Type 2 Diabetes
Conditions
Brief summary
The purpose of this study is to compare the effects of insulin VIAject with Regular Human Insulin and Insulin Lispro on measures of mealtime blood vessel stress and blood flow.
Interventions
0.10 U/Kg- 15 minutes before ingestion of a standardized liquid meal.
DRUGInsulin Lispro
90% of Regular Human Insulin dose administer immediately before ingestion of a standardized liquid meal.
DRUGInsulin VIAject™ (75%)
75 % of Regular Human Insulin dose administer immediately before ingestion of a standardized liquid meal
DRUGInsulin VIAject™ (90%)
90 % of Regular Human Insulin dose administer immediately before ingestion of a standardized liquid meal
Sponsors
Biodel
Study design
Allocation
NON_RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
1. Type 2 diabetes mellitus according to the ADA criteria 2. HbA1c between 6.5 % and 9.9 % 3. Treatment with sulfonylurea and/or metformin in a stable dosage within the last 3 months 4. Age between 40 and 75 years 5. BMI \< 40
Exclusion criteria
1. Type 1 diabetes mellitus 2. Pre-treatment with insulin within the last 6 months prior to screening 3. Pre-treatment with PPARy-agonists or glucosidase inhibitors within the last 4 weeks prior to screening 4. Untreated hypertension stage II-III according to WHO criteria 5. Planned or anticipated change in antidiabetic and/or concomitant medication during study participation 6. Total cholesterol \> 300 mg/dl (anamnestically) 7. Major micro- or macrovascular complications as judged by the investigator 8. Tobacco use within the last 6 months prior to screening 9. Drugs with major impact on endothelial function like nitrates etc. 10. History of drug or alcohol abuse which in the opinion of the investigator will impair subject safety or protocol compliance 11. History of hypersensitivity to the study drugs or to drugs with similar chemical structures 12. History of severe or multiple allergies 13. Treatment with any other investigational drug within 3 months prior to screening 14. Progressive fatal disease 15. 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 16. Pregnancy or breast feeding 17. 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 18. Lack of compliance or other similar reason that at the discretion of the investigator precludes satisfactory participation in the study 19. Hypopotassemia (K\<3.5 mmol /l)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postprandial time course of Asymmetric dimethyl arginine (ADMA) after injection of insulin VIAjectTM compared with regular human insulin and insulin lispro. | 0 - 240 minutes |
Secondary
| 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. | 0 - 240 minutes |
Countries
Germany
Outcome results
None listed