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Completed

NCT Number: NCT04501250

Comparative Study of Rinsulin® NPH, Suspension for Subcutaneous Administration, 100 IU/ml (GEROPHARM LLC, Russia) and Humulin® NPH, Suspension for Subcutaneous Administration, 100 IU/ml (Lilly France, France) Using the Euglycemic Hyperinsulinemic Clamp Method

Сomparative pharmacokinetic study of Rinsulin® NPH, suspension for subcutaneous administration, 100 IU/ml (GEROPHARM LLC, Russia) and Humulin® NPH, suspension for subcutaneous administration, 100 IU/ml (Lilly France, France) using the euglycemic hyperinsulinemic clamp.

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Key information

Age range

18 year–50 year

Sex eligibility

Male

Study type

Interventional

Phase

Not applicable

Primary location

Yarosslavl Clinical Hospital #3

Yaroslavl, Russia

About this study

A double-blinded, randomized, comparative, crossover pharmacokinetics study of Rinsulin® NPH, suspension for subcutaneous administration, 100 IU/ml (GEROPHARM LLC, Russia) and Humulin® NPH, suspension for subcutaneous administration, 100 IU/ml (Lilly France, France) using method of euglycemic hyperinsulinemic clamp on healthy volunteers

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Signed informed consent to participate in the study.
  • Men of the Caucasian race with a verified diagnosis "healthy" according to the data of standard clinical, laboratory and instrumental examination methods.
  • Age 18-50, inclusive.
  • Body mass index 18.5 - 27 kg / m2.
  • Volunteers who have sexual contact with fertile women should agree to use barrier methods of contraception while participating in the study (unless they have undergone surgical sterilization). Study Participants must also not become a sperm donor within the specified period.
  • Consent to all restrictions imposed during the study.

Exclusion criteria

  • Acute inflammatory diseases within 3 weeks from the moment of complete recovery to the stage of screening.
  • Presence of episodes of hypoglycemia in the history of the volunteer
  • Presence in the family history of the closest relatives cases of verified diagnosis of diabetes mellitus of any type.
  • Deviations from the norm of basic vital indicators (heart rate, blood pressure, respiratory rate, body temperature) and ECG from normal values and laboratory values from reference values during screening.
  • Fasting plasma glucose> 6.1 mmol / L at screening.
  • HbA1C> 6% at the time of screening.
  • Oral glucose tolerance test - blood glucose level ≥7.8 mmol / L (2 hours after glucose loading) during screening.
  • Hard-to-reach veins of the upper extremities, vein thrombosis, history of thrombophlebitis or family history of close relatives, "compromised" veins due to frequent preceding venipuncture.
  • Taking medications, phytopreparations, biologically active additives within 14 days before screening.
  • Significant blood loss 3 months before screening due to, for example, but not limited to the following points: a. donor blood donation; b. extended surgery or trauma leading to significant blood loss.
  • Incomplete recovery from surgery or surgery scheduled while the volunteer is participating in the study.
  • Mental, physical and other reasons interferes with adequately assessing behavior and correctly fulfill the conditions of the research protocol (incl. a history of mental illness).
  • Presence or history (three years before the the study drug) of narcotic, drug and / or substance abuse.
  • Positive test for the content of narcotic drugs in urine during the screening period.
  • Anamnestic information about alcoholism or taking more than 10 units. alcohol per week (1 unit of alcohol is equivalent to 0.5 liters of beer, 200 ml of dry wine or 50 ml of spirits).
  • Positive test for alcohol in breath during screening.
  • Nicotine addiction (regular use of tobacco less than 6 months before screening).
  • Any chronic diseases, incl. but not limited to positive test results for hepatitis C or hepatitis B, HIV, syphilis at the time of screening.
  • Burdened allergological history.
  • presence of suspicion of an inflammatory disease of the urinary system based on the results of urinalysis during screening.
  • Presence of oncological diseases within 5 years before the screening.
  • History of organ transplantation (except of corneal transplant performed more than 3 months before the first injection of the study drug).
  • Participation in a clinical trial of any drug or experimental medical device within 3 months prior to the first administration of the study drug.
  • Any other condition that, in the reasonable opinion of the research physician, makes it difficult for the volunteer to participate in the study.
  • History of hypersensitivity to heparin, insulin or any of the excipients of the investigational drugs.

