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CompletedPhase 1Results posted

Effect of LY2189265 on Insulin Secretion in Response to Intravenous Glucose

The Effect of LY2189265 on Insulin Secretion in Response to Intravenous Glucose Infusion

Asset

Dulaglutide

Subcutaneous · GLP-1 agonist

Listed sites

1

Recruiting sites

Enrollment

32

actual

Study population

Healthy volunteers, Type 2 diabetes

Key I/E criteria

BMI 19-25HbA1c 6-9.5%Healthy volunteers

Primary endpoints

Maximum Insulin Concentration (Cmax) - First Phase ResponseAUC of Insulin (AUC) - First Phase ResponseMaximum Insulin Concentration (Cmax) - Second Phase Response

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 IDNCT01300260
Org study ID11371
Secondary IDH9X-MC-GBCIEli Lilly and Company

Timeline

Milestones

Study first posted2011-02-21estimated
Last update posted2014-10-07estimated
Results first posted2014-10-07estimated
Study start2011-02 (month precision)
Primary completion2011-08actual (month precision)
Study completion2011-08actual (month precision)

Assets

Investigational agents

Study populations

Who this study enrolls

Healthy volunteersType 2 diabetes

Eligibility

Who can enroll

Minimum age18 Years
Maximum age65 Years
SexAll
Healthy volunteersAccepted

Inclusion criteria

All Participants

Women must be surgically sterile (hysterectomy or bilateral oophorectomy or tubal ligation) or postmenopausal as defined by age >45 years without use of oral contraceptive agents for greater than 1 year and have either:
spontaneous amenorrhea greater than 12 months, or
spontaneous amenorrhea 6 to 12 months with documented follicle stimulating hormone (FSH) >25 milli international units/milliliter (mIU/mL) and serum estradiol <73 picomoles/liter (pmol/L) (20 picograms/milliliter [pg/mL])
Are reliable and willing to make themselves available for the duration of the study and are willing to follow study procedures
Have given written informed consent approved by Lilly and the ethical review board governing the site
Have serum creatinine <150 micromoles/liter (µmol/L) (<1.3 milligrams/deciliter [mg/dl] in women, <170 µmol/L [<1.5 mg/dL] in men)
Have normal hemoglobin result, as determined by the investigator

Healthy Participants

Overtly healthy men and women as determined by medical history, normal lab results and physical examination.
Body mass index (BMI) between 19 and 25 kilograms/meter squared (kg/m^2), inclusive.
Normal blood pressure and heart rate as determined by the investigator
Have a normal response to an oral glucose tolerance test (OGTT) (glucose <7.8 millimoles/liter [mmol/L] [<140 mg/dL] at 2 hours after 75 grams (g) oral glucose load)

Participants with type 2 diabetes mellitus (T2DM)

Participants will have a BMI between 22.0 and 40.0 kg/m^2
Have T2DM controlled with diet and exercise alone or metformin for at least 4 weeks prior to admission
Have a hemoglobin A1c (HbA1c) value at screening (or within 4 weeks prior to screening) of 6.0% to 9.5%
Diagnosed with T2DM within the past 10 years
Clinical laboratory test results within normal range or deemed clinically insignificant by the Investigator. Abnormalities of serum glucose, serum lipids, urinary glucose, and urinary protein consistent with T2DM are acceptable.
Participants who are taking stable-dose prescription medications (for example, antihypertensive agents, aspirin, lipid-lowering agents) for treatment of concurrent medical conditions are permitted to participate providing the medication is not associated with development of torsade de pointes. However, use of beta-blockers and thiazide diuretics are not permitted during this study.

