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A Study of LY3502970 in Participants With Type 2 Diabetes Mellitus

Phase 2
Completed
Conditions
Type 2 Diabetes
Interventions
Registration Number
NCT05048719
Lead Sponsor
Eli Lilly and Company
Brief Summary

The main purpose of this study is to evaluate the efficacy and safety of LY3502970 in participants with type 2 diabetes (T2D) who failed to achieve adequate glycemic control on diet and exercise alone or on a stable dose of metformin. This study will last about 30 weeks.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
383
Inclusion Criteria
  • Have been diagnosed with Type 2 Diabetes on diet and exercise and/or a stable dose of metformin
  • Have a stable body weight for the 3 months prior to randomization
  • Have a body mass index (BMI) ≥23 kilogram/square meter (kg/m²)
  • Males must agree to use highly effective methods of contraception
  • Women not of childbearing potential (WNOCBP) may participate in this trial
  • Note: Hormone replacement therapy in post-menopausal women is allowed but women must be on stable therapy for 3 months prior to day 1.
Exclusion Criteria
  • Have Type 1 diabetes mellitus (T1DM) or history of ketoacidosis or hyperosmolar coma
  • Have a history of diabetic retinopathy, diabetic maculopathy, or severe non-proliferative diabetic retinopathy that requires immediate treatment intervention
  • Have had more than 1 episode of severe hypoglycemia and aware of hypoglycemic symptoms
  • Have acute or chronic pancreatitis
  • Have obesity induced other endocrine disorders (Cushing's syndrome or Prader - Willi syndrome)
  • Have gastric emptying abnormality or chronically take medications impacting GI motility
  • Have poorly controlled hypertension
  • Have the following heart conditions within the last 6 months: myocardial infarction (MI), unstable angina, coronary artery bypass graft, percutaneous coronary intervention (diagnostic angiograms are permitted), transient ischemic attack (TIA), cerebrovascular accident (stroke)or decompensated congestive heart failure, or IV heart failure
  • Have any symptoms of other liver diseases besides nonalcoholic fatty liver disease (NAFLD)
  • Have HIV, or Hepatitis B or Hepatitis C

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
3 milligrams (mg) LY3502970LY3502970Participants received maintenance dose of 3 mg with dose escalation starting from 2 mg LY3502970 administered orally once daily (QD).
24 mg LY3502970LY3502970Participants received maintenance dose 24 mg with dose escalation starting from 3 mg, 6 mg, 8 mg,12 mg and then 24 mg LY3502970 administered orally QD.
36 mg LY3502970 - 1LY3502970Participants received maintenance dose 36 mg with dose escalation starting from 2 mg, 3 mg, 6 mg, 8 mg, 12 mg, 24 mg and then 36 mg LY3502970 administered orally QD.
36 mg LY3502970 - 2LY3502970Participants received maintenance dose 36 mg with dose escalation starting from 3 mg, 6 mg,12 mg, 24 mg and then 36 mg LY3502970 administered orally QD.
45 mg LY3502970 - 1LY3502970Participants received maintenance dose 45 mg with dose escalation starting from 3 mg, 6 mg, 8 mg, 12 mg, 24 mg, 36 mg and then 45 mg LY3502970 administered orally QD.
1.5 mg DulaglutideDulaglutideParticipants received 1.5 mg Dulaglutide administered subcutaneously (SC) once weekly (QW).
PlaceboPlaceboParticipants received matching placebo.
12 mg LY3502970LY3502970Participants received maintenance dose 12 mg with dose escalation starting from 2 mg, 6 mg and then 12 mg LY3502970 administered orally QD.
45 mg LY3502970 - 2LY3502970Participants received maintenance dose 45 mg with dose escalation starting from 2 mg, 3 mg, 6 mg, 12 mg, 24 mg, 36 mg and then 45 mg LY3502970 administered orally QD.
Primary Outcome Measures
NameTimeMethod
Change From Baseline in HbA1c in LY3502970 as Compared to PlaceboBaseline, Week 26

HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was determined by mixed model repeated measures (MMRM) model with Baseline + Country + Baseline HbA1c Group (\<=8.0%, \>8.0%) + Treatment + Time + Treatment\*Time (Type III sum of squares) as variables.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in HbA1c in LY3502970 as Compared to DulaglutideBaseline, Week 26

HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was determined by mixed model repeated measures (MMRM) model with Baseline + Country + Baseline HbA1c Group (\<=8.0%, \>8.0%) + Treatment + Time + Treatment\*Time (Type III sum of squares) as variables.

Percentage of Participants With HbA1c ≤ 6.5%Week 26

Percentage of Participants with HbA1c ≤ 6.5%. Odds ratio was calculated using logistic regression model.

Percentage of Participants With HbA1c <7.0%Week 26

Percentage of Participants with HbA1c \<7.0%. Odds ratio was calculated using logistic regression model.

Change From Baseline in Fasting Serum GlucoseBaseline, Week 26

Fasting glucose is a test to determine sugar levels in blood sample after an overnight fast. LS mean was determined by MMRM model with Baseline + Country + Baseline HbA1c Group (\<=8.0%, 8.0%) + Treatment + Time + Treatment\*Time (Type III sum of squares) as variables.

Pharmacokinetics (PK): Steady State Area Under the Concentration Curve (AUC) of LY3502970Pre-dose (Week (wk) 0, wk 8, wk 12, and wk 26); Post-dose (wk 4, wk 8, wk 16, wk 20, and end of treatment).

PK: Steady State AUC of LY3502970

Change From Baseline in Body WeightBaseline, Week 26

LS mean was determined by MMRM model with Baseline + Country + Baseline HbA1c Group (\<=8.0%, \>8.0%) + Treatment + Time + Treatment\*Time (Type III sum of squares) as variables.

Trial Locations

Locations (44)

Anaheim Clinical Trials, LLC

🇺🇸

Anaheim, California, United States

Velocity Clinical Research, Huntington Park

🇺🇸

Huntington Park, California, United States

Velocity Clinical Research, Westlake

🇺🇸

Los Angeles, California, United States

Rancho Cucamonga Clinical Research

🇺🇸

Rancho Cucamonga, California, United States

Touro University California

🇺🇸

Vallejo, California, United States

New West Physicians Clinical Research

🇺🇸

Golden, Colorado, United States

Optumcare Colorado Springs - Monument

🇺🇸

Monument, Colorado, United States

Cotton O'Neil Clinical Research Center

🇺🇸

Topeka, Kansas, United States

Clinvest Research LLC

🇺🇸

Springfield, Missouri, United States

Premier Research

🇺🇸

Trenton, New Jersey, United States

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Anaheim Clinical Trials, LLC
🇺🇸Anaheim, California, United States

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