Imatinib Treatment in Recent Onset Type 1 Diabetes Mellitus
Safety and Efficacy of Imatinib for Preserving Beta-Cell Function in New-Onset Type 1 Diabetes Mellitus
Sponsor study identifier
interventional
67
2 countries
9
Study Start
January 2014
Actual (reported)Primary Completion
May 2017
Actual (reported)Study Completion
May 2018
Actual (reported)Type 1 diabetes mellitus (T1DM) results from the autoimmune destruction of insulin-producing ß cells. Although exogenous insulin is widely available, it is not possible for affected individuals to consistently achieve euglycemia with current technology, and thus they are at risk for devastating long-term complications. This phase II study is designed to evaluate the safety and efficacy of imatinib mesylate as a novel therapy for new-onset T1DM. Imatinib is a first-in-class tyrosine kinase inhibitor. This study will explore the potential role of short-term therapy with imatinib to induce tolerance and possibly lead to a durable long-term remission of T1DM.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
May 2018
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
January 17, 2013
Actual (reported)February 1, 2013
Actual (reported)January 2014
Actual (reported)May 2017
Actual (reported)May 2018
Actual (reported)August 8, 2018
Actual (reported)Area Under the Stimulated C-peptide Curve (AUC) Mean Over the First 2 Hours of a 4 Hour Mixed Meal Tolerance Test at the 1 Year Visit
The primary outcome of each participant is the area under the stimulated c-peptide curve (AUC) mean based on data collected at time 0 to 2 hours of a 4-hour mixed meal tolerance test (MMTT) conducted at the primary endpoint visit. The timed measurements are done at: 0, 15, 30, 60, 90, and 120 minutes. The term "AUC mean" comes from the mean value theorem in calculus. It is the value on the scale of the y-axis that is equal to the AUC divided by the range on the x-axis (in this case 120 minutes).
Visit 9 (Week 52) at 0, 15, 30, 60, 90, 120 minutes post-dose
Area Under the Stimulated C-peptide Curve (AUC) Mean Over 4 Hours at 24 Months
Visit 13 (Week 104)
400 mg imatinib given once daily basis.
Placebo given once daily basis.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
University of California-San Francisco
San Francisco, California, 94143, United States
Barbara Davis Center
Aurora, Colorado, 80045, United States
Emory University
Atlanta, Georgia, 30322, United States
Indiana University
Indianapolis, Indiana, 46202, United States
University of Iowa
Iowa City, Iowa, 52242, United States
Joslin Diabetes Center
Boston, Massachusetts, 02215, United States
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
Gitelman SE, Bundy BN, Ferrannini E, Lim N, Blanchfield JL, DiMeglio LA, Felner EI, Gaglia JL, Gottlieb PA, Long SA, Mari A, Mirmira RG, Raskin P, Sanda S, Tsalikian E, Wentworth JM, Willi SM, Krischer JP, Bluestone JA; Gleevec Trial Study Group. Imatinib therapy for patients with recent-onset type 1 diabetes: a multicentre, randomised, double-blind, placebo-controlled, phase 2 trial. Lancet Diabetes Endocrinol. 2021 Aug;9(8):502-514. doi: 10.1016/S2213-8587(21)00139-X. Epub 2021 Jun 29.
Robertson MA, Padgett LR, Fine JA, Chopra G, Mastracci TL. Targeting polyamine biosynthesis to stimulate beta cell regeneration in zebrafish. Islets. 2020 Sep 2;12(5):99-107. doi: 10.1080/19382014.2020.1791530. Epub 2020 Jul 25.
FDA did not approve for hold on enrollment of pediatric population to be lifted; only adult population was recruited.
Stephen E Gitelman, MD
University of California, San Francisco
67 participants (actual enrollment reported by the registry).
First Submitted
January 17, 2013
First Posted
February 1, 2013
Study Start
January 2014
Actual (reported)Change in HbA1c Levels Over Time
Visit 9 (Week 52) and Visit 13 (Week 104)
Change in Insulin Dose (Units/kg) Over Time
Visit 9 (Week 52) and Visit 13 (Week 104)
Number of Severe Hypoglycemic Events
Visit 0 (Week 0), Visit 9 (Week 52), and Visit 13 (Week 104)
Number of Adverse Events
Adverse Events will be assessed at Visit 0 (week 0), Visit 1 (Week 2), Visit 2 (Week 4), and every month thereafter.
Contact the study team to confirm eligibility.
University of Texas Southwestern
Dallas, Texas, 75390, United States
Walter and Eliza Hall Institute of Medical Research
Melbourne, Victoria, 3050, Australia
Primary Completion
May 2017
Actual (reported)Study Completion
May 2018
Actual (reported)Last Updated
February 11, 2020
Results First Posted
August 8, 2018
Record last verified: 2020-02
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Source: ClinicalTrials.gov.
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