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A Trial to Investigate Post Prandial Blood Glucose Control With Fast-acting Human Insulin HinsBet® Compared to Insulin Lispro (Humalog®) and Regular Human Insulin (Huminsulin® Normal) After Ingestion of a Standardized Meal in Subjects With T1DM

Phase 1
Completed
Conditions
Type 1 Diabetes Mellitus
Interventions
Drug: Regular human insulin (Huminsulin® Normal)
Drug: BioChaperone Human Insulin (HinsBet®)
Drug: Insulin Lispro (Humalog®)
Registration Number
NCT02739906
Lead Sponsor
Adocia
Brief Summary

This is a 2 centres, randomised, double blind, three-treatment, three-period cross-over trial in subjects with type 1 diabetes mellitus.

Each subject will be administered individualised single subcutaneous doses of BioChaperone Human Insulin (HinsBet®), insulin lispro (Humalog®) and regular human insulin (Huminsulin® Normal) immediately before ingesting a standardised mixed meal.

Following trial drug administration, PK and PD assessments will be carried until 6 hours after start of the standardized test meal.

The total trial duration for an individual subject will be up to 11 weeks.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
36
Inclusion Criteria
  • Male or female subject aged 18-64 years (both inclusive).
  • Type 1 diabetes mellitus (as diagnosed clinically) >= 12 months.
  • Treated with multiple daily insulin injections or CSII >= 12 months.
  • Current total daily insulin treatment < 1.2 (I)U/kg/day.
  • Current total daily bolus insulin treatment < 0.7 (I)U/kg/day.
  • BMI 18.5-28.0 kg/m^2 (both inclusive).
  • HbA1c <= 9.0 % by local laboratory analysis
  • Fasting C-peptide <= 0.30 nmol/L.
Exclusion Criteria
  • Known or suspected hypersensitivity to IMPs or related products.
  • Type 2 diabetes mellitus.
  • Previous participation in this trial. Participation is defined as randomised.
  • Participation in any clinical trial within 3 months prior to this trial.
  • Clinically significant abnormal haematology, coagulation, biochemistry, lipids, or urinalysis screening tests, as judged by the Investigator considering the underlying disease.
  • Presence of clinically significant acute gastrointestinal symptoms (e.g. nausea, vomiting, heartburn or diarrhoea), as judged by the Investigator.
  • Known slowing of gastric emptying and or gastrointestinal surgery that in the opinion of the Investigator might change gastrointestinal motility and food absorption.
  • Unusual meal habits and special diet requirements or unwillingness to eat the food provided in the trial.
  • Females of childbearing potential who are pregnant, breast-feeding or intend to become pregnant or are not using highly effective contraceptive methods

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Huminsulin® NormalRegular human insulin (Huminsulin® Normal)-
HinsBet®BioChaperone Human Insulin (HinsBet®)-
Humalog®Insulin Lispro (Humalog®)-
Primary Outcome Measures
NameTimeMethod
BG1h1 hour

Blood glucose (BG) concentration 1 hour after start of intake of a standardised meal

Secondary Outcome Measures
NameTimeMethod
Adverse EventsUp to 11 weeks

Number of Adverse Events

Local tolerability (Number of injection site reactions)Up to 11 weeks

Number of injection site reactions

ΔBG1h1 hour

Mean change from baseline of blood glucose concentration 1 hour after start of intake of a standardised meal

ΔAUCBG,0-1h1 hour

Incremental area under the blood glucose concentration-time curve from 0-1 hour after a standardised meal

AUCBG,0-1h1 hour

Area under the blood glucose concentration-time curve from 0-1 hour after a standardised meal

AUCIns,0-1h1 hour

Area under the serum insulin concentration-time curve from 0-1 hour

Trial Locations

Locations (2)

Profil GmbH

🇩🇪

Neuss, Germany

Profil Mainz GmbH & Co.KG

🇩🇪

Mainz, Germany

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