Function of Beta Cells in Early-onset Diabetes Mellitus
Comparison of Beta Cell Functional Changes in Patients With Early-onset Type 2 Diabetes Mellitus and Those With Typical Onset
1 other identifier
observational
296
1 country
1
Brief Summary
- Research objectives: Evaluate and compare the clinical and paraclinical characteristics, complications, as well as the changes in beta cell function and HbA1C levels between two patient groups over a one-year follow-up period. +Research design: This is a prospective cohort study, monitoring patients at 3, 6, 9, and 12 months.
- Study Population and Sample Size: The study is planned to be conducted on 296 Vietnamese patients (accounting for a 20% dropout rate) who are being examined at the University of Medicine and Pharmacy Hospital in Ho Chi Minh City.
- Key Evaluation Indicators: The function of beta cells and insulin resistance status are measured through the indices of HOMA-B, HOMA-IR, fasting C-peptide levels, and HbA1C levels.
- Time and location: The study will be conducted from February 2025 to February 2028 at the Endocrinology Clinic, University Medical Center Ho Chi Minh City.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Feb 2025
Typical duration for all trials
1 active site
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
February 24, 2025
CompletedFirst Submitted
Initial submission to the registry
May 1, 2026
CompletedFirst Posted
Study publicly available on registry
May 7, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
February 1, 2028
May 7, 2026
April 1, 2026
2.8 years
May 1, 2026
May 1, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Changes in fasting blood C-peptide concentration
Measurement of C-peptide concentration in venous blood (unit: nmol/L) using chemiluminescent immunoassay
At baseline (T0), 6 months (T6), and 12 months (T12)
Beta Cell Function Index (HOMA-B)
A mathematical model index (unit: %) is calculated based on fasting glucose and insulin/C-peptide concentrations. The formula is: HOMA-B = 20 x Fasting Insulin (µU/ml) / \[Fasting Glucose (mmol/L) - 3.5\]
At baseline (T0), 6 months (T6), and 12 months (T12)
Secondary Outcomes (3)
Insulin resistance status (HOMA-IR)
At baseline (T0), 6 months (T6), and 12 months (T12)
The ability to regulate blood glucose levels through the HbA1C index
At regular intervals at time points T0, 3 months, 6 months, 9 months, and 12 months
The incidence or progression of chronic complications
Record at time points T0, 6 months, and 12 months
Study Arms (2)
Early onset type 2 diabetes mellitus
Includes patients diagnosed with type 2 diabetes mellitus according to the ADA 2024 criteria with an onset age of under 40 years
Type 2 diabetes mellitus typically presents
Includes patients diagnosed with type 2 diabetes mellitus according to the ADA 2024 criteria, with an onset age of 40 years or older
Interventions
Monitor and observe the clinical progression and beta cell function
Eligibility Criteria
A patient with type 2 diabetes mellitus presents for evaluation at the Endocrinology clinic of the University Medical Center of Ho Chi Minh City.
You may qualify if:
- The patient is diagnosed with Type 2 Diabetes Mellitus according to the ADA 2024 criteria (Fasting Glucose ≥ 126 mg/dl, or Glucose after 2 hours of an Oral Glucose Tolerance Test ≥ 200 mg/dl, or HbA1C ≥ 6.5%, or with typical symptoms accompanied by any Glucose ≥ 200 mg/dl).
- The duration of Type 2 Diabetes Mellitus does not exceed 10 years.
- Classification by age of onset: Early onset group (\< 40 years) and typical onset group (≥ 40 years).
- At least 6 months without the need for insulin and no recorded episodes of diabetic ketoacidosis since the time of diagnosis.
- For the early-onset group: Autoantibodies (Anti-GAD, ICA) are negative and fasting C-peptide levels are \> 0.6 nmol/L.
- The patient consents to participate in the study and signs the informed consent document.
You may not qualify if:
- Pregnant women or patients with acute illnesses at the time of assessment.
- The patient has been diagnosed with or exhibits characteristics suggestive of Type 1 Diabetes Mellitus (such as a history of ketoacidosis, C-peptide \< 0.2 nmol/L).
- Secondary diabetes mellitus due to pancreatic disorders (pancreatitis, pancreatic tumors, pancreatic resection), due to medications (glucocorticoids), or due to other endocrine disorders (Cushing's syndrome, hyperthyroidism, acromegaly).
- Severe renal failure with an estimated glomerular filtration rate (eGFR) \< 30 mL/min/1.73 m².
- Use of medications that affect beta cell function or complications such as prolonged high-dose corticosteroids, immunosuppressive agents, or chemotherapy.
- Not of Vietnamese ethnicity.
- Non-compliance with treatment guidelines or failure to attend scheduled follow-up appointments.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Medicine and Pharmacy of Ho Chi Minh City
Ho Chi Minh City, Cho Lon Ward, 72700, Vietnam
Biospecimen
Venous blood samples were collected for biochemical tests (glucose, HbA1C, creatinine, lipid profile), immunological tests (C-peptide, insulin, anti-GAD antibodies, ICA), and for the storage of blood samples and DNA samples
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Chi Khanh Hoang, Specialist physician level 1
University of Medicine and Pharmacy of Ho Chi Minh City
- STUDY DIRECTOR
Nam Quang Tran, Associate professor - Doctorat
University of Medicine and Pharmacy of Ho Chi Minh City
- STUDY DIRECTOR
Tran Viet Thang, Doctorate
University of Medicine and Pharmacy of Ho Chi Minh City
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 1, 2026
First Posted
May 7, 2026
Study Start
February 24, 2025
Primary Completion (Estimated)
December 1, 2027
Study Completion (Estimated)
February 1, 2028
Last Updated
May 7, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share