Single-centre, randomised, double-blind, three-period, six-sequence, partially replicated design, crossover trial in healthy subjects
The present study is designed to demonstrate pharmacokinetic and pharmacodynamic equivalence of Biocon's Human Insulin R U-500 with Humulin® R U-500 in healthy subjects. The treatment consists of one single dose of the test or reference product, administered during each of the three study periods, separated by 5-7 days between each dosing. The planned trial duration for each subject is about 18 to 44 days. Eligible subjects will undergo three euglycaemic clamp examinations (each of 24 hours duration). Depending on the sequence in which a particular subject is randomized, each subject will either undergo two clamps with administration of test product plus one clamp with administration of reference product, or, two clamps with administration of reference product plus one clamp with administration of test product, in random order.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
78
Biocon's Human Insulin R U-500 (Insulin Human Injection 500 units/mL), 3 mL cartridges (containing 1,500 units of insulin).
Humulin® R U-500 (US Reference Product), 3 mL single-patient-use KwikPen® (containing 1,500 units of insulin)
Profil Institut für Stoffwechselforschung GmbH 9
Neuss, Germany
Primary pharmacokinetics (PK) endpoint: area under the insulin concentration curve(AUCins).0-12h
Area under the insulin concentration curve
Time frame: 0 to12 hours
Primary pharmacokinetics (PK) endpoint: maximum observed insulin concentration(Cins.max)
Maximum observed insulin concentration
Time frame: NAP (Not Applicable)
Primary pharmacodynamics (PD) endpoint:area under the glucose infusion rate curve (AUCGIR)0-12h
Area under the glucose infusion rate curve
Time frame: 0 to 12 hours
Primary pharmacodynamics (PD) endpoint:maximum observed glucose infusion rate (GIRmax)
Maximum observed glucose infusion rate
Time frame: NAP (Not Applicable)
Secondary pharmacokinetics (PK) endpoint: area under the insulin concentration-time curve(AUCins).0-infinity
Area under the insulin concentration-time curve
Time frame: 0 hours to 24 hours
Secondary pharmacokinetics (PK) endpoint: area under the insulin concentration-time curve(AUCins).0-24h
Area under the insulin concentration-time curve
Time frame: 0 to 24 hours
Secondary pharmacokinetics (PK) endpoint: area under the insulin concentration-time curve (AUCins).12-24h
Area under the insulin concentration-time curve
Time frame: 12 to 24 hours
Secondary pharmacokinetics (PK) endpoint:time to maximum observed insulin concentration (tmax.ins)
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Time to maximum observed insulin concentration
Time frame: 0 to 24 hours
Secondary pharmacokinetics (PK) endpoint:terminal elimination rate constant of insulin (λz)
Terminal elimination rate constant of insulin
Time frame: 0 to 24 hours
Secondary pharmacokinetics (PK) endpoint: terminal elimination half-life (t½)
Terminal elimination half-life calculated
Time frame: 0 to 24 hours
Secondary pharmacokinetics (PK) endpoint: time(t)50%-Insulin (INS)(early)
Time to half-maximum before Cmax
Time frame: 0 to 24 hours
Secondary pharmacokinetics (PK) endpoint: time(t) 50%-Insulin (INS)(late)
Time to half-maximum after Cmax
Time frame: 0 to 24 hours
Secondary pharmacodynamics (PD) endpoint: areas under the glucose infusion rate curve(AUCGIR).0-24h
Area under the glucose infusion rate curve
Time frame: 0 to 24 hours
Secondary pharmacodynamics (PD) endpoint: areas under the glucose infusion rate curve(AUCGIR).12-24h
Area under the glucose infusion rate curve
Time frame: 12 to 24 hours
Secondary pharmacodynamics (PD) endpoint: time to maximum glucose infusion rate(tmax.GIR)
Time to maximum glucose infusion rate
Time frame: 0 to 24 hours
Secondary pharmacodynamics (PD) endpoint:time to half-maximum glucose infusion rate before GIRmax (tGIR.50%-early)
Time to half-maximum glucose infusion rate before GIRmax
Time frame: 0 to 24 hours
Secondary pharmacodynamics (PD) endpoint: time to half-maximum glucose infusion rate after GIRmax (tGIR.50%-late)
Time to half-maximum glucose infusion rate after GIRmax
Time frame: 0 to 24 hours
Secondary pharmacodynamics (PD) endpoint: Onset of action, time from trial product administration until plasma glucose concentration has decreased at least 5 mg/dL from baseline,
Time from trial product administration until plasma glucose concentration
Time frame: 0 to 24 hours