Table 1.
Study (reference) | Comparator | Additional glucose-lowering treatment | Trial duration (weeks) | Participants (n, ITT) | Baseline HbA1c (%) |
Endpoint HbA1c (%) |
Mean weight change (kg) |
Hypoglycemia (relative risk for detemir) |
Mean endpoint SMFPG (mmol/L) |
Within-patient SD in FPG (mmol/L) |
|
---|---|---|---|---|---|---|---|---|---|---|---|
Comparator | Comparator | Comparator | 24 hours | Nocturnal | Comparator | Comparator | |||||
a Home et al48 | NPH | Insulin aspart | 16 | 137/139 | 8.55/8.74 | 7.75/7.78 | +0.02/+0.24 | 0.75*/0.68** | 0.74/0.47*** | 8.28/8.26 | 2.95/2.91 |
132 | 8.52 | 7.94 | +0.86* | 9.05** | 3.49*** | ||||||
Russell-Jones et al52 | NPH | Regular human insulin | 26 | 491 | 8.35 | 8.30 | −0.23 | 0.94 | 0.74** | 7.56 | 2.82 |
256 | 8.35 | 8.41 | +0.31* | 8.47*** | 3.60*** | ||||||
a Pieber et al50 | NPH | Insulin aspart | 16 | 139/132 | 8.01/8.13 | 7.67/7.65 | −0.6/+0.1 | Not reported | Not reported | 8.20/8.00 | 2.49/2.61 |
129 | 8.08 | 7.73 | +0.7*,*** | 8.31 | 3.09*** | ||||||
Kølendorf et al49 (crossover) | NPH | Insulin aspart | 2 × 16 | 130 | 7.90 | 7.60 | N/A | 0.82** | 0.50*** | 7.63 | 2.69 |
7.90 | 7.60 | N/A | 8.66*** | 3.23*** | |||||||
b Robertson et al56 | NPH | Insulin aspart | 26 | 232 | 8.80 | 8.0 | N/A | 0.89 | 0.74* | 8.40 | 3.3 |
115 | 8.70 | 7.90 | 9.60* | 4.3*** | |||||||
Bartley et al54 | NPH | Insulin aspart | 104 | 331 | 8.3 | 7.36 | +1.7 | 0.74 | 0.54*** | 8.35c | 2.18 |
166 | 8.4 | 7.58* | +2.7 | 9.43*,c | 2.52*** | ||||||
Heller et al59 | Insulin glargine | Insulin aspart | 58 | 299 | 8.1 | 7.57 | +0.36 | 0.94 | 1.12 | 8.58 | 2.55 |
144 | 8.1 | 7.56 | +0.42 | 8.81 | 2.39 |
Notes: Data for detemir in Home et al48 are given as 12-hourly/morning + bedtime injection regimens. Data for detemir in Pieber et al50 are given as morning + dinner time/morning + bedtime injection regimens;
study included children and/or adolescents.
Clinical (laboratory) measured FPG.
P < 0.05;
P < 0.01;
P < 0.001.
Abbreviations: FPG, fasting plasma glucose; NPH, neutral protamine Hagedorn insulin; HbA1c, glycosylated hemoglobin; ITT, intent to treat; SMFPG, self-measured fasting plasma glucose; SD, standard deviation.