A Phase 2 interventional study of PS1 and Placebo in Type 1 Diabetes Mellitus, sponsored by Pharmasaga Co. Ltd.. Not yet recruiting. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-22.
Sponsored by Pharmasaga Co. Ltd. · Phase 2, Interventional, and Treatment
This study consists of 2 sub-studies, including Part A and Part B. Part A is intended to further characterize the pharmacokinetic (PK) profile of PS1 based on existing single ascending dose (SAD) and multiple ascending dose (MAD) data, while Part B is designed as an exploratory study to evaluate the potential clinical effects of PS1 in adults with newly diagnosed type 1 diabetes mellitus (T1DM). PS1 is a potential blood glucose-lowering medication being developed by Pharmasaga Co., Ltd. for the treatment of T1DM.
Part A This is an open-label, parallel-group sub-study to characterize the PK characteristics, and determine the safety, and tolerability of PS1 via oral administration in healthy volunteers.
Approximately 12 eligible participants will receive a single dose of PS1 in Part A, with 6 participants receiving 25 mg and 6 participants receiving 50 mg.
Part A will consist of a screening period (Visit 1; Days -28 to -2), predose assessments visit (Visit 2; Day-1), a treatment period (Visit 3; Day 1, Day 2), and a post-treatment observation visit on Day 8 (Visit 4). Participants may be hospitalized overnight, at the discretion of the investigator/site, to facilitate the conduct of scheduled Day -1 and Day 1/Day 2 study procedures and receive single dose of PS1 on Day 1 (Visit 3) and may continue to be hospitalized for PK sample collection till Day 2.
Blood plasma samples will be collected at following timepoints: predose, and 0.25, 0.5, 1, 2, 4, 6, 8, 12, 16 and 24 hours after dosing. The participant will be discharged immediately (if hospitalized) after the 24-hour PK sample collection time point on Day 2. On Day 8, the participant will come for post-treatment observation visit and an additional PK sample will be collected on the same day, which will be the end of study (EOS) for participant.
The decision to proceed to Part B will be made after all participants in Part A have completed dosing and the planned safety follow-up period.
Part B This is a randomized, double-blind, placebo-controlled sub-study to evaluate the efficacy, safety, and PK characteristics of PS1 via oral administration in combination with standard of care (SOC) for adults diagnosed with T1D within ≤12 months.
Part B consists of a screening period (Weeks -4 to -1; followed by a predose assessments visit [Visit 2; Day-1]), a treatment period (Weeks 1 to 12), and a post-treatment observation period (Weeks 13 to 16).
During the treatment period, approximately 24 eligible participants will be randomly assigned in a 1:1:1 ratio to either the 50 mg treatment group (PS1 + SOC, N = 8), 25 mg treatment group (PS1 + SOC, N = 8), or control group (placebo + SOC, N = 8). Each participant will receive either PS1 at a dose of 50 mg QD, PS1 at a dose of 25 mg QD, or placebo QD, for 12 weeks (approximately 3 months) in a blind manner, and will be followed up to 16 weeks (approximately 4 months) from the start of the treatment. All participants will receive SOC for T1D for the entire sub-study period (treatment period + post treatment observation period). Participants may be hospitalized overnight, at the discretion of the investigator/site, to facilitate the conduct of scheduled Day -1 and Day 1/Day 2 study procedures. A participant will receive first dose of study treatment on Day 1 (Visit 3) and may continue to be hospitalized for PK sample collection till Day 2. All participants will receive standard management of their diabetes (SOC) during the entire study period including the treatment period and post-treatment observation period.
The study will be maintained as blinded, and an independent Data Monitoring Committee (DMC) will be established by the sponsor to review accumulating safety data.
3,614 studies on the registry are indexed under Diabetes Mellitus, Type 1; 586 are open to participants now.
This study's planned enrollment of 36 is close to the median of 40 across 2,718 interventional studies indexed under Diabetes Mellitus, Type 1.
