Trial Outcomes & Findings for Glucagon Response to Prandial Insulin Administration in Persons With Type 1 Diabetes (NCT NCT04079881)

NCT ID: NCT04079881

Last Updated: 2022-10-07

Results Overview

Glucagon levels done fasting, 30, 60, 120, and 180 minutes

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

1 participants

Primary outcome timeframe

4 hours

Results posted on

2022-10-07

Participant Flow

Only one participant enrolled. Each participant acted as their own control. One participant completed arm A:B.

Participant milestones

Participant milestones
Measure
A (Pre-prandial Insulin Administration) : B (Post-prandial Insulin Administration)
Visit 1: will receive short acting insulin (Humalog, Lispro, etc) with the same regimen patient was using at home 20 min prior the meal. Visit 2: will receive short action insulin (Humalog, Lispro, etc.) with the same regiment patient was using at home 20 minutes after the meal. Insulin: to give pre-prandial and post-prandial insulin (will use patient insulin dose patient use at home) to patients with T1D and evaluate the response of post-prandial glucagon and post-prandial hyperglycemia.
B: (Post-prandial Insulin Administration): A (Pre-prandial Insulin Administration)
Visit 1: will receive short action insulin (Humalog, Lispro, etc.) with the same regiment patient was using at home 20 minutes after the meal Visit 2: will receive short acting insulin (Humalog, Lispro, etc) with the same regimen patient was using at home 20 min prior the meal Insulin: to give pre-prandial and post-prandial insulin (will use patient insulin dose patient use at home) to patients with T1D and evaluate the response of post-prandial glucagon and post-prandial hyperglycemia.
Overall Study
STARTED
1
0
Overall Study
COMPLETED
1
0
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Glucagon Response to Prandial Insulin Administration in Persons With Type 1 Diabetes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
A (Pre-prandial Insulin Administration) / (Post-prandial Insulin Administration)
n=1 Participants
Visit 1: will give short acting insulin (Humalog, Lispro, etc) with the same regimen patient was using at home 20 min prior the meal. Visit 2: will give short action insulin (Humalog, Lispro, etc.) with the same regiment patient was using at home 20 minutes after the meal. Insulin: to give pre-prandial and post-prandial insulin (will use patient insulin dose patient use at home) to patients with T1D and evaluate the response of post-prandial glucagon and post-prandial hyperglycemia.
B (Post-prandial Insulin Administration) / (Pre-prandial Insulin Administration)
Visit 1: will give short action insulin (Humalog, Lispro, etc.) with the same regiment patient was using at home 20 minutes after the meal; Visit 2: will give short acting insulin (Humalog, Lispro, etc) with the same regimen patient was using at home 20 min prior the meal. Insulin: to give pre-prandial and post-prandial insulin (will use patient insulin dose patient use at home) to patients with T1D and evaluate the response of post-prandial glucagon and post-prandial hyperglycemia.
Total
n=1 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
1 participants
n=5 Participants
1 participants
n=5 Participants
HbA1c
8.2 percent of glycated hemoglobin
n=5 Participants
8.2 percent of glycated hemoglobin
n=5 Participants
cPeptide
0.003 ng/mL
n=5 Participants
0.003 ng/mL
n=5 Participants
A: Baseline fasting blood glucose (BG)
193 mg/dL
n=5 Participants
193 mg/dL
n=5 Participants
Visit B - Baseline Fast Blood Glucose
171 mg/dL
n=5 Participants
171 mg/dL
n=5 Participants

PRIMARY outcome

Timeframe: 4 hours

Population: Study was delayed and then terminated due to COVID pandemic, funding was lost so primary analysis was not performed.

Glucagon levels done fasting, 30, 60, 120, and 180 minutes

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 4 hours

* Glucose done fasting, 30, 60, 120, and 180 minutes * Glucagon levels done fasting, 30, 60, 120, and 180 minutes * Usual insulin dose will be administered 20 minutes before or after the mixed meal challenge with Ensure Plus\*

Outcome measures

Outcome measures
Measure
Pre-prandial Insulin Administration
n=1 Participants
Pre-prandial insulin: will give short acting insulin (Humalog, Lispro, etc) with the same regimen patient was using at home 20 min prior the meal. Insulin: to give pre-prandial and post-prandial insulin (will use patient insulin dose patient use at home) to patients with T1D and evaluate the response of post-prandial glucagon and post-prandial hyperglycemia.
Post-prandial Insulin Administration
n=1 Participants
Post-prandial insulin: will give short acting insulin (Humalog, Lispro, etc) with the same regimen patient was using at home 20 min post the meal. Insulin: to give pre-prandial and post-prandial insulin (will use patient insulin dose patient use at home) to patients with T1D and evaluate the response of post-prandial glucagon and post-prandial hyperglycemia.
AUC Postprandial Glucose
30 minutes
245 mg/dL
278 mg/dL
AUC Postprandial Glucose
60 minutes
279 mg/dL
316 mg/dL
AUC Postprandial Glucose
120 minutes
310 mg/dL
274 mg/dL
AUC Postprandial Glucose
180 minutes
301 mg/dL
249 mg/dL

Adverse Events

Pre-prandial Insulin

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Post-prandial Insulin

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Janet McGill, MD

Wash Univ School of Medicine

Phone: (314) 362-8681

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place