A Phase III, Randomized, Double-blind, Placebo-controlled, Multicenter Trial to Evaluate the Efficacy and Safety of Diamyd® to Preserve Endogenous Beta Cell Function in Adolescents and Adults With Recently Diagnosed Type 1 Diabetes, Carrying the Genetic HLA DR3-DQ2 Haplotype

Who is this study for? Adolescents and adults with recently diagnosed type 1 diabetes carrying the genetic HLA DR3-DQ2 haplotype
What treatments are being studied? Recombinant human glutamic acid decarboxylase formulated in Alhydrogel®+Colecalciferol
Status: Recruiting
Location: See all (56) locations...
Intervention Type: Biological, Dietary supplement
Study Type: Interventional
Study Phase: Phase 3
SUMMARY

The objective of DIAGNODE-3 is to evaluate the efficacy and safety of three intranodal injections of 4 μg of Diamyd compared to placebo, along with oral Vitamin D supplementation, to preserve endogenous beta cell function and influence glycemic parameters in adolescent and adults recently diagnosed with T1D carrying the HLA DR3-DQ2 haplotype.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 12
Maximum Age: 28
Healthy Volunteers: f
View:

∙ Patients are eligible to be included in this study only if all of the following criteria apply:

⁃ Must be capable of providing written, signed, and dated informed consent; and for patients who are minors, age-appropriate assent (performed according to local regulations) and parent/caregiver consent.

⁃ Males and females aged ≥12 and \<29 years old at the time of Screening.

⁃ Diagnosed with T1D (according to the American Diabetes Association \[ADA\] classification) ≤6 months at the time of Screening (V1A).

⁃ Possess the HLA DR3-DQ2 haplotype (all patients will be tested; prior genetic testing results will not be accepted).

⁃ Fasting C-peptide ≥0.12 nmol/L (≥0.36 ng/mL) on at least one occasion prior to randomization.

⁃ (US ONLY): Fasting C-peptide ≥0.12 - ≤1.5 nmol/L (≥0.36 - ≤4.5 ng/mL) on at least one occasion prior to randomization.

⁃ Possess detectable circulating GAD65 antibodies (lowest level of detection defined by the method used by the central laboratory).

⁃ Possess HbA1c levels between 35 to 80 mmol/mol (5.4 to 9.5%) on at least one occasion prior to randomization.

⁃ Be on a stable basal insulin dose for one month prior to inclusion with limited fluctuation of daily basal insulin requirement based on investigator's assessment. For example, if the average basal insulin dose/kg/24h over a 7-day period compared to the previous 7-day period does not vary more than approximately 20% and/or if the daily basal insulin dose does not vary more than 0.1 U/kg/24h, the dose can be considered stable. Individuals that are diagnosed with T1D according to the ADA classification but are not taking insulin are eligible to participate.

⁃ i. Females of childbearing potential (FOCBP) must agree to avoid pregnancy and have a negative pregnancy test performed at the required study visits.

∙ FOCBP must agree to use highly effective contraception, during treatment and, until 90 days after the last administration of study medication. Birth control methods, which may be considered as highly effective (e.g., a failure rate of less than 1% per year when used consistently and correctly) include:

• Combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation:

‣ Oral.

⁃ Intravaginal.

⁃ Transdermal.

• Progestogen-only hormonal contraception associated with inhibition of ovulation:

‣ Oral.

⁃ Injectable.

⁃ Implantable.

• Intrauterine device.

• Intrauterine hormone-releasing system.

• Bilateral tubal occlusion.

• Vasectomized partner (vasectomized partner is a highly effective birth control method provided that partner is the sole sexual partner of the FOCBP trial patient and that the vasectomized partner has received medical assessment of the surgical success).

• Sexual abstinence (sexual abstinence is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study drugs. The reliability of sexual abstinence needs to be evaluated in relation to the duration of the clinical trial and the preferred and usual lifestyle of the patient).

• 9\. ii. Male patients must agree to remain abstinent from heterosexual sex during treatment and for 90 days after treatment or, if sexually active, to use two effective methods of birth control (e.g., male uses a condom and female uses contraception) during and for 90 days after treatment. Acceptable male contraception is as follows:

• Condom (male).

• Abstinence from heterosexual intercourse.

• Vasectomy. The agreement to remain abstinent or use two effective methods of birth control will be clearly defined in the informed consent; the patient or legally authorized representatives (e.g., parents, caregivers, or legal guardians) must sign this specific section.

