A Study in Participants With Type 1 Diabetes Mellitus
IMAGINE 1
The Impact of LY2605541 Versus Insulin Glargine for Patients With Type 1 Diabetes Mellitus Treated With Preprandial Insulin Lispro: An Open-Label, Randomized, 78-Week Study - The IMAGINE 1 Study
3 other identifiers
interventional
455
9 countries
51
Brief Summary
The purpose of this study is:
- To compare the blood sugar control of LY2605541 with insulin glargine after 78 weeks of treatment.
- To compare the rate of night-time low blood sugar episodes on LY2605541 with insulin glargine during 78 weeks of treatment.
- To compare the number of participants on LY2605541 reaching blood sugar targets without low blood sugar episodes at night to those taking insulin glargine after 78 weeks of treatment.
- To compare the rate of hypoglycemia episodes on LY2605541 with insulin glargine during 78 weeks of treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Jan 2012
51 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 28, 2011
CompletedFirst Posted
Study publicly available on registry
November 30, 2011
CompletedStudy Start
First participant enrolled
January 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2014
CompletedResults Posted
Study results publicly available
April 17, 2018
CompletedApril 17, 2018
March 1, 2018
1.3 years
November 28, 2011
March 16, 2018
March 16, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Hemoglobin A1c (HbA1c) at 26 Weeks
HbA1c is a test that measures a participant's average blood glucose level over a 2- to 3-month timeframe. Least Squares (LS) means were calculated using mixed model repeated measures (MMRM), adjusting for treatment, stratification factors (baseline low-density lipoprotein cholesterol \[LDL-C\] \[\<100 milligrams per deciliter (mg/dL) and ≥100 mg/dL\] and country), visit, treatment-by-visit interaction, and baseline HbA1c as the fixed effects and participant as the random effect.
26 weeks
Secondary Outcomes (20)
Hemoglobin A1c (HbA1c)
52 weeks and 78 weeks
Change From Baseline in Hemoglobin A1c (HbA1c)
Baseline, 26 weeks, 52 weeks, 78 weeks
Percentage of Participants With Hemoglobin A1c (HbA1c) Less Than 7.0% or Less Than or Equal to 6.5% Using Last Observation Carried Forward (LOCF)
26 weeks and 52 weeks and 78 weeks
Proportion of Participants With Hemoglobin A1c (HbA1c) Less Than 7.0% Without Nocturnal Hypoglycemia
26 weeks and 52 weeks and 78 weeks
Total Hypoglycemia Rates (Adjusted by 30 Days)
Baseline through 26 weeks and Baseline through 52 weeks and Baseline through 78 weeks
- +15 more secondary outcomes
Study Arms (2)
LY2605541 + Insulin Lispro
EXPERIMENTALLY2605541 titrated based on blood glucose readings, administered by subcutaneous (SC) injection via pen device once daily at bedtime for 78 weeks in combination with Insulin Lispro. Insulin Lispro titrated based on blood glucose readings, administered by SC injection via pen device at meal times for 78 weeks.
Glargine + Insulin Lispro
ACTIVE COMPARATORGlargine dose titrated based on blood glucose readings, administered by SC injection via pen device once daily at bedtime for 78 weeks in combination with Insulin Lispro. Insulin Lispro dose titrated based on blood glucose readings, administered by SC injection via pen device at meal times for 78 weeks.
Interventions
Administered by SC injection with a pen device.
Eligibility Criteria
You may qualify if:
- Have had diabetes mellitus for at least 1 year
- Have an hemoglobin A1c (HbA1c) value less than 12% according to the central laboratory at screening
- Have a body mass index (BMI) less than or equal to 35.0 kilograms per square meter (kg/m\^2)
- Have been treated for at least 90 days prior to screening with the following:
- Insulin detemir, insulin glargine, or human insulin isophane suspension (NPH) insulin in combination with premeal insulin,
- Self-mixed or premixed insulin regimens with any basal and bolus insulin combination administered at least twice daily, or
- Continuous SC insulin infusion therapy
- Are not breastfeeding
- Test negative for pregnancy at screening and randomization based on serum pregnancy tests
- Do not intend to become pregnant during the study
- Have practiced a reliable method of birth control (for example, use of oral contraceptives or levonorgestrel, diaphragms with contraceptive jelly, cervical caps with contraceptive jelly, condoms with contraceptive foam, intrauterine devices, partner with vasectomy, or abstinence) for at least 6 weeks prior to screening
- Agree to continue to use a reliable method of birth control during the study, as determined by the investigator (and for 2 weeks following the last dose of study drug)
- Capable of and willing and desirous to do the following: adhere to a multiple daily injection regimen, inject insulin with a prefilled pen and perform Self-Monitored Blood Glucose (SMBG) and record keeping as required by this protocol, as determined by the investigator. Caregiver may be responsible for all of the above.
You may not qualify if:
- Are using twice-daily insulin glargine having been inadequately controlled on once-daily dosed glargine prior to screening
- Have excessive insulin resistance defined as having received a total daily dose of insulin greater than 1.5 units per kilogram (units/kg) at the time of randomization
- Receiving any oral or injectable medication (other than metformin for treatment of polycystic ovarian disease) intended for the treatment of diabetes mellitus other than insulins in the 90 days prior to screening
- Lipid-lowering medications:
- Are using niacin preparations as a lipid-lowering medication and/or bile acid sequestrants within 90 days prior to screening or are using lipid-lowering medication at a dose that has not been stable for greater than or equal to 90 days prior to screening
- If a participant has not been on a stable dose of lipid-lowering medication for greater than or equal to 90 days prior to screening, the site should wait to screen the participant. If the results of the screening laboratory tests require a change to the participant's current lipid-lowering medication or initiation of lipid-lowering medication, it is acceptable to change the lipid-lowering medication for the participant and to have the participant return greater than or equal to 90 days later to complete some of the screening procedures again
- Have fasting hypertriglyceridemia (defined as greater than 4.5 millimoles per liter \[mmol/L\], greater than 400 milligrams per deciliter \[mg/dL\]) at screening, as determined by the central laboratory
- Have had more than 1 episode of severe hypoglycemia (defined as requiring assistance due to neurologically disabling hypoglycemia as determined by the investigator) within 6 months prior to entry into the study
- Have had 2 or more emergency room visits or hospitalizations due to poor glucose control (hyperglycemia or diabetic ketoacidosis) in the past 6 months
- Cardiovascular: have cardiac disease with functional status that is New York Heart Association Class III or IV (per New York Heart Association Cardiac Disease Classification)
- Renal: Have a history of renal transplantation or are currently receiving renal dialysis or have serum creatinine greater than 2.5 mg/dL
- Hepatic: Have obvious clinical signs or symptoms of liver disease (excluding non-alcoholic fatty liver disease \[NAFLD\]), acute or chronic hepatitis, non-alcoholic steatohepatitis (NASH), or elevated liver enzyme measurements as indicated below:
- Total bilirubin greater than or equal to 2 times the upper limit of normal (ULN) as defined by the central laboratory,
- Alanine aminotransferase (ALT)/(serum glutamic pyruvic transaminase (SGPT) greater than 2.5 times ULN as defined by the central laboratory, or
- Aspartate aminotransferase (AST)/serum glutamic oxaloacetic transaminase (SGOT) greater than 2.5 times ULN as defined by the central laboratory.
- +6 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (51)
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Concord, California, 94520, United States
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Escondido, California, 92026, United States
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Fresno, California, 93720, United States
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Greenbrae, California, 94904, United States
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Huntington Beach, California, 92648, United States
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San Mateo, California, 94401, United States
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Aurora, Colorado, 80010, United States
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Idaho Falls, Idaho, 83404, United States
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Las Vegas, Nevada, 89148, United States
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Salt Lake City, Utah, 84102, United States
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Renton, Washington, 98057, United States
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Spokane, Washington, 99202, United States
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Graz, 8036, Austria
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Vienna, 1130, Austria
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Bar-le-Duc, 55000, France
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Corbeil-Essonnes, 91100, France
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Montpellier, 34295, France
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Nantes, 44093, France
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Nice, 06002, France
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Saint-Mandé, 94160, France
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Toulouse, 31059, France
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Vénissieux, 69200, France
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Berlin, 10409, Germany
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Eisenach, 99817, Germany
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Falkensee, 14612, Germany
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Hamburg, 22559, Germany
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Mainz, 55116, Germany
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Mayen, 56727, Germany
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Münster, 48153, Germany
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Neuwied, 56564, Germany
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Pohlheim, 35415, Germany
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Cagliari, 09100, Italy
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Catania, 95100, Italy
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Lecce, 73100, Italy
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Padua, 35128, Italy
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Perugia, 06100, Italy
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Ravenna, 48100, Italy
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Hokkaido, 060-0002, Japan
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Kanagawa, 235-0045, Japan
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Kumamoto, 862-0976, Japan
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Tokyo, 162-8666, Japan
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Guadalajara, 44150, Mexico
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Guadalajara Jalisco, 04460, Mexico
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Monterrey, 64460, Mexico
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Katowice, 40-057, Poland
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Lodz, 93-338, Poland
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Poznan, 61-655, Poland
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Warsaw, 01-192, Poland
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Arkhangelsk, 163045, Russia
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Moscow, 119991, Russia
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Saint Petersburg, 193257, Russia
Related Publications (4)
Qu Y, White RD, Ruberg SJ. Accurate Collection of Reasons for Treatment Discontinuation to Better Define Estimands in Clinical Trials. Ther Innov Regul Sci. 2023 May;57(3):521-528. doi: 10.1007/s43441-022-00491-0. Epub 2022 Dec 21.
PMID: 36542287DERIVEDSanyal A, Cusi K, Hartman ML, Zhang S, Bastyr EJ 3rd, Bue-Valleskey JM, Chang AM, Haupt A, Jacober SJ, Konrad RJ, Zhang Q, Hoogwerf BJ. Cytokeratin-18 and enhanced liver fibrosis scores in type 1 and type 2 diabetes and effects of two different insulins. J Investig Med. 2018 Mar;66(3):661-668. doi: 10.1136/jim-2017-000609. Epub 2017 Nov 21.
PMID: 29167192DERIVEDOrchard TJ, Cariou B, Connelly MA, Otvos JD, Zhang S, Antalis CJ, Ivanyi T, Hoogwerf BJ. The effects of basal insulin peglispro vs. insulin glargine on lipoprotein particles by NMR and liver fat content by MRI in patients with diabetes. Cardiovasc Diabetol. 2017 Jun 6;16(1):73. doi: 10.1186/s12933-017-0555-1.
PMID: 28587667DERIVEDCusi K, Sanyal AJ, Zhang S, Hartman ML, Bue-Valleskey JM, Hoogwerf BJ, Haupt A. Non-alcoholic fatty liver disease (NAFLD) prevalence and its metabolic associations in patients with type 1 diabetes and type 2 diabetes. Diabetes Obes Metab. 2017 Nov;19(11):1630-1634. doi: 10.1111/dom.12973. Epub 2017 Jun 22.
PMID: 28417532DERIVED
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
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 28, 2011
First Posted
November 30, 2011
Study Start
January 1, 2012
Primary Completion
May 1, 2013
Study Completion
June 1, 2014
Last Updated
April 17, 2018
Results First Posted
April 17, 2018
Record last verified: 2018-03