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Randomised, double-blind, placebo-controlled, multi-centre, parallel group study to investigate the safety and tolerability as well as the immunological and clinical effects of multiple subcutaneous doses of DiaPep277 in latent autoimmune diabetes in adults (LADA) patients
ISRCTN ISRCTN50665418
ClinicalTrials.gov identifier
Public title Randomised, double-blind, placebo-controlled, multi-centre, parallel group study to investigate the safety and tolerability as well as the immunological and clinical effects of multiple subcutaneous doses of DiaPep277 in latent autoimmune diabetes in adults (LADA) patients
Scientific title
Acronym N/A
Serial number at source 601/PO
Study hypothesis Investigate the safety and tolerability and the immunological and clinical effects of multiple doses of DiaPep277.
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment Germany
Disease/condition/study domain Latent autoimmune diabetes in adults.
Participants - inclusion criteria 1. Patients with a diagnosis of diabetes mellitus according to World Health Organisation (WHO) classification for more than 2 months and less than 5 years before enrolment
2. Diabetes controlled by diet, oral antidiabetics or insulin therapy
3. Positive for glutamic acid decarboxylase (GAD) autoantibodies
4. Male caucasian patients, aged 30 to 50 years, or female caucasian patients, aged 30 to 50 years, who are not pregnant and use safe contraceptive methods
Participants - exclusion criteria 1. Patients with secondary diabetes mellitus
2. Any previous insulin treatment before the first injection of study drug
3. History of intolerance or contraindications to oral hypoglycaemic medications
4. Clinical evidence of any severe diabetes-related complication
5. Allergy to investigational drug
6. History of severe allergy or asthma
7. Known immune deficiency from any disease, or a condition associated with an immune deficiency
8. Use of immunosuppressive or immunomodulating agents or cytotoxic therapy, or any medication which, in the opinion of the investigator, might interfere with the study
Anticipated start date 17/04/2001
Anticipated end date 31/12/2005
Status of trial Completed
Patient information material
Target number of participants 41 - study completed as of Dec'06
Interventions Treatment with subcutaneous injections of DiaPep277 or placebo in three different treatment groups with different schedules for a period of approximately 18-20 months. Follow up until 2 years after the first administration of study drug.

Group A: Administration of 1 mg DiaPep277 or placebo at the start of the study and 1 month, 6 months, 12 months and 18 months later. In total five administrations.
Group B: Administration of 1 mg DiaPep277 or placebo at the start of the study and 2 weeks, 4 weeks, 6 weeks and 8 weeks later. Further administrations in intervals of approximately 3 months. In total 10 administrations.
Group C: Administration of 0.2 mg DiaPep277 or placebo at the start of the study and 2 weeks, 4 weeks, 6 weeks and 8 weeks later. This course is repeated 6 months, 12 months and 18 months after the first administration. In total 20 administrations.
Primary outcome measure(s) Pancreatic beta-cell function, insulin independency or change in insulin dose, metabolic control: most parameters at every 6 months.
Secondary outcome measure(s) Immune response (every 6 months), clinical safety and tolerability at each visit.
Sources of funding DeveloGen AutoImmune GmbH (Germany)
Trial website
Publications
Contact name Prof  David  Leslie
  Address University of London
Department of Diabetes and Immunology
St Bartholomew's Hospital
3rd Floor Dominion House
59 Bartholomew Close
  City/town London
  Zip/Postcode EC1A 7BE
  Country United Kingdom
Sponsor DeveloGen AutoImmune GmbH (Germany)
  Address Max-Planck-Str. 15b
  City/town Erkrath
  Zip/Postcode 40699
  Country Germany
Date applied 12/09/2005
Last edited 07/09/2007
Date ISRCTN assigned 21/10/2005
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