Trial Outcomes & Findings for Comparison of Two Basal Insulins for Patients With Type 2 Diabetes Taking Oral Diabetes Medicines and Exenatide (NCT NCT00560417)

NCT ID: NCT00560417

Last Updated: 2011-01-13

Results Overview

Least squares mean values were controlled for Baseline + Baseline HbA1c Group + Baseline sulfonylurea (SU) Group.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

339 participants

Primary outcome timeframe

Baseline, Endpoint (LOCF) up to 24 weeks

Results posted on

2011-01-13

Participant Flow

Intention to Treat (ITT) Population consisted of all randomized participants who received at least one dose of study drug and had at least one post-baseline measurement.

Participant milestones

Participant milestones
Measure
ILPS
Insulin Lispro Protamine Suspension (ILPS) administered subcutaneously once a day at bedtime for 24 weeks
Glargine
Insulin Glargine administered subcutaneously once a day at bedtime for 24 weeks
Overall Study
STARTED
171
168
Overall Study
Intention to Treat (ITT) Population
170
167
Overall Study
COMPLETED
154
151
Overall Study
NOT COMPLETED
17
17

Reasons for withdrawal

Reasons for withdrawal
Measure
ILPS
Insulin Lispro Protamine Suspension (ILPS) administered subcutaneously once a day at bedtime for 24 weeks
Glargine
Insulin Glargine administered subcutaneously once a day at bedtime for 24 weeks
Overall Study
Adverse Event
3
2
Overall Study
Entry Criteria Not Met
1
0
Overall Study
Lost to Follow-up
0
1
Overall Study
Physician Decision
2
6
Overall Study
Protocol Violation
6
5
Overall Study
Sponsor Decision
2
0
Overall Study
Withdrawal by Subject
3
3

Baseline Characteristics

Comparison of Two Basal Insulins for Patients With Type 2 Diabetes Taking Oral Diabetes Medicines and Exenatide

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ILPS
n=171 Participants
Insulin Lispro Protamine Suspension (ILPS) administered subcutaneously once a day at bedtime for 24 weeks
Glargine
n=168 Participants
Insulin Glargine administered subcutaneously once a day at bedtime for 24 weeks
Total
n=339 Participants
Total of all reporting groups
Age Continuous
56.51 years
STANDARD_DEVIATION 9.73 • n=5 Participants
56.24 years
STANDARD_DEVIATION 9.33 • n=7 Participants
56.38 years
STANDARD_DEVIATION 9.52 • n=5 Participants
Sex: Female, Male
Female
95 Participants
n=5 Participants
75 Participants
n=7 Participants
170 Participants
n=5 Participants
Sex: Female, Male
Male
76 Participants
n=5 Participants
93 Participants
n=7 Participants
169 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
13 participants
n=5 Participants
14 participants
n=7 Participants
27 participants
n=5 Participants
Race/Ethnicity, Customized
East Asian
5 participants
n=5 Participants
6 participants
n=7 Participants
11 participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
21 participants
n=5 Participants
17 participants
n=7 Participants
38 participants
n=5 Participants
Race/Ethnicity, Customized
Native American
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Race/Ethnicity, Customized
West Asian (Indian sub-continent)
2 participants
n=5 Participants
0 participants
n=7 Participants
2 participants
n=5 Participants
Race/Ethnicity, Customized
White
130 participants
n=5 Participants
130 participants
n=7 Participants
260 participants
n=5 Participants
Region of Enrollment
United States
165 participants
n=5 Participants
165 participants
n=7 Participants
330 participants
n=5 Participants
Region of Enrollment
Puerto Rico
6 participants
n=5 Participants
3 participants
n=7 Participants
9 participants
n=5 Participants
Body Mass Index
34.92 kilograms/square meters (kg/m^2)
STANDARD_DEVIATION 5.21 • n=5 Participants
34.78 kilograms/square meters (kg/m^2)
STANDARD_DEVIATION 5.17 • n=7 Participants
34.85 kilograms/square meters (kg/m^2)
STANDARD_DEVIATION 5.18 • n=5 Participants
Body Weight
101.57 Kilograms
STANDARD_DEVIATION 18.67 • n=5 Participants
102.33 Kilograms
STANDARD_DEVIATION 19.73 • n=7 Participants
101.95 Kilograms
STANDARD_DEVIATION 19.18 • n=5 Participants
Hemoglobin A1C
8.21 percent of glycosylated hemoglobin
STANDARD_DEVIATION 0.79 • n=5 Participants
8.22 percent of glycosylated hemoglobin
STANDARD_DEVIATION 0.80 • n=7 Participants
8.22 percent of glycosylated hemoglobin
STANDARD_DEVIATION 0.79 • n=5 Participants
Sulfonylurea Group
Yes
108 participants
n=5 Participants
110 participants
n=7 Participants
218 participants
n=5 Participants
Sulfonylurea Group
No
63 participants
n=5 Participants
58 participants
n=7 Participants
121 participants
n=5 Participants
Duration of Diabetes
9.51 years
STANDARD_DEVIATION 5.98 • n=5 Participants
10.31 years
STANDARD_DEVIATION 6.63 • n=7 Participants
9.91 years
STANDARD_DEVIATION 6.31 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Endpoint (LOCF) up to 24 weeks

