CClinicalTrials.gg
WithdrawnNCT04254380GENTL 1Updated Feb 5, 2020

Gan & Lee Evaluation of New Biosimilar for Type 1 Lispro

A Phase 3 interventional study of Gan & Lee Insulin Lispro Injection and Humalog in Diabetes Mellitus, Type 1, sponsored by Gan and Lee Pharmaceuticals, USA. Withdrawn at 107 sites in 6 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2020-02-05.

Sponsored by Gan and Lee Pharmaceuticals, USA · Phase 3, Interventional, and Treatment

Why this study was withdrawn
GanLee cancelled study -FDA Draft Guidance: "Clinical Immunogenicity Considerations for Biosimilar \& Interchangeable Insulin Products" released 11/25/2019
Phase
Phase 3
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Primary Objective:

  • To compare the immunogenicity of Gan \& Lee Insulin Lispro Injection and EU-authorized Humalog following treatment in adult subjects with T1DM

Secondary Objectives:

  • To evaluate the safety of Gan \& Lee Insulin Lispro Injection in comparison with that of EU authorized Humalog following treatment in adult subjects with T1DM
  • To evaluate the efficacy of Gan \& Lee Insulin Lispro Injection in comparison with that of EU authorized Humalog following treatment in adult subjects with T1DM
02

Conditions studied

  • Diabetes Mellitus, Type 1

Keywords

  • Diabetes
  • Diabetes Type 1
  • Type 1
  • Basal
  • Insulin
  • Lispro
  • T1DM
  • Diabetes Mellitus
  • Insulin Dependent Diabetes
03

In context

Diabetes Mellitus

10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.

Browse Diabetes Mellitus studies →

Lead sponsor

Gan and Lee Pharmaceuticals, USA is the lead sponsor of 29 studies on the registry; 5 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 2 (25%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Male or nonpregnant, non-lactating female subjects between the ages of 18 and 75 years, inclusive.
  2. Female subjects of child-bearing potential, willing to use contraceptive method(s), agreed by the Investigator, to prevent pregnancy during the study.
  3. Ability to provide written, personally signed, and dated informed consent to participate in the study, in accordance with the ICH GCP Guideline E6 and all applicable regulations, before initiating any study related procedures.
  4. Ability to understand and fully comply with all study procedures and restrictions.
  5. A confirmed diagnosis of T1DM and who have been on an approved basal-bolus insulin regimen for at least 6 months prior to Screening. The type or brand of insulins should not have changed in the 6 months before Screening.
  6. Do not expect to change the brand or type of their basal insulin during the study.
  7. C-peptide ≤ 1.0 ng/mL
  8. HbA1c ≤ 10.0%
  9. Body mass index (BMI) ≥ 19 kg/m2 and ≤ 35 kg/m2
  10. Adherence to a prudent diet and exercise regimen recommended by the medical provider in accordance with local standard of care or American Diabetes Association recommendations, and willingness to maintain this regimen consistently for the duration of the study.

Exclusion criteria

Exclusion Criteria:

  1. Participation in another clinical study within 30 days or 5 half-lives of last dose of experimental medication before Screening, whichever is longer.
  2. Previous use of Gan \& Lee Insulin Lispro Injection.
  3. Use of insulin neutral protamine hagedorn or insulin detemir within 6 months prior to study entry.
  4. Current or expected use of an insulin pump or use of continuous glucose measurement to monitor blood glucose during the study.
  5. Diabetic ketoacidosis (DKA) within 6 months before Screening.
  6. Brittle T1DM within 1 year before Screening, defined as more than 2 hospitalizations related to diabetes mellitus (excluding hospitalizations for diagnostic purposes), and/or severe hypoglycemia for which the subject experiences severe cognitive impairment requiring external assistance for recovery.
  7. Renal replacement therapy required or with an estimated (or measured) glomerular filtration rate \< 15 mL/min (Modification of Diet in Renal Disease calculation).
  8. Any clinically significant cardiovascular (CV) or cerebrovascular event, e.g., myocardial infarction (MI), acute coronary syndrome (ACS), recent revascularization (including coronary artery bypass graft procedures [CABG], percutaneous coronary intervention [PCI]), transient ischemic attack (TIA), or hemorrhagic or ischemic stroke within 3 months before Screening.
  9. History of congestive heart failure defined as New York Heart Association (NYHA) Stage III or IV.
  10. Inadequately controlled or unstable hypertension as defined by a systolic blood pressure (SBP) > 160 mmHg or diastolic blood pressure (DBP) > 100 mmHg at Screening and/or Randomization.
  11. Inadequately controlled thyroid disease, as reflected by abnormal TSH and free T4 values. (Hypothyroid or hyperthyroid conditions should be resolved or stabilized before Screening according to local standard of care).
  12. Any clinically significant (in the opinion of the Investigator) hematology, chemistry, or urinalysis test results at Screening, including any liver function test > 3X of the upper limit of normal (ULN) or bilirubin > 1.5X of the ULN (subjects with elevated bilirubin due to Gilbert syndrome are eligible to participate, if such tests were performed in the past).
  13. Autonomic neuropathy resulting in a diagnosis of gastroparesis.
  14. Hemoglobin \< 12 g/dL for males or \< 11 g/dL for females at Screening.
  15. Hospitalization within the 14 days before Screening, or planned hospitalization at any time during the study.
  16. Newly prescribed or high-dose (60 mg/day prednisone or equivalent) treatment with glucocorticosteroids, immunosuppressants, or cytostatic agents due to disorders of the immunological system, such as rheumatoid arthritis, psoriasis, spondyloarthritis, and asthma, within 60 days before Screening (Medications under following scenario are allowed: chronically administered oral, inhaled, topical, or intra-articular corticosteroids at a stable dosage; stable therapy with disease modifying agents [e.g., methotrexate, sulfasalazine]; disease is inactive [e.g., remission, well controlled stable phase]; and no significant changes in treatment scheme are expected).
  17. History of human immunodeficiency virus (HIV) or Hepatitis B or Hepatitis C infections.
  18. Any unresolved infection or a history of active infection within 30 days before screening other than mild viral illness (as judged by the Investigator).
  19. Current use of other medications for diabetes treatment, such as dipeptidyl peptidase 4 inhibitors (DPP4i), glucagon-like peptide 1 receptor agonists (GLP1-R), or sodium glucose cotransporter 2 inhibitors (SGLT2i) (See Appendix 1 [Section 16.1] for a list of prohibited medications).
  20. A history of alcohol use of more than two drinks a day on average for the last year, or a history of alcohol or substance abuse within 2 years before Screening.
  21. Previous (within 3 months before Screening) or anticipated treatment with interferons.
  22. History of malignancy (except for treated non-melanoma skin cancer and treated cervical adenocarcinoma in situ) within 5 years before Screening
  23. Receiving blood transfusion or undergoing plasmapheresis within 6 months before Screening.
  24. History of splenectomy.
  25. Intolerance or history of hypersensitivity to insulin lispro or any excipient of the study drugs.
  26. Any other clinically significant medical or psychiatric condition, or one requiring further evaluation that in the opinion of the Investigator could interfere with conduct of the study or interpretation of the data.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Experimental: Gan & Lee Insulin Lispro Injection

    Gan \& Lee Insulin Lispro Injection for subcutaneous injection, 100 U/mL, in a disposable multidose pen injector with a pre-filled 3-mL type I glass cartridge. Subjects randomized to the Gan \& Lee Insulin Lispro Injection group will participate in the study for 26 weeks.

    Biological: Gan & Lee Insulin Lispro Injection

  • Active comparator
    Active Comparator: Humalog

    EU-authorized Humalog KwikPen® - insulin lispro injection, solution for subcutaneous injection, 100 U/mL (pre-filled). Subjects randomized to the Humalog group will participate in the study for 26 weeks.

