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A Study to Demonstrate Pharmacokinetic and Pharmacodynamic Biosimilarity Between HEC-Glargine and US-Lantus® in Healthy Male Volunteers

Primary Purpose

Type 1 Diabetes Mellitus, Type 2 Diabetes Mellitus

Status
Completed
Phase
Phase 1
Locations
South Africa
Study Type
Interventional
Intervention
HEC-Glargine
US-Lantus
Sponsored by
Lannett Company, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 1 Diabetes Mellitus focused on measuring pharmacokinetic, pharmacodynamic, euglycemic clamp technique, insulin glargine, biosimilarity study

Eligibility Criteria

18 Years - 55 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Participant has body weight not less than 60 kg and body mass index between 18.5 and 30.0 kg/m^2 (both inclusive).
  • Glycohemoglobin (HbA1c) levels are <6.0%.
  • Normal oral glucose tolerance test conducted within the previous 6 months
  • Medical history, vital signs, physical examination, standard 12-lead electrocardiogram (ECG) and laboratory investigations should be clinically acceptable or within laboratory reference ranges for the relevant laboratory tests
  • Non-smokers or mild to moderate smokers (≤ 10 cigarettes or pipes per day).

Exclusion Criteria:

  • Evidence of psychiatric disorder, antagonistic personality, poor motivation, emotional or intellectual problems likely to limit the validity of consent to participate in the study or limit the ability to comply with protocol requirements.
  • Current alcohol use >21 units of alcohol per week
  • Regular exposure to substances of abuse (other than alcohol) within the past year.
  • Use of any medication, prescribed or over-the-counter or herbal remedies
  • Participation in another study with an experimental drug, where the last administration of the previous study drug was within 12 weeks before administration of study drug in this study.
  • Treatment within the previous 3 months before the first administration of study drug with any drug with a well-defined potential for adversely affecting a major organ or system.
  • A major disease (i.e., a disease that could not be treated at home, but the subject had to be hospitalized or needed general anesthesia usually for a major operation) during the 3 months before commencement of the screening period.
  • Positive test for insulin antibodies.
  • History of bronchial asthma or any other bronchospastic disease, and/or convulsions, and/or porphyria.
  • Relevant history or laboratory or clinical findings indicative of acute or chronic disease, likely to influence study outcome.
  • Resting pulse of >100 beats per minute (bpm) or <40 bpm during the screening period, either supine or standing.
  • Hypertension diagnosed during screening or current diagnosis of hypertension.
  • Hemoglobin count deviating more than 10% of the lower limit of normal.
  • Clinically relevant abnormalities in the coagulation status.
  • History of bleeding disorders.
  • Veins unsuitable for venous blood collection and cannulation.
  • Any specific study drug safety concern.

Sites / Locations

  • FARMOVS Clinical Research Organization

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

HEC-Glargine Treatment A (Test)

US-Lantus Treatment B (Reference)

Arm Description

Subjects will receive single doses of Test Formulation HEC-Glargine on Day 1 of Treatment periods 1 and 2 followed by at least 7-21 days washout.

Subjects will receive single doses of Reference Formulation Lantus on Day 1 followed of Treatment periods 1 and 2 by at least 7-21 days washout.

Outcomes

Primary Outcome Measures

Area under the concentration-time curve from 0 hours to 24 hours (AUC0-24h) of M1
The Pharmacokinetics (PK) parameters of HEC-Glargine to the US-approved Lantus® insulin glargine injection (US-Lantus®) solution for SC injection to demonstrate PK similarity for insulin glargine and/or metabolite 21A-Gly-human insulin (M1) will be assessed.
Maximum observed plasma exogenous insulin glargine concentration (Cmax) of M1
The PK parameters of HEC-Glargine to the US-approved Lantus® insulin glargine injection (US-Lantus®) solution for SC injection to demonstrate PK similarity for insulin glargine and/or metabolite 21A-Gly-human insulin (M1) will be assessed.
Area under the Glucose infusion rate (GIR) -time curve (calculated as the exact area under the stepwise constant function) from 0 hours to 24 hours (GIRAUC0-24h)
The pharmacodynamics (PD) of HEC-Glargine to US-Lantus®, by means of GIR profiles after single SC dose will be assessed.
Maximum GIR (GIRmax)
The PD of HEC-Glargine to US-Lantus®, by means of GIR profiles after single SC dose will be assessed.

