NCT05769439

Brief Summary

The proposed discordant identical and fraternal twin study of incident type 2 diabetes and incident obesity is pivotal to public health because this study design compares diseased twins with their non-diseased co-twins for a better understanding of environment-induced hydroxymethylation independent of genetic influences as the novel biological mechanism underlying the diseases. By engaging students in the proposed co-twin control study, we will prepare our next generation of public health researchers to sustain our impact on public health across generations. The discovery of new environmentally and epigenetically therapeutic and preventive regimens will pave the way to fight against incident type 2 diabetes and incident obesity.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
126

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Mar 2021

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
unknown

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, 2021

Completed
2 years until next milestone

First Submitted

Initial submission to the registry

March 3, 2023

Completed
12 days until next milestone

First Posted

Study publicly available on registry

March 15, 2023

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 28, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2024

Completed
Last Updated

March 15, 2023

Status Verified

March 1, 2023

Enrollment Period

3 years

First QC Date

March 3, 2023

Last Update Submit

March 3, 2023

Conditions

Keywords

hydroxymethylationtwinmonozygoticdizygoticfraternalidentical

Outcome Measures

Primary Outcomes (4)

  • novel differentially hydroxymethylated regions (DhMRs) concerning incident type 2 diabetes

    Whole-genome 5hmC will be measured among MZ and DZ twin pairs discordant for incident type 2 diabetes

    April 1, 2023 to December 31, 2023

  • novel DhMRs concerning incident obesity

    Whole-genome 5hmC will be measured among MZ and DZ twin pairs discordant for incident obesity

    April 1, 2023 to December 31, 2023

  • evidence-based DhMRs concerning incident type 2 diabetes

    literature review will be performed to find the candidate DhMRs

    May1, 2022 to December 31, 2023

  • evidence-based DhMRs concerning incident obesity

    literature review will be performed to find the candidate DhMRs

    May1, 2022 to December 31, 2023

Study Arms (2)

NTS iT2D-dTwin case-co-twin-control cohort

The twin pairs discordant for incident type 2 diabetes (iT2D) \[17 monozygotic (MZ) and 20 dizygotic twin pairs (DZ)\] are included from the National Heart, Lung, and Blood Institute (NHLBI) Twin Study (NTS). In a discordant twin pair, one co-twin developed iT2D while his co-twin did not or develop iT2D at least one year later.

Other: No intervention in an observational study

NTS iOB-dTwin case-co-twin-control cohort

The twin pairs discordant for incident obesity (iOB) \[11 monozygotic (MZ) and 15 dizygotic twin pairs (DZ)\] are included from the National Heart, Lung, and Blood Institute (NHLBI) Twin Study (NTS). In a discordant twin pair, one co-twin developed iOB while his co-twin did not or develop iOB at least one year later.

Other: No intervention in an observational study

Interventions

This study is an observational study only.

NTS iOB-dTwin case-co-twin-control cohortNTS iT2D-dTwin case-co-twin-control cohort

Eligibility Criteria

Age40 Years - 60 Years
Sexmale
Healthy VolunteersNo
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Below is the Parent Cohort Description: The NHLBI Twin Study (NTS) is a prospective study of the genetic and environmental etiology of cardiovascular disease. Initiated in 1969, researchers recruited 514 white male twin pairs (i.e., 1,024 men) born between 1917 and 1927. The twins were roughly 50% monozygotic twin pairs (MZ) and 50% dizygotic twin pairs (DZ) and were middle-aged at baseline (1969-1973). The five research sites were Framingham, MA; San Francisco, CA; Davis, CA; Los Angeles, CA; and Indianapolis, IN. The participant inclusion criterion was the geographic proximity to the study sites (within 100 miles in New England and California, and within 200 miles of Indianapolis, Indiana). The twins received physical examinations based on the renowned Framingham Heart Study protocol.

You may qualify if:

  • In the NHLBI Twin Study, middle-aged, male, veteran twins were recruited at baseline (1969-1973).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Des Moines University

Des Moines, Iowa, 50312, United States

Location

Biospecimen

Retention: SAMPLES WITH DNA

Buffy coat DNA samples were collected in the mid-1980. This study used the discordant twin design, a specific nested case-co-twin control design.

Study Officials

  • Jun Dai, MD, PhD

    Des Moines University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

March 3, 2023

First Posted

March 15, 2023

Study Start

March 1, 2021

Primary Completion

February 28, 2024

Study Completion

February 28, 2024

Last Updated

March 15, 2023

Record last verified: 2023-03

Data Sharing

IPD Sharing
Will not share

Data Sharing Plan: All investigators will adhere to the NIH policies for data sharing. De-identified data will be available and shared commonly 6 months after the investigators' quality manuscript is accepted. The data sharing agreement will be required. We will also share data through presentations at scientific meetings, research seminars, and publications of manuscripts. Genomic Data Sharing Plan (GDS) This application generates whole genome hydroxymethylation using the enrichment-based method followed by NextGen-seq. These data will be shared with investigators who prepare a manuscript.

Locations