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Comparison of Two NN1250 Formulations Versus Insulin Glargine, All in Combination With Insulin Aspart in Subjects With Type 1 Diabetes

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 Type 1 Diabetes

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00612040
Enrollment
178
Registered
2008-02-11
Start date
2008-01-31
Completion date
2008-06-30
Last updated
2017-03-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetes, Diabetes Mellitus, Type 1

Brief summary

This trial is conducted in Europe, Oceania and the United States of America (USA). The aim of this trial is to compare two NN1250 (insulin degludec) formulations with each other and with insulin glargine, all in combination with insulin aspart in subjects with type 1 diabetes.

Interventions

DRUGinsulin degludec

Formulation 1: Treat-to-target dose titration scheme, injection s.c. (under the skin), once daily

DRUGinsulin glargine

Treat-to-target dose titration scheme, injection s.c., once daily

DRUGinsulin aspart

Treat-to-target dose titration scheme, injection s.c. (under the skin), 3 times daily

Sponsors

Novo Nordisk A/S
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Type 1 diabetes for at least one year * HbA1c 7-11% (both inclusive) * Treated with insulin for at least six months - any regimen

Exclusion criteria

* Any systemic treatment with products which in the Investigator's opinion could interfere with glucose or lipid metabolism (eg systemic corticosteroids) 3 months prior to randomisation * Subject has a clinically significant, active (during the past 12 months) disease of the gastrointestinal, pulmonary, neurological, genitourinary, or haematological system that, in the opinion of the Investigator, may confound the results of the trial or pose additional risk in administering trial product

Design outcomes

Primary

MeasureTime frameDescription
Change in Glycosylated Haemoglobin (HbA1c)Week 0, Week 16Change from baseline in HbA1c after 16 weeks of treatment

Secondary

MeasureTime frameDescription
Mean of 9-point Self Measured Plasma Glucose Profile (SMPG)Week 16Estimate 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.
Rate of Major and Minor Hypoglycaemic EpisodesWeek 0 to Week 16 + 5 days follow upRate 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.
Rate of Nocturnal Major and Minor Hypoglycaemic EpisodesWeek 0 to Week 16 + 5 days follow upRate 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).
Rate of Treatment Emergent Adverse Events (AEs)Week 0 to Week 16 + 5 days follow upCorresponds 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.
Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)Week -1, Week 16Laboratory values at screening (Week -1) and at Week 16
Change in Fasting Plasma Glucose (FPG)Week 0, Week 16Change from baseline in FPG (expressed in mmol/L, 1 mg/dL = 18times mmol/L) after 16 weeks of treatment
Laboratory Safety Parameters (Biochemistry): Serum CreatinineWeek -1, Week 16Laboratory values at screening (Week -1) and at Week 16
Vital Signs: Diastolic BP (Blood Pressure)Week 0, Week 16Values at baseline (Week 0) and at Week 16
Vital Signs: Systolic BP (Blood Pressure)Week 0, Week 16Values at baseline (Week 0) and at Week 16
Vital Signs: PulseWeek 0, Week 16Values at baseline (Week 0) and at Week 16
Physical ExaminationWeek -1, Week 8, Week 16Physical examination was performed at screening (week -1), and after 8 and 16 weeks of treatment. If any new findings or deterioration in previous findings were observed during the trial, these were recorded as AEs and are therefore not presented separately as no analysis was performed.
Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)Week -1, Week 16Laboratory values at screening (Week -1) and at Week 16

Countries

Australia, Germany, Norway, Sweden, United States

Participant flow

Recruitment details

A total of 28 centres participated: Australia (5), Germany (6), Norway (6), Sweden (5) and United States (6).

