Type 1 Diabetes MellitusPhase 3βETA PRESERVENCT07088068
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
A Phase 3 study testing Teplizumab in people with Type 1 Diabetes Mellitus, run by Sanofi at 202 sites in 20 countries.
Trial summary
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… Read more about this study
- Who is it for?
- Ages 1 year to 25 years
- Conditions the study is for
- Type 1 Diabetes Mellitus
- What is being tested?
- Teplizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 723 participants
- Where
- 202 sitesin 20 countries
- Study dates
- 6 Aug 2025to 12 Dec 2028
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 1 year to 25 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- 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),
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- 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).
Who cannot join
- 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.
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- 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 systemic corticosteroids (ie, oral, high doses of inhaled or injectable) 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 (< 1000 /µL in participants with documented Duffy-null genotype),
- 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.
Trial locations and contacts
202 sites in 20 countries. Contact the study team or a site near you to ask about taking part.
Trial Transparency email recommended (Toll free for US & Canada) contact
202 sites in 20 countries
United States34 sites, 34 recruiting
- Recruiting
C.S. Mott Children's Hospital- Site Number : 8400015
Ann Arbor, Michigan, 48109
- Recruiting
Asheville Clinical Research- Site Number : 8400045
Asheville, North Carolina, 28803
- Recruiting
Atlanta Diabetes Associates- Site Number : 8400036
Atlanta, Georgia, 30318
- Recruiting
Children's Healthcare of Atlanta - Egleston Hospital- Site Number : 8400065
Atlanta, Georgia, 30322
- Recruiting
Barbara Davis Center for Childhood Diabetes- Site Number : 8400031
Aurora, Colorado, 80045
- Recruiting
AM Diabetes & Endocrinology Center- Site Number : 8400004
Bartlett, Tennessee, 38133
- Recruiting
St. Luke's Children's Hospital- Site Number : 8400014
Boise, Idaho, 83712
- Recruiting
University At Buffalo - Jacobs School Of Medicine- Site Number : 8400006
Buffalo, New York, 14203
- Recruiting
UNC Children's Hospital- Site Number : 8400034
Chapel Hill, North Carolina, 27599
- Recruiting
Uva Children's Battle Building- Site Number : 8400060
Charlottesville, Virginia, 22903
- Recruiting
Cincinnati Children's Hospital Medical Center- Site Number : 8400018
Cincinnati, Ohio, 45229
- Recruiting
IACT Health - Columbus - Talbotton Road- Site Number : 8400003
Columbus, Georgia, 31904
- Recruiting
The Ohio State University- Site Number : 8400051
Columbus, Ohio, 43210
- Recruiting
University of Florida College of Medicine- Site Number : 8400054
Gainesville, Florida, 32610
- Recruiting
Encore Medical Research - Hollywood- Site Number : 8400061
Hollywood, Florida, 33024
- Recruiting
Baylor College of Medicine- Site Number : 8400057
Houston, Texas, 77030
- Recruiting
Rocky Mountain Clinical Research - Idaho Falls- Site Number : 8400001
Idaho Falls, Idaho, 83404
- Recruiting
Nemours Children's Speciality Care- Jacksonville- Site Number : 8400040
Jacksonville, Florida, 32207
- Recruiting
Children's Mercy Adelle Hall Campus- Site Number : 8400010
Kansas City, Missouri, 64108
- Recruiting
Norton Children's Research Institute - Wendy Novak Diabetes Institute- Site Number : 8400016
Louisville, Kentucky, 40202
- Recruiting
Yale University School of Medicine- Site Number : 8400005
New Haven, Connecticut, 06510
- Recruiting
Endocrine Associates of West Village- Site Number : 8400064
New York, New York, 10001
- Recruiting
Columbia University Irving Medical Center- Site Number : 8400009
New York, New York, 10032
- Recruiting
The Children's Hospital of Philadelphia- Site Number : 8400039
Philadelphia, Pennsylvania, 19104
- Recruiting
Mayo Clinic in Rochester - Minnesota- Site Number : 8400019
Rochester, Minnesota, 55905
- Recruiting
Park Nicollet Institute - Oncology Research- Site Number : 8400059
Saint Louis Park, Minnesota, 55426
- Recruiting
University of Utah Health Hospital- Site Number : 8400052
Salt Lake City, Utah, 84132
- Recruiting
Rady Children's Hospital- Site Number : 8400002
San Diego, California, 92123
- Recruiting
University of California San Francisco - Mission Bay- Site Number : 8400011
San Francisco, California, 94158
- Recruiting
Scottsdale Clinical Trials- Site Number : 8400044
Scottsdale, Arizona, 85260
- Recruiting
Benaroya Research Institute at Virginia Mason- Site Number : 8400038
Seattle, Washington, 98101
- Recruiting
MultiCare Mary Bridge Children's Health Center- Site Number : 8400037
Tacoma, Washington, 98405
- Recruiting
University of South Florida- Site Number : 8400013
Tampa, Florida, 33612
- Recruiting
AdventHealth Winter Park- Site Number : 8400033
Winter Park, Florida, 32792
China34 sites, 34 recruiting
- Recruiting
Investigational Site Number : 1560035
Beijing, 100020
- Recruiting
Investigational Site Number : 1560003
Beijing, 100034
- Recruiting
Investigational Site Number : 1560033
Beijing, 100045
- Recruiting
Investigational Site Number : 1560009
Changchun, 130041
- Recruiting
Investigational Site Number : 1560001
Changsha, 410011
- Recruiting
Investigational Site Number : 1560055
Chengdu, 610072
- Recruiting
Investigational Site Number : 1560042
Chengdu, 610091
- Recruiting
Investigational Site Number : 1560007
Guangzhou, 510120
- Recruiting
Investigational Site Number : 1560037
Guangzhou, 510620
- Recruiting
Investigational Site Number : 1560040
Hangzhou, 310003
- Recruiting
Investigational Site Number : 1560014
Hangzhou, 310009
- Recruiting
Investigational Site Number : 1560012
Hangzhou, 310014
- Recruiting
Investigational Site Number : 1560010
Harbin, 150001
- Recruiting
Investigational Site Number : 1560026
Hohhot, 010050
- Recruiting
Investigational Site Number : 1560059
Jinan, 250001
- Recruiting
Investigational Site Number : 1560056
Lanzhou, 730000
- Recruiting
Investigational Site Number : 1560016
Luoyang, 471003
- Recruiting
Investigational Site Number : 1560018
Nanchang, 330006
- Recruiting
Investigational Site Number : 1560043
Nanchang, 330038
- Recruiting
Investigational Site Number : 1560005
Nanjing, 210008
- Recruiting
Investigational Site Number : 1560034
Nanjing, 210008
- Recruiting
Investigational Site Number : 1560054
Nanjing, 210029
- Recruiting
Investigational Site Number : 1560050
Pingxiang, 337055
- Recruiting
Investigational Site Number : 1560031
Shanghai, 200032
- Recruiting
Investigational Site Number : 1560032
Shanghai, 200040
- Recruiting
Investigational Site Number : 1560013
Shenyang, 110004
- Recruiting
Investigational Site Number : 1560045
Shenzhen, 518026
- Recruiting
Investigational Site Number : 1560019
Tianjin, 300052
- Recruiting
Investigational Site Number : 1560039
Wuhan, 430010
- Recruiting
Investigational Site Number : 1560002
Wuhan, 430030
- Recruiting
Investigational Site Number : 1560041
Wuxi, 214023
- Recruiting
Investigational Site Number : 1560060
