A Study of Insulin Efsitora Alfa (LY3209590) Compared With Insulin Degludec in Participants With Type 1 Diabetes Treated With Multiple Daily Injection Therapy

NCT ID: NCT05463744

Last Updated: 2025-06-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

692 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-12

Study Completion Date

2024-05-07

Brief Summary

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The main purpose of this study is to measure the safety and efficacy of insulin efsitora alfa (LY3209590) compared with insulin degludec in participants with type 1 diabetes treated with multiple daily injection therapy.

Detailed Description

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Conditions

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Type 1 Diabetes Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Insulin Efsitora Alfa

Participants who were treated with prestudy basal insulin and prandial insulin therapy (100 units per milliliter (U/mL) Insulin Lispro) received 500 U/mL of insulin efsitora alfa administered once weekly (QW) for 52 weeks as subcutaneous injection, followed by a 5-week safety follow-up.

Group Type EXPERIMENTAL

Insulin Efsitora Alfa

Intervention Type DRUG

Administered SC

Insulin Degludec

Participants who were treated with prestudy basal insulin and prandial insulin therapy (100 U/mL Insulin Lispro) received 100 U/mL of Insulin Degludec administered once daily (QD) for 52 weeks as subcutaneous injection, followed by a 5-week safety follow-up.

Group Type ACTIVE_COMPARATOR

Insulin Degludec

Intervention Type DRUG

Administered SC

Interventions

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Insulin Efsitora Alfa

Administered SC

Intervention Type DRUG

Insulin Degludec

Administered SC

Intervention Type DRUG

Other Intervention Names

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LY3209590 and Basal Insulin-FC

Eligibility Criteria

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Inclusion Criteria

* Have a clinical diagnosis of type 1 diabetes for at least 1 year prior to screening
* Have received treatment with basal-bolus insulin analog multiple daily injection therapy according to the local product label for at least 90 days prior to screening
* Have an HbA1c value of 7.0% to 10.0%, inclusive, as determined by the central laboratory at screening.
* Have a body mass index of ≤35 kilogram/square meter (kg/m²)

Exclusion Criteria

* Have a diagnosis of type 2 diabetes, latent autoimmune diabetes, or specific types of diabetes other than type 1 diabetes
* Have a history of more than 1 episode of severe hypoglycemia, within the 6 months prior to screening.
* Have a history of more than 1 episode of diabetic ketoacidosis or hyperosmolar state or coma requiring hospitalization within the 6 months prior to screening.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST

Role: STUDY_CHAIR

Eli Lilly and Company

Locations

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John Muir Physician Network Research Center

Concord, California, United States

Site Status

Valley Research

Fresno, California, United States

Site Status

Catalina Research Institute, LLC

Montclair, California, United States

Site Status

Sansum Diabetes Research Institute

Santa Barbara, California, United States

Site Status

University Clinical Investigators, Inc.

Tustin, California, United States

Site Status

University of Colorado Anschutz Medical Campus

Aurora, Colorado, United States

Site Status

Northeast Research Institute (NERI)

Fleming Island, Florida, United States

Site Status

Jellinger and Lerman, MD PA dba The Center for Diabetes and Endocrine Care

Fort Lauderdale, Florida, United States

Site Status

Suncoast Clinical Research, Inc.

New Port Richey, Florida, United States

Site Status

Hanson Clinical Research Center

Port Charlotte, Florida, United States

Site Status

East Coast Institute for Research at The Jones Center

Macon, Georgia, United States

Site Status

East-West Medical Research Institute

Honolulu, Hawaii, United States

Site Status

Rocky Mountain Clinical Research

Idaho Falls, Idaho, United States

Site Status

Iowa Diabetes and Endocrinology Research Center

West Des Moines, Iowa, United States

Site Status

Cotton O'Neil Clinical Research Center

Topeka, Kansas, United States

Site Status

MedStar Health Research Institute (MedStar Physician Based Research Network)

Hyattsville, Maryland, United States

Site Status

Endocrine and Metabolic Consultants

Rockville, Maryland, United States

Site Status

Clinvest Research LLC

Springfield, Missouri, United States

Site Status

Palm Research Center Tenaya

Las Vegas, Nevada, United States

Site Status

Palm Research Center Sunset

Las Vegas, Nevada, United States

Site Status

Research Foundation of SUNY - University of Buffalo

Buffalo, New York, United States

Site Status

NYU Langone Hospital - Long Island

Mineola, New York, United States

Site Status

NYC Research

New York, New York, United States

Site Status

SUNY Upstate Medical University

Syracuse, New York, United States

Site Status

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Site Status

Texas Diabetes & Endocrinology, P.A.

Austin, Texas, United States

Site Status

Dallas Diabetes Research Center

Dallas, Texas, United States

Site Status

North Texas Endocrine Center

Dallas, Texas, United States

Site Status

Research Institute of Dallas

Dallas, Texas, United States

Site Status

Biopharma Informatic, LLC

Houston, Texas, United States

Site Status

Amir A Hassan, MD, PA

Houston, Texas, United States

Site Status

Southern Endocrinology Associates

Mesquite, Texas, United States

Site Status

Texas Diabetes & Endocrinology, P.A.

Round Rock, Texas, United States

Site Status

Rainier Clinical Research Center

Renton, Washington, United States

Site Status

CEDIC

CABA, Buenos Aires, Argentina

Site Status

Centro de Investigaciones Metabólicas (CINME)

Ciudad Autónoma de Buenos Aire, Buenos Aires, Argentina

Site Status

Consultorio de Investigación Clínica EMO SRL

Ciudad Autonoma de Buenos Aire, Buenos Air, Argentina

Site Status

CIAD Moron

Morón, Buenos Air, Argentina

Site Status

Investigaciones Medicas Imoba Srl

Balvanera, Ciudad Autónoma de Buenos Aire, Argentina

Site Status

Mautalen Salud e Investigación

Buenos Aires, Ciudad Autónoma de Buenos Aire, Argentina

Site Status

Centro Medico Privado CEMAIC

Capital, Córdoba Province, Argentina

Site Status

Centro Medico Privado San Vicente Diabetes

Córdoba, Córdoba Province, Argentina

Site Status

Centro de Salud e Investigaciones Médicas

Santa Rosa, La Pampa Province, Argentina

Site Status

CIPADI - Centro Integral de Prevencion y Atencion en Diabetes

Godoy Cruz, Mendoza Province, Argentina

Site Status

Clínica Mayo de Urgencias Médicas Cruz Blanca S.R.L

San Miguel de Tucumán, Tucumán Province, Argentina

Site Status

Centro Medico Privado de Reumatologia

San Miguel de Tucumán, Tucumán Province, Argentina

Site Status

Instituto Médico Especializado (IME)

Buenos Aires, , Argentina

Site Status

Centro Diabetológico Dr. Waitman

Córdoba, , Argentina

Site Status

Tosaki Clinic for Diabetes and Endocrinology

Nagoya, Aichi-ken, Japan

Site Status

Manda Memorial Hospital

Sapporo, Hokkaido, Japan

Site Status

MinamiAkatsukaClinic

Mito, Ibaraki, Japan

Site Status

Nakakinen clinic

Naka, Ibaraki, Japan

Site Status

Noritake Clinic

Ushiku, Ibaraki, Japan

Site Status

Takai Internal Medicine Clinic

Kamakura-shi, Kanagawa, Japan

Site Status

Takatsuki Red Cross Hospital

Takatsuki, Osaka, Japan

Site Status

Shimizu Clinic Fusa

Saitama-shi, Saitama, Japan

Site Status

The Institute for Adult Disease, Asahi Life Foundation

Chuo-ku, Tokyo, Japan

Site Status

Hachioji Diabetes Clinic

Hachioji-shi, Tokyo, Japan

Site Status

Clinic Masae Minami

Fukuoka, , Japan

Site Status

Jinnouchi Hospital

Kumamoto, , Japan

Site Status

Heiwadai Hospital

Miyazaki, , Japan

Site Status

Abe Clinic

Ōita, , Japan

Site Status

Medyczne Centrum Diabetologiczno Endokrynologiczno Metaboliczne DIAB-ENDO-MET

Krakow, Lesser Poland Voivodeship, Poland

Site Status

Gabinety TERPA

Lublin, Lublin Voivodeship, Poland

Site Status

NZOZ Medica

Lublin, Lublin Voivodeship, Poland

Site Status

Centrum Medyczne "Diabetika"

Radom, Masovian Voivodeship, Poland

Site Status

Centralny Szpital Kliniczny MSWiA w Warszawie

Warsaw, Masovian Voivodeship, Poland

Site Status

NBR Polska

Warsaw, Mazowiecki, Poland

Site Status

SN ZOZ Lege Artis Poradnia Diabetologiczna

Bialystok, Podlaskie Voivodeship, Poland

Site Status

NZOZ Specjalistyczny Ośrodek Internistyczno-Diabetologiczny

Bialystok, Podlaskie Voivodeship, Poland

Site Status

Centrum Badan Klinicznych PI-House sp. z o.o.

Gdansk, Pomeranian Voivodeship, Poland

Site Status

Private Practice - Dr. Janusz Gumprecht

Zabrze, Silesian Voivodeship, Poland

Site Status

Advanced Clinical Research, LLC

Bayamón, , Puerto Rico

Site Status

Endocrinologist Metabolic Clinic & Research Institute

San Juan, , Puerto Rico

Site Status

Tatratrial s.r.o.

Rožňava, Košice Region, Slovakia

Site Status

Funkystuff

Nové Zámky, Nitra Region, Slovakia

Site Status

ENDIAMED s.r.o

Dolný Kubín, Žilina Region, Slovakia

Site Status

Chung Shan Medical University Hospital

Taichung, Taichung, Taiwan

Site Status

Taichung Veterans General Hospital

Taichung, Taichung, Taiwan

Site Status

Chi Mei Medical Center

Tainan City, Tainan, Taiwan

Site Status

Taipei Veterans General Hospital

Taipei City, Taipei, Taiwan

Site Status

Changhua Christian Hospital

Changhua, , Taiwan

Site Status

National Cheng Kung University Hospital

Tainan City, , Taiwan

Site Status

Countries

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United States Argentina Japan Poland Puerto Rico Slovakia Taiwan

References

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Bergenstal RM, Weinstock RS, Mathieu C, Onishi Y, Vijayanagaram V, Katz ML, Carr MC, Chang AM. Once-weekly insulin efsitora alfa versus once-daily insulin degludec in adults with type 1 diabetes (QWINT-5): a phase 3 randomised non-inferiority trial. Lancet. 2024 Sep 21;404(10458):1132-1142. doi: 10.1016/S0140-6736(24)01804-X. Epub 2024 Sep 10.

Reference Type DERIVED
PMID: 39270686 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://trials.lilly.com/en-US/trial/351115

A Study of LY3209590 Compared With Insulin Degludec in Participants With Type 1 Diabetes Treated With Multiple Daily Injection Therapy (QWINT-5)

Other Identifiers

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I8H-MC-BDCY

Identifier Type: OTHER

Identifier Source: secondary_id

2021-005892-38

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

18263

Identifier Type: -

Identifier Source: org_study_id

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