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A Comparison Study of Basal Bolus Therapies Together With Lispro Insulin in Type 2 Diabetes Patients

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

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00666718
Enrollment
374
Registered
2008-04-25
Start date
2008-04-30
Completion date
2010-02-28
Last updated
2011-05-13

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

Conditions

Diabetes Mellitus, Type 2

Brief summary

This study is designed to look at if a basal bolus regimen of insulin lispro protamine suspension (ILPS) provides the same glycemic control as a basal bolus regimen of insulin glargine (when one basal bolus regimen is injected once daily together with insulin lispro injected 2-3 times daily).

Interventions

DRUGInsulin Glargine

patient glucose-level dependent, injection, once daily in the evening, 24 weeks

DRUGInsulin Lispro Protamine Suspension (ILPS)

patient glucose-level dependent, injection, once daily in the evening, 24 weeks

DRUGInsulin Lispro

subcutaneous injections prior to meals, 24 weeks

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Diabetes Mellitus, Type 2 * Have been receiving metformin and at least one other oral antihyperglycemic medication (sulfonylurea or thiazolidinedione) with insulin for at least 3 months prior to Visit 1 (Screening) * Hemoglobin A1C (HbA1c) greater than or equal to 7.5% and less than or equal to 11.0% * Body Mass Index (BMI) greater than or equal to 25 and less than or equal to 45 kg/m\^2 * Capable and willing to follow the protocol * Give written consent

Exclusion criteria

* Are taking any glucose-lowering agents (other than those listed in the inclusion criteria above) * Have a history of severe hypoglycemia in the past 6 months * Are pregnant or may become pregnant * Women who are breastfeeding * Have significant cardiac disease * Have significant renal or liver disease * Undergoing therapy for a malignancy * Contraindications to the study medications * Have an irregular sleep/wake cycle * Have a serious disease or any condition considered by the investigator to be exclusionary

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Hemoglobin A1c (HbA1c) to Week 24Baseline, Week 24Least Squares Mean (LSMean) values reported in the table were controlled for treatment, country, and baseline HbA1c value.

Secondary

MeasureTime frameDescription
Percentage of Participants With HbA1c Less Than 7.0% and Less Than or Equal to 6.5% at EndpointWeek 24
7-point Self-monitored Blood Glucose Profiles (SMBG) at Endpoint24 weeksLSMean 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.
Glycemic Variability at EndpointWeek 24LSMeans 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.
Rate Of All Self-reported Hypoglycemic EpisodesBaseline through Week 24Rate 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.
Change From Baseline in HbA1c at Week 12 and Week 24Baseline, Week 12, Week 24LSMean values presented were controlled for treatment, country, baseline HbA1C value and week.
Number of Participants With Adverse Events (AE)Baseline through Week 24A listing of adverse events is located in the Reported Adverse Event module.
Change in Body Weight From Baseline to Week 24Baseline, Week 24LSMean values presented were controlled for treatment, country, and baseline HbA1C value.
Total Daily Insulin Dose at EndpointWeek 24LSMean values presented were controlled for treatment, country, and baseline HbA1C value.
Number of Injections of Insulin at Week 24Week 24
Percentage of Participants With Self-Reported Hypoglycemic EpisodesBaseline through Week 24Episode=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.

Countries

Belgium, Czechia, Germany, Greece, Italy, Poland, Romania, Slovakia, Turkey (Türkiye), United Kingdom

Participant flow

Participants by arm

ArmCount
Glargine
Glargine plus Insulin Lispro (2-3 injections) plus metformin
187
ILPS
Insulin Lispro Protamine Suspension plus Insulin Lispro (2-3 injections) plus metformin
187
Total374

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event01
Overall StudyDeath10
Overall StudyEntry Criteria Not Met20
Overall StudyLost to Follow-up10
Overall StudyPhysician Decision02
Overall StudyProtocol Violation13
Overall StudyWithdrawal by Subject712

Baseline characteristics

CharacteristicILPSGlargineTotal
Age Continuous59.3 years
STANDARD_DEVIATION 8.36
60.3 years
STANDARD_DEVIATION 8.07
59.8 years
STANDARD_DEVIATION 8.22
Body Mass Index (BMI)33.00 kilograms per square meter (kg/m^2)
STANDARD_DEVIATION 5.004
33.27 kilograms per square meter (kg/m^2)
STANDARD_DEVIATION 5.04
33.13 kilograms per square meter (kg/m^2)
STANDARD_DEVIATION 5.017
Body Weight90.60 kilograms (kg)
STANDARD_DEVIATION 17.075
93.53 kilograms (kg)
STANDARD_DEVIATION 17.168
92.06 kilograms (kg)
STANDARD_DEVIATION 17.161
Duration of Diabetes11.8 Years
STANDARD_DEVIATION 6.66
12.7 Years
STANDARD_DEVIATION 7.04
12.3 Years
STANDARD_DEVIATION 6.86
Hemoglobin A1c (HbA1c)8.82 Percent of glycosylated hemoglobin
STANDARD_DEVIATION 0.895
8.83 Percent of glycosylated hemoglobin
STANDARD_DEVIATION 0.896
8.82 Percent of glycosylated hemoglobin
STANDARD_DEVIATION 0.894
Number of Insulin Injections/Inhalations Per Day
1 Insulin Injection/Inhalation per day
106 Participants104 Participants210 Participants
Number of Insulin Injections/Inhalations Per Day
2 Insulin Injections/Inhalations per day
34 Participants31 Participants65 Participants
Number of Insulin Injections/Inhalations Per Day
3 Insulin Injections/Inhalations per day
32 Participants30 Participants62 Participants
Number of Insulin Injections/Inhalations Per Day
4 Insulin Injections/Inhalations per day
14 Participants16 Participants30 Participants
Number of Insulin Injections/Inhalations Per Day
>=5 Insulin Injections/Inhalations per day
0 Participants6 Participants6 Participants
Number of Insulin Injections/Inhalations Per Day
Missing Data
1 Participants0 Participants1 Participants
Previous Insulin Treatment37.6 Units (IU)
STANDARD_DEVIATION 25.75
36.9 Units (IU)
STANDARD_DEVIATION 25.65
37.3 Units (IU)
STANDARD_DEVIATION 25.67
Race/Ethnicity, Customized
African
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Caucasian
186 Participants186 Participants372 Participants
Race/Ethnicity, Customized
Hispanic
0 Participants1 Participants1 Participants
Region of Enrollment
Belgium
2 participants5 participants7 participants
Region of Enrollment
Czech Republic
35 participants42 participants77 participants
Region of Enrollment
Germany
20 participants22 participants42 participants
Region of Enrollment
Greece
15 participants12 participants27 participants
Region of Enrollment
Italy
26 participants19 participants45 participants
Region of Enrollment
Poland
43 participants32 participants75 participants
Region of Enrollment
Romania
25 participants15 participants40 participants
Region of Enrollment
Slovakia
12 participants22 participants34 participants
Region of Enrollment
Turkey
7 participants8 participants15 participants
Region of Enrollment
United Kingdom
2 participants10 participants12 participants
Sex: Female, Male
Female
111 Participants101 Participants212 Participants
Sex: Female, Male
Male
76 Participants86 Participants162 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
81 / 18765 / 187
serious
Total, serious adverse events
9 / 18714 / 187

Outcome results

Primary

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.

Time frame: Baseline, Week 24

Population: Per-Protocol Population: All enrolled participants who were randomized and met the following criteria: no violations of Inclusion/Exclusion Criteria have not discontinued study prior to Week 24, compliant as assessed by investigator, and have not been on systemic glucocorticoid therapy for more than 14 consecutive days.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
GlargineChange From Baseline in Hemoglobin A1c (HbA1c) to Week 24-1.28 Percent of Glycosylated HemoglobinStandard Error 0.08
ILPSChange From Baseline in Hemoglobin A1c (HbA1c) to Week 24-1.18 Percent of Glycosylated HemoglobinStandard Error 0.09
95% CI: [-0.11, 0.31]ANCOVA
Secondary

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.

Time frame: 24 weeks

Population: Full Analysis Set: All participants who enrolled in this study, were randomized to 1 of the study treatments, and had at least 1 post baseline measurement for the dependent variable, according to intent-to-treat (ITT) principles.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Glargine7-point Self-monitored Blood Glucose Profiles (SMBG) at EndpointMidday Pre-Meal8.19 millimoles per liter (mmol/L)Standard Error 0.23
Glargine7-point Self-monitored Blood Glucose Profiles (SMBG) at EndpointMidday Postprandial9.11 millimoles per liter (mmol/L)Standard Error 0.25
Glargine7-point Self-monitored Blood Glucose Profiles (SMBG) at EndpointEvening Pre-Meal8.80 millimoles per liter (mmol/L)Standard Error 0.24
Glargine7-point Self-monitored Blood Glucose Profiles (SMBG) at EndpointEvening Postprandial9.27 millimoles per liter (mmol/L)Standard Error 0.24
Glargine7-point Self-monitored Blood Glucose Profiles (SMBG) at Endpoint0300 Hours8.16 millimoles per liter (mmol/L)Standard Error 0.22
Glargine7-point Self-monitored Blood Glucose Profiles (SMBG) at EndpointMorning Pre-Meal8.26 millimoles per liter (mmol/L)Standard Error 0.22
Glargine7-point Self-monitored Blood Glucose Profiles (SMBG) at EndpointMorning Postprandial8.93 millimoles per liter (mmol/L)Standard Error 0.25
ILPS7-point Self-monitored Blood Glucose Profiles (SMBG) at EndpointMidday Pre-Meal7.90 millimoles per liter (mmol/L)Standard Error 0.37
ILPS7-point Self-monitored Blood Glucose Profiles (SMBG) at Endpoint0300 Hours8.30 millimoles per liter (mmol/L)Standard Error 0.35
ILPS7-point Self-monitored Blood Glucose Profiles (SMBG) at EndpointMidday Postprandial9.58 millimoles per liter (mmol/L)Standard Error 0.4
ILPS7-point Self-monitored Blood Glucose Profiles (SMBG) at EndpointMorning Postprandial9.19 millimoles per liter (mmol/L)Standard Error 0.4
ILPS7-point Self-monitored Blood Glucose Profiles (SMBG) at EndpointEvening Pre-Meal8.75 millimoles per liter (mmol/L)Standard Error 0.38
ILPS7-point Self-monitored Blood Glucose Profiles (SMBG) at EndpointMorning Pre-Meal8.63 millimoles per liter (mmol/L)Standard Error 0.34
ILPS7-point Self-monitored Blood Glucose Profiles (SMBG) at EndpointEvening Postprandial9.73 millimoles per liter (mmol/L)Standard Error 0.37
95% CI: [-0.43, 1.17]Mixed Models Analysis
95% CI: [-0.66, 1.19]Mixed Models Analysis
95% CI: [-1.15, 0.57]Mixed Models Analysis
95% CI: [-0.46, 1.4]Mixed Models Analysis
95% CI: [-0.93, 0.83]Mixed Models Analysis
95% CI: [-0.41, 1.34]Mixed Models Analysis
95% CI: [-0.67, 0.96]Mixed Models Analysis
Secondary

Change From Baseline in HbA1c at Week 12 and Week 24

LSMean values presented were controlled for treatment, country, baseline HbA1C value and week.

Time frame: Baseline, Week 12, Week 24

Population: Full Analysis Set: All participants who enrolled in this study, were randomized to 1 of the study treatments, and had at least 1 post baseline measurement for the dependent variable, according to intent-to-treat (ITT) principles.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
GlargineChange From Baseline in HbA1c at Week 12 and Week 24Week 12 Change (n=172, n=168)-0.99 Percent of Glycosylated Hemoglobin
GlargineChange From Baseline in HbA1c at Week 12 and Week 24Week 24 Change (n=170, n=166)-1.29 Percent of Glycosylated Hemoglobin
ILPSChange From Baseline in HbA1c at Week 12 and Week 24Week 12 Change (n=172, n=168)-0.90 Percent of Glycosylated Hemoglobin
ILPSChange From Baseline in HbA1c at Week 12 and Week 24Week 24 Change (n=170, n=166)-1.07 Percent of Glycosylated Hemoglobin
p-value: 0.458Mixed Models Analysis
p-value: 0.107Mixed Models Analysis
Secondary

Change in Body Weight From Baseline to Week 24

LSMean values presented were controlled for treatment, country, and baseline HbA1C value.

Time frame: Baseline, Week 24

Population: Per-Protocol Population: All enrolled participants who were randomized and met the following criteria: no violations of Inclusion/Exclusion Criteria have not discontinued study prior to Week 24, compliant as assessed by investigator, and have not been on systemic glucocorticoid therapy for more than 14 consecutive days.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
GlargineChange in Body Weight From Baseline to Week 241.19 Kilograms (kg)Standard Error 0.27
ILPSChange in Body Weight From Baseline to Week 241.03 Kilograms (kg)Standard Error 0.3
95% CI: [-0.86, 0.55]ANCOVA
Secondary

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.

