This is a 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 Novo 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 severe hypoglycemia through IV administration of regular insulin diluted in normal saline. After a hypoglycemic state with plasma glucose \< 54 mg/dL (3 mmol/L) is verified, the subject is administered a dose of G-Pen or Novo Glucagon via subcutaneous injection. Plasma glucose levels are monitored for up to 180 minutes post-dosing, with a value of \>70.0 mg/dL (3.89 mmol/L) or an increase of \> 20 mg/dL (\>1.11 mmol/L) 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 procedures 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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
132
1 mg subcutaneous injection of G-Pen (glucagon injection) administered via auto-injector
1 mg subcutaneous injection of Novo Glucagon (glucagon injection)
Diablo Clinical Research
Walnut Creek, California, United States
Atlanta Diabetes Associates
Atlanta, Georgia, United States
PPD-Las Vegas Clinical Research Unit
Las Vegas, Nevada, United States
Rainier Research Center
Renton, Washington, United States
Medizinische Universität Graz-Center for Medical Research
Graz, Austria
LMC Diabetes & Endocrinology
Toronto, Ontario, Canada
AltaSciences
Montreal, Quebec, Canada
Severe Hypoglycemia Rescue
Number of subjects with an increase in plasma glucose concentration from below 54 mg/dL (3 mmol/L) to greater than 70 mg/dL (3.89 mmol/L) or an increase in plasma glucose concentration \> 20 mg/dL (\> 1.11 mmol/L) within 30 minutes after administration of glucagon
Time frame: At 30 minutes following administration of study drug
Plasma Glucose Response 1
Number of subjects with an increase in plasma glucose concentration from below 54 mg/dL (3 mmol/L) to greater than 70 mg/dL (3.89 mmol/L) within 30 minutes of a decision to dose
Time frame: At 30 minutes following a decision to administer study drug
Plasma Glucose Response 2
Number of subjects with an increase in plasma glucose concentration \> 20 mg/dL (\> 1.11 mmol/L) after administration of glucagon.
Time frame: At 0-30 minutes following a decision to administer study drug
Administration Time
Mean time (minutes) to administer study drug from a decision to dose
Time frame: At 0-10 minutes from a decision to administer study drug
Hypoglycemia Resolution
Mean time (minutes) to complete resolution of the overall sensation of hypoglycemia from a decision to dose
Time frame: At 0-90 minutes following administration of study drug
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