A Study to Compare LY2963016 to Lantus After a Single Dose to Participants With Type 1 Diabetes Mellitus
2014年10月3日 更新者：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.
研究概览
研究类型
介入性
注册 (实际的)
20
阶段
- 阶段1
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Neuss、德国、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.
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 至 60年 (成人)
接受健康志愿者
不
有资格学习的性别
全部
描述
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
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：交叉作业
- 屏蔽：双倍的
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的：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.
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Single 0.3 U/kg dose administered subcutaneously
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有源比较器：Lantus
A single 0.3 U/kg dose of Lantus will be administered subcutaneously followed by a minimum washout period of 7 days.
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Single 0.3 U/kg dose administered subcutaneously
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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Pharmacodynamics: Duration of Action of LY2963016 and Lantus
大体时间：Periods 1 and 2: Baseline up to 42 hours postdose
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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.
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Periods 1 and 2: Baseline up to 42 hours postdose
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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Maximum Glucose Infusion Rate (Rmax)
大体时间：Periods 1 and 2: Baseline up to 42 hours postdose
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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.
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Periods 1 and 2: Baseline up to 42 hours postdose
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Total Glucose Infused (Gtot)
大体时间：Periods 1 and 2: Baseline up to 42 hours postdose
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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.
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Periods 1 and 2: Baseline up to 42 hours postdose
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Time of Maximum Glucose Infusion Rate (tRmax)
大体时间：Periods 1 and 2: Baseline up to 42 hours postdose
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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.
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Periods 1 and 2: Baseline up to 42 hours postdose
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Pharmacokinetics: Maximum Concentration (Cmax) of LY2963016 and Lantus
大体时间：Periods 1 and 2: Baseline up to 42 hours postdose
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Cmax was not analyzed because of insufficient data due to concentrations being below the quantifiable lower limit of the assay.
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Periods 1 and 2: Baseline up to 42 hours postdose
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Pharmacokinetics: Area Under the Concentration-time Curve (AUC) of LY2963016 and Lantus
大体时间：Periods 1 and 2: Baseline up to 42 hours postdose
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AUC was not analyzed because of insufficient data due to concentrations being below the quantifiable lower limit of the assay.
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Periods 1 and 2: Baseline up to 42 hours postdose
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2012年5月1日
初级完成 (实际的)
2012年7月1日
研究完成 (实际的)
2012年7月1日
研究注册日期
首次提交
2012年5月15日
首先提交符合 QC 标准的
2012年5月15日
首次发布 (估计)
2012年5月17日
研究记录更新
最后更新发布 (估计)
2014年10月7日
上次提交的符合 QC 标准的更新
2014年10月3日
最后验证
2014年10月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.