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LY2963016

Phase 3

Diabetes Mellitus, Type 1 | Small molecule | Metabolic |Eli Lilly and Company|Last Updated: May 25, 2021

Success Probability

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment556

FDA Designations

No designations recorded

Clinical trial landscape

LY2963016 · 11 trials · 7 indications

Phase 3 5Phase 1 6
NCT03338023A Study of LY2963016 Compared to Lantus® in Adult Chinese Participants With Type 1 Diabetes MellitusType 1 Diabetes
COMPLETED272 Analytics
NCT03338010A Study of LY2963016 Compared to Lantus® in Adult Chinese Participants With Type 2 Diabetes MellitusType 2 Diabetes
COMPLETED536 Analytics
NCT02302716A Study of LY2963016 Compared to LANTUS® in Adult Participants With Type 2 Diabetes MellitusDiabetes Mellitus, Type 2
COMPLETED493 Analytics
NCT01421459A Study in Adults With Type 2 DiabetesDiabetes Mellitus, Type 2
COMPLETED759 Analytics
NCT01421147A Study in Adults With Type 1 DiabetesDiabetes Mellitus, Type 1
COMPLETED536 Analytics
PHASE3COMPLETED
A Study of LY2963016 Compared to Lantus® in Adult Chinese Participants With Type 1 Diabetes Mellitus
Type 1 DiabetesUnlock trial analytics
PHASE3COMPLETED
A Study of LY2963016 Compared to Lantus® in Adult Chinese Participants With Type 2 Diabetes Mellitus
Type 2 DiabetesUnlock trial analytics
PHASE3COMPLETED
A Study of LY2963016 Compared to LANTUS® in Adult Participants With Type 2 Diabetes Mellitus
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE3COMPLETED
A Study in Adults With Type 2 Diabetes
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE3COMPLETED
A Study in Adults With Type 1 Diabetes
Diabetes Mellitus, Type 1Unlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Hemoglobin A1c (HbA1c) (LY2963016 Noninferior to Lantus®)
Baseline, Week 24

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Least square (LS) mean was calculated using mixed-effects model for repeated measures (MMRM) with variables baseline HbA1c + Treatment + Pre-study treatment + Pre-study metformin or acarbose usage + Time + Time\*Treatment (Type III sum of squares).

Change From Baseline in Hemoglobin A1c (HbA1c) (LY2963016 to Lantus®)
Baseline, Week 24

HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured primarily to identify average plasma glucose concentration over prolonged periods of time. Least square (LS) mean was calculated by mixed-effects model for repeated measures (MMRM) with baseline, insulin secretagogues at study entry, treatment, visit and treatment\*visit in the model.

Change From Baseline to 24 Weeks in Hemoglobin A1c (HbA1c)
Baseline, 24 weeks

HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured primarily 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 of response, treatment (LY2963016, LANTUS), pooled country, basal insulin at entry (yes/no), sulfonylurea (SU) use (yes/no), visit, treatment and visit\*treatment in the model.

Change From Baseline up to 24 Weeks in Hemoglobin A1c (HbA1c)
Baseline, Endpoint (up to 24 weeks)

HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured primarily to identify average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was determined by analysis of covariance (ANCOVA) and adjusted for Baseline HbA1c, country, sulfonylurea use, time of basal insulin injection and treatment.

Pharmacokinetics: Maximum Observed Drug Concentration (Cmax) of LY2963016 U-200 Formulation and LY2963016 U-100 Formulation
One hour before dosing up to 48 hours following administration of study drug
Pharmacokinetics: Area Under the Concentration Versus Time Curve (AUC) of LY2963016 U-200 Formulation and LY2963016 U-100 Formulation
One hour before dosing up to 48 hours following administration of study drug
Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of LY2963016 and US-Approved Lantus
30 minutes predose up to 24 hours postdose in all treatment periods

The AUC from time 0 to 24 hours (AUC0-24) of LY2963016 and US-Approved Lantus was measured.

