ClinicalTrials.gg
CompletedNCT03770637Updated May 21, 2020

Glucagon Ready to Use (RTU) in Subjects With Hyperinsulinemic Hypoglycemia After Bariatric Surgery

A Phase 2 interventional study of Glucagon RTU and Placebo in Hyperinsulinemic Hypoglycemia, sponsored by Xeris Pharmaceuticals. Completed at 5 sites in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2020-05-21.

Sponsored by Xeris Pharmaceuticals · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Feb 2020, 6 years 8 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
14
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 24 studies in Congenital Hyperinsulinism with a site in United States — 3 open to participants now, 6 under way, 1 of them phase 3. Congenital Hyperinsulinism · United States.

Enrollment
11th of 20
14 · median 16
Started
2019
with 2 others
Phase 2
8 of 24
1 open now
Registered
17th of 24
by date
Lead sponsor
2 of 24
Xeris Pharmaceuticals

Among the 24 studies in Congenital Hyperinsulinism with a site in United States, this one is the 11th largest by enrollment of the 20 interventional ones, is one of 3 that started in 2019, is one of 8 in phase 2, and was the 17th registered.

By phase

24 studies; the count open now beside each. This study's row is marked.

Phase 2this study8 · 1 open
Phase 14 · 1 open
Other kind3 · 1 open
Phase 1/23 · 0 open
Phase 33 · 0 open
No phase1 · 0 open
Observational1 · 0 open
Phase 2/31 · 0 open

By the year they started

First in 2004; this study’s year is marked. 3 started in 2019.

Size and results

Median enrollment 16 across the 20 interventional studies, 30,000 across the 1 observational. Of the 16 that completed or were terminated, 9 (56%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 24 studies in Congenital Hyperinsulinism with a site in United States, or all of them as a file.
02

Study summary

This is a double-blind, placebo-controlled Phase 2 study to assess the efficacy, safety and tolerability of Glucagon RTU when administered to subjects with a history of bariatric surgery during episodes of post-postprandial hypoglycemia. Twelve eligible subjects will be randomly assigned to receive Glucagon RTU or placebo at the first of two clinical research center (CRC) visits, followed by the other treatment at the second CRC visit. Subjects will be randomly assigned to either Glucagon RTU or Placebo for the duration of a 12-week Outpatient Stage. A follow-up safety assessment visit will occur 14 to 28 days after a subject's last dose of study drug.

03

Conditions studied

  • Hyperinsulinemic Hypoglycemia

Keywords

  • glucagon
  • post-bariatric hypoglycemia
04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male or female
  2. Aged 18 to 75 years of age, inclusive
  3. Symptoms of hypoglycemia that developed after bariatric surgery (Roux-en-Y gastric bypass [RYGB] only) in the absence of antidiabetic medications
  4. History of bariatric surgery (RYGB only), at least 6 months prior to screening
  5. Whipple's triad

    1. Ability to both experience and recognize hypoglycemic awareness.
    2. Documented glucose levels \< 54 mg/dL when experiencing symptoms suggestive of hypoglycemia
    3. Relief of hypoglycemia symptoms when the glucose is raised to normal
  6. Diagnosis of post-bariatric hypoglycemia (PBH) by a physician, requiring intervention such as intake of oral carbohydrates. This diagnosis includes documentation of endogenous hyperinsulinism in the presence of low plasma glucose.
  7. In subjects with medical history of diabetes, medical documentation of postoperative remission of diabetes mellitus (fasting glucose \< 110 mg/dL), and \< 6% (or 42 mmol/mL) with all previous antidiabetic medication discontinued for at least 6 months before screening.
  8. (BMI) ≤ 40 kg/m2
  9. Willingness to follow all study procedures, including attending all clinic visits and self-administering blinded study drug at home for 12 weeks
  10. Understands the study procedures, alternative treatment available, and risks involved with the study, and he/she voluntarily agrees to participate by giving written
  11. Women of must have a negative urine pregnancy test and agree to use and refrain from breast-feeding during the study and for at least 15 days after participating in the study.

Exclusion criteria

Exclusion Criteria:

  1. Documented hypoglycemia occurring in the fasting state (> 12 hours fast) within 12 months of study entry
  2. Hypoglycemic unawareness as evidenced by a Gold Scale score > 4 at screening
  3. Early Dumping Syndrome
  4. Known insulinoma or adrenal insufficiency
  5. Active treatment with any insulin/insulin secretagogues, or other diabetes medications except for acarbose and glucagon-like peptide 1 (GLP-1) analogues
  6. Chronic kidney disease Stage 4 or 5 or an estimated (eGFR) \< 30 mL/min/1.73 m2 at screening
  7. Hepatic disease, including serum or aspartate aminotransferase ≥ 3 times the (ULN); hepatic synthetic insufficiency as defined as serum albumin \< 3.0 g/dL
  8. Congestive heart failure, Class III or IV
  9. History of myocardial infarction, unstable angina, or revascularization within 6 months prior to screening.
  10. History of a cerebrovascular accident within 6 months prior to screening or with major neurological deficits
  11. Seizure disorder (other than with suspected or documented hypoglycemia).
  12. Active , except for basal or squamous cell skin cancers
  13. Personal or family history of pheochromocytoma or disorder with increased risk of pheochromocytoma (MEN 2, neurofibromatosis, or Von Hippel-Lindau disease)
  14. Major surgical operation within 30 days prior to screening
  15. Hematocrit ≤ 30%
  16. Bleeding disorder, treatment with warfarin, or count \< 50,000 /mm3
  17. Active alcohol abuse or substance abuse (per investigator assessment)
  18. Current chronic administration of oral or parenteral , however topical, intraarticular, and inhaled corticosteroids are allowed
  19. Use of an drug within 15 days or 5 half-lives, whichever is longer, prior to screening
  20. Member of a special vulnerable populations such as pregnant women, prisoners, institutionalized or incarcerated individuals, or others who may be considered vulnerable
  21. Any other medical condition or finding that in the opinion of the investigator or sponsor, would compromise the safety of the subject or compromise the integrity of the study data
Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
14 participants (actual)

Study arms

  • Experimental
    Glucagon RTU (glucagon injection)

    Glucagon Ready-to-Use (RTU); 60 μL injection (0.3 mg glucagon)

    Drug: Glucagon RTU

  • Placebo comparator
    Placebo

    Non-active vehicle for Glucagon RTU; 60 μL injection

    Other: Placebo

Interventions

  • Glucagon RTU is a sterile subcutaneous injectable non-aqueous solution formulation supplied in a vial and administered via syringe.

    Also known as: glucagon

  • OtherPlacebo

    The placebo is a non-active version of Glucagon RTU formulation, containing the same solvent and excipients (i.e., vehicle).

06

What researchers measure

Primary outcomes

  1. Blood glucose recovery: CRC

    Number of subjects with blood glucose \> 70 mg/dL

    Time frame: At 15 minutes following administration of study drug

  2. Blood glucose recovery: Out-patient

    Frequency of blood glucose \> 70 mg/dL

    Time frame: At 15 minutes following administration of study drug

Secondary outcomes

  1. Symptomatic Recovery: CRC

    Change from Baseline in Hypoglycemia Symptoms

    Time frame: At 15, 30, and 60 minutes following administration of study drug

  2. Incidence of severe hypoglycemia: CRC

    Number of subjects requiring external assistance to treat hypoglycemia

    Time frame: At 0-240 minutes following administration of study drug

  3. Incidence of severe hypoglycemia: Out-patient

    Frequency of external assistance to treat postprandial hypoglycemia

    Time frame: During 12 weeks of out-patient treatment

  4. Incidence of serious hypoglycemia: CRC

    Number of subjects with blood glucose \< 54 mg/dL

    Time frame: At 0-240 minutes following administration of study drug

  5. Incidence of serious hypoglycemia: Out-patient

    Frequency of postprandial blood glucose \< 54 mg/dL

    Time frame: During 12 weeks of out-patient treatment

  6. Hypoglycemia Fear Scale

    Change from Baseline in Hypoglycemia Fear Scale (HFS-2) Scores. The HFS-2 consists of two domains, Behavior, which has 15 questions, and Worry, which has 18 questions. Each question is assessed on a 5-point scale from 0=Never to 4=Almost Always. Lower scores indicate less fear of hypoglycemia, while higher scores indicate a greater level of fear.

    Time frame: During 12 weeks of out-patient treatment

  7. EuroQol Health Questionnaire (EQ-5D)

    Change from Baseline in EQ-5D Score. This is a health assessment questionnaire with three domains. The first two domains of pain/discomfort and anxiety/depression are scored on a 5-point scale from 1=no pain/discomfort; not anxious or depressed to 5=extreme pain or discomfort; extremely anxious or depressed. For these two domains, lower scores indicate less pain/discomfort or anxiety/depression, while higher scores indicate increasing levels of pain/discomfort or anxiety/depression. The third domain of Health is assessed with a series of 5 visual analog scales, each scored from 0-100. On these VAS scales, high scores indicate better health, while low scores indicate worse health.

    Time frame: During 12 weeks of out-patient treatment

07

Study locations

5 sites
  • University of Colorado-Denver
    Aurora, Colorado 80045, United States
  • Johns Hopkins Hospital
    Baltimore, Maryland 21287, United States
  • Joslin Diabetes Center
    Boston, Massachusetts 02215, United States
  • Mayo Clinic- Rochester
    Rochester, Minnesota 55905, United States
  • Duke Early Phase Clinical Research
    Durham, North Carolina 27701, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2019 to primary completion in Feb 2020, 9 months.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 7, 2018
First posted
Dec 10, 2018
StartActual
May 10, 2019
Primary completionActual
Feb 26, 2020
CompletionActual
Feb 26, 2020
Last update
May 21, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 21, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03770637
Lead sponsor
Xeris Pharmaceuticals
Responsible party
Sponsor
First posted
Dec 10, 2018
Start date
May 10, 2019
Primary completion
Feb 26, 2020
Completion
Feb 26, 2020
Last update
May 21, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2020. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Glucagon

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