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Hydroxychloroquine in Individuals At-risk for Type 1 Diabetes Mellitus (TN-22)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03428945
Recruitment Status : Recruiting
First Posted : February 12, 2018
Last Update Posted : July 29, 2021
Sponsor:
Collaborator:
Juvenile Diabetes Research Foundation
Information provided by (Responsible Party):
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Brief Summary:
The study is a 2-arm, double blinded, multicenter, 2:1 randomized, placebo controlled clinical trial. Subjects will receive hydroxychloroquine or placebo and close monitoring for progression of T1D.

Condition or disease Intervention/treatment Phase
Type1 Diabetes Mellitus Drug: Hydroxychloroquine Drug: Placebo Phase 2

Detailed Description:

This study is testing a medication, called hydroxychloroquine (HCQ) to assess safety and effectiveness to prevent individuals at risk of type 1 diabetes (T1D) from progressing to type 1 diabetes.

HCQ is approved by the U.S. Food and Drug Administration as a treatment for malaria, lupus, and rheumatoid arthritis. HCQ has been used extensively for treatment of autoimmune disease in adults, children, and during pregnancy. This medication has not previously been studied as a treatment to prevent T1D.

The goal of this study is to learn if HCQ can help prevent or delay progression from normal glucose tolerance (Stage 1) to abnormal glucose tolerance (Stage 2) or type 1 diabetes (Stage 3).

The study involves 5 visits in the first 6 months, then 1 visit every 6 months for the remainder of the study.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 201 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Treatment assignment (active drug: placebo) will be assigned in a parallel, randomized, 2:1 model. Assignment will be stratified based on prior treatment for T1D prevention and age.
Masking: Double (Participant, Investigator)
Masking Description: Active drug and placebo will be identical in appearance and packaging
Primary Purpose: Prevention
Official Title: Hydroxychloroquine for Prevention of Abnormal Glucose Tolerance and Diabetes in Individuals At-risk for Type 1 Diabetes Mellitus (T1D)
Actual Study Start Date : August 15, 2018
Estimated Primary Completion Date : August 2024
Estimated Study Completion Date : August 2024

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Diabetes Type 1

Arm Intervention/treatment
Experimental: Hydroxychloroquine
Hydroxychloroquine compound for oral use
Drug: Hydroxychloroquine
Hydroxychloroquine for oral administration, dosed by weight
Other Name: Plaquenil

Placebo Comparator: Placebo
Placebo tablet matching active drug
Drug: Placebo
Placebo tablet identical to active drug
Other Name: Inactive Drug




Primary Outcome Measures :
  1. Change from Treatment Assignment Glucose Tolerance to Abnormal Glucose Tolerance or Diabetes [ Time Frame: Glucose tolerance is measured every 6 months for approximately 6 years ]
    The primary outcome is the time from treatment assignment to changes in glucose tolerance. The time to development of abnormal glucose tolerance or the diagnosis of type 1 diabetes will be measured to identify these changes.



Information from the National Library of Medicine

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Ages Eligible for Study:   3 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Participant in TrialNet Pathway to Prevention Study (TN01)
  2. Age 3 years or greater at the time of randomization
  3. Willing to provide informed consent
  4. Normal glucose tolerance by OGTT within 7 weeks (no more than 52 days) of baseline
  5. Two or more diabetes-related autoantibodies present on two separate samples
  6. Weight of 12 kg or greater at screening
  7. If a female participant with reproductive potential, willing to avoid pregnancy and undergo pregnancy testing prior to randomization and at each study visit
  8. Anticipated ability to swallow study medication.

