Endocrinology

        

TrialNet research study

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TrialNet – Type 1 Diabetes Research 

The TrialNet Study Group is a network of 18 clinical centres, internationally, dedicated to conducting studies in the early treatment, prevention and study of type 1 diabetes.  Eligible participants for studies in Type 1 diabetes (T1D) research may be family members of people with Type 1 diabetes or children, adolescents and adults who have been recently diagnosed with type 1 diabetes.

TrialNet Canada

The Hospital for Sick Children is the major clinical Centre for TrialNet in Canada.  We are privileged to have formed partnerships with Diabetes Centres across Canada.  For information and to find a TrialNet affiliate centre near you please call 1-866-699-1899.

TrialNet and the Network of Ontario Pediatric Diabetes Programs

The Hospital for Sick Children TrialNet centre has built strong working relationships with the 17 pediatric diabetes programs close to the Greater Toronto Area all of which each collaborate in offering annual recruitment events for the Natural History study. For information and to find about a TrialNet screening event TrialNet affiliate, please call 1-866-699-1899.

TrialNet Research Highlights 

The following is a summary of TrialNet research studies currently being conducted at The Hospital for Sick Children.

Oral Insulin Prevention Study

Study Status: Open to Enrolment
The goal is to determine whether oral insulin (taken by mouth, not injection) may help to delay or prevent type 1 diabetes.  Results from a recently completed study (called Diabetes Prevention Trial-1) suggest that oral insulin might delay or type 1 diabetes in certain individuals who have been identified as at risk.

Natural History Study

Study Status: Open to Enrolment
This study is the gateway for consideration for entry in the Oral Insulin Prevention Study.  The study is looking at whether relatives of people with type 1 diabetes may be at increased risk for developing the disease.  We are able to test for the autoantibodies (proteins that attack and destroy the cells in the body that produce insulin) in 1st and 2nd degree relatives of people with type 1 diabetes.

Effects of Recombinant Human Glutamic Acid Decarboxylase (rhGAD65) Formulated in Alum (GAD-alum) on the Progression of T1D in New Onset Subjects

Study Status: Closed to Enrolment
In this study, TrialNet researchers will use recombinant human glutamic acid decarboxylase (rhGAD65) formulated in aluminum hydroxide to try and interrupt the autoimmune attack that is present in people at the onset of type1 diabetes. If this treatment is successful, participants may continue to make some of their own insulin. The study drug will be given by injections

Effects of CTLA-4Ig (Abatacept) on the Progression of T1D in New Onsets

Study Status: Closed to Enrolment
The Abatacept study has completed enrolment, with a total of 112 subjects.  In this study, TrialNet researchers will use a drug called Abatecept to try and interrupt the autoimmune attack that is present in people at the onset of type1 diabetes. If this treatment is successful, participants may continue to make some of their own insulin.

The Mychophenolate Mofetil and Dacluzimab Study

Study Status: Closed to Enrolment
The MMF/DZB study has completed enrolment, with a total of 126 subjects.  Four of these subjects are currently enrolled at Sickkids.  This protocol involved the administration of two immunosuppressive agents in people recently diagnosed with type 1 diabetes in hopes of preserving B cell mass to make diabetes easier to manage.  This could help to reduce the risk of severe low blood sugar and both short-term and long-term complications.

The Rituximab Study

Study Status: Closed to Enrolment
The Rituximab study has completed enrolment, with a total of 87 subjects.  This study will try to determine whether the medication Rituximab may be used to stop or slow down the immune system’s attack on the beta cells.  This study has completed enrollment and was accepting newly diagnosed people with type 1 diabetes.  The goal of the study is to determine whether the medication, given intravenously, may prolong the honeymoon period.

The Genetics Consortium

Study Status: Closed to Enrolment
The TrialNet research group at Sickkids is also involved in Type 1 Diabetes Genetics Research.  We are conducting studies for families who have two children or adults who have been diagnosed with type 1 diabetes.  This study involves a one-time blood test and is looking to identify genes that may help us to determine an individual’s risk for type 1 diabetes.

Trios

Study Status: Closed to Enrolment
This is also a Type 1 diabetes genetics study to gain more information from populations who have low prevalence of Type 1 diabetes.  For families with African-Canadian heritage or Mexican-Canadian heritage who are interested in being part of this research study we will need to do a blood test with the mother, father and the child or adolescent who has been diagnosed with type 1 diabetes.

CONTACT US

For questions or concerns regarding Type 1 diabetes research at The Hospital for Sick Children please feel free to contact our team:

Dr. Diane Wherrett, Principal Investigator – 416-813-8159

Brenda Ahenkorah, Clinical Research Project Manager – 416-813-5858

Lesley Eisel, Research Nurse – 416-813-7654 x 1798

Roze Kovalakovska, Research Nurse – 416 813 7654 x 2308

Mithula Sriskandarajah, Clinical Research Project Coordinator – 416-813-7654 x 2634