Comparison of the Pharmacokinetic and Pharmacodynamic Properties of Biocon's Insulin R U-500 With Humulin® R U-500 (US Reference Product) in Healthy Subjects
RHINE-4
A Randomised, Double-blind, Three-period, Partially Replicated Crossover, Euglycaemic Glucose Clamp Study in Healthy Volunteers to Demonstrate Pharmacokinetic and Pharmacodynamic Similarity of Biocon's Human Insulin R U-500 and Humulin® R U-500 (RHINE-4: Recombinant Human INsulin Equivalence-4)
1 other identifier
interventional
78
1 country
1
Brief Summary
Single-centre, randomised, double-blind, three-period, six-sequence, partially replicated design, crossover trial in healthy subjects
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1 healthy-volunteers
Started May 2022
Typical duration for phase_1 healthy-volunteers
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 30, 2022
CompletedFirst Submitted
Initial submission to the registry
June 7, 2022
CompletedFirst Posted
Study publicly available on registry
June 10, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 12, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 12, 2022
CompletedMay 9, 2023
May 1, 2023
7 months
June 7, 2022
May 8, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Primary pharmacokinetics (PK) endpoint: area under the insulin concentration curve(AUCins).0-12h
Area under the insulin concentration curve
0 to12 hours
Primary pharmacokinetics (PK) endpoint: maximum observed insulin concentration(Cins.max)
Maximum observed insulin concentration
NAP (Not Applicable)
Primary pharmacodynamics (PD) endpoint:area under the glucose infusion rate curve (AUCGIR)0-12h
Area under the glucose infusion rate curve
0 to 12 hours
Primary pharmacodynamics (PD) endpoint:maximum observed glucose infusion rate (GIRmax)
Maximum observed glucose infusion rate
NAP (Not Applicable)
Secondary Outcomes (14)
Secondary pharmacokinetics (PK) endpoint: area under the insulin concentration-time curve(AUCins).0-infinity
0 hours to 24 hours
Secondary pharmacokinetics (PK) endpoint: area under the insulin concentration-time curve(AUCins).0-24h
0 to 24 hours
Secondary pharmacokinetics (PK) endpoint: area under the insulin concentration-time curve (AUCins).12-24h
12 to 24 hours
Secondary pharmacokinetics (PK) endpoint:time to maximum observed insulin concentration (tmax.ins)
0 to 24 hours
Secondary pharmacokinetics (PK) endpoint:terminal elimination rate constant of insulin (λz)
0 to 24 hours
- +9 more secondary outcomes
Other Outcomes (6)
Safety endpoint: Number of subjects with Adverse Events (AEs)
Signing of Informed consent form (ICF) to follow-up period (Total duration: 44 days approximate)
Safety endpoint: Number of subjects with Clinically significant changes in Physical examination
Signing of Informed consent form (ICF) to follow-up period (Total duration: 44 days approximate)
Safety endpoint: Number of subjects with Clinically significant changes in Vital signs
Signing of Informed consent form (ICF) to follow-up period (Total duration: 44 days approximate)
- +3 more other outcomes
Study Arms (6)
Sequence: Biocon's Human Insulin R U-500-Biocon's Human Insulin R U-500- Humulin® R U-500
EXPERIMENTALPeriod 1:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 2:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 3:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe
Sequence: Biocon's Human Insulin R U-500-Humulin® R U-500- Humulin® R U-500
EXPERIMENTALPeriod 1:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 2:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 3:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe
Sequence: Biocon's Human Insulin R U-500-Humulin® R U-500-Biocon's Human Insulin R U-500
EXPERIMENTALPeriod 1:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 2:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 3:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe
Sequence: Humulin® R U-500-Biocon's Human Insulin R U-500-Biocon's Human Insulin R U-500
EXPERIMENTALPeriod 1:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 2:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 3:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe
Sequence: Humulin® R U-500 -Biocon's Human Insulin R U-500-Humulin® R U-500
EXPERIMENTALPeriod 1:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 2:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 3:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe
Sequence: Humulin® R U-500-Humulin® R U-500-Biocon's Human Insulin R U-500
EXPERIMENTALPeriod 1:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe Period 2:Humulin® R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD(Becton Dickinson) disposable syringe Period 3:Biocon's Human Insulin R U-500 single subcutaneous dose of 0.3 IU/kg using a U-500 BD (Becton Dickinson) disposable syringe
Interventions
Biocon's Human Insulin R U-500 (Insulin Human Injection 500 units/mL), 3 mL cartridges (containing 1,500 units of insulin).
Humulin® R U-500 (US Reference Product), 3 mL single-patient-use KwikPen® (containing 1,500 units of insulin)
Eligibility Criteria
You may qualify if:
- Healthy male or post-menopausal female subjects. The post-menopausal state is defined as no menses for 12 months without an alternative medical cause and confirmed by a follicle stimulating hormone (FSH) level in the post-menopausal range (≥ 25.8 IU/L).
- Age between 18 and 55 years, both inclusive.
- Body Mass Index (BMI) between 18.5 and 29.0 kg/m2, both inclusive.
- Fasting plasma glucose concentration ≤ 100 mg/dL.
- Considered generally healthy upon completing the medical history and screening safety assessments, as judged by the Investigator.
You may not qualify if:
- Known or suspected hypersensitivity to investigational medicinal products (IMPs) or related products.
- Receipt of any medicinal product in clinical development within 30 days or five times its half-life (whichever is longer) before randomisation in this trial.
- Systolic blood pressure \< 90 mmHg or \> 139 mmHg and/or diastolic blood pressure \< 50 mmHg or \> 89 mmHg after resting for at least 5 minutes in the supine position (excluding white-coat hypertension; therefore, a repeat test showing results within range will be acceptable).
- Pulse rate at rest outside the range of 50-90 beats per minute.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Biocon Limitedlead
- Profil Institut für Stoffwechselforschung GmbHcollaborator
Study Sites (1)
Profil Institut für Stoffwechselforschung GmbH 9
Neuss, D-41460, Germany
Study Officials
- PRINCIPAL INVESTIGATOR
Dr Ulrike Hövelmann, MD
Profil Institut für Stoffwechselforschung GmbH
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Masking Details
- Double-blind
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 7, 2022
First Posted
June 10, 2022
Study Start
May 30, 2022
Primary Completion
December 12, 2022
Study Completion
December 12, 2022
Last Updated
May 9, 2023
Record last verified: 2023-05
Data Sharing
- IPD Sharing
- Will not share