Obese, Overweight, Type 1 Diabetes Mellitus
Conditions
Brief summary
This study will evaluate the changes in glycemic control in overweight and obese adults with Type 1 Diabetes Mellitus after receiving CT-868 for 16 weeks. The effectiveness and safety of CT-868 will be compared to placebo. All participants will continue with their standard diabetes care using either an insulin pump (CSII) or multiple daily injections (MDI). Alongside their designated treatment, participants will receive guidance on managing their diabetes, including monitoring blood glucose levels and diet and exercise recommendations. Treatment assignments, either CT-868 plus insulin or placebo plus insulin will be randomly determined.
Interventions
CT-868 is an investigational medication administered subcutaneously via a pre-filled pen injector device.
The CT-868 pen injector is a multi-dose, single-participant, disposable pen.
The placebo pen injector is identical and contains the same ingredients except for CT-868.
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female, 18 years of age or older at the time of signing informed consent * Have a documented clinical diagnosis of T1DM greater than or equal to 1 year before the Screening Visit * Body mass index greater than or equal to27.0 kg/m2 * Hemoglobin A1c (HbA1c) level between 7.0% and 10.0%, inclusive, at the Screening Visit
Exclusion criteria
* Diagnosis of Type 2 diabetes mellitus (T2DM) or any other types of diabetes, except T1DM * Experienced diabetic ketoacidosis (DKA) within 3 months prior to the Screening Visit * Experienced severe hypoglycemia (Level 3 as defined in the ADA Standards of Medical Care in Diabetes (ADA 2022) within 3 months prior to the Screening Visit
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Compare the effect of CT-868 versus placebo on change in HbA1c (%) from baseline | at Day 1 to Week 16 |
Secondary
| Measure | Time frame |
|---|---|
| To assess the percentage of participants achieving HbA1c of ≤6.5%. | at Week 16 |
| To assess the percentage of participants achieving HbA1c of <5.7%. | at Week 16 |
| Change in body weight (in kilograms) from baseline when comparing CT-868 to placebo. | at Day 1 to Week 16 |
| Change in insulin doses from baseline when comparing CT-868 to placebo. | at Day 1 to Weeks 8 and 16 |
| Compare the effect of CT-868 versus placebo on change in HbA1c (%) from baseline | at Day 1 to Weeks 4, 8, and 12 |
| To assess the percentage of participants achieving HbA1c of <7.0%. | at Week 16 |
Other
| Measure | Time frame |
|---|---|
| Time in hyperglycemia as per CGM metrics. | at Day 1 to Week 16 |
| Time In Range (TIR) as per Continuous Glucose Monitoring (CGM) metrics. | at Day 1 to Week 16 |
| Time in hypoglycemia as per CGM metrics. | at Day 1 to Week 16 |
Countries
United States