Clinical Trial Results:
            Assessment of Hepatic Glucose Production Following Repeated Glucagon Administration in Type 1 Diabetes Patients
    
|     Summary | |
|     EudraCT number | 2013-001407-36 | 
|     Trial protocol | AT | 
|     Global end of trial date | 
                                    10 Apr 2014
                             | 
|     Results information | |
|     Results version number | v1(current) | 
|     This version publication date | 
                                    26 Mar 2021
                             | 
|     First version publication date | 
                                    26 Mar 2021
                             | 
|     Other versions | |
        Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
    
    
    Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
| 
 | |||
|     Trial identification | |||
|     Sponsor protocol code | 
                                    HEPPI
                             | ||
|     Additional study identifiers | |||
|     ISRCTN number | - | ||
|     US NCT number | - | ||
|     WHO universal trial number (UTN) | - | ||
|     Sponsors | |||
|     Sponsor organisation name | 
                                    Medical University of Graz
                             | ||
|     Sponsor organisation address | 
                                    Auenbruggerplatz 15, Graz, Austria, A-8036
                             | ||
|     Public contact | 
                                    Center for Medical Research (ZMF), Medical University of Graz; Dept. of Internal Medicine; Division of Endocrinology and
Diabetology, +43 31638572831, werner.regittnig@medunigraz.at
                             | ||
|     Scientific contact | 
                                    Center for Medical Research (ZMF), Medical University of Graz; Dept. of Internal Medicine; Division of Endocrinology and
Diabetology, +43 31638572831, werner.regittnig@medunigraz.at
                             | ||
|     Paediatric regulatory details | |||
|     Is trial part of an agreed paediatric investigation plan (PIP) | 
                                        No
                                 | ||
|     Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? | 
                                        No
                                 | ||
|     Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? | 
                                        No
                                 | ||
|     Results analysis stage | |||
|     Analysis stage | 
                                    Final
                             | ||
|     Date of interim/final analysis | 
                                    31 Aug 2015
                             | ||
|     Is this the analysis of the primary completion data? | 
                                        Yes
                                 | ||
|     Primary completion date | 
                                    10 Apr 2014
                             | ||
|     Global end of trial reached? | 
                                        Yes
                                 | ||
|     Global end of trial date | 
                                    10 Apr 2014
                             | ||
|     Was the trial ended prematurely? | 
                                        Yes
                                 | ||
|     General information about the trial | |||
|     Main objective of the trial | 
                                    To assess the effect of repeated subcutaneous glucagon administration on the hepatic glucose production in type 1 diabetic patients under fed and fasted conditions.
                             | ||
|     Protection of trial subjects | 
                                    Number of intravenous catheters inserted as well as the number of blood samples drawn during the two study visits were minimised to minimise distress and pain.
                             | ||
|     Background therapy | On the days before and after the two study visits, study subjects were either treated with multiple daily injections (MDI) of insulin or continuous subcutaneous insulin infusion (CSII). | ||
|     Evidence for comparator | - | ||
|     Actual start date of recruitment | 
                                    06 May 2013
                             | ||
|     Long term follow-up planned | 
                                        No
                                 | ||
|     Independent data monitoring committee (IDMC) involvement? | 
                                        No
                                 | ||
|     Population of trial subjects | |||
|     Number of subjects enrolled per country | |||
|     Country: Number of subjects enrolled | 
                                    Austria: 9
                             | ||
|     Worldwide total number of subjects | 
                                    9
                             | ||
|     EEA total number of subjects | 
                                    9
                             | ||
|     Number of subjects enrolled per age group | |||
|     In utero | 
                                    0
                             | ||
|     Preterm newborn - gestational age < 37 wk | 
                                    0
                             | ||
|     Newborns (0-27 days) | 
                                    0
                             | ||
|     Infants and toddlers (28 days-23 months) | 
                                    0
                             | ||
|     Children (2-11 years) | 
                                    0
                             | ||
|     Adolescents (12-17 years) | 
                                    0
                             | ||
|     Adults (18-64 years) | 
                                    9
                             | ||
|     From 65 to 84 years | 
                                    0
                             | ||
|     85 years and over | 
                                    0
                             | ||
| 
 | |||||||||||||||||||
|     Recruitment | |||||||||||||||||||
|     Recruitment details | Patients were recruited from the diabetes out-patient clinic of the Medical University of Graz. Recruitment period lasted from May 2013 to April 2014. | ||||||||||||||||||
|     Pre-assignment | |||||||||||||||||||
|     Screening details | 10 subjects were screened. They were of both sexes, in the age group of 18–64 years and diagnosed with type 1 diabetes. They had to have HbA1C values of <10%, and had to be treated with multiple daily injection of insulin or continuous subcutaneous insulin infusion. One patient was excluded due to a screening failure. | ||||||||||||||||||
| Period 1 | |||||||||||||||||||
| Period 1 title | 
                                    Overall Period
                             | ||||||||||||||||||
|     Is this the baseline period? | Yes | ||||||||||||||||||
|     Allocation method | 
                                    Randomised - controlled
