- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT06370715
Uno studio su LY900014 in partecipanti adulti con diabete mellito di tipo 2 in India
Uno studio di fase 4, multicentrico, in aperto, a braccio singolo, della durata di 26 settimane, per valutare la sicurezza di Lyumjev in pazienti adulti con diabete mellito di tipo 2 in India
The purpose of this study is to assess the safety of insulin lispro-aabc in adult participants with Type 2 diabetes mellitus in India.
The study will last about 33 weeks for each participant, including screening (1 week), Lead-in period (4 weeks), treatment period (26 weeks) and follow up period (2 weeks).
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Tipo di studio
Iscrizione (Effettivo)
Fase
- Fase 4
Contatti e Sedi
Luoghi di studio
-
-
Andhra Pradesh
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Hyderabad, Andhra Pradesh, India, 500012
- Osmania Medical College & Hospital
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Visakhapatnam, Andhra Pradesh, India, 530002
- King George Hospital, Visakhapatnam
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Chennai India
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Royapuram, Chennai India, India, 600013
- Diabetes Research Centre
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Gujarat
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Ahmedabad, Gujarat, India, 380007
- Vijyaratna Dibetes Diagnosis Treatment Centre
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Karnataka
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Bengaluru, Karnataka, India, 560043
- Center for Diabetes and Endocrine Care
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-
Maharashtra
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Pune, Maharashtra, India, 411004
- Sahyadri Super Speciality Hospital
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Pune, Maharashtra, India, 411021
- Chellaram Diabetes Institute
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Rajasthan
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Bikaner, Rajasthan, India, 334003
- S. P. Medical College & A G Hospital
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Jaipur, Rajasthan, India, 302033
- Rajasthan University of Health Sciences
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Tamil Nadu
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Coimbatore, Tamil Nadu, India, 641009
- Kovai Diabetes Speciality Center and Hospital
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-
Uttar Pradesh
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Kanpur, Uttar Pradesh, India, 208020
- Brij Medical Center Pvt. Ltd.
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-
West Bengal
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Kolkata, West Bengal, India, 700073
- Medical College & Hospital, Kolkata
-
-
Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Inclusion Criteria:
-
Have Type 2 Diabetes Mellitus (T2DM) for ≥1 year prior to screening
-
Treated for ≥90 days prior to screening with multiple daily injection (MDI) therapy
- on basal insulin or insulin glargine 100 U/mL [Basaglar or Lantus] or insulin glargin 300 U/mL, insulin determir, insulin degludec U-100, or neutral protamine Hagedorn (NPH) insulin) in combination with at least 1 prandial injection of bolus insulin (insulin lispro 100 U/mL or 200 U/mL, insulin aspart, insulin glulisine, regular insulin, fast-acting insulin aspart), or
- premixed analog or human insulin regimens with any basal and bolus insulin
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May have been treated with up to 3 oral antihyperglycemic medications (OAMs) including metformin, sodium-glucose cotransporter (SGLT)-2 inhibitor in accordance with local regulations. The dose of all OAMs must have been stable for ≥90 days prior to screening
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Have an HbA1c value ≥7.5% and ≤10% according to the central laboratory at screening
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Body mass index ≤45.0 kg/m²
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Have access to a telephone, or alternative means for close monitoring/communications
-
Have refrigeration at home or have ready access to refrigeration for storage of insulin therapy
-
Have a regular wake-sleep schedule (awake-work during the day and sleep during the night)
Exclusion Criteria:
- Having any other condition (including known drug or alcohol abuse, psychiatric disorder including eating disorder) that precludes the subject from following and completing the protocol
