A Study of LY900014 Compared to Insulin Lispro in Partici... | NCT03214380 | Trialant
NCT03214380
Sponsor
Eli Lilly and Company
Status
Completed
Last Update Posted
Mar 27, 2020Actual
Enrollment
933Actual
Phase
Phase 3
Conditions
Type 2 Diabetes Mellitus
Interventions
LY900014
Insulin Lispro
Insulin Glargine
Insulin Degludec
Metformin
SGLT2 inhibitor
Countries
United States
Argentina
Australia
Czechia
Germany
Hungary
India
Italy
Japan
Mexico
Puerto Rico
Russia
Slovakia
South Korea
Spain
Taiwan
Protocol Section
Identification Module
NCT ID
NCT03214380
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
16314
Secondary IDs
ID
Type
Description
Link
I8B-MC-ITRN
Other Identifier
Eli Lilly and Company
2015-005357-12
EudraCT Number
Brief Title
A Study of LY900014 Compared to Insulin Lispro in Participants With Type 2 Diabetes
Official Title
A Prospective, Randomized, Double-Blind Comparison of LY900014 to Insulin Lispro, Both in Combination With Insulin Glargine or Insulin Degludec in Adults With Type 2 Diabetes PRONTO-T2D
Acronym
PRONTO-T2D
Organization
Eli Lilly and CompanyINDUSTRY
Status Module
Record Verification Date
Aug 15, 2019
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Jul 14, 2017Actual
Primary Completion Date
Aug 14, 2018Actual
Completion Date
Mar 13, 2019Actual
First Submitted Date
Jul 10, 2017
First Submission Date that Met QC Criteria
Jul 10, 2017
First Posted Date
Jul 11, 2017Actual
Results Waived
Not provided
Results First Submitted Date
Mar 12, 2020
Results First Submitted that Met QC Criteria
Mar 12, 2020
Results First Posted Date
Mar 27, 2020Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Aug 16, 2019
Certification/Extension First Submitted that Passed QC Review
Aug 16, 2019
Certification/Extension First Posted Date
Aug 20, 2019Actual
Last Update Submitted Date
Mar 12, 2020
Last Update Posted Date
Mar 27, 2020Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Eli Lilly and CompanyINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
No
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
No
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
The purpose of this study is to compare LY900014 to insulin lispro, both in combination with insulin glargine or insulin degludec, in participants with type 2 diabetes (T2D).
Detailed Description
Not provided
Conditions Module
Conditions
Type 2 Diabetes Mellitus
Keywords
Not provided
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 3
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
933Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
LY900014
Experimental
LY900014 given subcutaneously (SC) with each meal with either 100 U/mL (U-100) basal insulin glargine given SC once or twice daily or U-100 or 200 U/mL (U-200) insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Drug: LY900014
Drug: Insulin Glargine
Drug: Insulin Degludec
Drug: Metformin
Drug: SGLT2 inhibitor
Insulin Lispro (Humalog)
Active Comparator
Insulin lispro given SC with each meal with either U-100 basal insulin glargine given SC once or twice daily or U-100 or U-200 insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Drug: Insulin Lispro
Drug: Insulin Glargine
Drug: Insulin Degludec
Drug: Metformin
Drug: SGLT2 inhibitor
LY900014 Maximum Extended Enrollment (MEE)
Experimental
LY900014 given subcutaneously (SC) with each meal with either U-100 basal insulin glargine given SC once or twice daily or U-100 or U-200 insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Drug: LY900014
Drug: Insulin Glargine
Drug: Insulin Degludec
Drug: Metformin
Drug: SGLT2 inhibitor
Insulin Lispro (Humalog) MEE
Active Comparator
Insulin lispro given SC with each meal with either U-100 basal insulin glargine given SC once or twice daily or U-100 or U-200 insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
Interventions
Name
Type
Description
Arm Group Labels
Other Names
LY900014
Drug
Administered SC
LY900014
LY900014 Maximum Extended Enrollment (MEE)
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Change From Baseline in Hemoglobin A1c (HbA1c) Efficacy Estimand at Week 26
Change from baseline in HbA1c was performed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The efficacy estimand included participant data when baseline and at least one post-baseline measurement were available prior to permanent discontinuation of study drug.
Baseline, Week 26
Secondary Outcomes
Measure
Description
Time Frame
1-hour Postprandial Glucose (PPG) Excursion During Mixed-Meal Tolerance Test (MMTT) Efficacy Estimand
1-hour PPG excursion during MMTT uses the analysis of covariance (ANCOVA) model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum) and treatment as fixed effects and baseline as a covariate. The efficacy estimand included participant data when baseline and at least one post-baseline measurement were available prior to permanent discontinuation of study drug.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Have been diagnosed (clinically) with T2D, based on the World Health Organization (WHO) classification for at least 1 year prior to screening.
Have been treated for at least 90 days prior to screening with:
Basal insulin (insulin glargine U-100 [Basaglar/Abasaglar or LANTUS] or U-300, insulin detemir, insulin degludec U-100 or U-200, or neutral protamine Hagedorn [NPH] insulin) in combination with at least 1 prandial injection of bolus insulin (insulin lispro U-100 or U-200, insulin aspart, insulin glulisine, or regular insulin) Or
Premixed analog or human insulin regimens with any basal and bolus insulin combination injected at least twice daily
Participants may be treated with up to 3 of the following oral antihyperglycemic medications (OAMs) in accordance with local regulations:
Metformin
Dipeptidyl peptidase-4 (DPP-4) inhibitor
Sodium glucose cotransporter 2 (SGLT2) inhibitor
Sulfonylurea
Meglitinide
Alpha-glucoside inhibitor
Have an HbA1c value between ≥7.0 and ≤10.0%, according to the central laboratory at the time of screening.
Have a body mass index (BMI) of ≤45.0 kilograms per meter squared at screening.
Exclusion Criteria:
Have been diagnosed, at any time, with type 1 diabetes (T1D) or Latent Autoimmune Diabetes in Adults.
Have hypoglycemia unawareness as judged by the investigator.
Have had any episode of severe hypoglycemia within the 6 months prior to screening.
Have had 1 or more episodes of diabetic ketoacidosis or hyperglycemic hyperosmolar state within the 6 months prior to screening.
Have used thiazolidinediones, Glucagon-Like Peptide 1 (GLP-1) receptor agonist, or pramlintide within 90 days prior to screening.
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
18 Years
Maximum Age
Not provided
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
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)
Piras de Oliveira C, Dellva MA, Bue-Valleskey J, Chang AM, Liao B. Fasting and postprandial plasma glucose contributions to hemoglobin A1c and time in range in people with diabetes on multiple daily injection insulin therapy: Results from the PRONTO-T1D and PRONTO-T2D clinical trials. J Diabetes Complications. 2024 Jan;38(1):108648. doi: 10.1016/j.jdiacomp.2023.108648. Epub 2023 Nov 16.
Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Types
Study Protocol
Statistical Analysis Plan (SAP)
Clinical Study Report (CSR)
Time Frame
Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
Access Criteria
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
The purpose of the Lead-in Period was to titrate basal insulin prior to randomization. Participants were then randomized to receive Insulin lispro (Humalog) or LY900014 in the Treatment Period (Period 2).
Recruitment Details
Not provided
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Insulin Lispro (Humalog) Lead-In
100 U/mL Insulin lispro given SC with 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.
FG001
Periods
Title
Milestones
Reasons Not Completed
Lead-in
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Annotation Section
No data available
No data is available for this block.
Document Section
Large Document Module
Document Has No Statistical Analysis Plan (SAP)
Not provided
Uploaded Document Information
Type
Includes Protocol
Includes SAP
Includes ICF
Document Label
Document Date
Document Uploaded Date
Document File Name
Prot
Yes
No
No
Study Protocol
May 19, 2017
Mar 11, 2020
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
China
Slovenia
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
Intervention Browse Module
MeSH Terms
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Not provided
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
Double
Masking Description
Not provided
Who Masked
ParticipantInvestigator
Drug: Insulin Lispro
Drug: Insulin Glargine
Drug: Insulin Degludec
Drug: Metformin
Drug: SGLT2 inhibitor
Ultra-Rapid Lispro
Insulin Lispro
Drug
Administered SC
Insulin Lispro (Humalog)
Insulin Lispro (Humalog) MEE
Humalog
Insulin Glargine
Drug
Administered SC
Insulin Lispro (Humalog)
Insulin Lispro (Humalog) MEE
LY900014
LY900014 Maximum Extended Enrollment (MEE)
Insulin Degludec
Drug
Administered SC
Insulin Lispro (Humalog)
Insulin Lispro (Humalog) MEE
LY900014
LY900014 Maximum Extended Enrollment (MEE)
Metformin
Drug
Administered orally.
Insulin Lispro (Humalog)
Insulin Lispro (Humalog) MEE
LY900014
LY900014 Maximum Extended Enrollment (MEE)
SGLT2 inhibitor
Drug
Administered orally.
Insulin Lispro (Humalog)
Insulin Lispro (Humalog) MEE
LY900014
LY900014 Maximum Extended Enrollment (MEE)
Week 26
2-hour PPG Excursion During MMTT Efficacy Estimand
2-hour PPG excursion during MMTT uses the ANCOVA model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum) and treatment as fixed effects and baseline as a covariate. The efficacy estimand included participant data when baseline and at least one post-baseline measurement were available prior to permanent discontinuation of study drug.
Week 26
Rate of Severe Hypoglycemia
Rate of severe hypoglycemia events per 100 years during a defined period was calculated by total number of severe hypoglycemia episodes within the period divided by the cumulative days on treatment from all participants within a treatment group *36525. Severe hypoglycemia is defined as an event requiring assistance of another person to administer carbohydrate, glucagon, or other resuscitative actions. During these episodes, the participant has an altered mental status and cannot assist in his or her own care, or may be semiconscious or unconscious, or experience com with or without seizures, and may require parenteral therapy.
Baseline through Week 26
Rate of Documented Symptomatic Hypoglycemia
Documented symptomatic hypoglycemia is an event during which typical symptoms of hypoglycemia are accompanied by blood glucose (BG) of <54 mg/dL [3.0 millimole per liter (mmol/L)]. The rate of documented symptomatic hypoglycemia was estimated by negative binomial model: number of episodes = treatment with log (treatment exposure in days/365.25) as an offset variable.
Baseline through Week 26
Change From Baseline in 1,5-Anhydroglucitol (1,5-AG) at Week 26
Change from baseline in 1,5-AG was analyzed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, HbA1c stratum and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The analysis included data collected prior to permanent discontinuation of study drug.
Baseline, Week 26
Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values at Week 26
Change from baseline in 10-point SMBG values was analyzed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, HbA1c stratum and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The efficacy estimand included participant data when baseline and at least one post-baseline measurement prior to permanent discontinuation of study drug.
Baseline, Week 26
Change From Baseline in Insulin Dose at Week 26
Change from baseline in insulin dose was analyzed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, HbA1c stratum and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The analysis included data prior to permanent discontinuation of study drug.
Baseline, Week 26
Change From Baseline in Insulin Treatment Satisfaction Questionnaire (ITSQ) Regimen Inconvenience Domain Score at Week 26
ITSQ is a validated instrument containing 22 items that assess treatment satisfaction for participants with diabetes and on insulin. The questionnaire measures satisfaction from the following 5 domains: Inconvenience of Regimen, Lifestyle Flexibility, Glycemic Control, Hypoglycemic Control, and Insulin Delivery Device. Data presented are the transformed overall score on a scale of 0-100, where higher scores indicate better treatment satisfaction.
Change from baseline in ITSQ regimen inconvenience domain score was calculated using the ANCOVA model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum), and treatment as fixed effects and baseline as covariate. The analysis included data prior to permanent discontinuation of study drug.