Time frame: Week 24

Population: Full Analysis Set: All participants who enrolled in this study, were randomized to 1 of the study treatments, and had at least 1 post baseline measurement for the dependent variable, according to intent-to-treat (ITT) principles.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
GlargineGlycemic Variability at EndpointFasting0.86 mmol/LStandard Error 0.1
GlargineGlycemic Variability at EndpointPost-breakfast1.56 mmol/LStandard Error 0.17
GlargineGlycemic Variability at EndpointPost-lunch1.61 mmol/LStandard Error 0.15
GlargineGlycemic Variability at EndpointPost-dinner1.43 mmol/LStandard Error 0.17
ILPSGlycemic Variability at EndpointPost-dinner1.40 mmol/LStandard Error 0.17
ILPSGlycemic Variability at EndpointFasting0.95 mmol/LStandard Error 0.1
ILPSGlycemic Variability at EndpointPost-lunch1.51 mmol/LStandard Error 0.16
ILPSGlycemic Variability at EndpointPost-breakfast1.64 mmol/LStandard Error 0.18
p-value: 0.5568ANCOVA
p-value: 0.7523ANCOVA
p-value: 0.6448ANCOVA
p-value: 0.9122ANCOVA
Secondary

Number of Injections of Insulin at Week 24

Time frame: Week 24

Population: Full Analysis Set: All participants who enrolled in this study, were randomized to 1 of the study treatments, and had at least 1 post baseline measurement for the dependent variable, according to intent-to-treat (ITT) principles.

ArmMeasureGroupValue (NUMBER)
GlargineNumber of Injections of Insulin at Week 24≥4 per day4 Participants
GlargineNumber of Injections of Insulin at Week 243 to <4 per day129 Participants
GlargineNumber of Injections of Insulin at Week 242 to <3 per day8 Participants
ILPSNumber of Injections of Insulin at Week 24≥4 per day1 Participants
ILPSNumber of Injections of Insulin at Week 243 to <4 per day102 Participants
ILPSNumber of Injections of Insulin at Week 242 to <3 per day10 Participants
Secondary

Number of Participants With Adverse Events (AE)

A listing of adverse events is located in the Reported Adverse Event module.

Time frame: Baseline through Week 24

Population: Safety population - all participants who received at least one dose of study drug.

ArmMeasureGroupValue (NUMBER)
GlargineNumber of Participants With Adverse Events (AE)AEs81 participants
GlargineNumber of Participants With Adverse Events (AE)Serious adverse events (SAE)9 participants
ILPSNumber of Participants With Adverse Events (AE)AEs65 participants
ILPSNumber of Participants With Adverse Events (AE)Serious adverse events (SAE)14 participants
Secondary

Percentage of Participants With HbA1c Less Than 7.0% and Less Than or Equal to 6.5% at Endpoint

Time frame: Week 24

Population: Full Analysis Set: All patients who enrolled in this study, were randomized to 1 of the study treatments, and had at least 1 post baseline measurement for the dependent variable, according to intent-to-treat (ITT) principles.

ArmMeasureGroupValue (NUMBER)
GlarginePercentage of Participants With HbA1c Less Than 7.0% and Less Than or Equal to 6.5% at EndpointHbA1c < 7.0%50 Percent of Participants
GlarginePercentage of Participants With HbA1c Less Than 7.0% and Less Than or Equal to 6.5% at EndpointHbA1c <= 6.5%24 Percent of Participants
ILPSPercentage of Participants With HbA1c Less Than 7.0% and Less Than or Equal to 6.5% at EndpointHbA1c < 7.0%36 Percent of Participants
ILPSPercentage of Participants With HbA1c Less Than 7.0% and Less Than or Equal to 6.5% at EndpointHbA1c <= 6.5%14 Percent of Participants
p-value: 0.1333Fisher Exact
p-value: 0.1213Fisher Exact
Secondary

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.

Time frame: Baseline through Week 24

Population: Safety population - all participants who received at least one dose of study drug.

