NCT02111096

Brief Summary

The intent of this study is to assess the safety of LY2409021 in participants with Type 2 diabetes mellitus taking metformin and sulfonylurea as prescribed by their personal physician. The study treatment is expected to last 12 months (52 weeks).

Trial Health

60
Monitor

Trial Health Score

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

Enrollment
174

participants targeted

Target at P50-P75 for phase_2 diabetes-mellitus-type-2

Timeline
Completed

Started Apr 2014

Typical duration for phase_2 diabetes-mellitus-type-2

Geographic Reach
4 countries

33 active sites

Status
terminated

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

April 1, 2014

Completed
7 days until next milestone

First Submitted

Initial submission to the registry

April 8, 2014

Completed
2 days until next milestone

First Posted

Study publicly available on registry

April 10, 2014

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2015

Completed
2.6 years until next milestone

Results Posted

Study results publicly available

April 24, 2018

Completed
Last Updated

October 9, 2019

Status Verified

September 1, 2019

Enrollment Period

1.4 years

First QC Date

April 8, 2014

Results QC Date

March 24, 2018

Last Update Submit

September 25, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline to 6 Months in Hepatic Fat Fraction

    The hepatic fat fraction (HFF) was calculated by a core imaging laboratory from noncontrast magnetic resonance imaging (MRI) of the liver. Least Squares (LS) means were calculated using mixed model repeated measures (MMRM) adjusting for treatment, country, baseline HbA1c stratum (\<=8.0%, \>8.0%), visit, baseline score, and treatment-by-visit.

    Baseline, 6 months

Secondary Outcomes (14)

  • Change From Baseline to 6 Months in Alanine Aminotransferase Levels

    Baseline, 6 months

  • Number of Participants With Hepatobiliary Adverse Events of Special Interest (AESI)

    Baseline, 6 months

  • Change From Baseline to 6 Months in Fasting Lipids Levels

    Baseline, 6 months

  • Change From Baseline to 6 Months in Fasting Blood Glucagon

    Baseline, 6 months

  • Change From Baseline to 6 Months in Body Weight

    Baseline, 6 months

  • +9 more secondary outcomes

Study Arms (3)

LY2409021

EXPERIMENTAL

20 milligrams (mg) LY2409021 given orally once daily in the morning for 12 months (52 weeks). Participants remain on stable doses of metformin and sulfonylurea, as prescribed by their personal physician.

Drug: LY2409021Drug: MetforminDrug: Sulfonylurea

Sitagliptin

ACTIVE COMPARATOR

100 mg sitagliptin given orally once daily in the morning for 12 months (52 weeks). Participants remain on stable doses of metformin and sulfonylurea, as prescribed by their personal physician.

Drug: SitagliptinDrug: MetforminDrug: Sulfonylurea

Placebo

PLACEBO COMPARATOR

Placebo matching LY2409021 and sitagliptin given orally once daily in the morning for 12 months (52 weeks). Participants remain on stable doses of metformin and sulfonylurea, as prescribed by their personal physician.

Drug: PlaceboDrug: MetforminDrug: Sulfonylurea

Interventions

Administered orally

LY2409021

Administered orally

Sitagliptin

Administered orally

Placebo

Administered orally

LY2409021PlaceboSitagliptin

Administered orally

LY2409021PlaceboSitagliptin

Eligibility Criteria

Age18 Years - 79 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Have been treated with a stable dose of metformin for at least 3 months and have been treated with an optimally effective and stable dose of an sulfonylurea for at least 6 months prior to screening.
  • HbA1c value between 7.0% and 10.0%, inclusive.
  • Body mass index (BMI) between 20 and 45 kilograms/square meter (kg/m\^2), inclusive.

