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A Study of the Safety and Effectiveness of LY3053102 in Participants With Type 2 Diabetes

Safety, Tolerability, Pharmacokinetics, and Efficacy of LY3053102 With 12 Weeks of Treatment in Patients With Type 2 Diabetes Mellitus

Status
Terminated
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02020616
Enrollment
60
Registered
2013-12-25
Start date
2013-12-31
Completion date
2015-02-28
Last updated
2019-10-08

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

Conditions

Type 2 Diabetes Mellitus

Brief summary

The purpose of this study is to investigate the safety and effectiveness of the study drug known as LY3053102 in participants with Type 2 diabetes mellitus. The study drug will be given in different doses as an injection under the skin. The study is expected to last up to 6 months for each participant. Participants may remain on stable-dose metformin as prescribed by their personal physician.

Interventions

Administered SC

DRUGExenatide ER

Administered SC

DRUGPlacebo

Administered SC

DRUGMetformin

Administered orally (PO)

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Participants with type 2 diabetes mellitus for at least 6 months before entering the trial based on the disease diagnostic criteria (World Health Organization \[WHO\]) classification managed with diet or exercise alone or with a stable dose of metformin of at least 1000 mg/day for at least 60 days before screening or on metformin and an eligible second oral anti-hyperglycemic medication after a 60-day washout of the second oral anti-hyperglycemic medication * Women not of childbearing potential due to surgical sterilization (hysterectomy or bilateral oophorectomy or tubal ligation) or menopause * Have a hemoglobin A1c value of ≥7.0% and ≤10.5%, if on diet and exercise or diet, exercise, and metformin (stable dose of at least 1000 mg/day for at least 60 days), or have a hemoglobin A1c value of ≥7.0% and ≤9.5%, and are on an appropriate diet and exercise regimen, a stable dose of metformin and willing to discontinue a second oral anti-hyperglycemic medication * Have a body mass index ≥23 and ≤45 kilograms per square meter (kg/m\^2)

Exclusion criteria

* Have used insulin for diabetic control for more than 6 consecutive days within 1 year prior to screening * Have used thiazolidinediones within 3 months, or any other drugs for treatment of hyperglycemia (except metformin) within 2 months, prior to the first week of the study * Have hepatitis B and/or positive hepatitis B surface antigen. hepatitis C or human immunodeficiency virus (HIV) and/or positive HIV antibodies * Have known or suspected cardiac autonomic neuropathy (for example, resting tachycardia or orthostatic hypotension), based on clinical signs, symptoms, or appropriate diagnostic testing * Have cardiac disease with functional status that is New York Heart Association Class II, III, or IV or in the last 6 months have had any of the following: a history of myocardial infarction , unstable angina, coronary artery bypass graft, percutaneous coronary intervention (diagnostic angiograms are permitted), transient ischemic attack, or cerebrovascular accident (for example, stroke) * Have poorly controlled hypertension, malignant hypertension, renal artery stenosis, and/or evidence of labile blood pressure including symptomatic postural hypotension. Doses of antihypertensive medications must be stable for 30 days prior to the first week of the study * Have obvious clinical signs or symptoms of liver disease, acute or chronic hepatitis, or an alanine transaminase or aspartate aminotransferase levels \>2 times the upper limit of the reference range * Have evidence of hypothyroidism or hyperthyroidism based on clinical evaluation and/or an abnormal thyroid-stimulating hormone which, in the opinion of the investigator, would pose a risk to participant safety. Participants on a stable dose of thyroid replacement therapy may be eligible if they meet the other criteria * Have clinically significant peripheral vascular disease, or clinical evidence of active diabetic proliferative retinopathy, (known significant autonomic neuropathy) as evidenced by urinary retention, orthostatic hypotension, diabetic diarrhea or gastroparesis * Have an active or untreated malignancy or have been in remission from a clinically significant malignancy (other than basal or squamous cell skin cancer, in situ carcinomas of the cervix, or in situ prostate cancer) for less than 5 years * Have impaired renal function * Have fasting triglycerides \>500 milligrams per deciliter (mg/dL) at screening * Have experienced a keto-acidotic episode requiring hospitalization in the last 6 months * Have an electrocardiogram (ECG) considered to be indicative of cardiac disease * Have personal or family history of long QT syndrome, family history of sudden death in a first-degree relative before age 40, or personal history of unexplained syncope within the last year. Use of prescription or over-the-counter medications known to prolong the QT or QTc interval * Have a history of bone disease (including osteoporosis or unhealed fractures), evidence of osteoporosis (femoral neck or lumbar spine T-score \<-2.5) determined by dual X-ray absorptometry (DXA) scan at screening, evidence of osteopenia (T-score between -1.0 and -2.5 at the femoral neck or lumbar spine) with a high risk of fracture based on risk factors or current active treatment of periodontal disease

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Hemoglobin A1c (HbA1c) at 12-Week EndpointBaseline, Week 12HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Least Squares (LS) means were calculated using mixed model repeated measures (MMRM) analysis adjusting for metformin use, washout of second oral anti-hyperglycemic medication (OAM), treatment, visit, and treatment-by-visit interaction as fixed effects, baseline as a covariate, and participant as a random effect.

Secondary

MeasureTime frameDescription
Percentage of Participants That Require Rescue TherapyBaseline through Week 12Percentage of participants that required \>=1 rescue (blood glucose lowering) medications.
Change From Baseline in Body Weight at 12-Week EndpointBaseline, Week 12LS means were calculated using MMRM analysis adjusting for baseline HbA1c category, metformin use, washout of second OAM, treatment, visit, and treatment-by-visit interaction as fixed effects, baseline as a covariate, and participant as a random effect (excludes data after rescue therapy).
Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointBaseline, Week 127-Point Self-Monitored Blood Glucose profiles are measures of blood glucose concentration taken 7 times a day at morning pre-prandial, morning 2 hours postprandial, midday pre-prandial, midday 2 hours postprandial, evening pre-prandial, evening 2 hour postprandial, and bedtime. LS means were calculated using MMRM analysis adjusting for baseline HbA1c category, metformin use, washout of second OAM, treatment, visit, and treatment-by-visit interaction as fixed effects, baseline as a covariate, and participant as a random effect (excludes data after rescue therapy).
Change From Baseline in Lipids at 12-Week EndpointBaseline, Week 12Lipids includes: High Density Lipoprotein-Cholesterol (HDL-C), Low Density Lipoprotein-Cholesterol (LDL-C), Triglycerides, and Cholesterol. LS means were calculated using MMRM analysis adjusting for metformin use, washout of second OAM, baseline HbA1c category, treatment, visit, and treatment-by-visit interaction as fixed effects, baseline as a covariate, and participant as a random effect (excludes data after rescue therapy).
Percentage of Participants With Anti-Drug Antibodies to LY3053102Baseline through Study Completion (Up to 6 Months)Percentage of participants with anti-LY3053102 antibody titre changes from baseline to the maximum postbaseline value.
Percentage of Participants Achieving HbA1c <7.0% or HbA1c ≤6.5% at 12-Week EndpointWeek 12HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time.
Change From Baseline in Bone Metabolism at 12-Week Endpoint (Osteocalcin and Bone-Specific Alkaline Phosphatase [Bone-Specific ALP])Baseline, Week 12LS means were calculated using MMRM analysis adjusting for metformin use, washout of second OAM, baseline HbA1c category, treatment, visit, and treatment-by-visit interaction as fixed effects, baseline as a covariate, and participant as a random effect (excludes data after rescue therapy).
Change From Baseline in Bone Metabolism at 12-Week Endpoint (Beta-Crosslaps and Procollagen 1 N-Terminal Propeptide [P1NP])Baseline, Week 12LS means were calculated using MMRM analysis adjusting for metformin use, washout of second OAM, baseline HbA1c category, treatment, visit, and treatment-by-visit interaction as fixed effects, baseline as a covariate, and participant as a random effect (excludes data after rescue therapy).
Change From Baseline in Bone Mineral Density Markers at 12-Week EndpointBaseline, Week 12LS means were calculated using MMRM analysis adjusting for metformin use, washout of second OAM, baseline HbA1c category, treatment, visit, and treatment-by-visit interaction as fixed effects, baseline as a covariate, and participant as a random effect (excludes data after rescue therapy).
Pharmacokinetics: Area Under the Concentration Versus Time Curve During One Dosing Interval at Steady State (AUC [τ,ss]) of LY3053102Predose, 0, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 168 hours post-doseAUC (τ,ss) = area under the concentration versus time curve during one dosing interval at steady state, where the dosing interval (τ) = 168 hours.
Percentage of Participants With HypoglycemiaBaseline through Week 12Hypoglycemia was defined as any event meeting the criteria for documented symptomatic hypoglycemia, asymptomatic hypoglycemia, or probable symptomatic hypoglycemia.

Countries

United States

Participant flow

Pre-assignment details

The study was planned in 2 stages; Stage 1 evaluated up to 5 escalating parallel-dose groups. Stage 2, which was to evaluate participants stratified by Hemoglobin A1c (HbA1c), metformin therapy, and washout of a second oral anti-hyperglycemic medication (OAM) was not conducted because of inadequate efficacy at well-tolerated doses in Stage 1.

Participants by arm

ArmCount
Placebo
Placebo administered SC QW for 12 weeks
10
7 mg LY3053102
7 mg LY3053102 administered SC QW for 12 weeks
8
15 mg LY3053102
15 mg LY3053102 administered SC QW for 12 weeks
8
50 mg LY3053102
50 mg LY3053102 administered SC QW for 12 weeks
7
100 mg LY3053102
100 mg LY3053102 administered SC QW for 12 weeks
8
200 mg LY3053102
200 mg LY3053102 administered SC QW for 12 weeks
8
2 mg Exenatide ER
2 mg Exenatide ER administered SC QW for 12 weeks
10
Total59

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006
Overall StudyAdverse Event0000011
Overall StudyEarly Termination Criteria Met0010010
Overall StudyLack of Efficacy0000100
Overall StudyLost to Follow-up0101110
Overall StudyPhysician Decision0000012
Overall StudyRandomized in Error0001000
Overall StudyWithdrawal by Subject0010011

