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Clinical Trials/NCT03272269
NCT03272269
Completed
Phase 1

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

Imcyse SA17 sites in 7 countries41 target enrollmentStarted: August 23, 2017Last updated:

Overview

Phase
Phase 1
Status
Completed
Sponsor
Imcyse SA
Enrollment
41
Locations
17
Primary Endpoint
Incidence of all adverse events reported for subjects

Overview

Brief Summary

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.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Sequential
Primary Purpose
Treatment
Masking
Triple (Participant, Care Provider, Investigator)

Masking Description

Double-blind, placebo controlled

Eligibility Criteria

Ages
18 Years to 30 Years (Adult)
Sex
All
Accepts Healthy Volunteers
No

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.

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

Arms & Interventions

Cohort 2, medium dose

Experimental

4 SC injections of IMCY-0098 or Placebo

Intervention: Placebo (Other)

Cohort 1, low dose

Experimental

4 SC injections of IMCY-0098 or Placebo

Intervention: IMCY-0098 (Drug)

Cohort 1, low dose

Experimental

4 SC injections of IMCY-0098 or Placebo

Intervention: Placebo (Other)

Cohort 2, medium dose

Experimental

4 SC injections of IMCY-0098 or Placebo

Intervention: IMCY-0098 (Drug)

Cohort 3, high dose

Experimental

4 SC injections of IMCY-0098 or Placebo

Intervention: IMCY-0098 (Drug)

Cohort 3, high dose

Experimental

4 SC injections of IMCY-0098 or Placebo

Intervention: Placebo (Other)

Outcomes

Primary Outcomes

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

  • Assessment of residual beta cell function and markers of metabolic control(up to 24 weeks)

Investigators

Sponsor
Imcyse SA
Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (17)

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