First Research Study to Compare a Possible New Medicine NNC9204-1513 to the Medicine Glucagon, in Healthy People.
Primary Purpose
Diabetes, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2
Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
NNC9204-1513
Glucagon
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Diabetes
Eligibility Criteria
Inclusion Criteria:
- Male, aged 18 -55 years (both inclusive), at the time of signing informed consent
- Body mass index (BMI) between 18.5 and 28.0 kg/sqm (both inclusive)
- Considered to be generally healthy based on the medical history, physical examination, and the results of vital signs, ECG and clinical laboratory tests performed during the screening visit, as judged by the investigator
Exclusion Criteria:
- Any disorder which in the investigator's opinion might jeopardise subject's safety, evaluation of results, or compliance with the protocol
- Smoker (defined as a subject who is smoking at least one cigarette or equivalent daily) who is not able or willing to refrain from smoking and use of nicotine substitute products during the inpatient period
- Any blood draw in excess of 25 mL in the past month, or donation of blood or plasma in excess of 400 mL within the 3 months preceding screening
Sites / Locations
- Novo Nordisk Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
NNC9204-1513
Glucagon
Arm Description
Participants will receive increasing doses of NNC9204-1513.
Participants will receive a single fixed dose of glucagon.
Outcomes
Primary Outcome Measures
Number of treatment emergent adverse events (TEAEs)
Count of events
Secondary Outcome Measures
Change from baseline in haematology
Change from baseline in biochemistry
Change from baseline in fibrinogen
measured in g/L
Change from baseline in lipids
Change from baseline in glucose metabolism
Change from baseline in hormones
Change from baseline in urine dipstick parameter
Change from baseline in systolic- and diastolic blood pressure
Measured in mm Hg
Change from baseline in body temperature
Change from baseline in respiration rate
Change from baseline in 12-lead electrocardiogram (ECG) heart rate
Change from baseline in 12-lead ECG (RR interval)
Change from baseline in 12-lead ECG (PR interval)
Change from baseline in 12-lead ECG (QRS interval)
Change from baseline in 12-lead ECG (QT interval)
Change from baseline in 12-lead ECG (QTc intervals [Fridericia])
QT interval corrected for heart rate by Fridericia's formula
Change from baseline in Physical examination
Incidence of injection site reactions
AUC0-15min,SD, area under the plasma concentration time curve
t1/2,SD, terminal half-life
Onset of appearance
Time from trial product administration until first time plasma concentration ≥ lower limit of quantification (LLOQ)
AUCPG,0-15min,SD, area under the plasma glucose time curve
ΔPG0-15min,SD, Increase in plasma glucose concentration from 0 to 15 minutes
Calculated as: Plasma glucose concentration at 15 minutes after single dose minus plasma glucose concentration at 0 minute
Change from baseline in 12-lead ECG (overall evaluation)
Change from baseline in prothrombin time
measured in seconds
Change from baseline in Activated Partial Thromboplastin time (APTT)
measured in seconds
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03444467
Brief Title
First Research Study to Compare a Possible New Medicine NNC9204-1513 to the Medicine Glucagon, in Healthy People.
Official Title
A Randomised, Double-blinded, Single Subcutaneous Dose Escalation Trial Investigating the Safety and Tolerability of NNC9204-1513 in Healthy Subjects
Study Type
Interventional
2. Study Status
Record Verification Date
September 2018
Overall Recruitment Status
Completed
Study Start Date
February 5, 2018 (Actual)
Primary Completion Date
May 24, 2018 (Actual)
Study Completion Date
May 24, 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novo Nordisk A/S
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No
5. Study Description
Brief Summary
The study is comparing the new medicine NNC9204-1513 with a standard therapy of glucagon (GlucaGen®). This is the first time NNC9204-1513 is given to humans.
Participants will either receive NNC9204-1513 or GlucaGen® - which treatment you get is decided by chance (like flipping a coin). Neither the participant nor the study doctor will know which study medicine (NNC9204-1513 or GlucaGen®) the participant is receiving (double -blinding). In case of emergency, this information will be readily available.
NNC9204-1513 is a new medicine for rescue treatment of severe low blood sugar and currently not available on the market (doctors cannot prescribe this medicine). The participant will receive two or three single injections below the skin. One injection will contain NNC9204-1513 or GlucaGen®. The other injection will include placebo - this is a product that looks like the actual study drug but without any active ingredients. If a third injection is given, this will contain NNC9204-1513 or placebo. NNC9204-1513 and GlucaGen® will be given using different devices and volumes. In order to mask these external differences, a "double dummy" approach will be used, that means when you get either of the study medicine (NNC9204-1513 or GlucaGen®) you will get another injection which contains no medicine called 'placebo' (it will not have any effect on the body). Dependent on the injection volume to be administered, injections are given by either syringe with needle or an injection pen (NovoPen Echo®). The study will last for up to 39 days.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetes, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Sponsor staff involved in the clinical trial is masked according to company standard procedures
Allocation
Randomized
Enrollment
36 (Actual)
8. Arms, Groups, and Interventions
Arm Title
NNC9204-1513
Arm Type
Experimental
Arm Description
Participants will receive increasing doses of NNC9204-1513.
Arm Title
Glucagon
Arm Type
Active Comparator
Arm Description
Participants will receive a single fixed dose of glucagon.
Intervention Type
Drug
Intervention Name(s)
NNC9204-1513
Intervention Description
Participants will receive NNC9204-1513 subcutaneous (s.c., in to a skin fold on the stomach) injection as single increasing doses of 0.01 mg, 0.04 mg, 0.10 mg, 0.25 mg, 0.50 mg, 1.0 mg or 2.0 mg. Each participant will only be given one dose.
Dose escalation will proceed to the next planned dose level if there are no safety concerns raised by the investigator or by the trial safety group.
Intervention Type
Drug
Intervention Name(s)
Glucagon
Other Intervention Name(s)
GlucaGen®
Intervention Description
Participants will receive single dose of 1 mg glucagon s.c. injection.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Participants will receive single dose of placebo (for double dummy injections).
Primary Outcome Measure Information:
Title
Number of treatment emergent adverse events (TEAEs)
Description
Count of events
Time Frame
from time of dosing (day 1) to completion of the safety follow-up visit (day 8)
Secondary Outcome Measure Information:
Title
Change from baseline in haematology
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in biochemistry
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in fibrinogen
Description
measured in g/L
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in lipids
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in glucose metabolism
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in hormones
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in urine dipstick parameter
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in systolic- and diastolic blood pressure
Description
Measured in mm Hg
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in body temperature
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in respiration rate
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in 12-lead electrocardiogram (ECG) heart rate
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in 12-lead ECG (RR interval)
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in 12-lead ECG (PR interval)
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in 12-lead ECG (QRS interval)
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in 12-lead ECG (QT interval)
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in 12-lead ECG (QTc intervals [Fridericia])
Description
QT interval corrected for heart rate by Fridericia's formula
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in Physical examination
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Incidence of injection site reactions
Time Frame
After administration of the trial products (day 1) until completion of the post-treatment follow-up visit (day 8).
Title
AUC0-15min,SD, area under the plasma concentration time curve
Time Frame
0 to 15 minutes after single dose
Title
t1/2,SD, terminal half-life
Time Frame
Measured for 24 hours after administration of a single s.c. dose
Title
Onset of appearance
Description
Time from trial product administration until first time plasma concentration ≥ lower limit of quantification (LLOQ)
Time Frame
Measured for 24 hours after administration of a single s.c. dose
Title
AUCPG,0-15min,SD, area under the plasma glucose time curve
Time Frame
0 to 15 minutes after single dose
Title
ΔPG0-15min,SD, Increase in plasma glucose concentration from 0 to 15 minutes
Description
Calculated as: Plasma glucose concentration at 15 minutes after single dose minus plasma glucose concentration at 0 minute
Time Frame
0 to 15 minutes after single dose
Title
Change from baseline in 12-lead ECG (overall evaluation)
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in prothrombin time
Description
measured in seconds
Time Frame
baseline (day 1), follow-up visit (day 8)
Title
Change from baseline in Activated Partial Thromboplastin time (APTT)
Description
measured in seconds
Time Frame
baseline (day 1), follow-up visit (day 8)
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Male, aged 18 -55 years (both inclusive), at the time of signing informed consent
Body mass index (BMI) between 18.5 and 28.0 kg/sqm (both inclusive)
Considered to be generally healthy based on the medical history, physical examination, and the results of vital signs, ECG and clinical laboratory tests performed during the screening visit, as judged by the investigator
Exclusion Criteria:
Any disorder which in the investigator's opinion might jeopardise subject's safety, evaluation of results, or compliance with the protocol
Smoker (defined as a subject who is smoking at least one cigarette or equivalent daily) who is not able or willing to refrain from smoking and use of nicotine substitute products during the inpatient period
Any blood draw in excess of 25 mL in the past month, or donation of blood or plasma in excess of 400 mL within the 3 months preceding screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Reporting Anchor and Disclosure (1452)
Organizational Affiliation
Novo Nordisk A/S
Official's Role
Study Director
Facility Information:
Facility Name
Novo Nordisk Investigational Site
City
Berlin
ZIP/Postal Code
10117
Country
Germany
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
IPD Sharing URL
http://www.novonordisk-trials.com/
Learn more about this trial
First Research Study to Compare a Possible New Medicine NNC9204-1513 to the Medicine Glucagon, in Healthy People.
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