M1no-Study - Early Identification of Infants With High Type 1 Diabetes Risk for Participation in Primary Prevention Trials (M1N0)

June 18, 2026 updated by: Bosi Emanuele, IRCCS San Raffaele

Identification of Infants With Increased Type 1 Diabetes Risk for Enrollment Into Primary Prevention Trials.

The goal of this observational study is to identify newborns at increased genetic risk of developing type 1 diabetes-specific beta-cell autoantibodies in order to determine eligibility for participation in primary prevention randomized controlled trials aimed at preventing beta-cell autoimmunity.

Study Overview

Status

Not yet recruiting

Conditions

Detailed Description

Type 1 diabetes is one of the most common chronic diseases of childhood, with incidence rates increasing worldwide. The disease is caused by immunemediated destruction of the insulin-producing beta cells of the pancreas, ultimately resulting in lifelong insulin deficiency. Before the clinical onset of type 1 diabetes, individuals often develop circulating autoantibodies against pancreatic beta-cell antigens, which are markers of loss of immune tolerance and early autoimmune activity. The development of type 1 diabetes is influenced by both genetic susceptibility and environmental factors. Although the risk of type 1 diabetes in the general European population is relatively low (approximately 0.4%), certain genetic profiles are associated with substantially increased risk. In particular, variants within the Human Leukocyte Antigen (HLA) region on chromosome 6, especially HLA DR and DQ haplotypes, represent the strongest known genetic determinants of disease susceptibility. Additional non-HLA genetic loci further contribute to risk stratification. Previous studies have demonstrated that newborns and infants at increased risk for developing beta-cell autoimmunity and type 1 diabetes can be identified through genetic screening. Infants with a first-degree relative affected by type 1 diabetes already have an estimated disease risk of approximately 5%. Among these individuals, the presence of specific HLA genotypes, including HLA DR4-DQ8 and HLA DR3/DR4-DQ8 combinations, is associated with further increased susceptibility. Incorporation of additional type 1 diabetes susceptibility markers allows identification of infants with a greater than 10% risk of developing multiple beta-cell autoantibodies during early childhood. This study aims to identify neonates and infants with increased genetic risk for type 1 diabetes through analysis of HLA and additional susceptibility markers. Genetic risk assessment will be used to identify participants who may be eligible for primary prevention clinical trials designed to prevent or delay the development of beta-cell autoimmunity and progression to type 1 diabetes.

Study Type

Observational

Enrollment (Estimated)

50000

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

  • Italy
    • Lecco
      • Lecco, Lecco, Italy, 23900
        • ASST Lecco - Ospedale Manzoni
        • Contact:
        • Principal Investigator:
          • Roberto Bellù, MD
    • Milano
      • Milan, Milano, Italy, 20132
        • IRCCS Ospedale San Raffaele
        • Contact:
        • Principal Investigator:
          • Emanuele Bosi, Professor
        • Sub-Investigator:
          • Graziano Barera, MD
      • Milan, Milano, Italy, 20122
        • Clinica Mangiagalli
        • Contact:
        • Principal Investigator:
          • Monica Fumagalli, Associate Professor
    • Novara
      • Novara, Novara, Italy, 28100
        • A. O. U. Maggiore della Carità di Novara
        • Contact:
        • Principal Investigator:
          • Ivana Rabbone, Professor
    • Varese
      • Varese, Varese, Italy, 21100
        • Ospedale Filippo Del Ponte
        • Contact:
        • Principal Investigator:
          • Massimo Agosti, Professor

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child

Accepts Healthy Volunteers

Yes

Sampling Method

Probability Sample

Study Population

This study includes infants aged between 0 and 6 weeks, both male and female.

Description

Inclusion Criteria:

  • Screening is performed between the ages of 0 and 6 weeks.
  • Consent form signed by parents/guardian.

Exclusion Criteria:

  • Infants aged above 6 weeks.
  • Refusal to participate in the study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Identification of Infants at Risk Greater than 10% for Beta-Cell Autoimmunity and Type 1 Diabetes
Time Frame: Infants are tested once within the age of 6 weeks
Risk score derived from single nucleotide polymorphisms (SNPs) used to identify participants at increased genetic risk.
Infants are tested once within the age of 6 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

IRCCS San Raffaele

Collaborators

Azienda Ospedaliero-Universitaria Maggiore della Carità di Novara
Ospedale F. Del Ponte, Varese
Azienda Socio Sanitaria Territoriale di Lecco
Clinica Mangiagalli

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

July 1, 2026

Primary Completion (Estimated)

June 1, 2031

Study Completion (Estimated)

June 1, 2031

Study Registration Dates

First Submitted

June 18, 2026

First Submitted That Met QC Criteria

June 18, 2026

First Posted (Actual)

June 26, 2026

Study Record Updates

Last Update Posted (Actual)

June 26, 2026

Last Update Submitted That Met QC Criteria

June 18, 2026

Last Verified

June 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • M1N0
  • GPPAD-02 (Other Identifier: IRCCS Ospedale San Raffaele)

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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