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Diabetes Mellitus, Type 1Phase 2dasiglucagonNCT02971228

Feasibility Trial Testing the Bionic Pancreas With ZP4207

A Phase 2 study testing Insulin Lispro, ZP4207 (dasiglucagon) and Glucagon in people with Diabetes Mellitus, Type 1, run by Zealand Pharma at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study was to determine whether the Bionic Pancreas with ZP4207 (dasiglucagon*) was feasible to improve glycemic control in adults with type 1 diabetes mellitus. *dasiglucagon is the proposed International Nonproprietary Name (pINN) for ZP4207 Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diabetes Mellitus, Type 1
What is being tested?
Insulin Lispro, ZP4207 (dasiglucagon) and Glucagon
Could I receive a placebo?
No, everyone receives an active treatment
How many people
13 participants
Where
1 siteUnited States
Study dates
Nov 2016to 7 Jun 2017
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with T1DM for at least 1 year, as defined by the American Diabetes Association
  • Age ≥ 18 years
  • Prescription medication regimen stable for >1 month (except for medications not expected to affect trial safety or outcome, in the judgment of the investigator)
  • Diabetes managed using an insulin pump for >=6 months
  • Patients in good health according to age (medical history, physical examination, vital signs, 12-lead electrocardiograms [ECGs], laboratory assessments), as judged by the Investigator

Who cannot join

  • Previous exposure to ZP4207 or adverse reaction to glucagon
  • History of liver disease or current abnormal liver function tests (LFTs)
  • Renal failure
  • Anemia
  • History of coronary artery disease or congestive heart failure (class III or IV)
  • History of transient ischemic attack or stroke
Show all 13Show fewer
  • Seizure disorder
  • Cystic fibrosis, pancreatitis, or any other pancreatic disease besides T1DM
  • Other endocrine disorders
  • Use of oral anti-diabetic medications
  • Electronically powered implants
  • Hypertension (≥160/100 mm Hg despite treatment)
  • Inadequate venous (vein) access as determined by trial nurse or physician at time of screening

Trial locations and contacts

1 site in 1 country.

United States1 site
  • MGH Diabetes Center

    Boston, Massachusetts, 02114

Other trials in United States

About this study

Official title: The Bionic Pancreas Feasibility Trial Testing the Bionic Pancreas With ZP4207

The purpose of this study was to determine whether the Bionic Pancreas with ZP4207 (dasiglucagon*) was feasible to improve glycemic control in adults with type 1 diabetes mellitus.

*dasiglucagon is the proposed International Nonproprietary Name (pINN) for ZP4207

Read the detailed description

This was a single-center, open-label, 2-part, randomized cross-over trial. The trial was to enrol up to 20 adult patients with type 1 diabetes mellitus and assess the safety and efficacy of the Bionic Pancreas (BP) using either the iLet or iPhone platform when used with the glucagon analogue ZP4207 (dasiglucagon) versus Lilly glucagon.

In Part 1, patients participated in two 1-day treatment arms in random order (iPhone-based BP using ZP4207 (dasiglucagon) and iPhone-based BP using Lilly glucagon) according to a pre-generated randomization scheme. In Part 2, it was planned to enrol additional patients to participate in two 1-day treatment arms in random order (iLet using ZP4207 (dasiglucagon) and iLet using Lilly glucagon) according to a pre-generated randomization scheme. However, due to unavailability of the iLet, the sponsor decided to stop the trial upon completion of Part 1. Part 2 of the trial using the iLet was consequently not conducted.

One day the BP will use glucagon analogue ZP4207 (dasiglucagon) and the other day the BP will use Lilly glucagon. Subjects will also receive insulin lispro through the BP on both days. The trial will be conducted at single center, the Massachusetts General Hospital Diabetes Center in Boston, MA.

Being tested
Insulin Lispro, ZP4207 (dasiglucagon), Glucagon, iPhone-based bionic pancreas, iLet-based bionic pancreas
Keywords
glucagon, Type 1 diabetes mellitus, Bionic Pancreas, diabetes, iLet, iPhone, Beta Bionics, Anti-hypoglycemia, Glucagon Analog
Medical subject headings
Diabetes Mellitus, Type 1, Diabetes Mellitus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Insulin LisproDrug

    Also called HumaLOG, HumaLOG Cartridge, HumaLOG KwikPen

    Used to lower blood glucose. Commercially available by prescription and is indicated for patients with type 1 diabetes mellitus (T1DM), but not for use in a bionic pancreas. Individualized dose based on metabolic needs and frequent monitoring of blood glucose.

