NCT01060540

Brief Summary

In this 6-month randomized, controlled trial, we examined whether providing participants with genetic test results and counseling regarding their risk for type 2 diabetes would motivate them to improve their health behaviors and lose weight to reduce their diabetes risk. We hypothesized that participants who received conventional diabetes counseling plus genetic test results and counseling would have at least 6 lb greater weight loss at 3 months than participants who received conventional diabetes counseling without genetic test results.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
601

participants targeted

Target at P75+ for not_applicable diabetes-mellitus

Timeline
Completed

Started Aug 2010

Typical duration for not_applicable diabetes-mellitus

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 29, 2010

Completed
4 days until next milestone

First Posted

Study publicly available on registry

February 2, 2010

Completed
6 months until next milestone

Study Start

First participant enrolled

August 1, 2010

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2013

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

August 4, 2014

Completed
Last Updated

April 24, 2015

Status Verified

April 1, 2014

Enrollment Period

2.6 years

First QC Date

January 29, 2010

Results QC Date

April 16, 2014

Last Update Submit

April 6, 2015

Conditions

Keywords

genetic screening

Outcome Measures

Primary Outcomes (1)

  • Weight

    weight 3 months post-enrollment

    3 months

Secondary Outcomes (4)

  • Insulin Resistance (HOMA2-IR)

    3 months

  • Perceived Lifetime Risk of Type 2 Diabetes

    3 months

  • Daily Caloric Intake

    3 months

  • Moderate Intensity Physical Activity

    3 months

Study Arms (2)

CR+G

EXPERIMENTAL

conventional risk counseling (lifetime risk, fasting plasma glucose, and family history) plus genetic testing for type 2 diabetes

Genetic: genetic testing for type 2 diabetesBehavioral: Conventional risk counseling

CR+EYE

ACTIVE COMPARATOR

conventional risk counseling (lifetime risk, fasting plasma glucose, and family history) plus eye disease counseling

Behavioral: Conventional risk counselingBehavioral: eye disease counseling

Interventions

TCF7L2, PPARG, or KCNJ11

CR+G

Risk based on lifetime risk, fasting plasma glucose results, and family history.

CR+EYECR+G

addresses risk for age-related macular degeneration, glaucoma, cataracts

CR+EYE

Eligibility Criteria

Age21 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • body mass index \>27 kg/m2
  • baseline fasting plasma glucose \<=125 mg/dL

You may not qualify if:

  • prior diagnosis of type 2 diabetes
  • fasting plasma glucose \>125 mg/dL on more than one occasion
  • HbA1c \> 7%
  • taking diabetes medication
  • actively losing weight
  • enrolled in research study focusing on lifestyle changes
  • unable to provide informed consent or answer survey questions unassisted
  • residing in nursing home or receiving home health care
  • active diagnosis of psychosis or dementia
  • at least one error on 6-item cognitive screener

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Durham VA Medical Center, Durham, NC

Durham, North Carolina, 27705, United States

Location

Related Publications (4)

  • Vorderstrasse AA, Cho A, Voils CI, Orlando LA, Ginsburg GS. Clinical utility of genetic risk testing in primary care: the example of Type 2 diabetes. Per Med. 2013 Aug;10(6):549-563. doi: 10.2217/pme.13.47.

  • Voils CI, Coffman CJ, Edelman D, Maciejewski ML, Grubber JM, Sadeghpour A, Cho A, McKenzie J, Blanpain F, Scheuner M, Sandelowski M, Gallagher MP, Ginsburg GS, Yancy WS Jr. Examining the impact of genetic testing for type 2 diabetes on health behaviors: study protocol for a randomized controlled trial. Trials. 2012 Aug 1;13:121. doi: 10.1186/1745-6215-13-121.

  • Voils CI, Coffman CJ, Grubber JM, Edelman D, Sadeghpour A, Maciejewski ML, Bolton J, Cho A, Ginsburg GS, Yancy WS Jr. Does Type 2 Diabetes Genetic Testing and Counseling Reduce Modifiable Risk Factors? A Randomized Controlled Trial of Veterans. J Gen Intern Med. 2015 Nov;30(11):1591-8. doi: 10.1007/s11606-015-3315-5. Epub 2015 Apr 16.

  • Waxler JL, O'Brien KE, Delahanty LM, Meigs JB, Florez JC, Park ER, Pober BR, Grant RW. Genetic counseling as a tool for type 2 diabetes prevention: a genetic counseling framework for common polygenetic disorders. J Genet Couns. 2012 Oct;21(5):684-91. doi: 10.1007/s10897-012-9486-x.

MeSH Terms

Conditions

Diabetes Mellitus

Interventions

Genetic Testing

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Clinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisInvestigative TechniquesGenetic TechniquesGenetic ServicesHealth ServicesHealth Care Facilities Workforce and ServicesDiagnostic ServicesPreventive Health Services

Results Point of Contact

Title
Corrine Voils, PhD
Organization
Durham VA Medical Center

Study Officials

  • Corrine I. Voils, PhD

    Durham VA Medical Center, Durham, NC

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 29, 2010

First Posted

February 2, 2010

Study Start

August 1, 2010

Primary Completion

March 1, 2013

Study Completion

March 1, 2013

Last Updated

April 24, 2015

Results First Posted

August 4, 2014

Record last verified: 2014-04

Locations