Secondary Outcome Measures

Area under the concentration-time curve from 0 hours to the last quantifiable concentration-time (AUC0-t)
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed. Also, AUC0-t will be evaluating the inter-subject and intra-subject variability of PK of HEC-Glargine in comparison to US-Lantus®, assessed by intra-subject coefficients of variation for primary PK parameters.
Area under the concentration-time curve from 0 hours to 6 hours (AUC0-6h)
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed.
Area under the concentration-time curve from 6 hours to 12 hours (AUC6-12h)
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed.
Area under the concentration-time curve from 0 hours to 12 hours (AUC0-12h)
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed.
Area under the concentration-time curve from 12 hours to 18 hours (AUC12-18h)
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed.
Area under the concentration-time curve from 18 hours to 24 hours (AUC18-24h)
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed.
Area under the concentration-time curve from 12 hours to 24 hours (AUC12-24h)
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed.
Time to maximum plasma exogenous insulin glargine concentration (Tmax)
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed.
Area under the concentration-time curve from 0 hours to the last quantifiable concentration-time extrapolated to infinity (AUC0-∞)
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed.
Area under the GIR-time curve for the time of a dosing interval (GIRAU0-t)
The PD parameters of HEC-Glargine, US-Lantus® will be assessed. Also, GIRAU0-t will be evaluating the inter-subject and intra-subject variability of PD of HEC-Glargine in comparison to US-Lantus®, assessed by intra-subject coefficients of variation for primary PD parameters.
Area under the GIR-time curve from 0 hours to end of clamp (GIRAUC0-end of clamp)
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Area under the GIR-time curve from 0 hours to the last quantifiable concentration-time with extrapolation to infinity (GIRAUC0-∞)
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Area under the GIR-time curve from 0 hours to 6 hours (GIRAUC0-6h)
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Area under the GIR-time curve from 6 hours to 12 hours (GIRAUC6-12h)
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Area under the GIR-time curve from 0 hours to 12 hours (GIRAUC0-12h)
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Area under the GIR-time curve from 12 hours to18 hours (GIRAUC12-18h)
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Area under the GIR-time curve from 18 hours to 24 hours (GIRAUC18-24h)
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Area under the GIR-time curve from 12 hours to 24 hours (GIRAUC12-24h)
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Time to maximum glucose infusion rate (TGIRmax)
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Total amount of glucose infused during clamp procedure (Gtot)
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Time to onset of action (TOA)
The TOA will be assessed for HEC-Glargine, US-Lantus® as PD parameters.
Maximum observed plasma exogenous insulin glargine concentration (Cmax)
The Cmax will be evaluating the inter-subject and intra-subject variability of PK of HEC-Glargine in comparison to US-Lantus®, assessed by intra-subject coefficients of variation for primary PK parameters.
Maximum GIR (GIRmax)
The GIRmax will be evaluating the inter-subject and intra-subject variability of PD of HEC-Glargine in comparison to US-Lantus®, assessed by intra-subject coefficients of variation for primary PD parameters.
Number of subjects with adverse events (AEs)
To assess safety and tolerability of the HEC-Glargine compared to US-Lantus® after single SC dose To assess safety and tolerability of the HEC-Glargine compared to US-Lantus® after single SC dose

