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Completed

NCT Number: NCT04022317

Comparision of Pharmacokinetics(PK) and Pharmacodynamics(PD) of Biocon Insulin R and Humulin® R

Single-centre, randomised, double-blind, single dose, two-treatment, two-period, two sequence, crossover,12-hour euglycaemic glucose clamp trial in healthy subjects

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Key information

Conditions

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Profil Mainz GmbH

Mainz, Germany

About this study

The present study is designed to demonstrate pharmacokinetic and pharmacodynamic equivalence of Biocon Insulin R with Humulin® R in healthy subjects.

The treatment consists of one single dose of the test or reference product, administered during each of the two study periods, separated by 5-7 days between each dosing.

The planned trial duration for each subject is about 12 to 36 days. Eligible subjects will undergo two 12-hour euglycaemic clamp examinations, one after administration of the test product and one after administration of the reference product in random order.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Healthy male or post-menopausal female subject. Post-menopausal state is defined as no menses for 12 months without an alternative medical cause and confirmed by a follicle stimulating hormone (FSH) level in the post-menopausal range (>= 25.8 IU/L).
  • Age between 18 and 55 years, both inclusive.
  • Body Mass Index (BMI) between 18.5 and 29.0 kg/m^2, both inclusive.
  • Fasting plasma glucose concentration <= 100 mg/dL.
  • Considered generally healthy upon completion of medical history and screening safety assessments, as judged by the Investigator

Exclusion criteria

  • Known or suspected hypersensitivity to Investigational Medicinal products (IMP(s)) or related products.
  • Receipt of any medicinal product in clinical development within 30 days or five times its half-life (whichever is longer) before randomisation in this trial.
  • Any history or presence of clinically relevant comorbidity, as judged by the investigator.
  • Systolic blood pressure < 95 mmHg or >140 mmHg and/or diastolic blood pressure < 50 mm Hg or > 90 mmHg after resting for at least 5 minutes in supine position (excluding white-coat hypertension; therefore, a repeat test showing results within range will be acceptable).
  • Pulse rate at rest outside the range of 50-90 beats per minute.

Treatment and study plan

Biocon Insulin R

Biological

Biocon Insulin R is a short-acting human insulin, produced by recombinant deoxyribonucleic acid (rDNA) technology utilizing Pichia pastoris (yeast).

Humulin®R

Biological

Humulin® R is a polypeptide hormone structurally identical to human insulin synthesised through recombinant deoxyribonucleic acid (rDNA) technology in a non-pathogenic laboratory strain of Escherichia coli bacteria.

Primary outcomes

  1. PK endpoints:Area under the insulin concentration curve(AUCins).0-12h

    Time frame: 0-12 hours

    Area under the insulin concentration curve from 0 to 12 hours.

  2. PD endpoints: Area under the glucose infusion rate curve(AUCGIR).0-12h

    Time frame: 0-12 hours

    Area under the glucose infusion rate curve

  3. PK endpoints: Maximum observed insulin concentration(Cins.max)

    Time frame: 0-12 hours

    Maximum observed insulin concentration

  4. PD endpoints:maximum glucose infusion rate(GIRmax)

    Time frame: 0-12 hours

    maximum glucose infusion rate

Secondary outcomes

  1. PK endpoint- Area under the insulin concentration curve(AUCins).0-2h

    Time frame: 0 to 2 hours

    Area under the insulin concentration curve

  2. PK endpoint- Area under the insulin concentration curve(AUCins).0-6h

    Time frame: 0 to 6 hours

    area under the insulin concentration curve

  3. PK endpoint- Area under the insulin concentration curve(AUCins).6-12h

    Time frame: 6 to 12 hours

    area under the insulin concentration curve

  4. PK endpoint- Area under the insulin concentration curve(AUCins).0-infinity

    Time frame: 0 hours to 24 hours

    area under the insulin concentration-time curve

  5. PK endpoint- time to maximum concentration( tmax)

    Time frame: 0-12 hours

    time to maximum observed insulin concentration.

  6. PK endpoint- time(t)50%-ins(early)

    Time frame: 0-12 hours

    time to half-maximum before Cins.max.

  7. PK endpoint- time(t)50%-ins(late)

    Time frame: 0-12 hours

    time to half-maximum after Cins.max.

  8. PK endpoint- terminal elimination half-life (t½)

    Time frame: 0-12 hours

    terminal elimination half-life calculated as t½=ln2/λz.

  9. PK endpoint- terminal elimination rate constant (λz)

    Time frame: 0-12 hours

    terminal elimination rate constant of insulin.

  10. PD endpoint: area under the glucose infusion rate curve(AUCGIR).0-2h

    Time frame: 0 to 2 hours

    area under the glucose infusion rate curve

  11. PD endpoint: area under the glucose infusion rate curve(AUCGIR).0-6h

    Time frame: 0 to 6 hours

    area under the glucose infusion rate curve

  12. PD endpoint: area under the glucose infusion rate curve(AUCGIR).6-12h

    Time frame: 6 to 12 hours

    area under the glucose infusion rate curve

  13. PD endpoint: time to maximum glucose infusion rate (tGIR.max)

    Time frame: 0-12 hours

    time to maximum glucose infusion rate

  14. PD endpoint: time to half-maximum glucose infusion rate before GIRmax (tGIR,50%-early

    Time frame: 0-12 hours

    time to half-maximum glucose infusion rate before GIRmax

  15. PD endpoint:time to half-maximum glucose infusion rate after GIRmax (tGIR.50%-late)

    Time frame: 0-12 hours

    time to half-maximum glucose infusion rate after Maximum glucose infusion rate(GIRmax)

  16. PD endpoint: Onset of action

    Time frame: 0-12 hours

    ime from trial product administration until blood glucose concentration has decreased at least 5 mg/dL from baseline, where baseline is defined as the mean of blood glucose levels from -6, -4, and -2 minutes before trial product administration as measured by ClampArt®((name of Clamp Devise)

Other outcomes

  1. Safety endpoints: Number of subjects with Adverse Events, clinically significant changes in Physical examination, Vital signs. Local tolerability/ Injection site reactions

    Time frame: First dose to followup period (Total duration: 14 days approximate)

    Number of subjects with Adverse Events, clinically significant changes in Physical examination, Vital signs

    Local tolerability/ Injection site reactions

  2. Safety endpoint: Number of subjects with clinically significant changes in Laboratory safety parameters, Electrocardiogram (ECG)

    Time frame: Screening to Follow-up period (Total duration: 35 days approximate)

    Number of subjects with clinically significant changes in Laboratory safety parameters.

    Number of subjects with clinically significant changes in Electrocardiogram (ECG)

Sponsors and collaborators

Lead sponsor

Biocon Limited

Industry

Collaborators

  • Profil Institut für Stoffwechselforschung GmbH

Registry information

Official study title

A Randomised, Double-blind, Two-period Crossover, Euglycaemic Glucose Clamp Study in Healthy Volunteers to Demonstrate Pharmacokinetic and Pharmacodynamic Similarity of Biocon Insulin R and Humulin® R

Important dates

Study start
2019
Primary completion
2019
Study completion
2019
First posted
Jul 17, 2019
Registry last updated
Jul 28, 2021

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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