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Etanercept in New Onset Type 1 Diabetes

Primary Purpose

Type 1 Diabetes

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Etanercept
Placebo
Sponsored by
State University of New York at Buffalo
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 1 Diabetes focused on measuring Type 1 diabetes, Etanercept, honeymoon period

Eligibility Criteria

3 Years - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Males and females subjects with T1DM aged 3-18 years
  • Positive GAD 65 and/or islet cell antibody
  • HbA1c at diagnosis above 6%
  • Insulin regimen with 3 injection of insulin daily (as described below)
  • White blood count between 3,000-10,000 and platelets > 100,000
  • Normal ALT and AST, creatinine < 1.8 mg/dl
  • T1DM duration equal or less than 4 weeks

Exclusion Criteria:

  • Infection requiring IV antibiotics at diagnosis or within past 14 days from study entry
  • BMI over 85th percentile for age and gender
  • Unstable household
  • Unable to provide compliance with study drug, insulin and study visits,
  • Evidence of psychiatric disease in the potential study subject and/or primary care taker
  • And chronic diseases, including additional autoimmune disorders with the exception of euthyroid autoimmune thyroiditis

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    1 drug, 2 placebo

    Arm Description

    Etanercept Placebo

    Outcomes

    Primary Outcome Measures

    The primary end points of this study are percent change from baseline for HbA1c and C-peptide area under the curve (AUC).

    Secondary Outcome Measures

    Secondary end points are insulin dose and number of insulin injection discontinued, if any

    Full Information

    First Posted
    August 5, 2008
    Last Updated
    April 26, 2023
    Sponsor
    State University of New York at Buffalo
    Collaborators
    Amgen
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00730392
    Brief Title
    Etanercept in New Onset Type 1 Diabetes
    Official Title
    "ENBREL® (Etanercept) Administration to Patients Newly Diagnosed With Type 1 Diabetes Mellitus: Feasibility-Safety Study" ("Study")
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2023
    Overall Recruitment Status
    Completed
    Study Start Date
    October 2002 (undefined)
    Primary Completion Date
    October 2007 (Actual)
    Study Completion Date
    January 2008 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    State University of New York at Buffalo
    Collaborators
    Amgen

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The investigators hypothesized that the administration of Etanercept to children newly diagnosed with T1DM may be able to interdict the progression of T1DM. The aim of this study is to evaluate the feasibility and safety of Etanercept administration to pediatric patients recently diagnosed with type 1 DM.
    Detailed Description
    This is a double-blind randomized 24-week placebo-controlled feasibility and safety study. Subjects received study drug for a 24- week period, followed by 4 and 12-week wash out periods.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Type 1 Diabetes
    Keywords
    Type 1 diabetes, Etanercept, honeymoon period

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    18 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1 drug, 2 placebo
    Arm Type
    Experimental
    Arm Description
    Etanercept Placebo
    Intervention Type
    Drug
    Intervention Name(s)
    Etanercept
    Intervention Description
    The study drug was provided in lyophilized 10 mg vials to be reconstituted with 1 ml of diluent/vial and was administered at a dose of 0.4 mg/Kg up to maximum dose of 25 mg/dose SC twice weekly
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    administered at 0.4 mg/Kg/dose SC up to 25 mg max twice weekly
    Primary Outcome Measure Information:
    Title
    The primary end points of this study are percent change from baseline for HbA1c and C-peptide area under the curve (AUC).
    Time Frame
    At baseline and at the end of the 24-week blind treatment
    Secondary Outcome Measure Information:
    Title
    Secondary end points are insulin dose and number of insulin injection discontinued, if any
    Time Frame
    At baseline and at end of the 24-week treatment period

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    3 Years
    Maximum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Males and females subjects with T1DM aged 3-18 years Positive GAD 65 and/or islet cell antibody HbA1c at diagnosis above 6% Insulin regimen with 3 injection of insulin daily (as described below) White blood count between 3,000-10,000 and platelets > 100,000 Normal ALT and AST, creatinine < 1.8 mg/dl T1DM duration equal or less than 4 weeks Exclusion Criteria: Infection requiring IV antibiotics at diagnosis or within past 14 days from study entry BMI over 85th percentile for age and gender Unstable household Unable to provide compliance with study drug, insulin and study visits, Evidence of psychiatric disease in the potential study subject and/or primary care taker And chronic diseases, including additional autoimmune disorders with the exception of euthyroid autoimmune thyroiditis
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Teresa Quattrin, MD
    Organizational Affiliation
    School of Medicine and Biochemical Sciences-SUNYAB
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    19366957
    Citation
    Mastrandrea L, Yu J, Behrens T, Buchlis J, Albini C, Fourtner S, Quattrin T. Etanercept treatment in children with new-onset type 1 diabetes: pilot randomized, placebo-controlled, double-blind study. Diabetes Care. 2009 Jul;32(7):1244-9. doi: 10.2337/dc09-0054. Epub 2009 Apr 14.
    Results Reference
    derived

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    Etanercept in New Onset Type 1 Diabetes

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