Browse Diabetes Mellitus, Type 1 studies →Pharmasaga Co. Ltd. is the lead sponsor of 2 studies on the registry; 1 is open to participants now.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Part A
Part B
Part A and Part B
Exclusion Criteria:
Part A
Part B
Have any of the following hematologic parameters, confirmed by repeat tests, within 10 days before randomization or the first dose of the study drug:
An eligible healthy subject will receive a single dose of 25 mg of PS1 on Day 1 and be followed for 7 days.
Drug: PS1
An eligible healthy subject will receive a single dose of 50 mg of PS1 on Day 1 and be followed for 7 days.
Drug: PS1
An eligible subject will receive one 25 mg PS1 and one PS1 matching (placebo) tablet once daily for 12 weeks (approximately 3 months) in a blind manner, and will be followed up to 16 weeks (approximately 4 months) from the start of the treatment.
Drug: PS1 · Drug: Placebo
An eligible subject will receive two 25 mg PS1 tablets once daily for 12 weeks (approximately 3 months) in a blind manner, and will be followed up to 16 weeks (approximately 4 months) from the start of the treatment.
Drug: PS1
An eligible subject will receive two PS1-matching (placebo) tablets once daily for 12 weeks (approximately 3 months) in a blind manner, and will be followed up to 16 weeks (approximately 4 months) from the start of the treatment.
Drug: Placebo
PS1 will be provided as a 120 mg tablet with 25 mg active pharmaceutical ingredient.
Placebo will be provided as a 120 mg tablet.
Part B: Change from Baseline in 4-Hour Mixed-Meal Tolerance Test (MMTT)-Stimulated C-Peptide Area Under the Curve (AUC)
To evaluate the effect of PS1 compared with placebo on 4-hour MMTT-stimulated C-peptide AUC from baseline to Week 12 in adults with newly diagnosed type 1 diabetes (T1D) (≤12 months since diagnosis).
Time frame: Part B: Approximately 4 months.
Part A: Pharmacokinetics (PK) of PS1
AUC\_Area under the serum concentration-time profile
Time frame: Day 1-2: predose, and 0.25, 0.5, 1, 2, 4, 6, 8, 12, 16 and 24 hours after dosing & Day 8.
Part A: Pharmacokinetics (PK) of PS1
Cmax\_The peak post-dose concentration
Time frame: Day 1-2: predose, and 0.25, 0.5, 1, 2, 4, 6, 8, 12, 16 and 24 hours after dosing & Day 8.
Part A: Pharmacokinetics (PK) of PS1
Tmax\_Time at which Cmax is observed
Time frame: Day 1-2: predose, and 0.25, 0.5, 1, 2, 4, 6, 8, 12, 16 and 24 hours after dosing & Day 8.
Part A: Pharmacokinetics (PK) of PS1
T1/2\_Terminal phase elimination half-life
Time frame: Day 1-2: predose, and 0.25, 0.5, 1, 2, 4, 6, 8, 12, 16 and 24 hours after dosing & Day 8.
Part A: Pharmacokinetics (PK) of PS1
MRT\_Mean Residence Time
Time frame: Day 1-2: predose, and 0.25, 0.5, 1, 2, 4, 6, 8, 12, 16 and 24 hours after dosing & Day 8.
Part A: Pharmacokinetics (PK) of PS1
CL/F\_Apparent Clearance
Time frame: Day 1-2: predose, and 0.25, 0.5, 1, 2, 4, 6, 8, 12, 16 and 24 hours after dosing & Day 8.
Part A: Pharmacokinetics (PK) of PS1
Vd/F\_Apparent volume of distribution
Time frame: Day 1-2: predose, and 0.25, 0.5, 1, 2, 4, 6, 8, 12, 16 and 24 hours after dosing & Day 8.
Part A & Part B: Incidence and severity (per Common Terminology Criteria for Adverse Events [CTCAE] Version 5.0) of treatment-emergent adverse events (TEAEs) including hypoglycemia, serious adverse events (SAEs)
All adverse events (AEs) will be assessed for severity by the investigator based on NCI-CTCAE v5.0
Time frame: Part A SAD: Approximately 5 weeks. Part B: Approximately 5 months.
Part A & Part B: Abnormalities in Physical examination
Participants with abnormal Physical examination findings
Time frame: Part A SAD: Approximately 5 weeks. Part B: Approximately 5 months.
Part A & Part B: Abnormalities in 12-lead electrocardiogram (ECG) results
12-lead electrocardiogram (EKG) (PR interval, QRS interval, and QT interval will be recorded. \[Unit: msec\])
Time frame: Part A SAD: Approximately 5 weeks. Part B: Approximately 5 months.
Part A & Part B: Abnormalities in 12-lead electrocardiogram (ECG) results
12-lead electrocardiogram (EKG) (Ventricular rate will be recorded. \[Unit: beats/min\])
Time frame: Part A SAD: Approximately 5 weeks. Part B: Approximately 5 months.
Part A & Part B: Abnormalities in vital signs
Vital signs (Systolic Blood Pressure \& Diastolic Blood Pressure)(Unit: mmHg)
Time frame: Part A SAD: Approximately 5 weeks. Part B: Approximately 5 months.
Part A & Part B: Abnormalities in vital signs
Vital signs (Pulse rate) (Unit: beats/min)
Time frame: Part A SAD: Approximately 5 weeks. Part B: Approximately 5 months.
Part A & Part B: Abnormalities in vital signs
Vital signs (Respiratory Rate) (Unit: breaths/min)
Time frame: Part A SAD: Approximately 5 weeks. Part B: Approximately 5 months.
Part A & Part B: Abnormalities in vital signs
Vital signs (Temperature) (Unit: Celsius)
Time frame: Part A SAD: Approximately 5 weeks. Part B: Approximately 5 months.
Part A & Part B: Abnormalities in clinical laboratory examination
Participants with abnormal laboratory - Hematology physiological parameter tests results (Hemoglobin and mean corpuscular hemoglobin concentration, MCHC) (Unit: g/dL)
Time frame: Part A SAD: Approximately 5 weeks. Part B: Approximately 5 months.
Part B: Pharmacokinetics (PK) of PS1
Vd/F\_Apparent volume of distribution
Time frame: Part B: Approximately 5 months.
Part A & Part B: Abnormalities in clinical laboratory examination
Participants with abnormal laboratory - Hematology physiological parameter tests results (hematocrit, HbA1c and WBC differentials (neutrophils, eosinophils, basophils, lymphocytes, monocytes)) (Unit: %)
Time frame: Part A SAD: Approximately 5 weeks. Part B: Approximately 5 months.
Part B: Pharmacokinetics (PK) of PS1
CL/F\_Apparent Clearance
Time frame: Part B: Approximately 5 months.
Part B: Pharmacokinetics (PK) of PS1
MRT\_Mean Residence Time
Time frame: Part B: Approximately 5 months.
Part B: Pharmacokinetics (PK) of PS1
T1/2\_Terminal phase elimination half-life
Time frame: Part B: Approximately 5 months.
Part B: Pharmacokinetics (PK) of PS1
Tmax\_Time at which Cmax is observed
Time frame: Part B: Approximately 5 months.
Part B: Pharmacokinetics (PK) of PS1
Cmax\_The peak post-dose concentration
Time frame: Part B: Approximately 5 months.
Part B: Pharmacokinetics (PK) of PS1
AUC\_Area under the serum concentration-time profile
Time frame: Part B: Approximately 5 months.
Part A & Part B: Abnormalities in clinical laboratory examination
Participants with abnormal laboratory - Hematology physiological parameter tests results (RBC) (Unit: 10\^6/uL)
Time frame: Part A SAD: Approximately 5 weeks. Part B: Approximately 5 months.
Part A & Part B: Abnormalities in clinical laboratory examination
Participants with abnormal laboratory - Hematology physiological parameter tests results (platelet and WBC) (Unit: 10\^3/uL)
Time frame: Part A SAD: Approximately 5 weeks. Part B: Approximately 5 months.
Part A & Part B: Abnormalities in clinical laboratory examination
Participants with abnormal laboratory - Hematology physiological parameter tests results (mean corpuscular volume, MCV) (Unit: fL)
Time frame: Part A SAD: Approximately 5 weeks. Part B: Approximately 5 months.
Part A & Part B: Abnormalities in clinical laboratory examination
Participants with abnormal laboratory - Hematology physiological parameter tests results (mean corpuscular hemoglobin, MCH) (Unit: pg)
Time frame: Part A SAD: Approximately 5 weeks. Part B: Approximately 5 months.
Part A & Part B: Abnormalities in clinical laboratory examination
Participants with abnormal laboratory - Biochemistry physiological parameter tests results
Time frame: Part A SAD: Approximately 5 weeks. Part B: Approximately 5 months.
Part A & Part B: Abnormalities in clinical laboratory examination
Participants with abnormal laboratory - Urinalysis physiological parameter tests results
Time frame: Part A SAD: Approximately 5 weeks. Part B: Approximately 5 months.
Part B: Pharmacokinetics (PK) of PS1
Rac\_Accumulation ratio
Time frame: Part B: Approximately 5 months.
Part B: Abnormalities in clinical laboratory examination
Participants with abnormal laboratory - Clinically important hypoglycemic episodes, defined as the total number of episodes of a blood glucose (BG) reading of \<54 mg/dL (3.0 mmol/L), episodes of severe cognitive impairment, and/or physical status requiring external assistance for recovery. Incidence of typical hypoglycemia, defined as BG levels ≥54 mg/dL (3.0 mmol/L) but \<70 mg/dL (3.9 mmol/L) and/or non-severe clinical episodes
Time frame: Part B: Approximately 4 months.
Part B: Abnormalities in clinical laboratory examination
Participants with incidence of DKA requiring medical attention, defined as a hyperglycemic episode (BG ≥250 mg/dL \[13.9 mmol/L\]) with serum or urine ketones elevated beyond the upper limit of normal (ULN), along with serum bicarbonate \<15 mmol/L, blood pH \<7.3, or both, resulting in an outpatient or emergency room visit, or hospitalization
Time frame: Part B: Approximately 4 months.
Part B: 4-Hour Mixed-Meal Tolerance Test (MMTT)-Stimulated C-Peptide Area Under the Curve (AUC) at Week 12
The area under the C-peptide concentration-time curve during the 4-hour MMTT, calculated using the protocol-specified method
Time frame: Part B: Approximately 4 months.
Part B: To evaluate the effects of PS1 on glycemic control of hemoglobin A1c [HbA1c]
HbA1c level (percentage and mmol/mol)
Time frame: Part B: Approximately 4 months.
Part B: To evaluate the effects of PS1 on postprandial metabolic responses
Assessed by glucagon and glucose concentrations and the C-peptide/glucose ratio over 4 hours after the mixed meal tolerance test (MMTT)
Time frame: Part B: Approximately 4 months.
Part B: To evaluate the effects of PS1 on key clinical parameters of diabetes management
Exogenous insulin use and insulin dose-adjusted HbA1c (IDAA1c)
Time frame: Part B: Approximately 4 months.
Part B: Peak MMTT-Stimulated C-Peptide Concentration at Week 12
The maximum C-peptide concentration measured during the MMTT, based on the protocol-specified sampling time points
Time frame: Part B: Approximately 4 months.
Part B: MMTT-Stimulated C-Peptide Concentration at 90 Minutes at Week 12
C-peptide concentration measured 90 minutes after initiation of the MMTT.
