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PK/PD Study of Intranasal Insulin in Type I Diabetes

Primary Purpose

Type 1 Diabetes

Status
Unknown status
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Insulin
Insulin
Insulin LISPRO
Sponsored by
Hompesch, Marcus, M.D.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 1 Diabetes focused on measuring intranasal insulin

Eligibility Criteria

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

Inclusion Criteria:

  1. Male and female subjects with type 1 diabetes between the ages of 18 and 65 years, inclusive.
  2. Type 1 diabetes clinically diagnosed ≥ 12 months.
  3. Treated with multiple daily insulin injections ≥ 12 months or an insulin pump.
  4. HbA1c ≤ 10 % by local laboratory analysis (one retest within a week is permitted with the result of the last test being conclusive).
  5. Fasting serum C-peptide ≤ 0.3 nmol/L.
  6. BMI between 18-28 kg/m², inclusive.
  7. Signed, written IRB-approved informed consent.

Exclusion Criteria:

  1. Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, oncologic, or neurologic (to include history of seizures) disease; hypoglycemic episodes; intercurrent illness (such as influenza); or allergic disease (including severe drug allergies, but excluding untreated, asymptomatic, seasonal allergies at time of dosing). Clinical significance to be determined by the PI.
  2. History of recent nose bleed, history of nasal polyps, nasal surgery other than cosmetic rhinoplasty or cauterization.
  3. As judged by the investigator, clinically significant findings in laboratory data. (Anemia with hematocrit less than 33% at screening is specifically exclusionary.)
  4. Clinically significant abnormal ECG at screening, as judged by the Investigator.
  5. Clinically significant abnormalities in vital signs at screening, as judged by the Investigator.
  6. Known allergy to trial product or any other ingredient in the study drug.
  7. Positive HIV 1 (human immunodeficiency virus) antibody test, hepatitis B (anti-HBsAg) or hepatitis C (anti-HCV) antibody test.
  8. History or evidence of alcohol or drug abuse within the past 3 years.
  9. History of deep leg vein thrombosis or a frequent appearance of deep leg vein thrombosis in 1st degree relatives (parents, siblings or children) as judged by the Investigator.
  10. Use of drugs that may interfere with the interpretation of study results or are known to cause clinically relevant interference with insulin action or glucose utilization.
  11. Blood donation or high volume phlebotomy, e.g., >500 mL, within 56 days before dosing.
  12. Participation in a study of any investigational drug or device 30 days before enrollment in this study.
  13. The subject is unfit for the study in the opinion of the investigator.
  14. Female of childbearing potential who is pregnant, breast-feeding or intends to become pregnant or is not using adequate contraceptive methods (adequate contraceptive measures include sterilization, hormonal intrauterine devices, oral contraceptives, sexual abstinence or vasectomized partner).

Sites / Locations

  • Profil Institute for Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

Nasal insulin 8 IU

Nasal insulin 16 IU

Subcutaneous insulin lispro 8 U

Arm Description

Nasal insulin at a dose estimated to be equivalent to 8 IU bioavailable insulin

Nasal insulin at a dose estimated to be equivalent to 16 IU bioavailable insulin

Subcutaneous insulin lispro (Humalog®) 8 U

Outcomes

Primary Outcome Measures

Insulin tolerability, PK, and PD
To assess safety and tolerability, and to compare the insulin AUC over 0-120 min for each of the three insulin applications.

Secondary Outcome Measures

Full Information

First Posted
September 13, 2010
Last Updated
June 15, 2011
Sponsor
Hompesch, Marcus, M.D.
Collaborators
Profil Institute for Clinical Research, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01201278
Brief Title
PK/PD Study of Intranasal Insulin in Type I Diabetes
Official Title
A Phase 1, Randomized, 3-Way Crossover, Investigator Initiated Proof-of-Concept Study to Investigate Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Properties of Two Doses of Intranasally Administered Regular Human Insulin Compared to a Single Dose of a Subcutaneously Injected Rapid Acting Insulin Analog (Humalog®) in Subjects With Type I Diabetes
Study Type
Interventional

2. Study Status

Record Verification Date
June 2011
Overall Recruitment Status
Unknown status
Study Start Date
undefined (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Hompesch, Marcus, M.D.
Collaborators
Profil Institute for Clinical Research, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is designed to compare the safety and tolerability of two different doses of intranasally administered regular human insulin with those of a single dose of the rapid-acting insulin analog lispro Humalog® after subcutaneous injection. In addition to safety and tolerability, various pharmacokinetic (PK) and pharmacodynamic (PD) parameters will be evaluated by means of the euglycemic glucose clamp technique.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Nasal insulin 8 IU
Arm Type
Experimental
Arm Description
Nasal insulin at a dose estimated to be equivalent to 8 IU bioavailable insulin
Arm Title
Nasal insulin 16 IU
Arm Type
Experimental
Arm Description
Nasal insulin at a dose estimated to be equivalent to 16 IU bioavailable insulin
Arm Title
Subcutaneous insulin lispro 8 U
Arm Type
Active Comparator
Arm Description
Subcutaneous insulin lispro (Humalog®) 8 U
Intervention Type
Drug
Intervention Name(s)
Insulin
Intervention Description
Nasal insulin at a dose estimated to be equivalent to 8 IU bioavailable insulin
Intervention Type
Drug
Intervention Name(s)
Insulin
Intervention Description
Nasal insulin at a dose estimated to be equivalent to 16 IU bioavailable insulin
Intervention Type
Drug
Intervention Name(s)
Insulin LISPRO
Intervention Description
Subcutaneous insulin lispro 8 U
Primary Outcome Measure Information:
Title
Insulin tolerability, PK, and PD
Description
To assess safety and tolerability, and to compare the insulin AUC over 0-120 min for each of the three insulin applications.
Time Frame
120 minutes

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: Male and female subjects with type 1 diabetes between the ages of 18 and 65 years, inclusive. Type 1 diabetes clinically diagnosed ≥ 12 months. Treated with multiple daily insulin injections ≥ 12 months or an insulin pump. HbA1c ≤ 10 % by local laboratory analysis (one retest within a week is permitted with the result of the last test being conclusive). Fasting serum C-peptide ≤ 0.3 nmol/L. BMI between 18-28 kg/m², inclusive. Signed, written IRB-approved informed consent. Exclusion Criteria: Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, oncologic, or neurologic (to include history of seizures) disease; hypoglycemic episodes; intercurrent illness (such as influenza); or allergic disease (including severe drug allergies, but excluding untreated, asymptomatic, seasonal allergies at time of dosing). Clinical significance to be determined by the PI. History of recent nose bleed, history of nasal polyps, nasal surgery other than cosmetic rhinoplasty or cauterization. As judged by the investigator, clinically significant findings in laboratory data. (Anemia with hematocrit less than 33% at screening is specifically exclusionary.) Clinically significant abnormal ECG at screening, as judged by the Investigator. Clinically significant abnormalities in vital signs at screening, as judged by the Investigator. Known allergy to trial product or any other ingredient in the study drug. Positive HIV 1 (human immunodeficiency virus) antibody test, hepatitis B (anti-HBsAg) or hepatitis C (anti-HCV) antibody test. History or evidence of alcohol or drug abuse within the past 3 years. History of deep leg vein thrombosis or a frequent appearance of deep leg vein thrombosis in 1st degree relatives (parents, siblings or children) as judged by the Investigator. Use of drugs that may interfere with the interpretation of study results or are known to cause clinically relevant interference with insulin action or glucose utilization. Blood donation or high volume phlebotomy, e.g., >500 mL, within 56 days before dosing. Participation in a study of any investigational drug or device 30 days before enrollment in this study. The subject is unfit for the study in the opinion of the investigator. Female of childbearing potential who is pregnant, breast-feeding or intends to become pregnant or is not using adequate contraceptive methods (adequate contraceptive measures include sterilization, hormonal intrauterine devices, oral contraceptives, sexual abstinence or vasectomized partner).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Marcus Hompesch, MD
Phone
(619) 427-1300
Email
marcus.hompesch@profilinstitute.com
Facility Information:
Facility Name
Profil Institute for Clinical Research
City
Chula Vista
State/Province
California
ZIP/Postal Code
91911
Country
United States
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Marcus Hompesch, MD

12. IPD Sharing Statement

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PK/PD Study of Intranasal Insulin in Type I Diabetes

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