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Researchers all over Australia and New Zealand are running clinical trials for people at different ages and stages of type 1 diabetes. Use our clinical trial finder below to find clinical trials near you.

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T1D RELAY – Rituximab-pvvr and Abatacept Newly Diagnosed Study

The medicines Rituximab-pvvr and abatacept have both been shown to protect insulin-producing beta cells from immune attack, allowing people with newly diagnosed type 1 diabetes (T1D) to continue producing their own insulin for longer. This trial will look at whether combining these two medicines is better at protecting beta cells from immune attack than rituximab-pvvr alone.

Who can get involved

• Aged between 8 and 45 years.
• Evidence of insulin production, determined by one or more diabetes-related antibodies and detectable C-peptide during a mixed-meal tolerance test (MMTT).
• Up to date with immunisation schedule, including COVID-19 and flu boosters.

Treatment

Participants in this study will receive weekly rituximab-pvvr by intravenous infusion (into a vein in the arm) for four weeks. Participants will then receive weekly injections of abatacept OR placebo (inactive equivalent). Two in every three participants will receive active treatment (abatacept), while one in three will receive placebo. The allocation of medication will be done randomly.

Study visits

Participants will be required to attend 16 visits at a participating clinical centre over a two-year treatment period and a further five visits over a two year follow up period after the treatment. The first four visits for the rituximab-pvvr infusion will take up to eight hours. The remaining visits will vary in duration from one to four hours.

Benefits of participation

All participants in this study will receive active treatment in the form of rituximab-pvvr. Two in every three participants will then receive a second active treatment called abatacept. In addition to the potential for these study medications to delay the progression of T1D, participants will be closely monitored and blood glucose levels managed intensively. This may reduce the risk of long-term complications of T1D, as well as helping remaining beta cells in the pancreas to continue making insulin on their own.

This trial is being undertaken by the JDRF-funded Australasian Type 1 Diabetes Immunotherapy Collaborative (ATIC).

To find out if you are eligible or if you have any questions contact the ATIC team.

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KEY REQUIREMENTS

Location Melbourne

Age 8-45 years

Within three months of diagnosis with T1D

STOP-T1D – ATG Prevention Study

Antithymocyte globulin (ATG) is commonly used to prevent transplant rejection. Early research showed that ATG improved blood glucose management and preserved pancreas function in people with recently diagnosed type 1 diabetes (T1D). The STOP-T1D trial will test if ATG can delay or prevent people moving from the from pre-symptomatic stage (Stage 2) to clinically diagnosed T1D (Stage 3).

Stage 2 T1D is when people have two or more autoantibodies and abnormal blood glucose levels. This indicates the immune system has already started attacking the body’s insulin-producing beta cells in the pancreas. These autoantibodies and abnormal blood glucose levels can be detected in a blood test by a health professional. The presence of these autoantibodies increases the risk of progressing to Stage 3 T1D, which is when clinical diagnosis of T1D occurs.

Read more about the 3 stages of T1D development.

Who can get involved

• Aged between 12 and 35 years.
• Be at high risk of progressing to Stage 3 T1D, determined by a positive screening blood test for antibodies and slightly elevated blood glucose.
• Up to date with immunisation schedule, including COVID-19 and flu boosters.
• Other markers indicative of high risk of progression to Stage 3 T1D.

Treatment

The study medication in this trial is given by intravenous infusion (through a vein in the arm) on two consecutive days. For every three participants, two will receive ATG and one will receive placebo. The allocation of medication will be done randomly.

Study visits

The two treatment visits will take six to 10 hours for the infusion and a further two hours for monitoring (8-12 hours in total). Participants will visit the trial site two weeks after the second treatment, then every three to six months for one year. Participants will continue to visit the trial site for monitoring twice a year for up to four years following treatment.

Benefits of participation

In addition to potentially delaying or preventing progression of T1D, benefits to participating in the study include close monitoring and follow up by the research team. If you progress to Stage 3 T1D, the study blood tests will likely show this before any symptoms appear. Early diagnosis and commencement of insulin treatment largely eliminates the risk of a serious condition called diabetic ketoacidosis (DKA).

This trial is being undertaken by the JDRF-funded Australasian Type 1 Diabetes Immunotherapy Collaborative (ATIC).

To find out if you are eligible or if you have any questions contact the ATIC team.

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KEY REQUIREMENTS

Location Melbourne

Age 12-35 years

Stage 2 T1D: Two or more diabetes related antibodies and elevated blood glucose levels. High risk of progression to Stage 3 T1D (clinically diagnosed T1D)

IAA trial: abatacept combined with nasal insulin in recently diagnosed type 1 diabetes

IAA (Insulin And Abatacept) is a randomised controlled trial testing whether the combination of two safe disease-modifying therapies called abatacept and nasal insulin slows down the immune attack on the insulin-producing (beta) cells of people with newly-diagnosed type 1 diabetes. Abatacept is a disease-modifying medication approved for treatment of rheumatoid arthritis in both adults and children. Abatacept has previously been shown to preserve beta cell function in people with recently-diagnosed type 1 diabetes. It is given as an injection under the skin, similar to an insulin injection.

Nasal insulin has also been previously tested by researchers in Melbourne. It is administered as a nasal spray, and is known to dampen the immune attack observed in type 1 diabetes. Combining both therapies could be more effective than either treatment alone and, if effective, could delay the need for insulin injections.

Approximately 60 participants will receive abatacept in combination with either nasal insulin or placebo over a 48-week period. Participants will be required to attend their local trial centre 16 times over two years. Five of these are extended visits lasting 3-4 hours, however the majority of visits will take less than one hour.

This trial is being run by the Australasian Type 1 Diabetes Immunotherapy Collaborative (ATIC).

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KEY REQUIREMENTS

Location Adelaide, Brisbane, Melbourne, Perth and Sydney

Age 6 - 21 years

Within 100 days of diagnosis with type 1 diabetes

Learn about Australasian Type 1 Diabetes Immunotherapy Collaborative (ATIC) and their clinical trials

Type1Screen: Screening for type 1 diabetes

Family members of people with T1D are at increased risk of developing the disease themselves.

Type1Screen is a free screening service available to any family member of a person with T1D, that can find out a person’s risk of developing T1D. Those at increased risk will be offered the opportunity to enrol in trials of new therapies that can potentially prevent T1D.

For more information go to the Type1Screen website: www.type1screen.org. To contact the team email type1screen@mh.org.au or follow them on socials @Type1Screen:

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KEY REQUIREMENTS

Location ACT, NSW, NT, QLD, SA, TAS, VIC, WA, New Zealand

Age Minimum 2 years

Have a relative diagnosed with T1D or have previously had a positive antibody test

Fenofibrate and microvascular events in type 1 diabetic retinopathy (FAME-1-EYE) study

This clinical trial is investigating whether fenofibrate, a drug used to lower cholesterol, can slow or reverse eye damage in adults with type 1 diabetes. Fenofibrate has been shown to slow eye damage in type 2 diabetes, and researchers are now investigating whether the same effect will be seen in T1D.

This study has been approved by the Northern Sydney Local Health District Human Research Ethics Committee.

ANZCTR listing: ACTRN12611000249954

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KEY REQUIREMENTS

Location NSW, QLD, SA, VIC, WA, New Zealand, Hong Kong

Age 18+ years

Non-proliferative diabetic retinopathy (NPDR)

ETDRS score 35-53

Social value of health gains

If you were allocating money for health treatment and care, would it be different for children or young people compared to adults? We are looking to interview young people aged 15 years old. We are interested in your views on how decisions about funding medicines and health services should be made. This will assist policy makers allocate health care funding in a way that has the greatest public support.

We would like to invite you to participate in an audio recorded semi-structured interview, by private video-conference session (Zoom meeting) that will take up to an hour of your time. You will be reimbursed with one Australian $35 gift card in recognition of your time for participating in the Zoom meeting.

For more information, email elisabeth.huynh@anu.edu.au.

KEY REQUIREMENTS

Location Any location in Australia (virtual)

Age 15 years old

No T1D requirements

Making friends with yourself: Self-compassion for young people with type 1 diabetes

Our researchers are recruiting young Australians between the ages of 14 and 17, who are diagnosed with Type 1 Diabetes and who are using continuous glucose monitoring. The course consists of 8 x 1.5-hour group sessions.  The first session is scheduled for Wednesday 30th March 2022. Sessions will be delivered via Zoom and take place from 4-5:30pm AWST. 

For more information contact Karina Prentice

karina.prentice@telethonkids.org.au

KEY REQUIREMENTS

Location WA

Age 14-17 years

Using continuous glucose monitoring (CGM)

Managing type 1 diabetes during exercise in high-level athletes

Regular exercise is a cornerstone for managing type 1 diabetes (T1D), but many people with T1D face obstacles that stop them meeting physical activity guidelines.

However, athletes with T1D are highly proficient at managing their condition within the context of their sport. For this reason, their strategies may offer valuable lessons for managing blood glucose levels during exercise.

The aim of this study is to describe the strategies used by competitive athletes with T1D to successfully manage their condition during sport and exercise.

The study involves a 45 minute survey that will explore your strategies for managing blood glucose levels during exercise. Specifically, you will be asked questions about training and competition, your diabetes management, and strategies you believe are important to your success as a high-level athlete with T1D. This can be done either in person, over the phone, or using video conferencing software (e.g., WebEx, Microsoft Teams), alternatively you may submit written responses to an online survey.

For more information, please contact Shania Smee shania.smee@student.curtin.edu.au

 

KEY REQUIREMENTS

Location NSW, ACT, NT, QLD, SA, TAS, VIC, Virtual, WA

Age 13-60

Diagnosed with type 1 diabetes

High-level athletes competing at a state, national or international level

Cord reinfusion in diabetes (CORD) pilot study

Cell Care is partnering with The Children’s Hospital at Westmead, New South Wales, in a world–first study investigating the potential of cord blood to prevent or delay the onset of type 1 diabetes in children at high risk of developing the disease.

The CORD study has been approved by the Sydney Children’s Hospitals Network Human Research Ethics Committee.

ANZCTR listing: ACTRN12613000186752

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KEY REQUIREMENTS

Location NSW

Age 1-15 years

First- or second-degree relative with T1D

Children with stored cord blood, or parents expecting a child and planning cord blood storage

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