Diabetes Mellitus Type 1Phase 2LATE STAGENCT01788033
Effects of XOMA 052 on Insulin Production in Type 1 Diabetes
A Phase 2 study testing XOMA 052 in people with Diabetes Mellitus Type 1, run by University of Zurich at 1 site in Switzerland.
Trial summary
To assess the effects of treatment with XOMA 052 on beta-cell function and insulin production in subjects with well-controlled Type 1 diabetes. The safety, tolerability, and pharmacokinetics (PK) of XOMA 052 will also be assessed. Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Diabetes Mellitus Type 1
- What is being tested?
- XOMA 052
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 22 participants
- Where
- 1 siteSwitzerland
- Study dates
- Sep 2009to Sep 2013
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 55 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Type 1 diabetes (American Diabetes Association [ADA] criteria) of > 2 year duration that is judged to be stable by the investigator
- No clinically significant change in treatment regimen for T1D (defined as a 20% change) during the 3 months prior to Screening
- Age ≥ 18 years and ≤ 55 years
- HbA1c < 7.5% for the previous two measurements including the measurement taken at Screening (both measurements must occur within 6 months prior to enrollment)
- Positive glutamate decarboxylase-65 (GAD65) and/or IA-2 auto-antibodies
- Body-mass index (BMI) > 18 and < 28 kg/m2
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- Willingness to maintain current doses/regimens of vitamins and dietary supplements through the end of the study
- For subjects with reproductive potential, a willingness to use contraceptive measures adequate to prevent the subject or the subject's partner from becoming pregnant during the study. Adequate contraceptive measures include hormonal methods used for two or more cycles prior to Screening (e.g., oral contraceptive pills, contraceptive patch, or contraceptive vaginal ring), double barrier methods (e.g., contraceptive sponge, diaphragm used in conjunction with contraceptive foam or jelly, and condom used in conjunction with contraceptive foam or jelly), intrauterine methods (IUD), sterilization (e.g., tubal ligation or a monogamous relationship with a vasectomized partner), and abstinence.
- For females receiving hormone replacement therapy (including but not limited to oral contraceptives), must have been on a stable regimen for ≥ 6 months prior to Screening. Hormone therapy must not be initiated during the study
Who cannot join
- Signs of current infection or history of infection during the 3 months prior to Day 0
- Known to be positive for Hep B surface antigen (HBsAg), Hep C virus (HCV), or HIV
- History of tuberculosis (TB) or positive PPD test. A subject who has had a positive PPD test but has completed a course of treatment for tuberculosis, had a documented vaccination against tuberculosis, or had a negative QuantiFERON®-TB test result is eligible.
- High sensitivity C-reactive protein (hs-CRP) > 10 mg/L
- Presence of foot, leg, or decubitus ulcers
- Neutropenia
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- Anemia
- Clinically significant kidney or liver disease
- From 1 week prior to Screening, use of anti-inflammatory therapy other than aspirin ≤ 100 mg/day or up to 5 consecutive days of treatment with non-steroidal anti-inflammatory drugs (NSAIDs) for treatment of an acute illness
- Current immunosuppressive treatment or documented immunodeficiency
- History of severe allergic or anaphylactic reactions
- History of asthma requiring systemic corticosteroid therapy
- Coronary intervention or hospitalization for cardiovascular condition within 12 months prior to Day 0
- Uncontrolled hypertension
- History of congestive heart failure
- History of a coronary event within 12 months prior to Screening
- Female subjects who are pregnant, planning to become pregnant during the course of the study, have recently delivered (within 3 month of Screening), or are breast-feeding
- History of malignancy within 5 years prior to study entry other than carcinoma in situ of the cervix or thyroid, or adequately treated, non-metastatic squamous or basal cell carcinoma of the skin
- Receipt of a live (attenuated) vaccine within 3 months prior to Screening
- Use of any other investigational drug within 30 days prior to enrollment or within 5 half-lives of the investigational drug, whichever is longer
- Any condition which, in the opinion of the investigator, would jeopardize the subject's safety following exposure to the study drug
- Any condition (e.g., psychiatric illness) or situation that may compromise the ability of the subject to give written informed consent, may put the subject at significant risk, may confound the study results, or may interfere significantly with the subject's participation in the study
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Randomized, Double-blind, Placebo-controlled, Phase 2 Study of the Effects of XOMA 052 on Insulin Production in Subjects With Well-controlled Type 1 Diabetes
To assess the effects of treatment with XOMA 052 on beta-cell function and insulin production in subjects with well-controlled Type 1 diabetes. The safety, tolerability, and pharmacokinetics (PK) of XOMA 052 will also be assessed.
