Status:

RECRUITING

A Clinical Trial to Evaluate The Effects of Semaglutide and Empagliflozin Combined to Automated Insulin Delivery on Diabetes Control in Adults Living With Type 1 Diabetes

Lead Sponsor:

McGill University Health Centre/Research Institute of the McGill University Health Centre

Collaborating Sponsors:

Diabetes Canada

Conditions:

Diabetes Type 1

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The goal of this clinical trial is to learn if Empagliflozin and Semaglutide, individually and combined, added to Automated Insulin Delivery (AID) works to improve time-in-range in adults living with ...

Detailed Description

This study is designed as a 2x2 factorial, randomized, placebo-controlled, double-blind, crossover trial to investigate the effects of semaglutide and empagliflozin, individually and combined, on time...

Eligibility Criteria

Inclusion

  • The inclusion criteria at the time of enrollment are:
  • Males and females aged 18 or older.
  • Clinical diagnosis of T1D for at least one year.
  • Use of AID system for at least three months.
  • Body Mass Index (BMI) ≥ 23 kg/m2.
  • The exclusion criteria are:
  • Use of GLP1-RA within one month of admission.
  • Use of SGLT2i within two weeks of admission.
  • Planned or ongoing pregnancy.
  • Breastfeeding.
  • Severe hypoglycemic episode within three months of admission (defined as an event where blood glucose levels were \< 4.0 mmol/L, resulting in seizure, loss of consciousness, or the need to present to the emergency department).
  • Diabetic ketoacidosis episode within six months of admission.
  • History of acute pancreatitis, chronic pancreatitis, or gallbladder disease.
  • Personal or family history of medullary thyroid cancer or multiple endocrine neoplasia type 2.
  • Severe impairment of renal function with an eGFR \< 30 mL/min/1.73 m2 within four months of admission. eGFR will be computed using the CKD-EPI method.
  • Clinically significant diabetic retinopathy or gastroparesis, as per the investigator's judgement.
  • Bariatric surgery within six months of admission.
  • A serious medical or psychiatric illness that would likely interfere with participation in this study, as per the investigator's judgement.
  • Inability or unwillingness to comply with safe diabetes management practices, as per the investigator's judgment.

Exclusion

    Key Trial Info

    Start Date :

    April 1 2025

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    January 1 2027

    Estimated Enrollment :

    36 Patients enrolled

    Trial Details

    Trial ID

    NCT06894784

    Start Date

    April 1 2025

    End Date

    January 1 2027

    Last Update

    March 30 2025

    Active Locations (1)

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    Research Institute of the McGill University Health Centre

    Montreal, Quebec, Canada, H4A 3J1