Trial Outcomes & Findings for A Prospective, Randomized, Double-blind, Placebo Controlled Study to Assess the Impact of ORMD-0801 (Insulin Capsules) on the Exogenous Insulin Requirements of Type 1 Diabetics (NCT NCT02094534)

NCT ID: NCT02094534

Last Updated: 2017-07-06

Results Overview

Change from baseline (Run-in Average) to treatment days 6 and 7 (average of day 6 and 7) in exogenous insulin requirements in patients treated with ORMD-0801 compared to patients treated with placebo.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

25 participants

Primary outcome timeframe

Baseline:Run-In Average (run in days 1-7), and treatment (day 6 and day 7)

Results posted on

2017-07-06

Participant Flow

All subjects took all doses of intervention.

Basal Exogenous Insulin - Intend to Treat (ITT) - All Subjects

Participant milestones

Participant milestones
Measure
ORMD-0801
API (recombinant human insulin USP), in Oramed's proprietary formulation in capsules, ORMD-0801 ORMD-0801 capsules: API (recombinant human insulin USP), in Oramed's proprietary formulation in capsules.
Placebo
Fish oil in capsules, identical in appearance to ORMD-0801
Overall Study
STARTED
15
10
Overall Study
COMPLETED
15
10
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Prospective, Randomized, Double-blind, Placebo Controlled Study to Assess the Impact of ORMD-0801 (Insulin Capsules) on the Exogenous Insulin Requirements of Type 1 Diabetics

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ORMD-0801
n=15 Participants
API (recombinant human insulin USP), in Oramed's proprietary formulation in capsules, ORMD-0801 ORMD-0801 capsules: API (recombinant human insulin USP), in Oramed's proprietary formulation in capsules.
Placebo
n=10 Participants
Fish oil in capsules, identical in appearance to ORMD-0801
Total
n=25 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
15 Participants
n=5 Participants
10 Participants
n=7 Participants
25 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
38.90 years
STANDARD_DEVIATION 11.936 • n=5 Participants
37.61 years
STANDARD_DEVIATION 9.642 • n=7 Participants
38.255 years
STANDARD_DEVIATION 15.343 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
5 Participants
n=7 Participants
8 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
5 Participants
n=7 Participants
17 Participants
n=5 Participants
Region of Enrollment
United States
15 participants
n=5 Participants
10 participants
n=7 Participants
25 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline:Run-In Average (run in days 1-7), and treatment (day 6 and day 7)

Population: Intend-to-treat polpulation

Change from baseline (Run-in Average) to treatment days 6 and 7 (average of day 6 and 7) in exogenous insulin requirements in patients treated with ORMD-0801 compared to patients treated with placebo.

Outcome measures

Outcome measures
Measure
ORMD-0801
n=15 Participants
API (recombinant human insulin USP), in Oramed's proprietary formulation in capsules, ORMD-0801 ORMD-0801 capsules: API (recombinant human insulin USP), in Oramed's proprietary formulation in capsules.
Placebo
n=10 Participants
Fish oil in capsules, identical in appearance to ORMD-0801
Change From Baseline in Total, Basal, and Bolus Exogenous Insulin Requirements
Total Exogenous Insulin Usage
-2.09 mg/dL
Standard Deviation 10.936
2.83 mg/dL
Standard Deviation 12.716
Change From Baseline in Total, Basal, and Bolus Exogenous Insulin Requirements
Basal Exogenous Insulin Usage
-1.92 mg/dL
Standard Deviation 7.517
-1.10 mg/dL
Standard Deviation 10.423
Change From Baseline in Total, Basal, and Bolus Exogenous Insulin Requirements
Bolus Exogenous Insulin Usage
-0.18 mg/dL
Standard Deviation 10.310
3.93 mg/dL
Standard Deviation 6.541

SECONDARY outcome

Timeframe: last two days (day 6 and day 7, averaged)

Population: Intent to treat (ITT) population; This measurement is reported for those subjects who had at least 80% of the CGM readings. This explains why there are two fewer subjects from the ITT population reported for this endpoint.

Mean glucose levels (by continuous glucose monitoring (CGM)) in Type 1 diabetes patients treated with ORMD-0801, compared to the mean glucose levels (by continuous glucose monitoring) for patients treated with placebo.

Outcome measures

Outcome measures
Measure
ORMD-0801
n=14 Participants
API (recombinant human insulin USP), in Oramed's proprietary formulation in capsules, ORMD-0801 ORMD-0801 capsules: API (recombinant human insulin USP), in Oramed's proprietary formulation in capsules.
Placebo
n=9 Participants
Fish oil in capsules, identical in appearance to ORMD-0801
Mean Nighttime, Daytime, and Fasting Glucose Levels
Mean fasting glucose levels by CGM
122.15 mg/dL
Standard Deviation 32.670
138.69 mg/dL
Standard Deviation 35.295
Mean Nighttime, Daytime, and Fasting Glucose Levels
Mean nighttime levels by CGM
137.65 mg/dL
Standard Deviation 31.311
133.17 mg/dL
Standard Deviation 23.321
Mean Nighttime, Daytime, and Fasting Glucose Levels
Mean daytime glucose levels by CGM
145.15 mg/dL
Standard Deviation 18.408
165.73 mg/dL
Standard Deviation 19.372

Adverse Events

ORMD-0801

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
ORMD-0801
n=15 participants at risk
API (recombinant human insulin USP), in Oramed's proprietary formulation in capsules, ORMD-0801 ORMD-0801 capsules: API (recombinant human insulin USP), in Oramed's proprietary formulation in capsules.
Placebo
n=10 participants at risk
Fish oil in capsules, identical in appearance to ORMD-0801
Metabolism and nutrition disorders
Hypoglycemia
100.0%
15/15 • Number of events 201 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
100.0%
10/10 • Number of events 124 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
Metabolism and nutrition disorders
Hyperglycemia
86.7%
13/15 • Number of events 51 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
90.0%
9/10 • Number of events 41 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
Eye disorders
Vision blurred
6.7%
1/15 • Number of events 1 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
0.00%
0/10 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
Gastrointestinal disorders
Abdominal Pain
0.00%
0/15 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
10.0%
1/10 • Number of events 1 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
Gastrointestinal disorders
Nausea
6.7%
1/15 • Number of events 1 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
0.00%
0/10 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
General disorders
Fatigue
6.7%
1/15 • Number of events 1 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
0.00%
0/10 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/15 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
10.0%
1/10 • Number of events 1 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
Musculoskeletal and connective tissue disorders
Muscle spasms
0.00%
0/15 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
10.0%
1/10 • Number of events 1 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
Nervous system disorders
Dizziness
6.7%
1/15 • Number of events 1 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
0.00%
0/10 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
Nervous system disorders
Head discomfort
6.7%
1/15 • Number of events 1 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
0.00%
0/10 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
Nervous system disorders
Headache
13.3%
2/15 • Number of events 2 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
10.0%
1/10 • Number of events 1 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
Skin and subcutaneous tissue disorders
Hyperhidrosis
6.7%
1/15 • Number of events 1 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)
0.00%
0/10 • Three Months
Adverse Events of Hypoglycemia The CTCAE (version 4.0) definition for mild, moderate, and severe hypoglycemia based on blood glucose will be used, as shown below: Mild: from 55 to \<70 mg/dL Moderate: from 40 to \< 55 mg/dL Severe: from 30 to \< 40 mg/dL Life Threatening: \< 30 mg/dL (\< 1.7 mmol/L)

Additional Information

Joel M. Neutel, M.D., Study Director

Orange County Research Center

Phone: 714-550-9990

Results disclosure agreements

  • Principal investigator is a sponsor employee Agreement is "work for hire"
  • Publication restrictions are in place

Restriction type: OTHER