Skip to content

Research Study Comparing a New Medicine Fast-acting Insulin Aspart to Another Already Available Medicine NovoRapid/NovoLog in People With Type 2 Diabetes

Efficacy and Safety of Fast-acting Insulin Aspart Compared to NovoRapid® Both in Combination With Insulin Degludec With or Without Metformin in Adults With Type 2 Diabetes (Onset® 9)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03268005
Acronym
onset 9
Enrollment
1264
Registered
2017-08-31
Start date
2017-09-19
Completion date
2019-01-29
Last updated
2022-01-11

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

The study compares 2 medicines for type 2 diabetes: fast-acting insulin aspart (a new medicine) and NovoRapid®/NovoLog® (a medicine doctors can already prescribe). Fast-acting insulin aspart will be tested to see how well it works and if it is safe. Participants will get either fast-acting insulin aspart or NovoRapid®/ NovoLog® - which treatment you get is decided by chance. Both medicines will be taken together with insulin degludec. Participants will need to take 1 injection 4 times every day (all insulins will be provided in pens). The study will last for about 8 months (34 weeks).

Interventions

DRUGFaster-acting insulin aspart

Faster aspart given subcutaneously (s.c., under the skin) once a day for 16 weeks. Dose individually adjusted.

DRUGInsulin aspart

Insulin aspart given subcutaneously (s.c., under the skin) once a day for 16 weeks. Dose individually adjusted.

DRUGInsulin degludec

Insulin degludec given subcutaneously (s.c., under the skin) once a day for 16 weeks. Dose individually adjusted.

DRUGMetformin

Only participants who took metformin before the study should take metformin tablets, same dose as before the study

Sponsors

Novo Nordisk A/S
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Masking description

Sponsor staff involved in the clinical trial is masked according to company standard procedures.

Eligibility

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

Inclusion criteria

- Male or female, age equal to or above 18 years at the time of signing informed consent. - Diagnosed with type 2 diabetes mellitus for 10 years or longer prior to screening (Visit 1). - Treated with a basal-bolus insulin regimen for 1 year or longer prior to the day of screening (Visit 1). A basal-bolus insulin regimen is defined as basal insulin once or twice daily and bolus insulin analogue taken with meals at least 3 times daily. Treatment with premixed insulin or soluble insulin combination is not considered a basal-bolus regimen. - Treated with or without oral antidiabetic drugs including extended release formulations. - HbA1c 7.0-10.0% (both inclusive) as assessed by central laboratory at screening (Visit 1).

Exclusion criteria

- Any of the following: myocardial infarction, stroke, hospitalization for unstable angina or transient ischaemic attack within the past 180 days prior to the day of screening (Visit 1). - Subjects presently classified as being in New York Heart Association (NYHA) Class IV. - Planned coronary, carotid or peripheral artery revascularisation known on the day of screening (Visit 1). - Treatment with injectable GLP-1 receptor agonists in a period of 90 days prior to screening (Visit 1). - Anticipated initiation or change in concomitant medications (for more than 14 consecutive days) known to affect weight or glucose metabolism (e.g. treatment with orlistat, thyroid hormones, or corticosteroids).

Design outcomes

Primary

MeasureTime frameDescription
Change in Glycosylated Haemoglobin (HbA1c)Week 0, week 16Change from baseline (week 0) in glycosylated haemoglobin (HbA1c) was evaluated at week 16. The endpoint was evaluated based on data from the in-trial observation period. In-trial observation period was from date of randomisation and until last trial-related participant-site contact.

