NCT01481779

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

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
455

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Jan 2012

Geographic Reach
9 countries

51 active sites

Status
completed

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

November 28, 2011

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 30, 2011

Completed
1 month until next milestone

Study Start

First participant enrolled

January 1, 2012

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2013

Completed
1.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2014

Completed
3.9 years until next milestone

Results Posted

Study results publicly available

April 17, 2018

Completed
Last Updated

April 17, 2018

Status Verified

March 1, 2018

Enrollment Period

1.3 years

First QC Date

November 28, 2011

Results QC Date

March 16, 2018

Last Update Submit

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

EXPERIMENTAL

LY2605541 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.

Drug: LY2605541Drug: Insulin Lispro

Glargine + Insulin Lispro

ACTIVE COMPARATOR

Glargine 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.

Drug: GlargineDrug: Insulin Lispro

Interventions

Administered by SC injection via a pen device.

Glargine + Insulin Lispro

Administered by SC injection with a pen device.

LY2605541 + Insulin Lispro

Administered by SC injection with a pen device.

Also known as: LY275585, Humalog
Glargine + Insulin LisproLY2605541 + Insulin Lispro

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Location

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Escondido, California, 92026, United States

Location

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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

Location

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Toulouse, 31059, France

Location

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Vénissieux, 69200, France

Location

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Berlin, 10409, Germany

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Eisenach, 99817, Germany

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Falkensee, 14612, Germany

Location

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Hamburg, 22559, Germany

Location

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Mainz, 55116, Germany

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Mayen, 56727, Germany

Location

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Münster, 48153, Germany

Location

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Neuwied, 56564, Germany

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Pohlheim, 35415, Germany

Location

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Cagliari, 09100, Italy

Location

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Catania, 95100, Italy

Location

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Lecce, 73100, Italy

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Padua, 35128, Italy

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Perugia, 06100, Italy

Location

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Ravenna, 48100, Italy

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Hokkaido, 060-0002, Japan

Location

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Kanagawa, 235-0045, Japan

Location

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Kumamoto, 862-0976, Japan

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Tokyo, 162-8666, Japan

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Guadalajara, 44150, Mexico

Location

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Guadalajara Jalisco, 04460, Mexico

Location

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Monterrey, 64460, Mexico

Location

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Katowice, 40-057, Poland

Location

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Lodz, 93-338, Poland

Location

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Poznan, 61-655, Poland

Location

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Warsaw, 01-192, Poland

Location

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Arkhangelsk, 163045, Russia

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Moscow, 119991, Russia

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Saint Petersburg, 193257, Russia

Location

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.

  • Sanyal 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.

  • Orchard 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.

  • Cusi 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.

MeSH Terms

Conditions

Diabetes Mellitus, Type 1

Interventions

Insulin GlargineLY2605541Insulin Lispro

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesAutoimmune DiseasesImmune System Diseases

Intervention Hierarchy (Ancestors)

Insulin, Long-ActingInsulinsPancreatic HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPeptidesAmino Acids, Peptides, and ProteinsInsulin, Short-Acting

Results Point of Contact

Title
Chief Medical Officer
Organization
Eli Lilly and Company

Study Officials

  • 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

    STUDY DIRECTOR

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

Locations