Trial Outcomes & Findings for Safety and Efficacy of Combining Intranasal Insulin & Acute Exercise (NCT NCT04292535)

NCT ID: NCT04292535

Last Updated: 2021-06-21

Results Overview

The manifestation of any symptom that could be associated with alterations in blood glucose and side effects of intranasal insulin. Fewer symptoms would indicate a better outcome. Burning/tingling of the nose and watering/tearing of the eyes during the nasal spray were the most cited symptoms.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

116 participants

Primary outcome timeframe

During the 20 minute exercise/control period and the cognitive assessments.

Results posted on

2021-06-21

Participant Flow

Participants were recruited from the mid-Michigan area.

177 individuals were assessed for eligibility. 61 individuals were excluded (58 for failing medical screening, 1 diabetic, 1 unable to exercise, 1 history of epilepsy) 116 individuals were randomized using a serial stratification approach.

Participant milestones

Participant milestones
Measure
Passive Control - Placebo
20 minute sedentary control period during which participants watched an emotionally neutral video. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 20 IU
20 minute sedentary control period during which participants watched an emotionally neutral video. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 40 IU
20 minute sedentary control period during which participants watched an emotionally neutral video. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 60 IU
20 minute sedentary control period during which participants watched an emotionally neutral video. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 80 IU
20 minute sedentary control period during which participants watched an emotionally neutral video. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 100 IU
20 minute sedentary control period during which participants watched an emotionally neutral video. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 120 IU
20 minute sedentary control period during which participants watched an emotionally neutral video. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - Placebo
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 20 IU
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 40 IU
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 60 IU
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 80 IU
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 100 IU
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 120 IU
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Overall Study
STARTED
8
8
9
8
8
9
8
10
8
8
7
7
9
9
Overall Study
COMPLETED
8
8
9
8
8
9
8
8
8
8
7
6
8
7
Overall Study
NOT COMPLETED
0
0
0
0
0
0
0
2
0
0
0
1
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Passive Control - Placebo
20 minute sedentary control period during which participants watched an emotionally neutral video. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 20 IU
20 minute sedentary control period during which participants watched an emotionally neutral video. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 40 IU
20 minute sedentary control period during which participants watched an emotionally neutral video. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 60 IU
20 minute sedentary control period during which participants watched an emotionally neutral video. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 80 IU
20 minute sedentary control period during which participants watched an emotionally neutral video. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 100 IU
20 minute sedentary control period during which participants watched an emotionally neutral video. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 120 IU
20 minute sedentary control period during which participants watched an emotionally neutral video. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - Placebo
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 20 IU
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 40 IU
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 60 IU
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 80 IU
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 100 IU
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 120 IU
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Overall Study
Withdrawal by Subject
0
0
0
0
0
0
0
1
0
0
0
0
0
0
Overall Study
Condition stopped due to Blood Sugar Below 70 mg/dL
0
0
0
0
0
0
0
1
0
0
0
0
1
1
Overall Study
Report of Dizziness
0
0
0
0
0
0
0
0
0
0
0
0
0
1
Overall Study
Equipment Failure
0
0
0
0
0
0
0
0
0
0
0
1
0
0

