Genetics Of Autoimmunity In Type I Diabetes

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age2+
SponsorMedical College of Wisconsin

About this trial

The purpose of this study is to gain more information about the step-by-step process that causes someone to develop type 1 diabetes. Scientists think that a person's own immune system, directed by genetic and environmental factors play a major role in its development. Participation involves a blood draw, a brief medical history questionnaire and measurements of height and weight. Some participants will be asked to return for annual follow-up visits for 10 years.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Families where at least one first-degree family member has type 1 diabetes

The diabetic proband in the family was diagnosed before the age of 39

Family members must be at least 2 years old to participate

Disqualifiers

Families with no history of type 1 diabetes

Families with a history of diabetes that is not type 1 (LADA, MODY, type 2 etc.)

No family history of type 1 diabetes or other autoimmune conditions

Age 2 or older

Trial population

Patients with T1D seen at clinics at the Children's Wisconsin (n\~1500) and Froedtert Hospital (n\~800) will be targeted. In families with a child proband, siblings will be asked to join the study. If the diabetic child has an aunt, uncle, or cousin with T1D, then siblings in that nuclear family will also be recruited. Adult proband families will include the adult affected by T1D and their children. Adult proband families must include children \<17 years of age. If the adult proband has a sibling, niece, or nephew with T1D, siblings in that nuclear family will be recruited as well. The age-of-diagnosis criterion for the proband will be less than 39 years and insulin therapy started within 5 years of diagnosis.

Trial design

Design model

Family-based

Time perspective

Prospective

Treatments tested in this trial

  • Blood Collection

    Other intervention

    Blood will be collected via venipuncture and analyzed. Blood samples will be analyzed for HLA haplotype (a genetic sequence related to type 1 diabetes susceptibility), plasma-induced signature, diabetes autoantibodies, complete blood count with differential, and serum and plasma for storage. For family members with diabetes, blood will also be tested for A1c.

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Onset of Type 1 diabetes

The primary outcome is the development of diabetes as defined by the American Diabetes Association (ADA) based on the presence of symptoms and unequivocal hyperglycemia.

Time frame
Up to 10 years
2

Autoantibody Measurement

Presence or absence of the autoantibodies related to type 1 diabetes: IA-2 (islet antigen), GAD65 (pancreatic islet cell autoantibody), IAA (insulin autoantibody), ZnT8 (zinc transporter 8)

Time frame
Up to 10 years

Secondary outcomes

Other outcomes

Sponsors and contacts

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

Medical College of Wisconsin

Lead sponsor

Benaroya Research Institute

Collaborator

Indiana University

Collaborator