Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT07585994

Effect of 4 Weeks of Oral Probiotic Desulfovibrio Piger Supplementation on Immunological and Metabolic Parameters in Individuals With Longstanding Type 1 Diabetes

Led by Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) · Updated on 2026-05-14

20

Participants Needed

2

Research Sites

104 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The goal is to establish the effect of oral probiotic Desulfovibrio piger (D. piger) supplementation on immunological and metabolic parameters in individuals with longstanding type 1 diabetes with residual beta cell function. The investigators will perform a double-blind, randomized, placebo-controlled trial in 2x10 participants to measure effects of D. piger on parameters of systemic and intestinal inflammation and residual beta cell function.

CONDITIONS

Official Title

Effect of 4 Weeks of Oral Probiotic Desulfovibrio Piger Supplementation on Immunological and Metabolic Parameters in Individuals With Longstanding Type 1 Diabetes

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Males or females, age >18 years
  • Diagnosis of type 1 diabetes for more than 5 years with at least one of antiGAD65, IA2, or ZnT8 autoantibodies present
  • Evidence of remaining residual beta cell function with detectable UCPCR (more than 0.01 nmol/mmol C-peptide/creatinine ratio) or fasting plasma C-peptide more than 0.2 mmol/L
  • Body mass index (BMI) between 18 and 30 kg/m2
Not Eligible

You will not qualify if you...

  • Use of antibiotics or proton-pump inhibitors within the last 3 months before screening or during the study
  • Use of other probiotic supplements within the last month before screening or during the study
  • History of cholecystectomy
  • Untreated gastrointestinal disease, inflammatory bowel disease, or abnormal bowel habits
  • Absence of a large bowel (e.g., colostomy)
  • Compromised immunity due to HIV, chemotherapy, other autoimmune diseases, or systemic anti-inflammatory therapy
  • History of cardiovascular disease events
  • Liver enzymes greater than 2.5 times the upper normal limit
  • Kidney failure (eGFR <15 ml/min/1.73 m2), dialysis, or kidney transplant
  • Inability or unwillingness to donate feces or urine
  • Smoking or illicit drug use in the past 3 months or during the study
  • Alcohol abuse (21 or more units per week)
  • Inability or unwillingness to provide informed consent

AI-Screening

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Trial Site Locations

Total: 2 locations

1

Diabeter Centrum Amsterdam

Amsterdam, Netherlands, 1066 EC

Actively Recruiting

2

Amsterdam UMC

Amsterdam, Netherlands, 1105 AZ

Actively Recruiting

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Research Team

M

Max Nieuwdorp, Prof. Dr.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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