Baseline characteristics

Characteristic200 mg LY30531022 mg Exenatide ERTotal15 mg LY30531027 mg LY3053102Placebo100 mg LY305310250 mg LY3053102
Age, Continuous54.6 Years
STANDARD_DEVIATION 8.3
52.8 Years
STANDARD_DEVIATION 9.1
55.3 Years
STANDARD_DEVIATION 8.5
59.9 Years
STANDARD_DEVIATION 5.8
57.3 Years
STANDARD_DEVIATION 4.9
55.9 Years
STANDARD_DEVIATION 8.9
50.8 Years
STANDARD_DEVIATION 13
56.3 Years
STANDARD_DEVIATION 6
Baseline Fasting Plasma Glucose185.9 milligram/deciliter (mg/dL)
STANDARD_DEVIATION 50.6
150.6 milligram/deciliter (mg/dL)
STANDARD_DEVIATION 46.8
174.9 milligram/deciliter (mg/dL)
STANDARD_DEVIATION 46.5
176.6 milligram/deciliter (mg/dL)
STANDARD_DEVIATION 58
178.6 milligram/deciliter (mg/dL)
STANDARD_DEVIATION 44.3
180.6 milligram/deciliter (mg/dL)
STANDARD_DEVIATION 45.3
183.3 milligram/deciliter (mg/dL)
STANDARD_DEVIATION 46.2
173.3 milligram/deciliter (mg/dL)
STANDARD_DEVIATION 39.6
Baseline Hemoglobin A1c (HbA1c)8.10 Percent of HbA1c
STANDARD_DEVIATION 0.63
8.50 Percent of HbA1c
STANDARD_DEVIATION 1.03
8.42 Percent of HbA1c
STANDARD_DEVIATION 1.02
7.93 Percent of HbA1c
STANDARD_DEVIATION 0.81
8.33 Percent of HbA1c
STANDARD_DEVIATION 1.17
8.39 Percent of HbA1c
STANDARD_DEVIATION 0.8
9.40 Percent of HbA1c
STANDARD_DEVIATION 1.43
8.30 Percent of HbA1c
STANDARD_DEVIATION 0.74
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants2 Participants35 Participants3 Participants4 Participants7 Participants6 Participants5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants8 Participants24 Participants5 Participants4 Participants3 Participants2 Participants2 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants1 Participants2 Participants0 Participants1 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants3 Participants11 Participants4 Participants0 Participants0 Participants2 Participants2 Participants
Race (NIH/OMB)
More than one race
0 Participants2 Participants2 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
8 Participants4 Participants44 Participants4 Participants7 Participants10 Participants6 Participants5 Participants
Region of Enrollment
United States
8 Participants10 Participants59 Participants8 Participants8 Participants10 Participants8 Participants7 Participants
Sex: Female, Male
Female
4 Participants2 Participants24 Participants4 Participants3 Participants5 Participants4 Participants2 Participants
Sex: Female, Male
Male
4 Participants8 Participants35 Participants4 Participants5 Participants5 Participants4 Participants5 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
6 / 104 / 84 / 84 / 77 / 87 / 88 / 10
serious
Total, serious adverse events
1 / 100 / 80 / 80 / 71 / 80 / 80 / 10

Outcome results

Primary

Change From Baseline in Hemoglobin A1c (HbA1c) at 12-Week Endpoint

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Least Squares (LS) means were calculated using mixed model repeated measures (MMRM) analysis adjusting for metformin use, washout of second oral anti-hyperglycemic medication (OAM), treatment, visit, and treatment-by-visit interaction as fixed effects, baseline as a covariate, and participant as a random effect.

Time frame: Baseline, Week 12

Population: All randomized participants who received at least 1 dose of study drug, and who had baseline and post-baseline data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Hemoglobin A1c (HbA1c) at 12-Week Endpoint-0.49 Percent of HbA1cStandard Error 0.33
7 mg LY3053102Change From Baseline in Hemoglobin A1c (HbA1c) at 12-Week Endpoint-0.70 Percent of HbA1cStandard Error 0.4
15 mg LY3053102Change From Baseline in Hemoglobin A1c (HbA1c) at 12-Week Endpoint-0.75 Percent of HbA1cStandard Error 0.44
50 mg LY3053102Change From Baseline in Hemoglobin A1c (HbA1c) at 12-Week Endpoint-0.22 Percent of HbA1cStandard Error 0.43
100 mg LY3053102Change From Baseline in Hemoglobin A1c (HbA1c) at 12-Week Endpoint-0.48 Percent of HbA1cStandard Error 0.4
200 mg LY3053102Change From Baseline in Hemoglobin A1c (HbA1c) at 12-Week Endpoint-0.52 Percent of HbA1cStandard Error 0.47
2 mg Exenatide ERChange From Baseline in Hemoglobin A1c (HbA1c) at 12-Week Endpoint-1.43 Percent of HbA1cStandard Error 0.36
Secondary

Change From Baseline in 7-Point Blood Glucose Profile at 12-Week Endpoint

7-Point Self-Monitored Blood Glucose profiles are measures of blood glucose concentration taken 7 times a day at morning pre-prandial, morning 2 hours postprandial, midday pre-prandial, midday 2 hours postprandial, evening pre-prandial, evening 2 hour postprandial, and bedtime. LS means were calculated using MMRM analysis adjusting for baseline HbA1c category, metformin use, washout of second OAM, treatment, visit, and treatment-by-visit interaction as fixed effects, baseline as a covariate, and participant as a random effect (excludes data after rescue therapy).

