← Back to Search

Semaglutide for Type 1 Diabetes (ADJUST-T1D Trial)

Phase 2
Waitlist Available
Led By Viral Shah, MD
Research Sponsored by University of Colorado, Denver
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Willing to use once weekly semaglutide
Patient is on FDA-approved hybrid closed-loop system for ≥ 3 months
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 26 weeks
Awards & highlights

ADJUST-T1D Trial Summary

This trial is testing a new diabetes medication that is given once a week. It is for people who have not been able to control their diabetes well with other treatments.

Who is the study for?
This trial is for obese adults over 18 with type 1 diabetes using FDA-approved hybrid closed-loop systems for at least 3 months. Participants should have a BMI ≥30 kg/m2, HbA1c levels between >7.0% and <10.0%, and be willing to take weekly semaglutide injections. Excluded are those planning pregnancy, with certain medical conditions or severe hypoglycemia history, on other trials or specific medications.Check my eligibility
What is being tested?
The study tests the effectiveness of semaglutide, a once-weekly injection, in controlling blood sugar in obese adults with poorly managed type 1 diabetes who are already using approved automated insulin delivery systems.See study design
What are the potential side effects?
Semaglutide may cause digestive issues like nausea or constipation, potential low blood sugar events (hypoglycemia), and possible allergic reactions. It's important to monitor for any unusual symptoms while participating.

ADJUST-T1D Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am willing to take semaglutide once a week.
Select...
I have been using an FDA-approved automated insulin delivery system for over 3 months.
Select...
I am older than 18 years.
Select...
I have a glucagon product for severe low blood sugar.
Select...
I have been using an FDA-approved automated insulin delivery system for over 3 months.

ADJUST-T1D Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~26 weeks
This trial's timeline: 3 weeks for screening, Varies for treatment, and 26 weeks for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Proportion of adults with T1D achieving composite outcome (CGM-measured time in range (TIR)>70% with time below range (TBR) of <4% and reduction in body weight by 5%) at 26 weeks in the semaglutide group compared to placebo group
Secondary outcome measures
Change in BMI (Kg/m2)
Change in CGM measured glycemic variability (coefficient of variation)
Change in HbA1c
+16 more
Other outcome measures
Change in cardiac and aortic structure and function measured by cardiac magnetic resonance (CMR)
Change in ectopic fat volumes in the abdomen and around the heart

Side effects data

From 2020 Phase 4 trial • 104 Patients • NCT04189848
21%
Nausea
12%
Decreased Appetite
100%
80%
60%
40%
20%
0%
Study treatment Arm
Overall Study

ADJUST-T1D Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: SemaglutideExperimental Treatment1 Intervention
Participants in this group will receive semaglutide once weekly injection in addition to their standard closed-loop therapy
Group II: ControlPlacebo Group1 Intervention
Participants in this group will receive placebo once weekly injection in addition to their standard closed-loop therapy
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Semaglutide
2019
Completed Phase 4
~5160

Find a Location

Who is running the clinical trial?

Juvenile Diabetes Research FoundationOTHER
232 Previous Clinical Trials
141,669 Total Patients Enrolled
University of Colorado, DenverLead Sponsor
1,732 Previous Clinical Trials
2,143,468 Total Patients Enrolled
Viral Shah, MDPrincipal InvestigatorUniversity of Colorado/Barbara Davis Center
3 Previous Clinical Trials
222 Total Patients Enrolled

Media Library

Semaglutide Clinical Trial Eligibility Overview. Trial Name: NCT05537233 — Phase 2
Type 1 Diabetes Research Study Groups: Semaglutide, Control
Type 1 Diabetes Clinical Trial 2023: Semaglutide Highlights & Side Effects. Trial Name: NCT05537233 — Phase 2
Semaglutide 2023 Treatment Timeline for Medical Study. Trial Name: NCT05537233 — Phase 2
Type 1 Diabetes Patient Testimony for trial: Trial Name: NCT05537233 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there various healthcare facilities administering this trial domestically?

"At present, the medical study is recruiting patients from 4 different clinics. These locations are located in Aurora, Detroit and West Des Moines as well as one other city. Choosing a clinic nearby can reduce your travel burdens if you choose to participate."

Answered by AI

To what degree can Semaglutide be detrimental to an individual's health?

"The safety profile of Semaglutide was graded a 2, as it is currently in Phase 2 and there has been some evidence collected on its security but no proof yet of efficacy."

Answered by AI

What is the core purpose of this clinical research?

"This clinical trial will measure the efficacy of semaglutide over a 26 week period, with its primary outcome being the proportion of adults with T1D who achieve composite outcomes (CGM-measured time in range >70% and time below range <5%, as well as 5% reduction in body weight) compared to placebo. Secondary metrics include Percent Time Spent In CGM-Measured Glucose Range (TTIR), Change in HbA1c, and Change in Mean Glucose when measured against Intention To Treat Analysis."

Answered by AI

Who qualifies to partake in this research endeavor?

"This clinical trial calls for 80 obese individuals between legal adulthood and 60 years old. To qualify, participants must answer 'yes' to the inclusion criteria, maintain a BMI of 30 kg/m2 or higher, provide informed consent prior to any related activities, report having type 1 diabetes for 12 months or more, use FDA-approved hybrid closed-loop systems for at least 3 months lastly have an HbA1c level of over 7% but below 10%."

Answered by AI

Are there any opportunities to enroll in this research endeavor at present?

"This research trial, which began on January 1st 2023 and was last updated November 17th 2022 is not currently searching for participants. Nevertheless, there are 2146 other studies that are actively welcoming volunteers at this time."

Answered by AI

Is the target group of this research inclusive of elderly people?

"This medical trial solely includes patients aged 18 to 60. Those below the age of consent have access to 410 different trials, while those over 65 are eligible for 1465 studies."

Answered by AI

Who else is applying?

What state do they live in?
Nebraska
Other
Washington
Ohio
How old are they?
18 - 65
What portion of applicants met pre-screening criteria?
Met criteria
Did not meet criteria
How many prior treatments have patients received?
0
3+
What site did they apply to?
Henry Ford Hospital
Harold Schnitzer Diabetes Health Center

Why did patients apply to this trial?

I’ve tried everything and would like to try this.
PatientReceived 2+ prior treatments

How responsive is this trial?

Typically responds via
Email
~15 spots leftby Aug 2024