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Research trials

The trials moving the whole field forward.

A living database of the clinical trials behind every therapy on this site — across cell replacement, encapsulation, gene editing, immune therapy, antigen therapy, screening and devices. Every row shows the phase, recruitment status, where it runs, and which therapy it advances. Expand for the summary, primary endpoint, and the ClinicalTrials.gov record.

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Showing 218 of 218 · reviewed Aug 2026
01
Dapagliflozin plus pioglitazone in T1DUpdatedOtherNCT03878459

Adjunct metabolic trial adding pioglitazone or placebo after a dapagliflozin lead-in in type 1 diabetes, testing whether the combination improves HbA1c without

Phase

Phase 4

Status

Active

Where

US · OTHER

Phase 4
Details +
02
Empagliflozin added to AID systemsUpdatedOtherNCT06021145

McGill phase 4 randomized trial testing low-dose empagliflozin added to automated insulin delivery for adults with T1D who are not meeting time-in-range targets

Phase

Phase 4

Status

Recruiting

Where

CA

Phase 4
Details +
03
Low-dose glucagon before exercise while using AIDUpdatedDevices & AIDNCT07427251

Steno Copenhagen study testing whether pre-exercise low-dose glucagon prevents or blunts exercise-related glucose drops in adults with T1D using automated insul

Phase

Phase 4

Status

Recruiting

Where

EU

Advances

ZT-01 glucagon-response restorer

Phase 4
Details +
04
Teplizumab in pediatric stage-2 T1DUpdatedImmune therapyNCT05757713

Phase 4/pediatric stage-2 teplizumab study, relevant after the expanding Tzield label and screening-to-treatment pathway.

Phase

Phase 4

Status

Active

Where

US

Advances

Teplizumab (Tzield)

Phase 4
Details +
05
Ultra-rapid lispro timing in MiniMed 780GUpdatedInsulinsNCT06600776

Tel Aviv pilot trial comparing mealtime versus post-meal dosing of ultra-rapid lispro in adults using the MiniMed 780G hybrid closed-loop system.

Phase

Phase 4

Status

Not yet recruiting

Where

OTHER

Advances

Ultra-rapid lispro (Lyumjev)

Phase 4
Details +
06
BARICADE-DELAY: Baricitinib to delay stage-3 T1DUpdatedImmune therapyNCT07222137

Phase-3 trial testing whether oral baricitinib can delay progression to clinical stage-3 T1D in at-risk stage-1b/2 children and adults.

Phase

Phase 3

Status

Recruiting

Where

US · EU · OTHER

Advances

Baricitinib (JAK1/2 inhibitor)

Phase 3
Details +
07
BARICADE-PRESERVE: Baricitinib in newly diagnosed T1DUpdatedImmune therapyNCT07222332

Phase-3 trial testing baricitinib in children and adults newly diagnosed with stage-3 T1D, following the positive BANDIT phase-2 result.

Phase

Phase 3

Status

Recruiting

Where

US · EU · OTHER

Advances

Baricitinib (JAK1/2 inhibitor)

Phase 3
Details +
08
BETA PRESERVE: confirmatory teplizumab trial in recent-onset stage-3 T1DUpdatedImmune therapyNCT07088068

Sanofi's large Phase 3 confirmatory trial for teplizumab in newly diagnosed stage-3 type 1 diabetes. It is recruiting 723 participants aged 1-25 within 56 days

Phase

Phase 3

Status

Recruiting

Where

US · CA · AU · UK · EU · JP · OTHER

Advances

Teplizumab for new-onset T1D (Tzield)

Phase 3
Details +
09
Cadisegliatin phase 3 adjunct to insulinUpdatedAdjunct drugsNCT06334133

vTv Therapeutics phase 3 trial testing cadisegliatin, a liver-selective glucokinase activator, as an insulin adjunct to reduce level-2/3 hypoglycemia in adults

Phase

Phase 3

Status

Active

Where

US

Advances

Cadisegliatin (oral glucokinase activator)

Phase 3
Details +
10
CKM for safer SGLT2 inhibitor use in type 1 diabetesUpdatedDevices & AIDNCT07211802

UC San Diego randomized crossover study asking whether a dual continuous glucose-ketone monitor can reduce ketone exposure while adults with type 1 diabetes tak

Phase

Phase 3

Status

Not yet recruiting

Where

US

Advances

Concept: closed loops that act on ketones

Phase 3
Details +
11
Dimethyl fumarate for preserving beta-cell function in new-onset T1DUpdatedImmune therapyNCT07258394

Nanjing Medical University randomized phase 3 study testing whether dimethyl fumarate capsules preserve C-peptide in adults with newly diagnosed type 1 diabetes

Phase

Phase 3

Status

Recruiting

Where

OTHER

Advances

Dimethyl fumarate for beta-cell preservation

Phase 3
Details +
12
Long-term tirzepatide safety in T1D with overweight or obesityUpdatedAdjunct drugsNCT06962280

Lilly phase 3 long-term safety and efficacy trial of weekly tirzepatide versus placebo in adults with T1D and overweight or obesity.

Phase

Phase 3

Status

Active

Where

US · CA · EU · OTHER

Advances

Tirzepatide as an adjunct in T1D

Phase 3
Details +
13
Once-weekly insulin icodec phase 3 in T1DUpdatedInsulinsNCT07076199

Novo Nordisk phase 3 trial comparing once-weekly insulin icodec with once-daily glargine U100, both with insulin aspart, in adults with type 1 diabetes.

Phase

Phase 3

Status

Recruiting

Where

US · AU · CA · EU

Advances

Once-weekly insulin icodec (Awiqli)

Phase 3
Details +
14
PRISE-hATG: SAB-142 in recent-onset and established type 1 diabetesUpdatedImmune therapyNCT07670650

A phase-3 trial asking a question almost nobody else asks: can an immune therapy still protect insulin-producing cells in people who are one to two years past d

Phase

Phase 3

Status

Not yet recruiting

Where

US

Advances

SAB-142 (fully human anti-thymocyte globulin)

Phase 3
Details +
15
Semaglutide phase 3 in T1D with obesityUpdatedRegenerationNCT06909006

Danish investigator-initiated phase 3 trial testing semaglutide 2.4 mg for weight, insulin-dose needs, glycemic outcomes, hypoglycemia and DKA safety in adults

Phase

Phase 3

Status

Not yet recruiting

Where

EU

Advances

GLP-1 drugs to rescue beta cells at diagnosis

Phase 3
Details +
16
SEMPA: semaglutide plus empagliflozin added to AIDUpdatedRegenerationNCT06894784

McGill phase 3 crossover study testing semaglutide and empagliflozin, individually and combined, as adjuncts to automated insulin delivery in adults with T1D.

Phase

Phase 3

Status

Recruiting

Where

CA

Advances

GLP-1 drugs to rescue beta cells at diagnosis

Phase 3
Details +
17
SUGARNSALT: sotagliflozin to slow kidney decline in T1D CKDNewAdjunct drugsNCT06217302

Recruiting US/Canada Phase 3 of three years of sotagliflozin 200 mg daily versus placebo in adults with longstanding T1D and moderate-to-severe diabetic kidney

Phase

Phase 3

Status

Recruiting

Where

US · CA

Advances

SGLT2 / SGLT1-2 inhibitors (dapagliflozin, sotagliflozin)

Phase 3
Details +
18
Tirzepatide as an adjunct to automated insulin deliveryUpdatedAdjunct drugsNCT06630585

Swiss randomized phase 3 study testing tirzepatide as an add-on to usual care in adults with type 1 diabetes using automated insulin delivery.

Phase

Phase 3

Status

Recruiting

Where

OTHER

Advances

Tirzepatide as an adjunct in T1D

Phase 3
Details +
19
Tirzepatide phase 3 in T1D with overweight or obesityUpdatedAdjunct drugsNCT06914895

Large Lilly phase 3 study testing weekly tirzepatide versus placebo in adults with type 1 diabetes and overweight or obesity, with HbA1c as the primary endpoint

Phase

Phase 3

Status

Active

Where

US · EU · JP · OTHER

Advances

Tirzepatide as an adjunct in T1D

Phase 3
Details +
20
VX-880 / zimislecel: phase 3 in T1D with a kidney transplantUpdatedCell therapyNCT06832410

A second, separate Vertex phase 3 of the stem-cell-derived islet therapy zimislecel, in people with type 1 diabetes who already have a kidney transplant. Becaus

Phase

Phase 3

Status

Recruiting

Where

US · CA · OTHER

Advances

Stem-cell-derived islets (zimislecel / VX-880)

Phase 3
Details +
21
VX-880 / zimislecel: stem-cell-derived islets (with immunosuppression)UpdatedCell therapyNCT04786262

Vertex's pluripotent-stem-cell-derived islet cell therapy infused into the liver, with lifelong immunosuppression. In the published Phase 1/2 results, 10 of 12

Phase

Phase 3

Status

Recruiting

Where

US · CA · UK · EU · OTHER

Advances

Stem-cell-derived islets (zimislecel / VX-880)

Phase 3
Details +
22
ADAPT: MiniMed 780G advanced hybrid closed-loop vs injections + flash CGMUpdatedDevices & AIDNCT04235504

A European randomized trial showing that switching adults with poorly controlled type 1 diabetes from insulin injections plus flash glucose monitoring to the Mi

Phase

Phase 3

Status

Completed

Where

UK · EU

Advances

Medtronic MiniMed 780G (SmartGuard)

Phase 3
Details +
23
AiDAPT: Automated Insulin Delivery in Pregnancy with Type 1 DiabetesUpdatedDevices & AIDNCT04938557

Landmark UK randomized trial showing a hybrid closed-loop system (CamAPS FX) significantly improved blood-sugar time-in-range during pregnancy versus standard i

Phase

Phase 3

Status

Completed

Where

UK

Advances

CamAPS FX

Phase 3
Details +
24
CamAPS FX hybrid closed-loop in very young children (1-7y): the KidsAP02 crossover trialUpdatedDevices & AIDNCT03784027

A randomized crossover trial in 74 children aged 1-7 with type 1 diabetes found that the CamAPS FX hybrid closed-loop system (an "artificial pancreas") increase

Phase

Phase 3

Status

Completed

Where

UK · EU

Advances

CamAPS FX

Phase 3
Details +
25
Control-IQ closed-loop in children 6–13 (DCLP5 pediatric pivotal)UpdatedDevices & AIDNCT03844789

A 16-week, 4-site U.S. randomized trial (n=101) in children aged 6–13 testing the t:slim X2 with Control-IQ automated insulin delivery against a sensor-augmente

