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| ID | Type | Description | Link |
|---|---|---|---|
| 2016-003628-21 | EudraCT Number |
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| Name | Class |
|---|---|
| Profil Institut für Stoffwechselforschung GmbH | INDUSTRY |
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This study in healthy volunteers aims to demonstrate similar PK and PD properties of the new human isophane Insulin, Julphar Insulin N, and the already approved reference Insulin, Huminsulin® Basal. All participants will receive both study treatments on two separate dosing days.
Daily injections of insulin are a necessity for many patients with diabetes mellitus in order to treat hyperglycemia. Julphar Insulin N and Huminsulin® Basal are both intermediate-acting human isophane insulins, i.e. consist of a suspension containing a crystalline precipitate of isophane human insulin (NPH) complexed with protamine sulphate and zinc. The new insulin, Julphar Insulin N, is biosimilar to Huminsulin® Basal. Demonstration of similar absorption (PK) and effects (PD) are necessary to achieve market approval of Julphar Insulin N.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Julphar Insulin N | Experimental | Julphar Insulin N, human isophane insulin, 100 IU/mL, single subcutaneous injection of 0.6 IU/kg body weight |
|
| Huminsulin® Basal | Active Comparator | Huminsulin® Basal, neutral protamine hagedorn (NPH), human isophane insulin, 100 IU/mL, single subcutaneous injection of 0.6 IU/kg body weight |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Julphar Insulin N (human isophane insulin) | Drug | investigational insulin: Julphar N (human isophane insulin), biosimilar |
|
| Measure | Description | Time Frame |
|---|---|---|
| PK: AUCins.0-24h, area under the serum insulin concentration curve from 0 to 24 hours | Primary endpoints according EMA guidelines | 24 hours |
| PK: Cins.max, maximum observed insulin concentration | Primary endpoints according EMA guidelines | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| PK: AUCins.0-6h, AUCins.0-12, areas under the serum insulin concentration curve in the indicated time intervals | 12 hours | |
| PK: AUCins.0-∞, area under the serum insulin concentration-time curve from 0 hours to infinity | 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tim Heise, MD | Profil Neuss, GmbH | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Profil Neuss GmbH | Neuss | 41460 | Germany |
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| Huminsulin® Basal (NPH, human isophane insulin) | Drug | marketed reference product: Huminsulin® Basal (NPH, human isophane insulin) |
|
|
| PK: tmax, time to maximum observed serum insulin concentration | 24 hours |
| PK: t½, terminal serum elimination half-life calculated as t½=ln2/λz | 24 hours |
| PK: λz, terminal elimination rate constant of insulin | 24 hours |
| PD: AUCGIR.0h-last, area under the glucose infusion rate curve from 0 hours until the end of clamp | 24 hours |
| PD: GIRmax, maximum observed glucose infusion rate | 24 hours |
| PD: AUCGIR.0-6h, AUCGIR.0-12h, areas under the glucose infusion rate curve in the indicated time-intervals | 12 hours |
| PD: tGIR.max, time to maximum glucose infusion rate | 24 hours |
| PD: Onset of action, time from trial product administration until blood glucose concentration has decreased at least 5 mg/dL from baseline | baseline is defined as the mean of blood glucose levels from -6, -4, and -2 minutes before trial product administration as measured by the glucose clamp device | 24 hours |
| Adverse events | from first dosing until final examination (up to 39 days for each patient) |
| Local tolerability findings | at the injection site, The local tolerability at the injection site will be evaluated by means of the following assessments:
| dosing period (up to 25 days for each patient) |
| Laboratory safety parameters | from screening to final examination (up to 61 days for each patient) |
| Physical examination findings | from screening to final examination (up to 61 days for each patient) |
| Changes in vital signs | from screening to final examination (up to 61 days for each patient) |
| Changes in Electrocardiogram recordings | from screening to final examination (up to 61 days for each patient) |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| D000068880 | Isophane Insulin, Human |
| ID | Term |
|---|---|
| D007336 | Insulin, Isophane |
| D049528 | Insulin, Long-Acting |
| D061385 | Insulins |
| D010187 | Pancreatic Hormones |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D061386 | Insulin, Regular, Human |
| D007328 | Insulin |
| D011384 | Proinsulin |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
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