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OPT101 in Type 1 Diabetes Patients

Primary Purpose

Diabetes Mellitus, Type 1

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
OPT101
Sponsored by
Op-T LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Diabetes Mellitus, Type 1

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Able and willing to give informed consent for the trial
  2. Male or female aged ≥18 years on the day of signing informed consent
  3. Diagnosis of Type 1 diabetes (T1D) within the last 20 years
  4. Is medically stable based on physical examination, medical history, laboratory results, and vital signs performed at screening
  5. Women of childbearing potential must have a negative highly sensitive serum test (beta-human chorionic gonadotropin) at screening and a negative urine pregnancy test at the Visit 1 Day 1 prior to receiving the investigational product.
  6. Women must agree to use one of the following methods of birth control for the duration of the clinical trial: systemic hormonal contraceptive (oral, injected, transdermal), intrauterine device, double barrier (e.g., cervical cap or diaphragm with condom or spermicide). Men with female partners must agree to use double barrier contraception, unless their partner is using systemic hormonal contraceptives or has an intrauterine device.

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Exclusion Criteria:

  1. Is over the age of 60 years old
  2. Currently has or had a history of malignancy
  3. Has an immune deficiency syndrome (for example, severe combined immunodeficiency syndrome, T-cell deficiency syndromes, B-cell deficiency syndromes, or chronic granulomatous disease), or bone marrow or organ transplantation, or a disease associated with lymphopenia
  4. Is currently receiving an immuno-modulatory treatment.
  5. Patients with a history of venous and arterial thromboembolic events including, but not limited to, the following: deep venous thrombosis, pulmonary embolism, myocardial infarction, stroke, transient ischemic attack, or arterial insufficiency causing digital gangrene should be excluded. In addition, patients with recent immobilization or recent surgery, should be excluded. Patients with a history of abnormal prothrombotic laboratories such as congenital or inherited deficiency of antithrombin III, protein C, protein S, or confirmed diagnosis of antiphospholipid syndrome should also be excluded.
  6. Has active infections, is prone to infections or has chronic, recurrent or opportunistic infectious disease, including but not limited to, Epstein-Barr virus (EBV), cytomegalovirus (CMV) chronic renal infection, chronic chest infection, sinusitis, recurrent urinary tract infection, Pneumocystis carinii, aspergillosis, latent or active granulomatous infection, histoplasmosis, or coccidioidomycosis or an open, draining, or infected non-healing skin wound or ulcer
  7. Has recent or active hepatitis A infection, current/chronic hepatitis B and hepatitis C infection, or HIV infection. Participants with immunity to hepatitis B from previous infection (defined as negative HBsAg, positive anti-HBc, and positive hepatitis B surface antibody [anti-HBs]) or vaccination (defined as negative HBsAg, negative anti-HBc, and positive anti-HBs) may be eligible to participate.
  8. Has a history of latent or active TB
  9. Has received a live (attenuated) vaccine within the last 60 days, including patients who plan to receive live (attenuated) vaccines during the study or within 60 days after the final dose of study treatment.
  10. Patients with clinically significant abnormal laboratory test values in screening blood samples. In particular patients with the following should be excluded:

    i. Patients with abnormal coagulation panel at screening such as abnormal PT or aPTT or fibrinogen ii. Abnormal liver function tests:

1. Liver enzyme abnormalities (except in the case of known Gilbert's syndrome) 2. AST or ALT ≥3x ULN and total bilirubin ≥2x ULN 3. AST or ALT ≥5x ULN 4. AST or ALT ≥3x ULN if associated with appearance or worsening of rash or hepatitis symptoms iii. Abnormal platelet counts (<150,000mcL or > 450,000mcL) iv. Abnormal white blood cell counts (<3mL or > 11mL) v. Abnormal eGFR (<50mg/dL or >1.10mg/dL) vi. Abnormal Factor VIII (> 160%) vii. Abnormal D-Dimer (> 500ng/mL FEU) 11. Patients planning to undergo elective procedures or surgeries at any time after signing the ICF through the follow-up visit.

12. Is pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the trial, starting with the screening visit through 120 days after the last dose of trial treatment.

13. Recent history of bleeding or bleeding disorders or any condition whereby in the opinion of the treating investigator giving anti-coagulation during treatment would be contraindicated.

14. History of hypersensitivity to antihistamines. 15. Weight is over 250lbs. 16. Patients with active drug or alcohol abuse within 1 year prior to screening 17. Patient is participating in a clinical trial of another investigational drug or device, including patients who have participated in another study for a duration of 5 half-lives of the investigational agent.

18. Patient is a prisoner 19. Investigators could exclude patients with any medical condition, including, but not limited to, cardiac, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, renal, or a psychiatric condition that, in the opinion of the Investigator, could compromise the participant's ability to participate in this study.

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Sites / Locations

  • Diablo Clinical Research CenterRecruiting
  • Rainier Clinical Research CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Other

Arm Label

OPT101 1.1 mg/kg and Placebo

OPT101 2.8 mg/kg and Placebo

Arm Description

9 subjects (6 investigational product:3 placebo)

9 subjects (6 investigational product:3 placebo)

Outcomes

Primary Outcome Measures

Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Treatment related adverse events will be recorded and assessed by CTCAE v4.0

Secondary Outcome Measures

Serum samples collected to determine AUC0-t
Blood samples will be collected to determine the serum concentrations of OPT101 (mg/kg)
Serum samples collected to determine Cmax
Blood samples will be collected to determine the serum concentrations of OPT101 (mg/kg)
Serum samples collected to determine CL/F
Blood samples will be collected to determine the serum concentrations of OPT101 (mg/kg)
Serum samples collected to determine t1/2
Blood samples will be collected to determine the serum concentrations of OPT101 (mg/kg)
Serum samples collected to determine HbA1C from baseline pre mixed meal tolerance test
Serum samples collected to determine c-peptide post mixed meal tolerance test
Serum samples collected to determine glucose levels (mmol/L) pre and post mixed meal tolerance test

Full Information

First Posted
June 9, 2022
Last Updated
March 22, 2023
Sponsor
Op-T LLC
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1. Study Identification

Unique Protocol Identification Number
NCT05428943
Brief Title
OPT101 in Type 1 Diabetes Patients
Official Title
A Phase 1b Study of OPT101 in Patients With Type 1 Diabetes
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 27, 2022 (Actual)
Primary Completion Date
August 2023 (Anticipated)
Study Completion Date
August 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Op-T LLC

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Phase 1b designed to assess safety, pharmacokinetics, immunological and clinical effects of multiple ascending doses of OPT101.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetes Mellitus, Type 1