Baseline, Week 26
Change From Baseline in ITSQ Lifestyle Flexibility Domain Score at Week 26
ITSQ is a validated instrument containing 22 items that assess treatment satisfaction for participants with diabetes and on insulin. The questionnaire measures satisfaction from the following 5 domains: Inconvenience of Regimen, Lifestyle Flexibility, Glycemic Control, Hypoglycemic Control, and Insulin Delivery Device. Data presented are the transformed overall score on a scale of 0-100, where higher scores indicate better treatment satisfaction.
Change from baseline in ITSQ lifestyle flexibility domain score was calculated using the ANCOVA model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum), and treatment as fixed effects and baseline as covariate. The analysis included data prior to permanent discontinuation of study drug.
Baseline, Week 26
Number of Participants With HbA1c <7%
Number of participants with HbA1c <7% at Week 26.
Week 26
La Mesa
California
91942
United States
First Valley Medical Group
Lancaster
California
93534
United States
National Research Institute
Los Angeles
California
90057
United States
Care Access Research
Santa Clarita
California
91321
United States
Encompass Clinical Research
Spring Valley
California
91978
United States
University Clinical Investigators, Inc.
Tustin
California
92780
United States
ALL Medical Research, LLC
Cooper City
Florida
33024
United States
The Center For Diabetes & Endocrine Care
Fort Lauderdale
Florida
33312
United States
East Coast Institute For Research
Jacksonville
Florida
32216
United States
Sun Coast Clinical Research, Inc
New Port Richey
Florida
34652
United States
East West Medical Institute
Honolulu
Hawaii
96814
United States
Elite Clinical Trials LLLP
Blackfoot
Idaho
83221
United States
Northwest Clinical Trials
Boise
Idaho
83704
United States
Rocky Mountain Diabetes and Osteoporosis Center
Idaho Falls
Idaho
83404
United States
Prairie Education and Research Cooperative
Springfield
Illinois
62711
United States
Iderc, P.L.C.
West Des Moines
Iowa
50265
United States
University of Kansas Medical Center
Kansas City
Kansas
66160
United States
Cotton O'Neil Diabetes and Endocrinology Center
Kansas City
Kansas
66606
United States
Palm Research Center
Las Vegas
Nevada
89128
United States
Palm Research Center
Las Vegas
Nevada
89148
United States
Manhattan Medical Research
New York
New York
10016
United States
Aventiv Research
Columbus
Ohio
43213
United States
Heritage Valley Medical Group, Inc.
Beaver
Pennsylvania
15009
United States
Partners in Nephrology & Endocrinology
Pittsburgh
Pennsylvania
15224
United States
Texas Diabetes and Endocrinology
Austin
Texas
78731-4309
United States
Texas Diabetes and Endocrinology-Austin South
Austin
Texas
78749
United States
Dallas Diabetes Endocrine Center
Dallas
Texas
75230
United States
Consano Clinical Research
Shavano Park
Texas
78231
United States
Progressive Clinical Research
Bountiful
Utah
84010
United States
Private: Dr. Larry Stonesifer
Federal Way
Washington
98003
United States
Rainier Clinical Research Center
Renton
Washington
98057
United States
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CABA
Buenos Aires
1425
Argentina
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CABA
Buenos Aires
C1013AAB
Argentina
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CABA
Buenos Aires
C1179AAB
Argentina
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Ciudad Autonoma de Buenos Aire
Buenos Aires
1408
Argentina
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Ciudad Autonoma de Buenos Aire
Buenos Aires
C1056ABJ
Argentina
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Ciudad Autonoma de Buenos Aire
Buenos Aires
C1204AAD
Argentina
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Mar del Plata
Buenos Aires
B7600FZN
Argentina
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Keswick
South Australia
5035
Australia
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Oaklands Park
South Australia
5046
Australia
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Box Hill
Victoria
3128
Australia
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Geelong
Victoria
3220
Australia
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Fremantle
Western Australia
6959
Australia
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Krnov
79401
Czechia
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Pardubice
53002
Czechia
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Prague
104 00
Czechia
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Prague
149 00
Czechia
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Prague
181 00
Czechia
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Bad Mergentheim
Baden-Wurttemberg
97980
Germany
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Falkensee
Brandenburg
14612
Germany
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Pohlheim
Hesse
35415
Germany
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Münster
North Rhine-Westphalia
48145
Germany
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Mayen
Rhineland-Palatinate
56727
Germany
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Saint Ingbert-Oberwürzbach
Saarland
66386
Germany
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Magdeburg
Saxony-Anhalt
39120
Germany
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Oldenburg in Holstein
Schleswig-Holstein
23758
Germany
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Hamburg
22607
Germany
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Budapest
1089
Hungary
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Budapest
1139
Hungary
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Budapest
1213
Hungary
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Nagykanizsa
8800
Hungary
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Ahmedabad
Gujarat
380015
India
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Ahmedabad
Gujarat
380015
India
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Ahmedabad
Gujarat
380016
India
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Bangalore
Karnataka
560017
India
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Bangalore
Karnataka
560054
India
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Pune
Maharashtra
411004
India
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Pune
Maharashtra
411011
India
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Mumbai
Maharshtra
400012
India
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Jaipur
Rajasthan
302017
India
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Chennai
Tamil Nadu
600086
India
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Hyderabad
Telangana
500012
India
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Hyderabad
Telangana
500072
India
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Palmero
90127
Italy
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Sesto San Giovanni
20099
Italy
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Chiba
277-0825
Japan
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Fukuoka
815-8555
Japan
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Fukuoka
830-8543
Japan
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Hyōgo
661-0002
Japan
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Kanagawa
235-0045
Japan
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Kanagawa
247-0056
Japan
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Kumamoto
862-0976
Japan
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Miyazaki
880-0034
Japan
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Naka
311-0113
Japan
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Ōita
870-0039
Japan
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Ōsaka
530-0001
Japan
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Ōsaka
534-0021
Japan
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Sapporo
060-0001
Japan
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Sapporo
060-0062
Japan
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Sasebo
857-1195
Japan
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Sendai
980-0021
Japan
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Tama
206-0033
Japan
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Tokyo
103-0027
Japan
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Tokyo
1030002
Japan
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Tokyo
143-0015
Japan
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Tokyo
160 0022
Japan
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Yamato
242-0004
Japan
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Jalisco
44650
Mexico
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Monterrey
64460
Mexico
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Zapopan
45030
Mexico
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Zapopan
45116
Mexico
Centro de Endocrinologia y Nutricion del Turabo
Caguas
00726
Puerto Rico
Manati Center for Clinical Research Inc
Manati
00674
Puerto Rico
Ponce School of Medicine CAIMED Center
Ponce
00716
Puerto Rico
Research and Cardiovascular Corp.
Ponce
00717-1332
Puerto Rico
GCM Medical Group PSC
San Juan
00917
Puerto Rico
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Arkhangelsk
163045
Russia
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Kursk
305014
Russia
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Moscow
119435
Russia
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Moscow
123182
Russia
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Saint Petersburg
195257
Russia
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Saratov
410053
Russia
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Košice
Slovak Republic
04012
Slovakia
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Malacky
90101
Slovakia
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Nové Mesto nad Váhom
91501
Slovakia
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Púchov
02001
Slovakia
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Rožňava
048 01
Slovakia
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Bucheon-si
Gyeonggi-do
14647
South Korea
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Ansan-si
15355
South Korea
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Daegu
41931
South Korea
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Daejeon
35233
South Korea
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Gangwon-do
24289
South Korea
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Gangwon-do
26426
South Korea
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Seoul
01830
South Korea
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Seoul
02841
South Korea
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Seoul
03181
South Korea
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Seoul
05278
South Korea
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Seoul
06351
South Korea
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Seoul
06591
South Korea
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Seoul
07061
South Korea
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Seoul
08308
South Korea
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Lleida
25198
Spain
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Málaga
29006
Spain
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Seville
41003
Spain
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Seville
41010
Spain
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Taichung
40201
Taiwan
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Taipei
10507
Taiwan
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Taipei
11031
Taiwan
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Taipei
23148
Taiwan
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Yongkang District
71004
Taiwan
Derived
Zhang Q, Chigutsa F, Chang AM. Efficacy and Safety of Ultra-Rapid Lispro in Younger and Older Patients with Type 2 Diabetes: Randomized Double-Blind PRONTO-T2D Study. Diabetes Ther. 2022 Aug;13(8):1547-1557. doi: 10.1007/s13300-022-01290-4. Epub 2022 Jul 4.
Jinnouchi H, Imori M, Nishiyama H, Imaoka T. Ultra-Rapid Lispro Efficacy and Safety Compared to Humalog(R) in Japanese Patients With Type 2 Diabetes: PRONTO-T2D Subpopulation Analysis. Diabetes Ther. 2020 Sep;11(9):2075-2088. doi: 10.1007/s13300-020-00890-2. Epub 2020 Jul 29.
Blevins T, Zhang Q, Frias JP, Jinnouchi H, Chang AM; PRONTO-T2D Investigators. Randomized Double-Blind Clinical Trial Comparing Ultra Rapid Lispro With Lispro in a Basal-Bolus Regimen in Patients With Type 2 Diabetes: PRONTO-T2D. Diabetes Care. 2020 Dec;43(12):2991-2998. doi: 10.2337/dc19-2550. Epub 2020 Jul 2.
Insulin Lispro (Humalog)
100 U/mL Insulin lispro given SC with 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.
FG002
LY900014
100 U/mL LY900014 SC with 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.
FG003
Insulin Lispro (Humalog) Lead-In Maximum Extended Enrollment
100 U/mL Insulin lispro (Humalog) SC with 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.
FG004
Insulin Lispro (Humalog) Maximum Extended Enrollment (MEE)
100 U/mL Insulin lispro (Humalog) SC with 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.
FG005
LY900014 (MEE)
100 U/mL LY900014 SC with 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.
FG000750 subjects
FG0010 subjects
FG0020 subjects
FG003183 subjects
FG0040 subjects
FG0050 subjects
Received at Least 1 Dose Lead-in Insulin
FG000750 subjects
FG0010 subjects
FG0020 subjects
FG003183 subjects
FG0040 subjects
FG0050 subjects
COMPLETED
FG000673 subjects
FG0010 subjects
FG0020 subjects
FG003164 subjects
FG0040 subjects
FG0050 subjects
NOT COMPLETED
FG00077 subjects
FG0010 subjects
FG0020 subjects
FG00319 subjects
FG0040 subjects
FG0050 subjects
Type
Comment
Reasons
Adverse Event
FG0003 subjects
FG0010 subjects
FG0020 subjects
FG0031 subjects
FG0040 subjects
FG0050 subjects
Lost to Follow-up
FG0004 subjects
FG0010 subjects
FG0020 subjects
FG0031 subjects
FG004
Eligibility Criteria
FG0003 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Physician Decision
FG0006 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Protocol Deviation
FG0007 subjects
FG0010 subjects
FG0020 subjects
FG0033 subjects
FG004
Withdrawal by Subject
FG00041 subjects
FG0010 subjects
FG0020 subjects
FG00314 subjects
FG004
Family Emergency
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Natural Disaster
FG0009 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Non Compliance
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Participant Schedule
FG0002 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Treatment Period
Type
Comment
Milestone Data
STARTED
FG0000 subjectsParticipants received Insulin Lispro during Lead-in Period.
FG001337 subjectsParticipants were randomized to either LY900014 or Insulin lispro for Intensive Treatment Period.
FG002336 subjectsParticipants were randomized to either LY900014 or Insulin lispro for Intensive Treatment Period.
FG0030 subjectsParticipants received Insulin Lispro during Lead-in Period.
FG00482 subjectsParticipants were randomized to either LY900014 or Insulin lispro for Intensive Treatment Period.
FG00582 subjectsParticipants were randomized to either LY900014 or Insulin lispro for Intensive Treatment Period.
