A Phase 1 interventional study of Recombinant human hyaluronidase PH20 (rHuPH20) and Insulin lispro in Healthy, sponsored by Halozyme Therapeutics. Completed at 1 site in United States. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-07-14.
Sponsored by Halozyme Therapeutics · Phase 1 and Interventional
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.
Halozyme Therapeutics is the lead sponsor of 33 studies on the registry; 1 is open to participants now.
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Exclusion Criteria:
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.
Drug: Recombinant human hyaluronidase PH20 (rHuPH20) · Drug: Insulin lispro · Drug: Insulin glulisine · Drug: Insulin aspart
Also known as: HYLENEX, PH20
Also known as: Humalog, Lispro
Also known as: Apidra, Glulisine
Also known as: NovoLog, Aspart
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
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
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
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
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
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
| Milestone | Lispro+PH20, Lispro, Glulis, Glulis+PH20, Aspart, Aspart+PH20 | Glulis+PH20, Glulis, Lispro+PH20, Lispro, Aspart+PH20, Aspart | Lispro, Lispro+PH20, Aspart, Aspart+PH20, Glulis, Glulis+PH20 | Glulis, Glulis+PH20, Aspart+PH20, Aspart, Lispro+PH20, Lispro | Aspart+PH20, Aspart, Glulis+PH20, Glulis, Lispro, Lispro+PH20 | Aspart, Aspart+PH20, Lispro, Lispro+PH20, Glulis+PH20, Glulis |
|---|---|---|---|---|---|---|
| Started | 2 | 2 | 3 | 2 | 3 | 2 |
| Received at least 1 dose of study drug | 2 | 2 | 3 | 2 | 3 | 2 |
| Completed | 2 | 2 | 3 | 2 | 3 | 2 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Lispro+PH20, Lispro, Glulis, Glulis+PH20, Aspart, Aspart+PH20 | Glulis+PH20, Glulis, Lispro+PH20, Lispro, Aspart+PH20, Aspart | Lispro, Lispro+PH20, Aspart, Aspart+PH20, Glulis, Glulis+PH20 | Glulis, Glulis+PH20, Aspart+PH20, Aspart, Lispro+PH20, Lispro | Aspart+PH20, Aspart, Glulis+PH20, Glulis, Lispro, Lispro+PH20 | Aspart, Aspart+PH20, Lispro, Lispro+PH20, Glulis+PH20, Glulis |
|---|---|---|---|---|---|---|
| Started | 2 | 2 | 3 | 2 | 3 | 2 |
| Completed | 2 | 2 | 3 | 2 | 3 | 2 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Lispro+PH20, Lispro, Glulis, Glulis+PH20, Aspart, Aspart+PH20 | Glulis+PH20, Glulis, Lispro+PH20, Lispro, Aspart+PH20, Aspart | Lispro, Lispro+PH20, Aspart, Aspart+PH20, Glulis, Glulis+PH20 | Glulis, Glulis+PH20, Aspart+PH20, Aspart, Lispro+PH20, Lispro | Aspart+PH20, Aspart, Glulis+PH20, Glulis, Lispro, Lispro+PH20 | Aspart, Aspart+PH20, Lispro, Lispro+PH20, Glulis+PH20, Glulis |
|---|---|---|---|---|---|---|
| Started | 2 | 2 | 3 | 2 | 3 | 2 |
| Completed | 2 | 2 | 3 | 2 | 3 | 2 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Lispro+PH20, Lispro, Glulis, Glulis+PH20, Aspart, Aspart+PH20 | Glulis+PH20, Glulis, Lispro+PH20, Lispro, Aspart+PH20, Aspart | Lispro, Lispro+PH20, Aspart, Aspart+PH20, Glulis, Glulis+PH20 | Glulis, Glulis+PH20, Aspart+PH20, Aspart, Lispro+PH20, Lispro | Aspart+PH20, Aspart, Glulis+PH20, Glulis, Lispro, Lispro+PH20 | Aspart, Aspart+PH20, Lispro, Lispro+PH20, Glulis+PH20, Glulis |
|---|---|---|---|---|---|---|
| Started | 2 | 2 | 3 | 2 | 3 | 2 |
| Completed | 2 | 2 | 3 | 2 | 3 | 2 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Lispro+PH20, Lispro, Glulis, Glulis+PH20, Aspart, Aspart+PH20 | Glulis+PH20, Glulis, Lispro+PH20, Lispro, Aspart+PH20, Aspart | Lispro, Lispro+PH20, Aspart, Aspart+PH20, Glulis, Glulis+PH20 | Glulis, Glulis+PH20, Aspart+PH20, Aspart, Lispro+PH20, Lispro | Aspart+PH20, Aspart, Glulis+PH20, Glulis, Lispro, Lispro+PH20 | Aspart, Aspart+PH20, Lispro, Lispro+PH20, Glulis+PH20, Glulis |
|---|---|---|---|---|---|---|
| Started | 2 | 2 | 3 | 2 | 3 | 2 |
| Completed | 2 | 2 | 3 | 2 | 3 | 2 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 |
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.
| minutes*nanomolars (min*nM) | Glulisine Alone | Glulisine + rHuPH20 | Lispro Alone | Lispro + rHuPH20 | Aspart Alone | Aspart + rHuPH20 |
|---|---|---|---|---|---|---|
| Area Under the Concentration-time Curve for Serum Insulin From Time 0 to 60 Minutes (AUC0-60) | 11667.14 ± 4085.00 | 23807.14 ± 6657.73 | 10687.14 ± 5532.49 | 27850.00 ± 9684.94 | 8065.00 ± 3138.37 | 20778.57 ± 6383.05 |
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.
| minutes | Glulisine Alone | Glulisine + rHuPH20 | Lispro Alone | Lispro + rHuPH20 | Aspart Alone | Aspart + rHuPH20 |
|---|---|---|---|---|---|---|
| Time to Maximum Serum Insulin Concentration (Tmax) | 80.36 ± 25.38 | 41.43 ± 12.47 | 67.50 ± 32.09 | 41.07 ± 17.56 | 85.71 ± 35.99 | 43.57 ± 12.92 |
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.
| minutes | Glulisine Alone | Glulisine + rHuPH20 | Lispro Alone | Lispro + rHuPH20 | Aspart Alone | Aspart + rHuPH20 |
|---|---|---|---|---|---|---|
| early t(50%max) | 21.06 ± 9.60 | 10.16 ± 4.90 | 30.69 ± 12.58 | 18.96 ± 5.27 | 31.93 ± 8.15 | 17.98 ± 5.22 |
| late t(50%max) | 195.43 ± 48.63 | 118.92 ± 33.57 | 176.79 ± 30.00 | 89.59 ± 21.38 | 193.50 ± 45.94 | 102.82 ± 24.74 |
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.
| minutes | Glulisine Alone | Glulisine + rHuPH20 | Lispro Alone | Lispro + rHuPH20 | Aspart Alone | Aspart + rHuPH20 |
|---|---|---|---|---|---|---|
| Time to Maximum Glucose Infusion Rate (tGIR[Max]) | 141.93 ± 71.18 | 113.36 ± 69.85 | 160.14 ± 71.36 | 103.57 ± 58.83 | 158.79 ± 52.34 | 96.93 ± 56.65 |
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.
| percentage of total AUC | Glulisine Alone | Glulisine + rHuPH20 | Lispro Alone | Lispro + rHuPH20 | Aspart Alone | Aspart + rHuPH20 |
|---|---|---|---|---|---|---|
| AUC0-15 | 2.02 ± 1.10 | 5.29 ± 2.06 | 0.68 ± 0.65 | 2.38 ± 1.24 | 0.56 ± 0.30 | 2.92 ± 2.28 |
| AUC0-30 | 7.09 ± 3.40 | 15.82 ± 5.56 | 3.88 ± 2.71 | 13.81 ± 5.37 | 3.54 ± 1.90 | 13.66 ± 7.05 |
| AUC0-60 | 20.68 ± 8.07 | 39.45 ± 10.64 | 18.72 ± 7.74 | 42.88 ± 8.89 | 16.85 ± 6.54 | 41.51 ± 12.06 |
| AUC0-120 | 50.35 ± 12.69 | 71.70 ± 11.07 | 50.14 ± 12.10 | 77.00 ± 7.54 | 47.97 ± 12.32 | 77.37 ± 8.80 |
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.
| minutes | Glulisine Alone | Glulisine + rHuPH20 | Lispro Alone | Lispro + rHuPH20 | Aspart Alone | Aspart + rHuPH20 |
|---|---|---|---|---|---|---|
| Time to 10% of total insulin exposure | 39.59 ± 9.95 | 23.39 ± 6.38 | 46.56 ± 11.89 | 26.35 ± 5.60 | 48.42 ± 9.96 | 26.99 ± 6.57 |
| Time to 50% of total insulin exposure | 123.65 ± 27.48 | 78.64 ± 18.82 | 123.39 ± 27.87 | 70.97 ± 12.61 | 130.86 ± 30.04 | 72.53 ± 14.86 |
Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Glulisine Alone | — | 0/14 (0%) | 1/14 (7.1%) |
| Glulisine + rHuPH20 | — | 0/14 (0%) | 2/14 (14.3%) |
| Lispro Alone | — | 0/14 (0%) | 2/14 (14.3%) |
| Lispro + rHuPH20 | — | 0/14 (0%) | 3/14 (21.4%) |
| Aspart Alone | — | 0/14 (0%) | 2/14 (14.3%) |
| Aspart + rHuPH20 | — | 0/14 (0%) | 2/14 (14.3%) |
| Event | Glulisine Alone | Glulisine + rHuPH20 | Lispro Alone | Lispro + rHuPH20 | Aspart Alone | Aspart + rHuPH20 |
|---|---|---|---|---|---|---|
| Infusion site anaesthesiaGeneral disorders | 0/14 | 0/14 | 0/14 | 0/14 | 1/14 | 0/14 |
| Infusion site painGeneral disorders | 0/14 | 1/14 | 0/14 | 0/14 | 0/14 | 1/14 |
| Infusion site abscessInfections and infestations | 0/14 | 0/14 | 0/14 | 1/14 | 0/14 | 0/14 |
| RhinitisInfections and infestations | 0/14 | 0/14 | 1/14 | 0/14 | 0/14 | 0/14 |
| ContusionInjury, poisoning and procedural complications | 0/14 | 0/14 | 0/14 | 1/14 | 0/14 | 0/14 |
| HeadacheNervous system disorders | 1/14 | 1/14 | 1/14 | 1/14 | 1/14 | 0/14 |
| CoughRespiratory, thoracic and mediastinal disorders | 0/14 | 0/14 | 0/14 | 0/14 | 0/14 | 1/14 |
| Nasal congestionRespiratory, thoracic and mediastinal disorders | 0/14 | 0/14 | 1/14 | 0/14 | 0/14 | 0/14 |
| Oropharyngeal painRespiratory, thoracic and mediastinal disorders | 0/14 | 0/14 | 0/14 | 0/14 | 0/14 | 1/14 |
| EcchymosisSkin and subcutaneous tissue disorders | 0/14 | 0/14 | 1/14 | 0/14 | 0/14 | 0/14 |
All randomized participants.
| Age, Continuous(years) | Overall Study |
|---|---|
| Mean | 33.7 ± 8.96 |
| Sex: Female, Male(Participants) | Overall Study |
|---|---|
| Female | 6 |
| Male | 8 |
| Race (NIH/OMB)(Participants) | Overall Study |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 1 |
| Native Hawaiian or Other Pacific Islander | 1 |
| Black or African American | 2 |
| White | 10 |
| More than one race | 0 |
| Unknown or Not Reported | 0 |
| Ethnicity (NIH/OMB)(Participants) | Overall Study |
|---|---|
| Hispanic or Latino | 4 |
| Not Hispanic or Latino | 10 |
| Unknown or Not Reported | 0 |
| Region of Enrollment(participants) | Overall Study |
|---|---|
| United States | 14 |
This study is completed, as verified in Jun 2014. You cannot join it, but the record below documents what was studied.
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Halozyme Therapeutics