An Administration Method Study of Human Regular U-500 Insulin (LY041001) in Participants With Type 2 Diabetes Mellitus

NCT ID: NCT02561078

Last Updated: 2020-05-20

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

420 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-20

Study Completion Date

2017-05-09

Brief Summary

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The main purpose of this study is to evaluate the efficacy and safety of the study drug known as human regular U-500 insulin (U-500R) administered by continuous subcutaneous insulin infusion (CSII) versus multiple daily injections (MDI) in participants with type 2 diabetes mellitus.

Detailed Description

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Conditions

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Type 2 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Human regular U-500 insulin administered by CSII

Human regular U-500 insulin administered by CSII and titrated based on blood glucose readings for 26 weeks with a 2-week MDI lead-in.

Group Type EXPERIMENTAL

Human regular U-500 insulin (CSII)

Intervention Type DRUG

Administered SC

Human regular U-500 insulin administered by MDI

Human regular U-500 insulin administered subcutaneously (SC) by MDI three times a day and titrated based on blood glucose readings for 26 weeks.

Group Type ACTIVE_COMPARATOR

Human regular U-500 insulin (MDI)

Intervention Type DRUG

Administered SC

Interventions

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Human regular U-500 insulin (CSII)

Administered SC

Intervention Type DRUG

Human regular U-500 insulin (MDI)

Administered SC

Intervention Type DRUG

Other Intervention Names

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LY041001 LY041001

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with type 2 diabetes mellitus (T2DM).
* Current TDD \>200 but ≤600 units of non U-500R insulin (MDI or CSII) and/or U-500R by MDI with syringe and vial for ≥3 months at entry.

* If TDD of U-500R and other insulins are combined, then insulin other than U-500R not to exceed 25% of TDD.
* HbA1c ≥7.5% and ≤12.0%.
* Body mass index ≥25 but ≤50 kilograms per meter squared.
* Have a history of stable body weight.
* Concomitant antihyperglycemic agent (AHA) therapy may include metformin (MET), dipeptidyl peptidase-4 inhibitors and/or pioglitazone.

* Approximately 64 to 96 subjects using glucagon-like peptide-1 (GLP-1) receptor agonists or sodium-glucose cotransporter 2 (SGLT2) inhibitors will be enrolled in Study Group B.

Exclusion Criteria

* Diagnosed with type 1 diabetes mellitus (T1DM) or other types of diabetes apart from T2DM.
* Have obvious clinical or radiographic signs or symptoms of liver disease (except nonalcoholic fatty liver disease), cirrhosis, acute or chronic hepatitis, or alanine aminotransferase (ALT/SGPT) and/or aspartate aminotransferase (AST/SGOT) levels ≥2.5X upper limit of normal (ULN), alkaline phosphatase ≥2X ULN or total bilirubin ≥2X ULN.
* Have chronic kidney disease Stage 4 and higher or history of renal transplantation.
* Have history of more than 1 episode of severe hypoglycemia within the 6 months prior to screening.
* Have received U-500R insulin by CSII in the 3 months prior to screening.
* Have had a blood transfusion or severe blood loss within 3 months prior to screening or have known hemoglobinopathy, hemolytic anemia, or sickle cell anemia.
* Are taking chronic (lasting longer than 14 consecutive days) systemic glucocorticoid therapy.
* Have an irregular sleep/wake cycle.
* Have used any weight loss drugs in the 3 months prior to screening.
* Have a history of bariatric surgery including Roux-en-Y gastric bypass surgery, gastric banding, and/or gastric sleeve.
* Have a history of an active or untreated malignancy, or in remission from a clinically significant malignancy during the last 5 years before screening.
* Significant hearing loss and/or vision impairment deemed by the investigator to interfere with the safe use of OmniPod U-500 system.
* Have cardiac disease with functional status that is New York Heart Association (NYHA) Class III or IV per New York Heart Association Cardiac Disease Functional Classification or have congestive heart failure requiring pharmacologic treatment.
* Are women breastfeeding or pregnant, or intend to become pregnant during the course of the study; are men who intend to impregnate their partners; or are sexually active of procreation potential not actively practicing birth control by a method determined by the investigator to be medically acceptable. Are investigator site personnel directly affiliated with this study and/or their immediate families. Immediate family is defined as a spouse, parent, child, or sibling, whether biological or legally adopted.
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Insulet Corporation

INDUSTRY

Sponsor Role collaborator

Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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Internal Medicine Center LLC

Mobile, Alabama, United States

Site Status

John Muir Physician Network Clinical Research Center

Concord, California, United States

Site Status

Valley Endocrine, Fresno

Fresno, California, United States

Site Status

Scripps Whittier Diabetes Institute

La Jolla, California, United States

Site Status

Diabetes and Endocrine Associates

La Mesa, California, United States

Site Status

First Valley Medical Group

Lancaster, California, United States

Site Status

Pacific Research Partners, LLC

Oakland, California, United States

Site Status

Inland Empire Liver Foundation

Rialto, California, United States

Site Status

NorCal Endocrinology and Internal Medicine - Roseville

Roseville, California, United States

Site Status

NorCal Endocrinology and Internal Medicine - Roseville

San Ramon, California, United States

Site Status

Olive View Medical Center

Sylmar, California, United States

Site Status

ALL Medical Research, LLC

Cooper City, Florida, United States

Site Status

East Coast Institute For Research, LLC

Jacksonville, Florida, United States

Site Status

Suncoast Clinical Research

New Port Richey, Florida, United States

Site Status

Metabolic Research Institute Inc.

