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Efficacy and Safety of Insulin Lispro Biphasic 25 Compared to Humalog® Mix 25 in Type 2 Diabetes Mellitus Patients

Primary Purpose

Diabetes Mellitus, Type 2, Diabetes Mellitus

Status
Completed
Phase
Phase 3
Locations
Russian Federation
Study Type
Interventional
Intervention
Humalog Mix25
Insulin Lispro Biphasic 25
Sponsored by
Geropharm
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetes Mellitus, Type 2 focused on measuring Diabetes Mellitus, Type 2, Lispro Biphasic, Insulin

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Signed written consent
  • Clinical diagnosis of type 2 diabetes mellitus for at least 6 months prior to screening
  • Glycosylated hemoglobin (HbA1c) level of 7.6 to 12.0 % at screening (both values inclusive)
  • Body mass index (BMI) of 18.0 to 35 kg/m2 at screening (both values inclusive)
  • Stable doses OADs for at least 3 months prior to treatment of experimental drug
  • Female patients of childbearing potential who are willing to use two acceptable methods of contraception, (e.g., intra-uterine device plus condom, spermicidal gel plus condom, diaphragm plus condom, etc.), from the time of screening and for the duration of the trial, through trial completion

Exclusion Criteria:

  • Acute inflammation disease for 3 weeks prior to screening
  • Deviation of the laboratory results conducted during the screening:

Hemoglobin value < 9,0 g/dl; Hematocrit value < 30 %; ALT and AST value > 2 folds as high as maximal normal value; Serum bilirubin value > 1.5 folds as high as maximal normal value

  • History of hematological disorders that can affect the reliability of HbA1c estimation (hemoglobinopathies, hemolytic anemia, etc.)
  • Serious blood loss for 3 months prior to screening (blood donation, surgery procedure, etc.)
  • Contraindication to the use of insulin Lispro Biphasic 25
  • Insulin resistance over 1.5 U/kg insulin pro day
  • Presence of insulin antibodies in the blood at the screening ˃10 U/ml
  • Use of 3 or more oral antidiabetic drugs (OAD)
  • Presence of severe diabetes complications
  • History or presence of uncontrolled diabetes mellitus for 6 months prior to screening
  • Deviation of vital signs, which can influence to results
  • History of administration of glucocorticoids for 1 year prior to screening
  • History of autoimmune disease, except controlled autoimmune thyroid disease
  • Pregnant and breast-feeding women
  • History of hypersensitivity to any of the active or inactive ingredients of the insulin/insulin analogue preparations used in the trial, OR history of significant allergic drug reactions
  • Administration of any immunosuppressive drugs (Cyclosporinum, Methotrexatum)
  • Incomplete recovery after surgery procedure

Sites / Locations

  • Chelyabinsk Railway Clinical Hospital
  • Railway Clinical Hospital N.A. Semashko
  • Endocrinology Research Centre (Moscow)
  • Moscow Endocrinological Dispensary
  • Nizhny Novgorod Regional Clinical Hospital
  • V.A. Baranov Republic Hospital
  • Rostov State Medical University
  • City Polyclinic № 77
  • City Hospital № 2
  • City Polyclinic № 117
  • City Polyclinic № 17
  • Institute of Medical Research
  • Research Center Eco-Safety
  • City Hospital №40
  • Pokrovskaya Municipal Hospital
  • Diabetes Center
  • Clinical City Hospital № 9
  • Siberian State Medical University

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Humalog® Mix 25

Insulin Lispro Biphasic 25

Arm Description

Insulin Humalog® Mix 25 twice daily, individually glucose-level based administered doses +/- 1 or 2 OADs in stable doses, started before enrollement

Insulin Lispro Biphasic 25 twice daily, individually glucose-level based administered doses +/- 1 or 2 OADs in stable doses, started before enrollement

Outcomes

Primary Outcome Measures

Antibody Response
Change from baseline in titer of antibodies to human insulin

Secondary Outcome Measures

Adverse Events frequency and degree
Hypoglycemic episodes (glucose level < 3.9 mmol/l) frequency Occurrence of local reactions at injection sites Occurrence allergic reactions
HbA1c
Change in HbA1c from baseline
Fasting Plasma Glucose Level
Change in fasting plasma glucose level from baseline
Seven-Point Glucose Testing
Change in seven-point glucose testing results from baseline
Insulin Dose
Change in total insulin dose per body weight (U/kg) from baseline
Body Mass Index
Change in BMI from baseline
Treatment Satisfaction
Change in overall treatment satisfaction (DTSQ score) from baseline

Full Information

First Posted
July 5, 2019
Last Updated
July 16, 2019
Sponsor
Geropharm
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1. Study Identification

Unique Protocol Identification Number
NCT04023344
Brief Title
Efficacy and Safety of Insulin Lispro Biphasic 25 Compared to Humalog® Mix 25 in Type 2 Diabetes Mellitus Patients
Official Title
An Open-label, Randomized, Multi-center, Parallel-group Clinical Trial Comparing the Efficacy and Safety of Insulin Lispro Biphasic 25 ("Geropharm", Russia) Humalog® Mix 25 ("Lilly France", France) in Type 2 Diabetes Mellitus Patients
Study Type
Interventional

2. Study Status

Record Verification Date
January 2019
Overall Recruitment Status
Completed
Study Start Date
March 14, 2018 (Actual)
Primary Completion Date
January 15, 2019 (Actual)
Study Completion Date
April 18, 2019 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The study is designed to approve non-inferior efficacy and safety of Insulin Lispro Biphasic 25 ("Geropharm") compared to Humalog® Mix 25 in Type 2 Diabetes Mellitus Patients.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
210 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Humalog® Mix 25
Arm Type
Active Comparator
Arm Description
Insulin Humalog® Mix 25 twice daily, individually glucose-level based administered doses +/- 1 or 2 OADs in stable doses, started before enrollement
Arm Title
Insulin Lispro Biphasic 25
Arm Type
Experimental
Arm Description
Insulin Lispro Biphasic 25 twice daily, individually glucose-level based administered doses +/- 1 or 2 OADs in stable doses, started before enrollement
Intervention Type
Drug
Intervention Name(s)
Humalog Mix25
Intervention Description
Subcutaneus injections Humalog® Mix 25 twice daily during 4 weeks of glucose-level based dose titration, 24 weeks of treatment with stable doses
Intervention Type
Drug
Intervention Name(s)
Insulin Lispro Biphasic 25
Intervention Description
Subcutaneus injections Insulin Lispro Biphasic 25 ("Geropharm") twice daily during 4 weeks of glucose-level based dose titration, 24 weeks of treatment with stable doses
Primary Outcome Measure Information:
Title
Antibody Response
Description
Change from baseline in titer of antibodies to human insulin
Time Frame
26 weeks
Secondary Outcome Measure Information:
Title
Adverse Events frequency and degree
Description
Hypoglycemic episodes (glucose level < 3.9 mmol/l) frequency Occurrence of local reactions at injection sites Occurrence allergic reactions
Time Frame
26 weeks (4+22 weeks)
Title
HbA1c
Description
Change in HbA1c from baseline
Time Frame
26 weeks
Title
Fasting Plasma Glucose Level
Description
Change in fasting plasma glucose level from baseline
Time Frame
26 weeks
Title
Seven-Point Glucose Testing
Description
Change in seven-point glucose testing results from baseline
Time Frame
26 weeks
Title
Insulin Dose
Description
Change in total insulin dose per body weight (U/kg) from baseline
Time Frame
26 weeks
Title
Body Mass Index
Description
Change in BMI from baseline
Time Frame
26 weeks
Title
Treatment Satisfaction
Description
Change in overall treatment satisfaction (DTSQ score) from baseline
Time Frame
26 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed written consent Clinical diagnosis of type 2 diabetes mellitus for at least 6 months prior to screening Glycosylated hemoglobin (HbA1c) level of 7.6 to 12.0 % at screening (both values inclusive) Body mass index (BMI) of 18.0 to 35 kg/m2 at screening (both values inclusive) Stable doses OADs for at least 3 months prior to treatment of experimental drug Female patients of childbearing potential who are willing to use two acceptable methods of contraception, (e.g., intra-uterine device plus condom, spermicidal gel plus condom, diaphragm plus condom, etc.), from the time of screening and for the duration of the trial, through trial completion Exclusion Criteria: Acute inflammation disease for 3 weeks prior to screening Deviation of the laboratory results conducted during the screening: Hemoglobin value < 9,0 g/dl; Hematocrit value < 30 %; ALT and AST value > 2 folds as high as maximal normal value; Serum bilirubin value > 1.5 folds as high as maximal normal value History of hematological disorders that can affect the reliability of HbA1c estimation (hemoglobinopathies, hemolytic anemia, etc.) Serious blood loss for 3 months prior to screening (blood donation, surgery procedure, etc.) Contraindication to the use of insulin Lispro Biphasic 25 Insulin resistance over 1.5 U/kg insulin pro day Presence of insulin antibodies in the blood at the screening ˃10 U/ml Use of 3 or more oral antidiabetic drugs (OAD) Presence of severe diabetes complications History or presence of uncontrolled diabetes mellitus for 6 months prior to screening Deviation of vital signs, which can influence to results History of administration of glucocorticoids for 1 year prior to screening History of autoimmune disease, except controlled autoimmune thyroid disease Pregnant and breast-feeding women History of hypersensitivity to any of the active or inactive ingredients of the insulin/insulin analogue preparations used in the trial, OR history of significant allergic drug reactions Administration of any immunosuppressive drugs (Cyclosporinum, Methotrexatum) Incomplete recovery after surgery procedure
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Aleksandr Yu Mayorov, MD
Organizational Affiliation
Endocrinology Research Centre
Official's Role
Principal Investigator
Facility Information:
Facility Name
Chelyabinsk Railway Clinical Hospital
City
Chelyabinsk
ZIP/Postal Code
454000
Country
Russian Federation
Facility Name
Railway Clinical Hospital N.A. Semashko
City
Moscow
ZIP/Postal Code
109386
Country
Russian Federation
Facility Name
Endocrinology Research Centre (Moscow)
City
Moscow
ZIP/Postal Code
117036
Country
Russian Federation
Facility Name
Moscow Endocrinological Dispensary
City
Moscow
ZIP/Postal Code
119034
Country
Russian Federation
Facility Name
Nizhny Novgorod Regional Clinical Hospital
City
Nizhny Novgorod
ZIP/Postal Code
603126
Country
Russian Federation
Facility Name
V.A. Baranov Republic Hospital
City
Petrozavodsk
ZIP/Postal Code
185000
Country
Russian Federation
Facility Name
Rostov State Medical University
City
Rostov-on-Don
ZIP/Postal Code
344022
Country
Russian Federation
Facility Name
City Polyclinic № 77
City
Saint Petersburg
ZIP/Postal Code
192177
Country
Russian Federation
Facility Name
City Hospital № 2
City
Saint Petersburg
ZIP/Postal Code
194354
Country
Russian Federation
Facility Name
City Polyclinic № 117
City
Saint Petersburg
ZIP/Postal Code
194358
Country
Russian Federation
Facility Name
City Polyclinic № 17
City
Saint Petersburg
ZIP/Postal Code
195176
Country
Russian Federation
Facility Name
Institute of Medical Research
City
Saint Petersburg
ZIP/Postal Code
196084
Country
Russian Federation
Facility Name
Research Center Eco-Safety
City
Saint Petersburg
ZIP/Postal Code
196143
Country
Russian Federation
Facility Name
City Hospital №40
City
Saint Petersburg
ZIP/Postal Code
197706
Country
Russian Federation
Facility Name
Pokrovskaya Municipal Hospital
City
Saint Petersburg
ZIP/Postal Code
199106
Country
Russian Federation
Facility Name
Diabetes Center
City
Samara
ZIP/Postal Code
443067
Country
Russian Federation
Facility Name
Clinical City Hospital № 9
City
Saratov
ZIP/Postal Code
410030
Country
Russian Federation
Facility Name
Siberian State Medical University
City
Tomsk
ZIP/Postal Code
634050
Country
Russian Federation

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
33355484
Citation
Mayorov AY, Mosikian AA, Alpenidze DN, Makarenko IE, Orlova VL, Lunev IS, Verbovaya MV, Zinnatulina BR, Khokhlov AL, Drai RV. Efficacy and safety of GP40021 insulin lispro biphasic compared with Humalog Mix 25 in Type 2 diabetes mellitus patients. J Comp Eff Res. 2021 Jan;10(1):55-66. doi: 10.2217/cer-2020-0064. Epub 2020 Dec 23.
Results Reference
derived

Learn more about this trial

Efficacy and Safety of Insulin Lispro Biphasic 25 Compared to Humalog® Mix 25 in Type 2 Diabetes Mellitus Patients

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