Title

Efficacy Study of DiaPep277 in Newly Diagnosed Type 1 Diabetes Patients
A Phase 3, Multinational, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study To Investigate The Clinical Efficacy And Safety of DiaPep277® in Newly Diagnosed Type 1 Diabetes Patients
  • Phase

    Phase 3
  • Study Type

    Interventional
  • Intervention/Treatment

    diapep277 ...
  • Study Participants

    457
The purpose of this study is to determine if DiaPep277 can effectively protect the internal production of insulin in patients newly diagnosed with type 1 diabetes, by stopping the immune destruction of insulin-producing beta-cells in the pancreas. DiaPep277 acts on the immune system and is expected to prevent further destruction of the beta-cells by stimulating regulatory responses, without causing immunological suppression.
Study Started
Sep 30
2005
Primary Completion
Sep 30
2011
Study Completion
Jan 31
2012
Results Posted
Jun 06
2016
Estimate
Last Update
Jun 06
2016
Estimate

Drug DiaPep277

1.0mg dose, administered as subcutaneous injection, on 0, 1, 3, 6, 9, 12, 15, 18 and 21 months

Drug Placebo

Mannitol (excipient) 40 mg, administered as subcutaneous injection on 1, 3, 6, 9, 12, 15, 18 and 21 months.

DiaPep277 Experimental

DiaPep277 1.0 mg + 40 mg Mannitol in 0.5 mL lipid emulsion.

Placebo Placebo Comparator

Mannitol 40 mg in 0.5 mL lipid emulsion.

Criteria

Inclusion Criteria:

A diagnosis of type 1 diabetes for up to 3 months at screening
Insulin dependency
Fasting C-peptide levels >= 0.22 nmol/L
Presence of at least 1 of the diabetes-related autoantibodies (IA-2A, GAD or IA)

Exclusion Criteria:

Pregnancy or intent to conceive in the next 2 years
Significant diseases that could affect response to treatment, such as tumors, psychiatric disorders, substance abuse, severe allergies or diabetes-related complications.
Patient has immune deficiency or receives immuno-suppressive or cytotoxic drugs.

Summary

DiaPep277

Placebo

All Events

Event Type Organ System Event Term DiaPep277 Placebo

Change From Baseline in Glucagon-stimulated C-peptide AUC at 24 Months

Beta-cell function, measured as change in stimulated C-peptide secretion measured 0, 2, 6, 10 and 20 minutes post administration [area under the curve (AUC), 0-20 minutes] at Baseline and 24 months, during a glucagon stimulation test (GST). The change in AUC was calculated per patient by subtracting the baseline AUC from the 24 month AUC.

DiaPep277

-3.848
nmol*minute/L (Mean)
Standard Error: 0.4666

Placebo

-4.348
nmol*minute/L (Mean)
Standard Error: 0.4584

Change From Baseline in Mixed-meal Stimulated C-peptide AUC at 24 Months

Beta cell function, measured as stimulated C-peptide secretion from 0 to 120 min post administration AUC, at baseline and 24 month measurements in a mixed-meal tolerance test (MMTT). The change in AUC was calculated per patient by subtracting the baseline AUC from the 24 month AUC.

DiaPep277

-44.33
nmol*minute/L (Mean)
Standard Error: 3.6884

Placebo

-43.24
nmol*minute/L (Mean)
Standard Error: 3.5898

Total

456
Participants

Age, Continuous

26.5
years (Mean)
Standard Deviation: 7.91

Age, Customized

25.0
years (Median)
Full Range: 15.0 to 46.0

Race/Ethnicity, Customized

Sex: Female, Male

Overall Study

DiaPep277

Placebo

Drop/Withdrawal Reasons

DiaPep277

Placebo