Diamyd Administered Into Lymph Nodes in Combination With Vitamin D in Type 1 Diabetes

Last updated: April 11, 2022
Sponsor: Diamyd Medical AB
Overall Status: Completed

Phase

2

Condition

Diabetes Mellitus, Type 1

Diabetes And Hypertension

Diabetes Mellitus Types I And Ii

Treatment

N/A

Clinical Study ID

NCT03345004
DIAGNODE-2 (D/P2/17/6)
2017-001861-25
  • Ages 12-24
  • All Genders

Study Summary

The objective of DIAGNODE-2 is to evaluate the efficacy of Diamyd compared to Placebo, upon administration directly into a lymph node in combination with an oral vitamin D/Placebo regimen, in terms of preserving endogenous insulin secretion as measured by C-peptide.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Informed consent given by patients and/or patient's parent(s) or legal acceptablerepresentative(s) (guardian(s)) according to national regulations
  2. Type 1 Diabetes (T1D) according to the Amercian Diabetes Association (ADA)classification diagnosed ≤6 months at the time of screening
  3. Age: ≥12 and <25 years old
  4. Fasting C-peptide ≥0.12 nmol/L (0.36 ng/ml) on at least one occasion (maximum 2 testson different days within a period of 2 weeks)
  5. Positive for Glutamic Acid Decarboxylase isoform 65 (GAD65A) but < 50 000 IU/ml
  6. Females must agree to avoid pregnancy and have a negative urine pregnancy test.Patients of childbearing potential must agree to use adequate contraception, until one (1) year after the last administration of Diamyd. Adequate contraception is asfollows: For females of childbearing potential:
  7. oral (except low-dose gestagen (lynestrenol and norestisteron)), injectable, orimplanted hormonal contraceptives
  8. combined (estrogen and progestogen containing)
  9. oral, intravaginal or transdermal progesterone hormonal contraception associated withinhibition of ovulation
  10. intrauterine device
  11. intrauterine hormone-releasing system (for example, progestin-releasing coil)
  12. bilateral tubal occlusion
  13. vasectomized male (with appropriate post vasectomy documentation of the absence ofsperm in the ejaculate)
  14. male partner using condom
  15. abstinence from heterosexual intercourse For males of childbearing potential:
  16. condom (male)
  17. abstinence from heterosexual intercourse

Exclusion

Exclusion Criteria:

  1. Previous or current treatment with immunosuppressant therapy (although topical orinhaled steroids are accepted)
  2. Continuous treatment with anti-inflammatory drug (sporadic treatment e.g. because ofheadache or in connection with fever a few days will be accepted)
  3. Treatment with any oral or injected anti-diabetic medications other than insulin
  4. A history of anemia or significantly abnormal hematology results at screening
  5. A history of epilepsy, head trauma or cerebrovascular accident, or clinical featuresof continuous motor unit activity in proximal muscles
  6. Clinically significant history of acute reaction to vaccines or other drugs in thepast
  7. Treatment with any vaccine, including influenza vaccine, within 4 months prior toplanned first study drug dose or planned treatment with any vaccine up to 4 monthsafter the last injection with study drug.
  8. Participation in other clinical trials with a new chemical entity within the previous 3 months
  9. Inability or unwillingness to comply with the provisions of this protocol
  10. A history of alcohol or drug abuse
  11. A significant illness other than diabetes within 2 weeks prior to first dosing
  12. Known HIV or hepatitis
  13. Females who are lactating or pregnant (the possibility of pregnancy must be excludedby urine βHCG on-site within 24 hours prior to the Diamyd/placebo treatment)
  14. Presence of associated serious disease or condition, including active skin infectionsthat preclude intralymphatic injection, which in the opinion of the investigator makesthe patient non-eligible for the study
  15. Deemed by the investigator not being able to follow instructions and/or follow thestudy protocol

Study Design

Total Participants: 109
Study Start date:
December 20, 2017
Estimated Completion Date:
April 27, 2021

Study Description

The study is a 2-arm, randomized, double-blind, placebo-controlled, multicenter, clinical trial. Eligible patients will receive injections of Diamyd/placebo into an inguinal lymph gland at three occasions, with one month intervals in combination with an oral vitamin D/placebo regimen (starting 1 month ahead of injections) during 4 months. All patients will continue to receive intensive insulin treatment from their personal physicians during the whole study period. The patients will be followed in a blinded manner for a total of 15 months. All patients that have not performed the 15 months visit when the updated protocol is implemented, will be asked to participate in the Extension Study Period which includes an additional visit at month 24.

Connect with a study center

  • Department of Paediatrics, University Hospital Motol

    Praha, 15006
    Czechia

    Site Not Available

  • Diabetes Centre, Institute of Clinical and Experimental Medicine

    Praha, 14021
    Czechia

    Site Not Available

  • Diabeter Rotterdam

    Rotterdam, 3011 TA
    Netherlands

    Site Not Available

  • Adult and Pediatrics Endocrinology and Diabetology, Hospital Universitario Cruces

    Barakaldo, 48903
    Spain

    Site Not Available

  • Adult Endocrinology and Diabetology, Hospital vall D' Hebrón

    Barcelona, 08035
    Spain

    Site Not Available

  • Pediatrics Endocrinology and Diabetology, Hospital Vall D'Hebrón

    Barcelona, 08035
    Spain

    Site Not Available

  • Adult Endocrinology and Diabetology, Hospital Ramón y Cajal

    Madrid, 28033
    Spain

    Site Not Available

  • Adult Endocrinology and Diabetology, Hospital Carlos Haya

    Málaga, 29009
    Spain

    Site Not Available

  • Pediatrics Endocrinology and Diabetology, Hospital Materno-Ifantil

    Málaga, 29011
    Spain

    Site Not Available

  • Adult Endocrinology and Diabetology, Hospital Macarena

    Sevilla, 41009
    Spain

    Site Not Available

  • Pediatrics Endocrinology and Diabetology, Hospital Virgen del Rocío

    Sevilla, 41013
    Spain

    Site Not Available

  • Adult and Pediatrics Endocrinology and Diabetology, Hospital Miguel Servet

    Zaragoza, 50009
    Spain

    Site Not Available

  • Barn- och Ungdomskliniken, Universitetssjukhuset

    Linköping, 58185
    Sweden

    Site Not Available

  • Endokrinmedicinska kliniken. Universitetssjukhuset

    Linköping, 58185
    Sweden

    Site Not Available

  • Barn-och Ungdomsmedicinmottagningen and Endokrinmottagningen, Skånes Universitetssjukhus

    Malmö, 20502
    Sweden

    Site Not Available

  • Barn- och ungdomskliniken, Uddevalla Sjukhus

    Uddevalla, 45180
    Sweden

    Site Not Available

  • Diabetesmottagningen, Uddevalla Sjukhus

    Uddevalla, 45180
    Sweden

    Site Not Available

  • Barnmottagningen, Norrlands Universitetssjukhus

    Umeå, 901 85
    Sweden

    Site Not Available

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