Gan & Lee Evaluation of New Biosimilar for Type 1 Lispro
- Conditions
- Diabetes Mellitus, Type 1
- Interventions
- Biological: HumalogBiological: Gan & Lee Insulin Lispro Injection
- Registration Number
- NCT04254380
- Lead Sponsor
- Gan and Lee Pharmaceuticals, USA
- Brief Summary
Primary Objective:
• To compare the immunogenicity of Gan \& Lee Insulin Lispro Injection and EU-authorized Humalog following treatment in adult subjects with T1DM
Secondary Objectives:
* To evaluate the safety of Gan \& Lee Insulin Lispro Injection in comparison with that of EU authorized Humalog following treatment in adult subjects with T1DM
* To evaluate the efficacy of Gan \& Lee Insulin Lispro Injection in comparison with that of EU authorized Humalog following treatment in adult subjects with T1DM
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- Male or nonpregnant, non-lactating female subjects between the ages of 18 and 75 years, inclusive.
- Female subjects of child-bearing potential, willing to use contraceptive method(s), agreed by the Investigator, to prevent pregnancy during the study.
- Ability to provide written, personally signed, and dated informed consent to participate in the study, in accordance with the ICH GCP Guideline E6 and all applicable regulations, before initiating any study related procedures.
- Ability to understand and fully comply with all study procedures and restrictions.
- A confirmed diagnosis of T1DM and who have been on an approved basal-bolus insulin regimen for at least 6 months prior to Screening. The type or brand of insulins should not have changed in the 6 months before Screening.
- Do not expect to change the brand or type of their basal insulin during the study.
- C-peptide ≤ 1.0 ng/mL
- HbA1c ≤ 10.0%
- Body mass index (BMI) ≥ 19 kg/m2 and ≤ 35 kg/m2
- Adherence to a prudent diet and exercise regimen recommended by the medical provider in accordance with local standard of care or American Diabetes Association recommendations, and willingness to maintain this regimen consistently for the duration of the study.
- Participation in another clinical study within 30 days or 5 half-lives of last dose of experimental medication before Screening, whichever is longer.
- Previous use of Gan & Lee Insulin Lispro Injection.
- Use of insulin neutral protamine hagedorn or insulin detemir within 6 months prior to study entry.
- Current or expected use of an insulin pump or use of continuous glucose measurement to monitor blood glucose during the study.
- Diabetic ketoacidosis (DKA) within 6 months before Screening.
- Brittle T1DM within 1 year before Screening, defined as more than 2 hospitalizations related to diabetes mellitus (excluding hospitalizations for diagnostic purposes), and/or severe hypoglycemia for which the subject experiences severe cognitive impairment requiring external assistance for recovery.
- Renal replacement therapy required or with an estimated (or measured) glomerular filtration rate < 15 mL/min (Modification of Diet in Renal Disease calculation).
- Any clinically significant cardiovascular (CV) or cerebrovascular event, e.g., myocardial infarction (MI), acute coronary syndrome (ACS), recent revascularization (including coronary artery bypass graft procedures [CABG], percutaneous coronary intervention [PCI]), transient ischemic attack (TIA), or hemorrhagic or ischemic stroke within 3 months before Screening.
- History of congestive heart failure defined as New York Heart Association (NYHA) Stage III or IV.
- Inadequately controlled or unstable hypertension as defined by a systolic blood pressure (SBP) > 160 mmHg or diastolic blood pressure (DBP) > 100 mmHg at Screening and/or Randomization.
- Inadequately controlled thyroid disease, as reflected by abnormal TSH and free T4 values. (Hypothyroid or hyperthyroid conditions should be resolved or stabilized before Screening according to local standard of care).
- Any clinically significant (in the opinion of the Investigator) hematology, chemistry, or urinalysis test results at Screening, including any liver function test > 3X of the upper limit of normal (ULN) or bilirubin > 1.5X of the ULN (subjects with elevated bilirubin due to Gilbert syndrome are eligible to participate, if such tests were performed in the past).
- Autonomic neuropathy resulting in a diagnosis of gastroparesis.
- Hemoglobin < 12 g/dL for males or < 11 g/dL for females at Screening.
- Hospitalization within the 14 days before Screening, or planned hospitalization at any time during the study.
- Newly prescribed or high-dose (60 mg/day prednisone or equivalent) treatment with glucocorticosteroids, immunosuppressants, or cytostatic agents due to disorders of the immunological system, such as rheumatoid arthritis, psoriasis, spondyloarthritis, and asthma, within 60 days before Screening (Medications under following scenario are allowed: chronically administered oral, inhaled, topical, or intra-articular corticosteroids at a stable dosage; stable therapy with disease modifying agents [e.g., methotrexate, sulfasalazine]; disease is inactive [e.g., remission, well controlled stable phase]; and no significant changes in treatment scheme are expected).
