Study of Human Regular U-500 Insulin in Adult Participants With Type 2 Diabetes

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Eli Lilly and Company
ClinicalTrials.gov Identifier:
NCT01774968
First received: January 22, 2013
Last updated: May 30, 2014
Last verified: May 2014
  Purpose

The main purpose of this study is to compare the effectiveness of Human Regular U-500 Insulin three times a day versus twice a day.


Condition Intervention Phase
Diabetes Mellitus, Type 2
Drug: Human Regular U-500 Insulin
Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Two Treatment Approaches for Human Regular U-500 Insulin (Thrice-Daily Versus Twice-Daily) in Subjects With Type 2 Diabetes Mellitus Not Achieving Adequate Glycemic Control on High-Dose U-100 Insulin Therapy With or Without Oral Agents: A Randomized, Open-Label, Parallel Clinical Trial

Resource links provided by NLM:


Further study details as provided by Eli Lilly and Company:

Primary Outcome Measures:
  • Change from Baseline to Week 24 in Glycated Hemoglobin A1c (HbA1c) [ Time Frame: Baseline, Week 24 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Proportion of Participants Achieving HbA1c of ≤6.5%; <7.0%; <7.5%; and <8.0% at Week 24 [ Time Frame: Week 24 ] [ Designated as safety issue: No ]
  • 30-Day Adjusted Rate of Hypoglycemic Events [ Time Frame: Baseline through Week 24 ] [ Designated as safety issue: Yes ]
  • Change from Baseline to Week 24 in Body Weight [ Time Frame: Baseline, Week 24 ] [ Designated as safety issue: Yes ]
  • Change from Baseline to Week 24 in Total Daily Dose (TDD) of Insulin [ Time Frame: Baseline, Week 24 ] [ Designated as safety issue: No ]
  • Change from Baseline to Week 24 in Fasting Plasma Glucose (FPG) Levels [ Time Frame: Baseline, Week 24 ] [ Designated as safety issue: No ]
  • Time to Reach HbA1c Target Values [ Time Frame: Baseline through Week 24 ] [ Designated as safety issue: No ]
  • Percentage of Participants with Hypoglycemic Events [ Time Frame: Baseline through Week 24 ] [ Designated as safety issue: Yes ]
  • Change from Baseline to Week 24 in Number of Insulin Injections [ Time Frame: Baseline, Week 24 ] [ Designated as safety issue: No ]
  • Mean Change from Baseline to Week 24 in 7-Point Self-Monitored Blood Glucose (SMBG) [ Time Frame: Baseline, Week 24 ] [ Designated as safety issue: No ]
  • Change from Baseline to Week 24 in HbA1c based on Baseline TDD Insulin ≥2.0 units/kilogram and <2.0 units/kg [ Time Frame: Baseline, Week 24 ] [ Designated as safety issue: No ]
  • Change from Baseline to Week 24 in 30-Day Adjusted Rate of Hypoglycemic Events based on Baseline TDD Insulin ≥2.0 units/kilogram and <2.0 units/kg [ Time Frame: Baseline, Week 24 ] [ Designated as safety issue: Yes ]
  • Change from Baseline to Week 24 in Percentage of Participants with Hypoglycemic Events based on Baseline TDD Insulin ≥2.0 units/kg and <2.0 units/kg [ Time Frame: Baseline, Week 24 ] [ Designated as safety issue: Yes ]
  • Change from Baseline to Week 24 in Body Weight based on Baseline TDD Insulin ≥2.0 units/kg and <2.0 units/kg [ Time Frame: Baseline, Week 24 ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 325
Study Start Date: February 2013
Study Completion Date: May 2014
Primary Completion Date: May 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Human Regular U-500 Insulin TID
Human Regular U-500 Insulin (U-500R) titrated based on blood glucose readings, administered subcutaneously (SC), three times a day (TID) for 24 weeks.
Drug: Human Regular U-500 Insulin
Administered SC
Other Names:
  • LY041001
  • Humulin R
Experimental: Human Regular U-500 Insulin BID
U-500R Insulin titrated based on blood glucose readings, administered SC, two times a day (BID) for 24 weeks.
Drug: Human Regular U-500 Insulin
Administered SC
Other Names:
  • LY041001
  • Humulin R

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Major Inclusion Criteria:

  • Have type 2 diabetes mellitus World Health Organization (WHO) Classification of Diabetes
  • Have a body mass index (BMI) ≥25 kilogram per square meter (kg/m^2)
  • Have Glycated Hemoglobin A1c (HbA1c) ≥7.5% and ≤12.0%, as measured by the central laboratory at entry
  • Current U-100 insulin/analogue users on >200 and ≤600 units per day for ≥3 months at study entry and reconfirmed at randomization
  • Have a history of stable body weight for at least 3 months prior to study entry
  • Concomitant medications may include metformin (MET), dipeptidyl peptidase-4 (DPP-4) inhibitors approved for use with insulin at time of study entry (for example, sitagliptin, saxagliptin, and linagliptin), pioglitazone, and/or sulfonylureas (SUs)/glinides (repaglinide or nateglinide). Participant's oral antihyperglycemic drug (OAD) dose(s) must have been stable for ≥3 months

Major Exclusion Criteria:

  • Have type 1 diabetes mellitus or other types of diabetes mellitus apart from type 2 diabetes mellitus
  • Have obvious clinical signs or symptoms of liver disease, acute or chronic hepatitis, or alanine aminotransferase or aspartate aminotransferase levels ≥3 times the upper limit of the reference range
  • Have chronic kidney disease stage 4 and higher or history of renal transplantation
  • Have history of more than 1 episode of severe hypoglycemia within the 6 months prior to study entry
  • Have received insulin by continuous SC insulin infusion in the 3 months prior to study entry
  • Have received U-500R in the 3 months prior to study entry
  • Have had a blood transfusion or severe blood loss within 3 months prior to study entry or have known hemoglobinopathy, hemolytic anemia, or sickle cell anemia
  • Are taking chronic systemic glucocorticoid therapy or have received such therapy within the 4 weeks immediately prior to study entry
  • Have an irregular sleep/wake cycle
  • Have used rosiglitazone, once- or twice-daily glucagon-like peptide-1 (GLP-1) receptor agents, pramlintide, or other injectable or oral antihyperglycemic therapy not listed in the inclusion criteria in the 3 months prior to study entry. Participants may not have used once-weekly GLP-1 receptor agents in the 4 months prior to study entry
  • Have used any weight loss drugs in the 3 months prior to study entry
  • Have a history of bariatric surgery
  • Have a history of malignancy other than basal cell or squamous cell skin cancer
  • Have New York Heart Association (NYHA) Class III or IV per NYHA Cardiac Disease Functional Classification
  • Are breastfeeding or pregnant, or intend to become pregnant during the course of the study, or are sexually active women of childbearing potential not actively practicing birth control by a method determined by the investigator to be medically acceptable
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01774968

  Hide Study Locations
Locations
United States, Alabama
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Mobile, Alabama, United States, 36617
United States, Arkansas
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Little Rock, Arkansas, United States, 72205
United States, California
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Concord, California, United States, 94520
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Fresno, California, United States, 93720
United States, Florida
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Jacksonville, Florida, United States, 32216
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Tampa, Florida, United States, 33619
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West Palm Beach, Florida, United States, 33401
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Idaho Falls, Idaho, United States, 83404
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Crystal Lake, Illinois, United States, 60012
United States, Iowa
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Des Moines, Iowa, United States, 50314
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Topeka, Kansas, United States, 66606
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Louisville, Kentucky, United States, 40206
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Bangor, Maine, United States, 04401
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Baltimore, Maryland, United States, 21204
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Columbia, Missouri, United States, 65212
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Springfield, Missouri, United States, 65807
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Omaha, Nebraska, United States, 68131
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Las Vegas, Nevada, United States, 89148
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Nashua, New Hampshire, United States, 03063
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Durham, North Carolina, United States, 27713
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Greenville, North Carolina, United States, 27834
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Oklahoma City, Oklahoma, United States, 73104
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Philadelphia, Pennsylvania, United States, 19107
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Pittsburgh, Pennsylvania, United States, 15224
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Chattanooga, Tennessee, United States, 37411
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Nashville, Tennessee, United States, 37212
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Beaumont, Texas, United States, 77701
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Norfolk, Virginia, United States, 23507
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Federal Way, Washington, United States, 98003
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Olympia, Washington, United States, 98502
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Renton, Washington, United States, 98057
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Spokane, Washington, United States, 99202
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Tacoma, Washington, United States, 98405
Puerto Rico
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Bayamon, Puerto Rico, 00956
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Las Lomas, Puerto Rico, 00921
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Manati, Puerto Rico, 00674
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San Juan, Puerto Rico, 00917-3104
Sponsors and Collaborators
Eli Lilly and Company
Investigators
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
  More Information

No publications provided

Responsible Party: Eli Lilly and Company
ClinicalTrials.gov Identifier: NCT01774968     History of Changes
Other Study ID Numbers: 14838, B5K-US-IBHC
Study First Received: January 22, 2013
Last Updated: May 30, 2014
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Diabetes Mellitus, Type 2
Diabetes Mellitus
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Insulin, Globin Zinc
Insulin
Hypoglycemic Agents
Physiological Effects of Drugs
Pharmacologic Actions

ClinicalTrials.gov processed this record on September 16, 2014