Phase 1
N=32
Effect of LY2189265 on Insulin Secretion in Response to Intravenous Glucose
Diabetes Mellitus, Type 2
Bottom Line
View on ClinicalTrials.gov: NCT01300260 ↗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
| Outcome | Result | p-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
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.