Ignite Creation Date:
2024-05-05 @ 11:12 PM
Last Modification Date:
2024-10-26 @ 10:30 AM
Study NCT ID:
NCT01279161
Status:
COMPLETED
Last Update Posted:
2014-12-02
First Post:
2011-01-18
Brief Title:
The Role of FTO Gene Polymorphism and Insulin Preparation in Obesity in Children With Type 1 Diabetes Mellitus
Sponsor:
University of Bialystok
Organization:
University of Bialystok
Study Overview
Official Title:
The Role of FTO Gene Polymorphism and Insulin Preparation in OverweightObesity in Children With Type 1 Diabetes Mellitus
Status:
COMPLETED
Status Verified Date:
2014-12
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
FTO_T1DM
Brief Summary:
The project aims at assessment of the effect of the FTO gene polymorphism and the type of treatment on the development of overweightobesity and features of metabolic syndrome in children with type 1 diabetes
Gene polymorphism including some genetic variants may predispose to the development of cardiovascular diseases and their complications The A allele of the FTO gene predisposing to obesity occurs in approximately 40 of the European population and each copy of this allele can increase BMI by 01 Z-score ie by 04 kgm2 Insulin therapy in diabetic patients may result in excess body weight gain Therefore we need studies involving large groups of children and assessing cardiovascular risk factors in type 1 diabetes along with their genetic associations
Patients The study will include 1500 children with type 1 diabetes aged 6-18 years Reference group will be made of 1500 children in whom type 1 diabetes was excluded The following variables will be assessed in the treatment group 1 Anthropometric data and questionnaire data age sex body height and weight body mass index BMI waist and hip circumferences arm and thigh circumferences family history of overweightobesity type 1 or 2 diabetes or cardiovascular disease 2 Primary disease characteristics age of the disease onset treatment regimen mean daily insulin consumption per kg body weight brands of insulin products glycated haemoglobin BMI from the first 3-6 months following diabetes onset diet conversion of these data into actual and ideal calorie intake 3 Laboratory data - lipid profile and blood pressure average of three measurements Methodology Gene polymorphism analysis in the extracted DNA will be made with the real-time PCR method using TaqMan 7900 HT by Applied Biosystems Correlations between the FTO gene polymorphism and clinical variables such as BMI including BMI increase since the disease onset body weight and height waist and hip circumferences arm and thigh circumferences and blood pressure will be assessed by a professional statistician with a specially dedicated software Moreover parameters such as diet and metabolic control will be assessed As regards insulin therapy the following variables will be analysed insulin injection device therapy regimen intensive versus functional brands and types of insulin products human insulin versus insulin analogue consumption of insulin All of the above listed variables will be correlated with the genotypes found in the gene polymorphism analysis The study has been approved by Bioethics Committee of the Medical University in Białystok
Results The authors of the project expect that the effect of the FTO gene polymorphism on overweightobesity and features of metabolic syndrome in children with type 1 diabetes will be shown Moreover the project will enable assessment of the effect of the therapeutic regimen including the type of insulin product on body weight increase in the course of type 1 diabetes treatment in the context of the FTO gene polymorphism Confirmation of the above associations and identification of a group at risk of excess body weight increase in the course of insulin therapy may help physicians parents and patients to avoid this complication Therefore clinical benefit of this project will include identification - based on the genetic assays results - of a group of type 1 diabetic children particularly likely to develop overweight obesity and other cardiovascular risk factors
Gene polymorphism including some genetic variants may predispose to the development of cardiovascular diseases and their complications The A allele of the FTO gene predisposing to obesity occurs in approximately 40 of the European population and each copy of this allele can increase BMI by 01 Z-score ie by 04 kgm2 Insulin therapy in diabetic patients may result in excess body weight gain Therefore we need studies involving large groups of children and assessing cardiovascular risk factors in type 1 diabetes along with their genetic associations
Patients The study will include 1500 children with type 1 diabetes aged 6-18 years Reference group will be made of 1500 children in whom type 1 diabetes was excluded The following variables will be assessed in the treatment group 1 Anthropometric data and questionnaire data age sex body height and weight body mass index BMI waist and hip circumferences arm and thigh circumferences family history of overweightobesity type 1 or 2 diabetes or cardiovascular disease 2 Primary disease characteristics age of the disease onset treatment regimen mean daily insulin consumption per kg body weight brands of insulin products glycated haemoglobin BMI from the first 3-6 months following diabetes onset diet conversion of these data into actual and ideal calorie intake 3 Laboratory data - lipid profile and blood pressure average of three measurements Methodology Gene polymorphism analysis in the extracted DNA will be made with the real-time PCR method using TaqMan 7900 HT by Applied Biosystems Correlations between the FTO gene polymorphism and clinical variables such as BMI including BMI increase since the disease onset body weight and height waist and hip circumferences arm and thigh circumferences and blood pressure will be assessed by a professional statistician with a specially dedicated software Moreover parameters such as diet and metabolic control will be assessed As regards insulin therapy the following variables will be analysed insulin injection device therapy regimen intensive versus functional brands and types of insulin products human insulin versus insulin analogue consumption of insulin All of the above listed variables will be correlated with the genotypes found in the gene polymorphism analysis The study has been approved by Bioethics Committee of the Medical University in Białystok
