DISCOVERY of Risk Factors for Type 2 Diabetes in Youth

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age8-15
SponsorGeorge Washington University

About this trial

The goal of the DISCOVERY study is to provide innovative critical information regarding the unique natural history of glycemic control, insulin sensitivity, and β-cell function, and their mechanistic determinates, in obese adolescents at risk for developing type 2 diabetes.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Overweight or obesity with BMI ≥85th percentile

Age 8-13 year for girls, 9-15 year for boys (inclusion younger for girls as puberty tends to start a year earlier in girls)

Tanner Stage 2, 3, or 4

Elevated HbA1c 5.5-6.4%

Disqualifiers

Diabetes based on history, or HbA1c ≥6.5% in the medical record or at screening

Unable/unwilling to provide consent/participate fully

Conditions predisposing to diabetes or altering the trajectory of puberty

Medications affecting glucose dynamics during the screening and enrollment period

Trial population

3,600 youth, aged 8-15 years at enrollment, of all genders and race/ethnic groups from 15 clinical centers in the United States will be included. Youth will be overweight or obese (BMI ≥85th percentile for age) and have evidence of dysglycemia with an HbA1c range from 5.5-6.4% at screening.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Type 2 diabetes

Development of type 2 diabetes, as defined by a hemoglobin A1c (HbA1c) ≥6.5% at an annual or mid-year visit followed by a confirmatory HbA1c ≥6.5% collected within 2 weeks of the first value.

Time frame
Through study completion, an average of 2.5 years

Secondary outcomes

1

Glycemia, β-cell function, insulin sensitivity, and free fatty acid flux

Intermediary changes in glycemia, β-cell function, insulin sensitivity, and free fatty acid flux along the spectrum of normal glycemia to prediabetes to type 2 diabetes.

Time frame
Through study completion, an average of 2.5 years

Other outcomes

Sponsors and contacts

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