Trial Outcomes & Findings for A Comparative Study of LY900014 to Insulin Lispro (Humalog) in Healthy Participants (NCT NCT03286751)

NCT ID: NCT03286751

Last Updated: 2020-05-01

Results Overview

Pharmacokinetics: Insulin Lispro Area Under the Concentration Curve From Time Zero to 10 Hours Post Dose \[AUC(0-10h)\]

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

42 participants

Primary outcome timeframe

Day 1: Pre-dose, 5, 10, 15, 20, 25, 30, 35, 40, 50, 60, 70, 90, 120, 150, 180, 210, 240, 300, 360, 420, 480, 540, and 600 minutes post-dose

Results posted on

2020-05-01

Participant Flow

This was a 6-period crossover study in which participants received a single 7 Unit (U), 15 U, or 30 U subcutaneous (SC) dose of LY900014 or Humalog in one of six sequences. There was a washout period of ≥ 3 days between each euglycemic clamp procedure.

Participant milestones

Participant milestones
Measure
Sequence 1: ABFCED
Participants received a single SC dose in each treatment period. A = 7 U LY900014 B = 15 U LY900014 F = 30 U Humalog C = 30 U LY900014 E = 15 U Humalog D = 7 U Humalog
Sequence 2: BCADFE
Participants received a single SC dose in each treatment period. B = 15 U LY900014 C = 30 U LY900014 A = 7 U LY900014 D = 7 U Humalog F = 30 U Humalog E = 15 U Humalog
Sequence 3: CDBEAF
Participants received a single SC dose in each treatment period. C = 30 U LY900014 D = 7 U Humalog B = 15 U LY900014 E = 15 U Humalog A = 7 U LY900014 F = 30 U Humalog
Sequence 4: DECFBA
Participants received a single SC dose in each treatment period. D = 7 U Humalog E = 15 U Humalog C = 30 U LY900014 F = 30 U Humalog B = 15 U LY900014 A = 7 U LY900014
Sequence 5: EFDACB
Participants received a single SC dose in each treatment period. E = 15 U Humalog F = 30 U Humalog D = 7 U Humalog A = 7 U LY900014 C = 30 U LY900014 B = 15 U LY900014
Sequence 6: FAEBDC
Participants received a single SC dose in each treatment period. F = 30 U Humalog A = 7 U LY900014 E = 15 U Humalog B = 15 U LY900014 D = 7 U Humalog C = 30 U LY900014
Period 1
STARTED
7
7
7
7
7
7
Period 1
Received at Least One Dose of Study Drug
7
7
7
7
7
7
Period 1
COMPLETED
7
7
7
7
7
7
Period 1
NOT COMPLETED
0
0
0
0
0
0
Washout Period 1
STARTED
7
7
7
7
7
7
Washout Period 1
COMPLETED
7
7
7
7
6
7
Washout Period 1
NOT COMPLETED
0
0
0
0
1
0
Period 2
STARTED
7
7
7
7
6
7
Period 2
COMPLETED
7
7
7
7
6
7
Period 2
NOT COMPLETED
0
0
0
0
0
0
Washout Period 2
STARTED
7
7
7
7
6
7
Washout Period 2
COMPLETED
7
6
7
7
6
7
Washout Period 2
NOT COMPLETED
0
1
0
0
0
0
Period 3
STARTED
7
6
7
7
6
7
Period 3
COMPLETED
7
6
7
7
6
7
Period 3
NOT COMPLETED
0
0
0
0
0
0
Washout Period 3
STARTED
7
6
7
7
6
7
Washout Period 3
COMPLETED
7
6
7
7
6
7
Washout Period 3
NOT COMPLETED
0
0
0
0
0
0
Period 4
STARTED
7
6
7
7
6
7
Period 4
COMPLETED
7
6
7
7
6
7
Period 4
NOT COMPLETED
0
0
0
0
0
0
Washout Period 4
STARTED
7
6
7
7
6
7
Washout Period 4
COMPLETED
7
6
7
7
6
7
Washout Period 4
NOT COMPLETED
0
0
0
0
0
0
Period 5
STARTED
7
6
7
7
6
7
Period 5
COMPLETED
7
6
7
7
6
7
Period 5
NOT COMPLETED
0
0
0
0
0
0
Washout Period 5
STARTED
7
6
7
7
6
7
Washout Period 5
COMPLETED
7
6
7
7
5
7
Washout Period 5
NOT COMPLETED
0
0
0
0
1
0
Period 6
STARTED
7
6
7
7
5
7
Period 6
COMPLETED
7
6
7
7
5
7
Period 6
NOT COMPLETED
0
0
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Sequence 1: ABFCED
Participants received a single SC dose in each treatment period. A = 7 U LY900014 B = 15 U LY900014 F = 30 U Humalog C = 30 U LY900014 E = 15 U Humalog D = 7 U Humalog
Sequence 2: BCADFE
Participants received a single SC dose in each treatment period. B = 15 U LY900014 C = 30 U LY900014 A = 7 U LY900014 D = 7 U Humalog F = 30 U Humalog E = 15 U Humalog
Sequence 3: CDBEAF
Participants received a single SC dose in each treatment period. C = 30 U LY900014 D = 7 U Humalog B = 15 U LY900014 E = 15 U Humalog A = 7 U LY900014 F = 30 U Humalog
Sequence 4: DECFBA
Participants received a single SC dose in each treatment period. D = 7 U Humalog E = 15 U Humalog C = 30 U LY900014 F = 30 U Humalog B = 15 U LY900014 A = 7 U LY900014
Sequence 5: EFDACB
Participants received a single SC dose in each treatment period. E = 15 U Humalog F = 30 U Humalog D = 7 U Humalog A = 7 U LY900014 C = 30 U LY900014 B = 15 U LY900014
Sequence 6: FAEBDC
Participants received a single SC dose in each treatment period. F = 30 U Humalog A = 7 U LY900014 E = 15 U Humalog B = 15 U LY900014 D = 7 U Humalog C = 30 U LY900014
Washout Period 1
Withdrawal by Subject
0
0
0
0
1
0
Washout Period 2
Personal Reasons
0
1
0
0
0
0
Washout Period 5
Adverse Event
0
0
0
0
1
0

