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A Study of LY900014 and Insulin Degludec in Participants With Type 1 Diabetes

Phase 2
Completed
Conditions
Type 1 Diabetes
Interventions
Registration Number
NCT04585776
Lead Sponsor
Eli Lilly and Company
Brief Summary

In this study, participants with type 1 diabetes (T1D) will take the study drug LY900014 and insulin degludec. The reason for this study is to evaluate the amount of time with glucose values within target range.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
31
Inclusion Criteria
  • Participants must have type 1 diabetes and have been treated with insulin therapy for at least 1 year
  • Participants must be using Continuous Glucose Monitoring (CGM) with total CGM use ≥ 2 months in the prior 6 months
  • Participants must have been on the same type of short acting insulin (Humalog U-100, Novolog, Admelog, or Apidra) for at least 30 days prior to screening
  • Participants must have been treated with long-acting insulin degludec U-100 for at least 30 days prior to screening
Exclusion Criteria
  • Participants must not have had more than 1 emergency room visit or hospitalization due to poor glucose control within 6 months before screening
  • Participants must not have had more than 1 episode of severe hypoglycemia within the last 90 days prior to screening
  • Participants must not be taking certain diabetes medications that are not allowed for study participation

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
LY900014 + Insulin DegludecLY900014LY900014 (100 units/milliliter (U/mL)) is a prandial insulin administered subcutaneously (SC) 0-2 minutes before meals. Insulin degludec (100 U/mL) is a basal insulin administered once daily SC. Participants received individually adjusted insulin doses during the 35-day titration period. The target glucose values were: fasting glucose 80-110 milligrams per deciliter (mg/dL), overnight glucose excursion (the difference between bedtime and prebreakfast glucose levels) \< or = +/- 30 mg/dL, postprandial glucose peak \<140 mg/dL or \<20% increase from premeal level. Following the titration period, there was an 11-day maintenance period during which the doses were kept unchanged unless for safety reasons.
LY900014 + Insulin DegludecInsulin DegludecLY900014 (100 units/milliliter (U/mL)) is a prandial insulin administered subcutaneously (SC) 0-2 minutes before meals. Insulin degludec (100 U/mL) is a basal insulin administered once daily SC. Participants received individually adjusted insulin doses during the 35-day titration period. The target glucose values were: fasting glucose 80-110 milligrams per deciliter (mg/dL), overnight glucose excursion (the difference between bedtime and prebreakfast glucose levels) \< or = +/- 30 mg/dL, postprandial glucose peak \<140 mg/dL or \<20% increase from premeal level. Following the titration period, there was an 11-day maintenance period during which the doses were kept unchanged unless for safety reasons.
Primary Outcome Measures
NameTimeMethod
Percentage of Time With Sensor Glucose Values Between 70 and 180 Milligrams Per Deciliter (mg/dL) With Continuous Glucose Monitoring (CGM)Day 46

Percentage of Time with Sensor Glucose Values Between 70 and 180 mg/dL (both inclusive) with CGM.

Secondary Outcome Measures
NameTimeMethod
Ratio of Prandial Dose to Total Daily Dose (TDD) of InsulinDay 46

Prandial:TDD ratio

Product of Insulin to Carbohydrate Ratio and Total Daily Dose (ICR×TDD)Day 46

ICR×TDD is determined to evaluate the relationship between insulin to carbohydrate ratio (g/U) and the total daily insulin dose (U/day).

Insulin to Carbohydrate Ratio (ICR)Day 46

ICR was evaluated to estimate how many carbohydrates will be covered by one unit of insulin.

Trial Locations

Locations (3)

Atlanta Diabetes Associates

🇺🇸

Atlanta, Georgia, United States

Iowa Diabetes and Endocrinology Research Center

🇺🇸

West Des Moines, Iowa, United States

HealthPartners Institute dba International Diabetes Center

🇺🇸

Minneapolis, Minnesota, United States

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