- Have been diagnosed, at any time, with type 1 diabetes mellitus (T1DM) or latent autoimmune diabetes in adults
- Have hypoglycemia unawareness as judged by the investigator
- Have had any episode of severe hypoglycemia (defined as requiring assistance due to neurologically disabling hypoglycemia) within the 6 months prior to screening
- Have had 1 or more episodes of diabetic ketoacidosis or hyperglycemic hyperosmolar state within the 6 months prior to screening
- Have a known diagnosis of secondary diabetes (for example, diabetes caused by hemochromatosis, acromegaly, chronic pancreatitis, or pancreatectomy)
- Excessive insulin resistance defined as having received a total daily dose of insulin >2.0 U/kg at the time of screening
- Have a history of or are being evaluated for bariatric surgery including Roux-en-Y gastric bypass surgery, gastric banding, and/or gastric sleeve
- Have cardiovascular disease, within the past 6 months prior to screening, defined as stroke, decompensated heart failure (New York Heart Association Class III or IV), myocardial infarction, unstable angina pectoris, or coronary arterial bypass graft
- History of renal transplantation
- Currently receiving renal dialysis
- Serum creatinine >2.0 mg/dL (177 µmol/L) at screening
- Have obvious clinical signs or symptoms of liver disease (for example, acute or chronic hepatitis or cirrhosis), or elevated liver enzyme measurements
- Have active or untreated malignancy, have been in remission from clinically significant malignancy (other than basal cell or squamous cell skin cancer) for less than 5 years, or are at an increased risk for developing cancer or a recurrence of cancer in the opinion of the investigator
- Have had a blood transfusion or severe blood loss within 90 days prior to screening or have known hemoglobinopathy, anemia, or any other traits known to interfere with measurement of HbA1
- Have presence of clinically significant gastrointestinal disease (for example, clinically active gastroparesis associated with wide glucose fluctuations) in the investigator's opinion
- Have used thiazolidinediones, glucagon-like peptide 1 receptor agonist, or pramlintide within 90 days prior to screening
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: N / A
- Modello interventistico: Assegnazione di gruppo singolo
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
|
Sperimentale: Insulin Lispro-aabc
Participants received subcutaneous injections of insulin lispro-aabc 100 units/millilitre (U/mL) immediately (0 to 2 minutes) before each meal, in combination with once-daily insulin glargine 100 U/mL as basal insulin, during the 26-week treatment period. |
Administered subcutaneously
Altri nomi:
Administered subcutaneously
Altri nomi:
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Percentage of Participants With at Least 1 Documented Hypoglycemic Event With Blood Glucose <54 Milligrams Per Deciliter (mg/dL)
Lasso di tempo: Baseline through Week 26
|
The percentage of participants with at least 1 documented hypoglycemic event was calculated as the number of participants with >=1 documented hypoglycemic event divided by the total number of participants, multiplied by 100. |
Baseline through Week 26
|
|
Rate of Documented Hypoglycemia With Blood Glucose <54 mg/dL
Lasso di tempo: Baseline through Week 26
|
Rate of documented hypoglycemia (events/participant/year) was calculated as the sum of documented hypoglycemic episodes divided by the cumulative days on treatment from all participants, multiplied by 365. |
Baseline through Week 26
|
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Percentage of Participants With Severe Hypoglycemia
Lasso di tempo: Baseline through Week 26
|
|
Baseline through Week 26
|
|
Percentage of Participants With at Least 1 Nocturnal Hypoglycemic Event With Blood Glucose <54 mg/dL
Lasso di tempo: Baseline through Week 26
|
|
Baseline through Week 26
|
|
Rate of Nocturnal Hypoglycemia With Blood Glucose <54 mg/dL
Lasso di tempo: Baseline through Week 26
|
|
Baseline through Week 26
|
|
Percentage of Participants With at Least 1 Nocturnal Hypoglycemic Event With Blood Glucose <70 mg/dL
Lasso di tempo: Baseline through Week 26
|
|
Baseline through Week 26
|
|
Rate of Nocturnal Hypoglycemia With Blood Glucose <70 mg/dL
Lasso di tempo: Baseline through Week 26
|
|
Baseline through Week 26
|
|
Percentage of Participants With at Least 1 Documented Hypoglycemic Event With Blood Glucose <70 mg/dL
