Number of Subjects With a Positive Glucose Response
| Group | Value (Participants) |
|---|---|
| G-Pen | 76 |
| Lilly Glucagon | 78 |
Trial · Interventional
CompletedPhase 3Results postedRegistry dataUnited States, Canada
1 trial · 1 completed · 1 with posted results
G-Pen™ Compared to Lilly Glucagon for Hypoglycemia Rescue in Adults With Type 1 Diabetes
NCT0343907223 Jan 2018 to 3 May 2018
Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.
This is a non-inferiority, multi-center, randomized, controlled, single-blind, two-way crossover efficacy and safety study in subjects with Type 1 diabetes mellitus. The study involves two daytime clinical research center (CRC) visits with random assignment to receive G-Pen™ glucagon 1 mg during one period and Lilly Glucagon 1 mg during the other. Each daytime visit is preceded by an overnight stay in the CRC. In the morning of the inpatient study visit, the subject is brought into a state of hypoglycemia through IV administration of regular insulin diluted in normal saline. After a hypoglycemic state with plasma glucose \< 50 mg/dL is verified, the subject is administered a dose of G-Pen or Lilly Glucagon via subcutaneous injection. Plasma glucose levels are monitored for up to 180 minutes post-dosing, with a value of \>70.0 mg/dL within 30 minutes of glucagon administration indicating a positive response. After 3 hours, the subject is given a meal and discharged when medically stable. After a wash-out period of 7 to 28 days, subjects return to the CRC, and the procedure are repeated with each subject crossed over to the other treatment. A follow-up visit as a safety check is conducted 2-7 days following administration of the final dose of study drug.
Other
G-Pen followed by Lilly Glucagon
1 mg G-Pen at the first treatment visit followed by 1 mg Lilly Glucagon at the second treatment visit
Other
Lilly Glucagon followed by G-Pen
1 mg Lilly Glucagon at the first treatment visit followed by 1 mg G-Pen at the second treatment visit
Outcomes the sponsor listed as primary.
Number of Subjects With a Positive Glucose Response
Time frame · 0 to 30 minutes post dose
Increase in plasma glucose concentration from below 50.0 mg/dL to greater than 70.0 mg/dL within 30 minutes after receiving glucagon
Time for Positive Glucose Response
Time frame · 0 to 180 minutes post dose
Time from administration of glucagon for plasma glucose to rise from below 50.0 mg/dL to above 70.0 mg/dL
Number of Subjects With a Positive Response for the Combination Endpoint: Positive Glucose Response/Positive Glucose Increase
Time frame · 0 to 30 minutes post dose
A positive response for this endpoint is a return of plasma glucose to \> 70 mg/dL or an increase in plasma glucose by ≥20 mg/dL within 30 minutes after receiving glucagon
Number of Subjects With a Positive Glucose Increase
Time frame · 0 to 30 minutes post dose
Increase in plasma glucose by ≥ 20.0 mg/dL within 30 minutes after receiving glucagon
Time for Positive Glucose Increase
Time frame · 0 to 180 minutes post dose
Time from administration of glucagon for plasma glucose to increase by ≥20 mg/dL from baseline
Number of Subjects With a Positive Response for the Combination Endpoint: Positive Glucose Response/Relief of Neuroglycopenic Symptoms
Time frame · 0 to 30 minutes post dose
A positive response for this endpoint is a return of plasma glucose to \> 70 mg/dL or clearance of all neuroglycopenic symptoms of hypoglycemia within 30 minutes after receiving glucagon. Four symptoms were assessed: dizziness, blurred vision, difficulty in thinking and faintness.
Number of Subjects With Relief of Neuroglycopenic Symptoms
Time frame · 0 to 30 minutes post dose
Clearance of all neuroglycopenic symptoms of hypoglycemia within 30 minutes after receiving glucagon. Four symptoms were assessed: dizziness, blurred vision, difficulty in thinking and faintness.
Time to Resolution of Autonomic Symptoms
Time frame · 0 to 180 minutes post dose
Time from administration of glucagon to complete resolution of 4 autonomic symptoms of hypoglycemia. Symptoms included: sweating, tremor, palpitations and feeling of nervousness.
Time to Resolution of Neuroglycopenic Symptoms
Time frame · 0 to 180 minutes post dose
Time from administration of glucagon to complete resolution of 4 neuroglycopenic symptoms of hypoglycemia. Four symptoms were assessed: dizziness, blurred vision, difficulty in thinking and faintness.
Time to Resolution of the Feeling of Hypoglycemia
Time frame · 0 to 180 minutes post dose
Time from administration of glucagon to resolution of the overall sensation of hypoglycemia. Subjects were asked to answer yes/no to the question, "Do you feel hypoglycemic?" The time point as which the subject first answered "no" was considered the time of resolution.
Glucose AUC
Time frame · 0 to 180 minutes post dose - Blood samples for assessment of blood glucose concentration were collected every 5 minutes post-dose to 90 minutes, and then at 120, 150 and 180 minutes post dose.
Area under the curve for plasma glucose.
Glucose Cmax
Time frame · 0 to 180 minutes post dose - Blood samples for assessment of blood glucose concentration were collected every 5 minutes post-dose to 90 minutes, and then at 120, 150 and 180 minutes post dose.
Maximum concentration of plasma glucose.
Glucose Tmax
Time frame · 0 to 180 minutes post dose
Time to maximum concentration of plasma glucose. Blood samples for assessment of blood glucose concentration were collected every 5 minutes post-dose to 90 minutes, and then at 120, 150 and 180 minutes post dose.
Glucagon Preparation and Administration Time
Time frame · 0 to 5 minutes pre-dose
Time required to prepare and inject glucagon as measured between a "decision to dose" and completion of the injection
Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.
| Group | Value (Participants) |
|---|---|
| G-Pen | 76 |
| Lilly Glucagon | 78 |
| Group | Value (minutes) | Spread |
|---|---|---|
| G-Pen | 12.17 | 3.604 |
| Lilly Glucagon | 8.58 | 2.026 |
| Group | Value (Participants) |
|---|---|
| G-Pen | 76 |
| Lilly Glucagon | 78 |
| Group | Value (Participants) |
|---|---|
| G-Pen | 76 |
| Lilly Glucagon | 78 |
| Group | Value (minutes) | Spread |
|---|---|---|
| G-Pen | 11.36 | 3.345 |
| Lilly Glucagon | 8.02 | 1.856 |
| Group | Value (Participants) |
|---|---|
| G-Pen | 76 |
| Lilly Glucagon | 78 |
| Group | Value (Participants) |
|---|---|
| G-Pen | 74 |
| Lilly Glucagon | 77 |
| Group | Value (minutes) | Spread |
|---|---|---|
| G-Pen | 13.8 | 10.89 |
| Lilly Glucagon | 12.0 | 7.44 |
| Group | Deaths | Serious events | Other events |
|---|---|---|---|
| G-PenG-Pen: 1 mg subcutaneous injection of G-Pen (glucagon injection) administered via auto-injector. Between the 2 arms, a total of 76 subjects received a dose of G-Pen in the study. | 0 / 76 | 0 / 76 | 46 / 76 |
| Lilly GlucagonLilly Glucagon: 1 mg subcutaneous injection of Lilly Glucagon (glucagon injection \[RNDA Origin\]). Between the 2 arms, a total of 78 subjects received a dose of Lilly Glucagon in the study. | 0 / 78 | 0 / 78 | 34 / 78 |
Each cell reads participants affected / participants at risk, as the registry posted them.
Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works
Studies that cite this trial.
1 study on this page
Indexing hint: Randomized controlled trial · 2021
Christiansen et al. 2021BMJ open diabetes research & carecited by 19
PMID 34620618PMC8499286DOI 10.1136/bmjdrc-2021-002137PUB-34620618
Who could join, as posted.
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