Incretin-based Therapy in Late Preclinical Type 1 Diabetes
4 other identifiers
interventional
13
2 countries
4
Brief Summary
The objective of the trial is to study whether daily treatment with liraglutide improves endogenous insulin secretion, postpones progression to overt Type 1 diabetes, and is tolerable and safe in subjects aged 10-30 years, who are positive for multiple islet autoantibodies and have dysglycemia.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Mar 2016
Longer than P75 for phase_2
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2016
CompletedFirst Submitted
Initial submission to the registry
September 7, 2016
CompletedFirst Posted
Study publicly available on registry
September 13, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2021
CompletedJanuary 25, 2022
January 1, 2022
5.3 years
September 7, 2016
January 7, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
FPIR (1+3min serum insulin level after iv glucose infusion)
First phase insulin response during 10-min IVGTT (intravenous glucose tolerance test)
12 months
Secondary Outcomes (3)
Safety: serum and urine amylase, serum lipase, serum calcitonin, hypoglycemia
12 months
Tolerability
12 months
Serum C-peptide AUC
12 months
Study Arms (2)
Liraglutide
ACTIVE COMPARATORSubjects with multiple islet autoantibodies and dysglycemia and aged 10-30 years are treated with Victoza®
Placebo
PLACEBO COMPARATORSubjects with multiple islet autoantibodies and dysglycemia and aged 10-30 years are treated with placebo
Interventions
Daily subcutaneous injections with increasing doses up to 1.8 mg per day. Duration of treatment 6 months and thereafter follow-up of 6 months.
Daily subcutaneous injections with increasing doses up to 1.8 mg per day. Duration of treatment 6 months and thereafter follow-up of 6 months.
Eligibility Criteria
You may qualify if:
- years of age
- positive for at least 2 islet autoantibodies
- glucose intolerance or dysglycemia: impaired glucose tolerance (IGT, 2-hour p-gluc 7.8-11.0mmol/l), or impaired fasting glucose (IFG, fp-gluc 6.1-6.9mmol/l), and/or 10% rise in HbA1c since the last measurement (2 - 12 mo ago), and/or p-gluc at least 11.1mmol/l at 30, 60 or 90 min during OGTT
- not pregnant
You may not qualify if:
- allergic to liraglutide or other ingredients of Victoza
- type 1 diabetes
- diabetic ketoacidosis
- previous treatment in the last three months with any antidiabetic medication
- impaired liver or kidney function or on dialysis
- severe heart failure
- severe stomach or gut problem resulting in gastroparesis, or inflammatory bowel disease
- past or current history of pancreatitis
- serum calcitonin value above normal (\>50 ng/l or at least 3.4pmol/l)
- presence of any chronic metabolic, hematologic or malignant disease
- obesity BMI at least 30
- pregnant females and females of childbearing potential who are not using adequate contraceptive methods.
- breast-feeding
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Oululead
- Oulu University Hospitalcollaborator
- Tampere University Hospitalcollaborator
- Turku University Hospitalcollaborator
- Skane University Hospitalcollaborator
Study Sites (4)
University of Oulu and Oulu University Hospital, Dept of Children and Adolescents
Oulu, 90029, Finland
University of Tampere and Tampere University Hospital
Tampere, 33520, Finland
University of Turku and Turku University Hospital
Turku, 20520, Finland
Lund University and Skåne University Hospital
Malmo, 205 02, Sweden
Related Publications (1)
Kero J, Koskenniemi JJ, Karsikas S, Pokka T, Lou O, Toppari J, Veijola R. INnoVative trial design for testing the Efficacy, Safety and Tolerability of 6-month treatment with incretin-based therapy to prevent type 1 DIAbetes in autoantibody positive participants: A protocol for three parallel double-blind, randomised controlled trials (INVESTDIA). Diabet Med. 2022 Oct;39(10):e14913. doi: 10.1111/dme.14913. Epub 2022 Jul 22.
PMID: 35797241DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Riitta Veijola, MD
University of Oulu
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
September 7, 2016
First Posted
September 13, 2016
Study Start
March 1, 2016
Primary Completion
June 1, 2021
Study Completion
June 1, 2021
Last Updated
January 25, 2022
Record last verified: 2022-01