- History of human immunodeficiency virus (HIV) or Hepatitis B or Hepatitis C infections.
- Any unresolved infection or a history of active infection within 30 days before screening other than mild viral illness (as judged by the Investigator).
- Current use of other medications for diabetes treatment, such as dipeptidyl peptidase 4 inhibitors (DPP4i), glucagon-like peptide 1 receptor agonists (GLP1-R), or sodium glucose cotransporter 2 inhibitors (SGLT2i) (See Appendix 1 [Section 16.1] for a list of prohibited medications).
- A history of alcohol use of more than two drinks a day on average for the last year, or a history of alcohol or substance abuse within 2 years before Screening.
- Previous (within 3 months before Screening) or anticipated treatment with interferons.
- History of malignancy (except for treated non-melanoma skin cancer and treated cervical adenocarcinoma in situ) within 5 years before Screening
- Receiving blood transfusion or undergoing plasmapheresis within 6 months before Screening.
- History of splenectomy.
- Intolerance or history of hypersensitivity to insulin lispro or any excipient of the study drugs.
- Any other clinically significant medical or psychiatric condition, or one requiring further evaluation that in the opinion of the Investigator could interfere with conduct of the study or interpretation of the data.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Active Comparator: Humalog Humalog EU-authorized Humalog KwikPen® - insulin lispro injection, solution for subcutaneous injection, 100 U/mL (pre-filled). Subjects randomized to the Humalog group will participate in the study for 26 weeks. Experimental: Gan & Lee Insulin Lispro Injection Gan & Lee Insulin Lispro Injection Gan \& Lee Insulin Lispro Injection for subcutaneous injection, 100 U/mL, in a disposable multidose pen injector with a pre-filled 3-mL type I glass cartridge. Subjects randomized to the Gan \& Lee Insulin Lispro Injection group will participate in the study for 26 weeks.
- Primary Outcome Measures
Name Time Method Treatment developed AIAs or important increase in AIA titers Week 1 to Week 26 The percentage of subjects in each treatment group who develop treatment induced AIAs, defined as newly confirmed positive AIA development or important (at least a 4-fold) increase in titers after baseline and up to visit Week 26.
- Secondary Outcome Measures
Name Time Method Percentage of subjects with negative AIA at baseline who develop positive AIA after baseline Week 1 to Week 26 The percentage of subjects in each treatment group with negative AIA at baseline who develop confirmed positive AIA after baseline and up to visit Week 26.
Percentage of subjects with important increase in titers Week 1 to Week 26 The percentage of subjects in each treatment group with confirmed positive AIA at baseline and at least a 4-fold increase in titers after baseline and up to visit Week 26.
Mean change from baseline in AIA titers Week 1 to Week 26 The mean change from baseline in each treatment group in AIA titers after baseline and up to visit Week 26.
Percentage of subjects with confirmed positive AIA who develop anti-insulin NAbs Week 1 to Week 26 The percentage of subjects in each treatment group with confirmed positive AIA after baseline and up to visit Week 26 who develop any anti-insulin NAbs after baseline and up to visit Week 26.
Percentage of subjects with positive AIA after baseline Week 1 to Week 26 The percentage of subjects in each treatment group with confirmed positive AIA after baseline and up to visit Week 26.
Incidence and severity of all treatment-emergent adverse events Week 1 to Week 26 The incidence and severity of all treatment-emergent adverse events and the following subgroups:
Adverse events of special interest. Serious adverse events, including fatal events. Adverse events leading to termination of the study treatment and/or early withdrawal from the study.
Treatment-related adverse events. IP device-related adverse events. Injection site reactions. The incidence of clinically significant laboratory abnormalities. The incidence of clinically significant abnormalities in physical examination and vital signs.Percentage of subjects who achieve an HbA1c of ≤ 7.0% at visit Week 26 Week 1 to Week 26 The number and percentage of subjects who achieve an HbA1c of ≤ 7.0% at visit Week 26 in each treatment group.
Change from baseline in HbA1c at visit Week 26 Week 1 to Week 26 Change from baseline in HbA1c at visit Week 26 in each treatment group.
Trial Locations
- Locations (107)
The Endocrine Group, LLP
🇺🇸Albany, New York, United States
PharmQuest
🇺🇸Greensboro, North Carolina, United States
Advanced Research Center
🇺🇸Anaheim, California, United States
Metabolic Research Institute
🇺🇸West Palm Beach, Florida, United States
IMMUNOe International Research Centers - Longmont
🇺🇸Longmont, Colorado, United States
M & O Clinical Research
🇺🇸Fort Lauderdale, Florida, United States
Sweet Hope Research Specialty Inc.
🇺🇸Hialeah, Florida, United States
University Physicians Group
🇺🇸Staten Island, New York, United States
Physicians East - Greenville
🇺🇸Greenville, North Carolina, United States
Research Institute of Dallas
🇺🇸Dallas, Texas, United States
University of Texas Southwestern Medical Center
🇺🇸Dallas, Texas, United States
Endocrinology Research Associates
🇺🇸Columbus, Ohio, United States
Pioneer Research Solutions
🇺🇸Houston, Texas, United States
University Diabetes & Endocrine Consultants
🇺🇸Chattanooga, Tennessee, United States
Chase Medical Research of Greater New Haven
🇺🇸Hamden, Connecticut, United States
Békés Megyei Központi Kórház Pándy Kálmán Tagkórház
🇭🇺Gyula, Hungary
BTC Network - Garden State Endocrinology - Brick
🇺🇸Brick, New Jersey, United States
NZOZ Medyczne Centrum Diabetologiczno-Endokrynologiczno-Metaboliczne "Diab-Endo-Met"
🇵🇱Kraków, Poland
CenterMed Lublin Sp. z o.o
🇵🇱Lublin, Poland
Bajcsy-Zsilinszky Kórház és Rendelőintézet
🇭🇺Budapest, Hungary
Pratia MCM Kraków
🇵🇱Kraków, Poland
Centrum Medyczne K2J2
🇵🇱Wołomin, Poland
Med Research of Florida
🇺🇸Miami, Florida, United States
Palm Research Center
🇺🇸Las Vegas, Nevada, United States
Clinical Trials of Texas, Inc.
🇺🇸San Antonio, Texas, United States
Valley Research
🇺🇸Fresno, California, United States
Cedar Crosse Research Center
🇺🇸Chicago, Illinois, United States
Midwest CRC
🇺🇸Crystal Lake, Illinois, United States
Endocrine & Metabolic Consultants
🇺🇸Rockville, Maryland, United States
Lynn Institute of Stillwater
🇺🇸Stillwater, Oklahoma, United States
Clintrial
🇨🇿Praha 10, Czechia
Milan Kvapil s.r.o
🇨🇿Praha 11, Czechia
Diabetologische Praxis
🇩🇪Saarlouis, Germany
Diabeteszentrum DO
🇩🇪Dortmund, Germany
Diabetes Schwerpunktpraxis
🇩🇪Duisburg, Germany
Diabetes-falkensee.de - Zentrum für klinische Studien
🇩🇪Falkensee, Germany
Lausmed Egeszsegugyi es Szolgaltato Kft.
🇭🇺Baja, Hungary
Dél-pesti Centrumkórház - Országos Hematológiai és Infektológiai Intézet
🇭🇺Budapest, Hungary
Debreceni Egyetem Kenézy Gyula Egyetemi Kórház
🇭🇺Debrecen, Hungary
Trantor 99 Bt Anyagcsere Centrum
🇭🇺Budapest, Hungary
Somogy Megyei Kaposi Mór Oktató Kórház
🇭🇺Kaposvár, Hungary
Kanizsai Dorottya Kórház
🇭🇺Nagykanizsa, Hungary
Centrum Medyczne Pratia Katowice
🇵🇱Katowice, Poland
Markusovszky Egyetemi Oktatokorhaz
🇭🇺Szombathely, Hungary
Centrum Medyczne Pratia Gdynia
🇵🇱Gdynia, Poland
Medical-Expert Kutatási - Kísérleti és Szolgáltató Kft
🇭🇺Veszprém, Hungary
Zala Megyei Szent Rafael Kórház
🇭🇺Zalaegerszeg, Hungary
Niepubliczny Zaklad Opieki Zdrowotnej Gdanska Poradnia Cukrzycowa
🇵🇱Gdansk, Poland
Centrum Badań Klinicznych PI-House
🇵🇱Gdańsk, Poland
KO-MED Centra Kliniczne Lublin - Królewska
🇵🇱Lublin, Poland
Bogdan Walko Niepubliczny Zakład Opieki Zdrowotnej Przychodnia Specjalistyczna MEDICA
🇵🇱Lublin, Poland
Centrum Medyczne Grunwald
🇵🇱Poznan, Poland
Centrum Medyczne Oporów
🇵🇱Wrocław, Poland
Complejo Hospitalario Universitario La Coruña (Gerencia de Gestión Integrada de A Coruña)
🇪🇸La Coruña, Spain
Hospital Universitari Arnau de Vilanova
🇪🇸Lleida, Spain
Hospital Universitario de La Princesa
🇪🇸Madrid, Spain
Nasz Lekarz Przychodnie Medyczne
🇵🇱Toruń, Poland
AMED Centrum Medyczne
🇵🇱Warszawa, Poland
Regionalna Poradnia Diabetologiczna
🇵🇱Wrocław, Poland
Complejo Hospitalario Universitario de Ferrol
🇪🇸Ferrol, Spain
Hospital de la Santa Creu i de Sant Pau
🇪🇸Barcelona, Spain
Fundació Hospital de l'Esperit Sant
🇪🇸Santa Coloma de Gramenet, Spain
Hospital Universitario Virgen de Valme
🇪🇸Sevilla, Spain
Hospital Universitario Virgen Macarena
🇪🇸Sevilla, Spain
Hospital Universitario Ramón Y Cajal
🇪🇸Madrid, Spain
Hospital Universitario Virgen de la Victoria
🇪🇸Málaga, Spain
RED-Institut GmbH
🇩🇪Oldenburg, Germany
Mills-Peninsula Health Services
🇺🇸San Mateo, California, United States
California Medical Research Association
🇺🇸Northridge, California, United States
Care Access Research - Santa Clarita
🇺🇸Santa Clarita, California, United States
Angel City Research, Inc.
