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Primary objectives:
To demonstrate biosimilarity with regard to the total and maximum pharmacokinetic exposure during one dosing interval (AUC ins. 0-24h, Cins.
max) of Gan & Lee Insulin Glargine with Lantus® (US RLD / EU RP) in subjects with type 1 diabetes
To demonstrate biosimilarity with regard to the total and maximum pharmacodynamic response during one dosing interval (AUC GIR.0-24h, GIR max) of Gan & Lee Insulin Glargine with Lantus® (US RLD / EU RP) in subjects with type 1 diabetes
Secondary objectives:
To compare the pharmacokinetic and pharmacodynamic properties of Gan & Lee Insulin Glargine and of Lantus® (US RLD / EU RP)
To assess the safety and tolerability of Gan & Lee Insulin Glargine and of Lantus® (US RLD / EU RP)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lantus ® US | Active Comparator | Insulin glargine (Lantus®, product approved and marketed in the USA (US RLD)), 100 U/mL in 3 mL pre-filled pens |
|
| Lantus ® EU | Active Comparator | Insulin glargine (Lantus®, product marketed in Germany (EU RP)), 100 U/mL in 3 ml pre-filled pens |
|
| Gan & Lee Insulin Glargine | Experimental | Insulin glargine 100 U/mL in 3 mL pre-filled pens |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gan & Lee Insulin Glargine Injection | Drug | All IMPs will be administered as a 0.5 U/kg single subcutaneous dose by a pre-filled pen. |
|
| Measure | Description | Time Frame |
|---|---|---|
| PK endpoint | AUCins. 0 - 24h, area under the serum insulin concentration curve from 0 to 24. hours | Up to 24 hours |
| PK endpoint | Cins.max, maximum observed insulin concentration. | Up to 30 hrs |
| PD endpoint | AUC GIR.0-24h, area under the glucose infusion rate curve from 0 to 24 hours. | Up to 24 hours |
| PD endpoint | GIR max, maximum observed glucose infusion rate | Up to 30 hrs |
| Measure | Description | Time Frame |
|---|---|---|
| Secondary PK endpoint | AUC ins.0-12h, AUC ins.12 - 24h, AUC ins.0 -inf., areas under the serum insulin concentration curve in the indicated time intervals | Up to 24 hrs |
| Secondary PK endpoint | tmax.ins, time to maximum observed serum insulin concentration |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jia Lu, PhD | Gan & Lee Pharmaceuticals, USA | Study Director |
| Leona Plum - Mörschel, MD, PD | Profil Mainz GmbH & Co KG | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Profil Mainz GmbH & Co. KG | Mainz | 55116 | Germany | |||
| Profil Institut für Stoffwechselforschung GmbH |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37735841 | Derived | Chen W, Lu J, Plum-Morschel L, Andersen G, Zijlstra E, He A, Xie T, Li L, Hao C, Gan Z, Heise T. Pharmacokinetic and pharmacodynamic bioequivalence of Gan & Lee insulin analogues aspart (rapilin(R)), lispro (prandilin(R)) and glargine (basalin(R)) with EU- und US-sourced reference insulins. Diabetes Obes Metab. 2023 Dec;25(12):3817-3825. doi: 10.1111/dom.15281. Epub 2023 Sep 21. |
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| ID | Term |
|---|---|
| D003922 | Diabetes Mellitus, Type 1 |
| D003920 | Diabetes Mellitus |
| D007333 | Insulin Resistance |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| C027235 | gallium nitrate |
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The trial will be a randomized, double-blind, multicenter, single-dose, 3-way crossover, 3-treatment, euglycemic glucose clamp trial in male subjects with type 1 diabetes mellitus
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| Up to 30 hrs |
| Exploratory PK endpoint | t½, terminal serum elimination half-life calculated as t½=ln2/λz and | Up to 30 hrs |
| Exploratory PK endpoint | λz, terminal elimination rate constant | Up to 30 hrs |
| Secondary PD endpoint | AUC GIR.0 - 12h, AUC GIR.12 - 24h, areas under the glucose infusion rate curve in the indicated time-intervals | Up to 24 hrs |
| Secondary PD endpoint | AUC GIR.0 - last, area under the glucose infusion rate curve from 0 hours until the end of clamp | Up to 30 hrs |
| Secondary PD endpoint | t max.GIR, time to maximum glucose infusion rate | Up to 30 hrs |
| Exploratory PD endpoint | Duration of action, time until blood glucose levels is consistently above 150 mg/dL | Up to 30 hrs |
| Exploratory PD endpoint | Time to onset of action, time from trial product administration until blood glucose concentration has decreased at least 5 mg/dL from baseline, where baseline is defined as the mean of blood glucose levels from - 6 to - 2 minutes before trial product administration as measured by ClampArt. | Up to 30 hrs |
| Safety endpoints | As measured by treatment-emergent adverse events | Up to 12 Weeks |
| Neuss |
| 41460 |
| Germany |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D006946 | Hyperinsulinism |