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Regular Human Insulin

Phase 2

Type 2 Diabetes Mellitus | Small molecule | Metabolic |MiniMed Group, Inc.|Last Updated: May 19, 2022

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment289
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02415556Memory Aid by Intranasal Insulin in Diabetes (MemAID)PHASE2 COMPLETED 289Oct 6, 2015May 31, 2020May 19, 20222 United States
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Study Endpoints
Primary Endpoints
Gait Speed Normal Walk (cm/s).
Measured at baseline, on-treatment (V2-intervention week 1, V4 week 8, V6 week 16, V8 week 24) and post-treatment (V9-week 25, V10-week 32, V11-week 40, V12-week 48).

Gait speed normal walk (cm/s) - difference between Type 2 Diabetes Mellitus - Insulin vs. Type 2 Diabetes Mellitus - Placebo, Control - Insulin vs. Control - Placebo.

Gait Speed Dual-task (cm/s).
Measured at baseline, on-treatment (V2-intervention week 1, V4 week 8, V6 week 16, V8 week 24) and post-treatment (V9-week 25, V10-week 32, V11-week 40, V12-week 48).

Gait speed dual-task (cm/s) - walking and counting backwards (subtracting 7) difference between Type 2 Diabetes Mellitus - Insulin vs. Type 2 Diabetes Mellitus - Placebo, Control - Insulin vs. Control - Placebo.

Executive Function Composite z Score
Measured at baseline, on-treatment (V2-intervention week 1, V4 week 8, V6 week 16, V8 week 24) and post-treatment (V9-week 25, V10-week 32, V11-week 40, V12-week 48).

The executive function composite score was calculated as a sum of Paired Associates Learning (PAL) and Spatial Working Memory (SWM) z-scores (range -2 to +2, 0 indicates the mean; higher score indicates worse outcome). Paired Associates Learning - raw score of Total Errors Adjusted (range 0-120) was converted to z-score. Spatial Working Memory - raw score SWM-Between Errors (range 0-42) and raw score of SWM-Strategy (range 8-56) were converted to z-scores. Executive function composite scores were compared between: Type 2 Diabetes Mellitus - Insulin vs. Type 2 Diabetes Mellitus - Placebo, Control - Insulin vs. Control - Placebo.

Verbal Memory Composite z Score
Measured at baseline, on-treatment (V2-intervention week 1, V4 week 8, V6 week 16, V8 week 24) and post-treatment (V9-week 25, V10-week 32, V11-week 40, V12-week 48).

Verbal memory composite score was calculated as the sum of Verbal Recognition Memory (VRM) z scores ( 0 indicates the mean; lower score indicates worse outcome). VRM- Free Recall raw score (range 0-12), immediate and delayed VRM-Recognition raw score (range 0-24) were converted to z-scores. Verbal memory composite scores were compared between Type 2 Diabetes Mellitus - Insulin vs. Type 2 Diabetes Mellitus - Placebo, Control - Insulin vs. Control - Placebo.

Secondary Endpoints
Fasting Plasma Glucose (mg/dL).
Measured at baseline, on-treatment (V2-intervention week 1, V4 week 8, V6 week 16, V8 week 24) and post-treatment (V9-week 25, V10-week 32, V11-week 40, V12-week 48).
Weight (kg).
Measured at baseline, on-treatment (V2-intervention week 1, V4 week 8, V6 week 16, V8 week 24) and post-treatment (V9-week 25, V10-week 32, V11-week 40, V12-week 48).
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Type 2 Diabetes Mellitus - InsulinEXPERIMENTAL40 IU of regular human insulin once daily over 24 weeks
Type 2 Diabetes Mellitus - PlaceboPLACEBO_COMPARATORIntranasal sterile saline once daily over 24 weeks
Control - InsulinEXPERIMENTAL40 IU of regular human insulin once daily over 24 weeks
Control - PlaceboPLACEBO_COMPARATORIntranasal sterile saline once daily over 24 weeks
Interventions
NameTypeDescription
Regular Human InsulinDRUGRegular human insulin 40 IU daily over 24 weeks
PlaceboDRUGIntranasal sterile saline 40 IU daily over 24 weeks
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Eligibility Criteria
Age Range50 Years — 85 Years
SexALL
Healthy VolunteersYes
Study Sites2

Inclusion Criteria: * Men and women aged 50-85 years old * Able to walk for 6 minutes * Diabetes type 2 (DM) group: diagnosis and treatment for type 2 DM with non-insulin oral or injectable agents * Non-DM group with similar age range as the DM group, non-diabetic fasting plasma glucose (\<126 mg/d...

Countries:United States
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