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Trial · Interventional

CompletedPhase 2Results postedRegistry data

A Clinical Proof-of-principle Trial in Adult Subjects With Newly Diagnosed Type 1 Diabetes Mellitus Investigating the Effect of NNC0114-0006 and Liraglutide on Preservation of Beta-cell Function

NCTNCT02443155 (opens ClinicalTrials.gov in a new tab)Other idNN9828-4150Other id2014-001215-39Other idU1111-1154-7172Other idREec-2015-1768

Overview

Status
Completed
Phase
Phase 2
Enrollment
308 participants (actual)
Sponsor
Novo Nordisk A/S · Industry
Design
Randomized · Double masking
Countries
18 countries

United States, Austria, Belgium, Canada, Denmark, Finland, Ireland, Israel, Italy, Norway, Poland, Portugal, Russia, Serbia, Spain, Sweden, Ukraine, United Kingdom

Start
10 Nov 2015
Primary completion
31 Aug 2018
Completion
27 Feb 2019
First posted
13 May 2015 (estimated)
Last update posted
9 Apr 2021
Conditions
Diabetes · Diabetes Mellitus, Type 1

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
201520162017201820192020
  1. Ph 2

    A Clinical Proof-of-principle Trial in Adult Subjects With Newly Diagnosed Type 1 Diabetes Mellitus Investigating the Effect of NNC0114-0006 and Liraglutide on Preservation of Beta-cell Function

    NCT02443155

    10 Nov 2015 to 27 Feb 2019

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

This trial is conducted globally. The aim of this trial is to assess the clinical proof-of-principle of NNC0114-0006 and liraglutide on preservation of beta-cell function in adult subjects with newly diagnosed type 1 diabetes mellitus.

Interventions

  • NNC0114-0006Drug
  • liraglutideDrug
  • placeboDrug

Arms4

  • Experimental

    NNC0114-0006 + Liraglutide

  • Experimental

    NNC0114-0006 + Placebo

  • Active comparator

    Liraglutide + Placebo

  • Placebo comparator

    Placebo

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Area Under the Concentration-time Curve (AUC) 0-4h of Mixed Meal Tolerance Test (MMTT) Stimulated C-peptide at Week 54 Relative to Baseline

    Time frame · 0 - 4 hours post-dose on week 0 and week 54

    Registry description

    Area under the concentration-time curve, from 0 to 4 hours (AUC0-4h) of a mixed meal tolerance test (MMTT) stimulated C-peptide at week 54 is presented as ratio to baseline. AUC of C-peptide was measured as Nano moles\*hour per liter (nmol\*h/L).

Secondary outcomes(20)
  1. AUC0-2h of C-peptide at Week 54 Relative to Baseline

    Time frame · 0-2 hours post-dose on week 0 and week 54

    Registry description

    Area under the concentration-time curve, from 0 to 2 hours (AUC0-2h) of a MMTT stimulated C-peptide at week 54 is presented as ratio to baseline. AUC of C-peptide was measured as 'nmol\*h/L'.

  2. Cmax of C-peptide at Week 54 Relative to Baseline

    Time frame · 0-4 hours post-dose on week 0 and week 54

    Registry description

    Maximum observed concentration (Cmax) of a MMTT stimulated C-peptide at week 54 is presented as ratio to baseline. Cmax of C-peptide was measured as nanomoles per liter (nmol/L).

  3. AUC0-4h of Glucose at Week 54 Relative to Baseline

    Time frame · 0 - 4 hours post-dose on week 0 and week 54

    Registry description

    Area under the concentration-time curve, from 0 to 4 hours (AUC0-4h) of a MMTT stimulated glucose at week 54 is presented as ratio to baseline. AUC of glucose was measured as Milli moles\*hour per liter (mmol\*h/L).

  4. AUC0-2h of Glucose at Week 54 Relative to Baseline

    Time frame · 0-2 hours post-dose on week 0 and week 54

    Registry description

    Area under the concentration-time curve, from 0 to 2 hours (AUC0-2h) of a MMTT stimulated glucose at week 54 is presented as ratio to baseline. AUC of glucose is measured as 'mmol\*h/L'.

  5. Cmax of Glucose at Week 54 Relative to Baseline

    Time frame · 0-4 hours post-dose on week 0 and week 54

    Registry description

    Maximum observed concentration (Cmax) of a MMTT stimulated glucose at week 54 is presented as ratio to baseline. Cmax of C-peptide was measured as 'mmol/L'.

  6. Number of Treatment Emergent Adverse Events

    Time frame · Week 0-54; Week 54-80

    Registry description

    An adverse event was any untoward medical occurrence in a participants administered a product, and which did not necessarily have a causal relationship with this treatment. An adverse event was defined as treatment emergent if the onset of the adverse event occurs on or after the first day of trial product administration. Number of treatment emergent adverse events from first dose of trial product to week 54 and week 80 are presented. Results are based on the on-treatment and on-observation period. On-treatment period: From the day of first trial product administration to the day of the visit at week 54. On-observation: From the day after the visit at week 54 to the day of the last visit.

  7. Number of Treatment Emergent Hyperglycaemic Episodes

    Time frame · Week 0-54; Week 54-80

    Registry description

    Hyperglycaemic episodes were defined as treatment-emergent if the onset occurred on or after the first day of trial product administration. Number of treatment emergent episodes of hyperglycaemic episodes from first dose of trial product to week 54 and from week 54 to week 80 are presented. Results are based on the on-treatment and on-observation period. On-treatment period: From the day of first trial product administration to the day of the visit at week 54. On-observation: From the day after the visit at week 54 to the day of the last visit.

  8. Number of Treatment Emergent Episodes of Diabetic Ketoacidosis

    Time frame · Weeks 0-54; Weeks 54-80

    Registry description

    Diabetic ketoacidosis episodes were defined as treatment-emergent if the onset occurred on or after the first day of trial product administration. Number of treatment emergent episodes of hyperglycaemic episodes from first dose of trial product to week 54 and from week 54 to week 80 are presented. Results are based on the on-treatment and on-observation period. On-treatment period: From the day of first trial product administration to the day of the visit at week 54. On-observation: From the day after the visit at week 54 to the day of the last visit.

  9. Number of Participants Experiencing Treatment Emergent Injection/Infusion Site Reactions Caused by NNC0114-0006/Liraglutide/Placebo Injection/Infusion

    Time frame · Week 0-54

    Registry description

    Injection/infusion site reactions episodes were defined as treatment-emergent if the onset occurred on or after the first day of trial product administration. Number of participants experiencing treatment emergent episodes of injection/infusion site reactions episodes from first dose of trial product to week 54 (treatment period) is presented.

  10. Number of Treatment Emergent Hypoglycaemic Episodes According to the American Diabetes Association (ADA)

    Time frame · Weeks 0-54; Weeks 54-80

    Registry description

    Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than 1 day after the date of last contact. Number of treatment-emergent hypoglycaemic episodes according to American Diabetes Association (ADA) classification from first dose of trial product to week 54 and from week 54 to week 80 are presented. Results presented hypoglycaemia episodes were recorded as per ADA definition: Severe hypoglycaemia, Documented symptomatic hypoglycaemia, Asymptomatic hypoglycaemia, Probable symptomatic hypoglycaemia and Pseudo-hypoglycaemia.

  11. Number of Treatment Emergent Hypoglycaemic Episodes According to Novo Nordisk Definitions

    Time frame · Weeks 0-54; Weeks 54-80

    Registry description

    Hypoglycaemia episodes were recorded as per Novo Nordisk definition: Symptomatic BG-confirmed: An episode that is blood glucose (BG) confirmed by plasma glucose (PG) value \<3.1 mmol/L with symptoms consistent with hypoglycaemia. Asymptomatic BG-confirmed: An episode that is BG-confirmed by PG value \<3.1 mmol/L without symptoms consistent with hypoglycaemia. Severe or BG-confirmed symptomatic: An episode that is severe according to the ISPAD classification or BG-confirmed by a PG value \<3.1 mmol/L with symptoms consistent with hypoglycaemia. BG-confirmed: An episode that is BG-confirmed by a PG value \<3.1 mmol/L with or without symptoms consistent with hypoglycaemia. Severe or BG-confirmed: An episode that is severe according to the International Society for Pediatric and Adolescent Diabetes (ISPAD) classification or BG-confirmed by a PG value \<3.1 mmol/L with or without symptoms consistent with hypoglycaemia.

  12. Change in Body Weight (kg)

    Time frame · (Week 0, week 54) and (week 0, week 80)

    Registry description

    Change in body weight is measured at week 54 and week 80 respective to baseline. Body weight was measured in unit 'Kg'.

  13. Diabetes Retinopathy

    Time frame · Baseline, week 54 and week 80

    Registry description

    Number of participants evaluated for diabetic retinopathy at baseline (Day -28 to -14), week 54 and week 80 are presented as 'yes', 'no' or 'unknown'.

  14. Estimated Glomerular Filtration Rate (eGFR)- Ratio to Baseline

    Time frame · (Week 0, week 54) and (week 0, week 80)

    Registry description

    The eGFR was measured using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula. Change in eGFR (measured in milliliters per minute per 1.73 square meters) from baseline (week 0) at week 54 and week 80 is presented as ratio to baseline.

