Trial Outcomes & Findings for A Study of LY900014 Compared to Insulin Lispro in Participants With Type 2 Diabetes (NCT NCT03214380)

NCT ID: NCT03214380

Last Updated: 2020-03-27

Results Overview

Change from baseline in HbA1c was performed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The efficacy estimand included participant data when baseline and at least one post-baseline measurement were available prior to permanent discontinuation of study drug.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

933 participants

Primary outcome timeframe

Baseline, Week 26

Results posted on

2020-03-27

Participant Flow

The purpose of the Lead-in Period was to titrate basal insulin prior to randomization. Participants were then randomized to receive Insulin lispro (Humalog) or LY900014 in the Treatment Period (Period 2).

Participant milestones

Participant milestones
Measure
Insulin Lispro (Humalog) Lead-In
100 U/mL Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Insulin Lispro (Humalog)
100 U/mL Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014
100 U/mL LY900014 SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Insulin Lispro (Humalog) Lead-In Maximum Extended Enrollment
100 U/mL Insulin lispro (Humalog) SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Insulin Lispro (Humalog) Maximum Extended Enrollment (MEE)
100 U/mL Insulin lispro (Humalog) SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014 (MEE)
100 U/mL LY900014 SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Lead-in
STARTED
750
0
0
183
0
0
Lead-in
Received at Least 1 Dose Lead-in Insulin
750
0
0
183
0
0
Lead-in
COMPLETED
673
0
0
164
0
0
Lead-in
NOT COMPLETED
77
0
0
19
0
0
Treatment Period
STARTED
0
337
336
0
82
82
Treatment Period
Received at Least 1 Dose of Study Drug
0
337
336
0
82
82
Treatment Period
COMPLETED
0
319
320
0
73
71
Treatment Period
NOT COMPLETED
0
18
16
0
9
11

Reasons for withdrawal

Reasons for withdrawal
Measure
Insulin Lispro (Humalog) Lead-In
100 U/mL Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Insulin Lispro (Humalog)
100 U/mL Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014
100 U/mL LY900014 SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Insulin Lispro (Humalog) Lead-In Maximum Extended Enrollment
100 U/mL Insulin lispro (Humalog) SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Insulin Lispro (Humalog) Maximum Extended Enrollment (MEE)
100 U/mL Insulin lispro (Humalog) SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014 (MEE)
100 U/mL LY900014 SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Lead-in
Adverse Event
3
0
0
1
0
0
Lead-in
Lost to Follow-up
4
0
0
1
0
0
Lead-in
Eligibility Criteria
3
0
0
0
0
0
Lead-in
Physician Decision
6
0
0
0
0
0
Lead-in
Protocol Deviation
7
0
0
3
0
0
Lead-in
Withdrawal by Subject
41
0
0
14
0
0
Lead-in
Family Emergency
1
0
0
0
0
0
Lead-in
Natural Disaster
9
0
0
0
0
0
Lead-in
Non Compliance
1
0
0
0
0
0
Lead-in
Participant Schedule
2
0
0
0
0
0
Treatment Period
Adverse Event
0
1
1
0
1
0
Treatment Period
Non-Compliance with Study Drug
0
0
0
0
1
0
Treatment Period
Withdrawal by Subject
0
10
8
0
7
11
Treatment Period
Death
0
1
2
0
0
0
Treatment Period
Lost to Follow-up
0
6
3
0
0
0
Treatment Period
Participant schedule
0
0
1
0
0
0
Treatment Period
Treatment Interruption
0
0
1
0
0
0

