RecruitingNot ApplicableNCT06256419

Association of Gene Polymorphism With Susceptibility to T2DM and the Therapeutic Responses to Exenatide in Chinese Patients With T2DM

Department of Pharmacy, the Affiliated Hospital of Xuzhou Medical University


Sponsor

The Affiliated Hospital of Xuzhou Medical University

Enrollment

300 participants

Start Date

Jan 1, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This is a retrospective cohort study of patients with T2DM who were treated with exenatide twice daily as a part of their diabetes care for at least 12 months. The objective of this study is to investigate the influence of T2DM susceptibility gene polymorphisms (NOS1AP, KCNQ1, TCF7L2, WSF1, GLP-1R, etc.) on the efficacy of GLP-1 RA (exenatide, liraglutide, etc.), to identify the variables that can predict the efficacy of GLP-1 RA, and to evaluate the weight of these variables on the efficacy.


Eligibility

Min Age: 25 YearsMax Age: 70 Years

Plain Language Summary

Simplified for easier understanding

This study investigates whether certain genetic variations affect how well a new class of diabetes drug (GLP-1 receptor agonists, such as semaglutide or liraglutide) works in people with type 2 diabetes. Understanding the genetics behind drug response may help doctors prescribe more personalized treatments. **You may be eligible if...** - You have been diagnosed with type 2 diabetes - Your HbA1c (a marker of average blood sugar) is between 7–12% - Your BMI is between 20 and 35 - You are aged 25–70 - You have baseline data and data from 6 months after starting a GLP-1 receptor agonist drug **You may NOT be eligible if...** - You have serious conditions such as recent heart attack, stroke, severe kidney or liver disease, or pancreatitis history - You received GLP-1 drugs, weight loss medications, steroids, or gut motility drugs in the past 3 months - Your medical data at the required time points is missing or incomplete Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGGLP-1 receptor agonist

Eligible patients with T2DM were required to have received GLP-1RA as monotherapy or in combination with other antidiabetic agents. GLP-1 RA was injected subcutaneously at standard dose and frequency for consecutive 6 months in patients with T2DM.

DRUGresponders group and nonresponders group

For all the patients with type 2 diabetes who were initially enrolled in the study, blood samples were obtained for genotyping before the administration of GLP-1 receptor agonists. Patients were re-screened according to whether they had used GLP-1 RA continuously for more than 6 months and had completed the specified follow-up tasks. Patients were divided according to the type of T2DM susceptibility genes. Or all were divided into responses group and nonresponses group according to whether they had glycemic response (△HbA1c↓ ≥1.0%) and weight response (△weight↓ ≥3.0%) after taking GLP-1 receptor agonist for 6 months. According to the above grouping, the variables that can predict the efficacy of the drug were identified, and the weight of the influence of these variables on the efficacy was evaluated.


Locations(1)

China, Jiangsu, Department of Endocrinology

Xuzhou, China, China

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NCT06256419


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