PMID- 23514733 OWN - NLM STAT- MEDLINE DCOM- 20140317 LR - 20221207 IS - 1935-5548 (Electronic) IS - 0149-5992 (Print) IS - 0149-5992 (Linking) VI - 36 IP - 8 DP - 2013 Aug TI - Double-blind, randomized study evaluating the glycemic and anti-inflammatory effects of subcutaneous LY2189102, a neutralizing IL-1beta antibody, in patients with type 2 diabetes. PG - 2239-46 LID - 10.2337/dc12-1835 [doi] AB - OBJECTIVE: Inflammation is associated with pancreatic beta-cell apoptosis and reduced insulin sensitivity. Literature suggests that interleukin (IL)-1beta may contribute to the pathogenesis of type 2 diabetes mellitus (T2DM). This study aimed to determine the efficacy, safety, and tolerability of LY2189102, a neutralizing IL-1beta antibody, in T2DM patients. RESEARCH DESIGN AND METHODS: Phase II, randomized, double-blind, parallel, placebo-controlled study of subcutaneous LY2189102 (0.6, 18, and 180 mg) administered weekly for 12 weeks in T2DM patients on diet and exercise, with or without approved antidiabetic medications. RESULTS: LY2189102 reduced HbA1c at 12 weeks (adjusted mean differences versus placebo: -0.27, -0.38 and -0.25% for 0.6, 18 and 180 mg doses, respectively), and fasting glucose at multiple time points compared with placebo. LY2189102 also reduced postprandial glycemia, and inflammatory biomarkers, including hs-CRP and IL-6. LY2189102 was generally well tolerated. CONCLUSIONS: Weekly subcutaneous LY2189102 for 12 weeks was well tolerated, modestly reduced HbA1c and fasting glucose, and demonstrated significant anti-inflammatory effects in T2DM patients. Neutralizing IL-1beta holds promise as a convenient adjuvant treatment for T2DM. FAU - Sloan-Lancaster, Joanne AU - Sloan-Lancaster J AD - 1Chorus, Lilly Research Laboratories, Eli Lilly & Company, Indianapolis, Indiana, USA j.s.lancas@lilly.com FAU - Abu-Raddad, Eyas AU - Abu-Raddad E FAU - Polzer, John AU - Polzer J FAU - Miller, Jeffrey W AU - Miller JW FAU - Scherer, Joel C AU - Scherer JC FAU - De Gaetano, Andrea AU - De Gaetano A FAU - Berg, Jolene K AU - Berg JK FAU - Landschulz, William H AU - Landschulz WH LA - eng PT - Clinical Trial, Phase II PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20130320 PL - United States TA - Diabetes Care JT - Diabetes care JID - 7805975 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antibodies, Neutralizing) RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Interleukin-1beta) RN - 0 (LY2189102) RN - 0 (Placebos) RN - 0 (hemoglobin A1c protein, human) SB - IM MH - Adult MH - Aged MH - Anti-Inflammatory Agents/*therapeutic use MH - Antibodies, Monoclonal, Humanized/*therapeutic use MH - Antibodies, Neutralizing/*therapeutic use MH - Blood Glucose/*drug effects MH - Diabetes Mellitus, Type 2/*drug therapy MH - Double-Blind Method MH - Female MH - Glycated Hemoglobin/drug effects/metabolism MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - Interleukin-1beta/*immunology MH - Male MH - Middle Aged MH - Placebos PMC - PMC3714510 EDAT- 2013/03/22 06:00 MHDA- 2014/03/19 06:00 PMCR- 2014/08/01 CRDT- 2013/03/22 06:00 PHST- 2013/03/22 06:00 [entrez] PHST- 2013/03/22 06:00 [pubmed] PHST- 2014/03/19 06:00 [medline] PHST- 2014/08/01 00:00 [pmc-release] AID - dc12-1835 [pii] AID - 1835 [pii] AID - 10.2337/dc12-1835 [doi] PST - ppublish SO - Diabetes Care. 2013 Aug;36(8):2239-46. doi: 10.2337/dc12-1835. Epub 2013 Mar 20.