Recruiting
Phase 1
Phase 2

CNP-103

Sponsor:

COUR Pharmaceutical Development Company, Inc.

Code:

NCT06783309

Conditions

Type 1 Diabetes Mellitus

T1D

T1DM

T1DM - Type 1 Diabetes Mellitus

Type 1 Diabetes in Adolescence

Eligibility Criteria

Sex: All

Age: 12 - 35

Healthy Volunteers: Not accepted

Interventions

CNP-103

Placebo

Study Details

Brief summary:

This study is a Phase 1b/2a First-in-Human (FIH) clinical trial to assess the safety, tolerability, pharmacodynamics (PD), and efficacy of multiple ascending doses of CNP-103. The approximately 393-days study consists of a Screening Period (28 days), Treatment Period (90 days), and Post-Dose Evaluations (275 days).

Conditions

Type 1 Diabetes Mellitus

T1D

T1DM

T1DM - Type 1 Diabetes Mellitus

Type 1 Diabetes in Adolescence

Study ID

NCT06783309

Start date

May 12, 2025

Status verified date

Mar, 2026

Completion date

Jun, 2027

Anticipated

Primary completion date

Dec, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 12 - 35

Healthy Volunteers: Not accepted

Inclusion Criteria:

1. Participants who are willing and able to provide Institutional Review Board (IRB) approved written informed consent and privacy language as per national regulations.
2. Men and non-pregnant, non-breast-feeding women ages 12-35 years inclusive.
3. Documented diagnosis of Stage 3 T1D within 180 days prior to study enrollment according to American Diabetes Association (ADA) criteria.
4. Participants must be on standard of care diabetes management including insulin therapy as a routine and also consisting of a nutrition plan, regular exercise, or other relevant specialty care as required on a patient-by-patient basis.
5. Participants with a peak stimulated C-peptide of >0.2 nmol/L measured from a screening mixed meal tolerance test (MMTT).
6. Participants with an episode of diabetic ketoacidosis (DKA) must have a MMTT performed no sooner than 2 weeks after resolution of the DKA event to have a qualifying C-peptide reading.
7. Participants on systemic corticosteroids or any medication used to treat the symptoms of T1D (other than insulin) must undergo a washout period of at least two weeks prior to enrollment and must agree to use a non-steroid alternative throughout the trial, if necessary, for any disorder requiring corticosteroids. In addition, participants must be on a stable dose of any other medications, other than insulin, for a minimum of 1 month prior to enrollment and must agree not to increase their dose from the Screening Visit through the End of Study Visit unless reviewed and approved by the medical monitor and the principal investigator.
8. Female participants of non-childbearing potential (e.g., surgical sterilization, no menses for a year).
9. Women of childbearing potential (WOCBP) who have agreed not to become pregnant during the study, have a negative pregnancy test at Screening Visit, and agree to use 1 highly effective form of birth control starting at initial screening and continuing throughout the entire study to Day 365.
10. Female participants who agree to not breastfeed starting at initial Screening and throughout the entire study to Day 365.
11. Female participants who agree to not donate ova, including autologous, starting at initial Screening and throughout the entire study to Day 365.
12. Male participant and with a spouse or partner of childbearing potential, who themselves and their spouse or partner agree to practice an effective form of birth control as discussed with the study doctor or study staff starting at Screening and throughout the entire study to Day 365.
13. Participants must weigh >35 kg at Screening for Cohort 1 (100 mg) and Cohort 2 (300 mg); participants must weigh >50 kg at Screening for Cohort 3 (600 mg).
14. Body mass index (BMI):

1. Participants 12-17 years: BMI Z-Score within 5th and 95th percentile based on participant's age (e.g., Baylor College of Medicine Age-based Pediatric Growth Reference Charts: BMI Z-Score and Percentile Calculator)
2. Participants 18-35 years: 18.0-30.0 (not inclusive)

Exclusion Criteria:

1. Participants unable to comply with prohibited medication outlined in the protocol.
2. Exclusion of additional immunomodulation will be at the discretion of the Medical Monitor and study site Investigator.
3. Participants with a history of tuberculosis or positive Quantiferon test.
4. Participants who received vaccinations in the following time frame:

