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Clinical Trials

Building on clinical trial and laboratory research insights from the past decade, the ITN has focused and deliberate strategies to achieving tolerance in each disease area. The research supported by the ITN has unlocked new therapeutic approaches and discovered new biomarkers that promise to change the way physicians treat patients. Explore ITN clinical trials below by using a search term or by sorting the specific trial categories. If you have questions or want more information about ITN clinical trials, contact us.

Completed

A Study to Determine the Immunogenicity and Oral Tolerance to Keyhole Limpet Hemocyanin (KLH) (TAKE)

Principal Investigator:
Lloyd Mayer, MD, Mount Sinai Medical Center, New York, NY
The purpose of this study is to determine whether Immucothel, a Keyhole Lymphocyte Antigen (KLH) product, can trigger an immune response when ingested orally and create "oral tolerance" to KLH. If not, Immucothel will be tested with another agent to enhance the immune response.
Learn more: Study Summary Clinicaltrials.gov

Long-Term Effects of Sublingual Grass Therapy (GRASS)

Principal Investigator:
Stephen Durham, MD, Imperial College, London, United Kingdom
GRASS is a clinical research study looking at long-term immunity from the symptoms of hay fever. The study is testing the effectiveness of two commercially available tolerance-increasing treatments.
Learn more: Study Summary Clinicaltrials.gov

Research Study of ATG and Rituximab in Renal Transplantation (RESTARRT)

Principal Investigator:
James Markmann, MD, Massachusetts General Hospital, Boston, MA
The purpose of the RESTARRT study is see if a combination of two drugs, (ATG and rituximab), given at the time of the transplant surgery, will help reduce or eliminate the need for long-term immunosuppressive medication.
Learn more: Study Summary Clinicaltrials.gov Study Website

Inducing Remission in New Onset T1DM with Alefacept (Amevive®) (T1DAL)

Principal Investigator:
Mark Rigby, MD, PhD, Indiana University/Riley Hospital for Children, Indianapolis, IN
The purpose of this trial is to test whether a drug called alefacept will slow or halt destruction of the beta cells in the pancreas. If the destruction of the beta cells is stopped, the patients might be able to produce insulin on their own longer which could stop or slow the progression of their type 1 diabetes.
Learn more: Study Summary Clinicaltrials.gov Study Website

Associating Renal Transplantation With the ITN Signature of Tolerance (ARTIST)

Principal Investigator:
Kenneth Newell, Emory University, Atlanta, GA
Laurence Turka, Harvard Medical School, Boston, MA
Anil Chandraker, Harvard Medical School, Boston, MA
This is an observational study for people who have received a kidney transplant within the past 1 to 5 years. Researchers in this study are looking for a certain pattern of genes and cells in the blood that has been found in a group of rare transplant patients who do not need immunosuppression.
Learn more: Study Summary Clinicaltrials.gov

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

Principal Investigator:
Gordon Weir, Joslin Diabetes Center, Boston, MA
Terry Strom, Beth Israel Deconess, Boston, MA
The RETAIN study is evaluating a protein called alpha-1 antitrypsin (AAT) in recently diagnosed type 1 diabetes patients.
Learn more: Study Summary Clinicaltrials.gov Study Website

A Screening Study for Identification of Tolerance Markers in Liver Transplant Recipients Who Received Campath-1H Immunosuppression

Principal Investigator:
Andreas Tzakis, MD, Jackson Memorial Hospital, Miami, FL
Panagiotis Tryphonopoulos, MD, University of Miami, Miami, FL
This study aims to identify which study participants - all of whom previously received a liver transplant under Campath-1H immunosuppression - exhibit specific tolerogenic genotypes. Our hypothesis is that patients who exhibit these genotypes might be good candidates for future immunosuppression withdrawal.
Learn more: Study Summary

Mixed Chimerism II: Renal Allograft Tolerance through Mixed Chimerism

Principal Investigator:
David H. Sachs, MD, Harvard Medical School
This study will examine the safety and effectiveness of a combination kidney and bone marrow transplant from a relative with the same (or nearly the same) blood cell type as the transplant recipient. An investigational medication will be given prior to and after the transplant to help protect the transplanted kidney from attack by the body's immune system.
Learn more: Study Summary Clinicaltrials.gov

High Dose Immunosuppression and Autologous Transplantation for Multiple Sclerosis (HALT-MS)

Principal Investigator:
Richard A. Nash, Fred Hutchinson Cancer Research Center, Seattle, WA
The HALT-MS study is investigating an experimental treatment of intensive immunosuppression followed by a transplant of the participant’s own stem cells, to see whether it can stabilize multiple sclerosis. Bone marrow CD34+ stem cells are collected from the participant, and transplanted back into the body following treatment with high doses of chemotherapy drugs. This study is for individuals with relapsing-remitting or progressive-relapsing MS, who have experienced relapses while on other MS treatments.
Learn more: Study Summary Clinicaltrials.gov

Abatacept and Cyclophosphamide Combination Therapy for Lupus Nephritis (ACCESS)

Principal Investigator:
David Wofsy, University of California, San Francisco, CA
Betty Diamond, Feinstein Institute, Manhasset, NY
This study is for people with systemic lupus who have developed complications in their kidneys, called 'lupus nephritis.' The study will determine whether adding the experimental medication abatacept to standard cyclophosphamide therapy is more effective in improving lupus nephritis than standard cyclophosphamide therapy by itself.
Learn more: Study Summary Clinicaltrials.gov

Mechanistic Studies in a Phase II Trial of Multiple Sclerosis with Altered Peptide Ligand (APL)

Principal Investigator:
Jack Antel, Montreal Neurological Institute, Montreal, Quebec, Canada
This study aims to evaluate the safety and tolerability of a 5 mg dose of the study drug, NBI-5788, for treatment of relapsing-remitting multiple sclerosis patients. A prior phase 2 trial conducted with this drug demonstrated suggestive evidence of treatment benefit with a 5 mg dose of NBI-5788.
Learn more: Study Summary

Cytokine Production in Children with Pre-Clinical and Clinical Type 1 Insulin Dependent Diabetes Mellitus (ABBA)

Principal Investigator:
Jorma Ilonen, University of Turku, Turku, Finland
This clinical trial is being performed in collaboration with the Finnish Diabetes Prediction and Prevention project and is studying individuals in various stages of prediabetes who receive intranasal insulin as part of a secondary prevention trial. The ITN is funding the support of additional laboratory studies to identify biomarkers that can predict the onset of type 1 diabetes and to learn more about the natural history of the disease.
Learn more: Study Summary

Study of Tolerant Kidney Transplant Recipients (FACTOR)

Principal Investigator:
Kenneth Newell, Emory University, Atlanta, GA
Immunosuppressive drugs are all that separate transplant recipients from rejecting their transplanted organs. The ITN Registry of Tolerant Kidney Transplant Recipients is searching for those rare kidney transplant recipients who have stopped their immunosuppression, but for some reason have not rejected their transplants. If you have received a kidney transplant and have been off all immunosuppressive medications for 1 year and have good kidney function, or if you received your kidney from an identical twin, you may be eligible to participate.
Learn more: Study Summary Clinicaltrials.gov

Monitoring of CMV-specific T-cells following tolerance induction protocols: A safety approach

Principal Investigator:
Florian Kern, Institut für Medizinische Immunologie, Berlin, Germany
This study seeks to optimize and standardize an existing assay which allows the T-cell response directed against in transplant recipients who undergo immune tolerance induction. This study employs a rapid laboratory test that would enable the transplant physicians to look at the patient's immune response to this model virus.
Learn more: Study Summary

Follow-up of individual T cell mobilization through TCR integration

Principal Investigator:
Jean Paul Soullilou, Institute de Transplantation, Nantes, France
This trial investigates the landscape of blood T lymphocytes in patients with active forms of multiple sclerosis. The goal of the study is to demonstrate T cell receptor (TCR) patterns that are specific for disease activity at the patient level and then to use this “TCR signature” to follow regulation of auto reactive T cells, particularly during tolerance induction.
Learn more: Study Summary

Proleukin® and Rapamune® in Type 1 Diabetes Mellitus (IL2-RAPA)

Principal Investigator:
Carla Greenbaum, Benaroya Research Institute, Seattle, WA
This is a phase I trial in individuals who have been diagnosed with type 1 diabetes within the previous 3-48 months. The study is testing whether two immune system modifying drugs are safe when used in combination and if they have immune altering effects that indicate they can halt the progression of type 1 diabetes.
Learn more: Study Summary Clinicaltrials.gov

Treatment of Psoriatic Arthritis with hOKT3γ(Ala-Ala): Psoriatic Arthritis Research Trial (PART)

Principal Investigator:
Marcus Clark, University of Chicago, Chicago, IL
hOKT3gamma1 (Ala-Ala) is a man-made antibody that is commonly used to prevent organ rejection. The purpose of this study is to determine whether hOKT3gamma1 (Ala-Ala) is safe and effective in psoriatic arthritis patients who are unable to control their arthritis with methotrexate or azathioprine.
Learn more: Study Summary Clinicaltrials.gov

Rituximab for the Treatment of Wegener's Granulomatosis and Microscopic Polyangiitis (RAVE)

Principal Investigator:
John H. Stone, Johns Hopkins University, Baltimore, MD
Ulrich Specks, Mayo Clinic, Rochester, MN
Antineutrophil cytoplasmic antibodies (ANCA)-associated vasculitis is the most common type of small blood vessel inflammation in adults. ANCA-associated vasculitis includes Wegener's granulomatosis (WG) and microscopic polyangiitis (MPA). Rituximab is a man-made antibody used to treat certain types of cancer. The purpose of this study is to determine the effectiveness of rituximab in treating adults with WG and MPA.
Learn more: Study Summary Clinicaltrials.gov

Atorvastatin (Lipitor) Therapy in Patients With Clinically Isolated Syndrome (CIS) at Risk for Multiple Sclerosis (STAYCIS)

Principal Investigator:
Scott Zamvil, University of California, San Francisco, CA
Patients who have been diagnosed with clinically isolated syndrome (CIS) often develop problems related to the central nervous system, which controls the nerves in the body. Some of these patients may later be diagnosed with multiple sclerosis (MS), a progressive disease of the nervous system. The purpose of this study is to determine if the drug atorvastatin is helpful to CIS patients.
Learn more: Study Summary Clinicaltrials.gov

A Phase I Study: Safety of RG2077 (CTLA4-IgG4m) in Patients With Relapsing-Remitting Multiple Sclerosis

Principal Investigator:
Samia Khoury, Brigham & Women's Hospital, Boston, MA
Multiple sclerosis (MS) is an autoimmune disorder. In this disease, the body's immune system attacks and destroys the cells that cover and protect nerves. This study will test the safety of a new drug called RG2077 that is designed to treat MS. The study will not determine whether RG2077 is effective in treating MS, only whether it is safe to use in patients with MS.
Learn more: Study Summary Clinicaltrials.gov

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