Type 2 & other diabetes

Efficacy and safety of insulin glargine 300 U/ mL in people with type 2 diabetes in China: The INITIATION study

Diabetes Obes MetabPublished Single-arm interventional study

Authors' conclusion

Gla-300 was effective in improving glycaemic control and had a relatively low risk of hypoglycaemia in people with suboptimally controlled T2D who were insulin naïve or switching from another basal insulin in China.

Study context

Population
People with suboptimally controlled T2D in China, insulin naïve or switching from another basal insulin562 initiated Gla-300
Participants
568 people
Outcome
Change in HbA1c from baseline
Follow-up
Week 24
Methodological detailsprospective, multicentre, phase IV
  • Prospective
  • Multicentre
  • Phase IV

Main finding

As reported in the abstract

GroupValueMmol/molP
Gla-300mean −0.91 (SE 0.05%) %−9.9 ± 0.5 mmol/molP < .0001

Gla-300

Valuemean −0.91 (SE 0.05%) %
Mmol/mol−9.9 ± 0.5 mmol/mol
PP < .0001

Observational data: associations, not effects.

Further findings

OutcomeValues
Change in HbA1c from baseline, insulin-naïve subgroup · week 24Insulin-naïve mean −1.38 (SE 0.09%) % · mmol/mol −15.1 ± 1.0 mmol/mol
Change in HbA1c from baseline, insulin-experienced subgroup · week 24Insulin-experienced mean −0.68 (SE 0.05%) % · mmol/mol −7.4 ± 0.5 mmol/mol
  • Change in HbA1c from baseline, insulin-naïve subgroup: n = 189
  • Change in HbA1c from baseline, insulin-naïve subgroup: P < .0001
  • Change in HbA1c from baseline, insulin-experienced subgroup: n = 373
  • Change in HbA1c from baseline, insulin-experienced subgroup: P < .0001

Safety

Confirmed hypoglycaemia (plasma glucose ≤ 3.9 mmol/L) · 24-week treatment period

All hypoglycaemia, incidence
39.7%
Nocturnal hypoglycaemia, incidence
13.3%
Severe hypoglycaemia, incidence (low)
0.5%

Treatment-emergent adverse events (AEs) (treatment-emergent AEs (TEAEs))

Participants with TEAEs
126 (22.4%)
No serious treatment-related TEAEs

Original publication

Efficacy and safety of insulin glargine 300 U/ mL in people with type 2 diabetes in China: The INITIATION study. Diabetes Obes Metab. Published 29 July 2024. doi:10.1111/dom.15814

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