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NCT00451321: TTEDD

TRX4 Monoclonal Antibody in Type 1 Diabetes (T1 DM)

Terminated Phase 2 Results posted Last updated 13 November 2017
What this trial tests

Phase 2 trial testing Otelixizumab in Diabetes Mellitus, Type 1 in 88 participants. Terminated before completion.

Timeline
31 July 2006
Primary endpoint
1 December 2011
1 December 2011

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment88
Start date31 July 2006
Primary completion1 December 2011
Estimated completion1 December 2011
Sites17 locations across Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 12 to 45, any sex, with Diabetes Mellitus, Type 1. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs) Primary · Up to Month 24

AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE include adverse events that result in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect. Important medical events that may not result in death, be life-threate

Any AEs
GroupValue95% CI
Otelixizumab <3.0 mg8
Otelixizumab 3.1 mg15
Otelixizumab 3.1 mg (5 Days)18
Otelixizumab 4.35 mg18
Otelixizumab 4.35 mg (ITC-15)7
Otelixizumab 4.35 mg (ITC-30)9
Otelixizumab 6.85 mg6
Otelixizumab 8.85 mg6
Any SAEs
GroupValue95% CI
Otelixizumab <3.0 mg1
Otelixizumab 3.1 mg2
Otelixizumab 3.1 mg (5 Days)1
Otelixizumab 4.35 mg0
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)1
Otelixizumab 6.85 mg1
Otelixizumab 8.85 mg2
Number of Participants With Cytokine Release AE Primary · Up to Month 24

AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Cytokine release AEs were defined as occurring during dosing or within a limited time window after the last dose.

GroupValue95% CI
Otelixizumab <3.0 mg8
Otelixizumab 3.1 mg11
Otelixizumab 3.1 mg (5 Days)18
Otelixizumab 4.35 mg17
Otelixizumab 4.35 mg (ITC-15)7
Otelixizumab 4.35 mg (ITC-30)9
Otelixizumab 6.85 mg6
Otelixizumab 8.85 mg6
Number of Participants With Abnormal Hematology Values of Potential Clinical Concern (PCC) Primary · Up to Month 48

Hematology parameters: hemoglobin, white blood cell (WBC) count, basophils, eosinophils, lymphocytes, monocytes, neutrophils, platelet count, mean corpuscular volume, mean corpuscular hemoglobin, and mean corpuscular hemoglobin concentration were assessed for abnormal PCC values. Data for abnormal parameters (high and low) is presented. Only those parameters for which at least one value of PCC was reported are summarized.

Lymphocytes, low
GroupValue95% CI
Otelixizumab <3.0 mg4
Otelixizumab 3.1 mg12
Otelixizumab 3.1 mg (5 Days)18
Otelixizumab 4.35 mg17
Otelixizumab 4.35 mg (ITC-15)7
Otelixizumab 4.35 mg (ITC-30)9
Otelixizumab 6.85 mg5
Otelixizumab 8.85 mg5
WBC, low
GroupValue95% CI
Otelixizumab <3.0 mg3
Otelixizumab 3.1 mg4
Otelixizumab 3.1 mg (5 Days)12
Otelixizumab 4.35 mg5
Otelixizumab 4.35 mg (ITC-15)3
Otelixizumab 4.35 mg (ITC-30)5
Otelixizumab 6.85 mg3
Otelixizumab 8.85 mg4
Hemoglobin, high
GroupValue95% CI
Otelixizumab <3.0 mg1
Otelixizumab 3.1 mg0
Otelixizumab 3.1 mg (5 Days)0
Otelixizumab 4.35 mg0
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Neutrophils, low
GroupValue95% CI
Otelixizumab <3.0 mg1
Otelixizumab 3.1 mg2
Otelixizumab 3.1 mg (5 Days)11
Otelixizumab 4.35 mg1
Otelixizumab 4.35 mg (ITC-15)3
Otelixizumab 4.35 mg (ITC-30)2
Otelixizumab 6.85 mg3
Otelixizumab 8.85 mg2
Platelets, low
GroupValue95% CI
Otelixizumab <3.0 mg0
Otelixizumab 3.1 mg2
Otelixizumab 3.1 mg (5 Days)4
Otelixizumab 4.35 mg2
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Platelets, high
GroupValue95% CI
Otelixizumab <3.0 mg0
Otelixizumab 3.1 mg0
Otelixizumab 3.1 mg (5 Days)0
Otelixizumab 4.35 mg1
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)1
Otelixizumab 6.85 mg1
Otelixizumab 8.85 mg0
Number of Participants With Abnormal Clinical Chemistry Values of PCC Primary · Up to Month 48

Clinical chemistry parameters: alkaline phosphatase, alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin, gamma-glutamyl transferase, lactate dehydrogenase, lipids, blood urea nitrogen, creatinine, uric acid, sodium, potassium, chloride, carbon dioxide, creatinine phosphokinase, albumin, calcium, magnesium, glucose, phosphate, bicarbonate and total protein were assessed for abnormal PCC values. Data for abnormal parameters (high and low) is presented. Only those parameters for which at least one value of PCC was reported are summarized.

ALT, high
GroupValue95% CI
Otelixizumab <3.0 mg1
Otelixizumab 3.1 mg1
Otelixizumab 3.1 mg (5 Days)2
Otelixizumab 4.35 mg1
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg1
Otelixizumab 8.85 mg0
AST, high
GroupValue95% CI
Otelixizumab <3.0 mg1
Otelixizumab 3.1 mg0
Otelixizumab 3.1 mg (5 Days)1
Otelixizumab 4.35 mg0
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Fasting glucose, high
GroupValue95% CI
Otelixizumab <3.0 mg1
Otelixizumab 3.1 mg0
Otelixizumab 3.1 mg (5 Days)1
Otelixizumab 4.35 mg0
Otelixizumab 4.35 mg (ITC-15)1
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Fasting glucose, low
GroupValue95% CI
Otelixizumab <3.0 mg0
Otelixizumab 3.1 mg2
Otelixizumab 3.1 mg (5 Days)0
Otelixizumab 4.35 mg2
Otelixizumab 4.35 mg (ITC-15)1
Otelixizumab 4.35 mg (ITC-30)2
Otelixizumab 6.85 mg1
Otelixizumab 8.85 mg0
Potassium, high
GroupValue95% CI
Otelixizumab <3.0 mg1
Otelixizumab 3.1 mg0
Otelixizumab 3.1 mg (5 Days)0
Otelixizumab 4.35 mg0
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Bicarbonate, high
GroupValue95% CI
Otelixizumab <3.0 mg0
Otelixizumab 3.1 mg0
Otelixizumab 3.1 mg (5 Days)2
Otelixizumab 4.35 mg0
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Bicarbonate, low
GroupValue95% CI
Otelixizumab <3.0 mg0
Otelixizumab 3.1 mg1
Otelixizumab 3.1 mg (5 Days)1
Otelixizumab 4.35 mg0
Otelixizumab 4.35 mg (ITC-15)1
Otelixizumab 4.35 mg (ITC-30)1
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Calcium, low
GroupValue95% CI
Otelixizumab <3.0 mg0
Otelixizumab 3.1 mg1
Otelixizumab 3.1 mg (5 Days)0
Otelixizumab 4.35 mg0
Otelixizumab 4.35 mg (ITC-15)1
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg1
Otelixizumab 8.85 mg1
Number of Participants With Abnormal Urinalysis Dipstick Results Primary · Up to Month 48

Urinalysis parameters: Occult blood, Glucose urine, Ketones, Leukocyte esterase, Nitrite, pH, Protein urine were assessed. Abnormal values for occult blood and ketones were presented as 1+, 2+ and 3+ (the plus sign increases with a higher level of parameters: 1+=slightly positive, 2+=positive, 3+=high positive). Abnormal glucose urine values were presented as 50, 100, 250 and 1000 mg/dL. Abnormal nitrite values were presented as 'positive', and abnormal urine protein values were presented as 30 and 100 mg/dL.

