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A Study to Compare LY2963016 to Lantus After a Single Dose to Participants With Type 1 Diabetes Mellitus

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01600950
Recruitment Status : Completed
First Posted : May 17, 2012
Results First Posted : October 7, 2014
Last Update Posted : October 7, 2014
Sponsor:
Information provided by (Responsible Party):
Eli Lilly and Company

Brief Summary:
The study involves a single injection of LY2963016 and a single injection of Lantus, on 2 separate occasions in participants with type I diabetes. Following each dose, participants will undergo a glucose clamp which lasts for 42 hours each time. There will be at least 7 days between the two periods, during which time there will be no study treatment, but participants will resume their regular therapy. The duration of this study can be up to 9.5 weeks. The purposes of this study are to understand how the blood sugar lowering effect of LY2963016 compares to that of Lantus, and to determine how LY2963016 and Lantus are metabolized by participants with type I diabetes.

Condition or disease Intervention/treatment Phase
Diabetes Mellitus, Type 1 Drug: LY2963016 Drug: Lantus Phase 1

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 20 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: Pharmacodynamics of LY2963016 Compared to LANTUS® in Subjects With Type 1 Diabetes Mellitus
Study Start Date : May 2012
Actual Primary Completion Date : July 2012
Actual Study Completion Date : July 2012

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Diabetes Type 1

Arm Intervention/treatment
Experimental: LY2963016
A single 0.3 units per kilogram (U/kg) dose of LY2963016 will be administered subcutaneously followed by a minimum washout period of 7 days.
Drug: LY2963016
Single 0.3 U/kg dose administered subcutaneously

Active Comparator: Lantus
A single 0.3 U/kg dose of Lantus will be administered subcutaneously followed by a minimum washout period of 7 days.
Drug: Lantus
Single 0.3 U/kg dose administered subcutaneously




Primary Outcome Measures :
  1. Pharmacodynamics: Duration of Action of LY2963016 and Lantus [ Time Frame: Periods 1 and 2: Baseline up to 42 hours postdose ]
    Duration of action is defined as the period of time elapsed between dose administration and the time at which the participant's blood glucose is consistently >150 milligrams/deciliter (mg/dL) without any glucose infusion. Participants whose blood glucose did not rise to 150 mg/dL were censored 42 hours postdose.


Secondary Outcome Measures :
  1. Maximum Glucose Infusion Rate (Rmax) [ Time Frame: Periods 1 and 2: Baseline up to 42 hours postdose ]
    Rmax is the maximum infusion rate of glucose administered intravenously needed to maintain a target blood glucose level of 100 milligrams/deciliter (mg/dL) [5.6 millimoles/Liter (mmol/L)] and is used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations are held constant after the administration of study drug by adjusting the exogenous glucose infusion rate. Data presented are the maximum infusion rates, adjusted by body weight.

  2. Total Glucose Infused (Gtot) [ Time Frame: Periods 1 and 2: Baseline up to 42 hours postdose ]
    Gtot is the total glucose infusion over the clamp duration and is used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations are held constant after the administration of study drug by adjusting the exogenous glucose infusion rate. Data presented are the total glucose infused, adjusted by body weight.

  3. Time of Maximum Glucose Infusion Rate (tRmax) [ Time Frame: Periods 1 and 2: Baseline up to 42 hours postdose ]
    tRmax is the time to reach maximum glucose infusion rate and is used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations are held constant after the administration of study drug by adjusting the exogenous glucose infusion rate.

  4. Pharmacokinetics: Maximum Concentration (Cmax) of LY2963016 and Lantus [ Time Frame: Periods 1 and 2: Baseline up to 42 hours postdose ]
    Cmax was not analyzed because of insufficient data due to concentrations being below the quantifiable lower limit of the assay.

  5. Pharmacokinetics: Area Under the Concentration-time Curve (AUC) of LY2963016 and Lantus [ Time Frame: Periods 1 and 2: Baseline up to 42 hours postdose ]
    AUC was not analyzed because of insufficient data due to concentrations being below the quantifiable lower limit of the assay.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • have type 1 diabetes mellitus (T1DM) based on the disease diagnostic criteria
  • have had a duration of diabetes ≥1 year
  • have hemoglobin A1c ≤10.0%
  • have fasting C-peptide ≤0.3 nanomoles per liter (nmol/L)
  • have a body mass index ≤29 kilograms per square meter (kg/m²)
  • have venous access sufficient to allow blood sampling and cannulation for clamp procedures

Exclusion Criteria:

  • are currently enrolled in, have completed, or discontinued within the last 30 days from, a clinical trial involving an investigational drug or device or off-label use of a drug or device
  • have a total insulin requirement >1.2 units per kilogram per day (U/kg/day)
  • have a history of proliferative retinopathy
  • have known allergies to insulin glargine, insulin lispro, heparin, or related compounds
  • have an electrocardiogram (ECG) reading considered outside the normal limits
  • have an abnormal blood pressure
  • have abnormal clinical laboratory tests
  • have a history or presence of/significant history of or current cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs
  • history of deep leg vein thrombosis or a frequent appearance of deep leg vein thrombosis in first-degree relatives
  • show evidence of significant active neuropsychiatric disease
  • regular use of known drugs of abuse and/or show positive findings on drug screening
  • show evidence of human immunodeficiency virus (HIV) and/or positive human HIV antibodies
  • show evidence of hepatitis C and/or positive hepatitis C antibody
  • show evidence of hepatitis B and/or positive hepatitis B surface antigen
  • are women with a positive pregnancy test or women who are lactating
  • have an average weekly alcohol intake that exceeds 21 units per week (males) or 14 units per week (females)
  • had more than 1 episode of severe hypoglycemia within 6 months prior to study
  • undergoing therapy for a malignancy other than basal cell or squamous cell skin cancer
  • had a blood transfusion or severe blood loss within 3 months; made a blood donation within 30 days prior to study entry; or have known hemoglobinopathy, haemolytic anemia, or sickle cell anemia
  • are receiving systemic glucocorticoid therapy
  • have irregular sleep/wake cycle (for example, participants who sleep during the day and work during the night)
  • show a history of adverse reactions to heparin, including heparin-induced thrombocytopenia
  • smoke more than 10 cigarettes (or equivalent other tobacco products) per day

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01600950


Locations
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Germany
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.
Neuss, Germany, 41460
Sponsors and Collaborators
Eli Lilly and Company
Investigators
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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
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Responsible Party: Eli Lilly and Company
ClinicalTrials.gov Identifier: NCT01600950    
Other Study ID Numbers: 13831
I4L-MC-ABEE ( Other Identifier: Eli Lilly and Company )
First Posted: May 17, 2012    Key Record Dates
Results First Posted: October 7, 2014
Last Update Posted: October 7, 2014
Last Verified: October 2014
Additional relevant MeSH terms:
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Diabetes Mellitus
Diabetes Mellitus, Type 1
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Autoimmune Diseases
Immune System Diseases
Insulin Glargine
Hypoglycemic Agents
Physiological Effects of Drugs