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Comparison of SAR342434 to Humalog as the Rapid Acting Insulin in Adult Patients With Type 1 Diabetes Mellitus Also Using Insulin Glargine

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

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02273180
Acronym
SORELLA1
Enrollment
507
Registered
2014-10-23
Start date
2014-10-31
Completion date
2016-07-31
Last updated
2018-01-18

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

Conditions

Type 1 Diabetes Mellitus

Brief summary

Primary Objective: To demonstrate non-inferiority of SAR342434 versus Humalog in glycated haemoglobin A1c (HbA1c) change from baseline to Week 26 in participants with type 1 diabetes mellitus (T1DM) also using insulin glargine. Secondary Objectives: To assess the immunogenicity of SAR342434 and Humalog in terms of positive/negative status and antibody titers at baseline and during the course of the study. To assess the relationship of anti-insulin antibodies with efficacy and safety including during the safety extension. To assess the efficacy of SAR342434 and Humalog in terms of proportion of participants reaching target HbA1c (\<7%), Fasting plasma glucose (FPG), self-measured plasma glucose (SMPG) profiles, and insulin dose. To assess safety of SAR342434 and Humalog.

Detailed description

The study consisted of a: * Up to 2 weeks screening period * 26-week treatment period * 26-week comparative safety extension period * 1-day follow-up period * The maximum study duration would be 54 weeks per participant and a 1-day safety follow-up

Interventions

SAR342434 100 U/mL (dose range of 1 Unit to 80 Units) self-administered by deep subcutaneous (SC) injection, immediately (within 5-10 minutes) before meal intake. Dose adjusted to achieve a 2-hour post prandial plasma glucose (PPG) in range of 6.7 to 8.9 mmol/L (120 to 160 mg/dL) while avoiding hypoglycemia.

Humalog 100 U/mL (dose range of 1 unit to 60 units) self-administered by deep SC injection, immediately (within 5-10 minutes) before meal intake. Dose adjusted to achieve a 2 hour PPG in range of 6.7 to 8.9 mmol/L (120 to 160 mg/dL) while avoiding hypoglycaemia.

Insulin glargine 100 U/mL injected QD subcutaneously consistent with the local label. Doses adjusted to achieve glycemic target for fasting, preprandial plasma glucose (SMPG) between 4.4 to 7.2 mmol/L (80 to 130 mg/dL) without hypoglycemia.

Sponsors

Sanofi
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

* Participants with T1DM diagnosed for at least 12 months and had been treated with insulin glargine and Humalog or Novolog®/Novo Rapid® (at least 3 times daily before each meal) in the 6 months prior to the screening visit. * Written informed consent.

Exclusion criteria

* At screening visit, age under legal age of adulthood. * HbA1c \<7.0% or \>10% at screening. * Diabetes other than T1DM. * Status post pancreatectomy. * Status post pancreas and/or islet cell transplantation. * Pregnancy and lactation. * Women of childbearing potential not protected by highly effective contraceptive method of birth control. * Less than 1 year on continuous insulin treatment. * Use of insulin pump in the last 6 months before screening visit. * Use of glucose lowering treatments other than insulin including non-insulin injectable peptides in the last 6 months prior to screening visit. * Use of insulin other than insulin glargine and Humalog or Novolog/Novo Rapid as part of a multiple injection regimen (3 to 4 injections per day) in the last 6 months before screening visit. Liprolog® is a European Union approved insulin lispro and is allowed in those countries where it is marketed. * Hospitalization for diabetic ketoacidosis in the last 6 months before screening visit. * Unstable proliferative diabetic retinopathy or any other rapidly progressive diabetic retinopathy or macular edema likely to require treatment (eg, laser, surgical treatment, or injectable drugs) during the study period. The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Design outcomes

Primary

MeasureTime frameDescription
Change in HbA1c From Baseline to Week 26Baseline, Week 26Change 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.

Secondary

MeasureTime frameDescription
Percentage of Participants With HbA1c <7.0% at Week 26Week 26Participants who had no available assessment for HbA1c at Week 26 were considered as non-responders.
Change in Fasting Plasma Glucose (FPG) From Baseline to Week 26Baseline, Week 26Change 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.
Change in Mean 24-Hour Plasma Glucose Concentration From Baseline to Week 26Baseline, Week 26Mean 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.
Number of Hypoglycemia Events (Any Hypoglycemia, Documented Symptomatic Hypoglycemia and Severe Hypoglycemia) Per Participant-YearFirst dose of study drug up to 1 day after the last dose administration (maximum treatment exposure: 400 days)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.
Percentage of Participants With Hypersensitivity Reactions and Injection Site ReactionsFirst dose of study drug up to 1 day after the last dose administration (maximum treatment exposure: 400 days)Percentage of participants with hypersensitivity reactions and injection site reactions were reported.
Percentage of Participants With Treatment Emergent Anti-insulin Antibodies (AIAs)First dose of study drug up to 1 day after the last dose administration (maximum treatment exposure: 400 days)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).
Change in Post Prandial Plasma Glucose (PPG) Excursion From Baseline to Week 26Baseline, Week 26Plasma 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.

