Diabetes Clinical Trial
Official title:
PROspective Cohort MRC ABPI STratification and Extreme Response Mechanism in Diabetes
This study will examine extreme responders to second- and third-line Type 2 diabetes therapy using a prospective approach, and patients with slow or fast diabetes progression using a retrospective approach.
PILOT Phase (March 2013 - Dec 2014) Participants will be recruited initially from 4 centres.
Patients due to start second- and third-line Type 2 diabetes treatments, and patients
progressing to insulin either particularly quickly or particularly slowly, will be recruited
from primary care, secondary care, or community settings. Fasting blood and urine samples
will be collected, together with standard biomeasures and information about medical history
and prescribing history. Participants in Responders Arm will be contacted by telephone
approximately 3 months after starting their new second/third-line agent to review their
current medication and blood glucose level. If a 3 month HbA1c has not been collected as part
of routine clinical care, the research team will arrange this. Participants will be asked to
return for a blood and urine test approximately 6 months after their new treatment was
started. This visit will be brought forward should the participant advise they are about to
further change their treatment, to enable their samples to be collected in advance of their
proposed treatment change.
All study documentation and sample materials will be distributed to sites from the
Coordinating Centre. Sites will be expected to process and freeze samples and send them to
the Chief Investigator's Central Laboratory where they will be analysed for genetic factors,
glycaemic markers and other markers related to drug response.
POST-PILOT Phase (Jan 2015 - Oct 2017) Subject to feasibility, interim analysis and
continuation of funding from Medical Research Council (MRC), this study will continue for
another 3 years.
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