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insulin lispro

Phase 4FDA approved

Diabetes During Pregnancy | Small molecule | Metabolic |Sanofi|Trials Updated: Apr 18, 2018

insulin lispro development status

FDA approval on record Dec 11, 2017 as Admelog
Approval holderSanofi-aventis Us
ApplicationBLA209196
Highest phase Phase 4 (NCT00607087)
Phase scored for SNYPhase 2
Registered trials 89 across 12 sponsors since Oct 2003

Label indication ADMELOG is indicated to improve glycemic control in adult and pediatric patients with diabetes mellitus. ADMELOG is a rapid-acting human insulin analog indicated to improve glycemic control in adult and pediatric patients with diabetes mellitus. ( 1 ) FDA label

insulin lispro target and mechanism

Molecular targetINSR
Target classAgonist
ModalitySmall molecule

Also known as Humalog

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment17

FDA Designations

No designations recorded

insulin lispro clinical trials

insulin lispro · 1 trial · 1 indication

Phase 2 1
NCT01662921Comparator Trial Using Insulin Glulisine vs. Insulin Lispro for Treatment of Gestational DiabetesDiabetes During Pregnancy
COMPLETED17 Analytics
PHASE2COMPLETED
Comparator Trial Using Insulin Glulisine vs. Insulin Lispro for Treatment of Gestational Diabetes
Diabetes During PregnancyUnlock trial analytics

Study Endpoints

Primary Endpoints

show that insulin glulisine is non-inferior to insulin lispro in a basal/bolus regimen to treat hyperglycemia in patient with gestational diabetes mellitus
week 4 of insulin treatment

compare average 1-hour post prandial SMBG measurements between patients randomized to insulin glulisine or insulin lispro

Secondary Endpoints

Serum blood glucose area under the curve (AUC) at one 4-hour in-clinic meal challenge
week 2 of insulin treatment
Compare A1C at enrollment and weekly until delivery
up to 36 weeks
Compare incidence of hypoglycemic episodes <60 mg/dL with symptoms
up to 36 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NPH and insulin lisproACTIVE_COMPARATORPatients diagnosed with diabetes during pregnancy will be randomized to long acting insulin NPH and short acting insulin lispro in a basal bolus regimen to treat post prandial hyperglycemia using a dosing schedule of 50% NPH calculated by the patients weight and gestational age and 50% lispro pending their last three SMPG average.
NPH and insulin glulisineACTIVE_COMPARATORPatients with a diagnosis of diabetes during pregnancy will be randomized to using long acting insulin NPH and short acting insulin glulisine as treatment for post prandial hyperglycemia with a 50% NPH dosing schedule based on the weight and gestational age and 50% glulisine schedule based on their last three SMBG result average.

Interventions

NameTypeDescription
NPHDRUGLong acting insulin NPH dosing will be titrated weekly derived from the patients current weight and gestational age
Insulin LISPRODRUGInsulin lispro dosing will be titrated weekly based on the patient's average SMBG readings from each meal during the past three days
Insulin glulisineDRUGInsulin glulisine will be titrated weekly based on the patient's average SMBG readings from each meal during the past three days
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Informed Consent to participate in clinical trial * Pregnant and 20-30 weeks gestation * Diagnosed with gestational diabetes * Failed diet therapy (failed lifestyle modification will be defined as 10% or greater SMBG values above pre-meal \<90mg/dL and post prandial \< 120mg/d...

Countries:United States
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Frequently asked questions about insulin lispro

What is insulin lispro used for in diabetes during pregnancy?

Insulin lispro is a rapid-acting insulin being studied for the treatment of diabetes during pregnancy, including gestational diabetes. A Phase 2 trial compared it with insulin glulisine in pregnant women with this condition. It is used to help manage blood glucose levels in this patient population.

How does insulin lispro work?

Insulin lispro acts as an agonist at the insulin receptor (INSR). By binding to and activating this receptor, it mimics the action of endogenous insulin, promoting glucose uptake into cells and lowering blood glucose levels. This mechanism underlies its use in managing diabetes during pregnancy.

Who is developing insulin lispro for diabetes during pregnancy?

Sanofi is the developer of insulin lispro for diabetes during pregnancy. The company trades on the New York Stock Exchange under the ticker SNY. Sanofi is responsible for the clinical development program evaluating this rapid-acting insulin in pregnant women with diabetes.

What phase is insulin lispro in for diabetes during pregnancy?

Insulin lispro is in Phase 2 clinical development for diabetes during pregnancy. It is investigational and has not been approved by the FDA for this specific indication. The Phase 2 trial has been completed, and no active trials are currently listed for this use.

What clinical trials is insulin lispro in for diabetes during pregnancy?

Insulin lispro was evaluated in a completed Phase 2 trial, NCT01662921, titled "Comparator Trial Using Insulin Glulisine vs. Insulin Lispro for Treatment of Gestational Diabetes." The trial enrolled 17 women aged 18 years and older in the United States and used an active-controlled, randomized design.