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| ID | Type | Description | Link |
|---|---|---|---|
| H9X-MC-GBCO | Other Identifier | Eli Lilly and Company |
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The purpose of this study is twofold:
In Part 1, participants will receive four weekly injections of LY2189265 with continued use of normal lisinopril therapy.
Part 2 is a cross-over study design. Participants will receive a single injection of LY2189265 in one period, and seven daily doses of metoprolol and a single injection of LY2189265 in another period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 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). |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LY2189265 | Biological | Administered subcutaneously |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics, Area Under the Concentration Curve (AUC) of Lisinopril | Day -1, Day 3, Day 24 of Part 1 | |
| Pharmacokinetics, Maximum Concentration (Cmax) of Lisinopril | Day -1, Day 3, Day 24 in Part 1 | |
| Mean, 24-hour Heart Rate (Collected by Ambulatory Blood Pressure Monitoring [ABPM]) in Response to Co-administration of LY2189265 and Metoprolol | Day -1, Day 4, Day 7 of Treatment 2 in Part 2 | |
| Mean, 24-hour Blood Pressure (Collected by Ambulatory Blood Pressure Monitoring [ABPM]) in Response to Co-administration of LY2189265 and Metoprolol | Day -1, Day 4, Day 7 of Treatment 2 in Part 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Mean, 24-hour Heart Rate (Collected by Ambulatory Blood Pressure Monitoring [ABPM]) in Response to Co-administration of LY2189265 and Lisinopril | Day -1, Day 3, Day 24 of Part 1 | |
| Mean, 24-hour Blood Pressure (Collected by Ambulatory Blood Pressure Monitoring [ABPM]) in Response to Co-administration of LY2189265 and Lisinopril |
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Inclusion Criteria:
Part 1 only:
T2DM Participants (Part 1 only):
Part 2 only:
• Are overtly healthy, as determined by medical history and physical examination
Exclusion Criteria:
Part 1 only:
• Have any medical conditions, medical history or are taking any medication which are contraindicated within the lisinopril product information leaflet
Part 2 only:
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| Name | Affiliation | Role |
|---|---|---|
| Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) | Eli Lilly and Company | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Honolulu | Hawaii | 96813 |
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| ID | Title | Description |
|---|---|---|
| FG000 | Part 1: LY2189265 + Lisinopril | 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. |
| FG001 | Part 1: Placebo + Lisinopril | 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. |
| FG002 | Part 2: LY2189265 First, Then LY2189265 + Metoprolol | 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). |
| FG003 | Part 2: LY2189265 + Metoprolol First, Then LY2189265 | 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 1 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). |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Part 1 of Study |
|
| |||||||||||||||||||||
| Part 2 of Study: First Intervention |
| ||||||||||||||||||||||
| Part 2: Washout of at Least 21 Days |
| ||||||||||||||||||||||
| Part 2 of Study: Second Intervention |
|
Participants who received at least one dose of study drug (LY2189265, placebo, or metoprolol).
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| ID | Title | Description |
|---|---|---|
| BG000 | Part 1: LY2189265 + Lisinopril | 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. |
| BG001 | Part 1: Placebo + Lisinopril |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Pharmacokinetics, Area Under the Concentration Curve (AUC) of Lisinopril | Participants who received at least one dose of study drug (LY2189265 or placebo) with evaluable lisinopril AUC data. | Geometric Mean | Geometric Coefficient of Variation | (nanograms*hours/milliliter)/milligram | Day -1, Day 3, Day 24 of Part 1 |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Part 1: LY2189265 + Lisinopril | 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. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal distension | Gastrointestinal disorders | MedDRA 13.1 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Chief Medical Officer | Eli Lilly and Company | 800-545-5979 |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| C555680 | dulaglutide |
| D008790 | Metoprolol |
| D017706 | Lisinopril |
| ID | Term |
|---|---|
| D050198 | Phenoxypropanolamines |
| D011412 | Propanolamines |
| D000605 | Amino Alcohols |
| D000438 | Alcohols |
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|
|
| Metoprolol | Drug | Administered orally |
|
| Lisinopril | Drug | Administered orally |
|
| Placebo | Drug | Administered subcutaneously |
|
| Day -1, Day 3, Day 24 of Part 1 |
| Pharmacokinetics, Area Under the Concentration Curve (AUC) of Metoprolol When Administered With LY2189265 | Day 4 and Day 7 of Treatment 2 in Part 2 |
| Pharmacokinetics, Maximum Concentration (Cmax) of Metoprolol When Administered With LY2189265 | Day 4 and Day 7 of Treatment 2 in Part 2 |
| United States |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Evansville | Indiana | 47710 | United States |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Dallas | Texas | 75247 | United States |
| Protocol Violation |
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| Physician Decision |
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| COMPLETED |
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| NOT COMPLETED |
|
|
| COMPLETED |
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| NOT COMPLETED |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
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. |
| BG002 | Part 2: LY2189265 + Metoprolol Crossover | Participants received 2 treatments in Part 2 of the study: Treatment 1: LY2189265 (dulaglutide): 1.5 milligrams (mg), subcutaneous (SC), on Day 1 Treatment 2: LY2189265 (dulaglutide): 1.5 milligrams (mg), subcutaneous (SC), on Day 5; Metoprolol: 100 mg, oral, on Days 1 through 7 Participants were randomized to 1 of 2 treatment sequences in Part 2 of the study: Treatment Sequence A: Treatment 1, Treatment 2 Treatment Sequence B: Treatment 2, Treatment 1 There was a washout period of at least 21 days between the LY2189265 and metoprolol doses of each treatment period (Day 1 to Day 1 for Treatment Sequence A and Day 7 to Day 1 for Treatment Sequence B). |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
|
|
| Secondary | Mean, 24-hour Heart Rate (Collected by Ambulatory Blood Pressure Monitoring [ABPM]) in Response to Co-administration of LY2189265 and Lisinopril | Participants who received at least one dose of study drug (LY2189265 or placebo) with evaluable Part 1 ABPM heart rate data. | Mean | Standard Deviation | beats per minute (bpm) | Day -1, Day 3, Day 24 of Part 1 |
|
|
|
| Secondary | Mean, 24-hour Blood Pressure (Collected by Ambulatory Blood Pressure Monitoring [ABPM]) in Response to Co-administration of LY2189265 and Lisinopril | Participants who received at least one dose of study drug (LY2189265 or placebo) with evaluable Part 1 ABPM blood pressure data. | Mean | Standard Deviation | millimeter of mercury (mm Hg) | Day -1, Day 3, Day 24 of Part 1 |
|
|
|
| Secondary | Pharmacokinetics, Area Under the Concentration Curve (AUC) of Metoprolol When Administered With LY2189265 | Participants who received at least one dose of study drug (LY2189265 or metoprolol) with evaluable Part 2 metoprolol AUC data. | Geometric Mean | Geometric Coefficient of Variation | nanograms*hour per milliliter (ng*h/mL) | Day 4 and Day 7 of Treatment 2 in Part 2 |
|
|
|
| Secondary | Pharmacokinetics, Maximum Concentration (Cmax) of Metoprolol When Administered With LY2189265 | Participants who received at least one dose of study drug (LY2189265 or metoprolol) with evaluable Part 2 metoprolol Cmax data. | Geometric Mean | Geometric Coefficient of Variation | nanograms per milliliter (ng/mL) | Day 4 and Day 7 of Treatment 2 in Part 2 |
|
|
|
| Primary | Pharmacokinetics, Maximum Concentration (Cmax) of Lisinopril | Participants who received at least one dose of study drug (LY2189265 or placebo) with evaluable lisinopril Cmax data. | Geometric Mean | Geometric Coefficient of Variation | (nanograms per milliliter) per milligram | Day -1, Day 3, Day 24 in Part 1 |
|
|
|
| Primary | Mean, 24-hour Heart Rate (Collected by Ambulatory Blood Pressure Monitoring [ABPM]) in Response to Co-administration of LY2189265 and Metoprolol | Participants who received at least one dose of study drug (LY2189265 or metoprolol) with evaluable Part 2 ABPM heart rate data. | Mean | Standard Deviation | beats per minute (bpm) | Day -1, Day 4, Day 7 of Treatment 2 in Part 2 |
|
|
|
| Primary | Mean, 24-hour Blood Pressure (Collected by Ambulatory Blood Pressure Monitoring [ABPM]) in Response to Co-administration of LY2189265 and Metoprolol | Participants who received at least one dose of study drug (LY2189265 or metoprolol) with evaluable Part 2 ABPM blood pressure data. | Mean | Standard Deviation | millimeter of mercury (mm Hg) | Day -1, Day 4, Day 7 of Treatment 2 in Part 2 |
|
|
|
| 0 |
| 23 |
| 13 |
| 23 |
| EG001 | Part 1: Placebo + Lisinopril | 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. | 0 | 8 | 1 | 8 |
| EG002 | Part 2: LY2189265 | LY2189265 (dulaglutide): 1.5 milligrams (mg), subcutaneous (SC), on Day 1 of Treatment 1 in Part 2 of the study. Time frame: Treatment 1 | 0 | 19 | 7 | 19 |
| EG003 | Part 2: Metoprolol | Metoprolol: 100 milligrams (mg), oral, on Days 1 through 4 of Treatment 2 in Part 2 of the study. Time frame: Days 1 to 4 of Treatment 2 | 0 | 20 | 4 | 20 |
| EG004 | Part 2: LY2189265 + Metoprolol | LY2189265 (dulaglutide): 1.5 milligrams (mg), subcutaneous (SC), on Day 5 of Treatment 2 in Part 2 of the study. Metoprolol: 100 mg, oral, on Days 5 through 7 of Treatment 2 in Part 2 of the study. Time frame: Day 5 to end of Treatment 2 | 0 | 19 | 13 | 19 |
| Abdominal pain | Gastrointestinal disorders | MedDRA 13.1 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA 13.1 | Systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA 13.1 | Systematic Assessment |
|
| Flatulence | Gastrointestinal disorders | MedDRA 13.1 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA 13.1 | Systematic Assessment |
|
| Retching | Gastrointestinal disorders | MedDRA 13.1 | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA 13.1 | Systematic Assessment |
|
| Asthenia | General disorders | MedDRA 13.1 | Systematic Assessment |
|
| Catheter site haematoma | General disorders | MedDRA 13.1 | Systematic Assessment |
|
| Device failure | General disorders | MedDRA 13.1 | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA 13.1 | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA 13.1 | Systematic Assessment |
|
| Viral infection | Infections and infestations | MedDRA 13.1 | Systematic Assessment |
|
| Procedural pain | Injury, poisoning and procedural complications | MedDRA 13.1 | Systematic Assessment |
|
| Procedural site reaction | Injury, poisoning and procedural complications | MedDRA 13.1 | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA 13.1 | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA 13.1 | Systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA 13.1 | Systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | MedDRA 13.1 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA 13.1 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA 13.1 | Systematic Assessment |
|
| Parosmia | Nervous system disorders | MedDRA 13.1 | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 13.1 | Systematic Assessment |
|
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA 13.1 | Systematic Assessment |
|
| Skin lesion | Skin and subcutaneous tissue disorders | MedDRA 13.1 | Systematic Assessment |
|
Not provided
| D004700 | Endocrine System Diseases |
| D009930 |
| Organic Chemicals |
| D020005 | Propanols |
| D000588 | Amines |
| D004151 | Dipeptides |
| D009842 | Oligopeptides |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| Day 24 (n=18, 6) |
|
| Systolic, Day 24 (n=18, 6) |
|
| Diastolic, Day -1 (Baseline) |
|
| Diastolic, Day 3 (n=21, 6) |
|
| Diastolic, Day 24 (n=18, 6) |
|
| Day 24 (n=18, 6) |
|
| Title | Measurements |
|---|---|
|
| Title | Measurements |
|---|---|
|
| Diastolic, Day -1 (Baseline) |
|
| Diastolic, Day 4 (n=18) |
|
| Diastolic, Day 7 |
|