Full Information

First Posted
January 24, 2022
Last Updated
September 13, 2022
Sponsor
Lannett Company, Inc.
Collaborators
Parexel, FARMOVS (Pty) Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05248841
Brief Title
A Study to Demonstrate Pharmacokinetic and Pharmacodynamic Biosimilarity Between HEC-Glargine and US-Lantus® in Healthy Male Volunteers
Official Title
A Single Center, Single-dose, Double-blind, Randomized, Two-period, Two-treatment, Two-sequence, Crossover Study to Demonstrate Pharmacokinetic and Pharmacodynamic Similarity Between HEC-Glargine and US-Lantus® Using the Euglycemic Clamp Technique in Healthy Male Adult Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Completed
Study Start Date
March 8, 2022 (Actual)
Primary Completion Date
August 31, 2022 (Actual)
Study Completion Date
August 31, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Lannett Company, Inc.
Collaborators
Parexel, FARMOVS (Pty) Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a phase 1 study to demonstrate pharmacokinetic and pharmacodynamic similarity between HEC-Glargine and US-Lantus® using the euglycemic clamp technique in healthy male adult volunteers.
Detailed Description
This will be a double-blind, single-dose, randomized, two-period, two-treatment, two-sequence crossover clamp study performed at a single study center. The study population consists of healthy adult male subjects. The study will comprise of: A screening period: maximum 28 days prior to first dose administration. Admission: Subjects will be admitted to the study center on Day -1 Two Treatment Periods (Treatment Periods 1 and 2): Subjects will be randomized to either of the 2 treatment sequences (AB or BA) on Day 1 of Treatment Period 1 to receive either test or reference product as per randomization schedule in a 1:1 ratio. Treatment A (Test Formulation): HEC-Glargine Treatment B (Reference Formulation): US-Lantus® On Day 1 of each Treatment Period, the study drug or reference product will be administered as a single morning dose to subjects in a fasting state. There will be a wash-out period of at least 7 calendar days. Each subject will receive both test and reference products in a crossover pattern over Treatment Periods 1 and 2.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 1 Diabetes Mellitus, Type 2 Diabetes Mellitus
Keywords
pharmacokinetic, pharmacodynamic, euglycemic clamp technique, insulin glargine, biosimilarity study

