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Completed

NCT Number: NCT04501107

A Trial to Compare BioChaperone Insulin Lispro Formulations With US Approved Humalog® and With EU Approved Humalog® in Patients With Type 1 Diabetes Mellitus

This is a single-centre, randomised, double-blind, 4-way crossover, 4-treatment, euglycaemic clamp study in subjects with Type 1 Diabetes Mellitus (T1DM). Each subject will be randomly allocated to one of four treatment sequences. Each sequence comprises one single dose of each of four IMPs. IMP1 and IMP2 are BioChaperone lispro formulations. They have the same composition and correspond to different development stages of a unique product which is BioChaperone insulin lispro; between them, improvements were made to prepare industrial production. Comparators (IMP3 and IMP4) are US-approved Humalog® and EU-approved Humalog®. All IMPs will be dosed at 0.2 U/Kg of insulin lispro on 4 dosing visits separated by a washout period of 5 to 15 days.

The trial will compare the characteristics of BioChaperone insulin lispro fully liquid (IMP2) formulation to US-approved Humalog and EU-approved Humalog.

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Key information

Age range

18 year–64 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Profil GmbH

Mainz, D-55116, Germany

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subjects with type 1 Diabetes Mellitus
  • Body Mass Index (BMI) between 18.5 and 28.5 kg/m^2, both inclusive
  • HbA1c <= 75 mmol/mol (<=9.0%).
  • Fasting negative C-peptide (<= 0.30 nmol/L).
  • Total insulin dose of < 1.2 (I)U/kg/day.
  • Stable insulin regimen (with respect to safety of the subject and scientific integrity of the study) using continuous subcutaneous insulin infusion (CSII) or multiple daily insulin injections (MDI) for at least 2 months.

Exclusion criteria

  • Known or suspected hypersensitivity to IMP(s) or related products.
  • Receipt of any medicinal product in clinical development within 30 days or at least 5 half-lives of the related substances and their metabolites (whichever is longer) before randomisation in this trial.
  • History of multiple and/or severe allergies to drugs or foods or a history of severe anaphylactic reaction.
  • Any history or presence of cancer except basal cell skin cancer or squamous cell skin cancer as judged by the Investigator.
  • Any history or presence of clinically relevant comorbidity capable of constituting a risk for the subject when participating in the trial or of interfering with the interpretation of data.
  • Signs of acute illness as judged by the Investigator.
  • Any serious systemic infectious disease during four weeks prior to first dosing of the trial drug, as judged by the Investigator.
  • Clinically significant abnormal screening laboratory tests, as judged by the Investigator.
  • Proliferative retinopathy or maculopathy as judged by the Investigator based on a recent (<1.5 years) ophthalmologic examination.
  • Use of oral antidiabetic drugs (OADs) and/or GLP-1 receptor agonists within 3 months prior to screening.

Treatment and study plan

Administration of BioChaperone insulin lispro reconstituted with Humalog® (IMP1)

Drug

Administration of IMP1 during a 12-hour euglycaemic clamp.

Administration of Ready-to-use BioChaperone insulin lispro (IMP2)

Drug

Administration of IMP2 during a 12-hour euglycaemic clamp.

Administration of US-approved Humalog® (IMP3)

Drug

Administration of IMP3 during a 12-hour euglycaemic clamp.

Administration of EU-approved Humalog® (IMP4)

Drug

Administration of IMP4 during a 12-hour euglycaemic clamp.

Primary outcomes

  1. AUCGIR.0-12h

    Time frame: From t=0 to t=12 hours after IMP administration

    Area under the glucose infusion rate-time curve from time 0 until end of clamp

  2. AUCGIR.0-1h

    Time frame: From t=0 to t=1 hour after IMP administration

    Area under the glucose infusion rate-time curve from time 0 to 1 hour after IMP administration

  3. AUCLIS.0-12h

    Time frame: From t=0 to t=12 hours after IMP administration

    Area under the insulin lispro concentration-time curve from 0 hours to 12 hours after dose administration

  4. AUCLIS.0-1h

    Time frame: From t=0 to t=1 hour after IMP administration

    Area under the insulin lispro concentration-time curve from 0 hours to 1 hour after dose administration

Secondary outcomes

  1. tmax.LIS

    Time frame: From t=0 to t=12 hours after IMP administration

    Time to maximum observed insulin lispro concentration

  2. Cmax.LIS

    Time frame: From t=0 to t=12 hours after IMP administration

    Maximum observed insulin lispro concentration

  3. AUCLIS.2-6h

    Time frame: From t=2 to t=6hours after IMP administration

    Area under the insulin lispro concentration-time curve from 2 hour to 6 hour after dose administration

  4. t50%-LIS (early)

    Time frame: From t=0 to t=12 hours after IMP administration

    Time to half-maximum before Cmax.LIS

  5. tmax.GIR

    Time frame: From t=0 to t=12 hours after IMP administration

    Time to maximum glucose infusion rate

  6. GIRmax

    Time frame: From t=0 to t=12 hours after IMP administration

    Maximum glucose infusion rate

  7. AUCGIR.4-8h

    Time frame: From t=4 to t=8 hours after IMP administration

    Area under the glucose infusion rate-time curve from 4 to 8 hours after dose administration

Sponsors and collaborators

Lead sponsor

Adocia

Industry

Registry information

Official study title

A Randomised, Double Blind, Crossover Euglycaemic Clamp Trial to Compare BioChaperone Insulin Lispro Formulations With US Approved Humalog® and With EU Approved Humalog® in Patients With Type 1 Diabetes Mellitus

Important dates

Study start
2020
Primary completion
2020
Study completion
2020
First posted
Aug 6, 2020
Registry last updated
Nov 30, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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