Type 1 Diabetes MellitusPhase 1/2RELIEVENCT07831798
VV-14300 for the Treatment of Type 1 Diabetes
A Phase 1/2 study testing VV-14300 in people with Type 1 Diabetes Mellitus, run by Kriya Therapeutics, Inc. at 2 sites in 2 countries.
Trial summary
This study is testing VV-14300 in adults with long-standing type 1 diabetes (T1D) whose blood sugar is not well controlled despite using an automated insulin delivery (AID) system. VV-14300 is an investigational gene therapy that is injected into muscle and is designed to help remove excess sugar from the blood. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Type 1 Diabetes Mellitus
- What is being tested?
- VV-14300
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 29 participants
- Where
- 2 sitesin 2 countries
- Study dates
- Oct 2026to Nov 2028
- Phase
- Phase 1/2
- 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 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Able to provide signed informed consent.
- 18 to 65 years of age (inclusive) at Screening.
- Body mass index (BMI) of 20.0 to <30.0 kg/m².
- Clinical diagnosis of Type 1 Diabetes for at least 5 years prior to Screening, currently managed with an Automated Insulin Delivery (AID) system for at least 3 months prior to Screening.
- Suboptimal glycemic control (HbA1c >7% and <10%), and on a stable insulin regimen at Screening.
- Adequate kidney function (estimated glomerular filtration rate [eGFR] >60 mL/min/1.73m²) at Screening.
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- Females of child-bearing potential must have a negative pregnancy test at Screening and prior to dosing; participants must agree to use highly effective contraception during and for at least 12 months after study intervention administration.
- Agree to refrain from donating blood, plasma, platelets, eggs, or sperm during the 12-month Post-Treatment Follow-up Period.
- Willing and able to complete all study visits, procedures, and required use of study-provided monitoring devices for the duration of the study.
Who cannot join
- Type 2 diabetes or other condition requiring exogenous insulin that is not due to autoimmunity, or when insulin delivery is not managed through an AID system.
- Diabetic complications (e.g., severe/proliferative retinopathy or neuropathy) or a clinically significant medical, cognitive, or psychiatric condition that, in the Investigator's opinion, poses additional risk or would make consistent study follow-up unlikely.
- Recurrent diabetic ketoacidosis (2 or more events in the 12 months prior to Screening).
- Pregnant or breastfeeding.
- History of malignancy requiring chemotherapy and/or radiation within the 12 months prior to Screening, except for successfully treated non-melanoma skin cancers (e.g., basal cell, squamous cell carcinomas), cervical intraepithelial neoplasia, and localized prostate cancer.
- Clinically significant cardiovascular or cerebrovascular disease, uncontrolled blood pressure, family history of Long QT syndrome, or clinically significant ECG abnormality.
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- Significant history of alcohol or drug abuse, or positive alcohol breath test or urine drug screen at the Screening or Run-in visit.
- Plans to implement new strenuous physical activity (e.g., significantly increased running pace/duration, high-intensity interval training, heavy weightlifting, vigorous cycling) during the study.
- Impaired awareness of hypoglycemia.
- Active hepatitis B or C infection, positive HIV serology, or any latent or active infection that would interfere with study procedures or be exacerbated by study medications.
- Clinically significant abnormal Screening laboratory or other diagnostic findings (including hepatic, hematologic, thyroid, muscle-enzyme, or tuberculosis screening) rendering the participant unsuitable for the study.
- Current or recent use of medications that could interfere with glucose metabolism or confound study assessments (e.g., glucocorticoids, systemic beta-blockers, growth hormone, or other antidiabetic medications [e.g., glucagon-like peptide 1 (GLP-1) receptor agonists and/or sodium-glucose cotransport 2 (SGLT2) inhibitors]).
- Vaccination within 30 days prior to dosing or planned vaccination within 8 weeks post-dosing.
- Known hypersensitivity to tocilizumab, or Screening laboratory findings indicating undue risk of a tocilizumab-related adverse event.
- History of bariatric surgery within the 12 months prior to Screening.
- History of trauma to, or other findings affecting the suitability of, the muscles intended for study intervention administration.
- Participation in another investigational drug or biologic trial within 6 months prior to Screening, or participation in any previous gene therapy trial
Trial locations and contacts
2 sites in 2 countries. Contact the study team or a site near you to ask about taking part.