Time frame: Baseline, Week 12

Population: All randomized participants who received at least 1 dose of study drug, and who had baseline and post-baseline data.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointMorning Meal (Post- minus Pre-prandial)-23.4 milligram/deciliter (mg/dL)Standard Error 15.8
PlaceboChange From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointMidday Meal (Post- minus Pre-prandial)-1.1 milligram/deciliter (mg/dL)Standard Error 22.4
PlaceboChange From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointEvening Meal (Post- minus Pre-prandial)-18.8 milligram/deciliter (mg/dL)Standard Error 20.8
PlaceboChange From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointBedtime3.9 milligram/deciliter (mg/dL)Standard Error 19.1
7 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointBedtime18.8 milligram/deciliter (mg/dL)Standard Error 23.3
7 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointEvening Meal (Post- minus Pre-prandial)-11.1 milligram/deciliter (mg/dL)Standard Error 25.8
7 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointMorning Meal (Post- minus Pre-prandial)-18.7 milligram/deciliter (mg/dL)Standard Error 19.4
7 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointMidday Meal (Post- minus Pre-prandial)-31.3 milligram/deciliter (mg/dL)Standard Error 27.5
15 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointEvening Meal (Post- minus Pre-prandial)-46.5 milligram/deciliter (mg/dL)Standard Error 27.5
15 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointMidday Meal (Post- minus Pre-prandial)-55.0 milligram/deciliter (mg/dL)Standard Error 29.2
15 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointMorning Meal (Post- minus Pre-prandial)-57.7 milligram/deciliter (mg/dL)Standard Error 21.6
15 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointBedtime-44.5 milligram/deciliter (mg/dL)Standard Error 28.1
50 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointMorning Meal (Post- minus Pre-prandial)-34.9 milligram/deciliter (mg/dL)Standard Error 21.9
50 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointMidday Meal (Post- minus Pre-prandial)-24.7 milligram/deciliter (mg/dL)Standard Error 29.2
50 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointEvening Meal (Post- minus Pre-prandial)-25.9 milligram/deciliter (mg/dL)Standard Error 27.9
50 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointBedtime-10.1 milligram/deciliter (mg/dL)Standard Error 25.7
100 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointMorning Meal (Post- minus Pre-prandial)4.7 milligram/deciliter (mg/dL)Standard Error 18.3
100 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointBedtime4.9 milligram/deciliter (mg/dL)Standard Error 22.1
100 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointMidday Meal (Post- minus Pre-prandial)2.5 milligram/deciliter (mg/dL)Standard Error 25.8
100 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointEvening Meal (Post- minus Pre-prandial)-39.0 milligram/deciliter (mg/dL)Standard Error 24.1
200 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointMidday Meal (Post- minus Pre-prandial)-24.6 milligram/deciliter (mg/dL)Standard Error 32.3
200 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointMorning Meal (Post- minus Pre-prandial)-26.8 milligram/deciliter (mg/dL)Standard Error 25.8
200 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointEvening Meal (Post- minus Pre-prandial)-61.3 milligram/deciliter (mg/dL)Standard Error 31.4
200 mg LY3053102Change From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointBedtime-13.0 milligram/deciliter (mg/dL)Standard Error 30.8
2 mg Exenatide ERChange From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointEvening Meal (Post- minus Pre-prandial)-4.9 milligram/deciliter (mg/dL)Standard Error 24.2
2 mg Exenatide ERChange From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointMorning Meal (Post- minus Pre-prandial)-47.9 milligram/deciliter (mg/dL)Standard Error 19.4
2 mg Exenatide ERChange From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointMidday Meal (Post- minus Pre-prandial)-31.3 milligram/deciliter (mg/dL)Standard Error 24.9
2 mg Exenatide ERChange From Baseline in 7-Point Blood Glucose Profile at 12-Week EndpointBedtime-53.6 milligram/deciliter (mg/dL)Standard Error 23.5
Secondary

Change From Baseline in Body Weight at 12-Week Endpoint

LS means were calculated using MMRM analysis adjusting for baseline HbA1c category, metformin use, washout of second OAM, treatment, visit, and treatment-by-visit interaction as fixed effects, baseline as a covariate, and participant as a random effect (excludes data after rescue therapy).

Time frame: Baseline, Week 12

Population: All randomized participants who received at least 1 dose of study drug, and who had baseline and post-baseline data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Body Weight at 12-Week Endpoint0.7 kilogram (kg)Standard Error 1.1
7 mg LY3053102Change From Baseline in Body Weight at 12-Week Endpoint1.5 kilogram (kg)Standard Error 1.3
15 mg LY3053102Change From Baseline in Body Weight at 12-Week Endpoint0.0 kilogram (kg)Standard Error 1.4
50 mg LY3053102Change From Baseline in Body Weight at 12-Week Endpoint0.4 kilogram (kg)Standard Error 1.4
100 mg LY3053102Change From Baseline in Body Weight at 12-Week Endpoint-1.7 kilogram (kg)Standard Error 1.3
200 mg LY3053102Change From Baseline in Body Weight at 12-Week Endpoint-2.0 kilogram (kg)Standard Error 1.4
2 mg Exenatide ERChange From Baseline in Body Weight at 12-Week Endpoint-0.1 kilogram (kg)Standard Error 1.1
Secondary

Change From Baseline in Bone Metabolism at 12-Week Endpoint (Beta-Crosslaps and Procollagen 1 N-Terminal Propeptide [P1NP])

LS means were calculated using MMRM analysis adjusting for metformin use, washout of second OAM, baseline HbA1c category, treatment, visit, and treatment-by-visit interaction as fixed effects, baseline as a covariate, and participant as a random effect (excludes data after rescue therapy).

Time frame: Baseline, Week 12

Population: All randomized participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Bone Metabolism at 12-Week Endpoint (Beta-Crosslaps and Procollagen 1 N-Terminal Propeptide [P1NP])Beta-Crosslaps-0.038 nanogram/milliliter (ng/mL)Standard Error 0.042
PlaceboChange From Baseline in Bone Metabolism at 12-Week Endpoint (Beta-Crosslaps and Procollagen 1 N-Terminal Propeptide [P1NP])P1NP5.0 nanogram/milliliter (ng/mL)Standard Error 2.8
7 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Beta-Crosslaps and Procollagen 1 N-Terminal Propeptide [P1NP])Beta-Crosslaps-0.033 nanogram/milliliter (ng/mL)Standard Error 0.052
7 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Beta-Crosslaps and Procollagen 1 N-Terminal Propeptide [P1NP])P1NP-0.3 nanogram/milliliter (ng/mL)Standard Error 3.4
15 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Beta-Crosslaps and Procollagen 1 N-Terminal Propeptide [P1NP])Beta-Crosslaps-0.023 nanogram/milliliter (ng/mL)Standard Error 0.051
15 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Beta-Crosslaps and Procollagen 1 N-Terminal Propeptide [P1NP])P1NP0.9 nanogram/milliliter (ng/mL)Standard Error 3.5
50 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Beta-Crosslaps and Procollagen 1 N-Terminal Propeptide [P1NP])Beta-Crosslaps0.001 nanogram/milliliter (ng/mL)Standard Error 0.053
50 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Beta-Crosslaps and Procollagen 1 N-Terminal Propeptide [P1NP])P1NP1.9 nanogram/milliliter (ng/mL)Standard Error 3.5
100 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Beta-Crosslaps and Procollagen 1 N-Terminal Propeptide [P1NP])Beta-Crosslaps0.004 nanogram/milliliter (ng/mL)Standard Error 0.048
100 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Beta-Crosslaps and Procollagen 1 N-Terminal Propeptide [P1NP])P1NP-6.8 nanogram/milliliter (ng/mL)Standard Error 3.2
200 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Beta-Crosslaps and Procollagen 1 N-Terminal Propeptide [P1NP])Beta-Crosslaps0.031 nanogram/milliliter (ng/mL)Standard Error 0.054
200 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Beta-Crosslaps and Procollagen 1 N-Terminal Propeptide [P1NP])P1NP-0.2 nanogram/milliliter (ng/mL)Standard Error 3.8
2 mg Exenatide ERChange From Baseline in Bone Metabolism at 12-Week Endpoint (Beta-Crosslaps and Procollagen 1 N-Terminal Propeptide [P1NP])Beta-Crosslaps-0.010 nanogram/milliliter (ng/mL)Standard Error 0.04
2 mg Exenatide ERChange From Baseline in Bone Metabolism at 12-Week Endpoint (Beta-Crosslaps and Procollagen 1 N-Terminal Propeptide [P1NP])P1NP2.3 nanogram/milliliter (ng/mL)Standard Error 2.9
Secondary

Change From Baseline in Bone Metabolism at 12-Week Endpoint (Osteocalcin and Bone-Specific Alkaline Phosphatase [Bone-Specific ALP])

LS means were calculated using MMRM analysis adjusting for metformin use, washout of second OAM, baseline HbA1c category, treatment, visit, and treatment-by-visit interaction as fixed effects, baseline as a covariate, and participant as a random effect (excludes data after rescue therapy).

Time frame: Baseline, Week 12

Population: All randomized participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Bone Metabolism at 12-Week Endpoint (Osteocalcin and Bone-Specific Alkaline Phosphatase [Bone-Specific ALP])Osteocalcin1.2 microgram/liter (ug/L)Standard Error 1.1
PlaceboChange From Baseline in Bone Metabolism at 12-Week Endpoint (Osteocalcin and Bone-Specific Alkaline Phosphatase [Bone-Specific ALP])Bone-Specific ALP0.4 microgram/liter (ug/L)Standard Error 0.8
7 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Osteocalcin and Bone-Specific Alkaline Phosphatase [Bone-Specific ALP])Osteocalcin-0.7 microgram/liter (ug/L)Standard Error 1.3
7 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Osteocalcin and Bone-Specific Alkaline Phosphatase [Bone-Specific ALP])Bone-Specific ALP-0.1 microgram/liter (ug/L)Standard Error 0.9
15 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Osteocalcin and Bone-Specific Alkaline Phosphatase [Bone-Specific ALP])Osteocalcin-1.7 microgram/liter (ug/L)Standard Error 1.3
15 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Osteocalcin and Bone-Specific Alkaline Phosphatase [Bone-Specific ALP])Bone-Specific ALP-0.2 microgram/liter (ug/L)Standard Error 1
50 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Osteocalcin and Bone-Specific Alkaline Phosphatase [Bone-Specific ALP])Osteocalcin0.0 microgram/liter (ug/L)Standard Error 1.4
50 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Osteocalcin and Bone-Specific Alkaline Phosphatase [Bone-Specific ALP])Bone-Specific ALP-1.9 microgram/liter (ug/L)Standard Error 1
100 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Osteocalcin and Bone-Specific Alkaline Phosphatase [Bone-Specific ALP])Osteocalcin-2.6 microgram/liter (ug/L)Standard Error 1.2
100 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Osteocalcin and Bone-Specific Alkaline Phosphatase [Bone-Specific ALP])Bone-Specific ALP-1.9 microgram/liter (ug/L)Standard Error 0.9
200 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Osteocalcin and Bone-Specific Alkaline Phosphatase [Bone-Specific ALP])Osteocalcin-0.2 microgram/liter (ug/L)Standard Error 1.4
200 mg LY3053102Change From Baseline in Bone Metabolism at 12-Week Endpoint (Osteocalcin and Bone-Specific Alkaline Phosphatase [Bone-Specific ALP])Bone-Specific ALP-0.3 microgram/liter (ug/L)Standard Error 1
2 mg Exenatide ERChange From Baseline in Bone Metabolism at 12-Week Endpoint (Osteocalcin and Bone-Specific Alkaline Phosphatase [Bone-Specific ALP])Osteocalcin0.3 microgram/liter (ug/L)Standard Error 1
2 mg Exenatide ERChange From Baseline in Bone Metabolism at 12-Week Endpoint (Osteocalcin and Bone-Specific Alkaline Phosphatase [Bone-Specific ALP])Bone-Specific ALP-2.3 microgram/liter (ug/L)Standard Error 0.7
Secondary