  15. Change in Haematology: Erythrocytes

    Time frame · (Week 0, week 54) and (week 0, week 80)

    Registry description

    Change in erythrocytes (measured in 10\^12 cells per liter) from baseline (week 0) to weeks 54 and 80 is presented as ratio to baseline.

  16. Change in Haematology: Haematocrit

    Time frame · (Week 0, week 54) and (week 0, week 80)

    Registry description

    Change in haematocrit (measured in percentage '%') from baseline (week 0) to weeks 54 and 80 is presented as ratio to baseline.

  17. Change in Haematology: Haemoglobin

    Time frame · (Week 0, week 54) and (week 0, week 80)

    Registry description

    Change in haemoglobin (measured in millimoles per liter 'mmol/L') from baseline (week 0) to weeks 54 and 80 is presented as ratio to baseline.

  18. Change in Haematology: Leukocytes

    Time frame · (Week 0, week 54) and (week 0, week 80)

    Registry description

    Change in leukocytes (measured in 10\^9 cells/L) from baseline (week 0) to weeks 54 and 80 is presented as ratio to baseline.

  19. Change in Haematology: Mean Corpuscular Hemoglobin

    Time frame · (Week 0, week 54) and (week 0, week 80)

    Registry description

    Change in mean Corpuscular hemoglobin (measured in femtomole 'fmol') from baseline (week 0) to weeks 54 and 80 is presented as ratio to baseline.

  20. Change in Haematology: Mean Corpuscular Hemoglobin Concentration

    Time frame · (Week 0, week 54) and (week 0, week 80)

    Registry description

    Change in mean corpuscular hemoglobin concentration (MCHC) (measured in gram per liter 'g/L') from baseline (week 0) to weeks 54 and 80 is presented as ratio to baseline.

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeGeometric mean· 0 - 4 hours post-dose on week 0 and week 54

Area Under the Concentration-time Curve (AUC) 0-4h of Mixed Meal Tolerance Test (MMTT) Stimulated C-peptide at Week 54 Relative to Baseline

GroupValue (Ratio of AUC)Spread
NNC0114-0006 + Liraglutide (Experimental)0.93461.9
NNC0114-0006 (Experimental)0.78345.5
Liraglutide (Experimental)0.709104.8
Placebo (Placebo)0.66086.3
Secondary and other outcome results(7)
Secondary outcomeGeometric mean· 0-2 hours post-dose on week 0 and week 54

AUC0-2h of C-peptide at Week 54 Relative to Baseline

GroupValue (Ratio of AUC)Spread
NNC0114-0006 + Liraglutide (Experimental)0.96165.4
NNC0114-0006 (Experimental)0.82453.0
Liraglutide (Experimental)0.64697.4
Placebo (Placebo)0.65587.3
Secondary outcomeGeometric mean· 0-4 hours post-dose on week 0 and week 54

Cmax of C-peptide at Week 54 Relative to Baseline

GroupValue (Ratio of Cmax)Spread
NNC0114-0006 + Liraglutide (Experimental)0.97870.3
NNC0114-0006 (Experimental)0.77947.6
Liraglutide (Experimental)0.733110.4
Placebo (Placebo)0.64489.4
Secondary outcomeGeometric mean· 0 - 4 hours post-dose on week 0 and week 54

AUC0-4h of Glucose at Week 54 Relative to Baseline

GroupValue (Ratio of AUC)Spread
NNC0114-0006 + Liraglutide (Experimental)0.90433.1
NNC0114-0006 (Experimental)1.07831.8
Liraglutide (Experimental)0.99334.2
Placebo (Placebo)1.08936.7
Secondary outcomeGeometric mean· 0-2 hours post-dose on week 0 and week 54

AUC0-2h of Glucose at Week 54 Relative to Baseline

GroupValue (Ratio of AUC)Spread
NNC0114-0006 + Liraglutide (Experimental)0.93928.5
NNC0114-0006 (Experimental)1.06624.8
Liraglutide (Experimental)0.97831.9
Placebo (Placebo)1.05731.3
Secondary outcomeGeometric mean· 0-4 hours post-dose on week 0 and week 54

Cmax of Glucose at Week 54 Relative to Baseline

GroupValue (Ratio of Cmax)Spread
NNC0114-0006 + Liraglutide (Experimental)0.93727.8
NNC0114-0006 (Experimental)1.06825.4
Liraglutide (Experimental)1.00429.1
Placebo (Placebo)1.05730.9
Secondary outcomeNumber· Week 0-54; Week 54-80

Number of Treatment Emergent Adverse Events

GroupValue (Adverse events)
NNC0114-0006 + Liraglutide (Experimental)434
NNC0114-0006 (Experimental)327
Liraglutide (Experimental)410
Placebo (Placebo)364
Secondary outcomeNumber· Week 0-54; Week 54-80

Number of Treatment Emergent Hyperglycaemic Episodes

GroupValue (Episodes)
NNC0114-0006 + Liraglutide (Experimental)302
NNC0114-0006 (Experimental)256
Liraglutide (Experimental)217
Placebo (Placebo)291

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
NNC0114-0006 + LiraglutideParticipants received 12 mg/kg dose of NNC0114-0006 every 6 weeks, intravenously for 54 weeks. Participants took 0.6 mg of liraglutide, once daily, subcutaneously, for first two weeks, 1.2 mg for next 2 weeks and 1.8 mg for rest of the treatment period. Participants received treatment for 54 weeks followed by an off-treatment observation period of 26 weeks. Participants continued their pre-trial insulin treatment throughout the trial.0 / 777 / 7757 / 77
NNC0114-0006Participants received 12 mg/kg dose of NNC0114-0006 every 6 weeks, intravenously for 54 weeks. Participants took liraglutide placebo once daily, subcutaneously, with the volume of placebo equivalent to the volume liraglutide 0.6 mg, 1.2 mg and 1.8 mg. Participants received treatment for 54 weeks followed by an off-treatment observation period of 26 weeks. Participants continued their pre-trial insulin treatment throughout the trial.0 / 775 / 7755 / 77
LiraglutideParticipants received NNC0114-0006 placebo (volume equivalent to NNC0114-0006 dose of 12 mg/kg) every 6 weeks, intravenously for 54 weeks. Participants took 0.6 mg of liraglutide, once daily, subcutaneously, for first two weeks, 1.2 mg for next 2 weeks and 1.8 mg for rest of the treatment period. Participants received treatment for 54 weeks followed by an off-treatment observation period of 26 weeks. Participants continued their pre-trial insulin treatment throughout the trial.1 / 769 / 7662 / 76
PlaceboParticipants received NNC0114-0006 placebo (volume equivalent to NNC0114-0006 dose of 12 mg/kg) every 6 weeks, intravenously for 54 weeks. In addition to that, participants took liraglutide placebo once daily subcutaneously, with the volume of placebo equivalent to the volume liraglutide 0.6 mg, 1.2 mg and 1.8 mg. Participants received treatment for 54 weeks followed by an off-treatment observation period of 26 weeks. Participants continued their pre-trial insulin treatment throughout the trial.0 / 7711 / 7754 / 77

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies1

Studies that cite this trial.

Studies with results

1 study on this page

Indexing hint: Randomized controlled trial · 2021

10 results

Anti-interleukin-21 antibody and liraglutide for the preservation of β-cell function in adults with recent-onset type 1 diabetes: a randomised, double-blind, placebo-controlled, phase 2 trial.

von Herrath et al. 2021The lancet. Diabetes & endocrinologycited by 153

PMID 33662334DOI 10.1016/s2213-8587(21)00019-xPUB-33662334

Rights unknown10 results

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 45 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial * T1DM (type 1 diabetes mellitus) (as diagnosed clinically) for not more than 20 weeks prior to screening - Male or female, aged 18-45 (both inclusive) at the time of signing the informed consent form * Non-fasting peak C-peptide higher or equal to 0.2 nmol/l at visit 2 * BMI (body mass index) higher or equal to 18.5 kg/m\^2 * Presence of one or more islet specific auto antibodies (glutamic acid decarboxylase (GAD), islet antigen-2 (IA2) or zinc-transporter 8 (ZnT8)) at screening * Insulin dependence unless in temporary spontaneous remission (honeymoon period) Exclusion Criteria: * Daily insulin usage above 1 U/kg per day at screening or use of continuous subcutaneous insulin infusion (CSII) * History of recurrent (e.g. several times a year) of severe (e.g. pneumonia) or chronic infections or conditions predisposing to chronic infections (e.g., bronchiectasis and chronic osteomyelitis) * History of severe systemic fungal infection within the past 12 months prior to screening unless treated and resolved with appropriate documented therapy * Vaccination within 4 weeks before randomisation, Visit 3 (V3) * Receipt of any other concomitant medications or herbal products that can influence the immune system within 90 days prior to screening (V1) * History of pancreatitis (acute or chronic) * Family or personal history of Multiple Endocrine Neoplasia Type 2 (MEN2) or Medullary Thyroid Carcinoma (MTC) * Any past or current diagnosis of malignant neoplasms * Known impairment of the immune system, except for T1DM, coeliac disease, alopecia, autoimmune antibodies not considered clinical important (e.g. thyroid antibodies without any clinically important thyroid disease), and vitiligo

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