Genetic Studies of Insulin and Diabetes

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age6-120
SponsorNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

About this trial

The study will allow researchers to obtain blood, plasma, DNA, and RNA for genetic studies of insulin. There will be a focus on the causes of insulin resistance and diabetes mellitus. Insulin is a hormone found in the body that controls the level of sugar in the blood. Insulin resistance refers to conditions like diabetes when insulin does not work properly. In this study researchers would like to compare patients with diabetes and other forms of insulin resistance to normal individuals. The study will investigate how insulin attaches to cells.

Researchers will take 4 to 6 ounces (100-150 ml) of blood from adult patients and may request up to 12 ounces (one unit) of blood if necessary. Skin samples may be taken for a biopsy if further genetic testing is necessary. In addition some patients may be asked not to eat for up to 72 hours prior to testing.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Patients with various syndromes of lipodystrophy

Patients with known or suspected mutations on the insulin receptor gene

Patients with known or suspected autoantibodies to the insulin receptor

Patients with other severe forms of insulin resistance

Disqualifiers

Patients with evidence for insulin resistance or a disorder associated with severe insulin resistance

Family members of patients, above

Healthy control subjects Cohort 1

Current use of prescription or non-prescription medication. Certain exceptions are permitted, including topical medications, vitamins, and hormonal contraceptives. Other medications may be permitted at the discretion of the investigators.

Trial population

Subjects with severe insulin resistance disorders.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • HR-pQCT scan

    Device

    HR-pQCT is a non-invasive, low-dose three-dimensional imaging method used to evaluate volumetric bone mineral density and bone microarchitecture of peripheral skeletal sites, including distal radius and distal tibia. HR-pQCT has an ability to differentiate between cortical and trabecular bone compartments providing density and structure parameters.

Treatment groups

1,200 Participants
are divided into 2 treatment groups
Group A: Healthy Volunteers1 intervention
Group B: Patients with severe insulin resistance1 intervention

Trial outcomes

Primary outcomes

1

Diabetes control

To help prevent additional health issues associated with poor glucose and insulin levels.

Time frame
every 6-12 months
2

Genetics of insulin resistance

To discover the cause of the insulin resistance to better assist with treatment for it.

Time frame
End of Study
3

Pathophysiology of insulin resistance and its relationship to cardiovascular disease.

To understand the pathophysiology of insulin resistance and its relationship to cardiovascular disease.

Time frame
End of study
4

Obtain tissue samples for ex vivo studies.

To understand physiology and pathophysiology of insulin resistance and develop possible treatments.

Time frame
End of study

Secondary outcomes

Other outcomes

Sponsors and contacts

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