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A Study to Compare a New Long-Acting Insulin (LY2605541) and Human Insulin NPH in Participants With Type 2 Diabetes (IMAGINE 6)

This study has been completed.
Information provided by (Responsible Party):
Eli Lilly and Company Identifier:
First received: February 11, 2013
Last updated: September 29, 2014
Last verified: September 2014

The purpose of this study is to compare LY2605541 and human insulin NPH using the following measures for participants treated for up to 26 weeks:

  • Change in participants' overall blood sugar control
  • The number of night time low blood sugar episodes
  • The number of participants that reach blood sugar targets without low night time blood sugar episodes
  • The total number of low blood sugar episodes reported

Condition Intervention Phase
Diabetes Mellitus, Type 2
Drug: LY2605541
Drug: Human Insulin NPH
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Comparison of LY2605541 Versus Human Insulin NPH as Basal Insulin Treatment in Insulin-Naïve Patients With Type 2 Diabetes Mellitus Not Adequately Controlled With 2 or More Oral Antihyperglycemic Medications: An Open-Label, Randomized Study

Resource links provided by NLM:

Further study details as provided by Eli Lilly and Company:

Primary Outcome Measures:
  • Change from Baseline to 26 Weeks in Hemoglobin A1c (HbA1c) [ Time Frame: Baseline, 26 Weeks ]

Secondary Outcome Measures:
  • 30-Day Adjusted Rate of Total and Nocturnal Hypoglycemic Events [ Time Frame: 26 Weeks ]
  • Percentage of Participants with HbA1c ≤6.5% and <7.0% [ Time Frame: 26 Weeks ]
  • Fasting Serum Glucose (FSG) (by Laboratory) and Fasting Blood Glucose (FBG) (by Self Monitoring) [ Time Frame: 26 Weeks ]
  • 6-Point Self-Monitored Blood Glucose (SMBG) [ Time Frame: 26 Weeks ]
  • Change from Baseline to 26 Weeks in Body Weight [ Time Frame: Baseline, 26 Weeks ]
  • HbA1c [ Time Frame: 26 Weeks ]
  • Insulin Dose per Kilogram (kg) of Body Weight [ Time Frame: 26 Weeks ]
  • Time to Steady-State (Stable Maximum Dose) [ Time Frame: 26 Weeks ]
  • Change from Baseline to 26 Weeks in European Quality of Life - 5 Dimension 3 Levels (EuroQol-5D-3L) Index [ Time Frame: Baseline, 26 Weeks ]
  • Insulin Treatment Satisfaction Questionnaire (ITSQ) Score [ Time Frame: 26 Weeks ]
  • Change from Baseline to 26 Weeks in Adult Low Blood Sugar Survey (LBSS) Scores [ Time Frame: Baseline, 26 Weeks ]
  • Change from Baseline to 26 Weeks in Lipid Profile [ Time Frame: Baseline, 26 Weeks ]
  • Change in Insulin Antibodies [ Time Frame: Baseline to 26 Weeks ]
  • Intra-Participant Variability in FBG [ Time Frame: 26 Weeks ]
  • Percentage of Participants with Total and Nocturnal Hypoglycemic Events [ Time Frame: 26 Weeks ]
  • Percentage of Participants with HbA1c <7.0% and without Nocturnal Hypoglycemia [ Time Frame: 26 Weeks ]
  • Number of Participants with Injection Site Reactions [ Time Frame: 26 Weeks ]
  • 30-Day Adjusted Rate of Severe Hypoglycemic Events [ Time Frame: 26 Weeks ]
  • Percentage of Participants with Severe Hypoglycemic Events [ Time Frame: 26 Weeks ]
  • Change from Baseline to 26 Weeks in European Quality of Life - Visual Analog Scales (VAS) Scores [ Time Frame: Baseline, 26 Weeks ]