Pharmacokinetics (PK): Maximum Plasma Concentration (Cmax) of LY2963016 and US-Approved Lantus
30 minutes predose up to 24 hours postdose in all treatment periods
Pharmacokinetics: Area Under the Serum LY2963016 or Lantus Concentration-Time Curve (AUC) From Zero to Infinity [AUC(0-∞)]
Predose up to 24 hours after administration of study drug

Results for LY2936016 treatment arms provide the AUC(0-∞) data for LY2936016, while the results for Lantus treatment arms provide the AUC(0-∞) for Lantus.

Pharmacokinetics: Maximum Serum LY2963016 or Lantus Concentration (Cmax)
Predose up to 24 hours after administration of study drug
Pharmacodynamics: Duration of Action of LY2963016 and Lantus
Periods 1 and 2: Baseline up to 42 hours postdose

Duration of action is defined as the period of time elapsed between dose administration and the time at which the participant's blood glucose is consistently \>150 milligrams/deciliter (mg/dL) without any glucose infusion. Participants whose blood glucose did not rise to 150 mg/dL were censored 42 hours postdose.

Pharmacokinetics: Area Under the Concentration-Time Curve From Time Zero to 24 Hours [AUC(0-24)] of LY2963016 and Lantus
1 hour predose up to 24 hours postdose in all treatment periods
Pharmacokinetics: Maximum Plasma Concentration (Cmax) of LY2963016 and Lantus
1 hour predose up to 24 hours postdose in all treatment periods
Pharmacokinetics: Area Under the Concentration-Time Curve (AUC)
Periods 1 and 2: Baseline up to 24 hours

AUC from time zero to 24 hours (AUC0-24) is reported for this outcome measure.

Secondary Endpoints

Change From Baseline in HbA1c (Lantus® Noninferior to LY2963016)
Baseline, Week 24
Change From Baseline in 7-Point Self-Monitored Blood Glucose (SMBG) Values
Baseline, Week 24
Percentage of Participants With HbA1c <7%
Week 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
LY2963016 + Insulin LisproEXPERIMENTALParticipants received 100 units per milliliter (U/mL) LY2963016 administered subcutaneously (SC) once daily (QD) and 100 U/mL premeal insulin lispro administered SC thrice-daily (TID) within 15 minutes before meals or immediately after the meal.
Lantus® + Insulin LisproACTIVE_COMPARATORParticipants received 100 U/mL Lantus® administered SC QD and 100 U/mL premeal insulin lispro administered SC thrice-daily (TID) within 15 minutes before meals or immediately after the meal.
LY2963016EXPERIMENTALInsulin naive participants started on 10 units (U) LY2963016 given subcutaneously (SC) once a day (QD) for 24 weeks. Participants-driven titration was supervised by investigators through the course of the study to maintain the fasting blood glucose (FBG) ≤100 milligram per deciliter (mg/dL) (5.6 millimoles per litre \[mmol/L\]) while avoiding hypoglycemia. Participants were allowed to continue oral antihyperglycemic medication (OAM).
Lantus®ACTIVE_COMPARATORInsulin naive participants started on 10 U Lantus® given SC QD for 24 weeks. Participants-driven titration was supervised by investigators through the course of the study to maintain the FBG ≤100 mg/dL (5.6 mmol/L) while avoiding hypoglycemia. Participants were allowed to continue oral OAM.
LY2963016 + OAMsEXPERIMENTALLY2963016 titrated based on blood glucose readings, administered subcutaneously, once daily in combination with at least 2 oral antihyperglycemic medications (OAMs) \[alpha glucosidase inhibitors (AGI), dipeptidyl peptidases intravenous (DPP-IV), meglitinide (MEG), metformin (MET), sulfonylurea (SU), and thiazolidinedione (TZD)\] administered per standard of care for 24 weeks
Lantus + OAMsACTIVE_COMPARATORLantus titrated based on blood glucose readings, administered subcutaneously, once daily in combination with at least 2 OAMs (AGI, DPP-IV, MEG, MET, SU, and TZD) administered per standard of care for 24 weeks
Lantus + Insulin LisproACTIVE_COMPARATORLantus titrated based on blood glucose readings, administered subcutaneously, once daily at the same timing (daytime or evening/bedtime) as participant's prestudy basal insulin injection schedule in combination with premeal insulin lispro. Insulin lispro titrated based on blood glucose readings, administered subcutaneously, three times a day for 52 weeks.
LY2963016 U-200 Formulation (Test)EXPERIMENTALLY2963016 test formulation administered as a subcutaneous (SC) injection in one of two or two of four study periods.
LY2963016 U-100 Formulation (Reference)EXPERIMENTALLY2963016 reference formulation administered as a SC injection in one of two or two of four study periods.
US-approved LantusEXPERIMENTALSingle 0.5 U/kg dose of US-approved Lantus administered subcutaneously, twice during the study
0.3 U/kg LY2963016EXPERIMENTALSingle 0.3 units/kilogram (U/kg) subcutaneous dose of LY2963016
0.3 U/kg LantusEXPERIMENTALSingle 0.3 U/kg subcutaneous dose of Lantus
0.6 U/kg LY2963016EXPERIMENTALSingle 0.6 U/kg subcutaneous dose of LY2963016
0.6 U/kg LantusEXPERIMENTALSingle 0.6 U/kg subcutaneous dose of Lantus
LantusACTIVE_COMPARATORA single 0.3 U/kg dose of Lantus will be administered subcutaneously followed by a minimum washout period of 7 days.

