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Comparison of Two NN5401 Formulations Versus Biphasic Insulin Aspart 30, All in Combination With Metformin in Subjects With Type 2 Diabetes

A 16 Week Randomised, Open Labelled, 3-armed, Parallel Group, Treat-to-target Trial Comparing Twice Daily (BID) Injections of SIAC 30 (B), SIAC 45 (B) and NovoMix®30, All in Combination With Metformin in Subjects With Type 2 Diabetes Failing on OAD Treatment

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00613951
Enrollment
182
Registered
2008-02-13
Start date
2008-01-31
Completion date
2008-08-31
Last updated
2017-03-20

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

Conditions

Diabetes, Diabetes Mellitus, Type 2

Brief summary

This trial is conducted in Europe. The aim of this trial is to compare two NN5401 (Soluble Insulin Analogue Combination \[SIAC\], insulin degludec/insulin aspart) formulations with each other and with biphasic insulin aspart 30, all in combination with metformin in insulin naive subjects with type 2 diabetes.

Interventions

DRUGinsulin degludec/insulin aspart

Formulation B: Treat-to-target dose titration scheme, injection s.c., twice daily

DRUGbiphasic insulin aspart

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

DRUGmetformin

Tablets, 1500-2000 mg/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

* Informed consent obtained before any trial-related activities. (Trial-related activities are any procedure that would not have been performed during normal management of the subject.) * Insulin naïve type 2 diabetes subjects (as diagnosed clinically) for at least 3 months (no previous insulin treatment or previous short term insulin treatment maximum 14 days within the last 3 months) * Treatment with one or two oral anti-diabetic drugs (OADs): metformin, sulfonylurea, other insulin secretagogue (e.g. repaglinide, nateglinide), alpha-glucosidase inhibitors for at least 2 months at a stable maximally tolerated dose or at least half maximally allowed dose according to locally approved summary of product characteristics (SPC) * HbA1c, 7.0-11.0 % (both inclusive) * Body Mass Index (BMI), 25.0-37.0 kg/m\^2 (both inclusive)

Exclusion criteria

* Metformin contraindication according to local practice * Thiazolidinedione (TZD) treatment within previous 3 months prior to Visit 1 * Any systemic treatment with products, which in the investigator's opinion could interfere with glucose or lipid metabolism (e.g. systemic corticosteroids) within 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 (except for conditions associated with type 2 diabetes) 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 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.
Rate of Major and Minor Hypoglycaemic EpisodesWeek 0 to Week 16 + 5 days follow upObserved 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.
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 05:59 (included).
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 -4, Week 16Laboratory values at screening (Week -4) and at Week 16
Vital Signs: Diastolic Blood Pressure (BP)Week 0, Week 16Values at baseline (Week 0) and at Week 16
Laboratory Safety Parameters (Biochemistry): Serum CreatinineWeek -4, Week 16Laboratory values at screening (Week -4) and at Week 16
Vital Signs: Systolic Blood Pressure (BP)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 -4, Week 8, Week 16Physical examination was performed at screening (week -4), 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 -4, Week 16Laboratory values at screening (Week -4) and at Week 16

Countries

Finland, France, Germany, Poland, Spain

Participant flow

Recruitment details

The trial was conducted at 27 sites in 5 countries: Finland (4), France (4), Germany (6), Poland (9) and Spain (4).

Pre-assignment details

Subjects underwent a run-in period of up to 3 weeks (including 1-week maintenance period) where metformin was up-titrated to 1500 or 2000 mg/day. Subjects who tolerated metformin dose for a week and had fasting plasma glucose ≥ 7.5 mmol/L were randomised to SIAC 30 (B), SIAC 45 (B) or BIAsp 30 twice daily.

