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A Trial to Compare Post Prandial Blood Glucose Control of BioChaperone® Combo With Humalog® Mix25 and With Simultaneous Injections of Humalog® and Lantus® in Subjects With Type 2 Diabetes

Primary Purpose

Type 2 Diabetes Mellitus

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
BioChaperone® Combo
Humalog® Mix25
Humalog®
Lantus®
Placebo
Sponsored by
Adocia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female subject aged 18-70 years (both inclusive)
  • Type 2 diabetes mellitus (as diagnosed clinically) for ≥ 12 months
  • HbA1c level between 7.5% and 9.5% (both inclusive)
  • Body mass index between 20.0 and 40.0 kg/m2 (both inclusive)
  • Treated with once daily injections with insulin glargine U-100 for ≥ 3 months prior to screening

Exclusion Criteria:

  • Type 1 diabetes mellitus
  • Known or suspected allergy to the IMPs or related products
  • Previous participation in this trial. Participation is defined as randomised.
  • Receipt of any medicinal product in clinical development within 60 days prior to this trial.
  • Clinically significant abnormal haematology, biochemistry, urinalysis or coagulation screening tests, as judged by the Investigator considering the underlying disease
  • Supine blood pressure at screening outside the range of 90-160 mmHg for systolic or 50-95 mmHg for diastolic and/or resting supine heart rate outside the range 50-90 beats per minute. This exclusion criterion also pertains to subjects being on antihypertensives.
  • Current treatment with premixed or intermediate insulin products, or with long acting insulins other than insulin glargine U-100. The use of short or rapid acting prandial insulin products will be allowed provided their use has been stable for ≥ 3 months prior to screening.
  • Use of GLP-1 receptor agonists or oral antidiabetic drugs (OADs) other than stable intake of metformin alone or metformin in combination with a DPP-4 inhibitor within 4 weeks prior to screening
  • Women of child bearing potential not willing to use contraceptive methods.

Sites / Locations

  • Profil Mainz GmbH & Co.KG
  • Profil GmbH

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Active Comparator

Arm Label

BioChaperone® Combo

Humalog® Mix25

Humalog® and Lantus®

Arm Description

Individualised single subcutaneous of BioChaperone® Combo + injection of placebo (0.9% NaCl) to ensure the double dummy

Individualised single subcutaneous of Humalog® Mix25 + injection of placebo (0.9% NaCl) to ensure the double dummy

Individualised simultaneous subcutaneous injections

Outcomes

Primary Outcome Measures

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

Secondary Outcome Measures

Partial delta AUCs BG and total AUCs BG
Partial incremental AUCs BG and total AUCs BG in the 0-6 time range
Mean and mean change from baseline of blood glucose at different time points
Delta BGmax and delta BGmin
Maximum and minimum blood glucose excursions after a standardised meal
BGmax and BGmin
Maximum and minimum blood glucose concentrations after a standardised meal
AUC Insulin
Partial areas under the insulins plasma concentration time curve
Cmax Insulin
Maximum observed plasma insulins concentration
tmax Insulin
Time to maximum observed plasma insulins concentration
Adverse Events
Local tolerability
Hypoglycaemic events

Full Information

First Posted
September 21, 2016
Last Updated
June 28, 2017
Sponsor
Adocia
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1. Study Identification

Unique Protocol Identification Number
NCT02915250
Brief Title
A Trial to Compare Post Prandial Blood Glucose Control of BioChaperone® Combo With Humalog® Mix25 and With Simultaneous Injections of Humalog® and Lantus® in Subjects With Type 2 Diabetes
Official Title
A Randomised, Double-blind, Double-dummy, Three-period Cross-over Trial to Compare Post Prandial Blood Glucose Control of BioChaperone® Combo With Humalog® Mix25 and With Simultaneous Injections of Humalog® and Lantus® in Subjects With Type 2 Diabetes
Study Type
Interventional

2. Study Status

Record Verification Date
June 2017
Overall Recruitment Status
Completed
Study Start Date
October 2016 (Actual)
Primary Completion Date
June 2017 (Actual)
Study Completion Date
June 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Adocia

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
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.
Detailed Description
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes Mellitus

