Insulin Profile of Biphasic Insulin Aspart 70 to That of Biphasic Insulin Aspart 30 in Healthy Volunteers
A Two-centre, Randomised, Open-labelled, Four-week, Parallel-group Pharmacokinetics Trial in Japanese Type 2 Diabetic Subjects Characterising the Insulin Profile of Thrice Daily Regimen With Biphasic Insulin Aspart 70 (NN2000-Mix70) With Reference to That of Twice Daily Regimen With Biphasic Insulin Aspart 30 (NN-X14Mix30) and Physiological Insulin Profile in Japanese Healthy Volunteers
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
-
Tokyo, Japan, 1000005
- Novo Nordisk Investigational Site
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
SUBJECTS WITH TYPE 2 DIABETES
- Subjects with type 2 diabetes mellitus
- Current treatment using intermediate-acting, long-acting or pre-mixed/biphasic insulin preparation (including insulin analogues) in once or twice daily (before breakfast and dinner) treatment regimen for at least 12 weeks (a temporary use [maximum of one week in total] of rapid-acting human insulin will be allowed)
- Age between 20-69 years, both inclusive
- HbA1c (glycosylated haemoglobin A1c) below 9.0%
- Body Mass Index (BMI) 18.5-25.0 kg/m^2
- Total daily insulin dose (per day) above 0.2 U or IU/kg body weight and below 1.0 U or IU/kg body weight HEALTHY VOLUNTEERS
- Japanese subjects with considered generally healthy based on medical history and physical examination
- Age between 20-29 years, both inclusive
- Body Mass Index (BMI) 18.5-25.0 kg/m^2
- Subjects with normal glucose tolerance (NGT); defined as fasting plasma glucose below 110 mg/dL and 2-hour post OGTT (oral glucose tolerance test) plasma glucose below 140 mg/dL
Exclusion Criteria:
SUBJECTS WITH TYPE 2 DIABETES
- Proliferative retinopathy or maculopathy requiring acute treatment
- Impaired hepatic function
- Impaired renal function
- Serious cardiac diseases
- Uncontrolled hypertension
- Known hypoglycaemia unawareness or recurrent major hypoglycaemia
- Current treatment or expected at the screening to start treatment with systemic corticosteroids HEALTHY VOLUNTEERS
- Any clinical laboratory values deviated from the reference range at the laboratory (except for cases within physiological change) at the screening
- History or presence of diabetes, cancer or any clinically significant cardiac, respiratory, metabolic, renal, hepatic, gastrointestinal, endocrinological, dermatological, venereal, haematological, neurological, or psychiatric diseases or disorders
- Subjects with a first-degree relative with diabetes mellitus
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: BIAsp 30
|
Administered subcutaneously (s.c., under the skin) twice daily immediately before breakfast and dinner for 4 weeks.
Dose individually adjusted
|
|
Experimental: BIAsp 70
|
Administered subcutaneously (s.c., under the skin) three times daily immediately before breakfast, lunch and dinner for 4 weeks.
Dose individually adjusted
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
|---|
|
Area under the plasma insulin concentration curve from 0 to 24 hours
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
|---|
|
Frequency of hypoglycaemic episodes
|
|
Frequency of adverse events
|
|
Area under the concentration curve of plasma insulin from 0 to 4 hours after meals
|
|
Maximum plasma insulin concentration observed from 0 to 4 hours after meals
|
|
Time to reach the maximum plasma insulin concentration from 0 to 4 hours after meals
|
|
The 24-hour plasma insulin profile deviances in Japanese type 2 diabetic subjects
|
|
Pre-meal plasma glucose concentration before meals
|
|
Postprandial plasma glucose (PPPG) excursion from 0 to 4 hours after meals
|
|
The maximum plasma glucose concentration observed from 0 to 4 hours after meals
|
|
The time to reach the maximum plasma glucose concentration of observed from 0 to 4 hours after meals
|
|
Average of plasma glucose concentration from 0 to 24 hours
|
|
The area under the plasma C-peptide concentration curve from 0 to 24 hours derived from the 24-hour plasma C-peptide profile
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
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
- Glucose Metabolism Disorders
- Metabolic Diseases
- Endocrine System Diseases
- Diabetes Mellitus
- Diabetes Mellitus, Type 2
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Insulin
- Insulin, Globin Zinc
- Insulin Aspart
- Insulin, Long-Acting
- Insulin degludec, insulin aspart drug combination
- Biphasic Insulins
- Insulin aspart, insulin aspart protamine drug combination 30:70
Other Study ID Numbers
Other Study ID Numbers
- BIASP-1638
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