Trial Outcomes & Findings for Efficacy and Safety of Continuous Subcutaneous Insulin Infusion of Faster-acting Insulin Aspart Compared to NovoRapid® in Adults With Type 1 Diabetes (NCT NCT02825251)

NCT ID: NCT02825251

Last Updated: 2019-11-21

Results Overview

Change from baseline (week 0) in HbA1c 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 period: the observation period from date of randomisation until last trial-related subject-site contact.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

472 participants

Primary outcome timeframe

Week 0, week 16

Results posted on

2019-11-21

Participant Flow

The trial was conducted at 92 sites in 9 countries.as follows: Belgium (7), Canada (8), France (10), Germany (9), Netherlands (9), Russian Federation (11), Slovenia (2), United Kingdom (6), and United States (30). One (1) site in the Netherlands screened, but didn't randomise any subject.

There was a 4-week run-in period primarily for reinforcement of subject training in trial procedures, diabetes education and collecting baseline assessments. Subjects remained on their pre-trial insulin treatment during the run-in period.

Participant milestones

Participant milestones
Measure
Faster Aspart
The subjects received faster aspart (basal-bolus regimen) by continuous subcutaneous insulin infusion (CSII) for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that blood glucose (BG) was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Overall Study
STARTED
236
236
Overall Study
COMPLETED
233
230
Overall Study
NOT COMPLETED
3
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Faster Aspart
The subjects received faster aspart (basal-bolus regimen) by continuous subcutaneous insulin infusion (CSII) for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that blood glucose (BG) was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Overall Study
Adverse Event
0
1
Overall Study
Lost to Follow-up
0
1
Overall Study
Withdrawal by Subject
1
4
Overall Study
Unclassified
2
0

Baseline Characteristics

The full analysis (FAS) included all randomised subjects.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Total
n=472 Participants
Total of all reporting groups
Age, Continuous
43.3 Years
STANDARD_DEVIATION 14.8 • n=5 Participants • The full analysis (FAS) included all randomised subjects.
43.6 Years
STANDARD_DEVIATION 14.7 • n=7 Participants • The full analysis (FAS) included all randomised subjects.
43.5 Years
STANDARD_DEVIATION 14.7 • n=5 Participants • The full analysis (FAS) included all randomised subjects.
Sex: Female, Male
Female
133 Participants
n=5 Participants • The FAS included all randomised subjects.
136 Participants
n=7 Participants • The FAS included all randomised subjects.
269 Participants
n=5 Participants • The FAS included all randomised subjects.
Sex: Female, Male
Male
103 Participants
n=5 Participants • The FAS included all randomised subjects.
100 Participants
n=7 Participants • The FAS included all randomised subjects.
203 Participants
n=5 Participants • The FAS included all randomised subjects.
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=5 Participants • The FAS included all randomised subjects.
6 Participants
n=7 Participants • The FAS included all randomised subjects.
13 Participants
n=5 Participants • The FAS included all randomised subjects.
Ethnicity (NIH/OMB)
Not Hispanic or Latino
210 Participants
n=5 Participants • The FAS included all randomised subjects.
215 Participants
n=7 Participants • The FAS included all randomised subjects.
425 Participants
n=5 Participants • The FAS included all randomised subjects.
Ethnicity (NIH/OMB)
Unknown or Not Reported
19 Participants
n=5 Participants • The FAS included all randomised subjects.
15 Participants
n=7 Participants • The FAS included all randomised subjects.
34 Participants
n=5 Participants • The FAS included all randomised subjects.
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants • The FAS included all randomised subjects.
2 Participants
n=7 Participants • The FAS included all randomised subjects.
2 Participants
n=5 Participants • The FAS included all randomised subjects.
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants • The FAS included all randomised subjects.
3 Participants
n=7 Participants • The FAS included all randomised subjects.
6 Participants
n=5 Participants • The FAS included all randomised subjects.
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants • The FAS included all randomised subjects.
0 Participants
n=7 Participants • The FAS included all randomised subjects.
0 Participants
n=5 Participants • The FAS included all randomised subjects.
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants • The FAS included all randomised subjects.
5 Participants
n=7 Participants • The FAS included all randomised subjects.
7 Participants
n=5 Participants • The FAS included all randomised subjects.
Race (NIH/OMB)
White
209 Participants
n=5 Participants • The FAS included all randomised subjects.
210 Participants
n=7 Participants • The FAS included all randomised subjects.
419 Participants
n=5 Participants • The FAS included all randomised subjects.
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants • The FAS included all randomised subjects.
0 Participants
n=7 Participants • The FAS included all randomised subjects.
0 Participants
n=5 Participants • The FAS included all randomised subjects.
Race (NIH/OMB)
Unknown or Not Reported
22 Participants
n=5 Participants • The FAS included all randomised subjects.
16 Participants
n=7 Participants • The FAS included all randomised subjects.
38 Participants
n=5 Participants • The FAS included all randomised subjects.

PRIMARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in HbA1c 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 period: the observation period from date of randomisation until last trial-related subject-site contact.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change in Glycosylated Haemoglobin (HbA1c)
Baseline
7.49 Percentage (%) of HbA1c
Standard Deviation 0.55
7.49 Percentage (%) of HbA1c
Standard Deviation 0.53
Change in Glycosylated Haemoglobin (HbA1c)
Change from baseline
-0.06 Percentage (%) of HbA1c
Standard Deviation 0.50
-0.14 Percentage (%) of HbA1c
Standard Deviation 0.44

SECONDARY outcome

Timeframe: Week 0, Week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in 1-hour PPG Increment
Baseline
4.67 mmol/L
Standard Deviation 3.09
4.62 mmol/L
Standard Deviation 3.00
Change From Baseline in 1-hour PPG Increment
Change from baseline
-0.89 mmol/L
Standard Deviation 3.44
0.05 mmol/L
Standard Deviation 3.37

SECONDARY outcome

Timeframe: Week 0, Week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in 1,5-anhydroglucitol
Baseline
4.20 ug/mL
Standard Deviation 2.34
4.13 ug/mL
Standard Deviation 2.14
Change From Baseline in 1,5-anhydroglucitol
Change from baseline
0.14 ug/mL
Standard Deviation 1.48
0.25 ug/mL
Standard Deviation 1.42

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in low interstitial glucose (IG) (≤3.9 mmol/L \[70 mg/dL\]) during continuous glucose monitoring (CGM) 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Time Spent in Low IG (≤3.9 mmol/L [70 mg/dL]) During CGM
Baseline
85.42 min/day
Standard Deviation 65.20
79.88 min/day
Standard Deviation 60.46
Change From Baseline in Time Spent in Low IG (≤3.9 mmol/L [70 mg/dL]) During CGM
Change from baseline
-6.96 min/day
Standard Deviation 55.29
2.85 min/day
Standard Deviation 58.56

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in FPG 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Fasting Plasma Glucose (FPG)
Change from baseline
-0.03 mmol/L
Standard Deviation 3.19
0.25 mmol/L
Standard Deviation 3.05
Change From Baseline in Fasting Plasma Glucose (FPG)
Baseline
7.60 mmol/L
Standard Deviation 2.64
7.40 mmol/L
Standard Deviation 2.31

SECONDARY outcome

Timeframe: Week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Percentage of subjects reaching HbA1c \<7.0% (53 mmol/mol) was evaluated after 16 weeks of randomisation. Subjects without an HbA1c measurement at week 16 were considered not to have achieved HbA1c target at week 16. The results are based on the in-trial period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Percentage of Subjects Reaching HbA1c <7.0% (53 mmol/Mol)
20.3 % of subjects
23.3 % of subjects

SECONDARY outcome

Timeframe: Week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Percentage of subjects reaching HbA1c \<7.0% (53 mmol/mol) without treatment emergent severe hypoglycaemic episodes was evaluated after 16 weeks of randomisation. Subjects without an HbA1c measurement at week 16 were considered not to have achieved HbA1c target at week 16. Severe hypoglycaemia: An episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. Plasma glucose (PG) concentrations may not be available during an event, but neurological recovery following the return of PG to normal was considered sufficient evidence that the event was induced by a low PG concentration. Treatment emergent: hypoglycaemic episodes were defined as treatment emergent if the onset of the episode occurred on or after the first day of IMP administration after randomisation (in week 0) and no later than one day after the last day on IMP (i.e., maximum week 16 + 1 day). The results are based on the in-trial period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Percentage of Subjects Reaching HbA1c <7.0% (53 mmol/Mol) Without Severe Hypoglycaemic Episodes
18.6 % of subjects
22.5 % of subjects

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

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. 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in 30-min, 1-hour, 2-hour, 3-hour and 4-hour PPG (Meal Test)
30-min (Baseline)
10.54 mmol/L
Standard Deviation 3.33
10.30 mmol/L
Standard Deviation 2.96
Change From Baseline in 30-min, 1-hour, 2-hour, 3-hour and 4-hour PPG (Meal Test)
1-hour (Baseline)
12.18 mmol/L
Standard Deviation 3.96
11.96 mmol/L
Standard Deviation 3.81
Change From Baseline in 30-min, 1-hour, 2-hour, 3-hour and 4-hour PPG (Meal Test)
2-hour (Baseline)
13.17 mmol/L
Standard Deviation 4.77
13.04 mmol/L
Standard Deviation 4.35
Change From Baseline in 30-min, 1-hour, 2-hour, 3-hour and 4-hour PPG (Meal Test)
3-hour (Baseline)
11.38 mmol/L
Standard Deviation 4.65
11.48 mmol/L
Standard Deviation 4.28
Change From Baseline in 30-min, 1-hour, 2-hour, 3-hour and 4-hour PPG (Meal Test)
4-hour (Baseline)
9.07 mmol/L
Standard Deviation 4.31
9.18 mmol/L
Standard Deviation 3.83
Change From Baseline in 30-min, 1-hour, 2-hour, 3-hour and 4-hour PPG (Meal Test)
30-min (Change from baseline)
-0.50 mmol/L
Standard Deviation 4.05
0.42 mmol/L
Standard Deviation 3.75
Change From Baseline in 30-min, 1-hour, 2-hour, 3-hour and 4-hour PPG (Meal Test)
1-hour (Change from baseline)
-0.85 mmol/L
Standard Deviation 4.65
0.36 mmol/L
Standard Deviation 4.58
Change From Baseline in 30-min, 1-hour, 2-hour, 3-hour and 4-hour PPG (Meal Test)
2-hour (Change from baseline)
-0.80 mmol/L
Standard Deviation 5.33
0.42 mmol/L
Standard Deviation 5.01
Change From Baseline in 30-min, 1-hour, 2-hour, 3-hour and 4-hour PPG (Meal Test)
3-hour (Change from baseline)
-0.33 mmol/L
Standard Deviation 5.12
0.20 mmol/L
Standard Deviation 4.75
Change From Baseline in 30-min, 1-hour, 2-hour, 3-hour and 4-hour PPG (Meal Test)
4-hour (Change from baseline)
0.00 mmol/L
Standard Deviation 4.76
0.21 mmol/L
Standard Deviation 4.10

