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临床试验/NCT04079413
NCT04079413已完成3 期

An Open-label, Randomized, Multi-center, Parallel-group Clinical Trial Comparing the Efficacy and Safety of GP40071 (OOO "GEROPHARM", Russia) Compared to NovoRapid® Penfill® (Novo Nordisk A/S, Denmark) in Type 1 Diabetes Mellitus Patients

Geropharm14 个研究点 分布在 1 个国家目标入组 264 人开始时间: 2019年6月3日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
已完成
发起方
入组人数
264
试验地点
14
主要终点
Immunogenicity

研究概览

简要总结

This trial is a multi-center, open-label, randomized, parallel group trial in adult patients with T1DM comparing the efficacy and safety of GP40071 (insulin aspart, GEROPHARM) with that of NovoRapid®.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Signed written consent
  • Diabetes mellitus type 1 for at least 12 months prior to screening
  • History of basis-bolus (multiple dose injection (MDI)) therapy in stable doses at least 30 days
  • Glycated hemoglobin (HbA1c) level of 7.1 to 12.0 % at screening (both values inclusive)
  • Body mass index (BMI) of 18.5 to 35 kg/m2 at screening (both values inclusive)
  • Subject is able and willing to comply with the requirements of the study protocol

排除标准

  • Contraindication to the use of insulin aspart
  • Insulin resistance over 1.5 U/kg insulin pro day
  • Change INN of insulin for 6 months prior to randomisation
  • History of treatment any biosimilar insulin for 6 months prior to randomisation (excl. GEROPHARM's insulins)
  • History of treatment any experimental drugs or medical devices for 3 months prior to randomisation
  • History of treatment insulin pump for 180 days prior to signed written consent or indication for use insulin pump
  • Presence of severe diabetes complications
  • History of severe hypoglycemia for 6 months prior to screening
  • History of 15 or more episodes mild hypoglycemia for 1 month prior to screening
  • History or presence of uncontrolled diabetes mellitus for 6 months prior to screening
  • History of administration of glucocorticoids (14 days or more) for 1 year prior to screening
  • Administration of any immunosuppressive drugs (Cyclosporine, Methotrexate, Rituximab, etc.)
  • History of vaccination for 6 months prior to randomisation
  • History of autoimmune disease, except vitiligo and controlled autoimmune polyglandular syndrome (APS) types 1-3, except adrenal insufficiency
  • History of unstable angina, myocardial infarction, severe arrhythmia, heart failure III or IV NYHA for 1 year prior to screening
  • History of stroke or TIA for 6 months prior to screening
  • History of hypersensitivity to any of the active or inactive ingredients of the insulin/insulin analogue preparations used in the trial, OR history of significant allergic drug reactions
  • Pregnant and breast-feeding women
  • Acute inflammation disease for 3 weeks prior to screening
  • Deviation of the laboratory results conducted during the screening:
  • Hemoglobin value < 9,0 g/dl; Hematocrit value < 30 %; ALT and AST value > 2 folds as high as maximal normal value; Serum bilirubin value > 1.5 folds as high as maximal normal value
  • History of hematological disorders that can affect the reliability of HbA1c estimation (hemoglobinopathies, hemolytic anemia, etc.)
  • Serious blood loss for 3 months prior to screening (blood donation, surgery procedure, etc.)
  • Incomplete recovery after surgery procedure
  • History of drug, alcohol abuse for 3 years prior to screening
  • Serological evidence of human immunodeficiency virus (HIV), hepatitis B (HbSAg), hepatitis C (HCVAb) or syphilis (Treponema pallidum) antibodies at screening
  • History of oncological disease during 5 years prior to screening
  • History of transplantation, except 3 months after corneal transplant
  • History or presence of a medical condition or disease that in the investigator's opinion would embarrass glycemic control and completion of the study
  • Inability follow to protocol

研究组 & 干预措施

GP40071

Experimental

Subcutaneous (SC), before meals intake, up to Week 26

干预措施: GP40071 (Drug)

NovoRapid® Penfill®

Active Comparator

Subcutaneous (SC), before meals intake, up to Week 26

干预措施: NovoRapid® Penfill® (Drug)

结局指标

主要结局

Immunogenicity

时间窗: 26 weeks

Change from baseline in titer of antibodies to human insulin

次要结局

  • Adverse Events frequency and degree(26 weeks)
  • Achievement of Glycated Hemoglobin Goals(26 weeks)
  • Achievement of Glycated Hemoglobin < 7%(26 weeks)
  • Glycated hemoglobin(26 weeks)
  • Treatment Satisfaction(26 weeks)
  • Body Mass Index(26 weeks)
  • Fasting Plasma Glucose Level(26 weeks)
  • Seven-Point Glucose Testing(26 weeks)
  • Total Insulin Dose(26 weeks)

研究者

发起方
Geropharm
申办方类型
Industry
责任方
Sponsor

研究点 (14)

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