A phase III, multinational, randomised, double-blind, placebo-controlled, parallel-group study to investigate the clinical efficacy and safety of Diapep277™ in newly diagnosed type one diabetes patients

ISRCTN ISRCTN55429664
DOI https://doi.org/10.1186/ISRCTN55429664
ClinicalTrials.gov number NCT00615264
Secondary identifying numbers 901
Submission date
28/09/2005
Registration date
21/10/2005
Last edited
13/06/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Paolo Pozzilli
Scientific

Universita' Campus Bio-Medico
Piano Facolta' di Medicina
via Emilio Longoni, 83
Rome
00155
Italy

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleA phase III, multinational, randomised, double-blind, placebo-controlled, parallel-group study to investigate the clinical efficacy and safety of Diapep277™ in newly diagnosed type one diabetes patients
Study acronymDIA-AID
Study objectivesTo test the hypothesis that pancreatic beta-cell function with DiaPep277™ is superior to that with placebo after 24 months.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedType one diabetes
Intervention1 mg DiaPep277™ or placebo will be administered subcutaneously at baseline (zero), one, three, six, nine, 12, 15, 18 and 21 months visits for a total of nine administrations.

Both treatment groups will be balanced for HbA1c values (HbA1c inferior to 7.0% and HbA1c superior or equal to 7.0%) and basal fasting C-peptide concentrations (C-peptide < 0.40 nmol/L and C-peptide ≥ 0.40 nmol/L). [Changed on 05/03/07 from ' Both treatment groups will be balanced for HbA1c values (stratum A: patients with HbA1c less than 7.0%, stratum B: patients with HbA1c equal to or more than 7.0%).'].
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase III
Drug / device / biological / vaccine name(s)Diapep277™
Primary outcome measureInvestigate the effect of DiaPep277™ versus placebo in patients with Type one Diabetes Mellitus on pancreatic beta-cell function as measured by stimulated C-peptide secretion after 24 months
Secondary outcome measures1. Assess the effect of DiaPep277™ on insulin dose requirement after 24 months
2. Assess the effect of DiaPep277™ versus placebo on metabolic control as measured by % HbA1c after 24 months and by glucose profile during the study
3. Assess the safety and tolerability of DiaPep277™ during the study
4. Assess the effects of DiaPep277™ on the occurrence of hypo- and hyper-glycemic events during the study
Overall study start date01/10/2005
Completion date31/08/2010

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants400
Key inclusion criteriaAt screening:
1. The patient has a diagnosis of type one diabetes mellitus according to the American Diabetes Association (ADA)/World Health Organisation (WHO) for up to 3 months (changed from 6 months on 05/03/2007)
2. Evidence of residual beta-cell function demonstrated by basal fasting C-peptide concentrations more than or equal to 0.22 nmol/l
3. Presence of one or more of the following criteria:
3.1. At least one diabetes-related autoantibody: IA-2, insulin or glutamic acid decarboxylase (GAD) at screening
and/or
3.2. Age at diagnosis less than 20 years and ketonuria at diagnosis
4. The patient is on insulin treatment for diabetes since diagnosis
5. The patient is male or female, aged 16 to 45 years, inclusive
6. If a female of child-bearing potential, the patient is not pregnant or lactating, and will use oral hormonal contraception or other equally effective contraceptive methods throughout the study. The partners of male patients, who are of child-bearing potential, should also use adequate contraception in order to avoid pregnancies

Inclusion criteria removed on 05/03/2007: the patient has HbA1c of less than or equal to 9% within seven days prior to baseline visit
Key exclusion criteria1. The patient is treated with inhaled insulin (changed from 'has an insulin pump in situ or is treated with inhaled insulin' on 05/03/07)
2. The patient has clinical evidence of any diabetes-related complication that in the opinion of the Investigator would interfere with the patient's participation in and/or completion of the study
3. Patient has history of endogenous allergic reactivity
4. The patient has a known immune deficiency from any disease, or a condition associated with an immune deficiency
5. The patient is receiving immunosuppressive or immunomodulating agents or cytotoxic therapy, or any medication that, in the opinion of the Investigator, might interfere with the study
6. Patients with severe renal failure at the screening visit (as defined by glomerular filtration rate less than 30 ml/min/1.73 m^2 by Cockroft and Gault calculation), hyperlipidemia is allowed
7. The patient has liver disease such as cirrhosis or chronic active hepatitis

Exclusion criteria removed on 05/03/2007: severe ketonuria (+++ on urine stix testing; ++ on repeated urine stix testing)
Date of first enrolment01/10/2005
Date of final enrolment31/08/2010

Locations

Countries of recruitment

  • Austria
  • Czech Republic
  • Finland
  • France
  • Germany
  • Greece
  • Israel
  • Italy
  • South Africa
  • Spain
  • United Kingdom

Study participating centre

Universita' Campus Bio-Medico
Rome
00155
Italy

Sponsor information

Andromeda Biotech Ltd (Israel)
Industry

PO Box 4145
Ness Ziona
74140
Israel

ROR logo "ROR" https://ror.org/00kyj9h67

Funders

Funder type

Industry

Andromeda Biotech Ltd (Israel)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results No No
Results article results 01/07/2014 Yes No
Results article results 01/07/2014 Yes No

Editorial Notes

13/06/2016: Added publication references and link to results - basic reporting.

22/01/2008: the following changes were made to the trial record:
1. The overall trial end date was changed from 30/07/2009 to 31/08/2010.
2. The sponsor and funder of this trial were updated. The previous sponsor and funder of this trial was DeveloGen AG (Germany).