Clinical trial • Phase I/II • Endocrinology

VX-264 for Type 1 diabetes mellitus

Phase I/II trial of VX-264 for Type 1 diabetes mellitus. open-label, none/not specified-controlled. 13 participants.

Overview

Trial Therapeutic Area
Endocrinology
Trial Disease
Type 1 diabetes mellitus
Trial Stage
Phase I/II
Drug Modality
Cell therapy

Key dates

Initial CTIS Submission Date
28-08-2024
First CTIS Authorization Date
20-09-2024

Trial design

open-label, none/not specified-controlled Phase I/II trial across 4 sites in Netherlands, Italy, Germany.

Open Label
Yes
Comparator
None/Not specified
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
13

Eligibility

Recruits 13 Vulnerable population selected (isVulnerablePopulationSelected = true). Informed consent materials for adult subjects are provided (L1_SIS and ICF Main Adult documents listed for Netherlands, Italy, Germany); specific assent or additional consent handling for other vulnerable groups is not detailed in the available record..

Vulnerable Population
Vulnerable population selected (isVulnerablePopulationSelected = true). Informed consent materials for adult subjects are provided (L1_SIS and ICF Main Adult documents listed for Netherlands, Italy, Germany); specific assent or additional consent handling for other vulnerable groups is not detailed in the available record.

Inclusion criteria

  • {"criterion_text":"- Subjects (male and female) between the ages of 18 and 65 years (inclusive) on the date of first informed consent."}
  • {"criterion_text":"- HbA1c ≥6.0% and ≤ 9.5%."}
  • {"criterion_text":"- Clinical history and laboratory evidence of T1D based on the American Diabetes Association/European Association for the Study of Diabetes algorithm 13 for investigation of suspected T1D including: o insulin dependence for ≥5 years at time of Screening, and o peak stimulated C-peptide level during MMTT <50 pmol/L (<0.15 ng/mL)"}
  • {"criterion_text":"- Consistent use of CGM for at least 4 weeks before Screening and willingness to use only the study-provided CGM for the duration of the study."}
  • {"criterion_text":"- Body habitus supportive of implantation of the planned number of VX- 264 units per study part and/or cohort."}

Exclusion criteria

  • {"criterion_text":"- Prior islet cell transplant, organ transplant, or cell therapy."}
  • {"criterion_text":"- Advanced complications associated with diabetes including untreated proliferative retinopathy, diabetic nephropathy, skin ulcers, or amputations attributable to diabetes."}
  • {"criterion_text":"- Insulin requirement: a) Parts A and B >40 U/day, or <10 U/day b) >0.8 U/kg/day."}
  • {"criterion_text":"- Subjects with ≥2 or more episodes of severe hypoglycemia in the 12 months prior to signing of informed consent at Screening."}
  • {"criterion_text":"- Previous abdominal or abdominal wall surgery, or history of peritonitis, that can impact VX-264 placement or put the patient at higher risk of surgical complications."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Part A: Safety and tolerability based on TEAEs (including incidence and severity of AEs and SAEs), ADEs (including SADEs and device deficiencies), clinical laboratory assessments, vital signs, standard 12-lead ECGs, imaging assessments (ultrasound and magnetic resonance imaging), retinopathy evaluation, number of subjects receiving less than the target number of VX 264 units due to AEs, number of subjects with VX 264 units explanted due to AEs or ADEs and/or unit integrity issues.","definition_or_measurement_approach":"Safety and tolerability assessed by TEAEs/SAEs, ADEs/SADEs, device deficiencies, clinical laboratory assessments, vital signs, standard 12-lead ECGs, imaging (ultrasound, MRI), retinopathy evaluation, and counts of subjects receiving fewer than target VX-264 units or having units explanted."}
  • {"endpoint_text":"- Part B: Safety and tolerability based on TEAEs (including incidence and severity of AEs and SAEs), ADEs (including SADEs and device deficiencies), clinical laboratory assessments, vital signs, standard 12- lead ECGs, imaging assessments (ultrasound and magnetic resonance imaging), retinopathy evaluation, number of subjects receiving less than the target number of VX 264 units due to AEs or ADEs, number of subjects with VX 264 units explanted due to AEs and/or unit integrity issues.","definition_or_measurement_approach":"Safety and tolerability assessed by TEAEs/SAEs, ADEs/SADEs, device deficiencies, clinical laboratory assessments, vital signs, standard 12-lead ECGs, imaging (ultrasound, MRI), retinopathy evaluation, and counts of subjects receiving fewer than target VX-264 units or having units explanted."}
  • {"endpoint_text":"- Part C: Change from baseline in peak C-peptide during MMTT at Day 90.","definition_or_measurement_approach":"Measured change from baseline in peak C-peptide during a Mixed-Meal Tolerance Test (MMTT) at Day 90."}

