This is an open label, randomized, parallel group comparison of the immunogenicity safety of Wockhardt's human insulin and isophane insulin compared with the Novo Nordisk's yeast based human insulin products (marketed in USA) in type 1 diabetics. There are two phases of the study, which are as follows: 1. Phase 1 is a comparative phase in which there will be 2 arms (which are described in the section below). 2. Phase 2 is a follow up phase only applicable to Wosulin Arm. The study will last for 54 weeks for the patients enrolled in Wosulin arm and approximately 28 weeks for the patients enrolled in the comparator arm. Two hundred and forty two patients will be enrolled considering an estimated dropout rate of 15% for a sample size of approximately 105 evaluable patients per arm. The total planned enrollment period for this study is approximately 3 months (90 days).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
134
Basal bolus conventional Insulin viz. Wosulin (N or 70/30 with R) to be injected subcutaneously.
Basal bolus conventional Insulin viz. Novolin® (N or 70/30 with R) to be injected subcutaneously.
University Clinical Investigators, Inc. dba Diabetes Research Center
Tustin, California, United States
International Research Associates
Hialeah, Florida, United States
The Center for Diabetes and Endocrine Care
Hollywood, Florida, United States
Baptist Diabetes Associates, PA
Miami, Florida, United States
Suncoast Clinical Research
New Port Richey, Florida, United States
Ormond Medical Arts Pharmaceutical Research Center
Ormond Beach, Florida, United States
Suncoast Clinical Research
Palm Harbor, Florida, United States
International Clinical Research - US, LLC
Sanford, Florida, United States
Cotton-O'Neil Clinical Research Center, Diabetes & Endocrinology
Topeka, Kansas, United States
Kentucky Diabetes Endocrinology Center
Lexington, Kentucky, United States
...and 15 more locations
Change in HbAlc from baseline to 6 months of treatment between Wosulin arm and Novolin arm(as surrogate indicator of change in insulin antibodies titers between the two treatment arms).
Time frame: 6 months
Correlation between change in HbA1c and change in anti insulin and insulin neutralizing antibodies.
Insulin dose will be used as a covariate
Time frame: 6 months and 12 months
To compare the change from baseline in the level of serum anti insulin antibodies and insulin neutralizing antibodies between the two arms
Time frame: 6 months
Compare the change in Insulin dose between the two arms
Glycated hemoglobin levels and the number of hypoglycemic episodes will be the covariants for this analysis
Time frame: 3 and 6 months
Correlation of the immunogenicity with hypoglycemia, local allergic reactions and systemic allergic reactions will be evaluated.
Immunogenicity is measured as percentage change in serum antiinsulin antibodies and insulin neutralizing antibodies.
Time frame: 6 and 12 months
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