Overview
Sponsor-declared trial summary
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
- To compare changes in pancreatic 68Ga-NODAGA-exendin uptake to changes in C-peptide and insulin/proinsulin measurements.
- 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
- Are included in the VER-A-T1D trial, but have not started treatment/placebo.
- have given written informed consent.
- Age ≥18 years at consent
Exclusion criteria 3
- 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.
- Renal disease defined as MDRD < 40 ml/min/1.73m²
- 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
- 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
- Changes in 68Ga-NODAGA-exendin pancreas uptake in realtion to changes in C-peptide measurements.
- Changes in 68Ga-NODAGA-exendin pancreas uptake in relation to changes in proinsulin/preproinsulin measurements.
- 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
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
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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Authorised, recruitment pending | 10 | 2 |
| France | Authorised, recruitment pending | 10 | 2 |
| Rest of world
United Kingdom
|
— | 10 | — |
Investigational sites
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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |