The Verona Newly Diagnosed Type 2 Diabetes Study (VNDS)
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Purpose
Type 2 diabetes mellitus is a complex disease whose clinical phenotype results from the variable combination of genetic and nongenetic factors. The aim of the present study is to investigate the network linking phenotypes and genotypes in patients with newly diagnosed type 2 diabetes mellitus. In selected cases, in which clinical evidence hints at possible monogenic basis of the disease, the genotype and the phenotype of relatives also will be assessed to elucidate further the etiology of the disease.
| Condition |
|---|
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Type 2 Diabetes Mellitus |
| Study Type: | Observational |
| Study Design: | Observational Model: Family-Based Time Perspective: Cross-Sectional |
| Official Title: | The Verona Newly Diagnosed Type 2 Diabetes Study. Construction of a Biobank of Diabetes Related Genotypes and Phenotypes |
- Genetic basis of beta cell function [ Time Frame: Baseline and during the 75 g oral glucose challenge. Subjects will be followed for the duration of their stay in the Metabolic Clinical Research Center (average expected stay: 6 hours) ] [ Designated as safety issue: No ]
Investigators genotype diabetes risk loci and relate them to two main beta cell metrics, after correction for insulin sensitivity:
- Derivative control of beta cell function: it is the amount of insulin secreted in response to a rate of glucose increase of 1 mmol/l per min which lasts for 1 minute;
- Proportional control of beta cell function: it is the stimulus-response curve linking glucose concentration (x-axis) to insulin secretion rate (y-axis) at the preselected glucose concentrations of 5.5, 8.0, 11.0, 15.0, and 20.0 mmol/liter.
- Genetic basis of insulin sensitivity [ Time Frame: Baseline and during the euglycemic insulin clamp. Subjects will be followed for the duration of their stay in the Metabolic Clinical Research Center (average stay: 4 hours) ] [ Designated as safety issue: No ]
Investigators genotype diabetes risk loci and relate them, after correcting for the influence of other genetic and nongenetic modifiers, to one metric of clamp derived insulin sensitivity:
1. M value, which quantifies whole body net glucose disposal during euglycemic hyperinsulinemia
Biospecimen Retention: Samples With DNA
Whole blood Serum Plasma Urine
| Estimated Enrollment: | 1500 |
| Study Start Date: | October 2003 |
| Estimated Study Completion Date: | December 2020 |
| Estimated Primary Completion Date: | December 2019 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
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Group A: Diabetic
Newly diagnosed type 2 diabetic patients (i.e. diagnosis made no more than 6 months before recruitment)
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Group B: Relatives
Relatives of patients with potentially monogenic newly diagnosed type 2 diabetes
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Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Group A: all patients referred to the Division of Endocrinology and Metabolic Diseases of University of Verona School of Medicine, whose diabetes has been diagnosed in the last six months, are asked to participate in this research.
Group B: Relatives of patients with potentially monogenic newly diagnosed type 2 diabetes
Inclusion Criteria:
- Type 2 diabetes mellitus, whose diagnosis has been made in the last six months before the first access to the Division of Endocrinology and Metabolic Diseases of University of Verona School of Medicine;
- Relatives of patients with potentially monogenic newly diagnosed type 2 diabetes
Exclusion Criteria:
- Age > 75 years
- Non-Italian ancestry
- Insulin treatment
- Presence of anti-GAD antibodies
- Malignancies
- Any condition severely impairing liver and/or kidney function
Contacts and Locations| Contact: Riccardo C Bonadonna, MD | +39 045 8123110 | riccardo.bonadonna@univr.it |
| Italy | |
| Division of Endocrinology and Metabolic Diseases - University Hospital of Verona | Recruiting |
| Verona, Italy, 37126 | |
| Study Chair: | Enzo Bonora, MD PhD | Section of Endocrinology, Diabetes and Metabolism - Department of Medicine, University of Verona and Azienda Ospedaliera Universitaria Integrata, Verona, Italy |
| Principal Investigator: | Riccardo C Bonadonna, MD | Section of Endocrinology, Diabetes and Metabolism - Department of Medicine, University of Verona and Azienda Ospedaliera Universitaria Integrata, Verona, Italy |
More Information
No publications provided
| Responsible Party: | Riccardo Bonadonna, Professor, Universita di Verona |
| ClinicalTrials.gov Identifier: | NCT01526720 History of Changes |
| Other Study ID Numbers: | CE-955 |
| Study First Received: | January 27, 2012 |
| Last Updated: | February 3, 2012 |
| Health Authority: | Italy: Ethics Committee |
Keywords provided by Universita di Verona:
|
Type 2 diabetes mellitus Beta cell function Insulin sensitivity Genetics of diabetes |
Additional relevant MeSH terms:
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Diabetes Mellitus Diabetes Mellitus, Type 2 Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases |
ClinicalTrials.gov processed this record on May 19, 2013