Type 1 diabetes MedDRA version: 18.1 Level: LLT Classification code 10045228 Term: Type I diabetes mellitus System Organ Class: 100000004861
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: The subjects are 18-30 years of age, positive for at least 2 islet autoantibodies, have normal glucose tolerance in OGTT and are not pregnant. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 42 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Principal exclusion criteria are: • type 1 diabetes • previous treatment in the last three months with any antidiabetic medication • impaired liver or kidney function • past or current history of pancreatitis • serum calcitonin value above normal (>50 ng/l) • presence of any chronic metabolic, hematologic or malignant disease • obesity BMI =30 • pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The main objective of the trial is to study whether daily treatment with liraglutide improves insulin secretion and glucose metabolism, and whether liraglutide treatment is tolerable and safe in subjects with preclinical type 1 diabetes aged 18-30 years. ;Secondary Objective: In addition, the effect of daily liraglutide treatment on immunological variables will be studied. The rate of progression to dysglycaemia and overt diabetes will also be closely monitored. ;Primary end point(s): Primary end points (1-3) are: 1) serum C-peptide area under the curve (AUC) during 2-hour OGTT 2) first phase insulin response (FPIR = 1 + 3 min serum insulin) during 10-min IVGTT 3) serum insulin AUC during 10-min IVGTT ;Timepoint(s) of evaluation of this end point: Timepoints for evaluation of primary end points (1-3) are: 1) 2 weeks before start of treatment and 4 wk, and 4, 6, 9, 12, 18 and 24 months after start of treatment 2) At the start of treatment and 2 mo, 6 mo + 2 wk, 12 mo + 2 wk and 24 mo + 2 wk after start of treatment 3) At the start of treatment and 2 mo, 6 mo + 2 wk, 12 mo + 2 wk and 24 mo + 2 wk after start of treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Secondary end points (1-6) are: 1) safety: serum and urine amylase, serum lipase, serum calcitonin, hypoglycemia 2) tolerability: frequency of gastrointestinal side effects (diarrhea, nausea, vomiting) 3) plasma glucose variability during continuous glucose monitoring (CGM) 4) HbA1c 5) proportion of subjects diagnosed with dysglycemia or type 1 diabetes 6) time to the development of dysglycemia or type 1 diabetes from the start of the trial drug ;Timepoint(s) of evaluation of this end point: Timepoints for evaluation of secondary end points (1-6) are: 1) 2 weeks before start of treatment, at the start of treatment, 4 wk, 2 months, 4 mo, 6 mo + 2 wk, 9 mo, 12 mo, 18 mo and 24 mo + 2 wk after start of treatment 2) 1, 2, 3, 4 wk and 2, 4, 6, 9, 12, 18, 24 mo after start of treatment 3) 2 wk before start of treatment and 6, 12 and 24 mo after start of treatment 4) 2 wk before start of treatment and 4 wk, and 2, 4, 6, 9, 12, 18 and 24 mo after start of treatment 5) 2 wk before start of treatment and 4 wk, and 4, 6, 9, 12, 18 and 24 mo after start of treatment 6) 2 wk before start of treatment and 4 wk, and 4, 6, 9, 12, 18 and 24 mo after start of treatment | — |
Countries
Finland
Contacts
University of Oulu