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Insulin Lispro (Humalog)
n=337 Participants
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.
LY900014
n=336 Participants
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.
Insulin Lispro (Humalog) MEE
n=82 Participants
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.
LY900014 Maximum Extended Enrollment (MEE)
n=82 Participants
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.
Total
n=837 Participants
Total of all reporting groups
Age, Continuous
61.0 years
STANDARD_DEVIATION 9.2 • n=5 Participants
60.2 years
STANDARD_DEVIATION 9.4 • n=7 Participants
56.6 years
STANDARD_DEVIATION 9.4 • n=5 Participants
57.2 years
STANDARD_DEVIATION 10.1 • n=4 Participants
59.9 years
STANDARD_DEVIATION 9.5 • n=21 Participants
Sex: Female, Male
Female
162 Participants
n=5 Participants
152 Participants
n=7 Participants
47 Participants
n=5 Participants
27 Participants
n=4 Participants
388 Participants
n=21 Participants
Sex: Female, Male
Male
175 Participants
n=5 Participants
184 Participants
n=7 Participants
35 Participants
n=5 Participants
55 Participants
n=4 Participants
449 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
4 Participants
n=21 Participants
Race (NIH/OMB)
Asian
81 Participants
n=5 Participants
83 Participants
n=7 Participants
70 Participants
n=5 Participants
69 Participants
n=4 Participants
303 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
16 Participants
n=5 Participants
14 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
30 Participants
n=21 Participants
Race (NIH/OMB)
White
229 Participants
n=5 Participants
233 Participants
n=7 Participants
12 Participants
n=5 Participants
13 Participants
n=4 Participants
487 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
6 Participants
n=5 Participants
5 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
11 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Region of Enrollment
Argentina
29 Participants
n=5 Participants
27 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
56 Participants
n=21 Participants
Region of Enrollment
Puerto Rico
7 Participants
n=5 Participants
7 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
14 Participants
n=21 Participants
Region of Enrollment
Hungary
13 Participants
n=5 Participants
15 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
28 Participants
n=21 Participants
Region of Enrollment
United States
95 Participants
n=5 Participants
92 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
187 Participants
n=21 Participants
Region of Enrollment
Czechia
20 Participants
n=5 Participants
20 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
40 Participants
n=21 Participants
Region of Enrollment
Japan
46 Participants
n=5 Participants
47 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
93 Participants
n=21 Participants
Region of Enrollment
India
9 Participants
n=5 Participants
7 Participants
n=7 Participants
40 Participants
n=5 Participants
44 Participants
n=4 Participants
100 Participants
n=21 Participants
Region of Enrollment
Russia
14 Participants
n=5 Participants
13 Participants
n=7 Participants
11 Participants
n=5 Participants
12 Participants
n=4 Participants
50 Participants
n=21 Participants
Region of Enrollment
Spain
16 Participants
n=5 Participants
14 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
30 Participants
n=21 Participants
Region of Enrollment
South Korea
16 Participants
n=5 Participants
16 Participants
n=7 Participants
21 Participants
n=5 Participants
16 Participants
n=4 Participants
69 Participants
n=21 Participants
Region of Enrollment
Taiwan
7 Participants
n=5 Participants
8 Participants
n=7 Participants
9 Participants
n=5 Participants
9 Participants
n=4 Participants
33 Participants
n=21 Participants
Region of Enrollment
Italy
4 Participants
n=5 Participants
5 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
9 Participants
n=21 Participants
Region of Enrollment
Mexico
21 Participants
n=5 Participants
22 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
45 Participants
n=21 Participants
Region of Enrollment
Slovakia
14 Participants
n=5 Participants
14 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
28 Participants
n=21 Participants
Region of Enrollment
Australia
7 Participants
n=5 Participants
8 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
15 Participants
n=21 Participants
Region of Enrollment
Germany
19 Participants
n=5 Participants
21 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
40 Participants
n=21 Participants
Hemoglobin A1c
7.31 percentage of HbA1c
STANDARD_DEVIATION 0.71 • n=5 Participants
7.27 percentage of HbA1c
STANDARD_DEVIATION 0.68 • n=7 Participants
7.53 percentage of HbA1c
STANDARD_DEVIATION 0.69 • n=5 Participants
7.67 percentage of HbA1c
STANDARD_DEVIATION 0.89 • n=4 Participants
7.35 percentage of HbA1c
STANDARD_DEVIATION 0.73 • n=21 Participants

PRIMARY outcome

Timeframe: Baseline, Week 26

Population: All randomized participants with baseline and at least 1 post-baseline HbA1c data. As pre-specified in the analysis plan, outcome measures will not be reported for the Maximum Extended Enrollment (MEE) arms/groups but only for the main global study arms/groups.

Change from baseline in HbA1c was performed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The efficacy estimand included participant data when baseline and at least one post-baseline measurement were available prior to permanent discontinuation of study drug.

Outcome measures

Outcome measures
Measure
Insulin Lispro (Humalog)
n=335 Participants
Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014
n=334 Participants
LY900014 given subcutaneously (SC) with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Change From Baseline in Hemoglobin A1c (HbA1c) Efficacy Estimand at Week 26
-0.43 percentage of HbA1c
Standard Error 0.042
-0.38 percentage of HbA1c
Standard Error 0.042

SECONDARY outcome

Timeframe: Week 26

Population: All randomized participants with baseline and at least one post-baseline 1-hour PPG excursion data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.

1-hour PPG excursion during MMTT uses the analysis of covariance (ANCOVA) model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum) and treatment as fixed effects and baseline as a covariate. The efficacy estimand included participant data when baseline and at least one post-baseline measurement were available prior to permanent discontinuation of study drug.

Outcome measures

Outcome measures
Measure
Insulin Lispro (Humalog)
n=307 Participants
Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014
n=304 Participants
LY900014 given subcutaneously (SC) with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
1-hour Postprandial Glucose (PPG) Excursion During Mixed-Meal Tolerance Test (MMTT) Efficacy Estimand
74.9 milligrams per deciliter (mg/dL)
Standard Error 3.60
63.1 milligrams per deciliter (mg/dL)
Standard Error 3.60

SECONDARY outcome

Timeframe: Week 26

Population: All randomized participants with baseline and at least one post-baseline 2-hour PPG excursion data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.

2-hour PPG excursion during MMTT uses the ANCOVA model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum) and treatment as fixed effects and baseline as a covariate. The efficacy estimand included participant data when baseline and at least one post-baseline measurement were available prior to permanent discontinuation of study drug.

Outcome measures

Outcome measures
Measure
Insulin Lispro (Humalog)
n=306 Participants
Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014
n=305 Participants
LY900014 given subcutaneously (SC) with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
2-hour PPG Excursion During MMTT Efficacy Estimand
97.8 mg/dL
Standard Error 4.50
80.4 mg/dL
Standard Error 4.50

SECONDARY outcome

Timeframe: Baseline through Week 26

Population: All randomized participants with evaluable hypoglycemic data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.

Rate of severe hypoglycemia events per 100 years during a defined period was calculated by total number of severe hypoglycemia episodes within the period divided by the cumulative days on treatment from all participants within a treatment group \*36525. Severe hypoglycemia is defined as an event requiring assistance of another person to administer carbohydrate, glucagon, or other resuscitative actions. During these episodes, the participant has an altered mental status and cannot assist in his or her own care, or may be semiconscious or unconscious, or experience com with or without seizures, and may require parenteral therapy.

Outcome measures

Outcome measures
Measure
Insulin Lispro (Humalog)
n=337 Participants
Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014
n=336 Participants
LY900014 given subcutaneously (SC) with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Rate of Severe Hypoglycemia
4.19 Events per 100 participant years
2.44 Events per 100 participant years

SECONDARY outcome

Timeframe: Baseline through Week 26

Population: All randomized participants with evaluable hypoglycemic data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.

Documented symptomatic hypoglycemia is an event during which typical symptoms of hypoglycemia are accompanied by blood glucose (BG) of \<54 mg/dL \[3.0 millimole per liter (mmol/L)\]. The rate of documented symptomatic hypoglycemia was estimated by negative binomial model: number of episodes = treatment with log (treatment exposure in days/365.25) as an offset variable.

Outcome measures

Outcome measures
Measure
Insulin Lispro (Humalog)
n=337 Participants
Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014
n=336 Participants
LY900014 given subcutaneously (SC) with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Rate of Documented Symptomatic Hypoglycemia
1.34 Events per participant per 30 days/year
Standard Error 0.164
2.21 Events per participant per 30 days/year
Standard Error 0.318

SECONDARY outcome

Timeframe: Baseline, Week 26

Population: All randomized participants with baseline and at least one post-baseline 1,5-AG data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.

Change from baseline in 1,5-AG was analyzed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, HbA1c stratum and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The analysis included data collected prior to permanent discontinuation of study drug.

Outcome measures

Outcome measures
Measure
Insulin Lispro (Humalog)
n=334 Participants
Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014
n=331 Participants
LY900014 given subcutaneously (SC) with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Change From Baseline in 1,5-Anhydroglucitol (1,5-AG) at Week 26
2.15 milligram per liter (mg/L)
Standard Error 0.234
1.99 milligram per liter (mg/L)
Standard Error 0.235

SECONDARY outcome

Timeframe: Baseline, Week 26

Population: All randomized participants with baseline and at least one post-baseline SMBG data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.

Change from baseline in 10-point SMBG values was analyzed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, HbA1c stratum and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The efficacy estimand included participant data when baseline and at least one post-baseline measurement prior to permanent discontinuation of study drug.

Outcome measures

Outcome measures
Measure
Insulin Lispro (Humalog)
n=276 Participants
Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014
n=270 Participants
LY900014 given subcutaneously (SC) with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values at Week 26
Midday 1-hour Postmeal
3.0 mg/dL
Standard Error 3.48
-2.0 mg/dL
Standard Error 3.47
Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values at Week 26
Midday 2-hour Postmeal
-2.2 mg/dL
Standard Error 3.28
-6.5 mg/dL
Standard Error 3.27
Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values at Week 26
Evening Premeal
7.0 mg/dL
Standard Error 3.38
10.1 mg/dL
Standard Error 3.38
Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values at Week 26
Evening 1-hour Postmeal
-2.1 mg/dL
Standard Error 3.24
-3.0 mg/dL
Standard Error 3.27
Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values at Week 26
Evening 2-hour Postmeal
0.2 mg/dL
Standard Error 3.68
-2.1 mg/dL
Standard Error 3.73
Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values at Week 26
Bedtime
-3.4 mg/dL
Standard Error 4.00
-2.2 mg/dL
Standard Error 4.02
Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values at Week 26
Morning Premeal
-0.8 mg/dL
Standard Error 2.72
1.5 mg/dL
Standard Error 2.74
Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values at Week 26
Morning 1-hour Postmeal
-2.0 mg/dL
Standard Error 3.44
-14.1 mg/dL
Standard Error 3.44
Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values at Week 26
Morning 2-hour Postmeal
0.6 mg/dL
Standard Error 3.38
-14.9 mg/dL
Standard Error 3.38
Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values at Week 26
Midday Premeal
2.4 mg/dL
Standard Error 2.83
4.1 mg/dL
Standard Error 2.84

SECONDARY outcome

Timeframe: Baseline, Week 26

Population: All randomized participants with baseline and at least one post-baseline basal insulin dose data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.

Change from baseline in insulin dose was analyzed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, HbA1c stratum and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The analysis included data prior to permanent discontinuation of study drug.

Outcome measures

Outcome measures
Measure
Insulin Lispro (Humalog)
n=330 Participants
Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014
n=330 Participants
LY900014 given subcutaneously (SC) with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Change From Baseline in Insulin Dose at Week 26
Basal Insulin Dose
4.2 Units (U)
Standard Error 0.82
4.6 Units (U)
Standard Error 0.81
Change From Baseline in Insulin Dose at Week 26
Prandial Insulin Dose
8.3 Units (U)
Standard Error 1.41
12.0 Units (U)
Standard Error 1.41
Change From Baseline in Insulin Dose at Week 26
Total Daily Insulin Dose
12.1 Units (U)
Standard Error 1.93
17.3 Units (U)
Standard Error 1.92

SECONDARY outcome

Timeframe: Baseline, Week 26

Population: All randomized participants with baseline and post-baseline data. Missing endpoints were imputed by applying the Last Observation Carried Forward (LOCF) method to post-baseline data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.

ITSQ is a validated instrument containing 22 items that assess treatment satisfaction for participants with diabetes and on insulin. The questionnaire measures satisfaction from the following 5 domains: Inconvenience of Regimen, Lifestyle Flexibility, Glycemic Control, Hypoglycemic Control, and Insulin Delivery Device. Data presented are the transformed overall score on a scale of 0-100, where higher scores indicate better treatment satisfaction. Change from baseline in ITSQ regimen inconvenience domain score was calculated using the ANCOVA model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum), and treatment as fixed effects and baseline as covariate. The analysis included data prior to permanent discontinuation of study drug.

Outcome measures

Outcome measures
Measure
Insulin Lispro (Humalog)
n=319 Participants
Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014
n=319 Participants
LY900014 given subcutaneously (SC) with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Change From Baseline in Insulin Treatment Satisfaction Questionnaire (ITSQ) Regimen Inconvenience Domain Score at Week 26
-0.9 units on a scale
Standard Error 1.36
-2.4 units on a scale
Standard Error 1.37

SECONDARY outcome

Timeframe: Baseline, Week 26

Population: All randomized participants with baseline and post-baseline data. Missing endpoints were imputed by applying the LOCF method to the post-baseline data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.

ITSQ is a validated instrument containing 22 items that assess treatment satisfaction for participants with diabetes and on insulin. The questionnaire measures satisfaction from the following 5 domains: Inconvenience of Regimen, Lifestyle Flexibility, Glycemic Control, Hypoglycemic Control, and Insulin Delivery Device. Data presented are the transformed overall score on a scale of 0-100, where higher scores indicate better treatment satisfaction. Change from baseline in ITSQ lifestyle flexibility domain score was calculated using the ANCOVA model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum), and treatment as fixed effects and baseline as covariate. The analysis included data prior to permanent discontinuation of study drug.

