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Effect of Different Fixed Pramlintide:Insulin Dose Ratios on Postprandial Glucose in T1DM

Primary Purpose

Type 1 Diabetes

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Pramlintide acetate
Placebo
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 1 Diabetes focused on measuring Pramlintide,, insulin,, type 1 diabetes,, reduction in postprandial glucose,, pramlintide:insulin dose-ratio

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Is 18 to 70 years old
  • Is male, or is female and meets all the following criteria:

    1. Not breastfeeding
    2. Negative pregnancy test result and, if of childbearing potential, must practice and be willing to continue to practice appropriate birth control
  • Has been diagnosed with type 1 diabetes mellitus for at least 1 year and not achieving glycemic goal while on MDI of insulin
  • Has HbA1c between 7.0% and 9.0%
  • Has been on MDI of regular insulin, at a dose not to exceed 10 units/breakfast for at least 3 months or has been on continuous subcutaneous insulin infusion (CSII), at a dose not to exceed 10 units/breakfast, for at least 3 months and is willing to switch to an MDI insulin regimen for 1 day prior to enrollment and through the study
  • Has a body mass index (BMI) <30 kg/m2

Exclusion Criteria:

  • Has experienced recurrent severe hypoglycemia requiring assistance within 6 months before Visit 1 Screening
  • Has a history of hypoglycemia unawareness
  • Has a confirmed diagnosis of gastroparesis
  • Has been treated, is currently being treated, or is expected to require or undergo treatment with the following medications:

    1. Any antihyperglycemic agent other than insulin
    2. Drugs that directly affect gastrointestinal motility (e.g., anticholinergic agents such as atropine)
    3. Drugs that slow the intestinal absorption of nutrients (e.g., α-glucosidase inhibitors.
  • Has a clinically significant medical condition that could potentially affect study participation and/or personal well-being, as judged by the investigator, including but not limited to the following conditions:

    1. Hepatic disease
    2. Renal disease
    3. Gastrointestinal disease
    4. Pulmonary disease
    5. Organ transplantation
    6. Chronic infection (e.g., tuberculosis, human immunodeficiency virus, hepatitis B virus, or hepatitis C virus)
  • Is currently treated or has been previously treated with SYMLIN/pramlintide or has participated in a SYMLIN/pramlintide clinical study within 3 months of Visit 1 (Screening).
  • Has any clinically significant laboratory findings or medical history that may affect successful completion of the study and/or personal well-being
  • Has donated blood within 2 months or is planning to donate blood during the study.
  • Has had a major surgery or a blood transfusion within 2 months
  • Has received any investigational drug within 1 month
  • Has known allergies or hypersensitivity to any component of study treatment.
  • Is an immediate family member of personnel directly affiliated with the study at the clinical study site, or is directly affiliated with the study at the clinical study site.
  • Is employed by Amylin Pharmaceuticals, Inc (Amylin) (that is an employee, temporary contract worker, or designee responsible for the conduct of the study).

Sites / Locations

  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Pramlintide 6 mcg per unit of insulin dose

Pramlintide 9 mcg per unit of insulin dose

Pramlintide 12 mcg per unit of insulin dose

Placebo

Arm Description

The pramlintide dose will be calculated based on the subjects' individual insulin units. Dose ratio to be examined is pramlintide 6 mcg for each unit of insulin.

The pramlintide dose will be calculated based on the subjects' individual insulin units. Dose ratio to be examined is pramlintide 9 mcg for each unit of insulin.

The pramlintide dose will be calculated based on the subjects' individual insulin units. Dose ratio to be examined is pramlintide 12 mcg for each unit of insulin.

Outcomes

Primary Outcome Measures

Incremental area under the concentration-time curve (AUC(0-3 h)) of plasma glucose concentrations for each treatment

Secondary Outcome Measures

Incremental AUC (0-3 h) of plasma glucagon
Absolute AUC (0-3 h), peak plasma concentration (Cmax), Cave, and Tmax of glucagon of plasma glucose.
PK of pramlintide
Safety

Full Information

First Posted
October 12, 2012
Last Updated
October 17, 2014
Sponsor
AstraZeneca
Collaborators
Juvenile Diabetes Research Foundation
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1. Study Identification

Unique Protocol Identification Number
NCT01708044
Brief Title
Effect of Different Fixed Pramlintide:Insulin Dose Ratios on Postprandial Glucose in T1DM
Official Title
A Phase 1, Randomized, Placebo-Controlled Single-Blind, Dose-Ranging, 4-Way Crossover Study to Evaluate the Effect of Different Fixed Pramlintide: Insulin Dose Ratios on Postprandial Glycemic Control in Subjects With Type 1 Diabetes Mellitus
Study Type
Interventional

2. Study Status

Record Verification Date
October 2014
Overall Recruitment Status
Completed
Study Start Date
November 2012 (undefined)
Primary Completion Date
September 2013 (Actual)
Study Completion Date
September 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AstraZeneca
Collaborators
Juvenile Diabetes Research Foundation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To examine the effects of different fixed pramlintide:insulin dose ratios in subjects with type 1 diabetes on postprandial plasma glucose concentrations

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 1 Diabetes
Keywords
Pramlintide,, insulin,, type 1 diabetes,, reduction in postprandial glucose,, pramlintide:insulin dose-ratio

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
Participant
Allocation
Randomized
Enrollment
32 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Pramlintide 6 mcg per unit of insulin dose
Arm Type
Experimental
Arm Description
The pramlintide dose will be calculated based on the subjects' individual insulin units. Dose ratio to be examined is pramlintide 6 mcg for each unit of insulin.
Arm Title
Pramlintide 9 mcg per unit of insulin dose
Arm Type
Experimental
Arm Description
The pramlintide dose will be calculated based on the subjects' individual insulin units. Dose ratio to be examined is pramlintide 9 mcg for each unit of insulin.
Arm Title
Pramlintide 12 mcg per unit of insulin dose
Arm Type
Experimental
Arm Description
The pramlintide dose will be calculated based on the subjects' individual insulin units. Dose ratio to be examined is pramlintide 12 mcg for each unit of insulin.
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Pramlintide acetate
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo Comparator
Primary Outcome Measure Information:
Title
Incremental area under the concentration-time curve (AUC(0-3 h)) of plasma glucose concentrations for each treatment
Time Frame
AUC 0-3 hrs compared to Placebo
Secondary Outcome Measure Information:
Title
Incremental AUC (0-3 h) of plasma glucagon
Time Frame
0-3 hrs compared to Placebo
Title
Absolute AUC (0-3 h), peak plasma concentration (Cmax), Cave, and Tmax of glucagon of plasma glucose.
Time Frame
0-3 hrs compared to Placebo
Title
PK of pramlintide
Time Frame
0-3 hrs compared to Placebo
Title
Safety
Time Frame
0-3 hrs compared to Placebo

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Is 18 to 70 years old Is male, or is female and meets all the following criteria: Not breastfeeding Negative pregnancy test result and, if of childbearing potential, must practice and be willing to continue to practice appropriate birth control Has been diagnosed with type 1 diabetes mellitus for at least 1 year and not achieving glycemic goal while on MDI of insulin Has HbA1c between 7.0% and 9.0% Has been on MDI of regular insulin, at a dose not to exceed 10 units/breakfast for at least 3 months or has been on continuous subcutaneous insulin infusion (CSII), at a dose not to exceed 10 units/breakfast, for at least 3 months and is willing to switch to an MDI insulin regimen for 1 day prior to enrollment and through the study Has a body mass index (BMI) <30 kg/m2 Exclusion Criteria: Has experienced recurrent severe hypoglycemia requiring assistance within 6 months before Visit 1 Screening Has a history of hypoglycemia unawareness Has a confirmed diagnosis of gastroparesis Has been treated, is currently being treated, or is expected to require or undergo treatment with the following medications: Any antihyperglycemic agent other than insulin Drugs that directly affect gastrointestinal motility (e.g., anticholinergic agents such as atropine) Drugs that slow the intestinal absorption of nutrients (e.g., α-glucosidase inhibitors. Has a clinically significant medical condition that could potentially affect study participation and/or personal well-being, as judged by the investigator, including but not limited to the following conditions: Hepatic disease Renal disease Gastrointestinal disease Pulmonary disease Organ transplantation Chronic infection (e.g., tuberculosis, human immunodeficiency virus, hepatitis B virus, or hepatitis C virus) Is currently treated or has been previously treated with SYMLIN/pramlintide or has participated in a SYMLIN/pramlintide clinical study within 3 months of Visit 1 (Screening). Has any clinically significant laboratory findings or medical history that may affect successful completion of the study and/or personal well-being Has donated blood within 2 months or is planning to donate blood during the study. Has had a major surgery or a blood transfusion within 2 months Has received any investigational drug within 1 month Has known allergies or hypersensitivity to any component of study treatment. Is an immediate family member of personnel directly affiliated with the study at the clinical study site, or is directly affiliated with the study at the clinical study site. Is employed by Amylin Pharmaceuticals, Inc (Amylin) (that is an employee, temporary contract worker, or designee responsible for the conduct of the study).
Facility Information:
Facility Name
Research Site
City
Portland
State/Province
Oregon
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
26040429
Citation
Riddle MC, Yuen KC, de Bruin TW, Herrmann K, Xu J, Ohman P, Kolterman OG. Fixed ratio dosing of pramlintide with regular insulin before a standard meal in patients with type 1 diabetes. Diabetes Obes Metab. 2015 Sep;17(9):904-7. doi: 10.1111/dom.12504. Epub 2015 Jul 8.
Results Reference
derived
Links:
URL
http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_MED_7111&studyid=2632&filename=ABA163_D5570C0001_CSR_Synopsis_Final_2014_08_27.pdf
Description
ABA163_D5570C0001_CSR Synopsis

Learn more about this trial

Effect of Different Fixed Pramlintide:Insulin Dose Ratios on Postprandial Glucose in T1DM

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