    Biological: Humalog

Interventions

  • BiologicalGan & Lee Insulin Lispro Injection

    Route of administration: subcutaneous injection

  • BiologicalHumalog

    Route of administration: subcutaneous injection

06

What researchers measure

Primary outcomes

  1. Treatment developed AIAs or important increase in AIA titers

    The percentage of subjects in each treatment group who develop treatment induced AIAs, defined as newly confirmed positive AIA development or important (at least a 4-fold) increase in titers after baseline and up to visit Week 26.

    Time frame: Week 1 to Week 26

Secondary outcomes

  1. Percentage of subjects with negative AIA at baseline who develop positive AIA after baseline

    The percentage of subjects in each treatment group with negative AIA at baseline who develop confirmed positive AIA after baseline and up to visit Week 26.

    Time frame: Week 1 to Week 26

  2. Percentage of subjects with important increase in titers

    The percentage of subjects in each treatment group with confirmed positive AIA at baseline and at least a 4-fold increase in titers after baseline and up to visit Week 26.

    Time frame: Week 1 to Week 26

  3. Mean change from baseline in AIA titers

    The mean change from baseline in each treatment group in AIA titers after baseline and up to visit Week 26.

    Time frame: Week 1 to Week 26

  4. Percentage of subjects with confirmed positive AIA who develop anti-insulin NAbs

    The percentage of subjects in each treatment group with confirmed positive AIA after baseline and up to visit Week 26 who develop any anti-insulin NAbs after baseline and up to visit Week 26.

    Time frame: Week 1 to Week 26

  5. Percentage of subjects with positive AIA after baseline

    The percentage of subjects in each treatment group with confirmed positive AIA after baseline and up to visit Week 26.

    Time frame: Week 1 to Week 26

  6. Incidence and severity of all treatment-emergent adverse events

    The incidence and severity of all treatment-emergent adverse events and the following subgroups: Adverse events of special interest. Serious adverse events, including fatal events. Adverse events leading to termination of the study treatment and/or early withdrawal from the study. Treatment-related adverse events. IP device-related adverse events. Injection site reactions. The incidence of clinically significant laboratory abnormalities. The incidence of clinically significant abnormalities in physical examination and vital signs.

    Time frame: Week 1 to Week 26

  7. Change from baseline in HbA1c at visit Week 26

    Change from baseline in HbA1c at visit Week 26 in each treatment group.

    Time frame: Week 1 to Week 26

  8. Percentage of subjects who achieve an HbA1c of ≤ 7.0% at visit Week 26

    The number and percentage of subjects who achieve an HbA1c of ≤ 7.0% at visit Week 26 in each treatment group.

    Time frame: Week 1 to Week 26

07

Study locations

107 sites
  • Advanced Research Center
    Anaheim, California 92805, United States
  • Valley Research
    Fresno, California 93720, United States
  • Angel City Research, Inc.
    Los Angeles, California 90057, United States
  • California Medical Research Association
    Northridge, California 91324, United States
  • Mills-Peninsula Health Services
    San Mateo, California 94401, United States
  • Care Access Research - Santa Clarita
    Santa Clarita, California 91321, United States
  • Metabolic Institute of America
    Tarzana, California 91356, United States
  • University of Colorado School of Medicine
    Aurora, Colorado 80045, United States
  • IMMUNOe International Research Centers - Longmont
    Longmont, Colorado 80501, United States
  • Chase Medical Research of Greater New Haven
    Hamden, Connecticut 06517, United States
  • The Center for Diabetes and Endocrine Care
    Fort Lauderdale, Florida 33312, United States
  • M & O Clinical Research
    Fort Lauderdale, Florida 33316, United States
  • Sweet Hope Research Specialty Inc.
    Hialeah, Florida 33016, United States
  • Homestead Associates in Research
    Homestead, Florida 33032, United States
  • Med Research of Florida
    Miami, Florida 33186, United States
  • Suncoast Clinical Research - Pasco County
    New Port Richey, Florida 34652, United States
  • Florida Institute for Clinical Research, LLC
    Orlando, Florida 32825, United States
  • Ormond Beach Clinical Research
    Ormond Beach, Florida 32174, United States
  • Suncoast Clinical Research - Pinellas County
    Palm Harbor, Florida 34684, United States
  • Meridien Research - Spring Hill
    Spring Hill, Florida 34609, United States
  • Metabolic Research Institute
    West Palm Beach, Florida 33401, United States
  • Atlanta Diabetes Associates
    Atlanta, Georgia 30318, United States
  • IACT Health - Columbus Regional Medical Group Endocrine Consultants - Columbus
    Columbus, Georgia 31904, United States
  • IACT Health - Columbus Regional Medical Group Endocrine Consultants
    Newnan, Georgia 30265, United States
  • Endocrine Research Solutions
    Roswell, Georgia 30076, United States
  • Cedar Crosse Research Center
    Chicago, Illinois 60607, United States
  • Midwest CRC
    Crystal Lake, Illinois 60012, United States
  • Iowa Diabetes and Endocrinology Research Center
    West Des Moines, Iowa 50265, United States
  • Kentucky Diabetes Endocrinology Center
    Lexington, Kentucky 40503, United States
  • Bay West Endocrinology Associates
    Baltimore, Maryland 21204, United States
  • BTC Network - Capital Diabetes and Endocrine Associates - Camp Springs
    Camp Springs, Maryland 20746, United States
  • Endocrine & Metabolic Consultants
    Rockville, Maryland 20852, United States
  • Quality Clinical Research
    Omaha, Nebraska 68134, United States
  • Palm Research Center
    Las Vegas, Nevada 89148, United States
  • BTC Network - Garden State Endocrinology - Brick
    Brick, New Jersey 08723, United States
  • The Endocrine Group, LLP
    Albany, New York 12206, United States
  • North Shore Diabetes and Endocrine Associates
    New Hyde Park, New York 11042, United States
  • University Physicians Group
    Staten Island, New York 10301, United States
  • PharmQuest
    Greensboro, North Carolina 27408, United States
  • Physicians East - Greenville
    Greenville, North Carolina 27834, United States
  • Carteret Medical Group - Morehead City
    Morehead City, North Carolina 28557, United States
  • Endocrinology Research Associates
    Columbus, Ohio 43201, United States
  • Your Diabetes Endocrine Nutrition Group, Inc.
    Mentor, Ohio 44060, United States
  • Intend Research
    Norman, Oklahoma 73069, United States
  • Lynn Institute of Stillwater
    Stillwater, Oklahoma 73111, United States
  • Care Access Research - Warwick
    Warwick, Rhode Island 02886, United States
  • University Diabetes & Endocrine Consultants
    Chattanooga, Tennessee 37411, United States
  • Amarillo Medical Specialists
    Amarillo, Texas 79106, United States
  • Austin Regional Clinic
    Austin, Texas 78704, United States
  • Texas Diabetes & Endocrinology - Central Austin
    Austin, Texas 78731, United States
  • Research Institute of Dallas
    Dallas, Texas 75231, United States
  • University of Texas Southwestern Medical Center
    Dallas, Texas 75390, United States
  • El Paso Medical Research Institute
    El Paso, Texas 79935, United States
  • Pioneer Research Solutions
    Houston, Texas 77099, United States
  • Austin Regional Clinic - Kelly Lane
    Pflugerville, Texas 78660, United States
  • Clinical Trials of Texas, Inc.
    San Antonio, Texas 78229, United States
  • Northeast Clinical Research of San Antonio
    Schertz, Texas 78154, United States
  • Crossroads Clinical Research
    Victoria, Texas 77901, United States
  • Diabetologie České Budějovice s.r.o
    České Budějovice, Jihocesky KRAJ 370 01, Czechia
  • Diahaza s.r.o.
    Holešov, 769 01, Czechia
  • StefaMed
    Hradec Králové, 503 41, Czechia
  • Clintrial
    Praha 10, 100 00, Czechia
  • Milan Kvapil s.r.o
    Praha 11, 149 00, Czechia
  • Diabeteszentrum DO
    Dortmund, 44137, Germany
  • Diabetes Schwerpunktpraxis
    Duisburg, 47051, Germany
  • Diabetes-falkensee.de - Zentrum für klinische Studien
    Falkensee, 14612, Germany
  • RED-Institut GmbH
    Oldenburg, 23758, Germany
  • Diabetologische Praxis
    Saarlouis, 66740, Germany
  • Lausmed Egeszsegugyi es Szolgaltato Kft.
    Baja, 6500, Hungary
  • Dél-pesti Centrumkórház - Országos Hematológiai és Infektológiai Intézet
    Budapest, 1097, Hungary
  • Bajcsy-Zsilinszky Kórház és Rendelőintézet
    Budapest, 1106, Hungary
  • Trantor 99 Bt Anyagcsere Centrum
    Budapest, 1213, Hungary
  • Debreceni Egyetem Kenézy Gyula Egyetemi Kórház
    Debrecen, 4031, Hungary
  • Békés Megyei Központi Kórház Pándy Kálmán Tagkórház
    Gyula, 5700, Hungary
  • Somogy Megyei Kaposi Mór Oktató Kórház
    Kaposvár, 7400, Hungary
  • Kanizsai Dorottya Kórház
    Nagykanizsa, 8801, Hungary
  • Markusovszky Egyetemi Oktatokorhaz
    Szombathely, 9700, Hungary
  • Medical-Expert Kutatási - Kísérleti és Szolgáltató Kft
    Veszprém, 8200, Hungary
  • Zala Megyei Szent Rafael Kórház
    Zalaegerszeg, 8900, Hungary
  • Niepubliczny Zaklad Opieki Zdrowotnej Gdanska Poradnia Cukrzycowa
    Gdansk, 80-858, Poland
  • Centrum Badań Klinicznych PI-House
    Gdańsk, 80-546, Poland
  • Centrum Medyczne Pratia Gdynia
    Gdynia, 81-338, Poland
  • Centrum Medyczne Pratia Katowice
    Katowice, 40-081, Poland
  • Pratia MCM Kraków
    Kraków, 30-510, Poland
  • NZOZ Medyczne Centrum Diabetologiczno-Endokrynologiczno-Metaboliczne "Diab-Endo-Met"
    Kraków, 31-261, Poland
  • CenterMed Lublin Sp. z o.o
    Lublin, 20 044, Poland
  • KO-MED Centra Kliniczne Lublin - Królewska
    Lublin, 20-109, Poland
  • Bogdan Walko Niepubliczny Zakład Opieki Zdrowotnej Przychodnia Specjalistyczna MEDICA
    Lublin, 20-538, Poland
  • Centrum Medyczne Grunwald
    Poznan, 60-369, Poland
  • Nasz Lekarz Przychodnie Medyczne
    Toruń, 87-100, Poland
  • AMED Centrum Medyczne
    Warszawa, 01-518, Poland
  • Centralny Szpital Kliniczny Ministerstwa Spraw Wewnętrznych i Administracji w Warszawie
    Warszawa, 02-507, Poland
  • Centrum Medyczne K2J2
    Wołomin, 05-230, Poland
  • Regionalna Poradnia Diabetologiczna
    Wrocław, 50-127, Poland
  • Centrum Medyczne Oporów
    Wrocław, 52-416, Poland
  • Hospital de la Santa Creu i de Sant Pau
    Barcelona, 8025, Spain
  • Hospital Universitari Vall d'Hebrón
    Barcelona, 8035, Spain
  • Complejo Hospitalario Universitario de Ferrol
    Ferrol, 15405, Spain
  • Complejo Hospitalario Universitario La Coruña (Gerencia de Gestión Integrada de A Coruña)
    La Coruña, 15006, Spain
  • Hospital Universitari Arnau de Vilanova
    Lleida, 25198, Spain

Showing the first 100 of 107 sites across 6 countries.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 5, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04254380
Lead sponsor
Gan and Lee Pharmaceuticals, USA
Responsible party
Sponsor
First posted
Feb 5, 2020
Start date
Dec 4, 2019
Primary completion
Jan 27, 2020
Completion
Jan 27, 2020
Last update
Feb 5, 2020

Study contacts

Jia Lu, PhD
study director · Gan & Lee Pharmaceuticals, USA

Oversight

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

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