Secondary

MeasureTime frameDescription
Change From Baseline in 1,5-anhydroglucitolWeek 0, week 16Change from baseline (week 0) in 1,5-anhydroglucitol was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.
Change From Baseline in Fasting Plasma Glucose (FPG)Week 0, week 16Change from baseline (week 0) in fasting plasma glucose was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.
Participants Who Achieved HbA1c <7.0% (53 mmol/L) (Yes/No)16 weeks after randomisationNumber of participants reaching HbA1c \<7.0% (53 mmol/L) was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.
Participants Who Achieved HbA1c <7.0% (53 mmol/L) Without Severe Hypoglycaemia Episodes (Yes/No)16 weeks after randomisationNumber of participants reaching HbA1c \<7.0% (53 mmol/L) without severe hypoglycaemia episodes was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.
Change From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour Postprandial Glucose (PPG [Meal Test])Week 0, week 16Change from baseline (week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour postprandial glucose (PPG \[meal test\]) was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact. Meal test: The subjects were given a carbohydrate-rich standardised liquid meal immediately after bolus (faster aspart or NovoRapid) infusion in the morning of the meal test. The subjects were to consume the meal as quickly as possible (within 12 minutes) and blood samples were drawn after 30 minutes, 1, 2, 3 and 4 hours from the start of the meal.
Change From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)Week 0, week 16Change from baseline (week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour PPG increment (meal test) was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact. Meal test: The subjects were given a carbohydrate-rich standardised liquid meal immediately after bolus (faster aspart or NovoRapid) infusion in the morning of the meal test. The subjects were to consume the meal as quickly as possible (within 12 minutes) and blood samples were drawn after 30 minutes, 1, 2, 3 and 4 hours from the start of the meal. PPG incremental value for each time point was derived as PPG value at that time point minus the preprandial glucose value.
Change From Baseline in Mean of the 7-9-7 Point Self-measured Plasma Glucose (SMPG) ProfileWeek 0, week 16Change from baseline (week 0) in mean of the 7-9-7 point SMPG profile was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. 7-9-7 point SMPG was measured at the following mentioned time points: 1) Before breakfast, 2) 60 mins after the start of Breakfast, 3) Before lunch, 4) 60 mins after the start of lunch, 5) Before main evening meal, 6) 60 mins after the start of main evening meal, 7) At bedtime, 8) At 4 AM, 9) Before breakfast.
Change From Baseline of the 7-9-7 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)Week 0, week 16Change from baseline (week 0) in PPG (breakfast, lunch, main evening meal and mean over all meals) of the 7-9-7 point SMPG profile was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.
Change From Baseline of the 7-9-7 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)Week 0, week 16Change from baseline (week 0) in PPG increment (breakfast, lunch, main evening meal and mean over all meals) of the 7-9-7 point SMPG profile was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. PPG increment based on the 7-9-7-point profiles were derived separately for PG measurements made at 1 hour after main meals (breakfast, lunch and main evening meal). PPG incremental value for each time point was derived as PPG value at that time point minus the preprandial glucose value. In trial observation period was from date of randomisation and until last trial-related participant-site contact.
Change From Baseline of the 7-9-7 Point SMPG Profile: Fluctuation in 7-9-7 Point ProfileWeek 0, week 16Fluctuation in 7-point SMPG profile was the average absolute difference from the mean of the SMPG profile. Reported results are fluctuation in the 7-9-7 point SMPG profile from baseline (week 0) after 16 weeks of randomisation (i.e., week 16). The results are presented as ratio to baseline. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.
Change From Baseline of the 7-9-7 Point SMPG Profile: Nocturnal SMPG MeasurementsWeek 0, week 16Change from baseline (week 0) in nocturnal SMPG measurements was assessed by considering the differences between PG values available at bedtime, at 4 AM and the before breakfast value the following day: (4 AM PG value minus at bedtime PG value), (before breakfast PG value minus at bedtime PG value) and (before breakfast PG value minus 4 AM PG value). Change from baseline in nocturnal increments in SMPG measurements of the 7-9-7 point SMPG profile was evaluated after 16 weeks of randomisation and presented during three different time intervals as follows: 1) 04:00 to breakfast, 2) bedtime to 04:00, and 3) bedtime to breakfast. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.
Participants Who Achieved Overall PPG (1 Hour) <7.8 mmol/L (140 mg/dL) (Yes/No)16 weeks after randomisationParticipants reaching overall PPG (1 hour) ≤7.8 mmol/L \[140 mg/dL\] was evaluated after 16 weeks of randomisation. Participants without a postprandial glucose measurement at week 16 were considered not to have achieved HbA1c target at week 16. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.
Participants Who Achieved Overall PPG <7.8 mmol/L (140 mg/dL) Without Severe Hypoglycaemia Episodes (Yes/No)16 weeks after randomisationParticipants reaching overall PPG (1 hour) ≤7.8 mmol/L \[140 mg/dL\] without severe hypoglycaemia episodes was evaluated after 16 weeks of randomisation. Participants without a postprandial glucose measurement at week 16 were considered not to have achieved HbA1c target at week 16. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.
Total Bolus Insulin Dose: in Units/Day16 weeks from randomisationTotal bolus insulin dose (Units/day) was evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Total Bolus Insulin Dose: in Units/kg/Day16 weeks from randomisationTotal bolus insulin dose (Units/kg/day) was evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Total Basal Insulin Dose: in Units/Day16 weeks from randomisationTotal basal insulin dose (Units/day) was evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Total Basal Insulin Dose: in Units/kg/Day16 weeks from randomisationTotal basal insulin dose (Units/kg/day) was evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Individual Meal Insulin Dose: in Units16 weeks from randomisationIndividual meal time bolus insulin dose (Units) for breakast, lunch and main evening meal was evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Individual Meal Insulin Dose: in Units/kg16 weeks from randomisationIndividual meal time bolus insulin dose (Units/kg) for breakast, lunch and main evening meal was evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Number of Treatment Emergent Injection Site ReactionsWeeks 0-16Number of treatment emergent injection site reactions were recorded from week 0 to week 16. The results are based on the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Lipids-lipoproteins Profile (Total Cholesterol, High Density Lipoproteins, Low Density Lipoproteins) - Ratio to BaselineWeek 0, week 16Reported results are lipids-lipoproteins (total cholesterol, high density lipoproteins, low density lipoproteins) values are given as ratio to baseline (week 0) after 16 weeks. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.
Number of Treatment Emergent Adverse EventsWeeks 0-16Number of treatment emergent adverse events were recorded from week 0 to week 16. The results are based on the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Number of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallWeeks 0-16ADA classification of hypos: 1. Severe: Requiring assistance of another person to actively administer carbohydrate/glucagon/take other corrective actions. PG levels may not be available during an event, but neurological recovery following return of PG to normal is considered sufficient evidence that event was induced by a low PG level. 2. Documented symptomatic: PG ≤3.9 mmol/L with symptoms. 3. Asymptomatic: PG ≤3.9 mmol/L without symptoms. 4. Probable symptomatic: No measurement with symptoms. 5. Pseudo: PG \>3.9 mmol/L with symptoms. 6. Unclassifiable. NN classification of hypos: 1. BG confirmed: PG \<3.1 mmol/L with/without symptoms. 2. Severe or BG confirmed symptomatic: Severe as per ADA and BG confirmed by PG \<3.1 mmol/L with symptoms. 3. Severe or BG confirmed: Severe as per ADA and BG confirmed by PG \<3.1 mmol/L with/without symptoms. 4. Unclassifiable. Not able to self treat-unclassifiable: Not able to self treat but not classifiable as severe hypoglycaemia.
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)Weeks 0-16Number of treatment emergent day time hypoglycaemic episodes according to the ADA and NN definitions were evaluated between 06:00 and 00:00 (both included). The results are based on the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)Weeks 0-16Number of treatment emergent nocturnal hypoglycaemic episodes according to the ADA and NN definitions were evaluated between 00:01 and 05:59 (both included). The results are based on the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealWeeks 0-16Number of treatment emergent hypoglycaemic episodes according to the ADA and NN definitions were evaluated during the first 1 hour after start of the meal. The results are based on the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealWeeks 0-16Number of treatment emergent hypoglycaemic episodes according to the ADA and NN definitions were evaluated during the first 2 hours after start of the meal. The results are based on the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealWeeks 0-16Number of treatment emergent hypoglycaemic episodes according to the ADA and NN definitions were evaluated during the first 4 hours after start of the meal. The results are based on the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealWeeks 0-16Number of treatment emergent hypoglycaemic episodes according to the ADA and NN definitions were evaluated between 2 to 4 hours after start of the meal. The results are based on the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Physical ExaminationWeek 0, week 16Participants with physical examination findings, normal, abnormal NCS (non- clinically significant) and abnormal CS (clinically significant) at baseline (week 0) and week 16 presented. Results are based on the data from the on-treatment observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product. Results are presented for the following examinations: 1) Cardiovascular system 2) Central & Peripheral nervous system 3) Gastrointestinal system incl. mouth 4) Head, ears, eyes, nose, throat and neck 5) Musculoskeletal system 6) Respiratory system 7) Skin
Change From Baseline in Vital Signs: Systolic and Diastolic Blood PresureWeek 0, week 16Change in vital signs - systolic and diastolic blood pressure from baseline (week 0) was evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Vital Signs: PulseWeek 0, week 16Change in vital signs - pulse from baseline (week 0) was evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Electrocardiogram (ECG)Week 0, week 16Changes in electrocardiogram (ECG) from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Fundoscopy/Fundus PhotographyWeek 0, week 16Changes in fundoscopy/fundus photography from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Haematology - HaematocritWeek 0, week 16Changes in haematology - haematocrit from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Haematology - HaemoglobinWeek 0, week 16Changes in haematology - haemoglobin from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Haematology - LeukocytesWeek 0, week 16Changes in haematology - leukocytes from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Haematology - ThrombocytesWeek 0, week 16Changes in haematology - thrombocytes from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Haematology - ErythrocytesWeek 0, week 16Changes in haematology - erythrocytes from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Biochemistry - Alanine Aminotransferase (ALT)Week 0, week 16Changes in biochemistry - alanine aminotransferase from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Biochemistry - Alkaline PhosphataseWeek 0, week 16Changes in biochemistry - alkaline phosphatase from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Biochemistry - Aspartate Aminotransferase (AST)Week 0, week 16Changes in biochemistry - aspratate aminotransferase from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Biochemistry - AlbuminWeek 0, week 16Changes in biochemistry - albumin from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Biochemistry - CreatinineWeek 0, week 16Changes in biochemistry - creatinine from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in 1-hour PPG IncrementWeek 0, week 16Change from baseline (week 0) in 1-hour postprandial glucose (PPG) increment was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.
Change From Baseline in Biochemistry - SodiumWeek 0, week 16Changes in biochemistry - sodium from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Biochemistry - Total BilirubinWeek 0, week 16Changes in biochemistry - total bilirubin from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Biochemistry - Total ProteinWeek 0, week 16Changes in biochemistry - total protein from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Body WeightWeek 0, week 16Changes in body weight from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Body Mass Index (BMI)Week 0, week 16Change in the body mass index (BMI) from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.
Change From Baseline in Biochemistry - PotassiumWeek 0, week 16Changes in biochemistry - potassium from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Countries

Argentina, Bulgaria, Canada, Croatia, Czechia, Germany, Greece, Italy, Poland, Puerto Rico, Romania, Russia, Serbia, Slovakia, South Korea, Spain, Ukraine, United States

Participant flow

Recruitment details

The trial was conducted at 165 sites in 17 countries as follows: Argentina-3, Bulgaria-4, Canada-10, Croatia-4, Czech Republic-4, Germany-6, Greece-8, Italy-4, Poland-10, Republic of Korea-6, Romania-6, Russia-8, Serbia-9, Slovakia-5, Spain-8, Ukraine-6 and United States (US)-62. Two sites in the US screened but didn't randomise any subject.

Pre-assignment details

There was a 12-week run-in period primarily for optimisation of the basal insulin and reinforcement of subject training in trial procedures, diabetes education and dietary training. Out of the 1264 participants enrolled in the study, 173 were run-in failures and 1091 were randomised.

Participants by arm

ArmCount
Faster Aspart
Participants received Faster aspart along with insulin degludec (basal-bolus regimen) with or without metformin for 16 weeks. Before the treatment period was a 12-week run-in period in which the investigator optimised basal insulin dose. Insulin degludec dose was adjusted weekly by the investigator in the run-in period based on the mean of three pre-breakfast SMPG values measured on the last two days prior to and on the day of contact. If one of the SMPG values were below target (\< 4.0 mmol/L or 71 mg/dL) then the insulin degludec dose was adjusted according to the titration guideline specified in the protocol. Faster aspart was titrated from randomisation (week 0) and onwards, twice weekly to reach the glycaemic target of pre-prandial and bedtime PG between 4.0-6.0 mmol/L (71 - 108 mg/dL) in a treat-to-target fashion.
546
NovoRapid
Participants received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) with or without metformin for 16 weeks. Before the treatment period was a 12-week run-in period in which the investigator optimised basal insulin dose. Insulin degludec dose was adjusted weekly by the investigator in the run-in period based on the mean of three pre-breakfast SMPG values measured on the last two days prior to and on the day of contact. If one of the SMPG values were below target (\< 4.0 mmol/L or 71 mg/dL) then the insulin degludec dose was adjusted according to the titration guideline specified in the protocol. NovoRapid was titrated from randomisation (week 0) and onwards, twice weekly to reach the glycaemic target of pre-prandial and bedtime PG between 4.0-6.0 mmol/L (71 - 108 mg/dL) in a treat-to-target fashion.
545
Total1,091

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDeath21
Overall StudyLost to Follow-up22
Overall StudyWithdrawal by Subject1111

Baseline characteristics

CharacteristicNovoRapidTotalFaster Aspart
Age, Continuous62.1 Years
STANDARD_DEVIATION 8.8
62.3 Years
STANDARD_DEVIATION 8.7
62.6 Years
STANDARD_DEVIATION 8.6
Race/Ethnicity, Customized
Asian
31 Participants74 Participants43 Participants
Race/Ethnicity, Customized
Black or African American
19 Participants33 Participants14 Participants
Race/Ethnicity, Customized
Hispanic Latino
57 Participants118 Participants61 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
5 Participants7 Participants2 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
488 Participants973 Participants485 Participants
Race/Ethnicity, Customized
Other
3 Participants3 Participants0 Participants
Race/Ethnicity, Customized
White
487 Participants974 Participants487 Participants
Sex: Female, Male
Female
256 Participants537 Participants281 Participants
Sex: Female, Male
Male
289 Participants554 Participants265 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
2 / 5441 / 544
other
Total, other adverse events
32 / 54433 / 544
serious
Total, serious adverse events
38 / 54440 / 544

