Actively Recruiting

Phase 2
Age: 18Years - 65Years
All Genders
NCT06474598

An Adaptive Design Study of MTX228

Led by University of Alberta · Updated on 2026-04-13

24

Participants Needed

1

Research Sites

158 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

MTX228 has been identified as a medication that might allow the re-growth of insulin producing beta cells in people with Type 1 Diabetes. Promoting the re-growth of lost beta cells would be beneficial to people with Type 1 Diabetes because it would allow them to take less insulin by injection and would improve their overall blood sugar control while reducing the risk and rate of low blood sugars. This open-label dose selection study aims to determine the optimal dose ofMTX228 for use in a future phase IIb study. The purpose is to investigate the relative effectiveness of different doses of MTX228 and to select the most effective dose for further investigation in a phase 2b study.

CONDITIONS

Official Title

An Adaptive Design Study of MTX228

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Clinical diagnosis of Type 1 Diabetes Mellitus with onset before age 35 requiring continuous insulin treatment within 1 year of diagnosis or positive autoantibody if diagnosed after age 35
  • HbA1c between 6.0% and 10.0%
  • Willing to wear study-provided continuous glucose monitor and share data via cloud
  • Diagnosis of Type 1 Diabetes Mellitus for at least 1 year at screening
  • Fasting or random C-peptide level of at least 100 pmol/L (0.3 ng/mL) during screening or pre-screening
  • Body Mass Index of 35 kg/m2 or less
  • Estimated glomerular filtration rate (eGFR) greater than 45 ml/min/1.73m2
  • Able and willing to comply with the study protocol for the full duration
  • Written informed consent obtained before any study assessments
Not Eligible

You will not qualify if you...

  • Diagnosis or history of monogenic, Type 2, or post-pancreatectomy diabetes
  • History of more than 1 episode of severe (level 3) hypoglycemia in past 6 months
  • Significant cardiovascular history including recent myocardial infarction, coronary procedures, unstable angina, stroke, or transient ischemic attack within 6 months
  • Congestive heart failure New York Heart Association stage III or IV
  • Uncontrolled high blood pressure (SBP > 160 mmHg or DBP > 100 mmHg)
  • Symptomatic postural hypotension
  • Use of systemic corticosteroids (except physiologic replacement doses) or other medications affecting insulin sensitivity
  • Use of non-insulin antihyperglycemic agents within prior 30 days
  • History of major or unstable neurological, metabolic, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, or urological disorders impacting safety or data
  • History of cancer (except certain skin cancers) not in remission for at least 5 years
  • Known recreational substance use or psychiatric illness affecting safety or study objectives
  • History of alcohol or drug abuse or addiction in past 12 months
  • Positive pregnancy test or breastfeeding for women of childbearing potential
  • Unwillingness to use effective contraception during the study; males must use condoms or abstain from intercourse and refrain from sperm donation; females must be surgically sterile, post-menopausal, or using acceptable barrier contraception

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

University of Alberta

Edmonton, Alberta, Canada, T6G 2R3

Actively Recruiting

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Research Team

D

Dominique Forrest

CONTACT

P

Peter Senior

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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An Adaptive Design Study of MTX228 | DecenTrialz