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Completed

NCT Number: NCT03272269

Study of IMCY-0098 in Patients With Recent Onset Type 1 Diabetes

This clinical study will evaluate the safety of an innovative approach expected to be disease-modifying by stopping the auto-immune-mediated destruction of islet β-cells in the pancreas. Three doses of the investigational product will be tested in successive cohorts. Although safety is the first objective of this study, we will gather efficacy data and perform a set of immunological tests to further understand the mechanism of action of this new approach in young adults with recent onset type 1 diabetes.

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Key information

Age range

18 year–30 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Hôpital Erasme, Brussels, Belgium

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female 18 to 30 years of age
  • Initial diagnosis of Type 1 diabetes according to ADA/WHO criteria within the past 6 months
  • Insulin requirement, as determined by the investigator
  • Presence of at least one autoantibody (GAD65, IA-2, or ZnT8)
  • Fasting C-peptide at screening >0.2 nmol/L and/or stimulated C-peptide ≥ 0,4 nmol/L.
  • HLADR3-positive and/or HLADR4-positive
  • Willingness to undergo the insulin treatment prescribed by the physician
  • Body mass index (BMI) between 17-28 kg/m2 at screening
  • Fully informed written consent obtained
  • Males with reproductive potential should use barrier method of contraception (condom) from screening up to 90 days after last treatment with investigational product.
  • Women of childbearing potential should use an highly effective contraception method from screening and for the whole duration of the study.

Exclusion criteria

  • Ongoing or planned pregnancy during the whole duration of the study or lactation
  • Presence of significant medical conditions in particular chronic liver condition, chronic hematological disease, renal dysfunction of grade 2 or more according to the World Health Organization (WHO) Toxicity Scale .
  • Has any current signs or symptoms of infection at entry or within 2 weeks of entry or has received intravenous antibiotics within 2 months prior to the first planned administration of the study product
  • Has received any live, attenuated vaccine within 3 months prior to the first planned administration of the study product (i.e. oral poliomyelitis vaccine, measles-mumps-rubella vaccine, yellow fever vaccine, Japanese encephalitis vaccine, dengue vaccine, rotavirus vaccine, varicella vaccine, live-attenuated zoster vaccine, Bacillus Calmette-Guérin [BCG] vaccine, oral typhoid vaccine)
  • History of, or current malignancy (except excised basal cell skin cancer)
  • Clinical evidence of a diabetes-related complication that could interfere with patient's participation/completion of study
  • Primary or secondary immune deficiency disorders
  • Human Immunodeficiency virus (HIV), chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection
  • Presence at screening of abnormal laboratory values grade 2 or more according to the World Health Organization (WHO) Toxicity Scale
  • Anti-diabetic treatments other than insulin in the week prior to first study drug administration
  • Ongoing treatment with immunosuppressive agents or treatment within the past year with the exception of topical or intra nasal corticosteroids.
  • Treatment with immunotherapy within the past 3 months
  • Treatment with an investigational drug within the past 3 months
  • Patients with a known hypersensitivity to any component of the drug product should be excluded from the study
  • Patients under treatment with statins at the time of screening.

Treatment and study plan

IMCY-0098

Drug

Small synthetic peptide for SC admin. Solvent: alum hydroxide

Other names: Imotope

Placebo

Other

Solvent: alum hydroxide

Primary outcomes

  1. Incidence of all adverse events reported for subjects

    Time frame: up to 24 weeks

    Safety assessed through measurement and comparison of any reactions or hypersensitivity to IMCY-0098 injection vs placebo. Number of adverse events will also be compared between groups with the addition of safety monitoring blood tests

Secondary outcomes

  1. Assessment of residual beta cell function and markers of metabolic control

    Time frame: up to 24 weeks

    Measured by a change in stimulated C-peptide production, daily insulin usage, glycated haemoglobin levels and glucose levels and excursions from baseline and between groups

Other outcomes

  1. Assessment of T lymphocyte immune response to IMCY-0098

    Time frame: up to 24 weeks

    Comparison of changes in IMCY-0098 specific T lymphocyte responses longitudinally following peptide treatment and versus placebo.

Sponsors and collaborators

Lead sponsor

Imcyse SA

Industry

Registry information

Official study title

A Phase I Placebo-controlled, Double-blind, Dose Escalation Clinical Trial to Evaluate the Safety and Immune Responses of Imcyse's IMCY-0098 in Patients With Recent Onset Type 1 Diabetes

Important dates

Study start
2017
Primary completion
2019
Study completion
2019
First posted
Sep 5, 2017
Registry last updated
Sep 6, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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