Exclusion Criteria:

  1. Abnormal Glucose Tolerance or Diabetes
  2. History of treatment with insulin or other diabetes therapies
  3. Ongoing use of medications known to influence glucose tolerance
  4. Ongoing or anticipated future use of medications known to have untoward interactions with hydroxychloroquine
  5. Known hypersensitivity to 4-aminoquinoline compounds
  6. G6PD deficiency
  7. History of retinopathy
  8. Have an active infection at time of randomization
  9. Have serologic evidence of current or past HIV, Hepatitis B (positive for Hepatitis B core antibody or surface antigen), or Hepatitis C infection
  10. Deemed unlikely or unable to comply with the protocol or have any complicating medical issues, including prolonged QT interval, a disease previously or likely in the future to require immunosuppression, or abnormal clinical laboratory results that interfere with study conduct or cause increased risk.
  11. Deemed unlikely or unable to comply with the protocol or have any complicating medical issues, including prolonged QT interval, a disease previously or likely in the future to require immunosuppression, or abnormal clinical laboratory results that interfere with study conduct or cause increased risk.
  12. Be pregnant or breastfeeding.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03428945


Contacts
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Contact: Lisa Rafkin 305-243-6146 lrafkin@miami.edu
Contact: Ryan O'Donnell 813-396-9551 Ryan.O'Donnell@epi.usf.edu

