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RecruitingNCT04039945Fr1daUpdated Dec 17, 2024

Fr1da Early Diagnosis and Care of Type 1 Diabetes

An observational study in Type 1 Diabetes Mellitus, sponsored by Helmholtz Zentrum München. Recruiting at 1 site in Germany. Open to participants aged 2 Years to 10 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-12-17.

Sponsored by Helmholtz Zentrum München · Observational

From the registry’s dates

  • Started Feb 2015; still recruiting 11 years 8 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
285,000
Ages
2 Years to 10 Years
Sex
All
01

Study summary

The Fr1da study: "Early diagnosis and care of type 1 diabetes" aims to carry out a comprehensive, population-based screening for the early diagnosis of type 1 diabetes as part of the U7 to U11 preventive medical check-up for children or between the ages of 2 and 10 years in Bavaria and to implement it in other federal states. Screening is recommended at two time points: 1st screening at the age of 3 years (U7a) and 2nd screening at the age of 7 years (U10). In addition, relatives of patients with type 1 diabetes between the ages of 1 and 21 can be screened repeatedly at intervals of 3 to 5 years for an early-stage of type 1 diabetes.

Read the detailed description

With the Fr1da study, 100,000 children in the Free State of Bavaria were offered a one-off screening for the early diagnosis of type 1 diabetes from January 1, 2015 to 2019 as part of the U7 (21st month of life) to U9 (64th month of life) check-ups, or as part of any other visit at the paediatrician between the ages of 2 and 5. After 100,000 children had been screened in the Fr1da study, the screening was continued as part of Fr1da (formerly Fr1da-Plus). The screening was then extended to a second age group from 6 to 10 years (U10-U11). As relatives of people with type 1 diabetes have an up to 10-fold increased risk of developing type 1 diabetes themselves, the screening is also offered to these people between the age 1 to 21 years. The aim of the Fr1da study is 1) to prevent life-threatening ketoacidosis at clinical manifestation of type 1 diabetes, 2) to reduce anxiety, uncertainty and psychological stress through training and intensive support for those affected, 3) to test the feasibility of two-time nationwide screening and evaluate the benefits, 4) to determine the prevalence of early-stage type 1 diabetes in children in defined age groups and in first and second screening, 5) to identify geographical differences and associations with environmental factors in the development and progression of the disease and 6) to prevent disease progression by means of preventive therapies. From 2024, the screening will also be offered in other federal states outside of Bavaria.

02

Conditions studied

  • Type 1 Diabetes Mellitus

Keywords

  • Fr1da
  • Fr1da-Plus
  • type 1 diabetes
  • islet autoantibodies
03

In context

Diabetes Mellitus, Type 1

3,614 studies on the registry are indexed under Diabetes Mellitus, Type 1; 586 are open to participants now.

This study's planned enrollment of 285,000 is above the median of 121 across 769 observational studies indexed under Diabetes Mellitus, Type 1.

Browse Diabetes Mellitus, Type 1 studies →

Lead sponsor

Helmholtz Zentrum München is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
2 Years to 10 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Children between the ages of 2 and 10 years

Eligibility criteria

written informed consent by one custodial parent

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
285,000 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna
06

What researchers measure

Primary outcomes

  1. presence of multiple islet autoantibodies

    multiple islet autoantibodies (IAA, GADA, IA-2A and/or ZnT8A)

    Time frame: up to 3 years

07

Study locations

1 of 1 sites recruiting
  • Institut für Diabetesforschung, Helmholtz Zentrum München
    Munich, Germany
    • Anette-G. Ziegler, Prof.Dr.med. · Contact
    Recruiting
08

References and documents

Publications

  • Winkler C, Friedl N, Abt R, Ackermann K, Bently J, Braig S, Bramswig S, Dunstheimer D, Ermer U, Ewald D, Gerstl EM, Hammersen J, Haupt F, Hergl M, Hubmann M, Hummel S, Jochem B, Knopff A, Lange K, Lwowsky D, Nellen-Hellmuth N, Prey B, Rettner D, Schill S, Schmidt S, Scholz M, Sindichakis M, Stock J, Stricker D, Volkl TMK, Warncke K, Weber L, Weiss A, Bonifacio E, Achenbach P, Ziegler AG. Screening Children for Early-Stage Type 1 Diabetes. JAMA. 2026 Jun 16;335(23):2046-2056. doi: 10.1001/jama.2026.6085. PubMed 42166139 ↗
  • Hippich M, Holthaus L, Assfalg R, Zapardiel-Gonzalo J, Kapfelsperger H, Heigermoser M, Haupt F, Ewald DA, Welzhofer TC, Marcus BA, Heck S, Koelln A, Stock J, Voss F, Secchi M, Piemonti L, de la Rosa K, Protzer U, Boehmer M, Achenbach P, Lampasona V, Bonifacio E, Ziegler AG. A Public Health Antibody Screening Indicates a 6-Fold Higher SARS-CoV-2 Exposure Rate than Reported Cases in Children. Med. 2021 Feb 12;2(2):149-163.e4. doi: 10.1016/j.medj.2020.10.003. Epub 2020 Oct 29. PubMed 33163984 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2015 (actual). Primary completion is estimated for Dec 2028, 166 months after the start.

Of 49 industry-sponsored observational studies under Diabetes Mellitus, Type 1, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 42. This study's planned 166 months is above that.

Counting every sponsor, half of 288 studies reached it within 27 months; a quarter within 12 and three quarters within 69.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 26, 2019
First posted
Jul 31, 2019
StartActual
Feb 2015
Primary completionEst.
Dec 2028
CompletionEst.
Dec 2028
Last update
Dec 17, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 17, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04039945
Lead sponsor
Helmholtz Zentrum München
Responsible party
Anette-Gabriele Ziegler (Prof. Dr.med. Anette-G. Ziegler, Director, Institute of Diabetes Research, Helmholtz Zentrum München) — Principal investigator
First posted
Jul 31, 2019
Start date
Feb 2015
Primary completion
Dec 2028 (estimated)
Completion
Dec 2028 (estimated)
Last update
Dec 17, 2024

Study contacts

Anette-Gabriele Ziegler, Prof.Dr.med.
Contact
diabetes.frueherkennung@helmholtz-muenchen.de
+49 800-4648835

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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