  • ZP4207 (dasiglucagon)Drug

    Also called dasiglucagon

    A glucagon analog not yet approved by the FDA. Subcutaneous administration in one BP arm.

  • GlucagonDrug

    Also called Glucagon for injection (rDNA original)

    A hormone normally made by the pancreas to raise blood glucose. Used to treat low blood sugar. Commercially available by prescription and is indicated for patients with T1DM in severe hypoglycemia, but not for use in a BP. Subcutaneous administration in one BP arm.

  • iPhone-based bionic pancreasDevice

    An experimental device.

  • iLet-based bionic pancreasDevice

    An experimental device.

Study groups in NCT02971228
Study groupRoleWhat they receive
Part 1, Lilly glucagon then ZP4207ExperimentalIn Part 1, 12 patients participated in 1-day treatment arms in random order (iPhone-based Bionic Pancreas using Lilly glucagon and iPhone-based Bionic Pancreas using ZP4207 (dasiglucagon) {experimental drug} with insulin lispro) according to pre-generated randomization scheme.
Receives: Drug: Insulin Lispro; Drug: ZP4207 (dasiglucagon); Drug: Glucagon; Device: iPhone-based bionic pancreas
Part 1, ZP4207 then Lilly GlucagonExperimentalIn Part 1, 12 patients participated in 1-day treatment arms in random order (iPhone-based Bionic Pancreas using Lilly glucagon and iPhone-based Bionic Pancreas using ZP4207 (dasiglucagon) {experimental drug} with insulin lispro) according to pre-generated randomization scheme.
Receives: Drug: Insulin Lispro; Drug: ZP4207 (dasiglucagon); Drug: Glucagon; Device: iPhone-based bionic pancreas
Part 2, Lilly glucagon then ZP4207ExperimentalIn Part 2, it was planned to enrol up to 10 new patients to participate in 1-day treatment arms in random order (iLet-based Bionic Pancreas using Lilly glucagon and iLet-based Bionic Pancreas using ZP4207 (dasiglucagon) {experimental drug} with insulin lispro) according to pre-generated randomization scheme. However, due to unavailability of the iLet, the sponsor decided to stop the trial upon completion of Part 1. Part 2 of the trial using the iLet was consequently not conducted.
Receives: Drug: Insulin Lispro; Drug: ZP4207 (dasiglucagon); Drug: Glucagon; Device: iLet-based bionic pancreas
Part 2, ZP4207 then Lilly GlucagonExperimentalIn Part 2, it was planned to enrol up to 10 new patients to participate in 1-day treatment arms in random order (iLet-based Bionic Pancreas using Lilly glucagon and iLet-based Bionic Pancreas using ZP4207 (dasiglucagon) {experimental drug} with insulin lispro) according to pre-generated randomization scheme. However, due to unavailability of the iLet, the sponsor decided to stop the trial upon completion of Part 1. Part 2 of the trial using the iLet was consequently not conducted.
Receives: Drug: Insulin Lispro; Drug: ZP4207 (dasiglucagon); Drug: Glucagon; Device: iLet-based bionic pancreas

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety and Tolerability as Measured by Adverse Events, Local Tolerability of Infusion Site Reactions, and Clinical Laboratory Parameters

    Safety and tolerability of ZP4207 in the BP using either the iPhone or the iLet platform, as measured by adverse events (AEs), local tolerability of infusion site reactions, and clinical laboratory parameters.

    See adverse events section for results on AEs by system organ class and preferred term. Clinical laboratory parameters in terms of overall 'investigations' AEs and abnormal hematology parameters that did not resolve by the follow-up visit are presented below. LLN = lower limit of the normal range. Investigations and vital signs AEs by preferred term are presented in the AE section.

    Participants with infusion site pain and nausea measured by visual analog scales (VAS) are presented below; mean values are presented under secondary outcomes. For the VAS, individuals marked on a 10-cm line corresponding to the amount of pain or nausea being experienced, with low scores (cm) indicating no feelings of pain or nausea and high scores (cm) indicating high feelings of pain or nausea.

    Measured: Up to 50 days

Secondary outcomes (18)
  1. Pain Measured on a Visual Analog Scale (VAS)

    The VAS scale was used to measure pain at the end of the visit (16 hours) for patients in both treatment groups. The VAS was a psychometric response scale used to measure subjective characteristics of pain. Patients marked a location on a 0 to 10-cm line that corresponded to the amount of pain being experienced, with low scores (cm) indicating no feelings of pain and high scores (cm) indicating high feelings of pain. Actual values are shown. The maximum value in the Lilly glucagon group was recorded at hour 3.

    Measured: 16 hours

  2. Nausea Measured on a Visual Analog Scale (VAS)

    The VAS scale was used to measure nausea at the end of the visit (16 hours) for patients in both treatment groups. The VAS was a psychometric response scale used to measure subjective characteristics of nausea. Patients marked a location on a 0 to 10-cm line that corresponded to the amount of nausea being experienced, with low scores (cm) indicating no feelings of nausea and high scores (cm) indicating high feelings of nausea. Actual values are shown. The maximum values in both groups were recorded at hour 6, the start of the exercise period.

    Measured: 16 hours

  3. Glycemic Regulation

    Measure glycemic regulation, including hypoglycemia exposure (percent of time spent with continuous glucose monitor [CGM] glucose<60mg/dL)

    Measured: 16 hours

  4. Average Percent Glucagon Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.

    Secondary endpoint of bionic pancreas function, presented by treatment group. The analysis of bionic pancreas function endpoints was on an intention-to-treat basis.

    Measured: 16 hours

  5. Average Percent Insulin Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.

    Secondary endpoint of bionic pancreas function, presented by treatment group. The analysis of bionic pancreas function endpoints was on an intention-to-treat basis.

    Measured: 16 hours

  6. Average Percentage of Time During Which the Bionic Pancreas is Functioning Nominally in All Respects Based on Real-time Continuous Glucose Monitoring (CGM) Data

    Secondary endpoint of bionic pancreas function, presented by treatment group. The analysis of bionic pancreas function endpoints was on an intention-to-treat basis.

    Measured: 16 hours

  7. Average Percentage of Time During Which the Bionic Pancreas is Functioning Nominally With or Without a New CGM Glucose Reading Captured

    Secondary endpoint of bionic pancreas function, presented by treatment group. The analysis of bionic pancreas function endpoints was on an intention-to-treat basis.

    Measured: 16 hours

  8. CGM Reliability Index, Calculated as Percentage of Possible Values Actually Recorded by CGM

    Secondary endpoint of bionic pancreas function, presented by treatment group. The analysis of bionic pancreas function endpoints was on an intention-to-treat basis.

    Measured: 16 hours

  9. CGM Mean Absolute Relative Difference Versus Time-stamped Blood Glucose (BG) Values From Meter Download

    Secondary endpoint of bionic pancreas function, presented by treatment group. The analysis of bionic pancreas function endpoints was on an intention-to-treat basis.

    Measured: 16 hours

  10. Number of Patients With Technical Faults Associated With the BP Including Cause and Resolution: Calibration Issues

    Technical faults in terms of calibration issues were listed by patient.

    Measured: 16 hours

  11. Number of Patients With Technical Faults Associated With the BP Including Cause and Resolution: Connectivity Issues

    Technical faults related to connectivity issues were listed

    Measured: 16 hours

  12. Diabetes Treatment Satisfaction Questionnaire - Status

    This questionnaire was not assessed as per protocol amendment 7.

    Measured: Up to 3 months

  13. Diabetes Treatment Satisfaction Questionnaire - Change

    This questionnaire was not assessed as per protocol amendment 7.

    Measured: Up to 3 months

  14. T1-Diabetes Distress Scale

    This questionnaire was not assessed as per protocol amendment 7.

    Measured: Up to 3 months

  15. Problem Areas in Diabetes Survey

    This questionnaire was not assessed as per protocol amendment 7.

    Measured: Up to 3 months

  16. Hypoglycemia Fear Survey

    This questionnaire was not assessed as per protocol amendment 7.

    Measured: Up to 3 months

  17. Impact of Daily Diabetes Demands

    This questionnaire was not assessed as per protocol amendment 7.

    Measured: Up to 3 months

  18. Bionic Pancreas User Opinion Survey

    This questionnaire was not assessed as per protocol amendment 7.

    Measured: Up to 3 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Nov 2016 (estimated)
  2. Study startNov 2016
  3. Primary completion24 May 2017
  4. Study completion7 Jun 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
13 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02971228
Sponsor's protocol ID
ZP4207-16051
Acronym
dasiglucagon
Status last verified
Feb 2021
First submitted
3 Nov 2016
Last updated
23 Mar 2021
Data monitoring committee
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Insulin Lispro, ZP4207 (dasiglucagon) and Glucagon in people with Diabetes Mellitus, Type 1, run by Zealand Pharma at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 Feb 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety and Tolerability as Measured by Adverse Events, Local Tolerability of Infusion Site Reactions, and Clinical Laboratory Parameters (time frame: Up to 50 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Mar 2021.

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