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Completed

NCT Number: NCT03895697

A Trial to Compare the Efficacy and Safety of 2 Different Batches of Subcutaneous Dasiglucagon in Patients With T1DM

A randomized, double-blind, crossover trial to compare the efficacy and safety of 2 different batches of subcutaneous dasiglucagon in patients with type 1 diabetes mellitus (T1DM)

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

LMC Diabetes & Manna Research

Toronto, Ontario, M4G 3E8, Canada

About this study

This multicenter, double-blind, crossover, randomized clinical trial was designed to evaluate the efficacy and safety of 2 different batches of subcutaneous dasiglucagon in patients with T1DM. Patients were randomly assigned 1:1 to either dasiglucagon Batch A or dasiglucagon Batch B as their initial dose and the other as the second dose. To avoid bias in the evaluation of clinical assessments, the trial was conducted in a double-blinded manner.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Type 1 diabetes mellitus for at least 1 year according to the diagnostic criteria as defined by the American Diabetes Association.
  • Hemoglobin A1c <10.0% at screening
  • Treated with stable insulin treatment (defined as no more than a 10-unit daily variation in total daily insulin dose) 30 days prior to screening

Exclusion criteria

  • History of hypoglycemic events associated with seizures in the last year prior to screening
  • History of severe hypoglycemia (an episode requiring assistance from another person) in the last month prior to screening
  • Previous participation in a clinical trial within the dasiglucagon program

Treatment and study plan

Dasiglucagon

Drug

Glucagon analogue

Other names: ZP4207

Primary outcomes

  1. Time to plasma glucose recovery

    Time frame: 0-45 minutes after dosing

    Plasma glucose recovery is defined as first increase in plasma glucose of ≥20 mg/dL (1.1 mmol/L) from baseline during the hypoglycemic clamp procedure without administration of rescue intravenous glucose

Secondary outcomes

  1. Plasma glucose changes from baseline

    Time frame: 0-30 minutes after dosing

    Plasma glucose changes from baseline at 30 minutes, at 20 minutes, at 15 minutes, and at 10 minutes after trial drug injection or at the time of rescue patient level).

  2. Pharmacodynamics - Area under the effect curve 30 min

    Time frame: 0-30 minutes after dosing

    Area under the baseline-adjusted effect curve (AUE) from zero up to the concentration at 30 minutes, AUE 0-30min

  3. Pharmacodynamics - Area under the effect curve 90 min

    Time frame: 0-90 minutes after dosing

    Area under the baseline-adjusted effect curve (AUE) from zero up to the concentration at 90 minutes, AUE 0-90min

  4. Pharmacodynamics - Maximum plasma glucose concentration

    Time frame: 0-90 minutes after dosing

    Change from baseline plasma glucose to maximum plasma glucose measure after dosing, CEmax

  5. Pharmacodynamics - Time maximum plasma glucose concentration

    Time frame: 0-90 minutes after dosing

    Time to maximum change in plasma glucose measure from baseline, TEmax

  6. Pharmacokinetics - Area under the plasma concentration-time curve 30 min

    Time frame: 0-30 minutes after dosing

    Area under the concentration-time curve (AUC) from zero up to the concentration at 30 minutes, AUC0-30min

  7. Pharmacokinetics - Area under the plasma concentration-time curve 300 min

    Time frame: 0-300 minutes after dosing

    Area under the concentration-time curve (AUC) from zero up to the concentration at 300 minutes, AUC0-300min

  8. Pharmacokinetics - Area under the plasma concentration curve Infinitely

    Time frame: 0-300 minutes after dosing

    Area under the concentration-time curve from zero up to the concentration at infinitely after dosing, AUC0-inf

  9. Pharmacokinetics - Maximum plasma concentration

    Time frame: 0-300 minutes after dosing

    Measured maximum plasma drug concentration after dosing, Cmax

  10. Pharmacokinetics - Time to maximum plasma concentration

    Time frame: 0-300 minutes after dosing

    Sampling time until reaching Cmax, Tmax

  11. Pharmacokinetics - Half-life

    Time frame: 0-300 minutes after dosing

    Half-life dasiglucagon, t½

  12. Pharmacokinetics - Volume of distribution

    Time frame: 0-300 minutes after dosing

    Apparent volume of distribution of dasiglucagon, Vz/f

  13. Pharmacokinetics - Mean residence time

    Time frame: 0-300 minutes after dosing

    Mean residence time, MRT

  14. Pharmacokinetics - Body clearance

    Time frame: 0-300 minutes after dosing

    Total body clearance, CL/f

  15. Safety - Adverse events

    Time frame: 90 days

    The incidence, type and severity of adverse events (AEs)

  16. Safety - Number of rescue infusions

    Time frame: 0-90 minutes after dosing

    Number of rescue infusions of IV glucose after trial drug administration

  17. Safety - Time to first rescue infusion

    Time frame: 0-90 minutes after dosing

    Time to first rescue infusion of IV glucose after trial drug administration

  18. Immunogenicity - Occurrence of anti-drug antibodies

    Time frame: 60 days

    Occurrence of antibodies against dasiglucagon

Sponsors and collaborators

Lead sponsor

Zealand Pharma

Industry

Registry information

Official study title

A Phase 3b, Randomized, Double-blind, Crossover Trial to Compare the Efficacy and Safety of 2 Different Batches of Subcutaneous Dasiglucagon in Patients With Type 1 Diabetes Mellitus

Important dates

Study start
2019
Primary completion
2019
Study completion
2019
First posted
Mar 29, 2019
Registry last updated
Feb 21, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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