Trial Outcomes & Findings for A Research Study to Compare the Effect of Insulin Degludec and Insulin Glargine on Blood Sugar Levels in People With Type 2 Diabetes - the SWITCH PRO Study (NCT NCT03687827)

NCT ID: NCT03687827

Last Updated: 2021-01-12

Results Overview

The percentage of time spent in glycaemic target range was calculated as the number of recorded measurements in glycaemic target range (70-180 milligrams per deciliter \[mg/dL\] (3.9-10.0 millimoles per litre \[mmol/L\]), both inclusive) divided by the total number of recorded measurements. The endpoint is based on data recorded by FGM system. It was required that at least 70% of the planned FGM measurements during weeks 16-17 and weeks 34-35 were available for endpoint data to be included in the analysis.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

498 participants

Primary outcome timeframe

During the 2-week maintenance period: weeks 16-17 (period-1) and weeks 34-35 (period-2)

Results posted on

2021-01-12

Participant Flow

The trial was conducted in 5 countries as follows: Canada: 10 sites, Poland: 5 sites, Slovakia: 10 sites, South Africa: 7 sites, United States of America: 34 sites

This was a cross-over trial. The trial included a 2-week run-in period (which was after the screening visit) for eligibility assessment in regard to adherence to FGM requirements. The participants were randomized into one of two treatment sequences.

Participant milestones

Participant milestones
Measure
Sequence A: Insulin Degludec 100U/mL Then Insulin Glargine 100U/mL
Participants were to receive a subcutaneous (s.c.) injection of Insulin degludec 100U/mL (Units per milliliter) once daily (in treatment period 1), followed by a s.c. injection of Insulin glargine 100U/mL once daily (in treatment period 2) with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Sequence B: Insulin Glargine 100U/mL Then Insulin Degludec 100U/mL
Participants were to receive a subcutaneous (s.c.) injection of Insulin glargine 100U/mL once daily (in treatment period 1), followed by a s.c. injection of Insulin degludec 100U/mL once daily (in treatment period 2) with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Treatment Period 1
STARTED
249
249
Treatment Period 1
Full Analysis Set (FAS)
249
249
Treatment Period 1
Safety Analysis Set (SAS)
249
249
Treatment Period 1
Per Protocol Set
219
229
Treatment Period 1
COMPLETED
235
241
Treatment Period 1
NOT COMPLETED
14
8
Treatment Period 2
STARTED
235
241
Treatment Period 2
COMPLETED
230
238
Treatment Period 2
NOT COMPLETED
5
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Sequence A: Insulin Degludec 100U/mL Then Insulin Glargine 100U/mL
Participants were to receive a subcutaneous (s.c.) injection of Insulin degludec 100U/mL (Units per milliliter) once daily (in treatment period 1), followed by a s.c. injection of Insulin glargine 100U/mL once daily (in treatment period 2) with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Sequence B: Insulin Glargine 100U/mL Then Insulin Degludec 100U/mL
Participants were to receive a subcutaneous (s.c.) injection of Insulin glargine 100U/mL once daily (in treatment period 1), followed by a s.c. injection of Insulin degludec 100U/mL once daily (in treatment period 2) with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Treatment Period 1
Death
0
1
Treatment Period 1
Lost to Follow-up
2
2
Treatment Period 1
Physician Decision
5
2
Treatment Period 1
Withdrawal by Subject
7
3
Treatment Period 2
Physician Decision
4
1
Treatment Period 2
Withdrawal by Subject
1
2

Baseline Characteristics

A Research Study to Compare the Effect of Insulin Degludec and Insulin Glargine on Blood Sugar Levels in People With Type 2 Diabetes - the SWITCH PRO Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Study
n=498 Participants
Participants were to receive subcutaneous (s.c.) injection of Insulin degludec 100U/mL once daily followed by a s.c. injection of Insulin glargine 100U/mL once daily in 2 treatment periods with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Age, Continuous
62.8 Years
STANDARD_DEVIATION 9.8 • n=5 Participants
Sex: Female, Male
Female
259 Participants
n=5 Participants
Sex: Female, Male
Male
239 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
100 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
398 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
23 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
39 Participants
n=5 Participants
Race/Ethnicity, Customized
White
415 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
19 Participants
n=5 Participants

