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OpenTrials
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NCT Number: NCT00057499

Evaluation of a Diabetes Vaccine in Newly Diagnosed Diabetics

Insulin dependent diabetes mellitus (also called type 1 diabetes mellitus or T1DM) is caused by the destruction of insulin-producing cells in the pancreas. People with T1DM do not produce enough insulin, which is necessary for proper regulation of blood sugar levels.

T1DM is an autoimmune disease. An autoimmune disease is a disease in which the body's immune system attacks the body itself. In addition to regulating blood sugar, insulin may have the ability to protect cells in the pancreas from attack by the immune system. This study will evaluate whether an insulin-based vaccine can protect cells from autoimmune destruction.

Study hypothesis: IFA-enhanced human insulin B-chain vaccination will lead to the arrest or slowing of the ongoing autoimmunity, and this will result in an appreciable difference in functioning B cell mass compared to the placebo treated group by the end of the study.

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Key information

Conditions

Insulin-dependent Diabetes Mellitus Autoimmune Diseases Diabetes Mellitus Diabetes Mellitus, Type 1 Endocrine System Diseases Glucose Metabolism Disorders Hyperinsulinism Immune System Diseases Insulin Resistance Metabolic Diseases Nutritional and Metabolic Diseases

Age range

18 year–35 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Children's Hospital, Boston, Massachusetts, United States

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About this study

The vaccine in this study, IBC-VSO1, is a synthetic, metabolically inactive form of insulin designed to prevent pancreatic beta-cell destruction. It does not cause fluctuations in blood sugar. This study will evaluate whether the vaccine protects against autoimmune attack at the onset of T1DM, before pancreas function has deteriorated. This experimental treatment must occur early because 60% to 85% of beta-cells are already destroyed by the time of T1DM diagnosis. If beta-cell destruction can be halted, a prolonged remission period after diagnosis may occur, with a subsequent delay in diabetes-related complications.

Participants must have been diagnosed with T1DM for no more than 3 months at the time of enrollment in this study. Participants will be randomly assigned to either a vaccine group or a control group. Participants in the vaccine group will receive one injection of IBC-VS01; participants in the control group will receive a placebo. Participants will then be monitored for 2 years. Participants will have ten follow-up visits, which will include blood tests for immunological and genetic analysis. Throughout the study, metabolic tests will also be performed to measure the remaining capacity of self insulin production of the body.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Diagnosed with type 1 diabetes mellitus within 3 months prior to study entry
  • Positive for IAA, GAD65, or IA2 antibodies OR positive for GAD65 or IA2 antibodies after 2 weeks of starting insulin treatment

Exclusion criteria

  • History of treatment with any oral hypoglycemic agent for more than 3 months
  • Ongoing use of medications known to influence glucose tolerance
  • History of immunosuppressive or steroid therapy for more than 3 months within the 2 years prior to study entry
  • Severe active liver, heart, kidney, or immunodeficiency disease that may limit life expectancy or may require immunosuppression during the study
  • Prior complications related to routine vaccinations
  • Prior participation in a trial for prevention of type 1 diabetes mellitus. Individuals who are known to have been in the placebo arm of a completed prevention trial are not excluded.
  • Any condition that may interfere with a participant's ability to comply with the study
  • Pregnancy or planned pregnancy within the time frame of the study

Treatment and study plan

IBC-VS01

Biological

IBC-VS01

IBC-VS01 placebo

Biological

IBC-VS01 placebo

Primary outcomes

  1. Clinical endpoints including adverse events, local reactions, routine physical exams, insulin dose, and laboratory tests

    Time frame: Throughout study

Secondary outcomes

  1. C-peptide levels in response to mixed meal tolerance test

    Time frame: Throughout study

  2. HbA1c, GAD65Ab, IAA, IA2Ab, GAD65Ab isotypes

    Time frame: Throughout study

  3. CD4- and CD8- Va24JaQ+

    Time frame: Throughout study

  4. T cells' secretion of IL-4 and Interferon (IFN)-gamma

    Time frame: Throughout study

Sponsors and collaborators

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID)

Nih

Collaborators

  • Immune Tolerance Network (ITN)

Registry information

Official study title

Autoantigen Vaccination in Human Type 1 Newly Diagnosed Diabetes Mellitus

Important dates

Study start
2003
Primary completion
2007
Study completion
2007
First posted
Apr 4, 2003
Registry last updated
Feb 8, 2017

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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