Baricitinib to delay the start of clinical (Stage 3) type 1 diabetes in at‑risk children and adults
Official title: A Phase 3, Double-Blind, Randomized, Placebo-Controlled Study of Baricitinib to Delay Stage 3 Type 1 Diabetes in At-risk Participants Aged ≥1 to <36 Years
Run by Eli Lilly and Company · NCT07222137 · Data updated 2026-11-12
This will test whether the medicine baricitinib can delay the start of clinical type 1 diabetes in children and adults who are at high risk.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 1 Year to 35 Years |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | Eli Lilly and Company Industry-sponsored |
| Drugs / interventions | baricitinib |
| Locations | 112 sites (Santa Barbara, California and 111 other locations) |
| Status | Recruiting |
| Started | January 12, 2026 |
| Main results expected | July 2031 |
| Study ends | July 2031 |
| Registry record updated | November 4, 2026 |
| Trial ID | NCT07222137 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are children or adults with Stage 1b or Stage 2 type 1 diabetes who have at least two diabetes‑related autoantibodies and weigh at least 8 kilograms.
✕Probably not a fit
People with other types of diabetes, established clinical (Stage 3) type 1 diabetes, or those with uncontrolled cardiovascular disease, recent serious infections, a high risk of venous thromboembolism, lymphoproliferative disease, or malignancy would not be expected to benefit and are excluded.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3, randomized, placebo‑controlled trial gives at‑risk participants either baricitinib or matching placebo and follows them for up to about five years to see if treatment delays progression to clinical (Stage 3) type 1 diabetes. Eligible participants have Stage 1b or Stage 2 disease with at least two diabetes‑related autoantibodies and weigh at least 8 kilograms. Key exclusions include other types of diabetes, uncontrolled high blood pressure, recent serious infections, cardiovascular events or heart failure, and a history or high risk of venous thromboembolism, lymphoproliferative disease, or malignancy. Study visits occur at several U.S. sites for regular monitoring, laboratory testing, and safety assessments.
Why it matters
Potential benefit: If successful, baricitinib could delay the clinical onset of type 1 diabetes, helping preserve insulin‑producing beta cell function and postponing the need for insulin therapy.
How similar studies have gone: Some immune‑modulating therapies (for example, teplizumab) have shown the ability to delay onset of clinical type 1 diabetes, but using the JAK inhibitor baricitinib for this purpose is relatively novel with limited prior clinical data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Have a history of at least one documented occasion of at least two diabetes-related autoantibodies, AND one occasion of at least two diabetes-related autoantibodies obtained at screening or prescreening * Have Stage 1b or Stage 2 type 1 diabetes * Have a body weight of ≥8 kilograms (kg) (18 pounds) at screening Exclusion Criteria: * Have any other type of diabetes * Have uncontrolled high blood pressure * Have had a heart attack, heart disease, stroke, or heart failure * Have a history or high risk of venous thromboembolism, lymphoproliferative disease or malignancy * Have a current or recent clinically serious infection
Where it's running
-
Tallahassee Memorial HealthCare
Tallahassee, Florida, United States Recruiting -
University of Iowa
Iowa City, Iowa, United States Recruiting -
Iowa Diabetes and Endocrinology Research Center
West Des Moines, Iowa, United States Recruiting -
Novak Center for Children's Health
Louisville, Kentucky, United States Recruiting -
University of Virginia
Charlottesville, Virginia, United States Recruiting -
Women's and Children's Hospital
Adelaide, Australia Recruiting
Show 44 more locations
-
Box Hill Hospital
Box Hill, Australia Recruiting -
Royal Brisbane and Women's Hospital
Brisbane, Australia Recruiting -
Centre for Children's Health Research
Brisbane, Australia Recruiting -
