Could a bladder pill help prevent diabetes?

NCT ID NCT04666636

First seen Jun 26, 2026 · Last updated Jul 08, 2026 · Updated 3 times

Summary

This phase 2 trial is testing whether mirabegron, a drug currently used for overactive bladder, can improve glucose tolerance and activate brown fat in people with prediabetes. Researchers will enroll 65 adults with a BMI of 27-45 and prediabetes. Participants will take mirabegron or a placebo daily for 16 weeks, and the study will measure changes in blood sugar, body composition, and metabolism.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Mirabegron (Myrbetriq)
What this could lead to
If it works, this could point toward a new treatment for prediabetes that improves blood sugar control and metabolism.
What could go wrong
This is a small, early-phase trial with only 65 participants. The drug is already approved for overactive bladder, but its effect on prediabetes is unproven, and side effects are possible.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • University of Kentucky

    RECRUITING

    Lexington, Kentucky, 40536, United States

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