Extension Trial Evaluating the Long-term Safety and Efficacy of Dasiglucagon in Children With Congenital Hyperinsulinism
Zealand Pharman = 422 May 2019 to 26 May 2026
Congenital Hyperinsulinism
PepBank has 17 dasiglucagon studies with results. 16 of them gave dasiglucagon, with 97 results, grouped by what the studies measured. In each group, results from studies in people come first. Data as of 2026-10-30.
Searches 97 results and 24 papers. Newer studies from Europe PMC
Identifiers, parent molecule, targets and development stage, from curated data.
Dasiglucagon is a 29-residue glucagon analog for severe hypoglycemia. Its sequence has seven substitutions relative to human glucagon, including Aib16.
| Target | Action | Evidence |
|---|---|---|
| Glucagon receptorGCGRP47871 (opens in a new tab) | Agonist | Official prescribing information, mechanism of actionSource (opens in a new tab) |
Residues, differences from the parent, calculated properties and 3D structure. Source values and calculated values are shown separately.
29 amino acids · 1 modification
Calculated from the two sequences. Curated notes are shown as given.
22 of 29 aligned residues identical (76%) · 6 substitutions · 1 non-canonical residue · Human glucagon 1–29
Differences from the parent
Basis: GSRS identifies seven substitutions relative to human glucagon: S16Aib, R17A, Q20E, D21E, Q24K, M27E, and N28S. UniProt P01275 identifies the human glucagon precursor.
Calculated from the two sequences with @pepdb/chem alignToParent (ungapped unless a gap scores higher). The record’s curated notes are shown as given.
Some values cannot be calculated. The sequence has a non-canonical residue (X). Residue tables cover only the 20 standard amino acids.
@pepdb/chem 0.2.0 · EMBOSS pKa set · ExPASy residue masses
No charge curve
The sequence has a non-canonical residue (X). Residue tables cover only the 20 standard amino acids.
29 residues. Each residue counts in one class; F and W count as aromatic.
Loads the 3D viewer (3Dmol.js, about 150 KB) and the model file from AlphaFold DB (EMBL-EBI).
Dasiglucagon has 29 residues. A full-atom drawing is hard to read at this size; the sequence view is the reference.
SMILES fromPubChem CID 126961379(opens in a new tab)
C[C@H]([C@@H](C(=O)N[C@@H](CC1=CC=CC=C1)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CO)C(=O)N[C@@H](CC(=O)O)C(=O)N[C@@H](CC2=CC=C(C=C2)O)C(=O)N[C@@H](CO)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CC3=CC=C(C=C3)O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC(=O)O)C(=O)NC(C)(C)C(=O)N[C@@H](C)C(=O)N[C@@H](CCCNC(=N)N)C(=O)N[C@@H](C)C(=O)N[C@@H](CCC(=O)O)C(=O)N[C@@H](CCC(=O)O)C(=O)N[C@@H](CC4=CC=CC=C4)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CC5=CNC6=CC=CC=C65)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCC(=O)O)C(=O)N[C@@H](CO)C(=O)N[C@@H]([C@@H](C)O)C(=O)O)NC(=O)CNC(=O)[C@H](CCC(=O)N)NC(=O)[C@H](CO)NC(=O)[C@H](CC7=CNC=N7)N)OAn ideal alpha-helix projection. It shows where the hydrophobic residues fall if the peptide folds as a helix. It does not show that it does.
Eisenberg consensus (normalized) scale · + K, R · − D, E
Assumes an ideal α-helix: 100° per residue, 3.6 residues per turn. The arrow is the mean hydrophobic moment (Eisenberg et al. 1984) and points at the hydrophobic face.
| Position | Residue | Angle | Eisenberg consensus (normalized) |
|---|---|---|---|
| 1 | H | 0° | -0.40 |
| 2 | S | 100° | -0.18 |
| 3 | Q | 200° | -0.85 |
| 4 | G | 300° | 0.48 |
| 5 | T | 40° | -0.05 |
| 6 | F | 140° | 1.19 |
| 7 | T | 240° | -0.05 |
| 8 | S | 340° | -0.18 |
| 9 | D | 80° | -0.90 |
| 10 | Y | 180° | 0.26 |
| 11 | S | 280° | -0.18 |
| 12 | K | 20° | -1.50 |
| 13 | Y | 120° | 0.26 |
| 14 | L | 220° | 1.06 |
| 15 | D | 320° | -0.90 |
| 16 | X | 60° | not scored |
| 17 | A | 160° | 0.62 |
| 18 | R | 260° | -2.53 |
| 19 | A | 0° | 0.62 |
| 20 | E | 100° | -0.74 |
| 21 | E | 200° | -0.74 |
| 22 | F | 300° | 1.19 |
| 23 | V | 40° | 1.08 |
| 24 | K | 140° | -1.50 |
| 25 | W | 240° | 0.81 |
| 26 | L | 340° | 1.06 |
| 27 | E | 80° | -0.74 |
| 28 | S | 180° | -0.18 |
| 29 | T | 280° | -0.05 |
People first in each area, then animals, then lab cells. Counts are exact and come from studies that gave the peptide.
PepBank reads each paper before it shows the results. This search looks in Europe PMC for newer papers that PepBank has not read yet.
Counts are exact and come from studies that gave the peptide.
Studies by year
17 of 24 studies have results (71%), published 2018 to 2025. Top row: every study. Bottom row: studies with results about Dasiglucagon, by class. The rows use different scales.
Studies24 in all, 2018 to 2026
Studies with results17 in all, 2018 to 2025
Retracted studies are left out. A study with results in two classes counts in both.
AI wrote and checked these results. AI can make mistakes, so check important results against the source.
Registered trials that test the peptide, with phase, status and dates. A dot marks trials with posted results.
21 trials match. Highest phase first. Data from ClinicalTrials.gov.
21 trials · 18 completed · 3 stopped early · 9 with posted results
ZP4207(Dasiglucagon) Administered to T1D Patients to Assess the PK and PD Compared to Marketed Glucagon
NCT029162511 Dec 2016 to 5 Apr 2017
A Trial to Evaluate the Immunogenicity of Dasiglucagon and GlucaGen in Patients With Type 1 Diabetes Mellitus
NCT0321622628 Jun 2017 to 13 Feb 2018
A Trial to Confirm the Efficacy and Safety of Dasiglucagon in the Treatment of Hypoglycemia in Type 1 Diabetes Subjects
NCT033786357 Dec 2017 to 25 May 2018
Trial to Confirm the Efficacy and Safety of Dasiglucagon in the Treatment of Hypoglycemia in T1DM Children
NCT0366705328 Sept 2018 to 28 Jun 2019
Trial to Confirm the Clinical Efficacy and Safety of Dasiglucagon in the Treatment of Hypoglycemia in Subjects With T1DM
NCT036887111 Nov 2018 to 11 Mar 2019
Evaluation of the Safety, Tolerability and Bioavailability of Dasiglucagon Following Subcutaneous (SC) Compared to IV Administration
NCT037352257 Nov 2018 to 24 Jun 2019
A Two-Period Open-label Trial Evaluating Efficacy and Safety of Dasiglucagon in Children With Congenital Hyperinsulinism
NCT037771767 Feb 2019 to 5 Oct 2020
A Trial to Compare the Efficacy and Safety of 2 Different Batches of Subcutaneous Dasiglucagon in Patients With T1DM
NCT0389569726 Mar 2019 to 30 Jul 2019
Extension Trial Evaluating the Long-term Safety and Efficacy of Dasiglucagon in Children With Congenital Hyperinsulinism
NCT039412362 May 2019 to 26 May 2026
21 trials · 18 completed · 3 stopped early · 9 with posted results · source ClinicalTrials.gov (opens in a new tab)
Zealand Pharman = 422 May 2019 to 26 May 2026
Congenital Hyperinsulinism
Zealand Pharman = 89 May 2023 to 3 Dec 2024
Hypoglycemia · Type 1 Diabetes
Zealand Pharman = 1219 Jun 2020 to 7 Mar 2022
Congenital Hyperinsulinism
Zealand Pharman = 327 Feb 2019 to 5 Oct 2020
Congenital Hyperinsulinism
Zealand Pharman = 9226 Mar 2019 to 30 Jul 2019
Hypoglycemia · Diabetes Mellitus, Type 1
Zealand Pharman = 4228 Sept 2018 to 28 Jun 2019
Hypoglycemia
Zealand Pharman = 1707 Dec 2017 to 25 May 2018
Hypoglycemia · Diabetes Mellitus, Type 1
Zealand Pharman = 451 Nov 2018 to 11 Mar 2019
Hypoglycemia · Diabetes Mellitus, Type 1
Zealand Pharman = 11228 Jun 2017 to 13 Feb 2018
Hypoglycemia · Diabetes Mellitus, Type 1
Massachusetts General Hospitaln = 1215 May 2019 to 3 Jul 2019
Type 1 Diabetes Mellitus
Inreda Diabetic B.V.n = 0est. 29 Dec 2023 to est. 29 Dec 2023
Diabetes Mellitus, Type 1
Zealand Pharman = 0est. Feb 2023 to est. Feb 2023
Hypoglycemia · Glucose Metabolism Disorders
Filip Krag Knopn = 2420 Aug 2021 to 15 Dec 2022
Hyperinsulinemic Hypoglycemia · Postprandial Hypoglycemia
Steno Diabetes Center Copenhagenn = 2427 Apr 2021 to 28 Jan 2022
Type 1 Diabetes · Hypoglycemia
Zealand Pharman = 13Nov 2016 to 7 Jun 2017
Diabetes Mellitus, Type 1
Steno Diabetes Center Copenhagenn = 202 Jul 2020 to 4 Jan 2021
Type 1 Diabetes · Hypoglycemia
University Hospital, Gentofte, Copenhagenn = 1018 Sept 2019 to 26 Feb 2020
Hyperinsulinemic Hypoglycemia · Postprandial Hypoglycemia
Zealand Pharman = 381 Dec 2016 to 5 Apr 2017
Diabetes Mellitus Type 1
Novo Nordisk A/Sn = 3810 Sept 2024 to 20 Jul 2025
Diabetes Mellitus, Type 1
Zealand Pharman = 607 Nov 2018 to 24 Jun 2019
Hypoglycemia
Insel Gruppe AG, University Hospital Bernn = 0est. Apr 2023 to est. Jun 2024
Type 1 Diabetes · Hypoglycemia
Studies on this peptide. Some have results. The others have none yet.
24 studies match. Retracted studies are left out.
Showing 23 of 24 studiesquery qry_9ab64e0281f5256901df937e
17 studies
Randomized controlled trial · 2018
Hövelmann et al. 2018Diabetes carecited by 84
PMID 29273578DOI 10.2337/dc17-1402PUB-29273578
Randomized controlled trial · 2021
Pieber et al. 2021Diabetes carecited by 42
PMID 35239971PMC8247529DOI 10.2337/dc20-2995PUB-35239971
Not a test of Dasiglucagon alone · 2024
Yu et al. 2024Journal of the American Chemical Societycited by 30
PMID 38465595DOI 10.1021/jacs.3c13139PUB-38465595
Randomized controlled trial · 2021
Battelino et al. 2021Pediatric diabetescited by 27
PMID 33934456PMC8361970DOI 10.1111/pedi.13220PUB-33934456
Randomized controlled trial · 2019
Hövelmann et al. 2019Diabetes, obesity & metabolismn = 17cited by 21
PMID 30350477PMC6587565DOI 10.1111/dom.13562PUB-30350477
Randomized controlled trial · 2023
Nielsen et al. 2023Diabetes caren = 24cited by 14
PMID 37819999DOI 10.2337/dc23-1193PUB-37819999
Randomized controlled trial · 2022
Nielsen et al. 2022Diabetes caren = 10cited by 13
PMID 35320361DOI 10.2337/dc21-2252PUB-35320361
Randomized controlled trial · 2021
Bailey et al. 2021Diabetes, obesity & metabolismn = 45cited by 12
PMID 34169625DOI 10.1111/dom.14475PUB-34169625
Randomized controlled trial · 2022
Laugesen et al. 2022Diabetes caren = 20cited by 9
PMID 35475907DOI 10.2337/dc21-2304PUB-35475907
Randomized controlled trial · 2024
Thornton et al. 2024The Journal of clinical endocrinology and metabolismn = 32cited by 9
PMID 37930757PMC10940263DOI 10.1210/clinem/dgad648PUB-37930757
Non-randomized trial · 2021
Pieber et al. 2021Diabetes technology & therapeuticsn = 112cited by 3
PMID 34252289DOI 10.1089/dia.2021.0108PUB-34252289
Randomized controlled trial · 2022
Tehranchi et al. 2022Current therapeutic research, clinical and experimentalcited by 2
PMID 35464292PMC9026613DOI 10.1016/j.curtheres.2022.100668PUB-35464292
Randomized controlled trial · 2023
Laugesen et al. 2023Diabetologian = 24cited by 2
PMID 37037948PMC10244275DOI 10.1007/s00125-023-05909-4PUB-37037948
Randomized controlled trial · 2025
De Leon et al. 2025The Journal of clinical endocrinology and metabolismn = 12cited by 2
PMID 39584500PMC12261080DOI 10.1210/clinem/dgae818PUB-39584500
Other design · 2023
Heller et al. 2023Diabetes, obesity & metabolismcited by 1
PMID 36692230DOI 10.1111/dom.14987PUB-36692230
Case report or series · 2024
Reynolds et al. 2024Hormone research in paediatricsn = 1
PMID 37454652DOI 10.1159/000531251PUB-37454652
Case report or series · 2025
Weschle et al. 2025Endocrinology, diabetes & metabolism case reportsn = 1
PMID 40300042PMC12063474DOI 10.1530/edm-25-0006PUB-40300042
6 studies
PubMed tag: Randomized Controlled Trial, Comparative Study · 2022
Bailey et al. 2022Diabetes technology & therapeuticscited by 9
PMID 34809479PMC9057872DOI 10.1089/dia.2021.0367PUB-34809479
PubMed tag: none · 2022
Hinahara et al. 2022Journal of managed care & specialty pharmacycited by 4
PMID 35332789PMC10373001DOI 10.18553/jmcp.2022.28.4.461PUB-35332789
PubMed tag: none · 2021
Haberbosch et al. 2021Deutsche medizinische Wochenschrift (1946)
PMID 34062583DOI 10.1055/a-1240-9714PUB-34062583
PubMed tag: none · 2022
Ju et al. 2022Expert review of clinical pharmacology
PMID 35848442DOI 10.1080/17512433.2022.2103537PUB-35848442
PubMed tag: Meta-Analysis · 2023
Maji et al. 2023Balkan medical journal
PMID 37735694PMC10613743DOI 10.4274/balkanmedj.galenos.2023.2023-7-84PUB-37735694
PubMed tag: none · 2025
Sridharan et al. 2025Diabetology & metabolic syndrome
PMID 41126373PMC12542482DOI 10.1186/s13098-025-01988-yPUB-41126373
These studies name Dasiglucagon but give no result for it (for example, the results concern another peptide in the study).
PubMed tag: none · 2026
DeWolf et al. 2026Small sciencecited by 1
PMID 41810046PMC12970167DOI 10.1002/smsc.202500555PUB-41810046
Page 1 of 1
Bailey TS · Diabetes, obesity & metabolism · 2021
Randomized controlled trial · 6 results
Thornton PS · The Journal of clinical endocrinology and metabolism · 2024
Randomized controlled trial · 7 results
Nielsen CK · Diabetes care · 2023
Randomized controlled trial · 5 results
De Leon DD · The Journal of clinical endocrinology and metabolism · 2025
Randomized controlled trial · 2 results
Pieber TR · Diabetes care · 2021
Randomized controlled trial · 6 results
Battelino T · Pediatric diabetes · 2021
Randomized controlled trial · 4 results
Laugesen C · Diabetologia · 2023
Randomized controlled trial · 7 results
Laugesen C · Diabetes care · 2022
Randomized controlled trial · 8 results
Hövelmann U · Diabetes, obesity & metabolism · 2019
Randomized controlled trial · 9 results
Nielsen CK · Diabetes care · 2022
Randomized controlled trial · 4 results
Hövelmann U · Diabetes care · 2018
Randomized controlled trial · 16 results
Tehranchi R · Current therapeutic research, clinical and experimental · 2022
Randomized controlled trial · 8 results
Pieber TR · Diabetes technology & therapeutics · 2021
Non-randomized trial · 3 results
Weschle L · Endocrinology, diabetes & metabolism case reports · 2025
Case report or series · 10 results
Reynolds D · Hormone research in paediatrics · 2024
Case report or series · 2 results
Heller S · Diabetes, obesity & metabolism · 2023
Other design · 10 results
Yu S · Journal of the American Chemical Society · 2024
Not a test of Dasiglucagon alone · 6 results
Approval and sport status, and the safety outcomes reported in study results. Laws and labels change, so check the regulator for the current status.
| Jurisdiction | Body | Status | As of | Source |
|---|---|---|---|---|
| US | FDA |
| 27 Oct 2026 | dailymed.nlm.nih.gov (opens in a new tab) |
| EU | EMA |
| 27 Oct 2026 | ema.europa.eu (opens in a new tab) |
| Sport | WADA | Not listed as banned by WADA The substance is not named in the 2026 list. | 2026 List | wada-ama.org (opens in a new tab) |
43 safety results for Dasiglucagon.
In children with CHI, skin events were more frequent with dasiglucagon plus standard care than standard care alone.
Randomized controlled trialn = 32
In children with CHI, gastrointestinal events were more frequent with dasiglucagon plus standard care than standard care alone.
Randomized controlled trialn = 32
Nausea episodes were numerically higher after dasiglucagon than oral glucose, without a significant difference.
Randomized controlled trialn = 20
Visual analog scale-assessed adverse effects did not differ significantly between dasiglucagon and oral glucose interventions.
Randomized controlled trialn = 20
Nausea occurred more frequently with dasiglucagon than identical doses of commercial glucagon in type 1 diabetes.
Randomized controlled trialn = 17
Vomiting occurred more frequently with dasiglucagon than identical doses of commercial glucagon in type 1 diabetes.
Randomized controlled trialn = 17
Nausea was the most frequent adverse event and occurred at a similar rate with dasiglucagon and GlucaGen (44-56%).
Randomized controlled trialn not reported
In healthy volunteers, dasiglucagon had no clinically relevant effect on heart rate at the doses studied.
Randomized controlled trialn not reported
The top 24 of 43 results.
The doses that these studies used. They are not recommendations.
0.6 mgHuman
10-70 µg/hHuman
120 μgHuman
0.6 mgHuman
0.6 mgHuman
80 μgHuman
6 of 20 shown
PepBank is a research reference. Talk to a doctor before you use any peptide.
Data version, change history and code for this peptide.
curl -s https:// pepbank.io/ v1/ briefs/ dasiglucagonEvidence summary for Dasiglucagon: counts by class, key results with sources, notices, data version.
In PepBank now:147 peptides, 6 blends and 13 other compounds97,577 study results from 17,383 studies8,473 clinical trialsUpdated
Top outcomes
The 8 outcome groups with the most study results, by evidence class.
Data version 308560. Bar length is the number of results, not the size of an effect.
Evidence matrix
Study results by outcome and evidence class. Arrows show how the measured outcome moved, not whether the change is good.
| Outcome group | Human | Animal | Lab | Computer model | Total |
|---|---|---|---|---|---|
| Glycemic controlMetabolic and weight | Human: 48 results from 14 studies: 12 increase, 15 decrease, 7 no significant change, 14 not reported. Strongest design: Randomized controlled trial | No results | No results | No results | 48 |
| Adverse eventsWhole body | Human: 23 results from 11 studies: 1 increase, 1 no significant change, 21 not reported. Strongest design: Randomized controlled trial | No results | No results | No results | 23 |
| Gastrointestinal adverse eventsGastrointestinal | Human: 11 results from 8 studies: 3 increase, 1 no significant change, 7 not reported. Strongest design: Randomized controlled trial | No results | No results | No results | 11 |
| Heart functionCardiovascular | Human: 8 results from 1 study: 1 increase, 7 not reported. Strongest design: Randomized controlled trial | No results | No results | No results | 8 |
| PharmacokineticsPharmacology | Human: 3 results from 1 study: 1 increase, 2 not reported. Strongest design: Randomized controlled trial | No results | No results | No results | 3 |
| Appetite and food intakeMetabolic and weight | Human: 1 result from 1 study: 1 decrease. Strongest design: Randomized controlled trial | No results | No results | No results | 1 |
| Immune responseImmune and inflammation | Human: 1 result from 1 study: 1 not reported. Strongest design: Non-randomized trial | No results | No results | No results | 1 |
| MortalityWhole body | Human: 1 result from 1 study: 1 not reported. Strongest design: Other design | No results | No results | No results | 1 |
| Treatment AcceptabilityWhole body | Human: 1 result from 1 study: 1 not reported. Strongest design: Non-randomized trial | No results | No results | No results | 1 |
9 outcome groups shown of 9 · 97 study results
Data version 308560. Shade grows with the number of results. Every cell shows the exact count.
Trials by phase
21 registered trials, grouped by phase and shown by status.
Source: ClinicalTrials.gov, data version 308560. Status is the registry status.