Information about the PreTreg clinical trial

We are inviting children and adolescents to take part in an innovative therapy aimed at slowing down the progression of diabetes.

More about the trial

About the trial

Title of the trial

A multicenter, randomized, blinded, placebo controlled, phase II study to evaluate the safety and efficacy of cell therapy based with artificially expanded CD4+CD25+CD127- regulatory lymphocytes and anti-CD20 antibody in pediatric patients with presymptomatic diabetes type 1 (stage 1)

Aim of the trial

The aim of the trial is to evaluate the efficacy and safety of regulatory T cell therapy (Tregs) in patients with presymptomatic type 1 diabetes. The trial aims to assess the effect of Treg therapy on disease progression and its safety compared to placebo.

Trial design

The trial is a randomized, placebo-controlled, double-blind trial. Participants are randomly assigned to one of four groups – they receive:

  • Tregs therapy along with rituximab
  • Tregs therapy
  • rituximab
  • placebo

Planned number of participants

150

Recruitment period

3 years

Number of sites

10 sites are planned in the largest Polish cities

Check sites

Status

the trial is currently in the participant recruitment phase

Sponsor of the trial

Who can participate?

  • Children aged 3 to 18
  • Body weight over 20 kg
  • No symptoms of diabetes

Safety and care:

  • Support from specialists and access to the latest treatment methods
  • Regular examinations and health monitoring
  • Professional medical care
  • Opportunity to contribute to medical progress and support research on type 1 diabetes
  • All procedures comply with the highest safety standards
  • Constant medical care throughout the trial period
  • Participation in the trial is free of charge
  • The trial has been approved by the bioethics committee and the Office for the Registration of Medicinal Products

How to apply

Contact one of the recruitment sites

OPEN RECRUITMENT

Uniwersyteckie Centrum Kliniczne

Ul. Dębinki 7, Gdańsk 80-952


Klinika Pediatrii, Diabetologii i Endokrynologii

Principal Investigator: Dr. Matylda Hennig


Contact regarding the trial:

OPEN RECRUITMENT

Uniwersytecki Dziecięcy Szpital Kliniczny Im. L. Zamenhofa W Białymstoku samodzielny publiczny zakład opieki zdrowotnej

Ul. Jerzego Waszyngtona 17, Białystok 15-269


Klinika Pediatrii, Endokrynologii, Diabetologii z Pododdziałem Kardiologii UMB

Principal Investigator: Prof. Artur Bossowski


Contact regarding the trial:

OPEN RECRUITMENT

Uniwersytecki Szpital Kliniczny W Opolu

Al. Wincentego Witosa 26, Opole 45-401


Oddział Pediatrii z Pododdziałem Gastroenterologii i Diabetologii Dziecięcej

Principal Investigator: Prof. Agata Chobot


Contact regarding the trial:

OPEN RECRUITMENT

Uniwersytet Medyczny W Łodzi

Al. Tadeusza Kościuszki 4, Lodź 90-419


Umed Clinical Trials Sp. z o.o.

Principal Investigator: Prof. Agnieszka Szadkowska


Contact regarding the trial:

OPEN RECRUITMENT

Uniwersytecki Szpital Kliniczny Im. Jana Mikulicza-Radeckiego We Wrocławiu

Ul. Borowska 213, Wrocław 50-556


Klinika Pediatrii, Endokrynologii, Diabetologii i Chorób Metabolicznych

Principal Investigator: Dr. Agnieszka Zubkiewicz-Kucharska


Contact regarding the trial:

OPEN RECRUITMENT

Górnośląskie Centrum Zdrowia Dziecka Im. Św. Jana Pawła II Samodzielny Publiczny Szpital Kliniczny Nr 6 Śląskiego Uniwersytetu Medycznego W Katowicach

Ul. Medyków 16, Katowice 40-752


Oddział Diabetologii Dziecięcej i Pediatrii Katedra Pediatrii WNMK

Principal Investigator: Prof. Przemysława Jarosz-Chobot


Contact regarding the trial:

OPEN RECRUITMENT

Uniwersytecki Szpital Dziecięcy W Lublinie, Ul. Prof. Antoniego Gębali Nr 6

Lublin 20-093


Klinika Endokrynologii i Diabetologii Dziecięcej

Principal Investigator: Prof. Iwona Beń-Skowronek


Contact regarding the trial:

OPEN RECRUITMENT

Centrum Medyczne Medyk Sp. z o.o. S.K.

Al. Tadeusza Rejtana 53, Rzeszów 35-326


Centrum Badawczo-Rozwojowe Ośrodek Badań Klinicznych

Principal Investigator: Prof. Artur Mazur


Contact regarding the trial:

PLANNED TO OPEN

Samodzielny Publiczny Dziecięcy Szpital Kliniczny Im. Józefa Polikarpa Brudzińskiego W Warszawie

Ul. Ulica Żwirki I Wigury 63 A, Warszawa 02-091


Klinika Diabetologii Dziecięcej i Pediatrii

Principal Investigator: Prof. Agnieszka Szypowska


Contact regarding the trial:

PLANNED TO OPEN

Pomorski Uniwersytet Medyczny w Szczecinie

ul. Unii Lubelskiej 1, 71-252 Szczecin


Centrum Wsparcia Badań Klinicznych Pomorskiego Uniwersytetu Medycznego w Szczecinie

Principal Investigator: Prof. Elżbieta Petriczko


Contact regarding the trial:


Additional
information


The trial is conducted in accordance with applicable law, the principles of Good Clinical Practice (GCP), has been approved by the relevant regulatory authorities and has received a positive opinion from the bioethics committee.


Q&A

It is a way to check whether new drugs or therapies are effective and safe.

The purpose of the trial is to see if Tregs therapy is safe and effective in children aged 3–18 years who have early-stage type 1 diabetes (no symptoms of the disease).

The trial is open to children and young people aged 3–18, weighing more than 20 kg, who do not yet have symptoms of diabetes and who meet specific medical criteria.

Participation in the trial lasts up to 5 years, depending on the individual course of therapy.

The trial has been approved by an independent bioethics committee and the relevant authority. The entire process will take place under the supervision of experienced specialist physicians.

This therapy has been used before and is considered safe. As with any treatment, side effects can occur, but patients are informed about these and are under constant medical supervision.

The medical team conducting the trial, including physicians and nurses.

Treatment will be stopped and you will receive the right medical care.

First, there is an interview, followed by signing the consent form. Initial tests are then performed to see if the participant meets the criteria.

No, you do not need to undergo any tests beforehand. As part of the eligibility process, physicians will examine the patient from head to toe and perform all the necessary tests and follow-up examinations. Based on these results, a decision will be made as to whether the person is eligible to participate in the trial.

Yes, participation is voluntary, and you can withdraw at any time.

In the first year, visits are more frequent – initially every one to two weeks, then every few months. In subsequent years, visits are made once a year.

Randomisation, i.e. random assignment to a trial group, is a key element of clinical trials as it enables the effectiveness and safety of a new therapy to be reliably assessed. Regardless of their assignment, all participants will receive medical care for the entire duration of the trial.

As well as access to modern treatment and constant medical care, participation in the trial is a real contribution to the development of medicine that can help many other children in the future.

Yes, trial results contribute to medical advances.

Additional doses of the drug are not provided after the trial ends, as the therapy does not require further administration outside the established schedule.

Yes, all procedures and medications are funded by the organisers of the trial.

No, participation in a clinical trial does not involve financial gratification. However, patients may receive partial or full reimbursement for travel and accommodation costs to and from appointments, up to a limit set by the trial organisers.

It is encrypted and stored in accordance with privacy laws.

You have the right to information, voluntary participation and to opt out at any time.

Contact the trial team or trial coordinator, as detailed in the information materials provided during the informed consent process at the start of the trial.