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This is a single-centre, randomised, double-blind, three-period, complete cross-over trial comparing the pharmacokinetic and the pharmacodynamic properties of BioChaperone® insulin lispro and the two active comparators Fiasp® and Novorapid® when given as a bolus on top of basal delivery with an insulin pump in subjects with type 1 diabetes mellitus. Each subject will be randomly assigned to a treatment sequence consisting of 3 dosing visits during which the subject will receive the investigational products. In a euglycaemic clamp setting, subjects will be given a bolus dose of 0.15 U/kg body weight.
Throughout the glucose clamp procedure, blood glucose will be stabilised at a target level of 100 mg/dL by means of an intravenous infusion of glucose. Blood samples for pharmacokinetic assessment will be drawn at specified timepoints and glucose infusion rates and blood glucose concentrations will be recorded for pharmacodynamic assessment during the 10-hour clamp procedure after dosing.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BioChaperone® insulin lispro | Experimental | Single subcutaneous administration of BioChaperone® insulin lispro |
|
| Fiasp® | Active Comparator | Single subcutaneous administration of Fiasp® (insulin aspart) |
|
| Novorapid® | Active Comparator | Single subcutaneous administration of Novorapid® (insulin aspart) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BioChaperone® insulin lispro | Drug | Single subcutaneous administration of a bolus of 0.15 U/kg body with a pump |
|
| Measure | Description | Time Frame |
|---|---|---|
| AUCGIR(0-60min) | Baseline corrected area under the glucose infusion rate curve from 0 to 60 minutes after bolus administration | 60 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| AUCins(0-30min) | Baseline corrected area under the insulin concentration time curve from 0 to 30 minutes after bolus administration | 30 minutes |
| AUCins(0-60min) | Baseline corrected area under the insulin concentration time curve from 0 to 60 minutes after bolus administration |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Oliver Klein, MD | Profil Institut für Stoffwechselforschung GmbH | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Profil Institut für Stoffwechselforschung GmbH | Neuss | 41460 | Germany |
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| Fiasp® | Drug | Single subcutaneous administration of a bolus of 0.15 U/kg body with a pump |
|
| Novorapid® | Drug | Single subcutaneous administration of a bolus of 0.15 U/kg body with a pump |
|
| 60 minutes |
| AUCins(0-600min) | Baseline corrected area under the insulin concentration time curve from 0 to 600 minutes after bolus administration | 600 minutes |
| Cmax insulin | Maximum observed baseline corrected insulin concentration | 10 hours |
| Tmax insulin | Time from bolus administration to baseline corrected Cmax | 10 hours |
| TmaxGIR | Time from bolus administration to maximum baseline corrected glucose infusion rate | 10 hours |
| GIRmax | Maximum baseline corrected glucose infusion rate | 10 hours |
| Adverse Events | Number of Adverse Events in each arm | up to 8 weeks |
| Clinical safety laboratory | Haematology, biochemistry and urinalysis: changes and findings from Baseline in clinical safety laboratory parameters during the trial duration, from screening, and at follow-up visit. | up to 8 weeks |
| ID | Term |
|---|---|
| D061267 | Insulin Aspart |
| 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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