Type 1 diabetes

Immunogenicity, Efficacy, and Safety of Biosimilar Insulin Glargine (Gan & Lee Glargine) Compared With Originator Insulin Glargine (Lantus) in Patients With Type 1 Diabetes After 26 Weeks Treatment

Endocr PractPublished Randomised controlled trial

Authors' conclusion

GL Glargine demonstrated similar immunogenicity, efficacy, and safety compared to Lantus over 26 weeks in patients with T1DM.

Study context

Population
Patients with T1Drandomized 1:1
Participants
576 patients
Comparison
Biosimilar insulin glargine vs originator insulin glargine
Primary endpoint
Percentage of subjects developing treatment-induced anti-insulin antibody after baseline, evaluated by a country-adjusted logistic regression model
Follow-up
Up to week 26
Methodological detailsphase 3, multicenter, open-label, equivalence
  • Phase 3
  • Multicenter
  • Open-label
  • Equivalence

Primary result

As reported in the abstract

Treatment-induced anti-insulin antibody positive · Week 26

90% CI −5.4 to 6.5

Further findings

OutcomeLeast squares mean difference (90% CI)
Change in HbA1c · 26 weeks−0.08 (−0.23 to 0.06)

Other immunogenicity

Other immunogenicity profiles comparable

Safety

Safety, including AEs and hypoglycemia

Safety profiles comparable

Original publication

Immunogenicity, Efficacy, and Safety of Biosimilar Insulin Glargine (Gan & Lee Glargine) Compared With Originator Insulin Glargine (Lantus) in Patients With Type 1 Diabetes After 26 Weeks Treatment. Endocr Pract. Published 12 June 2024. doi:10.1016/j.eprac.2024.06.002

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