Type 1 Diabetes Mellitus Clinical Trial
Official title:
A Randomised, Double-blind, Placebo-controlled, Parallel Group, Single-centre Trial of GABA Treatment in Subjects With Type 1 Diabetes
test if a food supplementation with GABA can improve insulin production capacity in type 1 diabetes patients by turning alfa cells into beta cells in accordance with mice and cell studies.randomised parallel study with placebo as control
our results indicate that alfa-cells can be regenerated and used to regenerate functional
beta-like cells in vivo in type 1 diabetes models. Aiming to eventually apply these findings
to type 1 diabetic patients, we initiated multiple screens seeking for compounds inducing
alfa-to-beta-cell conversion. Using the mouse as a model, we thereby found that GABA
(gamma-aminobutyric acid) could promote a cycle of conversion of alfa-cells into functional
beta-like cells,GABA being considered as a non-harmful food supplement, one could envision a
trial in type 1 diabetic patients. Indeed, a putative cure for type 1 diabetes may include
halting the autoimmune insult to the pancreatic beta-cells and restoring insulin secretion by
expanding beta-cell mass by beta-cell-regeneration and/or preventing beta-cell apoptosis
induced by cytokines. Immunosuppression initiated at the onset of type 1 diabetes has been
shown to preserve beta-cell function, but is associated with significant toxicities. Other
studies using nicotinamide and parenteral insulin have failed to prevent development of type
1 diabetes.
Objectives Primary objective: To investigate the effect and safety of the dietary supplement
GABA provided at a dose of 6 g daily compared to placebo for 12 weeks on change in beta-cell
function in patients with C-peptide negative type 1 diabetes as an adjunctive therapy to
insulin treatment.
Population A total of 30 patients with C-peptide negative type 1 diabetes, randomised 2:1
GABA: Placebo.
Intervention After randomisation patients are treated with the dietary supplement GABA or
matching placebo, titrated to 3 x 2g, or maximum tolerated dose, for 12 weeks. The insulin
dose is reduced if needed according to Self-monitored blood glucose (SMBG) and hypoglycaemic
episodes.
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