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CompletedNCT03436498Updated Apr 25, 2022

Safety Assessment of SAR341402 and NovoLog® Used in Continuous Subcutaneous Insulin Infusion for Type 1 Diabetes Mellitus Patients

A Phase 1 interventional study of Insulin aspart SAR341402 and Insulin aspart in Type 1 Diabetes Mellitus, sponsored by Sanofi. Completed at 3 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-04-25.

Sponsored by Sanofi · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
45
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Primary Objective:

  • To assess the safety of SAR341402 and NovoLog® when used in external insulin pumps in terms of the number of patients with infusion set occlusions.

Secondary Objectives:

  • To assess the safety of SAR341402 and NovoLog® when used in external pumps in terms of unexplained hyperglycemia.
  • To assess the safety of SAR341402 and NovoLog® when used in external pumps in terms of:
  • Intervals for infusion set changes.
  • Number of patients with insulin pump for "non-delivery" alarm.
  • Patient observation of infusion set occlusion.
  • Adverse events and serious adverse events.
  • Number of patients with hypoglycemic events [according to ADA (American Diabetes Association) Workgroup on hypoglycemia].
Read the detailed description

The study duration for each patient will be approximately 10 weeks, including a 2-week screening period, 2 treatment periods of 4 weeks each, and 1-day post-treatment safety follow-up period.

02

Conditions studied

  • Type 1 Diabetes Mellitus
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male and female patients with Type 1 diabetes mellitus (T1DM).
  • Age greater than or equal to 18 at the screening visit.
  • Diabetes diagnosed at least 12 months before screening visit.
  • At least 1 year of insulin treatment with at least 6 months of CSII (Continuous Subcutaneous Insulin Infusion) treatment with an external insulin pump.
  • Demonstration of successful use of insulin pump and performing of a minimum of 4 blood glucose checks per day during screening.
  • Laboratory parameters within the normal range (or defined screening threshold for the Investigator site), unless the Investigator considers an abnormality to be clinically irrelevant for T1DM patients.
  • Signed written informed consent.

Exclusion criteria

Exclusion criteria:

  • Hemoglobin A1c (HbA1c) ≥8.5% at screening.
  • Diabetes other than T1DM.
  • History of infection at the infusion site within 3 months prior to the screening visit (Visit 1).
  • Use of oral glucose-lowering agents or any injectable glucose-lowering agents other than insulin during the 3 months before screening visit.
  • Hospitalization for recurrent diabetic ketoacidosis (DKA) in the last 6 months before screening visit.
  • History of severe hypoglycemia requiring emergency room admission or hospitalization in the last 6 months before screening visit.
  • Hypoglycemic unawareness as judged by the Investigator in the last 6 months before the screening visit.
  • Any clinically significant abnormality identified on physical examination, laboratory tests, or vital signs at the time of screening that in the judgment of the investigator or any sub investigator would preclude safe completion of the study.
  • Known history of illegal drug or alcohol abuse within 6 months prior to the time of screening.
  • Use of investigational drug(s) within 3 months or 5 half-lives, whichever is longer, prior to the screening visit.
  • Patients who had previously received SAR341402 in any other clinical trial.
  • Any contraindication to the use of NovoLog® as defined in the national product labels; history of hypersensitivity to NovoLog® or to any of the excipients.
  • Pregnancy and lactation.
  • If female, pregnancy [defined as positive β-HCG (Human Chorionic Gonadotropin) in blood or in urine], breast-feeding.
  • Patient is an employee or relative of an employee of the sponsor.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
45 participants (actual)

Study arms

  • Experimental
    SAR341402/NovoLog

    SAR341402 will be self-administered via continuous subcutaneous insulin infusion via an insulin pump. The dose will be individually titrated and administered in a basal and bolus fashion. After 4 weeks of SAR341402 as treatment, patient will switch with NovoLog® as treatment.

    Drug: Insulin aspart SAR341402

  • Experimental
    NovoLog/SAR341402

    Novolog will be self-administered via continuous subcutaneous insulin infusion via an insulin pump. The dose will be individually titrated and administered in a basal and bolus fashion. After 4 weeks of NovoLog® as treatment, patient will switch with SAR341402 as treatment.

    Drug: Insulin aspart

Interventions

  • DrugInsulin aspart SAR341402

    Pharmaceutical form: Solution Route of administration: Subcutaneous

  • DrugInsulin aspart

    Pharmaceutical form: Solution Route of administration: Subcutaneous

05

What researchers measure

Primary outcomes

  1. Infusion set occlusions

    Number of patients with infusion set occlusions. Infusions set occlusions are defined as infusion set change due to failure to correct hyperglycemia (plasma glucose ≥ 250 mg/dL \[13.9 mmol/L\]) by insulin bolus via the insulin pump.

    Time frame: At week 4 from baseline of each treatment

Secondary outcomes

  1. Unexplained hyperglycemia

    Number of patients with unexplained hyperglycemia. Unexplained hyperglycemia is defined as plasma glucose equal or above 250 mg/dL (13.9 mmol/L) whether or not corrected by a bolus through the insulin pump with no apparent material defects, medical, dietary, insulin dosing or pump failure. This will include infusion set occlusion as defined in the primary endpoint.

    Time frame: At week 4 from baseline of each treatment

  2. Intervals for infusion set changes

    Intervals for infusion set changes will be derived as number of days in the treatment period divided by the number of infusion set changes in the treatment period.

    Time frame: At week 4 from baseline of each treatment

  3. Number of patients with insulin pump alarms for "non-delivery"

    Number of patients with insulin pump "non-delivery" alarms (independent of confirmation of occlusion by hyperglycemia and failure to correct hyperglycemia by insulin bolus via the insulin pump).

    Time frame: At week 4 from baseline of each treatment

  4. Patient observation of infusion set occlusion

    Patient observation of infusion set occlusion (independent of confirmation of occlusion by hyperglycemia and failure to correct hyperglycemia by insulin bolus via the insulin pump).

    Time frame: Up to 10 weeks

  5. Adverse events and serious adverse events

    Number patients with adverse events and/or serious adverse events, including bruising at the infusion site and injection site, and hypersensitivity reactions.

    Time frame: Up to 10 weeks

  6. Number of patients with hypoglycemic events

    Number of patients with hypoglycemic events.

    Time frame: At week 4 from baseline of each treatment

06

Study locations

3 sites
  • Investigational Site Number 8400001
    Little Rock, Arkansas 72211, United States
  • Investigational Site Number 8400002
    Denver, Colorado 80262, United States
  • Investigational Site Number 8400003
    West Des Moines, Iowa 50265, United States
07

References and documents

Publications

  • Thrasher J, Polsky S, Hovsepian L, Nowotny I, Pierre S, Bois De Fer B, Bhargava A, Mukherjee B, Garg SK. Safety and Tolerability of Insulin Aspart Biosimilar SAR341402 Versus Originator Insulin Aspart (NovoLog) When Used in Insulin Pumps in Adults with Type 1 Diabetes: A Randomized, Open-Label Clinical Trial. Diabetes Technol Ther. 2020 Sep;22(9):666-673. doi: 10.1089/dia.2019.0446. Epub 2020 Jan 28. PubMed 31833801 ↗

Individual participant data

Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

08

Registry details

Key details

Study ID
NCT03436498
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Feb 19, 2018
Start date
May 10, 2018
Primary completion
Oct 6, 2018
Completion
Oct 6, 2018
Last update
Apr 25, 2022

Study contacts

Clinical Sciences & Operations
study director · Sanofi

Oversight

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

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