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RecruitingType 1 Diabetes

GLP-1Ra Impact on Metabolic Outcomes in Stage 2 T1DM While Receiving Teplizumab

Eligible age

12–50 yrs

Accepts

All genders

Locations

1 state

Healthy volunteers

No

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About this study

The goal of this study is to determine how a drug class called glucagon-like peptide-1 receptor agonists (GLP-1Ra) affects people during an early stage of Type 1 Diabetes undergoing clinical teplizumab treatment. This study involves giving participants a liquid meal under different conditions and observing how their bodies respond, focusing on blood sugar levels, insulin effectiveness, and blood vessel function. The meal tests are followed by two post-treatment tests, one with the GLP-1Ra drug and the other with a placebo. Each test involves blood draws before and during the meal test, GLP-1Ra or placebo administration, and an ultrasound to measure blood vessel function. The goal is to see if GLP-1Ra can help manage blood sugar levels and improve cardiovascular health in this population.

Sponsor: Vanderbilt University Medical Center

You may qualify if…

  • Age: 12-50 years
  • BMI: 18-31 kg/m2 (adults) or 5-95th %ile (pediatric)
  • Stage 2 T1DM (i.e., ≥ 2 islet auto-antibodies and:
  • fasting glucose ≥ 100 mg/dL and \< 126 mg/dL OR
  • 2-hr OGTT /MMTT ≥ 140 mg/dL and \< 200 mg/dL OR
  • During an OGTT having a glucose of \> 199 mg/dL at 30, 60, or 90 minutes)

You may not qualify if…

  • Comorbidities:
  • SBP \> 140 mmHg and DBP \> 100 mmHg
  • eGFR by MDRD equation of \< 60 mL/min/1.73m2
  • AST or ALT \> 2.5 times ULN
  • Family history of medullary thyroid carcinoma
  • Diagnosis of pancreatitis or gastroparesis within the past 3 years
  • Medications: Any diabetes medication, any antioxidant vitamin supplement (\<2 weeks before a study), any systemic glucocorticoid, antipsychotic, atenolol, metoprolol, propranolol, niacin, any thiazide diuretic, any OCP with \> 35 mcg ethinyl estradiol, growth hormone, any immunosuppressant, antihypertensive, any antihyperlipidemic
  • Other: pregnancy, peri- or post-menopausal women, active smoker

Where it's recruiting

Tennessee

Nashville

Source: ClinicalTrials.gov · NCT06338553 · last updated 2025-12-18