Effect of Treatment With Insulin VIAjectTM Compared to Regular Human Insulin and Insulin Lispro on Mealtime Blood Vessel Stress in Patients With Type 2 Diabetes Mellitus.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
Mainz
-
Parcusstrasse 8, Mainz, Germany, 55116
- Ikfe
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Type 2 diabetes mellitus according to the ADA criteria
- HbA1c between 6.5 % and 9.9 %
- Treatment with sulfonylurea and/or metformin in a stable dosage within the last 3 months
- Age between 40 and 75 years
- BMI < 40
Exclusion Criteria:
- Type 1 diabetes mellitus
- Pre-treatment with insulin within the last 6 months prior to screening
- Pre-treatment with PPARy-agonists or glucosidase inhibitors within the last 4 weeks prior to screening
- Untreated hypertension stage II-III according to WHO criteria
- Planned or anticipated change in antidiabetic and/or concomitant medication during study participation
- Total cholesterol > 300 mg/dl (anamnestically)
- Major micro- or macrovascular complications as judged by the investigator
- Tobacco use within the last 6 months prior to screening
- Drugs with major impact on endothelial function like nitrates etc.
- History of drug or alcohol abuse which in the opinion of the investigator will impair subject safety or protocol compliance
- History of hypersensitivity to the study drugs or to drugs with similar chemical structures
- History of severe or multiple allergies
- Treatment with any other investigational drug within 3 months prior to screening
- Progressive fatal disease
- History of significant cardiovascular, respiratory, gastrointestinal, hepatic (ALAT and/or ASAT > 3 times the normal reference range), renal (creatinine > 1.1 mg/dL in women and > 1.5 mg/dL in men), neurological, psychiatric and/or haematological disease as judged by the investigator
- Pregnancy or breast feeding
- Sexually active women of childbearing potential not consistently and correctly practicing birth control by implants, injectables, oral contraceptives, hormonal intrauterine devices (IUDs), sexual abstinence or vasectomised partner
- Lack of compliance or other similar reason that at the discretion of the investigator precludes satisfactory participation in the study
- Hypopotassemia (K<3.5 mmol /l)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Regular Human Insulin
Single Injection
|
0.10 U/Kg- 15 minutes before ingestion of a standardized liquid meal.
|
|
Active Comparator: Inuslin Lispro (90%)
Single Injection
|
90% of Regular Human Insulin dose administer immediately before ingestion of a standardized liquid meal.
|
|
Experimental: Insulin VIAject™ (75%)
Single Injection
|
75 % of Regular Human Insulin dose administer immediately before ingestion of a standardized liquid meal
|
|
Experimental: Insulin VIAject™ (90%)
Single injection
|
90 % of Regular Human Insulin dose administer immediately before ingestion of a standardized liquid meal
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Postprandial time course of Asymmetric dimethyl arginine (ADMA) after injection of insulin VIAjectTM compared with regular human insulin and insulin lispro.
Time Frame: 0 - 240 minutes
|
0 - 240 minutes
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
The secondary objectives are to evaluate the postprandial time course of arterial elasticity (pulse wave analysis; PWA), blood glucose, insulin, intact proinsulin, nitrotyrosine, glucagon, ICAM-1, VCAM, E-selectin.
Time Frame: 0 - 240 minutes
|
0 - 240 minutes
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Thomas Forst, MD, IKFE Institute for Clinical Research and Development
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- VIAject™-15J
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