ClinicalTrials.gg
CompletedNCT03777176Updated Dec 13, 2023Results posted

A Two-Period Open-label Trial Evaluating Efficacy and Safety of Dasiglucagon in Children With Congenital Hyperinsulinism

A Phase 3 interventional study of Dasiglucagon and Standard of Care in Congenital Hyperinsulinism, sponsored by Zealand Pharma. Completed at 10 sites in 4 countries. Open to participants aged 3 Months to 12 Years. Per ClinicalTrials.gov, last updated 2023-12-13.

Sponsored by Zealand Pharma · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
3 Months to 12 Years
Sex
All
01

Study summary

The objective of the trial is to evaluate the efficacy and safety of dasiglucagon administered as a subcutaneous (SC) infusion in reducing hypoglycemia in children with CHI.

02

Conditions studied

  • Congenital Hyperinsulinism
03

In context

Congenital Hyperinsulinism

38 studies on the registry are indexed under Congenital Hyperinsulinism; 6 are open to participants now.

This study's enrollment of 32 is above the median of 17 across 30 interventional studies indexed under Congenital Hyperinsulinism.

Browse Congenital Hyperinsulinism studies →

Lead sponsor

Zealand Pharma is the lead sponsor of 43 studies on the registry; 5 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 8 (47%) have results posted.

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

04

Who can participate

Ages eligible
3 Months to 12 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

  • Established and documented diagnosis of CHI based on standard of care
  • Experiencing ≥3 events of hypoglycemia per week (plasma glucose [PG] \<70 mg/dL [\<3.9 mmol/L]) according to the investigator's evaluation
  • Previously undergone near-total pancreatectomy or being treated with a non-surgical approach, having been evaluated as not eligible for pancreatic surgery
  • If somatostatin analogues or sirolimus are used, the therapy should be well established as judged by the investigator, especially when considering their biological half-life

Exclusion criteria

Exclusion Criteria:

  • Previous administration of dasiglucagon
  • Known or suspected allergy to the trial drug or related products
  • Previous participation (randomization) in this trial
  • Circulatory instability requiring supportive medication or presence of pheochromocytoma
  • Requires exogenous insulin
  • Body weight of \<4 kg (8.8 lbs.)
  • Documented ≥7% subsequent to near-total pancreatectomy and within 6 months prior to screening
  • Known or suspected presence of significant central nervous system disease/injury such that in the investigator's opinion will affect trial participation
  • Use of systemic , e.g., hydrocortisone >20 mg/m2 body surface area or equivalent in the 5 days before screening
  • Use of anti-inflammatory biological agents, or other immune modulating agents in the 3 months prior to screening
  • Any abnormality identified on echocardiogram that in the opinion of the investigator would affect the patient's ability to participate in the trial
  • Any recognized clotting or bleeding disorders
  • Has participated in an interventional clinical trial ( or marketed product) within 3 months of screening or 5 half-lives of the drug under investigation (whichever comes first), or plans to participate in another clinical trial.
Terms in these criteria, in plain language(4)

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    Standard of Care + dasiglucagon

    4 weeks (Treatment Period 1) + 4 weeks (Treatment Period 2) of dasiglucagon treatment as an SC infusion starting at 10 µg/hr on top of standard of care

    Drug: Dasiglucagon · Other: Standard of Care

  • Other
    Standard of Care Only

    4 weeks (Treatment Period 1) of standard of care only + 4 weeks (Treatment Period 2) of dasiglucagon treatment as an SC infusion starting at 10 µg/hr on top of standard of care

    Drug: Dasiglucagon · Other: Standard of Care

Interventions

  • Glucagon analog

    Also known as: ZP4207

  • OtherStandard of Care

    Standard of care according to site and/or country

06

What researchers measure

Primary outcomes

  1. Hypoglycemia Episode Rate

    Hypoglycemia episode rate, defined as average weekly number of hypoglycemic episodes (PG \<70 mg/dL \[3.9 mmol/L\]) during Weeks 2-4 as detected by self-monitored plasma glucose (SMPG). The Week 2-4 value is the average weekly number of hypoglycemic episodes across the last 3 weeks of the treatment period. The change from Baseline to Week 2-4 is also provided. The Baseline value is the average weekly number of hypoglycemic episodes during the 2-week baseline period.