Other

MeasureTime frameDescription
Change in Daily Insulin Dose From Baseline to Week 26 and Week 52Baseline, Week 26, Week 52Change in daily insulin dose (basal, mealtime and total) was calculated by subtracting baseline value from Week 26 and Week 52 values respectively.

Countries

France, Germany, Hungary, Japan, Poland, Russia, Spain, United States

Participant flow

Recruitment details

The study was conducted at 89 centres in 8 countries. A total of 668 participants were screened between 28 October 2014 and 04 June 2015, of which 161 participants were screen failures. Screen failures were mainly due to glycated hemoglobin A1c (HbA1c) level \<7.0% or \>10% at the screening visit.

Pre-assignment details

A total of 507 participants were randomized in the study. Randomization was stratified by HbA1c at the screening visit (\<8%, \>=8%), prior use of Humalog/Liprolog (Yes, No) and geographical region (Non-Japan, Japan). Assignment to arms was done centrally using interactive voice/web response system in 1:1 ratio (SAR342434: Humalog).

Participants by arm

ArmCount
SAR342434
SAR342434 100 U/mL SC injection, before meals intake on top of QD Insulin Glargine, up to Week 52.
253
Humalog
Humalog 100 U/mL SC injection, before meals intake on top of QD Insulin Glargine, up to Week 52.
254
Total507

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event22
Overall StudyHypoglycemia(not reported as serious AE)10
Overall StudyLack of Efficacy10
Overall StudyOther than specified above2110
Overall StudyProtocol Violation17
Overall StudyRandomized but not treated10

Baseline characteristics

CharacteristicSAR342434HumalogTotal
Age, Continuous43.3 years
STANDARD_DEVIATION 14.5
42.6 years
STANDARD_DEVIATION 13.9
43.0 years
STANDARD_DEVIATION 14.2
Average Daily Basal Insulin Dose0.339 Units (U)/kg
STANDARD_DEVIATION 0.195
0.33 Units (U)/kg
STANDARD_DEVIATION 0.141
0.335 Units (U)/kg
STANDARD_DEVIATION 0.17
Average Daily Mealtime Insulin Dose0.364 U/kg
STANDARD_DEVIATION 0.175
0.355 U/kg
STANDARD_DEVIATION 0.168
0.360 U/kg
STANDARD_DEVIATION 0.172
Average Daily Total Insulin Dose0.704 U/kg
STANDARD_DEVIATION 0.309
0.685 U/kg
STANDARD_DEVIATION 0.242
0.695 U/kg
STANDARD_DEVIATION 0.278
Body mass index (BMI)26.2 kg/m^2
STANDARD_DEVIATION 4
25.8 kg/m^2
STANDARD_DEVIATION 4.1
26.0 kg/m^2
STANDARD_DEVIATION 4.1
Duration of Diabetes Type 1(T1DM)19.53 years
STANDARD_DEVIATION 12.63
18.57 years
STANDARD_DEVIATION 11.99
19.05 years
STANDARD_DEVIATION 12.31
Glycated Haemoglobin (HbA1c %)8.07 percentage of hemoglobin
STANDARD_DEVIATION 0.79
7.99 percentage of hemoglobin
STANDARD_DEVIATION 0.64
8.03 percentage of hemoglobin
STANDARD_DEVIATION 0.72
Previous mealtime insulin type
Both Humalog/Liprolog and NovoLog/NovoRapid
3 Participants7 Participants10 Participants
Previous mealtime insulin type
Humalog/Liprolog
155 Participants152 Participants307 Participants
Previous mealtime insulin type
NovoLog/NovoRapid
95 Participants95 Participants190 Participants
Randomization strata of geographical region
Japan
31 Participants30 Participants61 Participants
Randomization strata of geographical region
Non-Japan
222 Participants224 Participants446 Participants
Randomization Strata of Screening HbA1c
<8 %
99 Participants99 Participants198 Participants
Randomization Strata of Screening HbA1c
>=8%
154 Participants155 Participants309 Participants
Sex: Female, Male
Female
104 Participants101 Participants205 Participants
Sex: Female, Male
Male
149 Participants153 Participants302 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
1 / 2520 / 254
other
Total, other adverse events
46 / 25241 / 254
serious
Total, serious adverse events
20 / 25219 / 254

Outcome results

Primary

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.

