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Tolerability, Safety, and Efficacy Study of INGAP Peptide to Treat Type 1 Diabetes Mellitus in Adults
A Multiple-center, Randomized, Double-blind, Placebo-controlled, Parallel Study to Assess the Tolerability, Safety, and Efficacy of INGAP Peptide Given Subcutaneously as Injections t.i.d. for 12 Weeks in Adult Patients With Type 1 Diabetes Mellitus
1 other identifier
interventional
23
2 countries
2
Brief Summary
INGAP Peptide acetate is the active ingredient of INGAP Peptide Solution for Injection. It is being developed as an antidiabetic agent for the restoration of endogenous insulin secretion in patients with type 1 diabetes mellitus (T1DM) and in insulin-deficient patients with type 2 diabetes mellitus (T2DM). This clinical study is designed to generate additional data regarding the appropriate dose and dosing regimen and to evaluate safety and efficacy in patients with T1DM.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Nov 2009
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 13, 2009
CompletedFirst Posted
Study publicly available on registry
October 15, 2009
CompletedStudy Start
First participant enrolled
November 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2011
CompletedFebruary 12, 2014
February 1, 2014
2.1 years
October 13, 2009
February 11, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Injection tolerability
Local injection site
4-8-12-16 weeks
Secondary Outcomes (1)
C-peptide
4-8-12-16 weeks
Study Arms (3)
Placebo
PLACEBO COMPARATORPlacebo subcutaneous injection tid for 12 weeks
100 mg INGAP Peptide tid
ACTIVE COMPARATOR100 mg INGAP Peptide tid subcutaneous injection for 12 weeks
200 mg INGAP Peptide tid
ACTIVE COMPARATOR200 mg INGAP Peptide tid subcutaneous injection for 12 weeks
Interventions
100 mg INGAP Peptide tid subcutaneous injection for 12 weeks
Eligibility Criteria
You may qualify if:
- Patients meeting all of the following criteria will be eligible for enrollment in the study:
- Male and female patients between the ages of 19 and 60 years old, inclusive, with a history of T1DM for \>2 years and ≤40 years;
- Receiving multiple daily insulin injections or insulin pump therapy for \>2 years;
- Body mass index (BMI) ≤32 kg/m2;
- HbA1c ≤7.7%;
- Fasting C-peptide levels \<0.6 ng/mL
- Willing to sign the study informed consent document;
- In good general health with no late severe complications or concomitant medical conditions that would influence the outcome of the trial, at the discretion of the Investigator and the Sponsor;
- If treated with angiotensin-converting enzymes/angiotensin II receptor blockers (ACE/ARB), the doses should be unchanged for a month prior to enrollment; and
- Females of child bearing potential must have a negative urine pregnancy test on Day 0 prior to dispensing drug and should additionally fulfill one of the following criteria:
- Willing to use oral, implantable, transdermal, or injectable contraceptives for 21 days prior to the first dose and until 28 days after the last dose; or,
- Willing to use another reliable means of contraception approved by the Investigator (intrauterine device, female condom, diaphragm with spermicide, cervical cap, use of condom by sexual partner, or a sterile sexual partner) from Screening until after the last blood sample (at Week 16).
You may not qualify if:
- Patients meeting any of the following criteria will be excluded from study participation:
- Total daily insulin dosage exceeding 1.0 U/kg/day or a change in total daily insulin dose level of more than 50% (increase or decrease) within the past 3 months;
- Treatment with any diabetes medication other than insulin;
- A score of 4 or more restricted responses on the Clarke Hypoglycemia Awareness Survey;
- Systolic or diastolic blood pressure \>180 mmHg or \>110 mmHg, respectively;
- Clinical worsening of retinopathy or neuropathy in the previous 3 months;
- Clinical worsening of nephropathy in the previous 3 months, or blood urea nitrogen (BUN) and serum creatinine exceeding 50 mg/dL and 2.0 mg/dL, respectively;
- History or presence of acute or chronic pancreatitis, including a serum amylase level \>1.5 times the upper limit of normal (ULN) or a serum lipase level \>2 times ULN;
- A history or presence of any illness, disease, or condition that could impact patient safety or evaluability of drug effect, in the Investigator's opinion;
- An episode of severe hypoglycemia (change in mental status requiring assistance) during the previous 30 days;
- An episode of acute glycemic decompensation with associated hyperosmolar non-ketotic state or diabetic ketoacidosis during the past 6 months;
- A serum aspartate aminotransferase (AST), alanine aminotransferase (ALT), or total bilirubin level \>2 times ULN;
- Received any investigational product within 30 days of admission into this study or had any prior or existing exposure to INGAP Peptide or glucagon-like peptides (GLP 1, GLP 2, or analogs);
- Concurrent or planned participation in any other clinical study during the conduct of this study;
- Positive urine test for cocaine, opiates, amphetamines, or cannabinoids;
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Mayo Clinic
Rochester, Minnesota, 55905, United States
McGill University - Montreal General Hospital
Montreal, Quebec, H3G 1A4, Canada
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Yogish Kudva, M.D.
Mayo Clinic
- PRINCIPAL INVESTIGATOR
George Tsoukas, MD
McGill University
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 13, 2009
First Posted
October 15, 2009
Study Start
November 1, 2009
Primary Completion
December 1, 2011
Study Completion
December 1, 2011
Last Updated
February 12, 2014
Record last verified: 2014-02