Hypothalamo-pituitary Adrenal Axis Activity and Neuropsychological Consequences in Type 1 Diabetes in Childhood
CORTICODIAB
1 other identifier
observational
90
1 country
3
Brief Summary
The general objective is to precise the role of HPA axis activity in neuropsychological consequences of type 1 diabetes. The investigators hypothesize that hyperactivity of HPA axis is associated with higher scores of depression and changes in hippocampal volume and mean diffusion.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Aug 2012
Typical duration for all trials
3 active sites
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
Study Start
First participant enrolled
August 1, 2012
CompletedFirst Submitted
Initial submission to the registry
February 25, 2015
CompletedFirst Posted
Study publicly available on registry
March 3, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2016
CompletedMarch 3, 2015
February 1, 2015
3.5 years
February 25, 2015
February 25, 2015
Conditions
Outcome Measures
Primary Outcomes (2)
Mean of nocturnal urinary free cortisol during 5 days.
During 5 days after the inclusion
Depression (CDI) score
At the inclusion
Secondary Outcomes (5)
Mean of awakening salivary cortisol and mean of nocturnal urinary cortisol metabolites during 5 days
During 5 days after the inclusion
Profiles of glucocorticoid sensitive genes expressed in peripheral blood mononuclear cells.
At the inclusion
Anxiety (STAI) score
At the inclusion
Polymorphisms of genes involved in HPA axis activity
At the inclusion
Hippocampal volume and mean diffusion
At the inclusion
Study Arms (2)
Diabetic children
* physical examination * Glucocorticoid sensitivity index * DNA sample * Anxiety and depression questionnaires * depression questionnaire * MRI
Controls
* physical examination * Glucocorticoid sensitivity index * DNA sample * Anxiety and depression questionnaires * depression questionnaire * MRI * Laboratory tests
Eligibility Criteria
* Age: The investigators will limit the study to children at least 6 years, to ensure the successful completion of saliva samples and MRI without anesthesia. The investigators limit themselves to prepubescent children do not have to take into account the influence of sex steroids on the AC activity. * Gender: Although it is expected differences in hippocampal volume and CA activity between boys and girls, the relationship between these two variables is not necessarily different for boys and girls. Thus, the inclusion of both sexes in the analysis is not necessarily problematic, and will be more informative. So it has been finally decided to include boys and girls in the sample of subjects undergoing MRI. * Population control: The constitution of a control group from the siblings will enable to study the specific effect of diabetes on anxiety and depression, regardless of the children's education mode in the same family environment.
You may qualify if:
- Diabetic group:
- diabetes for 1 year
- year's old
- included in ISIS-DIAB protocol.
- Control group:
- brother or sister of a diabetic children
- year's old.
You may not qualify if:
- Other chronic disease than diabetes type1.
- Psychiatric disorders or psychiatric treatment.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Service d'endocrinologie pédiatrique CHG Bayonne Centre Hospitalier de la Côte Basque
Bayonne, Aquitaine, 64000, France
CHU de Bordeaux Hôpital Pellegrin
Bordeaux, Aquitaine, 33000, France
Service d'endocrinologie pédiatrique - Hôpital de la mère et de l'enfant - CHU de LIMOGES
Limoges, Limousin, 87000, France
Biospecimen
20ml blood sample in order to evaluate: * NR3C1 (GR) gene * NR3C2 (MR) gene * FKBP5 gene * CRH gene * CRHR1 gene * CBG gene
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Paul PEREZ, Doctor
University Hospital, Bordeaux
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- FAMILY BASED
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 25, 2015
First Posted
March 3, 2015
Study Start
August 1, 2012
Primary Completion
February 1, 2016
Study Completion
February 1, 2016
Last Updated
March 3, 2015
Record last verified: 2015-02