Population: All randomized participants with at least one post-baseline measurement. Intention to Treat (ITT) population.

Least squares mean values were controlled for Baseline + Baseline HbA1c Group + Baseline sulfonylurea (SU) Group.

Outcome measures

Outcome measures
Measure
ILPS
n=170 Participants
Insulin Lispro Protamine Suspension (ILPS) administered subcutaneously once a day at bedtime for 24 weeks
Glargine
n=167 Participants
Insulin Glargine administered subcutaneously once a day at bedtime for 24 weeks
Change From Baseline in Hemoglobin A1C (HbA1c) at Endpoint (Last Observation Carried Forward [LOCF])
Baseline
8.48 percent of glycosylated hemoglobin
Standard Error 0.04
8.47 percent of glycosylated hemoglobin
Standard Error 0.04
Change From Baseline in Hemoglobin A1C (HbA1c) at Endpoint (Last Observation Carried Forward [LOCF])
Endpoint (LOCF) Change
-1.21 percent of glycosylated hemoglobin
Standard Error 0.07
-1.43 percent of glycosylated hemoglobin
Standard Error 0.07

SECONDARY outcome

Timeframe: 24 weeks, Endpoint (LOCF) up to 24 weeks

Population: All randomized participants with at least one post-baseline measurement. Intention to Treat (ITT) population.

Least squares mean values were controlled for Baseline + Baseline HbA1c Group + Baseline SU Group.

Outcome measures

Outcome measures
Measure
ILPS
n=170 Participants
Insulin Lispro Protamine Suspension (ILPS) administered subcutaneously once a day at bedtime for 24 weeks
Glargine
n=167 Participants
Insulin Glargine administered subcutaneously once a day at bedtime for 24 weeks
Actual Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)
24 weeks
6.94 percent of glycosylated hemoglobin
Standard Error 0.07
6.70 percent of glycosylated hemoglobin
Standard Error 0.06
Actual Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)
Endpoint (LOCF)
7.00 percent of glycosylated hemoglobin
Standard Error 0.07
6.78 percent of glycosylated hemoglobin
Standard Error 0.07

SECONDARY outcome

Timeframe: Baseline, 24 Weeks, Endpoint (LOCF) up to 24 weeks

Population: All randomized participants with at least one post-baseline measurement. Intention to Treat (ITT) population.

Least squares mean values were controlled for Baseline + Baseline HbA1c Group + Baseline SU Group.

Outcome measures

Outcome measures
Measure
ILPS
n=170 Participants
Insulin Lispro Protamine Suspension (ILPS) administered subcutaneously once a day at bedtime for 24 weeks
Glargine
n=167 Participants
Insulin Glargine administered subcutaneously once a day at bedtime for 24 weeks
Change From Baseline in Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)
Baseline
8.48 percent of glycosylated hemoglobin
Standard Error 0.04
8.47 percent of glycosylated hemoglobin
Standard Error 0.04
Change From Baseline in Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)
24 Weeks Change
-1.25 percent of glycosylated hemoglobin
Standard Error 0.07
-1.49 percent of glycosylated hemoglobin
Standard Error 0.06
Change From Baseline in Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)
Endpoint (LOCF) Change
-1.21 percent of glycosylated hemoglobin
Standard Error 0.07
-1.43 percent of glycosylated hemoglobin
Standard Error 0.07

SECONDARY outcome

Timeframe: Weeks 12, 18, 24 and Endpoint (LOCF) up to 24 weeks

Population: All randomized participants with at least one post-baseline measurement. Intention to Treat (ITT) population.

