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Probiotic Desulfovibrio piger for adults with long-standing type 1 diabetes

Tests the probiotic Desulfovibrio piger against placebo in adults with long-standing type 1 diabetes.

Plain-language title generated from the registry record
Registry title: Effect of 4 Weeks of Oral Probiotic Desulfovibrio Piger Supplementation on Immunological and Metabolic Parameters in Individuals With Longstanding Type 1 Diabetes

Key facts

Where
Amsterdam, NetherlandsSee the 2 sites

Where in Netherlands

  • Amsterdam UMCAmsterdam, NetherlandsTaking people
  • Diabeter Centrum AmsterdamAmsterdam, NetherlandsTaking people

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  2. Are travel costs paid?
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  4. What happens if I want to stop?
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Trial details

Who runs it
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Trial code
NCT07585994
Record updated
14 May 2026
Original description
The goal is to establish the effect of oral probiotic Desulfovibrio piger (D. piger) supplementation on immunological and metabolic parameters in individuals with longstanding type 1 diabetes with residual beta cell function. The investigators will perform a double-blind, randomized, placebo-controlled trial in 2x10 participants to measure effects of D. piger on parameters of systemic and intestinal inflammation and residual beta cell function.Read full original descriptionShow less

Effect of 4 Weeks of Oral Probiotic Desulfovibrio Piger Supplementation on Immunological and Metabolic Parameters in Individuals With Longstanding Type 1 Diabetes

The goal is to establish the effect of oral probiotic Desulfovibrio piger (D. piger) supplementation on immunological and metabolic parameters in individuals with longstanding type 1 diabetes with residual beta cell function. The investigators will perform a double-blind, randomized, placebo-controlled trial in 2x10 participants to measure effects of D. piger on parameters of systemic and intestinal inflammation and residual beta cell function.

Inclusion: Males or females, age >18 years; A diagnosis of type 1 diabetes, with duration of more than 5 years, with minimally one of antiGAD65, IA2, ZnT8 autoantibodies present assessed at diagnosis or routine visits at Diabeter Centrum; Evidence of remaining residual beta cell function with detectable UCPCR (more than 0.01 nmol/mmol C-peptide/creatinine ratio) and or fasting plasma C-peptide more than 0.2 mmol/L; BMI 18-30 kg/m2.

Exclusion: Use of antibiotics or proton-pump inhibitors within the last three months before screening or during study period; Use of other probiotic supplementation within the last month before screening or during study period; Smoking or illicit drug use (e.g. MDMA/amphetamine/cocaine/heroin/GHB) in the past three months or use during the study period; A history of cholecystectomy; Overt untreated gastrointestinal disease, inflammatory bowel disease or abnormal bowel habits; Evidence for comprised immunity (HIV infection, chemotherapy, other autoimmune diseases, systemic anti-inflammatory therapy); History of cardiovascular disaeses (CVD) events; Kidney failure (eGFR <15ml.min/1.73m2), dialysis, kidney transplantation,; Absence of a large bowel (ie colostomy); Hepatic enzymes>2.5 higher than the upper limit of normal range, determined during MARVEL visits/routine visits; Inability or unwillingness to donate feces or urine; Alcohol abuse (equal or above 21 units per week); Inability or unwillingness to provide informed consent.

ClinicalTrials.gov NCT07585994