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CTRI Number  CTRI/2009/091/000729 [Registered on: 18/09/2009]
Last Modified On: 17/09/2014
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study
Modification(s)  
Follow Up Study 
Study Design  Single Arm Study 
Public Title of Study   A clinical trial to study the long term effects of Teplizumab in Children and Adults with Recent-Onset Type 1 Diabetes Mellitus 
Scientific Title of Study   A Multicenter, Multinational Extension of Study CP-MGA031-01 to Evaluate the Long-Term Efficacy and Safety of Teplizumab (MGA031), a Humanized, FcR Non -Binding, Anti-CD3 Monoclonal Antibody, in Children and Adults with Recent -Onset Type 1 Diabetes Mellitus. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
CP-MGA031-02  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name   
Designation   
Affiliation   
Address 

Not Applicable
N/A

India 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Darshana Dholakia 
Designation  Project Manager 
Affiliation  Project Manager, DiagnoSearch Life Sciences Pvt. Ltd. 
Address  DiagnoSearch Life Sciences Pvt. Ltd.
Unit No. 702, 7th Floor, Dosti Pinnacle, Plot No. E7, Road No. 22, Wagle Industrial Estate,
Thane
MAHARASHTRA
400 604
India 
Phone  022-67776300  
Fax  022-66754090  
Email  darshana.dholakia@diagnosearch.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Darshana Dholakia 
Designation  Project Manager 
Affiliation  Employee of DiagnoSearch 
Address  DiagnoSearch Life Sciences Pvt. Ltd.
Unit No. 702, 7th Floor, Dosti Pinnacle, Plot No. E7, Road No. 22, Wagle Industrial Estate,
Thane
MAHARASHTRA
400 604
India 
Phone  022-67776300  
Fax  022-66754090  
Email  darshana.dholakia@diagnosearch.com  
 
Source of Monetary or Material Support
Modification(s)  
MacroGenics, Incorporated 1500 East Gude Drive Rockville, Maryland 20850 USA  
 
Primary Sponsor
Modification(s)  
Name  MacroGenics Incorporated 
Address  MacroGenics, Incorporated 1500 East Gude Drive Rockville, Maryland 20850 USA 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
None   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 14  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr. Sunil Jain  A unit of Diabetes Thyroid Hormone Research Institute Pvt Ltd  BCM Health Island, PU4, Scheme 54, ,Behind Prestige Management Institute, Near Bombay Hospital-452010
Indore
MADHYA PRADESH 
91-079-2563183
91-731-2443250
sunilmjain@gmail.com 
Dr. Monojit K Mukhopadhyay  B. P. Poddar Hospital & Medical Research Limited  71/1 Humayun Kabir Sarani,Block G (Near Durgapur Bridge)-700 053
Kolkata
WEST BENGAL 
91-33-24981213
91-33-24577009
mkmukhopadhyay@yahoo.co.in 
Dr. K.M. Prasanna Kumar  Banglore Diabetes Centre  'Bangalore Diabetes centre,4C / 426, 2nd block, Kalyana Nagar-560043
Bangalore
KARNATAKA 
91-80 - 25902546
91-80-25425396
dr.kmpk@gmail.com 
Dr. Sanjay Kalra  Bharti Hospital  Bharti Research Institute of Diabetes and Endocrinology Bharti Hospital,Wazir Chand Colony Kunjpura Road -132 001
Karnal
HARYANA 
91-184-2268484
91-184-2267885
brideknl@gmail.com 
11) Dr. Sanjeev Pathak  DHL Research Centre  DHL Research Centre 2nd Floor, Thakershy Trust Hospital,Opp V. M. Nagar Satellite-380015
Ahmadabad
GUJARAT 
91-79-26762564
91-79-26760646
medilinkresearch@yahoo.co.in 
Dr. Nagajyothi Bodala   DiabetOmics India Pvt. Ltd  6-3-349/17B Hindi Nagar,,Behind Panjagutta Saibaba Temple Banjara Hills -500 034
Hyderabad
ANDHRA PRADESH 
91 40 65503111
91 40 23357111
jyothi.borra@gmail.com 
Dr. Sujit Chandratreya  Endocrine Clinic  Mohini Raj,Ganga Pur Road-720500