🇺🇸Los Angeles, California, United States
Metabolic Institute of America
🇺🇸Tarzana, California, United States
The Center for Diabetes and Endocrine Care
🇺🇸Fort Lauderdale, Florida, United States
Homestead Associates in Research
🇺🇸Homestead, Florida, United States
Suncoast Clinical Research - Pasco County
🇺🇸New Port Richey, Florida, United States
Ormond Beach Clinical Research
🇺🇸Ormond Beach, Florida, United States
Meridien Research - Spring Hill
🇺🇸Spring Hill, Florida, United States
Suncoast Clinical Research - Pinellas County
🇺🇸Palm Harbor, Florida, United States
IACT Health - Columbus Regional Medical Group Endocrine Consultants - Columbus
🇺🇸Columbus, Georgia, United States
Atlanta Diabetes Associates
🇺🇸Atlanta, Georgia, United States
IACT Health - Columbus Regional Medical Group Endocrine Consultants
🇺🇸Newnan, Georgia, United States
Endocrine Research Solutions
🇺🇸Roswell, Georgia, United States
Iowa Diabetes and Endocrinology Research Center
🇺🇸West Des Moines, Iowa, United States
BTC Network - Capital Diabetes and Endocrine Associates - Camp Springs
🇺🇸Camp Springs, Maryland, United States
Bay West Endocrinology Associates
🇺🇸Baltimore, Maryland, United States
North Shore Diabetes and Endocrine Associates
🇺🇸New Hyde Park, New York, United States
Carteret Medical Group - Morehead City
🇺🇸Morehead City, North Carolina, United States
Intend Research
🇺🇸Norman, Oklahoma, United States
Your Diabetes Endocrine Nutrition Group, Inc.
🇺🇸Mentor, Ohio, United States
Care Access Research - Warwick
🇺🇸Warwick, Rhode Island, United States
Amarillo Medical Specialists
🇺🇸Amarillo, Texas, United States
El Paso Medical Research Institute
🇺🇸El Paso, Texas, United States
Austin Regional Clinic - Kelly Lane
🇺🇸Pflugerville, Texas, United States
Crossroads Clinical Research
🇺🇸Victoria, Texas, United States
Northeast Clinical Research of San Antonio
🇺🇸Schertz, Texas, United States
StefaMed
🇨🇿Hradec Králové, Czechia
Diabetologie České Budějovice s.r.o
🇨🇿České Budějovice, Jihocesky KRAJ, Czechia
Diahaza s.r.o.
🇨🇿Holešov, Czechia
Centralny Szpital Kliniczny Ministerstwa Spraw Wewnętrznych i Administracji w Warszawie
🇵🇱Warszawa, Poland
Hospital Universitari Vall d'Hebrón
🇪🇸Barcelona, Spain
Nuevas Tecnologías en Diabetes y Endocrinología
🇪🇸Sevilla, Spain
University of Colorado School of Medicine
🇺🇸Aurora, Colorado, United States
Quality Clinical Research
🇺🇸Omaha, Nebraska, United States
Florida Institute for Clinical Research, LLC
🇺🇸Orlando, Florida, United States
Kentucky Diabetes Endocrinology Center
🇺🇸Lexington, Kentucky, United States
Austin Regional Clinic
🇺🇸Austin, Texas, United States
Texas Diabetes & Endocrinology - Central Austin
🇺🇸Austin, Texas, United States