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Assessment of the Safety of SAR342434 and Humalog® When Administered as Continuous Subcutaneous Insulin Infusion

Primary Purpose

Type 1 Diabetes Mellitus

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
SAR342434
insulin lispro
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 1 Diabetes Mellitus

Eligibility Criteria

19 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria :

  • Male and female subjects above the age of 18.
  • Patients with type 1 diabetes mellitus for at least 1 year prior to the screening visit.
  • At least 1 year of insulin treatment with at least 6 months of continuous subcutaneous insulin infusion (CSII) treatment with an external insulin pump.
  • Signed written informed consent.

Exclusion criteria:

  • HbA1c ≥8.5% at screening.
  • Diabetes other than type 1 diabetes mellitus.
  • History of abscess at the infusion site within 3 months prior to the screening visit (Visit 1).
  • Use of oral glucose-lowering agents or any injectable glucose-lowering agents other than insulin during the 3 months before screening.
  • Hospitalization for diabetic ketoacidosis (DKA) in the last 6 months before screening visit.
  • Hypoglycemic unawareness as judged by the Investigator in the last 6 months before the screening visit.
  • History of severe hypoglycemia requiring treatment by emergency room admission or hospitalization in the last 6 months before screening visit.
  • Any clinically significant abnormality identified on physical examination, laboratory tests, or vital signs at the time of screening that in the judgment of the investigator or any sub investigator would preclude safe completion of the study.
  • Known history of drug or alcohol abuse within 6 months prior to the time of screening.
  • Use of investigational drug(s) within 3 months or 5 half-lives, whichever is longer, prior to the screening visit.
  • Patients who had previously received SAR342434 in any other clinical trial.
  • Pregnancy and lactation: Women of child bearing potential (WOCPB) (premenopausal, not surgically sterile for at least 3 months prior to the time of screening) not using highly effective (ie, with low failure rate <1% per year) method(s) of birth control throughout the study and/or unwilling to be tested for pregnancy.
  • Any contraindication to the use of Humalog as defined in the national product labels; history of hypersensitivity to Humalog or to any of the excipients.
  • Patients is an employee or relative of an employee of the Sponsor.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number 840002
  • Investigational Site Number 840001

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

SAR342434/Humalog

Humalog/SAR342434

Arm Description

SAR342434 and Humalog will be self-administered subcutaneously via insulin pump. The dose will be individually titrated and administered in a basal and bolus fashion.

Humalog and SAR342434 will be self-administered subcutaneously via insulin pump. The dose will be individually titrated and administered in a basal and bolus fashion.

Outcomes

Primary Outcome Measures

Frequency of infusion set occlusions

Secondary Outcome Measures

Number of infusion set changes in each treatment period
Number of insulin pump alarms for infusion set occlusions
Number of adverse events

Full Information

First Posted
November 10, 2015
Last Updated
May 18, 2016
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT02603510
Brief Title
Assessment of the Safety of SAR342434 and Humalog® When Administered as Continuous Subcutaneous Insulin Infusion
Official Title
A Randomized, 2X4 Week, Active-Controlled, Open-Label, 2-Treatment Arm, 2-Period Cross-Over Study Assessing the Safety of SAR342434 and Humalog® Used in Continuous Subcutaneous Insulin Infusion (CSII) in Adult Patients With Type 1 Diabetes Mellitus (T1DM)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2016
Overall Recruitment Status
Completed
Study Start Date
November 2015 (undefined)
Primary Completion Date
April 2016 (Actual)
Study Completion Date
April 2016 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Primary Objective: Assess the safety of SAR342434 and Humalog when used in external pumps. Secondary Objectives: Intervals for infusion set changes. Incidence of insulin pump alarms for infusion set occlusion. Patient observation of infusion set occlusion. Adverse events including bruising at the infusion site and injection site reactions.
Detailed Description
The study duration for each patient will be approximately 10 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 1 Diabetes Mellitus

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
27 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SAR342434/Humalog
Arm Type
Experimental
Arm Description
SAR342434 and Humalog will be self-administered subcutaneously via insulin pump. The dose will be individually titrated and administered in a basal and bolus fashion.
Arm Title
Humalog/SAR342434
Arm Type
Experimental
Arm Description
Humalog and SAR342434 will be self-administered subcutaneously via insulin pump. The dose will be individually titrated and administered in a basal and bolus fashion.
Intervention Type
Drug
Intervention Name(s)
SAR342434
Intervention Description
Pharmaceutical form:solution Route of administration: subcutaneous
Intervention Type
Drug
Intervention Name(s)
insulin lispro
Other Intervention Name(s)
Humalog
Intervention Description
Pharmaceutical form:solution Route of administration: subcutaneous
Primary Outcome Measure Information:
Title
Frequency of infusion set occlusions
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
Number of infusion set changes in each treatment period
Time Frame
4 weeks
Title
Number of insulin pump alarms for infusion set occlusions
Time Frame
4 weeks
Title
Number of adverse events
Time Frame
4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria : Male and female subjects above the age of 18. Patients with type 1 diabetes mellitus for at least 1 year prior to the screening visit. At least 1 year of insulin treatment with at least 6 months of continuous subcutaneous insulin infusion (CSII) treatment with an external insulin pump. Signed written informed consent. Exclusion criteria: HbA1c ≥8.5% at screening. Diabetes other than type 1 diabetes mellitus. History of abscess at the infusion site within 3 months prior to the screening visit (Visit 1). Use of oral glucose-lowering agents or any injectable glucose-lowering agents other than insulin during the 3 months before screening. Hospitalization for diabetic ketoacidosis (DKA) in the last 6 months before screening visit. Hypoglycemic unawareness as judged by the Investigator in the last 6 months before the screening visit. History of severe hypoglycemia requiring treatment by emergency room admission or hospitalization in the last 6 months before screening visit. Any clinically significant abnormality identified on physical examination, laboratory tests, or vital signs at the time of screening that in the judgment of the investigator or any sub investigator would preclude safe completion of the study. Known history of drug or alcohol abuse within 6 months prior to the time of screening. Use of investigational drug(s) within 3 months or 5 half-lives, whichever is longer, prior to the screening visit. Patients who had previously received SAR342434 in any other clinical trial. Pregnancy and lactation: Women of child bearing potential (WOCPB) (premenopausal, not surgically sterile for at least 3 months prior to the time of screening) not using highly effective (ie, with low failure rate <1% per year) method(s) of birth control throughout the study and/or unwilling to be tested for pregnancy. Any contraindication to the use of Humalog as defined in the national product labels; history of hypersensitivity to Humalog or to any of the excipients. Patients is an employee or relative of an employee of the Sponsor. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 840002
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Facility Name
Investigational Site Number 840001
City
Denver
State/Province
Colorado
ZIP/Postal Code
80262
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
29359575
Citation
Thrasher J, Surks H, Nowotny I, Pierre S, Rotthaeuser B, Wernicke-Panten K, Garg S. Safety of Insulin Lispro and a Biosimilar Insulin Lispro When Administered Through an Insulin Pump. J Diabetes Sci Technol. 2018 May;12(3):680-686. doi: 10.1177/1932296817753644. Epub 2018 Jan 23.
Results Reference
derived

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Assessment of the Safety of SAR342434 and Humalog® When Administered as Continuous Subcutaneous Insulin Infusion

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