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NCT04465396

A Study to Evaluate the Bioavailability of Teduglutide Administered Subcutaneously by Syringe Injection Versus Pen Injector in Healthy Adult Participants

Completed Phase 1 Results posted Last updated 4 October 2022
What this trial tests

Phase 1 trial testing Teduglutide in Healthy Volunteers in 64 participants. Completed in 20 August 2021.

Timeline
13 January 2021
Primary endpoint
20 August 2021
20 August 2021

Quick facts

Lead sponsorShire
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingnone
Primary purposetreatment
Enrollment64
Start date13 January 2021
Primary completion20 August 2021
Estimated completion20 August 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Shire — full company profile →

Who can join

Adults 18 to 45, any sex, with Healthy Volunteers. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Area Under the Plasma Concentration Verse Time Curve From Time Zero to the Time of Last Measurable Concentration (AUC0-last) of Teduglutide Primary · Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 24 hours post-dose of Treatment Period 1 and Treatment Period 2
GroupValue95% CI
Cohort 1 (Teduglutide 3 mg): Treatment A1 (Syringe Injection)217.2± 21.0
Cohort 1 (Teduglutide 3 mg): Treatment B1 (Pen Injector)237.2± 22.1
Cohort 2 (Teduglutide 4 mg): Treatment A2 (Syringe Injection)221.9± 21.2
Cohort 2 (Teduglutide 4 mg): Treatment B2 (Pen Injector)253.0± 21.4
Maximum Observed Plasma Concentration (Cmax) of Teduglutide Primary · Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 24 hours post-dose of Treatment Period 1 and Treatment Period 2

Cmax is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve.

GroupValue95% CI
Cohort 1 (Teduglutide 3 mg): Treatment A1 (Syringe Injection)33.90± 37.7
Cohort 1 (Teduglutide 3 mg): Treatment B1 (Pen Injector)33.31± 37.6
Cohort 2 (Teduglutide 4 mg): Treatment A2 (Syringe Injection)31.99± 34.8
Cohort 2 (Teduglutide 4 mg): Treatment B2 (Pen Injector)29.58± 32.6
Area Under the Plasma Concentration Versus Time Curve Extrapolated to Infinity (AUC0-infinity) of Teduglutide Primary · Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 24 hours post-dose of Treatment Period 1 and Treatment Period 2
GroupValue95% CI
Cohort 1 (Teduglutide 3 mg): Treatment A1 (Syringe Injection)227.6± 21.1
Cohort 1 (Teduglutide 3 mg): Treatment B1 (Pen Injector)249.2± 20.8
Cohort 2 (Teduglutide 4 mg): Treatment A2 (Syringe Injection)227.1± 20.8
Cohort 2 (Teduglutide 4 mg): Treatment B2 (Pen Injector)268.2± 22.2
Area Under the Plasma Concentration Verse Time Curve From Time Zero to the Time of Last Measurable Concentration (AUC0-last) of Teduglutide by Injection Site Secondary · Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 24 hours post-dose of Treatment Period 1 and Treatment Period 2

AUC0-last of teduglutide by injection site (i.e., thigh, abdomen, and arm) was assessed and reported.

GroupValue95% CI
Cohort 1 (Teduglutide 3 mg): Syringe Injection in Abdomen241.2± 14.0
Cohort 1 (Teduglutide 3 mg): Syringe Injection in Arm205.8± 29.1
Cohort 1 (Teduglutide 3 mg): Syringe Injection in Thigh202.2± 14.4
Cohort 1 (Teduglutide 3 mg): Pen Injector in Abdomen277.6± 9.1
Cohort 1 (Teduglutide 3 mg): Pen Injector in Arm216.6± 27.8
Cohort 1 (Teduglutide 3 mg): Pen Injector in Thigh215.2± 16.7
Cohort 2 (Teduglutide 4 mg): Syringe Injection in Abdomen219.6± 17.2
Cohort 2 (Teduglutide 4 mg): Syringe Injection in Arm222.6± 27.9
Cohort 2 (Teduglutide 4 mg): Syringe Injection in Thigh224.1± 20.3
Cohort 2 (Teduglutide 4 mg): Pen Injector in Abdomen239.5± 19.0
Cohort 2 (Teduglutide 4 mg): Pen Injector in Arm277.3± 23.3
Cohort 2 (Teduglutide 4 mg): Pen Injector in Thigh246.4± 21.3
Maximum Observed Plasma Concentration (Cmax) of Teduglutide by Injection Site Secondary · Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 24 hours post-dose of Treatment Period 1 and Treatment Period 2

Cmax of teduglutide by injection site (i.e., thigh, abdomen, and arm) was assessed and reported.

