Trial Outcomes & Findings for Effect of LY2189265 on Insulin Secretion in Response to Intravenous Glucose (NCT NCT01300260)
NCT ID: NCT01300260
Last Updated: 2014-10-07
Results Overview
On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus \[T2DM\]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Maximum plasma insulin concentration from 0 to 10 minutes (INSCmax\[0-10\]) following the first dextrose bolus (the first phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus.
COMPLETED
PHASE1
32 participants
0-10 minutes after dextrose bolus on Day 3 postdose
2014-10-07
Participant Flow
Participant milestones
| Measure |
LY2189265 First, Then Placebo
Includes healthy participants or participants with T2DM. LY2189265 (Dulaglutide): Single 1.5 milligram (mg) subcutaneous (SC) injection on Day 1 of Period 1. Placebo: Single SC injection of Placebo on Day 1 of Period 2.
On Day 3 of each period, participants received a 6-hour (hr) insulin infusion, followed by an intravenous (IV) dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes \[min\]). Three hr later, a 2nd IV dextrose bolus 25 g of 50% dextrose or a suitably adjusted dose according to glycemic status (20 g of 50% dextrose for participants with 3-hr glucose between 5.2 and 10 millimole/liter \[mmol/L\] or 15 g of 50% dextrose for participants with 3-hr glucose \>10 mmol/L) was administered, followed by a 20% dextrose at the set infusion rate of 600 milliliter/hr \[mL/hr\] for 35 min. Fifteen min after the start of the 20% dextrose infusion, an IV 1-mg glucagon bolus was administered.
There was a washout period of ≥28 days between Periods 1 \& 2.
|
Placebo First, Then LY2189265
Includes healthy participants and participants with T2DM. Placebo: Single subcutaneous (SC) injection of Placebo on Day 1 of Period 1. LY2189265 (Dulaglutide): Single 1.5 milligram (mg) SC injection on Day 1 of Period 2.
On Day 3 of each period, participants received a 6-hour (hr) insulin infusion, followed by an intravenous (IV) dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes \[min\]). Three hr later, a 2nd IV dextrose bolus 25 g of 50% dextrose or a suitably adjusted dose according to glycemic status (20 g of 50% dextrose for participants with 3-hr glucose between 5.2 and 10 millimole/liter \[mmol/L\] or 15 g of 50% dextrose for participants with 3-hr glucose \>10 mmol/L) was administered, followed by a 20% dextrose at the set infusion rate of 600 milliliter/hr \[mL/hr\] for 35 min. Fifteen min after the start of the 20% dextrose infusion, an IV 1-mg glucagon bolus was administered.
There was a washout period of ≥28 days between Periods 1 \& 2.
|
|---|---|---|
|
Period 1 of Study: First Intervention
STARTED
|
15
|
17
|
|
Period 1 of Study: First Intervention
Received at Least 1 Dose of Study Drug
|
15
|
17
|
|
Period 1 of Study: First Intervention
COMPLETED
|
14
|
16
|
|
Period 1 of Study: First Intervention
NOT COMPLETED
|
1
|
1
|
|
Washout Period of at Least 28 Days
STARTED
|
14
|
16
|
|
Washout Period of at Least 28 Days
COMPLETED
|
14
|
16
|
|
Washout Period of at Least 28 Days
NOT COMPLETED
|
0
|
0
|
|
Period 2 of Study: Second Intervention
STARTED
|
14
|
16
|
|
Period 2 of Study: Second Intervention
COMPLETED
|
14
|
15
|
|
Period 2 of Study: Second Intervention
NOT COMPLETED
|
0
|
1
|
Reasons for withdrawal
| Measure |
LY2189265 First, Then Placebo
Includes healthy participants or participants with T2DM. LY2189265 (Dulaglutide): Single 1.5 milligram (mg) subcutaneous (SC) injection on Day 1 of Period 1. Placebo: Single SC injection of Placebo on Day 1 of Period 2.