Occult blood, Day 8, 3+
GroupValue95% CI
Otelixizumab <3.0 mg0
Otelixizumab 3.1 mg1
Otelixizumab 3.1 mg (5 Days)0
Otelixizumab 4.35 mg0
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Occult blood, Month 12, 1+
GroupValue95% CI
Otelixizumab <3.0 mg0
Otelixizumab 3.1 mg1
Otelixizumab 3.1 mg (5 Days)0
Otelixizumab 4.35 mg0
Otelixizumab 4.35 mg (ITC-15)1
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Occult blood, Month 12, 2+
GroupValue95% CI
Otelixizumab <3.0 mg0
Otelixizumab 3.1 mg0
Otelixizumab 3.1 mg (5 Days)0
Otelixizumab 4.35 mg3
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg1
Otelixizumab 8.85 mg0
Occult blood, Month 12, 3+
GroupValue95% CI
Otelixizumab <3.0 mg0
Otelixizumab 3.1 mg0
Otelixizumab 3.1 mg (5 Days)0
Otelixizumab 4.35 mg0
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)1
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Occult blood, Month 24, 1+
GroupValue95% CI
Otelixizumab <3.0 mg0
Otelixizumab 3.1 mg1
Otelixizumab 3.1 mg (5 Days)0
Otelixizumab 4.35 mg0
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Occult blood, Month 24, 3+
GroupValue95% CI
Otelixizumab <3.0 mg0
Otelixizumab 3.1 mg0
Otelixizumab 3.1 mg (5 Days)0
Otelixizumab 4.35 mg1
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)1
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Occult blood, Month 36, 2+
GroupValue95% CI
Otelixizumab <3.0 mg1
Otelixizumab 3.1 mg0
Otelixizumab 3.1 mg (5 Days)0
Otelixizumab 4.35 mg0
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Occult blood, Month 36, 3+
GroupValue95% CI
Otelixizumab <3.0 mg0
Otelixizumab 3.1 mg1
Otelixizumab 3.1 mg (5 Days)0
Otelixizumab 4.35 mg0
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Mean Overall Maximum Cytokines Level Primary · Up to Week 8

Levels of cytokines: interferon (IFN)-gamma, interleukin (IL)-10, IL-6 and tumor necrosis factor (TNF)-alpha were assessed. One sample was collected at Baseline, on dose Day 1 at 1, 2, 3, and 8 hours post-end of infusion (EOI) and on all other dosing days at pre-dose, and 1, 2, 3, and 8 hour post-EOI. After the completion of dosing, on Day 21 and Week 8, only the IL-10 level was assessed in the cytokine blood sample.

IFN-Gamma
GroupValue95% CI
Otelixizumab <3.0 mg55.180± NA
Otelixizumab 3.1 mg20.170± NA
Otelixizumab 3.1 mg (5 Days)25.878± 19.0272
Otelixizumab 4.35 mg20.410± 15.6070
Otelixizumab 4.35 mg (ITC-15)40.860± NA
Otelixizumab 4.35 mg (ITC-30)9.730± NA
Otelixizumab 6.85 mg23.210± 12.7279
Otelixizumab 8.85 mg30.463± 23.4652
IL-10
GroupValue95% CI
Otelixizumab <3.0 mg146.084± 337.2007
Otelixizumab 3.1 mg44.609± 48.1712
Otelixizumab 3.1 mg (5 Days)58.743± 59.6380
Otelixizumab 4.35 mg75.879± 66.3559
Otelixizumab 4.35 mg (ITC-15)80.267± 51.6266
Otelixizumab 4.35 mg (ITC-30)82.786± 68.4322
Otelixizumab 6.85 mg193.065± 225.7715
Otelixizumab 8.85 mg82.547± 55.4185
IL-6
GroupValue95% CI
Otelixizumab <3.0 mg101.161± 193.9999
Otelixizumab 3.1 mg71.748± 78.0909
Otelixizumab 3.1 mg (5 Days)75.954± 63.2599
Otelixizumab 4.35 mg83.739± 65.1953
Otelixizumab 4.35 mg (ITC-15)111.567± 115.1136
Otelixizumab 4.35 mg (ITC-30)121.862± 99.0309
Otelixizumab 6.85 mg358.890± 544.0678
Otelixizumab 8.85 mg186.593± 200.7019
TNF-Alpha
GroupValue95% CI
Otelixizumab <3.0 mg18.079± 10.2902
Otelixizumab 3.1 mg23.071± 29.9426
Otelixizumab 3.1 mg (5 Days)34.814± 40.1511
Otelixizumab 4.35 mg27.225± 37.5837
Otelixizumab 4.35 mg (ITC-15)51.503± 36.9749
Otelixizumab 4.35 mg (ITC-30)69.678± 145.2403
Otelixizumab 6.85 mg50.877± 74.6931
Otelixizumab 8.85 mg44.232± 51.2616
Number of Participants With Positive Epstein Barr Virus (EBV) Viral Load Primary · Up to Month 18

EBV load was measured using quantitative polymerase chain reaction (PCR) method. If a participant had an EBV viral load of \>100,000 copies/10\^6 peripheral blood mononuclear cells (c/10\^6 PBMC) lymphocytes at any time post-dose, the test was repeated immediately. Data for participants with abnormal viral load is presented.

Screening, 1-10000
GroupValue95% CI
Otelixizumab <3.0 mg2
Otelixizumab 3.1 mg1
Otelixizumab 3.1 mg (5 Days)0
Otelixizumab 4.35 mg1
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)1
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Day 14, 1-10000
GroupValue95% CI
Otelixizumab <3.0 mg1
Otelixizumab 3.1 mg4
Otelixizumab 3.1 mg (5 Days)5
Otelixizumab 4.35 mg3
Otelixizumab 4.35 mg (ITC-15)1
Otelixizumab 4.35 mg (ITC-30)2
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg2
Day 21, 1-10000
GroupValue95% CI
Otelixizumab <3.0 mg0
Otelixizumab 3.1 mg6
Otelixizumab 3.1 mg (5 Days)4
Otelixizumab 4.35 mg3
Otelixizumab 4.35 mg (ITC-15)3
Otelixizumab 4.35 mg (ITC-30)3
Otelixizumab 6.85 mg1
Otelixizumab 8.85 mg2
Day 21, >10000
GroupValue95% CI
Otelixizumab <3.0 mg1
Otelixizumab 3.1 mg0
Otelixizumab 3.1 mg (5 Days)0
Otelixizumab 4.35 mg0
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Day 28, 1-10000
GroupValue95% CI
Otelixizumab <3.0 mg2
Otelixizumab 3.1 mg3
Otelixizumab 3.1 mg (5 Days)6
Otelixizumab 4.35 mg1
Otelixizumab 4.35 mg (ITC-15)3
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg2
Otelixizumab 8.85 mg2
Week 6, 1-10000
GroupValue95% CI
Otelixizumab <3.0 mg1
Otelixizumab 3.1 mg3
Otelixizumab 3.1 mg (5 Days)1
Otelixizumab 4.35 mg2
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)2
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg1
Week 12, 1-10000
GroupValue95% CI
Otelixizumab <3.0 mg0
Otelixizumab 3.1 mg0
Otelixizumab 3.1 mg (5 Days)2
Otelixizumab 4.35 mg0
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg0
Month 6, 1-10000
GroupValue95% CI
Otelixizumab <3.0 mg0
Otelixizumab 3.1 mg0
Otelixizumab 3.1 mg (5 Days)0
Otelixizumab 4.35 mg1
Otelixizumab 4.35 mg (ITC-15)0
Otelixizumab 4.35 mg (ITC-30)0
Otelixizumab 6.85 mg0
Otelixizumab 8.85 mg2
Area Under the Concentration-time Curve From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration (AUClast) of Otelixizumab Secondary · At Baseline, and on all dose days except the final dose day, at pre-dose, EOI, and 4 hour post-start of infusion (SOI). On Dose Day 5, at pre-dose, EOI, and 3.5, 4, 5, and 8-10 hour post-SOI.

Pharmacokinetic (PK) samples were obtained at Baseline, and on all dose days except the final dose day, at pre-dose, EOI, and 4 hour post-SOI. On Dose Day 5, samples were collected at pre-dose, EOI, and 3.5, 4, 5, and 8-10 hour post-SOI. The lower limit of quantification was 0.019 micrograms per milliliter (µg/mL). The 'PK summary Population' was defined as participants in the 'All Subjects' Population for whom a pharmacokinetic sample was obtained and analyzed, and who received the full scheduled dose, as specified in the protocol. Only those participants available at the specified time point

