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A Pharmacokinetic and Glucodynamic Study of Subcutaneously Administered Insulin Analogs With rHuPH20 Compared to Insulin Analogs Alone

Phase 1, Randomized, Double-Blind, Pharmacokinetic and Glucodynamic, 6-Way Crossover Study of Subcutaneously Administered Insulin Analogs With Recombinant Human Hyaluronidase (rHuPH20) Compared to Insulin Analogs Alone in Healthy Volunteers

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00979875
Enrollment
14
Registered
2009-09-18
Start date
2009-09-30
Completion date
2010-05-31
Last updated
2014-07-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy

Keywords

insulin, recombinant human hyaluronidase, Healthy volunteers

Brief summary

This is a single-center, Phase 1, randomized, double-blind, 6-way crossover study to determine insulin pharmacokinetics, insulin glucodynamics, safety, and tolerability of subcutaneously administered dose(s) of insulin lispro + recombinant human hyaluronidase PH20 (rHuPH20), insulin lispro alone, insulin glulisine + rHuPH20, insulin glulisine alone, insulin aspart + rHuPH20, and insulin aspart alone.

Interventions

DRUGInsulin lispro
DRUGInsulin glulisine
DRUGInsulin aspart

Sponsors

Halozyme Therapeutics
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy participants between the ages of 18 and 55 years, inclusive (healthy is defined as no clinically relevant abnormalities). * Body mass index (BMI) between 18-27 kilograms per meter squared (kg/m\^2), inclusive. * Total body weight \>65 kilograms (kg) (143 pounds \[lb\]) for men and \>46 kg (101 lb) for women. * Decision making capacity and willingness to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures including adequate venous access. * Vital signs (blood pressure \[BP\], pulse rate, body temperature) within normal range or, if out of range, assessed by the Principal Investigator as not clinically significant. * Fasting blood glucose level \<100 milligrams per deciliter (mg/dL) at screening. * A negative serum pregnancy test (if female of childbearing potential). * Female participants of childbearing potential must agree to practice effective birth control or abstinence currently and agree to continue to do so for the duration of their time on study. * Signed, written institutional review board (IRB)-approved informed consent.

Exclusion criteria

* Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, oncologic, or neurologic (to include history of seizures) disease; hypoglycemic episodes; intercurrent illness (such as influenza); or allergic disease (including severe drug allergies, but excluding untreated, asymptomatic, seasonal allergies at time of dosing). Clinical significance to be determined by the Principal Investigator. * As judged by the investigator, clinically significant findings in routine laboratory data. (Anemia with hematocrit less than 33% at screening is specifically exclusionary.) * Known history of diabetes mellitus (type 1 or type 2) or gestational diabetes. * Known allergy to hyaluronidase or any other ingredient in the study drug. * Positive human immunodeficiency virus (HIV) 1, hepatitis B, or hepatitis C antibody test. * History or evidence of alcohol or drug abuse. * History or evidence of use of any tobacco- or nicotine-containing product within 6 months prior to screening and a screening qualitative urine nicotine test. * Use of drugs that may interfere with the interpretation of study results or are known to cause clinically relevant interference with insulin action or glucose utilization. * Blood donation or high volume phlebotomy, for example, \>100 milliliters (mL), within 56 days before dosing. * Participation in a study of any investigational drug or device 30 days before enrollment in this study. * The participant is unfit for the study in the opinion of the investigator. * Women who are pregnant or breast-feeding.

Design outcomes

Primary

MeasureTime frameDescription
Area Under the Concentration-time Curve for Serum Insulin From Time 0 to 60 Minutes (AUC0-60)Predose up to 60 minutes postdoseArea under the concentration (AUC)-time curve was derived as the area under the serum insulin concentration profile from 0 to 60 minutes. Blood samples were taken 30, 20, and 10 minutes (mins) prior to each injection; every 3 mins (from 0 to 15 mins); and at 20, 25, 30, 45, and 60 mins after each injection.

Secondary

MeasureTime frameDescription
Time to Maximum Serum Insulin Concentration (Tmax)Predose up to 480 minutes postdoseTmax was determined as the timepoint where the maximum of all valid concentration measurements for each measurement series was observed. Samples were taken 30, 20, 10 minutes (mins) prior to each injection; every 3 mins (from 0 to 15 mins); every 5 mins (from 15 to 30 mins); every 15 mins (from 30 to 90 mins); every 30 mins (from 90 to 240 mins); and every 60 mins (from 240 to 480 mins) after each injection.
Time to Early and Late 50% Maximum Serum Insulin Concentration (t[50%Max])Predose up to 480 minutes postdoseBlood samples were taken 30, 20, 10 minutes (mins) prior to each injection; every 3 mins (from 0 to 15 mins); every 5 mins (from 15 to 30 mins); every 15 mins (from 30 to 90 mins); every 30 mins (from 90 to 240 mins); and every 60 mins (from 240 to 480 mins) after each injection.
Time to Maximum Glucose Infusion Rate (tGIR[Max])Predose up to 480 minutes postdoseBlood samples were taken 30, 20, 10 minutes (mins) prior to each injection; every 3 mins (from 0 to 15 mins); every 5 mins (from 15 to 30 mins); every 15 mins (from 30 to 90 mins); every 30 mins (from 90 to 240 mins); and every 60 mins (from 240 to 480 mins) after each injection.
Percentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)Predose up to 120 minutes postdosePercentage of total area under the concentration (AUC)-time curve at 15, 30, 60, 120 minutes after injection was measured. Blood samples were taken 30, 20, 10 minutes (mins) prior to each injection; every 3 mins (from 0 to 15 mins); every 5 mins (from 15 to 30 mins); every 15 mins (from 30 to 90 mins); and at 90 and 120 mins after each injection.
Time to Percentage of Total Insulin ExposurePredose up to 480 minutes postdoseTime to 10% and 50% of total insulin exposure was measured. Samples were taken 30, 20, 10 minutes (mins) prior to each injection; every 3 mins (from 0 to 15 mins); every 5 mins (from 15 to 30 mins); every 15 mins (from 30 to 90 mins); every 30 mins (from 90 to 240 mins); and every 60 mins (from 240 to 480 mins) after each injection.

Countries

United States

Participant flow

Participants by arm

ArmCount
Overall Study
All participants were randomized to 1 of 6 treatment sequences (ABC, ACB, BAC, BCA, CAB, or CBA), each of which was comprised of the same 3 interventions (A, B, and C). Each intervention was separated by a 3- to 14-day washout. Intervention A: Participants received a single, subcutaneous (SC) injection of 95 units per milliliter (U/mL) Lispro + 5 micrograms per milliliter (µg/mL) recombinant human hyaluronidase PH20 (PH20) and a single, SC injection of 95 U/mL Lispro alone 3 to 14 days apart. Intervention B: Participants received a single, SC injection of 95 U/mL Glulisine (Glulis) + 5 µg/mL PH20 and a single, SC injection of 95 U/mL Glulis alone 3 to 14 days apart. Intervention C: Participants received a single, SC injection of 95 U/mL Aspart + 5 µg/mL PH20 and a single, SC injection of 95 U/mL Aspart alone 3 to 14 days apart.
14
Total14

Baseline characteristics

CharacteristicOverall Study
Age, Continuous33.7 years
STANDARD_DEVIATION 8.96
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
1 Participants
Race (NIH/OMB)
Black or African American
2 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
10 Participants
Region of Enrollment
United States
14 participants
Sex: Female, Male
Female
6 Participants
Sex: Female, Male
Male
8 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
1 / 142 / 142 / 143 / 142 / 142 / 14
serious
Total, serious adverse events
0 / 140 / 140 / 140 / 140 / 140 / 14

Outcome results

Primary

Area Under the Concentration-time Curve for Serum Insulin From Time 0 to 60 Minutes (AUC0-60)

Area under the concentration (AUC)-time curve was derived as the area under the serum insulin concentration profile from 0 to 60 minutes. Blood samples were taken 30, 20, and 10 minutes (mins) prior to each injection; every 3 mins (from 0 to 15 mins); and at 20, 25, 30, 45, and 60 mins after each injection.

Time frame: Predose up to 60 minutes postdose

Population: Participants who received at least one dose of Lispro alone, Lispro + recombinant human hyaluronidase PH20 (rHuPH20), Glulisine alone, Glulisine + rHuPH20, Aspart alone, or Aspart + rHuPH20 with evaluable AUC0-60 data.

