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Trial · Interventional

CompletedPhase 2Registry data

ZP4207(Dasiglucagon) Administered to T1D Patients to Assess the PK and PD Compared to Marketed Glucagon

Overview

Status
Completed
Phase
Phase 2
Enrollment
38 participants (actual)
Sponsor
Zealand Pharma · Industry
Design
Randomized · Double masking
Countries
1 country

Germany

Start
1 Dec 2016
Primary completion
5 Apr 2017
Completion
5 Apr 2017
First posted
27 Sept 2016 (estimated)
Last update posted
21 Apr 2017
Conditions
Diabetes Mellitus Type 1

Timeline

1 trial · 1 completed

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
201620172018
  1. Ph 2

    ZP4207(Dasiglucagon) Administered to T1D Patients to Assess the PK and PD Compared to Marketed Glucagon

    NCT02916251

    1 Dec 2016 to 5 Apr 2017

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

The trial is a single-centre, randomised, sequential, cross-over trial assessing pharmacokinetic and pharmacodynamic responses after micro-doses of ZP4207 (dasiglucagon\*) administered subcutaneously to patients with type 1 diabetes mellitus under euglycaemic and hypoglycaemic conditions and compared to marketed glucagon. \*dasiglucagon is the proposed International Nonproprietary Name (pINN) for ZP4207

Interventions

  • ZP4207(dasiglucagon) glucagon analogueDrug
  • Glucagon (Native glucagon)Drug

Arms2

  • Experimental

    ZP4207(dasiglucagon)

    Intervention: ZP4207(dasiglucagon) glucagon analogue (4 mg/mL) planned doses: 0.03, 0.08, 0.2 and 0.6 mg at euglycemic and hypoglycemic conditions.

  • Active comparator

    Glucagon (Native glucagon)

    Intervention: Glucagon (Native glucagon) 1 mg/mL as active comparator planned doses: 0.03, 0.08 and 0.2 mg at euglycemic conditions.

Primary outcomes6

Outcomes the sponsor listed as primary.

  1. PK endpoint for ZP4207(dasiglucagon) and baseline adjusted glucagon: AUC 0-240 min

    Time frame · AUC 0-240 min during all treatment periods (V2-V5)

    Registry description

    Area under the curve from 0-240 min

  2. PK endpoint for ZP4207(dasiglucagon) and baseline adjusted glucagon: Cmax

    Time frame · Pre-dose, 5, 15, 30, 60, 90, 150 and 240 minutes post dosing. Peak of plasma concentration during all treatment periods (V2-V 5)

    Registry description

    max. concentration

  3. PK endpoint for ZP4207(dasiglucagon) and baseline adjusted glucagon: tmax

    Time frame · Pre-dose, 5, 15, 30, 60, 90, 150 and 240 minutes post dosing. Time to peak plasma concentration during all treatment periods (V2-V5)

    Registry description

    Time to peak plasma concentration

  4. PD endpoint: Plasma glucose profiles above baseline: AUE 0-240 min

    Time frame · Pre-dose, 10, 30, 50, 70, 90, 150, 240 minutes post dosing. AUE 0-240 min during all treatment periods (V2-V5)

    Registry description

    Area under the effect curve from 0-240 min

  5. PD endpoint: Plasma glucose profiles above baseline: CEmax

    Time frame · Pre-dose, 10, 30, 50, 70, 90, 150, 240 minutes post dosing. Peak of plasma glucose concentration during all treatment periods (V2-V5)

    Registry description

    Max concentration effect

  6. PD endpoint: Plasma glucose profiles above baseline: tmax

    Time frame · Pre-dose, 10, 30, 50, 70, 90, 150, 240 minutes post dosing Time to plasma glucose concentration during all treatment periods (V2-V5)

    Registry description

    Time to peak plasma glucose concentration

Secondary outcomes(20)
  1. PK endpoints for ZP4207(dasiglucagon) and baseline adjusted glucagon: MRT

    Time frame · Pre-dose, 5, 15, 30, 60, 90, 150 and 240 minutes post dosing. Mean residence time for ZP4207(dasiglucagon) and baseline adjusted glucagon during all treatment periods (V2-V5)

    Registry description

    Mean residence time

  2. PK endpoints for ZP4207(dasiglucagon) and baseline adjusted glucagon: Vz/f,

    Time frame · Pre-dose, 5, 15, 30, 60, 90, 150 and 240 minutes post dosing. Volume of distribution of plasma ZP4207(dasiglucagon) or glucagon during all treatment periods (V2-V5)

    Registry description

    Volume of distribution

  3. PK endpoints for ZP4207(dasiglucagon) and baseline adjusted glucagon: λz

    Time frame · Pre-dose, 5, 15, 30, 60, 90, 150 and 240 minutes post dosing. Terminal elimination rate constant of ZP4207(dasiglucagon) and baseline adjusted glucagon during all treatment periods (V2-V5)

    Registry description

    Terminal elimination rate constant

  4. PK endpoints for ZP4207(dasiglucagon) and baseline adjusted glucagon: t½,

    Time frame · Pre-dose, 5, 15, 30, 60, 90, 150 and 240 minutes post dosing. Terminal plasma elimination half-life of ZP4207(dasiglucagon) or glucagon during all treatment periods (V2-V5)

    Registry description

    Terminal plasma elimination half-life

  5. PK endpoints for ZP4207(dasiglucagon) and baseline adjusted glucagon: CL/f

    Time frame · Pre-dose, 5, 15, 30, 60, 90, 150 and 240 minutes post dosing. Total body clearance of plasma ZP4207(dasiglucagon) or glucagon during all treatment periods (V2-V5)

    Registry description

    Total body clearance

  6. PK endpoints for ZP4207(dasiglucagon) and baseline adjusted glucagon: AUC 0-30min

    Time frame · AUC 0-30 min during all treatment periods (V2-V 5)

    Registry description

    Area under the curve from 0-30 min

  7. PK endpoints for ZP4207(dasiglucagon) and baseline adjusted glucagon: AUC 0-inf

    Time frame · Pre-dose, 5, 15, 30, 60, 90, 150 and 240 minutes post dosing. AUC 0-inf during all treatment periods (V2-V 5)

    Registry description

    Area under the curve from 0-inf

  8. Insulin concentrations before and after dosing with ZP4207(dasiglucagon) or glucagon:

    Time frame · Pre-dose, 5, 15, 30, 60, 90, 150 and 240 minutes post dosing. Insulin concentrations during all treatment periods (V2-V 5)

    Registry description

    Insulin concentrations

  9. PD endpoints for ZP4207(dasiglucagon) and baseline adjusted glucagon: AUE 0-30min

    Time frame · AUE 0-240 min during all treatment periods (V2-V5)

    Registry description

    Area under the effect curve from 0-30 min

  10. PD endpoints for ZP4207(dasiglucagon) and baseline adjusted glucagon: CE 30min

    Time frame · Concentration effect at 30 min during all treatment periods (V2-V5)

    Registry description

    Concentration effect at 30 min

  11. PD endpoints for ZP4207(dasiglucagon) and baseline adjusted glucagon: t50%CE, early

    Time frame · Pre-dose, 10, 30, 50, 70, 90, 150, 240 minutes post dosing. Time to half concentration effect (t50%CE, early) during all treatment periods (V2-V5)

    Registry description

    Time to half concentration effect

  12. PD endpoints for ZP4207(dasiglucagon) and baseline adjusted glucagon: t10%CE, late

    Time frame · Pre-dose, 10, 30, 50, 70, 90, 150, 240 minutes post dosing. Time to 90% decrease from peak concentration effect during all treatment periods (V2-V5)

    Registry description

    Time to 90% decrease from CEmax

  13. PD endpoints: Percentage of patients achieving a plasma glucose increase of ≥20 mg/dL within 30 minutes after treatment

    Time frame · During all treatment periods (V2-V5) within 30 min after dosing

  14. PD endpoints: Time to plasma glucose increase of ≥20 mg/dL

    Time frame · Pre-dose, 10, 30, 50, 70, 90, 150, 240 minutes post dosing. During all treatment periods (V2-V5) - time plasma glucose increase of ≥20 mg/dL after dosing

  15. PD endpoints: Percentage of patients achieving a plasma glucose concentration ≥70 mg/dL within 30 minutes after treatment (insulin-induced hypoglycemia)

    Time frame · During all treatment periods (V2-V5) within 30 min after dosing (insulin-induced hypoglycemia)

  16. PD endpoints: Time to plasma glucose concentration of ≥70 mg/dL (insulin-induced hypoglycemia)

    Time frame · Pre-dose, 10, 30, 50, 70, 90, 150, 240 minutes post dosing. During all treatment periods (V2-V5) - time plasma glucose increase of ≥70 mg/dL after dosing (insulin-induced hypoglycemia)

  17. Safety endpoints: Number of participants with adverse events

    Time frame · Through study completion. The total trial duration for a patient will be about 5.5 to 12 weeks.

    Registry description

    Includes events from the first trial related activity after the patient has signed the informed consent until Follow up visit.

  18. Safety endpoints: Local tolerability of injection site

    Time frame · Local tolerability assessed pre-dose (within 30 min) and at 0.5, 2, and 4 hours post-dose (each treatment visit and at Follow up visit).

    Registry description

    Findings in local tolerability by means of the following assessments: spontaneous pain * pain on palpation * itching * redness * oedema * induration/infiltration * other these assessments will be reported on a scale of 0 (none), 1 (mild), 2 (moderate) and 3 (severe)

  19. Safety endpoints: Laboratory safety parameters

    Time frame · Through study completion. The total trial duration for a patient will be about 5.5 to 12 weeks.

    Registry description

    Haematology, biochemistry and urinalysis: Changes or findings from baseline (normal ranges) in clinical safety laboratory parameters during the study duration (from Screening, at treatment visits and at Follow up visit).

  20. Safety endpoints: Physical examination

    Time frame · Through study completion. The total trial duration for a patient will be about 5.5 to 12 weeks.

    Registry description

    Physical examination: Changes or findings from baseline (normal ranges) in physical examination during the study duration (at Screening and Follow up visit). An examination of the following body systems will be performed: Head, ears, eyes, nose, throat (HEENT), incl thyroid gland Heart, lung, chest Abdomen Skin and mucosae Musculoskeletal system Nervous system Lymph node Other findings

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

No results are posted for this trial.

