| NCT ID | Title | Phase | Status | Enrollment | Velocity | Design | Start | Completion | Last Updated | Sites | Countries |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NCT03495102 | A Study of the Efficacy and Safety of Dulaglutide (LY2189265) in Participants With Type 2 Diabetes | PHASE3 | COMPLETED | 1,842 | — | — | Apr 5, 2018 | Oct 10, 2019 | Jun 12, 2020 | 208 | United States, Argentina +14 |
| NCT02152371 | A Study of Dulaglutide (LY2189265) in Participants With Type II Diabetes | PHASE3 | COMPLETED | 300 | — | — | May 1, 2014 | Oct 1, 2015 | Sep 25, 2019 | 40 | United States, Czechia +5 |
| NCT01191268 | A Study in Participants With Type 2 Diabetes Mellitus (AWARD-4) | PHASE3 | COMPLETED | 884 | — | — | Nov 1, 2010 | Sep 1, 2012 | Oct 8, 2014 | 101 | United States, Argentina +14 |
| NCT01126580 | A Study in Participants With Type 2 Diabetes Mellitus (AWARD-3) | PHASE3 | COMPLETED | 807 | — | — | May 1, 2010 | Jun 1, 2012 | Jan 16, 2015 | 91 | United States, Argentina +17 |
| NCT01064687 | A Study in Participants With Type 2 Diabetes Mellitus | PHASE3 | COMPLETED | 978 | — | — | Feb 1, 2010 | May 1, 2012 | Jan 26, 2015 | 89 | United States, Argentina +2 |
| NCT01075282 | A Study in Participants With Type 2 Diabetes Mellitus (AWARD-2) | PHASE3 | COMPLETED | 810 | — | — | Feb 1, 2010 | Nov 1, 2012 | Jan 16, 2015 | 78 | Argentina, Australia +18 |
| NCT01149421 | A Study of the Effect of LY2189265 on Blood Pressure and Heart Rate in Type 2 Diabetes | PHASE2 | COMPLETED | 755 | — | — | Jun 1, 2010 | Jan 1, 2012 | Feb 2, 2015 | 76 | United States, Argentina +6 |
| NCT01001104 | A Study of LY2189265 in Japanese Patients With Type 2 Diabetes | PHASE2 | COMPLETED | 145 | — | — | Oct 1, 2009 | Dec 1, 2010 | Sep 28, 2015 | 6 | Japan |
| NCT00734474 | A Study of LY2189265 Compared to Sitagliptin in Participants With Type 2 Diabetes Mellitus on Metformin | PHASE2 | COMPLETED | 1,202 | — | — | Aug 1, 2008 | Jul 1, 2012 | Apr 20, 2015 | 99 | United States, Canada +11 |
| NCT01667900 | A Study of Dulaglutide in Chinese Participants | PHASE1 | COMPLETED | 58 | — | — | Aug 1, 2012 | Jun 1, 2014 | Mar 7, 2016 | 1 | China |
| NCT01524770 | A Study to Compare the Effect of Giving Dulaglutide Using an Auto-injector Versus a Manual Syringe | PHASE1 | COMPLETED | 50 | — | — | Mar 1, 2012 | Jun 1, 2012 | Oct 22, 2014 | 1 | United States |
| NCT01432938 | A Study of the Effect of Dulaglutide on the Action of Warfarin in Healthy Participants | PHASE1 | COMPLETED | 28 | — | — | Sep 1, 2011 | Dec 1, 2011 | Oct 7, 2014 | 1 | United States |
| NCT01436201 | A Study of the Effect of Dulaglutide on How Body Handles Digoxin in Healthy Participants | PHASE1 | COMPLETED | 24 | — | — | Sep 1, 2011 | Nov 1, 2011 | Oct 7, 2014 | 1 | United States |
| NCT01408888 | A Study of LY2189265 and Sitagliptin in Participants With Type 2 Diabetes | PHASE1 | COMPLETED | 29 | — | — | Aug 1, 2011 | Apr 1, 2012 | Oct 7, 2014 | 3 | United States |
| NCT01324388 | A Study of the Effect of LY2189265 on Two Blood Pressure Drugs | PHASE1 | COMPLETED | 51 | — | — | Mar 1, 2011 | Aug 1, 2011 | Oct 8, 2014 | 3 | United States |
| NCT01300260 | Effect of LY2189265 on Insulin Secretion in Response to Intravenous Glucose | PHASE1 | COMPLETED | 32 | — | — | Feb 1, 2011 | Aug 1, 2011 | Oct 7, 2014 | 1 | Germany |
| NCT01253304 | A Single Dose Study of LY2189265 in Subjects With Varying Degrees of Hepatic (Liver) Impairment | PHASE1 | COMPLETED | 26 | — | — | Nov 1, 2010 | Nov 1, 2011 | Oct 7, 2014 | 2 | Germany, Hungary |
| NCT01215968 | A Study to Evaluate the Effect of LY2189265 on the Speed at Which Food and Drink Leaves the Stomach in Patients With Type 2 Diabetes Mellitus | PHASE1 | COMPLETED | 38 | — | — | Sep 1, 2010 | Jul 1, 2011 | Oct 7, 2014 | 1 | United Kingdom |
HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. The Least Squares (LS) mean was estimated from a mixed-effects model with repeated measures (MMRM) that included the independent variables:Baseline + Pooled Country + Treatment + Time + Treatment\*Time (Type III sum of squares).
