Two-Way Crossover Phase 1 Bioequivalence and Safety Studies in Healthy Adults for a Ready-to-Use, Room-Temperature, Liquid-Stable Glucagon Administered by Autoinjector, Prefilled Syringe, or Vial and Syringe

J Diabetes Sci TechnolPublished Randomised crossover phase 1 bioequivalence studies

Authors' conclusion

Bioequivalence and safety were established after 1 mg of this ready-to-use room-temperature liquid-stable glucagon, administered SC to healthy adults, by autoinjector, prefilled syringe, or vial and syringe kit.

Study context

Population
Healthy adults; ready-to-use room-temperature liquid-stable glucagontwo crossover studies
Participants
32 / 40 / 72
Comparison
Glucagon autoinjector (GAI) or vial and syringe kit (GVS) vs glucagon prefilled syringe (G-PFS)
  • GAIn = 32
  • GVSn = 40
  • G-PFSn = 72reference
Primary endpoint
Bioequivalence: geometric mean ratio of plasma glucagon AUC0-240 and Cmax within 80%–125%
Follow-up
0 to 240 minutes
Methodological detailstwo-way crossover, two studies
  • Two-way crossover
  • Two studies

Primary result

As reported in the abstract

  • G-PFS vs GAI: 90% CI 95.05%–119.67%
  • G-PFS vs GAI: 90% CI 88.01%–120.24%
  • GVS vs G-PFS: 90% CI 87.39%–100.66%
  • GVS vs G-PFS: 90% CI 89.08%–106.08%

Safety

≥1 AE

≥1 AE — Mild adverse events (AEs)
69 of 73 (94.5%)
≥1 AE — Serious AEs
0
≥1 AE — Nausea (most common AE)
33/73 [45%]

Original publication

Two-Way Crossover Phase 1 Bioequivalence and Safety Studies in Healthy Adults for a Ready-to-Use, Room-Temperature, Liquid-Stable Glucagon Administered by Autoinjector, Prefilled Syringe, or Vial and Syringe. J Diabetes Sci Technol. Published 8 June 2023. doi:10.1177/19322968231179164

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