Locations
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United States, California
Children's Hospital Los Angeles Recruiting
Los Angeles, California, United States, 90027
Contact: Daniel Bisno    323-361-8641    dbisno@chla.usc.edu   
Principal Investigator: Roshanak Monzavi, MD         
University of California - San Francisco Recruiting
San Francisco, California, United States, 94143
Contact: Rebecca Wesch    415-476-5984    rebecca.wesch@ucsf.edu   
Contact: Karen Ko    415-514-3730    karen.ko@ucsf.edu   
Principal Investigator: Stephen Gitelman, MD         
Stanford University Recruiting
Stanford, California, United States, 94305
Contact: Trudy Esrey    650-498-4450    tesrey@stanford.edu   
Principal Investigator: Darrell Wilson, MD         
United States, Colorado
Barbara Davis Center Recruiting
Aurora, Colorado, United States, 80045
Contact: Brenda Bradfield    303-724-8595    brenda.bradfield@CUANSCHUTZ.EDU   
Principal Investigator: Andrea Steck, MD         
United States, Connecticut
Yale University School of Medicine Recruiting
New Haven, Connecticut, United States, 06519
Contact: Laurie Feldman    203-737-2760    laurie.feldman@yale.edu   
Principal Investigator: Kevan Herold, MD         
United States, Florida
University of Florida Recruiting
Gainesville, Florida, United States, 32610
Contact: Jennifer Hosford    352-294-5759    jennifer.hosford@medicine.ufl.edu   
Contact: Paula Towe    352-294-5761    pdtowe@peds.ufl.edu   
Principal Investigator: Desmond Schatz, MD         
University of Miami Recruiting
Miami, Florida, United States, 33136
Contact: Della Matheson    305-243-3781    dmatheso@med.miami.edu   
Contact: Natalia Sanders-Branca    305-243-6616    n.sanders1@med.miami.edu   
Principal Investigator: David Baidal, MD         
USF Diabetes Center Recruiting
Tampa, Florida, United States, 33612
Contact: Juanita O'Brian    813-974-9817    jobrian@usf.edu   
Principal Investigator: Henry Rodriguez, MD         
United States, Georgia
Emory Children's Center Recruiting
Atlanta, Georgia, United States, 30322
Contact: Margaret Jenkins    404-712-0051    mjenk03@emory.edu   
Principal Investigator: Andrew Muir, MD         
United States, Idaho
St. Luke's Humphreys Diabetes Center Recruiting
Boise, Idaho, United States, 83702
Contact: Laurie Cartwright    208-381-8177    cartwril@slhs.org   
Principal Investigator: Daniel Flynn, MD         
Rocky Mountain Clinical Research Recruiting
Idaho Falls, Idaho, United States, 83404
Contact: Kimberly Barbieri    208-528-9643    kimberly.barbieri@idahomed.com   
Principal Investigator: David Liljenquist         
United States, Illinois
University of Chicago Recruiting
Chicago, Illinois, United States, 60637
Contact: Gail Gannon    773-702-3853    ggannon@uchicago.edu   
Principal Investigator: Louis Philipson, MD         
United States, Indiana
Indiana University - Riley Hospital for Children Recruiting
Indianapolis, Indiana, United States, 46202
Contact: Maria Spall    317-278-8879    malnicho@iu.edu   
Principal Investigator: Linda DiMeglio, MD         
United States, Iowa
University of Iowa Recruiting
Iowa City, Iowa, United States, 52242
Contact: Joanne Cabbage    319-335-7434    joanne-cabbage@uiowa.edu   
Principal Investigator: Michael Tansey, MD         
United States, Kentucky
University of Kentucky/UK Healthcare Recruiting
Lexington, Kentucky, United States, 40504
Contact: Kathy Edwards    859-218-6717    kathy.edwards@uky.edu   
Principal Investigator: Kathryn Thrailkill, MD         
University of Louisville Pediatric Endocrinology Recruiting
Louisville, Kentucky, United States, 40202
Contact: Stephany Eubanks    502-588-0491    slhine01@exchange.louisville.edu   
Principal Investigator: Kupper Wintergerst, MD         
United States, Massachusetts
Joslin Diabetes Center Recruiting
Boston, Massachusetts, United States, 02215
Contact: Nora Bryant    617-309-4141    nora.bryant@joslin.harvard.edu   
Principal Investigator: Jason Gaglia, MD         
United States, Michigan
University of Michigan Health System Recruiting
Ann Arbor, Michigan, United States, 48109
Contact: Andrea Haddad    734-615-4079    ashaddad@med.umich.edu   
Principal Investigator: Inas Thomas, MD         
United States, Minnesota
University of Minnesota Recruiting
Minneapolis, Minnesota, United States, 55455
Contact: Jane Kennedy    612-624-0343    kenne634@umn.edu   
Contact: Janice Leschyshyn    612-626-8467    lesch004@umn.edu   
Principal Investigator: Toni Moran, MD         
United States, Missouri
The Children's Mercy Hospital Recruiting
Kansas City, Missouri, United States, 64108
Contact: Lacey Deardoff    816-960-8943    lrdeardoff@cmh.edu   
Principal Investigator: Wayne Moore, MD         
United States, Nevada
Palm Research Center, Inc. Recruiting
Las Vegas, Nevada, United States, 89148
Contact: Natasha Sushenko    702-736-5161    natasha@palmresearchcenter.com   
Principal Investigator: Samer Nakhle, MD         
United States, New York
UBMD Pediatrics Recruiting
Buffalo, New York, United States, 14203
Contact: Amanda House    716-323-0075    ahouse@upa.chob.edu   
Principal Investigator: Teresa Quattrin, MD         
Columbia University Recruiting
New York, New York, United States, 10032
Contact: Jamie Hyatt    715-338-9372    jh4470@cumc.columbia.edu   
Contact: Lucia Alfano    212-851-5494    lja2141@cumc.columbia.edu   
Principal Investigator: Robin Goland, MD         
Joslin Center at SUNY Upstate Medical University Recruiting
Syracuse, New York, United States, 13210
Contact: Lynn Agostini    315-464-9012    agostinl@upstate.edu   
Principal Investigator: Ramachandra Naik, MD         
United States, Ohio
Cleveland Clinic Foundation Recruiting
Cleveland, Ohio, United States, 44195
Contact: Heather Wojanowski    216-445-2282    WOJANOH@ccf.org   
Principal Investigator: Sumana Narasimhan, MD         
United States, Oklahoma
The University of Oklahoma Recruiting
Oklahoma City, Oklahoma, United States, 73104
Contact: Linda Weber    405-271-8001 ext 43074    linda-weber@ouhsc.edu   
Principal Investigator: David Sparling, MD         
United States, Pennsylvania
Childrens Hospital of Philadelphia Recruiting
Philadelphia, Pennsylvania, United States, 19104-4399
Contact: Beth Schwartzman    267-426-5718    schwartzmann@email.chop.edu   
Principal Investigator: Lorraine Levitt Katz, MD         
University of Pittsburgh Recruiting
Pittsburgh, Pennsylvania, United States, 15224
Contact: Carly Shelleby    412-692-7178    shellebyc@upmc.edu   
Contact: Kelli Delallo    412-692-5210    kelli.delallo@chp.edu   
Principal Investigator: Dorothy Becker, MD         
United States, South Carolina
Endocrinology Specialist / Greenville Health System Recruiting
Greenville, South Carolina, United States, 29605
Contact: Shirley Parker    864-455-3261    Shirley.Parker@prismahealth.org   
Principal Investigator: Sandra Weber, MD         
GHS - Pediatric Endocrinology Recruiting
Greenville, South Carolina, United States, 29615
Contact: Lisa Looper    864-454-5168    llooper@ghs.org   
Principal Investigator: Elaine Apperson, MD         
United States, South Dakota
Sanford Children's Specialty Clinic Recruiting
Sioux Falls, South Dakota, United States, 57105
Contact: Melissa Carmon    605-328-1383    melissa.carmon@sanfordhealth.org   
Principal Investigator: Kurt Griffin, MD         
United States, Tennessee
Vanderbilt Eskind Diabetes Clinic Recruiting
Nashville, Tennessee, United States, 37232
Contact: Faith Brendle    615-936-8638    faith.brendle@vanderbilt.edu   
Contact: Brenna Hammel    615-337-9597    brenna.hammel@vumc.org   
Principal Investigator: William Russell, MD         
United States, Texas
University of Texas Southwestern Recruiting
Dallas, Texas, United States, 75390
Contact: Lauren Boyles    241-648-4717    lauren.boyles@utsouthwestern.edu   
Principal Investigator: Philip Raskin, MD         
United States, Utah
University of Utah Recruiting
Salt Lake City, Utah, United States, 84132
Contact: Hillarie Slater    801-585-6227    hillarie.slater@hsc.utah.edu   
Principal Investigator: Carol Foster, MD         
United States, Virginia
University of Virginia Health System Recruiting
Charlottesville, Virginia, United States, 22908
Contact: Jordan McCoy, BS    434-297-5132    JO4U@hscmail.mcc.virginia.edu   
Principal Investigator: Christina Solorzano, MD         
United States, Washington
Benaroya Research Institute Recruiting
Seattle, Washington, United States, 98101
Contact: Ross Christy    206-287-1004    rchristy@benaroyaresearch.org   
Contact: Corinna Tordillos    206-341-8937    ctordillos@benaroyaresearch.org   
Principal Investigator: Carla Greenbaum, MD         
United States, Wisconsin
Medical College of Wisconsin Recruiting
Milwaukee, Wisconsin, United States, 53226
Contact: Clare Bingham-Tyson       cbinghamtyson@mcw.edu   
Contact: Joanna Kramer       jkramer@mcw.edu   
Principal Investigator: Susanne Cabrera, MD         
Sub-Investigator: Rosanna Fiallo-Scharer, MD         
Australia, New South Wales
Royal North Shore Hospital Recruiting
St. Leonards, New South Wales, Australia, 2065
Contact: Jean Doyle    02 9463 1488    jean.doyle@health.nsw.gov.au   
Principal Investigator: Sally-Anne Duke, FRACP         
Australia, South Australia
Women's and Children's Hospital, Adelaide Recruiting
North Adelaide, South Australia, Australia, 5006
Contact: Kirsty Herewane    0881617349    kirsty.herewane@sa.gov.au   
Principal Investigator: Jennifer Couper, MD         
Australia, Victoria
Walter and Eliza Hall Institute of Medical Research Recruiting
Parkville, Victoria, Australia, 3052
Contact: Leanne Redl    61 3 9342 7063    leanne.redl@mh.org.au   
Principal Investigator: Peter Colman, MD         
Principal Investigator: John Wentworth, MD         
Australia, Western Australia
Perth Children's Hospital Recruiting
Perth, Western Australia, Australia, 6840
Contact: Alison Roberts    08 93408486    alison.roberts@health.wa.gov.au   
Principal Investigator: Elizabeth Davis, FRACP         
Canada, Ontario
Children's Hospital of Eastern Ontario Recruiting
Ottawa, Ontario, Canada, K1H8L1
Contact: Catherine Watson    6137377600 ext 3600    cwatson@cheo.on.ca   
Principal Investigator: Margaret Lawson, MD         
The Hospital For Sick Kids Recruiting
Toronto, Ontario, Canada, M5G-1X8
Contact: Mary-Jo Ricci    416-813-7654 ext 202634    maryjo.ricci@sickkids.ca   
Principal Investigator: Diane Wherrett, MD         
Canada
IWK Health Center Recruiting
Halifax, Canada, NS B3K 6R8
Contact: Maggie Flemming       maggie.flemming@iwk.nshealth.ca   
Principal Investigator: Elizabeth Cummings, MD         
Sub-Investigator: Arati Mokashi, MD         
Italy
San Raffaele Hospital Recruiting
Milan, Italy, 20132
Contact: Pauline Grogan    39-02-2643-3176    grogan.pauline@hsr.it   
Principal Investigator: Emanuele Bosi, MD         
Sweden
Skane University Hospital Recruiting
Malmö, Sweden, 20502
Contact: Linda Ahlkvist    +46 40 391915    linda.ahlkvist@med.lu.se   
Principal Investigator: Henrik Borg, MD         
United Kingdom
Royal Devon and Exeter Hospital Recruiting
Exeter, Devon, United Kingdom, EX2 5DW
Contact: Emma Chamberlain    01392 406437    e.chamberlain1@nhs.net   
Contact: Caroline Harrill    01392404522    caroline.harrill@nhs.net   
Principal Investigator: Christopher Moudiotis, MD         
Plymouth Diabetes Clinical Research Unit Recruiting
Plymouth, Devon, United Kingdom, PLG8BX
Contact: Emma Storr       emmastorr@nhs.net   
Contact: Natalie Bond       natalie.bond@nhs.net   
Principal Investigator: Georgina Selby, MD         
Harrogate and District NHS Foundation Trust Recruiting
Harrogate, North Yorkshire, United Kingdom, HG2 7SX
Contact: Christine Morgan       c.morgan10@nhs.net   
Principal Investigator: Peter Hammond, MD         
University of Bristol Recruiting
Bristol, UK, United Kingdom, BS10 5NB
Contact: Beth Thorne    0117 4147917    beth.thorne@bristol.ac.uk   
Principal Investigator: Polly Bingley, MD         
Nottingham University Hospitals Recruiting
Nottingham, United Kingdom, NG7 2UH
Contact: Anna Coupe       anna.coupe@nuh.nhs.uk   
Principal Investigator: Louise Denvir, MD         
Sponsors and Collaborators
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Juvenile Diabetes Research Foundation
Investigators
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Study Chair: Carla Greenbaum, MD Type 1 Diabetes TrialNet
Additional Information:
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Responsible Party: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
ClinicalTrials.gov Identifier: NCT03428945    
Other Study ID Numbers: Hydroxychloroquine
UC4DK117009 ( U.S. NIH Grant/Contract )
UC4DK106993 ( U.S. NIH Grant/Contract )
First Posted: February 12, 2018    Key Record Dates
Last Update Posted: July 29, 2021
Last Verified: July 2021

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK):
TrialNet
Additional relevant MeSH terms:
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Diabetes Mellitus
Diabetes Mellitus, Type 1
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Autoimmune Diseases
Immune System Diseases
Hydroxychloroquine
Antimalarials
Antiprotozoal Agents
Antiparasitic Agents
Anti-Infective Agents
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Antirheumatic Agents