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Completed

NCT Number: NCT02201199

Single Dose Clamp Study To Compare Concentration/Time Profile And Metabolic Activity Profile Of 2 New Formulations Of Insulin Glargine With Lantus

Primary Objective:

To compare the pharmacokinetic (PK) characteristics of single doses of insulin glargine given as U200 and U500 with those of a single dose (SD) of Lantus® U100 in a euglycemic clamp setting in subjects with type 1 diabetes.

Secondary Objectives:

To compare the metabolic activity characteristics of single doses of insulin glargine given as U200 and U500 with those of a single dose of Lantus® U100 in a euglycemic clamp setting in subjects with type 1 diabetes.

To assess the safety and tolerability of single doses of U200, U500 and Lantus® U100 in subjects with type 1 diabetes.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Investigational Site Number 276001

Neuss, 41460, Germany

About this study

Total study duration for each subject is between 3.5 and 12 weeks.

Two overnight stays at the unit in each of 3 treatment periods.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male or female subjects, between 18 and 65 years of age, inclusive, with type 1 diabetes mellitus for more than one year, as defined by the American Diabetes Association.
  • Total insulin dose <1.2 U/kg/day.
  • Minimum usual basal insulin dose ≥0.2 U/kg/day.
  • Body weight between 50.0 kg and 110.0 kg, Body Mass Index between 18.5 and 30.0 kg/m2 inclusive.
  • Fasting negative serum C-peptide (<0.3 nmol/L).
  • Glycohemoglobin (HbA1c) ≤75 mmol/mol (≤9.0%).
  • Stable insulin regimen for at least 2 months prior to inclusion in study.
  • Certified as otherwise healthy for Type 1 diabetes mellitus patient.
  • Women of childbearing potential with negative pregnancy test and use of a highly effective contraceptive method or women with confirmed postmenopausal status.
  • Having given written informed consent prior to undertaking any study-related procedure.

Exclusion criteria

  • More than one episode of severe hypoglycemia with seizure, coma or requiring assistance of another person during the past 6 months.
  • Frequent severe headaches and / or migraine, recurrent nausea and / or vomiting (more than twice a month).
  • Presence or history of a drug allergy or clinically significant allergic disease according to the Investigator's judgment.
  • Presence or history of drug or alcohol abuse (alcohol consumption >40 grams / day).
  • Smoking more than 5 cigarettes or equivalent per day, unable to refrain from smoking.
  • Any medication (including St John's Wort) within 14 days before inclusion, or within 5 times the elimination half-life or pharmacodynamic half-life of that drug, whichever the longest and regular use of any medication in the last month before study start with the exception of insulin products, thyroid hormones, lipid-lowering and antihypertensive drugs, and, if female, with the exception of hormonal contraception or menopausal hormone replacement therapy; any vaccination within the last 28 days; any biologics (antibody or its derivatives) given within 4 months before randomization.
  • Known hypersensitivity to insulin glargine or excipients of the study drug.
  • Any history or presence of deep leg vein thrombosis or a frequent appearance of deep leg vein thrombosis in first degree relatives (parents, siblings or children).

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Treatment and study plan

insulin glargine U200 HOE901

Drug

Pharmaceutical form:solution for injection Route of administration: subcutaneous

insulin glargine U500 HOE901

Drug

Pharmaceutical form:solution for injection Route of administration: subcutaneous

insulin glargine U100 HOE901

Drug

Pharmaceutical form:solution for injection Route of administration: subcutaneous

Other names: Lantus

Primary outcomes

  1. Area under the serum insulin glargine (INS) concentration curve over the first 12 hours after dosing

    Time frame: 12 hours

Secondary outcomes

  1. INS-Area Under the Curve (AUC) over 24 and 36 hours after dosing (INS AUC 0-24 and INS AUC 0-36)

    Time frame: 36 hours

  2. AUC up to the last measurable concentration

    Time frame: 36 hours

  3. Time to reach 50% of INS-AUC 0-36

    Time frame: 36 hours

  4. Time to reach INS-Cmax (INS-tmax)

    Time frame: 36 hours

  5. Area under the body-weight-standardized Glucose Infusion Rate (GIR) over the first 12, 24 and 36 hours after dosing (GIR-AUC0-12, GIR-AUC0-24 and, GIR-AUC0-36)

    Time frame: 36 hours

  6. Time to reach 50% of GIR-AUC0-36 (T50%-GIR-AUC0-36)

    Time frame: 36 hours

  7. Maximum smoothed body weight standardized glucose infusion rate (GIRmax) and time to GIRmax (GIR-Tmax)

    Time frame: 36 hours

  8. Duration of blood glucose control (time to elevation of smoothed blood glucose profile above different pre-specific blood glucose levels)

    Time frame: 4 days

  9. Safety and tolerability (Number of patients with adverse events, clinically significant changes in vital signs, laboratory parameters)

    Time frame: 4 days

Sponsors and collaborators

Lead sponsor

Sanofi

Industry

Registry information

Official study title

A Single-Center, Randomized, Double-Blind, 3-Treatment, 3-Period, 6-Sequence Cross-Over Study To Compare The Pharmacokinetic And Pharmacodynamic Effects of Single Doses of Insulin Glargine Given As U200 And U500 To Lantus® In A Euglycemic Clamp Setting In Subjects With Type 1 Diabetes

Important dates

Study start
2014
Primary completion
2014
Study completion
2014
First posted
Jul 25, 2014
Registry last updated
Dec 24, 2014

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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