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CompletedNCT03407599Updated Jun 19, 2019

A Trial Comparing the Pharmacokinetic Properties of Fast-acting Insulin Aspart Between Children, Adolescents and Adults With Type 1 Diabetes

A Phase 1 interventional study of Faster aspart and Insulin aspart (NovoRapid®) in Diabetes and Diabetes Mellitus, Type 1, sponsored by Novo Nordisk A/S. Completed at 1 site in Germany. Open to participants aged 6 Years to 64 Years. Per ClinicalTrials.gov, last updated 2019-06-19.

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

Phase
Phase 1
Study type
Interventional
Enrollment
46
Allocation
Randomized
Ages
6 Years to 64 Years
Sex
All
01

Study summary

The study is done to compare how faster aspart is taken up, broken down and removed from the body between different age groups (children [6-11 years], adolescents [12-17 years] and adults [18-64 years]) who have diabetes. The blood sugar (glucose) lowering effect of faster aspart will also be investigated after consuming a meal replacement drink. The effects of faster aspart will be compared to the effects of NovoRapid®.

02

Conditions studied

  • Diabetes
  • Diabetes Mellitus, Type 1
03

Who can participate

Ages eligible
6 Years to 64 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or female aged 6-64 years (both inclusive) at the time of signing informed consent
  • Diagnosed with type 1 diabetes greater than or equal to 12 months prior to the day of screening
  • Body mass index for children and adolescents (male and female) between the 3rd and 97th BMI percentile and for adults less than or equal to 28.0 kg/sqm

Exclusion criteria

Exclusion Criteria:

  • Subject who has donated any blood or plasma in the past month or more than 500 mL within 3 months prior to screening
  • Smoker (defined as a subject who is smoking at least one cigarette, cigar or pipe daily)
  • Not able or willing to refrain from smoking and use of nicotine substitute products during the inpatient period
04

Study design

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

Study arms

  • Experimental
    Faster aspart followed by insulin aspart (NovoRapid®)

    Participants will receive single dose of fast-acting insulin aspart followed by single dose of NovoRapid® on two separate dosing visits. The dosing visits will be separated by a wash-out period of 3-22 days.

    Drug: Faster aspart · Drug: Insulin aspart (NovoRapid®)

  • Experimental
    Insulin aspart (NovoRapid®) followed by faster aspart

    Participants will receive single dose of NovoRapid® followed by single dose of fast-acting insulin aspart on two separate dosing visits. The dosing visits will be separated by a wash-out period of 3-22 days.

    Drug: Faster aspart · Drug: Insulin aspart (NovoRapid®)

Interventions

  • DrugFaster aspart

    An injection of fast-acting insulin aspart 0.2 U/kg body weight under the skin just prior to a standard meal.

  • DrugInsulin aspart (NovoRapid®)

    An injection of insulin aspart (NovoRapid®) 0.2 U/kg body weight under the skin just prior to a standard meal.

05

What researchers measure

Primary outcomes

  1. AUC(IAsp),0-12h, area under the serum insulin aspart concentration-time curve from 0 to 12 hours

    Calculated based on insulin aspart measured in blood.

    Time frame: 0-12 hours

Secondary outcomes

  1. AUCIAsp,0-15min, area under the serum insulin aspart concentration-time curve 0 to 15 minutes

    Calculated based on insulin aspart measured in blood.

    Time frame: 0-15 minutes

  2. AUCIAsp,0-30min, area under the serum insulin aspart concentration-time curve from 0 to 30 minutes

    Calculated based on insulin aspart measured in blood.

    Time frame: 0-30 minutes

  3. AUCIAsp,0-1hr, area under the serum insulin aspart concentration-time curve from 0 to 1 hour

    Calculated based on insulin aspart measured in blood.

    Time frame: 0-1 hour

  4. AUCIAsp,0-1½hr, area under the serum insulin aspart concentration-time curve from 0 to 1½ hour

    Calculated based on insulin aspart measured in blood.

    Time frame: 0-1½ hour

  5. AUCIAsp,0-2hr, area under the serum insulin aspart concentration-time curve from 0 to 2 hours

    Calculated based on insulin aspart measured in blood.

    Time frame: 0-2 hours

  6. Cmax,IAsp, maximum observed serum insulin aspart concentration

    Calculated based on insulin aspart measured in blood.

    Time frame: 0-12 hours

  7. tmax,IAsp, time to maximum observed serum insulin aspart concentration

    Calculated based on insulin aspart measured in blood.

    Time frame: 0-12 hours

  8. Onset of appearanceIAsp, time from trial product administration until the first time serum insulinaspart concentration greater than or equal to Lower Limit Of Quantitation (LLOQ)

    Calculated based on insulin aspart measured in blood.

    Time frame: 0-12 hours

  9. Duration of exposureIAsp, time from trial product administration until the first time serum insulin aspart concentration is equal to LLOQ in the terminal part of the curve

    Calculated based on insulin aspart measured in blood.

    Time frame: 0-12 hours

  10. Time to 50% Cmax, IAsp, the first time point where the insulin aspart concentration equals 50% of Cmax,IAsp

    Calculated based on insulin aspart measured in blood.

    Time frame: 0-12 hours

  11. Time to late 50% Cmax,IAsp, the last time point where the insulin aspart concentration equals 50% of Cmax,IAsp

    Calculated based on insulin aspart measured in blood.

    Time frame: 0-12 hours

  12. Mean change in plasma glucose concentration from 0-1 hour after administration

    Calculated based on glucose concentration measured in plasma.

    Time frame: 0-1 hour

  13. Mean change in plasma glucose concentration from 0-2 hours after administration

    Calculated based on glucose concentration measured in plasma.

    Time frame: 0-2 hours

  14. Mean change in plasma glucose concentration from 0-6 hours after administration

    Calculated based on glucose concentration measured in plasma.

    Time frame: 0-6 hours

  15. Change from baseline in plasma glucose concentration 1 hour after administration

    Calculated based on glucose concentration measured in plasma.

    Time frame: Pre-dose (0 hour), 1 hour

  16. Change from baseline in plasma glucose concentration 2 hours after administration

    Calculated based on glucose concentration measured in plasma.

    Time frame: Pre-dose (0 hour), 2 hours

  17. Plasma glucose concentration 1 hour after administration

    Calculated based on glucose concentration measured in plasma.

    Time frame: 1 hour after administration

  18. Plasma glucose concentration 2 hours after administration

    Calculated based on glucose concentration measured in plasma.

    Time frame: 2 hours after administration

  19. Maximum plasma glucose excursion after administration

    Calculated based on glucose concentration measured in plasma.

    Time frame: 0-6 hours

  20. Maximum plasma glucose concentration after administration

    Calculated based on glucose concentration measured in plasma.

    Time frame: 0-6 hours

  21. Time to maximum plasma glucose concentration after administration

    Calculated based on glucose concentration measured in plasma.

    Time frame: 0-6 hours

  22. Minimum plasma glucose concentration after administration

    Calculated based on glucose concentration measured in plasma.

    Time frame: 0-6 hours

  23. Number of adverse events

    Count of events

    Time frame: From screening day 1 up to the study completion day 68

  24. Number of hypoglycaemic episodes

    Count of hypoglycaemic episodes

    Time frame: From screening day 1 up to the study completion day 68

06

Study locations

1 site
  • Novo Nordisk Investigational Site
    Hannover, 30173, Germany
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
NCT03407599
Lead sponsor
Novo Nordisk A/S
Responsible party
Sponsor
First posted
Jan 23, 2018
Start date
Jan 8, 2018
Primary completion
Jul 5, 2018
Completion
Jul 5, 2018
Last update
Jun 19, 2019

Study contacts

Clinical Reporting Anchor and Disclosure (1452)
study director · Novo Nordisk A/S

Oversight

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

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