Haptoglobin Phenotype, Vitamin E and High-density Lipoprotein (HDL) Function in Type 1 Diabetes

NCT ID: NCT01098994

Last Updated: 2014-06-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

87 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-02-28

Study Completion Date

2013-12-31

Brief Summary

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The purpose of the study is to determine whether the function of the good cholesterol (HDL cholesterol) as well as its subfractions (via NMR spectroscopy) is altered among people with type 1 diabetes and a variation in the Haptoglobin gene and to evaluate whether vitamin E supplements may improve this function.

Detailed Description

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Persons with type 1 diabetes are at a much greater risk for heart disease compared to the general population. Among individuals with diabetes, those with a specific variation in a genetic marker called Haptoglobin (approximately 43% of persons with type 1 diabetes) are at even greater risk compared to those not carrying this genetic variation. A genetic marker or a "gene" is information inherited from parents (a blueprint) about the structure and functions of cells in the body that make up the color of our hair and eyes and may influence the way our bodies respond to certain stimuli such as an illness, or infection.

In this project we are seeking to understand what some of the mechanisms may be that put persons with type 1 diabetes and this variation in the Haptoglobin gene at greater risk for heart disease. Specifically, we will assess whether this gene variant affects the function of the good cholesterol (HDL cholesterol) and its subfractions (via NMR spectroscopy), which is thought to help against heart disease development. We also seek to evaluate whether vitamin E supplements may improve this function. If results indicate that vitamin E is beneficial and improves the function of HDL cholesterol, the next question to be answered would be whether vitamin E would also help reduce the risk of heart disease itself in these persons. To answer the latter, a large clinical trial would have to take place. In this research project we will therefore also evaluate whether such a trial would be feasible and whether individuals with type 1 diabetes would be interested in participating in a long, 4-5 year, clinical trial.

Conditions

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Type 1 Diabetes Heart Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Haptoglobin 1/1

Individuals with type 1 diabetes and the Haptoglobin 1/1 phenotype

Group Type OTHER

Vitamin E

Intervention Type DIETARY_SUPPLEMENT

Daily administration of 400 IU natural d-alpha tocopherol acetate for 8 weeks

Dummy pills

Intervention Type OTHER

Daily placebo administration for 8 weeks

Haptoglobin 2/1

Individuals with type 1 diabetes and the Haptoglobin 2/1 phenotype

Group Type OTHER

Vitamin E

Intervention Type DIETARY_SUPPLEMENT

Daily administration of 400 IU natural d-alpha tocopherol acetate for 8 weeks

Dummy pills

Intervention Type OTHER

Daily placebo administration for 8 weeks

Haptoglobin 2/2

Individuals with type 1 diabetes and the Haptoglobin 2/2 phenotype

Group Type OTHER

Vitamin E

Intervention Type DIETARY_SUPPLEMENT

Daily administration of 400 IU natural d-alpha tocopherol acetate for 8 weeks

Dummy pills

Intervention Type OTHER

Daily placebo administration for 8 weeks

Interventions

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Vitamin E

Daily administration of 400 IU natural d-alpha tocopherol acetate for 8 weeks

Intervention Type DIETARY_SUPPLEMENT

Dummy pills

Daily placebo administration for 8 weeks

Intervention Type OTHER

Other Intervention Names

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Natural d-alpha tocopherol acetate Placebo, inactive pills

Eligibility Criteria

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Inclusion Criteria

* Individuals with type 1 diabetes residing in the Pittsburgh, PA area (members of the Allegheny Count or Children's Hospital of Pittsburgh/Epidemiology of Diabetes Complications Registries)
* 30 years old or older
* with diabetes duration greater than 10 years or less than 10 years but with a history of heart disease

Exclusion Criteria

* Allergy to vitamin E
* Stroke, MI within the past 6 months
* Unwillingness/inability to limit antioxidant supplement use to study-provided supplements
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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American Diabetes Association

OTHER

Sponsor Role collaborator

University of Pittsburgh

OTHER

Sponsor Role lead

Responsible Party

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Tina Costacou

Assistant Professor of Epidemiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tina Costacou, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburgh

Locations

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University of Pittsburgh Diabetes and Lipid Research Clinic

Pittsburgh, Pennsylvania, United States

Site Status

Countries

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United States

Other Identifiers

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1-10-CT-12

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

1-10-CT-12

Identifier Type: -

Identifier Source: org_study_id

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