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Healthy ParticipantsPhase 1NCT06627478

Study to Demonstrate Pharmacokinetic and Pharmacodynamic Similarity Between NKF-INS Glargine (G), United States (US)-Lantus®, and European Union (EU)-Lantus®

A Phase 1 study testing NKF-INS(G), US-Lantus® and EU-Lantus® in people with Healthy Participants, run by Xentria, Inc. at 1 site in South Africa.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Single-dose, double-blind, randomized, three-period, three-treatment, six-sequence, crossover study to demonstrate pharmacokinetic and pharmacodynamic similarity between NKF-INS Glargine (G), United States (US)-Lantus®, and European Union (EU)-Lantus® Read more about this study

Who is it for?
Ages 18 to 50 years, men onlyHealthy volunteers can take part
Conditions the study is for
Healthy Participants
What is being tested?
NKF-INS(G), US-Lantus® and EU-Lantus®
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
114 participants
Where
1 siteSouth Africa
Study dates
29 Oct 2024to 3 Jul 2025
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Signed and dated informed consent obtained before any trial-related activities. Trial-related activities are any procedures that would not have been done during normal management of the participant.
  • Healthy male participants
  • Age between 18 and 50 years, both inclusive
  • Body Mass Index between 18.5 and 29.0 kg/m2, both inclusive
  • Body weight ≥ 59 kg
  • Fasting glucose concentration ≤ 5.5 mmol/L at screening
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  • Considered generally healthy upon completion of medical history, physical examination, vital signs, electrocardiogram (ECG), and analysis of laboratory safety variables, as judged by the Investigator
  • Willing and able to comply with scheduled visits, treatment plan, clinical laboratory tests, and other study procedures including lifestyle considerations.
  • Participants must agree to use condoms during sexual intercourse. Additionally, female partners of male participants should use highly effective contraception. All contraceptive measures apply from screening until 90 days after study treatment. Male participants must refrain from donating or banking sperm for 90 days after administration of study treatment.
  • Have competence in speaking, writing, and comprehending the local language(s) where the study is conducted.

Who cannot join

  • Positive for human insulin antibodies at Screening
  • Are currently enrolled in or have discontinued within 3 months or 5 half-lives (whichever is longer) of any investigational drug or device or are concurrently enrolled in any other type of medical research study and judged not to be scientifically or medically compatible with this study.
  • Have known allergies to insulin, its excipients, or related drugs or have history of relevant allergic reactions of any origin, or any specific investigational product safety concern.
  • History of diabetes mellitus; episodes of hypoglycemia in the anamnesis; any history of insulin use for treatment purposes.
  • Have clinically relevant history of or current cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; of constituting a risk when taking the study drug; or of interfering with the interpretation of data.
  • Increased risk of thrombosis, e.g., individuals with a history of deep leg vein thrombosis or family history of deep leg vein thrombosis, as judged by the Investigator.
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  • Clinically significant abnormal ECG at screening.
  • Glycemia level ≥140 mg/dL 2 hours after the glucose load.
  • Evidence of psychiatric disorder, antagonistic personality, poor motivation, emotional or intellectual problems likely to limit the validity of consent to participate in the study or limit the ability to comply with protocol requirements.
  • Positive urine drug test at screening and/or evidence of current use of known drugs of abuse or have a history of use within the past year.
  • Show evidence of an acute infection with fever or infectious disease at the time of enrollment.
  • Show evidence of human immunodeficiency virus (HIV) infection and/or positive human HIV antibodies at screening.
  • Have positive test results for hepatitis B surface antigen (HBsAg), immunoglobulin M (IgM) antibody to hepatitis B core antigen (anti-HBc), or hepatitis C virus (HCV) antibodies at screening.
  • Intend to use over-the-counter medication within 7 days or prescription medication within 14 days prior to dosing (apart from vitamin/mineral supplements, occasional paracetamol, thyroid replacement).
  • Have donated blood or had a blood loss of 500 mL 3 months prior to study enrollment.
  • Have an average weekly alcohol intake that exceeds 21 units per week or is unwilling to stop alcohol consumption from 48 hours prior to each dosing until being discharged from the Clinical Research Unit (CRU).
  • Employees or close relatives of the Sponsor, contract research organization (CRO), third-party vendors. or affiliates of the above-mentioned parties.
  • Inadequate venous access.
  • Vulnerable populations, e.g., persons in detention.