Recruitment

Digital Remote Recruitment
Yes
Planned Sample Size
13
Recruitment Window Months
41
Consent Approach
Informed consent obtained from adult subjects using subject information and informed consent forms (L1_SIS and ICF Main Adult). ICFs and related materials are provided in local languages (documents present for Netherlands - Dutch, Italy - Italian, Germany - German). Pregnancy-specific ICFs/forms are also listed. No details on assent procedures or consent by legally authorised representatives are provided in the available record.

Methods

  • K1_Recruitment Arrangements (country-specific) documents listed for Netherlands, Italy, Germany (study-specific recruitment arrangements).
  • MyTomorrows platform: Landing pages and patient navigator scripts (MyTomorrows Landing Page Copy, Landing Page Screenshots, Patient Navigator Scripts) — country-specific copies for Netherlands, Italy, Germany.
  • Digital advertising: Facebook advertisements (country-specific: Netherlands, Italy, Germany) and Google advertisements (country-specific).
  • Digital materials: MyTomorrows Landing Page, MyTomorrows Google and Facebook ads, landing page screenshots (country-specific).
  • Printed materials and direct outreach: Posters (Study Specific and T1D Specific), Recruitment Brochure, Patient Invitation to Trial Letter (country-specific).
  • HCP / site engagement: PI to Physician Letter, HCP Slide Deck (country-specific), Research Institute Posting, Press Release Text, Study Fact Sheets.

Geography

Total Number Of Sites
4
Total Number Of Participants
4

Netherlands

Earliest CTIS Part Ii Submission Date
20-09-2024
Latest Decision Or Authorization Date
08-09-2025
Processing Time Days
353
Number Of Sites
1
Number Of Participants
2

Sites

Site Name
Leids Universitair Medisch Centrum (LUMC)
Department Name
Leiden University Medical Centre
Contact Person Name
Eelco de Koning
Contact Person Email
e.j.p.de_koning@lumc.nl

Italy

Earliest CTIS Part Ii Submission Date
27-09-2024
Latest Decision Or Authorization Date
10-09-2025
Processing Time Days
348
Number Of Sites
2
Number Of Participants
1

Sites

Site Name
Istituto Mediterraneo Per I Trapianti E Terapie Ad Alta Specializzazione S.r.l. I.S.M.E.T.T. S.r.l.
Department Name
Diabetes Service
Contact Person Name
Alessandro Mattina
Contact Person Email
amattina@ismett.edu
Site Name
Ospedale San Raffaele S.r.l.
Department Name
Department of Regenerative Medicine and Transplantation
Contact Person Name
Lorenzo Piemonti
Contact Person Email
piemonti.lorenzo@hsr.it

Germany

Earliest CTIS Part Ii Submission Date
24-09-2024
Latest Decision Or Authorization Date
18-09-2025
Processing Time Days
359
Number Of Sites
1
Number Of Participants
1

Sites

Site Name
Universitaetsklinikum Carl Gustav Carus Dresden an der Technischen Universitaet Dresden AöR
Department Name
Dresden Center for Islet Transplantation
Contact Person Name
Barbara Ludwig
Contact Person Email
barbara.ludwig@ukdd.de

Sponsor

Primary sponsor

Full Name
Vertex Pharmaceuticals Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Investigational products

Investigational Product Name
VX-264 Implant
Active Substance
VX-264
Modality
Cell therapy
Routes Of Administration
Implantation
Route
Implantation
Combination Treatment
Yes

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