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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Prof Shareen Forbes
+44 1312426736
Shareen.Forbes@ed.ac.uk


Dr Nicola Baillie
+44 1312426736
Nicola.Baillie@ed.ac.uk


Study Location:

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Be Part of Research - Trial Details - Aniracetam for prevention of hypoglycemia in type 1 diabetes

Aniracetam for prevention of hypoglycemia in type 1 diabetes

Recruiting

Open to: All Genders

Age: Adult

Medical Conditions

Type 1 Diabetes


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Type 1 diabetes (T1D) requires lifelong insulin therapy. Hypoglycaemia (low blood sugar) is a common and potentially life-threatening complication of insulin treatment. Despite advances in insulin types and delivery methods, hypoglycaemia remains a significant side effect, contributing to impaired quality of life for patients and their loved ones, and increased healthcare costs.

Hypoglycaemia poses significant risks including confusion, seizures, and coma. Recurrent hypoglycaemia can lead to hypoglycaemia unawareness; usually people who are treated with insulin are aware that their blood sugar is low and can take action to treat this (by consuming fast acting sugar). People who have hypoglycaemia unawareness do not have symptoms or signs, therefore their diabetes management is more complicated and they are at a much higher risk of severe hypoglycaemic events, including seizures and coma.

By investigating a supplement that counteracts the underlying mechanisms of hypoglycaemia, we have the potential to improve hypoglycaemia management and the quality of life for individuals with type 1 diabetes. There is no current preventative treatment for insulin induced hypoglycaemia. Current treatment strategies for hypoglycemia in type 1 diabetes primarily involve glucose monitoring and administration of glucose or glucagon. However, these approaches may not always be effective in preventing or resolving hypoglycemic episodes, especially if there is hypoglycaemia unawareness.

There is a need for treatments that can complement existing treatments to provide more targeted management of hypoglycemia in individuals with type 1 diabetes, and a need for treatments that can prevent the disabling and dangerous side effect of hypoglycaemia.

This study is investigating the effects of the supplement aniracetam during hypoglycaemia in individuals with T1D. Scientific studies so far lead us to think that supplementation with aniracetam will lead to improved control, a reduction in hypoglycaemic episodes, and, in the future, enhanced overall well-being in participants with type 1 diabetes.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

01 Jul 2025 01 Jul 2027

This study involves three visits to Edinburgh Royal clinical research facility for one screening visit, including blood tests, then two hypoglycaemic clamp studies, separated over one to two months. This clamp study is safe and well recognised in the field of diabetes research. It involves a 6 hour visit where blood glucose is carefully and slowly lowered into low blood glucose levels (hypo) to measure, using blood tests, the body's response to this. One clamp will test the body's response alone and one will test the body's response using aniracetam.


People aged 21-70 who have had Type 1 diabetes for 5 years or more.

You can take part if:



You may not be able to take part if:


1. Proliferative retinopathy2. History of Diabetic ketoacidosis in the preceding 6 months3. Severe hypoglycaemic episode requiring external assistance in the preceding 6 months4. History of Haemophilia, Cystic Fibrosis, pancreatic disease or complete pancreatectomy, ischaemic heart disease, cardiac arrhythmia, epilepsy or hypoglycaemia induced seizure5. History of severe reaction or allergy to adhesive necessary to this study6. Unable to adhere to study timetable7. Unable to give informed consent8. Pregnancy or planning pregnancy. We will perform a pregnancy test on all eligible participants at baseline9. Concurrent use of any non-insulin glucose-lowering agent (including GLP-1 agonists, Symlin, DPP-4 inhibitors, SGLT-2 inhibitors, sulfonylureas). These may lower insulin requirements and predispose to diabetic ketoacidosis10. Hypothyroidism11. Concurrent use of medication that may affect blood glucose such as SSRIs12. Inability to understand or speak English. Time is of the essence during the clamp procedure, there is no time for translation13. A condition, which in the opinion of the investigator, would put the patient or study at risk


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Edinburgh Royal Infirmary Clinical Research Facility
    51 Little France Crescent
    Edinburgh
    EH16 4SA

Benefits. If the results are positive this will change diabetes management. This has the potential to reduce the disabling and dangerous side effect of insulin therapy: Hypoglycaemia.
Risks. There are no risks. The clamp study is considered safe and is the gold standard procedure used in research.


The study is sponsored by Leona M. and Harry B. Helmsley Charitable Trust and funded by Leona M. and Harry B. Helmsley Charitable Trust.





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Read full details for Trial ID: ISRCTN95901685
Last updated 22 April 2025

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