Efficacy and Safety of GP40071 Compared to NovoRapid® Penfill® in Type 1 Diabetes Mellitus Patients

NCT ID: NCT04079413

Last Updated: 2020-07-23

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

PHASE3

Total Enrollment

264 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-03

Study Completion Date

2020-01-21

Brief Summary

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This trial is a multi-center, open-label, randomized, parallel group trial in adult patients with T1DM comparing the efficacy and safety of GP40071 (insulin aspart, GEROPHARM) with that of NovoRapid®.

Detailed Description

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Conditions

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Diabetes Diabetes Mellitus, Type 1

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel Assignment
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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GP40071

Subcutaneous (SC), before meals intake, up to Week 26

Group Type EXPERIMENTAL

GP40071

Intervention Type DRUG

GP40071, 100 per milliliters (U/mL) (dose range of 1 unit to 80 units) self-administered by SC injection, immediately (within 5-10 minutes) before meal intake.

NovoRapid® Penfill®

Subcutaneous (SC), before meals intake, up to Week 26

Group Type ACTIVE_COMPARATOR

NovoRapid® Penfill®

Intervention Type DRUG

NovoRapid® Penfill®, 100 per milliliters (U/mL) (dose range of 1 unit to 80 units) self-administered by SC injection, immediately (within 5-10 minutes) before meal intake.

Interventions

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GP40071

GP40071, 100 per milliliters (U/mL) (dose range of 1 unit to 80 units) self-administered by SC injection, immediately (within 5-10 minutes) before meal intake.

Intervention Type DRUG

NovoRapid® Penfill®

NovoRapid® Penfill®, 100 per milliliters (U/mL) (dose range of 1 unit to 80 units) self-administered by SC injection, immediately (within 5-10 minutes) before meal intake.

Intervention Type DRUG

Other Intervention Names

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Insulin aspart Insulin aspart

Eligibility Criteria

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Inclusion Criteria

* Signed written consent
* Diabetes mellitus type 1 for at least 12 months prior to screening
* History of basis-bolus (multiple dose injection (MDI)) therapy in stable doses at least 30 days
* Glycated hemoglobin (HbA1c) level of 7.1 to 12.0 % at screening (both values inclusive)
* Body mass index (BMI) of 18.5 to 35 kg/m2 at screening (both values inclusive)
* Subject is able and willing to comply with the requirements of the study protocol

Exclusion Criteria

* Contraindication to the use of insulin aspart
* Insulin resistance over 1.5 U/kg insulin pro day
* Change INN of insulin for 6 months prior to randomisation
* History of treatment any biosimilar insulin for 6 months prior to randomisation (excl. GEROPHARM's insulins)
* History of treatment any experimental drugs or medical devices for 3 months prior to randomisation
* History of treatment insulin pump for 180 days prior to signed written consent or indication for use insulin pump
* Presence of severe diabetes complications
* History of severe hypoglycemia for 6 months prior to screening
* History of 15 or more episodes mild hypoglycemia for 1 month prior to screening
* History or presence of uncontrolled diabetes mellitus for 6 months prior to screening
* History of administration of glucocorticoids (14 days or more) for 1 year prior to screening
* Administration of any immunosuppressive drugs (Cyclosporine, Methotrexate, Rituximab, etc.)
* History of vaccination for 6 months prior to randomisation
* History of autoimmune disease, except vitiligo and controlled autoimmune polyglandular syndrome (APS) types 1-3, except adrenal insufficiency
* History of unstable angina, myocardial infarction, severe arrhythmia, heart failure III or IV NYHA for 1 year prior to screening
* History of stroke or TIA for 6 months prior to screening
* History of hypersensitivity to any of the active or inactive ingredients of the insulin/insulin analogue preparations used in the trial, OR history of significant allergic drug reactions
* Pregnant and breast-feeding women
* Acute inflammation disease for 3 weeks prior to screening
* Deviation of the laboratory results conducted during the screening:

Hemoglobin value \< 9,0 g/dl; Hematocrit value \< 30 %; ALT and AST value \> 2 folds as high as maximal normal value; Serum bilirubin value \> 1.5 folds as high as maximal normal value

* History of hematological disorders that can affect the reliability of HbA1c estimation (hemoglobinopathies, hemolytic anemia, etc.)
* Serious blood loss for 3 months prior to screening (blood donation, surgery procedure, etc.)
* Incomplete recovery after surgery procedure
* History of drug, alcohol abuse for 3 years prior to screening
* Serological evidence of human immunodeficiency virus (HIV), hepatitis B (HbSAg), hepatitis C (HCVAb) or syphilis (Treponema pallidum) antibodies at screening
* History of oncological disease during 5 years prior to screening
* History of transplantation, except 3 months after corneal transplant
* History or presence of a medical condition or disease that in the investigator's opinion would embarrass glycemic control and completion of the study
* Inability follow to protocol
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Geropharm

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Arkhangelsk Regional Clinical Hospital

Arkhangelsk, , Russia

Site Status

Kazan Endocrinology Dispensary

Kazan', , Russia

Site Status

Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky

Krasnoyarsk, , Russia

Site Status

Endocrinology Research Centre (Moscow)

Moscow, , Russia

Site Status

Rostov State Medical University

Rostov-on-Don, , Russia

Site Status

Polyclinic Сomplex

Saint Petersburg, , Russia

Site Status

City Diagnostic Center № 1

Saint Petersburg, , Russia

Site Status

City Polyclinic № 117

Saint Petersburg, , Russia

Site Status

EosMed

Saint Petersburg, , Russia

Site Status

Institute of Medical Research

Saint Petersburg, , Russia

Site Status

Almazov National Medical Research Centre

Saint Petersburg, , Russia

Site Status

Pokrovskaya Municipal Hospital

Saint Petersburg, , Russia

Site Status

Diabetes Center

Samara, , Russia

Site Status

Clinical City Hospital № 9

Saratov, , Russia

Site Status

Countries

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Russia

References

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Karonova TL, Mayorov AY, Magruk MA, Zyangirova ST, Grigoryeva IV, Khmelnitski OK, Myshkovets A, Parfenova TM, Mosikian AA, Drai RV. Safety and efficacy of GP40071 compared with originator insulin aspart (NovoRapid(R) Penfill(R)) in Type 1 diabetes mellitus. J Comp Eff Res. 2021 Jun;10(9):763-775. doi: 10.2217/cer-2020-0208. Epub 2021 Apr 30.

Reference Type DERIVED
PMID: 33928797 (View on PubMed)

Other Identifiers

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GP40071-P4-31

Identifier Type: -

Identifier Source: org_study_id

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