Phase

Phase 3

Status

Completed

Where

US

Advances

Tandem Control-IQ

Phase 3
Details +
26
Control-IQ pivotal trial (iDCL): t:slim X2 closed-loop vs. sensor-augmented pumpUpdatedDevices & AIDNCT03563313

The landmark 6-month randomized trial behind Tandem's Control-IQ. People with type 1 diabetes using the t:slim X2 closed-loop system spent about 11 percentage p

Phase

Phase 3

Status

Completed

Where

US

Advances

Tandem Control-IQ

Phase 3
Details +
27
DIAGNODE-3: Intralymphatic GAD-alum in HLA DR3-DQ2 recent-onset T1DUpdatedImmune therapyNCT05018585

Phase-3 trial of Diamyd (GAD-alum) in adolescents and adults with recently diagnosed T1D who carry the HLA DR3-DQ2 haplotype, the group where prior antigen-spec

Phase

Phase 3

Status

Terminated

Where

US · EU · OTHER

Advances

GAD-alum antigen-specific immunotherapy (Diamyd)

Phase 3
Details +
28
DPT-1: Diabetes Prevention Trial-Type 1 (parenteral and oral insulin)UpdatedImmune therapyNCT00004984

A landmark NIH prevention trial that screened over 100,000 relatives of people with type 1 diabetes to test whether giving insulin (by injection or by mouth) be

Phase

Phase 3

Status

Completed

Where

US · CA

Advances

Oral insulin (antigen-specific immunotherapy)

Phase 3
Details +
29
FINE-ONE: finerenone for CKD associated with T1DUpdatedAdjunct drugsNCT05901831

Completed randomized phase-3 trial of finerenone versus placebo on top of standard care in adults with T1D and albuminuric chronic kidney disease. It met its si

Phase

Phase 3

Status

Completed

Where

US · UK · EU · CA · OTHER

Advances

Finerenone (Kerendia) for T1D kidney disease

Phase 3
Details +
30
iLet Bionic Pancreas (insulin-only) pivotal trialUpdatedDevices & AIDNCT04200313

Landmark pivotal randomized trial of the Beta Bionics iLet — an automated insulin-delivery system that needs no carb counting (meal announcements only) and is i

Phase

Phase 3

Status

Completed

Where

US

Advances

Beta Bionics iLet Bionic Pancreas

Phase 3
Details +
31
Lantidra (donislecel): purified allogeneic islet cell therapy (CIT-07)UpdatedCell therapyNCT00434811

CIT-07 was the pivotal Phase 3 trial that proved transplanted donor islet cells can restore blood-sugar control and stop dangerous low-blood-sugar episodes in a

Phase

Phase 3

Status

Completed

Where

US · CA

Advances

Donor islet transplant (Lantidra / donislecel)

Phase 3
Details +
32
PANORAMA — bihormonal artificial pancreas after total pancreatectomyUpdatedDevices & AIDNCT06346366

Amsterdam UMC randomized crossover trial of the Inreda bihormonal artificial pancreas in adults who have had their whole pancreas removed — people who make neit

Phase

Phase 3

Status

Completed

Where

EU

Advances

Inreda AP (dual-hormone)

Phase 3
Details +
33
PROTECT: Teplizumab in children and adolescents with recent-onset type 1 diabetesUpdatedImmune therapyNCT03875729

A Phase 3 trial testing whether two short courses of the immune therapy teplizumab can preserve the body's own insulin production in 8-17-year-olds newly diagno

Phase

Phase 3

Status

Completed

Where

US · CA · EU · UK

Advances

Teplizumab (Tzield)

Phase 3
Details +
34
Single-center phase 3 islet transplantation in non-uremic T1DUpdatedCell therapyNCT01897688

Northwestern phase 3 donor-islet transplant study for non-uremic people with difficult T1D control. Now completed, with results posted in June 2026 — but of 10

Phase

Phase 3

Status

Completed

Where

US

Advances

Donor islet transplant (Lantidra / donislecel)

Phase 3
Details +
35
TN-07: Oral insulin for prevention in autoantibody-positive relativesUpdatedImmune therapyNCT00419562

A large international Phase 3 trial (TrialNet) testing whether a daily oral insulin capsule could delay or prevent type 1 diabetes in autoantibody-positive rela

Phase

Phase 3

Status

Completed

Where

US · UK · EU · CA · AU

Advances

Oral insulin (antigen-specific immunotherapy)

Phase 3
Details +
36
Adaptive platform trial: golimumab in stage 1 (presymptomatic) T1DUpdatedImmune therapyNCT07683026

The first substudy of a new NIDDK adaptive platform trial that tries to slow type 1 diabetes before blood sugar ever goes abnormal. Participants have islet auto

Phase

Phase 2

Status

Not yet recruiting

Where

US

Advances

Golimumab (anti-TNF)

Phase 2
Details +
37
Autologous insulin-producing mesenchymal stem cells in youthUpdatedOtherNCT06951074

Ain Shams University phase 2/3 study testing autologous adipose-derived mesenchymal stem cells differentiated toward insulin-producing cells in adolescents with

Phase

Phase 2/3

Status

Recruiting

Where

OTHER

Phase 2/3
Details +
38
Cadisegliatin as an adjunct for hybrid closed-loop usersUpdatedAdjunct drugsNCT07616206

vTv Therapeutics phase 2a randomized crossover study testing cadisegliatin (TTP399) versus placebo as an adjunct to insulin in adults with type 1 diabetes using

Phase

Phase 2

Status

Not yet recruiting

Where

US

Advances

Cadisegliatin (oral glucokinase activator)

Phase 2
Details +
39
CIR-0602K insulin sensitizer for people using AIDUpdatedOtherNCT07186660

University of Virginia phase 2 trial testing Cirius Therapeutics CIR-0602K to improve time in range and lower insulin dose in adults with T1D using closed-loop

Phase

Phase 2

Status

Recruiting

Where

US

Phase 2
Details +
40
Continuous ketone monitoring for safer sotagliflozin in T1D with CKDUpdatedOtherNCT07325201

HealthPartners phase 2 trial developing DKA risk mitigation for people with T1D and mild-to-moderate CKD starting SGLT1/2 inhibitor therapy, using continuous gl

Phase

Phase 2

Status

Not yet recruiting

Where

US

Phase 2
Details +
41
Diamyd GAD-alum in people at risk for T1DUpdatedImmune therapyNCT05683990

Phase 2 feasibility/safety study of Diamyd antigen-specific immunotherapy in individuals at risk for type 1 diabetes.

Phase

Phase 2

Status

Active

Where

EU

Advances

GAD-alum antigen-specific immunotherapy (Diamyd)

Phase 2
Details +
42
FABULINUS: Frexalimab CD40L blockade in recent-onset T1DUpdatedImmune therapyNCT06111586

Sanofi phase-2b trial of frexalimab, a CD40L antagonist, to preserve the body's own insulin production in children, adolescents and adults with newly diagnosed

Phase

Phase 2

Status

Active

Where

US · CA · UK · EU

Advances

Frexalimab (CD40L antagonist)

Phase 2
Details +
43
GLP-1 receptor agonist for stage-1 T1DUpdatedRegenerationNCT07430332

Stage-1 T1D trial testing a GLP-1 receptor agonist as an early intervention before clinical diabetes.

Phase

Phase 2

Status

Not yet recruiting

Where

US

Advances

GLP-1 drugs to rescue beta cells at diagnosis

Phase 2
Details +
44
I-DIT: ixekizumab anti-IL-17 in new-onset T1DUpdatedOtherNCT04589325

Swedish randomized phase 2 trial testing ixekizumab, an anti-IL-17A antibody used in psoriasis, for preservation of residual insulin secretion in adults with ne

Phase

Phase 2

Status

Active

Where

EU

Phase 2
Details +
45
INHALE-1st: Afrezza for youth with newly diagnosed T1DUpdatedInsulinsNCT07224321

MannKind phase 2 single-arm study of Afrezza (Technosphere insulin) plus basal insulin in children and adolescents aged 6 to under 18 with newly diagnosed stage

Phase

Phase 2

Status

Recruiting

Where

US

Advances

Inhaled insulin (Afrezza)

Phase 2
Details +
46
Islet transplant with T-cell depletion and gastrinUpdatedCell therapyNCT01909245

City of Hope phase 2 donor-islet transplant protocol using a T-cell-depleting immunosuppression induction regimen and gastrin 17.

Phase

Phase 2

Status

Active

Where

US

Advances

Donor islet transplant (Lantidra / donislecel)

Phase 2
Details +
47
JAKPOT T1D: Abrocitinib and ritlecitinib in new-onset T1DUpdatedImmune therapyNCT05743244

TrialNet/NIDDK phase-2 trial comparing two selective oral JAK-pathway drugs - abrocitinib and ritlecitinib - with placebo for preservation of C-peptide in newly

Phase

Phase 2

Status

Active

Where

US

Advances

Selective JAK inhibitors (abrocitinib / ritlecitinib)

Phase 2
Details +
48
Ketone monitoring to reduce DKA risk during adjunct SGLT2 inhibitionUpdatedDevices & AIDNCT07421518

AdventHealth study of a continuous-ketone-monitoring education plan for people with type 1 diabetes using sotagliflozin, including insulin-withdrawal testing to

Phase

Phase 2

Status

Not yet recruiting

Where

US

Advances

Concept: closed loops that act on ketones

Phase 2
Details +
49
MTX228 adaptive phase 2 study in T1DUpdatedOtherNCT06474598

Adaptive phase 2 study of MTX228 in type 1 diabetes; included as a watch-list adjunct/drug-development record.

Phase

Phase 2

Status

Recruiting

Where

CA

Phase 2
Details +
50
Open-label dimethyl fumarate plus insulin in adults with T1DUpdatedImmune therapyNCT07548996

Recruiting Chinese phase 2/3 study comparing dimethyl fumarate plus standard insulin with standard insulin alone in 96 adults with residual beta-cell function.

