Diabetes Mellitus, Type 2Phase 3IMAGINE 2NCT01435616
A Study in Patients With Type 2 Diabetes Mellitus
A Phase 3 study testing Glargine and LY2605541 in people with Diabetes Mellitus, Type 2, run by Eli Lilly and Company at 167 sites in 23 countries.
Trial summary
The purpose of this study is: To compare blood sugar control on LY2605541 with insulin glargine after 52 weeks of treatment. To compare the rate of night time low blood sugar episodes on LY2605541 with insulin glargine during 52 weeks of treatment. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- Glargine and LY2605541
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,538 participants
- Where
- 167 sitesin 23 countries
- Study dates
- Nov 2011to Jan 2014
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Have type 2 diabetes mellitus, not treated with insulin, for at least 1 year prior to the study
- Have been receiving at least 2 OAMs for at least 3 months before entering the study
- Have a hemoglobin A1c (HbA1c) value between 7.0% and 11.0%, inclusive, at screening
- Are capable of and willing to inject insulin with a vial and syringe and perform self blood glucose monitoring
- Women of childbearing potential only: are not breastfeeding, have a negative pregnancy test at the time of screening and randomization, intend to not become pregnant during the trial, have practiced a reliable method of birth control for at least 6 weeks prior to screening, and agree to use a reliable method of birth control during the study and until 2 weeks following the last dose of study drug
Who cannot join
- Have used insulin therapy (outside of pregnancy) anytime in the past 2 years, except for short-term treatment of acute conditions, and up to a maximum of 4 continuous weeks
- Use of rosiglitazone, pramlintide, or glucagon-like peptide 1 (GLP-1) receptor agonist (for example, exenatide, exenatide once weekly, or liraglutide) concurrently or within 3 months prior to screening
- Are currently taking, or have taken within the 3 months preceding screening, medications to promote weight loss
- Have had any episodes of severe hypoglycemia within 6 months prior to screening
- Have had 1 or more episodes of ketoacidosis or hyperosmolar state/coma in the 6 months prior to the study
- Have cardiac disease with functional status that is New York Heart Association Class III or IV (per New York Heart Association [NYHA] Cardiac Disease Classification)
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- Have a history of renal transplantation, or are currently receiving renal dialysis or have serum creatinine greater or equal than 2 milligrams per deciliter (mg/dL)
- Have obvious clinical signs or symptoms of liver disease (excluding non- alcoholic fatty liver disease [NAFLD]), acute or chronic hepatitis, non-alcoholic steatohepatitis (NASH), or elevated liver enzyme measurements at screening
- Have had a blood transfusion or severe blood loss within 3 months prior to screening or have known hemoglobinopathy, hemolytic anemia or sickle cell anemia, or any other traits of hemoglobin abnormalities known to interfere with the measurement of HbA1c
- Have active or untreated malignancy or have been in remission from clinically significant malignancy for less than 5 years
- Have fasting or non-fasting triglycerides greater than 400 mg/dL (greater than 4.5 millimoles per liter [mmol/L]) at screening
- Are using lipid-lowering medication at a dose that has not been stable for 90 days prior to screening
- Are using niacin preparations as a lipid lowering medication and bile acid sequestrants within 90 days prior to screening
Trial locations and contacts
167 sites in 23 countries.
167 sites in 23 countries
United States66 sites
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Anniston, Alabama, 36207
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Athens, Georgia, 30606
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Atlanta, Georgia, 30338
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Austin, Texas, 78758
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Bangor, Maine, 04401
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Beaver, Pennsylvania, 15009
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Billings, Montana, 59102
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Bountiful, Utah, 84010
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Bristol, Tennessee, 37620
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Chandler, Arizona, 85224
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Chicago, Illinois, 60607
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Cincinnati, Ohio, 45236
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Clinton, Utah, 84015
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Concord, California, 94520
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Corvallis, Oregon, 97330
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Daytona Beach, Florida, 32117
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Decatur, Georgia, 30033
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Denver, Colorado, 80246
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Downingtown, Pennsylvania, 19335
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Escondido, California, 92026
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Fresno, California, 93720
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Gallipolis, Ohio, 45631
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Greenbrae, California, 94904
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Greer, South Carolina, 29651
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Haverhill, Massachusetts, 01830
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Honolulu, Hawaii, 96814
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Huntington Beach, California, 92648
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Idaho Falls, Idaho, 83404
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Jacksonville, Florida, 32258
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Knoxville, Tennessee, 37912
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Lancaster, California, 93534
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Lansdale, Pennsylvania, 19446
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Levittown, Pennsylvania, 19056
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Los Angeles, California, 90057
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Marshall, Texas, 75670
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Memphis, Tennessee, 38119
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Meridian, Idaho, 83646
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Mesa, Arizona, 85206
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Mission Viejo, California, 92691
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Mobile, Alabama, 36608
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Myrtle Beach, South Carolina, 29572
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Nashua, New Hampshire, 03063
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Northridge, California, 91324
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Ogden, Utah, 84403
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Olympia, Washington, 98502
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Palm Springs, California, 92262
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Perrysburg, Ohio, 43551
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Philadelphia, Pennsylvania, 19107
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Port Orchard, Washington, 98366
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Pottstown, Pennsylvania, 19464
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San Mateo, California, 94401
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Shreveport, Louisiana, 71103
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Spokane, Washington, 99220
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Spring Hill, Tennessee, 37174
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Springfield, Illinois, 62704
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Springfield, Oregon, 97477
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St Louis, Missouri, 63141
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Sugar Land, Texas, 77478
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Tampa, Florida, 33619
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Tempe, Arizona, 85283
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Toms River, New Jersey, 08753
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Topeka, Kansas, 66606
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Tucson, Arizona, 85704
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Tustin, California, 92780
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West Des Moines, Iowa, 50266
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Winter Haven, Florida, 33880
Germany11 sites
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Dippoldiswalde, 01744
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Dresden, 01307
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Friedrichsthal, 66299
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Furth im Wald, 93437
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Goch, 47574
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Hamburg, D-22587
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Ludwigshafen, 67059
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Münster, 48143
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Saarbrücken, 66121
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Schweinfurt, 97421
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Sulzbach, 92237
Canada10 sites
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Edmonton, Alberta, T5J 3N4
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Etobicoke, Ontario, M9R 4E1
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Kelowna, British Columbia, V1Y 1Z9
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Laval, Quebec, H7T 2P5
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Markham, Ontario, L6B 0P9
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Pointe-Claire, Quebec, H9R 4S3
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Sherbrooke, Quebec, J1G 5K2
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Toronto, Ontario, M9W 4L6
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Victoria, British Columbia, V8V 3N7
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Winnipeg, Manitoba, R3P 3P4
Poland8 sites
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Kamieniec Ząbkowicki, 57-230
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Katowice, 40-772
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Krakow, 31-455
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Lodz, 93-338
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Ruda Śląska, 41-709
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Szczecin, 70-506
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Tychy, 43-100
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Warsaw, 01-192
Romania7 sites
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Bucharest, 011234
