ClinicalTrials.gg
Not yet recruitingNCT07837258Updated Sep 23, 2026

Serum Sulfate and Brain Function in Diabetic Encephalopathy

An observational study in Diabetes Mellitus, Type 2, Cognitive Dysfunction, Cognitive Disorder and Brain Diseases, Metabolic, sponsored by Dongzhimen Hospital, Beijing. Not yet recruiting. Open to participants aged 45 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-23.

Sponsored by Dongzhimen Hospital, Beijing · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
220
Ages
45 Years to 75 Years
Sex
All
01

Study summary

The goal of this observational study is to learn about the relationship between sulfate ion levels in the blood and brain function in people with diabetic encephalopathy, a diabetes-related brain condition that can affect thinking and memory. The main questions it aims to answer are:

  1. Are blood sulfate ion levels related to memory and thinking test scores?
  2. Are blood sulfate ion levels related to the severity of brain shrinkage (brain atrophy) seen on MRI?
  3. Do sulfate ion levels and their relationship with thinking and memory differ among people with different levels of long-term blood sugar control? Researchers will compare participants grouped by long-term blood sugar control (based on HbA1c, a blood test that reflects average blood sugar over the past 2-3 months) to see whether sulfate ion levels and their associations with brain function differ.

Participants will:

  1. Give a blood sample to measure sulfate ion levels, HbA1c, and neurofilament light chain (NfL), a marker of nerve damage.
  2. Complete the Montreal Cognitive Assessment (MoCA), a test of memory and thinking, and questionnaires about daily living skills.
  3. Have a brain MRI scan to assess brain shrinkage, unless a recent scan within the past 6 months can be used.
  4. Provide information about their diabetes and medical history. This is a cross-sectional study, so participants will be assessed once at enrollment. No treatment or intervention is given. About 220 adults aged 45-75 years with type 2 diabetes and diabetic encephalopathy will take part.
02

Conditions studied

  • Diabetes Mellitus, Type 2
  • Cognitive Dysfunction, Cognitive Disorder
  • Brain Diseases, Metabolic

Keywords

  • Diabetic encephalopathy
  • type 2 diabetes mellitus
03

In context

Diabetes Mellitus, Type 2

10,371 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,406 are open to participants now.

This study's planned enrollment of 220 is below the median of 300 across 1,741 observational studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

Dongzhimen Hospital, Beijing is the lead sponsor of 45 studies on the registry; 19 are open to participants now.

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

04

Who can participate

Ages eligible
45 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adults aged 45-75 years of either sex with T2DM for ≥6 years and diabetic encephalopathy, defined as MoCA \<26 plus MRI evidence of age-inappropriate brain atrophy after excluding other structural causes. Both sexes; primary school education or above; able to complete MoCA/MRI; signed informed consent. Exclusions include type 1/gestational/other diabetes, other causes of cognitive impairment, recent severe illness/trauma/surgery, active malignancy, major psychiatric disorders, severe hepatic/renal insufficiency, and MRI contraindications. Approximately 220 participants will be enrolled.

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. Age 45-75 years, no restriction on sex; patients with type 2 diabetes mellitus who meet the current American Diabetes Association (ADA) Standards of Care in Diabetes or the World Health Organization (WHO) diagnostic criteria for diabetes, with a confirmed disease duration ≥ 6 years.
  2. Cranial plain magnetic resonance imaging (MRI; sequences including at least T1WI, T2WI, and FLAIR) with a radiological report indicating age-inappropriate brain atrophy (e.g., ventricular enlargement, widened sulci). Concomitant prior cerebral infarction or cerebral small vessel disease changes (e.g., lacunar infarction, white matter hyperintensities, etc.) are allowed. Other major structural causes that may lead to cognitive impairment, such as cerebral hemorrhage and space-occupying lesions, are excluded. Patients with acute cerebral infarction at least 2 weeks after onset, with stable vital signs and metabolic status, who are able to complete the assessment and MRI examination, are allowed.
  3. Montreal Cognitive Assessment (MoCA) score \< 26.
  4. Education level of primary school or above; able to communicate well with the investigators and comply with all study requirements.
  5. Voluntarily participate in this study and provide signed .

Exclusion criteria

Exclusion Criteria:

  1. Patients with type 1 diabetes, gestational diabetes, other specific types of diabetes, or participants with unknown diabetes status.
  2. Cognitive impairment caused by other definite etiologies (e.g., Alzheimer's disease, Lewy body dementia, frontotemporal dementia, central nervous system infection, severe traumatic brain injury, poisoning, etc.).
  3. Severe infection, major trauma, or surgery within 3 months; active (except localized skin cancer); or acute or severe systemic diseases that may significantly affect metabolic status or cognitive function.
  4. Major depressive disorder, schizophrenia, or other psychiatric disorders or delirium that may affect the assessment of cognitive function.
  5. Severe hepatic or renal insufficiency (e.g., or AST > 3 times the , \< 30 mL/min/1.73 m²).
  6. Severe hearing or visual impairment, MRI , or any other condition that prevents cooperation with the examinations.
Terms in these criteria, in plain language(7)

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.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

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.

