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Table 1 Characteristics of included studies

From: Efficacy and immunogenicity of insulin biosimilar compared to their reference products: a systematic review and meta-analysis

Study, Year

Trial name

Sample size (BSM/REF)

BSM vs REF

Race

Study/Trial design

Type of DM

Time point, wk

Duration of DM (y)

HbA1C, %

FPG, mmol/L

BMI, Kg/m2

ADA (+), %

Long-acting insulin biosimilar

 Verma, 2011 [17]

NA

107/108

Basalog vs Lantus

Indian

RCT/Non-inferiority

1

12

11

7.9

8.1

21.8

NA

 Kaku, 2016 [18]

NA

131/129

FFP-112 vs Lantus

Japanese

RCT/Non-inferiority

1

24/52

NA

7.8

7.8

NA

NA

 Blevins, 2015 [19]

ELEMENT 1

268/267

LY Iglar vs Lantus

White (74%), Asian (18%), American-Indian

RCT/Non-inferiority

1

24/52

17

7.8

8.3

25.5

0.7

 Rosenstock, 2015 [20]

ELEMENT 2

376/380

LY Iglar vs Lantus

White (80%), Asian, Black

RCT/Non-inferiority

2

24

12

8.3

8.8

32

NA

 Blevins, 2018 [21]

INSTRIDE 1

280/278

MYL-1501D vs Lantus

Europe

USA

RCT/Non-inferiority

1

24/52

19

7.4

9.2

26.5

NA

 Home, 2018 [22]

 NA

245/263

MK-1293 vs Lantus

White (80%), Asian, Black

RCT/Non-inferiority

1

24/52

22

8

9.3

26.4

58

 Hollander, 2018 [23]

NCT02059187

266/265

MK-1293 vs Lantus

White (63%), Black (12.5%), Multi-racial (15%), Asian

RCT/Non-inferiority

2

24

13

8.4

8.5

32.3

32

 Blevins, 2019 [24]

INSTRIDE 2

277/283

MYL-1501D vs Lantus

North America, East Asia, Eastern Europe, and other regions

RCT/Non-inferiority

2

24

12

8.1

8.6

31.6

NA

 Karonova, 2020 [25]

NCT04022993

90/90

GP40061 vs Lantus

caucasian

RCT/Non-inferiority

1

26

14

8.6

11

24.3

NA

Short-acting insulin biosimilar

 Garg, 2017 [26]

SORELLA 1, 2017

253/254

SAR232434 vs Humalog

NA

RCT/Non-inferiority

1

26/52

19

8

10

NA

48

 Derwahl, 2018 [27]

SORELLA 2, 2017

253/254

SAR232434 vs Humalog

US, EU, RoW

RCT/Non-inferiority

2

26

17

8

NA

32.2

25

 Garg, 2020 [28]

GEMELLI 1

301/296

SAR341402 vs NovoRapid

US, EU, RoW

RCT/Non-inferiority

1.2

26

19

8

NA

27.5

36

 Karonova, 2021 [29]

NCT04079413

132/132

GP-Asp vs NovoRapid

European

RCT/Non-inferiority

1

26

13.5

8.6

11

24.8

8.3

Pre-mixed insulin biosimilar

 Mayorov, 2020 [30]

NCT04023344

105/105

GP-Lis25 vs Humalog Mix 25

Russia

RCT/Non-inferiority

2

26

10

9.4

11.8

31

NA

  1. ADA (+)Anti-Drug-Antibody positive, BMI body mass index, BSM biosimilar, BW body weight, DM diabetes mellitus, FPG fasting plasma glucose, IGlar Lantus insulin glargine, LY IGlar LY2963016 insulin glargine, Ly-Lis Insulin lispro-Humalog, MYL lGar MYL-1501D (Mylan’s insulin glargine), MK IGlar MK-1293 insulin glargine, NA not available, REF reference, SAR-Lis SAR342434 insulin lispro, SD standard deviation