ClinicalTrials.gg
CompletedNCT04172441Updated Mar 14, 2025Results posted

Trial Evaluating Efficacy and Safety of Dasiglucagon in Children With Congenital Hyperinsulinism

A Phase 2/3 interventional study of dasiglucagon and Placebo in Congenital Hyperinsulinism, sponsored by Zealand Pharma. Completed at 6 sites in 4 countries. Open to participants aged 7 Days to 364 Days. Per ClinicalTrials.gov, last updated 2025-03-14.

Sponsored by Zealand Pharma · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
12
Allocation
Randomized
Ages
7 Days to 364 Days
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
13th of 20
12 · median 16
Started
2020
with 1 other
Phase 2/3
Only one
of the 24
Registered
20th of 24
by date
Lead sponsor
3 of 24
Zealand Pharma

Among the 24 studies in Congenital Hyperinsulinism with a site in United States, this one is the 13th largest by enrollment of the 20 interventional ones, is one of 2 that started in 2020, is the only one in phase 2/3, and was the 20th registered.

By phase

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

Phase 28 · 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 2/3this study1 · 0 open

By the year they started

First in 2004; this study’s year is marked. 2 started in 2020.

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

The objective of the trial is to evaluate the efficacy of dasiglucagon in reducing glucose requirements in children with persistent congenital hyperinsulinism (CHI) requiring continuous intravenous (IV) glucose administration to prevent/manage hypoglycemia.

03

Conditions studied

  • Congenital Hyperinsulinism
04

Who can participate

Ages eligible
7 Days to 364 Days
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

  • CHI diagnosis established based on the following:

    1. Hyperinsulinemia: plasma insulin above the limit of detection of the assay documented during an event of hypoglycemia, and/or
    2. Hypofattyacidemia: plasma free fatty acid \<1.7 mmol/L, and/or
    3. Hypoketonemia: Beta-hydroxybutyrate \<1.8 mmol/L, and/or
    4. Glycemic response: an increase in plasma glucose (PG) of >30 mg/dL (1.7 mmol/L) after 1 mg IV or intramuscular (IM) glucagon administration
  • Male or female, age ≥7 days and \<12 months at screening
  • Body weight of ≥2.0 kg (4.4 lbs.)
  • Continuous IV glucose requirement to prevent hypoglycemia

Exclusion criteria

Exclusion Criteria:

  • Is suspected of having a transient form of CHI (e.g., transient hyperinsulinism due to maternal diabetes or perinatal stress)
  • Was born preterm below 34 weeks of gestational age
  • Presence of hypertension or hypotension, including circulatory instability requiring supportive medication or presence of pheochromocytoma
  • Known or suspected presence of severe brain damage
  • Evidence of metabolic, endocrine, or syndromic causes of hypoglycemia not due to hyperinsulinism
  • Use of systemic , e.g., hydrocortisone >20 mg/m\^2 body surface area or equivalent within 5 days before screening
  • Prior use of lanreotide, sirolimus (mechanistic target of rapamycin [mTOR] inhibitors), anti-inflammatory biological agents, or other immune modulating agents. Prior use of octreotide is allowed after a minimum of 48 hour before randomization.
  • Any abnormality identified on echocardiogram that in the opinion of the investigator would affect the subject's ability to participate in the trial
  • Any recognized clotting or bleeding disorder
  • The use of prescription or non-prescription medications known to cause
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.

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.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

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.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    dasiglucagon first then placebo

    48 hours of dasiglucagon subcutaneous (sc) infusion starting at 10 µg/hour with crossover to 48 hours placebo sc infusion (part 1) followed by 21 days of dasiglucagon sc infusion (part 2).

    Drug: dasiglucagon · Drug: Placebo

  • Experimental
    placebo first then dasiglucagon

    48 hours of placebo sc infusion with crossover to 48 hours dasiglucagon sc infusion starting at 10 µg/hour (part 1) followed by 21 days of dasiglucagon sc infusion (part 2).