- Conditions
- Diabetes Mellitus Type 1
- Being tested
- XOMA 052, Placebo
- Medical subject headings
- Diabetes Mellitus, Type 1
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
XOMA 052Drug
0.3 mg/kg XOMA 052. Beginning on Day 0, each subject will receive one subcutaneous (SC) injection of study drug every 4 weeks for 12 weeks, a total of four injections
PlaceboDrug
0.3 mg/kg Placebo. Beginning on Day 0, each subject will receive one subcutaneous (SC) injection of study drug every 4 weeks for 12 weeks, a total of four injections
| Study group | Role | What they receive |
|---|---|---|
| XOMA 052 | Active comparator | 0.3 mg/kg XOMA 052. Beginning on Day 0, each subject will receive one subcutaneous (SC) injection of study drug every 4 weeks for 12 weeks, a total of four injections Receives: Drug: XOMA 052 |
| Placebo | Placebo comparator | 0.3 mg/kg placebo. Beginning on Day 0, each subject will receive one subcutaneous (SC) injection of study drug every 4 weeks for 12 weeks, a total of four injections Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
C-peptide level
Measured: incremental AUC over 120 minutes during the MMTT at Day 112 compared to baseline (Day 0 pre-dose
Secondary outcomes (13)
Change in insulin requirements
Measured: 3-day average daily insulin dose at baseline (Day -3 through Day -1) compared to Day 112 (Day 109 through Day 111)
HbA1c levels
Measured: from baseline (Day 0 pre-dose) at Day 112
fasting glucose
Measured: from baseline (Day 0 pre-dose) at Day 112
fasting glucagon
Measured: from baseline (Day 0 pre-dose) at Day 112
cortisol
Measured: from baseline (Day 0 pre-dose) at Day 112
markers of systemic inflammation (Interleukin-6, Interleukin-8, Tumor Necrosis Factor α, hs-CRP)
Measured: from baseline (Day 0 pre-dose) at Day 112
adipokines
Measured: from baseline (Day 0 pre-dose) at Day 112
meal-stimulated Glucagon like peptide-1
Measured: AUC over 120 minutes at Day 112 compared to baseline (Day 0 pre-dose)
meal-stimulated gastric inhibitory polypeptide
Measured: AUC over 120 minutes at Day 112 compared to baseline (Day 0 pre-dose)
lipids profile
Measured: from baseline (Day 0 pre-dose) at Day 112
Change in fatigue according to the Fatigue Scale for Motor and Cognitive Functions (FSMC) questionnaire
Measured: from baseline at Day 112
Anti XOMA 052 Antibodies
Measured: from baseline (Day 0 pre-dose) at Day 112
Number of Adverse Events
Measured: from baseline (Day 0 pre-dose) at Day 364
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Feb 2013 (estimated)
- Study startSep 2009
- Primary completionSep 2013
- Study completionSep 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diabetes Mellitus Type 1Studies of the same condition, open and under way.
