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Completed

NCT Number: NCT04022291

Comparison of Pharmacokinetic (PK) and Pharmacodynamic(PD) of Biocon Insulin 70/30 and Humulin® 70/30

Two-centre, randomised, double-blind, single dose, two-treatment, two-period, two sequence, crossover, 24-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 & Co. KG Malakoff-Passage,Rheinstraße 4C D-55116, Mainz, Germany

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About this study

The present study is designed to demonstrate pharmacokinetic and pharmacodynamic equivalence of Biocon Insulin 70/30 with Humulin® 70/30 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 dosing. The planned trial duration for each subject is about 12 to 36 days.

Eligible subjects will undergo two 24-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 subjects. 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 randomization 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

Humulin ®70/30

Biological

Humulin® 70/30 is a premixed suspension of human insulin of recombinant deoxyribonucleic acid (rDNA)origin, which contains 30% short-acting human soluble insulin and 70% intermediate-acting isophane insulin.

Human insulin is produced by recombinant deoxyribonucleic acid (rDNA), technology utilizing a non-pathogenic laboratory strain of Escherichia coli.

Biocon Insulin 70/30

Biological

Biocon Insulin 70/30 is a premixed suspension of human insulin of recombinant deoxyribonucleic acid (rDNA)origin, which contains 30% short-acting human soluble insulin and 70% intermediate-acting isophane insulin.

Biocon insulin is produced by recombinant deoxyribonucleic acid (rDNA) technology utilizing a non-pathogenic laboratory strain of Escherichia coli.

Primary outcomes

  1. Pharmacokinetic endpoints: area under the insulin concentration curve (AUCins) 0-24h

    Time frame: 0-24hour

    area under the insulin concentration curve

  2. Pharmacokinetic endpoints: insulin concentration (Cins).max

    Time frame: 0-24hour

    maximum observed insulin concentration.

  3. Pharmacodynamic Endpoint: Area under curve (AUC)Glucose infusion rate (GIR).0-24h

    Time frame: 0-24hour

    area under the glucose infusion rate curve

  4. Pharmacodynamic Endpoint: maximum glucose infusion rate (GIRmax)

    Time frame: 0-24hour

    maximum glucose infusion rate

Secondary outcomes

  1. Pharmacokinetic endpoint: area under the insulin concentration curve(AUCins) 0-2h

    Time frame: 0-2hour

    area under the insulin concentration curve

  2. Pharmacokinetic endpoint: area under the insulin concentration curve(AUCins) 0-6h

    Time frame: 0-6hour

    area under the insulin concentration curve

  3. Pharmacokinetic endpoint: area under the insulin concentration curve(AUCins) 0-12h

    Time frame: 0-12hour

    area under the insulin concentration curve

  4. Pharmacokinetic endpoint: area under the insulin concentration curve(AUCins)12-24h

    Time frame: 12-24hour

    area under the insulin concentration curve

  5. Pharmacokinetic endpoint: area under the insulin concentration curve(AUCins).0-infinity

    Time frame: 0 to 24 hours

    area under the insulin concentration curve

  6. Pharmacokinetic endpoint: time to maximum observed insulin concentration (tmax)

    Time frame: 0-24hour

    time to maximum observed insulin concentration

  7. Pharmacokinetic endpoint: time(t)50%-ins(early)

    Time frame: 0-24hour

    time to half-maximum before Cins.max

  8. Pharmacokinetic endpoint: time(t)50%-ins(late)

    Time frame: 0-24hour

    time to half-maximum after Cins.max

  9. Pharmacokinetic endpoint: terminal elimination half-life (t½)

    Time frame: 0-24hour

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

  10. Pharmacokinetic endpoint:terminal elimination rate constant(λz)

    Time frame: 0-24hour

    terminal elimination rate constant of insulin

  11. Pharmacodynamic endpoints: area under the glucose infusion rate curve (AUCGIR) 0-2h

    Time frame: 0-2hour

    area under the glucose infusion rate curve

  12. Pharmacodynamic endpoints: area under the glucose infusion rate curve (AUCGIR)0-6h

    Time frame: 0-6hour

    area under the glucose infusion rate curve

  13. Pharmacodynamic endpoints: area under the glucose infusion rate curve(AUCGIR)0-12h

    Time frame: 0-12hour

    area under the glucose infusion rate curve

  14. Pharmacodynamic endpoints: area under the glucose infusion rate curve (AUCGIR)12-24h

    Time frame: 12-24hour

    area under the glucose infusion rate curve

  15. Pharmacodynamic endpoints: time to maximum glucose infusion rate (tGIR.max)

    Time frame: 0-24hour

    time to maximum glucose infusion rate

  16. Pharmacodynamic endpoints: time to half-maximum glucose infusion rate before GIRmax(tGIR.50%-early)

    Time frame: 0-24hour

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

  17. Pharmacodynamic endpoints: time to half-maximum glucose infusion rate after GIRmax (tGIR.50%-late)

    Time frame: 0-24hour

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

  18. Pharmacodynamic endpoints: Onset of action

    Time frame: 0-24hour

    time 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 and 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 70/30 and Humulin® 70/30

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Jul 17, 2019
Registry last updated
Jan 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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