Yueyang, 414000
- Recruiting
Investigational Site Number : 1560038
Zhengzhou, 450018
- Recruiting
Investigational Site Number : 1560027
Zhenjiang, 212000
Japan21 sites, 21 recruiting
- Recruiting
Investigational Site Number : 3920011
Azumino, Nagano, 399-8288
- Recruiting
Investigational Site Number : 3920022
Chiba, 266-0007
- Recruiting
Investigational Site Number : 3920005
Fukuoka, 813-0017
- Recruiting
Investigational Site Number : 3920025
Iruma, Saitama, 350-0495
- Recruiting
Investigational Site Number : 3920003
Kobe, Hyōgo, 650-0017
- Recruiting
Investigational Site Number : 3920007
Koshigaya, Saitama, 343-0845
- Recruiting
Investigational Site Number : 3920015
Kyoto, 606-8507
- Recruiting
Investigational Site Number : 3920010
Moriyama, Shiga, 524-8524
- Recruiting
Investigational Site Number : 3920020
Nagoya, Aichi-ken, 453-8511
- Recruiting
Investigational Site Number : 3920017
Nara, 630-8581
- Recruiting
Investigational Site Number : 3920006
Niigata, 951-8520
- Recruiting
Investigational Site Number : 3920002
Osaka, 545-8586
- Recruiting
Investigational Site Number : 3920001
Sapporo, Hokkaido, 060-8543
- Recruiting
Investigational Site Number : 3920008
Shimajiri, Okinawa, 901-1303
- Recruiting
Investigational Site Number : 3920012
Shizuoka, 420-0953
- Recruiting
Investigational Site Number : 3920013
Tokyo, 101-8309
- Recruiting
Investigational Site Number : 3920014
Tokyo, 105-8461
- Recruiting
Investigational Site Number : 3920021
Tokyo, 113-0033
- Recruiting
Investigational Site Number : 3920026
Tokyo, 157-8535
- Recruiting
Investigational Site Number : 3920016
Tokyo, 162-8655
- Recruiting
Investigational Site Number : 3920023
Yokohama, Kanagawa, 232-0024
Spain18 sites, 18 recruiting
- Recruiting
Investigational Site Number : 7240023
Alcalá de Henares, Madrid, 28805
- Recruiting
Investigational Site Number : 7240017
Barcelona, Catalunya [Cataluña], 08035
- Recruiting
Investigational Site Number : 7240020
Bizkaia, Basque Country, 48903
- Recruiting
Investigational Site Number : 7240004
Esplugues de Llobregat, Barcelona [Barcelona], 08950
- Recruiting
Investigational Site Number : 7240009
Madrid, Madrid, Comunidad de, 28034
- Recruiting
Investigational Site Number : 7240011
Madrid, Madrid, Comunidad de, 28040
- Recruiting
Investigational Site Number : 7240007
Madrid, Madrid, Comunidad de, 28046
- Recruiting
Investigational Site Number : 7240006
Madrid, 28007
- Recruiting
Investigational Site Number : 7240010
Madrid, 28009
- Recruiting
Investigational Site Number : 7240022
Málaga, 29010
- Recruiting
Investigational Site Number : 7240015
Palma, 07120
- Recruiting
Investigational Site Number : 7240016
Pamplona, Navarre, 31008
- Recruiting
Investigational Site Number : 7240003
Sabadell, 08208
- Recruiting
Investigational Site Number : 7240019
San Cristóbal de La Laguna, Santa Cruz De Tenerife, 38320
- Recruiting
Investigational Site Number : 7240012
Santiago de Compostela, A Coruña [La Coruña], 15706
- Recruiting
Investigational Site Number : 7240001
Seville, Andalusia, 41013
- Recruiting
Investigational Site Number : 7240021
Seville, Sevilla, 41009
- Recruiting
Investigational Site Number : 7240014
Vigo, Pontevedra [Pontevedra], 36312
Italy13 sites, 13 recruiting
- Recruiting
Investigational Site Number : 3800004
Bologna, 40138
- Recruiting
Investigational Site Number : 3800001
Florence, Firenze, 50139
- Recruiting
Investigational Site Number : 3800008
Genoa, Genova, 16147
- Recruiting
Investigational Site Number : 3800014
Messina, 98125
- Recruiting
Investigational Site Number : 3800005
Milan, Milano, 20154
- Recruiting
Investigational Site Number : 3800011
Milan, Milano, 20157
- Recruiting
Investigational Site Number : 3800015
Novara, 28100
- Recruiting
Investigational Site Number : 3800016
Pescara, 65100
- Recruiting
Investigational Site Number : 3800012
Rome, Roma, 00161
- Recruiting
Investigational Site Number : 3800003
Rome, Roma, 00165
- Recruiting
Investigational Site Number : 3800013
Siena, 53100
- Recruiting
Investigational Site Number : 3800010
Turin, Torino, 10126
- Recruiting
Investigational Site Number : 3800002
Verona, 37126
United Kingdom11 sites, 11 recruiting
- Recruiting
Investigational Site Number : 8260011
Bath, Somerset, BA1 3NG
- Recruiting
Investigational Site Number : 8260001
Cambridge, Cambridgeshire, CB2 2QQ
- Recruiting
Investigational Site Number : 8260004
Dundee, Dundee City, DD1 9SY
- Recruiting
Investigational Site Number : 8260002
Glasgow, Glasgow City, G51 4TF
- Recruiting
Investigational Site Number : 8260006
Guildford, Surrey, GU2 7XX
- Recruiting
Investigational Site Number : 8260005
Leeds, LS9 7TF
- Recruiting
Investigational Site Number : 8260009
London, England, E1 1BB
- Recruiting
Investigational Site Number : 8260012
London, England, SW10 9NH
- Recruiting
Investigational Site Number : 8260007
London, London, City of, SE5 9RL
- Recruiting
Investigational Site Number : 8260010
Reading, RG1 5AN
- Recruiting
Investigational Site Number : 8260003
Sheffield, S10 2TH
France9 sites, 9 recruiting
- Recruiting
Investigational Site Number : 2500004
Bron, 69500
- Recruiting
Investigational Site Number : 2500010
La Tronche, 38700
- Recruiting
Investigational Site Number : 2500011
Lille, 59037
- Recruiting
Investigational Site Number : 2500002
Paris, 75010
- Recruiting
Investigational Site Number : 2500008
Paris, 75013
- Recruiting
Investigational Site Number : 2500001
Paris, 75015
- Recruiting
Investigational Site Number : 2500009
Paris, 75019
- Recruiting
Investigational Site Number : 2500005
Pau, 64000
- Recruiting
Investigational Site Number : 2500007
Strasbourg, 67000
Germany9 sites, 9 recruiting
- Recruiting
Investigational Site Number : 2760002
Augsburg, 86156
- Recruiting
Investigational Site Number : 2760008
Bielefeld, 33617
- Recruiting
Investigational Site Number : 2760007
Dresden, 01307
- Recruiting
Investigational Site Number : 2760012
Frankfurt, 60590
- Recruiting
Investigational Site Number : 2760003
Freiburg im Breisgau, 79106
- Recruiting
Investigational Site Number : 2760005
Hanover, 30173
- Recruiting
Investigational Site Number : 2760006
Leipzig, 04103
- Recruiting
Investigational Site Number : 2760010
Munich, 81675
- Recruiting
Investigational Site Number : 2760001
Ulm, 89081
Belgium8 sites, 8 recruiting
- Recruiting
Investigational Site Number : 0560005
Brussels, 1020
- Recruiting
Investigational Site Number : 0560009
Brussels, 1070
- Recruiting
Investigational Site Number : 0560007
Edegem, 2650
- Recruiting
Investigational Site Number : 0560002
Jette, 1090
- Recruiting
Investigational Site Number : 0560001
Leuven, 3000
- Recruiting
Investigational Site Number : 0560008
Leuven, 3000
- Recruiting
Investigational Site Number : 0560006
Liège, 4000
- Recruiting
Investigational Site Number : 0560004
Namur, 5000
Brazil7 sites, 7 recruiting
- Recruiting
Centro de Diabetes Curitiba- Site Number : 0760006
Curitiba, Paraná, 80810-040
- Recruiting
Hospital Universitario Walter Cantidio- Site Number : 0760009
Fortaleza, Ceará, 60430-270
- Recruiting
Centro de Pesquisa Clínica de Marília - CPCLIM- Site Number : 0760002
Marília, São Paulo, 17504-072
- Recruiting
Hospital Universitario Clementino Fraga Filho- Site Number : 0760008