Outcome measures

Outcome measures
Measure
ILPS
n=170 Participants
Insulin Lispro Protamine Suspension (ILPS) administered subcutaneously once a day at bedtime for 24 weeks
Glargine
n=167 Participants
Insulin Glargine administered subcutaneously once a day at bedtime for 24 weeks
Percentage of Participants With Hemoglobin A1C Less Than 7.0% and Hemoglobin A1C Less Than or Equal to 6.5%
Week 18: HbA1c <7.0%
54.8 percent of participants
69.1 percent of participants
Percentage of Participants With Hemoglobin A1C Less Than 7.0% and Hemoglobin A1C Less Than or Equal to 6.5%
Week 12: HbA1c <7.0%
46.9 percent of participants
50.7 percent of participants
Percentage of Participants With Hemoglobin A1C Less Than 7.0% and Hemoglobin A1C Less Than or Equal to 6.5%
Week 12: HbA1c <=6.5%
24.8 percent of participants
28.7 percent of participants
Percentage of Participants With Hemoglobin A1C Less Than 7.0% and Hemoglobin A1C Less Than or Equal to 6.5%
Week 18: HbA1c <=6.5%
30.8 percent of participants
37.6 percent of participants
Percentage of Participants With Hemoglobin A1C Less Than 7.0% and Hemoglobin A1C Less Than or Equal to 6.5%
Week 24: HbA1c <7.0%
55.4 percent of participants
63.4 percent of participants
Percentage of Participants With Hemoglobin A1C Less Than 7.0% and Hemoglobin A1C Less Than or Equal to 6.5%
Week 24: HbA1c <=6.5%
29.7 percent of participants
39.9 percent of participants
Percentage of Participants With Hemoglobin A1C Less Than 7.0% and Hemoglobin A1C Less Than or Equal to 6.5%
Endpoint (LOCF): HbA1c <7.0%
53.7 percent of participants
61.7 percent of participants
Percentage of Participants With Hemoglobin A1C Less Than 7.0% and Hemoglobin A1C Less Than or Equal to 6.5%
Endpoint (LOCF): HbA1c <=6.5%
28.4 percent of participants
38.9 percent of participants

SECONDARY outcome

Timeframe: Baseline, Endpoint (LOCF) up to 24 weeks

Population: All randomized participants with at least one post-baseline measurement. Intention to Treat (ITT) population.

SMBG at morning pre-meal, morning post-prandial, midday pre-meal, midday post-prandial, evening pre-meal, evening postprandial, 0300 hours. Post-prandial glucose is measured 2 hours after the start of the meal.

Outcome measures

Outcome measures
Measure
ILPS
n=170 Participants
Insulin Lispro Protamine Suspension (ILPS) administered subcutaneously once a day at bedtime for 24 weeks
Glargine
n=167 Participants
Insulin Glargine administered subcutaneously once a day at bedtime for 24 weeks
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Baseline Morning Pre-Meal
175.41 milligrams per deciliter (mg/dL)
Standard Deviation 39.54
180.86 milligrams per deciliter (mg/dL)
Standard Deviation 38.95
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Baseline Morning Postprandial
195.31 milligrams per deciliter (mg/dL)
Standard Deviation 54.65
190.84 milligrams per deciliter (mg/dL)
Standard Deviation 54.95
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Baseline Midday Pre-Meal
165.18 milligrams per deciliter (mg/dL)
Standard Deviation 43.51
166.34 milligrams per deciliter (mg/dL)
Standard Deviation 47.64
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Baseline Midday Postprandial
193.22 milligrams per deciliter (mg/dL)
Standard Deviation 46.95
200.25 milligrams per deciliter (mg/dL)
Standard Deviation 54.64
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Baseline Evening Pre-Meal
173.33 milligrams per deciliter (mg/dL)
Standard Deviation 44.60
175.14 milligrams per deciliter (mg/dL)
Standard Deviation 43.35
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Baseline Evening Postprandial
189.00 milligrams per deciliter (mg/dL)
Standard Deviation 49.62
184.92 milligrams per deciliter (mg/dL)
Standard Deviation 49.42
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Baseline 0300 Hours
170.51 milligrams per deciliter (mg/dL)
Standard Deviation 43.44
172.00 milligrams per deciliter (mg/dL)
Standard Deviation 39.10
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Baseline Daily Mean 7-Point Blood Glucose
180.19 milligrams per deciliter (mg/dL)
Standard Deviation 36.95
180.72 milligrams per deciliter (mg/dL)
Standard Deviation 38.17
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Baseline Daily Mean Pre-Meal
170.60 milligrams per deciliter (mg/dL)
Standard Deviation 36.06
172.66 milligrams per deciliter (mg/dL)
Standard Deviation 38.60
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Baseline Daily Mean Postprandial
192.37 milligrams per deciliter (mg/dL)
Standard Deviation 41.48
191.27 milligrams per deciliter (mg/dL)
Standard Deviation 46.11
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Endpoint Morning Pre-Meal
129.63 milligrams per deciliter (mg/dL)
Standard Deviation 31.58
127.01 milligrams per deciliter (mg/dL)
Standard Deviation 29.08
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Endpoint Morning Postprandial
152.32 milligrams per deciliter (mg/dL)
Standard Deviation 44.81
137.39 milligrams per deciliter (mg/dL)
Standard Deviation 36.65
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Endpoint Midday Pre-Meal
132.84 milligrams per deciliter (mg/dL)
Standard Deviation 36.63
129.71 milligrams per deciliter (mg/dL)
Standard Deviation 34.34
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Endpoint Midday Postprandial
161.77 milligrams per deciliter (mg/dL)
Standard Deviation 42.46
155.26 milligrams per deciliter (mg/dL)
Standard Deviation 37.86
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Endpoint Evening Pre-Meal
146.03 milligrams per deciliter (mg/dL)
Standard Deviation 37.93
135.93 milligrams per deciliter (mg/dL)
Standard Deviation 33.79
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Endpoint Evening Postprandial
159.14 milligrams per deciliter (mg/dL)
Standard Deviation 45.35
144.25 milligrams per deciliter (mg/dL)
Standard Deviation 34.17
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Endpoint 0300 Hours
123.96 milligrams per deciliter (mg/dL)
Standard Deviation 35.45
127.53 milligrams per deciliter (mg/dL)
Standard Deviation 30.90
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Endpoint Daily Mean 7-Point Blood Glucose
143.06 milligrams per deciliter (mg/dL)
Standard Deviation 30.00
136.17 milligrams per deciliter (mg/dL)
Standard Deviation 25.65
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Endpoint Daily Mean Pre-Meal
135.51 milligrams per deciliter (mg/dL)
Standard Deviation 30.39
129.32 milligrams per deciliter (mg/dL)
Standard Deviation 26.54
7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Endpoint Daily Mean Postprandial
158.10 milligrams per deciliter (mg/dL)
Standard Deviation 36.81
146.12 milligrams per deciliter (mg/dL)
Standard Deviation 30.37

SECONDARY outcome

Timeframe: Baseline, Endpoint (LOCF) up to 24 weeks

Population: All randomized participants with at least one post-baseline measurement. Intention to Treat (ITT) population.

Glycemic variability was defined as the standard deviation (SD) of a participant's intra-day 7-point, self-monitored, blood glucose. Mean SD was calculated based on the SD for each participant in the study.

Outcome measures

Outcome measures
Measure
ILPS
n=170 Participants
Insulin Lispro Protamine Suspension (ILPS) administered subcutaneously once a day at bedtime for 24 weeks
Glargine
n=167 Participants
Insulin Glargine administered subcutaneously once a day at bedtime for 24 weeks
Glycemic Variability at Baseline and Endpoint (LOCF)
Baseline
41.15 mg/dL
Standard Deviation 13.69
39.02 mg/dL
Standard Deviation 13.52
Glycemic Variability at Baseline and Endpoint (LOCF)
Endpoint
36.78 mg/dL
Standard Deviation 16.02
30.96 mg/dL
Standard Deviation 13.24

SECONDARY outcome

Timeframe: Baseline to Endpoint (LOCF) up to 24 weeks

Population: All randomized participants with at least one post-baseline measurement. Intention to Treat (ITT) population.

Overall:any time after randomization.Episode:any time patient experienced sign/symptom associated with hypoglycemia, or had blood glucose level ≤70 mg/dL. Non-nocturnal:any episode that occurred between waking and bedtime. Nocturnal:any episode that occurred between bedtime and waking.Severe:episode with symptoms consistent with neuroglycopenia in which patient requires assistance,and is associated with:blood glucose value \<50 mg/dL or prompt recovery after oral carbohydrate, glucagon, or intravenous glucose.Incidence(%)=(Number of patients experiencing episodes/number of patients in arm)\*100.

