Measurement of Beta Cell Death in Individuals With Cystic Fibrosis

NCT ID: NCT03713437

Last Updated: 2024-09-05

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

Total Enrollment

40 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-04-04

Study Completion Date

2021-06-30

Brief Summary

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This study evaluates the feasibility of using differentially methylated insulin DNA, a biomarker of beta cell death, in determining the time course of beta cell death and development of diabetes in people with cystic fibrosis. Study participants with cystic fibrosis and healthy control participants will have a blood sample drawn in order to measure the levels of differentially methylated insulin DNA.

Detailed Description

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Cystic fibrosis related diabetes (CFRD) causes increased morbidity and mortality in people with cystic fibrosis (CF). The prevalence of CFRD increases with age. While CFRD is diagnosed in only 2 percent of children under 10 year sof age, it is present in 19 percent of adolescents and up to 50 percent of adults with CF. Although CFRD is uncommon in children, recent animal and human studies have shown that milder glycemic abnormalities are common in infants and young children with CF. One of the proposed mechanisms for early glucose dysregulation in CF is related to ongoing beta cell death that may start at a very early age. The assay to be used in this study measures differentially methylated insulin DNA, released exclusively by beta cells, to determine levels of beta cell death. This assay has been shown to detect beta cell death in individuals at risk of developing type 1 diabetes. If this assay successfully detects beta cell death in individuals with CF, the investigators can identify critical time points of beta cell loss in people with CF. Understanding how and when glycemic dysregulation occurs in CF will lead to better treatment of CFRD in the future.

Conditions

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Cystic Fibrosis-related Diabetes

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Cystic Fibrosis

Serum sample will be drawn once

Measurement of differentially methylated insulin DNA

Intervention Type DIAGNOSTIC_TEST

A serum sample will be drawn to measure differentially methylated insulin DNA.

Healthy, age-matched controls

Serum sample will be drawn once

Measurement of differentially methylated insulin DNA

Intervention Type DIAGNOSTIC_TEST

A serum sample will be drawn to measure differentially methylated insulin DNA.

Interventions

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Measurement of differentially methylated insulin DNA

A serum sample will be drawn to measure differentially methylated insulin DNA.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Age 0 - 21 years
* Diagnosis of CF by two CF-causing mutations or elevated sweat chloride test
* Normal glucose tolerance, impaired glucose tolerance, indeterminate glucose tolerance or CFRD
* Pancreatic insufficiency


* Age 0 - 21 years

Exclusion Criteria

* Age \> 21 years
* Diagnosis of type 1 or type 2 diabetes
* Pregnancy
* Oral or IV steroid use in the past 2 weeks
* Pulmonary exacerbation requiring hospital admission in the past 2 weeks.
* Initiation of CFTR corrector or potentiator medication within 6 months


* Age \> 21 years
* Diagnosis of type 1 or type 2 diabetes or pre-diabetes
* Disorders impacting pancreatic exocrine function
* Pregnancy
* Oral or IV steroid use in the past 2 weeks
Maximum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cystic Fibrosis Foundation

OTHER

Sponsor Role collaborator

University of Nebraska

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ashley R Deschamp, MD

Role: PRINCIPAL_INVESTIGATOR

University of Nebraska

Locations

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Children's Hospital and Medical Center

Omaha, Nebraska, United States

Site Status

Countries

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United States

Other Identifiers

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0611-18-EP

Identifier Type: -

Identifier Source: org_study_id

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