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Safety, Tolerability, Pharmacokinetic (PK) and Pharmacodynamic (PD) Study of G-Pen(TM) (Glucagon Injection) to Treat Severe Hypoglycemia

Primary Purpose

Hypoglycemia

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
G-Pen(TM) 1 mg
Lilly Glucagon(TM) 1 mg
G-Pen(TM) 0.5 mg
Sponsored by
Xeris Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypoglycemia focused on measuring Hypoglycemia, Glucagon

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy male or female subjects between the ages of 18 and 60 years of age, inclusive, at Screening.
  2. Women must be of non-childbearing potential as defined by one of the following:

    • Females who are >45 and < 60 years of age at Screening and amenorrheic for at least 2 years
    • Females who have had a documented hysterectomy and/or bilateral oophorectomy.
  3. Females of childbearing potential with a negative pregnancy test at Screening and Treatment visits, using one of the following forms of contraception for the duration of participation in the study (i.e., until Follow-up 7-14 days post last dose):

    • Oral contraceptive
    • Injectable progesterone
    • Subdermal implant
    • Spermicidal foam/gel/film/cream/suppository
    • Diaphragm with spermicide
    • Copper or hormonal containing intrauterine device (IUD)
    • Sterile male partner vasectomized > 6 month pre-dosing.
  4. Male subjects are required to use a condom and one of the methods of contraception in 2. or 3. above starting at Randomization and for the duration of the study.
  5. Evidence of a personally signed and dated informed consent document indicating that the subject has been informed of all pertinent aspects of the study.
  6. Subjects must be willing and able to comply with scheduled visits, treatment, laboratory tests and study procedures.

Exclusion Criteria:

  1. Recent (i.e., within three (3) months prior to Screening) evidence or medical history of unstable concurrent disease such as: documented evidence or history of clinically significant hematological, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, immunological, or clinically significant neurological disease.
  2. Mean of triplicate set of seated BP readings at Screening, confirmed by 1 set of triplicate at Screening, if deemed necessary where systolic blood pressure (SBP) <90 or >140 mm Hg, and diastolic blood pressure (DBP) <50 or >90 mm Hg.
  3. Cardiovascular event within 6 months prior to screening such as unstable angina, acute coronary syndrome, myocardial infarction, therapeutic coronary procedure (e.g., stent placement, Percutaneous Transluminal Coronary Angioplasty (PTCA), Coronary Artery By-pass Grafting (CABG)), stroke or transient ischemic attack.
  4. Clinically significant ECG abnormalities.
  5. Study participants who are pregnant at Screening are not eligible for this study.
  6. Breast feeding must be discontinued if a subject wishes to participate in this study.
  7. Positive test for hepatitis B, hepatitis C, or HIV found at Screening.
  8. Positive urine drug test for illicit drugs at Screening.
  9. Allergies to glucagon, glucagon-like products or to any of the excipients in the investigational formulation.
  10. Recent (i.e., within three (3) months prior to Screening) administration of glucagon.
  11. Any prior cerebrovascular accident or major permanent neurological damage such as aphasia, hemiparesis, or dementia.
  12. Peripheral artery disease with uncontrolled claudication
  13. Current diagnosis or current clinical evidence of any New York Heart Association classification of heart failure.
  14. Subjects with any of the following abnormalities in clinical laboratory tests at Screening, confirmed by a single repeat, if necessary:

    • Total bilirubin > 1.5x upper limit of normal (ULN)
    • aspartate aminotransferase (AST/SGOT) or alanine aminotransferase (ALT/SGPT) ≥ 2.5x ULN.
    • Creatinine > 2.5x ULN.
  15. History of regular alcohol consumption as defined by alcohol intake in a quantity exceeding 7 drinks per week for females or 14 drinks per week for males, where 1 drink = 5 ounces (150 mL) of wine or 12 ounces (360 mL) of beer or 1.5 ounces (45 mL) of hard liquor.
  16. 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.
  17. Blood donation of approximately 1 pint (500 mL) within 8 weeks prior to Screening.
  18. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study.

Sites / Locations

  • Texas Diabetes Institute, University Health System

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

G-Pen(TM) 1 mg

G-Pen(TM) 0.5 mg

Lilly Glucagon(TM) 1 mg

Arm Description

G-Pen(TM) (glucagon injection), single 1 mg subcutaneous (SC) injection

G-Pen(TM) (glucagon injection), single 0.5 mg SC injection

Lilly Glucagon(TM) [glucagon for injection (rDNA origin)], single 1 mg SC injection

Outcomes

Primary Outcome Measures

Serious Adverse Events
Number of serious adverse events (SAEs) per treatment group

Secondary Outcome Measures

Glucose Area Under the Curve (AUC)
Pharmacodynamic parameter: Glucose area under the curve from baseline to 240 minutes post-treatment
Glucose Cmax
Pharmacodynamic parameter: Maximum concentration of glucose
Glucose Tmax
Pharmacodynamic parameter: Time to Maximum Glucose Concentration
Glucose AUCex
Pharmacodynamic parameter: Area Under the Glucose Excursion Curve
Glucose MAE
Pharmacodynamic parameter: Maximum absolute glucose excursion from baseline
Glucose Tex
Pharmacodynamic parameter: Earliest reported time of MAE, based on within-subject changes from baseline
Glucagon AUC
Pharmacokinetic parameter: Glucagon area under the curve from baseline to 240 minutes post-treatment
Glucagon Cmax
Pharmacokinetic parameter: Maximum concentration of glucagon
Glucagon Tmax
Pharmacokinetic parameter: Time to maximum concentration of glucagon

Full Information

First Posted
October 18, 2013
Last Updated
January 4, 2016
Sponsor
Xeris Pharmaceuticals
Collaborators
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), Emissary International LLC
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1. Study Identification

Unique Protocol Identification Number
NCT01972152
Brief Title
Safety, Tolerability, Pharmacokinetic (PK) and Pharmacodynamic (PD) Study of G-Pen(TM) (Glucagon Injection) to Treat Severe Hypoglycemia
Official Title
A RANDOMIZED, PHASE 2, DOUBLE-BLIND, 3-WAY CROSSOVER STUDY WITH G-PEN™ (GLUCAGON INJECTION) TO EVALUATE SAFETY, TOLERABILITY AND COMPARATIVE PHARMACOKINETICS AND PHARMACODYNAMICS TO LILLY GLUCAGON™ (GLUCAGON FOR INJECTION [rDNA ORIGIN]) IN HEALTHY VOLUNTEERS
Study Type
Interventional

2. Study Status

Record Verification Date
January 2016
Overall Recruitment Status
Completed
Study Start Date
October 2013 (undefined)
Primary Completion Date
February 2014 (Actual)
Study Completion Date
February 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Xeris Pharmaceuticals
Collaborators
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), Emissary International LLC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to demonstrate that G-Pen(TM) glucagon is comparable to Lilly Glucagon(TM) in terms of safety and efficacy, as a treatment for severe hypoglycemia, a complication of diabetes.
Detailed Description
Primary objective: To Evaluate the Safety and Tolerability of G-Pen™ (Glucagon Injection) 1 mg Secondary objective (1): To Evaluate the pharmacodynamics (Efficacy) of G-Pen™ (Glucagon Injection) 1 mg Secondary objective (2):To compare the pharmacokinetics of G-Pen™ (glucagon injection) 1mg [test] administered as 0.5 mg and 1 mg injections, versus Lilly Glucagon™ (glucagon for injection [rDNA origin]) 1 mg (reference)

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypoglycemia
Keywords
Hypoglycemia, Glucagon

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
G-Pen(TM) 1 mg
Arm Type
Experimental
Arm Description
G-Pen(TM) (glucagon injection), single 1 mg subcutaneous (SC) injection
Arm Title
G-Pen(TM) 0.5 mg
Arm Type
Experimental
Arm Description
G-Pen(TM) (glucagon injection), single 0.5 mg SC injection
Arm Title
Lilly Glucagon(TM) 1 mg
Arm Type
Active Comparator
Arm Description
Lilly Glucagon(TM) [glucagon for injection (rDNA origin)], single 1 mg SC injection
Intervention Type
Drug
Intervention Name(s)
G-Pen(TM) 1 mg
Intervention Type
Drug
Intervention Name(s)
Lilly Glucagon(TM) 1 mg
Intervention Type
Drug
Intervention Name(s)
G-Pen(TM) 0.5 mg
Primary Outcome Measure Information:
Title
Serious Adverse Events
Description
Number of serious adverse events (SAEs) per treatment group
Time Frame
From first dose until completion of the post-treatment follow-up visit, up to 6 weeks
Secondary Outcome Measure Information:
Title
Glucose Area Under the Curve (AUC)
Description
Pharmacodynamic parameter: Glucose area under the curve from baseline to 240 minutes post-treatment
Time Frame
Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection
Title
Glucose Cmax
Description
Pharmacodynamic parameter: Maximum concentration of glucose
Time Frame
Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection
Title
Glucose Tmax
Description
Pharmacodynamic parameter: Time to Maximum Glucose Concentration
Time Frame
Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection
Title
Glucose AUCex
Description
Pharmacodynamic parameter: Area Under the Glucose Excursion Curve
Time Frame
Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection
Title
Glucose MAE
Description
Pharmacodynamic parameter: Maximum absolute glucose excursion from baseline
Time Frame
Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection
Title
Glucose Tex
Description
Pharmacodynamic parameter: Earliest reported time of MAE, based on within-subject changes from baseline
Time Frame
Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection
Title
Glucagon AUC
Description
Pharmacokinetic parameter: Glucagon area under the curve from baseline to 240 minutes post-treatment
Time Frame
Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection
Title
Glucagon Cmax
Description
Pharmacokinetic parameter: Maximum concentration of glucagon
Time Frame
Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection
Title
Glucagon Tmax
Description
Pharmacokinetic parameter: Time to maximum concentration of glucagon
Time Frame
Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male or female subjects between the ages of 18 and 60 years of age, inclusive, at Screening. Women must be of non-childbearing potential as defined by one of the following: Females who are >45 and < 60 years of age at Screening and amenorrheic for at least 2 years Females who have had a documented hysterectomy and/or bilateral oophorectomy. Females of childbearing potential with a negative pregnancy test at Screening and Treatment visits, using one of the following forms of contraception for the duration of participation in the study (i.e., until Follow-up 7-14 days post last dose): Oral contraceptive Injectable progesterone Subdermal implant Spermicidal foam/gel/film/cream/suppository Diaphragm with spermicide Copper or hormonal containing intrauterine device (IUD) Sterile male partner vasectomized > 6 month pre-dosing. Male subjects are required to use a condom and one of the methods of contraception in 2. or 3. above starting at Randomization and for the duration of the study. Evidence of a personally signed and dated informed consent document indicating that the subject has been informed of all pertinent aspects of the study. Subjects must be willing and able to comply with scheduled visits, treatment, laboratory tests and study procedures. Exclusion Criteria: Recent (i.e., within three (3) months prior to Screening) evidence or medical history of unstable concurrent disease such as: documented evidence or history of clinically significant hematological, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, immunological, or clinically significant neurological disease. Mean of triplicate set of seated BP readings at Screening, confirmed by 1 set of triplicate at Screening, if deemed necessary where systolic blood pressure (SBP) <90 or >140 mm Hg, and diastolic blood pressure (DBP) <50 or >90 mm Hg. Cardiovascular event within 6 months prior to screening such as unstable angina, acute coronary syndrome, myocardial infarction, therapeutic coronary procedure (e.g., stent placement, Percutaneous Transluminal Coronary Angioplasty (PTCA), Coronary Artery By-pass Grafting (CABG)), stroke or transient ischemic attack. Clinically significant ECG abnormalities. Study participants who are pregnant at Screening are not eligible for this study. Breast feeding must be discontinued if a subject wishes to participate in this study. Positive test for hepatitis B, hepatitis C, or HIV found at Screening. Positive urine drug test for illicit drugs at Screening. Allergies to glucagon, glucagon-like products or to any of the excipients in the investigational formulation. Recent (i.e., within three (3) months prior to Screening) administration of glucagon. Any prior cerebrovascular accident or major permanent neurological damage such as aphasia, hemiparesis, or dementia. Peripheral artery disease with uncontrolled claudication Current diagnosis or current clinical evidence of any New York Heart Association classification of heart failure. Subjects with any of the following abnormalities in clinical laboratory tests at Screening, confirmed by a single repeat, if necessary: Total bilirubin > 1.5x upper limit of normal (ULN) aspartate aminotransferase (AST/SGOT) or alanine aminotransferase (ALT/SGPT) ≥ 2.5x ULN. Creatinine > 2.5x ULN. History of regular alcohol consumption as defined by alcohol intake in a quantity exceeding 7 drinks per week for females or 14 drinks per week for males, where 1 drink = 5 ounces (150 mL) of wine or 12 ounces (360 mL) of beer or 1.5 ounces (45 mL) of hard liquor. 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. Blood donation of approximately 1 pint (500 mL) within 8 weeks prior to Screening. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ralph A DeFronzo, MD
Organizational Affiliation
Texas Diabetes Institute, University Health System
Official's Role
Principal Investigator
Facility Information:
Facility Name
Texas Diabetes Institute, University Health System
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78207
Country
United States

12. IPD Sharing Statement

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Safety, Tolerability, Pharmacokinetic (PK) and Pharmacodynamic (PD) Study of G-Pen(TM) (Glucagon Injection) to Treat Severe Hypoglycemia

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