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- Ensaio Clínico NCT06370715
Um estudo de LY900014 em participantes adultos com diabetes mellitus tipo 2 na Índia
Um estudo de fase 4, multicêntrico, aberto, de braço único, de 26 semanas para avaliar a segurança de Lyumjev em pacientes adultos com diabetes mellitus tipo 2 na Índia
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).
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Tipo de estudo
Inscrição (Real)
Estágio
- Fase 4
Contactos e Locais
Locais de estudo
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Andhra Pradesh
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Hyderabad, Andhra Pradesh, Índia, 500012
- Osmania Medical College & Hospital
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Visakhapatnam, Andhra Pradesh, Índia, 530002
- King George Hospital, Visakhapatnam
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Chennai India
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Royapuram, Chennai India, Índia, 600013
- Diabetes Research Centre
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Gujarat
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Ahmedabad, Gujarat, Índia, 380007
- Vijyaratna Dibetes Diagnosis Treatment Centre
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Karnataka
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Bengaluru, Karnataka, Índia, 560043
- Center for Diabetes and Endocrine Care
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Maharashtra
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Pune, Maharashtra, Índia, 411004
- Sahyadri Super Speciality Hospital
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Pune, Maharashtra, Índia, 411021
- Chellaram Diabetes Institute
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Rajasthan
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Bikaner, Rajasthan, Índia, 334003
- S. P. Medical College & A G Hospital
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Jaipur, Rajasthan, Índia, 302033
- Rajasthan University of Health Sciences
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Tamil Nadu
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Coimbatore, Tamil Nadu, Índia, 641009
- Kovai Diabetes Speciality Center and Hospital
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Uttar Pradesh
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Kanpur, Uttar Pradesh, Índia, 208020
- Brij Medical Center Pvt. Ltd.
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West Bengal
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Kolkata, West Bengal, Índia, 700073
- Medical College & Hospital, Kolkata
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-
Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
-
Have Type 2 Diabetes Mellitus (T2DM) for ≥1 year prior to screening
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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
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Have refrigeration at home or have ready access to refrigeration for storage of insulin therapy
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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
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: N / D
- Modelo Intervencional: Atribuição de grupo único
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Experimental: 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
Outros nomes:
Administered subcutaneously
Outros nomes:
|
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Percentage of Participants With at Least 1 Documented Hypoglycemic Event With Blood Glucose <54 Milligrams Per Deciliter (mg/dL)
Prazo: 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
Prazo: 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
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Percentage of Participants With Severe Hypoglycemia
Prazo: Baseline through Week 26
|
|
Baseline through Week 26
|
|
Percentage of Participants With at Least 1 Nocturnal Hypoglycemic Event With Blood Glucose <54 mg/dL
Prazo: Baseline through Week 26
|
|
Baseline through Week 26
|
|
Rate of Nocturnal Hypoglycemia With Blood Glucose <54 mg/dL
Prazo: Baseline through Week 26
|
|
Baseline through Week 26
|
|
Percentage of Participants With at Least 1 Nocturnal Hypoglycemic Event With Blood Glucose <70 mg/dL
Prazo: Baseline through Week 26
|
|
Baseline through Week 26
|
|
Rate of Nocturnal Hypoglycemia With Blood Glucose <70 mg/dL
Prazo: Baseline through Week 26
|
|
Baseline through Week 26
|
|
Percentage of Participants With at Least 1 Documented Hypoglycemic Event With Blood Glucose <70 mg/dL
Prazo: 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
Prazo: 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
Prazo: Baseline, Week 26
|
Baseline, Week 26
|
|
|
Change From Baseline in Hemoglobin A1c (HbA1c)
Prazo: 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%
Prazo: 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
Prazo: 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
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|
Change From Baseline in 1- and 2-hour Postprandial Glucose (PPG) Values Estimated From Self-monitored Blood Glucose (SMBG) Values
Prazo: Baseline, Day 3 of Week 20
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Baseline, Day 3 of Week 20
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Change From Baseline in Bolus Insulin Dose, Basal Insulin Dose
Prazo: Baseline, Week 20
|
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Baseline, Week 20
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Change From Baseline in Basal to Bolus Insulin Dose Ratio
Prazo: Baseline, Week 20
|
Basal to Bolus insulin dose ratio, calculated as the basal insulin dose divided by the basal insulin dose.
|
Baseline, Week 20
|
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Change From Baseline in 9-Point Self-Monitored Blood Glucose (SMBG) Values
Prazo: 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
|
Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Diretor de estudo: 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
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
- Doenças do Sistema Endócrino
- Doenças Metabólicas
- Distúrbios do Metabolismo da Glicose
- Doenças Nutricionais e Metabólicas
- Diabetes Mellitus, Tipo 2
- Diabetes Mellitus
- Hormônios
- Hormônios, substitutos hormonais e antagonistas hormonais
- Hormônios peptídicos
- Peptídeos
- Aminoácidos, peptídeos e proteínas
- Insulina, ação longa
- Insulinas
- Hormônios pancreáticos
- Insulina Glargina
Outros números de identificação do estudo
- 18269
- I8B-MC-ITTA (Outro identificador: Eli Lilly and Company)
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Descrição do plano 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.
Prazo de Compartilhamento de 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.
Critérios de acesso de compartilhamento IPD
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
Tipo de informação de suporte de compartilhamento de IPD
- PROTOCOLO DE ESTUDO
- SEIVA
- CSR
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Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .