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.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

32 participants

Primary outcome timeframe

0-10 minutes after dextrose bolus on Day 3 postdose

Results posted on

2014-10-07

Participant Flow

Participant milestones

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

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

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 postdose

Population: 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

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 postdose

Population: 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

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 postdose

Population: 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

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 dose

Population: 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

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 postdose

Population: 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

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 postdose

Population: 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

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

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Healthy Participants: LY2189265

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Participants With Type 2 Diabetes Mellitus (T2DM): Placebo

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

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

Phone: 800-545-5979

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60