NCT06481904

Brief Summary

Stage 2 Type 1 Diabates (T1D) is an early stage of T1D characterized by dysglycemia but not yet leading to clinical symptoms. Progression of the disease to Stage 3 (clinical T1D), leads to overt hyperglycemia requiring eventually exogenous insulin. TZIELD® (teplizumab-mzwv) has been approved to delay onset of stage 3 T1D, by the United States (US) Food and Drug Administration (FDA) for adults and children aged 8 years and older with Stage 2 T1D. The purpose of this study is to collect general information on patients with stage 2 T1D and further information on the long-term effects of TZIELD® in patients with Stage 2 T1D, treated as per standard of care.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
200

participants targeted

Target at P75+ for all trials

Timeline
127mo left

Started Sep 2024

Longer than P75 for all trials

Geographic Reach
1 country

37 active sites

Status
recruiting

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 Progress15%
Sep 2024Jan 2037

First Submitted

Initial submission to the registry

June 26, 2024

Completed
5 days until next milestone

First Posted

Study publicly available on registry

July 1, 2024

Completed
3 months until next milestone

Study Start

First participant enrolled

September 27, 2024

Completed
12.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 15, 2037

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 15, 2037

Last Updated

April 13, 2026

Status Verified

April 1, 2026

Enrollment Period

12.3 years

First QC Date

June 26, 2024

Last Update Submit

April 10, 2026

Conditions

Outcome Measures

Primary Outcomes (5)

  • Number of adverse events of special interests (AESI)

    Presence of AESIs including cytokine release syndrome (CRS), serious infections, hypersensitivity reactions, lymphoproliferative disorders, and malignancies

    Throughout the study, approximately 10 years

  • Number of serious adverse events (SAE)

    Throughout the study, approximately 10 years

  • Number of adverse events (AE) in mothers, fetuses, and infants exposed to TZIELD during pregnancy

    From start of pregnancy to 12 months post-partum

  • Number of maternal pregnancy-related events

    From start of pregnancy to 12 months post-partum

  • Developmental outcomes of the infant

    From birth of infant to 12 months

Study Arms (2)

TZIELD group

Patients prior to the initiation of TZIELD treatment or initiated TZIELD treatment within 6 months to study enrollment

Drug: TZIELD (teplizumab-mzwv)

Comparator group

Patients not planned to be treated

Interventions

This study will not administer any treatment, only observe the treatment as prescribed in real-world clinical practice.

TZIELD group

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

Patients in the US diagnosed with Stage 2 Type 1 Diabetes

You may qualify if:

  • TZIELD-Exposed Cohort
  • Patients in the US diagnosed with Stage 2 T1D who are planned to initiate TZIELD treatment according to the currently approved label or who have initiated TZIELD treatment within 6 months prior to enrollment:
  • Day 1: 65 mcg/m2
  • Day 2: 125 mcg/m2
  • Day 3: 250 mcg/m2
  • Day 4: 500 mcg/m2
  • Days 5 through 14: 1,030 mcg/m2 per day
  • Cumulative dose is approximately 11,240 mcg/m2
  • Appropriate written informed consent/assent as applicable for the age of the patient
  • TZIELD-Unexposed Cohort
  • Patients in the US diagnosed with Stage 2 T1D but who are not treated with TZIELD
  • Appropriate written informed consent/assent as applicable for the age of the patient

You may not qualify if:

  • Patients who initiated TZIELD treatment more than 6 months prior to enrollment
  • Patients who had participated in a previous clinical trial for TZIELD
  • Patients in an ongoing clinical trial of an investigational product or who had ended participation within 6 months prior to study enrollment; patients participating in other observational studies may be enrolled
  • The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (37)

University of California Los Angeles Health- Site Number : 8400020

Los Angeles, California, 90095, United States

RECRUITING

University of California San Francisco - Mission Bay- Site Number : 8400005

San Francisco, California, 94158, United States

RECRUITING

University of Colorado Hospital- Site Number : 8400026

Aurora, Colorado, 80045, United States

RECRUITING

Yale University School of Medicine- Site Number : 8400025

New Haven, Connecticut, 06510, United States

RECRUITING

University of Florida Health- Site Number : 8400035

Gainesville, Florida, 32610, United States

RECRUITING

Nemours Children's Speciality Care- Jacksonville- Site Number : 8400006

Jacksonville, Florida, 32207, United States

RECRUITING

University of Miami Miller School of Medicine- Site Number : 8400037

Miami, Florida, 33136, United States

RECRUITING

Nicklaus Children's Hospital - Miami - Southwest 62nd Avenue- Site Number : 8400034

Miami, Florida, 33155, United States

RECRUITING

University of South Florida- Site Number : 8400022

Tampa, Florida, 33612, United States

RECRUITING

Midtown Medical Center - Columbus- Site Number : 8400013

Columbus, Georgia, 31901, United States

RECRUITING

University of Chicago Medical Center- Site Number : 8400017

Chicago, Illinois, 60637, United States

RECRUITING

Indiana University Health Riley Hospital for Children- Site Number : 8400004

Indianapolis, Indiana, 46202, United States

RECRUITING

Norton Brownsboro Hospital- Site Number : 8400030

Louisville, Kentucky, 40241, United States

RECRUITING

Johns Hopkins School of Medicine- Site Number : 8400031

Baltimore, Maryland, 21205, United States

RECRUITING

University of Michigan Health System - Ann Arbor- Site Number : 8400028

Ann Arbor, Michigan, 48109, United States

RECRUITING

Associated Endocrinologists, PC- Site Number : 8400039

Farmington Hills, Michigan, 48334, United States

RECRUITING

Corewell Health - Grand Rapids - Michigan Street Northeast- Site Number : 8400009

Grand Rapids, Michigan, 49503, United States

RECRUITING

Mayo Clinic- Site Number : 8400010

Rochester, Minnesota, 55902, United States

RECRUITING

Children's Mercy Adelle Hall Campus- Site Number : 8400014

Kansas City, Missouri, 64108, United States

RECRUITING

Women & Children's Hospital of Buffalo- Site Number : 8400018

Buffalo, New York, 14222, United States

RECRUITING

Feinstein Institute for Medical Research (Northwell)- Site Number : 8400016

Manhasset, New York, 11030, United States

RECRUITING

Ten's Medical PC- Site Number : 8400027

Staten Island, New York, 10306, United States

RECRUITING

SUNY Upstate Medical University - Syracuse- Site Number : 8400007

Syracuse, New York, 13210, United States

RECRUITING

UNC Children's Hospital- Site Number : 8400008

Chapel Hill, North Carolina, 27514, United States

RECRUITING

Cincinnati Children's Hospital Medical Center- Site Number : 8400024

Cincinnati, Ohio, 45229, United States

RECRUITING

Rainbow Babies And Children's Hospital- Site Number : 8400011

Cleveland, Ohio, 44106, United States

RECRUITING

The Ohio State University- Site Number : 8400032

Columbus, Ohio, 43210, United States

RECRUITING

Hospital of The University of Pennsylvania- Site Number : 8400021

Philadelphia, Pennsylvania, 19104, United States

RECRUITING

The Children's Hospital of Philadelphia- Site Number : 8400029

Philadelphia, Pennsylvania, 19104, United States

RECRUITING

AM Diabetes & Endocrinology Center- Site Number : 8400012

Bartlett, Tennessee, 38133, United States

RECRUITING

Vanderbilt University Medical Center- Site Number : 8400023

Nashville, Tennessee, 37232, United States

RECRUITING

Texas Diabetes & Endocrinology - Austin - North Mopac Expressway- Site Number : 8400040

Austin, Texas, 78731, United States

RECRUITING

University of Texas - Southwestern Medical Center- Site Number : 8400003

Dallas, Texas, 75390, United States

RECRUITING

Cook Children's- Site Number : 8400038

Fort Worth, Texas, 76104, United States

RECRUITING

Texas Children's Hospital- Site Number : 8400002

Houston, Texas, 77030, United States

RECRUITING

University of Utah Health Hospital- Site Number : 8400019

Salt Lake City, Utah, 84132, United States

RECRUITING

United BioSource Corporation- Site Number : 8400001

Morgantown, West Virginia, 26505, United States

RECRUITING

MeSH Terms

Conditions

Diabetes Mellitus, Type 1

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesAutoimmune DiseasesImmune System Diseases

Study Officials

  • Clinical Sciences & Operations

    Sanofi

    STUDY DIRECTOR

Central Study Contacts

Trial Transparency email recommended (Toll free for US & Canada)

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 26, 2024

First Posted

July 1, 2024

Study Start

September 27, 2024

Primary Completion (Estimated)

January 15, 2037

Study Completion (Estimated)

January 15, 2037

Last Updated

April 13, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will share

Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Locations