Diabetes Mellitus, Type 1Phase 1NCT06588504
Research Study in Japan to Compare Dasiglucagon With Glucagon in Treating Very Low Levels of Blood Sugar in Asian Adults With Type 1 Diabetes and Testing of Dasiglucagon for the Same Condition in Japanese Adolescents
A Phase 1 study testing Dasiglucagon and Glucagon in people with Diabetes Mellitus, Type 1, run by Novo Nordisk A/S at 1 site in Japan.
Trial summary
This study will be looking to confirm the effect of dasiglucagon when compared with glucagon for treating very low sugar levels in Asian adults with T1D and the effect of dasiglucagon in Japanese adolescents with T1D. Read more about this study
- Who is it for?
- Ages 12 to 75 years
- Conditions the study is for
- Diabetes Mellitus, Type 1
- What is being tested?
- Dasiglucagon and Glucagon
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 38 participants
- Where
- 1 siteJapan
- Study dates
- 10 Sep 2024to 20 Jul 2025
- Phase
- Phase 1
- Are there results?
- None posted in the registry
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 12 to 75 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- For Adults: Asian male or female; For Adolescents: Japanese male or female.
- Age at the time of signing the informed consent:
- For Adults: Age 18-75 years (both inclusive):
- For Adolescents: Age 12-15 years (both inclusive).
- Diagnosed with T1D greater than (>)1 year before screening.
- Glycated haemoglobin (HbA1c) less than (<)10.0 percentage (%) (86 millimoles per mole [mmol/mol]) as assessed by subcontracted laboratory by the site on the day of screening.
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- For adults: BMI between 18.5 and 29.9 kilogram per meter square (kg/m2) (both inclusive).
- For adolescents: Body weight greater than or equal to (≥) 33.4 kilograms (kg).
- Treated with stable insulin treatment (based on the investigator's discretion preferably no more than a 10-unit daily variation in total daily insulin dose) 30 days prior to screening.
- For Japanese participants: Japanese passport or equivalent For non-Japanese participants: Asian (non- Japanese passport or equivalent).
Who cannot join
- Known or suspected hypersensitivity to study intervention(s) or related products (glucagon or its derivatives).
- Exposure to an investigational medicinal product (IMP) within 30 days or 5 times the half-life of the IMP (if known), whichever is longest before screening.
- Severe hypoglycaemia in the last month prior to screening.
- Hospitalisation for diabetic ketoacidosis (DKA) in the last month prior to screening.
- Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, gastrointestinal, endocrinological conditions (except conditions associated with diabetes mellitus).
- History of epilepsy or seizure disorder.
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- Known presence or history of pheochromocytoma (i.e., adrenal gland tumour) or insulinoma (i.e., insulin-secreting pancreas tumour).
- Clinically significant abnormal electrocardiogram (ECG) at screening as evaluated by investigator.
- Any disorder, unwillingness or inability which in the investigator's opinion, might jeopardise the participant's safety or compliance with the protocol.
- As declared by the participant or in the medical records.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Phase 3, Randomised, Open-label, Cross-over Study to Confirm the Clinical Efficacy and Safety of Dasiglucagon Versus Glucagon for the Treatment of Severe Hypoglycaemia in Asian Adults With Type 1 Diabetes (T1D) Including an Investigation of Dasiglucagon in a Japanese Adolescent Cohort
This study will be looking to confirm the effect of dasiglucagon when compared with glucagon for treating very low sugar levels in Asian adults with T1D and the effect of dasiglucagon in Japanese adolescents with T1D. This study wants to demonstrate that dasiglucagon can raise low blood sugar levels just as well as glucagon. Participants will get dasiglucagon and glucagon. In which treatment order participants get study medicines (dasiglucagon and glucagon) is decided by chance. Dasiglucagon is a new medicine, but doctors can prescribe it in the US as it is approved there. Doctors can prescribe glucagon in multiple countries including Japan as an approved medicine. The study will last for about 17 weeks. Participant cannot be in the study if the study doctor thinks that there are risks for participants health. Women cannot take part if pregnant, breast-feeding, plan to get pregnant, during the study period, or not using adequate contraceptive methods. For man: if participant have sex, participant and his partner must use an adequate birth control method during the study.
- Conditions
- Diabetes Mellitus, Type 1
- Being tested
- Dasiglucagon, Glucagon
- Medical subject headings
- Diabetes Mellitus, Type 1
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DasiglucagonDrug
Participants will receive s.c. injection of dasiglucagon.