Day 1
GroupValue95% CI
Otelixizumab 4.35 mg0.03961± 139.9399
Otelixizumab 4.35 mg (ITC-15)0.89984± NA
Day 4
GroupValue95% CI
Otelixizumab 3.1 mg0.01791± 48.7376
Otelixizumab 4.35 mg0.02752± 78.0203
Otelixizumab 4.35 mg (ITC-15)0.06047± 809.8761
Otelixizumab 4.35 mg (ITC-30)0.02595± NA
Otelixizumab 6.85 mg0.01701± 47.9050
Otelixizumab 8.85 mg0.01370± 3.6149
Day 7
GroupValue95% CI
Otelixizumab 3.1 mg0.01789± 66.5077
Otelixizumab 4.35 mg0.08946± 161.9423
Otelixizumab 4.35 mg (ITC-15)0.15744± 1108.625
Otelixizumab 4.35 mg (ITC-30)0.02332± 27.3059
Otelixizumab 6.85 mg0.19563± 665.7708
Otelixizumab 8.85 mg0.20039± 80.3599
Day 8
GroupValue95% CI
Otelixizumab 3.1 mg0.01848± 73.4326
Otelixizumab 4.35 mg0.14250± 93.2214
Otelixizumab 4.35 mg (ITC-15)0.08367± 280.2741
Otelixizumab 4.35 mg (ITC-30)0.06685± 188.0044
Otelixizumab 6.85 mg0.62938± 256.4433
Otelixizumab 8.85 mg1.34488± 567.3411
Maximum Plasma Drug Concentration (Cmax) of Otelixizumab Secondary · At Baseline, and on all dose days except the final dose day, at pre-dose, EOI, and 4 hour post-SOI. On Dose Day 5, at pre-dose, EOI, and 3.5, 4, 5, and 8-10 hour post-SOI.

PK samples were obtained at Baseline, and on all dose days except the final dose day, at pre-dose, EOI, and 4 hour post-SOI. On Dose Day 5, samples were collected at pre-dose, EOI, and 3.5, 4, 5, and 8-10 hour post-SOI. The lower limit of quantification was 0.019 µg/mL. Only those participants available at the specified time points were analyzed.

Day 1
GroupValue95% CI
Otelixizumab 4.35 mg0.04399± 124.5265
Otelixizumab 4.35 mg (ITC-15)0.06370± NA
Day 4
GroupValue95% CI
Otelixizumab 3.1 mg0.03050± 42.9529
Otelixizumab 4.35 mg0.03862± 41.1649
Otelixizumab 4.35 mg (ITC-15)0.03041± 30.4698
Otelixizumab 4.35 mg (ITC-30)0.03460± NA
Otelixizumab 6.85 mg0.03160± 39.9688
Otelixizumab 8.85 mg0.02739± 3.6149
Day 7
GroupValue95% CI
Otelixizumab 3.1 mg0.02660± 37.1463
Otelixizumab 4.35 mg0.06715± 41.7413
Otelixizumab 4.35 mg (ITC-15)0.05054± 41.4392
Otelixizumab 4.35 mg (ITC-30)0.03075± 26.2309
Otelixizumab 6.85 mg0.12211± 118.6807
Otelixizumab 8.85 mg0.12601± 68.8972
Day 8
GroupValue95% CI
Otelixizumab 3.1 mg0.02988± 41.3271
Otelixizumab 4.35 mg0.06455± 45.7850
Otelixizumab 4.35 mg (ITC-15)0.05519± 77.5056
Otelixizumab 4.35 mg (ITC-30)0.03773± 41.5855
Otelixizumab 6.85 mg0.15106± 122.2439
Otelixizumab 8.85 mg0.23138± 254.9093
Time of Last Quantifiable Drug Concentration (Tlast) and Time of Occurrence of Maximum Plasma Drug Concentration (Tmax) of Otelixizumab Secondary · At Baseline, and on all dose days except the final dose day, at pre-dose, EOI, and 4 hour post-SOI. On Dose Day 5, at pre-dose, EOI, and 3.5, 4, 5, and 8-10 hour post-SOI.

PK samples were obtained at Baseline, and on all dose days except the final dose day, at pre-dose, EOI, and 4 hour SOI. On Dose Day 5, samples were collected at pre-dose, EOI, and 3.5, 4, 5, and 8-10 hour post-SOI. The lower limit of quantification was 0.019 µg/mL. Only those participants available at the specified time points were analyzed.