Outcome results

Primary

Change in Glycosylated Haemoglobin (HbA1c)

Change from baseline (week 0) in glycosylated haemoglobin (HbA1c) was evaluated at week 16. The endpoint was evaluated based on data from the in-trial observation period. In-trial observation period was from date of randomisation and until last trial-related participant-site contact.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange in Glycosylated Haemoglobin (HbA1c)-0.15 Percentage of HbA1cStandard Deviation 0.62
NovoRapidChange in Glycosylated Haemoglobin (HbA1c)-0.09 Percentage of HbA1cStandard Deviation 0.6
Comparison: Change from baseline in HbA1c was analysed using an analysis of variance model after multiple imputation assuming treatment according to randomisation. The model included treatment, region and metformin use at baseline (Yes/No) as factors, and baseline HbA1c as a covariate.p-value: 0.3195% CI: [-0.11, 0.03]ANOVA
Secondary

Change From Baseline in 1,5-anhydroglucitol

Change from baseline (week 0) in 1,5-anhydroglucitol was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in 1,5-anhydroglucitol1.38 mmol/LStandard Deviation 3.1
NovoRapidChange From Baseline in 1,5-anhydroglucitol0.89 mmol/LStandard Deviation 3.31
Secondary

Change From Baseline in 1-hour PPG Increment

Change from baseline (week 0) in 1-hour postprandial glucose (PPG) increment was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in 1-hour PPG Increment-0.43 mmol/LStandard Deviation 2.45
NovoRapidChange From Baseline in 1-hour PPG Increment0.08 mmol/LStandard Deviation 2.65
Secondary

Change From Baseline in Biochemistry - Alanine Aminotransferase (ALT)

Changes in biochemistry - alanine aminotransferase from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Biochemistry - Alanine Aminotransferase (ALT)-0.1 U/LStandard Deviation 9.4
NovoRapidChange From Baseline in Biochemistry - Alanine Aminotransferase (ALT)3.1 U/LStandard Deviation 65.4
Secondary

Change From Baseline in Biochemistry - Albumin

Changes in biochemistry - albumin from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Biochemistry - Albumin0.02 g/dLStandard Deviation 0.25
NovoRapidChange From Baseline in Biochemistry - Albumin0.01 g/dLStandard Deviation 0.26
Secondary

Change From Baseline in Biochemistry - Alkaline Phosphatase

Changes in biochemistry - alkaline phosphatase from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Biochemistry - Alkaline Phosphatase2.9 U/LStandard Deviation 22.6
NovoRapidChange From Baseline in Biochemistry - Alkaline Phosphatase2.2 U/LStandard Deviation 18.3
Secondary

Change From Baseline in Biochemistry - Aspartate Aminotransferase (AST)

Changes in biochemistry - aspratate aminotransferase from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Biochemistry - Aspartate Aminotransferase (AST)-0.2 U/LStandard Deviation 7.9
NovoRapidChange From Baseline in Biochemistry - Aspartate Aminotransferase (AST)2.2 U/LStandard Deviation 45.7
Secondary

Change From Baseline in Biochemistry - Creatinine

Changes in biochemistry - creatinine from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Biochemistry - Creatinine0.1 umol/LStandard Deviation 11.1
NovoRapidChange From Baseline in Biochemistry - Creatinine1.5 umol/LStandard Deviation 13.2
Secondary

Change From Baseline in Biochemistry - Potassium

Changes in biochemistry - potassium from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Biochemistry - Potassium-0.001 mmol/LStandard Deviation 0.5
NovoRapidChange From Baseline in Biochemistry - Potassium0.02 mmol/LStandard Deviation 0.43
Secondary

Change From Baseline in Biochemistry - Sodium

Changes in biochemistry - sodium from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Biochemistry - Sodium-0.6 mmol/LStandard Deviation 2.6
NovoRapidChange From Baseline in Biochemistry - Sodium-0.7 mmol/LStandard Deviation 2.8
Secondary

Change From Baseline in Biochemistry - Total Bilirubin

Changes in biochemistry - total bilirubin from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Biochemistry - Total Bilirubin0.1 umol/LStandard Deviation 2.7
NovoRapidChange From Baseline in Biochemistry - Total Bilirubin0.1 umol/LStandard Deviation 3
Secondary

Change From Baseline in Biochemistry - Total Protein

Changes in biochemistry - total protein from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Biochemistry - Total Protein-0.01 g/dLStandard Deviation 0.35
NovoRapidChange From Baseline in Biochemistry - Total Protein-0.02 g/dLStandard Deviation 0.36
Secondary

Change From Baseline in Body Mass Index (BMI)

Change in the body mass index (BMI) from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Body Mass Index (BMI)0.43 kg/m^2Standard Deviation 1.04
NovoRapidChange From Baseline in Body Mass Index (BMI)0.40 kg/m^2Standard Deviation 1.4
Secondary

Change From Baseline in Body Weight

Changes in body weight from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Body Weight1.19 kgStandard Deviation 2.95
NovoRapidChange From Baseline in Body Weight1.12 kgStandard Deviation 4.01
Secondary

Change From Baseline in Electrocardiogram (ECG)

Changes in electrocardiogram (ECG) from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = safety analysis set (SAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Faster AspartChange From Baseline in Electrocardiogram (ECG)Week 0Normal287 Participants
Faster AspartChange From Baseline in Electrocardiogram (ECG)Week 0Abnormal NCS252 Participants
Faster AspartChange From Baseline in Electrocardiogram (ECG)Week 0Abnormal CS5 Participants
Faster AspartChange From Baseline in Electrocardiogram (ECG)Week 16Normal274 Participants
Faster AspartChange From Baseline in Electrocardiogram (ECG)Week 16Abnormal NCS245 Participants
Faster AspartChange From Baseline in Electrocardiogram (ECG)Week 16Abnormal CS6 Participants
NovoRapidChange From Baseline in Electrocardiogram (ECG)Week 16Abnormal NCS253 Participants
NovoRapidChange From Baseline in Electrocardiogram (ECG)Week 0Normal270 Participants
NovoRapidChange From Baseline in Electrocardiogram (ECG)Week 16Normal272 Participants
NovoRapidChange From Baseline in Electrocardiogram (ECG)Week 0Abnormal NCS264 Participants
NovoRapidChange From Baseline in Electrocardiogram (ECG)Week 16Abnormal CS8 Participants
NovoRapidChange From Baseline in Electrocardiogram (ECG)Week 0Abnormal CS10 Participants
Secondary

Change From Baseline in Fasting Plasma Glucose (FPG)

Change from baseline (week 0) in fasting plasma glucose was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Fasting Plasma Glucose (FPG)0.56 mmol/LStandard Deviation 2.38
NovoRapidChange From Baseline in Fasting Plasma Glucose (FPG)0.68 mmol/LStandard Deviation 2.4
Secondary

Change From Baseline in Fundoscopy/Fundus Photography

Changes in fundoscopy/fundus photography from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = safety analysis set (SAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Faster AspartChange From Baseline in Fundoscopy/Fundus PhotographyLeft eye (week 0)Normal225 Participants
Faster AspartChange From Baseline in Fundoscopy/Fundus PhotographyLeft eye (week 0)Abnormal NCS287 Participants
Faster AspartChange From Baseline in Fundoscopy/Fundus PhotographyLeft eye (week 0)Abnormal CS32 Participants
Faster AspartChange From Baseline in Fundoscopy/Fundus PhotographyLeft eye (week 16)Normal205 Participants
Faster AspartChange From Baseline in Fundoscopy/Fundus PhotographyLeft eye (week 16)Abnormal NCS278 Participants
Faster AspartChange From Baseline in Fundoscopy/Fundus PhotographyLeft eye (week 16)Abnormal CS31 Participants
Faster AspartChange From Baseline in Fundoscopy/Fundus PhotographyRight eye (week 0)Normal224 Participants
Faster AspartChange From Baseline in Fundoscopy/Fundus PhotographyRight eye (week 0)Abnormal NCS288 Participants
Faster AspartChange From Baseline in Fundoscopy/Fundus PhotographyRight eye (week 0)Abnormal CS32 Participants
Faster AspartChange From Baseline in Fundoscopy/Fundus PhotographyRight eye (week 16)Normal208 Participants
Faster AspartChange From Baseline in Fundoscopy/Fundus PhotographyRight eye (week 16)Abnormal NCS276 Participants
Faster AspartChange From Baseline in Fundoscopy/Fundus PhotographyRight eye (week 16)Abnormal CS30 Participants
NovoRapidChange From Baseline in Fundoscopy/Fundus PhotographyRight eye (week 16)Abnormal NCS297 Participants
NovoRapidChange From Baseline in Fundoscopy/Fundus PhotographyLeft eye (week 0)Normal219 Participants
NovoRapidChange From Baseline in Fundoscopy/Fundus PhotographyRight eye (week 0)Normal217 Participants
NovoRapidChange From Baseline in Fundoscopy/Fundus PhotographyLeft eye (week 0)Abnormal NCS297 Participants
NovoRapidChange From Baseline in Fundoscopy/Fundus PhotographyRight eye (week 16)Normal194 Participants
NovoRapidChange From Baseline in Fundoscopy/Fundus PhotographyLeft eye (week 0)Abnormal CS27 Participants
NovoRapidChange From Baseline in Fundoscopy/Fundus PhotographyRight eye (week 0)Abnormal NCS300 Participants
NovoRapidChange From Baseline in Fundoscopy/Fundus PhotographyLeft eye (week 16)Normal198 Participants
NovoRapidChange From Baseline in Fundoscopy/Fundus PhotographyRight eye (week 16)Abnormal CS26 Participants
NovoRapidChange From Baseline in Fundoscopy/Fundus PhotographyLeft eye (week 16)Abnormal NCS288 Participants
NovoRapidChange From Baseline in Fundoscopy/Fundus PhotographyRight eye (week 0)Abnormal CS27 Participants
NovoRapidChange From Baseline in Fundoscopy/Fundus PhotographyLeft eye (week 16)Abnormal CS30 Participants
Secondary

