ClinicalTrials.gg
RecruitingNCT03403686LXR and DRUpdated Sep 28, 2026

Liver X Receptor (LXR) as a Novel Therapeutic Target in Diabetic Retinopathy (DR)

An observational study in Diabetic Retinopathy, sponsored by University of Alabama at Birmingham. Recruiting at 1 site in United States. Open to participants aged 21 Years to 98 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-28.

Sponsored by University of Alabama at Birmingham · Observational

From the registry’s dates

  • Started Jan 2018; still recruiting 8 years 10 months later.
Updated Sep 28, 2026Study contact changedGo to Updates ↓

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
104
Ages
21 Years to 98 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 267 studies in Diabetic Retinopathy with a site in United States — 36 open to participants now, 56 under way, 6 of them phase 3. Diabetic Retinopathy · United States.

Planned enrollment
40th of 70
104 · median 161
Started
2018
with 10 others
Observational
70 of 267
8 open now
Primary completion
2026-12
later than 15 of 54 live
Registered
137th of 267
by date
Lead sponsor
7 of 267
University of Alabama at Birmingham

Among the 267 studies in Diabetic Retinopathy with a site in United States, this one is the 40th largest by planned enrollment of the 70 observational ones that give a count, is one of 11 that started in 2018, is one of 70 observational ones, reaches primary completion later than 15 of the 54 other live ones, and was the 137th registered.

Diabetic Retinopathy

778 studies on the registry are indexed under Diabetic Retinopathy; 142 are open to participants now.

Browse Diabetic Retinopathy studies →

Open to participants now

36 of the 267 studies in Diabetic Retinopathy with a site in United States are open now. Recruiting first, the newest first:

31 more — sign in →

All 36 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 92 Diabetic Retinopathy studies recruiting now, 60 (65%) set no upper age limit and 10 (11%) stop at 75 or younger; 8 take children under 18; 29 take healthy volunteers.

This study: 21 Years to 98 Years · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 267 studies in Diabetic Retinopathy with a site in United States, or all of them as a file.
02

Study summary

Results from large clinical trials demonstrate a strong association between lipid abnormalities and progression of the most common microvascular complication, diabetic retinopathy (DR). We found that activation of a master regulator of cholesterol metabolism, the nuclear hormone receptors liver X receptors (LXRα/LXRβ), prevents DR in rodent models. In this application, we seek to understand the mechanisms responsible for the beneficial effects of LXR agonists on retina and on bone marrow (BM) to preserve the function of reparative cells while reducing inflammatory cell.

Read the detailed description

Diabetic retinopathy (DR) is a disabling microvascular complication. Despite recent advances using pharmacotherapy, a cure for DR has yet to be realized. Thus, a conceptual and technical breakthrough to identify novel targets, and a strategy to cure this complication is paramount. We believe that the recent clinical evidence from large clinical trials demonstrating a strong association between lipid abnormalities and DR progression and the discovery that activation of the nuclear hormone receptors liver X receptors (LXRα/LXRβ) prevents DR in rodent models offers such a breakthrough. The detrimental effect of dyslipidemia is not limited to the vasculature but also leads to dysfunction of circulating angiogenic cells (CAC) and of macrophages. The endogenous ligands for LXRs are oxidative metabolites of cholesterol that serve as intracellular cholesterol "sensors". LXR agonists operate, in part, by transcriptional upregulation of genes involved in promoting cholesterol efflux and inhibition of cholesterol uptake; and by inhibiting inflammation. Our published studies and new preliminary data show that pharmacological LXR activation prevents DR development in both T1D and T2D rodent models. In this application, we seek to understand the mechanisms involved in this beneficial effect. We put forth the hypothesis that LXR activation will restore cholesterol homeostasis in the diabetic retina and correct diabetes-induced bone marrow dysfunction to sustain CAC levels and function and to reduce of myeloid cell production.

03

Conditions studied

  • Diabetic Retinopathy

Browse trials for

Keywords

  • Liver X receptor
  • Circulating angiogenic cells
04

Who can participate

Ages eligible
21 Years to 98 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Patients who have retinal abnormalities other than diabetic retinopathy will be excluded. Patients who have systemic conditions that influence hematopoietic stem cell function such as cardiovascular disease, malignant disease, diabetes, hematologic disorder, or estimated glomerular filtration rate less than 60 mL/min or who have undergone treatment with erythropoietin will be excluded. We will record all medications including antihypertensive drug treatment, treatment with statins, Angiotensin-Converting Enzyme (ACE) Inhibitors, Angiotensin Receptor Blockers (ARB) or other pharmacological agents that may influence CD34+ cell function. Baseline characteristics will be recorded, including age, lipid parameters, body mass index (BMI), blood pressure, smoking history, antioxidant intake and use of nutritional supplements.

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

  • Any man or woman between the ages of 21- 98 years of age will be eligible to participate. To participate in the study as a study subject we will require: a) the subject must either carry the diagnosis of diabetes or be a healthy aged control and b) the patient be willing and have the ability to cooperate with the protocol.

Exclusion criteria

Exclusion Criteria:

  • Exclusion criteria: We will apply the following exclusion criteria: a) evidence of ongoing acute or chronic infection (, or C, tuberculosis); b) ongoing ; c) cerebral vascular accident or cerebral vascular procedure; d) current pregnancy; e) history of organ transplantation; f) presence of a graft (to avoid any effect of the graft on inflammatory parameters; g) uremic symptoms, an estimated of less than 20 cc/min (by Modification of Diet in Renal Disease equation), or an albumin of less than 3.6 (to avoid malnutrition as a confounding variable); h) be unwilling to abstain from drinking alcohol and i) patients with anemia. Subjects with AMD, glaucoma, uveitis, known hereditary degenerations or other significant ocular complications other than diabetic retinopathy will be excluded.
Terms in these criteria, in plain language(4)

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
104 participants (estimated)
Patient registry
No

Groups and cohorts

  • Controls

    Any man or woman between the ages of 21- 98 years of age will be eligible to participate. To participate in the study as a study subject we will require that the subject must carry the diagnosis of healthy control.

    Biological: blood draw

  • Diabetic no retinopathy

    Patients with diabetes but with no evidence of diabetic retinopathy

    Biological: blood draw

  • Diabetic with mild retinopathy

    Diabetics with mild non proliferative diabetic retinopathy (NPDR).

    Biological: blood draw

  • Diabetic with moderate retinopathy

    Diabetics with moderate NPDR

    Biological: blood draw

  • Diabetics with severe retinopathy

    Diabetic with severe NPDR.

    Biological: blood draw

  • Diabetics with proliferative diabetic retinopathy (PDR)

    Diabetics with proliferative diabetic retinopathy (PDR)

    Biological: blood draw

Interventions

  • Biologicalblood draw

    Blood sample will be obtained and CD34+ cells will be isolated for functional testing.

06

What researchers measure

Primary outcomes

  1. Assessing CD34+ cells function

    We are isolating CD34+ cells from peripheral blood and then examining the cell membrane characteristics of CD34+ cells and their in vitro function.

    Time frame: from blood draw to 48 hours

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Started Jan 2018 (actual). Primary completion is estimated for Dec 2026, 107 months after the start.

Of 73 non-industry observational studies under Diabetic Retinopathy, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 14. This study's planned 107 months is above that.

Counting every sponsor, half of 90 studies reached it within 28 months; a quarter within 13 and three quarters within 61.

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

Registered
Jan 11, 2018
First posted
Jan 19, 2018
StartActual
Jan 11, 2018
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2026
Last update
Sep 28, 2026
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.
Contact
Study contact changed: j•••@uabmc.edu · •••8674→j•••@uabmc.edu · •••4314. See the current contact
Sep 28, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • University of Alabama at Birmingham · Birmingham, United StatesContact j•••@uabmc.edu · •••8674→j•••@uabmc.edu · •••8674
Sep 28, 2026
Show all 1 update
  1. Sep 28, 2026
    Contact Study contact changed: j•••@uabmc.edu · •••8674→j•••@uabmc.edu · •••4314. See the current contact
    Site contacts Changed at 1 site. See the sites
    Show the site
    • University of Alabama at Birmingham · Birmingham, United StatesContact j•••@uabmc.edu · •••8674→j•••@uabmc.edu · •••8674
    + 3 other changes: identifiers, verification date and oversight details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT03403686
Responsible party
Maria Grant (Principal Investigator, University of Alabama at Birmingham) — Principal investigator
First posted
Jan 19, 2018
Start date
Jan 11, 2018
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Sep 28, 2026

Study contacts

Maria B Grant, MD
Contact
jmoorer@uabmc.edu
3528714314
Maria B Grant, MD
principal investigator · University of Alabama at Birmingham

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

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