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Efficacy and Safety of LY3209590 Compared to Degludec in Adults with Type 2 Diabetes Who Are Starting Basal Insulin for the First Time

A Phase 3, Parallel-Design, Open-Label, Randomized Control Study to Evaluate the Efficacy and Safety of LY3209590 as a Weekly Basal Insulin Compared to Insulin Degludec in Insulin Naïve Adults with Type 2 Diabetes - QWINT-2

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2021-005891-21-GR
Enrollment
888
Registered
2022-06-08
Start date
2022-08-04
Completion date
Unknown
Last updated
2024-04-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

MedDRA version: 21.1 Level: LLT Classification code 10045242 Term: Type II diabetes mellitus System Organ Class: 100000004861

Interventions

Product Name: LY3209590 Product Code: LY3209590 Pharmaceutical Form: Solution for injection in pre-filled pen INN or Proposed INN: LY3209590 Other descriptive name: LY3209590 Concentration unit: U/ml

Sponsors

Eli Lilly and Company
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Must be at least 18 years of age at screening (or older per local regulations) Have a diagnosis of T2D according to the World Health Organization criteria Have an HbA1c of 7.0%-10.5%, inclusive, as determined by central laboratory at screening. To be on a stable treatment with 1 to 3 antihyperglycemic medication, for at least 3 months prior to screening, and willing to continue the stable treatment for the duration of the study. Therapies must be used in accordance with the corresponding local product label. These antihyperglycemic medications are accepted in the study - DPP-4 inhibitors - SGLT2 inhibitors - biguanides, such as metformin - alpha-glucosidase inhibitors - GLP-1 receptor agonists, oral or injectable - sulfonylureas, or - thiazolidinediones To be insulin naïve Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 799 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 89

Exclusion criteria

Exclusion criteria: Have a diagnosis of T1D, latent autoimmune diabetes, or specific type of diabetes other than T2D, for example, monogenic diabetes, diseases of the exocrine pancreas, or drug-induced or chemical-induced diabetes Have a history of >1 episode of ketoacidosis or hyperosmolar state or coma requiring hospitalization within 6 months prior to screening Have had severe hypoglycemia episodes within 6 months prior to screening Have a history of renal transplantation, are currently receiving renal dialysis, or have an estimated glomerular filtration rate <20 mL/min/1.73 m2 as calculated by the Chronic Kidney Disease-Epidemiology equation, determined by central laboratory at screening Have had a blood transfusion or severe blood loss within 90 days prior to screening. Have known hemoglobinopathy, hemolytic anemia or sickle cell anemia, or any other traits of hemoglobin abnormalities known to interfere with the measurement of HbA1c. Have had New York Heart Association Class IV heart failure or any of these cardiovascular conditions within 3 months prior to screening - acute myocardial infarction - cerebrovascular accident (stroke), or - coronary bypass surgery

Design outcomes

Primary

MeasureTime frame
Main Objective: To demonstrate noninferiority of LY3209590 compared to insulin degludec for the treatment of T2D in adults;Secondary Objective: Demonstrate noninferiority of LY3209590 compared to insulin degludec for participants using, or not using GLP-1 receptor agonists, and demonstrate superiority of LY3209590 compared to insulin degludec in selected parameters of glycemic control;Primary end point(s): Change from baseline in HbA1c ;Timepoint(s) of evaluation of this end point: Week 52

Secondary

MeasureTime frame
Secondary end point(s): - Change in HbA1c from baseline to Week 52 - Time in glucose range between 70 and 180 mg/dL, (3.9 and 10.0 mmol/L), inclusive, collected during the CGM session prior to Week 52;Timepoint(s) of evaluation of this end point: Week 52

Countries

Brazil, Canada, China, Greece, Japan, Korea, Republic of, Mexico, United States

Contacts

Public ContactClinical Trial Registry Office

Eli Lilly

EU_Lilly_Clinical_Trials@lilly.com

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026