Western Mail

WALES IN DIABETES DRUG WORLD FIRST

- MARK SMITH Health correspond­ent mark.smith@walesonlin­e.co.uk

PATIENTS in Wales have become the first in the world to test a drug which could prevent and treat Type 1 diabetes.

The unnamed drug, which is being used as part of an early-phase clinical trial, has been shown to “regenerate” insulin-making cells of the pancreas which are lost in patients living with the disease.

If it proves successful, people with Type 1 diabetes could become far less dependent on insulin injections.

The Clinical Research Facility (CRF) at the University Hospital of Wales in Cardiff has already given two patients doses of the new investigat­ional drug and will soon analyse the results.

So far the drug appears to have had no major side-effects, but it is too early to say if it has been effective.

Dr Mohammad Alhadj Ali, who is the sub investigat­or working on the study in Cardiff, said the treatment will offer “new hope” to patients.

“Insulin injections are a big burden on anyone who has Type 1 diabetes,” he said.

“This new therapy could reduce the amount of insulin Type 1 diabetes patients need to take and offer them better glycemic control.”

Despite everything achieved in diabetes care, Dr Ali said advances in prevention haven’t really occurred.

He added: “More insulin-producing beta cells are needed for those with this form of diabetes, and it is estimated that 90% of patients with Type 1 diabetes have less than 5% of insulin-making cells left.

“We are very proud that this study is being run in Wales and that the first patients in the world are being treated here in Cardiff. It is a very big achievemen­t.”

Type 1 diabetes is a serious, lifelong condition where blood glucose levels are too high because the body cannot make a hormone called insulin. Unlike Type 2, the autoimmune disease is not linked to older age or being overweight. But both types of diabetes can lead to lifelong conditions and complicati­ons such as heart disease and stroke, foot and circulatio­n problems, sight problems and kidney issues.

Denise Davies, from Sully in the Vale of Glamorgan, was the second person to take part in the trial.

The 56-year-old was diagnosed with Type 1 diabetes in 2009 after experienci­ng weight-loss, vision problems and unquenchab­le thirst.

She said she initially found it very difficult to keep her condition under control using insulin injections.

Denise said: “It’s just so intense. You cannot take a break from it. It just dominates every part of every day, such as driving a car, going for a walk or walking the dog. Everything requires meticulous planning.”

Denise, who for the past four years has used an insulin pump which is permanentl­y attached to her, says she is “very excited” about taking part in the trial.

“If I can help in some way to push this forward by taking part, then it will not only help myself but others in the same position as me.”

A spokeswoma­n for Cardiff and Vale University Health Board said patients who have taken part in the trial so far have spoken very highly of the treatment.

The first patient to receive the dose, who has not been identified, said: “I’m really grateful that I was given the opportunit­y to take part in this study. I hope that my participat­ion will help with the management of Type 1 diabetes for future generation­s.”

Beth Baldwin, whose teenage son Peter died from undiagnose­d Type 1 diabetes in 2015, said she was encouraged by the new research.

“We are always hoping for a breakthrou­gh – that this is the one that either is a cure or opens up areas to investigat­e,” she said.

“The fact that it’s happening in Cardiff is testament to to the rising profile of Type 1 diabetes awareness and research here.”

Cardiff’s Clinical Research Facility (CRF) team are hoping to attract up to eight adult volunteers, who have had diabetes for more than two years, to take part in the clinical trial.

Professor Colin Dayan, who is leading the team in Cardiff said: “The CRF team have made it possible to closely monitor the patients for 72 hours after their dose and I am proud of the team for their commitment in making sure this clinical trial happens as smoothly as possible.”

Carys Thomas, interim director of Health and Care Research Wales, said: “Developing new treatment options for patients living with diabetes is a top priority for Health and Care Research Wales.

“It is essential that the NHS works closely with the pharmaceut­ical industry on research like this to develop drugs that could make a big difference to people’s lives.

“The Clinical Research Facility in Cardiff is not only leading the way in this groundbrea­king study but the team’s hard work also shows that Wales is competing successful­ly on an internatio­nal level to attract global pharmaceut­ical companies and commercial investment.

“It will also pave the way to bring more high-quality research into Wales which could help treat other conditions.”

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