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Least-squares (LS) mean and standard error (SE) changes from baseline in HbA1c at 28 weeks were measured using mixed model regression and restricted maximum likelihood (REML) with treatment, pooled country, visit, and treatment-by -visit interaction as fixed effects, baseline as covariate, and participant as a random effect.
Least Squares (LS) means of change from baseline were calculated using analysis of covariance (ANCOVA) adjusted by treatment, country, baseline metformin, and baseline HbA1c.
Least squares (LS) means were calculated using analysis of covariance (ANCOVA) with country and treatment as fixed effects and baseline HbA1c as a covariate.
Least Squares (LS) means were calculated using analysis of covariance (ANCOVA) with country and treatment as fixed effects and baseline HbA1c as a covariate.
Mean 24-hour systolic blood pressure (SBP) was measured by using a 24-hour ambulatory blood pressure monitoring (ABPM) device attached to the participant's nondominant arm. Ambulatory blood pressure measurements were recorded every 20 minutes during the daytime (0700 to 2200 hours) and every 30 minutes during the nighttime hours (2200 to 0700), as preprogrammed into the device. For statistical analyses, diurnal hours were defined as 0800 to 2100 and nocturnal hours were defined as 0000 to 0600. Least Squares (LS) means were calculated using mixed model repeated measures (MMRM) adjusting for baseline, pooled sites, treatment, visit, treatment-by-visit interaction, and the stratified variable of diagnosis of hypertension.
Change in HbA1c from baseline following 12 weeks of therapy (that is, HbA1c at week 12 minus HbA1c at baseline). Changes in HbA1c were analyzed by a mixed model repeated measures (MMRM) model that included dose, pre-study therapy, body mass index (BMI) group at baseline, baseline value, visit, and dose\*visit, where the participant was treated as a random effect.
Least squares (LS) means were calculated using analysis of covariance (ANCOVA) and last observation carried forward (LOCF) imputation with country and treatment as fixed effects and baseline HbA1c as a covariate.
Pharmacokinetic parameters were assessed on Day 1 in Part A and Days 1 and 22 in Part B.
Pharmacokinetic parameters were assessed on Day 1 in Part A and Days 1 and 22 in Part B.
Pharmacokinetic parameters were assessed on Day 1 in Part A and Days 1 and 22 in Part B.
Pharmacokinetic parameters were assessed on Day 1 in Part A and Days 1 and 22 in Part B.
Area under the concentration versus time curve (AUC) from zero to infinity was determined from plasma concentrations of the S- and R- enantiomers of warfarin.
Area under the sitagliptin pharmacokinetic (PK) concentration versus time curve (AUC \[0-tau\]) during one dosing interval (24 hours) is summarized.
On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus \[T2DM\]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Maximum plasma insulin concentration from 0 to 10 minutes (INSCmax\[0-10\]) following the first dextrose bolus (the first phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus.
On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus \[T2DM\]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Area under the plasma insulin concentration time curve from 0 to 10 minutes (INSAUC\[0-10\]) following the first dextrose bolus (the first phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus.
On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus \[T2DM\]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Maximum plasma insulin concentration from 10 to 180 minutes (INSCmax\[10-180\]) following the first dextrose bolus (the second phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus.
On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus \[T2DM\]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Area under the plasma insulin concentration time curve from 10 to 180 minutes (INSAUC\[10-180\]) following the first dextrose bolus (the second phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus.
