Genetically Informed Screening for Early-Stage Type 1 Diabetes

ConditionDiabetes
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-79
SponsorMassachusetts General Hospital

About this trial

This study is a test to find out if genetic information can be used to help healthcare providers identify diseases. Specifically, the investigators want to find out how genetic information can help healthcare providers identify people who may benefit from early screening for type 1 diabetes, even before people feel sick. This study aims to guide future research to improve screening, prevent disease, slow progression, and expand treatment options for type 1 diabetes.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Adults aged 18-79 years who had participated in the Mass General Brigham (MGB) Biobank and agreed to be recontacted for future study

Disqualifiers

Individuals with current or prior treatment with immune checkpoint inhibitors (e.g., PD-1, PD-L1, or CTLA-4 inhibitors), as well as individuals with diabetes secondary to pancreatic disease, including pancreatic cancer, pancreatitis, pancreatic surgery/pancreatectomy, cystic fibrosis, or hemochromatosis

Trial population

Adults aged 18-79 years who had participated in the Mass General Brigham (MGB) Biobank and agreed to be recontacted for future study

Trial design

Design model

Ecologic or community

Time perspective

Cross-sectional

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Comparisons between high genetic risk vs. the rest of the cohort

The distribution of clinical features between the top 2.5% of the T1D polygenic score and the remainder of the MGB Biobank will be compared, and within the high genetic-risk stratum, between autoantibody-positive and autoantibody-negative participants. Analyses will summarize standardized differences and use logistic regression for autoantibody positivity (primary outcome), adjusted for age, sex, and ancestry PCs. To prioritize features for future recall-by-genotype enrichment, the investigators will quantify incremental discrimination (ΔAUC), partial R², and likelihood-ratio tests. Missing covariates will be mitigated via brief surveys and multiple imputation.

Time frame
12 months

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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Massachusetts General Hospital

Lead sponsor

National Institutes of Health (NIH)

Collaborator

This trial is not recruiting at the moment. You can still explore other options: