A Study Comparing Insulin Peglispro With Insulin Glargine as Basal Insulin Treatment

Sponsor
Eli Lilly and Company (Industry)
Overall Status
Completed
CT.gov ID
NCT01894568
Collaborator
(none)
388
31
2
21
12.5
0.6

Study Details

Study Description

Brief Summary

The purpose of this study is to compare insulin peglispro (LY2605541) to insulin glargine in Asian insulin naïve participants who have been treated with oral anti hyperglycemia medications. Participants will receive 26 weeks of treatment.

Condition or Disease Intervention/Treatment Phase
  • Drug: Insulin Peglispro
  • Drug: Insulin Glargine
  • Drug: Oral Antihyperglycemic Medications (OAMs)
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
388 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 3, Open Label, Randomized, Parallel, 26 Week Treatment Study Comparing LY2605541 With Insulin Glargine as Basal Insulin Treatment in Combination With Oral Anti Hyperglycemia Medications in Asian Insulin Naïve Patients With Type 2 Diabetes Mellitus
Study Start Date :
Jul 1, 2013
Actual Primary Completion Date :
Apr 1, 2015
Actual Study Completion Date :
Apr 1, 2015

Arms and Interventions

Arm Intervention/Treatment
Experimental: Insulin Peglispro

Insulin Peglispro administered subcutaneously (SC) once daily for 26 weeks in combination with Oral Antihyperglycemic Medications (OAMs).

Drug: Insulin Peglispro
Administered SC using a prefilled pen.
Other Names:
  • LY2605541
  • Drug: Oral Antihyperglycemic Medications (OAMs)
    Administered orally
    Other Names:
  • Sulfonylureas
  • Meglitinides
  • Dipeptidyl Peptidase-4 (DPP-IV) Inhibitors
  • Biguanides
  • α-Glucosidase Inhibitors
  • Pioglitazone
  • Active Comparator: Insulin Glargine

    Insulin Glargine administered SC once daily for 26 weeks in combination with OAMs.

    Drug: Insulin Glargine
    Administered SC using a prefilled pen

    Drug: Oral Antihyperglycemic Medications (OAMs)
    Administered orally
    Other Names:
  • Sulfonylureas
  • Meglitinides
  • Dipeptidyl Peptidase-4 (DPP-IV) Inhibitors
  • Biguanides
  • α-Glucosidase Inhibitors
  • Pioglitazone
  • Outcome Measures

    Primary Outcome Measures

    1. Change From Baseline to Week 26 in Hemoglobin A1c (HbA1c) [Baseline, Week 26]

      Hemoglobin A1c (HbA1c) is a test that measures a participant'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) analysis adjusting for treatment, stratification factors (region, sulfonylureas/meglitinide use, baseline Low-Density Lipoprotein [LDL-C], visit, treatment-by-visit interaction, and baseline HbA1c as fixed effects and participants as the random effect. P-value is from MMRM with terms for treatment, visit, treatment-by-visit interaction, stratification, and baseline HbA1C.

    Secondary Outcome Measures

    1. 30-Day Adjusted Rate of Total and Nocturnal Hypoglycemic Events [Baseline to Week 26]

      Hypoglycemia Events (HE) occurs when blood glucose level ≤ 70 milligram per deciliter (mg/dL) (<3.9 micromoles per liter [mmol/L]). Nocturnal HE includes any total HE that occurred between bedtime and waking. Group mean rates of nocturnal hypoglycemia (per 30 days) are presented and were calculated from negative binomial regression models with treatment, baseline sulfonylurea/meglitinide use, baseline total hypoglycemia event rate, log (exposure/30 days) as the offset in the model. Group Mean is estimated by taking the inverse link function on individual participant covariates first and then averages over all participants.

    2. Fasting Serum Glucose (FSG) [Weeks 0 and 26]

      LS means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and sulfonylurea [SU]/meglitinide use), visit, and treatment-by-visit interaction.

    3. Fasting Blood Glucose (FBG) [Weeks 0 and 26]

      LS Means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide use), visit and treatment-by-visit interaction.

