Can a simple alarm prevent a deadly complication in type 1 diabetes?
NCT ID NCT07225465
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether using a continuous ketone monitor with a lower alarm threshold (1.0 vs 1.5 mmol/L) can reduce the risk of diabetic ketoacidosis in people with type 1 diabetes who take dapagliflozin, a drug typically used for type 2 diabetes. 115 adults will wear a dual glucose/ketone monitor and take dapagliflozin for 12 weeks. The goal is to find the safest way to use this drug in type 1 diabetes by catching rising ketones early.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Dapagliflozin (Forxiga)
- What this could lead to
- If successful, this study could help establish safe guidelines for using SGLT2 inhibitors in type 1 diabetes, potentially improving blood sugar control and reducing complications.
- What could go wrong
- This is a small, early-phase trial (115 participants) and does not yet prove safety or effectiveness. The risk of diabetic ketoacidosis remains a serious concern, and the optimal ketone threshold is still uncertain.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 115 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Feb 2026
An estimate. Start dates often move.
- Expected to finish
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Feb 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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24 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Aged between 24 and 85 years of age inclusive (66% 24Y to 65Y; and 33% \>65Y to 85Y) * Diagnosed with T1D (made on clinical criteria) for at least 1 year * Insulin regimen either on MDI or insulin pump with at least 40% in one mode * Minimum total daily insulin dose 0.4 Units per kg / day (can be on insulin pump or MDI); * HbA1c \<10% (86mmol/ mol) * Minimum daily carbohydrate intake of 100g * Willing to adhere to the study protocol * Ability to perform high-intensity exercise (specific to the exercise sub-study) Exclusion Criteria: * Pregnancy or planned pregnancy * eGFR \<30ml/min/1.73m2 * History of DKA in the last 12 months * Use of low carbohydrate diet (\<100g/day) * Diabetic gastroparesis * Tape allergy * Heavy alcohol use (15 standard drinks per week or binge drinking) * Use of SGLT inhibitor in the last month * Medications increasing the risk of DKA e.g. steroids, anorectic agents (eg phentermine, naltrexone HCl/bupropion HCl, and GLP 1 agonists). * Major medical or psychiatric illness that in the opinion of the investigator would interfere with protocol adherence or impact participant safety.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
4 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Austin Health
Heidelberg, Victoria, 3084, Australia
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Baker Heart and Diabetes Institute
Melbourne, Victoria, 3004, Australia
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St Vincent's Hospital Melbourne
Fitzroy, Victoria, 3065, Australia
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The Royal Melbourne Hospital
Parkville, Victoria, 3050, Australia
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Other studies related to the condition(s) this trial covers.
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