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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