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| ID | Type | Description | Link |
|---|---|---|---|
| 2R44DK085809-02 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) | NIH |
| Emissary International LLC | INDUSTRY |
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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.
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)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| G-Pen(TM) 1 mg | Experimental | G-Pen(TM) (glucagon injection), single 1 mg subcutaneous (SC) injection |
|
| G-Pen(TM) 0.5 mg | Experimental | G-Pen(TM) (glucagon injection), single 0.5 mg SC injection |
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| Lilly Glucagon(TM) 1 mg | Active Comparator | Lilly Glucagon(TM) [glucagon for injection (rDNA origin)], single 1 mg SC injection |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| G-Pen(TM) 1 mg | Drug |
| ||
| Lilly Glucagon(TM) 1 mg |
| Measure | Description | Time Frame |
|---|---|---|
| Serious Adverse Events | Number of serious adverse events (SAEs) per treatment group | From first dose until completion of the post-treatment follow-up visit, up to 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Glucose Area Under the Curve (AUC) | Pharmacodynamic parameter: Glucose area under the curve from baseline to 240 minutes post-treatment | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
| Glucose Cmax |
Not provided
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 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):
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:
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.
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| Name | Affiliation | Role |
|---|---|---|
| Ralph A DeFronzo, MD | Texas Diabetes Institute, University Health System | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Texas Diabetes Institute, University Health System | San Antonio | Texas | 78207 | United States |
Of a total of 41 individuals recruited, 4 declined participation, 7 did not meet eligibility criteria and 30 were enrolled.
This study involved healthy volunteers who were recruited from the local community surrounding a state-affiliated diabetes treatment center over a period of 3 months.
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| ID | Title | Description |
|---|---|---|
| FG000 | G-Pen(TM) 0.5 mg First, Then G-Pen(TM) 1 mg, Then Lilly 1 mg | G-Pen(TM) (glucagon injection), single 0.5 mg subcutaneous (SC) injection at treatment visit 1 followed by a 3-14 day washout, G-Pen(TM) (glucagon injection), single 1 mg subcutaneous (SC) injection at treatment visit 2 followed by a 3-14 day washout, Lilly Glucagon(TM) [glucagon for injection (rDNA origin)], single 1 mg SC injection at treatment visit 3. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| First Treatment Visit |
|
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| Drug |
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| G-Pen(TM) 0.5 mg | Drug |
|
Pharmacodynamic parameter: Maximum concentration of glucose |
| Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
| Glucose Tmax | Pharmacodynamic parameter: Time to Maximum Glucose Concentration | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
| Glucose AUCex | Pharmacodynamic parameter: Area Under the Glucose Excursion Curve | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
| Glucose MAE | Pharmacodynamic parameter: Maximum absolute glucose excursion from baseline | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
| Glucose Tex | Pharmacodynamic parameter: Earliest reported time of MAE, based on within-subject changes from baseline | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
| Glucagon AUC | Pharmacokinetic parameter: Glucagon area under the curve from baseline to 240 minutes post-treatment | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
| Glucagon Cmax | Pharmacokinetic parameter: Maximum concentration of glucagon | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
| Glucagon Tmax | Pharmacokinetic parameter: Time to maximum concentration of glucagon | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
| FG001 | G-Pen(TM) 0.5 mg First, Then Lilly 1 mg, Then G-Pen(TM) 1 mg | G-Pen(TM) (glucagon injection), single 0.5 mg subcutaneous (SC) injection at treatment visit 1 followed by a 3-14 day washout, Lilly Glucagon(TM) [glucagon for injection (rDNA origin)], single 1 mg SC injection at treatment visit 2, G-Pen(TM) (glucagon injection), single 1 mg subcutaneous (SC) injection at treatment visit 3. |
| FG002 | G-Pen(TM) 1 mg First, Then G-Pen(TM) 0.5 mg , Then Lilly 1 mg | G-Pen(TM) (glucagon injection), single 1 mg subcutaneous (SC) injection at treatment visit 1 followed by a 3-14 day washout, G-Pen(TM) (glucagon injection), single 0.5 mg SC injection at treatment visit 2 followed by a 3-14 day washout, Lilly Glucagon(TM) [glucagon for injection (rDNA origin)], single 1 mg SC injection at treatment visit 3. |
| FG003 | G-Pen(TM) 1 mg First, Then Lilly 1 mg, Then G-Pen(TM) 0.5 mg | G-Pen(TM) (glucagon injection), single 1 mg subcutaneous (SC) injection at treatment visit 1 followed by a 3-14 day washout, Lilly Glucagon(TM) [glucagon for injection (rDNA origin)], single 1 mg SC injection of at treatment visit 2 followed by a 3-14 day washout, G-Pen(TM) (glucagon injection), single 0.5 mg SC injection at treatment visit 3. |
| FG004 | Lilly 1 mg First, Then G-Pen(TM) 0.5 mg, Then G-Pen(TM) 1 mg | Lilly Glucagon(TM) [glucagon for injection (rDNA origin)], single 1 mg SC injection at treatment visit 1 followed by a 3-14 day washout, G-Pen(TM) (glucagon injection), single 0.5 mg subcutaneous (SC) injection at treatment visit 2 followed by a 3-14 day washout, G-Pen(TM) (glucagon injection), single 1 mg subcutaneous (SC) injection at treatment visit 3. |
| FG005 | Lilly 1 mg First, Then G-Pen(TM) 1 mg, Then G-Pen(TM) 0.5 mg | Lilly Glucagon(TM) [glucagon for injection (rDNA origin)], single 1 mg SC injection at treatment visit 1 followed by a 3-14 day washout, G-Pen(TM) (glucagon injection), single 1 mg subcutaneous (SC) injection at treatment visit 2 followed by a 3-14 day washout, G-Pen(TM) (glucagon injection), single 0.5 mg subcutaneous (SC) injection at treatment visit 3. |
| COMPLETED |
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| NOT COMPLETED |
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| Second Treatment Visit |
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| Third Treatment Visit |
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The study involved a 3-way cross-over design with 30 total randomized subjects, so the baseline characteristics are the same for all 3 arms.
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| ID | Title | Description |
|---|---|---|
| BG000 | Total Study Group | Includes all 30 randomized subjects |
| Units | Counts |
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| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Body Mass Index | Mean | Standard Deviation | kg/m^2 |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Serious Adverse Events | Number of serious adverse events (SAEs) per treatment group | All subjects receiving treatment were included in this analysis. | Posted | Number | events | From first dose until completion of the post-treatment follow-up visit, up to 6 weeks |
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| Secondary | Glucose Area Under the Curve (AUC) | Pharmacodynamic parameter: Glucose area under the curve from baseline to 240 minutes post-treatment | Per protocol analysis set. Two subjects were excluded from all analyses: one who completed no treatment visits and had no evaluable data and another who violated eligibility criteria. A third subject was excluded from analysis for the one treatment visit at which the subject's blood samples were inadvertently diluted with saline during collection. | Posted | Mean | Standard Deviation | min*mg/dL | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
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| Secondary | Glucose Cmax | Pharmacodynamic parameter: Maximum concentration of glucose | Per protocol analysis set. Two subjects were excluded from all analyses: one who completed no treatment visits and had no evaluable data and another who violated eligibility criteria. A third subject was excluded from analysis for the one treatment visit at which the subject's blood samples were inadvertently diluted with saline during collection. | Posted | Mean | Standard Deviation | mg/dL | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
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| Secondary | Glucose Tmax | Pharmacodynamic parameter: Time to Maximum Glucose Concentration | Per protocol analysis set. Two subjects were excluded from all analyses: one who completed no treatment visits and had no evaluable data and another who violated eligibility criteria. A third subject was excluded from analysis for the one treatment visit at which the subject's blood samples were inadvertently diluted with saline during collection. | Posted | Mean | Standard Deviation | minutes | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
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| Secondary | Glucose AUCex | Pharmacodynamic parameter: Area Under the Glucose Excursion Curve | Per protocol analysis set. Two subjects were excluded from all analyses: one who completed no treatment visits and had no evaluable data and another who violated eligibility criteria. A third subject was excluded from analysis for the one treatment visit at which the subject's blood samples were inadvertently diluted with saline during collection. | Posted | Mean | Standard Deviation | min*mg/dL | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
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| Secondary | Glucose MAE | Pharmacodynamic parameter: Maximum absolute glucose excursion from baseline | Per protocol analysis set. Two subjects were excluded from all analyses: one who completed no treatment visits and had no evaluable data and another who violated eligibility criteria. A third subject was excluded from analysis for the one treatment visit at which the subject's blood samples were inadvertently diluted with saline during collection. | Posted | Mean | Standard Deviation | mg/dL | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
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| Secondary | Glucose Tex | Pharmacodynamic parameter: Earliest reported time of MAE, based on within-subject changes from baseline | Per protocol analysis set. Two subjects were excluded from all analyses: one who completed no treatment visits and had no evaluable data and another who violated eligibility criteria. A third subject was excluded from analysis for the one treatment visit at which the subject's blood samples were inadvertently diluted with saline during collection. | Posted | Mean | Standard Deviation | minutes | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
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| Secondary | Glucagon AUC | Pharmacokinetic parameter: Glucagon area under the curve from baseline to 240 minutes post-treatment | Per protocol analysis set. Two subjects were excluded from all analyses: one who completed no treatment visits and had no evaluable data and another who violated eligibility criteria. A third subject was excluded from analysis for the one treatment visit at which the subject's blood samples were inadvertently diluted with saline during collection. | Posted | Mean | Standard Deviation | min*pg/ml | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
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| Secondary | Glucagon Cmax | Pharmacokinetic parameter: Maximum concentration of glucagon | Per protocol analysis set. Two subjects were excluded from all analyses: one who completed no treatment visits and had no evaluable data and another who violated eligibility criteria. A third subject was excluded from analysis for the one treatment visit at which the subject's blood samples were inadvertently diluted with saline during collection. | Posted | Mean | Standard Deviation | pg/ml | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
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| Secondary | Glucagon Tmax | Pharmacokinetic parameter: Time to maximum concentration of glucagon | Per protocol analysis set. Two subjects were excluded from all analyses: one who completed no treatment visits and had no evaluable data and another who violated eligibility criteria. A third subject was excluded from analysis for the one treatment visit at which the subject's blood samples were inadvertently diluted with saline during collection. | Posted | Mean | Standard Deviation | minutes | Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection |
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Adverse events were collected from the first administration of study drug to an untreated follow-up visit occurring 7-14 days after the last treatment, up to 6 weeks.
Adverse events are reported by Preferred Term
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | G-Pen(TM) 1 mg | G-Pen(TM) (glucagon injection), single 1 mg SC injection G-Pen(TM) 1 mg Lilly Glucagon(TM) 1 mg G-Pen(TM) 0.5 mg | 0 | 28 | 22 | 28 | ||
| EG001 | G-Pen(TM) 0.5 mg | G-Pen(TM) (glucagon injection), single 0.5 mg SC injection G-Pen(TM) 1 mg Lilly Glucagon(TM) 1 mg G-Pen(TM) 0.5 mg | 0 | 29 | 26 | 29 | ||
| EG002 | Lilly Glucagon(TM) 1 mg | Lilly Glucagon(TM) [glucagon for injection (rDNA origin)], single 1 mg SC injection G-Pen(TM) 1 mg Lilly Glucagon(TM) 1 mg G-Pen(TM) 0.5 mg | 0 | 28 | 22 | 28 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | MedDRA (5.1) | Systematic Assessment |
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| Diarrhea | Gastrointestinal disorders | MedDRA (5.1) | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA (5.1) | Systematic Assessment |
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| Flushing | Endocrine disorders | MedDRA (5.1) | Systematic Assessment |
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| Gastrointestinal Pain | Gastrointestinal disorders | MedDRA (5.1) | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA (5.1) | Systematic Assessment |
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| Hot Flushes | Endocrine disorders | MedDRA (5.1) | Systematic Assessment |
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| Injection Site Reaction | Skin and subcutaneous tissue disorders | MedDRA (5.1) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Martin J. Cummins, VP, Drug Development | Xeris Pharmaceuticals, Inc. | 512-498-2675 | mcummins@xerispharma.com |
| ID | Term |
|---|---|
| D007003 | Hypoglycemia |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| Unknown or Not Reported |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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