    4. Change From Baseline to Week 26 in Body Weight [Baseline, Week 26]

      LS Means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide use), visit and treatment-by-visit interaction.

    5. 9-Point Self-Monitored Blood Glucose (SMBG) [Week 0 and Week 26]

      LS means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide use), visit and treatment-by-visit interaction. The 9-point SMBG are measured at: Pre-morning meal, 2 hours(hr) post morning meal, pre-midday meal, 2 hr post midday meal, pre-evening meal, 2 hr post pre-evening meal, bedtime, 0300 hr, and pre-morning meal next day, and should be performed on 2 non-consecutive days.

    6. Percentage of Participants With HbA1c ≤6.5% [Week 26]

      Percentage of participants with HbA1c ≤6.5% at Week 26 were made using a logistic regression model for endpoint used last observation carried forward (LOCF) method including treatment, baseline HbA1c value.

    7. Insulin Dose Per Kilogram (kg) of Body Weight [Week 26]

      LS means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide), visit, and treatment-by-visit interaction.

    8. Percentage of Participants Achieving Steady-State of Basal Insulin Dose at 26 Weeks (Time to Steady State for Basal Insulin [Stable Maximum Dose]) [Week 26]

    9. Concentration of Triglycerides, Total Cholesterol, Low-Density Lipoprotein (LDL-C), and High-Density Lipoprotein Cholesterol (HDL-C) at Week 26 [Week 26]

      LS means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide use), visit, and treatment-by-visit interaction.

    10. Percentage of Participants With Detectable Anti-Insulin Peglispro Antibodies at Week 26 [Week 26]

      For participants with detectable anti-insulin peglispro antibody level, the percentage of participants with positive cross-react with endogenous insulin was summarized.

    11. Change From Baseline of European Quality of Life-5 Dimensions - 3 Levels (EuroQoL-5D-3L ) Index Score and Visual Analog Scale (VAS) Health State Score at Week 26 [Baseline, Week 26]

      The EuroQoL-5D-3L questionnaire 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 ranged from -0.11 to 1.0 where a score of 1.0 indicates perfect health. Overall health state score was self-reported using a VAS marked on a scale of 0 to 100 (0 indicates worst imaginable health state and 100 indicates best imaginable health state. LS means were calculated using analysis of covariance (ANCOVA) for actual measures and changes from baseline at endpoint using LOCF method: adjusting for treatment, stratification factors (region, HbA1c and SU/meglitin.

    12. Insulin Treatment Satisfaction Questionnaire (ITSQ) Score [Week 4 and 26]

      The Insulin Treatment Satisfaction Questionnaire is a validated instrument containing 22 items that assessed treatment satisfaction for participants with diabetes on 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 score on a scale of 0-100, where a higher score indicate better treatment satisfaction. LS means was achieved using a MMRM model for post-baseline measures with stratification factors (country, HbA1c, and SU/meglitinide use) treatment, visit, treatment-by-visit as fixed effects. ITSQ was assessed at Week 4 (baseline) and Week 26.

    13. Change From Baseline to 26 Weeks in Adult Low Blood Sugar Survey (LBSS) Scores [Baseline, Week 26]

      LBSS is a validated, participant-reported 33-item questionnaire with items rated on a 5-point Likert scale, where 0 = never and 5 - 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 0 to 132). Higher total scores reflect greater fear of hypoglycemia. Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) with country, treatment and metformin use as fixed effects and baseline score as a covariate. LBSS was assessed during screening visit (baseline) and again at Week 26.

    14. Intra-Participant Variability of the Fasting Blood Glucose (FBG) [Week 26]

      Intra-participant variability of Fasting Blood Glucose (FBG), which was measured by Self Monitored Blood Glucose (SMBG), was assessed by the standard deviation of the FBG measurement at the Week 26 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.

    15. Change From Baseline to 12 Weeks in Hemoglobin A1c (HbA1c) [Baseline, Week 12]

      Hemoglobin A1c (HbA1c) is a test that measures a participant'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.

