Protege Extension Trial - Long Term Follow Up Trial for Subjects Who Completed the Protege Study (CP-MGA031-01)

NCT ID: NCT00870818

Last Updated: 2023-08-09

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

219 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-02-28

Study Completion Date

2011-05-31

Brief Summary

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The purpose of this study is to assess the long term safety and efficacy in subjects with Type 1 Diabetes Mellitus who completed the Protege Study (CP-MGA031-01).

Detailed Description

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The primary objective of the extension study is to assess long-term safety, with particular focus on the development of serious adverse events (SAEs), adverse events of special interest (AESIs) including opportunistic infections and lymphoproliferative disease, and other immediately reportable events (IREs), in subjects with recent-onset T1DM who complete CP-MGA031-01.

The secondary objectives of the extension study are to: 1) assess long-term efficacy; 2) evaluate immunological effects(North America only); 3) measure anti-teplizumab antibody levels;4) assess Health Related Quality of Life Questionnaires.

Conditions

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Type 1 Diabetes Mellitus

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Double-blind Herold Regimen

Patients who had been assigned to Herold Regimen in Segment 2 of Study CP-MGA031-01 were enrolled to gather additional safety and efficacy data.

Group Type EXPERIMENTAL

Blood samples for safety

Intervention Type DIAGNOSTIC_TEST

serum chemistry, hematology, infection screen, thyroid function, Insulin, hemoglobin A1c,and autoantibodies

Patient reported outcome questionnaires

Intervention Type BEHAVIORAL

EQ-5D, Peds QL, Low blood sugar survey, and hospitalization information.

Analysis of T-cell subsets

Intervention Type DIAGNOSTIC_TEST

CD3, CD4, CD8, CD19, CD3+ CD16+ CD56+ subsets; CD3-CD16+ CD56+ subsets; CD4+CD25+, CD8+CD25+, CD4+CD69+, CD8+CD69+, CD4+CD40+ subsets CD4+ and CD8+CD25+FoxP3+Treg Subsets

Double-blind 33.3% Herold Regimen

Patients who had been assigned to 33.3% Herold Regimen in Segment 2 of Study CP-MGA031-01 were enrolled to gather additional safety and efficacy data.

Group Type EXPERIMENTAL

Blood samples for safety

Intervention Type DIAGNOSTIC_TEST

serum chemistry, hematology, infection screen, thyroid function, Insulin, hemoglobin A1c,and autoantibodies

Patient reported outcome questionnaires

Intervention Type BEHAVIORAL

EQ-5D, Peds QL, Low blood sugar survey, and hospitalization information.

Analysis of T-cell subsets

Intervention Type DIAGNOSTIC_TEST

CD3, CD4, CD8, CD19, CD3+ CD16+ CD56+ subsets; CD3-CD16+ CD56+ subsets; CD4+CD25+, CD8+CD25+, CD4+CD69+, CD8+CD69+, CD4+CD40+ subsets CD4+ and CD8+CD25+FoxP3+Treg Subsets

Double-blind Curtailed Herold Regimen

Patients who had been assigned to Curtailed Herold Regimen in Segment 2 of Study CP-MGA031-01 were enrolled to gather additional safety and efficacy data.

Group Type EXPERIMENTAL

Blood samples for safety

Intervention Type DIAGNOSTIC_TEST

serum chemistry, hematology, infection screen, thyroid function, Insulin, hemoglobin A1c,and autoantibodies

Patient reported outcome questionnaires

Intervention Type BEHAVIORAL

EQ-5D, Peds QL, Low blood sugar survey, and hospitalization information.

Analysis of T-cell subsets

Intervention Type DIAGNOSTIC_TEST

CD3, CD4, CD8, CD19, CD3+ CD16+ CD56+ subsets; CD3-CD16+ CD56+ subsets; CD4+CD25+, CD8+CD25+, CD4+CD69+, CD8+CD69+, CD4+CD40+ subsets CD4+ and CD8+CD25+FoxP3+Treg Subsets

Double-blind Placebo

Patients who had been assigned to Placebo in Segment 2 of Study CP-MGA031-01 were enrolled to gather additional safety and efficacy data.

Group Type PLACEBO_COMPARATOR

Blood samples for safety

Intervention Type DIAGNOSTIC_TEST

serum chemistry, hematology, infection screen, thyroid function, Insulin, hemoglobin A1c,and autoantibodies

Patient reported outcome questionnaires

Intervention Type BEHAVIORAL

EQ-5D, Peds QL, Low blood sugar survey, and hospitalization information.

Analysis of T-cell subsets

Intervention Type DIAGNOSTIC_TEST

CD3, CD4, CD8, CD19, CD3+ CD16+ CD56+ subsets; CD3-CD16+ CD56+ subsets; CD4+CD25+, CD8+CD25+, CD4+CD69+, CD8+CD69+, CD4+CD40+ subsets CD4+ and CD8+CD25+FoxP3+Treg Subsets

Open-label Herold Regimen

Patients who had been assigned to Herold Regimen in Segment 1 of Study CP-MGA031-01 were enrolled to gather additional safety and efficacy data.

Group Type EXPERIMENTAL

Blood samples for safety

Intervention Type DIAGNOSTIC_TEST

serum chemistry, hematology, infection screen, thyroid function, Insulin, hemoglobin A1c,and autoantibodies

Patient reported outcome questionnaires

Intervention Type BEHAVIORAL

EQ-5D, Peds QL, Low blood sugar survey, and hospitalization information.

Analysis of T-cell subsets

Intervention Type DIAGNOSTIC_TEST

CD3, CD4, CD8, CD19, CD3+ CD16+ CD56+ subsets; CD3-CD16+ CD56+ subsets; CD4+CD25+, CD8+CD25+, CD4+CD69+, CD8+CD69+, CD4+CD40+ subsets CD4+ and CD8+CD25+FoxP3+Treg Subsets

Interventions

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Blood samples for safety

serum chemistry, hematology, infection screen, thyroid function, Insulin, hemoglobin A1c,and autoantibodies

Intervention Type DIAGNOSTIC_TEST

Patient reported outcome questionnaires

EQ-5D, Peds QL, Low blood sugar survey, and hospitalization information.

Intervention Type BEHAVIORAL

Analysis of T-cell subsets

CD3, CD4, CD8, CD19, CD3+ CD16+ CD56+ subsets; CD3-CD16+ CD56+ subsets; CD4+CD25+, CD8+CD25+, CD4+CD69+, CD8+CD69+, CD4+CD40+ subsets CD4+ and CD8+CD25+FoxP3+Treg Subsets

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. Complete Protocol CP-MGA031-01 (i.e., all subjects who complete Study Day 728, regardless of how many doses of study drug are received).
2. Provide written informed consent.

Exclusion Criteria

None
Minimum Eligible Age

10 Years

Maximum Eligible Age

37 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role collaborator

MacroGenics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Atlanta Diabetes Associates

Atlanta, Georgia, United States

Site Status

Countries

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United States

Other Identifiers

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CP-MGA031-02

Identifier Type: -

Identifier Source: org_study_id

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