Trial locations and contacts

1 site in 1 country.

South Africa1 site
  • FARMOVS Clinical Research Organisation

    Bloemfontein, 9301

Other trials in South Africa

About this study

Official title: Single-dose, Double-blind, Randomized, Three-period, Three-treatment, Six-sequence, Crossover Study to Demonstrate Pharmacokinetic and Pharmacodynamic Similarity Between NKF-INS(G), US-Lantus®, and EU-Lantus®

Single-dose, double-blind, randomized, three-period, three-treatment, six-sequence, crossover study to demonstrate pharmacokinetic and pharmacodynamic similarity between NKF-INS Glargine (G), United States (US)-Lantus®, and European Union (EU)-Lantus®

Read the detailed description

A single center, single-dose, double-blind, randomized, three-period, three-treatment, six-sequence, crossover study to demonstrate pharmacokinetic and pharmacodynamic similarity between NKF-INS(G), US-Lantus®, and EU-Lantus® using the euglycemic clamp technique in healthy male adult volunteers

Being tested
NKF-INS(G), US-Lantus®, EU-Lantus®

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NKF-INS(G)Drug

    Single subcutaneous dose of 0.5 IU/kg administered over three periods

  • US-Lantus®Drug

    Single subcutaneous dose of 0.5 IU/kg administered over three periods

  • EU-Lantus®Drug

    Single subcutaneous dose of 0.5 IU/kg administered over three periods

Study groups in NCT06627478
Study groupRoleWhat they receive
United States (US)-Lantus®Active comparatorSingle subcutaneous dose administered over three treatment periods
Receives: Drug: US-Lantus®
European Union (EU)-Lantus®Active comparatorSingle subcutaneous dose administered over three treatment periods
Receives: Drug: EU-Lantus®
NKF-INS Glargine (G)ExperimentalSingle subcutaneous dose administered over three treatment periods
Receives: Drug: NKF-INS(G)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Area Under the M1 Concentration-Time Curve From 0 to 12 Hours (AUC0-12h of M1)

    Compared the pharmacokinetics (PK) of NKF-INS Glargine(G) to United States (US)-approved and European Union (EU)-authorized Lantus to demonstrate PK similarity for metabolite 21A-Gly-human insulin (M1)

    Measured: 0 to 12 hours post-dose

Secondary outcomes (23)
  1. Maximum Capacity (Cmax) of M1

    Evaluated additional PK parameters of NKF-INS(G), US-approved and EU-authorized Lantus to demonstrate similarity for insulin glargine and/or M1.

    Measured: 0 to 24 hours post-dose

  2. Area Under the Concentration-Time Curve AUC0-6h, AUC6-12h and AUC0-12h of M1

    Evaluated additional PK parameters of NKF-INS(G), US-approved and EU-authorized Lantus to demonstrate similarity for insulin glargine and/or M1.

    Measured: 0 to 12 hours post-dose

  3. Area Under the Concentration-Time Curve AUC12-18h and AUC12-24h of M1

    Evaluated additional PK parameters of NKF-INS(G), US-approved and EU-authorized Lantus to demonstrate similarity for insulin glargine and/or M1.

    Measured: 12 to 24 hours post-dose

  4. Area Under the Concentration-Time Curve AUC18-24h of M1

    Evaluated additional PK parameters of NKF-INS(G), US-approved and EU-authorized Lantus to demonstrate similarity for insulin glargine and/or M1.

    Measured: 18 to 24 hours post-dose

  5. Time to Maximum Concentration (Tmax) of M1

    Evaluated additional PK parameters of NKF-INS(G), US-approved and EU-authorized Lantus to demonstrate similarity for insulin glargine and/or M1.

    Measured: 0 to 24 hours post-dose

  6. Area Under the Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-∞) of M1

    Evaluated additional PK parameters of NKF-INS(G), US-approved and EU-authorized Lantus to demonstrate similarity for insulin glargine and/or M1.

