ClinicalTrials.gg
CompletedNCT03406897POSEIDONUpdated Sep 17, 2025Results posted

Pilot Study of OMEGA-3 and Vitamin D in High-Dose in Type I Diabetic Patients

A Phase 1/2 interventional study of Cholecalciferol and Omega 3 fatty acid in Diabetes Mellitus, Type 1, Hypoglycemia and Diabetes Mellitus, sponsored by Rodolfo Alejandro. Completed at 1 site in United States. Open to participants aged 6 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-09-17.

Sponsored by Rodolfo Alejandro · Phase 1/2, Interventional, and Treatment

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Phase
Phase 1/2
Study type
Interventional
Enrollment
27
Allocation
Randomized
Ages
6 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 1,458 studies in Diabetes Mellitus, Type 1 with a site in United States — 191 open to participants now, 259 under way, 17 of them phase 3. Diabetes Mellitus, Type 1 · United States.

Enrollment
766th of 1,242
27 · median 40
Started
2018
with 73 others
Phase 1/2
59 of 1,458
8 open now
Registered
828th of 1,458
by date

Among the 1,458 studies in Diabetes Mellitus, Type 1 with a site in United States, this one is the 766th largest by enrollment of the 1,242 interventional ones that give a count, is one of 74 that started in 2018, is one of 59 in phase 1/2, and was the 828th registered.

Diabetes Mellitus, Type 1

3,754 studies on the registry are indexed under Diabetes Mellitus, Type 1; 600 are open to participants now.

Browse Diabetes Mellitus, Type 1 studies →

Open to participants now

191 of the 1,458 studies in Diabetes Mellitus, Type 1 with a site in United States are open now. Recruiting first, the newest first:

186 more — sign in →

All 191 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 412 Diabetes Mellitus, Type 1 studies recruiting now, 128 (31%) set no upper age limit and 258 (63%) stop at 75 or younger; 185 take children under 18; 64 take healthy volunteers.

This study: 6 Years to 65 Years · all sexes · no healthy volunteers.

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02

Study summary

The investigator propose to test the safety and efficacy of a regimen that combines Omega-3 Fatty Acids and Vitamin D in a design that considers timing and duration of administration in relation to their effects and predicted synergies.

Read the detailed description

These agents may afford promote sustained immune regulation, reduce inflammation, and provide support for the residual beta cell mass. This integrated therapeutic regimen addresses major pathogenic mechanisms in T1D (Type 1 Diabetes) and thus represents a rational and well supported approach to preserve insulin secretion in T1D (Type 1 Diabetes). This approach could halt the disease progress, preserve β-cell function and hopefully reduce dose of insulin required to manage T1D (Type 1 Diabetes). The investigator hypothesizes that Omega-3 Fatty Acids and Vitamin D, administered to patients with newly or established T1D (Type 1 Diabetes) and residual stimulated C-peptide secretion will be safe and may preserve insulin secretion.

03

Conditions studied

  • Diabetes Mellitus, Type 1
  • Hypoglycemia
  • Diabetes Mellitus
  • Diabetes, Autoimmune
04

Who can participate

Ages eligible
6 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Patients must meet all of the following criteria to be eligible to participate in this study:

  • Subject must be able to understand and provide .
  • Males and females, 6-17 years for children and 18-65 years of age for adult group.
  • For new onset T1D - from onset to 6 months (180 days) post-diagnosis at the time of randomization.
  • For established T1D - At least 6 months and up to 10 years from the diagnosis at the time of randomization.
  • Affected by T1D, according to ADA standard criteria, and confirmed by positivity of at least one T1D-associated autoantibody, to GAD65, IA-2, ZnT8, or insulin autoantibody (if patient has been treated with insulin for less than 2 weeks).
  • T1D must be treated with insulin (except if participant is in Honeymoon period/phase).
  • Stimulated C-peptide peak level, at the baseline 1 visit MMTT, ≥ 0.2 ng/ml.
  • Female subjects of must have a negative pregnancy test upon study entry.
  • Adequate venous access to support study required blood draws.

Exclusion criteria

Exclusion Criteria:

Patients must not meet any of the following criteria to be eligible to participate:

  • Inability or unwillingness of a participant to give written or comply with study protocol.
  • >30 kg/m2.
  • to any of the drugs used in the trial (as per package insert, e.g., knowledge of to drugs or its ).
  • Uncompensated heart failure, fluid overload, myocardial infarction or liver disease or severe impairment of a vital organ within the last 6 weeks before enrollment.
  • Any of the following laboratory findings indicating \<10.0 g/dL; leukocytes \<3,000/μL; neutrophils \<1,500/μL; lymphocytes \<800/μL; \<100,000/μL.
  • Any sign or diagnosis of significant chronic active infection (e.g., hepatitis, tuberculosis, EBV, or CMV), or screening laboratory evidence consistent with a significant chronic active infection (such as positive for , IGRA test for TB, or -C).
  • Ongoing acute infections, e.g., acute respiratory tract, urinary tract, or gastrointestinal tract infections.
  • Ongoing or anticipated use of diabetes medications other than insulin.
  • Current or ongoing use of non-insulin pharmaceuticals that affect glycemic control within prior 7 days of screening.
  • Recent recipient of any licensed or (s) within 6 weeks of randomization.
  • Use of investigational drugs within 3 months of participation.
  • Concomitant therapy with drugs, immunomodulators, or cytotoxic agents, or previous therapy less than 3 months from randomization.
  • History or diagnosis of , with the exception of a history of localized basal or squamous cell carcinoma.
  • History of gastroparesis or other severe gastrointestinal disease..
  • Presence of an allograft.
  • , ALT or Alkaline Phosphatase >2 times or total >1.5 times upper limit of normal.
  • History of mental illness deemed to be clinically unstable or any situation that, in the opinion of the investigator, would interfere with the participant's ability to comply with study requirements.
  • History of illicit drug or alcohol abuse.
  • Pregnancy or ongoing breastfeeding for women; unwillingness or inability of both females and males of childbearing age to use a reliable and effective form of , for the entire duration of the study.
  • Past or current medical problems or findings from physical examination or laboratory testing that are not listed above, which, in the opinion of the investigator, may pose additional risks from participation in the study, may interfere with the participant's ability to comply with study requirements or that may impact the quality or interpretation of the data obtained from the study.
Terms in these criteria, in plain language(18)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
27 participants (actual)

Study arms

  • Active comparator
    Omega-3 and Vitamin D Combination

    The treatment arm A includes Omega-3 Fatty Acids and Cholecalciferol (Vitamin D) supplement.

    Drug: Cholecalciferol · Drug: Omega 3 fatty acid

  • Active comparator
    Vitamin D Only

    The treatment arm B (control group) will receive only Cholecalciferol (Vitamin D) supplement.

    Drug: Cholecalciferol

Interventions

06

What researchers measure

Primary outcomes

  1. Change in MMTT (Mixed Meal Tolerance Test) 90 Min C-peptide

    Stimulated (90-minute sample of a MMTT) C-peptide at the 1-year visit greater or equal to baseline level measured by ng/mL. Change in 90-minute C-peptide between baseline and 1-year visit

    Time frame: Baseline and 1-Year Visit

Secondary outcomes

  1. Change in Hemoglobin A1c Level

    Change in HbA1c between baseline and 1-year

    Time frame: Baseline and 1-Year Visit

  2. Change in Insulin Requirements

    Difference in insulin requirement at the 1-year visit compared to baseline measured in units/kg/day

    Time frame: Baseline and 1-Year Visit

  3. Number of Adverse Events (AE)

    Number of adverse events (AE) comparable to general diabetes population

    Time frame: Through study completion, and average of one year

07

Results

Posted Sep 17, 2025

Participant flow

Participant flow — Overall Study
MilestoneOmega-3 and Vitamin D CombinationVitamin D Only
Started1215
Completed78
Not completed57
Withdrew: Lost to follow-up12
Withdrew: Withdrawal by subject44
Withdrew: Physician decision01

Outcome measures

PrimaryChange in MMTT (Mixed Meal Tolerance Test) 90 Min C-peptide

Stimulated (90-minute sample of a MMTT) C-peptide at the 1-year visit greater or equal to baseline level measured by ng/mL. Change in 90-minute C-peptide between baseline and 1-year visit

Time frame:
Baseline and 1-Year Visit
Reported as:
Median · ng/mL
Change in MMTT (Mixed Meal Tolerance Test) 90 Min C-peptide
ng/mLOmega-3 and Vitamin D CombinationVitamin D Only
Change in MMTT (Mixed Meal Tolerance Test) 90 Min C-peptide-1.23 (-1.60 to -0.17)-0.62 (-1.44 to -0.15)
SecondaryChange in Hemoglobin A1c Level

Change in HbA1c between baseline and 1-year

Time frame:
Baseline and 1-Year Visit
Reported as:
Median · percentage of HbA1c
Change in Hemoglobin A1c Level
percentage of HbA1cOmega-3 and Vitamin D CombinationVitamin D Only
Change in Hemoglobin A1c Level0.00 (-0.30 to 2.50)-0.55 (-3.10 to 0.30)
SecondaryChange in Insulin Requirements

Difference in insulin requirement at the 1-year visit compared to baseline measured in units/kg/day

Time frame:
Baseline and 1-Year Visit
Reported as:
Median · units/kg/day
Change in Insulin Requirements
units/kg/dayOmega-3 and Vitamin D CombinationVitamin D Only
Change in Insulin Requirements0.16 (0.02 to 0.52)0.15 (-0.20 to 0.87)
SecondaryNumber of Adverse Events (AE)

Number of adverse events (AE) comparable to general diabetes population

Time frame:
Through study completion, and average of one year
Reported as:
Number · number of adverse events
Number of Adverse Events (AE)
number of adverse eventsOmega-3 and Vitamin D CombinationVitamin D Only
Number of Adverse Events (AE)3128

Adverse events

Collected over 1 year. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Omega-3 and Vitamin D Combination0/12 (0%)0/12 (0%)8/12 (66.7%)
Vitamin D Only0/15 (0%)2/15 (13.3%)8/15 (53.3%)
Most frequent serious events
Most frequent serious events
EventOmega-3 and Vitamin D CombinationVitamin D Only
Acute perforated apendicitisGastrointestinal disorders0/121/15
Diabetes KetoacidosisEndocrine disorders0/121/15
Most frequent other events
Showing 10 of 21
Most frequent other events
EventOmega-3 and Vitamin D CombinationVitamin D Only
HypoglycemiaEndocrine disorders3/123/15
COVID-19 InfectionInfections and infestations0/123/15
Influenza ARespiratory, thoracic and mediastinal disorders2/120/15
HyperkalemiaGeneral disorders1/120/15
HyperphosphatemiaGeneral disorders1/120/15
Fecal incontinenceGastrointestinal disorders1/120/15
Oily rectal dischargeGastrointestinal disorders1/120/15
GastroenteritisGastrointestinal disorders1/120/15
NeutropeniaBlood and lymphatic system disorders1/120/15
Celiac DiseaseGastrointestinal disorders1/120/15

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Omega-3 and Vitamin D CombinationVitamin D OnlyTotal
<=18 years101222
Between 18 and 65 years235
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)Omega-3 and Vitamin D CombinationVitamin D OnlyTotal
Female4711
Male8816
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Omega-3 and Vitamin D CombinationVitamin D OnlyTotal
White, Non-Hispanic6713
White, Hispanic5712
Asian112
Region of Enrollment
Region of Enrollment(participants)Omega-3 and Vitamin D CombinationVitamin D OnlyTotal
United States121527
08

Study locations

1 site
  • Diabetes Research Institute, University of Miami Miller School of Medicine
    Miami, Florida 33136, United States
09

References and documents

Publications

  • Baidal DA, Ricordi C, Garcia-Contreras M, Sonnino A, Fabbri A. Combination high-dose omega-3 fatty acids and high-dose cholecalciferol in new onset type 1 diabetes: a potential role in preservation of beta-cell mass. Eur Rev Med Pharmacol Sci. 2016 Jul;20(15):3313-8. PubMed 27467009 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2018 to primary completion in Jul 2024, 72 months.

Results were first posted in Sep 2025, 1 year 1 month after primary completion.

Of 44 phase 1/2 interventional studies under Diabetes Mellitus, Type 1, half reached primary completion within 57 months of starting (the median), counting those still running; a quarter within 31 and three quarters within 93. This study's 72 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 10, 2018
First posted
Jan 23, 2018
StartActual
Jul 23, 2018
Primary completionActual
Jul 31, 2024
CompletionActual
Jul 31, 2024
Results first posted
Sep 17, 2025
Last update
Sep 17, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 17, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03406897
Lead sponsor
Rodolfo Alejandro
Collaborators
Diabetes Research Institute Foundation
Responsible party
Rodolfo Alejandro (Professor of Medicine, University of Miami) — Sponsor-investigator
First posted
Jan 23, 2018
Start date
Jul 23, 2018
Primary completion
Jul 31, 2024
Completion
Jul 31, 2024
Results posted
Sep 17, 2025
Last update
Sep 17, 2025

Study contacts

Camillo Ricordi, M.D.
study director · Professor and Center Director of Diabetes Research Institute

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Omega-3 fatty acid

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