Trial Outcomes & Findings for A Study of Insulin Peglispro and Glargine on Fats in Participants With Type 1 Diabetes (NCT NCT01771250)

NCT ID: NCT01771250

Last Updated: 2019-03-11

Results Overview

VLDL-TG average total concentration calculated at steady state from 240 to 420 minutes during dosing with insulin peglispro and insulin glargine.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

15 participants

Primary outcome timeframe

Day 22: 240 minutes (min) to 420 min

Results posted on

2019-03-11

Participant Flow

Insulin treatments were transitioned by gradual tapering/titration as required at the start of each period and the end of Period 2 based on the participants individual randomization and pre-study therapy.

Participant milestones

Participant milestones
Measure
Insulin Peglispro (LY2605541) Then Insulin Glargine
Participants took a stable dose of insulin peglispro (0.2 - 0.8 Units per kilogram \[U/kg\]) in Period 1 and then insulin glargine (0.2 - 0.8 U/kg) in Period 2 administered subcutaneously (SC).
Insulin Glargine Then Insulin Peglispro
Participants took a stable dose of insulin glargine (0.2 - 0.8 U/kg) in Period 1 and then insulin peglispro (0.2 - 0.8 U/kg) in Period 2 administered subcutaneously (SC).
Period 1
STARTED
8
7
Period 1
Received at Least One Dose of Study Drug
7
7
Period 1
COMPLETED
7
7
Period 1
NOT COMPLETED
1
0
Period 2
STARTED
7
7
Period 2
COMPLETED
7
7
Period 2
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Insulin Peglispro (LY2605541) Then Insulin Glargine
Participants took a stable dose of insulin peglispro (0.2 - 0.8 Units per kilogram \[U/kg\]) in Period 1 and then insulin glargine (0.2 - 0.8 U/kg) in Period 2 administered subcutaneously (SC).
Insulin Glargine Then Insulin Peglispro
Participants took a stable dose of insulin glargine (0.2 - 0.8 U/kg) in Period 1 and then insulin peglispro (0.2 - 0.8 U/kg) in Period 2 administered subcutaneously (SC).
Period 1
Met exclusion criteria
1
0

Baseline Characteristics

A Study of Insulin Peglispro and Glargine on Fats in Participants With Type 1 Diabetes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Participants
n=14 Participants
Participants were randomized to receive daily stable doses of either insulin peglispro or insulin glargine (0.2 -0.8 U/kg) administered SC for at least 21 days, in one of two treatment periods.
Age, Continuous
35.3 Years
n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
14 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
Denmark
14 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 22: 240 minutes (min) to 420 min

Population: All participants who were randomized and received at least one dose of study drug.

VLDL-TG average total concentration calculated at steady state from 240 to 420 minutes during dosing with insulin peglispro and insulin glargine.

Outcome measures

Outcome measures
Measure
Insulin Peglispro
n=14 Participants
Participants took a stable dose of Insulin Peglispro (0.2 - 0.8 U/kg) administered SC once daily for at least 21 days in one of two treatment periods.
Insulin Glargine
n=14 Participants
Participants took a stable dose of Insulin glargine (0.2 - 0.8 U/kg) administered SC once daily for at least 21 days in one of two treatment periods.
Very Low Density Lipoprotein-Triglyceride (VLDL-TG) Concentrations
0.27 micromole per Liter (μmol/L)
Geometric Coefficient of Variation 55
0.17 micromole per Liter (μmol/L)
Geometric Coefficient of Variation 66

PRIMARY outcome

Timeframe: Day 22: 240 min to 420 min

Population: All participants who were randomized and took at least one dose of study drug.

VLDL-TG secretion rates are calculated at steady state during dosing with insulin peglispro and insulin glargine.

Outcome measures

Outcome measures
Measure
Insulin Peglispro
n=14 Participants
Participants took a stable dose of Insulin Peglispro (0.2 - 0.8 U/kg) administered SC once daily for at least 21 days in one of two treatment periods.
Insulin Glargine
n=14 Participants
Participants took a stable dose of Insulin glargine (0.2 - 0.8 U/kg) administered SC once daily for at least 21 days in one of two treatment periods.
VLDL-TG Secretion Rate
38.79 μmol/min
Geometric Coefficient of Variation 42
25.61 μmol/min
Geometric Coefficient of Variation 58

PRIMARY outcome

Timeframe: Day 22: 240 min to 420 min

Population: All participants who were randomized and received at least one dose of study drug.

VLDL-TG oxidation rates are calculated at steady state during dosing with insulin peglispro and insulin glargine.