    Measured: 0 to 24 hours post-dose

  7. Maximum Concentration (Cmax) of Insulin Glargine

    Evaluated additional PK parameters of NKF-INS(G), US-approved and EU-authorized Lantus to demonstrate similarity for insulin glargine and/or M1.

    Measured: 0 to 24 hours post-dose

  8. Area Under the Concentration-Time Curve AUC0-12h and AUC0-24h of Insulin Glargine

    Evaluated additional PK parameters of NKF-INS(G), US-approved and EU-authorized Lantus to demonstrate similarity for insulin glargine and/or M1.

    Measured: 0 to 24 hours post-dose

  9. Area Under the Concentration-Time Curve AUC0-6hr of Insulin Glargine

    Evaluated additional PK parameters of NKF-INS(G), US-approved and EU-authorized Lantus to demonstrate similarity for insulin glargine and/or M1.

    Measured: 0 to 6 hours post-dose

  10. Area Under the Concentration-Time Curve AUC6-12h of Insulin Glargine

    Evaluated additional PK parameters of NKF-INS(G), US-approved and EU-authorized Lantus to demonstrate similarity for insulin glargine and/or M1.

    Measured: 6 to 12 hours post-dose

  11. Area Under the Concentration-Time Curve AUC12-18h of Insulin Glargine

    Evaluated additional PK parameters of NKF-INS(G), US-approved and EU-authorized Lantus to demonstrate similarity for insulin glargine and/or M1.

    Measured: 12 to 18 hours post-dose

  12. Area Under the Concentration-Time Curve AUC18-24h of Insulin Glargine

    Evaluated additional PK parameters of NKF-INS(G), US-approved and EU-authorized Lantus to demonstrate similarity for insulin glargine and/or M1.

    Measured: 18 to 24 hours post-dose

  13. Area Under the Concentration-Time Curve AUC12-24h of Insulin Glargine

    Evaluated additional PK parameters of NKF-INS(G), US-approved and EU-authorized Lantus to demonstrate similarity for insulin glargine and/or M1.

    Measured: 12 to 24 hours post-dose

  14. Time to Maximum Concentration (Tmax) of Insulin Glargine

    Evaluated additional PK parameters of NKF-INS(G), US-approved and EU-authorized Lantus to demonstrate similarity for insulin glargine and/or M1.

    Measured: 0 to 24 hours post-dose

  15. Area Under the Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-∞) of Insulin Glargine

    Evaluated additional PK parameters of NKF-INS(G), US-approved and EU-authorized Lantus to demonstrate similarity for insulin glargine and/or M1.

    Measured: 0 to 24 hours post-dose

  16. GIRAUC0-24h, GIRAUC0-end of Clamp up to 24hours, GIRAUC0-6h, GIRAUC0-12h

    Compared the pharmacodynamics (PD) of NKF-INS(G) to US-approved and EU-authorized Lantus by examining glucose infusion rate (GIR) profiles after a single subcutaneous (SC) dose.

    Glucose infusion rate (GIR) was recorded in mg/min throughout the clamp procedure. The area under the GIR-vs-time curve (GIRAUC) was calculated by integrating GIR (mg/min) over time (min). Consistent with the finalized Clinical Study Report and prior trials in this program, the resulting unit is expressed as min*mg/min to explicitly denote the time-integration of the rate variable, rather than simplifying to the mathematically equivalent unit of mg. This notation reflects that GIRAUC represents the integral of an infusion rate over the study duration, consistent with standard reporting conventions for glucose clamp studies

    Measured: 0 to 24 hours post-dose

  17. GIRAUC0-∞

    Compared the Pharmacodynamic (PD) of NKF-INS(G) to US-approved and EU-authorized Lantus by examining glucose infusion rate (GIR) profiles after a single subcutaneous (SC) dose.

    Glucose infusion rate (GIR) was recorded in mg/min throughout the clamp procedure. The area under the GIR-vs-time curve (GIRAUC) was calculated by integrating GIR (mg/min) over time (min). Consistent with the finalized Clinical Study Report and prior trials in this program, the resulting unit is expressed as min*mg/min to explicitly denote the time-integration of the rate variable, rather than simplifying to the mathematically equivalent unit of mg. This notation reflects that GIRAUC represents the integral of an infusion rate over the study duration, consistent with standard reporting conventions for glucose clamp studies

    Measured: 0 to 24 hours post-dose

  18. GIRAUC6-12h

    Compared the Pharmacodynamic (PD) of NKF-INS(G) to US-approved and EU-authorized Lantus by examining glucose infusion rate (GIR) profiles after a single subcutaneous (SC) dose.

