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An Open Label, Multi-Center, Randomized, Parallel Group Study Comparing the Efficacy and Safety of Insulin VIAject™ and Regular Human Insulin in Patients With Type 1 Diabetes Mellitus

Primary Purpose

Type 1 Diabetes Mellitus

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
VIAject™
Regular Human Insulin
Sponsored by
Biodel
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 1 Diabetes Mellitus focused on measuring Insulin, Diabetes Mellitus type I, Juvenile diabetes

Eligibility Criteria

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

Inclusion Criteria:

Male or female patients with type 1 diabetes must present with the following:

  • Established diagnosis of type 1 diabetes for more than 1 year.
  • HbA1c values of not more than 10.5%.
  • Three months on a stable insulin regimen that meets the current standard of care and that includes at least two daily insulin injections.
  • Age: 18 to 70 years.
  • Body Mass Index: 18 - 38 Kg/m2.

Exclusion Criteria:

Patients presenting with any of the following will not be included in the study:

  • Type 2 diabetes mellitus as determined by the investigator.
  • History of frequent severe hypoglycemia within the prior six months.
  • C-peptide > 1.0 ng/ml unless there is a documented history of ketoacidosis or a documented history of a positive anti GAD test.
  • History of known hypersensitivity to any of the components in the study medication.
  • History of severe or multiple allergies.
  • Treatment with investigational diabetes drug in the last 3 months or treatment with any other investigational drug in the last 30 days before study entry.
  • Current short-term treatment with systemic oral, injected, or inhaled corticosteroids. (inhaled corticosteroids may be allowed when the treatment is long-term).
  • Progressive disease likely to prove fatal.
  • History of malignancy within the past 5 years except for basal cell epithelioma.
  • Known significant hepatic disease or serum AST or ALT values ≥ 3 X upper limit of normal or bilirubin levels ≥ 1.5 X upper limit of normal.
  • Severe complications of diabetes mellitus including a history or finding of Stage III or IV diabetic retinopathy, proteinuria > 2+ by urine dipstick, serum creatinine of >1.8 mg/dl for males or >1.5 mg/dl for females, history of renal transplant, severe peripheral vascular disease which has resulted in an amputation, chronic foot ulcers claudication or absent pedal pulses.
  • Known history of autonomic neuropathy.
  • History of moderate to severe ketoacidosis within the 3 months preceding screening for the study.
  • Current drug or alcohol abuse, or a history which in the opinion of the Investigator will impair patient safety or protocol compliance.
  • Current significant cardiovascular, respiratory, gastrointestinal, hepatic, renal, neurological, psychiatric and/or hematological disease as evaluated by the Investigator.
  • Blood donation within the last 30 days.
  • A woman who is breast feeding.
  • Pregnant women or women intending to become pregnant during the study.
  • A sexually active woman of childbearing age not actively and consistently practicing birth control by using a medically accepted device or therapy.
  • Abnormal ECG, safety lab or physical examination results which, in the opinion of the investigator, render the participation of the patient in the study to be inappropriate or unsafe.
  • A history of lack of compliance with medical instructions, recent drug or alcohol abuse, or other reasons which, in the opinion of the investigator, render the participation of the patient in the study to be inappropriate or unsafe.
  • Current significant diseases of the adrenal gland, pituitary gland or thyroid at the discretion of the investigator.
  • Glomerular Filtration Rate < 40 ml/min.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    A

    B

    Arm Description

    VIAject™

    Regular Human Insulin

    Outcomes

    Primary Outcome Measures

    Change in HbA1c
    To evaluate the mean changes in hemoglobin A1c (HbA1c) from baseline to the end of the study in subjects with type 1 diabetes after treatment for 6 months with Viaject in comparison to the mean changes in HbA1c from baseline to end of study in subjects treated with regular human insulin (RHI).

    Secondary Outcome Measures

    Full Information

    First Posted
    October 5, 2007
    Last Updated
    July 30, 2015
    Sponsor
    Biodel
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00542724
    Brief Title
    An Open Label, Multi-Center, Randomized, Parallel Group Study Comparing the Efficacy and Safety of Insulin VIAject™ and Regular Human Insulin in Patients With Type 1 Diabetes Mellitus
    Official Title
    An Open Label, Multi-Center, Randomized, Parallel Group Study Comparing the Efficacy and Safety of Insulin VIAject™ and Regular Human Insulin in Patients With Type 1 Diabetes Mellitus
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    September 2006 (undefined)
    Primary Completion Date
    July 2008 (Actual)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

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

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to demonstrate equivalent blood glucose control in patients with type 1 diabetes mellitus with insulin VIAject™ and regular human insulin as prandial insulin and to demonstrate an equivalent safety profile for VIAject™ in comparison to regular human insulin.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Type 1 Diabetes Mellitus
    Keywords
    Insulin, Diabetes Mellitus type I, Juvenile diabetes

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    A
    Arm Type
    Experimental
    Arm Description
    VIAject™
    Arm Title
    B
    Arm Type
    Active Comparator
    Arm Description
    Regular Human Insulin
    Intervention Type
    Drug
    Intervention Name(s)
    VIAject™
    Intervention Description
    Dosage as individually required
    Intervention Type
    Drug
    Intervention Name(s)
    Regular Human Insulin
    Intervention Description
    Dosage as individually required
    Primary Outcome Measure Information:
    Title
    Change in HbA1c
    Description
    To evaluate the mean changes in hemoglobin A1c (HbA1c) from baseline to the end of the study in subjects with type 1 diabetes after treatment for 6 months with Viaject in comparison to the mean changes in HbA1c from baseline to end of study in subjects treated with regular human insulin (RHI).
    Time Frame
    6 months

    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 patients with type 1 diabetes must present with the following: Established diagnosis of type 1 diabetes for more than 1 year. HbA1c values of not more than 10.5%. Three months on a stable insulin regimen that meets the current standard of care and that includes at least two daily insulin injections. Age: 18 to 70 years. Body Mass Index: 18 - 38 Kg/m2. Exclusion Criteria: Patients presenting with any of the following will not be included in the study: Type 2 diabetes mellitus as determined by the investigator. History of frequent severe hypoglycemia within the prior six months. C-peptide > 1.0 ng/ml unless there is a documented history of ketoacidosis or a documented history of a positive anti GAD test. History of known hypersensitivity to any of the components in the study medication. History of severe or multiple allergies. Treatment with investigational diabetes drug in the last 3 months or treatment with any other investigational drug in the last 30 days before study entry. Current short-term treatment with systemic oral, injected, or inhaled corticosteroids. (inhaled corticosteroids may be allowed when the treatment is long-term). Progressive disease likely to prove fatal. History of malignancy within the past 5 years except for basal cell epithelioma. Known significant hepatic disease or serum AST or ALT values ≥ 3 X upper limit of normal or bilirubin levels ≥ 1.5 X upper limit of normal. Severe complications of diabetes mellitus including a history or finding of Stage III or IV diabetic retinopathy, proteinuria > 2+ by urine dipstick, serum creatinine of >1.8 mg/dl for males or >1.5 mg/dl for females, history of renal transplant, severe peripheral vascular disease which has resulted in an amputation, chronic foot ulcers claudication or absent pedal pulses. Known history of autonomic neuropathy. History of moderate to severe ketoacidosis within the 3 months preceding screening for the study. Current drug or alcohol abuse, or a history which in the opinion of the Investigator will impair patient safety or protocol compliance. Current significant cardiovascular, respiratory, gastrointestinal, hepatic, renal, neurological, psychiatric and/or hematological disease as evaluated by the Investigator. Blood donation within the last 30 days. A woman who is breast feeding. Pregnant women or women intending to become pregnant during the study. A sexually active woman of childbearing age not actively and consistently practicing birth control by using a medically accepted device or therapy. Abnormal ECG, safety lab or physical examination results which, in the opinion of the investigator, render the participation of the patient in the study to be inappropriate or unsafe. A history of lack of compliance with medical instructions, recent drug or alcohol abuse, or other reasons which, in the opinion of the investigator, render the participation of the patient in the study to be inappropriate or unsafe. Current significant diseases of the adrenal gland, pituitary gland or thyroid at the discretion of the investigator. Glomerular Filtration Rate < 40 ml/min.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    David C Klonoff, M.D., F.A.C.P.
    Organizational Affiliation
    Diabetes Research Institute
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    An Open Label, Multi-Center, Randomized, Parallel Group Study Comparing the Efficacy and Safety of Insulin VIAject™ and Regular Human Insulin in Patients With Type 1 Diabetes Mellitus

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