PMID- 29355435 OWN - NLM STAT- MEDLINE DCOM- 20181121 LR - 20221207 IS - 1557-8593 (Electronic) IS - 1520-9156 (Print) IS - 1520-9156 (Linking) VI - 20 IP - 2 DP - 2018 Feb TI - Anti-Insulin Antibodies and Adverse Events with Biosimilar Insulin Lispro Compared with Humalog Insulin Lispro in People with Diabetes. PG - 160-170 LID - 10.1089/dia.2017.0373 [doi] AB - BACKGROUND: SAR342434 (SAR-Lis) is a biosimilar (follow-on) of insulin lispro (Humalog((R)); Ly-Lis). Two randomized, controlled, open-label, parallel-group, phase 3 studies were conducted to compare the efficacy and safety of SAR-Lis and Ly-Lis, both in combination with insulin glargine (Lantus((R))). SORELLA 1 was a 12-month study in 507 people with type 1 diabetes mellitus (T1DM); SORELLA 2 was a 6-month study in 505 people with type 2 diabetes mellitus (T2DM). In this study, the impact of anti-insulin antibodies (AIA) to SAR-Lis and Ly-Lis on safety and glycemic control is reported. METHODS: AIA were measured regularly throughout both studies at a centralized laboratory blinded to treatment groups using a drug-specific AIA assay. The AIA status (positive or negative), AIA titers, and cross-reactivity to human insulin, insulin glargine, and insulin glargine metabolite M1 were analyzed. The potential effect of AIA on safety, particularly as related to hypersensitivity reactions, hypoglycemia, and treatment-emergent adverse events, as well as on glycemic control (HbA(1c), insulin dose), was evaluated. RESULTS: AIA positive status at baseline was similar for the two insulins, but higher in T1DM than in T2DM. In both studies, the percentage of people newly developing AIA in the two treatment groups, or having a >/=4-fold increase in AIA titers, did not differ. No relationship was observed between maximum individual AIA titers and change in HbA(1c) or insulin dose, hypoglycemia, or hypersensitivity reactions or between efficacy/safety measures and subgroups by presence or absence of treatment-emergent AIA. Hypersensitivity events and events adjudicated as allergic reactions were few and did not differ between the two groups. CONCLUSION: Insulin lispro SAR342434 and the originator insulin lispro had a similar immunogenicity profile in people with T1DM or T2DM. FAU - Home, Philip AU - Home P AD - 1 Institute for Cellular Medicine, Newcastle University , Newcastle upon Tyne, United Kingdom . FAU - Derwahl, Karl-Michael AU - Derwahl KM AD - 2 Institut fur Klinische Forschung und Entwicklung (IKFE) , Berlin, Germany . FAU - Ziemen, Monika AU - Ziemen M AD - 3 Sanofi-Aventis Deutschland, Frankfurt, Germany . FAU - Wernicke-Panten, Karin AU - Wernicke-Panten K AD - 3 Sanofi-Aventis Deutschland, Frankfurt, Germany . FAU - Pierre, Suzanne AU - Pierre S AD - 4 Sanofi, Paris, France . FAU - Kirchhein, Yvonne AU - Kirchhein Y AD - 3 Sanofi-Aventis Deutschland, Frankfurt, Germany . FAU - Garg, Satish K AU - Garg SK AD - 5 Barbara Davis Center for Diabetes, University of Colorado Denver , Aurora, Colorado. LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Diabetes Technol Ther JT - Diabetes technology & therapeutics JID - 100889084 RN - 0 (Biosimilar Pharmaceuticals) RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Insulin Antibodies) RN - 0 (Insulin Lispro) RN - 0 (SAR342434) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Biosimilar Pharmaceuticals/*therapeutic use MH - Blood Glucose MH - Diabetes Mellitus, Type 1/blood/*drug therapy/immunology MH - Female MH - Glycated Hemoglobin MH - Humans MH - Insulin Antibodies/*blood MH - Insulin Lispro/*therapeutic use MH - Male MH - Middle Aged MH - Treatment Outcome MH - Young Adult PMC - PMC5771536 OTO - NOTNLM OT - Anti-insulin antibodies OT - Biosimilar OT - Immunogenicity OT - Insulin lispro OT - SAR342434 COIS- P.H. or institutions with which he is associated has received funding for research, advisory, and lecturing activities from Antriabio, AstraZeneca, Biocon, GlaxoSmithKline, Janssen, Hanmi, Merck (MSD), Novo Nordisk, Roche Diagnostics, and Sanofi; K.-M.D. or institutions with which he is associated has received funding for clinical research, advisory, and lecturing activities from Astra Zeneca, Bayer, Lilly, Novo Nordisk, Merck (MSD), Pfizer, and Sanofi. M.Z., K.W.-P., and Y.K. are employees and stockholders of Sanofi-Aventis Deutschland GmbH, Frankfurt, Germany. S.P. is an employee and stockholder of Sanofi, Paris, France. S.K.G. or institutions with which he is associated has received funding for research, advisory, and travel activities from Dario, Eli Lilly, JDRF, Johnson & Johnson, Lexicon, Mannkind, Medtronic, Merck, NCI, NIDDK, Novo Nordisk, Roche, Sanofi, and T1D Exchange. EDAT- 2018/01/23 06:00 MHDA- 2018/11/22 06:00 PMCR- 2018/02/01 CRDT- 2018/01/23 06:00 PHST- 2018/01/23 06:00 [entrez] PHST- 2018/01/23 06:00 [pubmed] PHST- 2018/11/22 06:00 [medline] PHST- 2018/02/01 00:00 [pmc-release] AID - 10.1089/dia.2017.0373 [pii] AID - 10.1089/dia.2017.0373 [doi] PST - ppublish SO - Diabetes Technol Ther. 2018 Feb;20(2):160-170. doi: 10.1089/dia.2017.0373.