Baseline Characteristics

Safety and Efficacy of Combining Intranasal Insulin & Acute Exercise

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Passive Control - Placebo
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 20 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 40 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 60 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 80 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 100 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 120 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - Placebo
n=10 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 20 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 40 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 60 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 80 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 100 IU
n=9 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 120 IU
n=9 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Total
n=116 Participants
Total of all reporting groups
Age, Continuous
20.8 years
STANDARD_DEVIATION 2.0 • n=5 Participants
20.7 years
STANDARD_DEVIATION 1.4 • n=7 Participants
20.0 years
STANDARD_DEVIATION 0.9 • n=5 Participants
21.9 years
STANDARD_DEVIATION 3.1 • n=4 Participants
19.6 years
STANDARD_DEVIATION 1.3 • n=21 Participants
20.8 years
STANDARD_DEVIATION 2.5 • n=8 Participants
23.1 years
STANDARD_DEVIATION 3.9 • n=8 Participants
19.8 years
STANDARD_DEVIATION 1.5 • n=24 Participants
19.9 years
STANDARD_DEVIATION 1.5 • n=42 Participants
21.8 years
STANDARD_DEVIATION 3.9 • n=42 Participants
21.3 years
STANDARD_DEVIATION 3.9 • n=42 Participants
20.2 years
STANDARD_DEVIATION 1.8 • n=42 Participants
20.1 years
STANDARD_DEVIATION 1.4 • n=36 Participants
20.1 years
STANDARD_DEVIATION 2.4 • n=36 Participants
20.7 years
STANDARD_DEVIATION 2.5 • n=24 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
5 Participants
n=4 Participants
5 Participants
n=21 Participants
6 Participants
n=8 Participants
5 Participants
n=8 Participants
6 Participants
n=24 Participants
5 Participants
n=42 Participants
5 Participants
n=42 Participants
4 Participants
n=42 Participants
4 Participants
n=42 Participants
6 Participants
n=36 Participants
5 Participants
n=36 Participants
72 Participants
n=24 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
3 Participants
n=4 Participants
3 Participants
n=21 Participants
3 Participants
n=8 Participants
3 Participants
n=8 Participants
4 Participants
n=24 Participants
3 Participants
n=42 Participants
3 Participants
n=42 Participants
3 Participants
n=42 Participants
3 Participants
n=42 Participants
3 Participants
n=36 Participants
4 Participants
n=36 Participants
44 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
1 Participants
n=8 Participants
1 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
1 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=36 Participants
0 Participants
n=36 Participants
7 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
6 Participants
n=7 Participants
8 Participants
n=5 Participants
8 Participants
n=4 Participants
7 Participants
n=21 Participants
8 Participants
n=8 Participants
7 Participants
n=8 Participants
10 Participants
n=24 Participants
8 Participants
n=42 Participants
7 Participants
n=42 Participants
7 Participants
n=42 Participants
7 Participants
n=42 Participants
9 Participants
n=36 Participants
9 Participants
n=36 Participants
109 Participants
n=24 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=36 Participants
0 Participants
n=36 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=36 Participants
0 Participants
n=36 Participants
1 Participants
n=24 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
1 Participants
n=8 Participants
2 Participants
n=24 Participants
1 Participants
n=42 Participants
1 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=36 Participants
1 Participants
n=36 Participants
9 Participants
n=24 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=36 Participants
0 Participants
n=36 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
1 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
1 Participants
n=42 Participants
0 Participants
n=36 Participants
0 Participants
n=36 Participants
3 Participants
n=24 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
7 Participants
n=7 Participants
8 Participants
n=5 Participants
5 Participants
n=4 Participants
6 Participants
n=21 Participants
9 Participants
n=8 Participants
6 Participants
n=8 Participants
8 Participants
n=24 Participants
6 Participants
n=42 Participants
6 Participants
n=42 Participants
5 Participants
n=42 Participants