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
220 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Diabetic encephalopathy

    Adults aged 45-75 years of either sex with type 2 diabetes mellitus for ≥6 years and diabetic encephalopathy, defined as MoCA \<26 plus MRI evidence of age-inappropriate brain atrophy after excluding other structural causes. Concomitant prior cerebral infarction or small vessel disease changes are allowed. Approximately 220 participants will be enrolled and assessed once at enrollment (cross-sectional), including serum sulfate ion, NfL, HbA1c, MoCA, ADL/IADL, and brain MRI.

    Other: This study does not involve any treatment or intervention.

Interventions

  • OtherThis study does not involve any treatment or intervention.

    This study does not involve any treatment or intervention.

06

What researchers measure

Primary outcomes

  1. Serum sulfate ion levels

    Serum sulfate ion concentration, measured in mmol/L by ion chromatography. Analyzed as a continuous variable; no predefined minimum or maximum. Higher values indicate higher serum sulfate ion levels.

    Time frame: At enrollment (single blood draw; cross-sectional assessment)

  2. Long-term glycemic control (HbA1c)

    Glycated hemoglobin (HbA1c) level, measured as a percentage (%) by a standardized assay. Reflects average blood glucose over the preceding 2-3 months. Analyzed as a continuous variable; higher values indicate poorer long-term glycemic control.

    Time frame: At enrollment (reflecting glycemic control over the preceding 2-3 months)

  3. Brain function: MoCA total score

    Total score on the Montreal Cognitive Assessment (MoCA). Scores range from 0 to 30, with higher scores indicating better cognitive function.

    Time frame: At enrollment (single cross-sectional assessment)

  4. Brain atrophy assessed by cranial MRI

    Brain atrophy assessed on cranial MRI (T1WI, T2WI, FLAIR) by experienced radiologists using standardized visual rating scales (e.g., MTA, GCA, and/or Evans index). Severity graded as none, mild, moderate, or severe, or per the selected validated scale; higher grades indicate more severe atrophy (worse outcome).

    Time frame: At enrollment; baseline MRI, or prior MRI within 6 months if it meets study criteria

  5. Montreal Cognitive Assessment (MoCA) visuospatial/executive function score

    Visuospatial/executive function domain score on the MoCA. Scores range from 0 to 5, with higher scores indicating better visuospatial/executive function.

    Time frame: At enrollment (single cross-sectional assessment)

  6. Montreal Cognitive Assessment (MoCA) naming score

    Naming domain score on the MoCA. Scores range from 0 to 3, with higher scores indicating better naming ability.

    Time frame: At enrollment (single cross-sectional assessment)

  7. Montreal Cognitive Assessment (MoCA) attention score

    Attention domain score on the MoCA. Scores range from 0 to 6, with higher scores indicating better attention.

    Time frame: At enrollment (single cross-sectional assessment)

  8. Montreal Cognitive Assessment (MoCA) language score

    Language domain score on the MoCA. Scores range from 0 to 3, with higher scores indicating better language function.

    Time frame: At enrollment (single cross-sectional assessment)

  9. Montreal Cognitive Assessment (MoCA) abstraction score

    Abstraction domain score on the MoCA. Scores range from 0 to 2, with higher scores indicating better abstract reasoning.

    Time frame: At enrollment (single cross-sectional assessment)

  10. Montreal Cognitive Assessment (MoCA) delayed recall score

    Delayed recall domain score on the MoCA. Scores range from 0 to 5, with higher scores indicating better memory.

    Time frame: At enrollment (single cross-sectional assessment)

  11. Montreal Cognitive Assessment (MoCA) orientation score

    Orientation domain score on the MoCA. Scores range from 0 to 6, with higher scores indicating better orientation.

    Time frame: At enrollment (single cross-sectional assessment)

Secondary outcomes

  1. Barthel Index total score

    Total score on the Barthel Index, a scale used to assess functional independence in basic activities of daily living (ADL). Scores range from 0 to 100, with higher scores indicating greater independence (better outcome).

    Time frame: At enrollment (single cross-sectional assessment)

  2. Instrumental Activities of Daily Living Scale (IADL) score

    Total score on the Lawton Instrumental Activities of Daily Living Scale (IADL), which assesses independence in complex daily activities such as telephone use, shopping, food preparation, housekeeping, laundry, transportation, medication management, and handling finances. Scores range from 0 to 8, with higher scores indicating greater independence (better outcome).

    Time frame: At enrollment (single cross-sectional assessment)

  3. Serum neurofilament light chain (NfL) level

    Serum neurofilament light chain (NfL) level, measured in pg/mL by a validated immunoassay. Higher levels indicate greater neuroaxonal injury (worse outcome). Analyzed as a continuous variable.

    Time frame: At enrollment (single blood draw; cross-sectional assessment)

07

Study locations

No study locations are listed for this record.

08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Sep 2026; primary completion for Dec 2028, 27 months later.

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

Registered
Sep 12, 2026
First posted
Sep 23, 2026
StartEst.
Sep 20, 2026
Primary completionEst.
Dec 31, 2028
CompletionEst.
Dec 31, 2028
Last update
Sep 23, 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.
No changes since tracking began. The registry record was last updated on Sep 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07837258
Lead sponsor
Dongzhimen Hospital, Beijing
Responsible party
Ying Gao (Profressor, Dongzhimen Hospital, Beijing) — Principal investigator
First posted
Sep 23, 2026
Start date
Sep 20, 2026 (estimated)
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Sep 23, 2026

Study contacts

Yifeng Rui
Contact
ruiyifeng@msn.com
+8617812005760

Oversight

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

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This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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