Healthy Volunteer
Conditions
Brief summary
Two-centre, randomised, double-blind, single dose, two-treatment, two-period, two sequence, crossover, 24-hour euglycaemic glucose clamp trial in healthy subjects.
Detailed description
The present study is designed to demonstrate pharmacokinetic and pharmacodynamic equivalence of Biocon Insulin 70/30 with Humulin® 70/30 in healthy subjects The treatment consists of one single dose of the test or reference product, administered during each of the two study periods, separated by 5-7 days between dosing. The planned trial duration for each subject is about 12 to 36 days. Eligible subjects will undergo two 24-hour euglycaemic clamp examinations, one after administration of the test product and one after administration of the reference product in random order.
Interventions
Humulin® 70/30 is a premixed suspension of human insulin of recombinant deoxyribonucleic acid (rDNA)origin, which contains 30% short-acting human soluble insulin and 70% intermediate-acting isophane insulin. Human insulin is produced by recombinant deoxyribonucleic acid (rDNA), technology utilizing a non-pathogenic laboratory strain of Escherichia coli.
Biocon Insulin 70/30 is a premixed suspension of human insulin of recombinant deoxyribonucleic acid (rDNA)origin, which contains 30% short-acting human soluble insulin and 70% intermediate-acting isophane insulin. Biocon insulin is produced by recombinant deoxyribonucleic acid (rDNA) technology utilizing a non-pathogenic laboratory strain of Escherichia coli.
Sponsors
Study design
Masking description
Double-blind
Eligibility
Inclusion criteria
* Healthy male or post-menopausal female subjects. Post-menopausal state is defined as no menses for 12 months without an alternative medical cause and confirmed by a follicle stimulating hormone (FSH) level in the post-menopausal range (\>= 25.8 IU/L). * Age between 18 and 55 years, both inclusive. * Body Mass Index (BMI) between 18.5 and 29.0 kg/m\^2, both inclusive. * Fasting plasma glucose concentration \<= 100 mg/dL. * Considered generally healthy upon completion of medical history and screening safety assessments, as judged by the Investigator.
Exclusion criteria
* Known or suspected hypersensitivity to Investigational Medicinal products ((IMP(s)) or related products. * Receipt of any medicinal product in clinical development within 30 days or five times its half-life (whichever is longer) before randomization in this trial. * Any history or presence of clinically relevant comorbidity, as judged by the investigator. * Systolic blood pressure \< 95 mmHg or \>140 mmHg and/or diastolic blood pressure \< 50 mm Hg or \> 90 mmHg after resting for at least 5 minutes in supine position (excluding white-coat hypertension; therefore, a repeat test showing results within range will be acceptable). * Pulse rate at rest outside the range of 50-90 beats per minute.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pharmacodynamic Endpoint: Area under curve (AUC)Glucose infusion rate (GIR).0-24h | 0-24hour | area under the glucose infusion rate curve |
| Pharmacodynamic Endpoint: maximum glucose infusion rate (GIRmax) | 0-24hour | maximum glucose infusion rate |
| Pharmacokinetic endpoints: area under the insulin concentration curve (AUCins) 0-24h | 0-24hour | area under the insulin concentration curve |
| Pharmacokinetic endpoints: insulin concentration (Cins).max | 0-24hour | maximum observed insulin concentration. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pharmacokinetic endpoint: area under the insulin concentration curve(AUCins)12-24h | 12-24hour | area under the insulin concentration curve |
| Pharmacokinetic endpoint: area under the insulin concentration curve(AUCins).0-infinity | 0 to 24 hours | area under the insulin concentration curve |
| Pharmacokinetic endpoint: time to maximum observed insulin concentration (tmax) | 0-24hour | time to maximum observed insulin concentration |
| Pharmacokinetic endpoint: time(t)50%-ins(early) | 0-24hour | time to half-maximum before Cins.max |
| Pharmacokinetic endpoint: time(t)50%-ins(late) | 0-24hour | time to half-maximum after Cins.max |
| Pharmacokinetic endpoint: terminal elimination half-life (t½) | 0-24hour | terminal elimination half-life calculated as t½=ln2/λz |
| Pharmacokinetic endpoint:terminal elimination rate constant(λz) | 0-24hour | terminal elimination rate constant of insulin |
| Pharmacodynamic endpoints: area under the glucose infusion rate curve (AUCGIR)0-6h | 0-6hour | area under the glucose infusion rate curve |
| Pharmacodynamic endpoints: area under the glucose infusion rate curve(AUCGIR)0-12h | 0-12hour | area under the glucose infusion rate curve |
| Pharmacodynamic endpoints: area under the glucose infusion rate curve (AUCGIR)12-24h | 12-24hour | area under the glucose infusion rate curve |
| Pharmacodynamic endpoints: time to maximum glucose infusion rate (tGIR.max) | 0-24hour | time to maximum glucose infusion rate |
| Pharmacodynamic endpoints: time to half-maximum glucose infusion rate before GIRmax(tGIR.50%-early) | 0-24hour | time to half-maximum glucose infusion rate before Maximum glucose infusion rate(GIRmax) |
| Pharmacodynamic endpoints: time to half-maximum glucose infusion rate after GIRmax (tGIR.50%-late) | 0-24hour | time to half-maximum glucose infusion rate after Maximum glucose infusion rate(GIRmax) |
| Pharmacodynamic endpoints: Onset of action | 0-24hour | time from trial product administration until blood glucose concentration has decreased at least 5 mg/dL from baseline, where baseline is defined as the mean of blood glucose levels from -6, -4, and -2 minutes before trial product administration as measured by ClampArt(name of Clamp Devise). |
| Pharmacodynamic endpoints: area under the glucose infusion rate curve (AUCGIR) 0-2h | 0-2hour | area under the glucose infusion rate curve |
| Pharmacokinetic endpoint: area under the insulin concentration curve(AUCins) 0-2h | 0-2hour | area under the insulin concentration curve |
| Pharmacokinetic endpoint: area under the insulin concentration curve(AUCins) 0-6h | 0-6hour | area under the insulin concentration curve |
| Pharmacokinetic endpoint: area under the insulin concentration curve(AUCins) 0-12h | 0-12hour | area under the insulin concentration curve |
Other
| Measure | Time frame | Description |
|---|---|---|
| Safety endpoints: Number of subjects with Adverse Events, clinically significant changes in Physical examination, Vital signs. Local tolerability/ Injection site reactions | First dose to followup period (Total duration: 14 days approximate) | Number of subjects with Adverse Events, clinically significant changes in Physical examination, Vital signs Local tolerability/ Injection site reactions |
| Safety endpoint: Number of subjects with clinically significant changes in Laboratory safety parameters, Electrocardiogram (ECG) | Screening and Follow-up period (Total duration: 35 days approximate) | Number of subjects with clinically significant changes in Laboratory safety parameters. Number of subjects with clinically significant changes in Electrocardiogram (ECG) |
Countries
Germany