Could a 3-Step immune therapy save Insulin-Making cells in newly diagnosed type 1 diabetes?
NCT ID NCT07610213
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-phase trial tests a three-step immune treatment for people recently diagnosed with Type 1 diabetes (within 6 months). The goal is to preserve the body's remaining insulin production by calming the immune attack and teaching the immune system to tolerate insulin. Sixty adults aged 18-45 will receive either the MATIN-2 protocol or standard care, with safety and insulin production monitored for two years.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2027
An estimate. Start dates often move.
- Expected to finish
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Jun 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 45 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18-45 years * Clinical diagnosis of Type 1 diabetes mellitus within 6 months of enrolment * Positive for at least one diabetes-related autoantibody (GAD65, IA-2, ZnT8, or IAA) * Detectable fasting or stimulated C-peptide ≥ 0.2 nmol/L * HbA1c ≤ 10% (86 mmol/mol) * Ability to provide written informed consent Exclusion Criteria: * Prior immunosuppressive therapy within 3 months * Active or chronic infection (HIV, hepatitis B/C, tuberculosis) * Current or prior malignancy within 5 years (except non-melanoma skin cancer) * Pregnancy or breastfeeding * Severe renal impairment (eGFR \< 30 mL/min/1.73m²) * Severe hepatic impairment (Child-Pugh C) * Known hypersensitivity to teplizumab or any excipient * Participation in another interventional trial within 30 days * Current systemic corticosteroid or immunomodulatory agent use * History of other autoimmune disease requiring immunosuppression * Absolute lymphocyte count \< 1.0 × 10⁹/L * ALT or AST \> 3× upper limit of normal * Haemoglobin \< 100 g/L * Unwillingness to use contraception during study period
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Kara Harp Okulu (Turkish Military Academy)
Ankara, Ankara, 06000, Turkey (Türkiye)
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Other studies related to the condition(s) this trial covers.
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