LY900014 在印度 2 型糖尿病成人参与者中的研究
一项为期 26 周、多中心、开放标签、单组、4 期研究,旨在评估 Lyumjev 在印度成年 2 型糖尿病患者中的安全性
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).
研究概览
研究类型
注册 (实际的)
阶段
- 第四阶段
联系人和位置
学习地点
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Andhra Pradesh
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Hyderabad、Andhra Pradesh、印度、500012
- Osmania Medical College & Hospital
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Visakhapatnam、Andhra Pradesh、印度、530002
- King George Hospital, Visakhapatnam
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Chennai India
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Royapuram、Chennai India、印度、600013
- Diabetes Research Centre
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Gujarat
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Ahmedabad、Gujarat、印度、380007
- Vijyaratna Dibetes Diagnosis Treatment Centre
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Karnataka
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Bengaluru、Karnataka、印度、560043
- Center for Diabetes and Endocrine Care
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Maharashtra
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Pune、Maharashtra、印度、411004
- Sahyadri Super Speciality Hospital
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Pune、Maharashtra、印度、411021
- Chellaram Diabetes Institute
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Rajasthan
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Bikaner、Rajasthan、印度、334003
- S. P. Medical College & A G Hospital
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Jaipur、Rajasthan、印度、302033
- Rajasthan University of Health Sciences
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Tamil Nadu
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Coimbatore、Tamil Nadu、印度、641009
- Kovai Diabetes Speciality Center and Hospital
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Uttar Pradesh
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Kanpur、Uttar Pradesh、印度、208020
- Brij Medical Center Pvt. Ltd.
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West Bengal
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Kolkata、West Bengal、印度、700073
- Medical College & Hospital, Kolkata
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
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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
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的: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
其他名称:
Administered subcutaneously
其他名称:
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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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Percentage of Participants With at Least 1 Documented Hypoglycemic Event With Blood Glucose <54 Milligrams Per Deciliter (mg/dL)
大体时间:Baseline through Week 26
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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
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Rate of Documented Hypoglycemia With Blood Glucose <54 mg/dL
大体时间:Baseline through Week 26
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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
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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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Percentage of Participants With Severe Hypoglycemia
大体时间:Baseline through Week 26
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Baseline through Week 26
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Percentage of Participants With at Least 1 Nocturnal Hypoglycemic Event With Blood Glucose <54 mg/dL
大体时间:Baseline through Week 26
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Baseline through Week 26
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Rate of Nocturnal Hypoglycemia With Blood Glucose <54 mg/dL
大体时间:Baseline through Week 26
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Baseline through Week 26
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Percentage of Participants With at Least 1 Nocturnal Hypoglycemic Event With Blood Glucose <70 mg/dL
大体时间:Baseline through Week 26
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Baseline through Week 26
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Rate of Nocturnal Hypoglycemia With Blood Glucose <70 mg/dL
大体时间:Baseline through Week 26
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Baseline through Week 26
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Percentage of Participants With at Least 1 Documented Hypoglycemic Event With Blood Glucose <70 mg/dL
大体时间: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
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Rate of Documented Hypoglycemia With Blood Glucose <70 mg/dL
大体时间:Baseline through Week 26
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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
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Change From Baseline in Body Weight
大体时间:Baseline, Week 26
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Baseline, Week 26
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Change From Baseline in Hemoglobin A1c (HbA1c)
大体时间:Baseline, Week 26
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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
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Percentage of Participants Achieving HbA1c < 7%
大体时间:Week 26
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HbA1c is the glycosylated fraction of hemoglobin A. It is measured to identify average plasma glucose concentration over prolonged periods of time. |
Week 26
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Change From Baseline in Insulin Treatment Satisfaction Questionnaire (ITSQ) Score
大体时间:Baseline, Week 26
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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
大体时间: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
大体时间:Baseline, Week 20
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Baseline, Week 20
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Change From Baseline in Basal to Bolus Insulin Dose Ratio
大体时间:Baseline, Week 20
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Basal to Bolus insulin dose ratio, calculated as the basal insulin dose divided by the basal insulin dose.
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Baseline, Week 20
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Change From Baseline in 9-Point Self-Monitored Blood Glucose (SMBG) Values
大体时间:Baseline, Week 20
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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
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合作者和调查者
合作者
调查人员
- 研究主任: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
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他相关的 MeSH 术语
其他研究编号
- 18269
- I8B-MC-ITTA (其他标识符:Eli Lilly and Company)
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)?
IPD 计划说明
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.
IPD 共享时间框架
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.
IPD 共享访问标准
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
IPD 共享支持信息类型
- 研究方案
- 树液
- 企业社会责任
药物和器械信息、研究文件
研究美国 FDA 监管的药品
研究美国 FDA 监管的设备产品
在美国制造并从美国出口的产品
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