ArmMeasureValue (MEAN)Dispersion
Glulisine AloneArea Under the Concentration-time Curve for Serum Insulin From Time 0 to 60 Minutes (AUC0-60)11667.14 minutes*nanomolars (min*nM)Standard Deviation 4085
Glulisine + rHuPH20Area Under the Concentration-time Curve for Serum Insulin From Time 0 to 60 Minutes (AUC0-60)23807.14 minutes*nanomolars (min*nM)Standard Deviation 6657.73
Lispro AloneArea Under the Concentration-time Curve for Serum Insulin From Time 0 to 60 Minutes (AUC0-60)10687.14 minutes*nanomolars (min*nM)Standard Deviation 5532.49
Lispro + rHuPH20Area Under the Concentration-time Curve for Serum Insulin From Time 0 to 60 Minutes (AUC0-60)27850.00 minutes*nanomolars (min*nM)Standard Deviation 9684.94
Aspart AloneArea Under the Concentration-time Curve for Serum Insulin From Time 0 to 60 Minutes (AUC0-60)8065.00 minutes*nanomolars (min*nM)Standard Deviation 3138.37
Aspart + rHuPH20Area Under the Concentration-time Curve for Serum Insulin From Time 0 to 60 Minutes (AUC0-60)20778.57 minutes*nanomolars (min*nM)Standard Deviation 6383.05
p-value: <0.000190% CI: [1.7, 2.55]Mixed Models Analysis
p-value: <0.000190% CI: [3.88, 7.12]Mixed Models Analysis
p-value: <0.000190% CI: [3.05, 5.6]Mixed Models Analysis
Secondary

Percentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)

Percentage of total area under the concentration (AUC)-time curve at 15, 30, 60, 120 minutes after injection was measured. Blood samples were taken 30, 20, 10 minutes (mins) prior to each injection; every 3 mins (from 0 to 15 mins); every 5 mins (from 15 to 30 mins); every 15 mins (from 30 to 90 mins); and at 90 and 120 mins after each injection.

Time frame: Predose up to 120 minutes postdose

Population: Participants who received at least one dose of Lispro alone, Lispro + recombinant human hyaluronidase PH20 (rHuPH20) , Glulisine alone, Glulisine + rHuPH20, Aspart alone, or Aspart + rHuPH20 with evaluable AUC0-t data.

ArmMeasureGroupValue (MEAN)Dispersion
Glulisine AlonePercentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-152.02 percentage of total AUCStandard Deviation 1.1
Glulisine AlonePercentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-307.09 percentage of total AUCStandard Deviation 3.4
Glulisine AlonePercentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-6020.68 percentage of total AUCStandard Deviation 8.07
Glulisine AlonePercentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-12050.35 percentage of total AUCStandard Deviation 12.69
Glulisine + rHuPH20Percentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-6039.45 percentage of total AUCStandard Deviation 10.64
Glulisine + rHuPH20Percentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-3015.82 percentage of total AUCStandard Deviation 5.56
Glulisine + rHuPH20Percentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-155.29 percentage of total AUCStandard Deviation 2.06
Glulisine + rHuPH20Percentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-12071.70 percentage of total AUCStandard Deviation 11.07
Lispro AlonePercentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-12050.14 percentage of total AUCStandard Deviation 12.1
Lispro AlonePercentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-6018.72 percentage of total AUCStandard Deviation 7.74
Lispro AlonePercentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-303.88 percentage of total AUCStandard Deviation 2.71
Lispro AlonePercentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-150.68 percentage of total AUCStandard Deviation 0.65
Lispro + rHuPH20Percentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-152.38 percentage of total AUCStandard Deviation 1.24
Lispro + rHuPH20Percentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-12077.00 percentage of total AUCStandard Deviation 7.54
Lispro + rHuPH20Percentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-3013.81 percentage of total AUCStandard Deviation 5.37
Lispro + rHuPH20Percentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-6042.88 percentage of total AUCStandard Deviation 8.89
Aspart AlonePercentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-6016.85 percentage of total AUCStandard Deviation 6.54
Aspart AlonePercentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-12047.97 percentage of total AUCStandard Deviation 12.32
Aspart AlonePercentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-303.54 percentage of total AUCStandard Deviation 1.9
Aspart AlonePercentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-150.56 percentage of total AUCStandard Deviation 0.3
Aspart + rHuPH20Percentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-3013.66 percentage of total AUCStandard Deviation 7.05
Aspart + rHuPH20Percentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-6041.51 percentage of total AUCStandard Deviation 12.06
Aspart + rHuPH20Percentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-12077.37 percentage of total AUCStandard Deviation 8.8
Aspart + rHuPH20Percentage of Total Area Under the Concentration-time Curve for Serum Insulin Attained by Time t (AUC0-t)AUC0-152.92 percentage of total AUCStandard Deviation 2.28
Secondary

Time to Early and Late 50% Maximum Serum Insulin Concentration (t[50%Max])

Blood samples were taken 30, 20, 10 minutes (mins) prior to each injection; every 3 mins (from 0 to 15 mins); every 5 mins (from 15 to 30 mins); every 15 mins (from 30 to 90 mins); every 30 mins (from 90 to 240 mins); and every 60 mins (from 240 to 480 mins) after each injection.

Time frame: Predose up to 480 minutes postdose

Population: Participants who received at least one dose of Lispro alone, Lispro + recombinant human hyaluronidase PH20 (rHuPH20), Glulisine alone, Glulisine + rHuPH20, Aspart alone, or Aspart + rHuPH20 with evaluable t(50%max) data.

ArmMeasureGroupValue (MEAN)Dispersion
Glulisine AloneTime to Early and Late 50% Maximum Serum Insulin Concentration (t[50%Max])early t(50%max)21.06 minutesStandard Deviation 9.6
Glulisine AloneTime to Early and Late 50% Maximum Serum Insulin Concentration (t[50%Max])late t(50%max)195.43 minutesStandard Deviation 48.63
Glulisine + rHuPH20Time to Early and Late 50% Maximum Serum Insulin Concentration (t[50%Max])early t(50%max)10.16 minutesStandard Deviation 4.9
Glulisine + rHuPH20Time to Early and Late 50% Maximum Serum Insulin Concentration (t[50%Max])late t(50%max)118.92 minutesStandard Deviation 33.57
Lispro AloneTime to Early and Late 50% Maximum Serum Insulin Concentration (t[50%Max])early t(50%max)30.69 minutesStandard Deviation 12.58
Lispro AloneTime to Early and Late 50% Maximum Serum Insulin Concentration (t[50%Max])late t(50%max)176.79 minutesStandard Deviation 30
Lispro + rHuPH20Time to Early and Late 50% Maximum Serum Insulin Concentration (t[50%Max])early t(50%max)18.96 minutesStandard Deviation 5.27
Lispro + rHuPH20Time to Early and Late 50% Maximum Serum Insulin Concentration (t[50%Max])late t(50%max)89.59 minutesStandard Deviation 21.38
Aspart AloneTime to Early and Late 50% Maximum Serum Insulin Concentration (t[50%Max])early t(50%max)31.93 minutesStandard Deviation 8.15
Aspart AloneTime to Early and Late 50% Maximum Serum Insulin Concentration (t[50%Max])late t(50%max)193.50 minutesStandard Deviation 45.94
Aspart + rHuPH20Time to Early and Late 50% Maximum Serum Insulin Concentration (t[50%Max])early t(50%max)17.98 minutesStandard Deviation 5.22
Aspart + rHuPH20Time to Early and Late 50% Maximum Serum Insulin Concentration (t[50%Max])late t(50%max)102.82 minutesStandard Deviation 24.74
Secondary

Time to Maximum Glucose Infusion Rate (tGIR[Max])

Blood samples were taken 30, 20, 10 minutes (mins) prior to each injection; every 3 mins (from 0 to 15 mins); every 5 mins (from 15 to 30 mins); every 15 mins (from 30 to 90 mins); every 30 mins (from 90 to 240 mins); and every 60 mins (from 240 to 480 mins) after each injection.

Time frame: Predose up to 480 minutes postdose

Population: Participants who received at least one dose of Lispro alone, Lispro + recombinant human hyaluronidase PH20 (rHuPH20), Glulisine alone, Glulisine + rHuPH20, Aspart alone, or Aspart + rHuPH20 with evaluable tGIR(max) data.

ArmMeasureValue (MEAN)Dispersion
Glulisine AloneTime to Maximum Glucose Infusion Rate (tGIR[Max])141.93 minutesStandard Deviation 71.18
Glulisine + rHuPH20Time to Maximum Glucose Infusion Rate (tGIR[Max])113.36 minutesStandard Deviation 69.85
Lispro AloneTime to Maximum Glucose Infusion Rate (tGIR[Max])160.14 minutesStandard Deviation 71.36
Lispro + rHuPH20Time to Maximum Glucose Infusion Rate (tGIR[Max])103.57 minutesStandard Deviation 58.83
Aspart AloneTime to Maximum Glucose Infusion Rate (tGIR[Max])158.79 minutesStandard Deviation 52.34
Aspart + rHuPH20Time to Maximum Glucose Infusion Rate (tGIR[Max])96.93 minutesStandard Deviation 56.65
Secondary

Time to Maximum Serum Insulin Concentration (Tmax)

Tmax was determined as the timepoint where the maximum of all valid concentration measurements for each measurement series was observed. Samples were taken 30, 20, 10 minutes (mins) prior to each injection; every 3 mins (from 0 to 15 mins); every 5 mins (from 15 to 30 mins); every 15 mins (from 30 to 90 mins); every 30 mins (from 90 to 240 mins); and every 60 mins (from 240 to 480 mins) after each injection.

Time frame: Predose up to 480 minutes postdose

Population: Participants who received at least one dose of Lispro alone, Lispro + recombinant human hyaluronidase PH20 (rHuPH20), Glulisine alone, Glulisine + rHuPH20, Aspart alone, or Aspart + rHuPH20 with evaluable tmax data.

ArmMeasureValue (MEAN)Dispersion
Glulisine AloneTime to Maximum Serum Insulin Concentration (Tmax)80.36 minutesStandard Deviation 25.38
Glulisine + rHuPH20Time to Maximum Serum Insulin Concentration (Tmax)41.43 minutesStandard Deviation 12.47
Lispro AloneTime to Maximum Serum Insulin Concentration (Tmax)67.50 minutesStandard Deviation 32.09
Lispro + rHuPH20Time to Maximum Serum Insulin Concentration (Tmax)41.07 minutesStandard Deviation 17.56
Aspart AloneTime to Maximum Serum Insulin Concentration (Tmax)85.71 minutesStandard Deviation 35.99
Aspart + rHuPH20Time to Maximum Serum Insulin Concentration (Tmax)43.57 minutesStandard Deviation 12.92
p-value: <0.000190% CI: [-53.31, -24.55]ANOVA
p-value: 0.003290% CI: [-40.81, -12.05]ANOVA
p-value: <0.000190% CI: [-56.53, -27.76]ANOVA
Secondary

Time to Percentage of Total Insulin Exposure

Time to 10% and 50% of total insulin exposure was measured. Samples were taken 30, 20, 10 minutes (mins) prior to each injection; every 3 mins (from 0 to 15 mins); every 5 mins (from 15 to 30 mins); every 15 mins (from 30 to 90 mins); every 30 mins (from 90 to 240 mins); and every 60 mins (from 240 to 480 mins) after each injection.

Time frame: Predose up to 480 minutes postdose

Population: Participants who received at least one dose of Lispro alone, Lispro + rHuPH20, Glulisine alone, Glulisine + recombinant human hyaluronidase PH20 (rHuPH20), Aspart alone, or Aspart + rHuPH20 with evaluable total insulin exposure data.

ArmMeasureGroupValue (MEAN)Dispersion
Glulisine AloneTime to Percentage of Total Insulin ExposureTime to 10% of total insulin exposure39.59 minutesStandard Deviation 9.95
Glulisine AloneTime to Percentage of Total Insulin ExposureTime to 50% of total insulin exposure123.65 minutesStandard Deviation 27.48
Glulisine + rHuPH20Time to Percentage of Total Insulin ExposureTime to 10% of total insulin exposure23.39 minutesStandard Deviation 6.38
Glulisine + rHuPH20Time to Percentage of Total Insulin ExposureTime to 50% of total insulin exposure78.64 minutesStandard Deviation 18.82
Lispro AloneTime to Percentage of Total Insulin ExposureTime to 10% of total insulin exposure46.56 minutesStandard Deviation 11.89
Lispro AloneTime to Percentage of Total Insulin ExposureTime to 50% of total insulin exposure123.39 minutesStandard Deviation 27.87
Lispro + rHuPH20Time to Percentage of Total Insulin ExposureTime to 10% of total insulin exposure26.35 minutesStandard Deviation 5.6
Lispro + rHuPH20Time to Percentage of Total Insulin ExposureTime to 50% of total insulin exposure70.97 minutesStandard Deviation 12.61
Aspart AloneTime to Percentage of Total Insulin ExposureTime to 10% of total insulin exposure48.42 minutesStandard Deviation 9.96
Aspart AloneTime to Percentage of Total Insulin ExposureTime to 50% of total insulin exposure130.86 minutesStandard Deviation 30.04
Aspart + rHuPH20Time to Percentage of Total Insulin ExposureTime to 10% of total insulin exposure26.99 minutesStandard Deviation 6.57
Aspart + rHuPH20Time to Percentage of Total Insulin ExposureTime to 50% of total insulin exposure72.53 minutesStandard Deviation 14.86

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026