A GLP-1 Receptor PET Imaging Substudy Within the VER-A-T1D Trial Investigating the Effects on Beta Cell Mass

NCT ID: NCT04615910

Last Updated: 2023-12-08

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-01

Study Completion Date

2025-07-01

Brief Summary

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The goal of the trial is to measure pancreatic uptake of 68Ga-NODAGA-exendin by PET/CT for detection of intra-individual differences in beta cell mass before and after treatment with Verapamil.

Detailed Description

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The VER-A-T1D (Verapamil SR in adults with Type 1 Diabetes) study is an intervention study within the INNODIA project (an Innovative Medicines Initiative consortium (IMI-2), established through Horizon 2020 initiative of the European Union, involving academic, industry and charitable partners).

In the VER-A-T1D study, the effects of treatment of newly diagnosed patients with T1D with Verapamil will be evaluated. Verapamil appears to protect beta cell function, an effect that could in part be caused by protection against beta cell apoptosis. GLP-1 receptors are expressed in high densities in beta cells. Exendin, a GLP-1 receptor agonist, can be labeled with radionuclides and thus be utilized for visualization of beta cells in vivo by positron emission tomography (PET). This technology has been demonstrated to deliver quantitative information of the radiotracer uptake in the pancreas demonstrating a linear correlation with beta cell mass. In VER-A-T1D, we propose to measure beta cell mass at the time points of inclusion and at evaluation after 12 months. If verapamil protects beta cells against apoptosis, we expect that the uptake of the radiotracer will be higher at 12 months in comparison to the first measurement in the treatment group. The study will be a substudy to VER-A-T1D.

Conditions

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Diabetes Mellitus

Keywords

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Verapamil Type 1 Diabetes Mellitus exendin Beta cell mass PET imaging

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Type 1 Diabetes Mellitus
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Investigators

Study Groups

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Verapamil

Patients treated with Verapamil within the Ver-A-T1D trial

Group Type EXPERIMENTAL

68Ga-NODAGA-exendin-4 PET/CT

Intervention Type RADIATION

68Ga-NODAGA-exendin-4 PET/CT

Placebo

Patients treated with placebo within the Ver-A-T1D trial

Group Type PLACEBO_COMPARATOR

68Ga-NODAGA-exendin-4 PET/CT

Intervention Type RADIATION

68Ga-NODAGA-exendin-4 PET/CT

Interventions

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68Ga-NODAGA-exendin-4 PET/CT

68Ga-NODAGA-exendin-4 PET/CT

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* • Have given written informed consent
* • Age ≥18 and \<45 at consent
* • Must have a diagnosis of T1D of within 6 weeks duration at screening (date of the first insulin
* injection)
* • Must have at least one or more diabetes-related autoantibodies present at screening
* • Must have random C-peptide levels ≥200 pmol/L measured at screening
* • Be willing to comply with intensive diabetes management

Exclusion Criteria

* Renal disease defined as MDRD \<40 ml/min/1.73 m2
* Pregnancy or the wish to become pregnant within 2 months after the second PET/CT scan.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role collaborator

Medical University of Vienna

OTHER

Sponsor Role collaborator

Bart's London

UNKNOWN

Sponsor Role collaborator

KU Leuven

OTHER

Sponsor Role collaborator

Radboud University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Vienna

Vienna, , Austria

Site Status RECRUITING

Assistance Publique hopitaux de Paris

Paris, , France

Site Status RECRUITING

Countries

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Austria France

Central Contacts

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Marti Boss, PhD

Role: CONTACT

Phone: +31614542555

Email: [email protected]

Martin Gotthardt, MD

Role: CONTACT

Phone: +31242613813

Email: [email protected]

Facility Contacts

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Oana Kulterer, MD

Role: primary

Jean-Noel Talbot, PhD

Role: primary

Other Identifiers

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20201013

Identifier Type: -

Identifier Source: org_study_id