A Study of LY900014 Compared to Insulin Lispro in Participants With Type 2 Diabetes

NCT ID: NCT03214380

Last Updated: 2020-03-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

933 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-14

Study Completion Date

2019-03-13

Brief Summary

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The purpose of this study is to compare LY900014 to insulin lispro, both in combination with insulin glargine or insulin degludec, in participants with type 2 diabetes (T2D).

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

DOUBLE

Participants Investigators

Study Groups

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LY900014

LY900014 given subcutaneously (SC) with each meal with either 100 U/mL (U-100) basal insulin glargine given SC once or twice daily or U-100 or 200 U/mL (U-200) insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.

Group Type EXPERIMENTAL

LY900014

Intervention Type DRUG

Administered SC

Insulin Glargine

Intervention Type DRUG

Administered SC

Insulin Degludec

Intervention Type DRUG

Administered SC

Metformin

Intervention Type DRUG

Administered orally.

SGLT2 inhibitor

Intervention Type DRUG

Administered orally.

Insulin Lispro (Humalog)

Insulin lispro given SC with each meal with either U-100 basal insulin glargine given SC once or twice daily or U-100 or U-200 insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.

Group Type ACTIVE_COMPARATOR

Insulin Lispro

Intervention Type DRUG

Administered SC

Insulin Glargine

Intervention Type DRUG

Administered SC

Insulin Degludec

Intervention Type DRUG

Administered SC

Metformin

Intervention Type DRUG

Administered orally.

SGLT2 inhibitor

Intervention Type DRUG

Administered orally.

LY900014 Maximum Extended Enrollment (MEE)

LY900014 given subcutaneously (SC) with each meal with either U-100 basal insulin glargine given SC once or twice daily or U-100 or U-200 insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.

Group Type EXPERIMENTAL

LY900014

Intervention Type DRUG

Administered SC

Insulin Glargine

Intervention Type DRUG

Administered SC

Insulin Degludec

Intervention Type DRUG

Administered SC

Metformin

Intervention Type DRUG

Administered orally.

SGLT2 inhibitor

Intervention Type DRUG

Administered orally.

Insulin Lispro (Humalog) MEE

Insulin lispro given SC with each meal with either U-100 basal insulin glargine given SC once or twice daily or U-100 or U-200 insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.

Group Type ACTIVE_COMPARATOR

Insulin Lispro

Intervention Type DRUG

Administered SC

Insulin Glargine

Intervention Type DRUG

Administered SC

Insulin Degludec

Intervention Type DRUG

Administered SC

Metformin

Intervention Type DRUG

Administered orally.

SGLT2 inhibitor

Intervention Type DRUG

Administered orally.

Interventions

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LY900014

Administered SC

Intervention Type DRUG

Insulin Lispro

Administered SC

Intervention Type DRUG

Insulin Glargine

Administered SC

Intervention Type DRUG

Insulin Degludec

Administered SC

Intervention Type DRUG

Metformin

Administered orally.

Intervention Type DRUG

SGLT2 inhibitor

Administered orally.

Intervention Type DRUG

Other Intervention Names

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Ultra-Rapid Lispro Humalog

Eligibility Criteria

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Inclusion Criteria

* Have been diagnosed (clinically) with T2D, based on the World Health Organization (WHO) classification for at least 1 year prior to screening.
* Have been treated for at least 90 days prior to screening with:

* Basal insulin (insulin glargine U-100 \[Basaglar/Abasaglar or LANTUS\] or U-300, insulin detemir, insulin degludec U-100 or U-200, or neutral protamine Hagedorn \[NPH\] insulin) in combination with at least 1 prandial injection of bolus insulin (insulin lispro U-100 or U-200, insulin aspart, insulin glulisine, or regular insulin) Or
* Premixed analog or human insulin regimens with any basal and bolus insulin combination injected at least twice daily
* Participants may be treated with up to 3 of the following oral antihyperglycemic medications (OAMs) in accordance with local regulations:

* Metformin
* Dipeptidyl peptidase-4 (DPP-4) inhibitor
* Sodium glucose cotransporter 2 (SGLT2) inhibitor
* Sulfonylurea
* Meglitinide
* Alpha-glucoside inhibitor
* Have an HbA1c value between ≥7.0 and ≤10.0%, according to the central laboratory at the time of screening.
* Have a body mass index (BMI) of ≤45.0 kilograms per meter squared at screening.

