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Phase 2 N=145 Randomized Triple-blind Treatment

Effects of Recombinant Human Glutamic Acid Decarboxylase on the Progression of Type 1 Diabetes in New Onset Subjects

Type 1 Diabetes Mellitus

Enrolled (actual)
145
Serious AEs
9.0%
Results posted
Dec 2016
Primary outcome: Primary: The Primary Outcome is the Area Under the Stimulated C-peptide Curve (AUC) at the One Year Visit — 0.448; 0.350; 0.418 nmol/L — p=0.98

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
GAD-Alum (Drug); GAD-Alum and Aluminum hydroxide (Drug); Aluminum hydroxide (Drug)
Age
Pediatric, Adult · 3+ yrs
Sex
All
Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Primary completion
May 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
The Primary Outcome is the Area Under the Stimulated C-peptide Curve (AUC) at the One Year Visit
0.448; 0.350; 0.418 0.98

Summary

The purpose of this study is to determine whether treatment with multiple injections of GAD-Alum will preserve the body's own (endogenous) insulin production in patients who have been recently diagnosed with type 1 diabetes mellitus (T1DM).

Eligibility Criteria

Inclusion Criteria

  • Age 3 to 45 years - Insulin dependent type 1-diabetes mellitus diagnosed within the previous 3 months
  • Stimulated C-peptide levels greater than or equal to 0.2 pmol/ml measured during a mixed meal tolerance test (MMTT) conducted 3 weeks from diagnosis of diabetes
  • Presence of GAD65 antibodies
  • At least one month from last immunization
  • Willing to comply with intensive diabetes management
  • If participant is a woman with reproductive potential, she must be willing to avoid pregnancy and have a negative pregnancy test
  • Willing to forgo routine clinical immunizations during the first 100 days after initial study drug administration

Exclusion Criteria

  • Immunodeficiency or clinically significant chronic lymphopenia
  • Active infection
  • Positive PPD test result
  • Pregnant or lactating or anticipating becoming pregnant for 24 months following first injection
  • Ongoing use of medications known to influence glucose tolerance
  • Require use of systemic immunosuppressant(s)
  • Serologic evidence of current or past HIV, Hep B, or Hep C infection
  • History of malignancies
  • Ongoing use of non-insulin pharmaceuticals to affect glycemic control
  • Participation in another clinical trial with a new chemical entity within the past 3 months
  • Complicating medical issues or abnormal clinical laboratory results that interfere with study conduct or cause increased risk including neurological, or clinically significant blood count abnormalities (such as lymphopenia, leukopenia, or thrombocytopenia)
  • History of epilepsy, head trauma or cerebrovascular accident or clinical
  • History of alcohol or drug abuse
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00529399). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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