    Glucose infusion rate (GIR) was recorded in mg/min throughout the clamp procedure. The area under the GIR-vs-time curve (GIRAUC) was calculated by integrating GIR (mg/min) over time (min). Consistent with the finalized Clinical Study Report and prior trials in this program, the resulting unit is expressed as min*mg/min to explicitly denote the time-integration of the rate variable, rather than simplifying to the mathematically equivalent unit of mg. This notation reflects that GIRAUC represents the integral of an infusion rate over the study duration, consistent with standard reporting conventions for glucose clamp studies

    Measured: 6 to 12 hours post-dose

  19. GIRAUC12-18h and GIRAUC12-24h

    Compared the Pharmacodynamic (PD) of NKF-INS(G) to US-approved and EU-authorized Lantus by examining glucose infusion rate (GIR) profiles after a single subcutaneous (SC) dose.

    Glucose infusion rate (GIR) was recorded in mg/min throughout the clamp procedure. The area under the GIR-vs-time curve (GIRAUC) was calculated by integrating GIR (mg/min) over time (min). Consistent with the finalized Clinical Study Report and prior trials in this program, the resulting unit is expressed as min*mg/min to explicitly denote the time-integration of the rate variable, rather than simplifying to the mathematically equivalent unit of mg. This notation reflects that GIRAUC represents the integral of an infusion rate over the study duration, consistent with standard reporting conventions for glucose clamp studies

    Measured: 12 to 24 hours post-dose

  20. GIRAUC18-24h

    Compared the Pharmacodynamic (PD) of NKF-INS(G) to US-approved and EU-authorized Lantus by examining glucose infusion rate (GIR) profiles after a single subcutaneous (SC) dose.

    Glucose infusion rate (GIR) was recorded in mg/min throughout the clamp procedure. The area under the GIR-vs-time curve (GIRAUC) was calculated by integrating GIR (mg/min) over time (min). Consistent with the finalized Clinical Study Report and prior trials in this program, the resulting unit is expressed as min*mg/min to explicitly denote the time-integration of the rate variable, rather than simplifying to the mathematically equivalent unit of mg. This notation reflects that GIRAUC represents the integral of an infusion rate over the study duration, consistent with standard reporting conventions for glucose clamp studies

    Measured: 18 to 24 hours post-dose

  21. GIRmax

    Compared the Pharmacodynamic (PD) of NKF-INS(G) to US-approved and EU-authorized Lantus by examining glucose infusion rate (GIR) profiles after a single subcutaneous (SC) dose.

    Measured: 0 to 24 hours post-dose

  22. Time to GIRmax

    Compared the pharmacodynamics (PD) of NKF-INS(G) to US-approved and EU-authorized Lantus by examining glucose infusion rate (GIR) profiles after a single subcutaneous (SC) dose.

    Measured: 0 to 24 hours post-dose

  23. Total Amount of Glucose Infused During Clamp Procedure (Gtot)

    Compared the pharmacodynamics (PD) of NKF-INS(G) to US-approved and EU-authorized Lantus by examining glucose infusion rate (GIR) profiles after a single subcutaneous (SC) dose.

    Measured: 0 to 24 hours post-dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Oct 2024
  2. Study start29 Oct 2024
  3. Primary completion3 Jul 2025
  4. Study completion3 Jul 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Other
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
114 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06627478
Sponsor's protocol ID
NKF-INS(G)-101
Status last verified
Jul 2026
First submitted
30 Sep 2024
Last updated
23 Oct 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing NKF-INS(G), US-Lantus® and EU-Lantus® in people with Healthy Participants, run by Xentria, Inc. at 1 site in South Africa.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in South Africa. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Oct 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Area Under the M1 Concentration-Time Curve From 0 to 12 Hours (AUC0-12h of M1) (time frame: 0 to 12 hours post-dose). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Oct 2026.

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