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CompletedNCT04275141Updated May 8, 2024

Mauriac Syndrome: Isotopic Techniques and Genetic Analysis

An interventional study of oral glucose load and exercise test in Diabetes Mellitus, Short Stature and Glycogen Deposition, sponsored by University of Lausanne. Completed at 2 sites in Switzerland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-08.

Sponsored by University of Lausanne · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
6
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

Mauriac syndrome (MS) is an entity of individuals combining poorly controlled diabetes mellitus type 1, short stature and glycogenic hepatopathy. Thus, the functional significance of Mauriac syndrome for glucose metabolism remains disputed, and whether genetic defects in glycogen metabolism contribute to glycogenic hepatopathy in MS remains to be clarified.Coupling the genetic analysis of targeted genes involved in glucose regulation with a dynamic exploration will eventually determine if a genetic abnormality leads to the disease and explains the nature of the phenotype.

Read the detailed description

Investigation of glucose homeostasis in MS, after an oral glucose load followed by exercise, using a quantitative measurement of the substrate flux. This dynamic in vivo kinetics can be explored using stable, nonradioactive tracers with the help of gas or liquid chromatography.

Investigation of genetic factors associated with MS phenotype. Molecular analysis will be performed by next generation sequencing (exome or whole genome sequencing). In addition, a targeted analysis for pathogenic variants in genes implicated in homeostasis regulation will be done.

02

Conditions studied

  • Diabetes Mellitus
  • Short Stature
  • Glycogen Deposition
03

In context

Diabetes Mellitus

8,290 studies on the registry are indexed under Diabetes Mellitus; 1,077 are open to participants now.

This study's enrollment of 6 is below the median of 80 across 6,023 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

University of Lausanne is the lead sponsor of 55 studies on the registry; 6 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • Inclusion criteria for controls:
  • DT1
  • > 18 years old)
  • Presence of at least one of the following auto-antibodies: anti-GAD65, anti-IAA, anti-ZnT8, anti-IA2 or ICA and/or low C-Peptide
  • Insulin therapy by multiple daily injections or continuous subcutaneous insulin infusion by an insulin pump
  • as documented by signature

Inclusion criteria for subjects:

  • Mauriac syndrome
  • DT1
  • > 18 years old
  • Presence of hepatomegaly in infancy (confirmed ≥ 1 abdominal US) at the time of diagnosis of Mauriac Syndrome
  • Presence of short stature during infancy at the time of diagnosis of Mauriac Syndrome (\<P3; WHO growth curves on ≥ 2 different measures, at 2 different time-points)
  • Presence of at least one of the following auto-antibodies: anti-GAD65, anti-IAA, anti-ZnT8, anti-IA2 or ICA and/or low C-Peptide
  • Informed consent as documented by signature

Exclusion criteria for subjects and controls :

  • Obesity ( ≥ 30 kg/m2 or > 90th percentile)
  • Illness that contraindicates physical activity
  • Women who are pregnant or breast feeding
  • Any clinically unstable disease
  • Myocardial infarcts, syncope, heart rhythm disorder, unstable hypertension in the last 6 months
  • Blood donation in the last 3 months for men and 4 months for women before the study
  • Enrollment in a previous study less than 30 days before the start of the study
  • Participation of the investigator, a family member, an employee or someone having a link with the investigator
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.

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
6 participants (actual)

Study arms

  • Other
    Mauriac syndrome

    An oral dose of glucose (labelled with 1% U-13C6-glucose) will be given at time 0 min followed by a 30-min cycling exercise at time 300 min.

    Other: oral glucose load · Other: exercise test

  • Other
    Type 1 diabetes mellitus

    An oral dose of glucose (labelled with 1% U-13C6-glucose) will be given at time 0 min followed by a 30-min cycling exercise at time 300 min.

    Other: oral glucose load · Other: exercise test

Interventions

  • Otheroral glucose load

    oral glucose load (60g) followed by exercise at fixed wattage (60W) for 30 min

  • Otherexercise test

    oral glucose load (60g) followed by exercise at fixed wattage (60W) for 30 min

06

What researchers measure

Primary outcomes

  1. In vivo kinetics of ingested glucose

    Plasma glucose kinetics \[Time -90 min before ingestion of a test meal to Time 360 min after ingestion of a test meal\] * Baseline : \[Time -90min to Time 0min\] * After an oral glucose load (60g): \[Time 0min to Time 300min\] * During exercise at fixed wattage (60W) for 30 min: \[Time 300 min to Time 330 min\] * After exercise for 30 min \[Time 330 min to Time 360 min\] Trial stable isotope tracers (\[U-13C6\] glucose ingestion, will be used to assess ingested glucose flux at baseline and during the test.

    Time frame: Time -90 minutes to Time 360 minutes

  2. In vivo kinetics of endogenous glucose

    Plasma glucose kinetics \[Time -90 min before ingestion of a test meal to Time 360 min after ingestion of a test meal\] * Baseline : \[Time -90min to Time 0min\] * After an oral glucose load (60g): \[Time 0min to Time 300min\] * During exercise at fixed wattage (60W) for 30 min: \[Time 300 min to Time 330 min\] * After exercise for 30 min \[Time 330 min to Time 360 min\] Trial stable isotope tracers \[6,6-2H2\] glucose infusion will be used to assess endogenous glucose flux at baseline and during the test.

    Time frame: Time -90 minutes to Time 360 minutes

  3. In vivo kinetics of lactate

    Plasma lactate kinetics \[Time -90 min before ingestion of a test meal to Time 360 min after ingestion of a test meal\] * Baseline : \[Time -90min to Time 0min\] * After an oral glucose load (60g): \[Time 0min to Time 300min\] * During exercise at fixed wattage (60W) for 30 min: \[Time 300 min to Time 330 min\] * After exercise for 30 min \[Time 330 min to Time 360 min\] Trial stable isotope tracers \[1-13C1\]lactate infusion will be used to assess lactate flux at baseline and during the test.

    Time frame: Time -90 minutes to Time 360 minutes

Secondary outcomes

  1. DNA Banking

    10 ml of whole blood will be collected, at baseline, in two tubes EDTA 5ml for DNA extraction and banking in view of next generation sequencing (NGS) analysis.

    Time frame: At inclusion period

07

Study locations

2 sites
  • Lausanne University Hospitals
    Lausanne, Vaud 1011, Switzerland
  • Geneva University Hospital
    Geneva, 1205, Switzerland
08

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 Jan 2022 to primary completion in Jul 2022, 6 months.

Of 1,583 non-industry interventional studies with no phase under Diabetes Mellitus, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 43. This study's 6 months is below that.

Counting every sponsor, half of 1,743 studies reached it within 21 months; a quarter within 9 and three quarters within 42.

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

Registered
Feb 12, 2020
First posted
Feb 19, 2020
StartActual
Jan 17, 2022
Primary completionActual
Jul 31, 2022
CompletionActual
Dec 30, 2023
Last update
May 8, 2024
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 May 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04275141
Lead sponsor
University of Lausanne
Responsible party
Christel Tran (Principal Investigator, University of Lausanne) — Principal investigator
First posted
Feb 19, 2020
Start date
Jan 17, 2022
Primary completion
Jul 31, 2022
Completion
Dec 30, 2023
Last update
May 8, 2024

Oversight

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

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This study is completed, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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