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G-Pen Mini

Phase 2

Diabetes Mellitus, Type 1 | Small molecule | Metabolic |Xeris Biopharma Holdings, Inc.|Last Updated: Mar 3, 2020

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials2
Total Enrollment42

FDA Designations

No designations recorded

Clinical trial landscape

G-Pen Mini · 3 trials · 2 indications

Phase 2 3
NCT02660242The Use of Mini-dose Glucagon to Prevent Exercise-induced Hypoglycemia in Type 1 DiabetesDiabetes Mellitus, Type 1
COMPLETED16 Analytics
NCT02411578Mini-Dose Glucagon to Treat Non-Severe HypoglycemiaDiabetes Mellitus, Type 1
COMPLETED26 Analytics
NCT02081014Safety and Efficacy Study of Mini-Dose Glucagon (G-Pen Mini) in Patients With Type 1 DiabetesHypoglycemia
COMPLETED13 Analytics
PHASE2COMPLETED
The Use of Mini-dose Glucagon to Prevent Exercise-induced Hypoglycemia in Type 1 Diabetes
Diabetes Mellitus, Type 1Unlock trial analytics
PHASE2COMPLETED
Mini-Dose Glucagon to Treat Non-Severe Hypoglycemia
Diabetes Mellitus, Type 1Unlock trial analytics
PHASE2COMPLETED
Safety and Efficacy Study of Mini-Dose Glucagon (G-Pen Mini) in Patients With Type 1 Diabetes
HypoglycemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Glycemic Response During Exercise and Early Recovery
0 to 75 minutes following exercise initiation (0, 5, 10, 15, 25, 35, 45, 50, 55, 60, 75 min)

Comparison of glycemic response (from blood glucose) during exercise and early recovery between each exercise strategy.

Number of Hypoglycemic Events ≥50 mg/dl 15 Minutes AND ≥ 70 mg/dl 30 Minutes After Initial Treatment
30 minutes
Serious Adverse Events
From first dose until follow-up call, up to 7 weeks per subject

Number of serious adverse events (SAEs) per treatment

Secondary Endpoints

Number of Participants With Hypoglycemia (<70 mg/dL) During Exercise and Early Recovery
0 to 75 minutes following exercise initiation
Number of Participants With Hyperglycemia (≥250 mg/dL) During Exercise and Early Recovery
0 to 75 minutes following exercise initiation
Continuous Glucose Monitor (CGM) Metrics During Late Recovery - Nadir Glucose
90 min after the standard meal until 1200 noon the day after each exercise session
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Study Design & Arms

AllocationRANDOMIZED
MaskingSINGLE
ModelCROSSOVER
PurposePREVENTION

Treatment Arms

ArmTypeDescription
ControlNO_INTERVENTIONNo basal insulin adjustment, no carbohydrate intake (until glucose drops \<70 mg/dL).
Basal insulin reductionACTIVE_COMPARATORBasal insulin reduction to 50% five minutes before the start of exercise.
Glucose TabsACTIVE_COMPARATORDextrose tabs orally (20 grams) five minutes before the start of exercise and at 30 minutes of exercise (total 40 grams).
G-Pen Mini™ (glucagon injection)EXPERIMENTALGlucagon (150 µg) five minutes before the start of exercise (SQ-abdomen).
G-Pen Mini™ (glucagon injection) 75 ugEXPERIMENTALG-Pen Mini™ (glucagon injection), two 75 microgram subcutaneous injections given approximately 4-5 hours apart
G-Pen Mini™ (glucagon injection) 150 ugEXPERIMENTALG-Pen Mini™ (glucagon injection), two 150 microgram subcutaneous injections given approximately 4-5 hours apart
G-Pen Mini™ (glucagon injection) 300 ugEXPERIMENTALG-Pen Mini™ (glucagon injection), two 300 microgram subcutaneous injections given approximately 4-5 hours apart

Interventions

NameTypeDescription
G-Pen Mini™ (glucagon injection)DRUGGlucagon (150 µg) 5 minutes before the start of exercise (SQ-abdomen).
Glucose TabsOTHERDextrose tabs orally (20 grams) 5 minutes before the start of exercise and at 30 minutes of exercise (total 40 grams).
Basal Insulin ReductionOTHERBasal insulin reduction to 50% 5 minutes before the start of exercise.
Glucose TabletsOTHER1st BG check, 1st treatment 1. BG is 50-69 mg/dl, treatment is 15 grams of carbohydrates 2. BG is 40-49 mg/dl, treatment is 30 grams of carbohydrates 15 min later, 2nd BG check, 2nd treatment 1. BG is 60-69 mg/dl, no treatment 2. BG is 50-59 mg/dl, treatment is 15 grams of carbohydrates 3. BG is \<50 mg/dl, treatment is participant's preferred oral carbohydrate and not mini-dose glucagon 30 minutes later, 3rd BG check, 3rd treatment 1. BG is \>=70, no treatment 2. BG is \<70 mg/dl, treatment is participant's preferred oral carbohydrate and not mini-dose glucagon (5 grams of fast-acting carbohydrates (D-Glucose) per tablet)
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Eligibility Criteria

Age Range18 Years to 64 Years
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: 1. Clinical diagnosis of presumed autoimmune type 1 diabetes, receiving daily insulin 2. Age 18-\<65 years 3. Duration of T1D ≥ 2 years 4. Random C-peptide \< 0.6 ng/ml 5. Using continuous subcutaneous insulin infusion (CSII; insulin pump) for at least 6 months, with no plans to...

Countries:United States
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Frequently asked questions about G-Pen Mini

What is G-Pen Mini used for?

G-Pen Mini is an investigational mini-dose glucagon product being studied for the treatment of hypoglycemia and Type 1 Diabetes Mellitus. It is designed to deliver small doses of glucagon to manage low blood sugar episodes. The drug is currently in Phase 2 clinical development and is not yet approved by regulatory authorities.

Who makes G-Pen Mini?

G-Pen Mini is being developed by Xeris Biopharma Holdings, Inc., a biopharmaceutical company traded on NASDAQ under the ticker symbol XERS. The company is conducting clinical trials to evaluate the safety and efficacy of this mini-dose glucagon product for managing hypoglycemia in patients with Type 1 Diabetes.

What phase is G-Pen Mini in?

G-Pen Mini is in Phase 2 clinical development. It has completed two Phase 2 trials with a total enrollment of 42 participants. The drug is investigational and has not received FDA approval. All completed trials were active-controlled and randomized, though they were not double-blinded.

What clinical trials is G-Pen Mini in?

G-Pen Mini has completed three Phase 2 trials. NCT02081014 studied mini-dose glucagon in 13 patients with hypoglycemia. NCT02411578 evaluated mini-dose glucagon for non-severe hypoglycemia in 26 patients with Type 1 Diabetes. NCT02660242 examined mini-dose glucagon to prevent exercise-induced hypoglycemia in 16 patients with Type 1 Diabetes.

How does G-Pen Mini work?

G-Pen Mini is a small molecule formulation of glucagon, a hormone that raises blood glucose levels. It is designed to deliver mini-doses of glucagon to treat or prevent hypoglycemia. The mechanism involves glucagon stimulating the liver to release stored glucose into the bloodstream, counteracting low blood sugar.

Is G-Pen Mini the same as glucagon?

G-Pen Mini is a proprietary mini-dose formulation of glucagon developed by Xeris Biopharma. While it contains glucagon as the active ingredient, it is specifically designed for mini-dose delivery to manage hypoglycemia. It is not the same as standard glucagon rescue products used for severe hypoglycemia.