Glucagon Enhanced Insulin Absorption in Diabetes Mellitus Type 1

NCT ID: NCT05960565

Last Updated: 2025-06-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

9 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-22

Study Completion Date

2023-12-22

Brief Summary

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The investigators will study the effect of microdoses of glucagon at the site of subcutaneous insulin injection. The investigators have unpublished data from anesthetized pigs indicating a major enhancement of insulin absorption.

Detailed Description

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People with type 1 diabetes will come fasting in the morning to the research facility on two separate days. Both days participants will have a breakfast of their own choice and their regular dose of meal insulin injected. Lyumjev will be used. Frequently collected blood sampled will be analysed for glucose, insulin and glucagon for 3.5 hours. The procedures will be exactly the same both days except that on one of the days they will be randomised to a small dose of glucagon that will be injected at exactly the same site as Lyumjev insulin is injected.

Conditions

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Type 1 Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

One day with glucagon and one day without glucagon
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Glucagon

Micro dose of glucagon is aded at the insulin injection site

Group Type EXPERIMENTAL

Glucagon

Intervention Type DRUG

A micro-dose of glucagon is added exactly at the same site as insulin is injected.

Control

Insulin injected without any glucagon

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Glucagon

A micro-dose of glucagon is added exactly at the same site as insulin is injected.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1: Type 1 diabetes for at least 1 year. 2. Age 18 - 70 years. 3. Last known HbA1c \<86 mmol/mol. 4. Treated with continuous subcutaneous insulin infusion (CSII) by an insulin pump or multiple daily insulin injections (MDII).

Exclusion Criteria

1. Pregnant women or women trying to conceive.
2. Any chronic disease, including psychiatric illness, judged incompatible with participation in the study.
3. Unfit for participation for any reason judged by the investigators.
4. Known hypersensitivity to glucagon or any of the excipients of the drug formulation.
5. Known phaeochromocytoma. -
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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St. Olavs Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sven M Carlsen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

St. Olav's University Hospital

Locations

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Department of Endocrinology, St. Olavs Hospital

Trondheim, , Norway

Site Status

Countries

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Norway

References

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Am MK, Munkerud EY, Berge MH, Christiansen SC, Carlsen SM. The effect of glucagon on local subcutaneous blood flow in non-diabetic volunteers; a proof-of-concept study. Eur J Pharmacol. 2022 Jul 5;926:175045. doi: 10.1016/j.ejphar.2022.175045. Epub 2022 May 21.

Reference Type BACKGROUND
PMID: 35609678 (View on PubMed)

Teigen IA, Riaz M, Am MK, Christiansen SC, Carlsen SM. Vasodilatory effects of glucagon: A possible new approach to enhanced subcutaneous insulin absorption in artificial pancreas devices. Front Bioeng Biotechnol. 2022 Sep 21;10:986858. doi: 10.3389/fbioe.2022.986858. eCollection 2022.

Reference Type BACKGROUND
PMID: 36213069 (View on PubMed)

Other Identifiers

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EU CT 2022-502455-57-01

Identifier Type: -

Identifier Source: org_study_id

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