The effect of anti-IL17 in new-onset type 1 diabetes: a randomized, double-blind, placebo-controlled trial

Phase 1

Conditions: Type 1 diabetes
Therapeutic area: Diseases [C] - Hormonal diseases [C19]

Registration Number: EUCTR2019-001188-58-SE

Lead Sponsor: Göteborgs Universitet

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Authorised-recruitment may be ongoing or finished

Sex: All

Target Recruitment: 127

Inclusion Criteria

Subjects eligible for inclusion in the study have to fulfil all of the following criteria:
•Signed informed consent and expected cooperation of the patients for the treatment and follow up must be obtained and documented according to ICH GCP, and national/local regulations before trial activities are begun.
•Must be willing and capable of taking the study drugs and meet for tests and follow up as described.
•Diagnosed Type 1 Diabetes (E10.9) within 100 days.
•First injection of insulin maximum 100 days prior to screening. If age 36-45 years, a current insulin regimen of both basal and prandial insulin or alternately use of an insulin pump should exist.
•Aged 18-45 years old.
•Presence of antibodies at clinical practice or at screening to at least one of the following antigens: insulin/IAA, GAD-65, IA-2 and ZnT8.
•Remaining stimulated peak C–peptide = 0.20 nmol/L. If age 36-45 years, peak C-peptide should be <2.0 nmol/L.
•Male subjects agree to use a reliable method of birth control during the study.
•Female subjects:
Participants of childbearing age or childbearing potential who are sexually active who test negative for pregnancy must be counseled and agree to use either 1 highly effective method of contraception or 2 acceptable methods of contraception combined for the duration of the study and for at least 12 weeks following the last dose of study drug or remain abstinent during the study and for at least 12 weeks following the last dose of study drug.

If the highly effective contraceptive methods are contraindicated or strictly declined by patient, acceptable birth control methods may be considered. These may include combination of both of the following methods:
oMale or female condom with spermicide
oCap, diaphragm, or sponge with spermicide

1.Highly effective methods of contraception (use 1 form):
ocombined oral contraceptive pill and mini-pill
oNuvaRing®
oimplantable contraceptives
oinjectable contraceptives (such as Depo-Provera®)
ointrauterine device (such as Mirena® and ParaGard®)
ocontraceptive patch—ONLY women <198 pounds or 90 kg
oabstinence from sex
ovasectomy—for men in clinical studies

2.Effective methods of contraception (use 2 forms combined)
omale condom with spermicide
ofemale condom with spermicide
odiaphragm with spermicide
ocervical sponge
ocervical cap with spermicide

Females who are not of childbearing potential include those who have undergone or who have:
ofemale sterilization
ohysterectomy
omenopause
oMüllerian agenesis (Mayer–Rokitansky–Küster–Hauser syndrome [also referred to ascongenital absence of the uterus and vagina])
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 127
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

Subjects fulfilling any of the following criteria are not eligible for inclusion in this study:
•Contraindications to Ixekizumab.
•Treatment with any oral or injected glucose-lowering agents other than insulin.
•A history of haemolytic anaemia or significantly abnormal haematology/coagulation results at screening.
•Participation in other clinical trials with a new chemical entity within the previous 3 months.
•Subjects with severe obesity (BMI >35 kg/m2 if age 18-35 years and BMI >30 kg/m2 if age 36-45), psoriasis, psoriasis arthritis and axial spondylarthrosis, except celiac disease and hypothyroidism which do not need to be excluded for.
•Active serious or chronic infections (ie: in case patient had a serious infection (eg pneumonia, cellulitis), has been hospitalized, has received intravenous antibiotics for an infection within 12 weeks prior to screening visit, had a serious bone or joint infection within 24 weeks before screening visit, has ever had an infection of an artificial joint
•Known immunodeficiency or patient is immunocompromised to an extent that participation in the study would pose and unacceptable risk to the patient
•Active or latent tuberculosis
•HIV or active hepatitis B or C
•Active or recurrent fungal infection
•Subjects with myocardial infarction, stroke, unstable angina or heart failure last 6 months
•Current clinically significant cardiac arrhythmias as verified by ECG
•Planned surgery during the treatment period of the study (except minor surgery on skin lesions, e.g., nevus)
•For female subjects: Positive pregnancy test, presently breast-feeding, or unwillingness to use effective contraceptive measures for the duration of the study and 3- months after discontinuation.
•For male subjects: intent to procreate during the duration of the study or within 3 months after discontinuation or unwillingness of their partner to use effective contraceptive measures for the duration of the study and 4 months after discontinuation.
•Any history of malignancy the last 5 years except for completely resected squamous or basal cell carcinoma of the skin.
•Administration of live attenuated vaccine(s) (LAV) within 2 months of enrolment. Or intended use of LAV during the treatment period.
•The investigator judges that the clinical diagnosis of T1D set is incorrect or uncertain (needs to be confirmed by discussion with experienced diabetologist if excluding due to this criterion)
•Allergy against ingredients of the investigational products.
•Known allergy or hypersensitivity to any biologic therapy (active substance or excipients) that would pose an unacceptable risk to the patient if participating in the study
•Presence of serious disease or condition, which in the opinion of the investigator makes the patient non-eligible for the study.
•Liver injury criteria: patients with active hepatobiliary diseases or at screening having alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2.5 times the upper limit of normal (>2.5 x ULN)
•Laboratory abnormalities at screening:
a.Neutrophil count < 1,500 cells/ µL (=1,5 *109 cells/ L)
b.Platelet count < 100,000 cells/ µL (= 100 *109 cells/ L)
c.Hemoglobin < 8.5 g/dL (= <85 g/L) (males) and <8g/dL (= <80 g/L) (women)