A Comparison of Pharmacodynamics and Pharmacokinetics of Insulin Aspart, Biphasic Insulin Aspart 30, 50 and 70.

• Sponsor: University of Aarhus (Other)
• Overall Status: Completed
• CT.gov ID: NCT00283218
• Collaborator: Novo Nordisk A/S (Industry)
• Enrollment: 24
• Location: 1
• Duration (Months): 7
• Patients Per Site Per Month: 3.4

Study Details

Study Description

Brief Summary

The hypothesis is that an optimal formulation of fast acting and intermediary acting insulin analogues will improve post prandial glycaemic control in patients with type 1 diabetes.

OBJECTIVE:

The objective is to describe pharmacodynamic (PD) and pharmacokinetic (PK) profiles of Insulin Aspart (IAsp), Biphasic Insulin Aspart (BIAsp) 30, 50 and 70 for a period of 12 hours following a standard test meal on four days respectively in subjects with type 1 diabetes.

Condition or Disease	Intervention/Treatment	Phase
Type 1 Diabetes	Drug: NovoRapid, NovoMix 30, Bifasisk Insulin Aspart 50, BIAsp70	N/A

Detailed Description

This trial is a single centre, open-label, randomised 4 period cross-over trial, comparing the pk and pd profiles of IAsp, BIAsp 30, BIAsp 50 and BIAsp 70 after a standard test meal in subjects with type 1 diabetes. The profiles will be derived over a 12-hour period after subcutaneous injection in the abdominal region with a single dose of IAsp, BIAsp 30, BIAsp 50 or BIAsp 70 at a test meal. The trial consists of a screening period of 4-21 days and 4 treatment visits

Study Design

• Study Type: Interventional
• Allocation: Randomized
• Intervention Model: Crossover Assignment
• Masking: None (Open Label)
• Primary Purpose: Treatment
• Official Title: A Comparison of Pharmacodynamics and Pharmacokinetics of Insulin Aspart, Biphasic Insulin Aspart 30, 50 and 70. - A Randomised, Quadruple Cross-Over Trial
• Study Start Date: Jan 1, 2006
• Study Completion Date: Aug 1, 2006

Outcome Measures

Primary Outcome Measures

1. Primary endpoint: []

2. • Cmaxglu: Peak plasma glucose following test meal (breakfast). A comparison will be made between BIAsp 50 vs BIAsp 70, BIAsp 30 vs BIAsp 70, BIAsp 30 vs BIAsp 50 and IAsp vs BIAsp 30, 50 and 70. []

Secondary Outcome Measures

1. Secondary endpoints: []

2. AUCglu: The area under the plasma glucose concentration (0-12, 0-6, 6-12, 0-4, 4-8, 8-12 hours after test meal) after a single injection of one of the four insulin aspart preparation: IAsp (NovoRapid®), Biphasic insulin aspart 30, 50 and 70. []

3. AUCins: The area under insulin aspart concentration (0-12, 0-6, 6-12, 0-4, 4-8, 8-12 hours after test meal) after a single injection of one of the four insulin aspart preparation: IAsp (NovoRapid®), Biphasic insulin aspart 30, 50 and 70. []

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

1. Informed consent obtained before any trial-related activities.

2. Diagnosed type 1 diabetes before the age of 40 and on insulin treatment within one year of diagnosis.

3. Insulin treatment of any regime for more than one year at time of inclusion.

4. Total insulin demand ≥ 0,5 IU/kg/24 hrs

5. HbA1c between 7% and 12 % (both values included).

6. Age ≥ 18 years.

7. BMI between 18 and 35 kg /m2 (including both values).

Exclusion Criteria:

1. Known or suspected allergy to trial product(s) or related products.

2. Recurrent major hypoglycaemic episodes.

3. Heart: Unstable Angina Pectoris, AMI < 12 months or heart insufficiency classified according to NYHA III-IV

4. Blood Pressure: Severe uncontrolled hypertension with BP > 180/110 mmHg, sitting

5. Liver: Impaired hepatic function corresponding to serum-ALAT or -basic phosphatase > 2x upper reference limit of the local laboratory.

6. Kidneys: Impaired renal function corresponding to serum-creatinin > 150 μmol/l according to the local laboratory.

7. Any disease judged by the investigator to affect the trial.

8. Pregnancy, breast feeding or the intention of becoming pregnant or fertile women not using adequate contraceptive measures - adequate contraceptive method is sterilisation, hysterectomy or current use of contraceptive pills or intra uterine device.

9. The receipt of any investigational drug within a three month period prior to this trial.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Dept of Medicine M, Aarhus University Hospital, Nørrebrogade 44	Aarhus	C	Denmark	8000

Sponsors and Collaborators

• University of Aarhus
• Novo Nordisk A/S

Investigators

• Principal Investigator: Jens S Christiansen, M.D., Medicinsk Afd. M, Århus Sygehus, Nørrebrogade 44, 8000 Århus C
• Study Director: Tina Parkner, M.D., Medicinsk Afd. M, Århus Sygehus, Nørrebrogade 44, 8000 Århus C
• Study Director: Niels Ejskjaer, M.D., Medicinsk afd. M, Århus Sygehus, Nørrebrogade 44, 8000 Århus C
• Study Director: Rannveig L Thorisdottir, Stud.med, Medicinsk afd. M, Århus Sygehus, Nørrebrogade 44, 8000 Århus C

Study Documents (Full-Text)

None provided.

More Information

Publications

• Boehm BO, Home PD, Behrend C, Kamp NM, Lindholm A. Premixed insulin aspart 30 vs. premixed human insulin 30/70 twice daily: a randomized trial in Type 1 and Type 2 diabetic patients. Diabet Med. 2002 May;19(5):393-9. Erratum in: Diabet Med. 2002 Sep;19(9):797..
• Jacobsen LV, Søgaard B, Riis A. Pharmacokinetics and pharmacodynamics of a premixed formulation of soluble and protamine-retarded insulin aspart. Eur J Clin Pharmacol. 2000 Aug;56(5):399-403.
• Kang S, Creagh FM, Peters JR, Brange J, Vølund A, Owens DR. Comparison of subcutaneous soluble human insulin and insulin analogues (AspB9, GluB27; AspB10; AspB28) on meal-related plasma glucose excursions in type I diabetic subjects. Diabetes Care. 1991 Jul;14(7):571-7.
• Weyer C, Heise T, Heinemann L. Insulin aspart in a 30/70 premixed formulation. Pharmacodynamic properties of a rapid-acting insulin analog in stable mixture. Diabetes Care. 1997 Oct;20(10):1612-4.

• ClinicalTrials.gov Identifier: NCT00283218
• Other Study ID Numbers: Asp-BIAsp-2005/0109
• First Posted: Jan 27, 2006
• Last Update Posted: Aug 8, 2006
• Last Verified: Aug 1, 2006

• Additional relevant MeSH terms: Diabetes Mellitus, Type 1; Insulin Aspart; Insulin aspart, insulin aspart protamine drug combination 30:70

Study Results

No Results Posted as of Aug 8, 2006