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Cluj-Napoca, 400006
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Iași, 700547
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Oradea, 410169
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Ploieşti, 100342
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Reşiţa, 320076
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Târgu Mureş, 540098
Italy6 sites
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Carpi, 41012
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Castellanza, 21053
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Foggia, 71100
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Forlì, 47100
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Rome, 00133
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Sesto San Giovanni, 20099
Spain6 sites
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Alicante, 03114
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Córdoba, 14004
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Pozuelo de Alarcón, 28223
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Requena, 46340
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Seville, 41003
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Toledo, 45004
Hungary5 sites
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Budapest, H-1139
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Debrecen, 4032
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Makó, 6900
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Salgótarján, 3100
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Sopron, 9400
Russia5 sites
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Cheboksary, 428000
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Kazan', 420012
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Kursk, 303035
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Novosibirsk, 630091
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Saint Petersburg, 193257
Argentina4 sites
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Buenos Aires, C1188AAF
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Caba, 2000
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Córdoba, X5000BNB
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Mar del Plata, B7600GNY
Australia4 sites
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Box Hill, Victoria, 3128
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Fremantle, Western Australia, 6160
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Keswick, South Australia, 5035
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Merewether, New South Wales, 2291
Brazil4 sites
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Marília, 17519-000
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Rio de Janeiro, 22271-100
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São Paulo, 04266-010
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Setor Oeste/Goiania, 74100-120
Turkey (Türkiye)4 sites
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Gaziantep, 27070
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Hatay, 31040
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Izmir, 35340
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Kayseri, 38039
United Kingdom4 sites
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Guildford, Surrey, GU2 7XX
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Leicester, Leicestershire, LE5 4PW
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Mortimer, Berks, RG7 3SQ
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Swansea, Wales, SA6 6NL
Greece3 sites
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Ampelokipoi, 11527
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Athens, 11527
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Thessaloniki, 56429
Israel3 sites
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Beersheba, 84350
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Haifa, 35251
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Raanana, 43452
Mexico3 sites
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Coatzacoalcos, 96400
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Mexico City, 11550
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Monterrey, 64620
Puerto Rico3 sites
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Hato Rey, 00917
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Manati, 00674
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San Juan, 00917-3104
Slovakia3 sites
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Bratislava, 82102
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Šaľa, 92701
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Vranov nad Topľou, 09301
South Africa3 sites
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Paarl, 7646
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Parow, 7505
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Somerset West, 7130
Finland2 sites
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Oulu, 90100
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Seinäjoki, 60220
Lithuania2 sites
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Utena, 28151
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Vilnius, LT-08661
New Zealand1 site
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Auckland, 1640
About this study
Official title: A Comparison of LY2605541 Versus Insulin Glargine as Basal Insulin Treatment in Combination With Oral Anti-Hyperglycemia Medications in Insulin-Naive Patients With Type 2 Diabetes Mellitus: A Double-Blind, Randomized Study
The purpose of this study is:
- To compare blood sugar control on LY2605541 with insulin glargine after 52 weeks of treatment.
- To compare the rate of night time low blood sugar episodes on LY2605541 with insulin glargine during 52 weeks of treatment.
- To compare the number of participants on LY2605541 reaching blood sugar targets without low blood sugar episodes at night to those taking insulin glargine after 52 weeks of treatment.
- To compare the rate of low blood sugar episodes on LY2605541 with insulin glargine after 52 weeks of treatment
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- Glargine, LY2605541
- Keywords
- diabetes mellitus, type 2 diabetes mellitus, insulin naive, insulin treatment
- Medical subject headings
- Diabetes Mellitus, Type 2, Diabetes Mellitus
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GlargineDrug
LY2605541Drug
| Study group | Role | What they receive |
|---|---|---|
| LY2605541 | Experimental | LY2605541 titrated based on blood glucose readings, administered subcutaneously (SC), once daily in combination with at least 2 pre-study oral antihyperglycemic medications (OAMs) prescribed by the personal physician, for 52 or 78 weeks Receives: Drug: LY2605541 |
| Glargine | Active comparator | Glargine titrated based on blood glucose readings, administered SC, once daily in combination with at least 2 pre-study OAMs prescribed by the personal physician, for 52 or 78 weeks Receives: Drug: Glargine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline to 52 Week Endpoint in Hemoglobin A1c (HbA1c)
HbA1C is a test that measures a person's average blood glucose level over the past 2 to 3 months. Least Squares (LS) means were calculated using a mixed model repeated measures (MMRM) with baseline HbA1c measurement, stratification factors (country, low density lipoprotein-cholesterol [LDL-C, < 100 milligrams per deciliter {mg/dL} and ≥ 100 mg/dL] and sulfonylurea [SU]/meglitinide use), visit, treatment, and visit-by-treatment interaction as fixed effects.