Participants by arm

ArmCount
SIAC 30 (B)
Soluble Insulin Analogue Combination 30 (SIAC 30, 70 volume percent insulin degludec, 600 nmol/ml and 30 volume percent insulin aspart, 600 nmol/ml \[1 dosing unit = 6 nmol\]); formulation B) was given subcutaneously twice daily before breakfast and dinner in combination with at least 1500 mg metformin (tablets) for 16 weeks. Insulin doses were individually adjusted.
61
SIAC 45 (B)
Soluble Insulin Analogue Combination 45 (SIAC 45, 55 volume percent insulin degludec, 600 nmol/ml and 45 volume percent insulin aspart, 600 nmol/ml \[1 dosing unit = 6 nmol\]); formulation B) was given subcutaneously twice daily before breakfast and dinner in combination with at least 1500 mg metformin (tablets) for 16 weeks. Insulin doses were individually adjusted.
59
BIAsp 30
Biphasic insulin aspart 30 (BIAsp 30) was given subcutaneously twice daily before breakfast and dinner in combination with at least 1500 mg metformin (tablets) for 16 weeks. Insulin doses were individually adjusted.
62
Total182

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event101
Overall StudyLack of Efficacy011
Overall StudyProtocol Violation111
Overall StudyUnclassified532

Baseline characteristics

CharacteristicSIAC 30 (B)SIAC 45 (B)BIAsp 30Total
Age, Continuous58.7 years
STANDARD_DEVIATION 8.5
60.5 years
STANDARD_DEVIATION 8.9
59.7 years
STANDARD_DEVIATION 8
59.6 years
STANDARD_DEVIATION 8.4
Fasting plasma glucose (FPG)11.4 mmol/L
STANDARD_DEVIATION 2.7
11.8 mmol/L
STANDARD_DEVIATION 2.9
11.7 mmol/L
STANDARD_DEVIATION 3.1
11.6 mmol/L
STANDARD_DEVIATION 2.9
Glycosylated haemoglobin (HbA1c)8.5 percentage of glycosylated haemoglobin
STANDARD_DEVIATION 1.2
8.5 percentage of glycosylated haemoglobin
STANDARD_DEVIATION 0.9
8.6 percentage of glycosylated haemoglobin
STANDARD_DEVIATION 1
8.5 percentage of glycosylated haemoglobin
STANDARD_DEVIATION 1.1
Sex: Female, Male
Female
32 Participants30 Participants23 Participants85 Participants
Sex: Female, Male
Male
29 Participants29 Participants39 Participants97 Participants

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
14 / 6013 / 5913 / 62
serious
Total, serious adverse events
0 / 600 / 592 / 62

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). HbA1c values were missing for 2 subjects, hence did not contribute to the analysis

ArmMeasureValue (MEAN)Dispersion
SIAC 30 (B)Change in Glycosylated Haemoglobin (HbA1c)-1.79 percentage of glycosylated haemoglobinStandard Deviation 1.11
SIAC 45 (B)Change in Glycosylated Haemoglobin (HbA1c)-1.87 percentage of glycosylated haemoglobinStandard Deviation 0.91
BIAsp 30Change in Glycosylated Haemoglobin (HbA1c)-1.84 percentage of glycosylated haemoglobinStandard Deviation 0.93
Secondary

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

Laboratory values at screening (Week -4) and at Week 16

Time frame: Week -4, Week 16

Population: The safety analysis set included all subjects who received at least one dose of the investigational product or its comparator. For 2 subjects the laboratory values were missing at week -4. From the SAS, 54 (SIAC 30), 57 (SIAC 45) and 53 (BIAsp 30) subjects contributed to the analysis at week 16.

