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Teplizumab in Pediatric Stage 2 Type 1 Diabetes

Phase 4
Recruiting
Conditions
Diabetes Mellitus, Type 1
Interventions
Registration Number
NCT05757713
Lead Sponsor
Provention Bio, a Sanofi Company
Brief Summary

The purpose of this study is to assess the safety and pharmacokinetics (PK) of teplizumab in participants with Stage 2 type 1 diabetes who are \<8 years of age.

Detailed Description

This is a single-arm, non-randomized, open-label, multicenter study in the U.S. to assess the safety and pharmacokinetics of teplizumab in pediatric participants with Stage 2 type 1 diabetes (T1D) (two T1D-related autoantibodies and dysglycemia) who are 0 to \<8 years of age. Anti-drug antibodies/neutralizing antibodies (ADA/NAb) will also be assessed.

Approximately 20 participants will be enrolled. The regimen consists of an intravenous infusion of teplizumab once daily for 14 consecutive days. The study duration for each individual may last up to approximately 26 months.

The safety, tolerability, PK, ADA, and T1D clinical feature data will be summarized using descriptive statistics.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
20
Inclusion Criteria
  1. Participant is a male or female 0 to < 8 years of age, inclusive, at Day 1
  2. Participant has Stage 2 T1D (two T1D-related autoantibodies and dysglycemia)
Exclusion Criteria
  1. Participant has any autoimmune disease other than T1D with the exception of stable thyroid or celiac disease
  2. Has an active infection and/or fever
  3. Has a history of or serologic evidence at screening of current or past infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV).
  4. Has any condition that, in the opinion of the Investigator, would interfere with the study conduct or the safety of the participant.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
teplizumab injectionteplizumabteplizumab injection, sterile solution for intravenous use
Primary Outcome Measures
NameTimeMethod
Treatment-emergent adverse events (TEAEs), adverse events of special interest (AESIs), TEAEs leading to withdrawal, and serious adverse events (SAEs)Through 104 Weeks

Safety and tolerability endpoint

Secondary Outcome Measures
NameTimeMethod
Anti-drug antibody (ADA) titers and presence of neutralizing antibodies (Nab)Through 104 weeks

Immunogenicity endpoint

Serum concentrations of teplizumabSparse PK samples between Days 1 and 28

Pharmacokinetic (PK) endpoint

CD3 receptor occupancyDays 1 and 9

To assess the effects of teplizumab on cluster of differentiation 3 (CD3) receptor occupancy

Trial Locations

Locations (10)

UCSF Medical Center Site Number : 107

🇺🇸

San Francisco, California, United States

Barbara Davis Center for Diabetes Site Number : 102

🇺🇸

Aurora, Colorado, United States

Yale University School of Medicine Site Number : 101

🇺🇸

New Haven, Connecticut, United States

Centricity Research Site Number : 104

🇺🇸

Columbus, Georgia, United States

Indianapolis University Health Riley Hospital for Children Site Number : 110

🇺🇸

Indianapolis, Indiana, United States

UBMD Pediactrics Site Number : 105

🇺🇸

Buffalo, New York, United States

Children's Hospital of Philadelphia Site Number : 108

🇺🇸

Philadelphia, Pennsylvania, United States

Sanford Diabetes and Thyroid Clinic Site Number : 106

🇺🇸

Sioux Falls, South Dakota, United States

Vanderbilt Univerity Medical Center Site Number : 109

🇺🇸

Nashville, Tennessee, United States

MulitCare Institute for Research & Innovation Site Number : 103

🇺🇸

Tacoma, Washington, United States

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