4006-776-356 出国就医服务电话

免费获得国外相关药品,最快 1 个工作日回馈药物信息

出境医 / 临床实验 / Efficacy and Safety of Insulin Lispro Biphasic 25 Compared to Humalog® Mix 25 in Type 2 Diabetes Mellitus Patients

Efficacy and Safety of Insulin Lispro Biphasic 25 Compared to Humalog® Mix 25 in Type 2 Diabetes Mellitus Patients

Study Description
Brief Summary:
The study is designed to approve non-inferior efficacy and safety of Insulin Lispro Biphasic 25 ("Geropharm") compared to Humalog® Mix 25 in Type 2 Diabetes Mellitus Patients.

Condition or disease Intervention/treatment Phase
Diabetes Mellitus, Type 2 Diabetes Mellitus Drug: Humalog Mix25 Drug: Insulin Lispro Biphasic 25 Phase 3

Study Design
Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 210 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: An Open-label, Randomized, Multi-center, Parallel-group Clinical Trial Comparing the Efficacy and Safety of Insulin Lispro Biphasic 25 ("Geropharm", Russia) Humalog® Mix 25 ("Lilly France", France) in Type 2 Diabetes Mellitus Patients
Actual Study Start Date : March 14, 2018
Actual Primary Completion Date : January 15, 2019
Actual Study Completion Date : April 18, 2019
Arms and Interventions
Arm Intervention/treatment
Active Comparator: Humalog® Mix 25
Insulin Humalog® Mix 25 twice daily, individually glucose-level based administered doses +/- 1 or 2 OADs in stable doses, started before enrollement
Drug: Humalog Mix25
Subcutaneus injections Humalog® Mix 25 twice daily during 4 weeks of glucose-level based dose titration, 24 weeks of treatment with stable doses

Experimental: Insulin Lispro Biphasic 25
Insulin Lispro Biphasic 25 twice daily, individually glucose-level based administered doses +/- 1 or 2 OADs in stable doses, started before enrollement
Drug: Insulin Lispro Biphasic 25
Subcutaneus injections Insulin Lispro Biphasic 25 ("Geropharm") twice daily during 4 weeks of glucose-level based dose titration, 24 weeks of treatment with stable doses

Outcome Measures
Primary Outcome Measures :
  1. Antibody Response [ Time Frame: 26 weeks ]
    Change from baseline in titer of antibodies to human insulin


Secondary Outcome Measures :
  1. Adverse Events frequency and degree [ Time Frame: 26 weeks (4+22 weeks) ]
    Hypoglycemic episodes (glucose level < 3.9 mmol/l) frequency Occurrence of local reactions at injection sites Occurrence allergic reactions

  2. HbA1c [ Time Frame: 26 weeks ]
    Change in HbA1c from baseline

  3. Fasting Plasma Glucose Level [ Time Frame: 26 weeks ]
    Change in fasting plasma glucose level from baseline

  4. Seven-Point Glucose Testing [ Time Frame: 26 weeks ]
    Change in seven-point glucose testing results from baseline

  5. Insulin Dose [ Time Frame: 26 weeks ]
    Change in total insulin dose per body weight (U/kg) from baseline

  6. Body Mass Index [ Time Frame: 26 weeks ]
    Change in BMI from baseline

  7. Treatment Satisfaction [ Time Frame: 26 weeks ]
    Change in overall treatment satisfaction (DTSQ score) from baseline


Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Signed written consent
  • Clinical diagnosis of type 2 diabetes mellitus for at least 6 months prior to screening
  • Glycosylated hemoglobin (HbA1c) level of 7.6 to 12.0 % at screening (both values inclusive)
  • Body mass index (BMI) of 18.0 to 35 kg/m2 at screening (both values inclusive)
  • Stable doses OADs for at least 3 months prior to treatment of experimental drug
  • Female patients of childbearing potential who are willing to use two acceptable methods of contraception, (e.g., intra-uterine device plus condom, spermicidal gel plus condom, diaphragm plus condom, etc.), from the time of screening and for the duration of the trial, through trial completion

Exclusion Criteria:

  • Acute inflammation disease for 3 weeks prior to screening
  • Deviation of the laboratory results conducted during the screening:

Hemoglobin value < 9,0 g/dl; Hematocrit value < 30 %; ALT and AST value > 2 folds as high as maximal normal value; Serum bilirubin value > 1.5 folds as high as maximal normal value

  • History of hematological disorders that can affect the reliability of HbA1c estimation (hemoglobinopathies, hemolytic anemia, etc.)
  • Serious blood loss for 3 months prior to screening (blood donation, surgery procedure, etc.)
  • Contraindication to the use of insulin Lispro Biphasic 25
  • Insulin resistance over 1.5 U/kg insulin pro day
  • Presence of insulin antibodies in the blood at the screening ˃10 U/ml
  • Use of 3 or more oral antidiabetic drugs (OAD)
  • Presence of severe diabetes complications
  • History or presence of uncontrolled diabetes mellitus for 6 months prior to screening
  • Deviation of vital signs, which can influence to results
  • History of administration of glucocorticoids for 1 year prior to screening
  • History of autoimmune disease, except controlled autoimmune thyroid disease
  • Pregnant and breast-feeding women
  • History of hypersensitivity to any of the active or inactive ingredients of the insulin/insulin analogue preparations used in the trial, OR history of significant allergic drug reactions
  • Administration of any immunosuppressive drugs (Cyclosporinum, Methotrexatum)
  • Incomplete recovery after surgery procedure
Contacts and Locations

Locations
Show Show 18 study locations
Sponsors and Collaborators
Geropharm
Investigators
Layout table for investigator information
Principal Investigator: Aleksandr Yu Mayorov, MD Endocrinology Research Centre
Tracking Information
First Submitted Date  ICMJE July 5, 2019
First Posted Date  ICMJE July 17, 2019
Last Update Posted Date July 17, 2019
Actual Study Start Date  ICMJE March 14, 2018
Actual Primary Completion Date January 15, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: July 16, 2019)
Antibody Response [ Time Frame: 26 weeks ]
Change from baseline in titer of antibodies to human insulin
Original Primary Outcome Measures  ICMJE Same as current
Change History No Changes Posted
Current Secondary Outcome Measures  ICMJE
 (submitted: July 16, 2019)
  • Adverse Events frequency and degree [ Time Frame: 26 weeks (4+22 weeks) ]
    Hypoglycemic episodes (glucose level < 3.9 mmol/l) frequency Occurrence of local reactions at injection sites Occurrence allergic reactions
  • HbA1c [ Time Frame: 26 weeks ]
    Change in HbA1c from baseline
  • Fasting Plasma Glucose Level [ Time Frame: 26 weeks ]
    Change in fasting plasma glucose level from baseline
  • Seven-Point Glucose Testing [ Time Frame: 26 weeks ]
    Change in seven-point glucose testing results from baseline
  • Insulin Dose [ Time Frame: 26 weeks ]
    Change in total insulin dose per body weight (U/kg) from baseline
  • Body Mass Index [ Time Frame: 26 weeks ]
    Change in BMI from baseline
  • Treatment Satisfaction [ Time Frame: 26 weeks ]
    Change in overall treatment satisfaction (DTSQ score) from baseline
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Efficacy and Safety of Insulin Lispro Biphasic 25 Compared to Humalog® Mix 25 in Type 2 Diabetes Mellitus Patients
Official Title  ICMJE An Open-label, Randomized, Multi-center, Parallel-group Clinical Trial Comparing the Efficacy and Safety of Insulin Lispro Biphasic 25 ("Geropharm", Russia) Humalog® Mix 25 ("Lilly France", France) in Type 2 Diabetes Mellitus Patients
Brief Summary The study is designed to approve non-inferior efficacy and safety of Insulin Lispro Biphasic 25 ("Geropharm") compared to Humalog® Mix 25 in Type 2 Diabetes Mellitus Patients.
Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 3
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Condition  ICMJE
  • Diabetes Mellitus, Type 2
  • Diabetes Mellitus
Intervention  ICMJE
  • Drug: Humalog Mix25
    Subcutaneus injections Humalog® Mix 25 twice daily during 4 weeks of glucose-level based dose titration, 24 weeks of treatment with stable doses
  • Drug: Insulin Lispro Biphasic 25
    Subcutaneus injections Insulin Lispro Biphasic 25 ("Geropharm") twice daily during 4 weeks of glucose-level based dose titration, 24 weeks of treatment with stable doses
Study Arms  ICMJE
  • Active Comparator: Humalog® Mix 25
    Insulin Humalog® Mix 25 twice daily, individually glucose-level based administered doses +/- 1 or 2 OADs in stable doses, started before enrollement
    Intervention: Drug: Humalog Mix25
  • Experimental: Insulin Lispro Biphasic 25
    Insulin Lispro Biphasic 25 twice daily, individually glucose-level based administered doses +/- 1 or 2 OADs in stable doses, started before enrollement
    Intervention: Drug: Insulin Lispro Biphasic 25
Publications * Mayorov AY, Mosikian AA, Alpenidze DN, Makarenko IE, Orlova VL, Lunev IS, Verbovaya MV, Zinnatulina BR, Khokhlov AL, Drai RV. Efficacy and safety of GP40021 insulin lispro biphasic compared with Humalog Mix 25 in Type 2 diabetes mellitus patients. J Comp Eff Res. 2021 Jan;10(1):55-66. doi: 10.2217/cer-2020-0064. Epub 2020 Dec 23.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: July 16, 2019)
210
Original Actual Enrollment  ICMJE Same as current
Actual Study Completion Date  ICMJE April 18, 2019
Actual Primary Completion Date January 15, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Signed written consent
  • Clinical diagnosis of type 2 diabetes mellitus for at least 6 months prior to screening
  • Glycosylated hemoglobin (HbA1c) level of 7.6 to 12.0 % at screening (both values inclusive)
  • Body mass index (BMI) of 18.0 to 35 kg/m2 at screening (both values inclusive)
  • Stable doses OADs for at least 3 months prior to treatment of experimental drug
  • Female patients of childbearing potential who are willing to use two acceptable methods of contraception, (e.g., intra-uterine device plus condom, spermicidal gel plus condom, diaphragm plus condom, etc.), from the time of screening and for the duration of the trial, through trial completion

Exclusion Criteria:

  • Acute inflammation disease for 3 weeks prior to screening
  • Deviation of the laboratory results conducted during the screening:

Hemoglobin value < 9,0 g/dl; Hematocrit value < 30 %; ALT and AST value > 2 folds as high as maximal normal value; Serum bilirubin value > 1.5 folds as high as maximal normal value

  • History of hematological disorders that can affect the reliability of HbA1c estimation (hemoglobinopathies, hemolytic anemia, etc.)
  • Serious blood loss for 3 months prior to screening (blood donation, surgery procedure, etc.)
  • Contraindication to the use of insulin Lispro Biphasic 25
  • Insulin resistance over 1.5 U/kg insulin pro day
  • Presence of insulin antibodies in the blood at the screening ˃10 U/ml
  • Use of 3 or more oral antidiabetic drugs (OAD)
  • Presence of severe diabetes complications
  • History or presence of uncontrolled diabetes mellitus for 6 months prior to screening
  • Deviation of vital signs, which can influence to results
  • History of administration of glucocorticoids for 1 year prior to screening
  • History of autoimmune disease, except controlled autoimmune thyroid disease
  • Pregnant and breast-feeding women
  • History of hypersensitivity to any of the active or inactive ingredients of the insulin/insulin analogue preparations used in the trial, OR history of significant allergic drug reactions
  • Administration of any immunosuppressive drugs (Cyclosporinum, Methotrexatum)
  • Incomplete recovery after surgery procedure
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years to 65 Years   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE Russian Federation
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT04023344
Other Study ID Numbers  ICMJE LISPRO25-IM
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Responsible Party Geropharm
Study Sponsor  ICMJE Geropharm
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Aleksandr Yu Mayorov, MD Endocrinology Research Centre
PRS Account Geropharm
Verification Date January 2019

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP