NCT03396146

Brief Summary

The purpose of this study is to evaluate global endocrine function within type 1 and type 3c diabetic patients, helping pancreatic polypeptide measurement.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
36

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jun 2018

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

November 17, 2017

Completed
2 months until next milestone

First Posted

Study publicly available on registry

January 10, 2018

Completed
5 months until next milestone

Study Start

First participant enrolled

June 14, 2018

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 18, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 18, 2019

Completed
Last Updated

January 15, 2026

Status Verified

January 1, 2026

Enrollment Period

1.5 years

First QC Date

November 17, 2017

Last Update Submit

January 14, 2026

Conditions

Keywords

Pancreatic polypeptideType 1 diabetesChronic pancreatitis

Outcome Measures

Primary Outcomes (1)

  • Measurement of pancreatic polypeptide for calculating the area under the curve

    physiological parameters

    1 day

Secondary Outcomes (2)

  • Measurement of C-peptide levels

    1 day

  • Measurement of fecal elastase level

    at inclusion

Study Arms (3)

Type1diabetes with exocrine pancreatic function insufficiency

EXPERIMENTAL

12 ml total blood tubes volume Fecal sample

Other: 12 ml total blood tubes volumeOther: Fecal sample

Type1diabetes without exocrine pancreatic function insuficienc

EXPERIMENTAL

12 ml total blood tubes volume Fecal sample

Other: 12 ml total blood tubes volumeOther: Fecal sample

Type 3c diabetes

ACTIVE COMPARATOR

12 ml total blood tubes volume Fecal sample

Other: 12 ml total blood tubes volumeOther: Fecal sample

Interventions

Fecal sample at inclusion

Type 3c diabetesType1diabetes with exocrine pancreatic function insufficiencyType1diabetes without exocrine pancreatic function insuficienc

12 ml total blood tubes at 0, +60, + 90, + 120 minutes before and after a mixed meal

Type 3c diabetesType1diabetes with exocrine pancreatic function insufficiencyType1diabetes without exocrine pancreatic function insuficienc

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients aged 18 years or older
  • Patients with type 1 diabetes with anti-GAD and / or IA2 and / or Znt8 positive antibodies, or characteristic clinical history, with and without exocrine deficiency (\*)
  • Patients with chronic alcoholic pancreatitis or cystic fibrosis origin (type 3c diabetes), complicated with diabetes defined by HbA1c\> 6.5% or treated with oral anti-diabetic and / or insulin
  • Patients who have given informed and written consent to participate in research
  • Patients affiliated to a social security scheme (\*): The exocrine deficiency is defined by an assay of fecal elastase:
  • without deficit of exocrine function = fecal elastase = /\> 100 μg / g
  • with deficit of exocrine function = fecal elastase \<100 μg / g

You may not qualify if:

  • Pregnancy
  • Severe renal impairment (eDFG \<45 mL / min / 1.73 m²)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Cochin Hospital

Paris, Paris, 75014, France

Location

Related Publications (29)

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    PMID: 21283038BACKGROUND
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    PMID: 26123585BACKGROUND
  • Hennig R, Kekis PB, Friess H, Adrian TE, Buchler MW. Pancreatic polypeptide in pancreatitis. Peptides. 2002 Feb;23(2):331-8. doi: 10.1016/s0196-9781(01)00605-2.

    PMID: 11825647BACKGROUND
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    PMID: 23383206BACKGROUND
  • Simonian HP, Kresge KM, Boden GH, Parkman HP. Differential effects of sham feeding and meal ingestion on ghrelin and pancreatic polypeptide levels: evidence for vagal efferent stimulation mediating ghrelin release. Neurogastroenterol Motil. 2005 Jun;17(3):348-54. doi: 10.1111/j.1365-2982.2004.00634.x.

    PMID: 15916622BACKGROUND
  • Veedfald S, Plamboeck A, Hartmann B, Svendsen LB, Vilsboll T, Knop FK, Holst JJ. Pancreatic polypeptide responses to isoglycemic oral and intravenous glucose in humans with and without intact vagal innervation. Peptides. 2015 Sep;71:229-31. doi: 10.1016/j.peptides.2015.07.020. Epub 2015 Jul 26.

    PMID: 26218807BACKGROUND
  • Batterham RL, Le Roux CW, Cohen MA, Park AJ, Ellis SM, Patterson M, Frost GS, Ghatei MA, Bloom SR. Pancreatic polypeptide reduces appetite and food intake in humans. J Clin Endocrinol Metab. 2003 Aug;88(8):3989-92. doi: 10.1210/jc.2003-030630.

    PMID: 12915697BACKGROUND
  • Brunicardi FC, Chaiken RL, Ryan AS, Seymour NE, Hoffmann JA, Lebovitz HE, Chance RE, Gingerich RL, Andersen DK, Elahi D. Pancreatic polypeptide administration improves abnormal glucose metabolism in patients with chronic pancreatitis. J Clin Endocrinol Metab. 1996 Oct;81(10):3566-72. doi: 10.1210/jcem.81.10.8855802.

    PMID: 8855802BACKGROUND
  • Rabiee A, Galiatsatos P, Salas-Carrillo R, Thompson MJ, Andersen DK, Elahi D. Pancreatic polypeptide administration enhances insulin sensitivity and reduces the insulin requirement of patients on insulin pump therapy. J Diabetes Sci Technol. 2011 Nov 1;5(6):1521-8. doi: 10.1177/193229681100500629.

    PMID: 22226275BACKGROUND
  • Henquin JC, Rahier J. Pancreatic alpha cell mass in European subjects with type 2 diabetes. Diabetologia. 2011 Jul;54(7):1720-5. doi: 10.1007/s00125-011-2118-4. Epub 2011 Apr 5.

    PMID: 21465328BACKGROUND
  • Diedisheim M, Mallone R, Boitard C, Larger E. beta-cell Mass in Nondiabetic Autoantibody-Positive Subjects: An Analysis Based on the Network for Pancreatic Organ Donors Database. J Clin Endocrinol Metab. 2016 Apr;101(4):1390-7. doi: 10.1210/jc.2015-3756. Epub 2016 Feb 1.

    PMID: 26829442BACKGROUND
  • Gerich JE, Langlois M, Noacco C, Karam JH, Forsham PH. Lack of glucagon response to hypoglycemia in diabetes: evidence for an intrinsic pancreatic alpha cell defect. Science. 1973 Oct 12;182(4108):171-3. doi: 10.1126/science.182.4108.171.

    PMID: 4581053BACKGROUND
  • Lund A, Bagger JI, Wewer Albrechtsen NJ, Christensen M, Grondahl M, Hartmann B, Mathiesen ER, Hansen CP, Storkholm JH, van Hall G, Rehfeld JF, Hornburg D, Meissner F, Mann M, Larsen S, Holst JJ, Vilsboll T, Knop FK. Evidence of Extrapancreatic Glucagon Secretion in Man. Diabetes. 2016 Mar;65(3):585-97. doi: 10.2337/db15-1541. Epub 2015 Dec 15.

    PMID: 26672094BACKGROUND
  • Tiengo A, Bessioud M, Valverde I, Tabbi-Anneni A, Delprato S, Alexandre J, Assan R. Absence of islet alpha cell function in pancreatectomized patients. Diabetologia. 1982 Jan;22(1):25-32. doi: 10.1007/BF00253865.

    PMID: 6120875BACKGROUND
  • Haldorsen IS, Raeder H, Vesterhus M, Molven A, Njolstad PR. The role of pancreatic imaging in monogenic diabetes mellitus. Nat Rev Endocrinol. 2011 Nov 29;8(3):148-59. doi: 10.1038/nrendo.2011.197.

    PMID: 22124438BACKGROUND
  • Bellanne-Chantelot C, Chauveau D, Gautier JF, Dubois-Laforgue D, Clauin S, Beaufils S, Wilhelm JM, Boitard C, Noel LH, Velho G, Timsit J. Clinical spectrum associated with hepatocyte nuclear factor-1beta mutations. Ann Intern Med. 2004 Apr 6;140(7):510-7. doi: 10.7326/0003-4819-140-7-200404060-00009.

    PMID: 15068978BACKGROUND
  • Andersen BN, Hagen C, Klein HC, Stadil F, Worning H. Correlation between exocrine pancreatic secretion and serum concentration of human pancreatic polypeptide in chronic pancreatitis. Scand J Gastroenterol. 1980;15(6):699-704. doi: 10.3109/00365528009181517.

    PMID: 7209380BACKGROUND
  • Matsumoto M, Wakasugi H, Ibayashi H. Plasma human pancreatic polypeptide response in chronic pancreatitis. Gastroenterol Jpn. 1982;17(1):25-30. doi: 10.1007/BF02774757.

    PMID: 7042449BACKGROUND
  • Vu MK, Vecht J, Eddes EH, Biemond I, Lamers CB, Masclee AA. Antroduodenal motility in chronic pancreatitis: are abnormalities related to exocrine insufficiency? Am J Physiol Gastrointest Liver Physiol. 2000 Mar;278(3):G458-66. doi: 10.1152/ajpgi.2000.278.3.G458.

    PMID: 10712266BACKGROUND
  • Sobngwi E, Boudou P, Mauvais-Jarvis F, Leblanc H, Velho G, Vexiau P, Porcher R, Hadjadj S, Pratley R, Tataranni PA, Calvo F, Gautier JF. Effect of a diabetic environment in utero on predisposition to type 2 diabetes. Lancet. 2003 May 31;361(9372):1861-5. doi: 10.1016/S0140-6736(03)13505-2.

    PMID: 12788573BACKGROUND
  • Chia CW, Odetunde JO, Kim W, Carlson OD, Ferrucci L, Egan JM. GIP contributes to islet trihormonal abnormalities in type 2 diabetes. J Clin Endocrinol Metab. 2014 Jul;99(7):2477-85. doi: 10.1210/jc.2013-3994. Epub 2014 Apr 8.

    PMID: 24712564BACKGROUND
  • Belinova L, Kahleova H, Malinska H, Topolcan O, Vrzalova J, Oliyarnyk O, Kazdova L, Hill M, Pelikanova T. Differential acute postprandial effects of processed meat and isocaloric vegan meals on the gastrointestinal hormone response in subjects suffering from type 2 diabetes and healthy controls: a randomized crossover study. PLoS One. 2014 Sep 15;9(9):e107561. doi: 10.1371/journal.pone.0107561. eCollection 2014.

    PMID: 25222490BACKGROUND
  • Hart PA, Baichoo E, Bi Y, Hinton A, Kudva YC, Chari ST. Pancreatic polypeptide response to a mixed meal is blunted in pancreatic head cancer associated with diabetes mellitus. Pancreatology. 2015 Mar-Apr;15(2):162-6. doi: 10.1016/j.pan.2015.02.006. Epub 2015 Feb 24.

    PMID: 25766398BACKGROUND
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    PMID: 22029981BACKGROUND
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    PMID: 3057670BACKGROUND
  • Brunicardi FC, Druck P, Sun YS, Elahi D, Gingerich RL, Andersen DK. Regulation of pancreatic polypeptide secretion in the isolated perfused human pancreas. Am J Surg. 1988 Jan;155(1):63-9. doi: 10.1016/s0002-9610(88)80259-9.

    PMID: 3277467BACKGROUND
  • Dehghani L, Bonnet-Serrano F, Abdul H, Alexandre-Heymann L, Guibourdenche J, Larger E. Pancreatic polypeptide in patients with type 1 diabetes and exocrine failure or chronic pancreatitis. The DIAPP study. Diabetes Metab. 2026 Jan;52(1):101712. doi: 10.1016/j.diabet.2025.101712. Epub 2025 Nov 9.

MeSH Terms

Conditions

Diabetes Mellitus, Type 1Pancreatitis, Chronic

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesAutoimmune DiseasesImmune System DiseasesPancreatitisPancreatic DiseasesDigestive System DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Etienne LARGER, MD, PhD

    Assistance Publique - Hôpitaux de Paris

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 17, 2017

First Posted

January 10, 2018

Study Start

June 14, 2018

Primary Completion

December 18, 2019

Study Completion

December 18, 2019

Last Updated

January 15, 2026

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will not share

Locations