Time frame: Part B: Approximately 4 months.
Part B: Insulin Dose-Adjusted Peak MMTT-Stimulated C-Peptide Concentration at Week 12
Peak MMTT-stimulated C-peptide concentration adjusted for insulin dose using the protocol-specified calculation method
Time frame: Part B: Approximately 4 months.
Part B: Insulin Dose-Adjusted MMTT-Stimulated C-Peptide Concentration at 90 Minutes at Week 12
MMTT-stimulated C-peptide concentration at 90 minutes, adjusted for insulin dose using the protocol-specified calculation method
Time frame: Part B: Approximately 4 months.
Part B: Intact Proinsulin-to-C-Peptide Ratio at Week 12
Ratio of intact proinsulin concentration to C-peptide concentration, calculated using the protocol-specified method
Time frame: Part B: Approximately 4 months.
Part B: Homeostasis Model Assessment of Beta-Cell Function (HOMA-β) at Week 12
HOMA-β is an estimate of beta-cell function calculated from fasting glucose and fasting insulin concentrations using the protocol-specified formula
Time frame: Part B: Approximately 4 months.
Part B: C-Peptide-to-Glucose Ratio at Week 12
Ratio of C-peptide concentration to the corresponding glucose concentration, calculated using the protocol-specified sampling time point and units
Time frame: Part B: Approximately 4 months.
Part B: Proinsulin Concentration at Week 12
Proinsulin concentration measured in the specified biological sample using the protocol-specified assay. Specify whether the measure refers to intact proinsulin, total proinsulin, or another defined analyte
Time frame: Part B: Approximately 4 months.
Part B: Proinsulin-to-C-Peptide Ratio at Week 12
Ratio of the specified proinsulin concentration to C-peptide concentration, calculated using the protocol-specified method
Time frame: Part B: Approximately 4 months.
Part B: C-Peptide-Based Insulinogenic Index at Week 12
An index of glucose-stimulated insulin secretion calculated from C-peptide and glucose measurements using the protocol-specified formula and sampling time points
Time frame: Part B: Approximately 4 months.
Part B: To evaluate the time in glycemic target range [TIR]
Assess the time in glycemic target range \[TIR\]
Time frame: Part B: Approximately 4 months.
Part B: Change from baseline of serum PDIA4 during the study
Assess the protein disulfide isomerase A4 (PDIA4)
Time frame: Part B: Approximately 4 months.
Part B: To evaluate the effect of oral administration of PS1 on T1D-related immunologic and endocrinologic parameters
Assessment of serum proinflammatory and regulatory cytokine profiles and other immune mediators (examples of cytokines that may be evaluated are interleukin \[IL\]-4, IL-10, and interferon gamma \[IFNγ\])
Time frame: Part B: Approximately 4 months.
Part B: To explore changes in body mass index (BMI)
Assess the BMI
Time frame: Part B: Approximately 4 months.
Part B: Consistency of Treatment Effects Across Baseline C-Peptide AUC Subgroups
To explore the consistency of treatment effects on the primary efficacy outcome across subgroups defined by baseline 4-hour MMTT-stimulated C-peptide AUC.
Time frame: Part B: Approximately 4 months.
Part B: Consistency of Treatment Effects Across Baseline HbA1c Subgroups
To explore the consistency of treatment effects on the primary efficacy outcome across subgroups defined by baseline HbA1c.
Time frame: Part B: Approximately 4 months.
No study locations are listed for this record.
Plan to share: No
No publications or documents are linked to this record.
Start is estimated for Nov 2026; primary completion for Aug 2028, 20 months later.
Of 51 industry-sponsored phase 2 interventional studies under Diabetes Mellitus, Type 1, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 33. This study's planned 20 months is close to that.
Counting every sponsor, half of 133 studies reached it within 36 months; a quarter within 17 and three quarters within 60.
How these figures are worked out, and which studies are left out of them.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Pharmasaga Co. Ltd.