On Day 3 of each period, participants received a 6-hour (hr) insulin infusion, followed by an intravenous (IV) dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes \[min\]). Three hr later, a 2nd IV dextrose bolus 25 g of 50% dextrose or a suitably adjusted dose according to glycemic status (20 g of 50% dextrose for participants with 3-hr glucose between 5.2 and 10 millimole/liter \[mmol/L\] or 15 g of 50% dextrose for participants with 3-hr glucose \>10 mmol/L) was administered, followed by a 20% dextrose at the set infusion rate of 600 milliliter/hr \[mL/hr\] for 35 min. Fifteen min after the start of the 20% dextrose infusion, an IV 1-mg glucagon bolus was administered.
There was a washout period of ≥28 days between Periods 1 \& 2.
|
Placebo First, Then LY2189265
Includes healthy participants and participants with T2DM. Placebo: Single subcutaneous (SC) injection of Placebo on Day 1 of Period 1. LY2189265 (Dulaglutide): Single 1.5 milligram (mg) SC injection on Day 1 of Period 2.
On Day 3 of each period, participants received a 6-hour (hr) insulin infusion, followed by an intravenous (IV) dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes \[min\]). Three hr later, a 2nd IV dextrose bolus 25 g of 50% dextrose or a suitably adjusted dose according to glycemic status (20 g of 50% dextrose for participants with 3-hr glucose between 5.2 and 10 millimole/liter \[mmol/L\] or 15 g of 50% dextrose for participants with 3-hr glucose \>10 mmol/L) was administered, followed by a 20% dextrose at the set infusion rate of 600 milliliter/hr \[mL/hr\] for 35 min. Fifteen min after the start of the 20% dextrose infusion, an IV 1-mg glucagon bolus was administered.
There was a washout period of ≥28 days between Periods 1 \& 2.
|
|---|---|---|
|
Period 1 of Study: First Intervention
Adverse Event
|
0
|
1
|
|
Period 1 of Study: First Intervention
Withdrawal by Subject
|
1
|
0
|
|
Period 2 of Study: Second Intervention
Adverse Event
|
0
|
1
|
Baseline Characteristics
Effect of LY2189265 on Insulin Secretion in Response to Intravenous Glucose
Baseline characteristics by cohort
| Measure |
Healthy Participants
n=10 Participants
Includes healthy participants randomized to receive 1.5 milligram (mg) LY2189265 (Dulaglutide) first or Placebo first on Day 1 of either treatment sequence.
|
Participants With Type 2 Diabetes Mellitus (T2DM)
n=22 Participants
Includes participants with T2DM randomized to receive 1.5 mg LY2189265 (Dulaglutide) first or Placebo first on Day 1 of either treatment sequence.
|
Total
n=32 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
51.9 years
STANDARD_DEVIATION 5.0 • n=5 Participants
|
56.3 years
STANDARD_DEVIATION 6.1 • n=7 Participants
|
54.9 years
STANDARD_DEVIATION 6.1 • n=5 Participants
|
|
Sex: Female, Male
Female
|
3 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
10 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
7 Participants
n=5 Participants
|
15 Participants
n=7 Participants
|
22 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
10 Participants
n=5 Participants
|
22 Participants
n=7 Participants
|
32 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Black or African American
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
10 Participants
n=5 Participants
|
22 Participants
n=7 Participants
|
32 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Region of Enrollment
Germany
|
10 participants
n=5 Participants
|
22 participants
n=7 Participants
|
32 participants
n=5 Participants
|
PRIMARY outcome
Timeframe: 0-10 minutes after dextrose bolus on Day 3 postdosePopulation: All participants (healthy and with type 2 diabetes mellitus \[T2DM\]) who received at least 1 dose of study drug (LY2189265 or Placebo) with evaluable INSCmax(0-10) first response phase data.
On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus \[T2DM\]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Maximum plasma insulin concentration from 0 to 10 minutes (INSCmax\[0-10\]) following the first dextrose bolus (the first phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus.