Completed trials do not always post results.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 64 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: To be included in the trial, patients have to fulfil all of the following criteria: 1. Signed and dated informed consent obtained before any trial-related activities. (Trial-related activities are any procedures that would not have been performed during normal management of the patient). 2. Male and female patients with T1DM for at least 1 year, as defined by the American Diabetes Association1. 3. Age between 18 and 64 years, both inclusive. 4. HbA1c \< 8.5%. 5. C-peptide negative defined as below the lower limit of quantification. 6. Stable insulin regimen via an insulin infusion pump for at least 1 month prior to screening. 7. Weight between 60 kg and 90 kg, both inclusive. 8. Patients in good health according to age (medical history, physical examination, vital signs, 12-lead ECGs, lab assessments), as judged by the Investigator.- Exclusion Criteria: Patients meeting any of the following criteria during screening evaluations will be excluded from trial participation: 1. Unable to provide informed consent (e.g., impaired cognition or judgement). 2. Patients with mental incapacity or language barriers which preclude adequate understanding or cooperation, who are unwilling to participate in the trial, or who in the opinion of the Investigator should not participate in the trial. 3. Receipt of any medicinal product in clinical development within 3 months prior screening. 4. Previous exposure to ZP4207(dasiglucagon) or previously randomized to this trial. 5. Known or suspected allergy to trial product(s) or related products. 6. History of adverse reaction to glucagon (including allergy) besides nausea and vomiting. 7. History of multiple and/or severe allergies to drugs or foods or a history of severe anaphylactic reaction. 8. New onset clinically significant illness within 4 weeks prior to screening, as judged by the Investigator. 9. History of liver disease that is expected to interfere with the anti-hypoglycemia action of glucagon (e.g., liver failure or cirrhosis). Other liver disease (i.e., active hepatitis, steatosis, active biliary disease, any tumor of the liver, hemochromatosis, glycogen storage disease) may exclude the patient if it causes significant compromise to liver function or may do so in an unpredictable fashion. 10. Any history or presence of clinically relevant cardiovascular, pulmonary, respiratory, gastrointestinal, renal, metabolic, endocrinological (with the exception of conditions associated with diabetes mellitus), haematological, dermatological, neurological, osteomuscular, articular, psychiatric, systemic, ocular, gynaecologic (if female), or infectious disease, or signs of acute illness as judged by the Investigator. 11. Clinically significant abnormal haematology, biochemistry or urinalysis screening tests, as judged by the Investigator. In particular, elevated liver enzymes (AST or ALT \> 2 times the upper limit of normal, or bilirubin \>1.5 the upper limit of normal) or impaired renal function (elevated serum creatinine values above the upper limit of normal). 12. Hypertension with systolic blood pressure \>140 mmHg or diastolic blood pressure \>90 mmHg (excluding white-coat hypertension; therefore, if a repeated measurement shows values within the range, the patient can be included in the trial); a heart rate at rest outside the range of 50-90 beats per minute. 13. Clinically significant abnormal standard 12-lead electrocardiogram (ECG) after 5 minutes resting in supine position at screening, as judged by the Investigator. 14. Proliferative retinopathy or maculopathy and/or severe neuropathy, in particular autonomic neuropathy, as judged by the Investigator. 15. Inadequate venous access as determined by trial nurse or physician at time of screening 16. Any factors that, in the judgment of the Principal Investigator, would interfere with trial endpoints or the safe completion of the trial procedures. 17. Severe hypoglycaemic events within one year prior to screening, as judged by the Investigator. 18. Increased risk of thrombosis, e.g. patients with a history of deep leg vein thrombosis or family history of deep leg vein thrombosis, as judged by the Investigator. 19. Significant history of alcoholism or drug abuse as judged by the Investigator or consuming more than 24 g alcohol per day for men, or more than 12 g alcohol per day for women. 20. A positive result in the alcohol and/or urine drug screen at the screening visit. 21. Habitual smoking, i.e., daily smoking or more than 7 cigarettes/week within the last 3 months prior to screening. Patients have to accept refraining from smoking while at the clinical site. 22. History of cystic fibrosis, pancreatitis, pancreatic tumor, or any other pancreatic disease besides T1DM 23. History of pheochromocytoma. 24. History of adrenal disease or tumor. 25. Positive to the screening test for Hepatitis Bs antigen or Hepatitis C antibodies and/or a positive result to the test for HIV-1/2 antibodies or HIV-1 antigen. 26. The use of any non-prescribed systemic or topical medication, except routine vitamins and occasional use of acetylsalicylic acid and paracetamol within 2 weeks prior to randomization (and if female with the exception of hormonal contraception or menopausal hormone replacement therapy). 27. Donation of blood or plasma in the past month, or in excess of 500 mL within 12 weeks prior to screening. 28. Male who is sexually active and not surgically sterilized who or whose partner(s) is not using highly effective contraceptive methods (highly effective contraceptive measures include surgical sterilisation, hormonal intrauterine devices \[coil\], oral hormonal contraceptives, each in combination with spermicide-coated condoms), or who is not willing to refrain from sexual intercourse from the first dosing until the end of the trial (Visit 6). 29. Females of childbearing potential who are pregnant (positive urine human chorionic gonadotropin \[HCG\]), breast-feeding or intend to become pregnant or are not using highly effective contraceptive methods (highly effective contraceptive methods are considered those with a failure rate less than 1% undesired pregnancies per year including surgical sterilisation, hormonal intrauterine devices (coil), oral hormonal contraceptives, sexual abstinence or a surgically sterilised partner). Females who are postmenopausal can participate in the study without using adequate contraceptive methods. Postmenopausal is defined as women aged \< 52 years and being amenorrheic for more than one year with serum FSH level \> 40 IU/L or aged \>= 52 years and being amenorrheic for less than one year and with serum FSH level \> 40 IU/L or aged \>= 52 years being amenorrheic for more than one year. \-

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