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Phase 1 Completed N=32 Randomized Triple-blind Treatment

Effect of LY2189265 on Insulin Secretion in Response to Intravenous Glucose

Source: ClinicalTrials.gov NCT01300260 ↗
Enrolled (actual)
32
Serious AEs
0.0%
Results posted
Oct 2014
Primary outcomePrimary: Maximum Insulin Concentration (Cmax) - First Phase Response — 233; 689; 74.3; 401 picomole per liter (pmol/L) — p=<0.001

Summary

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

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

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. Informational only — not medical advice.

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