Change From Baseline in Haematology - Erythrocytes

Changes in haematology - erythrocytes from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Haematology - Erythrocytes-0.02 10^12 erythrocytes/LStandard Deviation 0.28
NovoRapidChange From Baseline in Haematology - Erythrocytes-0.04 10^12 erythrocytes/LStandard Deviation 0.27
Secondary

Change From Baseline in Haematology - Haematocrit

Changes in haematology - haematocrit from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Haematology - Haematocrit0.48 PercentageStandard Deviation 2.47
NovoRapidChange From Baseline in Haematology - Haematocrit0.35 PercentageStandard Deviation 2.47
Secondary

Change From Baseline in Haematology - Haemoglobin

Changes in haematology - haemoglobin from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Haematology - Haemoglobin-0.02 mmol/LStandard Deviation 0.47
NovoRapidChange From Baseline in Haematology - Haemoglobin-0.04 mmol/LStandard Deviation 0.43
Secondary

Change From Baseline in Haematology - Leukocytes

Changes in haematology - leukocytes from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Haematology - Leukocytes0.01 10^9 leukocytes/LStandard Deviation 1.6
NovoRapidChange From Baseline in Haematology - Leukocytes-0.01 10^9 leukocytes/LStandard Deviation 1.35
Secondary

Change From Baseline in Haematology - Thrombocytes

Changes in haematology - thrombocytes from baseline (week 0) were evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Haematology - Thrombocytes-0.9 10^9 thrombocytes/LStandard Deviation 37.1
NovoRapidChange From Baseline in Haematology - Thrombocytes-1.3 10^9 thrombocytes/LStandard Deviation 38.7
Secondary

Change From Baseline in Lipids-lipoproteins Profile (Total Cholesterol, High Density Lipoproteins, Low Density Lipoproteins) - Ratio to Baseline

Reported results are lipids-lipoproteins (total cholesterol, high density lipoproteins, low density lipoproteins) values are given as ratio to baseline (week 0) after 16 weeks. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = full analysis set (FAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Faster AspartChange From Baseline in Lipids-lipoproteins Profile (Total Cholesterol, High Density Lipoproteins, Low Density Lipoproteins) - Ratio to BaselineTotal cholesterol1.01 RatioGeometric Coefficient of Variation 15.98
Faster AspartChange From Baseline in Lipids-lipoproteins Profile (Total Cholesterol, High Density Lipoproteins, Low Density Lipoproteins) - Ratio to BaselineHigh density lipoproteins0.97 RatioGeometric Coefficient of Variation 14.47
Faster AspartChange From Baseline in Lipids-lipoproteins Profile (Total Cholesterol, High Density Lipoproteins, Low Density Lipoproteins) - Ratio to BaselineLow density lipoproteins0.99 RatioGeometric Coefficient of Variation 25.36
NovoRapidChange From Baseline in Lipids-lipoproteins Profile (Total Cholesterol, High Density Lipoproteins, Low Density Lipoproteins) - Ratio to BaselineTotal cholesterol1.00 RatioGeometric Coefficient of Variation 17.09
NovoRapidChange From Baseline in Lipids-lipoproteins Profile (Total Cholesterol, High Density Lipoproteins, Low Density Lipoproteins) - Ratio to BaselineHigh density lipoproteins0.98 RatioGeometric Coefficient of Variation 17.57
NovoRapidChange From Baseline in Lipids-lipoproteins Profile (Total Cholesterol, High Density Lipoproteins, Low Density Lipoproteins) - Ratio to BaselineLow density lipoproteins0.99 RatioGeometric Coefficient of Variation 40.51
Secondary

Change From Baseline in Mean of the 7-9-7 Point Self-measured Plasma Glucose (SMPG) Profile

Change from baseline (week 0) in mean of the 7-9-7 point SMPG profile was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. 7-9-7 point SMPG was measured at the following mentioned time points: 1) Before breakfast, 2) 60 mins after the start of Breakfast, 3) Before lunch, 4) 60 mins after the start of lunch, 5) Before main evening meal, 6) 60 mins after the start of main evening meal, 7) At bedtime, 8) At 4 AM, 9) Before breakfast.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Mean of the 7-9-7 Point Self-measured Plasma Glucose (SMPG) Profile-0.56 mmol/LStandard Deviation 1.66
NovoRapidChange From Baseline in Mean of the 7-9-7 Point Self-measured Plasma Glucose (SMPG) Profile-0.50 mmol/LStandard Deviation 1.61
Secondary

Change From Baseline in Physical Examination

Participants with physical examination findings, normal, abnormal NCS (non- clinically significant) and abnormal CS (clinically significant) at baseline (week 0) and week 16 presented. Results are based on the data from the on-treatment observation period, which was the time period from when a participant was randomised until the final scheduled visit, including any period after initiation of rescue medication and/or premature discontinuation of trial product. Results are presented for the following examinations: 1) Cardiovascular system 2) Central & Peripheral nervous system 3) Gastrointestinal system incl. mouth 4) Head, ears, eyes, nose, throat and neck 5) Musculoskeletal system 6) Respiratory system 7) Skin

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = safety analysis set (SAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Faster AspartChange From Baseline in Physical ExaminationCardiovascular system (week 0)Abnormal CS6 Participants
Faster AspartChange From Baseline in Physical ExaminationHead, ears, eyes, nose, throat, neck (week 16)Abnormal NCS40 Participants
Faster AspartChange From Baseline in Physical ExaminationGastrointestinal sys. including mouth (Week 0)Normal491 Participants
Faster AspartChange From Baseline in Physical ExaminationHead, ears, eyes, nose, throat, neck (week 16)Abnormal CS0 Participants
Faster AspartChange From Baseline in Physical ExaminationCentral and Peripheral nervous sys. (week 0)Abnormal NCS133 Participants
Faster AspartChange From Baseline in Physical ExaminationMusculoskeletal system (week 0)Normal504 Participants
Faster AspartChange From Baseline in Physical ExaminationGastrointestinal sys. including mouth (Week 0)Abnormal NCS53 Participants
Faster AspartChange From Baseline in Physical ExaminationMusculoskeletal system (week 0)Abnormal NCS36 Participants
Faster AspartChange From Baseline in Physical ExaminationCardiovascular system (week 16)Abnormal NCS71 Participants
Faster AspartChange From Baseline in Physical ExaminationMusculoskeletal system (week 16)Normal489 Participants
Faster AspartChange From Baseline in Physical ExaminationMusculoskeletal system (week 0)Abnormal CS4 Participants
Faster AspartChange From Baseline in Physical ExaminationGastrointestinal sys. including mouth (Week 0)Abnormal CS0 Participants
Faster AspartChange From Baseline in Physical ExaminationCentral and Peripheral nervous sys. (week 0)Abnormal CS13 Participants
Faster AspartChange From Baseline in Physical ExaminationMusculoskeletal system (week 16)Abnormal NCS32 Participants
Faster AspartChange From Baseline in Physical ExaminationGastrointestinal sys. including mouth (week 16)Normal480 Participants
Faster AspartChange From Baseline in Physical ExaminationMusculoskeletal system (week 16)Abnormal CS4 Participants
Faster AspartChange From Baseline in Physical ExaminationCardiovascular system (week 0)Abnormal NCS79 Participants
Faster AspartChange From Baseline in Physical ExaminationRespiratory system (week 0)Normal535 Participants
Faster AspartChange From Baseline in Physical ExaminationGastrointestinal sys. including mouth (week 16)Abnormal NCS45 Participants
Faster AspartChange From Baseline in Physical ExaminationRespiratory system (week 0)Abnormal NCS9 Participants
Faster AspartChange From Baseline in Physical ExaminationCentral and Peripheral nervous sys. (week 16)Normal383 Participants
Faster AspartChange From Baseline in Physical ExaminationCardiovascular system (week 16)Abnormal CS6 Participants
Faster AspartChange From Baseline in Physical ExaminationRespiratory system (week 0)Abnormal CS0 Participants
Faster AspartChange From Baseline in Physical ExaminationGastrointestinal sys. including mouth (week 16)Abnormal CS0 Participants
Faster AspartChange From Baseline in Physical ExaminationRespiratory system (week 16)Normal520 Participants
Faster AspartChange From Baseline in Physical ExaminationCardiovascular system (week 16)Normal448 Participants
Faster AspartChange From Baseline in Physical ExaminationRespiratory system (week 16)Abnormal NCS5 Participants
Faster AspartChange From Baseline in Physical ExaminationHead, ears, eyes, nose, throat, neck (week 0)Normal498 Participants
Faster AspartChange From Baseline in Physical ExaminationRespiratory system (week 16)Abnormal CS0 Participants
Faster AspartChange From Baseline in Physical ExaminationCentral and Peripheral nervous sys. (week 16)Abnormal NCS128 Participants
Faster AspartChange From Baseline in Physical ExaminationSkin (week 0)Normal438 Participants
Faster AspartChange From Baseline in Physical ExaminationHead, ears, eyes, nose, throat, neck (week 0)Abnormal NCS43 Participants
Faster AspartChange From Baseline in Physical ExaminationSkin (week 0)Abnormal NCS96 Participants
Faster AspartChange From Baseline in Physical ExaminationCentral and Peripheral nervous sys. (week 0)Normal398 Participants
Faster AspartChange From Baseline in Physical ExaminationSkin (week 0)Abnormal CS10 Participants
Faster AspartChange From Baseline in Physical ExaminationHead, ears, eyes, nose, throat, neck (week 0)Abnormal CS3 Participants
Faster AspartChange From Baseline in Physical ExaminationSkin (week 16)Normal418 Participants
Faster AspartChange From Baseline in Physical ExaminationCentral and Peripheral nervous sys. (week 16)Abnormal CS14 Participants
Faster AspartChange From Baseline in Physical ExaminationSkin (week 16)Abnormal NCS98 Participants
Faster AspartChange From Baseline in Physical ExaminationHead, ears, eyes, nose, throat, neck (week 16)Normal485 Participants
Faster AspartChange From Baseline in Physical ExaminationSkin (week 16)Abnormal CS9 Participants
Faster AspartChange From Baseline in Physical ExaminationCardiovascular system (week 0)Normal459 Participants
NovoRapidChange From Baseline in Physical ExaminationSkin (week 16)Abnormal CS5 Participants
NovoRapidChange From Baseline in Physical ExaminationCardiovascular system (week 0)Normal460 Participants
NovoRapidChange From Baseline in Physical ExaminationCardiovascular system (week 0)Abnormal NCS79 Participants
NovoRapidChange From Baseline in Physical ExaminationCardiovascular system (week 0)Abnormal CS5 Participants
NovoRapidChange From Baseline in Physical ExaminationCardiovascular system (week 16)Normal457 Participants
NovoRapidChange From Baseline in Physical ExaminationCardiovascular system (week 16)Abnormal NCS72 Participants
NovoRapidChange From Baseline in Physical ExaminationCardiovascular system (week 16)Abnormal CS4 Participants
NovoRapidChange From Baseline in Physical ExaminationCentral and Peripheral nervous sys. (week 0)Normal404 Participants
NovoRapidChange From Baseline in Physical ExaminationCentral and Peripheral nervous sys. (week 0)Abnormal NCS127 Participants
NovoRapidChange From Baseline in Physical ExaminationCentral and Peripheral nervous sys. (week 0)Abnormal CS13 Participants
NovoRapidChange From Baseline in Physical ExaminationCentral and Peripheral nervous sys. (week 16)Normal400 Participants
NovoRapidChange From Baseline in Physical ExaminationCentral and Peripheral nervous sys. (week 16)Abnormal NCS122 Participants
NovoRapidChange From Baseline in Physical ExaminationCentral and Peripheral nervous sys. (week 16)Abnormal CS11 Participants
NovoRapidChange From Baseline in Physical ExaminationGastrointestinal sys. including mouth (Week 0)Normal485 Participants
NovoRapidChange From Baseline in Physical ExaminationGastrointestinal sys. including mouth (Week 0)Abnormal NCS59 Participants
NovoRapidChange From Baseline in Physical ExaminationGastrointestinal sys. including mouth (Week 0)Abnormal CS0 Participants
NovoRapidChange From Baseline in Physical ExaminationGastrointestinal sys. including mouth (week 16)Normal476 Participants
NovoRapidChange From Baseline in Physical ExaminationGastrointestinal sys. including mouth (week 16)Abnormal NCS57 Participants
NovoRapidChange From Baseline in Physical ExaminationGastrointestinal sys. including mouth (week 16)Abnormal CS0 Participants
NovoRapidChange From Baseline in Physical ExaminationHead, ears, eyes, nose, throat, neck (week 0)Normal492 Participants
NovoRapidChange From Baseline in Physical ExaminationHead, ears, eyes, nose, throat, neck (week 0)Abnormal NCS48 Participants
NovoRapidChange From Baseline in Physical ExaminationHead, ears, eyes, nose, throat, neck (week 0)Abnormal CS4 Participants
NovoRapidChange From Baseline in Physical ExaminationHead, ears, eyes, nose, throat, neck (week 16)Normal483 Participants
NovoRapidChange From Baseline in Physical ExaminationHead, ears, eyes, nose, throat, neck (week 16)Abnormal NCS49 Participants
NovoRapidChange From Baseline in Physical ExaminationHead, ears, eyes, nose, throat, neck (week 16)Abnormal CS1 Participants
NovoRapidChange From Baseline in Physical ExaminationMusculoskeletal system (week 0)Normal496 Participants
NovoRapidChange From Baseline in Physical ExaminationMusculoskeletal system (week 0)Abnormal NCS42 Participants
NovoRapidChange From Baseline in Physical ExaminationMusculoskeletal system (week 0)Abnormal CS6 Participants
NovoRapidChange From Baseline in Physical ExaminationMusculoskeletal system (week 16)Normal494 Participants
NovoRapidChange From Baseline in Physical ExaminationMusculoskeletal system (week 16)Abnormal NCS33 Participants
NovoRapidChange From Baseline in Physical ExaminationMusculoskeletal system (week 16)Abnormal CS6 Participants
NovoRapidChange From Baseline in Physical ExaminationRespiratory system (week 0)Normal534 Participants
NovoRapidChange From Baseline in Physical ExaminationRespiratory system (week 0)Abnormal NCS9 Participants
NovoRapidChange From Baseline in Physical ExaminationRespiratory system (week 0)Abnormal CS1 Participants
NovoRapidChange From Baseline in Physical ExaminationRespiratory system (week 16)Normal517 Participants
NovoRapidChange From Baseline in Physical ExaminationRespiratory system (week 16)Abnormal NCS14 Participants
NovoRapidChange From Baseline in Physical ExaminationRespiratory system (week 16)Abnormal CS2 Participants
NovoRapidChange From Baseline in Physical ExaminationSkin (week 0)Normal429 Participants
NovoRapidChange From Baseline in Physical ExaminationSkin (week 0)Abnormal NCS108 Participants
NovoRapidChange From Baseline in Physical ExaminationSkin (week 0)Abnormal CS7 Participants
NovoRapidChange From Baseline in Physical ExaminationSkin (week 16)Normal430 Participants
NovoRapidChange From Baseline in Physical ExaminationSkin (week 16)Abnormal NCS98 Participants
Secondary

Change From Baseline in Vital Signs: Pulse

Change in vital signs - pulse from baseline (week 0) was evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartChange From Baseline in Vital Signs: Pulse0.5 Beats per minStandard Deviation 9
NovoRapidChange From Baseline in Vital Signs: Pulse0.03 Beats per minStandard Deviation 8.9
Secondary

Change From Baseline in Vital Signs: Systolic and Diastolic Blood Presure

Change in vital signs - systolic and diastolic blood pressure from baseline (week 0) was evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Faster AspartChange From Baseline in Vital Signs: Systolic and Diastolic Blood PresureSystolic blood pressure0.4 mmHgStandard Deviation 14
Faster AspartChange From Baseline in Vital Signs: Systolic and Diastolic Blood PresureDiastolic blood pressure-0.4 mmHgStandard Deviation 8.9
NovoRapidChange From Baseline in Vital Signs: Systolic and Diastolic Blood PresureSystolic blood pressure-1.2 mmHgStandard Deviation 14.8
NovoRapidChange From Baseline in Vital Signs: Systolic and Diastolic Blood PresureDiastolic blood pressure-0.7 mmHgStandard Deviation 8.9
Secondary

Change From Baseline of the 7-9-7 Point SMPG Profile: Fluctuation in 7-9-7 Point Profile

