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A Study to Compare LY2963016 to Lantus After a Single Dose to Participants With Type 1 Diabetes Mellitus

3. Oktober 2014 aktualisiert von: Eli Lilly and Company

Pharmacodynamics of LY2963016 Compared to LANTUS® in Subjects With Type 1 Diabetes Mellitus

The study involves a single injection of LY2963016 and a single injection of Lantus, on 2 separate occasions in participants with type I diabetes. Following each dose, participants will undergo a glucose clamp which lasts for 42 hours each time. There will be at least 7 days between the two periods, during which time there will be no study treatment, but participants will resume their regular therapy. The duration of this study can be up to 9.5 weeks. The purposes of this study are to understand how the blood sugar lowering effect of LY2963016 compares to that of Lantus, and to determine how LY2963016 and Lantus are metabolized by participants with type I diabetes.

Studienübersicht

Status

Abgeschlossen

Bedingungen

Intervention / Behandlung

Studientyp

Interventionell

Einschreibung (Tatsächlich)

20

Phase

  • Phase 1

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienorte

  • Deutschland
      • Neuss, Deutschland, 41460
        • 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.

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

18 Jahre bis 60 Jahre (Erwachsene)

Akzeptiert gesunde Freiwillige

Nein

Studienberechtigte Geschlechter

Alle

Beschreibung

Inclusion Criteria:

  • have type 1 diabetes mellitus (T1DM) based on the disease diagnostic criteria
  • have had a duration of diabetes ≥1 year
  • have hemoglobin A1c ≤10.0%
  • have fasting C-peptide ≤0.3 nanomoles per liter (nmol/L)
  • have a body mass index ≤29 kilograms per square meter (kg/m²)
  • have venous access sufficient to allow blood sampling and cannulation for clamp procedures

Exclusion Criteria:

  • are currently enrolled in, have completed, or discontinued within the last 30 days from, a clinical trial involving an investigational drug or device or off-label use of a drug or device
  • have a total insulin requirement >1.2 units per kilogram per day (U/kg/day)
  • have a history of proliferative retinopathy
  • have known allergies to insulin glargine, insulin lispro, heparin, or related compounds
  • have an electrocardiogram (ECG) reading considered outside the normal limits
  • have an abnormal blood pressure
  • have abnormal clinical laboratory tests
  • have a history or presence of/significant history of or current cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs
  • history of deep leg vein thrombosis or a frequent appearance of deep leg vein thrombosis in first-degree relatives
  • show evidence of significant active neuropsychiatric disease
  • regular use of known drugs of abuse and/or show positive findings on drug screening
  • show evidence of human immunodeficiency virus (HIV) and/or positive human HIV antibodies
  • show evidence of hepatitis C and/or positive hepatitis C antibody
  • show evidence of hepatitis B and/or positive hepatitis B surface antigen
  • are women with a positive pregnancy test or women who are lactating
  • have an average weekly alcohol intake that exceeds 21 units per week (males) or 14 units per week (females)
  • had more than 1 episode of severe hypoglycemia within 6 months prior to study
  • undergoing therapy for a malignancy other than basal cell or squamous cell skin cancer
  • had a blood transfusion or severe blood loss within 3 months; made a blood donation within 30 days prior to study entry; or have known hemoglobinopathy, haemolytic anemia, or sickle cell anemia
  • are receiving systemic glucocorticoid therapy
  • have irregular sleep/wake cycle (for example, participants who sleep during the day and work during the night)
  • show a history of adverse reactions to heparin, including heparin-induced thrombocytopenia
  • smoke more than 10 cigarettes (or equivalent other tobacco products) per day

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Behandlung
  • Zuteilung: Zufällig
  • Interventionsmodell: Crossover-Aufgabe
  • Maskierung: Doppelt

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: LY2963016
A single 0.3 units per kilogram (U/kg) dose of LY2963016 will be administered subcutaneously followed by a minimum washout period of 7 days.
Arzneimittel: LY2963016
Single 0.3 U/kg dose administered subcutaneously
Aktiver Komparator: Lantus
A single 0.3 U/kg dose of Lantus will be administered subcutaneously followed by a minimum washout period of 7 days.
Arzneimittel: Lantus
Single 0.3 U/kg dose administered subcutaneously

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Pharmacodynamics: Duration of Action of LY2963016 and Lantus
Zeitfenster: Periods 1 and 2: Baseline up to 42 hours postdose
Duration of action is defined as the period of time elapsed between dose administration and the time at which the participant's blood glucose is consistently >150 milligrams/deciliter (mg/dL) without any glucose infusion. Participants whose blood glucose did not rise to 150 mg/dL were censored 42 hours postdose.
Periods 1 and 2: Baseline up to 42 hours postdose

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Maximum Glucose Infusion Rate (Rmax)
Zeitfenster: Periods 1 and 2: Baseline up to 42 hours postdose
Rmax is the maximum infusion rate of glucose administered intravenously needed to maintain a target blood glucose level of 100 milligrams/deciliter (mg/dL) [5.6 millimoles/Liter (mmol/L)] and is used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations are held constant after the administration of study drug by adjusting the exogenous glucose infusion rate. Data presented are the maximum infusion rates, adjusted by body weight.
Periods 1 and 2: Baseline up to 42 hours postdose
Total Glucose Infused (Gtot)
Zeitfenster: Periods 1 and 2: Baseline up to 42 hours postdose
Gtot is the total glucose infusion over the clamp duration and is used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations are held constant after the administration of study drug by adjusting the exogenous glucose infusion rate. Data presented are the total glucose infused, adjusted by body weight.
Periods 1 and 2: Baseline up to 42 hours postdose
Time of Maximum Glucose Infusion Rate (tRmax)
Zeitfenster: Periods 1 and 2: Baseline up to 42 hours postdose
tRmax is the time to reach maximum glucose infusion rate and is used to measure the study drug action over time as measured by the euglycaemic clamp procedure. During the euglycaemic clamp procedure, blood glucose concentrations are held constant after the administration of study drug by adjusting the exogenous glucose infusion rate.
Periods 1 and 2: Baseline up to 42 hours postdose
Pharmacokinetics: Maximum Concentration (Cmax) of LY2963016 and Lantus
Zeitfenster: Periods 1 and 2: Baseline up to 42 hours postdose
Cmax was not analyzed because of insufficient data due to concentrations being below the quantifiable lower limit of the assay.
Periods 1 and 2: Baseline up to 42 hours postdose
Pharmacokinetics: Area Under the Concentration-time Curve (AUC) of LY2963016 and Lantus
Zeitfenster: Periods 1 and 2: Baseline up to 42 hours postdose
AUC was not analyzed because of insufficient data due to concentrations being below the quantifiable lower limit of the assay.
Periods 1 and 2: Baseline up to 42 hours postdose

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

Eli Lilly and Company

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn

1. Mai 2012

Primärer Abschluss (Tatsächlich)

1. Juli 2012

Studienabschluss (Tatsächlich)

1. Juli 2012

Studienanmeldedaten

Zuerst eingereicht

15. Mai 2012

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

15. Mai 2012

Zuerst gepostet (Schätzen)

17. Mai 2012

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Schätzen)

7. Oktober 2014

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

3. Oktober 2014

Zuletzt verifiziert

1. Oktober 2014

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Zusätzliche relevante MeSH-Bedingungen

Andere Studien-ID-Nummern

  • 13831
  • I4L-MC-ABEE (Andere Kennung: Eli Lilly and Company)

Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .

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