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This is a two-centre, randomised, double-blind, double-dummy, 3-treatment, 3-period cross-over study using a standardised solid meal test in subjects with type 2 diabetes to investigate postprandial glucose control of BioChaperone® Combo compared with Humalog® Mix25 and with simultaneous subcutaneous injections of Humalog® and Lantus® during three separate dosing visits.
This is a two-centre, randomised, double-blind, double-dummy, 3-treatment, 3-period cross-over study using a standardised solid meal test in subjects with type 2 diabetes to investigate postprandial glucose control of BioChaperone® Combo compared with Humalog® Mix25 and with simultaneous subcutaneous injections of Humalog® and Lantus® during three separate dosing visits.
Furthermore, this study aims to compare the pharmacokinetic (PK) profiles of the three different study treatments.
During each dosing visit, subjects will be given 3 doses of IMP on three consecutive days (Day 1, Day 2 and Day 3). Dosing on Day 2 and Day 3 will be followed by a standardised solid meal test.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BioChaperone® Combo | Experimental | Individualised single subcutaneous of BioChaperone® Combo + injection of placebo (0.9% NaCl) to ensure the double dummy |
|
| Humalog® Mix25 | Active Comparator | Individualised single subcutaneous of Humalog® Mix25 + injection of placebo (0.9% NaCl) to ensure the double dummy |
|
| Humalog® and Lantus® | Active Comparator | Individualised simultaneous subcutaneous injections |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BioChaperone® Combo | Drug | Injection of BioChaperone® Combo |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Delta AUC BG 0-2h (area under the blood glucose concentration-time curve) | Mean of incremental areas under the blood glucose concentration-time curve from 0-2 hours after a standardised meal on Day 2 and Day 3 | From 0 to 2 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Partial delta AUCs BG and total AUCs BG | Partial incremental AUCs BG and total AUCs BG in the 0-6 time range | From 0 to 6 hours |
| Mean and mean change from baseline of blood glucose at different time points |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Leona Plum-Mörschel, MD | Profil Mainz GmbH & Co KG | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Profil Mainz GmbH & Co.KG | Mainz | 55116 | Germany | |||
| Profil GmbH |
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| Humalog® Mix25 |
| Drug |
Injection of Humalog® Mix25 |
|
| Humalog® | Drug | Injection of Humalog® |
|
| Lantus® | Drug | Injection of Lantus® |
|
| Placebo | Drug | Injection of 0.9% NaCl |
|
| From 0 to 6 hours |
| Delta BGmax and delta BGmin | Maximum and minimum blood glucose excursions after a standardised meal | From 0 to 6 hours |
| BGmax and BGmin | Maximum and minimum blood glucose concentrations after a standardised meal | From 0 to 6 hours |
| AUC Insulin | Partial areas under the insulins plasma concentration time curve | From 0 to 24 hours |
| Cmax Insulin | Maximum observed plasma insulins concentration | From 0 to 6 hours |
| tmax Insulin | Time to maximum observed plasma insulins concentration | From 0 to 6 hours |
| Adverse Events | Up to 12 weeks (maximum duration of subject's participation) |
| Local tolerability | Up to 12 weeks (maximum duration of subject's participation) |
| Hypoglycaemic events | Up to 12 weeks (maximum duration of subject's participation) |
| Neuss |
| 41460 |
| Germany |
| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| D061268 | Insulin Lispro |
| D000069036 | Insulin Glargine |
| 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 |
| D049528 | Insulin, Long-Acting |
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