A Phase 2, Multiple Ascending Dose, Open-label, Proof-of-concept Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of HM15136 (efpegerglucagon) Treatment for 8 Weeks in Subjects Aged ≥2 Years with Congenital Hyperinsulinism (CHI)
Overview
- Phase
- Phase 2
- Intervention
- HM15136
- Conditions
- Congenital Hyperinsulinism
- Sponsor
- Hanmi Pharmaceutical Company Limited
- Enrollment
- 16
- Locations
- 7
- Primary Endpoint
- Time to reach Cmax
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
This study is designed to evaluate the safety, tolerability, pharmacokinetics (PK), and efficacy of HM15136 when used as add-on therapy in subjects with CHI with persistent hypoglycemia while on standard of care treatment (SoC). HM15136 will be administered once weekly in multiple doses to subjects in multiple age including pediatric to find appropriate exposure-response data.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Male and female subjects aged ≥2 years with CHI with persistent hypoglycemia despite current SoC treatment according to the investigator's evaluation or documentation
- •Stable therapy with SoC medications with or without nutritional supplementation
- •Previously undergone near-total pancreatectomy or being treated with a nonsurgical approach, having been evaluated as not eligible for pancreatic surgery
- •HbA1c \<7%
Exclusion Criteria
- •Subjects with type 1 or type 2 diabetes mellitus
- •Other reasons for hypoglycemia, including but not limited to drug-induced hyperinsulinemic hypoglycemia, etc
- •Treatment of CHI with continuous intravenous glucose or glucagon infusion within 3 months prior to screening
- •Subjects with current use of any drugs that are known to interfere with the study drug, glucose metabolism, or study procedures (eg, use of systemic glucocorticoids \[excluding topical, intra-articular or ophthalmic application, nasal spray, or inhaled forms\] or insulin)
- •Have conditions that could affect glucose levels such as pheochromocytoma, insulinoma, and glucagonoma
Arms & Interventions
HM15136 active
Cohort 1 / Cohort 2
Intervention: HM15136
Outcomes
Primary Outcomes
Time to reach Cmax
Time Frame: after multiple subcutaneous (SC) doses of 8 weeks
Number of incidence of clinical laboratory abnormalities
Time Frame: after multiple subcutaneous (SC) doses of 8 weeks
Number of incidence of AEs, TEAE, SAE as assessed by CTCAE v5.0
Time Frame: after multiple subcutaneous (SC) doses of 8 weeks
Maximum Serum Concentration [Cmax]
Time Frame: after multiple subcutaneous (SC) doses of 8 weeks