Estimated Enrollment: 630
Study Start Date: March 2013
Study Completion Date: May 2014
Primary Completion Date: May 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: LY2605541
Administered by subcutaneous (SQ) injection once daily in the morning or at bedtime. Initial dose is 10 units and is adjusted weekly based on Fasting Blood Glucose (FBG). LY2605541 will be given alone or in combination with up to 3 pre-study oral antihyperglycemic medications [OAM(s)] whose use is not excluded in combination with insulin. Treatment may last up to 26 weeks.
Drug: LY2605541
Administered SQ
Active Comparator: Human Insulin NPH
Administered by SQ injection once daily at bedtime. Initial dose is 10 units and is adjusted weekly based on FBG. Human insulin NPH will be used alone or in combination with up to 3 pre-study OAM(s) whose use is not excluded in combination with insulin. Treatment may last up to 26 weeks. Some participants who are unable to achieve glycemic control after at least 12 weeks of treatment with a single injection of NPH may be asked to add a second injection prior to the morning meal.
Drug: Human Insulin NPH
Administered SQ


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Have had type 2 diabetes mellitus for at least 1 year, not treated with insulin
  • Have been receiving 2 or more OAMS for at least 3 months prior to the study
  • Have a hemoglobin A1c (HbA1c) of 7.0% to 11.0%, inclusive, at screening
  • Have a body mass index (BMI) less than or equal to 45.0 kilograms per square meter (kg/m^2)
  • Women of childbearing potential are not breastfeeding, have a negative pregnancy test at screening and randomization, do not plan to become pregnant during the study, have practiced reliable birth control for at least 6 weeks prior to screening and will continue to do so during the study and until 2 weeks after the last dose of study drug

Exclusion Criteria:

  • Have used insulin therapy in the past 2 years (except for use during pregnancy or for short term use for acute conditions)
  • Have been treated with glucagon-like peptide-1 (GLP-1) receptor agonist, rosiglitazone, pramlintide, or weight-loss medication within 3 months before screening
  • For participants on OAMs: have any restrictions for cardiac, renal, and hepatic diseases in the local product regulations
  • Are taking, or have taken within the 90 days before screening, prescription or over-the-counter medications to promote weight loss
  • Have had any episodes of severe hypoglycemia, diabetic ketoacidosis, or hyperosmolar state/coma within 6 months prior to screening
  • Have cardiac disease with functional status that is New York Heart Association Class III or IV
  • Have a history of renal transplantation, or are currently receiving renal dialysis or have serum creatinine greater than or equal to 2 milligrams per deciliter (mg/dL) [177 millimoles per liter (mmol/L)]
  • Have obvious clinical signs or symptoms of liver disease [excluding non-alcoholic fatty liver disease (NAFLD)], acute or chronic hepatitis, non alcoholic steatohepatitis (NASH), or elevated liver enzyme measurements
  • Have had a blood transfusion or severe blood loss within 3 months prior to screening or have known hemoglobinopathy, hemolytic anemia, or sickle cell anemia, or any other traits of hemoglobin abnormalities known to interfere with the measurement of HbA1c
  • Have active or untreated cancer, have been in remission from clinically significant cancer(other than basal cell or squamous cell skin cancer) for less than 5 years, or are at increased risk for developing cancer or a recurrence of cancer in the opinion of the investigator
  • Are receiving chronic (lasting longer than 14 consecutive days) systemic glucocorticoid therapy (excluding topical, intranasal, intraocular, and inhaled preparations) or have received such therapy within the 8 weeks immediately preceding screening
  • Have fasting triglycerides greater than 400 mg/dL (4.5 mmol/L) at screening
  • Have an irregular sleep/wake cycle (for example, participants who sleep during the day and work during the night) in the investigator's opinion
  • Are using or have used any of the following lipid-lowering medications: niacin preparations as a lipid-lowering medication and/or bile acid sequestrants within 90 days prior to screening
  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 identifier: NCT01790438

  Show 63 Study Locations
Sponsors and Collaborators
Eli Lilly and Company
Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon-Fri 9AM-5PM Eastern Time (UTC/GMT -5 hours, EST) Eli Lilly and Company
  More Information

Responsible Party: Eli Lilly and Company Identifier: NCT01790438     History of Changes
Other Study ID Numbers: 12143
I2R-MC-BIAK ( Other Identifier: Eli Lilly and Company )
2012-003941-13 ( EudraCT Number )
Study First Received: February 11, 2013
Last Updated: September 29, 2014

Additional relevant MeSH terms:
Diabetes Mellitus
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Insulin, Globin Zinc
Isophane insulin, beef
Isophane Insulin, Human
Insulin, Isophane
Hypoglycemic Agents
Physiological Effects of Drugs processed this record on May 25, 2017