PRIMARY outcome

Timeframe: During the 2-week maintenance period: weeks 16-17 (period-1) and weeks 34-35 (period-2)

Population: Per protocol (PP) analysis set - The PP analysis set consisted of subjects that stayed on assigned treatment until and completed FGM assessment at visits 21 and 39 respectively. Complete FGM assessment was specified as subjects having at least 70% of 2 weeks FGM measurements per maintenance period (2 \* 960 measurements).

The percentage of time spent in glycaemic target range was calculated as the number of recorded measurements in glycaemic target range (70-180 milligrams per deciliter \[mg/dL\] (3.9-10.0 millimoles per litre \[mmol/L\]), both inclusive) divided by the total number of recorded measurements. The endpoint is based on data recorded by FGM system. It was required that at least 70% of the planned FGM measurements during weeks 16-17 and weeks 34-35 were available for endpoint data to be included in the analysis.

Outcome measures

Outcome measures
Measure
Insulin Degludec 100U/mL
n=448 Participants
Participants were to receive a subcutaneous (s.c.) injection of insulin degludec 100U/mL, once daily, in any of the treatment period, with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Insulin Glargine 100U/mL
n=448 Participants
Participants were to receive a subcutaneous (s.c.) injection of insulin glargine 100U/mL, once daily, in any of the treatment period, with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Percentage of Time Spent in Glycaemic Target Range 70-180 mg/dL (3.9-10.0 mmol/L) Both Inclusive, Using Flash Glucose Monitoring (FGM)
72.11 Percentage of Time
Standard Error 0.74
70.68 Percentage of Time
Standard Error 0.74

SECONDARY outcome

Timeframe: During the 2-week maintenance period: weeks 16-17 (period-1) and weeks 34-35 (period-2).

Population: Per protocol (PP) analysis set - The PP analysis set consisted of subjects that stayed on assigned treatment until and completed FGM assessment at visits 21 and 39 respectively.

The percentage of time spent in tight glycaemic target range 70-140 mg/dL (3.9-7.8 mmol/L) both inclusive, during the 2-week maintenance periods using FGM (visit 9-21 (week 16-17) and visit 37-39 (week 34-35)).

Outcome measures

Outcome measures
Measure
Insulin Degludec 100U/mL
n=448 Participants
Participants were to receive a subcutaneous (s.c.) injection of insulin degludec 100U/mL, once daily, in any of the treatment period, with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Insulin Glargine 100U/mL
n=448 Participants
Participants were to receive a subcutaneous (s.c.) injection of insulin glargine 100U/mL, once daily, in any of the treatment period, with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Time Spent in Tight Glycaemic Target Range 70-140 mg/dL (3.9-7.8 mmol/L) Both Inclusive, Using Flash Glucose Monitoring
52.97 Percentage of Time
Standard Error 0.82
51.45 Percentage of Time
Standard Error 0.82

SECONDARY outcome

Timeframe: During the 2-week maintenance period: weeks 16-17 (period-1) and weeks 34-35 (period-2).

Population: Per protocol (PP) analysis set - The PP analysis set consisted of subjects that stayed on assigned treatment until and completed FGM assessment at visits 21 and 39 respectively.

Percentage of time spent in nocturnal glycaemic target range 70-140 mg/dL (3.9-7.8 mmol/L) both inclusive, in the nocturnal period (00:01 am - 05:59 am both inclusive) during the 2-week maintenance periods using FGM (visit 19-21 (week 16-17) and visit 37-39 (week 34-35)).

Outcome measures

Outcome measures
Measure
Insulin Degludec 100U/mL
n=448 Participants
Participants were to receive a subcutaneous (s.c.) injection of insulin degludec 100U/mL, once daily, in any of the treatment period, with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Insulin Glargine 100U/mL
n=448 Participants
Participants were to receive a subcutaneous (s.c.) injection of insulin glargine 100U/mL, once daily, in any of the treatment period, with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Time Spent in Nocturnal Glycaemic Target Range 70-140 mg/dL (3.9-7.8 mmol/L) Both Inclusive, in the Nocturnal Period (00:01 am - 05:59 am Both Inclusive) Using Flash Glucose Monitoring
15.15 Percentage of Time
Standard Error 0.26
14.91 Percentage of Time
Standard Error 0.26

SECONDARY outcome

Timeframe: After the 2-week maintenance period: weeks 16-17 (period-1) and weeks 34-35 (period-2).

Population: Per protocol (PP) analysis set - The PP analysis set consisted of subjects that stayed on assigned treatment until and completed FGM assessment at visits 21 and 39 respectively.

Level of HbA1c after two weeks of maintenance periods (Visit 19-21 (week 16-17) and Visit 37-39 (week 34-35)).

Outcome measures

Outcome measures
Measure
Insulin Degludec 100U/mL
n=448 Participants
Participants were to receive a subcutaneous (s.c.) injection of insulin degludec 100U/mL, once daily, in any of the treatment period, with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Insulin Glargine 100U/mL
n=448 Participants
Participants were to receive a subcutaneous (s.c.) injection of insulin glargine 100U/mL, once daily, in any of the treatment period, with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Level of Glycated Haemoglobin (HbA1c) - Percentage
7.10 Percentage of glycated haemoglobin
Standard Error 0.04
7.16 Percentage of glycated haemoglobin
Standard Error 0.04

SECONDARY outcome

Timeframe: After the 2-week maintenance period: weeks 16-17 (period-1) and weeks 34-35 (period-2).

Population: Per protocol (PP) analysis set - The PP analysis set consisted of subjects that stayed on assigned treatment until and completed FGM assessment at visits 21 and 39 respectively.

Level of HbA1c after two weeks of maintenance periods (Visit 19-21 (week 16-17) and Visit 37-39 (week 34-35)).

Outcome measures

Outcome measures
Measure
Insulin Degludec 100U/mL
n=448 Participants
Participants were to receive a subcutaneous (s.c.) injection of insulin degludec 100U/mL, once daily, in any of the treatment period, with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Insulin Glargine 100U/mL
n=448 Participants
Participants were to receive a subcutaneous (s.c.) injection of insulin glargine 100U/mL, once daily, in any of the treatment period, with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Level of Glycated Haemoglobin (HbA1c) - mmol/Mol
54.10 millimoles per mole (mmol/mol)
Standard Error 0.42
54.78 millimoles per mole (mmol/mol)
Standard Error 0.42

SECONDARY outcome

Timeframe: During the 2-week maintenance period: weeks 16-17 (period-1) and weeks 34-35 (period-2).

Population: Per protocol (PP) analysis set - The PP analysis set consisted of subjects that stayed on assigned treatment until and completed FGM assessment at visits 21 and 39 respectively.

Mean glucose levels (mmol/L) during the 2-week maintenance periods using FGM (visit 19-21 (week 16-17) and visit 37-39 (week 34-35)).

Outcome measures

Outcome measures
Measure
Insulin Degludec 100U/mL
n=448 Participants
Participants were to receive a subcutaneous (s.c.) injection of insulin degludec 100U/mL, once daily, in any of the treatment period, with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Insulin Glargine 100U/mL
n=448 Participants
Participants were to receive a subcutaneous (s.c.) injection of insulin glargine 100U/mL, once daily, in any of the treatment period, with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Mean Glucose Levels Using Flash Glucose Monitoring (FGM)
7.57 mmol/L
Standard Error 0.08
7.61 mmol/L
Standard Error 0.08

Adverse Events

Insulin Degludec 100U/mL

Serious events: 26 serious events
Other events: 0 other events
Deaths: 0 deaths

Insulin Glargine 100U/mL

Serious events: 23 serious events
Other events: 0 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Insulin Degludec 100U/mL
n=490 participants at risk
Participants were to receive a subcutaneous (s.c.) injection of insulin degludec 100U/mL, once daily, in any of the treatment period, with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Insulin Glargine 100U/mL
n=484 participants at risk
Participants were to receive a subcutaneous (s.c.) injection of insulin glargine 100U/mL, once daily, in any of the treatment period, with or without oral anti-diabetic drugs using flash glucose monitoring. Each treatment period consisted of a 16-week titration period followed by a 2-week maintenance period.
Cardiac disorders
Acute coronary syndrome
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Renal and urinary disorders
Acute kidney injury
0.41%
2/490 • Number of events 2 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Cardiac disorders
Acute myocardial infarction
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Congenital, familial and genetic disorders
Arteriovenous malformation
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Respiratory, thoracic and mediastinal disorders
Asthma
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Cardiac disorders
Atrial fibrillation
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Cardiac disorders
Bradyarrhythmia
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Reproductive system and breast disorders
Breast mass
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Infections and infestations
Bronchitis
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Cardiac disorders
Cardiac failure
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Cardiac disorders
Cardiac failure congestive
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Nervous system disorders
Carotid artery stenosis
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Nervous system disorders
Carpal tunnel syndrome
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.20%
1/490 • Number of events 2 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Injury, poisoning and procedural complications
Contusion
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Surgical and medical procedures
Coronary arterial stent insertion
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Cardiac disorders
Coronary artery stenosis
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Gastrointestinal disorders
Diabetic gastroparesis
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Gastrointestinal disorders
Diarrhoea
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Gastrointestinal disorders
Duodenal ulcer
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Nervous system disorders
Facial paralysis
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Gastrointestinal disorders
Gastritis
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Vascular disorders
Haematoma
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Infections and infestations
Hepatitis A
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Infections and infestations
Herpes zoster
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Hepatobiliary disorders
Hyperbilirubinaemia
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Metabolism and nutrition disorders
Hypoglycaemia
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Nervous system disorders
Hypoglycaemic unconsciousness
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Vascular disorders
Hypovolaemic shock
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Nervous system disorders
Intercostal neuralgia
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Blood and lymphatic system disorders
Iron deficiency anaemia
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Nervous system disorders
Lacunar infarction
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Injury, poisoning and procedural complications
Lower limb fracture
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Nervous system disorders
Migraine
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Cardiac disorders
Mitral valve incompetence
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Myelodysplastic syndrome
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Cardiac disorders
Myocardial infarction
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Renal and urinary disorders
Nephrolithiasis
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-Hodgkin's lymphoma
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Infections and infestations
Osteomyelitis
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Infections and infestations
Osteomyelitis chronic
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Cardiac disorders
Palpitations
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Gastrointestinal disorders
Pancreatic cyst
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Vascular disorders
Peripheral arterial occlusive disease
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 3 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Vascular disorders
Peripheral ischaemia
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Infections and infestations
Pneumonia
0.61%
3/490 • Number of events 3 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.41%
2/484 • Number of events 2 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Infections and infestations
Pseudomonas infection
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Infections and infestations
Rhinovirus infection
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Investigations
Scan myocardial perfusion abnormal
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Infections and infestations
Sepsis
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Musculoskeletal and connective tissue disorders
Spinal osteoarthritis
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Renal and urinary disorders
Urinary retention
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Infections and infestations
Urinary tract infection
0.20%
1/490 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.00%
0/484 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
Musculoskeletal and connective tissue disorders
Vertebral foraminal stenosis
0.00%
0/490 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.
0.21%
1/484 • Number of events 1 • From the randomization (week 0) up to end of treatment (week 36) and follow up (week 37).
Safety Analysis Set was defined as all participants that were randomized and treated with at least one dose of trial drug after randomization.

Other adverse events

Adverse event data not reported

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