Trial Outcomes & Findings for A Comparative Study of LY900014 With Insulin Lispro (Humalog) in Participants With Type 1 Diabetes Mellitus (NCT NCT03341299)

NCT ID: NCT03341299

Last Updated: 2020-05-14

Results Overview

PK: Insulin Lispro AUC for Each Treatment Arm. LY900014 before and after meal and insulin lispro (Humalog) before and after meal were pooled by treatment to evaluate the overall PK of LY900014 and insulin lispro (Humalog) per protocol .

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

36 participants

Primary outcome timeframe

Predose, 0, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 70, 90, 120, 150, 180, 240, 300, and 420 minutes (7 hours)

Results posted on

2020-05-14

Participant Flow

Participant milestones

Participant milestones
Measure
Cohort 1
Individualized dose of LY900014 or insulin lispro (Humalog) administered subcutaneously (SC) with 21 hours between doses Period 1: LY900014 administered subcutaneously (SC) immediately before meal Period 2: insulin lispro (Humalog) administered SC 20 minutes after start of meal Period 3:LY900014 administered SC 20 minutes after start of meal Period 4: insulin lispro administered SC immediately before meal
Cohort 2
Individualized dose of LY900014 or insulin lispro (Humalog) administered subcutaneously (SC) with 21 hours between doses Period 1:LY900014 administered SC 20 minutes after start of meal Period 2: LY900014 administered subcutaneously (SC) immediately before meal Period 3: insulin lispro (Humalog) administered SC immediately before meal Period 4: insulin lispro (Humalog) administered SC 20 minutes after start of meal
Cohort 3
Individualized dose of LY900014 or insulin lispro (Humalog) administered subcutaneously (SC) with 21 hours between doses Period 1: insulin lispro (Humalog) administered SC immediately before meal Period 2:LY900014 administered SC 20 minutes after start of meal Period 3: insulin lispro (Humalog) administered SC 20 minutes after start of meal Period 4: LY900014 administered subcutaneously (SC) immediately before meal
Cohort 4
Individualized dose of LY900014 or insulin lispro (Humalog) administered subcutaneously (SC) with 21 hours between doses Period 1: insulin lispro (Humalog) administered SC 20 minutes after start of meal Period 2: insulin lispro (Humalog) administered SC immediately before meal Period 3: LY900014 administered subcutaneously (SC) immediately before meal Period 4:LY900014 administered SC 20 minutes after start of meal
Period 1
STARTED
9
9
9
9
Period 1
COMPLETED
9
9
9
9
Period 1
NOT COMPLETED
0
0
0
0
Washout (A Minimum of 21 Hours)
STARTED
9
9
8
9
Washout (A Minimum of 21 Hours)
COMPLETED
9
9
8
9
Washout (A Minimum of 21 Hours)
NOT COMPLETED
0
0
0
0
Period 2
STARTED
9
9
8
9
Period 2
COMPLETED
9
9
8
9
Period 2
NOT COMPLETED
0
0
0
0
Period 3
STARTED
9
9
8
9
Period 3
COMPLETED
9
9
8
9
Period 3
NOT COMPLETED
0
0
0
0
Period 4
STARTED
9
9
8
9
Period 4
COMPLETED
9
9
8
9
Period 4
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1
Individualized dose of LY900014 or insulin lispro (Humalog) administered subcutaneously (SC) with 21 hours between doses Period 1: LY900014 administered subcutaneously (SC) immediately before meal Period 2: insulin lispro (Humalog) administered SC 20 minutes after start of meal Period 3:LY900014 administered SC 20 minutes after start of meal Period 4: insulin lispro administered SC immediately before meal
Cohort 2
Individualized dose of LY900014 or insulin lispro (Humalog) administered subcutaneously (SC) with 21 hours between doses Period 1:LY900014 administered SC 20 minutes after start of meal Period 2: LY900014 administered subcutaneously (SC) immediately before meal Period 3: insulin lispro (Humalog) administered SC immediately before meal Period 4: insulin lispro (Humalog) administered SC 20 minutes after start of meal
Cohort 3
Individualized dose of LY900014 or insulin lispro (Humalog) administered subcutaneously (SC) with 21 hours between doses Period 1: insulin lispro (Humalog) administered SC immediately before meal Period 2:LY900014 administered SC 20 minutes after start of meal Period 3: insulin lispro (Humalog) administered SC 20 minutes after start of meal Period 4: LY900014 administered subcutaneously (SC) immediately before meal
Cohort 4
Individualized dose of LY900014 or insulin lispro (Humalog) administered subcutaneously (SC) with 21 hours between doses Period 1: insulin lispro (Humalog) administered SC 20 minutes after start of meal Period 2: insulin lispro (Humalog) administered SC immediately before meal Period 3: LY900014 administered subcutaneously (SC) immediately before meal Period 4:LY900014 administered SC 20 minutes after start of meal
Washout (A Minimum of 21 Hours)
Adverse Event
0
0
1
0

Baseline Characteristics

A Comparative Study of LY900014 With Insulin Lispro (Humalog) in Participants With Type 1 Diabetes Mellitus

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Study
n=36 Participants
All randomized participants who received at least 1 dose of study drug.
Age, Continuous
45.4 years
STANDARD_DEVIATION 11.3 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
Sex: Female, Male
Male
27 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
36 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 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
35 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
Germany
36 Participants
n=5 Participants
Duration of Type 1 Diabetes Mellitis
21.41 years
STANDARD_DEVIATION 13.60 • n=5 Participants

PRIMARY outcome

Timeframe: Predose, 0, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 70, 90, 120, 150, 180, 240, 300, and 420 minutes (7 hours)

Population: All randomized participants who received at least 1 dose of study drug. LY900014 before and after meal and insulin lispro (Humalog) before and after meal were pooled by treatment to evaluate the overall PK of LY900014 and insulin lispro (Humalog) per protocol .

PK: Insulin Lispro AUC for Each Treatment Arm. LY900014 before and after meal and insulin lispro (Humalog) before and after meal were pooled by treatment to evaluate the overall PK of LY900014 and insulin lispro (Humalog) per protocol .

Outcome measures

Outcome measures
Measure
LY900014
n=35 Participants
All participants who received individualized dose of LY900014 SC before meal or 20 minutes after start of meal
Insulin Lispro (Humalog)
n=35 Participants
All participants who received individualized dose of insulin lispro (Humalog) SC before meal or 20 minutes after start of meal
Insulin Lispro (Humalog) Before Meal
Individualized dose of insulin lispro (Humalog) administered SC immediately before meal in one of four study periods.
Insulin Lispro (Humalog) After Meal
Individualized dose of insulin lispro administered SC 20 minutes after start of meal in one of four study periods.
Pharmacokinetics (PK): Insulin Lispro Area Under the Concentration Curve (AUC)
970 picomoles times hour per Liter
Geometric Coefficient of Variation 57
968 picomoles times hour per Liter
Geometric Coefficient of Variation 56

SECONDARY outcome

Timeframe: Predose, 0, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 70, 90, 120, 150, 180, 240, and 300 minutes postdose

Population: All randomized participants who received at least 1 dose of study drug and had evaluable glucodynamic parameters.

GD: Area Under The Baseline Subtracted Glucose Concentration Curve for Each Treatment Arm

Outcome measures

Outcome measures
Measure
LY900014
n=30 Participants
All participants who received individualized dose of LY900014 SC before meal or 20 minutes after start of meal
Insulin Lispro (Humalog)
n=29 Participants
All participants who received individualized dose of insulin lispro (Humalog) SC before meal or 20 minutes after start of meal
Insulin Lispro (Humalog) Before Meal
n=32 Participants
Individualized dose of insulin lispro (Humalog) administered SC immediately before meal in one of four study periods.
Insulin Lispro (Humalog) After Meal
n=29 Participants
Individualized dose of insulin lispro administered SC 20 minutes after start of meal in one of four study periods.
Glucodynamics (GD): Area Under the Baseline Subtracted Glucose Concentration Curve
207 milligrams times hour per deciLiter
Standard Deviation 189
264 milligrams times hour per deciLiter
Standard Deviation 205
227 milligrams times hour per deciLiter
Standard Deviation 163
327 milligrams times hour per deciLiter
Standard Deviation 212

Adverse Events

LY900014 Before Meal

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

LY900014 After Meal

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

Insulin Lispro (Humalog) Before Meal

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

Insulin Lispro (Humalog) After Meal

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
LY900014 Before Meal
n=35 participants at risk
Individualized dose of LY900014 administered subcutaneously (SC) immediately before meal in one of four study periods.
LY900014 After Meal
n=35 participants at risk
Individualized dose of LY900014 administered SC 20 minutes after start of meal in one of four study periods.
Insulin Lispro (Humalog) Before Meal
n=36 participants at risk
Individualized dose of insulin lispro (Humalog) administered SC immediately before meal in one of four study periods.
Insulin Lispro (Humalog) After Meal
n=35 participants at risk
Individualized dose of insulin lispro (Humalog) administered SC 20 minutes after start of meal in one of four study periods.
General disorders
Injection Site Reaction
0.00%
0/35 • 4 weeks
All participants who received at least 1 dose of study drug.
8.6%
3/35 • Number of events 3 • 4 weeks
All participants who received at least 1 dose of study drug.
2.8%
1/36 • Number of events 1 • 4 weeks
All participants who received at least 1 dose of study drug.
0.00%
0/35 • 4 weeks
All participants who received at least 1 dose of study drug.
Metabolism and nutrition disorders
Hyperglycemia
0.00%
0/35 • 4 weeks
All participants who received at least 1 dose of study drug.
0.00%
0/35 • 4 weeks
All participants who received at least 1 dose of study drug.
5.6%
2/36 • Number of events 2 • 4 weeks
All participants who received at least 1 dose of study drug.
0.00%
0/35 • 4 weeks
All participants who received at least 1 dose of study drug.

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