Outcome measures

Outcome measures
Measure
Insulin Lispro (Humalog)
n=319 Participants
Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014
n=319 Participants
LY900014 given subcutaneously (SC) with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Change From Baseline in ITSQ Lifestyle Flexibility Domain Score at Week 26
1.4 units on a scale
Standard Error 1.60
0.2 units on a scale
Standard Error 1.60

SECONDARY outcome

Timeframe: Week 26

Population: All participants with baseline and one post-baseline observation while on study drug. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.

Number of participants with HbA1c \<7% at Week 26.

Outcome measures

Outcome measures
Measure
Insulin Lispro (Humalog)
n=320 Participants
Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014
n=316 Participants
LY900014 given subcutaneously (SC) with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Number of Participants With HbA1c <7%
168 Participants
184 Participants

Adverse Events

Insulin Lispro (Humalog) Lead-In

Serious events: 13 serious events
Other events: 44 other events
Deaths: 0 deaths

Insulin Lispro (Humalog)

Serious events: 26 serious events
Other events: 60 other events
Deaths: 1 deaths

LY900014

Serious events: 26 serious events
Other events: 79 other events
Deaths: 2 deaths

Insulin Lispro (Humalog) Lead-In Maximum Extended Enrollment

Serious events: 3 serious events
Other events: 12 other events
Deaths: 0 deaths

Insulin Lispro (Humalog) Maximum Extended Enrollment (MEE)

Serious events: 4 serious events
Other events: 8 other events
Deaths: 0 deaths

LY900014 (MEE)

Serious events: 2 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Insulin Lispro (Humalog) Lead-In
n=750 participants at risk
100 U/mL Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Insulin Lispro (Humalog)
n=337 participants at risk
100 U/mL Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014
n=336 participants at risk
100 U/mL LY900014 SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Insulin Lispro (Humalog) Lead-In Maximum Extended Enrollment
n=183 participants at risk
100 U/mL Insulin lispro (Humalog) SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Insulin Lispro (Humalog) Maximum Extended Enrollment (MEE)
n=82 participants at risk
100 U/mL Insulin lispro (Humalog) SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014 (MEE)
n=82 participants at risk
100 U/mL LY900014 SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Cardiac disorders
Acute myocardial infarction
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
1.2%
1/82 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Cardiac disorders
Angina pectoris
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Cardiac disorders
Angina unstable
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Cardiac disorders
Atrial fibrillation
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Cardiac disorders
Cardiac failure
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Cardiac disorders
Coronary artery stenosis
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.59%
2/337 • Number of events 2 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Cardiac disorders
Myocardial infarction
0.13%
1/750 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Ear and labyrinth disorders
Vertigo
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Eye disorders
Cataract
0.13%
1/750 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Eye disorders
Eye haemorrhage
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Eye disorders
Papilloedema
0.13%
1/750 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Gastrointestinal disorders
Gastritis
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.55%
1/183 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Gastrointestinal disorders
Pancreatitis acute
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
General disorders
Non-cardiac chest pain
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
General disorders
Sudden death
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Hepatobiliary disorders
Bile duct stone
0.13%
1/750 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Hepatobiliary disorders
Cholelithiasis
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Immune system disorders
Drug hypersensitivity
0.13%
1/750 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Infections and infestations
Cellulitis
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Infections and infestations
Empyema
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.55%
1/183 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Infections and infestations
Eye infection viral
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Infections and infestations
Gastroenteritis
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Infections and infestations
Osteomyelitis
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Infections and infestations
Pneumonia
0.13%
1/750 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
1.2%
4/336 • Number of events 4 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Infections and infestations
Pyelonephritis acute
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Infections and infestations
Septic shock
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Infections and infestations
Sinusitis
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
1.2%
1/82 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Infections and infestations
Urinary tract infection
0.13%
1/750 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Injury, poisoning and procedural complications
Concussion
0.13%
1/750 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Injury, poisoning and procedural complications
Fall
0.13%
1/750 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Injury, poisoning and procedural complications
Heat stroke
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Injury, poisoning and procedural complications
Ligament sprain
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
1.2%
1/82 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
Injury, poisoning and procedural complications
Multiple fractures
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Injury, poisoning and procedural complications
Spinal compression fracture
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Investigations
Blood potassium decreased
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Metabolism and nutrition disorders
Hypoglycaemia
0.27%
2/750 • Number of events 2 • Baseline up to 30 Weeks
All randomized participants.
1.5%
5/337 • Number of events 6 • Baseline up to 30 Weeks
All randomized participants.
0.89%
3/336 • Number of events 4 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
1.2%
1/82 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
Metabolism and nutrition disorders
Shock hypoglycaemic
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Musculoskeletal and connective tissue disorders
Lumbar spinal stenosis
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Clear cell renal cell carcinoma
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Meningioma
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal neoplasm
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Nervous system disorders
Carpal tunnel syndrome
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
1.2%
1/82 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Nervous system disorders
Hypoglycaemic coma
0.13%
1/750 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Nervous system disorders
Lumbar radiculopathy
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
1.2%
1/82 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Nervous system disorders
Syncope
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
1.2%
1/82 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Nervous system disorders
Transient ischaemic attack
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Renal and urinary disorders
Acute kidney injury
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Renal and urinary disorders
Nephrolithiasis
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Renal and urinary disorders
Ureteric compression
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Respiratory, thoracic and mediastinal disorders
Acute pulmonary oedema
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.60%
2/336 • Number of events 2 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Respiratory, thoracic and mediastinal disorders
Bronchitis chronic
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.89%
3/336 • Number of events 3 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.60%
2/336 • Number of events 2 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Respiratory, thoracic and mediastinal disorders
Laryngeal disorder
0.13%
1/750 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Skin and subcutaneous tissue disorders
Diabetic ulcer
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.55%
1/183 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Vascular disorders
Hypertension
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Vascular disorders
Intermittent claudication
0.13%
1/750 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Vascular disorders
Peripheral arterial occlusive disease
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Vascular disorders
Peripheral artery stenosis
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/337 • Number of events 2 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/336 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Vascular disorders
Peripheral vascular disorder
0.00%
0/750 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/337 • Baseline up to 30 Weeks
All randomized participants.
0.30%
1/336 • Number of events 1 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/183 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.