GlucagonDrug
Participants will receive i.m. injection of glucagon.
| Study group | Role | What they receive |
|---|---|---|
| Adult Cohort: Dasiglucagon then Glucagon | Experimental | Participants will receive a single subcutaneous (s.c.) injection of dasiglucagon in first dosing visit then a single intra-mascular (i.m.) injection of glucagon in next dosing visit. Receives: Drug: Dasiglucagon |
| Adult Cohort: Glucagon then Dasiglucagon | Experimental | Participants will receive a single i.m. injection of glucagon in first dosing visit then a single s.c. injection of dasiglucagon in next dosing visit. Receives: Drug: Dasiglucagon; Drug: Glucagon |
| Adolescent Cohort: Dasiglucagon | Experimental | Participants will receive a single s.c. injection of dasiglucagon. Receives: Drug: Dasiglucagon |
What is being measured
The primary outcome is the main question the study is designed to answer.
Adults cohort: Time to plasma glucose (PG) recovery, where PG recovery is defined as the first increase in PG of greater than or equal to (>=) 20 milligrams per decilitre (mg/dL) (1.1 millimoles per litre [mmol/L]) from baseline
Measured in minutes.
Measured: From 0 to 90 minutes after investigational medicinal product (IMP) injection
Secondary outcomes (10)
Adolescent cohort: Time to PG recovery, where PG recovery is defined as the first increase in PG of >=20 mg/dL (1.1 mmol/L) from baseline
Measured in minutes.
Measured: From 0 to 90 minutes after IMP injection
PG recovery within 30 minutes after IMP injection (yes/no)
Measured in count of participant.
Measured: From 0 to 30 minutes after IMP injection
PG recovery within 20 minutes after IMP injection (yes/no)
Measured in count of participant.
Measured: From 0 to 20 minutes after IMP injection
PG recovery within 15 minutes after IMP injection (yes/no)
Measured in count of participant.
Measured: From 0 to 15 minutes after IMP injection
PG change from baseline at 15 minutes after IMP injection
Measured in milligrams per deciliter (mg/dL).
Measured: From 0 to 15 minutes after IMP injection
PG change from baseline at 20 minutes after IMP injection
Measured in mg/dL.
Measured: From 0 to 20 minutes after IMP injection
Area under the plasma dasiglucagon concentration time curve after IMP injection
Measured in hour*picomoles per liter (h*pmol/L).
Measured: On Day 1 after injection
Maximum observed plasma (Cmax) dasiglucagon concentration
Measured in pmol/L.
Measured: From 0 to 5 hours after IMP injection
Number of adverse events (AEs)
Measured in number of events.
Measured: From IMP injection (visit 2 day 1 and visit 3 day 1) until 28 days after IMP injection
Number of hypoglycaemic episodes
Measured in number of episodes.
Measured: From IMP injection (visit 2 day 1 and visit 3 day 1) until 12 hours after IMP injection
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Sep 2024
- Study start10 Sep 2024
- Primary completion20 Jul 2025
- Study completion20 Jul 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diabetes Mellitus, Type 1Studies of the same condition, open and under way.
- More trials run by Novo Nordisk A/SThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Enrolment
- 38 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novo Nordisk A/S
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Transparency (dept. 2834), Study director, Novo Nordisk A/S
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06588504
- Sponsor's protocol ID
- NN9515-7675
- Other IDs
- U1111-1300-1855, jRCT2071240050
- Status last verified
- Nov 2025
- First submitted
- 6 Sep 2024
- Last updated
- 5 Dec 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
Study at a glance
From the registry record, last updated by the sponsor on 5 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomised, Open-label, Cross-over Study to Confirm the Clinical Efficacy and Safety of Dasiglucagon Versus Glucagon for the Treatment of Severe Hypoglycaemia in Asian Adults With Type 1 Diabetes (T1D) Including an Investigation of Dasiglucagon in a Japanese Adolescent Cohort
- ClinicalTrials.gov ID
- NCT06588504
- Acronym / sponsor ID
- NN9515-7675
- Conditions
- Diabetes Mellitus, Type 1
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 38 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 10 Sep 2024 (actual)
- Primary completion
- 20 Jul 2025 (actual)
- Study completion
- 20 Jul 2025 (actual)
- First posted
- 19 Sep 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will be looking to confirm the effect of dasiglucagon when compared with glucagon for treating very low sugar levels in Asian adults with T1D and the effect of dasiglucagon in Japanese adolescents with T1D. This study wants to demonstrate that dasiglucagon can raise low blood sugar levels just as well as glucagon. Participants will get dasiglucagon and glucagon. In which treatment order participants get study medicines (dasiglucagon and glucagon) is decided by chance. Dasiglucagon is a new medicine, but doctors can prescribe it in the US as it is approved there. Doctors can prescribe glucagon in multiple countries including Japan as an approved medicine. The study will last for about 17 weeks. Participant cannot be in the study if the study doctor thinks that there are risks for participants health. Women cannot take part if pregnant, breast-feeding, plan to get pregnant, during the study period, or not using adequate contraceptive methods. For man: if participant have sex, participant and his partner must use an adequate birth control method during the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Adult Cohort: Dasiglucagon then Glucagon | Experimental | Drug: DasiglucagonParticipants will receive a single subcutaneous (s.c.) injection of dasiglucagon in first dosing visit then a single intra-mascular (i.m.) injection of glucagon in next dosing visit. |
| Adult Cohort: Glucagon then Dasiglucagon | Experimental | Drug: Dasiglucagon, Drug: GlucagonParticipants will receive a single i.m. injection of glucagon in first dosing visit then a single s.c. injection of dasiglucagon in next dosing visit. |
| Adolescent Cohort: Dasiglucagon | Experimental | Drug: DasiglucagonParticipants will receive a single s.c. injection of dasiglucagon. |
Who may qualify
- Ages
- 12 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (10 listed)
- For Adults: Asian male or female; For Adolescents: Japanese male or female.
- Age at the time of signing the informed consent:
- For Adolescents: Age 12-15 years (both inclusive).
- Diagnosed with T1D greater than (>)1 year before screening.
- Glycated haemoglobin (HbA1c) less than (<)10.0 percentage (%) (86 millimoles per mole [mmol/mol]) as assessed by subcontracted laboratory by the site on the day of screening.
Key exclusion criteria (10 listed)
- Known or suspected hypersensitivity to study intervention(s) or related products (glucagon or its derivatives).
- Exposure to an investigational medicinal product (IMP) within 30 days or 5 times the half-life of the IMP (if known), whichever is longest before screening.
- Severe hypoglycaemia in the last month prior to screening.
- Hospitalisation for diabetic ketoacidosis (DKA) in the last month prior to screening.
- Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, gastrointestinal, endocrinological conditions (except conditions associated with diabetes mellitus).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| DasiglucagonParticipants will receive s.c. injection of dasiglucagon. | Drug | Adolescent Cohort: Dasiglucagon, Adult Cohort: Dasiglucagon then Glucagon, Adult Cohort: Glucagon then Dasiglucagon |
| GlucagonParticipants will receive i.m. injection of glucagon. | Drug | Adult Cohort: Glucagon then Dasiglucagon |
Primary outcome
Adults cohort: Time to plasma glucose (PG) recovery, where PG recovery is defined as the first increase in PG of greater than or equal to (>=) 20 milligrams per decilitre (mg/dL) (1.1 millimoles per litre [mmol/L]) from baseline
Time frame: From 0 to 90 minutes after investigational medicinal product (IMP) injection
Measured in minutes.
10 secondary outcomes
Adolescent cohort: Time to PG recovery, where PG recovery is defined as the first increase in PG of >=20 mg/dL (1.1 mmol/L) from baseline
Time frame: From 0 to 90 minutes after IMP injection
PG recovery within 30 minutes after IMP injection (yes/no)
Time frame: From 0 to 30 minutes after IMP injection
PG recovery within 20 minutes after IMP injection (yes/no)
Time frame: From 0 to 20 minutes after IMP injection
PG recovery within 15 minutes after IMP injection (yes/no)
Time frame: From 0 to 15 minutes after IMP injection
PG change from baseline at 15 minutes after IMP injection
Time frame: From 0 to 15 minutes after IMP injection
PG change from baseline at 20 minutes after IMP injection
Time frame: From 0 to 20 minutes after IMP injection
Area under the plasma dasiglucagon concentration time curve after IMP injection
Time frame: On Day 1 after injection
Maximum observed plasma (Cmax) dasiglucagon concentration
Time frame: From 0 to 5 hours after IMP injection
Number of adverse events (AEs)
Time frame: From IMP injection (visit 2 day 1 and visit 3 day 1) until 28 days after IMP injection
Number of hypoglycaemic episodes
Time frame: From IMP injection (visit 2 day 1 and visit 3 day 1) until 12 hours after IMP injection
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Dec 2025.
- Individual participant dataSharing planned: Yes. According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Transparency (dept. 2834) study director
Novo Nordisk A/S
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Dasiglucagon and Glucagon in people with Diabetes Mellitus, Type 1, run by Novo Nordisk A/S at 1 site in Japan.
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 10 inclusion and 10 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 5 Dec 2025. 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 Japan. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Adults cohort: Time to plasma glucose (PG) recovery, where PG recovery is defined as the first increase in PG of greater than or equal to (>=) 20 milligrams per decilitre (mg/dL) (1.1 millimoles per litre [mmol/L]) from baseline (time frame: From 0 to 90 minutes after investigational medicinal product (IMP) injection). 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 5 Dec 2025.