Baseline Characteristics

A Comparative Study of LY900014 to Insulin Lispro (Humalog) in Healthy Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall
n=42 Participants
All participants who received at least on dose of study drug.
Age, Continuous
41.9 years
STANDARD_DEVIATION 11.6 • n=5 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
Sex: Female, Male
Male
27 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
40 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
40 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
Germany
42 participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 1: Pre-dose, 5, 10, 15, 20, 25, 30, 35, 40, 50, 60, 70, 90, 120, 150, 180, 210, 240, 300, 360, 420, 480, 540, and 600 minutes post-dose

Population: All participants who received at least one dose of study drug and had evaluable PK data.

Pharmacokinetics: Insulin Lispro Area Under the Concentration Curve From Time Zero to 10 Hours Post Dose \[AUC(0-10h)\]

Outcome measures

Outcome measures
Measure
7 U Humalog
n=40 Participants
Single SC dose 7 U Humalog.
7 U LY900014
n=40 Participants
Single SC dose 7 U LY900014.
15 U Humalog
n=41 Participants
Single SC dose 15 U Humalog.
15 U LY900014
n=40 Participants
Single SC dose 15 U LY900014.
30 U Humalog
n=40 Participants
Single SC dose 30 U Humalog.
30 U LY900014
n=41 Participants
Single SC dose 30 U LY900014.
Pharmacokinetics (PK): Insulin Lispro Area Under the Concentration Versus Time Curve (AUC)
649 picomole * hour per liter(pmol*/L)
Geometric Coefficient of Variation 16
656 picomole * hour per liter(pmol*/L)
Geometric Coefficient of Variation 17
1400 picomole * hour per liter(pmol*/L)
Geometric Coefficient of Variation 19
1450 picomole * hour per liter(pmol*/L)
Geometric Coefficient of Variation 17
3050 picomole * hour per liter(pmol*/L)
Geometric Coefficient of Variation 18
3180 picomole * hour per liter(pmol*/L)
Geometric Coefficient of Variation 20

SECONDARY outcome

Timeframe: Day 1: Every minute starting from the pre-dose and throughout the duration of the clamp until 10 hours post-dose

Population: All participants who received at least one dose of study drug and completed at least one clamp procedure.

Glucodynamics: Total Amount of Glucose Infused (Gtot) Over the Duration of Clamp

Outcome measures

Outcome measures
Measure
7 U Humalog
n=40 Participants
Single SC dose 7 U Humalog.
7 U LY900014
n=40 Participants
Single SC dose 7 U LY900014.
15 U Humalog
n=41 Participants
Single SC dose 15 U Humalog.
15 U LY900014
n=40 Participants
Single SC dose 15 U LY900014.
30 U Humalog
n=40 Participants
Single SC dose 30 U Humalog.
30 U LY900014
n=41 Participants
Single SC dose 30 U LY900014.
Glucodynamics: Total Amount of Glucose Infused (Gtot)
1120 milligrams per kilogram (mg/kg)
Geometric Coefficient of Variation 53
1080 milligrams per kilogram (mg/kg)
Geometric Coefficient of Variation 60
1970 milligrams per kilogram (mg/kg)
Geometric Coefficient of Variation 44
1860 milligrams per kilogram (mg/kg)
Geometric Coefficient of Variation 45
3290 milligrams per kilogram (mg/kg)
Geometric Coefficient of Variation 32
3030 milligrams per kilogram (mg/kg)
Geometric Coefficient of Variation 36

Adverse Events

7 U LY900014

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

15 U LY900014

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

30 U LY900014

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

7 U Humalog

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

15 U Humalog

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

30 U Humalog

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
7 U LY900014
n=40 participants at risk
Single SC dose 7 U LY900014.
15 U LY900014
n=40 participants at risk
Single SC dose 15 U LY900014.
30 U LY900014
n=41 participants at risk
Single SC dose 30 U LY900014.
7 U Humalog
n=40 participants at risk
Single SC dose 7 U Humalog.
15 U Humalog
n=41 participants at risk
Single SC dose 15 U Humalog.
30 U Humalog
n=40 participants at risk
Single SC dose 15 U Humalog.
Gastrointestinal disorders
Nausea
2.5%
1/40 • Number of events 1 • Baseline to study completion (up to 12 weeks)
5.0%
2/40 • Number of events 2 • Baseline to study completion (up to 12 weeks)
7.3%
3/41 • Number of events 3 • Baseline to study completion (up to 12 weeks)
2.5%
1/40 • Number of events 1 • Baseline to study completion (up to 12 weeks)
2.4%
1/41 • Number of events 1 • Baseline to study completion (up to 12 weeks)
5.0%
2/40 • Number of events 2 • Baseline to study completion (up to 12 weeks)
General disorders
Injection site reaction
2.5%
1/40 • Number of events 1 • Baseline to study completion (up to 12 weeks)
2.5%
1/40 • Number of events 1 • Baseline to study completion (up to 12 weeks)
14.6%
6/41 • Number of events 6 • Baseline to study completion (up to 12 weeks)
0.00%
0/40 • Baseline to study completion (up to 12 weeks)
4.9%
2/41 • Number of events 2 • Baseline to study completion (up to 12 weeks)
0.00%
0/40 • Baseline to study completion (up to 12 weeks)
Nervous system disorders
Headache
15.0%
6/40 • Number of events 6 • Baseline to study completion (up to 12 weeks)
10.0%
4/40 • Number of events 4 • Baseline to study completion (up to 12 weeks)
14.6%
6/41 • Number of events 6 • Baseline to study completion (up to 12 weeks)
20.0%
8/40 • Number of events 8 • Baseline to study completion (up to 12 weeks)
7.3%
3/41 • Number of events 3 • Baseline to study completion (up to 12 weeks)
7.5%
3/40 • Number of events 3 • Baseline to study completion (up to 12 weeks)

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