Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Juvenile Diabetes Research Foundation | OTHER |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Type 1 Diabetes is an autoimmune condition in which segments of the immune system cause the destruction of insulin producing cells in the pancreas, leaving individuals with an impaired ability to control blood glucose levels. Currently there is no cure for Type 1 Diabetes and the treatments involve lifelong insulin administration and careful monitoring of blood glucose levels. Long-term complications like cardiovascular disease, nerve damage, and retina damage, may result. Previous studies have shown that improvement in the control of blood glucose can reduce the risks from these long-term complications. Residual insulin production, typically within the first few years following diagnosis, helps to reduce an individual's need to supplement insulin by injection or pump. This effect helps in maintaining the body's ability to regulate blood glucose levels and reducing the needs of external insulin.
Methyldopa, or Aldomet, has been approved by the Food and Drug Administration and is commonly used to treat high blood pressure. This drug has been approved for several decades and has been shown to be safe and effective. This drug has been identified by the researcher to be able to block the communication between two important types of immune cells; which play a critical role in the autoimmune processes of Type 1 Diabetes. The investigators hypothesize that Methyldopa, over a 6 week treatment period, will block this communication and possibly slow down the destruction of insulin producing cells. The investigators hope to assess the appropriate and safe dose to achieve this effect, along with the drug's ability to maintain insulin production and blood glucose control.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study group | Experimental | All participants selected to continue with Methyldopa administration. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Methyldopa | Drug | 6 weeks of Methyldopa administration; where the dose will be increased according to safety of efficacy. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The Change From Baseline of DQ8 Antigen Presentation by Peripheral Blood Mononuclear Cells After 6 Weeks of Methyldopa Treatment. | Cryopreserved primary peripheral blood mononuclear cells were used as antigen presenting cells to stimulate engineered T-cells (T-cell receptor transductant) responding to a specific peptide presented by HLA-DQ8. Secreted IL-2 from the engineered T-cell was measured by a highly sensitive ELISA. This was done for both an α-gliadin/DQ8 responding T-cell and a separate insulin/DQ8 responding T-cell. | 6 Weeks (Baseline and week 6) |
| Measure | Description | Time Frame |
|---|---|---|
| The Change in C-Peptide AUC Following a MMTT From Baseline to Study Completion. | Investigators aim to observe changes in residual endogenous insulin production as measured by C-peptide 2 hour area under the curve following a Mixed Meal Tolerance Test (MMTT). C-peptide is a measure of endogenous insulin secretion as both are secreted in a 1:1 molar ratio. Individuals ingested a liquid meal (Boost) with a fixed amount of protein, fat and carbohydrate in the fasting state followed by the timed measurements of serum C-peptide at 0, 15, 30, 60, 90 and 120 minutes to compute the AUC. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Aaron Michels, MD | Barbara Davis Center for Diabetes, University of Colorado School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Barbara Davis Center for Diabetes, University of Colorado School of Medicine | Aurora | Colorado | 80045 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29438107 | Result | Ostrov DA, Alkanani A, McDaniel KA, Case S, Baschal EE, Pyle L, Ellis S, Pollinger B, Seidl KJ, Shah VN, Garg SK, Atkinson MA, Gottlieb PA, Michels AW. Methyldopa blocks MHC class II binding to disease-specific antigens in autoimmune diabetes. J Clin Invest. 2018 May 1;128(5):1888-1902. doi: 10.1172/JCI97739. Epub 2018 Apr 3. | |
| 30694829 |
| Label | URL |
|---|---|
| Barbara Davis Center Website | View source |
Not provided
A total of 30 participants joined the study. Five participants withdrew prior to the first visit or any study procedures. The remaining 25 participants started the study and 20 completed all study visits and procedures.
Participants were recruited through the adult clinic of the Barbara Davis Center, University of Colorado School of Medicine. Recruitment began in July of 2013 and concluded in November of 2015.
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Methyldopa Group | All participants selected to continue with Methyldopa administration. Methyldopa: 6 weeks of Methyldopa administration; where the dose will be increased according to safety of efficacy. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
Analysis population includes those participants that completed the course of the study.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Study Group | All participants selected to continue with Methyldopa administration. Methyldopa: 6 weeks of Methyldopa administration; where the dose will be increased according to safety of efficacy. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | The Change From Baseline of DQ8 Antigen Presentation by Peripheral Blood Mononuclear Cells After 6 Weeks of Methyldopa Treatment. | Cryopreserved primary peripheral blood mononuclear cells were used as antigen presenting cells to stimulate engineered T-cells (T-cell receptor transductant) responding to a specific peptide presented by HLA-DQ8. Secreted IL-2 from the engineered T-cell was measured by a highly sensitive ELISA. This was done for both an α-gliadin/DQ8 responding T-cell and a separate insulin/DQ8 responding T-cell. | Posted | Least Squares Mean | Standard Error | pg/mL | 6 Weeks (Baseline and week 6) |
|
|
Over the course of the 12 week study.
Adverse event collection occurred at each visit through standard questions asked by the research coordinator and discussions with the investigator.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Study Group | All participants selected to continue with Methyldopa administration. Methyldopa: 6 weeks of Methyldopa administration; where the dose will be increased according to safety of efficacy. |
Not provided
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Fatigue | General disorders | CTCAE (4.0) | Systematic Assessment | A state of generalized weakness with a pronounced inability to summon sufficient energy to accomplish daily activities. Grade 2 are reported. |
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Aaron Michels | Barbara Davis Center for Diabetes, University of Colorado School of Medicine | 303-724-1923 | aaron.michels@ucdenver.edu |
Not provided
| 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 |
Not provided
Not provided
| ID | Term |
|---|---|
| D008750 | Methyldopa |
| ID | Term |
|---|---|
| D004295 | Dihydroxyphenylalanine |
| D002395 | Catecholamines |
| D000588 | Amines |
| D009930 | Organic Chemicals |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| 12 weeks (Baseline and week 12) |
| The Change in Hemoglobin A1c From Baseline to Study Completion. | Investigators aim to observe changes in hemoglobin A1c values, a measure of average blood glucose over the preceding 3 months. | 12 weeks (Baseline and week 12) |
| The Change in Insulin Use From Baseline to Study Completion. | Exogenous insulin use per kg of body weight. | 12 weeks (Baseline and week 12) |
| Ostrov DA, Gottlieb PA, Michels AW. Rationally designed small molecules to prevent type 1 diabetes. Curr Opin Endocrinol Diabetes Obes. 2019 Apr;26(2):90-95. doi: 10.1097/MED.0000000000000470. |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Count of Participants | Participants |
|
| Duration of Type 1 Diabetes | Mean | Full Range | Days |
|
| Hemoglobin A1c | Mean | Full Range | Percentage |
|
| C-Peptide AUC following a 2 Hour Mixed Meal Tolerance Test | Mean | Full Range | nmol/L/Min |
|
| Positive Insulin Autoantibodies (Index) | Only included if measured within 21 days of starting exogenous insulin. | Count of Participants | Participants |
|
| Positive GAD Autoantibodies | Count of Participants | Participants |
|
| Positive IA-2 Autoantibodies | Count of Participants | Participants |
|
| Positive ZnT8 Autoantibodies | Count of Participants | Participants |
|
| Systolic Blood Pressure | Mean | Standard Deviation | mmHg |
|
| Diastolic Blood Pressure | Mean | Standard Deviation | mmHg |
|
| Elevated AST Values | Count of Participants | Participants |
|
| Elevated ALT Values | Count of Participants | Participants |
|
| Abnormal Hemoglobin Levels | Hemoglobin < 12 g/dL | Count of Participants | Participants |
|
| Counts |
|---|
| Participants |
|
|
| Secondary | The Change in C-Peptide AUC Following a MMTT From Baseline to Study Completion. | Investigators aim to observe changes in residual endogenous insulin production as measured by C-peptide 2 hour area under the curve following a Mixed Meal Tolerance Test (MMTT). C-peptide is a measure of endogenous insulin secretion as both are secreted in a 1:1 molar ratio. Individuals ingested a liquid meal (Boost) with a fixed amount of protein, fat and carbohydrate in the fasting state followed by the timed measurements of serum C-peptide at 0, 15, 30, 60, 90 and 120 minutes to compute the AUC. | Posted | Mean | Standard Deviation | nmol/L/min | 12 weeks (Baseline and week 12) |
|
|
|
| Secondary | The Change in Hemoglobin A1c From Baseline to Study Completion. | Investigators aim to observe changes in hemoglobin A1c values, a measure of average blood glucose over the preceding 3 months. | Posted | Mean | Standard Deviation | percentage | 12 weeks (Baseline and week 12) |
|
|
|
| Secondary | The Change in Insulin Use From Baseline to Study Completion. | Exogenous insulin use per kg of body weight. | Posted | Mean | Standard Deviation | units/Kg body weight | 12 weeks (Baseline and week 12) |
|
|
|
| 0 |
| 25 |
| 0 |
| 25 |
| 5 |
| 25 |
|
Not provided
Not provided
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D002396 |
| Catechols |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D010649 | Phenylalanine |
| D024322 | Amino Acids, Aromatic |
| D000598 | Amino Acids, Cyclic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D014443 | Tyrosine |