New drug aims to save Insulin-Making cells in type 1 diabetes
NCT ID NCT06812988
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests brivekimig, a drug that targets inflammation, to see if it can help people with newly diagnosed type 1 diabetes keep making their own insulin. About 84 adults and adolescents will receive either brivekimig or a placebo for 52 weeks. The main goal is to measure insulin production after 26 weeks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- brivekimig (a dual anti-TNF-α and anti-OX40L antibody-like molecule)
- What this could lead to
- If successful, brivekimig could help people with newly diagnosed type 1 diabetes keep making some of their own insulin, reducing their dependence on injected insulin.
- What could go wrong
- This is an early Phase 2a trial with only 84 participants, so results may not apply to everyone. The drug may not preserve insulin production better than placebo, and side effects are still being studied.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 84 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2025
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
12 to 35 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Participant must be 18 to 35 y.o. inclusive, at the time of signing the informed consent in order to be enrolled in Part A. Participant must be 12 to 21 y.o. inclusive, at the time of signing the informed consent in order to be enrolled in Part B. 2. Participants who meet the criteria of T1D according to American Diabetes Association (ADA 2024). 3. Initiated exogenous insulin replacement therapy not longer than 90 days prior to Screening visit at which random C-peptide will be assessed. 4. Receiving insulin hormone replacement therapy: 5. Participants must be positive for at least 1 of the following T1D autoantibodies confirmed by medical history and/or obtained at study Screening: * Glutamic acid decarboxylase (GAD-65) * Insulinoma Antigen-2 (IA-2) * Zinc-transporter 8 (ZnT8) or * Insulin (if obtained not later than 10 days after exogenous insulin therapy initiation) 6. Have random C-peptide levels ≥0.2 nmol/L determined at Screening. Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply: 1. Serious systemic viral, bacterial or fungal infection (eg, pneumonia, pyelonephritis), infection requiring hospitalization or intravenous (IV) antibiotics or significant chronic viral (including history of recurrent or active herpes zoster, acute or active cytomegalovirus \[CMV\], Epstein-Barr Virus \[EBV\] as determined at Screening), bacterial, or fungal infection (eg, osteomyelitis) 30 days before and during Screening. 2. History of invasive opportunistic infections, such as, but not limited to histoplasmosis, listeriosis, coccidioidomycosis, candidiasis, pneumocystis jirovecii, and aspergillosis, regardless of resolution. 3. Evidence of active or latent tuberculosis (TB) as documented by medical history and examination, chest X-rays (posterior anterior and lateral), and/or TB testing. 4. Evidence of any clinically significant, severe or unstable, acute or, chronically progressive, uncontrolled infection, medical or surgical condition (eg, but not limited to, cerebral, cardiac, pulmonary, renal, hepatic, gastrointestinal, neurologic, or any known immune deficiency), or any condition that may affect participant safety in the judgment of the Investigator (including vaccinations which are not updated based on local regulation). 5. History of a systemic hypersensitivity reaction or significant allergies, other than localized injection site reaction, to any humanized mAb. Clinically significant multiple or severe drug allergies, intolerance to topical corticosteroids, or severe post-treatment hypersensitivity reactions (including, but not limited to, erythema multiforme major, linear IgA dermatosis, toxic epidermal necrolysis, and exfoliative dermatitis). 6. History of moderate to severe congestive heart failure (New York Health Association \[NYHA\] Class III or IV), or recent cerebrovascular accident, or any other condition which, in the opinion of the Investigator, would put the participant at risk by participation in the protocol. 7. History of demyelinating disease (including myelitis) or neurologic symptoms suggestive of demyelinating disease. 8. Has other autoimmune or inflammatory conditions 9. Diabetes of forms other than autoimmune T1D that include but are not limited to genetic forms of diabetes, maturity-onset diabetes of the young (MODY), latent autoimmune diabetes of the adult (LADA), secondary to medications or surgery, type 2 diabetes by judgment of the investigator. 10. History of malignancy or lymphoproliferative disease other than adequately treated localized carcinoma in situ of the cervix or nonmetastatic squamous cell carcinoma, or nonmetastatic basal cell carcinoma of the skin that was excised and completely cured or any family history in two or more relatives (immediate family) of same cancer (ie, rare cancers, those manifesting at a young age in a parent or sibling, certain genetic-based inheritable cancers). 11. Systemic corticosteroids (duration \>7 days), adrenocorticotropic hormone 1 month prior to Screening. 12. Any IV, intramuscular (IM) or SC administered biologic treatments (mono- or polyclonal antibodies affecting function of immune system), \<3 months or \<5 half-lives (whichever is longer), prior to randomization. 13. Any live (attenuated or viral-vector) vaccine (including but not limited to varicella zoster, oral polio, nasal influenza, rabies) within 3 months prior to randomization or is scheduled in expected period of study (78 weeks after randomization) if this vaccination cannot be safely postponed. 14. Any non-live (inactivated, mRNA, recombinant, conjugate, toxoid) vaccine administered less than 14 days prior to randomization. 15. Any immunosuppressive therapy within 12 weeks prior to randomization and through 78 weeks after randomization 16. Course of Thymoglobulin®, teplizumab or other immunomodulatory treatments at any time 17. Any drugs that may be used for treatment of T1D and type 2 diabetes other than insulin including but not limited to metformin, glucagon-like peptide 1 (GLP-1) agonists, sodium-glucose co-transporter-2 and 1 (SGLT2/1) inhibitor, and verapamil within 2 weeks prior to Screening. 18. Abnormal laboratory test(s) at Screening 19. Participants who have impaired renal function with estimated glomerular filtration rate (eGFR) (using the Modification of Diet in Renal Disease \[MDRD\] formula) \<60 mL/min/1.73 m2, or using the bedside Schwartz equation in the participants under the age of 18 y.o.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Advanced Research Institute - Odgen- Site Number : 8400007
Ogden, Utah, 84405, United States
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Atlanta Diabetes Associates- Site Number : 8400006
Atlanta, Georgia, 30318, United States
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Centro de Diabetes Curitiba- Site Number : 0760005
Curitiba, Paraná, 80810-040, Brazil
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Centro de Pesquisas Clínicas - São Paulo- Site Number : 0760002
São Paulo, 01228-200, Brazil
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IACT Health - Columbus - Talbotton Road- Site Number : 8400012
Columbus, Georgia, 31904, United States
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Investigational Site Number : 0320001
Buenos Aires, 1119, Argentina
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Investigational Site Number : 0320002
Buenos Aires, 1178, Argentina
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Investigational Site Number : 0320003
Salta, 4400, Argentina
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Investigational Site Number : 0320004
Buenos Aires, 1419, Argentina
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Investigational Site Number : 0320005
Buenos Aires, 1180, Argentina
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Investigational Site Number : 0360001
Parkville, Victoria, 3050, Australia
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Investigational Site Number : 0360002
Brisbane, Queensland, 4029, Australia
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Investigational Site Number : 0360003
Saint Leonards, New South Wales, 2065, Australia
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Investigational Site Number : 1240001
Vancouver, British Columbia, V5Y 3W2, Canada
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Investigational Site Number : 1240006
Surrey, British Columbia, V3T 2V6, Canada
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Investigational Site Number : 1520001
Santiago, Reg Metropolitana de Santiago, 7500505, Chile
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Investigational Site Number : 1520003
Providencia, Reg Metropolitana de Santiago, 7500000, Chile
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Investigational Site Number : 1520004
Concepción, Biobio, 4070566, Chile
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Investigational Site Number : 3760001
Jerusalem, 9112001, Israel
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Investigational Site Number : 3760002
Ramat Gan, 5262100, Israel
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Investigational Site Number : 3760003
Kefar Sava, 4428164, Israel
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Investigational Site Number : 6820002
Riyadh, 12713, Saudi Arabia
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Profound Research - MHP - TriAtria- Site Number : 8400015
Farmington Hills, Michigan, 48334, United States
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Tekton Research - McKinney- Site Number : 8400017
McKinney, Texas, 75069, United States
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