Participants by arm

ArmCount
SIBA (D)
Soluble insulin basal analogue D formulation (SIBA D, 100 dosing unit (DU)/mL (100 DU = 900 nmol), insulin degludec) was given subcutaneously once daily (OD) in the evening in combination with insulin aspart (IAsp) as meal-time insulin for 16 weeks. Insulin doses were individually adjusted.
60
SIBA (E)
Soluble insulin basal analogue E formulation (SIBA E, 100 dosing unit (DU)/mL (100 DU = 600 nmol), insulin degludec) was given subcutaneously once daily (OD) in the evening in combination with insulin aspart (IAsp) as meal-time insulin for 16 weeks. Insulin doses were individually adjusted.
59
IGlar
Insulin glargine (IGlar) was given subcutaneously once daily (OD) in the evening in combination with insulin aspart (IAsp) as meal-time insulin for 16 weeks. Insulin doses were individually adjusted.
59
Total178

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event021
Overall StudyLack of Efficacy210
Overall StudyProtocol Violation121
Overall StudyUnclassified225

Baseline characteristics

CharacteristicSIBA (D)SIBA (E)IGlarTotal
Age, Continuous45.6 years
STANDARD_DEVIATION 12.5
44.5 years
STANDARD_DEVIATION 12.7
47.2 years
STANDARD_DEVIATION 13.5
45.8 years
STANDARD_DEVIATION 12.8
Fasting plasma glucose (FPG)10.3 mmol/L
STANDARD_DEVIATION 4.8
9.9 mmol/L
STANDARD_DEVIATION 3.3
9.5 mmol/L
STANDARD_DEVIATION 3.8
9.9 mmol/L
STANDARD_DEVIATION 4
Gender
Female
23 Participants22 Participants27 Participants72 Participants
Gender
Male
37 Participants37 Participants32 Participants106 Participants
Glycosylated haemoglobin (HbA1c)8.5 percentage of glycosylated haemoglobin
STANDARD_DEVIATION 1
8.4 percentage of glycosylated haemoglobin
STANDARD_DEVIATION 0.9
8.3 percentage of glycosylated haemoglobin
STANDARD_DEVIATION 0.8
8.4 percentage of glycosylated haemoglobin
STANDARD_DEVIATION 0.9

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
31 / 6042 / 5931 / 59
serious
Total, serious adverse events
1 / 602 / 591 / 59

Outcome results

Primary

Change in Glycosylated Haemoglobin (HbA1c)

Change from baseline in HbA1c after 16 weeks of treatment

Time frame: Week 0, Week 16

Population: The full analysis set (FAS) included all randomised subjects and missing data was imputed using last observation carried forward (LOCF).

ArmMeasureValue (MEAN)Dispersion
SIBA (D)Change in Glycosylated Haemoglobin (HbA1c)-0.54 percentage of glycosylated haemoglobinStandard Deviation 0.78
SIBA (E)Change in Glycosylated Haemoglobin (HbA1c)-0.57 percentage of glycosylated haemoglobinStandard Deviation 0.76
IGlarChange in Glycosylated Haemoglobin (HbA1c)-0.62 percentage of glycosylated haemoglobinStandard Deviation 0.68
Secondary

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

Time frame: Week 0, Week 16

Population: The full analysis set (FAS) included all randomised subjects and missing data was imputed using last observation carried forward (LOCF).

ArmMeasureValue (MEAN)Dispersion
SIBA (D)Change in Fasting Plasma Glucose (FPG)-2.06 mmol/LStandard Deviation 5.17
SIBA (E)Change in Fasting Plasma Glucose (FPG)-1.60 mmol/LStandard Deviation 4.66
IGlarChange in Fasting Plasma Glucose (FPG)-0.54 mmol/LStandard Deviation 4.36
Secondary

Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)

Laboratory values at screening (Week -1) and at Week 16

Time frame: Week -1, Week 16

Population: The safety analysis set (SAS) included all subjects who received at least one dose of the investigational product or its comparator. From the SAS, 55 (SIBA D), 53 (SIBA E) and 54 (IGlar) subjects contributed to the analysis at week 16.

ArmMeasureGroupValue (MEAN)Dispersion
SIBA (D)Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)Week -1 , N=60, 59, 5925.5 IU/LStandard Deviation 11.3
SIBA (D)Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)Week 16 , N=55, 53, 5425.0 IU/LStandard Deviation 12
SIBA (E)Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)Week -1 , N=60, 59, 5922.7 IU/LStandard Deviation 11.1
SIBA (E)Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)Week 16 , N=55, 53, 5421.2 IU/LStandard Deviation 8
IGlarLaboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)Week -1 , N=60, 59, 5923.1 IU/LStandard Deviation 10.2
IGlarLaboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)Week 16 , N=55, 53, 5423.1 IU/LStandard Deviation 13
Secondary

Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)

Laboratory values at screening (Week -1) and at Week 16

Time frame: Week -1, Week 16

Population: The safety analysis set included all subjects who received at least one dose of the investigational product or its comparator. From the SAS, 55 (SIBA D), 53 (SIBA E) and 54 (IGlar) subjects contributed to the analysis at week 16.

ArmMeasureGroupValue (MEAN)Dispersion
SIBA (D)Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)Week -1, N=60, 59, 5922.8 IU/LStandard Deviation 7.4
SIBA (D)Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)Week 16, N=55, 53, 5423.3 IU/LStandard Deviation 8.8
SIBA (E)Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)Week -1, N=60, 59, 5921.7 IU/LStandard Deviation 7
SIBA (E)Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)Week 16, N=55, 53, 5421.6 IU/LStandard Deviation 8.5
IGlarLaboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)Week -1, N=60, 59, 5923.3 IU/LStandard Deviation 11.3
IGlarLaboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)Week 16, N=55, 53, 5423.9 IU/LStandard Deviation 9.4
Secondary

Laboratory Safety Parameters (Biochemistry): Serum Creatinine

Laboratory values at screening (Week -1) and at Week 16

Time frame: Week -1, Week 16

Population: The safety analysis set included all subjects who received at least one dose of the investigational product or its comparator. From the SAS, 55 (SIBA D), 53 (SIBA E) and 54 (IGlar) subjects contributed to the analysis at week 16.

ArmMeasureGroupValue (MEAN)Dispersion
SIBA (D)Laboratory Safety Parameters (Biochemistry): Serum CreatinineWeek -1 , N=60, 59, 5977.2 umol/LStandard Deviation 12.6
SIBA (D)Laboratory Safety Parameters (Biochemistry): Serum CreatinineWeek 16 , N=55, 53, 5477.2 umol/LStandard Deviation 14.1
SIBA (E)Laboratory Safety Parameters (Biochemistry): Serum CreatinineWeek -1 , N=60, 59, 5976.6 umol/LStandard Deviation 12.8
SIBA (E)Laboratory Safety Parameters (Biochemistry): Serum CreatinineWeek 16 , N=55, 53, 5475.9 umol/LStandard Deviation 13
IGlarLaboratory Safety Parameters (Biochemistry): Serum CreatinineWeek -1 , N=60, 59, 5977.6 umol/LStandard Deviation 13.3
IGlarLaboratory Safety Parameters (Biochemistry): Serum CreatinineWeek 16 , N=55, 53, 5477.9 umol/LStandard Deviation 14.5
Secondary

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.

Time frame: Week 16

Population: The full analysis set (FAS) included all randomised subjects and missing data was imputed using last observation carried forward (LOCF).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
SIBA (D)Mean of 9-point Self Measured Plasma Glucose Profile (SMPG)9.27 mmol/LStandard Error 0.3
SIBA (E)Mean of 9-point Self Measured Plasma Glucose Profile (SMPG)9.56 mmol/LStandard Error 0.3
IGlarMean of 9-point Self Measured Plasma Glucose Profile (SMPG)9.04 mmol/LStandard Error 0.3
Secondary

Physical Examination

Physical examination was performed at screening (week -1), and after 8 and 16 weeks of treatment. If any new findings or deterioration in previous findings were observed during the trial, these were recorded as AEs and are therefore not presented separately as no analysis was performed.

Time frame: Week -1, Week 8, Week 16

Secondary

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.

Time frame: Week 0 to Week 16 + 5 days follow up

Population: The full analysis set (FAS) included all randomised subjects.

ArmMeasureGroupValue (NUMBER)
SIBA (D)Rate of Major and Minor Hypoglycaemic EpisodesMajor46 Episodes/100 years of patient exposure
SIBA (D)Rate of Major and Minor Hypoglycaemic EpisodesMinor5838 Episodes/100 years of patient exposure
SIBA (E)Rate of Major and Minor Hypoglycaemic EpisodesMajor41 Episodes/100 years of patient exposure
SIBA (E)Rate of Major and Minor Hypoglycaemic EpisodesMinor5305 Episodes/100 years of patient exposure
IGlarRate of Major and Minor Hypoglycaemic EpisodesMajor36 Episodes/100 years of patient exposure
IGlarRate of Major and Minor Hypoglycaemic EpisodesMinor6637 Episodes/100 years of patient exposure
Secondary

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).

Time frame: Week 0 to Week 16 + 5 days follow up

Population: The full analysis set (FAS) included all randomised subjects.

ArmMeasureGroupValue (NUMBER)
SIBA (D)Rate of Nocturnal Major and Minor Hypoglycaemic EpisodesMajor17 Episodes/100 years of patient exposure
SIBA (D)Rate of Nocturnal Major and Minor Hypoglycaemic EpisodesMinor769 Episodes/100 years of patient exposure
SIBA (E)Rate of Nocturnal Major and Minor Hypoglycaemic EpisodesMajor12 Episodes/100 years of patient exposure
SIBA (E)Rate of Nocturnal Major and Minor Hypoglycaemic EpisodesMinor546 Episodes/100 years of patient exposure
IGlarRate of Nocturnal Major and Minor Hypoglycaemic EpisodesMajor18 Episodes/100 years of patient exposure
IGlarRate of Nocturnal Major and Minor Hypoglycaemic EpisodesMinor1082 Episodes/100 years of patient exposure
Secondary

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.

Time frame: Week 0 to Week 16 + 5 days follow up

Population: The safety analysis set included all subjects who received at least one dose of the investigational product or its comparator.

ArmMeasureGroupValue (NUMBER)
SIBA (D)Rate of Treatment Emergent Adverse Events (AEs)Adverse events (AEs)653 Events/100 years of patient exposure
SIBA (D)Rate of Treatment Emergent Adverse Events (AEs)Serious AEs6 Events/100 years of patient exposure
SIBA (D)Rate of Treatment Emergent Adverse Events (AEs)Severe AEs6 Events/100 years of patient exposure
SIBA (D)Rate of Treatment Emergent Adverse Events (AEs)Moderate AEs202 Events/100 years of patient exposure
SIBA (D)Rate of Treatment Emergent Adverse Events (AEs)Mild AEs445 Events/100 years of patient exposure
SIBA (D)Rate of Treatment Emergent Adverse Events (AEs)Fatal AEs0 Events/100 years of patient exposure
SIBA (E)Rate of Treatment Emergent Adverse Events (AEs)Fatal AEs0 Events/100 years of patient exposure
SIBA (E)Rate of Treatment Emergent Adverse Events (AEs)Adverse events (AEs)874 Events/100 years of patient exposure
SIBA (E)Rate of Treatment Emergent Adverse Events (AEs)Moderate AEs246 Events/100 years of patient exposure
SIBA (E)Rate of Treatment Emergent Adverse Events (AEs)Mild AEs599 Events/100 years of patient exposure
SIBA (E)Rate of Treatment Emergent Adverse Events (AEs)Serious AEs12 Events/100 years of patient exposure
SIBA (E)Rate of Treatment Emergent Adverse Events (AEs)Severe AEs29 Events/100 years of patient exposure
IGlarRate of Treatment Emergent Adverse Events (AEs)Serious AEs6 Events/100 years of patient exposure
IGlarRate of Treatment Emergent Adverse Events (AEs)Severe AEs6 Events/100 years of patient exposure
IGlarRate of Treatment Emergent Adverse Events (AEs)Fatal AEs0 Events/100 years of patient exposure
IGlarRate of Treatment Emergent Adverse Events (AEs)Moderate AEs397 Events/100 years of patient exposure
IGlarRate of Treatment Emergent Adverse Events (AEs)Adverse events (AEs)914 Events/100 years of patient exposure
IGlarRate of Treatment Emergent Adverse Events (AEs)Mild AEs511 Events/100 years of patient exposure
Secondary

Vital Signs: Diastolic BP (Blood Pressure)

Values at baseline (Week 0) and at Week 16

Time frame: Week 0, Week 16

Population: The safety analysis set included all subjects who received at least one dose of the investigational product or its comparator. From the SAS, 57 (SIBA E) and 57 (IGlar) subjects contributed to the analysis at week 16.

ArmMeasureGroupValue (MEAN)Dispersion
SIBA (D)Vital Signs: Diastolic BP (Blood Pressure)Week 0 (Baseline), N=60, 59, 5976 mmHgStandard Deviation 8
SIBA (D)Vital Signs: Diastolic BP (Blood Pressure)Week 16, N=60, 57, 5776 mmHgStandard Deviation 10
SIBA (E)Vital Signs: Diastolic BP (Blood Pressure)Week 0 (Baseline), N=60, 59, 5975 mmHgStandard Deviation 10
SIBA (E)Vital Signs: Diastolic BP (Blood Pressure)Week 16, N=60, 57, 5775 mmHgStandard Deviation 10
IGlarVital Signs: Diastolic BP (Blood Pressure)Week 0 (Baseline), N=60, 59, 5974 mmHgStandard Deviation 9
IGlarVital Signs: Diastolic BP (Blood Pressure)Week 16, N=60, 57, 5774 mmHgStandard Deviation 7
Secondary

Vital Signs: Pulse

Values at baseline (Week 0) and at Week 16

Time frame: Week 0, Week 16

Population: The safety analysis set included all subjects who received at least one dose of the investigational product or its comparator. From the SAS, 57 (SIBA E) and 57 (IGlar) subjects contributed to the analysis at week 16.

ArmMeasureGroupValue (MEAN)Dispersion
SIBA (D)Vital Signs: PulseWeek 0 (Baseline), N=60, 59, 5974 beats/minuteStandard Deviation 10
SIBA (D)Vital Signs: PulseWeek 16, N=60, 57, 5774 beats/minuteStandard Deviation 12
SIBA (E)Vital Signs: PulseWeek 0 (Baseline), N=60, 59, 5972 beats/minuteStandard Deviation 9
SIBA (E)Vital Signs: PulseWeek 16, N=60, 57, 5772 beats/minuteStandard Deviation 11
IGlarVital Signs: PulseWeek 0 (Baseline), N=60, 59, 5973 beats/minuteStandard Deviation 10
IGlarVital Signs: PulseWeek 16, N=60, 57, 5772 beats/minuteStandard Deviation 12
Secondary

Vital Signs: Systolic BP (Blood Pressure)

Values at baseline (Week 0) and at Week 16

Time frame: Week 0, Week 16

Population: The safety analysis set included all subjects who received at least one dose of the investigational product or its comparator. From the SAS, 57 (SIBA E) and 57 (IGlar) subjects contributed to the analysis at week 16.

ArmMeasureGroupValue (MEAN)Dispersion
SIBA (D)Vital Signs: Systolic BP (Blood Pressure)Week 0 (Baseline), N=60, 59, 59124 mmHgStandard Deviation 15
SIBA (D)Vital Signs: Systolic BP (Blood Pressure)Week 16, N=60, 57, 57122 mmHgStandard Deviation 14
SIBA (E)Vital Signs: Systolic BP (Blood Pressure)Week 0 (Baseline), N=60, 59, 59126 mmHgStandard Deviation 16
SIBA (E)Vital Signs: Systolic BP (Blood Pressure)Week 16, N=60, 57, 57125 mmHgStandard Deviation 14
IGlarVital Signs: Systolic BP (Blood Pressure)Week 0 (Baseline), N=60, 59, 59124 mmHgStandard Deviation 16
IGlarVital Signs: Systolic BP (Blood Pressure)Week 16, N=60, 57, 57123 mmHgStandard Deviation 15

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026