A Study in Adults With Type 2 Diabetes
ELEMENT 2
A Prospective, Randomized, Double-Blind Comparison of a Long-Acting Basal Insulin Analog LY2963016 to Lantus in Adult Patients With Type 2 Diabetes Mellitus: The ELEMENT 2 Study
3 other identifiers
interventional
759
12 countries
62
Brief Summary
The main purpose of this study is to compare the effectiveness and safety of LY2963016 versus Lantus in controlling blood sugar levels in combination with two or more oral diabetes medications.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 diabetes-mellitus-type-2
Started Sep 2011
Shorter than P25 for phase_3 diabetes-mellitus-type-2
62 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 19, 2011
CompletedFirst Posted
Study publicly available on registry
August 22, 2011
CompletedStudy Start
First participant enrolled
September 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2012
CompletedResults Posted
Study results publicly available
October 9, 2014
CompletedDecember 18, 2014
December 1, 2014
1 year
August 19, 2011
October 3, 2014
December 2, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change From Baseline up to 24 Weeks in Hemoglobin A1c (HbA1c)
HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured primarily to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was determined by analysis of covariance (ANCOVA) and adjusted for Baseline HbA1c, country, sulfonylurea use, time of basal insulin injection and treatment.
Baseline, Endpoint (up to 24 weeks)
Secondary Outcomes (12)
Change From Baseline in Insulin Antibody Levels
Baseline and 4 weeks and 12 weeks and Endpoint (24 weeks and up to 24 weeks)
Change From Baseline in Hemoglobin A1c (HbA1c)
Baseline and 4 weeks and 8 weeks and 12 weeks and 16 weeks and 20 weeks and 24 weeks
7-Point Self-Monitored Blood Glucose (SMBG) Profiles
Baseline and Endpoint [up to 24 weeks (wk)]
Glycemic Variability of Fasting Blood Glucose
Baseline and Endpoint (up to 24 weeks)
Change From Baseline in Body Weight
Baseline and 4 weeks (wk) and 8 wk and 12 wk and 16 wk and 20 wk and 24 wk and Endpoint (up to 24 wk)
- +7 more secondary outcomes
Other Outcomes (2)
Percentage of Participants With Detectable Insulin Antibody Levels
Baseline and 4 weeks and 12 weeks and 24 weeks and Endpoint (up to 24 weeks) and Baseline to 24 weeks (Overall)
Percentage of Participants With Treatment Emergent Antibody Response (TEAR)
4 weeks and 12 weeks and 24 weeks and Endpoint (up to 24 weeks) and Baseline to 24 weeks (Overall)
Study Arms (2)
LY2963016 + OAMs
EXPERIMENTALLY2963016 titrated based on blood glucose readings, administered subcutaneously, once daily in combination with at least 2 oral antihyperglycemic medications (OAMs) \[alpha glucosidase inhibitors (AGI), dipeptidyl peptidases intravenous (DPP-IV), meglitinide (MEG), metformin (MET), sulfonylurea (SU), and thiazolidinedione (TZD)\] administered per standard of care for 24 weeks
Lantus + OAMs
ACTIVE COMPARATORLantus titrated based on blood glucose readings, administered subcutaneously, once daily in combination with at least 2 OAMs (AGI, DPP-IV, MEG, MET, SU, and TZD) administered per standard of care for 24 weeks
Interventions
Eligibility Criteria
You may qualify if:
- Have Type 2 Diabetes Mellitus based on the disease diagnostic criteria World Health Organization (WHO) classification
- Have been taking at least 2 types of oral diabetes medications for at least 12 weeks prior to entering the study
- Have a Hemoglobin A1c value greater than or equal to 7.0 percent and less than or equal to 11.0 percent if insulin naive If previously on Lantus, then Hemoglobin A1c must be less than or equal to 11.0 percent
- Have a body mass index of less than or equal to 45 kilogram per meter squared (kg/m\^2)
You may not qualify if:
- Have significant liver, cardiac or gastrointestinal disease
- Have active cancer or have had cancer within the past 5 years (with the exception of basal cell carcinoma or carcinoma in situ)
- Have an excessive resistance to insulin or hypersensitivity to Lantus
- Have had more than one episode of severe low blood sugar (defined as needing someone else to help because you had very low blood sugar) within the 6 months before entering the study
- Have taken any other insulin other than Lantus within the past 30 days
- Taking any other diabetes medicines that are not allowed in the study or not approved to be taken with insulin
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Eli Lilly and Companylead
- Boehringer Ingelheimcollaborator
Study Sites (62)
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Montgomery, Alabama, 36106, United States
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Brooksville, Florida, 34601, United States
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Fort Lauderdale, Florida, 33316, United States
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New Port Richey, Florida, 34652, United States
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Oviedo, Florida, 32765, United States
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Pembroke Pines, Florida, 33028, United States
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Tampa, Florida, 33617, United States
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Atlanta, Georgia, 30329, United States
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Roswell, Georgia, 30076, United States
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Des Moines, Iowa, 50314, United States
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Topeka, Kansas, 66606, United States
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Port Gibson, Mississippi, 39150, United States
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Springfield, Missouri, 65807, United States
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Omaha, Nebraska, 68114, United States
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Nashua, New Hampshire, 03063, United States
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Mineola, New York, 11501, United States
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New Hyde Park, New York, 11040, United States
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Syracuse, New York, 13210, United States
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Asheville, North Carolina, 28803, United States
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Salisbury, North Carolina, 28144, United States
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Fargo, North Dakota, 58103, United States
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Philadelphia, Pennsylvania, 19107, United States
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Dallas, Texas, 75246, United States
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Houston, Texas, 77074, United States
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Hurst, Texas, 76054, United States
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Longview, Texas, 75605, United States
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Plano, Texas, 75093, United States
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San Antonio, Texas, 78229, United States
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Brandýs nad Labem, 250 01, Czechia
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Prague, 15500, Czechia
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Nantes, 44300, France
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Vieux-Condé, 59690, France
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Aschaffenburg, 63739, Germany
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Dresden, 01219, Germany
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Giengen an der Brenz, 89537, Germany
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Hamburg, 22607, Germany
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Heidelberg, 69115, Germany
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Lüneburg, 21339, Germany
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Saint Ingbert-Oberwürzbach, 66386, Germany
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Thessaloniki, 57010, Greece
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Budapest, 1171, Hungary
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Pápa, 8500, Hungary
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Guadalajara Jalisco, 04460, Mexico
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Mexico City, 03300, Mexico
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Monterrey, 64710, Mexico
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Tampico, 89000, Mexico
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Bialystok, 15-404, Poland
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Gdansk, 80-858, Poland
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Ruda Śląska, 41-709, Poland
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Wroclaw, 50-403, Poland
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Carolina, 00983, Puerto Rico
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Manatí, 00674, Puerto Rico
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San Juan, 00917-3104, Puerto Rico
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Santurce, 00909, Puerto Rico
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Seoul, 139-872, South Korea
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Ulsan, 682-714, South Korea
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Málaga, 29006, Spain
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Palma de Mallorca, 07014, Spain
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Teruel, 44001, Spain
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Taichung, 404, Taiwan
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Taipei, 11031, Taiwan
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Yong Kung City, 71004, Taiwan
Related Publications (2)
Nishiyama H, Shingaki T, Suzuki Y, Ilag LL. Similar Intrapatient Blood Glucose Variability with LY2963016 and Lantus(R) Insulin Glargine in Patients with Type 1 (T1D) or Type 2 Diabetes, Including a Japanese T1D Subpopulation. Diabetes Ther. 2018 Aug;9(4):1469-1476. doi: 10.1007/s13300-018-0450-0. Epub 2018 May 31.
PMID: 29855972DERIVEDPollom RK, Costigan T, Lacaya LB, Ilag LL, Hollander PA. Similar Efficacy and Safety of Basaglar(R) and Lantus(R) in Patients with Type 2 Diabetes in Age Groups (< 65 Years, >/= 65 Years): A Post Hoc Analysis from the ELEMENT-2 Study. Diabetes Ther. 2018 Apr;9(2):827-837. doi: 10.1007/s13300-018-0405-5. Epub 2018 Mar 14.
PMID: 29542012DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Chief Medical Officer
- Organization
- Eli Lilly and Company
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Eli Lilly and Company
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 19, 2011
First Posted
August 22, 2011
Study Start
September 1, 2011
Primary Completion
September 1, 2012
Study Completion
September 1, 2012
Last Updated
December 18, 2014
Results First Posted
October 9, 2014
Record last verified: 2014-12