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
HEC-Glargine Treatment A (Test)
Arm Type
Experimental
Arm Description
Subjects will receive single doses of Test Formulation HEC-Glargine on Day 1 of Treatment periods 1 and 2 followed by at least 7-21 days washout.
Arm Title
US-Lantus Treatment B (Reference)
Arm Type
Active Comparator
Arm Description
Subjects will receive single doses of Reference Formulation Lantus on Day 1 followed of Treatment periods 1 and 2 by at least 7-21 days washout.
Intervention Type
Drug
Intervention Name(s)
HEC-Glargine
Intervention Description
Subjects will receive 0.5 IU/kg of HEC-Glargine subcutaneously as a single morning dose on Day 1.
Intervention Type
Drug
Intervention Name(s)
US-Lantus
Other Intervention Name(s)
Insulin glargine
Intervention Description
Subjects will receive 0.5 IU/kg of Lantus subcutaneously as a single morning dose on Day 1.
Primary Outcome Measure Information:
Title
Area under the concentration-time curve from 0 hours to 24 hours (AUC0-24h) of M1
Description
The Pharmacokinetics (PK) parameters of HEC-Glargine to the US-approved Lantus® insulin glargine injection (US-Lantus®) solution for SC injection to demonstrate PK similarity for insulin glargine and/or metabolite 21A-Gly-human insulin (M1) will be assessed.
Time Frame
Day 1 and Day 2
Title
Maximum observed plasma exogenous insulin glargine concentration (Cmax) of M1
Description
The PK parameters of HEC-Glargine to the US-approved Lantus® insulin glargine injection (US-Lantus®) solution for SC injection to demonstrate PK similarity for insulin glargine and/or metabolite 21A-Gly-human insulin (M1) will be assessed.
Time Frame
Day 1 and Day 2
Title
Area under the Glucose infusion rate (GIR) -time curve (calculated as the exact area under the stepwise constant function) from 0 hours to 24 hours (GIRAUC0-24h)
Description
The pharmacodynamics (PD) of HEC-Glargine to US-Lantus®, by means of GIR profiles after single SC dose will be assessed.
Time Frame
Day 1 and Day 2
Title
Maximum GIR (GIRmax)
Description
The PD of HEC-Glargine to US-Lantus®, by means of GIR profiles after single SC dose will be assessed.
Time Frame
Day 1 and Day 2
Secondary Outcome Measure Information:
Title
Area under the concentration-time curve from 0 hours to the last quantifiable concentration-time (AUC0-t)
Description
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed. Also, AUC0-t will be evaluating the inter-subject and intra-subject variability of PK of HEC-Glargine in comparison to US-Lantus®, assessed by intra-subject coefficients of variation for primary PK parameters.
Time Frame
Day 1 and Day 2
Title
Area under the concentration-time curve from 0 hours to 6 hours (AUC0-6h)
Description
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed.
Time Frame
Day 1 and Day 2
Title
Area under the concentration-time curve from 6 hours to 12 hours (AUC6-12h)
Description
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed.
Time Frame
Day 1 and Day 2
Title
Area under the concentration-time curve from 0 hours to 12 hours (AUC0-12h)
Description
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed.
Time Frame
Day 1 and Day 2
Title
Area under the concentration-time curve from 12 hours to 18 hours (AUC12-18h)
Description
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed.
Time Frame
Day 1 and Day 2
Title
Area under the concentration-time curve from 18 hours to 24 hours (AUC18-24h)
Description
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed.
Time Frame
Day 1 and Day 2
Title
Area under the concentration-time curve from 12 hours to 24 hours (AUC12-24h)
Description
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed.
Time Frame
Day 1 and Day 2
Title
Time to maximum plasma exogenous insulin glargine concentration (Tmax)
Description
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed.
Time Frame
Day 1 and Day 2
Title
Area under the concentration-time curve from 0 hours to the last quantifiable concentration-time extrapolated to infinity (AUC0-∞)
Description
The PK parameters of HEC-Glargine, US-Lantus®, and M1 will be assessed.
Time Frame
Day 1 and Day 2
Title
Area under the GIR-time curve for the time of a dosing interval (GIRAU0-t)
Description
The PD parameters of HEC-Glargine, US-Lantus® will be assessed. Also, GIRAU0-t will be evaluating the inter-subject and intra-subject variability of PD of HEC-Glargine in comparison to US-Lantus®, assessed by intra-subject coefficients of variation for primary PD parameters.
Time Frame
Day 1 and Day 2
Title
Area under the GIR-time curve from 0 hours to end of clamp (GIRAUC0-end of clamp)
Description
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Time Frame
Day 1 and Day 2
Title
Area under the GIR-time curve from 0 hours to the last quantifiable concentration-time with extrapolation to infinity (GIRAUC0-∞)
Description
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Time Frame
Day 1 and Day 2
Title
Area under the GIR-time curve from 0 hours to 6 hours (GIRAUC0-6h)
Description
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Time Frame
Day 1 and Day 2
Title
Area under the GIR-time curve from 6 hours to 12 hours (GIRAUC6-12h)
Description
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Time Frame
Day 1 and Day 2
Title
Area under the GIR-time curve from 0 hours to 12 hours (GIRAUC0-12h)
Description
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Time Frame
Day 1 and Day 2
Title
Area under the GIR-time curve from 12 hours to18 hours (GIRAUC12-18h)
Description
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Time Frame
Day 1 and Day 2
Title
Area under the GIR-time curve from 18 hours to 24 hours (GIRAUC18-24h)
Description
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Time Frame
Day 1 and Day 2
Title
Area under the GIR-time curve from 12 hours to 24 hours (GIRAUC12-24h)
Description
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Time Frame
Day 1 and Day 2
Title
Time to maximum glucose infusion rate (TGIRmax)
Description
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Time Frame
Day 1 and Day 2
Title
Total amount of glucose infused during clamp procedure (Gtot)
Description
The PD parameters of HEC-Glargine, US-Lantus® will be assessed.
Time Frame
Day 1 and Day 2
Title
Time to onset of action (TOA)
Description
The TOA will be assessed for HEC-Glargine, US-Lantus® as PD parameters.
Time Frame
Day 1 and Day 2
Title
Maximum observed plasma exogenous insulin glargine concentration (Cmax)
Description
The Cmax will be evaluating the inter-subject and intra-subject variability of PK of HEC-Glargine in comparison to US-Lantus®, assessed by intra-subject coefficients of variation for primary PK parameters.
Time Frame
Day 1 and Day 2
Title
Maximum GIR (GIRmax)
Description
The GIRmax will be evaluating the inter-subject and intra-subject variability of PD of HEC-Glargine in comparison to US-Lantus®, assessed by intra-subject coefficients of variation for primary PD parameters.
Time Frame
Day 1 and Day 2
Title
Number of subjects with adverse events (AEs)
Description
To assess safety and tolerability of the HEC-Glargine compared to US-Lantus® after single SC dose To assess safety and tolerability of the HEC-Glargine compared to US-Lantus® after single SC dose
Time Frame
Day -1 to within 7 Days of completion of the last period or early withdrawal (approximately 31 days)

