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Apidra (insulin glulisine) - Sanofi Canada

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Clinical Trial Adverse Drug Reactions<br />

Because clinical trials are conducted under very specific conditions the adverse reaction rates<br />

observed in the clinical trials may not reflect the rates observed in practice and should not be<br />

compared to the rates in the clinical trials of another drug. Adverse drug reaction information<br />

from clinical trials is useful for identifying drug-related adverse events and for approximating<br />

rates.<br />

Table 3 - Common (≥1%) Adverse Drug Reactions in pooled adult Type 1 and 2 studies<br />

Adverse Event<br />

System Organ Class/<br />

Preferred Term<br />

General Disorders and<br />

Administration Site<br />

Condition<br />

Injection site hypertrophy<br />

Metabolism and Nutrition<br />

Disorders<br />

Hypoglycemia NOS*<br />

Hypoglycemic seizure<br />

Hypoglycemic<br />

unawareness<br />

Nervous System<br />

Disorders<br />

Hypoglycemic coma<br />

*Not otherwise specified<br />

Insulin Glulisine<br />

(All studies)<br />

n=1833<br />

(% of subjects)<br />

9 (0.5)<br />

83 (4.5)<br />

16 (0.9)<br />

1 (0.1)<br />

49 (2.7)<br />

Lispro<br />

n= 333<br />

(% of subjects)<br />

7 (2.1)<br />

22 (6.6)<br />

7 (2.1)<br />

4 (1.2)<br />

13 (3.9)<br />

Regular<br />

Insulin<br />

n=1161<br />

(% of<br />

subjects)<br />

- (-)<br />

33 (2.8)<br />

9 (0.8)<br />

- (-)<br />

19 (1.6)<br />

Aspart<br />

n= 30<br />

(% of<br />

subjects)<br />

- (-)<br />

2 (6.7)<br />

- (-)<br />

2 (6.7)<br />

Table 4 summarizes the adverse reactions occurring with frequency higher than 1% in a clinical<br />

study in children and adolescents with type 1 diabetes treated with <strong>insulin</strong> <strong>glulisine</strong> (n=277) or<br />

<strong>insulin</strong> lispro.<br />

- (-)<br />

Page 14 of 61

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