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in 30-min, 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. 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 PPG was evaluated after 30 minutes, 1, 2, 3 and 4 hours from the start of the meal.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in 30-min, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)
4-hour (Baseline)
1.57 mmol/L
Standard Deviation 4.23
1.83 mmol/L
Standard Deviation 3.52
Change From Baseline in 30-min, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)
30-min (Baseline)
3.02 mmol/L
Standard Deviation 2.16
2.95 mmol/L
Standard Deviation 2.03
Change From Baseline in 30-min, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)
2-hour (Baseline)
5.65 mmol/L
Standard Deviation 4.12
5.70 mmol/L
Standard Deviation 3.66
Change From Baseline in 30-min, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)
3-hour (Baseline)
3.85 mmol/L
Standard Deviation 4.32
4.13 mmol/L
Standard Deviation 3.72
Change From Baseline in 30-min, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)
30-min (Change from baseline)
-0.53 mmol/L
Standard Deviation 2.47
0.11 mmol/L
Standard Deviation 2.25
Change From Baseline in 30-min, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)
2-hour (Change from baseline)
-0.82 mmol/L
Standard Deviation 4.39
0.09 mmol/L
Standard Deviation 4.13
Change From Baseline in 30-min, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)
3-hour (Change from baseline)
-0.35 mmol/L
Standard Deviation 4.53
-0.14 mmol/L
Standard Deviation 4.07
Change From Baseline in 30-min, 2-hour, 3-hour and 4-hour PPG Increment (Meal Test)
4-hour (Change from baseline)
0.01 mmol/L
Standard Deviation 4.50
-0.11 mmol/L
Standard Deviation 3.76

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in mean of the 7-7-9 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. 7-7-9 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Mean of the 7-7-9 Point Self-measured Plasma Glucose (SMPG) Profile
Baseline
9.24 mmol/L
Standard Deviation 1.71
9.10 mmol/L
Standard Deviation 1.40
Change From Baseline in Mean of the 7-7-9 Point Self-measured Plasma Glucose (SMPG) Profile
Change from baseline
0.19 mmol/L
Standard Deviation 1.91
0.10 mmol/L
Standard Deviation 1.58

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in PPG (breakfast, lunch, main evening meal and mean over all meals) of the 7-7-9 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline of the 7-7-9 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)
Breakfast (baseline)
10.82 mmol/L
Standard Deviation 2.99
10.28 mmol/L
Standard Deviation 3.07
Change From Baseline of the 7-7-9 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)
Lunch (baseline)
9.65 mmol/L
Standard Deviation 3.05
9.62 mmol/L
Standard Deviation 2.68
Change From Baseline of the 7-7-9 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)
Main evening meal (baseline)
9.79 mmol/L
Standard Deviation 3.01
9.34 mmol/L
Standard Deviation 3.06
Change From Baseline of the 7-7-9 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)
Mean over all meals (baseline)
10.07 mmol/L
Standard Deviation 2.09
9.74 mmol/L
Standard Deviation 1.99
Change From Baseline of the 7-7-9 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)
Breakfast (Change from baseline)
-0.33 mmol/L
Standard Deviation 3.61
0.23 mmol/L
Standard Deviation 3.79
Change From Baseline of the 7-7-9 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)
Lunch (Change from baseline)
0.27 mmol/L
Standard Deviation 3.75
0.05 mmol/L
Standard Deviation 3.57
Change From Baseline of the 7-7-9 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)
Main evening meal (Change from baseline)
-0.35 mmol/L
Standard Deviation 3.81
0.58 mmol/L
Standard Deviation 3.61
Change From Baseline of the 7-7-9 Point SMPG Profile: PPG (Mean, Breakfast, Lunch and Main Evening Meal)
Mean over all meals (Change from baseline)
0.06 mmol/L
Standard Deviation 2.33
0.13 mmol/L
Standard Deviation 2.21

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in PPG increment (breakfast, lunch, main evening meal and mean over all meals) of the 7-7-9 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline of the 7-7-9 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)
Breakfast (baseline)
2.62 mmol/L
Standard Deviation 3.16
1.93 mmol/L
Standard Deviation 3.28
Change From Baseline of the 7-7-9 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)
Lunch (baseline)
1.80 mmol/L
Standard Deviation 2.77
1.77 mmol/L
Standard Deviation 2.47
Change From Baseline of the 7-7-9 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)
Main evening meal (baseline)
1.04 mmol/L
Standard Deviation 3.07
0.52 mmol/L
Standard Deviation 2.69
Change From Baseline of the 7-7-9 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)
Mean over all meals (baseline)
1.93 mmol/L
Standard Deviation 1.94
1.48 mmol/L
Standard Deviation 1.86
Change From Baseline of the 7-7-9 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)
Breakfast (Change from baseline)
-0.75 mmol/L
Standard Deviation 3.90
0.03 mmol/L
Standard Deviation 3.67
Change From Baseline of the 7-7-9 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)
Lunch (Change from baseline)
-0.43 mmol/L
Standard Deviation 3.25
-0.27 mmol/L
Standard Deviation 3.13
Change From Baseline of the 7-7-9 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)
Main evening meal (Change from baseline)
-0.47 mmol/L
Standard Deviation 3.51
0.35 mmol/L
Standard Deviation 3.79
Change From Baseline of the 7-7-9 Point SMPG Profile: PPG Increment (Mean, Breakfast, Lunch and Main Evening Meal)
Mean over all meals (Change from baseline)
-0.53 mmol/L
Standard Deviation 1.99
0.12 mmol/L
Standard Deviation 1.92

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in pre-prandial PG (pre-breakfast, pre-lunch, pre-main evening meal and mean over all meals) of the 7-7-9 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline of the 7-7-9 Point SMPG Profile: Pre-prandial Plasma Glucose (PG) (Mean, Pre-breakfast, Pre-lunch, Pre-main Evening Meal)
Pre-breakfast (baseline)
8.40 mmol/L
Standard Deviation 2.50
8.31 mmol/L
Standard Deviation 2.32
Change From Baseline of the 7-7-9 Point SMPG Profile: Pre-prandial Plasma Glucose (PG) (Mean, Pre-breakfast, Pre-lunch, Pre-main Evening Meal)
Pre-lunch (baseline)
8.28 mmol/L
Standard Deviation 2.85
8.21 mmol/L
Standard Deviation 2.32
Change From Baseline of the 7-7-9 Point SMPG Profile: Pre-prandial Plasma Glucose (PG) (Mean, Pre-breakfast, Pre-lunch, Pre-main Evening Meal)
Pre-main evening meal (baseline)
8.68 mmol/L
Standard Deviation 2.76
8.87 mmol/L
Standard Deviation 2.62
Change From Baseline of the 7-7-9 Point SMPG Profile: Pre-prandial Plasma Glucose (PG) (Mean, Pre-breakfast, Pre-lunch, Pre-main Evening Meal)
Pre-mean over all meals (baseline)
8.39 mmol/L
Standard Deviation 1.73
8.45 mmol/L
Standard Deviation 1.54
Change From Baseline of the 7-7-9 Point SMPG Profile: Pre-prandial Plasma Glucose (PG) (Mean, Pre-breakfast, Pre-lunch, Pre-main Evening Meal)
Pre-breakfast (Change from baseline)
0.36 mmol/L
Standard Deviation 3.33
0.26 mmol/L
Standard Deviation 3.05
Change From Baseline of the 7-7-9 Point SMPG Profile: Pre-prandial Plasma Glucose (PG) (Mean, Pre-breakfast, Pre-lunch, Pre-main Evening Meal)
Pre-lunch (Change from baseline)
0.39 mmol/L
Standard Deviation 3.54
0.21 mmol/L
Standard Deviation 3.12
Change From Baseline of the 7-7-9 Point SMPG Profile: Pre-prandial Plasma Glucose (PG) (Mean, Pre-breakfast, Pre-lunch, Pre-main Evening Meal)
Pre-main evening meal (Change from baseline)
0.15 mmol/L
Standard Deviation 3.72
0.13 mmol/L
Standard Deviation 3.18
Change From Baseline of the 7-7-9 Point SMPG Profile: Pre-prandial Plasma Glucose (PG) (Mean, Pre-breakfast, Pre-lunch, Pre-main Evening Meal)
Pre-mean over all meals (Change from baseline)
0.39 mmol/L
Standard Deviation 2.00
0.21 mmol/L
Standard Deviation 1.84

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Fluctuation in 7-point SMPG profile was the average absolute difference from the mean of the SMPG profile. Reported results are fluctuation in the 7-7-9 point SMPG profile at baseline (week 0) and after 16 weeks of randomisation (i.e., week 16). The results are based on the last in-trial value, which included the last available measurement in the in-trial period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline of the 7-7-9 Point SMPG Profile: Fluctuation in 7-7-9 Point Profile
Baseline
2.14 mmol/L
Interval 0.4 to 4.9
2.05 mmol/L
Interval 0.9 to 4.0
Change From Baseline of the 7-7-9 Point SMPG Profile: Fluctuation in 7-7-9 Point Profile
Last in-trial value
2.06 mmol/L
Interval 0.9 to 5.2
2.06 mmol/L
Interval 0.7 to 3.8

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

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 7-7-9 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline of the 7-7-9 Point SMPG Profile: in Nocturnal SMPG Measurements
04:00 to breakfast (Baseline)
-1.29 mmol/L
Standard Deviation 3.61
-1.06 mmol/L
Standard Deviation 3.35
Change From Baseline of the 7-7-9 Point SMPG Profile: in Nocturnal SMPG Measurements
Bedtime to 04:00 (Baseline)
-0.97 mmol/L
Standard Deviation 5.16
-0.56 mmol/L
Standard Deviation 3.84
Change From Baseline of the 7-7-9 Point SMPG Profile: in Nocturnal SMPG Measurements
Bedtime to breakfast (Baseline)
-1.73 mmol/L
Standard Deviation 4.81
-1.56 mmol/L
Standard Deviation 3.83
Change From Baseline of the 7-7-9 Point SMPG Profile: in Nocturnal SMPG Measurements
04:00 to breakfast (Change from baseline)
-0.50 mmol/L
Standard Deviation 4.83
-0.08 mmol/L
Standard Deviation 4.45
Change From Baseline of the 7-7-9 Point SMPG Profile: in Nocturnal SMPG Measurements
Bedtime to 04:00 (Change from baseline)
0.81 mmol/L
Standard Deviation 6.59
0.18 mmol/L
Standard Deviation 5.14
Change From Baseline of the 7-7-9 Point SMPG Profile: in Nocturnal SMPG Measurements
Bedtime to breakfast (Change from baseline)
0.13 mmol/L
Standard Deviation 6.67
-0.20 mmol/L
Standard Deviation 5.84

SECONDARY outcome

Timeframe: Week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Percentage of subjects reaching overall PPG (1 hour) ≤7.8 mmol/L \[140 mg/dL\] was evaluated after 16 weeks of randomisation. Subjects 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 in-trial period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Percentage of Subjects Reaching Overall PPG (1 Hour) ≤7.8 mmol/L [140 mg/dL]
8.1 % of subjects
7.6 % of subjects