Fluctuation in 7-point SMPG profile was the average absolute difference from the mean of the SMPG profile. Reported results are fluctuation in the 7-9-7 point SMPG profile from baseline (week 0) after 16 weeks of randomisation (i.e., week 16). The results are presented as ratio to baseline. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Faster AspartChange From Baseline of the 7-9-7 Point SMPG Profile: Fluctuation in 7-9-7 Point Profile0.82 RatioGeometric Coefficient of Variation 48.32
NovoRapidChange From Baseline of the 7-9-7 Point SMPG Profile: Fluctuation in 7-9-7 Point Profile0.85 RatioGeometric Coefficient of Variation 55.06
Secondary

Change From Baseline of the 7-9-7 Point SMPG Profile: Nocturnal SMPG Measurements

Change from baseline (week 0) in nocturnal SMPG measurements was assessed by considering the differences between PG values available at bedtime, at 4 AM and the before breakfast value the following day: (4 AM PG value minus at bedtime PG value), (before breakfast PG value minus at bedtime PG value) and (before breakfast PG value minus 4 AM PG value). Change from baseline in nocturnal increments in SMPG measurements of the 7-9-7 point SMPG profile was evaluated after 16 weeks of randomisation and presented during three different time intervals as follows: 1) 04:00 to breakfast, 2) bedtime to 04:00, and 3) bedtime to breakfast. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = full analysis set (FAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Faster AspartChange From Baseline of the 7-9-7 Point SMPG Profile: Nocturnal SMPG MeasurementsBedtime to 04:000.70 mmol/LStandard Deviation 4.09
Faster AspartChange From Baseline of the 7-9-7 Point SMPG Profile: Nocturnal SMPG MeasurementsBedtime to breakfast1.30 mmol/LStandard Deviation 4.25
Faster AspartChange From Baseline of the 7-9-7 Point SMPG Profile: Nocturnal SMPG Measurements04:00 to breakfast0.66 mmol/LStandard Deviation 2.76
NovoRapidChange From Baseline of the 7-9-7 Point SMPG Profile: Nocturnal SMPG MeasurementsBedtime to 04:000.29 mmol/LStandard Deviation 4.09
NovoRapidChange From Baseline of the 7-9-7 Point SMPG Profile: Nocturnal SMPG MeasurementsBedtime to breakfast0.90 mmol/LStandard Deviation 3.99
NovoRapidChange From Baseline of the 7-9-7 Point SMPG Profile: Nocturnal SMPG Measurements04:00 to breakfast0.75 mmol/LStandard Deviation 2.87
Secondary

Change From Baseline of the 7-9-7 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)

Change from baseline (week 0) in PPG increment (breakfast, lunch, main evening meal and mean over all meals) of the 7-9-7 point SMPG profile was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. PPG increment based on the 7-9-7-point profiles were derived separately for PG measurements made at 1 hour after main meals (breakfast, lunch and main evening meal). PPG incremental value for each time point was derived as PPG value at that time point minus the preprandial glucose value. In trial observation period was from date of randomisation and until last trial-related participant-site contact.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = full analysis set (FAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Faster AspartChange From Baseline of the 7-9-7 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)Breakfast-0.56 mmol/LStandard Deviation 2.23
Faster AspartChange From Baseline of the 7-9-7 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)Lunch-0.38 mmol/LStandard Deviation 2.69
Faster AspartChange From Baseline of the 7-9-7 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)Main evening meal-0.44 mmol/LStandard Deviation 2.61
Faster AspartChange From Baseline of the 7-9-7 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)All meals-0.48 mmol/LStandard Deviation 1.55
NovoRapidChange From Baseline of the 7-9-7 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)All meals-0.23 mmol/LStandard Deviation 1.42
NovoRapidChange From Baseline of the 7-9-7 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)Breakfast-0.42 mmol/LStandard Deviation 2.17
NovoRapidChange From Baseline of the 7-9-7 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)Main evening meal-0.10 mmol/LStandard Deviation 2.28
NovoRapidChange From Baseline of the 7-9-7 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)Lunch-0.23 mmol/LStandard Deviation 2.46
Secondary

Change From Baseline of the 7-9-7 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)

Change from baseline (week 0) in PPG (breakfast, lunch, main evening meal and mean over all meals) of the 7-9-7 point SMPG profile was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = full analysis set (FAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Faster AspartChange From Baseline of the 7-9-7 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)Breakfast-0.38 mmol/LStandard Deviation 2.53
Faster AspartChange From Baseline of the 7-9-7 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)Lunch-0.78 mmol/LStandard Deviation 2.48
Faster AspartChange From Baseline of the 7-9-7 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)Main evening meal-1.04 mmol/LStandard Deviation 2.67
Faster AspartChange From Baseline of the 7-9-7 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)All meals-0.75 mmol/LStandard Deviation 1.89
NovoRapidChange From Baseline of the 7-9-7 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)All meals-0.52 mmol/LStandard Deviation 1.91
NovoRapidChange From Baseline of the 7-9-7 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)Breakfast-0.28 mmol/LStandard Deviation 2.44
NovoRapidChange From Baseline of the 7-9-7 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)Main evening meal-0.71 mmol/LStandard Deviation 2.5
NovoRapidChange From Baseline of the 7-9-7 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)Lunch-0.58 mmol/LStandard Deviation 2.68
Secondary

Change From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour Postprandial Glucose (PPG [Meal Test])

Change from baseline (week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour postprandial glucose (PPG \[meal test\]) was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact. Meal test: The subjects were given a carbohydrate-rich standardised liquid meal immediately after bolus (faster aspart or NovoRapid) infusion in the morning of the meal test. The subjects were to consume the meal as quickly as possible (within 12 minutes) and blood samples were drawn after 30 minutes, 1, 2, 3 and 4 hours from the start of the meal.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = full analysis set (FAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Faster AspartChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour Postprandial Glucose (PPG [Meal Test])1-hour0.03 mmol/LStandard Deviation 3.3
Faster AspartChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour Postprandial Glucose (PPG [Meal Test])3-hour0.30 mmol/LStandard Deviation 3.85
Faster AspartChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour Postprandial Glucose (PPG [Meal Test])2-hour0.08 mmol/LStandard Deviation 3.96
Faster AspartChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour Postprandial Glucose (PPG [Meal Test])4-hour0.51 mmol/LStandard Deviation 3.47
Faster AspartChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour Postprandial Glucose (PPG [Meal Test])30-min0.31 mmol/LStandard Deviation 2.9
NovoRapidChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour Postprandial Glucose (PPG [Meal Test])4-hour0.75 mmol/LStandard Deviation 3.51
NovoRapidChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour Postprandial Glucose (PPG [Meal Test])30-min0.55 mmol/LStandard Deviation 2.8
NovoRapidChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour Postprandial Glucose (PPG [Meal Test])1-hour0.68 mmol/LStandard Deviation 3.23
NovoRapidChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour Postprandial Glucose (PPG [Meal Test])2-hour0.61 mmol/LStandard Deviation 3.48
NovoRapidChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour Postprandial Glucose (PPG [Meal Test])3-hour0.89 mmol/LStandard Deviation 3.72
Secondary

Change From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)

Change from baseline (week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour PPG increment (meal test) was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact. Meal test: The subjects were given a carbohydrate-rich standardised liquid meal immediately after bolus (faster aspart or NovoRapid) infusion in the morning of the meal test. The subjects were to consume the meal as quickly as possible (within 12 minutes) and blood samples were drawn after 30 minutes, 1, 2, 3 and 4 hours from the start of the meal. PPG incremental value for each time point was derived as PPG value at that time point minus the preprandial glucose value.

Time frame: Week 0, week 16

Population: Overall number of participants analyzed = full analysis set (FAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Faster AspartChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)1-hour-0.43 mmol/LStandard Deviation 2.45
Faster AspartChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)3-hour-0.15 mmol/LStandard Deviation 3.23
Faster AspartChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)2-hour-0.37 mmol/LStandard Deviation 3.25
Faster AspartChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)4-hour0.04 mmol/LStandard Deviation 3
Faster AspartChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)30-min-0.13 mmol/LStandard Deviation 1.85
NovoRapidChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)4-hour0.15 mmol/LStandard Deviation 3.45
NovoRapidChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)30-min-0.05 mmol/LStandard Deviation 1.95
NovoRapidChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)1-hour0.08 mmol/LStandard Deviation 2.65
NovoRapidChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)2-hour0.001 mmol/LStandard Deviation 3.13
NovoRapidChange From Baseline (Week 0) in 30-minute, 1-hour, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)3-hour0.28 mmol/LStandard Deviation 3.54
Secondary

Individual Meal Insulin Dose: in Units

Individual meal time bolus insulin dose (Units) for breakast, lunch and main evening meal was evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: 16 weeks from randomisation

Population: Overall number of participants analyzed = safety analysis set (SAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Faster AspartIndividual Meal Insulin Dose: in UnitsBreakfast16.27 UnitsStandard Deviation 12.04
Faster AspartIndividual Meal Insulin Dose: in UnitsLunch18.51 UnitsStandard Deviation 12.09
Faster AspartIndividual Meal Insulin Dose: in UnitsDaily main evening meal19.88 UnitsStandard Deviation 13.46
NovoRapidIndividual Meal Insulin Dose: in UnitsBreakfast15.52 UnitsStandard Deviation 11.38
NovoRapidIndividual Meal Insulin Dose: in UnitsLunch17.96 UnitsStandard Deviation 11.73
NovoRapidIndividual Meal Insulin Dose: in UnitsDaily main evening meal19.85 UnitsStandard Deviation 14.47
Secondary

Individual Meal Insulin Dose: in Units/kg

Individual meal time bolus insulin dose (Units/kg) for breakast, lunch and main evening meal was evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: 16 weeks from randomisation

Population: Overall number of participants analyzed = safety analysis set (SAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Faster AspartIndividual Meal Insulin Dose: in Units/kgBreakfast0.17 Units/kgStandard Deviation 0.12
Faster AspartIndividual Meal Insulin Dose: in Units/kgLunch0.19 Units/kgStandard Deviation 0.11
Faster AspartIndividual Meal Insulin Dose: in Units/kgDaily main evening meal0.21 Units/kgStandard Deviation 0.13
NovoRapidIndividual Meal Insulin Dose: in Units/kgBreakfast0.16 Units/kgStandard Deviation 0.11
NovoRapidIndividual Meal Insulin Dose: in Units/kgLunch0.19 Units/kgStandard Deviation 0.12
NovoRapidIndividual Meal Insulin Dose: in Units/kgDaily main evening meal0.20 Units/kgStandard Deviation 0.14
Secondary

Number of Treatment Emergent Adverse Events

Number of treatment emergent adverse events were recorded from week 0 to week 16. The results are based on the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Weeks 0-16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (NUMBER)
Faster AspartNumber of Treatment Emergent Adverse Events667 Events
NovoRapidNumber of Treatment Emergent Adverse Events643 Events
Secondary

Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the Meal

Number of treatment emergent hypoglycaemic episodes according to the ADA and NN definitions were evaluated between 2 to 4 hours after start of the meal. The results are based on the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Weeks 0-16

Population: Overall number of participants analyzed = safety analysis set (SAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (NUMBER)
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealADA: Severe4 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealADA: Documented symptomatic1162 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealADA: Asymptomatic651 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealADA: Probable symptomatic21 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealADA: Pseudo45 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealADA: Unclassifiable0 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealNN: BG confirmed529 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealNN: Severe or BG confirmed symptomatic376 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealNN: Unclassifiable1350 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealNot able to selftreat - unclassifiable0 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealNN: Severe or BG confirmed533 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealADA: Unclassifiable0 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealADA: Severe8 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealNot able to selftreat - unclassifiable0 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealADA: Documented symptomatic1436 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealNN: BG confirmed719 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealADA: Asymptomatic585 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealNN: Unclassifiable1337 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealADA: Probable symptomatic16 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealNN: Severe or BG confirmed symptomatic608 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealADA: Pseudo19 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 2 to 4 Hours After Start of the MealNN: Severe or BG confirmed727 Number of hypoglycaemic episodes
Secondary

Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)

Number of treatment emergent day time hypoglycaemic episodes according to the ADA and NN definitions were evaluated between 06:00 and 00:00 (both included). The results are based on the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Weeks 0-16

Population: Overall number of participants analyzed = safety analysis set (SAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (NUMBER)
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)ADA: Probable symptomatic62 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)NN: BG confirmed2016 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)ADA: Asymptomatic3617 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)NN: Severe or BG confirmed symptomatic1333 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)ADA: Pseudo141 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)NN: Severe or BG confirmed2032 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)ADA: Documented symptomatic4703 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)NN: Unclassifiable6510 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)ADA: Unclassifiable3 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)Not able to selftreat - unclassifiable0 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)ADA: Severe16 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)Not able to selftreat - unclassifiable0 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)ADA: Severe12 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)ADA: Documented symptomatic5700 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)ADA: Asymptomatic3484 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)ADA: Probable symptomatic64 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)ADA: Pseudo66 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)ADA: Unclassifiable3 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)NN: BG confirmed2442 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)NN: Severe or BG confirmed symptomatic1814 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)NN: Severe or BG confirmed2454 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)NN: Unclassifiable6875 Number of hypoglycaemic episodes
Secondary

Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the Meal

Number of treatment emergent hypoglycaemic episodes according to the ADA and NN definitions were evaluated during the first 1 hour after start of the meal. The results are based on the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Weeks 0-16

Population: Overall number of participants analyzed = safety analysis set (SAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (NUMBER)
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealADA: Probable symptomatic11 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealNN: BG confirmed72 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealADA: Asymptomatic87 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealNN: Severe or BG confirmed symptomatic48 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealADA: Pseudo2 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealNN: Severe or BG confirmed74 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealADA: Documented symptomatic149 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealNN: Unclassifiable177 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealADA: Unclassifiable0 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealNot able to selftreat - unclassifiable0 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealADA: Severe2 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealNot able to selftreat - unclassifiable0 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealADA: Severe0 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealADA: Documented symptomatic148 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealADA: Asymptomatic80 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealADA: Probable symptomatic8 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealADA: Pseudo4 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealADA: Unclassifiable0 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealNN: BG confirmed65 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealNN: Severe or BG confirmed symptomatic50 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealNN: Severe or BG confirmed65 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 1 Hour After Start of the MealNN: Unclassifiable175 Number of hypoglycaemic episodes
Secondary

Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the Meal

Number of treatment emergent hypoglycaemic episodes according to the ADA and NN definitions were evaluated during the first 2 hours after start of the meal. The results are based on the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Weeks 0-16

Population: Overall number of participants analyzed = safety analysis set (SAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (NUMBER)
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealADA: Probable symptomatic16 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealNN: BG confirmed233 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealADA: Asymptomatic201 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealNN: Severe or BG confirmed symptomatic181 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealADA: Pseudo10 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealNN: Severe or BG confirmed235 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealADA: Documented symptomatic465 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealNN: Unclassifiable459 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealADA: Unclassifiable0 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealNot able to selftreat - unclassifiable0 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealADA: Severe2 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealNot able to selftreat - unclassifiable0 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealADA: Severe1 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealADA: Documented symptomatic446 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealADA: Asymptomatic159 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealADA: Probable symptomatic11 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealADA: Pseudo7 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealADA: Unclassifiable0 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealNN: BG confirmed246 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealNN: Severe or BG confirmed symptomatic212 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealNN: Severe or BG confirmed247 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the MealNN: Unclassifiable377 Number of hypoglycaemic episodes
Secondary

Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the Meal

Number of treatment emergent hypoglycaemic episodes according to the ADA and NN definitions were evaluated during the first 4 hours after start of the meal. The results are based on the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Weeks 0-16

Population: Overall number of participants analyzed = safety analysis set (SAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (NUMBER)
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealADA: Probable symptomatic37 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealNN: BG confirmed762 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealADA: Asymptomatic852 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealNN: Severe or BG confirmed symptomatic557 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealADA: Pseudo55 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealNN: Severe or BG confirmed768 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealADA: Documented symptomatic1627 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealNN: Unclassifiable1809 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealADA: Unclassifiable0 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealNot able to selftreat - unclassifiable0 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealADA: Severe6 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealNot able to selftreat - unclassifiable0 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealADA: Severe9 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealADA: Documented symptomatic1882 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealADA: Asymptomatic744 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealADA: Probable symptomatic27 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealADA: Pseudo26 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealADA: Unclassifiable0 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealNN: BG confirmed965 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealNN: Severe or BG confirmed symptomatic820 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealNN: Severe or BG confirmed974 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the MealNN: Unclassifiable1714 Number of hypoglycaemic episodes
Secondary

Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)

Number of treatment emergent nocturnal hypoglycaemic episodes according to the ADA and NN definitions were evaluated between 00:01 and 05:59 (both included). The results are based on the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Weeks 0-16

Population: Overall number of participants analyzed = safety analysis set (SAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (NUMBER)
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)ADA: Probable symptomatic6 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)NN: BG confirmed193 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)ADA: Asymptomatic144 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)NN: Severe or BG confirmed symptomatic157 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)ADA: Pseudo4 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)NN: Severe or BG confirmed195 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)ADA: Documented symptomatic335 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)NN: Unclassifiable296 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)ADA: Unclassifiable0 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)Not able to selftreat - unclassifiable0 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)ADA: Severe2 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)Not able to selftreat - unclassifiable0 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)ADA: Severe2 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)ADA: Documented symptomatic465 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)ADA: Asymptomatic197 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)ADA: Probable symptomatic4 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)ADA: Pseudo9 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)ADA: Unclassifiable0 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)NN: BG confirmed293 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)NN: Severe or BG confirmed symptomatic241 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)NN: Severe or BG confirmed295 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)NN: Unclassifiable382 Number of hypoglycaemic episodes
Secondary

Number of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: Overall

ADA classification of hypos: 1. Severe: Requiring assistance of another person to actively administer carbohydrate/glucagon/take other corrective actions. PG levels may not be available during an event, but neurological recovery following return of PG to normal is considered sufficient evidence that event was induced by a low PG level. 2. Documented symptomatic: PG ≤3.9 mmol/L with symptoms. 3. Asymptomatic: PG ≤3.9 mmol/L without symptoms. 4. Probable symptomatic: No measurement with symptoms. 5. Pseudo: PG \>3.9 mmol/L with symptoms. 6. Unclassifiable. NN classification of hypos: 1. BG confirmed: PG \<3.1 mmol/L with/without symptoms. 2. Severe or BG confirmed symptomatic: Severe as per ADA and BG confirmed by PG \<3.1 mmol/L with symptoms. 3. Severe or BG confirmed: Severe as per ADA and BG confirmed by PG \<3.1 mmol/L with/without symptoms. 4. Unclassifiable. Not able to self treat-unclassifiable: Not able to self treat but not classifiable as severe hypoglycaemia.

