Glycaemic control and hypoglycaemia with new insulin glargine 300 U/ml versus insulin glargine 100 U/ml in people with type 2 diabetes using basal insulin and oral antihyperglycaemic drugs: the EDITION 2 randomized 12‐month trial including 6‐month extension

AIMS: To compare the efficacy and safety of new insulin glargine 300 U/ml (Gla-300) with insulin glargine 100 U/ml (Gla-100) over 12 months of treatment in people with type 2 diabetes using basal insulin and oral antihyperglycaemic drugs (OADs). METHODS: EDITION 2 (NCT01499095) was a randomized, 6-month, multicentre, open-label, two-arm, phase IIIa study investigating once-daily Gla-300 versus Gla-100, plus OADs (excluding sulphonylureas), with a 6-month safety extension. RESULTS: Similar numbers of participants in each group completed 12 months of treatment Gla-300, 315 participants (78%); Gla-100, 314 participants (77%). The reduction in glycated haemoglobin was maintained for 12 months with both treatments: least squares (LS) mean (standard error) change from baseline -0.55 (0.06)% for Gla-300 and -0.50 (0.06)% for Gla-100; LS mean difference -0.06 95% confidence interval (CI) -0.22 to 0.10)%. A significant relative reduction of 37% in the annualized rate of nocturnal confirmed ≤3.9 mmol/l (≤70 mg/dl) or severe hypoglycaemia was observed with Gla-300 compared with Gla-100: rate ratio 0.63 (95% CI 0.42-0.96); p = 0.031, and fewer participants experienced ≥1 event relative risk 0.84 (95% CI 0.71-0.99). Severe hypoglycaemia was infrequent. Weight gain was significantly lower with Gla-300 than Gla-100 LS mean difference -0.7 (95% CI -1.3 to -0.2) kg; p = 0.009. Both treatments were well tolerated with a similar pattern of adverse events (incidence of 69 and 60% in the Gla-300 and Gla-100 groups). CONCLUSIONS: In people with type 2 diabetes treated with Gla-300 or Gla-100, and non-sulphonylurea OADs, glycaemic control was sustained over 12 months, with less nocturnal hypoglycaemia in the Gla-300 group.