Comparison of Two Basal Insulins for Patients With Type 2 Diabetes Taking Oral Diabetes Medicines and Exenatide
A Randomized Trial Comparing Insulin Lispro Protamine Suspension With Insulin Glargine in Subjects With Type 2 Diabetes on Oral Antihyperglycemic Medications and Exenatide
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Ponce, Puerto Rico, 00731
- 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.
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Toa Baja, Puerto Rico, 00949
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Yabucoa, Puerto Rico, 00767
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Arizona
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Phoenix, Arizona, United States, 85028
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California
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Concord, California, United States, 94520
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Escondido, California, United States, 92026
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Fresno, California, United States, 93720
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Modesto, California, United States, 95355
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Orange, California, United States, 92869
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Florida
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Inverness, Florida, United States, 34452
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Jacksonville, Florida, United States, 32204
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Lake Worth, Florida, United States, 33461
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Miami, Florida, United States, 33183
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Orlando, Florida, United States, 32804
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Palm Harbor, Florida, United States, 34684
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Pembroke Pines, Florida, United States, 33029
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Plantation, Florida, United States, 33324
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West Palm Beach, Florida, United States, 33401
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Hawaii
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Honolulu, Hawaii, United States, 96813
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Idaho
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Idaho Falls, Idaho, United States, 83404
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Indiana
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Avon, Indiana, United States, 46123
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Bloomington, Indiana, United States, 47403
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South Bend, Indiana, United States, 46617
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Iowa
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Des Moines, Iowa, United States, 50314
- 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.
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Kentucky
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Lexington, Kentucky, United States, 40503
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Louisiana
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Baton Rouge, Louisiana, United States, 70808
- 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.
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Lafayette, Louisiana, United States, 70503
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Metairie, Louisiana, United States, 70006
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Maine
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Biddeford, Maine, United States, 04005
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Missouri
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Chesterfield, Missouri, United States, 63017
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Jefferson City, Missouri, United States, 65109
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St Louis, Missouri, United States, 63104
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Nebraska
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Omaha, Nebraska, United States, 68131
- 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.
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Nevada
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Las Vegas, Nevada, United States, 89148
- 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.
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New Hampshire
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Nashua, New Hampshire, United States, 03063
- 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.
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New York
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Rochester, New York, United States, 14607
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Syracuse, New York, United States, 13210
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North Carolina
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Morehead City, North Carolina, United States, 28557
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Ohio
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London, Ohio, United States, 43140
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Mason, Ohio, United States, 45040
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Toledo, Ohio, United States, 43606
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South Carolina
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Greer, South Carolina, United States, 29651
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Myrtle Beach, South Carolina, United States, 29572
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Tennessee
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Kingsport, Tennessee, United States, 37660
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Memphis, Tennessee, United States, 38119
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Texas
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Austin, Texas, United States, 78731
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Dallas, Texas, United States, 75231
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San Antonio, Texas, United States, 78229
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Vermont
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South Burlington, Vermont, United States, 05403
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Virginia
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Virginia Beach, Virginia, United States, 23462
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Washington
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Spokane, Washington, United States, 99202
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Vancouver, Washington, United States, 98664
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Must have type 2 diabetes
- Must be at least 18 years of age and less than 75 years of age
- Must be taking exenatide 10 micrograms twice a day (BID) for at least 3 months
- Must be taking one of the following oral diabetes medication regimens for at least 3 months: (1) metformin (2) metformin + sulfonylurea (3) metformin + thiazolidinedione (TZD). Doses must be at or above the following: Metformin--1500 mg/day, Sulfonylurea--1/2 the maximum daily dose according to the product label, TZD--30 mg/day pioglitazone
- Must have a hemoglobin A1C greater than or equal to 7.0% and less than or equal to 10.0%
Exclusion Criteria:
- Must not have used insulin on a regular basis during the past 2 years
- Must not have taken any glucose-lowering medications not included in the inclusion criteria in the past 3 months
- Must not have had more than one episode of severe hypoglycemia in the past 6 months
- Must not have clinically significant hematologic, oncologic, renal, cardiac, hepatic, or gastrointestinal disease
- Must not be pregnant or intend to get pregnant during the course of the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Active Comparator: ILPS
Insulin Lispro Protamine Suspension (ILPS)
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Administered subcutaneously once a day at bedtime
Other Names:
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Active Comparator: Glargine
Insulin Glargine
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Administered subcutaneously once a day at bedtime
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change From Baseline in Hemoglobin A1C (HbA1c) at Endpoint (Last Observation Carried Forward [LOCF])
Time Frame: Baseline, Endpoint (LOCF) up to 24 weeks
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Least squares mean values were controlled for Baseline + Baseline HbA1c Group + Baseline sulfonylurea (SU) Group.