    Time frame: Baseline, Week 2-4 (Treatment Period 1)

Secondary outcomes

  1. Increase in Fasting Tolerance

    Increase in fasting tolerance (time from beginning of meal to the beginning of the first continuous 15-minute continuous glucose monitoring reading \<70 mg/dL \[3.9 mmol/L\]), or the time the test ended if a continuous 15-minute CGM reading \<70 mg/dL was not reached. The change from Baseline to the End of Treatment Period 1 (Week 4) is also provided. The Baseline value is the value recorded at the Screening visit.

    Time frame: Baseline, Week 2-4 (Treatment Period 1)

  2. Percent Time in Range 70-180 mg/dL

    Percent time in range 70-180 mg/dL (3.9-10.0 mmol/L) during Weeks 2-4 as measured by continuous glucose monitoring. The Week 2-4 value is the average weekly percent time in range 70-180 mg/dL across the last 3 weeks of the treatment period. The change from Baseline to Week 2-4 is also provided. The Baseline value was calculated as the average percent time in range during the 14 days before randomization.

    Time frame: Baseline, Week 2-4 (Treatment Period 1)

  3. Clinically Significant Hypoglycemia Episode Rates

    Clinically significant hypoglycemia episode rates during Weeks 2-4, defined as average weekly number of clinically significant hypoglycemic episodes (PG \<54 mg/dL \[3.0 mmol/L\]), as detected by SMPG. The Week 2-4 value is the average weekly clinically significant hypoglycemia episode rate across the last 3 weeks of the treatment period. The change from Baseline to Week 2-4 is also provided. The Baseline value is the average weekly number of clinically significant hypoglycemic episodes during the 2-week baseline period.

    Time frame: Baseline, Week 2-4 (Treatment Period 1)

  4. Total Amount of Gastric Carbohydrates Administered to Treat Hypoglycemia

    Total amount of gastric carbohydrates administered via nasogastric tube or gastrostomy per week to treat hypoglycemia. The Week 2-4 value is the average weekly total amount of gastric carbohydrates across the last 3 weeks of treatment period. The change from Baseline to Week 2-4 is also provided. The Baseline value is the value recorded during the 2-week Baseline period.

    Time frame: Baseline, Week 2-4 (Treatment Period 1)

  5. Rate of Gastric Carbohydrates Administrations to Treat Hypoglycemia

    Rate of gastric carbohydrate administrations via nasogastric tube or gastrostomy per week to treat hypoglycemia, calculated as the number of times gastric carbohydrates were administered to treat hypoglycemia per week. The Week 2-4 value is the average weekly rate of gastric carbohydrate administrations across the last 3 weeks of the treatment period. The change from Baseline to Week 2-4 is also provided. The Baseline value is the value recorded during the 2-week Baseline period.

    Time frame: Baseline, Week 2-4 (Treatment Period 1)

  6. Extent of Hypoglycemia

    Extent of hypoglycemia (area over the glucose curve \[AOCglucose\] below 70 mg/dL \[3.9 mmol/L\]) and below 54 mg/dL \[3.0 mmol/L\] as measured by continuous glucose monitoring. The extent of hypoglycemia was defined as the AOCglucose under the threshold divided by total duration in hours of CGM measurement. A reduction in this measure indicates a benefit. The Week 2-4 value is the average weekly extent of hypoglycemia below 70 mg/dL and below 54 mg/dL across the last 3 weeks of the treatment period. The change from Baseline to Week 2-4 is also provided. The Baseline value is the value assessed during the 14 days before randomization.

    Time frame: Baseline, Week 2-4 (Treatment Period 1)

  7. Amount of Nightly Gastric Carbohydrates Administered

    Amount of nightly (midnight to 6 am) gastric carbohydrates administered via nasogastric tube or gastrostomy per week. The change from Baseline is also provided for each week. The Baseline value is the value recorded during the 2-week Baseline period.

