GLP-1 RA for Stage 1 Type 1 Diabetes

This study is looking at whether a medication called semaglutide can help protect the cells in your pancreas that make insulin (beta cells) if you have Stage 1 Type 1 Diabetes. Stage 1 means you have signs of Type 1 Diabetes but your blood sugar levels are still normal. Researchers want to see if semaglutide can delay the disease from getting worse. You would either receive semaglutide or a placebo (an inactive substance) for 12 months. The main way they will measure success is by looking at your C-peptide levels, which show how much insulin your body is making, after 12 months. This study is for people aged 12 to 70 who have Stage 1 Type 1 Diabetes, specifically those with impaired first phase insulin secretion but no signs of Stage 2 or 3 diabetes.

Study design
This is an interventional study, meaning participants will receive a specific treatment. About 15 people will be randomly assigned to either receive semaglutide or a placebo.
What's involved
Participants will receive either semaglutide or a placebo treatment for 12 months. The study will measure C-peptide levels at 12 months.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for 12 months, with C-peptide levels measured at that time.

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NCT07430332

GLP-1 RA for Stage 1 Type 1 Diabetes

Not Yet Recruiting
PHASE2Ages 12–70InterventionalPrevention
Children's Hospital Medical Center, Cincinnati
~15 participants
Updated 2026-02-24 on ClinicalTrials.gov
What's tested:SemaglutidePlacebo

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
C-peptide area under the curve
Measured over 12 months
+1 more outcome measured
Stage 1 Diabetes Mellitus, Type 1
1 sites across 1 states
Ohio1

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Eligibility criteria

Inclusion

Stage 1 Type 1 Diabetes
Screening OGTT with impaired or loss of first phase insulin secretion but no dysglycemia to suggest stage 2 or stage 3 type 1 diabetes

Exclusion

History of anaphylaxis or allergies to GLP-1 receptor agonists
Already on a GLP-1 receptor agonist
History of bariatric surgery
Personal or family history of cancer such as medullary thyroid cancer
Personal history of pancreatitis or pathogenic variants associated with increased risk of pancreatitis
Severe hypoglycemia within 3 months of study enrollment
Pregnant, breastfeeding, or the intention of becoming pregnant or not using adequate contraceptive measures
Adult individuals with BMI \< 18.5 kg/m2 and pediatric participants with BMI \< 5th percentile
  • C-peptide area under the curve12 months

    measured levels of c-peptide during oral glucose tolerance test

  • C-peptide area under the curve (AUC)12 months

    C-peptide area under the curve levels will be calculated from stimulated C-peptide levels in an oral glucose tolerance test at baseline and after treatment with placebo or semaglutide.