Rio de Janeiro, 21941-913
- Recruiting
Centro de Pesquisas Clínicas - São Paulo- Site Number : 0760011
São Paulo, 01228-200
- Recruiting
Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo- Site Number : 0760012
São Paulo, 05403-000
- Recruiting
Hospital Israelita Albert Einstein- Site Number : 0760001
São Paulo, 05651-901
Argentina6 sites, 6 recruiting
- Recruiting
Investigational Site Number : 0320005
Buenos Aires, 1419
- Recruiting
Investigational Site Number : 0320013
Córdoba, 5004
- Recruiting
Investigational Site Number : 0320008
Mar del Plata, Buenos Aires, 7600
- Recruiting
Investigational Site Number : 0320002
Salta, 4400
- Recruiting
Investigational Site Number : 0320003
San Miguel de Tucumán, Tucumán Province, 4000
- Recruiting
Investigational Site Number : 0320012
Santa Fe, 3000
Israel6 sites, 6 recruiting
- Recruiting
Investigational Site Number : 3760005
Jerusalem, 9112001
- Recruiting
Investigational Site Number : 3760002
Petah Tikva, 4920235
- Recruiting
Investigational Site Number : 3760003
Petah Tikva, 4941492
- Recruiting
Investigational Site Number : 3760001
Ramat Gan, 5262100
- Recruiting
Investigational Site Number : 3760006
Rehovot, 7610001
- Recruiting
Investigational Site Number : 3760004
Tel Aviv, 6423906
Poland6 sites, 6 recruiting
- Recruiting
Investigational Site Number : 6160006
Bialystok, 15-274
- Recruiting
Investigational Site Number : 6160005
Lodz, Lódzkie, 92-213
- Recruiting
Investigational Site Number : 6160004
Lublin, Lublin Voivodeship, 20-601
- Recruiting
Investigational Site Number : 6160008
Warsaw, Masovian Voivodeship, 02-097
- Recruiting
Investigational Site Number : 6160001
Warsaw, Masovian Voivodeship, 02-117
- Recruiting
Investigational Site Number : 6160003
Warsaw, Masovian Voivodeship, 04-746
Canada4 sites, 4 recruiting
- Recruiting
Investigational Site Number : 1240008
Calgary, Alberta, T2N 4L7
- Recruiting
Investigational Site Number : 1240002
Halifax, Nova Scotia, B3H 2Y9
- Recruiting
Investigational Site Number : 1240007
Ottawa, Ontario, K1H 8L1
- Recruiting
Investigational Site Number : 1240009
Vancouver, British Columbia, V5Z 1M9
Greece4 sites, 4 recruiting
- Recruiting
Investigational Site Number : 3000005
Athens, 115 27
- Recruiting
Investigational Site Number : 3000001
Athens, 115 28
- Recruiting
Investigational Site Number : 3000004
Athens, 124 62
- Recruiting
Investigational Site Number : 3000003
Thessaloniki, 546 42
Australia3 sites, 3 recruiting
- Recruiting
Investigational Site Number : 0360003
Adelaide, South Australia, 5006
- Recruiting
Investigational Site Number : 0360001
Brisbane, Queensland, 4101
- Recruiting
Investigational Site Number : 0360002
Perth, Western Australia, 6009
Czechia3 sites, 3 recruiting
- Recruiting
Investigational Site Number : 2030004
Prague, 128 08
- Recruiting
Investigational Site Number : 2030003
Prague, 140 21
- Recruiting
Investigational Site Number : 2030001
Prague, 150 06
Netherlands3 sites, 3 recruiting
- Recruiting
Investigational Site Number : 5280003
Amersfoort, 3813 TZ
- Recruiting
Investigational Site Number : 5280002
Leiden, 2333 ZA
- Recruiting
Investigational Site Number : 5280001
Rotterdam, 3011 TA
Romania2 sites, 2 recruiting
- Recruiting
Investigational Site Number : 6420001
Bacau, 600164
- Recruiting
Investigational Site Number : 6420003
Iași, 700514
Switzerland1 site, 1 recruiting
- Recruiting
Investigational Site Number : 7560002
Basel, 4005
About this study
Official title: 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)
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.
Read the detailed description
The study duration for one participant will be approximately 84 weeks (19 months).
- Conditions
- Type 1 Diabetes Mellitus
- Being tested
- Teplizumab, 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.
TeplizumabDrug
Also called SAR446681, TZIELD
Pharmaceutical form: Concentrated solution for infusion Route of administration: Intravenous infusion
PlaceboOther
Pharmaceutical form: Concentrated solution for infusion Route of administration: Intravenous infusion
| Study group | Role | What they receive |
|---|---|---|
| Teplizumab | Experimental | Participants will receive teplizumab in increasing doses by intravenous administration Receives: Drug: Teplizumab |
| Placebo | Placebo comparator | Participants will receive volume matching placebo doses to the Teplizumab arm by intravenous administration Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
For United States (US) and non-European Union (EU) countries: Glycated hemoglobin (HbA1c) change from baseline
Measured: From Baseline to Week 52
For US and non-EU countries: Total number of days without prandial insulin use
Measured: 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
Measured: From baseline to Week 52
For EU countries: HbA1c change from baseline
Measured: From baseline to Week 52
For EU countries: Total number of days without prandial insulin use
Measured: From baseline to Week 52
Secondary outcomes (9)
Change from baseline in mean 2 hours MMTT stimulated C-peptide concentration, calculated from AUC
Measured: From baseline to Week 52
Participants remaining C-peptide positive (2 hours MMTT stimulated peak C-peptide concentration ≥0.2 nmol/L)
Measured: At Week 52
Incidence of participants with HbA1c ≤6.5% and requiring ≤0.25 IU/kg/day of insulin
Measured: At Week 52
Change from baseline in Time-in-Range (TIR) (70-180 mg/dL blood glucose) assessed by continuous glucose monitoring (CGM)
Measured: From baseline to Week 52
Number of level 2 and 3 (according to American Diabetes Association) hypoglycemic events per participant year (event rates)
Measured: 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
Measured: From baseline to week 78
Teplizumab PK parameters: Maximum concentration of teplizumab [Cmax]
Measured: From baseline to Week 30
Teplizumab PK parameters: Area under the curve [AUC] and [AUClast]
Measured: From baseline to Week 30
Incidence of antidrug-antibodies (ADAs)
Measured: From baseline to week 78
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Jul 2025
- Study start6 Aug 2025
- Primary completion6 Jun 2028 (estimated)
- Study completion12 Dec 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Type 1 Diabetes MellitusStudies of the same condition, open and under way.