    Time frame: Baseline, Week 2-4 (Treatment Period 1)

  8. Total Amount of Gastric Carbohydrates Administered

    Total amount of gastric carbohydrates administered (regardless of whether this was to treat hypoglycemia or not) via nasogastric tube or gastrostomy per week. The Week 2-4 value is the average amount of gastric carbohydrates administered via nasogastric tube or gastrostomy across the last 3 weeks of the treatment period. The change from baseline to Week 2-4 is also provided. The baseline value is the value recorded during the 2-week baseline period.

    Time frame: Baseline, Week 2-4 (Treatment Period 1)

  9. Percent Time in Hypoglycemia

    Percent time in hypoglycemia (PG \<70 mg/dL \[3.9 mmol/L\]) as measured by continuous glucose monitoring. The Week 2-4 value is the average weekly percent of time in hypoglycemia across the last 3 weeks of the treatment period. The change from Baseline to Week 2-4 is also provided. The Baseline value is the value assessed during the 14 days before randomization.

    Time frame: Baseline, Week 2-4 (Treatment Period 1)

  10. Rate of Hypoglycemic Episodes

    Rate of hypoglycemic episodes, defined as number of episodes with PG \<70 mg/dL (3.9 mmol/L) for 15 minutes or more per week, as measured by continuous glucose monitoring. The Week 2-4 value is the average weekly number of hypoglycemic episodes across the last 3 weeks of the treatment period. The change from Baseline to Week 2-4 is also provided. The Baseline value is the average weekly number of hypoglycemic episodes during the 14 days before randomization.

    Time frame: Baseline, Week 2-4 (Treatment Period 1)

  11. Percent Time in Hypoglycemia in Treatment Period 2

    Percent time in hypoglycemia (PG \<70 mg/dL \[3.9 mmol/L\]) as measured by continuous glucose monitoring. The Week 6-8 value is the average weekly percent of time in hypoglycemia across the last 3 weeks of the treatment period. The change from Baseline to Week 6-8 is also provided. The Baseline value is the value assessed during the 14 days before randomization.

    Time frame: Baseline, Week 6-8 (Treatment Period 2)

  12. Rate of Gastric Carbohydrates Administrations to Treat Hypoglycemia in Treatment Period 2

    Rate of gastric carbohydrate administrations via nasogastric tube or gastrostomy per week to treat hypoglycemia, calculated as the number of times gastric carbohydrates were administered to treat hypoglycemia per week. The Week 6-8 value is the average weekly rate of gastric carbohydrate administrations across the last 3 weeks of the treatment period. The change from Baseline to Week 6-8 is also provided. The Baseline value is the value recorded during the 2-week Baseline period.

    Time frame: Baseline, Week 6-8 (Treatment Period 2)

  13. Rate of Hypoglycemic Episodes in Treatment Period 2

    Hypoglycemia episode rate, defined as average weekly number of hypoglycemic episodes (PG \<70 mg/dL \[3.9 mmol/L\]) as detected by SMPG. The Week 6-8 value is the average weekly number of hypoglycemic episodes across the last 3 weeks of the treatment period. The change from Baseline to Week 6-8 is also provided. The Baseline value is the average weekly number of hypoglycemic episodes during the 2-week baseline period.

    Time frame: Baseline, Week 6-8 (Treatment Period 2)

  14. Rate of Clinically Significant Hypoglycemia Episodes in Treatment Period 2

    Change from Baseline to Week 6-8 in the clinically significant (CS) hypoglycemia episode rate in treatment period 2, defined as the average weekly number of episodes \<54 mg/dL (3.0 mmol/L), for 15 minutes or more, as measured by continuous glucose monitoring (CGM). The Week 6-8 value is the average weekly CS hypoglycemia episode rate across the last 3 weeks of the treatment period. The Baseline value is the average weekly number of CS hypoglycemic episodes during the 14 days before randomization.

    Time frame: Baseline, Week 6-8 (Treatment Period 2)

07

Results

Posted Dec 13, 2023

Participant flow

Treatment Period 1
Participant flow — Treatment Period 1
MilestoneStandard of Care + Dasiglucagon (Treatment Period 1)Standard of Care Only (Treatment Period 1)Standard of Care + Dasiglucagon (Treatment Period 2)
Started16160
Completed16160
Not completed000
Treatment Period 2
Participant flow — Treatment Period 2
MilestoneStandard of Care + Dasiglucagon (Treatment Period 1)Standard of Care Only (Treatment Period 1)Standard of Care + Dasiglucagon (Treatment Period 2)
Started0032
Completed study but discontinued treatment due to an ae001
Completed0032
Not completed000

Outcome measures

PrimaryHypoglycemia Episode Rate

Hypoglycemia episode rate, defined as average weekly number of hypoglycemic episodes (PG \<70 mg/dL \[3.9 mmol/L\]) during Weeks 2-4 as detected by self-monitored plasma glucose (SMPG). The Week 2-4 value is the average weekly number of hypoglycemic episodes across the last 3 weeks of the treatment period. The change from Baseline to Week 2-4 is also provided. The Baseline value is the average weekly number of hypoglycemic episodes during the 2-week baseline period.

Time frame:
Baseline, Week 2-4 (Treatment Period 1)
Reported as:
Mean · episodes per week
Hypoglycemia Episode Rate
episodes per weekStandard of Care + DasiglucagonStandard of Care Only
Weekly number of episodes in Weeks 2-45.29 ± 5.2565.85 ± 2.767
Change from Baseline-3.05 ± 4.343-3.15 ± 4.753
Statistical analysis
  • Standard of Care + Dasiglucagon vs Standard of Care Only · Negative binomial regression · p = 0.5028 · Event rate ratio: 0.85 · 95% CI 0.54 to 1.36
SecondaryIncrease in Fasting Tolerance

Increase in fasting tolerance (time from beginning of meal to the beginning of the first continuous 15-minute continuous glucose monitoring reading \<70 mg/dL \[3.9 mmol/L\]), or the time the test ended if a continuous 15-minute CGM reading \<70 mg/dL was not reached. The change from Baseline to the End of Treatment Period 1 (Week 4) is also provided. The Baseline value is the value recorded at the Screening visit.

Time frame:
Baseline, Week 2-4 (Treatment Period 1)
Reported as:
Mean · hours
Increase in Fasting Tolerance
hoursStandard of Care + DasiglucagonStandard of Care Only
End of Treatment Period 16.13 ± 5.3354.22 ± 4.222
Change from Baseline1.20 ± 5.9081.27 ± 3.836
Statistical analysis
  • Standard of Care + Dasiglucagon vs Standard of Care Only · ANCOVA · p = 0.6433 (The P value should be interpreted with caution given the procedural issues (hypoglycemia at the beginning of the test, test meals not being the same, and some children only having 1 test) which affected the preplanned statistical evaluation.) · Mean difference (net): 0.84 · 95% CI -2.71 to 4.39
SecondaryPercent Time in Range 70-180 mg/dL

Percent time in range 70-180 mg/dL (3.9-10.0 mmol/L) during Weeks 2-4 as measured by continuous glucose monitoring. The Week 2-4 value is the average weekly percent time in range 70-180 mg/dL across the last 3 weeks of the treatment period. The change from Baseline to Week 2-4 is also provided. The Baseline value was calculated as the average percent time in range during the 14 days before randomization.

Time frame:
Baseline, Week 2-4 (Treatment Period 1)
Reported as:
Mean · percent time
Percent Time in Range 70-180 mg/dL
percent timeStandard of Care + DasiglucagonStandard of Care Only
Week 2-475.10 ± 11.82172.65 ± 7.313
Change from Baseline-0.97 ± 11.8372.44 ± 9.584
Statistical analysis
  • Standard of Care + Dasiglucagon vs Standard of Care Only · ANCOVA · p = 0.9653 (There was 1 missing value at Baseline for the dasiglucagon + standard of care group.) · Mean difference (net): 0.15 · 95% CI -6.48 to 6.78
SecondaryClinically Significant Hypoglycemia Episode Rates

Clinically significant hypoglycemia episode rates during Weeks 2-4, defined as average weekly number of clinically significant hypoglycemic episodes (PG \<54 mg/dL \[3.0 mmol/L\]), as detected by SMPG. The Week 2-4 value is the average weekly clinically significant hypoglycemia episode rate across the last 3 weeks of the treatment period. The change from Baseline to Week 2-4 is also provided. The Baseline value is the average weekly number of clinically significant hypoglycemic episodes during the 2-week baseline period.

Time frame:
Baseline, Week 2-4 (Treatment Period 1)
Reported as:
Mean · episodes per week
Clinically Significant Hypoglycemia Episode Rates
episodes per weekStandard of Care + DasiglucagonStandard of Care Only
Weekly number of episodes in Weeks 2-41.77 ± 1.8571.90 ± 1.407
Change from Baseline-0.51 ± 2.798-0.35 ± 1.446
Statistical analysis
  • Standard of Care + Dasiglucagon vs Standard of Care Only · Negative binominal regression · p = 0.8114 · Event rate ratio: 0.93 · 95% CI 0.49 to 1.74The negative binomial regression used region and treatment group as fixed effects, and Baseline hypoglycemic rate as covariate.
SecondaryTotal Amount of Gastric Carbohydrates Administered to Treat Hypoglycemia

Total amount of gastric carbohydrates administered via nasogastric tube or gastrostomy per week to treat hypoglycemia. The Week 2-4 value is the average weekly total amount of gastric carbohydrates across the last 3 weeks of treatment period. The change from Baseline to Week 2-4 is also provided. The Baseline value is the value recorded during the 2-week Baseline period.

Time frame:
Baseline, Week 2-4 (Treatment Period 1)
Reported as:
Mean · grams
Total Amount of Gastric Carbohydrates Administered to Treat Hypoglycemia
gramsStandard of Care + DasiglucagonStandard of Care Only
Week 2-422.89 ± 31.41537.66 ± 57.998
Change from Baseline-33.66 ± 82.767-19.74 ± 64.082
SecondaryRate of Gastric Carbohydrates Administrations to Treat Hypoglycemia

Rate of gastric carbohydrate administrations via nasogastric tube or gastrostomy per week to treat hypoglycemia, calculated as the number of times gastric carbohydrates were administered to treat hypoglycemia per week. The Week 2-4 value is the average weekly rate of gastric carbohydrate administrations across the last 3 weeks of the treatment period. The change from Baseline to Week 2-4 is also provided. The Baseline value is the value recorded during the 2-week Baseline period.

Time frame:
Baseline, Week 2-4 (Treatment Period 1)
Reported as:
Mean · number of administrations per week
Rate of Gastric Carbohydrates Administrations to Treat Hypoglycemia
number of administrations per weekStandard of Care + DasiglucagonStandard of Care Only
Week 2-42.30 ± 3.4332.18 ± 2.714
Change from Baseline-0.29 ± 4.920-2.13 ± 3.825
SecondaryExtent of Hypoglycemia

Extent of hypoglycemia (area over the glucose curve \[AOCglucose\] below 70 mg/dL \[3.9 mmol/L\]) and below 54 mg/dL \[3.0 mmol/L\] as measured by continuous glucose monitoring. The extent of hypoglycemia was defined as the AOCglucose under the threshold divided by total duration in hours of CGM measurement. A reduction in this measure indicates a benefit. The Week 2-4 value is the average weekly extent of hypoglycemia below 70 mg/dL and below 54 mg/dL across the last 3 weeks of the treatment period. The change from Baseline to Week 2-4 is also provided. The Baseline value is the value assessed during the 14 days before randomization.

Time frame:
Baseline, Week 2-4 (Treatment Period 1)
Reported as:
Mean · mmol/L
Extent of Hypoglycemia
mmol/LStandard of Care + DasiglucagonStandard of Care Only
Week 2-4: Extent of Hypoglycemia Below 70 mg/dL (3.9 mmol/L)0.083 ± 0.06180.147 ± 0.0736
Change from Baseline in Extent of Hypoglycemia Below 70 mg/dL (3.9 mmol/L)-0.062 ± 0.1003-0.019 ± 0.0959
Week 2-4: Extent of Hypoglycemia Below 54 mg/dL (3.0 mmol/L)0.015 ± 0.01170.025 ± 0.0132
Change from Baseline in Extent of Hypoglycemia Below 54 mg/dL (3.0 mmol/L)-0.008 ± 0.0252-0.007 ± 0.0252
SecondaryAmount of Nightly Gastric Carbohydrates Administered

Amount of nightly (midnight to 6 am) gastric carbohydrates administered via nasogastric tube or gastrostomy per week. The change from Baseline is also provided for each week. The Baseline value is the value recorded during the 2-week Baseline period.

Time frame:
Baseline, Week 2-4 (Treatment Period 1)
Reported as:
Mean · grams
Amount of Nightly Gastric Carbohydrates Administered
gramsStandard of Care + DasiglucagonStandard of Care Only
Week 195.98 ± 153.27233.43 ± 90.955
Change from Baseline at Week 141.64 ± 63.4843.64 ± 27.29
Week 277.24 ± 147.06539.25 ± 100.638
Change from Baseline at Week 222.90 ± 137.3259.46 ± 40.853
Week 367.59 ± 141.06230.31 ± 94.870
Change from Baseline at Week 313.24 ± 148.5690.52 ± 25.022
Week 463.89 ± 127.84934.62 ± 94.549
Change from Baseline at Week 49.55 ± 134.3694.83 ± 25.689
SecondaryTotal Amount of Gastric Carbohydrates Administered

Total amount of gastric carbohydrates administered (regardless of whether this was to treat hypoglycemia or not) via nasogastric tube or gastrostomy per week. The Week 2-4 value is the average amount of gastric carbohydrates administered via nasogastric tube or gastrostomy across the last 3 weeks of the treatment period. The change from baseline to Week 2-4 is also provided. The baseline value is the value recorded during the 2-week baseline period.

Time frame:
Baseline, Week 2-4 (Treatment Period 1)
Reported as:
Mean · grams
Total Amount of Gastric Carbohydrates Administered
gramsStandard of Care + DasiglucagonStandard of Care Only
Week 2-4567.35 ± 453.373775.96 ± 551.640
Change from Baseline-146.56 ± 222.995160.44 ± 438.735
SecondaryPercent Time in Hypoglycemia

Percent time in hypoglycemia (PG \<70 mg/dL \[3.9 mmol/L\]) as measured by continuous glucose monitoring. The Week 2-4 value is the average weekly percent of time in hypoglycemia across the last 3 weeks of the treatment period. The change from Baseline to Week 2-4 is also provided. The Baseline value is the value assessed during the 14 days before randomization.

Time frame:
Baseline, Week 2-4 (Treatment Period 1)
Reported as:
Mean · percent time
Percent Time in Hypoglycemia
percent timeStandard of Care + DasiglucagonStandard of Care Only
Week 2-411.77 ± 9.24820.22 ± 10.034
Change from Baseline-9.91 ± 10.119-1.95 ± 10.186
SecondaryRate of Hypoglycemic Episodes

Rate of hypoglycemic episodes, defined as number of episodes with PG \<70 mg/dL (3.9 mmol/L) for 15 minutes or more per week, as measured by continuous glucose monitoring. The Week 2-4 value is the average weekly number of hypoglycemic episodes across the last 3 weeks of the treatment period. The change from Baseline to Week 2-4 is also provided. The Baseline value is the average weekly number of hypoglycemic episodes during the 14 days before randomization.

Time frame:
Baseline, Week 2-4 (Treatment Period 1)
Reported as:
Mean · episodes per week
Rate of Hypoglycemic Episodes
episodes per weekStandard of Care + DasiglucagonStandard of Care Only
Week 2-421.71 ± 14.17936.88 ± 15.023
Change from Baseline-14.37 ± 21.184-6.28 ± 20.565
SecondaryPercent Time in Hypoglycemia in Treatment Period 2

Percent time in hypoglycemia (PG \<70 mg/dL \[3.9 mmol/L\]) as measured by continuous glucose monitoring. The Week 6-8 value is the average weekly percent of time in hypoglycemia across the last 3 weeks of the treatment period. The change from Baseline to Week 6-8 is also provided. The Baseline value is the value assessed during the 14 days before randomization.

