This is a double-blind, randomized , placebo-controlled study to evaluate the safety and tolerability of AVT001, and to assess AVT001 as a potential treatment for type 1 diabetes (T1D). The trial will involve approximately 24 new-onset T1D subjects.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
25
Joslin Diabetes Center, Harvard Medical School
Boston, Massachusetts, United States
Number of Participants With Treatment-emergent Adverse Events (TEAE)
Treatment-emergent AEs (TEAEs) are defined as any AE that started on or after the first dose of study medication through 30 days following the last dose.
Time frame: At the Primary Analysis (when all the patients have completed their Day 150 visit)
Number of Participants and Severity of Local i.v.-Site Reactions,
Number of Participants and severity of local intravenous site reactions after receiving the three doses are reported.
Time frame: 5 months post first dose
Changes From Baseline of Creatinine
Safety/tolerability outcomes - creatinine
Time frame: 5 months post first dose
Changes From Baseline of Aspartate Aminotransferase
Safety/tolerability outcomes - Aspartate Aminotransferase
Time frame: 5 months post first dose
Changes From Baseline of Alanine Aminotransferase
Safety/tolerability outcomes - Alanine Aminotransferase
Time frame: 5 months post first dose
Changes From Baseline of Total Bilirubin
Safety/tolerability outcomes - Total Bilirubin
Time frame: 5 months post first dose
Assessment of the HLA-E-restricted CD8+ T Cell Regulatory Activity ("Potency Assay")
CD8+ T cell Inhibition Assay is used to determine whether AVT001 corrects the defect of the dysfunctional Q/E CD8+ Treg pathway in T1D patients. More specifically, this assay detects the specific recognition between the TCR on patients' Q/E CD8+Treg cells and the "common target structure", the HLA-E/Hsp60sp complex, expressed on the surface of the artificially established target cells. The % inhibition measures the function of down-regulation by Q/E CD8+ Tregs via comparing the % of inhibition of TH1 cells versus TB1 cells. By assessing the % inhibition of the TH1 cells of the patient's CD8+ T cells, the CD8+ T cell Inhibition Assay detects the specific recognition of the common target structure (HLA-E/Hsp60sp) on TH1 cells by the TCR on the patient's T cells to be tested. A negative value means the measured Q/E CD8+ Tregs completely lose its inhibition function, and the TH1 cells cultured with it happened to grow faster than the corresponding TB1 cells as its control.
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Time frame: 5 months post first dose
Changes From Baseline in the Area Under the Curve (AUC) of the Stimulated C-peptide Levels Over a 4-hour Mixed Meal Tolerance Test (MMTT)
The area under the stimulated C-peptide curve (AUC) over the first 4-hour period of a mixed meal glucose tolerance test is calculated using the trapezoidal rule that is a weighted sum of the C-peptide values over the 240 minutes. The AUC is normalized by dividing it with 240 mins, therefore, its unit is nmol/L. Missing C-peptide levels at any given timepoint is not imputed. In the calculation of the AUC when C-peptide levels are missing, a line is drawn from the last timepoint with a non-missing C-peptide to the next timepoint with non-missing C-peptide.
Time frame: 5 months post first dose
Changes From Baseline in HbA1c
HbA1c is a blood test that is used to monitor blood glucose control in people with diabetes. HbA1c is short for glycated haemoglobin. The test is also sometimes called haemoglobin A1c.
Time frame: 5 months post first dose