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TerminatedNCT04253223Updated Jun 11, 2021

A Study to Determine Safety and Efficacy of (REMD-477) in Controlling Hyperglycemia Due to Copanlisib

A Phase 1 interventional study of REMD-477 in Hyperglycemia Drug Induced, sponsored by Duke University. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-06-11.

Sponsored by Duke University · Phase 1, Interventional, and Treatment

Why this study was terminated
poor accrual

From the registry’s dates

  • Primary completion was May 2021, 5 years 5 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
1
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

REMD-477 (Volagidemab) is a human anti-glucagon receptor antibody. Its proposed mechanism of action in controlling hyperglycemia is by blocking glucagon receptor (GCGR) signaling. In this way, it increases hepatic glucose uptake, decreases hepatic glycogenolysis and gluconeogenesis, increases glycogen synthesis, and ultimately decreases blood glucose levels. This protocol will test the hypotheses that REMD-477 is safe and tolerable in patients with severe hyperglycemia on copanlisib and that it decreases the risk of severe hyperglycemia in patients receiving copanlisib for relapsed refractory lymphoma

02

Conditions studied

  • Hyperglycemia Drug Induced

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Keywords

  • hyperglycemia
  • lymphoma
  • anti-glucagon receptor antibody
  • glucagon receptor
  • Volagidemab
03

In context

Hyperglycemia

699 studies on the registry are indexed under Hyperglycemia; 105 are open to participants now.

This study's enrollment of 1 is below the median of 46 across 521 interventional studies indexed under Hyperglycemia.

Browse Hyperglycemia studies →

Lead sponsor

Duke University is the lead sponsor of 2,025 studies on the registry; 275 are open to participants now.

Of its 194 completed or terminated interventional studies of FDA-regulated products, 159 (82%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 18 or older
  • Relapsed or refractory lymphoma (Grade 1, 2, 3A)
  • Received 2 or more prior lines of systemic therapy for lymphoma
  • Experienced glucose >250 mg/dL after copanlisib infusion for treatment of lymphoma

Exclusion criteria

Exclusion Criteria:

  • Evidence of histologic transformation
  • Follicular Lymphoma Grade 3B
  • Active CNS involvement by malignancy
  • Elevated AST or ALT > 5x ULN at Screening
  • Unmanageable sensitivity to mammalian-derived drug preparations, or to humanized or human antibodies; managed sensitivities to agents such as obinutuzumab or rituximab or similar agents are not exclusionary
  • History of drug or alcohol abuse within the last 6 months
  • History or family history of pancreatic neuroendocrine tumors or multiple endocrine neoplasia
  • History or family history of pheochromocytoma
  • Other gastrointestinal, cardiac, renal and CNS (i.e. hypoglycemia unawareness) conditions specific to diabetes that would pose additional risk to subject's safety or interfere with the study evaluation, procedures or completion in the opinion of the treating physician.
  • Female subject is pregnant or breastfeeding.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1 participant (actual)

Study arms

  • Experimental
    REMD-477

    REMD-477 (human IgG2 anti-glucagon receptor antibody Volagidemab) will be administered as a subcutaneous injection for three weekly doses

    Biological: REMD-477

Interventions

  • BiologicalREMD-477

    REMD-477 will be administered as a subcutaneous injection for three weekly doses

    Also known as: Volagidemab

06

What researchers measure

Primary outcomes

  1. Adverse Events

    Evaluate the safety of REMD-477 in patients with hyperglycemia due to a PI3 kinase inhibitor

    Time frame: 22 days

  2. Serious Adverse Events

    Evaluate the safety of REMD-477 in patients with hyperglycemia due to a PI3 kinase

    Time frame: 22 days

  3. Liver Function Tests (LFT) units per liter (u/L)

    Evaluate the safety of REMD-477 in patients with hyperglycemia due to a PI3 kinase

    Time frame: 22 days

  4. Blood Glucose measurements

    Evaluate the safety of REMD-477 in patients with hyperglycemia due to a PI3 kinase

    Time frame: 22 days

  5. Pulse beats per minute

    Evaluate the safety of REMD-477 in patients with hyperglycemia due to a PI3 kinase

    Time frame: 22 days

  6. breathing Rate breaths per minute

    Evaluate the safety of REMD-477 in patients with hyperglycemia due to a PI3 kinase

    Time frame: 22 days

Secondary outcomes

  1. Fasting Glucose levels

    Determine efficacy of REMD-477 in preventing copanlisib induced hyperglycemia

    Time frame: 22 days

  2. Insulin levels

    Determine efficacy of REMD-477 in preventing copanlisib induced hyperglycemia

    Time frame: 22 days

07

Study locations

1 site
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 11, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04253223
Lead sponsor
Duke University
Responsible party
Herbert Lyerly (Professor, Duke University) — Principal investigator
First posted
Feb 5, 2020
Start date
Apr 7, 2020
Primary completion
May 5, 2021
Completion
May 5, 2021
Last update
Jun 11, 2021

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 terminated, as verified in Jun 2021. You cannot join it, but the record below documents what was studied.

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