You may not qualify if:

  • Known type 1 diabetes mellitus.
  • More than 1 episode of severe hypoglycemia within 6 months prior to screening.
  • Two or more emergency room visits or hospitalizations due to poor glucose control in the 6 months prior to screening.
  • Severe gastrointestinal disease that may significantly impact gastric emptying or motility or having undergone gastric bypass or gastric banding surgery.
  • Previous history or active diagnosis of pancreatitis.
  • Positive hepatitis B surface antigen or hepatitis C antibody.
  • Clinical signs or symptoms of liver disease, or hepatic aminotransferases (aminotransferase or alanine aminotransferase) greater than 2.0Ă— upper limit of normal (ULN) or elevated alkaline phosphatase (greater than ULN) unrelated to bone metabolic disease.
  • Elevated total bilirubin level (greater than ULN), clinically suspicious signs/symptoms of cirrhosis or history of cirrhosis.
  • Current diagnosis, personal history of neuroendocrine tumors, family history of any type of multiple endocrine neoplasia (MEN), or Von Hippel-Lindau.
  • Contraindications for magnetic resonance imaging.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (33)

John Muir Health Network - The Osteoporosis Center

Concord, California, 94520, United States

Location

Valley Endocrine, Fresno

Fresno, California, 93720, United States

Location

National Research Institute

Los Angeles, California, 90057, United States

Location

Suncoast Research Group, LLC

Miami, Florida, 33135, United States

Location

New Horizon Research Center

Miami, Florida, 33175, United States

Location

Clinical Research of West Florida, Inc.

Tampa, Florida, 33603, United States

Location

University of Hawaii

Honolulu, Hawaii, 96813, United States

Location

East West Medical Institute

Honolulu, Hawaii, 96814, United States

Location

Rocky Mountain Diabetes and Osteoporosis Center

Idaho Falls, Idaho, 83404, United States

Location

Cedar-Crosse Research Center

Chicago, Illinois, 60607, United States

Location

Midwest CRC

Crystal Lake, Illinois, 60012, United States

Location

Iderc, P.L.C.

Des Moines, Iowa, 50314, United States

Location

Cotton O'Neil Clinic

Topeka, Kansas, 66606, United States

Location

Centex Studies, Inc

Lake Charles, Louisiana, 70601, United States

Location

Cosmopolitan International Diabetes Center

Columbia, Missouri, 65212, United States

Location

Mercy Medical Research Institute

Springfield, Missouri, 65807, United States

Location

Palm Research Center

Las Vegas, Nevada, 89148, United States

Location

SHS Clinical Research Group

Toms River, New Jersey, 08753, United States

Location

Office:Alwine,Lk

Downingtown, Pennsylvania, 19335, United States

Location

University Diabetes and Endocrine Consultants

Chattanooga, Tennessee, 37411, United States

Location

Dallas Diabetes Endocrine Center

Dallas, Texas, 75230, United States

Location

Galenos Research

Dallas, Texas, 75251, United States

Location

San Gabriel Clinical Research

Georgetown, Texas, 78626, United States

Location

Oakwell Clinical Research

San Antonio, Texas, 78218, United States

Location

Victorium Clinical Research

San Antonio, Texas, 78240, United States

Location

Polyclinic

Seattle, Washington, 98104, United States

Location

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.

Athens, 11527, Greece

Location

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.

Thessaloniki, 54636, Greece

Location

PRADNET, Inc. Centro Especializado de Nutricion y Bariatria

Hato Rey, 00917, Puerto Rico

Location

American Telemedicine Center

San Juan, 00917-3104, Puerto Rico

Location

GCM Medical Group PSC

San Juan, 909, Puerto Rico

Location

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.

Changhua, 500, Taiwan

Location

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.

Yong Kung City, 71004, Taiwan

Location

Related Publications (1)

  • Kazda CM, Frias J, Foga I, Cui X, Guzman CB, Garhyan P, Heilmann C, Yang JA, Hardy TA. Treatment with the glucagon receptor antagonist LY2409021 increases ambulatory blood pressure in patients with type 2 diabetes. Diabetes Obes Metab. 2017 Aug;19(8):1071-1077. doi: 10.1111/dom.12904. Epub 2017 Mar 27.

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Interventions

adomeglivantSitagliptin PhosphateMetforminSulfonylurea Compounds

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

TriazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsPyrazinesBiguanidesGuanidinesAmidinesOrganic ChemicalsUreaAmidesSulfonesSulfur Compounds

Limitations and Caveats

Terminated, The overall benefit-risk profile did not support continued development of LY2409021 for type 2 diabetes.

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 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 8, 2014

First Posted

April 10, 2014

Study Start

April 1, 2014

Primary Completion

September 1, 2015

Study Completion

September 1, 2015

Last Updated

October 9, 2019

Results First Posted

April 24, 2018

Record last verified: 2019-09

Data Sharing

IPD Sharing
Will share

Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
Access Criteria
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
More information

Locations