Table 4.
Study name | Study population | Efficacy | Changes in the rate of hypoglycaemia with IDeg vs. IGlar (% reduction) | ||
---|---|---|---|---|---|
Reduction in HbA1c with IDeg vs. IGlar, ETD (%) | Reduction in FPG levels with IDeg vs. IGlar, ETD (mmol/L) | Overall confirmed hypoglycaemia | Nocturnal confirmed hypoglycaemia | ||
BEGIN®: T1 [48] | T1DM | −0.01; non-inferior | −0.33 | 7 ↑ | 25 ↓ |
BEGIN®: Flex T1 [49]a | T1DM | 0.17; non-inferior | −0.05 | 3 ↑ | 40 ↓ |
BEGIN®: Once Long [50] | T2DM, insulin naive | 0.09; non-inferior | −0.43 | 18 ↓ | 36 ↓ |
BEGIN®: LOW VOLUME [51] | T2DM, insulin naive | 0.04; non-inferior | −0.42 | 14 ↓ | 36 ↓ |
BEGIN®: BB [52] | T2DM | 0.08; non-inferior | −0.29 | 18 ↓ | 25 ↓ |
BEGIN®: FLEX [53]b | T2DM, insulin naive and insulin treated | 0.04; non-inferior | −0.42 | 3 ↑ | 23 ↓ |
BEGIN®: ONCE ASIA [54] | T2DM, insulin naive | 0.11; non-inferior | −0.09 | 18 ↓ | 38 ↓ |
The values in bold indicate a significant difference between insulin degludec and insulin glargine (p < 0.05)
ETD estimated treatment difference, FPG fasting plasma glucose, HbA 1c glycated haemoglobin, IDeg insulin degludec, IGlar insulin glargine, T1DM type 1 diabetes mellitus, T2DM type 2 diabetes mellitus
aIDeg ‘Forced-flex’ (IDeg administered in a fixed schedule with 8–40 h interval between doses) data compared with IGlar
bIDeg ‘Flex’ (IDeg administered in a pre-specified dosing schedule with 8–40 h interval between doses) data compared with IGlar