Идёт набор NCT07088068

A Study to Investigate Efficacy and Safety of Teplizumab Compared With Placebo in Participants 1 to 25 Years of Age With Stage 3 Type 1 Diabetes

Фаза III С лечением Type 1 Diabetes Mellitus

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: Teplizumab, Placebo.
Кому может быть актуально: Состояния в реестре: Type 1 Diabetes Mellitus. Базовые параметры: 1 год — 25 лет · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: США, Аргентина, Австралия, Бельгия, Бразилия +12
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

A Randomized, Double-blind, Phase 3 Study to Investigate Efficacy and Safety of Teplizumab Compared With Placebo in Participants 1 to 25 Years of Age With Recently Diagnosed Stage 3 Type 1 Diabetes (T1D)

Обзор

This is a multicenter, randomized, double-blind, parallel, placebo-controlled Phase 3, 2-arm study for treatment. The purpose of this study is to measure change in glycemic control and prandial insulin independency over 52 weeks with teplizumab compared with placebo, both administered by intravenous (IV) infusion, in participants with recently diagnosed Stage 3 type 1 diabetes (T1D) aged 1 to 25 years, on standard insulin therapy.

Подробное описание

The study duration for one participant will be approximately 84 weeks (18 months).

Вмешательства

Препарат Teplizumab
Pharmaceutical form: Solution for injection Route of administration: Intravenous infusion
Другое Placebo
Pharmaceutical form: Solution for injection Route of administration: Intravenous infusion

Первичные конечные точки

For United States (US) and non-European Union (EU) countries: Glycated hemoglobin (HbA1c) change from baseline [Срок оценки: From Baseline to Week 52]
For US and non-EU countries: Total number of days without prandial insulin use [Срок оценки: From baseline to Week 52]
For EU countries: Change from baseline in mean 2 hours mixed meal tolerance test (MMTT) stimulated C-peptide concentration, calculated from Area Under the Curve (AUC) in participants 5 years and older [Срок оценки: From baseline to Week 52]
For EU countries: HbA1c change from baseline [Срок оценки: From baseline to Week 52]
For EU countries: Total number of days without prandial insulin use [Срок оценки: From baseline to Week 52]

Вторичные конечные точки (9)

Change from baseline in mean 2 hours MMTT stimulated C-peptide concentration, calculated from AUC [Срок оценки: From baseline to Week 52]
Participants remaining C-peptide positive (2 hours MMTT stimulated peak C-peptide concentration ≥0.2 nmol/L) [Срок оценки: At Week 52]
Incidence of participants with HbA1c ≤6.5% and requiring ≤0.25 IU/kg/day of insulin [Срок оценки: At Week 52]
Change from baseline in Time-in-Range (TIR) (70-180 mg/dL blood glucose) assessed by continuous glucose monitoring (CGM) [Срок оценки: From baseline to Week 52]
Number of level 2 and 3 (according to American Diabetes Association) hypoglycemic events per participant year (event rates) [Срок оценки: From baseline to week 52]
Number of participants with treatment emergent adverse events (TEAEs), serious adverse events (SAEs), adverse events of special interest (AESIs) and TEAEs leading to treatment discontinuation [Срок оценки: From baseline to week 78]
Teplizumab PK parameters: Maximum concentration of teplizumab [Cmax] [Срок оценки: From baseline to Week 30]
Teplizumab PK parameters: Area under the curve [AUC] and [AUClast] [Срок оценки: From baseline to Week 30]
Incidence of antidrug-antibodies (ADAs) [Срок оценки: From baseline to week 78]

Критерии участия

Критерии включения

Participants are eligible to be included in the study only if all of the following criteria apply:
Participant must be 1 to 25 years of age inclusive, at the time of signing the informed consent.
Participants diagnosed with T1D Stage 3 according to American Diabetes Association 2025 criteria
Participants able to be randomized and initiate study drug within 8 weeks (56 days) of the Stage 3 T1D diagnosis
Participants must be positive for at least one T1D autoantibody at screening:
Glutamic acid decarboxylase (GAD-65),
Insulinoma Antigen-2 (IA-2),
Zinc-transporter 8 (ZnT8), or
Insulin (if obtained not later than 14 days after exogenous insulin therapy initiation).
Islet cell cytoplasmic autoantibodies (ICAs)
Have random C-peptide level ≥0.2 nmol/L obtained at screening
Enter Inclusion Criteria Sex
Both male and female participants are eligible.
Contraceptive use by women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
A female participant is eligible to participate if she is not pregnant, and one of the following conditions applies:
Is a woman of nonchildbearing potential (WONCBP) OR
Is a woman of childbearing potential (WOCBP) and agrees to use a contraceptive method that is highly effective, with a failure rate of <1% during the study intervention period (to be effective before starting the intervention) and for at least 30 days after the last administration of study intervention.
A WOCBP must have a negative highly sensitive pregnancy test at screening (serum) and within 24 hours (urine or serum as required by local regulations) before the first administration of study intervention.
Lactating woman must interrupt breastfeeding and pump and discard breast milk during and for 20 days after last administration of study intervention.
Capable of giving signed informed consent as described in Appendix 1 of the protocol which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol.