Outcome measures

Outcome measures
Measure
Insulin Peglispro
n=14 Participants
Participants took a stable dose of Insulin Peglispro (0.2 - 0.8 U/kg) administered SC once daily for at least 21 days in one of two treatment periods.
Insulin Glargine
n=14 Participants
Participants took a stable dose of Insulin glargine (0.2 - 0.8 U/kg) administered SC once daily for at least 21 days in one of two treatment periods.
VLDL-TG Oxidation Rate
20.13 μmol/min
Geometric Coefficient of Variation 40
15.34 μmol/min
Geometric Coefficient of Variation 59

PRIMARY outcome

Timeframe: Day 22: 240 min to 420 min

Population: All participants who were randomized and received at least one dose of study drug.

VLDL-TG clearance rates are calculated at steady state during dosing with insulin peglispro and insulin glargine.

Outcome measures

Outcome measures
Measure
Insulin Peglispro
n=14 Participants
Participants took a stable dose of Insulin Peglispro (0.2 - 0.8 U/kg) administered SC once daily for at least 21 days in one of two treatment periods.
Insulin Glargine
n=14 Participants
Participants took a stable dose of Insulin glargine (0.2 - 0.8 U/kg) administered SC once daily for at least 21 days in one of two treatment periods.
VLDL-TG Clearance Rate
142.16 milliliters per minute (mL/min)
Geometric Coefficient of Variation 47
155.11 milliliters per minute (mL/min)
Geometric Coefficient of Variation 49

Adverse Events

Insulin Peglispro

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Insulin Glargine

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Insulin Peglispro
n=14 participants at risk
Participants took a stable dose of Insulin Peglispro (0.2 - 0.8 U/kg) administered SC once daily for at least 21 days in one of two treatment periods.
Insulin Glargine
n=14 participants at risk
Participants took a stable dose of Insulin glargine (0.2 - 0.8 U/kg) administered SC once daily for at least 21 days in one of two treatment periods.
Congenital, familial and genetic disorders
Dermoid cyst
0.00%
0/14
All randomized participants who received at least one dose of study drug.
7.1%
1/14 • Number of events 1
All randomized participants who received at least one dose of study drug.

Other adverse events

Other adverse events
Measure
Insulin Peglispro
n=14 participants at risk
Participants took a stable dose of Insulin Peglispro (0.2 - 0.8 U/kg) administered SC once daily for at least 21 days in one of two treatment periods.
Insulin Glargine
n=14 participants at risk
Participants took a stable dose of Insulin glargine (0.2 - 0.8 U/kg) administered SC once daily for at least 21 days in one of two treatment periods.
Gastrointestinal disorders
Abdominal discomfort
0.00%
0/14
All randomized participants who received at least one dose of study drug.
7.1%
1/14 • Number of events 2
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Abdominal pain upper
7.1%
1/14 • Number of events 1
All randomized participants who received at least one dose of study drug.
0.00%
0/14
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Nausea
7.1%
1/14 • Number of events 1
All randomized participants who received at least one dose of study drug.
0.00%
0/14
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Vomiting
0.00%
0/14
All randomized participants who received at least one dose of study drug.
7.1%
1/14 • Number of events 1
All randomized participants who received at least one dose of study drug.
General disorders
Chills
7.1%
1/14 • Number of events 1
All randomized participants who received at least one dose of study drug.
0.00%
0/14
All randomized participants who received at least one dose of study drug.
General disorders
Non-cardiac chest pain
7.1%
1/14 • Number of events 2
All randomized participants who received at least one dose of study drug.
0.00%
0/14
All randomized participants who received at least one dose of study drug.
Infections and infestations
Influenza
7.1%
1/14 • Number of events 1
All randomized participants who received at least one dose of study drug.
14.3%
2/14 • Number of events 2
All randomized participants who received at least one dose of study drug.
Infections and infestations
Nasopharyngitis
7.1%
1/14 • Number of events 1
All randomized participants who received at least one dose of study drug.
0.00%
0/14
All randomized participants who received at least one dose of study drug.
Injury, poisoning and procedural complications
Post procedural haematoma
7.1%
1/14 • Number of events 1
All randomized participants who received at least one dose of study drug.
0.00%
0/14
All randomized participants who received at least one dose of study drug.
Investigations
Blood glucose increased
7.1%
1/14 • Number of events 1
All randomized participants who received at least one dose of study drug.
0.00%
0/14
All randomized participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Hyperglycaemia
0.00%
0/14
All randomized participants who received at least one dose of study drug.
7.1%
1/14 • Number of events 1
All randomized participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Nasal discomfort
7.1%
1/14 • Number of events 1
All randomized participants who received at least one dose of study drug.
0.00%
0/14
All randomized participants who received at least one dose of study drug.

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