SECONDARY outcome

Timeframe: Week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Percentage of subjects reaching overall PPG (1 hour) ≤7.8 mmol/L \[140 mg/dL\] without treatment emergent severe hypoglycaemia was evaluated after 16 weeks of randomisation. Subjects without a postprandial glucose measurement at week 16 were considered not to have achieved HbA1c target at week 16. Severe hypoglycaemia: An episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. Plasma glucose (PG) concentrations may not be available during an event, but neurological recovery following the return of PG to normal was considered sufficient evidence that the event was induced by a low PG concentration. The results are based on the in-trial period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Percentage of Subjects Reaching Overall PPG (1 Hour) ≤7.8 mmol/L [140 mg/dL] Without Severe Hypoglycaemia
7.6 % of subjects
6.8 % of subjects

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Reported results are lipids-lipoproteins (total cholesterol, high density lipoproteins, low density lipoproteins) values at baseline (week 0) and 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Lipids-lipoproteins Profile (Total Cholesterol, High Density Lipoproteins, Low Density Lipoproteins)
Total cholesterol (Baseline)
4.48 mmol/L
Interval 2.6 to 8.1
4.68 mmol/L
Interval 2.9 to 8.0
Change From Baseline in Lipids-lipoproteins Profile (Total Cholesterol, High Density Lipoproteins, Low Density Lipoproteins)
High density lipoproteins (Baseline)
1.70 mmol/L
Interval 0.8 to 3.3
1.71 mmol/L
Interval 0.8 to 3.8
Change From Baseline in Lipids-lipoproteins Profile (Total Cholesterol, High Density Lipoproteins, Low Density Lipoproteins)
Low density lipoproteins (Baseline)
2.46 mmol/L
Interval 1.1 to 6.4
2.63 mmol/L
Interval 1.2 to 6.6
Change From Baseline in Lipids-lipoproteins Profile (Total Cholesterol, High Density Lipoproteins, Low Density Lipoproteins)
Total cholesterol (Last in-trial value)
4.61 mmol/L
Interval 2.8 to 7.2
4.57 mmol/L
Interval 2.4 to 8.2
Change From Baseline in Lipids-lipoproteins Profile (Total Cholesterol, High Density Lipoproteins, Low Density Lipoproteins)
High density lipoproteins (Last in-trial value)
1.74 mmol/L
Interval 0.9 to 3.1
1.74 mmol/L
Interval 0.7 to 3.6
Change From Baseline in Lipids-lipoproteins Profile (Total Cholesterol, High Density Lipoproteins, Low Density Lipoproteins)
Low density lipoproteins (Last in-trial value)
2.56 mmol/L
Interval 1.0 to 5.2
2.59 mmol/L
Interval 1.1 to 6.4

SECONDARY outcome

Timeframe: Week 16

Population: The safety analysis set included all subjects receiving at least one dose of the investigational medicinal product (IMP, faster aspart) or its comparator (NovoRapid®/NovoLog®). Number analyzed = Number of subjects contributed to the analysis.

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: the observation period from date of first dose of randomised trial products (faster aspart and NovoRapid®) to no later than 7 days after the day of last dose of randomised trial products.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Insulin Dose in Units/Day: Total Basal
23.82 Unit (U)
Standard Deviation 12.82
23.87 Unit (U)
Standard Deviation 11.38

SECONDARY outcome

Timeframe: Week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Insulin Dose in Units/Day: Total Bolus
25.91 U
Standard Deviation 17.46
25.27 U
Standard Deviation 15.33

SECONDARY outcome

Timeframe: Week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Total 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Insulin Dose in Units/Day: Total Daily Insulin Dose
49.72 U
Standard Deviation 27.08
49.12 U
Standard Deviation 23.75

SECONDARY outcome

Timeframe: Week 16

Population: No subjects were analysed, as no data was collected for individual meal insulin dose.

No data was collected for individual meal insulin dose.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Insulin Dose in Units/kg/Day: Total Basal
0.30 U/Kg
Standard Deviation 0.12
0.30 U/Kg
Standard Deviation 0.11

SECONDARY outcome

Timeframe: Week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Insulin Dose in Units/kg/Day: Total Bolus
0.33 U/Kg
Standard Deviation 0.17
0.31 U/Kg
Standard Deviation 0.16

SECONDARY outcome

Timeframe: Week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Total 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Insulin Dose in Units/kg/Day: Total Daily Insulin Dose
0.63 U/Kg
Standard Deviation 0.24
0.61 U/Kg
Standard Deviation 0.23

SECONDARY outcome

Timeframe: Week 16

Population: No subjects were analysed, as no data was collected for individual meal insulin dose.

No data was collected for individual meal insulin dose.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Insulin carbohydrate ratio 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Insulin Delivery Pump Parameter: Insulin Carbohydrate Ratio
9.13 Gram (g)/U
Standard Deviation 3.20
9.74 Gram (g)/U
Standard Deviation 6.77

SECONDARY outcome

Timeframe: Week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Glucose sensitivity factor 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Insulin Delivery Pump Parameter: Glucose Sensitivity Factor
2.65 mmol/L/U
Standard Deviation 1.14
2.60 mmol/L/U
Standard Deviation 0.98

SECONDARY outcome

Timeframe: Week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Active insulin time 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Insulin Delivery Pump Parameter: Active Insulin Time
3.6 Hour (h)
Standard Deviation 0.7
3.6 Hour (h)
Standard Deviation 0.7

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in mean interstitial glucose (IG) increment (0-30 minutes (min), 0-1 hour (h) and 0-2 h after start of meal) (breakfast, lunch, main evening meal and mean across all meals) 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Breakfast 0-30 min (Baseline)
0.23 mmol/L
Standard Deviation 0.61
0.21 mmol/L
Standard Deviation 0.60
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Lunch 0-30 min (Baseline)
0.02 mmol/L
Standard Deviation 0.54
0.03 mmol/L
Standard Deviation 0.60
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Main evening meal 0-30 min (Baseline)
0.15 mmol/L
Standard Deviation 0.52
0.09 mmol/L
Standard Deviation 0.57
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Mean across all meals 0-30 min (Baseline)
0.13 mmol/L
Standard Deviation 0.37
0.11 mmol/L
Standard Deviation 0.39
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Breakfast 0-1 h (Baseline)
0.78 mmol/L
Standard Deviation 0.97
0.73 mmol/L
Standard Deviation 0.94
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Lunch 0-1 h (Baseline)
0.42 mmol/L
Standard Deviation 0.77
0.44 mmol/L
Standard Deviation 0.84
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Main evening meal 0-1 h (Baseline)
0.39 mmol/L
Standard Deviation 0.75
0.32 mmol/L
Standard Deviation 0.82
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Mean across all meals 0-1 h (Baseline)
0.52 mmol/L
Standard Deviation 0.57
0.50 mmol/L
Standard Deviation 0.60
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Breakfast 0-2 h (Baseline)
1.32 mmol/L
Standard Deviation 1.52
1.27 mmol/L
Standard Deviation 1.46
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Lunch 0-2 h (Baseline)
0.99 mmol/L
Standard Deviation 1.19
0.92 mmol/L
Standard Deviation 1.07
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Main evening meal 0-2 h (Baseline)
0.54 mmol/L
Standard Deviation 1.15
0.50 mmol/L
Standard Deviation 1.19
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Mean across all meals 0-2 h (Baseline)
0.93 mmol/L
Standard Deviation 0.94
0.89 mmol/L
Standard Deviation 0.84
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Breakfast 0-30 min (Change from baseline)
-0.03 mmol/L
Standard Deviation 0.80
0.08 mmol/L
Standard Deviation 0.67
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Lunch 0-30 min (Change from baseline)
0.05 mmol/L
Standard Deviation 0.61
0.10 mmol/L
Standard Deviation 0.68
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Main evening meal 0-30 min (Change from baseline)
-0.07 mmol/L
Standard Deviation 0.73
-0.01 mmol/L
Standard Deviation 0.70
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Mean across all meals 0-30min:Change from baseline
-0.01 mmol/L
Standard Deviation 0.46
0.06 mmol/L
Standard Deviation 0.46
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Breakfast 0-1 h (Change from baseline)
-0.13 mmol/L
Standard Deviation 1.13
0.14 mmol/L
Standard Deviation 0.99
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Lunch 0-1 h (Change from baseline)
-0.02 mmol/L
Standard Deviation 0.88
0.15 mmol/L
Standard Deviation 0.99
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Main evening meal 0-1 h (Change from baseline)
-0.16 mmol/L
Standard Deviation 0.95
0.04 mmol/L
Standard Deviation 0.97
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Mean across all meals 0-1 h (Change from baseline)
-0.10 mmol/L
Standard Deviation 0.61
0.11 mmol/L
Standard Deviation 0.66
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Breakfast 0-2 h (Change from baseline)
-0.28 mmol/L
Standard Deviation 1.60
0.16 mmol/L
Standard Deviation 1.45
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Lunch 0-2 h (Change from baseline)
-0.24 mmol/L
Standard Deviation 1.32
0.22 mmol/L
Standard Deviation 1.37
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Main evening meal 0-2 h (Change from baseline)
-0.29 mmol/L
Standard Deviation 1.29
-0.03 mmol/L
Standard Deviation 1.27
Change From Baseline in Mean IG Increment (0-30 Min, 0-1 Hour and 0-2 Hours After Start of Meal) (Mean, Breakfast, Lunch and Main Evening Meal)
Mean across all meals 0-2 h (Change from baseline)
-0.25 mmol/L
Standard Deviation 0.81
0.12 mmol/L
Standard Deviation 0.86

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in mean time to the IG peak after start of meal (breakfast, lunch, main evening meal and mean across all meals) 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Mean Time to the IG Peak After Start of Meal (Mean, Breakfast, Lunch and Main Evening Meal)
Breakfast (Baseline)
88.95 Minutes
Standard Deviation 25.66
97.29 Minutes
Standard Deviation 32.32
Change From Baseline in Mean Time to the IG Peak After Start of Meal (Mean, Breakfast, Lunch and Main Evening Meal)
Lunch (Baseline)
109.47 Minutes
Standard Deviation 31.78
106.94 Minutes
Standard Deviation 29.67
Change From Baseline in Mean Time to the IG Peak After Start of Meal (Mean, Breakfast, Lunch and Main Evening Meal)
Main evening meal (Baseline)
110.11 Minutes
Standard Deviation 32.35
106.91 Minutes
Standard Deviation 29.61
Change From Baseline in Mean Time to the IG Peak After Start of Meal (Mean, Breakfast, Lunch and Main Evening Meal)
Mean across all meals (Baseline)
103.24 Minutes
Standard Deviation 18.50
103.99 Minutes
Standard Deviation 19.21
Change From Baseline in Mean Time to the IG Peak After Start of Meal (Mean, Breakfast, Lunch and Main Evening Meal)
Breakfast (Change from baseline)
0.25 Minutes
Standard Deviation 33.69
-4.03 Minutes
Standard Deviation 35.49
Change From Baseline in Mean Time to the IG Peak After Start of Meal (Mean, Breakfast, Lunch and Main Evening Meal)
Lunch (Change from baseline)
-2.00 Minutes
Standard Deviation 38.63
1.64 Minutes
Standard Deviation 38.02
Change From Baseline in Mean Time to the IG Peak After Start of Meal (Mean, Breakfast, Lunch and Main Evening Meal)
Main evening meal (Change from baseline)
-2.04 Minutes
Standard Deviation 40.51
-1.43 Minutes
Standard Deviation 38.94
Change From Baseline in Mean Time to the IG Peak After Start of Meal (Mean, Breakfast, Lunch and Main Evening Meal)
Mean across all meals (Change from baseline)
-1.30 Minutes
Standard Deviation 22.01
-1.00 Minutes
Standard Deviation 21.90

