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A Trial Investigating the Safety, Tolerability, Pharmacokinetics (the Exposure of the Trial Drug in the Body) and Pharmacodynamics (the Effect of the Investigated Drug on the Body) of Insulin 287 in Subjects With Type 2 Diabetes

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ClinicalTrials.gov Identifier: NCT02964104
Recruitment Status : Completed
First Posted : November 15, 2016
Last Update Posted : August 27, 2021
Sponsor:
Information provided by (Responsible Party):
Novo Nordisk A/S

Study Description
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Brief Summary:
This trial is conducted in Europe. The aim of the trial is to investigate the safety, tolerability, pharmacokinetics (the exposure of the trial drug in the body) and pharmacodynamics (the effect of the investigated drug on the body) of insulin 287 in subjects with type 2 diabetes.

Condition or disease Intervention/treatment Phase
Diabetes Diabetes Mellitus, Type 2 Drug: Insulin icodec Drug: placebo Drug: insulin degludec Phase 1

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 50 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: A Multiple Dose Trial Investigating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of NNC0148-0287 C (Insulin 287) for Subcutaneous Administration in Subjects With Type 2 Diabetes
Actual Study Start Date : November 15, 2016
Actual Primary Completion Date : December 12, 2017
Actual Study Completion Date : December 12, 2017

Resource links provided by the National Library of Medicine


Arms and Interventions
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Arm Intervention/treatment
Experimental: Insulin 287 + placebo
Each dose group will consist of 16 subjects randomised for once-weekly s.c. (subcutaneous, under the skin) administration of insulin 287 and once daily s.c. placebo (n=12) or once-weekly s.c. placebo and once daily s.c. insulin degludec (n=4)
 Drug: Insulin icodec
Administered once weekly subcutaneously (s.c., under the skin) for 35 days
Other Name: insulin 287

Drug: placebo
Administered once daily subcutaneously for 35 days
Active Comparator: Insulin degludec + placebo
Each dose group will consist of 16 subjects randomised for once-weekly s.c. (subcutaneous, under the skin) administration of insulin 287 and once daily s.c. placebo (n=12) or once-weekly s.c. placebo and once daily s.c. insulin degludec (n=4)
 Drug: insulin degludec
Administered once daily subcutaneously for 35 days

Drug: placebo
Administered once weekly subcutaneously for 35 days


Outcome Measures
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Primary Outcome Measures :
  1. Number of treatment emergent adverse events (TEAE) [ Time Frame: From the first trial product administration at day 1 until completion of the post-treatment follow-up visit (day 68 - 79) ]

Secondary Outcome Measures :
  1. AUCI287,τ,SS, area under the steady-state serum insulin 287 concentration-time curve [ Time Frame: During one dosing interval at steady-state from 0 to 168 hours after last dose (day 29) ]
  2. AUCGIR,0-24h,SS, area under the glucose infusion rate-time curve at steady state [ Time Frame: At day 30 and day 35 ]

Eligibility Criteria
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Ages Eligible for Study:   18 Years to 64 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male or female, age between 18 and 64 years (both inclusive) at the time of signing informed consent.
  • Subject who is considered to be generally healthy (with the exception of conditions associated with diabetes mellitus), based on the medical history, physical examination, and the results of vital signs, ECG and laboratory safety tests, as judged by the investigator.
  • Body mass index between 20.0 and 34.9 kg/m^2 (both inclusive).
  • Type 2 diabetes mellitus (as diagnosed clinically) for ≥12 months (365 days).
  • No change in insulin treatment regimen during the last 90 days prior to screening.
  • Current total daily insulin treatment between 0.3 and 1.0 (I) U/kg/day (both inclusive).

Exclusion Criteria:

  • Known or suspected hypersensitivity to trial products or related products.
  • Female who is pregnant, breast-feeding, or intending to become pregnant or is of child-bearing potential and not using adequate contraceptive methods (adequate contraceptive measures as required by regulation or practice)(highly effective contraceptive methods are considered those with a failure rate less than 1% undesired pregnancies per year including surgical sterilisation,hormonal intrauterine devices (coil), oral hormonal contraceptives, sexual abstinence or a surgically sterilised partner). Females who are not postmenopausal can participate in the study if they use adequate contraceptive methods. Postmenopausal is defined as women aged <52 years and being amenorrheic for more than one year with serum follicle stimulating hormone (FSH level >40 IU/L or aged ≥ 52 years and being amenorrheic for less than one year and with serum FSH level > 40 IU/L or aged ≥ 52 years being amenorrheic for more than one year.
  • Receipt of any investigational medicinal product within 3 months before the screening visit of this trial.
  • History of deep leg vein thrombosis or repeated episodes of deep leg vein thrombosis in 1st degree relatives (parents, siblings or children) as judged by the investigator.
  • Recurrent severe hypoglycaemia (more than 1 severe hypoglycaemic event within the past 180 days) or hypoglycaemic unawareness as judged by the investigator or hospitalisation for diabetic ketoacidosis within the past 180 days.
  • Use of oral antidiabetic drugs (OADs) or GLP-1 receptor agonists (e.g. exenatide, liraglutide) within 3 months prior to screening.
Contacts and Locations
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To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02964104


Locations
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Germany
Novo Nordisk Investigational Site
Neuss, Germany, 41460
Sponsors and Collaborators
Novo Nordisk A/S
Investigators
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Study Director: Global Clinical Registry (GCR, 1452) Novo Nordisk A/S
More Information
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Publications of Results:

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Responsible Party: Novo Nordisk A/S
ClinicalTrials.gov Identifier: NCT02964104    
Other Study ID Numbers: NN1436-4314
2016-000436-18 ( EudraCT Number )
U1111-1178-9795 ( Other Identifier: World Health Organization )
First Posted: November 15, 2016    Key Record Dates
Last Update Posted: August 27, 2021
Last Verified: August 2021
Additional relevant MeSH terms:
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Diabetes Mellitus
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
 Insulin
Insulin, Globin Zinc
Hypoglycemic Agents
Physiological Effects of Drugs