Incretin-based Therapy in Late Preclinical Type 1 Diabetes

NCT ID: NCT02898506

Last Updated: 2022-01-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

13 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-31

Study Completion Date

2021-06-30

Brief Summary

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The objective of the trial is to study whether daily treatment with liraglutide improves endogenous insulin secretion, postpones progression to overt Type 1 diabetes, and is tolerable and safe in subjects aged 10-30 years, who are positive for multiple islet autoantibodies and have dysglycemia.

Detailed Description

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Conditions

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Type 1 Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Liraglutide

Subjects with multiple islet autoantibodies and dysglycemia and aged 10-30 years are treated with Victoza®

Group Type ACTIVE_COMPARATOR

Victoza®

Intervention Type DRUG

Daily subcutaneous injections with increasing doses up to 1.8 mg per day. Duration of treatment 6 months and thereafter follow-up of 6 months.

Placebo

Subjects with multiple islet autoantibodies and dysglycemia and aged 10-30 years are treated with placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Daily subcutaneous injections with increasing doses up to 1.8 mg per day. Duration of treatment 6 months and thereafter follow-up of 6 months.

Interventions

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Victoza®

Daily subcutaneous injections with increasing doses up to 1.8 mg per day. Duration of treatment 6 months and thereafter follow-up of 6 months.

Intervention Type DRUG

Placebo

Daily subcutaneous injections with increasing doses up to 1.8 mg per day. Duration of treatment 6 months and thereafter follow-up of 6 months.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 10-30 years of age
* positive for at least 2 islet autoantibodies
* glucose intolerance or dysglycemia: impaired glucose tolerance (IGT, 2-hour p-gluc 7.8-11.0mmol/l), or impaired fasting glucose (IFG, fp-gluc 6.1-6.9mmol/l), and/or 10% rise in HbA1c since the last measurement (2 - 12 mo ago), and/or p-gluc at least 11.1mmol/l at 30, 60 or 90 min during OGTT
* not pregnant

Exclusion Criteria

* allergic to liraglutide or other ingredients of Victoza
* type 1 diabetes
* diabetic ketoacidosis
* previous treatment in the last three months with any antidiabetic medication
* impaired liver or kidney function or on dialysis
* severe heart failure
* severe stomach or gut problem resulting in gastroparesis, or inflammatory bowel disease
* past or current history of pancreatitis
* serum calcitonin value above normal (\>50 ng/l or at least 3.4pmol/l)
* presence of any chronic metabolic, hematologic or malignant disease
* obesity BMI at least 30
* pregnant females and females of childbearing potential who are not using adequate contraceptive methods.
* breast-feeding
Minimum Eligible Age

10 Years

Maximum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Oulu University Hospital

OTHER

Sponsor Role collaborator

Tampere University Hospital

OTHER

Sponsor Role collaborator

Turku University Hospital

OTHER_GOV

Sponsor Role collaborator

Skane University Hospital

OTHER

Sponsor Role collaborator

University of Oulu

OTHER

Sponsor Role lead

Responsible Party

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Riitta Veijola

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Riitta Veijola, MD

Role: PRINCIPAL_INVESTIGATOR

University of Oulu

Locations

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University of Oulu and Oulu University Hospital, Dept of Children and Adolescents

Oulu, , Finland

Site Status

University of Tampere and Tampere University Hospital

Tampere, , Finland

Site Status

University of Turku and Turku University Hospital

Turku, , Finland

Site Status

Lund University and Skåne University Hospital

Malmo, , Sweden

Site Status

Countries

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Finland Sweden

References

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Kero J, Koskenniemi JJ, Karsikas S, Pokka T, Lou O, Toppari J, Veijola R. INnoVative trial design for testing the Efficacy, Safety and Tolerability of 6-month treatment with incretin-based therapy to prevent type 1 DIAbetes in autoantibody positive participants: A protocol for three parallel double-blind, randomised controlled trials (INVESTDIA). Diabet Med. 2022 Oct;39(10):e14913. doi: 10.1111/dme.14913. Epub 2022 Jul 22.

Reference Type DERIVED
PMID: 35797241 (View on PubMed)

Other Identifiers

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2014-004761-25

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

U1111-1177-0704

Identifier Type: OTHER

Identifier Source: secondary_id

3-SRA-2014-301-M-R

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

LiraAABDG10-30

Identifier Type: -

Identifier Source: org_study_id

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