Type 1 Diabetes MellitusPhase 1NCT02528396
To Investigate the Efficacy and Safety of Individualized Doses of BioChaperone Insulin Lispro in Comparison to Humalog® U-100 in Patients With Type 1 Diabetes Mellitus
A Phase 1 study testing BioChaperone insulin lispro and Humalog® in people with Type 1 Diabetes Mellitus, run by Adocia at 1 site in Germany.
Trial summary
This is a double-blind, randomised, controlled, two period crossover phase Ib trial using an individualized standard meal with a fixed nutrient ratio in subjects with type 1 diabetes mellitus to investigate postprandial blood glucose control with BioChaperone insulin lispro compared to Humalog®. Read more about this study
- Who is it for?
- Ages 18 to 64 years
- Conditions the study is for
- Type 1 Diabetes Mellitus
- What is being tested?
- BioChaperone insulin lispro and Humalog®
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 36 participants
- Where
- 1 siteGermany
- Study dates
- Aug 2015to Dec 2015
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 64 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Type 1 diabetes mellitus (as diagnosed clinically) ≥ 12 months
- Treated with multiple daily insulin injections (no pump users) ≥ 12 months
- Current total daily insulin treatment <1.2 (I)U/kg/day
- Body mass index (BMI) 18.5-28.0 kg/m² (both inclusive)
- HbA1c (N-(1-deoxy)-fructosyl-haemoglobin) ≤ 9.0% by local laboratory analysis
- Fasting C-peptide ≤ 0.30 nmol/L
Who cannot join
- Known or suspected hypersensitivity to trial products or related products
- Type 2 diabetes mellitus
- Patients using continuous subcutaneous insulin infusion (CSII)
- Previous participation in this trial. Participation is defined as randomised
- The receipt of any investigational product within 3 months prior to this trial
- Clinically significant abnormal haematology, biochemistry, lipids, or urinalysis screening tests, as judged by the Investigator considering the underlying disease
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- Presence of clinically significant acute gastrointestinal symptoms (e.g. nausea, vomiting, heartburn or diarrhoea), as judged by the Investigator
- Known slowing of gastric emptying and or gastrointestinal surgery that in the opinion of the investigator might change gastrointestinal motility and food absorption
- Unusual meal habits and special diet requirements or unwillingness to eat the food provided in the trial
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Randomized, Monocentric, Double-blind, Multiple Daily Dose, Two-period, 14 Day Cross-over Trial to Investigate the Efficacy, Pharmacokinetics, Safety and Tolerability of Individualized Doses of BioChaperone Insulin Lispro in Comparison to Humalog® U-100 in Patients With Type 1 Diabetes Mellitus
This is a double-blind, randomised, controlled, two period crossover phase Ib trial using an individualized standard meal with a fixed nutrient ratio in subjects with type 1 diabetes mellitus to investigate postprandial blood glucose control with BioChaperone insulin lispro compared to Humalog®. The assessments will be conducted before and after a period of multiple daily dose administrations for 14 days. The meal tolerance test will be performed on day 1-3 and on day 14 of each period. Furthermore the study aims at investigating Post-prandial glucose (PPG) profiles with BioChaperone insulin lispro and Humalog® when injected at various injection meal intervals (-15min, 0 minutes, +15 minutes).
Each subject will be randomised to a sequence of two treatments, either BioChaperone insulin lispro-Humalog® or Humalog®-Biochaperone insulin lispro, and three different sequences of injection-meal intervals. A blinded to patient continuous monitoring of glucose (CGM) will be performed during the 14 day treatment periods.
- Conditions
- Type 1 Diabetes Mellitus
- Being tested
- BioChaperone insulin lispro, Humalog®
- Medical subject headings
- Diabetes Mellitus, Type 1
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BioChaperone insulin lisproDrug
Injection at t0,or t+15 minutes or t-15minutes with test meal
Humalog®Drug
Injection at t0,or t+15 minutes or t-15minutes with test meal
| Study group | Role | What they receive |
|---|---|---|
| BioChaperone insulin lispro | Experimental | Not described Receives: Drug: BioChaperone insulin lispro |
| Humalog® | Active comparator | Not described Receives: Drug: Humalog® |
What is being measured
The primary outcome is the main question the study is designed to answer.
AUCΔBG0-2h (timepoint 0 = administration of the meal)
Incremental area under the blood glucose (BG) concentration-time curve from 0-2 hours after a meal on day 1-3 [comparison between treatments Biochaperone insulin lispro vs. lispro (Humalog®)]
Measured: 2 hours
AUClispro 0-30min (timepoint 0 = time of dosing)
Area under the serum insulin lispro concentration-time curve from 0-30 minutes after bolus dose on one of days 1, 2 or 3 (comparison between treatments BioChaperone insulin lispro vs. lispro (Humalog®))
Measured: 30 minutes
Secondary outcomes (7)
AUClispro_0-6h
Area under the serum insulin lispro concentration-time curve from 0-6 hours after bolus dose
Measured: 6 Hours
Cmax_lispro
Maximum serum insulin lispro concentration
Measured: up to 6 Hours
Tmax_lispro
Time to maximum observed serum insulin lispro concentration
Measured: up to 6 Hours
AUCBG_0-6h
Area under the curve under the blood glucose (BG) concentration time curve from 0-6 hours
Measured: 6 Hours
ΔBGmax
Maximum blood glucose (BG) excursion after a standard meal (0-6 hours)
Measured: 6 Hours
Adverse events
Number of Adverse events
Measured: Up to 3 months
Local tolerability injection site reactions
Injection site reactions over 14 days of exposure
Measured: 14 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Aug 2015 (estimated)
- Study startAug 2015
- Primary completionDec 2015
- Study completionDec 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Type 1 Diabetes MellitusStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 36 participants (actual)
Sponsor and investigators
- Lead sponsor
- Adocia
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Eli Lilly and Company
- Responsible party
- Sponsor
- Investigators
- Grit Andersen, MD, Principal investigator, Profil GmbH
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02528396
- Sponsor's protocol ID
- BC3-CT013
- Status last verified
- Mar 2016
- First submitted
- 18 Aug 2015
- Last updated
- 16 Mar 2016
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Mar 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Monocentric, Double-blind, Multiple Daily Dose, Two-period, 14 Day Cross-over Trial to Investigate the Efficacy, Pharmacokinetics, Safety and Tolerability of Individualized Doses of BioChaperone Insulin Lispro in Comparison to Humalog® U-100 in Patients With Type 1 Diabetes Mellitus
- ClinicalTrials.gov ID
- NCT02528396
- Acronym / sponsor ID
- BC3-CT013
- Conditions
- Type 1 Diabetes Mellitus
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 36 participants (actual)
- Lead sponsor
- AdociaIndustry (pharma, biotech, devices)
- Collaborators
- Eli Lilly and Company
- Study start
- Aug 2015
- Primary completion
- Dec 2015 (actual)
- Study completion
- Dec 2015 (actual)
- First posted
- 19 Aug 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a double-blind, randomised, controlled, two period crossover phase Ib trial using an individualized standard meal with a fixed nutrient ratio in subjects with type 1 diabetes mellitus to investigate postprandial blood glucose control with BioChaperone insulin lispro compared to Humalog®. The assessments will be conducted before and after a period of multiple daily dose administrations for 14 days. The meal tolerance test will be performed on day 1-3 and on day 14 of each period. Furthermore the study aims at investigating Post-prandial glucose (PPG) profiles with BioChaperone insulin lispro and Humalog® when injected at various injection meal intervals (-15min, 0 minutes, +15 minutes).
Each subject will be randomised to a sequence of two treatments, either BioChaperone insulin lispro-Humalog® or Humalog®-Biochaperone insulin lispro, and three different sequences of injection-meal intervals. A blinded to patient continuous monitoring of glucose (CGM) will be performed during the 14 day treatment periods.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| BioChaperone insulin lispro | Experimental | Drug: BioChaperone insulin lispro |
| Humalog® | Active comparator | Drug: Humalog® |
Who may qualify
- Ages
- 18 to 64 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Type 1 diabetes mellitus (as diagnosed clinically) ≥ 12 months
- Treated with multiple daily insulin injections (no pump users) ≥ 12 months
- Current total daily insulin treatment <1.2 (I)U/kg/day
- Body mass index (BMI) 18.5-28.0 kg/m² (both inclusive)
- HbA1c (N-(1-deoxy)-fructosyl-haemoglobin) ≤ 9.0% by local laboratory analysis
Key exclusion criteria (9 listed)
- Known or suspected hypersensitivity to trial products or related products
- Type 2 diabetes mellitus
- Patients using continuous subcutaneous insulin infusion (CSII)
- Previous participation in this trial. Participation is defined as randomised
- The receipt of any investigational product within 3 months prior to this trial
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BioChaperone insulin lisproInjection at t0,or t+15 minutes or t-15minutes with test meal | Drug | BioChaperone insulin lispro |
| Humalog®Injection at t0,or t+15 minutes or t-15minutes with test meal | Drug | Humalog® |
Primary outcome
AUCΔBG0-2h (timepoint 0 = administration of the meal)
Time frame: 2 hours
Incremental area under the blood glucose (BG) concentration-time curve from 0-2 hours after a meal on day 1-3 [comparison between treatments Biochaperone insulin lispro vs. lispro (Humalog®)]
AUClispro 0-30min (timepoint 0 = time of dosing)
Time frame: 30 minutes
Area under the serum insulin lispro concentration-time curve from 0-30 minutes after bolus dose on one of days 1, 2 or 3 (comparison between treatments BioChaperone insulin lispro vs. lispro (Humalog®))
7 secondary outcomes
AUClispro_0-6h
Time frame: 6 Hours
Cmax_lispro
Time frame: up to 6 Hours
Tmax_lispro
Time frame: up to 6 Hours
AUCBG_0-6h
Time frame: 6 Hours
ΔBGmax
Time frame: 6 Hours
Adverse events
Time frame: Up to 3 months
Local tolerability injection site reactions
Time frame: 14 days
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Mar 2016.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Grit Andersen, MD principal investigator
Profil GmbH
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing BioChaperone insulin lispro and Humalog® in people with Type 1 Diabetes Mellitus, run by Adocia at 1 site in Germany.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 16 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
AUCΔBG0-2h (timepoint 0 = administration of the meal) (time frame: 2 hours). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Mar 2016.