Exclusion Criteria

* Have been diagnosed, at any time, with type 1 diabetes (T1D) or Latent Autoimmune Diabetes in Adults.
* Have hypoglycemia unawareness as judged by the investigator.
* Have had any episode of severe hypoglycemia within the 6 months prior to screening.
* Have had 1 or more episodes of diabetic ketoacidosis or hyperglycemic hyperosmolar state within the 6 months prior to screening.
* Have used thiazolidinediones, Glucagon-Like Peptide 1 (GLP-1) receptor agonist, or pramlintide within 90 days prior to screening.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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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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Valley Research

Fresno, 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

National Research Institute

Los Angeles, California, United States

Site Status

Care Access Research

Santa Clarita, California, United States

Site Status

Encompass Clinical Research

Spring Valley, California, United States

Site Status

University Clinical Investigators, Inc.

Tustin, California, United States

Site Status

ALL Medical Research, LLC

Cooper City, Florida, United States

Site Status

The Center For Diabetes & Endocrine Care

Fort Lauderdale, Florida, United States

Site Status

East Coast Institute For Research

Jacksonville, Florida, United States

Site Status

Sun Coast Clinical Research, Inc

New Port Richey, Florida, United States

Site Status

East West Medical Institute

Honolulu, Hawaii, United States

Site Status

Elite Clinical Trials LLLP

Blackfoot, Idaho, United States

Site Status

Northwest Clinical Trials

Boise, Idaho, United States

Site Status

Rocky Mountain Diabetes and Osteoporosis Center

Idaho Falls, Idaho, United States

Site Status

Prairie Education and Research Cooperative

Springfield, Illinois, United States

Site Status

Iderc, P.L.C.

West Des Moines, Iowa, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Cotton O'Neil Diabetes and Endocrinology Center

Kansas City, Kansas, United States

Site Status

Palm Research Center

Las Vegas, Nevada, United States

Site Status

Palm Research Center

Las Vegas, Nevada, United States

Site Status

Manhattan Medical Research

New York, New York, United States

Site Status

Aventiv Research

Columbus, Ohio, United States

Site Status

Heritage Valley Medical Group, Inc.

Beaver, Pennsylvania, United States

Site Status

Partners in Nephrology & Endocrinology

Pittsburgh, Pennsylvania, United States

Site Status

Texas Diabetes and Endocrinology

Austin, Texas, 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

Consano Clinical Research

Shavano Park, Texas, United States

Site Status

Progressive Clinical Research

Bountiful, Utah, United States

Site Status

Private: Dr. Larry Stonesifer

Federal Way, Washington, United States

Site Status

Rainier Clinical Research Center

Renton, Washington, United States

Site Status

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CABA, Buenos Aires, Argentina

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CABA, Buenos Aires, Argentina

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CABA, Buenos Aires, Argentina

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Ciudad Autonoma de Buenos Aire, Buenos Aires, Argentina

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Ciudad Autonoma de Buenos Aire, Buenos Aires, Argentina

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Ciudad Autonoma de Buenos Aire, Buenos Aires, Argentina

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Mar del Plata, Buenos Aires, Argentina

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Keswick, South Australia, Australia

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Oaklands Park, South Australia, Australia

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Box Hill, Victoria, Australia

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Geelong, Victoria, Australia

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Fremantle, Western Australia, Australia

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Krnov, , Czechia

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Pardubice, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Bad Mergentheim, Baden-Wurttemberg, Germany

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Falkensee, Brandenburg, Germany

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Pohlheim, Hesse, Germany

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Münster, North Rhine-Westphalia, Germany

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Mayen, Rhineland-Palatinate, Germany

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Saint Ingbert-Oberwürzbach, Saarland, Germany

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Magdeburg, Saxony-Anhalt, Germany

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Oldenburg in Holstein, Schleswig-Holstein, Germany

