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CompletedNCT03292185Updated Nov 18, 2019

A Trial to Investigate the Single Dose Pharmacokinetics of Insulin Degludec/Liraglutide Compared With Insulin Degludec and Liraglutide in Healthy Chinese Subjects

A Phase 1 interventional study of insulin degludec/liraglutide and insulin degludec in Diabetes and Diabetes Mellitus, Type 2, sponsored by Novo Nordisk A/S. Completed at 1 site in China. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-11-18.

Sponsored by Novo Nordisk A/S · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

The main purpose of the trial is to compare the bioavailability (extent of drug absorption into the circulation) of insulin degludec and liraglutide as part of a combination product insulin degludec/liraglutide compared to the corresponding doses of single, separate injections of insulin degludec and liraglutide. Participants will receive all three test substances. The order of trial administration will be allocated by chance. During the trial period, serials of blood samples will be collected from the participants at three dosing periods, in order to determine the concentration of insulin degludec and liraglutide. The total volume of blood taken throughout the whole trial period will be less than 400 mL. Participants will be asked to stay on daytime and overnight in the trial sites on some predefined days. For other outpatient days, participants need to attend the trial site as required for drug administration or required assessments.

02

Conditions studied

  • Diabetes
  • Diabetes Mellitus, Type 2
03

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Male and female Chinese subjects, who are considered to be generally healthy, based on assessment of medical history, physical examination, and clinical laboratory data, as judged by the investigator
  • Age between 18 to 45 years (both inclusive) at the time of signing informed consent
  • Body mass index (BMI) between 19.0 and 24.0 kg/sqm (both inclusive)
  • Body weight at least 50.0 kg
  • Fasting plasma glucose less than 6.1 mmol/L (110 mg/dL)

Exclusion criteria

Exclusion criteria:

  • Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential not using an adequate contraceptive methods throughout the trial including follow-up period. Adequate contraceptive measures are sterilisation, intrauterine device (IUD), oral contraceptives or barrier methods
  • Donation of any blood or plasma in the past month or in excess of 400 mL within the 90 days preceding screening or surgery or trauma with more than 400 mL blood loss within the 90 days preceding screening
  • History or presence of cancer, or any clinically significant cardiovascular, respiratory, metabolic, renal, hepatic, gastrointestinal, endocrine (incl. diabetes and recurrent hypoglycaemia), haematological, dermatological, venereal, neurological, psychiatric diseases or other major disorders that might have impact on the trial result, as judged by the investigator
  • Use of any prescription or non-prescription medication, except for paracetamol, acetylsalicylic acid, contraceptives and vitamins (mega-dose vitamin therapy not allowed, dose judged by the investigator) within 2 weeks prior to screening
04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    IDeglira-IDeg-Liraglutide

    Treatment sequence first Insulin Degludec/Liraglutide, then Insulin Degludec, then Liraglutide

    Drug: insulin degludec/liraglutide · Drug: insulin degludec · Drug: liraglutide

  • Experimental
    IDeglira-Liraglutide-IDeg

    Treatment sequence first Insulin Degludec/Liraglutide, then Liraglutide, then Insulin Degludec

    Drug: insulin degludec/liraglutide · Drug: insulin degludec · Drug: liraglutide

  • Experimental
    IDeg-Liraglutide-IDeglira

    Treatment sequence first Isulin Degludec, then Liraglutide, then Insulin Degludec/Liraglutide

    Drug: insulin degludec/liraglutide · Drug: insulin degludec · Drug: liraglutide

  • Experimental
    IDeg-IDeglira-Liraglutide

    Treatment sequence first Insulin Degludec, then Insulin Degludec/Liraglutide, then Liraglutide

    Drug: insulin degludec/liraglutide · Drug: insulin degludec · Drug: liraglutide

  • Experimental
    Liraglutide-IDeg-IDeglira

    Treatment sequence first Liraglutide, then Insulin Degludec, then Insulin Degludec/Liraglutide

    Drug: insulin degludec/liraglutide · Drug: insulin degludec · Drug: liraglutide

  • Experimental
    Liraglutide-IDeglira-IDeg

    Treatment sequence first Liraglutide, then Insulin Degludec/Liraglutide, then Insulin Degludec

    Drug: insulin degludec/liraglutide · Drug: insulin degludec · Drug: liraglutide

Interventions

  • Druginsulin degludec/liraglutide

    Insulin Degludec/Liraglutide combination product with 0.61 mg Liraglutide and 17 U Insulin Degludec, single dose administration under the skin in the thigh.

  • Druginsulin degludec

    17 U Insulin Degludec, single dose administration under the skin in the thigh.

  • Drugliraglutide

    0.6 mg Liraglutide, single dose administration under the skin in the thigh

05

What researchers measure

Primary outcomes

  1. Area under the serum insulin degludec concentration time curve

    Calculated based on insulin degludec concentration in serum

    Time frame: From 0 to last quantifiable observation after single dose of insulin degludec/liraglutide and insulin degludec, assessments from 0 hours to 120 hours

  2. Area under the plasma liraglutide concentration time curve

    Calculated based on liraglutide concentration in plasma

    Time frame: from 0 to last quantifiable observation after single dose of insulin degludec/liraglutide and liraglutide, assessments from 0 hours to 72 hours

Secondary outcomes

  1. Area under the serum insulin degludec concentration time curve from 0 to infinity after single dose

    Calculated based on insulin degludec measured in serum

    Time frame: 0 hours to 120 hours

  2. Maximum observed serum insulin degludec concentration

    Calculated based on insulin degludec measured in serum

    Time frame: 0 hours to 120 hours

  3. Time to maximum serum insulin degludec concentration

    Calculated based on insulin degludec measured in serum

    Time frame: 0 hours to 120 hours

  4. Terminal elimination half-life for insulin degludec

    Calculated based on insulin degludec measured in serum

    Time frame: 0 hours to 120 hours

  5. Area under the plasma liraglutide concentration time curve from 0 to infinity after single dose

    Calculated based on liraglutide measured in plasma

    Time frame: 0 hours to 72 hours

  6. Maximum observed plasma liraglutide concentration

    Calculated based on liraglutide measured in plasma

    Time frame: 0 hours to 72 hours

  7. Time to maximum plasma liraglutide concentration

    Calculated based on liraglutide measured in plasma

    Time frame: 0 hours to 72 hours

  8. Terminal elimination half-life of liraglutide

    Calculated based on liraglutide measured in plasma

    Time frame: 0 hours to 72 hours

  9. Number of treatment emergent adverse events

    Count

    Time frame: Visit 2 (Day 1, randomisation), Visit 5 (7-14 days after last dosing visit)

  10. Number of treatment emergent hypoglycaemic episodes

    Count

    Time frame: Visit 2 (Day 1, randomisation), Visit 5 (7-14 days after last dosing visit)

  11. Local tolerability at the injection site

    Count

    Time frame: Visit 2 (Day 1, randomisation), Visit 5 (7-14 days after last dosing visit)

06

Study locations

1 site
  • Novo Nordisk Investigational Site
    Beijing, Beijing 100032, China
07

References and documents

Individual participant data

Plan to share: Yes — According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03292185
Lead sponsor
Novo Nordisk A/S
Responsible party
Sponsor
First posted
Sep 25, 2017
Start date
Sep 29, 2017
Primary completion
Jan 2, 2018
Completion
Jan 2, 2018
Last update
Nov 18, 2019

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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