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New drug aims to save Insulin-Making cells in type 1 diabetes

NCT ID NCT06812988

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing This study
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

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

Phase 2

Tests whether the treatment actually works, and watches for side effects, in a larger group.

Participants

About 84 people

The number the study aims to enrol. It can still change while the study runs.

Started

Feb 2025

Expected to finish

Apr 2027

An estimate. End dates often move.

Lead sponsor

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

Anyone

Healthy volunteers

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

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

  • Advanced Research Institute - Odgen- Site Number : 8400007

    Ogden, Utah, 84405, United States

  • Atlanta Diabetes Associates- Site Number : 8400006

    Atlanta, Georgia, 30318, United States

  • Centro de Diabetes Curitiba- Site Number : 0760005

    Curitiba, Paraná, 80810-040, Brazil

  • Centro de Pesquisas Clínicas - São Paulo- Site Number : 0760002

    São Paulo, 01228-200, Brazil

  • IACT Health - Columbus - Talbotton Road- Site Number : 8400012

    Columbus, Georgia, 31904, United States

  • Investigational Site Number : 0320001

    Buenos Aires, 1119, Argentina

  • Investigational Site Number : 0320002

    Buenos Aires, 1178, Argentina

  • Investigational Site Number : 0320003

    Salta, 4400, Argentina

  • Investigational Site Number : 0320004

    Buenos Aires, 1419, Argentina

  • Investigational Site Number : 0320005

    Buenos Aires, 1180, Argentina

  • Investigational Site Number : 0360001

    Parkville, Victoria, 3050, Australia

  • Investigational Site Number : 0360002

    Brisbane, Queensland, 4029, Australia

  • Investigational Site Number : 0360003

    Saint Leonards, New South Wales, 2065, Australia

  • Investigational Site Number : 1240001

    Vancouver, British Columbia, V5Y 3W2, Canada

  • Investigational Site Number : 1240006

    Surrey, British Columbia, V3T 2V6, Canada

  • Investigational Site Number : 1520001

    Santiago, Reg Metropolitana de Santiago, 7500505, Chile

  • Investigational Site Number : 1520003

    Providencia, Reg Metropolitana de Santiago, 7500000, Chile

  • Investigational Site Number : 1520004

    Concepción, Biobio, 4070566, Chile

  • Investigational Site Number : 3760001

    Jerusalem, 9112001, Israel

  • Investigational Site Number : 3760002

    Ramat Gan, 5262100, Israel

  • Investigational Site Number : 3760003

    Kefar Sava, 4428164, Israel

  • Investigational Site Number : 6820002

    Riyadh, 12713, Saudi Arabia

  • Profound Research - MHP - TriAtria- Site Number : 8400015

    Farmington Hills, Michigan, 48334, United States

  • Tekton Research - McKinney- Site Number : 8400017

    McKinney, Texas, 75069, United States

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