Understanding Diabetes Subtypes and Treatment Responses

This 5-year study aims to better understand different types of prediabetes and type 2 diabetes based on how your body works (like insulin resistance). We want to see if certain treatments work better for specific types of diabetes. You might be eligible if you are 18-75 years old, have a BMI between 23 and 45 (or 22-45 for Asians), and have an HbA1c (a measure of blood sugar over time) between 5.7% and 8.0% without taking diabetes medications. We are testing three approaches: metformin (a common diabetes drug), GLP-1A (another type of diabetes medication), and following a Mediterranean diet. The main goal is to see how your HbA1c changes over time with these treatments. The study status is currently unclear.

Study design
This interventional study plans to enroll 200 participants. It will involve three treatment periods, each lasting 4 months, with a 3-month break between each treatment.
What's involved
You would go through an initial screening, followed by three treatment periods, each lasting 4 months, with 3-month washout periods in between. Your HbA1c will be measured at months 0, 4, 8, 11, 15, and 18.
Compensation
Not stated in the trial record.
Follow-up
Your HbA1c will be measured up to 18 months after the start of the study.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT06682351

Heterogeneity of Diabetes: Integrated Muli-Omics to Identify Physiologic Subphenotypes and Evaluate Targeted Prevention

Not Yet Recruiting
PHASE4Ages 18–75InterventionalTreatment
Stanford University
~200 participants
Updated 2024-11-12 on ClinicalTrials.gov
What's tested:MetforminGLP-1AMED

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in HbA1c
Measured over At month 0, month 4, month 8, month 11, month 15, month 18
Prediabetes / Type 2 Diabetes
1 sites across 1 states
California1
  • Tracey McLaughlin, MD · PRINCIPAL_INVESTIGATOR · Stanford University

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Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

BMI ≥23 (≥22 in Asians) kg/m2 but \< 45 kg/m2
HbA1c 5.7-8.0% while not on antihyperglycemic medications

Exclusion

Recent (\<6mos) CVD event
active malignancy, kidney/liver disease pregnancy/lactation, chronic inflammatory disease, eating disorder, bariatric surgery
history of acute pancreatitis
family or personal history of medullary thyroid cancer
current use of antihyperglycemic, diabetogenic, or weight loss medications (washout allowed if approved by primary physician)
heavy alcohol use
hct \<30, creatinine \> 1.4, ALT\> 3x ULN
physical activity \>2 hours/day
inability to come to Stanford CTRU for metabolic testing
  • Change in HbA1cAt month 0, month 4, month 8, month 11, month 15, month 18

    The study team will compare the change in HbA1c levels from beginning to end of intervention to compare the efficacy of each treatment.