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The addition of BioChaperone to insulin lispro may accelerate the onset and shorten the duration of action of insulin lispro due to facilitation of the absorption of the insulin after subcutaneous injection.
The aim of the trial is to investigate the dose-response and the dose-exposure relationships of BioChaperone insulin lispro under 3 doses, to compare the pharmacokinetics and glucodynamic action of BioChaperone insulin lispro at 0.2U/Kg with Humalog® at 0.2 U/Kg and to assess safety and tolerability of BioChaperone insulin lispro and Humalog®.
This is a double-blinded, randomised, four-period crossover phase 2 trial using automated 12-hour euglycemic clamps in subject with type 1 diabetes mellitus.
Each subject will be randomly allocated to a sequence of 4 treatments, i.e. with one of three single doses of BioChaperone insulin lispro (0.1, 0.2 and 0.4 U/Kg) or one single dose of Humalog® (0.2 U/Kg) on 4 separate dosing visits.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BioChaperone insulin lispro 0.2U/Kg | Experimental | BioChaperone insulin lispro 0.2U/Kg |
|
| BioChaperone insulin lispro 0.1U/Kg | Experimental | BioChaperone insulin lispro 0.1U/Kg |
|
| BioChaperone insulin lispro 0.4U/Kg | Experimental | BioChaperone insulin lispro 0.4U/Kg |
|
| Humalog® 0.2U/Kg | Active Comparator | Humalog® 0.2U/Kg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BioChaperone insulin lispro 0.2U/Kg | Drug | Single dose of 0.2U/Kg body weight injected subcutaneously |
|
| Measure | Description | Time Frame |
|---|---|---|
| Glucodynamic endpoint: Area Under the Curve GIR(0-last) | Area under the Glucose Infusion Rate time curve from 0 hours until the end of the clamp | 12 hours |
| Glucodynamic endpoint: GIRMax | Maximum Glucose Infusion Rate | 12 hours |
| Pharmacokinetic endpoint: AUC Lisp(0-last) | Area under the insulin lispro serum concentration - time curve over the clamp procedure. | 12 hours |
| Pharmacokinetic endpoint: Cmax(Lisp) | Maximum observed serum insulin lispro concentration | 12 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics: Tmax(lisp) | Time to maximum observed serum insulin lispro concentration | 12 hours |
| Glucodynamic: TGIRmax | Time to maximum Glucose Infusion Rate |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Grit Andersen, MD | Profil Institut für Stoffwechselfforschung GmbH | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Profil Institut für stoffwechselforschung GmbH | Neuss | 41460 | Germany |
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| BioChaperone insulin lispro 0.1U/Kg | Drug | Single dose of 0.1U/Kg body weight injected subcutaneously |
|
| BioChaperone insulin lispro 0.4U/Kg | Drug | Single dose of 0.4U/Kg body weight injected subcutaneously |
|
| Humalog® | Drug | Single dose of 0.2U/Kg body weight injected subcutaneously |
|
| 12 hours |
| Tonset of action | Time from t=0 until blood glucose concentration has decreased by 5mg.dL (0.3mmol.L) from baseline. | 12 hours |
| Safety and Tolerability: adverse events, local tolerability, vital signs variations, ECG, laboratory safety parameters. | 12 weeks |
| ID | Term |
|---|---|
| D003922 | Diabetes Mellitus, Type 1 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D061268 | Insulin Lispro |
| ID | Term |
|---|---|
| D061266 | Insulin, Short-Acting |
| D061385 | Insulins |
| D010187 | Pancreatic Hormones |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
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