Pediatric endocrinology

Dasiglucagon in Children With Congenital Hyperinsulinism Up to 1 Year of Age: Results From a Randomized Clinical Trial

J Clin Endocrinol MetabPublished Randomised controlled trial

Authors' conclusion

In infants with CHI, dasiglucagon significantly reduced the amount of IV glucose needed to maintain euglycemia compared with placebo. Dasiglucagon represents a promising treatment for the management of CHI.

Study context

Population
Children with congenital hyperinsulinism (CHI) aged 7 days to 12 months dependent on IV glucose; 4 centers in Germany, the UK and the United Statescrossover
Participants
12 children
Comparison
Dasiglucagon vs placebo
Primary endpoint
Mean IV glucose infusion rate (GIR)
Follow-up
Last 12 hours of part 1
Methodological detailscrossover, double-blind, placebo-controlled, open-label single-arm part 2, multicentre (4 centers), Randomized June 19, 2020 to February 9, 2022, Part 2: all participants received dasiglucagon for 21 days
  • Crossover
  • Double-blind
  • Placebo-controlled
  • Open-label single-arm part 2
  • Multicentre (4 centers)
  • Randomized June 19, 2020 to February 9, 2022
  • Part 2: all participants received dasiglucagon for 21 days

Primary result

As reported in the abstract

IV GIR

P = 0.004

Safety

Adverse events

Most frequent AEs in both treatment groups were gastrointestinal, dermatological, and metabolism and nutritional disorders

Original publication

Dasiglucagon in Children With Congenital Hyperinsulinism Up to 1 Year of Age: Results From a Randomized Clinical Trial. J Clin Endocrinol Metab. Published 25 November 2024. doi:10.1210/clinem/dgae818

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