This measure was calculated using non-compartmental analysis techniques.
This measure was calculated using non-compartmental analysis techniques.
This measure was calculated using non-compartmental analysis techniques.
This measure was calculated using non-compartmental analysis techniques.
The half life associated with the terminal rate constant is summarized. This measure was calculated using non-compartmental analysis techniques.
The apparent total body clearance of drug calculated after extra vascular administration is summarized. This measure was calculated using non-compartmental analysis techniques.
The apparent volume of distribution during the terminal phase after extra vascular administration is summarized. This measure was calculated using non-compartmental analysis techniques.
After at least 8 hours fasting, participants received a radiolabeled breakfast containing technetium-99m-tin colloid (99mTc-tin colloid). After which serial anterior and posterior scintigraphy images were taken. Data presented are the time required for 50% of radioactivity to be emptied from stomach. The results presented are Geometric Least Squares (LS) Mean. LS Mean values were controlled for weeks.
| Arm | Type | Description |
|---|---|---|
| Dulaglutide 1.5 mg | ACTIVE_COMPARATOR | Dulaglutide 1.5 mg administered subcutaneously (SC) once a week. |
| Dulaglutide 3 mg | EXPERIMENTAL | Dulaglutide 3 mg administered SC once a week. |
| Dulaglutide 4.5 mg | EXPERIMENTAL | Dulaglutide 4.5 mg administered SC once a week. |
| Dulaglutide + Insulin Glargine | EXPERIMENTAL | 1.5 milligrams (mg) dulaglutide administered subcutaneously (SQ) once weekly for 28 weeks. Titrated insulin glargine administered SQ once daily for 28 weeks. Participants who are taking metformin should remain on stable doses. |
| Placebo + Insulin Glargine | PLACEBO_COMPARATOR | Placebo administered SQ once weekly for 28 weeks. Titrated insulin glargine administered SQ once daily for 28 weeks. Participants who are taking metformin should remain on stable doses. |
| 1.5 mg LY2189265 | EXPERIMENTAL | LY2189265 (Dulaglutide): 1.5 milligrams (mg), subcutaneous (SC), once weekly for 52 weeks Insulin Lispro: dose titration based on blood glucose measures, subcutaneous (SC), thrice daily (after each meal) for 52 weeks |
| 0.75 mg LY2189265 | EXPERIMENTAL | LY2189265 (Dulaglutide): 0.75 milligrams (mg), subcutaneous (SC), once weekly for 52 weeks Insulin Lispro: dose titration based on blood glucose measures, subcutaneous (SC), thrice daily (after each meal) for 52 weeks |
| Insulin Glargine | ACTIVE_COMPARATOR | Insulin Glargine: dose titration based on blood glucose measures, subcutaneous (SC), once daily for 52 weeks Insulin Lispro: dose titration based on blood glucose measures, subcutaneous (SC), thrice daily (after each meal) for 52 weeks |
| Metformin | ACTIVE_COMPARATOR | Metformin: 500 milligrams per day (mg/day), orally, for Week 1; 1000 mg/day, orally, for Week 2; 1500 mg/day, orally, for Week 3; 2000 or at least 1500 mg/day, orally, for Weeks 4 through Week 52 Placebo: subcutaneously (SC), once weekly for 52 weeks |
| Exenatide | ACTIVE_COMPARATOR | Exenatide: 5 micrograms (mcg), subcutaneous (SC), twice daily for 4 weeks, followed by 10 mcg, SC, twice daily for 48 weeks Metformin: at least 1500 milligrams per day (mg/day), oral, for 52 weeks Pioglitazone: at least 30 mg/day, oral, for 52 weeks |
| Placebo | PLACEBO_COMPARATOR | Placebo: subcutaneous (SC), once weekly for 26 weeks LY2189265 (Dulaglutide): After 26 weeks, participants were randomized to receive either 0.75 milligrams (mg) or 1.5 mg, SC, once weekly for an additional 26 weeks (from week 26 through week 52). Metformin: at least 1500 milligrams per day (mg/day), oral, for 52 weeks Pioglitazone: at least 30 mg/day, oral, for 52 weeks |