Royal Children's Hospital
Melbourne, Australia Recruiting -
The Royal Melbourne Hospital
Parkville, Australia Recruiting -
Perth Children's Hospital
Perth, Australia Recruiting -
Sydney Children's Hospital
Randwick, Australia Recruiting -
The Children's Hospital at Westmead
Westmead, Australia Recruiting -
UZ Brussel
Brussels, Belgium Recruiting -
Cliniques universitaires Saint-Luc
Brussels, Belgium Recruiting -
Antwerp University Hospital
Edegem, Belgium Recruiting -
UZ Leuven
Leuven, Belgium Recruiting -
CHU UCL Namur/Site Sainte Elisabeth
Namur, Belgium Recruiting -
Freire Pesquisa Clínica
Belo Horizonte, Brazil Recruiting -
Centro de Diabetes Curitiba
Curitiba, Brazil Recruiting -
Hospital Universitario Walter Cantidio
Fortaleza, Brazil Recruiting -
Cendi - Endocrinologia e Diabetes
Goiânia, Brazil Recruiting -
Centro de Pesquisa Clínica de Marília - CPCLIM
Marília, Brazil Recruiting -
Universidade Federal do Rio de Janeiro
Rio de Janeiro, Brazil Recruiting -
Instituto de Pesquisa Clinica
São Paulo, Brazil Recruiting -
Cpclin
São Paulo, Brazil Recruiting -
IBTED - Tecnologia e Educação em Diabetes
São Paulo, Brazil Recruiting -
Hospital das Clinicas FMUSP
São Paulo, Brazil Recruiting -
Alberta Diabetes Institute
Edmonton, Canada Recruiting -
BC Diabetes Office
Vancouver, Canada Recruiting -
Oulun yliopistollinen sairaala
Oulu, Finland Recruiting -
Tampereen yliopistollinen sairaala
Tampere, Finland Recruiting -
Turku University Hospital
Turku, Finland Recruiting -
Klinik Josefinum
Augsburg, Germany Recruiting -
Universitaetsklinikum Augsburg
Augsburg, Germany Recruiting -
Hannoversche Kinderheilanstalt
Hanover, Germany Recruiting -
TUM Klinikum
München, Germany Recruiting -
Yitzhak Shamir Medical Center
Beer Yaacov, Israel Recruiting -
Soroka Medical Center
Beersheba, Israel Recruiting -
Rambam Health Care Campus
Haifa, Israel Recruiting -
Carmel Hospital
Haifa, Israel Recruiting -
Institute of Diabetes, Technology and Research - Clalit Health
Herzliya, Israel Recruiting -
Hadassah Medical Center
Jerusalem, Israel Recruiting -
Meir Medical Center
Kfar Saba, Israel Recruiting -
Schneider Children's Medical Center
Petah Tikva, Israel Recruiting -
Rabin Medical Center
Petah Tikva, Israel Recruiting -
Sheba Medical Center
Ramat Gan, Israel Recruiting -
Sheba Medical Center
Ramat Gan, Israel Recruiting -
Kaplan Medical Center
Rehovot, Israel Recruiting
+62 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or
- Email: LillyTrials@Lilly.com
- Phone: 1-317-615-4559
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Baricitinib to preserve insulin-producing beta cells in people newly diagnosed with type 1 diabetes
This trial will test whether the drug baricitinib can help preserve insulin-producing beta cells in children and adults who were recently diagnosed with type 1 diabetes.
-
Safety and drug level study of multiple doses of upadacitinib, tofacitinib, and baricitinib in healthy adults
This early-phase study tests how different doses of upadacitinib, tofacitinib, and baricitinib behave in healthy adults to understand safety and how the drugs act in the body.
-
Predictive CGM with App for people with type 1 or insulin-treated type 2 diabetes
This study tests whether using the Accu-Chek SmartGuide CGM with its Predict App can reduce fear of hypoglycemia and improve related behaviors and confidence in adults with type 1 or insulin-treated type 2 diabetes.
-
Tirzepatide for type 1 diabetes patients who are overweight or obese
This study tests whether tirzepatide can affect stomach emptying in adults with type 1 diabetes and overweight or obesity.
-
Oral insulin vs. subcutaneous insulin in adults with type 1 diabetes
This study tests an oral insulin tablet (SCD0503) against subcutaneous insulin and placebo to see how it behaves in the blood and helps control blood sugar in adults with type 1 diabetes.
-
Genetic risk score and progression to insulin in type 1 diabetes
This study tests whether a genetic risk score can predict which people with type 1 diabetes will need insulin progression over three years.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.