2 sites in 2 countries
Canada1 site, 1 recruiting
- Recruiting
Kriya Clinical Trial Site
Toronto
VP, Medical Affairs, 1-984-884-5058, clinicaltrials@kriyatx.com
New Zealand1 site, 1 recruiting
- Not yet recruiting
Kriya Clinical Trial Site
Christchurch
VP, Medical Affairs, 1-984-884-5058, clinicaltrials@kriyatx.com
About this study
Official title: A Phase 1/2, First-in-Human, Dose Escalation and Expansion Study to Evaluate the Safety, Tolerability, and Efficacy of VV-14300 (Adeno-associated Virus Vector-mediated Glucokinase) in Adults With Long-Standing Type 1 Diabetes and Suboptimal Glycemic Control Using an Automated Insulin Delivery (AID) System
This study is testing VV-14300 in adults with long-standing type 1 diabetes (T1D) whose blood sugar is not well controlled despite using an automated insulin delivery (AID) system. VV-14300 is an investigational gene therapy that is injected into muscle and is designed to help remove excess sugar from the blood.
- Conditions
- Type 1 Diabetes Mellitus
- Being tested
- VV-14300
- 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.
VV-14300Genetic
VV-14300 will be administered via ultrasound-guided intramuscular injections
| Study group | Role | What they receive |
|---|---|---|
| Part 1 - Low dose | Experimental | VV-14300 (low dose) will be administered via ultrasound-guided intramuscular injections on Day 1. Tocilizumab will be administered subcutaneously as an auxiliary medication prior to and after VV-14300 dosing to reduce the risk of immune responses. Receives: Genetic: VV-14300 |
| Part 1 - High dose | Experimental | VV-14300 (high dose) will be administered via ultrasound-guided intramuscular injections on Day 1. Tocilizumab will be administered subcutaneously as an auxiliary medication prior to and after VV-14300 dosing to reduce the risk of immune responses. Receives: Genetic: VV-14300 |
| Part 2 - Dose Expansion | Experimental | A single dose of VV-14300 at the dose selected from Part 1 will be administered via ultrasound-guided intramuscular injections on Day 1. Tocilizumab will be administered subcutaneously as an auxiliary medication prior to and after VV-14300 dosing to reduce the risk of immune responses. Receives: Genetic: VV-14300 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence and severity of adverse events, abnormal clinical laboratory values, abnormal physical exams, and abnormal vital signs
Safety of VV-14300
Measured: 52 Weeks
Change from Baseline in blood glucose by as measured by continuous glucose monitoring (CGM)
Efficacy of VV-14300 (Part 1)
Measured: 8 Weeks
Change from Baseline in blood glucose as measured by hemoglobin A1c (HbA1c) level
Efficacy of VV-14300 (Part 1)
Measured: 8 Weeks
Change from Baseline in blood glucose as measured by fructosamine level
Efficacy of VV-14300 (Part 1)
Measured: 8 Weeks
Change from Baseline in blood glucose as measured by mixed meal tolerance test (MMTT)
Efficacy of VV-14300 (Part 1)
Measured: 8 Weeks
Mean change from Baseline in HbA1c
Efficacy of VV-14300 (Part 2)
Measured: 26 Weeks
Secondary outcomes (18)
Mean change from Baseline in HbA1c
Efficacy of VV-14300
Measured: 16, 26 (Part 1), and 52 Weeks
Change from Baseline in glucose time-in-range derived from CGM data
Efficacy of VV-14300
Measured: 52 Weeks
Change from Baseline in mean glucose concentration derived from CGM data
Efficacy of VV-14300
Measured: 52 Weeks
Change from Baseline in Glucose Management Indicator (GMI) derived from CGM data
Efficacy of VV-14300
Measured: 52 Weeks
Change from Baseline in glycemic variability (coefficient of variation) derived from CGM data
Efficacy of VV-14300
Measured: 52 Weeks
Change from Baseline in total daily insulin dose (basal and bolus)
Efficacy of VV-14300
Measured: 52 Weeks
Change from Baseline in blood glucose by mixed meal tolerance test (MMTT)
Efficacy of VV-14300
Measured: 52 Weeks
Change from Baseline in blood glucose by fructosamine level
Efficacy of VV-14300
Measured: 52 Weeks
Change from Baseline in Diabetes Medication Satisfaction Tool (DMSAT) score
Patient-reported outcomes for VV-14300
Measured: 52 Weeks
Change from Baseline in 8-item Type 1-Diabetes Distress Assessment System (T1-DDAS) Core Scale score
Patient-reported outcomes for VV-14300
Measured: 52 Weeks
Change from Baseline in Wellbeing Index (WHO-5 questionnaire) score
Patient-reported outcomes for VV-14300
Measured: 52 Weeks
Change from Baseline in Hypoglycemia Fear Survey-II Short Form (HFS-II-SF) score
Patient-reported outcomes for VV-14300
Measured: 52 Weeks
Change from Baseline in quality-of-life measures as assessed by qualitative interviews
Identification of key quality-of-life themes using semi-structured qualitative interviews to assess patient experiences with the disease and treatment
Measured: 52 weeks
Change from Baseline in body weight
Safety of VV-14300
Measured: 52 Weeks
Change from Baseline in fasting lipid levels
Safety of VV-14300
Measured: 52 Weeks
Change from Baseline in the level of antibodies to AAV vector capsid and VV-14300-expressed transgene product by enzyme-linked immunosorbent assay (ELISA)
Humoral immune response to VV-14300
Measured: 52 Weeks
Change from Baseline in interferon-gamma cellular immune response to AAV1 capsid and VV-14300-expressed transgene product by enzyme-linked immunosorbent spot (ELISpot) assay
Cellular immune response to VV-14300
Measured: 52 Weeks
VV-14300 vector levels in biological samples
Vector shedding of VV-14300 in serum, nasal mucus, urine, semen, feces, saliva (Part 1)
Measured: 52 Weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Sep 2026
- Study startOct 2026 (estimated)
- Primary completionNov 2028 (estimated)
- Study completionNov 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.
- 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 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 29 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Kriya Therapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07831798
- Sponsor's protocol ID
- KRIYA-288-101
- Acronym
- RELIEVE
- Status last verified
- Oct 2026
- First submitted
- 31 Aug 2026
- Last updated
- 5 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1/2, First-in-Human, Dose Escalation and Expansion Study to Evaluate the Safety, Tolerability, and Efficacy of VV-14300 (Adeno-associated Virus Vector-mediated Glucokinase) in Adults With Long-Standing Type 1 Diabetes and Suboptimal Glycemic Control Using an Automated Insulin Delivery (AID) System
- ClinicalTrials.gov ID
- NCT07831798
- Acronym / sponsor ID
- RELIEVE / KRIYA-288-101
- Conditions
- Type 1 Diabetes Mellitus
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 29 participants (estimated)
- Lead sponsor
- Kriya Therapeutics, Inc.Industry (pharma, biotech, devices)
- Study start
- Oct 2026 (estimated)
- Primary completion
- Nov 2028 (estimated)
- Study completion
- Nov 2028 (estimated)
- First posted
- 21 Sep 2026 (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 study is testing VV-14300 in adults with long-standing type 1 diabetes (T1D) whose blood sugar is not well controlled despite using an automated insulin delivery (AID) system. VV-14300 is an investigational gene therapy that is injected into muscle and is designed to help remove excess sugar from the blood.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Part 1 - Low dose | Experimental | Genetic: VV-14300VV-14300 (low dose) will be administered via ultrasound-guided intramuscular injections on Day 1. Tocilizumab will be administered subcutaneously as an auxiliary medication prior to and after VV-14300 dosing to reduce the risk of immune responses. |
| Part 1 - High dose | Experimental | Genetic: VV-14300VV-14300 (high dose) will be administered via ultrasound-guided intramuscular injections on Day 1. Tocilizumab will be administered subcutaneously as an auxiliary medication prior to and after VV-14300 dosing to reduce the risk of immune responses. |
| Part 2 - Dose Expansion | Experimental | Genetic: VV-14300A single dose of VV-14300 at the dose selected from Part 1 will be administered via ultrasound-guided intramuscular injections on Day 1. Tocilizumab will be administered subcutaneously as an auxiliary medication prior to and after VV-14300 dosing to reduce the risk of immune responses. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Able to provide signed informed consent.
- 18 to 65 years of age (inclusive) at Screening.
- Body mass index (BMI) of 20.0 to <30.0 kg/m².
- Clinical diagnosis of Type 1 Diabetes for at least 5 years prior to Screening, currently managed with an Automated Insulin Delivery (AID) system for at least 3 months prior to Screening.
- Suboptimal glycemic control (HbA1c >7% and <10%), and on a stable insulin regimen at Screening.
Key exclusion criteria (17 listed)
- Type 2 diabetes or other condition requiring exogenous insulin that is not due to autoimmunity, or when insulin delivery is not managed through an AID system.
- Diabetic complications (e.g., severe/proliferative retinopathy or neuropathy) or a clinically significant medical, cognitive, or psychiatric condition that, in the Investigator's opinion, poses additional risk or would make consistent study follow-up unlikely.
- Recurrent diabetic ketoacidosis (2 or more events in the 12 months prior to Screening).
- Pregnant or breastfeeding.
- History of malignancy requiring chemotherapy and/or radiation within the 12 months prior to Screening, except for successfully treated non-melanoma skin cancers (e.g., basal cell, squamous cell carcinomas), cervical intraepithelial neoplasia, and localized prostate cancer.
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 |
|---|---|---|
| VV-14300VV-14300 will be administered via ultrasound-guided intramuscular injections | Genetic | Part 1 - High dose, Part 1 - Low dose, Part 2 - Dose Expansion |
Primary outcome
Incidence and severity of adverse events, abnormal clinical laboratory values, abnormal physical exams, and abnormal vital signs
Time frame: 52 Weeks
Safety of VV-14300
Change from Baseline in blood glucose by as measured by continuous glucose monitoring (CGM)
Time frame: 8 Weeks
Efficacy of VV-14300 (Part 1)
Change from Baseline in blood glucose as measured by hemoglobin A1c (HbA1c) level
Time frame: 8 Weeks
Efficacy of VV-14300 (Part 1)
Change from Baseline in blood glucose as measured by fructosamine level
Time frame: 8 Weeks
Efficacy of VV-14300 (Part 1)
Change from Baseline in blood glucose as measured by mixed meal tolerance test (MMTT)
Time frame: 8 Weeks
Efficacy of VV-14300 (Part 1)
Mean change from Baseline in HbA1c
Time frame: 26 Weeks
Efficacy of VV-14300 (Part 2)
18 secondary outcomes
Mean change from Baseline in HbA1c
Time frame: 16, 26 (Part 1), and 52 Weeks
Change from Baseline in glucose time-in-range derived from CGM data
Time frame: 52 Weeks
Change from Baseline in mean glucose concentration derived from CGM data
Time frame: 52 Weeks
Change from Baseline in Glucose Management Indicator (GMI) derived from CGM data
Time frame: 52 Weeks
Change from Baseline in glycemic variability (coefficient of variation) derived from CGM data
Time frame: 52 Weeks
Change from Baseline in total daily insulin dose (basal and bolus)
Time frame: 52 Weeks
Change from Baseline in blood glucose by mixed meal tolerance test (MMTT)
Time frame: 52 Weeks
Change from Baseline in blood glucose by fructosamine level
Time frame: 52 Weeks
Change from Baseline in Diabetes Medication Satisfaction Tool (DMSAT) score
Time frame: 52 Weeks
Change from Baseline in 8-item Type 1-Diabetes Distress Assessment System (T1-DDAS) Core Scale score
Time frame: 52 Weeks
Change from Baseline in Wellbeing Index (WHO-5 questionnaire) score
Time frame: 52 Weeks
Change from Baseline in Hypoglycemia Fear Survey-II Short Form (HFS-II-SF) score
Time frame: 52 Weeks
Change from Baseline in quality-of-life measures as assessed by qualitative interviews
Time frame: 52 weeks
Change from Baseline in body weight
Time frame: 52 Weeks
Change from Baseline in fasting lipid levels
Time frame: 52 Weeks
Change from Baseline in the level of antibodies to AAV vector capsid and VV-14300-expressed transgene product by enzyme-linked immunosorbent assay (ELISA)
Time frame: 52 Weeks
Change from Baseline in interferon-gamma cellular immune response to AAV1 capsid and VV-14300-expressed transgene product by enzyme-linked immunosorbent spot (ELISpot) assay
Time frame: 52 Weeks
VV-14300 vector levels in biological samples
Time frame: 52 Weeks
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 5 Oct 2026.
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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.
2 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing VV-14300 in people with Type 1 Diabetes Mellitus, run by Kriya Therapeutics, Inc. at 2 sites in 2 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 9 inclusion and 17 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 5 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 2 sites in Canada, New Zealand. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
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?
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 VP, Medical Affairs (984-884-5058, clinicaltrials@kriyatx.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence and severity of adverse events, abnormal clinical laboratory values, abnormal physical exams, and abnormal vital signs (time frame: 52 Weeks). The study lists 6 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 5 Oct 2026.