NCT03736785

Brief Summary

The reason for this study is to see if the study drug LY3209590 is safe and effective in participants with type 2 diabetes that have already been treated with basal insulin.

Trial Health

90
On Track

Trial Health Score

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

Enrollment
399

participants targeted

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

Timeline
Completed

Started Nov 2018

Geographic Reach
3 countries

44 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 2, 2018

Completed
7 days until next milestone

First Posted

Study publicly available on registry

November 9, 2018

Completed
6 days until next milestone

Study Start

First participant enrolled

November 15, 2018

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 18, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 18, 2020

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

March 8, 2021

Completed
Last Updated

March 8, 2021

Status Verified

March 1, 2020

Enrollment Period

1.3 years

First QC Date

November 2, 2018

Results QC Date

February 12, 2021

Last Update Submit

February 12, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in HbA1c

    HbA1c is the glycosylated fraction of haemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. Change from baseline in HbA1c was analysed by mixed model repeated measures (MMRM) including fixed effects of treatment, stratification factors (country, BMI group \[\> 30 or ≤ 30\], sulfonylureas use at study entry), visit and treatment by visit interaction and baseline HbA1c as the covariate.

    Baseline, Week 32

Secondary Outcomes (7)

  • Change From Baseline in HbA1c Compared to Insulin Degludec

    Baseline, Week 32

  • Change From Baseline in Fasting Glucose

    Baseline, Week 32

  • Change From Baseline in Insulin Dose (LY3209590)

    Week 1, Week 32

  • Change From Baseline in Insulin Dose (Insulin Degludec)

    Baseline, Week 32

  • Rate of Total Documented Symptomatic Hypoglycemia

    Baseline through week 32

  • +2 more secondary outcomes

Study Arms (3)

LY3209590 Algorithm 1

EXPERIMENTAL

Participants received loading dose followed by weekly dose of LY3209590 based on the prior randomization basal insulin dose for a period of 32 weeks by subcutaneous (SC) injection. Dose titration was done to maintain fasting blood glucose of \<140 milligram per deciliter (mg/dL).

Drug: LY3209590

LY3209590 Algorithm 2

EXPERIMENTAL

Participants received loading dose followed by weekly dose of LY3209590 based on the prior randomization basal insulin dose for a period of 32 weeks by subcutaneous injection. Dose titration was done to maintain fasting blood glucose of \<120 mg/dL.

Drug: LY3209590

Insulin Degludec

ACTIVE COMPARATOR

Participants received same dose of Degludec as the total basal insulin dose already administered prior to randomization. Dose was titrated to maintain fasting blood glucose of ≤100 mg/dL to achieve glycemic goal of HbA1C \<7%.

Drug: Insulin Degludec

Interventions

Administered SC

LY3209590 Algorithm 1LY3209590 Algorithm 2

Administered SC

Insulin Degludec

Eligibility Criteria

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

You may qualify if:

  • Type 2 diabetes mellitus according to the World Health Organization (WHO) criteria treated with basal insulin and up to 3 of the following oral antihyperglycemic medication (OAM):
  • dipeptidyl peptidase-4 (DPP-4) inhibitors
  • sodium-glucose cotransporter (SGLT-2) inhibitors
  • biguanides
  • alpha-glucosidase inhibitors
  • sulfonlyureas
  • HbA1c value of 6.5% to 10%, inclusive
  • Body mass index (BMI) between 20 and 45 kilograms per meter squared (kg/m2), inclusive

You may not qualify if:

  • Type 1 diabetes mellitus or latent autoimmune diabetes
  • Any episodes of severe hypoglycemia and/or hypoglycemia unawareness within the 6 months prior to screening
  • Any of the following cardiovascular (CV) conditions: acute myocardial infarction, New York Heart Association Class III or IV heart failure, or cerebrovascular accident (stroke)
  • Acute or chronic hepatitis, or obvious clinical signs or symptoms of any other liver disease
  • Estimated glomerular filtration rate (eGFR) \<30 milliliters/minute/1.73 m2
  • Active or untreated malignancy
  • Chronic (\>14 days) systemic glucocorticoid therapy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (44)

Central Research Associates, Inc.