Treatment and study plan

Rinsulin NPH

Drug

subcutaneous injection at a dose of 0.4 IU/kg

Humulin NPH

Drug

subcutaneous injection at a dose of 0.4 IU/kg

Primary outcomes

  1. Смах

    Time frame: - 1 , -0.5 , 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11, 12, 13, 14, 15, 16, 18, 20, 22, 24 hours

    Test Drug Observed Maximum Plasma Concentration (Cmax)

  2. AUC 0-12

    Time frame: - 1 , -0.5 , 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11, 12, 13, 14, 15, 16, 18, 20, 22, 24 hours

    Total area under the curve "drug concentration - time" in the time interval from 0 to 12 h

  3. AUC GIR 0-12

    Time frame: -2, -1.5, 1, -0.5, then every 5 min till 10 hour, every 10 min till 12 hour, every 15 min till 24 hour

    Total area under the curve "glucose infusion rate - time" in the time interval from 0 to 12 h

  4. AUC GIR 0-24

    Time frame: -2, -1.5, 1, -0.5, then every 5 min till 10 hour, every 10 min till 12 hour, every 15 min till 24 hour

    Total area under the curve "glucose infusion rate - time" in the time interval from 0 to 24 h

  5. GIRmax

    Time frame: -2, -1.5, 1, -0.5, then every 5 min till 10 hour, every 10 min till 12 hour, every 15 min till 24 hour

    Maximum glucose infusion rate over the study period

  6. tGIRmax

    Time frame: -2, -1.5, 1, -0.5, then every 5 min till 10 hour, every 10 min till 12 hour, every 15 min till 24 hour

    Time to reach maximum glucose infusion rate

  7. tGIRlag

    Time frame: -2, -1.5, 1, -0.5, then every 5 min till 10 hour, every 10 min till 12 hour, every 15 min till 24 hour

    Time between the drug administration and the onset of action

Secondary outcomes

  1. AUC 0-2

    Time frame: - 1 , -0.5 , 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11, 12, 13, 14, 15, 16, 18, 20, 22, 24 hours

    Total area under the curve "drug concentration - time" in the time interval from 0 to 2 h

  2. AUC 0-6

    Time frame: - 1 , -0.5 , 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11, 12, 13, 14, 15, 16, 18, 20, 22, 24 hours

    Total area under the curve "drug concentration - time" in the time interval from 0 to 6 h

  3. AUC 0-24

    Time frame: - 1 , -0.5 , 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11, 12, 13, 14, 15, 16, 18, 20, 22, 24 hours

    Total area under the curve "drug concentration - time" in the time interval from 0 to 24 h

  4. AUC 0-∞

    Time frame: - 1 , -0.5 , 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11, 12, 13, 14, 15, 16, 18, 20, 22, 24 hours

    Total area under the curve "drug concentration - time" in the time interval from 0 to ∞

  5. Tmax

    Time frame: - 1 , -0.5 , 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11, 12, 13, 14, 15, 16, 18, 20, 22, 24 hours

    Time to reach test drug Maximum Plasma Concentration

  6. T1/2

    Time frame: - 1 , -0.5 , 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11, 12, 13, 14, 15, 16, 18, 20, 22, 24 hours

    Half-life of a drug tested

Sponsors and collaborators

Lead sponsor

Geropharm

Industry

Registry information

Official study title

A Double-blinded, Randomized, Comparative, Crossover Pharmacokinetics Study of Rinsulin® NPH, Suspension for Subcutaneous Administration, 100 IU/ml (GEROPHARM LLC, Russia) and Humulin® NPH, Suspension for Subcutaneous Administration, 100 IU/ml (Lilly France, France) Using Method of Euglycemic Hyperinsulinemic Clamp on Healthy Volunteers

Important dates

Study start
2017
Primary completion
2018
Study completion
2018
First posted
Aug 6, 2020
Registry last updated
Aug 6, 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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