| LY2189265 1.5 mg | EXPERIMENTAL | LY2189265 (Dulaglutide): 1.5 milligrams (mg), subcutaneous (SC), once weekly for 78 weeks Metformin: at least 1500 milligrams per day (mg/day), oral, for 78 weeks Glimepiride: at least 4 mg/day, oral, for 78 weeks |
| LY2189265 0.75 mg | EXPERIMENTAL | LY2189265 (Dulaglutide): 0.75 milligrams (mg), subcutaneous (SC), once weekly for 78 weeks Metformin: at least 1500 milligrams per day (mg/day), oral, for 78 weeks Glimepiride: at least 4 mg/day, oral, for 78 weeks |
| 1.5 milligram (mg) LY2189265 | EXPERIMENTAL | LY2189265: 1.5 milligram (mg), subcutaneous (SC), once weekly (QW) |
| 0.75 milligram (mg) LY2189265 | EXPERIMENTAL | LY2189265: 0.75 milligram (mg), subcutaneous (SC), once weekly (QW) |
| 0.5 mg LY2189265 | EXPERIMENTAL | - |
| 0.25 mg LY2189265 | EXPERIMENTAL | - |
| 3.0 mg LY2189265 | EXPERIMENTAL | LY2189265 (Dulaglutide): 3.0 milligrams (mg), subcutaneous (SC) injection, once weekly for up to 104 weeks Placebo: tablet, administered orally, once daily for up to 104 weeks Metformin: at least 1500 milligrams per day (mg/day), administered orally for up to 104 weeks |
| 2.0 mg LY2189265 | EXPERIMENTAL | LY2189265 (Dulaglutide): 2.0 milligrams (mg), subcutaneous (SC) injection, once weekly for up to 104 weeks Placebo: tablet, administered orally, once daily for up to 104 weeks Metformin: at least 1500 milligrams per day (mg/day), administered orally for up to 104 weeks |
| 1.0 mg LY2189265 | EXPERIMENTAL | LY2189265 (Dulaglutide): 1.0 milligrams (mg), subcutaneous (SC) injection, once weekly for up to 104 weeks Placebo: tablet, administered orally, once daily for up to 104 weeks Metformin: at least 1500 milligrams per day (mg/day), administered orally for up to 104 weeks |
| Sitagliptin | ACTIVE_COMPARATOR | Sitagliptin: 100-milligrams (mg) tablet, administered orally, once daily for 104 weeks Placebo: solution, subcutaneous (SC) injection, once weekly for 104 weeks Metformin: at least 1500 milligrams per day (mg/day), administered orally for 104 weeks |
| Placebo/Sitagliptin (Baseline Through 104 Weeks) | PLACEBO_COMPARATOR | Placebo: solution, subcutaneous (SC) injection, once weekly for 104 weeks Placebo: tablet, administered orally, once daily for 26 weeks Sitagliptin: after 26 weeks, 100-milligrams (mg) tablet, administered orally, once daily for 78 weeks Metformin: at least 1500 milligrams per day (mg/day), administered orally for 104 weeks |
| 0.5 mg Dulaglutide (Part A-Healthy) | EXPERIMENTAL | 0.5 milligrams (mg) dulaglutide administered once subcutaneously (SQ) to healthy participants in 1 of 3 treatment periods |
| 0.75 mg Dulaglutide (Part A-Healthy) | EXPERIMENTAL | 0.75 mg dulaglutide administered once SQ to healthy participants in 1 of 3 treatment periods |
| 1.5 mg Dulaglutide (Part A-Healthy) | EXPERIMENTAL | 1.5 mg dulaglutide administered once SQ to healthy participants in 1 of 3 treatment periods |
| Placebo (Part A-Healthy) | PLACEBO_COMPARATOR | Placebo administered once SQ to healthy participants in 1 of 3 treatment periods |
| 0.5 mg Dulaglutide (Part B-T2DM) | EXPERIMENTAL | 0.5 mg dulaglutide administered to participants with Type 2 diabetes mellitus (T2DM) once weekly SQ for 4 weeks |
| 0.75 mg Dulaglutide (Part B-T2DM) | EXPERIMENTAL | 0.75 mg dulaglutide administered to participants with T2DM once weekly SQ for 4 weeks |
| 1.5 mg Dulaglutide (Part B-T2DM) | EXPERIMENTAL | 1.5 mg dulaglutide administered to participants with T2DM once weekly SQ for 4 weeks |
| Placebo (Part B-T2DM) | PLACEBO_COMPARATOR | Placebo administered to participants with T2DM once weekly SQ for 4 weeks |
| Manual syringe | ACTIVE_COMPARATOR | Dulaglutide: Single dose of 1.5 milligrams (mg) dulaglutide administered subcutaneously (SC) by manual syringe in one of two study periods separated by a 28-day minimum washout period. |
| Auto-injector | EXPERIMENTAL | Dulaglutide: Single dose of 1.5 milligrams (mg) dulaglutide administered subcutaneously (SC) by auto-injector in one of two study periods separated by a minimum 28-day washout period |
| Warfarin first, then Dulaglutide + Warfarin | EXPERIMENTAL | A single, 10-milligram (mg) dose of warfarin administered orally on Day 1 (Treatment 1). There was a washout period of at least 24 days between treatment periods. Then a single, 1.5-mg dose of dulaglutide administered subcutaneously on Day 1, followed by a single, 10-mg dose of warfarin administered orally on Day 3 (Treatment 2). |
| Dulaglutide + Warfarin first, then Warfarin | EXPERIMENTAL | A single, 1.5-mg subcutaneous dose of dulaglutide on Day 1, followed by a single, 10-mg oral dose of warfarin on Day 3 (Treatment 2). There was a washout period of at least 24 days between treatment periods. Then a single, 10-mg oral dose of warfarin on Day 1 (Treatment 1). |
| Digoxin + Dulaglutide | EXPERIMENTAL | Digoxin: Two 0.5-milligram (mg) doses, oral, 12 hours apart on Day 1 (1 mg total on Day 1); 0.25 mg, oral, once daily on Day 2 to Day 17. Dulaglutide (LY2189265): 1.5 mg, subcutaneous injection, once on Day 8 and once on Day 15. |
| LY2189265, Sitagliptin + LY2189265 | EXPERIMENTAL | A single 1.5-milligram (mg) dose of LY2189265 administered subcutaneously (Treatment 1). There was a washout period of at least 21 days before crossing over and receiving 100 mg of sitagliptin administered orally, once daily for 18 days in combination with two separate single 1.5-mg doses of LY2189265 administered subcutaneously, immediately prior to the sitagliptin doses on Day 5 and Day 12 (Treatment 2). |
| Sitagliptin + LY2189265, LY2189265 | EXPERIMENTAL | 100 mg of sitagliptin administered orally, once daily for 18 days in combination with two separate single 1.5-mg doses of LY2189265 administered subcutaneously, immediately prior to the sitagliptin doses on Day 5 and Day 12 (Treatment 2). There was a washout of at least 21 days before crossing over and receiving a single 1.5 mg dose of LY2189265 administered subcutaneously (Treatment 1). |
| LY2189265 + Lisinopril | EXPERIMENTAL | LY2189265 (dulaglutide): 1.5 milligrams (mg), subcutaneous (SC), on Days 1, 8, 15, and 22 of Part 1 of the study. Lisinopril: Dose as prescribed by participant's established course of therapy, oral, daily dosing throughout Part 1 of the study. |
| Placebo + Lisinopril | PLACEBO_COMPARATOR | Placebo: 1.5 milligrams (mg), subcutaneous (SC), on Days 1, 8, 15, and 22 of Part 1 of the study. Lisinopril: Dose as prescribed by participant's established course of therapy, oral, daily dosing throughout Part 1 of the study. |
| LY2189265 (Treatment 1)/Metoprolol + LY2189265 (Treatment 2) | EXPERIMENTAL | LY2189265 (dulaglutide): 1.5 milligrams (mg), subcutaneous (SC), on Day 1 of Treatment 1 and on Day 5 of Treatment 2 in Part 2 of the study. Metoprolol: 100 mg, oral, on Days 1 through 7 of Treatment 2 in Part 2 of the study. There was a washout period of at least 21 days between the LY2189265 and metoprolol doses of each treatment period (Day 1 of Treatment 1 to Day 1 of Treatment 2 in Part 2 of the study). |
| Metoprolol + LY2189265 (Treatment 2)/LY2189265 (Treatment 1) | EXPERIMENTAL | LY2189265 (dulaglutide): 1.5 milligrams (mg), subcutaneous (SC), on Day 5 of Treatment 2 and on Day 1 of Treatment 1 in Part 2 of the study. Metoprolol: 100 mg, oral, on Days 1 through 7 of Treatment 2 in Part 2 of the study. There was a washout period of at least 21 days between the LY2189265 and metoprolol doses of each treatment period (Day 7 of Treatment 2 to Day 1 of Treatment 1 in Part 2 of the study). |