    16. Percent Hemoglobin A1c at Week 26 [Week 26]

      HbA1c is a test that measures a participant'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.

    17. Percentage of Participants With Total and Nocturnal Hypoglycemic Events (HE) [Baseline to Week 26]

      Percentage of participants with hypoglycemic events (total or nocturnal) to Week 26 based on BG Threshold 70mg/dL.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    20 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Have Type 2 Diabetes Mellitus (T2DM) for at least 1 year not treated with insulin

    • Have been receiving at least two oral antihyperglycemic medications (OAMs) for at least 3 months prior to screening

    • Have Hemoglobin A1c (HbA1c) of 7.0% to 11.0%, inclusive, according to central laboratory at screening

    • Body mass index (BMI) ≤35.0 kilogram per square meter (kg/m^2)

    • Inject insulin with a pre-filled insulin pen and perform Self-Monitored Blood Glucose (SMBG)

    • Record keeping as required by this protocol

    • Women of childbearing potential are not breastfeeding, have a negative pregnancy test at screening, do not plan to become pregnant during the study, have practiced reliable birth control during the study and 2 weeks following the last dose of investigational product

    Exclusion Criteria:
    • Have used insulin therapy (outside of pregnancy) anytime in the past 2 years, except for short term treatment of acute conditions

    • Have been treated with rosiglitazone, pramlintide, glucagon-like peptide-1 (GLP-1) receptor agonist within 3 months prior to screening

    • Are using or have used any of the following lipid-lowering medications: niacin preparations as a lipid-lowering medication and/or bile acid sequestrants within 90 days prior to screening

    • Local OAM restrictions: have any restrictions for cardiac, renal, and hepatic diseases in the local product regulations

    • Are taking, or have taken within 3 months before screening, prescription or over-the-counter medications to promote weight loss

    • Have had any episodes of severe hypoglycemia, diabetic ketoacidosis, or hyperosmolar state/coma within 6 months prior to screening

    • Have had 1 or more episodes of ketoacidosis or hyperosmolar state/coma in the past 6 months

    • Have cardiac disease with functional status that is New York Heart Association Class III or IV

    • Have a history of renal transplantation, or are currently receiving renal dialysis or have serum creatinine ≥2.0 milligram per deciliter (mg/dL) (177 micromole per liter [μmol/L]). Participants taking metformin should not exceed the creatinine level specified in the local label

    • Have obvious clinical signs or symptoms of liver disease (excluding non-alcoholic fatty liver disease [NAFLD]), acute or any chronic hepatitis, non alcoholic steatohepatitis (NASH), or elevated liver enzyme measurements

    • 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 cancer, have been in remission from clinically significant cancer(other than basal cell or squamous cell skin cancer) for less than 5 years, or are at increased risk for developing cancer or a recurrence of cancer in the opinion of the investigator

    • Have known hypersensitivity or allergy to any of LY2605541 and insulin glargine or their excipients

    • Have pre proliferative and proliferative retinopathy, maculopathy requiring treatment or not clinically stable in the last 6 months, or participants with active changes in subjective eye symptoms as determined by the investigator if an eye exam has not been performed in the last 6 months

    • Are receiving chronic (lasting longer than 14 consecutive days) systemic glucocorticoid therapy (excluding topical, intranasal, intraocular, and inhaled preparations) or have received such therapy within the 8 weeks immediately preceding screening

    • Have fasting triglycerides greater than 400 mg/dL (4.5 mmol/L) at screening as determined by the central laboratory

    • Have an irregular sleep/wake cycle (for example, participants who sleep during the day and work during the night) in the investigator's opinion

