Trial Outcomes & Findings for A Study of LY900014 Versus Insulin Lispro (Humalog) on High Blood Sugar in Participants With Type 1 Diabetes Who Use Insulin Pumps (NCT NCT04276207)

NCT ID: NCT04276207

Last Updated: 2021-08-25

Results Overview

Time to Recovery from Hyperglycemia was defined as tPG140 = time to achieve glucose of 140 Milligrams per deciliter (mg/dL).

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

32 participants

Primary outcome timeframe

Day 1: Baseline up to 5 hours after missed meal bolus

Results posted on

2021-08-25

Participant Flow

Participant milestones

Participant milestones
Measure
Sequence AB (LY900014, Insulin Lispro (Humalog))
Period 1: Participants received 100 units per milliliter (U/mL) of LY900014 administered by continuous subcutaneous insulin infusion (CSII). Period 2: Participants received 100 U/mL of Insulin lispro Humalog) administered by CSII.
Sequence BA (Insulin Lispro (Humalog), LY900014))
Period 1: Participants received 100 U/mL of Insulin lispro (Humalog) administered by CSII. Period 2: Participants received 100 U/mL of LY900014 administered by CSII.
Period 1
STARTED
15
17
Period 1
Received at Least One Dose of Study Drug
15
17
Period 1
COMPLETED
15
16
Period 1
NOT COMPLETED
0
1
Washout (3- 14 Days)
STARTED
15
16
Washout (3- 14 Days)
COMPLETED
15
16
Washout (3- 14 Days)
NOT COMPLETED
0
0
Period 2
STARTED
15
16
Period 2
COMPLETED
15
16
Period 2
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Sequence AB (LY900014, Insulin Lispro (Humalog))
Period 1: Participants received 100 units per milliliter (U/mL) of LY900014 administered by continuous subcutaneous insulin infusion (CSII). Period 2: Participants received 100 U/mL of Insulin lispro Humalog) administered by CSII.
Sequence BA (Insulin Lispro (Humalog), LY900014))
Period 1: Participants received 100 U/mL of Insulin lispro (Humalog) administered by CSII. Period 2: Participants received 100 U/mL of LY900014 administered by CSII.
Period 1
Withdrawal by Subject
0
1

Baseline Characteristics

A Study of LY900014 Versus Insulin Lispro (Humalog) on High Blood Sugar in Participants With Type 1 Diabetes Who Use Insulin Pumps

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
100 U/mL LY900014 and 100 U/mL Insulin Lispro (Humalog)
n=32 Participants
Participants received 100 U/mL LY900014 administered by CSII in one of two study periods. Participants received 100 U/mL Insulin Lispro (Humalog) administered by CSII in one of two study periods.
Age, Continuous
33.8 years
STANDARD_DEVIATION 9.57 • n=93 Participants
Sex: Female, Male
Female
9 Participants
n=93 Participants
Sex: Female, Male
Male
23 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
Race (NIH/OMB)
White
32 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Region of Enrollment
Germany
32 Participants
n=93 Participants

PRIMARY outcome

Timeframe: Day 1: Baseline up to 5 hours after missed meal bolus

Population: All participants who received both study treatments with the same insulin dose and achieved recovery from hyperglycemia on day 1

Time to Recovery from Hyperglycemia was defined as tPG140 = time to achieve glucose of 140 Milligrams per deciliter (mg/dL).

Outcome measures

Outcome measures
Measure
100 U/mL LY900014
n=21 Participants
Participants received 100 U/mL of LY900014 administered by CSII in one of the two study periods.
100 U/mL Insulin Lispro (Humalog)
n=21 Participants
Participants received 100 U/mL of Insulin lispro (Humalog) administered by CSII in one of the two study periods.
Time to Recovery From Hyperglycemia Following Administration of LY900014 and Insulin Lispro (Humalog) After Missed Meal Bolus
1.79 Hours
Interval 0.85 to 4.25
2.55 Hours
Interval 0.92 to 4.68

PRIMARY outcome

Timeframe: Day 2: Baseline up to 5 hours after pump suspension

Population: All participants who received both study treatments with the same insulin dose and achieved recovery from hyperglycemia on day 2

Time to Recovery from Hyperglycemia was defined as tPG140 = time to achieve glucose of 140 mg/dL.

