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Type 1 DiabetesNCT07684248

Butyrate or Intensive Lifestyle Modification in Type 1 Diabetes and Metabolic Dysfunction-Associated Steatotic Liver Disease

A study testing Intensive lifestyle modification (hypocaloric Mediterranean diet and promotion of physical activity), Butyrate and Intensive lifestyle modification + butyrate in people with Type 1 Diabetes, run by Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud at 1 site in Spain.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) is highly prevalent in individuals with type 1 diabetes (T1D) and is associated with increased cardiovascular and metabolic risk. However, evidence regarding effective therapeutic strategies for MASLD in T1D remains scarce. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Type 1 Diabetes
What is being tested?
Intensive lifestyle modification (hypocaloric Mediterranean diet and promotion of physical activity), Butyrate and Intensive lifestyle modification + butyrate
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
200 participants
Where
1 siteSpain
Study dates
15 Sep 2026to 15 Feb 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18-75 years.
  • Type 1 diabetes.
  • MASLD: Defined by a Controlled Attenuation Parameter (CAP) measured by Fibroscan® ≥248 dB/m (40).
  • Signed informed consent.

Who cannot join

  • History of alcohol consumption > 50 g/day in men or > 30 g/day in women for 3 consecutive months in the last year.
  • Patients with impaired liver function (total bilirubin > 2.0 mg/dL).
  • Hemochromatosis, Wilson's disease, or autoimmune hepatitis.
  • History of cancer (except basal cell carcinoma) in the past 5 years or active cancer of any type.
  • Known infection with HIV, HBV, HCV, or any other infection that may cause liver disease.
  • Severe underlying diseases that, in the investigators' judgment, constitute an exclusion criterion for study participation.
Show all 12Show fewer
  • Reduced life expectancy.
  • Pregnant or breastfeeding women.
  • Documented history of intolerance/allergy to butyrate.
  • Participation in another clinical trial within 30 days prior to study entry.
  • Inability to comply with scheduled visits.
  • Use of antibiotics, prebiotics, or probiotics (in pharmacological form or as supplements, not as part of usual diet) in the month prior to inclusion in the study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Jose Carlos Fernández García, MD contact

951290343

josec.fernandez.garcia.sspa@juntadeandalucia.es

Virginia Soria Utrilla, PhD contact

virginia.soria.sspa@juntadeandalucia.es

Spain1 site
  • Hospital Regional Universitario de Málaga, FIMABIS

    Málaga, Málaga, 29009

    Jose Carlos Fernández García, MD, 951290343, josec.fernandez.garcia.sspa@juntadeandalucia.es

Other trials in Spain

About this study

Official title: Butyrate or Intensive Lifestyle Modification in Type 1 Diabetes and Metabolic Dysfunction-Associated Steatotic Liver Disease: A Factorial Randomized Clinical Trial

Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) is highly prevalent in individuals with type 1 diabetes (T1D) and is associated with increased cardiovascular and metabolic risk. However, evidence regarding effective therapeutic strategies for MASLD in T1D remains scarce. Lifestyle modification has shown benefits in obesity and type 2 diabetes, whereas butyrate, a microbiota-derived short-chain fatty acid, has emerged as a potential therapeutic approach because of its anti-inflammatory and metabolic effects. This study aims to evaluate the efficacy of intensive lifestyle modification, butyrate supplementation, or their combination on hepatic steatosis in individuals with T1D and MASLD.

Methods: BEAM-T1D is a factorial, randomized, 6-month, parallel-group, placebo-controlled clinical trial conducted at the Regional University Hospital of Malaga. A total of 200 adults with T1D and MASLD will be randomized (1:1:1:1) to receive: (1) standard lifestyle recommendations plus placebo; (2) intensive lifestyle modification plus placebo; (3) standard lifestyle recommendations plus butyrate; or (4) intensive lifestyle modification plus butyrate. Intensive lifestyle modification includes a hypocaloric Mediterranean diet and promotion of physical activity. Participants randomized to butyrate will receive 2.25 g/day of microencapsulated sodium butyrate. The primary endpoint will be the change in controlled attenuation parameter (CAP) measured by transient elastography (FibroScan®). Secondary outcomes include changes in liver fat content, insulin resistance, metabolic control, body composition, inflammatory markers, gut microbiota composition, and short-chain fatty acid concentrations.

Read more

Results: Participant recruitment is expected to begin in October 2025. The study will evaluate the independent and combined effects of butyrate supplementation and intensive lifestyle modification on hepatic steatosis and metabolic outcomes in individuals with T1D and MASLD.

Conclusion: The BEAM-T1D study will provide novel evidence regarding the potential role of butyrate and intensive lifestyle modification in the management of MASLD in T1D. If effective, these interventions could represent feasible and scalable therapeutic strategies for a population with limited evidence-based treatment options.

