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NPH insulin

Phase 3

Diabetes Mellitus, Insulin-Dependent | Small molecule | Metabolic |Sanofi|Last Updated: Apr 25, 2022

Success Probability

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment572

FDA Designations

No designations recorded

Clinical trial landscape

NPH insulin · 3 trials · 3 indications

Phase 3 2Phase 1 1
NCT01223131Efficacy and Safety of Insulin Glargine Versus. Neutral Protamine Hagedorn (NPH) Insulin in Children With Type 1 Diabetes Above 6 Years Old.Type 1 Diabetes Mellitus
COMPLETED162 Analytics
NCT00115570Comparison of the Ability of Glulisine With Lispro to Control Type 1 Diabetes Mellitus in Children and AdolescentsDiabetes Mellitus, Insulin-Dependent
COMPLETED572 Analytics
PHASE3COMPLETED
Efficacy and Safety of Insulin Glargine Versus. Neutral Protamine Hagedorn (NPH) Insulin in Children With Type 1 Diabetes Above 6 Years Old.
Type 1 Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Comparison of the Ability of Glulisine With Lispro to Control Type 1 Diabetes Mellitus in Children and Adolescents
Diabetes Mellitus, Insulin-DependentUnlock trial analytics

Study Endpoints

Primary Endpoints

Absolute change of glycosylated hemoglobin (HbA1c)
from baseline to week 24
Change in total glycated hemoglobin measured as HbA1c equivalents (GHb )from baseline to endpoint
week 26 or last observed treatment
Assessment of PK parameter: maximum observed insulin concentration
10 hours
Assessment of PK parameter: area under the concentration time curve
10 hours

Secondary Endpoints

Percentage of patients reaching HbA1c < 7.5%
at week 24
Change in Fasting Blood Glucose (FBG)
from baseline to week 24
Change in nocturnal Blood Glucose (BG)
from baseline to week 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Insulin glargineEXPERIMENTALinjection once daily at bedtime
NPH insulinACTIVE_COMPARATORinjection once daily at bedtime or twice daily in the morning and at bedtime
Insulin GlulisineEXPERIMENTALInsulin Glulisine (100UI/ml), at least twice daily, in association with basal insulin therapy (NPH insulin or insulin glargine for a maximum of 26 weeks
Insulin LisproACTIVE_COMPARATORInsulin Lispro (100UI/ml) Subcutaneous (SC) injection , at least twice daily, in association with basal insulin therapy (NPH insulin or insulin glargine ) for a maximum of 30 weeks
Insulin glulisine (U300) - Test formulationEXPERIMENTALInsulin glulisine (U300) will be given as a single subcutaneous (SC) dose on Day 1 of each period under fasting conditions according to the random list and assigned sequence. Glucose, insulin aspart (IV) and heparin will be used for clamp procedure. NPH insulin (if necessary) and insulin aspart (SC) will be handed out at screening to change insulin regimen and glucagon at Day 1 to treat cases of severe hypoglycemia.
Insulin glulisine - Reference formulationACTIVE_COMPARATORInsulin glulisine (U100) will be given as a single SC dose on Day 1 of each period under fasting conditions according to the random list and assigned sequence. Glucose, insulin aspart (IV) and heparin will be used for clamp procedure. NPH insulin (if necessary) and insulin aspart (SC) will be handed out at screening to change insulin regimen and glucagon at Day 1 to treat cases of severe hypoglycemia.

Interventions

NameTypeDescription
Insulin glargine (HOE901)DRUGPharmaceutical form:aqueous solution for injection Route of administration: Subcutaneous
NPH insulinDRUGPharmaceutical form:aqueous solution for injection Route of administration: Subcutaneous
Insulin glulisineDRUGSubcutaneous injection
insulin lisproDRUGSubcutaneous injection
insulin glargineDRUGSubcutaneous injection once daily
Insulin glulisine (U300)DRUGPharmaceutical form: solution Route of administration: subcutaneous
Insulin aspartDRUGPharmaceutical form: solution Route of administration: intravenous/subcutaneous
GlucagonDRUGPharmaceutical form: Powder and solvent for solution for injection Route of administration: subcutaneous
GlucoseDRUGPharmaceutical form: solution Route of administration: intravenous
HeparinDRUGPharmaceutical form: solution Route of administration: intravenous
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Eligibility Criteria

Age Range6 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites10

Inclusion criteria: \- Paediatric patients diagnosed with T1DM aged at least 6 years to less than 18 years at screening. Exclusion criteria: * Treatment with oral or parenteral glucose-lowering medications other than insulin. * HbA1c \< 7% or \> 12 % at screening. The above information is not in...

Countries:ChinaUnited StatesGermany
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Frequently asked questions about NPH insulin

What is NPH insulin used for?

NPH insulin is an intermediate-acting insulin used to control blood sugar in people with diabetes mellitus, including insulin-dependent diabetes and type 1 diabetes mellitus. It is typically given by injection to help manage glucose levels in both children and adults.

Who makes NPH insulin?

NPH insulin is developed by Sanofi, a global biopharmaceutical company traded on the stock exchange under the ticker symbol SNY. Sanofi is responsible for the clinical development and manufacturing of this insulin product.

What phase is NPH insulin in?

NPH insulin is in Phase 3 clinical development. It is an investigational drug and has not yet been approved by regulatory authorities. The Phase 3 trials are completed, and the drug is being studied for use in type 1 diabetes mellitus.

What clinical trials is NPH insulin in?

NPH insulin has been studied in several clinical trials, including NCT00115570, which compared glulisine with lispro in children and adolescents with type 1 diabetes, and NCT01223131, which evaluated insulin glargine versus NPH insulin in children with type 1 diabetes. Both trials were Phase 3 and completed.

Is NPH insulin the same as insulin glargine?

No, NPH insulin is not the same as insulin glargine. They are different types of insulin. NPH insulin is an intermediate-acting insulin, while insulin glargine is a long-acting insulin. They were compared in a clinical trial (NCT01223131) to assess their efficacy and safety in children with type 1 diabetes.

How does NPH insulin work?

NPH insulin is a type of insulin that helps regulate blood sugar levels by replacing the insulin that the body normally produces. It is an intermediate-acting insulin, meaning it works over a longer period compared to rapid-acting insulins, helping to control blood glucose between meals and overnight.