CClinicalTrials.gg
Active, not recruitingNCT04598893Updated Dec 9, 2025

Recent-Onset Type 1 Diabetes Extension Study Evaluating the Long-Term Safety of Teplizumab (PROTECT Extension)

An observational study in Diabetes Mellitus, Type 1, sponsored by Provention Bio, a Sanofi Company. Active, not recruiting at 47 sites in 8 countries. Open to participants aged 9 Years to 19 Years. Per ClinicalTrials.gov, last updated 2025-12-09.

Sponsored by Provention Bio, a Sanofi Company · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
188
Ages
9 Years to 19 Years
Sex
All
01

Study summary

The purpose of this non-interventional extension study is to continue to collect long-term safety and other clinical data for an additional 42 months in participants who completed the PROTECT study.

Read the detailed description

This study is the long-term extension of the PRV-031-001 (PROTECT) study. PROTECT is a Phase 3, randomized, double-blind, placebo-controlled, multinational, multi-center study to evaluate the efficacy and safety of teplizumab, a humanized, anti-CD3 monoclonal antibody, in children and adolescents ages 8 through 17 recently diagnosed with type 1 diabetes (within 6 weeks of diagnosis) in which approximately 300 participants were randomized at a ratio of 2:1 to the teplizumab or placebo and received two courses of treatment administered 6 or 12 months apart with final follow-up at approximately 18 months (78 weeks) after the first dose.

Participants who complete the PROTECT study are invited to enroll in this observational, extension study to collect long-term safety and other clinical data. The decision to participate can be made within 12 months of completing the PROTECT study.

No study drug will be administered during this extension study. Participants will continue to receive standard care for type 1 diabetes from their primary physicians.

Participants will return to the study sites for assessments once every 6 months through Month 42. Therefore, the combined duration of the PROTECT and PROTECT Extension studies will be 60 months.

02

Conditions studied

  • Diabetes Mellitus, Type 1

Keywords

  • Recent-onset type 1 diabetes
  • Teplizumab
  • T1D
  • Stage 3
  • Type 1 diabetes
  • New onset type 1 diabetes
03

In context

Diabetes Mellitus, Type 1

3,522 studies on the registry are indexed under Diabetes Mellitus, Type 1; 577 are open to participants now.

This study's enrollment of 188 is above the median of 120 across 748 observational studies indexed under Diabetes Mellitus, Type 1.

Browse Diabetes Mellitus, Type 1 studies →

Lead sponsor

Provention Bio, a Sanofi Company is the lead sponsor of 4 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
9 Years to 19 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Participants who completed the PROTECT (PRV-031-001) study

Inclusion criteria

  1. Completion of the PRV-031-001 (PROTECT) study by completing the Week 78 visit in that study, regardless of how many doses of study drug were administered.
  2. Provide written informed consent within 12 months of the Week 78 in the PRV-031-001 study. Written assent will be obtained for participants under 18 years of age at the time of enrollment, according to applicable regulations. If possible, written informed consent and/or assent for the current PROTECT Extension study (PRV-031-003) should be obtained at the final (Week 78) visit in the PROTECT study.

Exclusion criteria

Exclusion Criteria:

1. Premature discontinuation from the PRV-031-001 (PROTECT) study for any reason.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
188 participants (actual)
Patient registry
No

Groups and cohorts

  • Teplizumab

    Participants who received teplizumab in the PROTECT study

    Biological: Teplizumab

  • Placebo

    Participants who received placebo in the PROTECT study

    Other: Placebo

Interventions

  • BiologicalTeplizumab

    Received teplizumab in PROTECT Study

  • OtherPlacebo

    Received placebo in PROTECT study

06

What researchers measure

Primary outcomes

  1. Incidence of adverse events (AEs), serious adverse events (SAEs) and adverse events of special interest (AESIs), including infections and malignancies

    Safety outcome

    Time frame: During 42 months of follow-up

Secondary outcomes

  1. Area under the time-versus concentration curve (AUC) of C-peptide after a 4-hour (4h) mixed-meal tolerance test (MMTT)

    Clinical parameters of diabetes management 1

    Time frame: During the 42 months of follow-up

  2. Insulin use (daily average insulin dose in U/kg/day)

    Clinical parameters of diabetes management 2

    Time frame: During the 42 months of follow-up

  3. HbA1c

    Clinical parameters of diabetes management 3

    Time frame: During the 42 months of follow-up

07

Study locations

47 sites
  • Rady Children's Hospital 3020 Children's Way (Site 840004)
    San Diego, California 92123, United States
  • UCSF Medical Center Gateway Medical Building, 1825 Fourth Street (Site 840001)
    San Francisco, California 94158, United States
  • Diablo Clinical Research2255 Ygnacio Valley Road, Ste. M (Site 840002)
    Walnut Creek, California 945981, United States
  • Barbara Davis Center for Diabetes - Pediatrics 1775 Aurora Court (Site 840005)
    Aurora, Colorado 80045, United States
  • Nemours Children's Health, 807 Children's Way
    Jacksonville, Florida 32207, United States
  • Johns Hopkins All Children's Hospital, 501 6th Avenue South (Site 840048)
    St. Petersburg, Florida 33701, United States
  • Atlanta Diabetes Associates 1800 Howell Mill Road. Suite 450 (Site 840009)
    Atlanta, Georgia 30318, United States
  • Centricity Research (Site 840006)
    Columbus, Georgia 31904, United States
  • St. Luke's Children's Endocrinology, 305 E Jefferson St. (Site 840052)
    Boise, Idaho 83712, United States
  • Rocky Mountain Clinical Research, LLC 3910 Washington Parkway, Suite E (Site 840007)
    Idaho Falls, Idaho 83404, United States
  • Indiana University Hospital, Indiana Clinical Research Center, 550 North University Boulevard (Site 840014)
    Indianapolis, Indiana 46202, United States
  • University of Iowa Hospitals and Clinics 200 Hawkins Drive (Site 840023)
    Iowa City, Iowa 52242, United States
  • Capital Medical Research Associates (Site 840029)
    Camp Springs, Maryland 20746, United States
  • Baystate Medical Center, 759 Chestnut Street
    Springfield, Massachusetts 01199, United States
  • Children's Mercy Hospitals and Clinics, 2401 Gillham Road (Site 840026)
    Kansas City, Missouri 64108, United States
  • Washington University School of Medicine, Pediatric Clinical Research Unit, Suite 11W19 (Site 840018)
    St Louis, Missouri 63110, United States
  • UBMD Pediatrics 1001 Main Street, 4th Floor (Site 840010)
    Buffalo, New York 14203, United States
  • UNC Hospitals, The University of North Carolina at Chapel Hill, Children's Specialty Clinic, 101 Manning Drive (Site 840038)
    Chapel Hill, North Carolina 27514, United States
  • Endocrinology Service Northwest, LLC 929 SW Simpson Ave. Suite 220 (Site 840034)
    Bend, Oregon 97702, United States
  • Children's Hospital of Philadelphia, Division of Endocrinology 3500 Civic Center Blvd., Buerger Center 12th Floor (Site 840021)
    Philadelphia, Pennsylvania 19104, United States
  • AM Diabetes & Endocrinology Center, 3025 Kate Bond Rd. (Site 840008)
    Bartlett, Tennessee 38133, United States
  • Vanderbilt University Medical Center 1500 21st Avenue, Suite 1514, Village At Vanderbilt (Site 840024)
    Nashville, Tennessee 37212, United States
  • UT Southwestern Children's Medical Center of Dallas 1935 Medical District Drive (Site 840033)
    Dallas, Texas 75235, United States
  • Virginia Mason Medical Center, Benaroya Research Institute 1201 9th Ave, MS: D4-CRP (Site 840016)
    Seattle, Washington 98101, United States
  • MultiCare Health System, Gateway Medical Building (Site 840003)
    Tacoma, Washington 98405, United States
  • University Hospital Brussels (Site 056202)
    Jette, Brussels Capital B-1090, Belgium
  • UCL Namur University Hospital Place Louise Godin 15 (Site 056205)
    Namur, Namur B-5000, Belgium
  • Alberta Diabetes Institute, 2-004 Li Ka Shing Centre for Health Research Innovation 8602 (Site 124103)
    Edmundston, Alberta T6G 2E1, Canada
  • BCDiabetes - Medical Research Center, 210 West Broadway Suite 400 (Site 124102)
    Vancouver, British Columbia V5Y 3W2, Canada
  • University Hospital Motol V Uvalu 84, Praha 5 - Motol (Site 203301)
    Prague, 150 06, Czechia
  • Hospital Center Regional D'Orleans Hospital La Source, Pediatric Department, 14 Hospital Ave Post box 86709 (Site 250513)
    Orléans, France 45067, France
  • Woman Mother Child Hospital HCL
    Bron, 69677, France
  • Dijon University Hospital Center-Francois Mitterand Hospital, Children's Hospital
    Dijon, 21079, France
  • CHU La Timone - La Timone Children's Hospital
    Marseille, 13385, France
  • Lenval Hospital, 57 Avenue de la Californie (Site 250508)
    Nice, 06200, France
  • Necker Children's Hospital, 149 Rue de Sevres (Site 250502)
    Paris, 75015, France
  • Pau Hospital Center
    Pau, 64046, France
  • Evangelic Clinic Bethel, Children's Clinic Grenzweg 14/Hs 2 (Site 276602)
    Bethel, Bielefeld 33617, Germany
  • Hospital Augsburg, Stenglinstrasse 2 (Site 276606)
    Augsburg, 86156, Germany
  • University Hospital Carl Gustav Carus Fetscherstrasse 74 (Site 276601)
    Dresden, 01307, Germany
  • Pediatric Hospital on the Bult Janusz-Korczak-Allee 12 (Site 276604)
    Hanover, 30173, Germany
  • University Hospital Heidelberg, Im Neuenheimer Feld 430 (Site 276608)
    Heidelberg, 69120, Germany
  • University Teaching Centre of the Medical University of Warsaw, 63A, ul. Zwirki i Wigur (Site 616804)
    Warsaw, Poland 02-091, Poland
  • University Teaching Centre, Department of Pediatrics, Diabetology and Endocrinology (Site 616803)
    Gdansk, 80-952, Poland
  • Institute of Diabetology ul. Raclawicka 129/2U, 02-117 (Site 616802)
    Warsaw, 02-117, Poland
  • Children's Memorial Health Institute Al. Dzieci Polskich 20 (Site 616801)
    Warsaw, 04-730, Poland
  • Sheffield Children's Hospital Western Bank, S10 2TH (Site 826903)
    Sheffield, Yorkshire, United Kingdom
08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 9, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04598893
Lead sponsor
Provention Bio, a Sanofi Company
Responsible party
Sponsor
First posted
Oct 22, 2020
Start date
Oct 26, 2020
Primary completion
Nov 2026 (estimated)
Completion
Nov 2026 (estimated)
Last update
Dec 9, 2025

Study contacts

Clinical Sciences & Operations
study director · Sanofi

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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