Outcome measures

Outcome measures
Measure
ILPS
n=170 Participants
Insulin Lispro Protamine Suspension (ILPS) administered subcutaneously once a day at bedtime for 24 weeks
Glargine
n=167 Participants
Insulin Glargine administered subcutaneously once a day at bedtime for 24 weeks
Incidence of Self-reported Hypoglycemic Episodes (All, Non-Nocturnal, Nocturnal, and Severe)
All Reported - Endpoint
41.8 percentage of participants
43.1 percentage of participants
Incidence of Self-reported Hypoglycemic Episodes (All, Non-Nocturnal, Nocturnal, and Severe)
All Reported - Overall
70.6 percentage of participants
74.9 percentage of participants
Incidence of Self-reported Hypoglycemic Episodes (All, Non-Nocturnal, Nocturnal, and Severe)
Non-Nocturnal - Endpoint
30.6 percentage of participants
40.1 percentage of participants
Incidence of Self-reported Hypoglycemic Episodes (All, Non-Nocturnal, Nocturnal, and Severe)
Non-Nocturnal - Overall
62.4 percentage of participants
70.7 percentage of participants
Incidence of Self-reported Hypoglycemic Episodes (All, Non-Nocturnal, Nocturnal, and Severe)
Nocturnal - Endpoint
21.8 percentage of participants
11.4 percentage of participants
Incidence of Self-reported Hypoglycemic Episodes (All, Non-Nocturnal, Nocturnal, and Severe)
Nocturnal - Overall
47.6 percentage of participants
37.1 percentage of participants
Incidence of Self-reported Hypoglycemic Episodes (All, Non-Nocturnal, Nocturnal, and Severe)
Severe - Endpoint
0 percentage of participants
0 percentage of participants
Incidence of Self-reported Hypoglycemic Episodes (All, Non-Nocturnal, Nocturnal, and Severe)
Severe - Overall
1.8 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Baseline to Endpoint (LOCF) up to 24 weeks

Population: All randomized participants with at least one post-baseline measurement. Intention to Treat (ITT) population.

Rate of self-reported hypoglycemic episodes, all, non-nocturnal, and nocturnal, at Endpoint (LOCF) and overall. Rate is reported as episodes/participant/365 days. Episode = any time participant feels that he/she is experiencing a sign or symptom that is associated with hypoglycemia or has a blood glucose level of ≤70 mg/dL, even if it was not associated with signs, symptoms, or treatment. Overall=any time during the post-randomization visits within the study period. Nocturnal=Any episode that occurs between bedtime and waking. Non-Nocturnal=Any episode that occurs between waking and bedtime.

Outcome measures

Outcome measures
Measure
ILPS
n=170 Participants
Insulin Lispro Protamine Suspension (ILPS) administered subcutaneously once a day at bedtime for 24 weeks
Glargine
n=167 Participants
Insulin Glargine administered subcutaneously once a day at bedtime for 24 weeks
Rate of All, Non-Nocturnal, and Nocturnal Self-Reported Hypoglycemic Episodes (Adjusted for One Year)
Nocturnal reported episodes rate - Overall
4.88 episodes/participant/365 days
Standard Deviation 8.43
3.01 episodes/participant/365 days
Standard Deviation 7.21
Rate of All, Non-Nocturnal, and Nocturnal Self-Reported Hypoglycemic Episodes (Adjusted for One Year)
All reported episodes rate - Endpoint
14.51 episodes/participant/365 days
Standard Deviation 27.75
15.29 episodes/participant/365 days
Standard Deviation 29.73
Rate of All, Non-Nocturnal, and Nocturnal Self-Reported Hypoglycemic Episodes (Adjusted for One Year)
All reported episodes rate - Overall
16.27 episodes/participant/365 days
Standard Deviation 23.19
18.05 episodes/participant/365 days
Standard Deviation 24.59
Rate of All, Non-Nocturnal, and Nocturnal Self-Reported Hypoglycemic Episodes (Adjusted for One Year)
Non-Nocturnal reported episodes rate - Endpoint
10.40 episodes/participant/365 days
Standard Deviation 23.46
13.20 episodes/participant/365 days
Standard Deviation 28.01
Rate of All, Non-Nocturnal, and Nocturnal Self-Reported Hypoglycemic Episodes (Adjusted for One Year)
Non-Nocturnal reported episodes rate - Overall
11.36 episodes/participant/365 days
Standard Deviation 19.16
14.83 episodes/participant/365 days
Standard Deviation 21.00
Rate of All, Non-Nocturnal, and Nocturnal Self-Reported Hypoglycemic Episodes (Adjusted for One Year)
Nocturnal reported episodes rate - Endpoint
4.01 episodes/participant/365 days
Standard Deviation 9.73
1.73 episodes/participant/365 days
Standard Deviation 5.53