Other adverse events

Other adverse events
Measure
Insulin Lispro (Humalog) Lead-In
n=750 participants at risk
100 U/mL Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Insulin Lispro (Humalog)
n=337 participants at risk
100 U/mL Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014
n=336 participants at risk
100 U/mL LY900014 SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Insulin Lispro (Humalog) Lead-In Maximum Extended Enrollment
n=183 participants at risk
100 U/mL Insulin lispro (Humalog) SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Insulin Lispro (Humalog) Maximum Extended Enrollment (MEE)
n=82 participants at risk
100 U/mL Insulin lispro (Humalog) SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014 (MEE)
n=82 participants at risk
100 U/mL LY900014 SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Gastrointestinal disorders
Diarrhoea
1.5%
11/750 • Number of events 11 • Baseline up to 30 Weeks
All randomized participants.
3.0%
10/337 • Number of events 10 • Baseline up to 30 Weeks
All randomized participants.
3.3%
11/336 • Number of events 12 • Baseline up to 30 Weeks
All randomized participants.
1.1%
2/183 • Number of events 2 • Baseline up to 30 Weeks
All randomized participants.
6.1%
5/82 • Number of events 5 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
Infections and infestations
Nasopharyngitis
3.1%
23/750 • Number of events 25 • Baseline up to 30 Weeks
All randomized participants.
11.3%
38/337 • Number of events 47 • Baseline up to 30 Weeks
All randomized participants.
14.0%
47/336 • Number of events 56 • Baseline up to 30 Weeks
All randomized participants.
3.8%
7/183 • Number of events 7 • Baseline up to 30 Weeks
All randomized participants.
4.9%
4/82 • Number of events 4 • Baseline up to 30 Weeks
All randomized participants.
6.1%
5/82 • Number of events 5 • Baseline up to 30 Weeks
All randomized participants.
Infections and infestations
Upper respiratory tract infection
1.7%
13/750 • Number of events 13 • Baseline up to 30 Weeks
All randomized participants.
5.9%
20/337 • Number of events 21 • Baseline up to 30 Weeks
All randomized participants.
8.0%
27/336 • Number of events 29 • Baseline up to 30 Weeks
All randomized participants.
1.6%
3/183 • Number of events 3 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.
0.00%
0/82 • Baseline up to 30 Weeks
All randomized participants.

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