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Completed

NCT Number: NCT00378508

Anti-CD3 mAb Treatment of Recent Onset Type 1 Diabetes

This is a randomized placebo controlled study to test whether a single 14 course of treatment with the anti-CD3 monoclonal antibody, hOKT3gamma1(Ala-Ala),Teplizumab will prevent the loss of insulin secretory capacity in individuals with Type 1 diabetes of 4 - 12 months duration since diagnosis.

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Key information

Age range

8 year–30 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

University of California at San Francisco, San Francisco, California, United States

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About this study

The study design is a double blind placebo controlled trial that will enroll subjects between the ages of 8 - 30 who have had the diagnosis of Type 1 diabetes made 4 - 12 months prior to enrollment. A single 14 course of treatment with mAb hOKT3gamma1(Ala-Ala), Teplizumab will be given. The primary endpoint is the C-peptide response to a mixed meal at 12 months. A total of 60 subjects will be enrolled (30 in the drug treatment and 30 in the placebo groups) at 4 study sites: Yale University,the University of California at San Francisco, Children's Hospital of Philadelphia, and the Barbara Davis Diabetes Center.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • age 8 - 30,
  • duration of diabetes 4 - 12 months,
  • weight greater than 27.5 kg,
  • stimulated C-peptide >= 0.2 pmol/ml

Exclusion criteria

  • asthma,
  • history of hepatitis C, hepatitis B, HIV

Treatment and study plan

mAb hOKT3gamma1(Ala-Ala), Teplizumab

Drug

This is a randomized, two-arm, double blind placebo controlled phase II trial in which 60 participants with recent-onset T1DM are randomized at a 1:1 ratio to receive Teplizumab or placebo over a 14 day treatment period. The course of Teplizumab comprises daily doses of 51 µg/m2, 103 µg/m2, 207 µg/m2, 413 µg/m2, and 10 of 826 µg/m2.

Other names: mAb hOKT3gamma1(Ala-Ala), MGA031, Teplizumab

Placebo arm

Drug

Primary outcomes

  1. C-peptide Area Under the Curve (AUC) Response to a Mixed Meal Tolerance Test (MMTT) at 12 Months

    Time frame: At month 12 post-treatment

    C-peptide secretory response was calculated as ln[(Area Under the Curve of the C-peptide from the 240 minute MMTT/240 +1]

    For presentation, the C-peptide data were converted to the AUC as pmol/ml. This is adjusted for baseline.

  2. C-peptide Area Under the Curve (AUC) Response to a Mixed Meal Tolerance Test (MMTT) at Baseline

    Time frame: At Baseline (before treatment)

    C-peptide secretory response was calculated as ln[(Area Under the Curve of the C-peptide from the 240 minute MMTT/240 +1]

    For presentation, the C-peptide data were converted to the AUC as pmol/ml. This baseline data was used to adjust for the C-peptide AUC primary endpoint measure at 12 months.

Secondary outcomes

  1. Hemoglobin A1c

    Time frame: At 12 months post-treatment

  2. Average Insulin Use Over 12 Months

    Time frame: After 12 months post-treatment

  3. Baseline Insulin Use

    Time frame: At baseline (before treatment)

  4. Baseline Hemoglobin A1c

    Time frame: At baseline (before treatment)

Sponsors and collaborators

Lead sponsor

Yale University

Other

Collaborators

  • Juvenile Diabetes Research Foundation
  • National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Registry information

Official study title

Phase II Trial of hOKT3gamma1(Ala-Ala) Teplizumab for Treatment of Patients With Recent Onset Type 1 Diabetes

Important dates

Study start
2006
Primary completion
2011
Study completion
2013
First posted
Sep 20, 2006
Registry last updated
Aug 13, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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