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 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. Aichi Japan 455-8530
    2 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. Chiba Japan 277-0825
    3 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. Fukuoka Japan 807-0857
    4 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. Hokkaido Japan 060-0062
    5 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. Hyogo Japan 662-0971
    6 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. Ibaraki Japan 311-0113
    7 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. Kagawa Japan 765-0071
    8 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. Kanagawa Japan 247-0056
    9 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. Kumamoto Japan 862-0976
    10 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. Kyoto Japan 6150035
    11 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. Miyagi Japan 980-0021
    12 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. Miyazaki Japan 880-0034
    13 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. Nagano Japan 399-0006
    14 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. Ooita Japan 8700039
    15 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. Osaka Japan 569-1096
    16 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. Tochigi Japan 323-0022
    17 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. Tokyo Japan 143-8541
    18 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. Yamaguchi Japan 751-0815
    19 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. Daegu Korea, Republic of 700-712
    20 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. Incheon Korea, Republic of 405-760
    21 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. Pusan Korea, Republic of 602-739
    22 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. Seoul Korea, Republic of 158-710
    23 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. Ulsan-Si Korea, Republic of 682-714
    24 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. Wonju-Si Korea, Republic of 220-701
    25 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. Jhonghe City Taiwan 235
    26 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. Sindian City Taiwan 23148
    27 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. Taichung County Taiwan 433
    28 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. Taichung Taiwan 404
    29 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. Tainan Taiwan 70403
    30 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. Taipei Taiwan 220
    31 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. Yongkang City Taiwan 71004

    Sponsors and Collaborators

    • Eli Lilly and Company

    Investigators

    • Study Director: 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

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Eli Lilly and Company
    ClinicalTrials.gov Identifier:
    NCT01894568
    Other Study ID Numbers:
    • 13422
    • I2R-JE-BIAQ
    First Posted:
    Jul 10, 2013
    Last Update Posted:
    Mar 15, 2019
    Last Verified:
    Mar 1, 2019

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered subcutaneously (SC) once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Period Title: Overall Study
    STARTED 192 196
    Received at Least 1 Dose of Study Drug 192 196
    COMPLETED 182 186
    NOT COMPLETED 10 10

    Baseline Characteristics

    Arm/Group Title Insulin Peglispro Insulin Glargine Total
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks. Total of all reporting groups
    Overall Participants 192 196 388
    Age (Count of Participants)
    <=18 years
    0
    0%
    0
    0%
    0
    0%
    Between 18 and 65 years
    141
    73.4%
    153
    78.1%
    294
    75.8%
    >=65 years
    51
    26.6%
    43
    21.9%
    94
    24.2%
    Sex: Female, Male (Count of Participants)
    Female
    81
    42.2%
    90
    45.9%
    171
    44.1%
    Male
    111
    57.8%
    106
    54.1%
    217
    55.9%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    Asian
    192
    100%
    196
    100%
    388
    100%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    0
    0%
    0
    0%
    0
    0%
    White
    0
    0%
    0
    0%
    0
    0%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    Region of Enrollment (Count of Participants)
    Japan
    103
    53.6%
    102
    52%
    205
    52.8%
    Taiwan
    40
    20.8%
    42
    21.4%
    82
    21.1%
    South Korea
    49
    25.5%
    52
    26.5%
    101
    26%
    Baseline Hemoglobin A1c (HbA1c) (percent of HbA1c) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [percent of HbA1c]
    8.59
    (1.09)
    8.48
    (0.85)
    8.53
    (0.97)
    Fasting Serum Glucose (FSG) (milligram per deciliter (mg/dL)) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [milligram per deciliter (mg/dL)]
    165.11
    (41.25)
    166.64
    (36.81)
    165.88
    (39.03)

    Outcome Measures

    1. Primary Outcome
    Title Change From Baseline to Week 26 in Hemoglobin A1c (HbA1c)
    Description Hemoglobin A1c (HbA1c) is a test that measures a participant'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) analysis adjusting for treatment, stratification factors (region, sulfonylureas/meglitinide use, baseline Low-Density Lipoprotein [LDL-C], visit, treatment-by-visit interaction, and baseline HbA1c as fixed effects and participants as the random effect. P-value is from MMRM with terms for treatment, visit, treatment-by-visit interaction, stratification, and baseline HbA1C.
    Time Frame Baseline, Week 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and had evaluable HbA1c data
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 179 184
    Least Squares Mean (Standard Error) [percent of HbA1c]
    -1.61
    (0.06)
    -1.36
    (0.06)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Insulin Peglispro, Insulin Glargine
    Comments
    Type of Statistical Test Non-Inferiority or Equivalence
    Comments 0.4% is the margin of Non-inferiority
    Statistical Test of Hypothesis p-Value 0.005
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -0.24
    Confidence Interval (2-Sided) 95%
    -0.41 to -0.07
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    2. Secondary Outcome
    Title 30-Day Adjusted Rate of Total and Nocturnal Hypoglycemic Events
    Description Hypoglycemia Events (HE) occurs when blood glucose level ≤ 70 milligram per deciliter (mg/dL) (<3.9 micromoles per liter [mmol/L]). Nocturnal HE includes any total HE that occurred between bedtime and waking. Group mean rates of nocturnal hypoglycemia (per 30 days) are presented and were calculated from negative binomial regression models with treatment, baseline sulfonylurea/meglitinide use, baseline total hypoglycemia event rate, log (exposure/30 days) as the offset in the model. Group Mean is estimated by taking the inverse link function on individual participant covariates first and then averages over all participants.
    Time Frame Baseline to Week 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and had evaluable HE data.
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 192 196
    Total HE
    1.28
    (0.23)
    1.21
    (0.23)
    Nocturnal HE
    0.19
    (0.12)
    0.27
    (0.18)
    3. Secondary Outcome
    Title Fasting Serum Glucose (FSG)
    Description LS means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and sulfonylurea [SU]/meglitinide use), visit, and treatment-by-visit interaction.
    Time Frame Weeks 0 and 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and had evaluable FSG data.
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 191 194
    Week 0
    164.31
    (2.78)
    166.61
    (2.76)
    Week 26
    103.85
    (1.93)
    110.32
    (1.90)
    4. Secondary Outcome
    Title Fasting Blood Glucose (FBG)
    Description LS Means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide use), visit and treatment-by-visit interaction.
    Time Frame Weeks 0 and 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and had evaluable FBG data.
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 190 195
    Week 0
    159.53
    (2.51)
    161.19
    (2.48)
    Week 26
    108.39
    (1.58)
    108.22
    (1.55)
    5. Secondary Outcome
    Title Change From Baseline to Week 26 in Body Weight
    Description LS Means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide use), visit and treatment-by-visit interaction.
    Time Frame Baseline, Week 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and had evaluable body weight data.
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 190 193
    Least Squares Mean (Standard Error) [Kilogram (kg)]
    1.06
    (0.16)
    1.57
    (0.16)
    6. Secondary Outcome
    Title 9-Point Self-Monitored Blood Glucose (SMBG)
    Description LS means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide use), visit and treatment-by-visit interaction. The 9-point SMBG are measured at: Pre-morning meal, 2 hours(hr) post morning meal, pre-midday meal, 2 hr post midday meal, pre-evening meal, 2 hr post pre-evening meal, bedtime, 0300 hr, and pre-morning meal next day, and should be performed on 2 non-consecutive days.
    Time Frame Week 0 and Week 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and had evaluable SMBG data.
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 188 192
    Morning Pre-meal Wk0
    160.19
    (2.65)
    162.83
    (2.62)
