Diabetes Mellitus, Type 2Phase 3NCT04226105
Efficacy and Safety of GP40081 Сompared to NovoMix® 30 FlexPen® in Type 2 Diabetes Mellitus Patients
A Phase 3 study testing GP40081 and NovoMix 30 in people with Diabetes Mellitus, Type 2 and Diabetes Mellitus, run by Geropharm at 14 sites in Russia.
Trial summary
This trial is a multi-center, open-label, randomized, parallel group trial in adult patients with T2DM comparing the efficacy and safety of GP40081 (insulin asapart mix 30, GEROPHARM) with that of NovoMix® 30 FlexPen®. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Diabetes Mellitus, Type 2, Diabetes Mellitus
- What is being tested?
- GP40081 and NovoMix 30
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 264 participants
- Where
- 14 sitesRussia
- Study dates
- 20 Jan 2020to 25 Dec 2020
- Phase
- Phase 3
- 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 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Signed written consent
- Diabetes mellitus type 2 for at least 6 months before the screening (WHO criteria 1999-2013).
- Glycated haemoglobin (HbA1c) level of 7.6 to 12.0 % at screening (both values inclusive).
- Indications for exogenous insulin therapy.
- Body mass index (BMI) of 18.5 to 40 kg/m2 at screening (both values inclusive).
- Insulin-naive patients or prior insulin therapy at least 6 months before randomization.
- The subject is able and willing to comply with the requirements of the study protocol
Who cannot join
- Contraindication to the use of insulin aspart 30 mix.
- History of hypersensitivity to any of the active or inactive ingredients of the insulin/insulin analogue preparations used in the trial, OR history of significant allergic drug reactions.
- History of severe hypoglycemia for 6 months before the screening.
- History of severe hyperglycemia for 6 months before the screening.
- Bariatric surgery for 12 months to screening.
- Glucagon-like peptide-1 (GLP-1)-based therapies for 8 weeks to screening.
Show all 28Show fewer
- Insulin resistance over 1.5 U/kg insulin pro day.
- Change INN of insulin for 6 months before the randomisation.
- History of treatment any experimental drugs or medical devices for 3 months before the randomisation.
- Presence of severe diabetes complications.
- Night work.
- History of administration of glucocorticoids (14 days or more) for 1 year before the screening.
- Administration of any immunosuppressive drugs (Cyclosporinum, Methotrexate, Rituximab, etc.).
- History of vaccination for 6 months before the randomisation.
- History of autoimmune disease, except vitiligo and controlled autoimmune polyglandular syndrome (APS) types 1-3, except vetiligo and Hashimoto's thyroiditis.
- Pregnant and breast-feeding women.
- Deviation of the laboratory results conducted during the screening: Hemoglobin value < 9,0 g/dl; Hematocrit value < 30 %; ALT and AST value > 2 folds or ALT or AST value > 3 folds as high as maximal normal value; Serum bilirubin value > 2 folds as high as maximal normal value (except Gilbert's syndrome).
- History of haematological disorders that can affect the reliability of HbA1c estimation (haemoglobinopathies, hemolytic anaemia, etc.).
- Serological evidence of human immunodeficiency virus (HIV), hepatitis B (HbSAg), hepatitis C (HCVAb) or syphilis (Treponema pallidum) antibodies at the screening.
- Acute inflammation disease for 3 weeks before the screening.
- History of unstable angina, myocardial infarction, severe arrhythmia, heart failure III or IV NYHA for 1 year before the screening.
- History of stroke or TIA for 6 months before the screening.
- Serious blood loss for 3 months before the screening (blood donation, surgery procedure, etc.).
- The inability of the patient to assess their condition because of mental or physical disorders.
- History of drug, alcohol abuse for 3 years before the screening.
- History of oncology disorders for 5 years before the screening.
- History of transplantation, except 3 months after a corneal transplant.
- History or presence of a medical condition or disease that in the investigator's opinion would embarrass glycemic control and completion of the study
Trial locations and contacts
14 sites in 1 country.
14 sites in 1 country
Russia14 sites
Arkhangelsk Regional Clinical Hospital
Arkhangelsk, 163045
Kazan Endocrinology Dispensary
Kazan', 420073
Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky
Krasnoyarsk, 660022
V.A. Baranov Republic Hospital
Petrozavodsk, 185000
City Diagnostic Center № 1
Saint Petersburg, 194354
City Hospital № 2
Saint Petersburg, 194354
City Polyclinic № 117
Saint Petersburg, 194358
EosMed
Saint Petersburg, 195197
Institute of Medical Research
Saint Petersburg, 196084
Research Center Eco-Safety
Saint Petersburg, 196143
Almazov National Medical Research Centre
Saint Petersburg, 197341
Pokrovskaya Municipal Hospital
Saint Petersburg, 199106
Diabetes Center
Samara, 443067
Volgograd Region Clinical Hospital №1
Volgograd, 400081
About this study
Official title: An Open-label, Randomized, Multi-center, Parallel-group Clinical Trial Comparing the Efficacy and Safety of GP40081 (OOO "GEROPHARM", Russia) Compared to NovoMix® 30 FlexPen® (Novo Nordisk A/S, Denmark) in Type 2 Diabetes Mellitus Patients
This trial is a multi-center, open-label, randomized, parallel group trial in adult patients with T2DM comparing the efficacy and safety of GP40081 (insulin asapart mix 30, GEROPHARM) with that of NovoMix® 30 FlexPen®.
- Conditions
- Diabetes Mellitus, Type 2, Diabetes Mellitus
- Being tested
- GP40081, NovoMix 30
- Medical subject headings
- Diabetes Mellitus, Type 2, Diabetes Mellitus
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GP40081Drug
Also called Insulin aspart 30 mix
1 ml of the GP40081 contains 100 units soluble insulin aspart/protamine-crystallised insulin aspart in the ratio 30/70. Insulin aspart 30 mix is self-administered drug by SC injection 1-3 times per day before meal intake.
NovoMix 30Drug
Also called Insulin aspart 30 mix
1 ml of the NovoMix 30 contains 100 units soluble insulin aspart/protamine-crystallised insulin aspart in the ratio 30/70. Insulin aspart 30 mix is self-administered drug by SC injection 1-3 times per day before meal intake.
| Study group | Role | What they receive |
|---|---|---|
| GP40081 | Experimental | Subcutaneous (SC), up to Week 26 Receives: Drug: GP40081 |
| NovoMix® 30 FlexPen® | Active comparator | Subcutaneous (SC), up to Week 26 Receives: Drug: NovoMix 30 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Immunogenicity
Change from baseline in titer of antibodies to human insulin
Measured: 26 weeks
Secondary outcomes (9)
Glycated hemoglobin
Change in HbA1c from baseline
Measured: 26 weeks
Adverse Events frequency and degree
Hypoglycemic episodes (glucose level < 3.9 mmol/l) frequency; Occurrence of local reactions at injection sites; Occurrence allergic reactions
Measured: 26 weeks
Fasting Plasma Glucose Level
Change in fasting plasma glucose level from baseline
Measured: 26 weeks
Seven-Point Glucose Testing
Change in seven-point glucose testing results from baseline
Measured: 22 weeks
Total Insulin Dose
Change in total insulin dose per body weight (U/kg) from baseline
Measured: 22 weeks
Body Mass Index
Change in BMI from baseline
Measured: 26 weeks
Treatment Satisfaction: The Diabetes Treatment Satisfaction Questionnaire
Change in treatment satisfaction from baseline. Questions 1, 4, 5, 6, 7 and 8 assesses treatment satisfaction (summed these 6 questions). Questions 2 and 3 assess the burden from hyper- and hypoglycemia. DTSQ is The Diabetes Treatment Satisfaction Questionnaire, scored from 0-36 points with higher scores indicating better satisfaction.
Measured: 26 weeks
Achievement of Glycated Hemoglobin Goals
The frequency of achievement glycated hemoglobin goals
Measured: 26 weeks
Achievement of Glycated Hemoglobin < 7%
The frequency of achievement glycated hemoglobin < 7% ( 7% inclusive)
Measured: 26 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jan 2020
- Study start20 Jan 2020
- Primary completion30 Sep 2020 (estimated)
- Study completion25 Dec 2020 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diabetes Mellitus, Type 2Studies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 264 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Geropharm
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04226105
- Sponsor's protocol ID
- GP40081-P4-31
- Status last verified
- Jan 2020
- First submitted
- 9 Jan 2020
- Last updated
- 15 Apr 2020
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 15 Apr 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-label, Randomized, Multi-center, Parallel-group Clinical Trial Comparing the Efficacy and Safety of GP40081 (OOO "GEROPHARM", Russia) Compared to NovoMix® 30 FlexPen® (Novo Nordisk A/S, Denmark) in Type 2 Diabetes Mellitus Patients
- ClinicalTrials.gov ID
- NCT04226105
- Acronym / sponsor ID
- GP40081-P4-31
- Conditions
- Diabetes Mellitus, Type 2, Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 264 participants (estimated)
- Lead sponsor
- GeropharmIndustry (pharma, biotech, devices)
- Study start
- 20 Jan 2020 (actual)
- Primary completion
- 30 Sep 2020 (estimated)
- Study completion
- 25 Dec 2020 (estimated)
- First posted
- 13 Jan 2020 (actual)
- 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 trial is a multi-center, open-label, randomized, parallel group trial in adult patients with T2DM comparing the efficacy and safety of GP40081 (insulin asapart mix 30, GEROPHARM) with that of NovoMix® 30 FlexPen®.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| GP40081 | Experimental | Drug: GP40081Subcutaneous (SC), up to Week 26 |
| NovoMix® 30 FlexPen® | Active comparator | Drug: NovoMix 30Subcutaneous (SC), up to Week 26 |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Signed written consent
- Diabetes mellitus type 2 for at least 6 months before the screening (WHO criteria 1999-2013).
- Glycated haemoglobin (HbA1c) level of 7.6 to 12.0 % at screening (both values inclusive).
- Indications for exogenous insulin therapy.
- Body mass index (BMI) of 18.5 to 40 kg/m2 at screening (both values inclusive).
Key exclusion criteria (28 listed)
- Contraindication to the use of insulin aspart 30 mix.
- History of hypersensitivity to any of the active or inactive ingredients of the insulin/insulin analogue preparations used in the trial, OR history of significant allergic drug reactions.
- History of severe hypoglycemia for 6 months before the screening.
- History of severe hyperglycemia for 6 months before the screening.
- Bariatric surgery for 12 months to screening.
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 |
|---|---|---|
| GP40081Also: Insulin aspart 30 mix1 ml of the GP40081 contains 100 units soluble insulin aspart/protamine-crystallised insulin aspart in the ratio 30/70. Insulin aspart 30 mix is self-administered drug by SC injection 1-3 times per day before meal intake. | Drug | GP40081 |
| NovoMix 30Also: Insulin aspart 30 mix1 ml of the NovoMix 30 contains 100 units soluble insulin aspart/protamine-crystallised insulin aspart in the ratio 30/70. Insulin aspart 30 mix is self-administered drug by SC injection 1-3 times per day before meal intake. | Drug | NovoMix® 30 FlexPen® |
Primary outcome
Immunogenicity
Time frame: 26 weeks
Change from baseline in titer of antibodies to human insulin
9 secondary outcomes
Glycated hemoglobin
Time frame: 26 weeks
Adverse Events frequency and degree
Time frame: 26 weeks
Fasting Plasma Glucose Level
Time frame: 26 weeks
Seven-Point Glucose Testing
Time frame: 22 weeks
Total Insulin Dose
Time frame: 22 weeks
Body Mass Index
Time frame: 26 weeks
Treatment Satisfaction: The Diabetes Treatment Satisfaction Questionnaire
Time frame: 26 weeks
Achievement of Glycated Hemoglobin Goals
Time frame: 26 weeks
Achievement of Glycated Hemoglobin < 7%
Time frame: 26 weeks
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Apr 2020.
- Individual participant dataSharing planned: No
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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.
The record lists no contact. Use the official record to reach the sponsor.
14 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing GP40081 and NovoMix 30 in people with Diabetes Mellitus, Type 2 and Diabetes Mellitus, run by Geropharm at 14 sites in Russia.
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 7 inclusion and 28 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: status not confirmed, as of the sponsor's last update on 15 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 14 sites in Russia. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
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?
Immunogenicity (time frame: 26 weeks). 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 15 Apr 2020.