Status:
COMPLETED
G-Pen™ Compared to Lilly Glucagon for Hypoglycemia Rescue in Adults With Type 1 Diabetes
Lead Sponsor:
Xeris Pharmaceuticals
Collaborating Sponsors:
SGS S.A.
Integrated Medical Development
Conditions:
Insulin Hypoglycemia
Type 1 Diabetes Mellitus
Eligibility:
All Genders
18-75 years
Phase:
PHASE3
Brief Summary
This is a non-inferiority, multi-center, randomized, controlled, single-blind, two-way crossover efficacy and safety study in subjects with Type 1 diabetes mellitus. The study involves two daytime cli...
Eligibility Criteria
Inclusion
- Males and females diagnosed with type 1 diabetes mellitus for at least 24 months.
- Current usage of daily insulin treatment that includes having an assigned "correction factor" for managing hyperglycemia.
- Age 18-75 years, inclusive.
- Random serum C-peptide concentration \< 0.5 ng/mL.
- Willingness to follow all study procedures, including attending all clinic visits.
- Subject has provided informed consent as evidenced by a signed/dated informed consent form completed before any trial-related activities occur.
Exclusion
- Pregnancy: For women of childbearing potential, there is a requirement for a negative urine pregnancy test and for agreement to use contraception throughout the study and for 7 days after the last dose of study glucagon. Acceptable contraception includes birth control pill / patch / vaginal ring, Depo-Provera, Norplant, an IUD, the double barrier method (the woman uses a diaphragm and spermicide and the man uses a condom), or abstinence.
- Breastfeeding: Nursing mothers will be allowed into the study. However, breast feeding during the during inpatient study visits and for 48 hours after each dose of study drug is not allowed.
- HbA1c \>9.0% at Screening.
- BMI \> 40 kg/m2.
- Renal insufficiency (serum creatinine greater than 3.0 mg/dL) or end-stage renal disease. requiring renal replacement therapy.
- 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.
- Hematocrit of less than or equal to 30%.
- BP readings at Screening where SBP \<90 or \>150 mm Hg, and DBP \<50 or \>100 mm Hg.
- Clinically significant ECG abnormalities.
- Use of \> 2.0 U/kg total insulin dose per day.
- Inadequate venous access.
- Congestive heart failure, NYHA class III or IV.
- History of myocardial infarction, unstable angina, or revascularization within the past 6 months.
- History of a cerebrovascular accident in past 6 months or with major neurological deficits.
- Active malignancy within 5 years from Screening, except basal cell or squamous cell skin cancers. History of breast cancer or malignant melanoma will be exclusionary.
- Major surgical operation within 30 days prior to Screening.
- Current seizure disorder (other than with suspect or documented hypoglycemia).
- Current bleeding disorder, treatment with warfarin, or platelet count below 50 x 10e9 per liter.
- History of pheochromocytoma or disorder with increased risk of pheochromocytoma (MEN 2, neurofibromatosis, or Von Hippel-Lindau disease).
- History of insulinoma.
- History of allergies to glucagon or glucagon-like products, or any history of significant hypersensitivity to glucagon or any related products or to any of the excipients (DMSO \& trehalose) in the investigational formulation.
- History of glycogen storage disease.
- Subject tests positive for HIV, HCV or HBV infection (HBsAg+) at Screening.
- Active substance or alcohol abuse (more than 21 drinks/wk. for males or 14 drinks/wk. for females). Subjects reporting active marijuana use or testing positive for tetrahydrocannabinol (THC) via rapid urine test will be allowed to participate in the study at the discretion of the Investigator.
- Administration of glucagon within 28 days of Screening.
- Participation in other studies involving administration of an investigational drug or device within 30 days or 5 half-lives, whichever is longer, before Screening for the current study and during participation in the current study.
- Any reason the Investigator deems exclusionary.
Key Trial Info
Start Date :
January 23 2018
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
May 3 2018
Estimated Enrollment :
81 Patients enrolled
Trial Details
Trial ID
NCT03439072
Start Date
January 23 2018
End Date
May 3 2018
Last Update
February 17 2020
Active Locations (6)
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1
ProSciento, Inc.
Chula Vista, California, United States, 91911
2
Diablo Clinical Research, Inc.
Walnut Creek, California, United States, 94598
3
Atlanta Diabetes Associates
Atlanta, Georgia, United States, 30318
4
Rainier Clinical Research Center, Inc.
Renton, Washington, United States, 98057