Change From Baseline in Bone Mineral Density Markers at 12-Week Endpoint

LS means were calculated using MMRM analysis adjusting for metformin use, washout of second OAM, baseline HbA1c category, treatment, visit, and treatment-by-visit interaction as fixed effects, baseline as a covariate, and participant as a random effect (excludes data after rescue therapy).

Time frame: Baseline, Week 12

Population: All randomized participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Bone Mineral Density Markers at 12-Week EndpointTotal Hip0.2 milligram/square centimeter (mg/cm2)Standard Error 1
PlaceboChange From Baseline in Bone Mineral Density Markers at 12-Week EndpointNeck of Femur0.2 milligram/square centimeter (mg/cm2)Standard Error 1.6
PlaceboChange From Baseline in Bone Mineral Density Markers at 12-Week EndpointL1-L4 Intervertebral Space1.4 milligram/square centimeter (mg/cm2)Standard Error 1.6
7 mg LY3053102Change From Baseline in Bone Mineral Density Markers at 12-Week EndpointNeck of Femur-0.6 milligram/square centimeter (mg/cm2)Standard Error 1.9
7 mg LY3053102Change From Baseline in Bone Mineral Density Markers at 12-Week EndpointL1-L4 Intervertebral Space-0.4 milligram/square centimeter (mg/cm2)Standard Error 1.9
7 mg LY3053102Change From Baseline in Bone Mineral Density Markers at 12-Week EndpointTotal Hip-0.6 milligram/square centimeter (mg/cm2)Standard Error 1.2
15 mg LY3053102Change From Baseline in Bone Mineral Density Markers at 12-Week EndpointTotal Hip-0.7 milligram/square centimeter (mg/cm2)Standard Error 1.2
15 mg LY3053102Change From Baseline in Bone Mineral Density Markers at 12-Week EndpointL1-L4 Intervertebral Space1.2 milligram/square centimeter (mg/cm2)Standard Error 2
15 mg LY3053102Change From Baseline in Bone Mineral Density Markers at 12-Week EndpointNeck of Femur-0.4 milligram/square centimeter (mg/cm2)Standard Error 2
50 mg LY3053102Change From Baseline in Bone Mineral Density Markers at 12-Week EndpointNeck of Femur-0.8 milligram/square centimeter (mg/cm2)Standard Error 2
50 mg LY3053102Change From Baseline in Bone Mineral Density Markers at 12-Week EndpointL1-L4 Intervertebral Space1.0 milligram/square centimeter (mg/cm2)Standard Error 2.1
50 mg LY3053102Change From Baseline in Bone Mineral Density Markers at 12-Week EndpointTotal Hip-1.0 milligram/square centimeter (mg/cm2)Standard Error 1.2
100 mg LY3053102Change From Baseline in Bone Mineral Density Markers at 12-Week EndpointNeck of Femur-0.3 milligram/square centimeter (mg/cm2)Standard Error 1.8
100 mg LY3053102Change From Baseline in Bone Mineral Density Markers at 12-Week EndpointL1-L4 Intervertebral Space2.0 milligram/square centimeter (mg/cm2)Standard Error 1.8
100 mg LY3053102Change From Baseline in Bone Mineral Density Markers at 12-Week EndpointTotal Hip0.1 milligram/square centimeter (mg/cm2)Standard Error 1.1
200 mg LY3053102Change From Baseline in Bone Mineral Density Markers at 12-Week EndpointL1-L4 Intervertebral Space1.6 milligram/square centimeter (mg/cm2)Standard Error 2.1
200 mg LY3053102Change From Baseline in Bone Mineral Density Markers at 12-Week EndpointTotal Hip-0.7 milligram/square centimeter (mg/cm2)Standard Error 1.3
200 mg LY3053102Change From Baseline in Bone Mineral Density Markers at 12-Week EndpointNeck of Femur-1.2 milligram/square centimeter (mg/cm2)Standard Error 2.1
2 mg Exenatide ERChange From Baseline in Bone Mineral Density Markers at 12-Week EndpointTotal Hip-1.0 milligram/square centimeter (mg/cm2)Standard Error 0.8
2 mg Exenatide ERChange From Baseline in Bone Mineral Density Markers at 12-Week EndpointNeck of Femur-2.1 milligram/square centimeter (mg/cm2)Standard Error 1.4
2 mg Exenatide ERChange From Baseline in Bone Mineral Density Markers at 12-Week EndpointL1-L4 Intervertebral Space1.8 milligram/square centimeter (mg/cm2)Standard Error 1.4
Secondary

