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Phase I-II

WAVE T1D: A Randomized Phase 1/2 Trial of Low Dose Anti-thymocyte Globulin (ATG) with Subsequent Adalimumab or Verapamil in New Onset Type 1 Diabetes

  • Study IRB#:2000041505
  • Last Updated:09/24/2026

Purpose of the study:

This multi-center randomized controlled trial will assess the safety and efficacy of antithymocyte globulin (ATG) followed by either adalimumab or verapamil in preserving insulin secretion for 2 years in persons aged 9 to <21 with recent-onset stage 3 T1D.

What participation involves:

If you enroll, you will be in the study for up to 3 years. During that time, there will be about 12 office visits and at least 6 scheduled phone contacts. Study activities include:

• 2 IV infusions of ATG

• Under-the-skin (subcutaneous) injections every other week (adalimumab or placebo) or taking a daily pill (verapamil or placebo)

• Wearing a continuous glucose monitor (CGM)

• Physical exams

• Electrocardiograms (ECGs) to check heart rhythm

• Blood draws for lab tests

• Daily insulin recording

• Mixed Meal Tolerance Tests (MMTTs) to measure how well the pancreas makes insulin


More information can be found here: https://www.jaeb.org/wavet1d/

  • Age9 years - 21 years
  • GenderBoth

Contact Us

For more information about this study, including how to volunteer, contact:

Amy Steffen

Help Us Discover!

You can help our team find trials you might be eligible for by creating a volunteer profile in MyChart. To get started, create a volunteer profile, or contact helpusdiscover@yale.edu, or call 877-978-8343 for more information.

Eligibility Criteria

You may be eligible if you have been diagnosed with stage 3 type 1 diabetes within the past 6 months. Additional eligibility criteria includes:

  • Be between the ages of 9 and 20 years old
  • Weigh more than 66 pounds
  • Be able to read and understand English or Spanish
  • Use only insulin to control blood sugar (no other glucose-lowering medicines)

Principal Investigator

Sub-Investigator

For more information about this study, including how to volunteer, contact: