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CompletedNCT00553488Updated Aug 22, 2008

Feasibility Study of the Effect of Intra-Dermal Insulin Injection on Blood Glucose Levels After Eating

A Phase 2 interventional study of Regular insulin (Humulin) and Insulin lispro (Humalog) in Diabetes Mellitus, Type 1, sponsored by Becton, Dickinson and Company. Completed at 1 site in Germany. Open to male participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2008-08-22.

Sponsored by Becton, Dickinson and Company · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
Male
01

Study summary

This study is to determine the effect of intra-dermal (ID) administration of regular and of rapid-acting insulin, before eating, on blood glucose levels for several hours after a standard meal (a mixed, liquid meal). Insulin will also be given normally, subcutaneously, for control or comparison purposes. The hypothesis or expectation is that ID insulin will work more quickly and control blood glucose levels better than SC injection.

Read the detailed description

Previous studies have shown that intra-dermal (ID) insulin administration results in a more rapid onset of action in comparison to subcutaneous (SC) administration as measured by glucose infusion rate (GIR) under glucose clamp conditions.The aim of this study is to investigate whether ID administration of regular human insulin or rapid-acting insulin analogue leads to reduced postprandial glycemic excursions in comparison to SC application under highly standardized experimental conditions. Effects on the occurrence of hypoglycemia will also be investigated, as well as pK and pD comparisons between different insulin formulations administered ID. This is a mono-center, open-label, randomized, 5-period crossover study in patients with type 1 diabetes

02

Conditions studied

  • Diabetes Mellitus, Type 1

Keywords

  • diabetes
  • insulin
  • subcutaneous
  • intra-dermal
  • blood glucose
03

In context

Diabetes Mellitus, Type 1

3,522 studies on the registry are indexed under Diabetes Mellitus, Type 1; 577 are open to participants now.

This study's enrollment of 30 is below the median of 40 across 2,649 interventional studies indexed under Diabetes Mellitus, Type 1.

Browse Diabetes Mellitus, Type 1 studies →

Lead sponsor

Becton, Dickinson and Company is the lead sponsor of 60 studies on the registry; 5 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 7 (78%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Type 1 diabetes for 1-15 years, on multiple daily injections (MDI) or insulin pump (CSII) in stable control with HbA1c \<= 9.0%.
  • Able to attend clinic for 5 different days

Exclusion criteria

Exclusion Criteria:

  • BMI > 32 kg/m2
  • Evidence of gastroparesis or impaired renal function or lipodystrophy
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
30 participants (actual)

Study arms

  • Active comparator
    1

    Regular insulin SC at -17 mins

    Drug: Regular insulin (Humulin)

  • Active comparator
    2

    Regular insulin ID at -17 mins

    Drug: Regular insulin (Humulin)

  • Active comparator
    3

    Regular insulin ID at -2 mins

    Drug: Regular insulin (Humulin)

  • Active comparator
    4

    Insulin lispro given SC at -2 mins

    Drug: Insulin lispro (Humalog)

  • Experimental
    5

    Insulin lispro given ID at -2 mins

    Drug: Insulin lispro (Humalog)

Interventions

  • DrugRegular insulin (Humulin)

    Insulin will be given either subcutaneously or intra-dermally, and at two different times prior to the liquid meal (T zero). At -17 mins, regular insulin will be given either SC or ID. At -2 mins, regular insulin will be given ID; also insulin lispro will be given either SC or ID. Each patient will receive 1 injection on 5 different study days.

  • DrugInsulin lispro (Humalog)

    Insulin will be given either subcutaneously or intra-dermally, and at two different times prior to the liquid meal (T zero). At -17 mins, regular insulin will be given either SC or ID. At -2 mins, regular insulin will be given ID; also insulin lispro will be given either SC or ID. Each patient will receive 1 injection on 5 different study days.

06

What researchers measure

Primary outcomes

  1. Area Under Curve (AUC) of the blood glucose (BG) profile after the meal, with and without baseline correction.

    Time frame: 90 mins

Secondary outcomes

  1. Maximal BG (BGmax)

    Time frame: Approximately 4 hours per injection

  2. Total BG-AUC0-4 h

    Time frame: Approximately 4 hrs per injection

  3. Minimal BG (BGmin, time to BGmin (tBGmin)

    Time frame: Approximately 4 hrs per injection

  4. Insulin pharmacokinetics

    Time frame: Approximately 4 hrs per injection

  5. Number and seriousness of adverse events

    Time frame: Approximately 4 hrs per injections

  6. Vital signs, examination of insulin application

    Time frame: Approximately 4 hrs per injection

  7. Time to BGmax (tBGmax)

    Time frame: Approximately 4 hours per injection

07

Study locations

1 site
  • Profil Institut fur Stoffwechselforschung GmbH
    Neuss, D-41460, Germany
08

References and documents

Publications

  • Pettis RJ, Hirsch L, Kapitza C, Nosek L, Hovelmann U, Kurth HJ, Sutter DE, Harvey NG, Heinemann L. Microneedle-based intradermal versus subcutaneous administration of regular human insulin or insulin lispro: pharmacokinetics and postprandial glycemic excursions in patients with type 1 diabetes. Diabetes Technol Ther. 2011 Apr;13(4):443-50. doi: 10.1089/dia.2010.0183. Epub 2011 Feb 28. PubMed 21355716 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 22, 2008, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00553488
Lead sponsor
Becton, Dickinson and Company
First posted
Nov 4, 2007
Start date
Sep 2007
Primary completion
Dec 2007
Completion
Jan 2008
Last update
Aug 22, 2008

Study contacts

Christoph Kapitza, MD
principal investigator · Profil Institut fur Stoffwechselforschung GmbH

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2008. You cannot join it, but the record below documents what was studied.

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