Trial Outcomes & Findings for A Study of LY2605541 (Insulin Peglispro) and Human Insulin Concentrations in Fat Tissue (NCT NCT02109029)

NCT ID: NCT02109029

Last Updated: 2019-03-06

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

16, 20, 24, and 28 hours postdose

Results posted on

2019-03-06

Participant Flow

Participant milestones

Participant milestones
Measure
Part A: Cohort 1 Insulin Peglispro Low/High
Participants received a priming dose of 2.00 U and 0.92 U/ hour constant intravenous (IV) infusion of insulin peglispro for 36 hours as treatment 1 and received a priming dose of 8.00 U and 4.50/h constant infusion with at least 6 days between doses) as treatment 2.
Part A: Cohort 1 Insulin Peglispro High/Low
Participants received a priming dose of 8.00 U and 4.50 U/ hour constant intravenous (IV) infusion of insulin peglispro for 36 hours as treatment 1, and an IV priming dose of 2.00 U and 0.92 U/hour constant infusion as treatment 2.
Part A: Cohort 2 Insulin Peglispro Intermediate Dose 1 and 2
Participants received a priming dose of 4.00 U and 1.84 U/h a constant intravenous (IV) of insulin peglispro for 36 hours as treatment 1, and a 6.00 U priming dose and constant infusion of 2.76U/h of insulin peglispro as treatment 2.
Part A: Cohort 2 Insulin Peglispro, Intermediate Dose 2 and 1
Participants received a priming dose of 6.00 U and 2.76 U/h constant infusion of insulin peglispro as treatment 1, and 4.00 U and 1.84 U/h constant infusion of insulin peglispro for 36 hours as treatment 2.
Part B: Insulin Peglispro/Human Insulin
Participant received a priming dose of 6.00 U and 2.76 constant intravenous infusion of insulin peglispro for 36 hours as treatment 1 and 6 pmol/kg/min constant infusion of human insulin as treatment 2.
Part B: Human Insulin/Insulin Peglispro
Participant received 6 pmol/kg/min constant infusion of human insulin IV as treatment 1 and a priming dose of 6.00 U and 2.76 U/h constant infusion of insulin peglispro and a constant infusion for 36 hours as treatment 2.
Part A
STARTED
2
2
4
4
0
0
Part A
Received One Dose of Study Drug
2
2
4
4
0
0
Part A
COMPLETED
2
2
4
4
0
0
Part A
NOT COMPLETED
0
0
0
0
0
0
Part B
STARTED
0
0
0
0
6
6
Part B
Received at Least One Dose of Study Drug
0
0
0
0
6
6
Part B
COMPLETED
0
0
0
0
5
5
Part B
NOT COMPLETED
0
0
0
0
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Part A: Cohort 1 Insulin Peglispro Low/High
Participants received a priming dose of 2.00 U and 0.92 U/ hour constant intravenous (IV) infusion of insulin peglispro for 36 hours as treatment 1 and received a priming dose of 8.00 U and 4.50/h constant infusion with at least 6 days between doses) as treatment 2.
Part A: Cohort 1 Insulin Peglispro High/Low
Participants received a priming dose of 8.00 U and 4.50 U/ hour constant intravenous (IV) infusion of insulin peglispro for 36 hours as treatment 1, and an IV priming dose of 2.00 U and 0.92 U/hour constant infusion as treatment 2.
Part A: Cohort 2 Insulin Peglispro Intermediate Dose 1 and 2
Participants received a priming dose of 4.00 U and 1.84 U/h a constant intravenous (IV) of insulin peglispro for 36 hours as treatment 1, and a 6.00 U priming dose and constant infusion of 2.76U/h of insulin peglispro as treatment 2.
Part A: Cohort 2 Insulin Peglispro, Intermediate Dose 2 and 1
Participants received a priming dose of 6.00 U and 2.76 U/h constant infusion of insulin peglispro as treatment 1, and 4.00 U and 1.84 U/h constant infusion of insulin peglispro for 36 hours as treatment 2.
Part B: Insulin Peglispro/Human Insulin
Participant received a priming dose of 6.00 U and 2.76 constant intravenous infusion of insulin peglispro for 36 hours as treatment 1 and 6 pmol/kg/min constant infusion of human insulin as treatment 2.
Part B: Human Insulin/Insulin Peglispro
Participant received 6 pmol/kg/min constant infusion of human insulin IV as treatment 1 and a priming dose of 6.00 U and 2.76 U/h constant infusion of insulin peglispro and a constant infusion for 36 hours as treatment 2.
Part B
Adverse Event
0
0
0
0
1
1

Baseline Characteristics

A Study of LY2605541 (Insulin Peglispro) and Human Insulin Concentrations in Fat Tissue

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Part A Low/High Insulin Peglispro
n=4 Participants
Participants received 4.00 U priming dose and 1.84 U/h constant IV infusion or 8.00 U priming dose and 4.50 U/h constant IV infusionconstant IV infusion of insulin peglispro for 36 hours with up to 2 weeks between doses.
Part A Intermediate Insulin Peglispro
n=8 Participants
Participants received 4.00 U priming dose and 1.84 U/h constant IV infusion or 6.00 U priming dose and 2.76U/h constant IV infusion constant IV infusion of insulin peglispro for 36 hours with up to 2 weeks between doses.
Part B
n=12 Participants
Participants first received a priming dose of 8.00 U followed by 2.76 U/h constant intravenous (IV) infusion of LY2605541 for 36 hours or 6 pmol/kg/min constant infusion of human insulin with up to 2 weeks between doses.
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
40.0 years
STANDARD_DEVIATION 13.2 • n=93 Participants
39.0 years
STANDARD_DEVIATION 7.9 • n=4 Participants
40.9 years
STANDARD_DEVIATION 13.6 • n=27 Participants
40.1 years
STANDARD_DEVIATION 11.4 • n=483 Participants
Sex: Female, Male
Female
1 Participants
n=93 Participants
0 Participants
n=4 Participants
2 Participants
n=27 Participants
3 Participants
n=483 Participants
Sex: Female, Male
Male
3 Participants
n=93 Participants
8 Participants
n=4 Participants
10 Participants
n=27 Participants
21 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=93 Participants
8 Participants
n=4 Participants
12 Participants
n=27 Participants
24 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
White
4 Participants
n=93 Participants
8 Participants
n=4 Participants
12 Participants
n=27 Participants
24 Participants
n=483 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Region of Enrollment
Austria
4 Participants
n=93 Participants
8 Participants
n=4 Participants
12 Participants
n=27 Participants
24 Participants
n=483 Participants
BMI
27.57 kilograms per meter squared (kg/m²)
STANDARD_DEVIATION 2.09 • n=93 Participants
25.98 kilograms per meter squared (kg/m²)
STANDARD_DEVIATION 1.87 • n=4 Participants
26.73 kilograms per meter squared (kg/m²)
STANDARD_DEVIATION 1.28 • n=27 Participants
26.62 kilograms per meter squared (kg/m²)
STANDARD_DEVIATION 1.65 • n=483 Participants
Body Weight
83.93 kilograms (kg)
STANDARD_DEVIATION 12.63 • n=93 Participants
83.80 kilograms (kg)
STANDARD_DEVIATION 8.79 • n=4 Participants
83.56 kilograms (kg)
STANDARD_DEVIATION 8.60 • n=27 Participants
83.70 kilograms (kg)
STANDARD_DEVIATION 8.93 • n=483 Participants
HbA1c
7.20 percentage of Glycated hemoglobin
STANDARD_DEVIATION 0.88 • n=93 Participants
7.51 percentage of Glycated hemoglobin
STANDARD_DEVIATION 0.90 • n=4 Participants
7.53 percentage of Glycated hemoglobin
STANDARD_DEVIATION 0.54 • n=27 Participants
7.47 percentage of Glycated hemoglobin
STANDARD_DEVIATION 0.71 • n=483 Participants

PRIMARY outcome

Timeframe: 16, 20, 24, and 28 hours postdose

Population: All participants who received at least 1 dose of study drug in Part B and had evaluable pharmacokinetic data.

Outcome measures

Outcome measures
Measure
Insulin Peglispro
n=10 Participants
Participants received a priming dose of 2.00 U LY2605541 followed by a constant infusion of 0.92 U/h for up to 36 hours.
Human Insulin
n=11 Participants
Participants received 6 pmol/kg/min constant IV infusion of human insulin for up to 36 hours
Part B: Pharmacokinetics: Steady-State Concentrations in Adipose Tissue Interstitial Fluid (ISF)
11200 picomol per liter (pmol/L)
Geometric Coefficient of Variation 23
425 picomol per liter (pmol/L)
Geometric Coefficient of Variation 15

PRIMARY outcome

Timeframe: 16, 20, 24, and 28 hours postdose

Population: All participants who received at least 1 dose of study drug in Part B and had evaluable pharmacokinetic data.

Absolute concentration of ISF of insulin peglispro and human insulin.

Outcome measures

Outcome measures
Measure
Insulin Peglispro
n=10 Participants
Participants received a priming dose of 2.00 U LY2605541 followed by a constant infusion of 0.92 U/h for up to 36 hours.
Human Insulin
n=11 Participants
Participants received 6 pmol/kg/min constant IV infusion of human insulin for up to 36 hours
Part B: Pharmacokinetics: ISF-to-Serum Concentrations
1428.4 picomol per liter (pmol/L)
137.9 picomol per liter (pmol/L)

Adverse Events

Part A: Insulin Peglispro 2U

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

Part A: Insulin Peglispro 4U

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Part A: Insulin Peglispro 6U

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

Part A: Insulin Peglispro 8U

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

Part B: Insulin Peglispro

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

Part B: Human Insulin

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Part A: Insulin Peglispro 2U
n=4 participants at risk
Participants received a priming dose of 2.00 U and 0.92 U/ hour constant intravenous (IV) infusion of insulin peglispro for 36 hours.
Part A: Insulin Peglispro 4U
n=8 participants at risk
Participants received a priming dose of 4.00 U and 4.50 U/ hour constant intravenous (IV) infusion of insulin peglispro for 36 hours.
Part A: Insulin Peglispro 6U
n=8 participants at risk
Participant received a priming dose of 6.00 U and 1.84 constant IV infusion of insulin peglispro respectively, for 36 hours.
Part A: Insulin Peglispro 8U
n=4 participants at risk
Participant received a priming dose of 8.00 U and 2.76 constant IV infusion of insulin peglispro respectively, for 36 hours.
Part B: Insulin Peglispro
n=12 participants at risk
Participant received a priming dose of 6.00 U and 2.76 constant intravenous infusion of insulin peglispro for 36 hours.
Part B: Human Insulin
n=11 participants at risk
Participants received 6 pmol/kg/min constant IV infusion of human insulin for up to 36 hours.
Gastrointestinal disorders
Nausea
0.00%
0/4 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/8 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/8 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/4 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/12 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
9.1%
1/11 • Number of events 1 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
Immune system disorders
Drug hypersensitivity
0.00%
0/4 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/8 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/8 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/4 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
16.7%
2/12 • Number of events 2 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/11 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
Infections and infestations
Nasopharyngitis
0.00%
0/4 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/8 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/8 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/4 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
8.3%
1/12 • Number of events 1 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/11 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
Metabolism and nutrition disorders
Hypokalaemia
0.00%
0/4 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/8 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/8 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/4 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
8.3%
1/12 • Number of events 2 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
9.1%
1/11 • Number of events 2 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
Nervous system disorders
Headache
0.00%
0/4 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
25.0%
2/8 • Number of events 2 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/8 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/4 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/12 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/11 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
Nervous system disorders
Migraine
0.00%
0/4 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/8 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/8 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/4 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/12 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
9.1%
1/11 • Number of events 1 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
Nervous system disorders
Presyncope
0.00%
0/4 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
12.5%
1/8 • Number of events 1 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/8 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/4 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/12 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/11 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
Vascular disorders
Phlebitis
0.00%
0/4 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/8 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
12.5%
1/8 • Number of events 1 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/4 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/12 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.
0.00%
0/11 • Up to 11 months
All participants received one dose of study drug except one participant did not receive a dose of human insulin.

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