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The aim of the study was to compare the pharmacodynamic properties of different doses of regular human insulin administered in capsule form twice daily in a randomised twelve-week open-label trial.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 75iu | Experimental | Capsule containing 75iu recombinant human insulin administered two times per day |
|
| 150iu | Experimental | Capsule containing 150iu recombinant human insulin administered two times per day |
|
| 300iu | Experimental | Capsule containing 300iu recombinant human insulin administered two times per day |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oral insulin | Drug | Capsule administered by mouth with a glass of water two times per day, once before breakfast and once before supper |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in HbA1c | Change in HbA1c Relative to Baseline at Start of Study | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Fasting Plasma Glucose | Change in Fasting Plasma Glucose Relative to Baseline at Start of Study | 12 weeks |
| Change in Post-Prandial Glucose | Change in Post-Prandial Glucose Relative to Baseline at Start of study |
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Inclusion Criteria:
Exclusion Criteria:
Subject with history or evidence of hypersensitivity to insulin or metformin hydrochloride or its excipients
Suffering from type 1 diabetes mellitus
Received treatment with sulphonylureas or alpha-glucosidase inhibitors, Glucagonlike peptide-1 (GLP-1) receptor agonists or Sodium-glucose co-transporter 2 (SGLT2) inhibitors or meglitinides or pramlintide or thiazolidinediones within 3 months prior to enrolment
Previously treated with insulin within 3 months prior to enrolment
History of episodes of hypoglycaemia during 3 months prior to enrolment.
Reduced awareness of hypoglycaemia or inability to identify and tackle hypoglycaemic episodes
History of substantial weight loss defined as 5% decrease in body weight within the last 6 months
Medical history of unstable angina within 1 year prior to enrolment
History of tobacco or nicotine more than two packs/day within 3 months prior to enrolment
Is, at the time of signing informed consent, a user of recreational or illicit drugs or has had a recent history (within 1 year prior to enrolment) of drug or alcohol abuse or dependence. (Note: Alcohol abuse includes heavy alcohol intake as defined by >3 drinks per day or >14 drinks per week, or binge drinking).
History of gastrointestinal disorders which may potentially interfere with absorption of the investigational product
Treatment with systemic corticosteroids or with inhalational corticosteroids (Beclomethasone or budesonide) within the 3 months prior to enrolment
Likelihood of requiring treatment during the study period with prohibited medications mentioned (as defined in this clinical trial protocol)
Female subject who is pregnant, lactating or planning pregnancy during the trial
Female subject of childbearing age who is not willing to use adequate method of contraception during the study period
Life expectancy of less than 6 months from screening
Elective surgery or any other surgical procedure/s requiring general anaesthesia during the clinical trial
Has participated in another research trial within 12 weeks prior to screening
History of diabetic ketoacidosis requiring hospitalization within 6 months prior to enrolment, case of proliferative retinopathy or advanced neuropathy
Blood urea nitrogen (BUN) > 30 mg/dL
Subject who has a positive serology for hepatitis B virus (HBV) or hepatitis C (HCV) or human immunodeficiency virus (HIV) infections at screening
Subject who has undergone pancreatectomy or pancreas islet transplant or renal transplant
Subject receiving or has received any immunomodulation medications within 1 year prior to enrolment
Subject with history or evidence of diabetic complications (e.g. diabetic retinopathy, diabetic neuropathy, or diabetic nephropathy, etc.), cardiac disorders, or any other systemic complication due to diabetes, which in the opinion of the Investigator signifies subjects' ineligibility for the trial
Has any concurrent disease or medical/surgical condition, which required treatment of more than 3 months and which in the opinion of the Investigator does not allow participation of the subject in this study
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Diabetology | London | NW1 0NH | United Kingdom |
153 patients were randomised to allocated treatment groups. A proportion of these patients (7) did not commence treatment, and full baseline characteristics were not collected for the whole group
204 patients were assessed for eligibility - 51 did not meet the inclusion criteria. Recruitment was conducted in hospital clinics and commenced one month before the start of study in October 2018
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| ID | Title | Description |
