INfluenza VaccInation To Mitigate typE 1 Diabetes

NCT ID: NCT05585983

Last Updated: 2025-05-22

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-14

Study Completion Date

2027-05-01

Brief Summary

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In a multicenter, prospective, randomized, controlled clinical trial to compare influenza vaccination and placebo in sustaining β cell function in early type 1 diabetes mellitus.

Detailed Description

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Type 1 diabetes (T1D) is an autoimmune disease in which T cells attack and destroy the insulin-producing β cells in the pancreatic islets. In theory, immunotherapies aimed at re-programming the immune system to avoid β cell destruction is a promising strategy to prevent T1D or delay onset of overt disease.

In this trial we test the hypothesis that influenza vaccination is superior to no influenza vaccination in sustaining β cell function in early T1D. Secondary outcome measures include change in autoantibodies directed against antigens present in the pancreatic islets, measures of severity of disease, change in inflammatory markers, and antibody titers against the four viruses included in the vaccine.

Despite improvements in care, T1D is a leading cause of debilitating complications and early death globally. Children with residual β cell function are at lower risk for severe hypoglycemia, have better diabetes regulation, and have lower insulin requirements compared to children without residual β cell function. Thus, a simple, cheap treatment to mitigate T1D is highly warranted.

Conditions

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Diabetes Mellitus, Type 1

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

In this double blind, placebo-controlled clinical trial participants are allocated to either influanza vaccination (active) or to placebo (control).
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
The following are masked in the study: Participant, Care Provider, Investigator, Outcomes Assessor.

The following are not masked: unblinded study nurses at participating sites randomizing participants in the eCRF system. The unblinded study nurses are not otherwise involved or participating in the study.

Study Groups

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Influenza vaccination

Influenza vaccine, 0.5 mL.

Group Type EXPERIMENTAL

Vaxigrip Tetra Sanofi Pasteur Europe

Intervention Type BIOLOGICAL

We will use 0.5 mL standard dose quadrivalent influenza vaccine containing 15 μg of hemagglutinin per strain consistent with WHO recommendations according to season.

Placebo

Placebo, 0.5 mL saline.

Group Type PLACEBO_COMPARATOR

Vaxigrip Tetra Sanofi Pasteur Europe

Intervention Type BIOLOGICAL

We will use 0.5 mL standard dose quadrivalent influenza vaccine containing 15 μg of hemagglutinin per strain consistent with WHO recommendations according to season.

Interventions

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Vaxigrip Tetra Sanofi Pasteur Europe

We will use 0.5 mL standard dose quadrivalent influenza vaccine containing 15 μg of hemagglutinin per strain consistent with WHO recommendations according to season.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Patients hospitalized with newly diagnosed type 1 diabetes mellitus.
* Written informed consent (parents, legal guardian).

Exclusion Criteria

* Influenza vaccination during the current influenza season.
* Strong indication for influenza vaccination for non-diabetic disease.
* Severe allergy to eggs or previous allergic reaction to influenza vaccine.
* Suspicion of febrile illness or acute, ongoing infection.
* Hypersensitivity to the active substances or ingredients of Vaxigrip Tetra or against any residues, such as eggs (ovalbumin or chicken proteins), neomycin, formaldehyde and octoxinol.
* Patients with endogenic or iatrogenic immunosuppression that may result in reduced immunization response.
* Inability to provide informed consent from a parent or legal guardian.
* Age \<7 or ≥18 years.
* Previous randomization in the INVITED trial.
Minimum Eligible Age

7 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aarhus University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Ole Frøbert, MD, PhD

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Aalborg University Hospital

Aalborg, , Denmark

Site Status RECRUITING

Aarhus University Hospital

Aarhus, , Denmark

Site Status RECRUITING

Steno Diabetes Center Copenhagen

Copenhagen, , Denmark

Site Status RECRUITING

Gødstrup Hospital

Herning, , Denmark

Site Status RECRUITING

Holbaek Sygehus

Holbæk, , Denmark

Site Status RECRUITING

Nykoebing F Sygehus

Nykøbing Falster, , Denmark

Site Status RECRUITING

Randers Regional Hospital

Randers, , Denmark

Site Status RECRUITING

Sjællands Universitetssygehus

Roskilde, , Denmark

Site Status RECRUITING

Slagelse Hospital

Slagelse, , Denmark

Site Status RECRUITING

Viborg Regional Hospital

Viborg, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Ole Frøbert, MD, PhD

Role: CONTACT

0046730895413

Mads F. Kjølby, MD, PhD

Role: CONTACT

004560866653

Facility Contacts

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Mette Madsen, MD

Role: primary

Kurt Kristensen, MD, PhD

Role: primary

Jesper Johannesen

Role: primary

Jesper S Hjelle, MD

Role: primary

Annie Ellermann

Role: primary

Tatjana Zaharov

Role: primary

Britta Kremke, MD

Role: primary

Annette Mouritsen

Role: primary

Birgitte Dolmer

Role: primary

Ditte Adolfsen, MD, PhD

Role: primary

References

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Pedersen IB, Kjolby M, Hjelholt AJ, Madsen M, Christensen AR, Adolfsen D, Hjelle JS, Kremke B, Stovring H, Jessen N, Vestergaard ET, Kristensen K, Frobert O. INfluenza VaccInation To mitigate typE 1 Diabetes (INVITED): a study protocol for a randomised, double-blind, placebo-controlled clinical trial in children and adolescents with recent-onset type 1 diabetes. BMJ Open. 2024 Jul 1;14(6):e084808. doi: 10.1136/bmjopen-2024-084808.

Reference Type DERIVED
PMID: 38950997 (View on PubMed)

Other Identifiers

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INVITED-2022

Identifier Type: -

Identifier Source: org_study_id

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