Measured: Baseline, 52 weeks
Secondary outcomes (19)
Rate of Total and Nocturnal Hypoglycemia Events
Hypoglycemia is a condition that occurs when a person's blood glucose level is lower than the normal range (less than or equal to 70 milligrams per deciliter [mg/dL] or less than 3.9 millimoles per liter [mmol/L]). Total hypoglycemia refers to an event that meets the criteria for documented symptomatic hypoglycemia, asymptomatic hypoglycemia, probable symptomatic hypoglycemia, unspecified hypoglycemia, or severe hypoglycemia. Nocturnal hypoglycemia refers to any total hypoglycemic event that occurs between bedtime and waking. Group mean (listed as LS means below) rates of total and nocturnal hypoglycemia were calculated using a negative binomial regression model (number of episodes = treatment + SU/meglitinide use + baseline hypoglycemia event rate, with log [exposure per 30 days] as the offset variable in the model).
Measured: Baseline to 52 weeks
Percentage of Participants With Hemoglobin A1c Equal or Less Than 6.5% and Less Than 7.0 %
The percentage of participants was calculated by dividing the number of participants reaching target HbA1c by the total number of participants analyzed, multiplied by 100.
Measured: 52 weeks
Fasting Serum Glucose (By Laboratory Measurement)
LS means were calculated using a MMRM with baseline fasting serum glucose measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects.
Measured: 52 weeks
Fasting Blood Glucose (By Participant Self-monitored Blood Glucose Readings)
LS means were calculated using a MMRM with baseline fasting blood glucose measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects.
Measured: 52 weeks
6 Point Self-monitored Blood Glucose (SMBG)
Six-point SMBG profiles were obtained at pre-morning meal (fasting), pre-midday meal (lunch), pre-evening meal (dinner), bedtime, approximately 0300 hours, and pre-morning meal (fasting) the next day. Six-point SMBG profiles were obtained over 2 nonconsecutive days within the week prior to the next office visit. LS means were calculated using a MMRM with baseline blood glucose measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects.
Measured: 52 weeks
Change From Baseline to 52 Weeks in Body Weight
LS means were calculated using a MMRM with baseline body weight measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects.
Measured: Baseline, 52 weeks
Hemoglobin A1c
HbA1c is a test that measures a person's average blood glucose level over the past 2 to 3 months. LS means were calculated using a MMRM with baseline HbA1C measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects.
Measured: 52 weeks
Insulin Dose Per Body Weight
LS means were calculated using a MMRM with baseline insulin dose measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects.
Measured: 52 weeks
Number of Insulin Dose Adjustments to Steady-State
Insulin doses were adjusted according to an algorithm (adapted from Riddle et al. 2003) during the first 26 weeks of the study and thereafter according to investigator judgment. Steady-state was defined as the first local maximum dose (maximum of moving 4-week interval) of LY2605541 or glargine within the window of +/- 2 weeks. The number of dose adjustments to steady-state was the total number of dose changes until steady-state was reached. LS means were calculated using a MMRM with baseline insulin dose measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects.
Measured: Baseline to 52 weeks
European Quality of Life-5 Dimension (EQ-5D)
The EQ-5D is a generic, multidimensional, health-related, quality-of-life instrument. The profile allows participants to rate their health state in 5 health domains (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) using a 3-level scale of 1 to 3 (no problem, some problems, and extreme problems). These combinations of attributes are converted into a weighted health-state Index Score according to the United States population-based algorithm. Scores range from -0.11 to 1.0, where a score of 1.0 indicates perfect health. LS means were calculated using a MMRM with baseline stratification factors (country, HbA1c, and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects.
