The Role of Gut Hormones and Hepcidin in Type 2 Diabetes Mellitus
1 other identifier
observational
1,512
1 country
1
Brief Summary
This study aims to investigate the potential of the gut hormones GLP-1, PP, PYY and the iron regulatory hormone hepcidin as biomarkers for progression to complications in diabetes mellitus.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Mar 2015
Longer than P75 for all trials
1 active site
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
Study Start
First participant enrolled
March 1, 2015
CompletedFirst Submitted
Initial submission to the registry
April 7, 2015
CompletedFirst Posted
Study publicly available on registry
April 10, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2022
CompletedJune 1, 2023
May 1, 2023
2.4 years
April 7, 2015
May 29, 2023
Conditions
Outcome Measures
Primary Outcomes (2)
Microvascular complication of diabetes mellitus - prevalence and incidence
Prevalence at enrolment and subsequent incidence of background diabetic retinopathy, preproliferative or proliferative retinopathy, or diabetic maculopathy; microalbuminuria defined as two episodes \> 3 months apart of ACR \> 2.5 (male) or \> 3.5 (female) mg/umol. Assessed through patient recall and examination of electronic medical record.
5 years
Macrovascular complication of diabetes mellitus - prevalence and incidence
Prevalence at enrolment and subsequent incidence of composite endpoint of coronary artery disease (MI, ACS, percutaneous intervention), cerebrovascular disease (CVA, TIA), and peripheral arterial disease (ischaemic peripheral ulcer, revascularisation procedure, amputation). Assessed through patient recall and examination of electronic medical record.
5 years
Secondary Outcomes (1)
Progression to NAFLD or NASH
5 years
Study Arms (5)
NGT, no insulin resistance
Individuals with normal glucose tolerance without a diagnosis of IGF, IGT or Diabetes Mellitus. No intervention.
IFG/IGT/T2DM
Individuals with a diagnosis of impaired glucose tolerance, impaired fasting glucose or type 2 diabetes mellitus. No intervention.
Insulin resistance without IGT
e.g. polycystic ovarian syndrome. No intervention.
IGT, no insulin resistance
e.g. T1DM. No intervention.
Previous metabolic surgery
Previous metabolic surgery for weight loss or treatment of T2DM. No intervention.
Interventions
Eligibility Criteria
Adults resident in the UAE, attending ICLDC for normal healthcare.
You may qualify if:
- all
You may not qualify if:
- lack of capacity for informed consent; vulnerable individuals
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Imperial College London Diabetes Centre
Abu Dhabi, 48338, United Arab Emirates
Related Publications (5)
Sam AH, Sleeth ML, Thomas EL, Ismail NA, Mat Daud N, Chambers E, Shojaee-Moradie F, Umpleby M, Goldstone AP, Le Roux CW, Bech P, Busbridge M, Laurie R, Cuthbertson DJ, Buckley A, Ghatei MA, Bloom SR, Frost GS, Bell JD, Murphy KG. Circulating pancreatic polypeptide concentrations predict visceral and liver fat content. J Clin Endocrinol Metab. 2015 Mar;100(3):1048-52. doi: 10.1210/jc.2014-3450. Epub 2014 Dec 9.
PMID: 25490276BACKGROUNDSam AH, Busbridge M, Amin A, Webber L, White D, Franks S, Martin NM, Sleeth M, Ismail NA, Daud NM, Papamargaritis D, Le Roux CW, Chapman RS, Frost G, Bloom SR, Murphy KG. Hepcidin levels in diabetes mellitus and polycystic ovary syndrome. Diabet Med. 2013 Dec;30(12):1495-9. doi: 10.1111/dme.12262. Epub 2013 Aug 19.
PMID: 23796160BACKGROUNDFleming RE. Iron and inflammation: cross-talk between pathways regulating hepcidin. J Mol Med (Berl). 2008 May;86(5):491-4. doi: 10.1007/s00109-008-0349-8. No abstract available.
PMID: 18425494BACKGROUNDFargion S, Dongiovanni P, Guzzo A, Colombo S, Valenti L, Fracanzani AL. Iron and insulin resistance. Aliment Pharmacol Ther. 2005 Nov;22 Suppl 2:61-3. doi: 10.1111/j.1365-2036.2005.02599.x.
PMID: 16225476BACKGROUNDSemple RK, Sleigh A, Murgatroyd PR, Adams CA, Bluck L, Jackson S, Vottero A, Kanabar D, Charlton-Menys V, Durrington P, Soos MA, Carpenter TA, Lomas DJ, Cochran EK, Gorden P, O'Rahilly S, Savage DB. Postreceptor insulin resistance contributes to human dyslipidemia and hepatic steatosis. J Clin Invest. 2009 Feb;119(2):315-22. doi: 10.1172/JCI37432. Epub 2009 Jan 26.
PMID: 19164855BACKGROUND
Biospecimen
Blood plasma
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Nader Lessan, MBBS FRCP MD
Imperial College London Diabetes Centre
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 7, 2015
First Posted
April 10, 2015
Study Start
March 1, 2015
Primary Completion
August 1, 2017
Study Completion
October 1, 2022
Last Updated
June 1, 2023
Record last verified: 2023-05