SECONDARY outcome

Timeframe: Baseline, Endpoint (LOCF) up to 24 weeks

Population: All randomized participants with at least one post-baseline measurement. Intention to Treat (ITT) population.

Outcome measures

Outcome measures
Measure
ILPS
n=170 Participants
Insulin Lispro Protamine Suspension (ILPS) administered subcutaneously once a day at bedtime for 24 weeks
Glargine
n=167 Participants
Insulin Glargine administered subcutaneously once a day at bedtime for 24 weeks
Actual Body Weight at Baseline and Endpoint (LOCF)
Baseline
101.57 kilograms
Standard Deviation 18.67
102.62 kilograms
Standard Deviation 19.58
Actual Body Weight at Baseline and Endpoint (LOCF)
Endpoint
101.85 kilograms
Standard Deviation 18.91
103.28 kilograms
Standard Deviation 19.42

SECONDARY outcome

Timeframe: Baseline, Endpoint (LOCF) up to 24 weeks

Population: All randomized participants with at least one post-baseline measurement. Intention to Treat (ITT) population.

Outcome measures

Outcome measures
Measure
ILPS
n=170 Participants
Insulin Lispro Protamine Suspension (ILPS) administered subcutaneously once a day at bedtime for 24 weeks
Glargine
n=167 Participants
Insulin Glargine administered subcutaneously once a day at bedtime for 24 weeks
Change From Baseline in Body Weight at Endpoint (LOCF)
0.27 kilograms
Standard Deviation 3.38
0.66 kilograms
Standard Deviation 3.93

SECONDARY outcome

Timeframe: Endpoint (LOCF) up to 24 weeks

Population: All randomized participants with at least one post-baseline measurement. Intention to Treat (ITT) population.

Outcome measures

Outcome measures
Measure
ILPS
n=168 Participants
Insulin Lispro Protamine Suspension (ILPS) administered subcutaneously once a day at bedtime for 24 weeks
Glargine
n=165 Participants
Insulin Glargine administered subcutaneously once a day at bedtime for 24 weeks
Total Daily Insulin Dose at Endpoint (LOCF)
31.11 Units of Insulin
Standard Deviation 18.87
37.93 Units of Insulin
Standard Deviation 18.46

Adverse Events

ILPS

Serious events: 9 serious events
Other events: 96 other events
Deaths: 0 deaths

Glargine

Serious events: 5 serious events
Other events: 115 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ILPS
n=170 participants at risk
Insulin Lispro Protamine Suspension (ILPS) administered subcutaneously once a day at bedtime for 24 weeks
Glargine
n=167 participants at risk
Insulin Glargine administered subcutaneously once a day at bedtime for 24 weeks
Cardiac disorders
Atrial fibrillation
1.2%
2/170 • Number of events 2
Adverse events are reported for the Intention to Treat (ITT) population.
0.00%
0/167
Adverse events are reported for the Intention to Treat (ITT) population.
General disorders
Chest pain
0.00%
0/170
Adverse events are reported for the Intention to Treat (ITT) population.
0.60%
1/167 • Number of events 1
Adverse events are reported for the Intention to Treat (ITT) population.
Hepatobiliary disorders
Cholelithiasis
0.00%
0/170
Adverse events are reported for the Intention to Treat (ITT) population.
0.60%
1/167 • Number of events 2
Adverse events are reported for the Intention to Treat (ITT) population.
Infections and infestations
Appendicitis
0.59%
1/170 • Number of events 1
Adverse events are reported for the Intention to Treat (ITT) population.
0.00%
0/167
Adverse events are reported for the Intention to Treat (ITT) population.
Infections and infestations
Cystitis bacterial
0.59%
1/170 • Number of events 2
Adverse events are reported for the Intention to Treat (ITT) population.
0.00%
0/167
Adverse events are reported for the Intention to Treat (ITT) population.
Infections and infestations
Pneumonia pneumococcal
0.59%
1/170 • Number of events 2
Adverse events are reported for the Intention to Treat (ITT) population.
0.00%
0/167
Adverse events are reported for the Intention to Treat (ITT) population.
Injury, poisoning and procedural complications
Ankle fracture
0.00%
0/170
Adverse events are reported for the Intention to Treat (ITT) population.
0.60%
1/167 • Number of events 3
Adverse events are reported for the Intention to Treat (ITT) population.
Injury, poisoning and procedural complications
Drug exposure during pregnancy
0.00%
0/170
Adverse events are reported for the Intention to Treat (ITT) population.
0.60%
1/167 • Number of events 1
Adverse events are reported for the Intention to Treat (ITT) population.
Injury, poisoning and procedural complications
Fall
0.00%
0/170
Adverse events are reported for the Intention to Treat (ITT) population.
0.60%
1/167 • Number of events 1
Adverse events are reported for the Intention to Treat (ITT) population.
Injury, poisoning and procedural complications
Heat exhaustion
0.00%
0/170
Adverse events are reported for the Intention to Treat (ITT) population.
0.60%
1/167 • Number of events 3
Adverse events are reported for the Intention to Treat (ITT) population.
Injury, poisoning and procedural complications
Joint injury
0.59%
1/170 • Number of events 1
Adverse events are reported for the Intention to Treat (ITT) population.
0.00%
0/167
Adverse events are reported for the Intention to Treat (ITT) population.
Metabolism and nutrition disorders
Hypoglycaemia
0.59%
1/170 • Number of events 1
Adverse events are reported for the Intention to Treat (ITT) population.
0.00%
0/167
Adverse events are reported for the Intention to Treat (ITT) population.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
0.59%
1/170 • Number of events 1
Adverse events are reported for the Intention to Treat (ITT) population.
0.00%
0/167
Adverse events are reported for the Intention to Treat (ITT) population.
Renal and urinary disorders
Nephrolithiasis
0.59%
1/170 • Number of events 1
Adverse events are reported for the Intention to Treat (ITT) population.
0.00%
0/167
Adverse events are reported for the Intention to Treat (ITT) population.

