This study is a multi-country, multi-center retrospective observational cohort study based on secondary data collected via chart review, with the aim of describing patient characteristics (including relevant comorbidities), monitoring and treatment practices related to Type 1 diabetes mellitus (T1D) progression, and time to T1D progression in participants who received teplizumab as part of Managed Access Programs (MAPs). This study design was chosen in order to gain rapid insight into the current use of teplizumab in clinical practice and the characteristics of patients who received the treatment.
Study Type
OBSERVATIONAL
Enrollment
60
This study will not administer any treatment, only observe the treatment as prescribed in real-world clinical practice.
Investigational Site Number: 0560001
Leuven, Belgium
RECRUITINGInvestigational Site Number: 2500001
Bron, France
RECRUITINGInvestigational Site Number: 2500003
Paris, France
RECRUITINGInvestigational Site Number: 2500002
Paris, France
RECRUITINGInvestigational Site Number: 2760002
Frankfurt, Germany
RECRUITINGInvestigational Site Number: 2760001
Hanover, Germany
RECRUITINGInvestigational Site Number: 3800001
Ancona, Italy
RECRUITINGInvestigational Site Number: 3800003
Palermo, Italy
RECRUITINGInvestigational Site Number: 3800002
Verona, Italy
RECRUITINGInvestigational Site Number: 7240001
Madrid, Spain
RECRUITING...and 4 more locations
Participant demographics at teplizumab initiation
Age, sex at birth, height, weight, Body mass index (BMI), body surface area
Time frame: At Day 1 (first dose of teplizumab)
Participants' family history of T1D and autoimmune diseases
First- and second-degree relatives with T1D
Time frame: At Day 1 (first dose of teplizumab)
Presence of T1D susceptibility genes
Genetic risk score
Time frame: At Day 1 (first dose of teplizumab)
Presence of T1D susceptibility genes
Human Leukocyte Antigen (HLA)-haplotype
Time frame: At Day 1 (first dose of teplizumab)
Participants' medical history
Date of stage 1 confirmation, date of dysglycemia confirmation
Time frame: From 6 months prior to the first dose of teplizumab (teplizumab initiation) (or the earliest date of all data contributing to Stage 2 T1D diagnosis, whichever is earlier) up to medical records abstraction date, approximately 3-4 years
Time from Stage 1 T1D confirmation to Stage 2 confirmation
Only participants with a date of Stage 1 T1D confirmation will be included in this analysis.
Time frame: From the date of Stage 1 T1D confirmation to date of first assessment of dysglycemia or positive autoantibody test up to date of first dose of teplizumab (teplizumab initiation), approximately 6 months to a year
Time from Stage 2 T1D confirmation to teplizumab initiation
Time frame: From the date of first assessment of dysglycemia or positive autoantibody test up to date of first dose of teplizumab (teplizumab initiation), approximately 6 months to a year
Assessment of blood glucose test results: Glycated hemoglobin (HbA1c)
Time frame: At screening (6 months before teplizumab initiation), within 6 weeks prior to teplizumab initiation, during teplizumab infusion (2 weeks), following completion of teplizumab treatment (through study completion, up to 30 months)
Assessment of blood glucose test results: Fasting Plasma Glucose (FPG)
Time frame: At screening (6 months before teplizumab initiation), within 6 weeks prior to teplizumab initiation, during teplizumab infusion (2 weeks), following completion of teplizumab treatment (through study completion, up to 30 months)
Assessment of blood glucose test results: Oral Glucose Tolerance Test (OGTT)
Time frame: At screening (6 months before teplizumab initiation), within 6 weeks prior to teplizumab initiation, during teplizumab infusion (2 weeks), following completion of teplizumab treatment (through study completion, up to 30 months)
Assessment of blood glucose test results: Random Plasma Glucose (PG)
Time frame: At screening (6 months before teplizumab initiation), within 6 weeks prior to teplizumab initiation, during teplizumab infusion (2 weeks), following completion of teplizumab treatment (through study completion, up to 30 months)
Assessment of blood glucose test results: Post-prandial Glucose (PPG)
Time frame: At screening (6 months before teplizumab initiation), within 6 weeks prior to teplizumab initiation, during teplizumab infusion (2 weeks), following completion of teplizumab treatment (through study completion, up to 30 months)
Assessment of blood glucose test results: Continuous glucose monitoring (CGM)
Time frame: At screening (6 months before teplizumab initiation), within 6 weeks prior to teplizumab initiation, during teplizumab infusion (2 weeks), following completion of teplizumab treatment (through study completion, up to 30 months)
Assessment of C-peptide test results
Time frame: At screening (6 months before teplizumab initiation), within 6 weeks prior to teplizumab initiation, during teplizumab infusion (2 weeks), following completion of teplizumab treatment (through study completion, up to 30 months)
Assessment of autoantibody test results
Anti-GAD65, IAA, Anti-IA-2, ICA, Anti-ZnT8
Time frame: At screening (6 months before teplizumab initiation), within 6 weeks prior to teplizumab initiation, during teplizumab infusion (2 weeks), following completion of teplizumab treatment (through study completion, up to 30 months)
Proportion of participants who complete teplizumab treatment course
Time frame: At Day 1 (first dose of teplizumab) until end of follow-up, up to 24 months
Proportion of participants using insulin during the study period
Time frame: At Day 1 (first dose of teplizumab) until end of follow-up, up to 24 months
Proportion of participants using other glucose lowering therapies during the study period
Time frame: At Day 1 (first dose of teplizumab) until end of follow-up, up to 24 months
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