Outcome measures
| Measure |
Healthy Participants: Placebo
n=10 Participants
Healthy participants first received a single subcutaneous injection of Placebo on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Healthy Participants: LY2189265
n=10 Participants
Healthy participant first received a single subcutaneous injection of 1.5 milligram (mg) LY2189265 on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo
n=21 Participants
T2DM participants first received a single subcutaneous injection of Placebo on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265
n=20 Participants
T2DM participants first received a single subcutaneous injection of 1.5 milligram (mg) LY2189265 on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
|---|---|---|---|---|
|
Maximum Insulin Concentration (Cmax) - First Phase Response
|
233 picomole per liter (pmol/L)
Interval 154.0 to 352.0
|
689 picomole per liter (pmol/L)
Interval 455.0 to 1041.0
|
74.3 picomole per liter (pmol/L)
Interval 46.8 to 118.0
|
401 picomole per liter (pmol/L)
Interval 252.0 to 637.0
|
PRIMARY outcome
Timeframe: 0-10 minutes after dextrose bolus on Day 3 postdosePopulation: All participants (healthy and with type 2 diabetes mellitus \[T2DM\]) who received at least 1 dose of study drug (LY2189265 or Placebo) with evaluable INSAUC(0-10) first phase response data.
On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus \[T2DM\]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Area under the plasma insulin concentration time curve from 0 to 10 minutes (INSAUC\[0-10\]) following the first dextrose bolus (the first phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus.
Outcome measures
| Measure |
Healthy Participants: Placebo
n=10 Participants
Healthy participants first received a single subcutaneous injection of Placebo on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Healthy Participants: LY2189265
n=10 Participants
Healthy participant first received a single subcutaneous injection of 1.5 milligram (mg) LY2189265 on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo
n=21 Participants
T2DM participants first received a single subcutaneous injection of Placebo on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265
n=20 Participants
T2DM participants first received a single subcutaneous injection of 1.5 milligram (mg) LY2189265 on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
|---|---|---|---|---|
|
Area Under the Insulin Concentration-time Curve (AUC) - First Phase Response
|
22.9 picomole times hour per liter (pmol*h/L)
Interval 15.0 to 34.9
|
70.7 picomole times hour per liter (pmol*h/L)
Interval 46.3 to 108.0
|
5.06 picomole times hour per liter (pmol*h/L)
Interval 2.9 to 8.83
|
40.1 picomole times hour per liter (pmol*h/L)
Interval 22.8 to 70.3
|
PRIMARY outcome
Timeframe: 10-180 minutes after dextrose bolus on Day 3 postdosePopulation: All participants (healthy and with type 2 diabetes mellitus \[T2DM\]) who received at least 1 dose of study drug (LY2189265 or Placebo) with evaluable INSCmax(10-180) second response phase data.
On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus \[T2DM\]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Maximum plasma insulin concentration from 10 to 180 minutes (INSCmax\[10-180\]) following the first dextrose bolus (the second phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus.
Outcome measures
| Measure |
Healthy Participants: Placebo
n=8 Participants
Healthy participants first received a single subcutaneous injection of Placebo on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Healthy Participants: LY2189265
n=8 Participants
Healthy participant first received a single subcutaneous injection of 1.5 milligram (mg) LY2189265 on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo
n=21 Participants
T2DM participants first received a single subcutaneous injection of Placebo on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265
n=20 Participants
T2DM participants first received a single subcutaneous injection of 1.5 milligram (mg) LY2189265 on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
|---|---|---|---|---|
|
Maximum Insulin Concentration (Cmax) - Second Phase Response
|
89.2 picomole per liter (pmol/L)]
Interval 64.7 to 123.0
|
370 picomole per liter (pmol/L)]
Interval 269.0 to 511.0
|
95.9 picomole per liter (pmol/L)]
Interval 66.3 to 139.0
|
363 picomole per liter (pmol/L)]
Interval 250.0 to 526.0
|
PRIMARY outcome
Timeframe: 10-180 minutes after dextrose bolus on Day 3 post dosePopulation: All participants (healthy and with type 2 diabetes mellitus \[T2DM\]) who received at least 1 dose of study drug (LY2189265 or Placebo) with evaluable INSAUC(10-180) second response phase data.
On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus \[T2DM\]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Area under the plasma insulin concentration time curve from 10 to 180 minutes (INSAUC\[10-180\]) following the first dextrose bolus (the second phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus.
