No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Healthy Volunteers Welcome
You do not need to have the condition being studied to take part.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 – 60
Sex
Any
Trial phase
Early Phase 1
Study type
Interventional
Purpose
Treatment
Participants needed
27 (estimated)
Sponsor
Vanderbilt University Medical Center · Other
Who this trial is looking for
This trial is looking for people with type 1 diabetes or a specific type called GCK-MODY, as well as healthy volunteers. Participants will take a medication that helps lower insulin levels to study its effects on heart and blood sugar health.
Are You a Good Fit for This Trial?
Must be takingAutomated insulin delivery
Must not be takingAny antioxidant vitamin supplementSystemic glucocorticoidsAntipsychoticsAtenololMetoprololPropranolol
You may be able to join if
I am between 18 and 60 years old
I weigh at least 50 kg
I have type 1 diabetes for 1 to 30 years
My HbA1c is between 5.7% and 7.5%
I use automated insulin delivery
I have been genetically confirmed to have GCK-MODY with an HbA1c between 5.7% and 7.5%
My HbA1c is less than 5.5% if I am a healthy volunteer
You may not be able to join if
I have had severe low blood sugar in the past 3 months
I was hospitalized for diabetic ketoacidosis in the past 6 months
My blood pressure is higher than 140/100 mmHg
My kidneys do not function well (eGFR less than 60 mL/min/1.73 m²)
My liver enzymes are high (more than 2.5 times the normal limit)
My hematocrit is less than 35%
I am pregnant
I smoke tobacco
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer three quick questions written from this study's own rules to see if you may qualify. No account needed to find out.
This study aims to understand the heart and blood sugar health benefits of using an adjunctive therapy to lower high insulin levels in people with type 1 diabetes. The investigators will also look at people with a specific type of diabetes called Glucokinase-Maturity Onset Diabetes of the Young (GCK-MODY) and those without diabetes to help interpret the results. The investigators will use a medica…
This study aims to understand the heart and blood sugar health benefits of using an adjunctive therapy to lower high insulin levels in people with type 1 diabetes. The investigators will also look at people with a specific type of diabetes called Glucokinase-Maturity Onset Diabetes of the Young (GCK-MODY) and those without diabetes to help interpret the results. The investigators will use a medication that helps the body get rid of sugar, called and SGLT2 inhibitor, with the goal to reduce the body's insulin requirements. The investigators believe this could lead to better heart and blood sugar health, including a better response to insulin and more available nitric oxide, a gas that helps blood vessels function well. The investigators will compare heart and blood sugar health risk factors in participants with type 1 diabetes, participants with Glucokinase-Maturity Onset Diabetes of the Young (GCK-MODY), and non-diabetic healthy volunteers under two conditions: high insulin levels typical of type 1 diabetes and normal insulin levels typical of the other two groups.
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Eligibility Criteria
Inclusion Criteria:
Age: 18-60 years BMI: 18-28 kg/m² Weight: ≥ 50 kg
T1DM Participants:
Duration of T1DM: 1-30 years HbA1c: 5.7-7.5% Insulin Therapy: Using automated insulin delivery
GCK-MODY Participants:
HbA1c: 5.7-7.5% Genetic Confirmation: Positive GCK sequencing
Control Participants:
Hb…
Inclusion Criteria:
Age: 18-60 years BMI: 18-28 kg/m² Weight: ≥ 50 kg
T1DM Participants:
Duration of T1DM: 1-30 years HbA1c: 5.7-7.5% Insulin Therapy: Using automated insulin delivery
GCK-MODY Participants:
HbA1c: 5.7-7.5% Genetic Confirmation: Positive GCK sequencing
Control Participants:
HbA1c: less than 5.5%
\*\* Exclusion Criteria: Severe Hypoglycemia: ≥1 episode in the past 3 months
Comorbidities:
* Any hospital admissions for diabetic ketoacidosis in the past 6 months
* SBP greater than 140 mmHg and DBP greater than 100 mmHg
* eGFR by MDRD equation of less than 60 mL/min/1.73 m²
* AST or ALT greater than 2.5 times ULN
* Hct less than 35%
Medications:
* Any antioxidant vitamin supplement within 2 weeks before the study
* Any systemic glucocorticoid
* Antipsychotics
* Atenolol, Metoprolol, Propranolol
* Niacin
* Any thiazide diuretic
* Any oral contraceptive pill with greater than 35 mcg ethinyl estradiol
* Growth hormone
* Any immunosuppressant
* Antihypertensive
* Any antihyperlipidemic
Other:
* Pregnancy
* Tanner stage less than 5
* Peri- or post-menopausal women
* Active smoker
T1DM Participants:
Medications: Any diabetes medication except insulin C-peptide: greater than 0.7 ng/mL (fasting)
GCK-MODY Participants:
None specific
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