6 Participants
n=42 Participants
9 Participants
n=36 Participants
8 Participants
n=36 Participants
96 Participants
n=24 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
0 Participants
n=8 Participants
1 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
1 Participants
n=42 Participants
2 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=36 Participants
0 Participants
n=36 Participants
7 Participants
n=24 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=36 Participants
0 Participants
n=36 Participants
0 Participants
n=24 Participants
Region of Enrollment
United States
8 Participants
n=5 Participants
8 Participants
n=7 Participants
9 Participants
n=5 Participants
8 Participants
n=4 Participants
8 Participants
n=21 Participants
9 Participants
n=8 Participants
8 Participants
n=8 Participants
10 Participants
n=24 Participants
8 Participants
n=42 Participants
8 Participants
n=42 Participants
7 Participants
n=42 Participants
7 Participants
n=42 Participants
9 Participants
n=36 Participants
9 Participants
n=36 Participants
116 Participants
n=24 Participants
Education
14.4 years
STANDARD_DEVIATION 1.9 • n=5 Participants
14.2 years
STANDARD_DEVIATION 1.3 • n=7 Participants
13.7 years
STANDARD_DEVIATION 1.2 • n=5 Participants
14.4 years
STANDARD_DEVIATION 2.8 • n=4 Participants
13.6 years
STANDARD_DEVIATION 2.7 • n=21 Participants
13.4 years
STANDARD_DEVIATION 2.3 • n=8 Participants
15.6 years
STANDARD_DEVIATION 2.6 • n=8 Participants
13.0 years
STANDARD_DEVIATION 1.1 • n=24 Participants
13.2 years
STANDARD_DEVIATION 1.9 • n=42 Participants
15.1 years
STANDARD_DEVIATION 3.4 • n=42 Participants
14.0 years
STANDARD_DEVIATION 2.8 • n=42 Participants
13.7 years
STANDARD_DEVIATION 2.1 • n=42 Participants
13.4 years
STANDARD_DEVIATION 1.4 • n=36 Participants
13.2 years
STANDARD_DEVIATION 1.9 • n=36 Participants
13.9 years
STANDARD_DEVIATION 2.2 • n=24 Participants
WASI-II (IQ)
104.7 units on a scale
STANDARD_DEVIATION 6.6 • n=5 Participants
105.0 units on a scale
STANDARD_DEVIATION 7.6 • n=7 Participants
98.3 units on a scale
STANDARD_DEVIATION 8.1 • n=5 Participants
110.0 units on a scale
STANDARD_DEVIATION 6.4 • n=4 Participants
113.6 units on a scale
STANDARD_DEVIATION 10.1 • n=21 Participants
120.6 units on a scale
STANDARD_DEVIATION 12.7 • n=8 Participants
110.7 units on a scale
STANDARD_DEVIATION 10.5 • n=8 Participants
104.4 units on a scale
STANDARD_DEVIATION 4.3 • n=24 Participants
110.8 units on a scale
STANDARD_DEVIATION 18.8 • n=42 Participants
107.7 units on a scale
STANDARD_DEVIATION 8.0 • n=42 Participants
110.8 units on a scale
STANDARD_DEVIATION 4.1 • n=42 Participants
103.5 units on a scale
STANDARD_DEVIATION 8.7 • n=42 Participants
108.2 units on a scale
STANDARD_DEVIATION 16.8 • n=36 Participants
101.2 units on a scale
STANDARD_DEVIATION 17.8 • n=36 Participants
107.5 units on a scale
STANDARD_DEVIATION 9.9 • n=24 Participants
Fasting blood glucose (mg/dL)
94.1 mg/dL
STANDARD_DEVIATION 6.9 • n=5 Participants
96.0 mg/dL
STANDARD_DEVIATION 10.3 • n=7 Participants
99.0 mg/dL
STANDARD_DEVIATION 9.3 • n=5 Participants
91.9 mg/dL
STANDARD_DEVIATION 3.5 • n=4 Participants
96.4 mg/dL
STANDARD_DEVIATION 6.5 • n=21 Participants
94.4 mg/dL
STANDARD_DEVIATION 9.4 • n=8 Participants
97.8 mg/dL
STANDARD_DEVIATION 7.3 • n=8 Participants
92.2 mg/dL
STANDARD_DEVIATION 9.4 • n=24 Participants
97.4 mg/dL
STANDARD_DEVIATION 7.9 • n=42 Participants
87.1 mg/dL
STANDARD_DEVIATION 9.6 • n=42 Participants
93.1 mg/dL
STANDARD_DEVIATION 9.3 • n=42 Participants
96.3 mg/dL
STANDARD_DEVIATION 7.3 • n=42 Participants
92.7 mg/dL
STANDARD_DEVIATION 9.6 • n=36 Participants
96.0 mg/dL
STANDARD_DEVIATION 9.5 • n=36 Participants
94.6 mg/dL
STANDARD_DEVIATION 8.6 • n=24 Participants
Aerobic fitness percentile
44.7 percentile
STANDARD_DEVIATION 28.8 • n=5 Participants
26.2 percentile
STANDARD_DEVIATION 10.7 • n=7 Participants
68.5 percentile
STANDARD_DEVIATION 12.9 • n=5 Participants
54.5 percentile
STANDARD_DEVIATION 24.0 • n=4 Participants
35.9 percentile
STANDARD_DEVIATION 23.1 • n=21 Participants
53.6 percentile
STANDARD_DEVIATION 36.3 • n=8 Participants
41.7 percentile
STANDARD_DEVIATION 26.9 • n=8 Participants
59.2 percentile
STANDARD_DEVIATION 26.9 • n=24 Participants
45.2 percentile
STANDARD_DEVIATION 23.7 • n=42 Participants
48.7 percentile
STANDARD_DEVIATION 34.5 • n=42 Participants
52.0 percentile
STANDARD_DEVIATION 28.5 • n=42 Participants
55.8 percentile
STANDARD_DEVIATION 23.2 • n=42 Participants
71.8 percentile
STANDARD_DEVIATION 23.2 • n=36 Participants
28.8 percentile
STANDARD_DEVIATION 10.0 • n=36 Participants
46.9 percentile
STANDARD_DEVIATION 24.8 • n=24 Participants

PRIMARY outcome

Timeframe: During the 20 minute exercise/control period and the cognitive assessments.

The manifestation of any symptom that could be associated with alterations in blood glucose and side effects of intranasal insulin. Fewer symptoms would indicate a better outcome. Burning/tingling of the nose and watering/tearing of the eyes during the nasal spray were the most cited symptoms.

Outcome measures

Outcome measures
Measure
Acute Exercise - 20 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 40 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 60 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 80 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 100 IU
n=9 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 120 IU
n=9 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - Placebo
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 20 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 40 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 60 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 80 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 100 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 120 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - Placebo
n=10 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Number of Participants With Manifestation of Any Symptom at Any Point During the Protocol
4 Participants
3 Participants
4 Participants
4 Participants
7 Participants
9 Participants
4 Participants
6 Participants
6 Participants
4 Participants
5 Participants
9 Participants
5 Participants
2 Participants

PRIMARY outcome

Timeframe: Approximately 1 hour following the dose of intranasal insulin (~32 minutes following the end of the passive control/exercise condition; immediately following the completion of the post-test cognitive assessments)

The manifestation of any symptom that could be associated with alterations in blood glucose and side effects of intranasal insulin. Fewer symptoms would indicate a better outcome. The most cited symptom was having a runny nose.

Outcome measures

Outcome measures
Measure
Acute Exercise - 20 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 40 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 60 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 80 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 100 IU
n=9 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 120 IU
n=9 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - Placebo
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 20 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 40 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 60 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 80 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 100 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 120 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - Placebo
n=10 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Number of Participants With Manifestation of Any Symptom Following the Protocol
1 Participants
2 Participants
1 Participants
0 Participants
3 Participants
2 Participants
1 Participants
2 Participants
0 Participants
2 Participants
1 Participants
4 Participants
3 Participants
0 Participants

PRIMARY outcome

Timeframe: Prior to intranasal insulin administration relative to 30 minutes following

The effect size of the change from pre-to-posttest in behavioral metrics of performance (RT) on a flanker test of inhibitory control. A more negative effect size would indicate a better outcome. Effect sizes were computed for each participant as the standardized change relative to the pretest assessment using the within-subject (drm) variance correction for Cohen's d (Lakens, 2013). To ensure the integrity of the effect size estimates, within-subject effect sizes exceeding 3 times the interquartile range were identified as outliers and removed from analysis. Effect sizes are computed per Arm and do not reflect comparisons or combinations across Arms/Groups.

Outcome measures

Outcome measures
Measure
Acute Exercise - 20 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 40 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 60 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 80 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 100 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 120 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - Placebo
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 20 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 40 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 60 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 80 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 100 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 120 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - Placebo
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Effect Size for Change in Behavioral Index of Inhibitory Control - RT
-0.20 cohens d
Interval -0.4 to 0.01
-0.25 cohens d
Interval -0.42 to -0.08
-0.33 cohens d
Interval -0.63 to -0.04
-0.19 cohens d
Interval -0.42 to 0.04
-0.27 cohens d
Interval -0.57 to 0.03
-0.36 cohens d
Interval -0.55 to -0.16
-0.04 cohens d
Interval -0.17 to 0.09
-0.29 cohens d
Interval -0.45 to -0.13
-0.54 cohens d
Interval -0.81 to -0.27
-0.10 cohens d
Interval -0.38 to 0.18
-0.42 cohens d
Interval -0.61 to -0.23
-0.25 cohens d
Interval -0.54 to -0.03
-0.10 cohens d
Interval -0.29 to 0.09
-0.08 cohens d
Interval -0.26 to 0.1

PRIMARY outcome

Timeframe: Prior to intranasal insulin administration relative to 30 minutes following

The effect size of the change from pre-to-posttest in behavioral metrics of performance (response accuracy) on a flanker test of inhibitory control. A more positive effect size would indicate a better outcome. Effect sizes were computed for each participant as the standardized change relative to the pretest assessment using the within-subject (drm) variance correction for Cohen's d (Lakens, 2013). To ensure the integrity of the effect size estimates, within-subject effect sizes exceeding 3 times the interquartile range were identified as outliers and removed from analysis. Effect sizes are computed per Arm and do not reflect comparisons or combinations across Arms/Groups.

Outcome measures

Outcome measures
Measure
Acute Exercise - 20 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 40 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 60 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 80 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 100 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 120 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - Placebo
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 20 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 40 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 60 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 80 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 100 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 120 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - Placebo
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Effect Size for Change in Behavioral Index of Inhibitory Control - Accuracy
-0.26 cohens d
Interval -0.74 to 0.23
-0.12 cohens d
Interval -0.51 to 0.28
0.06 cohens d
Interval -0.18 to 0.29
-0.01 cohens d
Interval -0.25 to 0.23
0.01 cohens d
Interval -0.26 to 0.27
-0.13 cohens d
Interval -0.46 to 0.2
-0.03 cohens d
Interval -0.28 to 0.22
0.16 cohens d
Interval -0.17 to 0.49
-0.04 cohens d
Interval -0.28 to 0.21
-0.19 cohens d
Interval -0.4 to 0.02
-0.06 cohens d
Interval -0.37 to 0.26
-0.14 cohens d
Interval -0.46 to 0.19
-0.05 cohens d
Interval -0.14 to 0.05
0.05 cohens d
Interval -0.23 to 0.33

PRIMARY outcome

Timeframe: Prior to intranasal insulin administration relative to 30 minutes following

The effect size of the change from pre-to-posttest in neuroelectric measures of attention (P3b amplitude) in response to the flanker test of inhibitory control. The effect size was collapsed across a nine-channel region-of-interest centering around the topographic maxima of the P3 (i.e., the CP3/Z/4, P3/Z/4, PO5/Z/6 electrodes). A larger effect size would indicate a better outcome. Effect sizes were computed for each participant as the standardized change relative to the pretest assessment using the within-subject (drm) variance correction for Cohen's d (Lakens, 2013). To ensure the integrity of the effect size estimates, within-subject effect sizes exceeding 3 times the interquartile range were identified as outliers and removed from analysis. Effect sizes are computed per Arm and do not reflect comparisons or combinations across Arms/Groups.

Outcome measures

Outcome measures
Measure
Acute Exercise - 20 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 40 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 60 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 80 IU
n=6 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 100 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 120 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - Placebo
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 20 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 40 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 60 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 80 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 100 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 120 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - Placebo
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Effect Size of Change in Neuroelectric Index of Attentional Engagement - Inhibition Task
0.00 cohens d
Interval -0.08 to 0.08
-0.04 cohens d
Interval -0.16 to 0.09
0.01 cohens d
Interval -0.17 to 0.19
-0.03 cohens d
Interval -0.11 to 0.04
0.00 cohens d
Interval -0.09 to 0.1
0.15 cohens d
Interval 0.09 to 0.21
0.07 cohens d
Interval -0.04 to 0.17
-0.08 cohens d
Interval -0.24 to 0.08
-0.01 cohens d
Interval -0.12 to 0.1
0.00 cohens d
Interval -0.09 to 0.08
0.00 cohens d
Interval -0.15 to 0.15
-0.06 cohens d
Interval -0.2 to 0.07
0.00 cohens d
Interval -0.12 to 0.12
0.00 cohens d
Interval -0.09 to 0.09

PRIMARY outcome

Timeframe: Prior to intranasal insulin administration relative to 30 minutes following

The effect size of the change from pre-to-posttest in neuroelectric measures of attention (P3b latency) in response to the flanker test of inhibitory control. The effect size was collapsed across a nine-channel region-of-interest centering around the topographic maxima of the P3 (i.e., the CP3/Z/4, P3/Z/4, PO5/Z/6 electrodes). A smaller effect size would indicate a better outcome. Effect sizes were computed for each participant as the standardized change relative to the pretest assessment using the within-subject (drm) variance correction for Cohen's d (Lakens, 2013). To ensure the integrity of the effect size estimates, within-subject effect sizes exceeding 3 times the interquartile range were identified as outliers and removed from analysis. Effect sizes are computed per Arm and do not reflect comparisons or combinations across Arms/Groups.

Outcome measures

Outcome measures
Measure
Acute Exercise - 20 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 40 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 60 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 80 IU
n=6 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 100 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 120 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - Placebo
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 20 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 40 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 60 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 80 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 100 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 120 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - Placebo
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Effect Size of Change in Neuroelectric Index of Attentional Processing Speed - Inhibition Task
-0.03 cohens d
Interval -0.37 to 0.31
-0.25 cohens d
Interval -0.52 to 0.02
-0.41 cohens d
Interval -0.98 to 0.16
0.12 cohens d
Interval -0.4 to 0.64
0.19 cohens d
Interval -0.54 to 0.93
0.20 cohens d
Interval -0.35 to 0.75
-0.22 cohens d
Interval -0.54 to 0.1
-0.06 cohens d
Interval -0.3 to 0.19
0.16 cohens d
Interval -0.14 to 0.45
0.15 cohens d
Interval -0.28 to 0.58
-0.42 cohens d
Interval -1.0 to 0.16
0.06 cohens d
Interval -0.14 to 0.26
-0.05 cohens d
Interval -0.53 to 0.42
-0.21 cohens d
Interval -0.4 to -0.03

PRIMARY outcome

Timeframe: Prior to intranasal insulin administration relative to 30 minutes following

The effect size of the change from pre-to-posttest in behavioral metrics of performance (RT) on a Rapid Visual Information Processing test of sustained attention. A more negative effect size would indicate a better outcome. Effect sizes were computed for each participant as the standardized change relative to the pretest assessment using the within-subject (drm) variance correction for Cohen's d (Lakens, 2013). To ensure the integrity of the effect size estimates, within-subject effect sizes exceeding 3 times the interquartile range were identified as outliers and removed from analysis. Effect sizes are computed per Arm and do not reflect comparisons or combinations across Arms/Groups.

Outcome measures

Outcome measures
Measure
Acute Exercise - 20 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 40 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 60 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 80 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 100 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 120 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - Placebo
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 20 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 40 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 60 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 80 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 100 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 120 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - Placebo
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Effect Size of Change in Behavioral Index of Sustained Attention - RT
-0.05 cohens d
Interval -0.16 to 0.07
-0.16 cohens d
Interval -0.54 to 0.23
-0.18 cohens d
Interval -0.36 to 0.01
-0.09 cohens d
Interval -0.26 to 0.09
-0.19 cohens d
Interval -0.39 to 0.0
-0.16 cohens d
Interval -0.37 to 0.06
-0.18 cohens d
Interval -0.37 to 0.0
-0.16 cohens d
Interval -0.25 to -0.07
-0.15 cohens d
Interval -0.49 to 0.19
-0.24 cohens d
Interval -0.54 to 0.06
-0.20 cohens d
Interval -0.36 to -0.03
-0.22 cohens d
Interval -0.37 to -0.07
-0.11 cohens d
Interval -0.37 to 0.15
-0.16 cohens d
Interval -0.29 to -0.03

PRIMARY outcome

Timeframe: Prior to intranasal insulin administration relative to 30 minutes following

The effect size of the change from pre-to-posttest in behavioral metrics of performance (response accuracy) on a Rapid Visual Information Processing test of sustained attention. A more positive effect size would indicate a better outcome. Effect sizes were computed for each participant as the standardized change relative to the pretest assessment using the within-subject (drm) variance correction for Cohen's d (Lakens, 2013). To ensure the integrity of the effect size estimates, within-subject effect sizes exceeding 3 times the interquartile range were identified as outliers and removed from analysis. Effect sizes are computed per Arm and do not reflect comparisons or combinations across Arms/Groups.

Outcome measures

Outcome measures
Measure
Acute Exercise - 20 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 40 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 60 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 80 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 100 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 120 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - Placebo
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 20 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 40 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 60 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 80 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 100 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 120 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - Placebo
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Effect Size of Change in Behavioral Index of Sustained Attention - Accuracy
0.36 cohens d
Interval -0.07 to 0.8
-0.21 cohens d
Interval -1.23 to 0.8
0.78 cohens d
Interval 0.23 to 1.32
0.43 cohens d
Interval -0.12 to 0.98
0.90 cohens d
Interval 0.33 to 1.48
0.60 cohens d
Interval -0.23 to 1.44
0.69 cohens d
Interval 0.19 to 1.2
0.81 cohens d
Interval -0.1 to 1.73
0.05 cohens d
Interval -0.51 to 0.62
0.87 cohens d
Interval 0.4 to 1.35
0.62 cohens d
Interval 0.03 to 1.2
0.71 cohens d
Interval 0.1 to 1.32
0.69 cohens d
Interval -0.13 to 1.51
0.54 cohens d
Interval 0.06 to 1.02

PRIMARY outcome

Timeframe: Prior to intranasal insulin administration relative to 30 minutes following

The effect size of the change from pre-to-posttest in neuroelectric measures of attention (P3b amplitude) in response to the target trial of the Rapid Visual Information Processing test of sustained attention. The effect size was collapsed across a nine-channel region-of-interest centering around the topographic maxima of the P3 (i.e., the CP3/Z/4, P3/Z/4, PO5/Z/6 electrodes). A larger effect size would indicate a better outcome. Effect sizes were computed for each participant as the standardized change relative to the pretest assessment using the within-subject (drm) variance correction for Cohen's d (Lakens, 2013). To ensure the integrity of the effect size estimates, within-subject effect sizes exceeding 3 times the interquartile range were identified as outliers and removed from analysis. Effect sizes are computed per Arm and do not reflect comparisons or combinations across Arms/Groups.

Outcome measures

Outcome measures
Measure
Acute Exercise - 20 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 40 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 60 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 80 IU
n=6 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 100 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 120 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - Placebo
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 20 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 40 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 60 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 80 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 100 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 120 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - Placebo
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Effect Size of Change in Neuroelectric Index of Attentional Engagement - RVIP Task
0.02 cohens d
Interval -0.18 to 0.22
0.02 cohens d
Interval -0.15 to 0.2
0.18 cohens d
Interval 0.0 to 0.36
0.04 cohens d
Interval -0.25 to 0.33
-0.03 cohens d
Interval -0.19 to 0.14
-0.06 cohens d
Interval -0.35 to 0.24
-0.02 cohens d
Interval -0.27 to 0.23
-0.09 cohens d
Interval -0.21 to 0.03
0.04 cohens d
Interval -0.2 to 0.29
0.23 cohens d
Interval 0.02 to 0.45
0.02 cohens d
Interval -0.17 to 0.21
0.16 cohens d
Interval 0.03 to 0.28
0.08 cohens d
Interval -0.15 to 0.31
0.03 cohens d
Interval -0.17 to 0.24

PRIMARY outcome

Timeframe: Prior to intranasal insulin administration relative to 30 minutes following

The effect size of the change from pre-to-posttest in neuroelectric measures of attention (P3b latency) in response to the target trial of the Rapid Visual Information Processing test of sustained attention. The effect size was collapsed across a nine-channel region-of-interest centering around the topographic maxima of the P3 (i.e., the CP3/Z/4, P3/Z/4, PO5/Z/6 electrodes). A smaller effect size would indicate a better outcome. Effect sizes were computed for each participant as the standardized change relative to the pretest assessment using the within-subject (drm) variance correction for Cohen's d (Lakens, 2013). To ensure the integrity of the effect size estimates, within-subject effect sizes exceeding 3 times the interquartile range were identified as outliers and removed from analysis. Effect sizes are computed per Arm and do not reflect comparisons or combinations across Arms/Groups.

Outcome measures

Outcome measures
Measure
Acute Exercise - 20 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 40 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 60 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 80 IU
n=6 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 100 IU
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 120 IU
n=7 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - Placebo
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 20 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 40 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 60 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 80 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 100 IU
n=9 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 120 IU
n=8 Participants
20 minute sedentary control period during which participants watched an emotionally neutral video. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - Placebo
n=8 Participants
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Effect Size of Change in Neuroelectric Index of Attentional Processing Speed - RVIP Task
0.34 cohens d
Interval -0.15 to 0.83
0.00 cohens d
Interval -0.22 to 0.21
0.04 cohens d
Interval -0.3 to 0.37
0.05 cohens d
Interval -0.3 to 0.4
0.10 cohens d
Interval -0.36 to 0.57
0.05 cohens d
Interval -0.37 to 0.47
0.08 cohens d
Interval -0.32 to 0.48
-0.06 cohens d
Interval -0.26 to 0.14
-0.08 cohens d
Interval -0.77 to 0.61
-0.09 cohens d
Interval -0.29 to 0.11
0.26 cohens d
Interval -0.43 to 0.96
0.25 cohens d
Interval -0.36 to 0.86
-0.10 cohens d
Interval -0.48 to 0.29
-0.03 cohens d
Interval -0.33 to 0.27

Adverse Events

Passive Control - Placebo

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

Passive Control - 20 IU

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

Passive Control - 40 IU

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

Passive Control - 60 IU

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

Passive Control - 80 IU

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

Passive Control - 100 IU

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

Passive Control - 120 IU

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

Acute Exercise - Placebo

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Acute Exercise - 20 IU

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

Acute Exercise - 40 IU

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

Acute Exercise - 60 IU

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

Acute Exercise - 80 IU

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

Acute Exercise - 100 IU

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Acute Exercise - 120 IU

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Passive Control - Placebo
n=8 participants at risk
20 minute sedentary control period during which participants watched an emotionally neutral video. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 20 IU
n=8 participants at risk
20 minute sedentary control period during which participants watched an emotionally neutral video. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 40 IU
n=9 participants at risk
20 minute sedentary control period during which participants watched an emotionally neutral video. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 60 IU
n=8 participants at risk
20 minute sedentary control period during which participants watched an emotionally neutral video. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 80 IU
n=8 participants at risk
20 minute sedentary control period during which participants watched an emotionally neutral video. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 100 IU
n=9 participants at risk
20 minute sedentary control period during which participants watched an emotionally neutral video. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Passive Control - 120 IU
n=8 participants at risk
20 minute sedentary control period during which participants watched an emotionally neutral video. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - Placebo
n=10 participants at risk
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. Placebo into the intranasal mucosa: 6 doses of 0.2mL saline solution administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 20 IU
n=8 participants at risk
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 20 IU NovoLog Insulin aspart into the intranasal mucosa: 5 doses of 0.2mL saline solution, 1 dose of 0.2mL NovoLog Insulin aspart (20 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 40 IU
n=8 participants at risk
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 40 IU NovoLog Insulin aspart into the intranasal mucosa: 4 doses of 0.2mL saline solution, 2 doses of 0.2mL NovoLog Insulin aspart (40 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 60 IU
n=7 participants at risk
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 60 IU NovoLog Insulin aspart into the intranasal mucosa: 3 doses of 0.2mL saline solution, 3 doses of 0.2mL NovoLog Insulin aspart (60 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 80 IU
n=7 participants at risk
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 80 IU NovoLog Insulin aspart into the intranasal mucosa: 2 doses of 0.2mL saline solution, 4 doses of 0.2mL NovoLog Insulin aspart (80 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 100 IU
n=9 participants at risk
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 100 IU NovoLog Insulin aspart into the intranasal mucosa: 1 dose of 0.2mL saline solution, 5 doses of 0.2mL NovoLog Insulin aspart (100 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Acute Exercise - 120 IU
n=9 participants at risk
20 minute physical activity period during which participants exercised on a treadmill at 60-65% of maximum heart rate. 120 IU NovoLog Insulin aspart into the intranasal mucosa: 6 doses of 0.2mL NovoLog Insulin aspart (120 IU) administered into the intranasal mucosa using the MAD Nasal Atomizer
Metabolism and nutrition disorders
Hypoglycemic event
0.00%
0/8 • Only during the two 90 minute sessions.
The clinicaltrials.gov definitions for adverse events was used. Indications of onset of an issue related to hypoglycemia were stopping criteria for the study protocol and are considered herein as Non serious adverse events.
0.00%
0/8 • Only during the two 90 minute sessions.
The clinicaltrials.gov definitions for adverse events was used. Indications of onset of an issue related to hypoglycemia were stopping criteria for the study protocol and are considered herein as Non serious adverse events.
0.00%
0/9 • Only during the two 90 minute sessions.
The clinicaltrials.gov definitions for adverse events was used. Indications of onset of an issue related to hypoglycemia were stopping criteria for the study protocol and are considered herein as Non serious adverse events.
0.00%
0/8 • Only during the two 90 minute sessions.
The clinicaltrials.gov definitions for adverse events was used. Indications of onset of an issue related to hypoglycemia were stopping criteria for the study protocol and are considered herein as Non serious adverse events.
0.00%
0/8 • Only during the two 90 minute sessions.
The clinicaltrials.gov definitions for adverse events was used. Indications of onset of an issue related to hypoglycemia were stopping criteria for the study protocol and are considered herein as Non serious adverse events.
0.00%
0/9 • Only during the two 90 minute sessions.
The clinicaltrials.gov definitions for adverse events was used. Indications of onset of an issue related to hypoglycemia were stopping criteria for the study protocol and are considered herein as Non serious adverse events.
0.00%
0/8 • Only during the two 90 minute sessions.
The clinicaltrials.gov definitions for adverse events was used. Indications of onset of an issue related to hypoglycemia were stopping criteria for the study protocol and are considered herein as Non serious adverse events.
10.0%
1/10 • Number of events 1 • Only during the two 90 minute sessions.
The clinicaltrials.gov definitions for adverse events was used. Indications of onset of an issue related to hypoglycemia were stopping criteria for the study protocol and are considered herein as Non serious adverse events.
0.00%
0/8 • Only during the two 90 minute sessions.
The clinicaltrials.gov definitions for adverse events was used. Indications of onset of an issue related to hypoglycemia were stopping criteria for the study protocol and are considered herein as Non serious adverse events.
0.00%
0/8 • Only during the two 90 minute sessions.
The clinicaltrials.gov definitions for adverse events was used. Indications of onset of an issue related to hypoglycemia were stopping criteria for the study protocol and are considered herein as Non serious adverse events.
0.00%
0/7 • Only during the two 90 minute sessions.
The clinicaltrials.gov definitions for adverse events was used. Indications of onset of an issue related to hypoglycemia were stopping criteria for the study protocol and are considered herein as Non serious adverse events.
0.00%
0/7 • Only during the two 90 minute sessions.
The clinicaltrials.gov definitions for adverse events was used. Indications of onset of an issue related to hypoglycemia were stopping criteria for the study protocol and are considered herein as Non serious adverse events.
11.1%
1/9 • Number of events 1 • Only during the two 90 minute sessions.
The clinicaltrials.gov definitions for adverse events was used. Indications of onset of an issue related to hypoglycemia were stopping criteria for the study protocol and are considered herein as Non serious adverse events.
22.2%
2/9 • Number of events 2 • Only during the two 90 minute sessions.
The clinicaltrials.gov definitions for adverse events was used. Indications of onset of an issue related to hypoglycemia were stopping criteria for the study protocol and are considered herein as Non serious adverse events.

Additional Information

Matthew B. Pontifex

Michigan State University

Phone: 517-432-5105

Results disclosure agreements

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