Birmingham, Alabama, 35205, United States

Location

Arkansas Clinical Research

Little Rock, Arkansas, 72205, United States

Location

John Muir Physician Network Clinical Research Center

Concord, California, 94520, United States

Location

AMCR Institute INC

Escondido, California, 92025, United States

Location

Valley Endocrine, Fresno

Fresno, California, 93720, United States

Location

Marin Endocrine Associates

Greenbrae, California, 94904, United States

Location

National Research Institute

Huntington Park, California, 90255, United States

Location

First Valley Medical Group

Lancaster, California, 93534, United States

Location

National Research Institute

Los Angeles, California, 90057, United States

Location

University Clinical Investigators, Inc.

Tustin, California, 92780, United States

Location

Chase Medical Research, LLC

Waterbury, Connecticut, 06708, United States

Location

ALL Medical Research, LLC

Cooper City, Florida, 33024, United States

Location

Suncoast Clinical Research

New Port Richey, Florida, 34652, United States

Location

Metabolic Research Institute Inc.

West Palm Beach, Florida, 33401, United States

Location

East West Medical Institute

Honolulu, Hawaii, 96814, United States

Location

Elite Clinical Trials LLLP

Blackfoot, Idaho, 83221, United States

Location

Rocky Mountain Diabetes and Osteoporosis Center

Idaho Falls, Idaho, 83404, United States

Location

Iderc, P.L.C.

West Des Moines, Iowa, 50265, United States

Location

Cotton O'Neil Diabetes and Endocrinology Center

Topeka, Kansas, 66606, United States

Location

Endocrine and Metabolic Consultants

Rockville, Maryland, 20852, United States

Location

NECCR PrimaCare Research, LLC

Fall River, Massachusetts, 02721, United States

Location

Palm Research Center

Las Vegas, Nevada, 89128, United States

Location

Palm Research Center

Las Vegas, Nevada, 89148, United States

Location

Southern New Hampshire Diabetes and Endocrinology

Nashua, New Hampshire, 03063, United States

Location

Metrolina Internal Medicine, P.A.

Charlotte, North Carolina, 28207, United States

Location

Intend Research

Norman, Oklahoma, 73069, United States

Location

The Corvallis Clinic P.C.

Corvallis, Oregon, 97330, United States

Location

Thomas Jefferson University

Philadelphia, Pennsylvania, 19107, United States

Location

Preferred Primary Care Physicians - Jacob Murphy Lane

Uniontown, Pennsylvania, 15401, United States

Location

Internal Medicine Associates of Anderson

Anderson, South Carolina, 29621, United States

Location

The Research Center of the Upstate

Mauldin, South Carolina, 29662, United States

Location

Texas Diabetes and Endocrinology

Austin, Texas, 78731-4309, United States

Location

Dallas Diabetes Endocrine Center

Dallas, Texas, 75230, United States

Location

Clinical Trials of Texas, Inc.

San Antonio, Texas, 78229, United States

Location

Manassas Clinical Research Center

Manassas, Virginia, 20110, United States

Location

Rainier Clinical Research Center

Renton, Washington, 98057, United States

Location

Confluence Health Clinical Research Department

Wenatchee, Washington, 98801, United States

Location

Hospital Universitario UANL

Monterrey, Nuevo León, 64460, Mexico

Location

Investigacion en Salud y Metabolismo S.C

Chihuahua City, 31217, Mexico

Location

Advanced Clinical Research, LLC

Bayamón, PR, 00961, Puerto Rico

Location

Manati Center for Clinical Research Inc

Manatí, PR, 00674, Puerto Rico

Location

GCM Medical Group PSC

San Juan, PR, 00917, Puerto Rico

Location

Martha Gomez Cuellar M.D.

San Juan, PR, 00921, Puerto Rico

Location

Centro de Endocrinologia del Este

Yabucoa, 00767, Puerto Rico

Location

Related Publications (1)

  • Frias J, Chien J, Zhang Q, Chigutsa E, Landschulz W, Syring K, Wullenweber P, Haupt A, Kazda C. Safety and efficacy of once-weekly basal insulin Fc in people with type 2 diabetes previously treated with basal insulin: a multicentre, open-label, randomised, phase 2 study. Lancet Diabetes Endocrinol. 2023 Mar;11(3):158-168. doi: 10.1016/S2213-8587(22)00388-6. Epub 2023 Feb 6.

Related Links

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Interventions

insulin degludec

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

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 - 5hours, 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
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 2, 2018

First Posted

November 9, 2018

Study Start

November 15, 2018

Primary Completion

February 18, 2020

Study Completion

February 18, 2020

Last Updated

March 8, 2021

Results First Posted

March 8, 2021

Record last verified: 2020-03

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