Measured: 52 weeks
Insulin Treatment Satisfaction Questionnaire
The Insulin Treatment Satisfaction Questionnaire (ITSQ) is a validated instrument containing 22 items that assess treatment satisfaction for participants with diabetes who are receiving insulin. The questionnaire measures satisfaction from the following 5 domains: inconvenience of regimen, lifestyle flexibility, glycemic control, hypoglycemic control, and insulin delivery device. Data presented are the transformed total score on a scale of 0 to 100, where higher scores indicate better treatment satisfaction. LS means were calculated using a MMRM with stratification factors (country, HbA1c, and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects.
Measured: Up to 52 weeks
Adult Low Blood Sugar Survey
The adult Low Blood Sugar Survey (LBSS) is a validated, participant-reported 33-item questionnaire with items rated on a 5-point Likert scale, where 0 = never and 4 = always. The LBSS measures behaviors to avoid hypoglycemia and its negative consequences (15 items) and worries about hypoglycemia and its negative consequences (18 items). Total score is the sum of all items (range of 0 to 132). Higher total scores reflect greater fear of hypoglycemia. LS means were calculated using an analysis of covariance model (ANCOVA) with baseline LBSS score, stratification factors (country, HbA1c, and SU/meglitinide use), and treatment as fixed effects.
Measured: Up to 52 weeks
Change From Baseline to 52 Weeks in Triglycerides, Low Density Lipoprotein Cholesterol (LDL-C), and High Density Lipoprotein Cholesterol (HDL-C)
LS means were calculated using a MMRM with baseline lipid measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects.
Measured: Baseline, 52 weeks
Percentage of Participants With Equal or Above 2-, and 3-fold Upper Limits of Normal (ULN) for Total Bilirubin
Measured: Up to 52 weeks
Overall Treatment-Emergent Anti-LY2065541 Antibody Response (TEAR)
The percentage of participants with a TEAR is summarized. TEAR is defined as a change in the anti-LY2605541 antibody level from undetectable at baseline to detectable at baseline, or, for those participants with detectable antibodies at baseline, change to a value with at least a 130% relative increase from baseline. Overall TEAR is defined as one or more TEAR during the specified period.
Measured: Baseline to 78 weeks
Intra-participant Variability of the Fasting Blood Glucose (FBG)
Intra-participant variability of FBG, which was measured by SMBG, was assessed by the standard deviation of the FBG measurement at the Week 52 visit. LS means were calculated using a MMRM with baseline fasting blood glucose measurement, stratification factors (country, HbA1c, LDL-C [< 100 mg/dL and ≥ 100 mg/dL], and SU/meglitinide use), treatment, visit, and treatment-by-visit interaction as fixed effects.
Measured: 52 weeks
Percentage of Participants With Total and Nocturnal Hypoglycemic Events
A hypoglycemic event is defined by a blood glucose value ≤70 mg/dL (3.9mmol/L). Total hypoglycemic events include documented symptomatic hypoglycemia, asymptomatic hypoglycemia, probable symptomatic hypoglycemia, unspecified hypoglycemia, or severe hypoglycemia. Nocturnal hypoglycemic events refer to any total hypoglycemic event that occurs between bedtime and waking. The percentage of participants was calculated by dividing the number of participants with hypoglycemic or nocturnal hypoglycemic events by the total number of participants analyzed, multiplied by 100.
Measured: Baseline to 52 weeks
Percentage of Participants With HbA1C Equal or Less Than 6.5% and Less Than 7.0 % and Without Nocturnal Hypoglycemia
The percentage of participants with HbA1C ≤ 6.5% or < 7.0% without nocturnal hypoglycemia is presented. Percentage was calculated by dividing the number of participants with the indicated HbA1c values over the total number of participants and multiplying by 100.
