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Phase 2 N=19 Randomized Double-blind Treatment

PK/PD Study With G-Pump (Glucagon Infusion) in T1DM Patients

Hypoglycemia

Enrolled (actual)
19
Serious AEs
0.0%
Results posted
Aug 2016
Primary outcome: Primary: Time to Reach 50% of Maximum Glucose Concentration (Glucose T50%-Early) — 17.2; 21.9; 21.3; 7.6 minutes — p=0.23

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Novo Nordisk GlucaGen® (Drug); G-Pump™ (glucagon infusion) (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Xeris Pharmaceuticals
Primary completion
Aug 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
Time to Reach 50% of Maximum Glucose Concentration (Glucose T50%-Early)
17.2; 21.9; 21.3; 7.6; 14.5; 22.8 0.23
PRIMARY
Time to Reach 50% of Maximum Glucagon Concentration (Glucagon T50%-Early)
12.2; 12.4; 13.9; 7.6; 10.5; 11.0 0.23
SECONDARY
Glucagon Cmax
168.1; 328.2; 440.6; 140.2; 229.3; 446.9 0.15
SECONDARY
Glucose Cmax
177.6; 198.8; 212.6; 162.0; 183.3; 200.6 0.09
SECONDARY
Glucagon Tmax
24.5; 27.3; 31.9; 23.3; 23.9; 23.9 0.70
SECONDARY
Glucose Tmax
38.2; 49.5; 49.4; 25.9; 31.2; 52.8 0.16
SECONDARY
Glucagon AUC
12104; 21177; 27595; 11070; 15781; 27355 0.61
SECONDARY
Glucose AUC
22296; 26251; 27360; 21005; 24079; 25845 0.19
SECONDARY
Infusion Site Discomfort Score at 10 Minutes
7.8; 18.9; 22.7; 2.2; 0.3; 0.3 0.24
SECONDARY
Infusion Site Discomfort Score at 30 Minutes
1.9; 1.5; 3.8; 0; 0.7; 0.3 0.22

Summary

The purpose of the study is to assess the safety, speed of absorption, and onset of action of G-Pump™ (glucagon infusion) at three subcutaneous doses as compared to Novo GlucaGen®, all delivered via an OmniPod® infusion pump to patients with type 1 diabetes.

Eligibility Criteria

Inclusion Criteria

  • Males or females diagnosed with type 1 diabetes mellitus for at least 24 months
  • Current usage of subcutaneous insulin pump treatment
  • Age 18-65 years
  • C-peptide level 10.0%
  • Renal insufficiency (serum creatinine of 1.2 mg/dL or greater)
  • Serum ALT or AST equal to or greater than 3 times the upper limit of normal; hepatic synthetic insufficiency as defined as a serum albumin of less than 3.0 g/dL; or serum bilirubin of over 2.0.
  • Hematocrit of less than or equal to 34%
  • Congestive heart failure, NYHA class II, III or IV
  • History of coronary artery disease
  • Active foot ulceration
  • History of a cerebrovascular accident
  • Active alcohol abuse or substance abuse
  • Active malignancy, except basal cell or squamous cell skin cancers
  • Major surgical operation within 30 days prior to screening
  • Seizure disorder
  • Current administration of oral or parenteral corticosteroids
  • Use of an investigational drug within 30 days prior to screening
  • Bleeding disorder, treatment with warfarin, or platelet count below 50,000
  • Proliferative or severe non-proliferative retinopathy
  • Gastroparesis
  • Personal or family history of pheochromocytoma or disorder with increased risk of pheochromocytoma (MEN 2, neurofibromatosis, or Von Hippel-Lindau disease)
  • Insulinoma
  • Allergies to glucagon or glucagon-like products, or any history of significant hypersensitivity to glucagon or any related products.
  • Glycogen storage disease
  • Any concurrent illness, other than diabetes, that is not controlled by a stable therapeutic regimen
  • Whole blood donation of 1 pint (500 mL) within 8 weeks prior to Screening.
  • Any reason the principal investigator deems exclusionary
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02081001). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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