Phase

Phase 2/3

Status

Recruiting

Where

OTHER

Advances

Dimethyl fumarate for beta-cell preservation

Phase 2/3
Details +
51
OPT101 Phase 2 subcutaneous PK and pilot efficacy in T1DNewImmune therapyNCT06964087

Recruiting US Phase 2 of subcutaneous OPT101 three times weekly. Part A is open-label dose-finding; Parts B and C are 48-week placebo-controlled C-peptide cohor

Phase

Phase 2

Status

Recruiting

Where

US

Advances

OPT101 (CD40-pathway peptide)

Phase 2
Details +
52
Precision ATG with or without verapamil in new-onset T1DUpdatedImmune therapyNCT06455319

A University of Florida phase 2 trial testing low-dose ATG against placebo in newly diagnosed T1D, stratifying participants by an ex vivo immune-responder signa

Phase

Phase 2

Status

Recruiting

Where

US

Advances

Low-dose anti-thymocyte globulin (ATG)

Phase 2
Details +
53
Precision T1D Platform: finerenone or sotagliflozin for cardio-renal riskNewAdjunct drugsNCT07594145

Not-yet-recruiting US Phase 2 platform matching adults with long-standing T1D and early kidney or heart-risk markers to finerenone or sotagliflozin. It is a T1D

Phase

Phase 2

Status

Not yet recruiting

Where

US

Advances

Finerenone (Kerendia) for T1D kidney disease

Phase 2
Details +
54
Repeat BCG vaccination in established T1DUpdatedImmune therapyNCT02081326

Adult phase 2 trial testing repeat Bacillus Calmette-Guerin vaccination as immune/metabolic therapy for established childhood-onset T1D.

Phase

Phase 2

Status

Active

Where

US

Advances

Repeat BCG vaccination

Phase 2
Details +
55
Repeat BCG vaccination in pediatric T1DUpdatedImmune therapyNCT05180591

Pediatric phase 2 trial testing repeat BCG vaccination in children and adolescents with established T1D. Enrolment has closed at 150 participants and the trial

Phase

Phase 2

Status

Active

Where

US

Advances

Repeat BCG vaccination

Phase 2
Details +
56
RESET T1D: rezpegaldesleukin (NKTR-358), a Treg-selective IL-2, in new-onset T1DUpdatedImmune therapyNCT07142252

A TrialNet phase-2 trial of rezpegaldesleukin, a PEGylated form of interleukin-2 engineered to preferentially wake up the immune system's regulatory T cells rat

Phase

Phase 2

Status

Recruiting

Where

US · CA

Advances

Low-dose interleukin-2 (IL-2)

Phase 2
Details +
57
Rituximab-pvvr followed by abatacept in new-onset T1D (TrialNet T1D RELAY / TN25)UpdatedImmune therapyNCT03929601

A TrialNet Phase 2 trial testing whether a short course of the B-cell-depleting antibody rituximab-pvvr, followed by the co-stimulation blocker abatacept, prese

Phase

Phase 2

Status

Active

Where

US · AU

Advances

Abatacept (CTLA4-Ig)

Phase 2
Details +
58
Safe ketone thresholds for dapagliflozin in T1DUpdatedOtherNCT07225465

Study evaluating ketone thresholds intended to minimize ketosis risk for people with T1D using dapagliflozin.

Phase

Phase 2

Status

Not yet recruiting

Where

AU

Phase 2
Details +
59
SAFEGUARD: SAB-142, a fully human anti-thymocyte globulin, in new-onset stage-3 T1DUpdatedImmune therapyNCT07187531

The first properly powered test of SAB-142, an anti-thymocyte globulin made from human antibodies rather than rabbit ones. Low-dose rabbit ATG already preserves

Phase

Phase 2

Status

Recruiting

Where

US · UK · EU · AU

Advances

SAB-142 (fully human anti-thymocyte globulin)

Phase 2
Details +
60
Semaglutide to reduce carb-counting burden on closed loopUpdatedRegenerationNCT06387199

McGill 2x4 factorial trial testing weekly semaglutide plus simplified meal strategies in people with T1D using closed-loop insulin therapy.

Phase

Phase 2/3

Status

Recruiting

Where

CA

Advances

GLP-1 drugs to rescue beta cells at diagnosis

Phase 2/3
Details +
61
SHIELD-T1D: Shingrix and semaglutide for beta-cell preservationUpdatedRegenerationNCT07614412

Saudi phase 2 randomized trial testing Shingrix, semaglutide, their combination, or placebo in adults with recent-onset type 1 diabetes to assess whether immune

Phase

Phase 2

Status

Not yet recruiting

Where

OTHER

Advances

GLP-1 drugs to rescue beta cells at diagnosis

Phase 2
Details +
62
SOPHIST: sotagliflozin for heart-failure symptoms in T1DNewAdjunct drugsNCT06435156

Recruiting UK Phase 2 of 16 weeks of sotagliflozin 200 mg daily versus placebo in adults with Type 1 diabetes and heart failure or high risk of heart failure. T

Phase

Phase 2

Status

Recruiting

Where

UK

Advances

SGLT2 / SGLT1-2 inhibitors (dapagliflozin, sotagliflozin)

Phase 2
Details +
63
Sorafenib in new-onset T1DUpdatedOtherNCT06227221

Small phase 2 placebo-controlled study testing whether sorafenib can preserve mixed-meal-stimulated C-peptide in adults with new-onset type 1 diabetes.

Phase

Phase 2

Status

Not yet recruiting

Where

OTHER

Phase 2
Details +
64
TADPOL: DFMO/polyamine pathway in recent-onset T1DUpdatedOtherNCT05594563

Randomized phase 2 study testing difluoromethylornithine (DFMO), a polyamine-pathway drug, to reduce beta-cell stress and preserve remaining insulin production

Phase

Phase 2

Status

Active

Where

US

Phase 2
Details +
65
Teplizumab in Japanese stage-2 T1DUpdatedImmune therapyNCT06791291

Sanofi phase 2 study testing the approved teplizumab delay regimen in Japanese participants aged 1–34 with stage-2 type 1 diabetes (KIBOU-T1D).

Phase

Phase 2

Status

Recruiting

Where

JP

Advances

Teplizumab (Tzield)

Phase 2
Details +
66
TIRTLE2: acute metabolic effects of tirzepatide in T1DNewAdjunct drugsNCT06820281

Recruiting Australian Phase 2 placebo-controlled clamp study of six weeks of weekly 2.5 mg tirzepatide in adults with T1D on AID. It is a mechanistic follow-on

Phase

Phase 2

Status

Recruiting

Where

AU

Advances

Tirzepatide as an adjunct in T1D

Phase 2
Details +
67
Tirzepatide with Control-IQ to reduce meal announcementsUpdatedDevices & AIDNCT07284511

McGill-led phase 2/3 trial testing whether weekly tirzepatide can help adults using Tandem Control-IQ reduce or eliminate carbohydrate counting and meal announc

Phase

Phase 2/3

Status

Recruiting

Where

CA · OTHER

Advances

Tandem Control-IQ

Phase 2/3
Details +
68
Tregs plus anti-CD20 rituximab in pediatric stage 1 T1DUpdatedImmune therapyNCT06688331

PolTREG phase 2 pediatric prevention trial testing expanded regulatory T cells, rituximab, their combination, or control in children with stage 1 type 1 diabete

Phase

Phase 2

Status

Recruiting

Where

EU

Advances

Rituximab (anti-CD20)

Phase 2
Details +
69
TrialNet platform: teplizumab vs low-dose ATG to delay stage-3 T1DUpdatedImmune therapyNCT07216391

NIDDK TrialNet adaptive platform trial comparing teplizumab with low-dose anti-thymocyte globulin in stage-2 T1D to test whether ATG can match or beat the appro

Phase

Phase 2

Status

Not yet recruiting

Where

US

Advances

Teplizumab (Tzield)

Phase 2
Details +
70
Triple therapy in T1DUpdatedOtherNCT03899402

Phase 2/3 trial of combination adjunct therapy in type 1 diabetes, included as part of the metabolic-adjunct long tail.

Phase

Phase 2/3

Status

Active

Where

US

Phase 2/3
Details +
71
UST1D2: Ustekinumab phase-2/3 in adults with recent-onset T1DUpdatedImmune therapyNCT03941132

Active phase-2/3 trial testing ustekinumab in adults with recent-onset T1D, following earlier pilot and adolescent signals.

Phase

Phase 2/3

Status

Active

Where

CA

Advances

Ustekinumab (IL-12/23 p40 blocker)

Phase 2/3
Details +
72
ZT-01 to prevent nocturnal hypoglycemiaUpdatedDevices & AIDNCT05762107

Zucara phase 2a crossover study of ZT-01, a somatostatin-receptor antagonist intended to restore glucagon release during lows, for nocturnal hypoglycemia in adu

Phase

Phase 2

Status

Recruiting

Where

US · CA

Advances

ZT-01 glucagon-response restorer

Phase 2
Details +
73
LY3938577 Phase 2 in type 2 diabetes (not a T1D result)NewInsulinsNCT07215312

The most clinically advanced study of any glucose-sensitive insulin — and it is in type 2 diabetes, not type 1. Lilly is testing LY3938577 against insulin deglu

Phase

Phase 2

Status

Active

Where

US · OTHER

Advances

Glucose-responsive ("smart") insulin

Phase 2
Details +
74
Abatacept (CTLA4-Ig) to delay type 1 diabetes in at-risk relativesUpdatedImmune therapyNCT01773707

A completed TrialNet Phase 2 trial testing whether 12 months of abatacept (a T-cell costimulation blocker) could delay progression from stage 1 (autoantibody-po

Phase

Phase 2

Status

Completed

Where

US · CA · AU · EU

Advances

Abatacept (CTLA4-Ig)

Phase 2
Details +
75
BANDIT: Baricitinib (JAK inhibitor) in recent-onset type 1 diabetesUpdatedImmune therapyNCT04774224

A phase 2 randomized, placebo-controlled trial testing whether baricitinib — an oral JAK1/JAK2 inhibitor already used for rheumatoid arthritis — can protect the

Phase

Phase 2

Status

Completed

Where

AU

Advances

Teplizumab (Tzield)

Phase 2
Details +
76
Bihormonal iLet Bionic Pancreas (insulin + glucagon) feasibility studyUpdatedDevices & AIDNCT03840278

First-in-human home-use feasibility test of the dual-hormone iLet bionic pancreas, which adds automated micro-doses of a stable glucagon (dasiglucagon) on top o

Phase

Phase 2/3

Status

Completed

Where

US

Advances

Beta Bionics iLet Bionic Pancreas

Phase 2/3
Details +
77
COVALENT-112: icovamenib (oral menin inhibitor) in type 1 diabetesUpdatedRegenerationNCT06152042

Phase 2 trial of icovamenib (BMF-219), an oral covalent menin inhibitor, in adults with stage-3 T1D who still had some insulin production of their own. Particip

Phase

Phase 2

Status

Terminated

Where

US · CA

Advances

Icovamenib (BMF-219) — oral menin inhibitor

Phase 2
Details +
78
CREATE: open-source automated insulin delivery vs sensor-augmented pumpUpdatedDevices & AIDACTRN12620000034932