tlast, Day 1
GroupValue95% CI
Otelixizumab 4.35 mg2.1502.08 – 4.05
Otelixizumab 4.35 mg (ITC-15)22.25022.25 – 22.25
tlast, Day 4
GroupValue95% CI
Otelixizumab 3.1 mg2.1752.13 – 2.22
Otelixizumab 4.35 mg2.1332.03 – 4.58
Otelixizumab 4.35 mg (ITC-15)2.2502.25 – 23.58
Otelixizumab 4.35 mg (ITC-30)2.5002.50 – 2.50
Otelixizumab 6.85 mg2.0752.00 – 2.17
Otelixizumab 8.85 mg2.0002.00 – 2.00
tlast, Day 7
GroupValue95% CI
Otelixizumab 3.1 mg2.2172.00 – 4.00
Otelixizumab 4.35 mg4.0002.00 – 23.67
Otelixizumab 4.35 mg (ITC-15)12.3752.25 – 23.47
Otelixizumab 4.35 mg (ITC-30)2.5172.50 – 2.53
Otelixizumab 6.85 mg4.0002.00 – 20.70
Otelixizumab 8.85 mg4.0004.00 – 4.00
tlast, Day 8
GroupValue95% CI
Otelixizumab 3.1 mg2.0752.00 – 4.00
Otelixizumab 4.35 mg5.0332.00 – 10.00
Otelixizumab 4.35 mg (ITC-15)3.2501.75 – 8.32
Otelixizumab 4.35 mg (ITC-30)3.5002.00 – 8.53
Otelixizumab 6.85 mg10.0004.03 – 10.17
Otelixizumab 8.85 mg12.0006.00 – 12.03
tmax, Day 1
GroupValue95% CI
Otelixizumab 4.35 mg2.0832.00 – 2.15
Otelixizumab 4.35 mg (ITC-15)2.422.42 – 2.42
tmax, Day 4
GroupValue95% CI
Otelixizumab 3.1 mg2.1752.13 – 2.22
Otelixizumab 4.35 mg2.1081.92 – 2.53
Otelixizumab 4.35 mg (ITC-15)2.2502.25 – 2.30
Otelixizumab 4.35 mg (ITC-30)2.5002.50 – 2.50
Otelixizumab 6.85 mg2.0752.00 – 2.17
Otelixizumab 8.85 mg2.0002.00 – 2.00
tmax, Day 7
GroupValue95% CI
Otelixizumab 3.1 mg2.1002.00 – 2.33
Otelixizumab 4.35 mg2.0832.00 – 2.20
Otelixizumab 4.35 mg (ITC-15)2.3082.25 – 22.47
Otelixizumab 4.35 mg (ITC-30)2.5172.50 – 2.53
Otelixizumab 6.85 mg2.0332.00 – 2.33
Otelixizumab 8.85 mg3.0422.08 – 4.00
tmax, Day 8
GroupValue95% CI
Otelixizumab 3.1 mg2.0752.00 – 2.27
Otelixizumab 4.35 mg2.1672.00 – 2.75
Otelixizumab 4.35 mg (ITC-15)2.0001.75 – 3.28
Otelixizumab 4.35 mg (ITC-30)2.0002.00 – 2.50
Otelixizumab 6.85 mg3.5002.00 – 4.12
Otelixizumab 8.85 mg4.0004.00 – 4.03
Mean Lymphocytes Subsets (CD19+ B Cells, CD4+CD25hiFoxP3+ T Cells, CD8+CD25+FoxP3+ T Cells) Count Secondary · Day 8 and 28

One sample was collected at the screening visit and at Baseline. On dose Day 1, samples were collected at EOI and 4 hour post-SOI. On all other dosing days, samples were collected at pre-dose, EOI and 4 hour post-SOI. To obtain absolute counts for each lymphocyte subset (CD19+ B cells, CD4+CD25hiFoxP3+ T cells, CD8+CD25+FoxP3+ T cells) the proportion of total lymphocytes constituting that subset was multiplied by the total count for the same participant at the same time point. The data was collected on Baseline, Days 1 to 8, Days 14, 21, 28, Weeks 6, 8, 10, 12, Months 4, 5, 6, 12, 24, 36 and 4

CD19+ B Cells, Baseline
GroupValue95% CI
Otelixizumab 3.1 mg0.187± 0.1360
Otelixizumab 4.35 mg0.247± 0.1029
Otelixizumab 4.35 mg (ITC-15)0.288± 0.1173
Otelixizumab 4.35 mg (ITC-30)0.393± 0.2125
Otelixizumab 6.85 mg0.200± 0.0873
Otelixizumab 8.85 mg0.220± 0.0922
CD19+ B Cells, Day 8, pre-dose
GroupValue95% CI
Otelixizumab 3.1 mg0.182± 0.1697
Otelixizumab 4.35 mg0.180± 0.0627
Otelixizumab 4.35 mg (ITC-15)0.146± 0.0305
Otelixizumab 4.35 mg (ITC-30)0.203± 0.1019
Otelixizumab 6.85 mg0.099± 0.0468
Otelixizumab 8.85 mg0.151± 0.0906
CD19+ B Cells, Day 8, 15 minutes
GroupValue95% CI
Otelixizumab 4.35 mg (ITC-15)0.170± 0.0446
CD19+ B Cells, Day 8, 30 minutes
GroupValue95% CI
Otelixizumab 4.35 mg (ITC-30)0.204± 0.1094
CD19+ B Cells, Day 8, 2 hours
GroupValue95% CI
Otelixizumab 3.1 mg0.177± 0.1528
Otelixizumab 4.35 mg0.162± 0.0570
Otelixizumab 6.85 mg0.087± 0.0604
Otelixizumab 8.85 mg0.099± 0.0869
CD19+ B Cells, Day 8, 2.25 hours
GroupValue95% CI
Otelixizumab 4.35 mg (ITC-15)0.156± 0.0602
CD19+ B Cells, Day 8, 2.5 hours
GroupValue95% CI
Otelixizumab 4.35 mg (ITC-30)0.161± 0.0737
CD19+ B Cells, Day 8, 4 hours
GroupValue95% CI
Otelixizumab 3.1 mg0.186± 0.1314
Otelixizumab 4.35 mg0.167± 0.0699
Otelixizumab 6.85 mg0.084± 0.0523
Otelixizumab 8.85 mg0.083± 0.0465
Mean Lymphocytes Subsets (CD4+ T Cells, CD8+ T Cells) Count Secondary · Day 8 and 28

One sample was collected at the screening visit and at Baseline. On dose Day 1, samples were collected at EOI and 4 hour post-SOI. On all other dosing days, samples were collected at pre-dose, EOI and 4 hour post-SOI. To obtain absolute counts for each lymphocyte subset (CD4+ T cells, CD8+ T cells) the proportion of total lymphocytes constituting that subset was multiplied by the total count for the same participant at the same time point. The data was collected on Baseline, Days 1 to 8, Days 14, 21, 28, Weeks 6, 8, 10, 12, Months 4, 5, 6, 12, 24, 36 and 48. However data for Days 8 and 28 is p

CD4+ T cells, Baseline
GroupValue95% CI
Otelixizumab 3.1 mg0.943± 0.2982
Otelixizumab 3.1 mg (5 Days)0.841± 0.2111
Otelixizumab 4.35 mg0.959± 0.2726
Otelixizumab 4.35 mg (ITC-15)0.802± 0.1535
Otelixizumab 4.35 mg (ITC-30)0.929± 0.1879
Otelixizumab 6.85 mg0.961± 0.5173
Otelixizumab 8.85 mg1.007± 0.2653
CD4+ T cells, Day 8
GroupValue95% CI
Otelixizumab 3.1 mg (5 Days)0.636± 0.1741
CD4+ T cells, Day 8, pre-dose
GroupValue95% CI
Otelixizumab 3.1 mg0.463± 0.1928
Otelixizumab 4.35 mg0.416± 0.1511
Otelixizumab 4.35 mg (ITC-15)0.327± 0.1175
Otelixizumab 4.35 mg (ITC-30)0.329± 0.1348
Otelixizumab 6.85 mg0.188± 0.0867
Otelixizumab 8.85 mg0.386± 0.1154
CD4+ T cells, Day 8, 15 minutes
GroupValue95% CI
Otelixizumab 4.35 mg (ITC-15)0.233± 0.1504
CD4+ T cells, Day 8, 30 minutes
GroupValue95% CI
Otelixizumab 4.35 mg (ITC-30)0.113± 0.0779
CD4+ T cells, Day 8, 2 hours
GroupValue95% CI
Otelixizumab 3.1 mg0.296± 0.1341
Otelixizumab 4.35 mg0.210± 0.1781
Otelixizumab 6.85 mg0.108± 0.1202
Otelixizumab 8.85 mg0.099± 0.0553
CD4+ T cells, Day 8, 2.25 hours
GroupValue95% CI
Otelixizumab 4.35 mg (ITC-15)0.218± 0.1569
CD4+ T cells, Day 8, 2.5 hours
GroupValue95% CI
Otelixizumab 4.35 mg (ITC-30)0.117± 0.0502

Adverse events — posted to ClinicalTrials.gov

Time frame: All SAEs and non-SAEs were collected up to Month 24. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Otelixizumab <3.0 mg
Serious: 1/8 (13%)
Deaths: 0/8
Otelixizumab 3.1 mg
Serious: 2/15 (13%)
Deaths: 0/15
Otelixizumab 3.1 mg (5 Days)
Serious: 1/18 (6%)
Deaths: 0/18
Otelixizumab 4.35 mg
Serious: 0/19 (0%)
Deaths: 0/19
Otelixizumab 4.35 mg (ITC-15)
Serious: 0/7 (0%)
Deaths: 0/7
Otelixizumab 4.35 mg (ITC-30)
Serious: 1/9 (11%)
Deaths: 0/9
Otelixizumab 6.85 mg
Serious: 1/6 (17%)
Deaths: 0/6
Otelixizumab 8.85 mg
Serious: 2/6 (33%)
Deaths: 0/6

Serious adverse events (9 terms)

ReactionSystemOtelixizumab <3.0 mgOtelixizumab 3.1 mgOtelixizumab 3.1 mg (5 Days)Otelixizumab 4.35 mgOtelixizumab 4.35 mg (ITC-…Otelixizumab 4.35 mg (ITC-…Otelixizumab 6.85 mgOtelixizumab 8.85 mg
Diabetic ketoacidosisMetabolism and nutrition disorders
DehydrationMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
Meningitis enteroviralInfections and infestations
Urinary tract infectionInfections and infestations
Coronary artery stenosisCardiac disorders
Limb crushing injuryInjury, poisoning and procedural complications
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Speech disorderNervous system disorders
Other adverse events (242 terms — click to expand)

ReactionSystemOtelixizumab <3.0 mgOtelixizumab 3.1 mgOtelixizumab 3.1 mg (5 Days)Otelixizumab 4.35 mgOtelixizumab 4.35 mg (ITC-…Otelixizumab 4.35 mg (ITC-…Otelixizumab 6.85 mgOtelixizumab 8.85 mg
HeadacheNervous system disorders
HypoglycaemiaMetabolism and nutrition disorders
NauseaGastrointestinal disorders
NasopharyngitisInfections and infestations
VomitingGastrointestinal disorders
ChillsGeneral disorders
MyalgiaMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
Upper respiratory tract infectionInfections and infestations
AnaemiaBlood and lymphatic system disorders
DiarrhoeaGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
PyrexiaGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
ParaesthesiaNervous system disorders
SinusitisInfections and infestations
PharyngitisInfections and infestations
FatigueGeneral disorders
Back painMusculoskeletal and connective tissue disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
Orthostatic hypotensionVascular disorders
LethargyNervous system disorders
InfluenzaInfections and infestations
Urinary tract infectionInfections and infestations
GastroenteritisInfections and infestations
Gastroenteritis viralInfections and infestations
CellulitisInfections and infestations
Herpes simplexInfections and infestations
Localised infectionInfections and infestations
HyperglycaemiaMetabolism and nutrition disorders
DyspepsiaGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Chest painGeneral disorders
Rash macularSkin and subcutaneous tissue disorders
Rash maculo-papularRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
PruritusSkin and subcutaneous tissue disorders
CoughRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Diabetic ketoacidosis, Dehydration, Hyperglycaemia, Meningitis enteroviral, Urinary tract infection, Coronary artery stenosis, Limb crushing injury, Breast cancer.

Data from ClinicalTrials.gov NCT00451321 adverse events section.

Sponsor's own description

The purpose of this study is to optimize several multi-dose regimens of otelixizumab, determine the highest biologically active dose, evaluate biomarkers and surrogates of efficacy, and to evaluate the effects of each multi-dose regimen of otelixizumab against standard safety and efficacy parameters.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Efforts to prevent and halt autoimmune beta cell destruction.
    Haller MJ, Atkinson MA, Schatz DA. · · 2010 · cited 8× · PMID 20723818 · DOI 10.1016/j.ecl.2010.05.006

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00451321.

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