Conditions
Type 1 Diabetes
Being tested
Intensive lifestyle modification (hypocaloric Mediterranean diet and promotion of physical activity), Butyrate, Intensive lifestyle modification + butyrate
Keywords
Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD), Short-Chain Fatty Acids (SCFAs), Sodium Butyrate, Type 1 Diabetes (T1D)
Medical subject headings
Diabetes Mellitus, Type 1

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Intensive lifestyle modification (hypocaloric Mediterranean diet and promotion of physical activity)Other

    Participants will be advised to follow a Mediterranean diet, characterized by the use of olive oil as the main source of fat, regular consumption of vegetables, fruits, legumes, and fish, reduced consumption of red meat and processed meats, and elimination of sugar-sweetened beverages, industrial pastries, and confectionery. The Mediterranean diet will include a 30% energy restriction based on estimated energy needs (Harris-Benedict equation). Participants will also be advised to perform ≥150 minutes of moderate-to-vigorous physical activity per week, distributed over at least 3 days, with no more than 2 consecutive days without activity, and to perform 2-3 resistance training sessions per week on non-consecutive days. This group will receive microencapsulated placebo.

  • ButyrateDietary supplement

    Participants randomized to this group will receive microencapsulated sodium butyrate (MSB). Each sachet contains 750 mg sodium butyrate and 1750 mg triglyceride matrix (total 2,500 mg). Participants will take 3 sachets daily (total daily dose: 2.25 g butyrate): one in the morning, one at midday, and one in the evening.

  • Intensive lifestyle modification + butyrateDietary supplement

    Participants will undergo both intensive lifestyle modification and receive butyrate as described above.

    This study will be placebo-controlled: participants not randomized to butyrate will receive placebo sachets identical in size, color, appearance, and taste to the investigational product but without butyrate. Placebo will also be taken three times daily following the same schedule.

Study groups in NCT07684248
Study groupRoleWhat they receive
Placebo + Standard lifestyle recommendationsNo interventionParticipants in this group will not undergo any intervention beyond what is routinely performed in clinical practice. This group will receive microencapsulated placebo.
Placebo + Intensive lifestyle modificationPlacebo comparatorNot described
Receives: Other: Intensive lifestyle modification (hypocaloric Mediterranean diet and promotion of physical activity)
ButyrateExperimentalNot described
Receives: Dietary Supplement: Butyrate
Intensive lifestyle modification + butyrateExperimentalNot described
Receives: Dietary Supplement: Intensive lifestyle modification + butyrate

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in Controlled Attenuation Parameter (CAP) by hepatic elastography (FibroScan®): Controlled Attenuation Parameter (CAP)