Lasso di tempo: Baseline through Week 26
|
The percentage of participants with at least 1 documented hypoglycemic event was calculated as the number of participants with >=1 documented hypoglycemic event divided by the total number of participants, multiplied by 100. |
Baseline through Week 26
|
|
Rate of Documented Hypoglycemia With Blood Glucose <70 mg/dL
Lasso di tempo: Baseline through Week 26
|
Rate of documented hypoglycemia (events/participant/year) was calculated as the sum of documented hypoglycemic episodes divided by the cumulative days on treatment from all participants, multiplied by 365. |
Baseline through Week 26
|
|
Change From Baseline in Body Weight
Lasso di tempo: Baseline, Week 26
|
Baseline, Week 26
|
|
|
Change From Baseline in Hemoglobin A1c (HbA1c)
Lasso di tempo: Baseline, Week 26
|
HbA1c is the glycosylated fraction of hemoglobin A. It is measured to identify average plasma glucose concentration over prolonged periods of time. |
Baseline, Week 26
|
|
Percentage of Participants Achieving HbA1c < 7%
Lasso di tempo: Week 26
|
HbA1c is the glycosylated fraction of hemoglobin A. It is measured to identify average plasma glucose concentration over prolonged periods of time. |
Week 26
|
|
Change From Baseline in Insulin Treatment Satisfaction Questionnaire (ITSQ) Score
Lasso di tempo: Baseline, Week 26
|
The ITSQ is a 22-item questionnaire that assesses treatment satisfaction for participants taking insulin under 5 domains: Inconvenience of Regimen [5 items], Lifestyle Flexibility [3 items], Glycemic Control [3 items], Hypoglycemic Control [5 items], Insulin Delivery Device [6 items]. Each Item is measured on a 7-point scale. The overall score is calculated as the mean of all 22 items and transformed to a scale of 0 to 100 using the formula: 100*[(7 - raw overall score)/6], with higher scores indicating better treatment satisfaction. |
Baseline, Week 26
|
|
Change From Baseline in 1- and 2-hour Postprandial Glucose (PPG) Values Estimated From Self-monitored Blood Glucose (SMBG) Values
Lasso di tempo: Baseline, Day 3 of Week 20
|
Baseline, Day 3 of Week 20
|
|
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Change From Baseline in Bolus Insulin Dose, Basal Insulin Dose
Lasso di tempo: Baseline, Week 20
|
|
Baseline, Week 20
|
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Change From Baseline in Basal to Bolus Insulin Dose Ratio
Lasso di tempo: Baseline, Week 20
|
Basal to Bolus insulin dose ratio, calculated as the basal insulin dose divided by the basal insulin dose.
|
Baseline, Week 20
|
|
Change From Baseline in 9-Point Self-Monitored Blood Glucose (SMBG) Values
Lasso di tempo: Baseline, Week 20
|
SMBG measurements were taken at 9 time points: fasting, 1 hour post-breakfast, 2 hours post-breakfast, pre-lunch, 1 hour post-lunch, 2 hours post-lunch, pre-dinner, 1 hour post-dinner, and 2 hours post-dinner. The SMBG value was calculated as the average of the corresponding SMBG measurements collected on Days 1, 2, and 3 across cumulative non-missing data days. |
Baseline, Week 20
|
Collaboratori e investigatori
Sponsor
Collaboratori
Investigatori
- Direttore dello studio: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Completamento primario (Effettivo)
Completamento dello studio (Effettivo)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
- Malattie del sistema endocrino
- Malattie metaboliche
- Disturbi del metabolismo del glucosio
- Malattie nutrizionali e metaboliche
- Diabete mellito, tipo 2
- Diabete mellito
- Ormoni
- Ormoni, sostituti ormonali e antagonisti ormonali
- Ormoni peptidici
- Peptidi
- Aminoacidi, peptidi e proteine
- Insulina, ad azione prolungata
- Insuline
- Ormoni pancreatici
- Insulina Glargina
Altri numeri di identificazione dello studio
- 18269
- I8B-MC-ITTA (Altro identificatore: Eli Lilly and Company)
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Descrizione del piano IPD
Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Periodo di condivisione IPD
Data are available 6 months after the primary publication and approval of the indication studied in the US and European Union (EU), whichever is later. Data will be indefinitely available for requesting.
Criteri di accesso alla condivisione IPD
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
Tipo di informazioni di supporto alla condivisione IPD
- STUDIO_PROTOCOLLO
- LINFA
- RSI
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
prodotto fabbricato ed esportato dagli Stati Uniti
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .