Hummel, S. ; Käßl, A. ; Arnolds, S. ; Achenbach, P. ; Berner, R.* ; Casteels, K.* ; Hyöty, H.* ; Kordonouri, O.* ; Larsson, H.E.* ; Lundgren, M.* ; Marcovecchio, M.L.* ; Owen, C.* ; Pfirrmann, M.* ; Robson, S.C.* ; Szadkowska, A.* ; Szypowska, A.* ; Tree, T.* ; Weiss, A. ; Ziegler, A.-G. ; Bonifacio, E.
Anti-viral action against type 1 diabetes autoimmunity: The GPPAD-AVAnT1A study protocol.
Contemp. Clin. Trails Comm. 44:101434 (2025)
Viral infections in the first year of life are associated with islet autoimmunity and type 1 diabetes risk. The Anti-Viral Action against Type 1 Diabetes Autoimmunity (AVAnT1A)- study is a clinical phase IV investigator initiated, randomised, controlled, multicentre, primary prevention trial conducted to determine whether vaccination against COVID-19 from 6 months of age reduces the cumulative incidence of islet autoantibodies or type 1 diabetes in children with elevated genetic risk. Additionally, it investigates the role of viral infections in the etiology of islet autoimmunity by intense surveillance within the first two years of life. Infants aged 3.00–4.00 months from Germany, Belgium, UK and Sweden are eligible if they have a >10 % expected risk to develop islet autoantibodies by age 6 years as determined by HLA DR/DQ genotype, polygenic risk score and family history of type 1 diabetes. A total of 2252 eligible children are randomized 1:1 to COVID-19 vaccine (Comirnaty® 3 μg Omicron XBB.1.5 or future new variants) or placebo (0.9 % Sodium Chloride) administered three times. Children are followed until the minimum age of 2.5 years and maximum age of 6 years. The intervention is accompanied by analyses of immune and metabolic parameters to determine changes induced by viral infections and to investigate mechanisms by which viral infection may lead to islet autoimmunity. The Sponsor is the Klinikum rechts der Isar, Technical University Munich. The study was approved by Clinical Trials Information System (CTIS, EU Trial number: 2023-507348-35-00) and by Integrated Research Application System (IRAS, IRAS-ID: 1009668).
Impact Factor
Scopus SNIP
Web of Science
Times Cited
Scopus
Cited By
Altmetric
Publikationstyp
Artikel: Journalartikel
Dokumenttyp
Wissenschaftlicher Artikel
Typ der Hochschulschrift
Herausgeber
Schlagwörter
Covid-19 ; Infection ; Islet Autoimmunity ; Type 1 Diabetes ; Vaccination; Beta-cell Autoimmunity; Islet Autoimmunity; Respiratory-infections; Early-life; Risk; Children; Autoantigen; Autoantibodies; Identification; Disease
Keywords plus
Sprache
englisch
Veröffentlichungsjahr
2025
Prepublished im Jahr
0
HGF-Berichtsjahr
2025
ISSN (print) / ISBN
2451-8654
e-ISSN
2451-8654
ISBN
Bandtitel
Konferenztitel
Konferzenzdatum
Konferenzort
Konferenzband
Quellenangaben
Band: 44,
Heft: ,
Seiten: ,
Artikelnummer: 101434
Supplement: ,
Reihe
Verlag
Elsevier
Verlagsort
Amsterdam
Tag d. mündl. Prüfung
0000-00-00
Betreuer
Gutachter
Prüfer
Topic
Hochschule
Hochschulort
Fakultät
Veröffentlichungsdatum
0000-00-00
Anmeldedatum
0000-00-00
Anmelder/Inhaber
weitere Inhaber
Anmeldeland
Priorität
Begutachtungsstatus
Peer reviewed
POF Topic(s)
90000 - German Center for Diabetes Research
30201 - Metabolic Health
Forschungsfeld(er)
Helmholtz Diabetes Center
PSP-Element(e)
G-502600-006
G-502100-001
G-508800-010
Förderungen
German Center for Diabetes Research (DZD e.V.)
Swedish Diabetes Foundation
EASD-Novo Nordisk Foundation Diabetes Prize for Excellence
Bavarian Ministry of Economic Affairs, Energy, and Technology, Germany
Helm-holtz Munich, German Research Center for Environmental Health, Germany
Leona M. and Harry B. Helmsley Charitable Trust (Helmsley)
Copyright
Erfassungsdatum
2025-03-26