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Anti-Thymocyte Globin

Phase 1

Diabetes Mellitus, Type 1 | Small molecule | Metabolic |Sanofi|Last Updated: Aug 5, 2019

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
RandomizedPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment25
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01106157Reversing Type 1 Diabetes After it is EstablishedPHASE1 COMPLETED 25Apr 1, 2010Jul 16, 2019Aug 5, 20193 United States
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Study Endpoints
Primary Endpoints
Change in Metabolic Function Baseline to 12 Months.
Baseline and 12 months

Area Under Curve (AUC) C-peptide production. Subjects underwent a 2 hour mixed meal tolerance test (MMTT) using a 6ml/kg load of boost to stimulate insulin production. Samples were collected at baseline, 10 minutes, 20 minutes, 30 minutes, 60 minutes, 90 minutes, and 120 minutes. AUC was then calculated. Subjects repeated the MMTT at baseline, 3, 6, 9, and 12 months following ATG/GCSF or placebo. The primary outcome for the study was the change over 12 months in AUC C-peptide (1 year - baseline) for those who received ATG/GCSF versus the change in AUC C-peptide (1 year - baseline) for those who received placebo

Secondary Endpoints
Percent Change in Regulatory T Cells (Treg) Baseline to 12 Months
Change in Baseline to 12 months
A1c
Change in baseline to 12 months
Change in Insulin Requirements, Baseline to 12 Months
Change from baseline to 12 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Anti-Thymocyte Globin plus pegylated GCSFEXPERIMENTALSubjects will receive an infusion of Anti-Thymocyte Globin (ATG) followed by 6 doses of pegylated GCSF every 2 weeks for 10 weeks.
PlaceboPLACEBO_COMPARATORSaline infusion will be given on both Day 1 and Day 2 followed by placebo injection given in identical volumes in identical syringes in the identical subcutaneous manner
Interventions
NameTypeDescription
Anti-Thymocyte Globin (ATG)DRUGAnti-Thymocyte Globin (ATG) will be given as 0.5/mg/kg on day 1 and 2mg/kg on day 2.
PlaceboDRUGSaline infusions will be given on Day 1 and Day 2 followed by placebo injections given in identical volumes in identical syringes
Pegylated GCSFDRUG6 doses of pegylated GCSF (6mg/dose) will be given subcutaneously every 2 weeks beginning after the ATG infusion.
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Eligibility Criteria
Age Range12 Years — 45 Years
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: * Must be \> 12 years \< 45 * Must have a diagnosis of T1D of greater than 4 months duration, with an upper limit of 2 years, Now only recruiting for those diagnosed greater than 1 year but less than 2 years. * Must have at least one diabetes-related autoantibody present (e.g., ...

Countries:United States
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