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Based on other clinical trial results it was unlikely the study would meet the efficacy endpoints
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The intended purpose of this study was to determine whether Diamyd (rhGAD65 formulated in alum) is effective in preserving the body's own insulin producing capacity in patients recently diagnosed with type 1 diabetes.
Based on results from other clinical trials with the study drug it was judged unlikely this study would meet the intended primary or secondary efficacy endpoints. Therefore the primary focus of this study was changed to ensure that safety data was available for at least 6 months following the last dose of active study drug. Thereafter the study was terminated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A | Active Comparator | This arm will receive 2 subcutaneous injections with 20 µg Diamyd on days 1 and 30, i.e., 1 prime and 1 booster dose, followed by 2 additional single doses with Diamyd 20 µg on days 90 and 270. |
|
| B | Active Comparator | This arm will receive 2 subcutaneous injections with 20 µg Diamyd on days 1 and 30, i.e., 1 prime and 1 booster dose, followed by 2 additional single doses with placebo on days 90 and 270. |
|
| C | Placebo Comparator | This arm will receive 4 injections of placebo, 1 each on days 1, 30, 90 and 270. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| rhGAD65 | Drug | Diamyd (rhGAD65) 20 µg injected subcutaneously at days 1, 30, 90 and 270. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Meal Stimulated C-peptide (area under the curve) | 15 months |
| Measure | Description | Time Frame |
|---|---|---|
| HbA1c | 15 months | |
| Insulin Dose | 15 months |
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Main Inclusion Criteria:
Main Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jerry Palmer, Professor | University of Washington | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Arizona | Tucson | Arizona | 85724 | United States | ||
| Arkansas Children's Hospital Research Institute |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18843118 | Background | Ludvigsson J, Faresjo M, Hjorth M, Axelsson S, Cheramy M, Pihl M, Vaarala O, Forsander G, Ivarsson S, Johansson C, Lindh A, Nilsson NO, Aman J, Ortqvist E, Zerhouni P, Casas R. GAD treatment and insulin secretion in recent-onset type 1 diabetes. N Engl J Med. 2008 Oct 30;359(18):1909-20. doi: 10.1056/NEJMoa0804328. Epub 2008 Oct 8. | |
| 22296077 |
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| rhGAD65 |
| Drug |
Diamyd (rhGAD65) 20 µg injected subcutaneously at days 1 and 30, followed by placebo injections at days 90 and 270. |
|
| Placebo | Drug | Placebo injected subcutaneously at days 1, 30, 90 and 270. |
|
| Little Rock |
| Arkansas |
| 72202 |
| United States |
| Alex Endocrine Associates | Rogers | Arkansas | 72758 | United States |
| Children's Hospital Orange County | Orange | California | 92868 | United States |
| Rady Children's Hospital | San Diego | California | 92123 | United States |
| Stanford University Medical Center | Stanford | California | 94305 | United States |
| Barbara Davis Center for Childhood Diabetes | Aurora | Colorado | 80045 | United States |
| Christina Care Research institute | Newark | Delaware | 19713 | United States |
| University of Florida | Gainsville | Florida | 32610 | United States |
| Nemours Children's Clinic | Jacksonville | Florida | 32207 | United States |
| Miami Children's Hospital Research Institute | Miami | Florida | 33155 | United States |
| University of South Florida | Tampa | Florida | 33606 | United States |
| Atlanta Diabetes Associates | Atlanta | Georgia | 30309 | United States |
| Rocky Mountain Diabetes and Osteoporosis Center | Idaho Falls | Idaho | 83404 | United States |
| University of Iowa Hospitals and Clinicals | Iowa City | Iowa | 52242 | United States |
| Mid America Diabetes Associates | Wichita | Kansas | 67211 | United States |
| University of Kentucky College of Medicine | Lexington | Kentucky | 40536 | United States |
| University of Louisville Research Foundation | Louisville | Kentucky | 40202 | United States |
| Children's Hospital | New Orleans | Louisiana | 70118 | United States |
| University of Maryland Medical Center | Baltimore | Maryland | 21201 | United States |
| Tufts Medical Center | Boston | Massachusetts | 02111 | United States |
| UMass Memorial Medical Center | Worcester | Massachusetts | 01655 | United States |
| University of Michigan Health System | Ann Arbor | Michigan | 48109 | United States |
| Alzohaili Medical Consultants | Dearborn | Michigan | 48126 | United States |
| The Children's Mercy Hospital | Kansas City | Missouri | 64108 | United States |
| St. Louis Children's Hospital | St Louis | Missouri | 63110 | United States |
| Creighton Diabetes Center | Omaha | Nebraska | 68131 | United States |
| Kathryn Eckert | Reno | Nevada | 89502 | United States |
| Hackensack University Medical Center | Hackensack | New Jersey | 07601 | United States |
| Morristown Memorial Hospital | Morristown | New Jersey | 07962 | United States |
| Winthrop University Hospital | Mineola | New York | 11501 | United States |
| Naomi Berrie Diabetes Center of Columbia University | New York | New York | 10032 | United States |
| University of Rochester | Rochester | New York | 14642 | United States |
| SUNY Institute for Human Performance | Syracuse | New York | 13210 | United States |
| Children's Hospital Medical Center of Akron | Akron | Ohio | 44308 | United States |
| University of Oklahoma, Schustermann Center Clinic | Tulsa | Oklahoma | 74135 | United States |
| Children's Hospital of Pittsburgh of UPMC | Pittsburgh | Pennsylvania | 15224 | United States |
| Regional Medical Clinic - Endocrinology | Rapid City | South Dakota | 57701 | United States |
| LeBonheur Children's Medical Center | Memphis | Tennessee | 38103 | United States |
| Cook Children's Medical Center | Fort Worth | Texas | 76104 | United States |
| CHRISTUS Santa Rosa Children's Hospital | San Antonio | Texas | 78207 | United States |
| Virginia Commonwealth University | Richmond | Virginia | 23219 | United States |
| Benaroya Research Institute | Seattle | Washington | 98101 | United States |
| Ludvigsson J, Krisky D, Casas R, Battelino T, Castano L, Greening J, Kordonouri O, Otonkoski T, Pozzilli P, Robert JJ, Veeze HJ, Palmer J, Samuelsson U, Elding Larsson H, Aman J, Kardell G, Neiderud Helsingborg J, Lundstrom G, Albinsson E, Carlsson A, Nordvall M, Fors H, Arvidsson CG, Edvardson S, Hanas R, Larsson K, Rathsman B, Forsgren H, Desaix H, Forsander G, Nilsson NO, Akesson CG, Keskinen P, Veijola R, Talvitie T, Raile K, Kapellen T, Burger W, Neu A, Engelsberger I, Heidtmann B, Bechtold S, Leslie D, Chiarelli F, Cicognani A, Chiumello G, Cerutti F, Zuccotti GV, Gomez Gila A, Rica I, Barrio R, Clemente M, Lopez Garcia MJ, Rodriguez M, Gonzalez I, Lopez JP, Oyarzabal M, Reeser HM, Nuboer R, Stouthart P, Bratina N, Bratanic N, de Kerdanet M, Weill J, Ser N, Barat P, Bertrand AM, Carel JC, Reynaud R, Coutant R, Baron S. GAD65 antigen therapy in recently diagnosed type 1 diabetes mellitus. N Engl J Med. 2012 Feb 2;366(5):433-42. doi: 10.1056/NEJMoa1107096. |
| 21714999 | Background | Wherrett DK, Bundy B, Becker DJ, DiMeglio LA, Gitelman SE, Goland R, Gottlieb PA, Greenbaum CJ, Herold KC, Marks JB, Monzavi R, Moran A, Orban T, Palmer JP, Raskin P, Rodriguez H, Schatz D, Wilson DM, Krischer JP, Skyler JS; Type 1 Diabetes TrialNet GAD Study Group. Antigen-based therapy with glutamic acid decarboxylase (GAD) vaccine in patients with recent-onset type 1 diabetes: a randomised double-blind trial. Lancet. 2011 Jul 23;378(9788):319-27. doi: 10.1016/S0140-6736(11)60895-7. Epub 2011 Jun 27. |
| ID | Term |
|---|---|
| D003922 | Diabetes Mellitus, Type 1 |
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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