ArmMeasureGroupValue (MEAN)Dispersion
SIAC 30 (B)Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)Week -4, N=60, 57, 6233.0 IU/LStandard Deviation 16.6
SIAC 30 (B)Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)Week 16, N=54, 57, 5322.9 IU/LStandard Deviation 9.2
SIAC 45 (B)Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)Week -4, N=60, 57, 6231.4 IU/LStandard Deviation 16
SIAC 45 (B)Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)Week 16, N=54, 57, 5322.5 IU/LStandard Deviation 11.1
BIAsp 30Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)Week -4, N=60, 57, 6236.9 IU/LStandard Deviation 23.4
BIAsp 30Laboratory Safety Parameters (Biochemistry): Alanine Aminotransferase (ALAT)Week 16, N=54, 57, 5323.6 IU/LStandard Deviation 11.3
Secondary

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

Laboratory values at screening (Week -4) and at Week 16

Time frame: Week -4, Week 16

Population: The safety analysis set included all subjects who received at least one dose of the investigational product or its comparator. For 3 subjects the laboratory values were missing at week -4. From the SAS, 54 (SIAC 30), 57 (SIAC 45) and 53 (BIAsp 30) subjects contributed to the analysis at week 16.

ArmMeasureGroupValue (MEAN)Dispersion
SIAC 30 (B)Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)Week -4, N=60, 56, 6223.6 IU/LStandard Deviation 11.2
SIAC 30 (B)Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)Week 16, N=54, 57, 5322.6 IU/LStandard Deviation 8.7
SIAC 45 (B)Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)Week -4, N=60, 56, 6225.2 IU/LStandard Deviation 12
SIAC 45 (B)Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)Week 16, N=54, 57, 5322.9 IU/LStandard Deviation 11.4
BIAsp 30Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)Week -4, N=60, 56, 6226.4 IU/LStandard Deviation 16.1
BIAsp 30Laboratory Safety Parameters (Biochemistry): Aspartate Aminotransferase (ASAT)Week 16, N=54, 57, 5323.1 IU/LStandard Deviation 11.2
Secondary

Laboratory Safety Parameters (Biochemistry): Serum Creatinine

Laboratory values at screening (Week -4) and at Week 16

Time frame: Week -4, Week 16

Population: The safety analysis set included all subjects who received at least one dose of the investigational product or its comparator. For 2 subjects the laboratory values were missing at week -4. From the SAS, 56 (SIAC 30), 57 (SIAC 45) and 56 (BIAsp 30) subjects contributed to the analysis at week 16.

ArmMeasureGroupValue (MEAN)Dispersion
SIAC 30 (B)Laboratory Safety Parameters (Biochemistry): Serum CreatinineWeek -4, N=60, 57, 6272.7 umol/LStandard Deviation 14
SIAC 30 (B)Laboratory Safety Parameters (Biochemistry): Serum CreatinineWeek 16, N=56, 57, 5673.6 umol/LStandard Deviation 13.2
SIAC 45 (B)Laboratory Safety Parameters (Biochemistry): Serum CreatinineWeek -4, N=60, 57, 6275.8 umol/LStandard Deviation 14.8
SIAC 45 (B)Laboratory Safety Parameters (Biochemistry): Serum CreatinineWeek 16, N=56, 57, 5676.3 umol/LStandard Deviation 16.1
BIAsp 30Laboratory Safety Parameters (Biochemistry): Serum CreatinineWeek 16, N=56, 57, 5678.1 umol/LStandard Deviation 15.5
BIAsp 30Laboratory Safety Parameters (Biochemistry): Serum CreatinineWeek -4, N=60, 57, 6274.8 umol/LStandard Deviation 14.1
Secondary

Mean of 9-point Self Measured Plasma Glucose Profile (SMPG)

Estimate of the overall 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.

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). For 2 subjects, mean SMPG values were missing.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
SIAC 30 (B)Mean of 9-point Self Measured Plasma Glucose Profile (SMPG)7.52 mmol/LStandard Error 0.27
SIAC 45 (B)Mean of 9-point Self Measured Plasma Glucose Profile (SMPG)7.44 mmol/LStandard Error 0.28
BIAsp 30Mean of 9-point Self Measured Plasma Glucose Profile (SMPG)7.52 mmol/LStandard Error 0.27
Secondary

Physical Examination

Physical examination was performed at screening (week -4), 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 -4, Week 8, Week 16

Secondary

Rate of Major and Minor Hypoglycaemic Episodes

Observed 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)
SIAC 30 (B)Rate of Major and Minor Hypoglycaemic EpisodesMajor0 Episodes/100 years of patient exposure
SIAC 30 (B)Rate of Major and Minor Hypoglycaemic EpisodesMinor287 Episodes/100 years of patient exposure
SIAC 45 (B)Rate of Major and Minor Hypoglycaemic EpisodesMajor0 Episodes/100 years of patient exposure
SIAC 45 (B)Rate of Major and Minor Hypoglycaemic EpisodesMinor679 Episodes/100 years of patient exposure
BIAsp 30Rate of Major and Minor Hypoglycaemic EpisodesMajor0 Episodes/100 years of patient exposure
BIAsp 30Rate of Major and Minor Hypoglycaemic EpisodesMinor730 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 05:59 (included).

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

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

ArmMeasureGroupValue (NUMBER)
SIAC 30 (B)Rate of Nocturnal Major and Minor Hypoglycaemic EpisodesMajor0 Episodes/100 years of patient exposure
SIAC 30 (B)Rate of Nocturnal Major and Minor Hypoglycaemic EpisodesMinor39 Episodes/100 years of patient exposure
SIAC 45 (B)Rate of Nocturnal Major and Minor Hypoglycaemic EpisodesMajor0 Episodes/100 years of patient exposure
SIAC 45 (B)Rate of Nocturnal Major and Minor Hypoglycaemic EpisodesMinor79 Episodes/100 years of patient exposure
BIAsp 30Rate of Nocturnal Major and Minor Hypoglycaemic EpisodesMajor0 Episodes/100 years of patient exposure
BIAsp 30Rate of Nocturnal Major and Minor Hypoglycaemic EpisodesMinor108 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)
SIAC 30 (B)Rate of Treatment Emergent Adverse Events (AEs)Adverse events (AEs)298 Events/100 years of patient exposure
SIAC 30 (B)Rate of Treatment Emergent Adverse Events (AEs)Serious AEs0 Events/100 years of patient exposure
SIAC 30 (B)Rate of Treatment Emergent Adverse Events (AEs)Severe AEs0 Events/100 years of patient exposure
SIAC 30 (B)Rate of Treatment Emergent Adverse Events (AEs)Moderate AEs56 Events/100 years of patient exposure
SIAC 30 (B)Rate of Treatment Emergent Adverse Events (AEs)Mild AEs242 Events/100 years of patient exposure
SIAC 30 (B)Rate of Treatment Emergent Adverse Events (AEs)Fatal AEs0 Events/100 years of patient exposure
SIAC 45 (B)Rate of Treatment Emergent Adverse Events (AEs)Fatal AEs0 Events/100 years of patient exposure
SIAC 45 (B)Rate of Treatment Emergent Adverse Events (AEs)Adverse events (AEs)545 Events/100 years of patient exposure
SIAC 45 (B)Rate of Treatment Emergent Adverse Events (AEs)Moderate AEs67 Events/100 years of patient exposure
SIAC 45 (B)Rate of Treatment Emergent Adverse Events (AEs)Mild AEs477 Events/100 years of patient exposure
SIAC 45 (B)Rate of Treatment Emergent Adverse Events (AEs)Serious AEs0 Events/100 years of patient exposure
SIAC 45 (B)Rate of Treatment Emergent Adverse Events (AEs)Severe AEs0 Events/100 years of patient exposure
BIAsp 30Rate of Treatment Emergent Adverse Events (AEs)Serious AEs11 Events/100 years of patient exposure
BIAsp 30Rate of Treatment Emergent Adverse Events (AEs)Severe AEs5 Events/100 years of patient exposure
BIAsp 30Rate of Treatment Emergent Adverse Events (AEs)Fatal AEs5 Events/100 years of patient exposure
BIAsp 30Rate of Treatment Emergent Adverse Events (AEs)Moderate AEs38 Events/100 years of patient exposure
BIAsp 30Rate of Treatment Emergent Adverse Events (AEs)Adverse events (AEs)379 Events/100 years of patient exposure
BIAsp 30Rate of Treatment Emergent Adverse Events (AEs)Mild AEs335 Events/100 years of patient exposure
Secondary

Vital Signs: Diastolic Blood Pressure (BP)

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, 58 (SIAC 30), 56 (SIAC 45) and 58 (BIAsp 30) subjects contributed to the analysis at week 16.