GroupValue95% CI
Cohort 1 (Teduglutide 3 mg): Syringe Injection in Abdomen40.84± 29.7
Cohort 1 (Teduglutide 3 mg): Syringe Injection in Arm31.66± 41.6
Cohort 1 (Teduglutide 3 mg): Syringe Injection in Thigh29.02± 35.2
Cohort 1 (Teduglutide 3 mg): Pen Injector in Abdomen43.65± 20.7
Cohort 1 (Teduglutide 3 mg): Pen Injector in Arm28.73± 43.9
Cohort 1 (Teduglutide 3 mg): Pen Injector in Thigh27.91± 27.3
Cohort 2 (Teduglutide 4 mg): Syringe Injection in Abdomen26.86± 25.9
Cohort 2 (Teduglutide 4 mg): Syringe Injection in Arm38.28± 43.8
Cohort 2 (Teduglutide 4 mg): Syringe Injection in Thigh32.97± 25.0
Cohort 2 (Teduglutide 4 mg): Pen Injector in Abdomen28.14± 30.4
Cohort 2 (Teduglutide 4 mg): Pen Injector in Arm32.33± 33.8
Cohort 2 (Teduglutide 4 mg): Pen Injector in Thigh28.73± 35.5
Area Under the Plasma Concentration Versus Time Curve Extrapolated to Infinity (AUC0-infinity) of Teduglutide by Injection Site Secondary · Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 24 hours post-dose of Treatment Period 1 and Treatment Period 2

AUC0-infinity of teduglutide by injection site (i.e., thigh, abdomen, and arm) was assessed and reported.

GroupValue95% CI
Cohort 1 (Teduglutide 3 mg): Syringe Injection in Abdomen246.6± 13.2
Cohort 1 (Teduglutide 3 mg): Syringe Injection in Arm213.0± 29.5
Cohort 1 (Teduglutide 3 mg): Syringe Injection in Thigh218.6± 18.7
Cohort 1 (Teduglutide 3 mg): Pen Injector in Abdomen282.3± 9.1
Cohort 1 (Teduglutide 3 mg): Pen Injector in Arm229.6± 26.8
Cohort 1 (Teduglutide 3 mg): Pen Injector in Thigh229.2± 18.6
Cohort 2 (Teduglutide 4 mg): Syringe Injection in Abdomen224.7± 17.6
Cohort 2 (Teduglutide 4 mg): Syringe Injection in Arm228.2± 27.1
Cohort 2 (Teduglutide 4 mg): Syringe Injection in Thigh228.7± 20.0
Cohort 2 (Teduglutide 4 mg): Pen Injector in Abdomen247.0± 19.7
Cohort 2 (Teduglutide 4 mg): Pen Injector in Arm296.8± 24.4
Cohort 2 (Teduglutide 4 mg): Pen Injector in Thigh268.1± 20.9
Time of First Occurrence of Maximum Observed Plasma Concentration (Cmax) [Tmax] of Teduglutide Secondary · Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 24 hours post-dose of Treatment Period 1 and Treatment Period 2
GroupValue95% CI
Cohort 1 (Teduglutide 3 mg): Treatment A1 (Syringe Injection)4.0022.00 – 8.06
Cohort 1 (Teduglutide 3 mg): Treatment B1 (Pen Injector)4.0010.50 – 8.05
Cohort 2 (Teduglutide 4 mg): Treatment A2 (Syringe Injection)4.9992.01 – 8.04
Cohort 2 (Teduglutide 4 mg): Treatment B2 (Pen Injector)4.5072.00 – 12.00
Terminal Disposition Phase Rate Constant (Lambda z) of Teduglutide Secondary · Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 24 hours post-dose of Treatment Period 1 and Treatment Period 2
GroupValue95% CI
Cohort 1 (Teduglutide 3 mg): Treatment A1 (Syringe Injection)0.4055± 51.2
Cohort 1 (Teduglutide 3 mg): Treatment B1 (Pen Injector)0.4191± 41.0
Cohort 2 (Teduglutide 4 mg): Treatment A2 (Syringe Injection)0.3971± 41.8
Cohort 2 (Teduglutide 4 mg): Treatment B2 (Pen Injector)0.3236± 48.1
Terminal Disposition Phase Half-Life (t1/2z) of Teduglutide Secondary · Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 24 hours post-dose of Treatment Period 1 and Treatment Period 2
GroupValue95% CI
Cohort 1 (Teduglutide 3 mg): Treatment A1 (Syringe Injection)1.930± 1.1070
Cohort 1 (Teduglutide 3 mg): Treatment B1 (Pen Injector)1.797± 0.8341
Cohort 2 (Teduglutide 4 mg): Treatment A2 (Syringe Injection)1.903± 0.9107
Cohort 2 (Teduglutide 4 mg): Treatment B2 (Pen Injector)2.385± 1.2292
Apparent Total Body Clearance (CL/F) of Teduglutide Secondary · Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 24 hours post-dose of Treatment Period 1 and Treatment Period 2

CL/F for extravascular administration divided by the fraction of dose absorbed of teduglutide was assessed and reported.

GroupValue95% CI
Cohort 1 (Teduglutide 3 mg): Treatment A1 (Syringe Injection)13.48± 3.2060
Cohort 1 (Teduglutide 3 mg): Treatment B1 (Pen Injector)12.31± 2.9332
Cohort 2 (Teduglutide 4 mg): Treatment A2 (Syringe Injection)17.97± 3.5737
Cohort 2 (Teduglutide 4 mg): Treatment B2 (Pen Injector)15.27± 3.5042
Apparent Volume of Distribution (Vz/F) of Teduglutide Secondary · Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 24 hours post-dose of Treatment Period 1 and Treatment Period 2

Vz/F associated with the terminal slope following extravascular administration divided by the fraction of dose absorbed of teduglutide was assessed and reported.

GroupValue95% CI
Cohort 1 (Teduglutide 3 mg): Treatment A1 (Syringe Injection)36.85± 18.837
Cohort 1 (Teduglutide 3 mg): Treatment B1 (Pen Injector)31.86± 15.382
Cohort 2 (Teduglutide 4 mg): Treatment A2 (Syringe Injection)49.84± 27.394
Cohort 2 (Teduglutide 4 mg): Treatment B2 (Pen Injector)51.01± 23.867
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Secondary · From the start of study drug administration up to follow-up (up to 42 days)

An adverse event (AE) was defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A TEAE was defined as an AE that started or worsened at the time of or after study drug administration. Number of participants with TEAEs included injection site reactions and injection site injury assessments.

GroupValue95% CI
Cohort 1 (Teduglutide 3 mg): Treatment A1 (Syringe Injection)13
Cohort 1 (Teduglutide 3 mg): Treatment B1 (Pen Injector)10
Cohort 2 (Teduglutide 4 mg): Treatment A2 (Syringe Injection)9
Cohort 2 (Teduglutide 4 mg): Treatment B2 (Pen Injector)5

Adverse events — posted to ClinicalTrials.gov

Time frame: From the start of study drug administration up to follow-up (up to 42 days). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort 1 (Teduglutide 3 mg): Treatment A1 (Syringe Injection)
Serious: 0/32 (0%)
Deaths: 0/32
Cohort 1 (Teduglutide 3 mg): Treatment B1 (Pen Injector)
Serious: 0/32 (0%)
Deaths: 0/32
Cohort 2 (Teduglutide 4 mg): Treatment A2 (Syringe Injection)
Serious: 0/32 (0%)
Deaths: 0/32
Cohort 2 (Teduglutide 4 mg): Treatment B2 (Pen Injector)
Serious: 0/32 (0%)
Deaths: 0/32
Other adverse events (10 terms — click to expand)

ReactionSystemCohort 1 (Teduglutide 3 mg…Cohort 1 (Teduglutide 3 mg…Cohort 2 (Teduglutide 4 mg…Cohort 2 (Teduglutide 4 mg…
NauseaGastrointestinal disorders
Abdominal painGastrointestinal disorders
Injection site painGeneral disorders
DizzinessNervous system disorders
Vision blurredEye disorders
Abdominal distensionGastrointestinal disorders
VomitingGastrointestinal disorders
Injection site erythemaGeneral disorders
Vessel puncture site painGeneral disorders
HeadacheNervous system disorders

Data from ClinicalTrials.gov NCT04465396 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the bioavailability of teduglutide administered as a single subcutaneous (SC) fixed dose (depending upon participant weightband assignment) delivered by a syringe injection and the same fixed dose delivered by the pen injector in healthy participants.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing