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Not yet recruitingNCT07845955INSPIRE-T1DUpdated Sep 29, 2026

JAK1 Inhibitor Ivarmacitinib for Improving Pancreatic Islet Function in T1D

A Phase 2 interventional study of Ivarmacitinib and Placebo in T1DM - Type 1 Diabetes Mellitus, sponsored by Huijie Zhang. Not yet recruiting at 1 site in China. Open to participants aged 10 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-09-29.

Sponsored by Huijie Zhang · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
132
Allocation
Randomized
Ages
10 Years to 40 Years
Sex
All
01

Study summary

This is a double-blind, randomized, placebo-parallel-controlled, multicenter study. The objective is to evaluate the efficacy and safety of Ivarmacitinib 8 mg administered for 52 weeks in preserving pancreatic β cell function in subjects with newly-onset type 1 diabetes mellitus. The study consists of a screening period (V1, up to 2 weeks), a 52-week double-blind treatment period (V2 to V14), and a 4-week safety follow-up period (V15).

02

Conditions studied

  • T1DM - Type 1 Diabetes Mellitus

Keywords

  • Type 1 Diabetes Mellitus
  • JAK1 Inhibitor
  • Ivarmacitinib
03

Who can participate

Ages eligible
10 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Confirmed diagnosis of type 1 diabetes mellitus.
  2. Able to complete randomization and initiate treatment with the study drug within 100 days of being formally diagnosed with type 1 diabetes.
  3. Peak stimulated C-peptide level ≥ 0.2 pmol/mL during the mixed-meal tolerance test performed in the screening period.
  4. Tested positive for at least one type 1 diabetes-associated autoantibody.

Exclusion criteria

Exclusion Criteria:

  1. Presence of any autoimmune disease other than type 1 diabetes mellitus, except for stable autoimmune thyroid disease.
  2. Presence of active infection and/or fever.
  3. Known current or prior infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV), or serological evidence of such infection at screening.
  4. Active pulmonary tuberculosis, malignancy, etc.
  5. Severe hepatic impairment (AST or ALT >3 × upper limit of normal), or severe renal impairment or end-stage renal disease (eGFR \< 30 mL/min/1.73 m²).
  6. Prior exposure to immunomodulatory agents, including baricitinib, ivarmacitinib, IL-1 receptor antagonists, tocilizumab (anti-IL-6 monoclonal antibody), infliximab (anti-TNF-α monoclonal antibody), interferons, etc.
  7. Severe cardiovascular disease such as angina pectoris, myocardial infarction, or stroke within the previous 6 months.
  8. Severe gastrointestinal disease.
  9. Surgical procedure performed within the past 6 months.
  10. Medical, psychological, or social conditions that, in the opinion of the investigator, may interfere with trial safety or proper completion.
04

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
132 participants (estimated)

Study arms

  • Experimental
    Ivarmacitinib 8 mg group

    Drug: Ivarmacitinib

  • Placebo comparator
    Placebo control group

    Drug: Placebo

Interventions

  • DrugIvarmacitinib

    Oral tablet, administered at a fixed dose of 8mg once daily for 52 weeks.

  • DrugPlacebo

    Oral tablet matching active Ivarmacitinib in appearance and scheduling, without active ingredients, taken once daily for 52 weeks.

05

What researchers measure

Primary outcomes

  1. Change from baseline in MMTT-stimulated C-peptide AUC at Week 52

    Change from baseline in C-peptide area under the curve (AUC) during a mixed-meal tolerance test (MMTT) after 52 weeks of treatment.

    Time frame: From Baseline to Week 52

Secondary outcomes

  1. Change from baseline in MMTT-stimulated C-peptide AUC at Week 26

    Change from baseline in C-peptide area under the curve (AUC) during a mixed-meal tolerance test (MMTT) after 26 weeks of treatment.

    Time frame: From Baseline to Week 26

  2. Change from baseline in HbA1c at Week 52

    Change from baseline in glycated hemoglobin (HbA1c) after 52 weeks of treatment.

    Time frame: From Baseline to Week 52

  3. Change from baseline in daily insulin dose at Week 52

    Change from baseline in daily insulin dose after 52 weeks of treatment

    Time frame: From Baseline to Week 52

  4. Change from baseline in TIR assessed by CGM at Week 52

    Change from baseline in time-in-range (TIR) assessed by continuous glucose monitoring (CGM) after 52 weeks of treatment.

    Time frame: From Baseline to Week 52

  5. Cumulative severe hypoglycemic events from baseline to Week 52

    Total number of severe hypoglycemic events that occurred during 52 weeks of treatment.

    Time frame: From Baseline to Week 52

  6. Change from baseline in lymphocyte subpopulation quantified by flow cytometry at week 52

    Peripheral Blood Mononuclear Cell (PBMC) will be isolated and lymphocyte subpopulation will be quantified at baseline and Week 52

    Time frame: From Baseline to Week 52

06

Study locations

1 site
  • Zhongshan Hospital, Fudan University
    Shanghai, Shanghai Municipality 200032, China
07

References and documents

Individual participant data

Plan to share: Yes — All IPD that underlie results in a publication.

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07845955
Lead sponsor
Huijie Zhang
Responsible party
Huijie Zhang (Chief Physician, Shanghai Zhongshan Hospital) — Sponsor-investigator
First posted
Sep 29, 2026
Start date
Sep 30, 2026 (estimated)
Primary completion
Aug 31, 2029 (estimated)
Completion
Dec 31, 2029 (estimated)
Last update
Sep 29, 2026

Study contacts

jingjing jiang, PhD
Contact
jiang.jingjing@zs-hospital.sh.cn
13402003919
Huijie Zhang
principal investigator · Fudan University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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