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Monoclonal Antibody

Stem Cell Mobilization + Immunotherapy for Type 1 Diabetes

Phase 1 & 2
Waitlist Available
Led By James Shapiro, MD, PhD
Research Sponsored by University of Alberta
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patient is aged 18-45
One or more positive autoantibodies (GAD, ICA512, IA2A, ZnT8, mIAA) to confirm T1DM
Timeline
Screening 3 weeks
Treatment Varies
Follow Up month 3, 6, 9, 12, 18 and 24
Awards & highlights

Study Summary

This trial is based on the "immunological reset" approach to treat type 1 diabetes. T-depletion therapy and anti-inflammatory treatment will restore self-tolerance in T1DM patients. Autologous, peripheral-blood mobilized hematopoietic CD34+-enriched stem cells and a long-acting GLP-1 analogue will promote pancreatic islet regeneration and repair.

Who is the study for?
This trial is for adults aged 18-45 with recent-onset Type 1 Diabetes, confirmed by specific autoantibodies and some remaining insulin production. Participants must understand the study risks and consent to join. Exclusions include active infections, pregnancy or breastfeeding, substance abuse, certain psychiatric disorders, recent drug trials or surgeries, severe organ dysfunction, extreme anemia or uncontrolled diseases.Check my eligibility
What is being tested?
The trial tests a combination of therapies in Type 1 Diabetes: T-cell depletion (Alemtuzumab), anti-inflammatory drugs (Anakinra and Etanercept), stem cell mobilization (Plerixafor) to regenerate pancreatic cells, and Liraglutide to promote repair. The goal is better preservation of insulin secretion without long-term immune suppression.See study design
What are the potential side effects?
Potential side effects may include immune system reactions from Alemtuzumab leading to infusion-related symptoms; Anakinra and Etanercept might cause injection site reactions or increase infection risk; Plerixafor could result in gastrointestinal issues; Liraglutide may cause nausea or pancreatitis.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am between 18 and 45 years old.
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I have tested positive for one or more autoantibodies confirming Type 1 Diabetes.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~month 3, 6, 9, 12, 18 and 24
This trial's timeline: 3 weeks for screening, Varies for treatment, and month 3, 6, 9, 12, 18 and 24 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Change of 2-hour mixed meal stimulated C-peptide AUC
Rate of Serious Adverse Event/Medical Event of Special Interest
Secondary outcome measures
"Responder" status
Autoantibodies associated with T1DM
Exogenous insulin usage
+6 more

Side effects data

From 2017 Phase 4 trial • 8 Patients • NCT01395316
13%
Hypothyroidism
100%
80%
60%
40%
20%
0%
Study treatment Arm
Alemtuzumab

Trial Design

2Treatment groups
Experimental Treatment
Group I: Treated armExperimental Treatment5 Interventions
For participants assigned to the treated arm, they will follow study regime below: Intervention treatment will last from Day 0 up to Month 24. Day 0: Subjects will receive alemtuzumab (30mg iv single dose); anakinra (100 mg sc.); etanercept (50 mg sc.) and liraglutide (0.6 mg sc.). Day 1: Subjects will receive plerixafor (0.24 mg/kg/day) sc. to mobilize CD34+ stem cells to peripheral blood. Day 1: Continuing with anakinra 100mg sc. daily for 12 month; etanercept 50mg sc. twice weekly for first 3 months, and 50mg sc. weekly for another 9 months; liraglutide 0.6 mg sc. daily for 7 days, then 1.2 mg sc. daily (or up to 1.8mg daily) as tolerated for 24 months.
Group II: Control armExperimental Treatment5 Interventions
For participant assigned to the control arm, they will be monitored and tested for the first 12 months, and receive intervention treatment from Month 12 up to Month 24. Month 12: Subjects will receive alemtuzumab (30mg iv single dose); anakinra (100 mg sc.); etanercept (50 mg sc.) and liraglutide (0.6 mg sc.). Month 12 + 1 day: Subjects will receive plerixafor (0.24 mg/kg/day) sc.. Month 12 + 1 day: Continuing with anakinra 100mg sc. daily for 12 month; etanercept 50mg sc. twice weekly for first 3 months, and 50mg sc. weekly for another 9 months; liraglutide 0.6 mg sc. daily for 7 days, then 1.2 mg sc. daily (or up to 1.8mg daily) as tolerated for 12 months.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Plerixafor
2011
Completed Phase 3
~720
Alemtuzumab
2004
Completed Phase 4
~1890
Anakinra
2016
Completed Phase 4
~2240
Etanercept
2005
Completed Phase 4
~4740
Liraglutide
2013
Completed Phase 4
~2680

Find a Location

Who is running the clinical trial?

University of AlbertaLead Sponsor
888 Previous Clinical Trials
384,898 Total Patients Enrolled
Alberta Innovates Health SolutionsOTHER
52 Previous Clinical Trials
94,185 Total Patients Enrolled
James Shapiro, MD, PhDPrincipal InvestigatorUniversity of Alberta
8 Previous Clinical Trials
227 Total Patients Enrolled

Media Library

Alemtuzumab (Monoclonal Antibody) Clinical Trial Eligibility Overview. Trial Name: NCT03182426 — Phase 1 & 2
Alemtuzumab (Monoclonal Antibody) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03182426 — Phase 1 & 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are people still being accepted into the experimental group for this research?

"According to the latest information on clinicaltrials.gov, this trial is not looking for any more participants at present time. The study was originally posted on August 15th, 2017 and updated as recently as July 6th, 2022. Although this particular trial isn't seeking patients right now, there are 1,457 other studies that are actively recruiting candidates."

Answered by AI

How many test subjects are a part of this research?

"This study is not recruiting at the moment, as per the latest update on July 6th, 2022. The clinical trial was first posted on August 15th, 2017. However, there are many other trials seeking patients with diabetes and autoimmune disorders that you may be eligible for. For example, there are presently 1304 trials actively looking for participants with diabetes and 153 studies for Alemtuzumab admitting patients."

Answered by AI

What other drugs has Alemtuzumab been tested with in clinical trials?

"As of now, there are 153 ongoing clinical trials for Alemtuzumab. Out of these, 28 have reached Phase 3. Most of the research teams conducting these studies are based in Philadelphia, Pennsylvania; although, in total, there are 1454 locations where these trials are taking place."

Answered by AI

Would I be a good candidate for this clinical trial?

"Up to 60 patients that have diabetes and an autoimmune disease, between the ages of 18-45, can be enrolled in this study. The most crucial requirements for candidates are as follows: being free from any condition which would rule them out at PI's discretion and being within the age range of 18-45."

Answered by AI

What are the most frequent indications for Alemtuzumab?

"Alemtuzumab is most frequently used to combat cardiovascular disease (cvd), but it can also be used as part of a treatment plan for systemic juvenile idiopathic arthritis (sjia), neonatal-onset multisystem inflammatory disease (nomid) and for hematopoietic stem cell mobilization therapy."

Answered by AI

Can young adults participate in this research project?

"If patients meet the age requirement of 18 to 45 years old, they may be eligible for this clinical trial. However, there are 272 trials specifically designed for people under 18 and 1073 trials meant for those over 65."

Answered by AI
~1 spots leftby Jul 2024