Diabetes
Conditions
Keywords
GLP-1R agonist, biomarker
Brief summary
The purpose of this study is to collect a cohort of patients treated with GLP-1R Agonists and to assess phenotypic, genetic and genomic biomarkers of glycaemic response to these agents.
Detailed description
To develop a cohort of patients treated with GLP-1 R Agonists who are phenotyped at baseline and at 6 month follow up to determine clinical, imaging and other biomarker predictors of glycaemic response to GLP-1R Agonists. The hypothesis is that one, or a combination, of these biomarkers is associated with glycaemic response to GLP-1R Agonists. The primary outcome is therefore HbA1c reduction after 6 months of GLP-1R A treatment. This is a cohort study of 800 patients being treated with either exenatide or liraglutide for 6 months, and carried out in 4 UK centres.
Interventions
Dosage, frequency and duration not specified by protocol
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with Type 2 diabetes where a clinical decision has been made to commence a GLP-1R agonist * Either: 1. On any combination of oral hypoglycaemic agents 2. On Insulin (+/- oral hypoglycaemic agents) * HbA1c ≥7.5% (58mmol/mol) and HbA1c \< 12% (108mmol/mol) * White European * Age ≥ 18 and \< 80
Exclusion criteria
* Type 1 diabetes * HbA1c \<7.5% (58 mmol/mol) * HbA1c ≥ 12% (108 mmol/mol) * Pregnancy or lactation * Any other significant medical reason for exclusion as determined by the investigator * Inability to consent * Participating in a CTIMP during the study period and within 30 days prior to study start.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in HbA1c between baseline and 6 months | 6 months | The primary outcome is the change in HbA1c (absolute difference between the baseline and 6 month measure) in mmol/mol |
Countries
United Kingdom