Comparative Clinical Trial of Pharmacokinetics and Pharmacodynamics of Human Insulin Injection
A Single-Center, Randomized, Double-Blind, Two-Formulation, Single-Dose, Two-Period Crossover Clinical Trial Comparing Pharmacokinetics and Pharmacodynamics of Human Insulin Injection
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
-
-
Hubei
-
Wuhan, Hubei, China, 430000
- 28 Baofeng Road, Qiaokou District
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age: 18 to 55 years old (inclusive of 18 and 55 years).
- Gender: Male.
- Body Weight: Not less than 55.0 kg for men, with a body mass index [BMI = weight (kg) / height² (m²)] between 18.0 and 29.0 kg/m² (inclusive of boundary values).
- Vital Signs: Systolic blood pressure ≥90 mmHg and <140 mmHg, diastolic blood pressure ≥60 mmHg and <90 mmHg, pulse rate ≥60 beats/min and ≤100 beats/min, body temperature (forehead) between 36.0°C and 37.3°C, with final judgment by the investigator.
- Glucose Tolerance: Normal glucose tolerance (fasting plasma glucose (FPG) <6.10 mmol/L and >3.50 mmol/L, and 2-hour postprandial blood glucose in oral glucose tolerance test (OGTT) <140 mg/dL (7.78 mmol/L)), glycated hemoglobin value <6.3% and >4.5%.
Exclusion Criteria:
- Those who have participated in a clinical trial of another drug/device and used the investigational drug/device within 6 months.
- Those with clinically significant abnormal conditions requiring exclusion, including but not limited to neurological, cardiovascular, hematologic and lymphatic, immune, renal, hepatic, gastrointestinal, respiratory, metabolic, and skeletal system disorders, particularly those with a history of hypoglycemia, hypokalemia, postural hypotension, syncope or blackout, diabetes mellitus, or a family history (first-degree relatives) of diabetes mellitus.
- Those with a history of severe vomiting, diarrhea, or any other disease or condition that could interfere with trial results within 7 days prior to the trial.
- Those with a history of specific allergies (e.g., asthma, urticaria, eczema) or allergies to any medications, foods, or pollen, or known allergies to insulin.
- Those with positive anti-insulin antibodies.
- Those who have lost or donated more than 400 mL of blood, received blood transfusions, or used blood products within 3 months prior to the trial, or who plan to donate blood during the trial.
- Subjects with plans for childbearing or sperm donation from 2 weeks prior to the trial to 6 months after the last dose, and who are unwilling or unable to use effective contraception.
- Those with clinically significant abnormalities in general physical examination, laboratory tests (blood routine, blood biochemistry, coagulation function, urine routine, etc.) within 7 days prior to the trial, or electrocardiogram results deemed clinically significant by the clinician within 14 days prior to the trial.
- Those with one or more clinically significant positive results for hepatitis B, hepatitis C, HIV, or syphilis tests.
- Those who have undergone surgery within 3 months prior to the trial, plan to undergo surgery during the study, or have had surgery that affects drug absorption, distribution, metabolism, or excretion.
- Those who consumed more than 14 units of alcohol per week within 3 months prior to the trial (1 unit = 17.7 mL ethanol, i.e., 354 mL of 5% alcohol beer, 44 mL of 40% alcohol liquor, or 147 mL of 12% alcohol wine), or those unable to abstain from alcohol during the trial.
- Those who smoked an average of more than 5 cigarettes per day within 3 months prior to the trial, or those unable to stop using any tobacco-based or nicotine products (e.g., nicotine patches, chewing gums) during the trial.
- Those who consumed excessive amounts of tea, coffee, and/or caffeine-rich beverages (more than 8 cups, 1 cup = 250 mL) per day within 3 months prior to the trial.
- Those who consumed any food or beverage rich in caffeine/xanthine or other special ingredients (e.g., strong tea, coffee, chocolate, cola, animal offal, grapefruit, grapefruit juice, dragon fruit, mango) from screening to 2 days before admission, which, in the investigator's judgment, may affect drug absorption, distribution, metabolism, or excretion, or those unable to stop consuming such foods or beverages by the end of drug administration.
- Those who used any drugs that alter liver enzyme activity within 28 days prior to the trial (common liver enzyme inducers: barbiturates (phenobarbital being the most common), carbamazepine, aminoglutethimide, griseofulvin, meprobamate, phenytoin, glutethimide, rifampicin, dexamethasone; common liver enzyme inhibitors: chlorpromazine, cimetidine, ciprofloxacin, metronidazole, chloramphenicol, sulfonamides).
- Those who used any drugs affecting insulin's glucose-lowering effects within 28 days prior to the trial (e.g., corticosteroids, danazol, diazoxide, diuretics, epinephrine, salbutamol, terbutaline, glucagon, growth hormone, thyroid hormone, beta-blockers).
- Those unable to eat, with swallowing difficulties, special dietary requirements, or unable to follow a standardized diet.
- Those who used any prescription drugs, over-the-counter drugs, nutraceuticals, herbal products, or vaccines within 14 days prior to the trial.
- Those engaged in hazardous mechanical operations, such as working at heights or driving motor vehicles.
- Those unable to tolerate venipuncture or with a history of hemophobia or needle phobia.
- Those with a history of asthma or seizures.
- Those with a history of hereditary galactose intolerance, lactase deficiency, or glucose-galactose malabsorption.
- ;Those who used any illicit drugs within one year prior to the trial.
- Those with a positive alcohol breath test or positive drug abuse screening.
- Subjects deemed by the investigator to have poor treatment compliance or any factors making participation in this trial inappropriate.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Group A
|
a single subcutaneous dose of 0.3 IU/kg
a single subcutaneous dose of 0.3 IU/kg
|
|
Active Comparator: Group B
|
a single subcutaneous dose of 0.3 IU/kg
a single subcutaneous dose of 0.3 IU/kg
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Primary PK Parameters (Peak Plasma Concentration (Cmax))
Time Frame: 0 to 12 hours
|
PK Parameters (Peak Plasma Concentration (Cmax))
|
0 to 12 hours
|
|
Primary PK Parameters (Area under the plasma concentration-time curve from time 0 to time τ(AUC0-τ))
Time Frame: 0 to 12 hours
|
Area under the plasma concentration-time curve from time 0 to time τ(AUC0-τ)
|
0 to 12 hours
|
|
Primary PD Parameters (Area under the glucose infusion rate curve from time 0 to time τ(AUCGIR0-τ))
Time Frame: 0 to 12 hours
|
Area under the glucose infusion rate curve from time 0 to time τ(AUCGIR0-τ)
|
0 to 12 hours
|
|
Primary PD Parameters (Maximum glucose infusion rate (GIRmax))
Time Frame: 0 to 12 hours
|
Maximum glucose infusion rate (GIRmax)
|
0 to 12 hours
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Secondary PK Parameters (Area under the plasma concentration-time curve from time 0 to time 2 hours(AUC0-2h))
Time Frame: 0 to 2 hours
|
Area under the plasma concentration-time curve from time 0 to time 2 hours(AUC0-2h)
|
0 to 2 hours
|
|
Secondary PK Parameters (Area under the plasma concentration-time curve from time 0 extrapolated to infinity(AUC0-∞))
Time Frame: 0 to 12 hours
|
Area under the plasma concentration-time curve from time 0 extrapolated to infinity(AUC0-∞)
|
0 to 12 hours
|
|
Secondary PK Parameters (Time to maximum (peak) plasma concentration(Tmax))
Time Frame: 0 to 12 hours
|
Time to maximum (peak) plasma concentration(Tmax)
|
0 to 12 hours
|
|
Secondary PK Parameters (Terminal elimination rate constant(λz))
Time Frame: 0 to 12 hours
|
Terminal elimination rate constant(λz)
|
0 to 12 hours
|
|
Secondary PK Parameters (Elimination half-life(t1/2))
Time Frame: 0 to 12 hours
|
Elimination half-life(t1/2)
|
0 to 12 hours
|
|
Secondary PD Parameters (Area under the glucose infusion rate curve from time 0 to 2 hours(AUCGIR0-2h))
Time Frame: 0 to 2 hours
|
Area under the glucose infusion rate curve from time 0 to 2 hours(AUCGIR0-2h)
|
0 to 2 hours
|
|
Secondary PD Parameters (Time to reach maximum glucose infusion rate(TGIRmax))
Time Frame: 0 to 12 hours
|
Time to reach maximum glucose infusion rate(TGIRmax)
|
0 to 12 hours
|
|
Secondary PD Parameters (Time to onset of action,Tonset)
Time Frame: 0 to 12 hours
|
Time to onset of action,Tonset
|
0 to 12 hours
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Immunogenicity Assessment (Anti-drug antibody (ADA) incidence (positive rate))
Time Frame: 0 to 12 hours
|
Anti-drug antibody (ADA) incidence (positive rate)
|
0 to 12 hours
|
|
Immunogenicity Assessment (ADA titers (for positive samples))
Time Frame: 0 to 12 hours
|
ADA titers (for positive samples)
|
0 to 12 hours
|
Collaborators and Investigators
Sponsor
Sponsor
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 (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- PD-INS-PK-PD355
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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