Results The authors of the project expect that the effect of the FTO gene polymorphism on overweightobesity and features of metabolic syndrome in children with type 1 diabetes will be shown Moreover the project will enable assessment of the effect of the therapeutic regimen including the type of insulin product on body weight increase in the course of type 1 diabetes treatment in the context of the FTO gene polymorphism Confirmation of the above associations and identification of a group at risk of excess body weight increase in the course of insulin therapy may help physicians parents and patients to avoid this complication Therefore clinical benefit of this project will include identification - based on the genetic assays results - of a group of type 1 diabetic children particularly likely to develop overweight obesity and other cardiovascular risk factors
Detailed Description:
Aim
The project aims at assessment of the effect of the FTO gene polymorphism and the type of treatment on the development of overweightobesity and features of metabolic syndrome in children with type 1 diabetes Particular objective of the project is providing an answer to the question Are type 1 diabetic children who are carriers of the AA genotype of the FTO gene polymorphism rs9939609 at risk of more weight gain in the course of insulin therapy when compared to carriers of the TA and TT genotypes of this polymorphism Background Gene polymorphism including some genetic variants may predispose to the development of cardiovascular diseases and their complications A great advance in studies on genetic susceptibility to obesity was the discovery of the gene called FTO - fat mass and obesity associated gene The A allele of the FTO gene predisposing to obesity occurs in approximately 40 of the European population and each copy of this allele can increase BMI by 01 Z-score ie by 04 kgm2 However there are very few data on the impact of human genome on body weight change following particular intervention
An important problem to be dealt with by physicians and type 1 diabetic patients is overweight and obesity This problem is inevitably associated with insulin therapy and excess energy intake Insulin therapy in diabetic patients may result in excess body weight gain The exact mechanisms underlying this phenomenon are not known Obesity in patients diagnosed with diabetes can be an additional risk factor of cardiovascular disease Central obesity insulin resistance dyslipidaemia and arterial hypertension are all the elements of metabolic syndrome - a disease that predisposes to the development of cardiovascular disorders Cardiovascular complications are the main cause of morbidity and mortality in adult patients with diabetes However recently repeated attempts have been made to assess these factors also in children and adolescents Overweight and obesity in type 1 diabetes depend among others on patients sex age and type of treatment Although the role of gene polymorphism in the development of obesity in adults and children is the subject of extensive investigations currently there are no reports that would assess genetic aspects of obesity in treatment of type 1 diabetes Therefore we need studies involving large groups of children and assessing cardiovascular risk factors in type 1 diabetes along with their genetic associations
Patients The study will include 1500 children with type 1 diabetes aged 6-18 years Reference group will be made of 1500 children in whom type 1 diabetes was excluded
The following variables will be assessed in the treatment group 1 Anthropometric data and questionnaire data age sex body height and weight body mass index BMI including SDS-BMI waist and hip circumferences arm and thigh circumferences family history of overweightobesity type 1 or 2 diabetes or cardiovascular disease 2 Primary disease characteristics age of the disease onset treatment regimen intensive insulin therapy versus functional insulin therapy with a personal insulin pump mean daily insulin consumption per kg body weight brands of insulin products glycated haemoglobin the last available measurement and the mean value from the last year BMI from the first 3-6 months following diabetes onset diet - consumption of carbohydrate and protein-fat exchanges only in patients using a personal insulin pump conversion of these data into actual and ideal calorie intake 3 Laboratory data lipid profile total cholesterol HDL cholesterol LDL cholesterol triglycerides and blood pressure average of three measurements In the control group anthropometric variables and questionnaire data will be assessed along with additional questions
Methodology Gene polymorphism analysis in the extracted DNA will be made with the real-time PCR method using TaqMan 7900 HT by Applied Biosystems Correlations between the FTO gene polymorphism and clinical variables such as BMI including BMI increase since the disease onset body weight and height waist and hip circumferences arm and thigh circumferences and blood pressure will be assessed by a professional statistician with a specially dedicated software R-project Moreover parameters such as diet and metabolic control will be assessed As regards insulin therapy the following variables will be analysed insulin injection device therapy regimen intensive versus functional brands and types of insulin products human insulin versus insulin analogue consumption of insulin Out of laboratory data lipid metabolism parameters will be assessed All of the above listed variables will be correlated with the genotypes found in the gene polymorphism analysis The study has been approved by Bioethics Committee of the Medical University in Białystok
Results The authors of the project expect that the effect of the FTO gene polymorphism on overweightobesity and features of metabolic syndrome in children with type 1 diabetes will be shown Moreover the project will enable assessment of the effect of the therapeutic regimen including the type of insulin product on body weight increase in the course of type 1 diabetes treatment in the context of the FTO gene polymorphism Confirmation of the above associations and identification of a group at risk of excess body weight increase in the course of insulin therapy may help physicians parents and patients to avoid this complication Therefore clinical benefit of this project will include identification - based on the genetic assays results - of a group of type 1 diabetic children particularly likely to develop overweight obesity and other cardiovascular risk factors
The project aims at assessment of the effect of the FTO gene polymorphism and the type of treatment on the development of overweightobesity and features of metabolic syndrome in children with type 1 diabetes Particular objective of the project is providing an answer to the question Are type 1 diabetic children who are carriers of the AA genotype of the FTO gene polymorphism rs9939609 at risk of more weight gain in the course of insulin therapy when compared to carriers of the TA and TT genotypes of this polymorphism Background Gene polymorphism including some genetic variants may predispose to the development of cardiovascular diseases and their complications A great advance in studies on genetic susceptibility to obesity was the discovery of the gene called FTO - fat mass and obesity associated gene The A allele of the FTO gene predisposing to obesity occurs in approximately 40 of the European population and each copy of this allele can increase BMI by 01 Z-score ie by 04 kgm2 However there are very few data on the impact of human genome on body weight change following particular intervention
An important problem to be dealt with by physicians and type 1 diabetic patients is overweight and obesity This problem is inevitably associated with insulin therapy and excess energy intake Insulin therapy in diabetic patients may result in excess body weight gain The exact mechanisms underlying this phenomenon are not known Obesity in patients diagnosed with diabetes can be an additional risk factor of cardiovascular disease Central obesity insulin resistance dyslipidaemia and arterial hypertension are all the elements of metabolic syndrome - a disease that predisposes to the development of cardiovascular disorders Cardiovascular complications are the main cause of morbidity and mortality in adult patients with diabetes However recently repeated attempts have been made to assess these factors also in children and adolescents Overweight and obesity in type 1 diabetes depend among others on patients sex age and type of treatment Although the role of gene polymorphism in the development of obesity in adults and children is the subject of extensive investigations currently there are no reports that would assess genetic aspects of obesity in treatment of type 1 diabetes Therefore we need studies involving large groups of children and assessing cardiovascular risk factors in type 1 diabetes along with their genetic associations
Patients The study will include 1500 children with type 1 diabetes aged 6-18 years Reference group will be made of 1500 children in whom type 1 diabetes was excluded
The following variables will be assessed in the treatment group 1 Anthropometric data and questionnaire data age sex body height and weight body mass index BMI including SDS-BMI waist and hip circumferences arm and thigh circumferences family history of overweightobesity type 1 or 2 diabetes or cardiovascular disease 2 Primary disease characteristics age of the disease onset treatment regimen intensive insulin therapy versus functional insulin therapy with a personal insulin pump mean daily insulin consumption per kg body weight brands of insulin products glycated haemoglobin the last available measurement and the mean value from the last year BMI from the first 3-6 months following diabetes onset diet - consumption of carbohydrate and protein-fat exchanges only in patients using a personal insulin pump conversion of these data into actual and ideal calorie intake 3 Laboratory data lipid profile total cholesterol HDL cholesterol LDL cholesterol triglycerides and blood pressure average of three measurements In the control group anthropometric variables and questionnaire data will be assessed along with additional questions
Methodology Gene polymorphism analysis in the extracted DNA will be made with the real-time PCR method using TaqMan 7900 HT by Applied Biosystems Correlations between the FTO gene polymorphism and clinical variables such as BMI including BMI increase since the disease onset body weight and height waist and hip circumferences arm and thigh circumferences and blood pressure will be assessed by a professional statistician with a specially dedicated software R-project Moreover parameters such as diet and metabolic control will be assessed As regards insulin therapy the following variables will be analysed insulin injection device therapy regimen intensive versus functional brands and types of insulin products human insulin versus insulin analogue consumption of insulin Out of laboratory data lipid metabolism parameters will be assessed All of the above listed variables will be correlated with the genotypes found in the gene polymorphism analysis The study has been approved by Bioethics Committee of the Medical University in Białystok
Results The authors of the project expect that the effect of the FTO gene polymorphism on overweightobesity and features of metabolic syndrome in children with type 1 diabetes will be shown Moreover the project will enable assessment of the effect of the therapeutic regimen including the type of insulin product on body weight increase in the course of type 1 diabetes treatment in the context of the FTO gene polymorphism Confirmation of the above associations and identification of a group at risk of excess body weight increase in the course of insulin therapy may help physicians parents and patients to avoid this complication Therefore clinical benefit of this project will include identification - based on the genetic assays results - of a group of type 1 diabetic children particularly likely to develop overweight obesity and other cardiovascular risk factors
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None