T1D Risk Assessment in Kids With Relatives
TRAKR
Early Immunological, Metagenomic, Metabolic and Environmental Factors in the Progression to Type 1 Diabetes: the TRAKR Cohort
2 other identifiers
interventional
512
1 country
1
Brief Summary
The purpose of this study is to determine whether early immunological markers (activation of autoreactive T lymphocytes) precede and are predictive of the appearance of autoantibodies in children born from type 1 diabetic parents.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2015
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 3, 2014
CompletedFirst Posted
Study publicly available on registry
July 9, 2014
CompletedStudy Start
First participant enrolled
May 28, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 17, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
May 17, 2019
CompletedDecember 11, 2025
December 1, 2025
4 years
July 3, 2014
December 4, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Autoreactive T lymphocytes
presence, frequency, antigen specificity, phenotype
48 months
Secondary Outcomes (4)
Metagenomic signatures
48 months
Metabolic signatures
48 months
Environmental factors
48 months
Incidence of autoantibodies
48 months
Study Arms (1)
Children born to mother/father with type 1 diabetes
OTHERInterventions
* blood and stool sampling in parents during pregnancy (at enrollment, i.e. 7th-8th month of pregnancy) * cord blood sampling * stool sampling in mothers and newborns at birth (day 7) * blood and stool sampling in children at the age of 8, 18, 30 and 42 months
1. Questionnaire filled in by clinicians at enrollment and at birth 2. Self-administered questionnaire filled by parents at enrollment, at birth, and then at month 8, 18, 30 and 42
Eligibility Criteria
You may qualify if:
- Mother and/or father with type 1 diabetes
- age \> 18 years
- type 1 diabetes : insulin-dependent diabetes positive for autoantibodies against insulin and/or GAD and/or IA-2 and/or ZnT8 at the time of diagnosis
- planning to give birth or having given birth since less than 8 months
- agreeing to participate upon written informed consent
- covered by the French social security system
- Mother/father without Type 1 diabetes
- age \> 18 years old
- with a spouse with type 1 diabetes : insulin-dependent diabetes positive for autoantibodies against insulin and/or GAD and/or IA-2 and/or ZnT8 at the time of diagnosis
- planning to give birth or having given birth since less than 8 months
- agreeing to participate upon written informed consent
- covered by the French social security system
- Children born to mother and/or father with type 1 diabetes
- age \< 8 months
- with at least one parent with T1D
- +2 more criteria
You may not qualify if:
- \) Mother/father
- secondary forms of diabetes
- monogenic forms of diabetes
- or 2) For the mother
- malignant neoplastic or psychiatric disease
- ) Newborns of mother/father with type 1 diabetes
- Severe foetal disease
- Severe congenital malformation
- Congenital measles
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Assistance Publique - Hôpitaux de Parislead
- Institut National de la Santé et de la Recherche Médicale (INSERM) U1016 - Institut Cochin, Immunology of Diabetes Team, Paris, Francecollaborator
- INSERM U1153, Epidemiology Research Unit on Perinatal Health and Women and Children Health, Port-Royal Hospital, Paris, Francecollaborator
- Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnementcollaborator
- Commissariat A L'energie Atomiquecollaborator
- URC-CIC Paris Descartes Necker Cochincollaborator
Study Sites (1)
Cochin Hospital
Paris, 75014, France
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Roberto Mallone, M.D, Ph.D.
INSERM U1016
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- SCREENING
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 3, 2014
First Posted
July 9, 2014
Study Start
May 28, 2015
Primary Completion
May 17, 2019
Study Completion
May 17, 2019
Last Updated
December 11, 2025
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will not share