RecruitingPhase 1Phase 2NCT05696366
Combination Adjunctive Therapy to Address Multiple Metabolic Imbalances in Type 1 Diabetes
Sponsor
University of California, San Diego
Enrollment
24 participants
Start Date
Sep 9, 2024
Study Type
INTERVENTIONAL
Conditions
Summary
This is a single site, double-blind, placebo-controlled, crossover trial to quantify the effects of combination adjunctive therapy on glycemic control, ketogenesis during insulinopenia, insulin resistance, and diabetes burden and quality of life.
Eligibility
Min Age: 18 YearsMax Age: 70 Years
Inclusion Criteria9
- Men and women between the ages of 18 and 70 years old, inclusive, at the time of screening;
- Females of non-childbearing potential must be ≥ 1 year post-menopausal or documented as being surgically sterile. Females of childbearing potential must agree to use two methods of contraception during the entire study and for an additional 3 months after the end of dosing with the investigational product;
- Male subjects must be willing to use clinically acceptable method of contraception during the entire study and for an additional 6 months after the end of the treatment period;
- Diagnosed with Type 1 diabetes based on clinical history or as defined by the current American Diabetes Association (ADA) criteria;
- Treatment with a stable insulin regimen for at least 8 weeks before screening with continuous subcutaneous insulin infusion (CSII) via an insulin pump or hybrid closed loop system;
- Currently using a Continuous Glucose Monitoring (CGM) system;
- A1c \> 7% and ≤ 10%
- eGFR ≥ 60 mL/min/1.73m²;
- Able to provide written informed consent approved by an Institutional Review Board (IRB).
Exclusion Criteria10
- History or evidence of clinically significant disorder or condition that, in the opinion of the Investigator, would pose a risk to subject safety or interfere with the study evaluation, procedures, or completion;
- History of pancreatitis, medullary thyroid carcinoma or liver disease;
- Clinically significant diagnosis of anemia (Hemoglobin \< 9 g/dl at screening);
- Body Mass Index (BMI) \< 18.5 kg/m2 and/or weight \<50kg;
- Body Mass Index (BMI) \> 35 kg/m2
- Whole blood donation of 1 pint (500 mL) within 8 weeks prior to Screening. Donations of plasma, packed RBCs, platelets or quantities less than 500 mL are allowed at investigator discretion;
- Current or recent (within 1 month of screening) use of diabetes medications other than insulin; (examples include GLP-1 RA, SGLT-2i, Pramlintide, Metformin);
- Women who are pregnant or lactating/breastfeeding;
- Unable or unwilling to follow the study protocol or who are non-compliant with screening appointments or study visits;
- Any other condition(s) that might reduce the chance of obtaining study data, or that might cause safety concerns, or that might compromise the ability to give truly informed consent.
Interventions
DRUGSotagliflozin
Sotagliflozin is a dual sodium-glucose co-transporter-1 and sodium-glucose co-transporter-2 (SGLT1/2) inhibitor.
DRUGVolagidemab
Volagidemab is a human monoclonal antibody glucagon receptor antagonist (GRA).
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT05696366
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