Dasiglucagon (Zegalogue)

Peptide

Dasiglucagon is a 29-amino acid glucagon analog with 7 amino acid substitutions for improved aqueous stability. FDA-approved March 2021 for severe hypoglycemia in patients 6+ with diabetes. First ready-to-use aqueous glucagon formulation (no reconstitution needed). Phase 3 trial (n=170): Median time to recovery 10 min vs 40 min placebo (P<0.001). 99% achieved plasma glucose recovery within 15 min. Also being studied for congenital hyperinsulinism.

Quick Answer

What it is

Dasiglucagon is a 29-amino acid glucagon analog with 7 amino acid substitutions for improved aqueous stability. FDA-approved March 2021 for severe hypoglycemia in patients 6+ with diabetes.

Key findings

  • Grade A: Time to Glucose Recovery (Adult)
  • Grade A: 15-Minute Recovery Rate
  • Grade A: Pediatric Efficacy

Safety

No specific caution or interaction language was detected in the current summary/outcome notes.

⚠️ Research Notice

This peptide information is for educational and research purposes only. Peptides may not be FDA-approved for human use and may only be legally available for research purposes. Consult qualified healthcare professionals before considering any peptide compounds.

ℹ️ Quick Facts: Dasiglucagon (Zegalogue)

Quick Facts: Dasiglucagon (Zegalogue)

  • Best Evidence:Grade A
  • Conditions Studied:1
  • Research Outcomes:7
  • Grade A Findings:3
  • Grade B Findings:3
A3
B3
C1
D0
1 conditions · 7 outcomes

Detailed Outcomes

A
Time to Glucose Recovery (Adult)
Phase 3 trial (n=170 T1DM adults): Median time to plasma glucose recovery 10 min with dasiglucagon vs 40 min placebo (P<0.001). Similar to reconstituted glucagon (12 min). Led to FDA approval March 2021.
large↓Improves
A
15-Minute Recovery Rate
Phase 3 adult trial: 99% (all but 1 patient) achieved plasma glucose recovery within 15 min with dasiglucagon vs only 2% placebo (P<0.001). Similar to reconstituted glucagon (95%).
large↑Improves
A
Pediatric Efficacy
Phase 3 pediatric trial (children/adolescents with T1DM): Rapid and effective treatment of insulin-induced hypoglycemia. Median time to recovery comparable to adults. Safe in ages 6 years and older.
large↑Improves
B
Ready-to-Use Formulation Benefit
First glucagon in ready-to-use aqueous formulation requiring no reconstitution. Eliminates mixing errors and delays in emergency situations. Stable at room temperature for 12 months.
moderate↑Improves
B
Blood Glucose Control
35 human trials and systematic reviews support this finding. Evidence includes systematic reviews/meta-analyses. Human clinical trial data available.
moderate↓Improves
B
Safety/Tolerability
6 human trials and systematic reviews support this finding. Evidence includes systematic reviews/meta-analyses. Human clinical trial data available.
small↑Improves
C
Anti-Aging
3 human trials and systematic reviews support this finding. Evidence includes systematic reviews/meta-analyses. Human clinical trial data available.
small↑Improves

Research Citations (33)

Dasiglucagon in Children with Congenital Hyperinsulinism up to 1 Year of Age: Results from a Randomized Clinical Trial
(2025)
PMID: 39584500
Necrolytic migratory erythema following prolonged continuous subcutaneous dasiglucagon administration: a rare dermatologic adverse event.
(2025)
PMID: 40300042
Managing post-bariatric hypoglycemia: a systematic review of pharmacological therapies.
(2025)
PMID: 41126373
Letter to the Editor From He et al: "Dasiglucagon in Children With Congenital Hyperinsulinism up to 1 Year of Age: Results From a Randomized Clinical Trial".
(2025)
PMID: 39985816
Response to Letter to the Editor From He et al: "Dasiglucagon in Children With Congenital Hyperinsulinism up to 1 Year of Age: Results From a Randomized Clinical Trial".
(2025)
PMID: 39985817
Dasiglucagon for the Treatment of Congenital Hyperinsulinism: A Randomized Phase 3 Trial in Infants and Children
(2024)
PMID: 37930757
Dasiglucagon for the Treatment of Insulin-induced Hypoglycemia in Patients with Type 1 Diabetes Mellitus: A Meta-analysis
(2024)
PMID: 37908011
Transitional Neonatal Hypoglycemia and Adverse Neurodevelopment in Midchildhood.
(2024)
PMID: 38530314
Dasiglucagon: a New Hope for Managing Post-prandial Hypoglycemia After Gastric Bypass Surgery?
(2024)
PMID: 39482446
Pharmacokinetics, pharmacodynamics, safety and tolerability of cilofexor, a novel nonsteroidal Farnesoid X receptor agonist, in healthy volunteers
(2023)
PMID: 36573450