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

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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