A Research Trial of Aralast in New Onset Diabetes (RETAIN)

Sponsor
National Institute of Allergy and Infectious Diseases (NIAID) (NIH)
Overall Status
Terminated
CT.gov ID
NCT01183468
Collaborator
Immune Tolerance Network (ITN) (Other), Juvenile Diabetes Research Foundation (Other)
17
15
4
33
1.1
0

Study Details

Study Description

Brief Summary

The drug Alpha-1 Antitrypsin (AAT, Aralast NP) is being tested in this study as an anti-inflammatory drug (a medication that decreases inflammation, which is part of the body's normal ability to fight infection and respond to injuries) that affects the cells thought to be involved in the development of type 1 diabetes mellitus (T1DM, T1D).

All subjects enrolled in this study have new-onset T1DM (diagnosis of T1DM within 100 days of Visit 0; T1DM diagnosis fulfilling American Diabetes Association standard T1DM criteria). The focus of Part I of this trial (NCT01183468) is pharmacokinetics (PK), pharmacodynamics (PD) and safety. Upon completion of Part I, including a satisfactory safety review, enrollment in Part II (NCT01183455, Phase II Clinical Trial) will begin.

Condition or Disease Intervention/Treatment Phase
  • Biological: Aralast NP 45 mg dose
  • Biological: Aralast NP 90 mg dose
  • Biological: Aralast NP 180 mg dose
Phase 1

Detailed Description

Researchers are interested in conducting this study to assess whether Aralast NP (AAT, Alpha-1 Antitrypsin ) will help slow the progression of T1DM.

Part I of this study has two parts:-1a and -1b:

Part 1a (Complete): An open-label, dose-escalation, PK, PD and safety study. Participants receive 12 intravenous (IV) infusions of Aralast NP. Infusions 1 through 6 are administered at 45 mg/kg/wk and infusions 7 through 12 are administered at 90 mg/kg/wk.

Part Ia consists of two groups:
  • Subjects aged 16 - 35 years at enrollment with new-onset T1DM

  • Subjects aged 8 -15 years at enrollment with new-onset T1DM.

Part 1b (study terminated prior to subject enrollment): An open-label, dose-escalation PK, PD and safety study in which participants receive 12 infusions of Aralast NP. Infusions 1 through 6 are administered at 90 mg/kg/wk and infusions 7 through 12 are administered at 180 mg/kg/wk. Part Ib consists of two groups:

  • Subjects aged 16 - 35 years at enrollment with new-onset T1DM

  • Subjects 8 - 15 years at enrollment with new-onset T1DM.

Participants in Part Ib do not roll over into Part II (Refer to NCT01183455).

Study Design

Study Type:
Interventional
Actual Enrollment :
17 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Effect of Intravenous Alpha-1 Antitrypsin on Preserving Beta-cell Function in New-onset Type 1 Diabetes Mellitus (ITN041AI)
Study Start Date :
Oct 1, 2010
Actual Primary Completion Date :
Jul 1, 2013
Actual Study Completion Date :
Jul 1, 2013

Arms and Interventions

Arm Intervention/Treatment
Experimental: Part 1a(Aralast NP)-Subjects Aged 16-35 Yrs

Subjects aged 16-35 years at enrollment with new-onset type 1 diabetes mellitus (T1DM) received Aralast NP 45 mg/kg by intravenous (IV) infusion once a week for 6 weeks. Following the Week 6 infusion, participants underwent a minimum 3-week washout period. After the washout period, each participant proceeded to a high dose of Aralast NP 90 mg/kg by IV infusion for the next 6 weeks, for a total of 12 infusions.