|---|---|---|
| FG000 | 75iu | Capsule containing 75iu recombinant human insulin administered two times per day Oral insulin: Capsule administered by mouth with a glass of water two times per day, once before breakfast and once before supper |
| FG001 | 150iu | Capsule containing 150iu recombinant human insulin administered two times per day Oral insulin: Capsule administered by mouth with a glass of water two times per day, once before breakfast and once before supper |
| FG002 | 300iu | Capsule containing 300iu recombinant human insulin administered two times per day Oral insulin: Capsule administered by mouth with a glass of water two times per day, once before breakfast and once before supper |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Baseline Analysis Population is the number of patients who completed the study according to protocol
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| ID | Title | Description |
|---|---|---|
| BG000 | 75iu | Capsule containing 75iu recombinant human insulin administered two times per day Oral insulin: Capsule administered by mouth with a glass of water two times per day, once before breakfast and once before supper |
| BG001 | 150iu |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change in HbA1c | Change in HbA1c Relative to Baseline at Start of Study | Posted | Mean | Standard Deviation | % of glycated haemoglobin | 12 weeks |
|
3 months
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | 75iu | Capsule containing 75iu recombinant human insulin administered two times per day Oral insulin: Capsule administered by mouth with a glass of water two times per day, once before breakfast and once before supper |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Roger New | Diabetology Ltd | 07818068012 | rn@diabetology.co.uk |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jun 19, 2024 | Jul 1, 2024 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D007328 | Insulin |
| ID | Term |
|---|---|
| D011384 | Proinsulin |
| D061385 | Insulins |
| D010187 | Pancreatic Hormones |
| D036361 | Peptide Hormones |
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A randomised twelve-week open-label study.
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| 12 weeks |
| Changes in Triglycerides | Change in Triglycerides Relative to Baseline at Start of Study | 12 weeks |
| Starting HbA1c below 7% |
|
| No data from Central lab (protocol violation) |
|
| Did not take medication |
|
Capsule containing 150iu recombinant human insulin administered two times per day
Oral insulin: Capsule administered by mouth with a glass of water two times per day, once before breakfast and once before supper
| BG002 | 300iu | Capsule containing 300iu recombinant human insulin administered two times per day Oral insulin: Capsule administered by mouth with a glass of water two times per day, once before breakfast and once before supper |
| BG003 | Total | Total of all reporting groups |
| Participants |
|
| Age, Customized | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | All patients in the population were of Indian origin, in accord with the location where the study was being caried out | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| HbA1c (%) | Mean | Standard Deviation | % |
|
| Body weight (kg) | Mean | Standard Deviation | kg |
|
| BMI (kg/m2) | Mean | Standard Deviation | kg/m2 |
|
| Fasting plasma glucose (mg/dL) | Mean | Standard Deviation | mg/dL |
|
| OG002 |
| 300iu |
Capsule containing 300iu recombinant human insulin administered two times per day Oral insulin: Capsule administered by mouth with a glass of water two times per day, once before breakfast and once before supper |
|
|
|
| Secondary | Change in Fasting Plasma Glucose | Change in Fasting Plasma Glucose Relative to Baseline at Start of Study | Posted | Mean | Standard Deviation | mg/dL | 12 weeks |
|
|
|
|
| Secondary | Change in Post-Prandial Glucose | Change in Post-Prandial Glucose Relative to Baseline at Start of study | Posted | Mean | Standard Deviation | mg/dL | 12 weeks |
|
|
|
| Secondary | Changes in Triglycerides | Change in Triglycerides Relative to Baseline at Start of Study | Posted | Least Squares Mean | Standard Error | mg/dL | 12 weeks |
|
|
|
|
| 0 |
| 33 |
| 0 |
| 33 |
| 0 |
| 33 |
| EG001 | 150iu | Capsule containing 150iu recombinant human insulin administered two times per day Oral insulin: Capsule administered by mouth with a glass of water two times per day, once before breakfast and once before supper | 0 | 29 | 0 | 29 | 0 | 29 |
| EG002 | 300iu | Capsule containing 300iu recombinant human insulin administered two times per day Oral insulin: Capsule administered by mouth with a glass of water two times per day, once before breakfast and once before supper | 0 | 38 | 0 | 38 | 0 | 38 |
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| D006728 |
| Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |