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Glargine

Phase 4

Diabetes Mellitus, Type 1 | Small molecule | Metabolic |Eli Lilly and Company|Trials Updated: Apr 17, 2018

Glargine development status

Highest phase Phase 4 (NCT01215955)
Phase scored for LLYPhase 3
Registered trials 12 across 5 sponsors since Oct 2007

Glargine target and mechanism

Molecular targetINSR
Target classAgonist
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials3
Total Enrollment3,107

FDA Designations

No designations recorded

Glargine clinical trials

Glargine · 3 trials · 2 indications

Phase 3 3
NCT01454284A Study in Participants With Type I Diabetes MellitusDiabetes Mellitus, Type 1
COMPLETED1,114 Analytics
NCT01481779A Study in Participants With Type 1 Diabetes MellitusDiabetes Mellitus, Type 1
COMPLETED455 Analytics
NCT01435616A Study in Patients With Type 2 Diabetes MellitusDiabetes Mellitus, Type 2
COMPLETED1,538 Analytics
PHASE3COMPLETED
A Study in Participants With Type I Diabetes Mellitus
Diabetes Mellitus, Type 1Unlock trial analytics
PHASE3COMPLETED
A Study in Participants With Type 1 Diabetes Mellitus
Diabetes Mellitus, Type 1Unlock trial analytics
PHASE3COMPLETED
A Study in Patients With Type 2 Diabetes Mellitus
Diabetes Mellitus, Type 2Unlock trial analytics

Study Endpoints

Primary Endpoints

Hemoglobin A1c (HbA1c)
52 weeks

HbA1c is a test that measures a participant's average blood glucose level over a 2 to 3 month timeframe. Least squares (LS) means were calculated using mixed model repeated measures (MMRM) adjusting for treatment, stratification factors (country, baseline low density lipoprotein cholesterol \[LDL-C\] \[\<100 milligrams/deciliter (mg/dL) (2.6 millimoles/liter \[mmol/L\]) and ≥100 mg/dL (2.6 mmol/L)\], baseline prior basal insulin therapy \[insulin glargine/detemir/other\]), visit, treatment-by-visit interaction, and baseline HbA1c as the fixed effects and participant as the random effect.

Hemoglobin A1c (HbA1c) at 26 Weeks
26 weeks

HbA1c is a test that measures a participant's average blood glucose level over a 2- to 3-month timeframe. Least Squares (LS) means were calculated using mixed model repeated measures (MMRM), adjusting for treatment, stratification factors (baseline low-density lipoprotein cholesterol \[LDL-C\] \[\<100 milligrams per deciliter (mg/dL) and ≥100 mg/dL\] and country), visit, treatment-by-visit interaction, and baseline HbA1c as the fixed effects and participant as the random effect.

Change From Baseline to 52 Week Endpoint in Hemoglobin A1c (HbA1c)
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.

Secondary Endpoints

Hemoglobin A1c (HbA1c)
26 weeks
Change From Baseline to 52 Weeks in HbA1c
Baseline, 52 weeks
Total Hypoglycemia Events
Baseline through 26 weeks, Baseline through 52 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
LY2605541 + Insulin LisproEXPERIMENTALLY2605541 titrated based on blood glucose readings, administered subcutaneously (SC) once daily at bedtime for 52 weeks in combination with Insulin Lispro. Insulin Lispro titrated based on blood glucose readings, administered SC at meal times for 52 weeks.
Glargine + Insulin LisproACTIVE_COMPARATORGlargine dose titrated based on blood glucose readings, administered SC once daily at bedtime for 52 weeks in combination with Insulin Lispro. Insulin Lispro dose titrated based on blood glucose readings, administered SC at meal times for 52 weeks.
LY2605541EXPERIMENTALLY2605541 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
GlargineACTIVE_COMPARATORGlargine 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

Interventions

NameTypeDescription
GlargineDRUG -
LY2605541DRUG -
Insulin LisproDRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites119

Inclusion Criteria: * Type 1 diabetes for at least 1 year * HbA1c value less than 12 percent according to the central laboratory at screening * Body mass index of less than or equal to 35.0 kilograms per square meter (kg/m\^2) * Have been treated for at least 90 days prior to screening with * in...

Countries:United StatesAustraliaBelgiumBrazilCanadaCroatiaDenmarkFranceGreeceIrelandIsraelLithuaniaNetherlandsNew ZealandPolandSlovakiaSouth AfricaSpainSwedenUnited KingdomAustriaGermanyItalyJapanMexicoRussiaArgentinaFinlandHungaryPuerto RicoRomaniaTurkey (Türkiye)
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Frequently asked questions about Glargine

What is Glargine used for?

Glargine is used to treat type 1 and type 2 diabetes mellitus. It is being developed by Eli Lilly and Company for both indications. The clinical program includes Phase 3 studies in adults with type 1 diabetes and type 2 diabetes, evaluating its use in these metabolic conditions.

How does Glargine work?

Glargine targets the insulin receptor (INSR) and acts as an agonist. By binding to and activating INSR, it mimics the action of endogenous insulin, thereby promoting glucose uptake and lowering blood glucose levels in patients with diabetes mellitus.

Who is developing Glargine?

Glargine is being developed by Eli Lilly and Company, which trades under the ticker symbol LLY. The company is responsible for the clinical development program of this small molecule for the treatment of type 1 and type 2 diabetes mellitus.

What phase is Glargine in?

Glargine is in Phase 3 clinical development. The program includes completed Phase 3 trials in type 1 and type 2 diabetes mellitus. It is an investigational product and has not been approved by the FDA for any indication.

What clinical trials is Glargine in?

Glargine has been studied in completed Phase 3 trials including NCT01481779 and NCT01454284 in type 1 diabetes, and NCT01435616 in type 2 diabetes. These randomized, double-blind, active-controlled studies enrolled a total of 1569 participants across multiple countries.