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G-Pen Mini

Phase 2

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

G-Pen Mini target and mechanism

ModalitySmall molecule

Also known as G-Pen Mini™ (glucagon injection)

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials3
Total Enrollment55

FDA Designations

No designations recorded

G-Pen Mini clinical trials

G-Pen Mini · 3 trials · 2 indications

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

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

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

Continuous Glucose Monitor (CGM) Minimum Glucose, Event Level
60 Minutes
CGM Maximum Glucose, Event Level
60 Minutes
CGM Mean Glucose, Event Level
60 Minutes
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
G-Pen Mini™ (glucagon injection)EXPERIMENTALParticipants are to check blood glucose (BG) with study meter once their continuous glucose monitor (CGM) reads \<70 mg/dl or they experience symptoms. Participants will be instructed to treat using mini-dose glucagon for certain phases/periods when BG is 40 to 69 mg/dl (considered a non-severe hypoglycemic event). For every event, participant will check BG with meter 3 times and treat according to protocol instructions based on BG measurement.
Glucose TabsACTIVE_COMPARATORParticipants are to check their blood glucose (BG) with study meter once their continuous glucose meter reads \<70 mg/dl or they experience symptoms. Participants will be instructed to treat using oral glucose tablets for certain phases/periods when BG is 40 to 69 mg/dl (considered a non-severe hypoglycemic event). For every event, participant will check BG with meter 3 times and treat according to protocol instructions based on BG measurement.
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.
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)DRUG1st BG check, 1st treatment 1. BG is 50-69 mg/dl, treatment is 150 µg of glucagon 2. BG is 40-49 mg/dl, treatment is 300 µg of glucagon 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 150 µg of glucagon 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 (150 µg of glucagon per syringe)
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)
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.
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Eligibility Criteria

Age Range18 Years to 64 Years
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: 1. Clinical diagnosis of presumed autoimmune T1D and receiving daily insulin 2. Age: 18.0 to \< 65.0 years 3. Duration of T1D: ≥2.0 years 4. Body mass index 20.0 to \<35.0 kg/m2 and weight 110 to \<250 lbs 5. HbA1c \<8.5% (point of care or local lab, within past month) 6. Using ...

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

What is G-Pen Mini?

G-Pen Mini is an investigational glucagon injection developed by Xeris Biopharma Holdings, Inc. for use in type 1 diabetes and hypoglycemia. It is a small molecule product studied in Phase 2 clinical trials in the United States. It is designed for mini-dose use rather than the standard full rescue dose of glucagon.

What is G-Pen Mini used for in type 1 diabetes?

G-Pen Mini is being studied for the prevention and treatment of hypoglycemia in people with type 1 diabetes. Its Phase 2 trials examined mini-dose glucagon to prevent exercise-induced hypoglycemia and to treat non-severe hypoglycemia. It is investigational and has not been approved for commercial use.

Who makes G-Pen Mini?

G-Pen Mini is developed by Xeris Biopharma Holdings, Inc., which trades on the Nasdaq under the ticker XERS. Xeris is the sponsor behind the Phase 2 clinical program evaluating mini-dose glucagon in type 1 diabetes and hypoglycemia.

What phase is G-Pen Mini in?

G-Pen Mini is in Phase 2 development. All three of its listed clinical trials are Phase 2 studies, and all are completed, with no active trials currently recruiting. It remains an investigational product and is not FDA approved.

What clinical trials is G-Pen Mini in?

G-Pen Mini has been studied in three completed Phase 2 trials: NCT02660242, which tested mini-dose glucagon to prevent exercise-induced hypoglycemia in type 1 diabetes; NCT02411578, which evaluated mini-dose glucagon for non-severe hypoglycemia; and NCT02081014, a safety and efficacy study in patients with type 1 diabetes.

Is G-Pen Mini the same as glucagon injection?

G-Pen Mini is also known as G-Pen Mini (glucagon injection). It is a mini-dose glucagon formulation, meaning it delivers smaller amounts of glucagon than standard emergency glucagon rescue products. The name G-Pen Mini refers to the same Xeris Biopharma Phase 2 asset.