1. Any live vaccine within 28 days prior to Screening.
2. Any subunit vaccine within 14 days prior to Screening.
3. Any COVID-19 vaccine series within 14 days prior to Screening.
4. Any other planned vaccine starting 14 days prior to Screening and through study Day 90 and 1 week after. (Note: The annual influenza vaccine is not an exclusion criterion.)
5. Known or suspected acute infection, including COVID-19 at the time of Screening or within 2 weeks prior to Screening. After confirmed recent COVID-19 infection, a minimum of 2 weeks of recovery post-acute infection is required.
6. Participants with Screening laboratory test results that are outside the normal limits and considered by the Investigator to be clinically significant.
7. Participants with positive test results for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibody, or human immunodeficiency virus (HIV) antigen/antibody as determined at Screening.
8. Participants with a history of or currently active immune disorders other than T1D (including autoimmune disease) unless the condition, after discussion with the Medical Monitor, has been deemed to be acceptable for the participant's participation in this study.
9. Participants with a clinical history of significant cardiovascular disease in the past 12 months.
10. Participants with a complication or medical history of malignant tumor, other than basal cell or squamous cell carcinomas of the skin.
11. Participants who, in the Investigator's opinion, will be unable to adhere to study visits and procedures.
12. Participants who have received investigational therapy other than CNP-103 within 28 days or 5 half-lives, whichever is longer, prior to Screening.
13. Participants with any known active condition which, in the Investigator's opinion, makes the participant unsuitable for study participation.
14. Known sensitivity to any components of CNP-103.

Study Design

Enrollment

72 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Adult Cohort 1 (100 mg CNP-103)

Three (3) IV administrations of CNP-103 (100 mg) on Days 1, 8, and 90

experimental: Adult Cohort 2 (300 mg CNP-103)

Three (3) IV administrations of CNP-103 (300 mg) on Days 1, 8, and 90

experimental: Adult Cohort 3 (600 mg CNP-103)

Three (3) IV administrations of CNP-103 (600 mg) on Days 1, 8, and 90

experimental: Adolescent Cohort 1 (100 mg CNP-103)

Three (3) IV administrations of CNP-103 (100 mg) on Days 1, 8, and 90

experimental: Adolescent Cohort 2 (300 mg CNP-103)

Three (3) IV administrations of CNP-103 (300 mg) on Days 1, 8, and 90

experimental: Adolescent Cohort 3 (600 mg CNP-103)

Three (3) IV administrations of CNP-103 (600 mg) on Days 1, 8, and 90

experimental: Expansion Cohort

Dosing for the Expansion Cohort will be determined from Escalation Phase results

Interventions

CNP-103

CNP-103

Placebo

0.9% sodium chloride for injection

Primary outcome measure

  • Safety [ Time Frame: Day 1 Through Day 365 ]
  • Immune Safety [ Time Frame: Day 1 Through Day 365 ]

Central Contacts and Locations

Central contacts

Locations

Wake Research - Tucson

Recruiting

Tucson, Arizona, United States, 85710

Contacts

Principal Investigator:

David Alster

Liver Institute PLLC

Recruiting

Tucson, Arizona, United States, 85716

Contacts

Principal Investigator:

Neda Ebrahimi

Hoag Memorial Hospital

Recruiting

Newport Beach, California, United States, 92663

Contacts

Principal Investigator:

David Ahn

Rady Children's Hospital San Diego

Recruiting

San Diego, California, United States, 92123

Contacts

Principal Investigator:

Carla Demeterco-Berggren

Diablo Clinical Research

Recruiting

Walnut Creek, California, United States, 94598

Contacts

Principal Investigator:

Mark Christiansen

Barbara Davis Center for Childhood Diabetes

Recruiting

Aurora, Colorado, United States, 80045

Contacts

Principal Investigator:

Taylor Triolo

Southwest General Healthcare Center

Recruiting

Fort Myers, Florida, United States, 33907

Contacts

Principal Investigator:

Orlando Fernandez

University of Florida

Recruiting

Gainesville, Florida, United States, 32610

Contacts

Principal Investigator:

Timothy Foster

Evolution Research Center

Recruiting

Hialeah, Florida, United States, 33012

Contacts

Principal Investigator:

Andrea Sosa-Melo

University of Miami

Recruiting

Miami, Florida, United States, 33136

Contacts

Principal Investigator:

David Baidal

DY Professional Research Center

Recruiting

Miami, Florida, United States, 33176

Contacts

Principal Investigator:

Soroush Aghigh

University of South Florida

Recruiting

Tampa, Florida, United States, 33612

Contacts

Principal Investigator:

