Single Dose Clamp Study To Compare Concentration/Time Profile And Metabolic Activity Profile Of 2 New Formulations Of Insulin Glargine With Lantus
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ClinicalTrials.gov Identifier: NCT02201199 |
Recruitment Status :
Completed
First Posted : July 25, 2014
Last Update Posted : December 24, 2014
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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.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Type 1 Diabetes Mellitus | Drug: insulin glargine U200 HOE901 Drug: insulin glargine U500 HOE901 Drug: insulin glargine U100 HOE901 | Phase 1 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 36 participants |
Allocation: | Randomized |
Intervention Model: | Crossover Assignment |
Masking: | Double (Participant, Investigator) |
Primary Purpose: | Basic Science |
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 Start Date : | August 2014 |
Actual Primary Completion Date : | November 2014 |
Actual Study Completion Date : | November 2014 |

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

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Ages Eligible for Study: | 18 Years to 65 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
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.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02201199
Germany | |
Investigational Site Number 276001 | |
Neuss, Germany, 41460 |
Study Director: | Clinical Sciences & Operations | Sanofi |
Responsible Party: | Sanofi |
ClinicalTrials.gov Identifier: | NCT02201199 |
Other Study ID Numbers: |
PDY13928 2014-001252-33 U1111-1153-3712 ( Other Identifier: UTN ) |
First Posted: | July 25, 2014 Key Record Dates |
Last Update Posted: | December 24, 2014 |
Last Verified: | December 2014 |
Diabetes Mellitus, Type 1 Diabetes Mellitus Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Autoimmune Diseases |
Immune System Diseases Insulin Insulin, Globin Zinc Insulin Glargine Hypoglycemic Agents Physiological Effects of Drugs |