| LY2189265 then Placebo | EXPERIMENTAL | LY2189265 (Dulaglutide) then Placebo: A single 1.5 milligram (mg) subcutaneous (SC) injection of LY2189265 on Day 1 in Period 1, followed by a single SC injection of Placebo on Day 1 in Period 2. On Day 3 of each period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose bolus (0.3 gram/kilogram \[g/kg\] over approximately 2 minutes). Three hours later, participants were administered a second IV dextrose bolus of 25 g of 50% dextrose or a suitably adjusted dose according to glycemic status (20 g of 50% dextrose for participants with 3-hour glucose between 5.2 and 10 millimole/liter \[mmol/L\] or 15 g of 50% dextrose for participants with 3-hour glucose \>10 mmol/L), followed by a 20% dextrose at the set infusion rate of 600 milliliter/hour \[mL/h\] for 35 minutes. Fifteen minutes after the start of the 20% dextrose infusion, an IV 1-mg glucagon bolus was administered. There was a washout period of at least 28 days between Periods 1 and 2. |
| Placebo then LY2189265 | EXPERIMENTAL | Placebo then LY2189265 (Dulaglutide): A single subcutaneous injection of Placebo on Day 1 in Period 1, followed by a single 1.5 milligrams (mg) subcutaneous injection of LY2189265 on Day 1 in Period 2. On Day 3 of each period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose bolus (0.3 gram/kilogram \[g/kg\] over approximately 2 minutes). Three hours later, participants were administered a second IV dextrose bolus of 25 g of 50% dextrose or a suitably adjusted dose according to glycemic status (20 g of 50% dextrose for participants with 3-hour glucose between 5.2 and 10 millimole/liter \[mmol/L\] or 15 g of 50% dextrose for participants with 3-hour glucose \>10 mmol/L), followed by a 20% dextrose at the set infusion rate of 600 milliliter/hour \[mL/h\] for 35 minutes. Fifteen minutes after the start of the 20% dextrose infusion, an IV 1-mg glucagon bolus was administered. There was a washout period of at least 28 days between Periods 1 and 2. |
| Normal hepatic function | EXPERIMENTAL | LY2189265: A single, subcutaneous (SC) 1.5-milligram (mg) injection on Day 1 in participants with normal hepatic function |
| Mild hepatic impairment | EXPERIMENTAL | LY2189265: A single, SC 1.5-mg injection on Day 1 in participants with mild hepatic impairment (Child-Pugh A) |
| Moderate hepatic impairment | EXPERIMENTAL | LY2189265: A single, SC 1.5-mg injection on Day 1 in participants with moderate hepatic impairment (Child-Pugh B) |
| Severe hepatic impairment | EXPERIMENTAL | LY2189265: A single, SC-1.5 mg injection on Day 1 in participants with severe hepatic impairment (Child-Pugh C) |
| LY2189265 | EXPERIMENTAL | Participants randomized to LY2189265 will receive once-weekly doses of LY2189265 on Weeks 2 to 5. 1.5 milligram (mg) LY2189265 will be administered by single subcutaneous injection into the skin of the abdominal wall. Participants regularly taking metformin will continue their normal dosing regimen throughout the study. |
| Name | Type | Description |
|---|---|---|
| Dulaglutide | DRUG | Administered SC |
| Placebo | DRUG | Administered SQ |
| Insulin Glargine | DRUG | Administered SQ |
| Metformin | DRUG | Administered orally |
| LY2189265 | DRUG | - |
| Insulin Lispro | DRUG | - |
| Placebo (oral) | DRUG | - |
| Placebo (subcutaneous) | DRUG | - |
| Exenatide | DRUG | - |
| Pioglitazone | DRUG | - |
| Glimepiride | DRUG | - |
| Sitagliptin | DRUG | - |
| Placebo solution | DRUG | - |
| Placebo tablet | DRUG | - |
| Warfarin | DRUG | Administered orally |
| Digoxin | DRUG | Administered orally |
| Metoprolol | DRUG | Administered orally |
| Lisinopril | DRUG | Administered orally |
| Insulin | DRUG | Administered intravenously |
| Glucose | DRUG | Administered intravenously |
| Glucagon | DRUG | Administered intravenously |
Inclusion Criteria: * Have type 2 diabetes mellitus (T2DM) for at least 6 months * Have been treated with stable metformin dose for at least 3 months * Have HbA1c ≥7.5% and ≤11.0% at study entry * Have body mass index (BMI) ≥25 kilograms per meter squared (kg/m\^2) Exclusion Criteria: * Have type...