ClinicalTrials.gg
RecruitingNCT07242664Updated Nov 21, 2025

Clamp Study to Estimate the Relative Potency of GZR33 Versus Insulin Degludec at Steady State

A Phase 1 interventional study of GZR-33 in Type 1 Diabetes Mellitis, sponsored by Gan and Lee Pharmaceuticals, USA. Recruiting at 2 sites in Germany. Open to participants aged 18 Years to 64 Years. Per ClinicalTrials.gov, last updated 2025-11-21.

Sponsored by Gan and Lee Pharmaceuticals, USA · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Feb 2026, 8 months ago, but the record still lists the study as recruiting.
  • Started Oct 2025; still recruiting 1 year later.
Phase
Phase 1
Study type
Interventional
Enrollment
12
Allocation
Randomized
Ages
18 Years to 64 Years
Sex
All
01

Study summary

This trial intends to investigate the pharmacodynamics, pharmacokinetics, safety, and tolerability of insulin GZR33 (hereafter referred to as GZR33) and estimate its potency in comparison with insulin degludec.

02

Conditions studied

  • Type 1 Diabetes Mellitis
03

In context

Diabetes Mellitus, Type 1

3,754 studies on the registry are indexed under Diabetes Mellitus, Type 1; 600 are open to participants now.

This study's planned enrollment of 12 is below the median of 40 across 2,820 interventional studies indexed under Diabetes Mellitus, Type 1.

Browse Diabetes Mellitus, Type 1 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 64 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria: type 1 diabetes for at least 12 months

  • 18-64 years of age
  • \<= 9.0%.
  • (BMI) between 18.5 and 29.0 kg/m\^2
  • treated with a stable insulin regimen for at least 2 months, in a dose > 0.2 and \< 1.2 U/kg/day

Exclusion Criteria:

  • blood pressure outside the range 90 to 140 mmHg (systolic) or 50 to 99 mmHg (diastolic)
  • concomitant diseases
  • recurrent severe hypoglycemia (more than 1 severe hypoglycemic episode requiring assistance from another person within 180 days before screening)
  • hypoglycemia unawareness
  • estimated (eGFR) \<60.0 mL/min/1.73 m2
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
12 participants (estimated)

Study arms

  • Experimental
    Period 1 - GZR-33, period 2 insulin degludec

    Period 1 - GZR-33 once daily for six days. Post wash-out, insulin degludec once daily for six days

    Drug: GZR-33

  • Experimental
    Period 1 - insulin degludec, period 2 - GZR-33

    Period 1 - insulin degludec once daily for six days. Post wash-out, GZR-33 once daily for six days

    Drug: GZR-33

Interventions

  • DrugGZR-33

    GZR33 is a long-acting basal insulin analogue

06

What researchers measure

Primary outcomes

  1. the relative potency of GZR33 to insulin degludec

    Primary endpoint will be the relative potency of GZR33 to insulin degludec, according to the following equation: Relative Potency = GIR24h,ss,GZR33 /GIR24h,ss,degludec) × (Dosedegludec/DoseGZR33).

    Time frame: a two week run-in phase

07

Study locations

2 of 2 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07242664
Responsible party
Sponsor
First posted
Nov 21, 2025
Start date
Oct 13, 2025
Primary completion
Feb 28, 2026 (estimated)
Completion
Apr 15, 2026 (estimated)
Last update
Nov 21, 2025

Study contacts

Andre Feldmann
Contact
149-1226-GZR-33@profil.com
+49 (0) 2131 4018 409

Oversight

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

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