Study of Human Plasma-Derived Alpha1-Proteinase Inhibitor in Subjects With New-Onset Type 1 Diabetes Mellitus



Status:Terminated
Conditions:Diabetes, Diabetes
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:6 - 35
Updated:9/7/2018
Start Date:March 2014
End Date:June 2017

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A Multicenter, Randomized, Partial-Blinded, Placebo-Controlled Study to Evaluate the Safety and Efficacy of a Human Plasma-Derived Alpha1-Proteinase Inhibitor in Subjects With New-Onset Type 1 Diabetes Mellitus

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.


Inclusion Criteria:

- Diagnosis of T1DM according to the ADA criteria.

- Current use of injected insulin therapy and one positive result on testing for any of
the following antibodies (If not currently on insulin therapy, must have positive
result for at least two of the below antibodies):

- Anti-islet-cell antibodies (islet cell antigen 512, insulinoma associated protein
2),

- Anti-glutamic acid decarboxylase antibodies, or

- Anti-insulin antibodies (unless received insulin therapy for > 7 days).

- Body Mass Index (BMI) ≤ 28 kg/m2 for adults (≥ 20 years of age) OR ≤ 90th percentile
in accordance with the Centers for Disease Control BMI assessment for children and
teens (2 through 19 years old).

Exclusion Criteria:

- History of or current diabetic retinopathy, neuropathy, or nephropathy.

- Known thrombophilia or history of thrombosis.

- Malignant disease (including malignant melanoma; however, other forms of skin cancer
are allowed) within five years of randomization.

- Active Hepatitis A virus, Hepatitis B virus, Hepatitis C virus, or Human
Immunodeficiency Virus infection.

- History of anaphylaxis or severe systemic response to any plasma-derived alpha1-PI
preparation or other blood product(s).

- Known selective or severe Immunoglobulin A deficiency.

- Elevated liver enzymes (aspartate transaminase, alanine aminotransferase, and alkaline
phosphatase) equal to or greater than 2.5 times the upper limit of normal.

- Therapy with exenatide or any other agents that stimulate pancreatic β cell
regeneration or insulin secretion, or any antidiabetic agents (oral or parenteral)
other than insulin within one month prior to screening.

- Use of omega-3 fatty acid supplements, including fish oil, within seven days prior to
screening.

- Current or planned therapy with inhaled insulin, if it becomes available.

- Chronic use of systemic steroids, with the exception of inhaled steroids, above a
stable dose equivalent to 5 mg/day prednisone (e.g., 10 mg every 2 days) within 4
weeks prior to randomization. It is recommended to maintain the same dose throughout
the study. (Note: Subjects with autoimmune conditions (i.e., asthma) necessitating
treatment with systemic short-term corticosteroids and administered a rapid taper are
eligible per protocol with the caveat that the tapering is complete or decreased to
the minimum requirement (i.e., 5 mg/day) at least 1 week prior to the Baseline visit
(when randomization occurs) to ensure the subject is stable. For longer term steroid
usage, please consult the Grifols Medical Monitor before considering the subject for
study participation.)

- Treatment with immunosuppressants or cytostatic agents within 6 months of
randomization.
We found this trial at
36
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200 Hawkins Dr,
Iowa City, Iowa 52242
866-452-8507
University of Iowa Hospitals and Clinics University of Iowa Hospitals and Clinics—recognized as one of...
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1900 W Polk St
Chicago, Illinois 60612
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Chicago, IL
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5050 Anthony Wayne Dr
Detroit, Michigan 48201
(313) 577-2424
Wayne State University Founded in 1868, Wayne State University is a nationally recognized metropolitan research...
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Detroit, MI
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South 34th Street
Philadelphia, Pennsylvania 19104
 215-590-1000
Children's Hospital of Philadelphia Since its start in 1855 as the nation's first hospital devoted...
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Philadelphia, PA
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3020 Childrens way
San Diego, California 92123
(858) 576-1700
Rady Children's Hospital - San Diego Rady Children's Hospital-San Diego is the region’s pediatric medical...
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San Diego, CA
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Albuquerque, New Mexico 87131
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Atlanta, Georgia 30309
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Baltimore, Maryland 21229
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Buffalo, New York 14222
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1
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Columbus, OH
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281 W. Lane Ave
Columbus, Ohio 43210
(614) 292-6446
Ohio State University The Ohio State University’s main Columbus campus is one of America’s largest...
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Dallas, Texas 75231
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1801 Inwood Rd
Dallas, Texas 75390
(214) 645-3300
University of Texas Southwestern Medical Center UT Southwestern is an academic medical center, world-renowned for...
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Idaho Falls, ID
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Indianapolis, Indiana 46202
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Los Angeles, California 90015
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500 S Preston St
Louisville, Kentucky
(502) 852-5555
University of Louisville The University of Louisville is a state supported research university located in...
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Miami, Florida 33133
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Morristown, New Jersey 07962
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20 York St, N20 York St,
New Haven, Connecticut 06520
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Newark, Delaware 19713
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Oklahoma City, Oklahoma 73112
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Orange, CA
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3414 Fifth Avenue
Pittsburgh, Pennsylvania 15213
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Saint Paul, Minnesota 55102
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San Antonio, Texas 78258
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Tarzana, California
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Tucson, Arizona 85721
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University of Arizona The University of Arizona is a premier, public research university. Established in...
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Ventura, California
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Worcester, Massachusetts 01605
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