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Healthy VolunteersPhase 1RHINE-4NCT05413863

Comparison of the Pharmacokinetic and Pharmacodynamic Properties of Biocon's Insulin R U-500 With Humulin® R U-500 (US Reference Product) in Healthy Subjects

A Phase 1 study testing Biocon's Human Insulin R U-500 and Humulin® R U-500 (US Reference Product) in people with Healthy Volunteers, run by Biocon Limited at 1 site in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Single-centre, randomised, double-blind, three-period, six-sequence, partially replicated design, crossover trial in healthy subjects Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteers
What is being tested?
Biocon's Human Insulin R U-500 and Humulin® R U-500 (US Reference Product)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
78 participants
Where
1 siteGermany
Study dates
30 May 2022to 12 Dec 2022
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 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy male or post-menopausal female subjects. The post-menopausal state is defined as no menses for 12 months without an alternative medical cause and confirmed by a follicle stimulating hormone (FSH) level in the post-menopausal range (≥ 25.8 IU/L).
  • Age between 18 and 55 years, both inclusive.
  • Body Mass Index (BMI) between 18.5 and 29.0 kg/m2, both inclusive.
  • Fasting plasma glucose concentration ≤ 100 mg/dL.
  • Considered generally healthy upon completing the medical history and screening safety assessments, as judged by the Investigator.

Who cannot join

  • Known or suspected hypersensitivity to investigational medicinal products (IMPs) or related products.
  • Receipt of any medicinal product in clinical development within 30 days or five times its half-life (whichever is longer) before randomisation in this trial.
  • Systolic blood pressure < 90 mmHg or > 139 mmHg and/or diastolic blood pressure < 50 mmHg or > 89 mmHg after resting for at least 5 minutes in the supine position (excluding white-coat hypertension; therefore, a repeat test showing results within range will be acceptable).
  • Pulse rate at rest outside the range of 50-90 beats per minute.

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Profil Institut für Stoffwechselforschung GmbH 9

    Neuss, D-41460

Other trials in Germany

About this study

Official title: A Randomised, Double-blind, Three-period, Partially Replicated Crossover, Euglycaemic Glucose Clamp Study in Healthy Volunteers to Demonstrate Pharmacokinetic and Pharmacodynamic Similarity of Biocon's Human Insulin R U-500 and Humulin® R U-500 (RHINE-4: Recombinant Human INsulin Equivalence-4)

Single-centre, randomised, double-blind, three-period, six-sequence, partially replicated design, crossover trial in healthy subjects

Read the detailed description

The present study is designed to demonstrate pharmacokinetic and pharmacodynamic equivalence of Biocon's Human Insulin R U-500 with Humulin® R U-500 in healthy subjects.

The treatment consists of one single dose of the test or reference product, administered during each of the three study periods, separated by 5-7 days between each dosing. The planned trial duration for each subject is about 18 to 44 days. Eligible subjects will undergo three euglycaemic clamp examinations (each of 24 hours duration).

Depending on the sequence in which a particular subject is randomized, each subject will either undergo two clamps with administration of test product plus one clamp with administration of reference product, or, two clamps with administration of reference product plus one clamp with administration of test product, in random order.

Being tested
Biocon's Human Insulin R U-500, Humulin® R U-500 (US Reference Product)
Keywords
Recombinant Human INsulin Equivalence-4, RHINE-4, Pharmacokinetic, Pharmacodynamic, Biocon's Insulin R U-500, Humulin® R U-500

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Biocon's Human Insulin R U-500Biological

    Biocon's Human Insulin R U-500 (Insulin Human Injection 500 units/mL), 3 mL cartridges (containing 1,500 units of insulin).

  • Humulin® R U-500 (US Reference Product)Biological

    Humulin® R U-500 (US Reference Product), 3 mL single-patient-use KwikPen® (containing 1,500 units of insulin)

Study groups in NCT05413863
Study groupRoleWhat they receive
Sequence: Biocon's Human Insulin R U-500-Biocon's Human Insulin R U-500- Humulin® R U-500ExperimentalPeriod 1:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 2:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 3:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe
Receives: Biological: Biocon's Human Insulin R U-500; Biological: Humulin® R U-500 (US Reference Product)
Sequence: Biocon's Human Insulin R U-500-Humulin® R U-500- Humulin® R U-500ExperimentalPeriod 1:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 2:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 3:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe
Receives: Biological: Biocon's Human Insulin R U-500; Biological: Humulin® R U-500 (US Reference Product)
Sequence: Biocon's Human Insulin R U-500-Humulin® R U-500-Biocon's Human Insulin R U-500ExperimentalPeriod 1:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 2:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 3:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe
Receives: Biological: Biocon's Human Insulin R U-500; Biological: Humulin® R U-500 (US Reference Product)
Sequence: Humulin® R U-500-Biocon's Human Insulin R U-500-Biocon's Human Insulin R U-500ExperimentalPeriod 1:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 2:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 3:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe
Receives: Biological: Biocon's Human Insulin R U-500; Biological: Humulin® R U-500 (US Reference Product)
Sequence: Humulin® R U-500 -Biocon's Human Insulin R U-500-Humulin® R U-500ExperimentalPeriod 1:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 2:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 3:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe
Receives: Biological: Biocon's Human Insulin R U-500; Biological: Humulin® R U-500 (US Reference Product)
Sequence: Humulin® R U-500-Humulin® R U-500-Biocon's Human Insulin R U-500ExperimentalPeriod 1:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 2:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD(Becton Dickinson) disposable syringe Period 3:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe
Receives: Biological: Biocon's Human Insulin R U-500; Biological: Humulin® R U-500 (US Reference Product)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Primary pharmacokinetics (PK) endpoint: area under the insulin concentration curve(AUCins).0-12h

    Area under the insulin concentration curve

    Measured: 0 to12 hours

  2. Primary pharmacokinetics (PK) endpoint: maximum observed insulin concentration(Cins.max)

    Maximum observed insulin concentration

    Measured: NAP (Not Applicable)

  3. Primary pharmacodynamics (PD) endpoint:area under the glucose infusion rate curve (AUCGIR)0-12h

    Area under the glucose infusion rate curve

    Measured: 0 to 12 hours

  4. Primary pharmacodynamics (PD) endpoint:maximum observed glucose infusion rate (GIRmax)

    Maximum observed glucose infusion rate

    Measured: NAP (Not Applicable)

Secondary outcomes (14)
  1. Secondary pharmacokinetics (PK) endpoint: area under the insulin concentration-time curve(AUCins).0-infinity

    Area under the insulin concentration-time curve

    Measured: 0 hours to 24 hours

  2. Secondary pharmacokinetics (PK) endpoint: area under the insulin concentration-time curve(AUCins).0-24h

    Area under the insulin concentration-time curve

    Measured: 0 to 24 hours

  3. Secondary pharmacokinetics (PK) endpoint: area under the insulin concentration-time curve (AUCins).12-24h

    Area under the insulin concentration-time curve

    Measured: 12 to 24 hours

  4. Secondary pharmacokinetics (PK) endpoint:time to maximum observed insulin concentration (tmax.ins)

    Time to maximum observed insulin concentration

    Measured: 0 to 24 hours

  5. Secondary pharmacokinetics (PK) endpoint:terminal elimination rate constant of insulin (λz)

    Terminal elimination rate constant of insulin

    Measured: 0 to 24 hours

  6. Secondary pharmacokinetics (PK) endpoint: terminal elimination half-life (t½)

    Terminal elimination half-life calculated

    Measured: 0 to 24 hours

  7. Secondary pharmacokinetics (PK) endpoint: time(t)50%-Insulin (INS)(early)

    Time to half-maximum before Cmax

    Measured: 0 to 24 hours

  8. Secondary pharmacokinetics (PK) endpoint: time(t) 50%-Insulin (INS)(late)

    Time to half-maximum after Cmax

    Measured: 0 to 24 hours

  9. Secondary pharmacodynamics (PD) endpoint: areas under the glucose infusion rate curve(AUCGIR).0-24h

    Area under the glucose infusion rate curve

    Measured: 0 to 24 hours

  10. Secondary pharmacodynamics (PD) endpoint: areas under the glucose infusion rate curve(AUCGIR).12-24h

    Area under the glucose infusion rate curve

    Measured: 12 to 24 hours

  11. Secondary pharmacodynamics (PD) endpoint: time to maximum glucose infusion rate(tmax.GIR)

    Time to maximum glucose infusion rate

    Measured: 0 to 24 hours

  12. Secondary pharmacodynamics (PD) endpoint:time to half-maximum glucose infusion rate before GIRmax (tGIR.50%-early)

    Time to half-maximum glucose infusion rate before GIRmax

    Measured: 0 to 24 hours

  13. Secondary pharmacodynamics (PD) endpoint: time to half-maximum glucose infusion rate after GIRmax (tGIR.50%-late)

    Time to half-maximum glucose infusion rate after GIRmax

    Measured: 0 to 24 hours

  14. Secondary pharmacodynamics (PD) endpoint: Onset of action, time from trial product administration until plasma glucose concentration has decreased at least 5 mg/dL from baseline,

    Time from trial product administration until plasma glucose concentration

    Measured: 0 to 24 hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Jun 2022
  2. Study start30 May 2022
  3. Primary completion12 Dec 2022
  4. Study completion12 Dec 2022

Resources

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
Partially replicated design, crossover trial
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
78 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05413863
Sponsor's protocol ID
BIO-INS500-101
Acronym
RHINE-4
Status last verified
May 2023
First submitted
7 Jun 2022
Last updated
9 May 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Biocon's Human Insulin R U-500 and Humulin® R U-500 (US Reference Product) in people with Healthy Volunteers, run by Biocon Limited 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 5 inclusion and 4 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 9 May 2023. 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?

Primary pharmacokinetics (PK) endpoint: area under the insulin concentration curve(AUCins).0-12h (time frame: 0 to12 hours). The study lists 4 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 9 May 2023.

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