West Palm Beach, Florida, United States

Site Status

East Coast Institute For Research, LLC

Macon, Georgia, United States

Site Status

Rocky Mountain Diabetes and Osteoporosis Center

Idaho Falls, Idaho, United States

Site Status

John H. Stroger Hospital of Cook County

Chicago, Illinois, United States

Site Status

Midwest CRC

Crystal Lake, Illinois, United States

Site Status

HSHS Medical Group Diabetes Research

Springfield, Illinois, United States

Site Status

Iderc, P.L.C.

Des Moines, Iowa, United States

Site Status

Cotton O'Neil Diabetes and Endocrinology Center

Topeka, Kansas, United States

Site Status

Kentucky Diabetes Endocrinology Center

Lexington, Kentucky, United States

Site Status

The Arthritis & Diabetes Clinic Inc.

Monroe, Louisiana, United States

Site Status

Grunberger Diabetes Institute

Bloomfield Hills, Michigan, United States

Site Status

Adult Endocrinology Consultants, P.C.

Livonia, Michigan, United States

Site Status

JCMG Clinical Research

Jefferson City, Missouri, United States

Site Status

Billings Clinic Research Center

Billings, Montana, United States

Site Status

Diabetes and Endocrinology Associates

Omaha, Nebraska, United States

Site Status

Palm Research Center

Las Vegas, Nevada, United States

Site Status

Palm Research Center

Las Vegas, Nevada, United States

Site Status

Southern New Hampshire Diabetes and Endocrinology

Nashua, New Hampshire, United States

Site Status

North Shore Diabetes and Endocrine Assoc

New Hyde Park, New York, United States

Site Status

Mountain Diabetes and Endocrine Center

Asheville, North Carolina, United States

Site Status

Physicians East

Greenville, North Carolina, United States

Site Status

PMG Research of Rocky Mount, LLC

Rocky Mount, North Carolina, United States

Site Status

University of Oklahoma Health Sciences Center-Tulsa

Oklahoma City, Oklahoma, United States

Site Status

Portland Diabetes & Endocrine Center

Portland, Oregon, United States

Site Status

Endocrine Metabolic Associates, P.C.

Philadelphia, Pennsylvania, United States

Site Status

Partners in Nephrology & Endocrinology

Pittsburgh, Pennsylvania, United States

Site Status

Sudhir Bansal M.D. Inc.

Warwick, Rhode Island, United States

Site Status

AM Diabetes and Endocrinology Center

Bartlett, Tennessee, United States

Site Status

University Diabetes and Endocrine Consultants

Chattanooga, Tennessee, United States

Site Status

Vanderbilt Univeristy School of Medicine

Nashville, Tennessee, United States

Site Status

Texas Diabetes and Endocrinology-Austin South

Austin, Texas, United States

Site Status

Dallas Diabetes Endocrine Center

Dallas, Texas, United States

Site Status

Texas Diabetes and Endocrinology, P.A.

Round Rock, Texas, United States

Site Status

Advanced Research Institute

South Ogden, Utah, United States

Site Status

Dr. Larry Stonesifer

Federal Way, Washington, United States

Site Status

Rainier Clinical Research Center

Renton, Washington, United States

Site Status

Northside Internal Medicine

Spokane, Washington, United States

Site Status

Multicare Health System

Tacoma, Washington, United States

Site Status

Dr Altagracia Aurora Alcantara Gonzalez

Bayamón, , Puerto Rico

Site Status

Manati Center for Clinical Research Inc

Manatí, , Puerto Rico

Site Status

Endocrine Lipid Diabetes Research Institute

Ponce, , Puerto Rico

Site Status

American Telemedicine Center

San Juan, , Puerto Rico

Site Status

Martha Gomez Cuellar M.D.

San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

Provided Documents

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Document Type: Study Protocol: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Document Type: Study Protocol: Study Protocol (a)

View Document

Related Links

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https://www.lillytrialguide.com/en-US/studies/adult-type-2-diabetes/IBHD#?postal=

Click here for more information about this study: An Administration Method Study of Human Regular U-500 Insulin (LY041001) in Participants With Type 2 Diabetes Mellitus

Other Identifiers

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B5K-MC-IBHD

Identifier Type: OTHER

Identifier Source: secondary_id

14902

Identifier Type: -

Identifier Source: org_study_id

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