Trial Outcomes & Findings for Dose-Finding Study of Intranasal Insulin in Healthy Participants Insulin in Healthy Participants (NCT NCT05062785)

NCT ID: NCT05062785

Last Updated: 2026-03-27

Results Overview

Results reflect the participants who experienced severe hypoglycemia generically at the time they received a dose of insulin, as defined by blood glucose \< 45 milligrams per deciliter (mg/dL). Severe hypoglycemia was considered a dose limiting toxicity (DLT).

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

Within 4 hours of dosing during each of 5 visits

Results posted on

2026-03-27

Participant Flow

The dosing schedule for each cohort was based on the occurrence of SAEs in the previous cohort. If no SAE occurred in any of the cohort's participants, then the dose escalation schedule for the next cohort was weighted towards higher doses and excluded a lower dose. One participant in Cohort 2 did not attend the final visit after Cohort 3 had already begun, so Cohort 3's dosing was not adjusted. Only Cohort 4 adaptively shifted to higher doses.

Participant milestones

Participant milestones
Measure
Cohort 1
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 units (U) insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 1 were supposed to receive a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Study Visit 1
STARTED
6
6
6
6
Study Visit 1
Placebo
6
6
6
6
Study Visit 1
100 units
4
0
0
0
Study Visit 1
200 units
2
6
6
0
Study Visit 1
400 units
0
0
0
6
Study Visit 1
COMPLETED
6
6
6
6
Study Visit 1
NOT COMPLETED
0
0
0
0
Washout 1 (Up to 10 days)
STARTED
6
6
6
6
Washout 1 (Up to 10 days)
COMPLETED
6
6
6
5
Washout 1 (Up to 10 days)
NOT COMPLETED
0
0
0
1
Study Visit 2
STARTED
6
6
6
5
Study Visit 2
400 units
6
6
6
0
Study Visit 2
600 units
0
0
0
5
Study Visit 2
COMPLETED
6
6
6
5
Study Visit 2
NOT COMPLETED
0
0
0
0
Washout 2 (Up to 10 days)
STARTED
6
6
6
5
Washout 2 (Up to 10 days)
COMPLETED
6
6
6
5
Washout 2 (Up to 10 days)
NOT COMPLETED
0
0
0
0
Study Visit 3
STARTED
6
6
6
5
Study Visit 3
600 units
6
6
6
0
Study Visit 3
800 units
0
0
0
5
Study Visit 3
COMPLETED
6
6
6
5
Study Visit 3
NOT COMPLETED
0
0
0
0
Washout 3 (Up to 10 days)
STARTED
6
6
6
5
Washout 3 (Up to 10 days)
COMPLETED
6
6
6
5
Washout 3 (Up to 10 days)
NOT COMPLETED
0
0
0
0
Study Visit 4
STARTED
6
6
6
5
Study Visit 4
500 units
1
0
0
0
Study Visit 4
800 units
5
6
6
0
Study Visit 4
900 units
0
0
0
5
Study Visit 4
COMPLETED
6
6
6
5
Study Visit 4
NOT COMPLETED
0
0
0
0
Washout 4 (Up to 10 days)
STARTED
6
6
6
5
Washout 4 (Up to 10 days)
COMPLETED
6
6
6
5
Washout 4 (Up to 10 days)
NOT COMPLETED
0
0
0
0
Study Visit 5
STARTED
6
6
6
5
Study Visit 5
500 units
1
0
0
0
Study Visit 5
1000 units
5
6
6
5
Study Visit 5
COMPLETED
6
6
6
5
Study Visit 5
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 units (U) insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 1 were supposed to receive a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Washout 1 (Up to 10 days)
Withdrawal by Subject
0
0
0
1

Baseline Characteristics

Dose-Finding Study of Intranasal Insulin in Healthy Participants Insulin in Healthy Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 1 were supposed to receive a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
61.7 years
STANDARD_DEVIATION 13.7 • n=56 Participants
41.8 years
STANDARD_DEVIATION 16.2 • n=62 Participants
52.8 years
STANDARD_DEVIATION 11.7 • n=123 Participants
42.7 years
STANDARD_DEVIATION 11.2 • n=53 Participants
49.7 years
STANDARD_DEVIATION 16.0 • n=654 Participants
Sex: Female, Male
Female
3 Participants
n=56 Participants
3 Participants
n=62 Participants
3 Participants
n=123 Participants
3 Participants
n=53 Participants
12 Participants
n=654 Participants
Sex: Female, Male
Male
3 Participants
n=56 Participants
3 Participants
n=62 Participants
3 Participants
n=123 Participants
3 Participants
n=53 Participants
12 Participants
n=654 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=56 Participants
0 Participants
n=62 Participants
0 Participants
n=123 Participants
1 Participants
n=53 Participants
1 Participants
n=654 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=56 Participants
6 Participants
n=62 Participants
6 Participants
n=123 Participants
5 Participants
n=53 Participants
23 Participants
n=654 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=56 Participants
0 Participants
n=62 Participants
0 Participants
n=123 Participants
0 Participants
n=53 Participants
0 Participants
n=654 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=56 Participants
0 Participants
n=62 Participants
0 Participants
n=123 Participants
0 Participants
n=53 Participants
0 Participants
n=654 Participants
Race (NIH/OMB)
Asian
0 Participants
n=56 Participants
1 Participants
n=62 Participants
1 Participants
n=123 Participants
0 Participants
n=53 Participants
2 Participants
n=654 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=56 Participants
0 Participants
n=62 Participants
0 Participants
n=123 Participants
0 Participants
n=53 Participants
0 Participants
n=654 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=56 Participants
1 Participants
n=62 Participants
0 Participants
n=123 Participants
2 Participants
n=53 Participants
4 Participants
n=654 Participants
Race (NIH/OMB)
White
5 Participants
n=56 Participants
4 Participants
n=62 Participants
5 Participants
n=123 Participants
4 Participants
n=53 Participants
18 Participants
n=654 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=56 Participants
0 Participants
n=62 Participants
0 Participants
n=123 Participants
0 Participants
n=53 Participants
0 Participants
n=654 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=56 Participants
0 Participants
n=62 Participants
0 Participants
n=123 Participants
0 Participants
n=53 Participants
0 Participants
n=654 Participants
Region of Enrollment
United States
6 Participants
n=56 Participants
6 Participants
n=62 Participants
6 Participants
n=123 Participants
6 Participants
n=53 Participants
24 Participants
n=654 Participants

PRIMARY outcome

Timeframe: Within 4 hours of dosing during each of 5 visits

Results reflect the participants who experienced severe hypoglycemia generically at the time they received a dose of insulin, as defined by blood glucose \< 45 milligrams per deciliter (mg/dL). Severe hypoglycemia was considered a dose limiting toxicity (DLT).

Outcome measures

Outcome measures
Measure
Cohort 4
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Severe Hypoglycemia
Study Visit 4
0 Participants
0 Participants
0 Participants
0 Participants
Severe Hypoglycemia
Study Visit 5
0 Participants
0 Participants
0 Participants
0 Participants
Severe Hypoglycemia
Study Visit 1
0 Participants
0 Participants
0 Participants
0 Participants
Severe Hypoglycemia
Study Visit 2
0 Participants
0 Participants
0 Participants
0 Participants
Severe Hypoglycemia
Study Visit 3
1 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline and up to 4 hours after drug administration (Study Visit 1, Day 1)

Change in participant blood glucose from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. Higher numbers indicated a higher level of blood glucose. This procedure was followed at each study visit.

