Image-Verapamil SR in Adults with Type 1 Diabetes (Image-VER-A-T1D)

2024-518554-17-00 Therapeutic exploratory (Phase II) Authorised, recruitment pending

Status Authorised, recruitment pending · 2 EU/EEA countries · 4 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruitment pending
Participants planned 30
Countries 2
Sites 4

type 1 diabetes mellitus

To measure pancreatic uptake of 68Ga-NODAGA-exendin by PET/CT for detection of intra-individual differences in beta cell mass before and after treatment and inter-individual differences between the treatment group and the placebo group.

Key facts

Sponsor
Radboud universitair medisch centrum Stichting
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nutritional and Metabolic Diseases [C18]
Decision date (initial)
2025-01-30
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-518554-17-00
EudraCT number
2020-004966-20
ClinicalTrials.gov
NCT04615910

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Efficacy

To measure pancreatic uptake of 68Ga-NODAGA-exendin by PET/CT for detection of intra-individual differences in beta cell mass before and after treatment and inter-individual differences between the treatment group and the placebo group.

Secondary objectives 2

  1. To compare changes in pancreatic 68Ga-NODAGA-exendin uptake to changes in C-peptide and insulin/proinsulin measurements.
  2. To quantify the differences in 68Ga-NODAGA-exendin uptake between individuals and between the two time points of imaging intra-individually for future calculations of study group sizes.

Conditions and MedDRA coding

type 1 diabetes mellitus

Regulatory references

Scientific advice from competent authorities
Ethikkommission Der Medizinischen Universitat Wien, Comite De Protection Des Personnes, Health Research Authority
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Are included in the VER-A-T1D trial, but have not started treatment/placebo.
  2. have given written informed consent.
  3. Age ≥18 years at consent

Exclusion criteria 3

  1. Treatment with synthetic exendin (Exentide, Byetta®) or dipeptidyl-peptidase IV inhibitors (to exclude interferences with imaging), specifically mentioned although in principle part of exclusion criteria VER-A-T1D.
  2. Renal disease defined as MDRD < 40 ml/min/1.73m²
  3. Pregnancy or the wish to become pregnant within 2 months after second PET/CT scan.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The total pancreatic uptake of 68Ga-NODAGA-exendin for determination of beta cell mass at the point of inclusion and after 12 months.

Secondary endpoints 3

  1. Changes in 68Ga-NODAGA-exendin pancreas uptake in realtion to changes in C-peptide measurements.
  2. Changes in 68Ga-NODAGA-exendin pancreas uptake in relation to changes in proinsulin/preproinsulin measurements.
  3. Differences in 68Ga-NODAGA-exendin uptake between individuals and between the two timepoints of imaging intra-individually

Investigational products

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

Test 2

Verapamil

SCP1068778 · ATC

Active substance
Verapamil
Route of administration
ORAL
Max daily dose
360 mg milligram(s)
Max total dose
360 mg milligram(s)
Max treatment duration
3 Month(s)
Authorisation status
Authorised
ATC code
C08DA01 — VERAPAMIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Exenatide

SCP23185750 · ATC

Active substance
Exenatide
Substance synonyms
EXENDIN-4, LY-2148568, HIS-GLY-GLU-GLY-THR-PHE-THR-SER-ASP-LEU-SER-LYS-GLN-MET-GLU-GLU-GLU-ALA-VAL-ARG-LEU-PHE-ILE-GLU-TRP-LEU-LYS-ASN-GLY-GLY-PRO-SER-SER-GLY-ALA-PRO-PRO-PRO-SER-NH2, AC-2993
Route of administration
INTRAVENOUS BOLUS USE
Max daily dose
100 MBq megabecquerel(s)
Max total dose
100 MBq megabecquerel(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
A10BJ01 — EXENATIDE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
C-terminal modification with Lys, chelator NODAGA attached via AHX spacer for labeling with Ga-68

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Radboud universitair medisch centrum Stichting

Sponsor organisation
Radboud universitair medisch centrum Stichting
Address
Geert Grooteplein Zuid 10
City
Nijmegen
Postcode
6525 GA
Country
Netherlands

Scientific contact point

Organisation
Radboud universitair medisch centrum Stichting
Contact name
Sevilay Tokgöz

Public contact point

Organisation
Radboud universitair medisch centrum Stichting
Contact name
Sevilay Tokgöz

Locations

2 EU/EEA countries · 4 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Authorised, recruitment pending 10 2
France Authorised, recruitment pending 10 2
Rest of world
United Kingdom
10

Investigational sites

Austria

2 sites · Authorised, recruitment pending
Medical University Of Vienna
Nuclear Medicine, Waehringer Strasse 13a, Alsergrund, Vienna
University Hospital Graz
Internal Medicine, Auenbruggerplatz 52, 8036, Graz

France

2 sites · Authorised, recruitment pending
Hopital Tenon
Nuclear Medicine, 4 Rue De La Chine, 75970, Paris Cedex 20
Assistance Publique Hopitaux De Paris
Nuclear Medicine, 1 Avenue Claude Vellefaux, 75010, Paris

Results and documents

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

Documents 9 files

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

TypeTitleVersion
Protocol (for publication) D1 Protocol_Austria 1
Recruitment arrangements (for publication) K1_blank_document_Recruitment_arrangements 1
Recruitment arrangements (for publication) K1_blank_document_Recruitment_arrangements 1
Subject information and informed consent form (for publication) L1_SIS and ICF 1
Subject information and informed consent form (for publication) L1_SIS and ICF_France_v2_20211118 2
Subject information and informed consent form (for publication) L1_SIS and ICF_German 5
Summary of Product Characteristics (SmPC) (for publication) D SmPc verapamil_German 1
Summary of Product Characteristics (SmPC) (for publication) E1_IB_11In-Exendin 68Ga-exendin_V6 6
Synopsis of the protocol (for publication) D1_Protocol_France 1.2

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-07 Austria Acceptable with conditions
2025-01-29
2025-01-30
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-04-14 Austria Acceptable with conditions
2025-01-29
2025-04-14