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A Trial to Investigate the Safety and the Pharmacokinetic, Pharmacodynamic Characteristics of Two BioChaperone® Glucagon Formulations Compared to Marketed GlucaGen® in Subjects With T1DM

Phase 1
Completed
Conditions
Type 1 Diabetes Mellitus
Interventions
Drug: BioChaperone® glucagon formulation 1
Drug: BioChaperone® glucagon formulation 2
Registration Number
NCT03176524
Lead Sponsor
Adocia
Brief Summary

This is a single centre, double-blind, randomised, three-period crossover phase 1 trial in subjects with type 1 diabetes mellitus (T1DM). Each subject will be randomly allocated to a sequence of three treatments, i.e. two single subcutaneous doses of BioChaperone® Glucagon (BC Glucagon) formulation 1, BioChaperone® Glucagon formulation 2 and GlucaGen® HypoKit®, each at the fixed doses of 50 µg and 1 mg on 3 separate dosing visits.

Following trial drug administration, pharmacokinetics (PK) and pharmacodynamics (PD) assessments will be carried until 4 hours. Safety will be assessed during all the trial period.

The total trial maximum duration for the individual subject will be up to 10 weeks.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
27
Inclusion Criteria
  • Male or female patients aged between 18 and 64 years (both inclusive)
  • Type 1 diabetes mellitus (as diagnosed clinically) ≥ 12 months prior to the screening visit
  • Treated with daily insulin for T1DM ≥ 12 months prior to the screening visit
  • Stable insulin treatment at least 3 months prior to the screening visit
  • Stable disease with HbA1c <9.0 %
  • C peptide <=0.30 nmol/L
  • Body mass index (BMI) < 30.0 kg/m2
Exclusion Criteria
  • Type 2 Diabetes mellitus
  • Previous participation in this trial. Participation is defined as being randomised
  • Receipt of any medicinal product in clinical development within 60 days prior to this trial
  • Clinically significant abnormal haematology, biochemistry, urinalysis, or coagulation screening tests, as judged by the Investigator considering the underlying disease
  • Known or suspected hypersensitivity to the trial products or related products
  • Severe hypoglycaemic events within one month prior to screening, as judged by the investigator
  • Recent administration of glucagon (within 3 months prior to Screening)
  • Clinically relevant diabetic complications as judged by the investigator
  • Women of child bearing potential not willing to use contraceptive methods

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
BioChaperone® glucagon formulation 1BioChaperone® glucagon formulation 1Single subcutaneous fixed doses (50 µg and 1.0 mg)
GlucaGen® HypoKit®GlucaGen® HypoKit®Single subcutaneous fixed doses (50 µg and 1.0 mg)
BioChaperone® glucagon formulation 2BioChaperone® glucagon formulation 2Single subcutaneous fixed doses (50 µg and 1.0 mg)
Primary Outcome Measures
NameTimeMethod
Clinical safety laboratoryUp to 10 weeks

Haematology, biochemistry and urinalysis: changes or findings from baseline in clinical safety laboratory parameters during the trial duration (screening visit, treatment visits and follow up visit)

Assessments of local tolerability at injection siteUp to 10 weeks

Local reaction at injection site

Physical examinationUp to 10 weeks

Examination of the body systems

ECG parametersUp to 10 weeks

Heart rate, PQ, QRS, QT, QTcB: changes or findings from baseline in ECG parameters during the trial duration (screening visit, treatment visits and follow up visit)

Vital signsUp to 10 weeks

Diastolic and systolic blood pressure (mmHg), Pulse (beats/min), Body temperature (°C), Respiratory frequency (RF/min): changes or findings from baseline in vital signs during the trial duration (screening visit, treatment visits and follow up visit)

Adverse events and serious adverse eventsUp to 10 weeks

Untoward medical occurrence

Secondary Outcome Measures
NameTimeMethod
ΔAUCPG 0-30minFrom 0 to 30 min

area under the baseline adjusted plasma glucose curve from 0 until 30 min

AUCPK 0-30minFrom 0 to 30 min

area under the baseline adjusted plasma glucagon concentration curve from 0 to 30 min

AUC PK 0-4hFrom 0 to 4 hours

area under the baseline adjusted plasma glucagon concentration curve from 0 to 4 h

ΔAUCPG 0-4hFrom 0 to 4 hours

area under the baseline adjusted plasma glucose curve from 0 until 4h

ΔPG 30minFrom 0 to 30 min

baseline adjusted plasma glucose concentration at 30 min

Percentage of patients achieving a plasma glucose increase of ≥20 mg/dL from baseline within 30 minutes after treatment30 min after drug administration

only at day 2

Time to plasma glucose increase of ≥20 mg/dL from baselineUp to 4 hours after drug administration

only at day 2

Trial Locations

Locations (1)

Profil Institut für Stoffwechselforschung GmbH

🇩🇪

Neuss, Germany

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