Time frame: Baseline, Week 26

Population: Analysis was performed on intent-to-treat (ITT) population that included all randomized participants, irrespective of compliance with the study protocol and procedures. Here, number of participants analyzed = participants with at least one post-baseline HbA1c assessment during the main 6-month period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
SAR342434Change in HbA1c From Baseline to Week 26-0.42 percentage of HbA1cStandard Error 0.051
HumalogChange in HbA1c From Baseline to Week 26-0.47 percentage of HbA1cStandard Error 0.05
Comparison: Analysis was performed using a MMRM approach with treatment groups, randomization strata, visits and treatment-by-visit interaction as fixed categorical effects, and baseline HbA1c value and baseline HbA1c value-by-visit interaction as continuous fixed covariates. An unstructured correlation matrix was used to model within-participant errors.95% CI: [-0.084, 0.197]
Secondary

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.

Time frame: Baseline, Week 26

Population: Analysis was performed on ITT population. Here, number of participants analyzed = participants with at least one post-baseline FPG assessment during the main 6-month period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
SAR342434Change in Fasting Plasma Glucose (FPG) From Baseline to Week 26-0.46 mmol/LStandard Error 0.248
HumalogChange in Fasting Plasma Glucose (FPG) From Baseline to Week 26-0.62 mmol/LStandard Error 0.248
Secondary

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.

Time frame: Baseline, Week 26

Population: Analysis was performed on ITT population. Here, number of participants analyzed = participants with at least one post-baseline mean 24-hour plasma glucose concentration assessment during the main 6-month period.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
SAR342434Change in Mean 24-Hour Plasma Glucose Concentration From Baseline to Week 26-0.23 mmol/LStandard Error 0.145
HumalogChange in Mean 24-Hour Plasma Glucose Concentration From Baseline to Week 26-0.49 mmol/LStandard Error 0.148
Secondary

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.

Time frame: Baseline, Week 26

Population: Analysis was performed on ITT population. Here, number analyzed in each row = participants with at least one post-baseline data during the main 6-month period for specified categories.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
SAR342434Change in Post Prandial Plasma Glucose (PPG) Excursion From Baseline to Week 26At dinner0.48 mmol/LStandard Error 0.308
SAR342434Change in Post Prandial Plasma Glucose (PPG) Excursion From Baseline to Week 26At breakfast-0.46 mmol/LStandard Error 0.297
SAR342434Change in Post Prandial Plasma Glucose (PPG) Excursion From Baseline to Week 26At lunch0.14 mmol/LStandard Error 0.298
HumalogChange in Post Prandial Plasma Glucose (PPG) Excursion From Baseline to Week 26At dinner0.56 mmol/LStandard Error 0.324
HumalogChange in Post Prandial Plasma Glucose (PPG) Excursion From Baseline to Week 26At breakfast0.19 mmol/LStandard Error 0.297
HumalogChange in Post Prandial Plasma Glucose (PPG) Excursion From Baseline to Week 26At lunch-0.26 mmol/LStandard Error 0.309
Secondary

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.

Time frame: First dose of study drug up to 1 day after the last dose administration (maximum treatment exposure: 400 days)

Population: Analysis was performed on safety population that included all participants randomized and exposed to at least 1 dose of investigational medicinal product (IMP) (SAR342434 or Humalog), regardless of the amount of treatment administered.

ArmMeasureGroupValue (NUMBER)
SAR342434Number of Hypoglycemia Events (Any Hypoglycemia, Documented Symptomatic Hypoglycemia and Severe Hypoglycemia) Per Participant-YearSevere hypoglycemia0.73 events per participant-year
SAR342434Number of Hypoglycemia Events (Any Hypoglycemia, Documented Symptomatic Hypoglycemia and Severe Hypoglycemia) Per Participant-YearDocumented Symptomatic Hypoglycemia (<3.0 mmol/L)6.29 events per participant-year
SAR342434Number of Hypoglycemia Events (Any Hypoglycemia, Documented Symptomatic Hypoglycemia and Severe Hypoglycemia) Per Participant-YearDocumented Symptomatic Hypoglycemia (<=3.9 mmol/L)29.36 events per participant-year
SAR342434Number of Hypoglycemia Events (Any Hypoglycemia, Documented Symptomatic Hypoglycemia and Severe Hypoglycemia) Per Participant-YearAny hypoglycemia90.71 events per participant-year
HumalogNumber of Hypoglycemia Events (Any Hypoglycemia, Documented Symptomatic Hypoglycemia and Severe Hypoglycemia) Per Participant-YearDocumented Symptomatic Hypoglycemia (<3.0 mmol/L)6.85 events per participant-year
HumalogNumber of Hypoglycemia Events (Any Hypoglycemia, Documented Symptomatic Hypoglycemia and Severe Hypoglycemia) Per Participant-YearAny hypoglycemia92.7 events per participant-year
HumalogNumber of Hypoglycemia Events (Any Hypoglycemia, Documented Symptomatic Hypoglycemia and Severe Hypoglycemia) Per Participant-YearSevere hypoglycemia0.28 events per participant-year
HumalogNumber of Hypoglycemia Events (Any Hypoglycemia, Documented Symptomatic Hypoglycemia and Severe Hypoglycemia) Per Participant-YearDocumented Symptomatic Hypoglycemia (<=3.9 mmol/L)31.37 events per participant-year
Secondary

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.