Measured: Up to 52 weeks
Percentage of Participants With Equal or Above 2- and 3-fold ULN for Alanine Transaminase/Serum Glutamic Pyruvic Transaminase (ALT/SGPT) and Aspartate Transaminase/Serum Glutamic Oxaloacetic Transaminase (AST/SGOT)
The percentage of participants was calculated by dividing the number of participants equal or above 2- or 3-fold ULN for ALT/SGPT or AST/SGOT by the total number of participants analyzed, multiplied by 100.
Measured: Up to 52 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Sep 2011 (estimated)
- Study startNov 2011
- Primary completionJan 2014
- Study completionJan 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Diabetes Mellitus, Type 2Studies of the same condition, open and under way.
- More trials run by Eli Lilly and CompanyThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 1,538 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01435616
- Sponsor's protocol ID
- 12141
- Other IDs
- I2R-MC-BIAJ
- Acronym
- IMAGINE 2
- Status last verified
- Mar 2018
- First submitted
- 9 Sep 2011
- Last updated
- 13 Apr 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Kunina H, Chien JY, Garhyan P, Geiser JS, Kjellsson MC. Blood-glucose Profile Evaluation with a Model-based Approach using Continuous Glucose Monitoring Data. AAPS J. 2026 May 6;28(3):97. doi: 10.1208/s12248-026-01245-8.
PubMed 42091767Qu Y, White RD, Ruberg SJ. Accurate Collection of Reasons for Treatment Discontinuation to Better Define Estimands in Clinical Trials. Ther Innov Regul Sci. 2023 May;57(3):521-528. doi: 10.1007/s43441-022-00491-0. Epub 2022 Dec 21.
PubMed 36542287Sanyal A, Cusi K, Hartman ML, Zhang S, Bastyr EJ 3rd, Bue-Valleskey JM, Chang AM, Haupt A, Jacober SJ, Konrad RJ, Zhang Q, Hoogwerf BJ. Cytokeratin-18 and enhanced liver fibrosis scores in type 1 and type 2 diabetes and effects of two different insulins. J Investig Med. 2018 Mar;66(3):661-668. doi: 10.1136/jim-2017-000609. Epub 2017 Nov 21.
PubMed 29167192Orchard TJ, Cariou B, Connelly MA, Otvos JD, Zhang S, Antalis CJ, Ivanyi T, Hoogwerf BJ. The effects of basal insulin peglispro vs. insulin glargine on lipoprotein particles by NMR and liver fat content by MRI in patients with diabetes. Cardiovasc Diabetol. 2017 Jun 6;16(1):73. doi: 10.1186/s12933-017-0555-1.
PubMed 28587667Cusi K, Sanyal AJ, Zhang S, Hartman ML, Bue-Valleskey JM, Hoogwerf BJ, Haupt A. Non-alcoholic fatty liver disease (NAFLD) prevalence and its metabolic associations in patients with type 1 diabetes and type 2 diabetes. Diabetes Obes Metab. 2017 Nov;19(11):1630-1634. doi: 10.1111/dom.12973. Epub 2017 Jun 22.
PubMed 28417532
Study at a glance
From the registry record, last updated by the sponsor on 13 Apr 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Comparison of LY2605541 Versus Insulin Glargine as Basal Insulin Treatment in Combination With Oral Anti-Hyperglycemia Medications in Insulin-Naive Patients With Type 2 Diabetes Mellitus: A Double-Blind, Randomized Study
- ClinicalTrials.gov ID
- NCT01435616
- Acronym / sponsor ID
- IMAGINE 2 / 12141
- Conditions
- Diabetes Mellitus, Type 2
- Keywords
- diabetes mellitus, type 2 diabetes mellitus, insulin naive, insulin treatment
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,538 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- Nov 2011
- Primary completion
- Jan 2014 (actual)
- Study completion
- Jan 2014 (actual)
- First posted
- 16 Sep 2011 (estimated)
- Results
- Posted 13 Apr 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is:
- To compare blood sugar control on LY2605541 with insulin glargine after 52 weeks of treatment.
- To compare the rate of night time low blood sugar episodes on LY2605541 with insulin glargine during 52 weeks of treatment.
- To compare the number of participants on LY2605541 reaching blood sugar targets without low blood sugar episodes at night to those taking insulin glargine after 52 weeks of treatment.
- To compare the rate of low blood sugar episodes on LY2605541 with insulin glargine after 52 weeks of treatment
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| LY2605541 | Experimental | Drug: LY2605541LY2605541 titrated based on blood glucose readings, administered subcutaneously (SC), once daily in combination with at least 2 pre-study oral antihyperglycemic medications (OAMs) prescribed by the personal physician, for 52 or 78 weeks |
| Glargine | Active comparator | Drug: GlargineGlargine titrated based on blood glucose readings, administered SC, once daily in combination with at least 2 pre-study OAMs prescribed by the personal physician, for 52 or 78 weeks |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Have type 2 diabetes mellitus, not treated with insulin, for at least 1 year prior to the study
- Have been receiving at least 2 OAMs for at least 3 months before entering the study
- Have a hemoglobin A1c (HbA1c) value between 7.0% and 11.0%, inclusive, at screening
- Are capable of and willing to inject insulin with a vial and syringe and perform self blood glucose monitoring
- Women of childbearing potential only: are not breastfeeding, have a negative pregnancy test at the time of screening and randomization, intend to not become pregnant during the trial, have practiced a reliable method of birth control for at least 6 weeks prior to screening, and agree to use a reliable method of birth control during the study and until 2 weeks following the last dose of study drug
Key exclusion criteria (13 listed)
- Have used insulin therapy (outside of pregnancy) anytime in the past 2 years, except for short-term treatment of acute conditions, and up to a maximum of 4 continuous weeks
- Use of rosiglitazone, pramlintide, or glucagon-like peptide 1 (GLP-1) receptor agonist (for example, exenatide, exenatide once weekly, or liraglutide) concurrently or within 3 months prior to screening
- Are currently taking, or have taken within the 3 months preceding screening, medications to promote weight loss
- Have had any episodes of severe hypoglycemia within 6 months prior to screening
- Have had 1 or more episodes of ketoacidosis or hyperosmolar state/coma in the 6 months prior to the study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Glargine | Drug | Glargine |
| LY2605541 | Drug | LY2605541 |
Primary outcome
Change From Baseline to 52 Week Endpoint in Hemoglobin A1c (HbA1c)
Time frame: Baseline, 52 weeks
HbA1C is a test that measures a person's average blood glucose level over the past 2 to 3 months. Least Squares (LS) means were calculated using a mixed model repeated measures (MMRM) with baseline HbA1c measurement, stratification factors (country, low density lipoprotein-cholesterol [LDL-C, < 100 milligrams per deciliter {mg/dL} and ≥ 100 mg/dL] and sulfonylurea [SU]/meglitinide use), visit, treatment, and visit-by-treatment interaction as fixed effects.
