A Study to Compare LY2963016 to Lantus After a Single Dose to Subjects With Type 1 Diabetes Mellitus

Overview[ - collapse ][ - ]

Purpose The study involves a single injection of LY2963016 and a single injection of Lantus, on 2 separate occasions in participants with type I diabetes. Following each dose, participants will undergo a glucose clamp which lasts for 42 hours each time. There will be at least 7 days between the two periods, during which time there will be no study treatment, but participants will resume their regular therapy. The duration of this study can be up to 9.5 weeks. The purposes of this study are to understand how the blood sugar lowering effect of LY2963016 compares to that of Lantus, and to determine how LY2963016 and Lantus are metabolized by participants with type I diabetes.
ConditionDiabetes Mellitus, Type 1
InterventionDrug: LY2963016
Drug: Lantus
PhasePhase 1
SponsorEli Lilly and Company
Responsible PartyEli Lilly and Company
ClinicalTrials.gov IdentifierNCT01600950
First ReceivedMay 15, 2012
Last UpdatedJuly 30, 2012
Last verifiedJuly 2012

Tracking Information[ + expand ][ + ]

First Received DateMay 15, 2012
Last Updated DateJuly 30, 2012
Start DateMay 2012
Estimated Primary Completion DateJuly 2012
Current Primary Outcome MeasuresPharmacodynamics: Duration of action of LY2963016 and Lantus [Time Frame: Periods 1 and 2: Baseline up to 42 hours] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • Maximum glucose infusion rate (Rmax) [Time Frame: Periods 1 and 2: Baseline up to 42 hours] [Designated as safety issue: No]
  • Total glucose infused (Gtot) [Time Frame: Periods 1 and 2: Baseline up to 42 hours] [Designated as safety issue: No]
  • Time of maximum glucose infusion rate (tRmax) [Time Frame: Periods 1 and 2: Baseline up to 42 hours] [Designated as safety issue: No]
  • Pharmacokinetics: Maximum concentration (Cmax) of LY2963016 and Lantus [Time Frame: Periods 1 and 2: Baseline up to 24 hours] [Designated as safety issue: No]
  • Pharmacokinetics: Area under the concentration-time curve (AUC) of LY2963016 and Lantus [Time Frame: Periods 1 and 2: Baseline up to 42 hours] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleA Study to Compare LY2963016 to Lantus After a Single Dose to Subjects With Type 1 Diabetes Mellitus
Official TitlePharmacodynamics of LY2963016 Compared to LANTUS® in Subjects With Type 1 Diabetes Mellitus
Brief Summary
The study involves a single injection of LY2963016 and a single injection of Lantus, on 2
separate occasions in participants with type I diabetes. Following each dose, participants
will undergo a glucose clamp which lasts for 42 hours each time. There will be at least 7
days between the two periods, during which time there will be no study treatment, but
participants will resume their regular therapy. The duration of this study can be up to 9.5
weeks. The purposes of this study are to understand how the blood sugar lowering effect of
LY2963016 compares to that of Lantus, and to determine how LY2963016 and Lantus are
metabolized by participants with type I diabetes.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 1
Study DesignAllocation: Randomized, Endpoint Classification: Pharmacodynamics Study, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
ConditionDiabetes Mellitus, Type 1
InterventionDrug: LY2963016
Single 0.3 U/kg dose administered SQ
Drug: Lantus
Single 0.3 U/kg dose administered SQ
Study Arm (s)
  • Experimental: LY2963016
    A single 0.3 units per kilogram (U/kg) dose of LY2963016 will be administered subcutaneously (SQ) followed by a minimum washout period of 7 days
  • Active Comparator: Lantus
    A single 0.3 U/kg dose of Lantus will be administered SQ followed by a minimum washout period of 7 days

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment20
Estimated Completion DateJuly 2012
Estimated Primary Completion DateJuly 2012
Eligibility Criteria
Inclusion Criteria:

- have type 1 diabetes mellitus (T1DM) based on the disease diagnostic criteria

- have had a duration of diabetes ≥1 year

- have hemoglobin A1c ≤10.0%

- have fasting C-peptide ≤0.3 nanomoles (nmol/L)

- have a body mass index ≤29 kg/m^2

- have venous access sufficient to allow blood sampling and cannulation for clamp
procedures

Exclusion Criteria:

- are currently enrolled in, have completed, or discontinued within the last 30 days
from, a clinical trial involving an investigational drug or device or off-label use
of a drug or device

- have a total insulin requirement > 1.2 U/kg per day

- have a history of proliferative retinopathy

- have known allergies to insulin glargine, insulin lispro, heparin, or related
compounds

- have an electrocardiogram (ECG) reading considered outside the normal limits

- have an abnormal blood pressure

- have abnormal clinical laboratory tests

- have a history or presence of/significant history of or current cardiovascular,
respiratory, hepatic, renal, gastrointestinal, endocrine, hematological or
neurological disorders capable of significantly altering the absorption, metabolism,
or elimination of drugs

- history of deep leg vein thrombosis or a frequent appearance of deep leg vein
thrombosis in first-degree relatives

- show evidence of significant active neuropsychiatric disease

- regular use of known drugs of abuse and/or show positive findings on drug screening

- show evidence of human immunodeficiency virus (HIV) and/or positive human HIV
antibodies

- show evidence of hepatitis C and/or positive hepatitis C antibody

- show evidence of hepatitis B and/or positive hepatitis B surface antigen

- are women with a positive pregnancy test or women who are lactating

- have an average weekly alcohol intake that exceeds 21 units per week (males) or 14
units per week (females)

- had more than 1 episode of severe hypoglycemia within 6 months prior to study

- undergoing therapy for a malignancy other than basal cell or squamous cell skin
cancer

- had a blood transfusion or severe blood loss within 3 months; made a blood donation
within 30 days prior to study entry; or have known hemoglobinopathy, haemolytic
anemia, or sickle cell anemia

- are receiving systemic glucocorticoid therapy

- have irregular sleep/wake cycle (for example, subjects who sleep during the day and
work during the night)

- show a history of adverse reactions to heparin, including heparin-induced
thrombocytopenia

- smoke more than 10 cigarettes (or equivalent other tobacco products) per day
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesGermany

Administrative Information[ + expand ][ + ]

NCT Number NCT01600950
Other Study ID Numbers13831
Has Data Monitoring CommitteeNo
Information Provided ByEli Lilly and Company
Study SponsorEli Lilly and Company
CollaboratorsNot Provided
Investigators Study Director: 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) Eli Lilly and Company
Verification DateJuly 2012

Locations[ + expand ][ + ]

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Neuss, Germany, 41460