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Anti-Thymocyte Globulin

Phase 2

Diabetes Mellitus, Type 1 | Small molecule | Metabolic |Amgen Inc.|Last Updated: Mar 2, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment89
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02215200ATG-GCSF in New Onset Type 1 DiabetesPHASE2 COMPLETED 89Dec 1, 2014Aug 1, 2018Mar 2, 202013 United States
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Study Endpoints
Primary Endpoints
Change in Area Under the Stimulated C-peptide Curve From Baseline to 12 Months.
-10, 0 15, 30, 60, 90, and 120 minutes post-dose at baseline and 12 months

The C-peptide 2 hour area under the curve (AUC) mean is calculated at baseline and 12 months and measured in nmol/L. The calculation for the concentration of c-peptide is a weighted average of the 6 timed measurements of c-peptide in nano-moles/Liter. We try to distinguish this calculation from the AUC by referring to it as the "AUC mean" and may be expressed algebraically as the AUC/(120 min.); thus, the units are the same as the y-axis").

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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Anti-Thymocyte Globulin (ATG) and PlaceboEXPERIMENTALAnti-Thymocyte Globulin (ATG)/Placebo: Anti-Thymocyte Globulin (ATG) will be administered at a dose of 2.5mg/kg as two divided IV infusions of 0.5mg/kg and 2mg/kg. First dose (0.5mg/kg) will be infused over a minimum of 12 hours, and the second dose (2mg/kg) over a minimum of 8 hours. The second dose should be given no less than 12 and no more than 24 hours after the previous dose. Placebo(for GCSF) treatment will begin 6 hours after completion of the ATG. Placebo will be given subcutaneously every 2 weeks for a total of 6 doses
ATG plus Granulocyte colony stimulating factor (GCSF)EXPERIMENTALGranulocyte colony stimulating factor (GCSF) is supplied in 0.6 mL prefilled syringes for subcutaneous injection. Each syringe contains 6 mg GCSF (based on protein weight), in a sterile, clear, colorless, preservative-free solution (pH 4.0) containing acetate (0.35 mg), sorbitol (30.0 mg), polysorbate 20 (0.02 mg), and sodium (0.02 mg) in water for injection, U.S. Pharmacopeial Convention (USP). The standard 6mg dose will be given with the exception of subjects who weigh less than 45 kg. GCSF treatment will begin 6 hours after completion of the ATG / Placebo. GCSF will be given subcutaneously every 2 weeks for a total of 6 doses
PlaceboPLACEBO_COMPARATORPlacebo for ATG will be administered by IV infusion in 2 doses. Placebo for GCSF will be administered subcutaneously every 2 weeks for a total of 6 doses
Interventions
NameTypeDescription
Anti-Thymocyte Globulin (ATG)DRUGThymoglobulin
Granulocyte colony stimulating factor (GCSF)DRUGGranulocyte colony stimulating factor (GCSF)
Placebo (for ATG)DRUGNormal saline administered by IV infusion to mimic ATG
Placebo (for GCSF)DRUGPlacebo prepared to mimic 6mg subcutaneous injection of GCSF
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Eligibility Criteria
Age Range12 Years — 45 Years
SexALL
Healthy VolunteersNo
Study Sites13

Inclusion Criteria: * Must be \> 12 years \< 46 * Must have a diagnosis of T1D for less than 100 days at randomization * Willing to provide Informed Consent or have a parent or legal guardian provide informed consent if the subject is \<18 years of age * Positive for at least one islet cell autoant...

Countries:United States
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