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Diabetes Mellitus, Type 1Phase 1NCT07634770

Bioavailability, Biopotency and Food Effect Study of SCD0503 Compared to Subcutaneous Regular Human Insulin

A Phase 1 study testing oral insulin and subcutaneous insulin in people with Diabetes Mellitus, Type 1, run by Sam Chun Dang Pharm. Co. Ltd. at 1 site in Germany.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Reason for the study The participants have been diagnosed with type 1 diabetes and are being treated with standard insulin therapy. The sponsor of the study is developing a new insulin-based medicine that can be taken by mouth (orally). Read more about this study

Who is it for?
Ages 18 to 64 years, men only
Conditions the study is for
Diabetes Mellitus, Type 1
What is being tested?
oral insulin and subcutaneous insulin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
16 participants
Where
1 siteGermany
Study dates
29 May 2026to Oct 2026
Phase
Phase 1
Are there results?
Not yet: the study is under way

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 64 years
  • Men only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Male person with type 1 diabetes mellitus
  • Age between 18 and 64 years, both inclusive
  • Body Mass Index (BMI) between 18.5 and 29.9 kg/m2, both inclusive
  • HbA1c ≤ 8.5%
  • Fasting C-peptide <= 0.20 nmol/L
  • Total insulin dose of <1.2 (I)U/kg/day
  • Diabetes duration of at least 12 months at the time of screening
  • Stable insulin regimen for at least 2 months prior to inclusion into the trial

Who cannot join

  • Systolic blood pressure < 90 mmHg or >139 mmHg and/or diastolic blood pressure < 50 mmHg or > 89 mmHg
  • Heart rate at rest outside the range of 50- 90 beats per minute
  • Clinically significant abnormal standard 12-lead electrocardiogram (ECG) after 5 minutes resting in supine position at screening
  • Proliferative retinopathy or maculopathy as judged by the investigator based on a recent (<1 year) ophthalmologic examination
  • Peripheral neuropathy
  • More than one episode of severe hypoglycaemia with seizure, coma or requiring assistance of another person during the past 6 months pior to screening
Show all 13Show fewer
  • Hospitalisation for diabetic ketoacidosis during the previous 6 months prior to screening
  • Significant history of alcoholism or drug abuse
  • Smoking more than 5 cigarettes or the equivalent per day
  • Tested positive for hepatitis Bs antigen
  • Tested positive for hepatitis C antibodies
  • Positive result to the test for HIV-1/2 antibodies or HIV-1 antigen
  • Estimated glomerular filtration rate (eGFR) < 60.0 mL/min/1.73m2

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Germany1 site, 1 recruiting
  • Profil Institut für Stoffwechselforschung GmbH

    Neuss, North Rhine-Westphalia, 41460

    Investigator, +49213140180, clinicaltrialservices@profil.com

    Recruiting

Other trials in Germany

About this study

Official title: A Trial to Investigate the Relative Bioavailability, Relative Biopotency and Food Effect of SCD0503 (Oral Insulin) in Comparison to Subcutaneous Regular Human Insulin Under Euglycaemic Clamp Conditions and After Food Intake in People With Type I Diabetes

Reason for the study The participants have been diagnosed with type 1 diabetes and are being treated with standard insulin therapy.

The sponsor of the study is developing a new insulin-based medicine that can be taken by mouth (orally). For this reason, the investigational product named SCD0503 is to be tested in the study. The sponsor wants to investigate the course of blood concentrations and the blood sugar-lowering effect of the investigational product and to find out whether SCD0503 is safe.

Read more

Investigational product tested in this study The investigational product tested, SCD0503, is still under clinical evaluation and has not yet been approved for your treatment. The active ingredient is regular human insulin, which has been used for many years in approved medicines for the treatment of diabetes. SCD0503 is being used in humans for the first time in this study.

Study procedures The study will last for approximately 1 to 4 months. During this time, the participant will come to the investigational site 8 times for visits.

During 4 visits the participant will undergo a clamp examination. The blood sugar-lowering effect of the investigational product is determined using a clamp device, a computer-controlled device that maintains blood sugar at a constant level within the normal range. This is achieved by infusing a sugar solution. During 2 further visits the participant will have a meal test. During the meal test, the blood sugar-lowering effect of the investigational product is determined after intake of a standardized meal as breakfast. You will have catheters in your arms to take blood, measure your blood sugar level and to infuse glucose (sugar) or insulin, if needed.

