CClinicalTrials.gg
CompletedNCT01959334Updated Sep 6, 2019Results posted

Evaluate the Immunogenicity of a Novel Glucagon Formulation

A Phase 3 interventional study of Nasal Glucagon (NG) and Glucagon IM in Drug-specific Antibodies and Diabetes Mellitus, sponsored by Eli Lilly and Company. Completed at 1 site in Canada. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2019-09-06.

Sponsored by Eli Lilly and Company · Phase 3, Interventional, and Other

Phase
Phase 3
Study type
Interventional
Enrollment
75
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This study provides information on immunogenicity of Nasal Glucagon (AMG504-1) with regards to the potential development of treatment-emergent anti-glucagon antibodies.

Read the detailed description

This study is a single center, randomized, laboratory-blinded, three periods, parallel design study.

The main objective of this study is to evaluate the immunogenicity of repeated single doses of glucagon following nasal and intramuscular (IM) administration in adults with Type 1 or Type 2 diabetes (T1D or T2D). The secondary objective is to evaluate the safety and tolerability of glucagon following NG and IM administration in adults with T1D or T2D.

A single dose of glucagon was administered in the morning after a 10-hour overnight fast, either by intranasal or intramuscular route, on 3 occasions. Each drug administration was separated by at least seven calendar days. Patients were randomized in a 2:1 ratio (NG:IMG) to receive NG or IMG at each of the 3 periods.

Blood samples were collected for measurement of anti-glucagon antibodies at screening visit, prior to dosing at Period 3, and at the post-study visit (approximately 4 weeks after the last glucagon administration).

02

Conditions studied

  • Drug-specific Antibodies
  • Diabetes Mellitus

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Keywords

  • Diabetes Mellitus
  • Hypoglycemia
  • Glucagon
  • Anti-glucagon Antibody
  • Immunogenicity
03

In context

Diabetes Mellitus

10,925 studies on the registry are indexed under Diabetes Mellitus; 1,318 are open to participants now.

This study's enrollment of 75 is close to the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Eli Lilly and Company is the lead sponsor of 2,048 studies on the registry; 140 are open to participants now.

Of its 521 completed or terminated interventional studies of FDA-regulated products, 341 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Availability for the entire study period
  2. Motivated volunteer and absence of intellectual problems likely to limit the validity of consent to participate in the study or the compliance with protocol requirements; ability to cooperate adequately; ability to understand and observe the instructions of the physician or designee
  3. Male or female patient with a history of Type 1 or Type 2 diabetes of at least 2 years duration
  4. A female volunteer must meet one of the following criteria:

    1. Participant is of childbearing potential and agrees to use one of the accepted contraceptive regimens throughout the entire duration of the study (from the screening visit until study completion). Additionally, if the participant is using systemic contraceptives, she must use an additional form of acceptable contraception. An acceptable method of contraception includes one of the following:

      • Abstinence from heterosexual intercourse
      • Systemic contraceptives (birth control pills, injectable/implant /insertable hormonal birth control products, transdermal patch)
      • Intrauterine device (with and without hormones)
      • Condom with spermicide

      or

    2. Participant is of non-childbearing potential, defined as surgically sterile (i.e. has undergone complete hysterectomy, bilateral oophorectomy, or tubal ligation) or in a menopausal state (at least 1 year without menses)
  5. Volunteer aged of at least 18 years but not older than 70 years
  6. Volunteer with a BMI greater than or equal to 18.50 and below 35.00 kg/m2
  7. Light-, non- or ex-smokers. A light smoker is defined as someone smoking 10 cigarettes or less per day for at least 3 months before day 1 of this study. An ex- smoker is defined as someone who completely stopped smoking for at least 6 months before day 1 of this study
  8. In good general health with no conditions that could influence the outcome of the trial, and in the judgment of the Investigator is a good candidate for the study based on review of available medical history, physical examination and clinical laboratory evaluations
  9. Willingness to adhere to the protocol requirements as evidenced by the informed consent form (ICF) duly read, signed and dated by the volunteer

The informed consent form must be signed by all volunteers, prior to their participation in the study.

Exclusion criteria

Exclusion Criteria:

  1. Females who are pregnant, actively attempting to get pregnant, or are lactating
  2. History of significant hypersensitivity to glucagon or any related products as well as severe hypersensitivity reactions (such as angioedema) to any drugs
  3. Presence of significant gastrointestinal, liver or kidney disease, or any other conditions which in the judgment of the Investigator could interfere with the absorption, distribution, metabolism or excretion of drugs, or could potentiate or predispose to undesired effects
  4. Suicidal tendency, history of or disposition to seizures, state of confusion, clinically relevant psychiatric diseases
  5. Known presence of rare hereditary problems of galactose and /or lactose intolerance
  6. Known presence or history of pheochromocytoma (i.e. adrenal gland tumor) or insulinoma (i.e. insulin secreting pancreas tumor)
  7. Presence of clinically significant findings on nasal examination or bilateral anterior rhinoscopy, such as structural abnormalities, nasal polyps, marked septal deviation, nasal tumors
  8. Nasal surgery in the previous 28 days before Day 1 of this study
  9. Use of a systemic beta-blocker drug, indomethacin, warfarin or anticholinergic drugs in the previous 28 days before Day 1 of this study
  10. Use of an immunomodulator medication (including steroids, glucocorticoids, tacrolimus, etc.) in the 28 days before day 1 of this study
  11. Any other concomitant maintenance therapy that would influence the outcome of the trial or compromise the safety of the patient, at the discretion of the Investigator and the Sponsor, in the previous 28 days before day 1 of this study
  12. Significant history of drug dependency or alcohol abuse (> 3 units of alcohol per day, intake of excessive alcohol, acute or chronic)
  13. Any clinically significant illness in the previous 28 days before day 1 of this study
  14. Any history of tuberculosis and/or prophylaxis for tuberculosis
  15. Positive urine screening of alcohol and/or drugs of abuse
  16. Females who are pregnant according to a positive pregnancy test
  17. Concurrent participation or intention of participating in another clinical trial during this study
  18. Volunteers who took an Investigational Product (in another clinical trial) or donated 50 mL or more of blood in the previous 28 days before day 1 of this study
  19. Donation of 500 mL or more of blood (Canadian Blood Services, Hema-Quebec, clinical studies, etc.) in the previous 56 days before day 1 of this study

No participants will be allowed to enroll in this study more than once (i.e. if the study is conducted with more than 1 group).

05

Study design

Phase
Phase 3
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
75 participants (actual)

Study arms

  • Active comparator
    Glucagon IM

    Glucagon dose of 1 milligram (mg) administered intramuscularly (IM).

    Drug: Glucagon IM

  • Experimental
    Nasal Glucagon (NG

    Nasal Glucagon (NG) doses of 3 mg administered intra-nasally.

    Drug: Nasal Glucagon (NG)

Interventions

  • DrugNasal Glucagon (NG)

    Also known as: Nasal Glucagon, AMG504-1 Dry-Mist Intranasal Glucagon, LY900018

  • DrugGlucagon IM

    Also known as: GlucaGen® HypoKit

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Treatment-emergent Anti-Drug Antibody (ADA)

    Glucagon anti-drug antibodies (ADA) were assessed at baseline through study completion. Percentage of participants (Pts) with ADA=(number of Pts with treatment-emergent ADA/number of Pts assessed)\*100. Treatment-Emergent ADA includes treatment-induced ADA and treatment boosted ADA. Treatment-induced is defined as participants with 'Not Detected' ADA at baseline (drug-naive) and at least one post-baseline ADA 'Detected' sample with a corresponding titer that is one 2-fold dilution higher than the MRD (minimal required dilution) of the assay. For the nasal glucagon Tier 1-3 ADA screening assay, the MRD is 1:20. Treatment-boosted is defined as Patient with ADA 'Detected' at baseline (drug-naive) and at least one post-baseline ADA 'Detected' sample with a corresponding titer that is at least (\>or=) 4-fold higher than the baseline titer.

    Time frame: Baseline through study completion (up to 10 weeks)

  2. Percentage of Participants With Neutralizing Antibodies

    Time frame: Baseline through study completion (up to 10 weeks)

  3. Number of Participants With At Least One Adverse Event

    Safety parameters assessed included the occurrence of adverse events, the measurement of clinical laboratory parameters; vital signs, ECGs, physical examination, blood glucose, and examination of the injection site (following the IM administration). An AE was defined as any untoward medical occurrence in a clinical investigation subject administered the investigational product and which did not necessarily have a causal relationship with this treatment A summary of other nonserious AEs, and all SAE's, regardless of causality, is located in the Reported Adverse Events section.

    Time frame: First dose of study drug through the post-study completion (up to 10 weeks)

07

Results

Posted Sep 6, 2019

Participant flow

First Dose
Participant flow — First Dose
MilestoneGlucagon IMNasal Glucagon (NG)
Started2649
Completed2649
Not completed00
Second Dose
Participant flow — Second Dose
MilestoneGlucagon IMNasal Glucagon (NG)
Started2649
Completed2549
Not completed10
Withdrew: Adverse event10
Third Dose
Participant flow — Third Dose
MilestoneGlucagon IMNasal Glucagon (NG)
Started2549
Completed2548
Not completed01
Withdrew: Adverse event01

Outcome measures

PrimaryPercentage of Participants With Treatment-emergent Anti-Drug Antibody (ADA)

Glucagon anti-drug antibodies (ADA) were assessed at baseline through study completion. Percentage of participants (Pts) with ADA=(number of Pts with treatment-emergent ADA/number of Pts assessed)\*100. Treatment-Emergent ADA includes treatment-induced ADA and treatment boosted ADA. Treatment-induced is defined as participants with 'Not Detected' ADA at baseline (drug-naive) and at least one post-baseline ADA 'Detected' sample with a corresponding titer that is one 2-fold dilution higher than the MRD (minimal required dilution) of the assay. For the nasal glucagon Tier 1-3 ADA screening assay, the MRD is 1:20. Treatment-boosted is defined as Patient with ADA 'Detected' at baseline (drug-naive) and at least one post-baseline ADA 'Detected' sample with a corresponding titer that is at least (\>or=) 4-fold higher than the baseline titer.

Time frame:
Baseline through study completion (up to 10 weeks)
Reported as:
Number · percentage of participants
Percentage of Participants With Treatment-emergent Anti-Drug Antibody (ADA)
percentage of participantsGlucagon IMNasal Glucagon (NG)
Percentage of Participants With Treatment-emergent Anti-Drug Antibody (ADA)02.0
PrimaryPercentage of Participants With Neutralizing Antibodies
Time frame:
Baseline through study completion (up to 10 weeks)
Reported as:
Number · percentage of participants
Percentage of Participants With Neutralizing Antibodies
percentage of participantsGlucagon IMNasal Glucagon (NG)
Percentage of Participants With Neutralizing Antibodies00
PrimaryNumber of Participants With At Least One Adverse Event

Safety parameters assessed included the occurrence of adverse events, the measurement of clinical laboratory parameters; vital signs, ECGs, physical examination, blood glucose, and examination of the injection site (following the IM administration). An AE was defined as any untoward medical occurrence in a clinical investigation subject administered the investigational product and which did not necessarily have a causal relationship with this treatment A summary of other nonserious AEs, and all SAE's, regardless of causality, is located in the Reported Adverse Events section.

Time frame:
First dose of study drug through the post-study completion (up to 10 weeks)
Reported as:
Count of participants · Participants
Number of Participants With At Least One Adverse Event
ParticipantsGlucagon IMNasal Glucagon (NG)
Number of Participants With At Least One Adverse Event2149

Adverse events

Collected over The period of observation of adverse events extended from time of the first dose of study drug until the post-study completion (up to 10 weeks).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Glucagon IM—0/26 (0%)21/26 (80.8%)
Nasal Glucagon (NG)—0/49 (0%)49/49 (100%)
Most frequent other events
Showing 10 of 77
Most frequent other events
EventGlucagon IMNasal Glucagon (NG)
Lacrimation increasedEye disorders0/2648/49
HeadacheNervous system disorders3/2625/49
Ocular hyperaemiaEye disorders1/2621/49
RhinorrhoeaRespiratory, thoracic and mediastinal disorders0/2621/49
Nasal discomfortRespiratory, thoracic and mediastinal disorders0/2620/49
Nasal congestionRespiratory, thoracic and mediastinal disorders0/2620/49
Nasal pruritusRespiratory, thoracic and mediastinal disorders0/2617/49
Eye pruritusEye disorders0/2615/49
NauseaGastrointestinal disorders3/2613/49
SneezingRespiratory, thoracic and mediastinal disorders0/2612/49

Baseline characteristics

All enrolled participants.

Age, Continuous
Age, Continuous(years)Glucagon IMNasal Glucagon (NG)Total
Mean42 ± 1243 ± 1543 ± 14
Sex: Female, Male
Sex: Female, Male(Participants)Glucagon IMNasal Glucagon (NG)Total
Female61319
Male203656
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Glucagon IMNasal Glucagon (NG)Total
American Indian or Alaska Native000
Asian022
Native Hawaiian or Other Pacific Islander000
Black or African American213
White244468
More than one race022
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(Participants)Glucagon IMNasal Glucagon (NG)Total
Canada264975
BMI (Body Mass Index)
BMI (Body Mass Index)(kilogram per square metre (kg/m2))Glucagon IMNasal Glucagon (NG)Total
Mean27.08 ± 4.2827.18 ± 3.9327.15 ± 4.03
08

Study locations

1 site
  • Algorithme Pharma Inc.
    Laval, Quebec H7V 4B3, Canada
09

References and documents

Individual participant data

Plan to share: Yes — Lilly provides access to the individual patient data from studies on approved medicines and indications as defined by the sponsor specific information on ClinicalStudyDataRequest.com. This access is provided in a timely fashion after the primary publication is accepted. Researchers need to have an approved research proposal submitted through ClinicalStudyDataRequest.com. Access to the data will be provided in a secure data sharing environment after signing a data sharing agreement.

No publications or documents are linked to this record.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 6, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01959334
Lead sponsor
Eli Lilly and Company
Collaborators
Locemia Solutions ULC
Responsible party
Sponsor
First posted
Oct 10, 2013
Start date
Sep 2013
Primary completion
Dec 2013
Completion
Dec 2013
Results posted
Sep 6, 2019
Last update
Sep 6, 2019

Study contacts

Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
study director · Eli Lilly and Company

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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