This is a multicenter, randomized, partial-blinded, five-arm, placebo-controlled study of human plasma-derived alpha1-proteinase inhibitor (alpha1-PI) in children (ages 6-11 years old) and teens/adults (ages 12-35 years old) with new onset Type 1 Diabetes Mellitus (T1DM). Currently enrolling ages 12-35 only. Once 25 patients are randomized and data is reviewed enrollment will be opened to the child cohort. The purpose of this study is to evaluate the safety and efficacy of four dosing regimens of human plasma-derived alpha1-PI in T1DM.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
76
University of Arizona
Tucson, Arizona, United States
Clinica Medica San Miguel
Los Angeles, California, United States
Diabetes Associates Medical Group
Orange, California, United States
Rady Children's Hospital San Diego
San Diego, California, United States
Metabolic Institute of America
Tarzana, California, United States
Change From Baseline in Mixed Meal Tolerance Test (MMTMT) Stimulated C-peptide 2 Hour Area Under the Concentration-time Curve (AUC)
C-peptide concentration during MMTT with high protein energy drink. "Dose" for time frame refers to intake of high protein energy drink.
Time frame: Baseline, Week 52 (pre-high protein drink and 15, 30, 60, 90, 120 minutes post-drink)
Change From Baseline for MMTT Stimulated C-peptide 2h AUC
Time frame: Baseline, Weeks 14, 27, 39, 69, 87, and 104 (pre-high protein drink and 15, 30, 60, 90, 120 minutes post-drink)
Change From Baseline for HbA1c Levels
Time frame: Baseline, Weeks 14, 27, 39, 52, 69, 87, and 104
Number of Subjects With Overall Severe Hypoglycemic Episodes
Severe hypoglycemia defined according the ADA Workgroup on Hypoglycemia definition, as follows: An event requiring assistance of another person to actively administer carbohydrate, glucagons, or other resuscitative actions.
Time frame: 104 weeks
Change From Baseline for Mean Daily Insulin Dose Requirements
Time frame: Baseline, Weeks 2, 4, 14, 27, 39, 52, 69, 87, and 104
Change From Baseline for Mean Daily Glucose Levels Prior to Meals and Bedtime
For each visit, the mean daily glucose levels were calculated over the previous 3-7 days prior to the study visit from blood glucose levels recorded daily prior to meals and bedtime.
Time frame: Baseline, Weeks 2, 4, 14, 27, 39, 52, 69, 87, and 104
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Ronald H Chochinov MD
Ventura, California, United States
Yale New Haven Hospital
New Haven, Connecticut, United States
Christiana Care Health Services
Newark, Delaware, United States
Solutions Through Advanced Research Inc.
Jacksonville, Florida, United States
CCM Clinical Research
Miami, Florida, United States
...and 26 more locations