Insulin Resistance, Diabetes Clinical Trial
Official title:
Validation of a Novel Screening Test for Maternal Insulin Resistance and Predicting Maternal Fetal Outcomes: A Pilot Study.
NCT number | NCT03388697 |
Other study ID # | 17-0228 |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | December 15, 2017 |
Est. completion date | July 15, 2019 |
Verified date | February 2019 |
Source | The University of Texas Medical Branch, Galveston |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
This will be a validation study of Quantose IR and Quantose IGT to predict insulin resistance
and identify patients with prediabetes. This is a pilot study of 100 subjects. Based on the
results of this initial trial, investigators plan to perform a larger trial at UTMB.
Quantose IR is a fasting blood test for insulin resistance and prediabetes, and is clinically
validated in non-pregnant individuals. The Quantose IR Score is based on three novel
nonglycemic biomarkers, as well as insulin, and provides a comprehensive measure of insulin
resistance. These analytes include:
- α-HB (α-hydroxybutyrate): positively correlated with insulin resistance and indicative
of early β-cell dysfunction.
- L-GPC (linoleoyl-glycerophosphocholine): negatively correlated with insulin resistance
and impaired glucose tolerance.
- Oleic Acid: positively correlated with increasing lipolysis and insulin resistance.
- Insulin: increased insulin is characteristic of insulin resistance and is an independent
risk factor for type 2 diabetes and cardiovascular disease.
Quantose IGT is designed to estimate the risk of being IGT. It is calculated from a multiple
logistic regression model based on the fasting plasma levels of:
- Glucose.
- α−HB.
- β−HB.
- 4-methyl-2-oxopentanoic acid.
- LGPC.
- Oleic acid.
- Serine.
- Vitamin B5. Participants in the study will be consenting to data collection and two
visits for lab draw. The investigators will then evaluate the performance of the
Quantose IR and Quantose IGT in the study population.
Status | Completed |
Enrollment | 100 |
Est. completion date | July 15, 2019 |
Est. primary completion date | July 15, 2019 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years to 50 Years |
Eligibility |
Inclusion Criteria: - 18 years or older. - Singleton pregnancy. - Able to provide consent. - Gestational age 10 0/7 to 13 6/7 weeks. - Planned delivery at UTMB (John Sealy Hospital (JSH) or League City Hospital Campus. - Pre-pregnancy or early pregnancy BMI > or = 30 kg/m2 Exclusion Criteria: - |
Country | Name | City | State |
---|---|---|---|
United States | Ashley Salazar | Galveston | Texas |
Lead Sponsor | Collaborator |
---|---|
The University of Texas Medical Branch, Galveston |
United States,
Ginsberg H, Olefsky JM, Reaven GM. Further evidence that insulin resistance exists in patients with chemical diabetes. Diabetes. 1974 Aug;23(8):674-8. — View Citation
Harris MI. Epidemiologic studies on the pathogenesis of non-insulin-dependent diabetes mellitus (NIDDM). Clin Invest Med. 1995 Aug;18(4):231-9. Review. — View Citation
Lyssenko V, Jonsson A, Almgren P, Pulizzi N, Isomaa B, Tuomi T, Berglund G, Altshuler D, Nilsson P, Groop L. Clinical risk factors, DNA variants, and the development of type 2 diabetes. N Engl J Med. 2008 Nov 20;359(21):2220-32. doi: 10.1056/NEJMoa0801869. — View Citation
Reaven GM. Insulin resistance and human disease: a short history. J Basic Clin Physiol Pharmacol. 1998;9(2-4):387-406. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Gestational Diabetes | Development of gestational diabetes (based on the two step approach: 1hr glucose screen > 135mg/dL and 2/4 abnormal values in a 3 hr OGTT using the Carpenter and Coustan | Up to 28 0/7 weeks of gestation | |
Secondary | Insulin resistance | Defined as abnormal HOMA IR | Up to 28 0/7 weeks of gestation | |
Secondary | Fasting Plasma glucose | Measuring plasma glucose | Up to 28 0/7 weeks of gestation | |
Secondary | Fasting Insulin | Measuring plasma insulin level | Up to 28 0/7 weeks of gestation | |
Secondary | 1 hour glucola | after receiving 50grams glucose load po and plasma glucose level is drawn 1 hour later | Up to 28 0/7 weeks of gestation | |
Secondary | Perinatal death | stillbirths plus early neonatal deaths (under 7 days) | up to 7 days after delivery | |
Secondary | Neonatal hypoglycemia | Neonate plasma glucose < 90mg/dL | up to 7 days after delivery | |
Secondary | NICU admission | Admission to the neonatal intensive care unit | up to 7 days after delivery |
Status | Clinical Trial | Phase | |
---|---|---|---|
Active, not recruiting |
NCT02977442 -
Dynamics of Muscle Mitochondria in Type 2 Diabetes Exercise
|
N/A | |
Completed |
NCT02131948 -
Regulation of Endogenous Glucose Production by Brain Insulin Action
|
Phase 1 | |
Terminated |
NCT03511521 -
Use of NPH Versus Basal Bolus Insulin for Steroid Induced Hyperglycemia
|
Phase 4 | |
Completed |
NCT03314714 -
Duality of Lipids: the Athlete's Paradox
|
N/A | |
Completed |
NCT03135015 -
Acute Effect of HP-211 (Axulin) on Blood Glucose and Serum Insulin Responses in Healthy Lean and Overweight Humans
|
Phase 1 | |
Active, not recruiting |
NCT06400082 -
Topical Insulin for Postoperative Wound Healing
|
N/A |