Outcome measures

Outcome measures
Measure
100 U/mL LY900014
n=28 Participants
Participants received 100 U/mL of LY900014 administered by CSII in one of the two study periods.
100 U/mL Insulin Lispro (Humalog)
n=28 Participants
Participants received 100 U/mL of Insulin lispro (Humalog) administered by CSII in one of the two study periods.
Time to Recovery From Hyperglycemia Following Administration of LY900014 and Insulin Lispro (Humalog) After Pump Suspension
1.53 Hours
Interval 0.97 to 2.24
1.78 Hours
Interval 1.33 to 2.44

SECONDARY outcome

Timeframe: Day 1: Baseline up to 5 hours after missed meal bolus and Day 2: Baseline up to 5 hours after pump suspension

Population: All participants who received both study treatments with the same insulin dose and achieved recovery from hyperglycemia on days 1 and 2

PD: PGmax following administration of LY900014 and insulin lispro (Humalog)

Outcome measures

Outcome measures
Measure
100 U/mL LY900014
n=28 Participants
Participants received 100 U/mL of LY900014 administered by CSII in one of the two study periods.
100 U/mL Insulin Lispro (Humalog)
n=28 Participants
Participants received 100 U/mL of Insulin lispro (Humalog) administered by CSII in one of the two study periods.
Pharmacodynamics (PD): Maximum Observed Plasma Glucose (PGmax) Following Administration of LY900014 and Insulin Lispro (Humalog)
Day 1
297 Milligrams per deciliter (mg/dL)
Standard Deviation 27.6
309 Milligrams per deciliter (mg/dL)
Standard Deviation 24.9
Pharmacodynamics (PD): Maximum Observed Plasma Glucose (PGmax) Following Administration of LY900014 and Insulin Lispro (Humalog)
Day 2
259 Milligrams per deciliter (mg/dL)
Standard Deviation 11.1
265 Milligrams per deciliter (mg/dL)
Standard Deviation 9.26

SECONDARY outcome

Timeframe: Day 1: Baseline up to 5 hours after missed meal bolus and Day 2: Baseline up to 5 hours after pump suspension

Population: All participants who received both study treatments with the same insulin dose and achieved recovery from hyperglycemia on days 1 and 2

PK: Tmax following administration of LY900014 and insulin lispro (Humalog)

Outcome measures

Outcome measures
Measure
100 U/mL LY900014
n=28 Participants
Participants received 100 U/mL of LY900014 administered by CSII in one of the two study periods.
100 U/mL Insulin Lispro (Humalog)
n=28 Participants
Participants received 100 U/mL of Insulin lispro (Humalog) administered by CSII in one of the two study periods.
Pharmacokinetics (PK): Time to Maximum Observed Insulin Lispro Concentration (Tmax) Following Administration of LY900014 and Insulin Lispro (Humalog)
Day 1
0.75 Hours
Interval 0.33 to 1.75
0.83 Hours
Interval 0.33 to 1.75
Pharmacokinetics (PK): Time to Maximum Observed Insulin Lispro Concentration (Tmax) Following Administration of LY900014 and Insulin Lispro (Humalog)
Day 2
0.92 Hours
Interval 0.25 to 2.25
0.92 Hours
Interval 0.5 to 2.5

Adverse Events

100 U/mL LY900014

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

100 U/mL Insulin Lispro (Humalog)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
100 U/mL LY900014
n=31 participants at risk
Participants received 100 U/mL of LY900014 administered by CSII in one of the two study periods.
100 U/mL Insulin Lispro (Humalog)
n=32 participants at risk
Participants received 100 U/mL of Insulin lispro (Humalog) administered by CSII in one of the two study periods.
Endocrine disorders
Hyperglycaemia
6.5%
2/31 • Number of events 2 • Baseline Up To 42 Days
All randomized participants who received at least one dose of study drug.
0.00%
0/32 • Baseline Up To 42 Days
All randomized participants who received at least one dose of study drug.
Nervous system disorders
Headache
6.5%
2/31 • Number of events 2 • Baseline Up To 42 Days
All randomized participants who received at least one dose of study drug.
6.2%
2/32 • Number of events 2 • Baseline Up To 42 Days
All randomized participants who received at least one 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