Henry Rodriguez

Atlanta Diabetes Association

Recruiting

Atlanta, Georgia, United States, 30318

Contacts

Principal Investigator:

Carson Womack

Emory University

Recruiting

Atlanta, Georgia, United States, 30322

Contacts

Principal Investigator:

Michael Hughes

Children's Healthcare of Atlanta

Recruiting

Atlanta, Georgia, United States, 30329

Contacts

Principal Investigator:

Kristina Cossen

Rocky Mountain Diabetes and Osteoporosis Center

Recruiting

Idaho Falls, Idaho, United States, 83404

Contacts

Principal Investigator:

Joshua Smith

Northwestern University

Recruiting

Chicago, Illinois, United States, 60611

Contacts

Principal Investigator:

Grazia Aleppo

Southern Illinois University School of Medicine

Recruiting

Springfield, Illinois, United States, 62702

Contacts

Principal Investigator:

Gabriel Uwaifo

Riley Hospital for Children- Indiana University

Recruiting

Indianapolis, Indiana, United States, 46202

Contacts

Principal Investigator:

Linda DeMeglio

Barry J. Reiner, MD, LLC

Recruiting

Baltimore, Maryland, United States, 21229

Contacts

Principal Investigator:

Barry Reiner

Joslin Diabetes Center

Recruiting

Boston, Massachusetts, United States, 02215

Contacts

Principal Investigator:

Jason Gaglia

Embassy Research Network

Recruiting

Bloomfield Township, Michigan, United States, 48302

Contacts

Principal Investigator:

George Grunberger

University of Minnesota

Recruiting

Minneapolis, Minnesota, United States, 55454

Contacts

Kali Johnson

joh13933@umn.edu

Principal Investigator:

Antoinette Moran

Children's Mercy Hospital

Recruiting

Kansas City, Missouri, United States, 64108

Contacts

Principal Investigator:

Wayne Moore

Washington University School of Medicine

Recruiting

St Louis, Missouri, United States, 63110

Contacts

Principal Investigator:

Janet McGill

UBMD Pediatrics - University of Buffalo

Recruiting

Buffalo, New York, United States, 14203

Contacts

Principal Investigator:

Lucy Mastrandrea

NYU Langone Diabetes & Endocrine Associates

Recruiting

New York, New York, United States, 10017

Contacts

Principal Investigator:

Ramachandra Naik

Duke University

Recruiting

Durham, North Carolina, United States, 27710

Contacts

Principal Investigator:

Jennifer Green

Physicians East, PA

Recruiting

Greenville, North Carolina, United States, 27834

Contacts

Principal Investigator:

Mark Warren

Wake Research - Raleigh

Recruiting

Raleigh, North Carolina, United States, 27612

Contacts

Principal Investigator:

Khushbu Chandarana

Superior Clinical Research

Recruiting

Smithfield, North Carolina, United States, 27577

Contacts

Principal Investigator:

Clifford Curtis

University Diabetes & Endocrine Consultants

Recruiting

Chattanooga, Tennessee, United States, 37411

Contacts

Principal Investigator:

David Huffman

Texas Diabetes & Endocrinology

Recruiting

Austin, Texas, United States, 78749

Contacts

Principal Investigator:

Jean Chen

M3 Wake Research - Dallas

Recruiting

Dallas, Texas, United States, 75246

Contacts

Principal Investigator:

Carlos Arauz-Pacheco

Accurate Clinical Research, Inc

Recruiting

Humble, Texas, United States, 77346

Contacts

Principal Investigator:

Brian Chou

Diabetes & Glandular Disease (DGD) Clinic, P.A.

Recruiting

San Antonio, Texas, United States, 78229

Contacts

Principal Investigator:

Mark Kipnes

TopLine Clinical, Inc

Recruiting

Waxahachie, Texas, United States, 75165

Contacts

Principal Investigator:

Stephen Mueller

University of Washington Diabetes Institute

Recruiting

Seattle, Washington, United States, 98109

Contacts

Principal Investigator:

Irl Hirsch

More Information

Sponsor

COUR Pharmaceutical Development Company, Inc.

Last update posted

Aug 20, 2026

Last verified

Mar, 2026

Keywords

  • Diabetes
  • T1D
  • Stage 3
  • Adolescents
  • Adults
  • T1DM
  • Newly Diagnosed
  • Recently Diagnosed

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by COUR Pharmaceutical Development Company, Inc. on 2026-08-20.