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CompletedPhase 3Results posted

Comparison of Two Basal Insulins for Patients With Type 2 Diabetes Taking Oral Diabetes Medicines and Exenatide

A Randomized Trial Comparing Insulin Lispro Protamine Suspension With Insulin Glargine in Subjects With Type 2 Diabetes on Oral Antihyperglycemic Medications and Exenatide

Asset

Exenatide

GLP-1 agonist

Listed sites

52

Recruiting sites

Enrollment

339

actual

Study population

Type 2 diabetes

Key I/E criterion

HbA1c ≥7%

Primary endpoint

HbA1c, change

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

NCT IDNCT00560417
Org study ID11647
Secondary IDF3Z-US-IOPBEli Lilly and Company

Timeline

Milestones

Study first posted2007-11-19estimated
Results first posted2010-12-14estimated
Last update posted2011-01-13estimated
Study start2007-11 (month precision)
Primary completion2009-12actual (month precision)
Study completion2009-12actual (month precision)

Assets

Investigational agents

Study populations

Who this study enrolls

Type 2 diabetes

Eligibility

Who can enroll

Minimum age18 Years
Maximum age74 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

Must have type 2 diabetes
Must be at least 18 years of age and less than 75 years of age
Must be taking exenatide 10 micrograms twice a day (BID) for at least 3 months
Must be taking one of the following oral diabetes medication regimens for at least 3 months: (1) metformin (2) metformin + sulfonylurea (3) metformin + thiazolidinedione (TZD). Doses must be at or above the following: Metformin--1500 mg/day, Sulfonylurea--1/2 the maximum daily dose according to the product label, TZD--30 mg/day pioglitazone
Must have a hemoglobin A1C greater than or equal to 7.0% and less than or equal to 10.0%

Exclusion criteria

Must not have used insulin on a regular basis during the past 2 years
Must not have taken any glucose-lowering medications not included in the inclusion criteria in the past 3 months
Must not have had more than one episode of severe hypoglycemia in the past 6 months
Must not have clinically significant hematologic, oncologic, renal, cardiac, hepatic, or gastrointestinal disease
Must not be pregnant or intend to get pregnant during the course of the study

Endpoints (11)

What's being measured

Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.

Coverage by outcome category

Glycemic / diabetes
7
Weight & body composition
2
Safety / tolerability / PK
2

Weight & body composition

2 endpoints
Secondary/protocol endpoint

Actual Body Weight at Baseline and Endpoint (LOCF)

Time frame:Baseline, Endpoint (LOCF) up to 24 weeks

descriptive

Posted result

GroupValue (mean), kilograms95% CI
ILPSBaseline101.57
Endpoint101.85
GlargineBaseline102.62
Endpoint103.28
p0.343ANCOVA
Secondary/protocol endpoint

Change From Baseline in Body Weight at Endpoint (LOCF)

Time frame:Baseline, Endpoint (LOCF) up to 24 weeks

Body weight, absolute change (kg)

change from baseline, improvement

Posted result

GroupValue (mean), kilograms95% CI
ILPS0.27
Glargine0.66
p0.417t-test, 2 sided
p0.041t-test, 2 sided
Mean Difference (Final Values)-0.3895% CI-1.150.40p0.343ANOVA

Glycemic / diabetes

7 endpoints
Primary/protocol endpoint

Change From Baseline in Hemoglobin A1C (HbA1c) at Endpoint (Last Observation Carried Forward [LOCF])

Time frame:Baseline, Endpoint (LOCF) up to 24 weeks

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Posted result

GroupValue (least_squares_mean), percent of glycosylated hemoglobin95% CI
ILPSBaseline8.48
Endpoint (LOCF) Change-1.21
GlargineBaseline8.47
Endpoint (LOCF) Change-1.43
Mean Difference (Final Values)0.2295% CI0.060.38ANCOVA
Secondary/protocol endpoint

Actual Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)

Time frame:24 weeks, Endpoint (LOCF) up to 24 weeks

descriptive, improvement

LOINC 4548-4

Posted result

GroupValue (least_squares_mean), percent of glycosylated hemoglobin95% CI
ILPS24 weeks6.94
Endpoint (LOCF)7.00
Glargine24 weeks6.70
Endpoint (LOCF)6.78
Mean Difference (Final Values)0.2495% CI0.080.39p0.003ANCOVA
Mean Difference (Final Values)0.2295% CI0.060.38p0.008ANCOVA
Secondary/protocol endpoint

Change From Baseline in Hemoglobin A1C at 24 Weeks and Endpoint (LOCF)

Time frame:Baseline, 24 Weeks, Endpoint (LOCF) up to 24 weeks

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Posted result

GroupValue (least_squares_mean), percent of glycosylated hemoglobin95% CI
ILPSBaseline8.48
24 Weeks Change-1.25
Endpoint (LOCF) Change-1.21
GlargineBaseline8.47
24 Weeks Change-1.49
Endpoint (LOCF) Change-1.43
Mean Difference (Final Values)0.2495% CI0.080.39p0.003ANCOVA
Mean Difference (Final Values)0.2295% CI0.060.38p0.008ANCOVA
Secondary/protocol endpoint

Percentage of Participants With Hemoglobin A1C Less Than 7.0% and Hemoglobin A1C Less Than or Equal to 6.5%

Time frame:Weeks 12, 18, 24 and Endpoint (LOCF) up to 24 weeks

HbA1c <7.0% achievement

threshold achievement, improvement

LOINC 4548-4

Posted result

GroupValue (number), percent of participants95% CI
ILPSWeek 12: HbA1c <7.0%46.9
Week 12: HbA1c <=6.5%24.8
Week 18: HbA1c <7.0%54.8
Week 18: HbA1c <=6.5%30.8
Week 24: HbA1c <7.0%55.4
Week 24: HbA1c <=6.5%29.7
Endpoint (LOCF): HbA1c <7.0%53.7
Endpoint (LOCF): HbA1c <=6.5%28.4
GlargineWeek 12: HbA1c <7.0%50.7
Week 12: HbA1c <=6.5%28.7
Week 18: HbA1c <7.0%69.1
Week 18: HbA1c <=6.5%37.6
Week 24: HbA1c <7.0%63.4
Week 24: HbA1c <=6.5%39.9
Endpoint (LOCF): HbA1c <7.0%61.7
Endpoint (LOCF): HbA1c <=6.5%38.9
p0.561Fisher Exact
p0.511Fisher Exact
p0.012Fisher Exact
p0.269Fisher Exact
p0.161Fisher Exact
p0.071Fisher Exact
p0.177Fisher Exact
p0.060Fisher Exact
Secondary/protocol endpoint

7-Point Self-Monitored Blood Glucose (SMBG) Profiles at Baseline and Endpoint (LOCF)

Time frame:Baseline, Endpoint (LOCF) up to 24 weeks

descriptive, improvement

Posted result

GroupValue (mean), milligrams per deciliter (mg/dL)95% CI
ILPSBaseline Morning Pre-Meal175.41
Baseline Morning Postprandial195.31
Baseline Midday Pre-Meal165.18
Baseline Midday Postprandial193.22
Baseline Evening Pre-Meal173.33
Baseline Evening Postprandial189.00
Baseline 0300 Hours170.51
Baseline Daily Mean 7-Point Blood Glucose180.19
Baseline Daily Mean Pre-Meal170.60
Baseline Daily Mean Postprandial192.37
Endpoint Morning Pre-Meal129.63
Endpoint Morning Postprandial152.32
Endpoint Midday Pre-Meal132.84
Endpoint Midday Postprandial161.77
Endpoint Evening Pre-Meal146.03
Endpoint Evening Postprandial159.14
Endpoint 0300 Hours123.96
Endpoint Daily Mean 7-Point Blood Glucose143.06
Endpoint Daily Mean Pre-Meal135.51
Endpoint Daily Mean Postprandial158.10
GlargineBaseline Morning Pre-Meal180.86
Baseline Morning Postprandial190.84
Baseline Midday Pre-Meal166.34
Baseline Midday Postprandial200.25
Baseline Evening Pre-Meal175.14
Baseline Evening Postprandial184.92
Baseline 0300 Hours172.00
Baseline Daily Mean 7-Point Blood Glucose180.72
Baseline Daily Mean Pre-Meal172.66
Baseline Daily Mean Postprandial191.27
Endpoint Morning Pre-Meal127.01
Endpoint Morning Postprandial137.39
Endpoint Midday Pre-Meal129.71
Endpoint Midday Postprandial155.26
Endpoint Evening Pre-Meal135.93
Endpoint Evening Postprandial144.25
Endpoint 0300 Hours127.53
Endpoint Daily Mean 7-Point Blood Glucose136.17
Endpoint Daily Mean Pre-Meal129.32
Endpoint Daily Mean Postprandial146.12
Mean Difference (Final Values)4.2895% CI-1.9710.53p0.179ANCOVA
Mean Difference (Final Values)13.9695% CI5.7222.19p<0.001ANCOVA
Mean Difference (Final Values)3.8095% CI-3.7911.39p0.325ANCOVA
Mean Difference (Final Values)8.7395% CI-0.0417.50p0.051ANCOVA
Mean Difference (Final Values)10.9295% CI3.6618.19p0.003ANCOVA
Mean Difference (Final Values)14.1995% CI5.4422.94p0.002ANCOVA
Mean Difference (Final Values)-3.0395% CI-10.354.28p0.415ANCOVA
Mean Difference (Final Values)7.3995% CI1.4613.32p0.015ANCOVA
Mean Difference (Final Values)7.1295% CI1.1013.14p0.021ANCOVA
Mean Difference (Final Values)11.9795% CI5.0118.93p<0.001ANCOVA
Secondary/protocol endpoint

Glycemic Variability at Baseline and Endpoint (LOCF)

Time frame:Baseline, Endpoint (LOCF) up to 24 weeks

change from baseline, improvement

Posted result

GroupValue (mean), mg/dL95% CI
ILPSBaseline41.15
Endpoint36.78
GlargineBaseline39.02
Endpoint30.96
Mean Difference (Final Values)2.2795% CI-0.685.22p0.131ANOVA
Mean Difference (Final Values)5.9995% CI2.829.16p<0.001ANOVA
Secondary/protocol endpoint

Total Daily Insulin Dose at Endpoint (LOCF)

Time frame:Endpoint (LOCF) up to 24 weeks

descriptive, improvement

Posted result

GroupValue (mean), Units of Insulin95% CI
ILPS31.11
Glargine37.93
p<0.001ANOVA

Safety / tolerability / PK

2 endpoints
Secondary/protocol endpoint

Incidence of Self-reported Hypoglycemic Episodes (All, Non-Nocturnal, Nocturnal, and Severe)

Time frame:Baseline to Endpoint (LOCF) up to 24 weeks

Documented hypoglycemia

event count, event

Posted result

GroupValue (number), percentage of participants95% CI
ILPSAll Reported - Endpoint41.8
All Reported - Overall70.6
Non-Nocturnal - Endpoint30.6
Non-Nocturnal - Overall62.4
Nocturnal - Endpoint21.8
Nocturnal - Overall47.6
Severe - Endpoint0
Severe - Overall1.8
GlargineAll Reported - Endpoint43.1
All Reported - Overall74.9
Non-Nocturnal - Endpoint40.1
Non-Nocturnal - Overall70.7
Nocturnal - Endpoint11.4
Nocturnal - Overall37.1
Severe - Endpoint0
Severe - Overall0
p0.826Fisher Exact
p0.394Fisher Exact
p0.070Fisher Exact
p0.133Fisher Exact
p0.013Fisher Exact
p0.061Fisher Exact
p0.248Fisher Exact
Secondary/protocol endpoint

Rate of All, Non-Nocturnal, and Nocturnal Self-Reported Hypoglycemic Episodes (Adjusted for One Year)

Time frame:Baseline to Endpoint (LOCF) up to 24 weeks

Documented hypoglycemia

event count, event

Posted result

GroupValue (mean), episodes/participant/365 days95% CI
ILPSAll reported episodes rate - Endpoint14.51
All reported episodes rate - Overall16.27
Non-Nocturnal reported episodes rate - Endpoint10.40
Non-Nocturnal reported episodes rate - Overall11.36
Nocturnal reported episodes rate - Endpoint4.01
Nocturnal reported episodes rate - Overall4.88
GlargineAll reported episodes rate - Endpoint15.29
All reported episodes rate - Overall18.05
Non-Nocturnal reported episodes rate - Endpoint13.20
Non-Nocturnal reported episodes rate - Overall14.83
Nocturnal reported episodes rate - Endpoint1.73
Nocturnal reported episodes rate - Overall3.01
p0.628Negative Binomial regression model
p0.570Negative Binomial regression model
p0.116Negative Binomial regression model
p0.044Negative Binomial regression model
p0.006Negative Binomial regression model
p0.004Negative Binomial regression model

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 1, 2026
Endpoint classificationDelfa endpoint taxonomy v2 (May 13, 2026)
Results tableClinicalTrials.gov results section

Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.