The first randomized controlled trial of a do-it-yourself, open-source closed-loop system (OpenAPS algorithm in AndroidAPS, the "AnyDANA-loop"). In 97 children

Phase

Phase 2

Status

Completed

Where

AU

Advances

OpenAPS (oref0)

Phase 2
Details +
79
DIAGNODE-2: Intralymphatic GAD-alum (Diamyd) in recent-onset type 1 diabetesUpdatedImmune therapyNCT03345004

A Phase 2b trial that injected the diabetes autoantigen GAD65 (Diamyd) directly into lymph nodes to try to halt the immune attack on insulin-producing cells. It

Phase

Phase 2

Status

Completed

Where

EU

Advances

GAD-alum antigen-specific immunotherapy (Diamyd)

Phase 2
Details +
80
Fully automated insulin (Lyumjev) + pramlintide closed loop without carb countingUpdatedDevices & AIDNCT06046417

A McGill randomized crossover trial asking whether a fully automated dual-hormone loop — ultra-rapid insulin plus the amylin analog pramlintide, with no carbohy

Phase

Phase 2/3

Status

Completed

Where

CA

Advances

Insulin + pramlintide (amylin) closed loop

Phase 2/3
Details +
81
HDV-lispro Phase 2b liver-targeted insulin trialUpdatedInsulinsNCT06238778

Completed double-blind Phase 2b comparison of hepatocyte-directed-vesicle lispro with ordinary lispro in 227 adults with T1D using insulin degludec, focused on

Phase

Phase 2

Status

Completed

Where

US

Advances

HDV-Insulin Lispro (hepatocyte-directed vesicle)

Phase 2
Details +
82
Imatinib in recent-onset type 1 diabetesUpdatedImmune therapyNCT01781975

Multicenter phase-2 trial of the oral tyrosine kinase inhibitor imatinib in adults within 100 days of diagnosis. It met the 12-month C-peptide endpoint, but the

Phase

Phase 2

Status

Completed

Where

US · AU

Advances

Imatinib (tyrosine kinase inhibitor)

Phase 2
Details +
83
Low-dose anti-thymocyte globulin (ATG) ± GCSF in new-onset T1D (Haller / TrialNet)UpdatedImmune therapyNCT02215200

A TrialNet Phase 2 trial testing whether a single, brief course of low-dose anti-thymocyte globulin (ATG) — with or without GCSF — can slow the immune destructi

Phase

Phase 2

Status

Completed

Where

US

Advances

Teplizumab (Tzield)

Phase 2
Details +
84
Protégé: Anti-CD3 (teplizumab) in recent-onset type 1 diabetesUpdatedImmune therapyNCT00385697

Large Phase 2/3 trial that tested whether the immune drug teplizumab could protect insulin-making cells in people newly diagnosed with type 1 diabetes. It misse

Phase

Phase 2/3

Status

Completed

Where

US · CA · EU · UK · OTHER

Advances

Teplizumab (Tzield)

Phase 2/3
Details +
85
STRIDE siplizumab in adults with new-onset T1DUpdatedImmune therapyNCT06025110

Terminated randomized phase-2 study of the anti-CD2 antibody siplizumab in adults with new-onset T1D. The sponsor attributed the early stop to business reasons

Phase

Phase 2

Status

Terminated

Where

UK · EU

Advances

Siplizumab (anti-CD2)

Phase 2
Details +
86
T1DAL: Alefacept in new-onset type 1 diabetesUpdatedImmune therapyNCT00965458

Phase-2 trial targeting CD2-high memory T cells with alefacept. The 12-month primary 2-hour C-peptide endpoint was not significant, but 4-hour C-peptide, insuli

Phase

Phase 2

Status

Terminated

Where

US

Advances

Alefacept (CD2 memory T-cell targeting)

Phase 2
Details +
87
T1GER: Golimumab in youth with new-onset type 1 diabetesUpdatedImmune therapyNCT02846545

Phase 2 trial of the anti-TNF antibody golimumab in children and young adults with new-onset stage-3 T1D. It preserved C-peptide at 52 weeks and reduced insulin

Phase

Phase 2

Status

Completed

Where

US

Advances

Golimumab (anti-TNF)

Phase 2
Details +
88
TIRTLE1 low-dose tirzepatide in adults with T1D and obesityUpdatedAdjunct drugsACTRN12624000111572

Completed Australian phase-2 randomized trial of low-dose weekly tirzepatide versus placebo alongside insulin. It found a large 12-week weight and insulin-dose

Phase

Phase 2

Status

Completed

Where

AU

Advances

Tirzepatide as an adjunct in T1D

Phase 2
Details +
89
TN-09: Abatacept (CTLA4-Ig) in recent-onset type 1 diabetesUpdatedImmune therapyNCT00505375

A randomized, double-blind, placebo-controlled Phase 2 trial (TrialNet TN-09) testing whether the T-cell co-stimulation modulator abatacept could slow the loss

Phase

Phase 2

Status

Completed

Where

US · CA

Advances

Abatacept (CTLA4-Ig)

Phase 2
Details +
90
TN-10: Teplizumab to delay clinical type 1 diabetes in at-risk relatives (Stage 2)UpdatedImmune therapyNCT01030861

A landmark NIH/TrialNet trial showing that a single 14-day course of the anti-CD3 antibody teplizumab delayed the clinical onset of type 1 diabetes by roughly 2

Phase

Phase 2

Status

Completed

Where

US · CA · EU

Advances

Teplizumab (Tzield)

Phase 2
Details +
91
TN-22: Hydroxychloroquine in stage 1 at-risk individualsUpdatedImmune therapyNCT03428945

A TrialNet prevention trial testing whether the inexpensive oral immune-modulating drug hydroxychloroquine could slow the earliest stage of type 1 diabetes in p

Phase

Phase 2

Status

Terminated

Where

US · CA · AU · UK · EU

Advances

Hydroxychloroquine for stage-1 T1D prevention

Phase 2
Details +
92
USTEKID: Ustekinumab in adolescents with recent-onset type 1 diabetesUpdatedImmune therapyISRCTN14274380

Multicenter double-blind randomized phase-2 trial of ustekinumab in adolescents with recent-onset T1D. It met its 12-month C-peptide endpoint with no increase i

Phase

Phase 2

Status

Completed

Where

UK

Advances

Ustekinumab (IL-12/23 p40 blocker)

Phase 2
Details +
93
Verapamil to preserve beta-cell function in newly diagnosed type 1 diabetes (Ver-A-T1D)UpdatedImmune therapyNCT04545151

A European Phase 2 trial (Ver-A-T1D, NCT04545151) tested whether once-daily slow-release verapamil — a cheap, repurposed blood-pressure pill — could protect the

Phase

Phase 2

Status

Completed

Where

EU · UK

Advances

Verapamil (oral)

Phase 2
Details +
94
Adjunct therapy to reduce iatrogenic hyperinsulinemia in T1DUpdatedOtherNCT06609356

Early-phase adjunct-therapy trial targeting cardiometabolic effects of reducing iatrogenic hyperinsulinemia in type 1 diabetes.

Phase

Phase 1

Status

Recruiting

Where

US

Phase 1
Details +
95
Allogeneic CD7-targeted CAR-T for T1DUpdatedOtherNCT07528105

Very early (registry "Early Phase 1") single-site study at Zhongshan Hospital, Shanghai, of an off-the-shelf CD7-targeted CAR-T cell product (RD13-02) in 9 adul

Phase

Phase 1

Status

Recruiting

Where

OTHER

Phase 1
Details +
96
Allogenic islet cell transplantation at University of ChicagoUpdatedCell therapyNCT00160732

Long-running Chicago phase 1/2 donor-islet transplant protocol using intraportal allogeneic islet infusion plus immunosuppression. Included to capture active do

Phase

Phase 1/2

Status

Active

Where

US

Advances

Donor islet transplant (Lantidra / donislecel)

Phase 1/2
Details +
97
ASITI-201 Phase 1 in stage 3 T1D (Queensland)NewImmune therapyACTRN12624001043527

Recruiting Australian Phase 1, randomised, double-blind, placebo-controlled study of subcutaneous proinsulin peptide/calcitriol liposomes (ASITI-201) in adults

Phase

Phase 1

Status

Recruiting

Where

AU

Advances

ASITI-201 (proinsulin peptide / calcitriol liposomes)

Phase 1
Details +
98
Autologous CD6-CAR Tregs for stage-3 T1DUpdatedImmune therapyNCT07395050

City of Hope pilot study testing whether autologous anti-CD6 chimeric antigen receptor regulatory T cells can be manufactured and safely infused in adults with

Phase

Phase 1

Status

Not yet recruiting

Where

US

Advances

GNTI-122 engineered Tregs (POLARIS)

Phase 1
Details +
99
Autologous Tregs in T1DUpdatedImmune therapyNCT06708780

Nanjing Drum Tower Hospital phase 1 study of ex vivo expanded autologous regulatory T cells in people with T1D, revisiting Treg therapy with a modified preparat

Phase

Phase 1

Status

Recruiting

Where

OTHER

Advances

Autologous polyclonal Treg therapy (T-Rex program)

Phase 1
Details +
100
CARC-101C cell therapy in autoimmune T1DUpdatedOtherNCT06546436

Early-phase study of a single dose of CARC-101C in autoimmune type 1 diabetes; included as a high-uncertainty engineered-cell immunotherapy signal.

Phase

Phase 1

Status

Not yet recruiting

Where

OTHER

Phase 1
Details +
101
Celregen CRG-002 allogeneic iPSC-derived isletsUpdatedCell therapyNCT07503028

Exploratory early-phase study of allogeneic iPSC-derived pancreatic islet cells given by portal-vein infusion or anterior rectus sheath transplantation in diabe

Phase

Phase 1

Status

Recruiting

Where

OTHER

Advances

Celregen CRG-002 iPSC-derived islets

Phase 1
Details +
102
CNK-UT009 universal CAR-T / NKT injection in T1DNewOtherNCT07051564

Recruiting Chinese investigator-initiated first-in-human study of CNK-UT009, a universal CAR-T / NKT cell product, in adults with autoimmune Type 1 diabetes who

Phase

Phase 1

Status

Recruiting

Where

OTHER

Phase 1
Details +
103
CNP-103: tolerogenic nanoparticles in recent-onset T1DUpdatedImmune therapyNCT06783309

First-in-human trial of CNP-103, which its sponsor COUR Pharmaceutical describes as a tolerogenic nanoparticle — a biodegradable particle carrying type 1 diabet

Phase

Phase 1/2

Status

Recruiting

Where

US

Advances

PIpepTolDC tolerogenic dendritic-cell vaccine

Phase 1/2
Details +
104
CREATE-1: CELZ-201 in recent-onset type 1 diabetesUpdatedImmune therapyNCT05626712

A randomized Phase 1/2a trial testing whether a single intra-arterial infusion of CELZ-201 perinatal tissue-derived cells is safe and potentially beneficial in

Phase

Phase 1/2

Status

Recruiting

Where

US

Advances

CELZ-201 perinatal tissue-derived cell therapy

Phase 1/2
Details +
105
Denosumab for beta-cell function in T1DUpdatedRegenerationNCT06524960

Phase 1/2 trial testing whether the RANKL inhibitor denosumab can improve beta-cell function and glycemic control in early T1D.

