This study will look into testing a new medicine called NNC0363-1063 which may be used to treat people with diabetes. The study consists of three parts: Part 1 is a single ascending dose (SAD) study that comprises two subtypes: Part 1A conducted in healthy participants and Part 1B conducted in participants with type 1 diabetes (T1D). This study part will last for about 1½ to 5½ weeks. Part 2 is a proof-of-principle (PoP) study part conducted in participants with T1D and will last for about 3½ to 8½ weeks. Part 3 is a meal test multiple dose study part conducted in participants with T1D and will last for 7 to 11 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
117
NNC0363-1063 will be administered subcutaneously.
Placebo will be administered subcutaneously.
Insulin degludec will be administered subcutaneously.
Insulin detemir will be administered subcutaneously.
Profil Institut für Stoffwechselforschung GmbH
Neuss, Germany
Part 1 SAD: Number of adverse events
Measured in number of events.
Time frame: From investigational medicinal product (IMP) administration (day 1) until end of study visit (day 8)
Part 2 PoP: CL/F,I1063,SD- Apparent serum clearance of NNC0363-1063 after a single dose
Measured in millilitre per hour\*kilogram (mL/\[h\*kg\]).
Time frame: From IMP administration at day 1 up to 7 days
Part 3 Meal test: AUC,PG,meal: Area under the plasma glucose concentration-time curve at steady state
Measured in hours\*millimoles per litre (h\*mmol/L).
Time frame: At day 2 of visit 2 and visit 3 after initiation of meal test
Part 1 SAD: Number of hypoglycaemic episodes
Measured in number of episodes.
Time frame: From investigational medicinal product (IMP) administration (day 1) until end of study visit (day 8)
Part 1 SAD: AUC0-inf,I1063,SD: Area under the serum NNC0363-1063 concentration-time curve from 0 to infinity after a single dose
Measured in hours\*picomoles per litre (h\*pmol/L).
Time frame: Up to 7 days
Part 1 SAD: AUC,I1063,SD- Area under the serum NNC0363-1063 concentration time curve after a single dose
Measured in h\*pmol/L.
Time frame: Up to 2 days
Part 1 SAD: Cmax,I1063,SD- Maximum observed serum NNC0363-1063 concentration after a single dose
Measured in picomoles per litre (pmol/L).
Time frame: Up to 7 days
Part 2 PoP: AUC0-inf,I1063,SD: Area under the serum NNC0363-1063 concentration-time curve from 0 to infinity after a single dose
Measured in h\*pmol/L.
Time frame: Up to 7 days
Part 2 PoP: AUC,I1063,SD- Area under the serum NNC0363-1063 concentration time curve after a single dose
Measured in h\*pmol/L.
Time frame: Up to 2 days
Part 2 PoP: Cmax,I1063,SD- Maximum observed serum NNC0363-1063 concentration after a single dose
Measured in pmol/L.
Time frame: Up to 7 days
Part 3 Meal test: AUC0-1h,PG,meal: Area under the plasma glucose concentration-time curve from 0 to 1 hour after initiation of the meal test at steady state
Measured in h\*mmol/L.
Time frame: From 0 hours to 1 hour after initiation of the meal test (day 2 of visit 2 and visit 3)
Part 3 Meal test: AUC0-2h,PG,meal: Area under the plasma glucose concentration-time curve from 0 to 2 hours after initiation of the meal test at steady state
Measured in h\*mmol/L.
Time frame: From 0 hours to 2 hours after initiation of the meal test (day 2 of visit 2 and visit 3)
Part 3 Meal test: AUC0-4h,PG,mean: Area under the plasma glucose concentration-time curve from 0 to 4 hours after initiation of the meal test at steady state
Measured in h\*mmol/L.
Time frame: From 0 hours to 4 hours after initiation of the meal test (day 2 of visit 2 and visit 3)
Part 3 Meal test: AUC0-6h,PG,meal: Area under the plasma glucose concentration-time curve from 0 to 6 hours after initiation of the meal test at steady state
Measured in h\*mmol/L.
Time frame: From 0 hours to 6 hours after initiation of the meal test (day 2 of visit 2 and visit 3)
Part 3 Meal test: PGmax,meal: Maximum observed plasma glucose concentration at steady state
Measured in millimoles per litre (mmol/L).
Time frame: At day 2 of visit 2 and visit 3 after initiation of meal test
Part 3 Meal test: tPGmax,meal: Time to maximum observed plasma glucose concentration from at steady state
Measured in hours.
Time frame: At day 2 of visit 2 and visit 3 after initiation of meal test
Part 3 Meal test: ΔPGav,0-1h,meal: Mean change in plasma glucose from 0 to 1 hour after initiation of the meal test at steady state
Measured in mmol/L.
Time frame: From 0 hours to 1 hour after initiation of the meal test (day 2 of visit 2 and visit 3)
Part 3 Meal test: ΔPGav,0-2h,meal: Mean change in plasma glucose from 0 to 2 hours after initiation of the meal test at steady state
Measured in mmol/L.
Time frame: From 0 hours to 2 hours after initiation of the meal test (day 2 of visit 2 and visit 3)
Part 3 Meal test: AUCτ,I1063,SS: Area under the serum NNC0363-1063 concentration-time curve during one dosing interval at steady state
Measured in h\*pmol/L.
Time frame: At day 2 of visit 2 and visit 3 after last IMP administration
Part 3 Meal test: Cmax,I1063,SS: Maximum observed serum NNC0363-1063 concentration during one dosing interval at steady state
Measured in pmol/L.
Time frame: At day 2 of visit 2 and visit 3 after last IMP administration
Part 3 Meal test: Number of adverse events
Measured in number of events.
Time frame: From first IMP administration (day 1 of visit 2 and visit 3) until 24 hours after last IMP administration (day 2 of visit 2 and visit 3)
Part 3 Meal test: Number of hypoglycaemic episodes
Measured in number of episodes.
Time frame: From first IMP administration (day 1 of visit 2 and visit 3) until 24 hours after last IMP administration (day 2 of visit 2 and visit 3)
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