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Baseline, Endpoint (LOCF) up to 24 weeks
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Actual Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)
Time Frame: 24 weeks, Endpoint (LOCF) up to 24 weeks
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Least squares mean values were controlled for Baseline + Baseline HbA1c Group + Baseline SU Group.
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24 weeks, Endpoint (LOCF) up to 24 weeks
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Change From Baseline in Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)
Time Frame: Baseline, 24 Weeks, Endpoint (LOCF) up to 24 weeks
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Least squares mean values were controlled for Baseline + Baseline HbA1c Group + Baseline SU Group.
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Baseline, 24 Weeks, Endpoint (LOCF) up to 24 weeks
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Percentage of Participants With Hemoglobin A1C Less Than 7.0% and Hemoglobin A1C Less Than or Equal to 6.5%
Time Frame: Weeks 12, 18, 24 and Endpoint (LOCF) up to 24 weeks
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Weeks 12, 18, 24 and Endpoint (LOCF) up to 24 weeks
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7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)
Time Frame: Baseline, Endpoint (LOCF) up to 24 weeks
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SMBG at morning pre-meal, morning post-prandial, midday pre-meal, midday post-prandial, evening pre-meal, evening postprandial, 0300 hours.
Post-prandial glucose is measured 2 hours after the start of the meal.
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Baseline, Endpoint (LOCF) up to 24 weeks
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Glycemic Variability at Baseline and Endpoint (LOCF)
Time Frame: Baseline, Endpoint (LOCF) up to 24 weeks
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Glycemic variability was defined as the standard deviation (SD) of a participant's intra-day 7-point, self-monitored, blood glucose.
Mean SD was calculated based on the SD for each participant in the study.
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Baseline, Endpoint (LOCF) up to 24 weeks
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Incidence of Self-reported Hypoglycemic Episodes (All, Non-Nocturnal, Nocturnal, and Severe)
Time Frame: Baseline to Endpoint (LOCF) up to 24 weeks
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Overall:any time after randomization.Episode:any time patient experienced sign/symptom associated with hypoglycemia, or had blood glucose level ≤70 mg/dL.
Non-nocturnal:any episode that occurred between waking and bedtime.
Nocturnal:any episode that occurred between bedtime and waking.Severe:episode with symptoms consistent with neuroglycopenia in which patient requires assistance,and is associated with:blood glucose value <50 mg/dL or prompt recovery after oral carbohydrate, glucagon, or intravenous glucose.Incidence(%)=(Number of patients experiencing episodes/number of patients in arm)*100.
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Baseline to Endpoint (LOCF) up to 24 weeks
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Rate of All, Non-Nocturnal, and Nocturnal Self-Reported Hypoglycemic Episodes (Adjusted for One Year)
Time Frame: Baseline to Endpoint (LOCF) up to 24 weeks
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Rate of self-reported hypoglycemic episodes, all, non-nocturnal, and nocturnal, at Endpoint (LOCF) and overall.
Rate is reported as episodes/participant/365 days.
Episode = any time participant feels that he/she is experiencing a sign or symptom that is associated with hypoglycemia or has a blood glucose level of ≤70 mg/dL, even if it was not associated with signs, symptoms, or treatment.
Overall=any time during the post-randomization visits within the study period.
Nocturnal=Any episode that occurs between bedtime and waking.
Non-Nocturnal=Any episode that occurs between waking and bedtime.
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Baseline to Endpoint (LOCF) up to 24 weeks
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Actual Body Weight at Baseline and Endpoint (LOCF)
Time Frame: Baseline, Endpoint (LOCF) up to 24 weeks
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Baseline, Endpoint (LOCF) up to 24 weeks
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Change From Baseline in Body Weight at Endpoint (LOCF)
Time Frame: Baseline, Endpoint (LOCF) up to 24 weeks
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Baseline, Endpoint (LOCF) up to 24 weeks
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|
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Total Daily Insulin Dose at Endpoint (LOCF)
Time Frame: Endpoint (LOCF) up to 24 weeks
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Endpoint (LOCF) up to 24 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Glucose Metabolism Disorders
- Metabolic Diseases
- Endocrine System Diseases
- Diabetes Mellitus
- Diabetes Mellitus, Type 2
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Coagulants
- Heparin Antagonists
- Insulin
- Insulin, Globin Zinc
- Insulin Glargine
- Insulin Lispro
- Protamines
Other Study ID Numbers
Other Study ID Numbers
- 11647
- F3Z-US-IOPB (Other Identifier: Eli Lilly and Company)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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