10. Eligibility

Sex
Male
Gender Based
Yes
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Participant has body weight not less than 60 kg and body mass index between 18.5 and 30.0 kg/m^2 (both inclusive). Glycohemoglobin (HbA1c) levels are <6.0%. Normal oral glucose tolerance test conducted within the previous 6 months Medical history, vital signs, physical examination, standard 12-lead electrocardiogram (ECG) and laboratory investigations should be clinically acceptable or within laboratory reference ranges for the relevant laboratory tests Non-smokers or mild to moderate smokers (≤ 10 cigarettes or pipes per day). Exclusion Criteria: Evidence of psychiatric disorder, antagonistic personality, poor motivation, emotional or intellectual problems likely to limit the validity of consent to participate in the study or limit the ability to comply with protocol requirements. Current alcohol use >21 units of alcohol per week Regular exposure to substances of abuse (other than alcohol) within the past year. Use of any medication, prescribed or over-the-counter or herbal remedies Participation in another study with an experimental drug, where the last administration of the previous study drug was within 12 weeks before administration of study drug in this study. Treatment within the previous 3 months before the first administration of study drug with any drug with a well-defined potential for adversely affecting a major organ or system. A major disease (i.e., a disease that could not be treated at home, but the subject had to be hospitalized or needed general anesthesia usually for a major operation) during the 3 months before commencement of the screening period. Positive test for insulin antibodies. History of bronchial asthma or any other bronchospastic disease, and/or convulsions, and/or porphyria. Relevant history or laboratory or clinical findings indicative of acute or chronic disease, likely to influence study outcome. Resting pulse of >100 beats per minute (bpm) or <40 bpm during the screening period, either supine or standing. Hypertension diagnosed during screening or current diagnosis of hypertension. Hemoglobin count deviating more than 10% of the lower limit of normal. Clinically relevant abnormalities in the coagulation status. History of bleeding disorders. Veins unsuitable for venous blood collection and cannulation. Any specific study drug safety concern.
Facility Information:
Facility Name
FARMOVS Clinical Research Organization
City
Bloemfontein
State/Province
Free State
ZIP/Postal Code
9301
Country
South Africa

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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A Study to Demonstrate Pharmacokinetic and Pharmacodynamic Biosimilarity Between HEC-Glargine and US-Lantus® in Healthy Male Volunteers

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