Clinical trial Recruiting at 1 site Phase1; Phase2 Interventional Ages 4 to 9

Preserving remaining insulin production in children with recent-onset type 1 diabetes using verapamil

Official title: A Phase I/II Double-blind, Randomized, Placebo-controlled Trial to Preserve Residual Insulin Secretion in Children With Recent Onset Type 1 Diabetes by Giving Verapamil

Run by Linkoeping University · NCT07199946 · Data updated 2026-11-12

This study will try verapamil in children newly diagnosed with type 1 diabetes to see if it helps preserve their remaining insulin production.

More Type 1 Diabetes trials

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages4 Years to 9 Years
SexAll
Enrollment36 (estimated)
SponsorLinkoeping University
Government
Locations2 sites (Jönköping and 1 other locations)
StatusRecruiting
StartedAugust 6, 2025
Main results expectedDecember 2029
Study endsMay 2030
Registry record updatedSeptember 30, 2025
Trial IDNCT07199946 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Children aged 4.0–9.99 years diagnosed with type 1 diabetes within the past three months who have fasting C‑peptide >0.12 nmol/ml and at least one positive diabetes autoantibody are ideal candidates.

Probably not a fit

Patients with prior cardiac problems, abnormal ECG, very low or absent C‑peptide, current use of non-insulin antidiabetic drugs, or recent immunosuppressant exposure are unlikely to benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase I/II trial starts with an open-label safety phase of 6 children and then proceeds to a randomized phase including placebo with up to 30 additional children. Participants are 4.0–9.99 years old, diagnosed within the prior three months, have at least one diabetes autoantibody and measurable fasting C-peptide, and undergo baseline and follow-up mixed-meal tolerance tests (MMTT) with ECG monitoring. The primary outcome is change in C‑peptide AUC over 0–120 minutes from baseline to 24 months; secondary outcomes include fasting and 90‑minute C‑peptide, HbA1c, insulin dose, and safety/tolerability. The trial is conducted at pediatric centers in Jönköping and Linköping, Sweden, with careful cardiac exclusion criteria and regular safety assessments.

Why it matters

Potential benefit: If successful, verapamil could slow loss of beta-cell function so children keep making more of their own insulin and may need less injected insulin.

How similar studies have gone: Preclinical work and early adult studies suggest verapamil may help preserve beta-cell function, but pediatric data are limited and this approach is still being tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion criteria: • Informed consent given by patients and caregivers/parents

* Type 1 diabetes according to the ADA classification within the previous 3 months at the time of screening
* Age 4.00 -9.99 years at Diagnosis of Type 1 diabetes
* Fasting C-peptide \>0.12 nmol/ml
* Elevated levels of any diabetes-related antibody/ies (eg GADA, IAA, IA-2A, ZnT8A ) is/are present.

Exclusion criteria: • Cardiac disease/problems, abnormal ECG, or history of abnormal blood pressure

* Previous or current treatment with immunosuppressant therapy (although topical or inhaled steroids are accepted)
* Continuous treatment with any inflammatory drug (sporadic treatment e.g. because of headache or in connection with fever a few days will be accepted)
* Treatment with any oral or injected anti-diabetic medications other than insulin
* A history of anaemia or significantly abnormal haematology results at screening
* Participation in other clinical trials with a new chemical entity within the previous 3 months
* Inability or unwillingness to comply with the provisions of this protocol
* A significant illness other than diabetes within 2 weeks prior to first dosing. However treated celiac disease and hypothyroidism with adequate treatment will be accepted.
* Deemed by the investigator not being able to follow instructions and/or follow the study protocol

Where it's running

  • Crown Princess Victoria Children´s Hospital, University Hospital
    Linköping, Sweden
    Recruiting
  • Pediatric Clinic , Ryhovs hospital
    Jönköping, Sweden
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.