Note: For minor participants, a specific ICF must also be signed by the participant's legally authorized representative (LAR).

Критерии исключения

Participants are excluded from the study if any of the following criteria apply:

Participant has diabetes other than autoimmune T1D that includes but is not limited to genetic forms of diabetes, maturity-onset diabetes of the young (MODY), diabetes secondary to medications or surgery and type 2 diabetes by judgement of the Investigator.
Participant has an active serious infection and/or fever ≥38.5°C (101.3°F) within the 48 hours prior to the first dose (except if localized skin infection), or has chronic, recurrent or opportunistic infectious disease.
At screening, participant has laboratory or clinical evidence of acute or clinically active infection with Epstein-Barr virus (EBV), cytomegalovirus (CMV).
At screening, participant has positive serology for human immunodeficiency virus (HIV), hepatitis B (HBV), or hepatitis C (HCV).
Participant has evidence of active or latent tuberculosis (TB) as documented by medical history and examination, chest X-rays (posterior anterior and lateral), and/or TB testing. Blood testing (eg, QuantiFERON® TB Gold test) is strongly preferred; if not available, any local approved TB test is allowed.
Has other autoimmune diseases, (eg, rheumatoid arthritis, polyarticular juvenile idiopathic arthritis, psoriatic arthritis, ankylosing spondylitis, multiple sclerosis, systemic lupus erythematosus etc), except clinically stable autoimmune thyroid disease, or controlled celiac disease (at discretion of Investigator).
Any clinically significant abnormality identified either in medical/surgical history or during screening evaluation (eg, physical examination, laboratory tests, vital signs), or any adverse event (AE) during screening period which, in the judgment of the investigator, would preclude safe completion of the study or constrains efficacy assessment.
Participant has recent or planned vaccinations as follows:
Live-attenuated (live) vaccines (eg, varicella, measles, mumps, rubella, cold-attenuated intranasal influenza vaccine, and smallpox) within the 8 weeks before first dose of the investigational medicinal product (IMP) or planned/required administration during treatment or up to 26 weeks after last IMP administration in any treatment course
Inactivated or mRNA vaccines within 2 weeks before the first dose of IMP or planned required administration during treatment or up to 6 weeks after last IMP administration in any treatment course.
Current or prior use (within 30 days before screening) of any anti-hyperglycemic agents other than insulin
Past (within 30 days prior to screening) or current administration of any treatment that is known to cause a significant, ongoing change in the course of T1D or immunologic status (including but not limited to oral, inhaled or systemically injected steroids with duration >14 days, adrenocorticotropic hormone, verapamil).
Past systemic immunosuppression medicine or immune modulatory biologic therapy (such as monoclonal antibodies), within 3 months or 5 half-lifes (whichever is longer) prior to dosing.
Current or prior (within 30 days before screening) use of any medication known to significantly influence glucose tolerance (eg, atypical antipsychotics, diphenylhydantoin, niacin).
Participant has previously received teplizumab or other anti-CD3 treatment.
Other medications not compatible or interfering with IMP at discretion of Investigator.
Current enrollment OR past participation in another investigational study in which an investigational intervention (eg, drug, vaccine, invasive device) was administered within the last 8 weeks or 5 half-lifes, whichever is longer, prior to screening.
Participant has any of the following laboratory parameters, at screening prior to first dose:
Lymphocyte count: <1000/µL,
Neutrophil count: <1500/µL,
Platelet count: <150,000 platelets/µL,
Hemoglobin: <10 g/dL,
Aspartate aminotransferase (AST) >2.0 × upper limit of normal (ULN),
Alanine aminotransferase (ALT) >2.0 × ULN,
Total bilirubin >1.5 × ULN with the exception of participants with the diagnosis of Gilbert's syndrome who may be eligible provided they have no other causes leading to hyperbilirubinemia

The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение: Рандомизированное
Модель: Параллельные группы
Маскирование: Четверное слепое
Основная цель: Лечение

Центры проведения

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Investigational Site Number : 1560035 — Пекин
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Investigational Site Number : 1560009 — Changchun
Investigational Site Number : 1560001 — Чанша
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Yale University School of Medicine- Site Number : 8400005 — New Haven
University of Florida College of Medicine- Site Number : 8400054 — Gainesville
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