Clinical trial • Phase I/II • Endocrinology | Immunology
VERAPAMIL for Type 1 diabetes
Phase I/II trial of VERAPAMIL for Type 1 diabetes.
Overview
- Trial Therapeutic Area
- Endocrinology | Immunology
- Trial Disease
- Type 1 diabetes
- Trial Stage
- Phase I/II
- Drug Modality
- Small molecule
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 07-11-2024
- First CTIS Authorization Date
- 11-02-2025
Trial design
Randomised, placebo capsules corresponding to isoptin for oral administration (oral placebo); no dose or schedule specified in the record.-controlled Phase I/II trial across 2 sites in Sweden.
- Randomised
- Yes
- Comparator
- Placebo capsules corresponding to Isoptin for oral administration (oral placebo); no dose or schedule specified in the record.
- Target Sample Size
- 36
- Trial Duration For Participant
- 730
Eligibility
Recruits 36 paediatric patients.
- Vulnerable Population
- Children are included (age at diagnosis 4.00 - 9.99 years). Informed consent must be given by patients and caregivers/parents (criterion: "Informed consent given by patients and caregivers/parents"). Subject information and informed consent forms specific for children are listed among study documents (e.g. documents titled "L1_FPI barn 7-10...").
Inclusion criteria
- {"criterion_text":"-Informed consent given by patients and caregivers/parents"}
- {"criterion_text":"-Type 1 diabetes according to the ADA classification within the previous 3 months at the time of screening"}
- {"criterion_text":"-Fasting C-peptide >0.12 nmol/ml"}
- {"criterion_text":"-Elevated levels of any diabetes-related antibody/ies (e.g. GADA, IAA, IA-2A, ZnT8A) is/are present"}
- {"criterion_text":"-\tAge 4.00 - 9.99 years at Diagnosis of Type 1 diabetes"}
Exclusion criteria
- {"criterion_text":"-Cardiac disease/problems, abnormal ECG, or history of abnormal blood pressure"}
- {"criterion_text":"-Previous or current treatment with immunosuppressant therapy (although topical or inhaled steroids are accepted)"}
Endpoints
Primary endpoints
- {"endpoint_text":"-The primary endpoint for part A - Frequency of AE and SAE during the study period (from start of treatment to 18 months).","definition_or_measurement_approach":"Frequency counts of adverse events (AE) and serious adverse events (SAE) occurring from start of treatment to 18 months."}
- {"endpoint_text":"-The primary endpoint for part B - Change in C-peptide (AUCmean 0-120 min) during an MMTT from baseline to month 24.","definition_or_measurement_approach":"Change in C-peptide measured as area under the curve mean (AUCmean) 0-120 minutes during a mixed-meal tolerance test (MMTT) from baseline to month 24."}
Secondary endpoints
- {"endpoint_text":"-The secondary endpoints for part A - Degree of metabolic control measured by HbA1c and TiT measured with Continuous Glucose Monitoring (CGM)","definition_or_measurement_approach":"Metabolic control assessed by Hemoglobin A1c (HbA1c) and Time-in-Target (TiT) measured using Continuous Glucose Monitoring (CGM)."}
- {"endpoint_text":"-The secondary endpoints for part A-Insulin requirement measured as Insulin dose per kg body weight and 24 hours after 12 and 24 months","definition_or_measurement_approach":"Insulin requirement measured as insulin dose per kg body weight and total 24-hour insulin dose at 12 and 24 months."}
- {"endpoint_text":"-The secondary endpoints for part A - Preservation of residual beta cell function (C-peptide) measured by MMTT","definition_or_measurement_approach":"Preservation of residual beta cell function assessed by C-peptide measured during a mixed-meal tolerance test (MMTT)."}
- {"endpoint_text":"-The secondary endpoints for part B -Change in fasting C-peptide value during MMTT from baseline to month 24","definition_or_measurement_approach":"Change in fasting C-peptide measured during MMTT from baseline to month 24."}
- {"endpoint_text":"-The secondary endpoints for part B -\tChange in C-peptide 90 minute value during MMTT from baseline to month 24","definition_or_measurement_approach":"Change in C-peptide value at 90 minutes during MMTT from baseline to month 24."}
- {"endpoint_text":"-The secondary endpoints for part B-Proportion of patients with peak C-peptide > 0.20 nmol/l at month 24.","definition_or_measurement_approach":"Proportion of patients whose peak C-peptide exceeds 0.20 nmol/l at month 24."}
- {"endpoint_text":"-The secondary endpoints for part B- Change in Hemoglobin A1c (HbA1c) between baseline and subsequent visits.","definition_or_measurement_approach":"Change in HbA1c from baseline to subsequent visits."}
- {"endpoint_text":"-The secondary endpoints for part B-Change in exogenous insulin dose per kg body weight and 24 hours between baseline and subsequent visits when insulin doses are collected.","definition_or_measurement_approach":"Change in exogenous insulin dose per kg body weight and 24-hour insulin dose between baseline and subsequent visits."}
- {"endpoint_text":"-The secondary endpoints for part B-Frequency of Serious Adverse Events related to study treatment.","definition_or_measurement_approach":"Frequency counts of serious adverse events (SAEs) judged related to study treatment."}
Recruitment
- Planned Sample Size
- 36
- Recruitment Window Months
- 40
- Consent Approach
- Informed consent must be given by patients and caregivers/parents (criterion: "Informed consent given by patients and caregivers/parents"). Subject information and informed consent forms exist for different participant groups including child-specific versions (e.g. documents titled "L1_FPI barn 7-10...") and separate forms for parts A and B. Languages of consent documents are not specified in the available record.
Geography
- Total Number Of Sites
- 2
- Total Number Of Participants
- 36
Sweden
- Earliest CTIS Part Ii Submission Date
- 20-01-2025
- Latest Decision Or Authorization Date
- 11-02-2025
- Processing Time Days
- 22
- Number Of Sites
- 2
- Number Of Participants
- 36
Sites
- Site Name
- Region Joenkoepings Laen / Lanssjukhuset Ryhov
- Department Name
- Barnkliniken, Länssjukhuset Ryhov, Jönköping
- Contact Person Name
- Karin Åkesson
- Contact Person Email
- karin.akesson@rjl.se
- Site Name
- Region Oestergoetland / Universitetssjukhuset I
- Department Name
- Kronprinsessan Victorias barn-och ungdomssjukhus, Universitetssjukhuset i Linköping
- Contact Person Name
- Johnny Ludvigsson
- Contact Person Email
- johnny.ludvigsson@regionostergotland.se
Sponsor
Primary sponsor
- Full Name
- Linkopings Universitet
- Organisation Type
- Educational Institution
- Country Of Registered Address
- Sweden
Investigational products
- Investigational Product Name
- VERAPAMIL
- Active Substance
- VERAPAMIL
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Investigational Product Name
- Placebo capsules corresponding to Isoptin for oral administration
- Modality
- Other
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