A Study to Compare Pharmacokinetics and Pharmacodynamics of GP-40081 to NovoMix® 30 Penfill® in Healthy Subjects

A Randomized Double Blinded Two-way Crossover Single-dose Pharmacokinetics and Pharmacodynamics Study of GP-40081 (LLC "GEROPHARM", Russia) Versus NovoMix® 30 Penfill® (Novo Nordisk) in Healthy Subjects Using the Euglycemic Clamp Technique

Pharmacokinetics and pharmacodynamics study of 2 formulations of biphasic insulin aspart 30 (GP-40081 GEROPHARM vers. NovoMix® 30 Penfill® Novo Nordisk)

Study Overview

• Status: Completed
• Conditions: Clamp Study
• Intervention / Treatment: Drug: GP-40081; Drug: NovoMix® 30 Penfill®

Detailed Description

A randomized double blinded two-way crossover single-dose pharmacokinetics and pharmacodynamics study of GP-40081 (LLC "GEROPHARM", Russia) versus NovoMix® 30 Penfill® (Novo Nordisk) in normal healthy subjects using the euglycemic clamp technique

• Study Type: Interventional
• Enrollment (Actual): 34
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Russian Federation
  • Moscow, Russian Federation, 117036
    • Endocrinology Research Centre
  • Saint Petersburg, Russian Federation, 197341
    • Almazov National Medical Research Centre

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 45 years (ADULT)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: Male

Description

Inclusion Criteria:

1. Signed informed consent.
2. Caucasian males having a confirmed healthy diagnosis as per data of standard clinical, laboratory, and instrumental examination methods.
3. Age of 18-45 (both incl.).
4. Body mass index equal to 18.5-30.0 kg/m2, body weight equal to 60.0-100.0 kg (both incl.).
5. Volunteers' consent to all restrictions imposed during the study, including adequate methods of contraception.
6. Russian citizenship.

Exclusion Criteria:

1. Weighed allergic anamnesis.
2. Increased sensitivity in the history of heparin, insulin or any of the excipients of the study drugs.

3. Any acute and chronic diseases (for 4 weeks before screening) incl.:

   1. of the cardiovascular system, bronchopulmonary, neuroendocrine systems, as well as diseases of the gastrointestinal tract, liver, kidneys, blood.
   2. positive tests: hepatitis B (Ag), hepatitis C (Ab), HIV (Ab), syphilis (Ab).
4. Deviations in basic vital signs: heart rate (60-89), systolic blood pressure (90-139 mm Hg), the diastolic blood pressure (60-89 mm Hg), respiratory rate (12-20), body temperature (35.7-37.2 C).
5. Abnormalities of the ECG from the norms.
6. Episodes of hypoglycemia in the anamnesis; the presence in the family history of cases of a verified diagnosis of diabetes mellitus in the immediate family.
7. Fasting plasma glucose> 6.1 mmol / L.
8. HbA1C> 6% (screening).
9. Oral glucose tolerance test - blood glucose level ≥ 7.8 mmol / l (2 hours after loading with glucose).
10. Deep vein thrombosis of lower extremities in a history of life or in a family history.
11. Any diet (vegetarian, etc.), extreme physical exercise, night shift work.
12. Subjects who have taken any drugs known effects on hemodynamics or to induce or inhibit hepatic drug metabolism within 2 months prior to screening.
13. Taking medications, phytopreparations, biologically active supplements less than 14 days before screening.
14. History of significant drugs abuse conditions for 3 years prior to screening.
15. Significant blood loss (450 mL or more) less than 3 months before the screening.
16. Recovery after surgery process; scheduled surgery.
17. Mental, physical and other reasons that do not allow to adequately assess their behavior and properly fulfill the conditions of the research protocol, including psychiatric disorders.
18. A positive test for the content of drugs in the urine (screening).
19. Positive test for alcohol content in the exhaled air.
20. Receiving more than 10 units. alcohol per week (1 unit of alcohol is equivalent to 0.5 liters of beer, 200 ml of wine or 50 ml of strong alcohol) or anamnestic information about alcoholism.
21. Nicotine dependence (use of tobacco less than 6 months before the start of screening).
22. Participation in a clinical trial of any medications less than 3 months or 5 half-lives before the IP administration.
23. Any conditions that make it difficult, according to the informed opinion of the investigating physician, that volunteer participation in studies.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: BASIC_SCIENCE
• Allocation: RANDOMIZED
• Interventional Model: CROSSOVER
• Masking: SINGLE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: GP-40081; Single subcutaneous administration of GP-40081 in dose 0.4 IU / kg	Drug: GP-40081; biphasic insulin aspart 30 in doses 0.4 IU/kg; Other Names: biphasic insulin aspart 30
ACTIVE_COMPARATOR: NovoMix® 30 Penfill®; Single subcutaneous administration of NovoMix® 30 Penfill® in dose 0.4 IU / kg	Drug: NovoMix® 30 Penfill®; biphasic insulin aspart 30 in doses 0.4 IU/kg; Other Names: biphasic insulin aspart 30

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
AUC(0-t)	Pharmacokinetics of insulin aspart by Assessment of Area Under the Curve From Time Zero Extrapolated to "t" (AUC(0-t))	-60, -30, 0 minutes (pre-dose) and 15, 30, 45, 60, 75, 90, 105, 120, 135, 150, 180, 210, 240, 270, 300, 360, 420, 480, 600, 720, 960, 1200 and 1440 minutes post-dose
Cmax	Pharmacokinetics of insulin aspart by Assessment of Observed Maximum Plasma Concentration (Cmax)	-60, -30, 0 minutes (pre-dose) and 15, 30, 45, 60, 75, 90, 105, 120, 135, 150, 180, 210, 240, 270, 300, 360, 420, 480, 600, 720, 960, 1200 and 1440 minutes post-dose

Collaborators and Investigators

• Sponsor: Geropharm

Study record dates

Study Major Dates

• Study Start (ACTUAL): April 15, 2019
• Primary Completion (ACTUAL): June 28, 2019
• Study Completion (ACTUAL): June 28, 2019

Study Registration Dates

• First Submitted: November 29, 2019
• First Submitted That Met QC Criteria: November 29, 2019
• First Posted (ACTUAL): December 3, 2019

Study Record Updates

• Last Update Posted (ACTUAL): December 3, 2019
• Last Update Submitted That Met QC Criteria: November 29, 2019
• Last Verified: November 1, 2019

More Information

Terms related to this study

• Keywords: Pharmacokinetics; Pharmacodynamics; Biphasic Insulin Aspart
• Additional Relevant MeSH Terms: 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; Insulin, Isophane
• Other Study ID Numbers: GP-40081-P4-11

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No