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A Study of LY900014 Formulation at Different Injection Sites in Healthy Participants

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ClinicalTrials.gov Identifier: NCT03232983
Recruitment Status : Completed
First Posted : July 28, 2017
Results First Posted : April 30, 2020
Last Update Posted : April 30, 2020
Sponsor:
Information provided by (Responsible Party):
Eli Lilly and Company

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Crossover Assignment;   Masking: None (Open Label);   Primary Purpose: Basic Science
Condition Diabetes Mellitus, Type 2
Interventions Drug: LY900014 (SC)
Drug: LY900014 (IV)
Enrollment 28
Recruitment Details  
Pre-assignment Details This is an open-label, randomized, crossover, up to 10-hour euglycemic clamp study in which participants were randomized into one of four treatment sequences. Participants received single doses of 15 units of LY900014 on 4 occasions (treatment Periods 1 through 4) with a wash-out period of at least 3 days between study drug administration.
Arm/Group Title LY900014 Treatment Sequence 1: Abdomen,Thigh, Deltoid(Arm), IV LY900014 Treatment Sequence 2: Deltoid, Abdomen, IV, Thigh LY900014 Treatment Sequence 3: IV, Deltoid, Thigh, Abdomen LY900014 Treatment Sequence 4: Thigh, IV, Abdomen, Deltoid
Hide Arm/Group Description Single dose of 15-U of LY900014 administered subcutaneously (SC) into the abdomen in Period 1, Thigh in Period 2, Deltoid (Arm) in Period 3, and single 15-U intravenous (IV) bolus injection in Period 4. Single dose of 15-U of LY900014 administered SC into the: Deltoid in Period 1, Abdomen in Period 2, single 15-U IV bolus injection in Period 3, and single 15-U SC administration into the Thigh in Period 4. Single 15-U IV bolus injection of LY900014 administered in Period 1, single 15-U dose administered SC in the Deltoid in Period 2, Thigh in Period 3, and Abdomen in Period 4. Single dose of 15-U of LY900014 administered SC in Thigh in Period 1, single 15-U IV bolus injection in Period 2, single dose of 15-U administered SC in the Abdomen in Period 3, and Deltoid in Period 4.
Period Title: Period 1
Started 7 7 7 7
Received at Least One Dose of Study Drug 7 7 7 7
Completed 7 7 6 7
Not Completed 0 0 1 0
Reason Not Completed
Physician Decision             0             0             1             0
Period Title: Washout Period 1
Started 7 7 6 7
Completed 7 7 6 7
Not Completed 0 0 0 0
Period Title: Period 2
Started 7 7 6 7
Completed 7 7 6 7
Not Completed 0 0 0 0
Period Title: Washout Period 2
Started 7 7 6 7
Completed 7 7 5 6
Not Completed 0 0 1 1
Reason Not Completed
Physician Decision             0             0             1             0
Withdrawal by Subject             0             0             0             1
Period Title: Period 3
Started 7 7 5 6
Completed 7 7 5 6
Not Completed 0 0 0 0
Period Title: Washout Period 3
Started 7 7 5 6
Completed 7 7 5 6
Not Completed 0 0 0 0
Period Title: Period 4
Started 7 7 5 6
Completed 6 7 5 6
Not Completed 1 0 0 0
Reason Not Completed
Withdrawal by Subject             1             0             0             0
Arm/Group Title Overall
Hide Arm/Group Description Single 15-U dose of LY900014 administered in treatment Period 1- 4, as SC injection into the abdomen, the thigh, the deltoid or an IV bolus injection, per randomized treatment sequence.
Overall Number of Baseline Participants 28
Hide Baseline Analysis Population Description
All participants.
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 28 participants
39.8  (8.6)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 28 participants
Female 0
Male 28
Ethnicity (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 28 participants
Hispanic or Latino 0
Not Hispanic or Latino 28
Unknown or Not Reported 0
Race (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 28 participants
American Indian or Alaska Native 0
Asian 28
Native Hawaiian or Other Pacific Islander 0
Black or African American 0
White 0
More than one race 0
Unknown or Not Reported 0
Region of Enrollment  
Measure Type: Count of Participants
Unit of measure:  Participants
Singapore Number Analyzed 28 participants
28
 100.0%
Weight  
Geometric Mean (Standard Deviation)
Unit of measure:  Kilograms (kg)
Number Analyzed 28 participants
70.11  (10.48)
1.Primary Outcome
Title Pharmacokinetics: Insulin Lispro Area Under the Concentration Versus Time Curve (AUC) Following LY900014 Administration
Hide Description Pharmacokinetics(PK): Insulin lispro AUC from time zero to 10 hours post dose [AUC(0-10h)].
Time Frame Day 1: Pre-dose, 2.5, 5, 10, 15, 20, 25, 30, 40, 60, 70, 90, 120, 150, 180, 210, 240, 300, 360, 420, 480, 540, and 600 minutes post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
All participants who have received at least one dose of study drug and have measurable insulin lispro concentrations and evaluable PK data.
Arm/Group Title LY900014 (SC Abdomen) LY900014 (SC Deltoid) LY900014 (IV) LY900014 (SC Thigh)
Hide Arm/Group Description:
Single 15-U dose of LY900014 administered subcutaneously (SC) into the abdomen in one period.
Single 15-U dose of LY900014 administered SC into the deltoid in one period.
Single 15-U injection IV bolus of LY900014 administered in one period.
Single 15-U dose of LY900014 administered SC into the thigh in one period.
Overall Number of Participants Analyzed 25 26 27 26
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: picomole * hour/Liter (pmol * hr/L)
1760
(20%)
1800
(16%)
2770
(22%)
1750
(19%)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection LY900014 (SC Abdomen), LY900014 (SC Deltoid)
Comments Geometric Least Squares Means (LSMeans) were controlled for injection site, study period, and sequence as fixed effects, and subject within sequence as a random effect.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Mixed Models Analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter Ratio of Geometric Least Squares Means
Estimated Value 1.03
Confidence Interval (2-Sided) 90%
0.992 to 1.07
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection LY900014 (SC Abdomen), LY900014 (SC Thigh)
Comments Geometric LSMeans were controlled for injection site, study period, and sequence as fixed effects, and subject within sequence as a random effect.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Mixed Models Analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter Ratio of Geometric Least Squares Means
Estimated Value 1.00
Confidence Interval (2-Sided) 90%
0.962 to 1.04
Estimation Comments [Not Specified]
2.Secondary Outcome
Title Total Amount of Glucose Infused (Gtot) Over Duration of the Clamp Procedure
Hide Description Glucodynamics: Gtot is the total glucose infusion over the clamp duration (10 hours) and is used to measure the study drug action over time as measured by the euglycemic clamp procedure. During the euglycemic clamp procedure, blood glucose concentrations are held constant after the administration of LY900014 by adjusting the exogenous glucose infusion rate.
Time Frame Every 10 minutes for 30 minutes predose, every 2.5 minutes for 30 minutes, then every 5 minutes for 120 minutes, then every 10 minutes for 120 to 480 minutes and every 10 minutes for 480 to 600 minutes post-dose
Hide Outcome Measure Data
Hide Analysis Population Description
All participants who have received at least one dose of study drug administered and have completed at least one clamp procedure. The IV treatment arm was needed only for PK as it served as the reference to determine the absolute bioavailability.
Arm/Group Title LY900014 (SC Abdomen) LY900014 (SC Deltoid) LY900014 (SC Thigh)
Hide Arm/Group Description:
Single 15-U dose of LY900014 administered subcutaneously (SC) into the abdomen in one period.
Single 15-U dose of LY900014 administered SC into the arm in one period.
Single 15-U dose of LY900014 administered SC into the thigh in one period.
Overall Number of Participants Analyzed 25 26 26
Geometric Least Squares Mean (Geometric Coefficient of Variation)
Unit of Measure: milligram per kilogram (mg/kg)
1490
(45%)
1630
(50%)
1730
(38%)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection LY900014 (SC Abdomen), LY900014 (SC Deltoid)
Comments Geometric LSMeans were controlled for injection site, study period, and sequence as fixed effects, and subject within sequence as a random effect.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Mixed Models Analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter Ratio of Geometric LSMeans
Estimated Value 1.09
Confidence Interval (2-Sided) 90%
1.00 to 1.20
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection LY900014 (SC Abdomen), LY900014 (SC Thigh)
Comments Geometric LSMeans were controlled for injection site, study period, and sequence as fixed effects, and subject within sequence as a random effect.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Mixed Models Analysis
Comments [Not Specified]
Method of Estimation Estimation Parameter Ratio of Geometric LSMeans
Estimated Value 1.14
Confidence Interval (2-Sided) 90%
1.04 to 1.25
Estimation Comments [Not Specified]
Time Frame Baseline to end of study (up to 49 days)
Adverse Event Reporting Description All participants who received at least one dose of study drug.
 
Arm/Group Title 15-U LY900014 Abdomen 15-U LY900014 Thigh 15-U LY900014 Deltoid 15-U LY900014 IV
Hide Arm/Group Description Single dose of 15-U of LY900014 administered subcutaneously (SC) into the abdomen. Single dose of 15-U of LY900014 administered SC into the Thigh. Single dose of 15-U of LY900014 administered SC into the Deltoid. Single 15-U LY900014 administered IV bolus injection.
All-Cause Mortality
15-U LY900014 Abdomen 15-U LY900014 Thigh 15-U LY900014 Deltoid 15-U LY900014 IV
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   0/25 (0.00%)      0/26 (0.00%)      0/26 (0.00%)      0/28 (0.00%)    
Hide Serious Adverse Events
15-U LY900014 Abdomen 15-U LY900014 Thigh 15-U LY900014 Deltoid 15-U LY900014 IV
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   0/25 (0.00%)      0/26 (0.00%)      0/26 (0.00%)      0/28 (0.00%)    
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
15-U LY900014 Abdomen 15-U LY900014 Thigh 15-U LY900014 Deltoid 15-U LY900014 IV
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   6/25 (24.00%)      7/26 (26.92%)      11/26 (42.31%)      4/28 (14.29%)    
General disorders         
Application site erythema  1  1/25 (4.00%)  1 0/26 (0.00%)  0 2/26 (7.69%)  3 1/28 (3.57%)  2
Catheter site bruise  1  2/25 (8.00%)  2 2/26 (7.69%)  2 2/26 (7.69%)  2 1/28 (3.57%)  2
Catheter site erythema  1  0/25 (0.00%)  0 1/26 (3.85%)  1 2/26 (7.69%)  2 0/28 (0.00%)  0
Catheter site pain  1  1/25 (4.00%)  2 1/26 (3.85%)  1 1/26 (3.85%)  1 3/28 (10.71%)  4
Catheter site swelling  1  0/25 (0.00%)  0 1/26 (3.85%)  1 1/26 (3.85%)  1 2/28 (7.14%)  2
Infusion site erythema  1  0/25 (0.00%)  0 2/26 (7.69%)  2 0/26 (0.00%)  0 1/28 (3.57%)  1
Infusion site pain  1  3/25 (12.00%)  4 0/26 (0.00%)  0 1/26 (3.85%)  1 1/28 (3.57%)  1
Infusion site swelling  1  0/25 (0.00%)  0 2/26 (7.69%)  2 2/26 (7.69%)  2 1/28 (3.57%)  1
Injection site pain  1  1/25 (4.00%)  1 0/26 (0.00%)  0 3/26 (11.54%)  3 0/28 (0.00%)  0
Vessel puncture site bruise  1  2/25 (8.00%)  2 0/26 (0.00%)  0 0/26 (0.00%)  0 0/28 (0.00%)  0
Vessel puncture site pain  1  2/25 (8.00%)  2 0/26 (0.00%)  0 0/26 (0.00%)  0 0/28 (0.00%)  0
1
Term from vocabulary, MedDRA 20.0
Indicates events were collected by systematic assessment
Certain Agreements
All Principal Investigators ARE employed by the organization sponsoring the study.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Chief Medical Officer
Organization: Eli Lilly and Company
Phone: 800-545-5979
EMail: Clinicaltrials.gov@lilly.com
Layout table for additonal information
Responsible Party: Eli Lilly and Company
ClinicalTrials.gov Identifier: NCT03232983    
Other Study ID Numbers: 16639
I8B-MC-ITRT ( Other Identifier: Eli Lilly and Company )
First Submitted: July 26, 2017
First Posted: July 28, 2017
Results First Submitted: April 20, 2020
Results First Posted: April 30, 2020
Last Update Posted: April 30, 2020