19 secondary outcomes
Rate of Total and Nocturnal Hypoglycemia Events
Time frame: Baseline to 52 weeks
Percentage of Participants With Hemoglobin A1c Equal or Less Than 6.5% and Less Than 7.0 %
Time frame: 52 weeks
Fasting Serum Glucose (By Laboratory Measurement)
Time frame: 52 weeks
Fasting Blood Glucose (By Participant Self-monitored Blood Glucose Readings)
Time frame: 52 weeks
6 Point Self-monitored Blood Glucose (SMBG)
Time frame: 52 weeks
Change From Baseline to 52 Weeks in Body Weight
Time frame: Baseline, 52 weeks
Hemoglobin A1c
Time frame: 52 weeks
Insulin Dose Per Body Weight
Time frame: 52 weeks
Number of Insulin Dose Adjustments to Steady-State
Time frame: Baseline to 52 weeks
European Quality of Life-5 Dimension (EQ-5D)
Time frame: 52 weeks
Insulin Treatment Satisfaction Questionnaire
Time frame: Up to 52 weeks
Adult Low Blood Sugar Survey
Time frame: Up to 52 weeks
Change From Baseline to 52 Weeks in Triglycerides, Low Density Lipoprotein Cholesterol (LDL-C), and High Density Lipoprotein Cholesterol (HDL-C)
Time frame: Baseline, 52 weeks
Percentage of Participants With Equal or Above 2-, and 3-fold Upper Limits of Normal (ULN) for Total Bilirubin
Time frame: Up to 52 weeks
Overall Treatment-Emergent Anti-LY2065541 Antibody Response (TEAR)
Time frame: Baseline to 78 weeks
Intra-participant Variability of the Fasting Blood Glucose (FBG)
Time frame: 52 weeks
Percentage of Participants With Total and Nocturnal Hypoglycemic Events
Time frame: Baseline to 52 weeks
Percentage of Participants With HbA1C Equal or Less Than 6.5% and Less Than 7.0 % and Without Nocturnal Hypoglycemia
Time frame: Up to 52 weeks
Percentage of Participants With Equal or Above 2- and 3-fold ULN for Alanine Transaminase/Serum Glutamic Pyruvic Transaminase (ALT/SGPT) and Aspartate Transaminase/Serum Glutamic Oxaloacetic Transaminase (AST/SGOT)
Time frame: Up to 52 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Apr 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42091767Kunina H, Chien JY, Garhyan P, Geiser JS, Kjellsson MC. Blood-glucose Profile Evaluation with a Model-based Approach using Continuous Glucose Monitoring Data. AAPS J. 2026 May 6;28(3):97. doi: 10.1208/s12248-026-01245-8.
- Derived from this study: PubMed 36542287Qu Y, White RD, Ruberg SJ. Accurate Collection of Reasons for Treatment Discontinuation to Better Define Estimands in Clinical Trials. Ther Innov Regul Sci. 2023 May;57(3):521-528. doi: 10.1007/s43441-022-00491-0. Epub 2022 Dec 21.
- Derived from this study: PubMed 29167192Sanyal A, Cusi K, Hartman ML, Zhang S, Bastyr EJ 3rd, Bue-Valleskey JM, Chang AM, Haupt A, Jacober SJ, Konrad RJ, Zhang Q, Hoogwerf BJ. Cytokeratin-18 and enhanced liver fibrosis scores in type 1 and type 2 diabetes and effects of two different insulins. J Investig Med. 2018 Mar;66(3):661-668. doi: 10.1136/jim-2017-000609. Epub 2017 Nov 21.
- Derived from this study: PubMed 28587667Orchard TJ, Cariou B, Connelly MA, Otvos JD, Zhang S, Antalis CJ, Ivanyi T, Hoogwerf BJ. The effects of basal insulin peglispro vs. insulin glargine on lipoprotein particles by NMR and liver fat content by MRI in patients with diabetes. Cardiovasc Diabetol. 2017 Jun 6;16(1):73. doi: 10.1186/s12933-017-0555-1.
- Derived from this study: PubMed 28417532Cusi K, Sanyal AJ, Zhang S, Hartman ML, Bue-Valleskey JM, Hoogwerf BJ, Haupt A. Non-alcoholic fatty liver disease (NAFLD) prevalence and its metabolic associations in patients with type 1 diabetes and type 2 diabetes. Diabetes Obes Metab. 2017 Nov;19(11):1630-1634. doi: 10.1111/dom.12973. Epub 2017 Jun 22.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) study director
Eli Lilly and Company
167 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Glargine and LY2605541 in people with Diabetes Mellitus, Type 2, run by Eli Lilly and Company at 167 sites in 23 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 13 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 167 sites in United States, Germany, Canada, Poland, Romania and 18 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 13 Apr 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline to 52 Week Endpoint in Hemoglobin A1c (HbA1c) (time frame: Baseline, 52 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01435616, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Apr 2018.