Circulating Biomarkers in the Development of Type 1 Diabetes

ConditionDiabetes
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeNot listed
SponsorCity of Hope Medical Center

About this trial

More than 100 million U.S. adults are now living with diabetes or prediabetes. Investigators still do not fully understand how diabetes develops and how the disease worsens. Insulin is a hormone that helps the body use sugar as a fuel and control blood-sugar levels. People with diabetes have problems making insulin. This is because their insulin-producing beta cells -in the pancreas-are damaged or destroyed. A biomarker is a biological molecule (such as DNA, RNA (the genetic material of cells) or protein) that is a sign of a normal or abnormal process, or of a condition or disease. A biomarker can be measured and found in blood and/or other body fluids (such as saliva and urine). Understanding the biology of beta cells could help find diabetes-related biomarkers. The discoveries from this research could help with early diagnosis of diabetes and lead to the creation of therapies for treating diabetes.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Documented informed consent/ assent from the subject

Type 1 diabetes patients (including pediatric patients) -OR-

Adult type 2 diabetes patients -OR-

Volunteers who are islet auto-antibody positive (i.e. insulin, GAA, IA-2, IAA and ZnT8 antibodies) with HbA1c ≤ 5.6% (including pediatric patients)-OR-

Disqualifiers

Control subjects must not have any chronic conditions or have undergone cellular, tissue or organ transplant

Sickle cell disease or anemia (exception: anemia that is corrected with treatment and source documents confirm corrected blood parameters current within 6 months of blood draw)

Active infection

Active malignancy (i.e., currently undergoing treatment)

Trial population

Participants from the clinic environment/ local providers/ diabetes events, relatives/ friends of participants, employees, and normal healthy participants from the community

Trial design

Design model

Case-control

Time perspective

Prospective

Treatments tested in this trial

  • One-time blood (up to 100 ml) will be drawn and the amount of blood drawn is based on weight. Saliva and urine will be collected during the blood draw visit.

    Other intervention

    One-time blood (up to 100 ml) will be drawn and the amount of blood drawn is based on weight. Saliva and urine will be collected during the blood draw visit.

Treatment groups

165 Participants
are divided into 6 treatment groups

6

Treatment groups

See each treatment group below.

Group A: Adults with type 1 diabetes1 intervention
Group B: Adult healthy volunteers1 intervention
Group C: Children with type 1 diabetes1 intervention
Group D: Adults with type 2 diabetes1 intervention
Group E: Adults with high blood sugar1 intervention
Group F: Those at risk of developing type 1 diabetes1 intervention

Trial outcomes

Primary outcomes

1

Identification of circulating biomarkers that correlate with beta cell death in type 1 diabetes compared to healthy controls

The measure will be changes in beta cell death.

Time frame
Baseline
2

Changes in frequency of circulating biomarkers that correlate with beta cell death from type 1 diabetes patients compared to other cohorts

The measure will be changes in beta cell death.

Time frame
Baseline

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

City of Hope Medical Center

Lead sponsor

Icahn School of Medicine at Mount Sinai

Collaborator

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator