Diabetes Mellitus Type 1 Clinical Trial
Official title:
Randomised, Sequential, Cross-over Trial Assessing PK and PD Responses After Micro-doses of ZP4207 Administered s.c. to Patients With T1D Under eu- and Hypoglycemic Conditions and With Reference to Freshly Reconstituted Lyophilized Glucagon
The trial is a single-centre, randomised, sequential, cross-over trial assessing
pharmacokinetic and pharmacodynamic responses after micro-doses of ZP4207 (dasiglucagon*)
administered subcutaneously to patients with type 1 diabetes mellitus under euglycaemic and
hypoglycaemic conditions and compared to marketed glucagon.
*dasiglucagon is the proposed International Nonproprietary Name (pINN) for ZP4207
Seventeen (17) adult patients with T1DM treated with continuous subcutaneous insulin
infusion (insulin pumps, CSII) will be randomized and take part at four dosing visits. The
dosing visits are separated by 3-7 days. For the three lowest dose levels (0.03 mg, 0.08 mg,
and 0.2 mg) the patients will receive two doses of ZP4207(dasiglucagon) (the first at
euglycaemic and the second at hypoglycaemic conditions) and one dose of glucagon at
euglycaemic conditions at visit 2-4. The first two dose administrations (Day 1, visit 2-4)
will be separated by at least five hours. The third dose, which is ZP4207(dasiglucagon)
during hypoglycemia, will for all dosing visits be administered the next morning after a
standardized carbohydrate-rich meal in the evening before. The patients will stay at the
clinical site over night between Day 1 and Day 2. The dose of 0.6 mg will only be
administered for ZP4207(dasiglucagon). The order of the micro-dose levels as well as the
order of the treatment, ZP4207(dasiglucagon) vs. glucagon, will be randomized. For all
patients the 0.6 mg dose of ZP4207(dasiglucagon) will be administered at visit 5.
For each dose level there will be 2 sets of PK/PD profiles for ZP4207(dasiglucagon), one
initiated during euglycaemia and another during hypoglycaemia. Each patient enrolled will
therefore provide a total of 11 PK/PD profiles covering four different dose levels; 8
profiles from ZP4207(dasiglucagon) and 3 profiles from glucagon
;
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