C-peptide's effect on blood sugar regulation during hypoglycemia

On the Regulation of Hepatic Glucose Metabolism During Insulin-induced Hypoglycemia

Early Phase 1 Interventional University of Cincinnati · NCT06470295

This study tests if adding C-peptide to insulin can help people with type 1 diabetes and healthy individuals better manage their blood sugar during low blood sugar episodes.

Quick facts

PhaseEarly Phase 1
Study typeInterventional
Enrollment38 (estimated)
Ages18 Years to 40 Years
SexAll
SponsorUniversity of Cincinnati Academic / other
Locations1 site (Cincinnati, Ohio)
Trial IDNCT06470295 on ClinicalTrials.gov

What this trial studies

This study investigates how C-peptide influences glucagon secretion and hepatic glucose production during insulin-induced hypoglycemia in individuals with type 1 diabetes (T1D) and healthy controls. The research involves administering C-peptide alongside insulin to assess its impact on counterregulatory hormone levels and endogenous glucose production. Two separate hypoglycemic clamp studies will be conducted: one with healthy subjects and another with T1D patients, comparing the effects of C-peptide infusion to saline. The goal is to better understand the potential benefits of C-peptide in managing hypoglycemia in T1D.

Who should consider this trial

Good fit: Ideal candidates include individuals with type 1 diabetes and healthy adults with a BMI less than 30 kg/m2.

Not a fit: Patients who are pregnant, lactating, smokers, or have cardiovascular or microvascular diseases may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved management of hypoglycemia in patients with type 1 diabetes.

How similar studies have performed: Previous studies in animal models have shown promising results with C-peptide, but this approach is novel in human subjects.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* BMI less than 30 kg/m2

Exclusion Criteria:

* pregnant or lactating women cigarette smoking presence of HIV or hepatitis presence of cardiovascular disease presence of microvascular disease

Where this trial is running

Cincinnati, Ohio

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions HypoglycemiaType 1 Diabetesglucagonhepatic glucose productionC-peptide
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.