METabolic MODulation to Enhance Insulin Sensitivity and Mitochondrial Function in Type 1 Diabetes (MetMod-T1D)
Recruiting
Phase 2Interventional Study
Type 1 Diabetes (T1D)Metabolic DiseasesGlucose Metabolism DisordersEndocrine System DiseasesAutoimmune DiseasesImmune System DiseasesDiabetes Melletus, Type 1Nutritional and Metabolic DiseasesCombination Therapy
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 – 69
Sex
Any
Trial phase
Phase 2
Study type
Interventional
Purpose
Treatment
Participants needed
60 (estimated)
Sponsor
University of Washington · Other
Who this trial is looking for
This trial is looking for adults with Type 1 Diabetes who are currently using insulin. Participants will take either the study drug AMX0035 or a placebo for 24 weeks to see how it affects their condition.
Are You a Good Fit for This Trial?
Must be takingInsulin
Must not be takingMetforminGLP-1RASGLT2iPioglitazoneAnticoagulants
Rules you outType 1 DiabetesPancreatitisHeart diseaseLiver disease
You may be able to join if
I am between 18 and 70 years old.
I have been diagnosed with Type 1 Diabetes for at least one year.
I currently use insulin for my diabetes.
My HbA1c level is less than 9.5%.
My BMI is between 18.5 and 40.
I am on a stable dose of RASB or statin, if required.
I am willing and able to follow all study procedures.
You may not be able to join if
I have a history of pancreatic disease or surgery.
I have had a heart attack or stroke in the last 6 months.
I have been diagnosed with heart failure.
I have a history of severe swelling or need to restrict salt intake.
I have liver disease.
I am pregnant, breastfeeding, or planning to become pregnant.
I have had severe low blood sugar that required assistance in the last 3 months.
I am currently in another clinical trial.
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.
The study is a randomized, double-blind, parallel-group clinical trial to examine the effects of 24 weeks of oral AMX0035 (sodium phenylbutyrate + taurursodiol) versus placebo in 60 adults with Type 1 Diabetes (T1D) (n=30 per arm). Enrollment will be distributed equally between the University of Washington and Amsterdam University Medical Center/Diabetes Center Amsterdam. Participants will be recr…
The study is a randomized, double-blind, parallel-group clinical trial to examine the effects of 24 weeks of oral AMX0035 (sodium phenylbutyrate + taurursodiol) versus placebo in 60 adults with Type 1 Diabetes (T1D) (n=30 per arm). Enrollment will be distributed equally between the University of Washington and Amsterdam University Medical Center/Diabetes Center Amsterdam. Participants will be recruited through diabetes research registries, local T1D clinics, and community outreach.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
1. Adults ≥18 years to \<70 years of age with established T1D (duration ≥1 year)
2. Currently on insulin therapy (multiple daily injections or insulin pump)
3. HbA1c \<9.5%
4. BMI 18.5-40 kg/m2
5. On stable dose of RASB or statin, if indicated
6. Willing and able to comply with …
Inclusion Criteria:
1. Adults ≥18 years to \<70 years of age with established T1D (duration ≥1 year)
2. Currently on insulin therapy (multiple daily injections or insulin pump)
3. HbA1c \<9.5%
4. BMI 18.5-40 kg/m2
5. On stable dose of RASB or statin, if indicated
6. Willing and able to comply with all study procedures
Exclusion Criteria:
1. History of pancreatic disease (including pancreatitis) or pancreatic surgery
2. History of cardiovascular disease or stroke within the past 6 months
3. History of heart failure per New York Heart Association criteria
4. History of severe edema or salt restriction requirement
5. Biliary disease or pathologies that may alter enterohepatic circulation of bile acids
6. Estimated glomerular filtration rate (eGFR) \<60 mL/min/1.73m²
7. Liver disease (ALT/AST \>3x upper limit of normal \[ULN\]) or severe hepatic impairment (defined as Child-Pugh Class C)
8. Pregnancy, breastfeeding, or planning pregnancy during the study period
9. Known hypersensitivity to study drug components
10. Abnormal baseline ECG
11. Use of off label medications that affect insulin sensitivity within the past 1 month (e.g., metformin, GLP-1RA, SGLT2i, pioglitazone)
12. Chronic use of anticoagulants
13. Use of bile acid sequestering agents, inhibitors of bile acid transporters, bile acid derivatives, aluminum-based antacids, probenecid, pan-HDAC inhibitors, phase 2 metabolizing enzymes (e.g., uridine diphosphate glucuronosyl transferases), phase 1 metabolizing enzymes other than cytochrome P450 enzymes (CYPs), and OATP1B3
14. Use of substrates of CYP2C9, Organic Anion transporter 1, P-glycoprotein, and Breast Cancer Resistance Protein
15. History of severe hypoglycemia requiring assistance within the past 3 months
16. History of diabetic ketoacidosis (DKA) within the past 3 months
17. Personal or family history of breast cancer or ovarian cancer
18. Current participation in another clinical trial
19. Any condition(s) found by the study team and confirmed with the Investigator that make it unsafe to participate
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