCT02099110)
Timeframe: Week 26
Intervention | Percentage of participants (Number) |
---|
Ertugliflozin 5 mg | 26.4 |
Ertugliflozin 15 mg | 31.9 |
Sitagliptin 100 mg | 32.8 |
Ertugliflozin 5 mg + Sitagliptin 100 mg | 52.3 |
Ertugliflozin 15 mg + Sitagliptin 100 mg | 49.2 |
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Change From Baseline in Body Weight at Week 26: Excluding Rescue Approach
This change from baseline reflects the Week 26 body weight minus the Week 0 body weight. Excluding recue approach data analysis excluded all data following the initiation of rescue therapy at any time point, in order to avoid the confounding influence of the rescue therapy. (NCT02099110)
Timeframe: Baseline and Week 26
Intervention | Kilograms (Least Squares Mean) |
---|
Ertugliflozin 5 mg | -2.69 |
Ertugliflozin 15 mg | -3.74 |
Sitagliptin 100 mg | -0.67 |
Ertugliflozin 5 mg + Sitagliptin 100 mg | -2.52 |
Ertugliflozin 15 mg + Sitagliptin 100 mg | -2.94 |
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Change From Baseline in A1C at Week 26: Excluding Rescue Approach
A1C is blood marker used to report average blood glucose levels over prolonged periods of time and is reported as a percentage (%). This change from baseline reflects the Week 26 A1C minus the Week 0 A1C. Excluding recue approach data analysis excluded all data following the initiation of rescue therapy at any time point, in order to avoid the confounding influence of the rescue therapy. (NCT02099110)
Timeframe: Baseline and Week 26
Intervention | Percentage (Least Squares Mean) |
---|
Ertugliflozin 5 mg | -1.02 |
Ertugliflozin 15 mg | -1.08 |
Sitagliptin 100 mg | -1.05 |
Ertugliflozin 5 mg + Sitagliptin 100 mg | -1.49 |
Ertugliflozin 15 mg + Sitagliptin 100 mg | -1.52 |
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Change in Patient Reported Outcome Questionnaires. (PROs), Diabetes Treatment Satisfaction Questionnaire (DTSQs)
The Diabetes Treatment Satisfaction Questionnaire (DTSQs) questionnaire was to be used to assess a subject's treatment satisfaction. This questionnaire contained 8 components and measured the treatment for diabetes (including insulin, tablets and/or diet) in terms of convenience, flexibility and general feelings regarding treatment. The value presented is the 'Treatment Satisfaction' summary score, which is the sum of 6 of the 8 items of the DTSQs questionnaire. Response options range from 6 (best case) to 0 (worst case). Total scores for treatment satisfaction range from 0-36. Higher scores indicate higher satisfaction. The values displayed are the estimated mean change from baseline to week 30. (NCT02128932)
Timeframe: Week 0, week 30
Intervention | Score on a scale (Least Squares Mean) |
---|
Semaglutide 0.5mg/Week | 4.86 |
Semaglutide 1.0 mg/Week | 5.37 |
Insulin Glargine | 3.99 |
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Change in Systolic Blood Pressure.
Change in systolic blood pressure from baseline to week 30. (NCT02128932)
Timeframe: Week 0, week 30
Intervention | mmHg (Least Squares Mean) |
---|
Semaglutide 0.5mg/Week | -4.65 |
Semaglutide 1.0 mg/Week | -5.17 |
Insulin Glargine | -1.68 |
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Change in Patient Reported Outcome (PRO) Questionnaire, Questionnaire SF-36v2™
The Short Form (SF)-36v2™ patient reported outcomes (PRO) questionnaire was used to assess the subject's overall health related quality of life (HRQoL. PRO questionnaire (SF-36v2™) measured the HRQoL on 8 domains on individual scale ranges. The scores 0-100 (where higher scores indicated a better HRQoL) from the SF-36 were converted to a norm-based score using a T-score transformation in order to obtain a direct interpretation in relation to the distribution of the scores in the 1998 U.S. general population. The (SF-36v2™) values displayed are the estimated mean change from baseline to week 30. (NCT02128932)
Timeframe: Week 0, week 30
Intervention | T-scores (Least Squares Mean) |
---|
| Bodily pain | General Health | Mental Component summary, MCS | Mental Health | Physical Component summary, PCS | Physical Functioning | Role-emotional | Role-physical | Social functioning | Vitality |
---|
Insulin Glargine | 0.90 | 1.63 | 0.25 | 0.54 | 1.18 | 0.69 | 0.06 | 0.78 | 0.36 | 0.95 |
,Semaglutide 0.5mg/Week | 0.95 | 1.95 | 1.23 | 1.69 | 1.18 | 1.64 | 0.88 | 0.90 | 1.13 | 1.71 |
,Semaglutide 1.0 mg/Week | 1.76 | 2.78 | 1.33 | 1.17 | 2.09 | 1.49 | 1.73 | 1.97 | 1.04 | 2.09 |
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Subjects Who Achieve HbA1c ≤6.5% (48 mmol/Mol), American Association of Clinical Endocrinologists (AACE)
Subjects who achieve HbA1c ≤6.5% (48 mmol/mol), American Association of Clinical Endocrinologists (AACE) after 30 weeks of treatment (NCT02128932)
Timeframe: After 30 weeks treatment
Intervention | Count of participants (Number) |
---|
| Yes | No |
---|
Insulin Glargine | 63 | 297 |
,Semaglutide 0.5mg/Week | 135 | 227 |
,Semaglutide 1.0 mg/Week | 195 | 165 |
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Change in HbA1c From Baseline
Change in HbA1c from baseline to week 30. (NCT02128932)
Timeframe: Week 0, week 30
Intervention | percentage (Least Squares Mean) |
---|
Semaglutide 0.5mg/Week | -1.21 |
Semaglutide 1.0 mg/Week | -1.64 |
Insulin Glargine | -0.83 |
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Change in Fasting Plasma Glucose From Baseline
Change in fasting plasma glucose from baseline to week 30. (NCT02128932)
Timeframe: Week 0, week 30
Intervention | mg/dL (Least Squares Mean) |
---|
Semaglutide 0.5mg/Week | -36.74 |
Semaglutide 1.0 mg/Week | -49.21 |
Insulin Glargine | -38.18 |
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Change in Body Weight From Baseline
Change in body weight from baseline to week 30. (NCT02128932)
Timeframe: Week 0, week 30
Intervention | Kg (Least Squares Mean) |
---|
Semaglutide 0.5mg/Week | -3.47 |
Semaglutide 1.0 mg/Week | -5.17 |
Insulin Glargine | 1.15 |
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Change in Diastolic Blood Pressure.
Change in diastolic blood pressure from baseline to week 30. (NCT02128932)
Timeframe: Week 0, week 30
Intervention | mmHg (Least Squares Mean) |
---|
Semaglutide 0.5mg/Week | -1.38 |
Semaglutide 1.0 mg/Week | -0.98 |
Insulin Glargine | -1.44 |
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Pharmacodynamics: Three-Hour Postprandial Glucose Area Under the Concentration Time Curve (AUC)
Glucose AUC within 3 hours after each meal assessed by the AUC of glucose from preprandial to 3 hours postprandial. LS means were calculated using an MMRM analysis including the following fixed effects: treatment, period, sequence, and baseline basal insulin dose stratification factor. (NCT02132637)
Timeframe: Preprandial to 3 Hours Postprandial during the day following the standard dose
Intervention | mg/dL*h (Least Squares Mean) |
---|
| Breakfast | Lunch | Dinner |
---|
Insulin Glargine | 568.64 | 568.20 | 577.46 |
,Insulin Peglispro | 633.50 | 566.00 | 564.68 |
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Percentage of Participants With Hypoglycemia
The percentage was calculated by dividing the number of participants with hypoglycemia events defined as blood glucose ≤70 mg/dL (3.9 mmol/L) by the total number of participants analyzed, multiplied by 100. (NCT02132637)
Timeframe: Predose to 12 Hours Post Double Dose and 84 Hours Post Double Dose
Intervention | percentage of participants (Number) |
---|
| 12 Hours Post Double Dose | 84 Hours Post Double Dose |
---|
Insulin Glargine | 64.5 | 82.3 |
,Insulin Peglispro | 19.7 | 42.6 |
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Fasting Blood Glucose
Fasting blood glucose (FBG) was measured by self-monitored blood glucose. LS means were calculated by MMRM analysis with fixed effects of treatment, dosing day, sequence, period, interaction of treatment and dosing day, baseline basal insulin dose stratification factor, and baseline FBG. (NCT02132637)
Timeframe: Day 1, Day 2, and Day 3 Following Double Dose
Intervention | mg/dL (Least Squares Mean) |
---|
| Day 1 | Day 2 | Day 3 |
---|
Insulin Glargine | 85.61 | 86.16 | 86.27 |
,Insulin Peglispro | 102.03 | 100.94 | 102.18 |
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Time to the Nadir Glucose
Nadir glucose was defined as the lowest blood glucose for a participant with blood glucose ≤70 mg/dL (3.9 mmol/L). The average time was calculated by dividing the sum of time from double dose to the nadir glucose for participants with blood glucose ≤70 mg/dL (3.9 mmol/L) by the number of participants with blood glucose ≤70 mg/dL (3.9 mmol/L) during the first 84 hours after the double dose. (NCT02132637)
Timeframe: Predose to 84 Hours Post Double Dose
Intervention | hours (Mean) |
---|
Insulin Peglispro | 35.92 |
Insulin Glargine | 28.15 |
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Percentage of Participants With Clinically Significant Hypoglycemia 12 Hours Post Double Dose
The percentage was calculated by dividing the number of participants with clinically significant hypoglycemia events defined as blood glucose <54 mg/dL (3.0 mmol/L) or symptoms of severe hypoglycemia by the total number of participants analyzed, multiplied by 100. (NCT02132637)
Timeframe: Predose to 12 Hours Post Double Dose
Intervention | percentage of participants (Number) |
---|
Insulin Peglispro | 1.6 |
Insulin Glargine | 22.6 |
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Percentage of Participants With Clinically Significant Hypoglycemia
The percentage was calculated by dividing the number of participants with clinically significant hypoglycemia events defined as blood glucose <54 milligrams per deciliter (mg/dL) (3.0 millimole per liter [mmol/L]) or symptoms of severe hypoglycemia by the total number of participants analyzed, multiplied by 100. (NCT02132637)
Timeframe: Predose to 84 Hours Post Double Dose
Intervention | percentage of participants (Number) |
---|
Insulin Peglispro | 6.6 |
Insulin Glargine | 35.5 |
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Nadir Glucose
Nadir glucose was defined as the lowest blood glucose for a participant with blood glucose ≤70 mg/dL (3.9 mmol/L). Least Squares (LS) means were calculated using a mixed model repeated measures (MMRM) analysis including the following fixed effects: treatment, period, sequence, and baseline basal insulin dose stratification factor. (NCT02132637)
Timeframe: Predose to 84 Hours Post Double Dose
Intervention | mg/dL (Least Squares Mean) |
---|
Insulin Peglispro | 61.70 |
Insulin Glargine | 55.93 |
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Duration of Glucose ≤70 mg/dL
The duration in minutes of each hypoglycemia episode with glucose ≤70 mg/dL (3.9 mmol/L) was calculated from start time to end time. The duration for a participant was the sum of the durations over the multiple hypoglycemia episodes. LS means were calculated using an MMRM analysis including the following fixed effects: treatment, period, sequence, and baseline basal insulin dose stratification factor. (NCT02132637)
Timeframe: Predose to 84 Hours Post Double Dose
Intervention | Minutes per participant (Least Squares Mean) |
---|
Insulin Peglispro | 95.28 |
Insulin Glargine | 362.26 |
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Beta Cell Function
Beta cell function assessed by the change between pre meal tolerance test and 30 minutes post meal tolerance test in C-peptide corrected insulin/Glucose (ΔC-peptide corrected insulin/ΔGlucose). LS means were calculated using an MMRM analysis including the following fixed effects: treatment, period, sequence, and baseline basal insulin dose stratification factor. (NCT02132637)
Timeframe: 0-30 minutes during the meal tolerance test on the day following the standard dose
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Peglispro | 88.65 |
Insulin Glargine | 103.62 |
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Pharmacodynamics: Three-Hour Postprandial Glucose Area Under the Concentration Time Curve (AUC) Excursion
Glucose AUC excursion within 3 hours after each meal assessed by the AUC of adjusted glucose (= observed glucose - preprandial glucose) from preprandial to 3 hours postprandial. LS means were calculated using an MMRM analysis including the following fixed effects: treatment, period, sequence, and baseline basal insulin dose stratification factor. (NCT02132637)
Timeframe: Preprandial to 3 Hours Postprandial during the day following the standard dose
Intervention | mg/dL*h (Least Squares Mean) |
---|
| Breakfast | Lunch | Dinner |
---|
Insulin Glargine | 270.32 | 36.92 | 150.23 |
,Insulin Peglispro | 266.33 | -2.38 | 134.40 |
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Percentage of Participants With Self-Reported Events of Hypoglycemia
Hypoglycemic events (HE) were classified as severe (defined as episodes requiring the assistance of another person to actively administer resuscitative actions), documented symptomatic (defined as any time a participant feels that he/she is experiencing symptoms and/or signs associated with hypoglycemia, and has a plasma glucose level of =<3.9 mmol/L), asymptomatic (defined as events not accompanied by typical symptoms of hypoglycemia but with a measured plasma glucose of =<3.9 mmol/L), nocturnal (defined as any hypoglycemic event that occurred between bedtime and waking), or probable symptomatic (defined as events during which symptoms of hypoglycemia were not accompanied by a plasma glucose determination). The percentage of participants with self-reported hypoglycemic events is presented. (NCT02152371)
Timeframe: Baseline through 28 Weeks
Intervention | percentage of participants (Number) |
---|
| Symptomatic | Asymptomatic | Severe | Nocturnal | Probable Symptomatic |
---|
Dulaglutide + Insulin Glargine | 35.3 | 42.7 | 0.7 | 28.0 | 2.7 |
,Placebo + Insulin Glargine | 30.0 | 39.3 | 0.0 | 28.7 | 2.0 |
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Number of Participants With Thyroid Tumors/Neoplasms (Including C-Cell Hyperplasia)
(NCT02152371)
Timeframe: Baseline through 28 Weeks
Intervention | participants (Number) |
---|
Dulaglutide + Insulin Glargine | 1 |
Placebo + Insulin Glargine | 0 |
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Number of Participants With Investigator Reported and Adjudicated Cardiovascular Events
Cardiovascular (CV) adverse events (AEs) were adjudicated by an independent committee of physicians with cardiology expertise external to the sponsor. Deaths occurring during the study treatment period and nonfatal CV AEs were to be adjudicated. Nonfatal CV events that were to be adjudicated were myocardial infarction; hospitalization for unstable angina; hospitalization for heart failure; coronary interventions (such as coronary artery bypass graft (CABG) or percutaneous coronary intervention (PCI); and cerebrovascular events, including cerebrovascular accident (CVA/stroke), and transient ischemic attack (TIA). (NCT02152371)
Timeframe: Baseline through 28 Weeks
Intervention | participants (Number) |
---|
Dulaglutide + Insulin Glargine | 3 |
Placebo + Insulin Glargine | 1 |
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Number of Participants With Dulaglutide Anti-Drug Antibodies
Dulaglutide anti-drug antibodies (ADA) were assessed at baseline, Weeks 12 and 28. A participant was considered to have treatment-emergent (TE) dulaglutide ADAs if the participant had at least 1 titer that was TE relative to baseline, defined as a 4-fold or greater increase in titer from baseline measurement. (NCT02152371)
Timeframe: Baseline, Week 12 and Week 28
Intervention | participants (Number) |
---|
Dulaglutide + Insulin Glargine | 0 |
Placebo + Insulin Glargine | 2 |
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Number of Participants With Adjudicated Acute Pancreatitis Events
The number of cases of acute pancreatitis confirmed by adjudication. A summary of serious and other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module. (NCT02152371)
Timeframe: Baseline through 28 Weeks
Intervention | participants (Number) |
---|
Dulaglutide + Insulin Glargine | 0 |
Placebo + Insulin Glargine | 0 |
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Change From Baseline to 28 Weeks in Hemoglobin A1c (HbA1c)
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Least-squares (LS) mean and standard error (SE) changes from baseline in HbA1c at 28 weeks were measured using mixed model regression and restricted maximum likelihood (REML) with treatment, pooled country, visit, and treatment-by -visit interaction as fixed effects, baseline as covariate, and participant as a random effect. (NCT02152371)
Timeframe: Baseline, 28 Weeks
Intervention | percentage of change (Least Squares Mean) |
---|
Dulaglutide + Insulin Glargine | -1.44 |
Placebo + Insulin Glargine | -0.67 |
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Change From Baseline to 28 Weeks in Fasting Serum Glucose (FSG)
FSG is a test to determine glucose levels after an overnight fast. LS means FSG change from baseline to primary endpoint at week 28 was calculated using a mixed effects model for repeated measures (MMRM) analysis adjusted by treatment, country, metformin use, week, treatment-by-week interaction, and baseline FSG as covariate. (NCT02152371)
Timeframe: Baseline, 28 Weeks
Intervention | milligram per deciliter (mg/dL) (Least Squares Mean) |
---|
Dulaglutide + Insulin Glargine | -44.63 |
Placebo + Insulin Glargine | -27.90 |
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Percentage of Participants Achieving HbA1c Target of <7.0% and Without Weight Gain (<0.1 Kilograms [kg]) at 28 Weeks and Without Documented Symptomatic Hypoglycemia During the Maintenance Period (Weeks 12-28)
Percentage of participants who achieved a target HbA1c target of <7%, without weight gain and without documented symptomatic hypoglycemia at 28 weeks were analyzed using regression model, controlling for treatment, pre-treatment, baseline HbA1c and country. (NCT02152371)
Timeframe: 28 Weeks
Intervention | percentage of participants (Number) |
---|
Dulaglutide + Insulin Glargine | 40.7 |
Placebo + Insulin Glargine | 16.7 |
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Change From Baseline to 28 Weeks in Daily Mean Insulin Glargine Dose
Least Square (LS) Means of the insulin dose change from baseline to primary endpoint at week 28 was adjusted by treatment, country, metformin use, week, treatment-by-week interaction, and baseline insulin dose as covariate, via a MMRM analysis. (NCT02152371)
Timeframe: Baseline, 28 Weeks
Intervention | units (u) (Least Squares Mean) |
---|
Dulaglutide + Insulin Glargine | 12.75 |
Placebo + Insulin Glargine | 25.94 |
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Change From Baseline to 28 Weeks in Body Weight
LS means of the body weight change from baseline to primary endpoint at week 28 was adjusted by treatment, country, metformin use, week, treatment-by-week interaction, and baseline body weight as covariate, via a MMRM analysis. (NCT02152371)
Timeframe: Baseline, 28 Weeks
Intervention | kilogram(kg) (Least Squares Mean) |
---|
Dulaglutide + Insulin Glargine | -1.91 |
Placebo + Insulin Glargine | 0.50 |
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Percentage of Participants Achieving HbA1c Target of <7.0% and Without Weight Gain (<0.1 kg)
(NCT02152371)
Timeframe: 28 Weeks
Intervention | percentage of participants (Number) |
---|
Dulaglutide + Insulin Glargine | 52.7 |
Placebo + Insulin Glargine | 20.0 |
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Percentage of Participants Achieving HbA1c Target of <7.0% at 28 Weeks and Without Documented Symptomatic Hypoglycemia During the Maintenance Period (Weeks 12-28)
Percentage of participants achieving target HbA1c of <7.0% at 28 weeks without documented symptomatic hypoglycemia are presented. Documented symptomatic hypoglycemia is defined as any time a participant experienced symptoms and or signs associated with hypoglycemia and had a plasma glucose of <=70 mg/dL. (NCT02152371)
Timeframe: 28 Weeks
Intervention | percentage of participants (Number) |
---|
Dulaglutide + Insulin Glargine | 52.0 |
Placebo + Insulin Glargine | 28.0 |
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Percentage of Participants Discontinuing the Study Due to Severe, Persistent Hyperglycemia
(NCT02152371)
Timeframe: Baseline through 28 Weeks
Intervention | percentage of participants (Number) |
---|
Dulaglutide + Insulin Glargine | 0 |
Placebo + Insulin Glargine | 0 |
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Rate of Hypoglycemic Events up to 28 Weeks
The rate of total hypoglycemic events any type per 30 days is presented. The hypoglycemia rate per 30 days during defined period is calculated by the number of hypoglycemia events within the period/number of days participant at risk within the period*30 days. (NCT02152371)
Timeframe: Baseline through 28 Weeks
Intervention | rate of hypoglycemic events per 30 days (Mean) |
---|
Dulaglutide + Insulin Glargine | 0.63 |
Placebo + Insulin Glargine | 0.70 |
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Change From Baseline to 28 Weeks in 7-Point Self Monitored Plasma Glucose (SMPG)
The LS means of the 7-point SMPG change from baseline to primary endpoint at week 28 was measured using a MMRM analysis adjusted by treatment, country, metformin use, week, treatment-by-week interaction, and baseline SMPG as covariate. (NCT02152371)
Timeframe: Baseline, 28 Weeks
Intervention | mg/dL (Least Squares Mean) |
---|
| Pre-Morning Meal (n=133,129) | Morning Meal 2-Hour Postprandial (n=123,119) | Pre-Midday Meal (n=133,127) | Midday Meal 2-Hour Post Prandial (n=123,117) | Pre-Evening Meal (n=133,129) | Evening Meal 2-Hour Postprandial (n=126,122) | 3:00 AM (Morning) (n=124,117) |
---|
Dulaglutide + Insulin Glargine | -44.03 | -64.16 | -40.89 | -51.13 | -43.68 | -48.63 | -39.77 |
,Placebo + Insulin Glargine | -35.97 | -46.97 | -25.34 | -32.98 | -28.71 | -27.35 | -20.30 |
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Percentage of Participants Achieving HbA1c Targets of <7.0% or ≤6.5%
Percentage of participants who achieved HbA1c levels of <7% or ≤6.5% were analyzed using a logistic regression model, controlling for treatment, pre-treatment, baseline HbA1c and country. (NCT02152371)
Timeframe: 28 Weeks
Intervention | percentage of participants (Number) |
---|
| HbA1c <= 6.5 | HbA1c < 7.0 |
---|
Dulaglutide + Insulin Glargine | 50.7 | 69.3 |
,Placebo + Insulin Glargine | 16.7 | 35.3 |
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Pharmacokinetics (PK): Area Under the Concentration Curve (AUC) for Insulin Lispro During Clamp
During the euglycemic 2-step hyperinsulinemic clamp, both low and high insulin was infused sequentially during the same procedure. The 2-step clamp procedure allowed insulin sensitivity to be measured in participants and uses a lower dose of insulin (Low) of which the effect is largely on the liver and a high dose of insulin (high) at which the effect has reached 100% on liver and effects are largely on glucose uptake in peripheral tissues. AUC is taking during infusion for this outcome measure. (NCT02152384)
Timeframe: Day 35, insulin clearance during lispro infusion (dosing=infusion)
Intervention | pmol* hr/L (Mean) |
---|
| Clamp Period 1-3 Hours | Clamp Period 4-6 Hours |
---|
Insulin Glargine (With Insulin Lispro) | 222 | 897 |
,Insulin Peglispro (LY2605541, With Insulin Lispro) | 243 | 926 |
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Pharmacodynamics (PD): Area Under the Concentration Zero Through 5 Hours (AUC 0-5h) for Triglycerides
(NCT02152384)
Timeframe: Day 29, predose and 15, 30, 45, 60, 90, 120, 150,180,210,270, and 300 minutes (5 hours) post-breakfast
Intervention | ng*hr/mL (Mean) |
---|
Insulin Peglispro (LY2605541), With Insulin Lispro) | 6.85 |
Insulin Glargine (With Insulin Lispro) | 6.01 |
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Pharmacokinetics (PK): Area Under the Concentration Curve From Time Zero to Last Time (AUC [0 Tlast]) for Paracetamol
(NCT02152384)
Timeframe: Day 29: Pre-breakfast, and 15, 30, 45, 60, 90, 120, 150,180,210,270, and 300 minutes (5 hours) post-breakfast
Intervention | ng*hr/mL (Geometric Mean) |
---|
Insulin Peglispro (LY2605541, With Insulin Lispro) | 33400 |
Insulin Glargine (With Insulin Lispro) | 33600 |
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Pharmacokinetics (PK): Under the Concentration Curve Zero Through 5 Hours (AUC 0-5h) for Prandial Insulin Lispro
Abbreviation for hours times picomol per liter (pmol*h/L) (NCT02152384)
Timeframe: Day 29: Pre-breakfast, and 15, 30, 45, 60, 90, 120, 150,180,210,270, and 300 minutes (5 hours) post-breakfast
Intervention | pmol*h/L (Geometric Mean) |
---|
Insulin Peglispro (LY2605541) | 850 |
Insulin Glargine | 852 |
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Appetite and Satiety Ratings, as Measured Using Visual Analog Scale (VAS) on Day 29
"VAS was scored from 0 - 100 millimeters (mm) as a perception of appetite and satiety (Flint et al. 2000), 0 being not hungry at all or nothing at all and 100 being extremely hungry and extremely large amount.~The questions are abbreviated in table from: How hungry do you feel right now? to Hunger and How much food do you think you could eat right now? to Food amount.~Day 29 and cumulative insulin lispro doses of 25%, 50%, 75%, 100% and 150 % of normal insulin lispro dose included.Scores were averaged will be presented and calculated by a sum of the scores dividing by the total by the number of scores reported for timepoints and reported in millimeters." (NCT02152384)
Timeframe: Day 29:Upon waking, pre-breakfast, 1 hour (hr), 2 hr, 3 hr, 4 hr and 5 hr post breakfast
Intervention | millimeters (mm) (Mean) |
---|
| Day 29: Hunger, waking | Day 29: Hunger, 5 hours post breakfast | Day 29: Food amount, waking | Day 29: Food amount, 5 hours post-breakfast | Overall 25%: Hunger, waking | Overall 25%: Hunger, 5 hours post breakfast | Overall 25%: Food amount, waking | Overall 25%: Food amount, 5 hours post-breakfast | Overall 50%: Hunger, waking | Overall 50%: Hunger, 5 hours post breakfast | Overall 50%: Food amount, waking | Overall 50%: Food amount, 5 hours post-breakfast | Overall 75%: Hunger, waking | Overall 75%: Hunger, 5 hours post breakfast | Overall 75%: Food amount, waking | Overall 75%: Food amount, 5 hours post-breakfast | Overall 100%: Hunger, waking | Overall 100%: Hunger, 5 hours post breakfast | Overall 100%: Food amount, waking | Overall 100%: Food amount, 5 hours post-breakfast | Overall 150%: Hunger, waking | Overall 150%: Hunger, 5 hours post breakfast | Overall 150%: Food amount, waking | Overall 150%: Food amount, 5 hours post-breakfast |
---|
Insulin Glargine (With Insulin Lispro) | 32.1 | 58.9 | 37.7 | 38.1 | 35.8 | 58.0 | 36.4 | 59.0 | 28.2 | 64.0 | 31.7 | 64.2 | 30.9 | 62.5 | 31.4 | 62.2 | 29.6 | 59.0 | 35.7 | 58.6 | 28.5 | 58.6 | 34.1 | 58.3 |
,Insulin Peglispro (LY2605541, With Insulin Lispro) | 27.1 | 53.8 | 32.5 | 31.8 | 27.5 | 56.1 | 30.8 | 56.5 | 36.0 | 56.5 | 37.1 | 55.0 | 29.8 | 55.5 | 32.6 | 57.0 | 28.9 | 55.0 | 32.3 | 55.3 | 31.4 | 52.2 | 34.3 | 52.7 |
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Pharmacodynamics (PD): Average Glucose Infusion Rate From Euglycemic 2-step Hyperinsulinemic Clamp (M-value)
Abbreviation for micro mole per kilogram per minute (µmol/kg/min). Both arms received insulin lispro in addition to their respective study drug. During the euglycemic 2-step hyperinsulinemic clamp, both low and high insulin was infused sequentially during the same procedure. The 2-step clamp procedure allowed insulin sensitivity to be measured in participants and uses a lower dose of insulin of which the effect is largely on the liver and a high dose of insulin at which the effect has reached 100% on liver and effects are largely on glucose uptake in peripheral tissues. Measurements for average glucose infusion rate are collected for both steps (low and high) of the clamp procedure. (NCT02152384)
Timeframe: Day 35, last 60 minutes of euglycemic 2-step hyperinsulinemic clamp
Intervention | µmol/kg/min (Mean) |
---|
| High Dose Insulin | Low Dose Insulin |
---|
Insulin Glargine (With Insulin Lispro) | 56.321 | 18.765 |
,Insulin Peglispro (LY2605541, With Insulin Lispro) | 52.756 | 13.908 |
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Pharmacodynamics (PD): Plasma Glucose Area Under the Concentration Curve Zero Through 5 Hours (AUC 0-5h), Above Pre Meal Baseline for Insulin Lispro
To quantitate the pharmacodynamic (PD) effect of a range of prandial insulin lispro doses after treatment with insulin peglispro (LY2605541) compared to insulin glargine during a meal tolerance test (MTT), with sequenced doses of insulin lispro ranging from 25% to 150% of each participant's normal dose. Data presented as hours times milligrams per deciliter (mg*h/dL) (NCT02152384)
Timeframe: Day 30, 31, 32, 33, 34, pre-breakfast and10,20,30,40,50,60,90,120,150,180,210,240,270, 300 minutes (5 hours) post-breakfast
Intervention | mg*h/dL (Mean) |
---|
| 25% Normal Dose | 50% Normal Dose | 75% Normal Dose | 100% Normal Dose | 150% Normal Dose |
---|
Insulin Glargine | 716.52 | 506.22 | 369.08 | 307.81 | 123.97 |
,Insulin Peglispro (LY2605541) | 677.84 | 572.96 | 393.28 | 270.46 | 174.38 |
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Change in Body Weight From Baseline to End of Study
A change between two time points is reported. Time Frame: baseline and 12 weeks. (NCT02168491)
Timeframe: 12 weeks
Intervention | weight in kg (Mean) |
---|
Lixisenatide With Basal Insulin (LixiBIT) | -1.4 |
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Change in Fasting Plasma Glucose (FPG, Mean Over 2 Weeks)
"Patients will be instructed to record all insulin injections and a complete 7-point-blood glucose profile (fasting, 2h after breakfast, before lunch, 2h after lunch, before dinner, 2h after dinner, late before going to bed) during a one-week prestudy run-in period to confirm compliance and document current metabolic control and doses of premixed insulin.~Patients will be asked to record not only glucose profiles (at least 4 measurements per day) but also the occurrence of hypoglycemic symptoms or other adverse effects daily throughout the study.~During the last week of the study patients will be asked to again record a complete 7-point-blood glucose profile (fasting, 2h after breakfast, before lunch, 2h after lunch, before dinner, 2h after dinner, late before going to bed) and drug injections to confirm compliance and document metabolic control." (NCT02168491)
Timeframe: 12 weeks
Intervention | glucose in mg/dl (Mean) |
---|
Lixisenatide With Basal Insulin (LixiBIT) | -9 |
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Change in HbA1c From Baseline to End
A change between two time points is reported. Time Frame: baseline and 12 weeks. (NCT02168491)
Timeframe: 12 weeks
Intervention | HbA1c in percent (Mean) |
---|
Lixisenatide With Basal Insulin (LixiBIT) | -0.54 |
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Pharmacokinetics (PK): Area Under the Concentration Curve Concentration Curve Zero Through 5 Hours (AUC 0-5h) for Prandial Insulin Lispro
(NCT02197520)
Timeframe: Days 30 through 32:Pre-dose, 10, 20, 30, 40, 50, 60, 90, 120, 150, 180, 210, 240, 270, 300 minutes post-breakfast
Intervention | picomol*hour per liter (Mean) |
---|
Insulin Peglispro | 839 |
Insulin Glargine | 835 |
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Pharmacodynamics (PD): Plasma Glucose Area Under the Concentration Curve Zero Through 5 Hours (AUC 0-5h), Above Pre Meal Baseline for Insulin Lispro
(NCT02197520)
Timeframe: Days 30 through 32:Pre-dose, 10, 20, 30, 40, 50, 60, 90, 120, 150, 180, 210, 240, 270, 300 minutes post-breakfast
Intervention | milligram*hour per deciliter (Mean) |
---|
| 10% Insulin Lispro Dose | 20% Insulin Lispro Dose | 30% Insulin Lispro Dose |
---|
Insulin Glargine | 398.26 | 343.54 | 239.83 |
,Insulin Peglispro | 437.78 | 334.23 | 244.68 |
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Pharmacodynamics (PD): Average Glucose Infusion Rate From Euglycemic 2-step Hyperinsulinemic Clamp (M-value)
During the euglycemic 2-step hyperinsulinemic clamp, both low and high insulin was infused sequentially during the same procedure. The 2-step clamp procedure allowed insulin sensitivity to be measured in participants and uses a lower dose of insulin of which the effect is largely on the liver and a high dose of insulin at which the effect has reached 100% on liver and effects are largely on glucose uptake in peripheral tissues. Measurements for average glucose infusion rate are collected for both steps (low and high) of the clamp procedure. (NCT02197520)
Timeframe: Day 33, last 30 minutes (final step) of euglycemic 2-step hyperinsulinemic clamp
Intervention | milligram*hour per deciliter (Mean) |
---|
| High Dose Insulin | Low Dose Insulin |
---|
Insulin Glargine | 55.52 | 19.67 |
,Insulin Peglispro | 59.09 | 17.22 |
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Pharmacokinetics (PK): Area Under the Concentration Curve Zero Through 5 Hours (AUC 0-5h) for Acetaminophen
(NCT02197520)
Timeframe: Day 29:Pre-dose, 10, 20, 30, 40, 50, 60, 90, 120, 150, 180, 210, 240, 270, 300 minutes post-breakfast
Intervention | nanograms*hour per milliliter (Geometric Mean) |
---|
Insulin Peglispro | 33700 |
Insulin Glargine | 35700 |
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Appetite and Satiety Ratings, as Measured Using Visual Analog Scale (VAS) on Day 29
"VAS was scored from 0 - 100 millimeters (mm) as a perception of appetite and satiety (Flint et al. 2000), 0 being not hungry at all or nothing at all and 100 being extremely hungry and extremely large amount.~The questions are abbreviated in table from: How hungry do you feel right now? to Hunger and How much food do you think you could eat right now? to Food amount. Scores were averaged and will be presented and calculated by a sum of the scores dividing by the total by the number of scores reported for timepoints." (NCT02197520)
Timeframe: Day 29:Upon waking, pre-breakfast, 1 hour (hr), 2 hr, 3 hr, 4 hr and 5 hr post breakfast
Intervention | millimeters (Mean) |
---|
| Hunger: Waking | Food amount: Waking | Hunger: Pre-breakfast | Food amount: Pre-breakfast | Hunger: 1 hour Post-breakfast | Food amount: 1 hour Post-breakfast | Hunger: 2 hour Post-breakfast | Food amount: 2 hour Post-breakfast | Hunger:3 hour Post-breakfast | Food amount: 3 hour Post-breakfast | Hunger: 4 hour Post-breakfast | Food amount: 4 hour Post-breakfast | Hunger: 5 hour Post-breakfast | Food amount: 5 hour Post-breakfast |
---|
Insulin Glargine | 38.6 | 34.4 | 51.4 | 51.5 | 6.2 | 6.0 | 14.9 | 16.3 | 29.2 | 31.1 | 48.0 | 48.5 | 55.5 | 53.4 |
,Insulin Peglispro | 25.7 | 30.2 | 41.5 | 43.9 | 7.8 | 8.7 | 19.7 | 20.7 | 34.8 | 35.6 | 46.6 | 48.2 | 56.8 | 57.5 |
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Change in Cross-reactive Insulin Antibody Percent Binding for Mylan's Insulin Glargine Assay Over Time
(NCT02227862)
Timeframe: 24 and 52 weeks
Intervention | %SB (Mean) |
---|
| week 24 | week 52 |
---|
Lantus® | 0.27 | -1.21 |
,Mylan's Insulin Glargine | -0.363 | -1.132 |
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Change in Cross-reactive Insulin Antibody Percent Binding for Lantus Assay Over Time
(NCT02227862)
Timeframe: 24 and 52 weeks
Intervention | %SB (Mean) |
---|
| week 24 | week 52 |
---|
Lantus® | 0.055 | -1.367 |
,Mylan's Insulin Glargine | -0.265 | -1.060 |
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Change From Baseline in FPG Over Time
(NCT02227862)
Timeframe: 24 and 52 weeks
Intervention | mmol/L (Mean) |
---|
| week 24 | week 52 |
---|
Lantus® | 0.09 | 0.43 |
,Mylan's Insulin Glargine | -0.81 | 0.23 |
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Change From Baseline in 8-point SMBG Profile Over Time
(NCT02227862)
Timeframe: 24 and 52 weeks
Intervention | mmol/L (Mean) |
---|
| week 24 | week 52 |
---|
Lantus® | -0.095 | -0.082 |
,Mylan's Insulin Glargine | 0.038 | -0.082 |
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Change in HbA1c From Baseline to 24 Weeks
(NCT02227862)
Timeframe: 24 weeks
Intervention | percent (Least Squares Mean) |
---|
Mylan's Insulin Glargine | 0.14 |
Lantus® | 0.11 |
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Summary of Actual and Change From Baseline in HbA1c
(NCT02227862)
Timeframe: 24 and 52 weeks
Intervention | percent (Mean) |
---|
| week 24 | week 52 |
---|
Lantus® | 0.09 | 0.25 |
,Mylan's Insulin Glargine | 0.12 | 0.2 |
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Hypoglycemia Occurrence
(NCT02227862)
Timeframe: 52 weeks
Intervention | Number of patients (Number) |
---|
| Any hypoglycemic event | Severe hypoglycemia | Documented symptomatic hypoglycemia | Asymptomatic hypoglycemia | Probable symptomatic hypoglycemia | Relative hypoglycemia | Other hypoglycemia | Unknown |
---|
Lantus® | 269 | 13 | 249 | 243 | 36 | 44 | 19 | 71 |
,Mylan's Insulin Glargine | 273 | 11 | 249 | 246 | 37 | 35 | 19 | 77 |
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Change in Total Insulin Antibody Percent Binding for Mylan's Insulin Glargine Assay Over Time
(NCT02227862)
Timeframe: 24 and 52 weeks
Intervention | %SB (Mean) |
---|
| week 24 | week 52 |
---|
Lantus® | 0.3592 | -1.0634 |
,Mylan's Insulin Glargine | -0.3063 | -0.9591 |
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Change in Total Insulin Antibody Percent Binding for Lantus Assay Over Time
(NCT02227862)
Timeframe: 24 and 52 weeks
Intervention | %SB (Mean) |
---|
| week 24 | week 52 |
---|
Lantus® | 0.157 | -1.233 |
,Mylan's Insulin Glargine | -0.215 | -0.896 |
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Change in Total Daily Insulin Dose Per Unit Body Weight From Baseline Over Time
(NCT02227862)
Timeframe: 24 and 52 weeks
Intervention | U/Kg (Mean) |
---|
| week 24 | week 52 |
---|
Lantus® | 0.0127 | 0.0138 |
,Mylan's Insulin Glargine | 0.0203 | 0.0278 |
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Occurrence of Local and Systematic Reactions
(NCT02227862)
Timeframe: 52 weeks
Intervention | Number of patients (Number) |
---|
| Local | Systemic |
---|
Lantus® | 4 | 2 |
,Mylan's Insulin Glargine | 3 | 2 |
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Proportion of Patients With HbA1c < 7%
(NCT02227862)
Timeframe: 24 and 52 weeks
Intervention | Participants (Count of Participants) |
---|
| week 24 | week 52 |
---|
Lantus® | 84 | 61 |
,Mylan's Insulin Glargine | 73 | 65 |
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Rate of Hypoglycemic Events Per 30 Days Over Time
(NCT02227862)
Timeframe: 24 and 52 weeks
Intervention | Episodes/30 Days (Mean) |
---|
| week 24 | week 52 |
---|
Lantus® | -4.93 | -5.765 |
,Mylan's Insulin Glargine | -5.162 | -6.241 |
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Change in Cross-Reactive Insulin Antibody Percent Binding for Lantus Assay Over Time
Comparison of change from Baseline in Immunogenicity (NCT02227875)
Timeframe: Week 12 and week 24
Intervention | percentage of SB (Mean) |
---|
| week 12 | week 24 |
---|
Lantus® | 0.5014 | 0.8361 |
,Mylan's Insulin Glargine | 1.5994 | 1.5648 |
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Change in Cross-Reactive Insulin Antibody Percent Binding for Mylan's Insulin Glargine Assay Over Time
Comparison of change from Baseline in Immunogenicity (NCT02227875)
Timeframe: week 12 and week 24
Intervention | percentage of SB (Mean) |
---|
| week 12 | week 24 |
---|
Lantus® | 0.5116 | 0.7524 |
,Mylan's Insulin Glargine | 1.7488 | 1.6301 |
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Hypoglycemia Occurrence
Overall hypoglycemic incidence during treatment period (NCT02227875)
Timeframe: 24 weeks
Intervention | number of events (Number) |
---|
| Any hypoglycemic event | Severe Hypoglycemia | Documented Symptomatic Hypoglycemia | Asymptomatic Hypoglycemia | Probable Symptomatic Hypoglycemia | Relative Hypoglycemia | Unknown |
---|
Lantus® | 136 | 1 | 76 | 92 | 4 | 11 | 25 |
,Mylan's Insulin Glargine | 130 | 0 | 75 | 85 | 7 | 20 | 29 |
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Change in Total Insulin Antibody Percent Binding for Lantus Assay Over Time
Comparison of change from Baseline in Immunogenicity (NCT02227875)
Timeframe: week 12 and week 24
Intervention | percentage of SB (Mean) |
---|
| week 12 | week 24 |
---|
Lantus® | 0.6462 | 0.8212 |
,Mylan's Insulin Glargine | 1.787 | 1.6866 |
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Rate of Hypoglycemic Events Per 30 Days
The change from baseline at 12 and 24 weeks is reported (NCT02227875)
Timeframe: Baseline and up to 24 weeks
Intervention | Episodes/30 Days (Mean) |
---|
| week 12 | week 24 |
---|
Lantus® | 0.24 | -0.102 |
,Mylan's Insulin Glargine | 0.341 | -0.057 |
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Change in Total Insulin Antibody Percent Binding for Mylan's Insulin Glargine Assay Over Time
Comparison of change from Baseline in Immunogenicity (NCT02227875)
Timeframe: Week 12 and week 24
Intervention | percentage of specific binding (SB) (Mean) |
---|
| week 12 | week 24 |
---|
Lantus® | 0.6585 | 0.7838 |
,Mylan's Insulin Glargine | 1.9238 | 1.7802 |
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Change in HbA1c From Baseline to 24 Weeks
(NCT02227875)
Timeframe: 24 weeks
Intervention | percent (Least Squares Mean) |
---|
Mylan's Insulin Glargine | -0.6 |
Lantus® | -0.66 |
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Number of Participants With Daytime and Nocturnal Hypoglycemia
Daytime hypoglycemia was defined as hypoglycemic events with an onset between 06:00 hours and 00:00 hours (inclusive), and nocturnal hypoglycemia (in total and by category), defined as hypoglycemic events with an onset between 00:01 hours and 05:59 hours (inclusive). Number of participants with daytime and nocturnal hypoglycemia (in total and by category) are presented. (NCT02229227)
Timeframe: Up to Week 26
Intervention | Participants (Number) |
---|
| Any (Total) Daytime Hypoglycemic Event | Any (Total) Nocturnal Hypoglycemic Event | Severe Daytime Hypoglycemic Event | Severe Nocturnal Hypoglycemic Event | Documented Symptomatic Daytime Hypoglycemic event | Documented Symptomatic Nocturnal Hypoglycemia | Asymptomatic Daytime Hypoglycemic event | Asymptomatic Nocturnal Hypoglycemic event | Probably Symptomatic Daytime Hypoglycemic event | Probably Symptomatic Nocturnal Hypoglycemic event | Pseudohypoglycemia Daytime Hypoglycemic event | Pseudohypoglycemia Nocturnal Hypoglycemic event | Missing Daytime Hypoglycemic Event | Mising Nocturnal Hypoglycemic Event |
---|
Albiglutide + Insulin Glargine | 288 | 155 | 6 | 4 | 187 | 101 | 217 | 77 | 22 | 7 | 36 | 17 | 9 | 2 |
,Insulin Lispro + Insulin Glargine | 356 | 225 | 14 | 6 | 293 | 152 | 281 | 106 | 44 | 21 | 70 | 34 | 11 | 4 |
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Number of Participants With Different Number of Erythrocytes in Urine at Week 0 and Week 26
Urine samples were collected for analysis of erythrocyte count. Only those participants available at the specified time points were analyzed represented by n=X,X in the category titles. Number of participants with different number of erythrocytes in urine at Week 0 and Week 26 are presented. (NCT02229227)
Timeframe: Week 0 and Week 26
Intervention | Participants (Number) |
---|
| None Seen; Week 0, n=171,187 | 0 to 1; Week 0, n=171,187 | 1 to 3; Week 0, n=171,187 | 3 to 5; Week 0, n=171,187 | 5 to 10; Week 0, n=171,187 | 10 to 15; Week 0, n=171,187 | 15 to 25; Week 0, n=171,187 | 50 to 100; Week 0, n=171,187 | >100; Week 0, n=171,187 | None Seen; Week 26, n=166,144 | 0 to 1; Week 26, n=166,144 | 1 to 3; Week 26, n=166,144 | 3 to 5; Week 26, n=166,144 | 5 to 10; Week 26, n=166,144 | 25 to 50; Week 26, n=166,144 | 50 to 100; Week 26, n=166,144 | >100; Week 26, n=166,144 |
---|
Albiglutide + Insulin Glargine | 119 | 34 | 9 | 3 | 2 | 0 | 2 | 0 | 2 | 98 | 48 | 8 | 4 | 4 | 1 | 2 | 1 |
,Insulin Lispro + Insulin Glargine | 101 | 51 | 14 | 12 | 4 | 2 | 1 | 1 | 1 | 79 | 36 | 19 | 3 | 4 | 2 | 0 | 1 |
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Number of Participants With Different Number of Leukocytes in Urine at Week 0 and Week 26
Urine samples were collected for analysis of leukocyte count. Only those participants available at the specified time points were analyzed represented by n=X,X in the category titles. Number of participants with different number of leukocytes in urine at Week 0 and Week 26 are presented. (NCT02229227)
Timeframe: Week 0 and Week 26
Intervention | Participants (Number) |
---|
| None Seen; Week 0, n=171,187 | 0 to 1; Week 0, n=171,187 | 1 to 3; Week 0, n=171,187 | 3 to 5; Week 0, n=171,187 | 5 to 10; Week 0, n=171,187 | 10 to 15; Week 0, n=171,187 | 15 to 25; Week 0, n=171,187 | 25 to 50; Week 0, n=171,187 | 50 to 100; Week 0, n=171,187 | >100; Week 0, n=171,187 | Innumerable; Week 0, n=171,187 | None Seen; Week 26, n=166,144 | 0 to 1; Week 26, n=166,144 | 1 to 3; Week 26, n=166,144 | 3 to 5; Week 26, n=166,144 | 5 to 10; Week 26, n=166,144 | 10 to 15; Week 26, n=166,144 | 15 to 25; Week 26, n=166,144 | 20 to 50; Week 26, n=166,144 | 25 to 50; Week 26, n=166,144 | 50 to 100; Week 26, n=166,144 | >100; Week 26, n=166,144 | Innumerable; Week 26, n=166,144 |
---|
Albiglutide + Insulin Glargine | 69 | 27 | 20 | 16 | 17 | 7 | 5 | 5 | 1 | 4 | 0 | 65 | 25 | 22 | 10 | 22 | 8 | 3 | 0 | 5 | 5 | 1 | 0 |
,Insulin Lispro + Insulin Glargine | 67 | 31 | 18 | 13 | 19 | 6 | 11 | 11 | 7 | 3 | 1 | 44 | 29 | 20 | 15 | 14 | 5 | 3 | 1 | 6 | 5 | 1 | 1 |
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Number of Participants With Different Values of Potential of Hydrogen (pH) at Week 0 and Week 26
Urine pH is an acid-base measurement. pH is measured on a numeric scale ranging from 0 to 14; values on the scale refer to the degree of alkalinity or acidity. A pH of 7 is neutral. A pH less than 7 is acidic, and a pH greater than 7 is basic. Normal urine has a slightly acid pH (5.0 - 6.0). Safety Population was analyzed. Only those participants available at the specified time points were analyzed represented by n=X,X in the category titles. (NCT02229227)
Timeframe: Week 0 and Week 26
Intervention | Participants (Number) |
---|
| pH=5; Week 0, n=388,402 | pH=5.5; Week 0, n=388,402 | pH=6; Week 0, n=388,402 | pH=6.5; Week 0, n=388,402 | pH=7; Week 0, n=388,402 | pH=7.5; Week 0, n=388,402 | pH=8; Week 0, n=388,402 | pH=8.5; Week 0, n=388,402 | pH=5; Week 26, n=347,343 | pH=5.5; Week 26, n=347,343 | pH=6; Week 26, n=347,343 | pH=6.5; Week 26, n=347,343 | pH=7; Week 26, n=347,343 | pH=7.5; Week 26, n=347,343 | pH=8; Week 26, n=347,343 | pH=8.5; Week 26, n=347,343 | pH>9; Week 26, n=347,343 |
---|
Albiglutide + Insulin Glargine | 92 | 132 | 86 | 29 | 29 | 13 | 6 | 1 | 80 | 107 | 69 | 42 | 19 | 17 | 7 | 5 | 1 |
,Insulin Lispro + Insulin Glargine | 107 | 132 | 77 | 43 | 24 | 11 | 7 | 1 | 100 | 104 | 70 | 23 | 23 | 18 | 5 | 0 | 0 |
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Number of Participants With Hematology Values of Clinical Concern
Hematology parameters included basophils, eosinophils, hematocrit, hemoglobin, lymphocytes, monocytes, neutrophils, neutrophil bands, platelets, red blood cell (RBC) count, segmented neutrophils and white blood cell (WBC) count. The potential clinical concern values were: Hematocrit >0.05 below lower limit of normal (LLN) and >0.04 above upper limit of normal (ULN), hemoglobin: >20 grams cells per Liter (g/L) below LLN and >10 g/L above ULN, lymphocytes: <0.5 x LLN, neutrophils: <1 giga cells per liter (GI/L), platelets: <80 GI/L and >500 GI/L, segmented neutrophils: <0.5 x LLN, RBC count: >1 GI/L below LLN and >5 GI/L above ULN and none for basophils, eosinophils, monocytes, neutrophil bands and RBC count. Only those parameters for which at least one value of potential clinical concern was reported are summarized. (NCT02229227)
Timeframe: Up to 30 weeks
Intervention | Participants (Number) |
---|
| Hematocrit: >0.05 (fraction) below LLN | Hematocrit: >0.04 (fraction) above ULN | Hemoglobin: >20 g/L below LLN | Hemoglobin: >10 g/L above ULN | Leukocytes: >1 GI/L below LLN | Leukocytes: >5 GI/L above ULN | Neutrophils: <1 GI/L | Neutrophils, Segmented: <0.5 x LLN | Platelets: <80 GI/L | Platelets: >500 GI/L |
---|
Albiglutide + Insulin Glargine | 5 | 9 | 9 | 2 | 1 | 4 | 2 | 2 | 1 | 3 |
,Insulin Lispro + Insulin Glargine | 6 | 12 | 9 | 3 | 1 | 1 | 3 | 3 | 1 | 1 |
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Number of Participants With Hypoglycemic Events (in Total and by Each Category as Defined by the American Diabetes Association Criteria)
The American Diabetes Association has categorized hypoglycemic events as follows: Severe, documented symptomatic, asymptomatic, probably symptomatic and pseudohypoglycemia. Number of participants with hypoglycemic events in total are also presented. (NCT02229227)
Timeframe: Up to Week 26
Intervention | Participants (Number) |
---|
| Severe | Documented Symptomatic | Asymptomatic | Probably Symptomatic | Pseudohypoglycemia | Missing | Total |
---|
Albiglutide + Insulin Glargine | 9 | 203 | 230 | 29 | 45 | 9 | 305 |
,Insulin Lispro + Insulin Glargine | 22 | 299 | 293 | 52 | 83 | 13 | 361 |
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Number of Participants With On-therapy Adverse Events (AE) and Serious AE (SAE), and AE Leading to Discontinuation of Randomized Study Medication
AE is any untoward medical occurrence in a participant, temporally associated with use of medicinal product (MP), whether or not considered related to MP. AE can be any unfavorable, unintended sign (also an abnormal laboratory finding), symptom, or disease (new/exacerbated) temporally associated with use of MP. SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability, or is a congenital anomaly/birth defect or is medically significant or all events of possible drug induced liver injury with hyperbilirubinemia. Safety Population: All participants who received at least 1 dose of randomized study medication. A participant randomized to Albiglutide + Insulin glargine by mistake received Insulin Lispro + Insulin Glargine instead. Since this participant received actual treatment as Insulin Lispro + Insulin Glargine, was summarized as such in Safety Population. (NCT02229227)
Timeframe: Up to Week 26
Intervention | Participants (Number) |
---|
| AE | SAE | AE leading to study medication discontinuation |
---|
Albiglutide + Insulin Glargine | 261 | 23 | 12 |
,Insulin Lispro + Insulin Glargine | 254 | 31 | 6 |
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Number of Participants With Other AE of Special Interest
AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with use of a MP, whether or not considered related to MP. AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with use of MP. AE of special interest included hypoglycemic events, cardiovascular events, gastrointestinal events, injection site reactions, potential systemic allergic reactions, pancreatitis, pancreatic cancer, malignant neoplasms following treatment with insulin, diabetic retinopathy events, appendicitis, liver events, pneumonia, and atrial fibrillation/flutter. (NCT02229227)
Timeframe: Up to Week 26
Intervention | Participants (Number) |
---|
| Hypoglycemic Events | Cardiovascular Events | Gastrointestinal Events | Injection Site Reactions | Systemic Allergic Reactions | Pancreatitis | Pancreatic cancer | Malignant Neoplasm | Diabetic Retinopathy | Appendicitis | Liver Events | Pneumonia | Atrial Fibrillation/Flutter |
---|
Albiglutide + Insulin Glargine | 305 | 7 | 102 | 8 | 3 | 1 | 0 | 2 | 4 | 1 | 0 | 1 | 4 |
,Insulin Lispro + Insulin Glargine | 361 | 9 | 53 | 1 | 0 | 0 | 0 | 2 | 17 | 0 | 2 | 3 | 1 |
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Number of Participants With Vital Signs of Clinical Concern
Vital signs included systolic blood pressure (SBP), diastolic blood pressure (DBP) and pulse rate values. Assessment of vitals were performed with the participant in a semi recumbent or seated position having rested in this position for at least 5 minutes before each reading. The potential clinical concern values were: SBP: <100 millimeters of mercury (mmHg) and >170 mmHg, DBP: <50 mmHg and >110 mmHg and pulse rate: <50 beats per minute (bpm) and > 120 bpm. Number of participants with vital signs of clinical concern are presented. (NCT02229227)
Timeframe: Up to 30 weeks
Intervention | Participants (Number) |
---|
| SBP: < 100 mmHg | SBP: > 170 mmHg | DBP: < 50 mmHg | DBP: > 110 mmHg | Pulse Rate: < 50 bpm | Pulse Rate: > 120 bpm |
---|
Albiglutide + Insulin Glargine | 21 | 27 | 1 | 1 | 4 | 3 |
,Insulin Lispro + Insulin Glargine | 20 | 30 | 4 | 5 | 9 | 1 |
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Percentage of Participants With Events of Hypoglycemia With Confirmed Home Blood Glucose Monitoring and/or Third-party Intervention Through Week 26
Hypoglycemic events with confirmed home plasma glucose monitoring <3.9 millimoles per Liter and/or requiring third party intervention were severe, documented symptomatic (DS) and asymptomatic hypoglycemic events. Participants with more than one hypoglycemic event are counted in all categories reported. Any severe, documented symptomatic, and asymptomatic hypoglycemic events in 3-month intervals (i.e., from Day 0 to Week 12, >Week 12 to Week 26) are presented. (NCT02229227)
Timeframe: Up to Week 26
Intervention | Percentage of participants (Number) |
---|
| Any event: Onset date falls under 0 to <= 12 weeks | Any event: Onset date falls > 12 to <= 26 Weeks | Severe: Onset date falls under 0 to <= 12 weeks | Severe: Onset date falls > 12 to <= 26 Weeks | DS: Onset date falls under 0 to <= 12 weeks | DS: Onset date falls > 12 to <= 26 Weeks | Asymptomatic: Onset date under 0 to <= 12 weeks | Asymptomatic: Onset date falls > 12 to <= 26 Weeks |
---|
Albiglutide + Insulin Glargine | 55.3 | 60.3 | 1.8 | 0.8 | 33.8 | 40.8 | 38.3 | 44.3 |
,Insulin Lispro + Insulin Glargine | 79.2 | 79.4 | 3.6 | 1.9 | 63.0 | 62.0 | 56.9 | 54.7 |
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Total Daily Basal Insulin (Insulin Glargine) at Week 4, 10, 18, and 26 Visits
Based on MMRM model, prescribed total daily basal insulin dose was equal to Baseline prescribed total daily basal insulin dose + treatment + Baseline HbA1c category + region + age category + current use of metformin + visit week + treatment-by-visit week interaction + Baseline prescribed total daily basal insulin dose-by-visit week interaction. Total daily basal insulin (insulin glargine) at Week 4, 10, 18, and 26 visits is presented. Only those participants available at the specified time points were analyzed represented by n=X,X in the category titles. (NCT02229227)
Timeframe: Weeks 4, 10, 18, and 26
Intervention | International Units (Least Squares Mean) |
---|
| Week 4, n=388,403 | Week 10, n=375,386 | Week 18, n=359,361 | Week 26, n=342,341 |
---|
Albiglutide + Insulin Glargine | 49.97 | 56.14 | 59.42 | 59.83 |
,Insulin Lispro + Insulin Glargine | 50.94 | 55.79 | 59.18 | 59.43 |
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Total Daily Bolus Insulin (Insulin Lispro) at Week 4, 10, 18, and 26 Visits
Based on MMRM model, prescribed total daily basal insulin dose was equal to Baseline prescribed total daily basal insulin dose + treatment + Baseline HbA1c category + region + age category + current use of metformin + visit week + treatment-by-visit week interaction + Baseline prescribed total daily basal insulin dose-by-visit week interaction. Total daily bolus insulin (insulin lispro) at Week 4, 10, 18, and 26 visits is presented. Only those participants available at the specified time points were analyzed represented by n=X,X in the category titles. (NCT02229227)
Timeframe: Weeks 4, 10, 18, and 26
Intervention | International Units (Least Squares Mean) |
---|
| Week 4, n=388,403 | Week 10, n=375,386 | Week 18, n=359,361 | Week 26, n=342,341 |
---|
Albiglutide + Insulin Glargine | 0.62 | 1.90 | 8.89 | 10.64 |
,Insulin Lispro + Insulin Glargine | 56.67 | 66.66 | 71.81 | 72.47 |
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Total Daily Insulin Dose at Week 4, Week 10 and Week 18
Based on MMRM model, prescribed total daily basal insulin dose was equal to Baseline prescribed total daily basal insulin dose + treatment + Baseline HbA1c category + region + age category + current use of metformin + visit week + treatment-by-visit week interaction + Baseline prescribed total daily basal insulin dose-by-visit week interaction. Total daily insulin dose at Week 4, Week 10 and Week 18 is presented. Only those participants available at the specified time points were analyzed represented by n=X,X in the category titles. (NCT02229227)
Timeframe: Weeks 4, 10, and 18
Intervention | International Units (Least Squares Mean) |
---|
| Week 4, n=388,403 | Week 10, n=375,386 | Week 18, n=359,361 |
---|
Albiglutide + Insulin Glargine | 50.53 | 57.99 | 68.23 |
,Insulin Lispro + Insulin Glargine | 106.91 | 121.69 | 130.22 |
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Total Number of Weekly Insulin Injections to Achieve Glycemic Control at Baseline/Randomization and Week 4, 10, 18, and 26
Total number of weekly insulin injections (7 days) to achieve glycemic control at Baseline/Randomization and Week 4, 10, 18, and 26 are presented. Only those participants available at the specified time points were analyzed represented by n=X,X in category titles. (NCT02229227)
Timeframe: Baseline (Day -1) and Weeks 4, 10, 18 and 26
Intervention | Insulin Injections (Mean) |
---|
| Baseline, n=401,412 | Week 4, n=388,403 | Week 10, n=375,386 | Week 18, n=359,361 | Week 26, n=342,341 |
---|
Albiglutide + Insulin Glargine | 28.79 | 8.11 | 9.06 | 12.62 | 13.22 |
,Insulin Lispro + Insulin Glargine | 28.00 | 28.00 | 28.00 | 28.00 | 28.00 |
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Number of Participants Achieving HbA1c <7.0% up to Week 26
HbA1c is glycosylated hemoglobin. Number of participants achieving a HbA1c <7.0% up to Week 26 are presented. (NCT02229227)
Timeframe: Up to Week 26
Intervention | Participants (Number) |
---|
| Week 4 | Week 5 | Week 10 | Week 18 | Week 26 |
---|
Albiglutide + Insulin Glargine | 142 | 157 | 220 | 251 | 244 |
,Insulin Lispro + Insulin Glargine | 139 | 182 | 261 | 281 | 255 |
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Mean Albumin at Week 0 and Week 26
Urine samples were collected for analysis of albumin. Only those participants available at the specified time points were analyzed represented by n=X,X in the category titles. Mean albumin at Week 0 and Week 26 are presented. (NCT02229227)
Timeframe: Week 0 and Week 26
Intervention | Milligrams per Liter (Mean) |
---|
| Week 0, n=394,405 | Week 26, n=348,345 |
---|
Albiglutide + Insulin Glargine | 127.7 | 110.5 |
,Insulin Lispro + Insulin Glargine | 108.2 | 146.3 |
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Change From Baseline in Body Weight at Week 26
Body weight was measured to the nearest 0.1 kilogram on a standard calibrated scale. Participants dressed in light indoor clothes (no coat, jacket, etc.) without shoes and with a voided bladder. The same equipment was used wherever possible. The Baseline value was the last available non-missing value prior to the first dose of the randomized treatment, thus Baseline was Day -1. Change from Baseline is defined as the post-Baseline value minus the Baseline value. (NCT02229227)
Timeframe: Baseline (Day -1) and Week 26
Intervention | Kilograms (Least Squares Mean) |
---|
Albiglutide + Insulin Glargine | -1.95 |
Insulin Lispro + Insulin Glargine | 2.43 |
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26
FPG was measured at Baseline (Day -1). FPG values for all participants at Week 26 were not collected due to an error in the protocol and were imputed with the fasting serum glucose (FSG) values at this time point. The imputation of the FPG at Week 26 from the FSG values was deemed acceptable from the results of the analysis of the correlation between FPG and FSG at the screening visit. The Baseline value was the last available non-missing value prior to the first dose of the randomized treatment, thus Baseline was Day -1. Change from Baseline is defined as the post-Baseline value minus the Baseline value. (NCT02229227)
Timeframe: Baseline and Week 26
Intervention | Millimoles per Liter (Least Squares Mean) |
---|
Albiglutide + Insulin Glargine | -2.01 |
Insulin Lispro + Insulin Glargine | -1.46 |
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Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 26
HbA1c is glycosylated hemoglobin. It was measured at Baseline and at Week 26. The analysis was conducted using mixed-effect model with repeated measures (MMRM). The model included HbA1c change from Baseline as the dependent variable; treatment, region, age category, current metformin use, visit week, treatment-by-week interaction, and Baseline HbA1c-by-week interaction as fixed effects; Baseline HbA1c as a continuous covariate; and participant as a random effect. The Baseline value was the last available non-missing value prior to the first dose of the randomized treatment, thus Baseline was Day -1. Change from Baseline is defined as the post-Baseline value minus the Baseline value. (NCT02229227)
Timeframe: Baseline (Day -1) and Week 26
Intervention | Percentage of glycosylated hemoglobin (Least Squares Mean) |
---|
Albiglutide + Insulin Glargine | -1.04 |
Insulin Lispro + Insulin Glargine | -1.10 |
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Number of Participants Achieving a HbA1c <6.5% at Week 26
Number of participants achieving a HbA1c <6.5% at Week 26 are presented. (NCT02229227)
Timeframe: Week 26
Intervention | Participants (Number) |
---|
Albiglutide + Insulin Glargine | 147 |
Insulin Lispro + Insulin Glargine | 169 |
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Number of Participants Achieving HbA1c <7.0% at Week 26
HbA1c is glycosylated hemoglobin. Number of participants achieving a HbA1c <7.0% at Week 26 are presented. (NCT02229227)
Timeframe: Week 26
Intervention | Participants (Number) |
---|
Albiglutide + Insulin Glargine | 244 |
Insulin Lispro + Insulin Glargine | 255 |
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Number of Participants Treated With Once-weekly Albiglutide That Were Able to Discontinue Insulin Lispro at Week 4 and Did Not Meet Prespecified Criteria for Severe, Persistent Hyperglycemia Through Week 26
Participants who did not meet prespecified criteria for severe, persistent hyperglycemia through Week 26 were those participants treated with once-weekly albiglutide that were able to replace prandial insulin without lispro re-introduction through Week 26. Number of participants treated with once-weekly albiglutide that were able to discontinue insulin lispro at Week 4 and did not meet prespecified criteria for severe, persistent hyperglycemia through Week 26 have been presented. (NCT02229227)
Timeframe: Up to Week 26
Intervention | Participants (Number) |
---|
Albiglutide + Insulin Glargine | 218 |
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Number of Participants Who Met Prespecified Criteria for Severe, Persistent Hyperglycemia at Week 26
Meeting prespecified criteria for severe, persistent hyperglycemia was defined operationally as being withdrawn due to lack of efficacy as recorded on the Treatment Discontinuation and Study Conclusion electronic case report form pages. Number of participants who met prespecified criteria for severe, persistent hyperglycemia at Week 26 are presented. (NCT02229227)
Timeframe: Week 26
Intervention | Participants (Number) |
---|
Albiglutide + Insulin Glargine | 3 |
Insulin Lispro + Insulin Glargine | 3 |
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Number of Participants With Hypoglycemia With Blood Glucose <56 Milligrams Per Deciliter (mg/dL) (<3.1 Millimoles Per Liter [mmol/L]), Regardless of Symptoms
Number of participants with hypoglycemia with blood glucose <56 mg/dL (<3.1 mmol/L), regardless of symptoms are presented. (NCT02229227)
Timeframe: Up to Week 26
Intervention | Participants (Number) |
---|
Albiglutide + Insulin Glargine | 141 |
Insulin Lispro + Insulin Glargine | 239 |
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Percentage of Participants Achieving HbA1c <7.0% Without Severe or Documented Symptomatic Hypoglycemia at Week 26
Percentage of participants achieving HbA1c <7.0% without severe or documented symptomatic hypoglycemia are presented. (NCT02229227)
Timeframe: Week 26
Intervention | Percentage of participants (Number) |
---|
Albiglutide + Insulin Glargine | 21.1 |
Insulin Lispro + Insulin Glargine | 9.5 |
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Percentage of Participants Achieving HbA1c <7.0% Without Weight Gain and Without Severe or Documented Hypoglycemia at Week 26
Percentage of participants achieving HbA1c <7.0% without weight gain and without severe or documented hypoglycemia are presented. (NCT02229227)
Timeframe: Week 26
Intervention | Percentage of participants (Number) |
---|
Albiglutide + Insulin Glargine | 15.9 |
Insulin Lispro + Insulin Glargine | 3.9 |
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Percentage of Participants Achieving HbA1c <7.0% Without Weight Gain at Week 26
Percentage of participants achieving HbA1c <7.0% without weight gain are presented. (NCT02229227)
Timeframe: Week 26
Intervention | Percentage of participants (Number) |
---|
Albiglutide + Insulin Glargine | 49.8 |
Insulin Lispro + Insulin Glargine | 21.4 |
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Percentage of Participants With Severe or Documented Symptomatic Hypoglycemia Through Week 26
Severe hypoglycemia was considered as an event requiring assistance of another person to actively administer carbohydrates, glucagon, or take other corrective actions. Plasma glucose concentrations may not be available during an event, but neurological recovery following the return of plasma glucose to normal was considered sufficient evidence that the event was induced by a low plasma glucose concentration. Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia are accompanied by a measured plasma glucose concentration <=70 milligrams per deciliters (mg/dL) (<=3.9 millimoles per liters [mmol/L]). (NCT02229227)
Timeframe: Up to Week 26
Intervention | Percentage of participants (Number) |
---|
Albiglutide + Insulin Glargine | 57.2 |
Insulin Lispro + Insulin Glargine | 75.0 |
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Total Daily Insulin Dose at Week 26
Insulin dose at Week 26 was defined as the prescribed insulin dose at Week 25. Based on MMRM model, prescribed total daily basal insulin dose was equal to Baseline prescribed total daily basal insulin dose + treatment + Baseline HbA1c category + region + age category + current use of metformin + visit week + treatment-by-visit week interaction + Baseline prescribed total daily basal insulin dose-by-visit week interaction. Total daily insulin dose at Week 26 is presented. Only those participants available at the specified time points were analyzed. (NCT02229227)
Timeframe: Week 26
Intervention | International Units (Least Squares Mean) |
---|
Albiglutide + Insulin Glargine | 70.36 |
Insulin Lispro + Insulin Glargine | 131.19 |
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Change From Baseline in Total Cholesterol (TC), Low-density Lipoprotein Cholesterol (LDL-c), High Density Lipoprotein (HDL-c), Triglycerides (TG) and Free Fatty Acids (FFA) at Week 10 and Week 26
Lipid parameters included TC, LDL-c, HDL-c, TG and FFA. The Baseline value was the last available non-missing value prior to the first dose of the randomized treatment, thus Baseline was Day -1. Change from Baseline is defined as the post-Baseline value minus the Baseline value. LDL-c and FFA were collected as part of the lipid panel and results were reviewed by investigators for individual participants. Change from Baseline at Week 10 and Week 26 was not assessed for these parameters. Analysis of these parameters was not a specific study objective and would not have any impact on study conclusions. Only those parameters with data values have been presented. Only those participants available at the specified time points were analyzed represented by n=X,X in the category titles. (NCT02229227)
Timeframe: Baseline, Week 10 and Week 26
Intervention | Millimoles per Liters (Mean) |
---|
| TC: Week 10, n=376,393 | TC: Week 26, n=348,351 | HDL-c: Week 10, n=376,393 | HDL-c: Week 26, n=348,351 | TG: Week 10, n=376,393 | TG: Week 26, n=348,351 |
---|
Albiglutide + Insulin Glargine | -0.244 | -0.059 | -0.041 | -0.013 | -0.039 | 0.025 |
,Insulin Lispro + Insulin Glargine | 0.041 | 0.073 | 0.016 | 0.005 | -0.065 | -0.028 |
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Change From Baseline to Week 26 in Body Weight
Body weight was measured to the nearest 0.1 kilogram on a standard calibrated scale. Participants dressed in light indoor clothes (no coat, jacket, etc.) without shoes and with a voided bladder. The same equipment was used wherever possible. The Baseline value was the last available non-missing value prior to the first dose of the randomized treatment, thus Baseline was Day -1. Change from Baseline is defined as the post-Baseline value minus the Baseline value. Change from Baseline to Week 26 in body weight are presented. FA Population was analyzed. Only those participants available at the specified time points were analyzed represented by n=X,X in the category titles. (NCT02229227)
Timeframe: Baseline (Day -1) to Week 26
Intervention | Kilograms (Least Squares Mean) |
---|
| Week 4, n=368,384 | Week 5, n=382,393 | Week 10, n=379,397 | Week 18, n=365,372 | Week 26, n=349,352 |
---|
Albiglutide + Insulin Glargine | -0.55 | -0.95 | -1.71 | -1.96 | -1.95 |
,Insulin Lispro + Insulin Glargine | 0.66 | 0.85 | 1.46 | 2.06 | 2.43 |
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Change From Baseline to Week 26 in FPG
FPG was measured at Baseline (Day -1) up to Week 26. FPG values for all participants at Week 26 were not collected due to an error in the protocol and were imputed with the FSG values at this time point. The imputation of the FPG at Week 26 from the FSG values was deemed acceptable from the results of the analysis of the correlation between FPG and FSG at the screening visit. The Baseline value was the last available non-missing value prior to the first dose of the randomized treatment, thus Baseline was Day -1. Change from Baseline is defined as the post-Baseline value minus the Baseline value. (NCT02229227)
Timeframe: Baseline to Week 26
Intervention | Millimoles per Liter (Least Squares Mean) |
---|
| Week 4, n=356,371 | Week 5, n=366,388 | Week 18, n=348,353 | Week 26, n=345,349 |
---|
Albiglutide + Insulin Glargine | -1.30 | -1.07 | -1.76 | -2.01 |
,Insulin Lispro + Insulin Glargine | -0.76 | -0.88 | -1.23 | -1.46 |
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Change From Baseline to Week 26 in HbA1c
HbA1c is glycosylated hemoglobin and was measured up to Week 26. The Baseline value was the last available non-missing value prior to the first dose of the randomized treatment, thus Baseline was Day -1. Change from Baseline is defined as the post-Baseline value minus the Baseline value. Only those participants available at the specified time points were analyzed represented by n=X,X in the category titles. (NCT02229227)
Timeframe: Baseline to Week 26
Intervention | Percentage of glycosylated hemoglobin (Least Squares Mean) |
---|
| Week 4, n=358,375 | Week 5, n=374,392 | Week 10, n=376,390 | Week 18, n=360,365 | Week 26, n=345,350 |
---|
Albiglutide + Insulin Glargine | -0.59 | -0.67 | -0.88 | -1.04 | -1.04 |
,Insulin Lispro + Insulin Glargine | -0.47 | -0.58 | -0.96 | -1.14 | -1.1 |
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Mean Creatinine at Week 0 and Week 26
Urine samples were collected for analysis of creatinine. Only those participants available at the specified time points were analyzed represented by n=X,X in the category titles. Mean creatinine at Week 0 and Week 26 are presented. (NCT02229227)
Timeframe: Week 0 and Week 26
Intervention | Micromoles per Liter (Mean) |
---|
| Week 0, n=395,406 | Week 26, n=350,345 |
---|
Albiglutide + Insulin Glargine | 10646.3 | 11364.6 |
,Insulin Lispro + Insulin Glargine | 10663.8 | 11394.2 |
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Mean Specific Gravity at Week 0 and Week 26
Urine specific gravity is a measure of the concentration of solutes in the urine and provides information on the kidney's ability to concentrate urine. The concentration of the excreted molecules determines the urine's specific gravity. A urinary specific gravity measurement is a routine part of urinalysis. Only those participants available at the specified time points were analyzed represented by n=X,X in the category titles. (NCT02229227)
Timeframe: Week 0 and Week 26
Intervention | Ratio (Mean) |
---|
| Week 0, n=388,402 | Week 26, n=347,343 |
---|
Albiglutide + Insulin Glargine | 1.0182 | 1.0180 |
,Insulin Lispro + Insulin Glargine | 1.0180 | 1.0186 |
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Mean Urine Albumin/Creatinine Ratio at Week 0 and Week 26
Urine samples were collected for analysis of albumin/creatinine ratio. Only those participants available at the specified time points were analyzed represented by n=X,X in the category titles. Mean urine albumin/creatinine ratio at Week 0 and Week 26 are presented. (NCT02229227)
Timeframe: Week 0 and Week 26
Intervention | Grams per mole (Mean) |
---|
| Week 0, n=369,376 | Week 26, n=317,324 |
---|
Albiglutide + Insulin Glargine | 14.40 | 10.37 |
,Insulin Lispro + Insulin Glargine | 11.57 | 11.55 |
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Number of Participants Achieving a HbA1c <6.5% up to Week 26
Number of participants achieving a HbA1c <6.5% up to Week 26 are presented. (NCT02229227)
Timeframe: Up to Week 26
Intervention | Participants (Number) |
---|
| Week 4 | Week 5 | Week 10 | Week 18 | Week 26 |
---|
Albiglutide + Insulin Glargine | 39 | 63 | 116 | 150 | 147 |
,Insulin Lispro + Insulin Glargine | 33 | 62 | 140 | 178 | 169 |
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Number of Participants Meeting Prespecified Criteria for Severe, Persistent Hyperglycemia up to Week 26
Meeting prespecified criteria for severe, persistent hyperglycemia was defined operationally as being withdrawn due to lack of efficacy as recorded on the Treatment Discontinuation and Study Conclusion electronic case report form pages. Number of participants meeting prespecified criteria for severe, persistent hyperglycemia up to Week 26 are presented. (NCT02229227)
Timeframe: Up to Week 26
Intervention | Participants (Number) |
---|
| 0 to <=4 Weeks | >4 to <=5 Weeks | >5 to <=10 Weeks | >10 to <=18 Weeks | >18 to <=26 Weeks |
---|
Albiglutide + Insulin Glargine | 0 | 0 | 2 | 0 | 1 |
,Insulin Lispro + Insulin Glargine | 0 | 0 | 0 | 1 | 2 |
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Number of Participants With Clinical Chemistry Values of Clinical Concern
Clinical chemistry parameters and their potential clinical concern values were: albumin (>5 g/L above ULN or below LLN), alkaline phosphatase(>3 x ULN), alanine aminotransferase (>3 x ULN), aspartate aminotransferase (>3 x ULN), carbon dioxide content (<16 millimoles per Liter [mmol/L] and > 40 mmol/L), blood urea nitrogen (>2 x ULN), calcium (<1.8 mmol/L and >3.0 mmol/L), chloride (none), creatinine (>159 micromoles/Liter), direct bilirubin (>1.35 x ULN), gamma glutamyl transferase (>3 x ULN), glucose (fasting) (<3 mmol/L and >22 mmol/L), magnesium (<0.411 mmol/L and >1.644 mmol/L), phosphate (>0.323 mmol/L above ULN or below LLN), potassium (>0.5 mmol/L below LLN and >1.0 mmol/L above ULN), sodium (>5 mmol/L above ULN or below LLN), triglycerides (> 9.04 mmol/L), total bilirubin (>1.5 x ULN), total protein (>15 g/L above ULN or below LLN) and uric acid (>654 umol/L). Only those parameters for which at least one value of potential clinical concern was reported are summarized. (NCT02229227)
Timeframe: Up to 30 weeks
Intervention | Participants (Number) |
---|
| Fasting Serum Glucose: <3 mmol/L, n= 394,405 | Fasting Serum Glucose: >22 mmol/L, n= 394,405 | Fasting Plasma Glucose: <3 mmol/L, n= 388,406 | Fasting Plasma Glucose: >22 mmol/L, n= 388,406 | Albumin: >5 g/L below LLN, n=394,407 | Albumin: >5 g/L above ULN, n=394,407 | Calcium: <1.8 mmol/L, n=394,407 | Calcium: >3.0 mmol/L, n=394,407 | Carbon Dioxide: <16 mmol/L, n=394,407 | Carbon Dioxide: >40 mmol/L, n=394,407 | Magnesium: <0.411 mmol/L, n=394,407 | Magnesium: >1.644 mmol/L, n=394,407 | Phosphate: >0.323 mmol/L below LLN, n=394,407 | Phosphate: >0.323 mmol/L above ULN, n=394,407 | Potassium: >0.5 mmol/L below LLN, n=394,407 | Potassium: >1.0 mmol/L above ULN, n=394,407 | Protein: >15 g/L below LLN, n=394,407 | Protein: >15 g/L above ULN, n=394,407 | Sodium: >5 mmol/L below LLN, n=394,407 | Sodium: >5 mmol/L above ULN, n=394,407 | Triglycerides: >9.04 mmol/L, n=393,405 | Urate: >654 μmol/L, n=394,407 | Urea: >2 x ULN, n=394,407 | Alanine Aminotransferase: >3 x ULN, n=396,410 | Alkaline Phosphatase: >3 x ULN, n=396,410 | Aspartate Aminotransferase: >3 x ULN, n=396,410 | Bilirubin: >1.5 x ULN, n=396,410 | Creatinine: >159 μmol/L, n=396,410 | Direct Bilirubin: >1.35 x ULN, n=396,410 | Gamma Glutamyl Transferase: >3 x ULN, n=396,410 |
---|
Albiglutide + Insulin Glargine | 12 | 0 | 9 | 1 | 0 | 0 | 1 | 0 | 5 | 0 | 1 | 0 | 0 | 2 | 1 | 0 | 0 | 0 | 1 | 1 | 7 | 0 | 2 | 0 | 1 | 0 | 1 | 20 | 0 | 14 |
,Insulin Lispro + Insulin Glargine | 16 | 1 | 14 | 0 | 0 | 0 | 1 | 0 | 8 | 0 | 1 | 0 | 0 | 4 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 2 | 1 | 5 | 0 | 2 | 1 | 16 | 1 | 14 |
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Number of Participants With Clinically Significant Change in Electrocardiogram (ECG) Parameters
A single 12-lead ECG recordings were performed in a participant in semi recumbent position for 10 to 15 minutes before obtaining the ECG. Any clinically significant favorable and unfavorable findings are reported. (NCT02229227)
Timeframe: Up to 30 weeks
Intervention | Participants (Number) |
---|
| Clinically Significant Change: Favorable | Clinically Significant Change: Unfavorable |
---|
Albiglutide + Insulin Glargine | 18 | 4 |
,Insulin Lispro + Insulin Glargine | 9 | 5 |
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Percentage of Participants With Hypersensitivity Reactions and Injection Site Reactions
Percentage of participants with hypersensitivity reactions and injection site reactions were reported. (NCT02273180)
Timeframe: First dose of study drug up to 1 day after the last dose administration (maximum treatment exposure: 400 days)
Intervention | percentage of participants (Number) |
---|
| Any hypersensitivity reactions | Any injection site reactions |
---|
Humalog | 6.3 | 1.2 |
,SAR342434 | 6 | 1.2 |
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Number of Hypoglycemia Events (Any Hypoglycemia, Documented Symptomatic Hypoglycemia and Severe Hypoglycemia) Per Participant-Year
Number of treatment-emergent hypoglycemia events per participant-year of exposure were reported. Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of <=70 mg/dL (3.9 mmol/L). Hypoglycemic episodes with plasma glucose of 54 mg/dL (<3.0 mmol/L) were also analyzed. (NCT02273180)
Timeframe: First dose of study drug up to 1 day after the last dose administration (maximum treatment exposure: 400 days)
Intervention | events per participant-year (Number) |
---|
| Any hypoglycemia | Severe hypoglycemia | Documented Symptomatic Hypoglycemia (<=3.9 mmol/L) | Documented Symptomatic Hypoglycemia (<3.0 mmol/L) |
---|
Humalog | 92.7 | 0.28 | 31.37 | 6.85 |
,SAR342434 | 90.71 | 0.73 | 29.36 | 6.29 |
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Change in Post Prandial Plasma Glucose (PPG) Excursion From Baseline to Week 26
Plasma glucose excursions were calculated at breakfast, lunch and dinner for each 7-point SMPG profile, as 2-hour PPG minus plasma glucose value obtained 30 minutes prior to start of the meal. Values of plasma glucose excursions at each visit were then calculated as average across the profiles performed in the week before the visit. Change in PPG excursions was calculated by subtracting baseline value from Week 26 value. Adjusted least squares means and standard errors were obtained from a MMRM to account for missing data, using all post-baseline data available during the main 6-month period and adequate contrasts at Week 26. (NCT02273180)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Least Squares Mean) |
---|
| At breakfast | At lunch | At dinner |
---|
Humalog | 0.19 | -0.26 | 0.56 |
,SAR342434 | -0.46 | 0.14 | 0.48 |
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Change in Daily Insulin Dose From Baseline to Week 26 and Week 52
Change in daily insulin dose (basal, mealtime and total) was calculated by subtracting baseline value from Week 26 and Week 52 values respectively. (NCT02273180)
Timeframe: Baseline, Week 26, Week 52
Intervention | U/kg (Mean) |
---|
| Basal insulin dose at Week 26 | Mealtime insulin dose at Week 26 | Total insulin dose at Week 26 | Basal insulin dose at Week 52 | Mealtime insulin dose at Week 52 | Total insulin dose at Week 52 |
---|
Humalog | 0.014 | -0.005 | 0.01 | 0.013 | 0.007 | 0.019 |
,SAR342434 | 0.03 | 0.005 | 0.019 | 0.046 | 0.018 | 0.039 |
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Percentage of Participants With Treatment Emergent Anti-insulin Antibodies (AIAs)
Participants with treatment-emergent AIA (incidence) were reported (as participants with treatment-boosted or treatment-induced AIAs). Participants with treatment-induced AIAs were those who developed AIA following IMP administration (participants with at least one positive AIA sample at any time during on-treatment period, in those participants without pre-existing AIA or with missing baseline sample). Participants with treatment-boosted AIAs were those with pre-existing AIAs that were boosted to a significant higher titer following IMP administration (participants with at least one AIA sample with at least a 4-fold increase in titers compared to baseline value at any time during on-treatment period, in those participants with pre-existing AIA). (NCT02273180)
Timeframe: First dose of study drug up to 1 day after the last dose administration (maximum treatment exposure: 400 days)
Intervention | percentage of participants (Number) |
---|
SAR342434 | 22.6 |
Humalog | 24.2 |
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Percentage of Participants With HbA1c <7.0% at Week 26
Participants who had no available assessment for HbA1c at Week 26 were considered as non-responders. (NCT02273180)
Timeframe: Week 26
Intervention | percentage of participants (Number) |
---|
SAR342434 | 22.5 |
Humalog | 21.7 |
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Change in Mean 24-Hour Plasma Glucose Concentration From Baseline to Week 26
Mean 24-hour plasma glucose concentration was calculated based on 7-point self-measured plasma glucose (SMPG) profiles with plasma glucose measurements before and 2-hours after each main meal and at bedtime. Mean 24-hour plasma glucose concentration was calculated for each profile and then averaged across profiles performed in week before a visit. Change in mean 24-hour plasma glucose concentration was calculated by subtracting baseline value from Week 26 value. Adjusted least squares means and standard errors were obtained from a MMRM to account for missing data, using all post-baseline data available during the main 6-month period and adequate contrasts at Week 26. (NCT02273180)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Least Squares Mean) |
---|
SAR342434 | -0.23 |
Humalog | -0.49 |
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Change in Fasting Plasma Glucose (FPG) From Baseline to Week 26
Change in FPG was calculated by subtracting baseline value from Week 26 value. Adjusted least squares means and standard errors were obtained from a MMRM approach to account for missing data, using all post-baseline FPG data available during the main 6-month period and adequate contrasts at Week 26. (NCT02273180)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Least Squares Mean) |
---|
SAR342434 | -0.46 |
Humalog | -0.62 |
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Change in HbA1c From Baseline to Week 26
Change in HbA1c was calculated by subtracting baseline value from Week 26 value. Adjusted least square means and standard errors were obtained from a mixed-effect model with repeated measures (MMRM) to account for missing data, using all post-baseline HbA1c data available during the main 6-month period and adequate contrasts at Week 26. (NCT02273180)
Timeframe: Baseline, Week 26
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
SAR342434 | -0.42 |
Humalog | -0.47 |
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Percentage of Participants With HbA1c <7.0% and <=6.5% at Week 26
Participants who had no available assessment for HbA1c at Week 26 were considered as non-responders. (NCT02294474)
Timeframe: Week 26
Intervention | percentage of participants (Number) |
---|
| HbA1c <7.0% | HbA1c<=6.5% |
---|
Humalog | 40.5 | 24.2 |
,SAR342434 | 42.3 | 27.3 |
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Change in Daily Insulin Dose From Baseline to Week 26
Change in daily insulin dose (basal, mealtime and total) was calculated by subtracting baseline value from Week 26 value. (NCT02294474)
Timeframe: Baseline, Week 26
Intervention | U/kg (Mean) |
---|
| Basal insulin | Mealtime insulin | Total insulin |
---|
Humalog | 0.071 | 0.08 | 0.151 |
,SAR342434 | 0.082 | 0.087 | 0.172 |
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Change in Post Prandial Glucose (PPG) Excursion From Baseline to Week 26
Plasma glucose excursions were calculated at breakfast, lunch and dinner for each 7-point SMPG profile, as 2-hour postprandial glucose (PPG) minus plasma glucose value obtained 30 minutes prior to start of the meal. Values of plasma glucose excursions at each visit were then calculated as average across the profiles performed in the week before the visit. Change in PPG excursions was calculated by subtracting baseline value from Week 26 value. Adjusted least squares means and standard errors were obtained from a MMRM to account for missing data, using all post-baseline data available during the 6-month period and adequate contrasts at Week 26. (NCT02294474)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Least Squares Mean) |
---|
| At breakfast | At lunch | At dinner |
---|
Humalog | -0.23 | 0.11 | -0.1 |
,SAR342434 | -0.72 | 0.06 | 0.11 |
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Change in Mean 24-Hour Plasma Glucose Concentration From Baseline to Week 26
The mean 24-hour plasma glucose concentration was calculated based on 7-point self-measured plasma glucose (SMPG) profiles with plasma glucose measurements before and 2-hours after each main meal and at bedtime. 7-point SMPGs were performed at least two times in a week before baseline, before visit Week 12 and before visit Week 26. Mean 24-hour plasma glucose concentration was calculated for each profile and then averaged across profiles performed in the week before a visit. Change in mean 24-hour plasma glucose concentration was calculated by subtracting baseline value from Week 26 value. Adjusted least squares means and standard errors were obtained from a MMRM to account for missing data, using all post-baseline data available during 6-month period and adequate contrasts at Week 26. (NCT02294474)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Least Squares Mean) |
---|
SAR342434 | -1 |
Humalog | -0.91 |
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Percentage of Participants With Hypersensitivity Reactions and Injection Site Reactions
Percentage of participants with hypersensitivity reactions and injection site reactions were reported. (NCT02294474)
Timeframe: First dose of study drug up to 1 day after the last dose administration (maximum treatment exposure: 210 days)
Intervention | percentage of participants (Number) |
---|
| Any hypersensitivity reactions | Any injection site reactions |
---|
Humalog | 3.6 | 1.6 |
,SAR342434 | 4 | 0.4 |
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Percentage of Participants With Hypoglycemia (Any Hypoglycemia, Documented Symptomatic Hypoglycemia and Severe Hypoglycemia)
Percentage of participants with at least one treatment emergent hypoglycemia reported at any time of the day were reported. Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of <=70 mg/dL (3.9 mmol/L). Hypoglycemic episodes with plasma glucose of 54 mg/dL (<3.0 mmol/L) were also analyzed. (NCT02294474)
Timeframe: First dose of study drug up to 1 day after the last dose administration (maximum treatment exposure: 210 days)
Intervention | percentage of participants (Number) |
---|
| Any hypoglycemia | Severe hypoglycemia | Documented Symptomatic Hypoglycemia (<=3.9mmol/L) | Documented Symptomatic Hypoglycemia (<3.0mmol/L) |
---|
Humalog | 74.6 | 1.6 | 66.3 | 27.4 |
,SAR342434 | 68.4 | 2.4 | 60.1 | 28.9 |
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Change in Fasting Plasma Glucose (FPG) From Baseline to Week 26
Change in FPG was calculated by subtracting baseline value from Week 26 value. Adjusted least squares means and standard errors were obtained from a MMRM approach to account for missing data, using all post-baseline FPG data available during the 6-month period and adequate contrasts at Week 26. (NCT02294474)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Least Squares Mean) |
---|
SAR342434 | -0.62 |
Humalog | -0.67 |
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Percentage of Participants With Treatment-Emergent Anti-insulin Antibodies (AIAs)
Participants with treatment-emergent AIA (incidence) were reported (as participants with treatment-boosted or treatment-induced AIAs). Participants with treatment-induced AIAs were participants who developed AIA following IMP administration (participants with at least one positive AIA sample at any time during on-treatment period, in those participants without pre-existing AIA or with missing baseline sample). Participants with treatment-boosted AIAs were participants with pre-existing AIAs that were boosted to a significant higher titer following IMP administration (participants with at least one AIA sample with at least a 4-fold increase in titers compared to baseline value at any time during on-treatment period, in those participants with pre-existing AIA). (NCT02294474)
Timeframe: First dose of study drug up to 1 day after the last dose administration (maximum treatment exposure: 210 days)
Intervention | percentage of participants (Number) |
---|
SAR342434 | 18.8 |
Humalog | 14.5 |
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Change in HbA1c From Baseline to Week 26
Change in HbA1c was calculated by subtracting baseline value from Week 26 value. Adjusted least square means and standard errors were obtained from a mixed-effect model with repeated measures (MMRM) to account for missing data, using all post-baseline HbA1c data available during the 6-month period and adequate contrasts at Week 26. (NCT02294474)
Timeframe: Baseline, Week 26
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
SAR342434 | -0.92 |
Humalog | -0.85 |
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Percentage of Participants With Hypoglycemia (Any Hypoglycemia, Documented Symptomatic Hypoglycemia, Severe and/or Confirmed Hypoglycemia) During the 26 Weeks of Treatment
Hypoglycemia events were hypoglycemia of any category, severe hypoglycemia (an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions); documented symptomatic hypoglycemia (symptoms of hypoglycemia with plasma glucose ≤3.9 mmol/L [70 mg/dL]); confirmed hypoglycemia (with or without symptoms of hypoglycemia and plasma glucose ≤3.9 mmol/L). (NCT02320721)
Timeframe: Baseline up to Week 26
Intervention | percentage of participants (Number) |
---|
| Any hypoglycemia | Documented symptomatic hypoglycemia | Severe and/or confirmed hypoglycemia | Severe and/or confirmed hypoglycemia:<75 years age | Severe and/or confirmed hypoglycemia:≥75 years age |
---|
HOE901-U300 | 62.6 | 32.9 | 58.1 | 59.2 | 54.8 |
,Lantus | 66.5 | 34.7 | 60.6 | 60.9 | 59.4 |
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Percentage of Participants With HbA1c <7.5% or HbA1c <7% During 26-Week Randomized Period
Participants without any available HbA1c assessment at Week 26 were considered as non-responders in the analyses. (NCT02320721)
Timeframe: Baseline up to Week 26
Intervention | percentage of participants (Number) |
---|
| HbA1c <7.5% | HbA1c <7.0% |
---|
HOE901-U300 | 60.6 | 33.3 |
,Lantus | 58.9 | 35.2 |
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Percentage of Participants With HbA1c <7.5% or <7.0% at Week 26 and No Severe and/or Confirmed (≤3.9 mmol/L [70 mg/dL]) Hypoglycemia During 26-Week Randomized Period
Severe hypoglycemia was an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Confirmed hypoglycemia was an event associated with plasma glucose ≤3.9 mmol/L (70 mg/dL). (NCT02320721)
Timeframe: Baseline up to Week 26
Intervention | percentage of participants (Number) |
---|
| HbA1c <7.5% | HbA1c <7.0% |
---|
HOE901-U300 | 26.4 | 14.0 |
,Lantus | 21.5 | 12.3 |
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Hypoglycemia (Any Hypoglycemia, Documented Symptomatic Hypoglycemia, Severe and/or Confirmed Hypoglycemia) Event Rate Per Participant Year During the 26 Weeks of Treatment
Hypoglycemia events were hypoglycemia of any category, severe hypoglycemia (an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions); documented symptomatic hypoglycemia (symptoms of hypoglycemia with plasma glucose ≤3.9 mmol/L [70 mg/dL]); confirmed hypoglycemia (with or without symptoms of hypoglycemia and plasma glucose ≤3.9 mmol/L). (NCT02320721)
Timeframe: Baseline up to Week 26
Intervention | events per participant year (Number) |
---|
| Any hypoglycemia | Documented symptomatic hypoglycemia | Severe and/or confirmed hypoglycemia |
---|
HOE901-U300 | 6.06 | 1.85 | 5.17 |
,Lantus | 7.74 | 2.56 | 6.36 |
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Percentage of Participants With At Least One Severe and/ or Confirmed (≤3.9 mmol/L [70 mg/dL]) Nocturnal Hypoglycemia (22:00 to 08:59 Hours Next Morning) During 26-Week Randomized Period
Estimated percentages from multiple imputation approach including data from the 26-week randomized period. Severe hypoglycemia was an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Confirmed hypoglycemia was an event associated with plasma glucose ≤3.9 mmol/L (70 mg/dL). (NCT02320721)
Timeframe: Baseline up to Week 26
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 48.3 |
Lantus | 47.7 |
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Percentage of Participants With At Least One Severe and/ or Confirmed (≤3.9 mmol/L [70 mg/dL]) Nocturnal Hypoglycemia (00:00 to 05:59 Hours) During 26-Week Randomized Period
Estimated percentages from multiple imputation approach including data from the 26-week randomized period. Severe hypoglycemia was an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Confirmed hypoglycemia was an event associated with plasma glucose ≤3.9 mmol/L (70 mg/dL). (NCT02320721)
Timeframe: Baseline up to Week 26
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 20.2 |
Lantus | 22.5 |
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Percentage of Participants With At Least One Severe and/ or Confirmed (≤3.9 mmol/L [70 mg/dL]) Hypoglycemia Occurring at Any Time of the Day During 26-Week Randomized Period
Estimated percentages from multiple imputation approach including data from the 26-week randomized period. Severe hypoglycemia was an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Confirmed hypoglycemia was an event associated with plasma glucose ≤3.9 mmol/L (70 mg/dL). (NCT02320721)
Timeframe: Baseline up to Week 26
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 59.4 |
Lantus | 62.7 |
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Percentage of Participants Requiring Rescue Therapy Over the 26 Weeks of Treatment
Routine fasting self-monitored plasma glucose (SMPG) and central laboratory FPG (and HbA1c after Week 14) values were used to determine the requirement of rescue medication. Threshold values at Week 14: FPG >200 mg/dL (11 mmol/L), or HbA1c >8.5%. (NCT02320721)
Timeframe: Baseline up to Week 26
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 3.7 |
Lantus | 2.6 |
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Change in World Health Organization-5 (WHO-5) Well-Being Questionnaire Percentage Score From Baseline to Week 26
WHO-5 well-being index evaluates positive psychological well-being during the past 2 weeks and consists of 5 questions, each rated on a 6-point Likert scale from 0 (not present) to 5 (constantly present). Total raw score was transformed into a percentage score ranging from 0 (worst possible quality of life) to 100 (best possible quality of life). (NCT02320721)
Timeframe: Baseline, Week 26
Intervention | scores on a scale (Least Squares Mean) |
---|
HOE901-U300 | -1.16 |
Lantus | 0.22 |
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Change in HbA1c From Baseline to Week 26
Adjusted least square (LS) means were obtained from analysis of covariance (ANCOVA) after multiple imputation of missing data including post baseline HbA1c data during the 26-week randomized period. (NCT02320721)
Timeframe: Baseline, Week 26
Intervention | percentage of hemoglobin (Least Squares Mean) |
---|
HOE901-U300 | -0.89 |
Lantus | -0.91 |
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Change in Fasting Plasma Glucose (FPG) From Baseline to Week 26
Adjusted LS means from multiple imputation approach including post baseline values during the 26-week randomized period. (NCT02320721)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Least Squares Mean) |
---|
HOE901-U300 | -1.68 |
Lantus | -1.77 |
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Hypoglycemia (Any Hypoglycemia, Documented Symptomatic Hypoglycemia, Severe and/or Confirmed Hypoglycemia) Event Rate Per Participant Year: By Age Categorical Data During the 26 Weeks of Treatment
Hypoglycemia events were hypoglycemia of any category, severe hypoglycemia (an event that required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions); documented symptomatic hypoglycemia (symptoms of hypoglycemia with plasma glucose ≤3.9 mmol/L [70 mg/dL]); confirmed hypoglycemia (with or without symptoms of hypoglycemia and plasma glucose ≤3.9 mmol/L). (NCT02320721)
Timeframe: Baseline up to Week 26
Intervention | events per participant year (Number) |
---|
| Any hypoglycemia:<75 years age | Any hypoglycemia:≥75 years age | Documented symptomatic hypoglycemia:<75 years age | Documented symptomatic hypoglycemia:≥75 years age | Severe and/or confirmed hypoglycemia:<75 years age | Severe and/or confirmed hypoglycemia:≥75 years age |
---|
HOE901-U300 | 6.44 | 5.01 | 2.11 | 1.12 | 5.43 | 4.46 |
,Lantus | 7.85 | 7.32 | 2.52 | 2.71 | 6.37 | 6.28 |
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Mean Blood Glucose Levels at Bedtime
The blood glucose levels will be assessed at bedtime using a glucose meter. (NCT02408120)
Timeframe: 5 days (average time of discharge from the hospital)
Intervention | mg/dl (Mean) |
---|
Insulin Aspart for BG > 140 mg/dL | 157 |
Insulin Aspart for BG > 260 mg/dL | 171 |
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Mean Blood Glucose Levels Before Dinner
The blood glucose levels will be assessed before dinner using a glucose meter. (NCT02408120)
Timeframe: 5 days (average time of discharge from the hospital)
Intervention | mg/dL (Mean) |
---|
Insulin Aspart for BG > 140 mg/dL | 151 |
Insulin Aspart for BG > 260 mg/dL | 160 |
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Mean Blood Glucose Levels Before Lunch
The blood glucose levels will be assessed prior to lunch using a glucose meter. (NCT02408120)
Timeframe: 5 days (average time of discharge from the hospital)
Intervention | mg/dL (Mean) |
---|
Insulin Aspart for BG > 140 mg/dL | 160 |
Insulin Aspart for BG > 260 mg/dL | 172 |
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Mean Daily BG Levels
Blood glucose (BG) will be measured, and mean daily BG levels will be calculated. (NCT02408120)
Timeframe: 5 days (average time of discharge from the hospital)
Intervention | mg/dL (Mean) |
---|
Insulin Aspart for BG > 140 mg/dL | 172 |
Insulin Aspart for BG > 260 mg/dL | 173 |
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Mortality
The total number of subject deaths during hospital stay will be recorded. (NCT02408120)
Timeframe: 5 days (average time of discharge from the hospital)
Intervention | Participants (Count of Participants) |
---|
Insulin Aspart for BG > 140 mg/dL | 1 |
Insulin Aspart for BG > 260 mg/dL | 0 |
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Number of Blood Glucose Readings Within 100-140 mg/dL Range
The number of blood glucose readings that are in the target range of 100-140 mg/dL will be recorded. (NCT02408120)
Timeframe: 5 days (average time of discharge from the hospital)
Intervention | number of readings (Number) |
---|
Insulin Aspart for BG > 140 mg/dL | 59 |
Insulin Aspart for BG > 260 mg/dL | 57 |
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Number of Hypoglycemia Events
The number of occurrences of hypoglycemia (blood glucose levels < 70 mg/dL) will be recorded. (NCT02408120)
Timeframe: 5 days (average time of discharge from the hospital)
Intervention | number of events (Number) |
---|
Insulin Aspart for BG > 140 mg/dL | 16 |
Insulin Aspart for BG > 260 mg/dL | 15 |
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Number of Subjects That Experienced Hospital Complications
The total number of subjects in which hospital complications occurred prior to discharge will be recorded. These complications will mainly be cases of nosocomial infections, pneumonia, bacteremia, respiratory failure, and acute kidney injury [rise of serum creatinine >0.5 mg/dL (or 50%) of baseline value]. Nosocomial infections will be diagnosed based on standardized Centers for Disease Control (CDC) criteria. (NCT02408120)
Timeframe: 5 days (average time of discharge from the hospital)
Intervention | Participants (Count of Participants) |
---|
Insulin Aspart for BG > 140 mg/dL | 11 |
Insulin Aspart for BG > 260 mg/dL | 12 |
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Mean Daily Dose of Insulin
Daily dose of insulin will be recorded (NCT02408120)
Timeframe: 5 days (average time of discharge from the hospital)
Intervention | units/day (Mean) |
---|
Insulin Aspart for BG > 140 mg/dL | 47 |
Insulin Aspart for BG > 260 mg/dL | 41 |
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Average Number of Days of Hospital Stay
The average number of days in the hospital for subjects will be calculated. (NCT02408120)
Timeframe: 5 days (average time of discharge from the hospital)
Intervention | days (Median) |
---|
Insulin Aspart for BG > 140 mg/dL | 4 |
Insulin Aspart for BG > 260 mg/dL | 4 |
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Incidence of Hyperglycemia
The number of occurrences of hyperglycemia (blood glucose levels > 260 mg/dL) will be recorded. (NCT02408120)
Timeframe: 5 days (average time of discharge from the hospital)
Intervention | number of events (Number) |
---|
Insulin Aspart for BG > 140 mg/dL | 45 |
Insulin Aspart for BG > 260 mg/dL | 42 |
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Responder for HbA1c Below or Equal to 6.5 %
Number of subjects with HbA1c below 6.5% after 26 weeks of treatment. (NCT02420262)
Timeframe: After 26 weeks of treatment
Intervention | Participants (Count of Participants) |
---|
| Yes | No |
---|
IDegLira | 118 | 120 |
,IGlar + IAsp | 104 | 129 |
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Responder for HbA1c Below 7.0%
Number of subjects with HbA1c below 7% after 26 weeks of treatment. (NCT02420262)
Timeframe: After 26 weeks of treatment
Intervention | Participants (Count of Participants) |
---|
| Yes | No |
---|
IDegLira | 157 | 81 |
,IGlar + IAsp | 156 | 77 |
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Number of Treatment Emergent Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemic Episodes.
Severe or blood glucose (BG) confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe and/or BG confirmed by a plasma glucose value of <56 mg/dL (3.1 mmol/L), with symptoms consistent with hypoglycaemia. (NCT02420262)
Timeframe: Weeks 0-26
Intervention | Number of episodes (Number) |
---|
IDegLira | 129 |
IGlar + IAsp | 975 |
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Change in Body Weight
Change in body weight after 26 weeks of treatment. (NCT02420262)
Timeframe: Week 0, Week 26
Intervention | kg (Least Squares Mean) |
---|
IDegLira | -0.93 |
IGlar + IAsp | 2.64 |
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Change in HbA1c (Glycosylated Haemoglobin)
Change in HbA1c values after 26 weeks of treatment. (NCT02420262)
Timeframe: Week 0, Week 26
Intervention | Percentage of glycosylated haemoglobin (Least Squares Mean) |
---|
IDegLira | -1.48 |
IGlar + IAsp | -1.46 |
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Number of Subjects Requiring Re-intubation Within 24 Hours
The number of subjects requiring re-intubation with 24 after CABG. (NCT02443402)
Timeframe: Post-Surgery (Up to 24 Hours)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 2 |
Placebo | 1 |
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Number of Subjects Requiring Re-intubation
The number of subjects requiring re-intubation after CABG. (NCT02443402)
Timeframe: Post-Surgery (Up to 2 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 1 |
Placebo | 2 |
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Number of Subject Requiring Surgical Re-Intervention
The number of subjects that require surgical re-intervention due to mediastinal exploration and post-operative hemorrhage. (NCT02443402)
Timeframe: Post-Surgery (Up to 10 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 1 |
Placebo | 2 |
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Number of Participants With Stress Hyperglycemic Events in the Intensive Care Unit (ICU)
Number of participants who developed stress hyperglycemia (BG >180 mg/dl) during coronary artery bypass grafting (CABG) or after CABG requiring continuous IV insulin infusion (CII) while in the ICU. (NCT02443402)
Timeframe: Post-Surgery (Up to 4 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 22 |
Placebo | 25 |
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Number of Participants With Severe Hyperglycemic Events During Continuous Insulin Infusion (CII)
Number of participants with two consecutive blood glucose concentrations >180 mg/dL in ICU during CII. (NCT02443402)
Timeframe: Post-Surgery (Up to 4 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 7 |
Placebo | 6 |
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Number of Participants With Infections Not Requiring Hospital Re-admission
Number of subjects with infections not requiring hospital re-admission within 30 days after hospital discharge. (NCT02443402)
Timeframe: Post-Hospital Discharge (Up to 30 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 0 |
Placebo | 1 |
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Number of Participants With Hypoglycemia During Intensive Care Unit (ICU) Stay
Number of participants with blood glucose (BG) <70 during ICU stay. (NCT02443402)
Timeframe: Post-Surgery (Up to 4 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 2 |
Placebo | 1 |
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Number of Participants With Hypoglycemia After Transition From Intensive Care Unit (ICU)
Number of participants with blood glucose (BG) <70 after transition from ICU. (NCT02443402)
Timeframe: Post-Surgery (Up to 4 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 1 |
Placebo | 0 |
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Number of Participants With Hyperglycemia After Transition From Intensive Care Unit (ICU)
Number of participants with blood glucose (BG) >180 after transition from ICU. (NCT02443402)
Timeframe: Post-Surgery (Up to 10 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 8 |
Placebo | 8 |
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Number of Participants With Emergency Room (ER) Visits
Number of subjects returning to the ER up to 30 days (all-cause) after hospital discharge. (NCT02443402)
Timeframe: Post-Hospital Discharge (Up to 30 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 2 |
Placebo | 1 |
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Hospital Complication Rate
The total number of all complications experienced during hospitalization. Participants may experience more than one complication during hospitalization and these will be included in the hospital complication rate. (NCT02443402)
Timeframe: Duration of Hospitalization (Up to 30 days)
Intervention | number of complications (Number) |
---|
Sitagliptin | 47 |
Placebo | 57 |
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Total Insulin Therapy in the Intensive Care Unit (ICU)
Total amount of insulin glargine insulin (units) administered in the ICU per day. (NCT02443402)
Timeframe: Post-Surgery (Up to 4 Days)
Intervention | units per day (Mean) |
---|
Sitagliptin | 0 |
Placebo | 0 |
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Duration of Continuous Intravenous Insulin (CII)
Mean number of hours on continuous intravenous insulin (CII) after ICU discharge. (NCT02443402)
Timeframe: Post-Intensive Care Unit (ICU) Discharge (Up to 4 Days)
Intervention | hours (Mean) |
---|
Sitagliptin | 12 |
Placebo | 17 |
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Hospital Mortality Rate
The total number of subject deaths during hospital stay will be recorded. (NCT02443402)
Timeframe: Post-Surgery (Up to 10 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 0 |
Placebo | 0 |
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Intensive Care Unit (ICU) Mortality Rate
The total number of subject deaths during ICU stay will be recorded. (NCT02443402)
Timeframe: Post-Surgery (Up to 4 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 0 |
Placebo | 0 |
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Length of Hospital Stay After Study Randomization
Number of days in the hospital after a participant is randomized to a study intervention. (NCT02443402)
Timeframe: Post-Randomization (Up to 9 days)
Intervention | days (Mean) |
---|
Sitagliptin | 6.0 |
Placebo | 6.5 |
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Length of Stay: Intensive Care Unit (ICU)
Number of days in the ICU after coronary artery bypass graft surgery (CABG). (NCT02443402)
Timeframe: Post-Surgery (Up to 4 Days)
Intervention | days (Mean) |
---|
Sitagliptin | 2 |
Placebo | 2 |
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Mean Amount of Insulin Therapy in the Intensive Care Unit (ICU)
The mean number of insulin infusions given per day (unit/day) while subjects are in the ICU. The more insulin given, the more hyperglycemic events experienced. (NCT02443402)
Timeframe: Post-Surgery (Up to 4 Days)
Intervention | units per day (Mean) |
---|
Sitagliptin | 37 |
Placebo | 83 |
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Number of Participants Re-admitted to the Hospital Due to Wound Infections
Number of subjects readmitted to the hospital within 30 days due to wound infection. (NCT02443402)
Timeframe: Post-Hospital Discharge (Up to 30 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 1 |
Placebo | 1 |
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Mean Blood Glucose (BG) Concentration After Transition From Intensive Care Unit (ICU)
The blood glucose levels will be assessed throughout the day using a glucose meter after transition form the ICU. The normal BG range for someone with diabetes is 80-130 mg/dL. (NCT02443402)
Timeframe: Post-Surgery (Up to 4 Days)
Intervention | mg/dl (Mean) |
---|
Sitagliptin | 123 |
Placebo | 124 |
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Mean Daily Intensive Care Unit (ICU) Blood Glucose (BG) Concentration
The blood glucose levels will be assessed throughout the day using a glucose meter. An average will be calculated. The normal BG range for someone with diabetes is 80-130 mg/dL. (NCT02443402)
Timeframe: Post-Surgery (Up to 4 Days)
Intervention | mg/dL (Mean) |
---|
Sitagliptin | 137 |
Placebo | 138 |
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Mean Units Subcutaneous (SQ) Insulin Required
Mean number of supplemental insulin units (lispro or aspart) administered after receiving insulin glargine (SQ insulin). (NCT02443402)
Timeframe: Post-Surgery (Up to 10 Days)
Intervention | units (Mean) |
---|
Sitagliptin | 2.4 |
Placebo | 2.4 |
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Need for Continuous Intravenous Insulin (CII) for Treatment of Hyperglycemia
Number of subjects with hyperglycemia (BG >180 mg/dL) who require CII in the ICU. (NCT02443402)
Timeframe: Post-Surgery (Up to 4 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 7 |
Placebo | 7 |
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Number of Subjects With Persistent Hyperglycemia
Number of subjects with persistent hyperglycemia (2 consecutive fasting and/or premeal BG > 180 mg/dL, or with average daily BG >180 mg/dl) who require insulin glargine (rescue therapy) after discontinuation of continuous intravenous insulin (CII) (NCT02443402)
Timeframe: Post-Surgery (Up to 10 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 7 |
Placebo | 6 |
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Number of Participants With Blood Glucose Less Than 40 mg/dl
Number of participants with blood glucose (BG) <40 throughout the duration of hospitalization. (NCT02443402)
Timeframe: Duration of Hospitalization (Up to 30 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 0 |
Placebo | 0 |
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Number of Participants Re-admitted to the Hospital Not Due to Wound Infections
Number of subjects readmitted to the hospital within 30 days for all causes excluding wound infection. (NCT02443402)
Timeframe: Post-Hospital Discharge (Up to 30 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 3 |
Placebo | 0 |
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Number of Subjects Requiring the Use of Inotropes for Greater Than 24 Hours
The number of subjects requiring the use of inotropes for >24 hours post CABG. (NCT02443402)
Timeframe: Post-Surgery (Up to 2 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 11 |
Placebo | 7 |
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Number of Participants With Cerebrovascular Events
Number of participants that experienced permanent stroke and reversible ischemic neurologic deficit events. (NCT02443402)
Timeframe: Post-Hospital Discharge (Up to 10 Days)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 2 |
Placebo | 1 |
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Change From Baseline in Body Weight at Month 6 and Month 12
Adjusted LS means and SE were obtained using MMRM model with fixed categorical effects of treatment arm, visit, treatment arm-by-visit interaction, randomization strata of HbA1c target (<8% / <7%), SU use (yes/no), GLP-1 RA use (yes/no), as well as baseline weight (as continuous) and baseline weight-by-visit interaction. (NCT02451137)
Timeframe: Baseline, Month 6, Month 12
Intervention | kilogram (kg) (Least Squares Mean) |
---|
| Month 6 | Month 12 |
---|
Standard of Care | 1.14 | 1.40 |
,Toujeo | 1.02 | 1.51 |
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Change From Baseline in Fasting Plasma Glucose (FPG) at Month 6 and Month 12
Change in FPG was calculated by subtracting baseline value from Month 6 and Month 12 values. Adjusted LS means and SE were obtained using MMRM model with fixed categorical effects of treatment arm, randomization strata of HbA1c target (<8% / <7%), SU use (yes/no), GLP-1 RA use (yes/no), as well as baseline FPG (as continuous) and baseline FPG-by-visit interaction. (NCT02451137)
Timeframe: Baseline, Month 6, Month 12
Intervention | mg/dL (Least Squares Mean) |
---|
| Month 6 | Month 12 |
---|
Standard of Care | -50.4 | -47.3 |
,Toujeo | -48.9 | -48.0 |
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Change From Baseline in HbA1c at Month 6 and Month 12
Change in HbA1c was calculated by subtracting baseline value from Month 6 and Month 12 values. Adjusted Least Squares (LS) means and Standard Errors (SE) were obtained using Mixed Effect Model with Repeated Measures (MMRM ) with fixed categorical effects of treatment arm, visit, treatment arm-by-visit interaction, randomization strata of HbA1c target (<8% / <7%), SU use (yes/no), GLP-1 RA use (yes/no), as well as baseline HbA1c (as continuous) and baseline HbA1c-by-visit interaction. (NCT02451137)
Timeframe: Baseline, Month 6, Month 12
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
| Month 6 | Month 12 |
---|
Standard of Care | -1.36 | -1.24 |
,Toujeo | -1.40 | -1.29 |
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Percentage of Participants Reaching Individualized HbA1c Target Without Documented Symptomatic <=3.9 mmol/L (<= 70 mg/dL) and <3.0 mmol/L (< 54 mg/dL) and/or Severe Hypoglycemia During the 12-Month Randomized Period
HEDIS criteria for Individualized HbA1c target: <8% if age >= 65 years or presence of medical comorbidities, or otherwise <7%. Severe hypoglycaemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Documented symptomatic hypoglycaemia was an event during which typical symptoms of hypoglycaemia were accompanied by a measured plasma glucose concentration of <=3.9 mmol/L (<=70 mg/dL) and < 3.0 mmol/L (< 54 mg/dL). (NCT02451137)
Timeframe: Baseline to Month 12
Intervention | percentage of participants (Number) |
---|
| Month 12: <=70 mg/dL | Month 12: <54 mg/dL |
---|
Standard of Care | 23.7 | 29.5 |
,Toujeo | 26.1 | 33.0 |
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Percentage of Participants With at Least One Treatment-Emergent Hypoglycemia Event (Any Time of the Day, Nocturnal) Per Type of Hypoglycaemia During the Month 6 and Month 12 on Treatment Period
Severe hypoglycaemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Documented symptomatic hypoglycaemia was an event during which typical symptoms of hypoglycaemia were accompanied by a measured plasma glucose concentration of <=70 mg/dL (<=3.9 mmol/L) or <54 mg/dL (3.0 mmol/L). (NCT02451137)
Timeframe: Up to Month 6 and Month 12
Intervention | percentage of participants (Number) |
---|
| Any hypoglycemia: Any time: Month 6 | Any hypoglycemia: Nocturnal: Month 6 | Any hypoglycemia: Any time: Month 12 | Any hypoglycemia: Nocturnal: Month 12 | Severe hypoglycemia: Any time: Month 6 | Severe hypoglycemia:Nocturnal: Month 6 | Documented Symptomatic <=70 mg/dL:Any time:Month 6 | Documented Symptomatic <54 mg/dL:Any time:Month 6 | Documented Symptomatic <=70mg/dL:Nocturnal:Month 6 | Documented Symptomatic <54 mg/dL:Nocturnal:Month 6 | Severe hypoglycemia: Any time: Month 12 | Severe hypoglycemia:Nocturnal: Month 12 | Documented Symptomatic<=70 mg/dL:Any time:Month 12 | Documented Symptomatic <54 mg/dL:Any time:Month 12 | Documented Symptomatic<=70mg/dL:Nocturnal:Month 12 | Documented Symptomatic <54mg/dL:Nocturnal:Month 12 |
---|
Standard of Care | 30.4 | 10.0 | 41.8 | 14.9 | 1.0 | 0.6 | 14.9 | 3.1 | 5.6 | 0.8 | 1.9 | 0.7 | 20.8 | 5.6 | 8.3 | 1.7 |
,Toujeo | 28.9 | 8.9 | 39.1 | 13.6 | 1.0 | 0.5 | 13.9 | 3.6 | 4.5 | 0.8 | 1.2 | 0.5 | 19.9 | 5.6 | 6.5 | 1.2 |
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Percentage of Participants With Hospitalizations, Emergency Rooms and Specialty Visits From Baseline to Month 6 and Month 12
Percentage of participants with hospitalizations, emergency room visits, and specialty visits during the 6-month and 12-month randomized period were reported. The 12-month randomized period was defined as the time from randomization up to Day 365 or discontinuation date, whichever comes earlier. (NCT02451137)
Timeframe: From Baseline to Month 6 and Month 12
Intervention | percentage of participants (Number) |
---|
| Hospitalizations: Month 6 | Emergency Room Visits: Month 6 | Specialty Visits: Month 6 | Hospitalizations: Month 12 | Emergency Room Visits: Month 12 | Specialty Visits: Month 12 |
---|
Standard of Care | 7.5 | 10.3 | 74.0 | 8.0 | 11.1 | 75.9 |
,Toujeo | 8.1 | 11.3 | 78.3 | 9.1 | 12.7 | 80.1 |
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Scores of Total Treatment Satisfaction, Hyperglycemia Perception, and Hypoglycemia Perception From Diabetes Treatment Satisfaction Questionnaire Change Version (DTSQc) at Month 12
DTSQc version evaluates the change in treatment satisfaction at Month 12 as compared to the start of the study . It consists of 8 items, each answered on a Likert scale from -3 to +3. The sum of treatment satisfaction scores (items 1, 4, 5, 6, 7,and 8) ranged from score -18 (deterioration in treatment satisfaction) to +18 (improvement in treatment satisfaction). Perceived frequency of hypoglycemia and perceived frequency of hyperglycemia score ranges from score -3 (fewer problems) to +3 (more problems). (NCT02451137)
Timeframe: At Month 12
Intervention | score on a scale (Least Squares Mean) |
---|
| Total satisfaction score | Perceived frequency of hyperglycemia score | Perceived frequency of hypoglycemia |
---|
Standard of Care | 13.79 | 0.21 | -0.82 |
,Toujeo | 13.81 | 0.14 | -0.82 |
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Scores of Total Treatment Satisfaction, Hyperglycemia Perception, and Hypoglycemia Perception From Diabetes Treatment Satisfaction Questionnaire Status Version (DTSQs) at Baseline, Month 6, Month 12
DTSQs is a validated questionnaire to assess participant's satisfaction with their diabetes treatment. It consists of 8 items, each answered on a Likert scale of 0 to 6. Responses of 6 questions (Items 1, 4, 5, 6, 7 and 8) were summarized to derive total treatment satisfaction score, such that a higher score was indicative of better satisfaction. Total treatment satisfaction score is the sum of items 1, 4-8 scores and ranged from 0 (no satisfaction) to 36 (improvement in treatment satisfaction). Item 2 and Item 3 scores were used for hyperglycemia perception and hypoglycemia perception respectively, where lower scores indicated better health outcome. Perceived frequency of hyperglycemia score (Item 2) and perceived frequency of hypoglycemia score (Item 3) range from 0 (none of the time) to 6 (most of time), where lower scores indicated more satisfaction/better health outcome. (NCT02451137)
Timeframe: At Baseline, Month 6, Month 12
Intervention | score on a scale (Mean) |
---|
| Total treatment satisfaction score:Baseline | Total treatment satisfaction score: Month 6 | Total treatment satisfaction score: Month 12 | Perceived frequencyof hyperglycemia score:Baseline | Perceived frequency of hyperglycemia score:Month 6 | Perceived frequency of hyperglycemia score:Month12 | Perceived frequency of hypoglycemia score:Baseline | Perceived frequency of hypoglycemia score: Month 6 | Perceived frequency of hypoglycemia score:Month 12 |
---|
Standard of Care | 26.4 | 31.1 | 30.7 | 4.3 | 2.8 | 2.6 | 0.8 | 1.0 | 1.0 |
,Toujeo | 26.5 | 31.0 | 30.9 | 4.3 | 2.8 | 2.6 | 0.9 | 0.9 | 0.9 |
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Treatment Persistence Measured by Medication Possession Ratio (MPR)
Treatment persistence was determined based on vendor claims database that would be responsible for managing and administration of the study drugs. Medication use was assessed by MPR and persistence measures based on data collected by the smart card vendor (date of fill or refill and quantity of medication dispensed for 30-day supply). The MPR was assessed based on total number of days of supply divided by the total number of days in 6 or 12 months period. (NCT02451137)
Timeframe: At Month 6 and Month 12
Intervention | Medication Possession ratio (Mean) |
---|
| Month 6 | Month 12 |
---|
Standard of Care | 63.14 | 57.82 |
,Toujeo | 62.06 | 58.21 |
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Percentage of Participants Reaching Individualized HbA1c Target Without Documented Symptomatic <3.0 mmol/L (<54 mg/dL) and/or Severe Hypoglycemia During the 6-Month Randomized Period
HEDIS criteria for Individualized HbA1c target: <8% if age >= 65 years or presence of medical comorbidities, or otherwise <7%. Severe hypoglycaemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Documented symptomatic hypoglycaemia was an event during which typical symptoms of hypoglycaemia were accompanied by a measured plasma glucose concentration of <54 mg/dL (3.0 mmol/L). (NCT02451137)
Timeframe: Baseline to Month 6
Intervention | percentage of participants (Number) |
---|
Toujeo | 37.3 |
Standard of Care | 34.3 |
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"Percentage of Responders (Participants and Provider) Who Reported Excellent or Good Responses to Global Effectiveness Scale (GES) Question at Month 6, and Month 12"
"Participant and Physician (Provider) reported GES for this diabetes study. The GES assessed impact of treatment on scale ranges as: excellent (complete control of diabetes), good (marked improvement of diabetes), moderate (discernible, but limited improvement in diabetes), poor (no appreciable change in diabetes), or worsening of condition (worsening of diabetes). There was no score expressed by numbers and no change measured over the time of the study. Percentage of participants and providers who reported excellent or good on the GES at Month 6 and Month 12 are reported here." (NCT02451137)
Timeframe: At Month 6, Month 12
Intervention | percentage of responders (Number) |
---|
| Percentage of Participants: Month 6 | Percentage of Providers: Month 6 | Percentage of Participants: Month 12 | Percentage of Providers: Month 12 |
---|
Standard of Care | 65.6 | 57.7 | 64.2 | 56.3 |
,Toujeo | 67.2 | 62.1 | 64.7 | 58.8 |
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Change From Baseline in Basal Insulin Dose at Month 6 and Month 12
Change in basal insulin dose was calculated by subtracting baseline value from Month 6 and Month 12 values. (NCT02451137)
Timeframe: Baseline, Month 6, Month 12
Intervention | Unit/kg (U/kg) (Mean) |
---|
| Month 6 | Month 12 |
---|
Standard of Care | 0.183 | 0.224 |
,Toujeo | 0.179 | 0.222 |
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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
Intervention | ml/min/1.7m² (Mean) |
---|
| Baseline | 24 weeks treatement |
---|
Glargine Insulin Period | 28.0 | 26.9 |
,NPH Insulin Period | 27.4 | 25.9 |
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Difference in A1c Levels
A1c using high performance liquid chromatography measured in percentage (NCT02451917)
Timeframe: baseline and 24 weeks
Intervention | percentage (Mean) |
---|
| Baseline | 24 weeks treatement |
---|
Glargine Insulin Period | 8.86 | 7.95 |
,NPH Insulin Period | 8.21 | 8.44 |
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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
Intervention | Kg/m² (Mean) |
---|
| Baseline | 24 weeks treatement |
---|
Glargine Insulin Period | 29.7 | 30.0 |
,NPH Insulin Period | 30.0 | 30.4 |
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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
Intervention | units/Kg/day (Mean) |
---|
| Baseline | 24 weeks treatment |
---|
Glargine Insulin | 0.61 | 0.64 |
,NPH Insulin | 0.63 | 0.64 |
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Serum Creatinine
Creatinine is measured in milligrams per deciliter of blood (mg/dL (NCT02451917)
Timeframe: baseline and 24 weeks
Intervention | mg/dL (Mean) |
---|
| Baseline | 24 weeks treatement |
---|
Glargine Insulin Period | 2.4 | 2.6 |
,NPH Insulin Period | 2.5 | 2.6 |
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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
Intervention | events per patients during 24 weeks (Mean) |
---|
| total hypoglycemic events | nocturnal hypoglycemias |
---|
Glargine Insulin Period | 4.87 | 0.52 |
,NPH Insulin Period | 6.34 | 1.52 |
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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
Intervention | percentage of time (Mean) |
---|
| hyperglycemia | normoglycemia | hypoglycemia |
---|
Glargine Insulin Period | 30 | 67 | 3 |
,NPH Insulin Period | 38 | 59 | 3 |
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HbA1c Below 7.0% Without Severe Hypoglycaemic Episodes
Percentage of subjects with HbA1c below 7.0% after 32 weeks of randomised treatment without treatment emergent severe hypoglycaemic episodes during the last 12 weeks of treatment. Subjects withdrawn before 32 weeks were handled as non-responders. Severe hypoglycaemic episode was defined as an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. Plasma glucose (PG) concentrations may not be available during an event, but neurological recovery following the return of PG to normal is considered sufficient evidence that the event was induced by a low PG concentration. (NCT02453685)
Timeframe: After 32 weeks of treatment (yes/no)
Intervention | Percentage of subjects (Number) |
---|
| Yes | No |
---|
Basal-bolus | 56.3 | 43.7 |
,BIAsp 30 | 42.3 | 57.7 |
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Change in HbA1c (Glycosylated Haemoglobin)
Change in HbA1c from baseline (week 0) to week 32. (NCT02453685)
Timeframe: Week 0, week 32
Intervention | Percentage of HbA1c (Mean) |
---|
BIAsp 30 | -1.16 |
Basal-bolus | -1.30 |
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Total Daily Insulin Dose
Total daily insulin dose in the basal bolus treatment group and in BIAsp 30 treatment group at each week of each treatment. (NCT02453685)
Timeframe: Weeks 0-32
Intervention | U/kg (Mean) |
---|
| Week 1 | Week 2 | Week 3 | Week 4 | Week 5 | Week 6 | Week 7 | Week 8 | Week 9 | Week 10 | Week 11 | Week 12 | Week 13 | Week 14 | Week 15 | Week 16 | Week 17 | Week 18 | Week 19 | Week 20 | Week 21 | Week 22 | Week 23 | Week 24 | Week 25 | Week 26 | Week 27 | Week 28 | Week 29 | Week 30 | Week 31 | Week 32 |
---|
Basal-bolus | 0.127 | 0.167 | 0.197 | 0.224 | 0.244 | 0.264 | 0.281 | 0.296 | 0.339 | 0.365 | 0.391 | 0.413 | 0.425 | 0.439 | 0.455 | 0.468 | 0.496 | 0.516 | 0.532 | 0.544 | 0.563 | 0.580 | 0.590 | 0.605 | 0.618 | 0.643 | 0.653 | 0.664 | 0.674 | 0.682 | 0.693 | 0.708 |
,BIAsp 30 | 0.157 | 0.187 | 0.214 | 0.238 | 0.259 | 0.280 | 0.296 | 0.308 | 0.369 | 0.397 | 0.421 | 0.443 | 0.456 | 0.472 | 0.487 | 0.501 | 0.528 | 0.546 | 0.557 | 0.569 | 0.588 | 0.602 | 0.607 | 0.615 | 0.628 | 0.643 | 0.661 | 0.671 | 0.688 | 0.692 | 0.703 | 0.700 |
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Number of Treatment Emergent Hypoglycaemic Episodes Classified According to the American Diabetes Association (ADA) and the Novo Nordisk Definitions
Hypoglycaemic episodes were classified as severe, Asymptomatic, Documented symptomatic, Pseudo, and Probable symptomatic as per ADA classification. As symptoms of hypoglycaemia occur below a PG level of 3.1 mmol/L, (56 mg/dL) Novo Nordisk classification included hypoglycaemia with plasma glucose (PG) levels below 3.1 mmol/L (56 mg/dL) in the definition of blood glucose confirmed hypoglycaemia. Hence, Novo Nordisk classification included following types of hypoglycaemia in addition to ADA classification: Severe hypoglycaemia, Symptomatic blood glucose confirmed hypoglycaemia, Asymptomatic blood glucose confirmed hypoglycaemia, Severe or blood glucose confirmed symptomatic hypoglycaemia, Blood glucose confirmed hypoglycaemia, and Severe or blood glucose confirmed hypoglycaemia. Reported data represents total of all hypoglycaemic episodes. (NCT02453685)
Timeframe: Weeks 0-32
Intervention | Hypoglycaemic episodes (Number) |
---|
| ADA classification | Novo Nordisk classification |
---|
Basal-bolus | 1841 | 1841 |
,BIAsp 30 | 1650 | 1650 |
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Insulin Dose
Insulin dose after 26 and 104 weeks of treatment is presented. (NCT02501161)
Timeframe: Week 26, week 104
Intervention | Units (Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | 34.6 | 36.1 |
,Insulin Glargine | 48.6 | 50.6 |
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Change in Body Weight
Change in body weight from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Kilogram (kg) (Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | 0.5 | 1.2 |
,Insulin Glargine | 2.2 | 3.0 |
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Change in Blood Pressure (Systolic and Diastolic)
Change in blood pressure (systolic and diastolic) from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Millimeters of mercury (mmHg) (Mean) |
---|
| Week 26: Systolic blood pressure | Week 26: Diastolic blood pressure | Week 104: Systolic blood pressure | Week 104: Diastolic blood pressure |
---|
Insulin Degludec/Liraglutide | -1.2 | 0.1 | 0.5 | -0.1 |
,Insulin Glargine | 0.5 | -0.3 | 0.9 | -0.2 |
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Change in Biochemistry Parameters- ALP, ALT, AST, Lipase and Amylase
Change in biochemistry parameters- alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), lipase and amylase from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Units per liter (U/L) (Mean) |
---|
| Week 26: ALP | Week 104: ALP | Week 26: ALT | Week 104: ALT | Week 26: AST | Week 104: AST | Week 26: lipase | Week 104: lipase | Week 26: amylase | Week 104: amylase |
---|
Insulin Degludec/Liraglutide | -4.16 | -1.35 | -5.45 | -5.39 | -1.62 | -1.84 | 9.26 | 5.41 | 9.72 | 7.23 |
,Insulin Glargine | -4.33 | -1.34 | -3.33 | -3.45 | -0.39 | -0.67 | -7.97 | -13.33 | 2.79 | -0.13 |
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Change in Biochemistry Parameter- Sodium, Potassium and Calcium
Change in sodium, potassium and calcium from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | mmol/L (Mean) |
---|
| Week 26: sodium | Week 104: sodium | Week 26: potassium | Week 104: potassium | Week 26: calcium | Week 104: calcium |
---|
Insulin Degludec/Liraglutide | 0.89 | 1.22 | -0.05 | -0.06 | -0.01 | -0.07 |
,Insulin Glargine | 1.03 | 1.47 | -0.08 | -0.07 | -0.00 | -0.06 |
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Change in Biochemistry Parameter- Creatinine, Total Bilirubin
Change in biochemistry parameter- creatinine, total bilirubin from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Micromoles per liter (umol/L) (Mean) |
---|
| Week 26: creatinine | Week 104: creatinine | Week 26: total bilirubin | Week 104: total bilirubin |
---|
Insulin Degludec/Liraglutide | -0.50 | 0.75 | -0.30 | -0.33 |
,Insulin Glargine | 0.25 | 2.20 | -0.32 | -0.59 |
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Change in Biochemistry Parameter- Albumin
Change in biochemistry parameter- albumin from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Grams per deciliter (g/dL) (Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | -0.03 | 0.01 |
,Insulin Glargine | -0.03 | 0.03 |
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Number of Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During 26 Weeks of Treatment
Severe or BG confirmed symptomatic hypoglycaemia is defined as an episode that is severe according to the ADA classification or BG confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Number of treatment-emergent severe or BG confirmed symptomatic hypoglycaemic episodes during 26 weeks of treatment is presented. (NCT02501161)
Timeframe: Weeks 0-26
Intervention | Episodes (Number) |
---|
Insulin Degludec/Liraglutide | 143 |
Insulin Glargine | 261 |
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Participants Who Achieved (Yes/no): HbA1c ≤6.5%
Percentage of participants who achieved (yes/no) HbA1c ≤6.5% at week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 26, week 104
Intervention | Percentage of participants (Number) |
---|
| Week 26: Yes | Week 26: No | Week 104: Yes | Week 104: No |
---|
Insulin Degludec/Liraglutide | 63.6 | 36.4 | 43.3 | 56.7 |
,Insulin Glargine | 35.4 | 64.6 | 21.7 | 78.3 |
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Participants Who Achieved (Yes/no): HbA1c <7.0% Without Weight Gain
Percentage of participants who achieved (yes/no) HbA1c <7.0% without weight gain at week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 26, week 104
Intervention | Percentage of participants (Number) |
---|
| Week 26: Yes | Week 26: No | Week 104: Yes | Week 104: No |
---|
Insulin Degludec/Liraglutide | 38.5 | 61.5 | 20.9 | 79.1 |
,Insulin Glargine | 15.4 | 84.6 | 6.3 | 93.7 |
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Participants Who Achieved (Yes/no): HbA1c <7.0% Without Treatment-emergent Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic Episodes
Severe or BG confirmed symptomatic hypoglycaemia was defined as an episode that was severe according to the American Diabetes Association (ADA) classification or BG confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Percentage of participants who achieved (yes/no) HbA1c <7.0% without treatment-emergent severe or BG confirmed symptomatic hypoglycaemic episodes at week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 26, week 104
Intervention | Percentage of participants (Number) |
---|
| Week 26: Yes | Week 26: No | Week 104: Yes | Week 104: No |
---|
Insulin Degludec/Liraglutide | 71.3 | 28.7 | 51.8 | 48.2 |
,Insulin Glargine | 44.9 | 55.1 | 25.5 | 74.5 |
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Participants Who Achieved (Yes/no): HbA1c <7.0%
Percentage of participants who achieved (yes/no) HbA1c <7.0% at week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 26, week 104
Intervention | Percentage of participants (Number) |
---|
| Week 26: Yes | Week 26: No | Week 104: Yes | Week 104: No |
---|
Insulin Degludec/Liraglutide | 78.7 | 21.3 | 55.5 | 44.5 |
,Insulin Glargine | 55.7 | 44.3 | 28.5 | 71.5 |
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Participants Who Achieved (Yes/no): HbA1c < 7.0% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes and Without Weight Gain
Severe or BG confirmed symptomatic hypoglycaemia was defined as an episode that was severe according to the ADA classification or BG confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Percentage of participants who achieved (yes/no) HbA1c <7.0% without treatment-emergent severe or BG confirmed symptomatic hypoglycaemic episodes and without weight gain at week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 26, week 104
Intervention | Percentage of participants (Number) |
---|
| Week 26: Yes | Week 26: No | Week 104: Yes | Week 104: No |
---|
Insulin Degludec/Liraglutide | 35.2 | 64.8 | 20.0 | 80.0 |
,Insulin Glargine | 13.6 | 86.4 | 6.1 | 93.9 |
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Eye Examination Category
Fundus photography or a dilated fundoscopy was performed at baseline (within 12 weeks prior to week 0) and week 104. The investigator interpreted each eye's (left and right) results and categorised them as: normal, abnormal not clinically significant (NCS) or abnormal clinically significant (CS). Number of participants in each category at baseline and week 104 were presented. (NCT02501161)
Timeframe: Baseline (within 12 weeks prior to week 0), week 104
Intervention | Participants (Count of Participants) |
---|
| Left eye: Normal (baseline) | Left eye: Abnormal NCS (baseline) | Left eye: Abnormal CS (baseline) | Left eye: Normal (week 104) | Left eye: Abnormal NCS (week 104) | Left eye: Abnormal CS (week 104) | Right eye: Normal (baseline) | Right eye: Abnormal NCS (baseline) | Right eye: Abnormal CS (baseline) | Right eye: Normal (week 104) | Right eye: Abnormal NCS (week 104) | Right eye: Abnormal CS (week 104) |
---|
Insulin Degludec/Liraglutide | 345 | 151 | 10 | 204 | 97 | 17 | 344 | 151 | 11 | 200 | 99 | 19 |
,Insulin Glargine | 341 | 155 | 8 | 129 | 50 | 6 | 355 | 143 | 6 | 132 | 48 | 5 |
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ECG Evaluation
The electrocardiogram (ECG) was assessed at baseline (within 2 weeks prior to week 0) and week 104. The investigator interpreted the results and categorised them as: normal, abnormal NCS or abnormal CS. Number of participants in each ECG category at baseline and week 104 are presented. (NCT02501161)
Timeframe: Baseline (within 2 weeks prior to week 0), week 104
Intervention | Participants (Count of Participants) |
---|
| Normal (Baseline) | Abnormal NCS (Baseline) | Abnormal CS (Baseline) | Normal (week 104) | Abnormal NCS (week 104) | Abnormal CS (week 104) |
---|
Insulin Degludec/Liraglutide | 335 | 162 | 9 | 227 | 97 | 7 |
,Insulin Glargine | 335 | 165 | 4 | 122 | 65 | 2 |
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Change in TRIM-D
Treatment related impact measures-diabetes (TRIM-D) was developed according to the FDA guidance from 2009 on development of new PRO measures. The questionnaire consists of 5 sub-domains, which are scored according to a 1-5 point scale with a higher score indicating a better health state (less negative impact). Sub-domain scores are calculated by summing across items in the same sub-domain, and the total score is calculated by summing scores from all the sub-domains. The highest possible summed score within a sub-domain ranges from 20 (compliance sub-domain) to 40 (psychological health sub-domain) points and the highest possible total score is 140 points. Change in TRIM-D total score from baseline (week 0) to week 26 and week 104 is presented. A positive change score indicates an improvement since baseline. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Score on a scale (Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | 9.6 | 11.4 |
,Insulin Glargine | 7.3 | 9.5 |
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Change in SMPG-mean Postprandial Increment Over All Meals
Participants measured plasma glucose values using the blood glucose meter at 9 time points: before breakfast, 90 min after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 min after start of dinner, bedtime, at 4:00 am and before breakfast the following day. Change in SMPG-mean postprandial increment over all meals from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | mmol/L (Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | -0.28 | -0.47 |
,Insulin Glargine | 0.20 | 0.12 |
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Change in SMPG-mean 9-point Profile
Participants measured plasma glucose values using the blood glucose meter at 9 time points: before breakfast, 90 min after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 min after start of dinner, bedtime, at 4:00 am and before breakfast the following day. Change in SMPG-mean 9-point profile from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | mmol/L (Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | -3.34 | -3.27 |
,Insulin Glargine | -3.32 | -2.76 |
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Change in Short Form Health Survey Version 2.0 (SF-36v2™, Acute Version) Health Survey: Scores From the 8 Domains and Summaries of the Physical Component Score (PCS) and the Mental Component Score (MCS)
SF-36 is a 36-item patient-reported survey of patient health that measures the participant's overall health-related quality of life (HRQoL). SF-36v2™ (acute version) questionnaire measured eight domains of functional health and well-being as well as two component summary scores (physical component summary (PCS) and mental component summary (MCS)). The scores 0-100 (where higher scores indicated a better HRQoL) from the SF-36 were converted to norm-based scores to enable a direct interpretation in relation to the distribution of the scores in the 2009 U.S. general population. A norm-based score of 50 corresponds to the mean score and 10 corresponds to the standard deviation of the 2009 U.S. general population. Change from baseline in the sub-domain scores and component summary (PCS and MCS) scores are presented. A positive change score indicates an improvement since baseline. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Score on a scale (Mean) |
---|
| Week 26: Physical functioning | Week 104: Physical functioning | Week 26: Role-physical | Week 104: Role-physical | Week 26: Bodily pain | Week 104: Bodily pain | Week 26: General health | Week 104: General health | Week 26: Vitality | Week 104: Vitality | Week 26: Social functioning | Week 104: Social functioning | Week 26: Role-emotional | Week 104: Role-emotional | Week 26: Mental health | Week 104: Mental health | Week 26: PCS | Week 104: PCS | Week 26: MCS | Week 104: MCS |
---|
Insulin Degludec/Liraglutide | 1.2 | 0.7 | 1.4 | 1.4 | 1.5 | 1.6 | 2.5 | 2.3 | 1.4 | 1.5 | 1.8 | 0.9 | 0.6 | 1.6 | 1.7 | 2.5 | 1.6 | 1.0 | 1.3 | 2.0 |
,Insulin Glargine | 1.1 | 0.6 | 0.5 | 0.7 | 0.4 | 0.1 | 2.1 | 2.1 | 1.4 | 1.5 | 0.9 | 1.1 | 0.7 | 1.2 | 1.3 | 0.3 | 0.9 | 0.8 | 1.2 | 1.0 |
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Change in Pulse Rate
Change in pulse rate from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Beats per minute (Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | 2.0 | 1.7 |
,Insulin Glargine | -0.4 | -0.5 |
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Change in Haematological Parameter- Thrombocytes and Leukocytes
Change in thrombocytes and leukocytes from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | 10^9 cells/L (Mean) |
---|
| Week 26: Thrombocytes | Week 104: Thrombocytes | Week 26: Leukocytes | Week 104: Leukocytes |
---|
Insulin Degludec/Liraglutide | 8.77 | 16.87 | 0.49 | 0.07 |
,Insulin Glargine | 7.05 | 18.73 | 0.39 | 0.32 |
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Number of TEAEs During 104 Weeks of Treatment
An adverse event is any untoward medical occurrence in a participant administered a product, and which does not necessarily have a causal relationship with this treatment. A TEAE was defined as an adverse event that had onset date on or after the first day of exposure to trial product and no later than 7 days after the last day of trial product. If the event had onset date before the first day of exposure on trial product and increased in severity during the treatment period and until 7 days after the last drug date, then this event was also considered as a TEAE. Number of TEAEs during 104 weeks of treatment is presented. (NCT02501161)
Timeframe: Week 0 to week 104
Intervention | Adverse events (Number) |
---|
Insulin Degludec/Liraglutide | 1788 |
Insulin Glargine | 1368 |
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Number of TEAEs During 26 Weeks of Treatment
An adverse event is any untoward medical occurrence in a participant administered a product, and which does not necessarily have a causal relationship with this treatment. A treatment emergent adverse event (TEAE) was defined as an adverse event that had onset date on or after the first day of exposure to trial product and no later than 7 days after the last day of trial product. If the event had onset date before the first day of exposure on trial product and increased in severity during the treatment period and until 7 days after the last drug date, then this event was also considered as a TEAE. Number of TEAEs during 26 weeks of treatment is presented. (NCT02501161)
Timeframe: Weeks 0-26
Intervention | Adverse events (Number) |
---|
Insulin Degludec/Liraglutide | 718 |
Insulin Glargine | 624 |
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Number of Treatment Emergent Hypoglycaemic Episodes During 104 Weeks of Treatment
Hypoglycaemic episodes (SMPG value ≤3.9 mmol/L (70 mg/dL)) were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Number of treatment emergent hypoglycaemic episodes according to ADA during 104 weeks of treatment is presented. (NCT02501161)
Timeframe: Weeks 0-104
Intervention | Episodes (Number) |
---|
Insulin Degludec/Liraglutide | 8934 |
Insulin Glargine | 10658 |
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Number of Treatment Emergent Hypoglycaemic Episodes During 26 Weeks of Treatment
Hypoglycaemic episodes (SMPG value ≤3.9 mmol/L (70 mg/dL)) were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Number of treatment-emergent hypoglycaemic episodes according to ADA during 26 weeks of treatment is presented. (NCT02501161)
Timeframe: Weeks 0-26
Intervention | Episodes (Number) |
---|
Insulin Degludec/Liraglutide | 3190 |
Insulin Glargine | 3806 |
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Number of Treatment-emergent Nocturnal Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During 104 Weeks of Treatment
Severe or BG confirmed symptomatic hypoglycaemia is defined as an episode that is severe according to the ADA classification or BG confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Nocturnal hypoglycaemic episodes were episodes occurring between 00:01 and 05.59 both inclusive. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Number of treatment-emergent nocturnal severe or BG confirmed symptomatic hypoglycaemic episodes during 104 weeks of treatment is presented. (NCT02501161)
Timeframe: Weeks 0-104
Intervention | Episodes (Number) |
---|
Insulin Degludec/Liraglutide | 61 |
Insulin Glargine | 164 |
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Number of Treatment-emergent Nocturnal Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During 26 Weeks of Treatment
Severe or BG confirmed symptomatic hypoglycaemia is defined as an episode that is severe according to the ADA classification or BG confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Nocturnal hypoglycaemic episodes were episodes occurring between 00:01 and 05.59 both inclusive. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Number of treatment-emergent nocturnal severe or BG confirmed symptomatic hypoglycaemic episodes during 26 weeks of treatment is presented. (NCT02501161)
Timeframe: Weeks 0-26
Intervention | Episodes (Number) |
---|
Insulin Degludec/Liraglutide | 27 |
Insulin Glargine | 60 |
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Number of Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During 104 Weeks of Treatment
Severe or BG confirmed symptomatic hypoglycaemia is defined as an episode that is severe according to the ADA classification or BG confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Number of treatment-emergent severe or BG confirmed symptomatic hypoglycaemic episodes during 104 weeks of treatment is presented. (NCT02501161)
Timeframe: Weeks 0-104
Intervention | Episodes (Number) |
---|
Insulin Degludec/Liraglutide | 319 |
Insulin Glargine | 642 |
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Change in Haematological Parameter- Neutrophils
Change in neutrophils from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Percentage of neutrophils (Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | 1.86 | 1.25 |
,Insulin Glargine | 0.78 | 1.21 |
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Change in Haematological Parameter- Monocytes
Change in monocytes from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Percentage of monocytes (Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | -0.10 | 0.49 |
,Insulin Glargine | 0.01 | 0.59 |
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Change in Haematological Parameter- Lymphocytes
Change in lymphocytes from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Percentage of lymphocytes (Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | -1.87 | -2.25 |
,Insulin Glargine | -0.84 | -2.38 |
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Change in Haematological Parameter- Haemoglobin
Change in haemoglobin from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | g/dL (Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | 0.08 | -0.00 |
,Insulin Glargine | 0.08 | -0.03 |
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Change in Haematological Parameter- Haematocrit
Change in haematocrit from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Percentage of red blood cells (Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | -0.33 | -0.71 |
,Insulin Glargine | -0.36 | -0.95 |
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Change in Haematological Parameter- Erythrocytes
Change in erythrocytes from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | 10^12 cells/L (Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | -0.02 | -0.12 |
,Insulin Glargine | -0.03 | -0.11 |
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Change in Haematological Parameter- Eosinophils
Change in eosinophils from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Percentage of eosinophils (Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | 0.10 | 0.32 |
,Insulin Glargine | 0.06 | 0.43 |
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Change in Haematological Parameter- Basophils
Change in basophils from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Percentage of basophils (Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | 0.00 | 0.20 |
,Insulin Glargine | -0.00 | 0.16 |
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Participants Who Achieved (Yes/no): HbA1c ≤6.5% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes and Without Weight Gain
Severe or BG confirmed symptomatic hypoglycaemia is defined as an episode that is severe according to the ADA classification or BG confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Percentage of participants who achieved (yes/no) HbA1c ≤6.5% without treatment-emergent severe or BG confirmed symptomatic hypoglycaemic episodes and without weight gain at week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 26, week 104
Intervention | Percentage of participants (Number) |
---|
| Week 26: Yes | Week 26: No | Week 104: Yes | Week 104: No |
---|
Insulin Degludec/Liraglutide | 30.2 | 69.8 | 16.6 | 83.4 |
,Insulin Glargine | 8.7 | 91.3 | 5.5 | 94.5 |
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Participants Who Achieved (Yes/no): HbA1c ≤6.5% Without Weight Gain
Percentage of participants who achieved (yes/no) HbA1c ≤6.5% without weight gain at week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 26, week 104
Intervention | Percentage of participants (Number) |
---|
| Week 26: Yes | Week 26: No | Week 104: Yes | Week 104: No |
---|
Insulin Degludec/Liraglutide | 33.2 | 66.8 | 17.6 | 82.4 |
,Insulin Glargine | 9.9 | 90.1 | 5.7 | 94.3 |
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SMPG-9-point Profile (Individual Points in the Profile)
Participants measured plasma glucose values using the blood glucose meter at 9 time points: before breakfast, 90 min after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 min after start of dinner, bedtime, at 4:00 am and before breakfast the following day. Self-measured plasma glucose (SMPG)-9-point profile (individual points in the profile) at week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 26, week 104
Intervention | mmol/L (Mean) |
---|
| Week 26: Before breakfast | Week 26: 90 minutes after breakfast | Week 26: Before lunch | Week 26: 90 minutes after lunch | Week 26: Before dinner | Week 26: 90 minutes after dinner | Week 26: Bedtime | Week 26: At 4:00 a.m. | Week 26: Before breakfast the following day | Week 104: Before breakfast | Week 104: 90 minutes after breakfast | Week 104: Before lunch | Week 104: 90 minutes after lunch | Week 104: Before dinner | Week 104: 90 minutes after dinner | Week 104: Bedtime | Week 104: At 4:00 a.m. | Week 104: Before breakfast the following day |
---|
Insulin Degludec/Liraglutide | 5.59 | 8.34 | 6.03 | 8.02 | 6.67 | 8.31 | 7.48 | 5.72 | 5.53 | 5.58 | 7.99 | 6.06 | 7.80 | 6.58 | 8.20 | 7.47 | 5.67 | 5.44 |
,Insulin Glargine | 5.58 | 8.76 | 6.43 | 8.79 | 6.91 | 9.10 | 8.13 | 5.91 | 5.56 | 5.57 | 8.64 | 6.37 | 8.87 | 7.02 | 9.10 | 7.90 | 5.96 | 5.47 |
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Time From Randomisation to HbA1c >6.5% at 2 Consecutive Visits
"Time to HbA1c > 6.5% at 2 consecutive visits is defined as time from randomization to HbA1c > 6.5% at 2 consecutive planned scheduled visits from week 26 (including week 26 if HbA1c was > 6.5% at week 12). Time from randomisation to HbA1c >6.5% at 2 consecutive visits was analysed using a stratified log-rank test where treatment, baseline HbA1c group and previous OAD treatment were included as strata in the model. The variable baseline HbA1c group was a dichotomised baseline HbA1c variable with 2 categories: HbA1c < 8.5% or HbA1c ≥ 8.5% and the variable previous OAD treatment was a categorical variable with 2 categories: SU ± OAD(s) (SU users) or OAD(s) (Non-SU users). 25%, median (50%) and 75% percentiles for the cumulative distribution function were obtained from the Kaplan-Meier survival function." (NCT02501161)
Timeframe: Weeks 0-104 + 7 days follow-up-1 + 30 days follow-up-2
Intervention | Weeks (Median) |
---|
| Baseline HbA1c <8.5% + Non-SU users | Baseline HbA1c <8.5% + SU users | Baseline HbA1c >=8.5% + Non-SU users | Baseline HbA1c >=8.5% + SU users |
---|
Insulin Degludec/Liraglutide | NA | 90.1 | 64.1 | 52.1 |
,Insulin Glargine | 64.1 | 26.6 | 26.6 | 26.1 |
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Time From Randomisation to Inadequate Glycaemic Control and Need for Treatment Intensification
"Inadequate glycaemic control and need for treatment intensification was defined as a glycosylated haemoglobin (HbA1c) of 7.0% or greater at 2 consecutive visits from week 26, including week 26 if HbA1c was greater than or equal to 7% at week 12. Time from randomisation to inadequate glycaemic control and need for treatment intensification was analysed using a stratified log-rank test where treatment, baseline HbA1c group and previous OAD treatment were included as strata in the model. The variable baseline HbA1c group was a dichotomised baseline HbA1c variable with 2 categories: HbA1c < 8.5% or HbA1c ≥ 8.5% and the variable previous OAD treatment was a categorical variable with 2 categories: SU ± OAD(s) (SU users) or OAD(s) (Non-SU users). 25%, median (50%) and 75% percentiles for the cumulative distribution function were obtained from the Kaplan-Meier survival function." (NCT02501161)
Timeframe: Weeks 0-104 + 7 days follow-up-1 + 30 days follow-up-2
Intervention | Weeks (Median) |
---|
| Baseline HbA1c <8.5% + Non-SU users | Baseline HbA1c <8.5% + SU users | Baseline HbA1c >=8.5% + Non-SU users | Baseline HbA1c >=8.5% + SU users |
---|
Insulin Degludec/Liraglutide | NA | 106.7 | NA | 104.0 |
,Insulin Glargine | 104.3 | 90.3 | 64.6 | 26.6 |
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Change in Fasting HDL-cholesterol
Change in fasting high density lipoprotein (HDL)- cholesterol (measured in mmol/L) from baseline (week 0) to week 26 and week 104 is presented as ratio to baseline. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Ratio of HDL-cholesterol (Geometric Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | 1.03 | 1.02 |
,Insulin Glargine | 1.02 | 1.03 |
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Change in Fasting Free Fatty Acids
Change in fasting free fatty acids (measured as mmol/L) from baseline (week 0) to week 26 and week 104 is presented as ratio to baseline. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Ratio of free fatty acids (Geometric Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | 0.68 | 0.70 |
,Insulin Glargine | 0.75 | 0.78 |
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Change in Fasting C-peptide
Change in fasting C-peptide (measured in nanomoles per liter [nmol/L]) from baseline (week 0) to week 26 and week 104 is presented as ratio to baseline. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Ratio of C-peptide (Geometric Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | 0.63 | 0.58 |
,Insulin Glargine | 0.57 | 0.54 |
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Change in Calcitonin
The number of participants who reported low, normal and high levels of calcitonin in relation to reference ranges at baseline (week 0), week 26 and week 104 are presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Participants (Count of Participants) |
---|
| Week 0: Low | Week 0: Normal | Week 0: High | Week 26: Low | Week 26: Normal | Week 26: High | Week 104: Low | Week 104: Normal | Week 104: High |
---|
Insulin Degludec/Liraglutide | 0 | 481 | 25 | 0 | 437 | 40 | 0 | 301 | 31 |
,Insulin Glargine | 0 | 472 | 32 | 0 | 431 | 30 | 0 | 169 | 17 |
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Participants Who Achieved (Yes/no): HbA1c ≤6.5% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes
Severe or BG confirmed symptomatic hypoglycaemia is defined as an episode that is severe according to the ADA classification or BG confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. Percentage of participants who achieved (yes/no) HbA1c ≤6.5% without treatment-emergent severe or BG confirmed symptomatic hypoglycaemic episodes at week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 26, week 104
Intervention | Percentage of participants (Number) |
---|
| Week 26: Yes | Week 26: No | Week 104: Yes | Week 104: No |
---|
Insulin Degludec/Liraglutide | 57.9 | 42.1 | 40.1 | 59.9 |
,Insulin Glargine | 27.9 | 72.1 | 19.2 | 80.8 |
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Change in Fasting Human Insulin
Change in fasting human insulin (measured in picomoles per liter [pmol/L]) from baseline (week 0) to week 26 and week 104 is presented as ratio to baseline. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Ratio of insulin (Geometric Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | 0.67 | 0.60 |
,Insulin Glargine | 0.68 | 0.62 |
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Change in HbA1c
Change in HbA1c from baseline (week 0) to week 26 is presented. (NCT02501161)
Timeframe: Week 0, week 26
Intervention | Percentage of HbA1c (Mean) |
---|
Insulin Degludec/Liraglutide | -1.99 |
Insulin Glargine | -1.69 |
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Change in FPG
Change in fasting plasma glucose (FPG) from baseline (week 0) to week 26 and week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | mmol/L (Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | -3.97 | -3.93 |
,Insulin Glargine | -3.79 | -3.73 |
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Change in Urine Albumin/Creatinine Ratio
Change in urine albumin/creatinine ratio from baseline (week 0) to week 104 is presented. (NCT02501161)
Timeframe: Week 0, week 104
Intervention | Milligrams per millimole (mg/mmol) (Mean) |
---|
Insulin Degludec/Liraglutide | -1.09 |
Insulin Glargine | -0.74 |
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Change in Fasting VLDL-cholesterol
Change in fasting very low density lipoprotein (VLDL)-cholesterol (measured in mmol/L) from baseline (week 0) to week 26 and week 104 is presented as ratio to baseline. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Ratio of VLDL-cholesterol (Geometric Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | 0.85 | 0.90 |
,Insulin Glargine | 0.85 | 0.88 |
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Change in Fasting Triglycerides
Change in fasting triglycerides (measured as mmol/L) from baseline (week 0) to week 26 and week 104 is presented as ratio to baseline. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Ratio of triglycerides (Geometric Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | 0.84 | 0.89 |
,Insulin Glargine | 0.85 | 0.89 |
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Change in Fasting Total Cholesterol
Change in fasting total cholesterol (measured in mmol/L) from baseline (week 0) to week 26 and week 104 is presented as ratio to baseline. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Ratio of total cholesterol (Geometric Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | 0.99 | 0.97 |
,Insulin Glargine | 0.99 | 0.97 |
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Change in Fasting LDL-cholesterol
Change in fasting low density lipoprotein (LDL)-cholesterol (measured in mmol/L) from baseline (week 0) to week 26 and week 104 is presented as ratio to baseline. (NCT02501161)
Timeframe: Week 0, week 26, week 104
Intervention | Ratio of LDL-cholesterol (Geometric Mean) |
---|
| Week 26 | Week 104 |
---|
Insulin Degludec/Liraglutide | 1.05 | 0.96 |
,Insulin Glargine | 1.02 | 0.98 |
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Percentage of Subjects Achieving a Therapeutic Glycemic Response at Week 24
To examine whether the percentage of subjects achieving a therapeutic glycemic response, defined as HbA1c <7.0%, with co-administered saxagliptin 5 mg and dapagliflozin 10 mg plus metformin with or without SU is noninferior (noninferiority margin of 10%) to titrated insulin glargine plus metformin with or without SU after 24 weeks of open-label treatment. (NCT02551874)
Timeframe: Baseline and Week 24
Intervention | Adjusted % Participants (Number) |
---|
Dapagliflozin + Saxagliptin + Metformin | 33.2 |
Titrated Insulin + Metformin | 33.5 |
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Percentage of Subjects Achieving a Therapeutic Glycemic Response, Without Hypoglycaemia, at Week 24
To compare the percentage of subjects achieving a therapeutic glycemic response, defined as HbA1c <7.0%, without any reported hypoglycemia, with co-administered saxagliptin 5 mg and dapagliflozin 10 mg plus metformin with or without SU versus titrated insulin glargine plus metformin with or without SU after 24 weeks of open-label treatment. (NCT02551874)
Timeframe: Baseline and Week 24
Intervention | Adjusted % Participants (Number) |
---|
Dapagliflozin + Saxagliptin + Metformin | 20.9 |
Titrated Insulin + Metformin | 13.1 |
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Change From Baseline in the Mean Value of 24-hour Glucose at Week 2
Change from baseline in the mean value of 24-hour glucose readings measured by Continuous Glucose Monitoring with co-administered saxagliptin 5 mg and dapagliflozin 10 mg plus metformin with or without SU is noninferior to titrated insulin glargine plus metformin with or without SU after 2 weeks of open-label treatment. (NCT02551874)
Timeframe: Baseline and Week 2
Intervention | mg/deciliter (dL) (Least Squares Mean) |
---|
Dapagliflozin + Saxagliptin + Metformin | -48.53 |
Titrated Insulin + Metformin | -28.54 |
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Mean Change From Baseline in HbA1c at Week 24
To examine whether the mean change from baseline in HbA1c with co-administered saxagliptin 5 mg and dapagliflozin 10 mg plus metformin with or without SU is noninferior (noninferiority margin of 0.3%) to titrated insulin glargine plus metformin with or without SU after 24 weeks of open-label treatment. (NCT02551874)
Timeframe: Baseline and Week 24
Intervention | % HbA1c (Least Squares Mean) |
---|
Dapagliflozin + Saxagliptin + Metformin | -1.67 |
Titrated Insulin + Metformin | -1.54 |
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Mean Change From Baseline in Total Body Weight at Week 24
To compare the mean change from baseline in total body weight with co-administered saxagliptin 5 mg and dapagliflozin 10 mg plus metformin with or without SU versus titrated insulin glargine plus metformin with or without SU after 24 weeks of open-label treatment (NCT02551874)
Timeframe: Baseline and Week 24
Intervention | kg (Least Squares Mean) |
---|
Dapagliflozin + Saxagliptin + Metformin | -1.50 |
Titrated Insulin + Metformin | 2.14 |
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Percentage of Subjects With Confirmed Hypoglycaemia at Week 24
Hypoglycemia defined as plasma glucose ≤70 mg/dL (3.9 mmol/L) (NCT02551874)
Timeframe: Baseline and Week 24
Intervention | Adjusted % Participants (Number) |
---|
Dapagliflozin + Saxagliptin + Metformin | 21.3 |
Titrated Insulin + Metformin | 38.4 |
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Total IV Insulin in ICU
Total IV insulin in ICU during recovery period. (NCT02556918)
Timeframe: 2 days (average time of discharge from ICU)
Intervention | units (Mean) |
---|
Sitagliptin | 100.43 |
Placebo | 95.68 |
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Number of Subjects With Hyperglycemia in Intensive Care Unit (ICU)
Number of subjects with hyperglycemia (blood glucose greater than or equal to 300 mg/dL) in ICU recovery period. (NCT02556918)
Timeframe: 2 days (average time of discharge from ICU)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 5 |
Placebo | 3 |
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Number of Subjects With Hyperglycemia (Blood Glucose Greater Than or Equal to 300 mg/dL) in Non-ICU
Number of subjects with hyperglycemia (blood glucose greater than or equal to 300 mg/dL) in non-ICU recovery period. (NCT02556918)
Timeframe: 10 days (average time of discharge from the hospital)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 20 |
Placebo | 12 |
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Number of Subjects Returning to the ER Within 30 Days
Number of subjects returning to the ER within 30 days (all-cause). (NCT02556918)
Timeframe: 30 days
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 61 |
Placebo | 57 |
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Number of Subjects Readmitted to the Hospital
Number of subjects readmitted to the hospital within 30 days (all-cause). (NCT02556918)
Timeframe: 30 days
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 10 |
Placebo | 12 |
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Number of Patients With Severe Hypoglycemic Events in Non-intensive Care Unit (ICU)
Number of Patients With hypoglycemic events (blood glucose less than 40 mg/dL) in patients in non-intensive care unit (ICU). (NCT02556918)
Timeframe: 10 days (average time of discharge from the hospital)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 0 |
Placebo | 0 |
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Number of Patients With Severe Hypoglycemic Events in Intensive Care Unit (ICU)
Number of Patients With severe hypoglycemia (blood glucose less than 40 mg/dL) in patients in intensive care unit (ICU). (NCT02556918)
Timeframe: 2 days (average time of discharge from ICU)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 0 |
Placebo | 0 |
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Number of Patients With Hypoglycemic Events in Non-intensive Care Unit (ICU)
Number of Patients With hypoglycemic events (blood glucose less than 70 mg/dL) in patients in non-intensive care unit (ICU). (NCT02556918)
Timeframe: 10 days (average time of discharge from the hospital)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 8 |
Placebo | 8 |
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Number of Patients With Hyperglycemia in the Intensive Care Unit (ICU)
Number of patients with blood glucose (BG) levels greater than 180 mg/dl (NCT02556918)
Timeframe: 2 days (average time of discharge from ICU)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 76 |
Placebo | 68 |
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Number of Patients Requiring Subcutaneous (SQ) Insulin After Discontinuation of Continuous Intravenous Insulin Infusion (CII)
Number of patients requiring subcutaneous (SQ) insulin after discontinuation of continuous intravenous insulin infusion (CII) (NCT02556918)
Timeframe: 10 days (average time of discharge from the hospital)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 74 |
Placebo | 78 |
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Number of Patients Requiring Continuous Intravenous Insulin Infusion (CII)
Number of patients requiring CII to achieve a blood glucose level (BG) target between 150-200 mg/dl (NCT02556918)
Timeframe: 2 days (average time of discharge from ICU)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 86 |
Placebo | 85 |
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Number of Intensive Care Unit (ICU) Readmission
Number of re-admissions to intensive care unit during the same hospital course. (NCT02556918)
Timeframe: 10 days (average time of discharge from the hospital)
Intervention | readmissions (Number) |
---|
Sitagliptin | 14 |
Placebo | 7 |
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Number of Cerebrovascular Events
Number of cerebrovascular events including permanent stroke and reversible ischemic neurologic deficit (NCT02556918)
Timeframe: 10 days (average time of discharge from the hospital)
Intervention | events (Number) |
---|
Sitagliptin | 5 |
Placebo | 7 |
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Mean Post-operative Blood Glucose (BG) Concentration
Mean post-operative blood glucose (BG) concentration during recovery period. (NCT02556918)
Timeframe: 10 days (average time of discharge from the hospital)
Intervention | mmol/L (Mean) |
---|
Sitagliptin | 154.2 |
Placebo | 156.5 |
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Mean Insulin Dose Per Day During Intensive Care Unit (ICU) Recovery
Mean insulin infusion dose per day of ICU patients during recovery period. (NCT02556918)
Timeframe: 2 days (average time of discharge from ICU)
Intervention | unit/day (Mean) |
---|
Sitagliptin | 45.9 |
Placebo | 46.4 |
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Mean Blood Glucose (BG) Concentration in the Intensive Care Unit (ICU)
Mean blood glucose (BG) concentration of ICU patients during recovery period. (NCT02556918)
Timeframe: 2 days (average time of discharge from ICU)
Intervention | mmol/L (Mean) |
---|
Sitagliptin | 148.7 |
Placebo | 149.8 |
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Length of Intensive Care Unit (ICU) Stay
Total number of days spent in intensive care unit (ICU) (NCT02556918)
Timeframe: 2 days (average time of discharge from ICU)
Intervention | days (Median) |
---|
Sitagliptin | 2.0 |
Placebo | 2.2 |
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Duration of Intubation
Duration that patients required to be intubated (NCT02556918)
Timeframe: 10 days (average time of discharge from the hospital)
Intervention | days (Mean) |
---|
Sitagliptin | 0.5 |
Placebo | 0.7 |
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Duration of Continuous Intravenous Insulin Infusion (CII)
Total hours of continuous intravenous insulin infusion (CII) (NCT02556918)
Timeframe: Up to 48 hours (average time of discharge from ICU)
Intervention | hours (Mean) |
---|
Sitagliptin | 27.7 |
Placebo | 27.7 |
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Composite of Perioperative Complications
Number of perioperative complications including hospital mortality, infection,acute renal failure, and acute mycordial infarction. (NCT02556918)
Timeframe: 10 days (average time of discharge from the hospital)
Intervention | events (Number) |
---|
Sitagliptin | 63 |
Placebo | 42 |
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Amount of Subcutaneous (SC) Insulin Taken in Intensive Care Unit (ICU)
Total amount of SC insulin taken by ICU patients during recovery period. (NCT02556918)
Timeframe: 2 days (average time of discharge from ICU)
Intervention | units (Mean) |
---|
Sitagliptin | 1.0 |
Placebo | 2.2 |
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Amount of Subcutaneous (SC) Insulin in Intensive Care Unit (ICU) 48 Hours
Amount of subcutaneous (SC) insulin in intensive care unit (ICU) 48 hours during recovery period. (NCT02556918)
Timeframe: 48 hours during recovery period
Intervention | units (Mean) |
---|
Sitagliptin | 0.48 |
Placebo | 1.5 |
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Number of Patients With Hypoglycemic Events in Intensive Care Unit (ICU)
Number of patients with events (blood glucose less than 70 mg/dL) in patients in intensive care unit (ICU). (NCT02556918)
Timeframe: 2 days (average time of discharge from ICU)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 8 |
Placebo | 6 |
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Number of Patients With Persistent Hyperglycemia
Number of patients with two consecutive fasting and/or pre-meal blood glucose (BG) greater than 180 mg/dl, or with average daily BG greater than 80 mg/dl who require rescue therapy with subcutaneous (SC) insulin after discontinuation of continuous intravenous insulin infusion (CII). (NCT02556918)
Timeframe: 10 days (average time of discharge from the hospital)
Intervention | Participants (Count of Participants) |
---|
Sitagliptin | 58 |
Placebo | 59 |
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Total Length of Hospital Stay
Total number of days spent in hospital (NCT02556918)
Timeframe: 10 days (average time of discharge from the hospital)
Intervention | days (Median) |
---|
Sitagliptin | 9 |
Placebo | 7 |
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Glycated Hemoglobin (HbA1C)
Expressed in Diabetes Control and Complications Trial (DCCT) units (NCT02561130)
Timeframe: 12 weeks after randomization
Intervention | percentage of glycated hemoglobin (Mean) |
---|
Intervention | 5.9 |
Standard Care | 6.6 |
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Percentage of Weight Loss From Baseline
(Weight at randomization - weight at 12 weeks)/(weight at randomization) (NCT02561130)
Timeframe: 12 weeks after randomization
Intervention | percentage of weight loss (Mean) |
---|
Intervention | 2.9 |
Standard Care | 1.0 |
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Change in Waist Circumference From Baseline
(Waist circumference at 12 weeks - waist circumference at randomization) (NCT02561130)
Timeframe: 12 weeks after randomization
Intervention | cm (Mean) |
---|
Intervention | -3.0 |
Standard Care | -1.3 |
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Number of Participants With Severe Hypoglycemic Episodes
Severe hypoglycemic episode is defined as an event with clinical symptoms consistent with hypoglycemia in which the participant required the assistance of another person, and one of the following: (i) the event was associated with a documented self-measured or laboratory plasma glucose level = 2.0 mmol/L or (ii) the event was associated with prompt recovery after oral carbohydrate, intravenous glucose, or glucagon administration. (NCT02561130)
Timeframe: During 64 weeks of follow-up
Intervention | Participants (Count of Participants) |
---|
Intervention | 0 |
Standard Care | 0 |
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Number of Participants With Non-severe Symptomatic Hypoglycemic Episodes
Symptomatic hypoglycemic episode is defined as an event with clinical symptoms consistent with hypoglycemia. (NCT02561130)
Timeframe: During 64 weeks of follow-up
Intervention | Participants (Count of Participants) |
---|
Intervention | 34 |
Standard Care | 15 |
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Number of Participants Achieving Drug-free HbA1C < 6.0%
Drug-free complete diabetes remission is defined as HbA1C < 6.0 % off glucose-lowering agents for at least 12 weeks. (NCT02561130)
Timeframe: 24 weeks after randomization
Intervention | Participants (Count of Participants) |
---|
Intervention | 6 |
Standard Care | 6 |
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Number of Participants Achieving Drug-free Diabetes Remission in the Experimental Group Compared to the Control Group
Drug-free diabetes remission is defined as HbA1C < 6.5 % off glucose-lowering agents for at least 12 weeks. (NCT02561130)
Timeframe: 24 weeks after randomization
Intervention | Participants (Count of Participants) |
---|
Intervention | 19 |
Standard Care | 13 |
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Number of Participants Achieving Drug-free Diabetes Remission
Drug-free diabetes remission is defined as HbA1C < 6.5 % off glucose-lowering agents for at least 12 weeks. (NCT02561130)
Timeframe: 64 weeks after randomization
Intervention | Participants (Count of Participants) |
---|
Intervention | 11 |
Standard Care | 6 |
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Number of Participants Achieving Diabetes Relapse Without Overt Hyperglycemia Off Diabetes Drugs
Diabetes relapse without overt hyperglycemia is defined as HbA1C 6.5-6.9% off glucose-lowering agents for at least 12 weeks. (NCT02561130)
Timeframe: 24 weeks
Intervention | Participants (Count of Participants) |
---|
Intervention | 20 |
Standard Care | 9 |
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Number of Participants With Severe Hypoglycemic Episodes
(NCT02623998)
Timeframe: 64 weeks of follow-up
Intervention | Participants (Count of Participants) |
---|
Intervention | 0 |
Standard Care | 0 |
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Number of Participants With Hyperglycemia Relapse in the Experimental Group Compared to the Control Group
"Hyperglycemia relapse for primary outcome was defined as any one of:~Capillary glucose >10 mmol/L on >/=50% of readings over 1 week;~HbA1C >/=6.5%;~use of diabetes drugs;~fasting plasma glucose >/= 7.0 mmol/L;~2-hour postprandial plasma glucose >/=11.1 mmol/L on an oral glucose tolerance test." (NCT02623998)
Timeframe: 64 weeks of follow-up
Intervention | Participants (Count of Participants) |
---|
Intervention | 41 |
Standard Care | 48 |
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Number of Participants With Drug-free Normal Glucose Tolerance
Normal glucose tolerance is defined as a FPG<6.1 mmol/L and a 2-hour plasma glucose <7.8 mmol/L on a 75 g oral glucose tolerance test (NCT02623998)
Timeframe: 24 weeks after randomization
Intervention | Participants (Count of Participants) |
---|
Intervention | 3 |
Standard Care | 1 |
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Number of Participants Achieving Drug-free Diabetes Remission
Diabetes remission is defined as absence of hyperglycemia relapse (NCT02623998)
Timeframe: 24 weeks after randomization
Intervention | Participants (Count of Participants) |
---|
Intervention | 8 |
Standard Care | 4 |
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Change in Waist Circumference
(NCT02623998)
Timeframe: Baseline and 12 weeks after randomization
Intervention | cm (Mean) |
---|
Intervention | -2.3 |
Standard Care | -1.8 |
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Percent Change in Weight
(NCT02623998)
Timeframe: Baseline and 12 weeks after randomization
Intervention | % change (Mean) |
---|
Intervention | -2.1 |
Standard Care | -1.4 |
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Local and Systemic Allergic Reactions
(NCT02666430)
Timeframe: Baseline to 40 weeks
Intervention | participants (Number) |
---|
| Local | Systemic |
---|
Lantus® | 1 | 0 |
,Mylan's Insulin Glargine | 1 | 1 |
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Change From Baseline in Cross-Reactive Insulin Antibody - Lantus Assay
(NCT02666430)
Timeframe: Baseline to 36 weeks
Intervention | percent binding (Mean) |
---|
Mylan's Insulin Glargine | -1.232 |
Lantus® | -2.192 |
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Change From Baseline in Cross-Reactive Insulin Antibody - Mylan Insulin Glargine Assay
(NCT02666430)
Timeframe: Baseline to 36 weeks
Intervention | percent binding (Mean) |
---|
Mylan's Insulin Glargine | -2.051 |
Lantus® | -2.252 |
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Change From Baseline in Fasting Plasma Glucose
(NCT02666430)
Timeframe: Baseline to 36 weeks
Intervention | mmol/L (Mean) |
---|
Mylan's Insulin Glargine | -0.56 |
Lantus® | 0.10 |
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Change From Baseline in Total Insulin Antibodies - Lantus Assay
(NCT02666430)
Timeframe: Baseline to 36 weeks
Intervention | percent binding (Mean) |
---|
Mylan's Insulin Glargine | -1.288 |
Lantus® | -2.351 |
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Change From Baseline in Total Insulin Antibodies - Mylan Insulin Glargine Assay
(NCT02666430)
Timeframe: Baseline to 36 weeks
Intervention | percent binding (Mean) |
---|
Mylan's Insulin Glargine | -2.098 |
Lantus® | -2.474 |
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Change From Baseline Total Daily Insulin Dose
(NCT02666430)
Timeframe: Baseline to 36 weeks
Intervention | Units per kilogram (Mean) |
---|
Mylan's Insulin Glargine | 0.0016 |
Lantus® | 0.0023 |
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Change in Hemoglobin A1c (HbA1c) From Baseline
(NCT02666430)
Timeframe: Baseline to 36 weeks
Intervention | percent (Least Squares Mean) |
---|
Mylan's Insulin Glargine | -0.05 |
Lantus® | -0.06 |
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Hypoglycemic Incidence
(NCT02666430)
Timeframe: Baseline to 36 weeks
Intervention | events (Number) |
---|
Mylan's Insulin Glargine | 58 |
Lantus® | 57 |
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Hypoglycemic Rate
(NCT02666430)
Timeframe: Baseline to 36 weeks
Intervention | episodes/30 days (Mean) |
---|
Mylan's Insulin Glargine | 0.627 |
Lantus® | 0.410 |
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Overall Average of Self-monitoring Blood Glucose (SMBG) Change From Baseline
(NCT02666430)
Timeframe: Baseline to 36 weeks
Intervention | mmol/L (Mean) |
---|
Mylan's Insulin Glargine | -0.144 |
Lantus® | -0.426 |
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Glycemic Variability: Mean Amplitude of Glucose Excursion (MAGE)
Mean amplitude of interstitial glucose excursions (MAGE) during the last 48 h of the ambulatory continuous glucose monitoring of 3 days (Guardian®, Medtronic MiniMed, Northridge); starting in the day 3 of the administration of insulin degludec or glargine (NCT02680457)
Timeframe: 2 days
Intervention | mg/dl (Mean) |
---|
Insulin Degludec | 75.2 |
Insulin Glargine | 68.5 |
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Glycemic Variability: Area Under the Curve of Glucose
Area under the curve of glucose of the second day of continuous ambulatory glucose monitoring of 3 days (Guardian®, Medtronic MiniMed, Northridge) (NCT02680457)
Timeframe: Every 5 min for 24 hours on day 5 post-dose
Intervention | mg*h/dL (Mean) |
---|
Insulin Degludec | 46776 |
Insulin Glargine | 46499 |
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Coefficient of Variation (CV%) in Mean CGM Glucose
CV% was a measure of spread of variability relative to mean of population. For CGM glucose values over 24 hours, CV% was measure of glycemic variability across 24-hour day and calculated for each period (total, within day and between days) as ratio of standard deviation of glucose values to mean of glucose values. (NCT02688933)
Timeframe: During Week 15 and/or Week 16
Intervention | percent of mean glucose level (Least Squares Mean) |
---|
| Total CV% | Within-day CV% | Between-days CV% |
---|
HOE901-U300 | 41.27 | 36.99 | 17.44 |
,Lantus | 40.72 | 36.23 | 17.53 |
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Change From Baseline in Daily Insulin Dose at Week 16
Change from Baseline at Week 16 for daily basal insulin dose and daily bolus insulin dose was reported. (NCT02688933)
Timeframe: Baseline, Week 16
Intervention | International Units (Mean) |
---|
| Daily basal Insulin Dose | Daily bolus Insulin Dose |
---|
HOE901-U300 | 8.8 | -1.8 |
,Lantus | 7.0 | -3.0 |
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Percentage of Time of Mean Glucose Concentration Within the Target Range of 70-180 mg/dL as Obtained From CGM
The CGM system combined frequent interstitial glucose measurements (every 5 minutes) with ability to analyze glucose levels in real time. Adjusted least square (LS) means and standard error (SE) were obtained from a generalized linear model with identity link including post baseline CGM assessment during Week 15 (and/or Week 16). (NCT02688933)
Timeframe: During Week 15 and/or 16
Intervention | percentage of time (Least Squares Mean) |
---|
HOE901-U300 | 55.40 |
Lantus | 55.18 |
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Percentage of Time Glucose Concentrations Within the Target Range of 70 to 140 mg/dL During Last 4 Hours of CGM Data Collection Prior to Next Day Basal Insulin Injection
Adjusted LS means and SE were obtained from mixed model including post baseline CGM assessment during the last 4 hours prior to the next day's basal insulin injection during Week 15 (and/or Week 16). (NCT02688933)
Timeframe: During Week 15 and/or Week 16
Intervention | percentage of time (Least Squares Mean) |
---|
HOE901-U300 | 36.49 |
Lantus | 35.07 |
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Mean Change From Baseline in Glucose Level During Last 4 Hours of CGM Data Collection Prior to the Next Day Basal Insulin Injection During Week 15 and/or Week 16
Adjusted LS means and SE were obtained from mixed model including post baseline CGM assessment during the last 4 hours prior to the next day's basal insulin injection during Week 15 (and/or Week 16). (NCT02688933)
Timeframe: Baseline, during Week 15 and/or Week 16
Intervention | mg/dL (Least Squares Mean) |
---|
HOE901-U300 | -1.99 |
Lantus | 5.67 |
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Change From Baseline in Time (Min) of Mean Glucose Concentration Within the Target Range of 70 to 180 mg/dL, by End of Study hbA1c Levels During Week 15 and/or Week 16
Adjusted LS means and SE were obtained from mixed model including post baseline CGM assessments. Data was reported for participants with an end of study HbA1c <7.5 or HbA1c >=7.5% over a 24 hour period. (NCT02688933)
Timeframe: Baseline, during Week 15 and/or Week 16
Intervention | minutes (Least Squares Mean) |
---|
| End of study HbA1c <7.5% | End of study HbA1c >=7.5% |
---|
HOE901-U300 | 105.84 | 11.64 |
,Lantus | 56.07 | 31.95 |
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Percentage of Participants With Documented Symptomatic Nocturnal Hypoglycemia
Documented symptomatic nocturnal hypoglycemia was defined as an event with typical symptoms of hypoglycemia accompanied by SMPG <=70 mg/dL that occurred between 00:00 and 05:59 hours as reported on the hypoglycemia electronic case report form (eCRF). (NCT02688933)
Timeframe: Baseline up to Week 16
Intervention | percentage of participants (Number) |
---|
| Documented <=70mg/dL | Documented <54 mg/dL |
---|
HOE901-U300 | 70.8 | 50.9 |
,Lantus | 68.3 | 54.1 |
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Documented Symptomatic Nocturnal Hypoglycemia Event Rate Per Participant-Year
Documented symptomatic nocturnal hypoglycemia was defined as an event with typical symptoms of hypoglycemia accompanied by SMPG <=70 mg/dL that occurred between 00:00 and 05:59 hours as reported on the hypoglycemia eCRF. (NCT02688933)
Timeframe: Baseline up to Week 16
Intervention | events per participant-year (Number) |
---|
| Documented <=70 mg/dL | Documented <54 mg/dL |
---|
HOE901-U300 | 11.38 | 4.99 |
,Lantus | 11.39 | 5.61 |
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Percentage of Participants With FPG of <=130 mg/dL (7.2 mmol/L) at Month 6
Participants without any available FPG assessment at month 6 and/or with a premature study discontinuation during the main 6-month randomized period were considered as a failure (non-responders) in the analysis. Analysis was performed using Cochran-Mantel-Haenszel (CMH) method with randomization strata of screening HbA1c (<8.5%; >=8.5%) and randomization strata of age at screening (<12 years, >=12 years). (NCT02735044)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 27.47 |
Lantus | 26.52 |
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Percentage of Participants With HbA1c Values of <7.5% Without Any Episode of Severe and/or Documented Self-Monitored Plasma Glucose ([SMPG] <54 mg/dL [3.0 mmol/L]) Symptomatic Hypoglycemia During the Last 3 Months of the Main 6-month Randomized Period
Participants without any available HbA1c assessment at month 6 and/or with a premature study discontinuation during the main 6-month randomized period were considered as a failure (non-responders) in the analysis. Analysis was performed using Cochran-Mantel-Haenszel (CMH) method with randomization strata of screening HbA1c (<8.5%; >=8.5%) and randomization strata of age at screening (<12 years, >=12 years). (NCT02735044)
Timeframe: upto Month 6
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 4.29 |
Lantus | 4.78 |
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Change From Baseline in 24-Hour Mean Plasma Glucose Based on 8-point SMPG Profiles to Month 6
8-point SMPG profiles were measured at the following 8 points: between 01:00 and 04:00 (clock time) at night, pre-breakfast, 2 hours after breakfast, pre-lunch, 2 hours after lunch, pre-dinner, 2 hours after dinner, and bedtime. Analysis was performed using a ANCOVA model including the fixed categorical effects of treatment group, randomization strata of screening HbA1c (<8.5%; >=8.5%), randomization strata of age at screening (<12 years, >=12 years) and the baseline 24-hour average 8-point profile SMPG. (NCT02735044)
Timeframe: Baseline to Month 6
Intervention | mmol/L (Least Squares Mean) |
---|
HOE901-U300 | 0.139 |
Lantus | -0.266 |
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Percentage of Participants With Any Hyperglycemia With Ketosis at Month 12
Hyperglycemia with ketosis was defined as SMPG >=252 mg/dL (14 mmol/L) with accompanying self-measured blood ketones >=1.5 mmol/L. (NCT02735044)
Timeframe: Month 12
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 9.9 |
Lantus | 13.6 |
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Change From Baseline in Variability of 24-Hour Mean Plasma Glucose Based on 8-point SMPG Profiles at Month 6
8-point SMPG profiles were measured at the following 8 points: between 01:00 and 04:00 (clock time) at night, pre-breakfast, 2 hours after breakfast, pre-lunch, 2 hours after lunch, pre-dinner, 2 hours after dinner, and bedtime. Variability was assessed by the coefficient of variation (standard deviation divided by mean) calculated over the 8-point SMPG. Analysis was performed using a ANCOVA model including the fixed categorical effects of treatment group, randomization strata of screening HbA1c (<8.5%; >=8.5%) and randomization strata of age at screening (<12 years, >=12 years). (NCT02735044)
Timeframe: Baseline, Month 6
Intervention | percentage of mean variability (Least Squares Mean) |
---|
HOE901-U300 | 1.469 |
Lantus | 0.789 |
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Change From Baseline in HbA1c to Month 6
Change in HbA1c was calculated by subtracting baseline value from Month 6 value. Adjusted least-square (LS) means and standard errors (SE) were obtained using analysis of covariance (ANCOVA) after multiple imputations of missing data using post-baseline HbA1c data available on the main 6-month randomized period. (NCT02735044)
Timeframe: Baseline to Month 6
Intervention | Percentage of HbA1c (Least Squares Mean) |
---|
HOE901-U300 | -0.399 |
Lantus | -0.402 |
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Change From Baseline to Month 6 in 8-Point SMPG Profile Per Time Point
8-point SMPG profiles were measured for following 8 time points at Baseline and Month 6: between 01:00 and 04:00 (clock time) at night, pre-breakfast, 2 hours after breakfast, pre-lunch, 2 hours after lunch, pre-dinner, 2 hours after dinner, and bedtime. (NCT02735044)
Timeframe: Baseline to Month 6
Intervention | mmol/L (Mean) |
---|
| Between 01:00 and 04:00 at night | Pre-breakfast | 2 hours after breakfast | Pre-lunch | 2 hours after lunch | Pre-dinner | 2 hours after dinner | Bedtime |
---|
HOE901-U300 | 0.84 | -0.41 | -0.26 | 0.43 | 0.49 | 0.29 | 0.51 | 0.86 |
,Lantus | -0.60 | -1.71 | -0.62 | 1.11 | -0.55 | -0.02 | 0.60 | -0.60 |
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Percentage of Participants With at Least One Hypoglycemic Events (Any Hypoglycemia, Severe Hypoglycemia, Documented Symptomatic, Probable Symptomatic, Asymptomatic Hypoglycemia, Pseudo-hypoglycemia and Severe and/or Confirmed Hypoglycemia) at Month 12
Severe hypoglycemia: an event in which the child/adolescent having altered mental status and cannot assist in their care, is semiconscious or unconscious, or in coma ± convulsions and may require parenteral therapy (glucagon or glucose). Documented symptomatic hypoglycemia: an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of <=70 mg/dL (3.9 mmol/L). Asymptomatic hypoglycemia: an event not accompanied by typical symptoms of hypoglycemia but with a measured plasma glucose concentration <=70 mg/dL. Probable symptomatic hypoglycemia: an event during which symptoms of hypoglycemia were not accompanied by plasma glucose determination but was presumably caused by a plasma glucose concentration <=70 mg/dL. Pseudo-hypoglycemia:an event with any of the typical symptoms of hypoglycaemia with plasma glucose concentration >70 mg/dL. (NCT02735044)
Timeframe: Month 12
Intervention | percentage of participants (Number) |
---|
| Any hypoglycemia | Severe Hypoglycemia | Documented Symptomatic Hypoglycemia | Probable Symptomatic Hypoglycemia | Asymptomatic Hypoglycemia | Pseudo-hypoglycemia | Severe and/or documented hypoglycemia |
---|
HOE901-U300 | 99.1 | 8.6 | 94.8 | 10.3 | 88.4 | 15.9 | 99.1 |
,Lantus | 98.7 | 11.0 | 93.9 | 13.6 | 89.5 | 14.5 | 98.2 |
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Percentage of Participants With HbA1c Values of <7.5% at Month 6
Participants without any available HbA1c assessment at month 6 and/or with a premature study discontinuation during the main 6-month randomized period were considered as a failure (non-responders) in the analysis. Analysis was performed using Cochran-Mantel-Haenszel (CMH) method with randomization strata of screening HbA1c (<8.5%; >=8.5%) and randomization strata of age at screening (<12 years, >=12 years). (NCT02735044)
Timeframe: Month 6
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 26.18 |
Lantus | 23.48 |
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Change From Baseline in Fasting Plasma Glucose (FPG) to Month 6
Change in FPG was calculated by subtracting baseline value from Month 6 value. Adjusted LS means and SE were obtained using ANCOVA after multiple imputation to address missing data in the main 6 month randomized period. (NCT02735044)
Timeframe: Baseline to Month 6
Intervention | millimole per liter (mmol/L) (Least Squares Mean) |
---|
HOE901-U300 | -0.563 |
Lantus | -0.549 |
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Percentage of Participants With FPG of <=130 mg/dL (7.2 mmol/L) Without Any Episode of Severe and/or Documented (SMPG <54 mg/dL [3.0 mmol/L]) Symptomatic Hypoglycemia During the Last 3 Months of the Main 6-month Randomized Period
Participants without any available HbA1c assessment at month 6 and/or with a premature study discontinuation during the main 6-month randomized period were considered as a failure (non-responders) in the analysis. Analysis was performed using Cochran-Mantel-Haenszel (CMH) method with randomization strata of screening HbA1c (<8.5%; >=8.5%) and randomization strata of age at screening (<12 years, >=12 years). (NCT02735044)
Timeframe: upto Month 6
Intervention | percentage of participants (Number) |
---|
HOE901-U300 | 9.44 |
Lantus | 7.39 |
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Change From Baseline in 8 Point SMPG Profile to Week 12 and Week 24 Per Time Point
8-point SMPG profiles were measured at the following 8 points: 03:00 at night, pre-breakfast, 2 hours after breakfast, pre-lunch, 2 hours after lunch, pre-dinner, 2 hours after dinner, and bedtime. (NCT02738151)
Timeframe: Baseline, Week 12 and Week 24
Intervention | mmol/L (Mean) |
---|
| Week 12: 03:00 at night | Week 12: Pre-breakfast | Week 12: 2 hours after breakfast | Week 12: Pre-lunch | Week 12: 2 hours after lunch | Week 12: Pre-dinner | Week 12: 2 hours after dinner | Week 12: Bedtime | Week 24: 03:00 at night | Week 24: Pre-breakfast | Week 24: 2 hours after breakfast | Week 24: Pre-lunch | Week 24: 2 hours after lunch | Week 24: Pre-dinner | Week 24: 2 hours after dinner | Week 24: Bedtime |
---|
Toujeo | -2.77 | -3.42 | -3.20 | -2.64 | -2.51 | -2.04 | -2.32 | -2.44 | -2.65 | -3.37 | -3.30 | -2.81 | -2.74 | -1.87 | -2.28 | -2.52 |
,Tresiba | -2.28 | -3.00 | -3.23 | -2.50 | -1.99 | -1.93 | -1.76 | -2.08 | -2.43 | -3.03 | -3.50 | -2.29 | -1.93 | -1.86 | -2.07 | -2.09 |
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Change From Baseline in Total Diabetes Treatment Satisfaction Questionnaire (DTSQ) Status at Week 12 and Week 24
The DTSQs is a validated questionnaire to assess participant's satisfaction with their diabetes treatment. It consists of 8 items that are answered on a Likert scale from 0 to 6. Total treatment satisfaction score is the sum of items 1, 4-8 scores and ranged from 0 (no satisfaction) to 36 (high satisfaction with treatment). Adjusted least square means and standard errors were obtained from a mixed-effect model with MMRM. (NCT02738151)
Timeframe: Baseline, Week 12 and Week 24
Intervention | score on a scale (Least Squares Mean) |
---|
| Week 12 | Week 24 |
---|
Toujeo | 5.08 | 5.77 |
,Tresiba | 5.32 | 5.44 |
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Change From Baseline in Fasting Self-Monitoring Plasma Glucose (SMPG) to Week 12 and Week 24
Fasting SMPG was measured by the participant before breakfast and before the administration of the glucose-lowering agents once a day during the study. Adjusted LS means were obtained from MMRM including post baseline values during the 24 week on treatment period. (NCT02738151)
Timeframe: Baseline, Week 12 and Week 24
Intervention | mmol/L (Least Squares Mean) |
---|
| Week 12 | Week 24 |
---|
Toujeo | -3.26 | -3.23 |
,Tresiba | -3.25 | -3.29 |
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Change From Baseline in Fasting Plasma Glucose (FPG) to Week 12 and Week 24
Change in FPG was calculated by subtracting baseline value from Week 12 and Week 24 value. Adjusted LS means were obtained from MMRM including post baseline values during the 24-week on-treatment period. (NCT02738151)
Timeframe: Baseline, Week 12 and Week 24
Intervention | mmol/L (Least Squares Mean) |
---|
| Week 12 | Week 24 |
---|
Toujeo | -3.64 | -3.52 |
,Tresiba | -3.89 | -3.95 |
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Change From Baseline in 24-hour Average 8-point SMPG Profile to Week 12 and Week 24
The 8-point SMPG profile was measured at the following 8 points: 03:00 at night, pre-breakfast, 2 hours after breakfast, pre-lunch, 2 hours after lunch, pre-dinner, 2 hours after dinner, and bedtime. Adjusted LS means were obtained from MMRM. (NCT02738151)
Timeframe: Baseline, Week 12 and Week 24
Intervention | mmol/L (Least Squares Mean) |
---|
| Week 12 | Week 24 |
---|
Toujeo | -2.57 | -2.62 |
,Tresiba | -2.50 | -2.53 |
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Percentage of Participants With At Least One Hypoglycemic Events (Any, Severe and/or Confirmed Hypoglycemia: Any Time of the Day) by Study Period
Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Severe and/or confirmed hypoglycemia event was a severe event or an event confirmed with plasma glucose =<70 mg/dL (=<3.9 mmol/L), or < 54 mg/dL (<3.0 mmol/L). Assessment was done by treatment period (for =<12 weeks, for >12 weeks to =<24 weeks (24W)). Percentage of participants with at least one hypoglycemia (hypo) event at any time of the day were reported. (NCT02738151)
Timeframe: Day 1-Week 12, Week 13-Week 24, and 24 Week Period
Intervention | percentage of participants (Number) |
---|
| Any hypo Day1-Week 12 | Any hypo Week13-14 | Any hypo 24 week period | Severe and/or confirmed hypo (=<70mg/dL) D1-W12 | Severe and/or confirmed hypo (=<70mg/dL) W13-14 | Severe and/or confirmed hypo(=<70mg/dL) 24W period | Severe and/or confirmed hypo (< 54mg/dL) D1-W12 | Severe and/or confirmed hypo( <54 mg/dL) W13-14 | Severe and/or confirmed hypo (<54mg/dL) 24W period |
---|
Toujeo | 53.0 | 57.2 | 70.1 | 47.4 | 54.1 | 66.5 | 7.8 | 9.8 | 14.7 |
,Tresiba | 58.4 | 57.4 | 71.2 | 54.3 | 55.8 | 69.0 | 11.7 | 11.2 | 18.4 |
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Percentage of Participants Reaching Target HbA1c of < 7% and =<6.5% at Week 12 and Week 24
Only the post-baseline HbA1c measurements before rescue and during the 12 week and 24-week on-treatment period were considered in the analysis. (NCT02738151)
Timeframe: Week 12, and Week 24
Intervention | percentage of participants (Number) |
---|
| Participants who reached the target <7% at Week 12 | Participants who reached target <=6.5% at Week 12 | Participants who reached the target <7% at Week 24 | Participants who reached target <=6.5% at Week 24 |
---|
Toujeo | 34.63 | 11.47 | 48.70 | 21.21 |
,Tresiba | 36.15 | 14.29 | 44.59 | 19.70 |
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Percentage of Participants With At Least One Hypoglycemic Events (Any, Severe and/or Confirmed Hypoglycemia: Nocturnal) by Study Period
Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Severe and/or confirmed hypoglycaemia event was a severe event or an event confirmed with plasma glucose =<70 mg/dL (=<3.9 mmol/L), or < 54 mg/dL (<3.0 mmol/L). Nocturnal hypoglycemia was hypoglycemia that occurred between 00:00 and 05:59 hours (clock time). Assessment was done by treatment period (for =<12 weeks, for >12 weeks to =<24 weeks). (NCT02738151)
Timeframe: Day 1-Week 12, Week 13-Week 24, and 24 Week Period
Intervention | percentage of participants (Number) |
---|
| Any hypo D1-W12 | Any hypo W13-14 | Any hypo 24Week period | Severe and/or confirmed hypo (=<70mg/dL)D1-W12 | Severe and/or confirmed hypo (=<70mg/dL)W13-14 | Severe and/or confirmed hypo(=<70mg/dL)24W Period | Severe and/or confirmed hypo(< 54mg/dL)D1-W12 | Severe and/or confirmed hypo(< 54mg/dL)W13-14 | Severe and/or confirmed hypo(< 54mg/dL)24W Period |
---|
Toujeo | 18.4 | 22.7 | 31.2 | 15.2 | 21.4 | 28.6 | 2.8 | 4.5 | 6.1 |
,Tresiba | 21.0 | 21.2 | 30.3 | 18.8 | 21.0 | 28.8 | 3.5 | 3.8 | 6.1 |
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Change From Baseline in HbA1c to Week 12
Change in HbA1c was calculated by subtracting baseline value from Week 12 value. Adjusted least square means and standard errors were obtained from a mixed-effect model with MMRM. (NCT02738151)
Timeframe: Baseline, Week 12
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
Toujeo | -1.37 |
Tresiba | -1.39 |
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Change From Baseline in HbA1c to Week 24
Change in HbA1c was calculated by subtracting baseline value from Week 24 value. Adjusted Least Square (LS) means and standard errors were obtained from a mixed-effect model with repeated measures (MMRM) to account for missing data, using all post-baseline HbA1c data available during the 24-week on-treatment period. (NCT02738151)
Timeframe: Baseline, Week 24
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
Toujeo | -1.64 |
Tresiba | -1.59 |
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Percentage of Participants Requiring a Rescue Therapy During 24 Weeks Treatment Period
Routine fasting SMPG and central laboratory FPG (and HbA1c after Week 12) values were used to determine the requirement of rescue medication. Threshold values at Week 12: FPG >200 mg/dL (11 mmol/L), or HbA1c >8.5%. (NCT02738151)
Timeframe: Baseline to Week 24
Intervention | percentage of participants (Number) |
---|
Toujeo | 1.30 |
Tresiba | 1.30 |
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Percentage of Participants With Sulphonylurea or Meglitinide Dose Reduction/ Discontinuation Due to Hypoglycemia During 24 Weeks Treatment Period
Percentage of participants With Sulphonylurea or Meglitinide dose reduction/ discontinuation due to Hypoglycemia during 24 Week treatment period were reported. Only participants with Sulphonylurea or meglitinides at Screening as per actual strata were taken into account in this analysis. (NCT02738151)
Timeframe: Baseline to Week 24
Intervention | percentage of participants (Number) |
---|
Toujeo | 4.98 |
Tresiba | 4.76 |
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Change From Baseline in Basal Insulin Dose (U/kg Body Weight) to Week 12 and Week 24
Only the insulin dose measurements performed before initiation of rescue therapy and during the on-treatment period were considered in the analysis. (NCT02738151)
Timeframe: Baseline, Week 12 and Week 24
Intervention | Units per kilogram (U/kg) (Mean) |
---|
| Week 12 | Week 24 |
---|
Toujeo | 0.289 | 0.357 |
,Tresiba | 0.255 | 0.309 |
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Change From Baseline in 4-point SMPG Profile to Week 12 and Week 24 Per Time Point
4-point SMPG profiles were measured at the following 4 points: prebreakfast, prelunch, predinner and bedtime. (NCT02738151)
Timeframe: Baseline, Week 12 and Week 24
Intervention | mmol/L (Mean) |
---|
| Week 12: Pre-breakfast | Week 12: Pre-lunch | Week 12: Pre-dinner | Week 12: Bedtime | Week 24: Pre-breakfast | Week 24: Pre-lunch | Week 24: Pre-dinner | Week 24: Bedtime |
---|
Toujeo | -3.41 | -2.63 | -2.03 | -2.41 | -3.38 | -2.81 | -1.88 | -2.51 |
,Tresiba | -2.97 | -2.44 | -1.92 | -2.11 | -2.99 | -2.26 | -1.86 | -2.10 |
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Percentage of Participants Reaching Target HbA1c <7% and =<6.5% at Week 12 and Week 24 Without Severe and/or Confirmed Hypoglycemia (70 mg/dL) Event
Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Severe and/or confirmed hypoglycemia event was a severe event or an event confirmed by plasma glucose =<3.9 mmol/L (=<70 mg/dL). (NCT02738151)
Timeframe: Week 12, and Week 24
Intervention | percentage of participants (Number) |
---|
| Week12: Participants who reached the target <7% | Week12: Participants who reached target <=6.5% | Week24: Participants who reached the target <7% | Week24: Participants who reached target <=6.5% |
---|
Toujeo | 16.45 | 4.11 | 13.42 | 5.84 |
,Tresiba | 13.64 | 4.55 | 12.99 | 5.19 |
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Hypoglycemia (Any, Severe and/or Confirmed Hypoglycemia: Nocturnal ) Event Rate Per Participant Year During Study Period
Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Severe and/or confirmed hypoglycemia event was a severe event or an event confirmed with plasma glucose =<70 mg/dL (=<3.9 mmol/L), or < 54 mg/dL (<3.0 mmol/L). Nocturnal hypoglycemia was hypoglycemia that occurred between 00:00 and 05:59 hours (clock time). (NCT02738151)
Timeframe: Day 1-Week 12, Week 13-Week 24, and 24 Week Period
Intervention | Events per participant year (Number) |
---|
| Any hypo D1-W12 | Any hypo W13-14 | Any hypo 24Week period | Severe and/or confirmed hypo(=<70mg/dL)D1-W12 | Severe and/or confirmed hypo(=<70mg/dL)W13-14 | Severe and/or confirmed hypo(=<70mg/dL)24W Period | Severe and/or confirmed hypo(< 54mg/dL)D1-W12 | Severe and/or confirmed hypo(< 54mg/dL)W13-14 | Severe and/or confirmed hypo(< 54mg/dL)24W Period |
---|
Toujeo | 1.65 | 2.32 | 1.98 | 1.42 | 2.24 | 1.83 | 0.16 | 0.33 | 0.24 |
,Tresiba | 2.36 | 2.39 | 2.38 | 2.20 | 2.33 | 2.26 | 0.19 | 0.26 | 0.22 |
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Hypoglycemia (Any, Severe and/or Confirmed Hypoglycemia: Any Time of the Day) Event Rate Per Participant Year During Study Period
Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Severe and/or confirmed hypoglycemia event was a severe event or an event confirmed with plasma glucose =<70 mg/dL (=<3.9 mmol/L), or < 54 mg/dL (<3.0 mmol/L). (NCT02738151)
Timeframe: Day 1-Week 12, Week 13-Week 24, and 24 Week Period
Intervention | Events per participant year (Number) |
---|
| Any hypo Day1-Week12 | Any hypo Week13-14 | Any hypo 24 Week period | Severe and/or confirmed hypo (=<70mg/dL) D1-W12 | Severe and/or confirmed hypo (=<70mg/dL) W13-14 | Severe and/or confirmed hypo (≤70mg/dL) 24W period | Severe and/or confirmed hypo (< 54mg/dL) D1-W12 | Severe and/or confirmed hypo( <54 mg/dL) W13-14 | Severe and/or confirmed hypo (<54mg/dL) 24W period |
---|
Toujeo | 8.93 | 11.28 | 10.09 | 8.08 | 10.64 | 9.34 | 0.49 | 0.73 | 0.61 |
,Tresiba | 11.31 | 11.60 | 11.45 | 10.47 | 11.21 | 10.83 | 0.86 | 0.91 | 0.88 |
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Change From Baseline in Variability of Fasting SMPG to Week 12 and Week 24
Adjusted LS means were obtained from MMRM. Variability was assessed by the mean of coefficient of variation calculated over at least 3 SMPG measured during the 7 days preceding the given visit. (NCT02738151)
Timeframe: Baseline, Week 12 and Week 24
Intervention | percentage of mean variability (Least Squares Mean) |
---|
| Week 12 | Week 24 |
---|
Toujeo | 2.38 | 1.49 |
,Tresiba | 2.62 | 1.97 |
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Change From Baseline in Variability of 24-Hour 8-Point SMPG Profiles at Week 12 and Week 24
Adjusted LS means were obtained from MMRM. (NCT02738151)
Timeframe: Baseline, Week 12 and Week 24
Intervention | percentage of mean variability (Least Squares Mean) |
---|
| Week 12 | Week 24 |
---|
Toujeo | 4.08 | 3.70 |
,Tresiba | 4.73 | 3.95 |
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Change From Baseline in Total Daily Insulin Dose (Units) at Week 30
Change from baseline reflects the Week 30 total daily insulin dose minus the Week 0 total daily insulin dose. The Week 0 total daily insulin dose was 0, by definition, because insulin was not administered at baseline. (NCT02738879)
Timeframe: Baseline and Week 30
Intervention | Insulin Units (Least Squares Mean) |
---|
Sitagliptin | 53.2 |
Placebo | 61.3 |
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Event Rate of Documented Hypoglycemia With Blood Glucose <56 mg/dL (≤3.1 mmol/L)
Documented hypoglycemia is defined by a measured (e.g., by fingerstick) plasma glucose concentration <56 mg/dL (≤3.1 mmol/L). The event rate was the total number of events divided by follow-up time (participant-years), including multiple events from the same participant. (NCT02738879)
Timeframe: Up to 30 weeks
Intervention | Events/Participant-Years (Number) |
---|
Sitagliptin | 0.30 |
Placebo | 0.36 |
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Event Rate of Documented Hypoglycemia With Blood Glucose ≤70 mg/dL (≤3.9 mmol/L)
Documented hypoglycemia is defined by a measured (e.g., by fingerstick) plasma glucose concentration ≤70 mg/dL (≤3.9 mmol/L). The event rate was the total number of events divided by follow-up time (participant-years), including multiple events from the same participant. (NCT02738879)
Timeframe: Up to 30 weeks
Intervention | Events/Participant-Years (Number) |
---|
Sitagliptin | 5.05 |
Placebo | 6.21 |
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Event Rate of Documented Symptomatic Hypoglycemia With Blood Glucose <56 mg/dL (≤3.1 mmol/L)
Documented symptomatic hypoglycemia is defined as an event during which typical symptoms of hypoglycemia are accompanied by a measured (e.g., by fingerstick) plasma glucose concentration <56 mg/dL (≤3.1 mmol/L). The event rate was the total number of events divided by follow-up time (participant-years), including multiple events from the same participant. (NCT02738879)
Timeframe: Up to 30 weeks
Intervention | Events/Participant-Years (Number) |
---|
Sitagliptin | 0.17 |
Placebo | 0.22 |
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Percentage of Participants With Documented Symptomatic Hypoglycemia With Blood Glucose <56 mg/dL (≤3.1 mmol/L)
Documented symptomatic hypoglycemia is defined as an event during which typical symptoms of hypoglycemia are accompanied by a measured (e.g., by fingerstick) plasma glucose concentration <56 mg/dL (≤3.1 mmol/L). (NCT02738879)
Timeframe: Up to 30 weeks
Intervention | Percentage of participants (Number) |
---|
Sitagliptin | 7.6 |
Placebo | 8.3 |
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Percentage of Participants Who Experienced One or More Adverse Events (AEs)
An AE is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study. (NCT02738879)
Timeframe: Up to 32 weeks
Intervention | Percentage of participants (Number) |
---|
Sitagliptin | 57.9 |
Placebo | 60.0 |
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Percentage of Participants With A1C Goal <7.0% (<53 mmol/Mol at Week 30 and No Documented Hypoglycemia With Blood Glucose ≤70 mg/dL (≤3.9 mmol/L) up to Week 30
A1C is blood marker used to report average blood glucose levels over prolonged periods of time. Percentage A1C is the ratio of glycated hemoglobin to total hemoglobin x 100. (NCT02738879)
Timeframe: Week 30
Intervention | Percentage of participants (Number) |
---|
Sitagliptin | 15.3 |
Placebo | 10.0 |
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Percentage of Participants With A1C Goal <7.0% (<53 mmol/Mol) at Week 30
A1C is blood marker used to report average blood glucose levels over prolonged periods of time. Percentage A1C is the ratio of glycated hemoglobin to total hemoglobin x 100. (NCT02738879)
Timeframe: Week 30
Intervention | Percentage of participants (Number) |
---|
Sitagliptin | 54.2 |
Placebo | 35.4 |
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Percentage of Participants With Documented Hypoglycemia With Blood Glucose <56 mg/dL (≤3.1 mmol/L)
Documented hypoglycemia is defined by a measured (e.g., by fingerstick) plasma glucose concentration <56 mg/dL (≤3.1 mmol/L). (NCT02738879)
Timeframe: Up to 30 weeks
Intervention | Percentage of participants (Number) |
---|
Sitagliptin | 12.4 |
Placebo | 13.6 |
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Percentage of Participants With Documented Hypoglycemia With Blood Glucose ≤70 mg/dL (≤3.9 mmol/L)
Documented hypoglycemia is defined by a measured (e.g., by fingerstick) plasma glucose concentration ≤70 mg/dL (≤3.9 mmol/L). (NCT02738879)
Timeframe: Up to 30 weeks
Intervention | Percentage of participants (Number) |
---|
Sitagliptin | 66.8 |
Placebo | 68.0 |
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Percentage of Participants With Events of Documented Symptomatic Hypoglycemia With Blood Glucose ≤70 mg/dL (≤3.9 mmol/L)
Documented symptomatic hypoglycemia is defined as an event during which typical symptoms of hypoglycemia are accompanied by a measured (e.g., by fingerstick) plasma glucose concentration ≤70 mg/dL (≤3.9 mmol/L). The incidence (number of participants with ≥1 event divided by number of participants) of documented symptomatic hypoglycemia was determined. (NCT02738879)
Timeframe: Up to 30 weeks
Intervention | Percentage of participants (Number) |
---|
Sitagliptin | 33.5 |
Placebo | 37.7 |
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Event Rate of Documented Symptomatic Hypoglycemia With Blood Glucose ≤70 mg/dL (≤3.9 mmol/L)
Documented symptomatic hypoglycemia is defined as an event during which typical symptoms of hypoglycemia are accompanied by a measured (e.g., by fingerstick) plasma glucose concentration ≤70 mg/dL (≤3.9 mmol/L). The event rate was the total number of events divided by follow-up time (participant-years), including multiple events from the same participant. (NCT02738879)
Timeframe: Up to 30 weeks
Intervention | Events/Participant-Years (Number) |
---|
Sitagliptin | 1.55 |
Placebo | 2.12 |
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Change From Baseline in A1C at Week 30
A1C is blood marker used to report average blood glucose levels over prolonged periods of time. Percentage A1C is the ratio of glycated hemoglobin to total hemoglobin x 100. Thus, this change from baseline reflects the Week 30 A1C minus the Week 0 A1C. (NCT02738879)
Timeframe: Baseline and Week 30
Intervention | Percent A1C (Least Squares Mean) |
---|
Sitagliptin | -1.88 |
Placebo | -1.42 |
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 30
Blood glucose was measured on a fasting basis. Blood was drawn at predose on Day 1 and after 30 weeks of treatment to determine change in plasma glucose levels (i.e., FPG at Week 30 minus FPG at Week 0). (NCT02738879)
Timeframe: Baseline and Week 30
Intervention | mg/dL (Least Squares Mean) |
---|
Sitagliptin | -84.8 |
Placebo | -78.3 |
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Percentage of Participants Who Discontinued Study Drug Due to an AE
An AE is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study. (NCT02738879)
Timeframe: Up to 30 weeks
Intervention | Percentage of participants (Number) |
---|
Sitagliptin | 1.3 |
Placebo | 1.6 |
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Number of Participants With Hypoglycemic Events
Number of participants experiencing at least one episode of mild hypoglycemia (blood glucose < 70 mg/dL) or clinically significant hypoglycemia (blood glucose < 54 mg/dL) (NCT02741687)
Timeframe: Up to time of discharge from hospital, an average of 10 days
Intervention | Participants (Count of Participants) |
---|
| Mild hypoglycemia | Clinically significant hypoglycemia |
---|
Placebo | 2 | 0 |
,Sitagliptin | 5 | 0 |
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Number of Participants Experiencing Complications
The number of subjects who experience complications including: wound infection, respiratory failure, pneumonia, acute kidney injury with a rise in creatinine by 38 micromoles/Liter from baseline, major adverse cardiac events, bacterial septic infection, and death. Participants will be followed for 30 days following hospital discharge and all complications will be documented. (NCT02741687)
Timeframe: Up to 40 days (average time of discharge from the hospital plus 30 days)
Intervention | Participants (Count of Participants) |
---|
| Wound infection | Respiratory failure | Pneumonia | Acute kidney injury | Cardiac event | Bacterial septic infection |
---|
Placebo | 0 | 0 | 0 | 1 | 0 | 0 |
,Sitagliptin | 0 | 0 | 0 | 1 | 0 | 0 |
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Length of Hospital Stay
Total length of hospital stay (NCT02741687)
Timeframe: Up to time of discharge from hospital, an average of 10 days
Intervention | days (Median) |
---|
Placebo | 9 |
Sitagliptin | 11 |
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Total Daily Dose of Insulin for Patients Requiring Supplemental Insulin
Total daily dose of insulin for patients requiring supplemental insulin during surgery and recovery in participants receiving sitagliptin and those receiving the placebo (NCT02741687)
Timeframe: Up to time of discharge from hospital, an average of 10 days
Intervention | international units of insulin (Number) |
---|
Sitagliptin | 5 |
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Number of Patients Requiring Supplemental, Subcutaneous Insulin
Number of patients requiring subcutaneous insulin, either sliding scale insulin or basal insulin (NCT02741687)
Timeframe: Up to time of discharge from hospital, an average of 10 days
Intervention | Participants (Count of Participants) |
---|
Placebo | 0 |
Sitagliptin | 1 |
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Number of Participants With Hospital Readmissions After Discharge
Readmissions to the study hospital occurring within 30 days of hospital discharge were documented. There were no follow up phone calls or appointments with participants so any hospital readmissions to hospitals other than the one where the surgery occurred are not known. (NCT02741687)
Timeframe: Up to 40 days (average time of discharge from the hospital plus 30 days)
Intervention | Participants (Count of Participants) |
---|
Placebo | 0 |
Sitagliptin | 1 |
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Number of Days in the ICU
The number of days a participant spent in the ICU following surgery, when transfer to the ICU was required. (NCT02741687)
Timeframe: Up to time of discharge from hospital, an average of 10 days
Intervention | days (Median) |
---|
Placebo | 2.0 |
Sitagliptin | 1.5 |
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Number of Participants With Emergency Room Visits After Discharge
Emergency room visits to the study hospital occurring within 30 days of hospital discharge were documented. There were no follow up phone calls or appointments with participants so any emergency room visits to hospitals other than the one where the surgery occurred are not known. (NCT02741687)
Timeframe: Up to 40 days (average time of discharge from the hospital plus 30 days)
Intervention | Participants (Count of Participants) |
---|
Placebo | 0 |
Sitagliptin | 0 |
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Number of Participants Experiencing Stress Hyperglycemia
The number of participants with at least one episode of stress hyperglycemia. Stress hyperglycemia is defined as a blood glucose > 180 mg/dL. (NCT02741687)
Timeframe: Up to time of discharge from hospital, an average of 10 days
Intervention | Participants (Count of Participants) |
---|
Placebo | 7 |
Sitagliptin | 5 |
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Responder After 26 Weeks (Yes/No) for: HbA1c ≤ 6.5%
The proportion of subjects achieving pre-defined HbA1c targets ≤ 6.5% after 26 weeks of randomised treatment. The results presented included retrieved data at week 26 for subjects who prematurely discontinued the trial product. (NCT02773368)
Timeframe: After 26 weeks
Intervention | Participants (Number) |
---|
| Yes | No |
---|
IDegLira | 147 | 50 |
,IGlar | 100 | 102 |
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Responder After 26 Weeks (Yes/No) for: HbA1c < 7.0% Without Weight Gain
The proportion of subjects achieving pre-defined HbA1c targets <7.0% without weight gain after 26 weeks of randomised treatment. The results presented included retrieved data at week 26 for subjects who prematurely discontinued the trial product. (NCT02773368)
Timeframe: After 26 weeks
Intervention | Participants (Number) |
---|
| Yes | No |
---|
IDegLira | 91 | 106 |
,IGlar | 38 | 164 |
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Responder After 26 Weeks (Yes/No) for: HbA1c < 7.0% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Last 12 Weeks of Treatment and Without Weight Gain
The proportion of subjects achieving pre-defined HbA1c targets <7.0% without treatment-emergent severe or BG confirmed symptomatic hypoglycaemic episodes during the last 12 weeks of treatment and without weight gain. The results presented included retrieved data at week 26 for subjects who prematurely discontinued the trial product. (NCT02773368)
Timeframe: After 26 weeks
Intervention | Participants (Number) |
---|
| Yes | No |
---|
IDegLira | 83 | 114 |
,IGlar | 34 | 168 |
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Responder After 26 Weeks (Yes/No) for: HbA1c < 7.0% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Last 12 Weeks of Treatment
The proportion of subjects achieving pre-defined HbA1c targets <7.0% without treatment-emergent severe or BG confirmed symptomatic hypoglycaemic episodes during the last 12 weeks of treatment. The results presented included retrieved data at week 26 for subjects who prematurely discontinued the trial product. (NCT02773368)
Timeframe: After 26 weeks
Intervention | Participants (Number) |
---|
| Yes | No |
---|
IDegLira | 156 | 41 |
,IGlar | 114 | 88 |
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Responder (Yes/No) for HbA1c Below 7.0%
The proportion of subjects achieving pre-defined HbA1c targets <7.0% after 26 weeks of randomised treatment. The results presented included retrieved data at week 26 for subjects who prematurely discontinued the trial product. (NCT02773368)
Timeframe: After 26 weeks
Intervention | Participants (Number) |
---|
| Yes | No |
---|
IDegLira | 167 | 30 |
,IGlar | 144 | 58 |
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Number of Treatment-emergent Hypoglycaemic Episodes According to ADA Definition During 26 Weeks
American Diabetes Association (ADA) classification of hypoglycaemic episodes: 1)Severe: Requiring assistance of another person to actively administer carbohydrate/glucagon/take other corrective actions. PG levels may not be available during an event, but neurological recovery following return of PG to normal is considered sufficient evidence that event was induced by a low PG level. 2) Documented symptomatic: PG ≤3.9 mmol/L with symptoms. 3) Asymptomatic: PG ≤3.9 mmol/L without symptoms. 4) Probable symptomatic: No measurement with symptoms. 5) Pseudo: PG >3.9 mmol/L with symptoms. 6) Unclassifiable. (NCT02773368)
Timeframe: Week 0-26
Intervention | Number of episodes (Number) |
---|
| Severe - ADA | Documented symptomatic - ADA | Asymptomatic - ADA | Probably symptomatic - ADA | Pseudo - ADA | Unclassifiable hypoglycaemia - ADA |
---|
IDegLira | 1 | 239 | 850 | 23 | 10 | 2 |
,IGlar | 0 | 419 | 902 | 5 | 14 | 0 |
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Change in HbA1c (Glycosylated Haemoglobin)
The mean change from baseline (week 0) in HbA1c values evaluated after 26 weeks of randomised treatment. The results presented included retrieved data at week 26 for subjects who prematurely discontinued the trial product. (NCT02773368)
Timeframe: Week 0, Week 26
Intervention | Percentage of glycosylated haemoglobin (Mean) |
---|
| HbA1c (%) at baseline | HbA1c (%) change from baseline to week 26 |
---|
IDegLira | 8.20 | -1.94 |
,IGlar | 8.36 | -1.68 |
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Change in Fasting Plasma Glucose (FPG)
Change from baseline (week 0) in FPG was evaluated after 26 weeks of randomised treatment. (NCT02773368)
Timeframe: Week 0, Week 26
Intervention | mmol/ L (Mean) |
---|
| FPG (mmol/L) at baseline | FPG (mmol/L) change from baseline to week 26 |
---|
IDegLira | 9.51 | -3.72 |
,IGlar | 9.57 | -3.50 |
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Change in Body Weight
The mean change from baseline (week 0) in body weight evaluated after 26 weeks of randomised treatment. The results presented included retrieved data at week 26 for subjects who prematurely discontinued the trial product. (NCT02773368)
Timeframe: Week 0, Week 26
Intervention | kg (Mean) |
---|
| Body weight (kg) at baseline | Body weight (kg) change from baseline to week 26 |
---|
IDegLira | 89.3 | -0.0 |
,IGlar | 87.2 | 2.0 |
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Change From Baseline in the 9-point Self-measured Plasma Glucose (SMPG) Profile
Change in 9-point SMPG profile was evaluated after 26 weeks of randomised treatment. SMPG measurements at baseline and week 26 are presented here at the following mentioned time points:1) Before breakfast, 2) 90 mins after the start of Breakfast, 3) Before lunch, 4) 90 mins after the start of lunch, 5) Before dinner, 6) 90 mins after the start of dinner, 7) At bedtime, 8) At 4 AM, 9) Before breakfast the following day. (NCT02773368)
Timeframe: After 26 weeks
Intervention | mmol/L (Mean) |
---|
| Before breakfast - Baseline | Ninety (90) minutes after breakfast - Baseline | Before lunch - Baseline | Ninety (90) minutes after lunch - Baseline | Before dinner - Baseline | Ninety (90) minutes after dinner - Baseline | At bedtime - Baseline | At 4.00 AM - Baseline | Before breakfast the following day - Baseline | Before breakfast - Week 26 | Ninety (90) minutes after breakfast - Week 26 | Before lunch - Week 26 | Ninety (90) minutes after lunch - Week 26 | Before dinner - Week 26: | Ninety (90) minutes after dinner - Week 26 | At bedtime - Week 26 | At 4.00 AM - Week 26 | Before breakfast the following day - Week 26 |
---|
IDegLira | 9.01 | 11.79 | 8.93 | 11.24 | 9.33 | 11.40 | 10.38 | 8.80 | 8.60 | 5.40 | 7.20 | 5.83 | 7.25 | 6.43 | 7.85 | 7.05 | 5.58 | 5.23 |
,IGlar | 9.00 | 11.77 | 9.20 | 11.22 | 9.36 | 11.40 | 10.71 | 9.00 | 8.81 | 5.39 | 8.35 | 6.35 | 8.49 | 6.77 | 8.70 | 7.79 | 5.72 | 5.36 |
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Change From Baseline in Systolic Blood Pressure
Change from baseline (week 0) in systolic blood pressure (BP) was evaluated after 26 weeks of randomised treatment. (NCT02773368)
Timeframe: After 26 weeks
Intervention | mmHg (Mean) |
---|
| Systolic BP (mmHg) at baseline | Systolic BP (mmHg) change from baseline to week 26 |
---|
IDegLira | 130.5 | -3.0 |
,IGlar | 128.9 | 0.6 |
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Change From Baseline in SMPG 9-point Profile: Prandial Plasma Glucose Increments (From Before Meal to 90 Min After Breakfast, Lunch and Dinner). The Mean Increment Over All Meals Will be Derived as the Mean of All Available Meal Increments
Mean prandial plasma glucose increments for each meal (from before meal to 90 min after breakfast, lunch and dinner) was evaluated after 26 weeks of randomised treatment. The mean increment over all meals was derived as the mean of all available meal increments are presented here. (NCT02773368)
Timeframe: After 26 weeks
Intervention | mmol/L (Mean) |
---|
| Baseline | Change from baseline to week 26 |
---|
IDegLira | 2.38 | -0.86 |
,IGlar | 2.28 | -0.09 |
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Change From Baseline in Self-measured Plasma Glucose (SMPG) 9-point Profile: Mean of the 9-point Profile
Change in mean of the 9-point profile SMPG was evaluated after 26 weeks of randomised treatment. 9-point profile SMPG was measured at the following mentioned time points:1) Before breakfast, 2) 90 mins after the start of Breakfast, 3) Before lunch, 4) 90 mins after the start of lunch, 5) Before dinner, 6) 90 mins after the start of dinner, 7) At bedtime, 8) At 4 AM, 9) Before breakfast the following day. (NCT02773368)
Timeframe: After 26 weeks
Intervention | mmol/L (Mean) |
---|
| Mean 9-point SMPG (mmol/L) at baseline | Mean 9-point SMPG change from baseline to week 26 |
---|
IDegLira | 9.98 | -3.47 |
,IGlar | 10.06 | -2.98 |
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Change From Baseline in Fasting Lipid Profile: Very-low-density Lipoprotein Cholesterol (VLDL Cholesterol)
The values of VLDL cholesterol from fasting lipid profile after 26 weeks of randomised treatment. (NCT02773368)
Timeframe: After 26 weeks
Intervention | mmol/L (Median) |
---|
| VLDL cholesterol (mmol/L) at baseline | VLDL cholesterol (mmol/L) at week 26 |
---|
IDegLira | 0.75 | 0.70 |
,IGlar | 0.80 | 0.67 |
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Change From Baseline in Fasting Lipid Profile: Low-density Lipoprotein Cholesterol (LDL Cholesterol)
The values of LDL cholesterol from fasting lipid profile after 26 weeks of randomised treatment. (NCT02773368)
Timeframe: After 26 weeks
Intervention | mmol/L (Median) |
---|
| LDL cholesterol (mmol/L) at baseline | LDL cholesterol (mmol/L) at week 26 |
---|
IDegLira | 2.28 | 2.20 |
,IGlar | 2.28 | 2.31 |
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Change From Baseline in Fasting Lipid Profile: High-density Lipoprotein Cholesterol (HDL Cholesterol)
The values of HDL cholesterol from fasting lipid profile after 26 weeks of randomised treatment. (NCT02773368)
Timeframe: After 26 weeks
Intervention | mmol/L (Median) |
---|
| HDL cholesterol (mmol/L) at baseline | HDL cholesterol (mmol/L) at week 26 |
---|
IDegLira | 1.14 | 1.17 |
,IGlar | 1.14 | 1.17 |
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Change From Baseline in Fasting Lipid Profile: Free Fatty Acids
The values of free fatty acids from fasting lipid profile after 26 weeks of randomised treatment. (NCT02773368)
Timeframe: After 26 weeks
Intervention | mmol/L (Median) |
---|
| Free fatty acids (mmol/L) at baseline | Free fatty acids (mmol/L) at week 26 |
---|
IDegLira | 0.58 | 0.38 |
,IGlar | 0.61 | 0.42 |
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Change From Baseline in Fasting Lipid Profile: Cholesterol
The values of total cholesterol from fasting lipid profile after 26 weeks of randomised treatment. (NCT02773368)
Timeframe: After 26 weeks
Intervention | mmol/L (Median) |
---|
| Total cholesterol (mmol/L) at baseline | Total cholesterol (mmol/L) at week 26 |
---|
IDegLira | 4.42 | 4.27 |
,IGlar | 4.45 | 4.27 |
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Change From Baseline in Diastolic Blood Pressure
Change from baseline (week 0) in diastolic blood pressure was evaluated after 26 weeks of randomised treatment. (NCT02773368)
Timeframe: After 26 weeks
Intervention | mmHg (Mean) |
---|
| Diastolic (mmHg) at baseline | Diastolic (mmHg) change from baseline to week 26 |
---|
IDegLira | 79.4 | -1.2 |
,IGlar | 78.9 | -1.1 |
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Change From Baseline in Clinical Evaluation After 26 Weeks: Pulse Rate
Change from baseline (week 0) in pulse rate was evaluated after 26 weeks of randomised treatment. (NCT02773368)
Timeframe: After 26 weeks
Intervention | Beats/minute (Mean) |
---|
| Pulse (beats/min) at baseline | Pulse (beats/min) change from baseline to week 26 |
---|
IDegLira | 76.1 | 2.0 |
,IGlar | 75.0 | -0.4 |
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Change From Baseline in Clinical Evaluation After 26 Weeks: Eye Examination: Fundoscopy/Fundus Photography
Reported results are fundus photography/fundoscopy (for both left and right eye) findings at screening and week 26 of randomised treatment. Since the values measured at the baseline (week 0) were not collected, the screening data (week -2, which is <= 2 weeks before baseline) is presented here. The findings are categorised as: 1) Normal. 2) Abnormal (not clinically significant [NCS]). 3) Abnormal (clinically significant [CS]). 4) Missing. (NCT02773368)
Timeframe: After 26 weeks
Intervention | Number of subjects (Number) |
---|
| Screening, Left eye (Normal) | Screening, Left eye (Abnormal -NCS) | Screening, Left eye (Abnormal-CS) | Screening, Left eye (Missing) | Week 26, Left eye (Normal) | Week 26, Left eye (Abnormal -NCS) | Week 26, Left eye (Abnormal-CS) | Week 26, Left eye (Missing) | Screening, Right eye (Normal) | Screening, Right eye (Abnormal-NCS) | Screening, Right eye (Abnormal- CS) | Screening, Right eye (Missing) | Week 26, Right eye (Normal) | Week 26, Right eye (Abnormal-NCS) | Week 26, Right eye (Abnormal- CS) | Week 26, Right eye (Missing) |
---|
IDegLira | 134 | 68 | 7 | 0 | 123 | 66 | 2 | 0 | 133 | 69 | 7 | 0 | 120 | 69 | 2 | 0 |
,IGlar | 131 | 74 | 4 | 0 | 125 | 68 | 4 | 0 | 133 | 72 | 4 | 0 | 127 | 66 | 4 | 0 |
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Change From Baseline in Clinical Evaluation After 26 Weeks: Electrocardiogram (ECG)
Reported results are ECG findings at screening and week 26 of randomised treatment. Since the values measured at the baseline (week 0) were not collected, the screening data (week -2, which is <= 2 weeks before baseline) is presented here. The findings are categorised as: 1) Normal. 2) Abnormal (not clinically significant [NCS]). 3) Abnormal (clinically significant [CS]). 4) Missing. (NCT02773368)
Timeframe: After 26 weeks
Intervention | Number of subjects (Number) |
---|
| Screening, Normal | Screening, Abnormal NCS | Screening, Abnormal CS | Screening, Missing | Week 26, Normal | Week 26, Abnormal NCS | Week 26, Abnormal CS | Week 26, Missing |
---|
IDegLira | 142 | 66 | 1 | 0 | 134 | 58 | 2 | 0 |
,IGlar | 141 | 69 | 0 | 0 | 136 | 64 | 0 | 0 |
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Change From Baseline After 26 Weeks in Waist Circumference
Mean change from baseline in waist circumference after 26 weeks of randomised treatment. (NCT02773368)
Timeframe: After 26 weeks
Intervention | cm (Mean) |
---|
| Waist circum. (cm) at baseline | Waist circum. (cm) change from baseline to week 26 |
---|
IDegLira | 105.9 | -0.6 |
,IGlar | 104.7 | 0.7 |
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Number of Treatment-emergent Severe or BG (Blood Glucose) Confirmed Symptomatic Hypoglycaemic Episodes
Severe or BG confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe (subjects who were not able to self-treat) and/or BG confirmed by a plasma glucose values <3.1 mmol/L (56 mg/dL) with accompanied symptoms consistent with hypoglycaemia. (NCT02773368)
Timeframe: Week 0-26
Intervention | Number of episodes (Number) |
---|
IDegLira | 38 |
IGlar | 95 |
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Number of Treatment-emergent Nocturnal Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During 26 Weeks
Number of treatment-emergent nocturnal severe or BG confirmed symptomatic hypoglycaemic episodes (00:01-05:59 - inclusive) during 26 weeks of randomised treatment. (NCT02773368)
Timeframe: Week 0-26
Intervention | Number of episodes (Number) |
---|
IDegLira | 6 |
IGlar | 13 |
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Number of Treatment-emergent Adverse Events
Treatment emergent adverse events (TEAEs) were recorded from week 0 to week 26. TEAE was defined as an event that has onset date on or after the first day of exposure to randomised treatment and no later than 7 days after the last day of randomised treatment. (NCT02773368)
Timeframe: Week 0-26
Intervention | Number of events (Number) |
---|
IDegLira | 450 |
IGlar | 386 |
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Insulin Dose, Total Daily Dose (U)
Actual daily total insulin dose (Units) was evaluated after 26 weeks of randomised treatment. The results presented included retrieved data at week 26 for subjects who prematurely discontinued the trial product. (NCT02773368)
Timeframe: After 26 weeks
Intervention | Units (U) (Mean) |
---|
IDegLira | 36.2 |
IGlar | 53.5 |
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Change From Baseline in Fasting Lipid Profile: Triglycerides
The values of triglycerides from fasting lipid profile after 26 weeks of randomised treatment. (NCT02773368)
Timeframe: After 26 weeks
Intervention | mmol/L (Median) |
---|
| Triglycerides (mmol/L) at baseline | Triglycerides (mmol/L) at week 26 |
---|
IDegLira | 1.67 | 1.55 |
,IGlar | 1.73 | 1.47 |
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Responder After 26 Weeks (Yes/No) for: HbA1c ≤ 6.5% Without Weight Gain
The proportion of subjects achieving pre-defined HbA1c targets ≤ 6.5% without weight gain after 26 weeks of randomised treatment. The results are based on retrieved data at week 26 for subjects who prematurely discontinued the trial product. (NCT02773368)
Timeframe: After 26 weeks
Intervention | Participants (Number) |
---|
| Yes | No |
---|
IDegLira | 84 | 113 |
,IGlar | 26 | 176 |
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Responder After 26 Weeks (Yes/No) for: HbA1c ≤ 6.5% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Last 12 Weeks of Treatment and Without Weight Gain
The proportion of subjects achieving pre-defined HbA1c targets ≤ 6.5%without treatment-emergent severe or BG confirmed symptomatic hypoglycaemic episodes during the last 12 weeks of treatment and without weight gain. The results presented included retrieved data at week 26 for subjects who prematurely discontinued the trial product. (NCT02773368)
Timeframe: After 26 weeks
Intervention | Partcipants (Number) |
---|
| Yes | No |
---|
IDegLira | 77 | 120 |
,IGlar | 24 | 178 |
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Responder After 26 Weeks (Yes/No) for: HbA1c ≤ 6.5% Without Treatment-emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During the Last 12 Weeks of Treatment
The proportion of subjects achieving pre-defined HbA1c targets ≤ 6.5%without treatment-emergent severe or BG confirmed symptomatic hypoglycaemic episodes during the last 12 weeks of treatment. The results presented included retrieved data at week 26 for subjects who prematurely discontinued the trial product. (NCT02773368)
Timeframe: After 26 weeks
Intervention | Particpants (Number) |
---|
| Yes | No |
---|
IDegLira | 137 | 60 |
,IGlar | 79 | 123 |
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Change From Baseline in the Daily Average of the 7-point Self-monitored Plasma Glucose (SMPG) to Week 26: Core Period
The 7-point SMPG profile was measured at the following 7 points: pre-prandial and 2 hours postprandial for breakfast, lunch, dinner and at bedtime. Two hours postprandial (breakfast, lunch and dinner) was defined as 2 hours after the start of the meal. Adjusted LS means and SE were obtained from MMRM to account for missing data using all available post baseline data during the 26 week treatment period. (NCT02787551)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | -1.69 |
GLP-1 Receptor Agonist | -0.67 |
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Change From Baseline in Body Weight at Week 26: Core Period
Change in body weight was calculated by subtracting baseline value from Week 26 value. (NCT02787551)
Timeframe: Baseline, Week 26
Intervention | kilogram (kg) (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | 1.89 |
GLP-1 Receptor Agonist | -1.14 |
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Change From Baseline in 2-Hour Postprandial Plasma Glucose (PPG) During Standardized Meal Test to Week 52: Single Arm Extension Period
The 2-hour PPG test measured blood glucose 2 hours after eating a liquid standardized breakfast meal. Change in PPG was calculated by subtracting baseline value from Week 52 value. Missing data was imputed using LOCF. (NCT02787551)
Timeframe: Baseline, Week 52
Intervention | mmol/L (Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | -4.30 |
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Change From Baseline in 2-Hour Postprandial Plasma Glucose (PPG) During Standardized Meal Test to Week 26: Core Period
The 2-hour PPG test measured blood glucose 2 hours after eating a liquid standardized breakfast meal. Change in PPG was calculated by subtracting baseline value from Week 26 value. Missing data was imputed using last observation carried forward (LOCF). (NCT02787551)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | -3.96 |
GLP-1 Receptor Agonist | -1.11 |
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Change From Baseline in 2-Hour Blood Glucose Excursion During Standardized Meal Test to Week 52: Single Arm Extension Period
2-hour plasma glucose excursion = 2-hour PPG value minus plasma glucose value obtained 30 minutes prior to the start of meal and before IMP administration if IMP was injected before breakfast. Change in plasma glucose excursions were calculated by subtracting baseline value from Week 52 value. Missing data was imputed using LOCF. (NCT02787551)
Timeframe: Baseline, Week 52
Intervention | mmol/L (Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | -1.85 |
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Change From Baseline in 2-Hour Blood Glucose Excursion During Standardized Meal Test to Week 26: Core Period
2-hour plasma glucose excursion = 2-hour PPG value minus plasma glucose value obtained 30 minutes prior to the start of meal and before investigational medicinal product (IMP) administration if IMP was injected before breakfast. Change in plasma glucose excursions were calculated by subtracting baseline value from Week 26 value. Missing data was imputed using LOCF. (NCT02787551)
Timeframe: Baseline, Week 26
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | -1.51 |
GLP-1 Receptor Agonist | -0.52 |
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Percentage of Participants Reaching HbA1c <7% or <=6.5% at Week 26: Core Period
Participants without any available HbA1c assessment at Week 26 were considered as non-responders. (NCT02787551)
Timeframe: Week 26
Intervention | percentage of participants (Number) |
---|
| HbA1c <7% | HbA1c <=6.5% |
---|
GLP-1 Receptor Agonist | 25.7 | 9.9 |
,Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | 61.9 | 40.5 |
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Number of Documented Symptomatic Hypoglycemia Events Per Participant-Year: Single Arm Extension Period
Documented symptomatic hypoglycemia was an event during which symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of <=3.9 mmol/L (70 mg/dL). Hypoglycemic episodes with plasma glucose of <3.0 mmol/L (54 mg/dL) were also analyzed. (NCT02787551)
Timeframe: From Baseline to Week 52
Intervention | events per participant-year (Number) |
---|
| Documented symptomatic hypoglycemia(<=3.9 mmol/L) | Documented symptomatic hypoglycemia (<3.0 mmol/L) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | 1.59 | 0.24 |
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Number of Documented Symptomatic Hypoglycemia Events Per Participant-Year: Core Period
Documented symptomatic hypoglycemia was an event during which symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of <=3.9 mmol/L (70 mg/dL). Hypoglycemic episodes with plasma glucose of <3.0 mmol/L (54 mg/dL) were also analyzed. (NCT02787551)
Timeframe: From Baseline to Week 26
Intervention | events per participant-year (Number) |
---|
| Documented symptomatic hypoglycemia(<=3.9 mmol/L) | Documented symptomatic hypoglycemia (<3.0 mmol/L) |
---|
GLP-1 Receptor Agonist | 0.08 | 0.01 |
,Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | 1.54 | 0.25 |
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Percentage of Participants Requiring Rescue Therapy During the 52 Week Treatment Period: Single Arm Extension Period
Routine HbA1c value was used to determine the requirement of rescue medication. Threshold values at Week 12 or later on Week 12: HbA1c >8%. (NCT02787551)
Timeframe: From Week 26 to Week 52
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | 1.5 |
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Percentage of Participants Requiring Rescue Therapy During the 26 Week Treatment Period: Core Period
Routine HbA1c value was used to determine the requirement of rescue medication. Threshold values at Week 12 or later on Week 12: HbA1c >8%. (NCT02787551)
Timeframe: From Baseline to Week 26
Intervention | percentage of participants (Number) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | 4.8 |
GLP-1 Receptor Agonist | 15.0 |
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Change From Baseline in the Daily Average of the 7-point Self-monitored Plasma Glucose (SMPG) to Week 52: Single Arm Extension Period
The 7-point SMPG profile was measured at the following 7 points: pre-prandial and 2 hours postprandial for breakfast, lunch, dinner and at bedtime. Two hours postprandial (breakfast, lunch and dinner) was defined as 2 hours after the start of the meal. (NCT02787551)
Timeframe: Baseline, Week 52
Intervention | mmol/L (Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | -1.68 |
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Change From Baseline in Glycated Hemoglobin (HbA1c) to Week 52: Single Arm Extension Period
Change in HbA1c was calculated by subtracting baseline value from Week 52 value. (NCT02787551)
Timeframe: Baseline, Week 52
Intervention | percentage of HbA1c (Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | -1.01 |
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Change From Baseline in Glycated Hemoglobin (HbA1c) to Week 26: Core Period
Change in HbA1c was calculated by subtracting baseline value from Week 26 value. Adjusted least squares (LS) mean and standard error (SE) were obtained from Mixed-effect model with repeated measures (MMRM) to account for missing data using all available post baseline data during the 26 week treatment period. (NCT02787551)
Timeframe: Baseline, Week 26
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | -1.02 |
GLP-1 Receptor Agonist | -0.38 |
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Change From Baseline in Fasting Plasma Glucose (FPG) to Week 52: Single Arm Extension Period
Change in FPG was calculated by subtracting baseline value from Week 52 value. (NCT02787551)
Timeframe: Baseline, Week 52
Intervention | mmol/L (Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | -2.27 |
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Change From Baseline in Fasting Plasma Glucose (FPG) to Week 26: Core Period
Change in FPG was calculated by subtracting baseline value from Week 26 value. Adjusted LS means and SE were obtained from MMRM to account for missing data using all available post baseline data during the 26 week treatment period. (NCT02787551)
Timeframe: Baseline, Week 26
Intervention | millimoles per litre (mmol/L) (Least Squares Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | -2.28 |
GLP-1 Receptor Agonist | -0.60 |
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Change From Baseline in Body Weight to Week 52: Single Arm Extension Period
Change in body weight was calculated by subtracting baseline value from Week 52 value. (NCT02787551)
Timeframe: Baseline, Week 52
Intervention | kg (Mean) |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | 2.78 |
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Percentage of Participants Reaching HbA1c <7 % or <=6.5% at Week 52: Single Arm Extension Period
Participants without any available HbA1c assessment at Week 52 were considered as non-responders. (NCT02787551)
Timeframe: Week 52
Intervention | percentage of participants (Number) |
---|
| HbA1c <7% | HbA1c <=6.5% |
---|
Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | 64.1 | 42.7 |
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Number of Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes
Number of treatment emergent severe or BG confirmed symptomatic hypoglycaemic episodes were analysed during the following periods: weeks 0-26, weeks 16-26 and weeks 0-38. Treatment emergent: hypoglycaemic episodes were defined as treatment emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. (NCT02906917)
Timeframe: Weeks 0-26, weeks 16-26, weeks 0-38
Intervention | Episodes (Number) |
---|
| Weeks 0-26 | Weeks 16-26 | Weeks 0-38 |
---|
Insulin Degludec/Insulin Aspart | 329 | 154 | 537 |
,Insulin Glargine + Insulin Aspart | 376 | 194 | 640 |
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Number of Nocturnal, Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes
Number of nocturnal, treatment emergent severe or BG confirmed symptomatic hypoglycaemic episodes were analysed during the following periods: weeks 0-26, weeks 16-26 and weeks 0-38. Nocturnal hypoglycaemic episodes: episodes occurring between 00:01 and 05:59 both inclusive. Treatment emergent: hypoglycaemic episodes were defined as treatment emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 7 calendar days after the last day on trial product. (NCT02906917)
Timeframe: Weeks 0-26, weeks 16-26, weeks 0-38
Intervention | Episodes (Number) |
---|
| Weeks 0-26 | Weeks 16-26 | Weeks 0-38 |
---|
Insulin Degludec/Insulin Aspart | 61 | 24 | 113 |
,Insulin Glargine + Insulin Aspart | 118 | 58 | 189 |
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Incidence of TEAEs
Number of treatment emergent adverse events (TEAEs) were analysed during the following periods: weeks 0-26, weeks 26-38 and weeks 0-38. Treatment emergent: An adverse event that had an onset date on or after the first day of exposure to randomised treatment and no later than 7 days after the last day of randomised treatment. If an event had an onset date before the first day of exposure on randomised treatment and increased in severity during the treatment period, or if it had an onset date within 7 days after the last drug date, then this event was also to be considered as a TEAE. (NCT02906917)
Timeframe: Weeks 0-26, weeks 26-38, weeks 0-38
Intervention | Events (Number) |
---|
| Weeks 0-26 | Weeks 26-38 | Weeks 0-38 |
---|
Insulin Degludec/Insulin Aspart | 441 | 173 | 614 |
,Insulin Glargine + Insulin Aspart | 408 | 117 | 525 |
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Change in Pre-breakfast SMPG (Used for Titration)
Reported results are observed pre-breakfast self-measured plasma glucose (SMPG; used for titration) values at week 1 (baseline) and 26 and 38 weeks after randomisation. (NCT02906917)
Timeframe: Week 1, week 26, week 38
Intervention | mg/dL (Mean) |
---|
| Week 1 (Baseline) | Week 26 | Week 38 |
---|
Insulin Degludec/Insulin Aspart | 158.3 | 107.5 | 102.9 |
,Insulin Glargine + Insulin Aspart | 149.4 | 103.4 | 103.8 |
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Change in Postprandial SMPG Increment (From 9-point Profile)
Change from baseline (week 0) in postprandial SMPG increment (from 9-point profile) was evaluated 26 and 38 weeks after randomisation, respectively. 9-point SMPG profiles were measured starting in the morning 2 days prior to the scheduled visit at the time points described below: 1) Before breakfast (2 days prior to visit) 2) 90 minutes after start of the breakfast 3) Before lunch 4) 90 minutes after start of the lunch 5) Before dinner/main evening meal 6) 90 minutes after start of the dinner/main evening meal 7) At bedtime (2 days or 1 day prior to visit depending on actual clock time) 8) At 4 a.m. (1 day prior to visit) 9) Before breakfast at the following day (1 day prior to the visit). (NCT02906917)
Timeframe: Week 0, week 26, week 38
Intervention | mg/dL (Mean) |
---|
| Baseline: Week 0 | Change from baseline: Week 26 | Change from baseline: Week 38 |
---|
Insulin Degludec/Insulin Aspart | 54.5 | -10.8 | -17.7 |
,Insulin Glargine + Insulin Aspart | 48.4 | -8.7 | -19.7 |
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Change in HbA1c (%) - Week 38
Change from baseline (week 0) in HbA1c was evaluated 38 weeks after randomisation. (NCT02906917)
Timeframe: Week 0, week 38
Intervention | % of HbA1c (Mean) |
---|
| Baseline (week 0) | Change from baseline (week 38) |
---|
Insulin Degludec/Insulin Aspart | 8.2 | -1.2 |
,Insulin Glargine + Insulin Aspart | 8.1 | -1.2 |
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Change in HbA1c (%) - Week 26
Change from baseline (week 0) in glycosylated haemoglobin (HbA1c) was evaluated 26 weeks after randomisation. (NCT02906917)
Timeframe: Week 0, week 26
Intervention | % of HbA1c (Mean) |
---|
| Baseline (week 0) | Change from baseline (week 26) |
---|
Insulin Degludec/Insulin Aspart | 8.2 | -1.1 |
,Insulin Glargine + Insulin Aspart | 8.1 | -1.1 |
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Change in FPG
Change from baseline (week 0) in fasting plasma glucose (FPG) was evaluated 26 and 38 weeks after randomisation, respectively. (NCT02906917)
Timeframe: Week 0, week 26, week 38
Intervention | mg/dL (Mean) |
---|
| Baseline: Week 0 | Change from baseline: Week 26 | Change from baseline: Week 38 |
---|
Insulin Degludec/Insulin Aspart | 162.4 | -42.1 | -48.6 |
,Insulin Glargine + Insulin Aspart | 157.8 | -40.6 | -41.5 |
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Change in Body Weight
Change from baseline (week 0) in body weight was evaluated 26 and 38 weeks after randomisation, respectively. (NCT02906917)
Timeframe: Week 0, week 26, week 38
Intervention | Kg (Mean) |
---|
| Baseline: Week 0 | Change from basline: Week 26 | Change from basline: Week 38 |
---|
Insulin Degludec/Insulin Aspart | 88.5 | 1.7 | 2.5 |
,Insulin Glargine + Insulin Aspart | 88.4 | 1.4 | 2.4 |
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Total Insulin Dose
Total insulin dose was evaluated 26 and 38 weeks after randomisation, respectively. (NCT02906917)
Timeframe: Week 26 and week 38
Intervention | Units (Mean) |
---|
| Week 26 | Week 38 |
---|
Insulin Degludec/Insulin Aspart | 70.9 | 83.4 |
,Insulin Glargine + Insulin Aspart | 79.4 | 89.3 |
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Responder (Yes/No) for HbA1c <7% Without Severe or BG Confirmed Symptomatic Hypoglycaemia
Participants achieving (yes/no) HbA1c <7% without severe or blood glucose (BG) confirmed symptomatic hypoglycaemia, was evaluated 26 and 38 weeks after randomisation, respectively. Severe or BG confirmed symptomatic hypoglycaemia: An episode that is severe according to the American Diabetes Association (ADA) classification or BG confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Severe hypoglycaemia as per ADA classification: An episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. Plasma glucose concentrations may not be available during an event, but neurological recovery following the return of plasma glucose to normal is considered sufficient evidence that the event was induced by a low plasma glucose concentration. (NCT02906917)
Timeframe: Week 26 and week 38
Intervention | Number of participants (Number) |
---|
| Week 26: Yes | Week 26: No | Week 38: Yes | Week 38: No |
---|
Insulin Degludec/Insulin Aspart | 73 | 168 | 60 | 174 |
,Insulin Glargine + Insulin Aspart | 61 | 181 | 56 | 177 |
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Responder (Yes/No) for HbA1c < 7%
Participants achieving (yes/no) HbA1c <7% was evaluated 26 and 38 weeks after randomisation, respectively. (NCT02906917)
Timeframe: Week 26 and week 38
Intervention | Number of participants (Number) |
---|
| Week 26: Yes | Week 26: No | Week 38: Yes | Week 38: No |
---|
Insulin Degludec/Insulin Aspart | 120 | 121 | 139 | 95 |
,Insulin Glargine + Insulin Aspart | 120 | 122 | 140 | 93 |
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Number of Days of Hospital Stay
The number of days of hospital stay for each subject will be recorded. (NCT03013985)
Timeframe: Up to 10 days
Intervention | days (Median) |
---|
Basal Bolus Insulin With Glargine U300 and Glulisine Insulin | 6 |
Basal Bolus Insulin With Glargine U100 and Glulisine Insulin | 4 |
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Mean Daily Glucose in Patients With Admission HbA1c Lower Than 8%
Glycemic control will be measured by mean daily blood glucose concentration for subjects with HbA1c lower than 8% at admission. The average of all pre-meal and bedtime glucose values will be calculated. (NCT03013985)
Timeframe: up to 3 months post enrollment
Intervention | mg/dL (Mean) |
---|
Basal Bolus Insulin With Glargine U300 and Glulisine Insulin | 150 |
Basal Bolus Insulin With Glargine U100 and Glulisine Insulin | 134.4 |
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Mean Daily Glucose in Patients With Admission HbA1c Higher Than 8%
Mean daily blood glucose concentration for subjects with HbA1c higher than 8% at admission will be recorded (NCT03013985)
Timeframe: up to 3 months post enrollment
Intervention | mg/dL (Mean) |
---|
Basal Bolus Insulin With Glargine U300 and Glulisine Insulin | 152.3 |
Basal Bolus Insulin With Glargine U100 and Glulisine Insulin | 155.6 |
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Mean Daily Blood Glucose Concentration Inpatient
The mean daily blood glucose concentration for all participants will be calculated by taking the average of all pre-meal and bedtime glucose values collected each day after the first day of therapy during the hospital stay. (NCT03013985)
Timeframe: up to 10 days (day of hospital discharge)
Intervention | mg/dL (Mean) |
---|
Basal Bolus Insulin With Glargine U300 and Glulisine Insulin | 186 |
Basal Bolus Insulin With Glargine U100 and Glulisine Insulin | 184 |
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Mean Daily Glucose in Patients With Length of Stay Shorter Than 5 Days
Glycemic control will be conducted by measuring mean daily blood glucose concentration for subjects with length of hospital stay shorter than 5 days (NCT03013985)
Timeframe: Up to 5 days
Intervention | mg/dL (Mean) |
---|
Basal Bolus Insulin With Glargine U300 and Glulisine Insulin | 193.53 |
Basal Bolus Insulin With Glargine U100 and Glulisine Insulin | 193.64 |
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Hospital Mortality
Number of hospital deaths that occur. (NCT03013985)
Timeframe: During hospital stay - up to 10 days
Intervention | events (Number) |
---|
Basal Bolus Insulin With Glargine U300 and Glulisine Insulin | 0 |
Basal Bolus Insulin With Glargine U100 and Glulisine Insulin | 2 |
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Percent of Subjects With Severe Hypoglycemia
Percent of subjects experiencing severe hypoglycemia (BG <54 mg/dl) will be recorded. (NCT03013985)
Timeframe: 3 months post enrollment
Intervention | percentage of subjects (Number) |
---|
Basal Bolus Insulin With Glargine U300 and Glulisine Insulin | 0 |
Basal Bolus Insulin With Glargine U100 and Glulisine Insulin | 6 |
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Percent of Subjects With Hypoglycemic Events
Percent of of subjects with hypoglycemic events (BG < 70 mg/dl) will be recorded. (NCT03013985)
Timeframe: 3 months post enrollment
Intervention | percentage of subjects (Number) |
---|
Basal Bolus Insulin With Glargine U300 and Glulisine Insulin | 8.7 |
Basal Bolus Insulin With Glargine U100 and Glulisine Insulin | 9.5 |
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Mean Daily Blood Glucose Concentration After Hospital Discharge
Subjects will measure their blood sugar levels at home by finger stick before meals two or three times per day and record the readings in a diary. The readings will be averaged for each day and the mean daily blood glucose concentration will be calculated. (NCT03013985)
Timeframe: assessed from day 11 (day after hospital discharge) up to 3 months
Intervention | mg/dL (Mean) |
---|
Basal Bolus Insulin With Glargine U300 and Glulisine Insulin | 171.6 |
Basal Bolus Insulin With Glargine U100 and Glulisine Insulin | 164.5 |
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Mean Daily Glucose in Patients With Length of Stay Shorter Than 3 Days
Glycemic control will be conducted by measuring mean daily blood glucose concentration for subjects with length of hospital stay shorter than 3 days (NCT03013985)
Timeframe: Up to 3 days
Intervention | mg/dL (Mean) |
---|
Basal Bolus Insulin With Glargine U300 and Glulisine Insulin | 169.71 |
Basal Bolus Insulin With Glargine U100 and Glulisine Insulin | 196.72 |
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Mean Daily Glucose in Patients With Length of Stay Longer Than 5 Days
Glycemic control will be measured by mean daily blood glucose concentration for subjects with length of hospital stay longer than 5 days. The average of daily pre-meal and bedtime glucose values will be calculated. (NCT03013985)
Timeframe: Up to 10 days
Intervention | mg/dL (Mean) |
---|
Basal Bolus Insulin With Glargine U300 and Glulisine Insulin | 188.46 |
Basal Bolus Insulin With Glargine U100 and Glulisine Insulin | 174.55 |
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Percent of Blood Glucose 70-180 Measured by Point of Care Test
Percent of Blood Glucose Readings in the 70-180 mg/dL Range Measured by Point of Care Test (NCT03013985)
Timeframe: 3 months post enrollment
Intervention | percentage of BG readings (Mean) |
---|
Basal Bolus Insulin With Glargine U300 and Glulisine Insulin | 50.3 |
Basal Bolus Insulin With Glargine U100 and Glulisine Insulin | 54.9 |
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Number Subjects With Cardiac Complications
The number of subjects experiencing cardiac cardiac complications will be recorded. (NCT03013985)
Timeframe: 3 months post enrollment
Intervention | Participants (Count of Participants) |
---|
Basal Bolus Insulin With Glargine U300 and Glulisine Insulin | 5 |
Basal Bolus Insulin With Glargine U100 and Glulisine Insulin | 11 |
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Number of Patients With Acute Renal Failure
The number of subjects with a clinical diagnosis with documented new-onset abnormal renal function (increment in serum creatinine > 0.5 mg/dL from baseline). (NCT03013985)
Timeframe: 3 months post enrollment
Intervention | Participants (Count of Participants) |
---|
Basal Bolus Insulin With Glargine U300 and Glulisine Insulin | 1 |
Basal Bolus Insulin With Glargine U100 and Glulisine Insulin | 1 |
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Percentage of Participants With FPG ≤ 7.2 mmol/L (130 mg/dL) at End of Treatment (up to 88 Weeks) (Yes/no)
Participants achieving a fasting plasma glucose value of less than or equal to 7.2 mmol/L (130 mg/dL) at end of treatment (up to 88 weeks). (NCT03078478)
Timeframe: At 88 weeks
Intervention | Percentage of participants (Number) |
---|
| Yes | No |
---|
Insulin Degludec 200 | 84.0 | 16.0 |
,Insulin Glargine U300 | 72.0 | 28.0 |
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Number of Nocturnal, Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Treatment (up to 88 Weeks)
Nocturnal severe or BG confirmed symptomatic hypoglycaemia was evaluated at the end of trial (88 weeks). The nocturnal period defined as the period between 00:01 and 05:59 a.m. (both inclusive). Severe or BG confirmed symptomatic hypoglycaemia: An episode that is severe according to the ADA 2013 classification or blood glucose (BG) confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. The observed rates (number of episodes divided by patient years of exposure multiplied by 100) of severe or BG-confirmed symptomatic hypoglycaemic episodes per patient years of exposure (PYE) is presented in this endpoint results. (NCT03078478)
Timeframe: 88 weeks
Intervention | Episodes/(PYE*100) (Number) |
---|
Insulin Degludec 200 | 36.93 |
Insulin Glargine U300 | 60.03 |
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Number of Severe Hypoglycaemic Episodes During Treatment (up to 88 Weeks)
Severe hypoglycaemia are those episodes positively adjudicated by the event adjudication committee according to the ADA definition of a severe hypoglycaemic episode. This was evaluated for the total trial period (88 weeks). The observed rates (number of episodes divided by patient years of exposure multiplied by 100) of severe hypoglycaemic episodes per patient years of exposure (PYE) is presented in this endpoint results. (NCT03078478)
Timeframe: 88 weeks
Intervention | Episodes/(PYE*100) (Number) |
---|
Insulin Degludec 200 | 2.06 |
Insulin Glargine U300 | 5.21 |
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Number of Severe Hypoglycaemic Episodes During Maintenance 2 (36 Weeks)
Severe hypoglycaemia are those episodes positively adjudicated by the event adjudication committee according to the ADA definition of a severe hypoglycaemic episode. This was evaluated for maintenance 2 period. The observed rates (number of episodes divided by patient years of exposure multiplied by 100) of severe hypoglycaemic episodes per patient years of exposure (PYE) is presented in this endpoint results. (NCT03078478)
Timeframe: 36 weeks (maintenance 2)
Intervention | Episodes/(PYE*100) (Number) |
---|
Insulin Degludec 200 | 0.98 |
Insulin Glargine U300 | 4.88 |
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Number of Nocturnal, Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks)
Nocturnal severe or BG confirmed symptomatic hypoglycaemia was evaluated during maintenance 2 (36 weeks). The nocturnal period defined as the period between 00:01 and 05:59 a.m. (both inclusive). Severe or BG confirmed symptomatic hypoglycaemia: An episode that is severe according to the ADA 2013 classification or blood glucose (BG) confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. The observed rates (number of episodes divided by patient years of exposure multiplied by 100) of severe or BG-confirmed symptomatic hypoglycaemic episodes per patient years of exposure (PYE) is presented in this endpoint results. (NCT03078478)
Timeframe: 36 weeks
Intervention | Episodes/(PYE*100) (Number) |
---|
Insulin Degludec 200 | 62.30 |
Insulin Glargine U300 | 93.75 |
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Number of Adverse Events From Randomisation to End of Maintenance Period 2 (up to 88 Weeks)
The adverse events presented are treatment emergent. A treatment-emergent AE (TEAE) was defined as an event that had onset date on or after the first day of exposure to randomised treatment and no later than 7 days after the last days of randomised treatment or had onset date before the first day of exposure on randomised treatment and increased in severity during the treatment period and until 7 days after the last date of randomised treatment. Number of adverse events expressed in rates, from randomisation to end of maintenance period 2 (up to 88 weeks) is presented. Rate = number of events divided by patient years of exposure multiplied by 100. (NCT03078478)
Timeframe: 88 weeks
Intervention | Episodes/(PYE*100) (Number) |
---|
Insulin Degludec 200 | 367.32 |
Insulin Glargine U300 | 365.42 |
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Change in HbA1c From Baseline to End of Treatment (up to 88 Weeks)
Change in glycosylated haemoglobin (HbA1c) was evaluated from baseline to end of treatment period (week 88). (NCT03078478)
Timeframe: Week 0, week 88
Intervention | Percentage of HbA1c (Mean) |
---|
Insulin Degludec 200 | -0.54 |
Insulin Glargine U300 | -0.46 |
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Change in Fasting Plasma Glucose (FPG) From Baseline to End of Treatment (up to 88 Weeks)
Change in fasting plasma glucose (FPG) was evaluated from baseline to end of treatment period (week 88). (NCT03078478)
Timeframe: Week 0, week 88
Intervention | mg/dL (Mean) |
---|
Insulin Degludec 200 | -35.50 |
Insulin Glargine U300 | -25.68 |
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Number of Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks)
Severe or BG confirmed symptomatic hypoglycaemia was evaluated during maintenance 2 (36 weeks) period. Severe or BG confirmed symptomatic hypoglycaemia: An episode that is severe according to the ADA 2013 classification or blood glucose (BG) confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. The observed rates (number of episodes divided by patient years of exposure multiplied by 100) of severe or BG-confirmed symptomatic hypoglycaemic episodes per patient years of exposure (PYE) is presented in this endpoint results. (NCT03078478)
Timeframe: 36 Weeks
Intervention | Episodes/(PYE*100) (Number) |
---|
Insulin Degludec 200 | 216.8 |
Insulin Glargine U300 | 243.9 |
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Change in Body Weight From Baseline to End of Treatment (up to 88 Weeks)
Change in body weight, measured in kilograms, from baseline (week 0) to end of treatment (week 88). (NCT03078478)
Timeframe: Week 0, week 88
Intervention | kg (Mean) |
---|
Insulin Degludec 200 | 2.9 |
Insulin Glargine U300 | 1.7 |
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Percentage of Participants With HbA1c < 7.0% (53 mmol/Mol) at End of Treatment (up to 88 Weeks) and no Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks) (Yes/no)
Participants achieving target HbA1c of less than 7.0% at the end of treatment (88 weeks) without severe or BG-confirmed hypoglycaemia during maintenance 2 (36 weeks). (NCT03078478)
Timeframe: End of Treatment (up to 88 Weeks)
Intervention | Percentage of participants (Number) |
---|
| Yes | No |
---|
Insulin Degludec 200 | 35.3 | 64.7 |
,Insulin Glargine U300 | 30.0 | 70.0 |
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Percentage of Participants With HbA1c < 7.0% (53 mmol/Mol) at End of Treatment (up to 88 Weeks) and no Nocturnal, Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Maintenance 2 (36 Weeks) (Yes/no)
Participants achieving target HbA1c of less than 7.0% at the end of treatment (88 weeks) without nocturnal severe or BG-confirmed hypoglycaemia during maintenance 2 (36 weeks). (NCT03078478)
Timeframe: At 88 weeks
Intervention | Percentage of participants (Number) |
---|
| Yes | No |
---|
Insulin Degludec 200 | 47.4 | 52.6 |
,Insulin Glargine U300 | 39.3 | 60.7 |
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Basal Insulin Dose (U) at End of Treatment (up to 88 Weeks)
The observed mean daily basal insulin doses was evaluated at the end of trial (88 weeks). (NCT03078478)
Timeframe: 88 weeks
Intervention | Units (Mean) |
---|
Insulin Degludec 200 | 66.6 |
Insulin Glargine U300 | 73.0 |
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Percentage of Participants With FPG ≤ 5.0 mmol/L (90 mg/dL) at End of Treatment (up to 88 Weeks) (Yes/no)
Participants achieving a fasting plasma glucose value of less than or equal to 5.0 mmol/L (90 mg/dL) at end of treatment (up to 88 weeks). (NCT03078478)
Timeframe: At 88 weeks
Intervention | Percentage of participants (Number) |
---|
| Yes | No |
---|
Insulin Degludec 200 | 31.5 | 68.5 |
,Insulin Glargine U300 | 21.7 | 78.3 |
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Change in Mean Pre-breakfast Self-measured Plasma Glucose Used for Titration From Baseline to End of Treatment (up to 88 Weeks)
Participants measured their pre-breakfast self-measured plasma glucose (SMPG) value until end of treatment (week 88). Mean pre-breakfast self-measured plasma glucose used for titration at baseline and end of treatment (up to 88 weeks) are presented. (NCT03078478)
Timeframe: Week 0, week 88
Intervention | mmol/L (Mean) |
---|
| Baseline (week 0) | End of treatment (week 88) |
---|
Insulin Degludec 200 | 8.39 | 5.46 |
,Insulin Glargine U300 | 8.41 | 5.56 |
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Number of Severe or BG-confirmed Symptomatic Hypoglycaemic Episodes During Treatment (up to 88 Weeks)
Severe or BG confirmed symptomatic hypoglycaemia was evaluated during treatment (up to 88 weeks). Severe or BG confirmed symptomatic hypoglycaemia: An episode that is severe according to the ADA 2013 classification or blood glucose (BG) confirmed by a plasma glucose value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. The observed rates (number of episodes divided by patient years of exposure multiplied by 100) of severe or BG-confirmed symptomatic hypoglycaemic episodes per patient years of exposure (PYE) is presented in this endpoint results. (NCT03078478)
Timeframe: 88 weeks
Intervention | Episodes/(PYE*100) (Number) |
---|
Insulin Degludec 200 | 137.8 |
Insulin Glargine U300 | 163.7 |
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Plasma Concentration/Time (AUC0-24) of MK-5160
Area Under the Plasma Concentration/Time Curve for MK-5160 from Time 0 to 24 hours (AUC0-24) is a measure of the total amount of MK-5160 in the plasma from the dose administration to 24 hours. Glargine data are presented in the following outcome measure. (NCT03095651)
Timeframe: Day 1 clamp: -15 min. (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 hours FSOI. Day 12: -15 min (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 hours FSOI.
Intervention | hr*nM (Geometric Mean) |
---|
| Day 1 | Day 12 |
---|
T1DM MK-5160 16 Nmol/kg | 9.79 | 42.90 |
,T1DM MK-5160 32 Nmol/kg | 26.39 | 105.5 |
,T2DM MK-5160 32 Nmol/kg | 17.44 | 63.29 |
,T2DM MK-5160 64 Nmol/kg | 25.32 | 147.7 |
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Time to Maximum Plasma Concentration
Time to reach the maximum plasma concentration (Tmax) of study drug after the dose is given. (NCT03095651)
Timeframe: Day 1 clamp: -15 min. (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 hours FSOI. Day 12: -15 min (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, and 168 hours FSOI.
Intervention | hour (Median) |
---|
| Day 1 | Day 12 |
---|
T1DM Glargine 0.4 U/kg | 3.49 | 1.50 |
,T1DM MK-5160 16 Nmol/kg | 0.75 | 0.75 |
,T1DM MK-5160 32 Nmol/kg | 0.75 | 1.00 |
,T2DM Glargine 0.6 U/kg | 1.49 | 0.98 |
,T2DM MK-5160 32 Nmol/kg | 1.00 | 1.00 |
,T2DM MK-5160 64 Nmol/kg | 1.00 | 1.00 |
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Steady State Plasma Concentration (Css) of MK-5160
"Css of MK-5160 is the amount of MK-5160 in a given volume of plasma at the time a steady state has been achieved, and rates of MK-5160 administration and MK-5160 elimination are equal. Glargine data are presented in the following outcome measure." (NCT03095651)
Timeframe: Day 12: -15 min (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, and 168 hours FSOI.
Intervention | nM (Geometric Mean) |
---|
T1DM MK-5160 16 Nmol/kg | 1.79 |
T1DM MK-5160 32 Nmol/kg | 4.40 |
T2DM MK-5160 32 Nmol/kg | 2.64 |
T2DM MK-5160 64 Nmol/kg | 6.15 |
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Apparent Terminal Half-life
Apparent Terminal Half-life (t1/2) is the time required for a given MK-5160 concentration in the plasma to decrease by 50%. (NCT03095651)
Timeframe: Day 1 clamp: -15 min. (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 hours FSOI. Day 12: -15 min (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, and 168 hours FSOI.
Intervention | hour (Geometric Mean) |
---|
T1DM MK-5160 16 Nmol/kg | 20.01 |
T1DM MK-5160 32 Nmol/kg | 21.69 |
T2DM MK-5160 32 Nmol/kg | 13.10 |
T2DM MK-5160 64 Nmol/kg | 14.47 |
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Day 12 to Day 1 Accumulation Ratio of AUC0-24.
Day 12 to Day 1 Accumulation Ratio (AR) of the AUC0-24 of study drug (MK-5160 or glargine). Geometric mean accumulation ratio = Day 12 AUC0-24/Day 1 AUC0-24 (NCT03095651)
Timeframe: Day 1 clamp: -15 min. (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 hours FSOI. Day 12: -15 min (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 hours FSOI.
Intervention | Ratio (Geometric Mean) |
---|
T1DM MK-5160 16 Nmol/kg | 4.38 |
T1DM MK-5160 32 Nmol/kg | 4.00 |
T1DM Glargine 0.4 U/kg | 1.24 |
T2DM MK-5160 32 Nmol/kg | 3.63 |
T2DM MK-5160 64 Nmol/kg | 5.83 |
T2DM Glargine 0.6 U/kg | 2.36 |
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Day 12 to Day 1 Accumulation Ratio of Cmax
Day 12 to Day 1 accumulation ratio (AR) of Cmax of MK-5160 and glargine following multiple dose administration of study drug. Geometric mean accumulation ratio = Day 12 Cmax/Day 1 Cmax. (NCT03095651)
Timeframe: Day 1 clamp: -15 min. (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 hours FSOI. Day 12: -15 min (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, and 168 hours FSOI.
Intervention | Ratio (Geometric Mean) |
---|
T1DM MK-5160 16 Nmol/kg | 3.08 |
T1DM MK-5160 32 Nmol/kg | 3.40 |
T1DM Glargine 0.4 U/kg | 1.17 |
T2DM MK-5160 32 Nmol/kg | 2.89 |
T2DM MK-5160 64 Nmol/kg | 4.72 |
T2DM Glargine 0.6 U/kg | 1.80 |
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Maximal Glucose Infusion Rate
Maximal glucose infusion rate required to maintain target glucose levels in a euglycemic clamp setting (GIRmax) at steady state (Day 12) following administration of study drug. In cases where the lower bound of the CI was negative, the lower confidence limit was truncated at zero. In these cases, the confidence intervals are 97.5% CIs. (NCT03095651)
Timeframe: Up to 24 hours post-dose on Day 12
Intervention | mg/kg/min (Mean) |
---|
T1DM MK-5160 16 Nmol/kg | 2.15 |
T1DM MK-5160 32 Nmol/kg | 2.86 |
T1DM Glargine 0.4 U/kg | 2.56 |
T2DM MK-5160 32 Nmol/kg | 1.98 |
T2DM MK-5160 64 Nmol/kg | 2.15 |
T2DM Glargine 0.6 U/kg | 3.25 |
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Number of Participants Discontinuing Study Drug Due to an AE
An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT03095651)
Timeframe: Up to 12 days
Intervention | Participants (Count of Participants) |
---|
T1DM MK-5160 16 Nmol/kg | 0 |
T1DM MK-5160 32 Nmol/kg | 0 |
T1DM MK-5160 64 Nmol/kg | 0 |
T1DM Glargine 0.4 U/kg | 0 |
T2DM MK-5160 16 Nmol/kg | 0 |
T2DM MK-5160 32 Nmol/kg | 0 |
T2DM MK-5160 64 Nmol/kg | 0 |
T2DM Glargine 0.6 U/kg | 0 |
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Number of Participants Experiencing an Adverse Event (AE)
An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT03095651)
Timeframe: Up to 33 days
Intervention | Participants (Count of Participants) |
---|
T1DM MK-5160 16 Nmol/kg | 6 |
T1DM MK-5160 32 Nmol/kg | 6 |
T1DM MK-5160 64 Nmol/kg | 0 |
T1DM Glargine 0.4 U/kg | 4 |
T2DM MK-5160 16 Nmol/kg | 0 |
T2DM MK-5160 32 Nmol/kg | 7 |
T2DM MK-5160 64 Nmol/kg | 6 |
T2DM Glargine 0.6 U/kg | 4 |
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Plasma Clearance
Plasma Clearance (CL) of study drug is the volume of plasma cleared of study drug per unit time. (NCT03095651)
Timeframe: Day 12: -15 min (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, and 168 hours FSOI.
Intervention | L/hr/kg (Geometric Mean) |
---|
T1DM MK-5160 16 Nmol/kg | 0.37 |
T1DM MK-5160 32 Nmol/kg | 0.30 |
T1DM Glargine 0.4 U/kg | 10.01 |
T2DM MK-5160 32 Nmol/kg | 0.51 |
T2DM MK-5160 64 Nmol/kg | 0.43 |
T2DM Glargine 0.6 U/kg | 10.19 |
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Steady State Plasma Concentration (Css) of Glargine
"Css of glargine is the amount of glargine in a given volume of plasma at the time a steady state has been achieved, and rates of glargine administration and glargine elimination are equal. MK-5160 data are presented in the preceding outcome measure." (NCT03095651)
Timeframe: Day 12: -15 min (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, and 168 hours FSOI.
Intervention | pmol/L (Geometric Mean) |
---|
T1DM Glargine 0.4 U/kg | 9.99 |
T2DM Glargine 0.6 U/kg | 14.72 |
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Maximum Plasma Concentration (Cmax) of Glargine
Cmax of glargine following multiple dose administration of study drug. MK-5160 data are presented in the preceding outcome measure. (NCT03095651)
Timeframe: Day 1 clamp: -15 min. (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 hours FSOI. Day 12: -15 min (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, and 168 hours FSOI.
Intervention | pmol/L (Geometric Mean) |
---|
| Day 1 | Day 12 |
---|
T1DM Glargine 0.4 U/kg | 17.26 | 20.28 |
,T2DM Glargine 0.6 U/kg | 18.97 | 34.18 |
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Maximum Plasma Concentration (Cmax) of MK-5160
Cmax of MK-5160 following multiple dose administration of study drug. Glargine data are presented in the following outcome measure. (NCT03095651)
Timeframe: Day 1 clamp: -15 min. (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 hours following start of injection (FSOI). Day 12: -15 min (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, and 168 hours FSOI.
Intervention | nM (Geometric Mean) |
---|
| Day 1 | Day 12 |
---|
T1DM MK-5160 16 Nmol/kg | 0.76 | 2.33 |
,T1DM MK-5160 32 Nmol/kg | 1.58 | 5.38 |
,T2DM MK-5160 32 Nmol/kg | 1.33 | 3.85 |
,T2DM MK-5160 64 Nmol/kg | 1.91 | 9.03 |
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Plasma Concentration/Time (AUC0-24) of Glargine
AUC0-24 is a measure of the total amount of glargine in the plasma from the dose administration to 24 hours. MK-5160 data are presented in the preceding outcome measure. (NCT03095651)
Timeframe: Day 1 clamp: -15 min. (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 hours FSOI. Day 12: -15 min (predose), 10, 30 min., 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 hours FSOI.
Intervention | hr*pmol/L (Geometric Mean) |
---|
| Day 1 | Day 12 |
---|
T1DM Glargine 0.4 U/kg | 193.6 | 239.8 |
,T2DM Glargine 0.6 U/kg | 149.6 | 353.3 |
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Evaluation of CGM and POC Glucose Monitoring During DKA Treatment in Children.
Evaluation of the feasibility of CGM as a tool to monitor blood glucose levels during DKA treatment in children. The number of participants who consented to wear and placed the CGM is reported. (NCT03107208)
Timeframe: During treatment of DKA and within 12 hours after discontinuation of IV insulin.
Intervention | Participants (Count of Participants) |
---|
Early Glargine (Lantus) | 4 |
Control Group | 2 |
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Rate of Recurrent Ketogenesis
Evaluate the rate of recurrent ketogenesis (beta-hydroxybutyrate ≥ 1.5 mmol/L within 12 hours after discontinuation of IV insulin) in children treated for diabetic ketoacidosis (DKA) with early glargine versus standard-of-care management. The number of patients that met this threshold is reported. (NCT03107208)
Timeframe: Within 12 hours after discontinuation of IV insulin
Intervention | Participants (Count of Participants) |
---|
Early Glargine (Lantus) | 4 |
Control Group | 1 |
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Risk of Hypoglycemia Between Those Given Early Administration of Glargine Versus Those Given Standard-of-care Management.
Assessment of the frequency of hypoglycemic events during treatment of DKA, and within 12 hours after discontinuation of IV insulin, in children given early glargine versus standard-of-care management vs. the rate of blood glucose decrease while receiving IV insulin in children with DKA given early glargine versus standard-of-care management. The number of participants who experienced hypoglycemia is reported. (NCT03107208)
Timeframe: During treatment and within 12 hours after d/c IV insulin; while receiving IV insulin in children with DKA given early glargine versus standard-of-care management.
Intervention | Participants (Count of Participants) |
---|
Early Glargine (Lantus) | 4 |
Control Group | 2 |
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Rate of Rebound Hyperglycemia
Evaluate the rate of rebound hyperglycemia with a glucometer, defined as a serum glucose level of greater than 180 mg/dL (>10 mmol/L) within 12 hours after discontinuation of IV insulin, in children treated for diabetic ketoacidosis (DKA) with early glargine versus standard-of-care management. The number of patients that met this threshold is reported. (NCT03107208)
Timeframe: Within 12 hours after discontinuation of IV insulin
Intervention | Participants (Count of Participants) |
---|
Early Glargine (Lantus) | 20 |
Control Group | 18 |
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Time to Reach a 50% Decrease In Plasma MK-1092 Concentration (t1/2) Parts 1 and 3
t1/2 is the time required for a given drug concentration in the plasma to decrease by 50% after the drug dose is given in Parts 1 and 3 only. The method of dispersion referenced below of geometric coefficient of variation is actually percent geometric coefficient of variation. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected and at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28)
Intervention | Hours (Geometric Mean) |
---|
Part 1 (Healthy Adults) MK-1092 4.0 Nmol/kg | 6.39 |
Part 1 (Healthy Adults) MK-1092 8.0 Nmol/kg | 6.17 |
Part 1 (Healthy Adults) MK-1092 16 Nmol/kg | 5.41 |
Part 1 (Healthy Adults) MK-1092 32 Nmol/kg | 5.84 |
Part 1 (Healthy Adults) MK-1092 64 Nmol/kg | 9.27 |
Part 3 (T1DM) MK-1092 8.0 Nmol/kg | 8.54 |
Part 3 (T1DM) MK-1092 32 Nmol/kg | 6.70 |
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Time to Reach a 50% Decrease In Plasma MK-1092 Concentration (t1/2) Part 4
t1/2 is the time required for a given drug concentration in the plasma to decrease by 50% after the drug dose is given in Part 4 only. The method of dispersion referenced below of geometric coefficient of variation is actually percent geometric coefficient of variation. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected and at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28)
Intervention | Hours (Geometric Mean) |
---|
Part 4 (T2DM) MK-1092 32 Nmol/kg (Period 1) | 8.26 |
Part 4 (T2DM) MK-1092 16 Nmol/kg (Period 2) | 9.09 |
Part 4 (T2DM) MK-1092 64 Nmol/kg (Period 3) | 7.28 |
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Time to Reach a 50% Decrease In Plasma Insulin Glargine Concentration (t1/2) Parts 1 and 3
t1/2 is the time required for a given drug concentration in the plasma to decrease by 50% after the drug dose is given in Parts 1 and 3 only. Healthy participants received glargine in Panel A-E, and participants with T1DM received glargine in Panel G and H. The method of dispersion referenced below of geometric coefficient of variation is actually percent geometric coefficient of variation. In Part 1, 8 participants (across 5 dosing panels) received glargine and had sufficient terminal phase data, and, in Part 3, 3 participants (across 2 dosing panels) received glargine and sufficient terminal phase data. These 8 participants in Part 1 were analyzed together and these 3 participants in Part 3 were analyzed together given the small numbers and same treatment (same dose of glargine) received. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected and at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28)
Intervention | Hours (Geometric Mean) |
---|
Part 1 (Healthy Adults) Glargine 3.0 Nmol/kg | 18.8 |
Part 3 (T1DM) Glargine 3.0 Nmol/kg | 15.0 |
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Time to Reach a 50% Decrease In Plasma Insulin Glargine Concentration (t1/2) Part 4
t1/2 is the time required for a given drug concentration in the plasma to decrease by 50% after the drug dose is given in Part 4 only. The method of dispersion referenced below of geometric coefficient of variation is actually percent geometric coefficient of variation. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected and at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28) ]
Intervention | Hours (Geometric Mean) |
---|
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 1) | 45.2 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 2) | 8.10 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 3) | 46.5 |
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Rate of Plasma Drug Removal (CL/F) MK-1092 Parts 1 and 3
CL/F is the rate at which a drug is removed from the body via renal, hepatic, and other clearance pathways after the dose is given in Parts 1 and 3 only. The method of dispersion referenced below of geometric coefficient of variation is actually percent geometric coefficient of variation. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28)
Intervention | L/hr (Geometric Mean) |
---|
Part 1 (Healthy Adults) MK-1092 4.0 Nmol/kg | 25.6 |
Part 1 (Healthy Adults) MK-1092 8.0 Nmol/kg | 35.0 |
Part 1 (Healthy Adults) MK-1092 16 Nmol/kg | 33.8 |
Part 1 (Healthy Adults) MK-1092 32 Nmol/kg | 32.2 |
Part 1 (Healthy Adults) MK-1092 64 Nmol/kg | 31.7 |
Part 3 (T1DM) MK-1092 8.0 Nmol/kg | 33.6 |
Part 3 (T1DM) MK-1092 32 Nmol/kg | 35.9 |
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Rate of Plasma Drug Removal (CL/F) MK-1092 Part 4
CL/F is the rate at which a drug is removed from the body via renal, hepatic, and other clearance pathways after the dose is given in Part 4 only. The method of dispersion referenced below of geometric coefficient of variation is actually percent geometric coefficient of variation. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28)
Intervention | L/hr (Geometric Mean) |
---|
Part 4 (T2DM) MK-1092 32 Nmol/kg (Period 1) | 55.6 |
Part 4 (T2DM) MK-1092 16 Nmol/kg (Period 2) | 45.9 |
Part 4 (T2DM) MK-1092 64 Nmol/kg (Period 3) | 40.7 |
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GIRmax After a Single Dose Administration of Subcutaneous MK-1092 or Glargine to Adult Participants With Type 2 Diabetes Mellitus (T2DM) (Part 4)
The GIRmax, following administration of MK-1092 SC or glargine SC, was determined by use of a continuous glucose infusion during the euglycemic clamp so that glucose levels remained in the euglycemic range and hypoglycemia was prevented. Blood glucose was monitored frequently (~every 5 minutes), allowing rapid changes to the rate of glucose infusion. For Part 4, a linear mixed effects model containing a fixed effect for treatment (MK-1092, Glargine), a nested effect from participants within treatment, an interaction between treatment and period (treatment by period: Period = Period 1, 2, 3) and a random effect due to participants was used. MK-1092 was administered to a single cohort of participants in Periods 1, 2, and 3. Glargine was administered to a single cohort of participants as 3.0 nmol/kg SC in Periods 1, 2, and 3. (NCT03170544)
Timeframe: Up to approximately 24 hours post-dose
Intervention | mg/kg/min (Mean) |
---|
Part 4 (T2DM) MK-1092 32 Nmol/kg (Period 1) | 1.90 |
Part 4 (T2DM) MK-1092 16 Nmol/kg (Period 2) | 1.40 |
Part 4 (T2DM) MK-1092 64 Nmol/kg SC (Period 3) | 2.83 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg SC (Period 1) | 0.93 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg SC (Period 2) | 1.43 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg SC (Period 3) | 1.20 |
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GIRmax After a Single Dose Administration of Subcutaneous MK-1092 or Glargine to Healthy Adult Participants (Part 1)
The GIRmax required to maintain blood glucose at each participants' individual clamp target, following administration of MK-1092 SC or glargine SC was determined by use of a continuous glucose infusion during the euglycemic clamp so that glucose levels remained in the euglycemic range and hypoglycemia was prevented. Blood glucose was monitored frequently (~every 5 minutes), allowing rapid changes to the rate of glucose infusion. Mean and 95% CI were based on a linear fixed effects model containing a fixed effect for treatment (MK-1092 doses, Glargine). In Part 1, 10 participants (across 5 dosing panels) received glargine. These 10 participants in Part 1 were analyzed together given the small numbers and same treatment (same dose of glargine) received. (NCT03170544)
Timeframe: Up to approximately 24 hours post-dose
Intervention | mg/kg/min (Mean) |
---|
Part 1 (Healthy Adults) MK-1092 4.0 Nmol/kg | 0.92 |
Part 1 (Healthy Adults) MK-1092 8.0 Nmol/kg | 1.69 |
Part 1 (Healthy Adults) MK-1092 16 Nmol/kg | 3.10 |
Part 1 (Healthy Adults) MK-1092 32 Nmol/kg | 3.32 |
Part 1 (Healthy Adults) MK-1092 64 Nmol/kg | 4.39 |
Part 1 (Healthy Adults) Glargine 3.0 Nmol/kg | 2.72 |
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Maximal Plasma Insulin Glargine Concentration (Cmax) Part 4
Cmax is a measure of the maximum amount of drug in the plasma after the dose is given in Parts 4 only. The method of dispersion referenced below of geometric coefficient of variation is actually percent geometric coefficient of variation. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28)
Intervention | pg/mL (Geometric Mean) |
---|
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 1) | 85.6 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 2) | 91.9 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 3) | 105 |
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Maximal Plasma Insulin Glargine Concentration (Cmax) Parts 1 and 3
Cmax is a measure of the maximum amount of drug in the plasma after the dose is given in Parts 1 and 3 only. Healthy participants received glargine in Panel A-E, and participants with T1DM received glargine in Panel G and H. The method of dispersion referenced below of geometric coefficient of variation is actually percent geometric coefficient of variation. In Part 1, 9 participants (across 5 dosing panels) received glargine and had quantifiable glargine levels, and, in Part 3, 4 participants (across 2 dosing panels) received glargine and had quantifiable glargine levels. These 9 participants in Part 1 were analyzed together and these 4 participants in Part 3 were analyzed together given the small numbers and same treatment (same dose of glargine) received. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28)
Intervention | pg/mL (Geometric Mean) |
---|
Part 1 (Healthy Adults) Glargine 3.0 Nmol/kg | 115 |
Part 3 (T1DM) Glargine 3.0 Nmol/kg | 186 |
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Maximal Plasma MK-1092 Concentration (Cmax) Part 4
Cmax is a measure of the maximum amount of drug in the plasma after the dose is given in Parts 4 only. The method of dispersion referenced below of geometric coefficient of variation is actually percent geometric coefficient of variation. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28)
Intervention | nM (Geometric Mean) |
---|
Part 4 (T2DM) MK-1092 32 Nmol/kg (Period 1) | 1.72 |
Part 4 (T2DM) MK-1092 16 Nmol/kg (Period 2) | 1.14 |
Part 4 (T2DM) MK-1092 64 Nmol/kg (Period 3) | 3.60 |
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Maximal Plasma MK-1092 Concentration (Cmax) Parts 1 and 3
Cmax is a measure of the maximum amount of drug in the plasma after the dose is given in Parts 1 and 3 only. The method of dispersion referenced below of geometric coefficient of variation is actually percent geometric coefficient of variation. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28)
Intervention | nM (Geometric Mean) |
---|
Part 1 (Healthy Adults) MK-1092 4.0 Nmol/kg | 0.382 |
Part 1 (Healthy Adults) MK-1092 8.0 Nmol/kg | 0.747 |
Part 1 (Healthy Adults) MK-1092 16 Nmol/kg | 1.63 |
Part 1 (Healthy Adults) MK-1092 32 Nmol/kg | 2.91 |
Part 1 (Healthy Adults) MK-1092 64 Nmol/kg | 6.82 |
Part 3 (T1DM) MK-1092 8.0 Nmol/kg | 0.788 |
Part 3 (T1DM) MK-1092 32 Nmol/kg | 3.43 |
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Number of Participants Who Discontinued the Study Due to an AE
An adverse event is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study. Adverse events that occurred beyond 14 days of dosing were considered Post-Trial AEs. Given the half-life of MK-1092 and glargine, any events observed beyond 14 days would not be considered a result of study drug and were therefore presented together. (NCT03170544)
Timeframe: Up to 58 days
Intervention | Participants (Count of Participants) |
---|
Part 1 (Healthy Adults) Glargine 3.0 Nmol/kg | 0 |
Part 1 (Healthy Adults) MK-1092 4.0 Nmol/kg | 0 |
Part 1 (Healthy Adults) MK-1092 8.0 Nmol/kg | 0 |
Part 1 (Healthy Adults) MK-1092 16 Nmol/kg | 0 |
Part 1 (Healthy Adults) MK-1092 32 Nmol/kg | 0 |
Part 1 (Healthy Adults) MK-1092 64 Nmol/kg | 0 |
Part 1 (Healthy Adults) Post-trial | 0 |
Part 2 (Healthy Adults) MK-1092 + Insulin Lipro | 0 |
Part 2 (Healthy Adults) MK-1092 + Insulin Lipro Post-Trial | 0 |
Part 3 (T1DM) Glargine 3.0 Nmol/kg | 0 |
Part 3 (T1DM) MK-1092 8.0 Nmol/kg | 0 |
Part 3 (T1DM) MK-1092 32 Nmol/kg | 0 |
Part 3 (T1DM) Post-Trial | 0 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 1) | 0 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 2) | 0 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 3) | 0 |
Part 4 (T2DM) MK-1092 32 Nmol/kg (Period 1) | 0 |
Part 4 (T2DM) MK-1092 16 Nmol/kg (Period 2) | 0 |
Part 4, (T2DM) MK-1092 64 Nmol/kg (Period 3) | 0 |
Part 4 (T2DM) Post-Trial | 0 |
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GIRmax After a Single Dose Administration of Subcutaneous MK-1092 or Glargine to Adult Participants With Type 1 Diabetes Mellitus (T1DM) (Part 3)
The GIRmax required to maintain blood glucose at each participants' individual clamp target, following administration of MK-1092 SC or glargine SC was determined by use of a continuous glucose infusion during the euglycemic clamp so that glucose levels remained in the euglycemic range and hypoglycemia was prevented. Blood glucose was monitored frequently (~every 5 minutes), allowing rapid changes to the rate of glucose infusion. Mean and 95% CI were based on a linear fixed effects model containing a fixed effect for treatment (MK-1092 Doses, Glargine). In Part 3, 4 participants (across 2 dosing panels) received glargine. These 4 participants were analyzed together given the small numbers and the same treatment (same dose of glargine) received. (NCT03170544)
Timeframe: Up to approximately 24 hours post-dose
Intervention | mg/kg/min (Mean) |
---|
Part 3 (T1DM) MK-1092 8.0 Nmol/kg | 1.33 |
Part 3 (T1DM) MK-1092 32 Nmol/kg | 2.74 |
Part 3 (T1DM) Glargine 3.0 Nmol/kg | 2.32 |
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Area Under the Plasma Drug Curve From 0 to Infinity (AUC0-inf) MK-1092 Parts 1 and 3
AUC0-inf is a measure of the total concentration levels of drug in the plasma after the dose is given in Parts 1 and 3 only. The method of dispersion referenced below of geometric coefficient of variation is actually percent geometric coefficient of variation. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28)
Intervention | nM*hr (Geometric Mean) |
---|
Part 1 (Healthy Adults) MK-1092 4.0 Nmol/kg | 10.6 |
Part 1 (Healthy Adults) MK-1092 8.0 Nmol/kg | 17.2 |
Part 1 (Healthy Adults) MK-1092 16 Nmol/kg | 37.5 |
Part 1 (Healthy Adults) MK-1092 32 Nmol/kg | 76.0 |
Part 1 (Healthy Adults) MK-1092 64 Nmol/kg | 161 |
Part 3 (T1DM) MK-1092 8.0 Nmol/kg | 21.5 |
Part 3 (T1DM) MK-1092 32 Nmol/kg | 74.9 |
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Number of Participants Who Experienced an Adverse Event (AE)
An adverse event is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study. Adverse events that occurred beyond 14 days of dosing were considered Post-Trial AEs. Given the half-life of MK-1092 and glargine, any events observed beyond 14 days would not be considered a result of study drug and were therefore presented together. (NCT03170544)
Timeframe: Up to 112 days
Intervention | Participants (Count of Participants) |
---|
Part 1 (Healthy Adults) Glargine 3.0 Nmol/kg | 1 |
Part 1 (Healthy Adults) MK-1092 4.0 Nmol/kg | 1 |
Part 1 (Healthy Adults) MK-1092 8.0 Nmol/kg | 4 |
Part 1 (Healthy Adults) MK-1092 16 Nmol/kg | 3 |
Part 1 (Healthy Adults) MK-1092 32 Nmol/kg | 3 |
Part 1 (Healthy Adults) MK-1092 64 Nmol/kg | 2 |
Part 1 (Healthy Adults) Post-trial | 0 |
Part 2 (Healthy Adults) MK-1092 + Insulin Lipro | 3 |
Part 2 (Healthy Adults) MK-1092 + Insulin Lipro Post-Trial | 1 |
Part 3 (T1DM) Glargine 3.0 Nmol/kg | 2 |
Part 3 (T1DM) MK-1092 8.0 Nmol/kg | 6 |
Part 3 (T1DM) MK-1092 32 Nmol/kg | 5 |
Part 3 (T1DM) Post-Trial | 2 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 1) | 3 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 2) | 1 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 3) | 0 |
Part 4 (T2DM) MK-1092 32 Nmol/kg (Period 1) | 3 |
Part 4 (T2DM) MK-1092 16 Nmol/kg (Period 2) | 3 |
Part 4, (T2DM) MK-1092 64 Nmol/kg (Period 3) | 4 |
Part 4 (T2DM) Post-Trial | 0 |
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Time-Weighted Average GIR (TWA[GIR]) After a Single Dose Administration of Subcutaneous MK-1092 or Glargine to Healthy Adult Participants (Part 1)
The GIRmax required to maintain blood glucose at each participants' individual clamp target, following administration of MK-1092 SC or glargine SC was determined by use of a continuous glucose infusion during the euglycemic clamp so that glucose levels remained in the euglycemic range and hypoglycemia was prevented. Blood glucose was monitored frequently (~every 5 minutes), allowing rapid changes to the rate of glucose infusion in Part 1 only. TWA(GIR)= Time-weighted average based on GIR values calculated as AUC (area under the curve) based on GIR values observed from time zero to t divided by t, t= 24 hours. Mean and 95% CI are based on a linear fixed effects model containing a fixed effect for treatment (MK-1092 Doses, Glargine). In Part 1, 10 participants (across 5 dosing panels) received glargine. These 10 participants in Part 1 were analyzed together given the small numbers and same treatment (same dose of glargine) received. (NCT03170544)
Timeframe: Up to approximately 24 hours post-dose
Intervention | mg/kg/min (Mean) |
---|
Part 1 (Healthy Adults) MK-1092 4.0 Nmol/kg | 0.49 |
Part 1 (Healthy Adults) MK-1092 8.0 Nmol/kg | 0.97 |
Part 1 (Healthy Adults) MK-1092 16 Nmol/kg | 2.02 |
Part 1 (Healthy Adults) MK-1092 32 Nmol/kg | 1.97 |
Part 1 (Healthy Adults) MK-1092 64 Nmol/kg | 2.87 |
Part 1 (Healthy Adults) Glargine 3.0 Nmol/kg | 1.70 |
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Time-Weighted Average GIR (TWA[GIR]) After a Single Dose Administration of Subcutaneous MK-1092 or Glargine to Adult Participants With T2DM (Part 4)
The GIRmax required to maintain blood glucose at each participants' individual clamp target, following administration of MK-1092 SC or glargine SC was determined by use of a continuous glucose infusion during the euglycemic clamp so that glucose levels remained in the euglycemic range and hypoglycemia was prevented. Blood glucose was monitored frequently (~every 5 minutes), allowing rapid changes to the rate of glucose infusion in Part 4 only. TWA(GIR)= Time-weighted average based on GIR values calculated as AUC (area under the curve) based on GIR values observed from time zero to t divided by t, t= 24 hours. Mean and 95% CI were based on a linear mixed effects model containing a fixed effect for treatment (MK, Glargine), period (Period 1, Period 2 and Period 3), a nested effect from participants within treatment, and interaction between treatment and period. MK-1092 or glargine was administered to a single cohort of participants in Periods 1, 2, and 3. (NCT03170544)
Timeframe: Up to approximately 24 hours post-dose
Intervention | mg/kg/min (Mean) |
---|
Part 4 (T2DM) MK-1092 32 Nmol/kg (Period 1) | 1.02 |
Part 4 (T2DM) MK-1092 16 Nmol/kg (Period 2) | 0.78 |
Part 4 (T2DM) MK-1092 64 Nmol/kg (Period 3) | 1.70 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 1) | 0.50 |
Part 1 (T2DM) Glargine 3.0 Nmol/kg (Period 2) | 0.64 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 3) | 0.67 |
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Time-Weighted Average GIR (TWA[GIR]) After a Single Dose Administration of Subcutaneous MK-1092 or Glargine to Adult Participants With T1DM (Part 3)
The GIRmax required to maintain blood glucose at each participants' individual clamp target, following administration of MK-1092 SC or glargine SC was determined by use of a continuous glucose infusion during the euglycemic clamp so that glucose levels remained in the euglycemic range and hypoglycemia was prevented. Blood glucose was monitored frequently (~every 5 minutes), allowing rapid changes to the rate of glucose infusion in Part 3 only. TWA(GIR)= Time-weighted average based on GIR values calculated as AUC (area under the curve) based on GIR values observed from time zero to t divided by t, t= 24 hours. Mean and 95% CI are based on a linear fixed effects model containing a fixed effect for treatment (MK-1092 Doses, Glargine). In Part 3, 4 participants (across 2 dosing panels) received glargine. These 4 participants were analyzed together given the small numbers and same treatment (same dose of glargine) received. (NCT03170544)
Timeframe: Up to approximately 24 hours post-dose
Intervention | mg/kg/min (Mean) |
---|
Part 3 (T1DM) MK-1092 8.0 Nmol/kg | 0.72 |
Part 3 (T1DM) MK-1092 32 Nmol/kg | 1.92 |
Part 3 (T1DM) Glargine 3.0 Nmol/kg | 1.18 |
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Time to Reach Maximum Plasma MK-1092 Concentration (Tmax) Parts 1 and 3
Tmax is the amount of the time to reach the maximum concentration in the plasma after the drug dose is given in Parts 1 and 3 only. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected and at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28)
Intervention | Hours (Median) |
---|
Part 1 (Healthy Adults) MK-1092 4.0 Nmol/kg | 18.00 |
Part 1 (Healthy Adults) MK-1092 8.0 Nmol/kg | 12.00 |
Part 1 (Healthy Adults) MK-1092 16 Nmol/kg | 18.00 |
Part 1 (Healthy Adults) MK-1092 32 Nmol/kg | 18.00 |
Part 1 (Healthy Adults) MK-1092 64 Nmol/kg | 12.00 |
Part 3 (T1DM) MK-1092 8.0 Nmol/kg | 15.00 |
Part 3 (T1DM) MK-1092 32 Nmol/kg | 15.04 |
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Time to Reach Maximum Plasma MK-1092 Concentration (Tmax) Part 4
Tmax is the amount of the time to reach the maximum concentration in the plasma after the drug dose is given in Part 4 only. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected and at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28)
Intervention | Hours (Median) |
---|
Part 4 (T2DM) MK-1092 32 Nmol/kg (Period 1) | 14.99 |
Part 4 (T2DM) MK-1092 16 Nmol/kg (Period 2) | 18.00 |
Part 4 (T2MD) MK-1092 64 Nmol/kg (Period 3) | 21.04 |
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Time to Reach Maximum Plasma Insulin Glargine Concentration (Tmax) Parts 1 and 3
Tmax is the amount of the time to reach the maximum concentration in the plasma after the drug dose is given in Parts 1 and 3 only. Healthy participants received glargine in Panel A-E, and participants with T1DM received glargine in Panel G and H. In Part 1, 9 participants (across 5 dosing panels) received glargine and had quantifiable glargine levels, and, in Part 3, 4 participants (across 2 dosing panels) received glargine and had quantifiable glargine levels. These 9 participants in Part 1 were analyzed together and these 4 participants in Part 3 were analyzed together given the small numbers and same treatment (same dose of glargine) received. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected and at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28)
Intervention | Hours (Median) |
---|
Part 1 (Healthy Adults) Glargine 3.0 Nmol/kg | 1.98 |
Part 3 (T1DM) Glargine 3.0 Nmol/kg | 1.74 |
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Time to Reach Maximum Plasma Insulin Glargine Concentration (Tmax) Part 4
Tmax is the amount of the time to reach the maximum concentration in the plasma after the drug dose is given in Part 4 only. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected and at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28) ]
Intervention | Hr (Median) |
---|
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 1) | 1.00 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 2) | 2.00 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 3) | 2.98 |
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Area Under the Plasma Drug Curve From 0 to Infinity (AUC0-inf) Insulin Glargine Part 4
AUC0-inf is a measure of the total concentration levels of drug in the plasma after the dose is given in Part 4 only. The method of dispersion referenced below of geometric coefficient of variation is actually percent geometric coefficient of variation. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28)
Intervention | hr*pg/mL (Geometric Mean) |
---|
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 1) | 4960 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 2) | 928 |
Part 4 (T2DM) Glargine 3.0 Nmol/kg (Period 3) | 8020 |
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Area Under the Plasma Drug Curve From 0 to Infinity (AUC0-inf) Insulin Glargine Parts 1 and 3
AUC0-inf is a measure of the total concentration levels of drug in the plasma after the dose is given in Parts 1 and 3 only. Healthy participants received glargine in Panel A-E, and participants with T1DM received glargine in Panel G and H. The method of dispersion referenced below of geometric coefficient of variation is actually percent geometric coefficient of variation. In Part 1, 8 participants (across 5 dosing panels) received glargine and had sufficient terminal phase data, and, in Part 3, 3 participants (across 2 dosing panels) received glargine and had sufficient terminal phase data. These 8 participants in Part 1 were analyzed together and these 3 participants in Part 3 were analyzed together given the small numbers and same treatment (same dose of glargine) received. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28)
Intervention | hr*pg/mL (Geometric Mean) |
---|
Part 1 (Healthy Adults) Glargine 3.0 Nmol/kg | 3180 |
Part 3 (T1DM) Glargine 3.0 Nmol/kg | 4240 |
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Area Under the Plasma Drug Curve From 0 to Infinity (AUC0-inf) MK-1092 Part 4
AUC0-inf is a measure of the total concentration levels of drug in the plasma after the dose is given in Part 4 only. The method of dispersion referenced below of geometric coefficient of variation is actually percent geometric coefficient of variation. (NCT03170544)
Timeframe: -15 min (predose), 10 min, 30 min, 1.0 hr, 1.5 hr, 2.0 hr, 3.0 hr, 4.0 hr, 6.0 hr, 9.0 hr, 12 hr, 18 hr, 24 hr, an additional sample will be collected at the end of the clamp, 2d, 3d, 4d, 5d and 7d after SC dose and at post-trial (Day 14 and Day 28)
Intervention | nM*hr (Geometric Mean) |
---|
Part 4 (T2DM) MK-1092 32 Nmol/kg (Period 1) | 46.1 |
Part 4 (T2DM) MK-1092 16 Nmol/kg (Period 2) | 32.7 |
Part 4 (T2DM) MK-1092 64 Nmol/kg (Period 3) | 111 |
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Number of Participants With at Least One Hypoglycemic Event: Subgroup Analysis by Prior Use of NovoLog/NovoRapid or Humalog/Liprolog
Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions, because the participant was not capable of helping self. Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of <=3.9 mmol/L (<=70 mg/dL) or plasma glucose level of <3.0 mmol/L (<54 mg/dL). (NCT03211858)
Timeframe: From first injection of IMP up to Week 26 or up to 1 day after last injection of IMP, whichever comes earlier, for Week 26 analysis, and from first injection of IMP up to 1 day after last injection of IMP for Week 52
Intervention | Participants (Count of Participants) |
---|
| Week 26: Any hypoglycemia | Week 26: Severe hypoglycemia | Week 26: Documented symptomatic <=3.9 mmol/L | Week 26: Documented symptomatic < 3.0 mmol/L | Week 52: Any hypoglycemia | Week 52: Severe hypoglycemia | Week 52: Documented symptomatic <=3.9 mmol/L | Week 52: Documented symptomatic < 3.0 mmol/L |
---|
Prior Humalog/Liprolog Use: NovoLog/NovoRapid | 106 | 3 | 89 | 70 | 106 | 5 | 96 | 82 |
,Prior Humalog/Liprolog Use: SAR341402 | 104 | 6 | 94 | 67 | 105 | 8 | 99 | 74 |
,Prior NovoLog/NovoRapid Use: NovoLog/NovoRapid | 179 | 7 | 162 | 123 | 184 | 9 | 171 | 138 |
,Prior NovoLog/NovoRapid Use: SAR341402 | 187 | 6 | 170 | 139 | 190 | 10 | 175 | 149 |
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Number of Participants With at Least One Hypoglycemic Event
Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions, because the participant was not capable of helping self. Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of <=3.9 mmol/L (<=70 mg/dL) or plasma glucose level of <3.0 mmol/L (<54 mg/dL). (NCT03211858)
Timeframe: From first injection of investigational medicinal product (IMP) up to Week 26 or up to 1 day after last injection of IMP, whichever comes earlier, for Week 26 analysis, and from first injection of IMP up to 1 day after last injection of IMP for Week 52
Intervention | Participants (Count of Participants) |
---|
| Week 26: Any hypoglycemia | Week 26: Severe hypoglycemia | Week 26: Documented symptomatic <=3.9 mmol/L | Week 26: Documented symptomatic < 3.0 mmol/L | Week 52: Any hypoglycemia | Week 52: Severe hypoglycemia | Week 52: Documented symptomatic <=3.9 mmol/L | Week 52: Documented symptomatic hypo < 3.0 mmol/L |
---|
NovoLog/NovoRapid | 285 | 10 | 251 | 193 | 290 | 14 | 267 | 220 |
,SAR341402 | 291 | 12 | 264 | 207 | 295 | 18 | 274 | 223 |
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Number of Participants With Adverse Events: Subgroup Analysis by Prior Use of NovoLog/NovoRapid or Humalog/Liprolog
Any untoward medical occurrence in a participant who received IMP was considered an AE without regard to possibility of causal relationship with this treatment. Treatment-emergent adverse events (TEAEs) were defined as AEs that developed or worsened or became serious during the main 6-month or 12-month on-treatment periods. (NCT03211858)
Timeframe: From first injection of IMP up to Week 26 or up to 1 day after last injection of IMP, whichever comes earlier for Week 26 analysis, and from first injection of IMP up to 1 day after last injection of IMP for Week 52
Intervention | Participants (Count of Participants) |
---|
| Week 26: Any TEAE | Week 52: Any TEAE |
---|
Prior Humalog/Liprolog Use: NovoLog/NovoRapid | 52 | 59 |
,Prior Humalog/Liprolog Use: SAR341402 | 64 | 69 |
,Prior NovoLog/NovoRapid Use: NovoLog/NovoRapid | 94 | 109 |
,Prior NovoLog/NovoRapid Use: SAR341402 | 92 | 115 |
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Number of Hypoglycemia Events Per Participant-Year
Number of hypoglycemia events (any, severe and documented [both thresholds]) per participant-year of exposure were reported. Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions, because the participant was not capable of helping self. Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of <=3.9 mmol/L (<=70 mg/dL) or plasma glucose level of <3.0 mmol/L (<54 mg/dL). (NCT03211858)
Timeframe: From first injection of investigational medicinal product (IMP) up to Week 26 or up to 1 day after last injection of IMP, whichever comes earlier, for Week 26 analysis, and from first injection of IMP up to 1 day after last injection of IMP for Week 52
Intervention | events per participant-year (Number) |
---|
| Week 26: Any hypo | Week 26: Severe hypo | Week 26:Documented symptomatic hypo (<=3.9 mmol/L) | Week 26: Documented symptomatic hypo (<3.0 mmol/L) | Week 52: Any hypo | Week 52: Severe hypo | Week 52:Documented symptomatic hypo (<=3.9 mmol/L) | Week 52: Documented symptomatic hypo (<3.0 mmol/L) |
---|
NovoLog/NovoRapid | 69.71 | 0.10 | 36.37 | 9.81 | 64.46 | 0.08 | 33.73 | 8.91 |
,SAR341402 | 73.33 | 0.14 | 40.36 | 11.18 | 66.00 | 0.12 | 35.68 | 9.37 |
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Percentage of Participants With Hypersensitivity Reactions and Injection Site Reactions
Participants with at least one treatment-emergent adverse event linked to hypersensitivity reaction and injection site reaction regardless of relationship to IMP during the main 6-month and the 12-month on-treatment periods was assessed and reported. (NCT03211858)
Timeframe: From first injection of IMP up to Week 26 or up to 1 day after last injection of IMP, whichever comes earlier, for Week 26 analysis, and from first injection of IMP up to 1 day after last injection of IMP for Week 52
Intervention | percentage of participants (Number) |
---|
| Week 26: Hypersensitivity Reactions | Week 26: Injection site reactions | Week 52: Hypersensitivity Reactions | Week 52: Injection site reactions |
---|
NovoLog/NovoRapid | 3.7 | 1.4 | 7.1 | 1.4 |
,SAR341402 | 3.7 | 0.7 | 5.6 | 0.7 |
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Change in the Mean 24-hour Plasma Glucose Concentration From Baseline to Week 26 and Week 52
Mean 24-hour plasma glucose concentration was calculated based on 7-point self-measured plasma glucose (SMPG) profiles with plasma glucose measurements before and 2-hours after each main meal and at bedtime. Mean 24-hour plasma glucose concentration was calculated for each profile and then averaged across profiles performed in the week before a visit. All calculated values up to Week 26 and Week 52 were taken into account in the analysis, regardless of adherence to treatment. Change in mean 24-hour plasma glucose concentration at Weeks 26 and 52 was calculated by subtracting baseline value from Week 26 and Week 52 values, respectively. Missing changes at Week 26 and Week 52 were imputed using a return-to-baseline multiple imputation method (values imputed as participant baseline plus an error). Adjusted LS means and SE were obtained using ANCOVA analysis on data obtained from the multiple imputations (results were combined using Rubin's formulae). (NCT03211858)
Timeframe: Baseline, Week 26, and Week 52
Intervention | mmol/L (Least Squares Mean) |
---|
| At Week 26 | At Week 52 |
---|
NovoLog/NovoRapid | -0.53 | -0.18 |
,SAR341402 | -0.34 | 0.12 |
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Change in Postprandial Plasma Glucose (PPG) Excursion From Baseline to Week 26 and Week 52
Plasma glucose excursions were calculated at breakfast, lunch and dinner for each 7-point SMPG profile, as 2-hour PPG minus plasma glucose value obtained 30 minutes prior to start of the meal. Values of plasma glucose excursions at each visit were then calculated as the average across profiles performed in the week before the visit. All calculated values up to Week 26 and Week 52 were taken into account in the analysis, regardless of adherence to treatment. Change in PPG excursions at Weeks 26 and 52 was calculated by subtracting baseline value from Week 26 and Week 52 values, respectively. Missing changes at Week 26 and Week 52 were imputed using a return-to-baseline multiple imputation method (values imputed as participant baseline plus an error). Adjusted LS means and SE were obtained using ANCOVA analysis on data obtained from the multiple imputations (results were combined using Rubin's formulae). (NCT03211858)
Timeframe: Baseline, Week 26, and Week 52
Intervention | mmol/L (Least Squares Mean) |
---|
| Week 26: At Breakfast | Week 26: At Lunch | Week 26: At Dinner | Week 52: At Breakfast | Week 52: At Lunch | Week 52: At Dinner |
---|
NovoLog/NovoRapid | 0.65 | 0.12 | 0.66 | 0.91 | 0.34 | 0.51 |
,SAR341402 | 0.50 | 0.18 | 0.36 | 0.73 | 0.43 | 0.26 |
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Change in Glycated Hemoglobin A1c (HbA1c) From Baseline to Week 26
All values up to Week 26 were taken into account in the analysis, regardless of adherence to treatment. Change in HbA1c was calculated by subtracting baseline value from Week 26 value. Missing changes at Week 26 were imputed using a retrieved dropout multiple imputation method (separately for participants who prematurely discontinued or completed treatment). Adjusted least square (LS) means and standard errors (SE) were obtained using an analysis of covariance (ANCOVA) model on data obtained from the multiple imputations (results were combined using Rubin's formulae). (NCT03211858)
Timeframe: Baseline, Week 26
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
SAR341402 | -0.38 |
NovoLog/NovoRapid | -0.30 |
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Change in Glycated Hemoglobin A1c From Baseline to Week 26 and Week 52: Subgroup Analysis by Prior Use of NovoLog/NovoRapid or Humalog/Liprolog
All values up to Week 26 and Week 52 were taken into account in the analysis, regardless of adherence to treatment. Change in HbA1c at Week 26 and Week 52 was calculated by subtracting baseline value from Week 26 and Week 52 value, respectively. Missing changes at Week 26 and Week 52 were imputed using a retrieved dropout multiple imputation method (separately for participants who prematurely discontinued or completed treatment). Adjusted LS means and SE were obtained using ANCOVA model on data obtained from the multiple imputations (results were combined using Rubin's formulae). (NCT03211858)
Timeframe: Baseline, Week 26 and Week 52
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
| At Week 26 | At Week 52 |
---|
Prior Humalog/Liprolog Use: NovoLog/NovoRapid | -0.24 | -0.26 |
,Prior Humalog/Liprolog Use: SAR341402 | -0.39 | -0.19 |
,Prior NovoLog/NovoRapid Use: NovoLog/NovoRapid | -0.33 | -0.26 |
,Prior NovoLog/NovoRapid Use: SAR341402 | -0.37 | -0.28 |
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Change in Fasting Plasma Glucose (FPG) From Baseline to Week 26 and Week 52
All values up to Week 26 and Week 52 were taken into account in the analysis, regardless of adherence to treatment. Change in FPG at Week 26 and 52 was calculated by subtracting baseline value from Week 26 and Week 52 values, respectively. Missing changes at Week 26 and Week 52 were imputed using a retrieved dropout multiple imputation method (separately for participants who prematurely discontinued or completed treatment). Adjusted LS means and SE were obtained using ANCOVA analysis on data obtained from the multiple imputations (results were combined using Rubin's formulae). (NCT03211858)
Timeframe: Baseline, Week 26, and Week 52
Intervention | millimoles per liter (mmol/L) (Least Squares Mean) |
---|
| At Week 26 | At Week 52 |
---|
NovoLog/NovoRapid | -0.17 | -0.34 |
,SAR341402 | -0.49 | -0.10 |
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Change in Daily Insulin Dose From Baseline to Day 1, Week 26 and Week 52: Subgroup Analysis by Prior Use of NovoLog/NovoRapid or Humalog/Liprolog
Change in daily insulin dose (basal, mealtime and total) was calculated by subtracting baseline value from Day 1, Week 26 and Week 52 values respectively. Baseline was defined as the median of daily doses available in the week prior to the first injection of IMP (corresponding to doses of the pre-study insulin), value at Day 1 as the median of daily doses available in the week after the first injection of IMP (first doses of IMP), and value at Week 26 and Week 52 as the median of daily doses available in the week prior to each visit. (NCT03211858)
Timeframe: Baseline, Day 1, Week 26, Week 52
Intervention | U/kg (Mean) |
---|
| Basal insulin dose at Day 1 | Mealtime insulin dose at Day 1 | Total insulin dose at Day 1 | Basal insulin dose at Week 26 | Mealtime insulin dose at Week 26 | Total insulin dose at Week 26 | Basal insulin dose at Week 52 | Mealtime insulin dose at Week 52 | Total insulin dose at Week 52 |
---|
Prior Humalog/Liprolog Use: NovoLog/NovoRapid | -0.002 | 0.013 | 0.011 | -0.006 | -0.003 | -0.006 | -0.009 | -0.001 | -0.009 |
,Prior Humalog/Liprolog Use: SAR341402 | -0.002 | 0.008 | 0.006 | 0.008 | -0.015 | -0.008 | 0.010 | -0.001 | 0.009 |
,Prior NovoLog/NovoRapid Use: NovoLog/NovoRapid | 0.0000 | -0.003 | -0.003 | 0.009 | 0.019 | 0.027 | 0.013 | 0.015 | 0.025 |
,Prior NovoLog/NovoRapid Use: SAR341402 | -0.005 | -0.000 | -0.006 | 0.003 | -0.009 | -0.007 | 0.004 | -0.000 | 0.003 |
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Change in Daily Insulin Dose From Baseline to Day 1, Week 26 and Week 52
Change in daily insulin dose (basal, mealtime and total) was calculated by subtracting baseline value from Day1, Week 26 and Week 52 values respectively. Baseline was defined as the median of daily doses available in the week prior to the first injection of IMP (corresponding to doses of the pre-study insulin), value at Day 1 as the median of daily doses available in the week after the first injection of IMP (first doses of IMP), and value at Week 26 and Week 52 as the median of daily doses available in the week prior to each visit. (NCT03211858)
Timeframe: Baseline, Day 1, Week 26 and Week 52
Intervention | Units/kilogram (U/kg) (Mean) |
---|
| Basal insulin dose at Day 1 | Mealtime insulin dose at Day 1 | Total insulin dose at Day 1 | Basal insulin dose at Week 26 | Mealtime insulin dose at Week 26 | Total insulin dose at Week 26 | Basal insulin dose at Week 52 | Mealtime insulin dose at Week 52 | Total insulin dose at Week 52 |
---|
NovoLog/NovoRapid | -0.000 | 0.003 | 0.002 | 0.003 | 0.011 | 0.015 | 0.005 | 0.009 | 0.013 |
,SAR341402 | -0.004 | 0.003 | -0.001 | 0.005 | -0.011 | -0.007 | 0.006 | -0.001 | 0.005 |
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Change in 7-Point SMPG Profiles From Baseline to Week 26 and Week 52 Per Time Point
7-point SMPG profiles were measured at the following 7 points at each visit (Baseline, Week 26, and Week 52): before breakfast, 2 hours after breakfast, before lunch, 2 hours after lunch, before dinner, 2 hours after dinner, and bedtime. For each time point, the value at each visit was calculated as the average of values obtained for the same time point across profiles performed in the week before the visit. (NCT03211858)
Timeframe: Baseline, Week 26, and Week 52
Intervention | mmol/L (Mean) |
---|
| Week 26: Before Breakfast | Week 26: 2 Hours After Breakfast | Week 26: Before Lunch | Week 26: 2 Hours After Lunch | Week 26: Before Dinner | Week 26: 2 Hours After Dinner | Week 26: Bedtime | Week 52: Before Breakfast | Week 52: 2 Hours After Breakfast | Week 52: Before Lunch | Week 52: 2 Hours After Lunch | Week 52: Before Dinner | Week 52: 2 Hours After Dinner | Week 52: Bedtime |
---|
NovoLog/NovoRapid | -0.50 | -0.30 | -0.60 | -0.62 | -0.78 | -0.25 | -0.54 | -0.31 | 0.05 | -0.13 | -0.37 | -0.06 | -0.17 | 0.10 |
,SAR341402 | -0.62 | -0.39 | -0.60 | -0.61 | -0.04 | -0.36 | -0.71 | -0.54 | -0.21 | 0.24 | 0.05 | 0.75 | 0.16 | -0.11 |
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Percentage of Participants With Treatment-Induced, Treatment-Boosted and Treatment-Emergent Anti-insulin Aspart Antibodies (AIAs)
AIA incidence were categorized as: treatment-induced, treatment-boosted AIAs, and treatment-emergent AIA. 1) Participants with treatment-induced AIAs were those who developed AIA following IMP administration (participants with at least one positive AIA sample at any time during on-treatment period, in those participants without pre-existing AIA or with missing baseline sample). 2) Participants with treatment-boosted AIAs were those with pre-existing AIAs that were boosted to a significant higher titer following IMP administration (participants with at least one AIA sample with at least a 4-fold increase in titers compared to baseline value at any time during on-treatment period). 3) Participants with treatment-emergent AIA were defined as participants with treatment-induced, or treatment-boosted AIAs. (NCT03211858)
Timeframe: From first injection of IMP up to Week 26 or up to 1 day after last injection of IMP, whichever comes earlier, for Week 26 analysis, and from first injection of IMP up to 1 day after last injection of IMP for Week 52
Intervention | percentage of participants (Number) |
---|
| Week 26: Treatment-Induced AIA | Week 26: Treatment-Boosted AIA | Week 26: Treatment-Emergent AIA | Week 52: Treatment-Induced AIA | Week 52: Treatment-Boosted AIA | Week 52: Treatment-Emergent AIA |
---|
NovoLog/NovoRapid | 28.4 | 5.1 | 20.5 | 37.1 | 13.3 | 29.1 |
,SAR341402 | 23.0 | 4.2 | 16.9 | 33.2 | 9.4 | 25.5 |
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Change in HbA1c From Baseline to Week 52
All values up to Week 52 were taken into account in the analysis, regardless of adherence to treatment. Change in HbA1c was calculated by subtracting baseline value from Week 52 value. Missing changes at Week 52 were imputed using a retrieved dropout multiple imputation method (separately for participants who prematurely discontinued or completed treatment). Adjusted LS means and SE were obtained using ANCOVA model on data obtained from the multiple imputations (results were combined using Rubin's formulae). (NCT03211858)
Timeframe: Baseline, Week 52
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
SAR341402 | -0.25 |
NovoLog/NovoRapid | -0.26 |
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Percentage of Participants With Treatment-Induced, Treatment-Boosted and Treatment-Emergent Anti-insulin Aspart Antibodies (AIAs): Subgroup Analysis by Prior Use of NovoLog/NovoRapid or Humalog/Liprolog
AIA incidence were categorized as: treatment-induced, treatment-boosted AIAs, and treatment-emergent AIA. 1) Participants with treatment-induced AIAs were those who developed AIA following IMP administration (participants with at least one positive AIA sample at any time during on-treatment period, in those participants without pre-existing AIA or with missing baseline sample. 2) Participants with treatment-boosted AIAs were those with pre-existing AIAs that were boosted to a significant higher titer following IMP administration (participants with at least one AIA sample with at least a 4-fold increase in titers compared to baseline value at any time during on-treatment period). 3) Participants with treatment-emergent AIA were defined as participants with treatment-induced, or treatment-boosted AIAs. Data was summarized separately for each treatment arm in each subgroup (based on the prior use of NovoLog/NovoRapid or Humalog/Liprolog). (NCT03211858)
Timeframe: From first injection of IMP up to Week 26 or up to 1 day after last injection of IMP, whichever comes earlier, for Week 26 analysis, and from first injection of IMP up to 1 day after last injection of IMP for Week 52
Intervention | percentage of participants (Number) |
---|
| Week 26: Treatment-Induced AIA | Week 26: Treatment-Boosted AIA | Week 26: Treatment-Emergent AIA | Week 52: Treatment-Induced AIA | Week 52: Treatment-Boosted AIA | Week 52: Treatment-Emergent AIA |
---|
Prior Humalog/Liprolog Use: NovoLog/NovoRapid | 28.4 | 6.1 | 21.5 | 41.9 | 9.1 | 31.8 |
,Prior Humalog/Liprolog Use: SAR341402 | 29.9 | 10.7 | 24.8 | 38.0 | 17.9 | 32.7 |
,Prior NovoLog/NovoRapid Use: NovoLog/NovoRapid | 28.3 | 4.6 | 20.0 | 34.2 | 15.4 | 27.6 |
,Prior NovoLog/NovoRapid Use: SAR341402 | 18.7 | 1.5 | 12.6 | 30.1 | 5.9 | 21.5 |
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Percentage of Participants With HbA1c <7% at Week 26 and Week 52
Participants who had no available assessment at Week 26 and Week 52 were considered as non-responders. (NCT03211858)
Timeframe: Week 26 and Week 52
Intervention | percentage of participants (Number) |
---|
| At Week 26 | At Week 52 |
---|
NovoLog/NovoRapid | 14.5 | 18.2 |
,SAR341402 | 16.6 | 19.6 |
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Percentage of Participants With at Least One Positive Anti-Insulin Aspart Antibodies (AIA) Sample
Participants with at least one positive AIA sample at baseline or at any time during the on-treatment period (Prevalence). (NCT03211858)
Timeframe: From first injection of IMP up to Week 26 or up to 1 day after last injection of IMP, whichever comes earlier, for Week 26 analysis, and from first injection of IMP up to 1 day after last injection of IMP for Week 52
Intervention | percentage of participants (Number) |
---|
| At Week 26 | At Week 52 |
---|
NovoLog/NovoRapid | 52.4 | 58.2 |
,SAR341402 | 48.0 | 54.7 |
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Rate of Documented Symptomatic Hypoglycemia at Week 26
Documented symptomatic hypoglycemia is an event during which typical symptoms of hypoglycemia are accompanied by blood glucose (BG) of <54 mg/dL [3.0 millimole per liter (mmol/L)]. The rate of documented symptomatic hypoglycemia was estimated by negative binomial model: number of episodes = treatment with log (treatment exposure in days/365.25) as an offset variable. (NCT03214367)
Timeframe: Baseline through Week 26
Intervention | Events per participant per year (Least Squares Mean) |
---|
LY900014 | 6.71 |
LY900014 Postmeal | 7.75 |
Insulin Lispro (Humalog) | 7.35 |
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Percentage of Participants With HbA1c <7%
Hemoglobin A1c (HbA1c) is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. (NCT03214367)
Timeframe: Week 26
Intervention | Percentage of participants (Number) |
---|
LY900014 | 36.00 |
LY900014 Postmeal | 24.84 |
Insulin Lispro (Humalog) | 33.94 |
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Change From Baseline in ITSQ Lifestyle Flexibility Domain Score at Week 26
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, and Insulin Delivery Device. Data presented are the transformed overall score on a scale of 0-100, where higher scores indicate better treatment satisfaction. LS Mean was calculated using the analysis of covariance (ANCOVA) with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum), and treatment as fixed effects and baseline as covariate. The analysis included data prior to permanent discontinuation of study drug. The analysis included data prior to permanent discontinuation of study drug. (NCT03214367)
Timeframe: Baseline, Week 26
Intervention | Units on a scale (Least Squares Mean) |
---|
LY900014 | 2.1 |
LY900014 Postmeal | 3.7 |
Insulin Lispro (Humalog) | 1.3 |
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Change From Baseline in Insulin Treatment Satisfaction Questionnaire (ITSQ) Regimen Inconvenience Domain Score at Week 26
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, and Insulin Delivery Device. Data presented are the transformed overall score on a scale of 0-100, where higher scores indicate better treatment satisfaction. LS Mean was calculated using the ANCOVA model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum), and treatment as fixed effects and baseline as covariate. The analysis included data prior to permanent discontinuation of study drug. The analysis included data prior to permanent discontinuation of study drug. (NCT03214367)
Timeframe: Baseline, Week 26
Intervention | Units on a scale (Least Squares Mean) |
---|
LY900014 | 1.4 |
LY900014 Postmeal | 1.5 |
Insulin Lispro (Humalog) | 0.7 |
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Change From Baseline in Hemoglobin A1c (HbA1c) Efficacy Estimand at Week 26
"HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time.~Least Squares (LS) mean was determined by mixed model repeated measures (MMRM) model with strata (pooled country, type of basal insulin, prandial insulin dosing plan, and HbA1c stratum) and treatment as fixed effects and baseline as a covariate. The efficacy estimand included participant data when baseline and at least one post-baseline measurement were available prior to permanent discontinuation of study drug." (NCT03214367)
Timeframe: Baseline, Week 26
Intervention | Percentage of HbA1c (Least Squares Mean) |
---|
LY900014 | -0.13 |
LY900014 Postmeal | 0.08 |
Insulin Lispro (Humalog) | -0.05 |
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Change From Baseline in HbA1c at Week 52
"HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time.~Least Squares (LS) mean was determined by MMRM model with variables of baseline, pooled country, type of basal insulin during lead-in, prandial Insulin Dosing Plan, treatment (Type III sum of squares) as fixed factors. The analysis included data prior to permanent discontinuation of study drug." (NCT03214367)
Timeframe: Baseline, Week 52
Intervention | Percentage of HbA1c (Least Squares Mean) |
---|
LY900014 | 0.13 |
Insulin Lispro (Humalog) | 0.20 |
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Change From Baseline in 2-hour PPG Excursion During MMTT Efficacy Estimand at Week 26
A standardized MMTT was used to characterize postprandial glucose control following administration of the study insulin. Serum glucose measured at 2-hour timepoint after the start of meal minus fasting serum glucose. 2-hour PPG excursion during MMTT uses the ANCOVA model with strata (pooled country, type of basal insulin, prandial insulin dosing plan, and HbA1c stratum) and treatment as fixed effects and baseline as a covariate. The efficacy estimand included participant data when baseline and at least one post-baseline measurement were available prior to permanent discontinuation of study drug. (NCT03214367)
Timeframe: Baseline, Week 26
Intervention | mg/dL (Least Squares Mean) |
---|
LY900014 | -34.7 |
LY900014 Postmeal | -10.2 |
Insulin Lispro (Humalog) | -3.5 |
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Change From Baseline in 1,5-Anhydroglucitol (1,5-AG) at Week 26
1,5-anhydroglucitol (1,5-AG) is a marker of short-term glycemic control especially postprandial hyperglycemia. 1,5-AG accurately predicts rapid changes in glycemia and is tightly associated with glucose fluctuations and postprandial glucose. LS Mean was calculated using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, HbA1c stratum and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The analysis included data collected prior to permanent discontinuation of study drug. (NCT03214367)
Timeframe: Baseline, Week 26
Intervention | milligram per liter (mg/L) (Least Squares Mean) |
---|
LY900014 | 0.19 |
LY900014 Postmeal | -0.38 |
Insulin Lispro (Humalog) | -0.22 |
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Change From Baseline in 1-hour Postprandial Glucose (PPG) Excursion During Mixed-Meal Tolerance Test (MMTT) Efficacy Estimand at Week 26
A standardized MMTT was used to characterize postprandial glucose control following administration of the study insulin. Serum glucose measured at 1-hour timepoint after the start of meal minus fasting serum glucose. 1-hour PPG excursion during MMTT uses the ANCOVA model with strata (pooled country, type of basal insulin, prandial insulin dosing plan, and HbA1c stratum) and treatment as fixed effects and baseline as a covariate. The efficacy estimand included participant data when baseline and at least one post-baseline measurement were available prior to permanent discontinuation of study drug. (NCT03214367)
Timeframe: Baseline, Week 26
Intervention | milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
LY900014 | -28.6 |
LY900014 Postmeal | 12.5 |
Insulin Lispro (Humalog) | -0.7 |
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Rate of Severe Hypoglycemia at Week 26
Severe hypoglycemia is defined as an event requiring assistance of another person to administer carbohydrate, glucagon, or other resuscitative actions. During these episodes, the participant has an altered mental status and cannot assist in his or her own care, or may be semiconscious or unconscious, or experience coma with or without seizures, and may require parenteral therapy. Rate of severe hypoglycemia events per 100 years during a defined period was calculated by total number of severe hypoglycemia episodes within the period divided by the cumulative days on treatment from all participants within a treatment group *36525. (NCT03214367)
Timeframe: Baseline through Week 26
Intervention | Events per 100 participant years (Number) |
---|
LY900014 | 16.50 |
LY900014 Postmeal | 13.70 |
Insulin Lispro (Humalog) | 18.34 |
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Change From Baseline in Insulin Dose at Week 26
LS Mean was analyzed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, HbA1c stratum and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The analysis included data prior to permanent discontinuation of study drug. (NCT03214367)
Timeframe: Baseline, Week 26
Intervention | Units (U)/day (Least Squares Mean) |
---|
| Total Daily Insulin Dose | Daily Basal Insulin Dose | Daily Prandial Insulin Dose |
---|
Insulin Lispro (Humalog) | 2.0 | 0.9 | 0.9 |
,LY900014 | 2.9 | 1.0 | 1.5 |
,LY900014 Postmeal | 2.2 | 1.2 | 1.0 |
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Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values at Week 26
SMBG 10-point profiles were measured at fasting, 1-hour post morning meal, 2-hours post morning meal, pre midday meal, 1-hour post midday meal, 2-hours post midday meal, pre evening meal, 1-hour post evening meal, 2-hours post evening meal, and bedtime. LS Mean was analyzed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, HbA1c stratum and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The efficacy estimand included participant data when baseline and at least one post-baseline measurement prior to permanent discontinuation of study drug. (NCT03214367)
Timeframe: Baseline, Week 26
Intervention | mg/dL (Least Squares Mean) |
---|
| Morning Premeal | Morning 1-hour Postmeal | Morning 2-hour Postmeal | Midday Premeal | Midday 1-hour Postmeal | Midday 2-hour Postmeal | Evening Premeal | Evening 1-hour Postmeal | Evening 2-hour Postmeal | Bedtime |
---|
Insulin Lispro (Humalog) | -3.3 | -1.0 | 1.4 | 1.9 | 1.4 | -2.7 | -1.4 | -0.9 | -0.6 | -2.9 |
,LY900014 | -1.1 | -14.8 | -10.1 | 6.6 | -2.2 | -5.2 | 5.2 | -7.0 | -8.2 | -6.8 |
,LY900014 Postmeal | 2.9 | 5.4 | -0.2 | 4.0 | 11.4 | 0.0 | 0.4 | 15.3 | -1.6 | -11.0 |
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Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values at Week 26
Change from baseline in 10-point SMBG values was analyzed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, HbA1c stratum and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The efficacy estimand included participant data when baseline and at least one post-baseline measurement prior to permanent discontinuation of study drug. (NCT03214380)
Timeframe: Baseline, Week 26
Intervention | mg/dL (Least Squares Mean) |
---|
| Morning Premeal | Morning 1-hour Postmeal | Morning 2-hour Postmeal | Midday Premeal | Midday 1-hour Postmeal | Midday 2-hour Postmeal | Evening Premeal | Evening 1-hour Postmeal | Evening 2-hour Postmeal | Bedtime |
---|
Insulin Lispro (Humalog) | -0.8 | -2.0 | 0.6 | 2.4 | 3.0 | -2.2 | 7.0 | -2.1 | 0.2 | -3.4 |
,LY900014 | 1.5 | -14.1 | -14.9 | 4.1 | -2.0 | -6.5 | 10.1 | -3.0 | -2.1 | -2.2 |
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Change From Baseline in Insulin Dose at Week 26
Change from baseline in insulin dose was analyzed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, HbA1c stratum and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The analysis included data prior to permanent discontinuation of study drug. (NCT03214380)
Timeframe: Baseline, Week 26
Intervention | Units (U) (Least Squares Mean) |
---|
| Basal Insulin Dose | Prandial Insulin Dose | Total Daily Insulin Dose |
---|
Insulin Lispro (Humalog) | 4.2 | 8.3 | 12.1 |
,LY900014 | 4.6 | 12.0 | 17.3 |
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2-hour PPG Excursion During MMTT Efficacy Estimand
2-hour PPG excursion during MMTT uses the ANCOVA model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum) and treatment as fixed effects and baseline as a covariate. The efficacy estimand included participant data when baseline and at least one post-baseline measurement were available prior to permanent discontinuation of study drug. (NCT03214380)
Timeframe: Week 26
Intervention | mg/dL (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | 97.8 |
LY900014 | 80.4 |
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Change From Baseline in 1,5-Anhydroglucitol (1,5-AG) at Week 26
Change from baseline in 1,5-AG was analyzed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, HbA1c stratum and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The analysis included data collected prior to permanent discontinuation of study drug. (NCT03214380)
Timeframe: Baseline, Week 26
Intervention | milligram per liter (mg/L) (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | 2.15 |
LY900014 | 1.99 |
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Change From Baseline in Hemoglobin A1c (HbA1c) Efficacy Estimand at Week 26
Change from baseline in HbA1c was performed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The efficacy estimand included participant data when baseline and at least one post-baseline measurement were available prior to permanent discontinuation of study drug. (NCT03214380)
Timeframe: Baseline, Week 26
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | -0.43 |
LY900014 | -0.38 |
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Change From Baseline in Insulin Treatment Satisfaction Questionnaire (ITSQ) Regimen Inconvenience Domain Score at Week 26
"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, and Insulin Delivery Device. Data presented are the transformed overall score on a scale of 0-100, where higher scores indicate better treatment satisfaction.~Change from baseline in ITSQ regimen inconvenience domain score was calculated using the ANCOVA model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum), and treatment as fixed effects and baseline as covariate. The analysis included data prior to permanent discontinuation of study drug." (NCT03214380)
Timeframe: Baseline, Week 26
Intervention | units on a scale (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | -0.9 |
LY900014 | -2.4 |
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Rate of Severe Hypoglycemia
Rate of severe hypoglycemia events per 100 years during a defined period was calculated by total number of severe hypoglycemia episodes within the period divided by the cumulative days on treatment from all participants within a treatment group *36525. Severe hypoglycemia is defined as an event requiring assistance of another person to administer carbohydrate, glucagon, or other resuscitative actions. During these episodes, the participant has an altered mental status and cannot assist in his or her own care, or may be semiconscious or unconscious, or experience com with or without seizures, and may require parenteral therapy. (NCT03214380)
Timeframe: Baseline through Week 26
Intervention | Events per 100 participant years (Number) |
---|
Insulin Lispro (Humalog) | 4.19 |
LY900014 | 2.44 |
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Rate of Documented Symptomatic Hypoglycemia
Documented symptomatic hypoglycemia is an event during which typical symptoms of hypoglycemia are accompanied by blood glucose (BG) of <54 mg/dL [3.0 millimole per liter (mmol/L)]. The rate of documented symptomatic hypoglycemia was estimated by negative binomial model: number of episodes = treatment with log (treatment exposure in days/365.25) as an offset variable. (NCT03214380)
Timeframe: Baseline through Week 26
Intervention | Events per participant per 30 days/year (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | 1.34 |
LY900014 | 2.21 |
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Number of Participants With HbA1c <7%
Number of participants with HbA1c <7% at Week 26. (NCT03214380)
Timeframe: Week 26
Intervention | Participants (Count of Participants) |
---|
Insulin Lispro (Humalog) | 168 |
LY900014 | 184 |
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Change From Baseline in ITSQ Lifestyle Flexibility Domain Score at Week 26
"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, and Insulin Delivery Device. Data presented are the transformed overall score on a scale of 0-100, where higher scores indicate better treatment satisfaction.~Change from baseline in ITSQ lifestyle flexibility domain score was calculated using the ANCOVA model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum), and treatment as fixed effects and baseline as covariate. The analysis included data prior to permanent discontinuation of study drug." (NCT03214380)
Timeframe: Baseline, Week 26
Intervention | units on a scale (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | 1.4 |
LY900014 | 0.2 |
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1-hour Postprandial Glucose (PPG) Excursion During Mixed-Meal Tolerance Test (MMTT) Efficacy Estimand
1-hour PPG excursion during MMTT uses the analysis of covariance (ANCOVA) model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum) and treatment as fixed effects and baseline as a covariate. The efficacy estimand included participant data when baseline and at least one post-baseline measurement were available prior to permanent discontinuation of study drug. (NCT03214380)
Timeframe: Week 26
Intervention | milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | 74.9 |
LY900014 | 63.1 |
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Number of Participants With At Least One Hypoglycemic Events (Any, Severe Documented Symptomatic, Probable Symptomatic, Asymptomatic, Pseudo-hypoglycemia: Any Time of the Day) During 24 Week Treatment Period
Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Documented symptomatic hypoglycemia: an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of <=3.9 mmol/L (70 mg/dL) or <3.0 mmol/L (54 mg/dL). Asymptomatic hypoglycemia: an event not accompanied by typical symptoms of hypoglycemia but with a measured plasma glucose concentration <=3.9 mmol/L (70 mg/dL) or <3.0 mmol/L (54 mg/dL). Probable symptomatic hypoglycemia: an event during which symptoms of hypoglycemia were not accompanied by plasma glucose determination but was presumably caused by a plasma glucose concentration. Pseudo-hypoglycemia: an event with any of the typical symptoms of hypoglycaemia with plasma glucose concentration >3.9 mmol/L (70 mg/dL). (NCT03260868)
Timeframe: During 24 weeks treatment period
Intervention | Participants (Count of Participants) |
---|
| Any hypoglycemia | Severe hypoglycemia | Documented symptomatic hypoglycemia: <=3.9 mmol/L | Documented symptomatic hypoglycemia: <3.0 mmol/L | Probable symptomatic hypoglycemia | Asymptomatic hypoglycemia <=3.9 mmol/L | Asymptomatic hypoglycemia <3.0 mmol/L | Pseudo-hypoglycemia >3.9 mmol/L |
---|
Traditional | 3 | 0 | 3 | 3 | 0 | 3 | 1 | 0 |
,Virtual | 7 | 0 | 6 | 4 | 0 | 4 | 1 | 1 |
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Change From Baseline in Glycated Hemoglobin A1c (HbA1c) to Week 24
Change in HbA1c was calculated by subtracting baseline value from Week 24 value. (NCT03260868)
Timeframe: Baseline, Week 24
Intervention | percentage of HbA1c (Mean) |
---|
Virtual | 0.10 |
Traditional | 0.33 |
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Change From Baseline in Glycated Hemoglobin A1c to Week 16
Change in HbA1c was calculated by subtracting baseline value from Week 16 value. (NCT03260868)
Timeframe: Baseline, Week 16
Intervention | percentage of HbA1c (Mean) |
---|
Virtual | 0.23 |
Traditional | 0.45 |
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Change From Baseline in Fasting Plasma Glucose (FPG) to Week 16 and Week 24
Change in FPG was calculated by subtracting baseline value from Week 16 value (for change at Week 16) and Week 24 (for change at Week 24) value. (NCT03260868)
Timeframe: Baseline, Week 16, Week 24
Intervention | millimole per liter (mmol/L) (Mean) |
---|
| Week 16 | Week 24 |
---|
Traditional | -0.200 | 2.900 |
,Virtual | -0.660 | -3.625 |
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Change From Baseline in Body Weight at Week 18
An ANCOVA model was used for the analysis. (NCT03285594)
Timeframe: Baseline and Week 18
Intervention | kilogram (kg) (Least Squares Mean) |
---|
Placebo | 0.36 |
Sotagliflozin 200 mg | -0.73 |
Sotagliflozin 400 mg | -1.37 |
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Percentage of Participants With Adverse Events (AEs)
An AE is any untoward medical occurrence in a participants or clinical investigation participants administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT03285594)
Timeframe: First dose of study drug to last dose of study drug (up to 55.7 weeks) + 2 weeks
Intervention | percentage of participants (Number) |
---|
Placebo | 64.6 |
Sotagliflozin 200 mg | 54.6 |
Sotagliflozin 400 mg | 59.3 |
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Change From Baseline in Body Weight at Week 52
An ANCOVA model was used for the analysis. (NCT03285594)
Timeframe: Baseline and Week 52
Intervention | kg (Least Squares Mean) |
---|
Placebo | -0.18 |
Sotagliflozin 200 mg | -1.19 |
Sotagliflozin 400 mg | -0.83 |
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 18
FPG was performed in fasting state, that is, without any food intake (except for water) for at least 8 hours. An ANCOVA model was used for the analysis. (NCT03285594)
Timeframe: Baseline and Week 18
Intervention | milligram per deciliter (mg/dL) (Least Squares Mean) |
---|
Placebo | 12.882 |
Sotagliflozin 200 mg | -2.975 |
Sotagliflozin 400 mg | -8.949 |
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Change From Baseline in HbA1c at Week 52
An ANCOVA model was used for the analysis. (NCT03285594)
Timeframe: Baseline and Week 52
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
Placebo | 0.00 |
Sotagliflozin 200 mg | -0.52 |
Sotagliflozin 400 mg | -0.57 |
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Change From Baseline in Hemoglobin A1c (HbA1c) at Week 18
An analysis of covariance (ANCOVA) model was used for the analysis. (NCT03285594)
Timeframe: Baseline and Week 18
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
Placebo | -0.27 |
Sotagliflozin 200 mg | -0.72 |
Sotagliflozin 400 mg | -0.81 |
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Change From Baseline in SBP at Week 12 for All Participants
An ANCOVA model was used for the analysis. (NCT03285594)
Timeframe: Baseline to Week 12
Intervention | mmHg (Least Squares Mean) |
---|
Placebo | -0.21 |
Sotagliflozin 200 mg | -5.15 |
Sotagliflozin 400 mg | -4.10 |
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Change From Baseline in Systolic Blood Pressure (SBP) for Participants With Baseline SBP ≥130 mmHg at Week 12
An ANCOVA model was used for the analysis. Here, N is the number of participants with data available at a given time point. (NCT03285594)
Timeframe: Baseline and Week 12
Intervention | mmHg (Least Squares Mean) |
---|
Placebo | -4.67 |
Sotagliflozin 200 mg | -8.58 |
Sotagliflozin 400 mg | -8.50 |
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Percentage of Participants With Hypoglycemic Events
Percentage of participants with hypoglycemic events are reported for the following 3 categories: Any hypoglycemia (as reported in the Electronic Case Report Form); Documented symptomatic hypoglycemia [typical symptoms of hypoglycemia (increased sweating, nervousness, asthenia/weakness, tremor, dizziness, increased appetite, palpitations, headache, sleep disorder, confusion, seizures, unconsciousness, and/or coma) and plasma glucose ≤ 70 mg/dL (3.9 mmol/L)]; Severe [an event requiring assistance of another person to actively administer carbohydrate, glucagon, intravenous glucose or other resuscitative actions] or documented symptomatic hypoglycemia [typical symptoms of hypoglycemia and plasma glucose ≤ 70 mg/dL]. (NCT03285594)
Timeframe: Up to 55.7 weeks
Intervention | percentage of participants (Number) |
---|
| Any hypoglycemia | Documented symptomatic hypoglycemia | Severe or documented symptomatic hypoglycemia |
---|
Placebo | 62.5 | 44.4 | 44.4 |
,Sotagliflozin 200 mg | 56.0 | 41.8 | 41.8 |
,Sotagliflozin 400 mg | 62.8 | 46 | 46 |
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Number of Participants With an Episode of Severe Hypoglycemia While Hospitalized
Blood glucose as measured before each meal and at bedtime. The number of participants with at least one episode of severe hypoglycemia, defined as BG < 40 mg/dL, is presented here. (NCT03336528)
Timeframe: During the first 10 days of therapy
Intervention | Participants (Count of Participants) |
---|
Degludec | 0 |
Glargine | 0 |
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Daily Dose of Insulin in Hospitalized Patients
Electronic medical records and nursing records documented the day day and time of insulin administration, including the basal study drug given once daily (degludec or glargine), prandial insulin given before meals (aspart), and supplemental insulin given to correct hyperglycemia. The mean daily doses of basal insulin, prandial insulin, and total daily dose of insulin given to hospitalized patients are presented here. (NCT03336528)
Timeframe: During the first 10 days of therapy
Intervention | International Units of insulin (Mean) |
---|
| Basal Insulin | Prandial Insulin | Total Daily Dose of Insulin |
---|
Degludec | 30 | 11 | 56 |
,Glargine | 30 | 12 | 60 |
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Hemoglobin A1c (HbA1c) in Discharged Patients
The HbA1C test reflects the average of a person's blood glucose levels over the past 3 months by measuring the percentage of red blood cells (RBCs) with glycated hemoglobin (hemoglobin with glucose bonded to it). Participants with HbA1C ≥ 7.5% were followed for 12 weeks after hospital discharge. Samples for HbA1C were drawn at 4 and 12 weeks post-discharge. An HbA1c measurement below 5.7% is considered normal, while a measurement of 6.5% or greater indicates diabetes. (NCT03336528)
Timeframe: 4 and 12 weeks after hospital discharge
Intervention | percent of RBCs with glycated hemoglobin (Mean) |
---|
| 4 weeks post-discharge | 12 weeks post-discharge |
---|
Degludec | 8.3 | 8.2 |
,Glargine | 8.0 | 7.4 |
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Mean Daily Blood Glucose Concentration in Hospitalized Patients
Blood glucose was measured before each meal and at bedtime among hospitalized study participants. Mean daily blood glucose concentration was calculated to determine differences in inpatient glycemic control in general medicine and surgery patients with Type 2 Diabetes (T2D) treated with basal bolus regimen with insulin degludec or glargine once daily plus aspart insulin before meals. A random (non-fasting) blood glucose measurement of 140 mg/dL or less is considered normal, while a measurement of 200 mg/dL or more indicates diabetes. (NCT03336528)
Timeframe: Baseline, up to the first 10 days of therapy
Intervention | mg/dL (Mean) |
---|
| Baseline | Day 1 up to Day 10 |
---|
Degludec | 219.50 | 179.75 |
,Glargine | 218.19 | 180.67 |
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Mean Daily Blood Glucose Concentration in Discharged Patients.
Blood glucose was measured before each meal and at bedtime, after participants were discharged from the hospital. Mean daily blood glucose concentration was calculated to determine differences in outpatient glycemic control in patients with Type 2 Diabetes (T2D) treated with basal bolus regimen with insulin degludec or glargine once daily plus aspart insulin before meals. Information was collected via bi-weekly phone interviews and during the outpatient study visits at Weeks 4 and 12. (NCT03336528)
Timeframe: Day after hospital discharge to 4 weeks after discharge, 4 to 12 weeks after hospital discharge
Intervention | mg/dL (Mean) |
---|
| Day after discharge up to the 4 week post-discharge study visit | 4 week post-discharge up to the 12 week post-discharge study visit |
---|
Degludec During Hospitalization | 157.0 | 148.7 |
,Glargine During Hospitalization | 143.0 | 133.8 |
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Length of Hospital Stay
The length of hospital in days is presented here. (NCT03336528)
Timeframe: Duration of hospital stay (an average of 10 days)
Intervention | days (Median) |
---|
Degludec | 6.7 |
Glargine | 7.5 |
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Number of Blood Glucose Point-of-care Test Results Between 70 and 180 mg/dL in Hospitalized Patients
Blood glucose was measured with point-of-care testing before each meal and at bedtime, and the count of blood glucose test results between 70 mg/dL and 180 mg/dL was determined. (NCT03336528)
Timeframe: During the first 10 days of therapy
Intervention | Blood Glucose Point-of-Care Test (Count of Units) |
---|
Degludec | 758 |
Glargine | 789 |
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Number of Clinically Significant Hypoglycemia Episodes in Discharged Patients
Blood glucose will be measured before each meal and at bedtime. The number of episodes of clinically significant hypoglycemia, defined as BG < 54 mg/dL, are presented here. (NCT03336528)
Timeframe: Up to 12 weeks after hospital discharge
Intervention | episodes of significant hypoglycemia (Number) |
---|
Degludec | 1 |
Glargine | 1 |
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Number of Episodes of Severe Hyperglycemia in Discharged Patients
Blood glucose was measured before each meal and at bedtime. The number of episodes of severe hyperglycemia, defined as BG > 240 mg/dL, are presented here. (NCT03336528)
Timeframe: Up to 12 weeks after hospital discharge
Intervention | episodes of severe hyperglycemia (Number) |
---|
Degludec | 211 |
Glargine | 55 |
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Number of Hypoglycemia Episodes in Discharged Patients
Blood glucose was measured before each meal and at bedtime. The number of hypoglycemia episodes, defined as BG < 70 mg/dL, was recorded via bi-weekly phone interviews and during 4 and 12 week outpatient study visits. (NCT03336528)
Timeframe: Up to 12 weeks after hospital discharge
Intervention | episodes of hypoglycemia (Number) |
---|
Degludec | 16 |
Glargine | 19 |
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Number of Participants Experiencing Acute Kidney Injury in Discharged Patients
Acute kidney injury defined as an increase in serum creatinine ≥ 0.3 mg/dL from baseline or ≥1.5 times baseline creatinine, per Kidney Disease: Improving Global Outcomes (KDIGO) guidelines. The number of participants experiencing acute kidney injury after hospital discharge is presented here. (NCT03336528)
Timeframe: Up to 12 weeks after hospital discharge
Intervention | Participants (Count of Participants) |
---|
Degludec | 1 |
Glargine | 0 |
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Number of Participants Experiencing Cardiac Complications During Hospitalization
Cardiac complications during hospitalization were examined as a composite of complications, defined as myocardial infarction, cardiac arrhythmia requiring medical treatment, or cardiac arrest. The number of participants experiencing cardiac complications while hospitalized patients is presented here. (NCT03336528)
Timeframe: During the first 10 days of therapy
Intervention | Participants (Count of Participants) |
---|
Degludec | 0 |
Glargine | 0 |
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Number of Participants Who Died During Hospitalization
Hospital mortality is evaluated as the number of deaths among participants during hospitalization. (NCT03336528)
Timeframe: Duration of hospital stay (an average of 10 days)
Intervention | Participants (Count of Participants) |
---|
Degludec | 0 |
Glargine | 1 |
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Number of Participants With Acute Kidney Injury During Hospitalization
Acute kidney injury defined as an increase in serum creatinine ≥ 0.3 mg/dL from baseline or ≥1.5 times baseline creatinine, per Kidney Disease: Improving Global Outcomes (KDIGO) guidelines. The number of participants experiencing acute kidney injury during hospitalization is presented here. (NCT03336528)
Timeframe: During the first 10 days of therapy
Intervention | Participants (Count of Participants) |
---|
Degludec | 5 |
Glargine | 10 |
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Number of Participants With an Episode of Clinically Significant Hypoglycemia While Hospitalized
Blood glucose was measured before each meal and at bedtime. The number of participants with at least one episode of clinically significant hypoglycemia, defined as BG < 54 mg/dL, is presented here. (NCT03336528)
Timeframe: During the first 10 days of therapy
Intervention | Participants (Count of Participants) |
---|
Degludec | 3 |
Glargine | 1 |
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Number of Participants With an Episode of Hypoglycemia While Hospitalized
Blood glucose (BG) was measured before each meal and at bedtime. The number of participants with at least one hypoglycemic episode, defined as BG of 54 to 70 mg/dL, is presented here. (NCT03336528)
Timeframe: During the first 10 days of therapy
Intervention | Participants (Count of Participants) |
---|
Degludec | 14 |
Glargine | 15 |
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Number of Participants With an Episode of Severe Hyperglycemia While Hospitalized
Blood glucose was measured before each meal and at bedtime. The number of participants who experienced at least one episode of severe hyperglycemia, defined as BG > 240 mg/dL, is presented here. (NCT03336528)
Timeframe: During the first 10 days of therapy
Intervention | Participants (Count of Participants) |
---|
Degludec | 52 |
Glargine | 47 |
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Rate of Total Symptomatic and Nocturnal Hypoglycemia Events (Adjusted by 1 Year)
Hypoglycemic episodes are defined as events that are associated with reported signs and symptoms of hypoglycemia and/or documented blood glucose (BG) concentrations of ≤70 mg/dL (3.9 mmol/L). The overall yearly rates (events/participant/year) of those hypoglycemic events, calculated as, for each participant, the number of episodes times 365.25 and then divided by the participants treatment duration, will be summarized, and analyzed by a negative-binomial regression model with treatment as fixed effects and log of (participant's treatment duration/365.25) as an offset variable. A nocturnal hypoglycemic event is defined as any total hypoglycemia event that occurred between bedtime and waking. (NCT03338010)
Timeframe: Baseline through 24 weeks
Intervention | events/participant/year (Least Squares Mean) |
---|
| Total hypoglycemia | Nocturnal Hypoglycemia |
---|
Lantus® | 1.15 | 0.39 |
,LY2963016 | 1.37 | 0.47 |
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Insulin Treatment Satisfaction Questionnaire (ITSQ)
ITSQ is a validated instrument containing 22 items that assess treatment satisfaction for participants with diabetes and on insulin. Items divided into 5 domains of satisfaction: Inconvenience of Regimen [(IR) 5 items: domain scores range (DSR) 5-35], Lifestyle Flexibility [(LF) 3 items: DSR 3-21], Glycemic Control [(GC) 3 items: DSR 3-21], Hypoglycemic Control [(HC) 5 items: DSR 5-35], Insulin Delivery Device [(IDD) 6 items: DSR 6-42]. All items measured on a 7-point scale: 1 (no bother at all) to 7 (a tremendous bother), with lower scores reflecting better outcomes. ITSQ Total Overall Raw Scores range from 22-154. Both raw domain and overall scores are transformed on a scale of 0-100, where transformed score=100*[(7-mean raw score)/6]. Higher scores indicate better treatment satisfaction. LS mean was calculated by MMRM with baseline, insulin secretagogues at study entry, baseline HbA1c, treatment, time and treatment*time in the model. (NCT03338010)
Timeframe: At Week 24
Intervention | units on a scale (Least Squares Mean) |
---|
| IR | LF | HC | GC | IDD | ITSQ Overall Total |
---|
Lantus® | 90.31 | 87.69 | 90.86 | 87.83 | 88.29 | 88.99 |
,LY2963016 | 89.36 | 83.70 | 89.07 | 87.80 | 86.84 | 87.32 |
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Change From Baseline in Glycemic Variability of Fasting Blood Glucose
Glycemic variability is measured by the intra-participant standard deviation (SD) value of fasting blood glucose as measured by the actual morning and daily pre-meal blood glucose value from the 7-point self-monitoring blood glucose [SMBG] profiles. LS mean was calculated by MMRM with baseline, insulin secretagogues at study entry, baseline HbA1c, treatment, time and treatment*time in the model. (NCT03338010)
Timeframe: Baseline, Week 24
Intervention | milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
| Morning Pre-meal Standard Deviation | Daily Mean Standard Deviation |
---|
Lantus® | -2.49 | -4.5 |
,LY2963016 | -2.17 | -4.1 |
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Change From Baseline in 7-Point Self-Monitored Blood Glucose (SMBG) Values
Seven-point SMBG are completed at the following timepoints: Before Morning Meal, 2 Hours After Morning Meal, Before Mid-Day Meal, 2 Hours After Mid-Day Meal, Before Evening Meal, 2 Hours After Evening Meal and Bed Time. LS mean was calculated by MMRM with baseline, insulin secretagogues at study entry, baseline HbA1c, treatment, time and treatment*time in the model. (NCT03338010)
Timeframe: Baseline, Week 24
Intervention | milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
| Before Morning Meal Glucose | 2 Hours After Morning Meal Glucose | Before Mid-Day Meal Glucose | 2 Hours After Mid-Day Meal Glucose | Before Evening Meal Glucose | 2 Hours After Evening Meal Glucose | Bedtime Glucose |
---|
Lantus® | -49.7 | -52.7 | -39.9 | -35.9 | -33.0 | -32.0 | -33.0 |
,LY2963016 | -48.7 | -56.3 | -43.2 | -31.0 | -32.1 | -29.7 | -31.6 |
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Basal Insulin Dose Units Per Day
Units of basal insulin dose taken per day (U/day). LS mean was calculated by MMRM with baseline, insulin secretagogues at study entry, baseline HbA1c, treatment, time and treatment*time in the model. (NCT03338010)
Timeframe: At Week 24
Intervention | units per day (U/day) (Least Squares Mean) |
---|
LY2963016 | 16.0 |
Lantus® | 15.7 |
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Change From Baseline in Basal Insulin Dose Units Per Day
Units of basal insulin dose taken per day (U/day). LS mean was calculated by MMRM with baseline, insulin secretagogues at study entry, baseline HbA1c, treatment, time and treatment*time in the model. (NCT03338010)
Timeframe: Baseline, Week 24
Intervention | U/day (Least Squares Mean) |
---|
LY2963016 | 7.0 |
Lantus® | 6.8 |
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Change From Baseline in Body Weight
Change from baseline in body weight was evaluated. LS mean was calculated by MMRM with baseline, insulin secretagogues at study entry, baseline HbA1c, treatment, time and treatment*time in the model. (NCT03338010)
Timeframe: Baseline, Week 24
Intervention | kilogram (kg) (Least Squares Mean) |
---|
LY2963016 | 1.1 |
Lantus® | 1.2 |
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Change From Baseline in HbA1c (Lantus® to LY2963016)
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. LS mean was calculated by MMRM with baseline, insulin secretagogues at study entry, treatment, visit and treatment*visit in the model. (NCT03338010)
Timeframe: Baseline, Week 24
Intervention | Percentage of HbA1c (Least Squares Mean) |
---|
LY2963016 | -1.27 |
Lantus® | -1.23 |
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Change From Baseline in Hemoglobin A1c (HbA1c) (LY2963016 to Lantus®)
HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured primarily to identify average plasma glucose concentration over prolonged periods of time. Least square (LS) mean was calculated by mixed-effects model for repeated measures (MMRM) with baseline, insulin secretagogues at study entry, treatment, visit and treatment*visit in the model. (NCT03338010)
Timeframe: Baseline, Week 24
Intervention | Percentage of HbA1c (Least Squares Mean) |
---|
LY2963016 | -1.27 |
Lantus® | -1.23 |
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Number of Participants With Detectable Anti-Glargine Antibodies
Number of participants with detectable anti-glargine antibodies were reported. (NCT03338010)
Timeframe: Baseline through 24 weeks
Intervention | participants (Number) |
---|
LY2963016 | 69 |
Lantus® | 31 |
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Percentage of Participants With HbA1c <7% at Week 24
The percentage of participants was calculated by dividing the number of participants reaching target HbA1c by the total number of participants analyzed, multiplied by 100. (NCT03338010)
Timeframe: Week 24
Intervention | Percentage of participants (Number) |
---|
LY2963016 | 43.7 |
Lantus® | 44.9 |
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Percentage of Participants With HbA1c ≤6.5% at Week 24
The percentage of participants was calculated by dividing the number of participants reaching target HbA1c by the total number of participants analyzed, multiplied by 100. (NCT03338010)
Timeframe: Week 24
Intervention | Percentage of participants (Number) |
---|
LY2963016 | 23.4 |
Lantus® | 16.5 |
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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
Intervention | mg/dl (Mean) |
---|
| Fasting blood glucose | Postprandial glucose | Glucose in the early morning |
---|
Glargine and Lispro Insulin Group | 135 | 156.2 | 136.2 |
,NPH Insulin Group | 129.6 | 155.4 | 127.4 |
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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.
Intervention | Participants (Count of Participants) |
---|
NPH Insulin Group | 30 |
Glargine and Lispro Insulin Group | 20 |
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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.
Intervention | Participants (Count of Participants) |
---|
NPH Insulin Group | 15 |
Glargine and Lispro Insulin Group | 15 |
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Immunogenicity - Percentage of Subjects With Confirmed Positive AIA After Baseline
The percentage of subjects in each treatment group with confirmed positive AIA after baseline and up to visit Week 26. (NCT03371108)
Timeframe: Baseline to Week 26
Intervention | Participants (Count of Participants) |
---|
Gan & Lee Insulin Glargine Injection | 58 |
Lantus® | 61 |
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Treatment-induced Anti-Insulin Antibody (TI-AIA) is the Primary Endpoint
Subjects were classified as experiencing a TI-AIA or not. A TI-AIA is defined as a subject experiencing a newly confirmed positive AIA status, if they were negative at baseline or a 4-fold increase in their titer values if they were positive. The primary outcome measure is summarized as the percent of subjects experiencing a TI-AIA in the group. (NCT03371108)
Timeframe: Baseline to Week 26
Intervention | Percentage of subjects with TI-AIA (Number) |
---|
Gan & Lee Insulin Glargine Injection | 54 |
Lantus® | 60 |
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CFB in HbA1c to Week 26
Change is HbA1c value at week 26 minus the value at baseline. (NCT03371108)
Timeframe: Baseline to Week 26
Intervention | Percentage of glycosylated hemoglobin (Least Squares Mean) |
---|
Gan & Lee Insulin Glargine Injection | -0.39 |
Lantus® | -0.45 |
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Immunogenicity - Mean Change From Baseline in Each Treatment Group in AIA Titers After Baseline
The mean change from baseline in each treatment group in AIA titers after baseline and up to visit Week 26. (NCT03371108)
Timeframe: Baseline to Week 26
Intervention | Titers (Mean) |
---|
Gan & Lee Insulin Glargine Injection | 23.5 |
Lantus® | -3.0 |
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Immunogenicity - Percentage of Subjects in Each Treatment Group With Confirmed Positive AIA at Baseline Who Developed at Least a 4-fold Increase in Titers After Baseline
The percentage of subjects in each treatment group with confirmed positive AIA at baseline (n=6) who developed an important increase (at least a 4-fold increase in titers after baseline) up to visit Week 26. (NCT03371108)
Timeframe: Baseline to Week 26
Intervention | Participants (Count of Participants) |
---|
Gan & Lee Insulin Glargine Injection | 0 |
Lantus® | 0 |
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Immunogenicity - Percentage of Subjects in Each Treatment Group With Negative AIA at Baseline Who Develop Confirmed Positive AIA After Baseline
The percentage of subjects in each treatment group with negative AIA at baseline who develop confirmed positive AIA after baseline and up to visit Week 26. (NCT03371108)
Timeframe: Baseline to Week 26
Intervention | Participants (Count of Participants) |
---|
Gan & Lee Insulin Glargine Injection | 42 |
Lantus® | 53 |
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Immunogenicity - Percentage of Subjects With Confirmed Positive AIA After Baseline Who Develop Any Anti-insulin Neutralizing Antibodies After Baseline
The percentage of subjects in each treatment group with confirmed positive AIA after baseline and up to visit Week 26 who develop any anti-insulin neutralizing antibodies after baseline and up to visit Week 26. (NCT03371108)
Timeframe: Baseline to Week 26
Intervention | Participants (Count of Participants) |
---|
Gan & Lee Insulin Glargine Injection | 1 |
Lantus® | 3 |
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Efficacy - HbA1c Control
The number and percentage of subjects who achieve a HbA1c of < 7.0% at visit Week 26. (NCT03371108)
Timeframe: At Week 26
Intervention | Participants (Count of Participants) |
---|
| Lack of Postbaseline HbA1c Control | Sufficient Postbaseline HbA1c Control |
---|
Gan & Lee Insulin Glargine Injection | 249 | 35 |
,Lantus® | 246 | 37 |
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Efficacy - Postbaseline FBG Control
The number and percentage of subjects who achieve an FBG test result of ≤ 8.0 mmol/L (≤ 144.0 mg/dL) at visit Week 26. (NCT03371108)
Timeframe: Baseline to Week 26
Intervention | Participants (Count of Participants) |
---|
| Lack of Postbaseline FBG control | Sufficient Postbaseline FBG control |
---|
Gan & Lee Insulin Glargine Injection | 151 | 133 |
,Lantus® | 145 | 138 |
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Change From Baseline in Glycated Hemoglobin (HbA1c) at Week 26
Change in HbA1c was calculated by subtracting baseline value from Week 26 value. (NCT03434119)
Timeframe: Baseline, Week 26
Intervention | percentage of HbA1c (Mean) |
---|
Soliqua 100/33 | -1.86 |
Lantus | -1.07 |
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Percentage of Participants Achieving HbA1c Target of <7% at Week 26
Participants who had no available assessment for HbA1c at Week 26 were considered as non-responders. (NCT03434119)
Timeframe: Week 26
Intervention | percentage of participants (Number) |
---|
Soliqua 100/33 | 52.6 |
Lantus | 30.8 |
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Percentage of Participants With Hypoglycemic Events (Any Hypoglycemia, Severe Hypoglycemia, Documented Hypoglycemia) During the On-Treatment Period
Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Documented hypoglycemia with plasma glucose cut-off of <=70 mg/dL (3.9 mmol/L) was any hypoglycemia documented by a measured plasma glucose <=70 mg/dL (3.9 mmol/L) and excluding plasma glucose <54 mg/dL regardless of symptoms. Documented hypoglycemia with plasma glucose cut-off of <54 mg/dL (3.0 mmol/L) was any hypoglycemia documented by a measured plasma glucose <54 mg/dL (3.0 mmol/L) regardless of symptoms. (NCT03434119)
Timeframe: Baseline to Week 26
Intervention | percentage of participants (Number) |
---|
| Any hypoglycemia | Severe hypoglycemia | Documented hypoglycaemia <=70 mg/dL (3.9 mmol/L) | Documented hypoglycaemia <54 mg/dL (3.0 mmol/L) |
---|
Lantus | 52.8 | 2.4 | 48.8 | 18.4 |
,Soliqua 100/33 | 48.7 | 1.7 | 43.5 | 12.2 |
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Change From Baseline in Body Weight at Week 26
Change in body weight was calculated by subtracting baseline value from Week 26 value. (NCT03434119)
Timeframe: Baseline, Week 26
Intervention | kilograms (kg) (Mean) |
---|
Soliqua 100/33 | 1.69 |
Lantus | 1.52 |
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Change From Baseline in Daily Insulin Glargine Dose at Week 26
Change in daily dose was calculated by subtracting baseline value from Week 26 value. (NCT03434119)
Timeframe: Baseline, Week 26
Intervention | International Units (IU) (Mean) |
---|
Soliqua 100/33 | 18.7 |
Lantus | 14.1 |
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Pharmacodynamics (PD): Total Amount of Glucose Infused (Gtot)
Gtot was the total glucose infusion over the clamp duration and was used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations were held constant after the administration of Insulin glargine or Lantus by adjusting the exogenous glucose infusion rate. Data presented were adjusted by the body weight. (NCT03555305)
Timeframe: 30 minutes predose through 24 hours postdose
Intervention | milligrams/kilogram (mg/kg) (Geometric Mean) |
---|
0.5 U/kg Insulin Glargine | 2390 |
0.5 U/kg Lantus | 2680 |
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PK: Area Under the Concentration Versus Time Curve From Time Zero to 24 Hours (AUC[0-24]) of Insulin Glargine and Lantus
PK: Area Under the Concentration Versus Time Curve From Time Zero to 24 Hours (AUC[0-24]) of Insulin glargine and Lantus. (NCT03555305)
Timeframe: -0.5 and 0 hours predose; 0.5, 1, 2, 3, 4, 6, 9, 12, 15, 18, 21, and 24 hours postdose
Intervention | picomole*hour per liter (pmol*hr/L) (Geometric Mean) |
---|
0.5 U/kg Insulin Glargine | 2170 |
0.5 U/kg Lantus | 2310 |
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PD: Maximum Glucose Infusion Rate (Rmax)
Rmax is the maximum infusion rate of glucose administered intravenously needed to maintain target blood glucose level and is used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations are held constant after the administration of Insulin glargine or Lantus by adjusting the exogenous glucose infusion rate. Data presented were adjusted by the body weight. (NCT03555305)
Timeframe: 30 minutes predose through 24 hours postdose
Intervention | milligrams/kilograms/minute (mg/kg/min) (Geometric Mean) |
---|
0.5 U/kg Insulin Glargine | 2.72 |
0.5 U/kg Lantus | 2.99 |
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Pharmacokinetics (PK): Maximum Serum Concentration (Cmax) of Insulin Glargine and Lantus
Pharmacokinetics (PK): Maximum Serum Concentration (Cmax) of Insulin glargine and Lantus. (NCT03555305)
Timeframe: -0.5 and 0 hours predose; 0.5, 1, 2, 3, 4, 6, 9, 12, 15, 18, 21, and 24 hours postdose
Intervention | picomole per liter (pmol/L) (Geometric Mean) |
---|
0.5 U/kg Insulin Glargine | 124 |
0.5 U/kg Lantus | 129 |
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Hemoglobin A1c (HbA1c)
The mean HbA1c in the BI group will be compared to the mean HbA1c in the MSI group (NCT03660553)
Timeframe: 6 months
Intervention | percentage of HbA1c (Mean) |
---|
Multiple Subcutaneous Injection (MSI) | 8.5 |
Basal Insulin (BI) | 7.8 |
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Incidence of Any Hypoglycemia
Defined as any reported blood glucose (BG) <70 mg/dl will be compared between the two groups (NCT03660553)
Timeframe: 6 months
Intervention | participants (Number) |
---|
Multiple Subcutaneous Injection (MSI) | 0 |
Basal Insulin (BI) | 0 |
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Incidence of Severe Hypoglycemia
Any BG <54 mg/dl or patient requiring assistance to recover from hypoglycemia will be compared between 2 groups. (NCT03660553)
Timeframe: 6 months
Intervention | participants (Number) |
---|
Multiple Subcutaneous Injection (MSI) | 0 |
Basal Insulin (BI) | 0 |
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Continuous Glucose Monitoring - Time in Range (70-180 mg/dl)
Time in range (70-180 mg/dl) [percentage of glucose readings or hours per day] by continuous glucose monitoring (CGM) during the first 24 hours after arriving in HNL and EWR (starting within 2 hours after arrival). (NCT03668808)
Timeframe: During the initial 24 hours local time and starting within 2 hours after arrival
Intervention | percentage of Time in Range 70-180mg/dL (Mean) |
---|
| Eastward travel | Westward travel |
---|
Insulin Degludec | 55.0 | 54.5 |
,Insulin Glargine U100 | 62.3 | 61.2 |
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Continuous Glucose Monitoring - Time in Range (70-140 mg/dl)
Time in range (70-140 mg/dl) [percentage of glucose readings or hours per day] by continuous glucose monitoring (CGM) during the initial 24 hours local time (starting within 2 hours after arriving) in Newark, NJ after flying 9-10 hours West to East (from Honolulu, HI) and after the return journey from Newark to Honolulu (flying East to West). (NCT03668808)
Timeframe: During the initial 24 hours local time and starting within 2 hours after arrival
Intervention | percentage of Time in Range 70-140mg/dL (Mean) |
---|
| Eastward travel | Westward travel |
---|
Insulin Degludec | 36.3 | 37.2 |
,Insulin Glargine U100 | 45.6 | 43.9 |
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CGM Fasting Blood Glucose (FBG)
Fasting Blood Glucose (FBG) was determined using CGM at each destination on the morning after arrival. (NCT03668808)
Timeframe: At 0600 local time on the morning after arrival at each destination
Intervention | mg/dL (Mean) |
---|
| After eastward travel | After westward travel |
---|
Insulin Degludec | 143 | 137 |
,Insulin Glargine U100 | 137 | 140 |
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CGM % Time 70-180 mg/dl
% time 70-180 mg/dl by CGM (NCT03668808)
Timeframe: In flight period of time and for 72 hours at each destination
Intervention | percentage of Time in Range 70-180mg/dL (Mean) |
---|
| Eastward travel in-flight | Westward travel in-flight | Eastward travel 72 hours at destination | Westward travel 72 hours at destination |
---|
Insulin Degludec | 50.5 | 65.1 | 58.3 | 56.7 |
,Insulin Glargine U100 | 58.9 | 64.0 | 62.0 | 59.2 |
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CGM % Time >180 mg/dl
% time >180 mg/dl by CGM (NCT03668808)
Timeframe: In flight period of time and for 72 hours at each destination
Intervention | percentage of Time above Range >180mg/dL (Mean) |
---|
| In flight Eastward travel %Time above Range >180mg/dL | In flight Westward travel %Time above Range >180mg/dL | Eastward 72 hours at destination % Time above Range >180mg/dL | Westward 72 hours at destination % Time above Range >180mg/dL |
---|
Insulin Degludec | 39.5 | 30.8 | 31.7 | 34.9 |
,Insulin Glargine U100 | 32.3 | 26.0 | 27.6 | 32.7 |
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CGM - Coefficient of Variation (CV)
Coefficient of variation of CGM values - glycemic variability (CV, %) (NCT03668808)
Timeframe: In flight period of time and for 72 hours at each destination
Intervention | percentage of Glycemic Variability % (Mean) |
---|
| Eastward In-flight Glycemic variability CV % | Westward In-flight Glycemic variability CV % | Eastward 72-hours at destination Glycemic variability CV % | Westward 72-hours at destination Glycemic variability CV % |
---|
Insulin Degludec | 30.6 | 28.2 | 39.9 | 38.6 |
,Insulin Glargine U100 | 31.0 | 33.7 | 41.0 | 39.5 |
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CGM % Time <70 mg/dl
% time <70 mg/dl by CGM (NCT03668808)
Timeframe: In flight period of time and for 72 hours at each destination
Intervention | percentage of Time below range <70 mg/dL (Mean) |
---|
| Eastward travel in flight | Westward travel in flight | Eastward flight 72 hours at destination | Westward flight 72 hours at destination |
---|
Insulin Degludec | 9.9 | 4.1 | 10.0 | 8.4 |
,Insulin Glargine U100 | 8.9 | 9.9 | 10.5 | 8.2 |
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Liverpool Jet-Lag Questionnaire
This is a Questionnaire about jet-lag and fatigue administered at the destinations after arrival. Jet Lag is rated on a 0-10 scale (0 - insignificant jet lag to 10 - very bad jet lag). Fatigue is rated on a scale of -5 to +5 (more fatigue to less fatigue). (NCT03668808)
Timeframe: After 24 and 48 hours at the destination after arrival
Intervention | score on a scale (Mean) |
---|
| Eastward jet lag after 24 hours | Eastward jet lag after 48 hours | Eastward fatigue after 24 hours | Eastward fatigue after 48 hours | Westward jetlag after 24 hours | Westward jetlag after 48 hours | Westward fatigue after 24 hours | Westward fatigue after 48 hours |
---|
Insulin Degludec | 2.5 | 1.6 | 0.2 | -0.7 | 3.2 | 3.5 | -1.6 | 3.5 |
,Insulin Glargine U100 | 4.1 | 3.8 | 0.2 | -1.5 | 3.5 | 2.9 | -1.5 | -0.7 |
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Sleep Quantity Measured by ActiGraph
Measurement of sleep duration (TST - Total sleep time in minutes) (NCT03668808)
Timeframe: During 24 hours at each destination
Intervention | Minutes (Median) |
---|
| Total sleep time, minutes in NY | Total sleep time, minutes in HI |
---|
Sleep at Each Destination | 489 | 398 |
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Sleep Efficiency Measured by ActiGraph
Measurement of sleep efficiency (SE% - total sleep time in minutes divided by time in bed in minutes) (NCT03668808)
Timeframe: During 24 hours at each destination
Intervention | percentage of total sleep/time in bed (Median) |
---|
| SE% in NY | SE% in HI |
---|
Sleep at Each Destination | 92 | 89 |
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Mean ± SD CGM Glucose (mg/dl)
Mean ± standard deviation of CGM glucose (mg/dl) by CGM during the flight and during the 72 hours at the destination (NCT03668808)
Timeframe: In flight period of time and for 72 hours at each destination
Intervention | mg/dL (Mean) |
---|
| In-flight eastward | In-flight westward | 72 hours at destination after eastward travel | 72 hours at destination after westward travel |
---|
Insulin Degludec | 166.3 | 157.0 | 154.3 | 160.4 |
,Insulin Glargine U100 | 158.8 | 146.1 | 147.6 | 156.3 |
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Number of Participants With A1C of <6.5% After CGM-guided Insulin Therapy Intervention
See if A1C achieves threshold <6.5% with intensive daily titration of basal bolus insulin therapy, guided by the individual's continuous glucose monitoring value and trend arrow - all guided by our algorithm. (NCT03670641)
Timeframe: A1C measures every 3 months up to 1 year
Intervention | Participants (Count of Participants) |
---|
| 3 months | 6 months | 9 months | 12 months |
---|
# of Participants With A1C <6.5% | 1 | 2 | 2 | 4 |
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Percent Time Glucose Values Remain in Range While Wearing CGM During Insulin Intervention
Use CGM-captured glucose values to determine how often a participant's glucose levels were in range (percent time in range) (NCT03670641)
Timeframe: 4 weeks
Intervention | percentage of time in range (Mean) |
---|
| Pre-intervention | Post-intervention |
---|
Insulin and CGM Intervention | 46.3 | 80.67 |
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Number of Patients With Glucose Values <55 mg/dL During 4 Week of Insulin and CGM Intervention
We wanted to ensure that during the course of the intensive CGM-guided insulin therapy, our algorithm would be able to avoid severe hypoglycemia, defined as a glucose reading of <55mg/dL in the study participants (NCT03670641)
Timeframe: 4 weeks
Intervention | Participants (Count of Participants) |
---|
# of Participants Who Had a Continuous Glucose Reading <55mg/dL During Insulin Intervention Week | 4 |
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Number of Participants Achieving Euglycemic Glucose Targets Within a 4 Week Period
The design of the algorithm was to attempt to achieve glucose values in the normal glycemic range, as defined as fasting BG target 80-95 mg/dL, and 2 hour post prandial BG target 100-120 mg/dL, within 2 weeks of starting insulin and maintaining values until end of 4 week intervention. We wanted to see if our CGM-guided insulin algorithm could help participants achieve pre-defined euglycemic glucose targets in four week period (NCT03670641)
Timeframe: 4 weeks
Intervention | Participants (Count of Participants) |
---|
| Fasting Glucose <95 mg/dL | 2hr post prandial glucose <120 mg/dL |
---|
# of Participants Achieving Glucose Targets | 6 | 8 |
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See if Diabetes Distress is Affected With Intervention Via Problem Areas In Diabetes (PAID) - 5 Questionnaire Scale
Administer the PAID-5 scale, which is a measure of diabetes distress. The scale ranges from a minimum of 0 (not a problem) to a maximum score of 4 (serious problem). The sum of the five questions provides the participant's score with a score range of minimum score of 0 to a maximum score of 20. A total score of greater than or equal to 8 indicates possible diabetes related emotional distress, with a higher score indicating more significant distress. This will be given to participants to see if/how distress levels change via the intervention (NCT03670641)
Timeframe: 1 year
Intervention | units on a scale (Mean) |
---|
| Pre-intervention | Post-intervention |
---|
Insulin and CGM Intervention | 8.90 | 7.62 |
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Change in Baseline A1C and A1C Measured at 3 Month Intervals up to 12 Months
Blood test drawn at baseline and after insulin and CGM-guided titration intervention at 3 month intervals to see if improvement in aggregate A1C value is achieved. (NCT03670641)
Timeframe: Every 3 months up to 1 year
Intervention | percentage of glycosylated hemoglobin (Mean) |
---|
| Pre-intervention | 3 months | 6 months | 9 months | 12 months |
---|
Insulin and CGM Intervention | 9.00 | 6.81 | 7.13 | 7.26 | 6.88 |
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Level of Glycated Haemoglobin (HbA1c) - Percentage
Level of HbA1c after two weeks of maintenance periods (Visit 19-21 (week 16-17) and Visit 37-39 (week 34-35)). (NCT03687827)
Timeframe: After the 2-week maintenance period: weeks 16-17 (period-1) and weeks 34-35 (period-2).
Intervention | Percentage of glycated haemoglobin (Least Squares Mean) |
---|
Insulin Degludec 100U/mL | 7.10 |
Insulin Glargine 100U/mL | 7.16 |
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Level of Glycated Haemoglobin (HbA1c) - mmol/Mol
Level of HbA1c after two weeks of maintenance periods (Visit 19-21 (week 16-17) and Visit 37-39 (week 34-35)). (NCT03687827)
Timeframe: After the 2-week maintenance period: weeks 16-17 (period-1) and weeks 34-35 (period-2).
Intervention | millimoles per mole (mmol/mol) (Least Squares Mean) |
---|
Insulin Degludec 100U/mL | 54.10 |
Insulin Glargine 100U/mL | 54.78 |
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Time Spent in Tight Glycaemic Target Range 70-140 mg/dL (3.9-7.8 mmol/L) Both Inclusive, Using Flash Glucose Monitoring
The percentage of time spent in tight glycaemic target range 70-140 mg/dL (3.9-7.8 mmol/L) both inclusive, during the 2-week maintenance periods using FGM (visit 9-21 (week 16-17) and visit 37-39 (week 34-35)). (NCT03687827)
Timeframe: During the 2-week maintenance period: weeks 16-17 (period-1) and weeks 34-35 (period-2).
Intervention | Percentage of Time (Least Squares Mean) |
---|
Insulin Degludec 100U/mL | 52.97 |
Insulin Glargine 100U/mL | 51.45 |
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Time Spent in Nocturnal Glycaemic Target Range 70-140 mg/dL (3.9-7.8 mmol/L) Both Inclusive, in the Nocturnal Period (00:01 am - 05:59 am Both Inclusive) Using Flash Glucose Monitoring
Percentage of time spent in nocturnal glycaemic target range 70-140 mg/dL (3.9-7.8 mmol/L) both inclusive, in the nocturnal period (00:01 am - 05:59 am both inclusive) during the 2-week maintenance periods using FGM (visit 19-21 (week 16-17) and visit 37-39 (week 34-35)). (NCT03687827)
Timeframe: During the 2-week maintenance period: weeks 16-17 (period-1) and weeks 34-35 (period-2).
Intervention | Percentage of Time (Least Squares Mean) |
---|
Insulin Degludec 100U/mL | 15.15 |
Insulin Glargine 100U/mL | 14.91 |
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Percentage of Time Spent in Glycaemic Target Range 70-180 mg/dL (3.9-10.0 mmol/L) Both Inclusive, Using Flash Glucose Monitoring (FGM)
The percentage of time spent in glycaemic target range was calculated as the number of recorded measurements in glycaemic target range (70-180 milligrams per deciliter [mg/dL] (3.9-10.0 millimoles per litre [mmol/L]), both inclusive) divided by the total number of recorded measurements. The endpoint is based on data recorded by FGM system. It was required that at least 70% of the planned FGM measurements during weeks 16-17 and weeks 34-35 were available for endpoint data to be included in the analysis. (NCT03687827)
Timeframe: During the 2-week maintenance period: weeks 16-17 (period-1) and weeks 34-35 (period-2)
Intervention | Percentage of Time (Least Squares Mean) |
---|
Insulin Degludec 100U/mL | 72.11 |
Insulin Glargine 100U/mL | 70.68 |
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Mean Glucose Levels Using Flash Glucose Monitoring (FGM)
Mean glucose levels (mmol/L) during the 2-week maintenance periods using FGM (visit 19-21 (week 16-17) and visit 37-39 (week 34-35)). (NCT03687827)
Timeframe: During the 2-week maintenance period: weeks 16-17 (period-1) and weeks 34-35 (period-2).
Intervention | mmol/L (Least Squares Mean) |
---|
Insulin Degludec 100U/mL | 7.57 |
Insulin Glargine 100U/mL | 7.61 |
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Change From Baseline to Week 52 in Body Weight (Kilogram (kg))
Change from baseline in body weight at week 52 is presented. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: Baseline (week 0), week 52
Intervention | kilograms (Mean) |
---|
Semaglutide | -4.2 |
Insulin Aspart | 2.9 |
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Change From Baseline to Week 52 in Body Weight (Percentage): Ratio to Baseline
Change from baseline in body weight (measured in percentage) at week 52 is presented as ratio to baseline. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: Baseline (week 0), week 52
Intervention | Ratio of body weight (Mean) |
---|
Semaglutide | 1.0 |
Insulin Aspart | 1.0 |
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Change From Baseline to Week 52 in Fasting Blood Lipids: High-density Lipoprotein (HDL) Cholesterol (Ratio to Baseline)
Change from baseline in HDL cholesterol (measured in mmol/L) at week 52 is presented as ratio to baseline. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: Baseline (week 0), week 52
Intervention | Ratio of HDL cholesterol (Geometric Mean) |
---|
Semaglutide | 1.0 |
Insulin Aspart | 1.0 |
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Change From Baseline to Week 52 in Fasting Blood Lipids: Low-density Lipoprotein (LDL) Cholesterol (Ratio to Baseline)
Change from baseline in LDL cholesterol (measured in mmol/L) at week 52 is presented as ratio to baseline. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: Baseline (week 0), week 52
Intervention | Ratio of LDL cholesterol (Geometric Mean) |
---|
Semaglutide | 1.0 |
Insulin Aspart | 1.0 |
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Change From Baseline to Week 52 in Fasting Blood Lipids: Total Cholesterol (Ratio to Baseline)
Change from baseline in total cholesterol (measured in mmol/L) at week 52 is presented as ratio to baseline. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: Baseline (week 0), week 52
Intervention | Ratio of total cholesterol (Geometric Mean) |
---|
Semaglutide | 1.0 |
Insulin Aspart | 1.0 |
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Number of Event Adjudication Committee-confirmed Severe (ADA) or Clinically Significant Hypoglycaemic Episodes (Plasma Glucose < 3.0 mmol/L (54 mg/dL)) From Randomization to Week 52
Number of EAC-confirmed severe or clinically significant hypoglycaemic episodes (plasma glucose < 3.0 mmol/L (54 mg/dL)) from randomization (week 0) to week 52 are presented. As per 2013 ADA criteria severe hypoglycaemic episodes were episodes with PG <=3.9 mmol/L (70 mg/dL). Severe hypoglycaemia was an episode requiring assistance of another person to actively administer carbohydrate, glucagon or take other corrective actions. Hypoglycaemic episode with plasma glucose < 3.0 mmol/L (54 mg/dL)) was considered as clinically significant. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: From randomization (week 0) to week 52
Intervention | Episodes (Number) |
---|
Semaglutide | 339 |
Insulin Aspart | 2270 |
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Total Daily Insulin Dose at Week 52
Total daily insulin dose at week 52 is presented. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: At week 52
Intervention | Units of insulin (Mean) |
---|
Semaglutide | 35.8 |
Insulin Aspart | 77.7 |
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Number of Event Adjudication Committee-confirmed Severe Hypoglycaemic Episodes (ADA) From Randomization to Week 52
Number of EAC-confirmed severe hypoglycaemic episodes from randomization (week 0) up to week 52 are presented. As per 2013 ADA criteria severe hypoglycaemic episodes were episodes with PG <=3.9 mmol/L (70 mg/dL). EAC confirmed-severe hypoglycaemia was an episode requiring assistance of another person to actively administer carbohydrate, glucagon or take other corrective actions. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: From randomization (week 0) to week 52
Intervention | Episodes (Number) |
---|
Semaglutide | 4 |
Insulin Aspart | 7 |
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Number of Event Adjudication Committee-confirmed Severe Hypoglycaemic Episodes (ADA) Requiring Hospitalization, Documented Medical Help, or is Life-threatening From Randomization to Week 52
Number of EAC-confirmed severe hypoglycaemic episodes requiring hospitalization, documented medical help, or is life-threatening from randomization (week 0) to week 52 are presented. As per 2013 ADA criteria severe hypoglycaemic episodes were episodes with PG <=3.9 mmol/L (70 mg/dL). Severe hypoglycaemia was an episode requiring assistance of another person to actively administer carbohydrate, glucagon or take other corrective actions. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: From randomization (week 0) to week 52
Intervention | Episodes (Number) |
---|
Semaglutide | 2 |
Insulin Aspart | 4 |
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Time to First Event Adjudication Committee-confirmed Severe Hypoglycaemic Episode (ADA) Requiring Hospitalization, Documented Medical Help, or is Life-threatening Randomization up to Week 52
First event per 100 years of exposure time for first EAC confirmed severe hypoglycaemic episodes requiring hospitalization, documented medical help, or is life threatening from randomization (week 0) to week 52 are presented. As per 2013 ADA criteria severe hypoglycaemic episodes were episodes with PG <=3.9 mmol/L (70 mg/dL). EAC confirmed-severe hypoglycaemia was an episode requiring assistance of another person to actively administer carbohydrate, glucagon or take other corrective actions. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: From randomization (week 0) up to week 52
Intervention | First event per 100 years of exposure (Number) |
---|
Semaglutide | 0.2 |
Insulin Aspart | 0.4 |
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Change From Baseline to Week 52 in Diabetes Quality of Life Clinical Trial Questionnaire (DQLCTQ-R): Scores From the 8 Domains
The DQLCTQ-R questionnaire was used to assess participants' HRQoL. The DQLCTQ-R questionnaire contains 57 items and measures and provide scores for the 8 domains (physical function, energy or fatigue, health distress, mental health, satisfaction, treatment satisfaction, treatment flexibility and frequency of symptoms). The 8 domain scores related to DQLCTQ-R are measured on a scale from 0-100. For all scores, higher values indicated better health status. Change from baseline in DQLCTQ-R 8 domain scores at week 52 is presented. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: Baseline (week 0), week 52
Intervention | Scores on a scale (Mean) |
---|
| Physical function | Energy or fatigue | Health distress | Mental health | Satisfaction | Treatment satisfaction | Treatment flexibility | Frequency of symptoms |
---|
Insulin Aspart | -0.4 | 0.4 | 0.3 | 0.5 | -0.2 | 0.8 | -1.2 | 1.8 |
,Semaglutide | 2.4 | 2.3 | -0.2 | 7.2 | 4.1 | 9.9 | 4.2 | 4.1 |
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Change From Baseline to Week 52 in 36-item Short Form Health Survey Version 2 (SF-36v2): Total Summary Scores (Physical Component and Mental Component) and Scores From the 8 Domains
SF-36v2 is 36-item patient-reported survey of patient health to measure participant's overall health-related quality of life (HRQoL). It has 36 items: 8 domains of physical, mental health status (physical functioning, role physical health (range:21.23-57.16), bodily pain (range: 21.68-62.00), general health (range: 18.95-66.50), vitality (range: 22.89-70.42), social functioning (range: 17.23-57.34), role emotional problem (range: 14.39-56.17) and mental health (range: 11.63-63.95)) and 2 total summary scores: physical components summary (range: 7.32-70.14) and mental components summary (range: 5.79-69.91) calculated from domain scores. All 10 scores range from 5.79-70.42 . Higher scores indicated a better health state. Change from baseline in SF-36v2, 2 summary and 8 domains scores at week 52 is presented. Data is reported for 'on-treatment' observation period: from date of first dose of trial product (week 0) to last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: Baseline (week 0), week 52
Intervention | Scores on a scale (Mean) |
---|
| Physical Component Summary | Mental Component Summary | Physical Functioning | Role Physical Health | Bodily Pain | General Health | Vitality | Social Functioning | Role Emotional Problem | Mental Health |
---|
Insulin Aspart | 0.4 | -0.3 | 0.2 | -0.2 | 0.8 | 0.3 | 0.1 | -0.6 | -0.2 | 0.1 |
,Semaglutide | 1.4 | 0.1 | 1.4 | 0.1 | 1.5 | 1.6 | 1.1 | 0.2 | 0.0 | 0.6 |
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Change From Baseline to Week 52 in Waist Circumference
Change from baseline in waist circumference at week 52 is presented. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: Baseline (week 0), week 52
Intervention | centimeters (cm) (Mean) |
---|
Semaglutide | -3.3 |
Insulin Aspart | 2.1 |
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Daily Basal Insulin Dose at Week 52
Daily basal insulin dose at week 52 is presented. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: At week 52
Intervention | Units of insulin (Mean) |
---|
Semaglutide | 35.8 |
Insulin Aspart | 40.7 |
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Number of Event Adjudication Committee-confirmed Severe (ADA) or Blood Glucose (BG) Confirmed, Symptomatic Hypoglycaemic Episodes (Plasma Glucose Less Than (<) 3.1 mmol/L (56 mg/dL)) From Randomization to Week 52
Number of EAC-confirmed severe or BG confirmed, symptomatic hypoglycaemic episodes (PG <3.1 mmol/L (56 mg/dL)) from randomization (week 0) to week 52 are presented. As per 2013 ADA criteria severe hypoglycaemic episodes were episodes with PG <=3.9 mmol/L (70 mg/dL). Severe or BG confirmed symptomatic hypoglycaemia was an episode, that was BG confirmed by PG value <3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: From randomization (week 0) to week 52
Intervention | Episodes (Number) |
---|
Semaglutide | 254 |
Insulin Aspart | 1744 |
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Number of Event Adjudication Committee-confirmed Severe (ADA) or Blood Glucose Confirmed, Symptomatic Hypoglycaemic Episodes (Plasma Glucose <= 3.9 mmol/L (70 mg/dL)) From Randomization to Week 52
Number of EAC-confirmed severe or BG confirmed, symptomatic hypoglycaemic episodes (PG <=3.9 mmol/L (70 mg/dL)) from randomization (week 0) to week 52 are presented. As per 2013 ADA criteria severe hypoglycaemic episodes were episodes with PG <=3.9 mmol/L (70 mg/dL). Severe or BG confirmed symptomatic hypoglycaemia was an episode during which symptoms of hypoglycaemia were not accompanied by a PG determination but that was presumably caused by a PG concentration <= 3.9 mmol/L (70 mg/dL). Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: From randomization (week 0) to week 52
Intervention | Episodes (Number) |
---|
Semaglutide | 1420 |
Insulin Aspart | 5616 |
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Change From Baseline to Week 52 in Systolic and Diastolic Blood Pressure
Change from baseline in systolic and diastolic blood pressure at week 52 are presented. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: Baseline (week 0), week 52
Intervention | millimeter of mercury (mmHg) (Mean) |
---|
| Diastolic Blood Pressure | Systolic Blood Pressure |
---|
Insulin Aspart | -0.4 | 1.0 |
,Semaglutide | -1.4 | -2.8 |
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Time to First Event Adjudication Committee (EAC)-Confirmed Severe Hypoglycaemic Episode American Diabetes Association (ADA) From Randomization up to Week 52
First event per 100 years of exposure time for first EAC confirmed severe hypoglycaemic episodes from randomization (week 0) to week 52 are presented. As per 2013 ADA criteria severe hypoglycaemic episodes were episodes with plasma glucose (PG) less than or equal to (<=) 3.9 millimoles per liter (mmol/L) (70 milligrams per deciliter (mg/dL)). EAC confirmed-severe hypoglycaemia was an episode requiring assistance of another person to actively administer carbohydrate, glucagon or take other corrective actions. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: From randomization (week 0) up to week 52
Intervention | First event per 100 years of exposure (Number) |
---|
Semaglutide | 0.4 |
Insulin Aspart | 0.7 |
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Change From Baseline to Week 52 in Fasting Plasma Glucose (FPG)
Change from baseline in FPG at week 52 is presented. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: Baseline (week 0), week 52
Intervention | millimoles per liter (mmol/L) (Mean) |
---|
Semaglutide | -1.3 |
Insulin Aspart | -0.8 |
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Change From Baseline to Week 52 in Fasting Blood Lipids: Triglycerides (Ratio to Baseline)
Change from baseline in triglycerides (measured in mmol/L) at week 52 is presented as ratio to baseline. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: Baseline (week 0), week 52
Intervention | Ratio of triglycerides (Geometric Mean) |
---|
Semaglutide | 0.9 |
Insulin Aspart | 1.0 |
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Change From Baseline in Glycated Haemoglobin (HbA1c)
Change from baseline in HbA1c at week 52 is presented. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: Baseline (week 0), week 52
Intervention | Percentage of HbA1c (Mean) |
---|
Semaglutide | -1.5 |
Insulin Aspart | -1.2 |
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Change From Baseline to Week 52 in 7-point Self-measured Plasma Glucose Profile (SMPG ): Mean 7-point Profile (7-PP)
Change from baseline in 7-point self-measured plasma glucose profile: mean 7-PP at week 52 is presented. All participants were instructed to perform 7-point SMPG profiles before breakfast, 90 minutes after the start of breakfast, before lunch, 90 minutes after the start of lunch, before main evening meal (dinner), 90 minutes after the start of main evening meal (dinner) and at bedtime. The measurements were to be performed before any injection of bolus insulin and just before the start of the meal (breakfast, lunch or main evening meal), and values measured before breakfast were performed in a fasting condition. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: Baseline (week 0), week 52
Intervention | mmol/L (Mean) |
---|
Semaglutide | -2.1 |
Insulin Aspart | -2.1 |
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Change From Baseline to Week 52 in 7-point Self-measured Plasma Glucose Profile: Mean Post-prandial Increment (Over All Meals)
Change from baseline in 7-point SMPG profile: mean post-prandial increment (over all meals) at week 52 is presented. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: Baseline (week 0), week 52
Intervention | mmol/L (Mean) |
---|
Semaglutide | -0.7 |
Insulin Aspart | -0.9 |
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Change From Baseline to Week 52 in Body Mass Index (BMI)
Change from baseline in BMI at week 52 is presented. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: Baseline (week 0), week 52
Intervention | kilograms per meter square (kg/m^2) (Mean) |
---|
Semaglutide | -1.5 |
Insulin Aspart | 1.0 |
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Change From Baseline to Week 52 in Pulse Rate
Change from baseline in pulse rate at week 52 is presented. Data is reported for 'on-treatment' observation period: from the date of first dose of trial product (week 0) to the last date on trial product with a visit window of +7 days (week 52). (NCT03689374)
Timeframe: Baseline (week 0), week 52
Intervention | Beats per minute (beats/min) (Mean) |
---|
Semaglutide | 2.2 |
Insulin Aspart | 1.1 |
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Rate of Hypoglycemia With Blood Glucose <54 Milligram/Deciliter (mg/dL) [<3.0 (Millimole/Liter (mmol/L))] or Severe Hypoglycemia
The hypoglycemia events were defined by participant reported events with blood glucose <54mg/dL (<3.0 mmol/L) or severe hypoglycemia. Severe hypoglycemia is defined as an episode with severe cognitive impairment requiring the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. These episodes may be associated with sufficient neuroglycopenia to induce seizure or coma. Post-baseline comparisons between treatment and control group was evaluated using negative binomial model with variables : Number of episodes = Baseline HbA1c Group (<=8.5%, >8.5%) + Pooled Country + Baseline SGLT-2i use Flag (Yes, No) + Treatment, with log (exposure in days/365.25) as an offset variable (NCT03730662)
Timeframe: Baseline through Week 52
Intervention | Episodes/participant/365.25 days (Mean) |
---|
5 mg Tirzepatide | 0.10 |
10 mg Tirzepatide | 0.09 |
15 mg Tirzepatide | 0.11 |
Insulin Glargine | 0.35 |
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Pharmacokinetics (PK): Steady State Area Under the Concentration Time Curve From Zero to Tau (AUC 0-Tau) of Tirzepatide
Pharmacokinetics (PK): Steady State Area Under the Concentration Time Curve From Zero to Tau (AUC 0-Tau) of Tirzepatide (NCT03730662)
Timeframe: 1 to 24 hours, 24 to 96 hours, or 120 to 168 hours post dose of Week 7, 15, 23, 35
Intervention | Nanograms per millilitre per hour (Geometric Mean) |
---|
5 mg Tirzepatide | 81800 |
10 mg Tirzepatide | 165000 |
15 mg Tirzepatide | 246000 |
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Percentage of Participants With HbA1c of <7.0%
HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured primarily to identify average plasma glucose concentration over prolonged periods of time. Imputed data includes observed value and imputed value if endpoint measure is missing. (NCT03730662)
Timeframe: Week 52
Intervention | percentage of participants (Number) |
---|
5 mg Tirzepatide | 80.98 |
10 mg Tirzepatide | 88.16 |
15 mg Tirzepatide | 90.72 |
Insulin Glargine | 50.72 |
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Mean Change From Baseline in Daily Average 7-Point Self-Monitored Blood Glucose (SMBG) Values
The self-monitored plasma glucose (SMBG) data were collected at the following 7 time points: Morning Premeal - Fasting, Morning 2-hour Postmeal, Midday Premeal, Midday 2-hour Postmeal, Evening Premeal, Evening 2-hour Postmeal and Bedtime. LS mean was determined by mixed-model repeated measures (MMRM) model with variables Baseline + Pooled Country + Baseline HbA1c Group (<=8.5%, >8.5%) + Baseline SGLT-2i use Flag (Yes, No) + Treatment + Time + Treatment*Time (Type III sum of squares). (NCT03730662)
Timeframe: Baseline, Week 52
Intervention | mg/dL (Least Squares Mean) |
---|
5 mg Tirzepatide | -58.4 |
10 mg Tirzepatide | -61.1 |
15 mg Tirzepatide | -66.1 |
Insulin Glargine | -46.1 |
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Change From Baseline in Hemoglobin A1c (HbA1c) (10 mg and 15 mg)
HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured primarily to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was determined by mixed-model repeated measures (MMRM) model for post-baseline measures: Variable = Baseline + Pooled Country + Baseline sodium-glucose co-transporter-2 inhibitor (SGLT-2i) use Flag (Yes, No) + Treatment + Time + Treatment*Time (Type III sum of squares). (NCT03730662)
Timeframe: Baseline, Week 52
Intervention | Percentage of HbA1c (Least Squares Mean) |
---|
10 mg Tirzepatide | -2.43 |
15 mg Tirzepatide | -2.58 |
Insulin Glargine | -1.44 |
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Change From Baseline in HbA1c (5 mg)
HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured primarily to identify average plasma glucose concentration over prolonged periods of time. LS mean was determined by MMRM model for post-baseline measures: Variable = Baseline + Pooled Country + Baseline SGLT-2i use Flag (Yes, No) + Treatment + Time + Treatment*Time (Type III sum of squares). (NCT03730662)
Timeframe: Baseline, Week 52
Intervention | Percentage of HbA1c (Least Squares Mean) |
---|
5 mg Tirzepatide | -2.24 |
Insulin Glargine | -1.44 |
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Change From Baseline in Body Weight
LS mean was determined by MMRM model for post-baseline measures: Variable = Baseline + Pooled Country + Baseline HbA1c Group (<=8.5%, >8.5%) + Baseline SGLT-2i use Flag (Yes, No) + Treatment + Time + Treatment*Time (Type III sum of squares). (NCT03730662)
Timeframe: Baseline, Week 52
Intervention | Kilograms (kg) (Least Squares Mean) |
---|
5 mg Tirzepatide | -7.1 |
10 mg Tirzepatide | -9.5 |
15 mg Tirzepatide | -11.7 |
Insulin Glargine | 1.9 |
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Change From Baseline in Fasting Serum Glucose
LS mean was determined by MMRM model for post-baseline measures: Variable = Baseline + Pooled Country + Baseline HbA1c Group (<=8.5%, >8.5%) + Baseline SGLT-2i use Flag (Yes, No) + Treatment + Time + Treatment*Time (Type III sum of squares). (NCT03730662)
Timeframe: Baseline, Week 52
Intervention | milligram per Deciliter (mg/dL) (Least Squares Mean) |
---|
5 mg Tirzepatide | -50.4 |
10 mg Tirzepatide | -54.9 |
15 mg Tirzepatide | -59.3 |
Insulin Glargine | -51.4 |
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Rate of Documented Post-dose Hypoglycemic Events Within 1 and 2 Hours After the Prandial Dose
Documented post-dose hypoglycemia event is an event of blood glucose of < 54 mg/dL and ≤70 mg/dL that occurred within 1 and 2 hours after the prandial dose. The rate of documented hypoglycemia was estimated by a negative binomial regression including treatment and age group as independent variable and number of episodes as dependent variables with log (exposure/365.25 days) as the offset in the model. (NCT03740919)
Timeframe: Baseline through Week 26
Intervention | Events per participant per year (Least Squares Mean) |
---|
| < 54mg/dL 1 Hour Post Dose | < 54 mg/dL 2 Hour Post Dose | ≤70 mg/dL 1 Hour Post Dose | ≤70 mg/dL 2 Hour Post Dose |
---|
Insulin Lispro (Humalog) | 1.59 | 4.48 | 6.54 | 19.0 |
,LY900014 | 2.04 | 5.95 | 8.46 | 23.7 |
,LY900014 Postmeal | 1.38 | 6.17 | 5.29 | 21.1 |
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Rate of Severe Hypoglycemia
"Severe hypoglycemia: during these episodes, participants have an altered mental status and cannot assist in their own care, may be semiconscious or unconscious, or experience coma with or without seizures, and require assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions.~The rate of severe hypoglycemia per 100 years was calculated as: 100 times the total number of severe hypoglycemia episodes within the period divided by total exposure (in year) for all participants within the treatment group." (NCT03740919)
Timeframe: Week 0 through Week 26
Intervention | Events per participant per 100 years (Number) |
---|
Insulin Lispro (Humalog) | 2.05 |
LY900014 | 2.20 |
LY900014 Postmeal | 0.00 |
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Percentage of Participants With Documented Hypoglycemic Events
Documented hypoglycemia is defined as <54 mg/dL and ≤70 mg/dL, respectively. (NCT03740919)
Timeframe: Baseline through Week 26
Intervention | percentage of participants (Least Squares Mean) |
---|
| <54 mg/dL | ≤70 mg/dL |
---|
Insulin Lispro (Humalog) | 80.81 | 93.98 |
,LY900014 | 81.37 | 92.55 |
,LY900014 Postmeal | 74.45 | 87.62 |
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Percentage of Participants With Documented Post-dose Hypoglycemic Events Within 1 and 2 Hours After the Prandial Dose
Documented post-dose hypoglycemia <54 milligrams per deciliter (mg/dL) and ≤ 70 mg/dL that occurred 1 and 2 hours after prandial dose. (NCT03740919)
Timeframe: Baseline through Week 26
Intervention | percentage of participants (Least Squares Mean) |
---|
| <54 mg/dL 1 Hour Post Dose | <54 mg/dL 2 Hour Post Dose | ≤70 mg/dL 1 Hour Post Dose | ≤70 mg/dL 2 Hour Post Dose |
---|
Insulin Lispro (Humalog) | 26.50 | 54.04 | 49.67 | 77.03 |
,LY900014 | 36.79 | 63.61 | 63.92 | 82.67 |
,LY900014 Postmeal | 29.70 | 57.88 | 48.51 | 70.29 |
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Change From Baseline in 7-Point Self-Monitored Blood Glucose (SMBG) Values at Week 26
Change from baseline in 7-point SMBG values were analyzed using MMRM and includes fixed class effects of treatment, strata (pooled country, type of basal insulin, and age group, and HbA1c stratum (≤8.0%, >8.0%)) baseline value, visit, and treatment-by-visit interaction. An unstructured covariance structure was used to model the within-participant errors. (NCT03740919)
Timeframe: Baseline, Week 26
Intervention | mg/dL (Least Squares Mean) |
---|
| Morning Premeal - Fasting | Morning 1 hour Postmeal | Midday Premeal | Midday 1 hour Postmeal | Evening Premeal | Evening 1 hour Postmeal | Bedtime |
---|
Insulin Lispro (Humalog) | 1.0 | -3.2 | -3.1 | 0.9 | 1.0 | 6.9 | -1.9 |
,LY900014 | -3.4 | -17.9 | 2.5 | -5.2 | 4.6 | -6.2 | -2.3 |
,LY900014 Postmeal | -5.9 | -9.8 | -6.0 | -1.5 | 0.3 | -3.9 | -2.7 |
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Change From Baseline in Hemoglobin A1c (HbA1c) Efficacy Estimand at Week 26
"Change from baseline in HbA1c was analyzed using mixed model repeated measures (MMRM) and includes fixed class effects of treatment, strata (pooled country, type of basal insulin, and age group), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. An unstructured covariance structure will be used to model the within-participant errors.~The Efficacy estimand included data collected prior to permanent discontinuation of study drug through Week 26." (NCT03740919)
Timeframe: Baseline, Week 26
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | 0.09 |
LY900014 | 0.06 |
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Percentage of Participants With HbA1c < 7.0% and <7.5%
Percentage of participants with HbA1c < 7.0% and <7.5% was analyzed using a longitudinal logistic regression with repeated measurements conducted by a generalized linear mixed model including independent variables of treatment, baseline HbA1c value, visit, baseline HbA1c-by-visit interaction, and treatment-by-visit interaction. An unstructured covariance structure was used. (NCT03740919)
Timeframe: Week 26
Intervention | percentage of participants (Number) |
---|
| HbA1c <7% | HbA1c < 7.5% |
---|
Insulin Lispro (Humalog) | 20.00 | 40.00 |
,LY900014 | 21.92 | 37.31 |
,LY900014 Postmeal | 19.08 | 32.82 |
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Rate of Documented Hypoglycemia Events
Documented hypoglycemia is defined as a hypoglycemic event of blood glucose of ≤70 mg/dL or <54 mg/dL. The rate of documented hypoglycemia was estimated by negative binomial regression including treatment and age group as independent variables and number of episodes as dependent variable with log (exposure/365.25 days) as the offset in the model. (NCT03740919)
Timeframe: Week 0 through Week 26
Intervention | events per participant per year (Least Squares Mean) |
---|
| < 54 mg/dL | ≤70 mg/dL |
---|
Insulin Lispro (Humalog) | 16.6 | 78.0 |
,LY900014 | 16.1 | 75.1 |
,LY900014 Postmeal | 17.7 | 76.1 |
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Change From Baseline in Insulin Dose at Week 26
Change from baseline in insulin dose was analyzed using mixed model repeated measures (MMRM) and includes fixed class effects of treatment, strata (pooled country, type of basal insulin, age group, and HbA1c stratum (≤8.0%, >8.0%)), baseline value, visit and treatment-by-visit interaction. An unstructured covariance structure was used to model the within-participant errors. (NCT03740919)
Timeframe: Baseline, Week 26
Intervention | Unit per day (Least Squares Mean) |
---|
| Total Daily Basal Insulin Dose | Total Daily Insulin Dose |
---|
Insulin Lispro (Humalog) | 2.3 | 5.3 |
,LY900014 | 2.9 | 5.8 |
,LY900014 Postmeal | 2.7 | 5.0 |
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Change From Baseline in HbA1c (Postprandial) at Week 26
"Change from baseline in HbA1c postprandial was analyzed using (MMRM and includes fixed class effects of treatment, strata (pooled country, type of basal insulin, and age group), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. An unstructured covariance structure will be used to model the within-participant errors.~The Efficacy estimand included data collected prior to permanent discontinuation of study drug through Week 26." (NCT03740919)
Timeframe: Baseline, Week 26
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | 0.09 |
LY900014 Postmeal | 0.07 |
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Fasting C-peptide
Fasting C-peptide at week 26 is presented. The endpoint was evaluated based on the data from on-treatment without ancillary treatment period, starting at the date of first dose of trial product until the follow-up visit, or the last date on trial product + 5 weeks for once daily insulin and + 6 weeks for once weekly insulin, or initiation of any diabetes treatment other than trial products and metformin +/- DPP4i, or increase of the dose of metformin or DPP4i. (NCT03751657)
Timeframe: At week 26 (Visit 28)
Intervention | Nanomoles per liter (nmol/l) (Least Squares Mean) |
---|
Insulin 287 | 0.44 |
Insulin Glargine | 0.47 |
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Fluctuations of the 9-point Profile (Defined as the Integrated Absolute Distance From the Mean Profile Value Divided by Measurement Time).
Participants measured their plasma glucose (PG) levels using blood glucose meters at 9 time points (before breakfast, 90 minutes after the start of breakfast, before lunch, 90 minutes after the start of lunch, before dinner, 90 minutes after the start of dinner, at bedtime, at 4 am, before breakfast the following day). Presented fluctuation in 9-point SMPG profile is the integrated absolute distance from the mean profile value divided by measurement time and is calculated using the trapezoidal method. The endpoint was evaluated based on the data from on-treatment without ancillary treatment period, starting at the date of first dose of trial product until the follow-up visit, or the last date on trial product + 5 weeks for once daily insulin and + 6 weeks for once weekly insulin, or initiation of any diabetes treatment other than trial products and metformin +/- DPP4i, or increase of the dose of metformin or DPP4i. (NCT03751657)
Timeframe: Week 26 (Visit 28)
Intervention | mmol/l (Least Squares Mean) |
---|
Insulin 287 | 0.92 |
Insulin Glargine | 0.94 |
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Change in Cross-reactive Anti-human Insulin Antibody Status (Positive/Negative)
Anti-insulin 287 or glargine antibodies were classified as negative if % B/T was below a certain cut point. Samples positive for anti-insulin 287 or glargine antibodies were further tested for cross-reactivity to endogenous insulin. Samples not further tested are categorised as not applicable (NA). Unknown refers to samples with insufficient volume to perform analysis. The endpoint was evaluated based on the data from in-trial period, starting at randomisation, and ending at the last direct participant-site contact, or when participant withdrew their informed consent, or the last participant-investigator contact for participants lost to follow-up, or death. (NCT03751657)
Timeframe: From baseline (Visit 2) to week 31 (Visit 30)
Intervention | Participants (Count of Participants) |
---|
| Week 072515459 | Week 072515460 | Week 3172515460 | Week 3172515459 |
---|
| Positive | Unknown | Not Applicable | Negative |
---|
Insulin Glargine | 1 |
Insulin 287 | 1 |
Insulin Glargine | 9 |
Insulin 287 | 124 |
Insulin Glargine | 112 |
Insulin 287 | 9 |
Insulin Glargine | 0 |
Insulin 287 | 86 |
Insulin Glargine | 26 |
Insulin 287 | 0 |
Insulin 287 | 25 |
Insulin Glargine | 89 |
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9-point Profile (Individual SMPG Values)
Participants measured their plasma glucose (PG) levels using blood glucose meters (as plasma equivalent values of capillary whole blood glucose) at 9 time points (before breakfast, 90 minutes after the start of breakfast, before lunch, 90 minutes after the start of lunch, before dinner, 90 minutes after the start of dinner, at bedtime, at 4 am, before breakfast the following day). 9-point SMPG values after 26 weeks are presented. The endpoint was evaluated based on the data from on-treatment without ancillary treatment period, starting at the date of first dose of trial product until the follow-up visit, or the last date on trial product + 5 weeks for once daily insulin and + 6 weeks for once weekly insulin, or initiation of any diabetes treatment other than trial products and metformin +/- DPP4i, or increase of the dose of metformin or DPP4i. (NCT03751657)
Timeframe: Week 26 (Visit 28)
Intervention | mmol/l (Least Squares Mean) |
---|
| Before breakfast | 90 minutes after start of breakfast | Before lunch | 90 minutes after start of lunch | Before main evening meal | 90 minutes after the start of main evening meal | Before bedtime | At 4:00 a.m. | Before breakfast the following day |
---|
Insulin 287 | 5.70 | 7.90 | 6.09 | 7.83 | 6.55 | 8.01 | 7.35 | 5.72 | 5.74 |
,Insulin Glargine | 6.19 | 8.51 | 6.19 | 8.50 | 6.96 | 8.47 | 7.87 | 5.98 | 6.05 |
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Number of Clinically Significant Hypoglycaemic Episodes (Level 2) (<3.0 mmol/L (54 mg/dL), Confirmed by BG Meter) or Severe Hypoglycaemic Episodes (Level 3)
Clinically significant hypoglycaemic episodes (level 2) were defined as episodes that were sufficiently low to indicate serious, clinically important hypoglycaemia with plasma glucose value of less than (<) 3.0 mmol/L (54 mg/dL). Severe hypoglycaemic episodes (level 3) were defined as episodes that were associated with severe cognitive impairment requiring external assistance for recovery. Number of clinically significant hypoglycaemic episodes (level 2), confirmed by blood glucose (BG) meter or severe hypoglycaemic episodes (level 3) that occurred from week 0 to week 26 are presented. (NCT03751657)
Timeframe: From baseline (Visit 2) to week 26 (Visit 28)
Intervention | Episodes (Number) |
---|
Insulin 287 | 38 |
Insulin Glargine | 31 |
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Number of Hypoglycaemic Alert Episodes (Level 1) (≥3.0 and <3.9 mmol/L (≥54 and <70 mg/dL), Confirmed by BG Meter)
Hypoglycaemia alert value (level 1) was defined as episodes that were sufficiently low for treatment with fast-acting carbohydrate and dose adjustment of glucose-lowering therapy with plasma glucose value of equal to or above (>=) 3.0 and less than (<) 3.9 mmol/L (>= 54 and < 70 mg/dL) confirmed by BG meter. Number of hypoglycaemic alert episodes (level 1) that occurred from week 0 to week 26 are presented. (NCT03751657)
Timeframe: From baseline (Visit 2) to week 26 (Visit 28)
Intervention | Episodes (Number) |
---|
Insulin 287 | 358 |
Insulin Glargine | 145 |
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Number of Severe Hypoglycaemic Episodes (Level 3)
Severe hypoglycaemic episodes (level 3) were defined as episodes that were associated with severe cognitive impairment requiring external assistance for recovery. Number of severe hypoglycaemic episodes that occurred from week 0 to week 26 are presented. (NCT03751657)
Timeframe: From baseline (Visit 2) to week 26 (Visit 28)
Intervention | Episodes (Number) |
---|
Insulin 287 | 1 |
Insulin Glargine | 0 |
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Change in Fasting Plasma Glucose
Change in fasting plasma glucose from baseline (week 0) to week 26 is presented. The endpoint was evaluated based on the data from on-treatment without ancillary treatment period, starting at the date of first dose of trial product until the follow-up visit, or the last date on trial product + 5 weeks for once daily insulin and + 6 weeks for once weekly insulin, or initiation of any diabetes treatment other than trial products and metformin +/- DPP4i, or increase of the dose of metformin or DPP4i. (NCT03751657)
Timeframe: From baseline (Visit 2) to week 26 (Visit 28)
Intervention | mmol/l (Least Squares Mean) |
---|
Insulin 287 | -3.20 |
Insulin Glargine | -2.99 |
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Change in Glycated Haemoglobin (HbA1c) [Percentage Point (%-Point)]
Change in HbA1c from baseline (week 0) to week 26 is presented. The endpoint was evaluated based on the data from on-treatment without ancillary treatment period, starting at the date of first dose of trial product until the follow-up visit, or the last date on trial product + 5 weeks for once daily insulin and + 6 weeks for once weekly insulin, or initiation of any diabetes treatment other than trial products and metformin +/- DPP4i, or increase of the dose of metformin or DPP4i. (NCT03751657)
Timeframe: From baseline (Visit 2) to week 26 (Visit 28)
Intervention | Percentage point of HbA1c (Least Squares Mean) |
---|
Insulin 287 | -1.33 |
Insulin Glargine | -1.15 |
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Number of Treatment Emergent Adverse Events (TEAEs)
An adverse event (AE) is any untoward medical occurrence in a clinical trial subject administered or using a medicinal product, whether or not considered related to the medicinal product or usage. A TEAE was defined as an event that had onset date (or increase in severity) during the on-treatment observation period. The endpoint was evaluated based on the data from on-treatment period, starting at the date of first dose of trial product, and ending at follow-up visit, or the last date on trial product + 5 weeks for once daily insulin and + 6 weeks for once weekly insulin. (NCT03751657)
Timeframe: From baseline (Visit 2) to week 31 (Visit 30)
Intervention | Events (Number) |
---|
Insulin 287 | 229 |
Insulin Glargine | 158 |
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Change in HbA1c [Millimoles/Mole (mmol/Mol)]
Change in HbA1c from baseline (week 0) to week 26 is presented. The endpoint was evaluated based on the data from on-treatment without ancillary treatment period, starting at the date of first dose of trial product until the follow-up visit, or the last date on trial product + 5 weeks for once daily insulin and + 6 weeks for once weekly insulin, or initiation of any diabetes treatment other than trial products and metformin +/- DPP4i, or increase of the dose of metformin or DPP4i. (NCT03751657)
Timeframe: From baseline (Visit 2) to week 26 (Visit 28)
Intervention | mmol/mol (Least Squares Mean) |
---|
Insulin 287 | -14.51 |
Insulin Glargine | -12.54 |
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Change in Body Weight
Change in body weight from baseline (week 0) to week 26 is presented. The endpoint was evaluated based on the data from on-treatment without ancillary treatment period, starting at the date of first dose of trial product until the follow-up visit, or the last date on trial product + 5 weeks for once daily insulin and + 6 weeks for once weekly insulin, or initiation of any diabetes treatment other than trial products and metformin +/- DPP4i, or increase of the dose of metformin or DPP4i. (NCT03751657)
Timeframe: From baseline (Visit 2) to week 26 (Visit 28)
Intervention | Kilogram (Least Squares Mean) |
---|
Insulin 287 | 1.49 |
Insulin Glargine | 1.56 |
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Change in Anti-insulin 287 Antibody Titres
Samples from the insulin 287 arm of the study were analysed for anti-insulin 287 antibodies. Confirmed anti-insulin 287 antibody positive samples had an antibody titre value determined. The endpoint was evaluated based on the data from in-trial period, starting at randomisation, and ending at the last direct participant-site contact, or when participant withdrew their informed consent, or the last participant-investigator contact for participants lost to follow-up, or death. (NCT03751657)
Timeframe: From baseline (Visit 2) to week 31 (Visit 30)
Intervention | Antibody titers (Mean) |
---|
Insulin 287 | 979.9 |
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Weekly Dose of Insulin 287 and Weekly Dose of Insulin Glargine
Weekly dose of insulin 287 and weekly dose of glargine at week 25 and week 26 are presented.The endpoint was evaluated based on the data from on-treatment without ancillary treatment period, starting at the date of first dose of trial product until the follow-up visit, or the last date on trial product + 5 weeks for once daily insulin and + 6 weeks for once weekly insulin, or initiation of any diabetes treatment other than trial products and metformin +/- DPP4i, or increase of the dose of metformin or DPP4i. (NCT03751657)
Timeframe: week 25 (Visit 27) and 26 (Visit 28)
Intervention | Units of Insulin (Least Squares Mean) |
---|
Insulin 287 | 229.06 |
Insulin Glargine | 284.05 |
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Change in Mean of the 9-point Profile, Defined as the Area Under the Profile Divided by Measurement Time
Participants measured their PG levels using blood glucose meters at 9 time points (before breakfast, 90 minutes after the start of breakfast, before lunch, 90 minutes after the start of lunch, before dinner, 90 minutes after the start of dinner, at bedtime, at 4 am, before breakfast the following day). The endpoint was evaluated based on the data from on-treatment without ancillary treatment period, starting at the date of first dose of trial product until the follow-up visit, or the last date on trial product + 5 weeks for once daily insulin and + 6 weeks for once weekly insulin, or initiation of any diabetes treatment other than trial products and metformin +/- DPP4i, or increase of the dose of metformin or DPP4i. (NCT03751657)
Timeframe: From baseline (Visit 2) to week 26 (Visit 28)
Intervention | mmol/l (Least Squares Mean) |
---|
Insulin 287 | -2.70 |
Insulin Glargine | -2.26 |
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Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)
An Adverse Event (AE) was defined as any untoward medical occurrence in a participant who received study drug and did not necessarily have to have a causal relationship with the treatment. Serious adverse events (SAEs) were defined as any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/ incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were defined as AEs that developed, worsened or became serious during the on-treatment period (from first injection of IMP up to 1 day after the last injection of IMP). (NCT03874715)
Timeframe: From first injection of IMP (Day 1) up to 1 day after the last injection of IMP (i.e., up to Day 113)
Intervention | Participants (Count of Participants) |
---|
| Any TEAEs | Any TESAEs |
---|
Non-switching: NovoLog | 47 | 5 |
,Switching: NovoLog/SAR341402 | 25 | 5 |
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Number of Participants With at Least One Hypoglycemic Event
Severe hypoglycemia: event in which participant required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions, because participant was not capable of helping self. Documented symptomatic hypoglycemia: event in which typical symptoms of hypoglycemia (SOH) were accompanied by measured plasma glucose concentration (PGC) less than or equal to (<=) 3.9 millimoles per liter (mmol/L)(<70 milligrams per deciliter [mg/dL]) or <3.0 mmol/L(<54 mg/dL). Asymptomatic hypoglycemia: event without SOH and with measured PGC of <=3.9 mmol/L (<70 mg/dL) or <3.0 mmol/L (<54 mg/dL). Probable symptomatic hypoglycemia: event with SOH not accompanied by plasma glucose determination but was presumably caused by PGC <=3.9 mmol/L (70 mg/dL). Relative hypoglycemia: event with SOH but with measured PGC greater than (>) 3.9 mmol/L (70 mg/dL). (NCT03874715)
Timeframe: From first injection of IMP (Day 1) up to 1 day after the last injection of IMP (i.e., up to Day 113)
Intervention | Participants (Count of Participants) |
---|
| Any hypoglycemia | Severe hypoglycemia | Documented symptomatic hypoglycemia <=3.9 mmol/L | Documented symptomatic hypoglycemia < 3.0 mmol/L | Asymptomatic hypoglycemia <= 3.9 mmol/L | Asymptomatic hypoglycemia < 3.0 mmol/L | Probable symptomatic hypoglycemia | Relative hypoglycemia |
---|
Non-switching: NovoLog | 105 | 4 | 98 | 90 | 68 | 44 | 9 | 2 |
,Switching: NovoLog/SAR341402 | 95 | 6 | 89 | 78 | 69 | 48 | 8 | 3 |
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Number of Hypoglycemic Events Per Participant-year
Number of hypoglycemia events (any, severe, documented [both threshold], asymptomatic [both threshold], probable symptomatic and relative) per participant-year of exposure were reported. Severe hypoglycemia: event in which participant required assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions, because participant wasn't capable of helping self. Documented symptomatic hypoglycemia: event in which typical SOH were accompanied by measured PGC of <=3.9 mmol/L (<70 mg/dL) or <3.0 mmol/L(<54 mg/dL). Asymptomatic hypoglycemia: event without SOH and measured PGC of <=3.9 mmol/L (<70 mg/dL) or <3.0 mmol/L(<54 mg/dL). Probable symptomatic hypoglycemia: event with SOH not accompanied by plasma glucose determination but was presumably caused by PGC <=3.9 mmol/L (70 mg/dL). Relative hypoglycemia: event with SOH but with measured PGC >3.9 mmol/L (70 mg/dL). (NCT03874715)
Timeframe: From first injection of IMP (Day 1) up to 1 day after the last injection of IMP (i.e., up to Day 113)
Intervention | events per participant-year (Number) |
---|
| Any hypoglycemia | Severe hypoglycemia | Documented symptomatic hypoglycemia <= 3.9 mmol/L | Documented symptomatic hypoglycemia < 3.0 mmol/L | Asymptomatic hypoglycemia <= 3.9 mmol/L | Asymptomatic hypoglycemia < 3.0 mmol/L | Probable symptomatic hypoglycemia | Relative hypoglycemia |
---|
Non-switching: NovoLog | 97.09 | 0.38 | 63.54 | 25.70 | 32.25 | 7.03 | 0.81 | 0.12 |
,Switching: NovoLog/SAR341402 | 103.18 | 0.76 | 64.29 | 27.72 | 37.33 | 9.11 | 0.70 | 0.09 |
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Pharmacokinetics: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Insulin Aspart Following Administration of Either SAR341402 (Switching Arm) or NovoLog (Non-switching Arm)
Tmax was defined as the time taken to reach the maximum observed plasma concentration. Insulin aspart is the active ingredient of SAR341402 and NovoLog. (NCT03874715)
Timeframe: 0 hr (pre-dose), 10, 20, 30, 40 & 50 min, 1 hr, 1 hr-10, 20, 30, 40 & 50 min, 2 hr, 2hr-15, 30 & 45 min, 3 hr, 3 hr-15, 30 & 45 min, 4 hr, 4 hr-20 & 40 min, 5 hr, 5 hr-20 & 40 min, 6 hr, 6 hr-30 min, 7 hr, 7 hr-30 min & 8 hr post-dose on Day 112
Intervention | hours (Median) |
---|
Switching: NovoLog/SAR341402 | 1.33 |
Non-switching: NovoLog | 1.00 |
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Pharmacokinetics: Maximum Observed Plasma Concentration (Cmax) of Insulin Aspart Following Administration of Either SAR341402 (Switching Arm) or NovoLog (Non-switching Arm)
Cmax was defined as the maximum observed plasma concentration. Insulin aspart is the active ingredient of SAR341402 and NovoLog. (NCT03874715)
Timeframe: 0 hr (pre-dose), 10, 20, 30, 40 & 50 min, 1 hr, 1 hr-10, 20, 30, 40 & 50 min, 2 hr, 2hr-15, 30 & 45 min, 3 hr, 3 hr-15, 30 & 45 min, 4 hr, 4 hr-20 & 40 min, 5 hr, 5 hr-20 & 40 min, 6 hr, 6 hr-30 min, 7 hr, 7 hr-30 min & 8 hr post-dose on Day 112
Intervention | picograms per milliliter (pg/mL) (Mean) |
---|
Switching: NovoLog/SAR341402 | 11800 |
Non-switching: NovoLog | 3330 |
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Pharmacokinetics (PK): Area Under the Plasma Concentration Versus Time Curve From Time Zero to Last Measurable Timepoint (AUClast) of Insulin Aspart Following Administration of Either SAR341402 (Switching Arm) or NovoLog (Non-switching Arm)
AUClast was defined as area under the plasma concentration versus time curve from time zero to last measurable timepoint. Insulin aspart was the active ingredient of SAR341402 and NovoLog. (NCT03874715)
Timeframe: 0 hour (hr)(Pre-dose), 10, 20, 30, 40 & 50 minutes (min), 1hr, 1hr-10, 20, 30, 40 & 50min, 2hr, 2hr-15, 30 & 45min, 3hr, 3hr-15, 30 & 45min, 4hr, 4hr-20 & 40min, 5hr, 5hr-20 & 40min, 6hr, 6hr-30min, 7hr, 7hr-30min & 8hr post-dose on Day 112
Intervention | picograms*hour per milliliter (pg*h/mL) (Mean) |
---|
Switching: NovoLog/SAR341402 | 8960 |
Non-switching: NovoLog | 7190 |
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Number of Participants With Treatment-emergent Anti-Insulin Aspart Antibodies (AIAs)
AIA was categorized as: treatment-induced AIA, treatment-boosted AIA, and treatment-emergent AIA. Treatment-induced AIAs: participants who developed AIA following investigational medicinal product (IMP) administration (participants with at least one positive AIA sample at any time during on-treatment period, in those participants without pre-existing AIA or with missing Baseline sample). Treatment-boosted AIAs: participants with pre-existing AIAs that were boosted to a significant higher titer following IMP administration (participants with at least one AIA sample with at least a 4-fold increase in titers compared to Baseline value at any time during on-treatment period, in those participants with pre-existing AIA). Participants with treatment-emergent AIA were defined as participants with treatment-induced, or treatment-boosted AIAs. On-treatment period was defined as the time from the first injection of IMP up to the last injection of IMP + 1 day. (NCT03874715)
Timeframe: From first injection of IMP (Day 1) up to 1 day after the last injection of IMP (i.e., up to Day 113)
Intervention | Participants (Count of Participants) |
---|
| Treatment-emergent AIA | Treatment-boosted AIA | Treatment-induced AIA |
---|
Non-switching: NovoLog | 11 | 1 | 10 |
,Switching: NovoLog/SAR341402 | 8 | 0 | 8 |
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Pharmacokinetics: Area Under the Plasma Concentration Versus Time Curve (AUC) of Insulin Aspart Following Administration of Either SAR341402 (Switching Arm) or NovoLog (Non-switching Arm)
AUC was defined as area under the concentration versus time curve. Insulin aspart is the active ingredient of SAR341402 and NovoLog. (NCT03874715)
Timeframe: 0 hr (pre-dose), 10, 20, 30, 40 & 50 min, 1 hr, 1 hr-10, 20, 30, 40 & 50 min, 2 hr, 2 hr-15, 30 & 45 min, 3 hr, 3 hr-15, 30 & 45 min, 4 hr, 4 hr-20 & 40 min, 5 hr, 5 hr-20 & 40 min, 6 hr, 6 hr-30 min, 7 hr, 7 hr-30 min & 8 hr post-dose on Day 112
Intervention | pg*h/mL (Mean) |
---|
Switching: NovoLog/SAR341402 | 6720 |
Non-switching: NovoLog | 7260 |
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Number of Clinically Significant Hypoglycaemic Episodes (Level 2) (Below 3.0 mmol/L (54 mg/dL), Confirmed by BG Meter) or Severe Hypoglycaemic Episodes (Level 3)
Clinically significant hypoglycaemic episodes (level 2) were defined as episodes that were sufficiently low to indicate serious, clinically important hypoglycaemia with plasma glucose value of <3.0 mmol/L (54 mg/dL). Severe hypoglycaemic episodes (level 3) were defined as episodes that were associated with severe cognitive impairment requiring external assistance for recovery. Number of clinically significant hypoglycaemic episodes (level 2), confirmed by blood glucose (BG)meter or severe hypoglycaemic episodes (level 3) that occured during weeks 0-16 are presented. (NCT03922750)
Timeframe: From baseline week 0 (V2) to week 16 (V18)
Intervention | Count of events (Number) |
---|
Insulin 287 (Without Loading Dose) | 3 |
Insulin 287 (With 100% Loading Dose) | 17 |
Insulin Glargine U100 | 16 |
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Number of Hypoglycaemic Alert Episodes(Level 1) (Greater Than or Equal to 3.0 and Below 3.9 mmol/L (Greater Than or Equal to 54 and Below 70 mg/dL), Confirmed by BG Meter)
Hypoglycaemia alert value (level 1) was defined as episodes that were sufficiently low for treatment with fast-acting carbohydrate and dose adjustment of glucose-lowering therapy. Number of hypoglycaemic alert episodes (level 1) (equal to or above 3.0 and below 3.9 mmol/L (equal to or above 54 and below 70 mg/dL), confirmed by BG meter) that occured during weeks 0-16 are presented. (NCT03922750)
Timeframe: From baseline week 0 (V2) to week 16 (V18)
Intervention | Count of events (Number) |
---|
Insulin 287 (Without Loading Dose) | 79 |
Insulin 287 (With 100% Loading Dose) | 78 |
Insulin Glargine U100 | 71 |
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Change in Body Weight
Estimated mean change from baseline (week 0) in body weight at week 16 is presented. The endpoint was evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of a non-randomised insulin treatment (rescue medication). (NCT03922750)
Timeframe: From baseline week 0 (V2) to week 16 (V18)
Intervention | Kilogram (Kg) (Least Squares Mean) |
---|
Insulin 287 (Without Loading Dose) | 1.32 |
Insulin 287 (With 100% Loading Dose) | 0.61 |
Insulin Glargine U100 | 0.10 |
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Number of Treatment-emergent Adverse Events (TEAEs)
An adverse event(AE) is any untoward medical occurrence in a clinical trial subject administered or using a medicinal product, whether or not considered related to the medicinal product or usage.. A TEAE was defined as an event that had onset date (or increase in severity) during the on-treatment observation period. The on-treatment observation period was the time period from first dose of trial product until the follow-up visit or the last date on trial product + 5 weeks for once daily insulin and +6 weeks for once weekly insulin. Safety analysis set (SAS) included all subjects exposed to at least one dose of trial product. (NCT03922750)
Timeframe: From baseline week 0 (V2) to week 21 (V20)
Intervention | Count of events (Number) |
---|
Insulin 287 (Without Loading Dose) | 77 |
Insulin 287 (With 100% Loading Dose) | 85 |
Insulin Glargine U100 | 76 |
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Number of Severe Hypoglycaemic Episodes (Level 3)
Severe hypoglycaemic episodes (level 3) were defined as episodes that were associated with severe cognitive impairment requiring external assistance for recovery. Number of severe hypoglycaemic episodes that occurred during weeks 0-16 are presented. (NCT03922750)
Timeframe: From baseline week 0 (V2) to week 16 (V18)
Intervention | Count of events (Number) |
---|
Insulin 287 (Without Loading Dose) | 0 |
Insulin 287 (With 100% Loading Dose) | 0 |
Insulin Glargine U100 | 0 |
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Percentage of Time in Target Range 3.9-10.0 mmol/L (70-180 Milligrams Per Deciliter (mg/dL)) Measured Using CGM (Continuous Glucose Monitoring)
The percentage of time spent in glycaemic target range was calculated as 100 times the number of recorded measurements in glycaemic target range 3.9-10.0 mmol/L (70-180 mg/dL), both inclusive divided by the total number of recorded measurements. The endpoint was evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of a non-randomised insulin treatment (rescue medication). (NCT03922750)
Timeframe: During the last 2 weeks of treatment (week 15 and 16)
Intervention | Percentage of time (Least Squares Mean) |
---|
Insulin 287 (Without Loading Dose) | 65.99 |
Insulin 287 (With 100% Loading Dose) | 72.86 |
Insulin Glargine U100 | 64.98 |
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Weekly Insulin Dose
Estimated mean average weekly insulin dose during the last 2 weeks of treatment is presented. The endpoint was evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of a non-randomised insulin treatment (rescue medication). (NCT03922750)
Timeframe: During the last 2 weeks of treatment (week 15 and 16)
Intervention | Units of insulin (U) (Least Squares Mean) |
---|
Insulin 287 (Without Loading Dose) | 242.31 |
Insulin 287 (With 100% Loading Dose) | 191.03 |
Insulin Glargine U100 | 195.91 |
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Change in Fasting Plasma Glucose (FPG)
Estimated mean change from baseline (week 0) in FPG at week 16 is presented. The endpoint was evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of a non-randomised insulin treatment (rescue medication). (NCT03922750)
Timeframe: From baseline week 0 (V2) to week 16 (V18)
Intervention | Millimoles per liter (mmol/L) (Least Squares Mean) |
---|
Insulin 287 (Without Loading Dose) | -0.83 |
Insulin 287 (With 100% Loading Dose) | -0.69 |
Insulin Glargine U100 | -0.57 |
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Change in Glycosylated Haemoglobin (HbA1c)
Estimated mean change from baseline (week 0) in HbA1c at week 16 is presented. The endpoint was evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was on treatment with trial product, excluding any period after initiation of a non-randomised insulin treatment (rescue medication). (NCT03922750)
Timeframe: From baseline week 0 (V2) to week 16 (V18)
Intervention | Percentage point of HbA1c (Least Squares Mean) |
---|
Insulin 287 (Without Loading Dose) | -0.47 |
Insulin 287 (With 100% Loading Dose) | -0.77 |
Insulin Glargine U100 | -0.54 |
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Percentage of Time in Target Range (TIR) 3.9-10.0 Millimoles Per Liter (mmol/L) (70-180 Milligrams Per Deciliter (mg/dL) Measured Using CGM (Continuous Glucose Monitoring)
The percentage of time spent in glycaemic target range was calculated as 100 times the number of recorded measurements in glycaemic target range 3.9-10.0 mmol/L (70-180 mg/dL), both inclusive divided by the total number of recorded measurements. The endpoint was evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was considered exposed to trial product, excluding any period after initiation of a non-randomised insulin treatment (rescue medication). The endpoint is based on data recorded by CGM system. It was required that at least 70% of the planned CGM measurements during weeks 15-16 were available for endpoint data to be included in the analysis. (NCT03951805)
Timeframe: During the last 2 weeks of treatment (week 15 and 16)
Intervention | Percentage of time (Least Squares Mean) |
---|
Insulin 287 (Titration Algorithm A) | 76.65 |
Insulin 287 (Titration Algorithm B) | 82.97 |
Insulin 287 (Titration Algorithm C) | 80.89 |
Insulin Glargine (Titration Algorithm D) | 75.89 |
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Number of Treatment Emergent Adverse Events (TEAEs)
A TEAE was defined as an event that had onset date (or increase in severity) during the on-treatment observation period. The on-treatment observation period was the time period from first dose of trial product (week 0, visit 2) until the follow-up visit (week 21, visit 20) or the last date on trial product + 5 weeks for once daily insulin and +6 weeks for once weekly insulin. (NCT03951805)
Timeframe: From baseline week 0 (visit 2) to week 21 (visit 20)
Intervention | Count of events (Number) |
---|
Insulin 287 (Titration Algorithm A) | 44 |
Insulin 287 (Titration Algorithm B) | 67 |
Insulin 287 (Titration Algorithm C) | 58 |
Insulin Glargine (Titration Algorithm D) | 45 |
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Number of Severe Hypoglycaemic Episodes (Level 3)
Severe hypoglycaemic episodes (level 3) were defined as episodes that were associated with severe cognitive impairment requiring external assistance for recovery. Number of severe hypoglycaemic episodes that occurred from baseline (week 0, visit 2) to end of treatment (week 16, visit 18) are presented. (NCT03951805)
Timeframe: From baseline week 0 (visit 2) to week 16 (visit 18)
Intervention | Count of events (Number) |
---|
Insulin 287 (Titration Algorithm A) | 0 |
Insulin 287 (Titration Algorithm B) | 0 |
Insulin 287 (Titration Algorithm C) | 0 |
Insulin Glargine (Titration Algorithm D) | 0 |
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Number of Hypoglycaemic Alert Episodes (Level 1) (Greater Than or Equal to 3.0 and Below 3.9 mmol/L (Greater Than or Equal to 54 and Below 70 mg/dL), Confirmed by Blood Glucose (BG) Meter)
Hypoglycaemia alert value (level 1) was defined as episodes that were sufficiently low for treatment with fast-acting carbohydrate and dose adjustment of glucose-lowering therapy with plasma glucose value of equal to or above (>=) 3.0 and < 3.9 mmol/L (>= 54 and < 70 mg/dL) confirmed by BG meter. Number of hypoglycaemic alert episodes (level 1) that occured from baseline (week 0, visit 2) to end of treatment (week 16, visit 18) are presented. (NCT03951805)
Timeframe: From baseline week 0 (visit 2) to week 16 (visit 18)
Intervention | Count of events (Number) |
---|
Insulin 287 (Titration Algorithm A) | 14 |
Insulin 287 (Titration Algorithm B) | 20 |
Insulin 287 (Titration Algorithm C) | 110 |
Insulin Glargine (Titration Algorithm D) | 10 |
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Number of Clinically Significant Hypoglycaemic Episodes (Level 2) (Below 3.0 mmol/L (54 Milligrams Per Deciliter [mg/dL]), Confirmed by Blood Glucose (BG) Meter) or Severe Hypoglycaemic Episodes (Level 3)
Clinically significant hypoglycaemic episodes (level 2) were defined as episodes that were sufficiently low to indicate serious, clinically important hypoglycaemia with plasma glucose value of less than (<) 3.0 mmol/L (54 mg/dL). Severe hypoglycaemic episodes (level 3) were defined as episodes that were associated with severe cognitive impairment requiring external assistance for recovery. Number of clinically significant hypoglycaemic episodes (level 2), confirmed by blood glucose (BG) meter or severe hypoglycaemic episodes (level 3) that occured from baseline (week 0, visit 2) to end of treatment (week 16, visit 18) are presented. (NCT03951805)
Timeframe: From baseline week 0 (visit 2) to week 16 (visit 18)
Intervention | Count of events (Number) |
---|
Insulin 287 (Titration Algorithm A) | 1 |
Insulin 287 (Titration Algorithm B) | 2 |
Insulin 287 (Titration Algorithm C) | 8 |
Insulin Glargine (Titration Algorithm D) | 0 |
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Change in HbA1c (Glycated Haemoglobin)
Estimated mean change in HbA1c from baseline (week 0, visit 2) to end of treatment (week 16, visit 18) is presented. The endpoint was evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was considered exposed to trial product, excluding any period after initiation of a non-randomised insulin treatment (rescue medication). (NCT03951805)
Timeframe: From baseline week 0 (visit 2) to week 16 (visit 18)
Intervention | Percentage point of HbA1c (Least Squares Mean) |
---|
Insulin 287 (Titration Algorithm A) | -1.00 |
Insulin 287 (Titration Algorithm B) | -1.22 |
Insulin 287 (Titration Algorithm C) | -1.38 |
Insulin Glargine (Titration Algorithm D) | -1.02 |
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Change in Fasting Plasma Glucose (FPG)
Estimated mean change in FPG from baseline (week 0, visit 2) to end of treatment (week 16, visit 18) is presented. The endpoint was evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was considered exposed to trial product, excluding any period after initiation of a non-randomised insulin treatment (rescue medication). (NCT03951805)
Timeframe: From baseline week 0 (visit 2) to week 16 (visit 18)
Intervention | Millimoles per liter (mmol/L) (Least Squares Mean) |
---|
Insulin 287 (Titration Algorithm A) | -2.23 |
Insulin 287 (Titration Algorithm B) | -2.42 |
Insulin 287 (Titration Algorithm C) | -3.01 |
Insulin Glargine (Titration Algorithm D) | -2.34 |
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Weekly Insulin Dose
Estimated mean average weekly insulin dose during the last 2 weeks of treatment is presented. The endpoint was evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was considered exposed to trial product, excluding any period after initiation of a non-randomised insulin treatment (rescue medication). (NCT03951805)
Timeframe: During the last 2 weeks of treatment (week 15 and 16)
Intervention | Units of insulin (U) (Least Squares Mean) |
---|
Insulin 287 (Titration Algorithm A) | 142.47 |
Insulin 287 (Titration Algorithm B) | 176.38 |
Insulin 287 (Titration Algorithm C) | 208.90 |
Insulin Glargine (Titration Algorithm D) | 145.56 |
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Change in Body Weight
Estimated mean change in body weight from baseline (week 0, visit 2) to end of treatment (week 16, visit 18) is presented. The endpoint was evaluated based on the data from the on-treatment without rescue medication observation period, which was the time period when a participant was considered exposed to trial product, excluding any period after initiation of a non-randomised insulin treatment (rescue medication). (NCT03951805)
Timeframe: From baseline week 0 (visit 2) to week 16 (visit 18)
Intervention | Kilogram (Kg) (Least Squares Mean) |
---|
Insulin 287 (Titration Algorithm A) | 0.87 |
Insulin 287 (Titration Algorithm B) | 1.11 |
Insulin 287 (Titration Algorithm C) | 1.25 |
Insulin Glargine (Titration Algorithm D) | 0.63 |
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Change From Baseline in Hemoglobin A1c (HbA1c)
HbA1c is the glycosylated fraction of hemoglobin A. It is measured to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was determined by mixed model repeated measures (MMRM) model with Baseline + Pooled Country + Number of Bolus at Study Entry Stratum + Type of Basal at Lead-in Stratum + Treatment + Time + Treatment*Time (Type III sum of squares) as variables. (NCT03952130)
Timeframe: Baseline, Week 26
Intervention | Percentage of HbA1c (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | -0.28 |
LY900014 | -0.21 |
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2-hour PPG Excursion During MMTT
A standardized MMTT was used to characterize postprandial glucose control following administration of the study insulin. Serum glucose measured at 2-hour timepoint after the start of meal minus fasting serum glucose. LS mean was determined by analysis of covariance (ANCOVA) model with Baseline + Pooled Country + Hemoglobin A1c Stratum at Baseline + Use of Metformin at Study Entry + Type of Basal at Lead-in Stratum + Treatment (Type III sum of squares) as variables. (NCT03952130)
Timeframe: Week 26
Intervention | mg/dL (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | 142.2 |
LY900014 | 116.7 |
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1-hour Postprandial Glucose (PPG) Excursion During Mixed-Meal Tolerance Test (MMTT)
A standardized MMTT was used to characterize postprandial glucose control following administration of the study insulin. Serum glucose measured at 1-hour timepoint after the start of meal minus fasting serum glucose. LS mean was determined by analysis of covariance (ANCOVA) model with Baseline + Pooled Country + Hemoglobin A1c Stratum at Baseline + Use of Metformin at Study Entry + Type of Basal at Lead-in Stratum + Treatment (Type III sum of squares) as variables. (NCT03952130)
Timeframe: Week 26
Intervention | milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | 102.8 |
LY900014 | 85.0 |
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Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values
SMBG 10-point profiles were measured at morning (premeal-fasting, 1-hour post meal, 2-hour post meal), midday (premeal, 1-hour post meal, 2-hour post meal), evening (premeal, 1-hour post meal, 2-hour post meal) and bedtime. LS Mean was determined by MMRM model with Baseline + Pooled Country + Hemoglobin A1c Stratum at Baseline + Use of Metformin at Study Entry + Type of Basal at Lead-in Stratum + Treatment + Time + Treatment*Time (Type III sum of squares) as variables. (NCT03952130)
Timeframe: Baseline, Week 26
Intervention | milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
| Morning premeal-fasting | Morning 1-hour post meal | Morning 2-hour postmeal | Midday premeal | Midday 1-hour post meal | Midday 2-hour post meal | Evening premeal | Evening 1-hour post meal | Evening 2-hour post meal | Bedtime |
---|
Insulin Lispro (Humalog) | 5.5 | -6.4 | -9.5 | -6.7 | -4.7 | -10.8 | -12.2 | -2.4 | -7.0 | -7.9 |
,LY900014 | -10.2 | -20.4 | -24.4 | -9.0 | -13.8 | -14.1 | -1.6 | -8.0 | -14.8 | -12.4 |
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Change From Baseline in 1,5-Anhydroglucitol (1,5-AG)
1,5-anhydroglucitol (1,5-AG) is a marker of short-term glycemic control especially postprandial hyperglycemia. It accurately predicts rapid changes in glycemia and is tightly associated with glucose fluctuations and postprandial glucose. LS mean was determined by MMRM model with Baseline + Pooled Country + Hemoglobin A1c Stratum at Baseline + Use of Metformin at Study Entry + Type of Basal at Lead-in Stratum + Treatment + Time + Treatment*Time (Type III sum of squares) as variables. (NCT03952130)
Timeframe: Baseline, Week 26
Intervention | milligrams per liter (mg/L) (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | 0.39 |
LY900014 | 0.10 |
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Change From Baseline in Daily Insulin Dose
LS mean was determined by MMRM model with Baseline + Pooled Country + Hemoglobin A1c Stratum at Baseline + Use of Metformin at Study Entry + Type of Basal at Lead-in Stratum + Treatment + Time + Treatment*Time (Type III sum of squares) as variables. (NCT03952130)
Timeframe: Baseline, Week 26
Intervention | Units per day (Least Squares Mean) |
---|
| Basal Insulin Dose | Bolus Insulin Dose | Total Insulin Dose |
---|
Insulin Lispro (Humalog) | 0.0 | 6.0 | 6.0 |
,LY900014 | 0.0 | 6.6 | 6.6 |
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Percentage of Participants With HbA1c <7% and ≤6.5%
HbA1c is the glycosylated fraction of hemoglobin A. It is measured to identify average plasma glucose concentration over prolonged periods of time. (NCT03952130)
Timeframe: Week 26
Intervention | Percentage of participants (Number) |
---|
| HbA1c < 7% | HbA1c ≤ 6.5% |
---|
Insulin Lispro (Humalog) | 28.48 | 15.15 |
,LY900014 | 26.71 | 9.94 |
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Rate of Severe Hypoglycemia
Severe hypoglycemia is defined as an event requiring assistance of another person to administer carbohydrate, glucagon, or other resuscitative actions. Rate of severe hypoglycemia events per 100 years during a defined period was calculated by total number of severe hypoglycemia episodes within the period divided by the cumulative days on treatment from all participants within that treatment group *36525 days. (NCT03952130)
Timeframe: Baseline through Week 26
Intervention | Events per 100 participant years (Number) |
---|
Insulin Lispro (Humalog) | 6.88 |
LY900014 | 5.87 |
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Rate of Documented Symptomatic Post Meal Hypoglycemia
Documented symptomatic post meal hypoglycemia is an event during which typical symptoms of hypoglycemia are accompanied by blood glucose (BG) of ≤70 mg/dL [3.9 millimole per liter (mmol/L)]. The rate of documented symptomatic post meal hypoglycemia per year during a defined period is calculated by the total number of documented symptomatic post meal hypoglycemia events within the period divided by the cumulative days on treatment from all participants within that treatment group *365.25. (NCT03952130)
Timeframe: Baseline through Week 26
Intervention | Events per participant per year (Number) |
---|
| <=30 minutes post meal | <=1 hour post meal | <=2 hours post meal | <=4 hours post meal | >1 to <=2 hours post meal | >2 to <=4 hours post meal | >4 hours post meal |
---|
Insulin Lispro (Humalog) | 0.11 | 0.75 | 3.80 | 10.2 | 3.05 | 6.40 | 14.2 |
,LY900014 | 0.09 | 1.20 | 4.52 | 12.4 | 3.32 | 7.87 | 10.5 |
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1-hour Postprandial Glucose (PPG) Excursion During Mixed-Meal Tolerance Test (MMTT)
A standardized MMTT was used to characterize postprandial glucose control following administration of the study insulin. Serum glucose measured at 1-hour timepoint after the start of meal minus fasting serum glucose. Least Squares (LS) mean was determined by analysis of covariance (ANCOVA) model with Baseline + Pooled Country + Hemoglobin A1c Stratum at Baseline + Number of Bolus at Study Entry Stratum + Type of Basal at Lead-in Stratum + Treatment (Type III sum of squares). (NCT03952143)
Timeframe: Week 26
Intervention | milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | 100.8 |
LY900014 | 86.2 |
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2-hour PPG Excursion During MMTT
A standardized MMTT was used to characterize postprandial glucose control following administration of the study insulin. Serum glucose measured at 2-hour timepoint after the start of meal minus fasting serum glucose. Least Squares (LS) mean was determined by analysis of covariance (ANCOVA) model with Baseline + Pooled Country + Hemoglobin A1c Stratum at Baseline + Number of Bolus at Study Entry Stratum + Type of Basal at Lead-in Stratum + Treatment (Type III sum of squares). (NCT03952143)
Timeframe: Week 26
Intervention | mg/dL (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | 133.2 |
LY900014 | 111.4 |
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Change From Baseline in 1,5-Anhydroglucitol (1,5-AG)
1,5-anhydroglucitol (1,5-AG) is a marker of short-term glycemic control especially postprandial hyperglycemia. 1,5-AG accurately predicts rapid changes in glycemia and is tightly associated with glucose fluctuations and postprandial glucose. LS Mean was calculated using mixed model repeated measures (MMRM) with Baseline + Pooled Country + Hemoglobin A1c Stratum at Baseline + Number of Bolus at Study Entry Stratum + Type of Basal at Lead-in Stratum + Treatment + Time + Treatment*Time (Type III sum of squares) (NCT03952143)
Timeframe: Baseline, Week 26
Intervention | milligram per liter (mg/L) (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | 2.49 |
LY900014 | 2.21 |
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Change From Baseline in Hemoglobin A1c (HbA1c)
HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was determined by mixed model repeated measures (MMRM) model with Baseline + Pooled Country + Number of Bolus at Study Entry Stratum + Type of Basal at Lead-in Stratum + Treatment + Time + Treatment*Time (Type III sum of squares). (NCT03952143)
Timeframe: Baseline, Week 26
Intervention | Percentage of HbA1c (Least Squares Mean) |
---|
Insulin Lispro (Humalog) | -0.63 |
LY900014 | -0.56 |
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Rate of Severe Hypoglycemia
Severe hypoglycemia is defined as an event requiring assistance of another person to administer carbohydrate, glucagon, or other resuscitative actions. Rate of severe hypoglycemia events per 100 years during a defined period was calculated by total number of severe hypoglycemia episodes within the period divided by the cumulative days on treatment from all participants within that treatment group *36525. (NCT03952143)
Timeframe: Baseline through Week 26
Intervention | Events per 100 participant years (Number) |
---|
Insulin Lispro (Humalog) | 2.00 |
LY900014 | 0.52 |
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Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values
SMBG 10-point profiles were measured at fasting, 1-hour post morning meal, 2-hours post morning meal, pre midday meal, 1-hour post midday meal, 2-hours post midday meal, pre evening meal, 1-hour post evening meal, 2-hours post evening meal, and bedtime. LS Mean was analyzed using mixed model repeated measures (MMRM) model with Baseline + Pooled Country + Hemoglobin A1c Stratum at Baseline + Number of Bolus at Study Entry Stratum + Type of Basal at Lead-in Stratum + Treatment + Time + Treatment*Time (Type III sum of squares). (NCT03952143)
Timeframe: Baseline, Week 26
Intervention | mg/dL (Least Squares Mean) |
---|
| Morning Premeal | Morning 1-hour Postmeal | Morning 2-hour Postmeal | Midday Premeal | Midday 1-hour Postmeal | Midday 2-hour Postmeal | Evening Premeal | Evening 1-hour Postmeal | Evening 2-hour Postmeal | Bedtime |
---|
Insulin Lispro (Humalog) | 2.2 | -12.9 | -15.9 | -9.8 | -15.2 | -24.4 | -25.0 | -17.6 | -22.1 | -22.3 |
,LY900014 | 4.4 | -18.1 | -21.3 | -5.7 | -13.9 | -22.5 | -10.9 | -15.6 | -22.3 | -20.7 |
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Change From Baseline in Insulin Dose
LS mean was determined by MMRM model with Baseline + Pooled Country + Hemoglobin A1c Stratum at Baseline + Number of Bolus at Study Entry Stratum + Type of Basal at Lead-in Stratum + Treatment + Time + Treatment*Time (Type III sum of squares) (NCT03952143)
Timeframe: Baseline, Week 26
Intervention | Units (U) (Least Squares Mean) |
---|
| Total Daily Insulin Dose | Daily Basal Insulin Dose | Daily Prandial Insulin Dose |
---|
Insulin Lispro (Humalog) | 15.1 | 0.7 | 14.7 |
,LY900014 | 17.8 | 1.4 | 16.7 |
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Percentage of Participants With HbA1c <7% and ≤6.5%
Hemoglobin A1c (HbA1c) is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. Only subjects with non-missing baseline value and at least one non-missing post-baseline value of the response variable were included in analysis. (NCT03952143)
Timeframe: Week 26
Intervention | Percentage of participants (Number) |
---|
| HbA1c < 7% | HbA1c ≤ 6.5% |
---|
Insulin Lispro (Humalog) | 44.50 | 27.23 |
,LY900014 | 46.65 | 27.93 |
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Rate of Documented Symptomatic Postmeal Hypoglycemia
Documented symptomatic postmeal hypoglycemia is an event during which typical symptoms of hypoglycemia are accompanied by blood glucose (BG) of ≤70 mg/dL [3.9 millimole per liter (mmol/L)]. The rate of documented symptomatic postmeal hypoglycemia was estimated by negative binomial model: number of episodes = treatment with log (treatment exposure in days/365.25) as an offset variable (NCT03952143)
Timeframe: Baseline through Week 26
Intervention | Events per participant per year (Least Squares Mean) |
---|
| ≤30 minutes post meal | ≤1 hour post meal | >1 to ≤2 hours post meal | ≤2 hours post meal | >2 to ≤4 hours post meal | ≤4 hours post meal |
---|
Insulin Lispro (Humalog) | 0.13 | 0.25 | 0.67 | 0.92 | 1.96 | 2.89 |
,LY900014 | 0.11 | 0.34 | 1.07 | 1.41 | 1.92 | 3.32 |
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Glucose Total Coefficient of Variation (CV%)
CV% was a measure of spread of variability relative to mean of population. For CGM glucose values, CV% was measure of glycemic variability across 20 days and calculated as ratio of standard deviation of glucose values to mean of glucose values. LS means and SE were obtained using ANCOVA model using fixed categorical effects of treatment groups (Toujeo, Tresiba), randomization stratum of screening HbA1c (<8.0% versus >=8.0%), and the continuous fixed covariate of Baseline value. (NCT04075513)
Timeframe: During Week 10 up to Week 12
Intervention | percentage of total CV (Least Squares Mean) |
---|
Toujeo | 39.91 |
Tresiba | 41.22 |
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 12
Change in FPG was analyzed using an ANCOVA model including the fixed categorical effects of treatment groups (Toujeo, Tresiba) and the randomization stratum of HbA1c at screening (<8.0%, >=8.0%) and the continuous fixed covariate of Baseline FPG value. (NCT04075513)
Timeframe: Baseline, Week 12
Intervention | milligrams per deciliter (Least Squares Mean) |
---|
Toujeo | -16.05 |
Tresiba | -34.55 |
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Change From Baseline in Glycated Hemoglobin A1c (HbA1c) at Week 12
Change in HbA1c at Week 12 was analyzed using an ANCOVA model including the fixed categorical effects of treatment groups (Toujeo, Tresiba), and the continuous fixed covariate of Baseline HbA1c value. (NCT04075513)
Timeframe: Baseline, Week 12
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
Toujeo | -0.75 |
Tresiba | -0.92 |
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Percentage of Time of Glucose Concentration Within the Target Range of Greater Than or Equal to (>=) 70 to Less Than or Equal to (<=) 180 Milligrams Per Deciliter: Non-inferiority Analysis
The Continuous Glucose Monitoring (CGM) system combined frequent interstitial glucose measurements (every 5 minutes) with ability to analyze glucose levels in real time. Adjusted least square (LS) means and standard error (SE) were obtained using analysis of covariance (ANCOVA) model on data obtained from the multiple imputations during Week 10 to Week 12. (NCT04075513)
Timeframe: During Week 10 up to Week 12
Intervention | percentage of time (Least Squares Mean) |
---|
Toujeo | 52.74 |
Tresiba | 55.09 |
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Percentage of Time With Glucose Level <70 Milligrams Per Deciliter (All Time and During the Night)
"The CGM system combined frequent interstitial glucose measurements (every 5 minutes) with ability to analyze glucose levels in real time. All time represent the time between 00.00 hour to 23.59 hours and night represent the time between 00.00 hour to 05.59 hours. LS means and SE were obtained using ANCOVA model using fixed categorical effects of treatment groups (Toujeo, Tresiba), randomization stratum of screening HbA1c (<8.0% versus >=8.0%), and the continuous fixed covariate of Baseline value." (NCT04075513)
Timeframe: During Week 10 up to Week 12
Intervention | percentage of time (Least Squares Mean) |
---|
| All time | Night |
---|
Toujeo | 5.55 | 6.32 |
,Tresiba | 6.49 | 6.26 |
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Number of Participants With at Least One Hypoglycemic Event During the On-treatment Period
Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions, because the participant was not capable of helping self. Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of <3.9 millimoles per liter (mmol/L) (<70 milligrams per deciliter). On-treatment period was defined as the time from the first injection of IMP (included) up to 2 days after the last injection of IMP. (NCT04075513)
Timeframe: From the first injection of IMP up to 2 days after the last injection of IMP (i.e., up to 86 days)
Intervention | Participants (Count of Participants) |
---|
| Any hypoglycemia | Severe hypoglycemia | Documented symptomatic hypoglycemia |
---|
Toujeo | 165 | 8 | 136 |
,Tresiba | 166 | 10 | 134 |
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Number of Hypoglycemic Events Per Participant Year During the On-treatment Period
Number of hypoglycemia events (any, severe and documented) per participant-year of exposure were reported. Severe hypoglycemia was an event in which the participant required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions, because the participant was not capable of helping self. Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of <3.9 mmol/L (<70 milligrams per deciliter). On-treatment period was defined as the time from the first injection of IMP (included) up to 2 days after the last injection of IMP. Total participant years = The sum of the duration of exposure for all participants, expressed in participant years. (NCT04075513)
Timeframe: From the first injection of IMP up to 2 days after the last injection of IMP (i.e., up to 86 days)
Intervention | events per participant-year (Number) |
---|
| Any hypoglycemia | Severe hypoglycemia | Documented symptomatic hypoglycemia |
---|
Toujeo | 109.4 | 0.2 | 67.1 |
,Tresiba | 114.9 | 0.3 | 66.9 |
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Mean Hours Per Day With Glucose Level <70 Milligrams Per Deciliter (All Time and During the Night)
"All time represent the time between 00.00 hour to 23.59 hours and night represent the time between 00.00 hour to 05.59 hours. Mean hours per day with glucose level <70 milligrams per deciliter during all time and only during night for the duration of Week 10 to Week 12 is reported in this outcome measure." (NCT04075513)
Timeframe: During Week 10 up to Week 12
Intervention | hours per day (Least Squares Mean) |
---|
| All time | Night |
---|
Toujeo | 1.33 | 0.38 |
,Tresiba | 1.56 | 0.38 |
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Glucose Within-day CV% and Between-day CV%
CV% was a measure of spread of variability relative to mean of population. For CGM glucose values, CV% was measure of glycemic variability across 20 days and calculated within day and between days as ratio of standard deviation of glucose values to mean of glucose values. LS mean and SE were obtained from ANCOVA model including fixed categorical effects of treatment groups (TOUJEO, TRESIBA), randomization stratum of screening HbA1c (<8.0% versus >=8.0%), and as well as, the continuous fixed covariate of Baseline value. (NCT04075513)
Timeframe: During Week 10 up to Week 12
Intervention | percentage of CV (Least Squares Mean) |
---|
| Within-day CV% | Between-day CV% |
---|
Toujeo | 33.48 | 17.23 |
,Tresiba | 34.37 | 18.08 |
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Percentage of Time With Glucose Level >180 Milligrams Per Deciliter
The CGM system combined frequent interstitial glucose measurements (every 5 minutes) with ability to analyze glucose levels in real time. LS means and SE were obtained using ANCOVA model using fixed categorical effects of treatment groups (Toujeo, Tresiba), randomization stratum of screening HbA1c (<8.0% versus >=8.0%), and the continuous fixed covariate of Baseline value. (NCT04075513)
Timeframe: During Week 10 up to Week 12
Intervention | percentage of time (Least Squares Mean) |
---|
Toujeo | 41.52 |
Tresiba | 38.31 |
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Percentage of Time of Glucose Concentration Within the Target Range of >=70 to <=180 Milligrams Per Deciliter: Superiority Analysis
The CGM system combined frequent interstitial glucose measurements (every 5 minutes) with ability to analyze glucose levels in real time. Adjusted LS means and SE were obtained using ANCOVA model on data obtained from the multiple imputations during Week 10 to Week 12. (NCT04075513)
Timeframe: During Week 10 up to Week 12
Intervention | percentage of time (Least Squares Mean) |
---|
Toujeo | 52.74 |
Tresiba | 55.09 |
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Mean Hours Per Day With Glucose Level >180 Milligrams Per Deciliter
Mean hours per day with glucose level >180 milligrams per deciliter for the duration of Week 10 to Week 12 is reported in this outcome measure. (NCT04075513)
Timeframe: During Week 10 up to Week 12
Intervention | hours per day (Least Squares Mean) |
---|
Toujeo | 9.96 |
Tresiba | 9.19 |
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Percentage of Participants Who Achieved Weight Loss ≥5%
Imputed data includes observed value and imputed value if endpoint measure is missing. (NCT04093752)
Timeframe: Week 40
Intervention | Percentage of participants (Number) |
---|
5 mg Tirzepatide | 55.70 |
10 mg Tirzepatide | 71.62 |
15 mg Tirzepatide | 74.11 |
Insulin Glargine | 5.58 |
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Percentage of Participants Achieving an HbA1c Target Value of <7.0%
HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. Imputed data includes observed value and imputed value if endpoint measure is missing. (NCT04093752)
Timeframe: Week 40
Intervention | Percentage of participants (Number) |
---|
5 mg Tirzepatide | 75.44 |
10 mg Tirzepatide | 86.04 |
15 mg Tirzepatide | 84.38 |
Insulin Glargine | 23.72 |
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Mean Change From Baseline in HbA1c (5 mg)
HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured primarily to identify average plasma glucose concentration over prolonged periods of time. LS mean was determined by MMRM model with covariates Baseline + Country + Baseline OAM Use (Met, Met plus SU) + Treatment + Time + Treatment*Time (Type III sum of squares). (NCT04093752)
Timeframe: Baseline, Week 40
Intervention | Percentage of HbA1c (Least Squares Mean) |
---|
5 mg Tirzepatide | -2.24 |
Insulin Glargine | -0.95 |
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Mean Change From Baseline in Hemoglobin A1c (HbA1c) (10 mg and 15 mg)
HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured primarily to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was determined by mixed model repeated measures (MMRM) model with covariates Baseline + Country + Baseline Oral Antihyperglycemic Medication (OAM) Use (Metformin (Met), Met plus Sulfonylurea (SU)) + Treatment + Time + Treatment*Time (Type III sum of squares). (NCT04093752)
Timeframe: Baseline, Week 40
Intervention | Percentage of HbA1c (Least Squares Mean) |
---|
10 mg Tirzepatide | -2.44 |
15 mg Tirzepatide | -2.49 |
Insulin Glargine | -0.95 |
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Mean Change in Daily Glucose Average From Baseline in 7-Point Self-Monitored Blood Glucose (SMBG) Values
The SMBG data was collected at the following 7 time points: Morning Premeal - Fasting, Morning 2-hour Post-meal, Midday Premeal, Midday 2-hour Post-meal, Evening Premeal, Evening 2-hour Post-meal and Bedtime. LS mean was determined by MMRM model with Baseline + Country + Baseline OAM Use (Met, Met plus SU) + Baseline HbA1c Group (<= 8.5%, >8.5%) + Treatment + Time + Treatment*Time (Type III sum of squares) as covariates. (NCT04093752)
Timeframe: Baseline, Week 40
Intervention | milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
5 mg Tirzepatide | -77.0 |
10 mg Tirzepatide | -83.4 |
15 mg Tirzepatide | -84.6 |
Insulin Glargine | -42.8 |
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Diabetes Treatment Satisfaction as Measured by the Diabetes Treatment Satisfaction Questionnaire, Change Version (DTSQc) Hyperglycemia, Hypoglycemia and Treatment Satisfaction Score
DTSQc, an 8-item questionnaire, assesses relative change in treatment satisfaction perceived frequency of hyperglycemia, and perceived frequency of hypoglycemia from baseline to week 40 or early termination. The treatment satisfaction score ranges from -18 to 18 where the higher the score the greater the improvement in satisfaction with treatment. The lower the score the greater the deterioration in satisfaction with treatment. The hyperglycemia and hypoglycemia scores range from -3 to 3 where negative scores indicate fewer problems with blood glucose levels and positive scores indicate more problems than before. LS mean was determined by ANCOVA model for endpoint measures with Baseline + Country + Baseline HbA1c Group (<=8.5%, >8.5%) + Baseline OAM Use (Met, Met plus SU) + Treatment (Type III sum of squares) as covariates. (NCT04093752)
Timeframe: Baseline, Week 40
Intervention | Units on a scale (Least Squares Mean) |
---|
| Hyperglycemia | Hypoglycemia | Treatment Satisfaction Score |
---|
10 mg Tirzepatide | -2.1 | -1.9 | 15.8 |
,15 mg Tirzepatide | -2.0 | -2.0 | 15.9 |
,5 mg Tirzepatide | -1.8 | -1.9 | 16.0 |
,Insulin Glargine | -1.3 | -1.8 | 14.2 |
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Percentage of Participants Achieving an HbA1c Target Value of <5.7%
HbA1c is the glycosylated fraction of hemoglobin A. Imputed data includes observed value and imputed value if endpoint measure is missing. (NCT04093752)
Timeframe: Week 40
Intervention | Percentage of participants (Number) |
---|
5 mg Tirzepatide | 14.91 |
10 mg Tirzepatide | 20.72 |
15 mg Tirzepatide | 27.68 |
Insulin Glargine | 0.00 |
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Rate of Hypoglycemia With Blood Glucose < 54 mg/dL or Severe Hypoglycemia
The hypoglycemia events were defined by participant reported events with blood glucose < 54 mg/dL [<3.0 Millimole per Liter (mmol/L)] or severe hypoglycemia. Severe hypoglycemia is defined as an episode with severe cognitive impairment requiring the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. These episodes may be associated with sufficient neuroglycopenia to induce seizure or coma. The rate of post-baseline hypoglycemia was estimated by negative binomial model: Number of episodes = Country + Baseline OAM Use (Met, Met plus SU) + Baseline HbA1c Group (<= 8.5%, >8.5%) + Treatment, with log (exposure in days/365.25) as an offset variable. (NCT04093752)
Timeframe: Baseline through end of safety follow-up (Up To Week 44)
Intervention | Episodes/participant/365.25 days (Mean) |
---|
5 mg Tirzepatide | 0.0658 |
10 mg Tirzepatide | 0.0890 |
15 mg Tirzepatide | 0.0700 |
Insulin Glargine | 0.0538 |
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Mean Change From Baseline in Fasting Serum Glucose
Fasting serum glucose (FSG) is a test to determine sugar levels in serum sample after an overnight fast. LS mean was determined by MMRM model with Baseline + Country + Baseline OAM Use (Met, Met plus SU) + Baseline HbA1c Group (<= 8.5%, >8.5%) + Treatment + Time + Treatment*Time (Type III sum of squares) as covariates. (NCT04093752)
Timeframe: Baseline, Week 40
Intervention | milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
5 mg Tirzepatide | -58.6 |
10 mg Tirzepatide | -66.2 |
15 mg Tirzepatide | -64.8 |
Insulin Glargine | -46.2 |
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Mean Change From Baseline in Body Weight
LS mean was determined by MMRM model with Baseline + Country + Baseline OAM Use (Met, Met plus SU) + Baseline HbA1c Group (<= 8.5%, >8.5%) + Treatment + Time + Treatment*Time (Type III sum of squares) as covariates. (NCT04093752)
Timeframe: Baseline, Week 40
Intervention | kilograms (kg) (Least Squares Mean) |
---|
5 mg Tirzepatide | -5.0 |
10 mg Tirzepatide | -7.0 |
15 mg Tirzepatide | -7.2 |
Insulin Glargine | 1.5 |
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Change From Baseline in Hemoglobin A1c (HbA1c)
HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was determined by mixed model repeated measures (MMRM) model with Baseline + Oral Antihyperglycemic Medications (OAM) use + Treatment + Visit + Treatment*Visit (Type III sum of squares) as variables. (NCT04591626)
Timeframe: Baseline, Week 28
Intervention | Percentage of HbA1c (Least Squares Mean) |
---|
1.5 mg Dulaglutide | -2.03 |
Placebo | -1.08 |
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Percentage of Participants Achieving HbA1c <7.0%
HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. Odds Ratio (OR) was determined using longitudinal logistic regression model with Baseline HbA1c value + OAM use + Treatment + Visit + Treatment*Visit as variables. (NCT04591626)
Timeframe: Week 28
Intervention | Percentage of participants (Number) |
---|
1.5 mg Dulaglutide | 75.9 |
Placebo | 33.8 |
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Percentage of Participants Achieving HbA1c <7.0% With no Weight Gain (<0.1 kg) and Without Documented Symptomatic Hypoglycemia (Blood Glucose <3.0 mmol/L)
Percentage of Participants Achieving HbA1c <7.0% With no Weight Gain (<0.1 kg) and Without Documented Symptomatic Hypoglycemia (Blood Glucose <3.0 mmol/L) was reported here. (NCT04591626)
Timeframe: Week 28
Intervention | Percentage of participants (Number) |
---|
1.5 mg Dulaglutide | 51.8 |
Placebo | 21.1 |
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Percentage of Participants Achieving HbA1c <7.0% Without Weight Gain (<0.1 kg)
Percentage of Participants Achieving HbA1c <7.0% Without Weight Gain (<0.1 kg) was reported here. (NCT04591626)
Timeframe: Week 28
Intervention | Percentage of participants (Number) |
---|
1.5 mg Dulaglutide | 51.8 |
Placebo | 21.1 |
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Percentage of Participants Achieving HbA1c <7.0% Without Documented Symptomatic Hypoglycemia (Blood Glucose <3.0 mmol/L)
Percentage of Participants Achieving HbA1c <7.0% Without Documented Symptomatic Hypoglycemia (Blood Glucose <3.0 mmol/L) was reported here. (NCT04591626)
Timeframe: Week 28
Intervention | Percentage of participants (Number) |
---|
1.5 mg Dulaglutide | 74.8 |
Placebo | 33.3 |
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Change From Baseline in Fasting Serum Glucose (FSG)
Change from baseline in FSG was reported here. LS mean was determined using MMRM model with Baseline + Baseline HbA1c strata (<8.5%, >=8.5%) + OAM use + Treatment + Visit + Treatment*Visit (Type III sum of squares) as variables. (NCT04591626)
Timeframe: Baseline, Week 28
Intervention | milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
1.5 mg Dulaglutide | -58.47 |
Placebo | -43.64 |
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Change From Baseline in Blood Glucose From Daily Self-Monitored Blood Glucose (SMBG) Profile
The SMBG data was collected at the following 7 time points: Pre morning meal BG, 2-hour postprandial measurement for morning meal BG, Pre midday meal BG, 2-hour postprandial measurement for midday meal BG, Pre evening meal BG, 2-hour postprandial measurement for evening meals BG, and Bedtime BG. LS mean was determined using MMRM model with Baseline + OAM (metformin and/or acarbose) usage + HbA1c Group at Baseline + Treatment + Time + Treatment*Time (Type III sum of squares) as variables. (NCT04591626)
Timeframe: Baseline, Week 28
Intervention | milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
1.5 mg Dulaglutide | -64.0 |
Placebo | -37.7 |
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Change From Baseline in Body Weight
Change from baseline in body weight was reported here. LS mean was determined by MMRM model with Baseline + Baseline HbA1c strata (<8.5%, >=8.5%) + OAM use + Treatment + Visit + Treatment*Visit (Type III sum of squares) as variables. (NCT04591626)
Timeframe: Baseline, Week 28
Intervention | kilogram (kg) (Least Squares Mean) |
---|
1.5 mg Dulaglutide | -0.76 |
Placebo | 0.42 |
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Change From Baseline in Daily Mean Insulin Glargine Doses
LS mean was determined using MMRM model with Baseline + Baseline HbA1c strata (<8.5%, >=8.5%) + OAM use + Treatment + Visit + Treatment*Visit (Type III sum of squares) as variables. (NCT04591626)
Timeframe: Baseline, Week 28
Intervention | International Units per day(IU/day) (Least Squares Mean) |
---|
1.5 mg Dulaglutide | 10.0 |
Placebo | 14.0 |
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Change From Baseline in Insulin Treatment Satisfaction Questionnaire (ITSQ) - Glycemic Control Domain Score at Week 12
The ITSQ is a 22-item questionnaire that assesses treatment satisfaction for subjects taking insulin under 5 domains: Inconvenience of Regimen [IR - 5 items], Lifestyle Flexibility [LF - 3 items], Glycemic Control [GC - 3 items], Hypoglycemic Control [HC - 5 items], Insulin Delivery Device [IDD - 6 items]. Each Item is measured on a 7-point scale, with scores ranging for IR from 5 to 35, LF from 3 to 21, GC from 3 to 21, HC from 5 to 35, IDD from 6 to 42. Lower scores reflect better outcomes. Data presented are for Glycemic Control Domain Scores transformed on a 0-100 scale, where transformed domain score = 100×[(7-raw domain score)/6]. Higher scores indicate better glycemic control. Least squares (LS) mean estimated from analysis of covariance (ANCOVA) model that included baseline score as a covariate. (NCT04605991)
Timeframe: Baseline, Week 12
Intervention | score on a scale (Least Squares Mean) |
---|
LY900014 | 16.9 |
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Change From Baseline in Daily Insulin Dose at Week 12
LS mean was determined by MMRM model with Baseline + Time as variables. (NCT04605991)
Timeframe: Baseline, Week 12
Intervention | Units per day (Least Squares Mean) |
---|
| Basal Insulin Dose | Bolus Insulin Dose | Total Insulin Dose |
---|
LY900014 | 3.7 | 18.0 | 22.0 |
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Change From Baseline in Bolus/Total Insulin Dose Percentage at Week 12
LS mean was determined by MMRM model with Baseline + Time as variables. (NCT04605991)
Timeframe: Baseline, Week 12
Intervention | percentage of insulin dose (Least Squares Mean) |
---|
LY900014 | 6.0 |
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Change From Baseline in Percentage of Time With CGM Sensor Glucose Value >250 mg/dL (>13.9 mmol/L) During Daytime and 24-hour Period at Week 12
LS mean was determined by MMRM model with Baseline + Time as variables. (NCT04605991)
Timeframe: Baseline, Week 12
Intervention | Percentage of time (Least Squares Mean) |
---|
| Daytime | 24-Hour Period |
---|
LY900014 | -1.56 | -1.07 |
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Percentage of Participants With HbA1c <7% and ≤6.5%
HbA1c is the glycosylated fraction of hemoglobin A. It is measured to identify average plasma glucose concentration over prolonged periods of time. (NCT04605991)
Timeframe: Week 12
Intervention | Percentage of participants (Number) |
---|
| HbA1c <7% | HbA1c ≤6.5% |
---|
LY900014 | 16.88 | 4.55 |
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Change From Baseline in Hemoglobin A1c (HbA1c) at Week 12
HbA1c is the glycosylated fraction of hemoglobin A. It is measured to identify average plasma glucose concentration over prolonged periods of time. LS mean was determined by MMRM model with Baseline + Time as variables. (NCT04605991)
Timeframe: Baseline, Week 12
Intervention | Percentage of HbA1c (Least Squares Mean) |
---|
LY900014 | -0.44 |
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Change From Baseline in Percentage of Time With CGM Sensor Glucose Values Between 70-180 mg/dL (3.9-10.0 mmol/L) (Both Inclusive) During the 24-hour Period at Week 12
LS mean was determined by MMRM model with Baseline + Time as variables. (NCT04605991)
Timeframe: Baseline, Week 12
Intervention | Percentage of time (Least Squares Mean) |
---|
LY900014 | 3.3 |
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Change From Baseline in Percentage of Time With Continuous Glucose Monitoring (CGM) Sensor Glucose Values Between 70-180 Milligrams/Deciliter (mg/dL) (3.9-10.0 Millimoles/Liter [mmol/L]) (Both Inclusive) During Daytime Period at Week 12
Least Squares (LS) mean was determined by mixed-model repeated measures (MMRM) model with Baseline + Time as variables. (NCT04605991)
Timeframe: Baseline, Week 12
Intervention | Percentage of time (Least Squares Mean) |
---|
LY900014 | 3.8 |
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Change From Baseline in Percentage of Time With CGM Sensor Glucose Values <54 mg/dL (<3.0 mmol/L) During Daytime and 24-hour Periods at Week 12
LS mean was determined by MMRM model with Baseline + Time as variables. (NCT04605991)
Timeframe: Baseline, Week 12
Intervention | Percentage of time (Least Squares Mean) |
---|
| Daytime | 24-hour Period |
---|
LY900014 | 0.10 | 0.00 |
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Change From Baseline in Percentage of Time With CGM Sensor Glucose Values >180 mg/dL (>10.0 mmol/L) During Daytime and 24-hour Period at Week 12
LS mean was determined by MMRM model with Baseline + Time as variables. (NCT04605991)
Timeframe: Baseline, Week 12
Intervention | Percentage of time (Least Squares Mean) |
---|
| Daytime | 24-Hour Period |
---|
LY900014 | -4.3 | -3.4 |
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Change From Baseline in Postprandial Incremental Area Under the Glucose Curve (iAUC) 0-1 Hour at Week 12
iAUC reflects the metabolic control and is calculated using the standard trapezoidal rule from Glucose measures taken every 15 minutes from 0 to 1 hour after meal using CGM sensor (i.e., 0, 15, 30, 45, 60 minutes after meal). LS mean was determined by ANCOVA (analysis of covariance) with Baseline as covariate. (NCT04605991)
Timeframe: Baseline, Week 12
Intervention | milligrams*hours per deciliter (mg*h/dl) (Least Squares Mean) |
---|
| Breakfast | Lunch | Dinner | Overall - across meals |
---|
LY900014 | -1.57 | -0.56 | -2.76 | -2.46 |
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Change From Baseline in Postprandial Incremental Area Under the Glucose Curve (iAUC) 0-2 Hour at Week 12
iAUC reflects the metabolic control and is calculated using the standard trapezoidal rule from glucose measures taken every 15 minutes from 0 to 2 hours after meal using CGM sensor (i.e., 0, 15, 30, 45, 60, 75, 90, 105, 120 minutes after meal). LS mean was determined by ANCOVA (analysis of covariance) with Baseline as covariate. (NCT04605991)
Timeframe: Baseline, Week 12
Intervention | mg*h/dl (Least Squares Mean) |
---|
| Breakfast | Lunch | Dinner | Overall - across meals |
---|
LY900014 | -8.1 | -2.57 | -8.32 | -8.8 |
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Length of Hospital Stay
Length of hospital stay of the study participants (NCT04834362)
Timeframe: During the hospital stay assessed up to 10 days
Intervention | Days (Mean) |
---|
Analog Insulin Arm | 4.7 |
Human Insulin Arm | 4.8 |
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Mortality
In-hospital mortality of the study participants (NCT04834362)
Timeframe: During the hospital stay assessed up to 10 days
Intervention | Participants (Count of Participants) |
---|
Analog Insulin Arm | 15 |
Human Insulin Arm | 16 |
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Total Daily Dose of Insulin
Total daily dose of insulin is calculated according to total basal insulin dose plus total bolus insulin dose divided by days of treatment (NCT04834362)
Timeframe: During the hospital stay assessed up to 10 days
Intervention | Units/day (Mean) |
---|
Analog Insulin Arm | 22.3 |
Human Insulin Arm | 26.7 |
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Glycemic Control
Differences in glycemic control between groups, as measured by mean blood glucose concentration (NCT04834362)
Timeframe: During the hospital stay assessed up to 10 days
Intervention | mmol/L (Mean) |
---|
Analog Insulin Arm | 10.7 |
Human Insulin Arm | 10.9 |
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