Phase

Phase 1/2

Status

Recruiting

Where

US

Advances

Denosumab beta-cell preservation

Phase 1/2
Details +
106
E-islet 01: allogeneic human regenerative islet therapyUpdatedCell therapyNCT07126873

EndoCell Therapeutics' Phase 1/2a trial of allogeneic human E-islet 01 in adults with long-standing T1D, impaired hypoglycemia awareness, and severe hypoglycemi

Phase

Phase 1/2

Status

Recruiting

Where

OTHER

Advances

E-islet 01 allogeneic human regenerative islets

Phase 1/2
Details +
107
ENC-201-CED: Encellin encapsulated donor isletsUpdatedEncapsulationNCT06408311

First-in-human Phase 1 safety and tolerability study of Encellin's subcutaneous ENCRT thin-film encapsulation device loaded with human primary donor islets. The

Phase

Phase 1

Status

Active

Where

CA

Advances

Encellin thin-film cell encapsulation (ENCRT / ENC-201)

Phase 1
Details +
108
ENCRT-103-hPI: Encellin's next-generation encapsulation deviceUpdatedEncapsulationNCT07680673

A planned first-in-human Phase 1 study of ENC-103, Encellin's follow-on encapsulation device - a soft, roughly quarter-sized pouch loaded with donor human islet

Phase

Phase 1

Status

Not yet recruiting

Where

CA

Advances

Encellin thin-film cell encapsulation (ENCRT / ENC-201)

Phase 1
Details +
109
Gastrin to improve islet transplantation outcomesUpdatedCell therapyNCT03746769

Phase 1/2 trial testing whether gastrin can improve donor-islet transplant outcomes in type 1 diabetes.

Phase

Phase 1/2

Status

Recruiting

Where

US

Advances

Donor islet transplant (Lantidra / donislecel)

Phase 1/2
Details +
110
GLP-1RA added around teplizumab in stage-2 T1DUpdatedImmune therapyNCT06338553

Vanderbilt pilot study testing oral semaglutide/Rybelsus metabolic effects in people at early T1D stages receiving clinical teplizumab treatment.

Phase

Phase 1

Status

Recruiting

Where

US

Advances

Teplizumab (Tzield)

Phase 1
Details +
111
IMC-S118AI first-in-human dose-escalation in T1DNewImmune therapyNCT07493122

Immunocore Phase 1/1b single- and multiple-ascending-dose study of IMC-S118AI, a pre-proinsulin × PD-1 ImmTAAI molecule, in HLA-A*02:01-positive people with Typ

Phase

Phase 1

Status

Not yet recruiting

Where

UK · AU

Advances

IMC-S118AI (PPI × PD-1 ImmTAAI)

Phase 1
Details +
112
IMMUNOSTEM: PD-L1 gene-modified autologous HSPCsUpdatedGene-editedNCT06938334

Altheia first-in-human trial using a person's own CD34+ hematopoietic stem and progenitor cells, genetically modified ex vivo to express PD-L1, for recent-onset

Phase

Phase 1/2

Status

Not yet recruiting

Where

EU

Advances

IMMUNOSTEM PD-L1 HSPC gene therapy

Phase 1/2
Details +
113
Islet transplantation into the anterior chamber of the eyeUpdatedCell therapyNCT02846571

A two-person safety study putting donor islets into the front chamber of a blind eye — a site chosen because the graft can be watched through a microscope, and

Phase

Phase 1/2

Status

Recruiting

Where

US

Advances

Donor islet transplant (Lantidra / donislecel)

Phase 1/2
Details +
114
Islet transplantation with glucocorticoid-free immunosuppressionUpdatedCell therapyNCT00706420

City of Hope protocol testing islet transplantation alone in difficult-to-control T1D using a glucocorticoid-free immunosuppressive regimen.

Phase

Phase 1

Status

Active

Where

US

Advances

Donor islet transplant (Lantidra / donislecel)

Phase 1
Details +
115
Islet transplantation with recipient Tregs or donor bone marrowUpdatedCell therapyNCT05973734

Trial testing donor-islet transplantation combined with recipient regulatory T cells or deceased-donor vertebral bone marrow therapy to improve immune tolerance

Phase

Phase 1

Status

Recruiting

Where

US

Advances

Donor islet transplant (Lantidra / donislecel)

Phase 1
Details +
116
LUMC Phase 1b: tolerogenic dendritic cells in recent-onset T1DNewImmune therapy2023-508558-25-01

Recruiting Dutch Phase 1b of autologous tolerogenic dendritic-cell therapy in adults with T1D diagnosed within five years. Target n=10. Safety and immune effect

Phase

Phase 1/2

Status

Recruiting

Where

EU

Advances

Leiden tolerogenic dendritic-cell therapy

Phase 1/2
Details +
117
MATIN-2: teplizumab, intralymphatic insulin and low-dose IL-2UpdatedImmune therapyNCT07610213

Sequential combination protocol for recent-onset T1D: teplizumab induction, intralymphatic insulin immunotherapy, and low-dose IL-2 maintenance to combine immun

Phase

Phase 1

Status

Not yet recruiting

Where

OTHER

Advances

Teplizumab for new-onset T1D (Tzield)

Phase 1
Details +
118
NNC0194-0499 (zalfermin) ± semaglutide in adults with T1DNewOtherNCT07087795

Novo Nordisk Phase 1 crossover in adults with established T1D, testing weekly NNC0194-0499 (zalfermin, an FGF21 analogue) versus placebo, alone or on top of wee

Phase

Phase 1

Status

Active

Where

EU

Phase 1
Details +
119
OPF-310 encapsulated porcine islets for unstable T1DUpdatedEncapsulationNCT06575426

First-in-human Otsuka study of OPF-310, encapsulated neonatal porcine islet cells for xenotransplantation, in adults with unstable T1D and repeated severe hypog

Phase

Phase 1/2

Status

Recruiting

Where

US

Advances

OPF-310 encapsulated porcine islets

Phase 1/2
Details +
120
PIpepTolDC tolerogenic dendritic-cell vaccineUpdatedImmune therapyNCT04590872

City of Hope phase 1 study of an autologous tolerogenic dendritic-cell vaccine loaded with proinsulin peptide in adults with type 1 diabetes, focused on manufac

Phase

Phase 1

Status

Active

Where

US

Advances

PIpepTolDC tolerogenic dendritic-cell vaccine

Phase 1
Details +
121
POLARIS: GNTI-122 engineered Tregs in recent-onset T1DUpdatedImmune therapyNCT06919354

GentiBio phase 1 study of GNTI-122, a one-time autologous engineered regulatory T-cell therapy made from the participant's own blood cells, in adults recently d

Phase

Phase 1

Status

Recruiting

Where

US

Advances

GNTI-122 engineered Tregs (POLARIS)

Phase 1
Details +
122
Portal Insulin U-500 intraperitoneal euglycemic clampNewOtherNCT07341373

Recruiting US Phase 1 single-bolus 12-hour euglycemic clamp of Portal Diabetes’ intraperitoneal U-500 insulin in adults with Type 1 diabetes, compared with intr

Phase

Phase 1

Status

Recruiting

Where

US

Phase 1
Details +
123
RGB-5088 autologous CiPSC-derived islet injection in T1DUpdatedCell therapyNCT06731218

Hangzhou Reprogenix's Phase 1 study of RGB-5088 — islets grown from the patient's own chemically reprogrammed (CiPSC) cells — in 10 adults with type 1 diabetes

Phase

Phase 1

Status

Recruiting

Where

OTHER

Advances

CiPSC-derived autologous islets (RGB-5088)

Phase 1
Details +
124
Sana SC451: hypoimmune stem-cell-derived islets without immunosuppressionUpdatedCell therapy

A stem-cell-derived islet therapy gene-edited to hide from the immune system, aiming to cure type 1 diabetes with a single off-the-shelf treatment and no immuno

Phase

Phase 1/2

Status

Not yet recruiting

Where

US · EU

Advances

Stem-cell-derived islets (zimislecel / VX-880)

Phase 1/2
Details +
125
SCD0503 oral insulin clamp vs subcutaneous human insulinNewOtherNCT07634770

Recruiting German Phase 1 euglycemic-clamp crossover of Sam Chun Dang’s oral regular human insulin (SCD0503, S-PASS platform) versus subcutaneous regular human

Phase

Phase 1

Status

Recruiting

Where

EU

Phase 1
Details +
126
Seraxis SR-02 pancreatic endocrine cells in adult T1DUpdatedCell therapyNCT07581197

First-in-human Seraxis phase 1/2 study of allogeneic pancreatic endocrine cell clusters implanted into the omentum of adults with type 1 diabetes and severe rec

Phase

Phase 1/2

Status

Not yet recruiting

Advances

Stem-cell-derived islet clusters (Seraxis SR-02)

Phase 1/2
Details +
127
Sernova Cell Pouch: implantable islet-transplant scaffoldUpdatedEncapsulationNCT03513939

A prevascularized, pocket-sized scaffold implanted under the skin to house transplanted donor islet cells. In an early Phase 1/2 trial, the first patients achie

Phase

Phase 1/2

Status

Active

Where

US

Advances

Sernova Cell Pouch Bio-hybrid Organ

Phase 1/2
Details +
128
Sotagliflozin plus volagidemab adjunct combinationUpdatedOtherNCT05696366

UCSD crossover trial testing combined SGLT1/2 inhibition and glucagon-receptor antagonism to address glycemia, ketogenesis, insulin resistance and diabetes burd

Phase

Phase 1/2

Status

Active

Where

US

Phase 1/2
Details +
129
Tegoprubart: calcineurin-inhibitor-free islet-transplant immunosuppressionUpdatedCell therapyNCT06305286

University of Chicago investigator-led Phase 1/2 trial testing donor-islet transplantation with tegoprubart (AT-1501), an anti-CD40L monoclonal antibody, as the

Phase

Phase 1/2

Status

Active

Where

US

Advances

Donor islet transplant (Lantidra / donislecel)

Phase 1/2
Details +
130
TUFF-IPC Phase 1/2a: autologous adipose-derived insulin-producing cellsNewCell therapyjRCT2063250055

Recruiting Japanese first-in-human Phase 1/2a of TUFF-IPC, insulin-producing cells made from a person's own fat-derived stem cells, transplanted into the mesent

Phase

Phase 1/2

Status

Recruiting

Where

JP

Advances

TUFF-IPC autologous adipose-derived insulin-producing cells

Phase 1/2
Details +
131
Verapamil to preserve residual insulin secretion in childrenUpdatedImmune therapyNCT07199946

Phase 1/2 pediatric trial of verapamil for residual insulin preservation after recent-onset T1D.

Phase

Phase 1/2

Status

Recruiting

Where

EU

Advances

Verapamil (oral)

Phase 1/2
Details +
132
WAVE T1D: low-dose ATG followed by adalimumab or verapamil in new-onset T1DUpdatedImmune therapyNCT07061574

Most immunotherapy trials test one drug. WAVE T1D tests a sequence: a short induction course of low-dose anti-thymocyte globulin to quiet the immune attack, the

Phase

Phase 1/2

Status

Recruiting

Where

US

Advances

Low-dose anti-thymocyte globulin (ATG)

Phase 1/2
Details +
133
LY3938577: glucose-sensitive insulin in type 1 diabetesNewInsulinsNCT06280703

Eli Lilly's glucose-sensitive insulin candidate in healthy participants and in people with type 1 diabetes. The design is the most revealing detail: the T1D arm

Phase

Phase 1

Status

Recruiting

Where

EU

Advances

Glucose-responsive ("smart") insulin

Phase 1
Details +
134
DESIGNATE siplizumab dose-finding study in recent-onset T1DUpdatedImmune therapyNCT05574335

Terminated Phase 1/2 anti-CD2 antibody study in recent-onset T1D. Enrollment was held after greater-than-anticipated lymphocyte depletion; the partner then stop

Phase

Phase 1/2

Status

Terminated

Where

US

Advances

Siplizumab (anti-CD2)

Phase 1/2
Details +
135
OPT101 Phase 1b in adults with type 1 diabetesNewImmune therapyNCT05428943

A completed, placebo-controlled Phase 1b study of the CD154-derived peptide OPT101 in 24 adults with T1D. Results posted 10 August 2026 show a small safety data

Phase

Phase 1

Status

Completed

Where

US

Advances

OPT101 (CD40-pathway peptide)

Phase 1
Details +
136
VC-01: ViaCyte first-gen encapsulated stem-cell isletsUpdatedCell therapyNCT02239354

First-in-human trial of stem-cell-derived pancreatic progenitor cells sealed inside an immune-protective implant (PEC-Encap / Encaptra) placed under the skin, a

Phase

Phase 1/2

Status

Terminated

Where

US · CA

Advances

Stem-cell-derived islets (zimislecel / VX-880)

Phase 1/2
Details +
137
VCTX210: first CRISPR-edited, device-encapsulated stem-cell islet productUpdatedCell therapyNCT05210530

First-in-human Phase 1 trial of VCTX210 — gene-edited, stem-cell-derived pancreatic cells in an implanted device, designed to make insulin without immunosuppres

Phase

Phase 1

Status

Completed

Where

CA

Advances

Stem-cell-derived islets (zimislecel / VX-880)

Phase 1
Details +
138
VCTX211: CRISPR gene-edited hypoimmune stem-cell isletsUpdatedCell therapyNCT05565248

A first-in-human trial of CRISPR-edited, stem-cell-derived insulin-making cells engineered to hide from the immune system, so they could be implanted without an

Phase

Phase 1

Status

Terminated

Where

CA

Advances

Stem-cell-derived islets (zimislecel / VX-880)

Phase 1
Details +
139
VX-264: encapsulated stem-cell islets without immunosuppressionUpdatedCell therapyNCT05791201

A Phase 1/2 trial of Vertex's stem-cell-derived islets sealed inside an immune-protective device, aiming to restore insulin production without lifelong immunosu

Phase

Phase 1/2

Status

Terminated

Where

US · CA · EU · UK · OTHER

Advances

Stem-cell-derived islets (zimislecel / VX-880)

Phase 1/2
Details +
140
LY3938577 first-in-human study (healthy adults and type 2 diabetes)NewInsulinsNCT06132126

The study that first put Lilly's glucose-sensitive insulin into people, in healthy adults and adults with type 2 diabetes. Completed June 2024 with no posted re

Phase

Phase 1

Status

Completed

Where

US

Advances

Glucose-responsive ("smart") insulin

Phase 1
Details +
141
NNC0363-1063: first-in-human glucose-sensitive insulin in type 1 diabetesNewInsulinsNCT06685185

Novo Nordisk's glucose-sensitive insulin (GSI) candidate, tested in healthy participants and in people with type 1 diabetes. Three parts: single ascending dose,

Phase

Phase 1

Status

Completed

Where

EU

Advances

Glucose-responsive ("smart") insulin

Phase 1
Details +
142
NNC0363-1063: glucose-clamp study in type 1 diabetesNewInsulinsNCT07305805

A second, smaller Novo Nordisk Phase 1 of the same glucose-sensitive insulin, run only in people with type 1 diabetes and built around a glucose clamp. The prim

Phase

Phase 1

Status

Completed

Where

EU

Advances

Glucose-responsive ("smart") insulin

Phase 1
Details +
143
Abbott continuous glucose/ketone monitoring and DKA occurrenceUpdatedDevices & AIDNCT07739342

Newly registered observational study of Abbott's investigational continuous dual glucose/ketone monitor in 1,200 adults and children with T1D. The study arm des

Phase

Observational

Status

Not yet recruiting

Where

AU

Advances

Abbott Libre Duo

Observational
Details +
144
ACCESS-T1D: Florida relatives and autoimmune-risk screeningNewScreeningNCT06908057

Active, not recruiting one-visit autoantibody screen in underserved children and adults in eight Florida counties who have a relative with T1D, another autoimmu

Phase

Observational

Status

Active

Where

US

Advances

Islet autoantibody screening (GADA, IA-2A, ZnT8A, IAA)

Observational
Details +
145
AI bolus priming added to AIDANETUpdatedDevices & AIDNCT07517770

Study of artificial-intelligence bolus priming layered onto an existing fully automated AIDANET algorithm.

Phase

Study

Status

Not yet recruiting

Where

US

Advances

AIDANET fully closed-loop algorithm

Study
Details +
146
AI-assisted remote insulin-pump optimisation in T1DUpdatedOtherNCT07732777

Randomized crossover study in which an algorithm reviews CGM and pump data and proposes personalized setting changes; physicians must approve every recommendati

Phase

Study

Status

Recruiting

Where

OTHER

Study
Details +
147
AID before and during pregnancy in T1DUpdatedOtherNCT07240012

Trial comparing automated insulin delivery with usual insulin treatment before and during pregnancy in women with type 1 diabetes.

Phase

Study

Status

Recruiting

Where

EU

Study
Details +
148
AID beyond glucose metricsUpdatedOtherNCT06469593

Study of automated insulin delivery beyond standard glucose metrics, included for broader device-outcome completeness.

Phase

Study

Status

Recruiting

Where

EU

Study
Details +
149
AIDANET at Home: fully closed-loop vs hybrid modesUpdatedDevices & AIDNCT07039617

UVA randomized at-home trial of AIDANET, comparing fully closed-loop, hybrid closed-loop, and mixed-mode operation in adults with T1D.

Phase

Study

Status

Recruiting

Where

US

Advances

AIDANET fully closed-loop algorithm

Study
Details +
150
AIMING: AID during labor and delivery in T1DUpdatedDevices & AIDNCT06883344

UCSF multicenter randomized trial testing whether automated insulin delivery can replace intravenous insulin protocols for intrapartum glucose management in pre

Phase

Study

Status

Recruiting

Where

US

Advances

Tandem Control-IQ+

Study
Details +
151
AL1GN: long-term outcomes of teplizumab in routine careNewImmune therapyNCT07360080

Sanofi's recruiting observational cohort following people who received teplizumab for stage 2 T1D as part of ordinary care, for up to 10 years. It measures time

Phase

Observational

Status

Recruiting

Where

US · OTHER

Advances

Teplizumab (Tzield)

Observational
Details +
152
Allogeneic regenerative islet transplantation for brittle T1DUpdatedCell therapyNCT06196996

Active protocol for allogeneic regenerative islet transplantation in brittle type 1 diabetes, adding another cell-replacement entry to the transplant long tail.

Phase

Study

Status

Recruiting

Where

OTHER

Advances

Donor islet transplant (Lantidra / donislecel)

Study
Details +
153
Argus 2.0 CGM adoption studyUpdatedOtherNCT07425236

Adoption study for the Argus 2.0 glucose monitoring system.

Phase

Study

Status

Not yet recruiting

Where

US

Study
Details +
154
ASK: Autoimmunity Screening for Kids (Colorado)UpdatedScreening

A free, general-population program at Colorado's Barbara Davis Center that blood-tests children for the autoantibodies of early type 1 diabetes (and celiac dise

Phase

Observational

Status

Recruiting

Where

US

Advances

Islet autoantibody screening (GADA, IA-2A, ZnT8A, IAA)

Observational
Details +
155
BRIGHT study of the implantable Indigo HALO multi-metabolite sensorUpdatedDevices & AIDNCT07745998

First registered study of Indigo's HALO implantable sensor, evaluating glucose, ketone and lactate accuracy and stability against venous reference measurements,

Phase

Pilot

Status

Not yet recruiting

Advances

Indigo HALO continuous multi-metabolite monitor

Pilot
Details +
156
Capillary OGTT and home testing in children at risk of diabetesUpdatedScreeningNCT06815081

Recruiting UK study comparing finger-prick glucose with venous OGTT and testing whether a capillary OGTT can be performed acceptably at home. Its T1D cohorts in

Phase

Observational

Status

Recruiting

Where

UK

Advances

Oral glucose tolerance test (OGTT) for T1D staging

Observational
Details +
157
CareSens Air 3 CGM accuracy and precisionUpdatedOtherNCT07296276

Study evaluating the accuracy and precision of the CareSens Air 3 continuous glucose monitoring system in adults with T1D.

Phase

Study

Status

Recruiting

Where

US

Study
Details +
158
Commercial or open-source closed-loop impact on pregnancyUpdatedDevices & AIDNCT06654713

Pregnancy study comparing commercial and open-source closed-loop use in T1D, relevant to real-world AID safety and access in pregnancy.

Phase

Observational

Status

Recruiting

Where

US

Advances

AndroidAPS

Observational
Details +
159
Continuous glucose-ketone monitor feasibility during pump suspensionUpdatedDevices & AIDNCT06977633

University of Waterloo / Stanford pilot testing an investigational combined glucose-ketone sensor during temporary insulin pump suspension in adults with type 1

Phase

Study

Status

Not yet recruiting

Where

US

Advances

Concept: closed loops that act on ketones

Study
Details +
160
DBLG1 closed-loop PROMs and glycemic controlUpdatedDevices & AIDNCT06154135

Study of DBLG1 closed-loop insulin delivery effects on glycemic control and patient-reported outcomes in adults with T1D.

Phase

Observational

Status

Recruiting

Where

EU

Advances

Diabeloop DBLG1

Observational
Details +
161
DETECT T1D GULF family screening in Saudi Arabia and the UAEUpdatedScreeningNCT07038473

Recruiting Sanofi-sponsored study screening up to 3,500 children and adolescents who have a first-degree relative with T1D at sites in Saudi Arabia and the UAE,

Phase

Study

Status

Recruiting

Where

OTHER

Advances

Islet autoantibody screening (GADA, IA-2A, ZnT8A, IAA)

Study
Details +
162
Early AID pilot in newly diagnosed T1DUpdatedOtherNCT07501338

Pilot trial of early automated insulin delivery soon after T1D diagnosis.

Phase

Study

Status

Not yet recruiting

Where

US

Study
Details +
163
Early AID therapy outcomes and cost-effectivenessUpdatedOtherNCT07423637

Study of early automated insulin delivery therapy on diabetes control, comorbidities and cost-effectiveness.

Phase

Study

Status

Not yet recruiting

Where

EU

Study
Details +
164
ELSA: EarLy Surveillance for Autoimmune diabetes (UK)UpdatedImmune therapyISRCTN97974414

A UK general-population study testing whether it is feasible and acceptable to screen children aged 3-13 for the early immune "fingerprints" of type 1 diabetes

Phase

Observational

Status

Recruiting

Where

UK

Advances

Teplizumab (Tzield)

Observational
Details +
165
Evaluating the InPen in pediatric type 1 diabetesNewDevices & AIDNCT05515939

A completed-enrolment observational study of Medtronic's InPen connected insulin pen in adolescents and young adults with T1D. No results posted; primary comple

Phase

Observational

Status

Active

Where

US

Advances

MiniMed Go / InPen smart MDI system

Observational
Details +
166
Eversense Gemini flash glucose measurement studyUpdatedDevices & AIDNCT07386340

Senseonics multicenter study evaluating the performance and safety of the Eversense Gemini system with flash glucose measurement enhancements against reference

Phase

Study

Status

Recruiting

Where

US

Advances

Senseonics Eversense 365

Study
Details +
167
Eversense non-adjunctive use post-approval studyUpdatedDevices & AIDNCT04836546

Post-approval study of non-adjunctive Eversense CGM use, relevant to long-wear implantable CGM maturity.

Phase

Study

Status

Active

Where

US

Advances

Senseonics Eversense 365

Study
Details +
168
Extended-wear infusion set options at homeUpdatedOtherNCT07325461

Feasibility study of extended-wear insulin infusion set options during home use in T1D.

Phase

Study

Status

Active

Where

US

Study
Details +
169
FCL@Home: AIDANET fully closed-loop feasibilityUpdatedDevices & AIDNCT06041971

University of Colorado/UVA feasibility testing of AIDANET fully closed-loop operation at home in adolescents and adults, including groups with higher baseline H

Phase

Study

Status

Active

Where

US

Advances

AIDANET fully closed-loop algorithm

Study
Details +
170
Fr1da: General-population infant/child islet-autoantibody screening (Bavaria)UpdatedScreeningNCT04039945

A landmark public-health program that screens young children across Bavaria for the islet autoantibodies that mark early-stage type 1 diabetes, before any sympt

Phase

Observational

Status

Recruiting

Where

EU

Advances

Islet autoantibody screening (GADA, IA-2A, ZnT8A, IAA)

Observational
Details +
171
GATEWAY: MiniMed Flex / NMX8-AID with Simplera SyncUpdatedDevices & AIDNCT07228117

MiniMed pivotal safety study of the system now publicly launched as MiniMed Flex and still registered under the NMX8-AID name, paired with the DS5 / Simplera Sy

Phase

Study

Status

Recruiting

Where

US · AU

Advances

MiniMed Flex (formerly NMX8-AID)

Study
Details +
172
GTT@Home: home oral glucose tolerance testing for T1D screeningUpdatedScreeningNCT07155252

Yale observational study validating a self-administered fingerstick glucose tolerance test against in-clinic venous OGTT measurements in people at risk for clin

Phase

Observational

Status

Recruiting

Where

US

Advances

Oral glucose tolerance test (OGTT) for T1D staging

Observational
Details +
173
Hybrid closed-loop effectiveness in adultsUpdatedOtherNCT06236607

Adult hybrid-closed-loop effectiveness trial in type 1 diabetes.

Phase

Study

Status

Recruiting

Where

US

Study
Details +
174
iLet Experience real-world safety and effectiveness studyUpdatedDevices & AIDNCT06891898

Beta Bionics prospective real-world cohort collecting one-year safety and effectiveness data for the iLet Dosing Decision Software in people aged 6 and older wi

Phase

Observational

Status

Recruiting

Where

US

Advances

Beta Bionics iLet Bionic Pancreas

Observational
Details +
175
INHALE-AIDEx inhaled insulin around post-meal exerciseUpdatedInsulinsNCT06880835

Randomized crossover study asking whether inhaled Technosphere insulin for a meal is safer than a pump-delivered rapid-acting analogue when adults using Control

Phase

Study

Status

Recruiting

Where

US

Advances

Inhaled insulin (Afrezza)

Study
Details +
176
INNODIA DETECT: family and friends autoantibody screeningNewScreeningNCT07118098

Recruiting European observational screening protocol testing islet autoantibodies in children and adults aged 1–45 who have a relative or close friend diagnosed

Phase

Observational

Status

Recruiting

Where

EU

Advances

Islet autoantibody screening (GADA, IA-2A, ZnT8A, IAA)

Observational
Details +
177
iPancreas context-aware fully closed-loop AIDUpdatedDevices & AIDNCT06676657

OHSU study of a fully closed-loop iPancreas algorithm that detects hyperglycemia patterns and delivers correction insulin, testing context-aware dosing against

Phase

Study

Status

Recruiting

Where

US

Advances

Insulin + pramlintide (amylin) closed loop

Study
Details +
178
iPSC-derived islet cells for diabetes (Peking University First Hospital)UpdatedCell therapyNCT07464119

A 30-person, single-arm, open-label study of infused iPSC-derived islet cells, run by Peking University First Hospital with Hangzhou Reprogenix — the company be

Phase

Study

Status

Not yet recruiting

Where

OTHER

Advances

CiPSC-derived autologous islets (RGB-5088)

Study
Details +
179
Islet transplantation in brittle T1DUpdatedCell therapyNCT01630850

University of Chicago recruiting protocol for allogeneic human islet transplantation in brittle T1D.

Phase

Study

Status

Recruiting

Where

US

Advances

Donor islet transplant (Lantidra / donislecel)

Study
Details +
180
LabPatch glucose sensing system accuracyUpdatedOtherNCT05754281

PRECISION II accuracy study of the LabPatch glucose sensing system.

Phase

Observational

Status

Active

Where

US

Observational
Details +
181
Luna AID system safety and effectivenessUpdatedOtherNCT06627517

Safety/effectiveness study of the Luna automated insulin-delivery system in people with T1D.

Phase

Study

Status

Active

Where

US

Study
Details +
182
Medtronic implantable insulin pump system (MIIPS 2020)UpdatedOtherNCT06739811

Clinical evaluation of Medtronic implantable insulin pump technology in adults with T1D, a rare long-horizon delivery-device pathway.

Phase

Study

Status

Recruiting

Where

EU

Study
Details +
183
MiniMed 780G in T1D with gastroparesisUpdatedDevices & AIDNCT07287943

Study of MiniMed 780G performance in people with T1D complicated by gastroparesis, a difficult meal-absorption context for AID.

Phase

Study

Status

Recruiting

Where

US

Advances

Medtronic MiniMed 780G (pump)

Study
Details +
184
Next-generation Omnipod M/S AID algorithms in T1DUpdatedOtherNCT07593625

Recruiting New Zealand study evaluating investigational Omnipod M and Omnipod S automated-insulin-delivery systems in people aged 2-70 with T1D.

Phase

Study

Status

Recruiting

Where

AU

Study
Details +
185
NEXUS comparison of MiniMed NMX8 with MiniMed 780GUpdatedDevices & AIDNCT07227805

Recruiting European/Israeli study comparing Medtronic's experimental NMX8 AID system with the MiniMed 780G over 12 weeks in people aged 2 and older with insulin

Phase

Study

Status

Recruiting

Where

EU · OTHER

Advances

MiniMed Flex (formerly NMX8-AID)

Study
Details +
186
NOMAD: unannounced meals on open-source vs commercial AIDNewDevices & AIDNCT07758647

A not-yet-recruiting randomized crossover study comparing open-source AID (Loop, AndroidAPS or OpenAPS) with commercial AID (Control-IQ or Omnipod 5) during sta

Phase

Study

Status

Not yet recruiting

Where

US · CA

Advances

Fully closed-loop, insulin-only (no meal announcement)

Study
Details +
187
Open-source artificial pancreas use in ChinaUpdatedDevices & AIDNCT06081231

Registry/observational study of open-source artificial-pancreas system use among people with T1D in China.

Phase

Observational

Status

Recruiting

Where

OTHER

Advances

AndroidAPS

Observational
Details +
188
PredicT1D: CGM to predict dysglycemia in autoantibody-positive peopleNewScreeningNCT05777330

Recruiting Belgian study using repeated Dexcom CGM, oral glucose-tolerance tests, and (in older participants) hyperglycemic clamps to see whether glucose-variab

Phase

Study

Status

Recruiting

Where

EU

Advances

Islet autoantibody screening (GADA, IA-2A, ZnT8A, IAA)

Study
Details +
189
PROTECT extension: long-term teplizumab safetyUpdatedImmune therapyNCT04598893

Extension study following recent-onset T1D participants treated in teplizumab PROTECT to track longer-term safety and disease-course signals.

Phase

Observational

Status

Active

Where

US · EU · CA · UK

Advances

Teplizumab for new-onset T1D (Tzield)

Observational
Details +
190
Qualitative meal-size estimation vs carb counting in AIDUpdatedOtherNCT06687434

Automated-insulin-delivery trial comparing qualitative meal-size estimation against formal carbohydrate counting.

Phase

Study

Status

Recruiting

Where

OTHER

Study
Details +
191
Quebec screening program for relatives of people with T1DUpdatedScreeningNCT07322380

Quebec feasibility study of islet-autoantibody screening for first-degree relatives of people with type 1 diabetes, comparing centralized and decentralized foll

Phase

Study

Status

Not yet recruiting

Where

CA

Advances

Islet autoantibody screening (GADA, IA-2A, ZnT8A, IAA)

Study
Details +
192
Real-world insulin icodec use in type 1 diabetesUpdatedInsulinsNCT07160816

Novo Nordisk observational study following adults with type 1 diabetes newly prescribed once-weekly insulin icodec in usual clinical practice in Germany and Ita

Phase

Observational

Status

Active

Where

EU

Advances

Once-weekly insulin icodec (Awiqli)

Observational
Details +
193
RENEW: Medtrum APGO real-world AID studyUpdatedDevices & AIDNCT07320495

Czech real-world study evaluating efficacy and safety of the Medtrum TouchCare Nano A8 patch pump with APGO automated insulin-delivery algorithm.

Phase

Study

Status

Recruiting

Where

EU

Advances

Medtrum TouchCare Nano

Study
Details +
194
ROME GS continuous glucose monitoring system studyUpdatedOtherNCT07518004

Study of the ROME GS glucose sensing system in people with diabetes, included as CGM pipeline surveillance.

Phase

Study

Status

Recruiting

Where

US

Study
Details +
195
Sanofi registry for stage 2 T1D and Tzield treatmentUpdatedImmune therapyNCT06481904

Long-term Sanofi registry following people with stage 2 type 1 diabetes, including those treated with Tzield (teplizumab-mzwv) as standard care, to collect safe

Phase

Observational

Status

Recruiting

Where

US

Advances

Teplizumab (Tzield)

Observational
Details +
196
Sequential cord-blood stem cells and islets in monogenic immunodeficiency T1DUpdatedOtherNCT03835312

Niche pediatric/adolescent protocol combining umbilical cord blood stem cells and islet cells in monogenic immunodeficiency-associated T1D.

Phase

Study

Status

Recruiting

Where

OTHER

Study
Details +
197
SiBionics GS3 CGM accuracy and safety in adults with T1DUpdatedDevices & AIDNCT07745244

Newly registered 15-day study comparing the GS3 real-time CGM with venous plasma reference measurements across glucose ranges in 36 adults with T1D.

Phase

Study

Status

Recruiting

Where

OTHER

Advances

SiBionics GS3

Study
Details +
198
Simplified meal boluses vs carb counting in adolescents using HCLUpdatedOtherNCT06575790

Trial comparing simplified meal boluses with carbohydrate counting in adolescents using hybrid closed-loop systems.

Phase

Study

Status

Recruiting

Where

US

Study
Details +
199
STRen Italian follow-up network for islet-autoantibody-positive peopleUpdatedScreeningNCT07503366

Prospective Italian network designed to follow children and adults found with at least one islet autoantibody for up to ten years, tracking progression to stage

Phase

Observational

Status

Not yet recruiting

Where

EU

Advances

D1Ce Screen / Italy national screening (Law 130/2023)

Observational
Details +
200
STRIVE 2: Omnipod 6 compared with Omnipod 5UpdatedDevices & AIDNCT07579702

Insulet randomized crossover trial comparing investigational Omnipod 6 with Omnipod 5 in people with type 1 or type 2 diabetes and suboptimal glycemia. It is th

Phase

Study

Status

Recruiting

Where

US

Advances

Omnipod 6 (AID)

Study
Details +
201
Teplizumab managed-access programmes: retrospective real-world cohortNewImmune therapyNCT07457580

Recruiting Sanofi chart-review study of people who already received teplizumab for stage 2 T1D through managed-access programmes. It describes who was treated a

Phase

Observational

Status

Recruiting

Where

UK · EU

Advances

Teplizumab (Tzield)

Observational
Details +
202
Three-day and seven-day infusion set trialUpdatedOtherNCT06532461

Trial comparing three-day and seven-day insulin infusion sets in people with T1D.

Phase

Study

Status

Recruiting

Where

EU

Study
Details +
203
TrialNet Pathway to PreventionUpdatedImmune therapyNCT00097292

The backbone US/international screening and natural-history study that tests blood from relatives of people with T1D for islet autoantibodies, then monitors tho

Phase

Observational

Status

Recruiting

Where

US · UK · EU · CA · AU

Advances

Teplizumab (Tzield)

Observational
Details +
204
Type 1 diabetes screening in pediatric primary careUpdatedScreeningNCT07612475

Northwestern observational implementation study integrating islet-autoantibody screening into routine pediatric well-child visits. Clinics receive education, or

Phase

Observational

Status

Not yet recruiting

Where

US

Advances

Islet autoantibody screening (GADA, IA-2A, ZnT8A, IAA)

Observational
Details +
205
UP421: first-in-human hypoimmune islet transplant without immunosuppressionNewGene-editedNCT06239636

The study behind the most-cited result in the immune-evasion field: gene-edited donor islets that survived in a person with type 1 diabetes for 12 months, and w

Phase

Pilot

Status

Recruiting

Where

EU

Advances

Sana Biotechnology SC451 (hypoimmune stem-cell islets)

Pilot
Details +
206
CLOSE IT: open-source AID without meal announcement vs hybrid closed loopUpdatedDevices & AIDACTRN12622001400752

A randomized non-inferiority trial in adults with type 1 diabetes testing an open-source automated insulin delivery system run with no meal announcement at all

Phase

Study

Status

Completed

Where

AU · OTHER

Advances

OpenAPS (oref0)

Study
Details +
207
DIA:CONN P8 smart-insulin-pen randomized studyUpdatedDevices & AIDNCT06406439

Completed 12-week randomized comparison in which both groups used the DIA:CONN P8: the intervention group used its app-supported carbohydrate/meal bolus calcula

Phase

Study

Status

Completed

Where

OTHER

Advances

DIA:CONN P8 smart insulin pen

Study
Details +
208
DIAGNODE-1: First intralymphatic GAD-alum dosing studyUpdatedImmune therapyNCT02352974

An open-label pilot study in 12 people with recent-onset type 1 diabetes that tested injecting the GAD65 autoantigen vaccine (Diamyd / GAD-alum) directly into a

Phase

Pilot

Status

Completed

Where

EU

Advances

GAD-alum antigen-specific immunotherapy (Diamyd)

Pilot
Details +
209
FLAIR: MiniMed 670G vs. advanced hybrid closed-loop (the future 780G algorithm) in adolescents and young adultsUpdatedDevices & AIDNCT03040414

The first head-to-head crossover trial of two automated insulin delivery systems in the hardest-to-control age group (14-29). The advanced hybrid closed-loop sy

Phase

Observational

Status

Completed

Where

US · EU · OTHER

Advances

Medtronic MiniMed 780G (SmartGuard)

Observational
Details +
210
Inreda AP fully closed-loop dual-hormone artificial pancreas (DARE trial)UpdatedDevices & AIDNCT05669547

A 243-person, 12-month randomized Dutch trial (DARE, NCT05669547) testing the Inreda AP — a fully automated, dual-hormone (insulin + glucagon) artificial pancre

Phase

Observational

Status

Completed

Where

EU

Advances

Tandem Control-IQ

Observational
Details +
211
MiniMed 670G pivotal in-home hybrid closed-loop studyUpdatedDevices & AIDNCT02463097

Pivotal in-home study supporting the first FDA-approved commercial hybrid closed-loop system for type 1 diabetes.

Phase

Study

Status

Completed

Where

US

Advances

Medtronic MiniMed 670G (first hybrid closed loop)

Study
Details +
212
MiniMed Fit Payload Wear StudyUpdatedDevices & AIDNCT07408141

Completed Medtronic observational wear study of MiniMed Fit payload adhesive components in different body locations over seven days, supporting development of t

Phase

Observational

Status

Completed

Where

US

Advances

MiniMed Fit (patch pump)

Observational
Details +
213
MiniMed Fit payload wear study in children and adolescentsUpdatedDevices & AIDNCT07675161

Pediatric observational wear study of non-functional MiniMed Fit payloads, testing seven-day adhesive survival and placement before the future patch pump reache

Phase

Observational

Status

Completed

Where

US

Advances

MiniMed Fit (patch pump)

Observational
Details +
214
OHSU closed-loop crossover: insulin alone vs insulin plus pramlintideUpdatedDevices & AIDNCT06422325

Oregon Health & Science University ran the same model-predictive-control closed loop two ways — insulin only, and insulin plus the amylin analogue pramlintide —

Phase

Study

Status

Completed

Where

US

Advances

Insulin + pramlintide (amylin) closed loop

Study
Details +
215
Omnipod 5 (Horizon) pivotal single-arm AID trialUpdatedDevices & AIDNCT04196140

The pivotal single-arm trial of the Omnipod 5 tubeless, on-body hybrid closed-loop system in children and adults with type 1 diabetes. It showed improved HbA1c

Phase

Pilot

Status

Completed

Where

US

Advances

Omnipod 5 (pump)

Pilot
Details +
216
Omnipod 5 preschool cohort (ages 2-5.9)UpdatedDevices & AIDNCT04476472

Single-arm multicenter trial that tested the tubeless Omnipod 5 automated insulin delivery system in 80 very young children (ages 2.0-5.9) with type 1 diabetes.

Phase

Pilot

Status

Completed

Where

US

Advances

Omnipod 5 (pump)

Pilot
Details +
217
STRIVE: Omnipod 5 SmartAdjust 2.0 versus Omnipod 5UpdatedDevices & AIDNCT06865989

Insulet's pivotal crossover trial of SmartAdjust 2.0 — the algorithm behind the next Omnipod. 132 existing Omnipod 5 users, aged 2 to 70, spent four weeks on ea

Phase

Study

Status

Completed

Where

US

Advances

Omnipod 5 (SmartAdjust AID)

Study
Details +
218
UBLoop-Genesis early feasibility studyUpdatedOtherNCT07087340

Completed six-person, ten-hour feasibility study of the University of Bern's smartphone-based hybrid closed-loop algorithm and its CGM, pump, user-interface and

Phase

Pilot

Status

Completed

Where

OTHER

Pilot
Details +

Each trial links back to the therapy it advances and out to its ClinicalTrials.gov record. Science journalism, not medical advice.