Time frame: Week 26

Population: Analysis was performed on ITT population.

ArmMeasureValue (NUMBER)
SAR342434Percentage of Participants With HbA1c <7.0% at Week 2622.5 percentage of participants
HumalogPercentage of Participants With HbA1c <7.0% at Week 2621.7 percentage of participants
Secondary

Percentage of Participants With Hypersensitivity Reactions and Injection Site Reactions

Percentage of participants with hypersensitivity reactions and injection site reactions were reported.

Time frame: First dose of study drug up to 1 day after the last dose administration (maximum treatment exposure: 400 days)

Population: Analysis was performed on safety population.

ArmMeasureGroupValue (NUMBER)
SAR342434Percentage of Participants With Hypersensitivity Reactions and Injection Site ReactionsAny hypersensitivity reactions6 percentage of participants
SAR342434Percentage of Participants With Hypersensitivity Reactions and Injection Site ReactionsAny injection site reactions1.2 percentage of participants
HumalogPercentage of Participants With Hypersensitivity Reactions and Injection Site ReactionsAny hypersensitivity reactions6.3 percentage of participants
HumalogPercentage of Participants With Hypersensitivity Reactions and Injection Site ReactionsAny injection site reactions1.2 percentage of participants
Secondary

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).

Time frame: First dose of study drug up to 1 day after the last dose administration (maximum treatment exposure: 400 days)

Population: Analysis was performed on anti-insulin antibody population that included all participants randomized and exposed to at least 1 dose of IMP (SAR342434 or Humalog) with at least one AIA sample available for analysis during the 12-month on-treatment period.

ArmMeasureValue (NUMBER)
SAR342434Percentage of Participants With Treatment Emergent Anti-insulin Antibodies (AIAs)22.6 percentage of participants
HumalogPercentage of Participants With Treatment Emergent Anti-insulin Antibodies (AIAs)24.2 percentage of participants
Other Pre-specified

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.

Time frame: Baseline, Week 26, Week 52

Population: Analysis was performed on safety population. Here, number analyzed in each row = participants with available data for specified categories.

ArmMeasureGroupValue (MEAN)Dispersion
SAR342434Change in Daily Insulin Dose From Baseline to Week 26 and Week 52Basal insulin dose at Week 520.046 U/kgStandard Deviation 0.364
SAR342434Change in Daily Insulin Dose From Baseline to Week 26 and Week 52Total insulin dose at Week 260.019 U/kgStandard Deviation 0.134
SAR342434Change in Daily Insulin Dose From Baseline to Week 26 and Week 52Mealtime insulin dose at Week 260.005 U/kgStandard Deviation 0.112
SAR342434Change in Daily Insulin Dose From Baseline to Week 26 and Week 52Mealtime insulin dose at Week 520.018 U/kgStandard Deviation 0.117
SAR342434Change in Daily Insulin Dose From Baseline to Week 26 and Week 52Total insulin dose at Week 520.039 U/kgStandard Deviation 0.135
SAR342434Change in Daily Insulin Dose From Baseline to Week 26 and Week 52Basal insulin dose at Week 260.03 U/kgStandard Deviation 0.236
HumalogChange in Daily Insulin Dose From Baseline to Week 26 and Week 52Total insulin dose at Week 520.019 U/kgStandard Deviation 0.127
HumalogChange in Daily Insulin Dose From Baseline to Week 26 and Week 52Basal insulin dose at Week 260.014 U/kgStandard Deviation 0.06
HumalogChange in Daily Insulin Dose From Baseline to Week 26 and Week 52Total insulin dose at Week 260.01 U/kgStandard Deviation 0.111
HumalogChange in Daily Insulin Dose From Baseline to Week 26 and Week 52Basal insulin dose at Week 520.013 U/kgStandard Deviation 0.066
HumalogChange in Daily Insulin Dose From Baseline to Week 26 and Week 52Mealtime insulin dose at Week 26-0.005 U/kgStandard Deviation 0.089
HumalogChange in Daily Insulin Dose From Baseline to Week 26 and Week 52Mealtime insulin dose at Week 520.007 U/kgStandard Deviation 0.104

Source: ClinicalTrials.gov · Data processed: Mar 9, 2026