Outcome measures

Outcome measures
Measure
Cohort 4
n=4 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Blood Glucose - Study Visit 1 (100 Units)
240 Minutes Post Insulin Administration
96.3 mg per dL
Standard Deviation 15.1
Change in Blood Glucose - Study Visit 1 (100 Units)
Baseline
94.8 mg per dL
Standard Deviation 6.7
Change in Blood Glucose - Study Visit 1 (100 Units)
15 Minutes Post Insulin Administration
92.5 mg per dL
Standard Deviation 6.2
Change in Blood Glucose - Study Visit 1 (100 Units)
30 Minutes Post Insulin Administration
91.8 mg per dL
Standard Deviation 13.8
Change in Blood Glucose - Study Visit 1 (100 Units)
60 Minutes Post Insulin Administration
90.0 mg per dL
Standard Deviation 10.8
Change in Blood Glucose - Study Visit 1 (100 Units)
120 Minutes Post Insulin Administration
88.0 mg per dL
Standard Deviation 7.3
Change in Blood Glucose - Study Visit 1 (100 Units)
180 Minutes Post Insulin Administration
91.5 mg per dL
Standard Deviation 11.7

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Change in participant blood glucose from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. Higher numbers indicated a higher level of blood glucose. This procedure was followed at each study visit.

Outcome measures

Outcome measures
Measure
Cohort 4
n=2 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Blood Glucose - Study Visit 1 (200 Units)
Baseline
79 mg per dL
Standard Deviation 7.1
94.2 mg per dL
Standard Deviation 8.2
90.2 mg per dL
Standard Deviation 7.5
Change in Blood Glucose - Study Visit 1 (200 Units)
120 Minutes Post Insulin Administration
77 mg per dL
Standard Deviation 9.9
93.2 mg per dL
Standard Deviation 9.8
88.3 mg per dL
Standard Deviation 9.8
Change in Blood Glucose - Study Visit 1 (200 Units)
180 Minutes Post Insulin Administration
79 mg per dL
Standard Deviation 9.9
92.5 mg per dL
Standard Deviation 11.0
88.0 mg per dL
Standard Deviation 13.9
Change in Blood Glucose - Study Visit 1 (200 Units)
240 Minutes Post Insulin Administration
76 mg per dL
Standard Deviation 4.2
89.9 mg per dL
Standard Deviation 7.3
87.3 mg per dL
Standard Deviation 9.0
Change in Blood Glucose - Study Visit 1 (200 Units)
15 Minutes Post Insulin Administration
77.5 mg per dL
Standard Deviation 7.8
90.8 mg per dL
Standard Deviation 10.4
93.8 mg per dL
Standard Deviation 10.8
Change in Blood Glucose - Study Visit 1 (200 Units)
30 Minutes Post Insulin Administration
75.5 mg per dL
Standard Deviation 9.2
92.3 mg per dL
Standard Deviation 8.0
86.3 mg per dL
Standard Deviation 11.3
Change in Blood Glucose - Study Visit 1 (200 Units)
60 Minutes Post Insulin Administration
77 mg per dL
Standard Deviation 7.1
91.5 mg per dL
Standard Deviation 9.9
89.2 mg per dL
Standard Deviation 10.8

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Change in participant blood glucose from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. Higher numbers indicated a higher level of blood glucose. This procedure was followed at each study visit.

Outcome measures

Outcome measures
Measure
Cohort 4
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Blood Glucose - Study Visit 1 (400 Units)
Baseline
95.8 mg per dL
Standard Deviation 11.5
Change in Blood Glucose - Study Visit 1 (400 Units)
30 Minutes Post Insulin Administration
93.8 mg per dL
Standard Deviation 7.5
Change in Blood Glucose - Study Visit 1 (400 Units)
60 Minutes Post Insulin Administration
96.3 mg per dL
Standard Deviation 8.9
Change in Blood Glucose - Study Visit 1 (400 Units)
120 Minutes Post Insulin Administration
92.3 mg per dL
Standard Deviation 2.7
Change in Blood Glucose - Study Visit 1 (400 Units)
180 Minutes Post Insulin Administration
91.2 mg per dL
Standard Deviation 8.6
Change in Blood Glucose - Study Visit 1 (400 Units)
15 Minutes Post Insulin Administration
97.0 mg per dL
Standard Deviation 8.1
Change in Blood Glucose - Study Visit 1 (400 Units)
240 Minutes Post Insulin Administration
88.8 mg per dL
Standard Deviation 10.5

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Change in participant blood glucose from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. Higher numbers indicated a higher level of blood glucose. This procedure was followed at each study visit.

Outcome measures

Outcome measures
Measure
Cohort 4
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Blood Glucose - Study Visit 2 (400 Units)
Baseline
83.8 mg per dL
Standard Deviation 9.5
88.3 mg per dL
Standard Deviation 16.3
93.3 mg per dL
Standard Deviation 6.7
Change in Blood Glucose - Study Visit 2 (400 Units)
15 Minutes Post Insulin Administration
84.8 mg per dL
Standard Deviation 3.6
91.7 mg per dL
Standard Deviation 5.4
88.7 mg per dL
Standard Deviation 6.3
Change in Blood Glucose - Study Visit 2 (400 Units)
30 Minutes Post Insulin Administration
83.8 mg per dL
Standard Deviation 2.4
89.8 mg per dL
Standard Deviation 11.0
86.3 mg per dL
Standard Deviation 9.4
Change in Blood Glucose - Study Visit 2 (400 Units)
60 Minutes Post Insulin Administration
80.4 mg per dL
Standard Deviation 6.1
90.3 mg per dL
Standard Deviation 5.3
85.0 mg per dL
Standard Deviation 4.2
Change in Blood Glucose - Study Visit 2 (400 Units)
120 Minutes Post Insulin Administration
81.7 mg per dL
Standard Deviation 5.7
90.5 mg per dL
Standard Deviation 5.5
85.5 mg per dL
Standard Deviation 8.3
Change in Blood Glucose - Study Visit 2 (400 Units)
180 Minutes Post Insulin Administration
80 mg per dL
Standard Deviation 3.3
90.8 mg per dL
Standard Deviation 4.8
83.8 mg per dL
Standard Deviation 9.1
Change in Blood Glucose - Study Visit 2 (400 Units)
240 Minutes Post Insulin Administration
82.5 mg per dL
Standard Deviation 4.0
92.2 mg per dL
Standard Deviation 6.1
84.5 mg per dL
Standard Deviation 7.1

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Population: 1 participant withdrew from the trial prior to Study Visit 2.

Change in participant blood glucose from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. Higher numbers indicated a higher level of blood glucose. This procedure was followed at each study visit.

Outcome measures

Outcome measures
Measure
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Blood Glucose - Study Visit 2 (600 Units)
Baseline
93.6 mg per dL
Standard Deviation 6.6
Change in Blood Glucose - Study Visit 2 (600 Units)
15 Minutes Post Insulin Administration
93.8 mg per dL
Standard Deviation 11.7
Change in Blood Glucose - Study Visit 2 (600 Units)
30 Minutes Post Insulin Administration
85.0 mg per dL
Standard Deviation 19.4
Change in Blood Glucose - Study Visit 2 (600 Units)
60 Minutes Post Insulin Administration
97.0 mg per dL
Standard Deviation 6.9
Change in Blood Glucose - Study Visit 2 (600 Units)
120 Minutes Post Insulin Administration
94.8 mg per dL
Standard Deviation 4.6
Change in Blood Glucose - Study Visit 2 (600 Units)
180 Minutes Post Insulin Administration
93.8 mg per dL
Standard Deviation 5.6
Change in Blood Glucose - Study Visit 2 (600 Units)
240 Minutes Post Insulin Administration
95.6 mg per dL
Standard Deviation 3.6

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Population: 1 participant experienced a hypoglycemic episode, and blood was drawn at additional intervals. The additional intervals were neither prespecified outcome measures nor intended to be outcome measures and were collected for safety data only.

Change in participant blood glucose from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. Higher numbers indicated a higher level of blood glucose. This procedure was followed at each study visit.

Outcome measures

Outcome measures
Measure
Cohort 4
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Blood Glucose - Study Visit 3 (600 Units)
60 Minutes Post Insulin Administration
100.2 mg per dL
Standard Deviation 56.4
89.0 mg per dL
Standard Deviation 10.4
86.7 mg per dL
Standard Deviation 12.7
Change in Blood Glucose - Study Visit 3 (600 Units)
120 Minutes Post Insulin Administration
79.3 mg per dL
Standard Deviation 8.1
90.8 mg per dL
Standard Deviation 6.8
91.8 mg per dL
Standard Deviation 15.0
Change in Blood Glucose - Study Visit 3 (600 Units)
Baseline
82.5 mg per dL
Standard Deviation 6.1
94.5 mg per dL
Standard Deviation 16.0
94.2 mg per dL
Standard Deviation 5.1
Change in Blood Glucose - Study Visit 3 (600 Units)
15 Minutes Post Insulin Administration
86.2 mg per dL
Standard Deviation 7.0
88.0 mg per dL
Standard Deviation 10.2
96.8 mg per dL
Standard Deviation 11.2
Change in Blood Glucose - Study Visit 3 (600 Units)
30 Minutes Post Insulin Administration
75.3 mg per dL
Standard Deviation 13.6
88.3 mg per dL
Standard Deviation 13.2
90.3 mg per dL
Standard Deviation 8.5
Change in Blood Glucose - Study Visit 3 (600 Units)
180 Minutes Post Insulin Administration
80.7 mg per dL
Standard Deviation 5.2
85.8 mg per dL
Standard Deviation 7.7
92.3 mg per dL
Standard Deviation 13.2
Change in Blood Glucose - Study Visit 3 (600 Units)
240 Minutes Post Insulin Administration
80.0 mg per dL
Standard Deviation 6.9
85.7 mg per dL
Standard Deviation 11.3
94.3 mg per dL
Standard Deviation 10.1

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Population: 1 participant withdrew from the trial prior to Study Visit 2.

Change in participant blood glucose from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. Higher numbers indicated a higher level of blood glucose. This procedure was followed at each study visit.

Outcome measures

Outcome measures
Measure
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Blood Glucose - Study Visit 3 (800 Units)
Baseline
97.8 mg per dL
Standard Deviation 14.9
Change in Blood Glucose - Study Visit 3 (800 Units)
15 Minutes Post Insulin Administration
97.6 mg per dL
Standard Deviation 13.5
Change in Blood Glucose - Study Visit 3 (800 Units)
30 Minutes Post Insulin Administration
97.2 mg per dL
Standard Deviation 13.5
Change in Blood Glucose - Study Visit 3 (800 Units)
60 Minutes Post Insulin Administration
97.0 mg per dL
Standard Deviation 10.2
Change in Blood Glucose - Study Visit 3 (800 Units)
120 Minutes Post Insulin Administration
101.6 mg per dL
Standard Deviation 11.4
Change in Blood Glucose - Study Visit 3 (800 Units)
180 Minutes Post Insulin Administration
95.8 mg per dL
Standard Deviation 8.6
Change in Blood Glucose - Study Visit 3 (800 Units)
240 Minutes Post Insulin Administration
94.2 mg per dL
Standard Deviation 6.4

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Change in participant blood glucose from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. Higher numbers indicated a higher level of blood glucose. This procedure was followed at each study visit.

Outcome measures

Outcome measures
Measure
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Blood Glucose - Study Visit 4 (800 Units)
30 Minutes Post Insulin Administration
85.0 mg per dL
Standard Deviation 9.1
87.5 mg per dL
Standard Deviation 5.4
78.5 mg per dL
Standard Deviation 9.8
Change in Blood Glucose - Study Visit 4 (800 Units)
60 Minutes Post Insulin Administration
83.2 mg per dL
Standard Deviation 11.2
86.0 mg per dL
Standard Deviation 8.5
83 mg per dL
Standard Deviation 13.7
Change in Blood Glucose - Study Visit 4 (800 Units)
120 Minutes Post Insulin Administration
87.0 mg per dL
Standard Deviation 5.8
87.0 mg per dL
Standard Deviation 9.3
86.0 mg per dL
Standard Deviation 10.3
Change in Blood Glucose - Study Visit 4 (800 Units)
180 Minutes Post Insulin Administration
87.6 mg per dL
Standard Deviation 2.9
91.2 mg per dL
Standard Deviation 7.4
90.2 mg per dL
Standard Deviation 10.3
Change in Blood Glucose - Study Visit 4 (800 Units)
Baseline
87.8 mg per dL
Standard Deviation 7.7
98.8 mg per dL
Standard Deviation 9.8
91.2 mg per dL
Standard Deviation 10.6
Change in Blood Glucose - Study Visit 4 (800 Units)
15 Minutes Post Insulin Administration
82.2 mg per dL
Standard Deviation 7.4
90.5 mg per dL
Standard Deviation 6.0
87.7 mg per dL
Standard Deviation 13.5
Change in Blood Glucose - Study Visit 4 (800 Units)
240 Minutes Post Insulin Administration
90.4 mg per dL
Standard Deviation 11.9
90.8 mg per dL
Standard Deviation 7.7
85.2 mg per dL
Standard Deviation 7.3

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Population: 1 participant withdrew from the trial prior to Study Visit 2.

Change in participant blood glucose from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. Higher numbers indicated a higher level of blood glucose. This procedure was followed at each study visit.

Outcome measures

Outcome measures
Measure
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Blood Glucose - Study Visit 4 (900 Units)
15 Minutes Post Insulin Administration
101.2 mg per dL
Standard Deviation 12.1
Change in Blood Glucose - Study Visit 4 (900 Units)
30 Minutes Post Insulin Administration
93.8 mg per dL
Standard Deviation 14.4
Change in Blood Glucose - Study Visit 4 (900 Units)
Baseline
100.8 mg per dL
Standard Deviation 9.4
Change in Blood Glucose - Study Visit 4 (900 Units)
60 Minutes Post Insulin Administration
93.2 mg per dL
Standard Deviation 15.6
Change in Blood Glucose - Study Visit 4 (900 Units)
120 Minutes Post Insulin Administration
97.6 mg per dL
Standard Deviation 18.7
Change in Blood Glucose - Study Visit 4 (900 Units)
180 Minutes Post Insulin Administration
98.6 mg per dL
Standard Deviation 12.0
Change in Blood Glucose - Study Visit 4 (900 Units)
240 Minutes Post Insulin Administration
100.4 mg per dL
Standard Deviation 5.8

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Population: 1 participant in Cohort 4 withdrew from the trial prior to Study Visit 2.

Change in participant blood glucose from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. Higher numbers indicated a higher level of blood glucose. This procedure was followed at each study visit.

Outcome measures

Outcome measures
Measure
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Blood Glucose - Study Visit 5 (1000 Units)
Baseline
86.6 mg per dL
Standard Deviation 3.5
90.8 mg per dL
Standard Deviation 3.5
96.2 mg per dL
Standard Deviation 8.7
100.4 mg per dL
Standard Deviation 15.9
Change in Blood Glucose - Study Visit 5 (1000 Units)
15 Minutes Post Insulin Administration
82.6 mg per dL
Standard Deviation 0.9
90.8 mg per dL
Standard Deviation 5.1
90.7 mg per dL
Standard Deviation 4.2
103.0 mg per dL
Standard Deviation 18.5
Change in Blood Glucose - Study Visit 5 (1000 Units)
30 Minutes Post Insulin Administration
77.8 mg per dL
Standard Deviation 3.3
85.0 mg per dL
Standard Deviation 4.0
85.0 mg per dL
Standard Deviation 7.3
98.2 mg per dL
Standard Deviation 22.4
Change in Blood Glucose - Study Visit 5 (1000 Units)
60 Minutes Post Insulin Administration
83.6 mg per dL
Standard Deviation 4.2
89.3 mg per dL
Standard Deviation 10.3
82.7 mg per dL
Standard Deviation 5.5
97.6 mg per dL
Standard Deviation 21.7
Change in Blood Glucose - Study Visit 5 (1000 Units)
240 Minutes Post Insulin Administration
86.0 mg per dL
Standard Deviation 12.3
87.8 mg per dL
Standard Deviation 7.2
90.7 mg per dL
Standard Deviation 7.3
98.2 mg per dL
Standard Deviation 17.4
Change in Blood Glucose - Study Visit 5 (1000 Units)
120 Minutes Post Insulin Administration
83.2 mg per dL
Standard Deviation 7.0
87.7 mg per dL
Standard Deviation 9.6
87.7 mg per dL
Standard Deviation 5.1
96.2 mg per dL
Standard Deviation 16.1
Change in Blood Glucose - Study Visit 5 (1000 Units)
180 Minutes Post Insulin Administration
86.0 mg per dL
Standard Deviation 9.5
88.5 mg per dL
Standard Deviation 7.6
88.8 mg per dL
Standard Deviation 9.3
98.2 mg per dL
Standard Deviation 18.2

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Change in participant C-peptide Levels from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study visit. C-peptide levels in the blood indicate how much insulin the pancreas is producing. Lower C-peptide levels suggest the body is producing little or no insulin, while higher C-peptide levels may indicate insulin resistance.

