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RECRUITING
NCT05305794
PHASE3

Effect of Weekly GLP1 Agonist Treatment in "Double Diabetes"

Sponsor: Centre Hospitalier Universitaire Dijon

View on ClinicalTrials.gov

Summary

Between 16% and 22% of type 1 diabetic patients present a clinical and biological profile of insulin resistance favored by a family history of type 2 diabetes or metabolic syndrome. They constitute a group of patients with "double diabetes" since they have both true type 1 diabetes and inherited insulin resistance, typical of type 2 diabetes. For several years, GLP1 agonists have been successfully used in the treatment of type 2 diabetes, leading to very significant improvements in glycemic control and weight loss. Because of the insulin-sensitizing power of GLP1 agonists, the investigators hypothesize that they could reduce insulin resistance in patients with "double diabetes" and thus improve their glycemic control. The investigators propose to use in this study semaglutide, the most recent and most potent GLP1 agonist (superiority demonstrated compared to exenatide LP and dulaglutide) and administered as a weekly subcutaneous injection (in contrast to liraglutide administered daily).

Official title: Effect of Weekly GLP1 Agonist Treatment in "Double Diabetes": a Randomized Open-label Study

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

76

Start Date

2022-07-12

Completion Date

2028-08

Last Updated

2025-12-18

Healthy Volunteers

No

Conditions

Interventions

DRUG

Insulin + semaglutide treatment

Usual insulin treatment + semaglutide (0.25 mg/week for 4 weeks, then 0.50 mg/week for 4 weeks, then 1 mg/week for 18 weeks, i.e. a total duration of 26 weeks). Upon introduction of semaglutide (ozempic) treatment, insulin doses will be reduced by 10% (basal insulin, basal rate and bolus)

DRUG

Usual insulin treatment

Usual insulin treatment

BIOLOGICAL

Biological check-up

at D0, D90 and D180

Locations (1)

Chu Dijon Bourgogne

Dijon, France