Phase 2b Trial Comparing HDV-Insulin Lispro to Insulin Lispro in Adults With Type 1 Diabetes Receiving Insulin Degludec

Last updated: December 5, 2024
Sponsor: Diasome Pharmaceuticlas, Inc.
Overall Status: Active - Recruiting

Phase

2

Condition

Diabetes Prevention

Diabetes And Hypertension

Diabetes Mellitus, Type 1

Treatment

HDV-Lispro

Lispro

Clinical Study ID

NCT06238778
DP 01-2023-01
  • Ages 18-79
  • All Genders

Study Summary

The goal of this study is to see if directing insulin to the liver will improve the low blood sugar that sometimes happens when injecting insulin in Type 1 diabetes patients. Participants will use continuous glucose monitoring to measure the sugar levels in their blood, and work with the doctor to find the best doses. One group of patients will get the liver targeting insulin, and the other group will use insulin they normally use for treating Type 1 diabetes. The participant will be part of the study for up to 32 weeks.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • clinical diagnosis Type 1 diabetes with C-peptide <=0.6 ng/mL and using insulin forat least 6 months

  • willing to use study provided insulin as the only bolus insulin and insulin degludecas the basal insulin

  • willing to use CGM device throughout the study

  • screening A1C >= 6.5% and <= 10.0% daily insulin dose <= 1.25 U/kg/day

Exclusion

Exclusion Criteria:

  • known or specific allergy to any component of the study drug, the active comparator

  • pregnant or breast-feeding, or plans to become pregnant at any time during durationof study

  • current use of hydroxyurea

  • use of noninsulin glucose-lowering medications other than metformin, weight lossmedications or dietary supplements for weight loss within 30 days, or anticipateduse during the course of the study

  • received any investigational drug within prior 30 days

  • Clinically significant abnormalities on screening laboratory testing including liverenzymes

  • Presence of a medical condition or use of a medication that could compromise theresults of the study or the safety of the subject (eg. alcohol or drug abuse,uncontrolled hypertension, history of transient ischemic attack or stroke within thelast 12 months)

  • employed by or having immediate family members employed by the sponsor or directlyinvolved in conducting the clinical trial.

Study Design

Total Participants: 230
Treatment Group(s): 2
Primary Treatment: HDV-Lispro
Phase: 2
Study Start date:
January 23, 2024
Estimated Completion Date:
December 31, 2025

Study Description

Individuals age 18 up to 80 years with Type 1 diabetes using multiple daily injections of bolus insulin plus basal insulin will be enrolled into a double-blind randomized controlled trial to assess the efficacy, safety, and tolerability of Hepatocyte-Directed Vesicles-insulin lispro (HDV-L) versus lispro alone (LIS) used in combination with insulin degludec. The study includes (1), a screening period up to 3 weeks, (2), a Run-in Period of 2 weeks to assess eligibility and to transition to use of insulin lispro and insulin degludec and unmasked continuous glucose monitoring (CGM), )3), a 12-week dose optimization period to optimize bolus and basal insulin doses,, (4), a 13-week maintenance period, and (5), a 2 -week transition follow-up period.

The primary objective of the study is to determine if the addition of HDV to insulin lispro results in an improvement in glycemic control as defined by decreasing evidence of nocturnal hypoglycemia while maintaining or improving glycated hemoglobin (HbA1c). Other outcomes related to glycemic control will also be evaluated.

Connect with a study center

  • Marvel Clinical Research

    Huntington Beach, California 92647
    United States

    Active - Recruiting

  • Pasadena Clinical Trials

    Pasadena, California 91101
    United States

    Active - Recruiting

  • Diabetes Research Center

    Tustin, California 92780
    United States

    Active - Recruiting

  • University of Colorado, Barbara Davis Center

    Denver, Colorado 80045
    United States

    Active - Recruiting

  • East Coast Institute for Research

    Jacksonville, Florida 32216
    United States

    Active - Recruiting

  • University of Miami Diabetes Research Institute

    Miami, Florida 33136
    United States

    Active - Recruiting

  • Metabolic Research Institute

    West Palm Beach, Florida 33401
    United States

    Active - Recruiting

  • Atlanta Diabetes Associates

    Atlanta, Georgia 30318
    United States

    Active - Recruiting

  • East Coast Institute for Research

    Canton, Georgia 30114
    United States

    Active - Recruiting

  • Physicians Research Associates, LLC

    Lawrenceville, Georgia 30046
    United States

    Active - Recruiting

  • Endocrine Research Solutions, Inc.

    Roswell, Georgia 30076
    United States

    Active - Recruiting

  • University of Chicago Kovler Diabetes Center

    Chicago, Illinois 60637
    United States

    Active - Recruiting

  • Endeavor Health

    Skokie, Illinois 60077
    United States

    Active - Recruiting

  • Indiana Medical Research Institute

    Merrillville, Indiana 46410
    United States

    Active - Recruiting

  • SUNY Upstate Medical University

    Syracuse, New York 13210
    United States

    Active - Recruiting

  • Asheville Clinical Research

    Asheville, North Carolina 28803
    United States

    Site Not Available

  • UNC EnDO Clinical Research Unit

    Chapel Hill, North Carolina 27514
    United States

    Active - Recruiting

  • Physician's East

    Greenville, North Carolina 27834
    United States

    Active - Recruiting

  • University Hospitals Medical Center

    Cleveland, Ohio 44106
    United States

    Active - Recruiting

  • Texas Diabetes & Endocrinology

    Austin, Texas 78749
    United States

    Active - Recruiting

  • Tekton Research, LLC

    Irving, Texas 75039
    United States

    Active - Recruiting

  • Tekton Research, LLC

    McKinney, Texas 75069
    United States

    Active - Recruiting

  • Texas Diabetes % Endocrinology

    Round Rock, Texas 78681
    United States

    Active - Recruiting

  • Clinical Trials of Texas

    San Antonio, Texas 78229
    United States

    Active - Recruiting

  • Tekton Research, LLC

    San Antonio, Texas 78251
    United States

    Active - Recruiting

  • Wasatch Clinical Research, LLC 310

    Salt Lake City, Utah 84107
    United States

    Active - Recruiting

  • Virginia Endocrinology Research

    Chesapeake, Virginia 23321
    United States

    Active - Recruiting

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