The Effect of Colchicine, on Insulin Sensitivity in Individuals With Type 1 Diabetes and Systemic Low-grade Inflammation

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-80
SponsorAsger Lund, MD

About this trial

The aim for this clinical trial is to evaluate if colchicine in addition to standard of care improves insulin sensitivity in individuals with type 1 diabetes, systemic low-grade inflammaiton and reduced insulin sensitivity. The insulin sensitivity will be evaluated by a hyperinsulinemic, euglycemic clamp.

Eligibility criteria

Qualifiers

Type 1 diabetes for more than five years according to World Health Organization criteria and c-peptid <200 pmol/L

Age 18-80 years

User of a continuous glucose monitor (CGM) system

Glycated hemoglobin A1c (HbA1c) 42-75 mmol/mol

Disqualifiers

Hypoglycaemia unawareness (inability to register low blood glucose) ad modum Pedersen-Bjergaard, 24 unless the individual uses a continuous glucose monitor with alarm function

Liver disease with elevated plasma alanine aminotransferase (ALT) > three times the upper limit of normal (measured at screening visit with the possibility of one repeat analysis within seven days, and the last measured value as being conclusive)

History of cirrhosis, chronic active hepatitis, or severe hepatic disease

Inflammatory bowel disease or chronic diarrhoea

Trial design

Treatments tested in this trial

  • Colchicin 0.5 mg once daily for two weeks, then twice daily for two weeks
  • Placebo once daily for two weeks, then twice daily for two weeks
  • Colchicine tablet 0.5 mg once-daily for two weeks, then twice daily for two weeks
  • Placebo once daily for two weeks, then twice daily for two weeks

Treatment groups

26 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Asger Lund, MD

Lead sponsor

University Hospital, Gentofte, Copenhagen

Sponsor institution

University of Copenhagen

Collaborator