search
Back to results

Single Dose Clamp Study To Compare Concentration/Time Profile And Metabolic Activity Profile Of 2 New Formulations Of Insulin Glargine With Lantus

Primary Purpose

Type 1 Diabetes Mellitus

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
insulin glargine U200 HOE901
insulin glargine U500 HOE901
insulin glargine U100 HOE901
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Type 1 Diabetes Mellitus

Eligibility Criteria

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

Inclusion criteria:

  • Male or female subjects, between 18 and 65 years of age, inclusive, with type 1 diabetes mellitus for more than one year, as defined by the American Diabetes Association.
  • Total insulin dose <1.2 U/kg/day.
  • Minimum usual basal insulin dose ≥0.2 U/kg/day.
  • Body weight between 50.0 kg and 110.0 kg, Body Mass Index between 18.5 and 30.0 kg/m2 inclusive.
  • Fasting negative serum C-peptide (<0.3 nmol/L).
  • Glycohemoglobin (HbA1c) ≤75 mmol/mol (≤9.0%).
  • Stable insulin regimen for at least 2 months prior to inclusion in study.
  • Certified as otherwise healthy for Type 1 diabetes mellitus patient.
  • Women of childbearing potential with negative pregnancy test and use of a highly effective contraceptive method or women with confirmed postmenopausal status.
  • Having given written informed consent prior to undertaking any study-related procedure.

Exclusion criteria:

  • More than one episode of severe hypoglycemia with seizure, coma or requiring assistance of another person during the past 6 months.
  • Frequent severe headaches and / or migraine, recurrent nausea and / or vomiting (more than twice a month).
  • Presence or history of a drug allergy or clinically significant allergic disease according to the Investigator's judgment.
  • Presence or history of drug or alcohol abuse (alcohol consumption >40 grams / day).
  • Smoking more than 5 cigarettes or equivalent per day, unable to refrain from smoking.
  • Any medication (including St John's Wort) within 14 days before inclusion, or within 5 times the elimination half-life or pharmacodynamic half-life of that drug, whichever the longest and regular use of any medication in the last month before study start with the exception of insulin products, thyroid hormones, lipid-lowering and antihypertensive drugs, and, if female, with the exception of hormonal contraception or menopausal hormone replacement therapy; any vaccination within the last 28 days; any biologics (antibody or its derivatives) given within 4 months before randomization.
  • Known hypersensitivity to insulin glargine or excipients of the study drug.
  • Any history or presence of deep leg vein thrombosis or a frequent appearance of deep leg vein thrombosis in first degree relatives (parents, siblings or children).

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 276001

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Experimental

Experimental

Arm Label

insulin glargine U100

insulin glargine U200

insulin glargine U500

Arm Description

1 single dose

1 single dose

1 single dose

Outcomes

Primary Outcome Measures

Area under the serum insulin glargine (INS) concentration curve over the first 12 hours after dosing

Secondary Outcome Measures

INS-Area Under the Curve (AUC) over 24 and 36 hours after dosing (INS AUC 0-24 and INS AUC 0-36)
AUC up to the last measurable concentration
Time to reach 50% of INS-AUC 0-36
Time to reach INS-Cmax (INS-tmax)
Area under the body-weight-standardized Glucose Infusion Rate (GIR) over the first 12, 24 and 36 hours after dosing (GIR-AUC0-12, GIR-AUC0-24 and, GIR-AUC0-36)
Time to reach 50% of GIR-AUC0-36 (T50%-GIR-AUC0-36)
Maximum smoothed body weight standardized glucose infusion rate (GIRmax) and time to GIRmax (GIR-Tmax)
Duration of blood glucose control (time to elevation of smoothed blood glucose profile above different pre-specific blood glucose levels)
Safety and tolerability (Number of patients with adverse events, clinically significant changes in vital signs, laboratory parameters)

Full Information

First Posted
July 24, 2014
Last Updated
December 23, 2014
Sponsor
Sanofi
search

1. Study Identification

Unique Protocol Identification Number
NCT02201199
Brief Title
Single Dose Clamp Study To Compare Concentration/Time Profile And Metabolic Activity Profile Of 2 New Formulations Of Insulin Glargine With Lantus
Official Title
A Single-Center, Randomized, Double-Blind, 3-Treatment, 3-Period, 6-Sequence Cross-Over Study To Compare The Pharmacokinetic And Pharmacodynamic Effects of Single Doses of Insulin Glargine Given As U200 And U500 To Lantus® In A Euglycemic Clamp Setting In Subjects With Type 1 Diabetes
Study Type
Interventional

2. Study Status

Record Verification Date
December 2014
Overall Recruitment Status
Completed
Study Start Date
August 2014 (undefined)
Primary Completion Date
November 2014 (Actual)
Study Completion Date
November 2014 (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: To compare the pharmacokinetic (PK) characteristics of single doses of insulin glargine given as U200 and U500 with those of a single dose (SD) of Lantus® U100 in a euglycemic clamp setting in subjects with type 1 diabetes. Secondary Objectives: To compare the metabolic activity characteristics of single doses of insulin glargine given as U200 and U500 with those of a single dose of Lantus® U100 in a euglycemic clamp setting in subjects with type 1 diabetes. To assess the safety and tolerability of single doses of U200, U500 and Lantus® U100 in subjects with type 1 diabetes.
Detailed Description
Total study duration for each subject is between 3.5 and 12 weeks. Two overnight stays at the unit in each of 3 treatment periods.

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
Basic Science
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
36 (Actual)

8. Arms, Groups, and Interventions

Arm Title
insulin glargine U100
Arm Type
Active Comparator
Arm Description
1 single dose
Arm Title
insulin glargine U200
Arm Type
Experimental
Arm Description
1 single dose
Arm Title
insulin glargine U500
Arm Type
Experimental
Arm Description
1 single dose
Intervention Type
Drug
Intervention Name(s)
insulin glargine U200 HOE901
Intervention Description
Pharmaceutical form:solution for injection Route of administration: subcutaneous
Intervention Type
Drug
Intervention Name(s)
insulin glargine U500 HOE901
Intervention Description
Pharmaceutical form:solution for injection Route of administration: subcutaneous
Intervention Type
Drug
Intervention Name(s)
insulin glargine U100 HOE901
Other Intervention Name(s)
Lantus
Intervention Description
Pharmaceutical form:solution for injection Route of administration: subcutaneous
Primary Outcome Measure Information:
Title
Area under the serum insulin glargine (INS) concentration curve over the first 12 hours after dosing
Time Frame
12 hours
Secondary Outcome Measure Information:
Title
INS-Area Under the Curve (AUC) over 24 and 36 hours after dosing (INS AUC 0-24 and INS AUC 0-36)
Time Frame
36 hours
Title
AUC up to the last measurable concentration
Time Frame
36 hours
Title
Time to reach 50% of INS-AUC 0-36
Time Frame
36 hours
Title
Time to reach INS-Cmax (INS-tmax)
Time Frame
36 hours
Title
Area under the body-weight-standardized Glucose Infusion Rate (GIR) over the first 12, 24 and 36 hours after dosing (GIR-AUC0-12, GIR-AUC0-24 and, GIR-AUC0-36)
Time Frame
36 hours
Title
Time to reach 50% of GIR-AUC0-36 (T50%-GIR-AUC0-36)
Time Frame
36 hours
Title
Maximum smoothed body weight standardized glucose infusion rate (GIRmax) and time to GIRmax (GIR-Tmax)
Time Frame
36 hours
Title
Duration of blood glucose control (time to elevation of smoothed blood glucose profile above different pre-specific blood glucose levels)
Time Frame
4 days
Title
Safety and tolerability (Number of patients with adverse events, clinically significant changes in vital signs, laboratory parameters)
Time Frame
4 days

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 or female subjects, between 18 and 65 years of age, inclusive, with type 1 diabetes mellitus for more than one year, as defined by the American Diabetes Association. Total insulin dose <1.2 U/kg/day. Minimum usual basal insulin dose ≥0.2 U/kg/day. Body weight between 50.0 kg and 110.0 kg, Body Mass Index between 18.5 and 30.0 kg/m2 inclusive. Fasting negative serum C-peptide (<0.3 nmol/L). Glycohemoglobin (HbA1c) ≤75 mmol/mol (≤9.0%). Stable insulin regimen for at least 2 months prior to inclusion in study. Certified as otherwise healthy for Type 1 diabetes mellitus patient. Women of childbearing potential with negative pregnancy test and use of a highly effective contraceptive method or women with confirmed postmenopausal status. Having given written informed consent prior to undertaking any study-related procedure. Exclusion criteria: More than one episode of severe hypoglycemia with seizure, coma or requiring assistance of another person during the past 6 months. Frequent severe headaches and / or migraine, recurrent nausea and / or vomiting (more than twice a month). Presence or history of a drug allergy or clinically significant allergic disease according to the Investigator's judgment. Presence or history of drug or alcohol abuse (alcohol consumption >40 grams / day). Smoking more than 5 cigarettes or equivalent per day, unable to refrain from smoking. Any medication (including St John's Wort) within 14 days before inclusion, or within 5 times the elimination half-life or pharmacodynamic half-life of that drug, whichever the longest and regular use of any medication in the last month before study start with the exception of insulin products, thyroid hormones, lipid-lowering and antihypertensive drugs, and, if female, with the exception of hormonal contraception or menopausal hormone replacement therapy; any vaccination within the last 28 days; any biologics (antibody or its derivatives) given within 4 months before randomization. Known hypersensitivity to insulin glargine or excipients of the study drug. Any history or presence of deep leg vein thrombosis or a frequent appearance of deep leg vein thrombosis in first degree relatives (parents, siblings or children). 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 276001
City
Neuss
ZIP/Postal Code
41460
Country
Germany

12. IPD Sharing Statement

Learn more about this trial

Single Dose Clamp Study To Compare Concentration/Time Profile And Metabolic Activity Profile Of 2 New Formulations Of Insulin Glargine With Lantus

We'll reach out to this number within 24 hrs