Diurnal Variation of Exogenous Peptides (Endogenous Insulin Jurgita II)

NCT ID: NCT01510093

Last Updated: 2013-01-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-31

Study Completion Date

2013-01-31

Brief Summary

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This is an exploratory trial with two cross-over arms investigating pharmacokinetic profiles of endogenous and exogenous insulin in type 2 diabetes mellitus patients treated with continuous subcutaneous Insulin Aspart infusion and combined with or without intravenous glucose infusion. The order of treatment session will be randomised.

Hypotheses:

1. Secretion of endogenous insulin depends on exogenous insulin supply
2. Secretion of endogenous insulin is depends on plasma glucose levels

Detailed Description

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There are a screening visit and two treatment sessions:

Session A: Treatment with Insulin Aspart 1.5 IE/time overnight without intravenous glucose infusion Session B: Treatment with Insulin Aspart 1.5 IE/time overnight with intravenous glucose infusion.

Conditions

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Type 2 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Insulin Aspart without glucose supply

Treatment with continuous subcutaneous Insulin Aspart 0.5-1.5 IE/time infusion overnight without intravenous glucose supply

Group Type OTHER

Insulin Aspart 100 IE/ml

Intervention Type DRUG

1.5 IE/hour/subject/visit. Each vist takes 10 hours

Insulin Aspart with glucose supply

Treatment with continuous subcutaneous Insulin Aspart 0.5-1.5 IE/time infusion overnight combined with intravenous glucose supply

Group Type OTHER

Insulin Aspart 100 IE/ml

Intervention Type DRUG

1.5 IE/hour/subject/visit. Each vist takes 10 hours

Interventions

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Insulin Aspart 100 IE/ml

1.5 IE/hour/subject/visit. Each vist takes 10 hours

Intervention Type DRUG

Other Intervention Names

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NovoRapid 100 IE/ml

Eligibility Criteria

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Inclusion Criteria

* Subjects with type 2 diabetes mellitus
* Insulin-naive patients
* HbA1C \< 9%
* Women and men \>= 35 and \<= 75 years old
* BMI 25-42 kg/m2, both values are included

Exclusion Criteria

* Suspected or known allergy to the trial drug or similar medications
* Treatment with hte drugs that after Investigator judgment could potentially interfere with plasma glucose levels
* Heart: Unstable angina pectoris, acute myocardial infarction within the last 12 months
* Severe uncontrolled hypertension with blood pressure in lying position \> 180/110 mmHg
* Impaired liver function with liver parameters more than 2 times above the upper normal limit according to the local laboratory
* Impaired kidney function with eGFR \< 50 ml/min according to the local laboratory
* Pregnancy, lactation or desire for pregnancy in the study period and for women in childbearing age without adequate contraception-adequate contraception is: sterilisation, hysterectomy or current use of contraceptive pills, coil, gestagen depot injection, subdermal implantation, hormonal vaginal ring and transdermal depot patch.
Minimum Eligible Age

35 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aarhus University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jurgita Janukonyte

Medical doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jurgita Janukonyte, MD

Role: PRINCIPAL_INVESTIGATOR

University of Aarhus

Locations

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Department of Endocrinology and Internal Diseases

Aarhus C, Central Jutland, Denmark

Site Status

Countries

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Denmark

References

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Janukonyte J, Parkner T, Bruun NH, Lauritzen T, Christiansen JS, Laursen T. Interaction between exogenous insulin, endogenous insulin, and glucose in type 2 diabetes patients. Diabetes Technol Ther. 2015 May;17(5):335-42. doi: 10.1089/dia.2014.0326. Epub 2015 Mar 18.

Reference Type DERIVED
PMID: 25785658 (View on PubMed)

Other Identifiers

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2011/1811

Identifier Type: -

Identifier Source: org_study_id

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