 
91-253-3290783
91-253-2317466
sujitchandratreya@yahoo.com 
4) Dr. Shailesh Lodha  Fortis Escorts Hospital  Jawaharlal Nehru Marg,Malviya Nagar-302017
Jaipur
RAJASTHAN 
91-141 - 2547000
91-141-2547002
saileshlodha@yahoo.com 
8) Dr. Pramod Gandhi  Gandhi Endocrinology and Diabetes Centre  C-1 Srivardhan Complex,Wardha Road, Ramdas Peth-440010
Nagpur
MAHARASHTRA 
91-712-2460302
91-712-2463558
drpdgandhi1@yahoo.co.in 
Dr Parag Shah  Gujarat Endocrine Centre  201, Silver Brook, B Block, Opp Doctor house,Near Parimal crossing, Alice Bridge-380006
Ahmadabad
GUJARAT 
91-79-26444222
91-79-26444222
paragendocrine@yahoo.com 
10) Dr. Subrahmanyam  King George Hospital  King George Hospital,Andhra Medical College-530 002
Visakhapatnam
ANDHRA PRADESH 
91-891-2508275
91-891-2508275
kavsendo@yahoo.co.in 
5) Dr. K.D. Modi  Medwin Hospitals  Raghav Ratna Towers,Chiragally Lane, Nampally-500001
Hyderabad
ANDHRA PRADESH 
91-40-23206666
91- 40- 66623441
drkdmodi@yahoo.co.in 
2) Dr. Richa Chaturvedi  Pushpawati Singhania Research Institute  Press Enclave Marg,Sheikh Sarai Phase II-110017
New Delhi
DELHI 
91-11 - 29250347
91-11 - 29250347
drrichaendo@rediffmail.com 
3) Dr. Uday Phadke  Ruby Hall Clinic  Grant Medical Foundation,40, Sassoon Road-411001
Pune
MAHARASHTRA 
91-20 - 26123391
91-20-26124529
uday.instride@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 14  
Name of Committee  Approval Status 
2. Institutional Review Board, PSRI  Approved 
Astha Independent Ethics Comittee  Approved 
Central India Medical Research Ethics Committee.  Approved 
CLINICOM, Bangalore  Approved 
Ethical Committee of B.P.Poddar Hospital & Medical Research Ltd.  Approved 
Ethics Committee of Diabetes Thyroid Hormone Research Institute Pvt. Ltd., Indore.  Approved 
Gujarat Kidney Foundational Ethical Committee.  Approved 
Institutional Ethical Committee, Poona Medical Research foundation  Approved 
Institutional Ethics Committee for B.R.I.D.E (Bharati Research Institute of Diabetes and Endocrinology)  Approved 
Institutional Ethics Committee, Fortis Escorts Hospital.  Approved 
Institutional Ethics Committee, King George Hospital  Approved 
Institutional Ethics Committee, Medwin Hospitals.  Approved 
Institutional Ethics Committee, Shatabdi Super specialty Hospital  Approved 
Medisys Clinisearch Ethical Review Board, Bangalore.  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Recent Onset of Type 1 Diabetes Mellitus,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Comparator Agent  Not Applicable  Not Applicable 
Intervention  Teplizumab (MGA031)  None 
 
Inclusion Criteria
Modification(s)  
Age From  8.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  1. Subjects must meet all of the following criteria to participate in the extension study: Complete Protocol CP-MGA031-01 (i.e., all subjects who complete Study Day 728, regardless of how many doses of study drug are received).
2. Provide written informed consent. Written assent will be obtained for subjects under 18 years of age, according to applicable regulations. If possible, written informed consent and/or assent should be obtained for Protocol CP-MGA031-02 at the last visit in CP¬MGA031-01 . The investigator is to give the subject ample time to decide about participation
 
 
ExclusionCriteria 
Details  There are no exclusion criteria for this extension study. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The primary objective of the extension study is to assess long-term safety, with particular focus on the development of serious adverse events (SAEs), adverse events of special interest (AESIs) including opportunistic infections and lymphoproliferative disease, and other immediately reportable events (IREs), in subjects with recent-onset T1DM who complete CP-MGA031-01.   Not Applicable 
 
Secondary Outcome  
Outcome  TimePoints 
The secondary objectives of the extension study are: 1) A secondary endpoint will be determining the efficacy of teplizumab by measuring the subject's total daily insulin usage and HbA1c levels. 2) C-peptide secretory response will be analyzed in terms of basal levels of C-peptide produced before a mixed meal and stimulated levels after a mixed meal, measured as AUC and peak post-meal production. 3) Immunophenotyping of blood mononuclear cells will be summarized by visit and graphed over time, as appropriate. 4) Assessing Heath Related Quality of Life Questionnaires filled out by subjects at different timepoints in the study.   Not Applicable 
 
Target Sample Size
Modification(s)  
Total Sample Size="538"
Sample Size from India="150" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)
Modification(s)  
29/09/2009 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  14/02/2009 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="5"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
None Yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   The primary objective of the extension study is to assess long-term safety (3 years), with particular focus on the development of serious adverse events (SAEs), adverse events of special interest (AESIs) including opportunistic infections and lymphoproliferative disease, and other immediately reportable events (IREs), in subjects with recent-onset T1DM who complete CP-MGA031-01. The secondary objectives of the extension study are to: 1) assess long-term efficacy; 2) evaluate immunological effects(North America only); 3) measure anti-teplizumab antibody levels;4) assess Health Related Quality of Life Questionnaires. Groups/Cohorts in the Protégé study (CP-MGA031-01) Protege had 4 study arms, 3 were dosed with different doses of teplizumab, and 1 was a control group given placebo. This Extension study will assess the subjects from these 4 arms. 1 Active In Protege: Experimental Drug: Teplizumab, IV dosing daily for 14 days times 2 courses 2 Active In Protege: Experimental Drug: Teplizumab, IV dosing daily for 14 days times 2 courses 3 Active In Protege: Experimental Drug: Teplizumab, IV dosing daily for 14 days times 2 courses 1 controlled In Protege: Placebo Comparator: IV dosing daily for 14 days times 2 courses This is an Extension study. The patients from Core Study will be rolled over in this study for safety follow - up. No new patients would be recruited in this trial. Hence, status In this trial Globally 538 patients will be included. From India 150 subjects are to be included. Globally, the trail has started on 14-Feb-09. In India, the first patient would be enrolled on 25-Sep-09. Study Type: This is a non-interventional extension study. Update as on 10-Feb-2011: The status of the trial is "Closed to recruitment and Follow-up." 
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