Study of IMCY-0098 in Patients With Recent Onset Type 1 Diabetes

NCT ID: NCT03272269

Last Updated: 2019-09-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

41 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-08-23

Study Completion Date

2019-08-30

Brief Summary

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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.

Detailed Description

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Conditions

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Type 1 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
Double-blind, placebo controlled

Study Groups

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Cohort 1, low dose

4 SC injections of IMCY-0098 or Placebo

Group Type EXPERIMENTAL

IMCY-0098

Intervention Type DRUG

Small synthetic peptide for SC admin. Solvent: alum hydroxide

Placebo

Intervention Type OTHER

Solvent: alum hydroxide

Cohort 2, medium dose

4 SC injections of IMCY-0098 or Placebo

Group Type EXPERIMENTAL

IMCY-0098

Intervention Type DRUG

Small synthetic peptide for SC admin. Solvent: alum hydroxide

Placebo

Intervention Type OTHER

Solvent: alum hydroxide

Cohort 3, high dose

4 SC injections of IMCY-0098 or Placebo

Group Type EXPERIMENTAL

IMCY-0098

Intervention Type DRUG

Small synthetic peptide for SC admin. Solvent: alum hydroxide

Placebo

Intervention Type OTHER

Solvent: alum hydroxide

Interventions

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IMCY-0098

Small synthetic peptide for SC admin. Solvent: alum hydroxide

Intervention Type DRUG

Placebo

Solvent: alum hydroxide

Intervention Type OTHER

Other Intervention Names

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Imotope

Eligibility Criteria

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Inclusion Criteria

1. Male or female 18 to 30 years of age
2. Initial diagnosis of Type 1 diabetes according to ADA/WHO criteria within the past 6 months
3. Insulin requirement, as determined by the investigator
4. Presence of at least one autoantibody (GAD65, IA-2, or ZnT8)
5. Fasting C-peptide at screening \>0.2 nmol/L and/or stimulated C-peptide ≥ 0,4 nmol/L.
6. HLADR3-positive and/or HLADR4-positive
7. Willingness to undergo the insulin treatment prescribed by the physician
8. Body mass index (BMI) between 17-28 kg/m2 at screening
9. Fully informed written consent obtained
10. Males with reproductive potential should use barrier method of contraception (condom) from screening up to 90 days after last treatment with investigational product.
11. Women of childbearing potential should use an highly effective contraception method from screening and for the whole duration of the study.

Exclusion Criteria

1. Ongoing or planned pregnancy during the whole duration of the study or lactation
2. 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 .
3. 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
4. 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)
5. History of, or current malignancy (except excised basal cell skin cancer)
6. Clinical evidence of a diabetes-related complication that could interfere with patient's participation/completion of study
7. Primary or secondary immune deficiency disorders
8. Human Immunodeficiency virus (HIV), chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection
9. Presence at screening of abnormal laboratory values grade 2 or more according to the World Health Organization (WHO) Toxicity Scale
10. Anti-diabetic treatments other than insulin in the week prior to first study drug administration
11. Ongoing treatment with immunosuppressive agents or treatment within the past year with the exception of topical or intra nasal corticosteroids.
12. Treatment with immunotherapy within the past 3 months
13. Treatment with an investigational drug within the past 3 months
14. Patients with a known hypersensitivity to any component of the drug product should be excluded from the study
15. Patients under treatment with statins at the time of screening.
Minimum Eligible Age

18 Years

Maximum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Imcyse SA

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pierre Vandepapelière, MD

Role: STUDY_DIRECTOR

Imcyse SA

Christian Boitard, MD

Role: PRINCIPAL_INVESTIGATOR

Hôpital Cochin, Paris, France

Locations

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Hôpital Erasme

Brussels, , Belgium

Site Status

UZ Brussel

Brussels, , Belgium

Site Status

UZ Gent

Ghent, , Belgium

Site Status

Bispebjerg and Frederiksberg Hospital

Copenhagen, , Denmark

Site Status

CHU de Nantes, Hôpital Laennec

Nantes, , France

Site Status

GWT-TUD GmbH

Dresden, , Germany

Site Status

Klaipeda University Hospital

Klaipėda, , Lithuania

Site Status

University Hospital Santaros Klinikos

Vilnius, , Lithuania

Site Status

Clinical Trial Center, CTC

Gothenburg, , Sweden

Site Status

ProbarE Stockholm

Stockholm, , Sweden

Site Status

Cambridge University Hospitals NHS Foundation Trust

Cambridge, , United Kingdom

Site Status

Cardiff University

Cardiff, , United Kingdom

Site Status

Royal Devon and Exeter NHS Trust

Exeter, , United Kingdom

Site Status

Guy's and St. Thomas NHS Trust

London, , United Kingdom

Site Status

St. Bartholomew's Hospital (Barts Health NHS Trust)

London, , United Kingdom

Site Status

Newcastle University

Newcastle upon Tyne, , United Kingdom

Site Status

Oxford University Hospitals NHS Foundation Trust

Oxford, , United Kingdom

Site Status

Countries

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Belgium Denmark France Germany Lithuania Sweden United Kingdom

References

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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.

Reference Type BACKGROUND
PMID: 23056200 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 26388872 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 26973647 (View on PubMed)

Van Rampelbergh J, Achenbach P, Leslie RD, Kindermans M, Parmentier F, Carlier V, Bovy N, Vanderelst L, Van Mechelen M, Vandepapeliere P, Boitard C. First-in-human, double-blind, randomized phase 1b study of peptide immunotherapy IMCY-0098 in new-onset type 1 diabetes: an exploratory analysis of immune biomarkers. BMC Med. 2024 Jun 21;22(1):259. doi: 10.1186/s12916-024-03476-y.

Reference Type DERIVED
PMID: 38902652 (View on PubMed)

Van Rampelbergh J, Achenbach P, Leslie RD, Ali MA, Dayan C, Keymeulen B, Owen KR, Kindermans M, Parmentier F, Carlier V, Ahangarani RR, Gebruers E, Bovy N, Vanderelst L, Van Mechelen M, Vandepapeliere P, Boitard C. First-in-human, double-blind, randomized phase 1b study of peptide immunotherapy IMCY-0098 in new-onset type 1 diabetes. BMC Med. 2023 May 24;21(1):190. doi: 10.1186/s12916-023-02900-z.

Reference Type DERIVED
PMID: 37226224 (View on PubMed)

Related Links

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Other Identifiers

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IMCY-T1D-001

Identifier Type: -

Identifier Source: org_study_id

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