Clinical trial NCT02603510: Assessment of the Safety of SAR342434 and Humalog® When Administered as Continuous Subcutaneous Insulin Infusion
Official title: A Randomized, 2X4 Week, Active-Controlled, Open-Label, 2-Treatment Arm, 2-Period Cross-Over Study Assessing the Safety of SAR342434 and Humalog® Used in Continuous Subcutaneous Insulin Infusion (CSII) in Adult Patients With Type 1 Diabetes Mellitus (T1DM)
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE1
Conditions: Type 1 Diabetes Mellitus
Lead sponsor: Sanofi
Sponsor class: INDUSTRY
First posted: 2015-11-11
Enrollment: 27
Sex: ALL
Minimum age (years): 19
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: TREATMENT

Brief summary: Primary Objective:

* Assess the safety of SAR342434 and Humalog when used in external pumps.

Secondary Objectives:

* Intervals for infusion set changes.
* Incidence of insulin pump alarms for infusion set occlusion.
* Patient observation of infusion set occlusion.
* Adverse events including bruising at the infusion site and injection site reactions.

Detailed description: The study duration for each patient will be approximately 10 weeks.

Eligibility criteria: Inclusion criteria :

* Male and female subjects above the age of 18.
* Patients with type 1 diabetes mellitus for at least 1 year prior to the screening visit.
* At least 1 year of insulin treatment with at least 6 months of continuous subcutaneous insulin infusion (CSII) treatment with an external insulin pump.
* Signed written informed consent.

Exclusion criteria:

* HbA1c ≥8.5% at screening.
* Diabetes other than type 1 diabetes mellitus.
* History of abscess at the infusion site within 3 months prior to the screening visit (Visit 1).
* Use of oral glucose-lowering agents or any injectable glucose-lowering agents other than insulin during the 3 months before screening.
* Hospitalization for diabetic ketoacidosis (DKA) in the last 6 months before screening visit.
* Hypoglycemic unawareness as judged by the Investigator in the last 6 months before the screening visit.
* History of severe hypoglycemia requiring treatment by emergency room admission or hospitalization in the last 6 months before screening visit.
* Any clinically significant abnormality identified on physical examination, laboratory tests, or vital signs at the time of screening that in the judgment of the investigator or any sub investigator would preclude safe completion of the study.
* Known history of drug or alcohol abuse within 6 months prior to the time of screening.
* Use of investigational drug(s) within 3 months or 5 half-lives, whichever is longer, prior to the screening visit.
* Patients who had previously received SAR342434 in any other clinical trial.
* Pregnancy and lactation: Women of child bearing potential (WOCPB) (premenopausal, not surgically sterile for at least 3 months prior to the time of screening) not using highly effective (ie, with low failure rate \<1% per year) method(s) of birth control throughout the study and/or unwilling to be tested for pregnancy.
* Any contraindication to the use of Humalog as defined in the national product labels; history of hypersensitivity to Humalog or to any of the excipients.
* Patients is an employee or relative of an employee of the Sponsor.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Primary outcomes:
measure: Frequency of infusion set occlusions
timeFrame: 4 weeks
Secondary outcomes:
measure: Number of infusion set changes in each treatment period
timeFrame: 4 weeks
measure: Number of insulin pump alarms for infusion set occlusions
timeFrame: 4 weeks
measure: Number of adverse events
timeFrame: 4 weeks
Other outcomes:
Locations:
city: Little Rock
country: United States
facility: Investigational Site Number 840002
state: Arkansas
city: Denver
country: United States
facility: Investigational Site Number 840001
state: Colorado
Study officials:
affiliation: Sanofi
name: Clinical Sciences & Operations
role: STUDY_DIRECTOR
References:
citation: Thrasher J, Surks H, Nowotny I, Pierre S, Rotthaeuser B, Wernicke-Panten K, Garg S. Safety of Insulin Lispro and a Biosimilar Insulin Lispro When Administered Through an Insulin Pump. J Diabetes Sci Technol. 2018 May;12(3):680-686. doi: 10.1177/1932296817753644. Epub 2018 Jan 23.