Received at Least 1 Dose of Study Drug
FG0000 subjects
FG001337 subjects
FG002336 subjects
FG0030 subjects
COMPLETED
FG0000 subjects
FG001319 subjects
FG002320 subjects
FG0030 subjects
FG004
NOT COMPLETED
FG0000 subjects
FG00118 subjects
FG00216 subjects
FG0030 subjects
FG004
Type
Comment
Reasons
Adverse Event
FG0000 subjects
FG0011 subjects
FG0021 subjects
FG003
All randomized participants.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Insulin Lispro (Humalog)
Insulin lispro given SC with each meal with either U-100 basal insulin glargine given SC once or twice daily or U-100 or U-200 insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
BG001
LY900014
LY900014 given subcutaneously (SC) with each meal with either 100 U/mL (U-100) basal insulin glargine given SC once or twice daily or U-100 or 200 U/mL (U-200) insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
BG002
Insulin Lispro (Humalog) MEE
Insulin lispro given SC with each meal with either U-100 basal insulin glargine given SC once or twice daily or U-100 or U-200 insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
BG003
LY900014 Maximum Extended Enrollment (MEE)
LY900014 given subcutaneously (SC) with each meal with either U-100 basal insulin glargine given SC once or twice daily or U-100 or U-200 insulin degludec given SC once daily. Prandial insulin doses were individualized and titrated according to protocol-defined targets.
BG004
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG000337
BG001336
BG00282
BG00382
BG004837
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00061.0± 9.2
BG00160.2± 9.4
BG00256.6± 9.4
BG003
Sex: Female, Male
Count of Participants
Participants
No
Title
Denominators
Categories
Title
Measurements
Female
BG000162
BG001152
BG002
Race (NIH/OMB)
Count of Participants
Participants
No
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG0003
BG0011
BG002
Region of Enrollment
Count of Participants
Participants
No
Title
Denominators
Categories
Argentina
Title
Measurements
BG00029
BG00127
BG002
Hemoglobin A1c
Mean
Standard Deviation
percentage of HbA1c
Title
Denominators
Categories
Title
Measurements
BG0007.31± 0.71
BG0017.27± 0.68
BG002
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
Change From Baseline in Hemoglobin A1c (HbA1c) Efficacy Estimand at Week 26
Change from baseline in HbA1c was performed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The efficacy estimand included participant data when baseline and at least one post-baseline measurement were available prior to permanent discontinuation of study drug.
All randomized participants with baseline and at least 1 post-baseline HbA1c data. As pre-specified in the analysis plan, outcome measures will not be reported for the Maximum Extended Enrollment (MEE) arms/groups but only for the main global study arms/groups.
Posted
Least Squares Mean
Standard Error
percentage of HbA1c
Baseline, Week 26
ID
Title
Description
OG000
Insulin Lispro (Humalog)
Insulin lispro given SC with 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.
OG001
LY900014
LY900014 given subcutaneously (SC) with 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.
Units
Counts
Participants
OG000335
OG001334
Title
Denominators
Categories
Title
Measurements
OG000-0.43± 0.042
OG001-0.38± 0.042
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Least Square Mean Difference (LSMean)
0.06
2-Sided
95
-0.05
0.16
Non-Inferiority
Non-inferiority Margin = 0.4 for HbA1c
Secondary
1-hour Postprandial Glucose (PPG) Excursion During Mixed-Meal Tolerance Test (MMTT) Efficacy Estimand
1-hour PPG excursion during MMTT uses the analysis of covariance (ANCOVA) model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum) and treatment as fixed effects and baseline as a covariate. The efficacy estimand included participant data when baseline and at least one post-baseline measurement were available prior to permanent discontinuation of study drug.
All randomized participants with baseline and at least one post-baseline 1-hour PPG excursion data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.
Posted
Least Squares Mean
Standard Error
milligrams per deciliter (mg/dL)
Week 26
ID
Title
Description
OG000
Insulin Lispro (Humalog)
Insulin lispro given SC with 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.
OG001
LY900014
LY900014 given subcutaneously (SC) with 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.
Secondary
2-hour PPG Excursion During MMTT Efficacy Estimand
2-hour PPG excursion during MMTT uses the ANCOVA model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum) and treatment as fixed effects and baseline as a covariate. The efficacy estimand included participant data when baseline and at least one post-baseline measurement were available prior to permanent discontinuation of study drug.
All randomized participants with baseline and at least one post-baseline 2-hour PPG excursion data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.
Posted
Least Squares Mean
Standard Error
mg/dL
Week 26
ID
Title
Description
OG000
Insulin Lispro (Humalog)
Insulin lispro given SC with 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.
OG001
LY900014
LY900014 given subcutaneously (SC) with 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.
Secondary
Rate of Severe Hypoglycemia
Rate of severe hypoglycemia events per 100 years during a defined period was calculated by total number of severe hypoglycemia episodes within the period divided by the cumulative days on treatment from all participants within a treatment group *36525. Severe hypoglycemia is defined as an event requiring assistance of another person to administer carbohydrate, glucagon, or other resuscitative actions. During these episodes, the participant has an altered mental status and cannot assist in his or her own care, or may be semiconscious or unconscious, or experience com with or without seizures, and may require parenteral therapy.
All randomized participants with evaluable hypoglycemic data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.
Posted
Number
Events per 100 participant years
Baseline through Week 26
ID
Title
Description
OG000
Insulin Lispro (Humalog)
Insulin lispro given SC with 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.
OG001
LY900014
LY900014 given subcutaneously (SC) with 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.
Secondary
Rate of Documented Symptomatic Hypoglycemia
Documented symptomatic hypoglycemia is an event during which typical symptoms of hypoglycemia are accompanied by blood glucose (BG) of <54 mg/dL [3.0 millimole per liter (mmol/L)]. The rate of documented symptomatic hypoglycemia was estimated by negative binomial model: number of episodes = treatment with log (treatment exposure in days/365.25) as an offset variable.
All randomized participants with evaluable hypoglycemic data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.
