Recent Updates
Recently added Catalysts

LY900014

Phase 3

Type 1 Diabetes Mellitus | Small molecule | Metabolic |Eli Lilly and Company|Last Updated: Feb 8, 2023

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment2,553
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03952130A Study of LY900014 Compared to Insulin Lispro (Humalog) in Adults With Type 1 DiabetesPHASE3 COMPLETED 354May 29, 2019Jan 10, 2022Feb 8, 202330 Argentina, China +1
NCT03740919A Study Comparing LY900014 to Insulin Lispro (Humalog) in Children and Adolescents With Type 1 DiabetesPHASE3 COMPLETED 751Apr 7, 2019Jul 2, 2021Jan 24, 2022111 United States, Austria +16
NCT03214367A Study of LY900014 in Participants With Type 1 DiabetesPHASE3 COMPLETED 1,392Jul 17, 2017Aug 22, 2019May 1, 2020172 United States, Argentina +18
NCT03465878A Study of LY900014 in Participants With Type 1 Diabetes MellitusPHASE1 COMPLETED 56Mar 26, 2018Nov 14, 2019Jun 18, 20202 Canada, Germany
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Change From Baseline in Hemoglobin A1c (HbA1c)
Baseline, Week 26

HbA1c is the glycosylated fraction of hemoglobin A. It is measured 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 + Pooled Country + Number of Bolus at Study Entry Stratum + Type of Basal at Lead-in Stratum + Treatment + Time + Treatment\*Time (Type III sum of squares) as variables.

Change From Baseline in Hemoglobin A1c (HbA1c) Efficacy Estimand at Week 26
Baseline, Week 26

Change from baseline in HbA1c was analyzed using mixed model repeated measures (MMRM) and includes fixed class effects of treatment, strata (pooled country, type of basal insulin, and age group), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. An unstructured covariance structure will be used to model the within-participant errors. The Efficacy estimand included data collected prior to permanent discontinuation of study drug through Week 26.

Pharmacokinetics (PK): Insulin Lispro Area Under the Concentration Curve (AUC) Following Each Treatment Arm for Each Study Part
Predose, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 60, 70, 90, 120, 150, 180, 240, 300, 360, and 420 minutes postdose

Pharmacokinetics (PK): Insulin Lispro Area Under the Concentration Curve (AUC(0 -7h)) following Each Treatment Arm for Each Study Part.

Secondary Endpoints
1-hour Postprandial Glucose (PPG) Excursion During Mixed-Meal Tolerance Test (MMTT)
Week 26
2-hour PPG Excursion During MMTT
Week 26
Rate of Severe Hypoglycemia
Baseline through Week 26
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
LY900014EXPERIMENTALParticipants received 100 units per milliliter (U/mL) LY900014 subcutaneously (SC) 0-2 minutes before each meal with either basal insulin glargine or insulin degludec given SC once daily.
Insulin Lispro (Humalog)ACTIVE_COMPARATORParticipants received 100 U/mL insulin lispro SC 0-2 minutes before each meal with either basal insulin glargine or insulin degludec given SC once daily.
LY900014 PostmealEXPERIMENTALParticipants received 100 U/mL LY900014 administered SC, up to 20 minutes after the start of the meal.
LY900014 Postmeal (Open Label)EXPERIMENTALLY900014 given SC 20 minutes after the start of each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014 - Maximum Extended Enrollment (MEE)EXPERIMENTALLY900014 given subcutaneously (SC) 0-2 minutes before each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Preprandial insulin doses were individualized and titrated according to protocol-defined targets.
Insulin Lispro (Humalog)-MEEACTIVE_COMPARATORInsulin lispro given SC 0-2 minutes before each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Preprandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014 Postmeal (Open Label)-MEEEXPERIMENTALLY900014 given SC 20 minutes after the start of each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
LY900014-Part AEXPERIMENTALParticipants received single 0.2 U/kg of body weight subcutaneous (SC) bolus injection of 100 U/mL LY900014.
Humalog (Insulin Lispro)-Part AACTIVE_COMPARATORParticipants received single 0.2 U/kg of body weight SC bolus injection of 100 U/mL of Humalog.
LY900014-Part BEXPERIMENTALParticipants received single 0.2 U/kg of body weight SC bolus infusion of 100 U/mL LY900014 delivered using the continuous subcutaneous insulin infusion (CSII) pump.
Humalog (Insulin Lispro)-Part BACTIVE_COMPARATORParticipants received single 0.2 U/kg of body weight SC bolus infusion of 100 U/mL Humalog delivered using the CSII pump.
Interventions
NameTypeDescription
LY900014DRUGAdministered SC
Insulin LisproDRUGAdministered SC
Insulin GlargineDRUGAdministered SC
Insulin DegludecDRUGAdministered SC
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites30

Inclusion Criteria: * Participants must have T1D for at least 1 year prior to screening and continuously using insulin for at least 1 year. * Participants must have HbA1c of ≥7.0 and ≤10.0%. * Participants must have been treated for at least 90 days prior to screening with either multiple daily inj...

Countries:ArgentinaChinaMexicoUnited StatesAustriaBrazilCzechiaDenmarkFranceGermanyIsraelItalyJapanPolandPuerto RicoRussiaSpainUkraineUnited KingdomAustraliaGreeceIndiaNew ZealandRomaniaSlovakiaSwedenTaiwanCanada
Unlock Eligibility Criteria