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
36 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BioChaperone® Combo
Arm Type
Experimental
Arm Description
Individualised single subcutaneous of BioChaperone® Combo + injection of placebo (0.9% NaCl) to ensure the double dummy
Arm Title
Humalog® Mix25
Arm Type
Active Comparator
Arm Description
Individualised single subcutaneous of Humalog® Mix25 + injection of placebo (0.9% NaCl) to ensure the double dummy
Arm Title
Humalog® and Lantus®
Arm Type
Active Comparator
Arm Description
Individualised simultaneous subcutaneous injections
Intervention Type
Drug
Intervention Name(s)
BioChaperone® Combo
Intervention Description
Injection of BioChaperone® Combo
Intervention Type
Drug
Intervention Name(s)
Humalog® Mix25
Intervention Description
Injection of Humalog® Mix25
Intervention Type
Drug
Intervention Name(s)
Humalog®
Intervention Description
Injection of Humalog®
Intervention Type
Drug
Intervention Name(s)
Lantus®
Intervention Description
Injection of Lantus®
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Injection of 0.9% NaCl
Primary Outcome Measure Information:
Title
Delta AUC BG 0-2h (area under the blood glucose concentration-time curve)
Description
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
Time Frame
From 0 to 2 hours
Secondary Outcome Measure Information:
Title
Partial delta AUCs BG and total AUCs BG
Description
Partial incremental AUCs BG and total AUCs BG in the 0-6 time range
Time Frame
From 0 to 6 hours
Title
Mean and mean change from baseline of blood glucose at different time points
Time Frame
From 0 to 6 hours
Title
Delta BGmax and delta BGmin
Description
Maximum and minimum blood glucose excursions after a standardised meal
Time Frame
From 0 to 6 hours
Title
BGmax and BGmin
Description
Maximum and minimum blood glucose concentrations after a standardised meal
Time Frame
From 0 to 6 hours
Title
AUC Insulin
Description
Partial areas under the insulins plasma concentration time curve
Time Frame
From 0 to 24 hours
Title
Cmax Insulin
Description
Maximum observed plasma insulins concentration
Time Frame
From 0 to 6 hours
Title
tmax Insulin
Description
Time to maximum observed plasma insulins concentration
Time Frame
From 0 to 6 hours
Title
Adverse Events
Time Frame
Up to 12 weeks (maximum duration of subject's participation)
Title
Local tolerability
Time Frame
Up to 12 weeks (maximum duration of subject's participation)
Title
Hypoglycaemic events
Time Frame
Up to 12 weeks (maximum duration of subject's participation)

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: Male or female subject aged 18-70 years (both inclusive) Type 2 diabetes mellitus (as diagnosed clinically) for ≥ 12 months HbA1c level between 7.5% and 9.5% (both inclusive) Body mass index between 20.0 and 40.0 kg/m2 (both inclusive) Treated with once daily injections with insulin glargine U-100 for ≥ 3 months prior to screening Exclusion Criteria: Type 1 diabetes mellitus Known or suspected allergy to the IMPs or related products Previous participation in this trial. Participation is defined as randomised. Receipt of any medicinal product in clinical development within 60 days prior to this trial. Clinically significant abnormal haematology, biochemistry, urinalysis or coagulation screening tests, as judged by the Investigator considering the underlying disease Supine blood pressure at screening outside the range of 90-160 mmHg for systolic or 50-95 mmHg for diastolic and/or resting supine heart rate outside the range 50-90 beats per minute. This exclusion criterion also pertains to subjects being on antihypertensives. Current treatment with premixed or intermediate insulin products, or with long acting insulins other than insulin glargine U-100. The use of short or rapid acting prandial insulin products will be allowed provided their use has been stable for ≥ 3 months prior to screening. Use of GLP-1 receptor agonists or oral antidiabetic drugs (OADs) other than stable intake of metformin alone or metformin in combination with a DPP-4 inhibitor within 4 weeks prior to screening Women of child bearing potential not willing to use contraceptive methods.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Leona Plum-Mörschel, MD
Organizational Affiliation
Profil Mainz GmbH & Co KG
Official's Role
Principal Investigator
Facility Information:
Facility Name
Profil Mainz GmbH & Co.KG
City
Mainz
ZIP/Postal Code
55116
Country
Germany
Facility Name
Profil GmbH
City
Neuss
ZIP/Postal Code
41460
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Trial to Compare Post Prandial Blood Glucose Control of BioChaperone® Combo With Humalog® Mix25 and With Simultaneous Injections of Humalog® and Lantus® in Subjects With Type 2 Diabetes

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