Exclusion criteria

All Participants

Within 30 days of the initial dose of study drug, have received treatment with a drug that has not received regulatory approval for any indication
Known allergies to Glucagon-Like Peptide 1 (GLP-1) related compounds
Have previously completed or withdrawn from this study or any other study in the last year investigating glucagon-like peptides or incretin mimetics including exenatide (Byetta®)
Regular use of known drugs of abuse and/or positive findings on urinary drug screening, other than findings consistent with medication prescribed by the participant's physician(s)
History or presence of cardiovascular, respiratory, renal, endocrine (except T2DM), hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs or of constituting a risk when taking the study medication or interfering with the interpretation of data
Have a history or presence of gastrointestinal disorder
Poorly controlled hypertension (systolic greater than 160 millimeters of mercury [mmHg], diastolic greater than 95 mmHg) and/or evidence of labile blood pressure including symptomatic postural hypotension. Use of beta-blockers or thiazide diuretics is not permitted during the study
Have a clinically significant history of cardiac disease or presence of active cardiac disease within 1 year of the screening period
Evidence of hepatitis C and/or positive hepatitis C antibody
Evidence of hepatitis B and/or positive hepatitis B surface antigen
Evidence of human immunodeficiency virus (HIV) and/or positive for HIV antibodies
Have an average weekly alcohol intake that exceeds 21 units per week (males) and 14 units per week (females) or are unwilling to follow alcohol restrictions (1 unit = 12 ounces [oz] or 360 milliliters[mL] of beer; 5 oz or 150 mL of wine; 1.5 oz or 45 mL of distilled spirits).
Smoke more than 10 cigarettes or equivalent in nicotine use or nicotine substitutes per day
Regular use of systemic corticosteroids by oral, intravenous, or intramuscular route, or potent, inhaled, or intranasal steroids known to have a high rate of systemic absorption
Have a history or presence of significant active neuropsychiatric disease
Blood donation of more than 500 mL in the last 3 months or any blood donation within the last month
Any other condition, which in the opinion of the investigator would preclude participation in the study
An abnormality in the 12-lead electrocardiogram (ECG) that in the opinion of the investigator increases the risk of participating in the study.
Any clinically significant abnormal hematology, clinical chemistry, or urinary result(s) as determined by the investigator
Evidence of significant active uncontrolled endocrine or autoimmune abnormalities (for example thyroid disease, or pernicious anemia) as judged by the screening physician

Healthy Participants

Intended use of over-the-counter or prescription medication 7 and 14 days, respectively, prior to dosing.

Participants with T2DM

Clinically significant peripheral vascular occlusive disease (PVOD).
Known severe exudative diabetic retinopathy
Known significant autonomic neuropathy as evidenced by urinary retention, diabetic diarrhea, or gastroparesis
Have experienced a ketoacidotic episode (pH less than 7.3) requiring hospitalization in the last 6 months
Outpatient use of insulin for control of diabetes within the past 2 years
Use of antidiabetic agents other than metformin in the 4 weeks prior to study entry or use of thiazolidinediones within 12 weeks of study entry

Endpoints (12)

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
9
Safety / tolerability / PK
3

Glycemic / diabetes

9 endpoints
Primary/registry result/low confidence

Maximum Insulin Concentration (Cmax) - First Phase Response

Time frame:0-10 minutes after dextrose bolus on Day 3 postdose

concentration, descriptive

Posted result

GroupValue (geometric_mean), picomole per liter (pmol/L)95% CI
Healthy Participants: Placebo233154 – 352
Healthy Participants: LY2189265689455 – 1041
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo74.346.8 – 118
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265401252 – 637
Geometric least squares (LS) mean ratio2.9695% CI2.413.64p<0.001Mixed Models Analysis
Geometric least squares (LS) means ratio5.4095% CI4.097.13p<0.001Mixed Models Analysis
Primary/registry result

Area Under the Insulin Concentration-time Curve (AUC) - First Phase Response

Time frame:0-10 minutes after dextrose bolus on Day 3 postdose

concentration, descriptive

Posted result

GroupValue (geometric_mean), picomole times hour per liter (pmol*h/L)95% CI
Healthy Participants: Placebo22.915.0 – 34.9
Healthy Participants: LY218926570.746.3 – 108
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo5.062.90 – 8.83
Participants With Type 2 Diabetes Mellitus (T2DM): LY218926540.122.8 – 70.3
Geometric least squares (LS) mean ratio3.0995% CI2.663.59p<0.001Mixed Models Analysis
Geometric least squares (LS) mean ratio7.9295% CI4.8213.0p<0.001Mixed Models Analysis
Primary/registry result

Insulin Area Under the Curve (AUC) - Second Phase Response

Time frame:10-180 minutes after dextrose bolus on Day 3 post dose

concentration, descriptive

Posted result

GroupValue (geometric_mean), picomole times hour per liter (pmol*h/L)95% CI
Healthy Participants: Placebo68.841.7 – 114
Healthy Participants: LY218926514185.3 – 232
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo147103 – 209
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265357250 – 511
Geometric least squares (LS) mean ratio2.0495% CI1.263.31p0.011Mixed Models Analysis
Geometric least squares (LS) mean ratio2.4495% CI1.713.47p<0.001Mixed Models Analysis
Primary/protocol endpoint

Maximum Insulin Concentration (Cmax) - First Phase Response

Time frame:0-10 minutes after dextrose bolus on Day 3 postdose

concentration, descriptive

Primary/protocol endpoint

Area Under the Insulin Concentration-time Curve (AUC) - First Phase Response

Time frame:0-10 minutes after dextrose bolus on Day 3 postdose

concentration, descriptive

Primary/protocol endpoint

Maximum Insulin Concentration (Cmax) - Second Phase Response

Time frame:10-180 minutes after dextrose bolus on Day 3 postdose

concentration, descriptive

Primary/protocol endpoint/low confidence

Insulin Area Under the Curve (AUC) - Second Phase Response

Time frame:10-180 minutes after dextrose bolus on Day 3 post dose

concentration, descriptive

Other/protocol endpoint

Area Under the Insulin Concentration-time Curve (AUC)

Time frame:After glucagon bolus on Day 3 postdose

concentration, descriptive

Other_pre_specified/registry result

Area Under the Insulin Concentration-time Curve (AUC)

Time frame:After glucagon bolus on Day 3 postdose

concentration, descriptive

Posted result

GroupValue (geometric_mean), picomole times hour per liter (pmol*h/L)95% CI
Healthy Participants: Placebo239167 – 340
Healthy Participants: LY2189265341239 – 486
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo236177 – 316
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265414310 – 554
Geometric least squares (LS) mean ratio1.4395% CI1.141.80p0.009Mixed Models Analysis
Geometric least squares (LS) mean ratio1.7595% CI1.591.94p<0.001Mixed Models Analysis

Safety / tolerability / PK

3 endpoints
Primary/registry result

Maximum Insulin Concentration (Cmax) - Second Phase Response

Time frame:10-180 minutes after dextrose bolus on Day 3 postdose

Cmax

concentration, descriptive

Posted result

GroupValue (geometric_mean), picomole per liter (pmol/L)]95% CI
Healthy Participants: Placebo89.264.7 – 123
Healthy Participants: LY2189265370269 – 511
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo95.966.3 – 139
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265363250 – 526
Geometric least squares (LS) mean ratio4.1595% CI3.455.00p<0.001Mixed Models Analysis
Geometric least squares (LS) mean ratio3.7895% CI2.994.78p<0.001Mixed Models Analysis
Secondary/registry result

Insulin Maximum Concentration (Cmax)

Time frame:After glucagon bolus on Day 3 postdose

Cmax

concentration, descriptive

Posted result

GroupValue (geometric_mean), picomole per liter (pmol/L)95% CI
Healthy Participants: Placebo996716 – 1386
Healthy Participants: LY21892651215874 – 1690
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo1088827 – 1431
Participants With Type 2 Diabetes Mellitus (T2DM): LY218926515141151 – 1991
Geometric least squares (LS) mean ratio1.2295% CI1.041.43p0.021Mixed Models Analysis
Geometric least squares (LS) mean ratio1.3995% CI1.271.53p<0.001Mixed Models Analysis
Secondary/protocol endpoint

Insulin Maximum Concentration (Cmax)

Time frame:After glucagon bolus on Day 3 postdose

Cmax

concentration, descriptive

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.