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
18 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
OPT101 1.1 mg/kg and Placebo
Arm Type
Other
Arm Description
9 subjects (6 investigational product:3 placebo)
Arm Title
OPT101 2.8 mg/kg and Placebo
Arm Type
Other
Arm Description
9 subjects (6 investigational product:3 placebo)
Intervention Type
Drug
Intervention Name(s)
OPT101
Intervention Description
15-mer peptide derived from the sequence of mouse CD154.
Primary Outcome Measure Information:
Title
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Description
Treatment related adverse events will be recorded and assessed by CTCAE v4.0
Time Frame
90 days
Secondary Outcome Measure Information:
Title
Serum samples collected to determine AUC0-t
Description
Blood samples will be collected to determine the serum concentrations of OPT101 (mg/kg)
Time Frame
90 days
Title
Serum samples collected to determine Cmax
Description
Blood samples will be collected to determine the serum concentrations of OPT101 (mg/kg)
Time Frame
90 days
Title
Serum samples collected to determine CL/F
Description
Blood samples will be collected to determine the serum concentrations of OPT101 (mg/kg)
Time Frame
90 days
Title
Serum samples collected to determine t1/2
Description
Blood samples will be collected to determine the serum concentrations of OPT101 (mg/kg)
Time Frame
90 days
Title
Serum samples collected to determine HbA1C from baseline pre mixed meal tolerance test
Time Frame
90 days
Title
Serum samples collected to determine c-peptide post mixed meal tolerance test
Time Frame
90 days
Title
Serum samples collected to determine glucose levels (mmol/L) pre and post mixed meal tolerance test
Time Frame
90 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Able and willing to give informed consent for the trial Male or female aged ≥18 years on the day of signing informed consent Diagnosis of Type 1 diabetes (T1D) within the last 20 years Is medically stable based on physical examination, medical history, laboratory results, and vital signs performed at screening Women of childbearing potential must have a negative highly sensitive serum test (beta-human chorionic gonadotropin) at screening and a negative urine pregnancy test at the Visit 1 Day 1 prior to receiving the investigational product. Women must agree to use one of the following methods of birth control for the duration of the clinical trial: systemic hormonal contraceptive (oral, injected, transdermal), intrauterine device, double barrier (e.g., cervical cap or diaphragm with condom or spermicide). Men with female partners must agree to use double barrier contraception, unless their partner is using systemic hormonal contraceptives or has an intrauterine device. - Exclusion Criteria: Is over the age of 60 years old Currently has or had a history of malignancy Has an immune deficiency syndrome (for example, severe combined immunodeficiency syndrome, T-cell deficiency syndromes, B-cell deficiency syndromes, or chronic granulomatous disease), or bone marrow or organ transplantation, or a disease associated with lymphopenia Is currently receiving an immuno-modulatory treatment. Patients with a history of venous and arterial thromboembolic events including, but not limited to, the following: deep venous thrombosis, pulmonary embolism, myocardial infarction, stroke, transient ischemic attack, or arterial insufficiency causing digital gangrene should be excluded. In addition, patients with recent immobilization or recent surgery, should be excluded. Patients with a history of abnormal prothrombotic laboratories such as congenital or inherited deficiency of antithrombin III, protein C, protein S, or confirmed diagnosis of antiphospholipid syndrome should also be excluded. Has active infections, is prone to infections or has chronic, recurrent or opportunistic infectious disease, including but not limited to, Epstein-Barr virus (EBV), cytomegalovirus (CMV) chronic renal infection, chronic chest infection, sinusitis, recurrent urinary tract infection, Pneumocystis carinii, aspergillosis, latent or active granulomatous infection, histoplasmosis, or coccidioidomycosis or an open, draining, or infected non-healing skin wound or ulcer Has recent or active hepatitis A infection, current/chronic hepatitis B and hepatitis C infection, or HIV infection. Participants with immunity to hepatitis B from previous infection (defined as negative HBsAg, positive anti-HBc, and positive hepatitis B surface antibody [anti-HBs]) or vaccination (defined as negative HBsAg, negative anti-HBc, and positive anti-HBs) may be eligible to participate. Has a history of latent or active TB Has received a live (attenuated) vaccine within the last 60 days, including patients who plan to receive live (attenuated) vaccines during the study or within 60 days after the final dose of study treatment. Patients with clinically significant abnormal laboratory test values in screening blood samples. In particular patients with the following should be excluded: i. Patients with abnormal coagulation panel at screening such as abnormal PT or aPTT or fibrinogen ii. Abnormal liver function tests: 1. Liver enzyme abnormalities (except in the case of known Gilbert's syndrome) 2. AST or ALT ≥3x ULN and total bilirubin ≥2x ULN 3. AST or ALT ≥5x ULN 4. AST or ALT ≥3x ULN if associated with appearance or worsening of rash or hepatitis symptoms iii. Abnormal platelet counts (<150,000mcL or > 450,000mcL) iv. Abnormal white blood cell counts (<3mL or > 11mL) v. Abnormal eGFR (<50mg/dL or >1.10mg/dL) vi. Abnormal Factor VIII (> 160%) vii. Abnormal D-Dimer (> 500ng/mL FEU) 11. Patients planning to undergo elective procedures or surgeries at any time after signing the ICF through the follow-up visit. 12. Is pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the trial, starting with the screening visit through 120 days after the last dose of trial treatment. 13. Recent history of bleeding or bleeding disorders or any condition whereby in the opinion of the treating investigator giving anti-coagulation during treatment would be contraindicated. 14. History of hypersensitivity to antihistamines. 15. Weight is over 250lbs. 16. Patients with active drug or alcohol abuse within 1 year prior to screening 17. Patient is participating in a clinical trial of another investigational drug or device, including patients who have participated in another study for a duration of 5 half-lives of the investigational agent. 18. Patient is a prisoner 19. Investigators could exclude patients with any medical condition, including, but not limited to, cardiac, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, renal, or a psychiatric condition that, in the opinion of the Investigator, could compromise the participant's ability to participate in this study. -
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Lisa Boswell, MS
Phone
303-503-9954
Email
LB@op-t.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lisa Boswell, MS
Organizational Affiliation
OP-T
Official's Role
Study Director
Facility Information:
Facility Name
Diablo Clinical Research Center
City
Walnut Creek
State/Province
California
ZIP/Postal Code
94598
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Meaghan Saint, PA-C, CDCES
Email
msaint@diablolclinical.com
First Name & Middle Initial & Last Name & Degree
Catherine Morimoto
Email
cmorimoto@diabloclinical.com
Facility Name
Rainier Clinical Research Center
City
Renton
State/Province
Washington
ZIP/Postal Code
98057
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sarah Holtz
Phone
425-251-1720
Ext
309
Email
sholtz@rainier-research.com
First Name & Middle Initial & Last Name & Degree
Tina Mitchell, RN
Phone
425-251-1720
Ext
313
Email
tinam@rainier-research.com

12. IPD Sharing Statement

Plan to Share IPD
No

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OPT101 in Type 1 Diabetes Patients

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