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in mean IG peak after start of meal (breakfast, lunch, main evening meal and mean across all meals) 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Mean IG Peak After Start of Meal (Mean, Breakfast, Lunch and Main Evening Meal)
Breakfast (Baseline)
12.43 mmol/L
Standard Deviation 1.97
12.25 mmol/L
Standard Deviation 2.09
Change From Baseline in Mean IG Peak After Start of Meal (Mean, Breakfast, Lunch and Main Evening Meal)
Lunch (Baseline)
12.42 mmol/L
Standard Deviation 2.07
12.56 mmol/L
Standard Deviation 1.84
Change From Baseline in Mean IG Peak After Start of Meal (Mean, Breakfast, Lunch and Main Evening Meal)
Main evening meal (Baseline)
12.65 mmol/L
Standard Deviation 2.10
12.70 mmol/L
Standard Deviation 2.06
Change From Baseline in Mean IG Peak After Start of Meal (Mean, Breakfast, Lunch and Main Evening Meal)
Mean across all meals (Baseline)
12.49 mmol/L
Standard Deviation 1.67
12.51 mmol/L
Standard Deviation 1.60
Change From Baseline in Mean IG Peak After Start of Meal (Mean, Breakfast, Lunch and Main Evening Meal)
Breakfast (Change from baseline)
0.10 mmol/L
Standard Deviation 2.24
0.11 mmol/L
Standard Deviation 2.11
Change From Baseline in Mean IG Peak After Start of Meal (Mean, Breakfast, Lunch and Main Evening Meal)
Lunch (Change from baseline)
0.10 mmol/L
Standard Deviation 2.19
0.19 mmol/L
Standard Deviation 1.92
Change From Baseline in Mean IG Peak After Start of Meal (Mean, Breakfast, Lunch and Main Evening Meal)
Main evening meal (Change from baseline)
0.22 mmol/L
Standard Deviation 2.09
-0.13 mmol/L
Standard Deviation 2.14
Change From Baseline in Mean IG Peak After Start of Meal (Mean, Breakfast, Lunch and Main Evening Meal)
Mean across all meals (Change from baseline)
0.16 mmol/L
Standard Deviation 1.63
0.03 mmol/L
Standard Deviation 1.59

SECONDARY outcome

Timeframe: Week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Percentage of time spent with IG ≤2.5, 3.0, 3.5, 3.9 mmol/L \[45, 54, 63, 70 mg/dL\]) and IG \>10.0, 12.0, 13.9 mmol/L \[180, 216, 250 mg/dL\]) 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Percentage of Time Spent With IG ≤2.5, 3.0, 3.5, 3.9 mmol/L [45, 54, 63, 70 mg/dL]) and IG >10.0, 12.0, 13.9 mmol/L [180, 216, 250 mg/dL])
IG ≤2.5 mmol/L (45 mg/dL)
1.11 % of time
Standard Deviation 1.29
1.03 % of time
Standard Deviation 1.38
Percentage of Time Spent With IG ≤2.5, 3.0, 3.5, 3.9 mmol/L [45, 54, 63, 70 mg/dL]) and IG >10.0, 12.0, 13.9 mmol/L [180, 216, 250 mg/dL])
IG ≤3.0 mmol/L (54 mg/dL)
2.15 % of time
Standard Deviation 1.98
2.19 % of time
Standard Deviation 2.25
Percentage of Time Spent With IG ≤2.5, 3.0, 3.5, 3.9 mmol/L [45, 54, 63, 70 mg/dL]) and IG >10.0, 12.0, 13.9 mmol/L [180, 216, 250 mg/dL])
IG ≤3.5 mmol/L (63 mg/dL)
3.75 % of time
Standard Deviation 2.85
3.93 % of time
Standard Deviation 3.37
Percentage of Time Spent With IG ≤2.5, 3.0, 3.5, 3.9 mmol/L [45, 54, 63, 70 mg/dL]) and IG >10.0, 12.0, 13.9 mmol/L [180, 216, 250 mg/dL])
IG ≤3.9 mmol/L (70.2 mg/dL)
5.46 % of time
Standard Deviation 3.68
5.76 % of time
Standard Deviation 4.25
Percentage of Time Spent With IG ≤2.5, 3.0, 3.5, 3.9 mmol/L [45, 54, 63, 70 mg/dL]) and IG >10.0, 12.0, 13.9 mmol/L [180, 216, 250 mg/dL])
IG >10.0 mmol/L (180 mg/dL)
41.57 % of time
Standard Deviation 13.09
39.24 % of time
Standard Deviation 11.86
Percentage of Time Spent With IG ≤2.5, 3.0, 3.5, 3.9 mmol/L [45, 54, 63, 70 mg/dL]) and IG >10.0, 12.0, 13.9 mmol/L [180, 216, 250 mg/dL])
IG >12.0 mmol/L (216 mg/dL)
26.34 % of time
Standard Deviation 11.66
24.23 % of time
Standard Deviation 10.75
Percentage of Time Spent With IG ≤2.5, 3.0, 3.5, 3.9 mmol/L [45, 54, 63, 70 mg/dL]) and IG >10.0, 12.0, 13.9 mmol/L [180, 216, 250 mg/dL])
IG >13.9 mmol/L (250 mg/dL)
15.87 % of time
Standard Deviation 9.42
14.23 % of time
Standard Deviation 8.49

SECONDARY outcome

Timeframe: Week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Incidence of episodes with IG ≤2.5, 3.0, 3.5, 3.9 mmol/L \[45, 54, 63, 70 mg/dL\]) and IG \>10.0, 12.0, 13.9 mmol/L \[180, 216, 250 mg/dL\]) 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Incidence of Episodes With IG ≤2.5, 3.0, 3.5, 3.9 mmol/L [45, 54, 63, 70 mg/dL]) and IG >10.0, 12.0, 13.9 mmol/L [180, 216, 250 mg/dL])
IG ≤2.5 mmol/L (45 mg/dL)
1570 Number of Events
1532 Number of Events
Incidence of Episodes With IG ≤2.5, 3.0, 3.5, 3.9 mmol/L [45, 54, 63, 70 mg/dL]) and IG >10.0, 12.0, 13.9 mmol/L [180, 216, 250 mg/dL])
IG ≤3.0 mmol/L (54 mg/dL)
2848 Number of Events
2920 Number of Events
Incidence of Episodes With IG ≤2.5, 3.0, 3.5, 3.9 mmol/L [45, 54, 63, 70 mg/dL]) and IG >10.0, 12.0, 13.9 mmol/L [180, 216, 250 mg/dL])
IG ≤3.5 mmol/L (63 mg/dL)
4584 Number of Events
4742 Number of Events
Incidence of Episodes With IG ≤2.5, 3.0, 3.5, 3.9 mmol/L [45, 54, 63, 70 mg/dL]) and IG >10.0, 12.0, 13.9 mmol/L [180, 216, 250 mg/dL])
IG ≤3.9 mmol/L (70 mg/dL)
6371 Number of Events
6576 Number of Events
Incidence of Episodes With IG ≤2.5, 3.0, 3.5, 3.9 mmol/L [45, 54, 63, 70 mg/dL]) and IG >10.0, 12.0, 13.9 mmol/L [180, 216, 250 mg/dL])
IG >10.0 mmol/L (180 mg/dL)
35194 Number of Events
33176 Number of Events
Incidence of Episodes With IG ≤2.5, 3.0, 3.5, 3.9 mmol/L [45, 54, 63, 70 mg/dL]) and IG >10.0, 12.0, 13.9 mmol/L [180, 216, 250 mg/dL])
IG >12.0 mmol/L (216 mg/dL)
23070 Number of Events
21276 Number of Events
Incidence of Episodes With IG ≤2.5, 3.0, 3.5, 3.9 mmol/L [45, 54, 63, 70 mg/dL]) and IG >10.0, 12.0, 13.9 mmol/L [180, 216, 250 mg/dL])
IG >13.9 mmol/L (250 mg/dL)
14352 Number of Events
12866 Number of Events

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in mean of the IG profile was evaluated after 16 weeks of randomisation. The mean of an IG profile is defined as the time integral of the profile over the profile's length, divided by the profile's length. The results are based on the last in-trial value, which included the last available measurement in the in-trial period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Mean of the IG Profile
Baseline
9.38 mmol/L
Standard Deviation 1.18
9.39 mmol/L
Standard Deviation 1.20
Change From Baseline in Mean of the IG Profile
Change from baseline
0.28 mmol/L
Standard Deviation 1.27
0.04 mmol/L
Standard Deviation 1.18

SECONDARY outcome

Timeframe: Week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Percentage of time spent within IG target range 4.0-7.8 mmol/L (71-140 mg/dL) and 4.0-10 mmol/L (71-180 mg/dL) 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Percentage of Time Spent Within IG Target Range 4.0-7.8 mmol/L (71-140 mg/dL) and 4.0-10 mmol/L (71-180 mg/dL)
IG 4.0-7.8 mmol/L (71-140 mg/dL)
31.49 % of time
Standard Deviation 9.97
33.11 % of time
Standard Deviation 8.76
Percentage of Time Spent Within IG Target Range 4.0-7.8 mmol/L (71-140 mg/dL) and 4.0-10 mmol/L (71-180 mg/dL)
IG 4.0-10.0 mmol/L (71-180 mg/dL)
52.40 % of time
Standard Deviation 11.87
54.40 % of time
Standard Deviation 10.70

SECONDARY outcome

Timeframe: Week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Variation in IG profile was the average absolute difference from the mean of the IG profile. Variation in the IG 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Variation in the IG Profile
3.09 mmol/L
Interval 1.6 to 5.6
3.04 mmol/L
Interval 1.6 to 5.1

SECONDARY outcome

Timeframe: Week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Area under the curve (AUC3.9-IG) for IG ≤3.9 mmol/L \[70 mg/dL\] 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Area Under the Curve (AUC3.9-IG) for IG ≤3.9 mmol/L [70 mg/dL]
3.19 mmol/L
Standard Deviation 0.22
3.21 mmol/L
Standard Deviation 0.20

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in area under the curve for interstitial glucose (AUCIG),0-15 minutes during 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in AUCIG,0-15min
Baseline
7.55 mmol/L
Standard Deviation 2.63
7.37 mmol/L
Standard Deviation 2.20
Change From Baseline in AUCIG,0-15min
Change from baseline
0.16 mmol/L
Standard Deviation 3.06
0.21 mmol/L
Standard Deviation 2.96

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in AUCIG,0-30 minutes during 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in AUCIG,0-30min
Baseline
7.98 mmol/L
Standard Deviation 2.65
7.86 mmol/L
Standard Deviation 2.25
Change From Baseline in AUCIG,0-30min
Change from baseline
0.12 mmol/L
Standard Deviation 3.12
0.22 mmol/L
Standard Deviation 3.02

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in AUCIG,0-1 hour during 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in AUCIG,0-1h
Baseline
9.47 mmol/L
Standard Deviation 2.76
9.35 mmol/L
Standard Deviation 2.38
Change From Baseline in AUCIG,0-1h
Change from baseline
-0.07 mmol/L
Standard Deviation 3.33
0.32 mmol/L
Standard Deviation 3.26

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in AUCIG,0-2 hours during 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in AUCIG,0-2h
Baseline
11.27 mmol/L
Standard Deviation 3.10
11.18 mmol/L
Standard Deviation 2.82
Change From Baseline in AUCIG,0-2h
Change from baseline
-0.38 mmol/L
Standard Deviation 3.76
0.37 mmol/L
Standard Deviation 3.90

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in AUCIG,0-24hours during 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in AUCIG,0-4h
Baseline
11.31 mmol/L
Standard Deviation 3.33
11.40 mmol/L
Standard Deviation 3.03
Change From Baseline in AUCIG,0-4h
Change from baseline
-0.32 mmol/L
Standard Deviation 4.07
0.29 mmol/L
Standard Deviation 4.10

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in time to the IG peak after start of meal-test meal 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Time to the IG Peak After Start of Meal
Baseline
111.2 Minute
Standard Deviation 45.3
117.0 Minute
Standard Deviation 43.0
Change From Baseline in Time to the IG Peak After Start of Meal
Change from baseline
1.2 Minute
Standard Deviation 50.5
-1.4 Minute
Standard Deviation 51.6

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The FAS included all randomised subjects. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in IG peak after start of meal-test meal 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in IG Peak After Start of Meal
Change from baseline
-0.57 mmol/L
Standard Deviation 4.69
0.36 mmol/L
Standard Deviation 4.78
Change From Baseline in IG Peak After Start of Meal
Baseline
14.71 mmol/L
Standard Deviation 3.94
14.69 mmol/L
Standard Deviation 3.65

SECONDARY outcome

Timeframe: Weeks 0-16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Treatment emergent adverse events (TEAEs) were recorded from week 0 to week 16. A TEAE was defined as an event that has an onset date on or after the first day of exposure to randomised treatment (in week 0), and no later than seven days after the last day of randomised treatment (i.e., maximum week 16 + 7 days). The results are based on the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Number of Treatment Emergent Adverse Events (AEs)
440 Number of adverse events
412 Number of adverse events

SECONDARY outcome

Timeframe: Weeks 0-16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Number of treatment emergent infusion site reactions were recorded from week 0 to week 16. The results are based on the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Number of Treatment Emergent Infusion Site Reactions
44 Number of infusion site reaction events
32 Number of infusion site reaction events

SECONDARY outcome

Timeframe: Weeks 0-16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis. The results are based on the on-treatment period.

ADA classification of hypo: 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 hypo: 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 hypo.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: Overall
ADA: Severe
21 Number of hypoglycaemic episodes
7 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: Overall
ADA: Documented symptomatic
8372 Number of hypoglycaemic episodes
8904 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: Overall
ADA: Asymptomatic
2530 Number of hypoglycaemic episodes
2273 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: Overall
ADA: Probable symptomatic
88 Number of hypoglycaemic episodes
32 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: Overall
ADA: Pseudo
56 Number of hypoglycaemic episodes
159 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: Overall
ADA: Unclassifiable
1 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: Overall
NN: BG confirmed
3258 Number of hypoglycaemic episodes
3240 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: Overall
NN: Severe or BG confirmed symptomatic
2751 Number of hypoglycaemic episodes
2779 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: Overall
NN: Severe or BG confirmed
3279 Number of hypoglycaemic episodes
3247 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: Overall
NN: Unclassifiable
7789 Number of hypoglycaemic episodes
8128 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association (ADA) and Novo Nordisk (NN) Definition: Overall
Not able to selftreat - unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes

SECONDARY outcome

Timeframe: Weeks 0-16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)
ADA: Severe
12 Number of hypoglycaemic episodes
5 Number of hypoglycaemic episodes
Number 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 symptomatic
7508 Number of hypoglycaemic episodes
7889 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)
ADA: Asymptomatic
2321 Number of hypoglycaemic episodes
2071 Number of hypoglycaemic episodes
Number 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 symptomatic
70 Number of hypoglycaemic episodes
26 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)
ADA: Pseudo
52 Number of hypoglycaemic episodes
144 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)
ADA: Unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes
Number 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 confirmed
2799 Number of hypoglycaemic episodes
2769 Number of hypoglycaemic episodes
Number 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 symptomatic
2335 Number of hypoglycaemic episodes
2359 Number of hypoglycaemic episodes
Number 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
2811 Number of hypoglycaemic episodes
2774 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Daytime Hypoglycaemic Episodes (06:00-00:00 - Inclusive)
NN: Unclassifiable
7152 Number of hypoglycaemic episodes
7361 Number of hypoglycaemic episodes
Number 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 - unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes

SECONDARY outcome

Timeframe: Weeks 0-16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)
ADA: Severe
9 Number of hypoglycaemic episodes
2 Number of hypoglycaemic episodes
Number 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 symptomatic
864 Number of hypoglycaemic episodes
1015 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)
ADA: Asymptomatic
209 Number of hypoglycaemic episodes
202 Number of hypoglycaemic episodes
Number 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 symptomatic
18 Number of hypoglycaemic episodes
6 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)
ADA: Pseudo
4 Number of hypoglycaemic episodes
15 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)
ADA: Unclassifiable
1 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes
Number 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 confirmed
459 Number of hypoglycaemic episodes
471 Number of hypoglycaemic episodes
Number 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 symptomatic
416 Number of hypoglycaemic episodes
420 Number of hypoglycaemic episodes
Number 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
468 Number of hypoglycaemic episodes
473 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Nocturnal Hypoglycaemic Episodes (00:01-05:59 - Inclusive)
NN: Unclassifiable
637 Number of hypoglycaemic episodes
767 Number of hypoglycaemic episodes
Number 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 - unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes

SECONDARY outcome

Timeframe: Weeks 0-16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
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
ADA: Severe
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes
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
ADA: Documented symptomatic
224 Number of hypoglycaemic episodes
190 Number of hypoglycaemic episodes
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
ADA: Asymptomatic
31 Number of hypoglycaemic episodes
33 Number of hypoglycaemic episodes
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
ADA: Probable symptomatic
1 Number of hypoglycaemic episodes
3 Number of hypoglycaemic episodes
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
ADA: Pseudo
0 Number of hypoglycaemic episodes
5 Number of hypoglycaemic episodes
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
ADA: Unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes
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
NN: BG confirmed
92 Number of hypoglycaemic episodes
51 Number of hypoglycaemic episodes
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
NN: Severe or BG confirmed symptomatic
81 Number of hypoglycaemic episodes
48 Number of hypoglycaemic episodes
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
NN: Severe or BG confirmed
92 Number of hypoglycaemic episodes
51 Number of hypoglycaemic episodes
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
NN: Unclassifiable
164 Number of hypoglycaemic episodes
180 Number of hypoglycaemic episodes
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
Not able to selftreat - unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes

SECONDARY outcome

Timeframe: Weeks 0-16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the Meal
ADA: Severe
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the Meal
ADA: Documented symptomatic
1258 Number of hypoglycaemic episodes
1077 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the Meal
ADA: Asymptomatic
176 Number of hypoglycaemic episodes
175 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the Meal
ADA: Probable symptomatic
9 Number of hypoglycaemic episodes
6 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the Meal
ADA: Pseudo
7 Number of hypoglycaemic episodes
34 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the Meal
ADA: Unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the Meal
NN: BG confirmed
482 Number of hypoglycaemic episodes
413 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the Meal
NN: Severe or BG confirmed symptomatic
441 Number of hypoglycaemic episodes
372 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the Meal
NN: Severe or BG confirmed
482 Number of hypoglycaemic episodes
413 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the Meal
NN: Unclassifiable
968 Number of hypoglycaemic episodes
879 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 2 Hours After Start of the Meal
Not able to selftreat - unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes

SECONDARY outcome

Timeframe: Weeks 0-16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the Meal
ADA: Severe
5 Number of hypoglycaemic episodes
2 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the Meal
ADA: Documented symptomatic
3767 Number of hypoglycaemic episodes
3907 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the Meal
ADA: Asymptomatic
750 Number of hypoglycaemic episodes
677 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the Meal
ADA: Probable symptomatic
43 Number of hypoglycaemic episodes
17 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the Meal
ADA: Pseudo
29 Number of hypoglycaemic episodes
98 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the Meal
ADA: Unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the Meal
NN: BG confirmed
1403 Number of hypoglycaemic episodes
1399 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the Meal
NN: Severe or BG confirmed symptomatic
1246 Number of hypoglycaemic episodes
1259 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the Meal
NN: Severe or BG confirmed
1408 Number of hypoglycaemic episodes
1401 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the Meal
NN: Unclassifiable
3186 Number of hypoglycaemic episodes
3300 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes During First 4 Hours After Start of the Meal
Not able to selftreat - unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes

SECONDARY outcome

Timeframe: Weeks 0-16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
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
NN: BG confirmed
921 Number of hypoglycaemic episodes
986 Number of hypoglycaemic episodes
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
NN: Severe or BG confirmed symptomatic
805 Number of hypoglycaemic episodes
887 Number of hypoglycaemic episodes
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
NN: Severe or BG confirmed
926 Number of hypoglycaemic episodes
988 Number of hypoglycaemic episodes
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
NN: Unclassifiable
2218 Number of hypoglycaemic episodes
2421 Number of hypoglycaemic episodes
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
Not able to selftreat - unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes
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
ADA: Pseudo
22 Number of hypoglycaemic episodes
64 Number of hypoglycaemic episodes
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
ADA: Unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes
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
ADA: Severe
5 Number of hypoglycaemic episodes
2 Number of hypoglycaemic episodes
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
ADA: Documented symptomatic
2509 Number of hypoglycaemic episodes
2830 Number of hypoglycaemic episodes
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
ADA: Asymptomatic
574 Number of hypoglycaemic episodes
502 Number of hypoglycaemic episodes
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
ADA: Probable symptomatic
34 Number of hypoglycaemic episodes
11 Number of hypoglycaemic episodes

SECONDARY outcome

Timeframe: Weeks 0-16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Number of treatment emergent hypoglycaemic episodes according to the ADA and NN definitions were evaluated between 1 hour to 2 hours after start of the meal. The results are based on the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 1 Hour to 2 Hours After Start of the Meal
ADA: Severe
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 1 Hour to 2 Hours After Start of the Meal
ADA: Documented symptomatic
1034 Number of hypoglycaemic episodes
887 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 1 Hour to 2 Hours After Start of the Meal
ADA: Asymptomatic
145 Number of hypoglycaemic episodes
142 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 1 Hour to 2 Hours After Start of the Meal
ADA: Probable symptomatic
8 Number of hypoglycaemic episodes
3 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 1 Hour to 2 Hours After Start of the Meal
ADA: Pseudo
7 Number of hypoglycaemic episodes
29 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 1 Hour to 2 Hours After Start of the Meal
ADA: Unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 1 Hour to 2 Hours After Start of the Meal
NN: BG confirmed
390 Number of hypoglycaemic episodes
362 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 1 Hour to 2 Hours After Start of the Meal
NN: Severe or BG confirmed symptomatic
360 Number of hypoglycaemic episodes
324 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 1 Hour to 2 Hours After Start of the Meal
NN: Severe or BG confirmed
390 Number of hypoglycaemic episodes
362 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 1 Hour to 2 Hours After Start of the Meal
NN: Unclassifiable
804 Number of hypoglycaemic episodes
699 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and NN Definition: Hypoglycaemic Episodes Occurring Between 1 Hour to 2 Hours After Start of the Meal
Not able to selftreat - unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes

SECONDARY outcome

Timeframe: Weeks 0-16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Number of treatment emergent hypoglycaemic episodes according to the ADA and NN definitions were evaluated between 2 to 3 hours after start of the meal. The results are based on the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 2 to 3 Hours After Start of the Meal
ADA: Severe
2 Number of hypoglycaemic episodes
1 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 2 to 3 Hours After Start of the Meal
ADA: Documented symptomatic
1327 Number of hypoglycaemic episodes
1518 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 2 to 3 Hours After Start of the Meal
ADA: Asymptomatic
277 Number of hypoglycaemic episodes
241 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 2 to 3 Hours After Start of the Meal
ADA: Probable symptomatic
19 Number of hypoglycaemic episodes
7 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 2 to 3 Hours After Start of the Meal
ADA: Pseudo
13 Number of hypoglycaemic episodes
38 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 2 to 3 Hours After Start of the Meal
ADA: Unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 2 to 3 Hours After Start of the Meal
NN: BG confirmed
491 Number of hypoglycaemic episodes
555 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 2 to 3 Hours After Start of the Meal
NN: Severe or BG confirmed symptomatic
429 Number of hypoglycaemic episodes
508 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 2 to 3 Hours After Start of the Meal
NN: Severe or BG confirmed
493 Number of hypoglycaemic episodes
556 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 2 to 3 Hours After Start of the Meal
NN: Unclassifiable
1145 Number of hypoglycaemic episodes
1249 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 2 to 3 Hours After Start of the Meal
Not able to selftreat - unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes

SECONDARY outcome

Timeframe: Weeks 0-16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Number of treatment emergent hypoglycaemic episodes according to the ADA and NN definitions were evaluated between 3 to 4 hours after start of the meal. The results are based on the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 3 to 4 Hours After Start of the Meal
ADA: Severe
3 Number of hypoglycaemic episodes
1 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 3 to 4 Hours After Start of the Meal
ADA: Documented symptomatic
1182 Number of hypoglycaemic episodes
1312 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 3 to 4 Hours After Start of the Meal
ADA: Asymptomatic
297 Number of hypoglycaemic episodes
261 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 3 to 4 Hours After Start of the Meal
ADA: Probable symptomatic
15 Number of hypoglycaemic episodes
4 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 3 to 4 Hours After Start of the Meal
ADA: Pseudo
9 Number of hypoglycaemic episodes
26 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 3 to 4 Hours After Start of the Meal
ADA: Unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 3 to 4 Hours After Start of the Meal
NN: BG confirmed
430 Number of hypoglycaemic episodes
431 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 3 to 4 Hours After Start of the Meal
NN: Severe or BG confirmed symptomatic
376 Number of hypoglycaemic episodes
379 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 3 to 4 Hours After Start of the Meal
NN: Severe or BG confirmed
433 Number of hypoglycaemic episodes
432 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 3 to 4 Hours After Start of the Meal
NN: Unclassifiable
1073 Number of hypoglycaemic episodes
1172 Number of hypoglycaemic episodes
Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association and Novo Nordisk Definition: Hypoglycaemic Episodes Occurring Between 3 to 4 Hours After Start of the Meal
Not able to selftreat - unclassifiable
0 Number of hypoglycaemic episodes
0 Number of hypoglycaemic episodes

SECONDARY outcome

Timeframe: Weeks 0-16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Unexplained hyperglycaemia was defined as a confirmed PG value ≥16.7 mmol/L (300 mg/dL) and was unexplained (i.e. no apparent medical, dietary, insulin dosage or pump failure reason). The results are based on the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Number of Unexplained Episodes of Hyperglycaemia (Confirmed by SMPG)
1185 Number of hypoglycaemic episodes
1058 Number of hypoglycaemic episodes

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Reported results are respiratory system-examination findings at baseline (week 0) and after 16 weeks of randomisation. The findings are presented as: 1) Normal. 2) Abnormal (not clinically significant \[NCS\]). 3) Abnormal (clinically significant \[CS\]). The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Physical Examination: Respiratory System
Normal, baseline
234 Number of subjects
235 Number of subjects
Change From Baseline in Physical Examination: Respiratory System
Abnormal (NCS), baseline
1 Number of subjects
1 Number of subjects
Change From Baseline in Physical Examination: Respiratory System
Abnormal (CS), baseline
1 Number of subjects
0 Number of subjects
Change From Baseline in Physical Examination: Respiratory System
Normal, last on-treatment value
235 Number of subjects
234 Number of subjects
Change From Baseline in Physical Examination: Respiratory System
Abnormal (NCS), last on-treatment value
0 Number of subjects
2 Number of subjects
Change From Baseline in Physical Examination: Respiratory System
Abnormal (CS), last on-treatment value
1 Number of subjects
0 Number of subjects

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Reported results are cardiovascular system-examination findings at baseline (week 0) and after 16 weeks of randomisation. The findings are presented as: 1) Normal. 2) Abnormal (not clinically significant \[NCS\]). 3) Abnormal (clinically significant \[CS\]). The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Physical Examination: Cardiovascular System
Normal, baseline
233 Number of subjects
229 Number of subjects
Change From Baseline in Physical Examination: Cardiovascular System
Abnormal (NCS), baseline
1 Number of subjects
7 Number of subjects
Change From Baseline in Physical Examination: Cardiovascular System
Abnormal (CS), baseline
2 Number of subjects
0 Number of subjects
Change From Baseline in Physical Examination: Cardiovascular System
Normal, last on-treatment value
231 Number of subjects
228 Number of subjects
Change From Baseline in Physical Examination: Cardiovascular System
Abnormal (NCS), last on-treatment value
4 Number of subjects
7 Number of subjects
Change From Baseline in Physical Examination: Cardiovascular System
Abnormal (CS), last on-treatment value
1 Number of subjects
1 Number of subjects

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Reported results are central and peripheral nervous system-examination findings at baseline (week 0) and after 16 weeks of randomisation. The findings are presented as: 1) Normal. 2) Abnormal (not clinically significant \[NCS\]). 3) Abnormal (clinically significant \[CS\]). The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Physical Examination: Central and Peripheral Nervous System
Normal, baseline
210 Number of subjects
215 Number of subjects
Change From Baseline in Physical Examination: Central and Peripheral Nervous System
Abnormal (NCS), baseline
22 Number of subjects
18 Number of subjects
Change From Baseline in Physical Examination: Central and Peripheral Nervous System
Abnormal (CS), baseline
4 Number of subjects
3 Number of subjects
Change From Baseline in Physical Examination: Central and Peripheral Nervous System
Normal, last on-treatment value
209 Number of subjects
216 Number of subjects
Change From Baseline in Physical Examination: Central and Peripheral Nervous System
Abnormal (NCS), last on-treatment value
23 Number of subjects
17 Number of subjects
Change From Baseline in Physical Examination: Central and Peripheral Nervous System
Abnormal (CS), last on-treatment value
4 Number of subjects
3 Number of subjects

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Reported results are gastrointestinal system-examination findings at baseline (week 0) and after 16 weeks of randomisation. The findings are presented as: 1) Normal. 2) Abnormal (not clinically significant \[NCS\]). 3) Abnormal (clinically significant \[CS\]). The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Physical Examination: Gastrointestinal System, Including the Mouth
Normal, baseline
231 Number of subjects
231 Number of subjects
Change From Baseline in Physical Examination: Gastrointestinal System, Including the Mouth
Abnormal (NCS), baseline
3 Number of subjects
5 Number of subjects
Change From Baseline in Physical Examination: Gastrointestinal System, Including the Mouth
Abnormal (CS), baseline
2 Number of subjects
0 Number of subjects
Change From Baseline in Physical Examination: Gastrointestinal System, Including the Mouth
Normal, last on-treatment value
231 Number of subjects
231 Number of subjects
Change From Baseline in Physical Examination: Gastrointestinal System, Including the Mouth
Abnormal (NCS), last on-treatment value
4 Number of subjects
3 Number of subjects
Change From Baseline in Physical Examination: Gastrointestinal System, Including the Mouth
Abnormal (CS), last on-treatment value
1 Number of subjects
2 Number of subjects

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Reported results are musculoskeletal system-examination findings at baseline (week 0) and after 16 weeks of randomisation. The findings are presented as: 1) Normal. 2) Abnormal (not clinically significant \[NCS\]). 3) Abnormal (clinically significant \[CS\]). The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Physical Examination: Musculoskeletal System
Normal, baseline
222 Number of subjects
227 Number of subjects
Change From Baseline in Physical Examination: Musculoskeletal System
Abnormal (NCS), baseline
13 Number of subjects
9 Number of subjects
Change From Baseline in Physical Examination: Musculoskeletal System
Abnormal (CS), baseline
1 Number of subjects
0 Number of subjects
Change From Baseline in Physical Examination: Musculoskeletal System
Normal, last on-treatment value
223 Number of subjects
228 Number of subjects
Change From Baseline in Physical Examination: Musculoskeletal System
Abnormal (NCS), last on-treatment value
12 Number of subjects
8 Number of subjects
Change From Baseline in Physical Examination: Musculoskeletal System
Abnormal (CS), last on-treatment value
1 Number of subjects
0 Number of subjects

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Reported results are skin-examination findings at baseline (week 0) and after 16 weeks of randomisation. The findings are presented as: 1) Normal. 2) Abnormal (not clinically significant \[NCS\]). 3) Abnormal (clinically significant \[CS\]). The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Physical Examination: Skin
Normal, baseline
212 Number of subjects
211 Number of subjects
Change From Baseline in Physical Examination: Skin
Abnormal (NCS), baseline
18 Number of subjects
22 Number of subjects
Change From Baseline in Physical Examination: Skin
Abnormal (CS), baseline
6 Number of subjects
3 Number of subjects
Change From Baseline in Physical Examination: Skin
Normal, last on-treatment value
204 Number of subjects
203 Number of subjects
Change From Baseline in Physical Examination: Skin
Abnormal (NCS), last on-treatment value
21 Number of subjects
29 Number of subjects
Change From Baseline in Physical Examination: Skin
Abnormal (CS), last on-treatment value
11 Number of subjects
4 Number of subjects

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Reported results are head, ears, eyes, nose, throat and neck-examination findings at baseline (week 0) and after 16 weeks of randomisation. The findings are presented as: 1) Normal. 2) Abnormal (not clinically significant \[NCS\]). 3) Abnormal (clinically significant \[CS\]). The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Physical Examination: Head, Ears, Eyes, Nose, Throat and Neck
Normal, baseline
219 Number of subjects
221 Number of subjects
Change From Baseline in Physical Examination: Head, Ears, Eyes, Nose, Throat and Neck
Abnormal (NCS), baseline
15 Number of subjects
14 Number of subjects
Change From Baseline in Physical Examination: Head, Ears, Eyes, Nose, Throat and Neck
Abnormal (CS), baseline
2 Number of subjects
1 Number of subjects
Change From Baseline in Physical Examination: Head, Ears, Eyes, Nose, Throat and Neck
Normal, last on-treatment value
217 Number of subjects
218 Number of subjects
Change From Baseline in Physical Examination: Head, Ears, Eyes, Nose, Throat and Neck
Abnormal (NCS), last on-treatment value
15 Number of subjects
16 Number of subjects
Change From Baseline in Physical Examination: Head, Ears, Eyes, Nose, Throat and Neck
Abnormal (CS), last on-treatment value
4 Number of subjects
2 Number of subjects

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in blood pressure (both systolic and diastolic) 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Vital Sign: Blood Pressure
Systolic blood pressure (baseline)
123.6 mmHg
Standard Deviation 14.7
122.0 mmHg
Standard Deviation 14.3
Change From Baseline in Vital Sign: Blood Pressure
Diastolic blood pressure (baseline)
74.8 mmHg
Standard Deviation 9.4
74.6 mmHg
Standard Deviation 8.7
Change From Baseline in Vital Sign: Blood Pressure
Systolic blood pressure (change from baseline)
-0.8 mmHg
Standard Deviation 12.3
-0.7 mmHg
Standard Deviation 11.5
Change From Baseline in Vital Sign: Blood Pressure
Diastolic blood pressure (change from baseline)
-0.7 mmHg
Standard Deviation 8.4
-0.4 mmHg
Standard Deviation 7.7

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in pulse 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Vital Sign: Pulse
Baseline
73.7 Beats/minute
Standard Deviation 11.0
74.5 Beats/minute
Standard Deviation 11.1
Change From Baseline in Vital Sign: Pulse
Change from baseline
-0.5 Beats/minute
Standard Deviation 9.0
-0.8 Beats/minute
Standard Deviation 9.6

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Reported results are ECG findings at screening (week -6) and after 16 weeks of randomisation. The findings are presented as: 1) Normal. 2) Abnormal (not clinically significant \[NCS\]). 3) Abnormal (clinically significant \[CS\]). The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Screening in Electrocardiogram (ECG)
Normal, screening
178 Number of subjects
181 Number of subjects
Change From Screening in Electrocardiogram (ECG)
Abnormal (NCS), screening
58 Number of subjects
54 Number of subjects
Change From Screening in Electrocardiogram (ECG)
Abnormal (CS), screening
0 Number of subjects
1 Number of subjects
Change From Screening in Electrocardiogram (ECG)
Normal, last on-treatment value
188 Number of subjects
180 Number of subjects
Change From Screening in Electrocardiogram (ECG)
Abnormal (NCS), last on-treatment value
44 Number of subjects
48 Number of subjects
Change From Screening in Electrocardiogram (ECG)
Abnormal (CS), last on-treatment value
0 Number of subjects
2 Number of subjects

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Reported results are fundus photography/fundoscopy (for both left and right eye) findings at screening (week -6) and after 16 weeks of randomisation. The findings are presented as: 1) Normal. 2) AAbnormal (not clinically significant \[NCS\]). 3) Abnormal (clinically significant \[CS\]). The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Screening in Fundus Photography/Fundoscopy
Left eye (Normal), screening
135 Number of subjects
136 Number of subjects
Change From Screening in Fundus Photography/Fundoscopy
Left eye (Abnormal [NCS]), screening
94 Number of subjects
94 Number of subjects
Change From Screening in Fundus Photography/Fundoscopy
Left eye (Abnormal [CS]), screening
7 Number of subjects
6 Number of subjects
Change From Screening in Fundus Photography/Fundoscopy
Right eye (Normal), screening
132 Number of subjects
132 Number of subjects
Change From Screening in Fundus Photography/Fundoscopy
Right eye (Abnormal [NCS]), screening
98 Number of subjects
98 Number of subjects
Change From Screening in Fundus Photography/Fundoscopy
Right eye (Abnormal [CS]), screening
6 Number of subjects
6 Number of subjects
Change From Screening in Fundus Photography/Fundoscopy
Left eye (Normal), last on-treatment value
130 Number of subjects
119 Number of subjects
Change From Screening in Fundus Photography/Fundoscopy
Left eye (Abnormal [NCS]), last on-treatment value
77 Number of subjects
82 Number of subjects
Change From Screening in Fundus Photography/Fundoscopy
Left eye (Abnormal [CS] last on-treatment value
10 Number of subjects
7 Number of subjects
Change From Screening in Fundus Photography/Fundoscopy
Right eye (Normal), last on-treatment value
127 Number of subjects
114 Number of subjects
Change From Screening in Fundus Photography/Fundoscopy
Right eye (Abnormal-NCS), last on-treatment value
80 Number of subjects
87 Number of subjects
Change From Screening in Fundus Photography/Fundoscopy
Right eye (Abnormal [CS]), last on-treatment value
10 Number of subjects
7 Number of subjects

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in haemoglobin 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Haematology: Haemoglobin
Baseline
8.62 mmol/L
Standard Deviation 0.82
8.62 mmol/L
Standard Deviation 0.80
Change From Baseline in Haematology: Haemoglobin
Change from baseline
-0.01 mmol/L
Standard Deviation 0.48
-0.06 mmol/L
Standard Deviation 0.40

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in haematocrit 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Haematology: Haematocrit
Baseline
42.23 % of haematocrit
Standard Deviation 3.98
42.37 % of haematocrit
Standard Deviation 3.77
Change From Baseline in Haematology: Haematocrit
Change from baseline
0.09 % of haematocrit
Standard Deviation 2.47
-0.30 % of haematocrit
Standard Deviation 2.01

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in erythrocytes 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Haematology: Erythrocytes
Baseline
4.66 10^12/L
Standard Deviation 0.45
4.72 10^12/L
Standard Deviation 0.42
Change From Baseline in Haematology: Erythrocytes
Change from baseline
0.01 10^12/L
Standard Deviation 0.27
-0.03 10^12/L
Standard Deviation 0.22

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in thrombocytes 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Haematology: Thrombocytes
Baseline
246.4 10^9/L
Standard Deviation 58.9
243.6 10^9/L
Standard Deviation 55.3
Change From Baseline in Haematology: Thrombocytes
Change from baseline
2.2 10^9/L
Standard Deviation 33.5
0.2 10^9/L
Standard Deviation 35.8

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in leucocytes 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Haematology: Leucocytes
Baseline
6.41 10^9/L
Standard Deviation 1.78
6.32 10^9/L
Standard Deviation 1.70
Change From Baseline in Haematology: Leucocytes
Change from baseline
-0.09 10^9/L
Standard Deviation 1.49
-0.03 10^9/L
Standard Deviation 1.22

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in total protein 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Biochemistry: Total Protein
Baseline
6.73 g/dL
Standard Deviation 0.44
6.74 g/dL
Standard Deviation 0.47
Change From Baseline in Biochemistry: Total Protein
Change from baseline
0.03 g/dL
Standard Deviation 0.36
-0.05 g/dL
Standard Deviation 0.40

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in creatinine 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Biochemistry: Creatinine
Baseline
73.8 umol/L
Standard Deviation 12.3
74.5 umol/L
Standard Deviation 13.3
Change From Baseline in Biochemistry: Creatinine
Change from baseline
0.9 umol/L
Standard Deviation 7.9
-0.1 umol/L
Standard Deviation 8.2

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in ALT 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Biochemistry: Alanine Aminotransferase (ALT)
Baseline
20.0 U/L
Standard Deviation 11.6
19.1 U/L
Standard Deviation 11.5
Change From Baseline in Biochemistry: Alanine Aminotransferase (ALT)
Change from baseline
0.1 U/L
Standard Deviation 13.8
0 U/L
Standard Deviation 9.4

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in AST 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Biochemistry: Aspartate Aminotransferase (AST)
Baseline
22.2 U/L
Standard Deviation 9.1
20.6 U/L
Standard Deviation 7.8
Change From Baseline in Biochemistry: Aspartate Aminotransferase (AST)
Change from baseline
-0.1 U/L
Standard Deviation 18.6
-0.4 U/L
Standard Deviation 8.7

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in ALP 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Biochemistry: Alkaline Phosphatase (ALP)
Baseline
68.8 U/L
Standard Deviation 20.8
69.7 U/L
Standard Deviation 23.9
Change From Baseline in Biochemistry: Alkaline Phosphatase (ALP)
Change from baseline
1.2 U/L
Standard Deviation 9.6
0.8 U/L
Standard Deviation 10.0

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in sodium 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Biochemistry: Sodium
Baseline
140.3 mmol/L
Standard Deviation 2.7
140.3 mmol/L
Standard Deviation 2.7
Change From Baseline in Biochemistry: Sodium
Change from baseline
-0.2 mmol/L
Standard Deviation 2.9
-0.2 mmol/L
Standard Deviation 2.5

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in potassium 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Biochemistry: Potassium
Baseline
4.34 mmol/L
Standard Deviation 0.42
4.30 mmol/L
Standard Deviation 0.39
Change From Baseline in Biochemistry: Potassium
Change from baseline
-0.02 mmol/L
Standard Deviation 0.42
-0.01 mmol/L
Standard Deviation 0.41

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in albumin 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Biochemistry: Albumin
Baseline
4.32 g/dL
Standard Deviation 0.27
4.31 g/dL
Standard Deviation 0.28
Change From Baseline in Biochemistry: Albumin
Change from baseline
-0.01 g/dL
Standard Deviation 0.22
-0.05 g/dL
Standard Deviation 0.26

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in bilirubin 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Biochemistry: Total Bilirubin
Baseline
8.2 umol/L
Standard Deviation 5.1
8.8 umol/L
Standard Deviation 6.4
Change From Baseline in Biochemistry: Total Bilirubin
Change from baseline
-0.3 umol/L
Standard Deviation 3.8
-1.0 umol/L
Standard Deviation 3.7

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in albumin/creatine ratio 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Urinalysis: Albumin/Creatine Ratio
Baseline
2.67 mg/mmol
Standard Deviation 13.88
2.00 mg/mmol
Standard Deviation 7.60
Change From Baseline in Urinalysis: Albumin/Creatine Ratio
Change from baseline
0.01 mg/mmol
Standard Deviation 4.76
-0.04 mg/mmol
Standard Deviation 3.11

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Reported results are urine erythrocytes-test findings at baseline (week 0) and after 16 weeks of randomisation. The findings are presented as: a) Negative, b) Trace, c) 1+, d) 2+ and e) 3+. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Urinalysis: Erythrocytes
Negative (baseline)
217 Number of subjects
215 Number of subjects
Change From Baseline in Urinalysis: Erythrocytes
Trace (baseline)
8 Number of subjects
10 Number of subjects
Change From Baseline in Urinalysis: Erythrocytes
1+ (baseline)
5 Number of subjects
5 Number of subjects
Change From Baseline in Urinalysis: Erythrocytes
2+ (baseline)
5 Number of subjects
1 Number of subjects
Change From Baseline in Urinalysis: Erythrocytes
3+ (baseline)
1 Number of subjects
5 Number of subjects
Change From Baseline in Urinalysis: Erythrocytes
Negative (last on-treatment value)
217 Number of subjects
215 Number of subjects
Change From Baseline in Urinalysis: Erythrocytes
Trace (last on-treatment value)
6 Number of subjects
10 Number of subjects
Change From Baseline in Urinalysis: Erythrocytes
1+ (last on-treatment value)
3 Number of subjects
3 Number of subjects
Change From Baseline in Urinalysis: Erythrocytes
2+ (last on-treatment value)
2 Number of subjects
4 Number of subjects
Change From Baseline in Urinalysis: Erythrocytes
3+ (last on-treatment value)
8 Number of subjects
4 Number of subjects

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Reported results are urine protein-test findings at baseline (week 0) and after 16 weeks of randomisation. The findings are presented as: a) Negative, b) Trace, c) 1+, d) 2+ e) 3+ and f) 4+. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Urinalysis: Protein
Negative (baseline)
193 Number of subjects
195 Number of subjects
Change From Baseline in Urinalysis: Protein
Trace (baseline)
31 Number of subjects
27 Number of subjects
Change From Baseline in Urinalysis: Protein
1+ (baseline)
8 Number of subjects
10 Number of subjects
Change From Baseline in Urinalysis: Protein
2+ (baseline)
4 Number of subjects
4 Number of subjects
Change From Baseline in Urinalysis: Protein
3+ (baseline)
0 Number of subjects
0 Number of subjects
Change From Baseline in Urinalysis: Protein
4+ (baseline)
0 Number of subjects
0 Number of subjects
Change From Baseline in Urinalysis: Protein
Negative (last on-treatment value)
196 Number of subjects
196 Number of subjects
Change From Baseline in Urinalysis: Protein
Trace (last on-treatment value)
27 Number of subjects
27 Number of subjects
Change From Baseline in Urinalysis: Protein
1+ (last on-treatment value)
10 Number of subjects
9 Number of subjects
Change From Baseline in Urinalysis: Protein
2+ (last on-treatment value)
2 Number of subjects
4 Number of subjects
Change From Baseline in Urinalysis: Protein
3+ (last on-treatment value)
1 Number of subjects
0 Number of subjects
Change From Baseline in Urinalysis: Protein
4+ (last on-treatment value)
0 Number of subjects
0 Number of subjects

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Reported results are urine ketone-test findings at baseline (week 0) and after 16 weeks of randomisation. The findings are presented as: a) Negative, b) Trace, c) 1+, d) 2+ e) 3+ and f) 4+. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Urinalysis: Ketones
Negative (baseline)
192 Number of subjects
205 Number of subjects
Change From Baseline in Urinalysis: Ketones
Trace (baseline)
31 Number of subjects
23 Number of subjects
Change From Baseline in Urinalysis: Ketones
1+ (baseline)
11 Number of subjects
8 Number of subjects
Change From Baseline in Urinalysis: Ketones
2+ (baseline)
2 Number of subjects
0 Number of subjects
Change From Baseline in Urinalysis: Ketones
3+ (baseline)
0 Number of subjects
0 Number of subjects
Change From Baseline in Urinalysis: Ketones
4+ (baseline)
0 Number of subjects
0 Number of subjects
Change From Baseline in Urinalysis: Ketones
Negative (last on-treatment value)
194 Number of subjects
203 Number of subjects
Change From Baseline in Urinalysis: Ketones
Trace (last on-treatment value)
25 Number of subjects
27 Number of subjects
Change From Baseline in Urinalysis: Ketones
1+ (last on-treatment value)
15 Number of subjects
5 Number of subjects
Change From Baseline in Urinalysis: Ketones
2+ (last on-treatment value)
2 Number of subjects
1 Number of subjects
Change From Baseline in Urinalysis: Ketones
3+ (last on-treatment value)
0 Number of subjects
0 Number of subjects
Change From Baseline in Urinalysis: Ketones
4+ (last on-treatment value)
0 Number of subjects
0 Number of subjects

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in body weight 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Body Weight
Baseline
76.86 Kg
Standard Deviation 15.20
78.21 Kg
Standard Deviation 14.47
Change From Baseline in Body Weight
Change from baseline
0.34 Kg
Standard Deviation 1.90
0.80 Kg
Standard Deviation 2.14

SECONDARY outcome

Timeframe: Week 0, week 16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Change from baseline (week 0) in BMI 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.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Change From Baseline in Body Mass Index (BMI)
Baseline
26.16 kg/m^2
Standard Deviation 4.06
26.51 kg/m^2
Standard Deviation 3.89
Change From Baseline in Body Mass Index (BMI)
Change from baseline
0.12 kg/m^2
Standard Deviation 0.65
0.28 kg/m^2
Standard Deviation 0.74

SECONDARY outcome

Timeframe: Week 0-16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Number of change-of-infusion-sets per week was evaluated from week 0 to week 16. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period.

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Number of Change-of-infusion-sets Per Week
2.55 Number of infusion-sets
Standard Deviation 0.43
2.49 Number of infusion-sets
Standard Deviation 0.47

SECONDARY outcome

Timeframe: Week 0-16

Population: The safety analysis set included all subjects receiving at least one dose of the IMP or its comparator. Number analyzed = Number of subjects contributed to the analysis.

Number of subjects with at least one non-routine change-of-infusion-sets categorised by reasons for change-of-infusion-sets was evaluated from week 0 to week 16. The results are based on the last on-treatment value, which included the last available measurement in the on-treatment period. Reasons for change-of-infusion-sets are categorised as follows: Category-1: A perceived occlusion by the subject Category-2: Any problems related to the infusion set Category-3: Any technical issues with the pump Category-4: Changes in the insulin solution in the infusion set or reservoir Category-5: High BG with no other explanation which made the subject change the infusion set Category-6: Infusion site reaction Category-7: Missing

Outcome measures

Outcome measures
Measure
Faster Aspart
n=236 Participants
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 Participants
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Number of Subjects With at Least One Non-routine Change-of-infusion-sets Categorised by Reasons for Change-of-infusion-sets
Category-1
50 Number of subjects
50 Number of subjects
Number of Subjects With at Least One Non-routine Change-of-infusion-sets Categorised by Reasons for Change-of-infusion-sets
Category-2
108 Number of subjects
75 Number of subjects
Number of Subjects With at Least One Non-routine Change-of-infusion-sets Categorised by Reasons for Change-of-infusion-sets
Category-3
23 Number of subjects
17 Number of subjects
Number of Subjects With at Least One Non-routine Change-of-infusion-sets Categorised by Reasons for Change-of-infusion-sets
Category-4
3 Number of subjects
8 Number of subjects
Number of Subjects With at Least One Non-routine Change-of-infusion-sets Categorised by Reasons for Change-of-infusion-sets
Category-5
66 Number of subjects
60 Number of subjects
Number of Subjects With at Least One Non-routine Change-of-infusion-sets Categorised by Reasons for Change-of-infusion-sets
Category-6
16 Number of subjects
8 Number of subjects
Number of Subjects With at Least One Non-routine Change-of-infusion-sets Categorised by Reasons for Change-of-infusion-sets
Category-7
3 Number of subjects
1 Number of subjects

Adverse Events

Faster Aspart

Serious events: 5 serious events
Other events: 84 other events
Deaths: 0 deaths

NovoRapid

Serious events: 8 serious events
Other events: 72 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Faster Aspart
n=236 participants at risk
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 participants at risk
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Injury, poisoning and procedural complications
Accidental overdose
0.00%
0/236 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
0.42%
1/236 • Number of events 2 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
Infections and infestations
Adenovirus infection
0.00%
0/236 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
0.42%
1/236 • Number of events 1 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
Infections and infestations
Appendicitis
0.42%
1/236 • Number of events 1 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
0.00%
0/236 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
Product Issues
Device breakage
0.00%
0/236 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
0.42%
1/236 • Number of events 1 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
Skin and subcutaneous tissue disorders
Drug eruption
0.42%
1/236 • Number of events 1 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
0.00%
0/236 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
Metabolism and nutrition disorders
Hypoglycaemia
0.00%
0/236 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
0.42%
1/236 • Number of events 1 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
Nervous system disorders
Hypoglycaemic seizure
0.00%
0/236 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
0.42%
1/236 • Number of events 1 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
Nervous system disorders
Hypoglycaemic unconsciousness
0.42%
1/236 • Number of events 1 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
0.42%
1/236 • Number of events 1 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
Metabolism and nutrition disorders
Ketoacidosis
0.42%
1/236 • Number of events 1 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
0.00%
0/236 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
Skin and subcutaneous tissue disorders
Neurodermatitis
0.00%
0/236 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
0.42%
1/236 • Number of events 1 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
General disorders
Non-cardiac chest pain
0.00%
0/236 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
0.42%
1/236 • Number of events 1 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
Gastrointestinal disorders
Oesophagitis
0.42%
1/236 • Number of events 1 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
0.00%
0/236 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
Surgical and medical procedures
Pain management
0.00%
0/236 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
0.42%
1/236 • Number of events 1 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
Eye disorders
Retinal aneurysm
0.00%
0/236 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
0.42%
1/236 • Number of events 1 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.

Other adverse events

Other adverse events
Measure
Faster Aspart
n=236 participants at risk
The subjects received faster aspart (basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
NovoRapid
n=236 participants at risk
The subjects received insulin aspart (NovoRapid®/NovoLog®: basal-bolus regimen) by CSII for 16 weeks. Doses of basal and bolus insulin and timing of bolus dose were individually adjusted and thus no maximum dose of insulin was specified. Basal rate insulin adjustment: The purpose of adjusting the basal rates was to ensure that BG was kept between 4.0-6.0 mmol/L \[71-108 mg/dL\] while in a fasting state and during the night. Bolus insulin titration: It was recommended that meal-time bolus insulin was titrated based on carbohydrate-counting using the Bolus Wizard® according to their usual practice and according to instructions from the investigator. Meal-time dosing was defined as bolus infusion initiated 0-2 minutes before a meal.
Infections and infestations
Gastroenteritis
5.1%
12/236 • Number of events 12 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
2.5%
6/236 • Number of events 6 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
General disorders
Infusion site reaction
6.8%
16/236 • Number of events 26 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
3.0%
7/236 • Number of events 10 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
Infections and infestations
Upper respiratory tract infection
7.2%
17/236 • Number of events 18 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
5.1%
12/236 • Number of events 12 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
Infections and infestations
Viral upper respiratory tract infection
20.3%
48/236 • Number of events 60 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.
21.2%
50/236 • Number of events 64 • Week 0 to Week 16 + 7 days. All reported AEs are treatment emergent (i.e., TEAE).
Results are based on the safety analysis set, which included all subjects receiving at least one dose of the IMP or its comparator.

Additional Information

Clinical Reporting Anchor and Disclosure (1452)

Novo Nordisk A/S

Phone: (+1) 866-867-7178

Results disclosure agreements

  • Principal investigator is a sponsor employee At the end of the trial, one or more scientific publications may be prepared collaboratively by the investigator(s) and Novo Nordisk. Novo Nordisk reserves the right to postpone publication and/or communication for up to 60 days to protect intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER