A Study of Multiple Increasing Doses of LY2409021 in Participants With Type 2 Diabetes
The Safety, Tolerability, Pharmacokinetics and Pharmacodynamic Effects of Multiple Escalating Doses of LY2409021 in Patients With Type 2 Diabetes Mellitus
2 other identifiers
interventional
50
2 countries
2
Brief Summary
The study drug LY2409021 is being evaluated as a possible treatment for diabetes. The primary purpose of this study is to help answer the following research questions, and not to provide treatment for diabetes :
- The safety of LY2409021 and any side effects that might be associated with it following 4 weeks of doses
- How long it takes the body to absorb and remove LY2409021 following dosing over 4 weeks
- How daily dosing of LY2409021 affects blood levels of sugar (glucose), insulin and other naturally occurring substances before and after a meal
- How LY2409021 works when given with metformin
- How daily dosing of LY2409021 affects the cells that produce insulin
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1 diabetes-mellitus-type-2
Started Mar 2008
Typical duration for phase_1 diabetes-mellitus-type-2
2 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
Study Start
First participant enrolled
March 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2008
CompletedFirst Submitted
Initial submission to the registry
May 23, 2012
CompletedFirst Posted
Study publicly available on registry
May 25, 2012
CompletedMay 25, 2012
May 1, 2012
8 months
May 23, 2012
May 23, 2012
Conditions
Outcome Measures
Primary Outcomes (1)
Number of participants with one or more drug related adverse events (AEs) or any serious AEs
From first dose of study drug up to discharge (at least 28 days after last dose)
Secondary Outcomes (9)
Pharmacokinetics: Area under the concentration curve (AUC) of LY2409021
From first study drug dose to Day 28 post last dose
Pharmacokinetics: Maximum concentration (Cmax) of LY2409021
From first study drug dose to Day 28 post last dose
Change in fasting blood glucose level
From Day -1 to Day 28 of dosing
Change in incremental area under the curve (AUC) for glucose
From Day -1 to Day 28 of dosing
Change in homeostasis model assessment of beta cell function (HOMA-B)
From baseline to Day 28
- +4 more secondary outcomes
Study Arms (5)
Placebo
PLACEBO COMPARATORPlacebo administered orally once daily for 4 weeks
5 mg LY2409021
EXPERIMENTAL5 mg LY2409021 administered orally once daily for 4 weeks
30 mg LY2409021
EXPERIMENTAL30 mg LY2409021 administered orally once daily for 4 weeks
60 mg LY2409021
EXPERIMENTAL60 mg LY2409021 administered orally once daily for 4 weeks
90 mg LY2409021
EXPERIMENTAL90 mg LY2409021 administered orally once daily for 4 weeks
Interventions
Eligibility Criteria
You may qualify if:
- Must be either a male, or a female who cannot become pregnant, who has type 2 diabetes and is either controlling diabetes through diet and exercise, or taking metformin
- Have an hemoglobin A1c (HbA1c) value at screening of greater than or equal to 6.5% and less than or equal to 10.0% on a stable treatment regimen at the time of measurement
- Have a screening body mass index (BMI) of 20 to 40 kg/m\^2 inclusive
- Have a blood pressure reading at screening of between 90 to 160 millimeters of mercury (mmHg) (systolic) and 40 to 95 mmHg (diastolic)
You may not qualify if:
- Have used insulin for diabetic control within 1 year of study entry
- Have used thiazolidinediones within 3 months, or any other drugs for treatment of hyperglycemia (except metformin) within 1 month, prior to first planned dosing. Metformin is acceptable for this study.
- Have clinically significant coronary artery disease
- Have clinically significant peripheral vascular disease
- Have clinical evidence of active diabetic proliferative retinopathy
- Have known significant autonomic neuropathy as evidenced by urinary retention, orthostatic hypotension, diabetic diarrhea or gastroparesis
- Impaired renal function (serum creatinine greater than 115 micromoles/liter \[μmol/L\] \[1.3 mg/dL\] in women, greater than 130 μmol/L \[1.5 mg/dL\] in men)
- Have triglycerides greater than 4.5 millimoles per liter (mmol/L) \[approximately 400 mg/dL\] at screening
- Were hospitalized for poor control of diabetes (keto-acidotic episode) in the last 6 months
- Are allergic to LY2409021 or similar drugs
- Have history or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine (other than diabetes), hematological, or neurological disorders capable of significantly altering the absorption, or metabolism or elimination of drugs or of constituting a risk when taking the study medication or interfering with the interpretation of data
- Have used systemic glucocorticoids within 1 month prior to first dosing
- Have donated 450 mL or more of blood in the last 3 months or have donated any blood within the last month
- Have a regular alcohol intake greater than 21 units/week (male), or 14 units/week (female), or are unwilling to stop alcohol as required by the study restrictions (1 unit = 360 mL of beer, or 150 mL of wine, or 45 mL of spirits)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
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.
Singapore, Singapore
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.
Plymouth, United Kingdom
Related Publications (1)
Kelly RP, Garhyan P, Raddad E, Fu H, Lim CN, Prince MJ, Pinaire JA, Loh MT, Deeg MA. Short-term administration of the glucagon receptor antagonist LY2409021 lowers blood glucose in healthy people and in those with type 2 diabetes. Diabetes Obes Metab. 2015 Apr;17(4):414-22. doi: 10.1111/dom.12446. Epub 2015 Mar 2.
PMID: 25656305DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
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
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 23, 2012
First Posted
May 25, 2012
Study Start
March 1, 2008
Primary Completion
November 1, 2008
Study Completion
November 1, 2008
Last Updated
May 25, 2012
Record last verified: 2012-05