Time frame: Weeks 0-16

Population: Overall number of participants analyzed = safety analysis set (SAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (NUMBER)
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallADA: Severe18 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallADA: Documented symptomatic5038 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallADA: Asymptomatic3761 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallADA: Probable symptomatic68 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallADA: Pseudo145 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallADA: Unclassifiable3 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallNN: BG confirmed2209 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallNN: Severe or BG confirmed symptomatic1490 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallNN: Unclassifiable6806 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallNot able to selftreat - unclassifiable0 Number of hypoglycaemic episodes
Faster AspartNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallNN: Severe or BG confirmed2227 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallADA: Unclassifiable3 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallADA: Severe14 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallNot able to selftreat - unclassifiable0 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallADA: Documented symptomatic6165 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallNN: BG confirmed2735 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallADA: Asymptomatic3681 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallNN: Unclassifiable7257 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallADA: Probable symptomatic68 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallNN: Severe or BG confirmed symptomatic2055 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallADA: Pseudo75 Number of hypoglycaemic episodes
NovoRapidNumber of Treatment Emergent Hypoglycaemic Episodes (Hypos) According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: OverallNN: Severe or BG confirmed2749 Number of hypoglycaemic episodes
Secondary

Number of Treatment Emergent Injection Site Reactions

Number of treatment emergent injection site reactions were recorded from week 0 to week 16. The results are based on the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: Weeks 0-16

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (NUMBER)
Faster AspartNumber of Treatment Emergent Injection Site Reactions3 Number of injection site reactions
NovoRapidNumber of Treatment Emergent Injection Site Reactions1 Number of injection site reactions
Secondary

Participants Who Achieved HbA1c <7.0% (53 mmol/L) Without Severe Hypoglycaemia Episodes (Yes/No)

Number of participants reaching HbA1c \<7.0% (53 mmol/L) without severe hypoglycaemia episodes was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.

Time frame: 16 weeks after randomisation

Population: Overall number of participants analyzed = full analysis set (FAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Faster AspartParticipants Who Achieved HbA1c <7.0% (53 mmol/L) Without Severe Hypoglycaemia Episodes (Yes/No)Yes265 Participants
Faster AspartParticipants Who Achieved HbA1c <7.0% (53 mmol/L) Without Severe Hypoglycaemia Episodes (Yes/No)No281 Participants
NovoRapidParticipants Who Achieved HbA1c <7.0% (53 mmol/L) Without Severe Hypoglycaemia Episodes (Yes/No)No267 Participants
NovoRapidParticipants Who Achieved HbA1c <7.0% (53 mmol/L) Without Severe Hypoglycaemia Episodes (Yes/No)Yes278 Participants
Secondary

Participants Who Achieved HbA1c <7.0% (53 mmol/L) (Yes/No)

Number of participants reaching HbA1c \<7.0% (53 mmol/L) was evaluated after 16 weeks of randomisation. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.

Time frame: 16 weeks after randomisation

Population: Overall number of participants analyzed = full analysis set (FAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Faster AspartParticipants Who Achieved HbA1c <7.0% (53 mmol/L) (Yes/No)Yes271 Participants
Faster AspartParticipants Who Achieved HbA1c <7.0% (53 mmol/L) (Yes/No)No275 Participants
NovoRapidParticipants Who Achieved HbA1c <7.0% (53 mmol/L) (Yes/No)Yes282 Participants
NovoRapidParticipants Who Achieved HbA1c <7.0% (53 mmol/L) (Yes/No)No263 Participants
Secondary

Participants Who Achieved Overall PPG (1 Hour) <7.8 mmol/L (140 mg/dL) (Yes/No)

Participants reaching overall PPG (1 hour) ≤7.8 mmol/L \[140 mg/dL\] was evaluated after 16 weeks of randomisation. Participants without a postprandial glucose measurement at week 16 were considered not to have achieved HbA1c target at week 16. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.

Time frame: 16 weeks after randomisation

Population: Overall number of participants analyzed = full analysis set (FAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Faster AspartParticipants Who Achieved Overall PPG (1 Hour) <7.8 mmol/L (140 mg/dL) (Yes/No)Yes186 Participants
Faster AspartParticipants Who Achieved Overall PPG (1 Hour) <7.8 mmol/L (140 mg/dL) (Yes/No)No360 Participants
NovoRapidParticipants Who Achieved Overall PPG (1 Hour) <7.8 mmol/L (140 mg/dL) (Yes/No)Yes192 Participants
NovoRapidParticipants Who Achieved Overall PPG (1 Hour) <7.8 mmol/L (140 mg/dL) (Yes/No)No353 Participants
Secondary

Participants Who Achieved Overall PPG <7.8 mmol/L (140 mg/dL) Without Severe Hypoglycaemia Episodes (Yes/No)

Participants reaching overall PPG (1 hour) ≤7.8 mmol/L \[140 mg/dL\] without severe hypoglycaemia episodes was evaluated after 16 weeks of randomisation. Participants without a postprandial glucose measurement at week 16 were considered not to have achieved HbA1c target at week 16. The results are based on the last in-trial value, which included the last available measurement in the in-trial period. In trial observation period was from date of randomisation and until last trial-related participant-site contact.

Time frame: 16 weeks after randomisation

Population: Overall number of participants analyzed = full analysis set (FAS) which comprised all randomised participants. Number Analyzed = number of participants with available data.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Faster AspartParticipants Who Achieved Overall PPG <7.8 mmol/L (140 mg/dL) Without Severe Hypoglycaemia Episodes (Yes/No)Yes182 Participants
Faster AspartParticipants Who Achieved Overall PPG <7.8 mmol/L (140 mg/dL) Without Severe Hypoglycaemia Episodes (Yes/No)No364 Participants
NovoRapidParticipants Who Achieved Overall PPG <7.8 mmol/L (140 mg/dL) Without Severe Hypoglycaemia Episodes (Yes/No)Yes190 Participants
NovoRapidParticipants Who Achieved Overall PPG <7.8 mmol/L (140 mg/dL) Without Severe Hypoglycaemia Episodes (Yes/No)No355 Participants
Secondary

Total Basal Insulin Dose: in Units/Day

Total basal insulin dose (Units/day) was evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: 16 weeks from randomisation

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartTotal Basal Insulin Dose: in Units/Day63.76 Units/dayStandard Deviation 35.21
NovoRapidTotal Basal Insulin Dose: in Units/Day62.25 Units/dayStandard Deviation 36.03
Secondary

Total Basal Insulin Dose: in Units/kg/Day

Total basal insulin dose (Units/kg/day) was evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: 16 weeks from randomisation

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartTotal Basal Insulin Dose: in Units/kg/Day0.66 Units/kg/dayStandard Deviation 0.32
NovoRapidTotal Basal Insulin Dose: in Units/kg/Day0.64 Units/kg/dayStandard Deviation 0.32
Secondary

Total Bolus Insulin Dose: in Units/Day

Total bolus insulin dose (Units/day) was evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: 16 weeks from randomisation

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartTotal Bolus Insulin Dose: in Units/Day54.72 Units/dayStandard Deviation 35.82
NovoRapidTotal Bolus Insulin Dose: in Units/Day53.38 Units/dayStandard Deviation 35.35
Secondary

Total Bolus Insulin Dose: in Units/kg/Day

Total bolus insulin dose (Units/kg/day) was evaluated after 16 weeks of randomisation. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. On-treatment period started from date of first dose of randomised NovoRapid/faster aspart and to 7 days after day of last dose or day before initiation of ancillary treatment.

Time frame: 16 weeks from randomisation

Population: Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Faster AspartTotal Bolus Insulin Dose: in Units/kg/Day0.57 Units/kg/dayStandard Deviation 0.33
NovoRapidTotal Bolus Insulin Dose: in Units/kg/Day0.55 Units/kg/dayStandard Deviation 0.34

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026