Locations
United States
California
Mary and Dick Allen Diabetes Center at Hoag Hospital
RECRUITING
Newport Beach
Stanford University School of Medicine Center for Academic Medicine
TERMINATED
Palo Alto
UCSD/ Rady Children's Hospital
RECRUITING
San Diego
Colorado
University of Colorado Anschutz Medical Campus, Barbara Davis Center for Childhood Diabetes
RECRUITING
Aurora
Florida
Diabetes Research Institute (DRI)-University of Miami Leonard M. Miller School of Medicine (UMMSM)
RECRUITING
Miami
Iowa
University of Iowa Hospital and Clinics
RECRUITING
Iowa City
Idaho
Rocky Mountain Diabetes and Osteoporosis Center
RECRUITING
Idaho Falls
Massachusetts
Joslin Diabetes Center
RECRUITING
Boston
Maryland
Johns Hopkins University
RECRUITING
Baltimore
Missouri
Washington University Diabetes Center at Barnes Jewish Hospital
RECRUITING
St Louis
New York
Hassenfeld Children&#39;s Hospital at NYU Langone Health, Pediatric Diabetes Center
RECRUITING
New York
Texas
Amarillo Medical Specialists
RECRUITING
Amarillo
Diabetes &amp; Glandular Disease Clinic
RECRUITING
San Antonio
Other Locations
Estonia
Liina Viitas OÜ
RECRUITING
Pärnu
North-Estonian Regional Hospital
RECRUITING
Tallinn
Tartu University Hospital
ACTIVE_NOT_RECRUITING
Tartu
Tartu University Hospital, Children's Clinic
RECRUITING
Tartu
Germany
Diabetespraxis Dr. Braun
RECRUITING
Berlin
Diabetologische Schwerpunktpraxis Dres. Klaus
RECRUITING
Dortmund
DZDM - Diabeteszentrum Duisburg Mitte
RECRUITING
Duisburg
Justus-Liebig-Universität Gießen
RECRUITING
Giessen
Hungary
Észak-Budai Szent János Centrumkórház, Kútvölgyi Kórház, Belgyógyászat
RECRUITING
Budapest
Heim Pál Országos Gyermekgyógyászati Intézet, Diabetológia
RECRUITING
Budapest
Óbudai Egészségügyi Centrum
RECRUITING
Budapest
Szabolcs-Szatmár-Bereg Megyei Kórházak és Egyetemi, Oktatókórház, Jósa András Oktatókórház, Gyermekosztály
RECRUITING
Nyíregyháza
Markusovszky Egyetemi Oktatókórház, Diabetológiai Szakrendelés
RECRUITING
Szombathely
Netherlands
CTU Vasculaire Geneeskunde, Locatie Academic Medical Center (AMC)
RECRUITING
Amsterdam
Albert Schweitzer Ziekenhuis
RECRUITING
Dordrecht
Bethesda Diabetes Research Center te Hoogeveen
RECRUITING
Hoogeveen
Dept. of Nephrology / Dept. of Endocrinology, Leiden University Medical Center (LUMC)
RECRUITING
Leiden
Vivendia
ACTIVE_NOT_RECRUITING
Nijmegen
Diabeter Nederland te Rotterdam
RECRUITING
Rotterdam
Poland
Uniwersytecki Dziecięcy Szpital Kliniczny im. L. Zamenhofa w Białymstoku, Klinika Pediatrii, Endokrynologii, Diabetologii z Pododdziałem Kardiologii
RECRUITING
Bialystok
Uniwersyteckie Centrum Kliniczne, Klinika Pediatrii, Diabetologii i Endokrynologii
RECRUITING
Gdansk
SP ZOZ Szpital Uniwersytecki w Krakowie, Oddział Kliniczny Chorób Metabolicznych i Diabetologii
RECRUITING
Krakow
NZOZ Przychodnia Specjalistyczna Medica
ACTIVE_NOT_RECRUITING
Lublin
Kliniczny Szpital Wojewódzki nr 2 im. Św. Jadwigi Królowej w Rzeszowie, II Klinika Pediatrii, Endokrynologii i Diabetologii Dziecięcej
RECRUITING
Rzeszów
Instytut Diabetologii Sp. z o.o
RECRUITING
Warsaw
Instytut Pomnik - Centrum Zdrowia Dziecka (IPCZD) Oddział Diabetologii
RECRUITING
Warsaw
Panstwowy Instytut Medyczny MSWiA Klinika Chorob Wewnetrznych, Endokrynologii i Diabetologii
RECRUITING
Warsaw
Spain
Hospital De Cruces
RECRUITING
Barakaldo
Hospital Clínic de Barcelona
RECRUITING
Barcelona
Hospital de Sant Joan de Déu - Esplugues De Llobregat, Barcelona
RECRUITING
Barcelona
Hospital Universitari Vall d'Hebron
RECRUITING
Barcelona
Hospital Universitari de Girona Dr. Josep Trueta
RECRUITING
Girona
Complejo Hospitalario Insular de Gran Canaria
RECRUITING
Las Palmas
Hospital General Universitario Gregorio Marañón
RECRUITING
Madrid
Hospital Universitario La Paz
RECRUITING
Madrid
Hospital Universitario Ramón y Cajal
RECRUITING
Madrid
Hospital Regional Universitario de Málaga
RECRUITING
Málaga
Hospital Universitario Virgen Macarena
RECRUITING
Seville
Hospital General Universitario de Valencia
RECRUITING
Valencia
Sweden
H.K.H Kronprinsessan Victorias Barn-och Ungdomssjukhus, Universitetssjukhuset i Linköping
RECRUITING
Linköping
Skånes universitetssjukhus
RECRUITING
Malmo
Akademiskt Specialistcentrum, Centrum for Diabetes
ACTIVE_NOT_RECRUITING
Stockholm
Barn-och Ungdomscentrum Västerbotten, Norrlands Universitetssjukhus
RECRUITING
Umeå
Contact Information
Primary
Chief Operating Officer
clinicaltrials@diamyd.com
4686610026
Time Frame
Start Date: 2022-05-19
Estimated Completion Date: 2027-12
Participants
Target number of participants: 330
Treatments
Experimental: Diamyd
Patients will be assigned to receive i) three (3) intralymphatic injections with 4µg Diamyd (rhGAD) on Days 0, 30, and 60 and; ii) oral vitamin D 2000 IU/daily for 4 months (from Day -30 through Day 90)
Placebo_comparator: Placebo
Patients will be assigned to receive i) three (3) intralymphatic injections of Placebo for Diamyd (rhGAD) on Days 0, 30, and 60 and; ii) oral vitamin D 2000 IU/daily for 4 months (from Day -30 through Day 90)
Related Therapeutic Areas
Sponsors
Leads: Diamyd Medical AB

This content was sourced from clinicaltrials.gov