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Phase 1 N=32 Randomized Triple-blind Treatment

Effect of LY2189265 on Insulin Secretion in Response to Intravenous Glucose

Diabetes Mellitus, Type 2

Enrolled (actual)
32
Serious AEs
0.0%
Results posted
Oct 2014
Primary outcome: Primary: Maximum Insulin Concentration (Cmax) - First Phase Response — 233; 689; 74.3; 401 picomole per liter (pmol/L) — p=<0.001

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
LY2189265 (Biological); Placebo (Drug); Insulin (Drug); Glucose (Drug); Glucagon (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Eli Lilly and Company
Primary completion
Aug 2011

Outcome Measures

OutcomeResultp-value
PRIMARY
Maximum Insulin Concentration (Cmax) - First Phase Response
233; 689; 74.3; 401 <0.001 sig
PRIMARY
Area Under the Insulin Concentration-time Curve (AUC) - First Phase Response
22.9; 70.7; 5.06; 40.1 <0.001 sig
PRIMARY
Maximum Insulin Concentration (Cmax) - Second Phase Response
89.2; 370; 95.9; 363 <0.001 sig
PRIMARY
Insulin Area Under the Curve (AUC) - Second Phase Response
68.8; 141; 147; 357 0.011 sig
SECONDARY
Insulin Maximum Concentration (Cmax)
996; 1215; 1088; 1514 0.021 sig

Summary

The purpose of this study is to measure the effect of LY2189265 to increase insulin levels in response to glucose intake.

Eligibility Criteria

Inclusion Criteria

All Participants

  • Women must be surgically sterile (hysterectomy or bilateral oophorectomy or tubal ligation) or postmenopausal as defined by age >45 years without use of oral contraceptive agents for greater than 1 year and have either:
  • spontaneous amenorrhea greater than 12 months, or
  • spontaneous amenorrhea 6 to 12 months with documented follicle stimulating hormone (FSH) >25 milli international units/milliliter (mIU/mL) and serum estradiol <73 picomoles/liter (pmol/L) (20 picograms/milliliter [pg/mL])
  • Are reliable and willing to make themselves available for the duration of the study and are willing to follow study procedures
  • Have given written informed consent approved by Lilly and the ethical review board governing the site
  • Have serum creatinine <150 micromoles/liter (µmol/L) (<1.3 milligrams/deciliter [mg/dl] in women, <170 µmol/L [<1.5 mg/dL] in men)
  • Have normal hemoglobin result, as determined by the investigator

Healthy Participants

  • Overtly healthy men and women as determined by medical history, normal lab results and physical examination.
  • Body mass index (BMI) between 19 and 25 kilograms/meter squared (kg/m^2), inclusive.
  • Normal blood pressure and heart rate as determined by the investigator
  • Have a normal response to an oral glucose tolerance test (OGTT) (glucose <7.8 millimoles/liter [mmol/L] [<140 mg/dL] at 2 hours after 75 grams (g) oral glucose load)

Participants with type 2 diabetes mellitus (T2DM)

  • Participants will have a BMI between 22.0 and 40.0 kg/m^2
  • Have T2DM controlled with diet and exercise alone or metformin for at least 4 weeks prior to admission
  • Have a hemoglobin A1c (HbA1c) value at screening (or within 4 weeks prior to screening) of 6.0% to 9.5%
  • Diagnosed with T2DM within the past 10 years
  • Clinical laboratory test results within normal range or deemed clinically insignificant by the Investigator. Abnormalities of serum glucose, serum lipids, urinary glucose, and urinary protein consistent with T2DM are acceptable.
  • Participants who are taking stable-dose prescription medications (for example, antihypertensive agents, aspirin, lipid-lowering agents) for treatment of concurrent medical conditions are permitted to participate providing the medication is not associated with development of torsade de pointes. However, use of beta-blockers and thiazide diuretics are not permitted during this study.

Exclusion Criteria

All Participants

  • Within 30 days of the initial dose of study drug, have received treatment with a drug that has not received regulatory approval for any indication
  • Known allergies to Glucagon-Like Peptide 1 (GLP-1) related compounds
  • Have previously completed or withdrawn from this study or any other study in the last year investigating glucagon-like peptides or incretin mimetics including exenatide (Byetta®)
  • Regular use of known drugs of abuse and/or positive findings on urinary drug screening, other than findings consistent with medication prescribed by the participant's physician(s)
  • History or presence of cardiovascular, respiratory, renal, endocrine (except T2DM), hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs or of constituting a risk when taking the study medication or interfering with the interpretation of data
  • Have a history or presence of gastrointestinal disorder
  • Poorly controlled hypertension (systolic greater than 160 millimeters of mercury [mmHg], diastolic greater than 95 mmHg) and/or evidence of labile blood pressure including symptomatic postural hypotension. Use of beta-blockers or thiazide diuretics is not permitted during the study
  • Have a clinically significant history of cardiac disease or presence of active cardiac disease within 1 year of the screening period
  • Evidence of hepatitis C and/or positive hepatitis C antibody
  • Evidence of hepatitis B and/or positive hepatitis B surface antigen
  • Evidence of human immuno
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01300260). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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