Outcome measures

Outcome measures
Measure
Cohort 4
n=4 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum C-peptide Levels - Study Visit 1 (100 Units)
Baseline
0.8 ng per mL
Standard Deviation 0.1
Change in Serum C-peptide Levels - Study Visit 1 (100 Units)
240 Minutes Post Insulin Administration
0.6 ng per mL
Standard Deviation 0.3
Change in Serum C-peptide Levels - Study Visit 1 (100 Units)
15 Minutes Post Insulin Administration
0.9 ng per mL
Standard Deviation 0.4
Change in Serum C-peptide Levels - Study Visit 1 (100 Units)
30 Minutes Post Insulin Administration
0.8 ng per mL
Standard Deviation 0.3
Change in Serum C-peptide Levels - Study Visit 1 (100 Units)
60 Minutes Post Insulin Administration
0.8 ng per mL
Standard Deviation 0.4
Change in Serum C-peptide Levels - Study Visit 1 (100 Units)
120 Minutes Post Insulin Administration
0.7 ng per mL
Standard Deviation 0.3
Change in Serum C-peptide Levels - Study Visit 1 (100 Units)
180 Minutes Post Insulin Administration
0.7 ng per mL
Standard Deviation 0.3

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Change in participant C-peptide Levels from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study visit. C-peptide levels in the blood indicate how much insulin the pancreas is producing. Lower C-peptide levels suggest the body is producing little or no insulin, while higher C-peptide levels may indicate insulin resistance.

Outcome measures

Outcome measures
Measure
Cohort 4
n=2 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum C-peptide Levels - Study Visit 1 (200 Units)
Baseline
1.0 ng per mL
Standard Deviation 0.0
2.5 ng per mL
Standard Deviation 1.0
1.2 ng per mL
Standard Deviation 0.3
Change in Serum C-peptide Levels - Study Visit 1 (200 Units)
15 Minutes Post Insulin Administration
1.0 ng per mL
Standard Deviation 0.1
2.2 ng per mL
Standard Deviation 0.9
1.2 ng per mL
Standard Deviation 0.3
Change in Serum C-peptide Levels - Study Visit 1 (200 Units)
30 Minutes Post Insulin Administration
0.9 ng per mL
Standard Deviation 0.1
2.0 ng per mL
Standard Deviation 0.8
1.0 ng per mL
Standard Deviation 0.3
Change in Serum C-peptide Levels - Study Visit 1 (200 Units)
60 Minutes Post Insulin Administration
0.9 ng per mL
Standard Deviation 01
2.0 ng per mL
Standard Deviation 0.8
1.0 ng per mL
Standard Deviation 0.3
Change in Serum C-peptide Levels - Study Visit 1 (200 Units)
120 Minutes Post Insulin Administration
0.9 ng per mL
Standard Deviation 0.1
2.1 ng per mL
Standard Deviation 0.8
1.1 ng per mL
Standard Deviation 0.4
Change in Serum C-peptide Levels - Study Visit 1 (200 Units)
180 Minutes Post Insulin Administration
0.9 ng per mL
Standard Deviation 0.1
1.3 ng per mL
Standard Deviation 0.6
1.0 ng per mL
Standard Deviation 0.4
Change in Serum C-peptide Levels - Study Visit 1 (200 Units)
240 Minutes Post Insulin Administration
0.9 ng per mL
Standard Deviation 0.1
2.0 ng per mL
Standard Deviation 0.9
1.0 ng per mL
Standard Deviation 0.3

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Change in participant C-peptide Levels from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study visit. C-peptide levels in the blood indicate how much insulin the pancreas is producing. Lower C-peptide levels suggest the body is producing little or no insulin, while higher C-peptide levels may indicate insulin resistance.

Outcome measures

Outcome measures
Measure
Cohort 4
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum C-peptide Levels - Study Visit 1 (400 Units)
240 Minutes Post Insulin Administration
1.4 ng per mL
Standard Deviation 0.9
Change in Serum C-peptide Levels - Study Visit 1 (400 Units)
Baseline
2.2 ng per mL
Standard Deviation 1.5
Change in Serum C-peptide Levels - Study Visit 1 (400 Units)
15 Minutes Post Insulin Administration
1.9 ng per mL
Standard Deviation 1.3
Change in Serum C-peptide Levels - Study Visit 1 (400 Units)
30 Minutes Post Insulin Administration
1.9 ng per mL
Standard Deviation 1.1
Change in Serum C-peptide Levels - Study Visit 1 (400 Units)
60 Minutes Post Insulin Administration
1.7 ng per mL
Standard Deviation 1.1
Change in Serum C-peptide Levels - Study Visit 1 (400 Units)
120 Minutes Post Insulin Administration
1.6 ng per mL
Standard Deviation 1.0
Change in Serum C-peptide Levels - Study Visit 1 (400 Units)
180 Minutes Post Insulin Administration
1.4 ng per mL
Standard Deviation 0.8

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Change in participant C-peptide Levels from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study. C-peptide levels in the blood indicate how much insulin the pancreas is producing. Lower C-peptide levels suggest the body is producing little or no insulin, while higher C-peptide levels may indicate insulin resistance.

Outcome measures

Outcome measures
Measure
Cohort 4
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum C-peptide Levels - Study Visit 2 (400 Units)
30 Minutes Post Insulin Administration
1.2 ng per mL
Standard Deviation 0.44
2.0 ng per mL
Standard Deviation 0.9
1.6 ng per mL
Standard Deviation 0.5
Change in Serum C-peptide Levels - Study Visit 2 (400 Units)
60 Minutes Post Insulin Administration
1.1 ng per mL
Standard Deviation 0.4
2.0 ng per mL
Standard Deviation 1.0
1.2 ng per mL
Standard Deviation 0.5
Change in Serum C-peptide Levels - Study Visit 2 (400 Units)
Baseline
1.4 ng per mL
Standard Deviation 0.4
2.4 ng per mL
Standard Deviation 0.9
2.1 ng per mL
Standard Deviation 0.7
Change in Serum C-peptide Levels - Study Visit 2 (400 Units)
15 Minutes Post Insulin Administration
1.3 ng per mL
Standard Deviation 0.4
2.0 ng per mL
Standard Deviation 0.9
1.7 ng per mL
Standard Deviation 0.6
Change in Serum C-peptide Levels - Study Visit 2 (400 Units)
120 Minutes Post Insulin Administration
0.8 ng per mL
Standard Deviation 0.2
1.9 ng per mL
Standard Deviation 0.8
1.0 ng per mL
Standard Deviation 0.4
Change in Serum C-peptide Levels - Study Visit 2 (400 Units)
180 Minutes Post Insulin Administration
1.0 ng per mL
Standard Deviation 0.3
1.8 ng per mL
Standard Deviation 0.8
1.0 ng per mL
Standard Deviation 0.4
Change in Serum C-peptide Levels - Study Visit 2 (400 Units)
240 Minutes Post Insulin Administration
0.9 ng per mL
Standard Deviation 0.3
1.6 ng per mL
Standard Deviation 0.7
1.0 ng per mL
Standard Deviation 0.4

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Population: 1 participant withdrew from the trial prior to Study Visit 2.

Change in participant C-peptide Levels from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study. C-peptide levels in the blood indicate how much insulin the pancreas is producing. Lower C-peptide levels suggest the body is producing little or no insulin, while higher C-peptide levels may indicate insulin resistance.

Outcome measures

Outcome measures
Measure
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum C-peptide Levels - Study Visit 2 (600 Units)
Baseline
2.6 ng per mL
Standard Deviation 1.8
Change in Serum C-peptide Levels - Study Visit 2 (600 Units)
15 Minutes Post Insulin Administration
2.2 ng per mL
Standard Deviation 1.4
Change in Serum C-peptide Levels - Study Visit 2 (600 Units)
30 Minutes Post Insulin Administration
2.0 ng per mL
Standard Deviation 1.6
Change in Serum C-peptide Levels - Study Visit 2 (600 Units)
60 Minutes Post Insulin Administration
1.7 ng per mL
Standard Deviation 0.5
Change in Serum C-peptide Levels - Study Visit 2 (600 Units)
120 Minutes Post Insulin Administration
2.5 ng per mL
Standard Deviation 1.4
Change in Serum C-peptide Levels - Study Visit 2 (600 Units)
180 Minutes Post Insulin Administration
1.9 ng per mL
Standard Deviation 1.2
Change in Serum C-peptide Levels - Study Visit 2 (600 Units)
240 Minutes Post Insulin Administration
1.8 ng per mL
Standard Deviation 1.1

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Change in participant C-peptide Levels from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study. C-peptide levels in the blood indicate how much insulin the pancreas is producing. Lower C-peptide levels suggest the body is producing little or no insulin, while higher C-peptide levels may indicate insulin resistance.

Outcome measures

Outcome measures
Measure
Cohort 4
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum C-peptide Levels - Study Visit 3 (600 Units)
30 Minutes Post Insulin Administration
1.13 ng per mL
Standard Deviation 0.3
2.32 ng per mL
Standard Deviation 1.7
2.1 ng per mL
Standard Deviation 1.5
Change in Serum C-peptide Levels - Study Visit 3 (600 Units)
Baseline
1.33 ng per mL
Standard Deviation 0.6
2.8 ng per mL
Standard Deviation 1.9
2.9 ng per mL
Standard Deviation 2.4
Change in Serum C-peptide Levels - Study Visit 3 (600 Units)
15 Minutes Post Insulin Administration
1.24 ng per mL
Standard Deviation 0.4
2.4 ng per mL
Standard Deviation 1.6
2.4 ng per mL
Standard Deviation 1.8
Change in Serum C-peptide Levels - Study Visit 3 (600 Units)
60 Minutes Post Insulin Administration
4.3 ng per mL
Standard Deviation 0.8
2.2 ng per mL
Standard Deviation 1.5
1.5 ng per mL
Standard Deviation 0.8
Change in Serum C-peptide Levels - Study Visit 3 (600 Units)
120 Minutes Post Insulin Administration
1.03 ng per mL
Standard Deviation 0.4
2.8 ng per mL
Standard Deviation 1.9
1.2 ng per mL
Standard Deviation 0.4
Change in Serum C-peptide Levels - Study Visit 3 (600 Units)
180 Minutes Post Insulin Administration
13.2 ng per mL
Standard Deviation 0.9
1.7 ng per mL
Standard Deviation 0.8
1.2 ng per mL
Standard Deviation 0.4
Change in Serum C-peptide Levels - Study Visit 3 (600 Units)
240 Minutes Post Insulin Administration
0.87 ng per mL
Standard Deviation 0.6
1.7 ng per mL
Standard Deviation 0.8
1.2 ng per mL
Standard Deviation 0.4

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Population: 1 participant withdrew from the trial prior to Study Visit 2.

Change in participant C-peptide Levels from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study. C-peptide levels in the blood indicate how much insulin the pancreas is producing. Lower C-peptide levels suggest the body is producing little or no insulin, while higher C-peptide levels may indicate insulin resistance.

Outcome measures

Outcome measures
Measure
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum C-peptide Levels - Study Visit 3 (800 Units)
Baseline
5.2 ng per mL
Standard Deviation 6.3
Change in Serum C-peptide Levels - Study Visit 3 (800 Units)
15 Minutes Post Insulin Administration
3.2 ng per mL
Standard Deviation 2.8
Change in Serum C-peptide Levels - Study Visit 3 (800 Units)
30 Minutes Post Insulin Administration
2.8 ng per mL
Standard Deviation 2.1
Change in Serum C-peptide Levels - Study Visit 3 (800 Units)
60 Minutes Post Insulin Administration
2.4 ng per mL
Standard Deviation 1.8
Change in Serum C-peptide Levels - Study Visit 3 (800 Units)
120 Minutes Post Insulin Administration
2.2 ng per mL
Standard Deviation 1.2
Change in Serum C-peptide Levels - Study Visit 3 (800 Units)
180 Minutes Post Insulin Administration
2.0 ng per mL
Standard Deviation 1.3
Change in Serum C-peptide Levels - Study Visit 3 (800 Units)
240 Minutes Post Insulin Administration
2.0 ng per mL
Standard Deviation 1.3

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Change in participant C-peptide Levels from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study. C-peptide levels in the blood indicate how much insulin the pancreas is producing. Lower C-peptide levels suggest the body is producing little or no insulin, while higher C-peptide levels may indicate insulin resistance.

Outcome measures

Outcome measures
Measure
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum C-peptide Levels - Study Visit 4 (800 Units)
120 Minutes Post Insulin Administration
0.8 ng per mL
Standard Deviation 0.3
2.2 ng per mL
Standard Deviation 0.8
1.1 ng per mL
Standard Deviation 0.7
Change in Serum C-peptide Levels - Study Visit 4 (800 Units)
Baseline
1.2 ng per mL
Standard Deviation 0.5
3.2 ng per mL
Standard Deviation 1.2
2.4 ng per mL
Standard Deviation 1.0
Change in Serum C-peptide Levels - Study Visit 4 (800 Units)
15 Minutes Post Insulin Administration
1.1 ng per mL
Standard Deviation 0.3
2.4 ng per mL
Standard Deviation 0.9
1.9 ng per mL
Standard Deviation 0.9
Change in Serum C-peptide Levels - Study Visit 4 (800 Units)
30 Minutes Post Insulin Administration
1.0 ng per mL
Standard Deviation 0.2
2.5 ng per mL
Standard Deviation 0.8
1.6 ng per mL
Standard Deviation 0.7
Change in Serum C-peptide Levels - Study Visit 4 (800 Units)
60 Minutes Post Insulin Administration
0.9 ng per mL
Standard Deviation 0.2
2.3 ng per mL
Standard Deviation 0.9
1.2 ng per mL
Standard Deviation 0.6
Change in Serum C-peptide Levels - Study Visit 4 (800 Units)
180 Minutes Post Insulin Administration
0.8 ng per mL
Standard Deviation 0.3
2.1 ng per mL
Standard Deviation 0.6
1.0 ng per mL
Standard Deviation 0.4
Change in Serum C-peptide Levels - Study Visit 4 (800 Units)
240 Minutes Post Insulin Administration
1.1 ng per mL
Standard Deviation 0.7
2.0 ng per mL
Standard Deviation 0.7
1.0 ng per mL
Standard Deviation 0.3

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Population: 1 participant withdrew from the trial prior to Study Visit 2.

Change in participant C-peptide Levels from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study. C-peptide levels in the blood indicate how much insulin the pancreas is producing. Lower C-peptide levels suggest the body is producing little or no insulin, while higher C-peptide levels may indicate insulin resistance.

Outcome measures

Outcome measures
Measure
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum C-peptide Levels - Study Visit 4 (900 Units)
180 Minutes Post Insulin Administration
1.8 ng per mL
Standard Deviation 1.3
Change in Serum C-peptide Levels - Study Visit 4 (900 Units)
240 Minutes Post Insulin Administration
1.9 ng per mL
Standard Deviation 1.1
Change in Serum C-peptide Levels - Study Visit 4 (900 Units)
Baseline
2.9 ng per mL
Standard Deviation 1.5
Change in Serum C-peptide Levels - Study Visit 4 (900 Units)
15 Minutes Post Insulin Administration
2.4 ng per mL
Standard Deviation 1.2
Change in Serum C-peptide Levels - Study Visit 4 (900 Units)
30 Minutes Post Insulin Administration
2.2 ng per mL
Standard Deviation 1.4
Change in Serum C-peptide Levels - Study Visit 4 (900 Units)
60 Minutes Post Insulin Administration
1.9 ng per mL
Standard Deviation 1.3
Change in Serum C-peptide Levels - Study Visit 4 (900 Units)
120 Minutes Post Insulin Administration
1.9 ng per mL
Standard Deviation 1.6

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Population: 1 participant in Cohort 4 withdrew from the trial prior to Study Visit 2.

