{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:25:31Z","timestamp":1780964731866,"version":"3.54.1"},"reference-count":29,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2016,10,10]],"date-time":"2016-10-10T00:00:00Z","timestamp":1476057600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100004312","name":"Eli Lilly and Company","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004312","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>\n                      Basal insulin peglispro (\n                      <jats:styled-content style=\"fixed-case\">BIL<\/jats:styled-content>\n                      ) has a longer duration of action than conventional insulin analogues and a hepato\u2010preferential mechanism of action. This study assessed whether\n                      <jats:styled-content style=\"fixed-case\">BIL<\/jats:styled-content>\n                      was non\u2010inferior to isophane insulin (\n                      <jats:styled-content style=\"fixed-case\">NPH<\/jats:styled-content>\n                      ) in reducing\n                      <jats:styled-content style=\"fixed-case\">HbA1c<\/jats:styled-content>\n                      in insulin\u2010na\u00efve patients with type 2 diabetes, when added to pre\u2010study oral anti\u2010hyperglycaemic medications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>\n                      This was a Phase 3, open\u2010label, treat\u2010to\u2010target (\n                      <jats:styled-content style=\"fixed-case\">TTT<\/jats:styled-content>\n                      ), randomized trial with a 2\u2010week lead\u2010in, 26\u2010week treatment and a 4\u2010week safety follow\u2010up period. Patients were randomized to bedtime (\n                      <jats:sc>pm<\/jats:sc>\n                      )\n                      <jats:styled-content style=\"fixed-case\">NPH<\/jats:styled-content>\n                      , morning (\n                      <jats:sc>am<\/jats:sc>\n                      )\n                      <jats:styled-content style=\"fixed-case\">BIL<\/jats:styled-content>\n                      or\n                      <jats:sc>pm<\/jats:sc>\n                      <jats:styled-content style=\"fixed-case\">BIL<\/jats:styled-content>\n                      in a 1:1:1 ratio.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Six hundred and forty\u2010one patients [\n                      <jats:styled-content style=\"fixed-case\">NPH<\/jats:styled-content>\n                      ,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009213;\n                      <jats:styled-content style=\"fixed-case\">BIL<\/jats:styled-content>\n                      ,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009428 (\n                      <jats:sc>am<\/jats:sc>\n                      ,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009213;\n                      <jats:sc>pm<\/jats:sc>\n                      ,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009215)] received study drug.\n                      <jats:styled-content style=\"fixed-case\">BIL<\/jats:styled-content>\n                      was non\u2010inferior to\n                      <jats:styled-content style=\"fixed-case\">NPH<\/jats:styled-content>\n                      for\n                      <jats:styled-content style=\"fixed-case\">HbA1c<\/jats:styled-content>\n                      change from baseline at Week 26 with a between\u2010treatment difference (95% confidence interval) of \u22120.37% (\u22120.50, \u22120.23%).\n                      <jats:styled-content style=\"fixed-case\">HbA1c<\/jats:styled-content>\n                      at baseline was 8.5%, and was lower in\n                      <jats:styled-content style=\"fixed-case\">BIL<\/jats:styled-content>\n                      \u2010 vs\n                      <jats:styled-content style=\"fixed-case\">NPH<\/jats:styled-content>\n                      \u2010treated patients after 26 weeks of treatment (6.8% vs 7.1%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). More\n                      <jats:styled-content style=\"fixed-case\">BIL<\/jats:styled-content>\n                      \u2010treated patients achieved\n                      <jats:styled-content style=\"fixed-case\">HbA1c<\/jats:styled-content>\n                      &lt;7.0% and\n                      <jats:styled-content style=\"fixed-case\">HbA1c<\/jats:styled-content>\n                      &lt;7.0% without nocturnal hypoglycaemia. Fasting serum glucose levels and nocturnal hypoglycaemia rates were lower in\n                      <jats:styled-content style=\"fixed-case\">BIL<\/jats:styled-content>\n                      \u2010treated patients; total hypoglycaemia rates were similar. Treatment\u2010emergent adverse events were similar between groups. Fasting triglycerides decreased from baseline in both groups and to a greater extent with\n                      <jats:styled-content style=\"fixed-case\">NPH<\/jats:styled-content>\n                      , but were not significantly different between groups at Week 26. Mean\n                      <jats:styled-content style=\"fixed-case\">alanine aminotransferase (ALT)<\/jats:styled-content>\n                      increased with\n                      <jats:styled-content style=\"fixed-case\">BIL<\/jats:styled-content>\n                      treatment, but there was no evidence of acute severe hepatotoxicity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      In this\n                      <jats:styled-content style=\"fixed-case\">TTT<\/jats:styled-content>\n                      study,\n                      <jats:styled-content style=\"fixed-case\">BIL<\/jats:styled-content>\n                      treatment showed clinically relevant improvements in glycaemic control and a significant reduction in nocturnal hypoglycaemia compared to\n                      <jats:styled-content style=\"fixed-case\">NPH<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.12743","type":"journal-article","created":{"date-parts":[[2016,10,13]],"date-time":"2016-10-13T06:39:20Z","timestamp":1476340760000},"page":"34-42","source":"Crossref","is-referenced-by-count":12,"title":["A randomized clinical trial of basal insulin peglispro vs\n                    <scp>NPH<\/scp>\n                    in insulin\u2010na\u00efve patients with type 2 diabetes: the\n                    <scp>IMAGINE<\/scp>\n                    6 trial"],"prefix":"10.1111","volume":"18","author":[{"given":"G.","family":"Grunberger","sequence":"first","affiliation":[{"name":"Grunberger Diabetes Institute  Bloomfield Hills Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Chen","sequence":"additional","affiliation":[{"name":"Eli Lilly and Company  Indianapolis Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Eli Lilly and Company  Alcobendas Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. J.","family":"Tinahones","sequence":"additional","affiliation":[{"name":"Hospital Virgen de la Victoria  Malaga Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. J.","family":"Jacober","sequence":"additional","affiliation":[{"name":"Eli Lilly and Company  Indianapolis Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Bue\u2010Valleskey","sequence":"additional","affiliation":[{"name":"Eli Lilly and Company  Indianapolis Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the IMAGINE 6 Investigators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,10,10]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"National Institute for Health and Care Excellence.NICE Clinical Guidance. Type 2 Diabetes: the Management of Type 2 Diabetes. 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