                             | ||||||||||||||||||
|     Blinding used | Not blinded | ||||||||||||||||||
|     Arms | |||||||||||||||||||
|     Are arms mutually exclusive | 
                                        No
                                 | ||||||||||||||||||
|     Arm title | Fasted Conditions | ||||||||||||||||||
|     Arm description | In this arm, subjects were given three subcutaneous boluses of glucagon (1 mg) in the fasted state (i.e., 20 hours post-meal). The boluses of glucagon were separated by 180 minutes. To restore normoglycemia after each glucagon bolus, the subjects engaged in moderate-intensity exercise. | ||||||||||||||||||
|     Arm type | crossover | ||||||||||||||||||
|     Investigational medicinal product name | 
                                    Glucagon
                             | ||||||||||||||||||
|     Investigational medicinal product code | 
                                    SUB02347MIG
                             | ||||||||||||||||||
|     Other name | 
                                    GlucaGen
                             | ||||||||||||||||||
|     Pharmaceutical forms | 
                                    Powder and solvent for solution for injection
                             | ||||||||||||||||||
|     Routes of administration | 
                                    Subcutaneous use
                             | ||||||||||||||||||
|     Dosage and administration details | 
                                    3 x 1 mg
                             | ||||||||||||||||||
|     Arm title | Fed Conditions | ||||||||||||||||||
|     Arm description | In this arm, subjects were given three subcutaneous boluses of glucagon (1 mg) in the fed state (i.e., 6 hours post-meal). The boluses of glucagon were separated by 180 minutes. To restore normoglycemia after each glucagon bolus, the subjects engaged in moderate-intensity exercise. | ||||||||||||||||||
|     Arm type | crossover | ||||||||||||||||||
|     Investigational medicinal product name | 
                                    Glucagon
                             | ||||||||||||||||||
|     Investigational medicinal product code | 
                                    SUB02347MIG
                             | ||||||||||||||||||
|     Other name | 
                                    GlucaGen
                             | ||||||||||||||||||
|     Pharmaceutical forms | 
                                    Powder and solvent for solution for injection
                             | ||||||||||||||||||
|     Routes of administration | 
                                    Subcutaneous use
                             | ||||||||||||||||||
|     Dosage and administration details | 
                                    3 x 1 mg
                             | ||||||||||||||||||
| 
 | |||||||||||||||||||
| 
 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|     Baseline characteristics reporting groups     | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|     Reporting group title | 
                                    Overall Period
                             | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|     Reporting group description | Overall Population as this is a cross-over trial | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 
 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 
 | |||
|     End points reporting groups | |||
|     Reporting group title | 
                                    Fasted Conditions
                             | ||
|     Reporting group description | In this arm, subjects were given three subcutaneous boluses of glucagon (1 mg) in the fasted state (i.e., 20 hours post-meal). The boluses of glucagon were separated by 180 minutes. To restore normoglycemia after each glucagon bolus, the subjects engaged in moderate-intensity exercise. | ||
|     Reporting group title | 
                                    Fed Conditions
                             | ||
|     Reporting group description | In this arm, subjects were given three subcutaneous boluses of glucagon (1 mg) in the fed state (i.e., 6 hours post-meal). The boluses of glucagon were separated by 180 minutes. To restore normoglycemia after each glucagon bolus, the subjects engaged in moderate-intensity exercise. | ||
| 
 | |||||||||||||
|     End point title | AUC HGP - fasted vs. fed conditions | ||||||||||||
|     End point description | |||||||||||||
|     End point type | 
                                    Primary
                             | ||||||||||||
|     End point timeframe | 
                                    Area under the hepatic glucose production curve (AUC HGP) from 0 to 90 minutes after the glucagon bolus injections.
                             | ||||||||||||
| 
 | |||||||||||||
|     Statistical analysis title | AUC HGP - fasted vs. fed conditions | ||||||||||||
|     Comparison groups | 
                                                Fasted Conditions v             Fed Conditions    
                             | ||||||||||||
|     Number of subjects included in analysis | 
                                    8
                             | ||||||||||||
|     Analysis specification | 
                                    Pre-specified
                             | ||||||||||||
|     Analysis type | other | ||||||||||||
|     P-value | = 0.82 | ||||||||||||
|     Method | 2-sided paired t-test | ||||||||||||
|     Confidence interval | |||||||||||||
| 
 | |||||||||||||||||||||||||||||||||||||||||
|     Adverse events information     | |||||||||||||||||||||||||||||||||||||||||
|     Timeframe for reporting adverse events | 
                                    from the onset of screening to the last patient last visit
                             | ||||||||||||||||||||||||||||||||||||||||
|     Assessment type | Non-systematic | ||||||||||||||||||||||||||||||||||||||||
|     Dictionary used for adverse event reporting | |||||||||||||||||||||||||||||||||||||||||
|     Dictionary name | MedDRA | ||||||||||||||||||||||||||||||||||||||||
|     Dictionary version | 
                                    18.1
                             | ||||||||||||||||||||||||||||||||||||||||
|     Reporting groups | |||||||||||||||||||||||||||||||||||||||||
|     Reporting group title | 
                                    Overall trial
                             | ||||||||||||||||||||||||||||||||||||||||
|     Reporting group description | - | ||||||||||||||||||||||||||||||||||||||||
| 
 | |||||||||||||||||||||||||||||||||||||||||
| Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||||||||||||
| 
 | |||||||||||||||||||||||||||||||||||||||||
| 
 | |||
| Substantial protocol amendments (globally) | |||
| Were there any global substantial amendments to the protocol? No | |||
| Interruptions (globally) | |||
| Were there any global interruptions to the trial? No | |||
| Limitations and caveats | |||
| Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
| None reported | |||
 
				
