Insulin by Jet-injection for Hyperglycemia in Diabetes
- Registration Number
- NCT01947556
- Lead Sponsor
- University Medical Center Nijmegen
- Brief Summary
The purpose of this study is to compare the pharmacokinetic and pharmacodynamic profile of the rapid-acting insulin analogue aspart (Novorapid®) injected subcutaneously by jet-injection to that of the same insulin injected with a conventional pen in the management of hyperglycemia in subjects with diabetes
- Detailed Description
Recently, we showed in both healthy, non-diabetic volunteers and in patients with type 1 (T1DM) and insulin-treated type 2 diabetes (T2DM) a 40-50% faster absorption of rapid-acting insulin analogues when administered by jet injection technology rather than by conventional insulin pen. The faster insulin action of insulin administration by jet injection may be especially advantageous for correction of hyperglycemia.
To investigate this, a open-label randomised controlled cross-over study will be performed in 20 adult patients (18-75 years) with T1DM or T2DM on basal-bolus insulin treatment.
The pharmacokinetic and pharmacodynamic profile of insulin aspart will be derived from the time-action profiles of insulin and glucose, respectively, in response to insulin (in a dose of 1.5 times the amount of insulin needed to reduce blood glucose to 6 mmol/l calculated by the insulin-sensitivity factor) after reaching hyperglycemia (18-23 mmol/l). All patients will be investigated twice, where on one occasion the jet-injector device will be used to inject insulin, and on the other occasion insulin will be injected with a conventional insulin pen. The order of these occasions will be randomised. Both devices will be operated by the patient after sufficient training. Ease of use will be evaluated.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 20
- diabetes mellitus type 1 or 2
- Age 18-75 years
- Body-Mass Index ≥25 kg/m2 and ≤40 kg/m2
- Stable glycaemic control with HbA1c ≥48 (6.5%) and ≤86 mmol/mol (10%)
- Insulin treatment according to basal-bolus regimen, i.e. by multiple daily injections at least four times daily, or by subcutaneous insulin pump, for at least 12 months, use of metformin allowed
- Inability to provide informed consent
- Insulin requirement of <34 or >200 units per day
- Treatment with systemic corticosteroids, immunosuppressive or cytostatic drugs
- Known allergy to aspart insulin
- Use of oral antidiabetic drugs other than metformin
- Symptomatic diabetic neuropathy
- History of a major cardiovascular disease event (myocardial infarction, stroke, symptomatic peripheral artery disease, coronary bypass surgery, percutaneous coronary or peripheral artery angioplasty) in the previous 6 months
- Pregnancy or the intention to become pregnant
- Renal disease (creatinine >150 μmol/l or MDRD-GFR <30 ml/min/1.73m2)
- Liver disease (aspartate aminotransferase or alanine aminotransferase level of more than three times the upper limit of normal range)
- Presence of any other medical condition that might interfere with the study protocol
- anemia
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description insujet is tested first insulin aspart first procedure: experiment with the investigational product (Insujet pen)containing insulin aspart; second procedure: control device (conventional Novopen III insulin pen) contains insulin aspart. insujet is tested second insulin aspart first procedure: experiment with the conventional Novopen III insulin pen containing insulin aspart; second procedure: investigational device (Insujet) contains insulin aspart.
- Primary Outcome Measures
Name Time Method T-BG≥10 participants will be followed for the duration of the study, an expected average of 4 weeks the time in minutes until plasma glucose concentration has dropped with ≥ 10mmol/l (T-BG≥10).
- Secondary Outcome Measures
Name Time Method T-BG5 and 8 (min) participants will be followed for the duration of the study, an expected average of 4 weeks the time in minutes until plasma glucose values drop below 8 an 5 mmol/l, respectively
Rfall participants will be followed for the duration of the study, an expected average of 4 weeks the slope of the glucose fall (mmol • l-1 • min-1), calculated from the time- glucose curve
BG-AUC 0-2h participants will be followed for the duration of the study, an expected average of 4 weeks the area under the time-glucose curve, reflecting post-injection hyperglycaemic burden, from 0 to 2h after insulin injection.
BG-AUC 0-6h participants will be followed for the duration of the study, an expected average of 4 weeks the area under the time-glucose curve (mmol • min-1 • l-1), from 0 to 6h after insulin injection.
C-INSmax (pmol/l) participants will be followed for the duration of the study, an expected average of 4 weeks maximal insulin concentration
T-INSmax participants will be followed for the duration of the study, an expected average of 4 weeks time to maximal insulin concentration in minutes(C-INSmax)
T-INSBL participants will be followed for the duration of the study, an expected average of 4 weeks the time until plasma insulin values drop below baseline values (minutes)
INSAUC participants will be followed for the duration of the study, an expected average of 4 weeks area under the insulin concentration curve (pmol • min-1 • l-1)(from timepoint 0), reflects total insulin absorption
T-INSAUC50% participants will be followed for the duration of the study, an expected average of 4 weeks time until 50% of insulin absorption in minutes(mean residence time, MRT)
Trial Locations
- Locations (1)
Radboud University Nijmegen Medical Centre
🇳🇱Nijmegen, Netherlands