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NCT06682351Not yet recruitingPhase 4

Heterogeneity of Diabetes: Integrated Muli-Omics to Identify Physiologic Subphenotypes and Evaluate Targeted Prevention

Source: ClinicalTrials.gov · Last updated 12 Nov 2024 · Not updated for over 12 months - ask the site whether it is still open

Brief summary (registry, in English)

The study team will invite participants with prediabetes or mild diabetes (HbA1c 5.7-7.0) to join a 5-year research study that will define subphenotypes of type 2 diabetes based on underlying physiology (eg insulin resistance, beta-cell dysfunction, incretin defect, liver insulin resistance) and then test the hypothesis that response to three first-line treatments will vary according to metabolic subphenotype. Variables of interest include glucose, cardiovascular risk markers, and weight. Treatments include Mediterranean diet, metformin, and a GLP-1 agonist. Participants will go through an initial screening, followed by three treatment periods, each lasting 4 months with 3 month washout in-between treatment periods. This study will help us understand how personalized treatments can help control blood glucose, reduce cardiovascular risk, and manage weight. While there may be minor side effects-like slight discomfort from blood tests, gastrointestinal symptoms from some of the medications, and small radiation exposure from DXA body scans-the treatments offered in this study have all been well studied and are known to lower risk for diabetes and cardiovascular disease

Status (registry)
Not yet recruiting
Phase (registry)
Phase 4
Study type
Interventional
Enrollment
200 (estimated)
First submitted
7 Nov 2024
Start date
Nov 2024
Primary completion date
Dec 2027
Lead sponsor
Stanford University
NCT number
NCT06682351

What you commit to

  • Study type: Interventional · Phase 4
  • Planned participants: 200
  • From Nov 2024 to the primary completion date, Dec 2027
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • current use of antihyperglycemic, diabetogenic, or weight loss medications (washout allowed if approved by primary physician)

Other illness

  • active malignancy, kidney/liver disease pregnancy/lactation, chronic inflammatory disease, eating disorder, bariatric surgery
  • history of acute pancreatitis
  • family or personal history of medullary thyroid cancer

Lab values

  • hct \<30, creatinine \> 1.4, ALT\> 3x ULN

Other

  • Recent (\<6mos) CVD event
  • heavy alcohol use
  • physical activity \>2 hours/day
  • inability to come to Stanford CTRU for metabolic testing

Who the study is looking for

  • BMI ≥23 (≥22 in Asians) kg/m2 but \< 45 kg/m2
  • HbA1c 5.7-8.0% while not on antihyperglycemic medications

Age in the registry: 18 years to 75 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Save your city in your profile to sort them by distance.

SiteCityCountrySite status
Stanford University
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StanfordUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.