Time frame:
Baseline, Week 6-8 (Treatment Period 2)
Reported as:
Mean · percent time
Percent Time in Hypoglycemia in Treatment Period 2
percent timeStandard of Care + Dasiglucagon (Treatment Period 2)
Week 6-88.64 ± 6.011
Change from Baseline-13.27 ± 10.120
SecondaryRate of Gastric Carbohydrates Administrations to Treat Hypoglycemia in Treatment Period 2

Rate of gastric carbohydrate administrations via nasogastric tube or gastrostomy per week to treat hypoglycemia, calculated as the number of times gastric carbohydrates were administered to treat hypoglycemia per week. The Week 6-8 value is the average weekly rate of gastric carbohydrate administrations across the last 3 weeks of the treatment period. The change from Baseline to Week 6-8 is also provided. The Baseline value is the value recorded during the 2-week Baseline period.

Time frame:
Baseline, Week 6-8 (Treatment Period 2)
Reported as:
Mean · number of administrations per week
Rate of Gastric Carbohydrates Administrations to Treat Hypoglycemia in Treatment Period 2
number of administrations per weekStandard of Care + Dasiglucagon (Treatment Period 2)
Week 6-81.31 ± 2.254
Change from Baseline-2.22 ± 4.990
SecondaryRate of Hypoglycemic Episodes in Treatment Period 2

Hypoglycemia episode rate, defined as average weekly number of hypoglycemic episodes (PG \<70 mg/dL \[3.9 mmol/L\]) as detected by SMPG. The Week 6-8 value is the average weekly number of hypoglycemic episodes across the last 3 weeks of the treatment period. The change from Baseline to Week 6-8 is also provided. The Baseline value is the average weekly number of hypoglycemic episodes during the 2-week baseline period.

Time frame:
Baseline, Week 6-8 (Treatment Period 2)
Reported as:
Mean · episodes per week
Rate of Hypoglycemic Episodes in Treatment Period 2
episodes per weekStandard of Care + Dasiglucagon (Treatment Period 2)
Weekly number of episodes in Weeks 6-83.06 ± 2.730
Change from Baseline-5.61 ± 4.096
SecondaryRate of Clinically Significant Hypoglycemia Episodes in Treatment Period 2

Change from Baseline to Week 6-8 in the clinically significant (CS) hypoglycemia episode rate in treatment period 2, defined as the average weekly number of episodes \<54 mg/dL (3.0 mmol/L), for 15 minutes or more, as measured by continuous glucose monitoring (CGM). The Week 6-8 value is the average weekly CS hypoglycemia episode rate across the last 3 weeks of the treatment period. The Baseline value is the average weekly number of CS hypoglycemic episodes during the 14 days before randomization.

Time frame:
Baseline, Week 6-8 (Treatment Period 2)
Reported as:
Mean · episodes per week
Rate of Clinically Significant Hypoglycemia Episodes in Treatment Period 2
episodes per weekStandard of Care + Dasiglucagon (Treatment Period 2)
Week 6-87.78 ± 5.226
Change from Baseline-8.51 ± 9.941

Adverse events

Collected over Adverse event data were recorded from the time a signed and dated informed consent form was obtained until the end of the posttreatment follow-up period or inclusion in the ZP4207-17106 extension trial (up to 16 weeks, from Day -28 through Week 12).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment Period 1: Standard of Care + Dasiglucagon0/16 (0%)2/16 (12.5%)14/16 (87.5%)
Treatment Period 1: Standard of Care Only0/16 (0%)1/16 (6.3%)8/16 (50%)
Treatment Period 2: Standard of Care + Dasiglucagon0/32 (0%)2/32 (6.3%)24/32 (75%)
Most frequent serious events
Most frequent serious events
EventTreatment Period 1: Standard of Care + DasiglucagonTreatment Period 1: Standard of Care OnlyTreatment Period 2: Standard of Care + Dasiglucagon
Localised InfectionInfections and infestations1/160/160/32
Vascular Device InfectionInfections and infestations1/160/160/32
HypoglycaemiaMetabolism and nutrition disorders0/161/160/32
FolliculitisInfections and infestations0/160/161/32
H1N1 InfluenzaInfections and infestations0/160/161/32
HyperglycaemiaMetabolism and nutrition disorders0/160/161/32
Most frequent other events
Showing 10 of 72
Most frequent other events
EventTreatment Period 1: Standard of Care + DasiglucagonTreatment Period 1: Standard of Care OnlyTreatment Period 2: Standard of Care + Dasiglucagon
EczemaSkin and subcutaneous tissue disorders5/160/161/32
VomitingGastrointestinal disorders5/161/162/32
RashSkin and subcutaneous tissue disorders3/160/162/32
Upper Respiratory Tract InfectionInfections and infestations2/160/162/32
DiarrhoeaGastrointestinal disorders2/161/160/32
TeethingGastrointestinal disorders2/160/160/32
HyperglycaemiaMetabolism and nutrition disorders0/160/164/32
Eczema InfectedInfections and infestations0/160/163/32
Localised InfectionInfections and infestations0/161/160/32
FolliculitisInfections and infestations1/160/160/32

Baseline characteristics

Age, Continuous
Age, Continuous(years)Standard of Care + DasiglucagonStandard of Care OnlyTotal
Mean3.55 ± 2.5925.00 ± 2.8924.27 ± 2.800
Sex: Female, Male
Sex: Female, Male(Participants)Standard of Care + DasiglucagonStandard of Care OnlyTotal
Female61016
Male10616
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Standard of Care + DasiglucagonStandard of Care OnlyTotal
Hispanic or Latino404
Not Hispanic or Latino121628
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Standard of Care + DasiglucagonStandard of Care OnlyTotal
United States7714
United Kingdom639
Israel033
Germany336
Gastrostomy/nasogastric tube
Gastrostomy/nasogastric tube(Participants)Standard of Care + DasiglucagonStandard of Care OnlyTotal
Gastrostomy91221
Nasogastric tube213
None538
08

Study locations

10 sites
  • Children's Hospital of Colorado
    Aurora, Colorado 13123, United States
  • Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania 19104, United States
  • Cook Children's Medical Center
    Fort Worth, Texas 76104, United States
  • University Hospital Düsseldorf, Department of Pediatrics
    Düsseldorf, 40225, Germany
  • Otto von Guericke University Magdeburg, Department of Pediatrics
    Magdeburg, 39120, Germany
  • Hadassah Medical Center
    Jerusalem, 9765422, Israel
  • NHS Greater Glasgow and Clyde
    Glasgow, United Kingdom
  • Alder Hey Children'sHospital NHS Foundation Trust
    Liverpool, United Kingdom
  • Great Osmond Street Hospital for Children NHS Foundation Trust
    London, United Kingdom
  • Central Manchester University Hospital NHS Foundation Trust
    Manchester, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2019 to primary completion in Aug 2020, 18 months.

Results were first posted in Dec 2023, 3 years 3 months after primary completion. A results delay was requested in Sep 2021.

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

Registered
Dec 13, 2018
First posted
Dec 17, 2018
StartActual
Feb 7, 2019
Primary completionActual
Aug 31, 2020
CompletionActual
Oct 5, 2020
Results delay requested
Sep 2, 2021
Results first posted
Dec 13, 2023
Last update
Dec 13, 2023
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 Dec 13, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03777176
Lead sponsor
Zealand Pharma
Responsible party
Sponsor
First posted
Dec 17, 2018
Start date
Feb 7, 2019
Primary completion
Aug 31, 2020
Completion
Oct 5, 2020
Results posted
Dec 13, 2023
Last update
Dec 13, 2023

Study contacts

Charlotte Teglman Schioeler
study director · Zealand Pharma

Oversight

Data monitoring committee
Yes
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 Nov 2023. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Dasiglucagon

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