Interventions

NameTypeDescription
LY2963016DRUGAdministered SC
Lantus®DRUGAdministered SC
Insulin LisproDRUGAdministered SC
Oral Antihyperglycemic MedicationDRUGAdministered as per standard-of-care.
LantusDRUGAdministered subcutaneously
OAMsDRUGAdministered orally
US Approved LantusDRUGAdministered subcutaneously
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites20

Inclusion Criteria: * Have T1DM based on the disease diagnostic criteria (World Health Organization \[WHO\] Classification). * Have duration of T1DM ≥1 year. * Have HbA1c ≤11 %. * Have been administered with basal-bolus insulins or pre-mixed insulins for at least 90 days prior to screening. * Have ...

Countries:ChinaUnited StatesIndiaPuerto RicoRussiaSouth KoreaTaiwanTurkey (Türkiye)CzechiaFranceGermanyGreeceHungaryMexicoPolandSpainBelgiumJapanRomaniaSingaporeSouth Africa
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Frequently asked questions about LY2963016

What is LY2963016 used for?

LY2963016 is an investigational insulin glargine product being studied for the treatment of Type 1 and Type 2 Diabetes Mellitus. It is a small molecule in the metabolic therapeutic area, developed by Eli Lilly and Company. Clinical trials have evaluated it in adults with Type 2 Diabetes and in healthy participants.

Who makes LY2963016?

LY2963016 is being developed by Eli Lilly and Company, a pharmaceutical company traded on the NYSE under the ticker LLY. The company has sponsored clinical trials of this investigational insulin glargine product across multiple countries, including the United States, China, and Singapore.

What phase is LY2963016 in?

LY2963016 has completed Phase 1 and Phase 3 clinical trials. It is an investigational product, not yet approved by regulatory authorities. The completed trials include Phase 1 studies in healthy participants and Phase 3 studies in patients with Type 2 Diabetes Mellitus.

What clinical trials is LY2963016 in?

LY2963016 has been studied in four completed clinical trials. NCT01421459 was a Phase 3 study in 759 adults with Type 2 Diabetes. NCT01688635 and NCT02955953 were Phase 1 studies in healthy participants. NCT03338010 was a Phase 3 study in 536 Chinese adults with Type 2 Diabetes.

Is LY2963016 the same as Lantus?

LY2963016 is being compared to Lantus (insulin glargine) in clinical trials. Studies such as NCT01688635 and NCT03338010 directly compared LY2963016 to US-approved Lantus or Lantus in patients with Type 2 Diabetes. LY2963016 is an insulin glargine product intended to be similar to Lantus.

How does LY2963016 work?

LY2963016 is an insulin glargine product, which is a long-acting form of insulin used to control blood sugar levels. It works by replacing the insulin that the body normally produces, helping to regulate glucose metabolism in patients with diabetes mellitus.