- More trials run by University of ZurichThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 22 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Zurich
- Sponsor type
- University, hospital or other
- Collaborators
- XOMA (US) LLC
- Responsible party
- Sponsor
- Investigators
- Marc Donath, Prof., Study chair, University Hospital, Basel, Switzerland
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01788033
- Sponsor's protocol ID
- EK-189/10
- Acronym
- LATE STAGE
- Status last verified
- Feb 2014
- First submitted
- 1 Feb 2013
- Last updated
- 11 Feb 2014
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 11 Feb 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled, Phase 2 Study of the Effects of XOMA 052 on Insulin Production in Subjects With Well-controlled Type 1 Diabetes
- ClinicalTrials.gov ID
- NCT01788033
- Acronym / sponsor ID
- LATE STAGE / EK-189/10
- Conditions
- Diabetes Mellitus Type 1
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 22 participants (actual)
- Lead sponsor
- University of ZurichUniversity, hospital or other
- Collaborators
- XOMA (US) LLC
- Study start
- Sep 2009
- Primary completion
- Sep 2013 (actual)
- Study completion
- Sep 2013 (actual)
- First posted
- 11 Feb 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To assess the effects of treatment with XOMA 052 on beta-cell function and insulin production in subjects with well-controlled Type 1 diabetes. The safety, tolerability, and pharmacokinetics (PK) of XOMA 052 will also be assessed.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| XOMA 052 | Active comparator | Drug: XOMA 0520.3 mg/kg XOMA 052. Beginning on Day 0, each subject will receive one subcutaneous (SC) injection of study drug every 4 weeks for 12 weeks, a total of four injections |
| Placebo | Placebo comparator | Drug: Placebo0.3 mg/kg placebo. Beginning on Day 0, each subject will receive one subcutaneous (SC) injection of study drug every 4 weeks for 12 weeks, a total of four injections |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (9 listed)
- Type 1 diabetes (American Diabetes Association [ADA] criteria) of > 2 year duration that is judged to be stable by the investigator
- No clinically significant change in treatment regimen for T1D (defined as a 20% change) during the 3 months prior to Screening
- Age ≥ 18 years and ≤ 55 years
- HbA1c < 7.5% for the previous two measurements including the measurement taken at Screening (both measurements must occur within 6 months prior to enrollment)
- Positive glutamate decarboxylase-65 (GAD65) and/or IA-2 auto-antibodies
Key exclusion criteria (22 listed)
- Signs of current infection or history of infection during the 3 months prior to Day 0
- Known to be positive for Hep B surface antigen (HBsAg), Hep C virus (HCV), or HIV
- History of tuberculosis (TB) or positive PPD test. A subject who has had a positive PPD test but has completed a course of treatment for tuberculosis, had a documented vaccination against tuberculosis, or had a negative QuantiFERON®-TB test result is eligible.
- High sensitivity C-reactive protein (hs-CRP) > 10 mg/L
- Presence of foot, leg, or decubitus ulcers
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| XOMA 0520.3 mg/kg XOMA 052. Beginning on Day 0, each subject will receive one subcutaneous (SC) injection of study drug every 4 weeks for 12 weeks, a total of four injections | Drug | XOMA 052 |
| Placebo0.3 mg/kg Placebo. Beginning on Day 0, each subject will receive one subcutaneous (SC) injection of study drug every 4 weeks for 12 weeks, a total of four injections | Drug | Placebo |
Primary outcome
C-peptide level
Time frame: incremental AUC over 120 minutes during the MMTT at Day 112 compared to baseline (Day 0 pre-dose
13 secondary outcomes
Change in insulin requirements
Time frame: 3-day average daily insulin dose at baseline (Day -3 through Day -1) compared to Day 112 (Day 109 through Day 111)
HbA1c levels
Time frame: from baseline (Day 0 pre-dose) at Day 112
fasting glucose
Time frame: from baseline (Day 0 pre-dose) at Day 112
fasting glucagon
Time frame: from baseline (Day 0 pre-dose) at Day 112
cortisol
Time frame: from baseline (Day 0 pre-dose) at Day 112
markers of systemic inflammation (Interleukin-6, Interleukin-8, Tumor Necrosis Factor α, hs-CRP)
Time frame: from baseline (Day 0 pre-dose) at Day 112
adipokines
Time frame: from baseline (Day 0 pre-dose) at Day 112
meal-stimulated Glucagon like peptide-1
Time frame: AUC over 120 minutes at Day 112 compared to baseline (Day 0 pre-dose)
meal-stimulated gastric inhibitory polypeptide
Time frame: AUC over 120 minutes at Day 112 compared to baseline (Day 0 pre-dose)
lipids profile
Time frame: from baseline (Day 0 pre-dose) at Day 112
Change in fatigue according to the Fatigue Scale for Motor and Cognitive Functions (FSMC) questionnaire
Time frame: from baseline at Day 112
Anti XOMA 052 Antibodies
Time frame: from baseline (Day 0 pre-dose) at Day 112
Number of Adverse Events
Time frame: from baseline (Day 0 pre-dose) at Day 364
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Feb 2014.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Marc Donath, Prof. study chair
University Hospital, Basel, Switzerland
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing XOMA 052 in people with Diabetes Mellitus Type 1, run by University of Zurich at 1 site in Switzerland.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Feb 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Switzerland. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
C-peptide level (time frame: incremental AUC over 120 minutes during the MMTT at Day 112 compared to baseline (Day 0 pre-dose). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Feb 2014.