ArmMeasureGroupValue (MEAN)Dispersion
SIAC 30 (B)Vital Signs: Diastolic Blood Pressure (BP)Week 0 (Baseline), N=60, 59, 6280 mmHgStandard Deviation 9
SIAC 30 (B)Vital Signs: Diastolic Blood Pressure (BP)Week 16, N=58, 56, 5878 mmHgStandard Deviation 9
SIAC 45 (B)Vital Signs: Diastolic Blood Pressure (BP)Week 0 (Baseline), N=60, 59, 6281 mmHgStandard Deviation 10
SIAC 45 (B)Vital Signs: Diastolic Blood Pressure (BP)Week 16, N=58, 56, 5879 mmHgStandard Deviation 10
BIAsp 30Vital Signs: Diastolic Blood Pressure (BP)Week 0 (Baseline), N=60, 59, 6281 mmHgStandard Deviation 11
BIAsp 30Vital Signs: Diastolic Blood Pressure (BP)Week 16, N=58, 56, 5876 mmHgStandard Deviation 9
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, 58 (SIAC 30), 56 (SIAC 45) and 58 (BIAsp 30) subjects contributed to the analysis at week 16.

ArmMeasureGroupValue (MEAN)Dispersion
SIAC 30 (B)Vital Signs: PulseWeek 0 (Baseline), N=60, 59, 6274 beats/minuteStandard Deviation 10
SIAC 30 (B)Vital Signs: PulseWeek 16, N=58, 56, 5873 beats/minuteStandard Deviation 10
SIAC 45 (B)Vital Signs: PulseWeek 0 (Baseline), N=60, 59, 6276 beats/minuteStandard Deviation 8
SIAC 45 (B)Vital Signs: PulseWeek 16, N=58, 56, 5873 beats/minuteStandard Deviation 8
BIAsp 30Vital Signs: PulseWeek 0 (Baseline), N=60, 59, 6275 beats/minuteStandard Deviation 8
BIAsp 30Vital Signs: PulseWeek 16, N=58, 56, 5877 beats/minuteStandard Deviation 9
Secondary

Vital Signs: Systolic Blood Pressure (BP)

Values at baseline (Week 0) and at Week 16

Time frame: Week 0, Week 16

Population: The safety analysis set includes all subjects who received at least one dose of the investigational product or its comparator. From the SAS, 58 (SIAC 30), 56 (SIAC 45) and 58 (BIAsp 30) subjects contributed to the analysis at week 16.

ArmMeasureGroupValue (MEAN)Dispersion
SIAC 30 (B)Vital Signs: Systolic Blood Pressure (BP)Week 0 (Baseline), N=60, 59, 62134 mmHgStandard Deviation 15
SIAC 30 (B)Vital Signs: Systolic Blood Pressure (BP)Week 16, N=58, 56, 58128 mmHgStandard Deviation 13
SIAC 45 (B)Vital Signs: Systolic Blood Pressure (BP)Week 0 (Baseline), N=60, 59, 62138 mmHgStandard Deviation 18
SIAC 45 (B)Vital Signs: Systolic Blood Pressure (BP)Week 16, N=58, 56, 58135 mmHgStandard Deviation 17
BIAsp 30Vital Signs: Systolic Blood Pressure (BP)Week 0 (Baseline), N=60, 59, 62137 mmHgStandard Deviation 18
BIAsp 30Vital Signs: Systolic Blood Pressure (BP)Week 16, N=58, 56, 58133 mmHgStandard Deviation 15

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