Change From Baseline in Lipids at 12-Week Endpoint

Lipids includes: High Density Lipoprotein-Cholesterol (HDL-C), Low Density Lipoprotein-Cholesterol (LDL-C), Triglycerides, and Cholesterol. LS means were calculated using MMRM analysis adjusting for metformin use, washout of second OAM, baseline HbA1c category, treatment, visit, and treatment-by-visit interaction as fixed effects, baseline as a covariate, and participant as a random effect (excludes data after rescue therapy).

Time frame: Baseline, Week 12

Population: All randomized participants who received at least 1 dose of study drug, and who had baseline and post-baseline data.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Lipids at 12-Week EndpointHDL-C1.0 mg/dLStandard Error 2.2
PlaceboChange From Baseline in Lipids at 12-Week EndpointLDL-C12.1 mg/dLStandard Error 10.4
7 mg LY3053102Change From Baseline in Lipids at 12-Week EndpointHDL-C6.0 mg/dLStandard Error 2.6
7 mg LY3053102Change From Baseline in Lipids at 12-Week EndpointLDL-C6.8 mg/dLStandard Error 12
15 mg LY3053102Change From Baseline in Lipids at 12-Week EndpointHDL-C9.3 mg/dLStandard Error 2.9
15 mg LY3053102Change From Baseline in Lipids at 12-Week EndpointLDL-C-25.6 mg/dLStandard Error 13.8
50 mg LY3053102Change From Baseline in Lipids at 12-Week EndpointHDL-C6.4 mg/dLStandard Error 2.9
50 mg LY3053102Change From Baseline in Lipids at 12-Week EndpointLDL-C-6.5 mg/dLStandard Error 13.5
100 mg LY3053102Change From Baseline in Lipids at 12-Week EndpointHDL-C6.0 mg/dLStandard Error 2.6
100 mg LY3053102Change From Baseline in Lipids at 12-Week EndpointLDL-C-2.2 mg/dLStandard Error 12
200 mg LY3053102Change From Baseline in Lipids at 12-Week EndpointHDL-C11.4 mg/dLStandard Error 3.1
200 mg LY3053102Change From Baseline in Lipids at 12-Week EndpointLDL-C-7.3 mg/dLStandard Error 14.5
2 mg Exenatide ERChange From Baseline in Lipids at 12-Week EndpointHDL-C-2.3 mg/dLStandard Error 2.2
2 mg Exenatide ERChange From Baseline in Lipids at 12-Week EndpointLDL-C-19.9 mg/dLStandard Error 11.3
Secondary

Percentage of Participants Achieving HbA1c <7.0% or HbA1c ≤6.5% at 12-Week Endpoint

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time.

Time frame: Week 12

Population: All randomized participants who received at least 1 dose of study drug, and who had baseline and post-baseline data.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Achieving HbA1c <7.0% or HbA1c ≤6.5% at 12-Week EndpointHbA1c <7.0%0.0 Percentage of Participants
PlaceboPercentage of Participants Achieving HbA1c <7.0% or HbA1c ≤6.5% at 12-Week EndpointHbA1c ≤6.5%0.0 Percentage of Participants
7 mg LY3053102Percentage of Participants Achieving HbA1c <7.0% or HbA1c ≤6.5% at 12-Week EndpointHbA1c <7.0%14.3 Percentage of Participants
7 mg LY3053102Percentage of Participants Achieving HbA1c <7.0% or HbA1c ≤6.5% at 12-Week EndpointHbA1c ≤6.5%0.0 Percentage of Participants
15 mg LY3053102Percentage of Participants Achieving HbA1c <7.0% or HbA1c ≤6.5% at 12-Week EndpointHbA1c <7.0%40.0 Percentage of Participants
15 mg LY3053102Percentage of Participants Achieving HbA1c <7.0% or HbA1c ≤6.5% at 12-Week EndpointHbA1c ≤6.5%0.0 Percentage of Participants
50 mg LY3053102Percentage of Participants Achieving HbA1c <7.0% or HbA1c ≤6.5% at 12-Week EndpointHbA1c <7.0%20.0 Percentage of Participants
50 mg LY3053102Percentage of Participants Achieving HbA1c <7.0% or HbA1c ≤6.5% at 12-Week EndpointHbA1c ≤6.5%0.0 Percentage of Participants
100 mg LY3053102Percentage of Participants Achieving HbA1c <7.0% or HbA1c ≤6.5% at 12-Week EndpointHbA1c <7.0%0.0 Percentage of Participants
100 mg LY3053102Percentage of Participants Achieving HbA1c <7.0% or HbA1c ≤6.5% at 12-Week EndpointHbA1c ≤6.5%0.0 Percentage of Participants
200 mg LY3053102Percentage of Participants Achieving HbA1c <7.0% or HbA1c ≤6.5% at 12-Week EndpointHbA1c <7.0%0.0 Percentage of Participants
200 mg LY3053102Percentage of Participants Achieving HbA1c <7.0% or HbA1c ≤6.5% at 12-Week EndpointHbA1c ≤6.5%0.0 Percentage of Participants
2 mg Exenatide ERPercentage of Participants Achieving HbA1c <7.0% or HbA1c ≤6.5% at 12-Week EndpointHbA1c <7.0%83.3 Percentage of Participants
2 mg Exenatide ERPercentage of Participants Achieving HbA1c <7.0% or HbA1c ≤6.5% at 12-Week EndpointHbA1c ≤6.5%66.7 Percentage of Participants
Secondary

Percentage of Participants That Require Rescue Therapy

Percentage of participants that required \>=1 rescue (blood glucose lowering) medications.

Time frame: Baseline through Week 12

Population: All randomized participants who took at least 1 dose of study drug, and who had a baseline and a post-baseline measurement for the time point.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants That Require Rescue Therapy0.0 Percentage of Participants
7 mg LY3053102Percentage of Participants That Require Rescue Therapy0.0 Percentage of Participants
15 mg LY3053102Percentage of Participants That Require Rescue Therapy12.5 Percentage of Participants
50 mg LY3053102Percentage of Participants That Require Rescue Therapy14.3 Percentage of Participants
100 mg LY3053102Percentage of Participants That Require Rescue Therapy0.0 Percentage of Participants
200 mg LY3053102Percentage of Participants That Require Rescue Therapy0.0 Percentage of Participants
2 mg Exenatide ERPercentage of Participants That Require Rescue Therapy0.0 Percentage of Participants
Secondary

Percentage of Participants With Anti-Drug Antibodies to LY3053102

Percentage of participants with anti-LY3053102 antibody titre changes from baseline to the maximum postbaseline value.

Time frame: Baseline through Study Completion (Up to 6 Months)

Population: All randomized participants who received at least 1 dose of study drug and had evaluable immunogenicity.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants With Anti-Drug Antibodies to LY30531020 Percentage of Participants
7 mg LY3053102Percentage of Participants With Anti-Drug Antibodies to LY30531021 Percentage of Participants
15 mg LY3053102Percentage of Participants With Anti-Drug Antibodies to LY30531021 Percentage of Participants
50 mg LY3053102Percentage of Participants With Anti-Drug Antibodies to LY30531020 Percentage of Participants
100 mg LY3053102Percentage of Participants With Anti-Drug Antibodies to LY30531022 Percentage of Participants
200 mg LY3053102Percentage of Participants With Anti-Drug Antibodies to LY30531022 Percentage of Participants
2 mg Exenatide ERPercentage of Participants With Anti-Drug Antibodies to LY30531022 Percentage of Participants
Secondary

Percentage of Participants With Hypoglycemia

Hypoglycemia was defined as any event meeting the criteria for documented symptomatic hypoglycemia, asymptomatic hypoglycemia, or probable symptomatic hypoglycemia.

Time frame: Baseline through Week 12

Population: All randomized participants who received at least 1 dose of study drug.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants With Hypoglycemia10.0 Percentage of Participants
7 mg LY3053102Percentage of Participants With Hypoglycemia12.5 Percentage of Participants
15 mg LY3053102Percentage of Participants With Hypoglycemia0.0 Percentage of Participants
50 mg LY3053102Percentage of Participants With Hypoglycemia0.0 Percentage of Participants
100 mg LY3053102Percentage of Participants With Hypoglycemia12.5 Percentage of Participants
200 mg LY3053102Percentage of Participants With Hypoglycemia12.5 Percentage of Participants
2 mg Exenatide ERPercentage of Participants With Hypoglycemia20.0 Percentage of Participants
Secondary

Pharmacokinetics: Area Under the Concentration Versus Time Curve During One Dosing Interval at Steady State (AUC [τ,ss]) of LY3053102

AUC (τ,ss) = area under the concentration versus time curve during one dosing interval at steady state, where the dosing interval (τ) = 168 hours.

Time frame: Predose, 0, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 168 hours post-dose

Population: All randomized participants who received at least 1 dose of study drug and had evaluable pharmacokinetics

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PlaceboPharmacokinetics: Area Under the Concentration Versus Time Curve During One Dosing Interval at Steady State (AUC [τ,ss]) of LY305310222.6 microgram•hour/milliliter (µg•h/mL)Geometric Coefficient of Variation 32.1
7 mg LY3053102Pharmacokinetics: Area Under the Concentration Versus Time Curve During One Dosing Interval at Steady State (AUC [τ,ss]) of LY305310276.8 microgram•hour/milliliter (µg•h/mL)Geometric Coefficient of Variation 25.6
15 mg LY3053102Pharmacokinetics: Area Under the Concentration Versus Time Curve During One Dosing Interval at Steady State (AUC [τ,ss]) of LY3053102190.0 microgram•hour/milliliter (µg•h/mL)Geometric Coefficient of Variation 47.3
50 mg LY3053102Pharmacokinetics: Area Under the Concentration Versus Time Curve During One Dosing Interval at Steady State (AUC [τ,ss]) of LY3053102350.0 microgram•hour/milliliter (µg•h/mL)Geometric Coefficient of Variation 36.3
100 mg LY3053102Pharmacokinetics: Area Under the Concentration Versus Time Curve During One Dosing Interval at Steady State (AUC [τ,ss]) of LY3053102917.0 microgram•hour/milliliter (µg•h/mL)Geometric Coefficient of Variation 35.1

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026