Recent-Onset Type 1 Diabetes Extension Study Evaluating the Long-Term Safety of Teplizumab

2024-516543-26-00 Protocol PRV-031-003/LTS18119 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 23 Jul 2021 · Status Ongoing, recruitment ended · 5 EU/EEA countries · 16 sites · Protocol PRV-031-003/LTS18119

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 188
Countries 5
Sites 16

Type 1 Diabetes Mellitus

To evaluate the long-term safety of teplizumab in participants who previously completed the PRV-031-001 (PROTECT) study for an additional 42 months of follow-up

Key facts

Sponsor
Provention Bio Inc.
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nutritional and Metabolic Diseases [C18]
Trial duration
23 Jul 2021 → ongoing
Decision date (initial)
2024-10-10
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Provention Bio

External identifiers

EU CT number
2024-516543-26-00
EudraCT number
2020-002798-92
WHO UTN
U1111-1310-5137
ClinicalTrials.gov
NCT04598893

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

To evaluate the long-term safety of teplizumab in participants who previously completed the PRV-031-001 (PROTECT) study for an additional 42 months of follow-up

Secondary objectives 1

  1. To evaluate clinical parameters of diabetes management, including insulin use and HbA1c, during the 42 months of follow-up

Conditions and MedDRA coding

Type 1 Diabetes Mellitus

VersionLevelCodeTermSystem organ class
20.0 LLT 10012594 Diabetes 10027433

Regulatory references

Scientific advice from competent authorities
European Medicines Agency
EMA paediatric investigation plan (PIP)
EMEA-000524-PIP01-08
Plan to share IPD
Yes
IPD plan description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Completion of the PRV-031-001 (PROTECT) study by completing the Week 78 visit in that study, regardless of how many doses of study drug were administered
  2. Provide written informed consent within 12 months of the Week 78 in the PRV- 031-001 study. Written assent will be obtained for participants under 18 years of age at the time of enrollment, according to applicable regulations. If possible, written informed consent and/or assent for the current PROTECT Extension study (PRV-031-003) should be obtained at the final (Week 78) visit in the PROTECT study

Exclusion criteria 1

  1. Premature discontinuation from the PRV-031-003 (PROTECT) study for any reason

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Incidence of adverse events (AEs), serious adverse events (SAEs) and adverse events of special interest (AESIs), including infections and malignancies

Secondary endpoints 3

  1. The area under the time-versus-concentration curve (AUC) of C-peptide after a 4-hour (4h) mixed-meal tolerance test (MMTT), a measure of endogenous insulin production and β cell function by visit and change from baseline (MMTT), a measure of endogenous insulin production and β cell function
  2. Insulin use, defined as a daily average dose in units per kilogram per day (U/kg/day) by visit and change from baseline
  3. HbA1c levels(%) by visit and change from baseline

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Teplizumab

PRD11562804 · Product

Active substance
Teplizumab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
850 µg/ m2 microgram(s)/ sq. Meter
Max total dose
18 mg/m2 milligram(s)/square meter
Max treatment duration
24 Day(s)
Authorisation status
Not Authorised
MA holder
PROVENTION BIO, INC.
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Provention Bio Inc.

Sponsor organisation
Provention Bio Inc.
Address
100 Morris Street
City
Morristown
Postcode
07960-4563
Country
United States

Scientific contact point

Organisation
Provention Bio Inc.
Contact name
Clinical Sciences and Operations

Public contact point

Organisation
Provention Bio Inc.
Contact name
Clinical Sciences and Operations

Third parties 7

OrganisationCity, countryDuties
Psi Cro AG
ORG-100034251
Zug, Switzerland On site monitoring, Code 11, Code 12, Code 13, Other, Code 2, Code 5, Data management, E-data capture
MEDPACE LABORATORIES
ORG-100042942
Leuven, Belgium Other
Rho Inc.
ORG-100048371
Durham, United States Code 10
Q Squared Solutions Limited
ORG-100042527
Reading, United Kingdom Laboratory analysis
Parexel International (IRL) Limited
ORG-100022780
Dublin 2, Ireland Code 8
Medpace Reference Laboratories LLC
ORG-100041727
Cincinnati, United States Laboratory analysis
Clinical Ink Inc.
ORG-100042433
Winston Salem, United States Other

Locations

5 EU/EEA countries · 16 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruitment ended 2 1
Czechia Ongoing, recruitment ended 19 1
France Ongoing, recruitment ended 8 6
Germany Ongoing, recruitment ended 12 4
Poland Ongoing, recruitment ended 25 4
Rest of world
United States, Canada, United Kingdom
122

Investigational sites

Belgium

1 site · Ongoing, recruitment ended
Centre Hospitalier Universitaire Dinant Godinne Sainte-Elisabeth-UCL-Namur
Diabétologie et endocrinologie pédiatrique, Place Louise Godin 15, 5000, Namur

Czechia

1 site · Ongoing, recruitment ended
Fakultni Nemocnice V Motole
Pediatrická klinika 2. LF UK a FN Motol, V Uvalu 84/1, Motol, Prague

France

6 sites · Ongoing, recruitment ended
Centre Hospitalier De Pau
Service de Pédiatrie, 4 Boulevard Hauterive, 64000, Pau
Centre Hospitalier Regional De Marseille
Hôpital de la Timone Enfants, Service de Pédiatrie Multidisciplinaire, 264 Rue Saint Pierre, 13005, Marseille
Centre Hospitalier Universitaire D Orleans
Service de Pédiatrie, 14 Avenue De L Hopital, Cs 86709, Orleans Cedex 2
Hopital Necker Enfants Malades
Service d’Endocrinologie, Gynécologie et Diabétologie Pédiatrique, 149 Rue De Sevres, 75015, Paris
Hospital Femme Mere Enfant
Groupe Hospitalier Est, Service d'Endocrinologie et Métabolisme Pédiatrique, 59 Boulevard Pinel, 52 Boulevard Pinel, 69500, Bron
Centre Hospitalier Universitaire De Dijon
Bourgogne - Site Francois Mitterand, 14 Rue Paul Gaffarel, 21000, Dijon

Germany

4 sites · Ongoing, recruitment ended
Universitaetsklinikum Carl Gustav Carus Dresden an der Technischen Universitaet Dresden AöR
Klinik und Poliklinik fuer Kinder- und Jugendmedizin, Fetscherstrasse 74, Johannstadt-Nord, Dresden
Universitaetsklinikum Heidelberg AöR
Paediatrisches Klinisch-Pharmakologisches Studienzentrum (paedKliPS) Zentrum für Kinder- und Jugendm, Im Neuenheimer Feld 430, Neuenheim, Heidelberg
Universitaetsklinikum Augsburg
I. Klinik fuer Kinder und Jugendliche, Stenglinstrasse 2, Kriegshaber, Augsburg
Evangelisches Klinikum Bethel gGmbH
Kinderzentrum Bethel; Haematologie/Onkologie, Grenzweg 10, 33617, Bielefeld

Poland

4 sites · Ongoing, recruitment ended
Instytut Pomnik Centrum Zdrowia Dziecka
Klinika Endokrynologii i Diabetologii, Oddział Diabetologii, Poradnia Diabetologiczna, Aleja Dzieci Polskich 20, 04-730, Warsaw
Uniwersyteckie Centrum Kliniczne Warszawskiego Uniwersytetu Medycznego
Dziecięcy Szpital Kliniczny im.J.P.Brudzińskiego,Oddz. Kliniczny Diabetologii Dziecięcej i Pediatrii, Ul. Zwirki I Wigury 63a, 02-091, Warsaw
Uniwersyteckie Centrum Kliniczne
Klinika Pediatrii, Diabetologii i Endokrynologii, Ul. Debinki 7, 80-952, Gdansk
Instytut Diabetologii Sp. z o.o.
Instytut Diabetologii, Poradnia Diabetologiczna, Poradnia Diabetologiczna dla Dzieci, Ul. Raclawicka 129/2u, 02-117, Warsaw

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2022-01-27 2022-01-31 2023-03-06
Czechia 2021-07-23 2021-08-25 2023-06-15
France 2022-07-08 2022-12-07 2023-04-14
Germany 2021-07-30 2022-02-24 2023-03-10
Poland 2021-08-23 2021-09-10 2023-04-19

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 45 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2024-516543-26_Redacted 6.0
Protocol (for publication) D4_Patient facing documents_Insulin Injections Diary_CZ 1.0
Protocol (for publication) D4_Patient facing documents_Insulin Injections Diary_DE 1.0
Protocol (for publication) D4_Patient facing documents_Insulin Injections Diary_EN 1.0
Protocol (for publication) D4_Patient facing documents_Insulin Injections Diary_FR 1.0
Protocol (for publication) D4_Patient facing documents_Insulin Injections Diary_FR_BE 1.0
Protocol (for publication) D4_Patient facing documents_Insulin Injections Diary_NL_BE 1.0
Protocol (for publication) D4_Patient facing documents_Insulin Injections Diary_PL 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_placeholder N/A
Recruitment arrangements (for publication) K1_Recruitment arrangements_placeholder N/A
Recruitment arrangements (for publication) K1_Recruitment arrangements_placeholder N/A
Recruitment arrangements (for publication) K1_Recruitment arrangements_placeholder N/A
Recruitment arrangements (for publication) K1_Recruitment arrangements_Placeholder N/A
Subject information and informed consent form (for publication) L1_SIS and IAF_13 17yrs_Redacted 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF Adult_Redacted 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF Assent 13-17yr_Redacted 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF Assent 9-12yr 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF Parent_Redacted 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF_9 12yrs 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF_9 12yrs_Tracked-changes 4
Subject information and informed consent form (for publication) L1_SIS and ICF_Adult ICF_FR_Redacted 4.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Adult patients_redacted 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Adult_redacted 4_1
Subject information and informed consent form (for publication) L1_SIS and ICF_Adults_Redacted 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Assent 13-17 years_FR_Redacted 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Assent 9-12 years_FR 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Assent_13-17 yrs 4_0
Subject information and informed consent form (for publication) L1_SIS and ICF_Assent_9-12 yrs 4_0
Subject information and informed consent form (for publication) L1_SIS and ICF_GDPR informative letter for adult patients and parents 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_GDPR informative letter for pregnant participant 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_IAF 12-14 years 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF_IAF 15-17 years 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Parent ICF_FR_Redacted 4.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Parents_Redacted 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Parents_redacted 4_1
Subject information and informed consent form (for publication) L1_SIS and ICF_Parents_redacted 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Participant_Redacted 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Participant_redacted 1.0
Synopsis of the protocol (for publication) D1_Protocol synopsis laypersons_2024-516543-26_CZ 1
Synopsis of the protocol (for publication) D1_Protocol synopsis laypersons_2024-516543-26_DE_BE 1
Synopsis of the protocol (for publication) D1_Protocol synopsis laypersons_2024-516543-26_EN 1
Synopsis of the protocol (for publication) D1_Protocol synopsis laypersons_2024-516543-26_FR 1
Synopsis of the protocol (for publication) D1_Protocol synopsis laypersons_2024-516543-26_FR_BE 1
Synopsis of the protocol (for publication) D1_Protocol synopsis laypersons_2024-516543-26_NL_BE 1
Synopsis of the protocol (for publication) D1_Protocol synopsis laypersons_2024-516543-26_PL 1

Application history

6 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-16 Germany Acceptable
2024-10-09
2024-10-10
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-11-18 Germany Acceptable
2024-10-09
2024-11-18
3 SUBSTANTIAL MODIFICATION SM-1 2025-03-25 Germany Acceptable
2025-06-30
2025-06-30
4 NON SUBSTANTIAL MODIFICATION NSM-2 2025-07-11 Germany Acceptable
2025-06-30
2025-07-11
5 NON SUBSTANTIAL MODIFICATION NSM-3 2025-09-25 Acceptable
2025-06-30
2025-09-25
6 NON SUBSTANTIAL MODIFICATION NSM-4 2026-02-13 Germany Acceptable
2025-06-30
2026-02-13