- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03272269
Study of IMCY-0098 in Patients With Recent Onset Type 1 Diabetes
September 4, 2019 updated by: Imcyse SA
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
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 Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
41
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Brussels, Belgium
- Hopital Erasme
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Brussels, Belgium
- UZ Brussel
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Gent, Belgium
- UZ Gent
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Copenhagen, Denmark
- Bispebjerg and Frederiksberg Hospital
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Nantes, France
- CHU de Nantes, Hôpital Laennec
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Dresden, Germany
- GWT-TUD GmbH
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Klaipėda, Lithuania
- Klaipeda University Hospital
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Vilnius, Lithuania
- University Hospital Santaros Klinikos
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Göteborg, Sweden
- Clinical Trial Center, CTC
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Stockholm, Sweden
- ProbarE Stockholm
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Cambridge, United Kingdom
- Cambridge University Hospitals NHS Foundation Trust
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Cardiff, United Kingdom
- Cardiff University
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Exeter, United Kingdom
- Royal Devon and Exeter NHS Trust
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London, United Kingdom
- Guy's and St. Thomas NHS Trust
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London, United Kingdom
- St. Bartholomew's Hospital (Barts Health NHS Trust)
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Newcastle upon Tyne, United Kingdom
- Newcastle University
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Oxford, United Kingdom
- Oxford University Hospitals NHS Foundation Trust
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 30 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
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.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Cohort 1, low dose
4 SC injections of IMCY-0098 or Placebo
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Small synthetic peptide for SC admin.
Solvent: alum hydroxide
Other Names:
Solvent: alum hydroxide
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Experimental: Cohort 2, medium dose
4 SC injections of IMCY-0098 or Placebo
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Small synthetic peptide for SC admin.
Solvent: alum hydroxide
Other Names:
Solvent: alum hydroxide
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Experimental: Cohort 3, high dose
4 SC injections of IMCY-0098 or Placebo
|
Small synthetic peptide for SC admin.
Solvent: alum hydroxide
Other Names:
Solvent: alum hydroxide
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of all adverse events reported for subjects
Time Frame: up to 24 weeks
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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
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up to 24 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Assessment of residual beta cell function and markers of metabolic control
Time Frame: up to 24 weeks
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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
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up to 24 weeks
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Assessment of T lymphocyte immune response to IMCY-0098
Time Frame: up to 24 weeks
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Comparison of changes in IMCY-0098 specific T lymphocyte responses longitudinally following peptide treatment and versus placebo.
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up to 24 weeks
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Pierre Vandepapelière, MD, Imcyse SA
- Principal Investigator: Christian Boitard, MD, Hôpital Cochin, Paris, France
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Carlier VA, VanderElst L, Janssens W, Jacquemin MG, Saint-Remy JM. Increased synapse formation obtained by T cell epitopes containing a CxxC motif in flanking residues convert CD4+ T cells into cytolytic effectors. PLoS One. 2012;7(10):e45366. doi: 10.1371/journal.pone.0045366. Epub 2012 Oct 9.
- Malek Abrahimians E, Carlier VA, Vander Elst L, Saint-Remy JM. MHC Class II-Restricted Epitopes Containing an Oxidoreductase Activity Prompt CD4(+) T Cells with Apoptosis-Inducing Properties. Front Immunol. 2015 Sep 2;6:449. doi: 10.3389/fimmu.2015.00449. eCollection 2015.
- Malek Abrahimians E, Vander Elst L, Carlier VA, Saint-Remy JM. Thioreductase-Containing Epitopes Inhibit the Development of Type 1 Diabetes in the NOD Mouse Model. Front Immunol. 2016 Mar 2;7:67. doi: 10.3389/fimmu.2016.00067. eCollection 2016. Erratum In: Front Immunol. 2018 Jul 09;9:1600.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
August 23, 2017
Primary Completion (Actual)
April 17, 2019
Study Completion (Actual)
August 30, 2019
Study Registration Dates
First Submitted
August 29, 2017
First Submitted That Met QC Criteria
September 1, 2017
First Posted (Actual)
September 5, 2017
Study Record Updates
Last Update Posted (Actual)
September 6, 2019
Last Update Submitted That Met QC Criteria
September 4, 2019
Last Verified
September 1, 2019
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- IMCY-T1D-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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