Page last updated: 2024-11-07

glucagon

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Description

Glucagon: A 29-amino acid pancreatic peptide derived from proglucagon which is also the precursor of intestinal GLUCAGON-LIKE PEPTIDES. Glucagon is secreted by PANCREATIC ALPHA CELLS and plays an important role in regulation of BLOOD GLUCOSE concentration, ketone metabolism, and several other biochemical and physiological processes. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p1511) [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

glucagon : A 29-amino acid peptide hormone consisting of His, Ser, Gln, Gly, Thr, Phe, Thr, Ser, Asp, Tyr, Ser, Lys, Tyr, Leu, Asp, Ser, Arg, Arg, Ala, Gln, Asp, Phe, Val, Gln, Trp, Leu, Met, Asn and Thr residues joined in sequence. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID16132283
SCHEMBL ID15268863
MeSH IDM0009314

Synonyms (67)

Synonym
glucagonum [inn-latin]
glukagon novo
glucagon (mesocricetus auratus)
glucagon (ox)
glucagonum
bovine glucagon
glucagon (dog)
glucagon [usp:inn:ban:jan]
glucagon, porcine, for immunoassay
glucagone [dcit]
unii-76la80ig2g
glucagon (saimiri sciureus)
l-threonine, l-histidyl-l-seryl-l-glutaminylglycyl-l-threonyl-l-phenylalanyl-l-threonyl-l-seryl-l-alpha-aspartyl-l-tyrosyl-l-seryl-l-lysyl-l-tyrosyl-l-leucyl-l-alpha-aspartyl-l-seryl-l-arginyl-l-arginyl-l-alanyl-l-glytaminyl-l-alpha-aspartyl-l-phenylalany
76la80ig2g ,
glucagon (xenopus laevis)
glucagon, porcine, for bioassay
glucagon (swine)
glucagon (pig)
glucagon, pig
einecs 232-708-2
his-ser-glu(nh2)-gly-thr-phe-thr-ser-asp-tyr-ser-lys-tyr-leu-asp-ser-arg-arg-ala-glu(nh2)-asp-phe-val-glu(nh2)-trp-leu-met-asp(nh2)-thr
hyperglycemic-glycogenolytic factor
glucagon (1-29) ,
glukagon
hg-factor
hsdb 3337
hg factor
proglucagon (33-61)
glucagon
glucagon, porcine
glucagone
NCGC00167140-01
glucagon hcl
16941-32-5
big plasma glucagon
gut glucagon-like immunoreactants
glucagon-like-immunoreactivity
his-ser-gln-gly-thr-phe-thr-ser-asp-tyr-ser-lys-tyr-leu-asp-ser-arg-arg-ala-gln-asp-phe-val-gln-trp-leu-met-asn-thr
hsqgtftsdyskyldsrraqdfvqwlmnt
l-histidyl-l-seryl-l-glutaminylglycyl-l-threonyl-l-phenylalanyl-l-threonyl-l-seryl-l-alpha-aspartyl-l-tyrosyl-l-seryl-l-lysyl-l-tyrosyl-l-leucyl-l-alpha-aspartyl-l-seryl-l-arginyl-l-arginyl-l-alanyl-l-glutaminyl-l-alpha-aspartyl-l-phenylalanyl-l-valyl-l-g
SCHEMBL15268863
glucagon, acetate salt, >=97.0% (hplc)
human glucagon, european pharmacopoeia (ep) reference standard
glucagon (1-29), bovine, human, porcine
baqsimi
gvoke hypopen
DTXSID101016809 ,
F85453
l-threonine, l-histidyl-l-seryl-l-glutaminylglycyl-l-threonyl-l-phenylalanyl-l-threonyl-l-seryl-l-.alpha.-aspartyl-l-tyrosyl-l-seryl-l-lysyl-l-tyrosyl-l-leucyl-l-.alpha.-aspartyl-l-seryl-l-arginyl-l-argin yl-l-alanyl-l-glutaminyl-l-.alpha.-aspartyl-l-phen
AKOS040741791
gvoke pfs1 mg pre-filled syringe
his-ser-glu(nh2)-gly-thr-phe-thr-ser-asp-tyr-ser-lys-ty r-leu-asp-ser-arg-arg-ala-glu(nh2)-asp-phe-val-glu(nh2)-trp-leu-met-asp(nh2)-thr
glucagon (usp:inn:ban:jan)
glucagon (usp impurity)
gvoke kit
glucagon (usp monograph)
gvoke hypopen1 mg auto-injector
gvoke kitvial
gvoke pfs
gvoke pfs0.5 mg pre-filled syringe
dtxcid701475001
glucagon (mart.)
gvoke hypopen0.5 mg auto-injector
glucagon injection, solution
glucagon1555
glucagonum (inn-latin)
h04aa01

Research Excerpts

Toxicity

A retrospective review of the adverse events (AEs) in 78 patients during the glucagon stimulation test (GST) for the assessment of growth hormone deficiency. Data extracted included glucagon administration and its success rate, outcome of radiographic studies, and the endoscopic method of removal.

ExcerptReferenceRelevance
"Hormonal status was evaluated in TCDD-treated rats and in pair-fed and ad libitum-fed controls in order to separate hormonal changes resulting from the toxic insult of TCDD from those arising from progressive feed deprivation as it occurs in pair-fed controls."( Some endocrine and morphological aspects of the acute toxicity of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD).
Arceo, RJ; Gorski, JR; Iatropoulos, MJ; Muzi, G; Pereira, DW; Rozman, K; Weber, LW, 1988
)
0.27
"The toxic effects associated with rapid lipid mobilization and a high plasma free fatty acid (FFA) concentration produced by glucagon were evaluated."( Toxic effects of glucagon-induced acute lipid mobilization in geese.
Connor, WE; Hoak, JC; Warner, ED, 1968
)
0.25
" Thirty minutes after the development of toxicity, toxic measures were taken (treatment 0 minutes), and then the animals (n = 6 each group) received either sham (saline solution), insulin (4 IU/minute with glucose clamped), glucagon (50 micrograms/kg bolus, then 150 micrograms/kg/hour infusion), or epinephrine (1 microgram/kg/minute)."( Insulin improves survival in a canine model of acute beta-blocker toxicity.
Kerns, W; Raymond, R; Schroeder, D; Tomaszewski, C; Williams, C, 1997
)
0.3
" (b) All protein fibrils with the beta-pleated sheet structure examined are toxic to rat hippocampal neurons."( Steroid hormones block amyloid fibril-induced 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) formazan exocytosis: relationship to neurotoxicity.
Liu, Y; Schubert, D, 1998
)
0.3
"Chlorpyrifos has been hypothesized to interact with receptors and transduction proteins involved in the production of cyclic AMP, contributing to adverse effects on cell replication and differentiation."( Neonatal chlorpyrifos exposure targets multiple proteins governing the hepatic adenylyl cyclase signaling cascade: implications for neurotoxicity.
Auman, JT; Seidler, FJ; Slotkin, TA, 2000
)
0.31
" In subjects treated with NN2211 rather than placebo, there was a higher incidence of adverse events, most notably dizziness and adverse events related to the gastrointestinal system."( The pharmacokinetics, pharmacodynamics, safety and tolerability of NN2211, a new long-acting GLP-1 derivative, in healthy men.
Agersø, H; Elbrønd, B; Jensen, LB; Rolan, P; Zdravkovic, M, 2002
)
0.31
"This study shows NN2211 has a pharmacokinetic profile supporting a daily dose in human beings, but also that subjects treated with NN2211 rather than placebo, had a higher incidence of adverse events, most notably dizziness and adverse events related to the gastrointestinal system."( The pharmacokinetics, pharmacodynamics, safety and tolerability of NN2211, a new long-acting GLP-1 derivative, in healthy men.
Agersø, H; Elbrønd, B; Jensen, LB; Rolan, P; Zdravkovic, M, 2002
)
0.31
" Whereas no serious adverse events were observed, there was a higher incidence of adverse events after active treatment compared with placebo treatment (notably headache, dizziness, nausea, and vomiting)."( Pharmacokinetics, pharmacodynamics, safety, and tolerability of a single-dose of NN2211, a long-acting glucagon-like peptide 1 derivative, in healthy male subjects.
Agersø, H; Elbrønd, B; Hatorp, V; Jakobsen, G; Jensen, LB; Larsen, S; Rolan, P; Sturis, J; Zdravkovic, M, 2002
)
0.31
" There were no serious adverse events and no patient withdrawals related to treatment."( Pharmacokinetics, pharmacodynamics, and safety of exenatide in patients with type 2 diabetes mellitus.
Baron, AD; Fineman, MS; Kim, DD; Kolterman, OG; Nielsen, LL; Ruggles, JA; Shen, L, 2005
)
0.33
" So far, different mechanisms have been proposed to explain the adverse effects of chronic hyperglycaemia."( Glucotoxicity and pancreatic proteomics.
Brunner, Y; Couté, Y; Priego-Capote, F; Sanchez, JC; Schvartz, D, 2009
)
0.35
" All adverse events were mild or moderate in severity."( Pharmacokinetics, pharmacodynamics, tolerability, and safety of exenatide in Japanese patients with type 2 diabetes mellitus.
de la Peña, A; Fineman, M; Irie, S; Isaka, Y; Kothare, PA; Linnebjerg, H; Mace, K; Sakata, Y; Shigeta, H; Teng, CH; Uenaka, K; Yamamura, A; Yeo, KP, 2008
)
0.35
"Under certain conditions, aqueous solutions of glucagon and MAR-D28 are stable for at least 5 days and are thus very likely to be safe in mammals."( In vitro and in vivo evaluation of native glucagon and glucagon analog (MAR-D28) during aging: lack of cytotoxicity and preservation of hyperglycemic effect.
Carroll, JM; DiMarchi, RD; El Youssef, J; Engle, JM; Massoud, RG; Roberts, CT; Szybala, CJ; Ward, WK, 2010
)
0.36
" Other than injection-site reactions, adverse event rates in antibody-positive and antibody-negative patients were similar."( Clinical relevance of anti-exenatide antibodies: safety, efficacy and cross-reactivity with long-term treatment.
Booker Porter, TK; Cirincione, BB; Darsow, T; Diamant, M; Fineman, MS; Kinninger, LA; Mace, KF; Trautmann, ME, 2012
)
0.38
" Few studies documented the adverse effects of this therapy, the most common being nausea and vomiting."( Safety and efficacy of glucagon for the relief of acute esophageal food impaction.
Weant, KA; Weant, MP, 2012
)
0.38
" In addition, glucagon has the potential to cause adverse effects and decrease the likelihood of spontaneous resolution."( Safety and efficacy of glucagon for the relief of acute esophageal food impaction.
Weant, KA; Weant, MP, 2012
)
0.38
" Pasireotide was generally well tolerated at all doses; adverse events were predominantly mild-to-moderate gastrointestinal disorders."( An open-label dose-escalation study of once-daily and twice-daily pasireotide in healthy volunteers: safety, tolerability, and effects on glucose, insulin, and glucagon levels.
Bouillaud, E; Hu, K; Hudson, M; Maldonado, M; Nesheiwat, D; Shenouda, M; Wang, Y,
)
0.13
"Of the 45 randomized HVs, 42 completed the study per protocol, 1 withdrew his informed consent for personal reasons, and 2 prematurely discontinued the study because of adverse events (AEs)."( Pharmacokinetics and safety of subcutaneous pasireotide and intramuscular pasireotide long-acting release in Chinese male healthy volunteers: a phase I, single-center, open-label, randomized study.
Chen, X; Darstein, C; Hu, K; Hu, P; Jiang, J; Lasher, J; Liu, H; Shen, G, 2014
)
0.4
" Overall, linagliptin was well tolerated, with drug-related adverse events in 21."( Efficacy and safety of linagliptin in subjects with long-standing type 2 diabetes mellitus (>10 years): evidence from pooled data of randomized, double-blind, placebo-controlled, phase III trials.
Aguilar, R; Hehnke, U; Lajara, R; von Eynatten, M; Woerle, HJ, 2014
)
0.4
"To evaluate the utility of glucagon and the technique used for endoscopic removal, including the rate of success and the adverse events of the techniques."( Glucagon Is a Safe and Inexpensive Initial Strategy in Esophageal Food Bolus Impaction.
Haas, J; Leo, J; Vakil, N, 2016
)
0.43
" Data extracted included glucagon administration and its success rate, outcome of radiographic studies, and the endoscopic method of removal and adverse events associated with it, including 30-day mortality."( Glucagon Is a Safe and Inexpensive Initial Strategy in Esophageal Food Bolus Impaction.
Haas, J; Leo, J; Vakil, N, 2016
)
0.43
" Endoscopic removal regardless of technique is safe and effective."( Glucagon Is a Safe and Inexpensive Initial Strategy in Esophageal Food Bolus Impaction.
Haas, J; Leo, J; Vakil, N, 2016
)
0.43
" Prerequisites that enable the control algorithms to provide safe closed-loop control are accurate and reliable input of glucose values, assured hormone delivery and an efficient user interface."( A Review of Safety and Design Requirements of the Artificial Pancreas.
Blauw, H; DeVries, JH; Keith-Hynes, P; Koops, R, 2016
)
0.43
" There were no significant adverse effects on the glycometabolic function of SD rats after FUS ablation, and the influence of FUS treatment on pancreatic functions were minimal."( Partial ablation of the pancreas of Sprague Dawley® rats by focused ultrasound reveals no significant adverse effects on glycometabolism function.
Ao, L; Fang, LQ; Hu, HX; Hu, N; Li, FQ; Liu, LX; Liu, Q; Wu, JR; Zhao, ZH, 2017
)
0.46
"A retrospective review of the adverse events (AEs) in 78 patients during the glucagon stimulation test (GST) for the assessment of growth hormone deficiency (GHD) before and after protocol amendments which aimed to reduce AEs in a group of patients with a high prevalence of pituitary hormone deficiencies."( Reducing adverse events associated with the glucagon stimulation test for the assessment of growth hormone deficiency in adults with a high prevalence of pituitary hormone deficiencies.
Caputo, C; Derbyshire, M; Gogna, R; Hong, A; Jung, C; Kiburg, KV; Krishnamurthy, B; MacIsaac, RJ; McLachlan, K; Sachithanandan, N; Zacharin, M, 2021
)
0.62
" The GST is considered to be a safe test; however, it still has mild side effects and potential risks."( Safety Assessment and Potential Risks of the Glucagon Stimulation Test in the Diagnosis of Secondary Adrenal Insufficiency.
Abdelkrim, AB; Ach, K; Ach, T; Chaieb, M; Hasni, Y; Kacem, M; Maaroufi, A; Saad, G; Zaouali, M, 2022
)
0.72
" Adverse effects were significantly more prevalent in patients older than 50 years (p=0."( Safety Assessment and Potential Risks of the Glucagon Stimulation Test in the Diagnosis of Secondary Adrenal Insufficiency.
Abdelkrim, AB; Ach, K; Ach, T; Chaieb, M; Hasni, Y; Kacem, M; Maaroufi, A; Saad, G; Zaouali, M, 2022
)
0.72
"All adverse events were mild and transient."( A double-blind, placebo-controlled, single-ascending dose study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of HM15136, a novel long-acting glucagon analogue, in healthy subjects.
Baek, S; Cho, YM; Choi, J; Huh, KY; Hwang, JG; Lee, H; Lee, N; Shin, W, 2022
)
0.72
"A single subcutaneous dose of HM15136 at 10-120 μg/kg was safe and well tolerated."( A double-blind, placebo-controlled, single-ascending dose study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of HM15136, a novel long-acting glucagon analogue, in healthy subjects.
Baek, S; Cho, YM; Choi, J; Huh, KY; Hwang, JG; Lee, H; Lee, N; Shin, W, 2022
)
0.72
" Common adverse events were nausea, vomiting, and hypoglycemia."( Pharmacodynamics, pharmacokinetics, safety, and tolerability of a ready-to-use, room temperature, liquid stable glucagon administered via an autoinjector pen to youth with type 1 diabetes.
Buckingham, B; Conoscenti, V; Prestrelski, SJ; Sherr, J, 2022
)
0.72
"Dasiglucagon appears to be a promising human glucagon analog peptide for the safe and effective treatment of severe hypoglycemia in T1DM."( Clinical efficacy and safety of dasiglucagon in severe hypoglycemia associated with patients of type 1 diabetes mellitus: a systematic review and meta-analysis.
Dholariya, S; Dutta, S; Parchwani, D; Singh, R, 2023
)
0.91
" This study aims to determine the magnitude of effect of glucagon on heart rate (HR) and systolic blood pressure (SBP) in patients with suspected beta blocker toxicity and describe potential adverse effects of the medication."( Cardiovascular and Adverse Effects of Glucagon for the Management of Suspected Beta Blocker Toxicity: a Case Series.
LeClair, LA; Senart, AM, 2023
)
0.91
" Few patients experienced adverse events."( Cardiovascular and Adverse Effects of Glucagon for the Management of Suspected Beta Blocker Toxicity: a Case Series.
LeClair, LA; Senart, AM, 2023
)
0.91
" In the placebo-controlled datasets, no serious adverse events (AEs), AEs leading to withdrawal from the trial, or deaths were reported."( Integrated safety and efficacy analysis of dasiglucagon for the treatment of severe hypoglycaemia in individuals with type 1 diabetes.
Aronson, R; Bailey, TS; Battelino, T; Danne, T; DiMeglio, LA; Heller, S; Hövelmann, U; Johansen, T; Melgaard, AE; Pieber, TR; Plum-Mörschel, L, 2023
)
0.91
"2%) patients receiving HM15136 and all patients receiving placebo (9/9 [100%]) experienced a treatment-emergent adverse event (TEAE)."( Safety, tolerability, pharmacokinetics and pharmacodynamics of multiple ascending doses of the novel long-acting glucagon analogue HM15136 in overweight and obese patients with co-morbidities.
Baek, S; Byeon, J; Choi, J; Hompesch, M; Kang, S; Shin, W, 2023
)
0.91

Pharmacokinetics

G-Pump glucagon effectively increased blood glucose levels in a dose-dependent fashion with a glucose Cmax of 183, 200, and 210 mg/dL at doses of 0. We fitted pharmacokinetic (PK) models to insulin and glucagon data using maximum likelihood and maximum a posteriori estimation methods.

ExcerptReferenceRelevance
"The indications, contraindications and usefulness of pharmacodynamic tests in current radiological diagnosis of diseases of the digestive tract are reviewed and iscussed."( [The employment of pharmacodynamic tests in the radiological examination of the digestive tract (author's transl)].
Basilico, L; Bonomo, L; Lupini, A; Renda, F, 1978
)
0.26
"The half-life (t1/2) and metabolic clearance rate (MCR) of exogenous natural porcine oxyntomodulin (porcine OXM) and the synthetic analog of rat oxyntomodulin, [Nle27]-OXM (rat OXM), were compared with that of glucagon in control, sham-operated and acutely nephrectomized rats using the primed-continuous infusion technique."( Metabolic clearance rates of oxyntomodulin and glucagon in the rat: contribution of the kidney.
Bataille, D; Blache, P; Dubrasquet, M; Kervran, A; Martinez, J, 1990
)
0.28
" The metabolic clearance rate of the analogue (approximately 300 ml/min) was 1/6 that previously reported for somatostatin (approximately 2000 ml/min) and its half-life was approximately 20 times as great as that reported for somatostatin (45 vs 2 min)."( Efficacy, pharmacokinetics and tolerability of a somatostatin analogue (L-363,586) in insulin-dependent diabetes mellitus.
Gerich, J; Gottesman, I; Tobert, J; Vandlen, R, 1986
)
0.27
" A two-compartment open model was adopted to analyze the pharmacokinetic data of SRIF-LI."( Pharmacokinetics and effects of intravenous infusion of somatostatin in normal subjects--a two-compartment open model.
Chen, RL; Chou, CK; Chou, TY; Fong, JC; Ho, LT; Wang, PS, 1986
)
0.27
"7 ml kg-1 min-1 and the half-life in plasma was 12 +/- 1 min."( Oxyntomodulin: a potential hormone from the distal gut. Pharmacokinetics and effects on gastric acid and insulin secretion in man.
Baldissera, FG; Christiansen, J; Holst, JJ; Mortensen, PE; Schjoldager, BT, 1988
)
0.27
"The assessment of pharmacokinetic and pharmacodynamic properties of semisynthetic human insulin produced by enzymatic conversion was done in normal subjects, and compared to those of highly purified pork insulin."( Semisynthetic human insulin: biological and pharmacokinetic effects in normal subjects.
Blickle, JF; Brogard, JM; Cohen, B; Paris-Bockel, D; Pinget, M; Stahl, A, 1987
)
0.27
" To assess its pharmacokinetic parameters in man the MCR and plasma half-life were estimated by the continuous infusion method."( Infusion of a novel peptide, calcitonin gene-related peptide (CGRP) in man. Pharmacokinetics and effects on gastric acid secretion and on gastrointestinal hormones.
Bloom, SR; Ch'ng, JL; Ghatei, MA; Kraenzlin, ME; Mulderry, PK, 1985
)
0.27
"The present study was undertaken to determine the plasma levels of somatostatin-like immunoreactivity (SLI) during constant infusion of graded concentrations of synthetic somatostatin-14 (S-14); to determine the half-life (t1/2) and metabolic clearance rate (MCR) of SLI; to correlate the plasma SLI levels with the degree of inhibition of pituitary and islet hormone secretion and to establish whether the plasma SLI levels capable of inhibiting pituitary and islet hormone secretion fall into the physiological range."( Infusion of graded concentrations of somatostatin in man: pharmacokinetics and differential inhibitory effects on pituitary and islet hormones.
Patel, YC; Skamene, A, 1984
)
0.27
"The pharmacokinetics and pharmacodynamic effects of intravenously injected (0."( [Biosynthetic human insulin. Pharmacokinetic characteristics and activity in normal subjects].
Blickle, JF; Brogard, JM; Dorner, M; Pinget, M; Stahl, A, 1984
)
0.27
" The aims of the study were to assess the pharmacokinetic parameters and the hormonal effects of the slow-release formulation of the somatostatin analogue (SR-L) in normal male volunteers."( Pharmacokinetic and pharmacodynamic properties of a long-acting formulation of the new somatostatin analogue, lanreotide, in normal healthy volunteers.
De Ronzan, J; Kuhn, JM; Legrand, A; Obach, R; Ruiz, JM; Thomas, F, 1994
)
0.29
" After infusion the elimination half-life was significantly longer in diabetics (11."( Pharmacokinetics of intranasal, intramuscular and intravenous glucagon in healthy subjects and diabetic patients.
Bareggi, SR; Calderara, A; Perfetti, MG; Pontiroli, AE, 1993
)
0.29
" We conclude that during CSII it is acceptable from a pharmacokinetic point of view to retain the infusion site for up to 4 days."( No pharmacokinetic effect of retaining the infusion site up to four days during continuous subcutaneous insulin infusion therapy.
Arnqvist, H; Asplund, J; Olsson, PO, 1993
)
0.29
" Maximum glucagon plasma concentrations (C(max)) and area under the glucagon concentration curve (AUC) were calculated."( Pharmacokinetic and glucodynamic comparisons of recombinant and animal-source glucagon after IV, IM, and SC injection in healthy volunteers.
Bowsher, RR; Graf, CJ; Holcombe, JH; Lynch, R; Seger, ME; Woodworth, JR, 1999
)
0.3
" The half-life of the rapid elimination phase was 83."( Pharmacokinetics and metabolic effects of triamcinolone acetonide and their possible relationships to glucocorticoid-induced laminitis in horses.
French, K; Pass, MA; Pollitt, CC, 2000
)
0.31
" However, the pharmacokinetic profile of native GLP-1 with a rapid elimination has limited its therapeutic potential."( The pharmacokinetics, pharmacodynamics, safety and tolerability of NN2211, a new long-acting GLP-1 derivative, in healthy men.
Agersø, H; Elbrønd, B; Jensen, LB; Rolan, P; Zdravkovic, M, 2002
)
0.31
" administration the half-life of NN2211 was found to be 12."( The pharmacokinetics, pharmacodynamics, safety and tolerability of NN2211, a new long-acting GLP-1 derivative, in healthy men.
Agersø, H; Elbrønd, B; Jensen, LB; Rolan, P; Zdravkovic, M, 2002
)
0.31
"This study shows NN2211 has a pharmacokinetic profile supporting a daily dose in human beings, but also that subjects treated with NN2211 rather than placebo, had a higher incidence of adverse events, most notably dizziness and adverse events related to the gastrointestinal system."( The pharmacokinetics, pharmacodynamics, safety and tolerability of NN2211, a new long-acting GLP-1 derivative, in healthy men.
Agersø, H; Elbrønd, B; Jensen, LB; Rolan, P; Zdravkovic, M, 2002
)
0.31
"This study provides evidence that NN2211 has a pharmacokinetic profile consistent with once-daily dosing in humans."( Pharmacokinetics, pharmacodynamics, safety, and tolerability of a single-dose of NN2211, a long-acting glucagon-like peptide 1 derivative, in healthy male subjects.
Agersø, H; Elbrønd, B; Hatorp, V; Jakobsen, G; Jensen, LB; Larsen, S; Rolan, P; Sturis, J; Zdravkovic, M, 2002
)
0.31
"In the present work, the pharmacodynamic glucose and insulin response was modeled by fitting glucose and insulin data simultaneously with a nonlinear model incorporating known carbohydrate regulation mechanisms."( Pharmacodynamics of NN2211, a novel long acting GLP-1 derivative.
Agersø, H; Vicini, P, 2003
)
0.32
"To further characterize the properties of 1,4-dideoxy-1,4-imino-d-arabinitol (DAB), a recently described novel and potent inhibitor of glycogen phosphorylase and potential anti-diabetic agent, we have determined its pharmacokinetic properties in rats, dogs and mice and compared these to its pharmacodynamic anti-hyperglycaemic efficacy."( Pharmacokinetics and anti-hyperglycaemic efficacy of a novel inhibitor of glycogen phosphorylase, 1,4-dideoxy-1,4-imino-d- arabinitol, in glucagon-challenged rats and dogs and in diabetic ob/ob mice.
Andersen, JV; Mackay, P; McCormack, JG; Ynddal, L, 2003
)
0.32
" The aim of the present study was to assess the pharmacokinetic profile of OXA and the effect of intravenously (i."( Pharmacokinetic profile of orexin A and effects on plasma insulin and glucagon in the rat.
Ehrström, M; Hellström, PM; Kaur, R; Kirchgessner, AL; Levin, F; Näslund, E; Theodorsson, E, 2004
)
0.32
"In both studies, plasma exenatide pharmacokinetic profiles appeared dose proportional."( Pharmacokinetics, pharmacodynamics, and safety of exenatide in patients with type 2 diabetes mellitus.
Baron, AD; Fineman, MS; Kim, DD; Kolterman, OG; Nielsen, LL; Ruggles, JA; Shen, L, 2005
)
0.33
" injection resulted in dose-proportional exenatide pharmacokinetics and antidiabetic pharmacodynamic activity."( Pharmacokinetics, pharmacodynamics, and safety of exenatide in patients with type 2 diabetes mellitus.
Baron, AD; Fineman, MS; Kim, DD; Kolterman, OG; Nielsen, LL; Ruggles, JA; Shen, L, 2005
)
0.33
" However, the development of a GLP-1-based pharmaceutical agent has a severe limitation due to its very short half-life in plasma, being primarily degraded by dipeptidyl peptidase IV (DPP-IV) enzyme."( Synthesis, characterization, and pharmacokinetic studies of PEGylated glucagon-like peptide-1.
Byun, Y; Chae, SY; Lee, KC; Lee, S; Lee, SH; Na, DH; Youn, YS,
)
0.13
"Vildagliptin demonstrated similar pharmacokinetic and pharmacodynamic effects in Japanese patients to those observed previously in non-Japanese patients with Type 2 diabetes."( Pharmacokinetics and pharmacodynamics of vildagliptin in Japanese patients with type 2 diabetes.
He, YL; Ito, H; Sekiguchi, K; Terao, S; Yamaguchi, M, 2010
)
0.36
"To assess the extent of pharmacokinetic and pharmacodynamic interaction between vildagliptin, a potent and selective inhibitor of dipeptidyl peptidase IV (DPP-4) enzyme, and voglibose, an α-glucosidase inhibitor widely prescribed in Japan, when coadministered in Japanese patients with Type 2 diabetes."( Pharmacokinetic and pharmacodynamic interaction of vildagliptin and voglibose in Japanese patients with Type 2 diabetes.
Furihata, K; He, YL; Kulmatycki, K; Mita, S; Saji, T; Sekiguchi, K; Yamaguchi, M, 2013
)
0.39
" Co-administration led to significantly better pharmacodynamic response compared with each treatment alone, including higher active GLP-1 and lower glucose levels."( Pharmacokinetic and pharmacodynamic interaction of vildagliptin and voglibose in Japanese patients with Type 2 diabetes.
Furihata, K; He, YL; Kulmatycki, K; Mita, S; Saji, T; Sekiguchi, K; Yamaguchi, M, 2013
)
0.39
"Eight pharmacokinetic models with various levels of complexity were fitted to nine clinical datasets."( Pharmacokinetics modeling of exogenous glucagon in type 1 diabetes mellitus patients.
Breton, MD; Farhy, LS; Lv, D, 2013
)
0.39
"The aim of this study was to evaluate the pharmacokinetic properties, pharmacodynamic properties, and tolerability of PT302 after a single subcutaneous injection in healthy individuals."( Pharmacokinetic properties and effects of PT302 after repeated oral glucose loading tests in a dose-escalating study.
Cho, SH; Gu, N; Jang, IJ; Kim, J; Lee, H; Lim, KS; Seol, E; Shin, D; Shin, SG; Yu, KS, 2014
)
0.4
" Noncompartmental analysis was performed to assess the pharmacokinetic characteristics of PT302."( Pharmacokinetic properties and effects of PT302 after repeated oral glucose loading tests in a dose-escalating study.
Cho, SH; Gu, N; Jang, IJ; Kim, J; Lee, H; Lim, KS; Seol, E; Shin, D; Shin, SG; Yu, KS, 2014
)
0.4
"PT302 exhibits a biphasic pharmacokinetic profile, with the initial peak occurring 2 hours after administration."( Pharmacokinetic properties and effects of PT302 after repeated oral glucose loading tests in a dose-escalating study.
Cho, SH; Gu, N; Jang, IJ; Kim, J; Lee, H; Lim, KS; Seol, E; Shin, D; Shin, SG; Yu, KS, 2014
)
0.4
"The pharmacokinetic characteristics of PT302 were biphasic and dose proportional."( Pharmacokinetic properties and effects of PT302 after repeated oral glucose loading tests in a dose-escalating study.
Cho, SH; Gu, N; Jang, IJ; Kim, J; Lee, H; Lim, KS; Seol, E; Shin, D; Shin, SG; Yu, KS, 2014
)
0.4
" This study evaluated possible pharmacodynamic and pharmacokinetic interactions between gemigliptin and metformin and investigated their tolerability."( Pharmacokinetic and pharmacodynamic interaction between gemigliptin and metformin in healthy subjects.
Ahn, JY; Cho, JY; Cho, YM; Jang, IJ; Kim, JA; Lee, H; Lee, S; Lim, KS; Shin, D; Yu, KS, 2014
)
0.4
" Blood samples were drawn over 24 h on the seventh day of each period for pharmacokinetic and pharmacodynamic evaluations, including plasma DPP-4 activity and total/active glucagon-like peptide-1 (GLP-1) levels."( Pharmacokinetic and pharmacodynamic interaction between gemigliptin and metformin in healthy subjects.
Ahn, JY; Cho, JY; Cho, YM; Jang, IJ; Kim, JA; Lee, H; Lee, S; Lim, KS; Shin, D; Yu, KS, 2014
)
0.4
"Coadministration of gemigliptin and metformin showed beneficial anti-diabetic effects without pharmacokinetic drug-drug interactions."( Pharmacokinetic and pharmacodynamic interaction between gemigliptin and metformin in healthy subjects.
Ahn, JY; Cho, JY; Cho, YM; Jang, IJ; Kim, JA; Lee, H; Lee, S; Lim, KS; Shin, D; Yu, KS, 2014
)
0.4
"The purpose of this study was to assess the pharmacokinetic (PK) properties and safety of single and multiple doses of subcutaneous (SC) pasireotide and a single-dose intramuscular (IM) long-acting release (LAR) formulation of pasireotide in Chinese healthy volunteers (HVs) versus the PK properties in Western HVs (pooled from previous PK studies)."( Pharmacokinetics and safety of subcutaneous pasireotide and intramuscular pasireotide long-acting release in Chinese male healthy volunteers: a phase I, single-center, open-label, randomized study.
Chen, X; Darstein, C; Hu, K; Hu, P; Jiang, J; Lasher, J; Liu, H; Shen, G, 2014
)
0.4
" After considering age and weight as covariates in the statistical model, the GMRs and 90% CIs for other PK parameters were within the predefined interval (Cmax in single-dose SC administration) or significantly decreased (Cmin,ss in multiple BID SC doses and first peak Cmax in the single-dose LAR formulation)."( Pharmacokinetics and safety of subcutaneous pasireotide and intramuscular pasireotide long-acting release in Chinese male healthy volunteers: a phase I, single-center, open-label, randomized study.
Chen, X; Darstein, C; Hu, K; Hu, P; Jiang, J; Lasher, J; Liu, H; Shen, G, 2014
)
0.4
" Liraglutide is a fatty-acid derivative of GLP-1 with a protracted pharmacokinetic profile that is used in people for treatment of type II diabetes mellitus and obesity."( Pharmacokinetics and pharmacodynamics of the glucagon-like peptide-1 analog liraglutide in healthy cats.
Adin, CA; Borin-Crivellenti, S; Gilor, C; Hall, MJ; Lakritz, J; Rajala-Schultz, P; Rudinsky, AJ, 2015
)
0.42
" produces a stable pharmacokinetic and pharmacodynamic response at lower doses than the usual rescue dose and across a range of hypo- to hyperglycaemic blood glucose levels."( Pharmacokinetics and pharmacodynamics of various glucagon dosages at different blood glucose levels.
Blauw, H; DeVries, JH; Heise, T; Jax, T; Wendl, I, 2016
)
0.43
" The pharmacokinetic properties of liraglutide enable 24-h exposure coverage, a requirement for 24-h glycaemic control with once-daily dosing."( Liraglutide in Type 2 Diabetes Mellitus: Clinical Pharmacokinetics and Pharmacodynamics.
Flint, A; Ingwersen, SH; Jacobsen, LV; Olsen, AK, 2016
)
0.43
" We fitted pharmacokinetic (PK) models to insulin and glucagon data using maximum likelihood and maximum a posteriori estimation methods."( Cross-Validation of a Glucose-Insulin-Glucagon Pharmacodynamics Model for Simulation Using Data From Patients With Type 1 Diabetes.
Holst, JJ; Jørgensen, JB; Knudsen, CB; Madsbad, S; Madsen, H; Møller, JK; Nørgaard, K; Ranjan, A; Schmidt, S; Wendt, SL, 2017
)
0.46
" We compared the pharmacokinetic (PK) and pharmacodynamic (PD) characteristics and safety and tolerability of different doses of dasiglucagon, a novel soluble glucagon analog, with approved pediatric and full doses of GlucaGen in insulin-induced hypoglycemia in patients with type 1 diabetes."( Pharmacokinetic and Pharmacodynamic Characteristics of Dasiglucagon, a Novel Soluble and Stable Glucagon Analog.
Bysted, BV; Heise, T; Hövelmann, U; Kronshage, B; Lamers, D; Macchi, F; Mouritzen, U; Møller, DV, 2018
)
0.48
"Dasiglucagon demonstrated a dose-dependent and rapid increase in plasma concentrations, reaching a maximum at ∼35 min with a half-life of ∼0."( Pharmacokinetic and Pharmacodynamic Characteristics of Dasiglucagon, a Novel Soluble and Stable Glucagon Analog.
Bysted, BV; Heise, T; Hövelmann, U; Kronshage, B; Lamers, D; Macchi, F; Mouritzen, U; Møller, DV, 2018
)
0.48
" GIP half-life following intravenous injection amounted to 93 ± 2 s, which was extended to 5 ± 0."( Pharmacokinetics of exogenous GIP(1-42) in C57Bl/6 mice; Extremely rapid degradation but marked variation between available assays.
Boer, GA; Hartmann, B; Holst, JJ, 2021
)
0.62
" Since local blood flow influences the rate of insulin absorption from the subcutaneous tissue, we hypothesised that an increase in blood glucose levels-occurring as the result of glucose infusion or food intake-could modulate the pharmacokinetic properties of subcutaneously administered insulin."( Food intake rather than blood glucose levels affects the pharmacokinetic profile of insulin aspart in pigs.
Gradel, AKJ; Kildegaard, J; Lykkesfeldt, J; Porsgaard, T; Refsgaard, HHF, 2021
)
0.62
" However, the pharmacokinetic properties of glucagon after intraperitoneal administration are not well known."( Pharmacokinetics of Intraperitoneally Delivered Glucagon in Pigs: A Hypothesis of First Pass Metabolism.
Åm, MK; Carlsen, SM; Christiansen, SC; Teigen, IA, 2021
)
0.62
"Peak plasma concentration and area under the time-plasma concentration curve of glucagon correlated positively with the administered dose, and larger boluses provided a relatively greater increase."( Pharmacokinetics of Intraperitoneally Delivered Glucagon in Pigs: A Hypothesis of First Pass Metabolism.
Åm, MK; Carlsen, SM; Christiansen, SC; Teigen, IA, 2021
)
0.62
"Maximum plasma concentration and area under the time-plasma concentration curve of glucagon increase nonlinearly in relation to the intraperitoneally administered glucagon dose."( Pharmacokinetics of Intraperitoneally Delivered Glucagon in Pigs: A Hypothesis of First Pass Metabolism.
Åm, MK; Carlsen, SM; Christiansen, SC; Teigen, IA, 2021
)
0.62
" HM15136 was slowly but steadily absorbed and reached a peak concentration at 46-68 hours after a single subcutaneous injection."( A double-blind, placebo-controlled, single-ascending dose study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of HM15136, a novel long-acting glucagon analogue, in healthy subjects.
Baek, S; Cho, YM; Choi, J; Huh, KY; Hwang, JG; Lee, H; Lee, N; Shin, W, 2022
)
0.72
" The long half-life of HM15136, coupled with an increase in blood glucose for ~2 weeks, may warrant a weekly dosing regimen."( A double-blind, placebo-controlled, single-ascending dose study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of HM15136, a novel long-acting glucagon analogue, in healthy subjects.
Baek, S; Cho, YM; Choi, J; Huh, KY; Hwang, JG; Lee, H; Lee, N; Shin, W, 2022
)
0.72
" This study compared the pharmacokinetics of glucagon after intraperitoneal, subcutaneous and intravenous administration and the pharmacodynamic effects of glucagon on glucose metabolism after intraperitoneal and subcutaneous administration in a pig model."( Pharmacokinetics of glucagon after intravenous, intraperitoneal and subcutaneous administration in a pig model.
Åm, MK; Carlsen, SM; Christiansen, SC; Teigen, IA, 2022
)
0.72

Compound-Compound Interactions

Glucagon alone or in combination with somatostatin-14 (SRIF-14) was studied in female turkeys that either consumed feed ad libitum or were deprived of feed for 20 h.

ExcerptReferenceRelevance
"The possible relationship between destruction of pancreatic beta cells and islet cell surface antibodies (ICSA) was examined in a rat model using complete Freund's adjuvant (CFA), a lymphocyte activator, in combination with the beta cell toxin, streptozotocin (STZ)."( Development of cytotoxic islet cell antibodies in rats following damage of the pancreas by complete Freund's adjuvant combined with a nondiabetogenic dose of streptozotocin.
Fält, K; Hehmke, B; Kohnert, KD; Odselius, R; Ziegler, B; Ziegler, M, 1990
)
0.28
"Allantoic endoderm of 3-day chick embryos was combined with pancreatic mesenchyme of 5-day embryos and cultured as chorio-allantoic grafts for a total of 14 days."( Differentiation of endocrine cells in chick allantoic epithelium combined with pancreatic mesenchyme.
Andrew, A; Stein, B, 1989
)
0.28
"Treatment with total parenteral nutrition (TPN) alone or combined with continuous intravenous infusion of either somatostatin or calcitonin or glucagon have been carried out upon 45 patients with a high output external pancreatic fistula."( Conservative treatment of external pancreatic fistulas with parenteral nutrition alone or in combination with continuous intravenous infusion of somatostatin, glucagon or calcitonin.
Albrigo, R; Bassi, C; Falconi, M; Micciolo, R; Pederzoli, P; Vantini, I, 1986
)
0.27
"Adrenal demedullation combined with chemical sympathectomy with 6-hydroxydopamine (ACS) lowered plasma glucagon and insulin levels in rats."( Effects of adrenal demedullation combined with chemical sympathectomy on cold-induced responses of endocrine pancreas in rats.
Habara, Y; Kuroshima, A; Ohno, T; Yahata, T, 1983
)
0.27
" The effect of an oral nutritional supplement combined with nutritional counselling on whole body protein metabolism was assessed."( Nutritional supplements combined with dietary counselling diminish whole body protein catabolism in HIV-infected patients.
Bassetti, S; Battegay, M; Berneis, K; Bilz, S; Keller, U; Leisibach, A; Nuesch, R, 2000
)
0.31
"The data demonstrate an anticatabolic effect of nutritional supplements combined with dietary counselling in HIV-infected subjects."( Nutritional supplements combined with dietary counselling diminish whole body protein catabolism in HIV-infected patients.
Bassetti, S; Battegay, M; Berneis, K; Bilz, S; Keller, U; Leisibach, A; Nuesch, R, 2000
)
0.31
" Our data strongly suggest that the coactivator PGC-1 is involved in the regulation of this gene expression by cAMP in combination with HNF4 alpha and cAMP-response element-binding protein (CREB)."( The coactivator PGC-1 is involved in the regulation of the liver carnitine palmitoyltransferase I gene expression by cAMP in combination with HNF4 alpha and cAMP-response element-binding protein (CREB).
Decaux, JF; Girard, J; Gonzalez, FJ; Hayhurst, G; Louet, JF, 2002
)
0.31
"To investigate the effect of intraoperative amino acid infusion on blood glucose in patients under general anesthesia combined with epidural block."( Effect of intraoperative amino acid infusion on blood glucose under general anesthesia combined with epidural block.
Cang, J; Ge, SJ; Xue, ZG; Zhong, J; Zhuang, XF, 2012
)
0.38
"Intraoperative amino acid infusion in patients under general anesthesia combined with epidural block may accelerate the increase of blood glucose concentration and stimulate insulin secretion, and can alleviate hypothermia during the later period of surgery and postoperatively."( Effect of intraoperative amino acid infusion on blood glucose under general anesthesia combined with epidural block.
Cang, J; Ge, SJ; Xue, ZG; Zhong, J; Zhuang, XF, 2012
)
0.38
" In a 2 × 2 factorial design, 73 adults were randomized to receive 60 g/day of either WP hydrolysate or maltodextrin (MD) combined with high-fiber wheat bran products (HiFi; 30 g dietary fiber/day) or low-fiber refined wheat products (LoFi; 10 g dietary fiber/day)."( Whey Protein Combined with Low Dietary Fiber Improves Lipid Profile in Subjects with Abdominal Obesity: A Randomized, Controlled Trial.
Bach Knudsen, KE; Fuglsang-Nielsen, R; Gregersen, S; Hermansen, K; Johannesson Hjelholt, A; Landberg, R; Rakvaag, E; Søndergaard, E, 2019
)
0.51

Bioavailability

Postprandial follistatin secretion is accelerated in patients after RYGB which might be explained by an accelerated protein absorption rate rather than the glucagon-to-insulin ratio. Dasiglucagon has a higher absorption rate and longer plasma elimination half-life than traditional reconstituted glucagon. However, bioavailability and stability needed to be improved before intranasal glucagon could be introduced into clinical practice.

ExcerptReferenceRelevance
"To determine the bioavailability and bioactivity of subcutaneously injected insulin."( Intravenous insulin infusion to simulate subcutaneous absorption. Bioavailability and metabolic sequelae.
Bergman, RN; Vølund, A; Watanabe, RM, 1991
)
0.28
"15 U/kg) were infused on separate days in a pattern (0-300 min) designed to approximately simulate the absorption rate of subcutaneously injected insulin."( Intravenous insulin infusion to simulate subcutaneous absorption. Bioavailability and metabolic sequelae.
Bergman, RN; Vølund, A; Watanabe, RM, 1991
)
0.28
" The estimated bioavailability of subcutaneous insulin was 103."( Intravenous insulin infusion to simulate subcutaneous absorption. Bioavailability and metabolic sequelae.
Bergman, RN; Vølund, A; Watanabe, RM, 1991
)
0.28
" However, bioavailability and stability needed to be improved before intranasal glucagon could be introduced into clinical practice."( A new non-invasive method for treating insulin-reaction: intranasal lyophylized glucagon.
Alamowitch, C; Desplanque, N; Letanoux, M; Slama, G; Zirinis, P, 1990
)
0.28
" Calcitonin was poorly absorbed when given alone but the surfactants dihydrofusinate (as spray or powder) and glycocholate (as a spray) were equally active in promoting absorption."( Nasal administration of glucagon and human calcitonin to healthy subjects: a comparison of powders and spray solutions and of different enhancing agents.
Alberetto, M; Calderara, A; Pajetta, E; Pontiroli, AE; Pozza, G, 1989
)
0.28
" Replacement of the Phe-7 residue with histidine has resulted in increased oral bioavailability and duration of action."( Somatostatin analogs with improved oral bioavailability.
Colton, CD; Nutt, RF; Saperstein, R; Slater, EL; Veber, DF, 1986
)
0.27
" This difference in bioavailability is believed to be the result of greater serum stability of (+)-VEI vesicles when compared with that of (-)-VEI."( Effect of charge on hepatic specific nature of vesicle encapsulated insulin in conscious dogs.
Spangler, RS; Triebwasser, KC; Wilson, ML, 1986
)
0.27
" Further studies are needed to improve bioavailability and efficacy of intranasally administered glucagon."( Metabolic effects of intranasally administered glucagon: comparison with intramuscular and intravenous injection.
Alberetto, M; Pontiroli, AE; Pozza, G,
)
0.13
" Post-dose glipizide concentrations were three times higher than those of glibenclamide, due to the incomplete bioavailability of the latter."( Pharmacokinetics and metabolic effects of glibenclamide and glipizide in type 2 diabetics.
Fyhrqvist, F; Groop, L; Groop, PH; Melander, A; Tolppanen, EM; Tötterman, KJ; Wåhlin-Boll, E, 1985
)
0.27
"Pharmacokinetics and bioavailability of 1 mg glucagon injected intramuscularly (i."( Pharmacokinetics and bioavailability of injected glucagon: differences between intramuscular, subcutaneous, and intravenous administration.
Berger, M; Koch, J; Mühlhauser, I,
)
0.13
" The release of GIP from the gut cells seems to be regulated by the composition and the amount of the ingested food, by the rate of absorption of nutrients by neural factors (vagal), and by feedback control mediated by insulin."( Gastric inhibitory polypeptide.
Creutzfeldt, W; Ebert, R, 1980
)
0.26
" Present interest focuses on the development of new agents with sufficiently high oral bioavailability and long duration of action."( Pharmacological actions of various inotropic agents.
Scholz, H, 1983
)
0.27
" The analog is found to be quite stable in the blood and in the gastrointestinal tract, but the bioavailability after oral administration is only 1-3%."( A super active cyclic hexapeptide analog of somatostatin.
Brady, SF; Colton, CD; Curley, P; Freidinger, RM; Nutt, RF; Paleveda, WJ; Perlow, DS; Saperstein, R; Veber, DF; Zacchei, AG, 1984
)
0.27
" Peak concentrations, times-to-peak concentration, elimination half-lives and the extent of bioavailability of the drug were not significantly modified by acarbose."( Glibenclamide pharmacokinetics in acarbose-treated type 2 diabetics.
Gerard, J; Lefebvre, PJ; Luyckx, AS, 1984
)
0.27
" Thus, insulin may play a role in determining the bioavailability of IGF-I."( Effect of insulin on the hepatic production of insulin-like growth factor-binding protein-1 (IGFBP-1), IGFBP-3, and IGF-I in insulin-dependent diabetes.
Brismar, K; Fernqvist-Forbes, E; Hall, K; Wahren, J, 1994
)
0.29
"The large increase in propranolol (PL) bioavailability when administered with food cannot be entirely explained by a transient increase in hepatic blood flow."( Propranolol disposition in the single-pass isolated, perfused rat liver in the presence and absence of insulin and glucagon.
Semple, HA; Xia, F,
)
0.13
" In both groups, mean Cmax was significantly lower than after IM glucagon, the relative bioavailability of 1 mg intranasally vs IM injection being less than 30%."( Pharmacokinetics of intranasal, intramuscular and intravenous glucagon in healthy subjects and diabetic patients.
Bareggi, SR; Calderara, A; Perfetti, MG; Pontiroli, AE, 1993
)
0.29
"Because sorbitol is poorly absorbed in the small intestine, it may be the origin of large amounts of residues reaching the large intestine and may be substrate for microbial activity."( Absorption balances and kinetics of nutrients and bacterial metabolites in conscious pigs after intake of maltose- or maltitol-rich diets.
Giusi-Périer, A; Rérat, A; Vaissade, P, 1993
)
0.29
"l-1, consistent with a relative bioavailability of 7% versus intravenous injection and 47% versus subcutaneous injection."( Potential therapeutic levels of glucagon-like peptide I achieved in humans by a buccal tablet.
Ahrén, B; Gutniak, MK; Heiber, SJ; Holst, JJ; Juneskans, OT; Larsson, H, 1996
)
0.29
" Being a peptide GLP-1 requires parenteral administration, but because of rapid enzymatic degradation its bioavailability is low."( GLP-1 in NIDDM.
Holst, JJ, 1996
)
0.29
" The mean placebo-adjusted area under the curve was 5,334 min pmol/l, consistent with a relative bioavailability of 6% vs."( GLP-1 tablet in type 2 diabetes in fasting and postprandial conditions.
Ahrén, B; Gutniak, MK; Holst, JJ; Juneskans, O; Larsson, H; Sanders, SW, 1997
)
0.3
"To utilize an acylated peptide as a model system to investigate the relationships among solution peptide conformation, non-covalent self-association, subcutaneous absorption and bioavailability under pharmaceutically relevant solution formulation conditions."( Effects of non-covalent self-association on the subcutaneous absorption of a therapeutic peptide.
Brader, ML; Clodfelter, DK; Destrampe, KA; Havel, HA; Myers, SR; Pekar, AH; Rebhun, DM, 1998
)
0.3
" Hydrophobic aggregation mediated by seemingly innocuous solution formulation conditions can have a dramatic effect on the subcutaneous bioavailability and pharmacokinetics of a therapeutic peptide and in the extreme, can totally preclude its absorption."( Effects of non-covalent self-association on the subcutaneous absorption of a therapeutic peptide.
Brader, ML; Clodfelter, DK; Destrampe, KA; Havel, HA; Myers, SR; Pekar, AH; Rebhun, DM, 1998
)
0.3
") administration; the oral bioavailability was 89%."( Pharmacokinetics and anti-hyperglycaemic efficacy of a novel inhibitor of glycogen phosphorylase, 1,4-dideoxy-1,4-imino-d- arabinitol, in glucagon-challenged rats and dogs and in diabetic ob/ob mice.
Andersen, JV; Mackay, P; McCormack, JG; Ynddal, L, 2003
)
0.32
" (2R)-4-Oxo-4-[3-(trifluoromethyl)-5,6-dihydro[1,2,4]triazolo[4,3-a]pyrazin-7(8H)-yl]-1-(2,4,5-trifluorophenyl)butan-2-amine (1) is a potent, orally active DPP-IV inhibitor (IC(50) = 18 nM) with excellent selectivity over other proline-selective peptidases, oral bioavailability in preclinical species, and in vivo efficacy in animal models."( (2R)-4-oxo-4-[3-(trifluoromethyl)-5,6-dihydro[1,2,4]triazolo[4,3-a]pyrazin-7(8H)-yl]-1-(2,4,5-trifluorophenyl)butan-2-amine: a potent, orally active dipeptidyl peptidase IV inhibitor for the treatment of type 2 diabetes.
Beconi, M; Eiermann, GJ; Fisher, MH; He, H; Hickey, GJ; Kim, D; Kowalchick, JE; Leiting, B; Lyons, K; Marsilio, F; McCann, ME; Patel, RA; Patel, SB; Petrov, A; Roy, RS; Scapin, G; Thornberry, NA; Wang, L; Weber, AE; Wu, JK; Wyvratt, MJ; Zhang, BB; Zhu, L, 2005
)
0.33
" In summary, small-molecule sst(2)-selective agonists that suppress glucagon secretion offer a novel approach toward the development of orally bioavailable drugs for treatment of type 2 diabetes."( Antidiabetic activity of a highly potent and selective nonpeptide somatostatin receptor subtype-2 agonist.
Birzin, ET; Cashen, DE; Jacks, TM; Nowak, KW; Patchett, AA; Rohrer, SP; Schaeffer, JM; Singh, V; Smith, RG; Strowski, MZ; Yang, L, 2006
)
0.33
"IGFs (insulin-like growth factors), which in an unbound form induce glucose and amino acid uptake, circulate bound to IGFBPs (IGF-binding proteins), which modulate their bioavailability and activity."( Postprandial paradoxical IGFBP-1 response in obese patients with Type 2 diabetes.
Brismar, K; Efendic, S; Lehtihet, M, 2008
)
0.35
"An investigation was conducted to study insulin-like growth factor (IGF)-I, IGF-II, insulin, glucagon, leptin, triiodothyronine (T(3)), and thyroxine (T(4)) levels in a chicken population divergently selected for P bioavailability (PBA)."( Physiological responses to divergent selection for phytate phosphorus bioavailability in a randombred chicken population.
Aggrey, SE; Edwards, HM; McMurtry, JP; Pesti, GM; Sethi, PK, 2008
)
0.35
"5) are homologous serine proteases implicated in the modulation of the bioavailability and thus the function of a number of biologically active peptides."( Co-expression of the homologous proteases fibroblast activation protein and dipeptidyl peptidase-IV in the adult human Langerhans islets.
Busek, P; Fric, P; Hrabal, P; Sedo, A, 2015
)
0.42
" These results demonstrate that hydrolysis of PSC-derived PAC increased the bioavailability of PAC-derived products, which is critical for enhancing beneficial effects on glucose homeostasis and pancreatic β-cell function."( Hydrolysis enhances bioavailability of proanthocyanidin-derived metabolites and improves β-cell function in glucose intolerant rats.
Chan, CB; Han, W; Hashemi, Z; Jin, A; Li, L; Ozga, J; Yang, H; Yang, K, 2015
)
0.42
" Improving serotonin bioavailability could serve as a potent regulator of endocrine and metabolic processes in dairy calves."( Peripheral serotonin regulates glucose and insulin metabolism in Holstein dairy calves.
Dado-Senn, B; Field, SL; Laporta, J; Marrero, MG; Ramos, PM; Scheffler, TL; Skibiel, AL, 2021
)
0.62
" Dasiglucagon has a higher absorption rate and longer plasma elimination half-life than traditional reconstituted glucagon."( Dasiglucagon: an effective medicine for severe hypoglycemia.
Chen, Z; Tang, G; Xu, B, 2021
)
0.62
" However, peptide drugs generally have low bioavailability and metabolic stability, and therefore, the modification of existing peptide drugs for the purpose of improving stability and retaining activity is of viable importance."( α/Sulfono-γ-AApeptide Hybrid Analogues of Glucagon with Enhanced Stability and Prolonged In Vivo Activity.
Cai, J; Huang, C; Lee, C; Li, X; Pan, C; Sang, P; Shen, W; Shi, Y; Wang, M; Wei, L; Wu, M; Zeng, H, 2021
)
0.62
"The bioavailability of glucagon was significantly lower after intraperitoneal compared with subcutaneous administration with a median difference (95% confidence interval) of 13% (4-22)."( Pharmacokinetics of glucagon after intravenous, intraperitoneal and subcutaneous administration in a pig model.
Åm, MK; Carlsen, SM; Christiansen, SC; Teigen, IA, 2022
)
0.72
" Relative bioavailability of the peptide was determined in minipigs via intraduodenal administration (ID) of enteric capsules."( Identification of a Multi-Component Formulation for Intestinal Delivery of a GLP-1/Glucagon Co-agonist Peptide.
-Mannan, AD; Aburub, A; ElSayed, MEH; Estwick, S; Patel, PJ; Sperry, A; Tran, H, 2022
)
0.72
"76% bioavailability in minipigs relative to subcutaneous via ID administration using enteric capsules."( Identification of a Multi-Component Formulation for Intestinal Delivery of a GLP-1/Glucagon Co-agonist Peptide.
-Mannan, AD; Aburub, A; ElSayed, MEH; Estwick, S; Patel, PJ; Sperry, A; Tran, H, 2022
)
0.72
" < 5 min) and increased bioavailability (90%) compared to native glucagon in mice."( A novel glucagon analog with an extended half-life, HM15136, normalizes glucose levels in rodent models of congenital hyperinsulinism.
Choi, IY; Heo, YH; Kim, HH; Kim, JK; Lee, JS; Lee, SH; Shin, SH, 2022
)
0.72
" In conclusion, postprandial follistatin secretion is accelerated in patients after RYGB which might be explained by an accelerated protein absorption rate rather than the glucagon-to-insulin ratio."( Postprandial secretion of follistatin after gastric bypass surgery and sleeve gastrectomy.
Bojsen-Møller, KN; Holst, JJ; Kristiansen, VB; Madsbad, S; Richter, MM; Svane, MS, 2023
)
0.91

Dosage Studied

Dry powder inhaler (DPI) form of glucagon believed to be a promising new dosage form. phosphodiesterase inhibitor 3-isobutyl-1-methylxanthine, added simultaneously with glucagon, shifts the hormone dose-response curve 2 log units to the left. Bile production was, however, increased by supplementary glucagon infusion.

