Recruiting
Phase 1

GNTI-122

Sponsor:

GentiBio, Inc

Code:

NCT06919354

Conditions

Type 1 Diabetes (T1D)

Type 1 Diabetes Mellitus

Eligibility Criteria

Sex: All

Age: 18 - 55

Healthy Volunteers: Not accepted

Interventions

GNTI-122

Study Details

Brief summary:

This is a 78-week single arm, multi-center, Phase 1 study to evaluate the safety, tolerability, cellular kinetics, and biomarker changes in C-peptide over time of GNTI-122, an investigational cell therapy manufactured from a participant's own blood cells in adult participants with recently diagnosed T1D. After assessment of eligibility, participants who qualify for the study will be enrolled sequentially in 1 of 3 cohorts. Cohort 1 participants (n=3) receive a low dose of GNTI-122 . Cohort 2 participants (n=3) receive a high dose of GNTI-122. Cohort 3 participants (n=10) receive a high dose of GNTI-122 in combination with rapamycin. Participants are followed for 78 weeks after the administration of GNTI-122 during which safety and efficacy assessments are made, including vital signs, ECG, physical exam, clinical labs, and monitoring of adverse events and concomitant medications. Disease markers (e.g., MMTT-stimulated C-peptide, HbA1c) and pharmacodynamic activity (e.g., lymphocyte subsets and phenotypes, effector T cell responses to islet antigens ex vivo, T1D autoantibodies) will be monitored serially throughout the study. The study will include sentinel dosing and a Safety Review Committee to ensure participant safety. Visit https://www.polarisstudy.com to learn more!

Conditions

Type 1 Diabetes (T1D)

Type 1 Diabetes Mellitus

Study ID

NCT06919354

Start date

Sep 3, 2025

Status verified date

Aug, 2026

Completion date

Feb, 2028

Anticipated

Primary completion date

Feb, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18 - 55

Healthy Volunteers: Not accepted

Inclusion Criteria:

1. Male and female participants aged ≥18 to ≤55 years with recently diagnosed (within 180 days of Screening) T1D according to American Diabetes Association criteria.
2. Participant has residual β-cell function during Screening, defined as random C-peptide ≥ 0.2 nmol/L.
3. Positive for at least one T1D-associated autoantibody.
4. Able and willing to provide written, informed consent as approved by the IRB.
5. Is confirmed positive for the HLA-DRB1\*04:01 allele.
6. Has adequate vascular access to undergo leukapheresis with no known contraindications.

8\. Female participants of childbearing potential must have a negative serum pregnancy test at Screening, must be not lactating, and must agree to protocol-specified contraception.

9\. Male participants of childbearing potential must agree to protocol specified contraception.

10\. Other than T1D, participant is in good general health.

Exclusion Criteria:

1. Type 2 diabetes.
2. Experienced DKA within 4 weeks prior to or during Screening.
3. Unwilling or unable to comply with study procedures or schedule.
4. Chronic or uncontrolled medical condition.
5. Has another active or autoimmune or inflammatory disease with the exception of well-controlled Hashimoto's thyroiditis, celiac disease, or vitiligo.
6. Participation in another clinical study or active follow-up in a prior study.

Study Design

Enrollment

16 participants

Anticipated

Intervention Model

Single group

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: GNTI-122

Interventions

GNTI-122

GNTI-122 is an investigational cell therapy manufactured from a participant's own blood cells and is intended to help correct an imbalance of certain types of cells found in participants with Type 1 Diabetes.

Primary outcome measure

  • Safety and tolerability of GNTI-122 with and without rapamycin in adult participants with recently diagnosed T1D [ Time Frame: Week 78 ]

Central Contacts and Locations

Central contacts

Locations

City of Hope Medical Center

Recruiting

Duarte, California, United States, 91010

Contacts

Fouad Kandeel, MD, PhD

866-444-7538islets@coh.org

Principal Investigator:

Fouad Kandeel, MD, PhD

University of California - San Diego

Recruiting

San Diego, California, United States, 92093-0990

Contacts

Principal Investigator:

Jeremy Pettus, MD

University of California - San Francisco

Recruiting

San Francisco, California, United States, 94158

Contacts

Rebecca Wesch (Recruitment Coordinator)

844-813-8273clinicalresearch@diabetes.ucsf.edu

Principal Investigator:

Stephen Gitelman, MD

University of Florida - Gainesville

Recruiting

Gainesville, Florida, United States, 32610

Contacts

Principal Investigator:

Brittany Bruggeman, MD

University of Miami, Diabetes Research Institute

Recruiting

Miami, Florida, United States, 33136

Contacts

Principal Investigator:

David Baidal, MD

Joslin Diabetes Center

Recruiting

Boston, Massachusetts, United States, 02215

Contacts

Michelle Zhang, Study Coordinator

888-813-8669T1DTrials@joslin.harvard.edu

Principal Investigator:

Jason Gaglia, MD, MMSc

Icahn School of Medicine at Mount Sinai

Recruiting

New York, New York, United States, 10029

Contacts

Principal Investigator:

Carol Levy, MD

University of North Carolina at Chapel Hill

Recruiting

Chapel Hill, North Carolina, United States, 27514

Contacts

Principal Investigator:

John Buse, MD

Duke University

Recruiting

Durham, North Carolina, United States, 27710

Contacts

Principal Investigator:

Jennifer Green, MD

More Information

Sponsor

GentiBio, Inc

Last update posted

Aug 10, 2026

Last verified

Aug, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by GentiBio, Inc on 2026-08-10.