This is a sequential efficacy and safety study in pediatric patients with type 1 diabetes. Subjects will be administered insulin to induce a low normal glycemic state and will then receive an age-appropriate dose of G-Pen (glucagon injection) in a clinical research center (CRC) or comparable setting.
This is an open-label, Phase 3 sequential efficacy and safety study in pediatric patients ages 2-17 with type 1 diabetes. Patients will complete the screening procedures up to 30 days before dosing to determine eligibility before enrollment to the treatment phase. The procedure to evaluate the efficacy of G-Pen (glucagon injection) consists of inducing a low normal glycemic state by administration of insulin. Subjects ages 2-11 will then be given a 0.5 mg dose of G-Pen, while subjects ages 12-17 will receive a 1 mg dose of G-Pen. Subjects ages 12-17 will return for a second visit 1-4 weeks later and will receive a 0.5 mg dose of G-Pen when in a low normal glycemic stare. Plasma glucose and glucagon levels will be monitored for 90 and 180 minutes post-dosing, respectively, at all visits. A follow-up phone call as a safety check will be conducted 3 - 14 days following administration of the final dose.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
31
0.5 or 1.0 mg of pre-mixed liquid Xeris glucagon delivered via auto-injector
Stanford University
Stanford, California, United States
Barbara Davis Center for Childhood Diabetes
Aurora, Colorado, United States
Yale University
New Haven, Connecticut, United States
University of Florida
Gainesville, Florida, United States
Change in Plasma Glucose
The primary endpoint for this study is an evaluation of change in plasma glucose following treatment with G-Pen, with an emphasis on the increase from baseline to 30 minutes post-dosing.
Time frame: 0-30 minutes
Time for Plasma Glucose to Increase by ≥25 mg/dL
Time for plasma glucose to increase by ≥25 mg/dL from baseline will be analyzed descriptively for each age cohort.
Time frame: 0-90 minutes
Plasma Glucagon Area Under the Curve
Plasma glucagon area under the curve (AUC) for each age cohort will be analyzed descriptively.
Time frame: 0-90 minutes
Plasma Glucagon Cmax
Plasma glucagon maximum concentration for each age cohort will be analyzed descriptively.
Time frame: 0-180 minutes
Plasma Glucagon Tmax
Plasma glucagon time to maximum concentration for each age cohort will be analyzed descriptively.
Time frame: 0-180 minutes
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Indiana University
Indianapolis, Indiana, United States
University of Iowa
Iowa City, Iowa, United States
Women & Children's Hospital of Buffalo
Buffalo, New York, United States