SCD0503 is compared with a regular human insulin already approved for the treatment of diabetes.

The participant will receive SCD0503 and the comparator product during different visits to the investigational site. The participant will also receive a placebo together with the investigational or the comparator product. The placebo looks identical but contains no active ingredient. As the investigational product is administered orally and the comparator product is injected under the skin, two placebos are used in this study.

The order of medications given will be decided by chance, using a pre-defined method called randomization (a procedure similar to flipping a coin). Neither the participant nor the study physician will know which of the 2 medicines is administered at the respective dosing occasion. However, in case of emergency, this information will be quickly available.

Being tested
oral insulin, Placebo A, subcutaneous insulin, Placebo B
Medical subject headings
Diabetes Mellitus, Type 1

What participants receive

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

  • oral insulinBiological

    Also called SCD0503 low dose, SCD0503 medium dose, SCD0503 high dose

    test product

  • Placebo AOther

    Also called Placebo A low dose, Placebo A medium dose, Plaebo A high dose

    placebo for test product

  • subcutaneous insulinBiological

    Also called Actrapid

    reference product/comparator

  • Placebo BOther

    placebo for reference product

Study groups in NCT07634770
Study groupRoleWhat they receive
Sequence 1: SCD0503 low dose-SCD0503 medium dose-Actrapid-SCD0503 high dose-SCD0503 medium -ActrapidExperimentalSCD0503 low dose: placebo B (subcutaneous injection)/ SCD0503 low dose + Placebo A medium dose (oral) SCD0503 medium dose: placebo B (subcutaneous injection)/ SCD0503 medium dose + Placebo A low dose (oral) SCD0503 high dose: placebo B (subcutaneous injection)/ SCD0503 high dose (oral) Actrapid: subcutaneous insulin/ Placebo A high dose (oral)
Receives: Biological: oral insulin; Other: Placebo A; Biological: subcutaneous insulin; Other: Placebo B
Sequence 2: SCD0503 low dose-SCD0503 medium dose-Actrapid-SCD0503 high dose-Actrapid-SCD0503 mediumExperimentalNot described
Receives: Biological: oral insulin; Other: Placebo A; Biological: subcutaneous insulin; Other: Placebo B
Sequence 3: SCD0503 medium dose-SCD0503 high dose-SCD0503 low dose-Actrapid-SCD0503 medium-ActrapidExperimentalNot described
Receives: Biological: oral insulin; Other: Placebo A; Biological: subcutaneous insulin; Other: Placebo B
Sequence 4: SCD0503 medium dose-SCD0503 high dose-SCD0503 low dose-Actrapid-Actrapid-SCD0503 mediumExperimentalNot described
Receives: Biological: oral insulin; Other: Placebo A; Biological: subcutaneous insulin; Other: Placebo B
Sequence 5: SCD0503 high dose-Actrapid-SCD0503 medium dose-SCD0503 low dose-SCD0503 medium-ActrapidExperimentalNot described
Receives: Biological: oral insulin; Other: Placebo A; Biological: subcutaneous insulin; Other: Placebo B
Sequence 6: SCD0503 high dose-Actrapid-SCD0503 medium dose-SCD0503 low dose-Actrapid-SCD0503 mediumExperimentalNot described
Receives: Biological: oral insulin; Other: Placebo A; Biological: subcutaneous insulin; Other: Placebo B
Sequence 7: Actrapid-SCD0503 low dose-SCD0503 high dose-SCD0503 medium dose-SCD0503 medium-ActrapidExperimentalNot described
Receives: Biological: oral insulin; Other: Placebo A; Biological: subcutaneous insulin; Other: Placebo B
Sequence 8: Actrapid-SCD0503 low dose-SCD0503 high dose-SCD0503 medium dose-Actrapid-SCD0503 mediumExperimentalNot described
Receives: Biological: oral insulin; Other: Placebo A; Biological: subcutaneous insulin; Other: Placebo B

What is being measured

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

  1. AUCins.0-6h, area under the serum insulin concentration curve from 0 to 6 hours

    Measured: From enrollment to the end of treatment in 4 months

  2. Cins.max, maximum observed insulin concentration

    Measured: From enrollment to the end of treatment in 4 months

  3. AUCGIR.0-6h, area under the insulin concentration-time curve from 0 to 6 hours

    Measured: From enrollment to the end of treatment in 4 months

  4. GRELcl, Relative biopotency (will be derived of the dose corrected ratio of AUCGIR.0-6h for oral and sc insulin)

    Measured: From enrollment to the end of treatment in 4 months

Secondary outcomes (20)
  1. AUCins.0-1h, AUCins.0-2h, AUCins.0-4h, areas under the serum insulin concentration curve in the indicated time intervals

    Measured: From enrollment to the end of treatment in 4 months

  2. tmax.ins., time to maximum observed insulin concentration

    Measured: From enrollment to the end of treatment in 4 months

  3. λz, terminal elimination rate constant of insulin

    Measured: From enrollment to the end of treatment in 4 months

  4. t½ is the terminal serum elimination half-life calculated as t½=ln2/λz

    Measured: From enrollment to the end of treatment in 4 months

  5. MRT, Mean residence time (h)

    Measured: From enrollment to the end of treatment in 4 months

  6. CL/F, Systemic clearance after oral administration (mL/min)

    Measured: From enrollment to the end of treatment in 4 months

  7. V/F, volume of distribution (L)

    Measured: From enrollment to the end of treatment in 4 months

  8. FRELcl, Relative bioavailability (will be derived from the dose corrected ratio of AUCins.0-6h for oral and sc insulin)

    Measured: From enrollment to the end of treatment in 4 months

  9. Cins.max.fed, maximum observed insulin concentration after meal test

    Measured: From enrollment to the end of treatment in 4 months

  10. AUCins.fed.0-1h, AUCins.fed.0-2h, AUCins.fed.0-4h, AUCins.fed.0-6h, areas under the serum insulin concentration curve in the indicated time intervals after meal test

    Measured: From enrollment to the end of treatment in 4 months

  11. FRELfed, Relative bioavailability (will be derived of the dose corrected ratio of AUCins.fed.0-6 for oral and sc insulin)

    Measured: From enrollment to the end of treatment in 4 months

  12. Food effect is investigated by comparing the total and maximum oral insulin exposure in the fasted state and after food intake

    Measured: From enrollment to the end of treatment in 4 months

  13. AUCGIR.0-1h, AUCGIR.0-2h and AUCGIR.0-4h, areas under the glucose infusion rate curve in the indicated time-intervals

    Measured: From enrollment to the end of treatment in 4 months

  14. GIRmax, maximum glucose infusion rate

    Measured: From enrollment to the end of treatment in 4 months

  15. tmax.GIR., time to maximum glucose infusion rate

    Measured: From enrollment to the end of treatment in 4 months

  16. t50%-GIR(early), time to half-maximum glucose infusion rate before GIRmax

    Measured: From enrollment to the end of treatment in 4 months

  17. t50%-GIR(late), time to half-maximum glucose infusion rate after GIRmax

    Measured: From enrollment to the end of treatment in 4 months

  18. Onset of action, time from trial product administration until plasma glucose concentration has decreased at least 5 mg/dL from baseline

    where baseline is defined as the mean of plasma glucose levels from -6, -4 and -2 minutes before trial product adminiadministration as measured by ClampArt

    Measured: From enrollment to the end of treatment in 4 months

  19. PGmax, maximum plasma glucose after meal test

    Measured: From enrollment to the end of treatment in 4 months

  20. AUCPG.0-1h, AUCPG.0-2h and AUCPG.0-4h and AUCPG.0-last areas under the plasma glucose concentration curve in the indicated time-intervals

    Measured: From enrollment to the end of treatment in 4 months

Timeline

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

  1. First posted9 Jun 2026
  2. Study start29 May 2026
  3. Primary completionOct 2026 (estimated)
  4. Study completionOct 2026 (estimated)

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
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
16 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07634770
Sponsor's protocol ID
SCD-4E001
Other IDs
2024-519502-12
Status last verified
Jun 2026
First submitted
26 May 2026
Last updated
9 Jun 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing oral insulin and subcutaneous insulin in people with Diabetes Mellitus, Type 1, run by Sam Chun Dang Pharm. Co. Ltd. at 1 site in Germany.

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 8 inclusion and 13 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: looking for participants now, as of the sponsor's last update on 9 Jun 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 Germany. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Clinical Manager (please reach out by email, scd.global@scd.co.kr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

AUCins.0-6h, area under the serum insulin concentration curve from 0 to 6 hours (time frame: From enrollment to the end of treatment in 4 months). The study lists 4 primary outcomes in all. 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 9 Jun 2026.

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