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Phase 3 Completed N=493 Randomized Treatment

A Study of LY2963016 Compared to LANTUS® in Adult Participants With Type 2 Diabetes Mellitus

Source: ClinicalTrials.gov NCT02302716 ↗
Enrolled (actual)
493
Serious AEs
4.5%
Results posted
Oct 2017
Primary outcomePrimary: Change From Baseline to 24 Weeks in Hemoglobin A1c (HbA1c) — -1.25; -1.22 Percentage of glycosylated hemoglobin — p=0.693
◆ Published Evidence
Emerging
17citations · ~2 / year
Lilly Insulin Glargine Versus Lantus<sup>®</sup> in Insulin-Naïve and Insulin-Treated Adults with Type 2 Diabetes: A Randomized, Controlled Trial (ELEMENT 5).
Diabetes therapy : research, treatment and education of diabetes and related disorders · 2019 · Open access · Likely link

Summary

The main purpose of this study is to evaluate the safety and efficacy of the study drug known as LY2963016 as compared to LANTUS® in adults with type 2 diabetes mellitus who are on 2 or more oral antihyperglycemic medications (OAMs).

Linked Publications (2)

  • Lilly Insulin Glargine Versus Lantus<sup>®</sup> in Insulin-Naïve and Insulin-Treated Adults with Type 2 Diabetes: A Randomized, Controlled Trial (ELEMENT 5).
    Diabetes therapy : research, treatment and education of diabetes and related disorders · 2019 · 17 citations · Open access · Likely link
  • Lilly Insulin Glargine Versus Lantus<sup>®</sup> in Type 2 Diabetes Mellitus Patients: India and East Asia Subpopulation Analyses of the ELEMENT 5 Study.
    Clinical drug investigation · 2019 · 2 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline to 24 Weeks in Hemoglobin A1c (HbA1c)
-1.25; -1.22 0.693
SECONDARY
Percentage of Participants With HbA1c <7% and ≤6.5%
35.0; 38.3; 20.8; 18.8
SECONDARY
Change From Baseline in 7-point Self-Monitored Blood Glucose (SMBG) Values
-2.37; -2.69; -2.78; -3.00; -2.14; -2.20
SECONDARY
Intra-Participant Variability in Fasting Blood Glucose (FBG)
0.81; 0.79
SECONDARY
Basal Insulin Dose Units Per Day
49.8; 49.7
SECONDARY
Basal Insulin Dose Per Body Weight (U/kg/Day)
0.58; 0.61
SECONDARY
Change From Baseline to 24 Weeks in Body Weight
2.3; 1.7
SECONDARY
Insulin Treatment Satisfaction Questionnaire (ITSQ) Score
85.79; 84.92; 84.75; 84.91; 71.43; 69.11
SECONDARY
Percentage of Participants With Detectable Anti-Drug Antibodies to LY2963016 or LANTUS®
14.5; 17.2
SECONDARY
Rate of Hypoglycemic Events Adjusted Per 1 Year
16.95; 23.37; 0.00; 0.00; 6.64; 7.94
SECONDARY
Percentage of Participants With Hypoglycemic Events
68.7; 69.1; 0; 0.8; 49.6; 46.1

Eligibility Criteria

Inclusion Criteria

  • Have type 2 diabetes mellitus (T2DM).
  • Have been receiving 2 or more OAMs at stable doses for the 12 weeks prior to screening, with or without basal insulin.
  • If currently on basal insulin, must be taking LANTUS® QD or NPH or insulin detemir either QD or twice a day for at least 90 days prior to study entry.
  • Have an HbA1c ≥7.0% and ≤11.0% if insulin naïve; if previously on basal insulin, then HbA1c ≤11.0%.
  • Body mass index (BMI) ≤45 kilograms per meter squared (kg/m^2).
  • As determined by the investigator, are capable and willing to do the following:
  • perform self monitored blood glucose (SMBG)
  • complete participant diaries as instructed
  • are receptive to diabetes education
  • comply with required study treatment and study visits

Exclusion Criteria

  • Have been on LANTUS® more than once daily within the previous 30 days.
  • Have used any other insulin except the entry insulin [LANTUS®, insulin detemir, or NPH] including commercial (includes any premixed insulins) and investigational insulins within the previous 30 days.
  • Have been exposed to a biosimilar insulin glargine within the previous 90 days.
  • Have participated in a LY2963016 study.
  • Have taken basal plus mealtime insulin (basal bolus therapy) within the last year for greater than 4 continuous weeks.
  • Have used any glucagon like peptide (GLP-1) receptor agonists within the previous 90 days.
  • Have used pramlintide within the previous 30 days.
  • Have excessive insulin resistance at study entry (total insulin dose ≥1.5 units/kg).
  • Have more than 1 episode of severe hypoglycemia within 6 months prior to screening.
  • Have had 2 or more emergency room visits or hospitalizations due to poor glucose control in the 6 months prior to screening.
  • Have known hypersensitivity or allergy to LANTUS® or its excipients.
  • Are receiving chronic (lasting longer than 14 consecutive days) systemic glucocorticoid therapy or have received such therapy within 4 weeks immediately preceding screening.
  • Have obvious signs or symptoms, or laboratory evidence, of liver disease.
  • Have one of the following concomitant diseases: significant cardiac (e.g., congestive heart failure Class III or IV) or gastrointestinal disease (e.g., significant gastroparesis).
  • Have a history of renal transplantation or are currently receiving renal dialysis.
  • Have a serum creatinine greater than 2.0 milligrams/deciliter (177 micromoles/liter).
  • Have had a blood transfusion or severe blood loss within 3 months prior to screening or have known hemoglobinopathy, hemolytic anemia, or sickle cell anemia.
  • Participants with active cancer or personal history of cancer within the previous 5 years (with the exception of basal cell carcinoma or carcinoma in situ).
  • Have a history or diagnosis of Human Immunodeficiency Virus (HIV) infection.
  • Have any other condition (including known drug or alcohol abuse or psychiatric disorder including dementia) that precludes the participant from following and completing the protocol.
  • Are pregnant or intend to become pregnant during the course of the study.
  • Women who are breastfeeding.
  • Are currently enrolled in, or discontinued within the last 30 days from, a clinical trial involving an investigational product or non-approved use of a drug or device other than LY2963016, or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02302716) and the linked publication. 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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