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LY2605541

Phase 3

Type 1 Diabetes Mellitus | Monoclonal antibody | Metabolic |Eli Lilly and Company|Last Updated: Mar 1, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials2
Total Enrollment239
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01792284A Study of LY2605541 in Participants With Type 1 Diabetes MellitusPHASE3 COMPLETED 212Feb 1, 2013Apr 1, 2014Apr 20, 201818 United States, Puerto Rico
NCT01925989A Study of How Insulin Peglispro (LY2605541) and Insulin Glargine Affect the Breakdown of Fat and Sugar in Type 1 DiabeticsPHASE1 COMPLETED 27Nov 1, 2013Oct 1, 2015Mar 1, 20191 United States
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Study Endpoints
Primary Endpoints
Hemoglobin A1c (HbA1c) at 12 Weeks
At 12 Week in Each Randomization Period

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) analysis including the following fixed effects: treatment, period, sequence, baseline HbA1c (last nonmissing value at or before randomization), week (defined from the start of each Randomization Period), and treatment-by-week interaction.

Sleep Respiratory Quotient (RQ) in Type 1 Diabetes Mellitus (T1DM)
Day 30 post dose, overnight period (0000 to 0600 hours)

Lipid or glucose metabolism was assessed by the measurement of respiratory quotient (RQ) during sleep using whole room calorimetry. RQ is a calculation of basal metabolic rate (BMR) when estimated from carbon dioxide production. It is calculated from the ratio of carbon dioxide produced by the body to oxygen consumed by the body using whole room calorimetry (WRC).

Secondary Endpoints
30-Day Adjusted Rate of Total and Nocturnal Hypoglycemic Events
Baseline (Day 1) of Randomization Period through 24 Weeks (12 weeks in each Randomization Period)
Percentage of Participants With Total and Nocturnal Hypoglycemic Events
Baseline (Day 1) of Randomization Period through 24 weeks (12 weeks in each Randomization Period)
Fasting Blood Glucose (FBG) Measured by Self-Monitored Blood Glucose
At 12 Weeks in Each Randomization Period
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
LY2605541 Fixed Time DosingEXPERIMENTALParticipant-specific dose of LY2605541 administered subcutaneously (SQ) at approximately the same time every evening for 12 weeks in the Lead-in Period and in Randomization Period 1 or Randomization Period 2. Participant-specific dose of insulin lispro SQ when \>20% of calories were consumed (pre-meal). Insulin dose and adjustments to insulin dose were determined by insulin algorithms based on self-monitored blood glucose (SMBG). Target glucose values were as follows: Preprandial and bedtime BG between 71 and 130 milligrams/deciliter (mg/dL) Insulin adjustment and glucose correction between 71 and 100 mg/dL.
LY2605541 Variable Time DosingEXPERIMENTALParticipant-specific dose of LY2605541 administered SQ on a variable time schedule (8- and 40-hour dosing intervals) for 12 weeks in Randomization Period 1 or Randomization Period 2. Dosing schedules were to remain approximately the same throughout the 12 weeks. Participant-specific dose of insulin lispro SQ when \>20% of calories were consumed (pre-meal). Insulin dose and adjustments to insulin dose were determined by insulin algorithms based on SMBG. Target glucose values were as follows: Preprandial and bedtime BG between 71 and 130 mg/dL Insulin adjustment and glucose correction between 71 and 100 mg/dL.
Insulin Peglispro/Insulin GlargineEXPERIMENTALInsulin peglispro (LY2605541) administered to participants with T1DM subcutaneously (SQ) once daily (QD) for 28 to 35 days in one of two treatment periods. Dose is based on participant's prestudy basal insulin dosing regimen. Insulin glargine administered to participants with T1DM SQ QD for 28 to 35 days in one of two treatment periods. Dose is based on participant's prestudy basal insulin dosing regimen. Participants continue to use mealtime insulin.
Insulin Glargine/Insulin PeglisproACTIVE_COMPARATORInsulin glargine administered to participants with T1DM SQ QD for 28 to 35 days in one of two treatment periods. Dose is based on participant's prestudy basal insulin dosing regimen. Participants continue to use mealtime insulin. Insulin peglispro (LY2605541) administered to participants with T1DM subcutaneously (SQ) once daily (QD) for 28 to 35 days in one of two treatment periods. Dose is based on participant's prestudy basal insulin dosing regimen.
ControlNO_INTERVENTIONControl Arm. Untreated healthy participants.
Interventions
NameTypeDescription
LY2605541DRUG -
Insulin LisproDRUGAll participants will be administering insulin lispro SQ as their pre-meal insulin during the course of the trial.
Insulin GlargineBIOLOGICALAdministered SQ
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites18

Inclusion Criteria: * Type 1 diabetes mellitus for at least 1 year * Have an HbA1c value \<9.0% * Have a body mass index (BMI) ≤35.0 kilogram per square meter (kg/m\^2) * Currently using basal/ bolus insulin * Women of childbearing potential are not breastfeeding and must use methods to prevent pre...

Countries:United StatesPuerto Rico
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