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Completed

NCT Number: NCT02081001

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

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.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Oregon Health & Science University

Portland, Oregon, 97239, United States

Who can participate

Healthy volunteers accepted: No

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

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 < 0.5 ng/ml
  • Willingness to follow all study procedures, including attending all clinic visits
  • Subject has provided informed consent and has signed and dated an informed consent form before any trial-related activities

Exclusion criteria

  • Pregnant and/ or Lactating: For women of childbearing potential: there is a requirement for a negative urine pregnancy test and for agreement to use contraception during the study and for at least 1 month after participating in the study.
  • HbA1c >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

Treatment and study plan

Novo Nordisk GlucaGen®

Drug

single subcutaneous infusion doses at 0.3 μg/kg, 1.2 μg/kg and 2.0 μg/kg

G-Pump™ (glucagon infusion)

Drug

single subcutaneous infusion doses at 0.3 μg/kg, 1.2 μg/kg and 2.0 μg/kg

Primary outcomes

  1. Time to Reach 50% of Maximum Glucose Concentration (Glucose T50%-Early)

    Time frame: 0 to 150 minutes post-dosing

    The onset of action was assessed by determining the time in minutes required to achieve 50% of the maximum plasma concentration of glucose following each dose of glucagon.

  2. Time to Reach 50% of Maximum Glucagon Concentration (Glucagon T50%-Early)

    Time frame: 0 to 150 minutes post-dosing

    The speed of absorption was assessed by determining the time in minutes required to achieve 50% of the maximum plasma concentration of glucagon following each dose of glucagon.

Secondary outcomes

  1. Glucagon Cmax

    Time frame: From 0 to 150 minutes post-dosing

    Maximum plasma concentration of glucagon

  2. Glucose Cmax

    Time frame: From 0 to 150 minutes post-dosing

    Maximum plasma concentration of glucose

  3. Glucagon Tmax

    Time frame: From 0 to 150 minutes post-dosing

    Time to maximum plasma concentration of glucagon

  4. Glucose Tmax

    Time frame: From 0 to 150 minutes post-dosing

    Time to maximum plasma concentration of glucose

  5. Glucagon AUC

    Time frame: From 0 to 150 minutes post-dosing

    Area under the plasma concentration time curve for glucagon

  6. Glucose AUC

    Time frame: From 0 to 150 minutes post-dosing

    Area under the plasma concentration time curve for glucose

  7. Infusion Site Discomfort Score at 10 Minutes

    Time frame: At 10 minutes post-dosing

    Infusion site discomfort was assessed by the subjects using a 100 mm Visual Analog Scale (VAS) questionnaire at 10 minutes following the initiation of dosing. Subjects were asked to draw a vertical line across the horizontal scale to indicate their current level of discomfort from 0 = no discomfort to 100 = worst possible discomfort. The distance in mm from the left hand anchor to the the first point where the subject's mark crossed the horizontal scale was measured and reported as the infusion site discomfort score.

  8. Infusion Site Discomfort Score at 30 Minutes

    Time frame: At 30 minutes post-dosing

    Infusion site discomfort was assessed by the subject using a 100 mm Visual Analog Scale (VAS) questionnaire at 30 minutes following the initiation of dosing. Subjects were asked to draw a vertical line across the horizontal scale to indicate their current level of discomfort from 0 = no discomfort to 100 = worst possible discomfort. The distance in mm from the left hand anchor to the the first point where the subject's mark crossed the horizontal scale was measured and reported as the infusion site discomfort score.

Sponsors and collaborators

Lead sponsor

Xeris Pharmaceuticals

Industry

Collaborators

  • Emissary International LLC
  • National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Registry information

Official study title

Comparison of Pharmacokinetic and Pharmacodynamic Profiles of G-Pump™ (Glucagon Infusion) vs. GlucaGen® Delivered Subcutaneously to Subjects With Type 1 Diabetes (T1DM)

Important dates

Study start
2014
Primary completion
2014
Study completion
2014
First posted
Mar 7, 2014
Registry last updated
Apr 6, 2018

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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