Outcome measures
| Measure |
Healthy Participants: Placebo
n=8 Participants
Healthy participants first received a single subcutaneous injection of Placebo on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Healthy Participants: LY2189265
n=8 Participants
Healthy participant first received a single subcutaneous injection of 1.5 milligram (mg) LY2189265 on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo
n=21 Participants
T2DM participants first received a single subcutaneous injection of Placebo on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265
n=20 Participants
T2DM participants first received a single subcutaneous injection of 1.5 milligram (mg) LY2189265 on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
|---|---|---|---|---|
|
Insulin Area Under the Curve (AUC) - Second Phase Response
|
68.8 picomole times hour per liter (pmol*h/L)
Interval 41.7 to 114.0
|
141 picomole times hour per liter (pmol*h/L)
Interval 85.3 to 232.0
|
147 picomole times hour per liter (pmol*h/L)
Interval 103.0 to 209.0
|
357 picomole times hour per liter (pmol*h/L)
Interval 250.0 to 511.0
|
SECONDARY outcome
Timeframe: After glucagon bolus on Day 3 postdosePopulation: All participants (healthy or with type 2 diabetes mellitus \[T2DM\]) who received at least 1 dose of study drug (LY2189265 or Placebo) with evaluable INSCmaxG data.
On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus \[T2DM\]) received a single subcutaneous dose of either LY2189265 or placebo. Maximum plasma insulin concentration from -2 to 20 minutes following the glucagon bolus (INSCmaxG) is presented.
Outcome measures
| Measure |
Healthy Participants: Placebo
n=8 Participants
Healthy participants first received a single subcutaneous injection of Placebo on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Healthy Participants: LY2189265
n=8 Participants
Healthy participant first received a single subcutaneous injection of 1.5 milligram (mg) LY2189265 on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo
n=20 Participants
T2DM participants first received a single subcutaneous injection of Placebo on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265
n=20 Participants
T2DM participants first received a single subcutaneous injection of 1.5 milligram (mg) LY2189265 on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
|---|---|---|---|---|
|
Insulin Maximum Concentration (Cmax)
|
996 picomole per liter (pmol/L)
Interval 716.0 to 1386.0
|
1215 picomole per liter (pmol/L)
Interval 874.0 to 1690.0
|
1088 picomole per liter (pmol/L)
Interval 827.0 to 1431.0
|
1514 picomole per liter (pmol/L)
Interval 1151.0 to 1991.0
|
OTHER_PRE_SPECIFIED outcome
Timeframe: After glucagon bolus on Day 3 postdosePopulation: All participants (healthy or with type 2 diabetes mellitus \[T2DM\]) who received at least 1 dose of study drug (LY2189265 or Placebo) with evaluable INSAUCG data.
On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus \[T2DM\]) received a single subcutaneous dose of either LY2189265 or placebo. Area under the plasma insulin concentration-time curve from -2 to 20 minutes following the glucagon bolus (INSAUCG) is presented.
Outcome measures
| Measure |
Healthy Participants: Placebo
n=8 Participants
Healthy participants first received a single subcutaneous injection of Placebo on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Healthy Participants: LY2189265
n=8 Participants
Healthy participant first received a single subcutaneous injection of 1.5 milligram (mg) LY2189265 on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo
n=20 Participants
T2DM participants first received a single subcutaneous injection of Placebo on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265
n=20 Participants
T2DM participants first received a single subcutaneous injection of 1.5 milligram (mg) LY2189265 on Day 1. On Day 3, participants received a 6-hour insulin infusion followed by a dextrose bolus (50% dextrose bolus, 0.3 gram/kilogram \[g/kg\] over approximately 2 minutes).
|
|---|---|---|---|---|
|
Area Under the Insulin Concentration-time Curve (AUC)
|
239 picomole times hour per liter (pmol*h/L)
Interval 167.0 to 340.0
|
341 picomole times hour per liter (pmol*h/L)
Interval 239.0 to 486.0
|
236 picomole times hour per liter (pmol*h/L)
Interval 177.0 to 316.0
|
414 picomole times hour per liter (pmol*h/L)
Interval 310.0 to 554.0
|
Adverse Events
Healthy Participants: Placebo
Healthy Participants: LY2189265
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Healthy Participants: Placebo
n=10 participants at risk
Healthy participants who received at least 1 subcutaneous injection of Placebo
|
Healthy Participants: LY2189265
n=10 participants at risk
Healthy participants who received at least 1 subcutaneous injection of 1.5 milligram (mg) LY2189265
|
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo
n=21 participants at risk
T2DM participants who received at least 1 subcutaneous injection of Placebo
|
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265
n=21 participants at risk
T2DM participants who received at least 1 subcutaneous injection of 1.5 milligram (mg) LY2189265
|
|---|---|---|---|---|
|
Gastrointestinal disorders
Abdominal distension
|
0.00%
0/10
|
10.0%
1/10 • Number of events 1
|
4.8%
1/21 • Number of events 1
|
0.00%
0/21
|
|
Gastrointestinal disorders
Dyspepsia
|
0.00%
0/10
|
10.0%
1/10 • Number of events 1
|
0.00%
0/21
|
0.00%
0/21
|
|
Gastrointestinal disorders
Nausea
|
10.0%
1/10 • Number of events 1
|
0.00%
0/10
|
4.8%
1/21 • Number of events 1
|
9.5%
2/21 • Number of events 3
|
|
Gastrointestinal disorders
Vomiting
|
10.0%
1/10 • Number of events 1
|
10.0%
1/10 • Number of events 1
|
0.00%
0/21
|
19.0%
4/21 • Number of events 4
|
|
General disorders
Infusion site phlebitis
|
10.0%
1/10 • Number of events 1
|
0.00%
0/10
|
0.00%
0/21
|
0.00%
0/21
|
|
General disorders
Injection site oedema
|
0.00%
0/10
|
10.0%
1/10 • Number of events 1
|
4.8%
1/21 • Number of events 1
|
0.00%
0/21
|
|
General disorders
Injection site phlebitis
|
10.0%
1/10 • Number of events 1
|
0.00%
0/10
|
9.5%
2/21 • Number of events 2
|
4.8%
1/21 • Number of events 1
|
|
General disorders
Injection site thrombosis
|
0.00%
0/10
|
10.0%
1/10 • Number of events 1
|
4.8%
1/21 • Number of events 1
|
0.00%
0/21
|
|
General disorders
Malaise
|
0.00%
0/10
|
10.0%
1/10 • Number of events 1
|
0.00%
0/21
|
4.8%
1/21 • Number of events 1
|
|
General disorders
Vessel puncture site pain
|
10.0%
1/10 • Number of events 1
|
0.00%
0/10
|
0.00%
0/21
|
0.00%
0/21
|
|
Metabolism and nutrition disorders
Decreased appetite
|
0.00%
0/10
|
0.00%
0/10
|
4.8%
1/21 • Number of events 1
|
9.5%
2/21 • Number of events 2
|
|
Metabolism and nutrition disorders
Hypoglycaemia
|
0.00%
0/10
|
40.0%
4/10 • Number of events 5
|
0.00%
0/21
|
0.00%
0/21
|
|
Nervous system disorders
Dizziness
|
0.00%
0/10
|
10.0%
1/10 • Number of events 2
|
4.8%
1/21 • Number of events 2
|
0.00%
0/21
|
|
Nervous system disorders
Headache
|
0.00%
0/10
|
0.00%
0/10
|
14.3%
3/21 • Number of events 3
|
9.5%
2/21 • Number of events 2
|
|
Psychiatric disorders
Disorientation
|
0.00%
0/10
|
10.0%
1/10 • Number of events 1
|
0.00%
0/21
|
0.00%
0/21
|
|
Vascular disorders
Pallor
|
0.00%
0/10
|
10.0%
1/10 • Number of events 1
|
0.00%
0/21
|
0.00%
0/21
|
Additional Information
Chief Medical Officer
Eli Lilly and Company
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place
Restriction type: GT60