    Morning Pre-meal Wk26
    108.24
    (1.68)
    108.71
    (1.65)
    Morning Post-meal Wk0
    237.19
    (4.26)
    233.37
    (4.21)
    Morning Post-meal Wk26
    176.97
    (3.31)
    176.93
    (3.23)
    Mid-day Pre-meal Wk0
    169.24
    (3.80)
    166.68
    (3.76)
    Mid-day Pre-meal Wk26
    122.01
    (2.56)
    122.85
    (2.50)
    Mid-day Post-meal Wk0
    224.22
    (4.23)
    226.11
    (4.21)
    Mid-day Post-meal Wk26
    182.32
    (3.26)
    183.88
    (3.18)
    Evening Pre-meal Wk0
    176.49
    (3.80)
    172.83
    (3.75)
    Evening Pre-meal Wk26
    131.65
    (3.08)
    135.55
    (2.99)
    Evening Post-meal Wk0
    219.45
    (4.20)
    219.54
    (4.16)
    Evening Post-meal Wk26
    176.23
    (3.37)
    182.80
    (3.26)
    Bed Time Wk0
    198.64
    (3.90)
    197.68
    (3.83)
    Bed Time Wk26
    153.41
    (2.95)
    161.44
    (2.87)
    0300 Hours (Hrs) Wk0
    158.82
    (3.23)
    162.13
    (3.20)
    0300 Hrs Wk26
    115.18
    (2.34)
    114.77
    (2.27)
    Pre-morning Meal Next Day Wk0
    156.28
    (2.57)
    159.96
    (2.55)
    Pre-morning Meal Next Day Wk26
    108.42
    (1.73)
    105.18
    (1.71)
    7. Secondary Outcome
    Title Percentage of Participants With HbA1c ≤6.5%
    Description Percentage of participants with HbA1c ≤6.5% at Week 26 were made using a logistic regression model for endpoint used last observation carried forward (LOCF) method including treatment, baseline HbA1c value.
    Time Frame Week 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and had evaluable HbA1c data.
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 191 194
    Number [Percentage of participants]
    29.8
    15.5%
    22.7
    11.6%
    8. Secondary Outcome
    Title Insulin Dose Per Kilogram (kg) of Body Weight
    Description LS means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide), visit, and treatment-by-visit interaction.
    Time Frame Week 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and had evaluable insulin dose and body weight data.
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 191 195
    Least Squares Mean (Standard Error) [units per kg]
    0.26
    (0.01)
    0.26
    (0.01)
    9. Secondary Outcome
    Title Percentage of Participants Achieving Steady-State of Basal Insulin Dose at 26 Weeks (Time to Steady State for Basal Insulin [Stable Maximum Dose])
    Description
    Time Frame Week 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and had evaluable insulin dose data.
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 192 196
    Number [percentage of participants]
    96.9
    50.5%
    97.2
    49.6%
    10. Secondary Outcome
    Title Concentration of Triglycerides, Total Cholesterol, Low-Density Lipoprotein (LDL-C), and High-Density Lipoprotein Cholesterol (HDL-C) at Week 26
    Description LS means were calculated using MMRM analysis adjusting for baseline, treatment, stratification factor (region, HbA1c, LDL-C, and SU/meglitinide use), visit, and treatment-by-visit interaction.
    Time Frame Week 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and had evaluable laboratory data.
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 192 196
    Cholesterol Wk26
    175.76
    (1.65)
    177.90
    (1.63)
    HDL Wk26
    51.64
    (0.49)
    52.99
    (0.48)
    Triglycerides Wk26
    132.43
    (4.71)
    122.83
    (4.65)
    LDL Wk26
    97.95
    (1.48)
    101.07
    (1.46)
    11. Secondary Outcome
    Title Percentage of Participants With Detectable Anti-Insulin Peglispro Antibodies at Week 26
    Description For participants with detectable anti-insulin peglispro antibody level, the percentage of participants with positive cross-react with endogenous insulin was summarized.
    Time Frame Week 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and had evaluable antibody data.
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 192 196
    Number [percentage of participants]
    24.6
    12.8%
    32.5
    16.6%
    12. Secondary Outcome
    Title Change From Baseline of European Quality of Life-5 Dimensions - 3 Levels (EuroQoL-5D-3L ) Index Score and Visual Analog Scale (VAS) Health State Score at Week 26
    Description The EuroQoL-5D-3L questionnaire 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 ranged from -0.11 to 1.0 where a score of 1.0 indicates perfect health. Overall health state score was self-reported using a VAS marked on a scale of 0 to 100 (0 indicates worst imaginable health state and 100 indicates best imaginable health state. LS means were calculated using analysis of covariance (ANCOVA) for actual measures and changes from baseline at endpoint using LOCF method: adjusting for treatment, stratification factors (region, HbA1c and SU/meglitin.
    Time Frame Baseline, Week 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and had evaluable EQ-5D data. Missing endpoints were imputed with last observation carried forward (LOCF).
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 184 192
    Change from Baseline to Endpoint EQ-5D-3L Score
    0.01
    (0.01)
    0.00
    (0.01)
    Change from Baseline VAS Health State Score
    2.29
    (0.92)
    3.66
    (0.90)
    13. Secondary Outcome
    Title Insulin Treatment Satisfaction Questionnaire (ITSQ) Score
    Description The Insulin Treatment Satisfaction Questionnaire is a validated instrument containing 22 items that assessed treatment satisfaction for participants with diabetes on 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 score on a scale of 0-100, where a higher score indicate better treatment satisfaction. LS means was achieved using a MMRM model for post-baseline measures with stratification factors (country, HbA1c, and SU/meglitinide use) treatment, visit, treatment-by-visit as fixed effects. ITSQ was assessed at Week 4 (baseline) and Week 26.
    Time Frame Week 4 and 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and have evaluable ITSQ data. Missing endpoints were imputed using last observation carried forward (LOCF).
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 188 192
    ITSQ Wk4
    74.13
    (1.04)
    75.94
    (1.03)
    ITSQ Wk26
    78.73
    (1.06)
    78.29
    (1.05)
    14. Secondary Outcome
    Title Change From Baseline to 26 Weeks in Adult Low Blood Sugar Survey (LBSS) Scores
    Description LBSS is a validated, participant-reported 33-item questionnaire with items rated on a 5-point Likert scale, where 0 = never and 5 - 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 0 to 132). Higher total scores reflect greater fear of hypoglycemia. Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) with country, treatment and metformin use as fixed effects and baseline score as a covariate. LBSS was assessed during screening visit (baseline) and again at Week 26.
    Time Frame Baseline, Week 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and had evaluable LBSS data.
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 184 192
    Least Squares Mean (Standard Error) [units on a scale]
    1.51
    (0.69)
    1.62
    (0.68)
    15. Secondary Outcome
    Title Intra-Participant Variability of the Fasting Blood Glucose (FBG)
    Description Intra-participant variability of Fasting Blood Glucose (FBG), which was measured by Self Monitored Blood Glucose (SMBG), was assessed by the standard deviation of the FBG measurement at the Week 26 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.
    Time Frame Week 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and had at least 1 dose of study drug and had evaluable FBG data.
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 179 185
    Least Squares Mean (Standard Error) [mg/dL]
    14.97
    (0.76)
    15.12
    (0.75)
    16. Secondary Outcome
    Title Change From Baseline to 12 Weeks in Hemoglobin A1c (HbA1c)
    Description Hemoglobin A1c (HbA1c) is a test that measures a participant'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.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and had evaluable HbA1c data.
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered subcutaneously (SC) once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 191 194
    Least Squares Mean (Standard Error) [percent of HbA1c]
    -1.43
    (0.05)
    -1.22
    (0.05)
    17. Secondary Outcome
    Title Percent Hemoglobin A1c at Week 26
    Description HbA1c is a test that measures a participant'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.
    Time Frame Week 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and had evaluable HbA1c data.
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 191 194
    Least Squares Mean (Standard Error) [percent of HbA1c]
    6.92
    (0.06)
    7.17
    (0.06)
    18. Secondary Outcome
    Title Percentage of Participants With Total and Nocturnal Hypoglycemic Events (HE)
    Description Percentage of participants with hypoglycemic events (total or nocturnal) to Week 26 based on BG Threshold 70mg/dL.
    Time Frame Baseline to Week 26

    Outcome Measure Data

    Analysis Population Description
    All participants who were randomized and received at least 1 dose of study drug and had evaluable HE data.
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    Measure Participants 192 196
    Nocturnal Hypoglycemia BG 70mg/dL
    26.6
    13.9%
    29.6
    15.1%
    Total Hypoglycemia BG 70mg/dL
    77.1
    40.2%
    76.5
    39%

    Adverse Events

    Time Frame
    Adverse Event Reporting Description
    Arm/Group Title Insulin Peglispro Insulin Glargine
    Arm/Group Description Insulin Peglispro administered SC once daily for 26 weeks. Insulin Glargine administered SC once daily for 26 weeks.
    All Cause Mortality
    Insulin Peglispro Insulin Glargine
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN)
    Serious Adverse Events
    Insulin Peglispro Insulin Glargine
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 9/192 (4.7%) 5/196 (2.6%)
    Blood and lymphatic system disorders
    Anaemia 1/192 (0.5%) 1 0/196 (0%) 0
    Haemorrhagic diathesis 1/192 (0.5%) 1 0/196 (0%) 0
    Cardiac disorders
    Cardiac failure congestive 0/192 (0%) 0 1/196 (0.5%) 1
    Eye disorders
    Glaucoma 2/192 (1%) 2 0/196 (0%) 0
    Hepatobiliary disorders
    Cholelithiasis 1/192 (0.5%) 1 0/196 (0%) 0
    Infections and infestations
    Diverticulitis 1/192 (0.5%) 1 0/196 (0%) 0
    Pneumonia 0/192 (0%) 0 1/196 (0.5%) 1
    Injury, poisoning and procedural complications
    Ankle fracture 0/192 (0%) 0 1/196 (0.5%) 1
    Meniscus injury 1/192 (0.5%) 1 0/196 (0%) 0
    Radius fracture 0/192 (0%) 0 2/196 (1%) 2
    Ulna fracture 0/192 (0%) 0 1/196 (0.5%) 1
    Musculoskeletal and connective tissue disorders
    Haemarthrosis 1/192 (0.5%) 1 0/196 (0%) 0
    Intervertebral disc displacement 1/192 (0.5%) 1 0/196 (0%) 0
    Synovitis 1/192 (0.5%) 1 0/196 (0%) 0
    Renal and urinary disorders
    Nephrolithiasis 1/192 (0.5%) 1 0/196 (0%) 0
    Reproductive system and breast disorders
    Benign prostatic hyperplasia 1/192 (0.5%) 1 0/196 (0%) 0
    Surgical and medical procedures
    Fracture treatment 0/192 (0%) 0 1/196 (0.5%) 1
    Glaucoma surgery 1/192 (0.5%) 1 0/196 (0%) 0
    Suprapubic prostatectomy 1/192 (0.5%) 1 0/196 (0%) 0
    Other (Not Including Serious) Adverse Events
    Insulin Peglispro Insulin Glargine
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 61/192 (31.8%) 42/196 (21.4%)
    Gastrointestinal disorders
    Constipation 4/192 (2.1%) 4 1/196 (0.5%) 1
    Nausea 6/192 (3.1%) 7 1/196 (0.5%) 1
    Infections and infestations
    Bronchitis 4/192 (2.1%) 4 4/196 (2%) 5
    Gastroenteritis 4/192 (2.1%) 5 1/196 (0.5%) 2
    Nasopharyngitis 35/192 (18.2%) 46 29/196 (14.8%) 40
    Pharyngitis 8/192 (4.2%) 8 3/196 (1.5%) 4
    Upper respiratory tract infection 5/192 (2.6%) 7 1/196 (0.5%) 1
    Investigations
    Weight increased 6/192 (3.1%) 6 6/196 (3.1%) 6
    Nervous system disorders
    Headache 6/192 (3.1%) 7 2/196 (1%) 3

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

    Results Point of Contact

    Name/Title Chief Medical Officer
    Organization Eli Lilly and Company
    Phone 800-545-5979
    Email
    Responsible Party:
    Eli Lilly and Company
    ClinicalTrials.gov Identifier:
    NCT01894568
    Other Study ID Numbers:
    • 13422
    • I2R-JE-BIAQ
    First Posted:
    Jul 10, 2013
    Last Update Posted:
    Mar 15, 2019
    Last Verified:
    Mar 1, 2019