NCT06062069

Brief Summary

This study will evaluate the changes in glycemic control in overweight and obese adults with Type 1 Diabetes Mellitus after receiving CT-868 for 16 weeks. The effectiveness and safety of CT-868 will be compared to placebo. All participants will continue with their standard diabetes care using either an insulin pump (CSII) or multiple daily injections (MDI). Alongside their designated treatment, participants will receive guidance on managing their diabetes, including monitoring blood glucose levels and diet and exercise recommendations. Treatment assignments, either CT-868 plus insulin or placebo plus insulin will be randomly determined.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
111

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Oct 2023

Geographic Reach
1 country

22 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 14, 2023

Completed
18 days until next milestone

First Posted

Study publicly available on registry

October 2, 2023

Completed
17 days until next milestone

Study Start

First participant enrolled

October 19, 2023

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 9, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 9, 2025

Completed
Last Updated

July 17, 2025

Status Verified

July 1, 2025

Enrollment Period

1.7 years

First QC Date

September 14, 2023

Last Update Submit

July 14, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Compare the effect of CT-868 versus placebo on change in HbA1c (%) from baseline

    at Day 1 to Week 16

Secondary Outcomes (6)

  • Compare the effect of CT-868 versus placebo on change in HbA1c (%) from baseline

    at Day 1 to Weeks 4, 8, and 12

  • To assess the percentage of participants achieving HbA1c of <7.0%.

    at Week 16

  • To assess the percentage of participants achieving HbA1c of ≤6.5%.

    at Week 16

  • To assess the percentage of participants achieving HbA1c of <5.7%.

    at Week 16

  • Change in body weight (in kilograms) from baseline when comparing CT-868 to placebo.

    at Day 1 to Week 16

  • +1 more secondary outcomes

Other Outcomes (3)

  • Time In Range (TIR) as per Continuous Glucose Monitoring (CGM) metrics.

    at Day 1 to Week 16

  • Time in hypoglycemia as per CGM metrics.

    at Day 1 to Week 16

  • Time in hyperglycemia as per CGM metrics.

    at Day 1 to Week 16

Study Arms (4)

CT-868 Low Dose

EXPERIMENTAL

Participants in this arm will receive the drug CT-868 in a subcutaneous injection form. The dosage is set at up to 1.8 mg, and it will be administered once daily for a total duration of 16 weeks.

Drug: CT-868Device: CT-868 Pen Injector

CT-868 Medium Dose

EXPERIMENTAL

Participants in this arm will receive the drug CT-868 in a subcutaneous injection form. The dosage is set at up to 4.1 mg, and it will be administered once daily for a total duration of 16 weeks.

Drug: CT-868Device: CT-868 Pen Injector

CT-868 High Dose

EXPERIMENTAL

Participants in this arm will receive the drug CT-868 in a subcutaneous injection form. The dosage is set at up to 6.6 mg, and it will be administered once daily for a total duration of 16 weeks.

Drug: CT-868Device: CT-868 Pen Injector

CT-868 Placebo

PLACEBO COMPARATOR

Participants in this arm will receive a placebo designed to match the appearance and formulation of the drug CT-868. The intervention consists of a subcutaneous injection of this placebo. The placebo will be administered once daily for a duration of 16 weeks.

Device: CT-868 Pen InjectorDrug: CT-868 Pen Injector, Placebo

Interventions

CT-868DRUG

CT-868 is an investigational medication administered subcutaneously via a pre-filled pen injector device.

CT-868 High DoseCT-868 Low DoseCT-868 Medium Dose

The CT-868 pen injector is a multi-dose, single-participant, disposable pen.

CT-868 High DoseCT-868 Low DoseCT-868 Medium DoseCT-868 Placebo

The placebo pen injector is identical and contains the same ingredients except for CT-868.

CT-868 Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female, 18 years of age or older at the time of signing informed consent
  • Have a documented clinical diagnosis of T1DM greater than or equal to 1 year before the Screening Visit
  • Body mass index greater than or equal to27.0 kg/m2
  • Hemoglobin A1c (HbA1c) level between 7.0% and 10.0%, inclusive, at the Screening Visit

You may not qualify if:

  • Diagnosis of Type 2 diabetes mellitus (T2DM) or any other types of diabetes, except T1DM
  • Experienced diabetic ketoacidosis (DKA) within 3 months prior to the Screening Visit
  • Experienced severe hypoglycemia (Level 3 as defined in the ADA Standards of Medical Care in Diabetes (ADA 2022) within 3 months prior to the Screening Visit

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (22)

John Muir Physician Network Clinical Research Center

Concord, California, 94520, United States

Location

Headlands Research- AMCR

Escondido, California, 92025, United States

Location

University of Colorado - Barbara Davis Center for Diabetes

Aurora, Colorado, 80045, United States

Location

Denver Endocrinology Diabetes and Thyroid Center

Englewood, Colorado, 80113, United States

Location

Advent Health

Orlando, Florida, 32804, United States

Location

Orlando Health Science Clinic, LLC

Orlando, Florida, 32822, United States

Location

Innovative Research Institute

Port Charlotte, Florida, 33952, United States

Location

Atlanta Diabetes Associates

Atlanta, Georgia, 30309, United States

Location

Rocky Mountain Clinical Research, LLC- Idaho Falls, Idaho

Idaho Falls, Idaho, 83404, United States

Location

Iowa Diabetes and Endocrinology Research Center

West Des Moines, Iowa, 50266, United States

Location

MedStar Health Research Institute - Washington Hospital Center

Hyattsville, Maryland, 20782, United States

Location

University of North Carolina Health Sciences at MAHEC

Asheville, North Carolina, 28803, United States

Location

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27517, United States

Location

Lucas Research, Inc

Morehead City, North Carolina, 28557, United States

Location

Oregon Health and Science University

Portland, Oregon, 97239, United States

Location

Texas Diabetes and Endocrinology, P.A

Austin, Texas, 78731, United States

Location

Velocity Clinical Research - Dallas

Dallas, Texas, 75230, United States

Location

Research Institute of Dallas

Dallas, Texas, 75231, United States

Location

Diabetes & Glandular Disease Clinic, P.A.

San Antonio, Texas, 78229, United States

Location

Consano Clinical Research

Shavano Park, Texas, 78231, United States

Location

Texas Valley Clinical Research, LLC

Weslaco, Texas, 78596, United States

Location

Rainier Clinical Research Center

Renton, Washington, 98057, United States

Location

Related Links

MeSH Terms

Conditions

OverweightObesityDiabetes Mellitus, Type 1

Condition Hierarchy (Ancestors)

OvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsDiabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesEndocrine System DiseasesAutoimmune DiseasesImmune System Diseases

Study Officials

  • Clinical Trials

    Carmot Therapeutics, Inc., a member of the Roche Group

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 14, 2023

First Posted

October 2, 2023

Study Start

October 19, 2023

Primary Completion

July 9, 2025

Study Completion

July 9, 2025

Last Updated

July 17, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will not share

Locations