Biological: Aralast NP 45 mg dose
- 45 mg/kg/week
Other Names:
  • Alpha 1-Antitrypsin
  • AAT
  • Biological: Aralast NP 90 mg dose
    - 90 mg/kg/week
    Other Names:
  • Alpha 1-Antitrypsin
  • AAT
  • Experimental: Part 1a (Aralast NP)-Subjects 8-15 Yrs

    Subjects aged 8-15 years at enrollment with new-onset type 1 diabetes mellitus (T1DM) received Aralast NP 45 mg/kg by IV infusion once a week for 6 weeks. Following the Week 6 infusion, participants underwent a minimum 3-week washout period. After the washout period, each participant proceeded to a high dose of Aralast NP 90 mg/kg by IV infusion for the next 6 weeks, for a total of 12 infusions.

    Biological: Aralast NP 45 mg dose
    - 45 mg/kg/week
    Other Names:
  • Alpha 1-Antitrypsin
  • AAT
  • Biological: Aralast NP 90 mg dose
    - 90 mg/kg/week
    Other Names:
  • Alpha 1-Antitrypsin
  • AAT
  • Experimental: Part 1b (Aralast NP)--Subjects Aged 18-35 Yrs

    Aralast NP 90 mg/kg/wk by IV infusion once a week for 6 weeks. Following the Week 6 infusion, participants undergo a minimum 3-wk washout period than then, each participant proceeds to high dose Aralast NP 180 mg/kg/wk by IV infusion for the next 6 weeks, for a total of 12 infusions.

    Biological: Aralast NP 90 mg dose
    - 90 mg/kg/week
    Other Names:
  • Alpha 1-Antitrypsin
  • AAT
  • Biological: Aralast NP 180 mg dose
    - 180 mg/kg/week
    Other Names:
  • Alpha-1 Antitrypsin
  • AAT
  • Experimental: Part 1b (Aralast NP)-Subjects 8-17 Yrs

    Aralast NP 90 mg/kg/wk by IV infusion once a week for 6 weeks. Following the Week 6 infusion, participants undergo a minimum 3-wk washout period than then, each participant proceeds to high dose Aralast NP 180 mg/kg/wk by IV infusion for the next 6 weeks, for a total of 12 infusions.

    Biological: Aralast NP 90 mg dose
    - 90 mg/kg/week
    Other Names:
  • Alpha 1-Antitrypsin
  • AAT
  • Biological: Aralast NP 180 mg dose
    - 180 mg/kg/week
    Other Names:
  • Alpha-1 Antitrypsin
  • AAT
  • Outcome Measures

    Primary Outcome Measures

    1. C-peptide 2-hour AUC in Response to a Mixed-meal Tolerance Test at Week 52 [Week 52]

      No results for the primary outcome measure are available since the study was terminated prior to reaching the outcome measure time frame of 52 weeks.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    8 Years to 35 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Diagnosed with T1DM within the past 100 days (of enrollment)

    • Positive for at least one diabetes-related autoantibody (Anti-GAD; Anti-insulin, if obtained within 10 days of the onset of insulin therapy; IA-2 antibody and/or ICA, or ZnT8.)

    • Peak stimulated C-peptide level > 0.2 pmol/mL following a mixed meal tolerance test (MMTT)

    Exclusion Criteria:
    • Severe active disease (chronic active hepatitis; cardiac, pulmonary disease, hepatic, renal or immunodeficiency)

    • History of any bleeding or clotting factor deficiencies, or stroke

    • History of vascular disease or significant vascular abnormalities

    • Positive serology of exposure to (hepatitis B virus) HBV, HCV (hepatitis C virus), HIV (human immunodeficiency virus) or toxoplasmosis

    • Clinically active infection with EBV (Epstein-Barr virus), CMV (cytomegalovirus), or tuberculosis(TB)

    • Prior or current use of oral, inhaled or intranasal glucocorticoids, or any medication known to cause a significant, ongoing change in the course of T1DM or immunologic status

    • Prior treatment with Alpha 1-Antitrypsin (Aralast NP, AAT) or hypersensitivity to alpha 1-antitrypsin or human plasma-derived products

    • Current or prior (within the last 30 days) use of metformin, sulfonylureas, glinides, thiazolidinediones, exenatide, liraglutide, DPP-IV inhibitors or amylin

    • Current use of any medication known to influence glucose tolerance (e.g., beta-blockers, angiotensin-converting enzyme inhibitors, interferons, quinidine anti-malarial drugs, lithium, niacin)

    • Females who are pregnant or lactating, or are unwilling to defer pregnancy during study participation

    • IgA (immunoglobulin A) deficiency

    • Uncontrolled hypertension

    • Current life-threatening malignancy

    • Any condition that in the investigator's opinion may compromise study participation or may confound the interpretation of the study results.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 RADY Children's Hospital (University of California, San Diego) San Diego California United States 92093
    2 Barbara Davis Center (University of Colorado) Aurora Colorado United States 80045
    3 Yale University New Haven Connecticut United States 06520
    4 Atlanta Diabetes Associates Atlanta Georgia United States 30309
    5 Children's Hospital of Atlanta (Emory University) Atlanta Georgia United States 30322
    6 University of Iowa Children's Hospital Iowa City Iowa United States 52242
    7 University of Maryland Medical Center Baltimore Maryland United States 21201
    8 Massachusetts General Hospital Boston Massachusetts United States 02114
    9 Joslin Diabetes Center Boston Massachusetts United States 02215
    10 University of Massachusetts Memorial Medical Center Worcester Massachusetts United States 01655
    11 Children's Mercy Hospital Kansas City Missouri United States 64108
    12 Naomi Berrie Diabetes Center (Columbia University) New York New York United States 10032
    13 Nationwide Children's Hospital Columbus Ohio United States 43205
    14 Children's Hospital of Philadelphia Philadelphia Pennsylvania United States 19104
    15 Pacific Northwest Research Institute-University of Washington Seattle Washington United States 98122

    Sponsors and Collaborators

    • National Institute of Allergy and Infectious Diseases (NIAID)
    • Immune Tolerance Network (ITN)
    • Juvenile Diabetes Research Foundation

    Investigators

    • Study Chair: Gordon Weir, MD, Joslin Diabetes Center

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    National Institute of Allergy and Infectious Diseases (NIAID)
    ClinicalTrials.gov Identifier:
    NCT01183468
    Other Study ID Numbers:
    • DAIT ITN041AI Part 1
    First Posted:
    Aug 17, 2010
    Last Update Posted:
    Jun 13, 2018
    Last Verified:
    May 1, 2018
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Keywords provided by National Institute of Allergy and Infectious Diseases (NIAID)
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details Twelve of the fifteen centers enrolled a total of 17 newly diagnosed (within 100 days of Visit 0 first low dose infusion) Type 1 Diabetes Mellitus participants.
    Pre-assignment Detail
    Arm/Group Title Part 1a(Aralast NP)-Subjects Aged 16-35 Yrs Part 1a (Aralast NP)-Subjects 8-15 Yrs Part 1b (Aralast NP)-Subjects Aged 18-35 Yrs Part 1b (Aralast NP)-Subjects 8-17 Yrs
    Arm/Group Description Subjects aged 16-35 years at enrollment with new-onset type 1 diabetes mellitus (T1DM) received Aralast NP 45 mg/kg by intravenous (IV) infusion once a week for 6 weeks. Following the Week 6 infusion, participants underwent a minimum 3-week washout period. After the washout period, each participant proceeded to a high dose of Aralast NP 90 mg/kg by IV infusion for the next 6 weeks, for a total of 12 infusions. Subjects aged 8-15 years at enrollment with new-onset type 1 diabetes mellitus (T1DM) received Aralast NP 45 mg/kg by IV infusion once a week for 6 weeks. Following the Week 6 infusion, participants underwent a minimum 3-week washout period. After the washout period, each participant proceeded to a high dose of Aralast NP 90 mg/kg by IV infusion for the next 6 weeks, for a total of 12 infusions. Aralast NP 90 mg/kg/wk by IV infusion once a week for 6 weeks. Following the Week 6 infusion, participants undergo a minimum 3-wk washout period than then, each participant proceeds to high dose Aralast NP 180 mg/kg/wk by IV infusion for the next 6 weeks, for a total of 12 infusions. Aralast NP 90 mg dose: - 90 mg/kg/week Aralast NP 180 mg dose: - 180 mg/kg/week Aralast NP 90 mg/kg/wk by IV infusion once a week for 6 weeks. Following the Week 6 infusion, participants undergo a minimum 3-wk washout period than then, each participant proceeds to high dose Aralast NP 180 mg/kg/wk by IV infusion for the next 6 weeks, for a total of 12 infusions. Aralast NP 90 mg dose: - 90 mg/kg/week Aralast NP 180 mg dose: - 180 mg/kg/week
    Period Title: Overall Study
    STARTED 8 9 0 0
    COMPLETED 5 7 0 0
    NOT COMPLETED 3 2 0 0

    Baseline Characteristics

    Arm/Group Title Part 1a(Aralast NP)-Subjects Aged 16-35 Yrs Part 1a (Aralast NP)-Subjects 8-15 Yrs Part 1b (Aralast NP)-Subjects Aged 18-35 Yrs Part 1b (Aralast NP)-Subjects 8-17 Yrs Total
    Arm/Group Description Subjects aged 16-35 years at enrollment with new-onset type 1 diabetes mellitus (T1DM) received Aralast NP 45 mg/kg by intravenous (IV) infusion once a week for 6 weeks. Following the Week 6 infusion, participants underwent a minimum 3-week washout period. After the washout period, each participant proceeded to a high dose of Aralast NP 90 mg/kg by IV infusion for the next 6 weeks, for a total of 12 infusions. Subjects aged 8-15 years at enrollment with new-onset type 1 diabetes mellitus (T1DM) received Aralast NP 45 mg/kg by IV infusion once a week for 6 weeks. Following the Week 6 infusion, participants underwent a minimum 3-week washout period. After the washout period, each participant proceeded to a high dose of Aralast NP 90 mg/kg by IV infusion for the next 6 weeks, for a total of 12 infusions. Aralast NP 90 mg/kg/wk by IV infusion once a week for 6 weeks. Following the Week 6 infusion, participants undergo a minimum 3-wk washout period than then, each participant proceeds to high dose Aralast NP 180 mg/kg/wk by IV infusion for the next 6 weeks, for a total of 12 infusions. Aralast NP 90 mg dose: - 90 mg/kg/week Aralast NP 180 mg dose: - 180 mg/kg/week Aralast NP 90 mg/kg/wk by IV infusion once a week for 6 weeks. Following the Week 6 infusion, participants undergo a minimum 3-wk washout period than then, each participant proceeds to high dose Aralast NP 180 mg/kg/wk by IV infusion for the next 6 weeks, for a total of 12 infusions. Aralast NP 90 mg dose: - 90 mg/kg/week Aralast NP 180 mg dose: - 180 mg/kg/week Total of all reporting groups
    Overall Participants 8 9 0 0 17
    Age (Count of Participants)
    <=18 years
    4
    50%
    9
    100%
    13
    Infinity
    Between 18 and 65 years
    4
    50%
    0
    0%
    4
    Infinity
    >=65 years
    0
    0%
    0
    0%
    0
    NaN
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    20.6
    (5.7)
    10.7
    (2.2)
    15.4
    (6.6)
    Sex: Female, Male (Count of Participants)
    Female
    3
    37.5%
    3
    33.3%
    6
    Infinity
    Male
    5
    62.5%
    6
    66.7%
    11
    Infinity
    Region of Enrollment (participants) [Number]
    United States
    8
    100%
    9
    100%
    17
    Infinity

    Outcome Measures

    1. Primary Outcome
    Title C-peptide 2-hour AUC in Response to a Mixed-meal Tolerance Test at Week 52
    Description No results for the primary outcome measure are available since the study was terminated prior to reaching the outcome measure time frame of 52 weeks.
    Time Frame Week 52

    Outcome Measure Data

    Analysis Population Description
    Enrolled Sample
    Arm/Group Title Part 1a(Aralast NP)-Subjects Aged 16-35 Yrs Part 1a (Aralast NP)-Subjects 8-15 Yrs Part 1b (Aralast NP)-Subjects Aged 18-35 Yrs Part 1b (Aralast NP)-Subjects 8-17 Yrs
    Arm/Group Description Subjects aged 16-35 years at enrollment with new-onset type 1 diabetes mellitus (T1DM) received Aralast NP 45 mg/kg by intravenous (IV) infusion once a week for 6 weeks. Following the Week 6 infusion, participants underwent a minimum 3-week washout period. After the washout period, each participant proceeded to a high dose of Aralast NP 90 mg/kg by IV infusion for the next 6 weeks, for a total of 12 infusions. Subjects aged 8-15 years at enrollment with new-onset type 1 diabetes mellitus (T1DM) received Aralast NP 45 mg/kg by IV infusion once a week for 6 weeks. Following the Week 6 infusion, participants underwent a minimum 3-week washout period. After the washout period, each participant proceeded to a high dose of Aralast NP 90 mg/kg by IV infusion for the next 6 weeks, for a total of 12 infusions. Aralast NP 90 mg/kg/wk by IV infusion once a week for 6 weeks. Following the Week 6 infusion, participants undergo a minimum 3-wk washout period than then, each participant proceeds to high dose Aralast NP 180 mg/kg/wk by IV infusion for the next 6 weeks, for a total of 12 infusions. Aralast NP 90 mg dose: - 90 mg/kg/week Aralast NP 180 mg dose: - 180 mg/kg/week Aralast NP 90 mg/kg/wk by IV infusion once a week for 6 weeks. Following the Week 6 infusion, participants undergo a minimum 3-wk washout period than then, each participant proceeds to high dose Aralast NP 180 mg/kg/wk by IV infusion for the next 6 weeks, for a total of 12 infusions. Aralast NP 90 mg dose: - 90 mg/kg/week Aralast NP 180 mg dose: - 180 mg/kg/week
    Measure Participants 0 0 0 0

    Adverse Events

    Time Frame Adverse events were collected for 2.5 years, from the start of the study in January 2011 until the last participant completed the study in July 2013.
    Adverse Event Reporting Description Adverse events were collected from the time a participant signed informed consent until the time an event resolved or until 30 days after the participant completed study treatment, whichever came first.
    Arm/Group Title Subjects Aged 16 - 35 Years Subjects Aged 8 - 15 Years
    Arm/Group Description Subjects aged 16-35 years at enrollment with new-onset type 1 diabetes mellitus (T1DM) received Aralast NP 45 mg/kg by IV infusion once a week for 6 weeks. Following the Week 6 infusion, participants underwent a minimum 3-week washout period. After the washout period, each participant proceeded to a high dose of Aralast NP 90 mg/kg by IV infusion for the next 6 weeks, for a total of 12 infusions. Subjects aged 8-15 years at enrollment with new-onset type 1 diabetes mellitus (T1DM) received Aralast NP 45 mg/kg by IV infusion once a week for 6 weeks. Following the Week 6 infusion, participants underwent a minimum 3-week washout period. After the washout period, each participant proceeded to a high dose of Aralast NP 90 mg/kg by IV infusion for the next 6 weeks, for a total of 12 infusions.
    All Cause Mortality
    Subjects Aged 16 - 35 Years Subjects Aged 8 - 15 Years
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN)
    Serious Adverse Events
    Subjects Aged 16 - 35 Years Subjects Aged 8 - 15 Years
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 2/8 (25%) 1/9 (11.1%)
    Metabolism and nutrition disorders
    Diabetic ketoacidosis 0/8 (0%) 0 1/9 (11.1%) 1
    Hypoglycaemia 1/8 (12.5%) 1 0/9 (0%) 0
    Musculoskeletal and connective tissue disorders
    Musculoskeletal pain 1/8 (12.5%) 1 0/9 (0%) 0
    Other (Not Including Serious) Adverse Events
    Subjects Aged 16 - 35 Years Subjects Aged 8 - 15 Years
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 8/8 (100%) 8/9 (88.9%)
    Endocrine disorders
    Goitre 0/8 (0%) 0 1/9 (11.1%) 1
    Eye disorders
    Blepharitis 1/8 (12.5%) 1 0/9 (0%) 0
    Conjunctivitis 0/8 (0%) 0 1/9 (11.1%) 2
    Gastrointestinal disorders
    Abdominal discomfort 0/8 (0%) 0 1/9 (11.1%) 1
    Abdominal pain 0/8 (0%) 0 1/9 (11.1%) 4
    Abdominal pain upper 0/8 (0%) 0 2/9 (22.2%) 12
    Constipation 1/8 (12.5%) 1 0/9 (0%) 0
    Diarrhoea 1/8 (12.5%) 1 2/9 (22.2%) 3
    Nausea 1/8 (12.5%) 1 4/9 (44.4%) 7
    Vomiting 0/8 (0%) 0 4/9 (44.4%) 5
    General disorders
    Chest pain 1/8 (12.5%) 1 2/9 (22.2%) 2
    Influenza like illness 1/8 (12.5%) 1 1/9 (11.1%) 1
    Infusion site haematoma 0/8 (0%) 0 1/9 (11.1%) 4
    Infusion site pain 0/8 (0%) 0 1/9 (11.1%) 1
    Injection site haematoma 0/8 (0%) 0 1/9 (11.1%) 1
    Pyrexia 1/8 (12.5%) 1 3/9 (33.3%) 3
    Infections and infestations
    Ear infection 0/8 (0%) 0 1/9 (11.1%) 1
    Fungal infection 1/8 (12.5%) 1 0/9 (0%) 0
    Gastroenteritis 0/8 (0%) 0 2/9 (22.2%) 2
    Gastroenteritis viral 0/8 (0%) 0 3/9 (33.3%) 3
    Influenza 1/8 (12.5%) 1 0/9 (0%) 0
    Kidney infection 0/8 (0%) 0 1/9 (11.1%) 1
    Nasopharyngitis 2/8 (25%) 2 2/9 (22.2%) 3
    Otitis externa 0/8 (0%) 0 1/9 (11.1%) 1
    Pharyngitis streptococcal 1/8 (12.5%) 1 1/9 (11.1%) 1
    Pneumonia 1/8 (12.5%) 1 1/9 (11.1%) 1
    Respiratory tract infection viral 0/8 (0%) 0 1/9 (11.1%) 1
    Sinusitis 0/8 (0%) 0 1/9 (11.1%) 1
    Streptococcal infection 0/8 (0%) 0 1/9 (11.1%) 1
    Tooth infection 1/8 (12.5%) 1 0/9 (0%) 0
    Upper respiratory tract infection 0/8 (0%) 0 4/9 (44.4%) 10
    Urinary tract infection 2/8 (25%) 9 0/9 (0%) 0
    Injury, poisoning and procedural complications
    Concussion 0/8 (0%) 0 1/9 (11.1%) 2
    Contusion 1/8 (12.5%) 1 3/9 (33.3%) 3
    Fibula fracture 1/8 (12.5%) 1 0/9 (0%) 0
    Foot fracture 0/8 (0%) 0 1/9 (11.1%) 1
    Hand fracture 0/8 (0%) 0 1/9 (11.1%) 1
    Procedural pain 1/8 (12.5%) 3 1/9 (11.1%) 1
    Radius fracture 1/8 (12.5%) 1 0/9 (0%) 0
    Upper limb fracture 0/8 (0%) 0 1/9 (11.1%) 2
    Investigations
    Fibrin D dimer increased 0/8 (0%) 0 3/9 (33.3%) 3
    Glycosylated haemoglobin increased 0/8 (0%) 0 2/9 (22.2%) 2
    Lymphocyte count decreased 1/8 (12.5%) 1 0/9 (0%) 0
    Lymphocyte count increased 1/8 (12.5%) 2 0/9 (0%) 0
    Neutrophil count decreased 1/8 (12.5%) 1 0/9 (0%) 0
    White blood cell count decreased 0/8 (0%) 0 1/9 (11.1%) 1
    Metabolism and nutrition disorders
    Hyperglycaemia 0/8 (0%) 0 1/9 (11.1%) 4
    Hypoglycaemia 7/8 (87.5%) 69 8/9 (88.9%) 104
    Vitamin D deficiency 0/8 (0%) 0 1/9 (11.1%) 1
    Musculoskeletal and connective tissue disorders
    Arthralgia 3/8 (37.5%) 3 0/9 (0%) 0
    Back pain 1/8 (12.5%) 1 0/9 (0%) 0
    Muscle spasms 0/8 (0%) 0 1/9 (11.1%) 1
    Musculoskeletal pain 0/8 (0%) 0 1/9 (11.1%) 1
    Myalgia 0/8 (0%) 0 1/9 (11.1%) 4
    Neck pain 0/8 (0%) 0 1/9 (11.1%) 1
    Pain in extremity 1/8 (12.5%) 1 0/9 (0%) 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Skin papilloma 0/8 (0%) 0 1/9 (11.1%) 2
    Nervous system disorders
    Dizziness 0/8 (0%) 0 2/9 (22.2%) 2
    Headache 2/8 (25%) 2 4/9 (44.4%) 77
    Sinus headache 1/8 (12.5%) 1 0/9 (0%) 0
    Syncope 0/8 (0%) 0 1/9 (11.1%) 1
    Psychiatric disorders
    Panic attack 1/8 (12.5%) 1 0/9 (0%) 0
    Renal and urinary disorders
    Hypercalciuria 1/8 (12.5%) 1 0/9 (0%) 0
    Ketonuria 0/8 (0%) 0 2/9 (22.2%) 4
    Nephrolithiasis 1/8 (12.5%) 1 0/9 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Cough 3/8 (37.5%) 3 2/9 (22.2%) 4
    Nasal congestion 3/8 (37.5%) 3 2/9 (22.2%) 2
    Oropharyngeal pain 0/8 (0%) 0 2/9 (22.2%) 9
    Respiratory tract congestion 1/8 (12.5%) 1 0/9 (0%) 0
    Rhinitis allergic 1/8 (12.5%) 1 1/9 (11.1%) 1
    Upper respiratory tract congestion 0/8 (0%) 0 1/9 (11.1%) 2
    Upper-airway cough syndrome 1/8 (12.5%) 1 0/9 (0%) 0
    Skin and subcutaneous tissue disorders
    Dry skin 0/8 (0%) 0 1/9 (11.1%) 1
    Eczema 0/8 (0%) 0 1/9 (11.1%) 1
    Rash 1/8 (12.5%) 3 3/9 (33.3%) 4
    Rash papular 1/8 (12.5%) 1 0/9 (0%) 0
    Rash pruritic 0/8 (0%) 0 1/9 (11.1%) 2
    Skin mass 0/8 (0%) 0 1/9 (11.1%) 1
    Urticaria 1/8 (12.5%) 1 0/9 (0%) 0

    Limitations/Caveats

    This (Part 1) was the drug dosing portion of the study; however, due to lack of a mechanistic signal and competing industry studies, the study was terminated and the trial portion (Part II, NCT01183455) was withdrawn.

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

    Results Point of Contact

    Name/Title Director, Clinical Research Operations Program
    Organization DAIT/NIAID
    Phone 301-594-7669
    Email DAITClinicalTrialsGov@niaid.nih.gov
    Responsible Party:
    National Institute of Allergy and Infectious Diseases (NIAID)
    ClinicalTrials.gov Identifier:
    NCT01183468
    Other Study ID Numbers:
    • DAIT ITN041AI Part 1
    First Posted:
    Aug 17, 2010
    Last Update Posted:
    Jun 13, 2018
    Last Verified:
    May 1, 2018