Trial Outcomes & Findings for A Study of 2 Different Formulations of Insulin Lispro in Healthy Participants (NCT NCT02111083)

NCT ID: NCT02111083

Last Updated: 2015-05-21

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

38 participants

Primary outcome timeframe

Day 1, predose through 8 hours post dose in each period.

Results posted on

2015-05-21

Participant Flow

Participant milestones

Participant milestones
Measure
Insulin Lispro Dosing Sequence TRTR
Each subject was administered insulin lispro A 20 units (U) of strength 200 units per milliliter (U/mL) (U-200) (test \[T\] on 2 occasions) and insulin lispro B 20 units (U) of strength 100 U/mL (U-100) (reference \[R\] on 2 occasions).Subjects were randomly assigned to dosing sequences TRTR.
Insulin Lispro Dosing Sequence RTRT
Each subject was administered insulin lispro A 20 units (U) of strength 200 units per milliliter (U/mL) (U-200) (test \[T\] on 2 occasions) and insulin lispro B 20 units (U) of strength 100 U/mL (U-100) (reference \[R\] on 2 occasions).Subjects were randomly assigned to dosing sequences RTRT.
First Intervention (1 Day)
STARTED
19
19
First Intervention (1 Day)
COMPLETED
19
19
First Intervention (1 Day)
NOT COMPLETED
0
0
Interval Between Dosing (7-8 Days)
STARTED
19
19
Interval Between Dosing (7-8 Days)
COMPLETED
18
18
Interval Between Dosing (7-8 Days)
NOT COMPLETED
1
1
Second Intervention (1 Day)
STARTED
19
19
Second Intervention (1 Day)
COMPLETED
19
19
Second Intervention (1 Day)
NOT COMPLETED
0
0
Third Intervention (1 Day)
STARTED
19
19
Third Intervention (1 Day)
COMPLETED
19
19
Third Intervention (1 Day)
NOT COMPLETED
0
0
Fourth Intervention (1 Day)
STARTED
18
18
Fourth Intervention (1 Day)
COMPLETED
18
18
Fourth Intervention (1 Day)
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Insulin Lispro Dosing Sequence TRTR
Each subject was administered insulin lispro A 20 units (U) of strength 200 units per milliliter (U/mL) (U-200) (test \[T\] on 2 occasions) and insulin lispro B 20 units (U) of strength 100 U/mL (U-100) (reference \[R\] on 2 occasions).Subjects were randomly assigned to dosing sequences TRTR.
Insulin Lispro Dosing Sequence RTRT
Each subject was administered insulin lispro A 20 units (U) of strength 200 units per milliliter (U/mL) (U-200) (test \[T\] on 2 occasions) and insulin lispro B 20 units (U) of strength 100 U/mL (U-100) (reference \[R\] on 2 occasions).Subjects were randomly assigned to dosing sequences RTRT.
Interval Between Dosing (7-8 Days)
Adverse Event
1
1

Baseline Characteristics

A Study of 2 Different Formulations of Insulin Lispro in Healthy Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Insulin Lispro Dosing Sequence TRTR
n=19 Participants
Each subject was administered insulin lispro A U-200 (test \[T\] on 2 occasions) and insulin lispro B U-100(reference \[R\] on 2 occasions).Subjects were randomly assigned to dosing sequences TRTR.
Insulin Lispro Dosing Sequence RTRT
n=19 Participants
Each subject was administered insulin lispro A U-200 (test \[T\] on 2 occasions) and insulin lispro B U-100 (reference \[R\] on 2 occasions). Subjects were randomly assigned to dosing sequences RTRT.
Total
n=38 Participants
Total of all reporting groups
Age, Continuous
32.9 years
STANDARD_DEVIATION 6.1 • n=5 Participants
30.4 years
STANDARD_DEVIATION 8.2 • n=7 Participants
31.7 years
STANDARD_DEVIATION 7.2 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Sex: Female, Male
Male
17 Participants
n=5 Participants
18 Participants
n=7 Participants
35 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 Participants
n=5 Participants
19 Participants
n=7 Participants
38 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
Singapore
19 participants
n=5 Participants
19 participants
n=7 Participants
38 participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 1, predose through 8 hours post dose in each period.

Population: All participants who had at least one study treatment and had evaluable pharmacokinetic (PK) data.

Outcome measures

Outcome measures
Measure
Insulin Lispro A
n=38 Participants
Insulin Lispro A U-200 administered subcutaneously (SC) once in two of four study periods. (Two doses of test \[T\]).
Insulin Lispro B
n=38 Participants
Insulin Lispro B U-100 administered SC once in two of four study periods. (Two doses of reference \[R\]).
Pharmacokinetic Parameter: Area Under the Serum Insulin Concentration Versus Time Curve From Zero to Time of Return to Baseline (AUC0-tlast)
2200 picomole*hour/liter (pmol*h/L)
Geometric Coefficient of Variation 16
2230 picomole*hour/liter (pmol*h/L)
Geometric Coefficient of Variation 17

PRIMARY outcome

Timeframe: Day 1, predose through 8 hours post dose in each period

Population: All participants who had at least one study treatment and had evaluable PK data.

Outcome measures

Outcome measures
Measure
Insulin Lispro A
n=38 Participants
Insulin Lispro A U-200 administered subcutaneously (SC) once in two of four study periods. (Two doses of test \[T\]).
Insulin Lispro B
n=38 Participants
Insulin Lispro B U-100 administered SC once in two of four study periods. (Two doses of reference \[R\]).
Pharmacokinetic Parameter: Maximum Serum Insulin Concentration (Cmax)
744 picomole/liter (pmol/L)
Geometric Coefficient of Variation 38
851 picomole/liter (pmol/L)
Geometric Coefficient of Variation 38

PRIMARY outcome

Timeframe: Zero to infinity [AUC(0-∞)]

Population: All participants who had at least one study treatment and had evaluable PK data.

Outcome measures

Outcome measures
Measure
Insulin Lispro A
n=38 Participants
Insulin Lispro A U-200 administered subcutaneously (SC) once in two of four study periods. (Two doses of test \[T\]).
Insulin Lispro B
n=38 Participants
Insulin Lispro B U-100 administered SC once in two of four study periods. (Two doses of reference \[R\]).
Pharmacokinetic Parameter: Area Under the Curve(AUC)
2330 picomole*hour/liter (pmol*h/L)
Geometric Coefficient of Variation 15
2360 picomole*hour/liter (pmol*h/L)
Geometric Coefficient of Variation 16

SECONDARY outcome

Timeframe: Day 1, predose through 8 hours post dose in each period.

Population: All participants who had at least one study treatment and had evaluable PK data.

Outcome measures

Outcome measures
Measure
Insulin Lispro A
n=38 Participants
Insulin Lispro A U-200 administered subcutaneously (SC) once in two of four study periods. (Two doses of test \[T\]).
Insulin Lispro B
n=38 Participants
Insulin Lispro B U-100 administered SC once in two of four study periods. (Two doses of reference \[R\]).
Pharmacokinetic Parameter: Time of Maximum Observed Serum Concentration (Tmax)
1 hours
Interval 0.5 to 3.0
1 hours
Interval 0.5 to 2.0

SECONDARY outcome

Timeframe: Day1, predose through 8 hours post dose in each period.

Population: All participants who had at least one study treatment and had evaluable pharmacodynamic(PD) data.

The total amount of glucose infused during the euglycemic clamp procedure.

Outcome measures

Outcome measures
Measure
Insulin Lispro A
n=38 Participants
Insulin Lispro A U-200 administered subcutaneously (SC) once in two of four study periods. (Two doses of test \[T\]).
Insulin Lispro B
n=38 Participants
Insulin Lispro B U-100 administered SC once in two of four study periods. (Two doses of reference \[R\]).
Pharmacodynamic Parameter: Total Amount of Glucose Infused (Gtot)
120 grams (g)
Geometric Coefficient of Variation 31
120 grams (g)
Geometric Coefficient of Variation 33

SECONDARY outcome

Timeframe: Day 1, predose through 8 hours post dose in each period.

Population: All participants who had at least one study treatment and had evaluable PD data.

The maximum observed glucose infusion rate during the euglycemic clamp procedure.

Outcome measures

Outcome measures
Measure
Insulin Lispro A
n=38 Participants
Insulin Lispro A U-200 administered subcutaneously (SC) once in two of four study periods. (Two doses of test \[T\]).
Insulin Lispro B
n=38 Participants
Insulin Lispro B U-100 administered SC once in two of four study periods. (Two doses of reference \[R\]).
Pharmacodynamic Parameter: Maximum Glucose Infusion Rate (Rmax)
503 milligrams per minute (mg/min)
Geometric Coefficient of Variation 36
526 milligrams per minute (mg/min)
Geometric Coefficient of Variation 36

SECONDARY outcome

Timeframe: Day 1, predose through 8 hours post dose in each period.

Population: All participants who had at least one study treatment and had evaluable PD data.

Outcome measures

Outcome measures
Measure
Insulin Lispro A
n=38 Participants
Insulin Lispro A U-200 administered subcutaneously (SC) once in two of four study periods. (Two doses of test \[T\]).
Insulin Lispro B
n=38 Participants
Insulin Lispro B U-100 administered SC once in two of four study periods. (Two doses of reference \[R\]).
Pharmacodynamic Parameter: Time of Maximum Glucose Infusion Rate (tRmax)
2.71 hours
Geometric Coefficient of Variation 52
2.32 hours
Geometric Coefficient of Variation 52

Adverse Events

Insulin Lispro A

Serious events: 0 serious events
Other events: 21 other events
Deaths: 0 deaths

Insulin Lispro B

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Insulin Lispro A
n=38 participants at risk
Insulin Lispro A U-200 subcutaneously (SC) once in two of four study periods. (Two doses of test \[T\]).
Insulin Lispro B
n=38 participants at risk
Insulin Lispro B U-100 administered SC once in two of four study periods. (Two doses of reference \[R\]).
General disorders
Application site erythema
5.3%
2/38 • Number of events 3
2.6%
1/38 • Number of events 2
General disorders
Catheter site related reaction
18.4%
7/38 • Number of events 9
13.2%
5/38 • Number of events 5
General disorders
Infusion site bruising
7.9%
3/38 • Number of events 3
2.6%
1/38 • Number of events 1
General disorders
Infusion site pain
13.2%
5/38 • Number of events 5
10.5%
4/38 • Number of events 4
General disorders
Infusion site swelling
13.2%
5/38 • Number of events 5
10.5%
4/38 • Number of events 5
General disorders
Injection site bruising
7.9%
3/38 • Number of events 3
2.6%
1/38 • Number of events 1
General disorders
Pyrexia
5.3%
2/38 • Number of events 2
2.6%
1/38 • Number of events 1
General disorders
Vessel puncture site bruise
2.6%
1/38 • Number of events 1
5.3%
2/38 • Number of events 2
General disorders
Vessel puncture site pain
5.3%
2/38 • Number of events 2
2.6%
1/38 • Number of events 1
Injury, poisoning and procedural complications
Scratch
5.3%
2/38 • Number of events 2
0.00%
0/38
Nervous system disorders
Headache
5.3%
2/38 • Number of events 2
2.6%
1/38 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
5.3%
2/38 • Number of events 2
0.00%
0/38

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 800-545-5979

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place