Diabetes Mellitus, Type 1 Clinical Trial
Official title:
A Randomised, Single-blind, Placebo-controlled, Study to Evaluate the Safety, Tolerability, Pharmacodynamics and Pharmacokinetics of Single Ascending Administration of Otelixizumab in Subjects With Type 1 Diabetes Mellitus
This study will assess the subcutaneous administration of otelixizumab to T1DM patients. The study will provide safety, tolerability, pharmacodynamic and pharmacokinetic information which will enable the identification of appropriate safe and well-tolerated subcutaneous dosage regimens to be used in subsequent clinical studies. This study will consist of a screening phase, followed by an in-house phase whereby otelixizumab will be administered to cohorts that will be staggered at each dose level.
Otelixizumab is a humanized, aglycosyl, non-mitogenic, anti CD3 monoclonal antibody (MAb)
directed against the ε domain of the human lymphocyte antigen CD3, which is currently
undergoing phase III clinical trials in adult new-onset type I diabetes mellitus patients
and has been evaluated in rheumatoid arthritis and psoriasis patients in small exploratory
studies. In previous studies, otelixizumab has been administered by intravenous infusion.
This study is a randomised, single-blind, placebo-controlled, study of otelixizumab
administered subcutaneously in Type 1 Diabetes Mellitus (T1DM) subjects.
The assessment of otelixizumab in T1DM subjects will provide safety, tolerability,
pharmacodynamic and pharmacokinetic information following subcutaneous administration which
will enable the identification of appropriate safe and well-tolerated subcutaneous dosage
regimens to be used in subsequent clinical studies. This study will consist of a screening
phase, followed by an in-house phase whereby otelixizumab will be administered to cohorts
that will be staggered at each dose level. Approximately 6 dose levels, covering up to a
10-fold dose range, will be evaluated. A single subcutaneous dose of otelixizumab will be
administered on Day 1 and, serial blood samples will be obtained for clinical laboratory
testing, determination of pharmacodynamic markers, serum otelixizumab PK parameters, and
immunogenicity. Safety and pharmacodynamic data from the previous dose(s) will be evaluated
prior to dose escalation or modification to ensure safety and to achieve target systemic
peripheral blood pharmacology. Adverse events, laboratory values, vital signs and ECG's will
be monitored closely during this study. All subjects in the study will undergo long-term
follow-up out to 48 months to monitor and ensure patient safety.
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