    Drug: dasiglucagon · Drug: Placebo

Interventions

  • Glucagon analogue

    Also known as: ZP4207

  • DrugPlacebo

    Placebo for dasiglucagon

06

What researchers measure

Primary outcomes

  1. Mean Intravenous Glucose Infusion Rate

    Mean intravenous (IV) glucose infusion rate (GIR) in the last 12 hours of each treatment period during Part 1, the crossover part of the trial (dasiglucagon or placebo administration).

    Time frame: Hours 36-48 after initiation of trial drug (Part 1)

Secondary outcomes

  1. Carbohydrates Administered

    Total amount (g) of carbohydrates administered during the crossover part of the trial (dasiglucagon or placebo administration) per day.

    Time frame: 0 to 48 hours after initiation of trial drug

  2. Mean Intravenous Glucose Infusion Rate

    Mean IV GIR for each 48-hour treatment period during Part 1, the crossover part of the trial (dasiglucagon or placebo administration).

    Time frame: 48 hours after initiation of trial drug (Part 1)

  3. Mean Intravenous Glucose Infusion Rate Below 10 mg/kg/Minute

    Mean IV GIR below 10 mg/kg/minute in the last 12 hours of each treatment period during Part 1, the crossover part of the trial (dasiglucagon or placebo administration) (yes/no)

    Time frame: Hours 36-48 after initiation of trial drug (Part 1)

  4. Time to Complete Weaning Off Intravenous Glucose

    Time in days to complete weaning off IV glucose administration during Part 2, defined as the first point in time when the patient had been off IV glucose administration for at least 12 hours.

    Time frame: Days 5 to 25 (Part 2)

  5. Hypoglycemia Event Rate in Part 2

    Hypoglycemia event rate, defined as number of hypoglycemic events when PG was \<70 mg/dL (or 3.9 mmol/L), as detected by self-monitored plasma glucose.

    Time frame: Days 5 to 25

  6. Clinically Significant Hypoglycemia Events in Part 2

    Clinically significant hypoglycemia event rate, defined as number of events when PG was \<54 mg/dL (3.0 mmol/L), as detected by self-monitored plasma glucose.

    Time frame: Days 5 to 25

  7. Time to Actual Hospital Discharge

    Time in days to actual hospital discharge defined as the time from first exposure to the study drug in Part 2 to discharge from hospital.

    Time frame: Days 5 to 25

  8. Time to Pancreatic Surgery

    Time (days) to pancreatic surgery (sub-total or total pancreatectomy with a cutoff of ≥95%).

    Time frame: Days 5 to 25

  9. Carbohydrates Administered

    Total amount (g) of carbohydrates administered (regardless of the route) per day.

    Time frame: Days 5 to 25

  10. Carbohydrates Administered Intravenously

    Amount (g) of carbohydrates administered via IV glucose infusion or bolus or total parenteral nutrition. This secondary endpoint was intended to account only for carbohydrates administered via IV glucose infusion or bolus. It was not possible to differentiate between carbohydrates administered via IV glucose infusion or bolus and carbohydrates administered as being, or not being, part of total parenteral nutrition from the collected data. This endpoint was expanded to include both.

    Time frame: Days 5 to 25

  11. Carbohydrates Administered Parenterally

    Amount (g) of carbohydrates administered as part of total parenteral nutrition.

    Time frame: Days 5 to 25

  12. Carbohydrates Administered Orally

    Amount (g) of carbohydrates administered via oral route.

    Time frame: Days 5 to 25

  13. Carbohydrates Administered Via Gastric Feed

    Amount (g) of carbohydrates administered via nasogastric tube or gastrostomy.

    Time frame: Days 5 to 25

  14. Time in Range in Part 2

    Percent time in range (PG between 70 to 180 mg/dL \[3.9-10.0 mmol/L\]) as measured by continuous glucose monitoring.

    Time frame: Days 5 to 25

  15. Time in Hypoglycemia in Part 2

    Percent time in hypoglycemia (when PG was \<70 mg/dL \[or 3.9 mmol/L\]) as measured by continuous glucose monitoring.

    Time frame: Days 5 to 25

  16. Time in Clinically Significant Hypoglycemia in Part 2

    Percent time in clinically significant hypoglycemia (when PG was \<54 mg/dL \[or 3.0 mmol/L\]) as measured by continuous glucose monitoring.

    Time frame: Days 5 to 25

  17. Hypoglycemia Episodes in Part 2

    Rate of hypoglycemia episodes, defined as number of episodes per week when PG was \<70 mg/dL (3.9 mmol/L) for 15 minutes or more, as measured by continuous glucose monitoring.

    Time frame: Days 5 to 25

  18. Clinically Significant Hypoglycemia Episodes in Part 2

    Rate of clinically significant hypoglycemia episodes, defined as number of episodes per week when was \<54 mg/dL (3.0 mmol/L) for 15 minutes or more, as measured by continuous glucose monitoring.

    Time frame: Days 5 to 25

  19. Extent of Hypoglycemia in Part 2

    Extent of hypoglycemia (defined as the area over the glucose curve \[AOCglucose\] below 70 mg/dL \[3.9 mmol/L\]) as measured by continuous glucose monitoring.

    Time frame: Days 5 to 25

  20. Extent of Clinically Significant Hypoglycemia in Part 2

    Extent of clinically significant hypoglycemia (defined as the area over the glucose curve \[AOCglucose\] below 54 mg/dL \[3.0 mmol/L\]) as measured by continuous glucose monitoring, divided by the total duration in hours of continuous glucose monitoring.

    Time frame: Days 5 to 25

  21. Time in Hyperglycemia in Part 2

    Percent time in hyperglycemia (when PG was \>180 mg/dL \[10.0 mmol/L\]), as measured by continuous glucose monitoring.

    Time frame: Days 5 to 25

07

Results

Posted Mar 14, 2025

Participant flow

Part 1-1: First Intervention (48 Hours)
Participant flow — Part 1-1: First Intervention (48 Hours)
MilestoneDasiglucagon, Then PlaceboPlacebo, Then Dasiglucagon
Started75
Completed75
Not completed00
Part 1-2: Second Intervention (48 Hours)
Participant flow — Part 1-2: Second Intervention (48 Hours)
MilestoneDasiglucagon, Then PlaceboPlacebo, Then Dasiglucagon
Started75
Completed75
Not completed00
Part 2: Open Label Dasiglucagon
Participant flow — Part 2: Open Label Dasiglucagon
MilestoneDasiglucagon, Then PlaceboPlacebo, Then Dasiglucagon
Started75
Completed treatment74
Completed75
Not completed00

Outcome measures

PrimaryMean Intravenous Glucose Infusion Rate

Mean intravenous (IV) glucose infusion rate (GIR) in the last 12 hours of each treatment period during Part 1, the crossover part of the trial (dasiglucagon or placebo administration).

Time frame:
Hours 36-48 after initiation of trial drug (Part 1)
Reported as:
Mean · mg/kg/minute
Mean Intravenous Glucose Infusion Rate
mg/kg/minuteDasiglucagonPlacebo
Mean Intravenous Glucose Infusion Rate4.33 ± 4.9229.51 ± 5.655
Statistical analysis
  • Dasiglucagon vs Placebo · Mixed Models Analysis · p = 0.0037 · Difference in ls means: -5.21 · 95% CI -8.29 to -2.13The comparison was in the direction of dasiglucagon minus placebo.
SecondaryCarbohydrates Administered

Total amount (g) of carbohydrates administered during the crossover part of the trial (dasiglucagon or placebo administration) per day.

Time frame:
0 to 48 hours after initiation of trial drug
Reported as:
Mean · g/day
Carbohydrates Administered
g/dayDasiglucagonPlacebo
Carbohydrates Administered106.7 ± 53.72139.1 ± 57.35
Statistical analysis
  • Dasiglucagon vs Placebo · Mixed Models Analysis · p = 0.0238 · Difference in ls means: -30.93 · 95% CI -56.80 to -5.05The comparison was in the direction of dasiglucagon minus placebo.
SecondaryMean Intravenous Glucose Infusion Rate

Mean IV GIR for each 48-hour treatment period during Part 1, the crossover part of the trial (dasiglucagon or placebo administration).

Time frame:
48 hours after initiation of trial drug (Part 1)
Reported as:
Mean · mg/kg/minute
Mean Intravenous Glucose Infusion Rate
mg/kg/minuteDasiglucagonPlacebo
Mean Intravenous Glucose Infusion Rate6.9 ± 5.9110.4 ± 5.31
SecondaryMean Intravenous Glucose Infusion Rate Below 10 mg/kg/Minute

Mean IV GIR below 10 mg/kg/minute in the last 12 hours of each treatment period during Part 1, the crossover part of the trial (dasiglucagon or placebo administration) (yes/no)

Time frame:
Hours 36-48 after initiation of trial drug (Part 1)
Reported as:
Count of participants · Participants
Mean Intravenous Glucose Infusion Rate Below 10 mg/kg/Minute
ParticipantsDasiglucagonPlacebo
Mean IV GIR below 10 mg/kg/min in the last 12 hours of each treatment period during Part 1?: yes96
Mean IV GIR below 10 mg/kg/min in the last 12 hours of each treatment period during Part 1?: no36
SecondaryTime to Complete Weaning Off Intravenous Glucose

Time in days to complete weaning off IV glucose administration during Part 2, defined as the first point in time when the patient had been off IV glucose administration for at least 12 hours.

Time frame:
Days 5 to 25 (Part 2)
Reported as:
Median · days
Time to Complete Weaning Off Intravenous Glucose
daysDasiglucagon (Part 2)
Time to Complete Weaning Off Intravenous Glucose5.8 (1.0 to 7.9)
SecondaryHypoglycemia Event Rate in Part 2

Hypoglycemia event rate, defined as number of hypoglycemic events when PG was \<70 mg/dL (or 3.9 mmol/L), as detected by self-monitored plasma glucose.

Time frame:
Days 5 to 25
Reported as:
Median · episodes per week
Hypoglycemia Event Rate in Part 2
episodes per weekDasiglucagon (Part 2)
Week 1 (Days 5 to 11)8.50 (0.0 to 29.0)
Week 2 (Days 12 to 18)6.0 (0.0 to 37.3)
Week 3 (Days 19 to 25)3.79 (0.0 to 15.2)
Weeks 1 to 3 (Days 5 to 25)6.04 (1.7 to 33.2)
SecondaryClinically Significant Hypoglycemia Events in Part 2

Clinically significant hypoglycemia event rate, defined as number of events when PG was \<54 mg/dL (3.0 mmol/L), as detected by self-monitored plasma glucose.

Time frame:
Days 5 to 25
Reported as:
Median · episodes per week
Clinically Significant Hypoglycemia Events in Part 2
episodes per weekDasiglucagon (Part 2)
Week 1 (Days 5 to 11)1.67 (0.0 to 11.0)
Week 2 (Days 12 to 18)1.00 (0.0 to 16.3)
Week 3 (Days 19 to 25)2.92 (0.0 to 4.0)
Weeks 1 to 3 (Days 5 to 25)1.67 (0.3 to 13.7)
SecondaryTime to Actual Hospital Discharge

Time in days to actual hospital discharge defined as the time from first exposure to the study drug in Part 2 to discharge from hospital.

Time frame:
Days 5 to 25
Reported as:
Median · days
Time to Actual Hospital Discharge
daysDasiglucagon (Part 2)
Time to Actual Hospital DischargeNA (11.7 to NA)
SecondaryTime to Pancreatic Surgery

Time (days) to pancreatic surgery (sub-total or total pancreatectomy with a cutoff of ≥95%).

Time frame:
Days 5 to 25
Reported as:
Median · days
Time to Pancreatic Surgery
daysDasiglucagon (Part 2)
Time to Pancreatic SurgeryNA (NA to NA)
SecondaryCarbohydrates Administered

Total amount (g) of carbohydrates administered (regardless of the route) per day.

Time frame:
Days 5 to 25
Reported as:
Median · g/day
Carbohydrates Administered
g/dayDasiglucagon (Part 2)
Week 1 (Days 5 to 11)91.03 (57.6 to 190.8)
Week 2 (Days 12 to 18)75.09 (29.8 to 218.3)
Week 3 (Days 19 to 25)80.73 (0.0 to 222.1)
Weeks 1 to 3 (Days 5 to 25)87.37 (39.5 to 195.9)
SecondaryCarbohydrates Administered Intravenously

Amount (g) of carbohydrates administered via IV glucose infusion or bolus or total parenteral nutrition. This secondary endpoint was intended to account only for carbohydrates administered via IV glucose infusion or bolus. It was not possible to differentiate between carbohydrates administered via IV glucose infusion or bolus and carbohydrates administered as being, or not being, part of total parenteral nutrition from the collected data. This endpoint was expanded to include both.

Time frame:
Days 5 to 25
Reported as:
Median · g/day
Carbohydrates Administered Intravenously
g/dayDasiglucagon (Part 2)
Week 1 (Days 5 to 11)41.35 (3.6 to 118.8)
Week 2 (Days 12 to 18)2.12 (0.0 to 82.2)
Week 3 (Days 19 to 25)0.35 (0.0 to 119.0)
Weeks 1 to 3 (Days 5 to 25)22.60 (1.2 to 88.5)
SecondaryCarbohydrates Administered Parenterally

Amount (g) of carbohydrates administered as part of total parenteral nutrition.

Time frame:
Days 5 to 25

No measurements were reported for this outcome.

SecondaryCarbohydrates Administered Orally

Amount (g) of carbohydrates administered via oral route.

Time frame:
Days 5 to 25
Reported as:
Median · g/day
Carbohydrates Administered Orally
g/dayDasiglucagon (Part 2)
Week 1 (Days 5 to 11)19.57 (0.0 to 67.5)
Week 2 (Days 12 to 18)0.37 (0.0 to 88.9)
Week 3 (Days 19 to 25)0.23 (0.0 to 53.8)
Weeks 1 to 3 (Days 5 to 25)13.38 (0.0 to 63.4)
SecondaryCarbohydrates Administered Via Gastric Feed

Amount (g) of carbohydrates administered via nasogastric tube or gastrostomy.

Time frame:
Days 5 to 25
Reported as:
Median · g/day
Carbohydrates Administered Via Gastric Feed
g/dayDasiglucagon (Part 2)
Week 1 (Days 5 to 11)34.43 (0.0 to 88.7)
Week 2 (Days 12 to 18)52.87 (9.0 to 92.8)
Week 3 (Days 19 to 25)57.90 (0.0 to 76.1)
Weeks 1 to 3 (Days 5 to 25)43.96 (0.0 to 85.0)
SecondaryTime in Range in Part 2

Percent time in range (PG between 70 to 180 mg/dL \[3.9-10.0 mmol/L\]) as measured by continuous glucose monitoring.

Time frame:
Days 5 to 25
Reported as:
Median · percent time
Time in Range in Part 2
percent timeDasiglucagon (Part 2)
Week 1 (Days 5 to 11)86.69 (34.5 to 94.3)
Week 2 (Days 12 to 18)87.87 (51.0 to 95.9)
Week 3 (Days 19 to 25)91.42 (36.3 to 100.0)
Weeks 1 to 3 (Days 5 to 25)88.35 (42.5 to 100.0)
SecondaryTime in Hypoglycemia in Part 2

Percent time in hypoglycemia (when PG was \<70 mg/dL \[or 3.9 mmol/L\]) as measured by continuous glucose monitoring.

Time frame:
Days 5 to 25
Reported as:
Median · percent time
Time in Hypoglycemia in Part 2
percent timeDasiglucagon (Part 2)
Week 1 (Days 5 to 11)7.20 (1.0 to 24.5)
Week 2 (Days 12 to 18)8.82 (0.6 to 49.0)
Week 3 (Days 19 to 25)5.73 (0.0 to 22.1)
Weeks 1 to 3 (Days 5 to 25)6.67 (0.0 to 30.0)
SecondaryTime in Clinically Significant Hypoglycemia in Part 2

Percent time in clinically significant hypoglycemia (when PG was \<54 mg/dL \[or 3.0 mmol/L\]) as measured by continuous glucose monitoring.

Time frame:
Days 5 to 25
Reported as:
Median · percent time
Time in Clinically Significant Hypoglycemia in Part 2
percent timeDasiglucagon (Part 2)
Week 1 (Days 5 to 11)2.07 (0.2 to 6.0)
Week 2 (Days 12 to 18)2.20 (0.0 to 20.4)
Week 3 (Days 19 to 25)0.88 (0.0 to 6.8)
Weeks 1 to 3 (Days 5 to 25)1.75 (0.0 to 9.2)
SecondaryHypoglycemia Episodes in Part 2

Rate of hypoglycemia episodes, defined as number of episodes per week when PG was \<70 mg/dL (3.9 mmol/L) for 15 minutes or more, as measured by continuous glucose monitoring.

Time frame:
Days 5 to 25
Reported as:
Median · episodes per week
Hypoglycemia Episodes in Part 2
episodes per weekDasiglucagon (Part 2)
Week 1 (Days 5 to 11)25.00 (3.0 to 58.0)
Week 2 (Days 12 to 18)26.50 (3.0 to 74.7)
Week 3 (Days 19 to 25)18.63 (0.0 to 58.3)
Weeks 1 to 3 (Days 5 to 25)18.54 (0.0 to 66.3)
SecondaryClinically Significant Hypoglycemia Episodes in Part 2

Rate of clinically significant hypoglycemia episodes, defined as number of episodes per week when was \<54 mg/dL (3.0 mmol/L) for 15 minutes or more, as measured by continuous glucose monitoring.

Time frame:
Days 5 to 25
Reported as:
Median · episodes per week
Clinically Significant Hypoglycemia Episodes in Part 2
episodes per weekDasiglucagon (Part 2)
Week 1 (Days 5 to 11)5.00 (1.0 to 23.0)
Week 2 (Days 12 to 18)8.50 (0.0 to 46.7)
Week 3 (Days 19 to 25)2.67 (0.0 to 18.7)
Weeks 1 to 3 (Days 5 to 25)5.00 (0.0 to 34.8)
SecondaryExtent of Hypoglycemia in Part 2

Extent of hypoglycemia (defined as the area over the glucose curve \[AOCglucose\] below 70 mg/dL \[3.9 mmol/L\]) as measured by continuous glucose monitoring.

Time frame:
Days 5 to 25
Reported as:
Median · mg/dL/hour
Extent of Hypoglycemia in Part 2
mg/dL/hourDasiglucagon (Part 2)
Week 1 (Days 5 to 11)0.87 (0.1 to 2.7)
Week 2 (Days 12 to 18)0.97 (0.0 to 8.9)
Week 3 (Days 19 to 25)0.59 (0.1 to 2.6)
Weeks 1 to 3 (Days 5 to 25)0.89 (0.1 to 4.3)
SecondaryExtent of Clinically Significant Hypoglycemia in Part 2

Extent of clinically significant hypoglycemia (defined as the area over the glucose curve \[AOCglucose\] below 54 mg/dL \[3.0 mmol/L\]) as measured by continuous glucose monitoring, divided by the total duration in hours of continuous glucose monitoring.

Time frame:
Days 5 to 25
Reported as:
Median · mg/dL/hour
Extent of Clinically Significant Hypoglycemia in Part 2
mg/dL/hourDasiglucagon (Part 2)
Week 1 (Days 5 to 11)0.14 (0.0 to 0.4)
Week 2 (Days 12 to 18)0.13 (0.0 to 2.1)
Week 3 (Days 19 to 25)0.12 (0.0 to 0.4)
Weeks 1 to 3 (Days 5 to 25)0.14 (0.0 to 0.8)
SecondaryTime in Hyperglycemia in Part 2

Percent time in hyperglycemia (when PG was \>180 mg/dL \[10.0 mmol/L\]), as measured by continuous glucose monitoring.

Time frame:
Days 5 to 25
Reported as:
Median · percent time
Time in Hyperglycemia in Part 2
percent timeDasiglucagon (Part 2)
Week 1 (Days 5 to 11)1.74 (0.0 to 64.5)
Week 2 (Days 12 to 18)0.81 (0.0 to 45.0)
Week 3 (Days 19 to 25)0.32 (0.0 to 62.7)
Weeks 1 to 3 (Days 5 to 25)1.48 (0.0 to 56.6)

Adverse events

Collected over Treatment-emergent adverse events are reported here, and were recorded from the time of first administration of study treatment until the end of the posttreatment follow-up period or inclusion in the ZP4207-17106 extension trial (up to 8 weeks, from Day 1 through Day 56).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Part 1: Dasiglucagon0/12 (0%)0/12 (0%)3/12 (25%)
Part 1: Placebo0/12 (0%)0/12 (0%)7/12 (58.3%)
Part 2: Dasiglucagon0/12 (0%)1/12 (8.3%)10/12 (83.3%)
Parts 1 and 2: Dasiglucagon0/12 (0%)1/12 (8.3%)10/12 (83.3%)
Follow-up Period0/1 (0%)0/1 (0%)1/1 (100%)
Most frequent serious events
Most frequent serious events
EventPart 1: DasiglucagonPart 1: PlaceboPart 2: DasiglucagonParts 1 and 2: DasiglucagonFollow-up Period
Acute respiratory failureRespiratory, thoracic and mediastinal disorders0/120/121/121/120/1
Respiratory distressRespiratory, thoracic and mediastinal disorders0/120/121/121/120/1
Most frequent other events
Showing 10 of 46
Most frequent other events
EventPart 1: DasiglucagonPart 1: PlaceboPart 2: DasiglucagonParts 1 and 2: DasiglucagonFollow-up Period
ConstipationGastrointestinal disorders0/120/122/122/121/1
HyperglycaemiaMetabolism and nutrition disorders0/120/120/120/121/1
VomitingGastrointestinal disorders1/121/122/123/120/1
Rash PapularSkin and subcutaneous tissue disorders0/120/123/123/120/1
AnaemiaBlood and lymphatic system disorders0/120/123/123/120/1
Gastrooesophageal Reflux DiseaseGastrointestinal disorders0/120/122/122/120/1
Aspartate Aminotransferase IncreasedInvestigations1/121/122/122/120/1
Alanine Aminotransferase IncreasedInvestigations1/121/121/122/120/1
Dermatitis DiaperSkin and subcutaneous tissue disorders0/120/122/122/120/1
HypokalaemiaMetabolism and nutrition disorders0/121/122/122/120/1

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)All Participants Who Received Treatment
<=18 years12
Between 18 and 65 years0
>=65 years0
Age, Continuous
Age, Continuous(Days)All Participants Who Received Treatment
Mean71.25 ± 84.976
Sex: Female, Male
Sex: Female, Male(Participants)All Participants Who Received Treatment
Female2
Male10
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)All Participants Who Received Treatment
Hispanic or Latino1
Not Hispanic or Latino11
Unknown or Not Reported0
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)All Participants Who Received Treatment
Race — Asian2
Race — White8
Race — Other2
Region of Enrollment
Region of Enrollment(participants)All Participants Who Received Treatment
United States8
United Kingdom3
Germany1
Gastrostomy/nasogastric tube
Gastrostomy/nasogastric tube(Participants)All Participants Who Received Treatment
Gastrostomy2
Nasogastric tube7
None3
08

Study locations

6 sites
  • Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania 19104, United States
  • Cook Children's Medical Center
    Fort Worth, Texas 76104, United States
  • University Children's Hospital
    Düsseldorf, 40225, Germany
  • University Hospital, Magdeburg
    Magdeburg, 39120, Germany
  • Hadassah Medical Center
    Jerusalem, 9765422, Israel
  • Manchester University NHS Foundation Trust
    Manchester, M13 9WL, 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 Jun 2020 to primary completion in Feb 2022, 19 months.

Results were first posted in Mar 2025, 3 years after primary completion. A results delay was requested in Mar 2023.

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

Registered
Nov 18, 2019
First posted
Nov 21, 2019
StartActual
Jun 19, 2020
Primary completionActual
Feb 17, 2022
CompletionActual
Mar 7, 2022
Results delay requested
Mar 3, 2023
Results first posted
Mar 14, 2025
Last update
Mar 14, 2025
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 Mar 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04172441
Lead sponsor
Zealand Pharma
Responsible party
Sponsor
First posted
Nov 21, 2019
Start date
Jun 19, 2020
Primary completion
Feb 17, 2022
Completion
Mar 7, 2022
Results posted
Mar 14, 2025
Last update
Mar 14, 2025

Study contacts

Jelena Ivkovic, MD
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 Mar 2025. 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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Studies of the drug tested here: Dasiglucagon

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