Change in participant C-peptide Levels from baseline as measured by blood draws taken at 15-minute and 30-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study. C-peptide levels in the blood indicate how much insulin the pancreas is producing. Lower C-peptide levels suggest the body is producing little or no insulin, while higher C-peptide levels may indicate insulin resistance.

Outcome measures

Outcome measures
Measure
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum C-peptide Levels - Study Visit 5 (1000 Units)
Baseline
1.8 ng per mL
Standard Deviation 1.4
2.8 ng per mL
Standard Deviation 1.1
2.7 ng per mL
Standard Deviation 1.8
3.1 ng per mL
Standard Deviation 2.5
Change in Serum C-peptide Levels - Study Visit 5 (1000 Units)
15 Minutes Post Insulin Administration
1.3 ng per mL
Standard Deviation 0.6
2.4 ng per mL
Standard Deviation 1.0
2.0 ng per mL
Standard Deviation 1.0
2.9 ng per mL
Standard Deviation 2.1
Change in Serum C-peptide Levels - Study Visit 5 (1000 Units)
60 Minutes Post Insulin Administration
0.9 ng per mL
Standard Deviation 0.4
2.2 ng per mL
Standard Deviation 0.9
1.3 ng per mL
Standard Deviation 0.6
2.6 ng per mL
Standard Deviation 2.6
Change in Serum C-peptide Levels - Study Visit 5 (1000 Units)
240 Minutes Post Insulin Administration
0.8 ng per mL
Standard Deviation 0.3
1.9 ng per mL
Standard Deviation 0.7
1.0 ng per mL
Standard Deviation 0.4
2.0 ng per mL
Standard Deviation 1.8
Change in Serum C-peptide Levels - Study Visit 5 (1000 Units)
30 Minutes Post Insulin Administration
1.1 ng per mL
Standard Deviation 0.5
2.2 ng per mL
Standard Deviation 0.9
1.7 ng per mL
Standard Deviation 0.9
2.8 ng per mL
Standard Deviation 2.1
Change in Serum C-peptide Levels - Study Visit 5 (1000 Units)
120 Minutes Post Insulin Administration
0.8 ng per mL
Standard Deviation 0.2
2.1 ng per mL
Standard Deviation 0.8
1.1 ng per mL
Standard Deviation 0.5
2.4 ng per mL
Standard Deviation 2.4
Change in Serum C-peptide Levels - Study Visit 5 (1000 Units)
180 Minutes Post Insulin Administration
0.8 ng per mL
Standard Deviation 0.3
2.0 ng per mL
Standard Deviation 0.8
1.1 ng per mL
Standard Deviation 0.4
2.4 ng per mL
Standard Deviation 2.4

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Serum insulin refers to the measurement of insulin levels in the blood. Change in participant serum insulin from baseline as measured by blood draws taken at 15-minute, 30-minute, and 60-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study.

Outcome measures

Outcome measures
Measure
Cohort 4
n=4 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum Insulin - Study Visit 1 (100 Units)
Baseline
4.9 µU/mL
Standard Deviation 1.2
Change in Serum Insulin - Study Visit 1 (100 Units)
15 Minutes Post Insulin Administration
6.2 µU/mL
Standard Deviation 2.4
Change in Serum Insulin - Study Visit 1 (100 Units)
30 Minutes Post Insulin Administration
5.8 µU/mL
Standard Deviation 1.9
Change in Serum Insulin - Study Visit 1 (100 Units)
60 Minutes Post Insulin Administration
5.2 µU/mL
Standard Deviation 2.8
Change in Serum Insulin - Study Visit 1 (100 Units)
120 Minutes Post Insulin Administration
5.6 µU/mL
Standard Deviation 1.7
Change in Serum Insulin - Study Visit 1 (100 Units)
180 Minutes Post Insulin Administration
4.7 µU/mL
Standard Deviation 1.8
Change in Serum Insulin - Study Visit 1 (100 Units)
240 Minutes Post Insulin Administration
5.3 µU/mL
Standard Deviation 1.1

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Serum insulin refers to the measurement of insulin levels in the blood. Change in participant serum insulin from baseline as measured by blood draws taken at 15-minute, 30-minute, and 60-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study.

Outcome measures

Outcome measures
Measure
Cohort 4
n=2 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum Insulin - Study Visit 1 (200 Units)
Baseline
7.1 µU/mL
Standard Deviation 0.6
19.5 µU/mL
Standard Deviation 7.6
7.8 µU/mL
Standard Deviation 1.3
Change in Serum Insulin - Study Visit 1 (200 Units)
15 Minutes Post Insulin Administration
9.5 µU/mL
Standard Deviation 4.7
18.0 µU/mL
Standard Deviation 5.4
11.7 µU/mL
Standard Deviation 4.7
Change in Serum Insulin - Study Visit 1 (200 Units)
30 Minutes Post Insulin Administration
7.9 µU/mL
Standard Deviation 2.1
15.6 µU/mL
Standard Deviation 4.6
11.1 µU/mL
Standard Deviation 3.8
Change in Serum Insulin - Study Visit 1 (200 Units)
60 Minutes Post Insulin Administration
6.3 µU/mL
Standard Deviation 1.5
15.4 µU/mL
Standard Deviation 5.5
10.0 µU/mL
Standard Deviation 1.9
Change in Serum Insulin - Study Visit 1 (200 Units)
120 Minutes Post Insulin Administration
5.4 µU/mL
Standard Deviation 0.4
16.9 µU/mL
Standard Deviation 5.9
8.5 µU/mL
Standard Deviation 1.3
Change in Serum Insulin - Study Visit 1 (200 Units)
180 Minutes Post Insulin Administration
5.9 µU/mL
Standard Deviation 0.5
11.4 µU/mL
Standard Deviation 6.7
8.1 µU/mL
Standard Deviation 1.2
Change in Serum Insulin - Study Visit 1 (200 Units)
240 Minutes Post Insulin Administration
5.3 µU/mL
Standard Deviation 2.1
15.4 µU/mL
Standard Deviation 6.4
7.8 µU/mL
Standard Deviation 1.5

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Serum insulin refers to the measurement of insulin levels in the blood. Change in participant serum insulin from baseline as measured by blood draws taken at 15-minute, 30-minute, and 60-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study.

Outcome measures

Outcome measures
Measure
Cohort 4
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum Insulin - Study Visit 1 (400 Units)
Baseline
15.5 µU/mL
Standard Deviation 12.6
Change in Serum Insulin - Study Visit 1 (400 Units)
15 Minutes Post Insulin Administration
14.3 µU/mL
Standard Deviation 11.3
Change in Serum Insulin - Study Visit 1 (400 Units)
30 Minutes Post Insulin Administration
15.5 µU/mL
Standard Deviation 8.9
Change in Serum Insulin - Study Visit 1 (400 Units)
60 Minutes Post Insulin Administration
14.4 µU/mL
Standard Deviation 11.6
Change in Serum Insulin - Study Visit 1 (400 Units)
120 Minutes Post Insulin Administration
12.3 µU/mL
Standard Deviation 6.5
Change in Serum Insulin - Study Visit 1 (400 Units)
180 Minutes Post Insulin Administration
9.7 µU/mL
Standard Deviation 6.0
Change in Serum Insulin - Study Visit 1 (400 Units)
240 Minutes Post Insulin Administration
11.0 µU/mL
Standard Deviation 6.8

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Serum insulin refers to the measurement of insulin levels in the blood. Change in participant serum insulin from baseline as measured by blood draws taken at 15-minute, 30-minute, and 60-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study.

Outcome measures

Outcome measures
Measure
Cohort 4
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum Insulin - Study Visit 2 (400 Units)
180 Minutes Post Insulin Administration
6.6 µU/mL
Standard Deviation 2.3
13.1 µU/mL
Standard Deviation 6.5
9.7 µU/mL
Standard Deviation 2.9
Change in Serum Insulin - Study Visit 2 (400 Units)
Baseline
8.2 µU/mL
Standard Deviation 3.04
16.6 µU/mL
Standard Deviation 5.8
12.2 µU/mL
Standard Deviation 6.7
Change in Serum Insulin - Study Visit 2 (400 Units)
15 Minutes Post Insulin Administration
10.8 µU/mL
Standard Deviation 8.5
16.5 µU/mL
Standard Deviation 6.3
13.9 µU/mL
Standard Deviation 5.7
Change in Serum Insulin - Study Visit 2 (400 Units)
30 Minutes Post Insulin Administration
10.4 µU/mL
Standard Deviation 7.9
16.8 µU/mL
Standard Deviation 6.4
13.1 µU/mL
Standard Deviation 3.7
Change in Serum Insulin - Study Visit 2 (400 Units)
60 Minutes Post Insulin Administration
7.8 µU/mL
Standard Deviation 3.3
15.3 µU/mL
Standard Deviation 6.7
10.7 µU/mL
Standard Deviation 2.7
Change in Serum Insulin - Study Visit 2 (400 Units)
120 Minutes Post Insulin Administration
7.0 µU/mL
Standard Deviation 0.8
15.1 µU/mL
Standard Deviation 5.2
9.7 µU/mL
Standard Deviation 2.9
Change in Serum Insulin - Study Visit 2 (400 Units)
240 Minutes Post Insulin Administration
6.0 µU/mL
Standard Deviation 2.2
12.3 µU/mL
Standard Deviation 4.4
8.4 µU/mL
Standard Deviation 1.7

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Population: 1 participant withdrew from the trial prior to Study Visit 2.

Serum insulin refers to the measurement of insulin levels in the blood. Change in participant serum insulin from baseline as measured by blood draws taken at 15-minute, 30-minute, and 60-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study.

Outcome measures

Outcome measures
Measure
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum Insulin - Study Visit 2 (600 Units)
Baseline
16.8 µU/mL
Standard Deviation 13.0
Change in Serum Insulin - Study Visit 2 (600 Units)
15 Minutes Post Insulin Administration
24.6 µU/mL
Standard Deviation 15.2
Change in Serum Insulin - Study Visit 2 (600 Units)
30 Minutes Post Insulin Administration
19.7 µU/mL
Standard Deviation 13.5
Change in Serum Insulin - Study Visit 2 (600 Units)
60 Minutes Post Insulin Administration
20.7 µU/mL
Standard Deviation 9.4
Change in Serum Insulin - Study Visit 2 (600 Units)
120 Minutes Post Insulin Administration
17.4 µU/mL
Standard Deviation 10.2
Change in Serum Insulin - Study Visit 2 (600 Units)
180 Minutes Post Insulin Administration
13.5 µU/mL
Standard Deviation 9.0
Change in Serum Insulin - Study Visit 2 (600 Units)
240 Minutes Post Insulin Administration
12.0 µU/mL
Standard Deviation 7.9

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Population: 1 participant experienced a hypoglycemic episode, and blood was drawn at additional intervals. The additional intervals were neither prespecified outcome measures nor intended to be outcome measures and were collected for safety data only.

Serum insulin refers to the measurement of insulin levels in the blood. Change in participant serum insulin from baseline as measured by blood draws taken at 15-minute, 30-minute, and 60-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study.

Outcome measures

Outcome measures
Measure
Cohort 4
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum Insulin - Study Visit 3 (600 Units)
Baseline
6.8 µU/mL
Standard Deviation 1.8
19.8 µU/mL
Standard Deviation 13.5
14.3 µU/mL
Standard Deviation 15.8
Change in Serum Insulin - Study Visit 3 (600 Units)
30 Minutes Post Insulin Administration
40.9 µU/mL
Standard Deviation 68.9
17.1 µU/mL
Standard Deviation 10.2
14.0 µU/mL
Standard Deviation 6.3
Change in Serum Insulin - Study Visit 3 (600 Units)
60 Minutes Post Insulin Administration
32.4 µU/mL
Standard Deviation 54.4
17.7 µU/mL
Standard Deviation 8.9
10.8 µU/mL
Standard Deviation 2.6
Change in Serum Insulin - Study Visit 3 (600 Units)
15 Minutes Post Insulin Administration
30.7 µU/mL
Standard Deviation 53.5
18.2 µU/mL
Standard Deviation 11.2
14.7 µU/mL
Standard Deviation 7.9
Change in Serum Insulin - Study Visit 3 (600 Units)
120 Minutes Post Insulin Administration
17.7 µU/mL
Standard Deviation 22.9
15.6 µU/mL
Standard Deviation 8.0
9.0 µU/mL
Standard Deviation 1.6
Change in Serum Insulin - Study Visit 3 (600 Units)
180 Minutes Post Insulin Administration
13.2 µU/mL
Standard Deviation 11.3
13.9 µU/mL
Standard Deviation 4.8
8.1 µU/mL
Standard Deviation 1.7
Change in Serum Insulin - Study Visit 3 (600 Units)
240 Minutes Post Insulin Administration
8.1 µU/mL
Standard Deviation 8.1
13.2 µU/mL
Standard Deviation 4.9
7.5 µU/mL
Standard Deviation 1.8

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Population: 1 participant withdrew from the trial prior to Study Visit 2. 1 participant experienced a hypoglycemic episode, and blood was drawn at additional intervals. The additional intervals were neither prespecified outcome measures nor intended to be outcome measures and were collected for safety data only.

Serum insulin refers to the measurement of insulin levels in the blood. Change in participant serum insulin from baseline as measured by blood draws taken at 15-minute, 30-minute, and 60-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study.

Outcome measures

Outcome measures
Measure
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum Insulin - Study Visit 3 (800 Units)
Baseline
31.0 µU/mL
Standard Deviation 39.5
Change in Serum Insulin - Study Visit 3 (800 Units)
15 Minutes Post Insulin Administration
25.3 µU/mL
Standard Deviation 15.9
Change in Serum Insulin - Study Visit 3 (800 Units)
30 Minutes Post Insulin Administration
23.0 µU/mL
Standard Deviation 14.8
Change in Serum Insulin - Study Visit 3 (800 Units)
60 Minutes Post Insulin Administration
18.6 µU/mL
Standard Deviation 11.8
Change in Serum Insulin - Study Visit 3 (800 Units)
120 Minutes Post Insulin Administration
16.2 µU/mL
Standard Deviation 8.8
Change in Serum Insulin - Study Visit 3 (800 Units)
180 Minutes Post Insulin Administration
15.0 µU/mL
Standard Deviation 8.3
Change in Serum Insulin - Study Visit 3 (800 Units)
240 Minutes Post Insulin Administration
13.7 µU/mL
Standard Deviation 7.4

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Serum insulin refers to the measurement of insulin levels in the blood. Change in participant serum insulin from baseline as measured by blood draws taken at 15-minute, 30-minute, and 60-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study.

Outcome measures

Outcome measures
Measure
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum Insulin - Study Visit 4 (800 Units)
120 Minutes Post Insulin Administration
6.8 µU/mL
Standard Deviation 2.3
16.9 µU/mL
Standard Deviation 8.0
10.0 µU/mL
Standard Deviation 6.0
Change in Serum Insulin - Study Visit 4 (800 Units)
Baseline
6.7 µU/mL
Standard Deviation 3.3
21.5 µU/mL
Standard Deviation 11.2
10.2 µU/mL
Standard Deviation 2.9
Change in Serum Insulin - Study Visit 4 (800 Units)
15 Minutes Post Insulin Administration
7.8 µU/mL
Standard Deviation 4.4
20.8 µU/mL
Standard Deviation 7.7
16.5 µU/mL
Standard Deviation 6.8
Change in Serum Insulin - Study Visit 4 (800 Units)
30 Minutes Post Insulin Administration
8.8 µU/mL
Standard Deviation 5.0
20.3 µU/mL
Standard Deviation 5.4
13.6 µU/mL
Standard Deviation 5.1
Change in Serum Insulin - Study Visit 4 (800 Units)
60 Minutes Post Insulin Administration
7.3 µU/mL
Standard Deviation 3.4
18.6 µU/mL
Standard Deviation 6.1
10.9 µU/mL
Standard Deviation 3.7
Change in Serum Insulin - Study Visit 4 (800 Units)
180 Minutes Post Insulin Administration
6.2 µU/mL
Standard Deviation 1.7
16.5 µU/mL
Standard Deviation 5.4
7.4 µU/mL
Standard Deviation 1.7
Change in Serum Insulin - Study Visit 4 (800 Units)
240 Minutes Post Insulin Administration
8.5 µU/mL
Standard Deviation 7.8
16.4 µU/mL
Standard Deviation 5.9
8.1 µU/mL
Standard Deviation 3.2

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Population: 1 participant withdrew from the trial prior to Study Visit 2.

Serum insulin refers to the measurement of insulin levels in the blood. Change in participant serum insulin from baseline as measured by blood draws taken at 15-minute, 30-minute, and 60-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study.

Outcome measures

Outcome measures
Measure
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum Insulin - Study Visit 4 (900 Units)
60 Minutes Post Insulin Administration
22.0 µU/mL
Standard Deviation 21.7
Change in Serum Insulin - Study Visit 4 (900 Units)
180 Minutes Post Insulin Administration
17.9 µU/mL
Standard Deviation 15.9
Change in Serum Insulin - Study Visit 4 (900 Units)
240 Minutes Post Insulin Administration
13.7 µU/mL
Standard Deviation 10.1
Change in Serum Insulin - Study Visit 4 (900 Units)
Baseline
22.9 µU/mL
Standard Deviation 17.9
Change in Serum Insulin - Study Visit 4 (900 Units)
15 Minutes Post Insulin Administration
27.1 µU/mL
Standard Deviation 16.1
Change in Serum Insulin - Study Visit 4 (900 Units)
30 Minutes Post Insulin Administration
24.7 µU/mL
Standard Deviation 17.0
Change in Serum Insulin - Study Visit 4 (900 Units)
120 Minutes Post Insulin Administration
18.8 µU/mL
Standard Deviation 17.6

SECONDARY outcome

Timeframe: Baseline, up to 4 hours after drug administration

Population: 1 participant in Cohort 4 withdrew from the trial prior to Study Visit 2.

Serum insulin refers to the measurement of insulin levels in the blood. Change in participant serum insulin from baseline as measured by blood draws taken at 15-minute, 30-minute, and 60-minute intervals following administration of intra-nasal insulin. This procedure was followed at each study.

Outcome measures

Outcome measures
Measure
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 2
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 2 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 3
n=6 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 3 received a Placebo and 200 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Cohort 4
n=5 Participants
Drug: Intranasal insulin This will be given intranasally at differing doses depending on study day. A total of 11 possible doses will be tested, ranging from 0 to 1000 U insulin. Each volunteer will come for 5 visits. On the first treatment day participants will receive placebo (sterile water) in each nostril followed by a 4-hour observation period. After this observation period participants will receive the initial dose of insulin squirted in each nostril followed by a 4-hour observation period. Participants will have at least 7 days in between the other 4 visits. Subsequent visits will include increased doses of insulin (depending on how this is tolerated) and will take approximately 4 hours at these visits. Participants in Cohort 4 received a Placebo and 400 units of insulin at their first study visit. Other Names: HUMULIN R U-500
Change in Serum Insulin - Study Visit 5 (1000 Units)
60 Minutes Post Insulin Administration
6.6 µU/mL
Standard Deviation 3.3
18.9 µU/mL
Standard Deviation 5.9
11.0 µU/mL
Standard Deviation 1.0
23.1 µU/mL
Standard Deviation 21.2
Change in Serum Insulin - Study Visit 5 (1000 Units)
240 Minutes Post Insulin Administration
6.6 µU/mL
Standard Deviation 1.5
15.6 µU/mL
Standard Deviation 4.8
6.8 µU/mL
Standard Deviation 0.7
14.7 µU/mL
Standard Deviation 9.6
Change in Serum Insulin - Study Visit 5 (1000 Units)
Baseline
7.1 µU/mL
Standard Deviation 3.1
18.9 µU/mL
Standard Deviation 7.7
14.8 µU/mL
Standard Deviation 9.5
19.5 µU/mL
Standard Deviation 17.5
Change in Serum Insulin - Study Visit 5 (1000 Units)
15 Minutes Post Insulin Administration
7.8 µU/mL
Standard Deviation 4.3
20.0 µU/mL
Standard Deviation 6.3
15.6 µU/mL
Standard Deviation 4.7
26.6 µU/mL
Standard Deviation 16.3
Change in Serum Insulin - Study Visit 5 (1000 Units)
30 Minutes Post Insulin Administration
8.2 µU/mL
Standard Deviation 4.9
19.2 µU/mL
Standard Deviation 5.9
14.4 µU/mL
Standard Deviation 3.4
24.8 µU/mL
Standard Deviation 17.0
Change in Serum Insulin - Study Visit 5 (1000 Units)
120 Minutes Post Insulin Administration
5.8 µU/mL
Standard Deviation 1.5
16.4 µU/mL
Standard Deviation 5.0
8.9 µU/mL
Standard Deviation 1.7
19.7 µU/mL
Standard Deviation 17.1
Change in Serum Insulin - Study Visit 5 (1000 Units)
180 Minutes Post Insulin Administration
5.5 µU/mL
Standard Deviation 1.8
14.4 µU/mL
Standard Deviation 4.4
7.1 µU/mL
Standard Deviation 2.5
18.2 µU/mL
Standard Deviation 15.7

Adverse Events

100 Units

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

200 Units

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

400 Units

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

500 Units

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

600 Units

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

800 Units

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

900 Units

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

1000 Units

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
100 Units
n=4 participants at risk
Drug: Intranasal insulin (Other Names: HUMULIN R U-500) 100 Units given intranasally.
200 Units
n=14 participants at risk
Drug: Intranasal insulin (Other Names: HUMULIN R U-500) 200 Units given intranasally.
400 Units
n=24 participants at risk
Drug: Intranasal insulin (Other Names: HUMULIN R U-500) 400 Units given intranasally.
500 Units
n=1 participants at risk
Drug: Intranasal insulin (Other Names: HUMULIN R U-500) 500 Units given intranasally.
600 Units
n=23 participants at risk
Drug: Intranasal insulin (Other Names: HUMULIN R U-500) 600 Units given intranasally.
800 Units
n=22 participants at risk
Drug: Intranasal insulin (Other Names: HUMULIN R U-500) 800 Units given intranasally.
900 Units
n=5 participants at risk
Drug: Intranasal insulin (Other Names: HUMULIN R U-500) 900 Units given intranasally.
1000 Units
n=22 participants at risk
Drug: Intranasal insulin (Other Names: HUMULIN R U-500) 1000 Units given intranasally.
Endocrine disorders
Mild hypoglycemia [600 units]
0.00%
0/4 • Up to 61 days
0.00%
0/14 • Up to 61 days
0.00%
0/24 • Up to 61 days
0.00%
0/1 • Up to 61 days
4.3%
1/23 • Up to 61 days
0.00%
0/22 • Up to 61 days
0.00%
0/5 • Up to 61 days
0.00%
0/22 • Up to 61 days
Endocrine disorders
Severe hypoglycemia [600 units]
0.00%
0/4 • Up to 61 days
0.00%
0/14 • Up to 61 days
0.00%
0/24 • Up to 61 days
0.00%
0/1 • Up to 61 days
4.3%
1/23 • Up to 61 days
0.00%
0/22 • Up to 61 days
0.00%
0/5 • Up to 61 days
0.00%
0/22 • Up to 61 days

Additional Information

Robert Silbergleit

University of Michigan

Phone: 734-936-6284

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place