Other adverse events

Other adverse events
Measure
ILPS
n=170 participants at risk
Insulin Lispro Protamine Suspension (ILPS) administered subcutaneously once a day at bedtime for 24 weeks
Glargine
n=167 participants at risk
Insulin Glargine administered subcutaneously once a day at bedtime for 24 weeks
Gastrointestinal disorders
Abdominal discomfort
3.5%
6/170 • Number of events 9
Adverse events are reported for the Intention to Treat (ITT) population.
2.4%
4/167 • Number of events 5
Adverse events are reported for the Intention to Treat (ITT) population.
Gastrointestinal disorders
Diarrhoea
6.5%
11/170 • Number of events 17
Adverse events are reported for the Intention to Treat (ITT) population.
7.2%
12/167 • Number of events 31
Adverse events are reported for the Intention to Treat (ITT) population.
Gastrointestinal disorders
Dyspepsia
0.59%
1/170 • Number of events 1
Adverse events are reported for the Intention to Treat (ITT) population.
2.4%
4/167 • Number of events 14
Adverse events are reported for the Intention to Treat (ITT) population.
Gastrointestinal disorders
Nausea
7.6%
13/170 • Number of events 37
Adverse events are reported for the Intention to Treat (ITT) population.
6.0%
10/167 • Number of events 14
Adverse events are reported for the Intention to Treat (ITT) population.
Gastrointestinal disorders
Vomiting
3.5%
6/170 • Number of events 7
Adverse events are reported for the Intention to Treat (ITT) population.
4.8%
8/167 • Number of events 11
Adverse events are reported for the Intention to Treat (ITT) population.
General disorders
Pyrexia
0.59%
1/170 • Number of events 1
Adverse events are reported for the Intention to Treat (ITT) population.
3.0%
5/167 • Number of events 5
Adverse events are reported for the Intention to Treat (ITT) population.
Infections and infestations
Bronchitis
0.59%
1/170 • Number of events 3
Adverse events are reported for the Intention to Treat (ITT) population.
3.0%
5/167 • Number of events 9
Adverse events are reported for the Intention to Treat (ITT) population.
Infections and infestations
Gastroenteritis viral
1.2%
2/170 • Number of events 2
Adverse events are reported for the Intention to Treat (ITT) population.
7.2%
12/167 • Number of events 15
Adverse events are reported for the Intention to Treat (ITT) population.
Infections and infestations
Influenza
2.4%
4/170 • Number of events 8
Adverse events are reported for the Intention to Treat (ITT) population.
1.8%
3/167 • Number of events 4
Adverse events are reported for the Intention to Treat (ITT) population.
Infections and infestations
Nasopharyngitis
7.1%
12/170 • Number of events 18
Adverse events are reported for the Intention to Treat (ITT) population.
5.4%
9/167 • Number of events 14
Adverse events are reported for the Intention to Treat (ITT) population.
Infections and infestations
Sinusitis
4.1%
7/170 • Number of events 17
Adverse events are reported for the Intention to Treat (ITT) population.
5.4%
9/167 • Number of events 26
Adverse events are reported for the Intention to Treat (ITT) population.
Infections and infestations
Upper respiratory tract infection
6.5%
11/170 • Number of events 23
Adverse events are reported for the Intention to Treat (ITT) population.
6.0%
10/167 • Number of events 24
Adverse events are reported for the Intention to Treat (ITT) population.
Infections and infestations
Urinary tract infection
2.9%
5/170 • Number of events 9
Adverse events are reported for the Intention to Treat (ITT) population.
1.2%
2/167 • Number of events 3
Adverse events are reported for the Intention to Treat (ITT) population.
Injury, poisoning and procedural complications
Joint sprain
2.4%
4/170 • Number of events 27
Adverse events are reported for the Intention to Treat (ITT) population.
1.2%
2/167 • Number of events 10
Adverse events are reported for the Intention to Treat (ITT) population.
Musculoskeletal and connective tissue disorders
Arthralgia
5.3%
9/170 • Number of events 19
Adverse events are reported for the Intention to Treat (ITT) population.
4.2%
7/167 • Number of events 35
Adverse events are reported for the Intention to Treat (ITT) population.
Musculoskeletal and connective tissue disorders
Back pain
1.8%
3/170 • Number of events 8
Adverse events are reported for the Intention to Treat (ITT) population.
2.4%
4/167 • Number of events 9
Adverse events are reported for the Intention to Treat (ITT) population.
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
1.2%
2/170 • Number of events 7
Adverse events are reported for the Intention to Treat (ITT) population.
2.4%
4/167 • Number of events 28
Adverse events are reported for the Intention to Treat (ITT) population.
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/170
Adverse events are reported for the Intention to Treat (ITT) population.
2.4%
4/167 • Number of events 5
Adverse events are reported for the Intention to Treat (ITT) population.
Musculoskeletal and connective tissue disorders
Pain in extremity
1.8%
3/170 • Number of events 5
Adverse events are reported for the Intention to Treat (ITT) population.
3.0%
5/167 • Number of events 17
Adverse events are reported for the Intention to Treat (ITT) population.
Nervous system disorders
Headache
6.5%
11/170 • Number of events 44
Adverse events are reported for the Intention to Treat (ITT) population.
9.0%
15/167 • Number of events 42
Adverse events are reported for the Intention to Treat (ITT) population.
Nervous system disorders
Sinus headache
2.4%
4/170 • Number of events 4
Adverse events are reported for the Intention to Treat (ITT) population.
0.60%
1/167 • Number of events 2
Adverse events are reported for the Intention to Treat (ITT) population.
Respiratory, thoracic and mediastinal disorders
Cough
2.9%
5/170 • Number of events 13
Adverse events are reported for the Intention to Treat (ITT) population.
3.0%
5/167 • Number of events 13
Adverse events are reported for the Intention to Treat (ITT) population.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
1.8%
3/170 • Number of events 5
Adverse events are reported for the Intention to Treat (ITT) population.
5.4%
9/167 • Number of events 18
Adverse events are reported for the Intention to Treat (ITT) population.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
2.4%
4/170 • Number of events 9
Adverse events are reported for the Intention to Treat (ITT) population.
4.2%
7/167 • Number of events 11
Adverse events are reported for the Intention to Treat (ITT) population.
Respiratory, thoracic and mediastinal disorders
Sinus congestion
3.5%
6/170 • Number of events 13
Adverse events are reported for the Intention to Treat (ITT) population.
1.2%
2/167 • Number of events 8
Adverse events are reported for the Intention to Treat (ITT) population.

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 800-545-5979

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60