Posted
Least Squares Mean
Standard Error
Events per participant per 30 days/year
Baseline through Week 26
ID
Title
Description
OG000
Insulin Lispro (Humalog)
Insulin lispro given SC with 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.
OG001
LY900014
LY900014 given subcutaneously (SC) with 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.
Secondary
Change From Baseline in 1,5-Anhydroglucitol (1,5-AG) at Week 26
Change from baseline in 1,5-AG was analyzed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, HbA1c stratum and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The analysis included data collected prior to permanent discontinuation of study drug.
All randomized participants with baseline and at least one post-baseline 1,5-AG data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.
Posted
Least Squares Mean
Standard Error
milligram per liter (mg/L)
Baseline, Week 26
ID
Title
Description
OG000
Insulin Lispro (Humalog)
Insulin lispro given SC with 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.
OG001
LY900014
LY900014 given subcutaneously (SC) with 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.
Secondary
Change From Baseline in 10-Point Self-Monitoring Blood Glucose (SMBG) Values at Week 26
Change from baseline in 10-point SMBG values was analyzed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, HbA1c stratum and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The efficacy estimand included participant data when baseline and at least one post-baseline measurement prior to permanent discontinuation of study drug.
All randomized participants with baseline and at least one post-baseline SMBG data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.
Posted
Least Squares Mean
Standard Error
mg/dL
Baseline, Week 26
ID
Title
Description
OG000
Insulin Lispro (Humalog)
Insulin lispro given SC with 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.
OG001
LY900014
LY900014 given subcutaneously (SC) with 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.
Secondary
Change From Baseline in Insulin Dose at Week 26
Change from baseline in insulin dose was analyzed using mixed model repeated measures (MMRM) including fixed class effects of treatment, strata (pooled country, type of basal insulin, HbA1c stratum and number of prandial doses at study entry), visit, and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline value. The analysis included data prior to permanent discontinuation of study drug.
All randomized participants with baseline and at least one post-baseline basal insulin dose data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.
Posted
Least Squares Mean
Standard Error
Units (U)
Baseline, Week 26
ID
Title
Description
OG000
Insulin Lispro (Humalog)
Insulin lispro given SC with 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.
OG001
LY900014
LY900014 given subcutaneously (SC) with 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.
Secondary
Change From Baseline in Insulin Treatment Satisfaction Questionnaire (ITSQ) Regimen Inconvenience Domain Score at Week 26
ITSQ is a validated instrument containing 22 items that assess treatment satisfaction for participants with diabetes and on insulin. The questionnaire measures satisfaction from the following 5 domains: Inconvenience of Regimen, Lifestyle Flexibility, Glycemic Control, Hypoglycemic Control, and Insulin Delivery Device. Data presented are the transformed overall score on a scale of 0-100, where higher scores indicate better treatment satisfaction.
Change from baseline in ITSQ regimen inconvenience domain score was calculated using the ANCOVA model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum), and treatment as fixed effects and baseline as covariate. The analysis included data prior to permanent discontinuation of study drug.
All randomized participants with baseline and post-baseline data. Missing endpoints were imputed by applying the Last Observation Carried Forward (LOCF) method to post-baseline data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline, Week 26
ID
Title
Description
OG000
Insulin Lispro (Humalog)
Insulin lispro given SC with 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.
Secondary
Change From Baseline in ITSQ Lifestyle Flexibility Domain Score at Week 26
ITSQ is a validated instrument containing 22 items that assess treatment satisfaction for participants with diabetes and on insulin. The questionnaire measures satisfaction from the following 5 domains: Inconvenience of Regimen, Lifestyle Flexibility, Glycemic Control, Hypoglycemic Control, and Insulin Delivery Device. Data presented are the transformed overall score on a scale of 0-100, where higher scores indicate better treatment satisfaction.
Change from baseline in ITSQ lifestyle flexibility domain score was calculated using the ANCOVA model with strata (pooled country, type of basal insulin, number of prandial doses at study entry, and HbA1c stratum), and treatment as fixed effects and baseline as covariate. The analysis included data prior to permanent discontinuation of study drug.
All randomized participants with baseline and post-baseline data. Missing endpoints were imputed by applying the LOCF method to the post-baseline data. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.
Posted
Least Squares Mean
Standard Error
units on a scale
Baseline, Week 26
ID
Title
Description
OG000
Insulin Lispro (Humalog)
Insulin lispro given SC with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily.
OG001
LY900014
Secondary
Number of Participants With HbA1c <7%
Number of participants with HbA1c <7% at Week 26.
All participants with baseline and one post-baseline observation while on study drug. As pre-specified in the analysis plan, outcome measures will not be reported for the MEE arms/groups but only for the main global study arms/groups.
Posted
Count of Participants
Participants
No
Week 26
ID
Title
Description
OG000
Insulin Lispro (Humalog)
Insulin lispro given SC with 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.
OG001
LY900014
LY900014 given subcutaneously (SC) with 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.
Units
Counts
Participants
Time Frame
Baseline up to 30 Weeks
Description
All randomized participants.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Insulin Lispro (Humalog) Lead-In
100 U/mL Insulin lispro given SC with 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.
0
750
13
750
44
750
EG001
Insulin Lispro (Humalog)
100 U/mL Insulin lispro given SC with 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.
1
337
26
337
60
337
EG002
LY900014
100 U/mL LY900014 SC with 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.
2
336
26
336
79
336
EG003
Insulin Lispro (Humalog) Lead-In Maximum Extended Enrollment
100 U/mL Insulin lispro (Humalog) SC with 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.
0
183
3
183
12
183
EG004
Insulin Lispro (Humalog) Maximum Extended Enrollment (MEE)
100 U/mL Insulin lispro (Humalog) SC with 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.
0
82
4
82
8
82
EG005
LY900014 (MEE)
100 U/mL LY900014 SC with 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.
0
82
2
82
5
82
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Acute myocardial infarction
Cardiac disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG0030 events0 affected183 at risk
EG0041 events1 affected82 at risk
EG0050 events0 affected82 at risk
Angina pectoris
Cardiac disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Angina unstable
Cardiac disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Atrial fibrillation
Cardiac disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Cardiac failure
Cardiac disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Coronary artery stenosis
Cardiac disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0012 events2 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Myocardial infarction
Cardiac disorders
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected750 at risk
EG0010 events0 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Vertigo
Ear and labyrinth disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Cataract
Eye disorders
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected750 at risk
EG0011 events1 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Eye haemorrhage
Eye disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Papilloedema
Eye disorders
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected750 at risk
EG0010 events0 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Gastritis
Gastrointestinal disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Gastrointestinal haemorrhage
Gastrointestinal disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Pancreatitis acute
Gastrointestinal disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Non-cardiac chest pain
General disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Sudden death
General disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Bile duct stone
Hepatobiliary disorders
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected750 at risk
EG0010 events0 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Cholelithiasis
Hepatobiliary disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Drug hypersensitivity
Immune system disorders
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected750 at risk
EG0010 events0 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Cellulitis
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Empyema
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Eye infection viral
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Gastroenteritis
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Osteomyelitis
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Pneumonia
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected750 at risk
EG0010 events0 affected337 at risk
EG0024 events4 affected336 at risk
EG003
Pyelonephritis acute
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Septic shock
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Sinusitis
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected750 at risk
EG0010 events0 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Concussion
Injury, poisoning and procedural complications
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected750 at risk
EG0010 events0 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Fall
Injury, poisoning and procedural complications
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected750 at risk
EG0011 events1 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Heat stroke
Injury, poisoning and procedural complications
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Ligament sprain
Injury, poisoning and procedural complications
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Multiple fractures
Injury, poisoning and procedural complications
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Spinal compression fracture
Injury, poisoning and procedural complications
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Blood potassium decreased
Investigations
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Hypoglycaemia
Metabolism and nutrition disorders
MedDRA 21.1
Systematic Assessment
EG0002 events2 affected750 at risk
EG0016 events5 affected337 at risk
EG0024 events3 affected336 at risk
EG003
Shock hypoglycaemic
Metabolism and nutrition disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Intervertebral disc protrusion
Musculoskeletal and connective tissue disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Lumbar spinal stenosis
Musculoskeletal and connective tissue disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Osteoarthritis
Musculoskeletal and connective tissue disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Clear cell renal cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Meningioma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Renal neoplasm
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Carpal tunnel syndrome
Nervous system disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Hypoglycaemic coma
Nervous system disorders
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected750 at risk
EG0010 events0 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Lumbar radiculopathy
Nervous system disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Syncope
Nervous system disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Transient ischaemic attack
Nervous system disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Acute kidney injury
Renal and urinary disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Nephrolithiasis
Renal and urinary disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Ureteric compression
Renal and urinary disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Acute pulmonary oedema
Respiratory, thoracic and mediastinal disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Acute respiratory failure
Respiratory, thoracic and mediastinal disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0022 events2 affected336 at risk
EG003
Bronchitis chronic
Respiratory, thoracic and mediastinal disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Chronic obstructive pulmonary disease
Respiratory, thoracic and mediastinal disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0023 events3 affected336 at risk
EG003
Dyspnoea
Respiratory, thoracic and mediastinal disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0022 events2 affected336 at risk
EG003
Laryngeal disorder
Respiratory, thoracic and mediastinal disorders
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected750 at risk
EG0010 events0 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Diabetic ulcer
Skin and subcutaneous tissue disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Hypertension
Vascular disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0011 events1 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Intermittent claudication
Vascular disorders
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected750 at risk
EG0011 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Peripheral arterial occlusive disease
Vascular disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Peripheral artery stenosis
Vascular disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0012 events1 affected337 at risk
EG0020 events0 affected336 at risk
EG003
Peripheral vascular disorder
Vascular disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected750 at risk
EG0010 events0 affected337 at risk
EG0021 events1 affected336 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Diarrhoea
Gastrointestinal disorders
MedDRA 21.1
Systematic Assessment
EG00011 events11 affected750 at risk
EG00110 events10 affected337 at risk
EG00212 events11 affected336 at risk
EG0032 events2 affected183 at risk
EG0045 events5 affected82 at risk
EG0050 events0 affected82 at risk
Nasopharyngitis
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG00025 events23 affected750 at risk
EG00147 events38 affected337 at risk
EG00256 events47 affected336 at risk
EG003
Upper respiratory tract infection
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG00013 events13 affected750 at risk
EG00121 events20 affected337 at risk
EG00229 events27 affected336 at risk
EG003
As pre-specified in the analysis plan, outcome measures will not be reported for the Maximum Extended Enrollment (ME2) arms/groups but only for the main global study arms/groups.
Hormones, Hormone Substitutes, and Hormone Antagonists
D010455
Peptides
D000602
Amino Acids, Peptides, and Proteins
D049528
Insulin, Long-Acting
D001645
Biguanides
D006146
Guanidines
D000578
Amidines
D009930
Organic Chemicals
D045504
Molecular Mechanisms of Pharmacological Action
D020228
Pharmacologic Actions
D020164
Chemical Actions and Uses
D007004
Hypoglycemic Agents
D045505
Physiological Effects of Drugs
Browse Leaves
Not provided
Browse Branches
Not provided
0 subjects
FG0050 subjects
0 subjects
FG0050 subjects
0 subjects
FG0050 subjects
0 subjects
FG0050 subjects
0 subjects
FG0050 subjects
0 subjects
FG0050 subjects
0 subjects
FG0050 subjects
0 subjects
FG0050 subjects
0 subjects
FG0050 subjects
FG004
82 subjects
FG00582 subjects
73 subjects
FG00571 subjects
9 subjects
FG00511 subjects
0 subjects
FG0041 subjects
FG0050 subjects
Non-Compliance with Study Drug
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0041 subjects
FG0050 subjects
Withdrawal by Subject
FG0000 subjects
FG00110 subjects
FG0028 subjects
FG0030 subjects
FG0047 subjects
FG00511 subjects
Death
FG0000 subjects
FG0011 subjects
FG0022 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
Lost to Follow-up
FG0000 subjects
FG0016 subjects
FG0023 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
Participant schedule
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
Treatment Interruption
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
57.2
± 10.1
BG00459.9± 9.5
47
BG00327
BG004388
Male
BG000175
BG001184
BG00235
BG00355
BG004449
0
BG0030
BG0044
Asian
BG00081
BG00183
BG00270
BG00369
BG004303
Native Hawaiian or Other Pacific Islander
BG0001
BG0010
BG0020
BG0030
BG0041
Black or African American
BG00016
BG00114
BG0020
BG0030
BG00430
White
BG000229
BG001233
BG00212
BG00313
BG004487
More than one race
BG0006
BG0015
BG0020
BG0030
BG00411
Unknown or Not Reported
BG0001
BG0010
BG0020
BG0030
BG0041
0
BG0030
BG00456
Puerto Rico
Title
Measurements
BG0007
BG0017
BG0020
BG0030
BG00414
Hungary
Title
Measurements
BG00013
BG00115
BG0020
BG0030
BG00428
United States
Title
Measurements
BG00095
BG00192
BG0020
BG0030
BG004187
Czechia
Title
Measurements
BG00020
BG00120
BG0020
BG0030
BG00440
Japan
Title
Measurements
BG00046
BG00147
BG0020
BG0030
BG00493
India
Title
Measurements
BG0009
BG0017
BG00240
BG00344
BG004100
Russia
Title
Measurements
BG00014
BG00113
BG00211
BG00312
BG00450
Spain
Title
Measurements
BG00016
BG00114
BG0020
BG0030
BG00430
South Korea
Title
Measurements
BG00016
BG00116
BG00221
BG00316
BG00469
Taiwan
Title
Measurements
BG0007
BG0018
BG0029
BG0039
BG00433
Italy
Title
Measurements
BG0004
BG0015
BG0020
BG0030
BG0049
Mexico
Title
Measurements
BG00021
BG00122
BG0021
BG0031
BG00445
Slovakia
Title
Measurements
BG00014
BG00114
BG0020
BG0030
BG00428
Australia
Title
Measurements
BG0007
BG0018
BG0020
BG0030
BG00415
Germany
Title
Measurements
BG00019
BG00121
BG0020
BG0030
BG00440
7.53
± 0.69
BG0037.67± 0.89
BG0047.35± 0.73
Units
Counts
Participants
OG000307
OG001304
Title
Denominators
Categories
Title
Measurements
OG00074.9± 3.60
OG00163.1± 3.60
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
ANCOVA
<0.001
Mean Difference (Net)
-11.8
2-Sided
95
-18.1
-5.5
Superiority
Units
Counts
Participants
OG000306
OG001305
Title
Denominators
Categories
Title
Measurements
OG00097.8± 4.50
OG00180.4± 4.50
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
ANCOVA
<0.001
Mean Difference (Net)
-17.4
2-Sided
95
-25.3
-9.5
Superiority
Units
Counts
Participants
OG000337
OG001336
Title
Denominators
Categories
Title
Measurements
OG0004.19
OG0012.44
Units
Counts
Participants
OG000337
OG001336
Title
Denominators
Categories
Title
Measurements
OG0001.34± 0.164
OG0012.21± 0.318
Units
Counts
Participants
OG000334
OG001331
Title
Denominators
Categories
Title
Measurements
OG0002.15± 0.234
OG0011.99± 0.235
Units
Counts
Participants
OG000276
OG001270
Title
Denominators
Categories
Morning Premeal
ParticipantsOG000276
ParticipantsOG001270
Title
Measurements
OG000-0.8± 2.72
OG0011.5± 2.74
Morning 1-hour Postmeal
ParticipantsOG000271
ParticipantsOG001269
Title
Measurements
OG000-2.0± 3.44
OG001
Morning 2-hour Postmeal
ParticipantsOG000268
ParticipantsOG001268
Title
Measurements
OG0000.6± 3.38
OG001
Midday Premeal
ParticipantsOG000273
ParticipantsOG001268
Title
Measurements
OG0002.4± 2.83
OG001
Midday 1-hour Postmeal
ParticipantsOG000266
ParticipantsOG001267
Title
Measurements
OG0003.0± 3.48
OG001
Midday 2-hour Postmeal
ParticipantsOG000265
ParticipantsOG001268
Title
Measurements
OG000-2.2± 3.28
OG001
Evening Premeal
ParticipantsOG000271
ParticipantsOG001269
Title
Measurements
OG0007.0± 3.38
OG001
Evening 1-hour Postmeal
ParticipantsOG000264
ParticipantsOG001267
Title
Measurements
OG000-2.1± 3.24
OG001
Evening 2-hour Postmeal
ParticipantsOG000266
ParticipantsOG001266
Title
Measurements
OG0000.2± 3.68
OG001
Bedtime
ParticipantsOG000244
ParticipantsOG001252
Title
Measurements
OG000-3.4± 4.00
OG001
Units
Counts
Participants
OG000330
OG001330
Title
Denominators
Categories
Basal Insulin Dose
ParticipantsOG000317
ParticipantsOG001323
Title
Measurements
OG0004.2± 0.82
OG0014.6± 0.81
Prandial Insulin Dose
ParticipantsOG000330
ParticipantsOG001330
Title
Measurements
OG0008.3± 1.41
OG001
Total Daily Insulin Dose
ParticipantsOG000316
ParticipantsOG001321
Title
Measurements
OG00012.1± 1.93
OG001
OG001
LY900014
LY900014 given subcutaneously (SC) with 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.
Units
Counts
Participants
OG000319
OG001319
Title
Denominators
Categories
Title
Measurements
OG000-0.9± 1.36
OG001-2.4± 1.37
LY900014 given subcutaneously (SC) with each meal with either basal insulin glargine given SC once or twice daily or insulin degludec given SC once daily.