- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03766854
A Research Study of How Different Amounts of a New Medicine NNC0148-0287 C (Insulin 287) Works on the Blood Sugar of People Who Are Japanese With Type 1 Diabetes When Given Once a Week
A Multiple-dose Trial Investigating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of NNC0148-0287 C (Insulin 287) for Subcutaneous Administration in Japanese Subjects With Type 1 Diabetes
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 1
Contacts and Locations
Study Locations
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-
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Fukuoka, Japan, 812-0025
- Novo Nordisk Investigational Site
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or female, Japanese subjects, aged 20 - 64 years (both inclusive) at the time of signing informed consent.
- Diagnosed with type 1 diabetes mellitus greater than or equal to 1 year prior to the day of screening.
- Current daily basal insulin treatment greater than or equal to 0.2 U/kg/day.
- Body mass index between 18.5 and 28.0 kg/m^2 (both inclusive).
- HbA1c less than or equal to 9.0%.
Exclusion Criteria:
- History or presence of any clinically relevant respiratory, metabolic, renal, hepatic, gastrointestinal or endocrinological conditions (except conditions associated with diabetes mellitus).
- Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using adequate contraceptive methods.
- Known or suspected hypersensitivity to trial products or related products
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Insulin 287 followed by insulin glargine U100
Run-in period (2 days to 7 weeks): The basal insulin glargine dose for each subject will be established and optimised. After run-in, participants will receive insulin 287 once a week (OW) for 8 weeks and subsequent 4 weeks of terminal pharmacokinetic (PK) sampling where subjects are treated with once daily (OD) insulin glargine. After insulin 287 treatment, participants will receive insulin glargine U100 OD for 2 weeks. |
Participants will receive subcutaneous (s.c.) injections of insulin 287 once weekly for 8 weeks
Other Names:
Participants will receive s.c.
injections of insulin glargine once weekly for 2 weeks
|
Experimental: Insulin glargine U100 followed by insulin 287
Run-in period (2 days to 7 weeks): The basal insulin glargine dose for each subject will be established and optimised. After run-in, participants will receive insulin glargine U100 OD for 2 weeks followed by 1-14 days (at least 1 day is mandatory) of continued insulin glargine treatment. After insulin glargine treatment, participants will receive insulin 287 OW for 8 weeks and subsequent 4 weeks of terminal PK sampling. |
Participants will receive subcutaneous (s.c.) injections of insulin 287 once weekly for 8 weeks
Other Names:
Participants will receive s.c.
injections of insulin glargine once weekly for 2 weeks
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
AUCI287τ,SS - Area under the serum insulin 287 concentration-time curve during one dosing interval at steady state
Time Frame: From 0 to 168 hours after trial product administration (day 50)
|
Measured in pmol*h/L
|
From 0 to 168 hours after trial product administration (day 50)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of adverse events (AEs)
Time Frame: From first trial product administration (day 1) to end of last dosing interval (day 57 for insulin 287, day 15 for IGlar)
|
Number of events
|
From first trial product administration (day 1) to end of last dosing interval (day 57 for insulin 287, day 15 for IGlar)
|
Number of hypoglycaemic episodes
Time Frame: From first trial product administration (day 1) to end of last dosing interval (day 57 for insulin 287, day 15 for IGlar) excluding clamp days
|
Number of episodes
|
From first trial product administration (day 1) to end of last dosing interval (day 57 for insulin 287, day 15 for IGlar) excluding clamp days
|
Change in antiinsulin 287 antibody level
Time Frame: From first insulin 287 administration (day 1) to follow-up visit (day 106)
|
Measured in % B/T (percentage of bound tracer measured after precipitation to total tracer)
|
From first insulin 287 administration (day 1) to follow-up visit (day 106)
|
Change in antiinsulin 287 antibody titres
Time Frame: From first insulin 287 administration (day 1) to follow-up visit (day 106)
|
Number of dilutions. The antibody titer is calculated by diluting the blood serum sample containing antibody in serial ratios (1:2, 1:4, 1:8, 1:16... and so on). Using an appropriate detection method (e.g., colorimetric, chromatographic, etc.), each dilution is tested for the presence of detectable levels of antibody. The assigned titer value is indicative of the last dilution in which the antibody was detected. |
From first insulin 287 administration (day 1) to follow-up visit (day 106)
|
Positive cross-reactive anti-human insulin antibodies
Time Frame: At follow-up visit (day 106)
|
Yes/no.
Number of participants who developed/not developed positive cross-reactive anti-human insulin antibodies.
|
At follow-up visit (day 106)
|
AUCI287,0-168,FD - Area under the serum insulin 287 concentration-time curve after the first dose
Time Frame: From 0 to 168 hours after trial product administration (day 1)
|
Measured in pmol*h/L
|
From 0 to 168 hours after trial product administration (day 1)
|
tmax,I287,FD - Time to maximum observed serum insulin 287 concentration after the first dose
Time Frame: From 0 to 168 hours after trial product administration (day 1)
|
Measured in hours
|
From 0 to 168 hours after trial product administration (day 1)
|
Cmax,I287,FD - Maximum observed serum insulin 287 concentration after the first dose
Time Frame: From 0 to 168 hours after trial product administration (day 1)
|
Measured in pmol/L
|
From 0 to 168 hours after trial product administration (day 1)
|
tmax,I287,SS - Time to maximum observed serum insulin 287 concentration after the last dose
Time Frame: From 0 to 168 hours after trial product administration (day 50)
|
Measured in hours
|
From 0 to 168 hours after trial product administration (day 50)
|
Cmax,I287,SS - Maximum observed serum insulin 287 concentration after the last dose
Time Frame: From 0 to 168 hours after trial product administration (day 50)
|
Measured in pmol/L
|
From 0 to 168 hours after trial product administration (day 50)
|
t1/2,I287,SS - Terminal half-life for insulin 287 at steady state
Time Frame: Terminal part of the serum insulin 287 concentration-time curve where the curve is well approximated by a straight line on logarithmic scale after last trial product administration (day 50)
|
Measured in hours
|
Terminal part of the serum insulin 287 concentration-time curve where the curve is well approximated by a straight line on logarithmic scale after last trial product administration (day 50)
|
CI287,trough - Serum insulin 287 trough concentration
Time Frame: Measured at the end of each dosing interval 168 hours after dosing (day 8, 15, 22, 29, 36, 43, 50 and 57)
|
Measured in pmol/L
|
Measured at the end of each dosing interval 168 hours after dosing (day 8, 15, 22, 29, 36, 43, 50 and 57)
|
AUCIGlar,τ,SS - Area under the serum IGlar concentration-time curve during one dosing interval at steady state
Time Frame: From 0 to 24 hours after trial product administration (day 14)
|
Measured in pmol*h/L
|
From 0 to 24 hours after trial product administration (day 14)
|
Cmax,IGlar,SS - Maximum observed serum IGlar concentration at steady state
Time Frame: From 0 to 24 hours after trial product administration (day 14)
|
Measured in pmol/L
|
From 0 to 24 hours after trial product administration (day 14)
|
tmax,IGlar,SS - Time to maximum observed serum IGlar concentration at steady state
Time Frame: From 0 to 24 hours from trial product administration (day 14)
|
Measured in hours
|
From 0 to 24 hours from trial product administration (day 14)
|
CIGlar,trough - Serum IGlar trough concentration
Time Frame: Measured at the end of each dosing interval 24 hours after trial product administration (day 7, 14 and 15)
|
Measured in pmol/L
|
Measured at the end of each dosing interval 24 hours after trial product administration (day 7, 14 and 15)
|
AUCGIR,24-48h,SS - Area under the glucose infusion rate-time curve at steady state
Time Frame: From 24 to 48 hours after trial product administration (day 51)
|
Measured in mg/kg
|
From 24 to 48 hours after trial product administration (day 51)
|
GIRmax,24-48h, SS - Maximum observed glucose infusion rate at steady state
Time Frame: From 24 to 48 hours after trial product administration (day 51)
|
Measured in mg/(kg*min)
|
From 24 to 48 hours after trial product administration (day 51)
|
AUCGIR,150-168h,SS - Area under the glucose infusion rate-time curve at steady state
Time Frame: From 150 to 168 hours after trial product administration (day 57)
|
Measured in mg/kg
|
From 150 to 168 hours after trial product administration (day 57)
|
GIRmax,150-168h,SS - Maximum observed glucose infusion rate at steady state
Time Frame: From 150 to 168 hours after trial product administration (day 57)
|
Measured in mg/(kg*min)
|
From 150 to 168 hours after trial product administration (day 57)
|
AUCGIR,0-24h,SS - Area under the glucose infusion rate-time curve at steady state
Time Frame: From 0 to 24 hours after trial product administration (day 14)
|
Measured in mg/kg
|
From 0 to 24 hours after trial product administration (day 14)
|
GIRmax,0-24h,SS - Maximum observed glucose infusion rate at steady state
Time Frame: From 0 to 24 hours after trial product administration (day 14)
|
Measured in mg/(kg*min)
|
From 0 to 24 hours after trial product administration (day 14)
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NN1436-4422
- U1111-1211-7635 (Other Identifier: World Health Organization (WHO))
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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