Trial Outcomes & Findings for A Study of Nasal Glucagon (LY900018) in Pediatric Participants With Type 1 Diabetes (NCT NCT04992312)

NCT ID: NCT04992312

Last Updated: 2024-05-23

Results Overview

A TEAE is defined as an adverse event which occurs post-dose or which is present prior to dosing and becomes more severe post-dose. An SAE is any AE from the study that results in 1 of the following: Death, initial or prolonged inpatient hospitalization, a life-threatening experience (i.e., immediate risk of dying), persistent or significant disability/incapacity, congenital anomaly/birth defect, important medical events that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the subject or may require intervention to prevent 1 of the other outcomes listed in the definition above. The number of participants with one or more TEAEs, SAEs considered by the investigator to be related to study drug administration is reported here. A summary of SAEs and other non-serious AEs, regardless of causality is located in the Reported Adverse Events section of this record.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

7 participants

Primary outcome timeframe

Baseline to Day 9

Results posted on

2024-05-23

Participant Flow

Participant milestones

Participant milestones
Measure
3 Milligram (mg) Nasal Glucagon
Participants received a single dose of 3 mg glucagon powder administered intranasally on day 1.
Overall Study
STARTED
7
Overall Study
Received at Least One Dose of Study Drug
7
Overall Study
COMPLETED
7
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of Nasal Glucagon (LY900018) in Pediatric Participants With Type 1 Diabetes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
3 mg Nasal Glucagon
n=7 Participants
Participants received a single dose of 3 mg glucagon powder administered intranasally on day 1.
Age, Continuous
2.98 years
STANDARD_DEVIATION 0.82 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
7 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to Day 9

Population: All participants who received at least one dose of study drug.

A TEAE is defined as an adverse event which occurs post-dose or which is present prior to dosing and becomes more severe post-dose. An SAE is any AE from the study that results in 1 of the following: Death, initial or prolonged inpatient hospitalization, a life-threatening experience (i.e., immediate risk of dying), persistent or significant disability/incapacity, congenital anomaly/birth defect, important medical events that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the subject or may require intervention to prevent 1 of the other outcomes listed in the definition above. The number of participants with one or more TEAEs, SAEs considered by the investigator to be related to study drug administration is reported here. A summary of SAEs and other non-serious AEs, regardless of causality is located in the Reported Adverse Events section of this record.

Outcome measures

Outcome measures
Measure
3 mg Nasal Glucagon
n=7 Participants
Participants received a single dose of 3 mg glucagon powder administered intranasally on day 1.
Number of Participants With One or More Treatment-Emergent Adverse Event(s) (TEAEs) and Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration
TEAEs
5 Participants
Number of Participants With One or More Treatment-Emergent Adverse Event(s) (TEAEs) and Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration
SAEs
0 Participants

SECONDARY outcome

Timeframe: Baseline, Day 1 (pre-dose, 10, 30, 60, 90 minutes post-dose)

Population: All participants who received at least one dose of study drug and had evaluable PD data.

Change from baseline in BGmax was measured to investigate the PD effect of nasal glucagon on blood glucose level following 3 mg nasal glucagon administration on day 1. Baseline is defined as Day 1 pre-dose. The BGmax on Day 1 was determined using plasma samples collected pre-dose, 10, 30, 60, and 90 minutes post nasal glucagon dose.

Outcome measures

Outcome measures
Measure
3 mg Nasal Glucagon
n=7 Participants
Participants received a single dose of 3 mg glucagon powder administered intranasally on day 1.
Pharmacodynamics (PD): Change From Baseline in Maximum Observed Blood Glucose (BGmax)
132.4 milligrams per deciliter (mg/dL)
Standard Deviation 52.4

SECONDARY outcome

Timeframe: Day 1 (pre-dose, 10, 30, 60, 90 minutes post-dose)

Population: All participants who received at least one dose of study drug and had evaluable PD data.

PD: Absolute BGmax of Nasal Glucagon

Outcome measures

Outcome measures
Measure
3 mg Nasal Glucagon
n=7 Participants
Participants received a single dose of 3 mg glucagon powder administered intranasally on day 1.
PD: Absolute BGmax of Nasal Glucagon
242.1 mg/dL
Standard Deviation 46

SECONDARY outcome

Timeframe: Day 1 (pre-dose, 10, 30, 60, 90 minutes post-dose)

Population: All participants who received at least one dose of study drug and had evaluable PD data.

PD: TBGmax of Nasal Glucagon

Outcome measures

Outcome measures
Measure
3 mg Nasal Glucagon
n=7 Participants
Participants received a single dose of 3 mg glucagon powder administered intranasally on day 1.
PD: Time of Maximum Observed Blood Glucose (TBGmax) of Nasal Glucagon
55.6 minutes
Standard Deviation 20.9

SECONDARY outcome

Timeframe: Day 1 (pre-dose, 10, 30, 60, 90 minutes post-dose)

Population: All participants who received at least one dose of study drug and had evaluable PD data.

AUC from time 0 to the last measured concentration of blood glucose at 90 minutes \[AUC(0-90)\] is reported.

Outcome measures

Outcome measures
Measure
3 mg Nasal Glucagon
n=7 Participants
Participants received a single dose of 3 mg glucagon powder administered intranasally on day 1.
PD: Area Under the Concentration Versus Time Curve (AUC) of Blood Glucose
18200 milligram*minute per deciliter (mg*m/dL)
Standard Deviation 3000

SECONDARY outcome

Timeframe: Day 1 (10, 30, 60 minutes post-dose)

Population: All participants who received at least one dose of study drug and had evaluable PK data.

PK: AUC of Nasal Glucagon

Outcome measures

Outcome measures
Measure
3 mg Nasal Glucagon
n=7 Participants
Participants received a single dose of 3 mg glucagon powder administered intranasally on day 1.
Pharmacokinetics (PK): AUC of Nasal Glucagon
1560 picogram*hour per milliliter (pg*hr/mL)
Geometric Coefficient of Variation 25.3

Adverse Events

3 mg Nasal Glucagon

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
3 mg Nasal Glucagon
n=7 participants at risk
Participants received a single dose of 3 mg glucagon powder administered intranasally on day 1.
Eye disorders
Eye pruritus
14.3%
1/7 • Number of events 1 • Baseline to Day 9
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Abdominal discomfort
14.3%
1/7 • Number of events 1 • Baseline to Day 9
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Dyspepsia
14.3%
1/7 • Number of events 1 • Baseline to Day 9
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Nausea
14.3%
1/7 • Number of events 1 • Baseline to Day 9
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Post-tussive vomiting
14.3%
1/7 • Number of events 1 • Baseline to Day 9
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Vomiting
14.3%
1/7 • Number of events 1 • Baseline to Day 9
All participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Epistaxis
14.3%
1/7 • Number of events 1 • Baseline to Day 9
All participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Nasal discomfort
14.3%
1/7 • Number of events 1 • Baseline to Day 9
All participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Sneezing
14.3%
1/7 • Number of events 1 • Baseline to Day 9
All participants who received at least one dose of study drug.

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 800-545-5979

Results disclosure agreements

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

Restriction type: GT60