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Type 1 Diabetes MellitusPhase 3DIA-AID2NCT01103284

Efficacy and Safety Study of DiaPep277 in Newly Diagnosed Type 1 Diabetes Adults

A Phase 3 study testing DiaPep277 in people with Type 1 Diabetes Mellitus, run by Andromeda Biotech Ltd. at 75 sites in 14 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study will look at the treatment effect of DiaPep277 on preservation of beta-cell function, as defined by meal-stimulated secretion of insulin. DiaPep277 is a peptide that changes the way the immune system behaves, stopping its attack on the beta-cells. Read more about this study

Who is it for?
Ages 20 to 45 years
Conditions the study is for
Type 1 Diabetes Mellitus
What is being tested?
DiaPep277
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
475 participants
Where
75 sitesin 14 countries
Study dates
Apr 2010to Oct 2014
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 45 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • clinical diagnosis of type 1 diabetes within last 6 months
  • Age 20-45 years
  • fasting basal C-peptide equal or greater than 0.22 nmol/L, lower than 0.8 nmol/L
  • BMI between 17 and 30 at screening

Who cannot join

  • Significant disease or condition other than type 1 diabetes
  • Diabetes-related complications
  • Ongoing treatment with immunosuppressive or immunomodulating agents including chronic corticosteroids

Trial locations and contacts

75 sites in 14 countries.

75 sites in 14 countries

United States26 sites
  • Mountain Diabetes and Endocrine Center

    Ashville, North Carolina, 28803

  • Atlanta Diabetes Associates

    Atlanta, Georgia, 30309

  • University of Colorado Hospital - Anschutz Outpatient Pavilion

    Aurora, Colorado, 80045

  • Innovative Medical Research of South Florida Inc.

    Aventura, Florida, 33180

  • AM Diabetes & Endocrinology Center

    Bartlett, Tennessee, 38133

  • The Lindner Research Center, The Christ Hospital

    Cincinnati, Ohio, 45219

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • Research Institute of Dallas

    Dallas, Texas, 75231

  • Study site

    DeLand, Florida, 32720

  • Creekside Endocrine Associates, Inc.

    Denver, Colorado, 80209

  • University of North Carolina Diabetes Care Center

    Durham, North Carolina, 27703

  • Palm Medical Research Center

    Las Vegas, Nevada, 89148

  • Kentucky Diabetes Endocrinology Center

    Lexington, Kentucky, 40503

  • Study site

    Los Gatos, California, 95032

  • Sutter Gold Medical Foundation

    Modesto, California, 95355

  • Orlando Diabetes & Endocrine Specialists, P.A.

    Orlando, Florida, 32825

  • Legacy Clinical Research & Technology Center

    Portland, Oregon, 97210

  • Cetero Research

    San Antonio, Texas, 78229

  • San Diego Clinical Trials

    San Diego, California, 92120

  • Soutwest Clinical Research Center, LLC

    Santa Fe, New Mexico, 87505

  • Northside Internal Medicine Associates, PS

    Spokane, Washington, 99208

  • Washington University

    St Louis, Missouri, 63110

  • Multicare Specialties Research

    Tacoma, Washington, 98405

  • Tallahassee Endocrine Associates

    Tallahassee, Florida, 32308

  • Diabetes and Hormonal Disease Center

    Tampa, Florida, 33613

  • George Washington University Medical Faculty Associates

    Washington D.C., District of Columbia, 20037

Other trials in United States

Russia12 sites
  • State Educational Institution for Additional Professional Education (SEIAPE) "Ural State Medical

    Chelyabinsk, 454021

  • Kemerovo Regional Clinical Hospital

    Kemerovo, 650066

  • Endocrinological scientific center of Rosmedtechnology

    Moscow, 117036

  • SEIAPE Endocrinology and Diabetology

    Moscow, 125367

  • City Clinical Hospital #81, Endocrinology Department

    Moscow, 127644

  • Clinic of New Medical Technology, LLC

    Moscow, 140091

  • State Healthcare Institution (SHI) "Nizhegorodskaya

    Nizhny Novgorod, 603126

  • State Healthcare Institution Perm Region Clinical Hospital

    Perm, 614990

  • St. Petersburg State Healthcare Institution

    Saint Petersburg, 194354

  • State Educational Institution of Higher Professional Education

    Saint Petersburg, 197022

  • Limited Liability Company (LLC), Diabetes Center

    Samara, 443067

  • Siberian State Medical University of Roszdrav

    Tomsk, 634050

Other trials in Russia

Israel6 sites
  • Diabetes Clinic Soroka University

    Beersheba, 84101

  • Soroka University Medical Center

    Beersheba, 84101

  • Rambam Medical Cent

    Haifa, 31096

  • Wolfson Medical Center

    Holon

  • Hadassah Medical Center

    Jerusalem

  • Institute for Endocrinology and Diabetes Schneider Children's MC

    Petach-Tiqva, 49202

Other trials in Israel

Belarus5 sites
  • Endocrinological Unit 1st City Clinical Hospital

    Minsk, 220013

  • Republican center of Medical Rehabilitation and Balneotherapy

    Minsk, 220013

  • Health Institution City Endocrinological Dispensary

    Minsk, 220029

  • Belarusian Medical Academy of Postgraduate Education

    Minsk, 220096

  • Health Institution Mogilev Diagnostic Center

    Mogilev, 212030

Other trials in Belarus

Germany5 sites
  • DDZ Studienzentrum Deutsches Diabetes Zentrum

    Düsseldorf, 40225

  • Universitatsklinikum Giessen

    Giessen, 35392

  • Diabetes Centre for Children and Adolescents, Kinderkrankenhaus auf der Bult

    Hanover, 30173

  • Institut für Diabetesforschung an der Klinik und Hochschulambulanz für Kinder- und Jugendmedizin

    München, 80804

  • Institut für Diabetesforschung Münster GmbH

    Münster, 48145

Other trials in Germany

Lithuania4 sites
  • Private Clinic JSC 'Kristavita'

    Jonava, 55201

  • Kaunas Medical University Hospital

    Kaunas, 50009

  • Public Institution 'Seskines Outpatient Clinic'

    Vilnius, 07156

  • Vilnius Medical University Hospital, Santariskiu Clinic's

    Vilnius, 08661

Other trials in Lithuania

Canada3 sites
  • LMC Endocrinology Centres

    Calgary, Alberta, T2H 0K2

  • LMC Endocrinology Centres

    Oakville, Ontario, L6H 3P1

  • LMC Endocrinoly Centres

    Toronto, Ontario, M4R 2G4

Other trials in Canada

Hungary3 sites
  • University of Szeged Faculty of Medicin

    Szeged, H-6700

  • Veszprem Megyei Csolnoky Ferenc Korhaz es Rendelointezet Diabetologia Centrum

    Veszprém, 8200

  • Zala Megyei Korhaz es Rendelointezet Diabetologia Centrum

    Zalaegerszeg, 9000

Other trials in Hungary

Italy3 sites
  • . Endocrinologia e Malattie Metaboliche, Dipartimento biomedico di medicina interna e specialistica, Ex Istituto di clinica medica, Università di Palerm

    Palermo, 90127

  • Dept. of Endocrinology and Diabetes University Campus Bio-Medico

    Rome, 00128

  • University La Sapienza, Policlinico Umberto I

    Rome, 00161

Other trials in Italy

Austria2 sites
  • Universitatsklinik fur Innere Medzin I, Landeskrankenhaus

    Innsbruck, 6020

  • Rudolfstiftung Hospital

    Vienna, 1030

Other trials in Austria

Czechia2 sites
  • Fakultni nemocnice Kralovske Vinohrady - II. internal department

    Prague, 10035

  • IKEM/Diabetes Centre/Videnska

    Prague, 4140

Other trials in Czechia

Spain2 sites
  • Complejo Hospitalario Universitario Insular Materno-Infantil

    Las Palmas de Gran Canaria, 35016

  • Hospital Universitari Arnau de Vilanova

    Lleida, 25198

Other trials in Spain

Finland1 site
  • Tutkimusyksikko

    Oulu, 90220

Other trials in Finland

Poland1 site
  • NZOZ OmniMed

    Lodz, 93-338

Other trials in Poland

About this study

Official title: A Phase 3, Multinational, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Investigate the Clinical Efficacy and Safety of DiaPep277 in Newly Diagnosed Type 1 Diabetes Subjects

This study will look at the treatment effect of DiaPep277 on preservation of beta-cell function, as defined by meal-stimulated secretion of insulin. DiaPep277 is a peptide that changes the way the immune system behaves, stopping its attack on the beta-cells.

Adults (>20 years) with newly diagnosed (<6 months) type 1 diabetes will be treated with 10 injections of DiaPep277 or Placebo over a 2-year treatment and follow-up period.

Being tested
DiaPep277, Placebo
Keywords
beta-cells, autoimmune, Diabetes, immunomodulation
Medical subject headings
Diabetes Mellitus, Type 1, Diabetes Mellitus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DiaPep277Drug

    1.0 mg dose in 0.5 mL of solution

  • PlaceboDrug

    40 mg mannitol in 0.5 mL of solution.

    Dosing: 0, 1, 3, 6, 9, 12, 15, 18, 21, 24 months

Study groups in NCT01103284
Study groupRoleWhat they receive
DiaPep277ExperimentalAdministration of 1 mg DiaPep277®, subcutaneously (s.c.) in the upper arm at 0, 1, 3, 6, 9, 12, 15, 18, 21, and 24 months, for a total of 10 administrations.
Receives: Drug: DiaPep277
PlaceboPlacebo comparatorAdministration of placebo, subcutaneously (s.c.) in the upper arm at 0, 1, 3, 6, 9, 12, 15, 18, 21, and 24 months, for a total of 10 administrations.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Glucagon-Stimulated C-Peptide AUC at 24 Months

    Change in Beta-cell function, measured as stimulated C-peptide secretion 0, 2, 6, 10 and 20 minutes post administration [area under the curve (AUC), 0-20 minutes] at baseline and 24 months, during a glucagon stimulation test (GST). The change in AUC was calculated per patient by subtracting the baseline AUC from the 24 month AUC.

    Measured: Baseline and 24 months

Secondary outcomes (3)
  1. Percentage of Subjects That Achieve Good Glycemic Control: HbA1c<7%

    The percentage of subjects achieving good glycemic control, i.e. an HbA1c <7% at study end (Month 25). If HbA1c was missing at Month 25, but the Month 24 value was available, then the Month 24 value was used to calculate the percentage of subjects with an HbA1c ≤ 7% at study end.

    Measured: 24 and 25 months

  2. Frequency of Hypoglycemic Events

    Total number of days with at least one hypoglycemic event recorded

    Measured: Baseline to 25 Months

  3. Mean Number of Days With at Least One Hypoglycemic Event

    Measured: Baseline to 25 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Apr 2010 (estimated)
  2. Study startApr 2010
  3. Primary completionOct 2014
  4. Study completionOct 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
475 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01103284
Sponsor's protocol ID
DiaPep277-1001
Acronym
DIA-AID2
Status last verified
Apr 2016
First submitted
13 Apr 2010
Last updated
26 May 2016
Data monitoring committee
Yes

Publications

  • Huurman VA, van der Meide PE, Duinkerken G, Willemen S, Cohen IR, Elias D, Roep BO. Immunological efficacy of heat shock protein 60 peptide DiaPep277 therapy in clinical type I diabetes. Clin Exp Immunol. 2008 Jun;152(3):488-97. doi: 10.1111/j.1365-2249.2008.03656.x. Epub 2008 Apr 16.

    PubMed 18422727
  • Huurman VA, Decochez K, Mathieu C, Cohen IR, Roep BO. Therapy with the hsp60 peptide DiaPep277 in C-peptide positive type 1 diabetes patients. Diabetes Metab Res Rev. 2007 May;23(4):269-75. doi: 10.1002/dmrr.691.

    PubMed 17024692
  • Schloot NC, Meierhoff G, Lengyel C, Vandorfi G, Takacs J, Panczel P, Barkai L, Madacsy L, Oroszlan T, Kovacs P, Suto G, Battelino T, Hosszufalusi N, Jermendy G. Effect of heat shock protein peptide DiaPep277 on beta-cell function in paediatric and adult patients with recent-onset diabetes mellitus type 1: two prospective, randomized, double-blind phase II trials. Diabetes Metab Res Rev. 2007 May;23(4):276-85. doi: 10.1002/dmrr.707.

    PubMed 17103487
  • Raz I, Avron A, Tamir M, Metzger M, Symer L, Eldor R, Cohen IR, Elias D. Treatment of new-onset type 1 diabetes with peptide DiaPep277 is safe and associated with preserved beta-cell function: extension of a randomized, double-blind, phase II trial. Diabetes Metab Res Rev. 2007 May;23(4):292-8. doi: 10.1002/dmrr.712.

    PubMed 17124720
  • Eldor R, Kassem S, Raz I. Immune modulation in type 1 diabetes mellitus using DiaPep277: a short review and update of recent clinical trial results. Diabetes Metab Res Rev. 2009 May;25(4):316-20. doi: 10.1002/dmrr.942.

    PubMed 19267355
  • Raz I, Elias D, Avron A, Tamir M, Metzger M, Cohen IR. Beta-cell function in new-onset type 1 diabetes and immunomodulation with a heat-shock protein peptide (DiaPep277): a randomised, double-blind, phase II trial. Lancet. 2001 Nov 24;358(9295):1749-53. doi: 10.1016/S0140-6736(01)06801-5.

    PubMed 11734230
  • Elias D, Avron A, Tamir M, Raz I. DiaPep277 preserves endogenous insulin production by immunomodulation in type 1 diabetes. Ann N Y Acad Sci. 2006 Oct;1079:340-4. doi: 10.1196/annals.1375.052.

    PubMed 17130576
  • Nussbaum G, Zanin-Zhorov A, Quintana F, Lider O, Cohen IR. Peptide p277 of HSP60 signals T cells: inhibition of inflammatory chemotaxis. Int Immunol. 2006 Oct;18(10):1413-9. doi: 10.1093/intimm/dxl074. Epub 2006 Aug 7.

    PubMed 16893923
  • Fischer B, Elias D, Bretzel RG, Linn T. Immunomodulation with heat shock protein DiaPep277 to preserve beta cell function in type 1 diabetes - an update. Expert Opin Biol Ther. 2010 Feb;10(2):265-72. doi: 10.1517/14712590903555176.

    PubMed 20034363

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing DiaPep277 in people with Type 1 Diabetes Mellitus, run by Andromeda Biotech Ltd. at 75 sites in 14 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 May 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 75 sites in United States, Russia, Israel, Belarus, Germany and 9 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 May 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Glucagon-Stimulated C-Peptide AUC at 24 Months (time frame: Baseline and 24 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01103284, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 May 2016.

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