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Hamburg, , Germany

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Nagykanizsa, , Hungary

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Ahmedabad, Gujarat, India

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Ahmedabad, Gujarat, India

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Ahmedabad, Gujarat, India

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Bangalore, Karnataka, India

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Bangalore, Karnataka, India

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Pune, Maharashtra, India

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Pune, Maharashtra, India

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Mumbai, Maharshtra, India

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Jaipur, Rajasthan, India

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Chennai, Tamil Nadu, India

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Hyderabad, Telangana, India

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Hyderabad, Telangana, India

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Palmero, , Italy

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Sesto San Giovanni, , Italy

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Chiba, , Japan

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Fukuoka, , Japan

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Fukuoka, , Japan

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Hyōgo, , Japan

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Kanagawa, , Japan

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Kanagawa, , Japan

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Kumamoto, , Japan

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Miyazaki, , Japan

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Naka, , Japan

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Ōita, , Japan

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Ōsaka, , Japan

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Ōsaka, , Japan

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Sapporo, , Japan

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Sapporo, , Japan

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Sasebo, , Japan

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Sendai, , Japan

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Tama, , Japan

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Tokyo, , Japan

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Tokyo, , Japan

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Tokyo, , Japan

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Tokyo, , Japan

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Yamato, , Japan

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Jalisco, , Mexico

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Monterrey, , Mexico

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Zapopan, , Mexico

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Zapopan, , Mexico

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Centro de Endocrinologia y Nutricion del Turabo

Caguas, , Puerto Rico

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Manati Center for Clinical Research Inc

Manatí, , Puerto Rico

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Ponce School of Medicine CAIMED Center

Ponce, , Puerto Rico

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Research and Cardiovascular Corp.

Ponce, , Puerto Rico

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GCM Medical Group PSC

San Juan, , Puerto Rico

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Arkhangelsk, , Russia

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Kursk, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Saratov, , Russia

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Košice, Slovak Republic, Slovakia

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Malacky, , Slovakia

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Nové Mesto nad Váhom, , Slovakia

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Púchov, , Slovakia

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Rožňava, , Slovakia

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Bucheon-si, Gyeonggi-do, South Korea

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Ansan-si, , South Korea

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Daegu, , South Korea

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Daejeon, , South Korea

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Gangwon-do, , South Korea

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Gangwon-do, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Lleida, , Spain

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Málaga, , Spain

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Seville, , Spain

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Seville, , Spain

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Taichung, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Yongkang District, , Taiwan

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Countries

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United States Argentina Australia Czechia Germany Hungary India Italy Japan Mexico Puerto Rico Russia Slovakia South Korea Spain Taiwan

References

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Piras de Oliveira C, Dellva MA, Bue-Valleskey J, Chang AM, Liao B. Fasting and postprandial plasma glucose contributions to hemoglobin A1c and time in range in people with diabetes on multiple daily injection insulin therapy: Results from the PRONTO-T1D and PRONTO-T2D clinical trials. J Diabetes Complications. 2024 Jan;38(1):108648. doi: 10.1016/j.jdiacomp.2023.108648. Epub 2023 Nov 16.

Reference Type DERIVED
PMID: 38035641 (View on PubMed)

Zhang Q, Chigutsa F, Chang AM. Efficacy and Safety of Ultra-Rapid Lispro in Younger and Older Patients with Type 2 Diabetes: Randomized Double-Blind PRONTO-T2D Study. Diabetes Ther. 2022 Aug;13(8):1547-1557. doi: 10.1007/s13300-022-01290-4. Epub 2022 Jul 4.

Reference Type DERIVED
PMID: 35781789 (View on PubMed)

Jinnouchi H, Imori M, Nishiyama H, Imaoka T. Ultra-Rapid Lispro Efficacy and Safety Compared to Humalog(R) in Japanese Patients With Type 2 Diabetes: PRONTO-T2D Subpopulation Analysis. Diabetes Ther. 2020 Sep;11(9):2075-2088. doi: 10.1007/s13300-020-00890-2. Epub 2020 Jul 29.

Reference Type DERIVED
PMID: 32728833 (View on PubMed)

Blevins T, Zhang Q, Frias JP, Jinnouchi H, Chang AM; PRONTO-T2D Investigators. Randomized Double-Blind Clinical Trial Comparing Ultra Rapid Lispro With Lispro in a Basal-Bolus Regimen in Patients With Type 2 Diabetes: PRONTO-T2D. Diabetes Care. 2020 Dec;43(12):2991-2998. doi: 10.2337/dc19-2550. Epub 2020 Jul 2.

Reference Type DERIVED
PMID: 32616612 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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

A Study of LY900014 Compared to Insulin Lispro in Participants With Type 2 Diabetes (PRONTO-T2D)

Other Identifiers

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I8B-MC-ITRN

Identifier Type: OTHER

Identifier Source: secondary_id

2015-005357-12

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

16314

Identifier Type: -

Identifier Source: org_study_id

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