Diabetes Clinical Trial
Official title:
A Randomized, Placebo-controlled, Double-blind, In-patient Study to Evaluate Safety, Tolerability, and Pharmacodynamics of REMD-477 Following a Single Dose in Subjects With Type 1 Diabetes Mellitus
This is a randomized, placebo-controlled, double-blind study to evaluate safety, tolerability and pharmacodynamics of REMD-477 in subjects who have Type 1 diabetes and are currently receiving insulin treatment. This proof of concept study will determine whether glucagon receptor blockade using a single dose REMD-477 can improve short-term glucose homeostasis in people with Type 1 diabetes.
The study will be conducted at two sites in the United States, and approximately 20 subjects
with type 1 diabetes will be enrolled. Eligible subjects will be admitted to the clinical
research unit, to carefully monitor blood glucose; and establish the baseline insulin
requirement for maintaining targeted normoglycemia (postabsorptive: 90-120 mg/dL; and
postprandial: <180 mg/dL).
The patients will then be subjected to a hyperglycemic period (250-300 mg/dL) by a stepwise
reduction in insulin infusion. After receiving a single SC dose of REMD-477 or matching
placebo in a double-blinded fashion, all subjects will be assessed for the post-treatment
24-hour insulin requirement needed to maintain targeted normoglycemia (postabsorptive:
90-120 mg/dL; and postprandial: <180 mg/dL); and to be monitored closely for safety,
tolerability and targeted glycemic control, for a 48-hr period. After the in-patient
residency period, subjects will return to the clinic for weekly out-patient safety follow-up
visits for 8 weeks.
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