ExcerptRelevanceReference
" Hypoglycaemia occurs most frequently as the result of a manit fest error : too sudded interruption of carbohydrate supplies or two high dosage of exogenous insulin."( [Glucide intolerance and its pathogenic mechanisms during parenteral feeding].
Alazia, M; Gouin, F; Pontier, R, 1977
)
0.26
" Additionally, dose-response curves of CF in response to injected norepinephrine, isoproterenol, glucagon, and calcium were depressed when compared to the normal group while the response of heart rate and blood pressure was not different."( Volume overload heart failure: length-tension curves, and response to beta-agonists, Ca2+, and glucagon.
Newman, WH, 1978
)
0.26
"We studied the effects of two dosage levels of glucagon infusion on systemic hemodynamic and regional blood flow measurements during experimental cardiogenic shock in monkeys."( Effects of glucagon on regional blood flow during cardiogenic shock.
Amory, DW; Sivarajan, M, 1979
)
0.26
" This view is supported by the following facts: (a) mersalyl acted with a similar dose-response curve upon an intact as well as a detergent-dispersed cyclase preparation while no effect was observed upon a solubilized Mg2+-ATPase preparation; (b) a covalent p-chloromercuribenzoate-Sephadex preparation (but not its supernatant) inhibited the cyclase from intact membranes."( Adenylate cyclase from rat-liver plasma membrane: inhibition by mersalyl and other mercurial derivatives.
Hanoune, J; Mavier, P, 1975
)
0.25
" From dose-response curves it appears that, on a molar basis, the potency of secretin was 20 times higher than that of VIP."( In vitro interactions of gastrointestinal hormones on cyclic adenosine 3':5'-monophosphate levels and amylase output in the rat pancreas.
Christophe, J; De Neef, P; Deschodt-Lanckman, M; Labrie, F; Robberecht, P, 1975
)
0.25
" Dose-response curves to hormones, fluoride, and GMP-P (NH)P were not affected by age."( Hormone-sensitive fat cell adenylate cyclase in the rat. Influences of growth, cell size, and aging.
Cooper, B; Gregerman, RI, 1976
)
0.26
" Scatchard plots of displacement dose-response curves obtained under steady state conditions of 4C were nonlinear and very similar with either [125I]bGH or [125I]hGH."( Characterization and modulation of growth hormone and prolactin binding in mouse liver.
Posner, BI, 1976
)
0.26
" Propranolol administration abolished the hemodynamic effects of isoproterenol and significantly decreased the response of plasma cyclic AMP; the same blocking dosage had little effect on plasma cyclic AMP changes induced by glucagon wheras the response in blood sugar was significantly reduced."( Effects of beta-adrenergic blockade on plasma cyclic AMP and blood sugar responses to glucagon and isoproterenol in man.
Fraysse, J; Genest, J; Hamet, P; Kuchel, O; Messerli, FH; Tolis, G, 1976
)
0.26
" Dose-response curves in response to isoproterenol and ACTH-(1--24) indicated that the capacity of the lipolytic process was reduced."( Lipolysis and cyclic AMP levels in epididymal adipose tissue of obese-hyperglycaemic mice.
Christophe, J; Dehaye, JP; Winand, J, 1977
)
0.26
" Dose-response curves for glucagon-mediated changes in cyclic AMP concentration and glucose output indicated that under oxidized conditions the ability of glucagon to alter each parameter was decreased without affecting the concentration of hormone at which half-maximal effects occurred."( Responsiveness to glucagon by isolated rat hepatocytes controlled by the redox state of the cytosolic nicotinamide--adenine dinucleotide couple acting on adenosine 3':5'-cyclic monophosphate phosphodiesterase.
Clark, MG; Jarrett, IG, 1978
)
0.26
" ALG in the dosage used did not show any beneficial effects and varying degrees of rejection occurred in the majority of these unmatched animal pairs."( Segmental pancreatic transplantation in pigs.
Kyriakides, GK; Miller, J; Nuttall, FQ, 1979
)
0.26
" Glipizide is well tolerated, but careful adjustment of dosage and attention to diet may be needed to avoid hypoglycaemic symptoms a few hours after a single daily dose."( Glipizide: a review of its pharmacological properties and therapeutic use.
Avery, GS; Brogden, RN; Heel, RC; Pakes, GE; Speight, TM, 1979
)
0.26
" The dose-response characteristics of glucagon-induced hepatic glucose output were similar in spiny and albino mice."( Glucose production by the perfused liver of the spiny mouse (Acomys cahirinus): sensitivity to glucagon and insulin.
Cerasi, E; Jeanrenaud, B, 1979
)
0.26
"This dose-response study deals with the relative inhibitory effect of somatostatin on the acetylcholine-stimulated release of pancreatic polypeptide (PP), glucagon, and insulin from the isolated canine pancrease."( Differential sensitivity to somatostatin of pancreatic polypeptide, glucagon and insulin secretion from the isolated perfused canine pancreas.
Hermansen, K; Schwartz, TW, 1979
)
0.26
" The dose-response curve to norepinephrine was shifted to the left by the phosphodiesterase inhibitor 4-(3,4-dimethoxybenzyl)-2-imidazolidinone (Ro7-2956), but the dose-response curve to glucagon was unaltered."( Influence of a phosphodiesterase inhibitor on the chronotropic effects of glucagon and norepinephrine in fetal mouse hearts.
Wakeland, JR; Wildenthal, K, 1979
)
0.26
" An intravenous dose-response curve with increasing doses of pentagastrin resulted in 30% higher MAO compared to subcutaneously administered pentagastrin (6 microgram/kg body weight)."( [Progress in diagnosis of gastric function: gastric secretory analysis, intragastric titration, endocrine provocation tests (author's transl)].
Becker, HD, 1978
)
0.26
"In hepatocytes from 48 h-starved rats identical glucagon dose-response curves were obtained for the stimulation of gluconeogenesis from lactate, for ketogenesis and for the decreasing of the C5-dicarboxylate pool."( Distinctive effects of glucagon on gluconeogenesis and ketogenesis in hepatocytes isolated from normal and biotin-deficient rats.
Brocks, DG; Siess, EA; Wieland, OH, 1978
)
0.26
" No hormonal influence on monosaccharide resorption could be detected by means of this procedure, even in case of unphysiologic dosage of insulin, glucagon and secretin."( [Effects of insulin, glucagon and secretin on intestinal resorption of glucose].
Mühle, W; Müller, F, 1978
)
0.26
"4 The dose-response curve to glucagon remained parallel in the presence of papaverine (2."( A new bioassay for glucagon.
Gagnon, G; Regoli, D; Rioux, F, 1978
)
0.26
" The changes produced by secretin and glucagon in the antral dose-response curve to CCK-PZ suggest that the inhibition might be of a non-competitive type."( The inhibitory effect of secretin and glucagon on pressure responses to cholecystokinin-pancreozymin in isolated guinea-pig stomach.
Gerner, T; Haffner, JF, 1978
)
0.26
" The dose-response relationship (deltaglucose, 15 min after injection) was linear over the range 30-200 pmol/100 g BW."( Hyperglycemic effect of neurotensin, a hypothalamic peptide.
Carraway, RE; Demers, LM; Leeman, SE, 1976
)
0.26
" Dose-response curver were different for L(+) and D(+)arginine, and the suppressor effect of glucose on the response to L(+) arginine was not detected in the presence of D(+) arginine or homoarginine."( Glucagon secretion induced by natural and artificial amino acids in the perfused rat pancreas.
Assan, R; Attali, JR; Ballerio, G; Boillot, J; Girard, JR, 1977
)
0.26
" Analysis of the dose-response curves suggests that this decrease reflects depressed SM concentration."( Serum somatomedin activity depressed after glucagon administration in man.
Binoux, M; Donnadieu, M; Schimpff, RM, 1977
)
0.26
" Despite an increased glucagon concentration in the dogs after partial pancreatectomy, plasma concentrations of glucagon responded (decreased) to large gulcose dosage administration."( Possible source and control of trauma-induced glucagonemia in dogs.
Chen, CL; Ganguli, S; Kumar, MS; Zenoble, RD, 1977
)
0.26
" The dose-response curve for inhibition of 125I-VIP binding by VIP or secretin was biphasic and suggested that pancreatic acinar cells have two classes of binding sites: (a) a relatively small number of sites with a high affinity for VIP and a low affinity for secretin, and (b) a relatively large number of sites with a low affinity for VIP and a high affinity for secretin."( Interaction of porcine vasoactive intestinal peptide with dispersed pancreatic acinar cells from the guinea pig. Binding of radioiodinated peptide.
Christophe, JP; Conlon, TP; Gardner, JD, 1976
)
0.26
" In this concentration range, a dose-response relationship was established for both islet hormones."( Direct stimulation by growth hormone of glucagon and insulin release from isolated rat pancreas.
Pek, S; Tai, TY, 1976
)
0.26
" The distribution of experimental points suggested a sigmoidal dose-response curve."( Effect of environmental temperature on glucose-induced insulin response in the newborn rat.
Assan, R; Gilbert, M; Girard, JR; Jost, A; Kervran, A, 1976
)
0.26
" The threshold of response was determined by administering intravenous glucagon in a graded dose-response fashion, andassessing the magnitude of change in FFA and its metabolites."( Modulation of fatty acid metabolism by glucagon in man. I. Effects in normal subjects.
Eaton, RP; Schade, DS, 1975
)
0.25
" At the peak of the dose-response curve, glucagon increased right ventricular isovolumic pressure 25% (39."( The positive inotropic effect of glucagon in the chronically failed right ventricle as demonstrated in the isolated cat heart.
Lucchesi, BR; Nobel-Allen, NL; Winokur, S,
)
0.13
" We conclude that glucagon at sufficient dosage has an inhibitory effect on LES pressure."( Effect of glucagon on esophageal motor function.
Arndorfer, RC; Dodds, WJ; Hogan, WJ; Hoke, SE; Kalkhoff, RK; Reid, DP, 1975
)
0.25
" Computing the area above basal for the initial ten minutes after arginine stimulation established a dose-response relationship for the acute phases of glucagon and insulin secretion."( Arginine-stimulated acute phase of insulin and glucagon secretion. I. in normal man.
Ensinck, JW; Palmer, JP; Walter, RM, 1975
)
0.25
" Dose-response studies showed that alpha-glucose probably had a smaller apparent Km for insulin secretion, while the Vmax for the two anomers was the same-the effects of the two anomers being indistinguishable at high glucose concentrations (300 mg/dl)."( Interrelationships between alpha and beta-anomers of glucose affecting both insulin and glucagon secretion in the perfused rat pancreas. II.
Fanska, R; Grodsky, GM; Lundquist, I, 1975
)
0.25
"4 X 10(-7) PGE2, respectively; a dose-response relationship was evident for both hormones at higher concentrations of PGE2."( Stimulation by prostaglandin E2 of glucagon and insulin release from isolated rat pancreas.
Elster, A; Pek, S; Tai, TY, 1975
)
0.25
" Infusion of somatostatin at a dosage of 500 mug/hr prevented glucagon responses and diminished postprandial hyperglycemia by 60%."( Abnormal pancreatic glucagon secretion and postprandial hyperglycemia in diabetes mellitus.
Forsham, PH; Gerich, JE; Karam, JH; Lorenzi, M; Schneider, V, 1975
)
0.25
" 6 Dose-response curves to the constrictor agents were constructed before, during and after intra-arterial infusions of 25 mug/min of glucagon."( The inhibition by glucagon of the vasoconstrictor actions of noradrenaline, angiotensin and vasopressin on the hepatic arterial vascular bed of the dog.
Richardson, PD; Withrington, PG, 1976
)
0.26
" It is concluded that glucagon, at the dosage used, leads to a higher formation rate of bilirubin monoconjugates and that the choleresis, also induced by the hormone, enhances the biliary secretion of the monoconjugates formed."( Glucagon enhances bile flow, bilirubin uridine diphosphate-glucuronyltransferase activity and biliary bilirubin monoconjugate excretion in the rat.
De Groote, J; Fevery, J; Michiels, R; Ricci, GL,
)
0.13
" The insulin dose-response curves of the glucose metabolic clearance rates (MCR) were shifted to the right and downward both in patients with LC and NIDDM, indicating a reduced sensitivity and responsiveness to insulin."( Characterization of the insulin resistance in liver cirrhosis: a comparison with non-insulin dependent diabetes mellitus.
Kobayashi, K; Miyakoshi, H; Miyamoto, I; Nagai, Y; Nishimura, Y; Noto, Y; Ohsawa, K, 1992
)
0.28
" The infusion of amino acids produced a rightward shift in the dose-response curve of insulin's effect on suppressing hepatic glucose production, indicating decreased sensitivity in addition to blunting of the maximal responsiveness."( Short-term regulation of insulin-mediated glucose utilization in four-day fasted human volunteers: role of amino acid availability.
Abumrad, NN; Flakoll, PJ; Hill, JO; Rice, DE; Wentzel, LS, 1992
)
0.28
" The integrated glucose area dose-response was curvilinear, with little increase in glucose until 50 g fructose was ingested."( The metabolic response to various doses of fructose in type II diabetic subjects.
Burmeister, LA; Gannon, MC; Lane, JT; Nuttall, FQ; Pyzdrowski, KL, 1992
)
0.28
" Initial dosage of cyclosporine was 10 mg/kg/day, given as a single daily dose, adjusted on the basis of side effects and trough cyclosporine levels."( Cyclosporine in recent onset type I diabetes mellitus. Effects on islet beta cell function. Miami Cyclosporine Diabetes Study Group.
Rabinovitch, A; Skyler, JS,
)
0.13
" Since endogenous TRH secretion may mask the effects of exogenous TRH, we performed, in parallel to dose-response studies, immunoneutralization experiments using anti-TRH serum to neutralize the endogenous TRH secretion from isolated perfused rat pancreas."( Antithyrotropin-releasing hormone serum inhibits secretion of glucagon from isolated perfused rat pancreas: an experimental model for positive feedback regulation of glucagon secretion.
Aratan-Spire, S; Ebiou, JC; Grouselle, D, 1992
)
0.28
" In addition, in competition experiments, analogues 3-7 caused a right-shift of the glucagon stimulated adenylate cyclase dose-response curve."( Synthetic glucagon antagonists and partial agonists.
Hruby, VJ; Trivedi, D; Zechel, C, 1991
)
0.28
" To assess the possible dose-response of such short-term bolus administration of GH, six healthy, male subjects were each studied thrice for 4 1/2 hours after an intravenous (IV) bolus of either 70, 140, or 350 micrograms GH, resulting in peak GH concentrations of 10, 15, and 34 micrograms/L."( Dose-response studies on the metabolic effects of a growth hormone pulse in humans.
Jørgensen, JO; Møller, J; Møller, N; Pørksen, N; Schmitz, O, 1992
)
0.28
" These findings demonstrate that dopamine acts on glucoregulation divergently, according to the dosage applied."( Comparative effects of dopamine and dobutamine on glucoregulation in a rat model.
Foldenauer, A; Keck, FS; Pfeiffer, EF; Wolf, CF; Zeller, G, 1991
)
0.28
" Integrated insulin was plotted against insulin dose to create dose-response curves for intravenous data."( Intravenous insulin infusion to simulate subcutaneous absorption. Bioavailability and metabolic sequelae.
Bergman, RN; Vølund, A; Watanabe, RM, 1991
)
0.28
" GLP-1-related peptides were administered in a dosage of 400 pmol within 10 min into the pancreatic artery during glucose or arginine infusion and the changes in plasma insulin and glucagon in the pancreatic vein were studied."( The structure-function relationship of GLP-1 related peptides in the endocrine function of the canine pancreas.
Kawai, K; Koizumi, F; Ohashi, S; Ohneda, A; Ohneda, K; Ohneda, M; Suzuki, S, 1991
)
0.28
" The dose-response curve for whole-body glucose infusion rate against plasma insulin concentration showed diminished sensitivity and diminished maximal response in the patients."( Dose-response relationships for the effects of insulin on glucose and fat metabolism in injured patients and control subjects.
Frayn, KN; Galasko, CS; Henderson, AA; Little, RA, 1991
)
0.28
" Intra-arterial dose-response curves for glucagon and norepinephrine were analyzed by nonlinear regression to estimate the maximal response (maximal dilation, 163%; maximal constriction, 110%) in terms of percent change in superior mesenteric artery conductance and dose of glucagon or norepinephrine required to produce 50% of the maximal response (0."( Glucagon pharmacodynamics and modulation of sympathetic nerve and norepinephrine-induced constrictor responses in the superior mesenteric artery of the cat.
D'Almeida, MS; Lautt, WW, 1991
)
0.28
" The dose-response curve being plateau after maximum in rats and decreased in chicken."( [Glucagon receptor binding and its effect on the cAMP level in isolated rat and chicken hepatocytes].
Leĭbush, BN; Ukhanova, MV, 1990
)
0.28
" Compared with the C test, maintenance of glucagon level had only small and inconsistent effects on glucose Rd, but induced a shift to the right of the dose-response curve to insulin of EGP (apparent ED50: C test, 10."( Interactions of glucagon and free fatty acids with insulin in control of glucose metabolism.
Beylot, M; Chambrier, C; Cohen, R; Picard, S; Riou, JP; Vidal, H, 1990
)
0.28
" However, the data regarding the dose-response relationship between the protein meal and the insulin and glucagon responses are sparse."( Dose-kinetics of pancreatic alpha- and beta-cell responses to a protein meal in normal subjects.
Kabadi, UM, 1991
)
0.28
" Cumulative log dose-response curves relating the change in arteriolar blood flow and vessel diameter to NE concentration were constructed for each group of arterioles and the ED50 for maximal response obtained from each dose-response relationship."( Intestinal microvascular responsiveness to norepinephrine in chronic portal hypertension.
Benoit, JN; Granger, DN; Joh, T, 1991
)
0.28
"The dose-response relationships between prestimulatory blood glucose concentration and the plasma C-peptide responses to stimulation with 1 mg of glucagon iv or a standard mixed meal were studied in 8 C-peptide positive patients with insulin-dependent diabetes mellitus."( The effect of acute hyperglycemia on the plasma C-peptide response to intravenous glucagon or to a mixed meal in insulin-dependent diabetes mellitus.
Faber, OK; Gjessing, HJ; Pedersen, O; Reinholdt, B, 1991
)
0.28
"In normal (N), 3-days starved (S), and streptozotocin-treated (65 mg/kg) 3-days diabetic (D) rats we examined the in vivo dose-response relationship between plasma insulin levels vs."( Whole body and hepatic insulin action in normal, starved, and diabetic rats.
de Boer, SF; Frölich, M; Koopmans, SJ; Krans, HM; Radder, JK; Sips, HC, 1991
)
0.28
" Basal peripheral tissue glucose utilization was normal in the offspring of streptozotocin-diabetic rats, but the dose-response curve was shifted to the right:insulin concentrations causing half-maximal stimulation of glucose utilization were increased by about 60% in the offspring of diabetic rats; the maximal stimulation of glucose utilization, however, was unaltered."( Evidence for an insulin resistance in the adult offspring of pregnant streptozotocin-diabetic rats.
Aerts, L; Holemans, K; Van Assche, FA, 1991
)
0.28
" Therefore, we investigated in a dose-response fashion the inhibitory effect of the muscarinic cholinergic receptor antagonist pirenzepine on the GH responses to arginine infusion (30 g infused intravenously (IV) in 30 minutes), exercise (bicycle ergometer test at an intensity of 75 W for 30 minutes), or 1-44 GH-releasing hormone (GHRH) (1 microgram/kg in an IV bolus)."( Reduced sensitivity to pirenzepine-induced blockade of growth hormone responses to arginine, exercise, and growth hormone-releasing hormone in type I diabetic subjects.
Bianconi, L; Capretti, L; Coiro, V; Davoli, C; Fagnoni, F; Gardini, E; Maffei, ML; Passeri, M; Speroni, G; Volpi, R, 1990
)
0.28
" Dose-response curves were constructed for insulin-stimulated glucose disposal."( Insulin resistance in type 1 (insulin-dependent) diabetes: dissimilarities for glucose and intermediary metabolites.
Krans, HM; Nijs, HG; Poorthuis, BJ; Radder, JK, 1990
)
0.28
" Insulin dosage fell in the glipizide group from 36 to 26 U day-1, as 4 patients experienced hypoglycaemic symptoms."( Combination of insulin with glipizide increases peripheral glucose disposal in secondary failure type 2 diabetic patients.
Reckless, JP; Simpson, HC; Stirling, CA; Sturley, R, 1990
)
0.28
"Phorbol myristate acetate (PMA) inhibits glucagon-stimulated cyclic AMP accumulation and shifts to the right the dose-response curve to glucagon for ureagenesis."( Modulation of glucagon actions by phorbol myristate acetate in isolated hepatocytes. Effect of hypothyroidism.
García-Sáinz, JA; Hernández-Sotomayor, SM; Hruby, VJ; Macías-Silva, M; Torres-Márquez, ME; Trivedi, D, 1990
)
0.28
" Systemic vascular reactivity was studied by constructing dose-response curves of systemic vascular resistance (SVR) during infusions of increasing doses of NE and calculating NE ED50, the dose of NE that caused 50% of the maximal increase in SVR."( Decreased systemic vascular sensitivity to norepinephrine in portal hypertensive rats: role of hyperglucagonism.
Bosch, J; Casamitjana, R; Pizcueta, MP; Rodés, J, 1990
)
0.28
" This is, in part, due to the drug dosage used in clinical practice and to the inherent compensatory mechanisms built into normal endocrine function."( Hormonal and metabolic effects of calcium channel antagonists in man.
Frishman, WH; Schoen, RE; Shamoon, H, 1988
)
0.27
" CPT mRNA and transcription rate showed a clear dose-response to glucagon injection from 0 to 150 micrograms/100 g body wt."( Regulation of carnitine palmitoyltransferase in vivo by glucagon and insulin.
Brady, LJ; Brady, PS, 1989
)
0.28
" However, after a median of 13 months (range 5-34 months) at the maximum dosage, symptoms recurred and were no longer responsive to a further increase in dosage of octreotide or other therapeutic measures."( Resistance of metastatic pancreatic endocrine tumours after long-term treatment with the somatostatin analogue octreotide (SMS 201-995).
Anderson, JV; Bloom, SR; Williams, SJ; Wynick, D, 1989
)
0.28
"Both dose-response curves and time-courses of plasma glucose levels after single maximal doses showed that in vivo glycogenolytic responsiveness to glucagon and epinephrine was significantly higher in developing hypothyroid rats, whereas it remained unchanged after vasopressin and angiotensin II injections."( Glycogenolytic responsiveness to glucagon, epinephrine, vasopressin and angiotensin II in the liver of developing hypothyroid rats. A comparative study of in vitro hormonal binding and in vivo biological response.
Ali, M; Cantau, B; Clos, J, 1989
)
0.28
" In septic rats, the dose-response curve for the insulin-induced increment in glucose utilization was shifted downward and to the right."( In vivo insulin resistance during nonlethal hypermetabolic sepsis.
Dobrescu, C; Lang, CH, 1989
)
0.28
" Using the euglycemic clamp technique, the dose-response curves describing the effects of insulin on glucose disposal were comparable before and after GH treatment."( Growth hormone treatment of children with short stature increases insulin secretion but does not impair glucose disposal.
Bougnères, PF; Chaussain, JL; Walker, J, 1989
)
0.28
" However, the dosage of G-I infused in this investigation couldn't increase the hepatic tissue blood flow measured by hydrogen gas clearance method."( [Beneficial effects of glucagon-insulin infusion on hepatic protein synthesis and DNA synthesis in partial hepatic ischemia].
Kurihara, M; Miyazaki, M; Okui, K; Shimura, T; Takahashi, O, 1989
)
0.28
" The higher hormonal titers to which fish liver, as compared to other target tissues, is exposed should be taken into account when a dosage of pancreatic hormones is calculated for in vivo or in vitro experiments."( Pancreatic and thyroid hormones in rainbow trout (Salmo gairdneri): what concentration does the liver see?
Plisetskaya, EM; Sullivan, CV, 1989
)
0.28
" All six peptides potentiated the release of insulin at 10 mM D-glucose, and their effects were indistinguishable with respect to the dynamics of release, dose-response relationship, and glucose dependency."( Insulin release by glucagon and secretin: studies with secretin-glucagon hybrids.
Andreu, D; Hansen, B; Hedeskov, CJ; Kofod, H; Lernmark, A; Merrifield, RB; Thams, P, 1988
)
0.27
" Upon dose-response examination of glucagon challenge, it was observed that high doses of glucagon (greater than 16 nM) stimulate glucose production by activating the cAMP-second messenger cascade."( Perifused precision-cut liver slice system for the study of hormone-regulated hepatic glucose metabolism.
Brendel, K; Gandolfi, AJ; Hruby, VJ; Johnson, DG; Krumdieck, CL; McKee, RL; Trivedi, DB, 1988
)
0.27
" Although a full SRIF dose-response curve was not generated, the glucose data strongly suggest a reduced sensitivity of insulin-secreting cells to SRIF in pancreoprivic birds."( Effectiveness of somatostatin in regulating pancreatic splenic lobe hormone secretion following 99% pancreatectomy in adult chickens.
Cieslak, SR; Hazelwood, RL, 1986
)
0.27
" In conclusion, GNG and glycogenolysis were similarly sensitive to stimulation by glucagon in vivo, and the dose-response curves were markedly parallel."( Similar dose responsiveness of hepatic glycogenolysis and gluconeogenesis to glucagon in vivo.
Brown, L; Cherrington, AD; Davis, MA; Donahue, P; Hendrick, GK; Lacy, DB; Lacy, WW; Steiner, KE; Stevenson, RW; Williams, PE, 1987
)
0.27
" The dose-response curve for glucose on insulin secretion was shifted to the left by 10 nM CCK8; the EC50 of glucose was 11."( Cholecystokinin (CCK8) regulates glucagon, insulin, and somatostatin secretion from isolated rat pancreatic islets: interaction with glucose.
Ammon, HP; Verspohl, EJ, 1987
)
0.27
" In the normal subjects, intranasal glucagon increased plasma glucose levels, with a dose-response effect."( Effect of intranasal glucagon on blood glucose levels in healthy subjects and hypoglycaemic patients with insulin-dependent diabetes.
Basdevant, A; Desplanque, N; Freychet, L; Rizkalla, SW; Slama, G; Tchobroutsky, G; Zirinis, P, 1988
)
0.27
"01, respectively), implying a shift to the right of the dose-response curve in uraemia."( Peripheral and hepatic resistance to insulin and hepatic resistance to glucagon in uraemic subjects. Studies at physiologic and supraphysiologic hormone levels.
Schmitz, O, 1988
)
0.27
" 258, 5103-5109) but did not affect the dose-response curves for norepinephrine-induced Ca2+ mobilization and phosphorylase activation in these cells."( Studies on the hepatic alpha 1-adrenergic receptor. Modulation of guanine nucleotide effects by calcium, temperature, and age.
Blackmore, PF; Charest, R; Exton, JH; Lynch, CJ, 1985
)
0.27
" In 5F, the dose-response relationships for cAMP and insulin secretion were superimposable."( Characteristics of the interaction of the glucagon receptor, cAMP, and insulin secretion in parent cells and clone 5F of a cultured rat insulinoma.
Bhathena, SJ; Korman, LY; Oie, HK; Recant, L; Voyles, NR, 1985
)
0.27
" The dose-response curves for the action of glucagon or vasopressin applied in the presence of increasing concentrations of vasopressin or glucagon, respectively, showed that each hormone increases the maximal response to the other without affecting its ED50."( Synergistic stimulation of the Ca2+ influx in rat hepatocytes by glucagon and the Ca2+-linked hormones vasopressin and angiotensin II.
Claret, M; Mauger, JP; Poggioli, J, 1985
)
0.27
" Dose-response curves for the alpha-adrenergic action of adrenaline or glucagon applied in the presence of increasing doses of glucagon or adrenaline showed that each hormone increases the maximal response to the other without affecting its ED50."( Effect of cyclic AMP-dependent hormones and Ca2+-mobilizing hormones on the Ca2+ influx and polyphosphoinositide metabolism in isolated rat hepatocytes.
Claret, M; Mauger, JP; Poggioli, J, 1986
)
0.27
" Treatment of K loaded pancreatectomized dogs with glucagon or a B receptor blockading dosage of propranolol does not alter the proportion transferred, but treatment with glucagon and propranolol reduces it."( Kaluresis independent K-homeostasis: glucagon and B receptor blockade in pancreatectomized dogs.
Chapman, LW; Davidson, MB; Hiatt, N; Mack, H, 1986
)
0.27
" Dose-response measurements indicate that the potentiation of Ca2+ influx by glucagon occurs even at low (physiological) concentrations of the hormone."( Synergistic stimulation of Ca2+ uptake by glucagon and Ca2+-mobilizing hormones in the perfused rat liver. A role for mitochondria in long-term Ca2+ homoeostasis.
Altin, JG; Bygrave, FL, 1986
)
0.27
" As total daily insulin dosage (0."( Metabolic effects of continuous subcutaneous insulin infusion: evidence that a rise and fall of portal vein insulin concentration with each major meal facilitates post-absorptive glycemic control.
Behme, MT; Chamberlain, MJ; Dupre, J; Rodger, NW, 1988
)
0.27
" This change was characterized by a rightward shift of the insulin dose-response curve (insulin concentration at which 50% of maximal stimulation occurred was 45 +/- 3 (SE) microU/mL in the base line period and 78 +/- 8 microU/mL after seven days of bed rest, P less than ."( Bed-rest-induced insulin resistance occurs primarily in muscle.
Peters, EJ; Prince, MJ; Shangraw, RE; Stuart, CA; Wolfe, RR, 1988
)
0.27
" In both dosage groups, TCDD-treatment had the following effects: decreased TT4, FT4, insulin, and glucagon; mixed effects upon TT3, FT3, TSH, and GH."( Some endocrine and morphological aspects of the acute toxicity of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD).
Arceo, RJ; Gorski, JR; Iatropoulos, MJ; Muzi, G; Pereira, DW; Rozman, K; Weber, LW, 1988
)
0.27
" The presence of insulin did not alter the relative sensitivities to glucagon of adipocytes from fed animals in different reproductive states, although all dose-response curves were shifted to the right."( Changes in the sensitivity to glucagon of lipolysis in adipocytes from pregnant and lactating rats.
Zammit, VA, 1988
)
0.27
" The course of the dose-response curves was significantly different in diabetics."( Insulin/C-peptide response to intravenous glucagon. A dose-response study in normal and non-insulin-dependent diabetic subjects.
Hasselstrøm, K; Lumholtz, IB; Siersbaek-Nielsen, K; Snorgaard, O; Thorsteinsson, B, 1988
)
0.27
" Blood pressure was significantly reduced during the dosage interval of felodipine (12 h)."( Glucose tolerance in hypertensive patients during treatment with the calcium antagonist, felodipine.
Elmfeldt, D; Hedner, T; Sjögren, E; Smith, U; Von Schenck, H, 1987
)
0.27
" Six weeks after the VMH lesions, the increased insulin responsiveness of total glucose metabolism disappeared and glucose metabolism became less insulin sensitive (right, shifted dose-response curve) than that of control animals."( In vivo metabolic changes as studied longitudinally after ventromedial hypothalamic lesions.
Jeanrenaud, B; Pénicaud, L; Rohner-Jeanrenaud, F, 1986
)
0.27
" While all these hormones have the potential for stimulating BAT 5'-D, the dose-response relationships suggest that norepinephrine and insulin are the most potent."( Hormonal regulation of iodothyronine 5'-deiodinase in rat brown adipose tissue.
Larsen, PR; Silva, JE, 1986
)
0.27
" The metformin dosage was 1 g twice daily in 9 of the patients and 850 mg thrice daily in the 10th subject."( Mechanism of metformin action in non-insulin-dependent diabetes.
Disilvio, L; Featherbe, D; Hawa, MI; Jackson, RA; Jaspan, JB; Kurtz, AB; Sim, BM, 1987
)
0.27
" A variety of hemodynamic, metabolic, and endocrine responses to stepwise increases in plasma catecholamine levels were analyzed by computer-based graphical analysis of the dose-response curves."( Thresholds for physiological effects of plasma catecholamines in fetal sheep.
Ervin, MG; Humme, JA; Jacobs, HC; Ludlow, JK; Padbury, JF, 1987
)
0.27
" Persons using insulin may need to increase food intake prior to, during, and after exercise and/or decrease insulin dosage as well."( Exercise and the management of diabetes mellitus.
Franz, MJ, 1987
)
0.27
" Although the glucagon dose-response curve of normal MDCK cells resembled that of liver and kidney (Kact = 10 nM), the transformed-induced cells were 10-fold less sensitive to the hormone [activation constant (Kact) = 100 nM]."( Decreased potency of glucagon on transformed-induced MDCK cells does not reflect an alteration of adenylate cyclase components.
Beckner, SK; Lin, MC; Wright, DE, 1987
)
0.27
" These conditions have been used to generate forskolin dose-response curves of AC activation."( Forms of adenylate cyclase, activation and/or potentiation by forskolin.
Ho, RJ; Ruiz, JA; Shi, QH, 1986
)
0.27
" Analogues showing no adenylate cyclase activity were examined for their ability to act as antagonists by displacing glucagon-stimulated adenylate cyclase dose-response curves to the right (higher concentrations)."( Design and synthesis of glucagon partial agonists and antagonists.
Gysin, B; Hruby, VJ; Johnson, DG; Trivedi, D, 1986
)
0.27
" These results suggest that nifedipine, when given in standard dosage for 3 months, has minor effects on carbohydrate metabolism in non-insulin dependent diabetic patients."( [Effects of nifedipine on carbohydrate metabolism in the non-insulin dependent diabetic].
Abadie, E; Fiet, J; Gauville, C; Passa, P; Tabuteau, F; Villette, JM, 1985
)
0.27
" To determine an optimal glyburide dosage schedule, the effects of glyburide once (every morning) or twice daily and chlorpropamide once daily (every morning) were compared in 18 men with non-insulin-dependent diabetes mellitus in a randomized, double-blind fashion."( Once-daily use of glyburide.
Fajardo, F; Ginier, P; Levin, SR; Madan, S, 1985
)
0.27
" Regional catheterization before and after MCP dosing in one subject showed a considerable increase in adrenal epinephrine and norepinephrine concentrations 45 seconds after the MCP bolus dose."( Effect of metoclopramide on plasma catecholamine release in essential hypertension.
Buu, NT; Hamet, P; Kuchel, O; Larochelle, P, 1985
)
0.27
" Eighteen healthy volunteers participated in 22 individual recordings, divided into two separate studies--a dose-response study and a randomized, double-blind study."( Glucagon-evoked gastric dysrhythmias in humans shown by an improved electrogastrographic technique.
Abell, TL; Malagelada, JR, 1985
)
0.27
"02 min-1 the model predicted the following dose-response parameters: pulsatile EC50 = 131 pg/ml, Rmax = 119 mumol X G-1 X 90 min-1, continuous EC50 = 656 pg/ml, Rmax = 272 mumol X G-1 X 90 min-1."( A model for augmentation of hepatocyte response to pulsatile glucagon stimuli.
Goodner, CJ; Koerker, DJ; Weigle, DS, 1985
)
0.27
"Phorbol 12-myristate 13-acetate (PMA) inhibited the stimulation of ureogenesis produced by adrenaline, but produced a minimal displacement to the right of the dose-response curve for glucagon."( Effects of phorbol esters on alpha 1-adrenergic-mediated and glucagon-mediated actions in isolated rat hepatocytes.
García-Sáinz, JA; Martínez-Olmedo, MA; Mendlovic, F, 1985
)
0.27
" Skeletal muscle vascular sensitivity to norepinephrine was assessed by constructing dose-response curves in control and portal hypertensive animals."( Humoral factors may mediate increased rat hindquarter blood flow in portal hypertension.
Benoit, JN; Granger, DN; Korthuis, RJ; Kvietys, PR; Taylor, AE; Townsley, MI, 1985
)
0.27
" Dose-response curves show that the affinity of hormones to the cyclase system was in the order: glucagon > adenocorticotropin >> epinephrine; the magnitude of cyclase activation by maximal doses of hormones had a reversed order."( Adenyl cyclase and hormone action. I. Effects of adrenocorticotropic hormone, glucagon, and epinephrine on the plasma membrane of rat fat cells.
Bär, HP; Hechter, O, 1969
)
0.25
" With the dosage used there were no undesirable side-effects apart from a feeling of slight nausea."( Haemodynamic effects of glucagon.
Binnion, PF; Fletcher, E; Hutchison, KJ; Lal, S; Murtagh, JG, 1970
)
0.25
" VIP remained more effective than glucagon in stimulating adenylate cyclase activity, but the dose-response curve was shifted to a higher concentration range when compared to that of the VIP-elevated intracellular cyclic AMP."( Elevation of intracellular cyclic AMP and stimulation of adenylate cyclase activity by vasoactive intestinal peptide and glucagon in the retinal pigment epithelium.
Chader, GJ; Koh, SW, 1984
)
0.27
" Diabetic patients treated with salbutamol should therefore be under close surveillance and have their insulin dosage increased."( [Metabolic risks of salbutamol in diabetic patients. A study using somatostatin (author's transl)].
Compagnie, MJ; Dellenbach, P; Schlienger, JL; Stephan, F, 1980
)
0.26
" The dose-response curve for vasopressin-stimulated lipogenesis is similar to the dose-response curve for glycogenolysis and release of lactate plus pyruvate."( Stimulation of hepatic lipogenesis and acetyl-coenzyme A carboxylase by vasopressin.
Assimacopoulos-Jeannet, F; Denton, RM; Jeanrenaud, B, 1981
)
0.26
" In dose-response studies, isoproterenol dose-dependently stimulated somatostatin secretion."( Effect of food deprivation on rat gastric somatostatin and gastrin release.
Arnold, R; Creutzfeldt, W; Koop, H; Schwab, E, 1982
)
0.26
" In purified B-cells, the intracellular concentration of glucose or 3-O-methyl-D-glucose equilibrates within 2 min with the extracellular levels, and, like in intact islets, the rate of glucose oxidation displays a sigmoidal dose-response curve for glucose."( Differences in glucose handling by pancreatic A- and B-cells.
Gorus, FK; Malaisse, WJ; Pipeleers, DG, 1984
)
0.27
" The effects of glucagon in reversing the cardiovascular depression of profound beta-blockade, including its mechanism of action, onset and duration of action, dosage and administration, cost and availability, and side effects are reviewed."( Glucagon therapy for beta-blocker overdose.
Leeder, JS; Peterson, CD; Sterner, S, 1984
)
0.27
" One group of experiments established a dose-response range."( Effects of morphine on glucose homeostasis in the conscious dog.
Abumrad, NN; Cherrington, AD; Lacy, DB; Lacy, WW; McRae, JR; Radosevich, PM; Steiner, KE; Williams, PE, 1984
)
0.27
" Dose-response studies between control animal serum and hepatocyte labeling index indicate that in unoperated animals the serum contains substances stimulatory as well as inhibitory for hepatic growth, with the inhibitory effect prevailing at high concentrations."( Liver regeneration studies with rat hepatocytes in primary culture.
Cianciulli, HD; Jirtle, RL; Kligerman, AD; Michalopoulos, G; Novotny, AR; Strom, SC, 1982
)
0.26
" Both peptides enhanced cAMP synthesis, although there was again a difference of 2 orders of magnitude in the dose-response curves."( Vasoactive intestinal peptide- and adrenocorticotropin-stimulated adenyl cyclase in cultured adrenal tumor cells: evidence for a specific vasoactive intestinal peptide receptor.
Alfonzo, M; Birnbaum, RS; Kowal, J, 1980
)
0.26
" Binding and covalent attachment of (125)I-labeled glucagon to the M(r) 53,000 peptide were inhibited by glucagon concentrations that were within the dose-response curve for adenylate cyclase activation, and GTP specifically decreased the photoaffinity crosslinking of (125)I-labeled glucagon to the M(r) 53,000 peptides."( Identification of the glucagon receptor in rat liver membranes by photoaffinity crosslinking.
Johnson, GL; MacAndrew, VI; Pilch, PF, 1981
)
0.26
" Kinetics study however show that LPS, at lower dosage (0."( Bacterial toxins and glucagon in liver cAMP regulation: a physiopathological role in liver diseases?
Barbarini, G; Bernardi, R; Casciarri, I; Magliulo, E; Marone, P; Scevola, D, 1980
)
0.26
" The dose-response for glucagon was a sigmoid-curve and the half-maximum stimulation was given by approximately 1 x 10(-2) micrometers hormone."( A technique for the isolation of chicken hepatocytes and their use in a study of gluconeogenesis.
Mistry, SP; Schultz, P, 1981
)
0.26
" Studies using the rat indicates that the dose-response relationship is of a threshold nature, with doses of 3 g/kg or greater abolishing spontaneous secretion."( Effect of ethanol on spontaneous and stimulated growth hormone secretion.
Redmond, GP, 1981
)
0.26
" As indicated by dose-response curves, receptor occupancy of each occurs to an almost equal extent at suboptimal epinephrine concentrations."( Cyclic AMP-dependent and cyclic AMP-independent antagonism of insulin activation of cardiac glycogen synthase.
Angelos, KL; Ramachandran, C; Walsh, DA, 1982
)
0.26
"Examination of glucagon structure-activity relationships and their use for the development of glucagon antagonists (inhibitors) have been hampered until recently by the lack of high purity of semisynthetic glucagon analogs and inadequate study of full dose-response curves for these analogs in sensitive bioassay systems."( Structure-conformation-activity studies of glucagon and semi-synthetic glucagon analogs.
Hruby, VJ, 1982
)
0.26
"In view of controversial findings regarding the mechanism for the increased intracellular hepatic cyclic 3':5' adenosine monophosphate levels in diabetic rats, we studied the dose-response relationship of the adenylate cyclase to glucagon stimulation in severely diabetic and in diabetic, insulin-treated rats."( Increased dose-response relationship of liver plasma membrane adenylate cyclase to glucagon stimulation in diabetic rats. A possible role of the guanyl nucleotide-binding regulatory protein.
Allgayer, H; Bachmann, W; Hepp, KD, 1982
)
0.26
" Consistent with the presumed role of cyclic AMP as a mediator of enzyme induction, the phosphodiesterase inhibitor 3-isobutyl-1-methylxanthine, added simultaneously with glucagon, shifts the hormone dose-response curve 2 log units to the left."( Regulation of phosphoenolpyruvate carboxykinase (GTP) synthesis in rat liver cells. Rapid induction of specific mRNA by glucagon or cyclic AMP and permissive effect of dexamethasone.
Iynedjian, PB; Salavert, A, 1982
)
0.26
" Inhibition by proglumide was competitive and resulted in a parallel rightward shift of the cholecystokinin dose-response curve."( Cholecystokinin-induced contraction of dispersed smooth muscle cells.
Collins, SM; Gardner, JD, 1982
)
0.26
" Bile production was, however, increased by supplementary glucagon infusion, when a submaximal dosage of insulin was given."( Interaction of insulin, glucagon, and DBcAMP on bile acid-independent bile production in the rat.
Larsen, JA; Thomsen, OO, 1982
)
0.26
"The Ca2+ content of hepatocytes from juvenile male rats (80-110 g) or adult female rats (135-155 g) displayed a biphasic dose-response curve to epinephrine."( Modulation of the alpha 1-adrenergic control of hepatocyte calcium redistribution by increases in cyclic AMP.
Blackmore, PF; Exton, JH; Morgan, NG, 1983
)
0.27
" In hepatocytes obtained from rats partially hepatectomized 3 days before experiments were performed, the dose-response curves to glucagon were shifted to the right by about two orders of magnitude as compared to those of the control cells."( Sensitivity of liver cells formed after partial hepatectomy to glucagon, vasopressin and angiotensin II.
Corvera, S; García-Saínz, JA; Huerta-Bahena, J; Villalobos-Molina, R, 1983
)
0.27
" The present study was conducted to determine the dosage of insulin needed to maintain prolonged and around-the-clock normoglycemia as well as normoglucagonemia in streptozotocin diabetic rats with the Alzet osmotic minipump which releases insulin constantly for 14 days."( Rate of insulin infusion with a minipump required to maintain a normoglycemia in diabetic rats.
Patel, DG, 1983
)
0.27
" (1) Adenosine deaminase (10 micrograms/ml) caused a rightward shift in the dose-response curve for the stimulation by insulin of 2-deoxyglucose uptake, but the enzyme did not alter either the basal or the maximally insulin-stimulated uptake rate."( Glucagon inhibition of insulin-stimulated 2-deoxyglucose uptake by rat adipocytes in the presence of adenosine deaminase.
Green, A, 1983
)
0.27
" Glucagon did not antagonize the maximal stimulatory effect of insulin, nor did it alter the insulin dose-response curve."( Regulation of peripheral lipogenesis by glucagon. Inability of the hormone to inhibit lipogenesis in rat mammary acini in vitro in the presence or absence of agents which alter its effects on adipocytes.
Clegg, RA; Robson, NA; Zammit, VA, 1984
)
0.27
" The two effects exhibit similar kinetics and dose-response curves; they are slower and less sensitive to the glucagon concentration than the stimulatory effect on glycogenolysis."( Actions of glucagon on flux rates in perfused rat liver. 2. Relationship between inhibition of glycolysis and stimulation of respiration by glucagon.
Kimmig, R; Mauch, TJ; Scholz, R, 1983
)
0.27
" Dose-response curves for glucagon and secretin were produced by administration of a wide range of glucagon and secretin doses."( Effect of theophylline on glucagon and secretin stimulated bile flow.
Deshpande, YG; Kaminski, DL, 1984
)
0.27
" Our preliminary results also suggested that there was a direct glucagon effect on thyroid hormone secretion with a dose-response correlation."( Use of the perifusion technique on rat thyroid fragments in the study of thyroid hormone secretion: short-term effects of thyrotrophin, theophylline and glucagon.
Attali, JR; Darnis, D; Sebaoun, J; Valensi, P; Weisselberg, C, 1984
)
0.27
" The serum concentrations of immunoreactive glucagon during infusion of the lowest active dosage of glucagon and insulin hypoglycemia were 801 +/- 55 and 322 +/- 12 pg/ml, respectively."( Hormonal effects on the pylorus.
Fisher, RS; Phaosawasdi, K, 1982
)
0.26
" When the study was repeated during infusion of glucagon, the dose-response curve was shifted to the right."( Interaction of glucagon and pentagastrin on pepsin secretion in healthy subjects.
Christiansen, J; Holst, JJ; Molin, J, 1982
)
0.26
" The results indicate that hormonal contraception of the low dosage type may be administered to women with previously impaired glucose tolerance in pregnancy without any deterioration of the glucose metabolism post partum."( Low dosage oral contraception in women with previous gestational diabetes.
Kühl, C; Mølsted-Pedersen, L; Skouby, SO, 1982
)
0.26
" This experiment established that a dose-response relationship exists between dietary intake of fatty acid and the fatty acid composition of plasma-membrane phospholipids."( Diet fat influences liver plasma-membrane lipid composition and glucagon-stimulated adenylate cyclase activity.
Clandinin, MT; Neelands, PJ, 1983
)
0.27
"Insulin and glucagon release from monolayer pancreatic islet cell cultures were inhibited in a dose-response fashion by various enkephalins."( Disparate effects of enkephalin and morphine upon insulin and glucagon secretion by islet cell cultures.
Ensinck, JW; Fujimoto, WY; Kanter, RA, 1980
)
0.26
" Growth hormone was administered subcutaneously at a dosage of 1 mg, 12 h prior to study."( The ketotic effects of glucocorticoid and growth hormone in man.
Eaton, RP; Peake, GT; Schade, DS,
)
0.13
" With a mean dosage of 15 mg, labetalol reduced both systemic arterial pressures and the heart rate by an average of 21 percent (p < ."( Combined alpha- and beta-blockade with labetalol in post-open heart surgery hypertension. Reversal of hemodynamic deterioration with glucagon.
Allonen, H; Arola, M; Laaksonen, VO; Meretoja, OA, 1980
)
0.26
" Dose-response RIA studies indicated that the HMW-IRGs from both the gel filtration and SDS-polyacrylamide gel experiments were immunochemically indistinguishable from glucagon."( Glucagon from the bovine fetal pancreas: chromatographic and electrophoretic characterizations of high molecular weight immunoreactive species.
Cockburn, E; Ruse, JL; Tung, AK, 1980
)
0.26
" Immediately after the removal of 90 per cent or more of the pancreas, diabetes developed, and the function of the anti-insulin system was depressed, showing a poor response of glucagon secretion to hypoglycemia after insulin load and degeneration or destruction of the islet cells and both A and B cells, and the dosage of insulin required to control blood sugar was close to that of a total pancreatectomy."( [Changes in glucose metabolism and endocrine function in the remnant pancreas after major pancreatectomy, with special reference to the function of the anti-insulin system in Sandmeyer's diabetes (author's transl)].
Tamaki, H, 1980
)
0.26
" During the "suboptimal" control phase the daily insulin dosage averaged 38 +/- 22 (SD) U/day and the mean plasma glucose levels averaged 17."( The effect of chronic insulin therapy on phosphate metabolism in diabetes mellitus.
Pak, CY; Raskin, P, 1981
)
0.26
" The dose-response relationships to Arg of the beta- and alpha-cell appear similar."( Interaction of arginine and gastric inhibitory polypeptide on insulin release in man.
Andersen, DK; Andres, R; Elahi, D; Hershcopf, RJ; Muller, DC; Raizes, GS; Tobin, JD, 1982
)
0.26
" These results could explain that the dosage of insulin required to control blood sugar after resection of 90% or more of the entire pancreas was close to that after total pancreatectomy."( [Pathophysiology in diabetes after major resection of the pancreas, with special reference to insulin metabolism and glucagon secretion (author's transl)].
Iwasaki, M, 1982
)
0.26
"56 mg/100 ml, a single injection of glucagon was given subcutaneously, in a dosage of 80-300 micrograms/kg of body weight."( The effect of glucagon on serum bilirubin levels.
Constantopoulos, A; Davakis, M; Malamitsi-Pouchner, A; Matsaniotis, N, 1982
)
0.26
" Trifluoperazine significantly inhibited glycogenolytic effect of phenylephrine and angiotensin II by lowering maximal response, and that of vasopressin by shifting the dose-response curve to the right, while alpha-antagonist phentolamine was inhibitory only to phenylephrine."( Inhibition by trifluoperazine of glycogenolytic effects of phenylephrine, vasopressin, and angiotensin II.
Kimura, S; Koide, Y; Kugai, N; Tada, R; Yamashita, K, 1982
)
0.26
" This technique produced a reduction in glucagon dosage and an improvement in scan quality when compared with intermittent intravenous injection."( Use of a portable syringe pump for glucagon administration in abdominal computed tomography.
Bydder, G; Kreel, L, 1980
)
0.26
" Although salt effects clearly varied with the different anions, the magnitude and dose-response of stimulation of homogenates by Cl- salts were also dependent on the accompanying alkali cation (Li+, Na+, K+, Rb+, Cs+)."( Anions and cations as stimulators of liver adenylate cyclase.
Gregerman, RI; Katz, MS; Kelly, TM; Piñeyro, MA, 1980
)
0.26
" The data indicate a dose-response relationship between casein hydrolysate administration and effects on glycogen metabolism in the liver."( Physiological doses of oral casein affect hepatic glycogen metabolism in normal food-deprived rats.
Gannon, MC; Nuttall, FQ, 1995
)
0.29
" Its potential usefulness in reversing adverse effects encountered during therapeutic dosing with beta-blockers has not been well characterized."( Sotalol-induced bradycardia reversed by glucagon.
Daya, MR; Fernandes, CM, 1995
)
0.29
" At reduced dosage (0."( Glucagon-like peptide I reduces postprandial glycemic excursions in IDDM.
Behme, MT; Dupre, J; Hramiak, IM; McDonald, TJ; McFarlane, P; Williamson, MP; Zabel, P, 1995
)
0.29
" The binding of 125I-GLP-1(7-36)amide and the intensity of the cross-linked band were similarly inhibited in a dose-response manner by increasing concentrations of unlabeled GLP-1(7-36)amide."( Structural characterization by affinity cross-linking of glucagon-like peptide-1(7-36)amide receptor in rat brain.
Blázquez, E; Calvo, JC; Mora, F; Yusta, B, 1995
)
0.29
"We evaluated the dose-response relationship between the plasma amino acid (AA) concentration and renal hemodynamics in eight normal subjects."( Effect of amino acid infusion on renal hemodynamics in humans: a dose-response study.
Castellino, P; DeFronzo, RA; Giordano, M; McConnell, EL, 1994
)
0.29
" Analysis of dose-response curves showed that n-butyric acid (4 carbons in the molecule) was most effective for both insulin and glucagon secretion among the normal SCFAs tested."( Chemical specificity of short-chain fatty acids in stimulating insulin and glucagon secretion in sheep.
Hanaki, Y; Hashizume, Y; Kato, S; Maeda, H; Mineo, H; Murata, K; Onaga, T; Yanaihara, N, 1994
)
0.29
" In conclusion, glucose recovery after hypoglycemia is significantly increased when theophylline is administered in an asthma dosage before hypoglycemia is induced."( Theophylline enhances glucose recovery after hypoglycemia in healthy man and in type I diabetic patients.
Christensen, NJ; Hilsted, J; Hvidberg, A; Rasmussen, MH, 1994
)
0.29
" Preincubation of broiler adipocytes with pancreatic polypeptide resulted in a dose-response and time-dependent enhancement (P < ."( Enhanced lipolysis from broiler adipocytes pretreated with pancreatic polypeptide.
Oscar, TP, 1993
)
0.29
" The plasma glucose and cardiovascular responses to dosing were monitored in the dogs and found to be in agreement with well-known effects of pancreatic glucagon."( Glucagon produced by recombinant DNA technology: repeated dose toxicity studies, intravenous administration to CD rats and beagle dogs for four weeks.
Eistrup, C; Hjortkjaer, RK; Pickersgill, N; Virgo, DM; Woolley, AP, 1993
)
0.29
" The glucagon area response was positive after ingestion of all fat containing meals except for that containing only 5 g fat, and there was a dose-response relationship."( Effect of added fat on plasma glucose and insulin response to ingested potato in individuals with NIDDM.
Ercan, N; Gannon, MC; Nuttall, FQ; Westphal, SA, 1993
)
0.29
" The insulin area response data indicated the presence of a dose-response relationship."( Effect of added fat on plasma glucose and insulin response to ingested potato in individuals with NIDDM.
Ercan, N; Gannon, MC; Nuttall, FQ; Westphal, SA, 1993
)
0.29
" While the nonmetabolizable adenosine analogue N6-(phenylisopropyl)adenosine (PIA) inhibited ADA-stimulated lipolysis, EGF affected neither ADA-stimulated lipolysis nor the dose-response curve for PIA."( Epidermal growth factor modulates the lipolytic action of catecholamines in rat adipocytes. Involvement of a Gi protein.
Ramírez, I; Soley, M; Tebar, F, 1993
)
0.29
"1-10 mumol/kg) produced a bell-shaped dose-response curve for the secretory rate, bicarbonate and protein outputs."( Effects of peptide histidine isoleucine on pancreatic exocrine secretion in anaesthetized dogs.
Chiba, S; Iwatsuki, K; Ren, LM,
)
0.13
"The study objective was to determine the dose-response relationships between postprandial blood glucose, insulin, and glucagon responses and the amount of starch ingested in non-insulin-dependent diabetic (NIDDM) subjects."( Dose-dependency of the glycemic response to starch-rich meals in non-insulin-dependent diabetic subjects: studies with varying amounts of white rice.
Rasmussen, O, 1993
)
0.29
" the prevailing insulin concentration, all three methods yielded similar insulin dose-response curves for suppression of hepatic glucose release."( Hepatic and extrahepatic insulin action in humans: measurement in the absence of non-steady-state error.
Butler, P; Caumo, A; Cobelli, C; Homan, M; Katz, H; Rizza, R; Zerman, A, 1993
)
0.29
"Routine use of intravenous glucagon in a dosage of 1 mg does not facilitate colonoscopy by experienced examiners."( Does routine intravenous glucagon administration facilitate colonoscopy? A randomized trial.
Cutler, CS; Hawes, RH; Lehman, GA; Rex, DK, 1995
)
0.29
" Finally, glucagon-stimulated insulin secretion by RIN cells expressing the mutant receptor was decreased such that the dose-response curve was shifted to the right in comparison to that obtained with cells expressing the wild type receptor."( The Gly40Ser mutation in the human glucagon receptor gene associated with NIDDM results in a receptor with reduced sensitivity to glucagon.
Abrahamsen, N; Froguel, P; Hager, J; Hansen, LH; Jelinek, L; Kindsvogel, W; Nishimura, E, 1996
)
0.29
" In competition experiments, all of the analogues caused a right shift of the glucagon-stimulated adenylate cyclase dose-response curve."( Topographical amino acid substitution in position 10 of glucagon leads to antagonists/partial agonists with greater binding differences.
Azizeh, BY; Hruby, VJ; Li, G; Shenderovich, MD; Sturm, NS; Trivedi, D, 1996
)
0.29
" Analysis of glucose-insulin dose-response curves revealed a marked improvement of glucose sensitivity of the NOD endocrine pancreas in the presence of GLP-1 (half-maximal insulin output without GLP-1 15."( Glucagon-like-peptide-1 (7-36) amide improves glucose sensitivity in beta-cells of NOD mice.
Federlin, K; Göke, B; Linn, T; Schneider, K, 1996
)
0.29
" Preincubation of adipocytes with SRIF induced a dose-response and time-dependent increase in the set-point of lipolysis."( Prolonged in vitro exposure of broiler adipocytes to somatostatin enhances lipolysis and induces desensitization of antilipolysis.
Oscar, TP, 1996
)
0.29
" Preexposure of the cells to GLP-1 induced a decrease in GLP-1-mediated cAMP production, as assessed by a 3- to 5-fold rightward shift of the dose-response curve and an approximately 20 percent decrease in the maximal production of cAMP."( Desensitization and phosphorylation of the glucagon-like peptide-1 (GLP-1) receptor by GLP-1 and 4-phorbol 12-myristate 13-acetate.
Dolci, W; Thorens, B; Widmann, C, 1996
)
0.29
" Therefore, it is apparent that the addition of glibenclamide to insulin reduces daily insulin dosage and renders a greater uniformity to diurnal blood glucose control, most probably secondary to enhancement of insulin sensitivity."( More uniform diurnal blood glucose control and a reduction in daily insulin dosage on addition of glibenclamide to insulin in type 1 diabetes mellitus: role of enhanced insulin sensitivity.
Birkenholz, M; Kabadi, M; Kabadi, UM; McCoy, S, 1995
)
0.29
" 5-Methoxytryptamine induced a significant hyperglycemia above the dosage of 1 mg/kg."( Hyperglycemia induced by the 5-HT receptor agonist, 5-methoxytryptamine, in rats: involvement of the peripheral 5-HT2A receptor.
Horisaka, K; Sugimoto, Y; Yamada, J; Yoshikawa, T, 1997
)
0.3
" All of these analogues when tested in the classical adenylate cyclase assay demonstrate antagonist properties, and in competition experiments, all caused a rightward-shift of the glucagon stimulated adenylate cyclase dose-response curve."( Pure glucagon antagonists: biological activities and cAMP accumulation using phosphodiesterase inhibitors.
Azizeh, BY; Hruby, VJ; Trivedi, D; Van Tine, BA, 1997
)
0.3
" All three peptides increased plasma insulin and glucagon concentrations, but their dose-response relationships revealed differences between them."( Effects of oxytocin, arginine-vasopressin and lysine-vasopressin on insulin and glucagon secretion in sheep.
Hyun, HS; Ito, M; Kamita, H; Mineo, H; Muto, H; Onaga, T; Yanaihara, N,
)
0.13
" In competitive inhibition experiments, all the analogues caused a right shift of the glucagon-stimulated adenylate cyclase dose-response curve."( The role of phenylalanine at position 6 in glucagon's mechanism of biological action: multiple replacement analogues of glucagon.
Ahn, JM; Azizeh, BY; Caspari, R; Hruby, VJ; Shenderovich, MD; Trivedi, D, 1997
)
0.3
" To examine the effects of interleukin 6 (IL-6), the main circulating cytokine, on glucose metabolism in man, we performed dose-response studies of recombinant human IL-6 in normal volunteers."( Dose-dependent effects of recombinant human interleukin-6 on glucose regulation.
Chrousos, GP; Defensor, R; Kyrou, I; Mitsiadis, CS; Papanicolaou, DA; Tsigos, C, 1997
)
0.3
" Arduan dosage ought to be reduced because of it possible cumulation in blood due to hepatorenal disorders existing in this patients."( [Features of anesthesia in surgical removal of insulinoma].
Kostenko, AA, 1997
)
0.3
" The total daily insulin dosage was not different in the two treatment periods."( Counterregulatory hormone responses after long-term continuous subcutaneous insulin infusion with lispro insulin.
Barnie, A; Chiasson, JL; Simkins, S; Strack, T; Tildesley, H; Tsui, EY; Zinman, B, 1998
)
0.3
" In the genetically obese Zucker rat, chronic dosing with GLP-1 (30 microg icv) once a day for 6 days caused significant reductions in food consumption each day and a reduction in body weight."( Effect of chronic central administration of glucagon-like peptide-1 (7-36) amide on food consumption and body weight in normal and obese rats.
Compton, DS; Davis, HR; France, CF; Graziano, MP; Hoos, LM; Mullins, DE; Pines, JM; Strader, CD; Sybertz, EJ; Van Heek, M, 1998
)
0.3
" We demonstrate here a gene dosage effect for the incretin action of GLP-1, as heterozygous GLP-1R +/- mice exhibit an abnormal glycemic response to oral glucose challenge in association with reduced circulating levels of glucose-stimulated insulin."( Identification of glucagon-like peptide 1 (GLP-1) actions essential for glucose homeostasis in mice with disruption of GLP-1 receptor signaling.
Brubaker, PL; Cook, SM; Drucker, DJ; Marshall, BA; Scrocchi, LA, 1998
)
0.3
" The comparison of kinetic constants estimated from dose-response data for GTP and glucagon suggests that prenatal chronic irradiation prompted (i) the decrease in rate of GTP hydrolysis on Gs-protein; (ii) the reduction of glucagon potency to accelerate the exchange GDP for GTP on Gs-protein."( [Effect of prenatal gamma-irradiation on functional properties of rat liver adenylate cyclase].
Chubanov, VS; Konoplia, EF; Rogov, IuI; Sholukh, MV,
)
0.13
" We concluded that low dosage GLP-1 improves the ability of the beta-cell to secrete insulin in both IGT and NIDDM subjects, but that the ability to sense and respond to subtle changes in plasma glucose is improved in IGT subjects, with only a variable response in NIDDM subjects."( Glucagon-like peptide 1 improves the ability of the beta-cell to sense and respond to glucose in subjects with impaired glucose tolerance.
Arnold, R; Byrne, MM; Gliem, K; Göke, B; Katschinski, M; Polonsky, KS; Wank, U, 1998
)
0.3
"Reciprocal dose-response curves for the effects of the two hormones in intestine and liver were demonstrated: glucagon 37 was one order of magnitude more potent than glucagon 29 in increasing intestinal absorption of glucose via the SGLT1."( Enteric glucagon 37 rather than pancreatic glucagon 29 stimulates glucose absorption in rat intestine.
Hunger, A; Jungermann, K; Scholtka, B; Stümpel, F, 1998
)
0.3
" Mean amplitude of contraction in the distal esophagus was further reduced with increased dosage of glucagon but did not achieve statistical significance."( Effect of doses of glucagon used to treat food impaction on esophageal motor function of normal subjects.
Colon, V; Fass, R; Grade, A; Johnson, C; Pulliam, G, 1999
)
0.3
" In the presence of 5 mM L-NAME (a concentration that did not influence basal insulin release) the insulin response was markedly increased along the whole dose-response curve and the threshold for carbachol stimulation was significantly lowered."( Influence of nitric oxide modulators on cholinergically stimulated hormone release from mouse islets.
Aring;kesson, B; Lundquist, I, 1999
)
0.3
" L-168,049 increases the apparent EC50 for glucagon stimulation of adenylyl cyclase in Chinese hamster ovary cells expressing the human glucagon receptor and decreases the maximal glucagon stimulation observed, with a Kb (concentration of antagonist that shifts the agonist dose-response 2-fold) of 25 nM."( Characterization of a novel, non-peptidyl antagonist of the human glucagon receptor.
Ber, E; Cascieri, MA; Chicchi, GG; de Laszlo, SE; Hacker, C; Hagmann, WK; Koch, GE; Louizides, D; MacCoss, M; Sadowski, SJ; Vicario, PP, 1999
)
0.3
"This study evaluated the dependence of portal and mesenteric blood flow and plasma glucagon levels on octreotide dosage and its mode of application."( Effects of different octreotide dosages on splanchnic hemodynamics and glucagon in healthy volunteers.
Brensing, KA; Göke, B; Sauerbruch, T; Schätzle, T; Schiedermaier, P,
)
0.13
" Vagal ligation but not perivagal capsaicin treatment reduced the inhibitory effect of secretin on bethanechol-stimulated contraction of isolated forestomach muscle strips, causing a right shift in the dose-response curve."( Vagus nerve modulates secretin binding sites in the rat forestomach.
Chang, TM; Chey, WY; Kwon, HY; Lee, KY, 1999
)
0.3
" In conclusion, this study suggests that short-term administration of LA at high dosage to normal and diabetic rats causes an inhibition of gluconeogenesis secondary to an interference with hepatic fatty acid oxidation."( Lipoic acid acutely induces hypoglycemia in fasting nondiabetic and diabetic rats.
Bashan, N; Gutman, A; Khamaisi, M; Potashnik, R; Rudich, A; Tritschler, HJ, 1999
)
0.3
" We performed a dose-response study [ingestion of increasing amounts of glucose and complex carbohydrates (boiled rice and wheat bread), and the nonabsorbable disaccharide lactulose] in SB patients with an intact colon."( Importance of colonic bacterial fermentation in short bowel patients: small intestinal malabsorption of easily digestible carbohydrate.
Gudmand-Høyer, E; Holst, JJ; Jørgensen, S; Olesen, M, 1999
)
0.3
" Additionally, maximum blood glucose concentrations (BG(max)), maximum absolute BG excursion (MAE), and area under the glucose concentration curve from time of dosing to return to baseline (AUC(rtb)) were calculated."( Pharmacokinetic and glucodynamic comparisons of recombinant and animal-source glucagon after IV, IM, and SC injection in healthy volunteers.
Bowsher, RR; Graf, CJ; Holcombe, JH; Lynch, R; Seger, ME; Woodworth, JR, 1999
)
0.3
"01) and supported by a significantly lower maximum serum glucose concentration (Cmax) up to 360 min after dosing (IAsp, 10."( Improved postprandial glycaemic control with insulin Aspart in type 2 diabetic patients treated with insulin.
Birkeland, K; Dejgaard, A; Hanssen, KF; Kjems, L; Madsbad, S; Rosenfalck, AM; Thorsby, P, 2000
)
0.31
" Sigmoidal dose-response curves of glucose clearance versus insulin levels during the hyperglycemic clamp in the two small groups showed both a left shift and a lower maximal response in the NM group compared with the NN group, which is consistent with an increased insulin sensitivity in the NM subjects."( Impaired insulin secretion and increased insulin sensitivity in familial maturity-onset diabetes of the young 4 (insulin promoter factor 1 gene).
Chin, GA; Clarke, WL; Clocquet, AR; Egan, JM; Elahi, D; Habener, JF; Hanks, JB; Muller, DC; Stoffers, DA; Wideman, L, 2000
)
0.31
" Metoprolol was dosed to achieve a resting predobutamine heart rate below 65 beats/minute or a total intravenous dose of 20 mg."( Effect of intravenous metoprolol or intravenous metoprolol plus glucagon on dobutamine-induced myocardial ischemia.
Ahlberg, AW; Heller, GV; Katten, D; Murthy, DR; Salloum, A; White, CM, 2000
)
0.31
") dosing was best described by a three-compartment open model."( Pharmacokinetics and metabolic effects of triamcinolone acetonide and their possible relationships to glucocorticoid-induced laminitis in horses.
French, K; Pass, MA; Pollitt, CC, 2000
)
0.31
" Time course dose-response studies indicate that the p38 MAPK induced inhibitory response may involve expression of immediate early genes (IEGs); maximum repression of rINS1 activity occurred after 4 h of treatment, comparable with regulatory responses by IEGs."( Insulinotropic hormone glucagon-like peptide 1 (GLP-1) activation of insulin gene promoter inhibited by p38 mitogen-activated protein kinase.
Habener, JF; Kemp, DM, 2001
)
0.31
" If the blood glucose did not increase within 30 min, the initial dosage was doubled and given at that time."( Mini-dose glucagon rescue for hypoglycemia in children with type 1 diabetes.
Haymond, MW; Schreiner, B, 2001
)
0.31
" A high-dose graded glucose infusion protocol was used to explore the dose-response relationship between glucose and insulin secretion."( GLP-1-induced alterations in the glucose-stimulated insulin secretory dose-response curve.
Arnold, R; Brandt, A; Byrne, MM; Göke, B; Katschinski, M; Polonsky, KS, 2001
)
0.31
" Subchronic multiple dosing of NN2211 (200 microg/kg) twice daily for 10 days to normal and MSG-treated rats caused profound inhibition of food intake."( Systemic administration of the long-acting GLP-1 derivative NN2211 induces lasting and reversible weight loss in both normal and obese rats.
Fledelius, C; Knudsen, LB; Larsen, PJ; Tang-Christensen, M, 2001
)
0.31
" The present results encourage a new study to be undertaken in a larger sample and with a multiple dosing scheme of treatment."( Evaluation of lanreotide effects on human exocrine pancreatic secretion after a single dose: preliminary study.
Ballabio, M; Bassi, C; Contro, C; Falconi, M; Pederzoli, P; Salvia, R, 2002
)
0.31
" Dosing with NN2211 was performed on day 1, and days 5-11."( The pharmacokinetics, pharmacodynamics, safety and tolerability of NN2211, a new long-acting GLP-1 derivative, in healthy men.
Agersø, H; Elbrønd, B; Jensen, LB; Rolan, P; Zdravkovic, M, 2002
)
0.31
" After subcutaneous dosing with NN2211, 48-h pharmacokinetic, and 24-h glucose, insulin and glucagon profiles were assessed."( Pharmacokinetics, pharmacodynamics, safety, and tolerability of a single-dose of NN2211, a long-acting glucagon-like peptide 1 derivative, in healthy male subjects.
Agersø, H; Elbrønd, B; Hatorp, V; Jakobsen, G; Jensen, LB; Larsen, S; Rolan, P; Sturis, J; Zdravkovic, M, 2002
)
0.31
"This study provides evidence that NN2211 has a pharmacokinetic profile consistent with once-daily dosing in humans."( Pharmacokinetics, pharmacodynamics, safety, and tolerability of a single-dose of NN2211, a long-acting glucagon-like peptide 1 derivative, in healthy male subjects.
Agersø, H; Elbrønd, B; Hatorp, V; Jakobsen, G; Jensen, LB; Larsen, S; Rolan, P; Sturis, J; Zdravkovic, M, 2002
)
0.31
" However, the dose-response relationship between GLP-1 and basal and glucose-stimulated prehepatic insulin secretion rate (ISR) is currently not known."( The influence of GLP-1 on glucose-stimulated insulin secretion: effects on beta-cell sensitivity in type 2 and nondiabetic subjects.
Holst, JJ; Kjems, LL; Madsbad, S; Vølund, A, 2003
)
0.32
"kg(-1) twice a week; IL-10 treated group (E): besides same dosage of CCl(4) given, intraperitoneal injection with IL-10 4 ug."( Effects of transmitters and interleukin-10 on rat hepatic fibrosis induced by CCl4.
Chen, ZX; Huang, YH; Li, B; Li, D; Wang, XZ; Zhang, LJ, 2003
)
0.32
" A dose-response study of GLP-1 with glucose-stimulated islets showed that GLP-1 could overcome and completely restore the impaired insulin release in TPN islets, bringing about a marked increase in islet cAMP accumulation concomitant with heavy suppression of both glucose-stimulated increase in islet cGMP content and the activities of constitutive NOS (cNOS) and iNOS."( Total parenteral nutrition-stimulated activity of inducible nitric oxide synthase in rat pancreatic islets is suppressed by glucagon-like peptide-1.
Ekelund, M; Lundquist, I; Salehi, A, 2003
)
0.32
" In contrast, a hypoglycaemic coma due to a too high dosage of sulphonylurea always requests a hospitalisation in order to carefully supervise the patient and to provide a prolonged intravenous infusion of glucose."( [How I treat...severe hypoglycemia in a diabetic patient].
Philips, JC; Radermecker, RP; Scheen, AJ, 2003
)
0.32
" 9 h after NN2211 dosing; the insulin response would then be expected to be improved (higher) in the subjects dosed with NN2211."( Pharmacodynamics of NN2211, a novel long acting GLP-1 derivative.
Agersø, H; Vicini, P, 2003
)
0.32
"5-mg dosage increased plasma insulin only in the multiple-injection experiment."( Metabolic responses of lactating dairy cows to single and multiple subcutaneous injections of glucagon.
Ametaj, BN; Beitz, DC; Bobe, G; Sonon, RN; Young, JW, 2003
)
0.32
" GLP-1 increased the dose-response relationship between glucose concentration and insulin secretion (70 +/- 26 with GLP-1 versus 38 +/- 16 pmol insulin."( Characterization of GLP-1 effects on beta-cell function after meal ingestion in humans.
Ahrén, B; Holst, JJ; Mari, A, 2003
)
0.32
"Administration of GLP-1 along with ingestion of a meal augments insulin secretion in humans by a dose-dependent potentiation of the dose-response relationship between plasma glucose and insulin secretion."( Characterization of GLP-1 effects on beta-cell function after meal ingestion in humans.
Ahrén, B; Holst, JJ; Mari, A, 2003
)
0.32
"6 g/100 ml) was administered to control fish, whereas the experimental group received 2-DG, dissolved in saline, in the dosage of 80 mg/kg (0."( Metabolic responses to glucoprivation induced by 2-deoxy-D-glucose in Brycon cephalus (Teleostei, Characidae).
Capilla, E; Figueiredo-Garutti, ML; Gutiérrez, J; Moraes, G; Navarro, I; Souza, RH; Vicentini-Paulino, ML, 2004
)
0.32
" DAB was very rapidly cleared in mice; nevertheless, a dose-dependent reduction of blood glucose of up to 9 mmol/l was seen in diabetic ob/ob mice dosed subcutaneously, with statistically significant effects evident from 30 to 120 min."( Pharmacokinetics and anti-hyperglycaemic efficacy of a novel inhibitor of glycogen phosphorylase, 1,4-dideoxy-1,4-imino-d- arabinitol, in glucagon-challenged rats and dogs and in diabetic ob/ob mice.
Andersen, JV; Mackay, P; McCormack, JG; Ynddal, L, 2003
)
0.32
" Data were abstracted on age, sex, body mass index, relevant prior medical history, food type ingested (meat, bread, vegetable, or other), duration of symptoms at presentation, dosage (in mg) of glucagon, outcome including success of glucagon or spontaneous passage, and endoscopic findings."( Assessment of the predictors of response to glucagon in the setting of acute esophageal food bolus impaction.
Baron, TH; Harewood, GC; Sodeman, TC, 2004
)
0.32
" Its absence, as assessed in Pax2(1Neu) mutant mice, results in a two- to threefold increase in the average pancreas volume occupied by the islets in both heterozygous and homozygous mutant mice with a gene-dependent dosage effect."( Pax2 mutant mice display increased number and size of islets of Langerhans but no change in insulin and glucagon content.
Estreicher, A; Favor, J; Herrera, P; Meda, P; Philippe, J; Ritz-Laser, B; Zaiko, M, 2004
)
0.32
" Group I: six buffaloes were given 50% glucose at a dosage of 1 g/kg body weight via the jugular vein."( The intravenous glucose tolerance test in water buffalo.
He, CH; Liu, JG; Liu, YJ; Liu, YW; Pan, CL; Sun, WD; Wang, XL; Zhao, HJ, 2004
)
0.32
" HbA(1c) decreased in all but the lowest liraglutide dosage group."( Improved glycemic control with no weight increase in patients with type 2 diabetes after once-daily treatment with the long-acting glucagon-like peptide 1 analog liraglutide (NN2211): a 12-week, double-blind, randomized, controlled trial.
Jakobsen, G; Madsbad, S; Matthews, DR; Ranstam, J; Schmitz, O, 2004
)
0.32
"To determine whether the insulin dose-response curves for suppression of endogenous glucose production (EGP) and stimulation of splanchnic glucose uptake (SGU) differ in nondiabetic humans and are abnormal in type 2 diabetes, 14 nondiabetic and 12 diabetic subjects were studied."( Insulin dose-response curves for stimulation of splanchnic glucose uptake and suppression of endogenous glucose production differ in nondiabetic humans and are abnormal in people with type 2 diabetes.
Basu, A; Basu, R; Johnson, CM; Rizza, RA; Schwenk, WF, 2004
)
0.32
" We subsequently showed that, at 2 mg/kg body weight (mg/pk) dosed intraperitoneally (i."( Hepatic glucagon receptor binding and glucose-lowering in vivo by peptidyl and non-peptidyl glucagon receptor antagonists.
Brady, E; Candelore, MR; Dallas-Yang, Q; Fenyk-Melody, JE; Gibson, RE; Jiang, G; Parmee, ER; Qureshi, SA; Saperstein, R; Shen, X; Strowski, M; Szalkowski, D; Zhang, BB, 2004
)
0.32
" Finally, when dosed in humanized mice, Cpd 1 blocked the rise of glucose levels observed after intraperitoneal administration of exogenous glucagon."( A novel glucagon receptor antagonist inhibits glucagon-mediated biological effects.
Bansal, A; Brady, E; Chapman, KT; Cohen, SM; Ding, VD; Duffy, JL; Jiang, G; Li, Z; Miller, C; Moller, DE; Qureshi, SA; Rios Candelore, M; Saperstein, R; Tata, JR; Tota, LM; Xie, D; Yang, X; Zhang, BB, 2004
)
0.32
" It was found that GLP-1 relaxed femoral artery rings in a dose-response manner."( Glucagon-like peptide-1 relaxes rat conduit arteries via an endothelium-independent mechanism.
Gonon, AT; Nyström, T; Pernow, J; Sjöholm, A, 2005
)
0.33
" Dose-response curve revealed that the half-maximal effective dose (ED(50)) of VAPG was about 55 nm (25 nm for native GLP-1)."( Synthesis, bioactivity and specificity of glucagon-like peptide-1 (7-37)/polymer conjugate to isolated rat islets.
Bae, YH; Kim, S; Wan Kim, S, 2005
)
0.33
" In this investigation, we prepared dry powder dosage forms of glucagon, which were formulated by mixing micronized glucagon particles and excipients with larger carrier particles."( Erythritol-based dry powder of glucagon for pulmonary administration.
Amikawa, S; Endo, K; Matsumoto, A; Onoue, S; Sahashi, N, 2005
)
0.33
" This multicentre, double-blind, parallel-group, double-dummy study explored the dose-response relationship of liraglutide effects on bodyweight and glycaemic control in subjects with Type 2 diabetes."( Effects of liraglutide (NN2211), a long-acting GLP-1 analogue, on glycaemic control and bodyweight in subjects with Type 2 diabetes.
An, B; Feinglos, MN; Pi-Sunyer, FX; Saad, MF; Santiago, O, 2005
)
0.33
" Increasing the dosage or activity of Sir2 extends life span in yeast, worms, and flies and promotes fat mobilization and glucose production in mammalian cells."( Increased dosage of mammalian Sir2 in pancreatic beta cells enhances glucose-stimulated insulin secretion in mice.
Bernal-Mizrachi, E; Cras-Méneur, C; Ford, E; Grimm, AA; Imai, S; Moynihan, KA; Permutt, MA; Plueger, MM, 2005
)
0.33
" Rats made diabetic with streptozotocin were treated with subcutaneous insulin pellets dosed to sustain body weights and hyperglycemia or with HIGT; nondiabetic rats served as controls."( Hepatic insulin gene therapy prevents deterioration of vascular function and improves adipocytokine profile in STZ-diabetic rats.
Boutwell, JJ; Campbell, AG; Hart, CM; Kleinhenz, DJ; Olson, DE; Sutliff, RL; Thulé, PM, 2006
)
0.33
" For therapeutic study, test articles were orally dosed once a day from 21 d after STZ-dosing at 100, 200 and 500 mg/kg/5 ml dosage levels for 4 weeks."( Anti-diabetic activity of SMK001, a poly herbal formula in streptozotocin induced diabetic rats: therapeutic study.
Choi, HS; Choi, HY; Kang, SM; Kim, JD; Ku, SK; Seo, BI, 2006
)
0.33
" The effects of short- and long-term and dose-response treatment with supraphysiological concentrations of leptin on circulating levels of insulin, glucagon and glucose in the blood have been evaluated."( Effects of leptin administration on the endocrine pancreas and liver in the lizard Podarcis sicula.
Buono, S; Paolucci, M; Putti, R; Sciarrillo, R, 2006
)
0.33
" Because U-shaped dose-response relationships for glucose-regulated glucagon secretion were observed in normal islets and in clonal glucagon-releasing cells, both the inhibitory and stimulatory components probably reflect direct effects on the alpha-cells."( Paradoxical stimulation of glucagon secretion by high glucose concentrations.
Gylfe, E; Salehi, A; Vieira, E, 2006
)
0.33
" Health-system pharmacists should be aware that when these drugs are used as antidotes, higher than normal dosing is needed."( Treatment of poisoning caused by beta-adrenergic and calcium-channel blockers.
Shepherd, G, 2006
)
0.33
"This randomized, open-label, placebo-controlled, 7-period crossover study assessed dose-response relationships following single oral doses (10-400 mg) of vildagliptin in 16 patients with type 2 diabetes mellitus."( Pharmacodynamics of vildagliptin in patients with type 2 diabetes during OGTT.
Bullock, JM; Deacon, CF; Dunning, BE; Foley, JE; He, YL; Holst, JJ; Ligueros-Saylan, M; Wang, Y, 2007
)
0.34
" Dose-response curves were constructed for each candidate messenger that significantly (p<0."( Secretion of ghrelin from rat stomach ghrelin cells in response to local microinfusion of candidate messenger compounds: a microdialysis study.
de la Cour, CD; Håkanson, R; Norlén, P, 2007
)
0.34
" Two distinct glucagon dose-response curves emerged."( Insulin-like stimulation of cardiac fuel metabolism by physiological levels of glucagon: involvement of PI3K but not cAMP.
Harney, JA; Rodgers, RL, 2008
)
0.35
" Our analysis of mice with 50%-reduced Sox9 gene dosage in pancreatic progenitors reveals endocrine-specific defects phenocopying CD."( A dosage-dependent requirement for Sox9 in pancreatic endocrine cell formation.
Dubois, CL; Freude, KK; Patel, NA; Sander, M; Seymour, PA; Shih, HP, 2008
)
0.35
" The dose-response relationship between insulin and KBs was demonstrated to be shifted to the right in type 2 diabetes patients."( Effects of insulin on ketogenesis following fasting in lean and obese men.
Ackermans, MT; Duran, M; Faas, L; Fliers, E; Houten, SM; Ruiter, AF; Sauerwein, HP; Serlie, MJ; Smeenge, M; Soeters, MR; Wanders, RJ, 2009
)
0.35
" Dry powder inhaler (DPI) form of glucagon is believed to be a promising new dosage form, and the present study aimed to develop a novel glucagon-DPI using absorption enhancer for improved pharmacological effects."( Novel dry powder inhaler formulation of glucagon with addition of citric acid for enhanced pulmonary delivery.
Hirose, M; Kawabata, Y; Mizumoto, T; Onoue, S; Yamada, S; Yamamoto, K, 2009
)
0.35
" We investigated the dose-response relationship for GLP-1-induced glucagon suppression in patients with type 2 diabetes (T2DM) and healthy controls."( Preserved inhibitory potency of GLP-1 on glucagon secretion in type 2 diabetes mellitus.
Asmar, M; Deacon, CF; Hare, KJ; Holst, JJ; Knop, FK; Madsbad, S; Vilsbøll, T, 2009
)
0.35
"To determine the pharmacokinetic and pharmacodynamic dose-response effects of insulin glargine administered subcutaneously in individuals with type 2 diabetes."( Dose-response effects of insulin glargine in type 2 diabetes.
Briscoe, VJ; Davis, SN; Gogitidze Joy, N; Hedrington, MS; Nicholson, W; Richardson, MA; Tate, DB; Wang, Z; Younk, L, 2010
)
0.36
" The in vivo half-life of the construct was tuned to support nightly dosing through design and testing in cynomolgus monkeys."( Gcg-XTEN: an improved glucagon capable of preventing hypoglycemia without increasing baseline blood glucose.
Cleland, JL; Geething, NC; Schellenberger, V; Scholle, MD; Silverman, J; Spink, BJ; Stemmer, WP; To, W; Wang, CW; Yao, Y; Yin, Y, 2010
)
0.36
" We also investigated the dose-response effects of OXM on the secretion of insulin and glucose in 8 Holstein steers (401 +/- 1 d old, 398 +/- 10 kg BW)."( Oxyntomodulin increases the concentrations of insulin and glucose in plasma but does not affect ghrelin secretion in Holstein cattle under normal physiological conditions.
Ishikawa, T; Kuwayama, H; ThanThan, S; Yannaing, S; Zhao, H, 2010
)
0.36
" After the algorithm PK parameters were globally adjusted, insulin dosing was more conservative and microdose glucagon administration was very effective in reducing hypoglycemia while maintaining normal plasma glucagon levels."( Efficacy determinants of subcutaneous microdose glucagon during closed-loop control.
Damiano, ER; El-Khatib, FH; Nathan, DM; Russell, SJ, 2010
)
0.36
"7 years) were studied on two occasions following 2 days dosing with sitagliptin (100 mg/day) or placebo."( The effects of sitagliptin on gastric emptying in healthy humans - a randomised, controlled study.
Deacon, CF; Horowitz, M; Jones, KL; Nauck, M; Rayner, CK; Stevens, JE, 2012
)
0.38
"A randomized, placebo-controlled, double-blind, dose-response intervention study was conducted in 32 healthy males (age: 21±2years; BMI: 21."( Islet-cell dysfunction induced by glucocorticoid treatment: potential role for altered sympathovagal balance?
Deacon, CF; Diamant, M; Heine, RJ; Holst, JJ; Karemaker, JM; Kwa, KA; Mari, A; Tushuizen, ME; van Genugten, RE; van Raalte, DH, 2013
)
0.39
" In several murine models of diabetes, acute and chronic dosing with GRA1 significantly reduced blood glucose concentrations and moderately increased plasma glucagon and glucagon-like peptide-1."( Anti-diabetic efficacy and impact on amino acid metabolism of GRA1, a novel small-molecule glucagon receptor antagonist.
Brady, EJ; Candelore, MR; Dallas-Yang, Q; Jiang, G; Langdon, RB; Li, Z; Miller, C; Mu, J; Muise, ES; Parmee, ER; Qureshi, SA; Wu, MS; Xiong, Y; Yang, X; Zhang, BB, 2012
)
0.38
"Selecting dosing regimens for phase 2 studies for a novel glucokinase activator LY2599506 is challenging due to the difficulty in modeling and assessing hypoglycemia risk."( Dose selection using a semi-mechanistic integrated glucose-insulin-glucagon model: designing phase 2 trials for a novel oral glucokinase activator.
Bue-Valleskey, J; Heathman, M; Schneck, K; Sinha, V; Yeo, KP; Zhang, X, 2013
)
0.39
" During visits that involved closed-loop delivery, basal insulin and glucagon miniboluses were delivered according to recommendations based on glucose sensor readings and a predictive dosing algorithm at 10-minute intervals."( Glucose-responsive insulin and glucagon delivery (dual-hormone artificial pancreas) in adults with type 1 diabetes: a randomized crossover controlled trial.
Alkhateeb, A; Boulet, B; Cheng, P; Coriati, A; Dallaire, M; Haidar, A; Legault, L; Messier, V; Millette, M; Rabasa-Lhoret, R, 2013
)
0.39
" The plasma concentrations of exenatide in serial blood samples were quantified for 56 days after dosing with an exendin-4 fluorescent immunoassay kit."( Pharmacokinetic properties and effects of PT302 after repeated oral glucose loading tests in a dose-escalating study.
Cho, SH; Gu, N; Jang, IJ; Kim, J; Lee, H; Lim, KS; Seol, E; Shin, D; Shin, SG; Yu, KS, 2014
)
0.4
"5-mg, 1-mg, 2-mg, and 4-mg dosage groups of PT302, respectively."( Pharmacokinetic properties and effects of PT302 after repeated oral glucose loading tests in a dose-escalating study.
Cho, SH; Gu, N; Jang, IJ; Kim, J; Lee, H; Lim, KS; Seol, E; Shin, D; Shin, SG; Yu, KS, 2014
)
0.4
" Furthermore, compound 1, when dosed orally, was found to decrease fasting blood glucose at 30 mg/kg in a streptozotocin-treated, diet-induced obesity mouse pharmacodynamic assay and blunt exogenous glucagon-stimulated glucose excursion in prediabetic mice."( The discovery of N-((2H-tetrazol-5-yl)methyl)-4-((R)-1-((5r,8R)-8-(tert-butyl)-3-(3,5-dichlorophenyl)-2-oxo-1,4-diazaspiro[4.5]dec-3-en-1-yl)-4,4-dimethylpentyl)benzamide (SCH 900822): a potent and selective glucagon receptor antagonist.
Andreani, T; Belani, J; Bradley, P; Cao, Y; Chen, P; Cox, K; Dai, P; Dai, X; DeMong, D; Feng, KI; Gauuan, J; Greenlee, W; Grotz, D; Hwa, J; Kang, L; Kozlowski, J; Lachowicz, J; Lavey, B; Liang, M; Lin, P; Lin, SI; McNamara, P; Meng, T; Miller, M; Morrison, R; Patel, B; Sondey, C; Soriano, A; Stamford, A; Wong, J; Wong, M; Yang, DY; Yu, W; Zhai, Y; Zhang, H; Zhao, H; Zhou, G, 2014
)
0.4
" Twenty-seven subjects received gemigliptin (50 mg once daily), metformin (1,000 mg twice a day), or both drugs for 7 days per dosing period."( Pharmacokinetic and pharmacodynamic interaction between gemigliptin and metformin in healthy subjects.
Ahn, JY; Cho, JY; Cho, YM; Jang, IJ; Kim, JA; Lee, H; Lee, S; Lim, KS; Shin, D; Yu, KS, 2014
)
0.4
" Sitagliptin increased active GLP-1, but caused a profound suppression of total PYY, GLP-1, and GIP when dosed alone or with GSK263."( Gut hormone pharmacology of a novel GPR119 agonist (GSK1292263), metformin, and sitagliptin in type 2 diabetes mellitus: results from two randomized studies.
Apseloff, G; Atiee, G; Bush, MA; Collins, DA; Corsino, L; Feldman, PL; Gillmor, D; McMullen, SL; Morrow, L; Nunez, DJ, 2014
)
0.4
" During visits when the patient used the single-hormone artificial pancreas, insulin was delivered based on glucose sensor readings and a predictive dosing algorithm."( Comparison of dual-hormone artificial pancreas, single-hormone artificial pancreas, and conventional insulin pump therapy for glycaemic control in patients with type 1 diabetes: an open-label randomised controlled crossover trial.
Haidar, A; Legault, L; Leroux, C; Messier, V; Mitre, TM; Rabasa-Lhoret, R, 2015
)
0.42
" With a half-life of approximately 12 h, once daily dosing might be feasible; however, significant effects on appetite and weight loss may necessitate dosage or dosing frequency reductions."( Pharmacokinetics and pharmacodynamics of the glucagon-like peptide-1 analog liraglutide in healthy cats.
Adin, CA; Borin-Crivellenti, S; Gilor, C; Hall, MJ; Lakritz, J; Rajala-Schultz, P; Rudinsky, AJ, 2015
)
0.42
"14 mg/lb], PO, q 12 h) did not improve clinical signs; the dosage was gradually increased over a 1-month course (1."( Constant rate infusion of glucagon as an emergency treatment for hypoglycemia in a domestic ferret (Mustela putorius furo).
Bennett, KR; Gaunt, MC; Parker, DL, 2015
)
0.42
" Serum aminotransferases increased in a dose-dependent manner with multiple dosing and reversed after cessation of dosing."( Short-term administration of the glucagon receptor antagonist LY2409021 lowers blood glucose in healthy people and in those with type 2 diabetes.
Deeg, MA; Fu, H; Garhyan, P; Kelly, RP; Lim, CN; Loh, MT; Pinaire, JA; Prince, MJ; Raddad, E, 2015
)
0.42
" The dose-response relationship of the integrated insulinotropic and gastrostatic response to lixisenatide in healthy volunteers after a standardized liquid meal was investigated."( Lixisenatide reduces postprandial hyperglycaemia via gastrostatic and insulinotropic effects.
Becker, RH; Golor, G; Pellissier, F; Stechl, J; Steinstraesser, A, 2015
)
0.42
" We found that exendin-4 exerts its effect on failing human islet grafts in a bell-shaped dose-response curve."( The effects of exendin-4 treatment on graft failure: an animal study using a novel re-vascularized minimal human islet transplant model.
Abadpour, S; Foss, A; Gorman, T; Hoeyem, M; Johansson, L; Korsgren, O; Sahraoui, A; Scholz, H; Skrtic, S; Smith, DM; Winzell, MS, 2015
)
0.42
" Consistent with ATP's controlling glucagon and insulin secretion during hypo- and hyperglycemia, respectively, the dose-response relationship for glucose-induced [ATP]pm generation was left shifted in α-cells compared to β-cells."( Submembrane ATP and Ca2+ kinetics in α-cells: unexpected signaling for glucagon secretion.
Ahooghalandari, P; Gribble, FM; Gylfe, E; Li, J; Reimann, F; Tengholm, A; Yu, Q, 2015
)
0.42
" Insulin dosage was reduced by 30% from patients' usual estimates."( Fixed ratio dosing of pramlintide with regular insulin before a standard meal in patients with type 1 diabetes.
de Bruin, TW; Herrmann, K; Kolterman, OG; Öhman, P; Riddle, MC; Xu, J; Yuen, KC, 2015
)
0.42
" A low dosage of coenzyme Q was administered life-long in rats in order to try to prevent pancreatic aging-related alterations associated to some dietary fat sources."( Sunflower Oil but Not Fish Oil Resembles Positive Effects of Virgin Olive Oil on Aged Pancreas after Life-Long Coenzyme Q Addition.
Arribas, MI; Giampieri, F; González-Alonso, A; Ochoa, JJ; Quiles, JL; Ramírez-Tortosa, CL; Ramírez-Tortosa, MC; Roche, E; Varela-López, A, 2015
)
0.42
" The GNP delivery device is a compact, highly portable, single-use nasal powder dosing device constructed of polypropylene that allows for simple, single-step administration."( Needle-free nasal delivery of glucagon for treatment of diabetes-related severe hypoglycemia: toxicology of polypropylene resin used in delivery device.
Bendix Jensen, M; Carballo, D; Edwards, CN; Esdaile, DJ; Piché, C; Reno, FE; Török-Bathó, M; Triest, M, 2016
)
0.43
" Last, we present an exercise dosing adjustment algorithm and describe parameter tuning and performance using an in silico glucoregulatory model during an exercise event."( Incorporating an Exercise Detection, Grading, and Hormone Dosing Algorithm Into the Artificial Pancreas Using Accelerometry and Heart Rate.
Branigan, D; Castle, J; Condon, J; El Youssef, J; Jacobs, PG; Preiser, N; Reddy, R; Resalat, N, 2015
)
0.42
" Daily dosing over 28 days in rats resulted in mild to moderate, unilateral or bilateral erosion/ulceration of the olfactory epithelium, frequently with minimal to mild, acute to sub-acute inflammation of the lamina propria at the dorsal turbinates of the nasal cavity in 2/10 males and 3/10 females in the high-dose group (0."( A novel nasal powder formulation of glucagon: toxicology studies in animal models.
Carballo, D; McInally, K; Normand, P; Piché, C; Reno, FE; Silo, S; Stotland, P; Triest, M, 2015
)
0.42
" Head/facial discomfort was reported during 25% of intranasal and 9% of intramuscular dosing visits; nausea (with or without vomiting) occurred with 35% and 38% of visits, respectively."( Intranasal Glucagon for Treatment of Insulin-Induced Hypoglycemia in Adults With Type 1 Diabetes: A Randomized Crossover Noninferiority Study.
Ahmann, AJ; Beck, RW; Bethin, KE; DiMeglio, LA; Dulude, H; Foster, NC; Haller, MJ; Marcovina, SM; Meng, L; Nathan, BM; Piché, CA; Rampakakis, E; Rickels, MR; Ruedy, KJ; Sherr, JL; Tamborlane, WV; Wadwa, RP, 2016
)
0.43
"To investigate the dose-response relationship of subcutaneous (s."( Effects of subcutaneous, low-dose glucagon on insulin-induced mild hypoglycaemia in patients with insulin pump treated type 1 diabetes.
Holst, JJ; Madsbad, S; Nørgaard, K; Ranjan, A; Schmidt, S, 2016
)
0.43
" The current study examined the safety and dose-response relationships of a needle-free intranasal glucagon preparation in youth aged 4 to <17 years."( Glucagon Nasal Powder: A Promising Alternative to Intramuscular Glucagon in Youth With Type 1 Diabetes.
Beck, RW; Bethin, KE; DiMeglio, LA; Dulude, H; Foster, NC; Fox, LA; Marcovina, SM; Meng, L; Nathan, BM; Piché, CA; Rampakakis, E; Rickels, MR; Ruedy, KJ; Schatz, DA; Sherr, JL; Tamborlane, WV; Wadwa, RP, 2016
)
0.43
" There are limited data on evaluating GH and hypothalamic-pituitary-adrenal (HPA) axes using weight-based dosing for the GST."( Revised GH and cortisol cut-points for the glucagon stimulation test in the evaluation of GH and hypothalamic-pituitary-adrenal axes in adults: results from a prospective randomized multicenter study.
Bena, J; Biller, BM; Gordon, MB; Hamrahian, AH; Pulaski-Liebert, KJ; Yuen, KC, 2016
)
0.43
" Within dosage groups, total GLP-1 concentrations were similar, but intact GLP-1 concentrations were much lower when infused via the mesenteric artery because of extensive degradation of GLP-1 in the splanchnic bed."( The insulinotropic effect of exogenous glucagon-like peptide-1 is not affected by acute vagotomy in anaesthetized pigs.
Christensen, LW; Deacon, CF; Hansen, M; Hartmann, B; Hjøllund, KR; Holst, JJ; Larsen, SA; Plamboeck, A; Veedfald, S, 2016
)
0.43
" Strategies involving changes to insulin dosing and/or carbohydrate consumption in anticipation of or during different types of exercise have proved to be helpful but not sufficient to fully prevent the hypoglycaemic risk."( Can somatostatin antagonism prevent hypoglycaemia during exercise in type 1 diabetes?
Rabasa-Lhoret, R; Taleb, N, 2016
)
0.43
"In random order, 21 adults with type 1 diabetes (T1D) underwent three 22-hour experimental sessions: AP with exercise dosing adjustment (APX); AP with no exercise dosing adjustment (APN); and sensor-augmented pump (SAP) therapy."( Randomized trial of a dual-hormone artificial pancreas with dosing adjustment during exercise compared with no adjustment and sensor-augmented pump therapy.
Branigan, D; Castle, JR; Condon, J; Edwards, C; El Youssef, J; Jacobs, PG; Jones, M; Kuehl, K; Leitschuh, J; Preiser, N; Rajhbeharrysingh, U; Ramsey, K; Reddy, R; Resalat, N, 2016
)
0.43
"Four experiments were performed in dogs: (i) dose-response effects of YKP10811 on liquid gastric emptying; (ii) effects and mechanisms of YKP10811 on solid gastric emptying delayed by glucagon; (iii) effects of low-dose YKP10811 on antral contractions; and (iv) effects of low-dose YKP10811 on gastric accommodation."( Prokinetic effects of a new 5-HT
Chen, JD; Han, HS; Kim, HW; Song, G; Xu, X; Yin, J, 2017
)
0.46
" It consists of a glucose sensor, infusion pumps, and a dosing algorithm that directs hormonal delivery."( Modeling Glucagon Action in Patients With Type 1 Diabetes.
Castle, JR; Emami, A; Haidar, A; Pineau, J; Rabasa-Lhoret, R; Youssef, JE, 2017
)
0.46
"LGD-6972 had linear plasma pharmacokinetics consistent with once-daily dosing that was comparable in healthy and T2DM subjects."( Pharmacokinetics and pharmacodynamics of single and multiple doses of the glucagon receptor antagonist LGD-6972 in healthy subjects and subjects with type 2 diabetes mellitus.
Armas, D; Dilzer, S; Klein, D; Lasseter, K; Li, YX; Logan, D; Marschke, KB; Pipkin, JD; Plotkin, DJ; Vajda, EG; Wei, X; Zhi, L; Zhou, R, 2017
)
0.46
" The safety and pharmacological profile of LGD-6972 after 14 days of dosing supports continued clinical development."( Pharmacokinetics and pharmacodynamics of single and multiple doses of the glucagon receptor antagonist LGD-6972 in healthy subjects and subjects with type 2 diabetes mellitus.
Armas, D; Dilzer, S; Klein, D; Lasseter, K; Li, YX; Logan, D; Marschke, KB; Pipkin, JD; Plotkin, DJ; Vajda, EG; Wei, X; Zhi, L; Zhou, R, 2017
)
0.46
" In the present report, we review the available animal and human data on the physiological functions of glucagon, as well as its pharmacological use, according to dosing and duration (acute and chronic)."( Glucagon in artificial pancreas systems: Potential benefits and safety profile of future chronic use.
Gingras, V; Haidar, A; Legault, L; Messier, V; Rabasa-Lhoret, R; Taleb, N, 2017
)
0.46
" Autonomously adaptive dosing algorithms used data from a continuous glucose monitor to control subcutaneous delivery of insulin and glucagon."( Home use of a bihormonal bionic pancreas versus insulin pump therapy in adults with type 1 diabetes: a multicentre randomised crossover trial.
Balliro, C; Buckingham, BA; Buse, JB; Clinton, P; Damiano, ER; DeSalvo, D; Dezube, M; Diner, J; Ekhlaspour, L; El-Khatib, FH; Esmaeili, A; Frank, E; Goley, A; Harlan, DM; Hartigan, C; Hillard, MA; Kirkman, MS; Lock, JP; Ly, T; Magyar, KL; Malkani, S; Mondesir, D; Norlander, L; Russell, SJ; Selagamsetty, RR; Sinha, M; Thompson, MJ; Wilson, DM; Young, LA; Zheng, H, 2017
)
0.46
" Frequent insulin dosing and boluses during daily diabetes care leads to an increased risk of dangerously low glucose levels, which can cause behavioral and cognitive disturbance, seizure, coma, and even death."( Insulin-Responsive Glucagon Delivery for Prevention of Hypoglycemia.
Buse, JB; Gu, Z; Kahkoska, AR; Sun, W; Wang, J; Yu, J; Zhang, Y, 2017
)
0.46
"The method was established for the quantitation of endogenous glucagon (LLOQ: 15 pg/ml) and dosed GLP-1 (LLOQ: 25 pg/ml) in human plasma, and is the first such method avoiding immunoenrichment."( Development of a UHPLC-MS/MS (SRM) method for the quantitation of endogenous glucagon and dosed GLP-1 from human plasma.
Bloom, S; Cegla, J; Creaser, CS; Howard, JW; Jones, B; Kay, RG; Tan, T, 2017
)
0.46
"The LC-MS/MS method offers a viable alternative to immunoassays for quantitation of endogenous glucagon, dosed glucagon and/or dosed GLP-1."( Development of a UHPLC-MS/MS (SRM) method for the quantitation of endogenous glucagon and dosed GLP-1 from human plasma.
Bloom, S; Cegla, J; Creaser, CS; Howard, JW; Jones, B; Kay, RG; Tan, T, 2017
)
0.46
" We developed an insulin-dependent glucagon dosing regimen for treatment of mild hypoglycaemia based on simulations."( Relationship between Optimum Mini-doses of Glucagon and Insulin Levels when Treating Mild Hypoglycaemia in Patients with Type 1 Diabetes - A Simulation Study.
Holst, JJ; Jørgensen, JB; Knudsen, CB; Madsbad, S; Madsen, H; Nørgaard, K; Ranjan, A; Schmidt, S; Wendt, SL, 2018
)
0.48
" Here, we demonstrate the lipid lowering effects of acute dosing with Glp1r/Gcgr dual agonist (DualAG)."( Glucagon like receptor 1/ glucagon dual agonist acutely enhanced hepatic lipid clearance and suppressed de novo lipogenesis in mice.
Carrington, P; Chen, Y; Cumiskey, AM; Kowalik, E; Lao, J; Li, W; McLaren, DG; More, VR; Murphy, BA; Nawrocki, A; Patel, R; Pocai, A; Previs, S; Satapati, S; Stout, S; Szeto, D; Wang, L, 2017
)
0.46
" Actual effects, interindividual variation, dose-response relationships, and possible long-term effects of supraphysiological glucagon levels warrant further investigation."( Hemodynamic Effects of Glucagon: A Literature Review.
Bøgevig, S; Christensen, MB; Holst, JJ; Knop, FK; Petersen, KM, 2018
)
0.48
"5 nmol/kg of the glucagon-analogue, a 1:23 (glucagon-analogue:insulin) ratio was chosen and a dose-response was performed in diabetic rats."( Dual treatment with a fixed ratio of glucagon and insulin increases the therapeutic window of insulin in diabetic rats.
Bouman, SD; Pedersen, C; Porsgaard, T; Roed, NK; Rosenkilde, MM, 2018
)
0.48
" Our aim was to determine whether a dual-hormone closed-loop system using wearable sensors to detect exercise and adjust dosing to reduce exercise-related hypoglycemia would outperform other forms of closed-loop and open-loop therapy."( Randomized Outpatient Trial of Single- and Dual-Hormone Closed-Loop Systems That Adapt to Exercise Using Wearable Sensors.
Branigan, D; Castle, JR; El Youssef, J; Gabo, V; Jacobs, PG; Leitschuh, J; Rajhbeharrysingh, U; Ramsey, K; Reddy, R; Resalat, N; Senf, B; Sugerman, SM; Wilson, LM, 2018
)
0.48
" The serum concentration of corticosterone increased after the administration of clozapine, but no significant variation was observed with the dosage of clozapine."( Clozapine-Induced Acute Hyperglycemia Is Accompanied with Elevated Serum Concentrations of Adrenaline and Glucagon in Rats.
Ishiwata, Y; Kimura, Y; Nagata, M; Takahashi, H; Yasuhara, M, 2018
)
0.48
"Current emergency injectors of glucagon require manual reconstitution, which involves several steps that may lead to dosage errors."( Rapid reconstitution packages (RRPs) for stable storage and delivery of glucagon.
Abad Vazquez, AN; D'hers, S; Elman, NM; Gurman, P, 2019
)
0.51
" Longer term studies with multiple daily dosing will establish whether this affects body weight."( Intranasal glucagon acutely increases energy expenditure without inducing hyperglycaemia in overweight/obese adults.
Dash, S; Floh, A; Lee, SJ; Stahel, P; Sud, SK, 2019
)
0.51
" We also propose an ad-hoc rule for both the dosage and the time of delivery of insulin and glucagon."( Optimal regulation of blood glucose level in Type I diabetes using insulin and glucagon.
Della Rossa, F; Klickstein, I; Russell, J; Shirin, A; Sorrentino, F, 2019
)
0.51
" GLP-1 RA dosing varies from once weekly to twice daily, and the class is well tolerated in patients with type 2 diabetes."( Glucagon-like peptide 1 receptor agonists in type 1 diabetes mellitus.
Brooks, A; Guyton, J; Jeon, M, 2019
)
0.51
" If the blood glucose did not increase within 30 min, the initial dosage was repeated at that time."( Mini-doses of glucagon to prevent hypoglycemia in children with type 1 diabetes refusing food: a case series.
Rabbone, I; Tinti, D, 2020
)
0.56
" Novel dosage forms of glucagon that have recently been approved for marketing in the United States allow glucagon to be delivered more easily, which may positively impact effective treatment of severe hypoglycemia among older people."( Newly Approved Novel Dosage Forms of Glucagon for Management of Severe Hypoglycemia.
Baker, DE; Borden, TJ; Gates, BJ; Levien, TL, 2020
)
0.56
" In this review, we highlight the advantages and limitations of recent advances in drug formulation that improve protein stability and pharmacokinetics, prolong drug delivery, or enable alternative dosage forms for the management of diabetes."( Engineering biopharmaceutical formulations to improve diabetes management.
Appel, EA; Buckingham, BA; d'Aquino, AI; Lal, RA; Maikawa, CL, 2021
)
0.62
" We examined the dose-response relationship for GLP-1 on glucose-induced glucagon suppression in healthy individuals and patients with type 2 and type 1 diabetes."( Glucagonostatic Potency of GLP-1 in Patients With Type 2 Diabetes, Patients With Type 1 Diabetes, and Healthy Control Subjects.
Bagger, JI; Grøndahl, MFG; Holst, JJ; Knop, FK; Lund, A; Vilsbøll, T, 2021
)
0.62
" Post hoc analysis of the effect of glucocorticoid dosing pre-GST on AEs was examined in those receiving <20 mg hydrocortisone (group A, n = 19) vs ≥20 mg hydrocortisone (group B, n = 59)."( Reducing adverse events associated with the glucagon stimulation test for the assessment of growth hormone deficiency in adults with a high prevalence of pituitary hormone deficiencies.
Caputo, C; Derbyshire, M; Gogna, R; Hong, A; Jung, C; Kiburg, KV; Krishnamurthy, B; MacIsaac, RJ; McLachlan, K; Sachithanandan, N; Zacharin, M, 2021
)
0.62
"6 mg), placebo, or reconstituted glucagon (GlucaGen; dosed per label) during insulin-induced hypoglycemia."( Dasiglucagon, a next-generation ready-to-use glucagon analog, for treatment of severe hypoglycemia in children and adolescents with type 1 diabetes: Results of a phase 3, randomized controlled trial.
Bailey, T; Battelino, T; Danne, T; DiMeglio, L; Dovc, K; Melgaard, A; Tehranchi, R; von dem Berge, T; Woerner, S; Yager Stone, J, 2021
)
0.62
" PG recovery was achieved in all participants in the dasiglucagon and glucagon groups within 20 min of dosing compared to 2 out of 11 patients (18%) with placebo."( Dasiglucagon, a next-generation ready-to-use glucagon analog, for treatment of severe hypoglycemia in children and adolescents with type 1 diabetes: Results of a phase 3, randomized controlled trial.
Bailey, T; Battelino, T; Danne, T; DiMeglio, L; Dovc, K; Melgaard, A; Tehranchi, R; von dem Berge, T; Woerner, S; Yager Stone, J, 2021
)
0.62
" The long half-life of HM15136, coupled with an increase in blood glucose for ~2 weeks, may warrant a weekly dosing regimen."( A double-blind, placebo-controlled, single-ascending dose study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of HM15136, a novel long-acting glucagon analogue, in healthy subjects.
Baek, S; Cho, YM; Choi, J; Huh, KY; Hwang, JG; Lee, H; Lee, N; Shin, W, 2022
)
0.72
"The pharmacokinetics of ZT-01 and PRL-2903 were assessed following intraperitoneal or subcutaneous dosing at 10 mg/kg."( ZT-01: A novel somatostatin receptor 2 antagonist for restoring the glucagon response to hypoglycaemia in type 1 diabetes.
Aiken, J; Appadurai, D; Chan, O; D'Souza, NC; Farhat, R; Hull, G; Liggins, RT; Riddell, MC; Simonson, E, 2022
)
0.72
" By their self-regulated mechanism, these "smart" drugs modulate their potency, pharmacokinetics and dosing depending on patients' glucose levels."( Medical devices, smart drug delivery, wearables and technology for the treatment of Diabetes Mellitus.
Dolan, EB; Domingo-Lopez, DA; Duffy, GP; H J Schreiber, L; Lattanzi, G; O'Sullivan, J; Wallace, EJ; Wylie, R, 2022
)
0.72
"Age-appropriate dosing of this glucagon formulation was effective at 30 min in reversing plasma glucose concentrations from < 80 mg/dL in youth with T1D."( Pharmacodynamics, pharmacokinetics, safety, and tolerability of a ready-to-use, room temperature, liquid stable glucagon administered via an autoinjector pen to youth with type 1 diabetes.
Buckingham, B; Conoscenti, V; Prestrelski, SJ; Sherr, J, 2022
)
0.72
" Total cost per dosing unit increased from $157."( Glucagon Prescribing and Costs Among U.S. Adults With Diabetes, 2011-2021.
Galindo, RJ; Heien, HC; Herges, JR; McCoy, RG; Neumiller, JJ; Umpierrez, GE, 2023
)
0.91
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Drug Classes (1)

ClassDescription
peptide hormoneAny peptide with hormonal activity in animals, whether endocrine, neuroendocrine, or paracrine.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (1)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
histone acetyltransferase KAT2A isoform 1Homo sapiens (human)Potency3.98110.251215.843239.8107AID504327
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (24,806)

TimeframeStudies, This Drug (%)All Drugs %
pre-199014170 (57.12)18.7374
1990's4406 (17.76)18.2507
2000's2954 (11.91)29.6817
2010's2345 (9.45)24.3611
2020's931 (3.75)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials1,498 (5.75%)5.53%
Reviews2,172 (8.34%)6.00%
Case Studies784 (3.01%)4.05%
Observational19 (0.07%)0.25%
Other21,566 (82.82%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (202)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Acute Regulation of Intestinal and Hepatic Lipoprotein Production by Glucagon [NCT01155206]Phase 49 participants (Actual)Interventional2009-06-30Completed
A Phase 3, Randomized, Double-Blind, Parallel Group Safety Trial to Evaluate the Immunogenicity of Dasiglucagon and GlucaGen® Administered Subcutaneously in Patients With Type 1 Diabetes Mellitus (T1DM) [NCT03216226]Phase 3112 participants (Actual)Interventional2017-06-28Completed
[NCT01232244]15 participants (Actual)Observational2010-10-31Completed
Glucagon-like Peptide 2 - a Glucose Dependent Glucagonotropic Hormone? [NCT03954873]10 participants (Actual)Interventional2019-01-31Completed
The Bionic Pancreas Feasibility Trial Testing the Bionic Pancreas With ZP4207 [NCT02971228]Phase 213 participants (Actual)Interventional2016-11-30Completed
Investigation of GLP-2 Mechanism of Action (KS-2) [NCT03573934]10 participants (Actual)Interventional2017-09-15Completed
A Randomized Open-label Crossover Study to Compare the Safety and Efficacy of ZP-Glucagon to Injectable Glucagon in the Treatment of Insulin-induced Hypoglycemia in Subjects With Type-1 Diabetes [NCT02459938]Phase 116 participants (Actual)Interventional2015-01-31Completed
Effect of Glucagon-like Peptide 2 on Postprandial Gallbladder Motility in Healthy Subjects [NCT03682172]Early Phase 115 participants (Actual)Interventional2018-05-01Active, not recruiting
A Randomised, Double-blind, Three-period Crossover Trial to Investigate the Safety and the Pharmacokinetic, Pharmacodynamic Characteristics of Two BioChaperone® Glucagon Formulations Compared to Marketed GlucaGen® in Subjects With Type 1 Diabetes [NCT03176524]Phase 127 participants (Actual)Interventional2017-06-06Completed
Assessing the Effects of Intranasal Glucagon on Energy Balance in Humans [NCT03650582]Phase 2/Phase 320 participants (Anticipated)Interventional2017-06-06Recruiting
A Phase 3 Study of Nasal Glucagon (LY900018) Compared to Intramuscular Glucagon for Treatment of Insulin-induced Hypoglycemia in Japanese Patients With Diabetes Mellitus [NCT03421379]Phase 375 participants (Actual)Interventional2018-02-21Completed
A Phase 3, Randomized, Double-blind, Parallel Trial to Confirm the Clinical Efficacy and Safety of Dasiglucagon in Rescue Treatment of Hypoglycemia in Subjects With Type 1 Diabetes Mellitus Compared to Placebo and With Reference to GlucaGen [NCT03378635]Phase 3170 participants (Actual)Interventional2017-12-07Completed
Effect of ROSE-010 on Gastrointestinal Motor Functions in Female Patients With Constipation Predominant Irritable Bowel Syndrome (C-IBS) [NCT01056107]Phase 1/Phase 252 participants (Actual)Interventional2010-01-31Completed
Closed-Loop Glucagon Pump for Treatment of Post-Bariatric Hypoglycemia [NCT03255629]Phase 1/Phase 218 participants (Actual)Interventional2017-09-19Completed
Efficacy of Glucagon In the Prevention of Hypoglycemia During Mild Exercise [NCT03217175]22 participants (Actual)Interventional2017-08-18Terminated(stopped due to Lack of appropriate funds)
Investigation of GLP-2 Mechanism of Action [NCT03574064]10 participants (Actual)Interventional2018-06-01Completed
A Single Center, Randomized, 4-Period Study to Evaluate the Pharmacokinetics, Pharmacodynamics and Safety of Single or Repeated 3 mg Doses of Intranasally Administered Glucagon in Adults With Type 1 or Type 2 Diabetes [NCT02806960]Phase 112 participants (Actual)Interventional2014-06-30Terminated(stopped due to Drug delivery was below target dose due to partial obstruction by aggregated particles.)
A Phase 2, Interventional, Randomized, Double-Blind, Placebo-Controlled Pilot Study of Glucagon RTU in Subjects Who Experience Hyperinsulinemic Hypoglycemia After Bariatric Surgery [NCT03770637]Phase 214 participants (Actual)Interventional2019-05-10Completed
Phase 3, Randomized, Double-blind, Placebo/Active-controlled, Parallel-arm Trial to Assess Efficacy, Safety, and Pharmacokinetics of Dasiglucagon Relative to Placebo/GlucaGen® as Rescue Therapy for Severe Hypoglycemia in Children With T1DM Treated With In [NCT03667053]Phase 342 participants (Actual)Interventional2018-09-28Completed
Glucagon Enhanced Insulin Absorption in Diabetes Mellitus Type 1 [NCT05960565]Phase 230 participants (Anticipated)Interventional2023-06-20Recruiting
Effects of GIP and GLP-1 on Gastric Emptying, Appetite and Insulin-glucose Homeostasis [NCT01079624]Phase 115 participants (Actual)Interventional2006-08-31Completed
The Effect of Glucagon on Rates of Hepatic Mitochondrial Oxidation and Pyruvate Carboxylase Flux in Man Assessed by Positional Isotopomer NMR Tracer Analysis (PINTA) [NCT03965130]18 participants (Actual)Interventional2019-05-22Active, not recruiting
G-Pen™ (Glucagon Injection) Compared to Lilly Glucagon (Glucagon for Injection [RDNA Origin]) for Induced Hypoglycemia Rescue in Adults With T1D: a Phase 3 B Multi-Centered, Randomized, Controlled, Single Blind, 2-Way Crossover Study to Evaluate Efficacy [NCT03439072]Phase 381 participants (Actual)Interventional2018-01-23Completed
The Efficacy of GLP - 1 (7-36) Amide for Glycemic Control in Critically Ill Surgical Patients [NCT00798590]Phase 219 participants (Actual)Interventional2008-12-31Terminated(stopped due to PI left JHU)
An Open-label, Randomized, Five-way, Cross-over Study to Compare the Efficacy of Single- and Dual-hormone Closed-loop Operations Combined With Either Conventional Carbohydrate Counting or a Simplified Qualitative Meal-size Estimation, and Sensor-augmented [NCT02490098]Phase 20 participants (Actual)Interventional2018-01-31Withdrawn(stopped due to Funding terminated)
Cardiovascular Outcomes in Patients With Type 2 Diabetes Mellitus [NCT03249506]25,358 participants (Actual)Observational2016-05-12Completed
Effect of Liver Glycogen Content on Hypoglycemic Counterregulation [NCT03241706]Phase 140 participants (Anticipated)Interventional2018-08-02Recruiting
A Prospective Randomized, Placebo (Saline)-Controlled, Balanced, 3-treatment Regimen Crossover Study Comparing the Effects of Prolonged (13 h) Hyperglucagonemia With Those of Acute (3 hr) Hyperglucagonemia on Energy Expenditure and Endogenous Glucose Prot [NCT02237053]Phase 16 participants (Actual)Interventional2014-09-30Completed
Obesity Treatment to Improve Diabetes [NCT05390307]60 participants (Anticipated)Interventional2023-04-01Recruiting
The Use of Mini-dose Glucagon to Prevent Exercise-induced Hypoglycemia in Type 1 Diabetes [NCT02660242]Phase 216 participants (Actual)Interventional2016-01-31Completed
Importance of Endogenous Glucagon-like Peptide-1 and Glucose-dependent Insulinotropic Polypeptide for Postprandial Glucose Metabolism After Roux-en-Y Gastric Bypass and Sleeve Gastrectomy Surgery [NCT03950245]36 participants (Actual)Interventional2019-07-01Completed
A Pilot Study on the Effect of Glucagon and Glucagon-like Peptide-1 Co-agonism on Cardiac Function and Metabolism in Overweight Participants With Type 2 Diabetes (COCONUT) [NCT04307797]Phase 416 participants (Anticipated)Interventional2022-01-18Recruiting
The Effect of GIP and GLP-1 on Insulin and Glucagon Secretion in Patients With HNF1A-diabetes Treated With or Without Sulphonylurea [NCT03081676]20 participants (Actual)Interventional2017-03-08Completed
Bioequivalence of a Test Formulation of Glucagon for SC Injection Compared to Glucagon for Injection (Bedford Laboratories) Under Fasted Conditions [NCT02086227]Phase 132 participants (Actual)Interventional2013-05-31Completed
Hypoglycemia Associated Autonomic Dysfunction [NCT01858896]Early Phase 128 participants (Anticipated)Interventional2013-07-31Active, not recruiting
Development and Evaluation of a Glucagon Sensitivity Test in Individuals With and Without Hepatic Steatosis [NCT04907721]65 participants (Actual)Interventional2021-05-27Completed
Comparison of Canagliflozin vs. Alternative Antihyperglycemic Treatments on Risk of Heart Failure Hospitalization and Amputation for Patients With Type 2 Diabetes Mellitus and the Subpopulation With Established Cardiovascular Disease [NCT03492580]714,582 participants (Actual)Observational2018-02-22Completed
A Randomized, Three-way, Cross-over Study to Assess the Efficacy of a Dual-hormone Closed-loop System With XeriSol™ Glucagon vs Closed-loop System With Insulin Only vs a Predictive Low Glucose Suspend System [NCT03424044]Phase 123 participants (Actual)Interventional2018-03-29Completed
G-Pen (Glucagon Injection) Compared to GlucaGen® Hypokit® (Glucagon) for Induced Hypoglycemia Rescue in Adults With T1D: A Phase 3 Multi-center, Randomized, Controlled, Single Blind, 2-way Crossover Study to Evaluate Efficacy and Safety [NCT03738865]Phase 3132 participants (Actual)Interventional2018-09-27Completed
A Pathophysiological Study of the Postprandial Human Liver (PLS) [NCT03849235]60 participants (Anticipated)Observational2019-03-02Recruiting
Comparison of Glucagon Administered by Either the Nasal (LY900018) or Intra-muscular (GlucaGen®) Routes in Adult Patients With Type 1 Diabetes Mellitus During Controlled Insulin-Induced Hypoglycemia [NCT03339453]Phase 170 participants (Actual)Interventional2017-11-10Completed
A Once-weekly, Repeated Dose, Placebo Controlled, Double Blind, Randomised Cross-over Trial Investigating Safety, Efficacy and Pharmacodynamics of FE 203799 in Patients With Short Bowel Syndrome With Intestinal Failure Requiring Parenteral Support Followe [NCT03415594]Phase 1/Phase 28 participants (Actual)Interventional2018-05-08Completed
The Effect of Native GLP-1 on Glucose Metabolism in the CNS During Hyperglycemia in Healthy Young Men Assessed by PET [NCT01185119]Phase 2/Phase 310 participants (Actual)Interventional2010-06-30Completed
Effects of Glucagon Like Peptide-1 on No-reflow in Patients With ST-segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention [NCT02507128]190 participants (Anticipated)Interventional2015-07-31Recruiting
The Role of GIP, GLP-1 and GLP-2 in Type 2 Diabetic Hyperglucagonemia [NCT00716170]10 participants (Actual)Observational2008-07-31Completed
The Effect of LY2189265 on Insulin Secretion in Response to Intravenous Glucose Infusion [NCT01300260]Phase 132 participants (Actual)Interventional2011-02-28Completed
The Diagnostic Accuracy of the Glucagon Stimulation Test for Evaluation of Adult Growth Hormone Deficiency and the Hypothalamic-Pituitary-Adrenal Axis [NCT01282164]43 participants (Actual)Interventional2011-01-31Completed
Effect of Physiologic Hyperglucogonemia on Adipocyte Metabolism [NCT04300049]Early Phase 110 participants (Actual)Interventional2018-02-05Active, not recruiting
A Randomized, Double-blinded Trial to Investigate Glycemic Excursions Following an Oral Mixed Meal Challenge in Subjects With Type 1 Diabetes When Concomitantly Treated With Insulin Alone or Co-administered Insulin and Glucagon [NCT04712266]Early Phase 115 participants (Actual)Interventional2020-09-15Completed
Phenotypic and Genotypic Characterization of a Cohort of Pediatric Patients With New-onset Type 1 Diabetes [NCT04007809]98 participants (Actual)Interventional2019-06-15Active, not recruiting
The Effect of Glucagon-like Peptide 1 (GLP-1) Receptor Agonist on Cerebral Blood Flow Velocity in Stroke Patients [NCT02829502]Phase 230 participants (Anticipated)Interventional2016-08-31Recruiting
[NCT02798250]Phase 211 participants (Actual)Interventional2016-06-30Completed
A Stable Glucagon Analog Administered by a Bihormonal Closed Loop System; a Feasibility Study [NCT05454709]Phase 212 participants (Anticipated)Interventional2023-06-01Not yet recruiting
Mini-Dose Glucagon for Adults With Type 1 Diabetes: A Study to Assess the Efficacy and Safety of Mini-dose Glucagon for Treatment of Non-severe Hypoglycemia in Adults With Type 1 Diabetes [NCT02411578]Phase 226 participants (Actual)Interventional2015-09-30Completed
Role of Hyperinsulinemia in NAFLD: Dexamethasone-Pancreatic Clamp Pilot & Feasibility Study [NCT06126354]Phase 116 participants (Anticipated)Interventional2023-12-01Not yet recruiting
The Effect of Glucagon-Like Peptide-1 (GLP-1) on Pulmonary Vascular Resistance (PVR) in Patients With Heart Failure [NCT02129179]Phase 110 participants (Actual)Interventional2014-06-30Completed
A Single Center, Randomized, 4-Period Study to Evaluate the Pharmacokinetics, Pharmacodynamics and Safety of Single or Repeated 3 mg Doses of Intranasally Administered Glucagon in Adults With Type 1 or Type 2 Diabetes [NCT02806973]Phase 132 participants (Actual)Interventional2015-01-31Completed
The Differential Effects of Diabetes Therapy on Inflammation [NCT02150707]17 participants (Actual)Observational2014-05-31Completed
High Risk Population of Cardiovascular Disease in Hubei Province (Coronary Heart Disease With Diabetes) Screening and Intervention Program [NCT05782881]16,000 participants (Anticipated)Interventional2023-01-15Recruiting
A Randomized, Participant-blinded Five-arm Crossover Study With Blinded Outcome Assessment Investigating Glucagon's Cardiovascular Effects With and Without Beta-blocker-induced Cardioinhibition. [NCT03533179]Phase 410 participants (Actual)Interventional2018-06-01Completed
An Open-Label, Multi-Center, Single-Dose Study to Assess the Safety, Tolerability, Pharmacodynamics, and Pharmacokinetics of Nasal Glucagon in Pediatric Patients With Type 1 Diabetes Aged 1 to <4 Years [NCT04992312]Phase 19 participants (Anticipated)Interventional2022-03-24Recruiting
A Randomised, Open, Two-Way Cross-Over, Phase I Study to Evaluate the Response to Glucagon Versus the Spontaneous Counter-Regulatory Response in T2DM Patients Treated With AZD1656 and Metformin During Hypoglycemia [NCT00817271]Phase 18 participants (Anticipated)Interventional2009-02-28Completed
Mini-Dose Glucagon to Treat Fasting-induced Hypoglycemia During Ramadan [NCT03970772]20 participants (Actual)Interventional2019-04-15Completed
A Comparison of Two Sensor-Augmented Glycemic Control Systems in Persons With Type 1 Diabetes Mellitus: Subcutaneous (SC) Insulin and Glucagon Delivery vs. SC Insulin Only [NCT00797823]Phase 214 participants (Actual)Interventional2008-11-30Completed
GLP-1 Inhibits Prandial Antro-duodeno-jejunal Motility in Humans: Native GLP-1 Compared With Analogue ROSE-010 in Vitro [NCT02731664]Phase 112 participants (Actual)Interventional2012-09-30Completed
Four Weeks of Near Normalisation of Blood Glucose Improves the Insulin Response to GLP-1 and GIP in Patients With Type 2 Diabetes [NCT00612950]8 participants (Actual)Interventional2006-10-31Completed
Effect of Combination of the Gut Hormones Neurotensin and GLP-1 on Physiological Regulation of Appetite and Food Intake [NCT04186026]35 participants (Anticipated)Interventional2019-10-01Recruiting
The Role of the Kidneys and Liver in the Elimination of Glucagon An Evaluation of the Metabolic Clearance Rate of Glucagon in Patients With End-stage Renal Disease and Patients With Liver Cirrhosis [NCT05056584]48 participants (Actual)Interventional2020-08-01Completed
Evaluation of the Effects of Intranasal Glucagon on Endogenous Glucose Production in Humans [NCT02740829]Phase 110 participants (Actual)Interventional2015-03-31Completed
Evaluation of Dual-hormone Artificial Pancreas With Closed-loop Glucose Control Versus Single-hormone With Carbohydrate Recommendations Under Unannounced Exercise and Meal Challenge in Adults With Type 1 Diabetes. [NCT06082973]15 participants (Anticipated)Interventional2023-12-01Not yet recruiting
Near Normalisation of Blood Glucose Improves the Potentiating Effect of GLP-1 on Glucose Induced Insulin Secretion in Patients With Type 2 Diabetes [NCT00612625]9 participants (Actual)Interventional2004-02-29Completed
A Phase 1 Study to Evaluate the Effects of Common Cold and of Concomitant Administration of Nasal Decongestant on the Pharmacokinetics and Pharmacodynamics of a Novel Glucagon Formulation in Otherwise Healthy Subjects [NCT02778100]Phase 136 participants (Actual)Interventional2013-03-31Completed
A Randomized, Open Label, Four Way Crossover Study to Compare the Pharmacokinetics, Pharmacodynamics and Safety After Intramuscular (IM) Administration of Mayne Glucagon for Injection With Glucagen® (Novo Nordisk) in Healthy Volunteers. [NCT00745186]Phase 128 participants (Actual)Interventional2007-08-31Completed
A Pilot Study to Determine Tolerability to Glucagon Infusion in Obese Subjects [NCT02817659]Phase 120 participants (Actual)Interventional2016-11-01Active, not recruiting
Fixed Rate Continuous Subcutaneous Glucagon Infusion (CSGI) vs Placebo in Type 1 Diabetes Mellitus Patients With Recurrent Severe Hypoglycemia: Effects on Counter-Regulatory Responses to Insulin-Induced Hypoglycemia [NCT03490942]Phase 249 participants (Actual)Interventional2018-03-15Terminated(stopped due to Primary endpoint was not met)
Effect of GLP-1 on Insulin Biosynthesis and Turnover Rates [NCT00609154]Phase 1/Phase 216 participants (Anticipated)Interventional2007-11-30Completed
Prognostic Value of Plasma Glucagon-like Peptide-1 Levels in Acute Myocardial Infarction [NCT03129594]709 participants (Actual)Observational2013-02-28Completed
Second-line Therapies for Patients With Type 2 Diabetes and Moderate Cardiovascular Disease Risk [NCT05214573]500,000 participants (Anticipated)Observational2021-12-01Active, not recruiting
Endothelial and Metabolic Effects of GLP-1 in Coronary Circulation in Patients With Type 2 Diabetes Mellitus [NCT00923962]35 participants (Actual)Interventional2009-06-30Completed
Comparison of Type 2 Diabetes Pharmacotherapy Regimens Using Targeted Learning [NCT05073692]270,000 participants (Anticipated)Observational2021-07-01Recruiting
The Mechanisms Underlying the Glucagon-Induced Suppression of Ghrelin Secretion [NCT00929812]Phase 338 participants (Actual)Interventional2006-06-30Active, not recruiting
A Randomized, Double-blind Trial of Single Doses of ZP4207 Administered s.c. to Hypoglycemic Type 1 Diabetic Patients to Describe the Pharmacokinetics and Pharmacodynamics of ZP4207 as Compared to Marketed Glucagon [NCT02660008]Phase 281 participants (Actual)Interventional2016-01-31Completed
The Effect of Surgically Induced Weight Loss on Endocrine Function, Cardiovascular Function and Body Composition [NCT00686972]Phase 251 participants (Actual)Interventional2007-05-31Terminated(stopped due to PI left JHU)
A Randomized Controlled, Open-label, Multi-center Study With 16-week Beinaglutide or Dulaglutide Assessing Effects on Glucose Control and Weight Loss in Type 2 Diabetes With Overweight or Obesity. [NCT05005741]Phase 4120 participants (Anticipated)Interventional2021-05-01Recruiting
GIP/GLP-1 Co-Activity in Subjects With Obesity: Lowering of Food Intake [NCT02598791]18 participants (Actual)Interventional2015-10-01Completed
Incretin Action in Physiology and Diabetes [NCT04347252]Phase 119 participants (Actual)Interventional2019-09-24Completed
A Randomised, Single Center, Three-period Trial to Compare the Relative Pharmacodynamic Properties of Different Glucagon Dosages at Four Different Blood Glucose Concentrations [NCT01916265]Phase 16 participants (Anticipated)Interventional2013-08-31Completed
Study of Gluconeogenesis in Very Low Birth Weight Infants Receiving Total Parenteral Nutrition [NCT00005889]96 participants Interventional1999-10-31Recruiting
Acute Effects of GLP-1 on Renal Hemodynamics: Simultaneous Perfusion and Oxygenation Measurements in Cortex and Medulla Using Magnetic Resonance Imaging [NCT04337268]10 participants (Actual)Interventional2019-04-01Completed
GLP-1 Restores Altered Insulin and Glucagon Secretion in Post-transplantation Diabetes Mellitus [NCT02591849]24 participants (Actual)Interventional2014-10-31Completed
Effects of Hyperglycemia on Myocardial Perfusion in Humans With and Without Type 2 Diabetes: Modulation by Glucagon-Like-Peptide-1 [NCT01021865]33 participants (Actual)Observational2010-02-28Completed
Effects of KATP Channel Blockers on GLP-1 and Its Analogues' Mediated Microvascular Function [NCT01934816]2 participants (Actual)Interventional2013-06-30Terminated(stopped due to Technical Issues with intervention)
The Role of Amylin and Glucagon in the Management of Normalizing Glucose Excursions in Children With Type 1 Diabetes [NCT00206258]Phase 330 participants Interventional2002-07-31Completed
Regulation of Intestinal and Hepatic Lipoprotein Production by Glucagon Like [NCT01958775]Phase 312 participants (Actual)Interventional2012-03-31Completed
A Double-blinded, Randomized, Two-way, Cross-over Study to Assess the Efficacy of Small Subcutaneous Glucagon Dose Against the Conventional 1 mg Dose to Treat Hypoglycemia in Adults With Type 1 Diabetes [NCT01828125]Phase 20 participants (Actual)Interventional2013-04-30Withdrawn
Investigating the Incretin Effect in Cystic Fibrosis [NCT01975259]50 participants (Actual)Observational2013-12-31Completed
GLP-1's Influence on Intestinal Blood Flow [NCT01988545]8 participants (Anticipated)Interventional2013-11-30Recruiting
Endogenous Glucoseproduction in Patients With Type 2 Diabetes Mellitus During Oral Glucose and iv. Glucose Infusion [NCT02010827]20 participants (Actual)Observational2013-11-30Completed
A Double-Blind, Randomized, Placebo-Controlled, Single-Dose, 3-Period, 4 Treatment Incomplete Crossover Study to Assess the Effects of Single Oral Doses of L-001241689 on Glucagon-Induced Glycemic Excursion in Healthy Male Subjects Following Intravenous A [NCT02012166]Phase 118 participants (Actual)Interventional2005-07-31Completed
FLAT-SUGAR: FLuctuATion Reduction With inSULin and Glp-1 Added togetheR [NCT01524705]Phase 4102 participants (Actual)Interventional2012-08-31Completed
The Impact of Subcutaneous Glucagon Before, During and After Exercise a Study in Patients With Type 1 Diabetes Mellitus [NCT02882737]14 participants (Actual)Interventional2016-09-30Completed
SAR438544 - Clinical & Exploratory Pharmacology [NCT02635243]Phase 10 participants (Actual)Interventional2016-04-30Withdrawn
Comparative Cardiovascular and Renal Effectiveness and Safety of Empagliflozin and Other SGLT2i in Patients With Type 2 Diabetes (T2D) With and Without Baseline Kidney Disease in the United States [NCT05465317]30,400 participants (Actual)Observational2022-08-08Completed
[NCT01689051]20 participants (Actual)Interventional2012-03-31Completed
The Effect of 48 Hours of GLP-1 Infusion During Long-Time Fasting on Glycaemia and Counterregulatory Hormones [NCT00285896]8 participants (Actual)Interventional2005-12-31Completed
A Single-blind, Randomized, Placebo Controlled, Ascending Single Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of GSK1362885 in Healthy Normal Subjects. [NCT00823940]Phase 142 participants (Actual)Interventional2009-01-13Completed
A Randomized, Double-blind, Glucagon and Placebo-controlled Study to Assess the Safety, Pharmacokinetics and Pharmacodynamics of Single Escalating Doses of SAR438544 Administered by Subcutaneous Route in Healthy Subjects and Patients With Type 1diabetes M [NCT02625636]Phase 120 participants (Actual)Interventional2015-12-31Completed
Low-Dose Glucagon and Advanced Hybrid Closed-Loop System for Prevention of Exercise-Induced Hypoglycaemia in People With Type 1 Diabetes [NCT05379686]16 participants (Anticipated)Interventional2022-09-21Recruiting
Low-dose Glucagon for Prevention of Exercise-Induced Hypoglycemia in People With Type 1 Diabetes [NCT05076292]22 participants (Actual)Interventional2021-11-23Completed
Effect of Liraglutide on Neural Responses to High Fructose Corn Syrup in Individuals With Obesity. [NCT03500484]Phase 214 participants (Actual)Interventional2018-06-06Completed
An Open-label, Randomized, Multicenter Study to Assess the Efficacy of Single-hormone Closed-loop Strategy, Dual-hormone Closed-loop Strategy and Sensor-augmented Pump Therapy in Regulating Glucose Levels for 15 Weeks in Free-living Outpatient Conditions [NCT02846857]Phase 20 participants (Actual)InterventionalWithdrawn
The Effect of Glucagon-like Peptide 1 (GLP-1) Receptor Agonist on Cerebral Blood Flow Velocity in Non-Stroke Volunteers (EGRABINS1) [NCT02838589]Phase 230 participants (Actual)Interventional2016-08-31Completed
A Single-blind, Randomized, Two-way, Cross-over Study to Examine the Safety of Overestimation of a Meal Insulin Bolus in the Context of Dual-hormone Closed-loop Operation Combined With a Simplified Qualitative Meal-size Estimation in Adults With Type 1 Di [NCT02626936]Phase 210 participants (Actual)Interventional2016-01-31Completed
Glucagon in the Treatment of Hypoglycemia in Newborn Infants of Diabetic Mothers [NCT00434772]Phase 20 participants Interventional2007-12-31Completed
Effect of GLP-1 on Glucose Metabolism in Healthy Subjects and Patients With T2DM. Part 1: A Pilot Study to Assess the Efficacy of Exendin(9-39)Amide as a GLP-1 Receptor Antagonist in Healthy Subjects [NCT00393445]Phase 16 participants (Actual)Interventional2006-11-30Completed
FINErenone druG Utilization Study and Assessment of Temporal Changes Following Availability of Different Treatment Options in Patients With Chronic Kidney Disease and Type 2 Diabetes [NCT05526157]50,000 participants (Anticipated)Observational2022-10-01Active, not recruiting
The Effect of Lifestyle-induced Hepatic Steatosis on Glucagon-stimulated Amino Acid Turnover [NCT04859322]20 participants (Actual)Interventional2021-02-08Completed
Reducing Hypoglycemic, Pro-coagulant and Pro-atherothrombotic Responses and Preventing Hypoglycemia Associated Autonomic Failure in Type 1 DM. The Effects of Glucagon-like Peptide-1 [NCT04355832]Early Phase 140 participants (Anticipated)Interventional2020-06-24Recruiting
Subcutaneous Dasiglucagon Use During Exercise In People With Type 1 Diabetes: Effects On Plasma Glucose And Exercise Metabolism [NCT04192019]Early Phase 10 participants (Actual)Interventional2023-04-30Withdrawn(stopped due to Prioritization of other projects)
Cardiovascular Outcomes, and Mortality in Danish Patients With Type 2 Diabetes Who Initiate Empagliflozin Versus Glucagon-Like Peptide-1 Receptor Agonists (GLP1-RA): A Danish Nationwide Comparative Effectiveness Study [EMPLACEtm] [NCT03993132]57,000 participants (Actual)Observational2018-10-01Completed
Delineation of the Diabetogenic Role of Extrapancreatic Glucagon in Totally Pancreatectomised Patients Using Glucagon Receptor Antagonism [NCT02944110]20 participants (Anticipated)Interventional2016-04-30Enrolling by invitation
Mechanisms of Post-Bariatric Hypoglycemia [NCT04428866]60 participants (Anticipated)Observational2020-02-26Recruiting
Randomised, Sequential, Cross-over Trial Assessing PK and PD Responses After Micro-doses of ZP4207 Administered s.c. to Patients With T1D Under eu- and Hypoglycemic Conditions and With Reference to Freshly Reconstituted Lyophilized Glucagon [NCT02916251]Phase 238 participants (Actual)Interventional2016-12-01Completed
A Randomized, Double-blind, Single-dose, 2-Treatment, 2-Period, 2-Sequence Crossover Bioequivalence Study Comparing Two Formulations of Insulin Glulisine (Insulin Glulisine 300 Units/mL Versus Insulin Glulisine 100 Units/mL Marketed as Apidra® 100 Units/m [NCT02910518]Phase 144 participants (Actual)Interventional2017-02-17Completed
The Effects of Glucagon on Hepatic Metabolism [NCT05500586]Phase 1/Phase 260 participants (Anticipated)Interventional2022-10-20Recruiting
Comparison of Dapagliflozin (DAPA) and Once-weekly Exenatide (EQW), Co-administered or Alone, DAPA/ Glucophage (DAPA/MET ER) and Phentermine/Topiramate (PHEN/TPM) ER on Metabolic Profiles and Body Composition in Obese PCOS Women [NCT02635386]Phase 3119 participants (Actual)Interventional2016-03-22Completed
The Effect of GLP-1 on Glucose Uptake in the CNS and Heart in Healthy Subjects During Normoglycaemia Assessed by Positron Emission Tomografi [NCT00256256]10 participants (Actual)Interventional2005-11-30Completed
Investigation of GLP-2 Mechanism of Action (GA-8) [NCT03159741]8 participants (Actual)Interventional2017-05-16Completed
A Phase 2 Proof-of-Concept Study of CSI-Glucagon™ (Continuous Subcutaneous Glucagon Infusion) to Prevent Hypoglycemia With Lower Intravenous Glucose Infusion Rates in Children up to One Year of Age With Congenital Hyperinsulinism [NCT02937558]Phase 25 participants (Actual)Interventional2016-10-31Completed
The Effect of GLP-1 on Glucose Uptake in the Brain and Heart in Healthy Subjects During Hypoglycemia Assessed by Positron Emission Tomography [NCT00418288]10 participants (Actual)Interventional2007-01-31Completed
A Phase 2, Open-label, Randomised, Dose-Finding Study of XW003, Once-Weekly Human Glucagon-Like Peptide 1 Analogue, Compared With Once-Daily Liraglutide 3 mg in Adult Participants With Obesity [NCT05111912]Phase 2206 participants (Actual)Interventional2021-11-30Completed
Role of Glucagon in Outpatient Colonoscopy? A Prospective Double-Blind Randomized Controlled Trial [NCT02078726]Phase 4100 participants (Actual)Interventional2014-04-30Completed
[NCT00155376]Phase 4100 participants Interventional2005-09-30Recruiting
Role of Hyperinsulinemia in Non-Alcoholic Fatty Liver Disease (NAFLD) Pathogenesis: Pancreatic Clamp Pilot & Feasibility Study [NCT05724134]Phase 120 participants (Anticipated)Interventional2023-08-29Recruiting
Virtual Clinical Study Exploring Remote Collection of Glycaemic and Behaviometric Data Among Patients With Type 2 Diabetes Mellitus on Different Treatment Regimens [NCT04809311]500 participants (Anticipated)Observational2023-11-13Not yet recruiting
Effect of GLP-1 and GIP on the Maximal Insulin Secretory Capacity in Type-1 Diabetes Mellitus [NCT00603031]9 participants (Actual)Interventional2008-01-31Completed
Improving Metabolic Assessments in Type 1 Diabetes Mellitus Clinical Trials [NCT00105352]120 participants Interventional2004-11-30Completed
Glucagon, Ghrelin and Growth Hormone as Counterregulatory Hormones [NCT01795235]6 participants (Anticipated)Interventional2012-12-31Recruiting
Effectiveness and Persistence of Therapy With GLP-1 Receptor Agonists in Clinical Practice. A Multicenter Retrospective Study [NCT03959865]6,000 participants (Anticipated)Observational2018-12-19Active, not recruiting
Pharmacogenetics of Ace Inhibitor-Associated Angioedema:Aim 1 [NCT01413542]44 participants (Actual)Interventional2011-11-30Completed
A Comparison of the Haemodynamic and Metabolic Effects of Intravenous Glucagon-like Peptide-1, Glucagon and Glucagon-like Peptide-1:Glucagon Co-agonism in Healthy Male Participants [NCT03835013]20 participants (Anticipated)Interventional2019-02-11Recruiting
Pilot Study of the Effects of LY2409021 in Patients With Type 1 Diabetes Mellitus [NCT01640834]Phase 120 participants (Actual)Interventional2012-07-31Completed
A Phase 2 Proof-of-Concept Study of Sensor-Guided, Clinician-Administered Delivery of G-Pump™ (Glucagon Infusion) From an OmniPod® to Prevent Post-Prandial Hypoglycemia in Post-Bariatric Surgery Patients [NCT02733588]Phase 28 participants (Actual)Interventional2016-03-31Completed
A Phase 1b, Single-Blind Study of the Safety, Tolerability, Pharmacokinetics and Pharmacodynamic Activity of Three Separate Dose Levels of Very Low Dose-Glucagon Administered Subcutaneously Overnight for 6, 9 or 12 Hours in Subjects With Type 1 Diabetes M [NCT00304538]Phase 110 participants Interventional2006-03-31Completed
Gut Peptides and Bone Remodeling in Individuals With Spinal Cord Injury [NCT05181150]20 participants (Anticipated)Interventional2021-11-16Recruiting
The iLet Introduction Study: A Feasibility Study of the iLet, a Fully Integrated Bihormonal Bionic Pancreas [NCT02701257]20 participants (Actual)Interventional2016-03-31Terminated(stopped due to The study was terminated prior to completing the planned cohorts and analysis because of problems with the infusion set resulting in inadequate insulin delivery)
Phase II Study to Investigate the Safety and Efficacy of 2 Dose Levels of a Novel Glucagon Formulation Compared to Commercially Available Glucagon in Type 1 Diabetic Patients Following Insulin-induced Hypoglycemia [NCT01556594]Phase 218 participants (Actual)Interventional2012-03-31Completed
Investigating Brown Adipose Tissue Activation in Humans [NCT01935791]11 participants (Actual)Interventional2013-07-31Completed
Modulation of Human Myocardial Metabolism by GLP-1 Dose Response [NCT01607450]Phase 2/Phase 333 participants (Actual)Interventional2010-05-31Completed
Assessment of Intranasal Glucagon in Children and Adolescents With Type 1 Diabetes [NCT01997411]Phase 2/Phase 348 participants (Actual)Interventional2013-11-30Completed
Equivalence of A Stable Liquid Glucagon Formulation With Freshly Reconstituted Lyophilized Glucagon [NCT02018627]Phase 2/Phase 320 participants (Actual)Interventional2014-04-30Completed
Evaluation of the Clinical and Economic Outcomes Associated With Exenatide Versus Basal Insulin in People With Type 2 Diabetes [NCT02987348]18,000 participants (Actual)Observational2015-06-30Completed
A Phase 3 Study to Evaluate the Glucose Response of G-Pen (Glucagon Injection) in Pediatric Patients With Type 1 Diabetes [NCT03091673]Phase 331 participants (Actual)Interventional2017-03-27Completed
In-depth Studies of Glucagon Resistance on Hepatic Glucose, Fatty Acid and Triglyceride Kinetics and Generation of Toxic Lipid Intermediates in NAFLD and NASH. [NCT04042142]28 participants (Actual)Interventional2019-10-05Completed
Closed-Loop Glucagon Administration for the Automated Prevention and Treatment of Hypoglycemia [NCT02181127]31 participants (Actual)Interventional2014-11-30Completed
A Simulation Study Comparing Successful Administration, Time to Administer, and User Experience of Ready-to-Use Nasal Glucagon With Reconstitutable Injectable Glucagon [NCT03765502]Phase 199 participants (Actual)Interventional2018-11-19Completed
Closed-Loop Glucagon Administration For The Automated Treatment Of Post-Bariatric Hypoglycemia [NCT02966275]10 participants (Actual)Interventional2016-09-30Completed
Effect of Prolonged (72 Hour) Glucagon Administration on Energy Expenditure in Healthy Obese Subjects [NCT03139305]Phase 130 participants (Anticipated)Interventional2017-10-24Active, not recruiting
Glucose-Dependent Insulinotropic Polypeptide - Effects on Markers of Bone Turnover in Patients With Type 1 Diabetes [NCT03195257]10 participants (Actual)Interventional2012-11-17Completed
G-Pen™ (Glucagon Injection) for Induced Hypoglycemia Rescue in Adult Patients With T1D [NCT02423980]Phase 27 participants (Actual)Interventional2015-04-30Completed
Metabolic Adaptation to High-frequent Hypoglycaemia in Type 1 Diabetes - the HypoADAPT Study [NCT05095259]60 participants (Anticipated)Interventional2019-12-16Active, not recruiting
Phase 1-2 Trial of Glucagon-like Peptide 2 (GLP-2) in Infants and Children With Intestinal Failure [NCT01573286]Phase 1/Phase 213 participants (Actual)Interventional2012-01-31Terminated(stopped due to GLP-2 Drug product stability concerns)
Copeptin After a Subcutaneous Stimulation With Glucagon in Adults (Healthy Volunteers and Patients With Diabetes Insipidus or Primary Polydipsia) - The Glucacop-Study [NCT04550520]42 participants (Actual)Interventional2020-09-28Completed
Carbohydrates Under Target for Type 1 Diabetes Management [NCT04758858]0 participants (Actual)Interventional2021-03-31Withdrawn(stopped due to Not approved by REB)
Integration of Continuous Glucose Monitoring Into a Bi-Hormonal Closed-Loop Artificial Pancreas for Automated Management of Type 1 Diabetes [NCT01161862]24 participants (Actual)Interventional2010-07-31Completed
[NCT01507597]30 participants (Actual)Interventional2011-12-31Completed
CORDIALLY® - CEE: Characteristics of Patients With Type 2 Diabetes Treated With Modern Antidiabetic Drugs. A Real World Data Collection of Patient Baseline Characteristics, Treatment Patterns and Comorbidities in Central Eastern European (CEE) Countries [NCT03807440]4,083 participants (Actual)Observational2019-08-26Completed
The Effect of Repeated Doses of Subcutaneous Glucagon on Hepatic Glycogen Stores in Persons With Type 1 Diabetes [NCT01986231]12 participants (Actual)Interventional2011-01-31Completed
Response to Glucagon in Patients With Metabolic-associated Steatotic Liver Disease: a Feasibility Study [NCT06154096]20 participants (Anticipated)Observational2024-03-31Not yet recruiting
Evaluation of L-Cell Activity in the Small Intestine as Biliopancreatic Loop Extension in Obese Patients With DM2 Submitted to Roux-en-Y Gastric Bypass [NCT05446415]20 participants (Anticipated)Interventional2020-02-05Recruiting
A Single Site, Randomized, Four-Way, Four-Period PK/PD Crossover Phase 1 Clinical Study in 16 Fasted Healthy Adult Volunteers Receiving 3 Dose Levels of Intranasally Administered Glucagon and One Dose Level of Glucagon Administered by Subcutaneous Injecti [NCT02778113]Phase 116 participants (Actual)Interventional2011-10-31Completed
Effect of Ethanol Intoxication on the Anti-hypoglycemic Action of Glucagon [NCT02516150]Phase 426 participants (Actual)Interventional2016-03-31Completed
G-Pen (Glucagon Injection) Compared to Lilly Glucagon (Glucagon for Injection [RDNA Origin]) for Induced Hypoglycemia Rescue in Adult Patients With T1DM: A Phase 3, Multi-center, Randomized, Blinded, 2-Way Crossover Study to Evaluate Efficacy and Safety [NCT02656069]Phase 380 participants (Actual)Interventional2017-03-15Completed
A Multiple Center, Open Label, Prospective, Observational Study to Evaluate the Effectiveness and Ease-of-Use of AMG504-1 Administered in the Home or Work Environments for Treating Episodes of Hypoglycemia in Patients With Type 1 Diabetes [NCT02171130]Phase 3129 participants (Actual)Interventional2014-05-31Completed
The Hepatic Glucose Response to Glucagon at Varying Insulin Levels: Implications for Closed Loop Glycemic Control. [NCT01483651]11 participants (Actual)Interventional2011-11-30Completed
Metabolic and Central Nervous System Characterisation of the Phenotype of Non-suppressed (Rising) Glucagon After Glucose Challenge [NCT03061227]32 participants (Actual)Interventional2017-02-10Completed
A Randomized, Double-blinded Trial of Single Ascending Doses of ZP4207 Administered s.c. or i.m. to HV and a SD of ZP4207 Administered s.c. to Hypoglycemic T1D to Evaluate the Safety, Tolerability, PKs and PDs of ZP4207 as Compared to an Active Comparator [NCT02367053]Phase 1111 participants (Actual)Interventional2014-12-31Completed
An Open-label, Randomized, Five-way, Cross-over Study to Compare the Efficacy of Single- and Dual-hormone Closed-loop Operations Combined With Either Conventional Carbohydrate Counting or a Simplified Qualitative Meal-size Estimation, and Sensor-augmented [NCT02416765]Phase 215 participants (Actual)Interventional2015-05-31Completed
A Single Center, Randomized, Parallel Safety Study To Evaluate The Immunogenicity Of A Novel Glucagon Formulation Compared To Commercially Available Glucagon Administered By Intramuscular Injection In Adults With Type 1 OR Type 2 Diabetes [NCT01959334]Phase 375 participants (Actual)Interventional2013-09-30Completed
Pilot Study in Testing State of the Art Remote Glucose Monitoring at Diabetes Camp [NCT01680653]57 participants (Actual)Interventional2012-05-31Completed
A Randomized, Phase 2a, Blinded, 3-Way Crossover Dose-Ranging Study With G-Pen Mini™ (Glucagon Injection) to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Patients With Type 1 Diabetes Mellitus (T1DM) [NCT02081014]Phase 213 participants (Actual)Interventional2014-03-31Completed
Incretin Regulation of Insulin Secretion in Monogenic Diabetes [NCT01795144]Phase 110 participants (Actual)Interventional2014-01-31Completed
Effects of Exenatide on Motor Function and the Brain [NCT03456687]Phase 15 participants (Actual)Interventional2018-06-05Completed
Effect of Moringa Leaf Capsules on Glycemic Control of Type 2 Diabetic Patients- an Interventional Study [NCT06125873]Phase 250 participants (Anticipated)Interventional2023-03-15Enrolling by invitation
A Phase 1, Randomised, Double-blind, Placebo-controlled, Single and Multiple Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of XW003 Injection in Healthy Adult Participants [NCT04389775]Phase 164 participants (Actual)Interventional2020-03-29Completed
A RANDOMIZED, PHASE 2, DOUBLE-BLIND, 3-WAY CROSSOVER STUDY WITH G-PEN™ (GLUCAGON INJECTION) TO EVALUATE SAFETY, TOLERABILITY AND COMPARATIVE PHARMACOKINETICS AND PHARMACODYNAMICS TO LILLY GLUCAGON™ (GLUCAGON FOR INJECTION [rDNA ORIGIN]) IN HEALTHY VOLUNTE [NCT01972152]Phase 230 participants (Actual)Interventional2013-10-31Completed
Dual-hormone Closed-loop Glucose Control in Type 1 Diabetes [NCT04053712]Phase 413 participants (Actual)Interventional2019-07-16Completed
A Randomised, Double-blinded, Single Subcutaneous Dose Escalation Trial Investigating the Safety and Tolerability of NNC9204-1513 in Healthy Subjects [NCT03444467]Phase 136 participants (Actual)Interventional2018-02-05Completed
In Vivo Assessment of the Tricarboxylic Acid Cycle Flux in the Muscle and Splanchnic Bed of Humans: A Pilot Study [NCT02748369]Phase 117 participants (Actual)Interventional2016-07-31Completed
Efficacy and Safety of Nasal Glucagon for Treatment of Insulin Induced Hypoglycemia in Adults With Diabetes [NCT01994746]Phase 377 participants (Actual)Interventional2013-11-30Completed
Treatment of Hypoglycemia With Glucagon Among Patients With Type 1 Diabetes Mellitus [NCT02232971]Phase 48 participants (Anticipated)Interventional2014-09-30Active, not recruiting
Hepatic Metabolic Changes in Response to Glucagon Infusion [NCT03526445]27 participants (Actual)Interventional2018-05-01Completed
A PET/CT Study to Assess the Receptor Occupancy by SAR425899 After Repeat Dosing Using Radiolabelled Tracers for the Glucagon and GLP-1 Receptor in Overweight to Obese T2DM Patients [NCT03350191]Phase 113 participants (Actual)Interventional2017-12-20Completed
Phase 2 Randomized Placebo-Controlled Double-Blind Parallel Study to Evaluate Glucagon RTU (Glucagon Injection) Compared to Standard of Care for Prevention of Exercise-Induced Hypoglycemia During Regular Aerobic Exercise in Adults With T1D [NCT03841526]Phase 248 participants (Actual)Interventional2019-08-22Completed
Effect of Glucagon on Uterine Contractility at the Time of Embryo Transfer in in Vitro Fertilization [NCT01674283]Phase 40 participants (Actual)Interventional2013-10-31Withdrawn(stopped due to Uterine contractility not possible to visualize with our ultrasound machines)
Phase 3 Study of the Effect of Glucagon-like-peptide 1 (GLP-1) Receptor Agonism on Renal Outcomes in Humans With Diabetic Kidney Disease [NCT01847313]Phase 320 participants (Actual)Interventional2013-04-30Completed
Hyperglucagonaemia in Patients With Type 2 Diabetes - Role of Glucagon Clearance [NCT02475421]32 participants (Actual)Interventional2015-05-31Completed
Pilot Study of the Effect of Weight Loss by Pharmacotherapy on Chronic Pro-tumor Inflammatory Cells [NCT05756764]24 participants (Anticipated)Observational2023-05-23Recruiting
Pharmacokinetics and Pharmacodynamics of BIOD-961 vs. Glucagon for Injection (Eli Lilly) and GlucaGen® (Novo Nordisk) Administered by Subcutaneous and Intramuscular Injection in Normal, Healthy Volunteers [NCT02403648]Phase 115 participants (Actual)Interventional2014-11-30Completed
Dual-Hormone Closed-Loop Glucose Control in Adolescents With Type 1 Diabetes [NCT04949867]Phase 411 participants (Actual)Interventional2021-05-20Completed
A Multiple Center, Open Label, Prospective Study to Evaluate the Effectiveness and Ease-Of-Use of AMG504-1 Administered in the Home or School Environments for Treating Hypoglycemia in Children and Adolescents With T1D [NCT02402933]Phase 326 participants (Actual)Interventional2015-03-31Completed
Comparison of Pharmacokinetic and Pharmacodynamic Profiles of G-Pump™ (Glucagon Infusion) vs. GlucaGen® Delivered Subcutaneously to Subjects With Type 1 Diabetes (T1DM) [NCT02081001]Phase 219 participants (Actual)Interventional2014-03-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00797823 (2) [back to overview]Percent of Time Venous Blood Glucose <70 mg/dl
NCT00797823 (2) [back to overview]Effectiveness of Closed Loop Diabetes Control
NCT01056107 (10) [back to overview]Colonic Transit, Colonic Geometric Center at 24 Hours
NCT01056107 (10) [back to overview]Ascending Colon Emptying Half-time (AC t1/2) Measured by Scintigraphy
NCT01056107 (10) [back to overview]Colonic Transit, Colonic Geometric Center at 48 h Measured by Scintigraphy, as Compared to Placebo.
NCT01056107 (10) [back to overview]Change Between Postprandial and Fasting Whole Gastric Volume by Technetium-99m (99mTc)-SPECT Imaging (Gastric Accommodation)
NCT01056107 (10) [back to overview]Colonic Filling at 6 h Measured by Scintigraphy
NCT01056107 (10) [back to overview]Gastric Residual at 2 and 4 Hours Measured by Scintigraphy
NCT01056107 (10) [back to overview]Colonic Geometric Center at 4 h Measured by Scintigraphy
NCT01056107 (10) [back to overview]Stool Frequency
NCT01056107 (10) [back to overview]Stool Consistency Post Treatment
NCT01056107 (10) [back to overview]Half Time (t1/2) of Gastric Emptying of Solids Measured by Scintigraphy (Gastric Transit)
NCT01161862 (8) [back to overview]Number of Carbohydrate Interventions for Hypoglycemia
NCT01161862 (8) [back to overview]Percentage of Time Spent With Blood Glucose <70 mg/dl
NCT01161862 (8) [back to overview]Percentage of Time Spent With Blood Glucose 70-180 mg/dl
NCT01161862 (8) [back to overview]Nadir Blood Glucose in Each Arm
NCT01161862 (8) [back to overview]Number of Blood Glucose Events < 70 mg/dl
NCT01161862 (8) [back to overview]Insulin Total Daily Dose
NCT01161862 (8) [back to overview]Mean Plasma Blood Glucose Achieved by the Bionic Pancreas (mg/dl)
NCT01161862 (8) [back to overview]Percentage of Time Spent With Blood Glucose < 60 mg/dl
NCT01282164 (7) [back to overview]Peak Cortisol Level in Healthy Volunteers.
NCT01282164 (7) [back to overview]Peak GH Level in Adult Patients With Hypothalamic-pituitary Disorders and 1-2 Pituitary Hormone Deficiency (PHD).
NCT01282164 (7) [back to overview]Peak Growth Hormone (GH) Level in Healthy Volunteers
NCT01282164 (7) [back to overview]Peak Cortisol Level in Adult Patients With Hypothalamic-pituitary Disorders and Three or More Pituitary Hormone Deficiency (PHD).
NCT01282164 (7) [back to overview]Peak GH Level in Adult Patients With Hypothalamic-pituitary Disorders and Three or More Pituitary Hormone Deficiency (PHD).
NCT01282164 (7) [back to overview]Peak Cortisol Level in Adult Patients With Hypothalamic-pituitary Disorders and 1-2 Pituitary Hormone Deficiency (PHD).
NCT01282164 (7) [back to overview]Peak Cortisol Level During Adrenocorticotropin Hormone (ACTH) Stimulation Test
NCT01300260 (6) [back to overview]Maximum Insulin Concentration (Cmax) - First Phase Response
NCT01300260 (6) [back to overview]Insulin Maximum Concentration (Cmax)
NCT01300260 (6) [back to overview]Maximum Insulin Concentration (Cmax) - Second Phase Response
NCT01300260 (6) [back to overview]Insulin Area Under the Curve (AUC) - Second Phase Response
NCT01300260 (6) [back to overview]Area Under the Insulin Concentration-time Curve (AUC) - First Phase Response
NCT01300260 (6) [back to overview]Area Under the Insulin Concentration-time Curve (AUC)
NCT01413542 (5) [back to overview]Effect of Treatment (ACE or DPP4 Inhibition, or Combined) on Norepinephrine (NE) Release (Arterial Venous Gradient) in Response to Substance P (SP)
NCT01413542 (5) [back to overview]Assess Effect of ACE and/or DPP4 Inhibition on Heart Rate Response to Substance P (SP)
NCT01413542 (5) [back to overview]The Effect of Enalaprilat (ACE Inhibition), Sitagliptin (DPP4 Inhibition), or the Combination on the Vasodilator Response (Forearm Blood Flow) to Substance P (SP) and Bradykinin (Group 1) or Glucagon Like Peptide-1 and Brain Naturetic Peptide (Group 2).
NCT01413542 (5) [back to overview]Effect of Treatment (DPP4 Inhibition vs. Placebo) on Venous GLP-1 Levels in Response to Arterial GLP-1 Infusion
NCT01413542 (5) [back to overview]Assess Tissue Type Plasminogen Activator (tPA) Release
NCT01483651 (1) [back to overview]Area Under the Curve for Glucose Above Baseline
NCT01524705 (4) [back to overview]Weight Change During Trial
NCT01524705 (4) [back to overview]Number of Participants With Hypoglycemia
NCT01524705 (4) [back to overview]Coefficient of Variation at 26 Weeks Minus Coefficient of Variation at Baseline
NCT01524705 (4) [back to overview]HbA1C Levels
NCT01556594 (7) [back to overview]Percentage of Responders
NCT01556594 (7) [back to overview]Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon
NCT01556594 (7) [back to overview]Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose
NCT01556594 (7) [back to overview]Number of Participants With at Least One Adverse Event
NCT01556594 (7) [back to overview]Maximum Concentration (Cmax) of Baseline-Adjusted Glucose
NCT01556594 (7) [back to overview]Maximum Change From Baseline Concentration (Cmax) of Glucagon
NCT01556594 (7) [back to overview]Area Under the Curve (AUC0-last) of Baseline Adjusted Glucagon
NCT01607450 (5) [back to overview]GLP-1 Concentrations
NCT01607450 (5) [back to overview]Cardiac Index
NCT01607450 (5) [back to overview]Myocardial Blood Flow
NCT01607450 (5) [back to overview]Myocardial Glucose Uptake.
NCT01607450 (5) [back to overview]Myocardial Total Oxidation Rate
NCT01640834 (6) [back to overview]Pharmacodynamics: Change From Baseline to Day 2 in 24-hour Insulin Dose
NCT01640834 (6) [back to overview]Pharmacodynamics: Maximum Concentration (Cmax) of Glucose Concentration After 1 Milligram (mg) Glucagon Injection on Day 3
NCT01640834 (6) [back to overview]Pharmacodynamics: Percentage Change From Baseline to Day 2 in 24-hour Insulin
NCT01640834 (6) [back to overview]Pharmacodynamics: Area Under the Glucose Concentration Curve After a Single Dose of Glucagon on Day 3
NCT01640834 (6) [back to overview]Pharmacokinetics: Area Under the Concentration Curve (AUC) of LY2409021
NCT01640834 (6) [back to overview]Pharmacokinetics: Maximum Concentration (Cmax) of LY2409021
NCT01680653 (3) [back to overview]Prolonged Episodes of Hypoglycemic Events
NCT01680653 (3) [back to overview]Duration of Nocturnal Hypoglycemia
NCT01680653 (3) [back to overview]Duration of Glucose Readings <70 mg/dl
NCT01847313 (4) [back to overview]MCP-1:Creatinine Ratio in Urine
NCT01847313 (4) [back to overview]sCD163 in Serum
NCT01847313 (4) [back to overview]sCD163:Creatinine Ratio in Urine
NCT01847313 (4) [back to overview]Urinary Albumin Excretion Rate
NCT01935791 (2) [back to overview]Brown Adipose Tissue Activation Following Glucagon or Saline Infusion
NCT01935791 (2) [back to overview]Increase in Energy Expenditure Following Glucagon or Saline Infusion
NCT01959334 (3) [back to overview]Percentage of Participants With Neutralizing Antibodies
NCT01959334 (3) [back to overview]Number of Participants With At Least One Adverse Event
NCT01959334 (3) [back to overview]Percentage of Participants With Treatment-emergent Anti-Drug Antibody (ADA)
NCT01972152 (10) [back to overview]Serious Adverse Events
NCT01972152 (10) [back to overview]Glucagon Cmax
NCT01972152 (10) [back to overview]Glucagon Tmax
NCT01972152 (10) [back to overview]Glucose Tex
NCT01972152 (10) [back to overview]Glucose MAE
NCT01972152 (10) [back to overview]Glucose Tmax
NCT01972152 (10) [back to overview]Glucose Cmax
NCT01972152 (10) [back to overview]Glucose Area Under the Curve (AUC)
NCT01972152 (10) [back to overview]Glucose AUCex
NCT01972152 (10) [back to overview]Glucagon AUC
NCT01986231 (2) [back to overview]Assess Difference in Hepatic Glycogen Measured in the Fed State Before vs. After Repeated Glucagon Administration
NCT01986231 (2) [back to overview]Assess Difference in Hepatic Glycogen Measured in the Fasting State Before vs. After Repeated Glucagon Administration
NCT01994746 (10) [back to overview]Time to Maximum Change From Baseline Concentration (Tmax) of Glucose
NCT01994746 (10) [back to overview]Nasal and Non-nasal Effects/Symptoms
NCT01994746 (10) [back to overview]Area Under the Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Baseline-Adjusted Glucagon
NCT01994746 (10) [back to overview]Increase in Plasma Glucose Level to >=70mg/dL or an Increase of >=20mg/dL From Glucose Nadir
NCT01994746 (10) [back to overview]Maximum Change From Baseline Concentration (Cmax) of Glucagon
NCT01994746 (10) [back to overview]Maximum Change From Baseline Concentration (Cmax) of Glucose
NCT01994746 (10) [back to overview]Time From Glucagon Administration to Blood Glucose >/=70 mg/dL or an Increase ≥20 mg/dL in Blood Glucose From Nadir
NCT01994746 (10) [back to overview]Time to Maximum Change From Baseline Concentration (Tmax) of Glucagon
NCT01994746 (10) [back to overview]Recovery From Symptoms of Hypoglycemia
NCT01994746 (10) [back to overview]Area Under the Effect Concentration Time Curve (AUEC0-1.5) of Baseline-Adjusted Glucose From Time Zero up to 90 Minutes
NCT01997411 (10) [back to overview]Maximum Change From Baseline Concentration (Cmax) of Glucagon
NCT01997411 (10) [back to overview]Maximum Concentration (Cmax) of Baseline-Adjusted Glucose
NCT01997411 (10) [back to overview]Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose
NCT01997411 (10) [back to overview]Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon
NCT01997411 (10) [back to overview]Time to Achieving ≥25 mg/dL Rise in Plasma Glucose Above Nadir Level Within 30 Minutes
NCT01997411 (10) [back to overview]Nasal and Non-nasal Effects/Symptoms
NCT01997411 (10) [back to overview]Percentage of Participants With >= 25 mg/dL Rise in Plasma Glucose Within 30 Minutes
NCT01997411 (10) [back to overview]Number of Participants Achieving at Least a 25 mg/dL Rise in Blood Glucose Above Nadir Level Within 30 Minutes
NCT01997411 (10) [back to overview]Area Under the Curve (AUC0-1.5) of Baseline Adjusted Glucagon
NCT01997411 (10) [back to overview]Area Under the Effect Concentration Time Curve (AUEC0-1.5) of Baseline-Adjusted Glucose From Time Zero up to 90 Minutes
NCT02018627 (9) [back to overview]Maximal Nausea
NCT02018627 (9) [back to overview]Injection Site Erythema
NCT02018627 (9) [back to overview]Injection Pain
NCT02018627 (9) [back to overview]Tmax
NCT02018627 (9) [back to overview]AOCGIR
NCT02018627 (9) [back to overview]Dermal Response (Draize Scale for Erythema and Eschar Formation)
NCT02018627 (9) [back to overview]Dermal Response (Draize Scale Grade for Edema Formation)
NCT02018627 (9) [back to overview]t½Max
NCT02018627 (9) [back to overview]GIRmin
NCT02078726 (1) [back to overview]Adenoma Detection Rate (ADR) During Colonoscopy Procedure
NCT02081001 (10) [back to overview]Time to Reach 50% of Maximum Glucagon Concentration (Glucagon T50%-Early)
NCT02081001 (10) [back to overview]Glucagon Tmax
NCT02081001 (10) [back to overview]Glucagon Cmax
NCT02081001 (10) [back to overview]Glucagon AUC
NCT02081001 (10) [back to overview]Glucose AUC
NCT02081001 (10) [back to overview]Time to Reach 50% of Maximum Glucose Concentration (Glucose T50%-Early)
NCT02081001 (10) [back to overview]Glucose Cmax
NCT02081001 (10) [back to overview]Glucose Tmax
NCT02081001 (10) [back to overview]Infusion Site Discomfort Score at 10 Minutes
NCT02081001 (10) [back to overview]Infusion Site Discomfort Score at 30 Minutes
NCT02081014 (13) [back to overview]Glucose AUC (Post-insulin)
NCT02081014 (13) [back to overview]Serious Adverse Events
NCT02081014 (13) [back to overview]Glucose Tmax (Post-insulin)
NCT02081014 (13) [back to overview]Glucose Tmax (Fasting)
NCT02081014 (13) [back to overview]Glucose Cmax (Fasting)
NCT02081014 (13) [back to overview]Glucose AUC (Fasting)
NCT02081014 (13) [back to overview]Glucagon Tmax (Post-insulin)
NCT02081014 (13) [back to overview]Glucose Cmax (Post-insulin)
NCT02081014 (13) [back to overview]Glucagon Area Under the Curve (AUC) (Fasting)
NCT02081014 (13) [back to overview]Glucagon AUC (Post-insulin)
NCT02081014 (13) [back to overview]Glucagon Tmax (Fasting)
NCT02081014 (13) [back to overview]Glucagon Cmax (Fasting)
NCT02081014 (13) [back to overview]Glucagon Cmax (Post-insulin)
NCT02171130 (5) [back to overview]Percentage of Participants With Adverse Events (AEs) Reported Through the Nasal Score Questionnaire
NCT02171130 (5) [back to overview]Percentage of Participants Awakening or Returning to a Normal Status Within 30 Minutes Following Studied Drug of Administration
NCT02171130 (5) [back to overview]Number of Participants With Treatment-Emergent Glucagon Anti-Drug Antibodies (ADA)
NCT02171130 (5) [back to overview]Assessment of Ease-of-use of Dry-Mist Nasal Glucagon as Determined by Completion of Questionnaires by the Caregiver
NCT02171130 (5) [back to overview]Blood Glucose Levels Over Time
NCT02181127 (16) [back to overview]Episodes of Nausea Per Day on Glucagon vs Placebo
NCT02181127 (16) [back to overview]Count of Subjects With Mean CGMG < 154mg/dl
NCT02181127 (16) [back to overview]Total Glucagon Dosing (mcg/kg/24 Hours)
NCT02181127 (16) [back to overview]Number of Hypoglycemic Episodes With CGMG < 70 mg/dl
NCT02181127 (16) [back to overview]Number of Hypoglycemic Events (< 60 mg/dl) as Determined From BG Measurements
NCT02181127 (16) [back to overview]Number of Study Days With Mean BG < 154 mg/dl
NCT02181127 (16) [back to overview]Continuous Glucose Monitor (CGM) Glucose Total Area Over the Curve and Less Than 60 mg/dl
NCT02181127 (16) [back to overview]Total Number of Grams of Carbohydrate Taken for Hypoglycemia
NCT02181127 (16) [back to overview]Fraction of Time Spent Within Each of the Following Glucose Ranges as Determined From All CGMG Measurements: < 70 mg/dl,70-120 mg/dl,70-180 mg/dl, >180 mg/dl, >250 mg/dl
NCT02181127 (16) [back to overview]Percentage of Time CGM Glucose Less Than 70 mg/dl Overnight and During Daytime
NCT02181127 (16) [back to overview]Number of Carbohydrate Interventions for Hypoglycemia
NCT02181127 (16) [back to overview]Number of Hypoglycemic Episodes With CGMG < 50 mg/dl
NCT02181127 (16) [back to overview]Number of Hypoglycemic Episodes With CGMG < 60 mg/dl
NCT02181127 (16) [back to overview]Number of All BG Values Less Than 70 mg/dl
NCT02181127 (16) [back to overview]Mean Absolute Relative Deviation (MARD) Between Capillary Blood Glucose and CGM Glucose Values
NCT02181127 (16) [back to overview]Insulin Total Daily Dose
NCT02402933 (4) [back to overview]Assessment of Ease-of-use of Dry-Mist Nasal Glucagon by Completion of Questionnaire by the Caregiver
NCT02402933 (4) [back to overview]Percentage of Participants With Adverse Events Through the Nasal Score Questionnaire
NCT02402933 (4) [back to overview]Number of Participants Awakening or Returning to a Normal Status Within 30 Minutes Following Studied Drug of Administration
NCT02402933 (4) [back to overview]Change in Blood Glucose Level Over Time
NCT02411578 (18) [back to overview]CGM Time Below 70 mg/dL
NCT02411578 (18) [back to overview]CGM Coefficient of Variation
NCT02411578 (18) [back to overview]CGM Time in Range, Event Level
NCT02411578 (18) [back to overview]CGM Time in Range
NCT02411578 (18) [back to overview]CGM Time Below 70 mg/dL, Event Level
NCT02411578 (18) [back to overview]CGM Time Below 70
NCT02411578 (18) [back to overview]Clinical Grading - Initial and 15-min Treatment Correct
NCT02411578 (18) [back to overview]CGM Minimum Glucose, Event Level
NCT02411578 (18) [back to overview]CGM Mean Glucose, Event Level
NCT02411578 (18) [back to overview]CGM Mean Glucose, Event Level
NCT02411578 (18) [back to overview]CGM Mean Glucose
NCT02411578 (18) [back to overview]CGM Maximum Glucose, Event Level
NCT02411578 (18) [back to overview]CGM Maximum Glucose, Event Level
NCT02411578 (18) [back to overview]Clinical Grading - Initial Treatment Correct
NCT02411578 (18) [back to overview]CGM Time in Range, Event Level
NCT02411578 (18) [back to overview]Clinical Grading - Limited to Events in Primary Analysis
NCT02411578 (18) [back to overview]Continuous Glucose Monitor (CGM) Minimum Glucose, Event Level
NCT02411578 (18) [back to overview]Number of Hypoglycemic Events ≥50 mg/dl 15 Minutes AND ≥ 70 mg/dl 30 Minutes After Initial Treatment
NCT02423980 (3) [back to overview]Number of Subjects With Plasma Glucose > 70 mg/dL at 30 Minutes Post-treatment
NCT02423980 (3) [back to overview]Time to Plasma Glucose > 70 mg/dL
NCT02423980 (3) [back to overview]Time to Resolution of Induced Hypoglycemia Symptoms
NCT02516150 (2) [back to overview]Maximum Change in GIR (Glucose Infusion Rate) From Baseline
NCT02516150 (2) [back to overview]AOCGIR (Area Over the Curve for Glucose Infusion Rate)
NCT02635386 (23) [back to overview]Diastolic Blood Pressure (DBP)
NCT02635386 (23) [back to overview]Fasting Insulin Sensitivity (HOMA-IR)
NCT02635386 (23) [back to overview]Free Androgen Index (FAI)
NCT02635386 (23) [back to overview]Matsuda Sensitivity Index Derived From the OGTT(SI OGTT)
NCT02635386 (23) [back to overview]OGTT Mean Blood Glucose (MBG)
NCT02635386 (23) [back to overview]Oral Disposition (Insulin Sensitivity-insulin Secretion) Index
NCT02635386 (23) [back to overview]Systolic Blood Pressure (SBP)
NCT02635386 (23) [back to overview]Total Body Fat (%) by DEXA
NCT02635386 (23) [back to overview]Total Cholesterol Levels
NCT02635386 (23) [back to overview]Total Fat Mass (kg) Evaluated by DEXA
NCT02635386 (23) [back to overview]Total Testosterone Concentrations
NCT02635386 (23) [back to overview]Trunk/Leg Fat Ratio by DEXA
NCT02635386 (23) [back to overview]Waist-to-Hip Ratio (WHR)
NCT02635386 (23) [back to overview]Waist-to-Height Ratio (WHtR)
NCT02635386 (23) [back to overview]Fasting Blood Glucose
NCT02635386 (23) [back to overview]Absolute Body Weight
NCT02635386 (23) [back to overview]Android-Gynoid Ratio (AGR) as Determined by DEXA
NCT02635386 (23) [back to overview]Body Mass Index (BMI)
NCT02635386 (23) [back to overview]Central Adiposity (Waist Circumference)
NCT02635386 (23) [back to overview]Change in Percent Body Weight
NCT02635386 (23) [back to overview]Corrected First Phase Insulin Secretion (IGI/HOMA-IR)
NCT02635386 (23) [back to overview]Dehydroepiandrosterone Sulfate (DHEA-S) Levels
NCT02635386 (23) [back to overview]Triglyceride (TRG) Levels
NCT02656069 (10) [back to overview]Plasma Glucose Time to Concentration > 70 mg/dL
NCT02656069 (10) [back to overview]Plasma Glucose Maximum Concentration (Cmax)
NCT02656069 (10) [back to overview]Global Assessment of Hypoglycemia
NCT02656069 (10) [back to overview]Plasma Glucose Area Under the Curve (AUC)
NCT02656069 (10) [back to overview]Time to Resolution of Hypoglycemia Symptoms
NCT02656069 (10) [back to overview]Hypoglycemia Rescue: Per Protocol Population
NCT02656069 (10) [back to overview]Plasma Glucose Time to Maximum Concentration (Tmax)
NCT02656069 (10) [back to overview]Hypoglycemia Rescue: Intent-to-Treat Population
NCT02656069 (10) [back to overview]Hypoglycemia Rescue: Glucose or Symptomatic Response Definition
NCT02656069 (10) [back to overview]Hypoglycemia Rescue: Alternate Glucose Response Definition
NCT02660242 (12) [back to overview]Number of Participants With Hyperglycemia (≥250 mg/dL) During Exercise and Early Recovery
NCT02660242 (12) [back to overview]CGM Metrics During Late Recovery - Coefficient of Variation
NCT02660242 (12) [back to overview]CGM Metrics During Late Recovery - Mean Glucose
NCT02660242 (12) [back to overview]CGM Metrics During Late Recovery - Peak Glucose
NCT02660242 (12) [back to overview]CGM Metrics During Late Recovery - Time < 54 mg/dL
NCT02660242 (12) [back to overview]CGM Metrics During Late Recovery - Time < 70 mg/dL
NCT02660242 (12) [back to overview]CGM Metrics During Late Recovery - Time > 180 mg/dL
NCT02660242 (12) [back to overview]CGM Metrics During Late Recovery - Time > 250 mg/dL
NCT02660242 (12) [back to overview]CGM Metrics During Late Recovery - Time in Range (70-180 mg/dL)
NCT02660242 (12) [back to overview]Continuous Glucose Monitor (CGM) Metrics During Late Recovery - Nadir Glucose
NCT02660242 (12) [back to overview]Glycemic Response During Exercise and Early Recovery
NCT02660242 (12) [back to overview]Number of Participants With Hypoglycemia (<70 mg/dL) During Exercise and Early Recovery
NCT02701257 (25) [back to overview]Average Percent Glucagon Dose Amounts Successfully Issued to the Pump by the Bionic Pancreas Control Algorithm That a Successfully Delivered by the Pump.
NCT02701257 (25) [back to overview]Average Percent Insulin Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.
NCT02701257 (25) [back to overview]Average Percent Insulin Dose Amounts Successfully Issued to the Pump by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.
NCT02701257 (25) [back to overview]Average Percent of 5 Minute Steps During Which the Bionic Pancreas is Functioning Nominally in All Respects Based on Real-time CGM Data (New CGM Glucose Reading Captured, Dose Calculated, Dose Issued to Pumps
NCT02701257 (25) [back to overview]Average Percent of 5 Minute Steps During Which the Bionic Pancreas is Functioning Nominally With or Without a New CGM Glucose Reading Captured (Dose Calculated, Dose Issued to Pumps).
NCT02701257 (25) [back to overview]CGM Reliability Index, Calculated as Percent of Possible Values Actually Recorded by CGM.
NCT02701257 (25) [back to overview]Difference Between the Fasted PG Value and the PG Value at 90 Minutes
NCT02701257 (25) [back to overview]Difference in Local Erythema and Edema According to the Draize Scale
NCT02701257 (25) [back to overview]Difference in Mean Nausea From VAS During the Study
NCT02701257 (25) [back to overview]Difference in the PG Prior to the Meal and Peak Post-prandial Glucose
NCT02701257 (25) [back to overview]Glucagon Total Delivery Per kg of Body Mass.
NCT02701257 (25) [back to overview]Insulin Total Delivery Per kg of Body Mass.
NCT02701257 (25) [back to overview]Number of Episodes of Symptomatic Hypoglycemia.
NCT02701257 (25) [back to overview]Number of Severe Hypoglycemic Events (Subject Unable to Self-treat, Requiring the Assistance of Another Person)
NCT02701257 (25) [back to overview]Number of Subjects With Mean CGM Glucose < 154 mg/dl
NCT02701257 (25) [back to overview]Number of Unscheduled CGM Sensor Changes.
NCT02701257 (25) [back to overview]Number of Unscheduled Infusion Set Replacements.
NCT02701257 (25) [back to overview]PG AUC in the 3.5 Hours Following the Meal
NCT02701257 (25) [back to overview]Total Grams of Carbohydrate Taken for Hypoglycemia.
NCT02701257 (25) [back to overview]Percentage of Time in Each of the Following Ranges: < 50 mg/dl, < 60 mg/dl, <70 mg/dl, 70-120 mg/dl, 70-180 mg/dl, >180 mg/dl, >250 mg/dl
NCT02701257 (25) [back to overview]Average Continuous Glucose Monitor (CGM) Glucose
NCT02701257 (25) [back to overview]Average Insulin Infusion Site Pain From VAS
NCT02701257 (25) [back to overview]Average Percent Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump (Aggregate of Both Insulin and Glucagon Doses)
NCT02701257 (25) [back to overview]Average Percent Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump (Glucagon Doses).
NCT02701257 (25) [back to overview]Average Percent Glucagon Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.
NCT02733588 (4) [back to overview]Glucose Time in Range
NCT02733588 (4) [back to overview]Number of Subjects With Rebound Hyperglycemia
NCT02733588 (4) [back to overview]Number of Subjects With Severe Hypoglycemia
NCT02733588 (4) [back to overview]Detection/Notification of Hypoglycemia
NCT02778100 (8) [back to overview]PK: Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon
NCT02778100 (8) [back to overview]PK: Maximum Change From Baseline Concentration (Cmax) of Glucagon
NCT02778100 (8) [back to overview]PK: Area Under the Curve Extrapolated to Infinity (AUC[0-inf]) of Baseline Adjusted Glucagon
NCT02778100 (8) [back to overview]Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to T (AUC[0-tlast]) of Baseline Adjusted Glucagon
NCT02778100 (8) [back to overview]Pharmacodynamics (PD): Area Under the Effect Concentration Time Curve (AUEC0-3) of Baseline-Adjusted Glucose From Time Zero up to 3 Hours
NCT02778100 (8) [back to overview]PD: Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose
NCT02778100 (8) [back to overview]PD: Baseline-Adjusted Glucose Maximum Concentration (BGmax) of Baseline-Adjusted Glucose
NCT02778100 (8) [back to overview]Number of Participants With One or More Serious Adverse Event(s) (SAEs)
NCT02778113 (8) [back to overview]Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to T (AUC[0-tlast]) of Baseline Adjusted Glucagon
NCT02778113 (8) [back to overview]PK: Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon
NCT02778113 (8) [back to overview]PK: Maximum Change From Baseline Concentration (Cmax) of Glucagon
NCT02778113 (8) [back to overview]PD: Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose
NCT02778113 (8) [back to overview]Pharmacodynamics (PD): Area Under the Effect Concentration Time Curve (AUEC₀-₄) of Glucose
NCT02778113 (8) [back to overview]PD: Baseline-Adjusted Glucose Maximum Concentration (BGmax)
NCT02778113 (8) [back to overview]Number of Participants With One or More Serious Adverse Event(s) (SAEs)
NCT02778113 (8) [back to overview]PK: Area Under the Curve Extrapolated to Infinity (AUC[0-inf]) of Baseline Adjusted Glucagon
NCT02806973 (7) [back to overview]PK: Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon
NCT02806973 (7) [back to overview]PK: Maximum Change From Baseline Concentration (Cmax) of Glucagon
NCT02806973 (7) [back to overview]PK: Area Under the Curve Extrapolated to Infinity (AUC[0-inf]) of Glucagon
NCT02806973 (7) [back to overview]Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to T(AUC[0-tlast]) of Baseline-Adjusted Glucagon
NCT02806973 (7) [back to overview]Pharmacodynamics (PD): Area Under the Effect Concentration Time Curve (AUEC0-3) of Baseline-Adjusted Glucose From Time Zero up to 3 Hours
NCT02806973 (7) [back to overview]PD: Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose
NCT02806973 (7) [back to overview]PD: Baseline-Adjusted Glucose Maximum Concentration (BGmax)
NCT02937558 (4) [back to overview]Number of Subjects With Clinically Meaningful Reduction in Glucose Infusion Rate (Open-Label)
NCT02937558 (4) [back to overview]Number of Subjects With Clinically Meaningful Reduction in Glucose Infusion Rate (Double-Blind)
NCT02937558 (4) [back to overview]Percent Change in Glucose Infusion Rate (Open-Label)
NCT02937558 (4) [back to overview]Percent Change in GIR (Double-Blind)
NCT02966275 (16) [back to overview]Mean Absolute Relative Deviation (MARD) of CGM vs. All StatStrip Xpress BG Measurements
NCT02966275 (16) [back to overview]Total Number of Grams of Carbohydrate Taken for Hypoglycemia Per Day
NCT02966275 (16) [back to overview]Mean Continuous Glucose Monitor (CGM) Glucose
NCT02966275 (16) [back to overview]Number of Carbohydrate Interventions for Hypoglycemia Per Day
NCT02966275 (16) [back to overview]Number of Days With Nausea
NCT02966275 (16) [back to overview]Number of Symptomatic Hypoglycemia Events Per Day
NCT02966275 (16) [back to overview]Total Glucagon Dosing (mcg/kg/24 Hours)
NCT02966275 (16) [back to overview]Severity of Nausea on Daily E-mail Survey
NCT02966275 (16) [back to overview]Percentage of Time With CGM Glucose Less Than 60 mg/dl Overnight (11:00 PM - 7:00 AM)
NCT02966275 (16) [back to overview]Percentage of Time With CGM Glucose Less Than 60 mg/dl During Daytime ( 7:00 AM-11:00 PM)
NCT02966275 (16) [back to overview]Percentage of Time Spent Within the Glucose Range 70-180 mg/dl
NCT02966275 (16) [back to overview]Percentage of Time Spent Within the Glucose Range 70-120 mg/dl
NCT02966275 (16) [back to overview]Percentage of Days When Participants Correctly Guessed Intervention (Glucagon vs Placebo) Out of a Total of 14 Days.
NCT02966275 (16) [back to overview]Area Over the Curve and <60 mg/dl (CGM) Measured in mg/dl *Min
NCT02966275 (16) [back to overview]Fraction of Time Spent Within the Glucose Range >250 mg/dl
NCT02966275 (16) [back to overview]Percentage of Time Spent Within the Glucose Range >180 mg/dl
NCT02971228 (12) [back to overview]Pain Measured on a Visual Analog Scale (VAS)
NCT02971228 (12) [back to overview]CGM Reliability Index, Calculated as Percentage of Possible Values Actually Recorded by CGM
NCT02971228 (12) [back to overview]Average Percent Glucagon Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.
NCT02971228 (12) [back to overview]Average Percent Insulin Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump.
NCT02971228 (12) [back to overview]Average Percentage of Time During Which the Bionic Pancreas is Functioning Nominally in All Respects Based on Real-time Continuous Glucose Monitoring (CGM) Data
NCT02971228 (12) [back to overview]Average Percentage of Time During Which the Bionic Pancreas is Functioning Nominally With or Without a New CGM Glucose Reading Captured
NCT02971228 (12) [back to overview]Safety and Tolerability as Measured by Adverse Events, Local Tolerability of Infusion Site Reactions, and Clinical Laboratory Parameters
NCT02971228 (12) [back to overview]CGM Mean Absolute Relative Difference Versus Time-stamped Blood Glucose (BG) Values From Meter Download
NCT02971228 (12) [back to overview]Glycemic Regulation
NCT02971228 (12) [back to overview]Number of Patients With Technical Faults Associated With the BP Including Cause and Resolution: Calibration Issues
NCT02971228 (12) [back to overview]Number of Patients With Technical Faults Associated With the BP Including Cause and Resolution: Connectivity Issues
NCT02971228 (12) [back to overview]Nausea Measured on a Visual Analog Scale (VAS)
NCT03091673 (5) [back to overview]Plasma Glucagon Area Under the Curve
NCT03091673 (5) [back to overview]Plasma Glucagon Cmax
NCT03091673 (5) [back to overview]Plasma Glucagon Tmax
NCT03091673 (5) [back to overview]Time for Plasma Glucose to Increase by ≥25 mg/dL
NCT03091673 (5) [back to overview]Change in Plasma Glucose
NCT03216226 (9) [back to overview]Pharmacodynamics - An Increase in the Plasma Glucose Concentration of ≥20 mg/dL Within 30 Minutes After Treatment
NCT03216226 (9) [back to overview]Pharmacokinetics - Maximum Plasma Concentration
NCT03216226 (9) [back to overview]Pharmacokinetics - Area Under the Plasma Concentration Curve
NCT03216226 (9) [back to overview]Pharmacokinetics - Area Under the Plasma Concentration Curve
NCT03216226 (9) [back to overview]Pharmacodynamics - Time to Maximum Plasma Glucose Concentration
NCT03216226 (9) [back to overview]Pharmacodynamics - Change From Baseline Plasma Glucose
NCT03216226 (9) [back to overview]Pharmacodynamics - Area Under the Effect Curve
NCT03216226 (9) [back to overview]Pharmacodynamics - Area Under the Effect Curve
NCT03216226 (9) [back to overview]Pharmacokinetics - Time to Maximum Plasma Concentration
NCT03255629 (22) [back to overview]Meal Provoked Nadir Plasma Glucose
NCT03255629 (22) [back to overview]Percent Time Sensor Glucose in Range After Drug Delivery After the Final Dose of Study Drug or Vehicle, Which Was Either 1 or 2 Doses Depending on Patient Response
NCT03255629 (22) [back to overview]Percent Time Plasma Glucose in Range After the Final Dose of Study Drug or Vehicle, Which Was Either 1 or 2 Doses Depending on Patient Response
NCT03255629 (22) [back to overview]Pain Score at Time of Second Dose Delivery of Study Drug, Versus Pain Score at Time of Second Dose Delivery of Placebo (Comparing Second Delivery Pain Scores for Visit Where Participant Received Study Drug vs. Visit Where Participant Received Placebo).
NCT03255629 (22) [back to overview]Pain Score at Time of First Dose Delivery of Study Drug, Versus Pain Score at Time of First Dose Delivery of Placebo (Comparing First Delivery Pain Scores for Visit Where Participant Received Study Drug vs. Visit Where Participant Received Placebo).
NCT03255629 (22) [back to overview]Number of Participants With Rebound Hyperglycemia (Defined as Glucose Levels Above 180 mg/dl).
NCT03255629 (22) [back to overview]Number of Participants With Meal-provoked Hypoglycemia, Defined as Sensor Glucose <60 mg/dL
NCT03255629 (22) [back to overview]Sensor Glucose at Time of Alarm 1 During Mixed Meal Testing (mg/dL)
NCT03255629 (22) [back to overview]Number of Participants With Meal-provoked Hypoglycemia, Defined as Plasma Glucose <65 mg/dL
NCT03255629 (22) [back to overview]Number of Participants With Meal-provoked Hypoglycemia, Defined as Sensor Glucose <55 mg/dL
NCT03255629 (22) [back to overview]Meal Provoked Nadir Sensor Glucose
NCT03255629 (22) [back to overview]Capillary Glucose at Time of Alarm 2 During Mixed Meal Testing (mg/dL)
NCT03255629 (22) [back to overview]Capillary Glucose at Time of Alarm 1 During Mixed Meal Testing (mg/dL)
NCT03255629 (22) [back to overview]Number of Participants With Meal-provoked Hypoglycemia, Defined as Sensor Glucose <65 mg/dL
NCT03255629 (22) [back to overview]Time to Delivery (Min)
NCT03255629 (22) [back to overview]Sensor Glucose at Time of Alarm 2 During Mixed Meal Testing (mg/dL)
NCT03255629 (22) [back to overview]Time to Alarm During Mixed Meal Testing (Minutes)
NCT03255629 (22) [back to overview]Time to Nadir Plasma Glucose After Mixed Meal (Min)
NCT03255629 (22) [back to overview]Time to Nadir Sensor Glucose After Mixed Meal (Min)
NCT03255629 (22) [back to overview]Number of Participants With Meal-provoked Hypoglycemia, Defined as Plasma Glucose <60 mg/dL
NCT03255629 (22) [back to overview]Number of Participants With Meal-provoked Hypoglycemia, Defined as Plasma Glucose <55 mg/dL
NCT03255629 (22) [back to overview]Number of Participants With Hypoglycemia Rescue Administered
NCT03339453 (6) [back to overview]PD: Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose
NCT03339453 (6) [back to overview]PK: Maximum Change From Baseline Concentration (Cmax) of Glucagon
NCT03339453 (6) [back to overview]PK: Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon
NCT03339453 (6) [back to overview]Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to Tlast (AUC[0-tlast]) of Baseline Adjusted Glucagon
NCT03339453 (6) [back to overview]Pharmacodynamics (PD): Change From Baseline in Maximal Blood Glucose (BGmax)
NCT03339453 (6) [back to overview]Percentage of Participants Achieving Treatment Success During Controlled Insulin-Induced Hypoglycemia
NCT03378635 (11) [back to overview]Plasma Glucose Changes From Baseline
NCT03378635 (11) [back to overview]Rescue Infusion of IV Glucose During the Hypoglycemic Clamp Procedure
NCT03378635 (11) [back to overview]Pharmacokinetics - Time to Maximum Plasma Concentration
NCT03378635 (11) [back to overview]Pharmacokinetics - Maximum Plasma Concentration
NCT03378635 (11) [back to overview]Pharmacokinetics - Area Under the Plasma Concentration Curve
NCT03378635 (11) [back to overview]Pharmacokinetics - Area Under the Plasma Concentration Curve
NCT03378635 (11) [back to overview]Pharmacodynamics - Area Under the Effect Curve
NCT03378635 (11) [back to overview]Plasma Glucose Recovery
NCT03378635 (11) [back to overview]Immunogenicity - Occurence of Anti-drug Antibodies
NCT03378635 (11) [back to overview]Time to Plasma Glucose Recovery
NCT03378635 (11) [back to overview]Time to Target
NCT03421379 (6) [back to overview]Percentage of Participants Achieving Treatment Success During Controlled Insulin-Induced Hypoglycemia
NCT03421379 (6) [back to overview]PK: Change From Baseline in Tmax of Glucagon Nasal Powder and Glucagon Hydrochloride IM
NCT03421379 (6) [back to overview]PK: Change From Baseline in Maximal Concentration (Cmax) of Glucagon Nasal Powder and Glucagon Hydrochloride IM
NCT03421379 (6) [back to overview]Pharmacokinetics (PK): Change From Baseline in Area Under the Concentration Versus Time Curve From Zero to Time t (AUC [0-tLast]) of Glucagon Nasal Powder and Glucagon Hydrochloride IM
NCT03421379 (6) [back to overview]Pharmacodynamics (PD): Change From Baseline in Maximal Blood Glucose (BGmax) of Glucagon Nasal Powder and Glucagon Hydrochloride Intramuscular (IM)
NCT03421379 (6) [back to overview]PD: Time to Maximal Concentration (Tmax) of Glucagon Nasal Powder and Glucagon Hydrochloride IM
NCT03424044 (7) [back to overview]Percent of Time With Sensed Glucose > 180 mg/dl
NCT03424044 (7) [back to overview]Percent of Time With Sensed Glucose Between 70-180 mg/dl
NCT03424044 (7) [back to overview]Number of Carbohydrate Treatments
NCT03424044 (7) [back to overview]Mean Amount of Glucagon Delivered in One Day
NCT03424044 (7) [back to overview]Mean Amount of Insulin Delivered in One Day
NCT03424044 (7) [back to overview]Percent of Time With Sensed Glucose < 54 mg/dl
NCT03424044 (7) [back to overview]Percent of Time With Sensed Glucose < 70 mg/dl
NCT03439072 (14) [back to overview]Time to Resolution of Autonomic Symptoms
NCT03439072 (14) [back to overview]Time to Resolution of Neuroglycopenic Symptoms
NCT03439072 (14) [back to overview]Time to Resolution of the Feeling of Hypoglycemia
NCT03439072 (14) [back to overview]Time for Positive Glucose Response
NCT03439072 (14) [back to overview]Glucose AUC
NCT03439072 (14) [back to overview]Glucagon Preparation and Administration Time
NCT03439072 (14) [back to overview]Glucose Cmax
NCT03439072 (14) [back to overview]Glucose Tmax
NCT03439072 (14) [back to overview]Number of Subjects With a Positive Glucose Increase
NCT03439072 (14) [back to overview]Number of Subjects With a Positive Glucose Response
NCT03439072 (14) [back to overview]Number of Subjects With a Positive Response for the Combination Endpoint: Positive Glucose Response/Positive Glucose Increase
NCT03439072 (14) [back to overview]Number of Subjects With a Positive Response for the Combination Endpoint: Positive Glucose Response/Relief of Neuroglycopenic Symptoms
NCT03439072 (14) [back to overview]Number of Subjects With Relief of Neuroglycopenic Symptoms
NCT03439072 (14) [back to overview]Time for Positive Glucose Increase
NCT03490942 (1) [back to overview]Plasma Epinephrine
NCT03667053 (16) [back to overview]Pharmacokinetics: Tmax
NCT03667053 (16) [back to overview]Time to Plasma Glucose Recovery
NCT03667053 (16) [back to overview]Plasma Glucose Recovery
NCT03667053 (16) [back to overview]Plasma Glucose Changes From Baseline
NCT03667053 (16) [back to overview]Time to First IV Glucose Infusion After IMP Administration
NCT03667053 (16) [back to overview]Administration of Rescue IV Glucose Infusion After IMP Injection
NCT03667053 (16) [back to overview]Pharmacodynamics - Area Under the Effect Curve (0-30 Minutes)
NCT03667053 (16) [back to overview]Pharmacokinetics: Vz/f
NCT03667053 (16) [back to overview]Pharmacokinetics: AUC0-300min
NCT03667053 (16) [back to overview]Pharmacokinetics: AUC0-inf
NCT03667053 (16) [back to overview]Pharmacokinetics: CL/f
NCT03667053 (16) [back to overview]Pharmacokinetics: Cmax
NCT03667053 (16) [back to overview]Pharmacokinetics: MRT
NCT03667053 (16) [back to overview]Pharmacokinetics: AUC0-30 Min
NCT03667053 (16) [back to overview]Pharmacokinetics: λz
NCT03667053 (16) [back to overview]Pharmacokinetics: t½
NCT03738865 (5) [back to overview]Administration Time
NCT03738865 (5) [back to overview]Plasma Glucose Response 1
NCT03738865 (5) [back to overview]Severe Hypoglycemia Rescue
NCT03738865 (5) [back to overview]Plasma Glucose Response 2
NCT03738865 (5) [back to overview]Hypoglycemia Resolution
NCT03765502 (7) [back to overview]Percentage of Participants (PWD) That Prefer One Device Over the Other
NCT03765502 (7) [back to overview]Percentage of Untrained Users That Perform a Successful Administration for Each Device
NCT03765502 (7) [back to overview]Percentage of Trained Users That Performed a Successful Administration for Each Device
NCT03765502 (7) [back to overview]Average Time for Untrained Users to Successfully Administer One Device Over the Other
NCT03765502 (7) [back to overview]Percentage of Participants Trained and Untrained Users That Find One Device Easy to Use Over the Other
NCT03765502 (7) [back to overview]Percentage of Participants (Trained and Untrained Users) That Prefer One Device Over the Other
NCT03765502 (7) [back to overview]Average Time for Trained Users to Successfully Administer One Device Over the Other
NCT03807440 (29) [back to overview]Body Mass Index (BMI) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist
NCT03807440 (29) [back to overview]Baseline Characteristic: Body Mass Index (BMI) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist
NCT03807440 (29) [back to overview]Baseline Characteristic: Age According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist
NCT03807440 (29) [back to overview]Baseline Characteristic: Age According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist
NCT03807440 (29) [back to overview]Baseline Characteristic: Age According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist
NCT03807440 (29) [back to overview]Body Mass Index (BMI) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist
NCT03807440 (29) [back to overview]Number of Patients Per Type of Medical Specialty of Other Physicians Involved in Treatment Decision According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist
NCT03807440 (29) [back to overview]10-year Risk for Fatal Cardiovascular Disease (CVD) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist
NCT03807440 (29) [back to overview]10-year Risk for Fatal Cardiovascular Disease (CVD) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist
NCT03807440 (29) [back to overview]10-year Risk for Fatal Cardiovascular Disease (CVD) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist
NCT03807440 (29) [back to overview]Number of Patients Per Type of Medical Specialty of Other Physicians Involved in Treatment Decision According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist
NCT03807440 (29) [back to overview]Time Since Diagnosis of Type 2 Diabetes (T2D) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist
NCT03807440 (29) [back to overview]Number of Patients With Documentation of Estimated Glomerular Filtration Rate (eGFR) / Urine Albumin Creatinine Ratio (UACR) Status
NCT03807440 (29) [back to overview]Number of Patients With Chronic Kidney Disease (CKD) by Estimated Glomerular Filtration Rate (eGFR) and Urine Albumin Creatinine Ratio (UACR) Status
NCT03807440 (29) [back to overview]Number of Patients With Chronic Kidney Disease (CKD) by eGFR and UACR Status According to Prescribing Specialist
NCT03807440 (29) [back to overview]Number of Patients With Any Type of Cardiovascular Disease (CVD)
NCT03807440 (29) [back to overview]Clinical Parameter Relevant for Type 2 Diabetes (T2D): Percentage of Glycosylated Hemoglobin (HbA1c [%]) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist
NCT03807440 (29) [back to overview]Clinical Parameter Relevant for Type 2 Diabetes (T2D): Percentage of Glycosylated Hemoglobin (HbA1c [%]) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist
NCT03807440 (29) [back to overview]Clinical Parameter Relevant for Type 2 Diabetes (T2D): Percentage of Glycosylated Hemoglobin (HbA1c [%]) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist
NCT03807440 (29) [back to overview]Number of Patients With Chronic Kidney Disease (CKD) by Physician's Assessment
NCT03807440 (29) [back to overview]Number of Patients Per Type of Medical Specialty of Other Physicians Involved in Treatment Decision According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist
NCT03807440 (29) [back to overview]Number of Patients in Each Category of Different Types of Cardiovascular Disease (CVD) According to Type 2 Diabetes (T2D) Medication Initiated at Study Index Date 1
NCT03807440 (29) [back to overview]Number of Patients in Each Category of the Different Types of Cardiovascular Disease
NCT03807440 (29) [back to overview]Number of Patients Initiated on a Modern Type 2 Diabetes (T2D) Medication Who Also Received Concomitant T2D Medications at Study Index Date 1 According to Prescribing Specialist
NCT03807440 (29) [back to overview]Number of Patients Initiated on a Modern Type 2 Diabetes (T2D) Medication Who Also Received Concomitant Cardiovascular Disease (CVD) and/or Chronic Kidney Disease (CKD) Medication at Study Index Date 1 According to Prescribing Specialist
NCT03807440 (29) [back to overview]Number of Patients for Each Type of Physician Specialties Involved in Decision for T2D Therapy Discontinuation According to Prescribing Specialist
NCT03807440 (29) [back to overview]Time to Discontinuation of Type 2 Diabetes (T2D) Treatment According to Study Medication
NCT03807440 (29) [back to overview]Time Since Diagnosis of Type 2 Diabetes (T2D) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist
NCT03807440 (29) [back to overview]Time Since Diagnosis of Type 2 Diabetes (T2D) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist
NCT03841526 (17) [back to overview]CRC Phase: Incidence Rate of Hypoglycemia During and After Moderate to High Intensity Aerobic Exercise Exercise.
NCT03841526 (17) [back to overview]CRC Phase: Mean Number of Hypoglycemic Events Exercise.
NCT03841526 (17) [back to overview]Outpatient Phase: Incidence Rate of Hypoglycemia During and After Moderate to High Intensity Aerobic Exercise.
NCT03841526 (17) [back to overview]Outpatient Phase: Mean Number of Hypoglycemic Events
NCT03841526 (17) [back to overview]Outpatient Phase: Mean Number of Qualified High Intensity Aerobic Exercise Sessions
NCT03841526 (17) [back to overview]CRC Phase: Interstitial Glucose Below Target Range
NCT03841526 (17) [back to overview]Outpatient Phase: Barriers to Physical Activity Diabetes (Type 1): BAPAD-1 Change From Baseline
NCT03841526 (17) [back to overview]Outpatient Phase: HFS-II Overall Score Change From Baseline
NCT03841526 (17) [back to overview]Outpatient Phase: HFS-II Overall Score Change From Baseline
NCT03841526 (17) [back to overview]Outpatient Phase: Hypoglycemic Confidence Scale (HCS) Change From Baseline
NCT03841526 (17) [back to overview]CRC Phase: Mean Number of Qualified High Intensity Aerobic Exercise Sessions
NCT03841526 (17) [back to overview]Outpatient Phase: Hypoglycemic Confidence Scale (HCS) Change From Baseline
NCT03841526 (17) [back to overview]Outpatient Phase: Insulin Use Change From Baseline
NCT03841526 (17) [back to overview]Outpatient Phase: Insulin Use Change From Baseline
NCT03841526 (17) [back to overview]Outpatient Phase: Insulin Use Change From Baseline
NCT03841526 (17) [back to overview]Outpatient Phase: Interstitial Glucose Levels Below Target Range
NCT03841526 (17) [back to overview]Outpatient Phase: Barriers to Physical Activity Diabetes (Type 1): BAPAD-1 Change From Baseline

Percent of Time Venous Blood Glucose <70 mg/dl

(NCT00797823)
Timeframe: 1 year

Interventionpercent of time (Mean)
Placebo Comparator: Insulin Alone2.8
Active Comparator: Insulin Plus Glucagon1.15

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Effectiveness of Closed Loop Diabetes Control

Effectiveness of closed loop diabetes control will be measured by mean glucose. (NCT00797823)
Timeframe: 1 year

Interventionmg/dl (Mean)
Placebo Comparator: Insulin Alone136.9
Active Comparator: Insulin Plus Glucagon149.5

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Colonic Transit, Colonic Geometric Center at 24 Hours

The scintigraphic method is used to measure colonic transit. An isotope is adsorbed on activated charcoal particles and delivered to the colon in a delayed release capsule. Anterior and posterior gamma images are taken hourly. The geometric center (GC) is the weighted average of counts in the different colonic regions. The scale ranges from 1 to 5; a high GC implies faster colonic transit, a GC of 1 implies all isotope is in the ascending colon, and a GC of 5 implies all isotope is in the stool. (NCT01056107)
Timeframe: 24 hours (Visit 3 = Day 1)

Interventionunits on a scale (Mean)
ROSE-010 30 Mcg2.39
ROSE-010 100 Mcg2.37
ROSE-010 300 Mcg2.02
Placebo1.76

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Ascending Colon Emptying Half-time (AC t1/2) Measured by Scintigraphy

Ascending colon emptying half-time will be estimated by power exponential analysis of the proportionate emptying over time of counts from the colon. The primary data for this analysis will be the proportion of decay and depth-corrected counts in the ascending colon on the hourly scans on the first day of transit measurement and the 48 hour data. (NCT01056107)
Timeframe: 48 hours (Visit 4 = Day 2)

Interventionhours (Mean)
ROSE-010 30 Mcg14.5
ROSE-010 100 Mcg14.8
ROSE-010 300 Mcg17.1
Placebo19.3

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Colonic Transit, Colonic Geometric Center at 48 h Measured by Scintigraphy, as Compared to Placebo.

The scintigraphic method is used to measure colonic transit. An isotope is adsorbed on activated charcoal particles and delivered to the colon in a delayed release capsule. Anterior and posterior gamma images are taken hourly. The geometric center (GC) is the weighted average of counts in the different colonic regions. The scale ranges from 1 to 5; a high GC implies faster colonic transit, a GC of 1 implies all isotope is in the ascending colon, and a GC of 5 implies all isotope is in the stool. (NCT01056107)
Timeframe: 48 hours (Visit 4 = Day 2)

Interventionunits on a scale (Mean)
ROSE-010 30 Mcg3.69
ROSE-010 100 Mcg3.79
ROSE-010 300 Mcg3.36
Placebo2.67

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Change Between Postprandial and Fasting Whole Gastric Volume by Technetium-99m (99mTc)-SPECT Imaging (Gastric Accommodation)

"A noninvasive SPECT method was used to measure gastric volume during fasting and 32 min after a liquid nutritional supplement meal. Subjects reported to the clinic after an overnight fast. 99mTC was giving by an intravenous injection in the forearm. The first fasting scan was obtained, and the study medication was given s.c. After 10 min, a 2nd fasting post medication scan was obtained, and the meal consumed; then two serial postprandial scans were obtained. Each scan required 9-12 min. Tomographic images of the gastric wall were obtained throughout the long axis of the stomach using a dual-head gamma camera that rotates around the body. This allows assessment of the radiolabeled circumference of the gastric wall, rather than the intragastric content. For this outcome measure, the scans for the fasting volume and 2 postprandial volumes were used. The 2 postprandial (PP) volumes were averaged. Change was calculated as (PP - Fasting = gastric accommodation)." (NCT01056107)
Timeframe: approximately 1 hour after 99mTC injection, approximately 30 min after liquid meal (Visit 5 = approximately 2-10 days after Visit 4)

InterventionmL (Mean)
ROSE-010 30 Mcg532.2
ROSE-010 100 Mcg575.6
ROSE-010 300 Mcg515.2
Placebo532.8

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Colonic Filling at 6 h Measured by Scintigraphy

Percent of the radio-labeled meal that reached the colon at 6 hours, indirectly reflecting small bowel transit time. (NCT01056107)
Timeframe: 6 hours (Visit 2 = Day 0)

Interventionpercentage of meal (Mean)
ROSE-010 30 Mcg47.6
ROSE-010 100 Mcg54.4
ROSE-010 300 Mcg48.0
Placebo53.5

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Gastric Residual at 2 and 4 Hours Measured by Scintigraphy

The gastric residual will be calculated as the proportion of isotope remaining in the stomach (at 2 and 4 hours). (NCT01056107)
Timeframe: 2 hours, 4 hours (Visit 2 = Day 0)

,,,
Interventionproportion of isotope in the stomach (Mean)
Gastric residual at 2 hoursGastric residual at 4 hours
Placebo0.590.12
ROSE-010 100 Mcg0.760.16
ROSE-010 30 Mcg0.660.14
ROSE-010 300 Mcg0.860.30

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Colonic Geometric Center at 4 h Measured by Scintigraphy

"The scintigraphic method is used to measure colonic transit. An isotope is adsorbed on activated charcoal particles and delivered to the colon in a delayed release capsule. Anterior and posterior gamma images are taken hourly. The geometric center (GC) is the weighted average of counts in the different colonic regions. The scale ranges from 1 to 5; a high GC implies faster colonic transit, a GC of 1 implies all isotope is in the ascending colon, and a GC of 5 implies all isotope is in the stool. (Note: when there is no radio isotope in the colon (e.g., at 4 hours) the geometric center values are recorded as zero, thus the mean values can be less than one.)" (NCT01056107)
Timeframe: 4 hours (Visit 2 = Day 0)

Interventionunits on a scale (Mean)
ROSE-010 30 Mcg0.70
ROSE-010 100 Mcg0.47
ROSE-010 300 Mcg0.57
Placebo0.53

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Stool Frequency

Stool frequency was self reported in a Bowel Pattern Diary. The bowel pattern diary was dispensed at the screening visit, and the completed bowel pattern diary was collected at the completion of the study. (NCT01056107)
Timeframe: screening visit (Visit 1), 34 days (Visit 6)

InterventionStools/day (Mean)
ROSE-010 30 Mcg0.75
ROSE-010 100 Mcg1.13
ROSE-010 300 Mcg0.88
Placebo0.70

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Stool Consistency Post Treatment

"The subjects rated their stool consistency using the 7-point Bristol Stool Scale. The Bristol Stool Scale is a medical aid designed to classify the form of human feces into seven categories or types. Types 1 and 2 indicate constipation with 3 and 4 being the ideal stools especially the latter, as they are the easiest to defecate, and 5-7 tending towards diarrhea. The Bristol stool form was part of the bowel pattern diary, which was dispensed at the screening visit, and the completed bowel pattern diary was collected at the completion of the study." (NCT01056107)
Timeframe: 34 days (Visit 6)

Interventionunits on a scale (Mean)
ROSE-010 30 Mcg2.93
ROSE-010 100 Mcg2.96
ROSE-010 300 Mcg2.93
Placebo3.05

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Half Time (t1/2) of Gastric Emptying of Solids Measured by Scintigraphy (Gastric Transit)

Half time (t1/2) of gastric emptying (GE) of solids is the time for half of the ingested solids or liquids to leave the stomach. The scintigraphy for GE t1/2 was done on Visit 2 (Day 0 of the study), the first day of scintigraphy. (NCT01056107)
Timeframe: approximately 2 hours after radiolabeled meal is ingested (Visit 2 = Day 0)

Interventionminutes (Mean)
ROSE-010 30 Mcg151.8
ROSE-010 100 Mcg172.6
ROSE-010 300 Mcg210.7
Placebo136.9

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Number of Carbohydrate Interventions for Hypoglycemia

(NCT01161862)
Timeframe: 48 hours

InterventionCarbohydrate Interventions (Number)
Bi-hormonal With Meal Priming Bolus12
Bi-hormonal Without Meal Priming Bolus10

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Percentage of Time Spent With Blood Glucose <70 mg/dl

(NCT01161862)
Timeframe: 48 hours

,
Interventionpercentage of total time (Mean)
AdultsAdolescents
Bionic Pancreas With Automated Meal-priming Bolus5.10.3
Bionic Pancreas Without Automated Meal-priming Bolus3.60.4

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Percentage of Time Spent With Blood Glucose 70-180 mg/dl

(NCT01161862)
Timeframe: 48 hours

,
Interventionpercentage of total time (Mean)
AdultsAdolescents
Bionic Pancreas With Automated Meal-priming Bolus8068
Bionic Pancreas Without Automated Meal-priming Bolus7060

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Nadir Blood Glucose in Each Arm

(NCT01161862)
Timeframe: 48 hours

Interventionmg/dl (Mean)
Bionic Pancreas With Automated Meal-priming Bolus65.9
Bionic Pancreas Without Automated Meal-priming Bolus66.4

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Number of Blood Glucose Events < 70 mg/dl

(NCT01161862)
Timeframe: 48 hours

InterventionNumber of events (Number)
Bi-hormonal With Meal Priming Bolus59
Bi-hormonal Without Meal Priming Bolus48

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Insulin Total Daily Dose

(NCT01161862)
Timeframe: 48 hours

,
Interventionu/kg/day (Mean)
AdultsAdolescents
Bionic Pancreas With Automated Meal-priming Bolus0.61.1
Bionic Pancreas Without Automated Meal-priming Bolus0.71.2

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Mean Plasma Blood Glucose Achieved by the Bionic Pancreas (mg/dl)

(NCT01161862)
Timeframe: 48 hours

,
Interventionmg/dl (Mean)
AdultsAdolescents
Bionic Pancreas With Automated Meal-priming Bolus132162
Bionic Pancreas Without Automated Meal-priming Bolus146175

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Percentage of Time Spent With Blood Glucose < 60 mg/dl

(NCT01161862)
Timeframe: 48 hours

,
Interventionpercentage of total time (Mean)
AdultsAdolescents
Bionic Pancreas With Automated Meal-priming Bolus2.30.1
Bionic Pancreas Without Automated Meal-priming Bolus1.40.1

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Peak Cortisol Level in Healthy Volunteers.

The peak cortisol levels during Insulin Tolerance Test (ITT), fixed- dose glucagon stimulation test (GST) and weight-based GST in healthy volunteers. (NCT01282164)
Timeframe: one year

Interventionug/dL (Median)
Control Group- ITT22.1
Control Group- Fixed-dose GST18.0
Control Group- Weight-based GST22.7

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Peak GH Level in Adult Patients With Hypothalamic-pituitary Disorders and 1-2 Pituitary Hormone Deficiency (PHD).

The peak growth hormone (GH) during Insulin Tolerance Test (ITT), fixed- dose glucagon stimulation test (GST) and weight-based GST in patients with adult onset hypothalamic-pituitary disease and 1-2 pituitary hormone deficiency (PHD) other than growth hormone (GH) deficiency. (NCT01282164)
Timeframe: one year

Interventionng/mL (Median)
Patients With 1-2 PHD- Insulin Tolerance Test0.9
Patients With 1-2 PHD- Fixed Dose GST0.6
Patients With 1-2 PHD- Weight Based GST0.7

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Peak Growth Hormone (GH) Level in Healthy Volunteers

The peak growth hormone (GH) during Insulin Tolerance Test (ITT), fixed- dose glucagon stimulation test (GST) and weight-based GST in healthy volunteers (NCT01282164)
Timeframe: one year

Interventionng/mL (Median)
Control Group- ITT14.0
Control Group- Fixed-dose GST4.5
Control Group- Weight-based GST5.8

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Peak Cortisol Level in Adult Patients With Hypothalamic-pituitary Disorders and Three or More Pituitary Hormone Deficiency (PHD).

The peak cortisol level during Insulin Tolerance Test (ITT), fixed- dose glucagon stimulation test (GST) and weight-based GST in patients with adult onset hypothalamic-pituitary disease and three or more pituitary hormone deficiency (PHD) other than growth hormone (GH) deficiency. (NCT01282164)
Timeframe: one year

Interventionug/dL (Median)
Patients With 3 or More PHD- Insulin Tolerance Test6.3
Patients With 3 or More PHD- Fixed Dose GST2.3
Patients With 3 or More PHD- Weight Based GST2.5

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Peak GH Level in Adult Patients With Hypothalamic-pituitary Disorders and Three or More Pituitary Hormone Deficiency (PHD).

The peak growth hormone (GH) during Insulin Tolerance Test (ITT), fixed- dose glucagon stimulation test (GST) and weight-based GST in patients with adult onset hypothalamic-pituitary disease with three or more pituitary hormone deficiency (PHD) other than growth hormone (GH) deficiency. (NCT01282164)
Timeframe: one year

Interventionng/mL (Median)
Patients With 3 or More PHD- Insulin Tolerance Test0.1
Patients With 3 or More PHD- Fixed Dose GST0.1
Patients With 3 or More PHD- Weight Based GST0.1

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Peak Cortisol Level in Adult Patients With Hypothalamic-pituitary Disorders and 1-2 Pituitary Hormone Deficiency (PHD).

The peak cortisol level during Insulin Tolerance Test (ITT), fixed- dose glucagon stimulation test (GST) and weight-based GST in patients with adult onset hypothalamic-pituitary disease and 1-2 pituitary hormone deficiency (PHD) other than growth hormone (GH) deficiency. (NCT01282164)
Timeframe: one year

Interventionug/dL (Median)
Patients With 1-2 PHD- Insulin Tolerance Test22.2
Patients With 1-2 PHD- Fixed Dose GST19.5
Patients With 1-2 PHD- Weight Based GST22.7

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Peak Cortisol Level During Adrenocorticotropin Hormone (ACTH) Stimulation Test

The peak cortisol level during ACTH stimulation test in 3 patients with adult onset hypothalamic-pituitary disease who were older than 65 years of age and could not under go insulin tolerance test (ITT). (NCT01282164)
Timeframe: one year

Interventionug/dL (Median)
Patients Older Than 6510

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Maximum Insulin Concentration (Cmax) - First Phase Response

On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus [T2DM]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Maximum plasma insulin concentration from 0 to 10 minutes (INSCmax[0-10]) following the first dextrose bolus (the first phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus. (NCT01300260)
Timeframe: 0-10 minutes after dextrose bolus on Day 3 postdose

Interventionpicomole per liter (pmol/L) (Geometric Mean)
Healthy Participants: Placebo233
Healthy Participants: LY2189265689
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo74.3
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265401

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Insulin Maximum Concentration (Cmax)

On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus [T2DM]) received a single subcutaneous dose of either LY2189265 or placebo. Maximum plasma insulin concentration from -2 to 20 minutes following the glucagon bolus (INSCmaxG) is presented. (NCT01300260)
Timeframe: After glucagon bolus on Day 3 postdose

Interventionpicomole per liter (pmol/L) (Geometric Mean)
Healthy Participants: Placebo996
Healthy Participants: LY21892651215
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo1088
Participants With Type 2 Diabetes Mellitus (T2DM): LY21892651514

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Maximum Insulin Concentration (Cmax) - Second Phase Response

On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus [T2DM]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Maximum plasma insulin concentration from 10 to 180 minutes (INSCmax[10-180]) following the first dextrose bolus (the second phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus. (NCT01300260)
Timeframe: 10-180 minutes after dextrose bolus on Day 3 postdose

Interventionpicomole per liter (pmol/L)] (Geometric Mean)
Healthy Participants: Placebo89.2
Healthy Participants: LY2189265370
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo95.9
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265363

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Insulin Area Under the Curve (AUC) - Second Phase Response

On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus [T2DM]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Area under the plasma insulin concentration time curve from 10 to 180 minutes (INSAUC[10-180]) following the first dextrose bolus (the second phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus. (NCT01300260)
Timeframe: 10-180 minutes after dextrose bolus on Day 3 post dose

Interventionpicomole times hour per liter (pmol*h/L) (Geometric Mean)
Healthy Participants: Placebo68.8
Healthy Participants: LY2189265141
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo147
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265357

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Area Under the Insulin Concentration-time Curve (AUC) - First Phase Response

On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus [T2DM]) received a single subcutaneous dose of either LY2189265 or placebo. On Day 3 of each treatment period, participants underwent a 6-hour insulin infusion, followed by an intravenous (IV) dextrose 50% bolus to stimulate insulin secretion. Three hours later, participants were administered a second dextrose bolus, followed by an infusion of 20% dextrose and, 15 minutes after the start of the 20% dextrose infusion, a 1-mg glucagon bolus was administered. Area under the plasma insulin concentration time curve from 0 to 10 minutes (INSAUC[0-10]) following the first dextrose bolus (the first phase response) was corrected for baseline, where baseline was the mean of the insulin concentrations obtained between -30 and 0 minutes relative to the first dextrose bolus. (NCT01300260)
Timeframe: 0-10 minutes after dextrose bolus on Day 3 postdose

Interventionpicomole times hour per liter (pmol*h/L) (Geometric Mean)
Healthy Participants: Placebo22.9
Healthy Participants: LY218926570.7
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo5.06
Participants With Type 2 Diabetes Mellitus (T2DM): LY218926540.1

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Area Under the Insulin Concentration-time Curve (AUC)

On Day 1 of each treatment period, all participants (healthy or with type 2 diabetes mellitus [T2DM]) received a single subcutaneous dose of either LY2189265 or placebo. Area under the plasma insulin concentration-time curve from -2 to 20 minutes following the glucagon bolus (INSAUCG) is presented. (NCT01300260)
Timeframe: After glucagon bolus on Day 3 postdose

Interventionpicomole times hour per liter (pmol*h/L) (Geometric Mean)
Healthy Participants: Placebo239
Healthy Participants: LY2189265341
Participants With Type 2 Diabetes Mellitus (T2DM): Placebo236
Participants With Type 2 Diabetes Mellitus (T2DM): LY2189265414

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Effect of Treatment (ACE or DPP4 Inhibition, or Combined) on Norepinephrine (NE) Release (Arterial Venous Gradient) in Response to Substance P (SP)

(NCT01413542)
Timeframe: Blood for analysis of norepinephrine (NE) release was obtained 60 minutes after sitagliptin (DPP4 inhibition) vs. placebo and after each assessment of FBF (see primary outcome measure)

Interventionpg/mL (Mean)
Change NE AV Gradient with SP after placeboChange NE AV Gradient with SP after ACEinhibitionChange NE AV Gradient with SP after DPP4inhibitionChange NE AV with SP after ACE+DPPinhibition
Group 1-43.18-52.18-37.2723.45

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Assess Effect of ACE and/or DPP4 Inhibition on Heart Rate Response to Substance P (SP)

(NCT01413542)
Timeframe: Heart rate was measured every 5 minutes throughout the study day (and thus during each dose of peptide infusion)

Interventionbeats per minute (Mean)
Change in Pulse after SP during PlaceboChange in Pulse after SP w/ACE inhibitionChange in Pulse after SP w/DPP4inhibitionPulse change after SP w/ACE+DPP4inhibition
Group 1-1.82.550.454.55

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The Effect of Enalaprilat (ACE Inhibition), Sitagliptin (DPP4 Inhibition), or the Combination on the Vasodilator Response (Forearm Blood Flow) to Substance P (SP) and Bradykinin (Group 1) or Glucagon Like Peptide-1 and Brain Naturetic Peptide (Group 2).

Forearm blood flow (FBF) was measured by strain gauge plethysmography at the completion of each dose of intra-arterial peptide. A dose response curve was therefore constructed for each vasoactive peptide substrate. The effect of sitagliptin (DPP4 inhibition) vs. placebo and enalaprilat (ACE inhibition) vs. vehicle on the forearm blood flow response to each peptide could then be determined. (NCT01413542)
Timeframe: 60 minutes post-placebo or sitagliptin (DPP4 inhibition) and over last 2 minutes of each 5 min infusion per peptide dose (30 min washout between peptides); sequence repeated with enalaprilat (ACE inhibition) or vehicle

,
Interventionestimate of difference(ml/min/100ml FBF) (Mean)
Effect ACE inhibition on FBF response to Peptide 1Effect DPP4 inhibition on FBF Response to Peptide1Effect ACE/DPP4 inhibit on FBF response Peptide 1Effect DPP4/ACEinhib vs. ACEinhib (FBF to Pep1)Effect DPP4/ACEinhib vs. DPP4inhib (FBF to Pep1)Effect ACE inhibition on FBF response to Peptide 2Effect DPP4 inhibition on FBF response to Peptide2Effect ACE/DPP4 inhibition on Peptide 2 FBFEffect DPP4/ACEinhib vs. ACEinhib (FBF to Pep2)Effect DPP4/ACEinhib vs. DPP4inhib (FBF to Pep2)
Group 16.50.25.9-0.65.70.80.10.6-0.30.4
Group 2NA-5.0NANANANA-3.2NANANA

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Effect of Treatment (DPP4 Inhibition vs. Placebo) on Venous GLP-1 Levels in Response to Arterial GLP-1 Infusion

(NCT01413542)
Timeframe: Blood for analysis of GLP-1 levels was obtained one hour after sitagliptin (DPP4 inhibition) vs. placebo administration and after each dose of GLP-1

Interventionpmol/L (Mean)
Venous GLP-1 levels 1 hour after placeboVenous GLP-1 Levels after Max Dose GLP-1 (Placebo)Venous GLP-1 levels 1 hour after DPP4 inhibitionVenous GLP-1 levels Max Dose GLP-1 (DPP4inhibiton)
Group 25.1315.445.3930.63

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Assess Tissue Type Plasminogen Activator (tPA) Release

Following measurement of FBF, samples will be obtained to determine the effect of ACE inhibition and/or DPP4 inhibition on tPA release in response to bradykinin and substance P (SP) (group 1) (NCT01413542)
Timeframe: Blood for analysis of tPA release was obtained 60 minutes after sitagliptin (DPP4 inhibition) vs. placebo and after each assessment of FBF (see primary outcome measure)

,
Interventionestimate of difference (ng/min/100mL) (Number)
Effect ACE inhibition on bradykinin tPA releaseEffect of DPP4 inhibition on bradykinintPA releaseEffect of ACE/DPP4 inhibitio on bradykinin tPAeffect ace/dpp4 vs. aceinhibi on bradykinin tpaeffect ace/dpp4 vs. dpp4inhib on bradykinin tpaEffect of ACE inhibition on SP tPA releaseEffect of DPP4 inhibition on SP tPAEffect of ACE+DPP4 inhibition on SP tPAeffect ace/dpp4 vs. aceinhibi on SP tpaeffect ace/dpp4 vs. dpp4inhibi on SP tpa
Group 1 (Females)145.512.9132.1-13.4119.343.9-29.03.8-40.132.8
Group 1 (Males)118.61.690.9-27.889.3-15.3-25.80.816.126.6

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Area Under the Curve for Glucose Above Baseline

The change in the rate of glucose appearance will be assessed by measuring the stable glucose isotope (dideuterated glucose, D2) using a gas chromatography-mass spectrometry assay. The units of the area under the curve are defined as milligrams per kilogram of glucose, since the dependent variable is a rate of glucose production [mg/kg/min] measured over time [min]. The time variable therefore cancels out. Additionally, this area under the curve is being normalized per microgram of glucagon delivered. (NCT01483651)
Timeframe: 60 minutes after each glucagon administration

Interventionmg/kg glucose per mcg glucagon (Mean)
Low Insulin Infusion Rate0.623
Medium Insulin Infusion Rate0.59
High Insulin Infusion Rate0.03

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Weight Change During Trial

Weight in kg at 26 weeks minus weight at baseline. (NCT01524705)
Timeframe: Baseline vs 26 weeks

Interventionkg (Mean)
Insulin Glargine, Metformin, Exenatide-4.8
Insulin Glargine, Metformin, Prandial Insulin0.7

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Number of Participants With Hypoglycemia

Severe hypoglycemia-documented glucose <50mg/dl (participant journal), and hypoglycemic attacks requiring hospitalization, or treatment by emergency personnel. (NCT01524705)
Timeframe: 26 weeks

InterventionParticipants (Count of Participants)
Insulin Glargine, Metformin, Exenatide0
Insulin Glargine, Metformin, Prandial Insulin0

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Coefficient of Variation at 26 Weeks Minus Coefficient of Variation at Baseline

The change in the coefficient of variation (CV) of continuous glucose readings, as assessed by Continuous Glucose Monitoring (CGM) (NCT01524705)
Timeframe: At baseline, 6 months of intervention

Interventionpercentage (Mean)
Insulin Glargine, Metformin, Exenatide-2.43
Insulin Glargine, Metformin, Prandial Insulin0.44

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HbA1C Levels

% of glycosylated hemoglobin in whole blood at 26 weeks (NCT01524705)
Timeframe: Baseline vs 26 weeks

Intervention% of HbA1C (Mean)
Insulin Glargine, Metformin, Exenatide7.1
Insulin Glargine, Metformin, Prandial Insulin7.2

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Percentage of Responders

Participants with a blood glucose increment of ≥1.5 millimole per liter [mmol/L) within 15 of nadir (5 minutes post dose) and for at least 10 minutes following nadir. (NCT01556594)
Timeframe: Pre-dose; 30 minutes following glucagon administration

Interventionpercentage of participants (Number)
SC Glucagon83.3
NG 1 mg25
NG 2 mg50
NG 3 mg75

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Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon

(NCT01556594)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

Interventionhours (hr) (Median)
SC Glucagon0.33
NG 1 mg0.25
NG 2 mg0.33
NG 3 mg0.29

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Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose

(NCT01556594)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

Interventionhours (hr) (Median)
SC Glucagon1.5
NG 1 mg0.67
NG 2 mg1.0
NG 3 mg1.0

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Number of Participants With at Least One Adverse Event

Safety and tolerability evaluated through the assessment of adverse events. An AE was defined as any untoward medical occurrence in a clinical investigation subject administered the investigational product and which did not necessarily have a causal relationship with this treatment. A summary of other nonserious AEs, and all SAE's, regardless of causality, is located in the Reported Adverse Events section. (NCT01556594)
Timeframe: Within 3 hours post glucagon administration

InterventionParticipants (Count of Participants)
SC Glucagon16
NG 1 mg9
NG 2 mg15
NG 3 mg8

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Maximum Concentration (Cmax) of Baseline-Adjusted Glucose

(NCT01556594)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

Interventionmillimole per liter (mmol/L) (Mean)
SC Glucagon5.68
NG 1 mg2.41
NG 2 mg3.46
NG 3 mg3.11

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Maximum Change From Baseline Concentration (Cmax) of Glucagon

(NCT01556594)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

Interventionpicograms per millilitre (pg/mL) (Mean)
SC Glucagon3930
NG 1 mg504
NG 2 mg2370
NG 3 mg1360

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Area Under the Curve (AUC0-last) of Baseline Adjusted Glucagon

(NCT01556594)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

Interventionhour*picogram per millilitre (hr*pg/mL) (Mean)
SC Glucagon2390
NG 1 mg95.2
NG 2 mg886
NG 3 mg720

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GLP-1 Concentrations

Achieved GLP-1 concentrations at the end of the 12 hour treatment exposure (NCT01607450)
Timeframe: After 12 hours of GLP-1 exposure

Interventionpmol/L (Mean)
Lean Saline61.7
Lean GLP-1 1.5 Pmol/kg/Min302.1
Type 2 DM GLP-1 1.5 Pmol/kg/Min307.8

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Cardiac Index

Impedance cardiography-derived measurement of cardiac index, assessed following 12 hour exposure to treatment condition concurrent with the PET measurements. (NCT01607450)
Timeframe: After 12 hours of GLP-1 exposure

InterventionL/min/m^2 (Mean)
Lean Saline3.00
Lean GLP-1 1.5 Pmol/kg/Min2.88
Type 2 DM GLP-1 1.5 Pmol/kg/Min2.90

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Myocardial Blood Flow

Myocardial perfusion derived from acetate kinetics (NCT01607450)
Timeframe: After 12 hours of GLP-1 exposure

Interventionml/min/100g (Mean)
Lean Saline34.66
Lean GLP-1 Low Dose44.44
Type 2 DM GLP-1 Low Dose47.61
Lean GLP-1 1.5 Pmol/kg/Min35.30
Type 2DM GLP-1 1.5 Pmol/kg/Min51.19

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Myocardial Glucose Uptake.

Myocardial glucose uptake measured using 18FDG PET, quantified using a 3-compartment model with a lumped constant of 1.0. (NCT01607450)
Timeframe: After 12 hours of glucagon-like peptide 1 (GLP-1) exposure

Interventionumol/min/100g (Mean)
Lean Saline7.46
Lean GLP-1 Low Dose7.22
Type 2 DM GLP-1 Low Dose0.05
Lean GLP-1 1.5 Pmol/kg/Min20.89
Type 2DM GLP-1 1.5 Pmol/kg/Min5.57

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Myocardial Total Oxidation Rate

MVO2 derived from acetate kinetics (NCT01607450)
Timeframe: After 12 hours of GLP-1 exposure

Interventionml/min/100g (Mean)
Lean Saline15.25
Lean GLP-1 Low Dose30.21
Type 2 DM GLP-1 Low Dose65.30
Lean GLP-1 1.5 Pmol/kg/Min18.57
Type 2DM GLP-1 1.5 Pmol/kg/Min59.85

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Pharmacodynamics: Change From Baseline to Day 2 in 24-hour Insulin Dose

The mean absolute change in total insulin dose over 24 hours (Day 2, 24-hour insulin dose - Day 1, 24-hour insulin dose) is reported. (NCT01640834)
Timeframe: Baseline (Day 1), Day 2

Interventioninsulin units (Mean)
100 mg LY24090211.85
300 mg LY24090210.80
Placebo7.69

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Pharmacodynamics: Maximum Concentration (Cmax) of Glucose Concentration After 1 Milligram (mg) Glucagon Injection on Day 3

The Cmax of glucose following a single dose of glucagon (1 mg) administered via an intramuscular injection is reported. (NCT01640834)
Timeframe: Day 3

Interventionmilligrams per deciliter (Geometric Mean)
100 mg LY2409021154.9
300 mg LY2409021141.3
Placebo201.8

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Pharmacodynamics: Percentage Change From Baseline to Day 2 in 24-hour Insulin

The percentage change in total insulin dose over 24 hours (Day 2, 24-hour insulin dose - Day 1, 24-hour insulin dose) is reported. (NCT01640834)
Timeframe: Baseline (Day 1), Day 2

Interventionpercentage of insulin units (Mean)
100 mg LY24090215.71
300 mg LY24090213.12
Placebo22.75

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Pharmacodynamics: Area Under the Glucose Concentration Curve After a Single Dose of Glucagon on Day 3

Area under the glucose concentration curve from time 0 through 2 hours after a single dose of glucagon (1 milligram) administered via an intramuscular injection is reported. (NCT01640834)
Timeframe: Day 3

Interventionmilligrams * minutes per deciliter (Geometric Mean)
100 mg LY240902115534.3
300 mg LY240902114885.5
Placebo20189.7

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Pharmacokinetics: Area Under the Concentration Curve (AUC) of LY2409021

Exposure in terms of AUC of LY2409021 from time 0 extrapolated to infinity (AUCinf) is reported. (NCT01640834)
Timeframe: Predose (Day 2) through 120 hours postdose (Day 7)

Interventionnanograms * hours per milliliter (Geometric Mean)
100 mg LY2409021209000
300 mg LY2409021506000

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Pharmacokinetics: Maximum Concentration (Cmax) of LY2409021

(NCT01640834)
Timeframe: Predose (Day 2) through 120 hours postdose (Day 7)

Interventionnanograms per milliliter (Geometric Mean)
100 mg LY24090212620
300 mg LY24090216090

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Prolonged Episodes of Hypoglycemic Events

Prolonged hypoglycemia is defined as glucose readings of either <70 mg/dL for greater than one hour on and off the device, <70 mg/dL for greater than 2 hours on and off the device, <50 mg/dL that lasted longer than 30 minutes on and off the device and readings of <50 mg/dL for longer than an hour, again for both the control and the subjects that were remotely monitored with the device. Each camper had Remote Monitoring nights and Control nights. (NCT01680653)
Timeframe: 8 hours at night

,
Interventionevents (Number)
Events <70 mg/dL >1 hourEvents <70 mg/dL >2hrEvents <50 mg/dL >30 minsEvents <50 mg/dL >1hr
Control331296
Remote Monitoring7000

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Duration of Nocturnal Hypoglycemia

Number of minutes with glucose reading < 50 mg/dL. Each camper had Remote Monitoring nights and Control nights. (NCT01680653)
Timeframe: 8 hours

Interventionminutes (Median)
Remote Monitoring12.5
Control15

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Duration of Glucose Readings <70 mg/dl

Number of minutes with glucose reading < 70 mg/dL. Each camper had Remote Monitoring nights and Control nights. (NCT01680653)
Timeframe: 8 Hours

Interventionminutes (Median)
Remote Monitoring30
Control (no Remote Monitoring)35

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MCP-1:Creatinine Ratio in Urine

Spot urine sample for MCP-1 and creatinine (NCT01847313)
Timeframe: Up to 26 weeks

Interventionng/mmol (Mean)
Liraglutide27.9
Control24.3

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sCD163 in Serum

Serum sample for sCD163 (NCT01847313)
Timeframe: Up to 26 weeks

Interventionng/ml (Mean)
Liraglutide82
Control84

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sCD163:Creatinine Ratio in Urine

Spot urine sample for MCP-1 and creatinine (NCT01847313)
Timeframe: Up to 26 weeks

Interventionpg/mmol (Mean)
Liraglutide27.9
Control24.3

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Urinary Albumin Excretion Rate

Albuminuria as Measured by 24 Hour Albumin Excretion Rate (NCT01847313)
Timeframe: Up to 26 weeks

Interventionµg/min (Mean)
Liraglutide144.1
Control132.4

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Brown Adipose Tissue Activation Following Glucagon or Saline Infusion

Period 1 Brown Adipose Tissue (BAT) activation measured using metabolic rate of glucose (MR[gluc]) during F-fluorodeoxyglucose (18F-FDG) positron emission tomography (PET-CT) for Cold PET-CT Vehicle vs Warm PET-CT Vehicle vs warm PET-CT Glucagon. (NCT01935791)
Timeframe: 2hours

InterventionMR[gluc] umol/kg/min (Mean)
Period 1 Cold PET-CT Vehicle0.074
Period 1 Warm PET-CT Vehicle0.010
Period 1 Warm PET(CT) Glucagon0.029

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Increase in Energy Expenditure Following Glucagon or Saline Infusion

Period 2 Increase in energy expenditure measured using indirect calorimetry for Cold control vs Warm Control vs Warm Glucagon. (NCT01935791)
Timeframe: 2hours

Interventionincrease in energy expenditure kcal/day (Mean)
Period 2 - Cold Control193.0
Period 2 - Warm Control41.1
Period 2 -Warm Glucagon230.8

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Percentage of Participants With Neutralizing Antibodies

(NCT01959334)
Timeframe: Baseline through study completion (up to 10 weeks)

Interventionpercentage of participants (Number)
Glucagon IM0
Nasal Glucagon (NG)0

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Number of Participants With At Least One Adverse Event

"Safety parameters assessed included the occurrence of adverse events, the measurement of clinical laboratory parameters; vital signs, ECGs, physical examination, blood glucose, and examination of the injection site (following the IM administration). An AE was defined as any untoward medical occurrence in a clinical investigation subject administered the investigational product and which did not necessarily have a causal relationship with this treatment~A summary of other nonserious AEs, and all SAE's, regardless of causality, is located in the Reported Adverse Events section." (NCT01959334)
Timeframe: First dose of study drug through the post-study completion (up to 10 weeks)

InterventionParticipants (Count of Participants)
Glucagon IM21
Nasal Glucagon (NG)49

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Percentage of Participants With Treatment-emergent Anti-Drug Antibody (ADA)

Glucagon anti-drug antibodies (ADA) were assessed at baseline through study completion. Percentage of participants (Pts) with ADA=(number of Pts with treatment-emergent ADA/number of Pts assessed)*100. Treatment-Emergent ADA includes treatment-induced ADA and treatment boosted ADA. Treatment-induced is defined as participants with 'Not Detected' ADA at baseline (drug-naive) and at least one post-baseline ADA 'Detected' sample with a corresponding titer that is one 2-fold dilution higher than the MRD (minimal required dilution) of the assay. For the nasal glucagon Tier 1-3 ADA screening assay, the MRD is 1:20. Treatment-boosted is defined as Patient with ADA 'Detected' at baseline (drug-naive) and at least one post-baseline ADA 'Detected' sample with a corresponding titer that is at least (>or=) 4-fold higher than the baseline titer. (NCT01959334)
Timeframe: Baseline through study completion (up to 10 weeks)

Interventionpercentage of participants (Number)
Glucagon IM0
Nasal Glucagon (NG)2.0

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Serious Adverse Events

Number of serious adverse events (SAEs) per treatment group (NCT01972152)
Timeframe: From first dose until completion of the post-treatment follow-up visit, up to 6 weeks

Interventionevents (Number)
G-Pen(TM) 1 mg0
G-Pen(TM) 0.5 mg0
Lilly Glucagon(TM) 1 mg0

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Glucagon Cmax

Pharmacokinetic parameter: Maximum concentration of glucagon (NCT01972152)
Timeframe: Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection

Interventionpg/ml (Mean)
G-Pen(TM) 1 mg2055.4
G-Pen(TM) 0.5 mg1318.8
Lilly Glucagon(TM) 1 mg4429.9

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Glucagon Tmax

Pharmacokinetic parameter: Time to maximum concentration of glucagon (NCT01972152)
Timeframe: Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection

Interventionminutes (Mean)
G-Pen(TM) 1 mg37.6
G-Pen(TM) 0.5 mg33.3
Lilly Glucagon(TM) 1 mg18.9

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Glucose Tex

Pharmacodynamic parameter: Earliest reported time of MAE, based on within-subject changes from baseline (NCT01972152)
Timeframe: Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection

Interventionminutes (Mean)
G-Pen(TM) 1 mg48.2
G-Pen(TM) 0.5 mg61.6
Lilly Glucagon(TM) 1 mg68.8

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Glucose MAE

Pharmacodynamic parameter: Maximum absolute glucose excursion from baseline (NCT01972152)
Timeframe: Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection

Interventionmg/dL (Mean)
G-Pen(TM) 1 mg50.8
G-Pen(TM) 0.5 mg42.5
Lilly Glucagon(TM) 1 mg53.2

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Glucose Tmax

Pharmacodynamic parameter: Time to Maximum Glucose Concentration (NCT01972152)
Timeframe: Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection

Interventionminutes (Mean)
G-Pen(TM) 1 mg48.2
G-Pen(TM) 0.5 mg44.5
Lilly Glucagon(TM) 1 mg46.5

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Glucose Cmax

Pharmacodynamic parameter: Maximum concentration of glucose (NCT01972152)
Timeframe: Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection

Interventionmg/dL (Mean)
G-Pen(TM) 1 mg148.04
G-Pen(TM) 0.5 mg140.32
Lilly Glucagon(TM) 1 mg154.9

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Glucose Area Under the Curve (AUC)

Pharmacodynamic parameter: Glucose area under the curve from baseline to 240 minutes post-treatment (NCT01972152)
Timeframe: Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection

Interventionmin*mg/dL (Mean)
G-Pen(TM) 1 mg481.1
G-Pen(TM) 0.5 mg467
Lilly Glucagon(TM) 1 mg473.5

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Glucose AUCex

Pharmacodynamic parameter: Area Under the Glucose Excursion Curve (NCT01972152)
Timeframe: Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection

Interventionmin*mg/dL (Mean)
G-Pen(TM) 1 mg228.5
G-Pen(TM) 0.5 mg197.3
Lilly Glucagon(TM) 1 mg223

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Glucagon AUC

Pharmacokinetic parameter: Glucagon area under the curve from baseline to 240 minutes post-treatment (NCT01972152)
Timeframe: Approximately 15 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 240 minutes post-injection

Interventionmin*pg/ml (Mean)
G-Pen(TM) 1 mg3259.9
G-Pen(TM) 0.5 mg2105.3
Lilly Glucagon(TM) 1 mg4781.7

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Assess Difference in Hepatic Glycogen Measured in the Fed State Before vs. After Repeated Glucagon Administration

The mean difference in estimated hepatic glycogen will be assessed using Carbon 13 Magnetic Resonance Spectroscopy before vs. after glucagon administration in the fed state. (NCT01986231)
Timeframe: Baseline and 41 hours

Interventiong/L (Mean)
Open-Label Glucagon10.6

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Assess Difference in Hepatic Glycogen Measured in the Fasting State Before vs. After Repeated Glucagon Administration

The mean difference in estimated hepatic glycogen will be assessed using Carbon 13 Magnetic Resonance Spectroscopy before vs. after glucagon administration in the fasting state. (NCT01986231)
Timeframe: Baseline and 41 hours

Interventiong/L (Mean)
Open-Label Glucagon6.5

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Time to Maximum Change From Baseline Concentration (Tmax) of Glucose

(NCT01994746)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60 and 90 minutes following glucagon administration

Interventionhours (Median)
Nasal Glucagon (NG)1.5
Intramuscular (IM) Glucagon1.5

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Nasal and Non-nasal Effects/Symptoms

"Symptoms of runny nose, nasal congestion and/or itching, sneezing, watery and/or itchy eyes, redness of eyes, and itching of ears and/or throat were assessed. This was done via the Nasal Non-nasal Score Questionnaire. Each of the 9 symptoms is assigned an integer value from 0 to 3; higher values indicate more severe symptoms (a score of 0 indicates no symptoms). The reported results indicate the cohort median out of a possible maximum value of 27 (summing all 9 questions for each subject and reporting the median/IQR across participants)." (NCT01994746)
Timeframe: Pre-dose; 15, 30, 60, and 90 post glucagon administration

,
Interventionunits on a scale (Median)
Pre-dose15 minutes post glucagon administration30 minutes post glucagon administration60 minutes post glucagon administration90 minutes post glucagon administration
Intramuscular (IM) Glucagon0.000.000.000.000.00
Nasal Glucagon (NG)0.002.001.001.001.00

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Area Under the Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Baseline-Adjusted Glucagon

(NCT01994746)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60 and 90 minutes following glucagon administration

Interventionhour*picograms per milliliter (hr*pg/mL) (Mean)
Nasal Glucagon (NG)1882.48
Intramuscular (IM) Glucagon2521.87

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Increase in Plasma Glucose Level to >=70mg/dL or an Increase of >=20mg/dL From Glucose Nadir

Increase in blood glucose to ≥70 mg/dL or an increase of ≥20 mg/dL from glucose nadir within 30 minutes after receiving study glucagon, without receiving additional actions to increase the blood glucose level defines treatment success. Due to the residual activity of circulating insulin, glucose nadir was defined as the minimum glucose measurement at the time of, or within 10 minutes following glucagon administration. (NCT01994746)
Timeframe: Within 30 minutes after receiving glucagon at both dosing visits (glucose was measured at pre-dose; 5, 10, 15, 20, 25, and 30 minutes following glucagon administration)

Interventionpercentage of participants (Number)
Nasal Glucagon (NG)98.7
Intramuscular (IM) Glucagon100

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Maximum Change From Baseline Concentration (Cmax) of Glucagon

(NCT01994746)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60 and 90 minutes following glucagon administration

Interventionpicograms per milliliter (pg/mL) (Mean)
Nasal Glucagon (NG)3025.37
Intramuscular (IM) Glucagon3553.43

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Maximum Change From Baseline Concentration (Cmax) of Glucose

(NCT01994746)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60 and 90 minutes following glucagon administration

Interventionmilligrams per deciliter (mg/dL) (Mean)
Nasal Glucagon (NG)114.80
Intramuscular (IM) Glucagon130.72

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Time From Glucagon Administration to Blood Glucose >/=70 mg/dL or an Increase ≥20 mg/dL in Blood Glucose From Nadir

The mean time from glucagon administration to blood glucose >/=70 mg/dL or an increase ≥20 mg/dL in blood glucose from nadir. (NCT01994746)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, and 30 minutes following glucagon administration

Interventionminutes (Number)
Nasal Glucagon (NG)16.2
Intramuscular (IM) Glucagon12.2

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Time to Maximum Change From Baseline Concentration (Tmax) of Glucagon

(NCT01994746)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60 and 90 minutes following glucagon administration

Interventionhours (Median)
Nasal Glucagon (NG)0.33
Intramuscular (IM) Glucagon0.25

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Recovery From Symptoms of Hypoglycemia

Recovery from hypoglycemia symptoms were assessed using the Edinburgh Hypoglycemia Scale. The Edinburgh Hypoglycemia Symptom Scale measures the intensity of 15 commonly experienced hypoglycemic symptoms on a 7-point Likert scale (1 = not present, 7 = very intense). The higher the score, the more intense the hypoglycemia symptoms. The sum of each symptom score would yield a range of 15 to 105 (i.e., 15 x 7 =105). The total score was calculated as the sum of each symptom score minus 15, and summarized at each time point by treatment group. (NCT01994746)
Timeframe: Pre-dose;15, 30, 45 and 60 minutes following administration of glucagon

,
Interventionunits on a scale (Mean)
Pre-dose15 minutes post glucagon administration30 minutes post glucagon administration45 minutes post glucagon administration60 minutes post glucagon administration
Intramuscular (IM) Glucagon7.85.33.53.03.1
Nasal Glucagon (NG)8.08.84.93.83.9

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Area Under the Effect Concentration Time Curve (AUEC0-1.5) of Baseline-Adjusted Glucose From Time Zero up to 90 Minutes

(NCT01994746)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60 and 90 minutes following glucagon administration

Interventionhr*mg/dL (Mean)
Nasal Glucagon (NG)106.39
Intramuscular (IM) Glucagon124.47

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Maximum Change From Baseline Concentration (Cmax) of Glucagon

(NCT01997411)
Timeframe: Pre-dose; 5, 10, 15, 20, 30, 40, 60 and 90 minutes following glucagon administration

Interventionpicograms per millilitre (pg/mL) (Mean)
4 to<8 Years Old IM Glucagon Visit6290.33
4 to<8 Years Old NG Visit 2.0 mg3463.55
4 to<8 Years Old NG Visit 3.0 mg3958.58
8 to <12 Years Old IM Glucagon Visit4743.00
8 to<12 Years Old NG Visit 2.0 mg2776.27
8 to<12 Years Old NG Visit 3.0 mg5664.33
12 to <17 Years Old IM Glucagon Visit4277.25
12 to<17 Years Old NG Visit 3.0 mg3103.25

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Maximum Concentration (Cmax) of Baseline-Adjusted Glucose

(NCT01997411)
Timeframe: Pre-dose; 5, 10, 15, 20, 30, 40, 60 and 90 minutes following glucagon administration

Interventionmg/dL (Mean)
4 to<8 Years Old IM Glucagon Visit138.17
4 to<8 Years Old NG Visit 2.0 mg118.18
4 to<8 Years Old NG Visit 3.0 mg137.50
8 to <12 Years Old IM Glucagon Visit130.50
8 to<12 Years Old NG Visit 2.0 mg125.09
8 to<12 Years Old NG Visit 3.0 mg132.82
12 to <17 Years Old IM Glucagon Visit123.17
12 to<17 Years Old NG Visit 3.0 mg102.33

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Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose

(NCT01997411)
Timeframe: Pre-dose; 5, 10, 15, 20, 30, 40, 60 and 90 minutes following glucagon administration

Interventionhours (hr) (Median)
4 to<8 Years Old IM Glucagon Visit1.00
4 to<8 Years Old NG Visit 2.0 mg0.67
4 to<8 Years Old NG Visit 3.0 mg1.00
8 to <12 Years Old IM Glucagon Visit1.50
8 to<12 Years Old NG Visit 2.0 mg1.00
8 to<12 Years Old NG Visit 3.0 mg1.00
12 to <17 Years Old IM Glucagon Visit1.00
12 to<17 Years Old NG Visit 3.0 mg1.00

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Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon

(NCT01997411)
Timeframe: Pre-dose; 5, 10, 15, 20, 30, 40, 60 and 90 minutes following glucagon administration

Interventionhours (hr) (Median)
4 to<8 Years Old IM Glucagon Visit0.29
4 to<8 Years Old NG Visit 2.0 mg0.25
4 to<8 Years Old NG Visit 3.0 mg0.29
8 to <12 Years Old IM Glucagon Visit0.29
8 to<12 Years Old NG Visit 2.0 mg0.25
8 to<12 Years Old NG Visit 3.0 mg0.25
12 to <17 Years Old IM Glucagon Visit0.29
12 to<17 Years Old NG Visit 3.0 mg0.33

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Time to Achieving ≥25 mg/dL Rise in Plasma Glucose Above Nadir Level Within 30 Minutes

Time (in minutes) when all participants experienced a rise in glucose >=25mg/dL. This is an absolute number and is not a calculated statistic. There is no distribution per cohort. (NCT01997411)
Timeframe: Pre-dose; 5, 10, 15, 20, and 30 minutes following glucagon administration

Interventionminutes (Number)
4 to<8 Years Old IM Glucagon Visit10
4 to<8 Years Old NG Visit 2.0 mg20
4 to<8 Years Old NG Visit 3.0 mg15
8 to <12 Years Old IM Glucagon Visit20
8 to<12 Years Old NG Visit 2.0 mg20
8 to<12 Years Old NG Visit 3.0 mg15
12 to <17 Years Old IM Glucagon Visit20
12 to<17 Years Old NG Visit 3.0 mg20

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Nasal and Non-nasal Effects/Symptoms

"Symptoms of runny nose, nasal congestion and/or itching, sneezing, watery and/or itchy eyes, redness of eyes, and itching of ears and/or throat were assessed prior to administering glucagon and at 15, 30, 60 and 90 minutes following administration of glucagon. This was done via the Nasal Non-nasal Score Questionnaire. Each of the 9 symptoms is assigned an integer value from 0 to 3; higher values indicate more severe symptoms (a score of 0 indicates no symptoms). The reported results indicate the cohort median out of a possible maximum value of 27 (summing all 9 questions for each participant and reporting the median/IQR across participants)." (NCT01997411)
Timeframe: Pre-dose;15, 30, 60 and 90 minutes following glucagon administration

,,,,,,,
Interventionunits on a scale (Median)
Pre-dose15 minutes post glucagon administration30 minutes post glucagon administration60 minutes post glucagon administration90 minutes post glucagon administration
12 to <17 Years Old IM Glucagon Visit0.000.000.000.000.00
12 to<17 Years Old NG Visit 3.0 mg0.502.001.001.001.00
4 to<8 Years Old IM Glucagon Visit0.500.000.000.000.00
4 to<8 Years Old NG Visit 2.0 mg0.001.001.000.500.00
4 to<8 Years Old NG Visit 3.0 mg0.000.500.500.000.00
8 to <12 Years Old IM Glucagon Visit0.000.000.000.000.00
8 to<12 Years Old NG Visit 2.0 mg0.003.002.000.000.00
8 to<12 Years Old NG Visit 3.0 mg0.003.002.500.500.00

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Percentage of Participants With >= 25 mg/dL Rise in Plasma Glucose Within 30 Minutes

(NCT01997411)
Timeframe: Pre-dose; 5, 10,15, 20, and 30 minutes following glucagon administration

Interventionpercentage of participants (Number)
4 to<8 Years Old IM Glucagon Visit100
4 to<8 Years Old NG Visit 2.0 mg100
4 to<8 Years Old NG Visit 3.0 mg100
8 to <12 Years Old IM Glucagon Visit100
8 to<12 Years Old NG Visit 2.0 mg100
8 to<12 Years Old NG Visit 3.0 mg100
12 to <17 Years Old IM Glucagon Visit100
12 to<17 Years Old NG Visit 3.0 mg100

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Number of Participants Achieving at Least a 25 mg/dL Rise in Blood Glucose Above Nadir Level Within 30 Minutes

(NCT01997411)
Timeframe: Pre-dose; 5, 10, 15, 20, and 30 minutes following glucagon administration

InterventionParticipants (Count of Participants)
4 to<8 Years Old IM Glucagon Visit6
4 to<8 Years Old NG Visit 2.0 mg11
4 to<8 Years Old NG Visit 3.0 mg12
8 to <12 Years Old IM Glucagon Visit6
8 to<12 Years Old NG Visit 2.0 mg11
8 to<12 Years Old NG Visit 3.0 mg12
12 to <17 Years Old IM Glucagon Visit12
12 to<17 Years Old NG Visit 3.0 mg12

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Area Under the Curve (AUC0-1.5) of Baseline Adjusted Glucagon

(NCT01997411)
Timeframe: Pre-dose; 5, 10, 15, 20, 30, 40, 60 and 90 minutes following glucagon administration

Interventionhour*picogram per millilitre (hr*pg/mL) (Mean)
4 to<8 Years Old IM Glucagon Visit4078.68
4 to<8 Years Old NG Visit 2.0 mg1744.36
4 to<8 Years Old NG Visit 3.0 mg2472.40
8 to <12 Years Old IM Glucagon Visit3635.77
8 to<12 Years Old NG Visit 2.0 mg1506.23
8 to<12 Years Old NG Visit 3.0 mg2939.31
12 to <17 Years Old IM Glucagon Visit3110.22
12 to<17 Years Old NG Visit 3.0 mg1999.69

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Area Under the Effect Concentration Time Curve (AUEC0-1.5) of Baseline-Adjusted Glucose From Time Zero up to 90 Minutes

(NCT01997411)
Timeframe: Pre-dose; 5, 10, 15, 20, 30, 40, 60 and 90 minutes following glucagon administration

Interventionhr*mg/dL (Mean)
4 to<8 Years Old IM Glucagon Visit145.86
4 to<8 Years Old NG Visit 2.0 mg118.82
4 to<8 Years Old NG Visit 3.0 mg142.38
8 to <12 Years Old IM Glucagon Visit132.42
8 to<12 Years Old NG Visit 2.0 mg128.82
8 to<12 Years Old NG Visit 3.0 mg138.12
12 to <17 Years Old IM Glucagon Visit126.94
12 to<17 Years Old NG Visit 3.0 mg101.46

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Maximal Nausea

"Quantitation of adverse events related to glucagon injection for Xeris vs. Lilly:~-Maximal nausea within 1 hour of injection on a 10 cm VAS: no nausea = 0, vomiting = 10" (NCT02018627)
Timeframe: within 1 hour of injection

Interventioncm (Number)
Xeris Glucagon1.0
Lilly Glucagon2.3

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Injection Site Erythema

"Quantitation of adverse events related to glucagon injection for Xeris vs. Lilly:~-Injection site erythema or other local reaction, maximum diameter within 1 hour of injection" (NCT02018627)
Timeframe: within 1 hour of injection

Interventioncm (Mean)
Xeris Glucagon0
Lilly Glucagon0

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Injection Pain

"Quantitation of adverse events related to glucagon injection for Xeris vs. Lilly:~-average Injection pain on a 10 cm standard VAS: 0 = no pain, 10 = worst imaginable pain reported immediately after injection of glucagon" (NCT02018627)
Timeframe: immediately after injection

Interventioncm (Mean)
Xeris Glucagon13.8
Lilly Glucagon7.6

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Tmax

tmax for Xeris vs. Lilly (non-inferiority) (NCT02018627)
Timeframe: every 2 minutes for 1 hour post-dose of each glucagon

Interventionminutes (Mean)
Xeris Glucagon23.8
Lilly Glucagon15.7

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AOCGIR

Area over the curve for glucose infusion rate in the hour following administration (AOCGIR) for Xeris vs. Lilly (non-inferiority) (NCT02018627)
Timeframe: every 2 minutes for 1 hour post-dose of each glucagon

Interventionmg*min/kg (Mean)
Xeris Glucagon201.1
Lilly Glucagon132.2

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Dermal Response (Draize Scale for Erythema and Eschar Formation)

Average grade on the erythema and eschar formation portion of the Draize scale for dermal response (0 being the lowest, 4 being the highest) (NCT02018627)
Timeframe: within 1 hour of injection

Interventionscore on draize scale (Mean)
Xeris Glucagon0
Lilly Glucagon0

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Dermal Response (Draize Scale Grade for Edema Formation)

Average grade on the edema formation portion of the Draize scale for dermal response (0 being the lowest, 4 being the highest) (NCT02018627)
Timeframe: within 1 hour of injection

Interventionscore on draize scale (Mean)
Xeris Glucagon0
Lilly Glucagon0

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t½Max

Glucagon t½max for Xeris vs. Lilly (non-inferiority) (NCT02018627)
Timeframe: every 2 minutes for 1 hour post-dose of each glucagon

Interventionminutes (Mean)
Xeris Glucagon11.3
Lilly Glucagon5.9

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GIRmin

Minimal glucose infusion rate (GIRmin) for Xeris vs. Lilly (non-inferiority) (NCT02018627)
Timeframe: every 2 minutes for 1 hour post-dose of each glucagon

Interventiondextrose mg/kg/min (Mean)
Xeris Glucagon2.9
Lilly Glucagon2.9

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Adenoma Detection Rate (ADR) During Colonoscopy Procedure

ADR was defined as the percentage of participants with at least one traditional adenoma (including tubular or villous adenomas, and adenomas with high grade dysplasia or adenocarcinoma) of any size. (NCT02078726)
Timeframe: During colonoscopy procedure (an average of 1139 seconds for Glucagon Arm and 1353 seconds for Placebo Arm)

Interventionpercentage of participants (Number)
Glucagon43.75
Placebo33.33

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Time to Reach 50% of Maximum Glucagon Concentration (Glucagon T50%-Early)

The speed of absorption was assessed by determining the time in minutes required to achieve 50% of the maximum plasma concentration of glucagon following each dose of glucagon. (NCT02081001)
Timeframe: 0 to 150 minutes post-dosing

Interventionminutes (Mean)
0.3 μg/kg G-Pump12.2
1.2 μg/kg G-Pump12.4
2.0 μg/kg G-Pump13.9
0.3 μg/kg GlucaGen7.6
1.2 μg/kg GlucaGen10.5
2.0 μg/kg GlucaGen11.0

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Glucagon Tmax

Time to maximum plasma concentration of glucagon (NCT02081001)
Timeframe: From 0 to 150 minutes post-dosing

Interventionminutes (Mean)
0.3 μg/kg G-Pump24.5
1.2 μg/kg G-Pump27.3
2.0 μg/kg G-Pump31.9
0.3 μg/kg GlucaGen23.3
1.2 μg/kg GlucaGen23.9
2.0 μg/kg GlucaGen23.9

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Glucagon Cmax

Maximum plasma concentration of glucagon (NCT02081001)
Timeframe: From 0 to 150 minutes post-dosing

Interventionpg/dl (Mean)
0.3 μg/kg G-Pump168.1
1.2 μg/kg G-Pump328.2
2.0 μg/kg G-Pump440.6
0.3 μg/kg GlucaGen140.2
1.2 μg/kg GlucaGen229.3
2.0 μg/kg GlucaGen446.9

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Glucagon AUC

Area under the plasma concentration time curve for glucagon (NCT02081001)
Timeframe: From 0 to 150 minutes post-dosing

Intervention(pg/dl)*minutes (Mean)
0.3 μg/kg G-Pump12104
1.2 μg/kg G-Pump21177
2.0 μg/kg G-Pump27595
0.3 μg/kg GlucaGen11070
1.2 μg/kg GlucaGen15781
2.0 μg/kg GlucaGen27355

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Glucose AUC

Area under the plasma concentration time curve for glucose (NCT02081001)
Timeframe: From 0 to 150 minutes post-dosing

Intervention(mg/dl)*minutes (Mean)
0.3 μg/kg G-Pump22296
1.2 μg/kg G-Pump26251
2.0 μg/kg G-Pump27360
0.3 μg/kg GlucaGen21005
1.2 μg/kg GlucaGen24079
2.0 μg/kg GlucaGen25845

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Time to Reach 50% of Maximum Glucose Concentration (Glucose T50%-Early)

The onset of action was assessed by determining the time in minutes required to achieve 50% of the maximum plasma concentration of glucose following each dose of glucagon. (NCT02081001)
Timeframe: 0 to 150 minutes post-dosing

Interventionminutes (Mean)
0.3 μg/kg G-Pump17.2
1.2 μg/kg G-Pump21.9
2.0 μg/kg G-Pump21.3
0.3μg/kg GlucaGen7.6
1.2 μg/kg GlucaGen14.5
2.0 μg/kg GlucaGen22.8

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Glucose Cmax

Maximum plasma concentration of glucose (NCT02081001)
Timeframe: From 0 to 150 minutes post-dosing

Interventionmg/dl (Mean)
0.3 μg/kg G-Pump177.6
1.2 μg/kg G-Pump198.8
2.0 μg/kg G-Pump212.6
0.3 μg/kg GlucaGen162.0
1.2 μg/kg GlucaGen183.3
2.0 μg/kg GlucaGen200.6

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Glucose Tmax

Time to maximum plasma concentration of glucose (NCT02081001)
Timeframe: From 0 to 150 minutes post-dosing

Interventionminutes (Mean)
0.3 μg/kg G-Pump38.2
1.2 μg/kg G-Pump49.5
2.0 μg/kg G-Pump49.4
0.3 μg/kg GlucaGen25.9
1.2 μg/kg GlucaGen31.2
2.0 μg/kg GlucaGen52.8

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Infusion Site Discomfort Score at 10 Minutes

Infusion site discomfort was assessed by the subjects using a 100 mm Visual Analog Scale (VAS) questionnaire at 10 minutes following the initiation of dosing. Subjects were asked to draw a vertical line across the horizontal scale to indicate their current level of discomfort from 0 = no discomfort to 100 = worst possible discomfort. The distance in mm from the left hand anchor to the the first point where the subject's mark crossed the horizontal scale was measured and reported as the infusion site discomfort score. (NCT02081001)
Timeframe: At 10 minutes post-dosing

Interventionmm (Mean)
0.3 μg/kg G-Pump7.8
1.2 μg/kg G-Pump18.9
2.0 μg/kg G-Pump22.7
0.3 μg/kg GlucaGen2.2
1.2 μg/kg GlucaGen0.3
2.0 μg/kg GlucaGen0.3

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Infusion Site Discomfort Score at 30 Minutes

Infusion site discomfort was assessed by the subject using a 100 mm Visual Analog Scale (VAS) questionnaire at 30 minutes following the initiation of dosing. Subjects were asked to draw a vertical line across the horizontal scale to indicate their current level of discomfort from 0 = no discomfort to 100 = worst possible discomfort. The distance in mm from the left hand anchor to the the first point where the subject's mark crossed the horizontal scale was measured and reported as the infusion site discomfort score. (NCT02081001)
Timeframe: At 30 minutes post-dosing

Interventionmm (Mean)
0.3 μg/kg G-Pump1.9
1.2 μg/kg G-Pump1.5
2.0 μg/kg G-Pump3.8
0.3 μg/kg GlucaGen0
1.2 μg/kg GlucaGen0.7
2.0 μg/kg GlucaGen0.3

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Glucose AUC (Post-insulin)

Pharmacodynamic parameter: baseline adjusted area under the glucose concentration curve from 0-120 minutes (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, and 120 minutes post-injection

Intervention(mg/dl)*minutes (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug2263.2
G-Pen Mini™ (Glucagon Injection) 150 ug2408.1
G-Pen Mini™ (Glucagon Injection) 300 ug3928.5

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Serious Adverse Events

Number of serious adverse events (SAEs) per treatment (NCT02081014)
Timeframe: From first dose until follow-up call, up to 7 weeks per subject

Interventionparticipants (Number)
G-Pen Mini™ (Glucagon Injection) 75 ug0
G-Pen Mini™ (Glucagon Injection) 150 ug0
G-Pen Mini™ (Glucagon Injection) 300 ug0

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Glucose Tmax (Post-insulin)

Pharmacodynamic parameter: Time to reach maximum concentration of glucose (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, and 120 minutes post-injection

Interventionminutes (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug53.5
G-Pen Mini™ (Glucagon Injection) 150 ug69.5
G-Pen Mini™ (Glucagon Injection) 300 ug57.4

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Glucose Tmax (Fasting)

Pharmacodynamic parameter: Time to reach maximum concentration of glucose (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 180 minutes post-injection

Interventionminutes (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug81.5
G-Pen Mini™ (Glucagon Injection) 150 ug80.7
G-Pen Mini™ (Glucagon Injection) 300 ug67.8

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Glucose Cmax (Fasting)

Pharmacodynamic parameter: Maximum concentration of glucose (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 180 minutes post-injection

Interventionmg/dl (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug155.1
G-Pen Mini™ (Glucagon Injection) 150 ug186.2
G-Pen Mini™ (Glucagon Injection) 300 ug213.5

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Glucose AUC (Fasting)

Pharmacodynamic parameter: baseline adjusted area under the glucagon concentration curve from 0 to 120 minutes (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, and 120 minutes post-injection

Intervention(mg/dl)*minutes (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug4872.0
G-Pen Mini™ (Glucagon Injection) 150 ug8565.2
G-Pen Mini™ (Glucagon Injection) 300 ug12420.0

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Glucagon Tmax (Post-insulin)

Pharmacokinetic parameter: Time to reach maximum concentration of glucagon (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, and 120 minutes post-injection

Interventionminutes (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug24
G-Pen Mini™ (Glucagon Injection) 150 ug33.1
G-Pen Mini™ (Glucagon Injection) 300 ug34.1

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Glucose Cmax (Post-insulin)

Pharmacodynamic parameter: Maximum concentration of glucose (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, and 120 minutes post-injection

Interventionmg/dl (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug99.7
G-Pen Mini™ (Glucagon Injection) 150 ug105.7
G-Pen Mini™ (Glucagon Injection) 300 ug122.6

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Glucagon Area Under the Curve (AUC) (Fasting)

Pharmacokinetic parameter: Area under the glucagon concentration curve from 0 to 120 minutes (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, and 120 minutes post-injection

Intervention(pg/ml)*hour (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug265.4
G-Pen Mini™ (Glucagon Injection) 150 ug389.6
G-Pen Mini™ (Glucagon Injection) 300 ug735.3

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Glucagon AUC (Post-insulin)

Pharmacokinetic parameter: Area under the glucagon concentration curve from 0 to 120 minutes (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, and 120 minutes post-injection

Intervention(pg/ml)*hour (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug277.4
G-Pen Mini™ (Glucagon Injection) 150 ug386.8
G-Pen Mini™ (Glucagon Injection) 300 ug635.3

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Glucagon Tmax (Fasting)

Pharmacokinetic parameter: Time to reach maximum concentration of glucagon (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 180 minutes post-injection

Interventionminutes (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug29.2
G-Pen Mini™ (Glucagon Injection) 150 ug29.8
G-Pen Mini™ (Glucagon Injection) 300 ug36.5

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Glucagon Cmax (Fasting)

Pharmacokinetic parameter: Maximum concentration of glucagon (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, 120 and 180 minutes post-injection

Interventionpg/ml (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug233.8
G-Pen Mini™ (Glucagon Injection) 150 ug380.7
G-Pen Mini™ (Glucagon Injection) 300 ug663.6

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Glucagon Cmax (Post-insulin)

Pharmacokinetic parameter: Maximum concentration of glucagon (NCT02081014)
Timeframe: Approximately 15 and 0 minutes before each injection and at 5, 10, 15, 20, 30, 45, 60, and 120 minutes post-injection

Interventionpg/ml (Mean)
G-Pen Mini™ (Glucagon Injection) 75 ug253.4
G-Pen Mini™ (Glucagon Injection) 150 ug335.4
G-Pen Mini™ (Glucagon Injection) 300 ug561.7

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Percentage of Participants With Adverse Events (AEs) Reported Through the Nasal Score Questionnaire

"Adverse events solicited through the Nasal Score Questionnaire included: runny nose, nasal congestion (nostrils plugged), nasal itching, sneezing, watery eyes, itchy eyes, redness of eyes, itching of ears, itching of throat, and other.~A summary of other nonserious AEs, and all Serious Adverse Events (SAEs), regardless of causality, is located in the Reported Adverse Events section." (NCT02171130)
Timeframe: Within 2 hours of full recovery from a hypoglycemic event

Interventionpercentage of participants (Number)
Nasal Glucagon82.8

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Percentage of Participants Awakening or Returning to a Normal Status Within 30 Minutes Following Studied Drug of Administration

"Responses to questions completed by the caregiver were used to assess this outcome.~An episode of severe hypoglycemia was defined as an episode wherein the person with diabetes is clinically incapacitated to the point where the person requires third-party assistance to treat the hypoglycemia. An episode of moderate hypoglycemia episode was defined as an episode wherein the person with diabetes was showing signs of neuroglycopenia and had a glucometer reading of approximately 60 milligrams per deciliter (mg/dL) (3.3 millimoles per liter [mmol/L]) or less based on a blood sample taken at or near the time of treatment." (NCT02171130)
Timeframe: Within 30 minutes after each drug administration for an episode of hypoglycemia

Interventionpercentage of participants (Number)
Nasal Glucagon95.7

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Number of Participants With Treatment-Emergent Glucagon Anti-Drug Antibodies (ADA)

Treatment-Emergent ADA includes treatment-induced ADA ('Not Detected' ADA at baseline and at least one post-baseline 'Detected' ADA sample with a corresponding titer of (1:20) and treatment-boosted ADA (with 'Detected' ADA at baseline and at least one post-baseline 'Detected' ADA sample with a corresponding titer that is at least 4-fold higher than the baseline titer. (NCT02171130)
Timeframe: Baseline and End of Study (6 months)

Interventionpercentage of participants (Number)
Nasal Glucagon0

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Assessment of Ease-of-use of Dry-Mist Nasal Glucagon as Determined by Completion of Questionnaires by the Caregiver

Measurement for Degree of difficulty: opening the kit, Degree of difficulty: understanding the instructions on how to use the kit, Degree of difficulty: administering the medication into the nostril, Degree of satisfaction is 1 (Very Difficult) to 7 (Very Easy). Measurement for Dry Mist Nasal Glucagon will be easy to teach other caregivers, Nasal formulation of glucagon is less intimidating for caregivers, Nasal Glucagon is easy to carry and would be willing to carry it, nasal delivery of glucagon is preferable. Level of agreement 1 (Strongly Disagree) to 7 (Strongly Agree). (NCT02171130)
Timeframe: After each drug administration for an episode of hypoglycemia

InterventionTotal Number of Events (Count of Units)
Difficulty: opening the kit (Very Difficult)Difficulty: opening the kit (Average)Difficulty: opening the kit (Relatively Easy)Difficulty: opening the kit (Easy)Difficulty: opening the kit (Very Easy)Difficulty: instructions (Very Difficult)Difficulty: instructions (Average)Difficulty: instructions (Relatively Easy)Difficulty: instructions (Easy)Difficulty: instructions (Very Easy)Difficulty: administering (Very Difficult)Difficulty: administering (Relatively Difficult)Difficulty: administering (Average)Difficulty: administering (Relatively Easy)Difficulty: administering (Easy)Difficulty: administering (Very Easy)Time to administer (<30 seconds)Time to administer (30-<60 seconds)Time to administer (1-<2 minutes)Time to administer (2-<5 minutes)Degree of satisfaction (Relatively Difficult)Degree of satisfaction (Average)Degree of satisfaction (Relatively Easy)Degree of satisfaction (Easy)Degree of satisfaction (Very Easy)Compare to Injectable (Not Applicable)Compare to Injectable (Much Easier)Compare to Injectable (Easier)Compare to Injectable (Missing)Ease to teach other (Neither Agree nor Disagree)Ease to teach other (Somewhat Agree)Ease to teach other (Mostly Agree)Ease to teach other (Strongly Agree)
Nasal Glucagon2442614324103612747816421021264094372148100108474202347127

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Blood Glucose Levels Over Time

The participants' blood glucose level was measured by the caregiver using a glucometer at baseline (just prior to dosing and right after the study drug administration), 15, 30 and 45 minutes after nasal glucagon administration. (NCT02171130)
Timeframe: Baseline (just prior to dosing or right after study drug administration) , 15, 30 and 45 minutes after drug administration for an episode of hypoglycemia

Interventionmilligram/deciliter (mg/dL) (Mean)
Baseline15 minutes drug administration30 minutes drug administration45 minutes drug administration
Nasal Glucagon47.984.4112.8123.1

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Episodes of Nausea Per Day on Glucagon vs Placebo

(NCT02181127)
Timeframe: from t=0 to study stop after 2 weeks

Interventionepisodes of nausea per day (Mean)
Glucagon-only Bionic Pancreas1.1
Placebo0.4

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Count of Subjects With Mean CGMG < 154mg/dl

(NCT02181127)
Timeframe: from t=0 to study stop after 2 weeks

InterventionParticipants (Count of Participants)
Glucagon-only Bionic Pancreas13
Placebo11

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Total Glucagon Dosing (mcg/kg/24 Hours)

(NCT02181127)
Timeframe: from t=0 to study stop after 2 weeks

Interventionmcg/kg/day (Mean)
Glucagon-only Bionic Pancreas6.84
Placebo9.8

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Number of Hypoglycemic Episodes With CGMG < 70 mg/dl

(NCT02181127)
Timeframe: from t=0 to study stop after 2 weeks

Interventionnumber of episodes (Mean)
Glucagon-only Bionic Pancreas8.95
Placebo12.68

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Number of Hypoglycemic Events (< 60 mg/dl) as Determined From BG Measurements

(NCT02181127)
Timeframe: from t=0 to study stop after 2 weeks

Interventionnumber of events (Mean)
Glucagon-only Bionic Pancreas0.73
Placebo2.59

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Number of Study Days With Mean BG < 154 mg/dl

(NCT02181127)
Timeframe: 2 weeks

Interventionnumber of days (Mean)
Glucagon-only Bionic Pancreas4.4
Placebo4.2

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Continuous Glucose Monitor (CGM) Glucose Total Area Over the Curve and Less Than 60 mg/dl

(NCT02181127)
Timeframe: From t=0 to study stop after 2 weeks

Interventionmg/dl/min (Mean)
Glucagon-only Bionic Pancreas1015
Placebo4375.68

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Total Number of Grams of Carbohydrate Taken for Hypoglycemia

(NCT02181127)
Timeframe: from t=0 to study stop after 2 weeks

Interventiongrams per day (Mean)
Glucagon-only Bionic Pancreas23.90
Placebo36.29

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Fraction of Time Spent Within Each of the Following Glucose Ranges as Determined From All CGMG Measurements: < 70 mg/dl,70-120 mg/dl,70-180 mg/dl, >180 mg/dl, >250 mg/dl

(NCT02181127)
Timeframe: from t=0 to stud stop after 2 weeks

,
Interventionpercentage of time (Mean)
CGMG < 70 mg/dlCGMG 70-120 mg/dlCGMG 70-180 mg/dlCGMG > 180 mg/dlCGMG > 250 mg/dl
Glucagon-only Bionic Pancreas3.1133.3268.9127.989.05
Placebo8.7330.5361.8929.389.83

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Percentage of Time CGM Glucose Less Than 70 mg/dl Overnight and During Daytime

(NCT02181127)
Timeframe: 2 weeks

Interventionpercentage of time (Mean)
Glucagon - daytimeGlucagon - overnightPlacebo - daytimePlacebo - overnight
Glucagon-only Bionic Pancreas3.921.507.9410.25

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Number of Carbohydrate Interventions for Hypoglycemia

(NCT02181127)
Timeframe: from t=0 to study stop after 2 weeks

Interventionnumber of interventions per day (Mean)
Glucagon-only Bionic Pancreas1.25
Placebo1.89

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Number of Hypoglycemic Episodes With CGMG < 50 mg/dl

(NCT02181127)
Timeframe: From t=0 to study stop after 2 weeks

Interventionnumber of episodes (Mean)
Glucagon-only Bionic Pancreas1.73
Placebo5.0

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Number of Hypoglycemic Episodes With CGMG < 60 mg/dl

(NCT02181127)
Timeframe: from t=0 to study stop after 2 weeks

Interventionnumber of episodes (Mean)
Glucagon-only Bionic Pancreas4.14
Placebo8.86

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Number of All BG Values Less Than 70 mg/dl

(NCT02181127)
Timeframe: from t=0 to study stop after 2 weeks

Interventionnumber of values (Mean)
Glucagon-only Bionic Pancreas1.45
Placebo4.23

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Mean Absolute Relative Deviation (MARD) Between Capillary Blood Glucose and CGM Glucose Values

Paired values between the blood glucose measurements and CGM glucose measurements were compared, and the percent difference was recorded. The mean of the absolute value of all the differences is reported here, and reflects the accuracy of the CGM glucose measurements relative to the capillary blood glucose measurements. (NCT02181127)
Timeframe: from t=0 to study stop after 2 weeks

Interventionpercent difference (Mean)
All Participants15.20

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Insulin Total Daily Dose

(NCT02181127)
Timeframe: from t=0 to study stop after 2 weeks

Interventionunits per day (Mean)
Glucagon-only Bionic Pancreas38.7
Placebo37.0

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Assessment of Ease-of-use of Dry-Mist Nasal Glucagon by Completion of Questionnaire by the Caregiver

"Assess ease-of-use of intranasal administered glucagon in the hands of caregivers of participants who may be called upon to treat episodes of hypoglycemia.~Measurement for Degree of difficulty: opening the kit, Degree of difficulty: understanding the instructions on how to use the kit, Degree of difficulty: administering the medication into the nostril, Degree of satisfaction is 1 (Very Difficult) to 7 (Very Easy). Measurement for Dry Mist Nasal Glucagon will be easy to teach other caregivers, Nasal formulation of glucagon is less intimidating for caregivers, Dry Mist Nasal Glucagon is easy to carry and would be willing to carry it, Intranasal delivery of glucagon is preferable: level of agreement 1 (Strongly Disagree) to 7 (Strongly Agree)." (NCT02402933)
Timeframe: After each drug administration for an episode of hypoglycemia

InterventionHypoglycemic Events (Count of Units)
Difficulty: opening the kit (Easy)Difficulty: opening the kit (Very Easy)Difficulty: instructions (Average)Difficulty: instructions (Relatively Easy)Difficulty: instructions (Easy)Difficulty: instructions (Very Easy)Difficulty: administering (Average)Difficulty: administering (Easy)Difficulty: administering (Very Easy)Time to administer (<30 seconds)Time to administer (30-<60 seconds)Time to administer (1-<2 minutes)Degree of satisfaction (Average)Degree of satisfaction (Relatively Easy)Degree of satisfaction (Easy)Degree of satisfaction (Very Easy)Compare to Injectable (Not Applicable)Compare to Injectable (Much Easier)Compare to Injectable (Easier)Compare to Injectable (About the Same)Ease to teach other (Easy)Ease to teach other (Very Easy)
Nasal Glucagon627416222112020942182225224429

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Percentage of Participants With Adverse Events Through the Nasal Score Questionnaire

"Adverse events solicited through the Nasal Score Questionnaire included: runny nose, nasal congestion (nostrils plugged), nasal itching, sneezing, watery eyes, itchy eyes, redness of eyes, itching of ears, itching of throat, and other.~A summary of other non-serious AEs, and all SAE's, regardless of causality, is located in the Reported Adverse Events section." (NCT02402933)
Timeframe: Within 2 hours of full recovery from a hypoglycemic event

Interventionpercentage of participants (Number)
Nasal Glucagon100

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Number of Participants Awakening or Returning to a Normal Status Within 30 Minutes Following Studied Drug of Administration

Responses to questions completed by the caregiver are used to assess this outcome. An episode of severe hypoglycemia is generally defined as an event associated with severe neuroglycopenia usually resulting in coma or seizure and requiring parenteral therapy (glucagon or intravenous glucose) administered by a third party. In this study moderate hypoglycemia is defined as an episode wherein the child/adolescent with diabetes has symptoms and/or signs of neuroglycopenia and has a blood glucose ≤3.9 millimoles per liter (mmol/L) (70 milligram per deciliter [mg/dL]) based on a blood sample taken at or close to the time of treatment. (NCT02402933)
Timeframe: Within 30 minutes after each drug administration for an episode of hypoglycemia

Interventionparticipants (Number)
Nasal Glucagon14

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Change in Blood Glucose Level Over Time

Glucometer-based measurements of blood glucose after the studied drug administration. The participants' change in blood glucose level from baseline (just prior to dosing or right after the study drug administration) was measured by the caregiver using a glucometer at 15, 30 and 45 minutes after NG administration. The change in glucose was calculated from each time point (15, 30 and 45 minutes) minus the baseline. (NCT02402933)
Timeframe: Baseline (just prior to dosing or right after study drug administration), 15, 30 and 45 minutes after drug administration for an episode of hypoglycemia

Interventionmilligram/deciliter (mg/dL) (Mean)
15 minutes drug administration30 minutes drug administration45 minutes drug administration
Nasal Glucagon58.2106.8124.1

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CGM Time Below 70 mg/dL

Percentage of time <70 mg/dL from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first 2 hours after start of hypoglycemic event (NCT02411578)
Timeframe: 120 Minutes

Interventionpercentage of time (Median)
G-Pen Mini™ (Glucagon Injection)20
Glucose Tabs19

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CGM Coefficient of Variation

Coefficient of Variation from CGM data computed over entire 3 weeks of treatment period (NCT02411578)
Timeframe: 3 weeks

Interventionpercentage coefficient of variation (Median)
G-Pen Mini™ (Glucagon Injection)35
Glucose Tabs36

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CGM Time in Range, Event Level

Percentage of time 70-180 mg/dL from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first 2 hours after start of hypoglycemic event (NCT02411578)
Timeframe: 120 Minutes

Interventionpercentage of time (Median)
G-Pen Mini™ (Glucagon Injection)79
Glucose Tabs79

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CGM Time in Range

Percentage of time 70-180 mg/dL from CGM data computed over entire 3 weeks of treatment period (NCT02411578)
Timeframe: 3 weeks

Interventionpercentage of time (Median)
G-Pen Mini™ (Glucagon Injection)71
Glucose Tabs71

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CGM Time Below 70 mg/dL, Event Level

Percentage of time <70 mg/dL from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first hour after start of hypoglycemic event (NCT02411578)
Timeframe: 60 Minutes

Interventionpercentage of time (Median)
G-Pen Mini™ (Glucagon Injection)35
Glucose Tabs33

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CGM Time Below 70

Percentage of time <70 mg/dL from CGM data computed over entire 3 weeks of treatment period (NCT02411578)
Timeframe: 3 weeks

Interventionpercentage of time (Median)
G-Pen Mini™ (Glucagon Injection)5
Glucose Tabs4

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Clinical Grading - Initial and 15-min Treatment Correct

2 graders, blinded to treatment arm, independently graded each hypoglycemic event as a clinical failure or success based on all available BG concentrations within 1 hour of initial treatment. All BG values, along with corresponding time elapsed since treatment, were reviewed to determine whether the response would be considered a treatment success, in a clinical setting. There were no specific cut points; rather than basing the success criteria on whether the BG was above specific cutpoints by specific times, the grader decided whether the event would be considered a success in a clinical setting (i.e. if the BG increased after treatment and reached and maintained a satisfactory level after the treatment). The graders to achieve a consensus grading adjudicated discordant gradings (6% of events). The number of events graded as a treatment success were reported out of the total number of hypoglycemic events, for each treatment arm. (NCT02411578)
Timeframe: 60 minutes

InterventionHypoglycemic Events (Count of Units)
G-Pen Mini™ (Glucagon Injection)66
Glucose Tabs63

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CGM Minimum Glucose, Event Level

Minimum glucose from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first 2 hours after start of hypoglycemic event (NCT02411578)
Timeframe: 120 Minutes

Interventionmg/dL (Median)
G-Pen Mini™ (Glucagon Injection)57
Glucose Tabs56

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CGM Mean Glucose, Event Level

Median (IQR) reported for mean glucose from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first hour after start of hypoglycemic event (NCT02411578)
Timeframe: 60 Minutes

Interventionmg/dL (Median)
G-Pen Mini™ (Glucagon Injection)79
Glucose Tabs87

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CGM Mean Glucose, Event Level

Median (IQR) reported for mean glucose from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first 2 hours after start of hypoglycemic event (NCT02411578)
Timeframe: 120 Minutes

Interventionmg/dL (Median)
G-Pen Mini™ (Glucagon Injection)95
Glucose Tabs108

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CGM Mean Glucose

Median (IQR) reported for mean glucose from CGM data computed over entire 3 weeks of treatment period (NCT02411578)
Timeframe: 3 weeks

Interventionmg/dL (Median)
G-Pen Mini™ (Glucagon Injection)143
Glucose Tabs149

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CGM Maximum Glucose, Event Level

Maximum glucose from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first hour after start of hypoglycemic event (NCT02411578)
Timeframe: 60 Minutes

Interventionmg/dL (Median)
G-Pen Mini™ (Glucagon Injection)102
Glucose Tabs116

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CGM Maximum Glucose, Event Level

Maximum glucose from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first 2 hours after start of hypoglycemic event (NCT02411578)
Timeframe: 120 Minutes

Interventionmg/dL (Median)
G-Pen Mini™ (Glucagon Injection)122
Glucose Tabs139

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Clinical Grading - Initial Treatment Correct

2 graders, blinded to treatment arm, independently graded each hypoglycemic event as a clinical failure or success based on all available BG concentrations within 1 hour of initial treatment. All BG values, along with corresponding time elapsed since treatment, were reviewed to determine whether the response would be considered a treatment success, in a clinical setting. There were no specific cut points; rather than basing the success criteria on whether the BG was above specific cutpoints by specific times, the grader decided whether the event would be considered a success in a clinical setting (i.e. if the BG increased after treatment and reached and maintained a satisfactory level after the treatment). The graders to achieve a consensus grading adjudicated discordant gradings (6% of events). The number of events graded as a treatment success were reported out of the total number of hypoglycemic events, for each treatment arm. (NCT02411578)
Timeframe: 60 minutes

InterventionHypoglycemic Events (Count of Units)
G-Pen Mini™ (Glucagon Injection)84
Glucose Tabs88

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CGM Time in Range, Event Level

Percentage of time 70-180 mg/dL from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first hour after start of hypoglycemic event (NCT02411578)
Timeframe: 60 Minutes

Interventionpercentage of time (Median)
G-Pen Mini™ (Glucagon Injection)62
Glucose Tabs67

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Clinical Grading - Limited to Events in Primary Analysis

2 graders, blinded to treatment arm, independently graded each hypoglycemic event as a clinical failure or success based on all available BG concentrations within 1 hour of initial treatment. All BG values, along with corresponding time elapsed since treatment, were reviewed to determine whether the response would be considered a treatment success, in a clinical setting. There were no specific cut points; rather than basing the success criteria on whether the BG was above specific cutpoints by specific times, the grader decided whether the event would be considered a success in a clinical setting (i.e. if the BG increased after treatment and reached and maintained a satisfactory level after the treatment). The graders to achieve a consensus grading adjudicated discordant gradings (6% of events). The number of events graded as a treatment success were reported out of the total number of hypoglycemic events, for each treatment arm. (NCT02411578)
Timeframe: 60 minutes

InterventionHypoglycemic Events (Count of Units)
G-Pen Mini™ (Glucagon Injection)57
Glucose Tabs54

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Continuous Glucose Monitor (CGM) Minimum Glucose, Event Level

Minimum glucose from CGM data, following each hypoglycemic event with starting BG 50-69 mg/dL, during first hour after start of hypoglycemic event (NCT02411578)
Timeframe: 60 Minutes

Interventionmg/dL (Median)
G-Pen Mini™ (Glucagon Injection)59
Glucose Tabs56

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Number of Hypoglycemic Events ≥50 mg/dl 15 Minutes AND ≥ 70 mg/dl 30 Minutes After Initial Treatment

(NCT02411578)
Timeframe: 30 minutes

InterventionHypoglycemic Events (Count of Units)
G-Pen Mini™ (Glucagon Injection)58
Glucose Tabs53

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Number of Subjects With Plasma Glucose > 70 mg/dL at 30 Minutes Post-treatment

For 90 minutes following treatment, plasma glucose was measured every 5 minutes, with an increase in plasma glucose to >70 mg/dL within 30 minutes of treatment being considered a positive response. (NCT02423980)
Timeframe: 0-90 minutes

Interventionparticipants with positive response (Number)
Glucagon 1 mg7
Glucagon 0.5 mg6

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Time to Plasma Glucose > 70 mg/dL

Following treatment, plasma glucose was measured every 5 minutes. The first such measurement at which plasma glucose concentration was observed to be >70 mg/dL was reported as the time to response. (NCT02423980)
Timeframe: 0-90 minutes

Interventionminutes (Median)
Glucagon 1 mg15
Glucagon 0.5 mg15

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Time to Resolution of Induced Hypoglycemia Symptoms

Prior to and every 5 minutes after treatment, subjects were asked to rate the severity of each of 8 symptoms on a scale from 1 to 6, with 1 indicating the symptom was absent and 6 indicating the symptom was severe. The sum of the scores for the 8 individual symptoms was reported as the total hypoglycemia symptom score, which ranged from 8-48. The first time point post-treatment at which total hypoglycemia symptom score = 8 (i.e., all symptoms were absent) was considered the time to resolution. One and two subjects were unevaluable for response to the 1 mg and 0.5 mg doses of glucagon, respectively, as they reported no symptoms (i.e., total symptom score = 8) prior to treatment. (NCT02423980)
Timeframe: 0-30 minutes

Interventionminutes (Median)
Glucagon 1 mg20
Glucagon 0.5 mg27.5

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Maximum Change in GIR (Glucose Infusion Rate) From Baseline

This outcome is measuring the maximum change in the glucose infusion rate from the GIR at the time of the injection through the 90 minutes after the glucagon injection in the presence and absence of ethanol. The glucose infusion rate is adjusted up to every two minutes throughout the clamp, and for 90 minutes total after the glucagon injection. (NCT02516150)
Timeframe: 1 Day Visit (approximately 8 to 11 hours)

Interventionml/hour (Mean)
Glucagon With Ethanol83.0
Glucagon Without Ethanol101.7

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AOCGIR (Area Over the Curve for Glucose Infusion Rate)

Area over the curve for the glucose infusion rate in the hour following a subcutaneous glucagon dose with a blood alcohol content of 0 vs 0.1% (NCT02516150)
Timeframe: 1 Day Visit (approximately 8 to 11 hours)

Interventionmg*minute/dl (Mean)
Glucagon With Ethanol1996
Glucagon Without Ethanol1981

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Diastolic Blood Pressure (DBP)

Treatment effect on DBP after 24 weeks (NCT02635386)
Timeframe: 24 weeks of treatment

InterventionmmHg (Mean)
Exenatide Once Weekly (EQW )81
Dapagliflozin (DAPA)79.8
EQW Plus DAPA76
Dapagliflozin Plus Glucophage (MET ER)82
Phentermine /Topiramate (PHEN/ TPM) ER83.6

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Fasting Insulin Sensitivity (HOMA-IR)

Treatment effect on the ratio HOMA-IR which is insulin resistance measure derived from fasting blood glucose and insulin and is calculated by insulin (mU/ml)*glucose (mmol/L)/22,5. The higher thenumber the more insulin resistant. (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionindex score (Mean)
Exenatide Once Weekly (EQW )3.7
Dapagliflozin (DAPA)3.6
EQW Plus DAPA2.6
Dapagliflozin Plus Glucophage (MET ER)3.3
Phentermine /Topiramate (PHEN/ TPM) ER3.4

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Free Androgen Index (FAI)

Treatment effect on FAI calculated from total testosterone divided by sex hormone binding globulin (SHBG) levels. A higher score indicates a worse outcome. (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionindex score (Mean)
Exenatide Once Weekly (EQW )5.3
Dapagliflozin (DAPA)4.7
EQW Plus DAPA5.2
Dapagliflozin Plus Glucophage (MET ER)5.7
Phentermine /Topiramate (PHEN/ TPM) ER5

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Matsuda Sensitivity Index Derived From the OGTT(SI OGTT)

The SI IOGTT is a measure of peripheral insulin sensitivity derived from the values of Insulin (microunits per milliliter) and Glucose (milligrams per deciliter) obtained from the OGTT and the corresponding fasting values. SI (OGTT) = 10,000/ [(G fasting x I fasting) x (G OGTTmean x I OGTTmean)], where fasting glucose and insulin data are taken from time 0 of the OGTT and mean data represent the average glucose and insulin values obtained during the entire OGTT. The square root is used to correct for nonlinear distribution of insulin, and 10,000 is a scaling factor in the equation. The higher value, the more sensitive to insulin. (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionindex score (Mean)
Exenatide Once Weekly (EQW )3.1
Dapagliflozin (DAPA)3.6
EQW Plus DAPA3.9
Dapagliflozin Plus Glucophage (MET ER)4.8
Phentermine /Topiramate (PHEN/ TPM) ER4.7

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OGTT Mean Blood Glucose (MBG)

Treatment effect on MBG measured during the oral glucose tolerance test (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionmg/dL (Mean)
Exenatide Once Weekly (EQW )118
Dapagliflozin (DAPA)126.4
EQW Plus DAPA112
Dapagliflozin Plus Glucophage (MET ER)119
Phentermine /Topiramate (PHEN/ TPM ER113

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Oral Disposition (Insulin Sensitivity-insulin Secretion) Index

An estimation of β-cell compensatory function, the insulin secretion-sensitivity index (IS-SI) will be derived by applying the concept of the oral disposition index to measurements obtained during the 2-h OGTT and calculated as the index of insulin secretion factored by insulin sensitivity (ΔINS/ΔPG 30 x Matsuda SIOGTT) from the OGTT. A higher score shows improved pancreatic insulin responsiveness relative to resistance. (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionindex score (Mean)
Exenatide Once Weekly (EQW )471
Dapagliflozin (DAPA)311
EQW Plus DAPA503
Dapagliflozin Plus Glucophage (MET ER)395
Phentermine /Topiramate (PHEN/ TPM) ER545

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Systolic Blood Pressure (SBP)

Treatment effect on SBP after 24 weeks of treatment (NCT02635386)
Timeframe: 24 weeks treatment

InterventionmmHg (Mean)
Exenatide Once Weekly (EQW )123.6
Dapagliflozin (DAPA)123
EQW Plus DAPA122
Dapagliflozin Plus Glucophage (MET ER)128
Phentermine /Topiramate (PHEN/ TPM) ER124

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Total Body Fat (%) by DEXA

Treatment impact on percent total body fat by DEXA (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionpercent fat mass (Mean)
Exenatide Once Weekly (EQW )46.1
Dapagliflozin (DAPA)46.4
EQW Plus DAPA45.8
Dapagliflozin Plus Glucophage (MET ER)46.1
Phentermine /Topiramate (PHEN/ TPM) ER45.2

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Total Cholesterol Levels

Treatment effect on blood concentrations of total cholesterol (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionmg/dL (Mean)
Exenatide Once Weekly (EQW )189
Dapagliflozin (DAPA)186
EQW Plus DAPA185
Dapagliflozin Plus Glucophage (MET ER)192
Phentermine /Topiramate (PHEN/ TPM) ER178

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Total Fat Mass (kg) Evaluated by DEXA

Treatment impact on total fat mass by DEXA (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionkilogram (Mean)
Exenatide Once Weekly (EQW )47.6
Dapagliflozin (DAPA)47.8
EQW Plus DAPA45.9
Dapagliflozin Plus Glucophage (MET ER)48
Phentermine /Topiramate (PHEN/ TPM) ER44.5

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Total Testosterone Concentrations

Treatment effect on blood concentrations of total testosterone (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionng/dL (Mean)
Exenatide Once Weekly (EQW )38.8
Dapagliflozin (DAPA)35
EQW Plus DAPA42.6
Dapagliflozin Plus Glucophage (MET ER)39.5
Phentermine /Topiramate (PHEN/ TPM) ER45.5

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Trunk/Leg Fat Ratio by DEXA

Treatment impact on trunk/limb ratio (measure of central adiposity) by DEXA (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionratio (Mean)
Exenatide Once Weekly (EQW )1.03
Dapagliflozin (DAPA).95
EQW Plus DAPA.93
Dapagliflozin Plus Glucophage (MET ER).98
Phentermine /Topiramate (PHEN/ TPM) ER.99

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Waist-to-Hip Ratio (WHR)

Treatment impact on central adiposity after 24 weeks (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionratio (Mean)
Exenatide Once Weekly (EQW ).83
Dapagliflozin (DAPA).79
EQW Plus DAPA.86
Dapagliflozin Plus Glucophage (MET ER).83
Phentermine /Topiramate (PHEN/ TPM) ER.81

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Waist-to-Height Ratio (WHtR)

Treatment impact on WHtR which is a measure of central adiposity (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionratio (Mean)
Exenatide Once Weekly (EQW ).64
Dapagliflozin (DAPA).61
EQW Plus DAPA.65
Dapagliflozin Plus Glucophage (MET ER).61
Phentermine /Topiramate (PHEN/ TPM) ER.59

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Fasting Blood Glucose

Treatment impact on fasting concentration of glucose in the blood (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionmg/dL (Mean)
Exenatide Once Weekly (EQW )91
Dapagliflozin (DAPA)93
EQW Plus DAPA86.5
Dapagliflozin Plus Glucophage (MET ER)89
Phentermine /Topiramate (PHEN/ TPM ER91.4

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Absolute Body Weight

Treatment effect on body weight at 24 weeks of treatment (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionkilogram (Mean)
Exenatide Once Weekly (EQW )100.4
Dapagliflozin (DAPA)102.6
EQW Plus DAPA99
Dapagliflozin Plus Glucophage (MET ER)101.2
Phentermine /Topiramate (PHEN/ TPM) ER97

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Android-Gynoid Ratio (AGR) as Determined by DEXA

treatment impact on measure of central adiposity as determined by android/gynoid ratio (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionratio (Mean)
Exenatide Once Weekly (EQW )1.07
Dapagliflozin (DAPA)1.02
EQW Plus DAPA1.04
Dapagliflozin Plus Glucophage (MET ER)1.04
Phentermine /Topiramate (PHEN/ TPM) ER1.03

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Body Mass Index (BMI)

Treatment efficacy in reducing body mass at 24 weeks of treatment (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionkilogram/meter squared (Mean)
Exenatide Once Weekly (EQW )37.3
Dapagliflozin (DAPA)37.4
EQW Plus DAPA36.7
Dapagliflozin Plus Glucophage (MET ER)37
Phentermine /Topiramate (PHEN/ TPM) ER35.3

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Central Adiposity (Waist Circumference)

Treatment effect on loss of central adiposity after 24 weeks (NCT02635386)
Timeframe: 24 weeks of treatment

Interventioncentimeters (Mean)
Exenatide Once Weekly (EQW )104
Dapagliflozin (DAPA)101
EQW Plus DAPA106
Dapagliflozin Plus Glucophage (MET ER)101.3
Phentermine /Topiramate (PHEN/ TPM) ER97

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Change in Percent Body Weight

Treatment effect on change in percent body weight from baseline (NCT02635386)
Timeframe: Change from baseline (time 0) to study end (24 weeks)

Interventionpercentage change in body weight (Mean)
Exenatide Once Weekly (EQW )3.8
Dapagliflozin (DAPA)1.5
EQW Plus DAPA6.9
Dapagliflozin Plus Glucophage (MET ER)1.7
Phentermine /Topiramate (PHEN/ TPM) ER8.1

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Corrected First Phase Insulin Secretion (IGI/HOMA-IR)

Treatment effect on insulin secretion from 0 to 30 minutes after glucose load corrected for by fasting insulin sensitivity. A higher score shows improved first phase insulin secretion in response to glucose (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionindex score (Mean)
Exenatide Once Weekly (EQW )1.03
Dapagliflozin (DAPA)0.6
EQW Plus DAPA0.91
Dapagliflozin Plus Glucophage (MET ER)0.7
Phentermine /Topiramate (PHEN/ TPM) ER1.1

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Dehydroepiandrosterone Sulfate (DHEA-S) Levels

Treatment effect on blood concentrations of DHEA-S (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionmcg/dL (Mean)
Exenatide Once Weekly (EQW )165
Dapagliflozin (DAPA)187
EQW Plus DAPA169
Dapagliflozin Plus Glucophage (MET ER)189
Phentermine /Topiramate (PHEN/ TPM) ER201

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Triglyceride (TRG) Levels

Treatment effect on blood concentrations of triglycerides (NCT02635386)
Timeframe: 24 weeks of treatment

Interventionmg/dL (Mean)
Exenatide Once Weekly (EQW )130
Dapagliflozin (DAPA)132
EQW Plus DAPA112
Dapagliflozin Plus Glucophage (MET ER)105
Phentermine /Topiramate (PHEN/ TPM) ER110

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Plasma Glucose Time to Concentration > 70 mg/dL

Pharmacodynamic endpoint of time to achieve a plasma glucose concentration > 70 mg/dL following administration of glucagon (NCT02656069)
Timeframe: At -5, 0, 10, 20, 30, 45, 60, 90, 120, 180 and 240 minutes following administration of glucagon

Interventionminutes (Mean)
G-Pen19.9
Lilly Glucagon14.2

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Plasma Glucose Maximum Concentration (Cmax)

Pharmacodynamic endpoint of plasma glucose Cmax from baseline to 4 hours following administration of glucagon (NCT02656069)
Timeframe: At -5, 0, 10, 20, 30, 45, 60, 90, 120, 180 and 240 minutes following administration of glucagon

Interventionmg/dL (Mean)
G-Pen202.7
Lilly Glucagon193.5

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Global Assessment of Hypoglycemia

Time to resolution of the overall sensation of hypoglycemia following administration of glucagon (NCT02656069)
Timeframe: At 0, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85 and 90 minutes following administration of glucagon

Interventionminutes (Mean)
G-Pen16.8
Lilly Glucagon15.7

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Plasma Glucose Area Under the Curve (AUC)

Pharmacodynamic endpoint of plasma glucose AUC from baseline to 90 minutes following administration of glucagon (NCT02656069)
Timeframe: At -5, 0, 10, 20, 30, 45, 60, and 90 minutes following administration of glucagon

Interventionmg*min/dL (Mean)
G-Pen11651.4
Lilly Glucagon12260.4

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Time to Resolution of Hypoglycemia Symptoms

Time to resolution of mean autonomic, mean neuroglycopenic and mean total hypoglycemia symptom scores from baseline through 90 minutes following administration of glucagon. (NCT02656069)
Timeframe: At 0, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85 and 90 minutes following administration of glucagon

,
Interventionminutes (Mean)
Autonomic SymptomsNeuroglycopenic SymptomsAll Symptoms
G-Pen16.016.719.8
Lilly Glucagon14.214.317.0

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Hypoglycemia Rescue: Per Protocol Population

Number of subjects with an increase in plasma glucose concentration from below 50 mg/dL to greater than 70 mg/dL within 30 minutes after administration of glucagon (NCT02656069)
Timeframe: At 30 minutes following administration of study drug

InterventionParticipants (Count of Participants)
G-Pen74
Lilly Glucagon78

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Plasma Glucose Time to Maximum Concentration (Tmax)

Pharmacodynamic endpoint of plasma glucose Tmax from baseline to 4 hours following administration of glucagon (NCT02656069)
Timeframe: At -5, 0, 10, 20, 30, 45, 60, 90, 120, 180 and 240 minutes following administration of glucagon

Interventionminutes (Mean)
G-Pen111.3
Lilly Glucagon100.4

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Hypoglycemia Rescue: Intent-to-Treat Population

Number of subjects with an increase in plasma glucose concentration from below 50 mg/dL to greater than 70 mg/dL within 30 minutes after administration of glucagon (NCT02656069)
Timeframe: At 30 minutes following administration of study drug

InterventionParticipants (Count of Participants)
G-Pen74
Lilly Glucagon79

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Hypoglycemia Rescue: Glucose or Symptomatic Response Definition

Number of subjects with either an increase in plasma glucose concentration from below 50 mg/dL to greater than 70 mg/dL or resolution of all neuroglycopenic symptoms of hypoglycemia within 30 minutes after administration of glucagon (NCT02656069)
Timeframe: At 30 minutes following administration of study drug

InterventionParticipants (Count of Participants)
G-Pen78
Lilly Glucagon79

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Hypoglycemia Rescue: Alternate Glucose Response Definition

Number of subjects with either an increase in plasma glucose concentration from below 50 mg/dL to greater than 70 mg/dL or an increase in from baseline in plasma glucose concentration of at least 20 mg/dL within 30 minutes after administration of glucagon (NCT02656069)
Timeframe: At 30 minutes following administration of study drug

InterventionParticipants (Count of Participants)
G-Pen76
Lilly Glucagon79

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Number of Participants With Hyperglycemia (≥250 mg/dL) During Exercise and Early Recovery

Comparison of occurrence of hyperglycemia (≥250 mg/dL from blood glucose) during exercise and early recovery between each exercise strategy. (NCT02660242)
Timeframe: 0 to 75 minutes following exercise initiation

InterventionParticipants (Count of Participants)
Control0
Basal Insulin Reduction0
Glucose Tabs5
G-Pen Mini™ (Glucagon Injection)1

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CGM Metrics During Late Recovery - Coefficient of Variation

Comparison of the coefficient of variation from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionpercentage (Median)
Control32
Basal Insulin Reduction35
Glucose Tabs36
G-Pen Mini™ (Glucagon Injection)33

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CGM Metrics During Late Recovery - Mean Glucose

Comparison of mean glucose from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionmg/dL (Median)
Control129
Basal Insulin Reduction139
Glucose Tabs130
G-Pen Mini™ (Glucagon Injection)147

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CGM Metrics During Late Recovery - Peak Glucose

Comparison of peak glucose from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionmg/dL (Median)
Control241
Basal Insulin Reduction239
Glucose Tabs267
G-Pen Mini™ (Glucagon Injection)269

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CGM Metrics During Late Recovery - Time < 54 mg/dL

Comparison of percentage of time < 54 mg/dL from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionpercentage (Mean)
Control3
Basal Insulin Reduction3
Glucose Tabs3
G-Pen Mini™ (Glucagon Injection)2

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CGM Metrics During Late Recovery - Time < 70 mg/dL

Comparison of percentage of time < 70 mg/dL from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionpercentage (Mean)
Control10
Basal Insulin Reduction8
Glucose Tabs8
G-Pen Mini™ (Glucagon Injection)6

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CGM Metrics During Late Recovery - Time > 180 mg/dL

Comparison of percentage of time > 180 mg/dL from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionpercentage (Mean)
Control16
Basal Insulin Reduction21
Glucose Tabs23
G-Pen Mini™ (Glucagon Injection)26

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CGM Metrics During Late Recovery - Time > 250 mg/dL

Comparison of percentage of time > 250 mg/dL from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionpercentage (Mean)
Control1
Basal Insulin Reduction4
Glucose Tabs9
G-Pen Mini™ (Glucagon Injection)5

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CGM Metrics During Late Recovery - Time in Range (70-180 mg/dL)

Comparison of percentage of time in range (70-180 mg/dL) from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionpercentage (Mean)
Control73
Basal Insulin Reduction71
Glucose Tabs69
G-Pen Mini™ (Glucagon Injection)67

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Continuous Glucose Monitor (CGM) Metrics During Late Recovery - Nadir Glucose

Comparison of nadir glucose from CGM between the exercise strategies. (NCT02660242)
Timeframe: 90 min after the standard meal until 1200 noon the day after each exercise session

Interventionmg/dL (Median)
Control45
Basal Insulin Reduction44
Glucose Tabs49
G-Pen Mini™ (Glucagon Injection)51

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Glycemic Response During Exercise and Early Recovery

Comparison of glycemic response (from blood glucose) during exercise and early recovery between each exercise strategy. (NCT02660242)
Timeframe: 0 to 75 minutes following exercise initiation (0, 5, 10, 15, 25, 35, 45, 50, 55, 60, 75 min)

,,,
Interventionmg/dL (Mean)
Plasma Glucose Concentration (End of Exercise)Plasma Glucose Concentration (End Early Recovery)
Basal Insulin Reduction8592
Control8690
G-Pen Mini™ (Glucagon Injection)161163
Glucose Tabs174222

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Number of Participants With Hypoglycemia (<70 mg/dL) During Exercise and Early Recovery

Comparison of occurrence of hypoglycemia (<70 mg/dL from blood glucose) during exercise and early recovery between each exercise strategy. (NCT02660242)
Timeframe: 0 to 75 minutes following exercise initiation

InterventionParticipants (Count of Participants)
Control6
Basal Insulin Reduction5
Glucose Tabs0
G-Pen Mini™ (Glucagon Injection)0

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Average Percent Glucagon Dose Amounts Successfully Issued to the Pump by the Bionic Pancreas Control Algorithm That a Successfully Delivered by the Pump.

The average percentage of successfully issued glucagon doses that are then delivered successfully by the pump. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of doses (Mean)
iPhone Bionic Pancreas - Lilly Glucagon96.6
iLet Bionic Pancreas - Lilly Glucagon100.0

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

The average percentage of successfully delivered insulin doses. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of doses (Mean)
iPhone Bionic Pancreas - Lilly Glucagon94.0
iLet Bionic Pancreas - Lilly Glucagon95.8

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

The average percentage of successfully issued insulin doses that are then delivered successfully by the pump. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of doses (Mean)
iPhone Bionic Pancreas - Lilly Glucagon98.5
iLet Bionic Pancreas - Lilly Glucagon96.1

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Average Percent of 5 Minute Steps During Which the Bionic Pancreas is Functioning Nominally in All Respects Based on Real-time CGM Data (New CGM Glucose Reading Captured, Dose Calculated, Dose Issued to Pumps

"The percentage of time (measured in 5 minute steps) that the bionic pancreas is working, indicated by the presence of a CGM reading, a successful dose calculation and successful issuing of a dose. This applies only to the iPhone vs iLet BP experiments." (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of 5 minute steps (Mean)
iPhone Bionic Pancreas - Lilly Glucagon88.9
iLet Bionic Pancreas - Lilly Glucagon75.1

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Average Percent of 5 Minute Steps During Which the Bionic Pancreas is Functioning Nominally With or Without a New CGM Glucose Reading Captured (Dose Calculated, Dose Issued to Pumps).

"The percentage of time (measured in 5 minute steps) that the bionic pancreas is working even without a CGM reading being present, indicated by a successful dose calculation and successful issuing of a dose. This applies only to the iPhone vs iLet BP experiments." (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of 5 minutes steps (Mean)
iPhone Bionic Pancreas - Lilly Glucagon94.6
iLet Bionic Pancreas - Lilly Glucagon99.8

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

A measure of CGM reliability, indicating the percentage of values the CGM displayed out of the total values it should have displayed in that time. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of CGM values (Mean)
iPhone Bionic Pancreas - Lilly Glucagon94.1
iLet Bionic Pancreas - Lilly Glucagon75.1

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Difference Between the Fasted PG Value and the PG Value at 90 Minutes

This applies only to the infusion set sub-study (NCT02701257)
Timeframe: Baseline Fasted State and 90 Minutes

Interventionmg/dl (Mean)
iLet Infusion Set-3.7
Contact Detach Infusion Set-6.7

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Difference in Local Erythema and Edema According to the Draize Scale

This applies to the iPhone vs. iLet BP experiments and the infusion set sub-study experiments. The draize scale assess erythema, eschar and edema using a score from 0-4, with 4 meaning a worse outcome. (NCT02701257)
Timeframe: 8 hours

Interventionscore on a scale (Mean)
iPhone Bionic Pancreas - Lilly Glucagon0
iLet Bionic Pancreas - Lilly Glucagon0
iLet Infusion Set0
Contact Detach Infusion Set0

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Difference in Mean Nausea From VAS During the Study

"This applies only the iPhone vs. iLet BP experiments. Subjects were given a visual analog scale measuring 100 mm and asked to draw a line to indicate their level of nausea at timepoints during the study with 100 being the worst possible nausea and 0 being no nausea." (NCT02701257)
Timeframe: 8 hours

Interventionscore on a scale (Mean)
iPhone Bionic Pancreas - Lilly Glucagon3.47
iLet Bionic Pancreas - Lilly Glucagon6.93

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Difference in the PG Prior to the Meal and Peak Post-prandial Glucose

This applies only to the infusion set sub-study (NCT02701257)
Timeframe: Pre-meal PG value and peak PG value during the 3.5 hours following the meal.

Interventionmg/dl (Mean)
iLet Infusion Set176.3
Contact Detach Infusion Set73.9

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Glucagon Total Delivery Per kg of Body Mass.

The average total glucagon delivered by the bionic pancreas. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionmcg/kg (Mean)
iPhone Bionic Pancreas - Lilly Glucagon0.60
iLet Bionic Pancreas - Lilly Glucagon1.12

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Insulin Total Delivery Per kg of Body Mass.

The average total insulin delivered by the bionic pancreas. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionunits/kg (Mean)
iPhone Bionic Pancreas - Lilly Glucagon0.22
iLet Bionic Pancreas - Lilly Glucagon0.23

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Number of Episodes of Symptomatic Hypoglycemia.

Number of time subjects experienced symptoms of hypoglycemia and reported that to study staff. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionnumber of episodes (Number)
iPhone Bionic Pancreas - Lilly Glucagon0
iLet Bionic Pancreas - Lilly Glucagon0

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Number of Severe Hypoglycemic Events (Subject Unable to Self-treat, Requiring the Assistance of Another Person)

The number of severe hypoglycemic events subjects experience. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionevents (Number)
iPhone Bionic Pancreas - Lilly Glucagon0
iLet Bionic Pancreas - Lilly Glucagon0

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Number of Subjects With Mean CGM Glucose < 154 mg/dl

The number of subjects who achieved a mean CGM glucose < 154 mg/dl, which correlates to an estimated hemoglobin a1c of 7%, which is the ADA goal for therapy. This applies only to the iPhone vs iLet BP experiments (NCT02701257)
Timeframe: 8 hours

InterventionParticipants (Count of Participants)
iPhone Bionic Pancreas - Lilly Glucagon1
iLet Bionic Pancreas - Lilly Glucagon1

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Number of Unscheduled CGM Sensor Changes.

This applies only to the iPhone vs. iLet BP experiments (NCT02701257)
Timeframe: 8 hours

Interventionnumber of sensor changes (Number)
iPhone Bionic Pancreas - Lilly Glucagon0
iLet Bionic Pancreas - Lilly Glucagon0

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Number of Unscheduled Infusion Set Replacements.

This applies to the iPhone vs. iLet BP experiments and the infusion set sub-study experiments. (NCT02701257)
Timeframe: 8 hours

Interventionnumber of infusion set changes (Number)
iPhone Bionic Pancreas - Lilly Glucagon1
iLet Bionic Pancreas - Lilly Glucagon0
iLet Infusion Set0
Contact Detach Infusion Set0

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PG AUC in the 3.5 Hours Following the Meal

This applies only to the infusion set sub-study (NCT02701257)
Timeframe: 3.5 hours following the meal

Interventionmg*min/dl (Mean)
iLet Infusion Set15512740
Contact Detach Infusion Set8359871

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Total Grams of Carbohydrate Taken for Hypoglycemia.

The total grams of carbohydrates given to subjects for treatment of hypoglycemia. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionnumber of grams of carbohydrates (Number)
iPhone Bionic Pancreas - Lilly Glucagon0
iLet Bionic Pancreas - Lilly Glucagon0

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Percentage of Time in Each of the Following Ranges: < 50 mg/dl, < 60 mg/dl, <70 mg/dl, 70-120 mg/dl, 70-180 mg/dl, >180 mg/dl, >250 mg/dl

Percentage of time subjects spent in each of these ranges based on continuous glucose monitor readings. This only applies to the iPhone vs iLet BP visits. (NCT02701257)
Timeframe: 8 hours

,
Interventionpercentage of time (Mean)
CGM glucose < 60CGM glucose > 180
iLet Bionic Pancreas - Lilly Glucagon0.3667.5
iPhone Bionic Pancreas - Lilly Glucagon0.039.0

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Average Continuous Glucose Monitor (CGM) Glucose

The average glucose according to continuous glucose monitor readings. This only applies to the iPhone vs. iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionmg/dl (Mean)
iPhone Bionic Pancreas - Lilly Glucagon179.2
iLet Bionic Pancreas - Lilly Glucagon251.2

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Average Insulin Infusion Site Pain From VAS

"This applies to the iPhone vs. iLet BP experiments and the infusion set sub-study experiments. Subjects were given a visual analog scale measuring 100 mm and asked to draw a line to indicate their level of pain at timepoints during the study with 100 being the worst possible pain and 0 being no pain." (NCT02701257)
Timeframe: 8 hours

Interventionscore on a scale (Mean)
iPhone Bionic Pancreas - Lilly Glucagon1.49
iLet Bionic Pancreas - Lilly Glucagon6.61
iLet Infusion Set0.54
Contact Detach Infusion Set2.42

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Average Percent Dose Amounts Calculated by the Bionic Pancreas Control Algorithm That Are Successfully Delivered by the Pump (Aggregate of Both Insulin and Glucagon Doses)

Average percent dose amounts calculated by the bionic pancreas control algorithm that are successfully delivered by the pump (aggregate of both insulin and glucagon doses) - primary outcome for iPhone-based BP using Lilly glucagon vs. iLet BP using Lilly glucagon (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of doses delivered (Mean)
iPhone Bionic Pancreas - Lilly Glucagon94.6
iLet Bionic Pancreas - Lilly Glucagon95.0

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

Average percent dose amounts calculated by the bionic pancreas control algorithm that are successfully delivered by the pump (glucagon doses) - - primary outcome for iLet BP using Lilly glucagon vs. iLet BP using Xeris Xerisol glucagon (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of doses (Mean)
iPhone Bionic Pancreas - Lilly Glucagon96.6
iLet Bionic Pancreas - Lilly Glucagon100.0

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

The average percentage of successfully delivered glucagon doses. This applies only to the iPhone vs iLet BP experiments. (NCT02701257)
Timeframe: 8 hours

Interventionpercentage of doses (Mean)
iPhone Bionic Pancreas - Lilly Glucagon96.6
iLet Bionic Pancreas - Lilly Glucagon100.0

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Glucose Time in Range

Time glucose remains in goal range, 60-180 mg/dl, reported in minutes (NCT02733588)
Timeframe: 0 - 120 minutes following dosing

InterventionMinutes (Mean)
G-Pump™ (Glucagon Infusion)113

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Number of Subjects With Rebound Hyperglycemia

Frequency of rebound hyperglycemia defined as glucose levels above 180 mg/dl. Reported as the number of subjects with rebound hyperglycemia. (NCT02733588)
Timeframe: 0 - 120 minutes following dosing

InterventionParticipants (Count of Participants)
G-Pump™ (Glucagon Infusion)0

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Number of Subjects With Severe Hypoglycemia

Frequency of severe hypoglycemia defined as glucose levels below 60 mg/dl. Reported as the number of subjects with severe hypoglycemia. (NCT02733588)
Timeframe: 0 - 120 minutes following dosing

Interventionparticipants (Number)
G-Pump™ (Glucagon Infusion)3

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Detection/Notification of Hypoglycemia

Frequency with which the device controller software correctly identifies impending hypoglycemia (glucose < 75 mg/dl) and notifies the investigator to initiate treatment. Reported as the number of successful identifications. (NCT02733588)
Timeframe: 0 - 120 minutes following dosing

Interventionsuccessful events (Number)
G-Pump™ (Glucagon Infusion)9

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PK: Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon

(NCT02778100)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

InterventionHour (hr) (Median)
NG - Common Cold0.3
NG - Symptom-Free0.3
NG - Common Cold+Oxymetazoline0.3

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PK: Maximum Change From Baseline Concentration (Cmax) of Glucagon

(NCT02778100)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

Interventionpicograms per millilitre (pg/mL) (Mean)
NG - Common Cold1145.4
NG - Symptom-Free745.6
NG - Common Cold+Oxymetazoline811.5

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PK: Area Under the Curve Extrapolated to Infinity (AUC[0-inf]) of Baseline Adjusted Glucagon

(NCT02778100)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

Interventionpg*hr/mL (Mean)
NG - Common Cold1108.9
NG - Symptom-Free669.3
NG - Common Cold+Oxymetazoline1064.3

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Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to T (AUC[0-tlast]) of Baseline Adjusted Glucagon

(NCT02778100)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

Interventionpicogram*hour per millilitre (pg*hr/mL) (Mean)
NG - Common Cold1039.7
NG - Symptom-Free631.8
NG - Common Cold+Oxymetazoline868.4

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Pharmacodynamics (PD): Area Under the Effect Concentration Time Curve (AUEC0-3) of Baseline-Adjusted Glucose From Time Zero up to 3 Hours

(NCT02778100)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

InterventionHour*millimoles per liter(hr*mmol/L) (Mean)
NG - Common Cold4.3
NG - Symptom-Free3.8
NG - Common Cold+Oxymetazoline4.2

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PD: Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose

(NCT02778100)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

InterventionMillimoles per liter (mmol/L) (Median)
NG - Common Cold0.5
NG - Symptom-Free0.6
NG - Common Cold+Oxymetazoline0.7

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PD: Baseline-Adjusted Glucose Maximum Concentration (BGmax) of Baseline-Adjusted Glucose

(NCT02778100)
Timeframe: Pre-dose; 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2.0, 2.5 and 3.0 hours after glucagon administration

InterventionMillimoles per liter (mmol/L) (Mean)
NG - Common Cold2.9
NG - Symptom-Free2.7
NG - Common Cold+Oxymetazoline3.4

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Number of Participants With One or More Serious Adverse Event(s) (SAEs)

"Safety and tolerability evaluated through the assessment of adverse events.~A SAE (serious adverse event) was defined as any untoward medical occurrence in a clinical investigation participant administered the investigational product and which did not necessarily have a causal relationship with this treatment.~A summary of other non-serious AEs, and all SAE's, regardless of causality, is located in the Reported Adverse Events section." (NCT02778100)
Timeframe: Baseline up to Study Completion (Day 30)

InterventionParticipants (Count of Participants)
NG - Common Cold0
NG - Symptom-Free0
NG - Common Cold+Oxymetazoline0

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Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to T (AUC[0-tlast]) of Baseline Adjusted Glucagon

(NCT02778113)
Timeframe: Day 1: -0.5, -0.25, 0, 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2, 2.5, 3 and 4 hours post dose for each treatment

Interventionpicogram*hour per milliliter (pg*h/mL) (Geometric Mean)
NG 0.5 mgNA
NG 1 mg38.9
NG 2 mg293
SC Glucagon 1 mg2060

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PK: Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon

(NCT02778113)
Timeframe: Day 1: -0.5, -0.25, 0, 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2, 2.5, 3 and 4 hours post dose for each treatment

Interventionhour (h) (Median)
NG 0.5 mg0.17
NG 1 mg0.25
NG 2 mg0.25
SC Glucagon 1 mg0.33

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PK: Maximum Change From Baseline Concentration (Cmax) of Glucagon

(NCT02778113)
Timeframe: Day 1: -0.5, -0.25, 0, 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2, 2.5, 3 and 4 hours post dose for each treatment

Interventionpicogram per milliliter (pg/mL) (Geometric Mean)
NG 0.5 mgNA
NG 1 mg217
NG 2 mg1000
SC Glucagon 1 mg3260

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PD: Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose

(NCT02778113)
Timeframe: Day 1: -0.5, -0.25, 0, 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2, 2.5, 3 and 4 hours post dose for each treatment

Interventionhour (h) (Median)
NG 0.5 mg0.33
NG 1 mg0.36
NG 2 mg0.50
SC Glucagon 1 mg0.37

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Pharmacodynamics (PD): Area Under the Effect Concentration Time Curve (AUEC₀-₄) of Glucose

(NCT02778113)
Timeframe: Day 1: -0.5, -0.25, 0, 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2, 2.5, 3 and 4 hours post dose for each treatment

Interventionmillimole*hour per liter (mmol*h/L) (Mean)
NG 0.5 mg-0.168
NG 1 mg0.0617
NG 2 mg0.566
SC Glucagon 1 mg0.448

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PD: Baseline-Adjusted Glucose Maximum Concentration (BGmax)

(NCT02778113)
Timeframe: Day 1: -0.5, -0.25, 0, 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2, 2.5, 3 and 4 hours post dose for each treatment

Interventionmillimole per liter (mmol/L) (Mean)
NG 0.5 mg0.811
NG 1 mg1.92
NG 2 mg3.20
SC Glucagon 1 mg3.28

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Number of Participants With One or More Serious Adverse Event(s) (SAEs)

"Safety and tolerability evaluated through the assessment of adverse events. A SAE (serious adverse event) was defined as any untoward medical occurrence in a clinical investigation, which did not necessarily have a causal relationship with this treatment.~A summary of other non-serious AEs, and all SAE's, regardless of causality, is located in the Reported Adverse Events section." (NCT02778113)
Timeframe: Baseline through Study Completion (Day 23)

InterventionParticipants (Count of Participants)
NG 0.5 mg0
NG 1 mg0
NG 2 mg0
SC Glucagon 1 mg0

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PK: Area Under the Curve Extrapolated to Infinity (AUC[0-inf]) of Baseline Adjusted Glucagon

(NCT02778113)
Timeframe: Day 1: -0.5, -0.25, 0, 0.08, 0.17, 0.25, 0.33, 0.5, 0.67, 1.0, 1.5, 2, 2.5, 3 and 4 hours post dose for each treatment

Interventionpg*h/mL (Geometric Mean)
NG 1 mgNA
NG 2 mg589
SC Glucagon 1 mg2250

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PK: Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon

(NCT02806973)
Timeframe: -0.5, -0.25, 0.00, 0.08, 0.17, 0.33, 0.50, 0.75, 1.00, 1.25, 1.50, 1.75, 2.00, 2.50, 3.00 hours after glucagon administration

InterventionHour (hr) (Median)
Nasal Glucagon Treatment 10.17
Nasal Glucagon - Treatment 20.33
Nasal Glucagon - Treatment 30.50
Nasal Glucagon - Treatment 40.33

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PK: Maximum Change From Baseline Concentration (Cmax) of Glucagon

(NCT02806973)
Timeframe: -0.5, -0.25, 0.00, 0.08, 0.17, 0.33, 0.50, 0.75, 1.00, 1.25, 1.50, 1.75, 2.00, 2.50, 3.00 hours after glucagon administration

Interventionpicograms per millilitre (pg/mL) (Mean)
Nasal Glucagon Treatment 14960
Nasal Glucagon - Treatment 27140
Nasal Glucagon - Treatment 38080
Nasal Glucagon - Treatment 46650

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PK: Area Under the Curve Extrapolated to Infinity (AUC[0-inf]) of Glucagon

(NCT02806973)
Timeframe: -0.5, -0.25, 0.00, 0.08, 0.17, 0.33, 0.50, 0.75, 1.00, 1.25, 1.50, 1.75, 2.00, 2.50, 3.00 hours after glucagon administration

Interventionpg*hr/mL (Mean)
Nasal Glucagon Treatment 12730
Nasal Glucagon - Treatment 24440
Nasal Glucagon - Treatment 34940
Nasal Glucagon - Treatment 43900

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Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to T(AUC[0-tlast]) of Baseline-Adjusted Glucagon

(NCT02806973)
Timeframe: -0.5, -0.25, 0.00, 0.08, 0.17, 0.33, 0.50, 0.75, 1.00, 1.25, 1.50, 1.75, 2.00, 2.50, 3.00 hours after glucagon administration

Interventionpicogram*hour per millilitre (pg*hr/mL) (Mean)
Nasal Glucagon Treatment 12470
Nasal Glucagon - Treatment 24100
Nasal Glucagon - Treatment 34640
Nasal Glucagon - Treatment 43610

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Pharmacodynamics (PD): Area Under the Effect Concentration Time Curve (AUEC0-3) of Baseline-Adjusted Glucose From Time Zero up to 3 Hours

(NCT02806973)
Timeframe: -0.5, -0.25, 0.00, 0.08, 0.17, 0.33, 0.50, 0.75, 1.00, 1.25, 1.50, 1.75, 2.00, 2.50, 3.00 hours after glucagon administration

InterventionHour*millimoles per liter(hr*mmol/L) (Mean)
Nasal Glucagon Treatment 1157
Nasal Glucagon - Treatment 2168
Nasal Glucagon - Treatment 3190
Nasal Glucagon - Treatment 4194

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PD: Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose

(NCT02806973)
Timeframe: -0.5, -0.25, 0.00, 0.08, 0.17, 0.33, 0.50, 0.75, 1.00, 1.25, 1.50, 1.75, 2.00, 2.50, 3.00 hours after glucagon administration

InterventionHour (hr) (Median)
Nasal Glucagon Treatment 10.75
Nasal Glucagon - Treatment 21.00
Nasal Glucagon - Treatment 31.00
Nasal Glucagon - Treatment 41.00

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PD: Baseline-Adjusted Glucose Maximum Concentration (BGmax)

(NCT02806973)
Timeframe: -0.5, -0.25, 0.00, 0.08, 0.17, 0.33, 0.50, 0.75, 1.00, 1.25, 1.50, 1.75, 2.00, 2.50, 3.00 hours after glucagon administration

Interventionmmol/L (Mean)
Nasal Glucagon Treatment 189.5
Nasal Glucagon - Treatment 298.4
Nasal Glucagon - Treatment 3108
Nasal Glucagon - Treatment 4105

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Number of Subjects With Clinically Meaningful Reduction in Glucose Infusion Rate (Open-Label)

Change from baseline in glucose infusion rate (GIR) will be determined for each subject at the end of open-label treatment. Subjects with a decrease in GIR ≥ 33% will be considered to have had a clinically meaningful treatment response. (NCT02937558)
Timeframe: Baseline to the end of open-label treatment at 72 hours

InterventionParticipants (Count of Participants)
CSI-Glucagon4
Placebo0

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Number of Subjects With Clinically Meaningful Reduction in Glucose Infusion Rate (Double-Blind)

Change from baseline in glucose infusion rate (GIR) will be determined for each subject at 24 and 48 hours from the start of blinded treatment. Subjects with a decrease in GIR ≥ 20% at 24 hours, and ≥ 33% at 48 hours will be considered to have had a clinically meaningful treatment response. (NCT02937558)
Timeframe: Baseline to end of blinded treatment at 24 or 48 hours

InterventionParticipants (Count of Participants)
CSI-Glucagon2
Placebo0

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Percent Change in Glucose Infusion Rate (Open-Label)

The groups will be compared for mean percent change in GIR from baseline to the end of the open-label study phase. (NCT02937558)
Timeframe: Baseline to end of treatment at 72 hours

Intervention% change (Mean)
CSI-Glucagon-51.2

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Percent Change in GIR (Double-Blind)

The groups will be compared for mean percent change in GIR from baseline to the end of the double-blind study phase. (NCT02937558)
Timeframe: Baseline to the end of blinded treatment at 24 or 48 hours

Intervention% change (Mean)
CSI-Glucagon-50.1
Placebo1.9

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Mean Absolute Relative Deviation (MARD) of CGM vs. All StatStrip Xpress BG Measurements

MARD is computed using the difference between the CGM readings and the values measured at the same time by the reference measurement system. The mean (or average) of all the absolute relative deviations produces the MARD. In this study, the reference measurement system was the StatStrip Xpress meter, to which the CGM values were compared. (NCT02966275)
Timeframe: 14 days

Interventionpercent difference (Mean)
All Randomized Participants14.2

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Total Number of Grams of Carbohydrate Taken for Hypoglycemia Per Day

Calculated from daily email survey (NCT02966275)
Timeframe: 14 days

Interventiongrams (Mean)
Glucagon-only Bionic Pancreas - Glucagon24.09
Glucagon-only Bionic Pancreas - Placebo22.56

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Mean Continuous Glucose Monitor (CGM) Glucose

(NCT02966275)
Timeframe: 2 weeks

Interventionmg/dl (Mean)
Glucagon-only Bionic Pancreas - Glucagon112.3
Glucagon-only Bionic Pancreas - Placebo110.2

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Number of Carbohydrate Interventions for Hypoglycemia Per Day

Number of carbohydrate interventions for hypoglycemia per day calculated from daily email survey (NCT02966275)
Timeframe: 14 days

Interventioninterventions/day (Mean)
Glucagon-only Bionic Pancreas - Glucagon1.17
Glucagon-only Bionic Pancreas - Placebo1.32

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Number of Days With Nausea

Number of days with nausea calculated from daily survey (NCT02966275)
Timeframe: 14 days

Interventiondays (Mean)
Glucagon-only Bionic Pancreas - Glucagon1.1
Glucagon-only Bionic Pancreas - Placebo1.1

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Number of Symptomatic Hypoglycemia Events Per Day

Number of symptomatic hypoglycemia events per day calculated from daily email survey (NCT02966275)
Timeframe: 14 days

Interventionevents per day (Mean)
Glucagon-only Bionic Pancreas - Glucagon1.37
Glucagon-only Bionic Pancreas - Placebo1.56

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Total Glucagon Dosing (mcg/kg/24 Hours)

(NCT02966275)
Timeframe: 2 weeks

Interventionmcg/kg/day (Mean)
Glucagon-only Bionic Pancreas - Glucagon8.34
Glucagon-only Bionic Pancreas - Placebo10.1

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Severity of Nausea on Daily E-mail Survey

The visual analog scale (VAS) is a psychometric response scale which can be used in questionnaires. We used a simple VAS is a straight horizontal line of fixed length measuring 0-100mm with subscale markings every 10mm. The ends are defined as the extreme limits of the parameter to be measured (nausea) orientated from the left (least severity or 0) to the right (most severity or 100mm). Subjects can mark their response anywhere from 0 to 100mm. The mean severity of nausea for the group in each arm was calculated by averaging all responses in either arm. (NCT02966275)
Timeframe: 14 days

Interventionmillimeters (Mean)
Glucagon-only Bionic Pancreas - Glucagon0.5
Glucagon-only Bionic Pancreas - Placebo0.5

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Percentage of Time With CGM Glucose Less Than 60 mg/dl Overnight (11:00 PM - 7:00 AM)

(NCT02966275)
Timeframe: 14 days

Interventionpercentage of time (Mean)
Glucagon-only Bionic Pancreas - Glucagon0.93
Glucagon-only Bionic Pancreas - Placebo3.95

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Percentage of Time With CGM Glucose Less Than 60 mg/dl During Daytime ( 7:00 AM-11:00 PM)

(NCT02966275)
Timeframe: 14 days

Interventionpercentage of time (Mean)
Glucagon-only Bionic Pancreas - Glucagon1.43
Glucagon-only Bionic Pancreas - Placebo1.47

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Percentage of Time Spent Within the Glucose Range 70-180 mg/dl

(NCT02966275)
Timeframe: 14 days

Interventionpercentage of time (Mean)
Glucagon-only Bionic Pancreas - Glucagon92.67
Glucagon-only Bionic Pancreas - Placebo89.31

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Percentage of Time Spent Within the Glucose Range 70-120 mg/dl

(NCT02966275)
Timeframe: 14 days

Interventionpercentage of time (Mean)
Glucagon-only Bionic Pancreas - Glucagon66.53
Glucagon-only Bionic Pancreas - Placebo63.41

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Percentage of Days When Participants Correctly Guessed Intervention (Glucagon vs Placebo) Out of a Total of 14 Days.

(NCT02966275)
Timeframe: 2 weeks

Interventionpercentage of days (Mean)
Glucagon-only Bionic Pancreas - Glucagon1.9
Glucagon-only Bionic Pancreas - Placebo1.4

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Area Over the Curve and <60 mg/dl (CGM) Measured in mg/dl *Min

The measure for area over the curve is used when an integrated assessment (e.g., a measurement of something over a specific amount of time) is more useful in understanding a phenomenon. To calculate this measure, a method of approximation is often used. One way would be to estimate the curve via curve-fitting techniques. For this outcome, using area over the curve and <60mg/dl provides a more robust method of calculating amount of hypoglycemia (by including more severe degrees of hypoglycemia in the product of mg/dl*min as opposed to percentage of time below 60mg/dl. (NCT02966275)
Timeframe: 14 days

Interventionmg/dl *minute (Mean)
Glucagon-only Bionic Pancreas - Glucagon1066.30
Glucagon-only Bionic Pancreas - Placebo2004.80

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Fraction of Time Spent Within the Glucose Range >250 mg/dl

(NCT02966275)
Timeframe: 2 weeks

Interventionpercentage of time (Mean)
Glucagon-only Bionic Pancreas - Glucagon0.35
Glucagon-only Bionic Pancreas - Placebo0.10

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Percentage of Time Spent Within the Glucose Range >180 mg/dl

(NCT02966275)
Timeframe: 14 days

Interventionpercentage of time (Mean)
Glucagon-only Bionic Pancreas - Glucagon4.27
Glucagon-only Bionic Pancreas - Placebo4.81

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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. (NCT02971228)
Timeframe: 16 hours

,
Interventioncm (Mean)
BaselineHour 1Hour 2Hour 3Hour 4Hour 5Hour 6Hour 7Visit end (16 hours)
Part 1, Lilly Glucagon0.010.000.000.060.000.000.000.020.00
Part 1, ZP42070.000.000.000.000.000.000.000.000.00

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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. (NCT02971228)
Timeframe: 16 hours

Interventionpercentage of recorded values (Mean)
Part 1, ZP420797.55
Part 1, Lilly Glucagon97.94

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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. (NCT02971228)
Timeframe: 16 hours

InterventionPercentage of treatment delivered (Mean)
Part 1, ZP420796.73
Part 1, Lilly Glucagon97.01

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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. (NCT02971228)
Timeframe: 16 hours

InterventionPercentage of treatment delivered (Mean)
Part 1, ZP420798.36
Part 1, Lilly Glucagon97.73

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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. (NCT02971228)
Timeframe: 16 hours

Interventionpercentage of time functioning nominally (Mean)
Part 1, ZP420795.41
Part 1, Lilly Glucagon94.26

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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. (NCT02971228)
Timeframe: 16 hours

Interventionpercentage of time functioning nominally (Mean)
Part 1, ZP420797.86
Part 1, Lilly Glucagon96.31

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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." (NCT02971228)
Timeframe: Up to 50 days

,
InterventionParticipants (Count of Participants)
Participants with AEsParticipants with antibodiesParticipants with edema infusion site reactionsParticipants with erythema infusion site reactionsParticipants with investigations AEsParticipants with erythrocytes Participants with hematocrit Participants with hemoglobin Participants with lymphocytes Participants with infusion site pain (VAS)Participants with nausea (VAS)Participants with vascular disorders
Part 1, Lilly Glucagon1200021121221
Part 1, ZP4207800020000041

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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. (NCT02971228)
Timeframe: 16 hours

Interventionmg/dL (Mean)
Part 1, ZP420712.6
Part 1, Lilly Glucagon12.7

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Glycemic Regulation

Measure glycemic regulation, including hypoglycemia exposure (percent of time spent with continuous glucose monitor [CGM] glucose<60mg/dL) (NCT02971228)
Timeframe: 16 hours

Interventionpercentage of time points (Mean)
Part 1, ZP420712.78
Part 1, Lilly Glucagon17.60

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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. (NCT02971228)
Timeframe: 16 hours

InterventionParticipants (Count of Participants)
Part 1, ZP42079
Part 1, Lilly Glucagon11

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

Technical faults related to connectivity issues were listed (NCT02971228)
Timeframe: 16 hours

InterventionParticipants (Count of Participants)
Part 1, ZP42073
Part 1, Lilly Glucagon2

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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. (NCT02971228)
Timeframe: 16 hours

,
Interventioncm (Mean)
BaselineHour 1Hour 2Hour 3Hour 4Hour 5Hour 6Hour 7Visit end (16 hours)
Part 1, Lilly Glucagon0.000.000.000.040.000.090.180.000.00
Part 1, ZP42070.000.120.000.110.000.020.290.000.11

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Plasma Glucagon Area Under the Curve

Plasma glucagon area under the curve (AUC) for each age cohort will be analyzed descriptively. (NCT03091673)
Timeframe: 0-90 minutes

Interventionmin*mg/dL (Mean)
Subjects 2 to <6 Years of Age14440.8
Subjects 6 to <12 Years of Age14392.3
Subjects 12 to <18 Years of Age13105.5

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Plasma Glucagon Cmax

Plasma glucagon maximum concentration for each age cohort will be analyzed descriptively. (NCT03091673)
Timeframe: 0-180 minutes

Interventionmg/dL (Mean)
Subjects 2 to <6 Years of Age202.3
Subjects 6 to <12 Years of Age216.3
Subjects 12 to <18 Years of Age199.0

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Plasma Glucagon Tmax

Plasma glucagon time to maximum concentration for each age cohort will be analyzed descriptively. (NCT03091673)
Timeframe: 0-180 minutes

Interventionminutes (Mean)
Subjects 2 to <6 Years of Age66.6
Subjects 6 to <12 Years of Age68.5
Subjects 12 to <18 Years of Age81.2

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Time for Plasma Glucose to Increase by ≥25 mg/dL

Time for plasma glucose to increase by ≥25 mg/dL from baseline will be analyzed descriptively for each age cohort. (NCT03091673)
Timeframe: 0-90 minutes

Interventionminutes (Mean)
Subjects 2 to <6 Years of Age16.4
Subjects 6 to <12 Years of Age16.2
Subjects 12 to <18 Years of Age26.6

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Change in Plasma Glucose

The primary endpoint for this study is an evaluation of change in plasma glucose following treatment with G-Pen, with an emphasis on the increase from baseline to 30 minutes post-dosing. (NCT03091673)
Timeframe: 0-30 minutes

Interventionmg/dL (Mean)
Subjects 2 to <6 Years of Age81.4
Subjects 6 to <12 Years of Age84.2
Subjects 12 to <18 Years of Age54.0

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Pharmacodynamics - An Increase in the Plasma Glucose Concentration of ≥20 mg/dL Within 30 Minutes After Treatment

An increase in the plasma glucose concentration of ≥20 mg/dL within 30 minutes after treatment at visit 2 and visit 4. Plasma glucose concentrations were measured before dosing and at 5, 10, 30, 60 and 90 minutes after dosing. (NCT03216226)
Timeframe: 30 minutes

InterventionParticipants (Count of Participants)
Day 072481699Day 072481700Day 1472481699Day 1472481700
NoYes
Dasiglucagon (ZP4207)54
GlucaGen51
Dasiglucagon (ZP4207)3
GlucaGen3
Dasiglucagon (ZP4207)51
GlucaGen47
Dasiglucagon (ZP4207)1
GlucaGen2

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Pharmacokinetics - Maximum Plasma Concentration

Maximum plasma concentration (Cmax) at visit 2 and 4 (days 0 and 14). Plasma PK concentrations were measured before dosing and at 5, 10, 30, 60 and 90 minutes after dosing. (NCT03216226)
Timeframe: 90 minutes

,
Interventionpmol/L (Mean)
Day 0Day 14
Dasiglucagon (ZP4207)13901820
GlucaGen14901430

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Pharmacokinetics - Area Under the Plasma Concentration Curve

Area under the plasma concentration curve (AUC) 0-90 minutes at visit 2 and 4 (days 0 and 14). Plasma PK concentrations were measured before dosing and at 5, 10, 30, 60 and 90 minutes after dosing. (NCT03216226)
Timeframe: 0-90 minutes

,
Interventionh*pmol/L (Mean)
Day 0Day 14
Dasiglucagon (ZP4207)15601640
GlucaGen12901290

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Pharmacokinetics - Area Under the Plasma Concentration Curve

Area under the plasma concentration curve (AUC) 0-30 minutes at visit 2 and 4 (days 0 and 14). Plasma PK concentrations were measured before dosing and at 5, 10 and 30 minutes after dosing. (NCT03216226)
Timeframe: 0-30 minutes

,
Interventionh*pmol/L (Mean)
Day 0Day 14
Dasiglucagon (ZP4207)425499
GlucaGen548546

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Pharmacodynamics - Time to Maximum Plasma Glucose Concentration

Time to maximum plasma glucose concentration (Tmax) at visit 2 and 4 (days 0 and 14). Plasma glucose concentrations were measured before dosing and at 5, 10, 30, 60 and 90 minutes after dosing. (NCT03216226)
Timeframe: 90 minutes

,
Interventionhours (Median)
Day 0Day 14
Dasiglucagon (ZP4207)1.51.5
GlucaGen1.51.5

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Pharmacodynamics - Change From Baseline Plasma Glucose

Change from baseline plasma glucose to maximum plasma glucose (CEmax) at visit 2 and 4 (days 0 and 14). Plasma glucose concentrations were measured before dosing and at 5, 10, 30, 60 and 90 minutes after dosing. (NCT03216226)
Timeframe: 90 minutes

,
Interventionmmol/L (Mean)
Day 0Day 14
Dasiglucagon (ZP4207)6.256.88
GlucaGen66.21

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Pharmacodynamics - Area Under the Effect Curve

Plasma glucose profiles, area under the effect curve (AUE) 0-90 minutes at visit 2 and 4 (days 0 and 14). Plasma glucose concentrations were measured before dosing and at 5, 10, 30, 60 and 90 minutes after dosing. (NCT03216226)
Timeframe: 0-90 minutes

,
Interventionh*mmol/L (Mean)
Day 0Day 14
Dasiglucagon (ZP4207)5.96.47
GlucaGen5.866.04

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Pharmacodynamics - Area Under the Effect Curve

Plasma glucose profiles, area under the effect curve (AUE) 0-30 minutes at visit 2 and 4 (days 0 and 14). Plasma glucose concentrations were measured before dosing and at 5, 10 and 30 minutes after dosing. (NCT03216226)
Timeframe: 0-30 minutes

,
Interventionh*mmol/L (Mean)
Day 0Day 14
Dasiglucagon (ZP4207)0.7990.869
GlucaGen0.8860.895

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Pharmacokinetics - Time to Maximum Plasma Concentration

Time to maximum plasma concentration (Tmax) at visit 2 and 4 (days 0 and 14). Plasma PK concentrations were measured before dosing and at 5, 10, 30, 60 and 90 minutes after dosing. (NCT03216226)
Timeframe: 90 minutes

,
Interventionhours (Median)
Day 0Day 14
Dasiglucagon (ZP4207)0.50.5
GlucaGen0.4830.5

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Meal Provoked Nadir Plasma Glucose

Nadir plasma glucose (mg/dl) during meal testing, comparing vehicle to control (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionmg/dL (Mean)
Study Drug (Glucagon) Phase67.4
Placebo / Control Phase58.5

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Percent Time Sensor Glucose in Range After Drug Delivery After the Final Dose of Study Drug or Vehicle, Which Was Either 1 or 2 Doses Depending on Patient Response

Compare outcomes for glucagon versus vehicle infusions for percent time sensor glucose in range (180-65mg/dL) after the final dose, which was either 1 or 2 doses depending on patient response (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionpercentage of time (Mean)
Study Drug (Glucagon) Phase0.987
Placebo / Control Phase0.815

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Percent Time Plasma Glucose in Range After the Final Dose of Study Drug or Vehicle, Which Was Either 1 or 2 Doses Depending on Patient Response

Compare outcomes for glucagon versus vehicle infusions for percent time plasma glucose in range (180-65mg/dL) after the final dose, which was either 1 or 2 doses depending on patient response (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionpercentage of time (Mean)
Study Drug (Glucagon) Phase0.852
Placebo / Control Phase0.645

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Pain Score at Time of Second Dose Delivery of Study Drug, Versus Pain Score at Time of Second Dose Delivery of Placebo (Comparing Second Delivery Pain Scores for Visit Where Participant Received Study Drug vs. Visit Where Participant Received Placebo).

Pain score was assessed verbally, 1 is the least pain (none), 10 is the most severe pain. Pain score at the time of the second administration was compared for the visit where the participant received the study drug vs. the visit where the participant received the placebo. A participant could receive 2 doses of the study drug or placebo at each visit. All 12 participants completed both the study drug phase and the placebo phase. The pain scores from the second administration of study drug vs. second administration of placebo for these two visits were compared. Whether the participant was assigned to the study drug glucagon (vs. placebo) at the first or second MMTT was determined by randomization. (NCT03255629)
Timeframe: The two study visits where participants were administered either study drug or placebo took place over 2 weeks (there was a 1 to 2 week washout period between visits).

Interventionpain score (Mean)
Study Drug (Glucagon) Phase1.14
Placebo / Control Phase1.31

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Pain Score at Time of First Dose Delivery of Study Drug, Versus Pain Score at Time of First Dose Delivery of Placebo (Comparing First Delivery Pain Scores for Visit Where Participant Received Study Drug vs. Visit Where Participant Received Placebo).

Pain score was assessed verbally, 1 is the least pain (none), 10 is the most severe pain. Pain score at the time of the first administration was compared for the visit where the participant received the study drug vs. the visit where the participant received the placebo. A participant could receive 2 doses of the study drug or placebo at each visit. All 12 participants completed both the study drug phase and the placebo phase. The pain scores for the first administration of study drug vs. first administration of placebo for these two visits were compared. Whether the participant was assigned to the study drug glucagon (vs. placebo) at the first or second MMTT was determined by randomization. (NCT03255629)
Timeframe: The two study visits where participants were administered either study drug or placebo took place over 2 weeks (there was a 1 to 2 week washout period between visits).

Interventionpain score (Mean)
Study Drug (Glucagon) Phase4.00
Placebo / Control Phase3.83

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Number of Participants With Rebound Hyperglycemia (Defined as Glucose Levels Above 180 mg/dl).

Compare outcomes for glucagon versus vehicle infusions for prevention of rebound hyperglycemia (defined as glucose levels above 180 mg/dl). (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge will be conducted within two weeks of the first.

InterventionParticipants (Count of Participants)
Study Drug (Glucagon) Phase0
Placebo / Control Phase0

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Number of Participants With Meal-provoked Hypoglycemia, Defined as Sensor Glucose <60 mg/dL

Prevention of meal / provoked hypoglycemia, defined as sensor glucose levels below <60 mg/dl, comparing vehicle to control (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

InterventionParticipants (Count of Participants)
Study Drug (Glucagon) Phase1
Placebo / Control Phase3

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Sensor Glucose at Time of Alarm 1 During Mixed Meal Testing (mg/dL)

This is the sensor glucose at which time the first alarm occurred during the mixed meal testing. Alarms are triggered by hypoglycemia (sensor glucose < 65 mg/dL), or by the algorithm predicting that hypoglycemia will occur in less than 30 minutes (taking into account current sensor glucose level (between 65-150 mg/dL) and the rate of change of a rapidly falling sensor glucose level). In the latter case, the alarm is activated even if glucose levels are within the normoglycemic range to allow early detection and response. During both glucagon and vehicle treatment visits, all participants received either 300 μg of glucagon or the equivalent volume of vehicle with the first alarm. (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionmg/dL (Mean)
Study Drug (Glucagon) Phase134
Placebo / Control Phase139

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Number of Participants With Meal-provoked Hypoglycemia, Defined as Plasma Glucose <65 mg/dL

A primary endpoint for this study is prevention of meal provoked hypoglycemia, defined as plasma glucose levels below <65 mg/dl, comparing study drug to control (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

InterventionParticipants (Count of Participants)
Study Drug (Glucagon) Phase1
Placebo / Control Phase4

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Number of Participants With Meal-provoked Hypoglycemia, Defined as Sensor Glucose <55 mg/dL

Prevention of meal / provoked hypoglycemia, defined as sensor glucose levels below <55 mg/dl, comparing vehicle to control (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

InterventionParticipants (Count of Participants)
Study Drug (Glucagon) Phase0
Placebo / Control Phase0

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Meal Provoked Nadir Sensor Glucose

Nadir sensor glucose (mg/dl) during meal testing, comparing vehicle to control (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionmg/dL (Mean)
Study Drug (Glucagon) Phase72.7
Placebo / Control Phase65.3

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Capillary Glucose at Time of Alarm 2 During Mixed Meal Testing (mg/dL)

This is the capillary glucose at which time the second alarm occurred during the mixed meal testing. Alarms are triggered by hypoglycemia (sensor glucose < 65 mg/dL), or by the algorithm predicting that hypoglycemia will occur in less than 30 minutes (taking into account current sensor glucose level (between 65-150 mg/dL) and the rate of change of a rapidly falling sensor glucose level). In the latter case, the alarm is activated even if glucose levels are within the normoglycemic range to allow early detection and response. During both glucagon and vehicle treatment visits, all participants received either 300 μg of glucagon or the equivalent volume of vehicle with the first alarm. (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionmg/dL (Mean)
Study Drug (Glucagon) Phase94.2
Placebo / Control Phase91.7

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Capillary Glucose at Time of Alarm 1 During Mixed Meal Testing (mg/dL)

This is the capillary glucose at which time the first alarm occurred during the mixed meal testing. Alarms are triggered by hypoglycemia (sensor glucose < 65 mg/dL), or by the algorithm predicting that hypoglycemia will occur in less than 30 minutes (taking into account current sensor glucose level (between 65-150 mg/dL) and the rate of change of a rapidly falling sensor glucose level). In the latter case, the alarm is activated even if glucose levels are within the normoglycemic range to allow early detection and response. During both glucagon and vehicle treatment visits, all participants received either 300 μg of glucagon or the equivalent volume of vehicle with the first alarm. (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionmg/dL (Mean)
Study Drug (Glucagon) Phase98.1
Placebo / Control Phase109

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Number of Participants With Meal-provoked Hypoglycemia, Defined as Sensor Glucose <65 mg/dL

A primary endpoint for this study is the prevention of meal provoked hypoglycemia, defined as sensor glucose levels below <65 mg/dl, comparing study drug to control. (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionparticipants (Number)
Study Drug (Glucagon) Phase1
Placebo / Control Phase5

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Time to Delivery (Min)

Time to delivery (min) of study drug during mixed meal testing (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionminutes (Mean)
Study Drug (Glucagon) Phase94
Placebo / Control Phase89.3

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Sensor Glucose at Time of Alarm 2 During Mixed Meal Testing (mg/dL)

This is the sensor glucose at which time the second alarm occurred during the mixed meal testing. Alarms are triggered by hypoglycemia (sensor glucose < 65 mg/dL), or by the algorithm predicting that hypoglycemia will occur in less than 30 minutes (taking into account current sensor glucose level (between 65-150 mg/dL) and the rate of change of a rapidly falling sensor glucose level). In the latter case, the alarm is activated even if glucose levels are within the normoglycemic range to allow early detection and response. During both glucagon and vehicle treatment visits, all participants received either 300 μg of glucagon or the equivalent volume of vehicle with the first alarm. (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionmg/dL (Mean)
Study Drug (Glucagon) Phase85.7
Placebo / Control Arm70.1

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Time to Alarm During Mixed Meal Testing (Minutes)

Time to alarm represents the time for the first alarm to occur during mixed meal testing. Alarms are triggered by hypoglycemia (sensor glucose < 65 mg/dL), or by the algorithm predicting that hypoglycemia will occur in less than 30 minutes (taking into account current sensor glucose level (between 65-150 mg/dL) and the rate of change of a rapidly falling sensor glucose level). In the latter case, the alarm is activated even if glucose levels are within the normoglycemic range to allow early detection and response. During both glucagon and vehicle treatment visits, all participants received either 300 μg of glucagon or the equivalent volume of vehicle with the first alarm. (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionminutes (Mean)
Study Drug (Glucagon) Phase89.9
Placebo / Control Arm87.7

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Time to Nadir Plasma Glucose After Mixed Meal (Min)

(NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionminutes (Mean)
Study Drug (Glucagon) Phase138
Placebo / Control Phase125

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Time to Nadir Sensor Glucose After Mixed Meal (Min)

(NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

Interventionminutes (Mean)
Study Drug (Glucagon) Phase156
Placebo / Control Phase134

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Number of Participants With Meal-provoked Hypoglycemia, Defined as Plasma Glucose <60 mg/dL

Prevention of meal / provoked hypoglycemia, defined as plasma glucose levels below <60 mg/dl, comparing vehicle to control (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

InterventionParticipants (Count of Participants)
Study Drug (Glucagon) Phase0
Placebo / Control Phase3

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Number of Participants With Meal-provoked Hypoglycemia, Defined as Plasma Glucose <55 mg/dL

Prevention of meal / provoked hypoglycemia, defined as plasma glucose levels below <55 mg/dl, comparing vehicle to control (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

InterventionParticipants (Count of Participants)
Study Drug (Glucagon) Phase0
Placebo / Control Phase5

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Number of Participants With Hypoglycemia Rescue Administered

Protocol-specified rescue delivery of IV glucose was performed if plasma glucose <55 mg/dL and/or significant neuroglycopenia developed. (NCT03255629)
Timeframe: Measured following 2 challenges: 1 with glucagon and 1 with vehicle. The second challenge was conducted within two weeks of the first.

InterventionParticipants (Count of Participants)
Study Drug (Glucagon) Phase0
Placebo / Control Phase7

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PD: Time to Maximum Concentration (Tmax) of Baseline-Adjusted Glucose

(NCT03339453)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60, and 90 minutes after glucagon administration

InterventionHour (hr) (Median)
Nasal Glucagon (NG)1.00
IM Glucagon1.50

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PK: Maximum Change From Baseline Concentration (Cmax) of Glucagon

(NCT03339453)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60, 90, 120, and 240 minutes after glucagon administration

Interventionpicograms per millilitre (pg/mL) (Geometric Mean)
Nasal Glucagon (NG)6130
IM Glucagon3750

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PK: Time to Maximum Concentration (Tmax) of Baseline Adjusted Glucagon

(NCT03339453)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60, 90, 120, and 240 minutes after glucagon administration

InterventionHour (hr) (Median)
Nasal Glucagon (NG)0.25
IM Glucagon0.25

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Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to Tlast (AUC[0-tlast]) of Baseline Adjusted Glucagon

(NCT03339453)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60, 90, 120, and 240 minutes after glucagon administration

Interventionpicogram*hour per millilitre (pg*hr/mL) (Geometric Mean)
Nasal Glucagon (NG)2740
IM Glucagon3320

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Pharmacodynamics (PD): Change From Baseline in Maximal Blood Glucose (BGmax)

(NCT03339453)
Timeframe: Pre-dose; 5, 10, 15, 20, 25, 30, 40, 50, 60, and 90 minutes after glucagon administration

InterventionMilligrams per deciliter (mg/dL) (Geometric Mean)
Nasal Glucagon (NG)132
IM Glucagon161

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Percentage of Participants Achieving Treatment Success During Controlled Insulin-Induced Hypoglycemia

Treatment success is defined as an increase in plasma glucose to greater than or equal to (≥) 70 milligrams per deciliter (mg/dL) or an increase of ≥20 mg/dL from plasma glucose nadir, without receiving additional actions to increase the plasma glucose concentration. Nadir is defined as the minimum plasma glucose concentration at the time of or within 10 minutes following glucagon administration. (NCT03339453)
Timeframe: Pre-dose up to 30 minutes post each glucagon administration

InterventionParticipants (Count of Participants)
Nasal Glucagon (NG)66
IM Glucagon66

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Plasma Glucose Changes From Baseline

Plasma glucose changes from baseline at 30 minutes, 20 minutes, 15 minutes and 10 minutes after study drug injection without administration of rescue intravenous glucose (NCT03378635)
Timeframe: 0-30 minutes after dosing: assessed at 10, 15, 20 and 30 minutes after study drug injection

,,
Interventionmg/dL (Mean)
At 30 minutesAt 20 minutesAt 15 minutesAt 10 minutes
Dasiglucagon 0.6 mg90.959.743.523.9
GlucaGen® 1.0 mg88.558.444.122.0
Placebo19.18.76.65-0.14

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Rescue Infusion of IV Glucose During the Hypoglycemic Clamp Procedure

Number of patients receiving administration of rescue infusion of IV glucose during the hypoglycemic clamp procedure. IV = intravenous (NCT03378635)
Timeframe: 0-45 minutes after dosing

InterventionParticipants (Count of Participants)
Dasiglucagon 0.6 mg0
Placebo0
GlucaGen® 1.0 mg0

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Pharmacokinetics - Time to Maximum Plasma Concentration

Time to maximum plasma drug concentration (tmax). Median Tmax was determined as the time point where the maximum of all valid plasma dasiglucagon/glucagon concentration measurements for each measurement series was observed. Samples were collected pre-dose, and at 15, 30, 35, 40, 50, 60, 90 and 120 minutes after dosing. (NCT03378635)
Timeframe: 0-120 minutes after dosing

Interventionhours (Median)
Dasiglucagon 0.6 mg0.670
GlucaGen® 1.0 mg0.250

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Pharmacokinetics - Maximum Plasma Concentration

Maximum plasma drug concentration (Cmax). Maximum plasma drug concentration was determined as the maximum of all valid plasma dasiglucagon/glucagon concentrations. Samples were collected pre-dose, and at 15, 30, 35, 40, 50, 60, 90 and 120 minutes after dosing. (NCT03378635)
Timeframe: 0-120 minutes after dosing

Interventionpmol/L (Geometric Mean)
Dasiglucagon 0.6 mg1280
GlucaGen® 1.0 mg1490

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Pharmacokinetics - Area Under the Plasma Concentration Curve

Area under the drug concentration curve from time zero to 90 minutes, AUC0-90min. To calculate the AUC the standard trapezoidal method was used, based on actual rather than nominal time points. Samples were collected pre-dose, and at 15, 30, 35, 40, 50, 60, 90 and 120 minutes after dosing. (NCT03378635)
Timeframe: 0-90 minutes after dosing

Interventionpmol*h/L (Geometric Mean)
Dasiglucagon 0.6 mg1430
GlucaGen® 1.0 mg1300

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Pharmacokinetics - Area Under the Plasma Concentration Curve

Area under the drug concentration curve from time zero to 120 minutes, AUC0-120min. To calculate the AUC the standard trapezoidal method was used, based on actual rather than nominal time points. Samples were collected pre-dose, and at 15, 30, 35, 40, 50, 60, 90 and 120 minutes after dosing. (NCT03378635)
Timeframe: 0-120 minutes after dosing

Interventionpmol*h/L (Geometric Mean)
Dasiglucagon 0.6 mg1770
GlucaGen® 1.0 mg1490

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Pharmacodynamics - Area Under the Effect Curve

Plasma glucose response as area under the effect curve (AUE) above baseline from time zero to 30 minutes. Samples were collected pre-dose, and at 4, 6, 8, 10, 12, 15, 17, 20, 25 and 30 minutes after dosing. (NCT03378635)
Timeframe: 0-30 minutes after dosing

Interventionmg*h/dL (Mean)
Dasiglucagon 0.6 mg21.0
Placebo3.57
GlucaGen® 1.0 mg20.4

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Plasma Glucose Recovery

Plasma glucose recovery within 30 minutes, within 20 minutes, within 15 minutes, and within 10 minutes after study drug injection without administration of rescue IV glucose. Plasma glucose recovery was defined as the first increase in plasma glucose of ≥20 mg/dL (1.1 mmol/L) from baseline without administration of rescue intravenous glucose. (NCT03378635)
Timeframe: 0-30 minutes after dosing: assessed at 10, 15, 20 and 30 minutes after study drug injection

,,
InterventionParticipants (Count of Participants)
Glucose recovery at 30 minutesGlucose recovery at 20 minutesGlucose recovery at 15 minutesGlucose recovery at 10 minutes
Dasiglucagon 0.6 mg82818153
GlucaGen® 1.0 mg43424121
Placebo20610

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Immunogenicity - Occurence of Anti-drug Antibodies

Occurence of antibodies against dasiglucagon/GlucaGen (NCT03378635)
Timeframe: 28 days

,
InterventionParticipants (Count of Participants)
Anti-drug antibodies at follow-up day 28Anti-drug antibodies at second follow up
Dasiglucagon 0.6 mg10
GlucaGen® 1.0 mg00

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Time to Plasma Glucose Recovery

Plasma glucose recovery is defined as first increase in plasma glucose of ≥20 mg/dL (1.1 mmol/L) from baseline without administration of rescue intravenous glucose. The outcome measure used a Kaplan-Meier estimate with 95% confidence interval. Treatment groups without censoring utilized a distribution free method to compute the confidence interval for median time. (NCT03378635)
Timeframe: 0-45 minutes after dosing

Interventionminutes (Median)
Dasiglucagon 0.6 mg10
Placebo40
GlucaGen® 1.0 mg12

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Time to Target

Time to first plasma glucose concentration ≥70 mg/dL (3.9 mmol/L) without administration of rescue intravenous glucose. The outcome measure used a Kaplan-Meier estimate with 95% confidence interval. Treatment groups without censoring utilized a distribution free method to compute the confidence interval for median time. (NCT03378635)
Timeframe: 0-45 minutes after dosing

Interventionminutes (Median)
Dasiglucagon 0.6 mg8
Placebo25
GlucaGen® 1.0 mg8

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Percentage of Participants Achieving Treatment Success During Controlled Insulin-Induced Hypoglycemia

Percentage of participants who achieved treatment success during the controlled insulin-induced hypoglycemia in participants with type 1 diabetes mellitus (T1DM) and participants with type 2 diabetes mellitus (T2DM).Treatment success is defined as an increase in plasma glucose to greater than or equal to (≥) 70 milligrams per deciliter (mg/dL) or an increase of ≥20 mg/dL from plasma glucose nadir, without receiving additional actions to increase the plasma glucose concentration. Nadir is defined as the minimum plasma glucose concentration at the time of or within 10 minutes following glucagon administration. (NCT03421379)
Timeframe: Pre-dose up to 30 minutes post each glucagon administration

Interventionpercentage of participants (Number)
Glucagon Nasal Powder100
Glucagon Hydrochloride Solution100

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PK: Change From Baseline in Tmax of Glucagon Nasal Powder and Glucagon Hydrochloride IM

PK assessment measured the change from baseline in Tmax of Glucagon Nasal Powder and Glucagon Hydrochloride IM. (NCT03421379)
Timeframe: Pre-dose, 5, 10, 15, 20, 25, 30, 40, 50, 60, 90, 120, 240 minutes after each glucagon administration

Interventionhour (h) (Median)
Glucagon Nasal Powder0.25
Glucagon Hydrochloride Solution0.17

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PK: Change From Baseline in Maximal Concentration (Cmax) of Glucagon Nasal Powder and Glucagon Hydrochloride IM

PK assessment measured the change from baseline in maximal concentration (Cmax) of glucagon nasal powder and glucagon hydrochloride IM. (NCT03421379)
Timeframe: Pre-dose, 5, 10, 15, 20, 25, 30, 40, 50, 60, 90, 120, 240 minutes after each glucagon administration

Interventionpicogram/milliliter (pg/mL) (Geometric Mean)
Glucagon Nasal Powder9520
Glucagon Hydrochloride Solution3290

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Pharmacokinetics (PK): Change From Baseline in Area Under the Concentration Versus Time Curve From Zero to Time t (AUC [0-tLast]) of Glucagon Nasal Powder and Glucagon Hydrochloride IM

PK assessment measured the change from baseline in the area under the concentration versus time curve from time zero to time t, where t is the last time point with a measurable concentration of Glucagon Nasal Powder and Glucagon Hydrochloride IM. (NCT03421379)
Timeframe: Pre-dose, 5, 10, 15, 20, 25, 30, 40, 50, 60, 90, 120, 240 minutes after each glucagon administration

InterventionPicogram*hour/milliliter (pg*h/mL) (Geometric Mean)
Glucagon Nasal Powder4830
Glucagon Hydrochloride Solution3240

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Pharmacodynamics (PD): Change From Baseline in Maximal Blood Glucose (BGmax) of Glucagon Nasal Powder and Glucagon Hydrochloride Intramuscular (IM)

PD assessment measured the change from Baseline in maximal blood glucose (BGmax) of Glucagon Nasal Powder and Glucagon Hydrochloride intramuscular (IM). (NCT03421379)
Timeframe: Pre-dose, 5, 10, 15, 20, 25, 30, 40, 50, 60, 90, 120, 240 minutes after each glucagon administration

Interventionmilligram/deciliter (mg/dL) (Geometric Mean)
Glucagon Nasal Powder113
Glucagon Hydrochloride Solution119

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PD: Time to Maximal Concentration (Tmax) of Glucagon Nasal Powder and Glucagon Hydrochloride IM

PD assessment measured the time to maximal concentration (Tmax) of Glucagon Nasal Powder and Glucagon Hydrochloride IM. (NCT03421379)
Timeframe: Pre-dose, 5, 10, 15, 20, 25, 30, 40, 50, 60, 90, 120, 240 minutes after each glucagon administration

Interventionhour (Median)
Glucagon Nasal Powder1.00
Glucagon Hydrochloride Solution1.50

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Percent of Time With Sensed Glucose > 180 mg/dl

Assess the percent of time that the Dexcom G5 or G6 reported sensor glucose values greater than 180 mg/dl using Dexcom sensor across all three arms. (NCT03424044)
Timeframe: entire 76 hour study

Interventionpercentage of 76 hours (Mean)
Dual Hormone Closed-loop Arm28.2
Single Hormone Closed-loop Arm25.1
Predictive Low Glucose Suspend Arm34.7

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Percent of Time With Sensed Glucose Between 70-180 mg/dl

Assess the percent of time that the Dexcom G5 or G6 reported sensor glucose values between 70-180 mg/dl using Dexcom sensor across all three arms. (NCT03424044)
Timeframe: entire 76 hour study

Interventionpercentage of 76 hours (Mean)
Dual Hormone Closed-loop Arm71.0
Single Hormone Closed-loop Arm72.6
Predictive Low Glucose Suspend Arm63.4

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Number of Carbohydrate Treatments

Assess the number of rescue carbohydrate treatments across all three arms per day. (NCT03424044)
Timeframe: 24 hours

Interventionnumber of carbohydrate treatments/day (Mean)
Dual Hormone Closed-loop Arm0.6
Single Hormone Closed-loop Arm1.7
Predictive Low Glucose Suspend Arm1.4

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Mean Amount of Glucagon Delivered in One Day

Assess the mean amount of XeriSol glucagon delivered in mcg/kg as documented through the artificial pancreas controller in dual hormone arm. (NCT03424044)
Timeframe: 24 hours

Interventionmcg/kg/day (Mean)
Dual Hormone Closed Loop4.5

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Mean Amount of Insulin Delivered in One Day

Assess the mean amount of insulin delivered in units/kg as documented through the artificial pancreas controller across all three arms. (NCT03424044)
Timeframe: 24 hours

Interventionunits/kg/day (Mean)
Dual Hormone Closed-loop Arm42.3
Single Hormone Closed-loop Arm41.1
Predictive Low Glucose Suspend Arm44.0

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Percent of Time With Sensed Glucose < 54 mg/dl

Assess the percent of time that the Dexcom G5 or G6 reported sensor glucose values less than 54 mg/dl using Dexcom sensor across all three arms. (NCT03424044)
Timeframe: entire 76 hour study

Interventionpercentage of 76 hours (Median)
Dual Hormone Closed-loop Arm0
Single Hormone Closed-loop Arm0.2
Predictive Low Glucose Suspend Arm0.1

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Percent of Time With Sensed Glucose < 70 mg/dl

Assess the percent of time that the Dexcom G5 or G6 reported sensor glucose values less than 70 mg/dl using Dexcom sensor across all three arms. (NCT03424044)
Timeframe: 4 hours post exercise on Day 1

Interventionpercentage 4 hrs post exercise on Day 1 (Median)
Dual Hormone Closed-loop Arm0
Single Hormone Closed-loop Arm8.3
Predictive Low Glucose Suspend Arm4.2

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Time to Resolution of Autonomic Symptoms

Time from administration of glucagon to complete resolution of 4 autonomic symptoms of hypoglycemia. Symptoms included: sweating, tremor, palpitations and feeling of nervousness. (NCT03439072)
Timeframe: 0 to 180 minutes post dose

Interventionminutes (Mean)
G-Pen13.8
Lilly Glucagon12.0

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Time to Resolution of Neuroglycopenic Symptoms

Time from administration of glucagon to complete resolution of 4 neuroglycopenic symptoms of hypoglycemia. Four symptoms were assessed: dizziness, blurred vision, difficulty in thinking and faintness. (NCT03439072)
Timeframe: 0 to 180 minutes post dose

Interventionminutes (Mean)
G-Pen14.2
Lilly Glucagon12.2

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Time to Resolution of the Feeling of Hypoglycemia

"Time from administration of glucagon to resolution of the overall sensation of hypoglycemia. Subjects were asked to answer yes/no to the question, Do you feel hypoglycemic? The time point as which the subject first answered no was considered the time of resolution." (NCT03439072)
Timeframe: 0 to 180 minutes post dose

Interventionminutes (Mean)
G-Pen11.6
Lilly Glucagon13.1

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Time for Positive Glucose Response

Time from administration of glucagon for plasma glucose to rise from below 50.0 mg/dL to above 70.0 mg/dL (NCT03439072)
Timeframe: 0 to 180 minutes post dose

Interventionminutes (Mean)
G-Pen12.17
Lilly Glucagon8.58

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Glucose AUC

Area under the curve for plasma glucose. (NCT03439072)
Timeframe: 0 to 180 minutes post dose - Blood samples for assessment of blood glucose concentration were collected every 5 minutes post-dose to 90 minutes, and then at 120, 150 and 180 minutes post dose.

Interventionmg∙min/dL (Mean)
G-Pen33686.04
Lilly Glucagon33538.60

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Glucagon Preparation and Administration Time

"Time required to prepare and inject glucagon as measured between a decision to dose and completion of the injection" (NCT03439072)
Timeframe: 0 to 5 minutes pre-dose

Interventionseconds (Mean)
G-Pen27.3
Lilly Glucagon97.2

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Glucose Cmax

Maximum concentration of plasma glucose. (NCT03439072)
Timeframe: 0 to 180 minutes post dose - Blood samples for assessment of blood glucose concentration were collected every 5 minutes post-dose to 90 minutes, and then at 120, 150 and 180 minutes post dose.

Interventionmg/dL (Mean)
G-Pen238.32
Lilly Glucagon228.11

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Glucose Tmax

Time to maximum concentration of plasma glucose. Blood samples for assessment of blood glucose concentration were collected every 5 minutes post-dose to 90 minutes, and then at 120, 150 and 180 minutes post dose. (NCT03439072)
Timeframe: 0 to 180 minutes post dose

Interventionminutes (Mean)
G-Pen125.67
Lilly Glucagon113.89

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Number of Subjects With a Positive Glucose Increase

Increase in plasma glucose by ≥ 20.0 mg/dL within 30 minutes after receiving glucagon (NCT03439072)
Timeframe: 0 to 30 minutes post dose

InterventionParticipants (Count of Participants)
G-Pen76
Lilly Glucagon78

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Number of Subjects With a Positive Glucose Response

Increase in plasma glucose concentration from below 50.0 mg/dL to greater than 70.0 mg/dL within 30 minutes after receiving glucagon (NCT03439072)
Timeframe: 0 to 30 minutes post dose

InterventionParticipants (Count of Participants)
G-Pen76
Lilly Glucagon78

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Number of Subjects With a Positive Response for the Combination Endpoint: Positive Glucose Response/Positive Glucose Increase

A positive response for this endpoint is a return of plasma glucose to > 70 mg/dL or an increase in plasma glucose by ≥20 mg/dL within 30 minutes after receiving glucagon (NCT03439072)
Timeframe: 0 to 30 minutes post dose

InterventionParticipants (Count of Participants)
G-Pen76
Lilly Glucagon78

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Number of Subjects With a Positive Response for the Combination Endpoint: Positive Glucose Response/Relief of Neuroglycopenic Symptoms

A positive response for this endpoint is a return of plasma glucose to > 70 mg/dL or clearance of all neuroglycopenic symptoms of hypoglycemia within 30 minutes after receiving glucagon. Four symptoms were assessed: dizziness, blurred vision, difficulty in thinking and faintness. (NCT03439072)
Timeframe: 0 to 30 minutes post dose

InterventionParticipants (Count of Participants)
G-Pen76
Lilly Glucagon78

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Number of Subjects With Relief of Neuroglycopenic Symptoms

Clearance of all neuroglycopenic symptoms of hypoglycemia within 30 minutes after receiving glucagon. Four symptoms were assessed: dizziness, blurred vision, difficulty in thinking and faintness. (NCT03439072)
Timeframe: 0 to 30 minutes post dose

InterventionParticipants (Count of Participants)
G-Pen74
Lilly Glucagon77

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Time for Positive Glucose Increase

Time from administration of glucagon for plasma glucose to increase by ≥20 mg/dL from baseline (NCT03439072)
Timeframe: 0 to 180 minutes post dose

Interventionminutes (Mean)
G-Pen11.36
Lilly Glucagon8.02

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Plasma Epinephrine

Plasma epinephrine concentration after 30 minutes of induced hypoglycemia. Change from baseline to the end of treatment will be assessed. (NCT03490942)
Timeframe: 0-30 minutes

InterventionPg/mL (Mean)
CSGI High Infusion Rate100.0
CSGI Low Infusion Rate144.4
Placebo High Infusion Rate167.3

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Pharmacokinetics: Tmax

Time to maximum of plasma dasiglucagon or GlucaGen concentration measurements. Samples were collected before dosing and at 10, 20, 30, 40, 60, 90, 140, 220, and 300 minutes after dosing. (NCT03667053)
Timeframe: 0-300 minutes

Interventionhours (Median)
Dasiglucagon 0.6 mg0.35
GlucaGen® 1.0 mg0.333

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Time to Plasma Glucose Recovery

"Plasma glucose recovery was defined as first increase in plasma glucose of ≥20 mg/dL (1.1 mmol/L) from baseline during the hypoglycemic clamp procedure without administration of rescue intravenous (IV) glucose. Patients who received rescue IV glucose before 45 minutes and patients not recovering within 45 minutes after dosing were censored at 45 minutes. Time to plasma glucose recovery was summarized for each treatment group using Kaplan Meier (KM) estimates together with the 95% confidence interval.~Note that the upper confidence limit for the placebo median was not estimable, but is set to 45 minutes (censored value) here." (NCT03667053)
Timeframe: 0-45 minutes after dosing

Interventionminutes (Median)
Dasiglucagon 0.6 mg10.00
Placebo30.00
GlucaGen® 1.0 mg10.00

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Plasma Glucose Recovery

Plasma glucose recovery within 30 minutes, within 20 minutes, within 15 minutes, and within 10 minutes after study drug injection without administration of rescue intravenous (IV) glucose. Plasma glucose recovery was defined as the first increase in plasma glucose of ≥20 mg/dL (1.1 mmol/L) from baseline without administration of rescue intravenous glucose. (NCT03667053)
Timeframe: 0-30 minutes after dosing: assessed at 10, 15, 20 and 30 minutes after study drug injection

,,
InterventionParticipants (Count of Participants)
Glucose recovery at 30 minutesGlucose recovery at 20 minutesGlucose recovery at 15 minutesGlucose recovery at 10 minutes
Dasiglucagon 0.6 mg20201913
GlucaGen® 1.0 mg1010106
Placebo6200

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Plasma Glucose Changes From Baseline

Plasma glucose changes from baseline within 30 minutes, within 20 minutes, within 15 minutes, and within 10 minutes after trial product injection or at the time of rescue intravenous (IV) glucose (NCT03667053)
Timeframe: 0-30 minutes after dosing: assessed at 10, 15, 20 and 30 minutes after study drug injection

,,
Interventionmg/dL (Mean)
At 30 minutesAt 20 minutesAt 15 minutesAt 10 minutes
Dasiglucagon 0.6 mg98.45965.36945.34227.225
GlucaGen® 1.0 mg85.22558.00040.63120.919
Placebo17.5107.3220.835-3.405

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Time to First IV Glucose Infusion After IMP Administration

Time to first IV rescue glucose administration for hypoglycemia after administration of IMP. IV = intravenous. IMP = investigational medicinal product. (NCT03667053)
Timeframe: 0-45 minutes

Interventionminutes (Number)
Placebo12

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Administration of Rescue IV Glucose Infusion After IMP Injection

Number of patients receiving IV rescue glucose administration for hypoglycemia after administration of IMP. IV = intravenous. IMP = investigational medicinal product. (NCT03667053)
Timeframe: 0-45 minutes

InterventionParticipants (Count of Participants)
Dasiglucagon 0.6 mg0
Placebo1
GlucaGen® 1.0 mg0

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Pharmacodynamics - Area Under the Effect Curve (0-30 Minutes)

Plasma glucose response as area under the effect curve above baseline from time 0 to 30 minutes (AUE0-30min). Plasma glucose was determined at pre-dose and at 4, 6, 8, 10, 12, 15, 17, 20, 30, and 45 minutes (and at 60 minutes if the patient weighed ≥21 kg) after dosing. (NCT03667053)
Timeframe: 0-30 minutes

Interventionmmol*h/L (Mean)
Dasiglucagon 0.6 mg22.83
Placebo1.81
GlucaGen® 1.0 mg19.66

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Pharmacokinetics: Vz/f

Volume of distribution of plasma dasiglucagon or GlucaGen. Samples were collected before dosing and at 10, 20, 30, 40, 60, 90, 140, 220, and 300 minutes after dosing. (NCT03667053)
Timeframe: 0-300 minutes

Interventionlitres (Geometric Least Squares Mean)
Dasiglucagon 0.6 mg86.4
GlucaGen® 1.0 mg373

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Pharmacokinetics: AUC0-300min

Area under the plasma dasiglucagon or GlucaGen concentration versus time curve from 0 to 300 minutes post-dose. Samples were collected before dosing and at 10, 20, 30, 40, 60, 90, 140, 220, and 300 minutes after dosing. (NCT03667053)
Timeframe: 0-300 minutes

Interventionh*pmol/L (Geometric Mean)
Dasiglucagon 0.6 mg1810
GlucaGen® 1.0 mg1370

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Pharmacokinetics: AUC0-inf

Area under the plasma dasiglucagon or GlucaGen concentration versus time curve from 0 to infinitely post-dose. Samples were collected before dosing and at 10, 20, 30, 40, 60, 90, 140, 220, and 300 minutes after dosing. (NCT03667053)
Timeframe: 0-300 minutes

Interventionh*pmol/L (Geometric Mean)
Dasiglucagon 0.6 mg1850
GlucaGen® 1.0 mg1530

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Pharmacokinetics: CL/f

Total body clearance of plasma dasiglucagon or GlucaGen. Samples were collected before dosing and at 10, 20, 30, 40, 60, 90, 140, 220, and 300 minutes after dosing. (NCT03667053)
Timeframe: 0-300 minutes

InterventionL/h (Geometric Mean)
Dasiglucagon 0.6 mg96.1
GlucaGen® 1.0 mg188

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Pharmacokinetics: Cmax

Maximum of all valid plasma dasiglucagon or GlucaGen concentration measurements from 0 to 300 minutes post-dose. Samples were collected before dosing and at 10, 20, 30, 40, 60, 90, 140, 220, and 300 minutes after dosing. (NCT03667053)
Timeframe: 0-300 minutes

Interventionpmol/L (Geometric Mean)
Dasiglucagon 0.6 mg1160
GlucaGen® 1.0 mg1120

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Pharmacokinetics: MRT

Mean residence time of plasma dasiglucagon or GlucaGen. Samples were collected before dosing and at 10, 20, 30, 40, 60, 90, 140, 220, and 300 minutes after dosing. (NCT03667053)
Timeframe: 0-300 minutes

Interventionhours (Geometric Mean)
Dasiglucagon 0.6 mg1.27
GlucaGen® 1.0 mg1.86

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Pharmacokinetics: AUC0-30 Min

Area under the plasma dasiglucagon or GlucaGen concentration versus time curve from 0 to 30 minutes post-dose. Samples were collected before dosing and at 10, 20, 30, 40, 60, 90, 140, 220, and 300 minutes after dosing. (NCT03667053)
Timeframe: 0-30 minutes

Interventionh*pmol/L (Geometric Mean)
Dasiglucagon 0.6 mg376
GlucaGen® 1.0 mg376

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Pharmacokinetics: λz

Terminal elimination rate constant of plasma dasiglucagon or GlucaGen. Samples were collected before dosing and at 10, 20, 30, 40, 60, 90, 140, 220, and 300 minutes after dosing. (NCT03667053)
Timeframe: 0-300 minutes

Intervention1/hour (Geometric Least Squares Mean)
Dasiglucagon 0.6 mg1.11
GlucaGen® 1.0 mg0.504

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Pharmacokinetics: t½

Terminal plasma elimination half-life of dasiglucagon or GlucaGen. Samples were collected before dosing and at 10, 20, 30, 40, 60, 90, 140, 220, and 300 minutes after dosing. (NCT03667053)
Timeframe: 0-300 minutes

Interventionhours (Geometric Mean)
Dasiglucagon 0.6 mg0.623
GlucaGen® 1.0 mg1.38

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Administration Time

Mean time (minutes) to administer study drug from a decision to dose (NCT03738865)
Timeframe: At 0-10 minutes from a decision to administer study drug

Interventionminutes (Mean)
G-Pen0.79
Novo Glucagon1.76

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Plasma Glucose Response 1

Number of subjects with an increase in plasma glucose concentration from below 54 mg/dL (3 mmol/L) to greater than 70 mg/dL (3.89 mmol/L) within 30 minutes of a decision to dose (NCT03738865)
Timeframe: At 30 minutes following a decision to administer study drug

InterventionParticipants (Count of Participants)
G-Pen127
Novo Glucagon123

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Severe Hypoglycemia Rescue

Number of subjects with an increase in plasma glucose concentration from below 54 mg/dL (3 mmol/L) to greater than 70 mg/dL (3.89 mmol/L) or an increase in plasma glucose concentration > 20 mg/dL (> 1.11 mmol/L) within 30 minutes after administration of glucagon (NCT03738865)
Timeframe: At 30 minutes following administration of study drug

InterventionParticipants (Count of Participants)
G-Pen127
Novo Glucagon123

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Plasma Glucose Response 2

Number of subjects with an increase in plasma glucose concentration > 20 mg/dL (> 1.11 mmol/L) after administration of glucagon. (NCT03738865)
Timeframe: At 0-30 minutes following a decision to administer study drug

InterventionParticipants (Count of Participants)
G-Pen127
Novo Glucagon123

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Hypoglycemia Resolution

Mean time (minutes) to complete resolution of the overall sensation of hypoglycemia from a decision to dose (NCT03738865)
Timeframe: At 0-90 minutes following administration of study drug

Interventionminutes (Mean)
G-Pen15.69
Novo Glucagon15.32

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Percentage of Participants (PWD) That Prefer One Device Over the Other

Preference was measured by the PWD overall feeling of being safer during a severe low blood sugar event using Rescue Device Preference-Associated Person (RDP-AP). Participants rated their preference for NG or GEK by choosing one of five radio buttons: Strongly prefer NG, prefer NG, no preference, prefer GEK, strongly prefer GEK. (NCT03765502)
Timeframe: Part A: Days 15 - 17

Interventionpercentage of participants (Number)
Strongly Prefer Nasal GlucagonPrefer Nasal GlucagonNo PreferencePrefer Injectable GlucagonStrongly Prefer Injectable Glucagon
Participant With Diabetes (PWD)78.112.53.10.06.3

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Percentage of Untrained Users That Perform a Successful Administration for Each Device

Percentage of untrained users who found both devices and performed a successful administration of both rescue devices for both simulations. (NCT03765502)
Timeframe: Part B: Day 1 and Days 8-9

Interventionpercentage of participants (Number)
Nasal Glucagon (NG)90.9
Glucagon Emergency Kit (GEK)0

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Percentage of Trained Users That Performed a Successful Administration for Each Device

Percentage of trained users who found both devices and performed a successful administration of both rescue devices for both simulations. (NCT03765502)
Timeframe: Part A: Days 8 - 9 and Days 15 - 17

Interventionpercentage of participants (Number)
Nasal Glucagon (NG)90.3
Glucagon Emergency Kit (GEK)15.6

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Average Time for Untrained Users to Successfully Administer One Device Over the Other

Average time for untrained users who found both devices to successfully administer one rescue device over the other in Part B. To successfully administer either NG or GEK, a participant must complete all of the critical steps for each device, and administer a complete dose. (NCT03765502)
Timeframe: Part B: Day 1 and Days 8-9

Interventionseconds (Mean)
Nasal Glucagon Device (NG)44.5
Glucagon Emergency Kit (GEK)NA

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Percentage of Participants Trained and Untrained Users That Find One Device Easy to Use Over the Other

Ease of use was measured via the Individual Rescue Device Ease of Use (RDEU) Questionnaire by Trained and Untrained Participants. Participants answered three questions about ease of use for each device by choosing one of five radio buttons: Strongly disagree, disagree, neither disagree nor agree, agree, strongly agree. Data here represents pooling of Simulation 1 for Part A and Part B. (NCT03765502)
Timeframe: Part A: Days 15 -17 and Part B: Days 8 - 9

,
Interventionpercentage of participants (Number)
Strongly Prefer Nasal GlucagonPrefer Nasal GlucagonNo PreferencePrefer Injectable GlucagonStrongly Prefer Injectable Glucagon
Part A (Trained)48.429.09.76.53.2
Part B (Untrained)80.616.10.00.03.2

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Percentage of Participants (Trained and Untrained Users) That Prefer One Device Over the Other

Overall preference was measured via the Rescue Device Preference (RDP) questionnaire completed by Trained and Untrained participant users. Participants rated their preference for NG or GEK by choosing one of five radio buttons: Strongly prefer NG, prefer NG, no preference, prefer GEK, strongly prefer GEK. Data here represents pooling for Part A and Part B. (NCT03765502)
Timeframe: Part A: Days 8-9; Day 15-17 and Part B: Day 1; Days 8-9

,
Interventionpercentage of participants (Number)
Strongly Prefer Nasal GlucagonPrefer Nasal GlucagonNo PreferencePrefer Injectable GlucagonStrongly Prefer Injectable Glucagon
Part A (Trained)58.122.66.56.56.5
Part B (Untrained)71.022.63.20.03.2

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Average Time for Trained Users to Successfully Administer One Device Over the Other

Average time for trained users who found both devices to successfully administer one rescue device over the other in Part A. (NCT03765502)
Timeframe: Part A: Day 8 and Days 15-17

Interventionseconds (Mean)
Nasal Glucagon (NG)47.3
Glucagon Emergency Kit (GEK)81.8

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Body Mass Index (BMI) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist

"Baseline characteristic: Body mass index (BMI) according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by cardiologist is reported.~Body mass index (BMI) is weight in kilograms divided by height in meters squared (kilogram/meter^2 (kg/m^2))." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

Interventionkilogram/meter^2 (kg/m^2) (Mean)
Patients Initiated on Empagliflozin by Cardiologist30.8
Patients Initiated on DPP4i by Cardiologist29.9
Patients Initiated on GLP-1 RA by Cardiologist25.8
Patients Initiated on Other SGLT2i by Cardiologist30.7

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Baseline Characteristic: Body Mass Index (BMI) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist

"Baseline characteristic: Body mass index (BMI) according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by endocrinologist is reported.~Body mass index (BMI) is weight in kilograms divided by height in meters squared (kilogram/meter^2 (kg/m^2))." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

Interventionkilogram/meter^2 (kg/m^2) (Mean)
Patients Initiated on Empagliflozin by Endocrinologist33.3
Patients Initiated on DPP4i by Endocrinologist31.3
Patients Initiated on GLP-1 RA by Endocrinologist36.7
Patients Initiated on Other SGLT2i by Endocrinologist34.3

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Baseline Characteristic: Age According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist

"Baseline characteristic: Age according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by endocrinologist is reported.~Age for each patient was calculated by subtracting the year of birth from the year of registration (i.e. Year of registration - Year of birth). Year of registration was defined as the year the patients where initiated on T2D medication." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionYears (Mean)
Patients Initiated on Empagliflozin by Endocrinologist61.5
Patients Initiated on DPP4i by Endocrinologist65.3
Patients Initiated on GLP-1 RA by Endocrinologist55.8
Patients Initiated on Other SGLT2i by Endocrinologist62.0

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Baseline Characteristic: Age According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist

"Baseline characteristic: Age according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by diabetologist is reported.~Age for each patient was calculated by subtracting the year of birth from the year of registration (i.e. Year of registration - Year of birth). Year of registration was defined as the year the patients where initiated on T2D medication." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionYears (Mean)
Patients Initiated on Empagliflozin by Diabetologist63.0
Patients Initiated on DPP4i by Diabetologist67.2
Patients Initiated on GLP-1 RA by Diabetologist59.2
Patients Initiated on Other SGLT2i by Diabetologist62.3

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Baseline Characteristic: Age According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist

"Baseline characteristic: Age according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by cardiologist is reported.~Age for each patient was calculated by subtracting the year of birth from the year of registration (i.e. Year of registration - Year of birth). Year of registration was defined as the year the patients where initiated on T2D medication." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionYears (Mean)
Patients Initiated on Empagliflozin by Cardiologist64.4
Patients Initiated on DPP4i by Cardiologist70.9
Patients Initiated on GLP-1 RA by Cardiologist54.0
Patients Initiated on Other SGLT2i by Cardiologist65.0

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Body Mass Index (BMI) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist

"Baseline characteristic: Body mass index (BMI) according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by diabetologist is reported.~Body mass index (BMI) is weight in kilograms divided by height in meters squared (kilogram/meter^2 (kg/m^2))." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

Interventionkilogram/meter^2 (kg/m^2) (Mean)
Patients Initiated on Empagliflozin by Diabetologist33.3
Patients Initiated on DPP4i by Diabetologist31.0
Patients Initiated on GLP-1 RA by Diabetologist36.2
Patients Initiated on Other SGLT2i by Diabetologist32.8

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Number of Patients Per Type of Medical Specialty of Other Physicians Involved in Treatment Decision According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist

Number of patients per type of medical specialty of other physicians involved in treatment decision according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by cardiologist is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

,,,
InterventionParticipants (Count of Participants)
EndocrinologistDiabetologistOther cardiologistNephrologistGeneral practitionerOthersNone
Patients Initiated on DPP4i by Cardiologist01030012
Patients Initiated on Empagliflozin by Cardiologist1910410045
Patients Initiated on GLP-1 RA by Cardiologist0000001
Patients Initiated on Other SGLT2i by Cardiologist0000007

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10-year Risk for Fatal Cardiovascular Disease (CVD) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist

"10-year risk for fatal cardiovascular disease (CVD) according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by diabetologist is reported.~10-year risk for fatal CVD was calculated according to the applying Systematic COronary Risk Evaluation (SCORE) Risk Chart (European Society of Cardiology) which takes into account patient´s age, gender, systolic blood pressure, smoking status, and total cholesterol value at index date 1. SCORE Risk Chart takes values from from 0% to 100%. SCORE Risk Chart values from 5% and upwards indicate a high 10-year risk for a fatal cardiovascular event." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionScore on a scale (Mean)
Patients Initiated on Empagliflozin by Diabetologist7.0
Patients Initiated on DPP4i by Diabetologist7.0
Patients Initiated on GLP-1 RA by Diabetologist5.4
Patients Initiated on Other SGLT2i by Diabetologist6.5

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10-year Risk for Fatal Cardiovascular Disease (CVD) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist

"10-year risk for fatal cardiovascular disease (CVD) according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by cardiologist is reported.~10-year risk for fatal CVD was calculated according to the applying Systematic COronary Risk Evaluation (SCORE) Risk Chart (European Society of Cardiology) which takes into account patient´s age, gender, systolic blood pressure, smoking status, and total cholesterol value at index date 1. SCORE Risk Chart takes values from from 0% to 100%. SCORE Risk Chart values from 5% and upwards indicate a high 10-year risk for a fatal cardiovascular event." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionScore on a scale (Mean)
Patients Initiated on Empagliflozin by Cardiologist8.9
Patients Initiated on DPP4i by Cardiologist9.4
Patients Initiated on GLP-1 RA by Cardiologist5.0
Patients Initiated on Other SGLT2i by Cardiologist3.8

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10-year Risk for Fatal Cardiovascular Disease (CVD) According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist

"10-year risk for fatal cardiovascular disease (CVD) according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by endocrinologist is reported.~10-year risk for fatal CVD was calculated according to the applying Systematic COronary Risk Evaluation (SCORE) Risk Chart (European Society of Cardiology) which takes into account patient´s age, gender, systolic blood pressure, smoking status, and total cholesterol value at index date 1. SCORE Risk Chart takes values from from 0% to 100%. SCORE Risk Chart values from 5% and upwards indicate a high 10-year risk for a fatal cardiovascular event." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionScore on a scale (Mean)
Patients Initiated on Empagliflozin by Endocrinologist6.4
Patients Initiated on DPP4i by Endocrinologist5.6
Patients Initiated on GLP-1 RA by Endocrinologist4.3
Patients Initiated on Other SGLT2i by Endocrinologist6.0

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Number of Patients Per Type of Medical Specialty of Other Physicians Involved in Treatment Decision According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist

Number of patients per type of medical specialty of other physicians involved in treatment decision according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by diabetologist is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

,,,
InterventionParticipants (Count of Participants)
EndocrinologistOther diabetologistCardiologistNephrologistGeneral practitionerOthersNone
Patients Initiated on DPP4i by Diabetologist0352561577
Patients Initiated on Empagliflozin by Diabetologist374351250953
Patients Initiated on GLP-1 RA by Diabetologist0112010257
Patients Initiated on Other SGLT2i by Diabetologist0243071300

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Time Since Diagnosis of Type 2 Diabetes (T2D) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist

"Time since diagnosis of type 2 diabetes (T2D) according to T2D medication for the patients who were initiated on T2D medication by cardiologist is reported.~Time since diagnosis of T2D (years) was calculated by subtracting the year of T2D diagnosis from the year of registration. Year of registration was defined as the year patients where initiated on T2D medication." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionYears (Mean)
Patients Initiated on Empagliflozin by Cardiologist6.7
Patients Initiated on DPP4i by Cardiologist9.7
Patients Initiated on GLP-1 RA by Cardiologist6.0
Patients Initiated on Other SGLT2i by Cardiologist10.9

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Number of Patients With Documentation of Estimated Glomerular Filtration Rate (eGFR) / Urine Albumin Creatinine Ratio (UACR) Status

Number of patients with documentation of estimated Glomerular Filtration Rate (eGFR) / Urine Albumin Creatinine Ratio (UACR) status is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionParticipants (Count of Participants)
T2D Patients From Central Eastern Europe3175

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Number of Patients With Chronic Kidney Disease (CKD) by Estimated Glomerular Filtration Rate (eGFR) and Urine Albumin Creatinine Ratio (UACR) Status

Number of patients with Chronic Kidney Disease (CKD) by estimated Glomerular Filtration Rate (eGFR) and Urine Albumin Creatinine Ratio (UACR) status is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionParticipants (Count of Participants)
T2D Patients From Central Eastern Europe886

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Number of Patients With Chronic Kidney Disease (CKD) by eGFR and UACR Status According to Prescribing Specialist

Number of patients with chronic kidney disease (CKD) by estimated Glomerular Filtration Rate (eGFR) and Urine Albumin Creatinine Ratio (UACR) status - according to prescribing specialist is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionParticipants (Count of Participants)
Patients Initiated on T2D Medication by Endocrinologist508
Patients Initiated on T2D Medication by Diabetologist358
Patients Initiated on T2D Medication by Cardiologist20

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Number of Patients With Any Type of Cardiovascular Disease (CVD)

Number of patients with cardiovascular disease (CVD) is reported. Patients with cardiovascular disease were considered patients for whom 'History of acute myocardial infarction', 'History of cardiology intervention', 'Ischemic heart disease', 'Congestive heart failure', 'History of stroke' or 'Peripheral arterial disease', were documented as comorbidities. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionParticipants (Count of Participants)
T2D Patients From Central Eastern Europe1485

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Clinical Parameter Relevant for Type 2 Diabetes (T2D): Percentage of Glycosylated Hemoglobin (HbA1c [%]) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist

Clinical parameter relevant for Type 2 Diabetes (T2D): Percentage of glycosylated hemoglobin (HbA1c [%]) according to T2D medication for the patients who were initiated on T2D medication by endocrinologist is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

Interventionpercentage of glycosylated hemoglobin (Mean)
Patients Initiated on Empagliflozin by Endocrinologist8.5
Patients Initiated on DPP4i by Endocrinologist8.1
Patients Initiated on GLP-1 RA by Endocrinologist8.2
Patients Initiated on Other SGLT2i by Endocrinologist8.5

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Clinical Parameter Relevant for Type 2 Diabetes (T2D): Percentage of Glycosylated Hemoglobin (HbA1c [%]) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist

Clinical parameter relevant for type 2 diabetes (T2D): Percentage of glycosylated hemoglobin (HbA1c [%]) according to T2D medication for the patients who were initiated on T2D medication by diabetologist is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

Interventionpercentage of glycosylated hemoglobin (Mean)
Patients Initiated on Empagliflozin by Diabetologist8.2
Patients Initiated on DPP4i by Diabetologist7.9
Patients Initiated on GLP-1 RA by Diabetologist8.4
Patients Initiated on Other SGLT2i by Diabetologist8.6

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Clinical Parameter Relevant for Type 2 Diabetes (T2D): Percentage of Glycosylated Hemoglobin (HbA1c [%]) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Cardiologist

Clinical parameter relevant for type 2 diabetes (T2D): Percentage of glycosylated hemoglobin (HbA1c [%]) according to T2D medication for the patients who were initiated on T2D medication by cardiologist is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

Interventionpercentage of glycosylated hemoglobin (Mean)
Patients Initiated on Empagliflozin by Cardiologist7.9
Patients Initiated on DPP4i by Cardiologist8.1
Patients Initiated on GLP-1 RA by Cardiologist7.4
Patients Initiated on Other SGLT2i by Cardiologist8.5

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Number of Patients With Chronic Kidney Disease (CKD) by Physician's Assessment

Number of patients with chronic kidney disease (CKD) by physician's assessment (patients for whom CKD was reported as a comorbidity) is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionParticipants (Count of Participants)
T2D Patients From Central Eastern Europe586

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Number of Patients Per Type of Medical Specialty of Other Physicians Involved in Treatment Decision According to Type 2 Diabetes (T2D) Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist

Number of patients per type of medical specialty of other physicians involved in treatment decision according to type 2 diabetes (T2D) medication for the patients who were initiated on T2D medication by endocrinologist is reported. (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

,,,
InterventionParticipants (Count of Participants)
Other endocrinologistDiabetologistCardiologistNephrologistGeneral practitionerOthersNone
Patients Initiated on DPP4i by Endocrinologist360258335439
Patients Initiated on Empagliflozin by Endocrinologist560818463697
Patients Initiated on GLP-1 RA by Endocrinologist10727376
Patients Initiated on Other SGLT2i by Endocrinologist110190121209

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Number of Patients in Each Category of Different Types of Cardiovascular Disease (CVD) According to Type 2 Diabetes (T2D) Medication Initiated at Study Index Date 1

"Number of patients in each category of different types of cardiovascular disease (CVD) according to type 2 diabetes (T2D) medication initiated at study index date 1 is reported.~The following types of cardiovascular diseases are reported:~Myocardial infarction~Cardiology intervention (Percutaneous Coronary Intervention (PCI) or Coronary Artery Bypass Grafting (CABG))~Ischemic heart disease~Congestive heart failure~Stroke~Peripheral arterial disease~The categories reported for each type of cardiovascular disease are:~Yes~No~Unknown" (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionParticipants (Count of Participants)
Myocardial infarction72022152Myocardial infarction72022153Myocardial infarction72022154Myocardial infarction72022155Cardiology intervention (PCI or CABG)72022153Cardiology intervention (PCI or CABG)72022152Cardiology intervention (PCI or CABG)72022155Cardiology intervention (PCI or CABG)72022154Ischemic heart disease72022152Ischemic heart disease72022153Ischemic heart disease72022154Ischemic heart disease72022155Congestive heart failure72022152Congestive heart failure72022153Congestive heart failure72022154Congestive heart failure72022155Stroke72022152Stroke72022153Stroke72022154Stroke72022155Peripheral arterial disease72022152Peripheral arterial disease72022153Peripheral arterial disease72022154Peripheral arterial disease72022155
UnknownYesNo
Patients Initiated on Empagliflozin276
Patients Initiated on DPP4i91
Patients Initiated on GLP-1 RA22
Patients Initiated on Other SGLT2i61
Patients Initiated on Empagliflozin1667
Patients Initiated on DPP4i1039
Patients Initiated on GLP-1 RA334
Patients Initiated on Other SGLT2i518
Patients Initiated on DPP4i14
Patients Initiated on GLP-1 RA5
Patients Initiated on Empagliflozin328
Patients Initiated on DPP4i98
Patients Initiated on GLP-1 RA30
Patients Initiated on Other SGLT2i69
Patients Initiated on Empagliflozin1614
Patients Initiated on DPP4i1024
Patients Initiated on GLP-1 RA324
Patients Initiated on Other SGLT2i509
Patients Initiated on Empagliflozin24
Patients Initiated on DPP4i22
Patients Initiated on GLP-1 RA7
Patients Initiated on Other SGLT2i6
Patients Initiated on Empagliflozin631
Patients Initiated on DPP4i265
Patients Initiated on GLP-1 RA50
Patients Initiated on Other SGLT2i141
Patients Initiated on Empagliflozin1312
Patients Initiated on DPP4i860
Patients Initiated on GLP-1 RA305
Patients Initiated on Other SGLT2i433
Patients Initiated on Empagliflozin23
Patients Initiated on DPP4i19
Patients Initiated on GLP-1 RA6
Patients Initiated on Other SGLT2i10
Patients Initiated on Empagliflozin252
Patients Initiated on DPP4i104
Patients Initiated on GLP-1 RA14
Patients Initiated on Other SGLT2i51
Patients Initiated on Empagliflozin1664
Patients Initiated on DPP4i997
Patients Initiated on GLP-1 RA337
Patients Initiated on Other SGLT2i513
Patients Initiated on Empagliflozin50
Patients Initiated on DPP4i43
Patients Initiated on GLP-1 RA10
Patients Initiated on Other SGLT2i20
Patients Initiated on Empagliflozin128
Patients Initiated on DPP4i76
Patients Initiated on GLP-1 RA12
Patients Initiated on Other SGLT2i32
Patients Initiated on Empagliflozin1819
Patients Initiated on DPP4i1056
Patients Initiated on GLP-1 RA342
Patients Initiated on Other SGLT2i547
Patients Initiated on Empagliflozin19
Patients Initiated on DPP4i12
Patients Initiated on Other SGLT2i5
Patients Initiated on Empagliflozin171
Patients Initiated on DPP4i118
Patients Initiated on GLP-1 RA15
Patients Initiated on Other SGLT2i46
Patients Initiated on Empagliflozin1767
Patients Initiated on DPP4i1008
Patients Initiated on GLP-1 RA339
Patients Initiated on Other SGLT2i529
Patients Initiated on Empagliflozin28
Patients Initiated on DPP4i18
Patients Initiated on Other SGLT2i9

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Number of Patients in Each Category of the Different Types of Cardiovascular Disease

"Number of patients in each category of the different types of cardiovascular disease is reported.~The following types of cardiovascular diseases are reported:~Myocardial infarction~Cardiology intervention (Percutaneous Coronary Intervention (PCI) or Coronary Artery Bypass Grafting (CABG))~Ischemic heart disease~Congestive heart failure~Stroke~Peripheral arterial disease~The categories reported for each type of cardiovascular disease are:~Yes~No~Unknown" (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionParticipants (Count of Participants)
Myocardial infarction72022150Cardiology intervention (PCI or CABG)72022150Ischemic heart disease72022150Congestive heart failure72022150Stroke72022150Peripheral arterial disease72022150
YesNoUnknown
T2D Patients From Central Eastern Europe450
T2D Patients From Central Eastern Europe3558
T2D Patients From Central Eastern Europe47
T2D Patients From Central Eastern Europe525
T2D Patients From Central Eastern Europe3471
T2D Patients From Central Eastern Europe59
T2D Patients From Central Eastern Europe1087
T2D Patients From Central Eastern Europe2910
T2D Patients From Central Eastern Europe58
T2D Patients From Central Eastern Europe421
T2D Patients From Central Eastern Europe3511
T2D Patients From Central Eastern Europe123
T2D Patients From Central Eastern Europe248
T2D Patients From Central Eastern Europe3764
T2D Patients From Central Eastern Europe43
T2D Patients From Central Eastern Europe350
T2D Patients From Central Eastern Europe3643
T2D Patients From Central Eastern Europe62

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Number of Patients Initiated on a Modern Type 2 Diabetes (T2D) Medication Who Also Received Concomitant T2D Medications at Study Index Date 1 According to Prescribing Specialist

"Number of patients initiated on a modern type 2 diabetes (T2D) medication who also received concomitant T2D medications at study index date 1 according to prescribing specialist is reported.~The concomitant T2D medications reported are:~Metformin~Sulfonylurea~Acarbose~Pioglitazone~Insulin~Others" (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

,,
InterventionParticipants (Count of Participants)
MetforminSulfonylureaAcarbosePioglitazoneInsulinOthers
Patients Initiated on T2D Medication by Cardiologist811730177
Patients Initiated on T2D Medication by Diabetologist1794513499165891
Patients Initiated on T2D Medication by Endocrinologist13496263334259

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Number of Patients Initiated on a Modern Type 2 Diabetes (T2D) Medication Who Also Received Concomitant Cardiovascular Disease (CVD) and/or Chronic Kidney Disease (CKD) Medication at Study Index Date 1 According to Prescribing Specialist

"Number of patients initiated on a modern type 2 diabetes (T2D) medication who also received concomitant cardiovascular disease (CVD) and/or chronic kidney disease (CKD) medication at study index date 1 according to prescribing specialist is reported.~The reported concomitant CVD and/or chronic CKD medications are:~Antihypertensive angiotensin-converting-enzyme inhibitors (ACEi) or angiotensin II receptor blockers (ARBs)~Statins~Low dose aspirin~Beta blockers~Diuretics~Others" (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

,,
InterventionParticipants (Count of Participants)
Antihypertensive ACEi or ARBsStatinsLow dose aspirinBeta blockersDiureticsOthers
Patients Initiated on T2D Medication by Cardiologist878264734429
Patients Initiated on T2D Medication by Diabetologist15361327622922732455
Patients Initiated on T2D Medication by Endocrinologist1256983555580471160

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Number of Patients for Each Type of Physician Specialties Involved in Decision for T2D Therapy Discontinuation According to Prescribing Specialist

Number of patients for each type of physician specialties involved in decision for T2D therapy discontinuation according to prescribing specialist is reported. (NCT03807440)
Timeframe: At study index date 2 (= one year ± 2 months after index date 1 (study index date 1 was between September 2018 and December 2018)).

,,
InterventionParticipants (Count of Participants)
EndocrinologistDiabetologistCardiologistGeneral practitionerOtherNone
Patients Initiated on T2D Medication by Cardiologist400100
Patients Initiated on T2D Medication by Diabetologist020233185
Patients Initiated on T2D Medication by Endocrinologist2602142102

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Time to Discontinuation of Type 2 Diabetes (T2D) Treatment According to Study Medication

"Time to discontinuation of type 2 diabetes (T2D) treatment according to study medication is reported.~Time to discontinuation of T2D medication was estimated by Kaplan-Meier analysis. Patients who did not discontinue study medication at study index date 2 were censored." (NCT03807440)
Timeframe: From date of first prescription (study index date 1) to stop date of initial type 2 diabetes (T2D)) medication (documented at index date 2), up to 14 months..

Interventionmonths (Mean)
Patients Initiated on Empagliflozin19.46
Patients Initiated on DPP4i18.28
Patients Initiated on GLP-1 RA20.61
Patients Initiated on Other SGLT2i14.04

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Time Since Diagnosis of Type 2 Diabetes (T2D) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Endocrinologist

"Time since diagnosis of type 2 diabetes (T2D) according to T2D medication for the patients who were initiated on T2D medication by endocrinologist is reported.~Time since diagnosis of T2D (years) was calculated by subtracting the year of T2D diagnosis from the year of registration. Year of registration was defined as the year patients where initiated on T2D medication." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionYears (Mean)
Patients Initiated on Empagliflozin by Endocrinologist9.1
Patients Initiated on DPP4i by Endocrinologist9.1
Patients Initiated on GLP-1 RA by Endocrinologist9.2
Patients Initiated on Other SGLT2i by Endocrinologist9.8

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Time Since Diagnosis of Type 2 Diabetes (T2D) According to T2D Medication for the Patients Who Were Initiated on T2D Medication by Diabetologist

"Time since diagnosis of type 2 diabetes (T2D) according to T2D medication for the patients who were initiated on T2D medication by diabetologist is reported.~Time since diagnosis of T2D (years) was calculated by subtracting the year of T2D diagnosis from the year of registration. Year of registration was defined as the year patients where initiated on T2D medication." (NCT03807440)
Timeframe: At study index date 1 (i.e. between September 2018 and December 2018).

InterventionYears (Mean)
Patients Initiated on Empagliflozin by Diabetologist10.7
Patients Initiated on DPP4i by Diabetologist10.4
Patients Initiated on GLP-1 RA by Diabetologist10.1
Patients Initiated on Other SGLT2i by Diabetologist10.1

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CRC Phase: Incidence Rate of Hypoglycemia During and After Moderate to High Intensity Aerobic Exercise Exercise.

"Mean incidence rate of hypoglycemia during or after moderate to high intensity aerobic exercise at each CRC Phase visit. With crossover, each subject had 2 exercise sessions; 1 visit and exercise session with each treatment (the combined data are presented in the Overall category) and assessed at the group level.~Incidence rate is defined as the number of hypoglycemic events divided by the total number of qualified exercise sessions, assessed at group level.~Qualified exercise session is: (1) confirmed blood glucose of 100-180 mg/dL prior to start of exercise, (2) study drug administered no more than 10 min prior to exercise (5 min target), (3) conducted exercise of moderate to high intensity for at least 30 min and no longer than 75 min, and (4) achieved a target heart rate of 80% of maximum calculated heart rate at least once during session.~Hypoglycemic event defined as any hypoglycemic event occurring within 30 (+2) min after completion of a qualified exercise session." (NCT03841526)
Timeframe: Visit 3 (Day 1) and Visit 4 (Day 3 or any day up to Day 29); At each visit, the associated hypoglycemia events were assessed continuously throughout the 30 (+2) minute period following a qualified exercise session.

Interventionevents/session (Number)
CRC Phase: Glucagon RTU With Insulin Pump Reduction0.02
CRC Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction0.19
CRC Phase: Overall0.11

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CRC Phase: Mean Number of Hypoglycemic Events Exercise.

"CRC Phase: Mean number of hypoglycemic events associated with the qualified exercise sessions at each CRC Phase visit. With crossover, each subject had 2 exercise sessions; 1 visit and exercise session with each treatment (the combined data are presented in the Overall category) assessed at group level.~A qualified exercise session is: (1) confirmed blood glucose of 100-180 mg/dL prior to start of exercise, (2) study drug administered no more than 10 min prior to exercise (5 min target), (3) conducted exercise of moderate to high intensity for at least 30 min and no longer than 75 min, and (4) achieved a target heart rate of 80% of maximum calculated heart rate at least once during session.~A hypoglycemic event defined as any hypoglycemic event occurring within 30 (+2) min after completion of a qualified exercise session." (NCT03841526)
Timeframe: Visit 3 (Day 1) and Visit 4 (Day 3 or any day up to Day 29); At each visit, the associated hypoglycemia events were assessed continuously throughout the 30 (+2) minute period following a qualified exercise session.

Interventionnumber of events/participant (Number)
CRC Phase: Glucagon RTU With Insulin Pump Reduction0.02
CRC Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction0.19
CRC Phase: Overall0.21

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Outpatient Phase: Incidence Rate of Hypoglycemia During and After Moderate to High Intensity Aerobic Exercise.

"Mean incidence rate of hypoglycemia during and after sessions of moderate to high intensity aerobic exercise in 12-week Outpatient Phase. Incidence rate is defined as the number of hypoglycemic events divided by the total number of qualified exercise sessions, assessed at group level.~Qualified exercise session is: (1) confirmed blood glucose of 100-180 mg/dL prior to start of exercise, (2) self-administered study drug no more than 10 min prior to exercise (5 min target), (3) conducted a protocol allowed exercise of moderate to high intensity for at least 30 min and no longer than 75 min, and (4) achieved a target heart rate of 80% of maximum calculated heart rate at least once during session.~Exercise sessions were to occur at least 2-3 times per week. Only 1 qualified exercise session/subject/day was included in the analysis (the first if >1).~Hypoglycemic event defined as any hypoglycemic event occurring within 30 (+2) min after completion of a qualified exercise session." (NCT03841526)
Timeframe: Daily; During the 12-week Outpatient Phase qualified exercise sessions were assessed daily and associated hypoglycemia events were assessed continuously during and within the 30 (+2) minute period following a qualified exercise session.

Interventionevents/session (Number)
Outpatient Phase: Glucagon RTU With Insulin Pump Reduction0.12
Outpatient Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction0.39
Outpatient Phase: Glucagon RTU Without Insulin Pump Reduction0.16
Outpatient Phase: Overall0.24

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Outpatient Phase: Mean Number of Hypoglycemic Events

"Outpatient Phase: Mean number of hypoglycemic events associated with the qualified exercise sessions, assessed at group level.~A qualified exercise session was defined as one were (1) a confirmed blood glucose value of 100-180 mg/dL prior to start of exercise, (2) self-administered the study drug no more than 10 minutes prior to exercise (5 minutes was the target), (3) conducted a protocol allowed exercise for moderate to high intensity for at least 30 minutes and no longer than 75 minutes, and (4) achieved a target heart rate of 80% of maximum calculated heart rate at least once during the session.~A hypoglycemic event was defined as any hypoglycemic event occurring during or within 30 (+2) minutes after completion of a qualified exercise session.~Exercise sessions were expected to occur at least 2 to 3 times per week. Only 1 qualified exercise session per subject per day was included in the analysis (the first if >1)." (NCT03841526)
Timeframe: Daily; During the 12-week Outpatient Phase qualified exercise sessions were assessed daily and associated hypoglycemia events were assessed continuously throughout the 30 (+2) minute period following a qualified exercise session.

Interventionmean number of events/participant (Number)
Outpatient Phase: Glucagon RTU With Insulin Pump Reduction1.94
Outpatient Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction8.43
Outpatient Phase: Glucagon RTU Without Insulin Pump Reduction2.86
Outpatient Phase: Overall4.3

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Outpatient Phase: Mean Number of Qualified High Intensity Aerobic Exercise Sessions

"Outpatient Phase: Mean number of qualified exercise sessions, assessed at group level.~A qualified exercise session was defined as one were (1) a confirmed blood glucose value of 100-180 mg/dL prior to start of exercise, (2) self-administered the study drug no more than 10 minutes prior to exercise (5 minutes was the target), (3) conducted a protocol allowed exercise for moderate to high intensity for at least 30 minutes and no longer than 75 minutes, and (4) achieved a target heart rate of 80% of maximum calculated heart rate at least once during the session.~Exercise sessions were expected to occur at least 2 to 3 times per week. Only 1 qualified exercise session per subject per day was included in the analysis (the first if >1)." (NCT03841526)
Timeframe: Daily; During the 12-week Outpatient Phase the occurrence of qualified exercise sessions were assessed daily.

Interventionmean number of sessions/participant (Number)
Outpatient Phase: Glucagon RTU With Insulin Pump Reduction15.69
Outpatient Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction21.64
Outpatient Phase: Glucagon RTU Without Insulin Pump Reduction17.36
Outpatient Phase: Overall18.11

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CRC Phase: Interstitial Glucose Below Target Range

"Analysis of interstitial glucose (IG) was performed by treatment, independent of the order of treatment during the randomized cross-over CRC Phase. The number of participants are categorized by the following IG levels:~Below range, as defined by IG <= 70 mg/dl (<=3.89 mmol/L); Between range, as defined by IG between 54 to 70 mg/dL (3 to 3.89 mmol/L); Below range, as defined by IG <54 mg/dL (<3 mmol/L)" (NCT03841526)
Timeframe: Visit 3 (Day 1) and Visit 4 (Day 3 or any day up to Day 29); Assessed continuously 0-300 minutes following the start of the exercise session corresponding to each of the treatments during the corresponding in-clinic visit during the CRC Phase.

,,
InterventionParticipants (Count of Participants)
Below range (<=70 mg/dL)Between range (54-70 mg/dL)Below range (<54 mg/dL)
CRC Phase: Glucagon RTU With Insulin Pump Reduction441
CRC Phase: Overall992
CRC Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction551

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Outpatient Phase: Barriers to Physical Activity Diabetes (Type 1): BAPAD-1 Change From Baseline

"Change from Baseline to End of the Outpatient Phase in Score on Barriers to Physical Activity in Type 1 Diabetes (BAPAD-1) Questionnaire A total of 12 factors were scored from 1=unlikely (min.) to 7=extremely likely (max.) for their propensity to keep the subject from practicing regular physical exercise during the next 6 months. Lower scores are considered better, while higher scores are considered worse outcomes. The higher the score (1 to 7), the less likely the subject was to engage in exercise.~The mean of the scores of the 12 factors were calculated for each subject and the overall mean for the subjects was calculated at a group level with overall mean and standard deviation calculated at Baseline (Visit 3) and Follow-up/Early Termination (Visit 11) to calculate change from Baseline. Subject level and overall means could range from 1 to 7." (NCT03841526)
Timeframe: Baseline to End of Study measured at Outpatient Phase Baseline (Visit 3, Day 1) and Follow-up (Visit 11, 14-21 days after last exercise session, up to Day 134) or Early Termination (at time of discontinuation)

,
Interventionscore on a scale (Mean)
Baseline BAPAD-1 (Study Visit 3)Change from Baseline at Follow-up in BAPAD-1 (Study Visit 11)
Outpatient Phase: Glucagon RTU With Insulin Pump Reduction2.250.01
Outpatient Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction2.17-0.38

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Outpatient Phase: HFS-II Overall Score Change From Baseline

"Change from Baseline in Score on Hypoglycemia Fear Survey-II (HFS-II)~A total of 33 items were scored from 0=never (min.) to 4=almost always (max.) for how often in the past 6 months they had done the following:~Behavior (15 items): things that people with diabetes often do to avoid low blood sugar.~Worry (18 items): things that people with diabetes often worry about because of low blood sugar.~Lower scores are considered better outcomes, higher scores are considered worse outcomes.~The higher the score (0 to 4), the greater the subject's fear of hypoglycemia. The mean of the scores of the 33 items were calculated for each subject and the overall mean for the subjects was calculated at a group level with overall mean and standard deviation calculated at Baseline (Visit 3) and Follow-up/Early Termination (Visit 11) to calculate change from Baseline. Subject level and overall means could range from 0 to 4." (NCT03841526)
Timeframe: Baseline to End of Study measured at Outpatient Phase Baseline (Visit 3, Day 1) and Follow-up (Visit 11, 14-21 days after last exercise session, up to Day 134) or Early Termination (at time of discontinuation)

,
Interventionscore on a scale (Mean)
BaselineChange from Baseline at Follow-up (Visit 11)
Outpatient Phase: Glucagon RTU With Insulin Pump Reduction1.28-0.19
Outpatient Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction1.16-0.01

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Outpatient Phase: HFS-II Overall Score Change From Baseline

"Change from Baseline in Score on Hypoglycemia Fear Survey-II (HFS-II)~A total of 33 items were scored from 0=never (min.) to 4=almost always (max.) for how often in the past 6 months they had done the following:~Behavior (15 items): things that people with diabetes often do to avoid low blood sugar.~Worry (18 items): things that people with diabetes often worry about because of low blood sugar.~Lower scores are considered better outcomes, higher scores are considered worse outcomes.~The higher the score (0 to 4), the greater the subject's fear of hypoglycemia. The mean of the scores of the 33 items were calculated for each subject and the overall mean for the subjects was calculated at a group level with overall mean and standard deviation calculated at Baseline (Visit 3) and Follow-up/Early Termination (Visit 11) to calculate change from Baseline. Subject level and overall means could range from 0 to 4." (NCT03841526)
Timeframe: Baseline to End of Study measured at Outpatient Phase Baseline (Visit 3, Day 1) and Follow-up (Visit 11, 14-21 days after last exercise session, up to Day 134) or Early Termination (at time of discontinuation)

Interventionscore on a scale (Mean)
BaselineChange from Baseline at Follow-up (Visit 11)Change from Baseline at Early Termination
Outpatient Phase: Glucagon RTU Without Insulin Pump Reduction1.50-0.03-0.60

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Outpatient Phase: Hypoglycemic Confidence Scale (HCS) Change From Baseline

"Change from Baseline in Score on Hypoglycemia Confidence Scale (HCS)~The 9-item scale assessed a subject's confidence about safety regarding hypoglycemia. The questionnaire had 4 responses possible for each question, ranging from 1=not confident at all (min.) to 4=very confident (max.). Higher scores are considered better outcomes, while lower scores are considered worse outcomes. The lower the score (1 to 4), the less likely the subject was to engage in exercise.~The mean of the scores of the 9 items were calculated for each subject and the overall mean for the subjects was calculated at a group level with overall mean and standard deviation calculated at Baseline (Visit 3) and Follow-up/Early Termination (Visit 11) to calculate change from Baseline. Subject level and overall means could range from 1 to 4." (NCT03841526)
Timeframe: Baseline to End of Study measured at Outpatient Phase Baseline (Visit 3, Day 1) and Follow-up (Visit 11, 14-21 days after last exercise session, up to Day 134) or Early Termination (at time of discontinuation)

,
Interventionscore on a scale (Mean)
BaselineChange from Baseline at Follow-up (Visit 11)
Outpatient Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction3.340.17
Outpatient Phase: Glucagon RTU With Insulin Pump Reduction3.230.07

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CRC Phase: Mean Number of Qualified High Intensity Aerobic Exercise Sessions

"Mean number of high intensity aerobic exercise sessions at each CRC Phase visit. With crossover, each subject was to have 2 exercise sessions; 1 visit and exercise session with each treatment (the combined data are presented in the Overall category) and assessed at the group level.~A qualified exercise session was defined as one where (1) confirmed blood glucose of 100-180 mg/dL prior to start of exercise, (2) study drug administered no more than 10 min prior to exercise (5 min target), (3) conducted exercise of moderate to high intensity for at least 30 min and no longer than 75 min, and (4) achieved a target heart rate of 80% of maximum calculated heart rate at least once during session." (NCT03841526)
Timeframe: Visit 3 (Day 1) and Visit 4 (Day 3 or any day up to Day 29); At each visit, the number of qualified exercise sessions that occurred.

Interventionmean number of sessions/participant (Number)
CRC Phase: Glucagon RTU With Insulin Pump Reduction1
CRC Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction1
CRC Phase: Overall1.94

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Outpatient Phase: Hypoglycemic Confidence Scale (HCS) Change From Baseline

"Change from Baseline in Score on Hypoglycemia Confidence Scale (HCS)~The 9-item scale assessed a subject's confidence about safety regarding hypoglycemia. The questionnaire had 4 responses possible for each question, ranging from 1=not confident at all (min.) to 4=very confident (max.). Higher scores are considered better outcomes, while lower scores are considered worse outcomes. The lower the score (1 to 4), the less likely the subject was to engage in exercise.~The mean of the scores of the 9 items were calculated for each subject and the overall mean for the subjects was calculated at a group level with overall mean and standard deviation calculated at Baseline (Visit 3) and Follow-up/Early Termination (Visit 11) to calculate change from Baseline. Subject level and overall means could range from 1 to 4." (NCT03841526)
Timeframe: Baseline to End of Study measured at Outpatient Phase Baseline (Visit 3, Day 1) and Follow-up (Visit 11, 14-21 days after last exercise session, up to Day 134) or Early Termination (at time of discontinuation)

Interventionscore on a scale (Mean)
BaselineChange from Baseline at Follow-up (Visit 11)Change from Baseline at Early Termination
Glucagon RTU Without Insulin Pump Reduction3.200.200.15

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Outpatient Phase: Insulin Use Change From Baseline

Insulin use as reported by subject as Change from Outpatient Phase Baseline at Study Weeks 4, 8, and 12 (NCT03841526)
Timeframe: Insulin use measured continuously from Study Baseline to End of Study and assessed during Outpatient Phase as Change from Outpatient Phase Baseline at Study Weeks 4, 8, and 12

Interventionunits of insulin (Mean)
Fiasp (Insluin Aspart) - Change from Baseline at Week 4Humalog (Insulin Lispro) - Change from Baseline at Week 4Humalog (Insulin Lispro) - Change from Baseline at Week 8Humalog (Insulin Lispro) - Change from Baseline at Week 12NovoRapid (Insulin Aspart) - Change from Baseline at Week 4
Outpatient Phase: Glucagon RTU Without Insulin Pump Reduction0.106.203.20-0.85-2.85

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Outpatient Phase: Insulin Use Change From Baseline

Insulin use as reported by subject as Change from Outpatient Phase Baseline at Study Weeks 4, 8, and 12 (NCT03841526)
Timeframe: Insulin use measured continuously from Study Baseline to End of Study and assessed during Outpatient Phase as Change from Outpatient Phase Baseline at Study Weeks 4, 8, and 12

Interventionunits of insulin (Mean)
Fiasp (Insluin Aspart) - Change from Baseline at Week 4Fiasp (Insluin Aspart) - Change from Baseline at Week 12Humalog (Insulin Lispro) - Change from Baseline at Week 8Humalog (Insulin Lispro) - Change from Baseline at Week 12NovoRapid (Insulin Aspart) - Change from Baseline at Week 4NovoRapid (Insulin Aspart) - Change from Baseline at Week 8NovoRapid (Insulin Aspart) - Change from Baseline at Week 12
Outpatient Phase: Glucagon RTU With Insulin Pump Reduction-2.80-7.600.900.60-2.43-0.15-0.05

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Outpatient Phase: Insulin Use Change From Baseline

Insulin use as reported by subject as Change from Outpatient Phase Baseline at Study Weeks 4, 8, and 12 (NCT03841526)
Timeframe: Insulin use measured continuously from Study Baseline to End of Study and assessed during Outpatient Phase as Change from Outpatient Phase Baseline at Study Weeks 4, 8, and 12

Interventionunits of insulin (Mean)
Fiasp (Insluin Aspart) - Change from Baseline at Week 4Fiasp (Insluin Aspart) - Change from Baseline at Week 8Fiasp (Insluin Aspart) - Change from Baseline at Week 12Humalog (Insulin Lispro) - Change from Baseline at Week 4Humalog (Insulin Lispro) - Change from Baseline at Week 8Humalog (Insulin Lispro) - Change from Baseline at Week 12NovoRapid (Insulin Aspart) - Change from Baseline at Week 4NovoRapid (Insulin Aspart) - Change from Baseline at Week 8NovoRapid (Insulin Aspart) - Change from Baseline at Week 12
Outpatient Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction2.60-2.10-1.703.057.201.05-1.57-2.85-4.20

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Outpatient Phase: Interstitial Glucose Levels Below Target Range

"Analysis of interstitial glucose (IG) was performed by treatment, during the randomized Outpatient Phase. The number of participants are categorized by the following IG levels:~Below range, as defined by IG <= 70 mg/dl (<=3.89 mmol/L); Between range, as defined by IG between 54 to 70 mg/dL (3 to 3.89 mmol/L); Below range, as defined by IG <54 mg/dL (<3 mmol/L)" (NCT03841526)
Timeframe: Visit 3 (Day 1) and Visit 4 (Day 3 or any day up to Day 29); Assessed continuously 0-300 minutes following the start of each qualified exercise session corresponding to each of the treatments during the Outpatient Phase.

,,,
InterventionParticipants (Count of Participants)
Below range <=70 mg/dLBetween Range 54-70 mg/dLBelow range <54 mg/dL
Outpatient Phase: Glucagon RTU With Insulin Pump Reduction141411
Outpatient Phase: Glucagon RTU Without Insulin Pump Reduction12129
Outpatient Phase: Overall404034
Outpatient Phase: Vehicle for Glucagon RTU With Insulin Pump Reduction141414

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Outpatient Phase: Barriers to Physical Activity Diabetes (Type 1): BAPAD-1 Change From Baseline

"Change from Baseline to End of the Outpatient Phase in Score on Barriers to Physical Activity in Type 1 Diabetes (BAPAD-1) Questionnaire A total of 12 factors were scored from 1=unlikely (min.) to 7=extremely likely (max.) for their propensity to keep the subject from practicing regular physical exercise during the next 6 months. Lower scores are considered better, while higher scores are considered worse outcomes. The higher the score (1 to 7), the less likely the subject was to engage in exercise.~The mean of the scores of the 12 factors were calculated for each subject and the overall mean for the subjects was calculated at a group level with overall mean and standard deviation calculated at Baseline (Visit 3) and Follow-up/Early Termination (Visit 11) to calculate change from Baseline. Subject level and overall means could range from 1 to 7." (NCT03841526)
Timeframe: Baseline to End of Study measured at Outpatient Phase Baseline (Visit 3, Day 1) and Follow-up (Visit 11, 14-21 days after last exercise session, up to Day 134) or Early Termination (at time of discontinuation)

Interventionscore on a scale (Mean)
Baseline BAPAD-1 (Study Visit 3)Change from Baseline at Follow-up in BAPAD-1 (Study Visit 11)Change from Baseline at Early Termination in BAPAD-1
Outpatient Phase: Glucagon RTU Without Insulin Pump Reduction2.59-0.34-1.00

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