en TRESIBA and insulin detemir was -0.09% with a 95% confidence interval of [-0.23%; 0.05%] and met the pre-specified non-inferiority margin (0.4%). See Table 6, Study B.
TABLE 6: Results at Week 52 in a Trial Comparing TRESIBA to Insulin glargine U-100 (Study A) and Week 26 in a Trial Comparing TRESIBA to Insulin detemir (Study B) in Patients with Type 1 Diabetes Mellitus receiving Insulin aspart at Mealtimes
Study A
Study B
TRESIBA + Insulin aspart
Insulin glargine U-100 + Insulin aspart
TRESIBA + Insulin aspart
Insulin detemir + Insulin aspart
N
472
157
302
153
HbA1c (%)
Baseline
7.7
7.7
8.0
8.0
End of trial
7.3
7.3
7.3
7.3
Adjusted mean change from baseline*
-0.36
-0.34
-0.71
-0.61
Estimated treatment difference [95%CI]
TRESIBA - Insulin glargine U-100
-0.01 [-0.14;0.11]
-0.09 [-0.23;0.05]
Proportion Achieving HbA1c < 7% at Trial End
39.8%
42.7%
41.1%
37.3%
FPG (mg/dL)
Baseline
165
174
178
171
End of trial
141
149
131
161
Adjusted mean change from baseline
-27.6
-21.6
-43.3
-13.5
Daily basal insulin dose
Baseline mean
28 U
26 U
22 U
22 U
Mean dose at end of study
29 U1
31 U1
25 U2
29 U2
Daily bolus insulin dose
Baseline mean
29 U
29 U
28 U
31 U
Mean dose at end of study
32 U1
35 U1
36 U2
41 U2
1At Week 52
2At Week 26
*The change from baseline to end of treatment visit in HbA 1c was analysed using ANOVA with treatment, region, sex, and anti-diabetic treatment at screening as fixed effects, and age and baseline HbA 1c as covariates.
In Study A, there were 14.8% of subjects in the TRESIBA and 11.5% Insulin glargine arms for whom data was missing at the time of the HbA 1c measurement.
In Study B, there were 6.3% of subjects in the TRESIBA and 9.8% Insulin detemir arms for whom data was missing at the time of the HbA 1c measurement.
Study C: TRESIBA Administered at the Same Time each Day or at Any Time each Day in Combination with a Rapid-Acting Insulin Analog at Mealtimes
The efficacy of TRESIBA was eva luated in a 26-week randomized, open-label, multicenter trial in 493 patients with type 1 diabetes mellitus. Patients were randomized to TRESIBA injected once-daily at the same time each day (with the main evening meal), to TRESIBA injected once daily at any time each day or to insulin glargine U-100 injected once-daily according to the approved labeling. The any time each day TRESIBA arm was designed to simulate a worst-case scenario injection schedule of alternating short and long, once daily, dosing intervals (i.e., alternating intervals of 8 to 40 hours between doses). TRESIBA in this arm was dosed in the morning on Monday, Wednesday, and Friday and in the