Could a common blood pressure drug slow type 1 diabetes?
NCT ID NCT04545151
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether verapamil, a drug usually used for high blood pressure, can help preserve insulin-making cells in adults newly diagnosed with type 1 diabetes. 136 participants received either verapamil or a placebo for 12 months. The main goal was to see if verapamil could maintain the body's ability to produce insulin, measured by a C-peptide test.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Verapamil SR (a blood pressure medication)
- What this could lead to
- If it works, this could point toward a way to preserve insulin production in people newly diagnosed with type 1 diabetes, potentially slowing the disease.
- What could go wrong
- This is a phase 2 trial with only 136 participants, so results are preliminary. Verapamil is not a cure and may not meaningfully change long-term outcomes.
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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136 people
The number who actually took part.
- Started
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Feb 2021
- Finished
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Apr 2026
- 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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18 to 45 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: * Have given written informed consent * Age ≥18 and \<45 at consent * Must have a diagnosis of T1D of within 6 weeks duration at screening (date of the first insulin injection) * Must have at least one or more diabetes-related autoantibodies present at screening: GADA, IA-2A and/or ZnT8A * Must have fasting C-peptide levels ≥100 pmol/L measured at screening * Be willing to comply with intensive diabetes management Exclusion Criteria: * Be immunodeficient or have clinically significant chronic lymphopenia: Leukopenia (\< 3,000 leukocytes /µL), neutropenia (\<1,500 neutrophils/µL), lymphopenia (\<800 lymphocytes/µL), or thrombocytopenia (\<100,000 platelets/µL) * Have active signs or symptoms of acute infection at the time of screening * Be currently pregnant or lactating, or anticipate getting pregnant during the 12 months study period * Require use of immunosuppressive agents including chronic use of systemic steroids * Have evidence of current or past human immunodeficiency virus (HIV), Hepatitis B or Hepatitis C infection * Have any complicating medical issues or abnormal clinical laboratory results that may interfere with study conduct, or cause increased risk to include pre-existing cardiac disease, chronic obstructive pulmonary disease (COPD), sickle cell disease, neurological, or blood count abnormalities as judged by the investigator * Have a history of malignancies other than skin * History of liver insufficiency or laboratory evidence of liver dysfunction with aspartate aminotransferase (AST) or alanine transaminase (ALT) greater than 3 times the upper limits of normal * History of renal insufficiency or evidence of renal dysfunction with creatinine greater than 1.5 times the upper limit of normal * Current or ongoing use of non-insulin pharmaceuticals that affect glycaemic control within prior 7 days of screening * Use of any other investigational drug in the previous 30 days and/or intent on using any investigational drug for the duration of the trial * Current use of Verapamil or other calcium channel blockers * Known hypersensitivity to Verapamil or to any of its excipients * Concomitant medication known for significantly inducing or inhibiting CYP3A4 and/or glycoprotein-P metabolism * Intake of grapefruit juice, licorice, St.John's Wort, cannabidiol, ginkgo biloba * Substrate intake of CYP3A4 and/or glycoprotein-P metabolism, as judged by the investigator * Hypotension (of less than 100mmHg systolic), sick sinus syndrome (except patients with a functioning artificial pacemaker), uncompensated heart failure or severe left ventricular dysfunction; marked bradycardia (less than 50 beats/minute), atrial flutter or atrial fibrillation in the presence of an accessory bypass tract (e.g. Wolff-Parkinson-White syndrome), hypertrophic cardiomyopathy, acute myocardial infarction, attenuated neuromuscular transmission (e.g. by myasthenia gravis, Lambert-Eaton syndrome, advanced Duchenne muscular dystrophy) * ECG second or third degree atrioventricular block; Incomplete branch block * Any condition that in the investigator's opinion may adversely affect study participation or may compromise the study results * Current use of ß-blockers
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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
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Addenbrokes Hospital
Cambridge, United Kingdom
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Bart's Hospital QMUL
London, United Kingdom
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Guy's Hospital
London, United Kingdom
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HKA Hannover
Hanover, Germany
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Institut National de la Santé et de la Recherche Médicale
Paris, France
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John Radcliffe Hospital
Oxford, United Kingdom
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Katholieke Universiteit Leuven
Leuven, Belgium
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Medical University of Graz, Department of Internal Medicine Division of Endocrinology and Metabolism
Graz, Styria, 8010, Austria
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NHS Greater Glasgow and Clyde-Queen Elizabeth University Hospital, Department of Diabetes
Glasgow, United Kingdom
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OCDEM, John Radcliffe Hospital
Oxford, United Kingdom
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Queen Elizabeth Hospital
Birmingham, United Kingdom
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Queens Medical Centre
Nottingham, United Kingdom
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Royal Hallamshire Hospital
Sheffield, United Kingdom
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Singleton Hospital
Swansea, United Kingdom
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Southmead Hospital
Bristol, United Kingdom
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Universitair Ziekenhuis Antwerpen
Edegem, Belgium
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Universitair Ziekenhuis Brussel
Brussels, Belgium
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University Hospital of Wales
Cardiff, United Kingdom
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Università Vita-Salute San Raffaele
Milan, Italy
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Università degli Studi di Siena
Siena, Italy
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Universität Ulm
Ulm, Germany
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Université Libre de Bruxelles/ Hôpital Erasme
Brussels, Belgium
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