ClinicalTrials.gg
CompletedNCT03301519Updated Nov 18, 2023

Genetics of Beta Cell Failure in Mexican Americans

An observational study in Gestational Diabetes, Diabetes Type 2 and Insulin Resistance, sponsored by University of Southern California. Completed. Open to participants aged 8 Years and older. Per ClinicalTrials.gov, last updated 2023-11-18.

Sponsored by University of Southern California · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,250
Ages
8 Years and older
Sex
All
01

Study summary

This is a family based genotype-phenotype study designed to assess genetic and environmental influences on obesity, insulin resistance and beta cell function in the context of gestational diabetes.

Read the detailed description

Mexican American women with prior gestational diabetes and their first degree relatives and Mexican American women with prior normal glucose tolerance in pregnancy are studied with detailed phenotyping consisting of oral and intravenous glucose tolerance tests, body composition studies, diet and physical activity assessments, and circulating biomarkers potentially related to obesity, insulin resistance, pancreatic beta cell function, gestational diabetes and type 2 diabetes. Spouses of the gestational diabetic and control probands are studied with oral glucose tolerance tests. Offspring of the gestational and control probands have fasting glucose determinations. All participants provide DNA for genetics testing. A subset of the gestational diabetic probands and their first degree relatives return 3-5 years after baseline testing for repeat phenotyping.

02

Conditions studied

  • Gestational Diabetes
  • Diabetes Type 2
  • Insulin Resistance
  • Beta Cell Function
  • Genetics
  • Nutrition
  • Physical Activity
  • Adipokines
  • Obesity
  • Air Pollution
03

In context

Diabetes, Gestational

877 studies on the registry are indexed under Diabetes, Gestational; 203 are open to participants now.

This study's enrollment of 1,250 is above the median of 180 across 289 observational studies indexed under Diabetes, Gestational.

Browse Diabetes, Gestational studies →

Lead sponsor

University of Southern California is the lead sponsor of 791 studies on the registry; 136 are open to participants now.

Of its 70 completed or terminated interventional studies of FDA-regulated products, 32 (46%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
8 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

See Inclusion and Exclusion Criteria

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Probands with Prior Gestational Diabetes Mellitus ("GDM PROBANDS")

    • Mexican American (parents and at least 3/4 four grandparents
    • age >18 years
    • GDM in singleton pregnancy in prior 5 years
    • impaired glucose levels or sum of five OGTT glucose values >625 mg/dl on 75 gram oral glucose tolerance test
    • Fasting plasma glucose \<126 mg/dl
    • At least two adult siblings of cousin not known to have diabetes and available for phenotyping; .
  2. Siblings and Cousins of GDM Probands

    • Full sibling or first cousin of GDM proband
    • Age >18 yrs
    • Fasting plasma glucose \<126 mg/dl.
  3. Parents, Uncles and Aunts of GDM Probands

    • Full blooded parent, uncle or aunt of GDM proband
  4. Control Proband

    • Mexican American as defined for GDM probands
    • One glucose challenge test result \<120 mg/dl at >24 weeks gestation
    • No diabetes in first degree relative
    • Frequency matched to GDM probands by distributions of age, and parity.
  5. Spouse of GDM or Control Proband

    • Spouse of GDM proband
    • Age >18
    • At least one child with proband able to provide DNA
  6. Child of Proband

    • Child of GDM or control proband and spouse who provided DNA

Exclusion criteria

EXCLUSION CRITERIA

  1. PROBANDS (GDM OR CONTROL):

    • Chronic medical illness or medication known to alter glucose/insulin metabolism
    • Current pregnancy or breastfeeding
    • Ilicit drug or alcohol abuse,
    • Inability or unwillingness to give .
  2. SIBLINGS AND COUSINS OF PROBANDS:

    • Chronic medical illness or medication known to affect glucose/insulin metabolism
    • Current pregnancy or breastfeeding,
    • Ilicit drug or alcohol abuse
    • Inability or unwillingness to give informed consent.
  3. PARENTS OF PROBANDS

    • Inability or unwillingness to give informed consent.
  4. SPOUSE OF GDM or CONTROL PROBAND

    • Inability or unwillingness to give informed consent.
  5. CHILD OF GDM or CONTROL PROBAND

    • Lack of parent consent or child assent.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,250 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna
06

What researchers measure

Primary outcomes

  1. Pancreatic Beta Cell Compensation for Insulin Resistance

    Disposition index from intravenous glucose tolerance test

    Time frame: Single time point for primary cohort, repeated 4.5 years later in subset

Secondary outcomes

  1. Insulin Senstivity

    Si from computer modeled intravenous glucose tolerance test

    Time frame: Single time point for primary cohort, repeated 4.5 years later in subset

  2. Acute Insulin Release

    Incremental area under insulin curve during first 10 minutes intravenous glucose tolerance test

    Time frame: Single time point for primary cohort, repeated 4.5 years later in subset

  3. Glucose tolerance

    normal, impaired or diabetic glucose level determined using American Diabetes Associate criteria applied to glucose levels from a 2-hour, 75 gram oral glucose tolerance test

    Time frame: Single time point for primary cohort, repeated 4.5 years later in subset

  4. Diabetes type 2

    Fasting glucose \>125 mg/dl and/or 2-hour glucose on 75 gram oral glucose tolerance test \>199 mg/dl

    Time frame: Single time point for primary cohort, repeated 4.5 years later in subset

  5. Dietary Intake

    Measured by semi-quantitative Harvard Food Frequency Questionnaire

    Time frame: Single time point for primary cohort, repeated 4.5 years later in subset

  6. Physical Activity

    Measured by Multi-ethnic Cohort Physical Activity Questionnaire

    Time frame: Single time point for primary cohort, repeated 4.5 years later in subset

  7. Body Fat

    Percent body fat measured by dual photon X-ray absorptiometry

    Time frame: Single time point for primary cohort, repeated 4.5 years later in subset

  8. Circulating adipokine levels

    Fasting levels of approximately 20 adipocytokines

    Time frame: Single time point for primary cohort, repeated 4.5 years later in subset

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2001 to primary completion in May 2013, 142 months.

Of 142 non-industry observational studies under Diabetes, Gestational, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 70. This study's 142 months is above that.

Counting every sponsor, half of 144 studies reached it within 43 months; a quarter within 19 and three quarters within 73.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 21, 2017
First posted
Oct 4, 2017
StartActual
Jul 1, 2001
Primary completionActual
May 31, 2013
CompletionActual
May 31, 2013
Last update
Nov 18, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 18, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03301519
Collaborators
Kaiser Permanente
Responsible party
Thomas Buchanan (Professor of Medicine, University of Southern California) — Principal investigator
First posted
Oct 4, 2017
Start date
Jul 1, 2001
Primary completion
May 31, 2013
Completion
May 31, 2013
Last update
Nov 18, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion