NCT05498974

Brief Summary

The aim of the China Diabetes Type 1 Study (CD1S) is to conduct a nationwide type 1 diabetes (T1D) registry study in patients with T1D and in pediatric adolescent patients with diabetes who had an age of onset \<= 20 years. CD1S compromises a retrospective study enrolling inpatients hospitalized from Jan 1st, 2016 to Dec 31, 2021, and a prospective study beginning from the year 2022.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
20,000

participants targeted

Target at P75+ for all trials

Timeline
117mo left

Started Jan 2022

Longer than P75 for all trials

Geographic Reach
1 country

11 active sites

Status
recruiting

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 Progress31%
Jan 2022Dec 2035

Study Start

First participant enrolled

January 1, 2022

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

July 2, 2022

Completed
1 month until next milestone

First Posted

Study publicly available on registry

August 12, 2022

Completed
13.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2035

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2035

Last Updated

April 28, 2026

Status Verified

May 1, 2025

Enrollment Period

14 years

First QC Date

July 2, 2022

Last Update Submit

April 23, 2026

Conditions

Keywords

Type 1 diabetes; Diabetes in Young

Outcome Measures

Primary Outcomes (8)

  • Change in serum hemoglobin A1c level

    A1c reflects the average blood glucose level

    Every year for up to 10 years

  • Albumin-to-creatinine ratio in urine sample

    Albumin-to-creatinine ratio in urine sample

    up to 10 years

  • Arteriosclerotic cardiovascular diseases

    Incident cases of cardiovascular diseases

    up to 10 years

  • Electromyography

    value of nerve conduction velocity, F wave index, H-reflex

    up to 10 years

  • PHQ-9

    PHQ-9(a score between 0-27, ≥10 may indicate depression)

    up to 10 years

  • GAD-7

    GAD-7(a score between 0-21, ≥5 may indicate general anxiety)

    up to 10 years

  • WHO-5

    WHO-5 (a score between 0-100, higher score means better outcome)

    up to 10 years

  • PAID

    PAID (a score between 0-100, ≥40 warrants special attention).

    up to 10 years

Secondary Outcomes (7)

  • Change in C-peptide

    Every year for up to 10 years

  • Change in titer of autoantibodies

    Every year for up to 10 years

  • Fasting blood glucose

    Every year for up to 10 years

  • Systolic blood pressure

    Every year for up to 10 years

  • Diastolic blood pressure

    Every year for up to 10 years

  • +2 more secondary outcomes

Study Arms (2)

Individuals diagnosed with type 1 diabetes

All patients diagnosed with type 1 diabetes of all ages.

Other: Standard type 1 diabetes management model constructed by China Alliance for Type 1 Diabetes in each center

Individuals with diabetes who had an age of onset <= 20 years.

All patients with diabetes who had an age of onset \<= 20 years.

Other: Standard type 1 diabetes management model constructed by China Alliance for Type 1 Diabetes in each center

Interventions

Standard type 1 diabetes management model constructed by China Alliance for Type 1 Diabetes in each center

Individuals diagnosed with type 1 diabetesIndividuals with diabetes who had an age of onset <= 20 years.

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients with type 1 diabetes or children and adolescents with diabetes mellitus at age of onset \<= 20 years

You may qualify if:

  • \. Patients with type 1 diabetes mellitus of any duration; meeting criteria (1) or any of (2) or any of (3)
  • Clinical diagnosis of type 1 diabetes by a specialist
  • Age at onset \< 15 years; no overweight or obesity at onset; previous diabetic ketoacidosis; highest random C-peptide \< 200 pmol/L
  • Initiation and continuation of insulin therapy (except pancreatic or islet transplantation) after diagnosis; positive islet autoantibodies Or 2. Children and adolescents with diabetes mellitus at age of onset \<= 20 years, regardless of type and duration of disease.

You may not qualify if:

  • No insulin dependence for at least 6 months after diagnosis of diabetes mellitus.
  • No DKA for 1 month off insulin for those with a history of diabetes \> 1 year. ③ C-peptide \> 800 pmol/L at any time point.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

Gansu Provincial People's Hospital

Lanzhou, Gansu, China

RECRUITING

Shenzhen Second People's Hospital

Shenzhen, Guangdong, China

RECRUITING

Hainan General Hospital

Haikou, Hainan, 570311, China

RECRUITING

the First Affiliated Hospital of Harbin Medical University

Harbin, Heilongjiang, China

RECRUITING

The First Affiliated Hospital of Henan University of Science and Technology

Luoyang, Henan, China

RECRUITING

The Second Xiangya Hospital, Central South University

Changsha, Hunan, 410000, China

RECRUITING

The First Affiliated Hospital of Nanjing Medical University

Nanjing, Jiangsu, China

NOT YET RECRUITING

Heji Hospital Affiliated to Changzhi Medical College

Changzhi, Shanxi, China

RECRUITING

The First Affiliated Hospital of Xinjiang Medical University

Ürümqi, Xinjiang, 830017, China

RECRUITING

The First People's Hospital of Yunnan

Kunming, Yunnan, China

RECRUITING

Zhejiang Provincial People's Hospital

Hangzhou, Zhejiang, China

RECRUITING

Biospecimen

Retention: SAMPLES WITH DNA

blood

MeSH Terms

Conditions

Diabetes MellitusDiabetes Mellitus, Type 1

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesAutoimmune DiseasesImmune System Diseases

Study Officials

  • Zhiguang Zhou, MD, PhD

    The Second Xiangya Hospital, Central South University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Zhiguang Zhou, MD, PhD

CONTACT

Xia Li, MD, PhD

CONTACT

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
OTHER
Target Duration
10 Years
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director, National Clinical Research Center for Metabolic Diseases

Study Record Dates

First Submitted

July 2, 2022

First Posted

August 12, 2022

Study Start

January 1, 2022

Primary Completion (Estimated)

December 31, 2035

Study Completion (Estimated)

December 31, 2035

Last Updated

April 28, 2026

Record last verified: 2025-05

Data Sharing

IPD Sharing
Will not share

Locations