ArmMeasureGroupValue (NUMBER)
GlarginePercentage of Participants With Self-Reported Hypoglycemic Episodes>=1 hypoglycemic episode63.6 percentage of participants
GlarginePercentage of Participants With Self-Reported Hypoglycemic Episodes>=1 non-nocturnal hypoglycemic episode61.0 percentage of participants
GlarginePercentage of Participants With Self-Reported Hypoglycemic Episodes>=1 nocturnal hypoglycemic episode19.3 percentage of participants
GlarginePercentage of Participants With Self-Reported Hypoglycemic Episodes>=1 severe hypoglycemic episode0.5 percentage of participants
ILPSPercentage of Participants With Self-Reported Hypoglycemic Episodes>=1 nocturnal hypoglycemic episode25.7 percentage of participants
ILPSPercentage of Participants With Self-Reported Hypoglycemic Episodes>=1 hypoglycemic episode56.1 percentage of participants
ILPSPercentage of Participants With Self-Reported Hypoglycemic Episodes>=1 severe hypoglycemic episode1.6 percentage of participants
ILPSPercentage of Participants With Self-Reported Hypoglycemic Episodes>=1 non-nocturnal hypoglycemic episode54.0 percentage of participants
p-value: 0.1701Fisher Exact
p-value: 0.1727Fisher Exact
p-value: 0.2094Fisher Exact
p-value: 0.623Fisher Exact
Secondary

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.

Time frame: Baseline through Week 24

Population: Safety population - all participants who received at least one dose of study drug.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
GlargineRate Of All Self-reported Hypoglycemic EpisodesAll reported episodes rate1.38 episode/30 days/participantStandard Error 0.21
GlargineRate Of All Self-reported Hypoglycemic EpisodesNon-Nocturnal reported episodes rate1.16 episode/30 days/participantStandard Error 0.2
GlargineRate Of All Self-reported Hypoglycemic EpisodesDocumented <=3.0 mmol/L rate0.13 episode/30 days/participantStandard Error 0.04
GlargineRate Of All Self-reported Hypoglycemic EpisodesSevere reported episodes rate0 episode/30 days/participantStandard Error 0.013
GlargineRate Of All Self-reported Hypoglycemic EpisodesNocturnal reported episodes rate0.19 episode/30 days/participantStandard Error 0.05
GlargineRate Of All Self-reported Hypoglycemic EpisodesDocumented <=3.9 millimoles per liter(mmol/L) rate0.89 episode/30 days/participantStandard Error 0.15
ILPSRate Of All Self-reported Hypoglycemic EpisodesNocturnal reported episodes rate0.15 episode/30 days/participantStandard Error 0.06
ILPSRate Of All Self-reported Hypoglycemic EpisodesDocumented <=3.0 mmol/L rate0.12 episode/30 days/participantStandard Error 0.05
ILPSRate Of All Self-reported Hypoglycemic EpisodesAll reported episodes rate0.84 episode/30 days/participantStandard Error 0.26
ILPSRate Of All Self-reported Hypoglycemic EpisodesDocumented <=3.9 millimoles per liter(mmol/L) rate0.49 episode/30 days/participantStandard Error 0.18
ILPSRate Of All Self-reported Hypoglycemic EpisodesNon-Nocturnal reported episodes rate0.71 episode/30 days/participantStandard Error 0.24
ILPSRate Of All Self-reported Hypoglycemic EpisodesSevere reported episodes rate0 episode/30 days/participantStandard Error 0.029
95% CI: [-1.19, 0.12]Mixed Models Analysis
95% CI: [-0.2, 0.11]Mixed Models Analysis
95% CI: [-1.06, 0.16]Mixed Models Analysis
95% CI: [-0.86, 0.06]Mixed Models Analysis
95% CI: [-0.14, 0.12]Mixed Models Analysis
Secondary

Total Daily Insulin Dose at Endpoint

LSMean values presented were controlled for treatment, country, and baseline HbA1C value.

Time frame: Week 24

Population: Full Analysis Set: All participants who enrolled in this study, were randomized to 1 of the study treatments, and had at least 1 post baseline measurement for the dependent variable, according to intent-to-treat (ITT) principles.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
GlargineTotal Daily Insulin Dose at Endpoint78.05 UnitsStandard Error 3.15
ILPSTotal Daily Insulin Dose at Endpoint80.23 UnitsStandard Error 4.31
95% CI: [-8.33, 12.68]Mixed Models Analysis

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