prevention of type 1 diabetes mellitus in subjects at risk for T1DM MedDRA version: 9.1 Level: LLT Classification code 10045228 Term: Type I diabetes mellitus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. have a proband with T1Dm 2. if the proband is a first degree relative the partecipant must be 3-45 years of age. If the proband is a second or third degree relative the partecipant must be 3-20 years of age. 3. OGTT performed within 7 weeks prior to randomization with: fasting plasma glucose =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. does not satisfy the above inclusion criteria. 2. has severe active disease. 3. prior partecipation in a trial for prevention of T1DM. 4. ongoing use of medications known to influence glucose. 5. Pregnant women or lactating. 6. OGTT that reveals diabetes, Impaired glucose tolerance (IGT) or impaired fasting glucose (IFG) 7. sunject has HLADQA1*0102,HLADQB1*0602.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: determine whether intervention with repeated oral administration of recombinant human insulin will prevent or delay the development of clinical type 1 Diabetes Mellitus (T1DM) in non diabetic relatives of patients with T1DM who are positive for insulin autoantibodies but who do not have a metabolic defect. This intervention wil be compared with placebo given in a double-masked fashion.;Secondary Objective: Description of the effects of treatment with oral insulin versus placebo in other catgories of subjects defined using different combinations of autoantibodies and metabolic status (The Secondary Analysis Strata)and an assesment of the consistency of treatment effect among strata. Assesment of the effects of treatment on immunologic and metabolic markers.;Primary end point(s): elapsed time from random treatment assignment to the development of diabetes among those enrolled in the primary analysis cohort consisting of subjects with insulin autoimmunity and absence of metabolic abnormality. | — |
Countries
Finland, Germany, Italy, Sweden, United Kingdom