- More trials run by SanofiThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 723 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07088068
- Sponsor's protocol ID
- EFC18241
- Other IDs
- 2024-519494-19, U1111-1306-7316
- Acronym
- βETA PRESERVE
- Status last verified
- Oct 2026
- First submitted
- 20 Jul 2025
- Last updated
- 13 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Study at a glance
From the registry record, last updated by the sponsor on 13 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- 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)
- ClinicalTrials.gov ID
- NCT07088068
- Acronym / sponsor ID
- βETA PRESERVE / EFC18241
- Conditions
- Type 1 Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 723 participants (estimated)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- 6 Aug 2025 (actual)
- Primary completion
- 6 Jun 2028 (estimated)
- Study completion
- 12 Dec 2028 (estimated)
- First posted
- 28 Jul 2025 (actual)
- 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.
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.
Detailed description
The study duration for one participant will be approximately 84 weeks (19 months).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Teplizumab | Experimental | Drug: TeplizumabParticipants will receive teplizumab in increasing doses by intravenous administration |
| Placebo | Placebo comparator | Other: PlaceboParticipants will receive volume matching placebo doses to the Teplizumab arm by intravenous administration |
Who may qualify
- Ages
- 1 year to 25 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (21 listed)
- 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:
Key exclusion criteria (27 listed)
- 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.
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 |
|---|---|---|
| TeplizumabAlso: SAR446681, TZIELDPharmaceutical form: Concentrated solution for infusion Route of administration: Intravenous infusion | Drug | Teplizumab |
| PlaceboPharmaceutical form: Concentrated solution for infusion Route of administration: Intravenous infusion | Other | Placebo |
Primary outcome
For United States (US) and non-European Union (EU) countries: Glycated hemoglobin (HbA1c) change from baseline
Time frame: From Baseline to Week 52
For US and non-EU countries: Total number of days without prandial insulin use
Time frame: 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
Time frame: From baseline to Week 52
For EU countries: HbA1c change from baseline
Time frame: From baseline to Week 52
For EU countries: Total number of days without prandial insulin use
Time frame: From baseline to Week 52
9 secondary outcomes
Change from baseline in mean 2 hours MMTT stimulated C-peptide concentration, calculated from AUC
Time frame: From baseline to Week 52
Participants remaining C-peptide positive (2 hours MMTT stimulated peak C-peptide concentration ≥0.2 nmol/L)
Time frame: At Week 52
Incidence of participants with HbA1c ≤6.5% and requiring ≤0.25 IU/kg/day of insulin
Time frame: At Week 52
Change from baseline in Time-in-Range (TIR) (70-180 mg/dL blood glucose) assessed by continuous glucose monitoring (CGM)
Time frame: From baseline to Week 52
Number of level 2 and 3 (according to American Diabetes Association) hypoglycemic events per participant year (event rates)
Time frame: 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
Time frame: From baseline to week 78
Teplizumab PK parameters: Maximum concentration of teplizumab [Cmax]
Time frame: From baseline to Week 30
Teplizumab PK parameters: Area under the curve [AUC] and [AUClast]
Time frame: From baseline to Week 30
Incidence of antidrug-antibodies (ADAs)
Time frame: From baseline to week 78
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Oct 2026.
- EFC18241 Plain Language Results SummaryLink provided by the sponsor.
- link to the study specific website Sanofistudies.com for more information about this clinical study and a direct connection to the investigational sites in the US regionLink provided by the sponsor.
- For EU sites click here and navigate to 'Locations and contact points'Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
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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.
Trial Transparency email recommended (Toll free for US & Canada) contact
202 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Teplizumab in people with Type 1 Diabetes Mellitus, run by Sanofi at 202 sites in 20 countries.
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 21 inclusion and 27 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: looking for participants now, as of the sponsor's last update on 13 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 202 sites in United States, China, Japan, Spain, Italy and 15 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Trial Transparency email recommended (Toll free for US & Canada) (800-633-1610 ext. option 6, contact-us@sanofi.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
For United States (US) and non-European Union (EU) countries: Glycated hemoglobin (HbA1c) change from baseline (time frame: From Baseline to Week 52). The study lists 5 primary outcomes in all. 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 13 Oct 2026.