    Measured in dB/m

    Measured: Baseline, 3 month and 6 month

  2. Changes in Controlled Attenuation Parameter (CAP) by hepatic elastography (FibroScan®): Liver Stiffness Measurement

    Measured in : kPa

    Measured: Baseline, 3 month and 6 month

Secondary outcomes (38)
  1. Changes in insulin resistance: eGDR

    Measured in mg/kg/min

    Measured: Baseline, 3 months and 6 months

  2. Changes in metabolic control: Glucose

    Measured in mg/dl

    Measured: Baseline, 3 months and 6 months

  3. Changes in metabolic control: HbA1c

    Measured in mmol/mol

    Measured: Baseline, 3 months and 6 months

  4. Changes in metabolic control: Average sensor glucose

    Measured in mg/dl

    Measured: Baseline, 3 months and 6 months

  5. Changes in metabolic control: Glucose Management Indicator (GMI)

    Measured in %

    Measured: Baseline, 3 months and 6 months

  6. Changes in metabolic control: Time in range (TIR)

    Measured in %

    Measured: Baseline, 3 months and 6 months

  7. Changes in metabolic control: Time Above Range (TAR)

    Measured in %

    Measured: Baseline, 3 months and 6 months

  8. Changes in metabolic control: Time Below Range (TBR)

    Measured in minutes or hours

    Measured: Baseline, 3 months and 6 months

  9. Changes in body composition: Weight

    Measured in kg

    Measured: Baseline, 3 months and 6 months

  10. Changes in body composition: Body mass index (BMI)

    Measured in kg/m2

    Measured: Baseline, 3 months and 6 months

  11. Changes in body composition: Muscular area of rectus anterior

    Measured in cm2

    Measured: Baseline, 3 months and 6 months

  12. Changes in body composition: Fat mass

    Measured in kg

    Measured: Baseline, 3 months and 6 months

  13. Changes in body composition: Fat-free mass

    Measured in kg

    Measured: Baseline, 3 months and 6 months

  14. Changes in body composition: Body cellular mass

    Measured in kg

    Measured: Baseline, 3 months and 6 months

  15. Changes in body composition: Skeletical muscle mass

    Measured in kg

    Measured: Baseline, 3 months and 6 months

  16. Changes in body composition: Appendicular skeletal muscle mass

    Measured in kg

    Measured: Baseline, 3 months and 6 months

  17. Changes in blood pressure: Systolic blood pressure

    Measured in mmHg

    Measured: Baseline, 3 months and 6 months

  18. Changes in blood pressure: Diastolic blood pressure

    Measured in mmHg

    Measured: Baseline, 3 months and 6 months

  19. Changes in lipid profile: Total cholesterol

    Measured in mg/dl

    Measured: Baseline, 3 months and 6 months

  20. Changes in lipid profile: HDL

    Measured in mg/dl

    Measured: Baseline, 3 months and 6 months

  21. Changes in lipid profile: LDL

    Measured in mg/dl

    Measured: Baseline, 3 months and 6 months

  22. Changes in adipokines: Leptin

    Measured in ng/mL

    Measured: Baseline, 3 months and 6 months

  23. Changes in adipokines: Adiponectin

    Measured in μg/mL

    Measured: Baseline, 3 months and 6 months

  24. Changes in hepatokines: GDF-15

    Measured in ng/mL

    Measured: Baseline, 3 months and 6 months

  25. Changes in hepatokines: FGF-21

    Measured in ng/mL

    Measured: Baseline, 3 months and 6 months

  26. Changes in inflammatory markers: IL-10

    Measured in pg/mL

    Measured: Baseline, 3 months and 6 months

  27. Changes in inflammatory markers: IL-1b

    Measured in pg/mL

    Measured: Baseline, 3 months and 6 months

  28. Changes in inflammatory markers: IL-6

    Measured in pg/mL

    Measured: Baseline, 3 months and 6 months

  29. Changes in inflammatory markers: IL-8

    Measured in pg/mL

    Measured: Baseline, 3 months and 6 months

  30. Changes in inflammatory markers: IL-12

    Measured in pg/mL

    Measured: Baseline, 3 months and 6 months

  31. Changes in inflammatory markers: TNF-α

    Measured in pg/mL

    Measured: Baseline, 3 months and 6 months

  32. Changes in intestinal permeability: Zonuline

    Measured in ng/mL

    Measured: Baseline, 3 months and 6 months

  33. Changes in short-chain fatty acid levels: Butyrate

    Measured in μmol/kg

    Measured: Baseline, 3 months and 6 months

  34. Changes in gut microbiota: phylum, genus, species

    Measured in relative abundance, alpha diversity, beta diversity

    Measured: Baseline, 3 months and 6 months

  35. Change from baseline in Mediterranean Diet Adherence at 3 and 6 months

    The 17-item Mediterranean Diet Adherence Questionnaire assesses dietary habits through 17 questions regarding the consumption of traditional Mediterranean diet components (e.g., olive oil, vegetables, fruits, fish). Each item is scored as 0 (does not meet the criterion) or 1 (meets the criterion), with a total score ranging from 0 (minimum score) to 17 (maximum score). Higher scores indicate greater adherence to the Mediterranean diet.

    Measured: Baseline, 3 months and 6 months

  36. Change from baseline in Physical Activity Level at 3 and 6 months

    The Short version of the International Physical Activity Questionnaire (IPAQ) assesses physical activity across three intensities (vigorous, moderate, and walking) over the last 7 days. Total physical activity is calculated as a continuous variable expressed in Metabolic Equivalent of Task minutes per week (MET-minutes/week), summing the duration (minutes/week) of each activity type multiplied by its specific MET value (walking = 3.3, moderate = 4.0, vigorous = 8.0). Higher MET-minutes/week indicate higher levels of physical activity.

    Sedentary behavior is assessed by measuing the total time spent sitting during a typical weekday over the last 7 days (including time at work, home, study, or leisure). The score is expressed as total minutes or hours of sitting time per day. Higher values indicate greater sedentary behavior.

    Measured: Baseline, 3 months and 6 months

  37. Change from baseline in Long-term Physical Activity Patterns at 3 and 6 months

    The validated version of the Nurses' Health Study and Health Professionals' Follow-up Study physical activity questionnaire assesses the average time per week spent on specific recreational activities (e.g., walking, jogging, cycling, swimming, running) over a longer recall period. Each activity is assigned a standard MET value based on intensity (the number of METs corresponding to each activity were calculated using the Compendium of Physical Activities). Total activity is computed as the sum of MET-hours per week (MET-hours/week) by multiplying the weekly hours dedicated to each activity by its corresponding MET value. Higher scores reflect greater energy expenditure from physical activity.

    Measured: Baseline, 3 months and 6 months

  38. Changes in body composition: Height

    Measured in cm

    Measured: Baseline, 3 months and 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Jul 2026
  2. Study start15 Sep 2026 (estimated)
  3. Primary completion15 Sep 2027 (estimated)
  4. Study completion15 Feb 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Factorial
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07684248
Sponsor's protocol ID
BEAM-T1D Study
Status last verified
Jul 2026
First submitted
24 Jun 2026
Last updated
6 Jul 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Intensive lifestyle modification (hypocaloric Mediterranean diet and promotion of physical activity), Butyrate and Intensive lifestyle modification + butyrate in people with Type 1 Diabetes, run by Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 6 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Jose Carlos Fernández García, MD (951290343, josec.fernandez.garcia.sspa@juntadeandalucia.es), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in Controlled Attenuation Parameter (CAP) by hepatic elastography (FibroScan®): Controlled Attenuation Parameter (CAP) (time frame: Baseline, 3 month and 6 month). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jul 2026.

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